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4792 Beacon Hill RdCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4792 Beacon Hill Rd Lot: 49 Block: 6 Addition: Beacon Hill PID:10- 13500- 490 -06 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Mike Stroede Contractor: Great Lakes Window & Siding 14650 Glenda Dr Apple Valley MN 55124 (952) 891 -3400 Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: When installing ventilated soffit material, remove existing soffit mate take steps to ensure maximum ventilation into attic space. BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - $88.50 $1.50 Total: $90.00 Owner: Curtis R Sticha 4792 Beacon Hill Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: al (i.e. debris that could block vent openings) and 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA084854 07/31/2008 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4792 Beacon Hill Rd Lot: 49 Block: 6 Addition: Beacon Hill PID:10- 13500- 490 -06 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767 -1000 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Electrical Inspector, Owner: Curtis R Sticha 4792 Beacon Hill Rd Eagan MN 55122 $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA085241 08/13/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4792 Beacon Hill Rd Lot: 49 Block: 6 Addition: Beacon Hill PID:10- 13500- 490 -06 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Great Lakes Window & Siding 14650 Glenda Dr Apple Valley MN 55124 (952) 891 -3400 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: When installing ventilated soffit material, remove existing soffit mate take steps to ensure maximum ventilation into attic space. Owner: Curtis R Sticha 4792 Beacon Hill Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: al (i.e. debris that could block vent openings) and $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA085855 07/31/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State 2004 RESIDENT;IAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ? New Construction Reouirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 capies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preserva6on Plan 'rf lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units RemodeVReoair Reauirements 2 copies of p4an 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate if on-site septic system Date ? / ? Construction Cost Site Address Li 2 eaCQ(4 f 0 li UniUSte # 4 Description of Work Lsts"P- W V/ Multi-Family Bldg _ YN Fireplace(s) ` 0 2 Property Owner K t,f un? C? R fi j:Tj Ch& Telephone #( bQ) 1D b?- 9 ? t)q Contractor Ct N(h Address 14teso i City v4 ll"t State A4 19 Zip Telephone # (%) -? ' 3 4 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUfLDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet + • New Energy Code Woricsheet (4 submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ fee applies. Licensed Plumber Telephone # ( Mechanical Contractor r- ?i-a-TF- ? t's ? Telephone #( Sewer/Water Contractor Vr o 2004 Te4ephone #( N If so, 25% plan review I hereby apply for a Residen* .Btrff&Kg?Termit 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 State of MN Statutes; 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. CA- Applican s Printed Name Applicant's S ature i? -092 0-0 7 0- o?o a s Reques Date N Fire No. R ugh-in inspection Required (Yyu must call inspector when ready) inspection Other Than Rough-In ? Ready Now gWilt Notify Inspecror El Yts No Date Read 1licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City Section No. Township Name or No. Range No. County Occupant(PRINT) Phone No. i rx"s 77_1:?n,? LAS . - ? 0ower Supplier Address Electrical Contractor (Company Name) Contractor's License No. t ? l ? ?r•? ~ ? ? Mailing Ad ress (Contractor or ner Making Instaitation) Authorized Signature (ContrectorlOwner Making Ins I1ation Phone Number MINNESOTA STATE BOARD OF ELECT TY Idl" THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-128 BE ACCEPTED BY THE STATE BOA 7821 University Ave., St. Paui, MN 55704 ' - UNLESS PROPER INSPECTION FEE Phnne /R791 RC9-OAfltl . Fnin nc?n ISRD S j? 161¢) REQUEST FOR ELECTRICAL INSPECTION ?E/s-oooo///i-os `' l `See instructions for completing this form on back of yellow copy. ` 17" C5 - ?? lb s7 "X" Below Work Covered by This Request (40 Ne A dd Rep. Type of Buiiding 'App?+ances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./industrial Furnace Other (Specity) Farm Air Conditioner Other (specify) Contraaor's Remarks: p Compute lnspection Fee Below: NO OP1'iN 4,10-r-cs 19'-6t L.iardie.f jz-fJPW-0 # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee • Swimming Pool 0 to 200 Amps 1 4/ 0 to 100 Amps 'Y..p Transformers Above 200 Amps 100 Amps SignS Inspector's Use Only: ?? TOTAL Irrigation Booms ?? 24: ? Special inspection j" . Alarm/Communication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. J?.OrJ'U i, the Electrical Inspector, hereby tif th t th b Rough-in Date cer y a e a ove inspection has been made. Final t Da ?' OFFICE USE ONLY This request void 18 months from , - Ttiis request voidC?' ( `f- q ?'ax-C' 1$ months from d T ?5-5747 R(x',7uest Date Fire No. Rough-i 1nsVection ReQU' cn? - ?Ready Now iil fVotifv, Inspec- Y ? s ?,QNo e , tor, When Ready Licensed Electricai, Contractor , . - ..; I herebv requesi inspection ot above ? Owner el Ni ki l l d ec ca wor nsta at: . le Street ddress, Box or R ute No, Cii eetion o.-.. -TownshipName or-No. Range No. County?. . k Oc ant (PRINT) U sE4 r d ' 0- b ? -F- Phun No tPower Supplier Address,? EVectricat Co ?a'?t+y ,?nprny Namei Con act .'cense tVO: MailingAddress {Gl ? Authorized 6i,(Co a i } sta t`atit) ., ?? ?? PhoFle Number - '? r d :.3 ;,SGr•4 MCNNE$OTL1 STATE BOARp OF ELECTRIC TYR'4?' THfS INSPECTIpN REQUEST WICL NOF Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STA7E BOARD , 1821 UniversitY 61ve:,. St. Paul, MN- 55104 UNLESS PROPERINSPECTIQN FEE IS _ Phone (612) 297_2111 ENCl4SED. REQUEST FOR ELECTRICAL 1NSPECTION T ??" 7???7 ' See instructions for compieting this form on back of yellow copy. ,?' : "X" 6elow%Work Covered by This Request i EB-00001-03 ?? 1 ? New A d Rep. Type oS Building Home Apptiances Wired Range Equipment ired W Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. k "FLirnace Sifo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tanl< FartY7 Other pecify Other (SVecify) ther SpeciFy Other Other ompute lnspection Fee Below 5„;0t, # Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits 0 to 100 Am s 0 to 36 Am s to 30 Am s 101 to 200 Amps .? 31 to 100 qmps 31 to 100 Am s am& A e 2 s Above 100-Amps Above i OO-Amps T or Remote Control Circ. "-C=7 Partial/`Other Fee ' Special Inspection L? i R ? 7vfl TOTAL F prj l Raugh-in ? Date ?? 1. the Eiectr?cal , t Inspector, here6y 19- ? certify thatthe abnve Finai Dat, inspection has been ? made. This reouest void 18 months from CITY aF EAGAN 3795 Pi{ot Knob Rood Eague, MN S5122 NO s$0r? PHONE: 454-8100 BUILDIN - ? G PERMIT Receipt # -? ,-.- To be asee for SF DWG/GAR Est. Volue $57,000 Dote . August 11 t 9$1 :z. 5ite Address _.i,.792 $e8ofln Ni 11 $ogd Erect XJ Occuponcy R3 Lot 49 Block 6 Sec/Sub. BeaCan Hi11 Alter 0 Zoning PD Pcrcei #_ 10 1 500 490 Ob Repoir Q Fire Zone v? Enlorge p Type of Const. W Name S?8?j1@ eATl3t2'l1CtiOZ1 Move p # Stories Z Address 1547 Clemsen Gt. Demolish ? Length t+4 9 Ci ESgBIi 55122 pfione 1?5l+-71f05 6rode p Depth A8 Sq. Ft. o Name _chmpr Approvols Feea Address r- r:... Nome _ Address 1 hereby ocknowiedge thot { hove reod this appiicotion and stote thot the informotion is corre t and ogree i camply with o!I applicabie Stote of Minnesota otute e&d'?Qty I Eogon Ordinonces. Signoture of Permittee A Building Permit 2done d to111 Sill ail work shall be accoith eBuiiding Officioi 1- Assessment Permit 3U4 - UO WaYer & Sew. Surcharge 2$•50 Police Plon check 152•00 Fire SAC 525•00 Eng. Woter Conn. 5•00 Planner Water Meter 60•00 Councii Road Unit lgi-ao Off Bidg , . APC Totol 6nstrtlr!tInT1 on the expreu condihon thnr Stote of Minnesotu Statutes and City of Eogan Ordinances. Permit No. Permit Hoider Misc. Permit No. Holder Piumbing s? ?k ?'t,??<<? H.V.A.C. i?D}1?.Y-'S Weli Water Disp. er lectr ic r "r"5 ? "7 ?ection n Date n insp. Other Footings Foundation Framing 4" I i Rough Pibg. a Raugh HVAC .,2:?' GLJ fnsulation Final Pibg. Final HVAC Finai Water Dsscribe Lacation: Weil Sewer . Pr. Disp. r , (?pdiffirtt#.e of tOrrupttrcril Cttp of tEagan iBrpttztmpttt nrf Butiling Jnsprr#inn This Ccrti f icate i.rsued pursuant to tbt requirrments o f Section 306 o f thc Uni f orm Building fale certi fYing that at tix time of itsuantt thit ttruttusc was in compliance urith thc variou.t ordinancet o f the City segutating building conttruction or u.a. F4r the f oClowing: o« cmi&.a?_ SF DWG/GAft elag. rerTWt xo. 6807 Oc-ei-r rrpe R3 Tra c-+;- vn MA zoaft visui« PD O,,,,?of&Ad;,6 Sunshine Const. ,,dd„u 2547 Clemson Ct., Eagan 1 ??--' September 25, 1981 . rCS* ?n w cor?ancuoua ?uce -. . . . LIino+N u.5.a CtTY OF EAGAN No- 10 3 5 6 3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt * ?? 3 G' To M mad fer SCREEN PORCH Est. Voiue $? 0 0 Dnte JUNE 5 19 Site Address 4792 BEAC0N HILL R? Lot 49 glock 6 seclSub. $EACON HILL Parce! No. W Name GLENN L DETLEFSEN ; Rddress SAME b City Phone 454-8279 ? Name SAME Address ? City Phone Name _ Address City _ Phone Erect LX Occupancy Remodei ? 2oning Repair ? Type of Const. Addition ? No. Stories Move ? length Demoiish ? Depth Int Impc ? Sq. Ft. Instali 1:1 Approvais Ftes Assessment Permit :?1.3 . U U Weter & Sew. Surcharge .50 Poiice Plan Review Fire SAG Eny, Water Conn. Pionner Water Meter Cpuncii Road Unit Bidg. Off. 4/2 6/85 Tr. Pi. APC Parks Var. Date Gopies rotel- $13, 50 an the express conditfon tha+ N nne e 5tptutes and City o3 Eaqon Ordinonces. i hereby acknowledge that i hove recd this oppiication cnd stcte that the informotion is correct ond ogree to comply with alt oppticobie State of Minnesota Stotutes ond City of Eaqan Ordinar,ces. Sipnoture of Pem?ittee _??t? 6 Ift ? ` ,e SR..r? a? Building Permit is issued to: GLENN L. LEFSE nil wo?k shoii be done in otoordonce with oil ooaliflcbla State af i 8uiidinp Officioi j ? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDNNG PERMIT Receipt # Te be uad fer Est. Value ... Dote _-----. 19 ?' Site Address Erect 0 Occupancy Remodel ? 2oning lot Block SeclSub. + i ? T Repa r ype of Const. Parcel No . Addition ? No. Stories Mave ? Lengih Z Name ' Demolish ? Depth Address im r int ? S F ? p . . q, t. City Phone InstaO O Aporovata Foes ? Name v Assessment Permit ? Address ?- City Phone Water & Sew. Surcharge Police Pian Review PW Name Fire SAC ?? Address Enq. Water Conn. tuzi City Phone Plonner Water Meter Council Road Unit 1 hereby otkrtowledge thot I hcve reod this cppi+cation ond stctt thaP gldg. Off. Tc PI. the informotion is torrect ond agree to tomply wiih aii applicobie State of Minnesoto Stotutes ond City of Eogon Ordinances. APC Parks Var. Date Copies Siflnoture of Permittee Total h Buiiding Pertnit is issued to: ?. on the express conditlon thar eii work shail be done in occordonce with oll applicoble State of Minnesota Statutes and City oF Eeqen Ordinences. 8uiidinp Officiat _ ? Permit No. Permit Hoider Dats Telephone ?k Piumbing H.V.A.C. Electric Softener inspection Date Insp. Other Footings i Footings 11 Foundation Framing Roofing Rough Plbg. Rough Htg. insul. Firepiace Final Ntg. Final Pibg, Final Cert/Occ. Water De*??ibe Location: Weil Sewer Pr. Disp. , , • ClTY OF EAGAN Remarks -'' Addition BEACON HILL ADDITION Loc 49 Rlk 6 Parcel ZO 1350n 490 06 owner'410i'??af-, Dnut?? €bv u,rq TkA street 4792 Beacon Hill Road state Eagan, MN 55122 improvement Date Amount Annual Years Payment Receipt Date STREET SURF, ? 2 4 67 1-12-82 STREET RESTOR. GRADING ?.- 1gg2 355 84? 59.76 9 4$ 08 AQ Q$ - 2-82 SAN SEW TRUNK _,' ']Z, 55 A010719 11-3-87 * SEWERLATERAL f 1982 3182 83 . 353.65 9 WATERMAIN * WATERLATERAL 1982 g WATER AREA ^4j 19$2 202.00 22,44 9 * Stubs 1982 g STORM SEW TRK ? Z, 1982 367.77 ?. 86 9 326 -$ * STORM SEW LAT 1982 ` g CURB & GUTTER StDEWALK , STREET UGHT Roa 1981 185.00 8-11-81 WATER CONN. 1981 335-00 26237 8-11-81 BUILDING PER, 6807 ' sac 1981 525-00 26237 - 9-11-91 PAR K .? CITY OF EAGArT BUILDING PERMIT APPLICATION 'Ib Be Used For 1A VaZuation S i t e Addressi?Q I i4 t s Include 2 sets of plans, 1 site plan w/el.evations & 1 set of energy calculations. Date '`a / OFFICE USE ONLY Erect Occugancy ? • 3 Alter Zoning ? [a Repair Fire Zore Enlarge Type of Const. Move # Stories Deirolish Front ? ft. Grade Depth ft. --v--- 4Lot q!ct Block Sec./Sub. ? Parcel # : ?- G??P; .? ? ? ? qi) e Ea Owner : Address : City/Zip Code: a,- Phone # : 6( Contractor: Addr2S5 : • < <r City/Zip Code: 1, Phone # : "1 11 Arch. /Eng. . 1°,??-?-n.y ???- ??.....?.,?.. Address: lL 3t` - City/Zip Code: ?jxj ?;F. Phone # : 2-vY,/ APPROVALS FEF`?S Assessments Water/Sewer Police Fire EnJ• -- Planner Council Bldg. Off. APC Perntit .3 0 9, C3 0 Surcharge x- ? Plan Check SAC X"z.1, d 45 Water Conn. ? ?G? (3 Water Meter ?p Q Q xoaacl vnit Ro , 'ICyI'AL ? t y 9i f AA4,t4j..1t ? SURVEYOR'S' CERTIFICATE ' , SUNSHINE CONSTRUCTION CO. N ? ?", "; - ?, i• d' 92?-? o X N86° 4? -- ? 4'13 W ?32.a 141.12939. 11 0 3 /. 8 5. 0 0 -? ? • 939• 7 , 3 ? 4 ? O X11 -- ? 5.OOt; - to 30.07 - O ?k °` 9 9• S 'T' 2 2 33 ---7 / 0?: 3 m 26? - m CJ 0 ^` ?o ^ 10 ? 0' a GARAGE- N ? PROPOSED - - -? _ _ DRIVEbV?AY ? 30 / ROPO ED 16.33 0-? HOUSE 6 X939.2 W LOT 4?. ? ?x939.6 ? I = ? !2 0 ? .26 ? O 0 ? O ? J J ? 5 932.7 x ? o Q DRAINAGE AND UTILITY 939.6 z EASEMENT PER PLAT ? o? O j ? >$? I pl 9 30. N ? I 10 z ? ? --? ? \ .- to 30.0p N 86°44,1311W ? ? 1 ?l j ?i ("') `_.FC D 155.34 939. / 30? ? W v O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR =`74-0-G FFET O DENOTES WOOD STAKE PROPOSED LOWFST FLOOR =933_O FEET X 00.0 DENOTES EXISTING ELEVATION PROPOSED TOP OF FOUt1DATI0N (00,0) DENOTES PROPOSED ELEVATION = 94(?•? FrF"?' I hereby cert ify that this is a true and correct representation of a survey of the boundaries of: Lot 49, Block 6, BEACON HILL, according to the recorded plat thereof, nakota County, Minnesota. And of the location of all buildings, if any thereon, and all visible encroachments, if.any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me this 4th day of August, 1981. SIGNED: JAMES R. HILL, INC. C! - B Y : ??i?' L 6-z ,r?6-{,-r... Harold C. Peterson, Land Surveyor Minnesota Registration Number 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 81205 22i18 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South FOLDER Blootnington, Mn. 55431 612-884-3029 ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS KUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SUftVEY 1 SET OF ENERGY CALCULATIONS To Be Used For :?G??,,. ?-?K Valuat ion :? ? j C7 C? Date : Site Address: „., jy,'// OFFICE USE ONLY Lot: /-/C/ Block ? Sect/Sub Erect Occupancy ? Remodel ? Zoning Pareel ?? Repair Type of Const Enlarge # of Stories Owner 5 c? Move Length Demolish Depth Address L? y z- ?C/- Grade Sq Ft Cit yl Zip Code ?H y G`, y1•?,z,. S l?? ----------------------------------- Phone APPROVALS Contractor _ Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # Assessments Permit 13,0-0 Water/Sewer Surcharge 110 Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off 1 arks APC Treatment P1 Variance TOTAL ? ? ' S? .;:SUNSNINE;? CONSTRUCTION . .? of ? ? . ? . 9?=N86°44'13"W , ' 732.8 5.00 -y-- o ---? /?? ? ' V tV ??, .: L M -t-? y 49. -. S 932.7 X DRa1NAGE AND. UTILITY ? EASEMENt PER PLAT ? 1 I N 86044113"W . j i ?F ? il r^? L_?/ 141.12 6.0? 939.3 39• , 'W;.22,33 . ? . ? cv o O °' °o . ?C] 30 07 - I I ? 30 ? ; ...! w J d- , ? ?: . Ln o o z •,CO ;-0 _,. • J i m -- h 30.00 _,X ? ?* a 155.34 934. / 30 m ? W? W I ?o ? + . ' ? ? ;•? , ` t ' z. ' . . . /, _. ., - i ? ?f' `?' ? y a? ?' . '• '? ? .. ?'+. . ? 1 . , . , . , i ; ; . i' i', `i •. . ? ? ?1 ? ?. ?I . ;; _ ?; ,; ?. ?? . I , ? ? i ,' . '? ,? ...,,. . _ . .. . _. Receipt PWMBING PERMIT Permit No. °"`?"D-:5 ? CITY OF EAGAN Fee Fil1 in numbered spaces S/C ` -? '---? Type or Print legibly 7ot. 1. Date 2. Installation Cost 3. Jab Address'?'?? ?Llot ?-TfBik. ? Tract ?r 4. Owner ?"-- ?i?,/ 5. Contractor 1's`4 Phone 6. Address 14 7. CitY State Zip .? ? 8. Buitding Type: Residential C? 9. Work Description: New ?& 10. Describe 11. Commercial ? Institutional ? Add ? Alter ? Repair ? No. ? Fixtures Water Closet No. Fixtures Ces fi {/D i ld _L Bath tubs spoo ra n e Septic Tank .% - Lavatory ft S j/ Shower ner o Well ? Kitchen Sink Urinal/Bidet Other ? Laundry 7ray Floor Drains Drinking Ftn. / Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : for Rough ? Final Inspections: Date Insp. _ Date tnsp. This is your permix when numbered and approved. Approved CITY OF EAGAN 454-8100 .? ?4?: 2 Receipt MECHANICAL PERMIT Permit Mo. ' CITY OF EA(3AN Fee Fill in numbered spaces S/C ? Type or Prini legibty Tot. 1. Date 2. Installation Cost 3. Job Address Lot1Blk. ? Tract „ 4. Owner 5. Contractor Z, ;. : ;;;,,'x`?? f,:',??VY . Phone --r- r 6. Address e, ; 7. City c' State 1-))/t,/ Zip 8. Building Type: Residential X 9. Work Description: New X f 10. Describe f 11. Fuel Type No. ? Eslu_ipment 8TU - M. Ea. Forced Air No. Equipment CFM Ai Handli : Mfg. r ng Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. :• Gas, Piping Outlets 12. { hereby certify that the above information is true and correct, and I agree to comply with, all ordinances and codes goverriing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbere,d and approved. Approved CITY OF EAGAN 454-8700 Commercial ? Institutionai ? Add ? Alier ? Repair ? P . .. r 5?? i• ???? Receipt ? 'PLUIVY8ING`PERM17 PermitNo. " CITY OF,fAGAN ? Fee FiII in num,6,red spaces S/C AA Type or Prr,?t legibty Tot, 1. Date ,?` 2. Installation Cost 3. Job Address Lot Bik. ? Tract , 4 ? 4. Owner 4 ?- 5. Contractor !?n Phone ?6. Address 7, City State? Zi P. ? 8. Building Type: Residential ? Cornmercial ? institutional ? ? 9. Work Description: New ? Add f? Alter El Repair n i ? 10. Describe i 11. No. Fixtures Water Closet No. Fixtures C f l/D i Bath tubs ? esspoo ra n ield i S T Lavatory ? ept c ank f ? S Shower .. o t? W ll Kitchen Sink e Urinal/Bidet O h Laundry Tray er t Floor Drains Drinking Ftn. S lop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all. dinances and codes governing this type of work. 5igned : for Rough Final Inspections: Date Insp. Date Insp. This is you permit when,numbered and approved. APproved CITY OF EAGAN 454-8100 , l)- ?_ ?. ?,: , ? WATM W-W `39? S??FS Pil?. ?m?? R"d . PERMIfi M. ?. ? l4Si?3 D/kTE: No: of 1Jnits ? . : tlwner: ?ohitte CE1VAtrti+Ctiol _ . Addresw, Site Address: 4792 $ettQn N *i N b . ` ? _ uFr o . . ? y? y 3KM f T? i c ? FrV?• on T?'? W?fl,?r?i{ t' Siz$: . l'c4coUnt vc+p*?!t: ' . . 6 R?Qder No.: Permit Fee: C. .I aam ti Onw? wft tfia Gity of uaw Surcharge: /tAtsc. Choripw, 7'atali . Sy DC" P€?I&I ?? . . In* ? , .... ;x . _ . , ... . ?_ ,?. ..ti.? r IMiN S ?. C3wrier: ?e#ress: __.__, ' Site. Addre= . Plurrker. ,.._._ U/111$126237? ? wm iie Ciryr of Easea Cartrrectz. C?,?• $25.00 ,i ° boti of xc?„ ??