1165 Aquarius LaneRECORD
CITY OF EAGAN PERMIT TYPE: +" tI f I I'l I Nt3 j
3830 Pilot Knob Road Permit Number: 0' 1 `469
Eagan, Minnesota 55122-1897 Date Issued: 0'? I 1 f; f'
(612) 681-4675
' SITE ADDRESS: APPLICANT:
I
l ANf
? I1 I 1 l?s 1. tdl '. . F'i11?F FJIi
i ,
PERMIT SUBTYPE:
, i, ,
TYPE OF WORK:
INSPECTION D. . D.
?: ??Ii??li ? r? ;; ?? • I t1111
7
-J
Permit No. Permit Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inspection Date tnsp. Commenta
FOOTINGS
FOUND
FRAMIN(3
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL 6
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAI Wlk
- -
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: t 0/1 ;5/f4H
(612) 681-4675
SITE ADDRESS:'
I if! : t Icl 0,.p .
::0lAH7.tlt. 1 ANF
t.li l 0 F 14 N1 F'AitK ?NFl
F
L
APPLICANT:
f , ,;:,I . V. 1.1 i i 1;1
(til?1 hi:i-tA?i2
r:k11INh1F ti'/f ( 111" tM1t ;T NE 1N!•I'Ff fr C] RFf"t)R I. +' F1id( t A1 1tic,
J
PERMIT SUBTYPE: TYPE OF WORK:
i , , ,' • j i ? tJ
lii. .1 „i; Iiwi
Pe?mit Holder Date Telephone #
PLUMBING
HVAC
Inspection Oate Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBC,
FINAL HTG
ORSAT
TEST
BLOG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITV
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
Addition wTJ.nF
Owner'•:, .Y:i,ti `.
116?'i Antiari»s T.anP
Parcel 10 84251 010 02
State Eagat, M 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRAOfNG
SAN SEW TRUNK 1 -'?
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 7 619.22 61.92
STORM SEW TRK 1979
STORM SEW LAT
CURB & GUTTER '
SIpEWALK
STREET UGHT
Roa Unit 75.00 13949 4-23-79
WATERCONN. 270.00 13949 4-23-79
BUILDING PER. 51E1$
sa,c 52-5.00 13949 4-23-79
PARK
. 4
?
BUILDING PERMIT
Te 6e used fer cY' E
Site Addi
i
Lot
Parcel #
CITY OF EAGAN
8795 Pilot Kao6 Rood Eagan, MN 53122 N2 5168
PHONE: 454-8100
•
Receipf # /. ", <,
.?Y
Erecr p
2M'A1ter ?
Repoir ?
¦ Enlnrge Q
cc Name :•. .reyur?xsi u?xa?. a.rn:. Move ?
Z Address ??01 117• 110t1L1 St1e"t Demolish ?
9 Grode ?
Cit Phone
a Name Approvuh
ad
?
~ Assessment _
?? Address
~ p?e Wuter & Sew.
Ci
Police
FW Name Fire
?? /lddross Eng• _
<W Ci phone Plonner _
CAUncil _
I hereby ocknowledge thot I hove reod this opplication ond state that gldg. O{{.
the information is correct and ogree to comply with cll applicable AP? _
Stnte of Minnesota Stotutes and ?ty of Eagon Ordinances.
Signature of Permittee
A Building Permit is issued to: '
al) work shall be done in accordonce with all applicoble State of Minnesota 5tat[
Building Official
Occupancy n3
Zoning
Fire Zone
Type of Const.
# Stories
F ront ft.
Depth ft.
Permit _
5urcharge
Plon check
SAC
Water Conn.
Water Meter `
?
Total
on the express condition thot
and City of Eogan Ordinances.
f-
PamM # Dat. isw.a v...in..
Plumbfng ?yf
Mechonical
?y 4-QCV)0 b -a) - ?
INSPECTIONS DATE INSP• Rouph-In finol
Footings -} Dote 1rap. Date Imp.
Foundation Plumbing -
Frome/Ins. Mechonical
Final 7-2
Remarks:
, CITY OF EAGAN
3795 Pilot Knob Road .;.-7t`;,7 7VIF2 iv.?YT'£13D
Eagon, Minnetoto 55122
P6one: 454-8100
PERMIT No. 14S?
