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4075 Beaver Dam Rd PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA092084 Eagan, MN 55122 . Date Issued: 11/18/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4075 Beaver Dam Rd Lot: 31 Block: 01 Addition: Diffley Commons PID 10-20450-310-01 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: hmprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen Charles H Miller Tste 1920 County Road C West 4075 Beaver Dam Rd Roseville MN 55113 Eagan MN 55122 (651) 264-4777 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature ' 2oo6 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 1 1 1 7 Site Street Address t1b roc' pw G1 Unit # r L ~ )D Me, Telephone # ?G - S-6; Property Owner _ Contractor O'CONNOR'S ONE HOUR Telephone # ((cS `1 3 7 ` ~t 1904 VERMILLION ST. Address HASTING, MN 55033 State Zip The Applicant is: _ Owner V! Contractor -Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. tic System Abandonment Sep -Water Turnaround (add $130.00 if a 5/8" meter is required) inl I J~ FEB 0 2 p7 Other: Water Heater $ 15.00 _ Water Softener /replacement _ new . replacement Lawn Irrigation _RPZ _PVB new -repair -rebuild $ 30.00 State Surcharge $ 5 ~ SU Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accura e; at the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is requir~to be reviewed nd approved. Applicants Printed Name Apoi icant's ignature Pioneer En%ineer Inv 7831883 P. 02 • * 2422 Enterprles Drive t~ * Mendota Heights. WIN 55420 * I(512) Bst-1914•Fox 681-9488 * PIONEER I~ND SIIRVEYDR4 • ava -11009 - engineering 925 Highway 10 Northeast Blaine, MN 55434 (612) 783-1880•Fax 783-1663 Certificate of Survey for: The Rottlun Co an Inc- r ~ Jp ,r f JD rl r i s 77~. r ~<@R> 8272 r ! f I N IP f ~ ~ ~fvF r S 7js135f8• f 11N 14 ~ i } " _ X8.89 ley' Vj 1~ ~t is~ =~1 t f f rv m I mrr, ,arl - e. I 30 I k M 4f to L-~ a. , z I 257.29 f~ 54 9 - OD E o W25 I 5 8f3'4O DD" E + i SPA l 1.11 i! a i I I g fryK \1t t„~~ 1i~fc. ~ .1 ~ 1 ~1 i~j ? nr tyC 1 ~iP m y1 \ ~ t y ~ DRIYEIY/tY z ~ r) b ~ i ;i~ t\t w 75.93 248.55 i t\\ Q i\\'3. t\\ N 86'•13'47- E 5 8G'4dW E t ~ \ fir. fi+Y -1 t r ~ 1' y 'h _ ,r....w f ...w t\e.....M'_~f~.w.++^~'~,.~,~•/err 1 r i; l J ~Q~'~~.~~--r"'"`te ~ , i I 9=17 Deflates Existing Elevation PROPOSED HOUSE E VA Ol+l -(IgO Deflates Proposed Elevation Garage floor slob Denotes Drainage & Utility Easement 9e Denotes Drainage Flow Direction elevation at front: -P- Denotes Monument - Denotes Offset Hub Bearings shown are aswtTted LOTS 29,30,31 &32 BLOCK 1 DIFFLEY COMMONS DAKOTA COUNTY. MINNESOTA I hK" cenif Y tttet this Vney, Plan or r6art tras vivarad bs Dr Ixtdet my diroct WpervistOe OW that 1 em qoy floostsred land 8urvsyor W4110 Ole Ism a1 the SUN of Min esste. Dated this Z7 dvV of xL A.0.19 2 Scale. 111&-50 "Iellt R ERT8. IIfIC}+4•S. REG.N0. 1~8a1 91123 - COt! PERMIT I Control No. 1) 1 1 •CiT)....OF EAGAN l 3$30 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000418 (612) 681-4675 Date Issued: 05/04/92 SITE ADDRESS: 4075 BEAVER DAM RD LOT: 31 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAN. T.H. Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type VN Zoning PO R-4 Building Length 52 Building Width 39 REMARKS: RECEIPT # C=.017W i( SSW PLBR. a VALLEY PLBG. LOTS 27-32, 81 FEE SUMMARY: VALUATION $82.000 Base Fee $558.50 MISC FEES $1,610.59 Plan Review $363.03 Total Fee $3.273.03 Surcharge $41.00 SAC $700.00 SAC % 1@@ SAC Units 1 Subtotal $1,662.53 CONTRACTOR: - Applicant - ST. LIC. OWNER: THE ROTTLUND CO INC 15710304 0001335 ROTTLUND CO THE 5201 E RIVER RD 5291 E RIVER RD FRIDLEY MN 55421 FRIDLEY MN 55421 f (612) 571-0304 (612)571-0364 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. ATURE JA J PLICA TlPERMI EE SIGNATURE qSS BY. Control INSPECTION RECORD No. t a CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000418 Eagan, Minnesota 55123 Date Issued: 95/04/92 (612) 681-4675 SITE ADDRESS: LOT: 31 BLOCK: 1 APPLICANT: 4075 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: MULTI-FAN. T.H. NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. SITE FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: RECEIPT 0 S&W PLBR. - VALLEY PLBG. LOTS 27--32, B1 L - PERMIT - CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 ~,PR d ~ nt_bD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot change is re guested once ermit is issued. Date / v Valuation of work -36 D . - I ~6y J~l ite Address: 'I e,- -17 1~__ STREET STE / Tenant Name: LOT BLOCK SUBD. P.I.D. Description of work: The applicant is: @ Owner OY-Contractor O Other (Describe) Name tllj .L~.,e , Phone S=d Property LAST ST Owner Address L STREET WE ! City State Zip Company r2. :a~~/w,Z Phone 4 aC~o /335 Contractor Address _!57oi i h ~/1 License # - Exp. 3 3~-P Ci ty tdz_ State fi ~ Zi p 5 fez/ Phone Company Architect/ Engineer Name Registration Address' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once ar has been appr ed. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: vrri%.c uac VrvLT BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish ❑ 13 Public Fac. ❑ 02 SF Dwg. ❑ 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Agricultural ❑ 03 Two family ❑ 07 Fireplace -E3 11 Res. Add./Porch ❑ 15 Miscellaneous ❑"04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Comm./Ind. WORK TYPE 1Y 31 New ❑ 34 Repair ❑ 37 Demolish ❑ 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined ❑ 33 Alterations ❑ 36 Move _ GENERAL INFORMATION Const. (Actual Basement sq. ft. MWCC System (Allowable) ) 1st F1. sq. ft. City Water_ UBC Occupancy 3 2nd F1. sq. ft. PRY Required 0 of oninStories Sq. Ft. total Booster Pump Z Footprint Sq. ft. _ Fire Sprinkler length _77- On-site well Census Code Depth On-site sewage SAC Code 116 0.3 APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ® Site 0 Footing Framing ® Insulation ® Wallboard ® Final ❑ Draintile ❑ Fireplace Permi t Fee Ss , sn vatu.tion: Surcharge Plan Review -3 , 03 License MWCC SAC 00 City SAC ioo Water Conn. ~A 715' Water Meter 9s Acct. Deposit 30 S/W Permit 30 S/W. Surchargge „~a Treatment P1. 3 00 Road Unit 3~0 Park Ded. Trails Ded. Copies Other Total: - SAC % SAC Units PERMIT Control No. ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000419 (612) 681-4675 Date Issued: 05/04/92 SITE ADDRESS: 4079 BEAVER DAN RD LOT: 32 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAN. T.H. Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type VN Zoning PO R-4 Building Length 52 Building Width 39 REMARKS: q i RECEIPT N L9 SSW PLBR. VALLEY PLBG. LOTS 29-32, B1 FEE SUMMARY: VALUATION $82,000 Base Fee $558.50 MISC FEES 51.610.50 Plan Review $363.03 Total Fee $3,273.03 Surcharge $41.00 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $1,662.53 CONTRACTOR: - Applicant - ST. LIC. OWNER: THE ROTTLUND CO INC 15710304 0001335 ROTTLUND CO THE 5201 E RIVER RD 5201 E RIVER RD FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Nn. Statutes and City of Eagan Ordinances. V U'`~' frCti APPLICA T/PER ITEE SIGNATURE ISS ED BY. I NATURE Control No. RECORDYv: CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000419 Eagan, Minnesota 55123 Date Issued: 05/04/92 (612) 681-4675 SITE ADDRESS: LOT: 32 BLOCK: 1 APPLICANT: 4079 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: MULTI-FAN. T.H. NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. SITE FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: RECEIPT # SSW PLBR. - VALLEY PLBG. LOTS 29-32, 81 I_ - PERMIT # . CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets.of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re nest is made r lot than a is re nested once ermit is issued. Date Valuation of work `f j i~e4' Site Address: STREET / STE Tenant Name: _~VA4j. LOT Z_ BLDCK SUN f i1 P.I.D. / ~ l `c 1177? Description of work: - 11n, The applicant is: IR Owner ~'sl Contractor O Other (Describe) Name 7ivc/ Phone Proper LAST RST Owner Address a~ o STREET STE / Zip '5::i City State ))I lC-lei Company U Phone 5121-0.-:2e96) Contractor Address License #OoO1335 Exp.3--4/- d city 4r, 'd k State hl ~ Zip ` -/-Z _ Company i Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once ar a.has been appr ved. I hereby acknowledge that.I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant. J vrrmir_ uat VNLY BUILDING PERMIT TYPE 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish ❑ 13 Public Fac. ❑ 02 SF Dwg. ❑ 06 Garage/Accessory D 10 Swim Pool ❑ 14 Agricultural ❑ 03 Two family ❑ 07 Fireplace - ❑ 11 Res. Add./Porch ❑ 15 Miscellaneous 04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Comm./Ind. WORK TYPE ,x'31 New ❑ 34 Repair ❑ 37 Demolish ❑ 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined ❑ 33 Alterations ❑ 36 Move GENERAL INFORMATION Const. iActual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy P, -3 ix 2nd F1. sq. ft. PRV Required Zoning O P y Sq. Ft. total Booster Pump #F of Stories Footprint Sq. ft. Fire Sprinkler Length Sz On-site well Census Code /0-2 Depth On-site sewage SAC Code a 3 APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS Site Footing Framing a Insulation Pr Wallboard Ef Final ❑ Oraintile ❑ Fireplace Permit Fee Ss~, s0 valuation: s_ Surcharge _ y/1 Plan Review 3 (.3. 03 License MWCC SAC ©n City SAC Water Conn. 61 Water Meter 55- Acct. Deposit 30 S/W Permit 30 S/W Surcharge , S-6 Treatment Pl. 3 ty) Road Unit 3p Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units PERMIT ' Control No. U '`iitY Of EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000416 (612) 681-4675 Date Issued: 95/94/92 SITE ADDRESS: 4083 BEAVER DAM RD LOT: 30 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAN. T.W. Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type VN Zoning PO R-4 Building Length 52 Building Width 39 REMARKS: I RECEIPT # SSW PLBR. - VALLEY PLBG. LOTS 29-32, B1 FEE SUMMARY: VALUATION $82,000 Base Fee $558.50 MISC FEES $1,610.50 Plan Review $363.03 Total Fee $3,273.03 Surcharge $41.80 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $1,662.53 CONTRACTOR: - Applicant - ST. LIC. OWNER: THE ROTTLUND CO INC 15710304 0001335 ROTTLUND CO THE 5201 E RIVER RD 6201 E RIVER RD FRIDLEY MN 65421 FRIDLEY MN 65421 (612) 571-0384 (612)571-0304 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. St tee and City of Eagan Ordinances. APPLI ANT/P MITEE SIGNATURE ISS D BY: ATURE INSPECTION RECORD Control No. a 6 %;ITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000416 Eagan, Minnesota 55123 Date Issued: 05/04/92 (612) 681-4675 SITE ADDRESS: LOT: 30 BLOCK: 1 APPLICANT: 4083 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: MULTI-FAN. T.H. NEW INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. SITE FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: RECEIPT 0 SSW PLBR. - VALLEY PLBG. LOTS 29-32, 81 PERMIT CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 APR AJQ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re guest is made or lot change is re guested once ermit is issued. Date Valuation of work Site Address: STREET STE Tenant Name: LOT f BLOCK SUBO. P.1.0. # vr'I3'' Description of work: The applicant is: Owner ❑ ontractor ❑ Other c0eserfw) Phone ~57/- e2 Name Property LAST FIRST Owner Address STREET STE / City` State Zip Z Company Phone Contractor Address ~?v!License #~doy'Exp. City . State /JJM,) Zip rrj„fV Compan o ~2~(,_e (76 Phone ~'7 d 30 Architect/ Engineer Name Registration # Address City State Zip Processing time for Sewer & water licensed plumber L2 2 11 sewer & water permits is two days once ar as been appr ed. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. - c~~~ Signature of Applicant: he" UrriVC U,t UNLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish ❑ 13 Public Fac. ❑ 02 SF Dwg. ❑ 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Agricultural ❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add./Porch ❑ 15 Miscellaneous 0 04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Comm./Ind. WORK TYPE 0 31 New ❑ 34 Repair ❑ 37 Demolish ❑ 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined ❑ 33 Alterations ❑ 36 Move GENERAL INFORMATION Const. Actual Basement sq. ft. MWCC System X (A1 owable) 1st F1 sq. ft. City Water UBC Occupancy - 2nd Fl. sq. ft. PRV Required Zoning -y Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length Sz On-site well Census Code Depth On-site sewage SAC Code 3 APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site Footing ~1 Framing -9Y Insulation Wallboard ® Final ❑ Draintile ❑ Fireplace Permit Fee ss~, SO wtwtian: : Z coo Surcharge %i - Plan Review 3 03 License MWCC SAC City SAC Water Conn. ; Water Meter S Acct. Deposit 319 S/W Permit S/W Surcharge ,Sa Treatment Pl. 3 00 Road Unit 3~ Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units PERMIT Control No. t 7 -7 C~ -CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 600415 (612) 681-4675 Date Issued: 05/04/92 SITE ADDRESS: 4087 BEAVER DAM RD LOT: 29 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAN. T.H. Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type VN Zoning PO R-4 Building Length 52 Building Width 39 REMARKS: RECEIPT S&W PLBR VALLEY PLBG. INCLUDES L29-32, B1 FEE SUMMARY: VALUATION $82,000 Base Fee $558.50 MISC FEES $1,610.50 Plan Review $363.03 Total Fee $3,273.03 Surcharge $41.00 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $1,662.53 CONTRACTOR: - Applicant - ST. LIC. OWNER: THE ROTTLUND CO INC 15710304 0001335 ROTTLUND CO THE 5201 E RIVER RD 5201 E RIVER RD FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 F_ I I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Sta tes and City of Eagan Ordinances. 1A PPLICANT ERMIT E SIGNATURE I SUE SIGNATURE :y, -75 INSPECTION RECORD I Cor,tro°. , CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000415 Eagan, Minnesota 55123 Date Issued: 05/04/92 (612) 681-4675 SITE ADDRESS: LOT: 29 BLOCK: i APPLICANT: 4087 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: MULTI--FAN. T.H. NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. SITE FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: RECEIPT 0 S&W PLBR s VALLEY PLBG. INCLU~ES L29-32, 0 F_ ` - I I L - PERMIT .'F CITY OF EAGAN .1992 BUILDING PERMIT APPLICATION 681-4675 APR 3 0 REW- SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy talcs. Penalty applies when typing of permit is requested,-but not picked up-by last working day of month in which request is made r lot change is re guested once ermit is issued. Date /fi Valuation of work Site Address: -oc5r1 1 ,~1xyg' rill, STREET STE S Tenant Name: LOT G BLOCK SUBO. P.I.D. # } v min s Descri tion of work: The applicant is: a Owner OytContractor O Other (Deccrtbe) Name --tie -r o H tun ~2' Phone 4 Property LAST FIRST Owner Address STREET STE / '56 City ~e DI'Ja State YYI ►U Zip _ Company -t'~f v tr' I u o d- -T- K-1 el_ Phone v'7~- Oho d _ Contractor Address ~O/ ~ f ~16~u /Gd License # aev 13-35 Exp. -:3-31-7d City reIoI-r State 1VY7.A~ Zip Company ~o Ff 1 u ~1~ . ~►c_~C__ Phone/-a ~o ¢ Architect/ Engineer Name Registration Address City State Zip Sewer & water licensed plumber 1 4L ~ luJVy1b'k2 Processing time for sewer & water permits is two days once area as been app ved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Urrit:r Uat UNLT BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish ❑ 13 Public Fac. ❑ 02 SF Dwg.. ❑ 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Agricultural ❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add./Porch ❑ 15 Miscellaneous EY 04 Multi-fam. T.H. ❑ 08 Deck O 12 Comm./Ind. WORK TYPE 31 New ❑ 34 Repair ❑ 37 Demolish ❑ 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined ❑ 33 Alterations ❑ 36 Move GENERAL INFORMATION Cons(. (Actual) I Basement sq. ft. MWCC System Al owable)) 1st Fl. sq. ft. City Water UBC Occupancy R-3 2nd F1. sq. ft. PRV Required Zoning U Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler. Length - 02- On-site well Census.Code Z Depth On-site sewage SAC Code 03 APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ® Site 13 Footing ~ Framing ®°Insulation J2 Wallboard [a Final ❑ Draintile ❑ Fireplace Permit Fee Sjg so vatu.ttan: $ 2 00 0 Surcharge Plan Review 03 License MWCC SAC joy City SAC /On Water Conn. ~s Water Meter S Acct. Deposit 30 S/W Permit 3,0 S/W Surchargge r0 - Treatment Pl.. 30 Road Unit ago Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units F..(WRILOB 1:NVF.1.01'F AVFNA+-1: "U" CclKPOTA1ION O4 N ER SITE ADDRESS DD CONTRACTOR DATF. PHONE Determin vorkinj; square foota,;c of each. 1. Total exposed wall area sq. ft. x 0.11 _ ),a • 2. Total roof/ceiling area d sq. ft. x 6,026 = a Total exposed wail area above floor = 1 a. Total vall window area b. Total door area " C. Total sliding glass door area d. Total fireplace wall area e. Total wall framing area (average lOP) f. Total net wall area above floor g. Total rim joist area Total exposed foundation area = 2- h. Total foundation window aree . i. Total net foundation area above grade Determine "U" value of each wall sf- ;ment. ''11 J, s. Y 11U v ~ - ' • C. ✓ . x 1111 ~I 1 = z~. 5-7 d. X 11 U11 = e.,.+t:7 X .i.ll11 1 • I• 7 f a X 11u11 _ .apps. ( + ' • g ..r+ X 11 t T 11 _ h. ooooftooh- 3. .ot.:] _ - ✓ If item #3 is the same as, or less 1-han .it.cm 1/1, you have met the intent of sac 6oo6(c)2. ' Total exposed roof/ceiling area = f C7 Total gross roof/ceiling area = J. Total skylight area k. Total roof/ceiling framing area IL1~~: 1. Total net insulated roof/ceiling area 7. Determine "U" value for each ruorleci 1 ink. scgment. J. x flan k. l j x S,Ull 1. 7. X „U„ b . Total If total of #4 is the same as, or less than d2, you have met the intent of SBc 6oo6(c)1. To utilize the total envelope system method, the values establi=hed by the sum of items 113 and 14 shall not be greater. thtin the sum of items #1 and 112. 1. ± 2. O~ Cs 'ILI J.s p. A=te os IIx'i, c l2 FIL A D; Za 1 _ 3 14 ('S I - 13 5 i 2, ` 2 IN~u%, 44x.4 o.45 u (6rNT) u Olrj~-AM AI(z ICI. = D, - 12 4 _5%L lH6WLAjc-H- E . o L - 27 01 u= o_c43 ~oMPoN~N 15 ~ . ~•-VALUE r o-UT~IoE Prig l.,M. I ~ 2 ~fZ 3 3 hN~A1H 1 N !s . 2 •O U - - - - o.~1-7 co' ?rip F9LlM.. View. p U ~G0- M P~. U~ _ (0,12 x o .0b9) t (o. as X 0.043~ _ o - _ PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 027901 (612) 681-4675 Date Issued: 06/17/96 SITE ADDRESS: 4075 BEAVER DAM RD LOT: 31 BLOCK: 1 DIFFLEY COMMONS P.I.N.: 10-20450-310-01 DESCRIPTION: Building Permit Type STORM DAMAGE Building Work Type REPAIR Census Code 434 ALT. RESIDENTIAL REMARKS: INCLUDES 4079 (LOT 32) 4083 (LOT 30) 4087 (LOT 29) BEAVER DAM RD FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC.OWNER: DU ALL SVC CONSTR INC 17889411 0003178 HOMEOWNERS ASSOC 636 39TH AVE NE BEAVER DAM RD COLUMBIA FITS MN 55421 EAGAN MN (612) 788-9411 I hereby acknowledge that I have read this application and state that the information is correctand agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. i APPLICANT/PERMITEE SIGNATURE qMED-871 SIG AT E 0-100 CITY OF EAGAN 1 1 0,0 3830 PILOT KNOB RD - 55122 ~6~ 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Remodel/Reoair Requirements New Construction ♦ 3 registered site surveys ♦ 2 copies of plan 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711/93 required: Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: t STREET ADDRESS: LOT 2 30 3132 BLOCK I SUED./P.I.D. PROPERTY Name: Phone OWNER LAST FIRST Street Address City: State: Zip: CONTRACTOR Company: ou AU ~ IAC. Phone MM AVVIM NE OXUVMA 14T31. MN W21 3 I 8 Street Address: 9wh M cbt2> ~aa.lia><I License City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY ' y BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 - plex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS R t. Planning Building ngineering" Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L. D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 8 4 4 (612) 681-4675 Date Issued: 0 8/ 0 7/ 9 8 SITE ADDRESS: 4087 BEAVER DAM RD LOT- 29 BLOCK: 1 DIFFLEY COMMONS P.I.N.- 10-20450-290-01 DESCRIPTION: REPAIR CHIMNEY Building° Permit Type STORM DAMAGE Building Work Type REPAIR Census Code 434 ALT. RESIDE14TIAL REMARKS: REPAIR CHIMNEY DUE TO STORM DAMAGE. FEE SUMMARY: CONTRACTOR: - Applicant - ST. LTG. OWNER: DU ALL SVC CONSTR INC 17889411 0003178 ARHESON HAROLD 636 39TH AVE NE 4087 BEAVER DAM RD COLUMBIA HTS MN 55421 EAGAN MN 55122 (612) 788-9411 (651)454-3729 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L t APPLICANTMERMITEE SIGNATURE 16 ED BY: SIGNATURE 1998 BUILDING PERMIT APPLICATION (MESIDENTIAIr) 3630 PILOT KNOB RD - 85123 681-46TS New Construction Reouirernents Reaubewsm ♦ 3 registered site sum" ♦ 2 copies of plan ♦ 2 copies of plans (include bea rt a window sizes: poured fnd. design; W-) ♦ 2 sib sunwys (sxtJerkrraftions dew ♦ 1 energy calc ladons ♦ f energy calculations for hsaied addit ' ♦ 3 copies of tree preservation plan p kit ptatled altar 711193 required: _Yes _ No DATE: CONSTRUCTION COST:.. ' ,~P t DESCRIPTIO OF WORK: k VV\. Vk.1- SIRE ADDRESS:- 1 K LOT. = BLOCK: ` SUBD./P.I.D. M CA Y V 4 Name: e_rX -a Phone ,,T, i~• PROPERTY Last First OWNER Street Address: B city 6AOt.tom State: f zip:. 2 i&:. Company: Phone f o'9O CONTRACTOR Street Address: ---~3-t~f_ License # City /~a~~. State:A Zip:`rf T.. ARCHITECT/ ENGINEER Company: Phone Name: Registcien Street Address: City State: ZiP. Sewer & water lcensed plumber (new construction only): t"1114 hen eddteSs Char and lot change is requested once pemat is issued. I hen dcnovvly e e that 1 have read this application and stabs that the iMarlriatieun+ canbct and egnee o ¢pl with, aN. bt StateCHASM City of Eagan Ordinances. AU 5 1998 Signature of ,Applicant BY. C ,l D OFFICE USE ONLY AUG 0 5 1998 Y. Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No tot Requi 1"ICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation 0 06 Duplex ' 0 11 AptJLodgitV 0 16 Bent Fmieh 0 02 SF Dwelling 0 07 4-plex 0 12 Mufti Repair/Rem.- 13 17 Sawn _Pool 13 03 SF Addition 0 08 8-plex 0 13 GaragelA ory 0 20 Pubk F lay 0 04 SF Porch 0 09 12-plea 0 14 Fireptace_ 0 21 Mlsceweous 0 05 SF Misc. E3 10 Alex 0 15 Deck WORK TYPE 0 31 New 0 33 Alterations 0 W Move 0:32 Addition 0 34 Repair 0 37 Demolition GENERAL INFORMATION Const. (Actual) Basema" sq. ft. MCNVS fiem (Allowable) Main lei sq. ft. Cite Water USC Occupancy sq. ft. Fir* Sprinkhired Zoning,- sq. ft: PRV # of Stories sq..ft. Boater Pump Length sq. ft. Census Code: Depth Footprint sq. ft. SAC Code Census. Census Unit . APPROVALS Planning Building Engineer Variance Permit Fee V*ua* n: $ Surcharge Plan Review License MCJWS SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Perms S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Tatat: - . % SAC SAC Units PERMIT T-ITY'OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 8 4 5 (612) 681-4675 Date Issued: 0 8 10 7/ 9 8 SITE ADDRESS: 4075 BEAVER DAM RD LOT: 31. BLOCK: 1 DIFFLEY COMMONS P.I.N.: 10-20450-310-01 DESCRIPTION: REPAIR CHIMNEY BuildingPermit Type STORM DAMAGE Building Work Type REPAIR Census Code 434 ALT. RESIDENTIAL REMARKS: REPAIR CHIMNEY DUE TO STORM DAMAGE. FEE SUMMARY: CONTRACTOR: - Applicant - ST- L I C . OWNER: DU ALL SVC CONSTR INC 17889411 0003178 MILLER CHARLES 636 39TH AVE NE 4075 BEAVER DAM RD COLUMBIA HTS MN 55421 EAGAN MN 55122 (612) 788-9411 (651)454-5549 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANIPPERMITEE SIGNATURE L ISSUED BY. SIGNATURE i► 19 BUnMIN G PERMT APPLICATI~11i (RIIIE M) j cruet OF RA4AM 3830 PMOT XXOD RD 55122 "1-"7s MM Constnudon Requirements BENA Raoair;ReOcdnerrssNa ♦ 3 r gistered site surreys ♦ 2 coples of plan ♦ 2 copies of plans (include beam & window aim; poured fnd. design; etc.) ♦ 2 site surreys ( editions 3 "ds kJ ♦ 1 energy calculations ♦ 1 energy .csfCUlatlona fbtlrsalad adli ♦ 3 copies of bee preservation plan if lot pfatied after 711193 requited: _Yes No DATE: CONSTRUCTION COST; DESCRI ION OF WORK:. ~ c...;, +Cr!. .~z...,...~,_..._ S ET ADDRESS: • LOT: BLOCK: SUBD./P.I.D. Name: Phone PROPERTY Lost Fist OWNER J Street Address•B ~~~--/h/tt-~ftsl ' City Stake:zip: ~V~... Company: Pbene#:.. Bar- 9!11!/ CONTRACTOR Street Address: GoT~ -3 !~'t1 License # city State: Zip: ~ . ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State Zip: Sewer & water licensed plumber (now construction only): .poti k when address chang lot change is requested once permit Is issued. I hereby adcnowledge that I have read this application and state that the in is correct ut y whit-alt applic am State RE ity of Eagan Ordinances. ,v VED Signature of Applicant AU G (0 5 1:99 BY: FEWiLIUSE ONLY Certificates of Survey Received Yes No AU G 0 5 199$ Y' B Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation 0 06 Duplex 011- - Apt./Lodging 11g B er t.~Fi h 0 02 SF Dwelling 0 07 4-piex ® 12 Multi RepakfRero. 0 17 Swirtr' of CJ 03 SF Addition 0 08 8-piex 0 13 Ga"WAmessary, 0 20 P ` Syr 04 SF Porch 0 09 12-plex O 14 Fireplace CJ 21 M noous, 0 05 SF Misc. O 10 - piex 0 15 Dock WORK TYPE 0 31 New 0 33 Alt®rAftw 13 36 More 0 32 Addition 0 34 Repair 0 37 Dernoldon GENERAL INFORMATION Const. (Actual) Basement esq. ft. MICA" System (Allowable) Main,W* sq. ft. C.itt►"WI UBC Occupancy sq.,, ft. Fire Sd wing sq. ft. PRA/ of Stories sq. ft. Booster lump Length sq. ft. C40MJS. Code. Depth Foo# nt sq. ft. SAC Cade APPROVALS Cos+ws Unit PlIanning Building Engineering Variance - Permit Fee Vion: $ Surcharge Plan Review License MCNVS SAC City SAC _ Water Conn. Water Meter Acct. Deposit SNV Permit SNV Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: s % SAC SAC Units ?;;~~YdY,t?;t:~C);tit)4YtYdYd?~t?~Yd:~Yd?rw?4~)~~CYd~CX~~~t~t~Yk::;;?}::~:?K?l~?Kk':~< CITY OF EAGAN CASHIER: 3 TERKI:NA1_ NO-, 84.8 DATE:: 11./i6/98 TIME,". 1.4,.4•E_ ° 4.7 ID. ; NAM c;! Jz~(.Jf'tz~AN IN(*, 32:1.0 `3001 4187 IMF-AVER DAM 224. i'5 3::1.() 900:1. 4134•':3 BEAVER DAM 224. 75 3^2:1.13 90301 4059 BE AVER TIAJ4 %24•.7 5 32TO 90031 4075 l..AH AVER DAM 2P_ . 75 32,•10 903011 4.03`':11. D AVI- : 1A3AM 224..7`.1 38103 9(:30)1. 4.1.(:37 BEAVER DAM 224. 75 3f 1.03 703031: 41.23 BEAVER DAN 224. 75 32:1.0 9001. 4•:13.` BEAVER DAM 2 24.75 321.0 9001. 4.:1.5":i A:EAVEl:{ DAM 224.7 0:(:3`.1`:)4.1.1. 01 CONT:I.NUIE USER '[D- NANCY -4 C(:3NTINUIE )$Yd?,:)'d?~Yd~XJn?K:'dydYd~?'4i ?fi?K?~i k?k?Y•:%dh~%d?YYd?~'1d?nm?1=Yd)~)1~?n1,4)'dMYd`• ~t)slYd?itldk'$:'d `t `?d h?~XA'tl~YdAt~tilE:¢dyd;¢31f` ?t?1C?f ><.?st ~t CONTINUE CITY (:3F EA( AN CASHIER: S ,TERMINAL NO. 84.3 DATE! 11/16/98 Mtl- NAME NAME r SUBURBAN GROUP :I: NC 3F.`1(7 x()(:31 4•:171. BEAVER DAN 224.75 Total R(.-.~ceipt AfTiount,,! ,%;o CR.039941.1. USER I zi ° NANCY ?k~Yd?#?~~?XYd?`d?~#?X~?I±?k~'~d:'~?k?k~?;c?k?dc);t?%?kM~d?~?X~dXt?l~?n~~d?k PERMIT 61T*- ~ OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan; Minnesota 55122-1897 Permit Number: 0 3 4 0 6 3 (651) 681-4675 Date Issued: 11/18/98 SITE ADDRESS: 4075 BEAVER DAM RD LOT: 31 BLOCK: 1 DIFFLEY COMMONS P.I.N.: 10--20450-310-01 DESCRIPTION: REPLACE SIDING B411ding'Permit Type, MULTI. (MISC.) B,ua,.:lding Wb'l-,k Type REPAIR " en,5us.Code 434 ALT. RESIDENTIAL ~ ~y ~ ;5 _r REMARKS: INCLUDES: 4079, 4083, AND 4087. FEE SUMMARY: VALUATION $15,000 Base Fee $224.75 Surcharge 7.50 Total Fee $232.25 CONTRACTOR: - A p p l i c a n t- OWNER: SUBURBAN EXTERIORS 28818232 DIFFLEY. COMMONS ASSOC. 9'x01 PENN AVENUE SOUTH 4075 BEAVER DAM RD BLOOMINGTON MN 55431 EAGAN MN 55122 (612) 881-8232 I heret,y acl<np,wledge..t'h6t 1, have rd'ad this K~p~~lic~tion and, state', that,. the inforrria-taon Z, s,- correct an'd agree tU comp-ly t ~ith aII app.l.,i -able State of Mn -S't,atut'e.s- a:nel -1-t- of Eagan Ordinance- APPLICANT/PERMITEE SIGNATURE S UED'BY: SIGNATURE ,t 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN ~L} ~3 681-4675 Submit following to obtain necessary permit Foundation Only New Construction , Interior Improvement architectural plans (2 sets) architectural plans structural plans (2 sets) 2 sets civil plans (2 sets) structural plans (2 sets) code analysis (1) `i code analysis (1) " civil plans (2 sets) project specs (1 set) soils report (1) landscaping plans (2 sets) Key Plan project specs (1) code analysis (1) energy calculations (1) not always " Special Inspections & Testing Schedule soils report (1) Electric Power & Lighting Form (1) not always - SAC determination letter from MCNVS - SAC determination letter from MCNVS - SAC determination letter from MCNVS - call 602-1000 call 602-1000 call 602-1000 Special Inspections & Testing Schedule (1) " project specs (1) energy calculations (1) Electric Power & Lighting Form (1) " " Contact Building Inspections for sample Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. DATE: I ~ 'i G T--C?A WORK TYPE: NEW REMODEL DESCRIPTION OF WORK: o s S~ - CONSTRUCTION COST: TENANT NAME: C-n,- "V.,6 Y A SITE ADDRESS: 4 4U ~p$`'~ 108"7 C~l.~~►'' J SUITE LOT ` BLOCK ` SUBD. VYA-VYL0 L P.I.D. # Name: Phone PROPERTY Last First OWNER Street Address: go - City State: Zip: - - Company: Phone CONTRACT O C3 - ~ ~r License # 4 / R Street Address• City ~ State: P' ARCHITECT/ Phone - ENGINEER Comp.uiy: N:irne:__ Registration Street Address:- City - - - - - - - State Zip: Sewer & water licensed plumber (only if installing sewer & water): I hereby acknowledge that I have read this application and state that the information is rrect and agree to comply with all applicable State c Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 19 Comm./Ind. Misc. ❑ 21 Miscellaneous ❑ 18 Comm./Ind. ❑ 20 Public Facility WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code # of Stories sq. ft. SAC Code Length sq. ft. Census Bldg. Depth Footprint sq. ft. Census Unit APPROVALS Planning Building Engineering Variance Permit Fee . `1 Valuation: $ Surcharge - S~ Plan Review MCNVS SAC City SAC Water Conn. SNV Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size t~ 'BL CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUBD. (612) 681-4675 RECEIPT DATE 919-41- RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 .9 BATH TUB 3.00 3 - LAVATORY 3.00 C~ OWNER NAME : KITCHEN SINK 3.00 _ L LAUNDRY TRAY 3.00 SITE ADDRESS : HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 ` GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: OTHER WATER SOFTENER 5.00 CITY: ~`J _ ZIP: J Z PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE l 7,2- l W. TURNAROUND 15.00 STATE SURCHARGE .50 SIG ATURE OF PERMITTEE TOTAL. COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT #/C74_1O -5 DATE : o~ t PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6. GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME : SUBTOTAL: SITE ADDRESS: ~/o 7 /p STATE SURCHARGE: .50 LOT: BLOCK ~ SUBD.`' TOTAL: $ 3 d `sd INSTALLER: FLUE NX d/Cir M. ADDRESS : 93M Plymotd AYE. N0. ~ GNATURE OF PE E &ft YAW, mft. My CITY: * 9r ZIP: PHONE ~A'~ii%l' L,I NDL1 k A. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN L BL , CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUBD. t.a (612) 681-4675 RECEIPT # DATE 9.::k- PLEASE PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON :-;2 SHOWER 3.00 REPAIR T WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: G~ GG~1L~~'~ L KITCHEN SINK 3.00 1 LAUNDRY TRAY 3.00 SITE ADDRESS: L Icl ✓~ti lam' HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 r GAS PIPING OUT. Xq, (MINIMUM - 1) 3.00 INSTALLER: l ROUGH OPENINGS 1.50 ADDRESS:f OTHER WATER SOFTENER 5.00 CITY: 'G'~' ZIP: PRIVATE DISP. 15.00 C _ U.G. SPRINKLER 3.00 PHONE jj : W. TURNAROUND 15.00 STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN ' CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # S DATE : S X10 F-7 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU .00 REPAIR ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM ! OF 1 PER PERMIT OWNER NAME :G r7! ~J SUBTOTAL : $ _ d f% SITE ADDRESS : G' 2 2" 4 ~ `t e / J 171 k_F9 STATE SURCHARGE : .50 LOT: BLOCK SUBD. TOTAL: $ 3 a _s-c INSTALLER: FLARE HTG f r ADDRESS : nano DlureRnIjth Ave. No. . IGNATURE OF PERM "E Golden Valley, M14• 55427 CITY// ZIP: PHONE Q.."f:RAI,IDtTSst PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUED. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x It $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN L •BL CITY OF EAGAN CITY USE ONLY • J PLUMBING PERMIT SUBD. (612) 681-4675 RECEIPT D DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: L'"t ulget'2 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 3 SITE ADDRESS : y u i 1 ~JC - G~ HOT TUB/SPA 3.00 WATER HEATER 3.00- Z FLOOR DRAIN 3.00 GAS PIPING OUT. C (MINIMUM - 1) 3.00 INSTALLER _ ROUGH OPENINGS 1.50 ADDRESS: _ OTHER _ WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 / U.G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: S COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: - OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN • CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD ~C EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # / O S DATE : f D "M PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST Z ADD-ON MINIMUM $15,GQ ADD ON HVAC 0-100 M BTU 24.00' REPAIR ADDITIONAL 50 M BTU 0 GAS OUTLETS - MINIMUM .00 OF 1 PER PERMIT OWNER NAME : SUBTOTAL: $ C% • Ob SITE ADDRESS : STATE SURCHARGE : .50 LOT : aO BLOCK SUBD. TOTAL : $ 36- r-6 INSTALLER: ARE NTC• 9 A/C, ift 9303 Plymouth Ave. No. ADDRESS: IGNATURE OF PERM E CITY: f ZIP: PHONE # : J fvz l0 AIMRC;IAL/INY~iSTRA4: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE = $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN L BL CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUBD. / (612) 681-4675 RECEIPT # DATE S RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: KITCHEN SINK 3.00 7- LAUNDRY TRAY 3.00 SITE ADDRESS: HOT TUB/SPA 3.00 WATER HEATER 3.00 3 FLOOR DRAIN 3.00 i GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS : K'16 C~ lac C~ I~ OTHER f WATER SOFTENER 5.00 CITY: ZIP: 53 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE _ W. TURNAROUND 15.00 STATE SURCHARGE .50 Z~ SIGNATURE OF PERMITTEE TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD / EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # O S 4lA' DATE: -5' S~- SDf PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15 ADD ON HVAC 0-100 M BTU REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.0 OF 1 PER PERMIT OWNER NAME : L /""d 1/~2 SUBTOTAL: $3'::!~-U SITE ADDRESS: STATE SURCHARGE: .50 L/ / r ~~yvti zfY~'~ LOT : ~ BLOCK SUBD. TOTAL : INSTALLER: RARE HT6. it -r !y' e. IGNATURE OF PERM EE ADDRESS : 9303 PIYmQU#h Ave. No. en a sey, MR CITY: ZIP: PHONE AMERA,f 1ST'. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN J 64 2 Fitsquest Date Fire ugh in Inspection p ¢ e uir ? D Ready Now LYtNill Notify Inspector q - 1 Z es L] No When Ready? Licensed contractor 0 owner hereby request inspection of above electrical work at: Job Address (Street. Box o oute No.) city Section No. Township Name or No. Range No. Coypgt G~ Occupant RINT) Phone No. Power u.~.~/~)•~~~r ,,k A ^ Address ElectricaM~trctor o mpan -me) Contractor's License No. _ C`4Df03$ Mailing Address (Contractor or Owner Making Installation) Authorized Signature (Contractor. wrier a0ing Installati ) Phone Number - IL3-l ° MINNESOTA STATE BOARD OF EL TRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED 2 . es RE©IXST FOR ELECTRICAL INSPECTIONa -o t oer~ ► See instructions for completing this form on back of yellow copy.,'~,~•I J 6 41167 "x' Below.Work Covered by This Request ew Add Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service _ DuplexWater Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm _ Air Conditioner Other Ispecrfy) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ar 1,010tolOOAmps O Transformers Above 200 Amps Above 0 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms J -0 Ce-S-0 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS I, the Electrical Inspector, hereby Rough-.n Date certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from " 2 1 ~0?/G Z ~ J 64 Request Date Fire No R gh 'n Inspection I G3 Re ? D Ready Now_2%ill Notify Inspector -7 1 0 No When Ready? 1,;21icensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street. Box oute No.l City 90l~ /e7j Section No Township Name or No. Range No. Co Occupant lP NT) Phone No. Power Supp^ Ac ss 1171✓~1 . Z-1- Electncal rtractor (Comp any Name) License No. /'r V J Mailing A dress (Contractor or Owner Making Installation) Aathonzed Signature (Contract /Owner M i Installation) one Numbers (y MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ~r X!ES-00001-08 No. See instructions for completing this form on back of yellow copy. _ X" Below Work Covered by This Request J 46 _ ~ eik Add Rep. TypeofBuilding Appliances Wired Equipment Wired - Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps $ e 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms ~J ITS-J-0 Special Inspection I` Alarm/Communication THIS INSTALLATION MAY BE 9RDERED MCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M & f I, the Electrical Inspector, hereby Rough-in , certify that the above inspection has Final Date yr_ > been made. -F7 OFFICE USE ONLY This request void 18 months from I J 9 ~g Request Date Fire o . in Inspection quired? Ready Now Will Notity Inspector :2-q - Q Z es C No When Ready? 11 Incensed contractor 11 owner hereby request inspection of above electrical work at: Jot) Address (Street. Box City L:) '4 OS3 Section No Township Name or No. Range No. Couppr Occupant RINT~ Phone No. Power SuppiA Address 0- Electnc omractor (Company Name) Contractors License No. C A 8/ Madmg dress (Contractor or Owner Making Installation) Authorized Signature (Contractor wne rig Installation Phone Number _AK~ , - MINNESOTA STATE BOARD OF EL CTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave_ St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. Q/ REQUEST FOR ELECTRICAL INSPECTION sW' Ee-00001-08 ` I► See instructions for completing this form on back of yellow copy.'. _ C~214 T-4069" Below Wank Covered by This Request.: ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range ~f Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps S 0 to 100 Amps Transformers Above 200 Amps Above ►OQ Amps Signs inspectors Use Only: r TAIL Irrigation Booms ( 3--o Special Inspection 111 CCC/// Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. I, the Electrical Inspector, hereby Rough•in ate certify that the above inspection has Final Date been made. OFFICE USE ONLY This request void 18 months from 5(off` 4., 2- 16 , 070 Request Date Fire X4 1-in I ection ~N a ? D Ready Now ll Notify Inspector -7 - / as ❑ No When Ready? 1 'licensed contractor O owner hereby request inspection of above electrical work at: Job Address (Stre et, Box r Route No.) City Section No. Township Name or No. Range No. CourA Occupan PRINT) Phone No. Sower Supplier Address Electrical tractor (Company N Contractors License No. Mailing Address (Contractor or Owner Making Installation) Authorized Signature (Contracoosl (rner M in 1-stallation) Phone Number MINNESOTA STATE BOARD OF ELE RICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED_ REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 Q No Seg,instructions for completing this form on back of yellow copy. „ „ X" Below Work Covered by This Request 4 ew Add R-ep~TypeofBuilding Akppliance&Vired Equipment Wired Home Range 7 Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool _ 0 to 200 Amps lI 0 to 100 Amps Transformers Above 200 Amps A O Amps Signs Inspector's Use Only: TOTAL Irrigation Booms 910 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN ISM NTHS. I, the Electrical Inspector, hereby Rough-m Date?!` certify that the above inspection has Final Date been made. C OFFICE USE ONLY This request void 18 months from i ~~r#t#tr~#~ rrf C~rru~~~tr~ Citp of (Eagan iurpwft d of wawa 3tt ation . This Cervflc to issued pursuant to the requirements of Section 306 of the uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ondinances of the City regulating building co&wucdon or use. For the following. M=-FAM T.I. Bier. iamb No. 410; owv,ay rya I*A4J z,,&4 oeaia MIRA TW VN Owner of Bmldmg >aamil ID m pc Adam 52Q i E Rit1FRRRD, FRTMEY sh.1,N- AAA 4083 EUVER DAM RDAD L.;t, L30, BI, DREW OMfM 8/27/g2 oaa.l y POST IN A CONSPICUOUS PLACE 4ddrgas : 4083 BEAVER DAM ROAD Lot 30 Blk I Sec/Sub DIFF= rig These items were/were not complete at the time of the final inspection. Date. 8/27/92 Yes No _S Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway l/ Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck LOIT Please. verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. ~araeowa White - City copy Yellow - Resident copy Pink - Contractor copy ~~er#t#tr~#~e (rr~t~rnx f Citp of eagan ~e~rt~netci of ~i~ .~tt~prtian This CerVjla to issued pursuant to the requirements of Secdon 306 of the Uniform Building Code cerdfying that at the time of issuance this structure wash compliance with the. 'various ordinances of the City regulating building construction or use For the foUowdng. Use f bMLT r FAM 11.1 eldg. Pima Na 419 O-V-7 TYa RA I lOCNg Disbiet Typp VN 0waf7HE RMMJY 1) M DE A d. S x,1 R RTVRR R11.~FRTI~RY A 4072 DR4 1 L,,*yL32. B1, DL FI~Y O NS 8127192 t e'a°ma Officb POST IN A CONSPICUOUS PLACE. !Address: 4079 BEAVER DAM MAD Lot 32 Blk 1 Sec/Sub DIFFLEy Ca~kM These items were/were not complete at the time of the final inspection. Date: 8/27/92 Yes No Tnqnpr-tnre Final grade (6" from siding) LI/I Permanent steps - garage 'Permanent steps - main entry Permanent driveway LI/ Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish v Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. White - City copy. Yellow - Resident copy Pink.- Contractor copy C[tp of Cagan lorprwftnd of %Ql"4 prrtfm This Certrfcate kwed pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the mrious ordinances of the City regulating building construction or use. For the following. Lin a uoo MOLT- FAM T.H. ~s L 418 O-w-7 TM DAM zming > PD/R4 Tw cam, VN 1 owoa of ftua IM ROTMW 00 R Add.. 5201 E RIVER RD. Fgam, 4075- VM DAM ROAD L31, B1, 'DIFZEY OMM ' Date 92 o POST IN A CONSPICUOUS PLACE Address: 4075 BEAVER DAM ROAD Lot 31 Blk 1 Sac/Sub DIFFLEy COMMS These items were/were not complete at the time of the final inspection. Date: 8/27/92 Yes No S Final grade (6" from siding) Permanent steps --garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. VN9 ■srntowrn White - City copy Yellow - Resident copy Pink.- Contractor copy ~~ex#iftr~f~e;u# (~rr~~~n~~ ~~itp of ~a~an - Murrt>crt~ a# wilding r This CeWflcate Issued pursuam to the requirements of Salon: 306 of the Uniform Building Code mWf*g drat at the Airne of inuanae this s[rttcture was in compfumce with the various ordinances of the GYV regulating building construction or use For the following. M n T. T Ti P A M T_ H BWg, )Ikmdt Na Ia i 5 0-40-Y Thin RMA I Zoning Dbuiet PD& _ TrP Coon Owoer ar wjmq n w. Rf m am fn Tw. Address 52() i F. RTVFR Rn. FRTTAEY 4001- Lacmir-124e Bl„ DM M CMM nce POST IN A CONSPICUOUS PLACE Address : 4087 BEAVER DAM ROAD Lot 29 Blk Sec/Sub DIFFLEY f iS These items were/were not complete at the time of the final inspection. Date: 8/27/92 Yes No S Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Kc+wrowra White - City copy Yellow - Resident copy Pink.- Contractor copy 1N SFEU 10N RL;(.:011..J "--efTY OF EAGAN PERurr Tym.,' ~t~`ri ~i•i<N~ 3830 Pilot Knob Road Permit umber:; Eagan, Minnesota 55122-1897 Date issued: /"q a (651) 681-4675 SITE ADDRESS: I' . , . N, 10 - ; 4 4 G 0 Al t} 01 APPLICANT: 10,11 11 8I.OCK 1 40 V, IiVAW 14 DAN R0 'AlftAIRRAN VXTURTORS 11rF'FIFy c(IMfMON`: {t,I<') ftttl-M .2 PERMIT SUBTYPE: TYPE OF WORD: _i 001V1 (Nt 1 015 A10 tNA1. r,. REkNARK'• . 7 Nf. t I.1IX'S r 4079 , 4093, AND 40H I { { q d E'n dF{ Jt r r;A L 7 r .4 Permit Holder Date Telephone EWE WATER PLUMBING HVAC inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL IN'S- E CT, ON RECORD CITY OF EAGAN PERMIT TYPE: - 00 1 l I1 T NO 3830 Pilot Knob Road Permit Number: 027Q*1 Eagan, Minnesota 55122-1897 Date Issued:! 1 7 f~► 12) 6&1-4675 SITE ADDRESS: i.. H. i 10 ' 0 4 10 01 APPLICANT: l0E: AI. HIt)fK~ I 407h H!'AVE f3 I)A#4 00 W) AI..I SVC COMSTA 114C Il x rf, t. f-' CJYMMf W-P, t a, # 2 } 7814-9411 PERMIT SUBTYPE: TYPE OF WORK: 1'0ftM IjA14A(iI- Ht pAlfl FRAMIN6 ROO TNQ F1NAt RFIIARVK If4t.I UPC 5# 4079 (1,04 :4101") 40H3 (tOt ;30 4001 (1 OT 29) OtAVER DAN RD L Permit No. Permit Holder Date Telephame # ELECTRIC PLUMBING HVAC In1111eO&M Date Mep. commelft FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPSOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 1 a3 OTY OF EAGAN 3830 Pil*t 'Knob Rpm Pe Eagan, Minnesota 55122-1807 (612)681-46675 SITEA ADDRESS: P ~ A --Ya as-~2 9e~ e1 APR LO a 29 O L OC k: r ~e~r ~ nor R SAM 00 DO A1.1. ~IV~C call ~ a PEEWIT SUBTYPE: TYPE- VWOM~` ~;TORN .aAKAGE a t. + RA0T14ki I~IMaL lie ~ . r ~ o + s 's I Fi; s r. S RFMARKSi RFPAIR CHIN*F'Y DUE 'to sTojvM UAMAB t y ;v { qr. ..1 t a #il I' Permit Holder Date Telephone# PLUMBING HVAC Inspection Date Insp. Convents FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD ' FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL/ DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 'I . VOF EAGAN e.~ F I I ~ p 3830 Pilot Knob A%d Eagan, Minneaf 361224807 1 2) 681-4675 > k ' ADDRESS: i . aat rlr 1 -fit # s 407% OEAVi It *AM Ito all Ah.t rrxgL v c`®MMQNS (ilia) if, S Ali :f L IT SUBTYPE: - TY1 ' STORM .DAMAQF "Ail r C AM) +p 77- FINAL ~ . r d Iffi: , Sd ~ to ii~s ` i t °xmL ~I REMARKSe REPAIR CHIMNEY DUE TO $TORO DAMAGE. y PWMN Haller Dal® 7il~p!►ose # PLLBAOM HVAC limpowen owe b". fOOTOM FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL RLBG RNAL HTG ORSAT TEST BLDG FINAL '1141f f DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL "7 5 T 031 RECD car ~F EaGAM i 1'OL 3830 Pilot Knob Road Permit N~. Eagan, Minnesota 55123 Data hoist ' (612) 681-4675 SITE ADDRESS: LOT ~ 41tt, ac 4t a' t APPL,IDAMT: Tit? 81Aw4E0 6.4* Ito YN9 rfi~T~'t~.Vi14M to 4iI'4 ly C90*0149 (812) 67""4 I~i~tT~plt 4 V R#f*&At f 'it$ClIPT # 96M P'1.4tIt + 1VALL04 PLO*. ~ ~ 1, k*004 ,E. 0, a POM* Ne. PWOR "OWN Deli TMeptrorri P bwpwftn ~ W.l11~tf~3 - G INIP. Foundation Kam' Fm" 2r) 6in Azr, . FWUO Pbg. . Iced. Z? tlrm Tb9t paw Plbe. Pty - Na ft Ptlrmb w Coral. Meter W14 Final ~Z~L 32 p Deck Deck Final wen Pr. Disp. INSPECTION RECORD ""No. 36 1 Prot Knob Road po mlt Eta Minnesota 55123 e Numw. MSUS& (612) 681-4675 SITE ADDRESS: L OT s , 31 & L OC K t i APP 497S BrAvito "m me to PE t TYPE OF ' R ~t1A1,. fIR~Pt.A~~ *L,#"KS.; It F, C1f1P ' !F M Pt. 11. w~h~.•1tw Pf+4. T 1~ t~ fae" Ift Hoklor Tl,~# 9 a h AL e.j 9 TIVIC ft"Ofto Dais mw FourWOon fbabo Rwjo ' Z2 . 7d AL/ r~ FInA P ft. ! PVEFp .lnspac r - No jr PlFi91 Caren. . Fri - Z ~-9a. Do* Ftg. Dwk Final Well Pt. [lisp. iv 0.378 jCTION RECORD I dnr* of EAGA;~ PEA E 3830` Pilot Knob Road Pen~t~'Itsr#r: E&W, Minnesota 55123 ` term (612) 681-4675 . SITE AWRESS: , tofie 32 s4C~tt I ARPLC' Ail! @QAt~llit IIAM A#~ T"r ll«wt CIO, 1*0 DIFFLEY COMMOMl1< ~Al2 l~ ~l+! +1 p9 1W. F:. r WO : , 7 sx~ ~~►:~rM~ ~#M1~Mi MRM1.A11'~.OM ,p INAh t~fE11<I►4ACi~'. . ~ kARK# tR6cExaY 4 SOW PtD*. VkLtIT P&A4, wO w,1ty : ~ po fro. P" Molder Oe1i tokpmm; S1W - va& " L 541, 11L L, t6cmc ft%O { His- " o►~efia ~ ,,',x CormL MOW Etipr~ Bldg. Fo-M r2 2 4 Deck Pig. r Dock Phial Wen . Pr. Dkp. 37 6', """N- $ Q -PECTION UCOR 'car 0 E~►G ' ~ 3 Pii-Knob ROM Perot N~'. C*, Minnesota 55123 Daft INWOO (642) 681-4675 SM AaDRESS: tots lii 1. t1¢K # t APPANT:.: , OlfFtly CIONIIONS (1i3 IiT ~Mlll+1 a. PE P TYPE OF ONBITE tYlltr fKAMINO 1I*SVL ATZ (FINAL ~~~i~is I~ II~L F l lH1ItlC0 ,tt C6IR'P A Sim Ptlum - WALLEV PC$*. two" 2*-tETo. V DIMINO, i R. PW M MIL hbr"a "'Wor -0 69 SAN Z. '94irl, 9z -llL s DION Comm"* Foumbfien Y pmft ft"h 21 ! } Z3AAL J-i R-M F44 ~ P** kmeow - mmlw { y a Fl1gr. 1 - Oft FkW Dam* Imo.. Pr. mp. 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address f; ( ,LPL + 1 t'- F` ~'~~t 6 = Unit # Property Owner: Telephone # Contractor O'CONNOR'S ONE HOUR Street Addr 1904 VERMILLION ST. City HASTING, MN 55033 State Telephone # ( b"") c// 7 7 Bond Expires: The Applicant is Owner .Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional Z Replacement New air exchanger air conditioner heat pump, other Y .4 _}~f,Y 1 -:tr'c ti rr7.C -'Le/ State Surcharge $ .50 C' . $ Total I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plansi Applicant's Printed Name Apoicant's Signature 0510612014 09:40 Les Jones Roofing, Inc. OAX)9528817009 P.0041011 Use BLUE or BLACK Ink -yy y For Office Use j Permit p j City of EaEd Permit Fee: 3630 Pilot Knob Road Eagan MN 65122 j Date Recelved: j Phone: (661) 676-6676 I f Fax., (661) 676-6694 1 staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Z ~q Site Address: ~fW s 7 '!D 4 -Unit Name: y0 P2oegr'l C-A-e'r., 6Arc-. Phone: Gs/- Me-- fyv% . ~U Address / City f Zip: Re)- BO I< 212 5 1 NvA7L Lv_,v✓F _14*11 Applicant Is: Owner x contractor Description of work: ,&0E WO x t ` , .f u Construction Cost: q1J a?1- ?Y- Multi-Family Building: (Yes x / No 1 m ' Company: _ AE.S ,Tadoa R006 nl/r /N G. Contact: GN2r s A-MOW-SOAl Address: 9Y l W. _ 8D 0-AXZ7- City: Bi~a~[c~.vlrTa~✓ l State:. M/~l Zip: 2D Phone: 95-2 - 761- sell r , m a r t ii Nyt, , ;r 6x License 1 /010 Lead Certificate* cVA•7 Yo 8 7.7 - / If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A ILW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Nil CALL BEEOTM YO DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Call 48 hour before you Intend to dig to receive locates of underground utilities. I hereby acknowledge that this Information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand (Us Is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will be In accordance with the approved plan In the case of work which requires a review and approval of plane. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 160 days of permit Issuance. x Clfkt6 XYD00^/ Applicant's Printed Name Applicant's Signature Page 1 of 3 05/21/2014 10:19 Les Jones Roofing, Inc. (FAX)9528817009 P.009/011 41/11. City of Eatan 3830 Pilot Knob Road Eagan MN 66122 Phone: (661) 676-5675 Fax: (651) 675-5694 Use BLUE or BLACK ink For Office Use Permit#: I7,? -5111-14 311 :s Permit Fee: Date Received: Staff: a /`� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Z/ / /JY Site Address: '1iz 5, LeD7 9, 4'O '1Ot7 Unit #: n, r. I n` ���, -;, ;=3 ,;,,, c '` , e"'?s O,W-■�j'e" j''� ` ,i,i , .N ,• 1,k, di Ir •�' ' - Name: 90 peoet ry GSE, 6Ne.. Phone: 6s/w Ffi/ 991/9 Address / City / Zip: �P O. BOX 212 5 I mi n- �e•.o✓Z .zt /I 4' 5 7 4 Applicant is: Owner Contractor �' •te: 1, :, V;.' 'ti: 1120'11116.110 ,• ',,,t- r ; ,•. k,�a� Description of work rf 4WDQrJPt+9ed: Soma !�Ml71�P ,A/b Construction Cost: �"' Multi -Family Building: (Yes A / No ,_e,• �'. '� �r 1.;.. a,° ,.'";,It..: 's'�,;,..�• r�; ai,;c. '5,41. .,slor ps for ,• g oo ` �' F+`4 4 `" .� h"!{ .T� Z'! 'ti NG. Contact 0,6,24 s Al i,V2so,� Company: SES �ON&3' R�OF<i✓� , Address: 9 1 W. 80 "7,ze � City: 444 State: kln% Zip: fr4e2 Phone: 95,2 - 70.7 - ag/9 License #: 65-0 Lead Certificate #: 4)4 410 3 9? - / ,, If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _ Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: r:40TP r:40.0.40 , 40' • 4, 44,071 ..,l.M•v ]1 C^ s til. .:�,�J+. �. a�`�Y�Fµ.6:'7 i ..v.. u •.'v^' �n)�•' . r11.. {•1 _¢ :.,.� 4 ']y 'F N. A� 4. IT 41 Cori e fie fi`. ' teib iea - � cgrie t at',/0,11f �.I�f1�'X{y�,"�I" . '�..0 �a + C:44sl11 eQ7t 4' 4 ` 777 fl � M 1616100140.00 " a *WO 0)04, r� �, � e r ,:: y i'' {_ , hc1/ :•� �-.-..r .:a„����n�;��..iN .., .. M.��'� r �lf.✓1�;a�_.e D'!R?�iG .,.. ...�l h..�, ,., ri5��..,. r .. ,. �.�:i`�•E• •.,,.,.y ��. -w43 .i 6' ' n• sliC n•F CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground Mlles. www.gooherstateonecall.Qre I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; that I understand this Is not a permit, but only an application for a permit, end work is not to start without a permit; that the work will be In accordance with the approved plan In the case of work which requires a review and approval of plane. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x Cimis l4nlD Zsod Applicant's Printed Name X /�t • e‘ Applicant's Signature Page 1 of 3