1831 Carnelian LaneCITY OF EAGAN PERMIT TYPE: '." rI i' INr
3830 Pilot Knob Road Permit Number: "{`i %H 1
Eagan, Minnesota 55122-1897 Date Issued: F' `! I 16 198
(612) 681-4675
SITE ADDRESS:
, ! i c,,' Nf ! 11AN I ANF
(IAk (iRUV!- 1F 1
? APPLICANT:
' i . i . . I ? ; I • r ?J i5
( r.?.I 1 ?.fch I14
PERMIT SUBTYPE:
,. ;; .
f I h
TYPE OF WORK:
rArr
F
L
Permft Holder Date Telephons M
PLUMBING
HVAC
Inspection Date Inep. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
K/
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
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
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
UN RECURD
PERMIT TYPE:
Permit Number:
Date Issued:
wl i i r, I N,,
ih.".?N3.t
0 1 !J tl11 F.
SITE ADDRESS: , ,, ,
. . , f I i j M1t t il hl !
? PERMIT SUBTYPE: ?i
II I 1NI I
I11,ii IN P LNI;
1 t{'.iIl Ai i iiM
f 1 t1 A 1
A 1 1 I ?t i1 i l 0 N
1- t'1?NA 1 I 1'1 I<M 1 I I, 1?.1 t+11 f I't u 1'rt AN'J I' 1 tIMf3 ! P-ti, 111: i 1 I r 14• I i ql I,-IilicF
F ?
- - - - - - - - - - - - - - - - - -
APPLICANT:
( U ? .' l WIti 41.0!
TYPE OF WORK:
Pertnit No. PermR Nolder Date Teiephone le
SJW
PLUMBING
HVAC
ELECT
ELECTRIC
Inepectlon Date Insp. Comments
Footings I
Foundation
Framin9
Rooflng
Rough Plbg.
-?n
Rough Htg.
.
Isul.
Fireplace
Firtal Hlg.
Oraet Test //
Rn81 Plbg.
/?i
/v
Plbg. Inspector- Notity Plumber
Const. Meter
EngrJPlan
Bldg. Final ..7 ? ' _ /nJ
Oeck Ftg.
J
Deck Final
weu
Pr. Disp.
7l
f10
CITY
V
Remarks
Lot 24 Blk 1 Parcel 10 16706 240 Ol
streec 1831 Carnelian Lane State EaQan• P'1N 55122
Improvement Date - Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAro SEW TRUNK 51 1970 58.18 2.08 2$ P' d
* SEWER LATERAL 1971 500
WATERMAIN
* WATER LATERAL 112- 1971 F16 S. 80.75 20 Paid
WATER AREA
I * STORM SEW TRK LIL 1971 20
STORM SEW LAT
' CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 260. 00 3655 6-10-71
SUILDING PER.
sac 200.00 6
' PARK
? I
?? C5
9497 ? ??F ?
?
3
a ?
Request Oate Flre No. .. Rough-in Nspection NOTICE: You Must Call Eleclrical Inspector
Pe-qu?irei/l?
?J?bS O No II A Rougbin InspeAion
Is Re9uiretl.
I[paiEnsed contractor ? owner hereby request inspection of above electrical work at:
Jab Atldress (S[reet, Bw or Faute No ) City
Seclion No. Townshi Name or No. Range No. Counry
Occupant(PRINn Phane No.
PowerSupplier AdCress
Eledricel onvactor (COmpany Name) Contrador5 License No.
,??
Mailing Atltlress (COntractor or Owner Making Installation) ?
? ??j? ??i1 ?'S i?/J `.G /J v Gr/. fi9?H ? ?.t/6 !'o .?
Authodzed S? ature ConV d ?gr aking Installetion) Phone N`umDyer
MINNESOTA TATE BOAFO OF ELECTRI V / THIS INSPECTION REQUEST WILL NOT
GN99s-Midway Bltlg. - Room S173 {y 6E ACCEPTEO BV THE STATE BO0.RD
1821 Univereiry Ave., St. Peul, MN 55100 ? UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
llh?
REQUEST FOR ELECTRICAL INSPECTION
39497 • Sce inshuctions for completing this lorm on back ol yeliow copy.
"X" Below Work Covered by This Request
4?? Ea? 9 ?
?
,
New Add Rep. ~ TypeofBuilding Appl;ancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Ap[. Building Dryer Load Managemem
Comm.llndustrial Furnace Other (Specity)
Farm Air Conditioner
Olher (specity) ConVa Remarks:
r?
Compute lnspectron Fee Below:
# Other Fee # ServiceEmranceSize Fee # Circutts/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
TlansfOrmefs Above 200 _ Amps A6ove 100 _ Amps
SignS Inapecmrs U. Ony: TOTA
Irrigation Booms
- Q • 0 D
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY RDE ED DISCONN ECTEO IF NOT
O[her Fee COMPLETED WITHIN 18 HS.
I, the Electrical Inspector, hereby Rough-in
certify that the above inspedion has
been made.
OFFICE IISE ONLY
This request void 18 manths irom
?4/-/ - 7
VILLAGE 0'r' EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: 513
The Village of Eagan hereby grants to Home-Aire Trane,
of 610 - 13th Ave. So., 8opkins 55393
a AIR CoNO. Permit for: (Owner) Grant Lundberg
•
at 1831 Carnelian Lene , pursuant to application dgh(e'tQ/74
Fee Paid: $5.00 dated this 31st day of maY , 19 74
.50 s/c
Btxilding Inspector
itechanical Permits:
t3id Total.
'
.. C.G .
TOWN OP EAGAN
3795 Pi.lot ICnob Roe3 ?
St. Paul, ttir.IU. 55111
PERMIT Nqr1
Ceder Grove Construetioa----
Co. 7343 Cancord 131vd, li. 8outh St. Paul HF?'?TjNG
' 1845 Jade Lanel 1831 Carnelian,
Cedar Grove Constnuction Co. 1796 Carueliau# 4048 Halite -
C.G. S-59 24-1, 3II-59 31-5 June 9. 1471
$80,00 llth Jtme 71
?
?
:,
, ?..? .
? .. ?.'.
a?-l- 7
C, 0 ,
Ced$r Grove Coastructlen - '
Co. 7343 Concard Blvd. E,, So. St.P aut PI.UM3ING
1846 Jade Laneg 1831 Carneliant
Cedar Grove Constructlon Co. 1715 Carneliaa-ead
4084 Halite II-S,C24 1? 38-5$ 31-5 of CC 4k7 June 9t 1471
$80.00
llth June
71
3
?
RESIDENTIAL
BUILDING PERMIT APPLICATION
cirv oF eacaN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construdion Reuuiremenb
• 3 registered sAe surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas
(20 % maximum lot coverage allmved)
. 2 copies o( plan showing 6eam & window sizes; poured (ound design, etc.)
• 1 set of Eneyy Calculatbns
• 3 copies af Tree Preservation Ptan'rf lol platted aNer 111193
• Rim Joist DeWd Options selectbn sheet (bldgs witlh 3 or less unAS)
DATE R`Z'?)'DZ
SITE ADDRESS
? i1 cl?X' n eAan
TYPE OF WORKKQSNd?
RemodellRacair ReauiremeMs
• 2 copies of plan
• 1 set of Eneyy Calculatiore for heated addiGOns
. 1 site survey for exterior additions & decks
• Indicate if hame served 6y septic system for additions
VALUATION Tt
FIREPLACE(S) _ 0 _ 1 _ 2
APPUCANT 14 a G
STREET ADDRESS l a--? 417?i co/lef' tQUe - S. CITYj?vrvtsV.'!Ie STATEAAI ZIP S`3'33 7'
TELEPHONE #??ISa)?o}?L95Q CELL PHONE # FAX #(95a}S'Dg-8$L46
PROPERTYOWNER/j'J?ICP_</yIn4 u.4?6Z TELEPHONE#(6S1?qDS?D6oS
I
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CA'I'EGORY 1 MIN G[JI.F.S 72
(J submission type) . Residential Ventilalion Category 1 Worksheet Submitted • Ne ?e g`?y eotle,Woiksheed .1 0/ • Energy Envelope Calculatlons Submitted `
?j AUG 2 3 ZDOZ
Plumbing Conhactor:
Plumbing system includes:
Mechanical Contractor.
Mechsmical system indudes:
Sewer/Water Conhactor.
Air Condilioning
_ Heat Recovery System
MULTI-FAMILY BLDG _ Y _ N
Phone #
Phone #
Pec: $70.00
--°-------------------------------°----------------------------------------------------------------------°°-----------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eag Ordinancps.
Signafure of ApplicantCl" ' 16-
__-----------___.-------------------__....._..---_ __°__--------- -__-------- _.._w.... _-__
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- llpdated 4/02
Water Softener
Water Hcater
No. of Baths
_ Phone #
LaNm Sprinkler
No. oE' R.I. Baths
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
FERMIT
PERMIT TYPE:
Permit Number.
Date Issued•.
1531 CARNELIAN LANE
LOTs 24 BLOCKa 1
CEDAR GRDVE #7
P,I.N.: 10-16706-240-01 -
BUILDING
@332$`L
09j16J98
DESCRIPTION:
REROtlF
Permi'C Type
B?.tYYdiYig `I?brk Type
;g?Gensus Code"
sw•"
n i?s
Fr r
?a
vmi ?L "?, en .. ? C
am??v,_ a7rx ? o sx '`_ i i s?a'w^"?
??? '"? xxrea
°v rs 4 ?
? n
REMARKS:
STORM DAMAGE
REPAIR
434 A4T. RESIDENTIflL
? J RF
{ ?SHb S
dkS tl GIIEL
:b+, a uf ? nm 'L+'?L"1 iF ?.-3'(v j81
h^n
""Snk t$&31 ?b I I
' R"
%# ? ?a (d,
i V'n E v ?
,.. 'AtvR t4
msar ?m#
FEE SUMMARY:
APPLICANT/PERMITEE SIGNATURE
, 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New ConstruGion Reauirements RemodeVReoair Reauirements
? 3 registereE sde surveys • 2 wpies of plan
? 2 copies of plans (inGuda beam 8 window s¢es; poured fid. Cesign; eta) ? 2 site surveys (exlerior additions & decks)
? 1 energy plalations ? 7 energy calalations for heated aGdkions
? 3 copies of tree praservation plan 'rf lot platted after 7/1l93 .
required: _ VeS NO
DATE: - I - e CONSTRUCTION COST;
DESCRIPTI F WORK: e l'?oG /1 °?
S ETADDRESS: 193
?
LOT: - ?- BLOCK: SUBD./P.I.D.
?
PROPER'I'Y
OWNER
Name: 6/f'1,- Phone #: (0 (C?O -725-5-
l.atc First
Street
eGt'? 4-" e,
City 6!4a-A- State: /"l /V Zip:
.-
?oi/!q
Company: lJ Phone
CONTRACTOR _
Street
ARCHITECT/
ENGINEER
Ciry \ State:
Street
Ciry / State:
Sewer & water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the
State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Signature af Applicant:
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not
License #
/ Zip:
/
?
Phone
kicaistration #:
Penalty applies when address diang
is correct and a9ree to comply with all applicabi
, f n ,-i n
_ ??
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Datelssued:
CR.3Golt
6UILDING
025033
@1/13J95
SITE ADDRESS:
P.I.N.: 10-16706-240-01
1831 CARIVELTAN LANE
LOT: 24 BLOCK: 1
CEDAR GROVE 7TH
DESCRIPTION:
euilding_,Permit Type
Puilding Wo.rk Type
J. \
`?.
\ i
BASEMENT FINISH
ALTERA7ION
ai?. \?? ra
REMARKS
A SEPARATE PERMIT I5 REQUIRED FOR ANY PLUMBING OR ELECTRTCAL WORK
FEE SUMMARY
Base Fee $35.00
Surcharge $.50
7ota1 Fee $35.50
CONTRACTOR: OWNER: - Applicant -
CARLSON ERIC
1831 CARNELIAN LN
EAGAN MN 55122
(612)895-4507
I hereby acknowledge that I have read this application and state that the
infiormetion is correct and agree to comply with all applicable State of Mn.
L Statu and Cit-v of Eagan Ordinances. ?
APPLICA EF GNA ISSUED BYn IG? ?URE I M?
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: aurLozNc
3830 Pilot Knob Road Permit Number: 025033
Eagan, Minnesota 55123 Date issued: 01 / 13 / 9 5
(612) 681-4675
SITEADDRESS: Lor: 24 BLOCK: 1 APPLICANT:
1$31 CARNELIAN LANE CARLSON ERIC
CEDAR GROVE 7TM (612) 895-4507
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISN ALTERATION
INSPECTION
FRAMING .. .
INSULATION .A
ROUGH IN PL66 FINAL
REMAI2KS: A SEPARAI'E PERMIT IS REQUIRED FOii ANY PLUMBING OR ELECTRICAL WORK
F-
L
?
qK CITY OF EAGAN
199i'BUILDING PERMIT APPLICATION
? 6$1-4675
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: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work ?U00
Site Address:,??\
STREET SUITE # .I
.?
Tenant Name: (commercial only)
LOT 240 BIACK Ll SUBD.(k-jW(165'?'? Ay??
? ?? P.I.D. #
Descri tion of work:FGWW??- bjr G ?
The applicant is: Owner ? Contractor ? Other (Describe)
Name CAR."c:sv 6p-k<.- Phone4:
Property LAST FIRST
Owner Address 03k W-tJE--1N-J LAN?'?
STREET STE #
City ??Pt+J State lMP Zip
Company k,,i\11k ?;(VAt5 GP16-Cln-?i Phone
Co ntractor Address License # Exp.
City _ State _ Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have ead this plication and state that the information is
correct and agree to comply wi 11 pli le State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ? ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? OB 8-Plex ? 13 Garage/Accessory
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck
WORK TYPE
? 31 New ?33 Alterations ? 35 Tenant Finish
? 32 Addition O 34 Repair ? 36 Move
+,?^?ENiERAL lNrt)e'3fViATION
Const. (Actual
(Allowable;
UBC Occupancy
Zoning
# of 5tories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? S`te ? Footing
? Wallboard cEa-'Einal
? Framing
? Draintile
_71?
.-1-
D
qs:?Jnsulation
O Fireplace
Permit Fee I vatuaeton:
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposlt
S/W Permit
S/W Surcharge
Treatment P1.
Raad Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
S ISDn ?
131 A ?
y ?
X6 Basement Finish
O 17 Swim Pool
? 18 Comm./Ind.
13 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
3AC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
- e
?i
CITY USE ONLY
L? BL I RECEIPT #:
SUBD. DATE: /_ 5 ?S
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
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 Fireplace conversion (to existing fireplace)
Date:
? 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 @$3.00 each)
? State Surcharge
TOTAL
.50
o•g)
SITE ADDRESS:11LAJ G/AAUVv
OWNER NAME??t? -1li PHONE #:
INSTALLER NAME: - ?
STREET
CITY: STA : ZIP:
PHONE #: ( ) ? n??
' CITY USE ONLY
L ? BL I RECEIPT #:36 ?
SUBD. DATE:
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681 -4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.40 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray y`? S
?
? 3.00 x =
Hot Tub/Spa
?. 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 x
Water Softener 5.00 x =
Private Disposal "' Dakota Cty. license 20.00 =
U.G. Spnrlkl2f " home under const.
* 3.00 -
Alterations
to existin9 20.00
Water Turn Around 20.00 _
INSTALLER NAME:
STREET
CITY: STATE: 1V ZIP:??1/G c
PHONE#: „ /1/ \
?
STATE SURCHARGE .50
fl
TOTAL ?p s?
CITY USE ONLY
L BL
SUBD.
RECEIPT #:
DATE:
7995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? all commercialrindustrial buildings.
? multi-family buildings when separate permits are C14t required
for each dwelling unit.
DATE: 1 G? f l? CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION ADD? ON,- REPAIR
DESCRIPTION OF WORK:
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of oermit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS: ?
TENANT NAME: U "
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: V
PHONE #:
SIGNATURE:
??? (A?
STE. #
? -,
STATE: V4*V Z(PM2"? 7?
APPLICANT
CITY OF EAGAN
EAGF.N TDWNSHIP
3795 Pilot Knob Road
St, Paul, Minnesota 55111
Telephone 454-5242
PERMIT FQR WATER SERVICE CONNECTTON
Date• June 9, 1971
Billing Name: Cedar Grove Constr. Co,
Owner: Cedar Grove Construction Co.
Pltmber: Steam Plumbing Company
Meter
6/11/71
Meter No, iPexmit Fee 10,00 pd 6/11/71
Meter Reading ,Meter Dep.
Meter Sealed: Yes lAdd'1 Chg.
NO I1bta1 Chg.
Building is a:
Res3dence xx
P4ultiple No, Uni
Commercial
IndusCrial
Other
Inspected by
Date
Remarks:
Number• 635
Site Address: 1831 Carnelian Lane 24-1-7
Billing Address 7343 Concord Blvd. E.
$25.00 RE-lCrSPcCTlO;J FEE F0R
1MPROPERtY IPd;;TALLEO MErERS.
By:
Chief Inspector
Zn consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Townahip, Dakota County, Minnesota.
By; CEDAR GROVE CONSTRIICTION COMPANY
Please notify the above office when ready for inepection and connecCion.
'
EAGlaN TOSdNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55I11
Telephone 454-5242
PERMIT FOR SEWBR SERVICE CONNECTION
DATESTune 9, 1971
OWNER: Cedar Grove Const. Co.
PLUMSER Stein Plumbing
NUMBER 792
Address 1831 Carnelian Lane 24-1-7
TYPE OF PIPE Cast Iron
DESCRIPTION OF BUILDING
Induatriall Cowmercial( ReaidenCial I Multiple Dwelliag I No, of uaita
X
Location of Connectione:
1
Conaection Charge 200.00 0 /11/71
Permit Fee 10.00 pd 6/il/71
Street Repaira
Total
Inspected by:
Date
Remarka:
By
Chief Inspector
In coasideration of the issue and delivery to me of the above permit, I
hereby agree Co do the proposed work.in accordance with the rules and
regulations of Sagaa Tocanship, Dakota-CounCy, Minaeaota
$}, CFDAR C:RO[E COATRTRiiCTTfttQ. C(1MPAArV
Please notify when ready for.inapection and connection and before any portion
of the work is covered.
?
EAGAN TOWNSHtP
BUILDING PERMIT
Owner .... .C%Cc'°.c'.°.'".`?... ?..-°/..,.,_.7_:..... /??.?..'?'.....!.."_'-----'
Addreea (Preseni) '-'.l..e-.*.?.e.._..._!?:....:-----. ...............
Builder
Addrese ......
1v° 2480
Eagan Township
Town Hall
Date ......... // ..... ?/ .......................
Storiea To Be Used For Fronf Depih Heigh! Esl. Cos! Permt! Fee Ramaa?ks
-- es-e IIX .°?I
LOCATION
Slseal, Aoad or oiher Descriplioa of Loeation I Loi Block Add!lfon os Traet
C.c.? Ak-- 7
This pasmit doos aot aulhorise the uae oi slreele, roade, alleys or eidewalke nor does it glva the ownar os h(s agant
the right io creale anp sStuation which 4 a nuieanae or whieh presents a ha:ard !o the health, safely, eonvanienee and
geaesal weliare !o aapone in the eommunilp.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGRESS.
This is !o cerlify, ihal.._C .
'-'??.-.. °-..°..?.. permissioa !o erect a....-?!.?7? ._ uPon
............ .. .................... .... . ....•.-'-----......- .
the above desexibed premise subjee! !o the provisiona of the Suilding Ordinanee Sor Eagan Yowaship pled April ll,
1855.
c
.......................
.....----.--.......----- --. ........---.-:..---?... par ........................ ?e,-e?:.--.-p--.-..-:-:-?-?
Chairma af Town Board Buildin Ins eclor
e
MASTER CARD
0
-/ 7
?
OWNER ?,???C&? r
STRUCTURE AND ? Z. I
LAND USED AS
Permit I '
No.
Issued I Issued To
Contrector Owner
BUILDING
PIUMBING
CESSPOOL - SEPTIC TANK 1211 -kwt. ? ? _
WELL
ELECTRICAL-
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
R
• " Approved
Ifems (Initial) Date
FGOTING
FOUNDATION , , / ? ) / •
FflAMING
•
HEATING
GAS INSTALLATION
Y-? L
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
COMMENTS:
Remarks Distance From Well
SEPTIC
CESSPOOI
TILE FIELD FT.
DEPTH
OF WELL
•
,
Violations Noted
on Back
2007 RESIDENTIAL PLUMBING PeRMir aPPUC,aTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings. Do nof combine inside and outside
plumbing on the same application; separate applications and permits are reauired.
Date 10
Site Street Address ( YJ 3 ? ?Q,? Ylc_-I I CLi,rl ?Y 1' Unit #
P
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M
roper
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Telephone # ( )
Champion
Contrector
_ g51 366 1 ?48 7elephone # ( )
Address 3670 L30dd Rd. #100 City 5tate Zip
The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. !f you are
insialling onlv a water sokener and/or water heafer, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5i8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new -2?1 replacement
_ Lawn Irrigation _RPZ PVB _new _repair _rebuild $ 30.00
state Surcharge ? ? C ? 1 ?/ E $ So
- OCT 1 1 2007
Total ?
$?
1 hereby appty for a Residential Plumbing Permit and acknowledge that the infortnation 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 be reviewed and approved.
QD hu,(? I?A) (0 C?e???
ApplicanYs Printed Name ApplicanYs Signature
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V-Q
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"?"?.µ Clty of Eapa
3830 Pilot Knob Road
Eagan MN 55122
Phone: (851) 6755675
Fax:(651)678•5694
-----e-Us-e -----------
? For-EKfic ?
j Permk?7 ?7 'S / j
! Permit Fee:
? '
1 Stafl:_
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Date Received:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: IX?0g SfteAddress: %9-W Cdrne/an Gn
Tenant:
SuRO M.
RESIDENT/QWNER Name: I& I Nf/?ez 2a-64a `Phone:r&/-z,
Address l City / Zp: y„ 6a,•ne/12.,, Li!
Applicant is: _ Owner k' Contractor
TYPE OF WORK Description of work _-7X?7 TP&r^ -° 'W4 V":la '9`'^ `P
Construc[ion Cost: 39dP MuRi-Family Building: (Yes _/ No
CONTRACTOR I Name: Eva?r-a C'ansA _License#: ?7asy?a?o
Address: 476 2.=vMO d Fw
City: S?-. „v t State: Zip: ss??y
Phone: /'irS? j 0q09-313e Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . ResideMial Ventllation Category 1 Waksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 subRllSSfon type) • Energy Envelope Calculations Submitted In the last 12 moMhs, has the City of Eagan Issued a permit for a slmilar plan hased an a master plan7
Yes _No H yes, date and atkiress of master plan:
Llcensed Plumber: Phone:
Machanlcal Contractor: Phone:
Sewer 8 Water CoMrector: Phona:
I hereby adviowledge that this Intormffilon is camplete and accurate; thffi the work wlll be in corrtormanca with the ordlnances snd codes of the Ciry of
Eagan; that I understand this is not a permk, brt onty an applleetion for a permit, and work ls not to atart without a pertnk; thet the work witl be In
accordenca wlth the approved plan in tha cffie of wak which requlres a revtew and apprcvul of plsns•
X n./G'?L 1?a?r+SOn X . .
ApplicanYs PMMed Name AppIIpM's Signature
4,111'
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
iii5
Permit Fee: ILA/
Date Received: r -z" (1
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: '1-2O •2C0/3 Site Address: /IrJ/ .• aft Unit #:
Name: 1/11.4...A /17/.e. 6 /., a(
Address/City/Zip: /"(3/ Gwte-li*in
Applicant is:
Owner Contractor
Phone:
Description of work: Ro+0'L '4" £
Construction Cost: / 41 iS /
Company --041q Jif (ar 7L1 1'."5.171 4/.2..
Address:
Multi -Family Building: (Yes / No A._)
Contact: ti,
Wats /rh
City:
//ri S
State: ,/ .1 Zip: 5 OLS Phone: 6./-A e4
License #: Q 4‘.(5o96 -
Lead Certificate #:
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered, to be public:information Portions:
the information maybe classified as non-public if you provide specific reasons that would permit the`City to
conclude that they are trade secrets';
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
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 TONn itKM.1 `%
Applicant's Printed Name
x
Applicant's Signature
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