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4302 Beaver Dam Rd a This request void 4 o ` marry Is% ?-S 18 months from A E- j s V N C L) FF S?- 01 Request Date Fire No. Rough-in Inspection + 41 j~ Required? ❑Ready Now ® Will Notify, Inspec- -S, r! L Yes ❑ No I for When Readv [,Z'Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. City ~3~~~ Section No. Township Name or No. Range No. County PW, f~ Occupant (PRINT) Phone No. t ~C u, ~ G1~~5 Power Supplier Address Electrical Contractor (Compan Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installation) AW rized S'gna re (Contract Owner Making Install tion) Phone Number ! MINNESOTA STATE 136ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1621 University Ave., St. Paul, MN 55104 Ph... 16121 297-2111 ENCLOSED. ~ PRY REQUEST FOR ELECTRICAL INSPECTION QV; B-00001-0A ' See instructions for completing this form on back of yellow copy. ~9 A 'T' Below Work Covered by This Request' Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service • Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Sped V Other (Specify) O, h., Speci y Other Other Compute Inspection Fee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits ck~ 0to200Amps 0to30Amps 0to30Amos Above 200 Amps' 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100-Amps Transformers Irrigation Booms Partial," Other Fee Signs Special Inspection $ Remarks T0TKL, FEE GGGJJJ Rough-in to .I, the'Ejectricaf 4-1 Inspector, hereby certify that the above Final Date spection has been r . f V made. This request void is months from 3830 Pilot Knob ' Box 21491i A*95121 M S:46"100 Te he lot - £Wfi/GAR Est. Value $59,000. e F MARCH E 19 q 4 430 BEAKER DAM ROAD $ite AT r Erect Cc Occupy 93 6.nt Block -Sec/Sub. SUNCLIFF ST After Q. zoning Rl PD Parcel No. 10-72975-180-02 Repair Q Fire zom, N/A Enlarge © Type of Const. - g blame JEFFREY. W . NIVALA Move 0 ~ Stottsg au - z Address 35 0 UPPER 143RD `ST. W. lJernaliah Q Length 45 ROSEM UNT 423-3114 City - Phone Grade Depth Ft. Name BASIC BLDRS. INC Approvals + . . d a Addre ]PRA 143RD ST. W . Assessment Permit City R M NT Phone 423-3114 Water & Saw. Surctia g, 29. Police Plan Check Fire - SAC Q u~ Address Eno. - Water Com. s `►tibne - City Council Rood mew Un t ! hereby acknowledge that ! have read this application and state that Bid . 4t6. ` the information is correct and agree to comply with allropplicable 9 State Of Minnesota Statutes and City of Eagan Ordinances: APC 7ata1 Signature of Permittee M. A Building Permit Is issued to, owshp all work shall be done in accordance with appilcable Sk"f Mwwwta Statutes and City Of awn Ood~t~4tr~. BuHdtrt9 Official rN®rmilklL took Her Mire. Permit Me. Holder _ y 42-79 040 k"6 DO INN" Farmer fkvm PH* FIMI HVAC Fimrf SOW" Pr. VINL Receipt " MECHANICAL PERMIT Permit No. ~j t CITY OF EAGAN r _ Fee Fill in numbered spaces S/C `J Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address mil" .x Ldt Blk. Tract 4. Owner 45~'e r r._r~t 6. Contractor - Phone `7 - 6. Address 7. City State Zip S 9. Building Type: Residential Commercial O Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type 11. No. Equipment STU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mtg. Gas, Piping Outlets 12. 1 hereby certify that the above information Is true and correct, and I agree to co jr with all ordinances and codes governing this type of work. frg Airuyh Fu Insp. lpa, insp. Daft Tjwb Voi r. quire numbered and approved. CITY 4iF VA& AISO1Mi itsY[+ -~sizl~~s~`,~,l~Jy~lb'c..•~,'+~ t~ .~.,.a~~ Receipt. ~ PLUMBING PERMIT Permit No. L CITY OF EAGAN Fee a a Fill in numbered spaces S/C C/ per, Type or Print legibly Tot. J~ 1. Date 2. Installation Cost ~ 3. Job Address 2C7,; k-aj,:j.. [JkA't~ BIk. Trac? ` Z`- 4. Owner ;g 5. Contractor~r~~. y~UA.) `I~-~~ Phone ~0-7Q 6. Address//~~PTc79bci r) i A,ho, J PA sl h Q 7. City A41t State lZi, Zip 8. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: New Add ❑ Alter ❑ Repair ❑ .16 10. Describe 11. No. Fixtures No. Fixtures Z Water Closet Cesspool/Drainfield 1 Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other _L Laundry Tray Floor Drains k Drinking Ftn. Slop Sink i Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your~e~r+~t ~n numbered and approved. Approved CITY OF EAGAN 4648100 QA SN, CASH, kdftff P. O. BOX 2,1-199 EAGAN, MINNESOTA 55121 DATE ~ + 19 RmCz1V FR AMOUNT DOLLARS ' 100 - ~'.5 p cases -p CHECK F R ? ,Z Y /.2" FUND CODE AMOUNT 'S~/ S71 Thank You White-Payers COPY Yellow-Posting Copy Pink-File Oopy CITY OF EAGAN Remarks I Addition WN CLIP 18T Lot 18 Blk 2 Parcel Owner - 4, mazl_ Street 4302 DEAVER DAN ROAD State W $5122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. $ 1970 690.05 69.01 10 Paid STREET RESTOR. 161981 2030.40 203.04 10 1218.24 0009480 9-6-84 GRADING SAN SEW TRUNK 1971D 76.54 3.06 25 30.64 0009480 9-6-84 _ SEWER LATERAL Z Z 1974 44.21 2.95 15 11.87 0009480 9-6-84 Sew Laterla qS 1981 4419474 441.97 10 2651.86 0009480 9-6-84 WATERMAIN :*WATER LATERAL 1981 10 WATER AREA 2Q 1973 93.55 6.24 is 18.79 009480 9-6-84 STORM SEW TRK OS 1971 322.29 16.11 20 96.75 0009480 9-6-84 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 60.00 41768 3-1»84 WATER CONN. 450.00 BUILDING PER. 9962 SAC K2S. GO PARK CITY OF EAGAN N? 8862 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # ~ 76, SF DWG/GAR $59 , 000 MARCH 1, 19 8 4 To be wed far Est. Value Dote 19 4302 BEAVER DAM ROAD R3 Site Asir ss Erect Occupancy 1~ SUNCLIFF 1ST R1 PD Lot 81oc 10 - 7 2 9 7 5c~ 18 0 - 0 2 Alter ❑ Zoning N/A ) Parcel No. Repair ❑ Fire Zone Enlarge ❑ Type of Const. V s: Name JEFFREY W. NIVALA Move ❑ # Stories Z Address 3650 UPPER 143RD ST. W. Demolish ❑ Length 45' City ROSEMOUNT phone 423-3114 Grade ❑ Depth 46 S Ft. q• K BASIC BLDRS . INC . Approvals Fees Zo Name . 0 0 o~ Address UPPER 14 3RD ST . W . Assessment Permit U~ City ROSEMOUNT phone 423-3114 Water 8 Sew. Surcharge 00 Police Plan check GW Name Fire SAC ' 00 =z Address Eng. Water Conn. 4 5 0. 0 0 W City Phane Planner Water Meter 6 3. 0 0 Council Road Unit 2 6 0. 0 0 1 hereby acknowledge that I hove read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total $1 r 7 9 2 . 5 0 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to: li'-~~J _~i~.t.Q J . on the express condition thin all work shall be done in accordance ith I appliwble,sl3te)of MMiin"nesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN Include 2 sets of plans. 1 Certificate.of Survey & BUILDING PERMIT APPLI TION 1 set of_ enerTj calculations. To Be Used For Valuation Date Site Address: CE USE ONLY OFFI ip" Let Block Sec./Sub. Occupancy 3 ~0,, Parcel # : ~ Alter Zoning 40 Repair Fire Zone Owner: c_. i € ti - ~1q- Enlarge type of Const. Move # Stories Address: D mulish Front ft. City/Zip Code: Grade Depth ft. Phone /l APPTOTALS FEES Contractor:- Assessments Permit 0 Water/Seer Surcharge V 9 Address: police Plan Check 1,6"~S' City/Zip Code: _6kLC- L~r14 SSt'~ Fire SAC i - - * Water Conn. 4/ Phone g' 62 - Planner Water Meter Arch « Council Road Unit 0_6C) /Eg• n 25 Bldg. Off . Address: APC City/Zip Code: d ~ Phone TOTAL J T- J ~ s ~ ~ - ~ • • C. R. WINDEN a ASSOCIATES, INC. tJ LAND SURVEYORS rat 9*5.3646 1361 EUSTIS Si, St PAUL, MINN. 69108 FOR: BASIC BUILDERS, INC. N Q 0~ o Scale: 1" = 30' O Denotes Iron 0. Monument G ~p C19 /cam 23 3 '°'r ~g 3 o o~ Cb o NOTE: .0 ~ o Denotes Wooden Stake ~p Proposed Garage Floor E1.893.43 (893.10) Denotes Proposed oa Finished Ground El. -+q Denotes Direction Of Surface Drainage Vertical Datum - N.G.V.D. 1929 Lot 18, Block 2, SUN CLIFF FIRST ADDITION, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF All BUILDINGS, IF ANY. THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Doted tbis-,24A day of ~e A. D. 14P51 C. R. Wt OEN a ASSOCIATES, INC. Surveyor. Min"so►e Ro*zlrotion Me 272 NTd11• AVERAGE "il' COMPUTATIONS SITE APDRES,~ •w/ i, ~ 1~ ~ ~ L.,~+1. yr•f.N 4r'9.~A~-~ ~ w -,.~L.`~✓ ~~i:<N r 1 Des 1,ji1 yt~ CALC. WInciows Do ti'-;' S7 s C `Z.. UO At*A • s'~:~,altt: ~r~ . i.. ! "}-1 ta. r'11 ib `~!1 'A~ `-/?L'~t ilk ~t•Lx a-,_'a r.119 "izir 4f1 d~<x"t' r".:b i': ! 1 t~! j"?, C. J► t" A (f a. FOW'r ,R+, s-. py i `l rA 3 y. _1 . n 5 5 -w e Alr d t t rqj gG 1 tit, Trt, Air 74. 8,7, 4w ~4ti ♦ .F`~h,k, t4Ry ~ Y ,....:w.'"'~ww~~~ it kk ,~~l:,rd~_.,, r • ~ A 1 ~ V 55000•x, 3q•c0 i~ !7 0 310•+ 2 9 5 x 1. 5a+ 52 .e~. 45Oy~ 6 5 R r 260+ 17 92.7 r 1 2/84 i CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS : LEGAL DESCRIPTION: L l /t + it ry ~.L-i ` (Lot/Block/Subdivision or Tax Parcel I.D. Number) IF EXISI;`:G STI 77171.1RE, DATE OF ORIGILIAL BUILDD7,G P=T ISSC;%.NC✓: P.RES^;i' --0,'Tr- ./PROPOSE USE: ~R 1 SINGLE FP-MILY ^ ❑ R-2 DUPLE (TGAI1 UNITS) ❑ R-3 TOWNHOUSE (THREE + UNITS)( UNITS) ❑ R-4 APARZl`=/CONDOvLNi IUy1 { UNITS) ❑ COMMRCIAL/RETAII,/OFFICE ❑ IMUSTRIAL ❑ INSTITUTIONAL/GOVERlT4ENT 2) AppLICA-N7 (PLEASE PRINT) NAME:~Loj~, i~~ ec S ADDRESS : CITY, STATE, ZIP: LIB PHONE: PRINT) FOR CITY USE ONLY 3) PLUMBER PLEA!", NAME : _ DDRESS: PLUMBERS LICENSE: A ® Active CITY, STATE, ZIP: Expired 57 Q Not of Rec PHONE: 7 PLUMBER LICENSE #3029412 a nitia 4) OCCUPANT/Or&TER (PL AC SE PRINT) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTED: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER (PLEASE DESCRIBE) 6) INDICATE O. M PLF,ASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE IIIAIL APPROVED PER.IIT TO 1, 2,%, ) 4 ABOVE (Circle one) 7) SIMATCRE: DATE: ^ SY NQ DR a4 tlstlt/~ 1Ak i•R IiCti# i1f ttil i71~fr ASR flit .fl~f lllJr flN 1/=cam r» w t F O R C I T Y U S E O N L Y PERMIT " ISSUED ~ a FEES: $ id . a SEWER PERMIT (INCLUDE SURCHARGE-1) $ WATER PERMIT (INCLUDE SURCHARGE) G WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ WAC $ -IC-211 4;_1 It-cf SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL $ AMOUNT PAID/RECEIPT # a DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: _,el Z!~ DATE: _--oz s /,e OR ilk awm 1! w As mum ■k m a* okm vue okm /lum"Q W W" ■ *w 1E w wt-A dam p*uw 1! OHM = r CITY-OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road PERMIT NO.: f P. O. Box 21199 Eagan, MN 5521 DATE: Zoning: No. of Units: Owner i~951C '.~.~1LS Address: Site Address: Plumber: i • l,? .d'd 4, 'A 1 agree to comply with the City of Eagan Connection Charge: 42a 1 0 nj Ordinanta. Account Deposit: 1 Dd Permit Fee: 10,00 Pj Surcharge: • 50 By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road PERMIT NO.: .5370 P. O. Box 21199 4-3--84 Ewan, MN 55121 DATE: Zoning: 1 No. of Units: Owner Basic bldrs Address; Site Address: 13D2 Peaver DjNj1 ltd 1118 B2 Sun Cliff Plumber. M- attliew DAnj iels Connection Charge: S0.01 Meter No.: 15.00 Pd Size: Account Deposit: 10.00 Pd Reader No.: Permit Fee: .450 Pd 1 agree to emply w81r the City of Eagan Surcharge: 03.00 pd meter Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: CITY Of IE-A i VLO& SKV" Pr 380 B"211 PERMIT NO.: 5370 , Xi • fan, MN 25121 ' DATE: 1 4 fit Zoning: Z 1 No. of Units: l - .a' Owner: i is f re55: 'N~ ite Address-4 it-t18 B2 Sun Cliff umber. _ S p action Charge: aSo • 00 Meter No: g AO pd it r y.- -y `Account Deposit: Size: 1f.00 pd Reade No.:~ u _ / g Permit Fee: EU pd I agree to amply with Hw City of Eagan Surcharge: - 63.00 pd meter Misc. Charges: . Total: By Dote Paid: I Dot of Insp.: sp.: Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use ; Permit City of EaEd Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 ; Date Received: ; hone: (651) 675-5675 I I F : (651) 675-5694 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION te: a 7 J Site Addres L.L Unit 1 q J - "5© Name: -Vv e Phone: 4 RESIDENT / nn OWNER Address / City / Zip: LAuE✓L DArIA IC -vgo Applicant is: Owner. Contractor mTYPE OF WORK Description of work: PF Sul~Ptr ~F Construction Cost: A2,6oo 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.ora 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 ode must be completed within 180 days of permit issuance. X QV, Jr)r 14LC X Applicant's Printed Name loKfplic t"s Mg-nature Page 1 of 3 Use BLUE or BLACK Ink F For Office Use I I b`l7 City of Eajan 1 Permit llV 1 Permit Fee: 3830 Pilot Knob Road I r 2 Eagan MN 55122 1 Date Received: a t Phone: (651) 675-5675 j f staff: Fax: (651) 675-5694 ! INFLOW & INFILTRATION PERMIT APPUCATION Plumbing I Sewer & Water Date: Site Address; gj Tenant: Suite M Name: 1L)6l f 1G6N& Phone: LS . 3 Z RESIDENT 1 OWNER Address / City / Zip: G rX AVF JL Dar, 20 Name: License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK X Sump Pump Repair Repair Other. Other. DESCRIPTION Description of work: FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit III repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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. x A~/ 11fi4r-'s- e x d4g~Llll - Applicants Printed Name Applicant's ighature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final Use BLUE or BLACK Ink I For Office Use p Gj I Permit A)IA b 1 I j City of Ea~fl I Permit Fee: l(~ a I 3830 Pilot Knob Road I ~~~t~C~ I Eagan MN 55122 Date Received: 1 0 t 1 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I O~ Site Address: ~ a ~ - PA Unit Name &zt(o Phone: Resident/ Owner Address / City / Zip: DA rte. ►J P Applicant is: Owner Contractor Type of Work ` Description of work: Asa-+ L Construction Cost: y~Vc Multi-Family Building: (Yes / No Company: (:l CL-0 &Sa 0 j~, 7 f I Ol c~j Contact: Address: . j WAL Lt Contractor ~T~~ ~ -~c)a.V-- 36a City: 59U4T___& Zip: -t Phone: (V J CI I LJ I License ( a ~L!~,a 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 i 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 Slate Bu' ding C de must be ompleted within 180 days of permit issuance. s x L A x Applicant's Printed Name C!~ is Mgnatur Page 1 of 3