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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 O t M roper wner y 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 ????i V-Q ? ;_?. "?"?.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:_ I W 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 Page 1 of 3