3662 Cardinal Way
CITY OF E3wGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21189 PERMIT NO.:
Eagan, MN 55121 DATE: `
Zoning: _ No. of Units:
Owner: .'5.r" -
Address:
Site Address 63`, F,u cr r
Plumber: ur
Meter No.: Connection Charge:
Size: A=unt Deposit:
Reader No.: Permit Fee:
1 some to comply vhh the City of Bogen Surcharge:
Ondi"Nom Misc. Charges:
Total:
By Dote Paid:
Date of Insp.: Insp.:
CITY OF EQGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O.-Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning. No. of Units:
Owner iA<it~•. ^x' t?tc•7Q~'.
Address:
S Address: in^ "-~-rr? 1t~a a-
Plumber. t .1' ; ,°dm ? S P'e?x _ ~'J]arr ,Cal
- i', : 0.x,.7 ~ ~.f~~. ~.i{_'T.`~,
1 qne to eomp{y With th* CRT of Ingue Connection Charge: 5 . t'O
Ordinances, Account Deposit: _ .'.v! 1~ :r{
Permit Fee:
Surcharge:
BY Mist. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
•r,y-:;-
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100/
BUILDING PERMIT Receipt _S
To be used for SF DWG/GAR Est. Value $64,000 Date JA14UARY 9 , 19 ~ 6
Site Address 3+662 CARDINAL WAY Erect ❑X occupancy R3
Lot I Block 5 Sec/Sub. LEXINGTON PL S04emodel ❑ Zoning t~?
Parcel No. Repair ❑ Type of Const.
Addition ❑ No. Stories
cc Name FRONTIER .tilID;gEST HOMES Move ❑ Length 40
z 3908 SIB MEM HWY #E Demolish ❑ Depth • ry
3 Address Int.lmpr 13 Sq. Ft.
o City EAGAN Phone 454-0433 Install 11 = o Name SA14E Approvals Fees
Address Assessment Permit 325.00
City Phone Water & Sew. Surcharge 32.00
Police Plan Review 162.50
W W Name RICHARD CHARLIER
W Fire SAC 575 . 00
cam Address 14103 GARDENVIEW Cm Eng. Water Conn. 5Qd - 00
i W City A•*hone 432-5492 Planner Water Meter_ 3 - 50
Council Road Unit 280.00
1 hereby acknowledge that I have read this application and state that the Bldg. Off. 1 433 4 f5 fi Tr. Pl. 132.00
Information is correct and agree. to comply with all applicable State of
Minnesota Statutes and City of gan Ordinances. APC Parks
s 1, , Var. Date Copies
Signature of Permittee y Total $2,070.00 i
FROINT1,-'.R MIDWEST I-1OI'IES
A Building Permit is issued to; on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
f,
Permit No. Permit Holder Data Telephone p
Plumbing - f6
HMA.C. 0 9
Electric CAL da
Softener
Inspection Date Insp. Comments
Footings I
I
Footings 11
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Insul•
Fireplace
Final Htg.
Final Plbg. q,"
Bldg. Final
Celt.Occ. • G
Deck Ftg.
Deck Frmg.
Well
Pr. Disp. l
tPERMIT # CITY OF EAGAN FEE
PLUMBING PERMIT S/C .50
RECEIPT # 454-8100
Z f~ MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL-
DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50
1. Bldg. Type: Res f1 Comm Inst 2. New -i Add Alter Repair
3. Total Bid Price 4. Job Address ~6c;2 Cwr din it suer
Lot Block Sec t Q 5. Owner Frontier i.iidwect
6. Contractor wenzci i4~w^_K1. 3600 KerinebFC D-r E'un ';512.2
(Name) (Street) (city) (Zip)
7. Contractor Phone # 452-1565
NO. FIXTURES NO. FIXTURES NO. FIXTURES
Water Closet - $3.00 Laundry Tray - $3.00 -Well - $10.00
Bath Tubs - $3.00 ! Floor Drains - $1.50 Private Disp Syst - $10.00
=Lavatory - $3.00 Water Heater - $1.50 Rough Openings w/o
Shower - $3.00 Whirlpool - $3.00 Fixtures - $1.50
KitAen Sink - $3.00 / Gas Piping Outlets - $1.50
-Urinal/Bidet - $3.00 -Softener - $5.00
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed:----,','/ r____ ' ~ L. r l(_t for
Approved Inspections: Date Rough Insp. Date Final Insp.
PERMIT #
MECHANICAL PERMIT RECEIPT # 3 G 5
CITY OF EAGAN 486
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: $1715.00 PHONE: 4548100
Site Address Cardinal Way BLDG. TYPE WORK DESCRIPTION
Lot 15 Block 5 Sec/SubQ
Wenzel MMechanical Res. XX New XX
m Name Mult Add-on
Address 360 Kennebec Drive
Repair
S City Eagan Phone 52-1565 Other
Name Frontier Companies FEES
c Address 3908 Sibley Memorial Hwy. RES. HVAC 0-100 M BTU _$24.00
p City Eagan Phone 454-0433 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air 80,00(M BTU 24.00 COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT- .50
Vent M BTU (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping Outlets #
Other
FEE 24.00
S/C: .5o SIGNATURE OF PERMITTEE
TOTAL: $24.50
FOR: CITY OF EAGAN
CITY OF EAGAN Remarks
Addition Lexington Place South Lot 15 elk 5 Parcel 10 45060 150 05
Owner Street 3662 Cardinal Way State Eagan, MN f3-j 2_
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 247.64 ~-6 S L --~7 -
SEWER LATERAL 0 1986 1631.00 326 . 20
Services 1015 198 729.39 145.87
WATERMAIN 1985 65.81 13-15 5 S-1 . &S
WATER LATERAL 1014- 1986 873 .43 174.68 5
WATER AREA 101 1986 243.73 .48
WAT LAT BEN 101 1986 111.98 _ 22.39
STORM SEW TRK 1018 1986 426.54 85.30 5
STORM SEW LAT 1016 1986 803.34 160.66 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
n ~r
WATER CONN. 500.00
eUILDING PER. 11422
SAC 575.00
PARK
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road 7(173
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: `
r
Zoning:. No. of Units:
Owner rront ier Miek est
Address:
Site Address. 3662 ~ardi.u~l Way L15 35 Lexington P1. So.
Plumber. Star PlurabLi., A-7e-zzel Mec:xanical
Meter No... 3 io 7 J: SV ction Charge: 500 • "pd
W &"1
ft t: 15. oupd
Size: r-
Reade/N,.:Q/A//-L6_74
~ 10.5 p d
I 02M to =espy Nhlr t N L~C~ Wcch 132 . cl0pd ?P
Qrdinenas. f
f i?ED is ~ 63. Cpd meter
B R
y Date Paid:
Dote of Insp.: Insp.:
4-2.3-,?C
3830 Pilot Knob R dCTY OF l P.O. Box 21-1 9, Eagan, MN 55121 N2 11428
PHONE: 454-8100 ✓
BUILDING PERMIT Receiptp A
To be used for SF DWG/GAR Est. value $64,000 Date JANUARY 9 1986
Site Address 3662 CARDINAL WAY Erect C Occupancy R3
Lot 15 Block 5 Sec/Sub. LEXINGTON PL SORemodel ❑ Zoning R1
Parcel No. Repair ❑ Type of Const V
Addition ❑ No. Stories
FRONTIER MIDWEST HOMES Move ❑ Length 40
W Name 3908 SIB ME HWY #E Demolish 11 Depth- 7
o Address Int. Impr. ❑ Sq. FL
City EAGAN Phone 454-0433 Install 11 c Name SAME Approvals Fees
~a Address Assessment Permit $ 325.00
' city Phone Water & Sew. Surcharge 3 0
Police Plan Review 162.50
GW Name RICHARD CHARLIER Fire SAC 575.00
uo Address 14103 GARDENVIEW CT Eng. Water Conn. 500.00
406 city A.Phone 432-5492 Planner Water Meter 63.50
Council Road Unit 280.00
I hereby acknowledge that l have read this application and state that the BIdg.Off. 1/3/86 Tr. PI. 132.00
information is correct and agre to cc p~y wi all applicable State of
Minnesota Statutes and Ci ag fices. APC Parks
r„ Var. Date Copies
Signature ofPerm ittee Total $2.070.00
A Building Permit is issued to. FRO R MIDWEST HOMES on the express condition that
-Sttatutes and City of Eagan Ordinances.
all work shall be done in accordance with /alll app' able State o Minne ota~ »~m~
Building Official r/t/ -1~-
17
This request void
C 3 6-8L GoA
mon the
V S1 / Ol . #107' rI
Rsev@si Date Fire No. Rnugh-in Inspection
S P. OU ned7 ❑Ready Nuw ❑ Will NntifV Inspec-
° Dyes ❑No tar When Ready
licensed Electrical Contractor - I hereby request inspection of above
❑ Owner slectncel work installed at:
^
Str at dr as, Boc or u No. Qt {`•.•Jv,
action o. Township ame or No. Range o. Cowrt ly
Oc..P I 1 NT) P D e
o ~S ~a 33
Power puller Address
Elec rical on ractor Coatr ctor's License No.
14540 PENNOCK LANE 2
Mailing AddreA{QgyMogyr7QTOrFr Yi; %Ml '56124
Authorized Signature (Contractor/Owner Making Installation) _ Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bid,. - Be,, N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 56104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297.2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
' See instructions for completing this form on back of yellow copy. ~ ~Os
.1 X-- Below Work Covered by This Request
did Type of Building Appliances Wired Equipment Wired -
Home Range Temporary ServiceDuplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm then pecu y the, (Specify)
ter 01her
Fee Below
> # Fee Service Entrance Size # Fee Feoders/Subfeeders # Fee Clrcurta
0 to 200 Amps 0 to 30 Amps d 0 to 30 Am
Above 200 qm>s 31 to 100 Amps 31 to 100 A s
Sw naming Pool Above 100Bo_Am s r a Above 100_Am s
Transformers Irrigation rims Partial/Other"Fee
Signs Special Inspection r/
emarks $ 50 TOTAL FEE
r I7~ ~
Rough-in Date
31.v p~_ I. :ha Elecur<al
f~9 f0 Inspector, hereby
ce rtdy that the above
final Date inspection has been
/ made.
This request void 19 months from
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
'-2TA1Fro2fl
COMMERCIAL SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF T SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
C04'006
To Be Used For: _Single Family Valuation: Date: 1_2-86
Site Address 1662 Cardinlj_Way OFFICE USE ONLY
Lot 19 Block 5 Erect Occupancy R 3
Remodel Zoning -I
Parcel/Sub T. JnQ on lave So. Repair Type of Const
Addition # of Stories
Owner Georg h o Qjag J.arcon Move Length
Demolish Depth
Address 3116 Aldrirh Int.Impr. Sq Ft
Install
City/Zip Code mt)ls.,. MN 59408
Phone 821-1114 APPROVALS FEES
Contractor Frontier MidXCt t Homes Assessments Permit .77-15
Water/Sewer Surcharge
Address i
3,909 , Sihlev Mem. Hwv. 4!R Police ~ Plan Review
Fire SAC
City/Zip Code >•.agan. MN r,5129 Engr Water Conn b o
Planner Water Meter 4, 3
Phone 454_n433 Council_ Road Unit 2 Ba
Bldg Off 7+ • Treatment Pl
Arch./Engr. Rirhar Charjjpr APC Parks
Variance Copies
Address 14103 ardenyjQU Olt. TOTAL
City/Zip Code ABAlp ya11e,X MN 55124
Phone S 417-5492
Page 1 of 4
EXTERIOR ENVELOPE AVCRAGf "u" cDmn)-AlION
OWNER: hATf
SITE ADDRESS: I'I!ONE
:
CONTRACTOR:C
Determine working square footage of each
1. Total exposed wall area..... ~(c4. sq. ft. x .11 = ~t a r7
2. Total roof/ceiling area ft, x .026 = f
Total exposed wall area above floor= 19
a. Total wall window area f
b. Total door area..........
C. Total sliding glass door area -
-r Z
d. Total fireplace wall area
e. Total wall framing area (average 10m)...... " "
b S
f. Total rim joist area
O
g• net wall area above floor... C ,h---f77.'l
h• wall area above floor..........
i. wall area above floor........,.,,
J• frame wall area at foundation
Total exposed foundation area= J `j
k. Total foundation window area........,
1. Total net foundation area above grade
Determine "u" value of each wail setmienl
(e.g. window, door, each separate wall section)
a. I ZS X "U"
b. q 7 X ,N,. 4S
Z X U„ _45 = ~(C;d. X "U,l 5(O
e. I !(~,4 S X „d„ /
f. I -2
O X ,u, 3
g. 1381.E X "U„ 0,3
= L4
h. X llU, -
i. X lU.,
j, X 'U, _
k If item #3 is the'samE
X "U" as, or less than item
~ ~ 6'1, You have met_thC
75 X U.,_ ~S LL1 intent of SSC..600 ' (c)
Total
s ~~IT~fa,~ir
y rior Envelope Avc:agc "U" canputation Pago 2 of A
Total expo4;cd roof/ceiling area O~(O
in. Total skylight area
n. Total roof/ceiling framing area (average 102)... O1,(9
o. Total net insulated roof/ceiling area...........
Determine "U" value for each roof/ceiling segment
in. x .,U„ _
x V1 c7
4 Total ti
If total of 114 is the same as, or less than 112, you have met the intent of
SBC 60C`6 (c) 1.
Alternate Building Envelope Design
To utilize the total envelope 'system method, the values established by the sum of
items ((3 and 49 shall not be greater than the sum of items #1 and 112.
1. z Cy9, + 2. L(S. 41 = Z4 Z s
3. 07/ C`/-1 + 4. Z-C~>,73 = 6cq,LP
L
i. ~U;-r• i jt- Jh f`I'JIdr] W'l l l Al u'% IJC
y GYP l3'~ - , Q-5 WPAF
- r w e ate, 7. cx~
r
13. tj
4:d
v
FIG. TOLIVIEM OF
i?1Wlli WA!.i,
z. Y71! Lr4pb
0.17
FIG. D2 To I.;t I
I ftA t r ~ 1 i L__--- E?6mti't1 ~ ~C7'ln.±(,t - C~
~('1" }:xtc•t'1-~r nir film 0.1'1
n -I -
7. 11 .4. . 4
jr .n• r G. ]:xlrri,`! sir I :'n 0.17
1 S%Alk ON (;RAM;
? rt
f.. FIG. ild
t L__-• J, Fwh and
II 'ti r II~rCC: I~ut l,.a t~: ty'~r "t" v.,;ur.~
.
1 ( l it 1.1 ,rnJ'1' (1{ Ilial .1L1/):1.
' ;,nor/c~IL1::G
Construction .;-Vaiuc
Interior air film 0.61
•~filP11 i(}F~Vjjwl L~ II((ll 4. Exterior air film (still) 0.Gpq
r +~~~Illli•iI Total. (z 4sUo
ted Heat flow 1. interior film- 0.G1
2- SIS
3• L_, 38. 3S
i:,r air 1 lr. !sc:.li b-'
Total
1'IG. 95
4_
1 •n.,~
ff 1 ~ 5. outside air. film 0. 17
in 1 V~ t Total 02 3 1_ 'Inside air film 0.61
• j-vented 3-
Eect flov up
4.
outside air film 0.17
Total
'Inside air film 0.61
0.17
0vt ide air. film
Total
` HG J_p~•- vote: Use additional hee_s if more space is
PP needed for dct.:ils and calculations.
Bent -
' flow up
Pir,. f7
11 IN W.~!I nrc'A for
_
Pram/: con,,t rect. fun _vn
IC _:>_i, l_r,l_r nit _1;iu o. V)
FIG. .91 TOP1111114 OF
q,Gl1 - -
F!V= WALE., nl_rr!ol au' it,
~!1 ~ I. ~ ~ ~ 6. Er.tcrior ai: f~,l,.i .-tl.i7-
FI h 2 'I'ul.nl
l,I jk s?~i:5f
ni,r_(ilm--------•---0-G-1
-7- 3
,,,1 -'~'~`f•i _ 6. Y.r.trrlor Air film--- -'--•--l).77-~. '':;_;,,_,~:;<l~,a,,
Mh
~Yi lIf"e.
te,~
,n. P L. 1::[lrrirr eir iii (i. i~1 '
Itl
t. ,
13' -
y (t, _ tiu<
lit
dCUth nnCt
i,ti Ind il(S Y ',u vn
_ i _ !R 1'I'C: , luc rt='=F Sr v
1`'~"'.!,'~~'i:1 1~! '1'i : !)IJ "IC'ti of Ih•:,I,. ..„10:;. - -
PLA Q
L r N r= 4 L FT, exposF-D WALL
FuLL(; t30 1Z1 M: I sc®I
TSK-P'OSEa WALL AZ-EA
t"~Loc Q S X, S 5
~tJ EE ; t, 3 o K S-
_
0
~=uLL 1 IT& k g ttD~
4a
SLIM f ?,o ~ r' = Edo
To-rAL.
SQ~t. EFXP051=D GEILIUq vOCo
Vt D\IS y C) zs n 7Z..
S4/?C-YL: cp ~
7-ot Ica 7;;
PATIO T-)ItS
SGMA {OUSE CERTIFICATE FOR;
1•onlE aun ov HS
S U RVEYI N G LAND DEVELOPt HS
HEAL HIHS
SERVICES M`
I PANIES
3908 Sibley Memorial Highway FRONtIER COM
Eagan, Minnesota 55122 a
Phone. 16121452-3077
+
-r - ss~o
3
-r + y \ S6'
LO4
yGAL.E' Ii1= L}di o 7L^ oaFi''~ 1V"}DKAIF.IAC-~E ~ ~F~
UT1 L ll-r J
~ I ~AsM' T•
° 4 ~ti s
1;z1 AO'
ARAG llll
DPZI~WAY
o t /\`.O
ss
WAYNE D. <
CORDES i
C ; - 14675 - f~
-LEGEND- PROPOSED GARAGE FLOOR ELEVATION= 9~_+
O Denotes Iron Monument PROPOSED Top of Block ELEVATION= 61044_.
° Denotes Wood Hub Set PROPOSED BASEMENT FLOOR ELEVATION= 03: I
X1106-1 Denotes Existirrd Spot Elevation NOTE Verify all floor heights with Final House Plans.
(x ,TH' Denotes Proposed Spot Elevation
s -Denotes Drainage Direction SIJMyM CERTIFICATION-
I hereby certify that this survey, plan or report
-PROPERTY DESCRIPTION- was prepared by me or under my direct supervision
LOT IrP BLOCK r- and that I am a duly Registered Lard Surveyor
LEXINE~rON PLAGE <i0U'rl1 under the laws of the State of Minnesota.
II
according to the recorded plat thereof, _Date: Ir~BS
O1 Kt.__Counfy, Minnesota Wayne D. Cordes, Minn. Reg. No. 14675
r-'• 2/84
~ll T ' CITY OF EAGAN
Wit APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPERTY ADDRESS: 3662 Cardinal Way
LEGAL DESCRIPTION: 15 / 5 Lexington Place
(Lot/Block/SL rivision or Tax Parcel I.D. N="'>er)
IF ❑ I`=:G STP C^'L7~E, DATE 05 CZTGLAi, rlu Dl.G .x.'11 ISJ~r C
PP°SE:7 ^`7I /pROPOS~ LSE: ?-1 SL:GI :=ti+SLY
❑ R-3 CUP:_-{ (7-:0 uNITS)
❑ R-3 TG?tiurr.cE (TR?o_^ - t2TITS) ( UNITS)
❑ cam,-4
❑ CC` MERCLAL/P=1 I,/CF'F'ICE
❑ TNDUST-aL~_L
❑ INSTITUPIONAL,/GOti'==
2) APPLIG VT (PLEASE PRL'ii)
IUV-2: Frontier Midwest Homes Corporation
ADDRESS: 3908 Sibley Memorial Hwy. _Bldg. E
CIT , STATE, ZIP: Eagan, MN. 55122
PHO`c: 454-0433-
3) PLL?;B NAME: Star Plumbing LPLEASE PRINT) FOR CITY USE ONLY
UMBER I CER E:
PDCRESS: 1018 Mound Springs Ter. PL Activ
CITY, STATE, ZIP: Bloomington, MN. 55420 Q Ezp'red
-MA~1;". Q of Record
PHONE: 884-4149 PLUMBER LICENSE d 3329
g - a r :niua
4) OCCUPANT/C!TIfEt NAME: George & Georgine arson
ADDRESS ~S~f~1ar;~h
CITY, STATE, ZIP: NIpls., MN 55408
PHONE- 921-1114
5) INDICATE WHICH PERMIT IS BEING REQUESTED.-
R =z IDIECTION, To CITY SEP)ER Please mail gold copy to
CCtZ=ICN TO CITY WATER Wenzel, Mechanical
3600 Kennebec Dr.
❑ C7;IT R (PLEASE DESCRIBE) Eagan, MN. 55122
6) L":DICA-M CNE:
❑ PI : SE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABGUE
PTF F?S APPROVED PETIT TO 1.Y[2/ 3, 4 ABOVE
~6L (Ci_ e one)
7) SIG„-:'IL'RE: t L DATE:
A'
~R4ilMfep~a+Ar:ram.~=rlYtpiia+Aafsiaa:ra~hellF.f~r-saf~rtrti~+~r.
rF O R C I T Y U S E O N L Y¢
PE4.MIT u ISSUED
FE S . $ 5
- ~.w SL'.':ER PERMIT (I`iCLUDE SURCHARGE)
$ i/ 5U WATER, PERMIT (INCLUDE SURCHARGE)
$ (r~-c[ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ S. 0 ACCOUNT DEPOSIT - WATER
$ WAC
$ ~7C dG SAC
$ TRUNK WATER ASSESS:?E:NT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SE,,TER
$ LATERAL BENEFIT/TRUNK WATER
$ 13- . c a WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
AMOUNT PAID ~
%R:.^Cr -Z.T
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A "PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
G
TITLE:
DATE:
eliJ+O ~JY iril rl7 liel OJi~A4Ri« pool R}Y Ri Rop-i9 i}c Ra Rr so asim Ol40 Ri R 6R i+ o
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106567
Date Issued: 08/28/2012
Permit Category: ePermit
Site Address: 3662 Cardinal Way
Lot: 15 Block: 5 Addition: Lexington Place South
PID: 10-45060-05-150
Use:
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement Description: House
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection.
Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL -Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00 Total: $105.25
Contractor: -Applicant - Owner:
Home Depot At Home Services Daniel A Bailey 656 Mendelsohn Ave. N 3662 Cardinal Way
Golden Valley MN 55427 Eagan MN 55123--222
(763) 542-8826
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.
ApplicanvFermltee: Nignature issued tiy: NIgnature
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use JJ~~ / I
Permit#: CJ / I
157
City of Ea Ed~ 1 a~
Permit Fee.
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: -7,12-
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: 1
I I
-L 2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7 Z--- Site Address: W_ -v Unit M
Name: tcJ Phoneb _ - -~669
RESIDENT / 7~
OWNER Address/ City/Zip:
Applicant is: Owner Contractor
Description of work:
TYPE OF WORK
Construction Cost: ~b Multi-Family Building: (Yes / No/K-)
Company: U .~s. nr ~s~~ 'Dil -N - Contact: 06 ✓ lcjlxk r
Address: 97T t City:
CONTRACTOR
State: Zip: Phone:
License 6~:ao~3 T I Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
ICI
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be, in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the esota State Building Code must be completed within 180
days of permit issuance.
X D4 V N . x
Applicant's Printed Name Applicant's Signature
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