4658 Bamble CirCITY OF EAGAN WATER SERYICE PERMIT
3795' rilot Knob Roed PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: No. of Units:
Owner: - - ? •?- ? ?=<:
Address:
Site Address: - - -?.• - -? ? =?„'- 67 Lf., •sacl.l F ""A T
Plumber:
Meter No.: Connection Chorge:
Size; Aaount Deposit:
Reader No.: Permit Fee:
1 agree to eomplr wifh !6e Citp of Eaqen Surtharge:
Ordinaaea. Misc. Chorges:
Total:
By Dute Puid:
Dote of Insp.: Insp.:
r--
? qTY aF EqGAN SEWER SERVICE PERMIT
37951PiW Kneb Roed PERMIT NO.:
Eagen, MN 95122 DATE:
;IZI
Z4nh)y: . rr n.. ?om}?son No. of Units: -
' Owner
Address: -
Site Address: u 8 Bambi ' - r c ! <? , . _ • ,
Plumber. "' .. ?'• _
. •?
I 1 ym to eanoy w1Hh tIM City of Eagon Connection Charoe:
I Ordinoeees.
I BY
Acwunt Oeposit:
Pertnit Fee:
Surct?orpe:
Misc. Chorges:
? Dote of Insp.: Totol:
Date Po1d:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8 100
BUILDING PERMIT Receipt ?
To be used for prk?L Est. Value t-10p p cs Date ,19
Site Address _ 46sry ;&NM.&'Z. C/?, OFFICE USE ONLY
Lot g BloCk ? SeC/Sub. R-49194ffe- iSr On Site 3ewage Occupancy
MWCC System Zoning
Parcel No. On Site Well (Actual) Const
a Name DA v? Wiff NSO L-C- City water (Allowable)
= Address yG S? QA ??? C Ik' . PRV Required * of Stories
' 0 City LAC41 PhOne US ) ^ Booster Pump Length
Depth
a
0 Name ?'21 C??fG fOoU L S.F. Total
f o` AddreSS Footprint S.F.
U? City DAK 04Z-1-'- Phone 770" 131 ? APPROVALS FEES
W W Name Engr./Assess. Permit
= Planner Surcharge
s g Address
i W City PhOne CounCil Plan Review
Bldg. Of(. SAC, City
I hereby acknowledge that I have read this application and state that the Wariance SAC, MWCC
information is correct and agree to comply with all applicable State ot Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter I
Signature ot Permittee
- - --
Road Unit I
A Building Permit is issued to: 1
Treatment P1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL
Building Official --
? - - ? 4 y-
= ?v ?
?
Psrmit No. Permft Holder Det* Telephone
Plumbing
H.V.A.C.
Electric (,)Z
Softener
Inspaction Date Insp. Commerlt8
Footings l ? 2?? S /? i+cy i Rfr
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Pibg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
it
CITY OF EAGAN Remarks
addition -_ Ridgecliff First Addn. Lot 9 B,k 2 parcel #10 63980 090 02
Owner Streei 465$ Bamble Circle state Eagan, NIN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 184.49 12.30 15 14 .62 Co0 64 2-18-82
SEWER LATERAL
EEE
AIN
WATER LATERAL
WA7ER AREA 4
STORM SEW TRK 1982 638.24 5 638 . 24 C007616 12-23-81
STORM SEW LAT '
' Services 1982 637,75 5 637.75 C007616 12-23-81
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 27053 9-29-81
WATER CONN. 335.00
BUILDING PER. 6903
SAC n r ?
PARK
- cirr oF EAGAN
• 3795 Nlet Kno6 Road Eoyen, MN 55122
` PHONEs 454-8100
BUILDING PERMIT Receipt #
Te be w"d Mr Est. Value Dcte , 19
Slte Address Erect ? OccuPancl'
Lot Block Sec/Sub. Alter ? Zoniny
porcel # Repolr ? Fire Zone
N Enlorye ? Type of Const.
ome
oWc Move
?
# Stories
Z
^ddress
DemoNsh p
Length
?
Ci phone Grade ? Depth Sq. Ft.
o Na? Approral¦ Fee•
?
IWdress /lsseument Permit
?
~ C Woter 3 Sew. Surcharpe
it p??e
F?
Police
Plon check
FZ Name Fire SAC
Add?ow Enp. Water Conn.
<W Pi W
t
M
t
Ci Php?e onner
Council e?
o
e
er
Road Unit
I hereby acknowiedge thot I hove reod this opplication ond stare that gldp. Off.
fhe intormation is correct ond ogree to comply with oll opplicable "
State of Minnesota Srotutes and City of Eogun Ordinunces. ^PC Total
Signoture of Permiitee
/1 Building Pertnit Is issued to: on the exprcss condition thn+
all work sholl be done in occordor?ce with ell applicoble Stote of Minne wta Statutes and City of Eayan Ordinoncet.
8uildinp Offitiol
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing QS
H.V.A.C. vZ? 3? W ? ?A?r
YWII
Wstsr
'
Disp.
Sower
ekwe.ic
Inspection Dote Insp. Other
Footings
Foundation
Framinp
Rouph Plbp.
Rouph HVA ?
Inwlatian
Final Plb¢
Final HVAC
Final
,1 .
wabr Daaibe Loeation:
IAhii ,
Sower
Pr. D'ap. .
(grr#iftra#t uf (Orrupanry
Citp of (Eagan
Erpttttmrtti of Builbing 3napprtinn
T'bis CMificatc i.uucd purtuatst to tbe nquirmcnu o f Sation 306 af tfx Uniform Building
Codc arti frin8 thut at tix tiau of ilsuance rbir nrNaure was in cmnplr'ancc w;nc ibc vat;oru
ordinaxas o f tbc City ngulatMg barldiag conttrrrctios w rur. For tbt f ollowing:
v. c?..ra,r? ??'?? s+ag. eomLtt No. 6903
ooa.w-cr ZYp R3 TYP cm.uucrlan V Fu. . rA youft ni+uK1 PD
Owmem,tboldia= Orrin Ttympson „d,= 1712 Nopkins (`rsrc?. , Mtk
By„ lst
Hadd ? at.: Diecent-%ex 18, 1981
roN? Ir a eawneuow ?uu " .
•e,
i
Receipt' MECHANICAL PERMit Permit No.
CITY OF EAGAN Fee • I
fiJl in numbered spaces S/C
Type or Prini /eglbly .
Tot.
1. Date 2. Installation Cost
r
3. JobAddress •?`'?' '`?"'-?' ='?.ot Blk. Tract
4. Owner 5. Contractor • " ' ' Phone
6. Address 4(37 Chic.
I 7. City ?°i,01 s. State
Zip
1 8. Building Type: Residential El Commercial 11 Institutional O
9. Work Description: New Q Add ? Alter ? Repair ?
10. Describe -- ; 'Fuel Type
No.
I Equinment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
. - -- i
Reoeipt - - >
P ?
LUMBING PERMIT Permit No. --
CITY OF EAGAN
Fee '
Fill in numbered spaces S/C
Type or Print /egibly Tot
1. Date ? f! /,' • 2. Installation Cost
3. Job Address 1. i a)j1c-- Lot r ?l Blk. Tract
4. Owner J A r i-
5. Contractor Phone
6. Address ? r ' - M
7. City State Zip ?
8. Building Type: Residential G1 Commercial O Institutional O
9. Work Description: New b Add O Alter ? Repair ?
1 10. Describe
I 11,
No.
? Fixtures
Water Closet No. Fixtures
l/Dr
i
field
Cess
o
Bath tubs p
o
a
n
Se
tic Tank
Lavatory p
Softner
Shower Well
i
/
Kitchen Sink
Urinal/Bidet Other i
? Laundry Tray
Floor Drains
Drinking Ftn.
51op Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
e5;-02-
1 Copy: OffiCe . -».?. =?..y _ .
$10, a o o. o a?i
ACopy: Crew Chief P
ifi
P
ti
l & P ;-? `?' F?
3 Capy: Municipeliry ac
c
a. a
o
a
4 Copy: Oustomer A Minnesota Packag e Products Company '
Brooklyn Center Store No. St. Paul Store Burnsville Store Ridgedale Store
4321 - 68th Ave. No. 6922 - 55th St. No. 1278 W. Co. Rd. 42 12500 Wayzata Blvd.
Brooklyn Center, Mn. 55429 No. St Paul, Mn. 55109 6urnsvilie, Mn. 55337 Minnetonka, Mn. 55343
(560-6442) (770-1313) (435-3500) (541-9180)
? CREW CHIEF ?
f `
?
i ??68g 1 8 :? ,'?' 3 b ?
! 1 s!a;?
?
Equipment Needed ACCOUNTNUMBER POOLSIZE DATE
.??ack hoe ? ob Cat oavi.cf w er?bote
? C8t L1 I fUCIC NAME HOME PHONE
Snow Fence ? Uni-Loader 4658 BQmb e.t Cinc.° Q y; J s
STREET WORK PHONE
. L?... l:t 12• • I'? ,C i I. .: C. i;: O '.. I.A
lnspections Contract cirr STATE ziP cooe
? Walls
?
Plumbing
p
? Footing FDIRECnONS
? Before Backfill
?-
!
"
?---?-?-== Diagram pool site in relation to house, garage, p roperty line, and wires. (Allow 3
variance
,9i'r? .7
,
16
Z3
P,-, ?
I ?
?_ 1 n w.C G CJ
Pacific Pool & Patio will make application for and pick-up your swimming pool building permit. (Electrical, gas, fence or other permits are the
responsibility of the contractor doing the work).
home owner and Pacific Pool & Patio will expect to be reimbursed for this permit cost
Date
? ark location of filter and/or heater by (#2).
?dicate deep end by (X).
?qes Customer wis?to retain any or all dirt from pool
gxcavation:
Will any obstructions be encountered - such as trees,
clothes poles or Rower/phone lines etc.: '
lElevation from location marked "A" in diagram:
Show type and location of slide if applicable: _
C3Location for disposal of dlrt
?
C'f Pacific Pool & Patio recommends that customer install
(As soon as possible following pool construction);
1. Rain gutters adjacent to pool
2. Retaining wall where diagramed "-
? 3. Run off control or drainfield "-, 4. Permanent or temporary fence
*** CUSTOMER ALSO UNDERSTANDS & ACKNOWLEDGES TH? FOLLOWING ***
Normaf Excavation time using a back hoe and dump truck Is less then one day. X
If Limestone, Sandstone, Shale or any unusual substance, Iike construcUon debris or backffll material that is unur?ble in thp construction
of this pool, the customer is responsible for the cost of removal and replacement of suitable materials. X
Ifrernovaloyd{?tres}uir scatorunf-loaderoranyspeclalequipmentcustomerwillbechargedbythehour for the extra time and equipment
used. X l?i ?j
-7 .'
Tress and or tree stumps are the responsibility of the customer and must be removed before construction begins. X-,?, '
,
kl-c
Customer assumes responsfbility }or electrical wlring and grounding of the pool (includfng permit if required): Initial_
Customer assumes responsibility for the gas instatlation of heater if applicable (including permit if required): Initlal .
If debris, structures, or substance foreign to normal soil should be encountered whfle excavating VrhtCh repaires abnormal handling
and/or disposing - Cuatomer shatl assume responsibUity if eny extra costs ere incurred. Inltial
If you wfsh to change: fiVter position, slope o1 land, or anything else stated in this outlfne, pleaae call our ofFice - 770-1313.
Crew chiefs are not authorized to change anything on the Job or make any promises for work to be dona by them. Any changes that are not
authorized by the office will be charged at a,stand(ird rate - no exceptiona _ Paclfc Representadve Signature Cuatomer Siynature f
REQUEST POR ELECTRICAL INSPECTION epe?-aoooi-'os/.
,?Q ' See inslmctions for comoleting this lorm on back of yellow coov. E 3y? V 9 O.r' ' "X" BeJow Work Covered by 7his Request
Adtl Rep. Type ot Buileing Appliancee wirsa Eqaiument Wired
! Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Building Dryer Elec[ric He2Un
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Fdrm OthNr peci v 1 hor (Snrrify)
1 _i Succiiy ther Otn.r
Comnute lnsoection Fee Befow
p Fee Servica EnHeneeSize X Fee Fae.dars/Subfeaders N Fee Gircults
0 to 200 Am s 0 to 30 Am s 0 to 30 Am s
Above 200 Amps 31 to 100 qmps 31 to 100 Am s
" _° Swimming Poal Above 100 _Am s Above 100_AmPS
Transiormers Irciga[ion Booms Pertial.Other Fee
Signs Special Inspection o
$
TOT
Hertarks ?
Hough-in Da?e
I,the ecvical
?nsaectoq here6y
cartily thet the above
final r
?l inspectian has bean
me
ThIa requesl valG 1B monihsimm V '"? • - - • - - ` - / C.t 1
,,S V
This request void
18 mon[hs from 7
A 49751 LO9
S'(I ,Vy
a a.O-Z)
s[ ,ai*?
Reque`
,r n1?,/ " Fire No. RRxquaueh-in InsDecli
ired?
?Ready Nuw?Will Notify, Insper.-
?o
Wh
F
1 WYes 0 No r
en
eatly
?Licensed Elec[rical ConVactor I hereby request inspection oi ebove ..
? Owner' eloctrical work installad at:
Street Address, 6ox or Roure No.
% City
'.K %1*)? wl-?7 fi?(,??'
ecLOn o. Township Name or No. Nange No. County
OAK-0
O.C. ant IPFiINT? Phone No.
?!?vw WE-NSaL-
Power $u
p
ple
r Atldress
w
r
^
IM t?
Electrical
on
vacmr ICom
u
nyName)
a
License No.
Conhactor's
?
I
/?.
-?
?
I
r
Maflina Atldress (COntractor or O
w
ner Makinp Instailationl
n
?
c ,? f'?h0
Authorizetl Si?y Wre onvactor/Owner Making Installationl Phone Number
S?'c) .5"o >'
MINNESOTA STqTE BOAFO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bltlg. - Noom N•191 BE ACCEPTED BY THE STATE BOAHD
1 821 Univarsity Ave., St. P.O. MN 56104 UNIESS PXOPEH WSPECTION FEE IS Phone (672) 297.21111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi:oa
.?: ? p
, See instmctians for comple[ing ffiis farm on back ot yellow cooV. /v
A"'49'151 ""X" Below Work Covered by 7his Request
AAd Pep. T{pe ofBuiltline ApPliencas Wiretl Equipment WireA
Home Range TemUrary Service
Duplex Water Healer Lightiny Fixtiues
Apt. Building Dryer Eler,tric Heatin
Commercial 01dg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm O[her Deci y iher ISpecifyl
Tter u?>crty Other 011,¢r
Compute lnspection Fee Below
M Fee ServiceEnlranceSize k Fee FeedeFs/Subfeetlers k Fee Circuits
U to 200 qm )s 0 to 30 Am s 0 to 30 Am>s
Above 200 qmps 31 to 100 Amps to 100 Am
31
Swimmin Pool Above 100_Am Above 100_Amlr'
Transiormers Irrigatiai Booms U Pdrtial;'Other F e
Signs Speciallnspection
TOTq?FE
flemarks [`
r h .J
flouBh-in Da?e tha ecbical
nspectoq he?aby
certify lhal Ne abova
Final ?:rte insDecxion has haen
? D / f ?' Z1.2 ? mnda. i
Thie roaueat voitl 18 monthe irom
This request void
18 months irom d ?
? 77858
c_R, 8 ::? P- c , l
;;Z-7 l5 V
est Uate Fiie No. Nnuun-i d??Insuer,tion
Neau'e
0ReadV Nu?Wiil NoGfv, InsPec-
?
N?? ??Zar When Readv
?Licensed Elec[rir.al Contractm V I hereb
? y reyuest '
?nspeCtion of abovB
Lj Owner electricel wark installed ac
t AAdre,ss, 6ox or Route No.
toI l3Arm Ctr-Llik-6 Ciry
aGm
etliop o. Township Namc or No. Range No. Cwmy
Occ i nJnt ^yI?P,.P{I-N`TI
V` Phunx No.
Pawer u plier
? Address
V??
Elec cal Conva or (COmpany Name)
Cu.- 0-TM,ii CmiVactof's License No.
051S-Z
Mailing AdJrevs (Comracmroo Owner Making Instailation) .
41' r
? V" f?-
Authoeized Si9n ? re ( nhacmr/Owncr Making Installa[innl
` '?",,? Phom. Number
D0 - S5-o5
?
MINNESOTA S7ATE 80ARD OF ELECTRICITY TNIS
Griggs•Midwav BIdB. - Room Nd97 - BE ACICEPTE?NSPECTION PEQUEST WILL NOT
BY THE STATE BOAPD
7821 Universiry Ave., St. Pnul. MN 55104 ' UNLESS PPOPEH.INSPECTION FEE IS
Pnnnw 16121 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL WSPECTION „-w
kof yellow copy EB-ouom_oa
"- ee mshuctians fnr cumpleting this form on bac.
7'7$5$? S ,.:
":X:-' Bel?w Work Covered by This Reyuest -7
ew Add Fep. TYPe ol 8uilcfinp Appliances Wirod Equipment Wiretl
Home Range Teml?forary Service
Duplex
Apt. Buildinp
Commercial 81d?. Water Heater
Dryer
Furnace Lightin,y Fixtures
Electric Heatin
Silo Unloader
InAustrial 81dg. Air Conditioner Bulk Milk Tank
Farm Ume. Snecifv orn,„ Isuecifyl
t er ISUOCify OShcr Othrtr
Cnnipute Aispection Fee Below -
h Fee ServicaEntrence5ize q Fee Feedess/5ubiaeders ? Fee Circuils
0 ? 0 to 100 qm ps 0 to 30 Am ps tn 30 Am s
107 to 2Q -A p 31 to 100 Amps 37 to 700 Am s
A6oVe 0 1 Aip? s Above 100_Am?s Above 100_AmPs
Transionpers? / Remote Control Circ. Partial/Other Fee
1 ? Signs?,?1? ... Special Inspection
TOT
Rumarks? Ll
? AL FE ( ?.?
RuuHh-in Date ?, the Electriwl
Inspec[or, herohy
J' "A?" certity that the ,bove
Final CM hus b.en
df..
This repaest vo,A
1 N -,"h, i-,..
This request void
18 months trom
E 3 0 9 &0
oa.
Nenuest Uaie F- e N R'-in Insver,tion
R tred? T
E]Ready NuwgWill Notity InsDec-
?+ aYes ?NO tor When ReaAy
Licensed Electrical Contractor I hereby mquest inspection of abova
? Owner elactrical work inatelled at:
Sveet Addr s, Boz or floute No.
r City
ecunn o. TownshiD Name or No. Ranpe No.
,Z1
U T?
OccupantlPPINTI
q -r VVE i/ s0 Z- E- Phone No.
Power suoorer aaaness
Elecvical Cnnuactor ICOmpanY Namel Conlracmr's License No.
?
M 4 /? ?/?cfr?c v?/ (c: s
ailinp AdJress (Contractor or Owner Makine lnstailation)
Authorized SiB ture onVaclor er Making Installalinn) Phona Number ?
3s`- ''l? ?
MINNESOTA STqTE BOARO OF E CTNICITY THIS INSPECTION NEQUEST WILL NOT
G,igga-MiAway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOANO
1821 MN 55104 UNLESS PROPER INSPECTION FEE IS
Uni?ersilvAve.. St. Faul, ENCLOSED.
CITY OF EAGAN NQ 6 J 0 3
3793 Pilot Knob Raad Eagon, MN 55122 .
PHONL= 434-8100 '
BUILDING PERMIT •Receipt # J^?
T. Mused for SF DWCr/GAR Est_ Value $46>000 pate September 29 , 1q gl
SitB AddreSS 40JO ?vic kaiuaa iw/
Lot 9 Block 2 Sec/5ub. Ridgecli£fe 1St
Parcel # 10 69980 090 02
W Na. QTI'j.Il ThoIDPSOII fIOIDES _
; Addr,ss 1712 Hopkins Crossroad,
b ecnin eli no09
p Nome _
Z?
s? Address
fa..
Nome _
Addreu
I here6y acknowledge thot i hove reod fhis applicotion and state that
fhe informotion is correct and agree to comply with oll opplicable
State of Minnetota Stotures and City of Eagun Ordirwnces.
Erect IN OccuponcY
?
Alter ? Zonirg
Re
a(r ? Fire Zone --
p ?
Enlarga ? Type of Const.
Move ? # Stories
Demolish ? Length 47'7„
6rade ? Depth 37 Sq. Ft.-
Avorovols fees Asseument _
Woter 8 Sew.
Police -
Fire
Enp.
Planner _
Cauncil _
Bldg. Off. -
APC _
Permit "'••""
Surcharge 23•00
Plan check 132.50
snc 525.00
Watet COnn. 335_(10
Woter Meter 60...Q()
Road Unit I R5_M
Tmoi $1525.50
Sipnature of Pertnittee - I
A Building Permit Is issued to: Qt'ri n Thpm on the express condit{on thm
pll work sholl be done in atcordnnte with?j opplimb f e nnewto Statutes and City of Eogon Ordinantes.
euudi? atidoi t;JL?Fs L G?o??iCs
qD 5 CITY OF EAGAN Include 2 sets of plans,
L?^ ? 1 site plan w/elevations &
x, BUIIDINC; PERNITP APPLIt'AT?ON 1 set of energy calculations.
Tb se osed For va?uation L? Date 9-a"i
site Aaaress: 9fs58 spMQaLE (PLAN 10(a) ? OFFICE USE OPLY
Lot ?_ B3ock? :L Sec. /Sub. ),? 1 F? ErecCOccupancy ?
P?rel # : ! d (o 37 ?"c? o go 0 2 '- •wt ?t?r ? zoni?
Repair Fire Zorre
Owner: Enlarge _ 'IyPe of Const.
Move # Stories
a Div"ision ot U
Address: . S. HomeCo oM Detmlish FrOnt ft. 1 "E Kir:s cROSSROAD Grade nepth ft.
3>
City/Zip Code: MINNETONKq.MiraN 5r303
Phone # : 5 `V'i - 133 3 APPROVAIS FEES
Contractor:
FddY'e55: a Division of U, S. Homc Corporation
LJ,Ub?IWAL)
Clty/Zlp CAde: MINNFTONKA, MINN. 55343
Phone #:
Arch. /Eng. .
Pddress:
City/Zip Code:
Phone #:
Assessments
water/Sewer
Police
Fire
Eng.
lanner
Council
Bldg. Off.
APC
Perm;.t ,1GS" _
Surcharge V-? °
Plan Check 2 .YT
SAC
Water Conn. 3 3s
Water Meter 41
Road Unit ) ?3`
'IbTAL / 5 ZS ` 'j d
RESIDENTIAL 1 ?S-
BUILDINC PERMIT APPLICATION I 1?
CITY OF EAGAN -'
? 3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construetion Reouiraments
• 3 regislered sfte surveys shawing sq. R. of IoG sq. fl. af house; and all rooted areas
(20%maximumlotcoverageallowed) • 2 copies of plan showing beam & window saes; poured faund design, etc.)
• 1 set of Eneyy Calwlations
• 3 copies oFTree Preservation Plan if lot platted aNer 711/93
• Rim Joist DetaO Options selection sheet (bldgs wilh 3 or less uniLc)
DATE 5- C) ) - ()-?r
SITE ADC
TYPE OF
APPLICANT
NiC.
STREET ADDRESS ?`V "?1R W49VW• ^
CeanFhapldY MN 5RLNIA CITY STATE._?ZIP
TELEPHONE # }^7'?ELL PHONE # FAX #-
PROPERTYOWNER T-U?aa TELEPHONEkh)^ `1,a -430/
----------------------------- ---------------------------- ---------------------------°---------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFS01'A RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) . Residentlal VenElaUon Category t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envalope Calculations Submitted
Plumbing Contractor: ___
Plumbing syslem includes:
Mechanical Confractor:
Mcchanical systcm includes:
Sewer/Water Contractor:
Air Conditioning
Hcat Recovery System
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I hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eagan
Signafure of Appllcant
Fee: $90.00
Fee: $70.00
LJ ?
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adagree-i:) comply
OFFICE USE ONLY
Watcr Softener
_ Water Heakcr _
_ No. of Baths
ULTI-FAMILY BLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
_ Phone #
Lawn Sprinkler
No. of R.I. Badis
RemodellReoair Reauiremenrts
. 2 coples of plan
• 1 set of Energy Calculations for heated additions
• 7 site survey for exterlor addiGons & decks
• IiMicate'rf hane served 6y septic system for additbns
VALUATION `i'9? ` ?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
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BOR:
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U. S. HOME CORPORATION
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Lot 9, Block 2, Ridgecliffe First
Addition, Dakota County, Minnesot
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WE MEREBY CERTIFY TMAT TMIS IS A TRUE AND COURECT REFRESENTATION OF A SURVEY OF TME
lOUNDARIFS OP TME LAND ABOVE DESCRI6ED AND OF TME IOCATION OF ALL BUILDINGS, tF ANY,
THEREON, AND Atl VISIBLE ENCROACMMENTS, IF ANY, FROM OR ON SAID LAND.
Dotod th„ 22n doy of SeQf A.D. ivg? C. R. WINDEN d ASSOCIATES, iNC.
bY a__"'""yc???L
Survoyor, Minnesolo Rapitlralion No.77a
C. R. WINDEN 3 ASSOCIATES, INC.
IAND SURVEVORS Ttl 648•3646
1381 EUSTIS ST., ST. PAUII MINN. SSIOB
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NT1519
CITY OF EAGAN N_ 15 2 0 7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
BUILDING PERMIT PHON E:454•8100 Receipt # c3 ? I ?5 I
To be used for PlIOL ?jM^?'1Nr
Est.Value $10,000 Date .TUNE 16 ,19 88
SiteAddress 4658 B?CIR
Lot 9 Block 2 Sec/Sub. RIDGECLIFFE 1ST
Parcel No.
a Name DAVID WENSOLE
3 Address 4658 BAMBEL CIR
0 City EAGAN Phone 452-4299
,a Name PACIFIC POOL
?a Address 6922 SSTH ST N
? City OAKDAT.R Phone 770-1313
W w Name
z ? Address
?zw City Phone
a
I hereby acknowledge that I have read th' application an tate ihat the
information is correct and agre to o wi[h I pl able State of
MinnesotaStatutesandCit of a n in
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Signalure of Permittee _ _
A Building Permit is issued to:___. ACI I_Q.QL .
on the express condition that all work shall be done in accordance with al I
applicable State of Minnesotay?Statutes anyd? C,?ity oi Eagan Ordinances.
BuildingOHiciaL jfu?t? 11„?,.{,?_.? 1 ?y ?
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OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Slte Well _ (Actuap Const
City Water _ (Allowable)
PRV Required - # of Stories
Booster PumD - Length
Depth
S.F. Total
Foolprint S.F.
APPROVALS FEES
Engr./ASSess.__ _ Permit 106.00
Planner Surcharge 5•00
Council Plan Review
Bld9. Off. _ SAC, City
Variance SAC, MWCC
WaterConn.
Water Meter
Road Unit
Treatment Pt
Parks
111.00
70TAL _
1988 BUILDING PERPffT AFPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLING3
15207
INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HQILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENT9L DNITS FOR SALE ONITS U OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.p
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTORAL PLANS,'
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
?ti?6'/?1rk.?J
To Be Used For:SC(1,'M?3?ii?/ci c?t/
' Valuation:
Site Address ?U Sg
Lot -% Bloek Z
Parcel/Sub Q10fid5CueFE t57 4DD.
Owner ?C?/,C? l?.?Sc??
Address
City/Zip Code
Phone
Contractor
Address 4???
City/Zip Code
Phone ?77() / 5/?
Arch./Engr.
Address
City/Zip Code
Date:
On site sewage_
M47CC system _
On site well _
City water _
PRV required _
Booster Pump _
APPROVALS
Engr/Assess
Planner
Council
Hldg. Off.
Variance
Oecupancy
Zoning Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
47?6/(SSAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
o6, 04
_S•QU
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Phone U
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA122520
Date Issued:05/09/2014
Permit Category:ePermit
Site Address: 4658 Bamble Cir
Lot:9 Block: 2 Addition: Ridgecliffe 1st
PID:10-63980-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Troy Good
3670 Dodd Rd
Eagan, MN 55123
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 -
Kelvin Malave
4658 Bamble Cir
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature