3205 Alden Pond LaneT
,.. CtTY OF EAGAN ' . ?.
??'"'"'•T3830 Filot Knob Road, P.O. Box 21-199, Eagan; MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Est Value Date ,AAX 28
Site Address ' ?' ` ?Y"=3 2" (4 `'+-2N's LN
? OFFICE USE ONLY
i Sec/Sub. A `<`;N P IND
Lot ` Block
Parcel No. occuPancy R-?1 Ph- Fees
R-3 '
Zoning
x NBtTt? A.;' 20 1.,Ii J""$ "•."' <'ARt: NE?`c'6H1P' (Actua1) Const Bldg. Permit
w
O
AC1C1fe53...? ?-`5 a `TFT^, `?''. '?UI?TY? 7?'b5
(Allowable)
Surcharge
City ??-.T:. Phone #ofStories
=
t Pian Review ? L' i -
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Length
o Name RUC'C'YiXf. 114C DePtn s;ac,?Qty ..t,;
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va Address
.e... S.F. Total ? 1tt%
.
MCWC
SAC .,
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~ Citj! Phone 631?-s254 S.F. Footprints ?
.?9164 ,
i
Water Conn ?
On Site Sewage _
?
W W
Nd?'p8
On Site Well
-
Water Meter
7 b ;-'
iiE AddF@S5 MWCC System
?
I
f o0
a W
Clty PhOlle
Gfty Water Acct, Deposit .s..?.
_
PRV Required _ S/W Permit
? I hereby acknowtege that I have read this application and state that the Booster Pump - S/W Surcharge
i information is correct and agree to compiy with alf applicable State of
?= '
?
1
?
Minnesota Statutes and City of Eagan Qrdinances. Treatment PI '
•
.
I Signature of Permitee fj x APPROVALS Road Unit 4:..? 7 2 t.?•?'?°
A Building Permit isissued to! IL(+5zew001) {Eutism3C'!?IC'N Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council -
applicable State of Minnesota Statutes and City of Eagan Ordinances. gld9; pff. _ Copies
Building Official
Vaiiance
TOTAL
17i #???`3. ??o
? Permit No. Permit Holder Date Telephone #
WA'FER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC ?' '
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final '
W ell
Pr. Disp.
t C
PERMIT # ?
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 45 -8100, _
.' For Office Use Only:
'.f,`5`-
Site Address ° i-ri .:?•:.' f
1j ~7 ?- Fsr_' r
r ,
BLDG. TY?E WORK DESCRIPTION
Lot ploc t~x Sec/Sub
? Res. New
Mult Add-on
Name
? Comm. Repair
c??c Address
Other
c City _ 8910 WE?,°?? -°
P,hliJi4&sPO! ;S, i'7m 55? ,,
?
:
Name
-?„•;;?.
FEES
RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
' p Ciry Phone INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
- Forced Air ?° ??•>? M BTU -( ? APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATEAPPUES
?$oiler M BTU MINIMUM RESIDENTIAI FEE = ALL ADD-ON &'
? Unit Heater M BTU REMODELS - 12.00 `
Air Cond M BTU ?
Gg MINIMUM COMMERCIAL FEE - 20.00
. *9 STATE SURCHARGE PER PERMIT - .50
Vent CFM g (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # $ BEYOND $1,000)
Other $
FEE:
SIGNATURE OF PERMITTEE
S/C:
TOTAL: FOR: CITY OF EAGAN
,.
.
, :
. ;, ; .. .
i ?
' . . , +CONTRACT PRICE:
Site Address
Lot Block
?
Name
m
m Address
,. . ?
PERMIT# '-.?:i ',;?,•.
PLUMBING PERMIT RECEfPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?
PHONE: 454-8100
A BLDG. TYPE WORK DESCRIPTION
? Sec/Sub Res. New
Mult. Add-on
Comm. Repair
-.--Other
c City Phone RES. PLBG. ONLY - COMPLETETHEf4LLQWING:
NO. . FIXTURES TPTA?:
Water Closet - $3.00 $
?
Name
Bath Tubs - $3:00
3 Address ? ? `- `' ?` ? • ? ' i ?Lavatory - $3.00
,.
p City Phone Shower - $3.00
Kitchen Sink - $3.00 °' t
FEES Urinal/Bidet - $3.00
F
COMM/IND FEE - 1/o 0 OF CONTRACT EE Lau
nrY TraY - $ 3.00
d
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES =Water Heater - $1.50 ? -? ?-
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE - $20.00 Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYON 1,000.00) Well - $10.00
Private Disp. - $10.00
"'J??v ?,. Rough Openirrgs - $1.50
; SIGNATURE 0"ERMI EE FEE:
` STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: `
,
SITEADDRESS 3205 ALDEN POND LN
Unit # Permit # I
4 B 2 Sect./Sub.
ALDEN POND
INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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SITE ADDRESS 3207 ALDLN POND LN Unit #- Permit #
4 2 ALDEN POND
L 6 Sect./Sub.
tNSPECTION INSPECTOR DA7E COMMENTS
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SITE ADDRESS
3209 ALDEN POND LN
Unit # Permit # ! ?2..- I M
Sect./Sub. ALDEN POND
INSPECTION INSPECTOR DATE COMMENTS
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-27-91
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SITEADDRESS 3211 ALDEN
1 4
POA1D LN Unit # Perrnit #
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ALDEN PONb
Sect./Sub.
INSPECTION INSPECTOR DATE COMMENT3
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SITEADDRESS 3213 ALDEN POND LN
B
Sect./Sub.
Unit # Permit # ? ? q 1?
ALDEAI POND
INSPECTION INSPECTOR DATE COMMENTS
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3215 ALUEN POND LN
SITE ADDRESS Unit # Permit # ?A
4
B 2 Sect./Sub. ALDEN POND
iNSPECTtON INSPECTOR DATE COMMENTS
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1?-12
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Permit # ! ? r 9-D
SITEADDRESS 3217 ALDEN POND LN Unit#
L
4
B 2 SectJSub.
ALDEN POND
INSPECTION INSPECTOR DATE COMMENTS
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SITEADDRESS 3219 ALDEN POND LN
Unit # Permit # ? l -9
4 2
B Sect./Sub.
ALDEN POND
INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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SEWERI& WATE? PERMIT OFFI E USE ONLY
CITY OF EAG/XP1` " METER #?? 3 PERMIT DATE
3830 P110t K{lOb Rd. CHIP #0% 6/??-3 ' WATER PERMIT #10755
Eagan, MN 55122-1897
METER SiZE S B.P. RECEIPT #' cl 2730
ISSUE"DATE B.P. RECEIPT DATE 6/29/$?
_ PRV __: BOOSTER PUMP
SITE ADDRESS 320-Al-dAn ' Pnnrl 7211a PERMIT RECtUfSTED
)
LOT 4_BLOCK ..2-SEClSUB -? a P&A).b
- """ S WER WATER - TAPS ?
APPLICANT: ROSeWn^d G'on^t..?'t*CtiOYz , I 71G
ADDRESS: , 17.13 W. Caur tu Ro;?d F", _ COMM/IND -L-71RESID15iVTIAL
CITY, STA7ERoS;rai1ye, LH1V ZIP 65113 ;
PHONE: 631-3254
+.i"NEW - EXISTING
PLUMBER: Majnr Pl.r_hani -? ? , rric_
152
ADDRESS: 30650 Hi Q'hwa I AGREE TO COMPLY WlTH CITY OF
T?
CITY, STATE MaD.l £? Gr?ue, MN Z{p 55369 EAGAN ORDINANCE3:
PHONE: 42406680
OWNER: _:?' 20 Timited rss4rt-rnrFrhip
ADDRESS> 7711 17t-r?vn.y; rcr_r?I g SIGN HEN I U
CITY,STATERoS2v?.L4-f M] ZiP 55113 ?
PHONE:
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PLEASE ALt?
1
Gf10 WOF(KING DA1?? WER PE MITS, CONTACT
SSING. F6R
STORM
ROC
fNGINEERING DEPT. APPLICANT AND'PLUM BER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
, .
? .
SEWER & WATER PERMIT
i CITY OF f-AG74N
3830 Pilot Knob Rd.
' fagan, MN 55122-1897
OFFICE USE ONLY
METER # PERMIT DATE
CHIP # WATER PERMIT # 'U755
METER SIZE B.P. REGEIPT # h? 2 7 -10
ISSUE DATE B.P. RECEIPT DATE 6/29/8?
- PRV _ BOOSTER PUMP
SITE ADDRESS 3 t%'? , ldo__ Pon d .an?
LOT -4--BLOCK Z SEC/SUB
, APPGCANT: FO: 4we?Od Gv3;a31::ra51t1c?z1. Y'nc.
ADDRESS: 1711 rl. CoUrjty R08a r;
CITY, STATE Ro: vn.f Z1 e,. .'. ?r ZIP 55113
PHONE: 631-3?;4
?
PLUMBEFP. 21a ior I+;ecLas?ia.d f 1`rrc.
ADDRESS: 1065f3 liighwau 1S2
CITY, STATE A6fr1e GrcYea KY ZIP 55369
; PHONE: 4240668u
OWNER: 222r r.,im,itec3?Pariuu'ry x
ADDRESS: 1711 ; _ Ca in'-g RoAa B
CITY, STATE RsASOv?.1Ze, ZIP 55113
PHONE: 636-315;a -- -
PERMIT REQUESTED
-"_SEWER WATER _ TAPS
- COMM/IND ?_°""-RESIDENTIAL
EXISTWG ;
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGNATURE WHEN' METER ISSUED
PLEASE ALLOW TWO WORKING DAYS fOR PROCESSING. FOR STORM SEWER PERAAITS, CONTACT
ENGINEERING DEPT. APPUGANT AND PWMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
. . .
. ,. . .
- ?
SEWER*&MATER PE13M1T ; OFFIGE USE ONLY
3$ O P O?KOG?d. METER #??? ? a g 0? PERMiT DATE
Eagan, MN 55122-1897 CHlP #6^ WATER PERMIT #10756
METER SIZE B.P. RECEtPT # C 2730
ISSUE DATE B.P. RECEIPT DATE 6I29I89
? PRW - BOOSTER PUMP
SITE ADDRESS 3207 Alden Pcs.id Zane PERMIT REOUESTED
LOT 4 BLOCK ? SEC/SUB 4
APPLICANT: Rc?ewood Cnnstxuct ioia Z'nc '?WER ??-?"''WATER ? TAPS:
ADDRESS: 17111 =r. Gounty koad B _COMM/IND 'L-?REStDENTIAL
CITY, STATE Ro?-&vi3le. MaV" ZIP 5511=
PHONE: C '1'".?2 ''? NEW - EXISTING
PLUMSER: Mal'tar Mechanica,j,., Inc
ADpRESS; 10??=`}0 High.wa.y 152 - I AGREE TO.COMPLY WITH CITY OF
CIT`(, STATE Ma?`?:te vxeave, MN ZIP 55369 EAGAIV ORDINANCES:
PHONE: 42 ,a-• 6b8Cl
OWNER: 222r± T,i;ai {-Qd Partrer.a,h,f n :
ADDRESS: 1717 A'. 0-oun-t? Ro??7 B ` SIGNATURE WHEN ER 1
CITY, STATE Ros?vi.iZe, D9N ZlP 55123 -
PHONE:
??/
PLEA??,bU?'O iNORKM?; l??lY FOR PROCES?ING. FOR STORM SEWER PERMITS, CON?A
ENGINEERING DEPT. APPLICANT AND PLUMBER WIIL BE NOTIFIED WWEN PERMIT IS PROCESS .
SEWER & WATER PERMIT
CITY OF-EAGAN
i 3830 Pilot Knob Rd.
; Eagan, MN 55122 1897
t
SITE ADDRESS 32ot ??dezi ??2s, PERMITflEQUESTED
' LOT 4 BLOCK SEC/SUB j, 4';'v; w'4,,4r)
-3EWER ?--.a.="'WATER _TAPS
APPLICANT: RG: "`?ovci i:c?:??tz?act i e?rt I? =c .
ADDRESS: 17yi W. Gaunty Rc?d B _GOMM/IND ??RESIDENTIAL '
CITY,STAT?t RO3r;:viZ.Zc?t i2v ZIP 55113
PHONE: ''? NEW . -EXISTING
E
PLUMBERt f22(i,jc1::: :ylecianica."t, Zrsc.
ADDRESS: 10650 11.?, f'?'t? 152 I AGREE TO COMPLY WITH CITY OF
CITY, STATE j????? Grdvi-'> tVi ZIP 553459 EAGAN ORDINANCES: :
PHONE:
OWNER: ''' i;:a 't'.isni r5 P r .rt ? =h p
ADDRES3: 1711 W. CQUl2t?i Koad B SIGNATURE WHEN METER ISSUED
CITY, STATE Rog?.=vi11 r, ZIP 11 3
k. _
"PHONE: 4:36.
tt
PLEASE ALLOW TWO WORKING DAYS FORPROCESSING. fOR STORM SEWER PERMiTS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTI FIED WHEN PERMIT IS PROCESSED.
OFFICE USE ONLY
METER # PERMIT DATE
CHIP # WATER PERMIT # ?056
METER SIZE B.P. REGEIPT # C' 2730
ISSUEDATE B.P.AECEIPTDATE 61221?1'?
- PRV _ BOOSTER PUMP
I
; SEWEW&i!V!?TER PERL& '' S ? Q?FICE USE 4NLY
CITY OF"EAGXN METER #6"'?? gO?' PERMIT DATE 8I11/$9
3830 Pilot Knob Rd. 1?y757
Eagan, MN 55122-1897 CHIP # G' ? ? 0;-a ,- WATER PERMIT #
METER S(ZE G B.P. RECEIPT #_..??
ISSUE DATE B.P,'RECEIPT DATE?.fJyt?g
- PRV ? BOOSTER PUMP
SITE ADDRESS 3209 A 1 r3en pnnd' TanQ PERMIT REQU€STED
LfJT dat BLOCK 2_SEC/SUB
°
L------sEWER ATER - TAPS
APPLICANT:
ADDRESS: 7 717 W Cnuni-,y' Rnar7 $ _ GOMM/IND -"--RtSIDENTIAL
CIN, STATFnc}sevL71 c?, M1v ZIP 55113
PHONE: 631-1254, EXISTING
PLUMBER: ?4&'.Xeehanie&.j,??
li ADDRESS: Ig6.gg????y ;Z52 i AGREE TO COAAPLY WITH CITY OF
CITY, STATFmap,ui Grzzger MN ZIP 5:.5369 EAGAId ORDINANCES:
PHONE: ` 424-66so
OWNER: 2220 ,Limited Partnershtp
ADDRESS: 1711 W. Cvnntu Raad B SIGNATURE WHEN ER I U
GITY, STATE?aseville. MN ZIP 55113
PHONE: 636-8050
4V
PLEA$?l?611?'`{???Oti???1"?S FOWPF?OC?SfNG FO ?STORM SEWER PER?UIITS, CO
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROGfSS .
? ? % ???' ?(C /. . . . .. ? . . , . . . .. . . ._. ..
SEWEfi & WATER PERMIT
CITY OF•EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
OFFICE USE ONLY
METER # PERMIT bATE 8f 11r8°
CHIP # WATER PERMIT # ' 10757
METER SIZE B.P. RECEIPT # -G-_: 273o
ISSUE DATE B.P. REGEIPT DATE -61.291$.9
- PRV _ BOOSTER PUMP
?
? SITE ADDRESS 3ZQ3 Alcleri 1'vr.d zan_ -
PERMIT REQUESTED
LOT 141_BLOCK --Z-SEC/SUB , j
BEWER `'WATER _ TAPS
APPLICANT: Rosewzxd GLt,t7strzyct 7 r7nr'zwr _
ADDRESS; 1711 G,e _ Gounty Rasd B ? COMM/IND ,?--'RtSIDENTIAL.
CITY, STAT€!io&,??? ZIP 55113
PHONE: , 63:°3254 _,..: tVEW ? EXISTING
? .
PLUMBER!.
ADDRESS: ?(X65o i.52 - 1 AGREE TO COMPLY WiTH CITY OF
'CITY, STA7EPiap-?a CyoveMtti: ZIP'S5369 EAGAN ORDINANCES:
PHONE:_ 4i4-8680
OWNER: 2220 iiu?dteci Partxters.ht
ADDRESS: 2 711 W. Gountu koad B SIGNATURE WHEN METER ISSUED
CITI', STATEliQsOV.t11O, 10 ZIP 55113
PHONE: 63,ci-6050
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSiNG. FOR STORM SEWER PERMiTS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROGESSEQ.
SEWER4iNATER PERMIT
ciTV oF*EAGu14
3830 Pilat Knob Rd.
Eagan, MN 55122-1897
?
SITE ADDRESS 3-911 A1den Ponci La PERMIT REQUESTED
' LOT 4 BLOCK ? SEC/SUB ' ?
?SEWER t-'"CNATER _. TAPS `
APPLICANT: Rnsawnod C'ensi-ruction, Tnc_
ADDRESS: 17i1 W Countg Road B _COMM/IND -L--FitSIDENTIAL ?
STATE `?osev'i11 e, M?? ztp 55,ZI3
CITY
,
PHONE: 631=3254 ?EW -EXISTING
PLUMBER: NjaJnr 7t4Achgz2{ra? ; rn-=_ '
ADDRESS: l n65tj xig.t^urmy 1?a I AGREE TO COMPLY WITH CITY OF
rave, ZIP 5.?
CITY, STATE Aia a e G,-36y EAGAN ORDINANCES:
PHONE: 424-6680
OWNER: '1920 T ' ; t-ad nnrt?:??'} ?3?`*
ADDRESS: 7 7] 7 r47 rnu»t-.y ,gp,Rd F` SIGNATURE WHEN ER 1 U
CITY, STATE 1?=a?cat?i 7 i? _ AtN ZIP _55t 3 3
? PHONE: 6
/! "?,"r.:; ? ,.. :? s' .(?c?- /?> ^' J/ ?i''r/` ?. ?„
FOR
PLLL(SW 7`WO WQRKiIVG ?A'?(S FOF? PROCESSIWG '
STORM SEWER PERMITS
CO
.
ENGINEERING DEPT. APPLfCANTAND PLUMBER W14L BE NOTI ,
FIED WHEN PERMITJS PROCESS :
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OFFtCE USE ONLY ; ??
METER # ° PERMIT DATE
CHIP #;8 ?6 °2 ???L U WATER PERMIT # " 1C???$
METER SIZE e B.P. RECEIPT # v2730
ISSUE DATE B.P. RECEIPT DATE 6/29f89
-PRV - BOOSTER PUMP
SEWE-R & WdTER PERMIT
CITY OFEACAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
METER # OFFICE USE ONLY
PERMIT DATE ?,??'???
CHIP # WATER PERMIT # 10753
METER SIZE
ISSUE DATE B.P. REGEIPT # ? 2730
B.P. REGEIPT OATE 6/29/89
_ PRV - BOOSTER PUMP
SITE ADDRESS 3211 :xI r.irzn ?oz.,-t :at,ie PERMIT RE(1UESTED
LOT 4 BLOCK 2
8EC/SUB
?^g?WER ``'''WATER - TAPS
APPLICANT: R60sewma "orizTMrtc'ti 11 x Iric
ADDRESS: 1711 Gf t?ouratu F;oad .u ?COMMlIND -°RESIDENTIAL
CITY, STATF ROSeV.I.i1.c'r <si't Z!P 55113 e
PHOIVE: . C31-3264 ?1GEW - EXISTING
PLUMBER: liajor 1yea'-aniea7, Tric
ADDRESS: 1&50 h7?WiwaU 152 1 AGREE TO COMPLY WITH CITY OF
CITY, STATE `sAAjB GxC?vO t'?'Fd ZIP 5536? EAGAN ORDINANCES:
PHONE: 424-6680
OWNER: 2220 T irnitr?r? D?rrr?rahj7Z
?
ADDRESS: 1717 W Cnunt,y Roaci R SIGNATURE WHEN METER ISSUED
CITY, STATE Roc av ?_7 1 L x 112V ZI P 5:271' 3
:3 zn
PHONE: <;s
.
50
PLEASE ALLOW TWO WORKING DAYS fOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. APPUCANT AND PLUMBER WILL BE NOTIFIED'WHEN PERMIT IS PROCESSED.
a ;
SITE ADDRESS 3Z13 A?den Pona' L .=e PERMIT REGIUESTED `
LOT 4 BLOCK 2 SEC/SU8 ??e- ti ?"'t??p-- ?
?!'! SEWER -L??ATER - TAPS
APPNCANT: Ro,F+ruexxl ('onsi-rurtla,?
1
'
"
` Tnf-
Road
711 W. co,???t„u
B
ADDRESS
.- _ COMM/IND RESIDENTtRL
CITY, Sl'ATE Rosaville. MN ZIP 55113 ?
PHQNE: 631i3254 ? NEW - EXISTING
PLUMBER: ntalnr 7bfachAninra ] f Tnr .
r,9
ADDRESS: 10?rn HyrbWaly 7 1 AGREE TO COMPLY WITH CtTY OF
,
CITY, STATE Ma le. G*oves MN ZIP 5369 EAGAN ORDlNANCES:
PHONE: 424-6680
OWNER: 212.20 L.i m' i-tocl-Pairtmer,sn jp
ADRRESS: 17.I l wCounty g-ad S SIGNATURE WHEN M TER 1 . ,
,
CIlY, STATE Racevf 7 1e, ,
...-{ .:
ZIP 55213
r
PHONE: ?; "9ti.?80fi0 4
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DAY
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O Wa
C1NG' G. FOR
ORM SEWER RERMCCS, CO ACT
HOCESS
R
S
ENGINEERING DEP7. APPLICANT AND-PWMBER Wll.L BE N0T1FIfD WHEN PERMIT IS PROCESSED.
SEWER & WATER PERMIT
CITY OP EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
OFFICE USE ONLY
METER # PERMIT DATE 3/11Z$9
CHIP # WATER PERMIT # 1 3
7 59
METER SIZE B.P. RECEIPT # ^ 771C
ISSUE DATE B.P, RECEIPT DATE
- PRV _ BOOSTER PUMP
31TE AQDRESS -3 4? ???"QL2 `212? PERMIT REQUESTED
'LOT BLOCK b
SEC/SUB
4- SEWER L??"'WATER ? TAPS ,
APPLICANT:
; ADDRESS: COWFM/IND ?.,....,.:RESIDENTIAL
CITY, STATf- ZIP 5.51? 3
PHONE: . ,,.i. -3 ?, •;.:a '?-?. NEW - EXISTING
PLUMBER: 1'?ita frsT r_, r;=_
ADDRESS: IG' ;j c' 1ahv-;a?-;-Lil:% 1 AGREE TO COMPLY WITH CITY OF
CITY, STATE '"a,"J? ur?tre r.?_: ZIP 55369 EAGAN ORDINANCES:
PHONE:
QWNER:
ADDRESS: 171Z ?t -onsmr.r x. ..:? y SIGNATURE WHEN METER ISSUED
`CITY, STATE vi11?, ZIP
PHONE: u???;-Btt =?3
PLEASE ALLOW'TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. APPLIGANT AND PLUMBER WILL 8E NOTIFIED WHEN PERMIT IS PROCESSED.'
SEWER-&'VVAT?R PERMIT '
CITY OF EAGAI?
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
SITE ADDRESS PERMIT REQUfSTED
LOT 4 BLOCK 2_SEC/SUB .) ?
_AZ,CWER _C-f-VVATER _ TAPS
APPLICANT: Rosevood ConstructioM .r t2e_
ADDRESS: 1711 W. Courat y Raad B _ COMM/IND At!!n'-RESIDENTIAL ?
CITY, STATERcsssville, MN ZIP 55113
PHONE: 631-3254 f < W _ EXISTING
J. e
_
PIUMBER: 14ajor Mwhan; , InG,
ADDRESS: _..I0650 Highwat
?.$5? I AGREE TO COMPLY WITF! ClTY OF
„
CITY, STATENAp1e Grove. MN ZIP 55369 EAGAN ORDINANCES:
PHONE: < 424=6680
?
OWNER: 2220 LLimited Partnarsh.iT
ADDRESS: 17 Lj Re')tL R SIGNATURE WHEN M E
TElq I
:
-
CITY, STATER25ev3lle? MN ZIP 55113
PHONE:
PLEA?E ILL6ill T1AfCf4Qi#1i1i?
`DAY
R P
ESSI
FO
O O
M SE
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f
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S FO R
G.
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WE
PERMITS, CO A T
ENGINEER?NG DEP7 qPI?.T A l y?',?JAA_,BEF? ?I/1l,,IB? OTlF F 6? WNEN PERMIT IS RROCESSED.
f
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SEWER & WATER PERMIT
CITY OF` EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
OFFICE USE ONLY
METER # PERMIT DATE SAI,16,q
CHIP # WATER PERMIT # ? C1I61)
METER SIZE B.P. RECEIPT # i 773n
ISSUE DATE B.P. RECEIPT DATE 612918?
- PRV _ BOOSTERPUMP
SITE ADDRESS { %' ;5 PERMIT REQUESTED
LOT :i BLOCK =' SEC/SUB
--?AEWER €..,.--'VVATER -TAPS
APPLICANT: Fdt3sOW00ci C01-12ta-uVt1=
' ADDRESS: 1711 `i- COMM/IND ?'?RESIDENTIAL
CITY, STATEI2;??:v.:.1Zr?? ZIP .?5.11:?
-PHONE: -ZNEW -EXISTING
PLUMBEF:k-MdJr3r I'lechu-ical, ;^nz-
ADDRESS: 1 AGREE TO COAAPLY WITH CITY OF
' CITY, STATEMa,04C GroC'e, ic= ZIP ?s369 EAGAN ORDINANCES:
` PHONE:
OWNER: ea;tCs r.frrty z.arj F;4,T: e; h j1:,
ADDRESS: 177 14-?otri .U Yc' pY SIGNATURE WHEId'METER ISSUED
' CITY,STATEaEi?,le'*2.,I-°e, e•.i',i ZIP '_-J,Y.I:i'
P: {t?-?s r
f PHONE: CLz
'
..
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMtTS, CONTACT
fNGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
. .... .e_..s.?.. ,..-. ? E...m?v?. ..?.,? ..5,?.,?.?fn. ? . . :"?,i.?,?,..r?+z +.sx`G?aw?w?ws?e¢'?'?'. sv 4--a° '?7}'?
SEWER-& "WAT R PERMIT
CITY OF EAGA? '
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
SITE ApDRESS 32-1 A2d POn Lane PERMIT REGIUESTED
LOT `=' BLOCK 2 SEClSUB ` f
_Lf_trEWER --k= TER - TAPS
APPlICANT: Rosek=ood t"-onst ru on f rnz _
ADDRESS: 17.i.2 r1 C'ountaj - 22oad B _ GC1MM/IND -lefI115SIDENTtAL
CITY, STATE RoSevllZe, ffiN ; ZIP 55113
PHONE: ` 631-3254 ?NEW - EXISTING
PLUMBER: ,,?jcjr M*;?.isanjem a 1_;_ TreC
ADDRESS: 10652 rliqi tz ?q ` 7 52 1 AGREf TO COMPLY WITH`CITY OF
CITY, STATE i414g.le Grmve. AM ' ZIP 55369 EAGAN ORDINANCES:
PHONE: 424-66-30
OWNER: -2,220 -L301-t.ect P artaaar"ip
ADDRESS: 2722 6I. Coczn?Y# Rezad B? gIGNATURE WHEN
&TER 1
CITY, STATE Rns?au i ae. ?N 7
ZfP
PHONE:
r ,. ,:e . . o..
?
t r . . , .
N
?TA
C
S
e
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`
4
PLEAS
ALLOW TW
W K G I
SEWER PERMITS, C CT
ES
R
'S FOR PFfO
W
D
F
ENGINEERING DEPT. APPLICANT AND P,LUMBER WILL BE NOTIFIED WHf N PERMIT IS PROCESSED. r.,< .
, . .
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, , ., ..
t
SEWER & WAT?R PERMIT
cinr oF EaGa
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
OFFICE USE ONLY
METER# PERMITDATE
CHIP # WATER PERMIT # 10761
METER SIZE B.P. RECEIPT # C 271,j
ISSUE DATE B.P. RECEIPT DATE
_ PRV _ BOOSTER PUMP
SITEADDRESS -2-217 =??en PL^Md L `''e'
LOT 4 BLOCK ? SEC/SUB ' ? f°"; ? :-, '?•?? '?" PERMIT REQUESTED
L-_-E?EWER __t._,?'TER - TAPS e
APPLICANT: R026r. 0.-,d CoL:?t.z'u•LIcan, 71tc_
`ADDRESS: -? ? ll, "`' C?LO?d P??d 0 _ COMM/IND _-LeRf9IDENTIAL
CITY, STATr, Ra?ew.i.I1e, l+i;+? ZIP 5S 11,3
PHONE: -EXISTING
PLUMBER: rn =
ADDRESS: 106-i r'3 I AGREE TO COMPLY WITFI CITY OF
CITY, STATE M4111? Grove• R'4 _ ZIP 5536.9 EAGAN ORD{NANCES:
?
PHONE: 424-Gou3U
OWNER: ?270 r, rn, t-ed
ADDRESS: 171i 0- Ca»n*i?T4ciad =i SIGNATURE WHEN METER ISSUED
CITY, STATE ii(mevi 7.. XN ZIP 55113
PHONE: 636-90150
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
r . . . ..:.? , , .
SEWER-&`WATER PERAMT
CITY OP EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
SITE ADDRESS 3219 A1den PQnd LanB
, PERMIT R£QUEStED
LOT g BLOCK 1 SEC/SUB ? ?--
?"°SEWER ` -L--VATER _TAPS,
APPLICANT: Rcasewood ['nrstrrxct i ora o 7'Dr_ .
ADDRESS: 1711 w- Cauntu Road B _ COMM/IND ?SIDENTIAL'
STATE Rosvz2lc-, NN ZIP 55113
CITY
,
PHONE: 631-3264 ?W _... EX1STiNG
I ,
PLUMBER: Majo7' A1st"ha n i na7.r Zac
ADDRESS: 22iso wi u+ax? ,} ?? 1 AGREE TO COMPLY WITH GITY OF
CITY, STATE Manle GrovQ, NN ZIp 55369._ EAGAN ORDiNANCES:
PHONE: 424-6680
I
I
OWNER: .2220 r imtted
RDDRESS: I777 w r•<,yrrr.y r?aei $.
SIGN R HEN ` U
CITY, STA7E F2o_- :v1 7 7P. MN ZIP 55I.I3 j -?
PHONE: -.u???n
E
??
P
"
?
-
FOR
ROC
SSI
DAYSFOR
PL?A
A'LLfAI
?tN`O'lIF/OI?KING STORM SEWER PE MITS, CONTAC?
ENGINEERING.DEPT. APP41CAN3 AND P?UMBER WJLL BE NOT{ F1ED WHEN PERMIT IS PROCESSE0.
_ . . . '_ . A' . ? .,f'c? 'C '?,•/, , . 'f ? .,,, F er . _ .
SEWER & WAtER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
OFFICE USE ONLY
METER # PERMIT DATE 8/11??1S,
CHIP # WATER PERMIT # 10,762
METER SIZE B.P. RECEIPT # 2730
ISSUE DATE B.P. RECEIPT DATE 6129»9
_ PRV - BOOSTER PUMP
SITE ADDRESS 3219 .'Ilde:•,. k'mid`
?
LOT "? BLOCK 2 SEC/SUB
APPUCANT: RvSeTeo? 'or-trur=t-lol.,, :u„c_ ADDRESS: 1711 Cqu c) Pcr?ix 13
CITY,STATf:?v?vi.l.`.?. ZIP ''if1I3
pHONE: . C.?'.' p J;1+64
,
PLUMBERe Tn-
ADDRESS: T :7`T .,=?a=r' : '' "'
CITY, STATE ZIP 55369
PHONE: 30
PERMIT REGIUESTED
I-SEWER ?""`"WATER -TAPS
- COMM/IND _4RESIDENTIAL
'?•-""NEW - EXISTING
I AGREE TO COMPLY WITH CITY DF
EAGAN ORDINANCES:
OWNER: 2:.u t t tu i 14r.ui DaX'tzuarh5ijLj0
ADDRESS: t%r I Z G% -r.Irr-i:2d '"a"''' P. SIGNATURE WHEN METER ISSUED
CITY, STATE £c0.;w1vi ZlEy, ':: ZIP ' i7 2?
PHONE: 6,3f3,..A.15n
PLEASE ALLOW TWQ WORKING DAYS FOR PROCESSING: FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT ISPROCESSED.
? ? A
? lldN.r? w
32?35
3211
3213
3215
3211
3219
R
Address (Contractor or
e
a ?'it Y flna
? La?
laen `?
,. %I
:, a
,t
Phone No.
...5==/
ig Instaflation)
Making
MlMNESOTA STATE BOARD OF ELEGTRtGITY
Griggs-l4{idway BWg. - Room 5-173
1821 University Ave., St Paul, NiN 55104
Phorre (612) 642OBW
)w otify Fnspector
When Ready?
?
?
. .
. . . . CiOMC3CtOYS L108t132 W.
M Phone Number
'7?
THlS INSPECTION REQUEST WILL NOT
BE ACCEPTED HYTHE STATE BQARD
UNLESS PROPER 7NSPECT(ON FEE IS
EMClOSED.
REQUEST FOR ELECTRICAL lNSPECTION r« ee-00001-07
10- See instructions for completing this form on back of yellow copy. ? 9?-//,Z,3
F-40$ 14 "X" Below Work Covered by This Request
ew Aaid Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air Conditioner
Other (specify) Contractors marks
4
Compute Mspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps to 0 Amps -7-
Transformers Above 200 Amps ? Abo o Amps ;g 3?
SignS lnspectors Use Only: TOFAL
?
Irrigation Booms ?C?
Special Inspection
Alarm/Communication ?
Other Fee r7? , `; ,?
I, the Electrical Inspector, hereby
tif
h
t
h Rough-in • oat
y t
cer
a
t
e above inspection has
been made. Final o
OFFICE USE ONLY This request void 18 months from
BY
C White-Payers CoPY
Yellow-Posting Copy
Pink-File Copy
Thank You
BLDG. PERMIT N ./&-/
01-3210 Bldg. Permit
01-3422 Plan Check ?0 17
01-3445 Surch.tAdm. 13
01-3446 SAC/Adm. --4T&T
?
01-2155 Surcharge l
75-3860 Road Unit
? 20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter 7 A ?
20-2252 Acct. Dep.
20-3713 Water Permit ?
20-3743 Sewer Permit 9C
79-3866 Sewer Conn. 1?71
28-3855 Park Ded.
TOTAL
.
6
I 1
T.H. RENTAL UNITS
BUILDING PfRMIT
To be used for B-PLEX
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
f, 4,W PHONE: 454-8100 C
Receipt #
Est.value $322,000
No 16725
30
1989
Site Address 3205-3219 ALDEN POND LN
Lot 4 Block 2 Sec/Sub. ALDEN POND
Parcel No.
W Name 2220 LIMITED PARTNERSAIP
o Address 105 S FIFTH ST, SUITE 705
City MINNEAPOLIS Phone 341-0190
Zo Name ROSEWOOD CONSTRUCTION, ING
?a Address 1711 W COUNTY ROAD B
lr
City ROSEVILLE Phone 631-3254
?
WW Name
o ; Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and C? cjU Eagan rdinances.
Signature of Permitee
A Building Permit is issued to: ROSEWOOD CONSTR T.TTON
on the express condition that alf work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE U5E ONLY
Occupancy R-1 M=1 FEES
Zoning R-3
(Actual) Const V-1 $R Bldg. Permit
0
1,414.0
(AOowable) V-1 $R Surcharge 160.00
# of Stories 2;
Length 184' Plan Review
0
707.0
Depth 66' SAC, City
?
800.0
S.F. Total 11,656 MCwCC 4, 600. 00
SAC
S.F. Footprints 7_}9-$4 ,
On Site Sewage ` water Gonn 4o640.0.Q
On Site Weu - Water Meter
0
720.0
MWGC System fXm_
City Water
XX Acct. Deposit 240.00
PRV Required _ S/W Permit 160.00
Booster Pump -
0
S/W Surcharge 8.o
Treatment PI 1.9824.00,
APPROVALS Road Unit
0
2,720.0
Planner - park Ded.
Council
Bldg.Off. ` Copies
Variance - TOTAL 1 7,993 _ n0
/
s . . .? . . : . . . . . . `+ .
1989 BUILDING PEAMIT iPPLICl1TZUN - GITY OF EAGAN
? ?
.
?
' SINGLE FAMILY DWELLINt35
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, t SET OF ENERGY CALCULATIONS
N0T8s 1DDaESSES FOR CORNER LOTS - COATRACTOR/SQMEOWNER M03T bESIdNATE iiHICH ADDRESS
IS DESIRED. N0 CHANGES WILL BE ALLOWED ONCE BIIILDING PBRMIT I3 I3SDED. g
45
MOLTIPLE DWEi.LINGS RENTdL IINITS •2..i3-• FOR SALE UH'ITS 0 # OF IINITS -.•U 13,
. . . . . . . ?.r?? .. . . . . ? . .. .. .L ? Dr.lr.c. m i?. Qr7`r . .
INCL(JDE 2 SETS OF PLANS, CERTIFICATE t?F SURVEY - CSECK WITH BLDG. DLPT., 1 SET OF EATERGY
GALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIQNS AND t SET OF ENERGY C9LCULATYONS
AECO OEC 2 310
To Be Used For: Townhouses Valuation; Date: December 20, 1988
Site Address -_321G 6 rtm?QnA,_?) OFFICE t?E ONt.F
? .2 ---- 3 Z2, o ov
Lot -2-- Bloek -? s-plex Oecupaney (Z- FESS
Zoning R-3
" Pareel/Sub Alden Pond Aetual Const V-1HP,. Bldg. Permit 1414
Allowable V- ?+Ih Surcharge h6o
Owmer 2220 Limited Partnership # of stories 2 PZan Review
Length ^1k??? SAC, City
Address 105 so. 5th st., suite 705 Depth SAC, MWCC ?
S. F. Total t?SV- Water Cartn
, City/Zip Code Minneapolis, MN 55402 Footprint S.F. D9 R4 „ Water Meter riZo
Acet. Deposit Ztio
Phone (612) 341-0190 On site sewage S/W Permit floo
On site well 3/W Sureharge
Contraetor Rosewood Construction, Inc MWCC System Treatment Pl. 1829
Gity water ? Road Unit zr?
Address 1711 w. Countq Road B PRV required Park Ded. ---?
, Booster Pump Copies
City/Zip Code Roseville, MN 55113 TOTAL
l1PPROiTiLS
?-
Phone _ (612) 631-3254 Planner
I
Couneil
Mtth.fEngr. BlurnentaZs/Architecture In Bldg. Dff.
Varianee
9ddress 6860 Shingle Creek Parkway GounCil City/Zip Code Brooklyn Center, MN 55430
Phane # (612) 561-5757
i' N0TSs Sewer & Water Permit fees and aecount deposit fees will be inaluded in the building '
I? perffiit fee. Processing time for sever aad xater permits is two daqs once a lionsed
plumber has apPlied for a permit at City Hall.
SEDGWICK HEATING & AIR CONDITIONING CO. HEATINc Jos rvo.-J?
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 TEST RECORD
ADDRESS Ja , L? I`# I D N( CITY C_? l G!"'t hI
. OCCUPANT OWNER
' SOLD BY INSTALLED BY ? L ll GLJ (t,,,,? 1
MAKE 54 rDi?) G MODEL E G /A75
SERIAL NO. f"? OC,? ?GI(? ? KR INPUT V
THERMOSTAT ~? ?C)f,? ?CK VENT SIZE ?
VALVE TYPE OF LINER
LIMlT U:) l?. l.._L L1NER SIZE
j LIMIT8ETTING I`? O FILTERS: SIZE NUMBER '
r FAN SETTING (oo WIRING
PILOT TYPE N IC TEST TAG ?
IGNITION MODEL _ ? U1 L? silpy-) LIGHTING INST. ?
PILOT TIMING .1?.ICi ! t°! N l / G
_ ? DATE TESTED
? r?
: PRESSURE }? / • C ' PERCENT CO ?
/
U
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INPUT CFH PERCENT O
? /
COMPANY TESTING ?c/
2
STACK TEMP. ?72 PERCENT CO
_I y?, 1 L /
NAME OF TES7ER
,- . FORM 235 (REV. 11189) . FORM DISTRIBUTIQMWHITE COPY - JOB FILE YELLOW COPY- CITf
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SEDGWICK HEATING & AIR CONDITIONING CO, "EaTiNG
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 - (612) 881-9000 TEST RECORD
JOB NO. ?
ADDRESS 7,;07 ! CL'JJN ?C)NI) LN CITY E ? i/ A f\!
OCCUPANT
OWNER
SOLD BY to(GI? INSTALLED BY ? E MAKE
SERIAL NO.
THERMOSTAT ?? N I I G ??? V??` ?
VALVE ? I`? ? ,-9 LL
LIMIT ?je_ LL_
LIMIT SETTING
FAN SETTING ? I-)
/?
MODEL ? l=1 A
INPUT ?0 ?
. tl
VENT SIZE _
TYPE OF LINER
LINER SIZE _
FILTERS: SIZE
WIRING L-'r
NUMBER ?
PILOT TYPE" ? L? C I I( (-) ?. I C.._ TEST TAG ?
IGNITION MODEL ?v l?l ?4 LIGHTING INST. L"'
PILOT TIMING DATE TESTED
r ) 0 PRESSURE PERCENT COZ ? ' '.}
?r ? ?? COMPANY TESTING
iNPUT CFH J? PERCENT OZ ?
STACK TEMP: PERCENT CO NAME OF TESTER Ic_
:FORM235 (RfV. 11/89) FORMDISTRIBUTION: WHITt COPY JOB FILE VEI.LOW COPY - CIN
. . _ . . . ., ... _ ... . . .. , . ._ _ ,_ ,. . . _ ....n. ,.... ..., .c „ ..<..,k..z W .,..,....?,,.a.,a,_?..,.,.??'.,..,?..,,,..4.y...y....... :sa
SEDGWICK HEATING & AIR CONDITIONING CO. HEAriNG
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(s12) ssi-sooo TEST RECORD
JOB N?-
ADDRESS "'N GTY C.7
OCCUPANT
soLo sv ?)t U-'f.dfC-K MAKE fi? oN(,
SERIAL NO. -7 p K 8
OWNER
INSTALLED BY
MODEL G '7-0 I ? C..
INPUT ?2
THERMOSTAT kj
VALVE t-i? ?,`?
LIMIT ?--?-
VENT SIZE
TYPE OF LINER
LINER SIZE
LIMIT SETTING _ ('T V FILTERS: SIZE NUMBER ?
1
1-?
FAN SETTING 100 -
WIRING
?
PILOT TYPE TEST TAG
?
IGNITION MODEL ( LIGHTING INST.
PILOT TIMING_ -1 N?. If (? I
DATE TESTED
PRESSl1RE PERCENT CO
Z
% ?
?
U
/
COMPANY TESTING
INPUT CFH ?
-- PERCENT 02 )
EMP
S
C
P Q? I ????J..
F
?
.
TA
K T
ERGENT CO
. ..:
NAME O
TESTER
yk
FORM 235 (REV. 11189) .
..
. '.
. , . ._ , ... .. . . .
.. ..
_ , .
. . . -. FQRM:DISTRIBUTION; WHITE COPY JOB..FILE YELLOW COPY - CITY..
_; .. , ... .
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SEDGWICK HEATING & A1R CONDITIO'NING CO. HEATING Jog rv`? u
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 TEST RECORD
?
GON tv?\?? ?.(? ; CITY
ADDRESS
OCCUPANT OWNER
SOLD BY b (LINSTALLED BY
MAKE MODEL E G (-, ',,
n
SERIAL NO. L7>q EC F? A INPUT r C?-(?o (.)
THERMOSTAT i? VENT SIZE la I(
VALVE TYPE OF LINER
LIMtT `-? LINER SIZE
tIMIT SETTING I`? J FILTERS: SIZE NUMBER ?
, > f
FAN SETTING WIRING ?
PILOT TYPE C-T ?\.UN 1C. TEST TAG ?
; IGNITION MODEL LIGHTING 1NST. ?
PILOT TIMING
-117 ? i I ?. p DATE TESTED ' V
PRESSURE ?' ?' C ' PERCENT CO 'a /u /
? (? z COMPANY TESTING ? ?? V U-) (C ?
I INPUT CFH PERCENT O2
??
STACK TEMP(. ''` PERCENT CO NAME OF TESTER
. . FORM 235 (REV. 11/89) . FORM-0fSTRIBUTION: WHITE GOPY JOBFILE YELLOW COPY CITY :
SEDGWICK HEATING & AIR CONDITIONING CO: HEATING Jog rva)? ; 7?
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 TEST RECORD
ADDRESS CITY
OCCUPANT
_ OWNER
SOLD BY ?C.K INSTALLED BY ? ?'. !?V k.)I L ?
MAKE eJ? (?o
SERIAL NO.? ? 2 Vl ?Z f ? V/t" A
THERMOSTAT VALVE LIMIT t IUKI Q, _,.(.,.-
LIMIT SETTWG I?U
FAN SETTING
MODEL
INPUT
VENT SIZE
TYPE OF LINER
LINER SIZE
FILTERS: SIZE NUMBER ll?
WIRING
PILOT TYPE fc TEST TAG ?
?
IGNITION MODEL LIGHTING INST.
PILOT TIMING ? i YS?? N+
PRESSURE
PERCENT CO /
? v/lj DATE TESTED
. Z
c^ ? ? ?` COMPANY TESTING
INPUT
CFH > ' PERCENT OZ U
M
?lo b T L) E ??
STACK TE
P. PERCEN
CO R
NAME OF TEST
FORM 235 (REV. 11/$9) FORM DISTRIB UTI6N: WHITE COPY - JOBI FILE YELLQW COPV - CITY
_ . .. .. . .
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SEDGWICK HEATING & AIR CONDITIONING CO: HEArING Jos rvo. `E?
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881 -9000 TEST RECORD
D
ADDRESS CITY
OCCUPANT OWNER
SOLD BY ( L K I J l1 ? I G K
:?f'
- ?
INSTAILED BY
G
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MAKE 6 &7
,
MODEL
SERIAL NO c)
a(2ac?
(? (1
INPUT ? U 000
)Ti GE MIJC" ?
OSTAT V J "
(
.
THERM VENT SIZE
9
VALVE TYPE OF LINER
? LIMIT LINER SIZE
i LIMIT SETTING FILTERS: SIZE NUMBER
FAN SETTING Cl7C? WIRING ?
CJ
i
PILOT TYPE TEST TAG
IC ?E? ?4
t
IGNITION MODEL LIGHTING INST. V
? PILOT TIMING
r
TED
? 4?
-
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. DATE TES
.. . . .. . . .
PRESSURE
1 J PERCENT CO
V
Z
INPUT f?*FH i ? PERCENT OZ COMPANY TESTING
/V [) a I'
2 ? Q oIc
R ?vi^
STACK TEMP.
.
PERCENT CO NRME OF TESTE
`
. FORM 235 (REV. 11/89) . FQRM?pISTRfBUTION: WkI7E COPY - J08 FILE .YE4LOW COPY - CIN
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SEDGWICK HEATING & AIR CONDITtONING CO. HEAT?NG JoB rvo
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 TEST RECORD
ADDRESS Ja f ( ?GDO' `4 ?0?'l 1) N • ? ,`?/?!. ??
GITY
OCCUPANT
SOLD BY
OWNER
INSTALLED BY J? l? ? (L L/
MAKE
SERIAL NO. r) ot v?> 1 I K?
THERMOSTAT G1 1-?% < <'-?t' ? ?
VALVE `? L L "
LIMIT C) t--L
LIMIT SETTING
MODEL F- 6 t/A ,1 J (- ? " ? S
INPUT ? U . (.? Uv
VENT SIZE
TYPE OF LINER
LINER SIZE
FILTERS: SIZE _
NUMBER v I
FAN SETTING (V ? WIRING
? t C:'T 1\ (AhL v?
PILOT TYPE l. TEST TAG
IGNITION MODEL kctEK( !x J LIGHTING INST. Lf?"
IMIN
O
PIL
T T
G
DATE TESTED
PRESSURE PERCENT CO /
Z
S C
Z!G
J?Q(/
U COMPANY TESTING -
1
INPUT CFH J J PERCENT 0 2 U
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/(
?--? 2
STACK tMP 0
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N
.
f PERCE
T CO NRME DF TESTER
FORM 235 (REV. 11189). FORM DISTRIBUTION: WHRE COPY JOB.FIIE YELLOW COPY- qTV .:.
SEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000
ADDRESS --}!kf ??? ?Lbo N ?0N L 'V . CITY
OCCUPANT
OWNER
HEATING
TEST RECORD
u
JOB NO )'? 7 ` q I
SOLD BY J??l?I ? IC Il INSTALLED BY '?> n v (,-)I (_ ? .
MAKE ?? '`-(,??? fj ?? ??I ? MODEL G (:+ ? ? ! ?
SERIAL NO. `2 7, ? ?/-` INPUT /''? ?c.) U
THERMOSTAT ?Jf? f f V ??/'lC7G ? 7
VALVE ?.v?V-! S4'I
LIMIT 421A eq 02 U?-
LIMIT SETTING KV
FAN SETTING I00
PILOT TYPE (i 71 ?V
IGNITION MODEL PobeU't
PILOT TIMING
PRESSUfE c? ?11 L'?• ?' PERCENT COZ F %
1 , --7 INPUT CFH 7, PERCENT OZ r
VENT SIZE
TYPE OF LINER
LINER SIZE
FILTERS: SIZE.
WIRING Lf"/
NUMBER
TEST TAG ?
LIGHTING INST.
DATE TESTED It " f
COMPANY TESTING (c[.
STACK TEMPe? PERCENT CO NAME OF TESTER
FORM 235(REV; 17/89)
.. .. _ . . . .. . .. . ... . .. . . . . . FORMDlSTRIBUTION: WH1TE COPY JOB°FILE YELLOW CqPY CIN
. . .. . ..,..?,. , .u . ? W ...?. ? .. ,?.?W? .,?,.?..,..?. ?_,s.,..w.e..?..?..,::a?..? s:? +'?.?_w...... ?'?-e??
INS'1'ECTIFON- ?-.
CITY OF EAGAN PERMIT TYPE: "` ?ii` 4M S'
3830 Pilot Knob Road
Permit Number: 4, :
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: 1,11 APPLICANT:
??1? ?`1;+Aa P?? E?z?t!?? ?.;?d7? ??a?.???t??t e:ker?•.??:t?r ????'?,! .t <.?7? .Y.4?..?E . " t .'{,3..5 .+t,F"n, {'..t?r)y9
PERMIT SUBTYPE: TYPE OF WORK: J,r '?
? ? f?
' w " . ? 'f4 l f' ? l. orl PI ti [10V .
INSPECTION 1A • DA
/
Al I'£t N FE?NP I l'§Ni? ?
, w
Permit Holder Date Telephone #
PLUMBING
H VAC
Inspection Date insp. Comments
FOOTWGS
FOUND
FRAMING 9
r l
ROOFING 1!
RQUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
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
APPLICANT/PERMITEE SIGNATURE SSU D B. IG URE
32j4bi 1998 BUILDING PERMIT APPLICAfiIDN (COMMERCIAL)
CITY OF EAti,APi
681-46?5
Submit followina to obtain necessarv oermit
Foundation ON - New Canstruction Interior im rovement
structural plans (2 sets) architectural plans (2 sets) architecturai plans (2 sets)
civil plans (2 sets) structurai plans (2 se#s) code analysis (1) "
code analysis (1) " civil plans (2 sets) projed sAecs (1 set)
soiis report (1) landscaping plans (2 sets) Key Pian
project specs (1) code analysis (1) " energy calculatians (1) nd aMrays
Speciai Inspections 8 Testing Schedule " solls teport (1) Ekctric Power 8 Lighting Fortn (1) rot Awys "
SAC deterrnination letter from MC/WS - SAC detertnination letter from MCJWS - SAC detemnination letter from MGMIS -
cail 602-1000 call 602-1000 cail 602-1000
Speciai inapections 8 Testing Schedule (1)
project specs (1)
ener9Y calculations (1) "
Electdc Power 8 L' htin Form 1 "
" Contact 8uilding Inspections for sample
Food & Beverage ortodging facilities: Pian musf be submitted to Minnesota Departmerrt of Health. Celf 215-0700 #or detaiis.
DATE: WORK TYPE: NEW REMUDEL
DESCRIPTION OF WORK.
CONSTRUCTION COST: TENANT NAME:
SITE ADDRESS: 3?T !7 aii ;U,9--ae? aQ 1W• „4,e? /,L,. SUITE #:
LOT VA BLOCK - v SUBD. ?AA P.I.D. #
a
Name,J'f ???'ol'Fvr.y>%? ,RA1,Z .?D. kefl. Sitsr Phone#: 6/2-
PROPERTY Last First
OWNER
Street Address:
City State: C.-?v? ??"?•?? Zip:
?/--- /?
Company: ..-L.-? ? G a,.., C_.-,o i+-?S ( Phone #: 70 ': 21-,C2
CONTRACTOR
StreetAddress: J6'c ?ot??/d/ License#
City J`c n?i State: 1/i;?Zip: =22/6 6-??3 ?
ARCHITECT/
ENGINEER Company: Phone #:
Nazne: Registration #:
Street Address:
City State: Zip:
Sewer & water licensed pfumber (only if installing sewer & water):
x
I fiereby aclcnrnwledge that i fiave read this aPplication snd state that the irtfortnation is carrect and agree to compty witM a11 applicabie State of
Minnesota Statutes and City of Eagan Ordinances:
Signature of Appiicant: ??
t3FFICE USE 4NLY
?.=f
?
BUILDING PERMIT TYPE
13 01 Foundation ? 19 Comm./tnd. Mlsc. C] 21 MisceNaneous
? 18 CommJtnd. ? 20 Public Facility
Z 12.
WORK TYPE
13 31 New ? 33 Alterations 0 35 Tenant Finish
? 32 Addition 34 Repair C3 37 13emotition
GENERAL tNFORMATI4N
Const. (Actual) Basement sq. ft. MCMtS System
(Allowable) First Floor sq. ft. City Wa#er
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. Census Code ?
# of Stories sq. ft. SAC Code
Length ? sq. ft. Census Bldg,
Depth Footprinfi sq. ft. Census Unit ?
APPROVALS
Planning Building /Ll$ Engineering Variance ?
Perrnit Fee Valuation: $ !L??a0n, ---
Surcharge
Plan Review
MCNVS SAC
City SAC
Water Conn.
S/W Permit
S/W Surcharge
Treatment PL
Park Ded.
Trails Ded.
Water Qual. -
Other
Copies
TotaL•
% SAC
SAC Units
Meter Size
Date:
CllyofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5875
Fax: (651) 875-5694
Use BLUE or BLACK Ink
IlMttEimal
O 6(235
Permit*:
Permit Fee: (C V
Date Received:12— 2.io'-'12-,
L f"
011 RESIDENTIAL PLUMBI G PERMIT APPLIC • ION
Tenant:
Site Address:
\Oak- --CO/ASO Y1
J
RESIDENT / OWNER 'Name:
Addroae / City /Zip:
• Suite fh
Phone: 0
CONTRACTOR Narrte; MILBERT COMPANY INC.dba CULLIGAN WA
Address• 1801 5011' ST EAST city:.: INVER GROVE rl1G'TS
State.: MN 55.07 '' 65,E'•:451-2241 •
Phone:
Contact BILL.MILBErtT j , Email:
TYPE OF WORK ' New Replacement Repair _ Rebuild _ Modify Space _ Work tn.R.O.W.
Descrlptlon of Worli:.
PERMIT TYPE
RESIDENTIAL
• . Water Heater
Lawn Irrlgati n (RPZ /PVB)
Septic Systern •
• ,'New •
_ Abandonr'ner4 •
Water Softener
Add Plumbing Fbdures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
555.00 Minimum Water Hdater, Water Softener, or Water Heater Ansi Softener (Includes 35.00 State Surcharge) •
$35.00 Lawn Irrigation (Includes 55.00 State Surcharge)
355.00 Add Plumbing Fixtures, Septic System Abandonment. Water Turnaround* (Includes 55.00 State Surcharge)
"Water Turnaround (add 5166.00 ifs 5/8' meter la requlred) ' •
3105.00 Septic System (310.00 per as built) (Includes County fee ind 55.00 State Surcharge)
335.00 Fire Repalr (replace bumeo out appliances, ductwork, etc.) (includes 35.00 State Surcharge)
TOTAL. FEES $
CALL BEFORE YOU DIG. Catl Gopher State One Call et (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you Intend to dig to redelvti locates of underground utilities.. www.aooherstateonecatl.org
I hereby acknowledge Qat this intimation Is complete and accurate; Met the work Wit be h cakformance with the ordinances and codes of the City of
Eagan; that I understand this le not a permit. but only' an apptrcition for a permit, and walk is not to start without a pgrmit; that the work will be kk
accordance the approved pian In the use of work which require, a,review and approval ofAi
•
Tom,
' ' Applicant's Printed Name � App Ilea r ; rg nature
1