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3908 Cedarvale Dr Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fes Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date ' i 2. Installation Cost 3. Job Address Sibley -W-; Blk. ' Tract I40&So o l 4. Owner -i ~ r , b. Contractor -nzel i'~PCii`'3111Cal Phone 8. Address ,Y° 7. City State Zip B. Building Type: Residential ❑ Commercial Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter CQ Repair ❑ 10. Describe Fuel Type 11. No, Equipment BTU • M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg, Other Air Cond. U j 1 r rer11 s 1 Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Fina Inspections: Date Insp. Date Insp. 1/461~0 This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN Remarks Additii-onn~ Section 19 Lot elk Parcel 10 01900 074 06 Owner.JAc'. ~aL~,.J ~~✓s~r~~ ~l~L.~ Street State 7 - p Improvement Date Amount Annual Years Payment Receipt Date *2,%-bTREET SURF. 1976 $714.04 $71.40 10 STREET RESTOR. GRADING * rVDAR GROVE `)2 408.00 16.32 25 PAID SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL * WATER AREA > 1972 $78.40 5.22 15 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. R,A s Y~ r 2t SAC 152.50 1660 8-21-69 PARK CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N2 5932 PHONE: 464-8100 BUILDING PERMIT Receipt ceS,Snn 1(!-Z^ To be used for Est. Value Date qiL- Site Address Sibley Memorial. Hwy. F-2 ~ Erect ~ Occupancy rr.s 1 Ceearvale Office n171Iter ❑ zoning CSC Lot Block Sec/Sub. Parcel Repair ❑ Fire Zone a Enlarge ❑ Type of Const. e: Name T Q Par. canto „e Stories 1 In ! ley Memorial Hwy. ❑ # 44 Address Demolish ❑ Front ft. CI Lagan 3 Phone 1541-160 Grade ❑ Depth F, ft. Name , me - Approvals Fees ~o Zu Z Address Assessment Permit 77.-7 7) - F Water $ Sew. Surcharge CI Phone Police Plan check T ~ae Name Constructive '~esi~•r Fire PAC - sG Address Eng. Water Conn. <W City Phone fi° 1- 15 °5 Planner Water Meter Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with oil applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: J. `'>z? z3nto on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Perm" # Deb lamed Penritfee (%rk Plumbing , c - J ;2 rv ( f ' L Mechanical 3 /f -IL 7-~S ?5C -g-o 6- 9,Sq- 11-ab--7 8 e,, INSPECTIONS PATE INSP. Rough-In Final Footings Dote Insp. Date Insp. Foundation _ Plumbing / Frame/ins. Mechanical Final - Remarks-.':~~/ yP ~6 Gt.y CITY OF UGAN 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. 3~" Date: Receipt No.: 1262?. 3090S Sibley MMXial Pic r Single Residential Site Address; zrt 7_'1 & 11. r)erl-LrvalA off. R<Uk Lot Block Sub/Sec. Multi Res., Comm./Ind. ^c~a T`'21~3IYtn7 Nome New/Alter./Repair. Sibley "•im. 1`vy 3 Address Cost of Installation YOM City Phone: Permit Fee Nome - Surcharge Address e City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EA"N 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 a~f FiFTII`]C; PERMIT No. 113 1-14-713 12338 Dote: Receipt No.: 394's S1-')1vy ;'V3.mriai I iic?3Ur'jv Single Site Address: Residential r=rig '@&11 Cedarva.le Of P1.3z Lot Block Sub/Sec. _ Multi Res., Comm./Ind. Name J. F. Parrant o New/Alter./Repair. 3 Address '390'R SJb1W MerrDrial INY• Cost of Installation 4,700' C City R'acm 551V Phone: 454'100 Permit Fee 47.nO Nome Fti"PxilkrickgM F9MrtLrv- Surcharge • SO T' l? r~2 lt.' g Address "'),10 Heat, D, e City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN r~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 - 12215 PHONE: 454-8100 4 - Al BUILDING PERMIT Receipt # To be used for OFC REMODEL Est. Value $13,000 Date JUNE 30 19 86 Site Address 3908 SIBLEY MEMORIAL HWY Erect ❑ Occupancy Lot t2A3lock 01 Sec/Sub. CEDARVALE OFC PRemodel ❑ Zoning Parcel No. - 10-16850-123-01 Repair ❑ Type ofConst Addition ❑ No. Stories W Name DAKOTA CTY REALTORS Move ❑ Length 42 z Demolish ❑ Depth 43 c Address Int. Impr. IX Sq. Ft City Phone Install ❑ o Name T . J . CONTRACTING I NC Approvals Fees 14565 DANVILLE AVE W 98.50 i Address Assessment Permit ME - 6. W City ROSI'sJ•~AVW a 423-2164 Water & Sew. Surcharge Police Plan Review W W Name i Fire SAC 0 5 Address Eng. Water Conn. i z City Phone Planner Water Meter Council Road Unit I hereby acknowledge that l have read this application and state that the Bldg. Off. 6/30/86 Tr. PI. information is correct and agree to comply with $I ,applicable State of Minnesota Statutes and Clt,of Eagan Ordinances!' APC Parks 1 4 r Var. Date Copie Signature of Permittee f Total A Building Permit is issued to, T.J. CONTRACTING INC 9 on the express condition that all work shall be done in accordance with all applicable Vate of Minnesota §Otutes and City of Eagan Ordinances. Building Official Permit No. Permit Holler Date Telephone N Plumbing ' c, - - i HM A.C. Electric Softener Inspection Date Insp. Comments Footings I Footings 11 Foundation Framing Roofing Rough Plbg. Rough Htg. Insul. Fireplace Final Htg. Final Plbg. 6idg. Final Cori.Occ. Deck Fig. Deck Frmg. Describe Location: Wall Pr. Disp. F :1T/. i°"T.~ ` . .y a w. .i•- . s 31 . PERMIT # ` PLUMBING PERMIT RECEIPT # CITY OF EAGAN . , 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot I Block (49 Sec/Sub=• Res. New Name ° 107 ~ Mult Add-on S2 4 B Address Comm. Repair c City % -d-'a Phone Other NO. FIXTURES TOTAL Name Water Closet - $3.00 $ 3 Address Bath Tubs - $3.00 p City Phone Lavatory - $3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE -Urinal/ Bidet - $3.00 MINIMUM -RESIDENTIAL FEE _$10.00 Laundry Tray - $3.00 Floor Drains - $1.5.50 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - •50 Water Whirlpool Heater r - 1 $1.50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50 BEYOND $1,000.00} Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road c~► ~t i Permit Number: 1 Eagan, Minnesota 55122-1897 Date Issued: a (612) 681-4675 SITE ADDRESS' APPLICANT: + I . ' 1 r.; l + r r ; j + i I+i1i~",".l I I+1: liiirf +~fJ + ++PI'•) 1~Iii I'll " PERMIT SUBTYPE: TYPE OF WORK: „I, t r I I N+, •++14 it .t+ INSPECTION DATE INSPTR. INSPECTION DATE INSPTR. 11;+! I r fit. fit, 1 114A1 i + I v1 MAI~1 1 111+1111"+, t: J Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPSOARD FIREPLACE (REPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL ! BSMT R.I. I w.3MT FINAL -DECK FTG l)L,"r; FINAL I ~ f I i CITY OF EAGAN Remarks Cedar Grave Acquisition Assess wtr area when lat is corm. Addition Gedarvale Office Park ll~" v F 1 , 20 3 10 16850 031 01 Lot S Blk Parcel Owner !'L i +5f Street 3908 Sibley Mem Hwy State Eagan,MN 55122 Improvement Date nt Annual Years Payment Receipt Date STREET SURF. 1975 7077 10 STREET R: 6Li 7 1 976 1x.8 130*2 10 GRADING d Walk z"72 1975 109.29 0.93 SAN SEW TRUNK 1968 assessed under 3257C 30 SEWER LATERAL WATERMAIN WATER LATERAL 1972 526.29 21 .0 WATER AREA 3 1 109.0 10.9 10 977 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC 475-00 9624 -12 - PARK C HEAT LOSS ESTIMATE ADDRESS Floor Date~L2L~L NAM Phone Make GWA MWA GHW FHW S Y UH Space Firepot of Plant ❑ 0 ❑ ❑ ❑ ❑ ❑ ❑ Size Chimney-Size No. Flues Installed E.D.R Type of Domestic Gas Equipment: ❑ Range ❑ Refr. ❑ W. Htr. ❑ Dryer ❑ Hot Plate Checked By Remarks: Date Recd Expiration Date Seq. No Auth. No - Cert. No Heat 6ea, tnput st. Annual MCF Equipme t Installed b J~ > Installs 1_4'QLSold b Wall CONSTRUCTION coiling Floor WEATHERSTRIPS INSULATION TH TYPE ATTIC Windows Door Well Vented T..-No Yes-No Caning Tow-No ILL Room Length Width Height Fl. Boom Length Width Height Fl. Boos Length Width Height Windows and Doom Crachnge and Area Width ans of pane I litho Area Lineal ft. NO. of p I I I I I I I I I I I I ~ I ~ I I I _ I I I I I ce.r. e.o Infiltration Door Infiltration Windom are.. Wall Glass Net gyp. Wall Cal or Goor Cal. or floor I I rireplase I Total Btu loll '400'® This rpuest void + ~C/' UZJ S- -~SJ f~ 4 3 , B i, cP P~s~ ya Rpv st Fire No. Rough in IosYeclion []Ready Now ❑ Will Notify. Inspec- Tt []yes ❑NO lot When Ready ~icensed Electrical Contractor I hereby rguest inspection of above ❑ Owner eleetrital warlr installed at: St, o' Address, Box or oute Mo. City Section No. Township Name or{ o/ moge No. Cranty Occu nt-(PRINT) - Phone/, No . . '1 P0.6r Supplier Address ( 17 f Electrical Contractor (Cormmn.Namel _ Contractors License NO. ~`.l 1. „yam Mailing A [ r Hatton) s ]Aq Authorized S- nature r t 1ANE 1 Phorre Nrarrbar 1~PPI.E VALLEY, MN 55124 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Oriuw,-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1921 University Ave., St. Paul, MN 55100 Ph..rr I021 297-2111 ENCLOSED. S/ REQUEST FOR ELECTRICAL IMPECTION ES-00001-Of c , Seo instructions for comptetim this form on back of yeller. coos. 5 9 " X" Below Work Covered by This Request d Ad Typo of BuildinN App118M. wired Equipment wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloar)er Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Othcr SpeoN the, Ism.ifyl [ .r Specify other _ Oth ompute Inspection Fee Below N Fer, Service Entu,ica Size h For, Foetkos^ ens N Fee Circuits O to 200 Amps 0to 30 0to 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 A Swimming Pool Above 100-AMPS" Above 100_A Transtormers Irrigation Boors Partial'Oth Fee Signs Special Inspection S v Cj-) Remarks 05 OTAL FEE.1n, 1 8-T A ~ IbiiNMin Oate(~ u 1. Ne Electrical ♦ °8~ loohr r, hereby ce"rtify that the above Final - r Oate -ospection has been 6, ~ f' J ,vede. Mill, request yMd 18 monets tmm (,This request void 18 months from t2~ - t7~, ,a•!~(3 ~j Date of this Request 7,6 P 6 3 9 5 4 1, as C9 Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: 'PQ_CtO 1C~ ~L~O AL"-,f C ~0, p(,_~ St reel Address or Route No. 3 9Q8 S/B~Ei6/dwAY r~.5v ns 'W City-e-,§ 6AN Section Township Range County D4K0 7.4 Which is occupied by CEO,40C i,%ZLdr ®G6"/cE 13Uit v/NG (Name or occupant) Is a roughin inspection required on this job? No ❑ . Yes 19L Ready Now ❑ Will Call 1&, •3660 M.4,460ari.. Power SupplierA6CWQMt) S7,07~ 71w8re Address JLBwPc~r~Mi vn1. Sj oSS A - 34~a71 Electrical Contractor /Gf'4FS .ELECT c°/G c-0. Contractors License No. (Compan Name) Mailing Address Z77 4- 'eve. rical actor or Owner Making T IS Installation) Authorized Signature 1~ Phone No. 227-77// (Electrical ontractor or Ow r Making This Installation) SUM D This inspection proper inspection pnot he e accepted the ~J ~ State Board unless ess a er inss acti tion fee is enclosed. Minnesota State board of electricity / .1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 6 REOJJEST FOR ELECTRICAL INSPECTION P 63954 CHECK BELOW WORK COVERED BY THIS REQUEST Type of Budding New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home. ❑ ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ Furnace ® Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air C dNlonb' Bulk Milk Tank ❑ Farm t List Other ❑ rs ORehers COMPUTEINSPECTION = O Service Entrance Size: # Feeders& Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 1 0, oa 101 to 200 Amps. p 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above l00 Amps. Above 100 Am s. Transformers Remote Control Circ. Partial or other fee .50 Signs Special Inspection Minimum fee Remarks TOTAL EEq ~J ar06 I, the Electrical Inspector, hereby certify t ab t eckion has been made. (Rough-in) , to fl - /fn -79 (Final) _ make j _^t 3_7 y This request void 18 months from CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 33122 N? 5 0 3 2 PHONE: 454-8100 BUILDING PERMIT APPY2 AT14N Receipt # To be used far Office Est.yalue 58,500 Date 10-20__,i9..Z8-- Site Address 3p908 Sibley Memorial Hwy. Erect M Occupancy F-2 Lot Parts 1RA 11 Sec/Sub. Cedarvale Office P1Alter ❑ Zoning CSC Parcel # Repair ❑ Fire Zone 3 Enlarge ❑ Type of Const. V W Name J. E. Parranto Move ❑ # Stories 1 3908 Sibley Memorial Hwy. Demolish ❑ Front _ 44 ft. Address City Eagan 55122 Phone 454-1600 Grade ❑ Depth 36 ft. Approvals Fees c Name Same o Address Assessment Permit 153.00 _ ur city Phone Water & Sew. Surcharge 29.50 Police Plan check 76.50 Name Constructive Design Fire SAC 500.00 ~W 4~ Address Eng. Water Conn. <w city Phone 881-1585 Planner Water Meter Council Rd. Ut. 75.00 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable 834.00 State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued t J. E. P nto on the express condition that all work shall be done in anc wit applicable Sta of Minnesota Statutes and City of Eagan Ordinances. Building Official EAGAN TOWNSHIP No 1048 BUILDING PERMIT Owner !._.!,.~..1..t.... t'_ Eagan Township Address (present) ~Q. " Town Hall Builder .....,l--R.,....~.'...,.:..--- Address Date DESCRIPTION Stories To Be Used For Front Depth Height Est. Cosy Permit Fee Remarks LOCATION Street, Road or other Description of Location Seer. /O Lo! Block Addition or Tract 07/ /O O/900 Dam/ O L 0 7a 06 n> a O fm m 67 C y O This permit does not authorise the use of streets, roads, alleys or s~eyy Vralks nor does it give !h 07 s agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THEp PREMISE WHILE THE WORK IS IN PRO ESS. This is to certify, that LF .i.. ...4!.CtaliA.: permission to erec! a ..upon the above described premise subject~lo the provisions of the Building Ordinance for Eagan Township adopled~April 11, 1955. Per Chairman of Tnwn Board 4. Building Inspector DATE BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for Oc_ Valuation Site Address. VfA4 164 Lot -r Block See. Sub. (old Parc ell Owner r Telephone Address v Contractor -y Telephone io Address Arch./Eng. uw% Telephone 1Jr-9 Address OFFICE USE Erect Occupancy Alter Zonings Repair Fire Zone Enlarge Type of Const. Move i of Stories Derolish Front 9~Y i~ f r^ Grade Depth OFFICE USE Date of Approval 5 Initial FEES S3 ° a Assessment Permit Water/Sewer _ Surcharge Police `14,an Check Fire SAC 00 Eng. Water Conn. Planner Wate Met r council - S-7 Bldg. Off. A.P.C. ~ TOTAL Ive 6-e tter /A !-s/f/Cafiibvi mf ~D~S fib. fno^p'Cq C /l/ CITY OF EAGAN .1 C /Il J't830 Pilot Knob Road P.O. Box 21-199 Eagan, MN 55121 N 1221:) PHONE: 454-8100 ~ BUILDING'f//ERMIT Receipt# 72 Tobeusedfor OFC REMODEL Est Value $13,000 Date JUNE 30 ,19 86 Site Address 3908 SIBLEY MEMORIAL HWY Erect ❑ occupancy Lot 12 Block 01 Sec/Sub. CEDARVALE OF(-_ pjfemodel ❑ Zoning Parcel No. 1 0-16850-123-01 Repair ❑ Type of Const. Addition ❑ No. Stories DAKOTA CTY REALTORS Move ❑ Length 42 ¢ Name = Demolish ❑ Depth 4.3 e Address Int Impr. Sq. Ft. City Phone Install ❑ o Name T.J. CONTRACTING INC Approvals Fees $a Address 14565 DANVILLE AVE W Assessment Permit $ 98.50 City ROSEMOL{Z1iTne 423-2164 Water &Sew. Surcharge 6.50 5= Police Plan Review 49.25 i Name Fire SAC i Address Eng. Water Conn. w City Phone Planner Water Meter Council Road Unit Iherebyacknowledge thatlh readth is application and state that the Bldg. off. 6/30/86 Tr. PI. information is correct and a to comply wi appl' able State of Minnesota Statutes and t f Eagan Ordin /f APC Parks Var. Date Copies Signature of Permittee Total $154.25 A Building Permit is issued to: T.J. CONTRACTING IN on the express condition that all work shall be done in accordance with all app' a ate of innes to tut tl City of Eagan Ordinances. Building Official 0 C;z 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS 4-J>b INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ((77To Be Used For: Valuatr-~ te: Site Address u OFF I SE ONLY Lot Block ` Erect Occupancy S:0_ Remodel Zoning Parcel/Sub Repair Type of Const rr~~ Q-2 p a Addition # of Stories Owner Move Length 1) o, k D q C,+u®yeS Demolish Depth Address I Int.Impr. Sq Ft Install _ City/Zip Code Phone APPROVALS FEES Contractor le ~s. Lys l~tA~ rl A Assessments Permit p Water/Sewer Surcharge Address LyS Police Plan Review Fire SAC City/Zip Code QW'V<01J l Engr Water Conn Planner Water Meter Phone Council- d Unit ` Bldg O£f reatment P1 Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code &T Phone # NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PERMIT CO V0 -CIYY OF EAGAN 416% 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 8 6 4 (612) 681-4675 Date Issued: 06/12/96 SITE ADDRESS: 3908 CEDARVALE DR LOT: 31 BLOCK: 1 CEDARVALE OFFICE PARK P.I.N.: 10-16850-031-01 DESCRIPTION: (ELLINGSON & ASSOC) guilding,.,Permit Type COMM./IND. MISC. wilding W)prk Type REPAIR Census Code 437 ALT. NONRES. L., r r' p J A. 1-~1e 1 t~ P 4~, il+.u`r I v~t,4 t 4 $If S~ pt REMARKS: LANDING & STAIRS FEE SUMMARY: VALUATION $1,500 Base Fee $48.50 Surcharge $.75 Total Fee $49.25 CONTRACTOR: - Applicant - OWNER: HANSON CONST, RALPH 24232009 PARRANTO MARK 2135 128TH ST W 4537 LAKE PARK DR ROSEMOUNT MN 55068 EAGAN MN 55122 (612) 423-2009 (612)688-2123 I hereby acknowledge that I have read thi-s application and state that the information is correct and agree to comply with all applicable State o.f Mn. Statutes and City of Eagan Ordinance..s. APPLICANT/PERMITEE SIGNATURE ISSUED 8 SIG T R CITY OF EAGAN *i(N(04 1996 BUILDING PERMIT APPLICATION (COMMERCIAL)'q. lJ 681-4675 The following are required with appropriate certification for all new construction: 2 each: architectural plans; mech. & also. plans; fire sprinkler plans; structural plans; site plans; landscaping plans; grading/drainage/erosion control plan; utility plan 1 each: set of specifications; set of energy calculations; electrical power & lighting form; Special Inspections & Testing Schedule Letter from MCANS (phone #222-8423) indicating SAC determination Code analysis indicating: Codes used; occupancy classifications; setbacks; maximum allowable area as per Building and City Codes along with sq. ft. per floor; type of construction (synopsis of construction components) & any occupancy or area separation walls; occupancy loads; exit synopsis with a diagram indicating exiting loads from each room or area, travel paths & all rated condors; plumbing fixtures; and parking. DATE: (1 X? 6 WORK TYPE: NEW V REMODEL DESCRIPTION OF WORK: y-0 Rei, ex i f I F u W< ,-j (d J ~.s CONSTRUCTION COST: 2° 15 wU' TENANT NAME: 2 >Z-m SITE ADDRESS: 3 y U g t e cl ~e le. • ~ LOT U1 BLOCK --L_ SUBD. UAW P.I.D. # arrrx~ ~ /lY~ar~c. PROPERTY Name: Phone OWNER Street Address, le /~)r City: l • State:L Zip:r CONTRACTOR Company: G ` /G7/ so>~ `/~P~ Phone Street Address- City: "j~4 ce xc o L4~~- ' i . Zip: d ~ 8 ARCHITECT/ Company:/ Phone ENGINEER Name: Registration RECENED Street Address JU\I City: State: Zip: ,-L, Sewer & water licensed plumber: I hereby acknowledge that I have read this application and state that the information is c ct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. .~i Signature of Applicant: fI ~ r I eJ 1999 BUILDING PERMIT APPLICATION (COMMERCIAL) p ~i CITY OF EAGAN U - J J C 651 681-46 75 -3 )13,---7 ST Requirements to building permit Foundation Only New Construction Interior Improvement • Structural Plans (2 sets) • Architectural Plans (2 sets) • Architectural Plans (2 sets) • Civil Plans (2 sets) • Structural Plans (2 sets) • Code Analysis (1) • Code Analysis (1) • Civil Plans (2 sets) • Project Specs (1 set) • Project Specs (1) • Landscaping Plans (2 sets) • Key Plan • Spec. Insp. & Testing Schedule • Code Analysis (1) " • Master Exit Plan • SAC determination letter from MC/ES - • SAC determination letter from MC/ES - call • SAC determination letter from MClES - call call 651-602-1000 651.602-1000 651.602-1000 • Spec. Insp. & Testing Schedule (1) • Energy Calculations (1) not always " • Project Specs (1) • Elec: Power & Lighting Form (1) not always " • Energy Calculations (1) • Electric Power & Lighting Form (1) " • Master Exit Plan • Soils Report (1) 1 " Contact Building Inspections for sample Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 651-215-0700 for details. DATE: WORK TYPE: NEW kEMODEL DESCRIPTION OF WORK: TENANT NAME: CONSTRUCTION COST: 1-4 SITE ADDRESS: SUIfi LOTO`14 BLOCK G SUBD. SeC'0Yy >q1 P.I.D.# Name: Q Phone PROPERTY as /Firs r~ OWNER Street Address: City State: J/! Zip: CP~~~o/z-'`63~ Company: Phone ' f CONTRACTOR ' L Street Address: Cit State: 1 1.2 Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (only if installing sewer & water): U I w~ 1 hereby acknowledge that I have read this application, state that the information is correct, and agree to mply with all applicable Slate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applic ity of eagan 3830 PILOT KNOB ROAD. P.O. BOX 21199 VAC ELLISON EAGAN. MINNESOTA 55121 ^"°''Of PHONE; (612) 454-8100 THOMAS EGAN DAVID K. GUSTAFSON PAMELA MCCREA THEODORE WACHTER Ow hMember REQUEST FOR CHANGE OF ADDRESS THOMAS HEDGES c19oa maro, EUGENE VAN OVERBEKE ctvice NOTE: NOTIFY DAKOTA COUNTY UTILITY SERVICES OF ADDRESS CHANGE ~~u Co~rEtz r~ NAME: DAVoTAk L r1R1T`J 8p. OF i~GAL_TOP-S ADDRESS: - llob SIB. MEM. Hti-r PHONE q 2--(P&Ii ADDRESS CHANGE REQUESTED FOR: 390b 51BLe-( MP-MOKIAL, I Wk ADDRESS REASON FOR CHANGE: &L1L-T, (-j bh( CE Acya.LE DR. (DATE) (SIGNATURE) OFFICE USE ONLY NEW ADDRESS 3904 CEDA2VALE D2. LOT 123 BLOCK O 1 NAME OF PLAT IO VoBSO I E?) 01 THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GRON?H IN OUR COMMUNITY LEO MURPHY THOMAS HEDGES MAYOR - '2 CITY ADMINISTRATOR ALYCE BOLKE THOMAS EGAN CITY CLERK MARK PARRANTO JAMES A. SMITH - CITY OF EAGAN - THEODORE WACHTER _ COUNCIL MEMBERS 3766 PILOT KNOB ROAD EAGAN. MINNESOTA 95122 PHONE 454-OIW - ' October 19, 1979 K Dr. Richard B. Fuller 3908 Sibley Memorial Hwy. Eagan, MN 55122 RE: STOP SIM ROXEST CFDARVAIE SHOPPUr CP_R. Dear Dr. Fuller: On October 16, 1979 the Council reviewed Staff's reoaRnendation in response to your request for the installation of a stop sign at the intersection of the Cedarvale Shopping Center parking lot with the intersection of the entrance road from Rahn Road. After analyzing the two suggested locations that you sketched on your request, it was felt to be in the best interest to install a single stop sign controlling the southbound traffic in the parking lot. 'It is felt that to place a stop sign controlling the westbound traffic on the entrance=ad would be confusing to those vehicles travelling within the parking lot area. Consequently, we will be installing a temporary stop sign in a reflectorized barrel in the parking lot area to control the South- bound traffic. After several weeks of this installation, we will monitor its effect to determine if a permanent installation should be handled and also evaluating the feasibility.of installing a second stop sign. The City appreciates the concern that you have and the letter you subsequently submitted on September 27 regarding the need for the stop sign. Any insight you may have as to the effectiveness of this experimental location will be greatly appreciated. If you have any ca ments or questions regarding this information, please feel free to contact me at your convenience. Sincerely, Thomas A. Colbert, P.E. Director of Public Forks TAC:tlp CCA,Tom Hedges, City Administrator Bill Branch, Supt. of Public Works THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY. (0u RICHARD B. FULLER, D. D. S. 3908 SIBLEY MEMORIAL HIGHWAY EAGAN, MINNESOTA 55122 Office Phone: 452-5511 September 27, 1979 Tom Colbert City of Eagan 3795 Pilot Knob Rd Eagan, Mn 55122 Dear Mr. Colbert, I am writing in regards to having a stop sign placed at the Cedarvale Shopping Center parking lot entrance between the Cedarvale Professional Buildings and Mid-America Bank. (See Drawing Below): Y We t *yh a hit and run accident /wheze a car evidently missed the unmarked corner and collided with the boardwalk which connects the Professional Buildings. This is a very dangerous intersection as there is a great deal of uncontrolled traffic flowing through. I would appreciate your prompt attention to this matter. Sincerely, ~jj 4 Richard B. Fuller, D.D.S. RF : lak 7 d Cede.Y.t~../e OfFi+ce ~P.v,C I ~ ;D"wo d INC. REALTORS 3908 SIBLEY MEMORIAL HIGHWAY ST. PAUL, MINN. 55122 PHONE 454-1600 uciouer 14, 1j74 : r ~91R r c;. 5 i~r. Pob-rt rrs ✓dkota you c; .,lessor Dakota Loul:ty tr.urthouse rascir:.a, ,.innesota 55033 l1Ndr fdr. r~ci will confirm our telephone conversation requesting; tf.dt you cui-Wine tax parcels d-d88:,, u-3880, ano a-33r,i into a single tax parcel. -tese parcels cover Lots 1, an. 3, Cedarva Office Vark on wrricn we have constructed one uuilding the vdluatiun vi' ,ic i is now on tax parce: d-36uj. Very truly y_,urs, J. E. PAP Wssiu DIG. J. E. Parranto Oi.P/pak cc4A,Is. Ann Gores, Eagan City Hall HAUGE, SDIITH, .ELIDE & HELLER, P. A. ATTORNEYS AT LAW CEDARVALE PROFESSIONAL BUILDINGS 3908 SIBLEY MEMORIAL HIGHWAY EAGAN. MINNESOTA 55122 PAUL H. HAUGE AREA CODE 812 BRADLEY SMITH TELEPHONE 454-4224 KEVIN W. EIDE DAVID G. KELLER May 16, 1984 Thomas Hedges Eagan City Administrator 3830 Pilot Knob Road Eagan, MN 55122 RE: Amcon vs. Eagan Dear Tom: I have just received a copy of an Order that has been signed by Judge Raymond Pavlak of the Dakota County District Court requiring the Eagan City Council to adopt a Resolution to complete the rezoning of the Amcon property from A (Agricultural) to RB (Roadside Business). You will remember that the Supreme Court decision required the District Court to order the Council to change the underlying zoning and I have prepared a Resolution to be presented to the City Council for the change in the zoning. Very truly yours, AUG , SMITH, EID & KELLER, P.A. r' H. auge PHH:ras Enclosure u rJ ru By SS+I t DAT' ~ RESOLUTION EAGAN CITY COUNCIL JUNE 1984 WHEREAS, an application was submitted by Amcon Corporation and 0. J. Sporting Goods in September of 1981 to rezone approximately 19 acres at the southwesterly corner of Pilot Knob Road and I-494 from A (Agricultural) to PD (Planned Development); and WHEREAS, in approximately April of 1982, the applicant, Amcon Corpora- tion, and 0. J. Sporting Goods, submitted a similar application for approval of the rezoning from A (Agricultural) to PD (Planned Development); and WHEREAS, on March 1, 1983, the Council adopted a Resolution authorizing the rezoning from A (Agricultural) to PD (Planned Development), subject to certain conditions, including those conditions recommended by the City staff in its report to the Eagan Advisory Planning Commission and City Council concerning application for rezoning to PD (Planned Development) and that the applicants would proceed diligently to submit applications and support information for approval of all requirements necessary to the development of the property and that the City would act upon all such applications diligently in accordance with the City Code and Regulations, and other conditions; and WHEREAS, the applicants, Amcon Corporation and 0. J. Sporting Goods, appealed to the Minnesota Supreme Court from the Dakota County District Court's Order and Judgment of Dismissal dated and filed May 17, 1983 wherein the District Court denied the applicant's motion requesting a Court Order requiring the City Council to grant the applicant underlying RB (Roadside Business) zoning; and WHEREAS, the Minnesota Supreme Court determined in its decision filed April 20, 1984 that the Dakota County District Court should issue an Order directing the City Council to grant the applicants underlying zoning from A (Agricultural) to RB (Roadside Business); and WHEREAS, the Dakota County District Court by Order dated May 9, 1984 directed the City Council to adopt a Resolution necessary to rezone the applicant's property from A (Agricultural) to underlying RB (Roadside Business) in addition to the PD (Planned Development) zoning previously granted; NOW THEREFORE, upon motion duly made by and seconded by , it was RESOLVED as follows: 1. That the Eagan City Council be and it hereby is on record authorizing the underlying rezoning from A (Agricultural) to RB (Roadside Business) and further ratifying the Planned Development zoning pursuant to the conditions that were specified in the motion of the Eagan City Council at its regular meeting on March 1, 1983, with such conditions incorporated herein by reference, relative to the property described in Exhibit A and B attached hereto. Those in favor: Those against: Dated: June , 1984. Approved by City Council: June 1984. City Clerk F.XIIIBIT A All that part of Government Lot Five (5) in Section Four (4), Township Twenty seven (27) Range Twenty Three (23), described as follows: Commencing at the Northeast corner of-f... said Government Lot Five (5), thence West along the North line of said Government Lot five (5), a distance of 1079.03 feet, thence South 62036' East a distance of 325.95 feet to a point which is 150 feet south of the north line of said Government Lot, thence East and parallel with the said north line a distance of 789.92 feet to the Fast line of said Government Lot Five (5) at a point 150 feet south of the north line thereof, thence north along the said east line a distance of 150 feet to the point of beginning, according to the Government Survey thereof. That part of Government Lot 1, Section 4, Township 27, Range 23, according•to the Government Survey thereof and the Plat thereof, on file and of record in the office of the Register of Deeds in and for Dakota County, described as follows: Beginning ` at a point on the east line of said Section 4, Township 27, Range 23, distant 459 feet south of the northeast corner of said Section 4; thence North 52016t West a distance of 600 feet to a point distant 91.81 feet south from the north line of said Section 4; thence west on a line parallel to and distant 91.81 feet south from the north line of said Section 4, a distance of 146.7 feet to the intersection of said line with the west line of said Government Lot 1, said west line being the old U.S. Military Reservation line and said point of intersection being distant 109.48 feet southwesterly from the north line of said Sectie,n 4, measured along said west line of said Government Lot 1; thence South 330 ilest along the west line of said Covernment Lot 1 (tile Old U.S. Hilitarv Reservation Line) a distance of 907.95 feet to a point on said line distant 1017.43 feet southwesterly from the north line of said Section 4, measured along said west line of said Government Lot 1; thence South 62036' East a distance of 632.87 feet to a point on the south line of said Government Lot 1 distant 553.3 feet west from the east line of said Section 4; thence east along the south line of said Government Lot 1 a distance of 553.3 feet to the intersection of said south line of Government Lot 1 with the east line of said Section 4; thence North on the east line of said Section 4, a distance of 685.27 feet to the point of beginning, containing in all approximately 18.8 acres, Subject to the easement of the County road over the east 33 feet of said tract. All that part of Government Lot One (1), Section Four (4), Township Twenty-seven (27) Range.Twenty- three (23), according to the Government Survey thereof, described as follows: Coimnencing at a point on the south line of said Government Lot one (1) 553.3 feet west of the southeast corner of said Government Lot One (1), thence North 62636' Uest n distance of 4/43.26 feet; thence southwesterly in a straight line a dlstnnce of 243.22 feet to a point on the south line of said Government Lot One (1) which said point is 525.73 feet west of the point of beginning; thence East along the South line of Government Lot One (1) a distance of 525.73 feet to the point of beginning. Lot One (1), Section Four (4), Township Twenty-seven (27), Range Twenty-three (23), according to the Government survey, EXCEPTING THEREFROM THE FOLL014ING: Beginning at the ;Northeast corner of said Section 4, thence Ilest 561.60 feet to the Northwest corner of said Lot 3; thence Southwesterly along the westerly line of said Lot 1, 1017.43 feet, 'thence South 62036' East a distance of 189.61 feet, thence Southwesterly in a straight line 'a distance of 243.22 feet to a point on the South line of said Government Lot 1, which said ;point is 1079.03 feet west of the Southeast corner of Government Lot 1; thence East along the South line of said Lot 1, a distance of 1079.03 feet to the Southeast corner of said ;Lot; thence North along the East line of said Lot 1 to the place of beginning, according ,to the Gov€rnoent survey thereof. Subject to the easement of the County Road over the 'East 33 feet of said tract. Excepting from the above described, parcels of land, such property or properties as taken by the Stata of Minnesota for highway purposes. See Exhibit B for particulars.; The North 150 feet of that part of Government Lot 5, lying in the Southeast Quarter of the Northeast Quarter of Section 4, Township 27, Range 23. The property described • in the first paragraph above is included in this description. EXHIBIT B J Parcel 310 S. P. 1986 (494393) 901 I 494-4 (67) 241 tal of the following: That part of Government Lots 1 and ,5, both in Section 4, Township 27 . North, Range 23 West, shown as Parcel 310 on the plat designated as Minnesota Department of Transportation Right of Way Plat Numbered 19-32 on file and of record in the office of the County Recorder and the Registrar of Titles in and for Dakota County, Minnesota; the title to a portion of said Parcel 310 is registered as evidenced by Certificate of Title No. 54395; containing 0.77 acre,.more cr less; together with other rights as set forth below, forming and beiro part of said Parcel 310: Access: All right of access as shown on said plat by the access restriction symbol. Temporary Easement: A temporary easement for highway purposes as shown on said plat as to said Parcel 310 by the temporary easement symbol, said easement shall cease on December 1, 1985, or on such earlier date upon which the Commissioner of Transportation determines by formal order that it is no longer needed for highway purposes; excepting therefrom the existing 3 car garage situated thereon: Building Removal Easement: A building removal easement as shown on said plat as to said Parcel 310 by the building removal symbol, for the purpose of removing or demolishing buildings therefrom, said easement shall cease upon removal or demolition of said buildings, or in any event, no later than the 24th day of July, 1983. Lew OFFICES TELEPHONE STALLAND Be STALLAND (619) 035-66» ONE CORPORATE CENTER FINANCIAL PLAZA 7251 OHMS LANE MINNEAPOLIS. MINNESOTA 65696 LUTHER M. STALLAND K. PETER STALLAND May 9, 1984 Paul H. Hauge, Esq. Cedarvale Professional Building 3908 Sibley Memorial Highway Eagan, MN 55122 Re: Amcon Corporation and 0-J Sporting Goods Company vs. City of Eagan Dear Paul: I am herewith enclosing copy of Order signed by Judge Pavlak as of today directing the Eagan City Council to give plain- tiff the RB zoning, which is herewith served upon you by mail. I presume you will prepare the appropriate esolution for the Council. When it has been adopted woul y,:so u kindly forward me a certified copy from the Clerk's o fice along with any billing for the charge inv ed. Yo r prompt atten- tion to this will be greatly a re ted Yo ver truly, . S land LMS/JJ Enclosure STATE OF MINNESOTA IN DISTRICT COURT COUNTY OF DAKOTA FIRST JUDICIAL DISTRICT Amcon Corporaton and 0-J Sporting Goods Company, Plaintiffs, VS. ORDER City of Eagan, a municipal Clerk's File No. 94410 corporation, Defendant. WHEREAS plaintiff has taken an appeal to the Minnesota Supreme Court from this District Court's Order and Judgment of Dismissal dated and filed May 17, 1.983 wherein the Court denied plaintiff's motion requesting a Court Order requiring defendant to grant plaintiff landowner 0-J Sporting Goods Company an underlying RB, Roadside Business zoning of its subject property in Eagan; and WHEREAS the Minnesota Supreme Court by its decision filed April 20, 1984 reversed and remanded to this District Court directing it to issue its Order directing the Eagan City Council to grant plaintiff's underlying RB, Roadside Business zoning from its present A, Agriculture zoning in addition to the PD, Planned Development zoning already granted; NOW THEREFORE IT IS HEREBY ORDERED That the City Council of the City of Eagan, Dakota County, Minnesota shall forthwith adopt an appropriate resolution and whatever other action may be deemed necessary to.effect the rezoning of said plaintiff's property from its present A, Agriculture classification to RB, Road- side Business zoning classification in addition to the PD, Planned Development zoning already granted. Dated: May 9 1984. /s/ Raymond Pavlak JUDGE OF THE DISTRICT COURT -2- r For Office Use Cit of EaR ~n j Permit d I Permit Fee: ®r 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: - 2009 SEWER AND WATER REPAIR / DISCONNECT PERMIT 6-1 Dater / 7 ` Fee: $50.50 City Sewer City Water Repair Disconnect Description Of Work: t S 114 6:G 02 Street Address for Proposed Work ~~C C' d_) !r `ff OWNER Name: 6n q l..-`L4 Phone: Address / City / Zip: Applicant is: Owner Contractor Licensed Pipelayer* Master Plumber Property Owner Name: Y 1 ~r L C tit ~1~1 5~2 Phone:: lc~ -2 7-0 -7 Address /City/Zip: t 't i all ~t'v'1 • `7 t ~~i I a(~Y1 y~ G~ S`-'' Pipelayer Training Certification Card '7 (w or Master Plumber License I acknowledge that the information is complete and accurate and 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. Applicant (Print Name) Applicant's Signature For O f&* Use I t 1 ~77~ t of Ea ~ hermit _ y ~q p hermit Fee: 3830 Pilot Knob Road 1 Eagan MN 55122 Date Received: j Phone: (651) 67645675 1 I Fax: (651) 675-6694 i Staff: 2009 COMMERCIAL BUILDING PERMIT APPLICATION Da'.: 9-4-01 Site Address: 3 a o F e Pja'r V-0 le ,o P; ve Tenant Name: (Tenant is: New E)isting) Suite Former Tenant PROPERTY OWNER Name: Aq ko to Loan fy G D Phone: i5l - 67s- yY67 Address / City / Zip: 12 Z g 'To wn eerl tre Dr; v e Applicant is: Owner __X Contractor TYPE OF WORK Desa Vion of work: Q ld: h') D e rr►G ►"7~': o n Construction Cost CONTRACTOR Name: V ✓ le, ken hiyle r E XCaVd fi+s9 ,1014 License Address: 1365o corm to ^ 1804d q/ City: Co /0'1 r+ f /state:1'9N zip: ~rD 2Z Phone: .j Jr 2 - V40- 2 23) Contact Person: v d n ARCHITECT 1 Name: M e- /404 TR P horn -Registration ENGINEER Address: City: state: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: Phone NOTE: Plans and supporting documents that you submit aye considered to be public kdbirmatkuL Par#ions of the information may be classified as non-public if you provide specific reasons that wtu ld permit the City to conclude that time are &vde secrets. 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 worts will be in accordance with the app(gved plan in the case of work which requires a review and approval of plans. l X Don W14kenhetuser x %6 h- ~2t/•c~~a,~-- Applicant% Printed Name Applicant's Signature Page t of 3 VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: , fie. Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the Village of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.:. _1 Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3395 Pilot Knob Road Eagan, MN 55122 PERMIT NO.: Zoning: DATE: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By: Date of Insp.: Misc. Charges: 7 Total: Insp.:- ! Date Paid: v