1994 Badger CtFCITY OF EAGAN
3795 PioF Knob Rood
Eason, MN 55122
Zoning:
Owner,
Address:
Site Address: `.: r
Plumber:
Meter No.:
Size:
Reader No.:
1 agree to eomPIY wich t6e City of Eagon
Ordinenees,
WATER SERVICE PERMIT
?PERMIT NO.:
DATE:
- No. of Units.
Connection Charge:
Account Deposit:
Permit Fee: ?
Surchnrge:
Misc. Charges: '
Total:
date Puid:
11111=?
CITY OF EqQpN SEWER SERVICE PERMIT
3795 Piiot Knob Road
PERMIT NO.:
Eogon, MN 33122 DATE:
Zoning:
No. of UniYs:
Owrrer:
Address:
Site Address:
Plumber:
I°gree to coAPh' -ith tha CAY of Eogan
O Connedion Char
e:
rdinaeees. g
Account Deposit: _
Permit Fee:
BY Surcharge:
Dote of Insp.: Misc• Chcrges: _
1 nsp
: Totol: _
. Qaft Pold:
, . cinr oF EAsAN
3793 Pilot Knab Rood Eagan, MN S5123 N2 5799
? . PHONE: 454-8100
' BUILDING PERMIT Receipr #
Te be used for Est. Volue Dut e 14
Site Address Erect ? Occupancy
Lot Block Sec/Sub. Alter ? Zoning
Parcel # Repoir ? Fire Zone _
Enlarge ? Type of Const.
a
C Name ' Move p # Stories
W
? Address Oemolish p Front ft.
0 r:.., m,,.... Grude ? Depth ft.
19 Nome .......
?? Address Assessment
~ Cit Phone Water & Sew.
Police
? ---- ....
W W Name _ .? Fire
?
Address Eng.
uu
<'Z" Ci Phone Pionner
Council
I hereby acknawledge thot I huve read this appiicotion ond state that gld9, dff.
the information is correct ond agree to comply with all applica6le APC
State of Minnesota Statutes and City of Eagan Qrdirwnces.
Pe rm it
Surchorge -
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Totol
Signoture of Permiitee I
A Building Petmit is issued to: on the express condition that
oll work shall be done in accordance with nll applicable State of Minnesota Statutes and Ciry of Eagon Ordinances.
Building Officinl
Pamit ,ik Duh lmmad PermiltN
Plumbing ??
Mechanicol
D - /??
.48
INSPECTIONS DATE INSP. Rough-In Finol
Footings ? p Dote Insp. Oote Insp.
Foundation
Frome/ins.
-y-? Plumbing
Mechanicol ?
G - 4a ?]? I C,
Finol
Remorks:
? `?? c??
? »/??
`. CITY OF EAGAN
. 3795 Pilof Knob Road
E
No. a9an, Minnesote 55122
Phom: 45s-e100
PERMIT
Date:
Site Address:
23, 1980
1;94 Badner
9 `eadOWlr,?
lot Block Sub/Sec.
Nome ?.-. _ .
? '. .
.
?
Address
?
City . ` Phone:
L .
Name
?
I\ddress
?
City Phone:
This Permit is issued on the express condition that oll work sholl be
Minnesoto 5totutes ond City of Eogon Ordinances.
INSPECTOR NOTIFICATION
REQUIRED BY LAUV
FOR ALL INSPECTIONS
Receipt No.:
5ingle
New/Alter. / Repafr
Cost of Installotion
Permit Fee
Surcharge
Total
done in accordance with cll npplicable Stato of
Building Officicl
IVo.
CITY OF EAGAN
3795 Pilot Knob Road
Eogan, Minwesofa 55122
Phone: 454-8100
PERMIT
Date: - - -
Site Address:
Lot Block - Sub/Sec. ?
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residential
fvlulti Res., Comm./lnd. I
Name
New//11ter./Repair
.
3 Address Cost of installation
O
City Phone: Permit Fee
Name ?3G3:'t?L i.OSl'tT'UZ 1:.C. Surcharge '
r
g Address 7620 T Z.';Zdn?_e
Qe
V City _ ? - _ Phone: Total
This Permit is issued on the express condition thot oll work sholl be done in attordonte with oll applicable Stnte of
Minnesoto Stotutes ond City of Eagon Ordinonces.
Officiai
CITY OF EAGAN Remarks
Street
-Blk 1 Parcel 10 48050 090 01
Court Cz+2*p Eagan, M 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. n1p. 1589.99 .
GRADING
SAN SEW TRUNK 1970 5 3.12 25
*SEWER LATERAL 19$1 3156.58 315.65 10
WATERMAIN
*WATER LATERAL 1981 jQ
WATER AREA
STORM SEW TRK - 1971 282.92 14.15 20 1 141.52 6 31 5/23/80
*STORM SEW LAT 19$1 10
*services 1981 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 3
BUILDING PER.
5RC
PARK
•
-7110
-
This request void C? 0
`?s
18 months from?„n\ DAie of this Request Fire No. -7349 3 5
I, as ? Licensed Electrical Contractor ? Owner, do hereby request inspection of the'above electri-
cal wiring installed at:
Street Address or Route No.
? -,-? -?-•
Section Township ? Range County
Wtuch is occupied by -z;z
(Name of Otcupanq
Is a roughin inspection reqaired on this 'ob? No ? Yes ? ady Now ? Will Call?
Power Supplier ?y?"Address
Electrical Conuactor fiYU-d'- C?? Contractor's?cense N"o- 3
(COmpony ryame) _ r.
Mailing Address ?l 32a
Authorized
rro. 51?&3/zr
????? o(DARD
This inspection request will not 6e accepted by the
State Board unless proper inspection fee is anclosed.
minnesoca acate oaam or nec[ncity
Griggs Midway Bldg. - Noom N191
`? 1NY1 University Ave., St. Paul, Minn. 55104 - Phone 297•2111
REQUEST FOR ELECTRICAL INSPECTION
CHECK B`ELOW WORK COVEREII BY THIS REQUEST
EB-OOU01-02
T 34935
77pe of Building New Add. Rep. Check Appliances Wved Foi Check Equipment Wired Fot
Hume ? ? 0 Range 11 Temporazy W'uing ?.
Dupfex ? ? ? Water Heater ? Lighting Fixtuces ?
Apt. Bldg. ? ? ? Dryet ? Electric Heating ?
Commeccia] Bldg. ? ? 0 Fumaw ? Silo Unloadei ?
Indusiria] Bldg. ? ? ? Air Conditionec Bulk Mtlk Tank ?
List 1 List
j
OLhCi ? ? ? o
HCICISr
1 C
Oe1¢IS(
H ?
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fae Feeders$Subfeedecs: it Fee Circuits: # Fce
0[0 100 Am s. 0 to 30 Am tes 0 to 30 Am eres
101 to 200 Amps. 31 to lOD Am [es 31 to 1D0 Am eres
Abov s. Above 100 Amps. Above 100 Amps.
Trans s Remote Control Circ. Partial or other fee
Si ns Speciaf Ins ec[ion Minimum fee $5
RemarKS 70TALF 0, pG
I, the Electrical [nspector, hereby certify that the above inspection has beet n
(Rough-in) Date
(Final) ) Date 1- 7 -,Q /
This request void 7
18 months (rom ? _ , ,
This requast void 18 months from
/s??qF
'o 960 -t 3
Date of.this Request
l, as Wicensed Electrical Contractor ? Own1_1, do hereby r uest inspection of the above electri-
cal wiring installed at: /CfC? ? ??
Street Address or Route No. kB'F'" qQ City
Section Township Range County
Which is occupied by ??U COV".71
Is a roughin inspection required on this job? No ? Yes ?
Power Supplier AAF-
Electrical Contractor-4
Mailittg Address 1110
Authorized Signature
?} 5? (EI
??W !i
E M
Comoany Name)
or ow
03
Ready Now ? Wil] Call,K
Contractofs License
No. gew f 2'
T?
This impection request will not 6e accepted hy the
Stste Board unless praper inspection fee is endosed.
Minnesota State Board of Electricity
195A.University Ave., St. Paul, Minn. 55104-Phone 645-7703
^ REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
I85 r9
R 96073
Type of Building New Add. Rep. Check Appliances Wired For Check Equipmrnt Wued For
Hume ? ? Range
1AK Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fu Wies ?
Ap[. Bldg. ? ? ? D Elec[ric Heating D
Commercial Bldg. ? ? ? Fu
^ Silo Unloader ?
IMustrial Bidg. ? ? ? A' on
di ? Bulk M
dk Tank ?
Fum ) )
List
O[her ? ? ? HeheIS1 Rerelsl
COMPUTE INSPECTION FEE BEIAW
Senice En[cance Size: # Fee Feedeis&Su6feeders: # Fee C'vcuits: # Fee
0 to 100 Am s. ,S 0 to 30 Am eres 0 to 30 Am eres D 6
101 ta 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 20U_Amps. A6ove 100 Amps. Above 100 Amps.
Transfoimers RemoteControlCire. Pariialocotherfee .SY7
Signs Speciallns ection Minimu e 5.0
Remarks
/ TOTA FEY/. J
I, the Electrical Inspector, hereby certi y;4 the(n?t'4?has been ?flad .?
(Rough•in) Date 'S -- a .2-6-6
(Final) Date 'y_
This request void 18 months from c? %
This request void 18 months from l$??,
Dat .of, hu Request . ? ? `?O ? ? ??6 0 71
I, asLicensed Electrical Contractor wneE, do hereb?yr?e?quest inspection of the above electri-
cal wi 'ne installed at:
Street Address or Route No. ? U ?GC?W*o'"?` ' yG
Section Townshi Range County . l,.
Which is occupied by?
(Name of Occupany
ls a roughin inspect' n required on this job? No ? Yes ? eady Now ? Will Call?
Power Supplier Address ?-
9-?
Electrical Contractor Con aetoi s License o. -
` (CO any Name) np
MailingAddress
lectrlcal C tra o Owner Making h s Installatlon)
Authorized Signatu Phone No. Yq L1,-V2.?
-jElQcU}¢S Contractor or Own r aking T Is Instailatlon)
S?? (,Y? R /? U? BOAR?' ? ????V +lJ This State i spection request will not he accepted by the
Baard unless pmper inspectian fee is enclosed.
111111111111im--- Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST,FDR ELECTRICAL INSPECTION
CHECK BELONWORK COVERED BY THIS REOUEST
? 8 ?3-?
R 96071
Type o Building New Add. Rep. Check Appliances Wired Fox Check Fquipment Wired Fot
Home ?. ? 0 Range ? Temporary W'ving ?
Duplex '? ? Ej Wat
.? LightingPixtures ?
Apt Bldg. ? ? ? Dry Electric Hea[ing ?
Commercial Bidg. ? ? ? Fu e
A Silo Unloader ?
Industrial Bidg. ? ? ? v ndi -
r Bulk Miik Tank 0
Farm ? ? ? List ---? List
Other ? ? ? 8ehers? Hehers?
COMPUTE 1NSPECTION FEE BELOW ? ?
Servire Entrance Size: # Fee Feeders&Subfceders: n Fee C¢cuita: u Fee
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
101 to 200 Amps. 31 to ] 00 Amperes 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transfoimets Remo[eConVolCirc. Pa[tialor o[herfee
Si ns Special Inspection Minimum fe , D
Remarks TOTAL Eg.O
I, the Electrical Inspector, hereby certify that the above inspection has been m-ade-.-
(Rough•in) Date
(Final) ?? Date -
This request void 18 months from
CITY OF EAGAN
3795 Pilot Knob Rood Eogan, MN 55132 N° 5799
. PHONE: 454-6100 ?
?/C
BUILDING PERMIT APPLICATION Receipt # z
T. be umd ie. SF Dwlg/Garage Est.value 53,000.00 pate May 5 1980
Site Address 1494 Badg '" Oir _ Erect [
- Occupancy R3
?
/
Lot 90 B lock 1 Sec/Suti. Meadowl8nds qlter ? Zoning Rl
Parcel # 10 48050 090 Ol Repoir ? Fire Zone III
E
l T
f G
t V
n
arge ? ype o
ons
.
W Name f?lx'• & NLrs. Albert Jarvi Move ? # Stories
3 Address Demolish ? Front 54
ft.
?
Ci
Phone Grode ? Depth 50
4t.
g Name Blilie Construction Co. Avnrovel, Fees
z,?, 644 Superior Court Assessment 512Z8O
o Addreu
? agari'
454-143b Woter 8 Sew.
pFo
Cif
?
G Police
w Nome
Fire
Q Address En9.
U
aw Ci Phone ? y Planner
Council
I hereby ackrwwledge that 1 have read this application and state t t Off
Bldg
5 11180
the information is correct and agree to comply with all opplic le .
.
State of Minnesota Statutes and Ciry of Eagan Ordirwnces. AP?
$ignature of Pertnittee -
A Bu(Iding Permit is issued to:
atl work shall be done in acco
Permit 145.00
Surcharge 26.5o
Plan check 72.50
5AC 525.00
Woter Conn. _-'30.5 _.00
Water Meter 6c)..QO
Road Unit-l8.j-QO
Total l_rT4l Q _ Op
!_ie Construction Co. on the express condi[ion thar
aIl 'ppl"00 Stote of Minnesotu Statutes and City of Eagan Ordirwnces.
Building Officiol
I -----------------
I For Office Use I
? Permit #:
I Permit Fee:
I
I ?
? Date Received. ?
? I
? Staff: ?
I
-----------------?
Date:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: ?99 N S?r?" Cfi
Suite #:
Tenant:
i
RESIDENT/OWNER Name: &Irrt/ ?A/t/i Phone:
"?
Address / City ! Zip: 9 ?j I >/i?t ?'' `
Applicant is: _ Owner -4 Contractor
TYPE OF WORK Description af work: Rler6 ?
ConsWction Cost: 6, o) a S_ Multi-Famity Building: (Yes No ?
?h?'? ,?GS ?lU f 25
i6 YU License#
if
CONTRACTOR ow r c
Name t
Address: ? ' ? ? D?gm'i ru G
??J
? S te: / r1lV Zip: SSy ? A
p
1
City.
Phone: L7 - 30 S- U? 2 Contact Person: r? 6? c
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 CateqorV 1 Minnesota Rules 7672
Energy Code . Residential Venttlation Calegory 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitled
(4 submission type) • Energy Envelope Calculations Submitted
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, dale and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer 8 Water Contractor: Phone:
NOTE: P/ans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit fhe City to
conclude that the are trade secrets.
I hereby acknowledge thal this infortnation is complete and accurate; that the work will 6e in conformance with the ordlnances antl coaes or me Cny uf
Eagan; that I understand this is not a permit, bul only an application for a permit, and work is not to start wi out a permit; that the work wiil be in
accordance with the approved plan in lhe case of work which requires a revie
x? ?GdC? X
ApplicanYs Printed Name Ap IicanYs Signatur
Page 1 of 3
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
?
Plcase complete for: siogle family dwetlings 8c townhomes/wndos when permits are required for each unit
O 3-os?a ? P
? ?f ?f,?, uo (f
i?:7 ?
Date 4 / Z":); / o_T
SiteAddress loIq+-?- e.?Jca!_.Y cb"g-t- Unit#
Property Owner ??.p Qa r? ?a.vt_?r• Telephone #((p„5 )
)?f.j.?
Contractor oj-JL / r ctc(%/2p,/Z4.&a ?n
Street Address City /-ri?r?
State m N Zip JS30?- Telephone #(7(P3 )S4S41-77'f7
Bond Expires:
The Applicant is _ Owner ?ontractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
?furnace _Additional ?Ieplacement
air exchanger
? airconditioner _New ??eplacement
other
State Snrcharge $ .50
Total ' $ 3D, SO
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 aceordance with the
app ved plan in the case of work which requires a review and approval of p
2nk5e, Jf)cjf_sC)r.
Applicant's Printed Name ApplicanYs Signature
CITY OF EAGAN Inclule 2 sets of plans,
site plan w/elevations &
?LF37 // BUILDING PEFH41T APPLICATION 1 set of energy calculations.
Zb Be Used For??,?,?¢w r Valuation D?"? Date
Site Address
Lot ? Block ? Sec. ub.?1?Fxect ?
Parcel #: Jd 4,906-0 ?1Q Qf Alter
Repair
owner: ?_" S LAe?L% j? "u ,'? Ehlarge _
Address: - ? 6 MOve
Derolish
City/Zip Cocle: Grade
Phone #:
Contractor:
Aaaress: 6
City/Zip Code • ce ¢,
Pnone # : Lf S q - / v f' p
Arch./Ehg.:
Address:
City/zip Code:
Phone #=
0"' /9G 41 /z.' -°CZ-
OFFTCE USE ONLY
Occupancy
Zoning
Fire Zone
Type of Const.
# Stories
Front ,-SCJ ft.
Depth 620 ft.
APPROVALS FEES
Assess[nents Perntit
Taater/Sewer Surcharge
Folice Plan Check
Fire SAC S?
Eng. Wates Conn. p°-
Planner
Water Meter '
/ ?
Council Road Unit j f
Bldg. Off.
APC
s
nYPAL /? 14,319
._ ? .,
? Dr,.nvl ,> Cud a ? ?, Con-m2umr?,?l,_.1 ,.: ., r.. ? ?.._? ,..n.._.,; _ . _ ..
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-- 1 -
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1994 Badger Ct
Lot: 9 Block: 1 Addition: Meadowlands 1st
PID:10- 48050- 090 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Owner:
Guy D Jarvi
1994 Badger Ct
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA080097
09/28/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
1 For Office Usell 'j
Permit p I f ! j
non
City of EaEd Permit Fee: a I
5
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7 - l G 13 Site Address: Lt. Unit
Name: E Lc Phone:
Resident/ 'f
Owner Address / City / Zip: d~ 7 e G a g V(l~ (Z -L
Applicant is: Owner Contractor
Type of Work Description of work: t r ~a
Construction Cost:. L/l o Multi-Family Building: (Yes / No )
Company: Contact:
Contractor Address: City:
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW 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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information' may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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 utilities. www.gopherstateonecall.org
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, 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 plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota St uildin de m e completed within 180
days of ermit ' suance.
x G' a fC x
Applicant's Printed Name licant's ftriiatumf
Page 1 of 3
Use BLUE or BLACK Ink
r
For lob Office Use I
City of Eava~ I Permit l
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 I Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Dater l ite Address: Unit
Resident/ Name: 414 [ 2 ~X1X Phone: 567.511-
Owner Address/ City /Zip: .19941 5, 67c2a
Applicant is: Owner Contractor
Type of Work Description of work: tlu /i p;~~ Sa kl:o"
Construction Cost: L~ Multi-Family Building: (Yes / No _16
i Company: j X_ Ld~~ Contact: ~ers.ctyt.L~.
Contractor Address: City:
State: Zip: _!5!5_q6 t Phone:
i ~~j/~
License Lead Certificate _l / 16LJV.370
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW 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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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 utilities. www.gopherstateonecall.org
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, 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 plans.
Exterior work authorized by a bui ing permit issued in accordance with the Minnesota State Building Code m /Itbe ompl , ithin 180
days of ermit issuance.
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Appli a ht's Printe Na a Applicant' gn ure
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use f I
Permit z,
City of Ea I
Permit Fee: U I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: q`] q kdlel- C Unit
Name: i I(er Phone: Resident/ i _
Owner Address / City / Zip; /`iN c~~r?~~-✓~ . S S-h2 ,to
Applicant is: Owner Contractor
Type of Work Description of work: 6-1a4
- G
Construction Cost: , 00 Multi-Family Building: (Yes / No _~C
s
Company: CX r> a, Contact: t~3t'G~
Address: As~ City: ~ ~¢rr~5
Contractor
s State: Zip: Phone:
d-
License ti( 6' Fi) Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
h 71-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW 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:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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 utilities. www.gopherstateonecall.org
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, 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 plans.
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 / 67ff t5 G"t x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA124965
Date Issued:07/15/2014
Permit Category:ePermit
Site Address: 1994 Badger Ct
Lot:9 Block: 1 Addition: Meadowlands 1st
PID:10-48050-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Daniel Thelen
21034 Chippendale Ave.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
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.
Contractor:Owner:- Applicant -
Michael Bakker
1994 Badger Ct
Eagan MN 55122
(507) 531-7227
Farmington Plumbing & Heating
21034 Chippendale Ave
Farmington MN 55024
(651) 463-7824
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA124966
Date Issued:07/15/2014
Permit Category:ePermit
Site Address: 1994 Badger Ct
Lot:9 Block: 1 Addition: Meadowlands 1st
PID:10-48050-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Daniel Thelen
21034 Chippendale Ave.
Farmington, MN 55024
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
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.
Contractor:Owner:- Applicant -
Michael Bakker
1994 Badger Ct
Eagan MN 55122
(507) 531-7227
Farmington Plumbing & Heating
21034 Chippendale Ave
Farmington MN 55024
(651) 463-7824
Applicant/Permitee: Signature Issued By: Signature