723 Caribou Lane- -* _ _ . .. .
i ClTY OF EAGAN; Permit Na Date:
3830 PiloR Knob Road Meter No: g1ze.
i P.O. Box 21199 Reader No: Date:
Eagan? MM 55121
?
Owner.
Site Address: L Z 'S=s
Plumber. S C;
' Conn. Chg: _ 55 0.0 0nu Zonin
9=
Acct Dep: 15 No. of Units: '-
Permit Fee; ' 7, 4 . 11 17, ?
Surcharge: 15 0-ocl I agree to compl y with the City oi Eagan
Tr. Plant 2 04.t1 0T-'_
Ordinances.
Meter. a , .-
-
Misc.:
gy
WATER SERVICE PERMIT
CITY QFtAGAlrls !
3830.:Ri61 Knob Fdaad
P.O. Box 21199
Eagan; hAN 55121
Site Address:
?'.??F
Permit No: ?? () 9? Date: 7 - 2
6/P No: `5-5360 DatB:
r?.T?aAie€3
??
MWGC: 5? ? i'?"?
?. ?.,? ,s v c"
1+. 0>00n?'
City Chg:
?-•r'
Acct Dep:
-
- -
Permit Fee: .
Surcharge:
Zaning- ?-?
No. of Units:
I agree to comply with the City of Eagan
Ordinances.
SEWEF3 SERVICE PERMIT
CITY OF EAGAN 1 a : ^
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 '
PHON E: 454-6100
BUILDING PERMIT Receipt# '
To be used for ?rF DWG/GA.R Est. Value Date 19
Site Address 723 GARIB[1U U1 OFFICE USE ONLY
xt:`•!;? -?? ;;{-°r ?; r.'l;
Lot Block SeC/Sub On Site 5ewage Occupancy
. MWCC System Y' Zoning P"1
Parcel No. On Site Well (Actual) Const V-N
' ocl
Name KEYi.AiVD HOPiES
City Water 4
(Allowable)
'
V'"'N
'.
,
z• Address 14450 BURN"iV11(,Lu Pl-;dq1 PRVRequired #ofStories i
1
a ? r
City EE;?d?]SVIL?.E Phone e3$4-••2(?'?ti?, : Booster Pump Length 50
?
Depth ?? ?
o Name SAMF. S.F. Tatal
,
a ? Address Footprint S.F.
U
?
City Phone
APPROVALS
FEES
?- M
W W
Name Engr.lAssess. Permit 498.()0
???
??
_? AddreS3. Planner Surcharge ?
???
??
? i
W ?
City Phone Council Plan Review •
???"
?
a Bldg. Off. SAC, City '
'
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 5 5o' ot'
information is correct and agree to compiy with all aqplicable State of Water Conn. 50 •oc`
i Minnesota Statutes and City of Eagan Ordinances.
Water Meter 6 7 oM ;
't Si9nature of Permittee _ ' -- Road Unit 325,t`t.;
.
A Bujiding Permit fs issued to:_. Treatment P1 204•00
on the express condition that all work shall be done in accordance with all
Parks
applicable State of Minnesota 5tatutes and City oF Eagan Ordinances. '':
?`??
??
?
Building Official_
TOTAL
'
•
"
CITY QF EAGAN 3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55121
PHONE• 454-8100
BUILDING PERMIT ? Receipt#
To be used for
Est. Value "? ==I : oo (' Date
Address
Block Sec/Sub.
Parcel No.
rs Name
# Address
0 City Phane
o Name '
U 4 Address
'?C- City Phrne
Address
City Phone
I hereby acknowledge that I have read this appfication 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 Permittee
A Buflding Permit is issued to:
on the express condition that alI work shall be done in accordance with all
applicable 5tate of Minnesota Statutas and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
,
14 "3 PA-1- I
On Site Sewage Occupancy
MWCC System Zaning ?D P"1
On Slte Weil (ACtual) Const
Gity Water (Allowable)
PRV Required # of Stories
Boaster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review ? ?4 '
Bldg. Off. SAC, City !
Variance SAC, MWCC
Water Conn.
Water Meter
Road UNt
Treatment P1 '
Parks i
TOTAI
i
? Permit No. Permit Holder Date Telephone #
Plumbing
?
H.v-Ac. O
Electrie
Softener
Inspactian Date Insp. COmmellts
Footings I
Footings II
Foundation
Framing Q ' .?? le,_?_',
Roofing
Rough Plbg.
Rough Htg.
ISUl.
Fireplace 0 97
Final Htg. a ?
Final Plbg.
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Final
Well.
Pr. Disp_
PLUMBIN
? CITY OF
3830 PILdT KNOB RO
CONTRACT PRICE PHONE:
Site Address
.. tot + -Block Sec/Sub
. ,
Name '
-
?
? Address '??--
c City ?. Phone
Name
c Address
p City C, ?••. `Phone
t +ay'lyl' .
PERMII
T
RECEIP
IN, MN 55122 DATE:
TYPE
I K.
LBG. ONLY - COMPL
` FIXTURES
Jater Closet - $3.00
atti'Tubs ?$3:00
avatory - $3.00
hower - $3.00
`. TOWNHOUSE & CONDO - RES. RATE APPLIES ' Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpuol - $3.00
MINIMUM - COMMiIND FEE -$20.00 [,Gas Piping Outlets -$1.
' STATE SURCHARGE PER PERMIT - ,50 " ??° tNkiMIIW?UM - 1 PER P
(ADD $.50 SfC IF PERMIT PRICE GOES -?Sohener= $5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
i ? 'i .? _.. . --?-Rough Openings - $1.5C
? ?
SiGNATURE OF"PERMiTTEE FEE:
; STA'
FOFi: CITY OF EAC'aAN GRA
?, ? .. . .,. ,
SCRIPTION
'
?
S' ?-
?L: - '
- . .. . ,., .. . ?. ..,,,,;, n PERMIT #
• ; r MECHANICAL PERMIT
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOS ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 ? z
Site Address --a foAr'' L J TYPE WORK DESCRIPTION
BLDG '=V^
J1 .
'
Lot Block •j ? Se iSub
? ? Res. New
Mult. Add-on 1.
? Name
Add NQ +
' Comm. Repair
?
?o
c r ss
City ? t?c- Phone Other .
;
G FEES j
;
t" ?^a
Name - '` =e v?
00
HVAC 0-100 M BTU -$24
RES
.
.
c AddrP
ss f ?v ? ADDITIONAL 50 M BTU - 6.00
p ?
City ??J (C? ? z-.. Phone 5ri (? (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
50 E
GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1 A
. .
TYPE OF WORK COMM/IND FEE - 1°!o OF CONTRACT FEE
Forced Air M BTU .)`t APT. BLDGS. - COMM. RATE APPUES
TpWNHOUSE & CONDOS - RES. RA7E APPLIES
Boiler M BTU MINIMUM RE5IDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU g REMODELS - 12.00
?
: Air Cond. M 8TU ? MINiMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES '
? Gas Piping Outlets # ? - ¢ BEYOND $1,000)
Other
~'
'
FEE: ? i ??3 ? ?
r f .,• ,g
ti•?.ta-'d- y
' '
t
:
?
4 ,
?
:
„
?
G?4-,r_. i • ,+
.
1
,11,,c _.I .,
S/C: SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
_.. ? : ?.... ?.-^.4 ?. ? ? ..? ..._ ?
INSPECTION REC4RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS:
, ?? ,?,;,,? r????:????t,??ar3
I PERMIT SUBTYPE:
I I ; ! 0A f
I I •. # OANF?, ?s T u I Ni?, ?; E:) F" F I I F ? 1.; 0 : t A 1 k I 1II
APPLICANT: ?
` i, ??, i a t P I+
TYPE OF WORK:
Ect? ? I C?! tJo:
.,.. . ?a?;
?
?J
Permit No. Permft Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PL6G
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BQARD .
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
n @ l?
GITY OF EAGAN PERMIT TYPE:
3$30 Pilat Knob Road Permit Number:
Ea an, Minnesota 55122-1897
9 Date Issued:
(612) 681-4675 j
SITE AQDRESS: APPLICANT: '
PERMIT SUBTYPE:
:
TYPE OF WORK:
N? 11
{'0 AT t 1lG a
. .I
;. ?
?
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND I
FRAMING
ROOFING
RflUGH
PLUMBING
PLBG
AIR TEST
ROtJGH
HEATING
GRS SVC
TEST
WSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FWAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST -
HYDROSTATIC
TEST
BSMT R.I.
BSMT FlNRL
DECK FTG
G
?DDEC< FINAL f
CITY OF.EAGAk, Permit No: Date: 7- 26-8$
3830 Pilo`t Knob Road Meter No: O /-) g1Ze: d C
P.O. Box 21199 Reader No: Q? Date: 'R/- -$-?' ?
Eagan, MN 55121
Owner. Key".and H°me8
Site Address ; .L' c.arzoc>u i,ar e I111 ls4
Plumber. Ar.?ei:ican S& Wf l? C Mechanica:;..
Conn. Chg: 550•00*?d Zoning:
Acct Dep: 1•5, 00nd No, of Units: '
Permit Fes; ? G • 00nd
r.;°
Surcharge: - .-P?%p3 I agree to comply with the Ciiy oi Eagan
Tr. Plant ?04'00nd Ordina es.
Meter. z:?F r,;`..•rt ? ?
Misc.: gy
WATER SERVICE PERMIT
This Cenifrcate issued pursuant to the requirements of Section 306 0
Code certifying that at the tfine o}issuanee tkis structure was in comi
ordinances of the City regulating buiiding construction or use. For ti
?. Use C3ascifiwtion Bldg. Aerm
? O¢cupancy Type Zoning District
Owcer o[ BwMng Addresa
f:i?Fti- t
.? '_ . ....?It,
! 2m
S
.
Locality
.•
Huilding AddreSS
Dste:
? BuRd;ng Ofricie}
POST IN A CONSPICUOUS PLACE
?
ti<
Uniform Building
-e with the various
a ? .? •`" ''
,. gRU9L8M WZ'
?f
f?
Terlifira
t
l
?
?s? ??
?Citp o
.
?
al'partItlPt[# Df I
? This Certiftcrtte issued pursuant to the regu
.
i Code certifying that at 1he time of issuance
, ordinances of the City regulating building c
?
Use Classifuation
,?r- .x [= S l'7 {
pccupancy Type Zooing DisVic
?-`
7a.
BLDG. PERAAIT NO. /?'3?? ?? to`L !3 ?
01-3210 - Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
793866 Sewer Conn.
28-3855 Park Ded.
n
TOTAL
Thig requesl vottl -
18 mon[hs from ' • .
1 •
Re4uast Date .? Fire No. Rough-i Insuecuon
Reqm d>
fleetlV Now ill Noufy Insnec-
?
O??? +? es ?NO tor Whan ReudY
Blicensetl Elec[rical Convaaor I heraby reQUest inspecLan ot ebove
? Owner elacVical work instelled at:
Street Address, Baz or Route No. Grv
7 Q?.3b ?/? ?A14?4.tl
ecuon o. Township Name or No. ange No. Counly
T?KDTA'
OccuUant IPpINTI Phona No.
G ??D /JTJ?/CS
Power Supp ier Address
774 ?cCT ssOe.. i.cJ S o.J ?-'/?
Eleclncal Contractor (Company Name) Cnnttactor's Licenso No.
?P?cE 1?,??cr e??,er`? , .?,0?, 0 9is 70 -s
ailinp AdJress IConva- or or Owner Makin8l
"' nstailauonl
?
°
z
G30 G? ,Sj cc
E
r -
M? S-S/
Aulhonced ?gnalure (Contraaor/Owner akinq Installation) Phone NumOer
?'3/ - 7.3 90
MINNESOTq STATE BOARH OF ELECTLITY TMIS INSPECTION NEQUEST WILL NOT
Griggs-Midway Blde• - Aoom N•191 BE ACGEVTED BV THE STATE BOAND
1821 Universitv Ave.. St. Paul. MN 56104 UNLESS PROPEN INSPECTION FEE IS
Phone(612) 692-OHOU ENCLOSEU.
REQUEST FOR ELECTRICAL INSPECTION Ee-00001-06
. 1 Sea instruetions for comolatin0 this form on Eeck o1 YBllow copv,
"1l" Be/ow Work Covered by 7his Request
Now dtl NeD.1 ' TVPe of Bwltline APVhances Wired EqmUmenl Wiretl
Home Range Temporary Service
Duplex Water Heater Liyhtmy Fixtures
Apt. Buildmg ?ryer Electnc HeaUn
Commercial Bldy. Furnace Silo Unloader
Intlustrial Bldg. Air Condrtioner Bulk Milk Tank
Farm omrr Peci v tne. isno?:?tyi
t.r Succi y ther Other
fee 8elow
p Pee ServiceEnttaneeSixe n Fee Fenders/5ubfeaders K Fex Cvcuns
Z Da 0 to 200 Am s 0 to 30 qm s 30,0 0 tn 30 Am>s
Above 200 qmps 31 to 100 Amps 6,o0 31 ta 100 Amps
Swimming Pool Above 700_Amps Above 100_Am s
Transformer5 IrrigaUOn Booms O Partial,'Other Fee
Signs Speaai InspecUOn S
TOTAL FEE
Remarks j
RouBh'?^ ? ?11e _ 1, the Eleevieal -eiy Inspector, hereby
mon
t t Ih M b
Final r D^ e spection ?as Oean
na .,I.raa.
•hb reauest vold 111monlhs Irom
PequeslDete
\.? Flre No. RougM1-m Inspec6on
Requi
O ryo
? Reetly Now
i 1 NoliN Inpecta
When Ready?
1 censed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlre9s (SVeef. Box RaRe No ) Clry
Sarfian No. Township Nema ar No. Rage No Counry?' ?
Ocwpant (PRlfdf) •.
tu Phona No.
?3 3
Pwrer Suppliet , pddresy
Elect" C?onlvacbr Com y` amo)
?T? l?C?'V..'i'.'0 ?i`??/• Coritrecta LicenRseNO. ?
D?V --6
MaiLnp Atl?ess (Contracomr or Ovmer Making Inslellatqn)
-
,J
?5 3 7?'
aizatl 5i natu (Co actor ner Ma ' g InStellaM1On)
U I
Plpne Number ,
7/
9 ?
MINNESOTA SfATE BOAPy?r ELECTpICRV THIS INSPECTION REQUEST WIIL NOT
Grigge-Mitlway Bltlg. - tt6om 5773 BE ACCEPTED BY THE STATE BOpRD
1821 Unlverelty Ava., St. PeW, MN 55104 VNLE55 PROPER INSPECTION FEE IS
Phone (812) 602-0000 ENCLOSEO.
. REQUEST FOR ELECTRICAL INSPECTION eea0001-07
? Sre msWCnoRS la completinp this brm on back of yelbw copy. .
JC" Below Work Covered by This Request
Ne% Add' Rep. ' TypeofBuilding AppliaricesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt, Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm ' Air Conditioner
Ottier (apeciry) Conlraclork Remarks: . f I ^- ?'r ?- C-nwn.
W _ ^I•'e -a
!L V
Compufe Jnspecnon Fee Below: £
# Other Fea # ServiceEntrence5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Irepeaar§Ueeonly TOTAL X
Irtigation Booms ?
a ?
Special Inspectlon ? -
Alarm/COmmunication
Olher Fee
I, the Electrical Inspector, hereby ROOeRin
, ata
certirythattheaboveinspectlonhas
been made. F,,,ei Data
OFFICE uSE ONLY
I'l
This roquesl wid 18 monihs hom
PERMIT
CITY OF EAGAN
3830 P,ilet Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
8411-d-1'14Fg Permit Type
6uildieigUk rk Type
?Gensu?w-Gmd
SITE ADDRESS:
723 CARIBOU LANE
LOT: 12 BLOCK: /(?
FAWN RIDGE 2ND
P.I.N.: 10-25801-120-04
DESCRIPTION:
PERMITTYPE: surLoirvG
Permit Number: 0 3 2 2 3 0
Date Issued: 0 6 f 12 / 9 8
DECK
NEW
434 ALT. RESIDENTIAL
ra ?'
? ??? ? a ?? 6?? ??I?r??
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR:
r
.
OWNER: - Applicant -
MORGENSON MIKE
723 CARIBOU LANE
EAGAN MN 55123
(612)310-8427
? I"he`r?by' a?,ckh?wk+edg? ?h?^C 3 h?Vw ' reatl tl?3s apc?t€orr"dfid s'C?°tg that `C?ve ,
?,•R:fia ?r,??ains_. +?or+r,ocv ?nd?? agr-e? •to
_ra ?"y -&i,. ?fl ?- t`i", 1;;y fr0'? E?agjBd'fE
s ? KM1 do
?a._. ..,........ ?..., - .,...r....,,,,,._.zc `
ba )A
A PLICANT/PERMITEE SIGNATUFE ISSUED BY: S GN TUR
1998 BUILDING PERMIT APPLICATION (RE3IDENTIAL)
Z / CITY OF EAGAN '
11 3830 PILOT KNOB RD - 65122
510 i
681-4675 f
New Construction Reauirements RemodeVReoair Reauirements `e` tt
? 3 registered site surveys
? 2 copies of plans (include beam 8 window saea; poured fid. deaign; etc.)
• 1 energy calalations
? 3 copies of tree preservetion plan ii Wt platted eRer 7l1193
requiretl: _ Yes _ No
DATE: lO - q-/??
Name: /v66-?,t3.SPt) A/ /A? Phone#: 5f4 I.ast First
DESCRIPTION OF WORK: OeC?
STREETADDRESS: %:?,L S (',9l2/baN L-A,"
?OT: BLOCK: SUBD./P.I.D.
l
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
StreetAddress: 7a.3 b//t( JGii k,-lJ
Ciry ?i1--r'i?f-?t? State: Zip:
Company: ?)P / '/- Phone#:
Stree[
City
? 2 copiea of plan
? 2 sKe surveys (exterior addkiona 6 decks)
? t errergy alwlations for heated additions
CONSTRUCTION COST; e;?7r'DlJ
State:
Company: SZ° /-t`
Name:
StreM
City State:
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
PenaRy applies when address chang
I hereby acknowledge that I have read this application and sfate that the iniortnation is correct and agree to compty with all applicabl
State af Minnesota Statutes and City of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _
Tree Preservation Plan Received _ Yes _
License #
Zip:
Phone
Registratian #: _
Zip:
i I I i I,
-?-
?
?
? i
?
? i-
I
_ ? , -
t -----------
a
u
i
?4 ry
?
r
r
- - - - - - - - - - - - -
- - - - - - - - ---
?
9"1 !,TI , I
-JI GI' TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
StTE ADDRESS:
723 CARIBOU LANE
LOT: 12 BLOCK: 4
FAWN RIOGE 2ND
P.I.N.: 10-25801-120-04
DESCRIPTION:
j„l.di.-i Permit Type
ung,o x„r^ks?? Type
Cer??us? . ??
,? -
? 4 •"E P P?? ? xv a.
p?? k x.rc+ h K
$(?l?¢ y Y ?o µ ? ?d ?` "j? ' t14_k•:"C.i;
?REMARKS:
SIDING SOFFIT FASCIA 7RIM
PERMIT
SF (MISC.)
REPAIR
434 ALT. RESIDENTIAL
?
?
FEE SUMMARY:
VALUATION $13,000
Base Fee $199.75
5urcharge $6.50
Tatal Fee $206.25
CONTRACTOR: - Applicant - ST. I.IC OWNER:
PANELCRAFT OF MM INC 17216628 0082179 MOGENSEN MICHAEL
31r18 SNELLING AVE S 723 CARIBOU LN
MINNEAPOLIS MN 55406 EAGAN MN 55123
(612) 721-6628 (612)688-7660
2 here;kbYG?JIck,no?e?e, ?htl??ergp4#?,tjGt
? infAr?nation
APPLICANT/PERMITEE SIGNATURE
BUILDING
031765
04/27/98
?„t?r?y??Eyry
??'.1'15`/?IYY4
ISSUED W. SIGNATU E
NILS 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4zOl, ?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681 -4675
New Construction Reauirements RemodeVReoair Reouirements
r l!J
? 3 registered sAe surveys ? 2 copies of plan ,
? 2 copies of plans (include beam 8 window sizes; poured fntl. dasign: etc ) ? 2 site surveys (exteriar additions 8 decks) '
? 1 energy calcWations _ ?. 1 energy calculation5 for heatetl'additions::. :. :
• 3 copies of tree preservation plan if lot platt@d after 711l93 . .
reqwred: _Yes _ No ' pDATE: 3- lD -'7 b CONSTRUCTION COST: a.CO
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT I )_ BLOCK
Q 't'r / /Y?
72-3 l Cart'bou. La.ne,
SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
?o
ARCHITECT!
ENGINEER
Name: _I ? I?q?JP-n Mr'GhG?L Phone#: 7*'60
Street Address: -/a3 C -orr UO(.L 1,ane-
City: E Q q CLh State: m n ziP: SS 1a 3
Company: PQ(1e,I U"Qa oF M Nw Phone #: -72-1- 6(aZ F
StreetAddress: 3/ ((f ?.SY)2! b'nQ AS License#: 91-79
City: n'11 h he-Q. ?2 O li S State: M n( Zip: SS'-fD?o
Company:
Phone #:
Registration #:
Street Address:
City:
State: Zip:
Sewer 8 water licer.ned plumber (new construction only):
and lot change are ?equested once permit is issued.
Penalry applies when address change
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. xaikh
Signature of Applicant:
T
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not R
BUILDING PERMIT
To be used for SF DWG/GAR
Receipt # d -r,3(O C)
Est.Value $81,000 Date JULY 6 ,1988_
SiteAddress 723 CARIBOU LN
Lot 12 Block 4 Sec/Sub. FAWN RIDGE 2ND
Parcel No.
a Name KSICLAAID HOMES
Address 14450 BURNSVILLE PKWY
0 z
City BliRNSVILLEPhone 894-2636
a Name
.o
?a Addre:
? City_
ww w Name
F
z? Addre
UI
ew C11Y_
Phone
OThereby acknowledge that I have reatl this application antl state that the
intormation is correct and agree comply with all a plicable State of
Minnesota Statutes and City of n Qrdi?ance
Signature of Permittee
A Building Permit is issue o: KEnAP1D ?ME
on the express condition that ell work shall be d6ne i n acCortlance with
applicable State ot.(M?i_nn??e•sota Stalutes and Clty of Eagan Ordinances
Building OHiaal-Hdd1B,,I?,T r.
CITY OF EAGAN (y2 15303
1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3/M-1
MWCCSystem X Zoning PD R-1
On Site Well _ (Actual) Const V-N
City Water X (pllowable) V-N
PRV Required _ # af Storles
BoosterPump _ Length 50'
Depth 48'
S F. Totel
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit 498.00
Planner Surcharge 40.50
Council Plan Review 249.00
Bldg. ON. SAC, City 100.00
Variance SAQMWCC 550.00
WaterConn. 550.00
water Meter 67.00
Road Unit --325.00
Treatment P7 204.00
Parks
TOTAL ZrSB3.SO
1988 BDILDING PERMIT APPLICATION - CITY OF EAGAN ?•
.1?303
SINGLE FAMILY ilWELLINGS
`?', ...
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATBS OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs 6DDRESSES FOA CORNER LOTS - CONTHACTOR/HOMEOWNER MOST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL IINITS FOR S6LE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COPIIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
? q
To Be Used For: ' 42 tion: / Date:
Slte Address
Lot 421- Block ?
c?" ?
Parcel/Sub'?zu
Owner
Address
City/Zip Code
Phone ?
Contractor
Address
City/Zip Code
Phone
Areh./Eng -
Address
City/Zip Code
Phone U d -
-P Kf ODO " oa-r-icE uNN onLx
On site sewage Oecupancy
MWCC system J? Zoning P
On site well Actual Const
City water ? Allowable -N
PRV required # of stories
Booster Pump _ Length SO -
? Depth ?
S.F. Total
Footprint S.F.
APPROYALS FEES
Engr/Assess Permit 1498.00
Planner Surcharge !0 O
Couneil Plan Review Z411,0
0
Bldg. OPf. =?/26SAC, City D0r00
Variance SAC, MWCC 55V100
Water Conn 55n.00 ?
Water Meter (0,00
Road Unit ?
o
325.0
Treatment P1 20
Parks
Copies
TOTAL 5 ? . `
O
1
v,AWA-no tm ,
. ? -
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15ErM,vo 77s
+do a ? ? ?0.0?
coIIsv?.riIio EHO111EEAS
ENGIN6ERING pLn?+?+Ens ona tn?+n iunvEVOns
COMPANY, INC.
Iq00 [AST 1461h SIAEET, Bl1fINSViLLE, LIINt1E:071l 55137 PH 4=2'3000
C+ffP"j V-Z C CZZe D? sS?rCT"7T'E? [?. '
?d C?'Q j.pC,,J C l^ ???o I C Tt ; LOT /2, BLOCK 4; FAWiV R/p6E &/D ADD/T/OA./,
044974 CouN73; 1141MNESO74
5MUE , . /" _ 3o,
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SETB4CK L/NE „
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??'F_39? DENOTE$ EX/5T/N6 EGEI/.4T/D?/
C9?;? OENOTES PROPoSEp E4E?47'/ON
/ND/04T?S O/RECT/aN OF .0RFW!5 DR/f/NA6E
9¢¢, 83 = F/N/StiED 6AR4 66 FGOOR E[.EMT/ON
i;
I her+by rertity that thie ie a t:ue end correct repreaentition o[ a ar•cbr f
land as thodn'and deacribed hereon,• As preparad by mn an thif ?' Y
?uNE f ?9 S8' • .
l i SRe Sj
/
/' ..( Ninn? ?1e6? No?. /Ga
D,PA1ti1,46E AND
UT11-17Y FAS&M^/T•
I , rage 1 of 4 ?
jzTtnioR rNvr.i.pre nur.anr,r 11", rOMrurnr,ic?n -33Z7
OWN ,:
,i
, ;: • nnrr:___.?-l?-S?.__
SITE ADDRESS: ' PIIONE:
CONTRACTOR:_?
Determine working square footagc of each
1.
2
a.
c.
F.
9•
J.
Total
Total exposed wall arca..... x.0.?$ fL,
roof/celliny area.....
_J1g(e_Sy, fL. x`]1`=
x.026 ??;
?i
Total exposed wall arra above flc?or- L
r
g? "-?. , !°
Total aiall wlnJow area ................. ..
Total door area .... . ... ... . . . . , . .. .. . . , .. .
Total sliding glass door erea .......................
Total fireplace wall area ............ .. ......
Total wall framing area (avera9e ]0%)...
Total rim ,?oist area .......... . ....... .................... ....
net wall area abovefloor...; ........
wall area above floor...r
...........
wall area above flaor... .... .. ..
frame wall area nt founcJat.ion ............... .......
...?.? '
_..._
. .. .. . , .. ... ,
.....•.•.•.•:`
.......•...•.
...." " '
.
...........
.............
...?....•...
...... .?.....
.............
?...?????????• ,
,: •^ ', ='? ;!i
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'---?R
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.. ..ll{L
7ota1 exposed foumdation arr.a- ? !^<;
---- ? ?---- . .
k. .Total foundatlon w1nJow arca...,,.,,,, ,r
1. Total net foandalion area above qraffe ............. - ----
, '---=]2- _
• Determine °u" valuc oF eacli wall segmenl ?•
(e.g. winJow, (loor, each separate wa11 section)
a .-16:7. ._ x
., b '
X
. c. x
d.- X
U., _
---? q--?--?
„u,l
-=--??---- °
:
---------- -?---?--.--- ?
x „u„ . og
---t-9-1-
x „u,. . Q4 ?•7
?
x „u„---=-?-?--° z2?-
h. X ioull
?
1. X is U"
J. - x
k. X OV,_ -•----_. -_--
1. -?_ k
3 . ...............:.................Total ......_Z.???._..
' III
i
I?
.
If Item 13 is the sam" ?
as, or lesa than 1tem;.s
11 " ynII hev9 mat. thc
Intent of.SOC 6006
. • , ,..? l?vcrage "U" ComputoCioli
l .
jty.rJ::..:,;r.;:-:;: d? ' •
? • Tol•al expoacd rooL/cnllinq Arca d- !
m. 7bta1 skylS.ylit area ............................. ?
h. Total roof/ceiling•framing aren (:rvcraqa 10!)... f7n
o. Total net insulated roof/cuilinry area...........
. Uetermine "U" value for eacli roof/ceilLng segmenl-
m. ._.. ? g nUn __.....___- °
Page 2 of 4
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4 ..........................• 1Vta1G ?]IL4•3 . . .;'.'.
If;tot•al of 04 is•l•he swne as, or less t:han 112, you Fiave met the inL•ont of
SHC.60C?6 .(c) 1.
t
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{1
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, _nlternat•n
Duilding linvelopo Desi9n a ?
'M.ntilize the total enyelopa'system method, kLe values esCaUlished Uy the sum of
"
it•ems 41 and 114 ahall not be greater L•han Ula sum of items 111 und 02.
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APFLICATION FOR PERMIT N=: pA1M4Nr OF £EE AT TiN1E OF ;
• • Ae2McaTTtna mRS Wm cnN- !
IF EXISTING STRCCP[JRE, DATE OF ORIGINAL BLILDING PERMZT ISSUANCE:
Nbnt ear
PRESENT ZONING/PROPOSID OSE:
Q COD'AMCIAL/Rh'TAIL/OFFICE
Q INDT-ISTRIAL
a INSTIZ[PPIONAL/GOVERDPENT
R-1 SINGLE FAMILY
? R-2 DL`PLEX (3twv Cnits)
? R-3 TOWNiOC'SE ('I71ree + Cnits)
Q R-4 APARTMENT/CODIDOMINIL'M
Units)
( Uni.ts)
2) ? NAME: t - 6A,\'
ADDRESS: 1/
CITY, STATE, ZIP:
PHONE: `
For City Lse
3) NAME: P1 rs License:
Active
ADDRESS: -41r),sq (y6411 ? . I Expired
CITY, STATE, ZIP: Not recorded
PHONE: g MASTEEt LICENSE #?? !'? ? St Init1
4) 0.11 ' 'a?a •,?_?•!
NANIE:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) ,?? , d .?.? •j^T ?,.i ??
c.UNNECTION 'IC) CITY SEWER CONNECTION TO CITY WATER a dPFIER
? 6) ?7.3?ia?.?`.?If?l:r? XGtrM 11 ?-- UwFNll- - - a.r_vr+s. /1 au I uu
****rr**,r**?**?*«*?*x,r**rr*«**+****+r***???*??**rr*+x?**?***+*****???+?*?*******+***?**??****+**,r******v
* THE GOLD COPY OF THE PERNffT WILL BE SIIuP DIl2E7CTLY TO PLm,IC WORKS TD FACTr rrnmF MEIm PICK-IIP. ;
.*k PLEASE ALIAFI 7WD WORKING DAYS FOR PROCFSSING. SOPIDONE EROM '1HE CITY WILL CONrACf I^OL IF TAERE i
* ARE ANY PROHLENIS. •
?#*,r,r***?*?**+r?***,r,r**,r,tr****r*?*,r*+,t,t*?**?+: *?*?*+*****,t*******«,rt,r*t?********?*ta*+,r***,e**?:***w+r;
i'FY:AT' DE.SQ2IPTION; .
Lot oc S vision or Tax Parcel ID
. FOR CITY USE ONLY,i? ?
PERMIT # ISSUED U
L II •
Pd w/Bldg. Permit FEES:
$ $_ SEWER PERMIT (INCL,IUDE SORCHARGE)
$ - I
$ h? - S? WATER PERMIT (INCI?UDE SC'RCHARGE )
$ $ WATER METER/COPPER?HORN/OC'TSIDE READER
$ $ WATER TAP (INCLLDE??CORPORATION STOP)
$ $ SEWER TAP ?I
$ $ 1S' Cre ACCOUNT DEPOSIT -
ISE
ER
I
W
$ $ ACCOL?NT DEPOSIT - i
WATER
_ ?
$ .?SD •O'Z? $ II
WAC
$
$ SAC II
$ $ TRLNK WATER ASSES3IMENT
$ $ TRONK SEWER ASSES
MENT
S
$ $ LATERAL
BENEFIT/TF#U
K
,
N
SEWER
$ $
11
LATERAL BENEFIT/TR
UNK WATER
$ ?
$
J ,
p
WATER TRE
ATMENT PL ANT SURCHARGE
$
$
OTHER:
S ZLO O $ S/e D I I
TOTAL
5-3 ? D _?'.6- 9 7? ?
RECEIPT RECEIPT
DOES OTILITY CONNEC I`I?
TION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
YES
Q lI
IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVIS
ION. LIST AS A CONDITION. il
SUBJECT TO THE FOLLOWING CONDITIONS: II
APPROVED BY:
TITLE:
DATE:
?
79qi 6 -
2007 RESIDENTIAL PLUMBING PeRMiT aPPUCarIoN
CtTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date Thomas Block
Site Street Address 723 Caribou Lane Unit #
Eagan, MN 55123
Property Owner 6516818070 Telephone # ( )
rtr ?l?rrtf6irllj Telephone# (G12) 8Z7-Ud33
Contractor /I/9/ilo
`
Addrzss 24CS (i-e?^ri[IAOI ' City O o//i State?t4?/ Zip SlyOg
The Applicant is: _ Owner ? Contractor _Other
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, eYc.) $ 90.00
Aiterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softgner- andlor water
heater at the same time. If you are insta/ling onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
Water Turnaround (add $136.00 if a 5/8" meter is required)
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 c t
?
f E cp? the
t at I
iril
k
`b
agan an
work will be in conformance with the ordinances and codes of the City o j
.
D
understand this is not a permit, but only an application for a pe, work is not to s2art with a i a d i e in
s? ?' ?
accordance with the approved plan in the event a plan is reqd be reviewecand appr
ic(T- .t/D/0(evv? gV -?._..--._.?.J
ApplicanYS Printed Name opcanYs Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118182
Date Issued:10/29/2013
Permit Category:ePermit
Site Address: 723 Caribou Lane
Lot:12 Block: 4 Addition: Fawn Ridge 2nd
PID:10-25801-04-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
April Desmith
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Thomas F Block
723 Caribou Lane
Eagan MN 55123
Cedar Valley Exteriors Inc
3369 Coon Rapids Blvd
Coon Rapids MN 55433
(763) 755-2221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160265
Date Issued:02/26/2020
Permit Category:ePermit
Site Address: 723 Caribou Lane
Lot:12 Block: 4 Addition: Fawn Ridge 2nd
PID:10-25801-04-120
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Thomas F Block
723 Caribou Lane
Eagan MN 55123
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA167003
Date Issued:02/17/2021
Permit Category:ePermit
Site Address: 723 Caribou Lane
Lot:12 Block: 4 Addition: Fawn Ridge 2nd
PID:10-25801-04-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Thomas Frederick Block
723 Caribou Ln
Eagan MN 55123--303
(651) 587-8972
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature