4062 Beaver Dam Rd
1001~I,g
Use BLUE or BLACK Ink
f` - - - - - - - - - - - - - -
iFor Office q U /
rri- / 1
City 0f Ev aPermit 1 / I
(LJ L/ I
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received:
Phone: (661) 675-5675 I
Fax: (661) 675-5694 staff: j
L I
2010 RESIDENTIAL BUILDING PERMIT APPLICATIOLA Y0p6Qa, '106, V, q0"I K068 8 AV" A*" 0
Date: 10 2U /D Site Address: _11 (g, Z000, ZQQ2 aQOlf G£I(/F~ZD C'evel-
Tenant• Suite
RESIDENT I OWNER Name1c) IN4 Phone: C5-1- Ssq- gp4~9
Address I City / Zip: 2125 e- ROVE r61t1T S"50 76
Applicant is: Owner Contractor
TYPE OF WORK Description of work: Q fW006- A*O keywE &-ft46c" cod'
Construction Cost: _ lit 02 /i 0 0U J Multi-Family Building: (Yes I No
CONTRACTOR Name: L3-1 E)C.TE'T-(pl2 MA-INT _~Q PP License 1/// 31
Address: `10 r 1/~f. 60 M SMECr City: AtAf 65AF-a4-IJ-
State: /VA) Zip: S~/g Phone: 62g3
Contact: Email: l dl A a hC44M . Got"
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
,Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora
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.
Applicants Printed Name Applicant's Signature
Page 1 of 2
r t VrICCr Lf1~ t ••C^. • • ~ vv a r • vv -
' * * 2422 Enterprise Drive
PIONEER Mendota Heights, MN 56120
LAND SLJRVEY[N5-CIVIJ, E1a1N[>ERS yQt
* eng ~ eering l►waIPIANIlEN9. L°••••C,..,e A11GNITiC7S l6lZ~ iJD i'~~~4
*4 *
Certificate of Survey for: The R o t t! a n d om p a n V, Inc.
_B... UNIT VILLA TAI
Scale 1"=30'
112.25'
32.442' - 24.483. 4.063 a 32-.042'
o a
r6 u h
N
x.87 18 8 J Z0, m 18.67' r r
n .00 W 6.87 6.6 m a 7.00
6.75' i~
v t, ~ `r
B 1 A
t -rczo~: to.v9r~
PROPOSED
aa°o~'~: s C0ND0MINILJM
T ~
A ~ S 8 A
0
87, a Eoti7 * q5
74.Sg` 1 8' .e
N 32.042' T 24..083' 241483' 32,042'
112.25'
\
\
5 ~ ta,
\ r * A ~r ~ . ,r f
t cv o a ! < !
S~li~' S ; t a
s \ ~ t
J
-Pf
r t LLI
i R f~ 114.1 `~1 LLI 1
ae} f~~ T ..-ply~~
GLENFIELD law*' COURT
r f
4 9W.0 Denotes Existing Elevation
Denotes Proposed Elevation
Denotes Drainage & Utility Easement pRopoSED HOUSE ELEVATION
Denotes Drainage Flow Direction Garage Floor
Denotes Monument slab Elovatiorr. 890.0
Denotes Offset Hub Bearings shown are assumed
LOT 6 BLOCK 2 DIFFLEY COMMONS
DAKOTA COUNTY, MINNEWTA
1 hereby certify that this survey. Plan or rapdt woo lxoparod by rtw orundar y diew supervision and that 1 am duly Ftepisserad Land SunmYOr
Loder alto lava at the State of Wooft Ota• Doted 1hisrrss„ dw of A.D. IS
S ^ a I e . f~ =6 l1 ~t ~ . a . ~ ~ ~ ROBERT 8. SfKIGM LS. REG. IVO I~i93
rr
91123.16
CITY OF EAGAN ~D 1 9947
< 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 681-4675 V ~7
BUILDING PERMIT Receipt #
To be used for 8-PLEX Est. Value $308,000 Date DEC 9 1921
4015Z W154 40W 4Ubb BtAVEK LAM HU
Site Address 1998 2UW 2002 200L~ Q IE'Ln M!
Lot 6 Block 2 Sec/Sub. DIFFLEY COMMONS OFFICE USE ONLY FEES
Parcel No. Occupancy R-1 M1
Zoning PD Bldg. Permit 1,24f3.00
Name THE ROTTLUND CO INC (Actual) Const V I-IM Surcharge t5-1.50-11:
Address 5201 E RIVER RD (Allowable) V 1--HR Plan Review 817.00. # of City FRIDLEY MN Zlp 55421 eng Stories 19 17,
License
Phone 571-0304 Depth 69-! SAC, City 800.00
Name SAME S.F. Total 11,700 SAC. MCWCC 5.200.00
S.F. Footprints 6,800
O
Address On Site Sewage Water Conn 5,280.00
City Zip On Site Well Water Meter
MWCC System
Phone Acct. Deposit
city water ~
License # PRV Required _ S!W Permit 3Q-00
I hereby acknowiege that I have read this application and state that the Booster Pump SrW Surcharge .5o
information is correct gree to comply with all applicable State of
Minnesota Statutes an ity f Eagan Ordin Cesr Treatment PI 2,208.00 -J~j P-1,44 Signature of Permitee ,GL~t APPROVALS Road Unit 2-960.00
A Building Permit is issued to: T OTTLUND CO INC Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
00
Building Official 1 I Variance TOTAL 18.7Q7-.
1441 BUILD. y cow
" CITY 4P E •
819= FAMILY
Z SETS OF PLANS 2 SETS OF PLANS $ ins or" '
S REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DSPT - -,I: SIT -OF
1 SET OF ENE Y CA1 LA 1 B
# OF FENTAL TIT
# OF FOR SALE MMTS
PUALTY APPLIES VHEX: TYPING OF PERMIT IS " RNMSTED, NUTIODT FIC UP" BVIAST, VOW= DAY
OF NOMM IN MICH T IS MADE.
LOT CHANGE IS RBWESTBD ONCE P UT IS ' .
NOTE: ADDRESSES FOR CORNER TATS - CDL9 UCTOR/HON50021 IWST ~kTS 3C~ IS
DESIRED. 19 CHA=§ Mt At &UMM Q= WILD'
PROCESSING TIME FOR SEA A WATER PERMITS IS TWO DA'Y'S - ~
PERMIT MUST SHOW A LICENSED PLUSIR.
To Be Used For: valuation:
406Z qO&q Y066 Yobs 8SAY&R DAM R04t) -t-
Site Address 1198, Mz=, 2 q ialt~1A CT.
Lot Block 'Z.
Zoning Sauer
Parcel/Sub Actual Const $3t R~~r + $J~,pl!
Allole 9AiG', City
Owner -Kft J?o~•rrL.y G06. ,{,AJ:;. # of stories SAC`, TCC ..0
Length 2= votsr : 90
Address C-2mi Depth z r _
S.F. Total ~ 110700 . 4t6v - it
City/Zip Code Hbjer G&gz1 Footprint S. F. #'sac t
f ~i ::$ur,g#
Phone On site sewage...,_ Trot` P,11
On site well Unit O,a
Contractor MWCC" System P'ark `DecL.
City water ,1/ T 1 i~ra:
Address PRV -200.
Booster Pump
City/Zip Code
Phone Planner Lat'heAxge
Council
~S. R. AI
Arch./Engr. Bldg. Off.
Variance _
Address
City/Zip Code
Phony #
Sewer/Water Licensed Contr. _
agrees that all Mack Aball_ be 'dons in accts Oce Vith
(Si ture of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
EXTERIOR ENVELOPE AVERAGE "U" COMPUTAT1uN A-
OWNER r' i7 t l L.'
SITE ADDRESS Lot
CONTRACTOR DATE PHONE :
Determine working square footage of each.
1. Total exposed wall area 2,0~7•0 sq. ft. x .JJ~ = 2LG•-75
2. Total roof/ceiling area I ~Cl -,a sq. ft. x X02& = 2 ~
Total exposed wall area above floor = .1-7 28
a. Total wall window area ,;4.0
b. Total door area
c. Total sliding glass door area
d. Total fireplace gall area
e. Total wall framing area (average 10%)
f. Total net wall area above floor
g. Total rim joist area 2 14.1
c
Total exposed foundation area =
h. Total foundation window area
i. Total net foundation area above grade ..................C:
Determine "U" value of each wall segment.
a. X ,lUff~ _
2•'~~
b. a X flue . 0-7 =
7
C. Q:i
X `f U"
d. X fluff
lJ ee
X fluff
= ! J
f. 4 ~Jt .b X fluff .042.
g. X "U" 4-7
r
h. X fluff =
Z.
cG
0 X ffUff s~rJ t Ci; _ }
3 ......................................Total
If item # 3 is the same as, or less than item #1, you have met the intent
of SBC 6006(c)2.
l
Total exposed roof/ceiling area =
Total gross roof/ceiling area =
j. Total skylight area
k. Total roof/ceiling framing area • • • • • C .'4=
1. Total net insulated roof/ceiling area L ? .;<c
Determine "U" value for each roof/ceiling segment.
j- X ,lU„ _
r -
k. x fluff
-
lJ ~ .
4 Total = L i
If total of #4 is the same as, or less than X62, you have met the intent of
SBC 6006(c)1.
To utilize the total envelope system method, the values established by the
sum of items #3 and #4 shall not be greater than the sum of items X61 and #2.
3. + 4. -
I'
Roor/CEILING
• 2lYLI e
Construction
~f
yrU '
1• film 0.61
Interior air
3.0 2.
3 • ~i Fad=1CC=L/~~. I.+/•:,[ L. C.
• ' ~ ~j}~1~ ' 4. Exterior air film (still)
1 ~`1 111 Total
Venced Heat flow
up
FIG. 115
72 A
. film 0.61
• - 1, Interior air
• _ 2. 1 3 tC L. ~ -
vt~.~..~J~r•r'~ll:il: ~:a.L'_-r`4'?~F~R.~"t'~. ~.F' J. 1't t. •j: I~I r~"1 Lf
c , b I-
4. E~:tcrior aii _
• 4/f Total 1?_ - -7
02*
' ..vented '
);eac f loci up ~
FIG. {i6....'...
. 3 ~ ~ 5 ' u 1. Inside ai.r
• , • jai .P.. ``°•1 J • 3.
°~•a? , 4.
J • 5 . Outside air. film 0.17
Total
'
• Noce: Use additional slieets more -Paco is
needed for details and calculations.
Ilea t:
flow up
VTr• _ A7 -
vaye of 4
WALL :;l:C TIU11S
jTE: Use 10% of opaque wall area for
frame construction Construction R-Value
I 1. Interior air film 0.68
I, ~1 .2. 117"(f,.-P eS k~Da
3 3. 2X`f -57-L"6)5
6- ,d6-1
SIC 5. /~/•~12r D~c~aC.Y~ tt)12 >1Ui1t, e- 2 e
GALL Ia 6, Exterior air film 0.17
Total R =I2ti~!
FIG. 111 TOPVIEW OF
FrAtic VALL
Interior air film 0.68
2 r/I " G Yl~ I~ 2/a, y s
3. rUcL lv!'1 LL /!vSVL_
d
1.1 4. 3/y'' rvh+~`, $~.~c 6)
• ( - s.
FIG. 2 9r ~ O
0.17
6. Exterior air film
Total 21-5-0
0.60
- _ - --U Interior air film
2. Semi= w,•7~ c ~ ~ t 3..dU
11 }.i
V • I 5.. 5/~ "rt~o~va~ni~ n j/f=~N: c Cl
G.-Exterior air film 0.17
To tal g = ct
Interior air film 0.68
2.
4.
~_11 6. Exterior air film 0.17
' r Total
3
:G. $ FIG: 114 I(t r li--,
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION?
OWNER
SITE ADDRESS
CONTRACTOR DATE PHONE 97 1 ` L 7-
Determine working square footage of each.
1. Total exposed wall area fc')~ sq. ft. x
2. Total roof/ceiling area G2~-~ sq. ft. x e02(o = lt~ . < <
Total exposed wall area above floor
a. Total wall window area
b. Total door area 5
c. Total sliding glass door area C..C7
d. Total fireplace wall area
e. Total wall framing area (average 10%)..•...••••••••• 15 ? .-1
f. Total net wall area above floor 131`-
g. Total rim joist area ? C}~-
Total exposed foundation area =
h. Total foundation window area
i. Total net foundation area above grade
Determine "U" value of each wall segment.
a. X flint A-,
X it -7
C. cC~.LJ X IfUn l = t ~'i
d. X ?full _
E X „u„
e . , 087 =
9- X fluff
h. X fluff
X ,tuft j {(p = , j
3 ......................................Total =
If item # 3 is the same as, or less than item #1, you have met the intent
of SBC 6006(c)2.
Total exposed roof/ceiling area =
Total gross roof/ceiling area = 1~
j. Total skylight area
k. Total roof/ceiling framing area ....4C':.....
1. Total net insulated roof/ceiling area ~Ca.z
Determine "U" value for each roof/ceiling segment.
j. X fluff -
k. T X „u„ , 0 2 1 = i+
X fluff
4 Total
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1.
To utilize the total envelope system method, the values established by the
sum of items #3 and X64 shall not be greater than the sum of items X61 and #2.
1. + 2. -
3. j + 4.
ROOT'/CEILING
R~yLI 11e
Construe lion -
Interior air film O.G1
1 c- t.
3 . F 1 R>c= It L
~ 4. Exterior air film (still) U.G
Total f: 3 `1.5sU
Vented Heat flow
UP
FIG. 115
'12 A
• ' film 0.G1
1. Interior air
.y~.~. •,.l V~:'~'1G1 ~1-~_.~L/SC~_ ~ 7~`. 3. ~ ~C ~r '7'/(' Li~'.~ t-~ i ~ `:'t- i ~ ~ { r
4. Exterior air film•.(sti.ll r
Y
• / Total. -7
' .vented
flog up i
year
• •FIG. #~6....'...
U.G1
3 5 u 1, Inside ai.r filla
sad' P'' e • • r• 3 .
5. Outside air film 0.17
t Total
No e: Use additional sheets it more space is
_ reeded for details and calculations.
Heat
flow up
F. 7r,. a7
• 44ALL "XXT1U14S e dg a J of 4
MUTE: Use 10% of opaque wall area for
frame construction
Construction R-Value
1. Interior air film 0.68
.2. 112- P, r::5 -C- D
3 3. 2-Y 57C/(~5 /tc iiU~~ L/o 3u
4. 3fy'►FC>i1
BASIC f? C- Dcc.-vew L/-) /v s /ov A, G / r 2 O
.WALL l.~ 6. Exterior air film 0.17
Total k' = 1 2
FIG. #1 TOPVIEW OF U = e C?-/Y
FRI= VALL
1. Interior air film 0.68
2. 21, r G Y~ If y y
` 3. FvL L W,4 L L /;L< UL
Ti _-4. 31v Fv~fLt
FIG. ilt 2 5. "E I Foov L•~ h S / , U
6. Dcterior air film 0.17
Total/ `2 ~1JOS~
) .
I• J' I YJ y ~ V- o f J -1
/ Interior air film 0.G8
L Sit t..1( I;- I;I lY ? " 2. SIDE rcis;or C.
i.. hera1
III; 4./~=~~~,~
r s. S/cf 2 e
6. Exterior air film 0.17
Total l~ _ ?7,°r 3
71 UIC ii
Et1.
I n ,env\~
P' i. ~J 1. Interior air film 0.68
2. 6), e~7 dr
t• 3. c-:- cum cv~r~nr.vcic e y`/
4.
5.
6. Exterior air film 0.17
To to 1 a 2
U. a G7 Cl
t
_ /(!,l
G. 93 FIG. #4
1(( 01
l
o - l!(_ lit -
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 027915
(612) 681-4675 Date Issued: 06/17/96
SITE ADDRESS:
1998 GLENFIELD CT
LOT: 6 BLOCK: 2
DIFFLEY COMMONS
P.I.N.: 10-20450-001-04
DESCRIPTION:
STORM DAMAGE
Building Permit Type STORM DAMAGE
.Building Work Type REPAIR
''Census Code 434 ALT. RESIDENTIAL
REMARKS:
INCLUDES 2000, 2002, 2004 GLENFIELD CT
4062, 4064, 4066, 4068 BEAVER DAM RD
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. LIC.OWNER:
DU ALL SVC CONSTR INC 17889411 0003178 HOMEOWNERS ASSOCIATION
636 39TH AVE NE 1998 GLENFIELD CT
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.
APPLICANTIPERMITEE SIGNATURE ISSUED Y. SIGNATURE
CITY OF EAGAN
1 ,5
` 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Qenstruction Reauirements RemodeUReoair Requirements ,
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions
♦ 3 copies of tree preservation plan if lot platted after 711/93
required: es No
DATE: 4, b CONSTRUCTION COST:
%
DESCRIPTION OF WORK: L wlwm L(~"
STREET ADDRESS: 19 9 31 1000 ZMZ}7DOq t SD 2 g064 r eg R -
LOT 6 BLOCK 2- SUBD./P.I.D.
PROPERTY Name: Phone
OWNER LAST FIRST
Street Address-
City: State: Zip:
CONTRACTOR Company: 0 6 EitEtRVtCE!' Phone 06 ~A iNT (612) IAN 5540-1
r a-94111
License
Street Address:
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.
1 hereby acknowledge that I have read this application and state that the i formation 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
0 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool
❑ 03 SF Addition o 08 8-plex o 13 Garage/Accessory ❑ 20 Public Facility
0 04 SF Porch ❑ 09 12-plex o 14 Fireplace o 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 = plex o 15 Deck
WORK TYPE
0 31 New ❑ 33 Alterations o 36 Move
❑ . 32 Addition o 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNIIS 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 EngirldJIg' Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SM Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
CITY OF EAGAN FOR CITY USE ONLY
t 3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT
PHONE: (612) 454-8100 RECEIPT # /O
DATE :
?A PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
OWNER NAME:
SUBTOTAL: $
SITE ADDRESS: STATE SURCHARGE: .50
LOT: BLOCK SUBD. TOTAL: $
INSTALLER: '*IV
ADDRESS: SIGNATURE OF PERMITTEE
CITY: ZIP: a7 X <5 ' SRI! .:50
PHONE
00.i+1it4iAY/I3US'C`AS,.; 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. { \UTT 11 1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: r~. EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00 -
LOT:_ BLOCK SUBD. $25.00 MINIMUM FEE.
~ IL~Ly o
INSTALLER: CONTRACT PRICE x 1% $ r I~
RARE HTG. It AIC9
ADDRESS: 9= Pl MMM AAA. Na • STATE SURCHARGE $ ~
Golden Valley, M?L 55427
CITY: ZIP: I
,4 TOTAL: $
PHONE `f~ "
(S NA E)
FOR:
CITY OF EAGAN
wo(oa, LA Lc~, 3Z a Vlc-r
19q ate, OQ,CD'-~ (1,1enf%c_ d Cr+.
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #
DATE : !I gJ
1S.PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
NO. FIXTURES. EA. TOTAL
NEW CONST X ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00 '9.v
y BATH TUB 3.00 a,i
LAVATORY 3.00 -3 4 -
OWNER NAME: Lo KITCHEN SINK 3.00
~lu k'3 LAUNDRY TRAY 3.00
SITE ADDRESS: c c C) HOT TUB/SPA 3.00
WATER HEATER 3.00± -
LOT:~ BLOCK _2L SUBD. am 4 _J_ FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: \VJz'\~ly (MINIMUM - 1) 3.00 ~i
_ ROUGH OPENINGS 1.50
ADDRESS : Lrr t L Z t L -J OTHER
_ WATER SOFTENER 5.00
CITY: ZIP: 5 S PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE
SUBTOTAL $ l ~
y ST. SURCHARGE .50
SIGNATURE W PE I EE TOTAL: $
iMMECIl1!/NDgSTAIt PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL 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.
LOT: BLOCK SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
SEWER &~N ERMIT 'FICE USE ONLY
CITY CW 1±1kG ti. ! P R IT DATE 12/13/91
3830 Pilot Knott Rd. METER # E M
Eagan, MN 55122-1897 CHIP * Lj~ PERMIT # -_12
METER SIZE j ' SfAF kS. B.P. RECEIPT
1
DATE 12-~ ISSUE DATE /6 ` B.P. RECEIPT DATE 12/12/9
PRV BOOSTER PUMP
4062 4064 4066 4068 BEAVER DAM RD
SITE ADDRESS 1998 2000 2002 200-4 GLENF7T?t.n CT PERMIT REQUESTED
LOT 6 BLOCK -2-SEC/SUB Diffley Commns SEWER WATER TAPS
APPLICANT: The Rot-t-hind Co Tnr-ADDRESS: - 5201 E. River Read COMM/IND X- RESIDENTIAL
CITY, STATE Fridley, Mn. ZIP 55421 _)L NEW - EXISTING
PHONE: 571-0304
Lawn Sprinkler Meters are to be Installed
PLUMBER: Vag11S'y P1i~ Ahe f Domestic Meters on Water Line.
WESS: 4, 10 (`reek L.ane Cre it L NOT be give for Deduct Meters.
_,,~C* STATE Jordan, Mn. ZIP 55352
~PHONE: 4R2-2121
AGRE - TO CO PL WITH CITY OF
OWNER: Thg Rottl» CO_ Tnn_ EAGGAAN~ORDI NCES
ADDRESS: 5201 R_ R i yAr RrAd
CITY, STATE FridW, Mn- ZIP 55421
PHOW: 5712,0304 SIGNATURE WHEN METER CUED
PLt SE LLOW TW O KING DAYS FO PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM'
SEWER PERMITS, CONTACT ENGINEERING DEPT. r~ i.
y ;.a. A ° v' +r • 5-.:'n t :.za y: f ue r •ov1-1E't,..
SEWER & AkgR PERMIT ;OFFICE USE:ONLY'.. 4,
CITY OF'GAN METER # PERMIT. DATE 12/13/91
3830.Pilot Knob Rd.
CHIP # PERMIT # 2442
Eagan, MN 55122-1897,
METER SIZE B.P. RECEIPT #Q f ,
JSSUE DATE B:P. RECEIPT DATE 12/ 12/91
DATE 12`-4=91
_ PRV. BOOSTER PUMP
4062 4064, . 4066 4068 BBAWR DAM RD
SITE ADDRESS -1998:2000 .2002 2004 GLENFIELD CT PERMIT REQUESTED
LOT 6 BLOCK 2._SEC/SUB n3 c ?ristA % SEWER WATER -TAPS
APPLICANT: The Rottlund Co. Inc.
ADDRESS: 5201 & R9.yer Road COMM/IND _X_ RESIDENTIAL
CIT4, STATE Fridley, Mn. ZIP 55421 X NEW - EXISTING
PHONE: 591--0304
Lawn Sprinkler, Meters are to be Installed
PLUMBER:. Vallelr Rlumbindr: Ahea f Domestic Meters on Water Line.
ADDRESS: 4610 Creek- Lane Cre lt W L NOT be give for. -Deduct Meters.
w.
,r, rY-STATE Jordan, Mn. ZIP 55352
''PHONE: 492-+2121. , l
AGREE TO.CO PL WITH CITY OF.
OWNER: The RattlUnd Co Inc EAGAN ORDIN NCES
ADDRESS: 5201 E River Road
CITY, STATE EYiC Y, Mn. ZIP 55421
.PHONE: 571-0304 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
lf~ µ
CAM4 CEIPT .
[I - ALAN
' W d PILOT KNOB ROAD
EAGAN; MINNESOTA 55122
DATE
WORM
AMOUNT
177
` O CASH1 CHECK
D, OBJECT ,
AMOUW
k,
QY
VMS$
YeNow~-~P,geml~+y,Cap~
u+~•».~:. a.: _~...c: .i .,-..,a:,.-.,...tea. z,s_':.... .ia.z........~.:. i~.':......:...A..:., t~~~..~H....r~n..~~^..aw*~ao'~si"•ii
DATE: DEC 13, 1991
4062 4064 4066 4068 BEAVER DAM RD (THE ROTTLUND CO INC)
RE: 1998 2000 2002 2004 GLENFIELD CT
_ x Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE / 19
AEC= 't)// / / p V&411i a
0
AMOUNT $
A/U. 40y " DOLLARS
i ~ ,ao
❑ CASH CHECK
Fan ~ ' K~W~I
FUND OBJECT /AMOUNT
1 SS'
Thank You
BY
C 017781 white-Payers Copy
Yelbw--PosoN COPY
Pink--File Copy
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD /
EAGAN, MN 55122°
(612) 681-4675
Please complete for: all commercial/industrial buildings.
► multi-family buildings when separate permits are 1141 required
for each dwelling unit.
DATE: '-.3-- CONTRACT PRICE:
WORK TYPE: NEW CONSTRU ION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK: eazine.,f a/,o 4r, ,j*4 .1, c A.
FEES: $25.00 minimum fee QL 1% of contract price, whichever is greater.
► Processed piping - $25.00
► State surcharge of $.50 per $1,000 of gland fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER: A,V-
ADDRESS: Grp Zq-'
CITY: STATE: - ZIP:
PHONE
SIGNATURE.
IG URE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: single family dwellings
► townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
FEES
► Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
► HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
► Gas Outlets (minimum of 1 required aQ $3.00 each)
► State Surcharge .50
s
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE M
INSTALLER NAME:
STREET ADDRESS:
CITY: STATE: ZIP:
PHONE ( }
SIGNATURE OF PERMITTEE
CITY OF EAGAN
P830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 l t
PHONE: 681-4675
BUILDING PERMIT a Receipt #
To be used for 8*FU*X Est. Value $308.000 Date DEC 9 19 91
Site Address 1 XM WW 2M4 (11IF]1) Cr Lot 6 Block 2 Sec/Sub. DIFFLEY COMMONS OFFICE USE ONLY FEES
Parcel No. Occupancy R- it 't=1
Zoning PD R-44 Bldg. Permit 1 M.00
Name THE ROTTLUN-1) CC INC (ActuagConstV 1 HR Surcharge •9
LU Address 5201 E RIVER RD (Allowable) V I-111 Plan Review .00
z # of Stories 2 -
City FR I DL.EY . MN Zp 55421 Length 112' License
Phone S71-0304 Depth " SAC, City 8W•00
Name SAME S.F. Total 11.700 sac, Mcwcc 5 200• 00
Cr S.F. Footprints 6, 800
t Address On Site Sewage water Conn 5;280r00
city ZIP On Site Well Water Meter
Phone MWCC System Acct. Deposit
City water
License # PRV Required _ Sna Permit 30r
hereby acknowlege that I have read this application and state that the Booster Pump 5/W Surcharge .50
information is correct and agree to comply with all applicable State of 2.208.00
Minnesota Statutes and City of Eagan Ordinances: Treatment PI
Signature of Permitee ! APPROVALS Road Unit 2,960.00
A Building Permit is issued to: VIE ROTTLUND CO INC Planner Park Ded.
on the express condition that all work shall be done In accordance with all Council -
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official Variance TOTAL 18 •
- /311 ~8 a fa `'n l3 ~ s tricf, pO<" 3 s a
Permit No. Permit Holder Date Telephone #
%VV l ` rf/
PLUMBING 9
WAG
ELECTRIC 3~ - % 9 y 02,
ELECTRIC 6, / 5 Shc' ~i CID
1 -7/
Inspection Date Insp. Comments
Footings I
Foundation J~3 c Gc!G~
Framing
Roofing
Rough PIN.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final PIN. PIN. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final z L it
uh
Deck Fig.
Deck Final
Well
Pr. Disp.
(gri tratit. of wrru W4
fit of tai an
~r~rlrnrt~ of Idi~tg ~rc~prx~wm
77Vs CeWj%L tte issued pursuant to the regrarements.of Section306:Lif the'Uaiform BuiZ&g
Code cernfying that at the lfineof issuance this zwzure um in compliance with the. various
ordinances of the City regulating butt ng consrhucdon or use For the foilouRng:
Bldg Auma No Q9la7g
the O6amouion -"Nix
TYoe -icerri-Z-bsDWri $ Type Come- V 1- R
ownero Bmldmg ~'.-mo v-• Acorn 521 E RT31i ,
' ` +>r+tf ro T G 41...." T * ves. nww,rw,c. -
Y% 2 r
GENOEUD r'T.
POST IN A CONSPICUOUS PLACE
SITE ADDRESS 440 &.1
! Unit # Pemtit #
/9
L B Sect./Sub.
INSPECTION INSPECTOR DATE COMMENTS
Wl- S -2u-s z poo-~
tl 906 -Gy G6 -6~
a 7 -,if Z 61
1 z13 0 t old 6 z-- yon Y- ob ` e4 v
A _
IN1711~1 N~SP~CTOR DATE CONRNTS
to .r d. .Zvo$
ta~ do
-jF
9 2a~
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j~ rt tl Y'.•
as Vol. AAA
~19~9
w 0
fr r' rr `
r
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: efJ x x f+f1
3830 Pilot Knob Road Permit Number: 02 7 916
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ' , to t e F, 1. ;APPLICANT:
194;1 tai I N1~ tf" I. fl u -I 00 At I SW CONS 7p 1"(,,
! I l t t' 1, f. Y r IJ M1 M t;1 ff S { ti .f. ? i' I3 H A it 1
PERMIT SUBTYPE: TYPE OF WORK:
Tc)ftMl 0AMAti4 REPAIR
D SCRTP11 too 'yTpMtfy SApABE
FRAM INti kCe11f 1f IN
pf ti(f
ft 006ff IN 1116 4 F C N!1 k.
11tPARV,,-, 1Nt l tl1iF!~ ;'tMO~}. ~?f)tD:'„ ?t~il+9 ix 1,e NF t'f'.I t3 I-
11
T 7",
j ~ F
Permit No. Permit Hadar Date TeMpho" #
ELECTRIC
PLUMBING
HVAC
Y~peotKon Date Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
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
919 02- 1011405
J S01~a °O
Request Date f".0 Rough-in Inspection
D Required? 0 Ready Now ill Notify Inspector
- to " f' y~s G No When Ready?
I ZIlcensed contractor Downer hereby request inspection of above electrical work at:
Jotf Address (Street. Box or Rout No.l q City
Section No. Township Name or No. Range No. CoupW
Occupan PRINT) Phone No.
Power Sup er Address
~j ' ~
Electrical n ctor (Company N e) Contractors License No.
Mailing Address (Contractor oZ0Mkmg Installation)
Authorized Signature IComracto wrier Ma - Install atl0ri) Phone Number
"IRA
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.
/CJ/rJ REQUEST FOR ELECTRICAL INSPECTION ffp1e ° EB-00 01-088
► See instructions for completing this form on back of yellow copy. '3;_
J p X" Below Work Covered by This Request
New Add Rea. Type of Budding Appliances Wired Equipment Wired
1XI Home Range - k 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 / 0 to 100 Amps Q
Transformers Above 200 Amps Amps
Signs Inspector'. Use Only: Q TOTAL
Irrigation Booms s
Special Inspection
Alarm/Communication THIS INSTALLATION MAY B,&tDE [SCCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 his.
1, the Electrical Inspector, hereby Rough-in r e
certify that the above inspection has Final ' Date
been made.
OFFICE USE ONLY
This request void 1B months from
1/ i/ rte--. /41-1 y yo 5
13 8 0 2L L
Request Date F' GQ. ugh-in Inspection
squired? D Ready Now C~Vliil Notify Inspector
( ^O Yes ;1 No When Ready?
Incensed contractor D owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Rout No.) City
,^'Z r- > 0 4 ~)tr~f
Section No. Township Name or No. Range No. County
Occupa (PRINT) Phone No.
Power pker Address
a-~ . L L,
Electric Contractor (Company Name) Contractor' License No.
Mailing Address lCo~ntractor or Owner Making Installation)
Authonzed Signature IContractor weer M mg installation) Phone Number
MINNESOTA STATE BOARD OF ELEC (CITY 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.
REQUEST FOR ELECTRICAL INSPECTION N~ EB-00001-08
_ ► See instructions for completing this form on back of yellow copy. g! io ~o S
J j
'?C" Below Work Covered by This Request rAewdd Rep. Type of_Building A pliancesWired Equipment Wired
Hom_e_ _ Range Temporary Service
Duplex Water Heater Electric Heating
_ Apt. Building Dryer Other (Specify)
_ Comm./Industrial _ Furnace
FarmAir Conditioner
Other (specify) Contractor's Remarks
Compute Inspection Fee Below:
#T _Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Ab 100 Amps
Signs Inspector's Use Only: TOTAL l--
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE RED DISCONNECTED IF NOT
Other Fee _ COMPLETED WITHIN 1 HS r
I, the Electrical Inspector, hereby Rough-in J Date
certify that the above inspection has Final Date
been made.
OFFICE USE ONLY
This request void 18 months from
V/ VIP_
J 13849 ~
Request Date o ough-in Inspection
ttRegr' ed? -jr] Ready Now II Notify Inspector
tD Yes O No When Ready?
i; censed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.) City
Section No. Township Name or Range No. Cou
Occupa (PRINT) Phone No.
Power 75r Address
Electr I Contractor (Company Name) Contractor§ License No.
-3
Mailing Address (Contractor or 0AYner Making Installation)
Authorized Signature (Contrac dOw r king Installat n) Phone Number
MINNESOTA STATE BOARD OF E ECTRICITY THIS INSPECTION REOOUEtSTT 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
REQUEST FOR ELECTRICAL INSPECTION $ EB-0oo01 -08
/ ► See instructions for completing this form on back of yellow copy.
`X" Below Work Covered by This Request
ew Add Rep. TypeofBuilding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractor'; Remarks:
Compute Inspection Fee Below:
At Other Fee # Service Entrance Size Fee # Circuits/Feeders F
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Amps
Signs Inspectors Use Only: TOTAL„ `
Irrigation Booms /v"s
Special Inspection
Alarm/Communication THIS INSTALLATION MAY DE SWNNECTED IF NOT
Other Fee COMPLETED WITHIN 18 1 _2
NT
I, the Electrical Inspector, hereby Rough-in • to
certify that the above inspection has Final Date
been made.
OFFICE USE ONLY
This request void 18 months from
i/ y/ yam- ~a ~ yos
Request Date F' .ugh-in Inspection
iequ~red? CJ Ready Now ill Notify Inspector
7 es [2 No When Ready?
I - icensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street. Bozo Route No.) City
t) C) aw~ Section No. Township Name o. Range No. Cou D~4&t&
Occupan IPRINT) Phone No.
Power tier Address
Eledtrlc Contractor (Company Name) Contractor§ License No.
Mailing Address (Contractor or ner Making Installation)
A1Lthonzed Signature (Contract /Owne a g Installatt ) Phone Number
L -3$ ~v
MINNESOTA STATE BOARD OF ELE TRICITY 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 % Ea-0
See instructions for completing this form on back of yellow copy.
~ 4 t
X" Below Work Covered by This Request`
New Ad Hop. Type of Building . Appliances Wired Equipment Wired
Home Range 21 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 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only. TOTAL
Irrigation Booms ?SCONNECTED Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD D IF NOT
Other Fee COMPLETED WITHIN 18 S. r
1, the Electrical Inspector, hereby Rough-in te
certify that the above inspection has Final Date
been made.
OFFICE USE ONLY
This request vo+d 18 months from
/ Y `9 r~- 149.5 X4!25
1 846 0'&a dd~'
Request Dale Fi ugh-in Inspection
/ ;l- ❑ No E) Ready Now P4011 Notify Inspector
When Ready?
Iicensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route o.> City
406 A
Section No.
Township Name or No. Range No. Co
1 -6"
Occup
(PRINT) Phone No.
P"~
Power plier Address
L
Electri (Company Name) Contractor's License No.
~ 4;4).2 - 3
Mailing Address IContraridr or Ow er Mak rig Installation)
a~YV
Authorized Signature (Contract (Owner a ing Insiallatr j Phone Number
3-S~a
MINNESOTA STATE BOARD OF ELE TRICITY THIS INSPECTION REQUEST WILL NOT
Cyigg"Idway Bldg. - Room 5-m 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 ,fN
1=s-0oool-os
r Ili- See instructions for completing this form on back of yellow copy.' j 3- 1 a "X" Below Work Covered by This Request
New Add Rep TypeofBuilding Appliances Wired EquipmentWired
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 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspectors use Only: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY B . R CQNNECTED IF NOT
Other Fee COMPLETED WITHIN 18 S.
I,,the Electrical Inspector, hereby Rough-in r
certify that the above inspection has Final Date
been made.
OFFICE USE ONLY
Tiros request void 18 months from
O o
.113847 /CPa os
1
Request Date hl. ough-in Inspection
1 Required? ❑ Ready Now oETWIII Notify Inspector
r1 ~p ' .es G No When Ready?
I 7licensed contractor p owner hereby request inspection of above electrical work at:
Job Address (Street. ,B,ox or rQute No.) City J~
W 0-ti1-',' 16,11 F 1-
FL/ , Section No. Township Name or No. Range No. Co(lurrj)< e
Occupa PRINT) Phone No.
V
Power S npi Address
Electrical ntr toa (Connny Name) Contractort License No.
3
Mailing A ress (Contractor or Owner Making Installation)
Authorized Signature tContract Towne d kmg Installati Phonee Number2e
MINNESOTA STATE BOARD OF E ECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
18%1 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
► See instructions for completing this form on back of yellow copy. 3" ~~,Sfs
J aI X" eels w Work Covered by This Request
ew Add Rep. TypeofBuilding Appliances Wired Equipment Wired
Home Range 7 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 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector'; Use Only: ~j - TOTAL
Irrigation Booms 1 r4~~
Special Inspection (J
Alarm/Communication THIS INSTALLATION MAY BE O DERED CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MAKI~ it
I, the Electrical Inspector, hereby Rough-in a
certify that the above inspection has Final -i Date
been made.
OFAICE USE ONLY
Thy request void 18 months from
J~y3~ 8 4 8 Alf J AG°°
Request Date t~IB- Rough-in Inspection
Required? ❑ Ready Now ~F`Mill Notify Inspector
V~ / (s Cl No When Ready?
1 [Zlicensed contractor owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Ro No.) City
l J Q/
4
Section No. Township Name or No. Range No. County
Occupa (PRINT) Phone No.
Power Supphe ~ Address
Electra I Cqn actor (Company Name) Contractor's License No.
Mailing Address (Contractor or er Making Installation)
Autho zed Signature a Co ract OwAei Milking Installatio) - Phone Number
MINNESOTA STATE BOARD OF ECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S173 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 INSPECTIONS ea-o 01 oa
` ► See instructions for completing this form on back of yellow copy. ~O T 7 O S
j "X" Below-Mork C,pvered by This Request '
New 'Add Rep TypeofBuilding Appliances Wired Equipment Wired
Hdtne Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specity) Contractor's Remarks.
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: TOTAL f J
Irrigation Booms 6 6
Special inspection /(J_
Alarm/Communication THIS INSTALLATION MAY B ORDERED CONNECTED IF NOT
17( ther Fee COMPLETED WITHIN 18HS.
I, the Electrical Inspector, hereby Rough-in e
certify that the above inspection has Final ; 7s7 t Date
been made. /
OFFICE USE ONLY '
This request void 18 months from
o0
J/f3~45
Request Date No. Rough-in Inspection IC7 7 I Pequired9 ❑ Ready Now~B Will Notify Inspector
v? ^LZfes 71 No When Ready?
I 2ricensed contractor D owner hereby request inspection of above electrical work at:
Job Address (Street. Box or R e No.) city
4() L
Section No. Township Name or No. Range No. cou)Vy
G
Occupant RINT) Phone No.
Power ~t~ r ~
Electnc Address
a\/irW\o)~tr tof (Company Name) Contractor's License No.
ua~__ 4-23
Mailing Address (Contractor or Osiner Making Installation)
Authorized Signature (Contra "l r long Installati ) Phone Number
MINNESOTA STATE BOARD OF 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.
REQUEST
FOR ELECTRICAL INSPECTION EB-00001- a
See instructions for completing this form on back of yellow copy.'
lb- ~ /t~~L4o5
J X" Below Work Covered by This Request ~
New Add-71.090 ypeofBuilding Appliances Wired Equipment Wired
'NIP some Range' a 'f Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./industrial Furnace
Farm Air Conditioner
Other (specify) Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: TALL
Irrigation Booms /rte s~.0
Special Inspection !
Alarm/Communication THIS INSTALLATION MAY BE OR~yjpCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby Rough-in D
certify that the above inspection has Final Date
been made.
OFFICE USE ONLY
This request void 18 months from
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date / `2 / ~ j
Site Address 4~%(() 61 115~~~~/~ Unit #
Property Owner I 1 I i'a Telephone # ) qC1 U y Y/
Contractor
Address City
State V f 1 r]/~ CJ I Zip Telephone # ory p 3 7
The Applicant is Owner Contractor Other
Septic System _ New - Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
Adding fixtures to lower levels or room additions, excluding water softener and water heater
Abandonment of septic system
Water turnaround 5/8" meter if needed - $121.00)
Other:
RPZ _ new installation _ repair _ rebuild $ 30.00
Lawn irrigation system
Water softener -..C Water heater $ 15.00
replacement _ additional
F EB 032003 $ .50
State Surcharge
Total By $
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 with the Plumbing Codes; 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
ap roved plan in the case of work which requires a review and approval of plans.
Vfl
Applicant's Printed Name Ap I Signature
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date -1 / A- / 6 q
Site Address 61 'Dcyv~ -'d Unit #
Property Owner k -3 C6 co Telephone # { J 1) a -1-[ - LA<? L 1
Contractor t sti 101~~1
UL:d
Street Address lqoli Vm~
City
State Zip S 3 Telephone # Q5 )1 J~ , -7-7
Bond Expires:
The Applicant is Owner Contractor Other
30.
00
Add-on or alteration to L
furnace Replacement
air exchanger
Jcernent
air conditioner other
State Surcharge $ .50
Total $30-50
1 hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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.
h A IJ
Applican s Printed Name Apptcan% Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commercial industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date 1 /
Site Street Address Unit
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( }
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is Owner Contractor Other
Work Type
New Construction Underground Tank Install Remove 'see below
Interior Improvement Install Piping -Processed Gas
Nature of Work:
"When installinglremoving underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installatimhemoval
ffkftam r (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If hermit fee is $1,000 or less, add $50 = $ State Surcharge
If permit fee is over $1,000, add $.50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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 approval plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector Date:
0611712014 15:05 Les Jones Roofing, Inc. �AX�528817009 P.007/020
Use BLUE or BLACK Ink
� FOr OfflCe U6e �
. • j Permlt�: ����� j
Cit� of �a�a� � Pennit Fee: ` /.� ;
3830 Pflot Knob Road � �
�agan MN 6612� j Date Recelved: �
Phone:(661)675-5676 I I
Fax:(651)875-5694 . � S�ff� �
I I I
`---_._.....�..������r��.J I
I
2014 RESIQENTIAL BUILDING PERMIT APPLICATION '
Nv6� - y0�.�!- 4oL� — 4ora8 f3� v�� Ro�FD
Date: l/ �7 Slte Address: /99k-.?oav- 2 0�2- �vo� G-��,� Coua.� unit it:
'>:. _�,::�:::;<;':.;<,;�,;��;,;�,;,,:.,..
'��'�f'�;`. `"`",..`,';�' ,-:�'K Neune: yo P�eoPa2ry c,a��E 6ntc.. Phone: 65�� ss-s/- 99yy
;.,. '�'`;,���;=.,, :.. .:;:..:;.. :
�'�:;�.�g:��dQ n�l';-;`.,';,_�
:������''"°,���yiine�:s;� ::,r;: Address/City/Zip: �P O. 6o x 2�Z 5 /Nv�Cr�v� � /l� 9�
..; ,.; ; .cr,;.::s.,,,,. -;
:: . i`;:;
";';,: c`;;;:'r;"; � :�;;�� X Contractor
;�;y :,;;, Applicant is: Owner
.�.;,,';:..,. .,:..`,,;.;".' :'. ...:
Y: .''�'.f�,Y�yi.'::,iri:,',�:,�,�=',ni.,;;�',`j�.
'��,��,<<;°,�Fss�4,`';``�•,�;.•rt'��` - Description of work• �4�iKOVE' .4iY0 �P{�,q�r� sD/N�.
:T�!p;��;of�;'�yVp;t'k;'�' �
;;f. ...;r;.: . ;. .'`'� 1p f S
�k- ::°�.�;1':: -�`��;�;';� �`� Constructlon Cost: 1 I a3. Mutti-Family Building:(Yes x /No�
�z�:�: .{ ��:;c:.�<c•, >��-��-,�i:.'•
�h;;>:' "�_r l�Ji.�-�l;:•.:i
:, ;%',;i c:.;:.,.�r,:r�•�`.`:;;�i,�`- Company: �E5 Ra�{In/lr /NG .G �ada.so�
,g�, ��i°� ;�:;;?: �T N Contact• s�i�r s
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�";s � .;:.`:> State;�zip: .�,5''��D Phone: 95.1-- (v "a?
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`;; ,;�;`;-,�`�;,,,`;.;; ;���.,: �f0 3 'J.7
�?�;�,;.�,�; =�;�•'� i�:i'- Llcense#: �.5�(00 I..ead Certlflcate#: .U.4T —/
If the project is exempt from lead certlfication, please explaln why: (see Page 3 for additionai lnformation)
COMPL,ET�THIS AREA ONLY IF CONSTRUC7ING A N�W BUILDING
In tha(ast 12 months,has the Clty of Eagan Issued a permit for a almliar plan besed on a maeter plan?
� ^Yee _No IFyee,dete end address of inesterplan:
Llcensed Plumber: Phone:
Mechanical Contracto�: Phone:
8ewer&Water Confractor: PhonO:
��fi.;;'NO �:►?(?n��a�WG;su'""bj;fl�t �`alddii.,.�ent�ill#'� ..ot�,'�Uti�(t=aXB:'�dlt�`'I"�'�`� b�� bl��l,��. riXf1�����p�.,/,;-'�;Cs'(�'►tloh�,�b1�'i�-:
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CALL BEFORE YOU DIG. Call Gophar Stam ono Ca11 at(661)464-0002 for protectlon age�net unde�ground uUliry d�mage. Call 48 houB
before yau Intend lo dig to recefve locates of underground ulllMlee. wuuw.000harsteteonecall.oro
1 hereby acknowiedge thet thls I�fortnallon Is compiete 6nd 6CCUr9fe;th9t the wiork vuili be In confotmBnCe wllh the ordlnances and codes of fhe Clty of
Eagan;that I underatend ttNs Is nat a permlt, but only en appliCGflon fo�a permlt, and wo11c(e nOt l0 etan wlthout a permih,thal(he work wlll be In
�ccoNance wlth the approved plan In the case of work which requlree e reV18w 6nd epprovel of pi6ne.
Exlarlor work authorized by a bull�ing permit Issued In accardanCe Wlth th@ Mit1t196ota Stflte Butlding Code must ba complated wlthin 180
deys of parmlt Issuance.
x cf{��2rs f�M0�2s'a�1/ x�(�� .G�s-���'
AppllcanYe Printed Name AppllcanYs Slgnature
Peae 1 of 3
0211912014 12:33 Les Jones Roofing,Inc. �A��9528817009 P.0071020
Use BL.U�or BLACK Ink
�------�----------
• � For Olflco U�e �
j ��� I
� R�������� � Permit#: �
� �
� C�ty of a�aIl FEB 1 9 Zp�4 1 pertnll Fea:_ ��
3830 Pllot Knob Road �
Eagan MN 55122 � Oate Recelved: i
Phone.(851)676-667G
�ax:(651)676-6694 . � S�� j
V���___��..��������J
2014 RESIDENTIAL BUILDING PERMIY APPL.ICAT�oN �.-r��
yA6�, yA6�1,�06G�.�f068 Bt�s+✓E,�- AAM R�p °
oate: � �9 slte Address: / o �oo !r E c unit#:
y. �..,,;,,��:,a.W� �_��,;,.r,g,:,�yr(;�R�.:
�;����i;���a;,�;�, ,5�i; ,:<�,"'���` IVame: �10 P�eoP�2ry GA-,�E. nic.. Phone: �vs�-- �.f t/- 9y'yq
t^�1 € ' � �5.,�'.. .y .. _ _
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� r.,�.� �'c �'�; Address/City I Zlp:
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1. ;r� ���x ,�., �i
���: y�a�� f.�`��� ����n',N Appiicentis: Owner X Contractor
;�;..,,�
"' '�4r�;:;;��, �.'%p.'..'�' ,M
• `+<:r, '' �~v '�'" �° DeSCl�p�lOfl Of WOfk: ��MO E DD� �' R D02.•�
�����!ap����'�4�k�" c�
;,� �,
,�� +'::�'.���� `, `��''rtia� Constructlon Cost: 3$ ���• Multl-Famlly Bullding: (Yes X /No�
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r,� •. I�.� '.., .,H���� � / .
�r' � �DE�25o�/
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�k�a� �` . � ;r. _
�j �''S<a.a:
�,��'�'`1i�'' �X���� ,' �A.,��'�� Address:�Yl 1_N. �d� �'l,¢-r.�~ City- �l.oc��.��
�-��'tS�����t ��Q��, �
:. r ��-a� !•, "
p��, ��` yg",`�°>`";i, �:.'r� State:_ 1�ZIp: 4c�2D Phone: 9'S.�- 76 7-a8/9
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'�`);�j.�''���l�S�V'���.�""'^a� Licenee#: �.�/c� Lead Certificate#: .UA9"� `f 0 3��?—/
:�k:l: ,.:tii�. a,.. S. t, — --
If the proJect(s exempf from lead certiflcatlon, piease expialn why: (see page 3 for additiona)Informetion)
COMPLETE TWIS AR�A ONLY IF CONSTRUCTINO A 1�W BUILDINO_
in the last 12 montha�has the City of Eagan lssued a permlt fo�a slmilar plan besed on a master plan?
_Yes ^No If yes, date and address of master plen:
Llcensed Plumber: Phone:
Mechanlcal ConVactor: Phone:
Sewer&Water Confractort Phone:
�..�a.� <r 'P��"n ; �r ,��1"�,c��h;e,.�'�`°'.�t��� a��.�'b����i�,�a: ��F�r ��, 's'��.., �i:,��(��'��'"�`n't.`��h ;�a ��'�P�o� �ns`� 1�z.�
p��.,r'k�'�1��' ���1a';r,n;a�r '�1 sl� �t��'1T"d� ��`"by�l�f Y���1.�a/�CP�d�,�p�c�fl�r� ���,'�s�.�.d,,�u)d�p'",�.�?t,t�i�;.�`�t �Q,r��$
`T' ',�l , ,� �, � I�� r � ,� 'A� � K ,,(� '�.y� ..t. S�°,.7i` �!s�"u;,yp���,f �� r
1�'n yy��j� .^ M;' I, y� �? I * 1 1. j q � �r`. '! � �er�/1 R M�7" 1 nF"'�'�Y�
�� •y J 11.'r„�'�YI N°.!:,.f:J ' �:�, l� .. ^'r� r;zl.. ��'� '�9:'�. �W.�Q���'��i� � `�Y:...�,.' S�l,�i.:..° ,7 '"'GG._ t4��^' �,:n'1,�'L:.,, �-,. t!"�.�4'>', n;;: �: ',
1k�i'-.al
CAI,�BEFORE YOU DIG. Call Gophar State On•Call at(ss1)45d-0002 for protedion ageinet underground utllity damaae. CaU 48 hours
before you intend to dlp lo receive locatea of underground utlllUea. www,,gocherstatoonecau.ora
I heroby ecknowiedpe thal thle Informatlon Is complete and eccurete;that fhe work wlll be In contormance wlth lhe ondinencee e�nd codee of lhe Clty of
Eagan; that I underetend IPds le not a permlt, but only an appllcaUon for a permit, and work le not to start withaut a permlt; lhat Ihe work vulll ba in
eccobance with the epproved plan In the caae of work wnich requiroa e revlew end epproval of plane.
EXterlor work euthorizad by a building parmlt Isaued In accOrd�nco wlth tha Mlnneeota Stete puliding Code must be Completed wilhln 180
daye Of permlt Issuence.
x Glfk�s f�ND�SO� x�(����� .G��-`*��'
Appllcant's Printed Name Applicant's$ignature
Peae 1 of 3