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4123 Beaver Dam Rd • ` 2422 Enterprke Uri" Mendota Heightq. MH 55%70 # i~lC.~R (612) 881-1914-fox 581-9488 .LL LAND ANINYW3 • CIVIL W&MMIM T LAW f'WMEM • WloeCaP6 ArtCHtiCrS 625 Highway 10 Northeast * t3lotne. MN 55434 * * (612) 71B3-18W-Fax 783-1683 ~ Certificate of Survey for: R t~ U i~ i-company, Inc .y BEAVER A S W_•47," E e 55.34 12 a 1e~7s OAM W b°e r7 r~ . i ~~~BA of „ d INC tC ~ . m ~ ^ Y IWM~f EA Iff/yT K W I. rY o S~ 4 E3 P 4 k °a ' All ~Y 1 ~s 01 1 XNGI F.RING DEPT - tma Denotes Exlsting Elevation PROPOSED tit)U LEVAT`ON -(EO Denotes Proposed Elevation Denotes Drainage & Utility Easement Garage floor slob - Denotes Drainage Flow Direction elevation at front: 894.8- --o- Denotes Monument to Denotes Offset Huh gearlngs shown are assumed LOTS 17.1 So19&2O, BLOCK DIFFLEY COMMONS DAMTA C" W, WI+9iE5fIrA 1 t>:" mnft dnt " Siam. VAR" ar rmat filled bar or rndo my dimt 9e-o~wft~on and toof9kn duiv Aegistirad land Sum" J wdw the Wm of dw $nm of Mtell.dota. Dena! thk day of /►.0.1 Scale: 1 ~ -50 i~ ii TwItT IL 31KK Ftva. 0.14"1 ® 91123 - C05 PERMIT Control No. 0232 CITE' OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road 000251 Eagan, Minnesota 55123 Permit Number: 04/15/92 (612) 681-4675 Date Issued: SITE ADDRESS: 4123 BEAVER DAM RD LOT: 19 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAN. T.H. Building Work Type NEW USC Occupancy R-3 M-1 Construction Type VN Zoning R-4 PO Building Length 52 Building Width 39 REMARKS: RECEIPT #LOTS 17-20, BLOCK 1, DIFFLEY COMMONS VALLEY PLBG. FEE SUMMARY: VALUATION $82,000 Base Fee $558.50 MISC FEES $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 1 Subtotal a $1,662.53 C011W b VCUND CO INC - pp 15710304 000133 WA-T` LUND CO THE 5201 E RIVER RD 3201 E RIVER RD 301 FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 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. Statutes and City of Eagan Ordinances. APPLICANT ERMIT E SIGNATURE ISSUED BY. SIG URE Control INSPECTION RECORD No. CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000251 Eagan, Minnesota 55123 Date Issued: 04/15/92 (612) 681-4675 SITE ADDRESS: LOT: 19 BLOCK: 1 APPLICANT: 4123 BEAVER DAN RD THE ROTTLUND CO INC DIFFLEY COMMONS (512) 571-0304 PEWIT SUBTYPE: TYPE OF WORK: TI-FAM. T.H. NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. SITE FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: RECEIPT 0 LOTS 17-20, BLOCK 1, DIFFLEY COMMONS VALLEY PLBG. L PERMIT', ~ rf CITY OF EAGAN A 3a 53 1992 BUILDING PERMIT APPLICATION 681-4675 'FOR 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. ate Va at i on of work l . ~~o U Site Location: 12,3 C~ cd STREET STE # Tenant Name:-<::7 LU LOT BLOCK 1 SUBD. P.I.D. # ~ ~ d o Descri ti on of work: ;I fd The applicant is: [Owner [0 Contractor -Other (Describe) Name -__7_A 414lcc h d 04 , e_ Phone y5?/--- 034 5~ Property LAST FIRST Owner Address 2D Z_e~~ o 0 STREET STE # City State Zip Company Phone x''71- D<3d Contractor Address c?~D License # boo 1a 35 Exp.--9 City State M Zip Company G~21 gA _ Phone cfr-)/ 3a Architect) Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once ar 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 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 V04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE 31 New ❑ 34 Remodel ❑ 37 Move 32 Addition ❑ 35 Repair ❑ 38 Demolish ❑ 33 Alterations ❑ 36 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy IZ•3 M-1 Basement sq. ft. MWCC System Yes Zoning •4• 1st F1. sq. ft. City Water Const. (Actual) V•N 2nd Fl. sq. ft. PRV Required (Allowable) -N Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code o3 APPROVALS Planning Building IL-3 1 is Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee so valuation: Surcharge 44).00 Plan Review 363, a~ License MWCC SAC hpp, y a City SAC iD~,oo Water Conn. -DO Water Meter 95 , DD Acct. Deposit AD 00 S/W Permit 301 a0 S/W Surcharge qD Treatment Pl. 2100, 09 Road Unit )o Park Ded. ° Trails Ded. Copies sv Other Total: SAC % I C) SAC Units I .--A4.6%Lvu r.aIF [-.idn r. ,%r r.ntu IU. U 16.1r91-III/II-IIM -OWN EF-r r SITE ADDRESS L or ` GLOC, j > PLGY~c0MM O NS CONTRACTOR 90- 7L wl ~P DATF. PHONE 5 T-C 3'' Determin working square footal;c of each. 1. Total exposed wall area sq. ft. x • 2. Total roof/ceiling area sq. ft. x 0,026 = ~ , • G Total exposed wail area above f lour a. Total wall window area b. Total door area C. Total sliding glass door area =r=- d. Total fireplace wall area e. Total wall framing area (average 10'A) f. Total net well area above floor f -?e, C g. Total rim joist area Total exposed foundation area = 2 ..s h. Total foundation windw area i. Total net foundation area above grade Determine "U" value of each wall segment. g~ e.ull ~f v i X fluff • ~7 C. x fluff 5-7 d. x flute Afull e. A y g• .s-• x ..t fil = h. X $Cuff x flu„ 3. .in►.ai _ ' - r If item #3 is the same as, or less :.tl:ln..iLcm #1, yogi have met the intent of SBC 6006(c)2. • M I 1 f •iVr.. Total exposed roof/ceiling area Total - gross roof/ceiling area = . _ Total skylight area k. Total roof/ceiling framing area • . /L;:,5, $:-7 1. Total net insulated roof/ceiling area 1 ? r„ Determine "U" value for Inch ruor/eci 1 ing ac6pent. J. - x null _ k: !Tom. ,--,;Z) x fluff ~'`~a7- 7 V 1. 60 7 ? X ..U.. 0,67 4 . Total = -7 If total of #4 is the same as,•or less than M2, you have met the intent of SBC 6006(c)l. To utilize the total envelope syste= method, the values established by the sum of items #3 and B4 shall not be greater. thHn the sum of iten:s 91 and #2. 1- ± 2. _ - 3•• T L . PERMIT Control No. 0 ? 3 f R CITY OF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: 000249 (612) 681-4675 Date Issued: 04/15/92 SITE ADDRESS: 4127 BEAVER DAM RD LOT: 20 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAN. T.H. Building Work Type NEW Construction Type VN Building Length 62 Building Width 39 REMARKS: RECEIPT $ Cb ~~~g LOTS 17-20, 81, DIFFLEY COMMONS VALLEY PLBG. FEE SUMMARY: VALUATION $82,000 Base Fee $558.50 MISC FEES $1,610.50 Plan Review $363.03 COPY 5.50 Surcharge $41.00 Total Fee $3,273.53 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $1,662.53 COI~WOY",~UND CO INC _ App 15710304 0901331 ROT LUND CO THE 5201 E RIVER RD 5201 E RIVER RD 301 FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 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. Statutes and City of Eagan Ordinances. L 4zj~ ~7 - r~~ OLI-94 - - 146'e-Z APPLICANT/P RMITEE IGNATURE ISSUED BY: IGNATURE INSPECTION RECORD Control No. 077 d CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 0 0 2 4 9 Eagan, Minnesota 55123 Date Issued: 04/15/92 (612) 681-4675 SITE ADDRESS: LOT: 20 BLOCK: 1 APPLICANT: 4127 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PEpy ITp" P f H , TYPE OF WORK: NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. SITE FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: RECEIPT N LOTS 17-20, B1, DIFFLEY COMMONS VALLEY PLBG. L - PERMIT 4 ~ CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 RFCn 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 nest is made or lot chap a is re nested once emit is issued. Date / 9 / g Z Valuation of work 57;,?(n0 Site Address: -~1 z r7 l&C?'Q1&J 4V STREET STE # Tenant Name:o LOT _`ZO BLOCK 1_ S1J00. P.I.D. ! v M~xoh 5 Description of work:/o/----4- Un i -r' E10 The applicant is: 10 Owner ElyContractor 0 Other (Describe) Name # /u n d 00 h _ Phone'/ Property LAST FIR f Owner Address z_o ! S`~ ~ v_ev gad- STREET STE CityY dl G State /iyt lv Zip 5 Company d C n Phone t!Ml 0304- Contractor Address zoI (Fas`/ ivyr /wac License # pool 335 -Exp.,,1z2_/-2_?- City t State 1 k'j Zip S Company k Phone Jrrl 1-030 Architect/ Engineer Name Registration # Address - City State Zip Sewer & water licensed plumber ..'-Processing time for sewer & water permits is two days once are s been approve . 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. r Signature of Applicant: Nrrit.;e Uat UNLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish ❑ 13 Public Fac. ❑ 02 SF Dwg. ❑ 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Agricultural ❑ 03 Two family ❑ 07 Fireplace - ❑ 11 Res. Add./Porch ❑ 15 Miscellaneous JW04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Comm./Ind. WORK TYPE A-31 New ❑ 34 Repair ❑ 37 Demolish ❑ 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined ❑ 33 Alterations ❑ 36 Move GENERAL INFORMATION Const. (Actual) %V. N Basement sq. ft. MWCC System (Allowable) Y_N 1st F1. sq. ft. City Water UBC Occupancy 100t R-3 M-~ 2nd F1. sq. ft._ PRV Required Zoning PD R-cI Sq. Ft. total Booster Pump # of Stories 1 Footprint Sq. ft. Fire Sprinkler Length 57. On-site well Census Code !DZ Depth 39 On-site sewage SAC Code v3 APPROVALS Planning Building Assessments Engineering Variance REQUIRED -INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit FeepLA~ 550-50 valwtien: : -8 Z~ dD o V,-w 363.0A License q)-c>0 MWCC SAC 7Da, o0 City SAC 1001 o0 Water Conn. 695,100 Water Meter Acct. Deposit 3o,~v S/W Permit 00 .S/W Surcharge , Treatment Pl. 00.0") Road Unit ?,450, oro Park Ded. Trails Ded. Copies Other Total: SAC % o SAC Units MM-LOR I:NVRLn1'F AV1•:ItAGE "U" CUMfII'rAT 10(1 OWN ER SITE ADDRESS LOT „-)-J LOGIC DI PiCLe''( C OMM O NS CONTRACTOR 90T U/4110 7i -c DATE P}iL~NR Determin vorkin/i, square footai c of each. 1. Total exposed wall area ! 1/ sq. ft. x 0.11 • 2. Total roof/ceiling area 402P sq. ft. x 6,026 Total exposed wail area above floor a. Total vall window area b. Total door area C. Total sliding glass door area =l d. Total fireplace wall area e. Total wall framing area (average lOP) I 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 above grade Dete=.,ine "U" value of each wall sn ment. a. "U11 l b. X "U11 r X 7.5-7 d. x ,oUll % ..r ~ ✓ 1 - 9- h. X „i1„ - - Ifull 3. .rot.:;3 = ✓ lo' T I✓ If item 113 is the same as, or les. '-h:Ln i Leta you have met the intent of SBC 6006(c)2. f1 • Total exposed roof/ceiling Rrea _ Total gross roof/ceiling area Total skylight area k. Total roof/ceiling framing area 1. Total net insulated roof/ceiling area ! ? 7. _ Determine "U" value for each ruor/cci 1 ink: scl,nnent. J. x 11U11 X7.7 X „U,. 4. Total = ± f If total of #4 is the same as, cr less than #2, you have met the intent of SBc 6oo6(c)l. To utilize the total envelope system method, the values established by the sum of items A3 and #4 shall not be greater.thKn the sum of items #1 and 1/2. 1. f 2. ° - 3% + L . _ _ Op T .~o 10 OG F~ Lm ni~ 3 I 2• O.4S a HAW., H,~,Ll L, All CH LoM PO N t~+jLi . f2 - VAW 6 - 3 J. - =-~%Z INSUI•ATIcNf ~ . o G _ 23.0( - ©•043 -'~FkMV WAUL 6~ p-lP ~aMPaN~N - Fl'-VALLl5 t o_U '10E Mp. FI1.A. - o 11 - , I 3 3 ~N~A~HINIs, 2 -OCR _ 0.- co - p~N. yir w. U : o. 089 . ~ =G~Jtii P~. U~ - ~o12 X o.0~9~ -~(o. S~ X o.o4a~ = D• o . PERMIT Control No. 0 2 3 CITY GF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 0 0 2 5 2 Eagan, Minnesota 55123 04/15/92 (612) 681-4675 Date Issued: SITE ADDRESS: 4131 BEAVER DAM RD LOT: 18 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAM. T.H. Building, Work Type NEW UBC Occupancy R--3 M-1 Construction Type VN Zoning R--4 PD Building Length 52 Building Width 39 REMARKS: RECEIPT 0 LOTS 1.7-20, BLOCK 1, DIFFLEY COMMONS VALLEY PLBG. cc ~g FEE SUMMARY' VALUATION $82,000 Base Fee $558.50 MISC FEES $1,610.60 Plan Review $363.03 COPY $.50 Surcharge $41.00 Total Fee $3,273.53 SAC $708.00 SAC % 100 SAC Units 1 Subtotal $1,662.53 DQ'THE'IiOTfUND CO INC pp 15710304 000133 wRQ-T' iUND CO THE 5201 E RIVER RD 5201 E RIVER RD FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-6304 (612)571-0304 I hereby acknowledge that I have read this application and state that the information is correct and agree to ;comply with all applicable State ofMn. Statutes and City of Eagan Ordinances. APPLICANT/P RMITE SIGNATURE ISSU EDSIGNATURE INSPECTION RECORD I Control No. 0~ 2 1 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 0 8 2 5 2 Eagan, Minnesota 55123 Date Issued: 04/15/92 (612) 681-4675 SITE ADDRESS: LOT: 18 BLOCK: 1 APPLICANT: 4131 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PEpbJ1T jSLAWYP f H. TYPE OF WORK: NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. SITE FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: RECEIPT 0 LOTS 17-20, BLOCK 1, DIFFLEY COMMONS VALLEY PLBG. I' L - PERMTf # ti CITY OF EAGAN ~a 73. 53 1992 BUILDING PERMIT APPLICATION 681-4675 1-d RFCV 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 nest is made or lot change is re guested once permit is issued. ate e Valuation of work Site Location: 3 / L~lf~~A L i:r,; f - ~ STREET STE 0 Tenant Name: f'L LOT BLOCK SUED. P.I.D. 0 Description of work:/&F The applicant is: 10 Owner [ Contractor -Other (Describe) Name 4 _-/,.~f~-_j Phone Ji -c ~o Property LAST FIRST - J ~ Owner Address STREET STE # City State Zip _:s- -4 Company /4 r., „ ~i c 1 Phone Contractor Address License # 666 i 3 Exp. z - i City State Zip Company C Phone 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 ap 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. v ;r r Signature of Applicant: 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 V04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE 6 31 New ❑ 34 Remodel ❑ 37 Move ❑ 32 Addition ❑ 35 Repair ❑ 38 Demolish ❑ 33 Alterations ❑ 36 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy 9'3 M-1 Basement sq. ft. MWCC System YES _Y Z77 Zoning F -4 1st Fl. sq. ft. City Water Const. (Actual) y _N 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 -To Zz Depth 3 On-site sewage SAC Code 03 APPROVALS Planning Building (,)3 2 DS Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace' Permit Fee 55 S 15'6 vsLustion: s I Z as 0 Surcharge y 1, o 0 Plan Review 363.03 License MWCC SAC 700,00 City SAC o .a o Z Water Conn. ,00 Water Meter 9 S, 00 Acct. Deposit 30.00 S/W Permit 30,00 S/W Surcharge . ~d Treatment Pl . -3,99, 00 Road Unit 3$a o 0 Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units 1 •-••...+sva. r.~srr.i,.n r. nvr.a~n~.l'• U kJ)MI'LY1A Ifill SITE ADDRESS LOT ~E_OGIC 1J1j:FLeY"`g`C0MIT{C)Ny~ CONTRACTOR .:f DATF PI.MWE 7' °G Determin working; square footai-c of each. 1. Total exposed wall area ~y i sq. ft. X 0' 17 - i a ~ * ~r • 2. Total roof /-ceiling area 4- 0 27, ~ sq. Ct. x 3,0,.6 Total exposed wail area above floor a. Total wall window area 1 • ; b. Total door area c. Total sliding glass door area s1r. .1 d. Total fireplace wall area e. Total wall framing area (average lOP) ! F f. Total net wall area above floor 9. Tot al rim Dist area Total exposed foundation area -z- h. Total foundation window area i. Total net foundation area above grade g Deten.nine "U" value of each call spFment. d. X ,$u„ - r 9. x nEl„ h. X „li„ 3. . • - r v If item #3 is the same as, or less :.h:,n item #1, you have met the intent of SBC 6006(c)2. ff v U ~ . Total exposed root'/ceiling Area Total gross roof/ceiling area Total skylight area k. Total roof/ceiling framing area. A4141 ~ 1. Total net insulated roof/ceiling area . r Determine "U" value for each ruoC/cci I Ind; scgment. X 11U11 Z& 7, 2 it . Total = f If total of kb is the same as,'cr less than N2, you have met the intent of SBC 6006(c)l. To utilize the total envelope system method, the values establi-hed by the sum of items #3 and B4 shall not be greater. thKn the sum of items 11 and #2. 1. + 2. 3'• + 4. V PERMIT Control No. 00 '2- 3 3 CITY OF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: 000250 (612) 681-4675 Date Issued: 04/15/92 SITE ADDRESS: 4135 BEAVER DAM RD LOT: 17 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAN. T.H. Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type VN Zoning PO R4 Building Length 52 Building Width 39 REMARKS: RECEIPT # al~O~TS 17-20, BLOCK 1, DIFFLEY COMMONS VALLEY PLBG. FEE SUMMARY VALUATION $82,900 Base Fee $558.50 MISC FEES $1,619.50 Plan Review $363.03 COPY $.50 Surcharge $41.00 Total Fee $3,273.53 SAC $700.90 SAC % 100 SAC Units 1 Subtotal $1,662.53 CONTRA9b9fi-UND CO INC pp 15710304 899133 MiUNO CO THE 5201 E RIVER RD 5201 E RIVER RD 391 FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 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. Statutes and City of Eagan Ordinances. L T - Q'_ ~ , I Li(-" APPLICA T/PE MITEE SIGNATURE ISSUED BY: SI URE Control INSPECTION RECORD I No. CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000250 Eagan, Minnesota 55123 Date Issued: 04 /15 /92 (612) 681-4675 SITE ADDRESS: LOT: 17 BLOCK: 1 APPLICANT: 4135 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PEp&JIT,SIRWYP f H. TYPE OF WORK: NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. SITE FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: RECEIPT 0 LOTS 17-20, BLOCK 1, DIFFLEY COMMONS VALLEY PLBG. F L PERMrTr - CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 APR i 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 request is made or lot Chan a is re uested once ermit is issued. Date Valuation of work '~3 oo~ Site Location: ~{f ~S l~ff-,o 0 ~5✓L V4M oci-C-4 STREET STE # Tenant Name: ~Zv P /'r n J, Lp o ~i l w~ LOT BLOCK SUBD. _0 W P.I.D. # t ol~moh5 Description of work: / 01? dtu- The applicant is: ® Owner ® Contractor ❑ Other (Describe) Name ~o7tla Id. Phone 30 SL Property LAST FIRST Owner Address SZ-v t l=q s 4 C_J [le- fO / STREET STE City F+~ ir,e-r State x-~ Zip Company (4~ Phone 5`) / -D30 4 Contractor Address Jzv r ~~Y ~ ~i License # 000135 Exp. City f=r,d~e State Y✓la1 Zip fi -'42y Company Phoned 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 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: ¢1 1 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 S9 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 J?r31 New ❑ 34 Remodel ❑ 37 Move ❑ 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 YES Zoning pD R.y 1st F1. sq. ft. City Water YES Const. (Actual) V_ N 2nd F1. sq. ft. PRV Required (Allowable) y -,,4 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length 5 Z On-site well Census Code 102 Depth :g_ On-site sewage SAC Code o_ APPROVALS Planning Building c~l3 ~7 Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee SSg , 115-0 valuation: $ _ o Surcharge c/1 o0 Plan Review 3~ 3, 0 3 License MWCC SAC boa, o0 City SAC 100,00 Water Conn. a1s,oo Water Meter q ,q,0 0 Acct. Deposit 30,0- S/W Permit 3r,, 00 S/W Surcharge Treatment Pl. 00, oo Road Unit 5%0, 09 Park Ded. Trails Ded. Copies .So Other Total: SAC % too SAC Units rrlr.nLUlt r.r+vr.tati r. nv1'aint.r: __Ij-- COMT'U'I'll'i'UM GsiN E,,..R SITE ADDRESS LOT CONTRACTOR P0I... DATE. PF{c~NE r T-c Dete*.-=in working square footage of' ach. 1. Total exposed wall area , . f sc . ft. x 0.1i w e + r .,4 B 0' ..6 2. Total roof /,ceiling area '4r 0 sq. ft. X Total exposed wail area abovc floor a. Total wall window area -7 b. Total door area . c. Total sliding glass door area d. Total fireplace wall area e, Total wall framing area (average 10%) f f. Total net wall area above floor ..q g. Total rim joist area Total exposed foundation area = f 2- h. Total :foundation uindow i. Total net foundation area above grade f Determine "U" value of each wall sefinent. 4 n r b. 1-U11 d. x n J r+ - 8- .r•~• x r r ~l 11 c h. x Pfull x .lUrr 3. - f If item #3 is the same as, or less :.h:,n iLera Ail, you have met the intent of SBC 6006(c)2. n . Total exposed roof/ceiling area = f~ . Total gross roof/ceiling area J. Total skylight area k. Total roof/ceiling framing area............... 1. Total net insulated roof/ceiling area Determine "U" value for each ruuf/ccitInd,. segmcnt. X Itull c J. • k: 1. x IfUlt~J~ _i">~°" • 4. Total If total of #4 is the same as, or less than #2, you have met the intent of SBc 6ootS(c)1. To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater.thKn the sum of items Al and i12. 1. + 2. T. + 4. U PERMITS q9 qj ! GIT OF EAGAN 3,590.Pil6t Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: (651) 681-4675 Date Issued: SITE ADDRESS: L DESCRIPTION: REMARKS: FEE SUMMARY: "I I T ; CONTRACTOR: OWNER: ail. . v APPLICANT/PERMITEE SIGNATURE SUED BY. SIG MATURE 16 ~r v 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) L 1 CITY OF EAGAN 681-4675 Submit following to obtain necessary permit 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 MCIWS - SAC determination letter from MCNVS - SAC determination letter from MCMS - 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:- V V C-1 _Qr WORK TYPE: NEW REMODEL DESCRIPTION OF WORK: )Lh CONSTRUCTION COST: 1 S, ooh TENANT NAME: SITEADDRESS: dr\23- ~IZZ_ Q13~- 4t3~ ~ 04V4 SUITE#: LOT I BLOCK I SUBD. LILL ~(7 C---\ P.I.D. # Name Phone PROPERTY Last First OWNER ` 4 4-11S n caM Street Address. (12:1,-41 Val , 3 " City State: Zip: Company: Phone o lr CONTRACTO R Street Address: l1 1~`-' _ License # City State: ~ Zip: _ 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 information is ct and agree to comply with all applicable State o Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY M 41 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. MCNVS 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 -111~; Valuation: $ Surcharge 11- 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: ~.a. % SAC SAC Units Meter Size s PERMIT -CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 Permit Number: 027898 (612) 681-4675 Date Issued: 06/17/96 SITE ADDRESS: 4123 BEAVER DAM RD LOT: 19 BLOCK: 1 DIFFLEY COMMONS P.I.N.: 10-20450-190-01 DESCRIPTION: Building Permit Type STORM DAMAGE `Building Work Type REPAIR 'Census Cade 434 ALT. RESIDENTIAL REMARKS: INCLUDES 4127 (LOT 20) 4131 (LOT 18) 4135 (LOT 17) BEAVER DAM RD FEE SUMMARY: CONTRACTOR: Applicant - ST. LIC.OWNER: 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. APPLICANIPPERMITEE SIGNATURE ISSUED B SIG TURE vy-l- CITY OF EAGAN 3830 PILOT KNOB RD - 55922 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 t Cpl Construction Requirements Remodel/Repair Requirements J ♦ 3 registered site surveys ♦ 2 copies of plan ` ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) 4 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 711/93 required: _Yes No DATE: (0 CONSTRUCTION COST: DESCRIPTION OF WORK: t STREET ADDRESS: 11 1-31 2)5 ~ 1 ~_o 1~! 1 LOT f 1 120 BLOCK SUBDIP.I.D. PROPERTY Name: Phone OWNER L"T FMST Street Address- City: State: Zip: CONTRACTOR Company: trait, Phone 536 3W AWNUF Nt j COLUiu NA MY&.1YNi "421 Street Address: 612) 7M&9411 License City: State: Zip- ARCHITECT/ Company: Phone ENGINEER Name: Registration # Street Address- City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the inf rmation 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 o 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 Planning Building ! ' EhgiH6ering 6 Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S1W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units I PERMIT CITY OF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 032819 (612) 681-4675 Date Issued: 08/07/98 SITE ADDRESS: 4135 BEAVER DAM RD LOT: 17 BLOCK: 1 DIFFLEY COMMONS P.I,N,e 10--20450-170-01 DESCRIPTION: RE=PAIR CHIMNEY BUildinq, Permit Type STORM DAMAGE building Work Type REPAIR Cen5u , Code 434 ALT. RESIDENTIAL REMARKS: REPAIR CHIMNEY DUE TO STORM DAMAGE. FEE SUMMARY: CONTRACTOR: - A p p l i c a n t - ST. L I C. OWNER: OU ALL SVC CONSTR INC 17885411 0003178 HUBBEAD SUE 636 39TH AVE NE 4135 BEAVER DAM RD COLUMBIA HTS MN 55421 EAGAN MN 55122 (612) 785-9411 (651) C here-by acknowledge that I have read this ap(yIjc'ati.on and state that the infc)rlTa. tio? i correct and a~rcc~ to colfiply wiLJ1 all appl;iciw.s le Statp of Mn~ Statutes and City of Lagan Ordinances. I APPLICANT/PERMITEE SIGNATURE SSUED BY: SIGNATURE 1998 BUILDING PERMIT APPLICATION CrTY OF.Z►GM 3830 PILOT KNOB IM - 681-4675 New conNruction IZeauirements Re~nodeURmalr. ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sues; poured fnd. design: etc.) ♦ 2 sibs sun" (exterbr additions &#eei4 ♦ 1 energy calculations ♦ 1 energy loafs for heeled adtiltiewi„ ♦ 3 copies of tree preservation plan lt bt platted alter 71193' requked: _Yes No DATE: CONSTRUCTION COST; DES 1 ION OF WORK: f-A *z, 2&AZ T dz STREET ADDRESS: f Y.4-~f LOT: BLOCK: SUBD./P.I.D. cz`M V1 0 VIA w . Name: ~f~~H' • .J d.~'~- . P6cne PROPERTY Last First OWNER - Street Address: City T tl' State: !2 Z* • company-2ge 5e4'.•i1/'jc:Done CONTRACTOR Street Address: Ale License # city State: zip: ARCHITECT/ ENGINEER Company: Phm Name: Razistration Street Address: city State: Zip: Sewer S water licensed plumber (new construction ony): Penalty SPA and lot change is requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the hbrmation"ls correct and aWWAD comply with al spplicabl State of Minnesota Statutes and City of Eagan Ordinances. REC ' IVED Signature of Applicant: AUG 0 -5 1993 G 5 1998 r-V FICE USE ONLY $Y: Certificates of S rvey Received Yes No BY: Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE O 41 Foundation O 06 Duplex O 11 Apt /Lodging - ' O 15 Basement Finish O 02 SF Dwelling O 07 4-plex 0 12 Multi R+ R+bfn 13 17 Swirn Pool- 0 43 SF Addition O 08 8-plex 0 13 Garage! O 20 Public Facility O 04 SF Porch O 09 12-plex 13 114 Fireplace 0 21 '11111ieus . O 05 SF Misc. O 10 Alex 0 15 Dear WORK TYPE O 31 New O 33 Alterat" 0 35 Mme O '32 Addition O 34 Repair O 37 Demolition GENERAL INFORMATION Coast. (Actual) Bas mom sq. ft. MCfi System (Allowable) Main level sq. ft. City Waiter USC Occupancy . sq. ft. Fir* Sprinklered Zoning sq. R.,PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. _ Depth Footprird sq. ft, SAC Cods Census, Bldg Census Unit APPROVALS Planning i Building Engin Bring Variance Permit Fee Valuation: Surcharge Plan Review License . . MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SJW Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units L 1 5 BL =L_ CITY OF EAGAN CITY USE ONLY } PLUMBING PERMIT SUBD. o (612) 681-4675 RECEIPT # /O~ 9d DATE 9v~- 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 I BATH TUB 3.00 OWNER NAME : LAVATORY 3.00 ~ Lf/a'> Y 1 KITCHEN SINK 3.00 of -7 11LAUNDRY TRAY 3.00 SITE ADDRESS : L41 k1 e 4< HOT TUB/SPA 3.00 WATER HEATER 3.00 i FLOOR DRAIN 3.00 3 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 3 ADDRESS: (0' nL ROUGH OPENINGS 1.50 OTHER CITY: ZIP: WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U . G . SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 1 STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: S -5 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 CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # DATE : 5 :N.,.:ox?<oxt<attoS;:ttuttor ~:•>:v:xa;;w•.;~, PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. - ~ FEES WORK DESCRIPTION G' NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU :00- REPAIR ADDITIONAL 50 M BTU Q~Ll GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME : SUBTOTAL: $ 36 -do SITE ADDRESS: STATE SURCHARGE: . .50 LOT: BLOCK J_ SUBD. TOTAL: $-'O.- `-a INSTALLER: 1: LT^ ADDRESS: PLA I go 14n- NATURE • CITY: ~s0~e ~Nva No. IV- 55427 PHONE p 4E { I TST A 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 i~ SL r CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUED. (612) 681-4675 RECEIPT # DATE S 1/ 90`~ -TT RESIDFMIAL 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: `f NO. FIXTURES EA. TOTAL NEW CONST V REPAIR/ADD ON 15.00 ADD ON ~ SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: 1 11 E~ f rr ,„G~7 C f KITCHEN SINK 3.00 - 1 LAUNDRY TRAY 3.00 SITE ADDRESS : e j HOT TUB/SPA 3.00 E WATER HEATER 3.00 J FLOOR DRAIN 3.00 c _ GAS PIPING OUT, INSTALLER: c (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: ^tt% OTHER _ WATER SOFTENER 5.00 CITY: ZIP:~ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE C~ W. TURNAROUND 15.00 STATE SURCHARGE .50 oi'6~ 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 CITY OF EAGAN FOR CITY USE ONLY ' 3830 PILOT KNOB ROAD ~1 EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # / 6 DATE : s S S `xAr LEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. - WORK DESCRIPTION 02 D ~y FEES NEW CONST / ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M. BTU .00 REPAIR ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM 3. 4; OF 1 PER PERMIT OWNER NAME : Cf /?J SUBTOTAL: $,20- 0,1 SITE ADDRESS : 7 /zY~Lm STATE SURCHARGE : .50 LOT: o-'O BLOCK SUBD. / TOTAL: $ INSTALLER: FLARE y 9303- X-2/ ~s Plymouth Av& No. ATURE OF PERMITT ADDRESS: 55427 CITY: ZIP: ` PHONE A t!i IA !IA[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 "-BI. CITY OF EAGAN CITY USE ONLY L,Z PLUMBING PERMIT SUED. Z~~ (612) 681-4675 RECEIPT # DATE -5 9 - 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: ,/J NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 OWNER NAME: 4714f //7 c/" 27p LAVATORY 3.00 KITCHEN SINK 3.00 QQ 'nn LAUNDRY TRAY 3.00 SITE ADDRESS : W V ) ; t~ VJ c f HOT TUB/SPA 3.00 WATER HEATER 3.00 I FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: ~C 6G~1 fh~ z~c~ C (MINIMUM - 1) 3.00 a~ j ROUGH OPENINGS 1.50 ADDRESS: OTHER CITY: ZIP: WATER SOFTENER 5.00 - PRIVATE DISP. 15.00 U . G . SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 STATE SURCHARGE .50 ell, 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 CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD I" EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # Q S .GGA DATE : 507 It ! A?~~"~l PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION _ FEES O gS NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU C REPAIR ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM .00 OF 1 PER PERMIT OWNER NAME: ~ SUBTOTAL: o 4 SITE ADDRESS: STATE SURCHARGE: 3.50 TOTAL: $ LOT: BLOCK L SUBD. &~L INSTALLER: RARE . At T, $ Y~Y LrC~~ ADDRESS: 9303 Plymouth Ave_ NaC SIGNATURE OF PERMI Golden Valiey, NIN. 5512/ CITY: ZIP: PHONE iM11F?f]RAI.r 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 BL / CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUED. o (612) 681-4675 RECEIPT 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 z SHOWER 3.00 REPAIR Zi WATER CLOSET 3.00 BATH TUB 3.00 Z LAVATORY 3.00 OWNER NAME: KITCHEN SINK 3:00 LAUNDRY TRAY 3.00 SITE ADDRESS : HOT TUB/SPA 3.00 WATER HEATER 3.00- t ) FLOOR DRAIN 3.00- ~~.CG~C GAS PIPING OUT. 3.00 INSTALLER: (MINIMUM - 77~, ROUGH OPENINGS 1.50 ADDRESS: J < OTHER WATER SOFTENER 5.00 CITY: ZIP.. PRIVATE DISP. 15.00 -z % U.G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 r STATE SURCHARGE .50 Cl SIGNATURE OF PERMITTEE TOTAL: 5 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 ► ' CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD L(~ KAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # 5 7r.~_ CIC4 DATE : S AT' 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 - MINIMU 3.0 OF 1 PER PERMIT OWNER NAME : df O Z& 11/U SUBTOTAL: $d -0-co SITE ADDRESS: 135 i~f`f~t n7 O,4,6 STATE SURCHARGE: .50 LOT : BLOCK SUBD. ' r TOTAL : $ 3 a • Scg INSTALLER: 9303 Plymouth Ave. No, r IGNATURE OF PERM TTE ADDRESS: i Golden Wley; MN. 55427 CITY: ZIP: PHONE -116'(0 MMEiZAjIIDkR.,; 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 INSPECTION RECORD CITY OF EAGAN PERMIfT TYPE; 3830 Pilot Knob Road Permit Number: 02 1 690 Eagan, Minnesota 55122-1897 Date Issued: 06/17/96 (612) 681-4675 SITE ADDRESS: ° t es APPLICANT: t.OT: 19 Nt.l~f:t's 1. 41.'3 BEAVER CLAM $0 VU ALL SVC: COPISTR TWC DIfUtcy CON"O"'i t612) 168-941-1 PERMIT SUBTYPE: TYPE OF WORK: F INAt RfNARI($- INt°.I lJf) 41',17 (101' '.10) 41.~t (LO-1 1H) 4136 (LOT 17) 8FA440 OA* Pit It t j}i i I Ii - 11~- t I } T } F .3 i c.+ 41 LL- 1.2 . Permit No. Permit Holder Dale Telephone # ELECTRIC PLUMBING HVAC Inspection Dale Insp. comment, FOOTINGS FOUND FRAMING ROOFING ROUGH PLNG PLSG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERK'' I 3830 Pilot Knob Road Peu nk l Ibibr Eagan, Minnesota 55122-1897 rood: (651) 681-4675 SITE ADDRESS:. s~ 4) 1 ~ A 9 ~ fl t,~~ r x APPLIC SF AVER DAM RD -,llff IRH? 4N FK'1°1F'f#'I 01,FF 1.f,Y C.0p4N~N^~ PERMIT SUBTYPE: TYPE OF WORK: 1: F1 A t. } sr FtCMARt8 tN~.L1JDtSY: 4 9r1 7 4131. AND 4 3'{fs. y ~ z i.. € I ,izrYti4 3 # Permit Holder Date Telephone #I SEWER/ WATER PLUMBING, HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING HOOFING 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 I:NSPEC ""ION RECORD CITY OF EAGAN PERMIT TYPE: e 3834 Pilot Knob Road Permit Number: sr 1 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: a' APPLICANT: 61 1 `s~; Ht AVf R CRAM >~D DO A1,1. w,vC t:0iV . fP INC f~ [ a 1 t 'r COMMf)N (61 2) 18.9-14411 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE INSPECTION -~YPE CA f~ Fi M .E F119 f' It A M 1" N f~ ky."A13h'; V f:1AIR t H)NNI-Y 0t4i fik ':-11)R14 f)AN A Q F Permit Holder Date Telephone # PLUMBING HVAC Inspection Date ]nap. Comments FOOTINGS FOUND FRAMING 3 ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL t GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECO" 1 233'. ` CITf-OF EAGAN P Pilot Knob Road P 'h sl r. W Eagan, MW to 58128 (612) 681=4475 SM ADDRESS: Lays IF (Lock t L AP 18 10►~4lrE OAiri itD t i181"ll^ (t 1s li<' ~ ~ ~'-~11 it TYPE OF WOM wa ~ >eldlR~L~!"rl'~1 S Iyy l.Y. e;._ Jlt-~ll~. iNLltl~i~ L A~ 1~ y ME-CRIPT 01"Let 000000"', *L t FqalW ► P%. ' Arm PACh P plbq~ 1 p: Irlwoolor - F%R*W Coast. m9w EngrJMn slap. F~~ Ds& Pap. Dock FWI v Pt DloR. (trtif iratt of (Orrupaury Citp of Cagan ]Brmrbmd a# NW(b to ~n,~rrr#iun This CerWrwate 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 various on fiances of the City regulating building construction or use. For the following: toc clamiliadion MULTI FAM T H Bwg_ Iamu No, 250 o-y Tra 1 Zoning Disuict PD/R4 VN TM COW O,,.,or THE WTII m 00 .im Ad k. 5201 E RIM RD, FREM 4135 BEAVER DAM ROAD r L17, B l , DIFFTEY OMM nur 4/3/42 t= r ~Z=-- _ - - ~.i Building I?IUW POST IN A CONSPICUOUS PUKE A4dresa i 4135 BEAVER DAM ROAD Lot 17 Blk 1 Sec/Sub DIFFLEY Oaaw These items were/were not complete at the time of the final inspection. Date: 4/3/42 Yes No TnnpPrtn Final grade (6" from siding) ILI/ Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage j~ Porch Basement finish Deck t/ 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. White - City copy Yellow - Resident copy Pink - Contractor copy 10 Iqsp9.. . I -W 0231 CTION + C& OF EAGA1 per" 3830 Pilot Knob Road Pont, t4m, bw. . Eagan, Minnesota 56123 Dift Issued. J` (612) 681-4675 SM AMAESS: k6T i~ 1 #t a i A 4291 OWAV*.* a" so somwo co, tat Of W01ft- w plwr' M. TYPE aim it* *f.*&11FiC S t R6CE I PT ! LOT'S Sy-as. OI. K S « olp"FLeT ]r R Pmmlt PkL PWMR l~okiar Iwo ~ FOO*O F~ rr Ra-- ra? -✓1 EtkcTRr r`. Fw" PAO" 4AO . ' PH* - NOW MwbW Fang Pkl* - - Bldg. FInvi z - a S Deck Ro. hack Fktial we@ PC Dlelr. • w 't , ~~~#~ftr~#~e of (~rru~~~cr~ ~itp of Cagan Newftmt of Want" jum"twu nil CeW"te 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 Various ordinances of the City regulati►tg building construction or use For the following. I u n tioe =110M 'III Md& FWWI No. 252 0-"-7 TM VIM s0aIOsnlw+a 1#/PD T"eowa VN oww of BAft DR BOZTLjRl 0 jtE 5201 E RIM RD' FRTf>~f B1 MUS Add= 4134 j%kVER DAM ROM L18, B1, DI IJiY OQWM Dm 8/27/92 aoaal5 Officill F~ POST IN A CONSPICUOUS PLACE ~i ` rk Address: 4131 BEAVER DAM roM Lot 18 Blk 1 Sec/Sub DIFFLEY C 443NS These items were/were not complete at the time of the final inspection. Date: 8/27/92 Yes No W Final grade (6" from siding) Permanent steps - garage 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. its - City copy Yellow - Resident copy Pink - Contractor copy v 02'3 2, INSPECTION RECORD CITY OF EAGAIV ~w . 30 Pilot Knob Road Eagan, Minnesota 55123 befmot 12)681-4675 r S ADDRESS: LoTt L$ *LOCKs I APPMAW: '0121 BEAva" to T 1"1s ~ ,1' y OI PIFLE Y COHN006 (Gut w7**,"*4 puzima TYPE OF WORD X =a ~1~OT I - d _ ,~t1l04093a RECEIPT f LOTS 11-20, OL.OZK I., 11I"4.4Y C MR: n l 0 ELECT"O E two mw. - r-a~a~a~or~ PAO" omdym F - QwwWw EnDclAJer+ elda. Final DeCk Fly. Check Final 1Afal1 pr. Oisp. ~~r#tf ir~t#~e ~rf (~tr~~r~nr~ citp of Cagan ]Rtpwm r d of %a m jwtrt mt This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Co* certifying that at the time of issuance this sowftffe mw in compliance with the various ordinamw of the City regulating building construction or use For the fo& ng. uxComsclems IM'R FAM T.H. IN* No. 251 O-w--Y TM # R-3/Ml zoning Dish;a PD/R4 ryp, f.- ON ownaofWAngTW, ROM 17M M TIC A„m. 52Ql V RTM M, IMTMFY 4123 BEAVER DAM ED i L99. B1. DIMAY S z'~ 7.4 nun 8127/42 POST IN A CONSPICUOUS PLACE . Address : 4123 BFAVER DAM ROAD Lot 19 Blk I Sec/Sub DIFFLhY Oa44MS These items were/were not complete at the time of the final inspection. Qate: 8/27/92 Yes No Final grade (6" from siding) Permanent steps - garage 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. M ~ecraEa sae White - City copy Yellow - Resident copy Pink - Contractor copy INSPECTION k9, - 0, Q. R-D- OF EAGAN PE "f"!E A Pint Knob Rmd " 9a ~A .(1512) 681-4678 SITE AI ESS: LAT: RM 11LOV0 i APPUCAW.":._ AlAVRN DAN *A 'no wTTL & 40 in PE P4WP TYPE (if r • pro# sx R110410°94t RECE XPT W 17-240 Ail oirp lf 40""A ~L~Y, m. w Y pwmk Ala Pam* mmw Datok # `may -PLIAAEM ~l r. 1 A /7; NVAG E b" . odwd Doty kwp. e f j k- - Flan ► OMMTW ~zz-mot EngrJFW i Dock F* Dock FffW two ft pisp. r v ~ (Urti#tratt of (O rrupaury Citp of eagan lowtum of 1"M jMwertw" 7W Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the tune of iciuance this structure was in compliance with the various ordinances of the City regulating building comftuctton or use. For the fogowing. vac claedBmdoa MILTI-F04 T H Bldg. %mit Nm 249 Oocapary TY" Zwieg District Type C MW VN Ow w of wwwg WE wm4im o- Address B.jdjjjAdd.-4127 WAR DM ROAD L-0-21*4 0 B1 DIFFLBY S i Daa 9/3192 POST IN A CONSPICUOUS PLACE ti Addr6ss: 4127 BEAVER DAM RD Lot20 Blk Sec/Sub DIFF'LEY Oa+UNS These items were/were not complete at the time of the final inspection. Date 9/3/92 Yes No TnsPPctnr! w Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry l~ Permanent driveway Permanent gas j~ Sod/seeded grass Trail/curb damage Porch Basement finish Deck 1! 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. vne White - City copy Yellow - Resident copy Pink.- Contractor copy 7394 ,C c,a Request Date R -o-in Inspection Req~rred?' ❑ Ready Now yaTll Notify inspector ~7 5- / 2-' es No When Ready? I,7'licensed contractor __J owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No I City Section No. Township Name or No. Range No. Co ty- 2 Occupant PRINT( Phone No. Power Supplier Address Elecircal C tractor tCompany Namel Contractor's License No. Mailing Address iContractor or Owner Making Irsiallatidnl Autnonzed S,gnalure (Contractor wrier king Installs nl Phone Number MINNESOTA STATE BOARD OF E ECTRICITY 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)642-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee•00001-08 Ll 4 fFY 10, See instructions for completing this form an,back of yellow copy. 4 73947 X" Below Work C c~vered bx 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 Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps $ L D 0 to 100 Amps 8 Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Onfy_ TOTAL p Irrigation Booms Special Inspection AlarmiCommunication THIS INSTALLATION MAY B RDERED I,ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 HS. / -in I, the Electrical Inspector, hereby Rough 1 to certify that the above inspection has been made. e OFFICE USE ONLY This request void 18 months from ,Y P 1,1X2 1 j '3 3 Request Date / R,eNo. Rbugh-in Inspection p Required? J Ready Now /Jill Notify Inspector 5 7 ( Z ~_~Yes - No When Ready? I licensed contractor ] owner hereby request inspection of above electrical work at: Job Address (Street. Box or R Io Na.l City 41~-7 Secuon No To~ wnship Name or No. Range No. Co}~ry~ Occupant RINT; Phone No Power Sup r w Atltlress Eiectnc31ntract r (Compan Ny ameI Contractor's License No. Mating Address ~Cont•actor or Owner Making Installation) Authorized Signature (Contra or+0 Making In iation) Phone Number 7_ 140- 3N MINNESOTA STATE BOARD ELECTRICIT THIS INSPECTION REQUEST WILL NOT Griggs-Midway 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. ,,*,".SG REQUEST FOR ELECTRICAL INSPECTION ES-00001-08 ►fee instructions for completing this form on pack of yellow copy. X" Beloyv WorkVovered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) CommAndustrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps $ p 0 to 100 Amps b Transformers Above 200 Amps Above 10D Amps Signs Inspector's Use Only: TOTAL _ Sfl Irrigation Booms ( od Special Inspection JJ•~ Alarm/Communication THIS INSTALLATION MAY BE ORDE SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. t I, the Electrical Inspector, hereby Rough-in ate ti =r,;t certify that the above inspection has F;nat a been made. OFFICE USE ONLY This request void 18 months from I C, (0 2-. Request Date Fi ugh-in inspection equired? Ready Now Will Notify Inspector Ip -4,~ Z r Yes L No I Fr When Ready? I -;41censed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box Route No City 131 E4,d-~ Section No. _ 'Township Name or No. Range No. Coun Occupant (PINT) Phone No. Power Supplie I -`'K..~ Address Electrical a motor (Company Name Contractors License No. c A v If Mailing Address (Contractor or Owner MaKmg Installation) A~ nzed Signature lContractor,Own MaKin tallation) Phone Number q~, -3elo MINNESOTA STATE BOARD OF ELECTRICITY 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. (x/ RECiiEST FOR ELECTRICAL INSPECTION EB 00001 08 ► See instructions for completing this form on back of yellow copy._ 4 0 6 6 X" Belav Work"oCovered 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: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms 15 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN ONT I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Date been made. 7 OFFICE USE ONLY This request void IS months from YL~j $ / 10216o2- 7 S Request Date ougn-in Irspect,on Required J Ready Now .2'giII Notify Inspector s^ ~R lrs r No When Ready? Incensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Ro to No.) n city Section No, Township Name or No. L•/ Range No. Co y 0 OccuparARINTI Phone No. Power Supp;igr ~ Address (Vh\/1 - 1 I Electrical ntra or (CompanCy Nname) Contractors License No. Z.~2c DO 3k Mailing Address (Contractor or Owner Making Installation) i Authonzd Signature iContractor wner acing Installatio Phone Number 4l 6 3 .3 g/b - MINNESOTA STATE BOARD OF EL CTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway 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 REQUEST FOR ELECTRICAL INSPECTION "ya Ea-00001-on rXI (J ~ ► SB° instructions for competing this form on back of yellow copy. 9 °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 Compute Inspection Fee Below: #-Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps S /)0 to 100 Amps Q U Transformers Above 200 Amps Above 110 Amps Signs Inspector's Use Only: r, ~O TOTAL S Irrigation Booms J Special Inspection Alarm /Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. I, the Electrical Inspector, hereby Rough-in ~ to r'^ / certify that the above inspection has Final o been made. ^ OFFICE USE ONLY This leouest void 18 months from t' Request Date Fir o gh-in Inspection R Ird? 4 7 Ready Now Will Notity Inspector " Yes L No When Ready? I Xcensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City ` 3S Section No Township Name or No. Range No. Co my I4/,\J1 Occupant JPRIINT~JL~..~ n Phone No. Power Sup- r ~ d - Address r Electrical mractor (Company Nemel Contractors License No. Mailing Ao (Contractor or Owner Making Inslallationl ss Authorized rgnature IContracto wn ing Irstalls nj Phone Number II g'~ - ~8/ 0 MINNESOTA STATE BOARD OF E ECTRICITY 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. 9 REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 ~44 l.~ t ► See mstructlons for completing this form on oacK of yellow copy. 50 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 I I Other (specify) Contractors Remarks Compute Inspection Fee Below: O e~Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps + T b0 to too Amps d Transformers Above 200 Amps Abov 0 Amps Signs Inspector's Use Only: r rAt Irrigation Booms lp( 2`E2 Special Inspection L__Alarm/Comnnunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON }I . I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final f Date been made. OFFICE USE ONLY This request void Is months from q~vq o o O 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN w! 10 3830 PILOT KNOB GAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date / / Site Street Address 3.1-91 (o9 _ba~ Unit # Property Owner AA" Telephone # Co% I t Contractor CHAMPION WATER SERVICES Telephone 2 12 114. ver a Cir Address Burnsvllie_ mN 55337 City State Zip 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 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. if you are installing only a wafer 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 $130.00 if a 6/8" meter is required) Other: _ 1V ater Softener _ Water Heater $ 15.00 _ new replacement Lawn Irrigation ~RPZ ~PV13 new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $15 -DU 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 plan is required to reviewed and approved. 4lIV.41 <4/A .e0b L I A _e I Applicant's Printed Name Appli nt's Sig-nature asst zua 05/06/2014 09:41 Les Jones Roofing, Inc. ffAX)9528811009 P.0071011 Use BLUE or BLACK Ink 1 ^ For Office Use i j Permit lk I I I City of Eagan I Permit Fee 0 i 3830 Pilot Knob Road Eagan MN 66122 Date Received: Phone: (651) 676-6676 I I Pax: (661) 676-5694 1 Staff: I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: `H2 7: Y1 34 Wi S AcAvgv- 0A.-, Unit Name: y0 P20PEt? Y GCE . t n►c.. v6/ ! Phone: 4 SSY/- Address / City / Zlp: R o. Boy- 21-2 5 / v vx -'416I.WzT. /W -5-AP 9 •r7 Applicant Is: Owner X Contractor F R L Description of work: fU!/E ~vD O4.gG6 loaf, rrl "'r ' Construction Cost . 7tJ19, Multi-Family Building: (Yea x /No 'A Company: ACI a&dl Rcn!260r Ave- Contact: Cme;s AAJ.04azso~ Address: IV W 90 >N City: &4a1,fWA6 m t/ 4 State: MAI Zip: '~ao Phone: _ 9 S A Irv 7 w eZB/9 P~. Y License Lead Certificate WA77 4f0 Y 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, 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: q CALL BEFORE YOU DIG. Call Gopher State One Call at (051) 464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. +W=oooherstateonecall.om I hereby acknowledge that this Information Is complete and accurate; that the work will be in conformance with the ordinances end codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work la not to start without a penult; 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 complatad within 180 days of permit Issuance, x C*hs 4469,9 aAI x e . ~ Applicant's Printed Name Applicant's Signature Page 1 of 3 05/21/2014 10:18 Les Jones Roofing, Inc. (FAX)9528817009 P.0061011 '�"S'11‘" City of Eta] Date: 3830 Pilot Knob Road Eagan MN 56122 Phone: (651) 675.6675 Fax: (651) 676-6694 Use BLUE or BLACK Ink For Office Use Permit 8: 2-151 3 j Permit Fee: Z3L_ Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATIONcby`>''' 2! 49//r. Site Address: `/123, 4//1.7 '1/3/, v/W Q.,vEx_ 12Q,40 Unit it: • • . ' , ' ; 1 y . -ix, rtT O ner' ,t, f , Sa 'Ya. , v '".. .. ,.��� � Name: 'o PeOPe27-`' GAeE LNr✓. Phone: 457 r$7/- 99470q Address / City / Zip: Bo. Bo3 2 '' 2.5 /�n_GE-o✓d r4h' 1g4/' v' 6 74 Applicant is; Owner X Contractor it 54 L@ � .•o, ,�A r ;;°3 ;. Description of work f MOvE 4i'V AnJo MF s -P 1:i4/4"; Construction Cost: d / r, 2. 6 6 • Multi -Family Building: (Yes A I No. ) ;�;v,,,,• .,' .s,. ,,,, ,. 1 �Era�'� � li' ••r ll. o. r�It I, :,., (f � l+• `gypp:,?' . ,'t"s1(,s" ;gin, ('t'`•''s ,1'; ' . ,' Company: SES ,TaNF.3 RQpori/1t hue_ Contact Gs,424 s 44872s0 77/ Address: /tit 14/ Rd ,fr" t"�' City. JGOGY1cclN6TbA� State: /4/4 Zip: „f,�4r2a Phone: 9'$ - 76 7 - 528/7 License #: ('5752.) Lead Certificate #: 4/A47 4/O 3 9,? - / 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 similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber; Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: ,7-.' hg's :13 OlVi ry "', b`lijit a T,''cbl"t'�sl�°l.nn.a � 6,11 ` 1 11.49J� eiim `f ,f;,‘,,,y,.1 t' f" �7 ^`Y' '', IV q 1.1 cal tR""4r4 e eS'S1fl d,bi tl Ilr' mo b' � � rid „ J �5' ,� tvOo 1:01.�,J� t;"8. % 19-0;t, ' �i 'rr'��CC��C . �A � y��:,R►�R�JIG�,.t� "�R1Qt�i��6 �'"M"�F�� �R 1.+�. , . ,�%i '7, ,• 0 �4, � .- .:�V'r ' ., :' 1;itiil. R'e, .c �/�+ • i� i ..44.. !�s�,r 040, 14 ', � ., „enty t a . _ M_ .,... �: -irS,t , Iy�� CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this Information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this Is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be In accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance, x C/# I& fin/D672s0d Applicant's Printed Name Appllaan at rnuwu IN1anw Applicant's Signature Page 1 of 3 Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA158687 Date Issued:10/25/2019 Permit Category:ePermit Site Address: 4123 Beaver Dam Rd Lot:19 Block: 01 Addition: Diffley Commons PID:10-20450-01-190 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Helen Joy Hilsen 4123 Beaver Dam Rd Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature