The URL can be used to link to this page

4139 Beaver Dam Rd ~ r 24;2 EntmprlP6 Drive Mer~~!n %04 * (612) 681- 1t114-r(3a C381-514M 6~~a y ,`•°lCNET!" LAND •UUMEARS_. pyrl EKG 'S \+fn F.A"~R,4. U'+~O?x'FIPF Nipq,FLF3 G? r Flighway 10 Nn,lheo9l. td P1 _JS•t14 (617) 783-IRMO-rox 7tf~~-iF.R.3 Certificate of Survey fnr, Th-C Rottlu A CoMpdrly,_l.nC._ . ( 64 da \ z r ~ 1 1 ti 1 ~ \ ~ r 1 ~ V a. ~ eD V \ 1 X0 4 ~ `.,F C~7Q~i ? r. 1 1 . pow a ......,.r ' KAGAN V~INEERTNG D! • W-6 Dmoleti FNir;li•Itq Elevo#'nn PROP014f) mI,)SE_ELTVATION •06&Zp Derote9 Proposed E.levli#inn urr.nfe9 Orainage & I-IAity Fosement Onroge floor slr,hr Denote-t Dralnngk- f lnw Pirection eleyaiion at frnnf. 896.3. t" Manttment o-- nm< - n- Ocumtes offRet flub Rerorings shnwrl cre t19sumed l _0-FS 1301 V 54 :1 Q , BLOCK 2_ DIFFI FY MMM(M DAKOTA CMWTY• t INWSai•A 1 #,"*Y lrv,cly t"L MIS w,wt • Pnn pr VPUlt1 rsn INVpa,af by ma v, -da, my dd Oct twT-,vKlnn a-at that ! inn dolt, Rrgi,te,nt t s,.t N-vvynt -de,cl,el."4ofthaS.atitaMM~nnmota.IWIaAW.dNM f./-t ~ P- f 1t14~t feP.t nn,:r nt n •.txlt-Y, t e. nc ra\ ,,hni~ 91173 -77-1 ltd J PERMIT Control Na. 018i CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000184 (612) 681-4675 Date Issued: 04/06/92 SITE ADDRESS: 4139 BEAVER DAM RD LOT: 15 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAM. T.H. 8uilding'Work Type NEW UBC Occupancy R-3 M-1 Construction Type V_N Zoning PO R-4 Building Length 52 Building Width 39 Building stories I REMARKS: S & W CONTRACTOR - VALLEY PLBG FEE SUMMARY: VALUATION $82,000 Base Fee $558.50 MISCELLANEOUS ;1.610.50 Plan Review $363.03 Total Fee $3,273.03 Surcharge $41.00 SAC $700.00 SAC % 100 SAC Units I Subtotal $1.662.53 CONTRACTOR: - Applicant - ST. IOWNER: THE ROTTLUND CO INC 15710304 0001335 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RIVER RD FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 I hereby acknowledge that z have read this application and state that the information is correctand agree to comply with all applicable State of Mn. Statut and City of Eagan ordinances. fi LICANTIP MITE SIGNATURE ISSUED Y. 81GNAURE~ INSPECTION RECORD Control No. CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000184 Eagan, Minnesota 55123 Date Issued: 04/06/92 (612) 681-4675 SITE ADDRESS: LOT: 16 BLOCK: 1 APPLICANT: 4139 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 671-0304 PERMIT SUBTYPE: TYPE OF WORK: MULTI-FAM. T.H. NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DDATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S & W CONTRACTOR - VALLEY PLBG 7 7 L PERMIT # ~ CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, 1 copy of energy talcs. 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 requested once permit is issued. Date 14 _ Valuation of work ~`J'7 3~a p Site Location: ':1.9 STREET STE # Tenant Name: ~a ~t•~ (~o .1e4- LOT BLOCK _ SUED. i&' P.I.D. # Uy~ (Y Description of work: The applicant is: E~ Owner ontractor ❑ Other (Describe) Name __TP e- g*f &1td Ca .TAC. Phone 217/'00 46 Property LAST FIRST Owner Address L5Z/-,?/ 50_5~- 40:ik- L6 (24 STREET STE # City r L State Zip ~f5 42/ Company /an ~Phone 57/U5 04-' Contractor Address f '5057-' Ey gr. 4ad License #.P. 1335 Exp.3-31-%4•- City FP?r0L~ State Zip z Company 71ht t~~#knci Phone 50I-ef 4/- Architect/ Engineer Name Registration Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once are has been app oved. 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: 4 OFFICE USE ONLY µ BUILDING PERMIT TYPE - ❑ 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add./Porch ❑ 16 Agricultural 02 SF Dwg. ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition 10 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE '0 31 New ❑ 34 Remodel ❑ 37 Move ❑ 32 Addition ❑ 35 Repair ❑ 38 Demolish ❑ 33 Alterations ❑ 36 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy E13 M-I Basement sq. ft. MWCC System ES Zoning 12D 214 Ist F1. sq. ft. City Water Y~ 5 Const. (Actual) V-py 2nd F1. sq. ft. PRV Required (Allowable) V-N Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code 10z _ Depth _ On-site sewage SAC Code 03 APPROVALS Planning Building z Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permi t Fee 58 . So valuation: SA? 2 000 Surc . 00 PlanhReview 3& f , 03 &ARAGE : 3GO'~X = S, "760 License MWCC SAC r)00,00 Douse. 14 3Z4 7< 53 City SAC _100,00- Water Conn. 6175,00 Water Meter 29,00 Acct. Deposit 30,00 S/W Permit 30, oo S/W Surcharge 150 Treatment Pl. 300, o0 Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 100 SAC Units 1 7_(TF34ioR F:MfF.Iinm AVFmcr "u" awpi)TATIrg, OWN9t SITE ADDRESS CONTRACTOR hO A.Jf~ DATE. PHONE Dete.rmin workini; square f6otaiw of each. 1. Total exposed wall area sq. ft. x 0.21 1(~ * 9 2. Total roofleeiling area ~ s~. ft. X ,%026 Total exposed wall area above floor a. Total wall window area b. Total door area . 'a;.= i e. Total sliding glass door area............ _ :y d. Total fireplace wall area e. Total wall framing area (average 20:) I E'I f. Total net wall area above floor f 5.° .1 g. Total rim joist area Total exposed foundation area = h. Total foundation window area i. Total net foundation area hbove grade Determine "U" value of each wall segment. • C. ~ r x -Ure d. x rrUn _ So '7~ e. F 2145; X nUn &;,02 z /4- • / x fib *H V . ~ 4/ e - t V • • g• ...w . ~ trtJp ~ h. X rrUq a #lull .044 3• ToLa1 ? 7 - - .i ' If item ,X3 is the same as, or less Utan item fl, you have met the intent of SBC 6006(c)2. f o Total exposed rootfcei]ing are. = - ' Total gross root'/ceiling area g Total skylight area k. Total roof/ceiling framing area. . I. Total net insulated roof/ceiling area Determine "U" value for vneb roof/cel Z int, selpment.' j- x "U11 k. E2 X Z& 7, k . Total t d 71 If total of 14 is the same as, .or less than, 12, you have met the intent of sec 6006(c)l. To utilize the total envelope system method, the values establizhed by the sum of items B3 and 14 shall not be greater.thxn the sum of items 01 and 12. 1. 2. _ 3'. + 4. 40 0 s ' PERMIT Control No. CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000185 (612) 681-4675 Date Issued: 04/06/92 SITE ADDRESS: 4143 BEAVER DAN RD LOT: 16 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAN. T.H. Building Wprk Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning PD R-4 Building Length 52 Building Width 39 Building; stories 1 REMARKS: S & W CONTRACTOR - VALLEY PLBG FEE SUMMARY: VALUATION $82.000 Base Fee $568.66 MISCELLANEOUS $1,610.60 Plan Review $363,83 COPY ;.60 Surcharge $41.00 Total Fee $3,273.63 SAC $768.00 SAC % 100 SAC Units 1 Subtotal $1.662.63 COf~TH~`OTNUND CO INC - Appli1 cant - ST. L 6719394 8001 35~"'THERFROTTLUND CO INC 5201 E RIVER RD 6201 E RIVER RD FRIDLEY NN 66421 FRIDLEY MN 55421 (612) 671-0304 (612)671-0304 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. Stat s and City at Eagan Ordinances. ~ APPLICANT/ MITEE SIGNATURE ISS1UED Y: SIGNA URa INSPECTION RECORD l Control No. ; ; S CITY OF EAGAN PERMIT TYPE: ` BUILDING 3830 Pilot Knob Road Permit Number: 000185 Eagan, Minnesota 55123 Date Issued: 04/96/92 (612) 681-4675 SITE ADDRESS: LOT: 16 BLOCK: 1 APPLICANT: 4143 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PEPYIT SUBTYPE: TYPE OF WORK: LTI-FAM. T.H. NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S & W CONTRACTOR - VALLEY PLBG L - CITY OF EAGAN • 1992 BUILDING PERMIT APPLICATION 681-4675 APR 0 " RECD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 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 requested once permit is issued. Date 4-Z -1'Z / / Valuation of work Site Location: STREET STE # ~f'~,, Tenant Name: LOT (p BLOCK SUED. P.I.O. # FA x'W el 11 1 Description of work: Ll ~c~ The applicant is: Owner ❑y Contractor ❑ Other (Describe) Name°f1 9'tf-l. CL e, T Phone-_S~o/ a ~ Property LAST FIRS Owner Address o - pi Lac-/ -3e, STREET STE # City State PJ Zip S 4-,1 Company LZ Phone S k i a 3, 4- Contractor Address ! ~ s -r oud License # a 33.5 City State Zip 5_1 Company 41. re" rl- Phone 5 !jl ~d3 a fL Architect) Engineer Name Registration # Address City State Zip ~u Sewer & water licensed plumber 4-,14 61h - Processing time for sewer & water permits is two days once are has been approved., I hereby acknowledge that I have read this a lication 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: _ Azf (92zl' OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add. /Porch ❑ 16 Agricultural ❑ 02 Single Family ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two-family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition a 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE F" 90 New ❑ 93 Remodel ❑ 96 Move ❑ 91 Addition ❑ 94 Repair ❑ 97 Demolish ❑ 92 Alterations ❑ 95 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy ?1_3 M -1 Basement sq. ft. MWCC System Yes Zoning ~-y 1st F1. sq. ft. City Water es Const. (Actual) Y.N 2nd F1. sq. ft. PRV Required (Allowable) y-N Sq. Ft. total Booster Pump # of Stories I Footprint Sq. ft. Fire Sprinkler Length 5 7- On-site well Census Code !0 z Depth 39 ' On-site sewage SAC Code 03 APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace NMCC SAC Fees: Valuation: S e z 000 r Permit Fee 558,50 GARA&E, 360 V'X lev A 5,'7 (,0 SAC % Surcharge .0 H O U sE ; Ili 3Z*;c 53 `751 8g. Plan Review 6 .a x L44a"e Wuv-AskF gis, o a C-,SAC MWtt 1-700,00 SAC Units Wadni S- 010. OD r Water Met-iwc..+r,, X95, 00 Road Unit O0 d Treatment P1 . 3 DO t o o Rigid--th1"t C" 1~ PeA&M It 30, 0 D Rark Ded : w `a! e- 0 50 Copies ,5-b Q her Ae_< tie(o. 3'0,oo Total: 3 ,~r' 5.~ L F.XTF1UOR F:NVEIPI* : AVFI%A(*.. "If" roKpirrATIMI OWN ER ~ O f t " o ~~►c,~ - - - - - - SITE ADDRESS ~ CONTRACTOR DATE. PHONE Determin working square footage of each. 1. Total exposed vall area sq. ft. x 0.11 2. Total roof/ceiling area 0 O sq. ft. x 8 ~026 Total exposed wail are: nbove floor a. Total wall window area - r1 b. Total door area j c. Total sliding glass door area ~f, u=: d. Total fireplace wall area e. Total wall framing area (average 10%)...... j f. Total net wall area above floor - g. Total rim joist area Total exposed foundation area h. Total foundation window area i. Total net foundation area hbove grade J Determine "U" value of each wall st- ment. b. x Putl 0, 01 c: . x ..u.. &7 = 27.5? d. f x Iill n e., x .nun Jr✓~ - U. , ~ _ i.~ ~ • . g. x flull 112. x '3. - ~ ~ ~ - - - - Total - r. If item 13 is the same as, or less l.h:.n item 11, you have met the intent of SBC 6006(c)2. _ Total exposed roof/ceilinD area _ 4 1 • Total gross roof/ceiling, area = Total skylight area k. Total roof/ceiling framing area............... 1. Total net insulated roof/ceiling area / ? G 7 Determine "U" value for each roar/cei l int; segment.' x nUr1 k. 140. j x #sUit ~~a • 7 w • x ..U.. p.v2z *21j7 ' 4 . Total - ? I s If total of #4 is the same as,'or less than 12, you have met the intent of BBC 6006(c)l. To utilize the total envelope system method, the values establi_hed by the sum of items 13 and 14 shall not be greater.thnn the sum of items 11 and 12. 1. t 2. _ 3'. + h . _ 0 PERMIT Control No. u °1 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 8 Eagan, Minnesota 55123 00183 (612) 681-4675 Date Issued: 94/06/92 SITE ADDRESS: 4147 BEAVER DAM RD LOT: 14 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAM. T.H. Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning PO R-4 Building Length 52 Building Width 39 Building stories 1 REMARKS: S & W CONTRACTOR - VALLEY PLBB FEE SUMMARY: VALUATION $82,000 Base Fee $558.50 MISCELLANEOUS $1,610.50 Plan Review $363.83 Total Fee $3,273.03 Surcharge $41.80 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $1,662.53 CONTRACTOR: - Applicant - ST. TdWNER: THE ROTTLUNO CO INC 15710304 0001335 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RIVER RD FRIDLEY MN 65421 FRIDLEY MN 55421 (612) 571-0304 (612)671-0304 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. Statu and City of Eagan Ordinances. 7 rr APPLICANT/PE ITEE SIGNATURE ISSUED Y: SIGNAT RE Control INSPECTION RECORD I No. CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000183 Eagan, Minnesota 55123 Date Issued: 04/06/92 (612) 681-4675 SITE ADDRESS: LOT: 14 BLOCK: 1 APPLICANT: 4147 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 671-0304 PERMIT SUBTYPE: TYPE OF WORK: MULTI-FAN. T.H. NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S S W CONTRACTOR - VALLEY PLBG PERMIT t 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, 1 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 or lot thane is requested once permit is issued. Date / -2 Valuation of work ~ 300 Site Location: 4 4 7 J STREET STE N Tenant Name: C LOT --ice BLOCK SUBD. f w y P.I .D. Description of work: Lc C Jc T r-- The applicant is: ❑ Owner. ❑ Contractor ❑ Other cDescribe) . Name Q'0 Phone S Property u►ST FIRST Owner Address 5c_~c l 5~ j?i u P 4 t STREET STE S City State IVl Zip Company Phone ~S`7 j T-12 Contractor Address 2 d) i4 Sy s License #66013 3 -1)~ Exp. City ( ~-D State Zip 5' A z 1 Company Ilk (t ~ r Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water l i censed plumber Processing time for sewer & water permits is two days once area has been approved. 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 Y BUILDING PERMIT TYPE" ❑ 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add. /Porch ❑ 16 Agricultural ❑ 02 SF Dwg. ❑ b7 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ IS Demolition 9 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE 0 31 New ❑ 34 Remodel ❑ 37 dove ❑ 32 Addition ❑ 35 Repair ❑ 38 Demolish ❑ 33 Alterations ❑ 36 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy R-3 M-1 Basement sq. ft. MWCC System YE s Zoning P=-LA 1st Fl. sq. ft. City Water YE C-1 Const: (Actual) V-M 2nd Fl. sq. ft. PRV Required (Allowable) -~y Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code 107- Depth _ On-site sewage SAC Code _ 0 3 APPROVALS Planning Building -~z D5 Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee 558-SC) vaeu®tion: $S Z_ 1 Oda r Surcharge 0 Plan Review 63.03 GARAC-►E'. 3G0 K r 5,760 License MWCC SAC goo 00 - ouSE ; t y32 X S3 = 7 PLf City SAC Water Conn. k-25-1 00 Water Meter.. 45 , 0 0 Acct. Deposit 30.00 S/W Permit 30,00 S/W Surcharge . ro Treatment P1. 3an "o 0 Road Unit Park Ded. Trails Ded. Copies Other Total-, SAC % too SAC Units F-XTFxiiOR i:NVF.MPF W RACY. "U" tt*ff4rrAT1()11 ~ . ONMER - - - - - OWL ,I- SITE ADDRESS I CONTRACTOR h O Vl►1~ DATE' PNQNE V._D 3 04.. Determin working; square footar;e of each. 1. Total exposed wall area sq. ft. x 0.11 = 1~e~ . • 2. Total roof/ceiling area t4roio:~;o sq. ft. X 0,026 • Total exposed wail area above floor = CA7'~ a. Total wall window area b. Total door j area C. Total sliding glass door area y=. d. Total fire t place wall area e. Total wall framing area (average 10:) f. Total net vall area above floor i y~{ g. Total rim joist area Total exposed foundation area = ~2- h. Total foundation vindov area i. Total net foundation area above grade Determine "U" value of each wall segment. . a. . t/ r x ':u" Oa r CO • c: . x ..u„ d. x ..ul$ _ e.. A out' ' h. x $lull It POO X Ouse 04 If item 13 is the some as, or less 1-han item 11, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = - -/D -d - Total gross aroof/ceiling area J. Total skylight area k. Total roof/ceiling framing area.- . / , JZ2 1. Total net insulated roof/ceiling area Determine "U" value for Inch roof/cclIIng seonent: J. X MU" k: 1-_ X slugs D~UZ 7; . 1. /Z&7, 4 . Total d -71 If total of N4 is the same as, or less than 12, you have met the intent of sBc 6W(Oi. To utilize the total envelope system method, the values established by the sum of items B3 and 14 shall not be greater. than the sum-of items 11 and 12. 1. + 2. _ + L. r.' - PERMIT I Control No. 0 ; 3 _31 CITY OF-EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: 000182 (612) 681-4675 Date Issued: 04/06/92 SITE ADDRESS: 4151 BEAVER DAM RD LOT: 13 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAN. T.H. Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning PD R-4 Building Length 52 Building Width 39 Building stories 1 REMARKS: C 1$1 S & W CONTRACTOR - VALLEY PLBG FEE SUMMARY: VALUATION $82,000 Base Fee $558.50 MISCELLANEOUS $1,610.50 Plan Review $363.03 COPY $.50 Surcharge $41.00 Total Fee $3,273.53 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $1,662.53 CONTRACTOR: - Applicant - ST. 16WNER: THE ROTTLUND CO INC 15710304 0901335 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RIVER RD FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0204 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. Stat s and City of Eagan Ordinances. L L) " -I- ~ A 1CANT RM EE SIGNATURE ISSUED BY. IGNATfUR INSPECTION RECORD Control No. ~811 3 CITY OF EACAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000182 Eagan, Minnesota 55123 Date Issued: 04/06/92 (612) 681-4675 SITE ADDRESS: LOT: 13 BLOCK: 1 APPLICANT: 4151 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: MULTI-FAN. T.W. NEW INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S & W CONTRACTOR - VALLEY PLBG 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 or lot change is requested once permit is issued. Date" / 2 q-2- 15- J Valuation of work 00 Site Location: f I 6=c" j 3 STREET STE # Tenant Name: k w w cE LOT L3 BLOCK SUBD. P.I.D. N Description of work: L4,1,,, . 1 h F ti l, : l sA The applicant is: ❑ Owner ❑ Contractor ❑ Other (Describe) Name w t` Phone 5 71 - '3,c q Property LAST FIRST Owner Address 52-61 S; STREET STE # city I- r% states-- Zips ~T Company J, f VA L.- 1 Phone S~ ( G3 y -14 4 ~ OK Contractor Address Z t T~ 4 51 rr ~Pa License #boa 133.5 Exp. 3 ' y city r State Zip 6-5 W21 Company 0c) Phone ? Architect) Engineer Name Registration # Address City State Zip Sewer & water licensed plumber fo 40 Processing time for sewer & water permits is two days once area has been approved. 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: t OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add./Porch ❑ 16 Agricultural ❑ 02 SF Dwg. ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition 0 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE 0 31 New ❑ 34 Remodel ❑ 37 Move ❑ 32 Addition ❑ 35 Repair ❑ 38 Demolish ❑ 33 Alterations ❑ 36 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy R'2~ M -I Basement sq. ft. MWCC System YES Zoning 'pp y 1st F1. sq. ft. City Water Const. Actual) \!-N 2nd F1. sq. ft. PRV Required -YES (Allowable) \,I-N Sq. Ft. total Booster Pump # of Stories 1 Footprint Sq. ft. Fire Sprinkler Length 5z - On-site well Census Code o2 Depth On-site sewage SAC Code 0,3 APPROVALS Planning Building Z~ Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee valuation: s e Zi ODD Surcharge yl.o a Plan Review 365-0.9 ARr4G~ 3GO 0y, 14 = S,96 0 License MWCC SAC 165. ofl `d City SAC ►oo.0o Mo~s~. ty3Z ~s3 Water Conn. 0T)5^,oa Water Meter qJc. , pD Acct. Deposit p,aa S/W Permit 30.00 S/W Surcharge ; Treatment Pl. upzo Road Unit Sz),o~ Park Ded. Trails Ded. Copies Other " Total:7j T9 7", 1 SAC % f SAC Units 4XV3a n F.NVF.wrF Avnmr.F. "U" morrATirftt .~.Y OWNER off/ kHf4 00 E7x.~ - - - SITE ADDRESS J } - Aq --327 .41 .4ri CONTRACTOR ~D ! L UAl/~ DATE PHONE- -Q 301f. Determin working square foota,;e of each. 1. Total exposed vall area sq. ft. x O' 11 2. Total roof/ceiling area 4' 0 v -sq. ft. x 8,026 Total exposed wail area above floor 0 r7-~ a. Total wall window area b. Total door area i C. Total sliding glass door area _ d. Total fireplace wall area e. Total wall framing area (average 10:) f. Total net vkl area above floor : g. Total rim joist area Total exposed foundation area = !~2 h. Total foundation vindov area it Total net foundation area Above grade 1t? Determine "U" value of each wall segment. a. , x "Utt- b. x 'full .10 C. / x stuff z~. 5-7 e.. 22 Z-1 /15, x U A 7' 044 Olt . g• X. stun h. x .full POO X null If item-13 is the same as, or less ih:►n itcm 11, you have met the intent of SBc 6006(c)2. Total exposed roof/ceiling are:► _ _ Total gross 1•oof/ceiling area - } 3. Total skylightarea k. Total roof/ceiling framing area............... 0 _ .1 Total net insulated roof/ceiling area T • Determine "U" value for unch roof/ccl f ink; segment.' x nun _ k: ! x llu" cooZ7 - 1• ~2~7i 2 X "v" D•oZZ = ~~.~7 b . Total - _ • 3 If total of #4 is the same as, or less than #2, you have net the Intent of SBC 6oo6(c)l. To utilize the total envelope system method, the values establizrhed by the sum of items 13 and f4 shall not be greater.thxn the sum of items 11 and l2. 1. ± 2. 3. + L. . • r. 0 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 032818 (612) 681-4675 Date Issued: 08/07/98 SITE ADDRESS: 4147 BEAVER DAM RD LOT: 14 BLOCK: 1 DIFFLEY COMMONS P.I.N.: 10-20450-140-01 DESCRIPTION: REPAIR CHIMNEY Bu'ildingPermit Type STORM DAMAGE Building Work Type REPAIR Census Code 434 ALT. RESIDENTIAL REMARKS: REPAIR CHIMNEY DUE 1'D STORM DAMAGE. FEE SUMMARY: CONTRACTOR: Applicant ST. LIC OWNER: DU ALL SVC CONSTR INC 17889411 0003178 BRIEST WESLEY 636 39TH AVE NE 4147 BEAVER DAM RD COLUMBIA HTS MN 55421 EAGAN MN 55122 (612) 788-9411 (651) 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. ~~SIJ APPLICANT/PERMITEE SIGNATURE n&AUED BY: SIGNATURE _y 1998 BUILDING PERMIT APPLICATION (N'i'.) CITY OF MAC" 3830 PILOT KNOB RD - 66122 "1-4675 - New Construction Reaulmrnents Remadelffimir ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sines; poured Ind. design; shy ♦ 2 alts swv" (ems sddlli'one ♦ 1 energy calculations ♦ I oneW vabAdim for twaW 1 3 copies of tree preservation plan if lot platted alter 711193 required: Yes _ No DATE: CONSTRUCTION COST: L*Wti m "iZ 'a. DCRIAgg ES ON OF WORK: S7r r e* STREET ADDRESS: 61J17"f7 AA1 LOT: I`-4 BLOCK: SUBD./P.I.D. Name: T We Pb= PROPERTY Last First OWNER street Address: ~7eaV r D~, city ,!F-0,42 Ot stow: 0&1:' & Gmrnt)r 0 Ig U i P.~ Phtiate t CONTRACTOR Street Address: (,3 3 9 ! V t, L~ Lit em # City State: Zip; f I ARCHITECT/ ENGINEER Company: Phone Name: nom- Suva Address: City State Zip:. Sewer S water licensed plumber (new construction only): Para ft *pF When- elmrlg and lot change is requested once permit is Issued. I hereby acknowledge that I have read this application and state that the iri mM tit7n C*nV t altd agf rl lio a State of Minnesota Statutes and City of Eagan Ordinances. IRECSIVIED Signature of Applicant: ' AVG U i 1J9'J d . 8Y: O ICE LME ONLY BUG 0 5 199 • Certificates of Survey Received Yes No Tree Preservation Plan-Received Yes No Not Rage; OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation O 06 Duplex .0 11 Apt /Lodging O 16 basement Finish O 02 SF Dwelling O 07 4-plex .0 12 Multi Repair/Rernz O 17 Swhn Pool O 03 SF Addition O 08 6-piex O 13 Garage/Accessory O 20 Public Facility O 04 SF Porch O 09 12-plex O 14 Fireplace O 21 Mellaneoua O 05 SF Misc. O 10 _ plex O 15 [neck WORK TYPE O 31 New O 33 Alterations O 36 Move O 32 Addition O 34 Repair O 3? Denm5l1tkM GENERAL INFORMATION Const. (Actual) _ Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water_ USC Occupancy sq. ft. Fire- SpdnWened Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Q Cade. Depth Fit sq. ft. SAC Code_ Census Bldg APPROVALS Census Unit Planning Building Engineering Variance Permit Fee Valuatim: $ Surcharge - Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Y Copies Total: a SAC SAC Units ~~?K~~~i43'i'S:'y:?,'()$)14)'r~S:Y(•~~?K~~:'l~ ~)~:15%~?~~?1;~5)S~'4~4447}S?~:~}1( '}~.yF?4, CITY OF E:AGAN i CAt: HIE W`:; TERMINAL NO: 1 0443 DATE:; 11/16/98 TIMED 1.4aO°i?w3 NAME: SUBURBAN GROUP INC 205 9001 75.00 3210 9001 4:18 DEAVE R DAM j 024.75 . 3210 9001 4043-BEAVER DAM P24.75 1 132 0 9001 40`J9 BEAVER DAM 224"A 1 9001 4O V5 BEAVER DAM i 224.75 500 900i 4091 BEAVER DAM aP4.75 , E?1.0 9001. 4:1.07 D+.:.AVE::l DAM 224.75 3210 9001 4123 DEAVER DAM 224.75 :300 9001 41::39 BEAVER DAM 224„75 3210 9001 4155 BEAVER DAM 224 d i'5. t.l.:',E:1; ID N NANCY CONTINUE )X~)K~S~n r~F?1:>#?k#>~'?~?fib?IC?~:H~~?f?~~~~:~k~~?X~F?~:K~f~;f)Y+k?i,~~%f CONTINUE CITY OF E.AGAN C:A,.HIER- S TERMINAi_ Nog 848 DATEY 006/98 TIME w 4424905 ID NAME: SUBURBAN GROUP INC 3;-)A.0 9001. 4.171 BEAVER DAM 224.75 Total Receipf Amount 27322.50 CRO994:1. a. USER ID: NANCY :~7~)i<M?F-'iSYSi yF)'r~CyR?if~?i ~F>s~`%6M~>~?F~?k~)A~'m"?14:4?Ek'S)F~'K~)n~F~71t PERMIT "CITY OF EAGAN 3830 11ot Knob Road PERMIT TYPE: B U I L D I N G gagan, Minnesota 55122-1897 Permit Number: 0 3 4 0 6 7 (651) 681-4675 Date Issued: 11/18/98 SITE ADDRESS: 4139 BEAVER DAM RD, LOT: 15 BLOCK: 1 OIFFLEY COMMONS P.I.N.: 10-20450-150-01 DESCRIPTION: ~r*> n REPLACE SIDING 8 111 -IA,ing` Permit Type MULTI. (MISC. ) E3uxidng".W6r, Type REPAIR 66n,tusCode 434 ALT. RESIDENTIAL r. REMARKS: INCLUDES: 4143, 4147, AND 4151. FEE SUMMARY VALUATION $15,000 Base Fee $224.75 Surcharge Total Fee $232.25 4;ONTRACTOR: - Applicant - OWNER: .SUBURBAN EXTERIORS 28818232 DIFFLEY COMMONS ASSOC. 8701 PENN AVENUE SOUTH 4139 BEAVER DAM RD BLOOMINGTON MN 55431 EAGAN MN 55122 (612) 881-8232 I hereby a:ck;rlowledge ghat -1 have read t[-Iisapplication and'state that the , in:fo'm'ation As_ cort'rect-_rand ag~ee to Comply wi,tl' a1_C apPIicable State of Mn''e Statutes a-nd, C ity .of E,ag- r, 0rd.in 4nces: APPLICANT/PERMITEE SIGNATURE UED BY SIGNATURE 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) t , , I V CITY OF EAGAN 1 681-4675 <3 Submit following to obtain necessary permit 1 I g Foundation Only New Construction Interior Improvement structural plans (2 sets) architectural plans (2 sets) architectural plans (2 sets) civil plans (2 sets) structural plans (2 sets) code analysis (1) 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 MC/WS - SAC determination letter from MCIWS - SAC determination letter from MC/WS - 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: WORK TYPE: NEW REMODEL DESCRIPTION OF WORK: (~25 CONSTRUCTION COST: 1 0 G G TENANT NAME: S A W)k 'PA ' SITE ADDRESS: SUITE* LOT BLOCK SUBD. C Wt w""-3 tbo P.I.D. # Name: "Oi ` C-0`"~`l~' _ Phone PROPERTY Last First OWNER 1( • S e.~ a,, J-- City Street Adciress. kc7- State: Zip: _r S V~ L l rX~M ~i-per i 7 Phone ~23 Z Company: CONTRAC'rO R Street Address: License # City State: /L`~ 4r1 Zip: '0" ARCHITECT/ ENGINEER Company:_ Phone _ Name - 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 informat' n is correct 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. MCMIS 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 a"~~ -~1 S Valuation: $ Surcharge - Plan Review MC/WS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: 3 a 5 % SAC SAC Units Meter Size ~ PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Dumber: 0 2 7 8 9 7 (612) 681-4675 Date Issued: 06/17/96 SITE ADDRESS: 4139 BEAVER DAM RD LOT: 15 BLOCK: 1 DIF LEY COMMONS P . I . N 10-20450--150-01 DESCRIPTION: Building.Permit Type STORM DAMAGE Building I$ork Type REPAIR Census Code 434 ALT. RESIDENTIAL REMARKS: INCLUDES 4143 (LOT 16) 4147 (LOT 14) 4151 (LOT 13) BEAVER DAM RD FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC.OVWNER: DU ALL SVC CONSTR INC 17889411 0003178 HOMEOWNERS ASSOC 636 39TH AVE NE BEAVER DAM RD COLUMBIA HTS MN 55421 EAGAN MN (612) 788-9411 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. APPLICANT/PER'MITEE SIGNATURE ISSUED 8 : IG TURE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements Remodel/Rel2air Requirements 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 7/1/93 required: _Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: W STREET ADDRESS: 12)9 L4 JL4~4! 14-1' 016 Dq/r' P6' UQ- I U q l_5 LOT I I ~51~ BLOCK SUBD./P.I.D. PROPERTY Name: Phone OWNER LAST FIRST Street Address: City: State: Zip: CONTRACTOR Company: Phone DU M 3M AVENUE NF I Street Address. COLUMBIA MT&, WN 53621 License C IIHE RE"LZXMr City: State: Zip: ARCHITECT! Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and Ict 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 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 x`` • Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Lam ! BL CITY OF EAGAN CITY USE ONLY /n PLUMBING PERMIT 0 -s- 4 Q/ SUBD._ 1~~~ (612) 681-4675 RECEIPT ~ DATE 2- 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 I6 0 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 L. L LAVATORY 3.40 fg L)b 1 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 C~ SITE rsDDRESa : HOT TUB" SPA 3.00 WATER HEATER 3.00 ;1- FLOOR DRAIN 3.00 o~ GAS PIPING OUT. INSTALLER: U ~ 1 i PLLU'Yle)i 7 (MINIMUM - 1) 3.04 3 00 ROUGH OPENINGS 1.50 ADDRESS: 0 I 1~1`~i l.f~ OTHER WATER SOFTENER 5.00 CITY: ,_XX 4D R-) ZIP: PRIVATE DISP. 15.40 _ U.G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: Sp5~ 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 ~'IQ CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # /S DATE: S l hri 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 6.00 GAS OUTLETS - MINIMUM 3.00 ~1 OF 1 PER PERMIT OWNER NAME : 1 rT ) OiO SUBTOTAL: $ SITE ADDRESS: IL STATE SURCHARGE: .50 LOT : BLOCK SUBD. j t : _ •c~rr~. TOTAL: $ , to INSTALLER: F1 A A. ADDRESS : 9303 Plymotd Ava Na SIGNATURE PERM TTEE Wft r MR MW CITY: ZIP: PHONE ti llal2 'fftA!tt#'3s 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 L6L / CITY OF EAGAN CITY USE ONLY SUBD. PLUMBING PERMIT _ (612) 681-4675 RECEIPT DATE 2 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 4 SHOWER 3.00 E- 0 REPAIR _4L WATER CLOSET 3.00 L:.DO I BATH TUB 3.00 ate' LAVATORY 3.00 (c - DO OWNER NAME : 7 ,+z~ KITCHEN SINK 3.00 301) LAUNDRY TRAY 3.00 C~ SITE ADDRESS : (tAll~ 1 ~_D HOT TUB/SPA 3.00 i WATER HEATER 3.00 -3, cx~ f FLOOR DRAIN 3.00 GAS PIPING OUT. 3 - 1 INSTALLER: (MINIMUM - 1) 3.00 yu ROUGH OPENINGS 1 ADDRESS : h C l.~ll ' l OTHER .50 WATER SOFTENER 5.00 CITY: _1yt)v'o ZIP: ~Y-j 35,1 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: S Sly 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 0 19").1 CITY OF EAGAN FOR CITY USE ONLY ¢ n 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # DATE : F.Se 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 6.00 GAS OUTLETS - MINIMUM 3.00 OWNER NAME: OF 1 PER PERMIT l ~ [~7 SITE ADDRESS : '~1 I 19 i i - 1(i STATE TSURCHARGE: $50 .50 LOT : }C_ s> BLOCK SUBD. / r - TOTAL: $ 1~ INSTALLER: SURF 191 Se tKc. 9303 Plymouth AM NO- ADDRESS: Wdeft ValleY, MN. 55427 (S~IJNLATUR~ OF PE TTEE CITY: - ZIP: PHONE {kil,~15'C'A:c 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. -------------------------------------------Y-------------------------------------- CONTRACT PRICE: FEES OWNER NAME: 18 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 _T PLUMBING PERMIT ` C' S c V/ SUBD. L (612) 681-4675 RECEIPT DA TE~-t) 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 L-,LQ REPAIR WATER CLOSET 3.00 (o ~ ED BATH TUB 3.00 3.(%) OWNER NAME : ~/i ss~ LAVATORY 3.00 KITCHEN SINK 3.00 3.C0 I~ ti ( LAUNDRY TRAY 3.00 3.j SITE ADDRESS : ~~44) & DfF f) M HOT TUB/SPA 3.00 1 WATER HEATER 3.00 ;OC-5 I FLOOR DRAIN 3.00 3.00 (L", I GAS PIPING OUT. INSTALLER: I ( - (MINIMUM - 1) 3.00 3-m ROUGH OPENINGS 1.50 ADDRESS : l,1 C L OTHER _ WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE : I W. TURNAROUND 15.00 STATE SURCHARGE .50 zaL 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 ~ q q CITY OF EAGAN FOR CITY USE ONLY `3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # ~S PHONE: (612) 454-8100 RECEIPT # i; DATE : i 9 r3- 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 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME : SUBTOTAL: SITE ADDRESS: STATE SURCHARGE: .50 LOT: BLOCK f SUBD. i`'`:- ~d i -?vL{9 TOTAL: $y r INSTALLER: RARE a Alt, W. ADDRESS : 9303 Plymouth live. No. SIGNATURE F PERMI EE Golden Valley, MN. 55427 CITY: ZIP: PHONE J~ - I l l iiG L `1?Ua i ;i 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 3 Bl I CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT / (0 S G ( J /01 J, ~ V J SUBD. (612) 681-4675 RECEIPT j, 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 -CC) I BATH TUB 3.00 3 OL 11 LAVATORY 3.00 OWNER NAME: CCL~w LAM lnC` 1 KITCHEN SINK 3.00 3 U~ __L LAUNDRY TRAY 3.00 :3:Do SITE ADDRESS : HOT TUB/SPA 3.00 i WATER HEATER 3.00 3-DO D FLOOR DRAIN 3.00 ~3,DO GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 3 ROUGH OPENINGS 1 ADDRESS: OTHER .50 11 _ WATER SOFTENER 5.00 CITY: 1~~1 ZIP: PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE 1 1 W. TURNAROUND 15.00 STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: S 3(o-5 D CONKERCIAL 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 i~ CITY OF EAGAN FOR CITY USE ONLY nL1 ) 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # O S ?Gt'' DATE : l ttSl7Y►T PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST X ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M. BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME : SUBTOTAL: $ SITE ADDRESS: ~I~I V Y' STATE SURCHARGE: .50 i.~ LOT: BLOCK. SUBD. Y'J TOTAL: $L.d._L!! 5 INSTALLER: RARE NIP.-& _ INC. ADDRESS: 9303 Plymouth Ave. No. SIGNATURE 0 PERMI EE Golden Valley, MN. 55427 CITY: r ZIP: PHONE Z) L [MRIAf?TSt.` 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 CLAIM VOUCIIER - REFUND REQUEST CITY OF EAGAII I i CLAIMANT CITIES ELECTRIC ADDRESS 22390 BEAUMONT AVENUE FARMINGTON, MN 55024 Location 4143 BEAVER DAM ROAD L16, B1, DIFFLEY COMMQNS Receirt 11o./Date 107162/8-5-92 Reason for Refund DUPLICATE PERMIT - PERMIT #173944 Type of Refund Electrical rermit 01-3211 $ 66.00 Plumbing remit 01-3212 S Mechanical rermit 01-3213 Surcharge 01-2155 $ Water Connection rermit 20-3713 S (e, Sewer Connection rermit 20-3743 $ Account Deposit 20-2252 S Utility Account Over-rayment 20-2250 S Other: $ $ TOTAL $ 66.00 I drelarP under the penalties of law that this account, claim or demand is just and , that no part of it has been raid. 8/ 14/92 S gnature Date REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 c Do- See instructions for completing this form on back of yellow copy 18 • "X' Below Work Covered by This Request a~ r lew 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 1 O speufyl Contractor's Remarks: Comp Inspection Fee elow: # Other F e nceSi a Flee # Circuits/Feeders Fee wimmi 0 to 200 Amps Amps Transforme b ve 200 Amps Above 100 Amps igns pect rs use Only: TO AL Irrigation Booms b~ Special Inspection Alarm/Communication IS INS AILLATION MAY BE O RECONNECTED IF NOT Other Fee COMPILE ED WITHIN 18 MON I, the Electrical Inspec hereby Rough- - Date Data certify that the above inspection has F ,F.-17 been made. OFFICE USE ONLY Th s request void 18 months from Z z ~J Request Date F Rough-in Inspection C~ equired? J Ready Now KWill Notify inspector a I. Z as No When Ready? censed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route o.; CiTy ~t Section No. Township Name or No. R nge No. COLIL~~ Occupant (P NT) Phone No. Power Sup ~S,14_ n Address / l.<__ Contractor's License No. Electrical C it ct r IGompan Na el C/4 Do 319) Madmg Address (Contractor or 4CTR Authorized Signature (Contract, e_ Phone Number 3 - 3g/ MINNESOTA STATE BOARD THIS INSPECTION REQUEST WILL NOT idway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD Griggs-M 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION n a EB-00001-08 ► See instructions for completing this form on back of yellow copy 1 f X" Below Work Covered by This Request a~ New Ad R - Type of Budding AppliancesWlred Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Otherl9peciTV7 Contractors Remarks: Compil Inspection Fee elow: # Other F e # e an~eSze Fee # Circuits/Feeders Fee Swimm 1 0 to 200 Amps / S 100 Amps Transformed Above 200 Amps Above 100 Amps Signs : ' I pectors Use Only: TOTAL r Pgation Booms Special inspection Alarm/Communication r IS INS ALLATION MAY BE O RE[ .DISCONNECTED IF NOT Other Fee COMPL TED WITHIN 18 MON S. I, the Electrical Inspect hereby Roughyn- / Date certify that the above insoction has F nal I Date been made. OFFICE USE ONLY J/ This request void 18 months from i' 1 I 1 `-lam/ i / V 7 94 Request Date F-0re , o.~ Rough-in Inspection Required? F1 Ready Now i- Wilhen Notify Ready? C No y - ~ a - 9 jL.-!!?-ficensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street Box or Route o.) City Section No. Township Name or No. Range No. Counp 001- Occupant(P NT) Phone No. Power Sup er /~{)yf Address Electrical Cpptr~coany Name) Contractor's License No. CC11 cIqoo3~i Mailing Address (Contractor or Owner Making Installati n) !Authorized Signature iCentractor'O er Makin stallabwn) _ Phone Number MINNESOTA STATE BOARD OF ELECTRI ITY 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. R '7 4 Request Date iTFire N R h-in Ins edon ~ ,r ? p C1 Ready Now ill Notify Inspector -c? Z+ es . No When Ready? Lensed contractor ] owner hereby request inspection of above electrical work at: Job Address (Street. Box or R ute No.) _ City 13 Section No. Township Name or No. Range No CouryX 61 Occupant PRINT( Phone No. Power uppker D_ Address Electrical C Naci (Company Name1 It,onlractor's License No. `/!7`r`U`_ C/ I If-1% o0 3 LA~ Ma ling Adores& (Contractor or Owner Making Installation) Authonzec Signature iContractor' vner akin Installation) Phone Number L ~ 3 MINNESOTA STATE BOARD OF ELE TRICITY THIS INSPECTION REQUEST WILL NOT Griggs•Mldway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642.0800 ENCLOSED J~'L_ REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 bi See nstrucuons for completing this form on back of yehow copy. sMt 7 - `)aBelow Work Covifred by This Request /6 ew~Add Rep. Type of Building 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 (spec fy) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps Le) 0 to 100 Amps Q Transformers Above 200 Amps Above 100 Amps Signs inspectors use Only TOTAL Irrigation Booms Special Inspection l~ Alarm/Communication THIS INSTALLATION MAY BE OR ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. r I, the Electrical Inspector. hereby Rough-in certify that the above inspection has Final r Date been made. OFFICE USE ONLY This request void 18 months from lG16 •51-1 J35374 Request Date Fir .ugh-in Inspection Required? /Ready Now 0 Will Notify Inspector A a .1 4 Z- Yes L No When Ready? I ''licensed contractor J owner hereby request inspection of above electrical work at: Job Address (Street. Bo or Route No.l a city Section No. Township Name or No. Range No. Cout~y Occup t (PRINT) Phone No. Power S her Address Electrica~;ronttgr (Company Name) Contractors License No. Mailing dress (Contractor or Owner Making Installation) Authorized Signature (Contract !Own along Installaho Phone Number 4b3-39/0 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 REGIUEST FOR ELECTRICAL INSPECTION EB oooot-oa l ~z nAddRe-P. ► See instructions for completi ng Ls form on back of yellow copy4 "X" Below Work Covered by This RequestTypeofBuilding Appliances Wired EquipmentWired me Range Temporary Service plex Water Heater Electric Heating t. Building Dryer Other (Specify) mm./Industrial Furnace rm Air Conditioner er (specify) Contractors Remarks: Compute Inspection Fee Below: # Other - Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool _ 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps 100 Amps SIgnS Inspector's Use Only: TOTAL S~ Irrigation Booms (v ~S Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final - Date i been made. ~~6 Y OFFICE USE ONLY This request void 18 months from /a2 ` z Request Date Fire No. AU." n nspection IRd Ready Now Notify Inspector 4- - No When Ready? Incensed contractor owner hereby request inspection of above electrical work at: Job Address Box or the NoJ City ,q 1A Section No. Township Name or No. Range No. Cou~ I D Occupant (PANT) Phone No. Powers upphlCl~ ~ Rtldress E'ectncal C tractor (Company Na eN_" Contractor's License No. C*I)o 3 Mailing Address iContractor or Owner Making Irstallation( Authorized Signature (ContractonOwne aking I tallation) _ lPho ber 3.3g~v MINNESOTA STATE BOARD OF ELECTRIC Y THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BYTHE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(512)642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION Ee-00001-08 ► See mstruMions for completing this form on back c' yellow copy. ' t" W ~3 - 1G 21 Z " Below Work Covered by This Request ` 4 5 "X ~Newi Add ~iep Type of Building 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 (speafyl Contractor's Remarks. Compste Inspection Fee Below: # Other Fee # Service Entrance Size Fee # (Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Abov Amps Signs Inspector's Use Only. TOTAL Irrigation Booms n4.Z S-0 special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT -,Other Fee COMPLETED WITHIN 18 M S. I, the Electrical Inspector, hereby Rough-in ct-~~'Y certify that the above inspection has Final Date been made. OFFICE USE ONLY 7 his request void 18 months from 73jgda [Request Date 'o ough -in Irspection ^C Regw!ed? =Ready Now ~l3Will Notrfy Inspector No When Ready. 1,-~Ilcensed contractor owner hereby request inspection of above electrical work at: Job Addr6s (Street. Box or ute No.) City Section No fsh,P Name or No. Range No Coun Occupant RINT) Phone No. Power Sup Per Address ~Eleanca nnado (Company Name) Contractor's License No. ~Do38) ~ai'mg Address iContractor or 9wner Making Installation) Authorized Sigrature Contractor wrier M Installatio Phone Number i ~ - 3 goo MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S•173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ~G REQUEST FOR ELECTRICAL INSPECTION a",es-ooool-08 Do- See instructions for comp!etirg this forrn on back of yellow copy 6 : R 3946 'X" Below Work- Covered by This Request ew Add Rep. Type of Building 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 gp~fe Inspection Fee Below: # Other Fee # ServiceEntranceSizFee # Circuits/Feeders Fee Swlmming Pool 0 to 200 Amps /v 0 to 100 Amps ~Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only TOTAL Irrigation Booms r J Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED D1 NECT Other Fee COMPLETED WITHIN 18 h I, the Electrical Inspector, hereby Rough-in certify that the above inspection has Final Date been made. OFFICE USE ONLY • This request void 18 months from P TION 3830 Pi d Knob Road Pomdt NLwbw . ; , Win, Mihnesole 55123 i (12) 681-4675 SMADDRESS: Lev. to tli4CK I I A~k~ ABAVtR'A k+AM k~ ` ?'M~ '1tQ'tr'iN!'. ~ , ~ ~~3 K W r i a t a4d" e IS-Y lf.iN. IT im, IN, lilt p~ - llSili A t' I tI#t 1~ 1<MA~ plitKR1.A~~. j 010"Kl1_: 6 A N COMTRAC"k - VAILM Pileifi Pasndt $606 PenrM tloMier Do* wophcm i F S/W PLULI"qs wmc fir WIM 39 8 5 (ELECTRIC tny.atls OWN M". Roll" L4 /J-jQ AO. tel. -71ZII 2- .AP +~a~e -0 time Pbld E w orst Fli p . M* hwpeow -Flatly Pkwftw c"A Meter BW9. Final Pll* Deck PV. Deck Final Pr. Diap. 4-V -It (9truftrotr of Orrupaury citp of Cagan J' arporww of suet" juvrdwn This Certificate 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. wrious ordinances of the City regulating building construction or use For the following: unaam8ra8oo M(ln FAM T.H. .hnnitN& 192 ooMP.-y T R3 /M I zaft nlsk;a PD/R4 Ty lx Cow VN o,wof Adig THE ROITLEM OCKIN' Addmn5201 E RIVER 1m- FRIDM Add.. 4151 BEAVER DPM MAD L13, B l. DIFFl.EY 0344M nr~ 8/11/92 sus POST IN A CONSPICUOUS PUKE Address : 4151 BEAVER DAM ROAD Lot 13 Blk I Sec/Sub DIFFtEY DNS These items were/were not complete at the time of the final i spection. Date: 8 q Yes No TnqnPnfnr: S Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch L/ 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. -Ga M NClED WVEP White - City copy Yellow - Resident copy Pink - Contractor copy .82 N PECTIO N. 99 am Pilot Knob Rtiwl P Ems, Minn 5512 F 1 6Si-4675 W DRESS: 1.01'c 14 iitikOCX s 1 `,-A.". , + , . 7 aEawe AAI~ 0 Tit 140~"~`~ A*i"I(6 S S. W CQli'MAiCTOR i VALUE* $'FLO* rf fMN~N - -TWA®M1'1ilRiYi YP~4 - - lww, aLECTFW Intr. comwents FbagOpJ id4 lion ,fir:' , Few y Sk4 Flnei - Deck gyp. Do(* FlnW Weil F't: Diw. M (rr#if irate of (Orruponry Citp of Cagan 19"W ow of Diu rrtimt This Cernficate iswd pursuant to the inuirwwo s of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use For the following. use c6smc = Mit.7'f FAM T.H. %I& firm[ Na 183 O-VA-r TAX R3/141 7ming Dshict P~ Type Ccn+t VN Oww of Bm'I " 'M RfYM Nmn rn DC Add. 5201 8 RIVER RD, FBID M -es 4147 BEAVER DAM ROW ~;cy L 14, B1, DIFFLEY cJMHMS i~amn Doe 8/3/92 BwlftO" POST IN A CONSPICUOUS PUCE Address ; 4147 BEAVER DAM RM Lot 14 Blk 1 Sec/Sub DIFFLEY CCIM)NS These items were/were not complete at the time of the final inspection. t ; 8/3/92 Yes No Final grade (6EE from siding) Permanent steps - garage y~ Permanent steps - main entry V Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck V 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. NECYCEEOPMR White - City copy Yellow - Resident copy Pink - Contractor copy WUXI "C4-01w, EA" 3830 FNMA Knob Rid ? x n, Minus 65123 12) 6814675 S ADDRESS: LOT is i tOCK a APP A". 3 ti. 4ii«s~ oflAVER a" Rb Ril'1'uYi1Woo, tip TYPI 'K,: k lies ttjloi~ FINAL b 'ltAiRlltlie - Fi 6 W CO*T*ADYOR - VACLAY FLOO porm No. P Vokie ' Dade wephong# 8NY 'OUAMENG HY/ 9 :5 c 3 ss y ELeCtFnc +•p low COMWAMW Foundation F Final Pft. o? - Pb0 kweew-wn► r Monet. Mew &W-Pan Mg. Final waft Doak Final MR Pr. Diep. mgr ~ : (Ur i#iratt of (Orru am Citp of (fagan fi ~r~~~ of wing ~►n~rrr#irnc This Cen Jlcate issued pursuam to the requirements of Section 306 of the Unifotm Building Code cerdfying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use For the following. ux aam~aBm ffi.TI-i~M T.H. B. yr,;t No. 184 R31/141 isuia PD/R4 Tc VN O $'Pw ~t D YP: } OWWO(SWU g THE FOMC [11D 00I_ X5201 E RTVF'R RD_ FRMEY 4138 BFA R DAM RWQ t,.a~yL15. B1. DURN OMM f o. 7/.29/A2 POST IN A CONSPICUOUS PLACE m Address : 4139 BEAVER DAM ROAD Lot 15 Blk 1 Sec/Sub DIFFL'Y CQ*NS These items were/were not complete at the time of the final inspection. Date. 7/29/92 Yes No TnqpPcrnr: Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage , Porch t, 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. NECME0 MIEN White - City copy Yellow - Resident copy Pink.- Contractor copy I C 0180 SPECTION RE ORD '1060w*1 IN. a 3830 Plot KMb"~ Ea r ta+ ota 55 423 DDRES&'d, LOT 94 4*4s "A"A o", so Y" vemo" VW *ifP'Lly. 49140 * rti E MWISM { ; M RA t ~t1f1 MAC fXR~~tAC~ A tha. mmohi r f3 Telophow 0 ' A j . tea. AZI, AA- T#A&AAI-~ A. F P144 _ s r #1 . Freati ./P D Fig. f Dock Final we" Pr. Dfap. ate! ~ ~ (5.rdifirat a at Mrrupaury Citp of Cagan ]orp tttrw of swim" 3nl rrum 7lhis Certificate issued pursuant to the requkemenis of Section 306 of the Uniform Building Code ceMtfying that at the trine of issuance this structure wars in compliance with the mHous ordinances of the Oily mguhuft buAft construction or us- For the following. uwa.m&,6. MaU FAM T.H. z aft. ftxnit No 1€35 ,q R3/M1 Z.WI PDNVN Tym car VN oww'(swum THE Rola t) OD BE Add= 5201 E RIM RD, FBULU 4143 EEAyEW RnM Locaft T.16, B1, nTMEY OnWMS POST IN A CONSPICUOUS PLACE Address : 4143 BEAVER DAM ROAD Lot 16 Blk 1 Sec/Sub DgFLEy OCHI)NS These items were/were not complete at the time of the final inspection. Date: 8/11/92 Yes No Final grade (6" from siding) L/I Permanent steps - garage Lll~ 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. REOMEORM White - City copy Yellow - Resident copy Pink - Contractor copy INSPEUTION RECORD CITY OF EAGAN PERMIT TYPE: )=0 f e rp'€ 3830 Pilot Knob Road Permit Number: `3 ? Eagan, Minnesota 55122-1897 Date Issued: w } i (612) 681-4675 SITE ADDRESS: APPLICANT: (.(I Rk r I)`-j ~~3. Ka fd Y.~{~,, F"41, PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. i 1;, td tiis€ t'd 1 ?--`f$1F-j f"p#.y f.f#+S.' #0 IS10SiN I11)NAI;I Permit Holder Date Telephone # - - - - - - - -PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING 23_ff AIA ROOFING - ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD l 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 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 ! SITE ADDRESS: I~~ APPLICANT: t ffi I i e li' (e!' ( ~ 'j. l + t"f c'kV i, I! ra ,t !'i+I;I,,`.e +44 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. ICI i I ,.:,~.s ~ IIf ! l~iia. Y ~ 4 i 4 ;~~9.a +i t s•v ~ ~I Permit Holder Date Telephone # SEWER/ 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 INSPECTION RECORD CITY OF EAGAN PERM#T TYPE: 3830 Pilot Knob Road Permit Number: #27891 Eagan, Minnesota 55122-1897 Cate Issued: 06 /17 /9B (612) 681-4676 SITE ADDRESS. P " 1 04 ° % 10-20460- 1 !50- 01 APPLICANT: t OT I- 1_E OtOCK: ; 1. 411"1 "F'AVPP [IAN RD DIJ Att. SW i;C1N STS INC PERMIT SUBTYPE: TYPE OF WORK: FRA141 N6 Roil F1N6 VINAt, {7 P M A k V T 14C 1 I'1 414 3 (1,0f s 1 161 414/ (U01 14) 41 b i, (C O "T 13) 11 F lA1+1Vi OA* WO '341 .I i I £ lm I f i r :F 1 Y4 7 "r q-rj j .-a Permlt Na Permit Holds Data Telephone # ELECTRIC PLUME P40 HVAC $"pestfon DOW Insp. Cam~nenis FOOTINGS FOUND FRAMING AOOFfNG ROUGH PLUMBING PLBG AIR TEST ROUGH. HEATING TGEAS SVC INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLSG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF *MAN ►Rom, skem IT 12 F ase conijAete fa rnodi n8` to ting res' 1 gs: t DM* 1 SAS. Stet Addis s ~ -47 Property owner Contractor V1901 MWIP "Ailk CRY Applicant Is: Owner ftft or ~ Alterations to exists *A"" a Add fixtures to rmns, exciuding.wa r mftw and wiftr heater Septic System AbandoraneW _'Water Tumarowd (add $121.00 . a 5/8" meter to requiriod) e. t Other: A Water 9rfterw _ i t 1 tar , r~lacert~ent dr~l ~k Lawn Irrigation $ nn RPZ, mw repair ~ Sftte Surcharge aY S # Total l %h 'all maim 1 treby apply for, Re i M* and' w1 r and accurate; that the w s wit~ Eagan and the pluty[taidg I UntIlOrstand " thie is k* 'a perm if, work is not to art and A wk MM 1 S r i =per t the event a plan is I ldeed ~ , FeArmad Ond 4 A/ .&_Ysole cant's 'Printed Niv rd's } 7.007 RESIDENTIAL PLUMBING PERMIT APPLICATION LANi c~- CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do not combine inside and outside plumbing on the same application; separate applications and permits are required. Date- 1~_ 1 Site Street Address 4151 FaeaVe r Unit # Property Owner I~~U V Il~~ Telephone # { (051) L cnwvVbn ~1366-1340 Telephone ( ) Contractor 3.._..O_ d_ ..e _1 ee Address F _T IMN 6123-7339 City State Zip The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 This fee applies when extensive plumbing repairs are made to a building. Alterations to existing dwelling $ 50.00 Add plumbing fixtures to main level lower level. 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 place a checkmark next to the appliance(s) you are installing. IIII C1` I~ u ~~J L -Septic System Abandonment r r Water Tumaro,.and (a I_ _ dd $136.00 if a 5/8 meter is required) Q C T 0 3 2007 Other: _ Water Softener " Water Heater $ 15.00 _ new replacement _ Lawn Irrigation _RPZ _PVB new -repair -rebuild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing 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 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 p is required to be reviewed and approved. 1~ A /in &Vj964_) Applicant's Printed Nam App cant's Signature ~p PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA109607 Date Issued:03/22/2013 Permit Category:ePermit Site Address: 4139 Beaver Dam Rd Lot:15 Block: 01 Addition: Diffley Commons PID:10-20450-01-150 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. Josh Mcguire 1424 3rd St N Minneapolis, MN 55411 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 - Berthe E Herter 3432 Denmark Ave Apt 224 Eagan MN 55123 (651) 905-3632 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature 0510612014 09:41 Les Jones Roofing, Inc. ffAX)8528817009 P.0081011 Use BLUE or BLACK It* 1 For Office Use 4b~ j Permit City of Eap I ~ I Permit Fee: I 3830 Pilot Knob Road Eagan MN 66122 Data Received: Phone: (661) 676-6676 1 I t=ax: (661) 676-9694 1 Staff: 1 # 2 SV L 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 1 a 9. 14 41 q 7. /S 7.0,4.2 unit Name: LO 82OPUT`/ Gfi•'1-E t Ate-. Phone: 667- 5,-s- 99 y9 dt Address I City I Zip: R0. 60 x / v va Applicant Is: Owner X Contractor All ~ t)escriptlon of work A I/E A&,o Aa~ a ~r F dk- ' Construction Cost: Multi-Family Building: (Yes x / No __j 't. r ' N Company: AES ~ZomgT gCV6 !/r 141e- Contact: CsJ24 s A7VO&7Ls01111 _ R Address: 9`l l W. d'O S°!" City: state: Zlp: Phone: qE - 76 7 - &1,9`17 License Lead Certificate M -"7-_ `f y 3 9.7 - / If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, hoe 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: 1 ~ ::WS CALL BEFOR9 YOU DIG. Call Gopher State One call at (661) 464-0002 for protection against underground utility damage. Cell 48 hours before you intend to dig to receive locates of underground utllltles. mmmt.aoohersigteonecan.orn 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 VIII be in accordance with the approved plan In the case of work which requires a review end approval of plane. Exterlorwork authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x G b's 6LP000x . Applicant's Printed Name Applicant's Signature Page 1 of 3 05/21/2014 10:18 Les Jones Roofing, Inc. (FAX)9528817009 P.005/011 11111/11‘ City of Eapli 3830 Pilot Knob Road Eagan MN 65122 Phone: (661) 676-6676 Fax: (661) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: l 22.1 Permit Fee: Data Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION '46 "' Date: /199 V Site Address: Y'l39,'h`F3, 't/97� H/S/ &4UE72 riM►at— 2 - Unit ft; L z.. ,:4,t ,�., . , ��; ,1 , �`p-- `'� . F `, �yNnl, � � oz: .1 `+Y'�e'' .e•Vf: ""r Name: yp P2aPeW1'Y G 4-eEi 6NG.. Phone: 457- 5,-4/- 99yq Address / City / Zip: 11.0. BD k 212 5 / N 472 CTR -41/4 4 Mt/ 5S -a, 74 Applicant Is: Owner X Contractor ; ,e';ofi" aO$ 4.'4 . At a , „ ,. � r Description of work: 1EMoM A+ND 1R�pcACE SoM& A'td{ / iAI9 Construction Cost 4 21j 2:27 r Multi -Family Building: (Yes x / No ) ..,. �f U �Ji..`.Y : '" �: At ' i,: � g',,0,0060 '1 ''t ;�1Z . Ear ;,N,,,,, X -', �' ' .;i ", ;!:;.r ,,,. 't ';', Y �i,; Company: .ht -5'4'63' itaa/Vlr /NG Contact Ci/, 4,v'L iesoA/ "I - Address: 9K 1 W. gel ,L City: Aoa.�rrz) t/ State: Nin/ Zip: f,1� '20 Phone: 9'SA - 74, 7 - a2t?/7 License #: 657,4 Lead Certificate #: .U,47 `to S 9R / 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 aimiler plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: "W'K Y � f C Y" Oa' W r In � 4744,0-A (aw ' f tiff fain :71d'ood4 61010 %66J 'rt ' 6j1Wi0l,4�.:,, ,b ,4@ P gl `ir"l t1 fe . A'► 4q ff,\ '-ifi rqn r a`,! f�holta i.��,ttiptr ffissp. P:46,1! yQopeol�e `e -s i+irifi `0:04,0at-.' yt> /d=; tg„i,,1 g .rtk (r 1,..t,:.:6, -.,,,,AL e � 5',„‘ a . iAYw%�,�i"3...e�s� ``�,Q�OI!Iil�l�0��..i.. � ..��5��.. ?k4.• ��1 a:6..,�...ro?:,..'i�..;....,rt"'..,..,� , •t,•.� .', CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protecUon against underground utility damage. Cell 48 hours before you intend to dig to receive locates of underground utilities. www.aooheratateonecalkora 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 en 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 G/fkfs /I0ERst7,l/ Applicant's Printed Name Applicant's Signature Pagel of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166162 Date Issued:12/16/2020 Permit Category:ePermit Site Address: 4139 Beaver Dam Rd Lot:15 Block: 01 Addition: Diffley Commons PID:10-20450-01-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Linda Reisenweber 4139 Beaver Dam Rd Eagan MN 55122 (651) 755-6528 Hoagland Plumbing, Dana 410 Regency Lane W Hopkins MN 55343 (952) 935-5150 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168924 Date Issued:05/07/2021 Permit Category:ePermit Site Address: 4139 Beaver Dam Rd Lot:15 Block: 01 Addition: Diffley Commons PID:10-20450-01-150 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Theodore Roman & Kathryn Heinz Plunkett 4139 Beaver Dam Rd Eagan MN 55122 (651) 214-0282 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature