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4091 Beaver Dam Rd 0601 qTI Use BLUE or BLACK Ink For. Office Use, 1 Permit g I City ~1 ~l,! Permit Fee:7 3830 Pilot Knob Road % I Eagan MN 55122 i Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: L----------------- 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: [ 2 1 a Site Address: 409 6f-A-V6P, 9A-M AD Tenant: Suite RESIDENT / OWNER Name: 50 CA,%SV 9& 014 r t t Phone: Address / City/ Zip: 643% xry We'T Pi_wy .51 (I~te /''(A/ 55 3Ky Applicant is: Owner Contractor TYPE OF WORK Description of work: REMM6 AIUQ QCPtAgr W +si i9o Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: EIk~"E-7~ ftyl2 Nt AIIVy; G-11 License a o i 41 t 3 l Address: 6,~ W, 40 City: c ~D ~r u S State: At~ Zip: Ssu l I Phone: t: z- " gw_ 6, o Contact: Pa b, l- Email: XAA - m COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor. Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State Ones Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.ora 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 mit; that the work will be in accordance with the approved plan in the Icase f work which requires a review and approva pl ns. X C"is Awo o S x ` Applicant's Printed Name A licanrs Signature Page 1 of 2 14f--20 1992 16:12 FM- 1 TO 68146t2 P.02 i[ 2422 Enterprfae DrWe Mt ndota 1`tefghts, MN 56120 . UM munvsvm.aft (812) 8t11-1~14•f"vx 881-94$8 * -n-g il-a- R!9 ° alanrcls 825 M way 10 Northeast Blaine. MH 55434 i[ * (612) 753--1890•Fax 783-1883 CertifICQte of Survey for: The Rgttlund QQfDpan yi It~c. r ~ J r ate r.) A •r < 1 -'S~. 1 tp v ry ` S f r ~J r y rya / MtLvAY / t o Ors Jf 7.9.70 1 ~ 88 w • o Denotes irxlsting Elevation PROPOSED HOUSE ELEVAT10N . , DenOteg Propn"e-d - Deno#ea C7r®lnagw i1tlI111► Fayernemt Garage floor slab Denot9m Drainage Flow Direction elevation at front: WI 5 --c- Donates Monument -8-- Denate9 Ottget Hub 8"tings xhowrn are warmed L.OTS25,26,27 &2 R4-OCK A._ DIFFLE-Y.. COM-MOMS OAKOTA COUNTY. MINW.-!30TA 1 hrr*y er+tHy ttmt 1M• wrwey, pMn or r++rn.r wwR r"orPQ ey nM ut under my dhect %%gvmvl7lcn rid th•1 Ism duly flr0'istlhnd riwe gurVoyar vn+1•r th• h..., ei tl.e t:t,M .+t MI.,.rnM. Prtod IhM~~ l~ dar yr ~~2 ~ , t ~ A.D. 19 ~e~ IA. Piro. tin. 140-91 J ter. 01173 en7 TnTfY_ P. P? b&67 15.50 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~i i~50 i V "1 W I LLY, MARVI N v- 4103 BEAVER DAM ROAD Site Street Address EAGAN, MN 55122 C~ Unit # (651) 688-8107 4O Property Owner - - - 1 elephone # ( ) Contractor (612) 8274M Telephone # ( ) Address 2906 GWIEL® AVE. Soo city Mate zip MINNEAPOUS, MN 66M The Applicant Is: + Owner Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment -Water Turnaround (add $121.00 If a 518" meter is required) Other: Water Softener Water Heater $ 15.00 replacement _ additional rigation System RPZ_ new _ repair -rebuild $ 30.00 ELawn arge .50$!L0 By I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. jet t~'060kavvx- 9 I Applicant's Printed Name Ap 6rs Signature PERMIT Control No. 0098 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000098 (612) 681-4675 Date Issued: 03/24/92 SITE ADDRESS: 4091 BEAVER DAM RD LOT: 27 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAN. T.H. Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning PD R-4 Building Length 52 Building Width 39 Building stories 1 Square Feet 1,432 REMARKS: 1 OF 4-PLEX LOTS 25 - 28 FEE SUMMARY VALUATION $82,000 Base Fee $558.50 MISCELLANEOUS $1,610.50 Plan Review $363.03 Total Fee $3,273.03 Surcharge $41.00 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $1,662.53 CONTRACTOR: - Applicant - ST. OWNER: THE ROTTLUND CO INC 15710304 0001 35 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RIVER ROD FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Stat s and City of Eagan ordinances. 4.bA - b . - APPLICANT ERMI E SIGNATURE ISSUED BY. SIGNATU INSPECTION RECORD I Control No. C' CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 0 0 0 9 8 Eagan, Minnesota 55123 Date Issued: 03/24/92 (612) 681-4675 SITE ADDRESS: LOT: 27 BLOCK: 1 APPLICANT: 4091 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: MULTI-FAM. T.H. NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: 1 OF 4-FLEX LOTS 25 - 28 L - • . CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 581-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of I specifications, 1 copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re nest is made or lot change is re guested once ermit is issued. Date -~5 / I*,_ / 9 -z- Valuation of work 9-2 ``a+r ` Site Location: STREET STE mac. Tenant Name: A44-4 CO. LOT -L-7 BLOCK SUBD. P.I.D. # Description of work: of x The applicant is: Owner ° Contractor ❑ Other (Describe) Name-T-t-- Cco,'S~co Phone S1 I "b fact Property LAST FIRST Owner Address -too ~ t 1 3b STREET STE # City nr ~ State _ 011A, zip Szi 21 Company Phone Contractor Address License f 3 3 S- City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber ``F7~- Lc g _ Processing time for sewer & water permits is two days one area has be approved. I hereby acknowledge 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 City of Eagan Ordinances. Signature of Applicant: XCI-%.~ OFFICE USE ONLY ' BUILDING PERMIT TYPE 13 ~7 ❑ 11 Res. Add./Porch ❑ 16 Agri 01 Foundation El 06 Garage/Accessory c u ❑ 02 Single Family ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two-family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition ❑ 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE ® 90 New ❑ 93 Remodel ❑ 96 Move ❑ 91 Addition ❑ 94 Repair ❑ 97 Demolish ❑ 92 Alterations ❑ 95 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy Basement sq. ft. MWCC System Zoning IV Ist Fl. sq..ft. /y3 z City Water Const. (Actual) /v 2nd Fl. sq. ft. PRY Required (Allowable) Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code /Oz Depth_ On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS Site I3 Footing 0 Framing I3 Insulation Wallboard 1~3 Final ❑ Draintile I@ Fireplace MCC SAC Fees: Va[uation: S Q 0 oo Permit Fee 5591 S-0 (~a r SAC % Surcharge f/ 3 ~a/;f O Plan Review x License City SAC /aa SAC Units Water Conn. r, Water Meter Road Unit rj~ 0 Treatment Pl. 3,?:~, ~ef -Co-p e~ .,/CPer Other` Total: FaTni%, LOB t•:N uni'Y AV1:1;nr,t: "11" Cr~MM(J'tAT11)t1 'OWN FR, SITE ADDRESS CONTRACTOR 1~077L U616 4~PV • DATF. PHONE -~r Deter•min working square foota,;c of each. 1. Total exposed wall area sq. ft. x 0.11 2. Total roof /ceiling area d sq. ft. x 6,0206 Total exposed :all area above floor = vfJ~ a. Total wall window area f b. Total door area c. Total sliding glass door area d. Total fireplace wall area e. Total wall framing area (average lOP) / ~s%•; f. Total net wall area above floor g. Total rim joist area Total exposed foundation area = Z h. Total foundation window area i. Total net foundation area above grade Determine "U" value of each wall st-Fment. a. 1 01 4- -c-. b. • ! f X ..Un Di j _ r 3~ C. 57Ct. 1; - x ,.U„ &7, (to = 27.51 d. x „u„ _ e 10, p 4- t7 f g, h. i. 1 7 x 3. If item H3 is the same as, or less Lh:,n iteea #J, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area Total gross .roof'/ceiling area = Total skylight area k. Total roof/ceiling framing area . /,4;0, 5:-~ 1. Total net insulated roof/ceiling area / w 1. Determine "U" value for each roof/cei1ini. scgment. J. X 7 n • Ifull k.* 40, X 7, Z X $lull o. y Z? 7 k . Total = If total of N4 is the same as, or less than M2, you have met the intent of sBc 6oo6(c)l. , To utilize the total envelope system method, the values establi.rhed by the sum of items #3 and #4 shall not be greater.th Kn the sum of items #1 and #2. 1. ± 2. - - 3- + 4. _ _ . o~ 10, i 6 rz K: 4 1 t ~7 ! GNO P ;5, c 0, 4~5 3 - D, D!7 ~ ~T J ~ rff t t j r 3 6 P~ 0.45 oar 4 ► p,Q2,rL a . U~c 1,U~ GA I.~GU1,A~1~ N~ t GcNT~ . ~A M I~PtU. N L AT CH Y_ r 2 ; u 'cvI gHco 0•(o2 I g , o L . i?~,= 2 3 . o f = -f FAME WAI.L ~T MPaN NTs F--VALu5 c l, AID pl.~. o ,11 - - - 12 IOU 4 x h fan (~~k~ - • i 8- - - view. L =G~~1 P~. u~ = ~o, l2 x o.0~9~ t(o. Sb X o•043~ _ ~d. a - PERMIT Control No. U 0 9 9 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000099 (612) 681-4675 Date Issued: 03/24/92 SITE ADDRESS: 4095 BEAVER DAM RD LOT: 28 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAM. T.H. Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning PD R-4 Building Length 52 Building Width 39 Building stories 1 Square Feet 1,432 REMARKS: 1 OF 4-PLEX LOTS 25 - 28 FEE SUMMARY: VALUATION $82,000 Base Fee $558.50 COPIES $2.50 Plan Review $363.03 MISCELLANEOUS $10610.50 Surcharge $41.00 Total Fee $3,275.53 SAC $700.00 SAC % 100 SAC Units i Subtotal $1,662.53 CONTRACTOR: - Applicant - ST. MVNER: THE ROTTLUND CO INC 15710304 0001:135 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RIVER RD FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. St utes and City of Eagan Ordinances. PLIC E MITEE SIGNATURE ISSUED BY: SIGNA UR Control INSPECTION RECORD No. CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000099 Eagan, Minnesota 55123 Date Issued: 03/24/92 (612) 681-4675 SITE ADDRESS: LOT: 28 BLOCK: 1 APPLICANT: 4095 BEAVER DAN RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: MULTI--FAM. T.H. NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: 1 OF 4-PLEX LOTS 25 - 28 L_ - . CITY OF EAGAN 44 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made r lot change is re uested once ermit is issued. Date c z_ Valuation of work Site Location: `yogS- f; twer STREET STE # Tenant Name: Jlfiumd -zt--vac LOT 2 BLOCK _ SUBD. P.I.D. # Description of work: The applicant is: Owner Contractor ❑ Other (Describe) Q Name `T Vl'yfiN und, C.h • KC Phone S"1 l -OS Property LAST FIRST Owner Address 520( f-111 tree h 36 STREET STE # City I~ State. yk Zip Ss-q2( Company 5;A ~'-Phone Contractor Address License # ~~a 133 J City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Vattouq Processinjis sewer & water permits is two days once area has b approved. I hereby acknowledge that I have read this application and state that the informcorrect and agree to comply with all applicable State of Minnesota Statutes and Eagan Ordinances. Signature of Applicant: To OFFICE USE ONLY BUILDING PERMIT TYPE b. ❑ 01 Foundation ❑ 06 Garage/Accessory El 11 Res. Add./Porch E3 16 Igricufltural ❑ 02 Single Family ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two-family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition ❑ 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE IM 90 New ❑ 93 Remodel ❑ 96 Move ❑ 91 Addition ❑ 94 Repair ❑ 97 Demolish ❑ 92 Alterations ❑ 95 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy Basement sq. ft. MWCC System Zoningy 1st F1. sq. ft. 79 -3z City Water Const. (Actual) ~I 2nd F1. sq. ft. PRV Required (Allowable) 11~y Sq. Ft. total Booster Pump # of Stories i Footprint Sq. ft. Fire Sprinkler Length '52 On-site well Census Code /D z Depth 39 On-site sewage SAC Code 0-3 APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ~I Site ® Footing ® Framing E] Insulation ® Wallboard ® Final ❑ Draintile Z Fireplace MCC SAC Fees: valuation: s Z Ono Permit Fee S 5 8. So snc x Surcharge Plan Review X03 , -s ~6d % License City SAC ~o SAC units Water Conn. Water Meter 5 =~o ~s c Road Unit Treatment Pl. Road -Un+t M w cc 79o Rar Bed,A~~+ ber 3 0 copi*s tea r, 3o Other- Total: F.X7'F.Ii iOR ENVF:I,nPF AVI•:IiA(,1•: "1)" comrtrrAT I g)II } _.r OWN ER SITE ADDRESS f CONTRACTOn DATE PHONE 5 7` ~C Determin workinfg; square foota,;c of each. 1. Total exposed wall area sq. ft. X 0.11 • 2. Total roof/ceiling area l sq. ft. X 8 ,0?6 U Total exposed wail area above floor = 0CJ1 a. Total wall window area / b. Total door area C. Total sliding glass door area d. Total fireplace wall area e. Total wall framing area (average lOp) /,(w f- Total net wall area above floor g. Total rim joist area Total exposed foundation area = 2 h. Total foundation window area it Total net foundation area iibove grade Determine "U" value of each wall sFf;ment. I . ,f Ifull a b. L~ ( x „t,,, t~,13 .3~t x tuft d. X fling 17 ;&6 x h. x #,t)ll _ V 3• . o1.n1 If item H3 is the same as, or less :.tt:,n iLcsn flt, yo,i have met the intent of SBC 6006(c)2. LL ~ . Total exposed roof/ceiling area Total gross .roof/ceilinr, area = J. Total skylight area k. Total roof/ceiling framing area ~LZ~J 5;.7 1. Total net insulated roof/ceiling area i. Determine "U" value for each roof/cci l ink. scgment. J. X 1 - k: 401. X 1. 1 ~7, 2 X r~ k . Total = 1. e If total of #4 is the same as, or less than M2, you have met the intent of SBc 6oo6(c)l. To utilize the total envelope system method, the values establi.ahed by the sum of items #3 and #4 shall not be greater than the sum of iten:s Q1 and #2. 1. ± 2. - I 2 vkw I 6 P~ ..Q 0.4S ~ ~ Y olozllz _ Vic W, 6AI,6,UTln N,~7 (64-1N T FAME 0- I NFU LATIoN IOMFONt~-N-F7. - F? VAU4EE J 1. 2 L Fprka Z 5. o u~ - ~ - ~ Q_od3 ~tv1A~ -FFAW WAUL !~PJ~V rOMPoN~vN jg - F--VALW5 c o_u T'Ios ,w- PqLA. - o . t - - 3 3 IN 4. 2 •OU 4 C' X~ h1LI0 CPPAM Nl - ~•-I$ I W7105 MP IFFIL.M. PW~N- view. L 0.ob9' --t (o, S& 'x 0.0 o 43> ° - PERMIT I Control No. ~ I.17 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Permit Eagan, Minnesota 55123 Number: 000097 (612) 681-4675 Date Issued: 03/24/92 SITE ADDRESS: 4099 BEAVER DAN RD LOT: 26 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAN. T.H. Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning PO R-4 Building Length 52 Building Width 39 Building stories 1 Square Feet 1,432 REMARKS: C 01"7 ~'SGP 1 OF 4-FLEX LOTS 25 - 28 FEE SUMMARY VALUATION $82,ee0 Base Fee $558.50 MISCELLANEOUS $1,610.50 Plan Review $363.03 Total Fee $3,273.03 Surcharge $41.00 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $1,662.53 CONTRACTOR: - Applicant - ST. MVNER: THE ROTTLUND CO INC 15710304 0001:135 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RIVER RD FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all-applicable State of Mn. Sta tes and City of Eagan Ordinances. c - APPLICA T MITEE SIGNATURE II~UED B~ Y:'SIGNATUR~~ INSPECTION RECORD Control No. y r i F ` ._t CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 0 0 0 0 9 7 Eagan, Minnesota 55123 Date Issued: 03/24/92 (612) 681-4675 SITE ADDRESS: LOT: 26 BLOCK: 1 APPLICANT: 4099 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571--0304 PERMIT SUBTYPE: TYPE OF WORK: MULTI-FAN. T.H. NEW INSPECTION DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: 1 OF 4-PLEX LOTS 25 - 28 r- i L CITY OF EAGAN ' 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made r lot change is requested once permit is issued. Date ~ Valuation of work 2, 600 Site Location:_ STREET STE # Tenant Name: i ~t -1~41~ C-~, LOT BLOCK t SUED. pW-14e't P.I.D. # Description of work: The applicant is: 9~2wner Contractor ❑ Other (Describe) Name --T-Vo -TA- Cep d '--"c_. Phone Property LAST FIRST Owner Address 52-Ol C P v,-c- 12A 3° I STREET STE # City -~F-r (k l•e4 State A:Ar\ Zip Ss (I IZA Company"- Phone Address License # 0°0133r Contractor City State Zip Architect) Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber kf alinq IMV%10'K21 Processing time for sewer & water permits is two days once area has bee approved. I hereby acknowledge 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 City of Eagan Ordinances. Signature of Applicant: F-4 'g OFFICE USE ONLY . ' BUILDING PERMIT TYPE l~f ❑ 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add./Porch ❑ 16 Agricullgral't 0 02 Single Family ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two-family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition 0 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE 0 90 New ❑ 93 Remodel ❑ 96 Move ❑ 91 Addition ❑ 94 Repair ❑ 97 Demolish ❑ 92 Alterations ❑ 95 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy P-3 M-/ Basement sq. ft. MWCC System Zoning -y 1st F1. sq. ft. / y,3 z. City Water Const. (Actual) 2nd F1. sq. ft. PRV Required (Allowable) Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length Sz On-site well Census Code Depth On-site sewage SAC Code pz APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS 0 Site ® Footing ® Framing 10 Insulation ® Wallboard 0 Final ❑ Draintile 0 Fireplace valuation: Z 10^J' O Permit Fee SSe, _o Surcharge y/ 3(0~~ = S~ ~o Plan Review 343 ,d3 ~4y License ' MWCC SAC ~po City SAC /00 ~o vs Water Conn. Water Meter ASS / y 3 3 ~S} S6 Road Unit 390 Treatment P1. 7~ 00 RodUnft ~~c/c f p '3!9 ~4f R UCU: 74~ f Prn~F 30 .~~t • gar. . S o C ~ Copies Other Total: SAC % SAC Units i.xwt% ioR Favr• mrF AVERACE "U" COKMI AT i ON h} t: -OWN ER SITE ADDRESS CONTRACTOR go , ',7L wx DATE, PI.WN E 7' -C Determin vorkinfr: square footn,:e of each. 1. Total exposed wall area J~f sq. ft. x 0.11 _ T, - 2. Total roof/ceiling area 4:~C' 0 ~ sq. ft. X 6,026 = Total exposed wail area above floor a. Total wall window area c7f - ~Z f b. Total door area c. Total sliding glass door area d. Total fireplace wall area e. Total wall framing area (average lOp) f. Total net wall area above floor 4 I g. Total rim joist area Total exposed foundation area = I~ 2 h. Total foundation window area i. Total net foundation area :above grade Determine "U" value of each wall segment. b1 _ ,f b. -1.7 197 1 x fluff 0., d. X ?full X fluff 40, x fluf- 8- x ..~j„ h. X X U - / If item #3 is the same as, or less: Lh:,n iLcm #1, you have met the intent of ssc 6oo6(c)2. a Total exposed roof/ceilinG area Total gross .roof/ceiling area = Total skylight area k. Total roof/ceiling framing area /L1;O: 51 1. Total net insulated roof/ceiling area Determine "U" value for each ruor/cei 1 i nj, segment. J. _ X „Ulu k: X 11Ull 1. 7, X „U„ o. y 22 = ' 7 4 . Total = If total of N4 is the same as,•or less than N2, you have met the intent of ssc 6oo6(c)1. . To utilize the total envelope system method, the values establi_hed by the sum of items #3 and #4 shall not be greater. thKn the sum of iten:s #1 and #2. . 3' + 4. hit== I 2, ~)p 0.45 11; 4 ! -0,02-S 1,U~ GA I,GU{.ATI~ I~ ~GcNT) . 6-P l.A~ioN DM~O N ~N~i . - F2 12 3 U ^ .-C-~ATHIN~ 00 - L -}HMV WAUL Z dMPC N51NT', - F--VALU5 c o-U T'-1!51oE Aip- FLA. 3 0 6;NLA'~-I I N e. 2 •O U - cf, >r =GSMPs. ~tU~= (0, 12 X 0.0m) t(olSa'X 0.043 ) = O. a4-7 PERMIT Control No. 0 0 9 CITY OF JEAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 000096 (612) 681-4675 Date Issued: 03/24/92 SITE ADDRESS: 4103 BEAVER DAM RD LOT: 25 BLOCK: 1 DIFFLEY COMMONS DESCRIPTION: Building Permit Type MULTI-FAM. T.H. Building Work Type NEW UBC Occupancy R-3 M-1 Construction Type V-N Zoning PD R-4 Building Length 52 Building Width 39 Building stories 1 Square Feet 1,432 REMARKS: 1 OF 4-PLEX l: ~r?9~'Zv _ LOTS 25 - 28 FEE SUMMARY: VALUATION $82,000 Base Fee $658.50 MISCELLANEOUS $1.610.50 Plan Review $363.03 Total Fee $3,273.03 Surcharge $41.00 SAC $700.00 SAC % 100 SAC Units 1 Subtotal $1,662.53 CONTRACTOR: - Applicant - 5T. OWNER: THE ROTTLUND CO INC 15710304 0001335 THE ROTTLUND CO INC 5201 E RIVER RD 5201 E RIVER RD FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-0304 (612)571-0304 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Sta tes and City of Eagan Ordinances. L - My AP ICANT ERMITEE SI NATURE ISSUED B GNAT RE INSPECTION RECORD I Control No. r'} i t_ '-_'U CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000096 Eagan, Minnesota 55123 Date Issued: 03/24/92 (612) 681-4675 SITE ADDRESS: LOT: 25 BLOCK: 1 APPLICANT: 4103 BEAVER DAM RD THE ROTTLUND CO INC DIFFLEY COMMONS (612) 571-0304 PERMIT SUBTYPE: TYPE OF WORK: MULTI-FAM. T.H. NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: 1 OF 4-FLEX LOTS 25 - 28 L CITY OF EAGAN r 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re nest is made or lot change is re guested once permit is issued. Date 11L Valuation of work Site Location: Ito-r„~ STREET STE 9 Tenant Name:--1-ke-'fc4A(,~nj Cam. LOT •2 57 BLOCK SUBD.r>t' -j Cou,w.c~~s' P.I.D. # f%j Description of work: 4i - w" -4-VAtr" The applicant is: Owner %Contractor O Other (Describe) Name Co. --r-4yic, Phone 5-71 ro3 dq Property LAST FIRST Owner Address 5%ai '3 a I STREET STE N S 2 Ci ty -1z; j State kin_ zip Company 4-Q- Phone Contractor Address License # 0e0 133 City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber V ai q q u o.limc, Processing time for sewer & water permits is two days once area has heelf approved.- I hereby acknowledge 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 City of Eagan Ordinances. Signature of Applicant: al 0i OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Garage/Accessory ❑ 11 Res. Add./Porch ❑ 16 Agricultural ❑ 02 Single Family ❑ 07 Fireplace ❑ 12 Comm./Ind. New ❑ 17 Building Move ❑ 03 Two-family ❑ 08 Deck ❑ 13 Comm./Ind. Add ❑ 18 Demolition ;T 04 Multi-fam. T.H. ❑ 09 Basement Finish ❑ 14 Comm./Ind. Rem. ❑ 20 Miscellaneous ❑ 05 Apt. Bldg. ❑ 10 Swim Pool ❑ 15 Public Fac. WORK TYPE (3 90 New ❑ 93 Remodel ❑ 96 Move ❑ 91 Addition ❑ 94 Repair ❑ 97 Demolish ❑ 92 Alterations ❑ 95 Tenant Finish ❑ 99 Undefined GENERAL INFORMATION Occupancy R~-3 ~~1j-/ Basement sq. ft. MWCC System Zoning ~U K-q 1st F1. sq. ft. 3Z City Water Const. Actual Actual) 2nd F1. sq. ft. PRV Required (Allowable) Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length z On-site well Census Code _7 77- Depth 3g On-site sewage SAC Code 0 APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS Site )I Footing Framing insulation ~$1 Wallboard P Final ❑ Draintile Fireplace $ a Z OCT~ O Permit Fee 55k so valuation: Surcharge y/ Plan Review 3 (,3 , 03 ('0 P k l ~ . 6 0 License MWCC SAC 900 City SAC X00 Water Conn. Water Meter 9s Road Unit 390 / ~3Z P~ 9G Treatment Pl. 300 - Read ~fn1 t-A e-F be 30 P ar-k~. S /w Pe, + 3 0 Trams Beds sir. Sa Copies Other Total: SAC % SAC Units FYTF.ItiOR I•:tiVFLnrE AV1•:i%nc;i•: "U" coKpi Tn•l-li)n r' OWNER A SITE ADDRESS DD r CONTRACTOR 1`-Q ~Ae Ts~ D!1TF. PHQNE 7' rC Determin working square footai-c of each. 1. Total exposed wall area !i sq. ft. x 0.11 2. Total roof /ceiling area 14" s11. ft, x 8,0..6 Total exposed wail area above floor a. Total wall window area b. Total door area C. Total sliding glass door area d. Total fireplace wall area e. Total wall framing area (average 10i.) f. Total net wall area above floor g. Total rim joist area Total exposed foundation area = 2 h. Total foundation window area i. Total net foundation area above grade Detenrrine "U" value of each wall se-E ment. x louts 01 4- a. _ r t b. 7: 7) ~ x "Ul' • C. , X llull d. x Ifull _ AMC, e. x rrUll f . r`` i` T r f x rl' rr. :nom.' : I g- X "till C till h . x "till X bull 6 3. . Po La _ ~ If item #3 is the same as, or less 1-h:,n itern 191, you have met the intent of sac 6006(c)2. Total exposed roof/ceiling area area _ Total gross .roof/cei.linfr J. Total skylight area k. Total roof/ceiling framing area _ 1. Total net insulated roof/ceiling area / = 71--V Determine 11U" value for each ruor/eci l int, scgment. ]lull 1 J. X k: f x ItUtr OV -7, Z rt~rr fri _ yr rr~ 4 . Total = e If total of #4 is the senme as, or less than 92, you have met the intent of 5Bc 6oW c)z. To utilize the total envelope system method, the values establi_hed by the sum of items #3 and #4 shall not be greater.thKn the sum of items #1 and #2. 1. 2. 3, + ll. _ } 1 .T Cs 5-lzlq-L- u ® fGY? ~o~ - - - 0.4-5 3, , R= OG- .'b 3 U=f 0.027 ~ O.4S 0022 . ~IPc I,U~ 6AIZULAT in N~ (60NT,). AML WAIA, @ - j N~ L-AjjoN GoMPo N ~r+ _ VAW 5- - ~11 - - - i r 0-14 AM AI F- F9 W r`' u r 2 19.0 &jP. Do G - ~i~'f~c.~ Z 3 . o f = I? 1'v~A L --FFAM;r WAuL 6PTPP ~oMPoN`vNT, - F- -VALW5 r o_U VIDE Petz P.M. - o 1 - - - plt~~• ~/i~~~. u ^ ~ o. 089. L _G~M P~, UM = (o, !2 X o.0~•9~ ~-(o, S~ X o•04,~ = o ~ V-,4 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 9 0 0 (612) 681-4675 Date Issued: 06/17/96 SITE ADDRESS: 4091 BEAVER DAM RD LOT: 27 BLOCK: 1 DIFFLEY COMMONS P.I.N.: 10-20450-270-01 DESCRIPTION: Building Permit Type STORM DAMAGE Building Work Type REPAIR Census Code 434 ALT. RESIDENTIAL REMARKS: INCLUDES 4095 (LOT 28) 4099 (LOT 26) 4103 (LOT 25) BEAVER DAM RD FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC.OWNER: DU ALL SVC CONSTR INC 17889411 0003178 HOMEOWNERS ASSOC 636 39TH AVE NE BEAVER DAM RD COLUMBIA HTS MN 55421 EAGAN MN (612) 788-9411 I hereby acknowledge that I' have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L_ n ~LQ rte . APPLICANT/PERMITEE SIGNATURE ISSUED BY. SIG URE 0 0 CITY OF EAGAN 3830 PILOT KNOB RD - 65122 1996 .BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements Remodel/Reggir Reauirements U/" ♦ 3 registered site surveys t 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design: etc.) ♦ 2 site surveys (exterior additions & decks) 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711/93 required: Yes No DATE: C1 1~ CONSTRUCTION COST: VW V DESCRIPTION OF WORK: STREET ADDRESS: I y DPI y ~qq l: 03 LOT 2522 BLOCK SUBD./P.I.D. PROPERTY Name: Phone OWNER LAST FIRST Street Address* City: State: Zip: CONTRACTOR Company: Phone UN PIE / 636 3ft AAVtNUE tO1.t/MEMA tA HM UN !1W7! Street Address: -,iflL1ftn t6fn 7 11 License City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumber: _ Penalty applies when address change and let change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the in ation is ect d ag to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No a n. y ti OFFICE USE ONLY " BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility © 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 06 SF Misc. ❑ 10 --Alex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCMS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SMJ Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units CITY OF f-AGfitN C ASHIL-Rs S TERMINAL NO: 848 DATE w 006/98 TIME: 104809 TD NAME,,, SUBURBAN GROUP INC 205 900:L 75.00 320 9001 4187 BEAVER DAM 224.75 3210 9010:1. 4043 BE~AVEf DAM i_'r24 e 75 10 r-!Clf. 1 4059 BEAVER DAM 224.75 010 9001 4075 BEAVER DAM 224.75 3210 9001 4091 BEAVER DAM 22405 r 320 9001 410! BEAVER DAM 2-24.75 320 900i 023 BEAVER DOM 224.75 220 9001 41:9 BEAVER DAM 224.75 320 9001 055 BEAVER DAM., 2240:75 USE:.l t. ID: NANCY ?k~ CONTINUE* IrJ Irt41r-t 1 ~ In I J•Jr %Y~Yi?ICYr`Y~;~~y~CJri',C#?k~k•J.'rnff#n....s1~Ci,<.`~n<%nhC:v~##~t,~..n>k##5k~1'h'# t C k tNd t%t###~F##?k~##~nYd'~s~<?X>'i:<: #€##;~d ~ k CONTINUE CITY OF EAGAN CASHTF:R S TERMINAL NO: 848 DATE n :1. :l. i6/913 TIME: 14:48uil. !Du NAM~f_- SUBURBAN GROUP I.-NC .:32 f 9001 4171 BEAVER DAM 224.75 t. Total RecApt Amount f 2v aee,.50 CRO994• i.1. USER TD". NANCY YF?'6:r~###%~~i %k-i~####~X~'r%X~;<9,t>(9,iisj};#>k#~##X~~'F>k>k#M>`F.~r~X# PERMIT IT OF EAGAN 36 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 4 0 6 4 (651) 681-4675 Date Issued:. 11/18/98 SITE ADDRESS: 4091 BEAVER DAN RD LOT: 27 BLOCK: 1 DIFFLEY COMMONS P . I . N 10--20450--270-01 DESCRIPTION: REPLACE SIDING BIj`di.roy _Permit Type MULTI. (MISC.) Building Wo`,r.k Type REPAIR f.~Ce,nsus Code 434 ALT. RESIDENTIAL l jf , r/" L.... - 1. ' J REMARKS: INCLUDES: 4095, 4099, AND 4103. FEE SUMMARY VALUATION $15,000 Base Fee. $224.75 Surcharge 5.0 Total Fee $232.25, NTRACTOR: - Applicant - .OWNER: SUBURBAN EXTERIORS 28818232 DIFFLEY COMMONS ASSOC. 97101 PENN AVENUE SOUTH 4091 BEAVER DAM RD BLOOMINGTON MN 55431 EAGAN MN 55122 (612) 881-8232 I hereby. a:Ckrtaarlecige that T have read.-th is pa~ic -fiion arid state 't'hat°the n_ ar..`rn t a on° i correct and agree to pomp y with a'.`i 1" applicabie State of 11n Statutes and City of Eagan Ordi°nances APPLICANT/PERMITEE SIGNATURE SUED BY: SIGNATURE 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) J CITY OF EAGAN 7~ 1-1 U 681-4675 1 - l g - ~S Submit following to obtain necessary 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) soils report (1) landscaping plans (2 sets) Key Plan project specs (1) code analysis (1) energy calculations (1) not always " Special Inspections & Testing Schedule " soils report (1) Electric Power & Lighting Form (1) not always " SAC determination letter from MCNVS - SAC determination letter from MCNVS - SAC determination letter from MCNVS - call 602-1000 call 602-1000 call 602-1000 Special Inspections & Testing Schedule (1) project specs (1) energy calculations (1) Electric Power & Lighting Form (1) Contact Building Inspections for sample Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. DATE: WORK TYPE: NEW REMODEL r DESCRIPTION OF WORK: CONSTRUCTION COST: S~ 0 G TENANT NAME: SITE ADDRESS: 409 4c,?S- 4cm' 4a b ea,,jQx Ktvv, SUITE LOT -n BLOCK r~ SUBD. 1 1 ~ Qx A U Y~~titi'tc~ P.I.D. # Name:~( MGQ,, Phone PROPERTY Last First OWNER p, Street Address: 9 C ^ 4o9S- 422 QlQ-~> BQ-e-~ -v=~ - City ._IT Stater Zip: 7 Cornpany:- Sr 11byr< ~ Phone CONTRACTO n n R Street Address: ~~G 1 1'eVt\ -~2 S License # City Y I Cx~w~ State: V1,11 Zip: SS~3 ARCHITECT/ ENGINEER Company:_ Phone - Name: Registration Street Address:_ City state: - zip: Sewer & water licensed plumber (only if installing sewer & water): I hereby acknowledge that I have read this application and state that the informati . correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 19 Comm./Ind. Misc. ❑ 21 Miscellaneous ❑ 18 Comm./Ind. ❑ 20 Public Facility WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code # of Stories sq. ft. SAC Code Length sq. ft. Census Bldg. Depth Footprint sq. ft. Census Unit APPROVALS Planning Building Engineering Variance Permit Fee a ,~l Valuation: $ Surcharge Plan Review MC/WS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size PERMIT CIT OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 8 4 6 (612) 681-4675 Date Issued: 0 8 / 0 719 8 SITE ADDRESS: 4095 BEAVER DAM RD LOT: 28 BLOCK: 1 DIFFLEY COMMONS P.I.N.: 10-20450-280-01 DESCRIPTION: REPAIR CHIMNEY Building Permit Type STORM DAMAGE Building Work Type REPAIR Census Code 434 ALT. RESIDENTIAL REMARKS: REPAIR CHIMNEY DUE TO STORM DAMAGE. FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC. OWNER: OU ALL SVC CONSTR INC 17889411 0003176 CROPSEY FRED 636 39TH AVE NE 4095 BEAVER DAM RD COLUMBIA HTS MN 55421 EAGAN MN 55122 (612) 788-9411 (651)418-8221 I hereby acknowledge that I have read this application and state that the information is correct and agree: to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUED BY. SIGNATURE 1998 "BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB IItD - 55122 Ch 681-4675 New Construction Recuiremenis e e Recuirartr O ♦ 3 mgister+od site surreys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes: poured fnd, design: etc.). ♦ 2 site sum" (welvior additions i ♦ 1 energy ealculaticns ♦ 1 energy eons for heated t ♦ 3 copies of tree preservation plan if lot platted alter 711193 required: _Yes _ No DATE: CONSTRUCTION COST; DESCRI ON OF WORK:. . Iva S ET ADDRESS: 410916 r LOT: BLOCK: SUBD./P.I.D. Name: Phone , PROPERTY first OWNER Street Address:' 0g,;4---L~ City A--A1 State: Zip: .,;12f''?,.,=~ c. l Company: Dzo of- Phone CONTRACTOR Street Address: Z. 3(_ Y,%% -4 Liceese # City d4a is State: Er zip: / ARCHITECT! ENGINEER Company: Phone Name: Registra&n Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction only): Peru when addnM chVV and lot change Is requested once permit is issued. I hereby acknowledge that I have read this application and state that the k*mmifon is coned and agree le fly:; with sk appl&abl State of Minnesota Statutes and City of Eagan Ordinances. RECEIVED Signature of Applicant: O CE USE ONLY L,.EU BY: Certificates of Survey Received Yes No AUG 0 5 1998 Tree Preservation Plan Received Yes No Not Required Y' OFFICE USE fiNLY BUILDING PERMIT TYPE 0 01 Foundation 0 06 Duplex 0. 11 AptAodging 0 18 Basement Finish . O 02 SF Dwelling 0 07 4iplex D 12 Multi dRem. 13 V Swim Pohl 0 03 SF Addition 0 06 8-plex 0 13 GarsGWAcwwory 0 20 Pubkfaci ity 0.04 SF Porch 0 09 12=plex 0 14 Firepl t 0 21 Mi rteous 0 05 SF Misc. 0 10 _,;.,-plex 0 15 Doak WORK TYPE 0 31 New O 33 Akwatiorm 0 38 Move 0 32 Addition 0 34 Repair 0 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System, (Allowable) Mein level sq, ft. City Water UBC Occupancy sq. ft. Fire Sprkddered Zoning sq. ft. PRV . # of Stories suq. ft. Booster Pump „ Length sq. ft. Came Code. Depth Footprint sct. ft.,, SAC Code Census Bldg Census Unit APPROVALS Planning Building. Engineering variance Permit Fee '1faW1on: $ Surcharge Plan Review License MCNNS SAC City SAC Wafer Conn. Water motor Acct. Deposit SAM Perm SJW Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 6. sL_ CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT SUED. (612) 681-4675 RECEIPT # S DATE •,l RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST X REPAIR/ADD ON 15.00 ADD ON v~ SHOWER 3.00 REPAIR WATER CLOSET 3.00 t BATH TUB 3.00 LAVATORY 3.00 OWNER NAME C~f/1.~1~J c KITCHEN SINK 3.00 - LAUNDRY TRAY 3.00 SITE ADDRESS: ck HOT TUB/SPA 3.00 WATER HEATER 3.00 3 FLOOR DRAIN 3.00 C GAS PIPING OUT. INSTALLER : (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS. OTHER CITY: ZIP;~ WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U. G . SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 ` STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: S~ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE: $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN I CITY OF KAGAN FOR CITY USE ONLY 'q L+ 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # li S G 'Cio...: DATE : PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M. BTU 24.00 REPAIR ADDITIONAL 50 M. BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: SUBTOTAL: $ SITE ADDRESS: D _lo-) STATE SURCHARGE: .50 LOT:C BLOCK SUBD. TOTAL: INSTALLER: RAW "a. #I I U- ot ARIT; INC. ADDRESS : j 93 PIMA AyA' , S IGNATU OF PERM TTEE uulu6n eYE MR 55927 CITY• tt ZIP: ~ 1 PHONE PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. - - - - - - - CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN L ale _ st CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT S~ SUBD. (612) 681-4675 RECEIPT DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 !p REPAIR WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 OWNER NAME: ' it f LAUNDRY TRAY 3.00 SITE ADDRESS : HOT TUB/SPA 3.00 WATER HEATER 3.00 T- FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 3 / ROUGH OPENINGS 1.50 ADDRESS: !6 6 OTHER WATER SOFTENER 5.00 CITY: PRIVATE DISP. 15.00 U,G, SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 STATE SURCHARGE .50 SIGNATURE OF PERMITTEEE© ~ TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH.DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN I~ 4 + CITY OF KAGAN FOR CITY USE ONLY t 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612)^454-8100 RECEIPT # DATE : ~rS - L PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 5 OWNER NAME; OF 1 PER PERMIT SUBTOTAL: $ SITE ADDRESS: y V r _ y) STATE SURCHARGE: .50 LOT: BLOCK SUBD. C TOTAL: ply INSTALLER: . ADDRESS: 9303 Plymouth AVA N& SIGNATURE PERMI TEE Golden Valley, MN. 55427 CITY: ZIP: PHONE ~J`o- ISrDE'I`Ii±r PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN L BL CITY OF EAGAN CITY USE ONLY i PLUMBING PERMIT SUBD.yCiiit.a (612) 681-4675 RECEIPT jff 10,5 SIS~(o DATE 9~- RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: Tf'ozrl_oe~~ KITCHEN SINK 3.00 1 L LAUNDRY TRAY 3.00 _ SITE ADDRESS : HOT TUB/SPA 3.00 WATER HEATER 3.00 1 FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: OTHER WAT SOFT CITY: ZIP: PRIVATE DIENER 5.00 15.00 U.G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 STATE SURCHARGE .50 BSI ATURE OF PERMITTEE TOTAL: COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY G' 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # / 0 DATE : / f l -z'i 2 t1 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST X ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 T OF 1 PER PERMIT OWNER NAME: - SUBTOTAL: $ SITE ADDRESS: C"' STATE SURCHARGE: .50 LOT : ~f BLOCK SUBD. L t, yZ TOTAL : INSTALLER: ADDRESS: 9303 Plymouth Ave. Nm SIGNAT E OF PERMI TEE Wdn Y, mic =7 CITY: 1' tt ZIP: PHONE ~AIMCA~fII?U'1, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # J S CICit DATE : "Z- l€ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME:' SUBTOTAL: SITE ADDRESS: ~-t 0n 1 `IV1[ Ir '(~fl I'Y STATE SURCHARGE: .50 LOT:' 5 BLOCK SUBD. `lac- C't )4i"y(,7 TOTAL: $5. INSTALLER: ADDRESS : 9303 Plymouth Ave. No. SIGNATU OF PERMI EE Golden Valley, .5427 CITY: l++ ZIP: PHONE ( I OItALf!IDtSx.`. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING a $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN L_01 BL CITY OF EAGAN CITY USE ONLY PLUMBING PERMIT O.S SUBD. (612) 681-4675 RECEIPT DATE? P~ RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON j SHOWER 3.00 REPAIR WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME: C~ /l~G T KITCHEN SINK 3.00 3 LAUNDRY TRAY 3.00 .5 SITE ADDRESS : HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 „J_ ~16 ~ GAS PIPING OUT. INSTALLER. (MINIMUM - 1) 3.00 AROUGH OPENINGS 1.50 ADDRESS: OTHER ,r WATER SOFTENER 5.00 . CITY:-2!t- zip: PRIVATE DISP. 15.00 till U.G. SPRINKLER 3.00 PHONE W. TURNAROUND 15.00 STATE SURCHARGE .50 1.• IGNATURE OF PERMITTEE TOTAL:~ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: (SIGNATURE) CITY OF EAGAN CASH RECEIPT CITY OF EAGAN t . 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 !~/1 to- AMOUNT & DOLLARS ioo O CASH CHECK t M ff .77 9 7 FUND OBJECT AMOUNT e GX rA M t Thank You k L BY 01 7956 Yalln~r--Pa~tlngCepy r -us. x. 7 -7 SE}V€R~' 1 R PERMIT ;.OFFICE USE ONLY CITY (~F AN" METER # ~ PERMIT DATE 03/21SM43830 Pil t; n& Rd., 12634.: Eagan, 455122-1897. CHIP # PERMIT # METER SIZE, B.P. RECEIPT # C 017956. . ISSUE DATE B.P. RECEIPT DATE 0325/92 DATE VAR 24, 1992 PRV, BOOSTER PUMP SITE ADDRESS 4103 DEAVER DAM RD . i PERMIT REQUESTED LOT 25 BLOCK 1 SEC/SUB DIFFLEY CwHONS x SEWER S WATER -TAPS APPLICANT: ADDRESS: _ COMM/IND X RESIDENTIAL ' CITY, STATE ZIP X NEW - EXISTING . PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: VALLEY' FLBG .'Ahead of Domestic Meters. on Water .Line-, ADDRESS: 610 CREEK LN Credit WILL NOT be given for Deduct Meters: CITY, STATE JORDAN MN ZIP 55352 PHONE: 492-212.1 I AGREE TO COMPLY WITH CITY OF OWNER: TKE ROTTLLfND CO- INC EAGAN ORDINANCES ii - -ADDRESS: 5201 E RIVER RD CITY; STATE FRIDLEY HN ZIP` 55421 PHONE: 571"0304 SIGNATURE WHEN METER ISSUED E.ALLOW TWO WORKING DAYS FOR .PROCESSING. CALL 454220 FOR INSPECTIONS. FOR STORM RMITS;".CONTACT ENGINEERING DEPT ,R`. -x+w'!"~l~,m.T:~f7,'°a""7'!RVI°YS~'~'~r. - -.m~ra.usYae+'~lq'T~s~7Rpw8~gK.w~~..r•.a- rp,~r,mT mc„,..,•3~!} SEW, Ef Af PERMIT OFFICE USE ONLY .3830 PQil METER # PERMIT'DATE 03/25192 3otlKb, Rd. EAgan,,MN 551.22-1897 CHIP # PERMIT # 1 ► , METER SIZE' B.P. RECEIPT # C 01796 DATE MAR 14, 1992 ISSUE DATE B.P. RECEIPT DATE 03/25/92 PRV -1300STER PUMP SITE ADDRESS 1099 BEAVER, DAM RD PERMIT REQUESTED LOT 28 BLOCK-1_S.ECISUB DIEPLEY COMMONS X SEWER X : WATER - TAPS APPLICANT: ADDRESS: COMM/IND X RESIDENTIAL CITY, STATE ZIP X NEW -EXISTING . PHONE:' Lawn Sprinkler Meters are to be Installed PLUMBER: VALLEY'LRG Ahead of Domestic Meters on Water Line. ADDRESS: 61Q'CREEK LiV Credit WILL NOT be given for. Deduct Meters. CITY, STATE JORDAN MN ZIP 55352 PHONE: 492-2121 AGREE TO COMPLY WITH CITY OF OWNER: THE ROTTLUND CO INC EAGAN ORDINANCES ADDRESS: 5201 E RIVER RD. CITY, STATE FtRTDLgYMN ZIP 55421 PHONE: 571-0304 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454.5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT... rr :u::anr>~ .'.iz+r s.-t..,. .g..,cw•w iE •i°yRee'P'1`.,.- '-.7Sc's 77 p 4 - SEWER~~1'~R PERMIT OFFICE USE ONLY CIT1P~}P "~'AN 3830. Pilot b Rd ^ METER # PERMIT DATE 03/25/42 Ea ganMt+'55122-1897 CHIP # PERMIT # -12637 METER SIZE' B:P.:RECEIPT# C Al 7956 ISSUE DATE ` BA RECEIT DATE i13 12 ~2 DATE MAR 2G, 1997 - PRV _ BOOSTER PUMP SITE ADDRESS ` 4095 BEAVER DAN RD PERMIT REQUESTED LOT 28 BLOCK 1 SEC/SUB DIMIX COMMONS _X___ SEWER WATER T TAPS'. APPLICANT: ADDRESS: COMM/IND X RESIDENTIAL. CITY, STATE ZIP X NEW _ EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: VALLEY Puac Ahead of Domestic Meters on Water Line.,': ADDRESS: h10 rRRRfr TA Credit WILL NOT be given for Deduct Meters. CITY, STATE. JORDAN MN ZIP 55352 PHONE: 492-2121 I AGREE TO COMPLY WITH CITY OF OWNER: THE ROTTLUND CO INC EAGAN ORDINANCES ADDRESS: 5201 E RIVER RD CITY, STATE FRIDLLY MN ZIP 55421 PHONE: 571-n()A:*% SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT, ENGINEERING DEPT. .9--, r--..._ „np-r• wT- , ..,t ,:-.,4 .*R~"°rx .._n..r~, ".t,n,v.,4 !7 SEWER~, VATeR PERMIT OFFICE USE ONLY CIT18~1~ AN METER,*- PERMIT DATE 03/25/92 .3830 Pilot *mob Rd 12638 Eagan,•.,N 551:22-1897. HIP # ` PERMIT METER SIZE B.P. RECEIPT # C 017956 DATE MAR 24, 1992 ISSUE DATE- B.P. RECEIPT DATE 03/25/92 PRV - BOOSTER PUMP SITE ADDRESS 6091 BEAVER DAM RD PERMIT REQUESTED LbT 27 BLOCK -1-SEC/-SUB DIFFLEY COMMONS X SEWER X WATER - TAPS. APPLICANT: ADDRESS: - COMMJND X RESIDENTIAL CITY, STATE ZIP X NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: VALLEY PLBG Ahead, of Domestic Meters on Water Line.' ADDRESS: 610 CREEK IAN Credit WILL NOT be given for Deduct Meters. CITY, STATE JORDAN ZIP 55352 PHONE: 492-2121 I AGREE TO COMPLY WITH CITY OF OWNER: THE ROTTLUND CO INC EAGAN ORDINANCES ADDRESS: 5201 E 'RIVER RD CITY, STATE FRIDLEY, Mkt ZIP 55421 PHONE: 571-0304 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. Ail citp of Cagan 'B"M rhma of sunk* iWertim This Cenifimt issued pursuant to the requirements of Section 306 of the Uniform Building Code cent jying that at the time of issuance this structure %w In rnmp!nnce with the Various ordinances of the City regulating building construction or use For the following: use q.msaeoe 1~LTI~AM Ili Bldg. Famk Na X16 ' Y VN` Oxupoey Type RI/Ml 7oamg Mudd, Type Caton c)vM' of ROTTLUND CO TNC' . 5201 •E 'RTVER ED, FRMMi > uMn Admo 4103 WAVER DAM ROAD. L25. H 1. 1}IFM OAS -V:0 ~ X11 - 6/25/92 ~ f Bum OBcid POST W A CONSPICUOUS'PLACE . Address: 4103 BEAVER DAM RD Lot 25 Blk 1 Sec/Sub DIFFLEY COMMONS These items were/were not complete at the time of the final inspection. Date: JIM, 25, 1992 Yes No TnspPnfnr* Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage f Porch f/ Basement finish f~ Deck Please verify with the builder the removal of roof test caps from the plumbing .system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. NECYClED R1PER White - City copy Yellow - Resident copy Pink.- Contractor copy ~itp of Cagan ~P~t~l'fltlPttt of ~ttB}tPt#tDtt nb C-aWfesk issued pmuant to the mquu nmb of Section 306 of the Uniform Building Code certifying that at the time of issuance fit&smxwm was in compliance wfth the,mHous ordinances of the City reguAv* bufldfng com tic on or use For the following. MULTI-FAMILY TOWNHOUSE R- M-1 z PD R-4 V-N Owuporgy THE ROTTLUND CO 5201 E TrIVER RD .4099 BEAVER DAM RD' L26, Bl, DIFFLEY COMMONS 1 ;1 C► r( L ; r~ l m JUNE 25, 1992 POST 94 A CONSPICUOUS PLACE Address: 4099 BEAVER DAM RD Lot 26 Blk l Sec/Sub DIFFLEY COMMONS These items were/were not complete at the time of the final inspection. Date: JUNE 25, 1992 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway v .Permanent gas Sod/seeded grass Trail/curb damage Porch pf Basement finish j~ Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. RCCyWDPM A White - City copy Yellow - Resident copy Pink..- Contractor copy p (Ur#ifiratr of (Ortupaury Citp of Cagan, ]om trsrtt. of Adlbhm 3wertwu This Certificate issuedpursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was In compliance with the various ordinances of the City regulating building construction or use: For the following. theCbjSMmu=ng:FAM T.H. B4ftrmk Na 99 R1E/Ml PWM VN Ow of awal 10 RO2TI,U[ = IIM Add=.- 5201 E RIVER M, FRIDAY ,4095 BEA WL28, B1, DUTM OOMM 7/20/g2 POST IN A' CONSPICUOUS PLACE ' i ; Address.: 4095 BEAVER DPM RDAD Lot 28 Blk, Sec/Sub DIFFLEp rig Mwanim These items were/were not complete,.at 'the time of the final inspection. Date; Yes No innppctor! Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry l~ Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the:removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. qx~ a~c.ceeo nvrn White - City copy Yellow - Resident copy Pink.- Contractor copy 4 ri-- ~~e~#t#tr~t~e of (~r~tr~~ttr~ Citp of Cagan x. . ~r~rf ;~f Idi>ng ,er#in>tt 77 s;Certlfuaate issued pursuant to the' requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure um in compliance with the various . ordinances of the City regulating building consmxdon or usa. For the following: use a"".dun NMTI FAMILY T.H. Bldg. PenWt NO. omap.ayrye R3/-l 7oniog Dbbict PD/R4 Type rums VN J ,t TEI>; I UMMI m TNC , 52D 1 R Rrvm.RD, FRI s~v 4091 DAK D 10~ Iy L27, B 1 DIRM OCHM - txr~ 7/ 15/92 , POST IN A CONSPICUOUS PLACE r Address: 4091 FEAVER DAM PQQ Lot 27 Blk 1 Sec/Sub DT~EY S These items were/were, not complete at the time of the .final inspection. DaLe: 7/15/92 Yes No Final grade (9E' from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before. freeze potential exists. RECM EL IYPER White - City copy Yellow Resident copy Pink.- Contractor copy 4 i y. u I& 1 sts. aTY OF EAOA Pilot Knots Road Eagan, Minnesota 5;122-189? 12 681-4675 SITE.ADDRESS• L0 t - R ..BLOCK APPt,i ANT-.' w, ~ ' `x S~ I 4, ~1 r 40 9IS REAV"ER CLAN RU 00 AL.F SVt ~00S -VW 1 PERNNT SUBTYPE: TYPE OF !limit STORM DAMAoF RAM>rNlirNAi. i , v. b o r.i RIFfill ARK.tis RUPAIR CIII14NEV UUF? TO STOR" DAMAGE. F „ ~ _ Yyh ~1 f~1p e Pwn* Holder DID Telephone a P'VJMBM NVAC be* F€l4ri1P~ . FOUND FRAMING ROOFWG TOUGH PLUMBING PLOS AIR TEST ROLOGH HEATING GAS S VC TEST INSU! GYP BOARD FIREPLACE FIREPLACE AIR TEST FKAL PLIir. FINAL HTG ORBAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: p~ 3830 Pilot Knob Road Permit Number. •7 7 900 Eagan; Minnesota 55122-1897 Date Issued: *6 } a } (612) 681-4675 SITE ADDRESS: p ° T ;14 10 -.2 #4 5 1 e - 01. APPLICANT: t0`i': 2/ RLor:K 11 4091 HE AVER DAM RD DO ALL. SVC CONSTR INC I)Tvf t.I' y CtIMXONI t f:.1.:'} 7HH-<_i41t PERMIT SUBTYPE: TYPE OF WORK: STOPM DAMAW RfPAjR L'OAMIWA wc)o1't1+tr~ f,1 HAI. K'17 . MARK T NCI IME S 409f; ! I OT X18) 4090 (t01 'tw ! 41 03 (L01 ;?S) HEAVEN CLAM RD 77 "sue s ~r u. ~t ~ , i Permit No. Permit Holder Dam Telephone A ELECTRIC PLL*MNG HVAC inepewon Data Insp. Commef to FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD, -CITY OF EAGAN PEFWT TYPE!': 3830 Pilot Knob Road Pemit Number; Eagan, Minnesota 55122-1897 Data lsau0d; (651) 681-4675` I.Ns SITE ADDRESS: P - - APPLICANT: 5' L01.: rya 91 ear rc 491 RE AVER t3AM 8,rstrtPFad>yaaM`tRIOR t` itF fr ► € v COMMONS 00$-41?32 PERMIT SUBTYPE: TYPE OF WORK: 14 tl1 tJ. tMt: t.} R PA INA L OF NARX',• t I NC t 1100 S a 40"91,a 4099 , AND l1 t w-l n ! ! ~ 4.4 'i 121 ;?fi ! i!-f 'Zs.kic~• _ WERI Permit Holder Date Telephogo # WATER PLUMBING HVAC Inspgtlon Data Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST 1NSUL 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 aplft% GASH' F EWbO VTY OF EAGAN ~ . 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122- _ DATE 1 ~ ` 19 ~J ~rvco ~ i r fri' l,~ j AMOUW $ 1 c r Li' 6 DOLLARS gym. (3, CASH CHECK r ! 3 L i - Fbi OBJECT l AUMNT t-_ ~~FF spp; f i . L i. T ankYou BY C 0 17 9 10 F CASH RECErr?~r s CRY, Of EAGA 3$3p PILOT KN" ROAD * 'r EAGAN, MINNESOTA 55122 DATE . rr ' 19 J vow" A. i4 ter-'. ~,•l . AMOUNt R ! DOU.AM 10D- 0 1' Q@JECT tt MAPURT I V, ' i 'KIP ,Tha'nk YOU', By. 017956 9= CITY OF EAGAN 3830=PILOT KNOB ROAD .,EAGAN, MINNESOTA 55122 " DATE a, w.. e r / AMOUNT ffi DOUARS Sao © CASF1_, CHE t b J x Rt j!' FR OBJECT AMOU~~t]' r har k lex 017956 YQUOW-4%" COPY Ph*--Fm copy w 0098 I P ION RECORD v PC 438341 i'i,~ Knob Read Pon* IW~. . Eagan, Minnesota 55123 f ,(~1 g) 681-4675 Sf't`E A WRESS: LOT V Di.OCiK e I *"I stwas DAM TOM ROTTLON6 to got PEW SlT1fPEa TYRE OF WORK: M W. !m 71 x1fDn►77Tt 07pla"t IFINKPIACi ' P Me. Perwx adder 0w a phone ' ~ 3Lr 3 fuAftm ELECTM ~rr~c EI n Bob b"IL Conwooft ' Fo► 41b. Finw P". ")w nwhbw i~ - Mdv const. ErVA4 e Bldg. ftW C c Rg. Dock Fine won 0 99 WSPECTI RECORW,, -3830 Not Kra Hoed Pam* Numbsr ,Eagan, Minnesota 56123 Date Wmam (612) 6814-675 SITE ADDRESS Lott to 5LOCK 1 ~1P`PL.I~`: 96 816vto oaa as T NOTT,I its Ift 0111FILIV CONO"s (ilia) 444-904 PE IT SUBTYP: TYPE OF 'OM:, 1l.TI-FAO. T.H. xr r"_v _117 44 j" it Z **L lrLr*O"W;$~ -1 OF 4 -PL.Lit LOTS 76 - '20 s paiwAt M& P w rA t H .aw tteMa. Telspisa~[e • -aw 4 'rte: - - - - H . ~ .1./t77k `LECTM _ knou*m caw , i , PoWnda*o r PAugh fft. t Av. RIO FPt wbg. tf'f a ~ - ~t COM "Or Eng►JPlan Deck Piq. Deck Final Weil Pr. Di®p. INSPECTION RECD MY OF EAGAN ~ PEST TY n 3830 Pilot'Knob Road Pam~it N rw; ' ` EAgan, MNmewft 56123 Ds* b * (612) 681-4675 SITE ADDRESS: APPUCAT: Lots os BLOCK* 4*99 RtAvao of* RN rug R01°Xwas 46 in `.WIFVLEV C©NNNNS N R? sit-oNNN i PERMIT SUBTYPE: TYPE OF Vet ; MUktI--FAM. T.M. N filOtl~MA ~'RANIGMO 104"AT it O~1 F1<MAt sf~R#Pk ACE 01144 951 1 NF -PLtx LOTS PammK No. Penalt lb1dM Dap 'alaphone 8lW R ~PLUMSM s WA+C ELECTMC _ Inepso~ DrM bap. Caaa~a r R wun~on Fmi** ROD" loin Fkapmo Flail lily t omd Asst Final Plb¢ P14 hvedw - Ntay Phranborr C rwL Mohr EqgirlPlan k B>dp. RrW r" Dock Flg. De& Final Wei Pt. Diop. #6 INSPECTIONKREU00DkD, 1 096 CITY OF EAGM PEN' TYPE: 3630 Pitt Knob Road Peril! M:.r: Eagan, Miflnesate 55123 D bsust ; O (612) 661-4675 SITE ADDRESS: LOT i Iii st Ott i ! A~~ 41s8 NtAvso DAM Ito THE sera Nw : ~llt 61PPLlET CON"*$ (612) itilf A PERMIT SUBTYPE: TYPE OF WORK. i~u 1. T I - t*Ai±l . Y , it . 1'~+i~'i6 NA F1NAM1~tiil IMMOLATION FINAL l~XIf~PLA~~ 1 y~ 00MARKS~ I OF 4-»PLKX r.~. 1 LOTH 2's 24 - Per" 14M parro Haldar cob Tilephoee # SJlAf ~-AW sir 93' . Ecralc / 9 5 OrBt mop. COMMON" Foolints+ + As- F ROD" p4uo PRO -C 1~. . r.A . i . F9 W HV PAW pmg. Fffip, inepec+or --Md* Plumber corral. Mew EngrJPlan aft- Rnal Deck Fig. Deck Rnal Well Pr. Diap. E ONLY SEWER WA'R PERMIT 001C. CITY OP' EAI&AN METER # S<~f f 7 D PERMIT DATE 03/ 2 5 J 9 3830 Pit'~CI~ot1 Rd..~ 12634 Eagan; N 55122-1897 CHIP # PEfiMIT # METER SIZE B.P. RECEIPT # C t1i79 .61 DATE MAR 24, 1992 ISSUE DATE B.P. RECEIPT DATE 03/23/92 PRY,] - BOOSTER PUMP SITE ADDRESS 4103 BEAVER DAM RD - PERMIT REQUESTED LOT 25 BLOCK 1 SEC/SUB DIFFLEY COMMONS X SEWER X WATER - -TAPS'. APPLICANT: ADDRESS: COMM/IND X RESIDENTIAL. CITY, STATE ZIP X NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: VALLEY PLBG Ahead of Domestic Meters on Water :Line: ADDRESS: 610 CREEK LN Credit WILL NOT be given for Deduct Meters, CITY, STATE JORDAN MN ZIP 55352 PHONE: 492-2121 I AGREE TO COMPLY WITH CITY :6F OWNER: THE ROTTLUND CO INC EAGAN ORDIN NCES ADDRESS: 5201 E RIVER RD CITY, STATE- FRIDLEY NN ZIP SSA21 .PH: 571-0304 T Z- Ft R WHEN METER UED PLEASt ALLOW TWO WORKING DAYS FOR P SIN . CALL 454-5220 FOR INSPECTIONS. FOR STORM° SEWER PERMITS, CONTACT ENGINEERING DEPT oil r,. -.r, :.:,T. ^:•vt ~n^S.:t r...~.,-..: .-q Ae'•..F %-.:;.--....7,.Tttn7nrr,,.r-,..r,, c^ew SEWER& WA'1 I PERMIT O, lirfi IISE ONLY CITY-OF EAGAPR 44 PEnaIT:aATE' 3830 Pilot. METER #•~If y 3;6519 Klj Rd. GHIF3~ J PERMIT # _ ii'~ Eagan, MN 55122-1897 METER SIZE W EIP-, RECEIPt,# C 01,; 4 ISSUE DATE - B.P. RECEIPT DATE'S 2 DATE MAR 24 1992 PRV ROOSTER PUMR r SITE ADDRESS A09 & AVER DAM RD PERMIT REOUESTED ' . LOT 26 BLOCK ,1 SEC/SUB DIFFL1Y.,tQHMQNS SEWER WATER TAPS " APPLICANT: ADDRESS: COMM/IND X REST NTIAL CITY, STATE ZIP X NEW EXISTING PHONE: ' L4w~ Sprinkler. Meters are to be installed PLUMBER: VALLEY PLBG Ahead of Domestic Meters on Watiar 114e ADDRESS: 610 CRXEK I,N Credit WILL NOT be given for Deduct Met",,.' CITY, STATE JORDAN MN ZIP 55352 PHONE: -492-2121 AGREE TO COMPLY W11CI'1"Y 4F OWNER: THE ROTTLUND CO INC EAGAN OR !N NC S , 'iDDRESS: 5201 E RIVER RD CITY, STATE FRIDLEY HN ` ZIP Sg~_ P NE: 571-0364 SIGNATURE WH METER ISSUED ; ~ALLOWRKINDOR~CE SIG5220 FOR.. INSPECTIONS. FOR'STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER& WATER PERMIT OFFICUSE ONLY CITY OF E SAN ETER PERMIT DATE 03/25/92 3830 Pilot M ob Rd. 12637 CHIP # -3 PERMIT EaganY.Iv1N 6122-1897 METER SIDE S.P. RECEIPT # C 61.7956 * ISSUE DATE'S #B.P. RECEIPT DATE 031251 2 DATE MAR 24. 1992 _ `PRV BOOSTER PUMP SITE ADDRESS 4095 DEAV R DAM RD PERMIT REQUESTED LOT 28 BLOCK -L-SEC/SUB DIFFLEY COINONS -X- SEINER _.X._ WATER - TAPS APPLICANT: ADDRESS: _ COMM/IND -.JL RESIDENTIAL CITY, STATE ZIP ALL NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: VALLEY PLW Ahead of Domestic Meters on Water Line. ADDRESS: 61 n CREEK T.N Credit WILL NOT be given for Deduct Meters.. CITY, STATE JORDAN MN ZIP 55352 PHONE: 492-2121 1 AGREE TO COMPLY WITH CITY OF OWNER: THE ROTTLILMD CO INC EAGAN OR INANCE ADDRESS: 5201 E RIVER RD CITY, STATE FRT LEY MN ZIP i 5421 PHONE: S71-c~3n4 / q a SIGNATURE WHOM METER ISSUED PE&OLLOW TAI&KiN~G Oil" R PRt~"r~i4 Vt&M- O FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. 1uv ".*,,WATER PERMIT OFFICE'USf-ONLY CITY OF EZAGAN Q3f 2549.2 . . 3830 Pilot nob Rd. ;4 # METER aA . a 1 J P04MIT DATE Eagan; MN 551;22-1897 CHIPS PEEiMIT # 12636 14 SIZE B.P. RECEIPT # C _ 01 56 METE DATE M" 24, 1992 Y tSSUE DATtx' Q B.P: RECEIPT DATE 03 2:3 42 PRV _ BOOSTEA PUMP SITE ADDRESS 4,091 BEAVER DAN RD PERMIT REQUESTED LM 27 BLOCKf 1 SEC/SUB DIFFLEY,CONNONS _X SEWER X WATER _.TAPS APPLICANT: ADDRESS: - COMMIIND X RESIDENTIAL..,., CITY, STATE ZIP W EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: VALLEY PLBG AheaA of Domestic Meters on Water Line. ADDRESS: 610 CREEK LN - Credit WILL NOT be given for deduct Maters. CITY, STATE JORDAN MN Zip 55352 PHONE: 492-2121 AGREE TO COMPLY WITH CITY Ot"' OWNER: THE ROTTLUND CO INC EAGAN OR INANC ADDRESS: 5201 E RIVER RD CITY, STATE FRIDLEY MN ZIP 55421 NE 571-030A-- SIGNATURE WHEN METER ISSUED PLEA` ALLOW TWO OI~KiNG+ AYi FOR PROLES G. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. REQUEST FOR ELECTRICAL INSPECTION Ee-0=1 .08 ► See instructions for completing this form on back of yellow copy. . K 1 16 C, ~ 91 X" Below Work Covered by This Request: N. cl Re TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner I Other (specify) Contractor's Remarks Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only. TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final Da ] ! been made. OFFICE USE ONLY This request void 18 months from > DATE: MAR 25, 1992 4091, 4095, 4099> & 4103 BEAVER DAM RD (THE ROTTLUND CO) P,E: X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. I 1W & & /C 6 E50 3 3 Request Date Fir ough-in "s coon Regw ed? _I Ready Now Jill Notify Inspector 4 s No When Ready? I censed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) city Section No Township Name or No. Range No. Co Occupant (PRINT) Phone No. Power Sup r Address Electrical C frac~mpany Name) Contractor's License No. G 00 391 Mailing Address (Contractor or Owner Mak,ng InStailation) Authorized Signalire (Contractonow r Mak g Installahorf Phone Number - 103 ~ 3 ~/y MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED '~y. EB-00001-08 IC 2r REQUEST FOR ELECTRICAL INSPECTION e' ► see instructions for comp~eung this form on track of yellow copy. r X" Bil Work Covers by This Request V3 New Add TA ' TypeofBuilding Appliances Wired Equipment Wired me Range Temporary Service plex Water Heater Electric Heating . Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other ispecify! Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee Swimming Pool D to 2D0 Amps f,S 0 to 100 Amps 4 Transformers Above 200 Amps Above Amps Signs Inspector's Use Only TOTAL Irrigation Booms lfff_ (/I (mod Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 16 STHS. I, the Electrical Inspector, hereby Rough-in to certify that the above inspection has Final Date been made. ( ~4''~ OFFICE USE ONLY This request void 18 months from JUGS a~ 7 93 71,a8 ~t Request Date Fire N gh-in Inspection d? G Ready Now ;lVVlll Notify Inspector JJ R wire res I When Reatly? No I_censed contractor owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route riu.4~ City D 15 4a-'l Section No l_fp Name or No Range No. Cou Occupant RINT) Phone No. Power Sup ier Address 1 k' Ue., Electrical Contractor (Company Name) -Cor ntractor's License No. _ la;:- V QQ rng Address (Contractor or Owner Making Installation) ng Installation) ___jP1o e Number EAuzed Sgnature ICortractor wrier qq, MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED / ' j~ REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 l' 3 ► See instructions for completing this form on back of yellow copy. 7 "X"-Below Work Covered by This Requests. e Add Rep. Type of Building ApplancesWired Equipment Wired Home Range 7 Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace [13ir m A ir Conditioner her (specify) Contractor's Remarks Compute Inspection Fee Below: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps ov Amps Signs Inspector's Use Only: TOTAL / Irrigation Booms ~p / rv Special Inspection (C~ Alarm/Communication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. ,a p I, the Electrical Inspector, hereby Rough-in C~ 111 also _---y 90 certify that the above inspection has Final • P~. Da:!,, been made. 01 0 OFFICE USE ONLY • This request void 18 months from 3 RE A 4~4- Request Date Fire No, o n Inspection r R n l Ready Now Will Notity Inspector ~q Z ,1Ses - N. When Ready? Incensed contractor owner hereby request inspection of above electrical work at: Job Address (Street. Box or Rou No) City 40 911 D4,.,.- Section No. Township Name or No. Range No. County Occupant RINT) Phone No. Power Supp r Q~ Address Electrical Corn for (Company Name) Contractor's License No. 0/7 CAoo 3 Fl Mailing Address (Cortraclor or Owner Makmg Installation) Authorized ignature (Contractor0 er Me g Installauont _ rPhone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. I Ic REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 ► See instruct ons for completing this form on back of yeHow copy. 739,38 "X" Below Work Covered by This Request New Add Aep" Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner 1Other (specri Contractor's Remancs: Compute Inspection Fee Below: Other Fee F #T Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps s / 0 to 100 Amps Transformers Above 200 Amps Above too _ Amps Signs Inspector's Use Only OTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD CONNECTED IF NOT Other Fee j COMPLETED WITHIN 18 MO S. I, the Electrical Inspector, hereby Rough-in Date? certify that the above inspection has F nal been made. r OFFICE USE ONLY This request void 18 months from 71 Request Date Fire o g%n Inspection quired? ? i J Ready Now y} dill Notify Inspector ---1Zes - No When Ready? Incensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or R (City o Section No. ITownsh Name or No Range No Counyl II~- L RINT) (Phone No. - ( Power Super / -TAddress ---P1a` ------1------ IElectrc Contractor (Company Name) contractor's License No. e - - -G,0`f 00 3 91 IMa4ing Address (Contractor or Owner Making Instat!abon) Authorized Signature IContracto ner Ma ng Installation) ~~rrPhone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0600 ENCLOSED es REQUEST FOR ELECTRICAL INSPECTION -oaool•oa ` ► See nstructiows for completing this form or back of yellow copy. 5 7 O ` "X" Below Work Covered by This Request .d ew Ad~ Rep. Type of Building AppliancesWred Equipment Wired E Temporary Service Home Range EAt. Water Heater Electric Heating uilding Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other Ispeciiy; Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps J 5 / j 0 to 100 Amps !Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: TOTAL Irrigation Booms I -1 O~ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT Rough-in Date I, the Electrical Inspector, hereby f certify that the above inspection has Final ( Da e G been made. J ~s OFFICE USE ONLY This request void 18 months from K ' 1 9 /o~l~ Request Date ire No. Ro gh (n Inspection ^ p q Z R ed? Y Now f Will Ready? j Yes s E G No No I 21rcensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or oute No.i city 4 2 a Section No Township Name or No. Range No. co Occupa !PRINT( Phone No. Power SuD~ Address i Eiectnca ..tractor )Compan Namel Contractor's License No. Coa3 Mailing Agttress (Contractor or town Making Installation) Authorized Signature (Contractor ner fi~112 _ Phone Number_ L d MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 ff// BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 0510612014 09:40 Les Jones Roofing, Inc. TAX)9528817009 P.005/011 Use BLUE or BLACK Ink For Office Use Permit i~: u I O City of Wan Permit Fee. . 3830 Pilot Knob Road ; I Eagan MN 66122 I Dale Received: I Phone; (651) 676-6676 1 I Fax: (661) 675-5694 1 Staff: I Zq; 0 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: p~ Site Address: 'f0 SS o V9 0 V /,D 6wav- Unit Name: _io ?9QPW7y CA-P-6 . t ate.. Phone: St - 5S7'/- 99y4' :'•G • ~ Address / City / zip: Re), Bolt 2,%29 /Nvgy_6 dvc zl9,bh~' /W g a-> 74 _ Applicant is: Owner _X _Contractor Y •a dg dl 1'^ °Y Descron of work: O EPIC w ~ . • , • ` t Construction Cost 3YC/. Multi-Family Building: (Yes A / No ~s Company: XES YTogaa6it% /we. Contact: Gs~i¢r s r4iuDE72soJ Address: _911 W 9"Q sy-age"r' City: , lQtaJtl.re11_-0A✓ 14 /j ZI State p• Phone: _95-A - 76 7 - 0?8/9 , r; yt License M l na"o Lead Certificate _.4 `l o 7.? - / If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? _Yes _No If yea, date and address of master plan: Licensed Plumber: Phone; Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: CALL BEFORE YOU DIG. Cell Gopher State One Call at (651) 454.0002 for protection agalnet underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. wwwgooherstetegnecall.otg I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; that I understand this Is not a permit, but only an application for a permit and work Is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 05/21/2014 10:18 Les Jones Roofing, Inc. TAX9528817009 P.0081011 City of Eaau 3830 Pilot Knob Road Eagan MN 66122 Phone: (661) 676-5676 Fax: (661) 675-5694 . • Use BLUE or BLACK ink For office Use Permit#: /2zTh(3 Permit Fee: )11i Date Received: Staff: J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Z f///. Site Address: 'loft. `'/o fS leo/9. 4!o 3 1764&1672-Q aoe-A Unit#: ,;', '' ' ,' ;;: '"' ,":�'^ jRff�� �i tl; .' ktli. ". It..„,,,,,,,„�..„ `� ' =2 !, '' ! Name: 90 P2oP42ry c-A-eE 6NG. Phone: 657- 5$7/ fy",./er Address / City / Zip: p o. Bok 2.► 2 5 /NvpL Crz-ovL iih me r Applicant is: Owner X Contractor ,. �er- '4 .' �f41, A�,, ' '1."'`''' " .1 ' .'' Description of work: ?EMOLJE,4&Lt) E> E E iti Construction Cost $'21/ ?41 to • / Multi -Family Building: (Yes A / No ) r, i 21.66, = .+` °, Y >; `fit t ° r (' i 4;,b1 (1ptlL. / ,4 ry . „. , A `.x' h '1111;',''1417 'r1,4..."''''`:`' ; ,1i.i: ���k"�;I�:�C•/ of tt :re :;;;;:?;,,-.1L 4' 'l� ��'''',,,''...1,r,..-i•, Company: A65 ,Ta N Y RCIOrr7i✓lTr ANG Contact Ch'R.4 s r Or�Lso City: TDA✓ Address: 911 W. 80 s�-/ 7 - �C �b State: ASA/ Zip: JT4`2D Phone: 95A - lb 7 - 978/9 , [j �J License #: �O.-�o41 Lead Certificate #: �U� 0 2 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer &"' Water Contractor: Phone: Phone: Phone: y� �y {( ., 97` 1 :T /,a trS. �l' .�/V .,*o;, ha#yc .�.. I; i °jtbe. w„4,y/ lul h• Afior4' 'PQ; 1,V' , f %�1 i *von, '° 1.1'. �' .. f!J' 1 10 , e: a., : iEi�'7'fi'�otpleo , I ' -, do i `�pn3` ` elo . ,fid .�,t:�f It F efe,k; ft7:,'a"_E�. n. '" :' .4: �r.„ /74q%44.'%47 .. . .' . k40141. �T►t, .)4Y4,1 .�1�.. i0_ ..-,, ti Atot.,* :.. TA ;k, 0:4;e"; „t ', z' -. •,b,, 647-.4 *; , CALL BEFORE YOU DIG. cell Gopher State one Call at (861) 464-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. w aooheretateonecalLorq I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; that I understand this Is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will be In accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x CH -kis 4,06-RSOA Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA131748 Date Issued:07/06/2015 Permit Category:ePermit Site Address: 4091 Beaver Dam Rd Lot:27 Block: 01 Addition: Diffley Commons PID:10-20450-01-270 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge 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 City of Eagan Ordinances. Contractor:Owner:- Applicant - Federal National Mortgage Association Po Box 650043 Dallas TX 75265-0043 Neil Heating & A/c, Inc. P.O. Box 29292 Brooklyn Center MN 55429 (763) 535-1217 Applicant/Permitee: Signature Issued By: Signature