Dute:
6-29-79
Pw.;lyar2ws I:am
Site Address:
'_ 2 ,71ldf.X71LEi8 Pat'k Znd
Lot Block Sub/Sec. _
> • L etersm Qw]trcti.ra:
Name
.. 4707. W. 1110th S-me-4-.
e Address
?24-5144
City _ Phone:
??3'YZ ? P t
Name
.
$ 14745 So. Aoh?
Address 't ^Ya;_I
P
c
(j %3--1s.44
City Phone:
This Permit is issued on the express condition thot oll work shall be
Minnesota Stotutes and City of Eagon Ordinonces.
Zt! nQ 0
Receipt No.:
Single I X
Residentiol
Multi Res., Comm./Ind. I
New/Alter. / Repai r
Cost of Instollation
20.OC?
Permit Fee
Surcharge
? ..=Ll
Toto I
done in accordance with all applicable Stote of
Building Official
CASH RECEIPT ?
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
R6CEI V HD
FROM
AMOUNT $ I
?
DOLLARB
lso
E] CASH M GHECK
FOR
PUND COD6 AMOUNT
;2 .?. ,.
?
Thank You . 3 BY
.?.749
YVhite-Payers Copy
Yellow-Posting Copy
Pink-File Copy
B?-
I tg
ADDR ESS
HEAT LOSS DATE HTG. IMST
SOLD BY
INSTALLED BY
Eleetrieal Wwk By Gas Line By
TYPE OF HEAT GA % FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Modol r, .3 Model
Seriol Max. BTU Rating`
INPUT MAKE OF FURNACE
Model
? {-? CONTROLS
THERMOSTA7 & Hsat Plug ?
Yalve
Limit
Outside
L.W. Cut Off Door Prasaura Liyhtiny Inst.
Prosswe ?•,- Percent COZ - ? Oots Testsd 3 b~9q
Input CFH Percent 02 Company Testing Frederidcson Heating &AfC,3650 Kennebec Dr., Eagfln, MN 55122
Stock Temp. Pareenf CO Name of Tesfer <Z
TING TEST RECORD .106#
SUBURB
Yent Sizs
KIND OF LINER
Drak Hood
SIZE NONE
Regulator
Limit Sstfin9 Filters Size Numb4
Fon Seftiny Chime+sy Locotion Inside
Pilot Typs Chimnsy Construcfion
Pilot Make
Pilot Model Smoke Bomb Wiring
Pilot Timinq Draft Test '
Form 235
CITY OF EAGAN WATER SERVICE PERMIT
y
3795 Pilot Kne6 Road
PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: No. of Units:
Owner:
? Address:
Site Address:
Plumber:
Meter No.: Connection Charge: - '
Size: _ Account Deposit:
Reader No.: Permit Fee:
I agree to eompir with the Citq of Eagon Surcharge:
Crdinonees. Misc. Charges: "
Totol:
By Dote Paid:
Date of Insp.: Insp.:
,fITY OF EAGAN SEWER SERVICE PERMIY
3795 Pilot Knob Roed PERMIT NO.:
Eogon. MN 55122 DATE:
Zoning: No. of Units: -
Owner. - - - - -
Address:
---
Site Address: '
Plumber:
' • . ' "' . ' •:?ri
I n9ree to aomOlY with H+e City of Eogan Connection Charge:
Ordinanees. Atcnunt De sit:
By
bate of Insp.:
P° -
Permit Fee:
Surchorge:
Misc. Charges: -
Totcf:
Date Paid:
CITY OF EAGAN
? 3795 Pilot Knob Roud Eagan, MN 55122
.• PHONE: 4548100
BUILDING PERMIT APPLICATION ReceiPt #
Te be umd fer DWlg & GdYdgeEst.Value 76,000. Date
N2 5168
?
4-23 1919--
Site Address 116 lU5 Ia172 Erect 13 Occupancy R3
Lot 1 Block z Set/Sub. Wll(32YY1PSS P3Lk Z17dqlre, ? Zoning Rl
10 84251 10 02 Repair ? Fire Zone 3
Parcel # Enlarge ? Type of Const. V
m Nome S. P0t2I52T1 CAI1St. 711C. Move ? # Stories
z Address 4701 W. 110th Street pemolish ? Fronr 58 ft.
8 4-514 Grode ? Depth fr.
Ci Phone
ApProvale feea
ft Nnma
° 179
5
z?
o Addrea
? qssessment .
Permit -
38
00
? WaMr & Sew. .
Surcharge
? Ci Phone
Police 89.75
Plan check
E. Name Fire 5qC 525.00
? 270.00
Cann
t
W
_
qddregy
u En9. .
a
er
60
00
aW Ci Phone Planner .
WoterMeter
Fload UT11t 75.00
Council
I hereby acknowledge that I hove read t' p ic o n te that gld9• Off.
the fnformotion is correct and ayre o co pplico6le AP? Total 1,237.25
State of Minnesota Statutes an nces-
Signature of Permittee
A Building Pertnit is issued to• S. P0t2TSPS1 COIISt. riC. on the express condition thot
all work shall be done fn accordo ' all ap ic le State of Minnesota Statutes and Ciry of Eagon Ordinancea.
Building Officiol ' -c"=q? ?
•?'?'???- ? S ?a ? 9 c,??L ? ??? ? •?,??- ? ?'717
?
?. DATE 4?S 6 -? 9
? .
EL'II.DItiG PER`^.IT AP?LICaTIO`:
Include '_' sets of plans, 1 site plan w/elevations and 1 set of energv caicuations.
To be used for Valuation
a?-P ro o
Si[e address: a/C- : £ %7Flr?f'e. it
Lot ? Block o, Sec.!Sub. Pazcel Sucber ?D ,ya?? Dc3-
Owner 5???=% ? ?"???'r? [?0/f/SL`" /a'teTelephone
Address?f0/ &-.) /l? =61 r"
f/AG r JVk/ ?ev
Contractar Telephone
Adaress _
Arch/Eng. Telephene
Address
OFFICE L'SE ONLY
Erect ? Occupancy
A1[er 2oning A
Repair Fire Zone ?
Enlarge Type of Const. U?
KOVe fl of Stories
?
`•
Demolish Front ?
4
Grade Dep[h •s'iC
i
Date of A roval and Initial Fees ?;7!
Assessment Permit
Water/Sewer Surcharge 3e' ?
Police Plan Check F 9
? Fire SAC .S?
w Engineer Water Connection
PLanner Water Me[er l00
Council
-.?--
Bldg. Off. r
A.P.C. TOTAL
Certificate for:
Svend Peterson
a '0
4711 l•Jest 119th Sireet
Bloomington, Mn. 55437 ' S
? DELMAR H. SCHWANZ
LANOSURVEVO(i
NeqUt0/a0 VnOh Liw9 0l 7ht Stata Of Minntfole
2918 - 706TH BTREET W. - BO% M ROSEMOUNT, MINNESOTA 66068 PHONE 813 923-1789
( SURVEVOH'S CERTIFICATE
SCALE:
30 135.00 N89057'28" E 1 inch = 43 f@@'u
Drainage & ufility esm't
? - ? LOT I
am
m _iO
/ `'/ f
o 101
0
0 b /pROPp5E0
n
Z I / ?H?SE?,• ?n
l ? 39_0 ? : ot GAR/
1\ 0- 240 430
?-- -
C.
?
\ s
8994 N89°57'28"E
- LAT?
$
LC)
"m
I ?
O
IS o
O
2
8
O
M
I hereby certify that this is a true and correct repreaentation of
Lot 1, fllock 2, WILDERNESS PARK SECOND ADDITTON, according to the
recorded plat thereof, Dakota County, hiinnesota.
AlBO showing the locatlan of a propased house as staked thereon.
Da.ted: April 10, 1979
-
?
MINNESOTA REGtSTRATION NO 88
This request void 18 months from
i-,?Zf9.
R 49970
Date of this Request June 21? lqry j
I, as ? Licensed Electrical Contractor OOwner, do hereby reqyLest inspection o[he above electri-
cal wiring installed at: G! a a WA-d?? Ikkk- Ztid.
I?6S
Street Address or Route No, ft*A4Uariue City40n
Section Township
Range County Dakota
Which is occupied by __$vend Peterson Conatruction
(Name of Occupant)
Is a rouglun inspection required on this job? No ? Yes 0 Ready Now ? Will Call 0
Power Supplier Hakots L1eet1'ie Assn. Address 821 3rd St.oFaxminaton, MN
Electrical Contractor Ken Soreneon EleCtTie 55024
Contractor's License NoAU603
(COmpany Name)
Mailing Address 8070_12th AVe. So.. Bloomineton. NIN 55L20
Authorized
No. 854-4470
(?"7 /? `l?? ?o O?n, ????q This inspection request will not be accepted by the
el tI L(.1 IJ ? ??S ?+ State Board unless proper inspection fee is enclosed.
. . Minnesota State Board of Electricity
1954 Wiversity Ave., St. Paul, Minn. 55104-Phone 645-7703
? - REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS ItEQUEST
J-?r?'/
R49970
Type of Building New Add. Rep. Ch¢ck Appliances Wired For Chack Fquipment Wired Fo[
Home id ? ? Range Is Temporary W'ving ?
Duplex ? ? ? Water Heatet ? Lighting Fix[ures ?
Apt. Bldg. ? ? ? Dryer ? ElecVic Hea[ing ?
Commercial Bldg. - ? ? ? Fumam 29 Silo Unloadet ?
Industrial Bldg. ? ? ? Au Conditionet 91 Bulk Milk Tank ?
Farm ? ? ? [ ist Dishv asher Lut
Other ? . 0 ? Rehers? Hehers?
COMPUTE[NSPECTION FEE BELOW
Service Entrance Size: # Fee Feeder &Subfeedecs: # Fee Crtcuits: # Fce
0 to 100 Am s. 0 to er n 0 to 30 Am eres 00
101 to 200 Am s. 31 to m 31 to 100 Am eres
Above 200 Amps. Abov ? 00 A6ove 100 Amps.
'Iransfocmeis RemoteCon 1Ci : Partialocotherfee
Signs Special Ins ection Minimum Cee
Remarks
Complete Houae Wiring E ?
70TAL ?p.
.50
I, the Electrical Inspector, hereby cer '?'hat efa ove ins?eetipn has bee m
(Rough-in) • ?j?Y 6U Date ??
(Final) Date /O- .7 3-?,P
TMs request void 18 months from
/ .?
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMITTYPE: auzLozNs
Permit Number: 0 2 7 9 5 9
Date Issued: 0 6/ 18 / 9 6
1165 AQUARIUS LANE _
LOT: 1 BLOCK: 2
WILDERNESS PARK 2ND
P.I.N.: 10-84251-010-02
DESCRIPTION:
,?.
BuiYd?fng.,?Permit Type
i"Build'zng 1.lqrk Type
? Census Code
. ? .
Jj?
>_ ...;S.r ° ... '
.. u ,.
REMARKS:
FEE SUMMARY:
STORM DAMAGE
REPAIR
434 ALT. RESIDENTIAL
CONTRACTOR: - Applicant - ST. I.zC.OWNER:
RONEL RESTORATIONS 14323444 0002158 NELSON TOM
P 0 BOX 240744 1165 AqUARIUS LANE
APPLE VALLEY MN 55124 EAGAN MN
(612) 432-3444 (612)
T herehy acknowladge that I haveread t°hi's app'licraCian and state that the
infiormation is correct and agree.to comply witih all applicable 5tate of Mn_
? Statutes,and Czty ot Eagait Ordinances.
APPLICANT/PERMITEE SIGNATURE
A91n k uAa! 11111
issueo e sic arua
CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
6814676
New Construdion Reauiremenls RemodeVReoair Reauirements
? 3 registered site surveys ? 2 copies ot plan
? 2 eopies of plans (inctude beam 8 window sizes; poured fnd. deaign; elc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculetions ? 1 energy ealcula8ons for heated additions
? 3 eopies of tree preservatlon plan if tot pletled afler 7l1193
required: _ Ves No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT I_ BLOCK ?
SUBD./P.I.D. #:
PROPERTY Name: toM^-?&g?,f NdJoN Phone #:
OWNER u$* riner
? 16i?
Street Address:
_ City: State: M'`r Zip:
CoN7ttAC7oR Company: '` ,?'jQ? Phone #:
7 UQLI` vva 7qy License #:
Street Address:
-,?&(2 I??`1? ??' State:
City:
6'1?OK- Zip: S`rlay
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #:
Street Address•
City: State: Zip:
Sewer 8 waier licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and !a1
I hereby acknowledge that I have read this application and state that the informatio i correct and agree to comply with ag
applicable State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY EREC7MVE-D-
Certificate s of Survey Received Yes No ???'i?
Tree Preservation Plan Received Yes No ""°----
0 l•k'hL)1 ?_ w'
OFFICE USE ONLY
BUILDING PERMIT TYPE
a 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-piex
? 03 SF Addition ? 08 8-plex
0 04 SF Porch ? 09 12-piex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New a 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 GaragelAccessory ?
? 14 Firepiace ?
? 15 Deck
? _.
16 Basement Finish
17 Swim Pooi
20 Public Facility
21 Miscellaneous
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft,
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
% SAC
SAC Units
0yF?'M#?kk:'M74RC* M11iJ'd10n$;* PI$<Xt%'F9FW,**Xt*Sk*
C:!:7`! UP" EAGFlN
^A'iH'f.l-:.Fi: 'ii T'i":fiMTN(-;i.. NCa 764
T.41TE;; 10/t?/98 TTMf-'a i'-?:ri.'.a`:i2
Ii!;;
tdA11E; Fd...I..TrLi l !:R1:-f;IUG TNC
3210 9001 HP,5 AtaLlARIIJS I._ 50..(:)0
205 9001 .1165 AQ(.)fa(•:IU.S. l. 0.50
7oi;al Fter..rn:i.pi: Atrinuztit,e 50.,50
CRO9F334r?.
I.ISiG:R .T.Y?t t,ANCY
PERMIT
CIT1fOF"EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE: B U I L D I N G
Permit Number: 0 3 3 6 3 4
Date Issued: 10 / 12 /98
SITE ADDRESS:
1165 AOUARIUS LAN[
L07a 1 BLOCK: 2
WIIDERNESS PARK 2ND
P.I.N.: 10-84251-010-82
DESCRIPTION:
GNS INSERT
B,W.ildirtermit TyPe
?ui'Idiflg Wo'r_h Type
Cen•sus ?-Code
r;
?-,
„
a.
?.
FTREPLACE
ALTERATION
434 ALT. RESIDENTIAL
;t t• (
V-',: r 1 !o
I.?d. !'? I
?;;s i?.r `? __ • t ,_: _1 ??x? ?., TM:F3? i. I!
REMARKS:
CHIMNEY/FLUE MUST BE TN5PEC7ED BEFORE CONCEALING.
FEE SUMMARY:
Bese Fee $50.00
S u r c h e r g e . __.,_. __._.?^
__ 5 A
Total Fee $50.50
CONTRACTOR: - Applicant - sT. Lzc. OWNER:
FItRESIUE CORNER INC 16331042 20090911 NELSON TOM
2700 N FAIRVIEW AVE 1165 flQUARIUS LRNE
RbSEVILLE MN 55113 ' EAGAN MN 55123
(612) 633-1042 (651)686-5256
I hef? eby aok?now;led_ge tNat I 6ave;?'re6d tC53s a'pp`li,cation ?rsd state that='the
information as correot and agree to compJ,X wxth?all applicable &xate Qf kin.
StaCu,tes_ahd L'iCy ofi Eegan Owd'inances.- - ?
?- - -- -
APPLICANT/PERMITEE SIGNATURE ISSUED eY: SI ATUR
, ,. ..
CITY OF EAGAN t,
3830 PII.OT KNOB RD - 55122
1998 FIItEPLACE PERNIIT APPLICATION
681-4675 DATE: PERMIT FEE: $50.50
DESCRIPTION OF WORK: Construct new ficeplace _ Alterations to existing
? Install gas insert oolv _ Install eas tine only
Other
JOB ADDRESS: ?ZL r7 IL aK I'l( s Lne
LOT: Y BLOCK: ?- SUBDMSION/P.I.D. #: k n-A
?
APPLICANT (circle one only): OWNER CON1'RACTOR
I hereby ac}aowledge that I have read this application and state that the information is coaect
and agree to comply with ali applicable State of Minnesota Statutes and City of Eagan
Ordinances.
Name:?U? Phone#:asi L -S?-A
PROPERTY Last First
OWNER
Street
FIREPLACE
INSTALLER Signature:.
Street Add
cjty --I
Compaoy:
GAS LINE
INSTALLER Signature:
Street Adc
??.gCL?
?I-Licease# ?,( l7 /'?! l l
stau: 4 l , zip: ?533 ?
City EQ, (A() S?tate:JIi'! /U. Zip: 13
w ? . '.
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 14 Fueplace
WORK TYPE
? 31 New O 33 Alterations
? 32 Addition O 34 Repair
GENERALINFORMATION
Census Code. 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
A*yg31
CITY USE ONLY
LOT l BL ? RE? CE? ?: >> 3?? 3a
SUBD.V V ? I ?(/1/? ? A? RECEIPT DATE:
MECHANICAL PERMIT #
1999 MECHANICAL P£ftMIT WSil?£NTIAL)
cmr oF r.rksku '
3930 eu.or xaos an
fJ?fi/4N MN 551 EY
Date•7/r 3() q'? (651) 6$1-4695
Complete this section onlv if you are installing HVAC in a single faznily dweiling, townhome or condo under
construction and not owner /occuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BN
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Total
$ 30.00
6.00
.50
$
Complete this section onlv if you aze remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, a(teration, or repair.
_ New Alteration Repair L--?Other
Reminder: Cal! 681-4675 for rnspections.
l/ Furnace `-? Air conditioning
_ Ai: oxcha:.ger _ Ortie'-
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
l l (.05
-d-
lgn/l
PHONE #: &S I - 6% -4j'L'xo
(AREA CODE) ?-'-, S
PHONE #: I vsd'
( A CODE)
STATE: I`d ?j ZIP: 5611 Z
Al?? /b- /
SIGNATURE OF PERMITTEE
?
? CITY USE ONLY
sueo ?e? ??YYI 255 I ar-? "-?
RECEIPT #. I a D /15z-/
RECEIPT DATE: 1,6 GG
PERMIT # 3 ?a Fy
1999 PLUMSINfi PEiMIT (RESIDEN'fIAL)
Cfl'YOF £AfiAN
3$30 fILOT KNO$ RD
£R61kN, MN 5512E
(ssi) 681-4675
Please complete for: : grtfTew '
? o ITfiomes and condos when permits are required for each unit
% backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
G2s i in outlet ` minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavator 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC nc. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
WetOr SOftenef if dwellin under consVuction 5.00 x = $
Water softener if existin dwellin 30.00 x = $ 0.100
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --? ----? ----? $ .50
TOtal --> --? ----> ----> $ o
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------- -------, - ----------?------------------ "--- "---------------------
I hereby acknowledge that I have read this application, sfate that the information is correct, and agree to comply - - with -all- - - -? applicable City of Eagan ordinances.
It is the applicanPs responsibility to nofify the property owner that the Crty of Eagan assumes no IiabiliTy for any damages caused by the City during its
normal operational and maintenance activities to the facilities cons[ructed under this permit within City propertylright-of-wayleasement.
SITE ADDRESS: ( ItcS A Q uAR ilus . L
OWNER NAME: : `? ? YUp ?fj? i TELEPHONE #: e.!S71_
(AREA CODE)
INSTALLERNAME: Sq1 ,AiO Wli-F Q [?n INlC, TELEPHONE#:to)2. 7S3-4ZUY
(AREA CODE)
STREETADDRESS: I(aleu" A .ie_
CITY: A\STATE: YY1VV ZIP: 63_3n.2
__ Nf/,jr ?i?Ai,??"!?// /7,L',B?l• ,dv.?.
?-r-
SIGNATURE OF PERMITTEE
(ger#ifirtttr of (Orr?Panril
eitp of eagan
uP}tF1Y'wltt Df B1tllatYlg 3riS}TPtYtiril
Tbit Cnti firate rnued Qa+trwnt ro the ruquisemtnu of Sertion 306 of thr Uni for+rs Building
Codc certifpng thut ct tha timc of itcuanre tbir ahurtare waf in cempliancc untb the varioua
ordirwnccs o f the City ngulating buildiag contt+ratiax or ux. For the (ollouong:
u.cWwwum SF lht1K Fi GalsKe 5168
R3 V z?, oi.?n Rl
°i°'°°°ryi'?P' ryp?m?? Minneapolis I?4J
?,f„?- S. Petersen Const. ,,,,M,
By
aw. September 17 1979
.a.. ?. . w...,??w. .,.?.
"`dT?Y 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
? 1-?0511 651-881-4875
> J reglstered Aro wrveya showlny eq. fl ol bl, aq. R. ol house
and gH rooleC areaa (4096 ma)dmum lot eovaroae allowecl)
> 2 coplea of plans (ahow beam & wlnWw slzes; poured fid dealgn; etc.)
> 1 sef of energy calculadona
> 3 copies ol hee preaenallon plan II l01 platted aRer 7/1/93
DAiE: SlI(nlcro
Rertwtlel/Reoalr Reaulremenh
2 coplea OI plan
1 set of energy calcWallom for heated adtllHOna
1 site wrvey for exteAOr adtliHons & decka
CONSTRUCTION COST:
DESCRIPTION OP WORK: 11" ^" (n n n?Lo yn g??
STREETADDRESS: 116S Ql4(-)4:2i1 LAPL0 1, Cf1'6/4N
LOT: I_ BLOCK: 7-_ SUBD./P.I.D. #: W i nC e sS:55 p?UL= SlErnd 0 ?1'fTa'v
PROPERfY
OWNER
COMRACTOR
ARCHITECT/
ENGINEER
Name: T?1eo mA-i' Phone t:
um Flat
Sheef Address:_I LA 1; AQuA'R- l v? A-f\jE'' -
Ciy Kl6.Al? _ State: W)l vP: ?.?Z?---_--
Company. ?SSoC? 141? 5 ? uS ip? r"M.J Phone #: Cn 5I Z--
('CeLL) (area cod 62 -A10-! wy
sN«t Adaresr 9z0 Ci,,.in., -nc ML ucense # =22-W!Exa•344?0 1
Cliy 8 RG14h1 State: m 1tJ Zip: S5-1 Z. --;
Company: bL 1 xi Name:
Telephone #: (
Sheef Address: Regisfratbn #:
CNy
Sfafe:
Lp:
Sewer/water licensed plumber (H installina sawer/waterl: Phone #: L?
I hereby acknowledge Ihat I have read 1hffi applicalion, afate Mwt the infortnaNon is cortect, and agree to comply wilh all appAcable Stah
of Minnesota Statufes and Cily of Eagan Ordinances. ? C?,
Signafure of
OFFICE USE ONLY
Certificates of Survey Received _
Tree Preservation Plan Received _
Yes _ No
Yes _ No _ Not Required
?
ieiAY I 7
?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? OS 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex O 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
S 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ?
? 17 Garage ?
A 18 Deck ?
? 19 Lower Level ?
Plbg _Y or_ N ?
? 20 Pool O
21 Porch (3-sea.)
22 Porch/Addn. (4-sea.)
23 PorCh (screened)
24 Stortn Damage
25 Miscellaneous
30 Accessory Bldg.
? 36 Move Bldg. 13 43 Reroof
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolitlon permit
GENERAL INFORMATION
SAC Code O /
No. of Units O
No. of Buildings /
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Pianning Building ln-d\. Engineering
Variance
? 31 Ecc. an • Muni
? 33 Ext. AR - SF
? 36 MuRi
113
Permit Fee
Surcharge
Plan Review
License
MClES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total
Valuation: $ /a0 fl
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire 5prinklered
SAC Units
% SAC
ificate For:
,end Peterson
47ii West 110th Street
Bloomington, ]Kn. 55437 '
. ?DELMAR H. SCHWANZ
wno suRVevoa
RpittwM l1Mer lOws e( ThaSpN Ot Mm60wb
2978 - 146?N iTqEET W. - BOX M RpSEMOUNT, MINNESOTA 66068
SURYEVOR'S CERTIFICATE
30 I 1 incri
138.00 N89°57'28"E
Brafnage ?c ?lity
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89.94 N89°57*28°E
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PNONE 8724231788
SCALE:
a 40 f8et
I hereby certlfy that this is a true and correct repreeentation oP
Lot 1, Slock 2, WILDERIdFS3 PARK SECOND AADZTION, according to the
reCOrded plat thereof, Dakota County, biinnesota.
Also ahowing the ioeati?n of a proposed house ae staked thereon.
Dated: April IQ, 2979
*MINNESOTA REGISTRATIqN N0.88 '
, ?: