4155 Beaver Dam Rd? I I
• ? I ? ? ? 'k PIONEER
? engineering
* 4* *
LANO PLANNERS • LANDSCAPE ARCHITECTS
2422 Enterprise Orive
Nlendota Heights, MN 55120
(612) 681-1914•Fax 681-9488
625 Highway 10 Northeast
Blaine, MN 55434
612) 783-1880•Fax 783-1883
Certificate of Survey for: Th e R ottl u n dCom C] n, In C. _
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• 900•0 Denotes Existing Elevation PROPOSED HOUSE ELEVATiON
. soo.o Denotes Proposed Elevation
Denotes Droinage & Utility Easement Garage floor s(ab
n - ..-.+- - n.- ;....^ e c-,,,w n:.o,.+:,,., elevation at front: 895.5
LAND SURVEYORS • CINL ENGINEERS
CITY OF EAGAN
? *
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4155 BEAVER DpM RD
LQT: 11 BLOCK: 1
DIFFLEY COMMONS
Control No. In, 6 6?
BUILDING
800824
@6f19/92
DESCRIPTION:
Building Permit Typa
Building Work Type
t1BC Qccupancy
Gvnstruction 'fype
Zoning
Building length
Buflding WidCh
REMARKS: Cb f qlqc?
5& W CONTRAC7QR - VALLEY PLBG
4-PLEX
NEW
R-3 M-1
V-N
PD R-4
sz
39
FEE SUMMARY:
VALUATION
Base €ee
Plan Review
Surcharge
SAC
saC %
5AC Units
Subtotal
$558.58
$363.03
$41.09
=700.00
100
1
$1,662.53
#s2, i18Q
MI5GELLANEOUS $1,618.50
COPY $.58
1'otal Fee $3,273.53
CONTRACTOR: - Applicant - sT. L CpWNER:
THE ROTTLUND CO INC 15719304 0091335 THE ROTTLUND CO INC
5201 E RIVER RQ 5281 E RIVER RD
FRIDLEY MN 55421 FRIDLEY MN 65421
(512) 571-0394 (612)571-0304
?
T hereby acknawledge that I have read this appl.ication and state that ths
i armation is carrect and agres to cnmply with all applicable 5tate af Mn.
ta ute, end City of EAgan E?rdinnnces.
al.
APPLICA T/PER ITEE SIGNATURE ISSUED Y: IGNA RE
?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LQT: 11
4155 BEAVER DAM RD
DIFFLEY COMMQNS
PERMIT SUBTYPE:
4-PLEX
Control No. _
BUILDIMO
080824
06/19/92
e Lo c K: I APPLICANT:
THE ROTTLUNQ GO INC
(612) 671-0304
TYPE OF WORK:
NEW
INSPECTION DATE INSPTR. INSPECTION TYPE D•
FOqTIN6 FRAMING
INSULA7ION FINAL
FIREPLAGE
REMARKS: S& W CpNTRAGTOR - VALLEY PLBG
1- -7
' r
, ,
PEiLMIT # ? - CITY OF EAGAN
- ' 1992 BUILDING PERMIT APPLICATION
681-4675
. ?
??
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 topy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of eoergy calcs. .
Penalty applies when typing of pQrmit is requested,-but not picked up by last working day
of mont in which re uest is made or lot chan e is re uested once ermit is issued.
Date /2- Val uati on of work !519,3e0 ?
Site ddress:_ -?l 55
STREET STE *
Tenant Name: 4?Q"I?e ( ?? ,,¢k ?Z
LOT BLOCK SUBD.
? P.I.D. !
?'/1?x l/.YJ9
Descri tion of work:
The appl i cant i s: El Owner m Contractor 0 Other (ceccribe)
Name ? Phone S?li-o3D ¢
Property LAST F1RST
Owner
4O,ul -
address .
STREET STE /
C i ty State 1'Y1 !CJ Zi p
Company Phone ,--?17f -e?,3o L
Contractor Address License #Daol335 Exp.3-31-?
City State &?: Zip 4z
Company o Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once ea has been prove .
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 Applica t: ?
??
vrrK.r. uac vNL.T
BUILDING PERMIT TYPE
O 01 Foundation
? 02 SF Dwg.
O 03 Two family
02 04 Multi-fam. T.H.
WORK TYPE
r3vQ1 New
32 Addition
0 33 Alterations
0 05 Apt. Bldg
? 06 Garage /Acce s sory
O 07 Fireplace
? 08 Deck
? 34 Repair
? 35 Tenant finish
? 36 Move
GENERAL INFORMATION
Const. ?Actual) V - N
(A1 owable) k/. ti
UBC Occupancy
Zon i ng
# of Stori es
Length
Depth
APPROVALS
O 09 Basement F9nish
O 10 Swim Pool
? *11 Res. Add./Porch
O 12 Conm./Ind.
O 37 Demolish
D 99 Undefined
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Planning Building
Engineering Variance
REQUIRED INSPECTIONS ? Site ? Footing El Framing
? Wallboard ? Final ? Oraintile
Jyes
oz
°3
? Insulation
D Fireplace
Permit Fee rF ,
Surcharge
Plan Review
License -
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Oed.
Copies
Other 2 41 . % 11,
Total: .
: . 6z ,, ,, 60
?
l ,P ?c fac.
?I cultural
? 15 MiscellaneoLis
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC 96
SAC Units
,
S?TE ADDRESS
CONTRACTOR
?
f f- L
?
DATF Pf{t)NE
Determin workini; sqtiare S'ootli;e of e nch.
1. Tot al exposed wall area sR. ft. x 0.11 _ ) L-10
• 2. Tot
al roof/ceiling area d
sq. ft. x ?
6,a`.6
• - .
Total exposed wall erca nbovc flocir
a.
b Total
Total uall c:indou ar
d ea ...................... ...... .
. oor area .... ......................... ......
y .
r
c. Total slidino glass door a: ea . . . . . . . . . . . . . . . ,
. .. . . .
d. Total fireplece va11 area ................... ......
e. Total wall framing a :ea (average lOP) ....... ...... j??
i-;
f. Total net va'll area above floor . . ... . . . . . . .. . ,
. . . .. ! r'
. 8• Total rim joist area ........................
?---
......
. Totsl exposed fo undatian area = (r2-
h. Total foundetion vin dov
a:ea ................ r--'
......
i• To'lal net foL.ndation a:-ea nbove grade . _. .. . . . . . . . .
.
, .
Betz. ;,,ine "U"
value of each wall ,FF;ment.
.
a ?.u?? (.d
b. ,.U„
x
c . X 5-7
?
d. X ?i-Lits , - _ ?'-- •
e. :i %J
, X
: X
? 8. X ?rljn ' _
.?_ r
h. X "till ----
-
x
3. . , .. ..... .. ..... . .. .... .... .... .. 'iot.::l = ?.?V•?
r.
If item #3 is the sasne as, or les? :.tinn 1Lci1 tlt, }•oii nave meL the intert
or sac 6006(c):.
r:wFr;?op t:r+vr•.t.ni•r: nvr:i;nc;t: u• cwriirn•i iOci
f,
? r
Totul exposed roof/ceilinr, Are1 = ?? C7 •,. ?'
? . ? . .. . . ..
Total gross roaf/ceiling, areci = +rj . Total skyli?;ht arza ..........................
k. Tota1 roof/ceiling frarning area. .............. /li;5.
1. Tot al net insulated roof/ceilinF area ........ J. ? .
Determine "U" value for ezcti ruot'/cci 1 inj; seg?acrlt.
,?{ • X il T t 11 ?,.? ? .
1J 1
' rf •
k: X ltu,l
l. X fluel 'J
L . ...............................:. Total
If total oP Jl4 is the sa.e as, *cr less than N2, you hsve met tTle intent of
SBC 6o06(c)1.
, To utilize the total envelope systeW method, the values establi;hed by the stmm of iteas !J3 and #4 sha11 not be greater.thxn the sum of iten:s Al and X2.
1. + 2. _
? - 3•_ • '+ li _
. ? . . •
. ~i .
o '
. . . , ??
_ . .. O o
,
..
X GITY 6F EAGAN
3830 Pilot linob Road
Eagan, Minnesata 55123
(612) 6$1-4675
SITE ADDRESS:
I„ERMIT ? Control Na. 0 6 6 6
PERMIT TYPE: sUILpING
Permit Numbee: 000825
Date Issued: 06j 1 g/g2
4159 BEAVER DAM RD
LOl": 12 SLOCK: 1
DZFFLEY GOMMONS
DESCRIPTiON:
BuildlA,9 Permit Type A-PLEX
= Build-I
f.vo":.Work Type
NEW
USG 000UpaCtc:y R-3 M-1
Constructka€t 'T.YPe V--P1
Zaciing PO R-4
B:ui.Lct3ng Length ` 52
suil.datng Wid'th' 39
,
4µ
. H
:
REMARKS: ? 6 j Nq a
5& W C4PFTRAGTUR - VALLEY PI.HG
FEE SUMMARY
VALUAT3AN
Base Fee
Plan Review
5urchargs
SAG
SAC %
SAC Units
Subtatal
$658.60
$363.1b3
$41.80
$700.09
1e@
1
$1.662.53
$e2.000
MISCELLANEpUS $1,610.50
CflPY $. 5o
Total Fea $3,273.58
INSPECTI4N RECORD Control Na 01
CITYOF EAGAN PERMITTYPE: BUILDING
3830 Pilot Knob Road Permit Number: 000825
Eagan, Minnesota 55123 Date Issued: 0 6/ 19 / 9 Z
(612) 681-4675
SITEADDRESS: LnT; 12 BLOCK: 1 APPLICANT:
4159 BEAVER DAM RD THE ROTTLUNQ CQ INC
DIFFLEY CQMMQNS (612) 571-0304
PERMIT SUBTYPE:
4-pLEX
TYPE OF WORK:
NEW
INSPECTION
FOOTING .A .
FRAMIN6 .A
INSULATION FTNAL
FIREPLACE
REMARKS: S& W CONTRACTQR - VALLEY PLB6
?
7
? ? ?
PERMIT .1.
2ff
cIrY oF EaGAN
1992 BUILDING PERMtT APPLICATt0N
681-4f 75
le
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site xurveys, 1 copy of energy
calcs.
C"ERCIAL 2 sets af architectural & structural plans, 1 set of
spetifications, 1 copy of etiergy calcs. .
Penalty applies when typing af perm9t is requested, but not picked up by last working day
of month in which re uest is made ar lot chan e is re uested once ermit is issued.
Oate ?,C- Valuation af wark
Site A dress: -?1 :59
STREET SYE 9
Tenant Name: C"p,
LOT BIDtK Sl1BD. P.I.D. #
Descri tion of work: - ? ~
The appl i cant i s: q Owner Ct Contractar O Other cuncrtbe)
Name Phone
Property LAST F,RST - ;
Owner Address v ?2,9
S7REET STE N
Ci ty State Zi p
Company Phone -6 ?:AD ?
Contractor Address <51)01 ?'??a L Idg-'64_License Exp.--? -31-7
City State //)'LIU1 Zip
Company Phone 6`71 ? 6 -30 ?
Archftectl
Engineer Mame Registration #
Address
City State Zip
Sewer & water licensed plumber LIJZZ? . Processifig tfine fvr
sewer & water permits is twa days once ar a as been a roved.
I hereby acknowledge that I have read this application and state that the tnformatfon is
correct and agree ta comply with aii applicable State of Minnesota Statutes and City of
Eagan Ordinances. ,
?
5iqnature of Applicant L
urri4t u*t uNLY
BUILDING PERMIT TYPE
O 01 Foundation
El 02 SF Dwg.
11 03 Twa.fami1 y
eK 04 Multi-fam. T.H.
WORK TYPE
?31 Hew
32 Addition
[3 33 Alterations
? 05 Apt. Bldg
? 06 GarageJAccessory
? 07 F9replace
? . 08 Deck
0 34 Repair
? 35 Tenant Finish
? 36 Mave
GENERAL INFaRMATIUN
? 09 Basement Fini'sh
El 10 Swim Pool
E3 11 Res. Add./Porch
CI 12 Eomn. /Ind.
? 37 Demol i sh
O 99 Unclef i ned
' . .
? ? ' ..
11 Pu Fac.4 40*g 4ultural
? iS Hi scel i aneous
Const. (actua7) r/- N Basement sq. ft. MWCC System
(Allowable)
y-d
ist F1. sq. ft. ?
City Water
UBC Dccupancy R_3 ?.t 2nd F1. sq. ft. PRV Required
Zonin9 rD 12-U Sq. Ft. total Booster Aump
# of Stories Footprint Sq. ft. F?re Sprinkler
Len9th ?
? On-site well Census Code ? Z
Depth On-site sewage SAC Cade ?
APPROVALS
Planning Bullding
Engineertng Variance
REQUIRED INSPECTIONS
? Site
L] Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
0 Fireplace
PerEni t Fee F?
Surcharge
Pian Review
License
MwfCC SAC
City SAC
Water Conn.
Water Meter
ACCt. dep051t
S/W Permit
S/W Surchar e
Treatment R.
Road Un i t
Park Aed.
Trails Ded.
Copies
Other
Total:
SAC 96
SAC Units ?
v.lkasion. s ?6 ?o o? Assessments
,041N ER
:
• F.Y7'F.IiiOiZ 1•:NVF.t,nl'f 11v1•:1;nG1•; "U" Ci)MT'll'1'n'1'1Or1 ,
STTE ADDRESS
CONTRACTOR
4- I
PHONe,
Deter-min Workinf; square footzi;c of cuch.
1. Totsl exposed va11 area sq. ft. x 0.11 _
• 2. Total roof/ceiling area sLI. ft. x 8?0?6 _
• •
Total e:cposed uail erea nbove t'ioor = 1 054
a. Total va11 windov area . . . . . . . . . . . . . . . . . . . .. . . . . . nt "?'"i ? .
b.
c. Tot a2
Total door area . . . . . . '-
slidino glass door•area•
?q?=1?
d. Total rireplece va11 area .. ................
................. .....
...... -°-
e. Total wall framing area (average lOP) .. .. .. .... ... I
P. Total net va11 area nbove floor . . . . . . . . . . . . . . . . . f ?,.v,
. 8. Total rim joist area ....... .......... ..... ......? '--
Totsl expos ed foi:ndat i on Rrr. a= ( ??-
h. Total foun3el.,ion vindow.a:ea ................ ......
i. Total net fOL'*ld3tlOC1 area nbove grade . _. .. . . . . . . . .
. Bete mine "U" va1Le o: each wall sFF;ment.
. ?.
,
,
?
. • 5 1 r
b. .
x
. C. X .,U„
.
d. X
e. X .??U?? (''J?•rJ`
? '? = f?a ??
, ,
P.
X
O ? Y!? U
f
?
.•.-!, . I_...
N +• ?
f ?
l ?
g. ....r--• X
...?_
h. x ----
i. X ??U?? . :J? l ? - ? ? ` ? ?
3• .
.... .. .. . . :
. ?
t
] _ ?
?
?
, ... . ......... .. .. .. ..
.
o
: ,
-
If item #3 i s the sasne as, or les:: :.tu,n i teca ft t, yotii nave met the intent
oF SBC 6006( c):.
.
f,
. ' Totnl exposed roof/ceilinr, Are1
y. . '... . .
Total gross root'/ceilini-, area _
J. Total skylight area ..........................
k. Total roof/ceiling Cra.rning area . .............. /114, 5:-)
1. Total net insuleted roof/ceiling area ........ /.'? _
Determine "U" value for cncti ruof/eci t inj; Segnent.
J. . ?_ x n U u ?_. _ .
.
•ti •
jC: X ttU„ ol?? y=?, r? •
1. X „u„
'%
. ...........:...................:. Total = ± ? ?7
?
If total of /14 is the sesne as, or less than N2, you have met tYie intent of
sac 6oo6(c)1.
To utilize the total envelope systea method, the values establi-rhed by the
sum of itens #3 and #4 she11 not be greater. thKn the suun of itencs #1 and 112.
1. ± 2.
• 3•, ' + li. _ _ •
? ? • ' -
• , ?,
.:, .
?
s •
_ . . .. O ?
e , /l
i`
i ?
- - - -----??-G ? ???
- - - - -??_?? - -
?
cql-
0
?
?
?----- ?
, -uA .-W 15:.
-- ?
.?.- -
(D
nc-
C3
.-.,
r
??59--T?7
?-'??=??1?' ??-M -
?r-
0 - 45-
?
rl ? rr _ 0,02?
C4,fi o
.
..
.
- AMr.- WPcLL G? I N? LATIoN
_ :.GoMPo N ?r?j?
?
12
.u
?.•
L-
?
-F-AMV WAu. (& SPT;?1?
- pi,m• viek?.
C
L
C3
Cf -
C
co
OITT';C-IM AIF- Fi W
=-V%z lNSU?A?I?t?4?
C?SID? ?d(L ??1.N1,
?MP4N?NT?
o_uT,!7IoE Aip-
hN?A? 1Mls .
CFRo Ffk?
I N,I?I o? Miz A 141. .
-. . ? - VAI.U E
- =?.--- ???-? - -
_ o.co 2 -
0.45
- ---p;Co'v -
F1brc,?
,
U: ?"' = 0-043
?'?irfA L
- F--v,aLIu5:
-- - - - o >>? . ---.--- -
2 •?? -
- -7•1?.---
-- ---?: o,?? ---- _ - u-
F-Tf;%
_G.?MP?. ??ur= ?0.12 X o.0?9? -??o?a?X o•04?> = ?. o?-
CITY OF EAGAN
3830 Pilbt Knob Road
E?agan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT ?
PERMIT TYPE:
Permit Number:
Date Issued:
4163 eEavEa oaro RD
LqT: 18 BLQCK: 1
DIFFLEY CqMMQNS
DESCRIPTION:
Building permit Type
Building Work Type
UBC Occupancy
Conetruation Type
Zoning
Buildi.ng length
Building Width
REMARKS: E p fqq9L
S t W CONTRACTOR - VALLEY PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAG
SAG %
SAC Units
Subtotal
VALUATION
$558.50
$363.03
$41.08
$7'88. @@
1@8
1
;1.662.53
4-PLEX
NEW
Ft--3 M-1
V-N
PD R-4
52
39
$82,000
Control No. ? 6 68
BUILDING
000823
86/19E92
MISCELLANEOUS $1,610.50
COPY t.50
7ota1 Fee $3,278.53
CONTRACTOR: - Applicant - sT. ?. GpWNER:
THE ROTTLUKD CO INC 15718304 0901335 THE RQTTLUND GO INC
5281 E RIVER RD 5281 E RIVER Rp
FRIDLEY MN 55421 FRIDLEY MN 85421
(612) 571-0304 (612)571-0304
I hereby acknowledge that I have read this application and state that the
, infarmation is correct and agree to comply with all applicable State nf Mn.
Sta utes and City of Eagan Ordinanaes.
L
PLICAN /PERMI EE SIGNATURE UEDBY: SIGNA UR
?
INSPECTION RECORD Control No. 06 6 8
CITY OF EAGAN PERMIT TYPE: 8UT LDIN6
3830 Pilot Knob Road Permit Number: 000823
Eagan, Minnesota 55123 Date issued: 06/ 19 / 92
(612) 681-4675
SITEADDRESS: LQT: le eLocK: 1 APPLICANT:
4163 BEAVER DAM RD THE ftOTl'LUND CO INC
DIFFLEY COMMONS (612) 571-0304
PERMIT SUBTYPE:
4-PLEX
TYPE UF WORK:
NEW
INSPECTION
FOOTING .. .
FRAMIN(3 D.
INSULATIQN FINAL
FIREPLACE
REMARKS: S& W CQNTRACTOR - VALLEY PL6G
1-
?
PEtt?I't CITY OF EAGAN
, 1992 BUILDING PERMIT APPLICATION
• 681-4675
D-UN 1 5 RECD
f3
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 n which re uest is made or lot chan e is re uested once ermit is issued.
Date //0Yaluation of work
Site Address: 41&3 62a2j? La,41
STREET STE t .
Tenant Name:
Lor An a?aK ? suso. P.[.c. 0
?
Descri tion of work:
The applicant is: Ul Owner '?3 Contractor ? Other (oescrtbe)
Name C? Phone 5?"ll -U 3v4
Property usT FIRST
Qwner Address
Laa?z-
STREET tTE ?
City :AZIAx State ?ICJ Zip
Company ?ic:5r(I. Phone 571-0--3o K
Contractor Address ,7?01 a?? License #"13-35 Exp.3-3/-
Cit State Mll J Zip .?p9Z/
Company Phone
Architect/
Engineer Name Registration #
Address
City State ' Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days onc e ar has een approve . -
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 Minnesata Statutes and City of
Eagan Ordinances.
Yd"
Signature of Applicant:
urrit.;t ubt unLT
BUILDING .PERMIT TYPE
O 01 Foundation
O 02 SF Dwg.
? 03 Two fami 1y
9k 04 Multi-fam. T.H.
woRK TrPE
?6 31 New
0 32 Addition
? 33 Alterations
? 05 Apt. Bldg
? 06 Garage/Accessory
? 07 fireplace
E3 08 Deck
? 34 Repair
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATI4N
13 09 Basement Finish
O lO'Swim Pool
? 11 Res. Add./Porch
13 12 Conm.JInd.
? 37 Demolish
O 99 Undefined
. .,.
.YAML
namE ?- ' 'jfac. -
:D 15 Miscellaneous
Const. ?Actual
? \l? N 8asement sq. ft. MWCC System
(A1 owable v- N lst F1. sq. ft. City Water ..?
tlBC Occupancy R-3 M-1 2nd F1. sq. ft._ PRV Required
Zoning P?y Sq. Ft. total Booster Pump
f of Stories Footprint Sq. ft. Fire Spr9nkler
Length _T1- On-site well Census Cade 1m 2..
Oepth ? On-site sewage SAC Code 0-3
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
O Site
O Wallboard
? Footing
? Final
Assessments
O Framing O Insulation
0 Draintile C) Fireplace
Permi t Fee f?. rn
Surcharge
Pl an Rev i ew
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharg e
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other F)
Total:
sac x ?
SAC Units
wtuscfon: s ? 0 J ?
bWN EF;
?r .
SITE ADDRESS
CONTRACTO:
L_"7,-
:
DATF. PtiQNt 71 °
.
Determin Working. square footz,;e of cach.
1. Tota l exposed ve11 area sq. ft. x ?' 1?
- 2. Tota l roof/ceiling area .. 4C0 O sq. ft. x e,026
• • .
Totzl exposed _
wa11 e.rca abovc flocir
-
?•-,
??17,
a. Total uall windov ar ea . . . . . . . . . . . . . . . . . . . .. . . . . . ? -7 47
b. Total door area .... ... ?
• • • . • • • • • • • • • • • • • • • • • • • • • • • •
c. Total slidir.g glass door area . .. ... .... . ... .... . . .
d. Total fireplace va11 area ................... ...... -°
e. Total vall fra.rning area (average lOP ) . . . . . . . . . . . . .
P. Total net vcll aree above floor . . , • • • . . . . . . . . . . . . i 41,
. g• Tot al rim joist area ................. ..... ...... ?---
. Total expo,ed toundotian arv-a 2
h. Total foun3etion vin dowa:ea ................ ......
i. Total net foL.?dation ares zbove grade ....... ......
•
. .
Bete:--,,ine "U"
ti alue of eech va21 .^,FF;ment.
g.
?
C ,
Ull
?
?
. . . ?
b. 3?
? ( 1-Ull
, x
-
? C. X „U„ 57
.
.
d. x „uff
•
e ? ? t ?
.?lulf ? r- ? •
? ll
?`
.,
X
..
i s
?
1 • ? ? ? ?i ^4
i ? ..r I `/ ? !'? A
X /lu/1 i4,
+ , ? ?
.
? :.• '
I°-? + I ?r??
_ ,
^
g. X %V„ ? ? _ .r....
h. x @st1ll r-?--
• i .
?
1 ? ?
X
3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ia t. -;] _ ? ? ?• ?
If ftem //3 i s the same as, or les:: Ui:?n ites:i /Yl, }oii nave met the intert
of SBC 6006( c)2.
EXTFt;iOit t:NvF.t,rnPF nv1•:t;nc.i: "u" COrarIrfnT1011
n
.
Totnl exposed roof/ceilinG Area
?
? ? . .. , . ? . .
Total gross roof/ceiling area _ ` • •
J. Total skylight area .......................... '
k. Tota1 roof/ceiling frzming area...............
1. Total net insulated roof/ceilinF area .. .. .. .. 'J.
Detcrmine "U" vtLlue for cnch rucif/cei 1 inj? scF.;acnt.
-' --- _ ,
J. x "U" -^
k: < ?. n x „ull Qi07- 7 = '?'? ' •
1. ? 7? 7, ? z„U„ o. v 2? P.
7 b . ........... ................... :. Total
If total oP #4 is the seme as, 'or less than M2, you have met t1ie intent of
sac 6o46(c)1.
, To utilize the total envelope system method, the values establi:hed by the sum of iteas !!3 and #4 shall not be greater. thxn the stun of itencs #1 and X2.
_ 3 ,+ 4.
_
. j . ' , •
O ' .
• . ? i !.
_ . .. O e .
"I r
GCIAO GAN
' 3830 Puot kEagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT ?
PERMIT TYPE:
Permit Number:
Date Issued:
+4167 BEAVER DAM RD
LOT: 9 BLOCK: 1
DZfFLEY COMMONS
DESCRIPTION:
4-PLEX
NEW
R-3 M-1
V-N
PD R-4
52
39
Building Permit Type
Building Wark Type
UBC Occupency
Gonstruction Type
Zoning
Buildirtg Length
Building Width
Control No. 0667
BUILDIN6
800822
86/19/32
REMARKS: Y () 1q,,/9 a
.'
S& W CONTRAGTOR - VALLEY PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
5urcharge
SAG
SAC %
SAC Units
Subtotal
;s2,eee
MISCELLANEOUS $1,610.58
COPY $.58
Total Fee $3,273.53
#558.50
$863.83
$41.08
$700.99
108
1
$1,662.53
CONTRACTOR: - Applicant - ST. L opWNER:
THE ROT7LUND CQ INC 15710384 0001335 THE ROTTLUNO CO IMC
5281 E RIVER RD 5281 E RIVEf2 RD
FRI[ILEY MN 55421 FRIDLEY MN 55421
(612) 571-8304 (612)571-0384
I hereby acknowiedge that I have rea?d this applicatiom mnd state tt?at the
in orm?tion is correct anr! ac?res to cnmply with alI applicable State af Ptn.
S a tes
and City of Eagan Ord3.nances.
? ? -
APPLICA /PERMI EE SIGNATURE I UED Y: IGNATURE l
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
Control No. ?3 i,? ? a
BUIIDINt3
000822
06/19/92
SITE ADDRESS: LoT: 9
4167 BEAVER DAM RD
DIFFLEY GOMMqNS
PERMIT SUBTYPE:
4-PLEX
TYPE 4F WORK:
NEW
INSPECTION
FOOTZNG .• .
FRAMING D.
INSULA7ION FINAL
FIFtEPI.AGE
REMA1tKS: S& W CQNTRACTOR - VALLEY PL80
?
BLOCK: 1 APPLICANT:
THE ROTTLUMD CO INC
(612) 571-0304
?
PEwMrl
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
?3;273.?3
JUk I S RECQ
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
CONRMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of ehergy calcs. .
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date ??4 Valuat'on of work 5?. 3m ?
Site dress•
STREET gTE f
Tenant Name : LgQL&zd? .
LOT BLOCK SU80. P.I.O. *
?
Descri tion of work: ?- "
The applicant is: M Owner Ey-Contractor 0 Other (Dewrtb.)
Name Phone v?!/ O 30 ?
Property LAST f tRST ,
Owner Address zU ? ?F?
? ? G
STREET fTE ! .
City _ State Zip ?'5a
Company Phone ?-
C011t1'8Ct01' ?
Address ?TZu a?_ License #,qva13-35 Exp. - .
City State Zip _S540/
Company ? Phone d.3D sL
Architect/ -
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing tlme for
sewer & water permits is two days once a has been appr ed.
I hereby acknowledge that I have read this application and state that the information fs
correct and agree to comply with all applicable State af Minnesota Statutes and City of
Eagan Ordinances. ,
Signature of Applica t: "
BUILDINC PERMIT TYPE
O 01 Foundatian
O 02 SF Dwg.
? 03 Two f. ami 1 y
L?L04 Multi-fam. T.H.
WORK TYPE
e 31 New
13 32 Addition
O 33 Alterations
vrrit.?c ubt VtVLT
? 05 Apt. Bldg ,
? 06 Garage/Accessory
? 07 Fireplace
E3 08 Deck ,
? 34 Repair
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
•?
,
O 09 Basement Finish ,.,•?E7aft
lic Fac.
1:3 10 Swim Pool ? 14 Agricultural
? 11 Res. Add./Porch O 15 Miscellaneous
O 12 Conm./Ind.
? 37 Demolish
CJ 99 Undefined
Const. (Actual
? _
?/ Basement sq. ft.
(Allowable lst F1. sq. ft.
UBC Occupancy Pi
? 2nd F1. sq. ft.
Zoning p
•.1 Sq. Ft. tntal
# af Stories Footprint Sq. ft.
Length ? On-site well
Depth On-site sewage
APPROYALS
Planning Building
Engineering Variance
REGIUIRED INSPECTIONS
O Site
O Wallboard
? Footing
O Final
? Framing
? Draintile
MWCC System ?'C"s
City Water ?
PRV Required
Booster Pump
Fire Sprinkler
Census Code ?
SAC Code
Assessments
? Insulation
O fireplace
Permi t Fee F?' ? wtu.tion: s~ c3 2, Ov 0
Surcharge
Plan Review
ticense
MWCC SAC .
City SAC Water Conn.
Water Meter
Acct. Deposit .
S/W Permit S/W Surcharge
Treatment P1. Road Unit
Park Ded.
Trails Ded.
Copies SQ
Other ? , rc
Total:
loo
SAC Units '?- -
??cTF.I;IOt? I:NVF[,rn't: AVI•:ltnr,i•: "U" COMT't!'rn'I'P1u
SITE ADDSESS
j -
[
D:1TF. PHONE i'7,
.
Determin uorking square footaj;c of cuch.
1. Tot al exposed vQ,11 area .. !'5?l.?'`i sn. ft. x 0' 1'- -
• 2. Tot
al rooflceiling area .. 4? Qt? sti. ft. x ?
8,0..6 _
• • .
Total e:cpose3 wall area nbove flo(ir
a. Total va.ll 4indou area .. c7-f !
b. Total ............ ......
daor area ........... ................... . .... .
.... =; ?
.. '
c.
Total
slidir.o glass door area . . . . . . . . . . . .. . . ,?
. . . . . .
d. Total fireplace va11 area ...........•....... ...... -°-
e. Total vall framing a: ea (average lOp ) . , . . . . . . . . . . J N :;? ,i w
f. Total net ucll area obove floor . . t .......... .....
. g• Total rim Joist area ................. ..... ......? -
. Total exposed foundation area = f? 2
h. Total foun3etion vindow a:ee ................ ......
i. Total net foLndstion a:-es nbove grade . _. . . . . . . . . . .
•
. .
Detz:-mine "U" value o: eech wall sFF;ment.
?
s. ?
?
x „U??
.
D. -L:)
C „
571,, '?;4
„ 67 ,4-(o F7 ?
27
. X
U
= .
X ?lull
x loUt$
1'• x flUrf
, g, ?- X "lJ„
h. x of1Jti
• i. 1? 7 xl, U„
.? _.._ .
!?,.r.? =? _ lJ, %?
At-
? v . ? ? ? '• / ?
?..._ _ • r-.-
- rJ-?? = I?f'00 ?
3 . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 'i IV ?- ?
If item #3 is the szsne as, or tes^ :.ti:in itrca N1, yoll n."ve met the inter.t
oF sBC 6006(c)2.
Ci
Total exposed root/ceilinG arel = •I ?0 ?J ??, ? • . .. . Total gross roof/ceiling areri = •
3. Total skylight area ..........................
k. Tot al roof/ceiZing framing area .............. 5:-5
1. Total net insulated roof/ceilinF ares ........ I? A!. 7
Deteroine "U" vcslue for uncli ruc,f/cei 1 inj: seE,zneclt.
? - X
.
k: X „Ui, - Q•a2. 7 = ?;? '
X rt U u ? . CJ S J, 7 .
4 . ............................... :. Totai
If total of #4 is the seme as, or less than y2, you have met the intent of
SBC 6oo6(c)i.
, To utilize the total envelope system method, the values establi;hed by the stm of itecas 113 and #4 shall not be greater. thxn the suro of iten:s #1 and #2.
1. + 2. _
- 3 •. • '+
. ?
O
s
. . . .. ?7 e
. , . ? 1
?
??'v`tM` .'kY?C'M7yCS?rFA???1?CY6?,:?'Fn.YF3,ti;c:'?7;(3?t;?:7?Y6?'.s?"••?C'??C'7?C$<}?:??5;<5?>;CSY.
CIl"V f:}F C=AG{-1N
S 'T'E'h'11INIA1._ Nf].- 51-a
DATEc Wit,/98 "T?:iri!:`u W4909
ID
N(1ifC ,- SUBtJRDAN' GRC?Uf' 'CNt:
21.55 `:?t)t:11. 75.00
3r :1.f:? 9001 4iS7 DEAklER DtlM ?.'.c fei"5
321?0 9001 4043 Dk:i'1G`l:::R PAO5 224.75
3V:1.b 9001 4059 T'CFa'JER ?1ftM 224.75
='ia.iO 9(]01 4(l7C.'i itF.F1VC.R DAM r":.'.[yfi•a ('5
3?1?0 90E1l. 11-09:1. f>fwAtl[::1; T.iAM G f?A• .75
320 9001 007 BEAVE.F4 DAM 224.75
320 9001 "t'0.:.{ A".;C.e-IVEI'l Dl"iM CL."i'v itJ
,.210 9001 4139 BEAWC:i?? ??AM 224>5
3210 9001 Q`'! i Y.'=EOVEHi I.!{}i"i 22075
CRO`_'-!94:i.t ?
i7k CON'T INUE
U,L.E: 3:x.i: N1NC`1 ** Cf?N"f:CNR!C::
W y ?y i i,. ?1? U? .1,?t 1` w.4•,y;?.??(.}?.qC9¢}?C}?t`•?k?i'' f?h? ?? ??F???
?T•#H??`+I???ii??.??i(:`?(.!?}j:?P?+l?9?n )Y?{.ry',:-, ? i. ii?)
f:CtR''T_'i'Pdl1E
CTT`l ;:lE'; Er1GA('•!
(::F1.:31.-l.I:E.R° 9 'T'ERMTfi:(-1L NC?;: S48
PA1'E.^, :i.1/16/98 TIi'i1= o W49n:i.C
zD;: "
NAME.- SUPur;naN GROU:=' IN_r.
??
., ? ? - 4?:1 r?1. ??E:i?ti1F.::F't 1C+(1?'f r:..r.: r?,.-`4.i-..i
;3r._1:0 . ,_ ?i:3(:1:..
7pta1. FiFrr..eip'F. Amoun1:° 223e2n50
CR[:)994:I. i. ?
I.?=;1:::R :f.WNANf,Y
PERMIT
'CITY OF EAGAN
=3836°P'Not Knob Road PERMIT TYPE: ,
PerrriitNumber: B U I L C] I N G
'
Eagan, Minnesota 55122-1897 . 034068
(651) 681-4675 Date`Issued:
SITE ADDRESS:
4155 :?EAvER DAM RD
LCITa 11 8 LL]CKe DIFFLEY CfJMMON5
P.T.N, : 10-20450-110-01 , i . DESCRIPTtQN:
REPLAcE SzoIvG
ermit Tvne M tJLTI, (M ISC
R E?' A I R
h+?.ta =d v?T.y pe
?:it434 ALT", RFSTDEEVTIAL '
? . ??-
"'?
? ? ?xti ? v?? ?' ?? . .
'?z???x ? 11
R???
. c*tV ;
i
ti a ? ' .
REnnaRKs: . '
, ?.
INCLUDESe . -4159, 4163, AhJD 41670 . .
,
• ? FEE SUMMARY: VALUATION $15,000
Base Fee $224.75
Surcharqe 7.5_0 ,
-- ,-----_ _
Total Fee $232.25
,. ? . ?
. ? ,
CC}NTRAGTOR: -?- ? ppl? ? ant _ OWNER: ?
SUPURBAN EXTEFtTQRS 28818232 DIFF'LEY CQh1hIO?NS ;ASSOC.
9701 !?ENN AVENUE 5CIUTH . 4155 BEAVER DAM RD ;?.
BLQOMINGTOh! hiN 55431 . EAGAN MN 55122 ,i
(512) 882-8232 ?
$µ
a* 4O,'?;??z .???,'?°
- - - - - - - - - - - - - - - - -
! ?,.:•_. ? ,.;?'1 ? I" ??,';?j?l a?;?. ?Yl g,41??.? ? . ?"????? ? ???a' : `? ? ..? 3 ?? ?, ?, , ?;? ,.. .? ?? ? ? ?? s??? ?"?a'
? ??'?? ??? ?` ??f'1 ?? C ?,., ? ??e ??, ?? ? ???8 ?`;? ?-??, •?;? ?? '?„?"'?>??=?'??^ ? ?.? E ? ,? . ? ? ?? ? ?'? ?`? "?
RPPLICANT/PERMITEE SIGNATURE I UED BY: SIGNA URE
` 1998 BUILDING PERMIT APPLICATION (COMMERCIAL)
..?.? ? CITY OF EAGAN
681-4675
s
uuI I nL wuvVrniy w.....on, 11 ......?.....y r,..
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)
t
ecs (1) landscaping plans
code analysis (2 sets)
(1) " Key Pian
energy calculations
(1) not always
sp
projec
Special Inspections & Testing Schedule " soils report (1) Electric Power & Lighting Form (1) not always "
SAC determination letter from MC/WS - SAC determination letter from MC/WS - 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 8 Lightin Form (1)
ww Contact t3widmg mspecnons Tor sampie
Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details.
DATE: WORK TYPE: NEW REMODEL
DESCRIPTION OF WORK:
CONSTRUCTION COSV?, C) C) d ,
SITE ADDRESS:
Name:?? c?Mrnm'4'iS? Phone #:
t First
SUITE #:
LOT _I ? BLOCK ? SUBD. LA4 ( 0 M''?? V??--? P.I.D. #
PROPERTY
OWNER
Street
I SS-41S`t -4).6 ?
--?
City ?? -- - - ? State:
vQ-1,
/'\(/)
Zip:
Company: 'S t:`0 c.:- 'r Phone #: ? s `
CONTRACTO (:? Z?'j ) oe-,Vl?'1 ?
R Street Address: S • ?? ?C'7 I.icense #
City ?blZN--,, State:?l/? _ Zip: SIS
ARCHITECT/
ENGINEER Company:
Phone #:
Name• _ Registration #:
Strcei
City
Sewer & water licensed plumber (only if installing sewer & water):
Statc:
Zip:
I herehy acknowledge that I have read this application and state that the information i rrect and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
TENANT NAME: ?,s?s?kc? Cowtwa A2
l
BUILDING PERMIT TYPE
? 01 Foundation ? 19 Comm.llnd. Misc.
? 18 Comm./lnd. ? 20 Public Facility
WORK TYPE
? 31 New 0 33 Alterations
? 32 Addition 0 34 Repair
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) First Floor sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Depth Footprint sq. ft.
APPROVALS
Planning Building
0 21 Miscellaneous
? 35 Tenant Finish
? 37 Demolition
MC/WS System
City Water
Fire Sprinklered
Census Cade
SAC Code
Census Bldg.
Census Unit
Engineering Variance
Permit Fee
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
Valuation: $
? . ??.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-20450-110-01
PERMIT
PERMIT TYPE: BUILDIN6
Permit Number: 027896
Date Issued: 0 6/ 17 / 9 6
4155 BEAVER DAM RD
LOT: 11 BLOGK: 1
pIFFLEY CqMMONS
DESCRIPTION:
STOF2M DAMAGE
REPAIR
434 ALT. RESIDENTIAL
FEE SUMMARY:
CONTRACTOR: - Applicant -- S7. Lzc.oWNER:
DU ALL SVC CONSTR INC 17889411 0003178 HOP4EOWNERS RSSOG
636 397N AVE NE BEAVER DAM RD
COLUMBIA HTS MN 55421 EAGAN MN
(612) 788-9411
T hereby acknowledge that I haue read this applicatio'n and state that tfie
infarmatiort ats _ cvrrect and agree to aomply with all 'appli.cable State a'f Mn.
? Statutes and City ofi Eagan Ardinances. ?
APPLICANT/PERMITEE SIGNATURE ISSUED Y. SIG URE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
RemodeUReoair Reauirements
? 3 registered site surveys
? 2 copies of plans (inciude beam 8 window sizes; poured fnd. design; etc.)
? 1 energy calculations
i 3 copies of tree preservation plan if lot platted aRer 7/1/93
required: Yes No
DATE: (0
DESCRIPTION OF WORK: '`?L- w w?. ?''"
STREET ADDRESS:
LOT 94)??T
BLOCK I
SUBD./P.I.D. #:
k
4 "14
? 2 copies of pian
? 2 site surveys (exterior additions 8 decks)
? 1 energy calculations for heated additions
PROPERTY Name:
OWNER '
UBT
Street Address:
City:
State: Zip:
CONTRACTOR Company: ' Phone #:
638 Uth AVEM" ME
Street Address: ?` ?i' ?i License #: 31 ?
???i
City: State: Zip.
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #•
Street Address•
City: State: ZiP=
Sewer & water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
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:
OFFICE USE ONLY
Certificates of Survey Received
nrtst
Phone #:
Yes No
Tree Preservation Plan Received Yes No
CONSTRUCTION COST: ,? _ _
OFFICE USE ONLY
? *b{ ? x?
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dweliing ? 07 4-plex
? 03 SF Addition ? 08 8-plex
a 04 SF Porch o 09 12-plex
0 05 SF Misc. ? 10 _-plex
0 11 Apt./Lodging o
0 12 Multi Repair/Rem. o
? 13 Garage/Accessory ?
0 14 Fireplace o
? 15 Deck
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
WORK TYPE
? 31 New a 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
0 36 Move
? 37 Demofition
Const. (Actual) Basement sq. ft. MC/WS 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 a?. • • ?? •s
,
? ?, , R
, ,?
,
Planning .
., ,0 Engin???g;.,
Building >.+;< Variance
Permit Fes Valuatian: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
r - ,
LBe CITY OF EAGAN
PLUMBING PERMIT
SUBD. (612) 661-4675
RE6IDLN'1'IAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS.
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ -----------------------------
WORK DESCRIPTION t
NEW CONST
ADD ON
REPAIR
owrrEx rrarE:
SITE ADDRESS:
INSTALLER : V0,? \", P? 6:
ADDRESS:
CITY• ZIP:
PHONE #:
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
N0.
?
1
i
(
STATE SURCHARGE .50
SIGNATURE OF PERMITTEE TOTAL: S ) G. ? t)
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:
SITE ADDRESS:
TENANT NAME:
SUITE #:
INSTALI.ER :
ADDRES5:
CITY:
PHONE
FOR:
CITY OF EAGAN
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
CITY USE ONLY
RECEIPT
DATE
,
ALSO, FOR TOWNHOMES AND CONDOS
-----------------------
COMPLETE THE FOLLOWING: -----
FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
SHOWER 3.00
, WATER CIASET 3.00
BATH TITB 3.00 ,3_
LAVATORY 3.00 ,L._
KITCHEN SINK 3.00 _zx_
LAUNDRY TRAY 3.00 ,-3_
HOT TUB/SPA 3.00
WATER HEATER 3.00 3
FIAOR DRAIN 3.00 3
GAS PIPING OUT. 3
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TiJRNAROUND 15.00 ?
?
?
?
L
_
$
(SIGNATURE)
r 1%
CITY OF EAGAN
I-_L.L B? MECHAIVICAL PERMIT RECF.IPT
SUBD. (612) 681-4675 DATE
RESmENTUL
PLEASE COMP??JP/PER PORTION ONLY FUR SIr1GLE FAMII.Y DWELLINGS. AISO, COMPLETE FOR
TOWNSOMESJCONDUS WHF.N SEPARATE PERNIITS ARE REQUIRID FOR EACH DVVELLING UNTI'.
g: ?s
DDRESS: ADD ONJREMODEL (E?IISTIIVG
CONSTRUGTION ONLY? $ 15.00
?R: avAC: aioo M Bzv a,?t.oo ?
E ?:
[ ADDiTIONAL 58 M BTU 6.00
ADDRESS:
?? j o" T? /?vc' /1J. GAS OI)TLEI'S -11?IINIIVIiJM 1 Q S3 3EA. .?JC?
ZIP: SURC?iARGE
TURE: TOTAL: S 33, S-d
'1 n X ia n .17 A I n
CUNIlVIERCIAL
PI.F.A.SE COMPLETE TSIS PORTION FOR ALL CUMMERCUIJINDUSTRIAL BUII.DINGS. ALSO COMPLEI'E FOR
APARTMENT BUILDINGS OR OTgER MUI,TI-FEl.LY BUII.DINGS eMEN SEPARATE PERNII'fS ARE NOT REQUIRED FOR
EACH DWELLING UNTT.
I WORK DESCRIPTION: I CONTRACT PRICE: I FEFS
196 OF CONTRAGT FFE.
STATE SURCHARGE IS $.SQ FOR EACA
$1,000 OF PIItMTT FEE. $
PROCFSSED PIPING - $25.00
F
11?TIlVIITM FEE - $25.00 TENANT:
SUITE #:
INSTAI.I.ER:
wl 1]1) 9 "
XXI
CI1'Y ZIP:
PHONE #: CI1'Y SIGNATURE:
SIGNATURE.
,. . s
L? BL
SUBD.
CITY OF EAGAN
PLUMBING PERMIT
(612) 681-4675
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ --------------
WORK DESCRIPTION 1
NEW CONST
ADD ON
REPAIR
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
LAVATORY 3.00
OWNER NAME : KITCHEN S INK 3.00 ? (? ? LAUNDRY TRAY 3.00
SITE ADDRESS ; c?l I J1 UaNJ t"t of.", HOT TUB/SPA 3.00 ?-
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
SI
OF PERMI
$25.00 MINIMUM FEE.
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:
SITE ADDRESS:
TENANT NAME:
SUITE #: _
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FAAiILY DWELLINGS.
------------- -------------
COMPLETE THE --------------
FOLLOWING:
NO. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
? SHOWER 3.00
?
WATER CIASET ?
3.00
? BATH TITB 3.00 3
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
CITY USE ONLY
RECEIPT #
DATE
a
ALSO, FOR TOWNHOMES AND CONDOS
3.00
3.00
3.00 ?
1.50
5.00
15.00
3.00
15.00
STATE SURCHARGE .50
TOTAL: S 3 G.
? L
$
(SIGNATURE)
? WATER HEATER
T FLOQR DRAIN
GAS PIPING OUT.
? (MINIMUM - 1)
_ ROUGH OPENINGS
OTHER
WATER SOFTENER
PRIVATE DISP.
U.G. SPRINKLER
_ W. TURNAROUND
? -
' CITY OF EAGAN
L?2- B MECHANICAL PERMIT RECEIPT #/l>? S
SUBD. (612) 681-4675 DATE 4L 9_2-
RESIDENTIAL ----
C.r4
PLEA.SE COMPLETE UPPER PORITON ONLY FOR SINGLE FAMILY DWEI.I.IINGS. AISU, COMPLETE FOR
TOR'NHOMFS/CONDOS VYHEN SEPARATE PERMITS ARE REQUIRID FOR EACH DWELLING UrTIT.
OwNER: U l i/i'Z.J n
?
SITE ADD
/;? S:
jr? ADD ON/REMODII. (F.XISTII?TG
CONSTRUCTION ONL? $ 15.00
INSTALIER HVAC: 0-100 M BTU ??t.00
PHONE #t: ADDITIONAL SO M BTU 6.00
ADDRFSS: GAS OUTI.ETS -1VIINIMUM 1 e $3 EA. 9? G G
CITY: ?/?, j--? Zip"• f j??,?. ) SURCHARGE: S .50
SIGNA TOTAL: $ .?3 . ,,r4
r V ?
?
COMMERCIAL
PLEA.SE COMPLErE THIS PORTION FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. AISO COMPLETE FUR
APARTMENT BUII.DINGS UR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PF.RMITS ARE NOT REQUIRID FOR
EACH DWELLING UNTf. I R'ORK DFSGRIPTION:
CONTRACT PRIGE: FEES
1% OF CONTRACT FEE.
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PFRMIT FEE $
PROCFSSED PIPING - S25.00
MINIMUM FEE - $25.00
Fs
OWNER:
STTE ADDRESS:
TENANT:
SUITE #:
INSTAI.I.ER:
ADDRFSS:
CTI'1':
PHONE
SIGNATURE:
TOTAL: I $
ZIP:
C1TY SIGNATURE
? •.
Lst ? CITY OF EAGAN
PLUMBING PERMIT
SUBD. (612) 681-4675
RBSIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS.
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ ------------------------------
WORK DESCRIPTION
N0.
NEW CONST
ADD ON ?
REPAIR ?.
!
?
OWNER NAME :
L
SITE ADDRESS : fJ,,a ,
INSTALLER: I b ?
ADDRESS:
CITY: 2IP:
PHONE
CITY USE ONLY
RECEIPT # a o 5el'3_
DATE
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLLOWING:
FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
SHOWER 3.00
WATER CLOSET 3.00 L--
BATH T[JB 3.00 -
LAVATORY 3.00 ?
KITCHEN SINK 3.00 ? -
• IAUNDRY TRAY 3.00 ?
HOT TUB/SPA 3.00
WATER HEATER 3.00 3 ?
FIAOR DRAIN 3.00 ?
GAS PIPING OUT.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U. G. SPRINKT.ER 3.00
W. TURNAROUND 15.00
3TATE SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL: S Z G - ru
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERC IAL/INDUS TRIAL BUILDINGS. AL50 FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #: _
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR
ciTY vF F:acAv
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGB - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
$
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
. ?.
CITY OF EAGAN
MECHANICAL PERMIT
SUBD. (612) 681-4675
xECEirr
DATE
?dS :r /`,? RESIDENTIAL
PLFASE C011IPI.?TE UPP PORTION ONLY FOR SINGLE FAMII.Y DWEI.IJNGS. ALSO, COMPLE!'E FOR
TOWNHOMES/CONDUS WHEN SEPARATE PERMITS ARE REQUIItID FOR EACH DWEIJdNG UNIT.
owiv?: ?s
SITE ADDRFSS: ?
l(o ? ADD ONlREMODEL (E?IISTII?IG
CONSTRUGTION ONLI) $ 15.00
INSTALLER: AVAC: 8-100 M BTU 24.00 1'
PHONE ?: ADDITIONAL SO M BTU 6.40
ADDRFSS: t?? 3 , U1`" ?1iC GAS OUTLEI'S • MII?III?IUM 1?a $3 F??. ? p
CITY' OG ? ZIP: ,S:S.S?y? a SURCHARGE
SIGNA ' `% TOTAL: $
v p v
C0M[MERCL41i
PLEASE COMPLETE TffiS PORTION FOR ALI. COMMERCIAUINDUSTRIAL BUII,DINGS. AISO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MUI.TI-FAMILY BUII,DINGS WdiEN SEPARATE PERMITS ARE NUT REQUIRED FOR
EACH DWELLING LTNIT.
I WORK DESCRIPTION: I CONTRAGT PRICE: I FEES
1% OF CONTRACf FEE.
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE $
owxEx:
SITE ADDRESS:
TENANT:
SUTTE #:
INSTAI.I.ER:
ADDRESS:
ZIP:
PHONE #:
SIGNATURE:
PROCFSSED PII'ING -_ $25.00
]?axIIKUM ? - S25.00
Fs
ToTAI,: I $
CTfY SIGNATURE:
t_ _? BC CITY OF EAGA,N
firl • PL[iMBxNG PF..i2MIT
SUBD. (612) 681-4675
RE6IDENTIAL
PLEASE COMPLETE UPPER PORTI0N ONLY FOR SINGLE FAMILY DWELLINGS.
WHEN PERMITS ARE FtEQUTRED FOR EACH UNIT.
-------------------
i30RK I3ESCRIPTION
NEW CONST X
ADI1 ON
REPAIR
CITY USE ONLY
RECEIPT ? a $ 543
DATE o? a-
ALSO, FOR T4WNHOMES ANB COND05
--------..-..--..------------ -------------
C4MPLETE THE --..-----___---
FOLL(}WING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON - 15.00
a SHUWER 3.00 L=
T WATF.R CIASET 3.00 3_
? BATH TUB 3.00 6 "
-- - Y 3.00 ?
-
OWNER NAME: 1 \[? KITCHEN
SINK 3.Cf4
IAITDvTDRY TAAY 3.00 ? .-
SITE ADDRESS: '-'I1 Lo-A ?t M..,• C? r?.? (? ?1 HOT TL3B/SPA 3.40
i WATER HEATER 3.04 '3 -
' FLAOR DRATN 3.00
GAS PIPING OUT. ?
INSTALLER: (MINIMUM - 1) 3.00
? R4[1GH OFENINGS 1.50
ADDRESS :
? 0'Tl{ER
WATER SOFTENER 5.00
CITY: ZIP: PRIVATE DI5P. 15.04
U.G. 5PRINKLER 3.00
PHONE W. TUItNAROUND 15 . 00
STATE SURCHARGE .SO
3
SIGNATURE flF PERMITTEE
TOTAL: S
l?• -
Ct}MZ+iERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCTAL/INDUSTRIAL BUILDING3. ALSa FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIFtED FOR EACH.DWELLING UNIT.
W4RK DESGRIPTION;
OWNER NAME:
SITE ADDRESS:
TFNANT NAME:
SUITE #: _
INSTALLER:
ADDRE55:
CITY:
PHONE
FOR:
CONTRACT PRICE:
1% OF CONTItACT FEE. .
5TATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRAGT PRICE x 1%
sTATE svxcHAttcE
TOTAL:
$
S
?
(SIGNATURE)
I
, ?
C ? CTTY OF EAGAN
L? B ? MECHANICAL PERMIT RECEIPT #/0
SUBD. (612) 6814675 DATE
RESEDril\ 1UL
C/?/ /2rUr? ?
PLFASE C?MPLE?E UPPER PORTiUN ONLY FOR SINGLE FAMII.Y DWELLINGS. ALSO, COMPL?,TE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERNIITS ARE REQUIRED FOR EACH DWELLING UNIT.
OWNER: * 7a(JjjJ j? F'EES
SITE ADDRESS:
/ 7 - ?-,? ryJ ? ADD ON/REMODII. (EXISTING
CONSTRUCTION ONM $ 15.00
INSTALLER - ?, HVAC: 0-100 M BTIT
PHONE #t: SY--?. ? ADDTITONAL 50 M BTU 6.00
ADDRFSS: GAS O ' TS - MINANM 1@ $3 EA. -CG C
CI1'Y• p' - ZIP: SURCHARGE: $ .50
SIGNATUR +L'? 4 TOTAL:
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL CUMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI•FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DVVELLING UNTT.
WORK DESCRIPTION: I CONTRACI' PRICE: I FEES
196 OF CONTRACT FE&
STATE SURCAARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE. $
PROCFSSID PIPING - $25.00 1-$
MIIVIIWuM FEE - $2s.00
57 ' ??t' .
TOTAL:
$
SITE ADDRESS:
TENANT:
SiTITE #:
INSTAI.LER:
ADDRESS:
C7T1':
PHONE #:
SIGNATURE
ZIP:
CI1Y SIGNATURE
?. .
.. . ?;._ , . . ,
, i. .
s?
ZY dF EAG1? Piiot Knob Rc?c! ?
, Eagen, Minnesota 55123
(612) 681-4675
SITE AQDRES3: kvY. 1 t
4169 . "Me1t p?i Ro
"IT, L X TJBTYPE:
?11?lF#IR?Ii1TItIM f'?IEAL ? ' "s ' : ? 's-`;
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!??'RIEAIAt? , , ?
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R?i111RK3? e!i i N CONYItli+CTAR - lt#tLaV P1,OY
?
s
?
R 4
,
!
1u
Aadd,
W"tificate vf C"anc4
r
?" of (Fagan
wtowtotat •? ?mm" ft"edim
This Certificate issued prtrsuant to the requirements of the Uniforne Building Code
certifying thai at the time of issuance ihis strerctune was in compliance wiih the various
orriinances of the City regulating building construction or use. For the.following:
use aassificaim: 1 OF 4-PLEX 8W& Pbmk No. 825
0-11-1cyType 5201 E RIV R RD
Owrner of Build'mg Add`ess
LIZ, ,
Building Addmss I.ocality
?
uatm
Suild'mg Official
NOV 4, 1992
POST IN A CONSPICUOUS PLACE
Address :4` 1 5 9 BEAVER DAM RD Lot 12 Blk I Sec/Sub DIFFLEY oCnj)NS
These items were/were not complete at the tirne of the final inspection.
D t: 11/4/92 Yes No ?
.
Final grade (6" from siding) ?
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass r ,S
Trail/curb damage
Porch ?
Basernent 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. 4
xEL1ClED iAPlR
White - City copy Yellow - Resident copy Pink - Contractor copy
WSPECTI(??T ?co.
._CrY aF EAGs
?
?? R?
? ?? Pam* "Widw 0
?
.
? GAQW, Mirtnesvta 36123 .
, on1e,1souw.
o1?'
1?0
4
' (ISi V 681,4675 -
SITE ADDRESS: I4RPL??:
???+ ? ??r
?i?ir?3 ? ' ,
ar ?
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09*wo .
mN ?? ? ???? 40 ;
-t"`'S
AVB7'YPE:
PEFifV
TYPE Or
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F
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.
. . . . ., . _.. ,, e?}? _?n 4 h';'}•. ? . ..
?
INOUI.ATIQN
_ y h ?
U COUTRA?r'tO* ?AIL Lt V Ali!
. 1 ? 1yq
. .. . . , . . ..C? . +.0,
. ?W" Nu. Wwmufloidm OrRa TApMrone o
SW
? - r+?-
s
??
ELECT?
??-
Dow him,. ?.
Fmoinp,
? .; . .
? . , . .-
??:: .?# W--6 -
ow ??..
? A
ll.
IM. -?
fto pta. Pbe.
BVh'kn
8ft. Fr?al
Dook F'q.
Dodc Firei
WeN
Pr. DMp.
• o v ?
WettiftCa#e of Cccuoanc?
?? ? fte"
ZOWAI=«? ? OU"
.
This Certificate issued pursuant ta the siequinements of the Uniform Building Code
cernfying that at the time of issuance this structure was ire compliance with the various
or3inances af the City regulating building constniction or use. For the following:
Use Classificadon: 4PLEX Bldg. Pertnit No. $23
OccaPancY TYPe
WnMM- ZoninB D?strict PD . g M? ??. Coatt• ?
? $ U. Cz.;...
Owner of Building Address
LIO, s DIFFEWT.
Building Address Lonfiry
10/07/92
Date
B.Mg Offi?W
POST IN A CONSPICUOUS PLACE
Address : ? R&,,,y D?p, Lot Slk / Sec/Sub
These items were/were not oomplete at the time of the final inspection.
Date L0, ° 7- Yes No TnApectQr*
Finai grade (611 from siding)
Permanent steps - garage ?
Permanent steps - main entry ?
Parmanent driveway
Parmanent gas ?
Sod/seeded grass ?
Trail/curb damage ./
Porch ?
Basement finish
Deck
Please verify with the builder the removal af roaf test caps from the plumbing '
system and the shut-of£ af water supply to the outside lawri faucet before
freeze potential exists. qXV
RECAXEOIMPfP
White - City capy Yellow - Resident copy Pink - Contractor copy
FRiuI i Ms
I!1liU4ATiflM
f t'R'EP L11C E
OMII L
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-
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Daia
TsbpAorw #
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FftliN*G? -NoftPkMl*If
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Dedc Rp. ` .
DeCk Fin81 .
,
Wm
Pr. Dw. .
I ?? 1 iy??.? ?° ?,???,..,??.? I
4 ....,;l
W,trtificate of cccupanc4
This Certificate issued pursuant to ihe requirements of the Uniform Building Code
certifying that at the tinre of icsuance this structure was in compliance with the various
orrlirtunces of the City rrgulating building construction or use. For the f+ollowing:
uSC ci"scae? 4 AEX sW emm Na. 822
Occuponcr TYne " Zoning n;sax?
0??8? Ti? ROrITII? JO Tlc A? 5201 E RZ coffiL
HI3, FRIIXEY
BuMng Addnw 4167 BEAVEt DiAM R]AD ??, L9, B1, T1IFFt.ES[ OCLM?D[?S
10/07/92 ?
DetC: f
Buflding Officid'
POST IN A CONSPICUOUS PLACE
,Address; Lot 1,4 Blk / 5ec/Sub CB,.p„0. s
These iterns were/were not comglete at the time of the final inspection.
t ; 14'? )2- YeS Na
Fi.na1 grade (6" from siding) ?
Permanent steps - garage
r
Permanent steps - main entry L.-*,
Permanent driveway ?
Permanent gas
Sod/seeded grass
Trail/curh damage Lf
Porch
Basement finish
Deck
Please verify with the builder the Femoval af raof test caps from the glumbing
system and the shut-off of water supply to the outside lavn faucee before
Ereeze patantiai exists. ?
accra¢o..ocn
White - City copy Yellow - Resident copy Pink - Contractor capy
9
1s
-4 1 6 I1?S?'EC''?'I+?N ?ECOM?
Crt OF EAIG/!4.
PEPJW Typft
33t? 83t? Pilot FCrxoi Roed Pam1t MCI?Ibe?: :r , ` } ? ?
A , Eap^ Mlmesota 135123 peda NWusd: ,
' (812) 681-4675
? - 4? .. ? .
? ?? ?. ?'.
?TE ADORESS. L4?r. I I s??+?x ? s•
?gF*rra`,Ne-nrPE: ? oF wv?:
wo
- . ' . . . . . '`tl;' t`?s? z?" r,r .-?•'?? ' ''1
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YM.SULAT10 M
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l. ' . . . ?. !. V 1
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A9*ARKIf t8 S W+GANTNl4frT0R VAt1:?:'1? F?t.?4
0'R
4 ^4
COeit. Metr?
EnWJPIen
Dsac Fig.
Dedc Rnd
WeN
Pr. Dlep.
WeMfica#e tq cccupanc?
witio of c???
?«? ? ewmm axowtim
Tiiis Certificate isseied pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
osdinances of t/te City regrdating building construction or use. For the following:
- use ciassiscauon: 4-PLFX sM& rerrrit No. 824
o-Ua-Cr ZYne PD zoo? a?ia Wco?.
- ow?? or auaai? ?D Il? A? 8?,
s? . g A? 4155 BF?1VFR AAM RQAD ?, Ll 1, B1, DIFFIEY ?LS
10/ 1qjM2
< Daw
Bwift'oftw
POST IN A CONSPICUOUS PLACE
Address: 4155 BEAVER DAM ROAD Lot 11 Blk I Sec/SubDTFFf•F.V r„a44DNg
These items were/were not complete at the tirae of the final inspection.
Date: 9 9 Yes No %
Final grade (6" from siding) ?
Permanent steps - garage
Permanent steps - main entry
Perrnanent driveway
Permanent gas e
Sod/seeded grass
Trail/curb damage
Porch
Basernent 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. ?
pECVCLED MJER
IL White - City copy Yellow - Resident copy Pink - Contractor copy
.?.----- INSPECTION RE?GR]D
- G`ITY OF EAfiAN PERWi"IVM:'l
3830 Pilot Knob Road PermPt.Nm"ter,
,gagan, Minnesota 55122-1897 p?? Issued;
(651) 681-4675
SiTEADDRESS:r?•T -N.a 1450--110--01
!. fl 1' : 1 1 BL0 C K t
4-jF,T. BUAVER r,AN 00
01 tF1 CY i:fitMtAt3NS
PERMIT SUBTYPE:
a
APPUCAMT:
`?I1Nt.??BRN r-ATFiRit1RS
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TYPE aF W4RK:
DE. ?i CRTPTION
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SEWER/
WATER
PLUMBING
HVAC
Inapection Date Inep. CommeMs
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
RWGH
HEATING
GAS SVC
TEST
'
INSUL
QYP BOARD
FIREPLACE
FfREPLACE
AIR TEST
FINAL PLBG
FINAt HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
COMDUCTMTY
TE5T
HYDROSTATIC
TEST
BSMT A.I.
BSMT FINAI
DECK FTG
DECK FINAL
INSP'ECTION RECORD
CITY OF EAGAN PERNWT TYPE: ??ltarma
.? 3830 Pilot Knab RQad Permit hlurnber: •27 896
Eagan, Minnesota 55122-1897 Date Issuad: *6/17/96
(612) 6$1-4675
SITE ADDRESS: ?. ?.?. s ? ? ?!. ?.??,: ? a ? APPLICANT:
4 ????? REAuCR OAK RD Ptj At t. ??? ????STR 70r
11 IFF 1. Vy C ONM tlr Nril
? PERMIT SUBTYPE: TYRE OF VIt{3RK:
Sl nRM C+aIMA.r.,t= REPAIR 1tCH A Pic?,? )W-,1 011F;} 416.*_? il.etY 1:'? 416:? (1.01" 10) 4161 (I,0'f ?) OtlIVIER DflIO Rtl
Pwmit Nn. Permit Hokler Date Telephane #
ELECTRIG
PLU6ABM
iiVAC
mweCUwt Oals Insp. CAmn181wCs
FOOTiNQS
FQUN[?
FRAMING
ROC3FiNG
RDUGH
PLUMpING
FtBC3
AIR TE5T
ROuaH
FEATING
GAS SVG
rEss
:WSwL
QYPBOARD
FIfiEPLACE
FIREPLACE
AIR TEST
FIIdAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSNfT R.I.
BSMT FfNAL
OECK FfG
DECK FINAL
?1 156
-? .
eque t Gate Fire ugh-m InspecUan _
?
?. ?S?ectt&''
OReady Nouv ?yOR(1
?" l ?' • ,?"P?s
? No Aie ?
eo .
I;d-ficensedcontractar Qorurner"hereliyrrequeatinspeciiunofaboneeleziricat3erarkat: , .' ? ?•
' Jcb Address (SlreeL Box or oute Na)
-
4 ?5
? -
Secfion Mo. Township Name otTlo. Range Ma i Ccau
ceupar+ PRINTI Phone Flo.
5
Power Sup
?6''^v TA41,ess ?
Elecvieai ntractar (pampany Name) C?siA?ra?tor? Lieense 9W'.` ,
Mailing A ress (GoMractUr or Onvner Making d3st01tatian)
.. . :.;y . . .. .
Authorized SignaWre (Gontracto ner a' g InstaltatWn PAOne Number
NtINNES0TA:8TATE 90ARD tl?F GtTY THI5INSPECG"t'lOtff: . ?q!ILl NQT
Gr19gs-Midway 81dg. r Aaam 5-178 BE ACGBPT$D B'7THE VI'l?, O,?FiC1
?F
'
1821 Vniveiaiiy.Ave., St. Paul. Mht
55104 UNLE5S-PFIOPER IIW?
ilE tS
Phane (812) 642-0809 Efb1GI:GISM
s `+. . . ?
REQIlEST FOR ELECTFiICAL INSPECTION es-aooa,-os
?
K1115^ See insVUClions for compieting this form on hack of yellow COpy
h
`X"Belaw ?C/Qrk Covered by This Raquest
ew AtLd Rap. TypeafBuilding AppliancesWired EquipmerttWired
Home Range Temporary Service
Quplex Water Heater Electric Heating
Apt. Building Dryer Other-{Specify)
CommJlndustrial Furnace
Farm Air Conditioner
qther (speciiy} Gontractor§ Ramarks:
Compute lnspectinn Fee Below:
# Other Fee # ServiceEntranceSize Fee # CircuitslFeeders Fee
Swimming Pool D to 200 Amps S" 0 to 100 Amps yL
Transiormers Above 200 Amps A 100 Amps
SIgnS InspeCdor§ U5e Only TOTAL
'
]rri9afian Booms ?
Speeial Inspection
Alarm/Communicatian THIS INSTALLATION MAY BE QRDERfD DISCQNNECTED IF NOT
Qther Fee COM'PLETED W'ITHIN 18 MQ HS.
I, the Electrieal Inspecior, hereby Rough-in oate - ?
certify thet the above inspection has
been made. F?,?? ? f ate
oFFrce usE OwLr '' ' - `• '
This request vaid 18 months hom
?i . 115 7
Reque t Dale
? FN? l ph-i-n-inspection
ired?
;e.ye5 L No
? Ready Now j2alYill Notity Inspector
Wnen Ready?
I.;2 licensed contractor D owner hereby request inspection of above electrical work at:
Job Adtlress (Street, Box oute No,J
? 5- Ciry
Section No Township Name or No. Fange No. Cour]p( ?
l1
6.J
Occupant RINTI Phone No.
Power Sup Tross
Electrical ntraql r IqompanyN; jn1el Contrector's License No.
Mailing Address tContractor or Owner Making Installation)
Authonze(dl Signature iConirectorr wner ki Installation) Phone Number
4 W- 3glv
MINNESOTA STATE BOARD OF ELEITRICITY (THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - RoOm S-173 BE ACCEPTED BY THE STATE BOARO
1821 Universky Ave., St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REGIUEST FOR ELECTRICAL INSPECTION 00001-OB
? ?-
See instructwns for oompiQtin= this form on back ot yeliow copy.
??1157
X" Below Work Covered by This Request
ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer OtheF {SpeCify)
Comm.Jlndustrial Furnace
Farm Air Conditioner
Other (syeciry) Corrtractor$ Remarks:
Compute /nspection Fee 8efow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps /01 0tolOOAmps
40
Transformers Above 200 Amps Above 100 Amps
SIgnS Inspector§ Use Onty: . TOTAL
Ircigation Booms I
SJ' S3-°
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHINIMNT$%
I, the Electrical Inspector, hereby Rough-in
. oatf;
Q
certify that the above inspection has
been made. Final oac ?
OFFICE USE JNLY
This request voitl 18 months from v
-?? 1 5 8
K ??-
0
? 0
Reg st Dale
•
r Fire
f
?j / Inspection
.5gh-in
uired?
Ready Now Fjdlill Notify Inspector
17
7?? Z /es G No When Ready?
I;'a'ficensed contractor J owner hereby request inspection of above electrical work at:
Job Address (Street. Box w R te Na)
D City
l? Q/W1
Section No Township Name or N0.
? Range No. Couyly
-ile
?
Occupan RINT) ?
? Phone No.
Power Supp
Address
4
h??
Electncal tract r(Gompany Name) Contractors License No.
1+ oD 3? l
Mading A dress (Contrador o. Owner Makmg Installatwn)
AutDOrized Signature IContractorwn Mak,ng Installati ? _ Phone Number
MINNESOTA STATE BOARD OF EACTRICITY , O THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bidg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 Unlversity Ave., St. Paul. MN $5104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST Ff)R ELECTFiICAL INSFPFC-TION
? See instructions for completing this form on back ot yeUOw copy.
1.1158 "X" Be'?w Work Covered bp This Request
ea-aoooi-as
? ?- . .
Add Rep. TypeofBuilding ? RppiiancesWired EquipmentWired
Hoone Range Temporary Service
Ouplex Water Heater Efectric Heating
Apt. Building Dryer 4theK-(Speciiy)
Comm./lndustrial Furnace
Farm Air Conditioner
pther (gpecily) Contractor+s Remarks:
Compute lnspectlon Fee Below:
# Other Fee # Service Enirance Size Fee # CircuitslFeeders Fee
5wimming Pooi r 0 to 200 Amps to 100 Amps ¢r?
Transformers Above 200 Amps A6ave 100 Amps
5igtls Inspecwrl? Use Only: TOTAL
4rrigation Booms ?J?'p
Special Inspectian
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NQT
Other Fee COMPLETED WITHItd 18 S. f
I, the Electrical Inspector, h2f6by Rough-tn . ? ?45:2
certify that the above inspection has
been made. Final
4 Date
DFFICE U5E ONLY ? "-
This request void i8 months Irom
a1 A A P- !1
/,--, '7 .1'J ?r
Request Date
n
7i Fi
? ough-in Inspection
T.quired?
?res i? No
? Ready Now ?Jfll NMify Inspector
When Ready?
1,2 licensed contractor p owner hereby request inspection of above electrical work at:
Jo6 Address IStreet. Box or oute No.)
1 6xi Gity
Secnon No
• Township Name or No. Range No. Coupft
L \
?,..!
PRINT?
Occupant Phone No.
Power S.ppli Address
Electricai C tre? ??ompany amel Contractor§ License No.
C Ob3g!
Maiiing Atldress #Contractor or Owner Making Installation)
• 'Y?
Aufhorized Signature (Contracton ner MaRi g I tallation) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTiON REOUEST WtLL NOT
Griggs-Midwey Bldg. - Room 5173 8E ACCEPTED BY TNE STATE BOAR0
1821 Univarsity Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es-aooo,-oa
11159 , See instructwns tor completinathis form on back oi yellow copy. ?s., ?• '/D 7? ?3
"X" Below Work Covered by This Request Uv f
ew /4d Rep. , TypeofBuilding AppiiancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
} Comm./industrial Furnace
Farm Air Conditioner
Othei (syecAy) Contractor's Remarks:
CompL¢e /nspecUon Fee Below:
# - Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps D 0 to 100 Amps
Transformers A6ove 200 Amps Above 100 Amps
SignS Inspector's Use Onty: TOTAL
Irrigation Booms . ? k-j-jn?
Special Inspection ?--?
Alarm/Communication THIS INSTALLATION MAY BE ORDE D DISCOIVNECTED IF NOT
Other Fee COMPLETED WITH ON f
I, the Electrical Inspector, hereby Rough-in ?
? Dau,
certify that the above inspection has
been made. Fnai Date
OFFICE USE ONLY
This request void 18 months from
0510612014 09:41 Les Jones Roofing, Inc. OAX)9528817009 P.0091011
Use BLUE or BLACK Ink
Eatan For Office UseCat 0f Permit IA: 1 Permit Fee:
3830 Pilot Knob Road I > 1
Sagan MN 65122 1 Date Received:
Phone: (661) 676.6675 1 1
Fax: (651) 676-6694 1 Staff: 1
2014 RESIDENTIAL BUILDING PERMIT APPLICATION `T
Date: Site Address: Y Y/ Unit
~ x Name: y0 P2oF~ry ~~4 f? E . l nr~ Phone: /OS!- r:t7V 95?yry
Address / City / Zip: d• go Y- IVVAW- Vt 'd7/.62Z /W rx) ?
Applicant 1s: Owner X Contractor
&aa . Description of work:
Construction Cost: 41' 45y
Multi-Family Building: (Yee A / No
9M
4.1 Company: AES ~ToAm aC106* 1,VC.
' • ` Contact: 4Vyer s A~o~nso _
Address: IV_ W. Z2 City: &4a1GlA61-27N
State: M Zlp: JPhone: qSa - 7(0 7 e?8/?
i `
3 License l05lO 0 _ Lead Certificate Y0 9 17 R - /
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 Sagan 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:
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Cell 48 hours
before you Intend to dig to receive locates of underground utilities. m w.aouherotateonecall.om
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, end 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 C*Ais ~4005dAI X. . d e~~
Applicant's Printed Name Applicant's Signature
Page 1 of 3
05/21/2014 10:17 Les Jones Roofing, Inc. TAX)9528817009 P.0041011
401. City of Eaali
3830 Pilot Knob Road
Eagan MN 66122
Phone: (651) 675.6676
Fax: (661) 675-5894
Use BLUE or BLACK Ink
For Office Use
Permit#, l .12. 61 31
Permit Fee: 3i
Date Received:
Staff:
J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: a 9// Site Address: yl f17 i'/S- W
/, `/U 31 1 LifAvgg. 1:7144 4.4 Rots .° Unit #:
pi.,,,:' Fel 1';',44'`1i3 ,PVI.,
pi.,,,.
'5r'' ., • '''': ,
:=i
ilea,. w' 1.:4;4g
.. , ':* Al•
`/.. .61 N
Name:_5o P2tiegg. c
LC. Phone: 5.s//• '57- f94/7__
o. Box 212 5 / NE42 6VZ /It/ ' 94
Address / City / Zip: Rv
Applicant is: Owner XContractor
'R_ °°•°JfS1. f . :'II�y�h �('r,
»i; ' ' . °_.,Nrr 1
Description of work: ft fNol�E ,44/0 I�EPtAGE 50441. 4,40,4 SiD/4'
Construction Cost: 2 LI 374. g " Multi -Family Building: (Yes x / No _,
? 4- ti � 4
4;�''-?;''��
" rd nlir " .,,.
:.,rr r , ' �,>; r -SFr '.
,'h ,' ,,> a.:,epi
Company: E, ffniti- /NC- Contact G� s �vDE�sO�
h S k?2NES R CtO
Address: 9 Y / 1N, AVM .07 -Acer" city: ,fe .t/
State: MA/ Zip: ,ff'120 Phone: 95a - 9(0 7 - 078/7
License #: 4056 t0 Lead Certificate #: ,11,47-4/0 3 7 - /
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
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
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:
_ Phone:
Phone:
Phone:
,NRIgifitAX ; lf4 01'11 - 4 ; /1fi h. ;Of"y�� 00106" c 7,810.6 `o1;iI.04 4'I1 S);nt3� r:, 11676 iso f ,IPPIU,M
-�h tt 00110 fpel1 la $Yflo 't / j► a uj �J�('� PTD: f f� � a eatir Ne e$/,(/��? tie til,,�'� tr
W Z °l.,n I �d...'R '� *��. ���.� +"<: �i'r •`fa el�ry�' �f� ",�."`.�'fhr9d�"i"�' " �. k��Y�'�:.���
.r. '!<iJ!'i,. � . ..•,'' 1r, .. ./;,,5;:.;:::i0 ' iLY��S,IFY.,S, rT.-'i���!!Z'6T.4T� ,�i.Sc J � �4'4'� � °� 'A: .. 1.. Ts... �4 e �:. It: L
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utlllUes. www.gooherstateonecall.orq
I hereby acknowledge that this Information Is complete and accurate; that the work will be Inconformance with the ordinances and codes of the City of
Eagan; that I understand this Is not a permit, but only an application for permit, and work Is not to start without a permit; that the •work will be In
accordance with the approved plan In the cava 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 GEfkls 11,0672s0A/
Applicant's Printed Name
Applicant's Signature
Page 1 013
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 CM-kls nitiPORSQA/
Applicant's Printed Name Applicant's Signature
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152235
Date Issued:10/04/2018
Permit Category:ePermit
Site Address: 4155 Beaver Dam Rd
Lot:11 Block: 01 Addition: Diffley Commons
PID:10-20450-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Gary R Larges
4155 Beaver Dam Rd
Eagan MN 55122
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159944
Date Issued:01/30/2020
Permit Category:ePermit
Site Address: 4155 Beaver Dam Rd
Lot:11 Block: 01 Addition: Diffley Commons
PID:10-20450-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Gary R Larges
4155 Beaver Dam Rd
Eagan MN 55122
(612) 749-1011
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature