Loading...
3809 Deercliff Ct Use BLUE or BLACK Ink ForOffice Use ~J / / ( / I City of Eap I Permit . I I Permit Fee: I I I 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I Staff: I Fax: (651) 675-5694 1 - - - - - - - - - - - - - - - - 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1-7-11 Site Address: 25 6 ! Pte.<-C 1 c FF(_f0 R+ Tenant: Suite RESIDENT/OWNER Name: Dl (2, Phone: t,I- 3-23--7 63 Address / City / Zip: CONTRACTOR Name: Cv«s tyteG%. G- License#: Address: 3.5815 f-.), 11.AGe_ Lt)At/ City: - State: Zip: ~y Q Phone: Contact: Email: TYPE OF WORK _ New , I eplacement 3j::~Repair -Rebuild - Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener / - Add Plumbing Fixtures Main / Cower Level) _ RPZ PVB) Lawn Irrigation ( Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One 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.gopherstateonecall.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, 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 pia lVItCV_ oy~°Cs x x " i~~ Applicant's Printed N e A plicant's Signat FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground -Rough-In Air Test Gas Test -Final Use BLUE or BLACK Ink 1------------- 1=or Office Use I City of Ea I Permit 1 I Permit Fee: 411b~ I I 3830 Pilot Knob Road I Eagan MN 55122 j Date Received: 1 Phone: (651) 675-5675 1 Fax: (651) 675-5694 Staff: j 2010 MECHANICAL PERMIT APPLICATION Date: 1 I _ 16- Z©l0 Site Address: ~Q 1 ®eE:2 G L/ ~f- cR 7~ Tenant: A) 0 /V,&_ Suite RESIDENT / OWNER Name: c16~ 6.61^4S/'XaCll~ -Z;/C. Phone: Address / City / Zip: 3 Sd 9 jge-dy1 CLi ~~4 - CGce-1-T- - CONTRACTOR Name: i// license Address: 70~ lo 9 4 City: C2a~e f7`% Stater? I Mn/ Zip: J~O 7 Phone: aa7 1-13 Z Contact: Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE urnace New Construction Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,01(T$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One 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.aopherstatoonecall.org 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. x /1,"ke / x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection i Use BLUE or BLACK Ink F r Office Use 1 Permit l0"9 City of Eajan ~ 7 I Permit Fee: 3830 Pilot Knob Road (f V Eagan MN 55122 Date Received: \ 1 1 t Q. I Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: CN" 1 I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: A/-/, 0 Site Address: Arc ei G Z fT ~7~ Tenant: Suite M RESIDENT / OWNER Name: C, ~r~~~ ~-.t I~y~t~c;Yrat~ Phone: f ~ Address / City / Zip: 2 t" 14-t- Applicant is: Owner Contractors n TYPE OF WORK Description of work: c~>~t'✓+~ Construction Cost: Multi-Family Building: (Y / Nc) ~l CONTRACTOR Name: -A-Al. j,,,. C f / t ~Y ccC -~r ~l icense Address: 3~ le- i/`P City: 67a Q 6L Stater Zip: Phone: Contact: Email: 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 One 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.gopherstateonecall.orcl 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 p mit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x ~ Z f74 rY~ l- :4 h1, x Applicant's Printed Name 61 Applicant's Signa e Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace - Porch (3-Season) - Storm Damage Single Family - Garage - Porch (4-Season) - Exterior Alteration (Single Family) - Multi - Deck - Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous _ Accessory Building^ WORK TYPES 1 ) • ,~c»f t~~~ New Interior Improvement Siding Demolish Building* - Addition Move Building _ Reroof Demolish Interior Alteration - Fire Repair - Windows - Demolish Foundation - Replace - Repair - Egress Window - Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Dl,D Occupancy MCES System Plan Review Code Edition SAC Units (25%100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction- Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) V Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: r~ '2- , Building Inspector RESIDENTIAL FEES Base Fee Qom..! Ali Surcharge tom,c ✓/`£df`'°~ Plan Review MCES SAC}- City SAC Utility Connection Charge.' S&W Permit & Surcharge y/ Treatment Plant Copies TOTAL Page 2 of 2 I Use BLUE or BLACK Ink r For Office Use 1 I Permit City of EaEd~ -7w-- J I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: \04, 5F~ j Phone: (651) 675-5675 Fax: (651) 675-5694 j sta 1~" I 2010 RESIDENTIAL BUILDING PERMIT 'APPLICATION Date: 0 Site Address: 21FOgl 3&1 leer ~ l~'c' (2(--)( ~ Tenant: Suite RESIDENT / OWNER Name: P A~; C r kjjn) , k-,_S(X4-0tl Phone: Address / City / Zip: Applicant is: Owner Contractor n TYPE OF WORK Description of work: ~rnn e-, RQ )QCc_~ Rio O n 24 1 1/ ~U Construction Cost: 1~1 Multi-Family Building: (Yes V / No ) CONTRACTOR Name: Mjrrn>~j Co(1S~rJG~ior, Jr<_ License#:\ 00 )_7a&45_ Address: ( l' ~e~ City: C' Y~ii r1 State: MN Zip: 5S-31 to Phone: 95A -9q 1- 707 S Contact: Email: Mjr,-CLs4 Co 1 -7 Z rnnr~ J 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 One 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.gopherstateonecall.orci 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. x c<e__, rr o x Z";e- A A pplicant's Printed Name pplic S Signatu e Page 1 of 3 Renewal By Andersen 350-73rd Ave. NTE Fridley, MN 55432 763-502-4777 ? ? ? ? ? ? #MN20130983 yawConatruction Reauirements • 3 registered site surveys showing sq. R of bt sq. ft of house; an?ll mofed areas (20% macimum bt wverage albwed) • 2 copies of plan showing beam & wtlndav sizes; poured found desagn, e}c,) • 7 set ol Energy Calwlations • 3 copies of Tree Preservation PWn if bt pletted aiter 717I93 • Rim Joist Detail Opfbns selectlon sheet (bldgs wRh 3 or less uniLa) DATE Qa- 'RuQ • Ok JOB SITE ADDRESS MII _VNtPfX 0_YJI. ? IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNJER ?A?VN 'A4%'3kXS TYPE OF WORK? S??+A4 ?taY?xc?n? S{i? c GQK.1ni n APPLICANT ADDRESS PAGER # CELL PHONE # FIREPLACE(S) _ 0 _ 1 _ 2 _ PHONE# T;a`&q5•(Q0qT ZIP CODE sSYX FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULF.S 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Conhaetor: Mechanical System Includes: Sewer/WaTer Contractor. Phone # Phone # Fee: $90.00 Fee: $70.00 All abave information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinpn? Signature of Applicant vjC y RESIDENTIAL UILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 851-681-4675 ? Water Softener ? Water Heater _ No. of Baths 1y2,)? RemodeUReoalrReauiremeMs . 2 copies af plan . 1 set of Energy Calalations (or heated addiUons • lsitesurveyforexterioradd'NOnsBtlecks . IrMicale'rf home served 6y septic system for addlGons ? VALU/{ION ? ~ Phone #: Lawn 5prinkler No. of R.I. Baths _ Air Conditioning _ Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ . Updated 1/01 ? RESIDENTIAL BUILDING PERMIT APPLICATION ? ?? ? ? ? CITY OP EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New ConaWelion ReauiremeMS RemodellReuair Reaulremenb • 3 registered site surveys sfwvAig sq. ft. of lot sq. R of house; and all roofed areas • 2 copies of plan (20% macirnum lot coverage allowed) . 1 set ot Eireqy Calculations for healed additions • 2 copies of plan showing beam 8 windovr s¢es; poumd Pound design, atc.) . 1 site survey tw exterior edditiore & decks • 1 set of Eneryy Calculations . Indkate A home served 6y sepGc system lor additbns • 3 copies of Tree Preserva0on Plan if lol plaHed aNer 711/93 • Rim Jaist Detad Optbns selecfion sheet (bldgs wiM 3 orless unHs) DATE VAWATION JOB SITE ADDRESS 3$0 ?F2 cL?'FL C2t • IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWN TYPE OF WORK &e.,6 NP4DL4-Lf FIREPLACE(S) _ 0V/ 1_ 2 APPLICANT /11A5i.G &/a5 f 7lTY25 PHONE# ADDRESS C?d-4o ?G/????? O-Z ZIPCODE 5 PAGER # CELL PHONE # 7 VU tl FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY energy Code Cate9ory _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor. _ Mechanical System Includes: Sewer/Water Conhactor. All above information must be submitted prior to processing of application. Phone # Phone I hereby acknowledge that I have read this application, state that the inforrr with all applicable State of Minnesota Statutes and City of Eaga r i nc Signature of Appl(can Certificates of Survey Received _ Tree Preservation Plan Received _ _ Water Softener _ _ Water Heater _ _ No. of Baths Phone #: I.awn Sprinkler Fee: $90.00 No. of R.I. Baths _ Air Conditioning _ Heat Recovery System Fee: $70.00 ,7-r t. anrJ a`aree to Not Required _ Updated 1/01 CITY OF EAGAN N. ? 8949 . 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 PERMIT Receipt # 1-/O) 4) 7 7 N `' ' , Est. volue S Dore P1 21 L _5 1984 l.liJ.L'L' LL • - Site Addrgse Ered OccupancY WIIJDCRrP"' Lot Block Sec Sub. /11fer ? Zoninp Parcel Na ??-0 2 Repnir 0 Fire Zone Enlorpe ? Type of Const. oc Name . ? I;i ;i,UTIF'UL Move Z • ? # Stories. Address '?.V1? pemolish ? Length- t City Phone 4 5 `; -0 64 3 Grode ? Depth Sq. Ft. Phone Q ? W City Phone I hereby acknowledge that I heve reod this opplicotion and state thnt the intormotion is correct and ogree to comply with oll epplicoble Stote of Minnewta $tatutes ond City of Eagon Ordinances. Siynotura of Permittee A Bullding Permit {s issued to: oll work shotl be done in otcordonte Buildirq Officiol /lssessment _ Woter 8 Sew. Polico Fire En0• Plonner Counci I Bldy. Otf. _ APC Permit r} Surchorfle ' o Plan check O SAC Water Conn. ? Woter Meter • ? 0 Road Unit " . Totol on tha express condition ihai Statutes and City of Ea9an Ordinances. Parmit Na. Permit Holdar Misc. Permit No. Holder Plumbing 1 H.V.A.C. E Wsll Water Disp. Setiwr Ekctric ??(7? ?t i0lIS??Y It)•??+ Inspsction Dota Insp. Other Footingg Foundation Froming Amit A 7 C ? Rouph Plbp. Roughh HVA Inwlation Finel PIbQ Finel HVAC Final Water DescJibs Lpcation: weu 5ewer • Pr. D'ap. ?FF EAGAN , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?t,r. r?QQ f' ? PHONE: 454-8100 / .DING PERMIT Receipt * 44' C' '7-- ' V ?O Site Addrees ' Lot Block Sec/Sut Parcel No. ac Name W 3 Addre ss ? City Phone Name eu Addre se ? City Phone I hereby a the inforn Stota of 1 Sipnoturc A Bullding oll wo?k sh Bufldinfl 01 T FI' CT. Erect p? Occuponcy -^ ? S;4-r: ?r?; 11 _ ?, Alter p Zoninfl ' 0-02 Repair ? Fira Zone Enlorpe Q Type of Const. T I F UL Move p # Stories :1?ii; . Demolish p Length__. 4 5`= -L; u 4' 3 6rode ? Depth ? 4 Sq. Ft. nowledgs thnt I hove reed this application and state that ion Is torrect ond cgree to tomply with all opplicoble inesoto Statutes cnd City of Eogun Ordirwnces. Assessment _ Woter & Sew. Pol ice Firo Enp. Plcnner Councf I Bldg. Off. _ APC Permit - ` • 00 Surchorge 50 ? ?. . Plan theck 00 SAC ' 00 Woter Conn. ' - ? • 00 Woter Meter • 0 () Road Unit • 00 Total • 50 Permitfee ? mit Is issued to: on tha expreu condition thm be done in occordonce with oll cppliaoble Stote of Minnesota Stntutes ond Ciry of Eapan Ordinances. Permit No. Permit Holder Misc. Permit No. Holdar Plumbing H.V.A.C. w.u Water Disp. S?we? Electric r?IS??Y Irapsetion Date Inap. Other Footinpt Foundation Framing Rouph Plbq. -7-g ? Rouph HVA Insulation Final Plbg. ?? . Final HVAC Final G ? water Dftwibe Location: VYell Sewsr Pr. DisP. To be used for Site Address _ Lot ? Block Parcel No. W Name? z Address _ o (`it,. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 ' RMIT Receipt # '_4r.A'iN PUn4ie $'?1t???E? Y1C? Est. Value Date ,19 WiNr.CeEsT Phone -""-'" "' On Site 5ewage Occupancy MWCC System Zoning On Site Well (Actual) Const Ciry Water (Allowable) PRV Haquired # of Stories Booster Pump Length oepcn S.F. Total Footprint S.F. APPROVALS FEES Engr./qssess. Permit ? P!anner Surcharge ? • 50 Council Plan Review Bldg. Off. SAC, City Variance SAC. MWCC Water Conn. Water Meter q Road Unit ' ?j Treatment Pi QW (capy) ? TOTA L Phone 420-6243 I hereby acknowledge that I have read this application and state that the inlormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan prdinances. Signature of Permittee A Building F?ermit is issued to: "??? LANZ on the expresscondition thatall work shall be done in accordancewith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Permit No. Psrmit Holder Dato 7elephone # Ptumbing H.V.A.C. Electric Softener Inapection Date Insp. Comment8 Footings 1 ' Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. PERMIT # MECHANICAL PERMIT RECEIP7 # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 450-8700 For Office Use Onl ' ?- Name ;?.??1,_??.? ?? ?• ? ?" -- ; m • ? Address ? ?)_? ???•:?. -:i.I.r ,. - ? c City Phone - Name 10w biui:::, c Address p Ciiy phone ? - ? . TYPE OF WORK Forced Air M BTU ' Boiler M BTU Unit Heater ? M BTU ? Air Cond. M BTU Vent. CFM Piping Outlets # FEE: S/C: TOTAL: BLDG.TYPE Res. Mult Gomm. Other ? NeW Add-on Repair FEE5 HVAC 0-100 M BTU - $24.00 TIONAL 50 M BTU - 6.00 i. HVAC INCLUDESiA/C ON NEW lSTRUCTION) • OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. r%r i. oLUUa. - vrvnvi. nn i c nrruw TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & '--= • ` REMODELS - 12.00 MtNIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) _ ?;, :' ? .?'.•c. c , SI R TTEE ' FOR: CITY OF EAGAN Receipt 61? ?,,lgy {. PERMIT Permit No. GAN Fee d spaces S/C ` eglb/y Tnt 1. Date 2. Installation Cost • 3 g I I DQ.e? c?.,'? ?- 3. Job Address c ? Blk. ? Tract 4. Owner 5. Contractor Phone 6. Address 7. CitY Siate Zip 8. Building Type: Residential ? Commercial O Institutional ? 9. Work Description: New El Add ? Alter ? Repair ? i 10. Describe Fuel Type 11. No. Epuioment 8TU - M. Ea. Forced Air No. Enuipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with al{ ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHAI CITY F;,i;., ? PERMIT Permit No. Fee ? • 'r.. ... . . _?.... ? I TOL. 1. Date 2. Installation Cost • j;f?'? , 3. Job Address 'Ltft?Blk. _;1- Tract 4. Owner ? 5. Contractor • Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: IVew El Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equinment BTU - M. Ea. Forced Air No. EQUiument CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with ell ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 Receipt 1. Date ?//f 47/ 2. 3. Job Address ? PERMIT EAGAN Permit No. Fee I Tot. - (J . `) U Cost ' ? Blk. --?"Tract ?. ( 4. Owner i ? ? • 5. Contractor --? Phone /? ?:J ? /, 6. Address - r 7. CitY State Zip 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New EK Add ? Alter ? Repair ? 10. Describe 11. No. - ? Fixtures Water Closet No. - Fixtures Cess ool /Drai nf ield ? Bath tubs p $eptic Tank i Lavatory Softner ? - ' Shawer Well / Kitchen Sink ? ? Urinal/Bidet Laundry Tray Other f c v ` Floor Drains r • Drinking Ftn. --` ? / Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and.cad,es governing this type of work. 5igned : ' for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved ``-? r CITY OF EAGAN 454-8100 Receipt PI ?ING PERMIT OF EAGAN Permit No. _ Fee _ S/C 9/ Tot. -- -- 1. Datq 2. Installation Cost ? 1 !- 3. Job Address r 1' ` LL%;•' Lot ,?lk. ?--Tract r 4. Owner ? -- ---- - 5, Contractar `?.Phone 6. Address 7. City ?,' ? ? • ? - State Zip $. Building Type: Residential C? Commercial ? Institutional ? 9. Work Description: New ?N Add ? Alter ? Repair ? 10. Describe I 11. No. . %, ' Fixtures .: Water C?oset No. Fixtures Cesspool/Drainfield - Bath tubs Septic Tank T ` i Lavatory Softner 776 Shower Well ? Kitchen Sink 7 Urinal/Bidet Laundry Tray Other ? Floor Drains Drinking Ftn. ? Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and ( agree to comply with all ordinances and codes governing this type of work. Signed foe Rough 'Final Inspections: Date Insp. Date Insp. This is your perr(iit when ryumbered and approved. Approved ? -- ? CITY OF EAGAN 454-8100 ;j CITY OF EAGAN Addition-WjNDCRFST annu- Lot 6 Rlk 2 Parcel 10 84460 060 02 owner street 3809 Deer Cli£f Court state Ea.gan- 141N 55723 Improvement Date Amount Annual Years ?S Payment Recaipt Dete STREETSURF. Z?b 1983 1889.18 377.84 5 i 8 STREET RESTOR, GRADING SAN SEW TRUNK r f1 0/?,3? /O?/7 f?j SEWER LATERAL f r er * San Sew Lateral 1982 290-4:: 8 581.46 , ?, .. WATERMAIN * WATER LATERAL 1982 WATER AREA S 33.76 5 < < rr * sexvices 1982 STOAM SEW TRIC 5 . 87.53 S70RM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 20.00 - - WATER CONN. 50.00 11 1 13UILDING PER. 8948 SAC PARK CITY OF EAGAN Remarks Addition WTNDC'RFST Af1i21ij Lot S Bik 2 Parcel 10 84460 050 02 owner street 3811 Deer Cliff Court StaLe Eagan, hW 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ?jj0 1983 1889.18 377.84 5 75W-.g p ( 10?l STREET RESTOR. GRADING SAN SEW TRUNK n 1973 107.62 5.38 20 3. /.? /c /7/PS SEWER LATERAL 27 0 a6 r ? •• an ? 581•46 5 I• 14? WATERMAIN _ * WATER LATERAI 19$2 5 WATER AREA t, 1982 1(8.79 33.76 5 3 * Servives 1982 5 STORM SEW TRK (QS 19$2 437.6'rJ 87.53 'rJ 77,53 ' c * STORM SEW LAT 1982 rj CURB & GUTTER SIDEWALK STREET IIGHT ROA.D UNIT 20.00 2 0 4-6-84 CONN. 50.00 6UILDING PER. 8949 SAC PAR K TY OF VGAN WATER SERVICE PERMIT 130 ?ilot Knob Road . . 0. Bk- s 21199 PERMIT Np.: ?gan, MN 55121 DATE: --- f '-" ?*- - ?....., • ?,,, ,.c ? ?..,*?. _ duplex Address: No.: t.(q '. x i rv D0 to compiy wilb tM Gty of Eaqnn f OF EAGAN SEWER 5ERVICE PERMIT I Pilot Knob Road , , Box 21199 PERMIT NQ.: , in, `?1N 55DA7E: ng: No. of Units: amea esut u. Address: -aro.: Jivu?? to wmpy wiHi the City of Eegon 425. 00 of Insp.: Connaction Charpe: Account Deposit: _ Permit Fae: Surcharpe: Miu. Charges: - Total: CITY OF EAGAN 3830 Pil?c Knob Road P. 0. Box 21199 Eegan, M4V 55121 Zoning: . . ? Pfumber: --- ' ??` WATER SERVICE PERMIT Owner: N"/lddress: Site AddressB '.? 111,55+ PERMIT NO_: - DATE: No. of Units: 2-: .. Meter N Connection Charge: ? " r, y, it t D Size: epps : _ 9? un Reode No.: g Permit Fee: I"roe to oomplp wMh Nie Cih? of Eagon Surchorge: p?inancp, Misc. Choryes: - Total: gY Dote Pcid: : -- Dote of Insp - I?MD.: . ? ?f aa/? S --- CITY OF EAr)AN 3830 P+lot Knob Road P. O. Box "1199 Eagan, MN 55121 Zoning: Owner: /lddress: Site Addreu: l s. f f. Plumber: _ .r>si I'1.bg 1 aym M eomPy wilh !he Chp ef Ea9an Ordinanees. PERMIT NO.: ? DATE: No. of Units: By Dote of 1 nsp.: , . ,; ).: , ? ,?j?() , . Connettion Charya: 25.00 ? ACCOUnt DepOSit: 0 r (; ` Permlt Fee: 1 0 . 00 T d $urChGrgB: _ Misc. Chorges: _ Total: eet lat 470.00 T)d 1 S . 0f? p:i 10.00 pd .50 pd 63.00 pd metec ? ? CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DA7E 19 RECEIVED FROM AMpUNT -e: =t r_ , / ; cJ f• Ae DOLLARS ?oo ? CASH ? CHECK ? FOR ?• , _? ?*-' . / .i / - % ? I . ' . . . . " _. ?: . , . , ? c`l/1 - _•?? .? " . . i ? FuNO COOE -- q'M'OU NT f/ -Y ! . . ? (? `. - , - , Than u BY - White-PaYers CoPY 9 ? Yellqdv-Posting Copy Pink-File CoPY CASH RECEIPT CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE REC61VlD . , FROM AMOUNT ? 19 ? I E] CASH , p CHECK i FOR . ? ' FUND ? COOE AMOUNT Thank You -- BY / White-Payers Copy Ye!!ow-Post;ng Copy Pink-File Copy ? • ?' ?? ?? ?? 1 Gertificate of Survey '& BUILDING PERNffT APPLICATION ? 1 set cf_ energy calcialations. 7b f3e Used For Valuation " Date 2 f - Site Ptidress z ap n? ? pFFICE USE ONLY Lot 6 Bloclc ? Sec./Sub. J a E E t / O Al? rec 1 c:cupancy ? Parcel #: ?C? r?? ? b J? U?o CJ - 0 Z A1ter Zoning - f Repair Fire Zone Qaner: Enlarge Type of Const. Address• Move # Stories Delmlish Front ft. City/Zip Code: 7',,? cF^,.? s_?-/ l'a Grade Depth ./Y ft. Phone #: 95-4 D ? 93 APPROVAI,S FEES Contractor: Assessments Permit I Address: ?+Tater/Seaer Surcharge -? a o Police Plan Check City/Zip Code: Fire SPG s,2s ? Phone Eng• water Conn. D Planner Water Meter ? Arch./Ibg : Council Road Unit ? Bldg. Off. Address: APC City/Zip Code: Phone #: TOTAL b Vn x l 1 BUILDING PERMTT APPLICATION 1 Certificate of Survey''& 1 set c£ enerqy calculations. ? Be Lsed For Valuation Date Site Pddress 1Qov.Pi?bfr CY/ Lot ? Block ?_ Sec. /Sub. Afo??e ?Erect Parcel #: Id ` ?v"U ' U SO` 02 Rvner: Address: p3,Sfz z ? ? City/Zip Cocie: ??czr: -?y` S"`5^7 7- -3 Phone # : Contractor: '6a=Z.-?12 Prldress: City/Zip Code: Phone #_ AT'Ct'1. /EnCJ. . Address: City/Zip Cocie: Phone #: OFFICE USE ONLY ?pccupancg Alter Zoning ? Repair Fire Zone Enlarge Type of Const. Nbve # Stories Dgnolish Front ??? ft. Grade Depth .qyt ft. -? APPROVAL.4 FEES Assessments Perntit [aater/Sewer Surcharqe Police Plan Check Fire SAC .5?,5 • ° Eng. Water Conn. .4715 Planner _iWater Meter ...CAW1C11 IZUdd URlt Bldg. Off. a44 P,FC nrraL , ? 2 z ?-- 11y7-Sd CITY OF EAGAN N ' 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 . ? 8949 ' PHONE: 454•5700 ?' D G i R ece pt BUILDING PERMIT # Volue $ 61,000 Date APRIL 6 Te !s wed fer '''i DUPLEX Est 1 q 84 . , SiteAddress 3811 DEERCLIFF CT. Erect Occupancy R3 Lot 5 elock 2 Sec/Sub. WINDCREST Alter ? Zoning RZ ParcelNo. 10-84460-050-02 Repair ? FlreZone Enlarge ? Type of Consf. Vri rc rlame HOMES BEAUTIFUL Move ? # Stories Z Address 3831 DENMARK AVE. pemolish ? Leng[h 30 9 CityEAGAN phone 454-0643 Gmde ? Depth 44 Sq. Ft.- SAME Approrals Fees o Name o Assessment Permit 316.00 u Address U? ??tY Pha?e Water & Sew. Surchorge 3 0. 50 Police Plan check 15 8. 00 u„w Name w Fire SAC 525.00 _z Address Eng. WaterConn. 470.00 ?uZ. City Phone Plonner WaterMeter??00 CAUncll Rood Unit 2 6 0_ oo 1 hereby ocknowledge that I hove read this opOlication and state that gldg. Off. - the informnlion is wrrect and ogree to wmply wifh oll applicoble $ 1 $2 2 . 5 0 $tate of Minnewto Stafutes and City of Eogan Ordirances. APC Totol Sipnature of Permittea A Building Permit is issued to: HOMES BEAUTIFUL on the expreu condiNon thm oll work sholl be done in acwrdarxe wl?l oDPlicabl Minnesofo Statutes ond City of Eagan Ordirwncea. ? Bullding Officiol BUILDING PERMIT CITY OF EAGAN NO 89?8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . PHON E: 454-8100 ?a ? o ? . . Receipt # Te ba wad fer ? DUPLEX Esf. Value $. 61, OOODate APRTT. 6 , I9_$.L SiteAddrese 3809 DEERCLIFF CT. Erect M Occuponcy R3 Lot 6 Block Z Sec/Su6. WINDCREST Alter p Zoning RZ Parcel No. 10-84460-060-02 Repalr p FtreZone Name HOMES BEAUTIFUL Address 3831 DENMARK AVE City EAGAN phone 454-0643 o Name SAME ? ?? Address t- CitY Phone ww Name ?w i,z -? Address U ?6 Zn City Phone I hereby ocknowledge thot 1 hove read this applicotion ond state ihat the inlormation Is correct ond agree to comply with oll opplicoble State of Minnewta Stotutes and Ciry of Eagon Ordirwnces. Enlarga ? Type of Const, Vn Move ? # Srories Demolish ? Length-__3 0 6mde ? Depth _.4A-Sq. Ft.- AoVrovals Fees Assessment - Water 8 Sew. Police - Fire Eng. Clun'ur- Council _ Bidg. Off. - APC - Permit j 1 v . v u Surcharge 3 0. 5 0 Plon check 158•00 SAC 525.00 Water Conn. 4 7 0. 0 0 Water Mefer -5310 0 Road Unit 260 _ 00 Toeal $_1a 822.50 Signoture of Pertninee 1 A Bullding Permit Is issued to: HOMES BEACITIFUL on the express wnditlon thm oll work sholl be done in ucc rda with,OffLpplicuble State of Minnewta Statutes and Cify of Eagan Ordinances. Build7ng Officiol CITY OF EAGAN 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 557 21 NQ 15853 [yp?/?y BGIILDIPPG PERMIT PHONE:454-8100 Receipt # b 7 ! 19 Tobeusedfor 3-SEASON PORCHEst.Value $9,000 Date NOVEMBER 10 88 Site Address 3809 DEERCLIFF CT Lot 6 Block 2 Sec/Sub. WINDCREST Parcel No. I Name M. MESSON I ? Address SAME 0 City phone 454-3996 , o Name NORTHLAND SIJNROOMS oa Address 7496 BERKSHIRE WAY ? City MAPLE GROVEPhone 420-62 43 f? w W Name ? iza Address a W City Phone 1 h b k l th t I h hi tl - t h t lh d ere y ac now e ge a av s ap intormation is correct and agree mply rth all Minnesota StaWtes and Cit agan Ordin ces. a e a licable tate of - Signature of Permitlee 1_ J]-' L/ a A euiming Permit is issuetl to:-t`LORTHI.AND_SUNROQM$ on the ezpress cond ition [hat all work shall be done in accordance with all applicable State of Minneso, Statutes and City Eagan rdinances. BuildingONicial_?_ OFFICE USE ONLY On Site SewaBe _ Occupency MWCC System _ Zoning On Site Well _ (Aduaq Const City Water _ (qllowable) PRV Required _ # of Stories 8ooster Pump _ Length 15.6 oeorn 12 ' S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 98.00 Planner _ Surcharge 4.50 Council Plan Review BIdg.Off. SAQ City Variance SAC,MWCC water Conn. Water Meter Roatl Unit Treatment P7 p6m (copy) .so TOTAL $103.00 BUILDING PERMIT 1 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 /2 DUPLEX 61,000 N° 8897 Receipl # / ??-? n...a MARC&I 21Y, io 84 SiteAddress 3811 DEERCLIFF CT. Erect p{ Lot 5 Block 2 Sec/Sub. WINDCRE ST Alter ? ParceiNo. 10-84460-050-09 Repatr ? Enlorge rc Name HOMES BEAUTIFOL a Z Address 3831 DENMARK AVE. De olish ? Citv EAGAN phone 454-0643 Gro o Name SAME vr"c% Address Asseslment_ s? ? City Phone ote 8 Sew. Ww Name Fire- F _? Address Eng. _ < ?Z„ City Phone Planner _ Gouncfl _ I hereby acknowledge thot I have read lhis appiitotion and stote thot gldg. Off. the informaTion is correct and agree fo comply with oll applicoble State of Minnesota Sratutes and City of Eagan Ordirwnces. APC - Sipnature of Pem+ittea _ A Building Pemiit Is Issued to: oll work sholl be done in acco Permit '' ? ?• w ? Surchorge 3 0. 5 0 Plon check 158.60 snC 525.00 Water Conn. 4 7 0. 0 0 Water Meter 6 3.00 Rood Unit 2 6 0. 0 0 Totol $ 1.822.50 on the expreu tondiMOn Ihni of Minnesota Statutes and City of Eogon Ordinances. R3 y ofconsr. Vn Stories Length2.p_ Depth__¢Q- Sq. Ft.- Feas Buildinp Officiol BUILDING PERMIT To bs waa for 1/ 2 SiteAddress 3809 L Lot 6 Block ? Parcet No. 10 - 8 4 9 rc Name HOMES L ? Address 3831 city EAGAN o Name _ H ?? Address i- City _ Gw Name _ _? Address u 9ARK AVE. Phone 454- Erect ` tupancy R ? Alter Zonin9 R 2 R, i ire Z one ge Type of Const. V13 j Stories Length? e ? Depth 44 Sq. Ft.- App.orola fees aVoter & $ew. Police _ Permit S 316.00 Surcharge 'in - 5 0 Plan check l 5 R_ Q 0 SAC 595 _ 00 Woter Conn. _470.... 00 Water Meter H-1- 00 Rood Unit ??rn 00 'W City Phone Plonner _ Council _ I hereby aCkrwwiadge fhat 1 have read this application and stote fhwt gldg. Off. the inlormation is correct and agree to comply with all applitable State of Minnesota $tatutes and Ciry of Eagon Ordirwnces. APC _ Signature of Pertnittea HOMES BEAUTIFUI, 7otol $ 1,822.50 A Bullding Permit Is issued to: on the express condition Ihm pll work shall be done ' acco nce with aO [.!l iD??? State ? Minnesota Statutes ond Ciry of Eagan Ordirwnces. Buildinq Official G?-?J? 4.,-.... V 1) CITY OF EAGAN Knob Roed, P.O. Box 21-199, Eagan, MN 55127 ?7 lr ? 8896 PHONE: 454•8100 L?'//' \ Receipt # `°0-7:? 60-060- Certificate of Survey for Nagnor Tenold of Lats 5 and 6, Elock 2, Windcrest pddition ? Ihkota County, Minnesota ? W£SCOrr . RoAp ? NBS° p'30 ? ....33.46' _... /76.74' ? d_73S? uJ.97' e 15 . h ? ?\a I I ° m °I I Z I N- o° I ? I ? ? \ a I ,e ? 0, z? ia ° ? ? o ? . ? ? _ 0 ? yo I ? I 3 0 ? 30. F \ 1o Pio atA.?/ oi I ? W I . ? sB, . \ \ .? \ '- A? p I hereby certi:'y that this is a true \ \ d?4?Api , p: -• '' ' a ? and correct representa- ?e24'23 $` ticn af a survey o:' the b ' o•o?0 boundaries o_° Lots 5 ar.d E, ? 0 6 Block 2, kindcrest AddiLicn, \ , the lacation of all existinv, build- 7 e ings, if ary, thereon, sll visible ancroechments, i£ sny, from. or on said / lsr.d, ar.d the proposed location of a pro- k ooeed building ar.d driveWaqs. I o? ? GGRDON A. COFFIN CC „ IhC. . ? i Goraon R. Coffin He, I:o. 6C64 1< Lnnd Surveyor and Planner ? ' Lon6 I.sKe, Mlnnesota 0 Scsle: 1" = 40' I)ute : 11-15-82 o Iron anrker 05? : Spot elevation Dstum: Esgan sever datca: /?iaoe?ed Gawy< f/eb f/ev.= 882.0 - . Pryef?.f Te/ .f f'mndnl.? = 882.5 QILDING PERMIT APPLICATION - CITY UF EAGAN ? SINGLE FAMILY DWELLINGS INCL[IDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF L.:ERGY CALCULATIONS NOTEt ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER Mj.iT DESIGNATE WHICA ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BIIILDING PRRMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR S9Lfi UNIT3 _,, # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH B."',. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS, qEUD N0W 7 10 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIC,., - - . To Be Used For: ?7 Pe.„ I.Valuation: _ ? ?g? ':.?-e: // - p - P4` Site Address 1969 /,s ?A' ? T.ot b Block Z Parcel/Sub zz4iNr? ( Owner 1 22 e.l rr . 077. S'S n vT Sddress 3 gA q J)e ,,- ch Ae G4 City/Zip Code r, 1 Phone OFFICI' OSE ONLY _ On site sewage _ (:cupaney MWCC system :_c:iing On site well _ Ftc:tual Const City water _ 1:).iowable PRV required i of stories Booster Pump _ _ I,;:ngth iSrG" l.dth 12' :.. F. Total Fcotprint S.F. APPROVALS Contractor a8 f k Jr,, f S-h,?-ao-r.,:e , Address 'J Y Q City/Zip Code {y) a Dl+ ?,-r„? ,rs3(? Phone 2.0-- !z o 3 (:Tb m) ? Arch./Engr. Address City/Zip Code Engr/Assess Planner Council Hldg. OfP. 57-1?tj/q Variance f EES ?ermit %8•00 Surcharge y,,su 'lan Review ?;AC, City `.AC, MHCC r)ater Conn ' :later Meter , Road Unit Treatment P1 Parks Copies .So POTAL ?? &! Phone fl V l?c u ?. ?uLIv _ .---- ? . - t• . , . C. . Certificate of Surve7 for Nagnor Tenold of i.ots 5 and 6. ffiock 2, G'indcrest Additio n . I7skota County, Minnesota i wESCOrr . Ro,aO ?BS°4030'?y ? . 1 . ' _..73 . /?6.74' 46' .... d r 7016127" R? /39B.a7• '--- ? ?? 3S? ii?.4?o d - 4 3B'3S" q . _ ? ? , ? n ?S• IS ' . h \ ? z a I . O P C I N p I I . - I .. ? L I ? 1 ? I ? \ ?uV l q I i\ ?V 6 5 0 ? I 2, O o M1p ? I ? I 00 o 3 o ` ? \ ? Ui?O/q9 ? I •q? o- O?O?o.fPO?] Q I \?9? \ \ O W I o \ ? O. ? I I a3 I I _ 4?__ ? I q, I herebp certi:'g that this is a true ? ? °=? °' ' ?" a ? ? . • a'23 g and correct represents- ^ 1 ,Q,? 6 ticn of a survey of the \ ? ??°5 D'S p boundsries o_° Lots 5 ar.d b, ' 6 Block 2, kindcrest Addlticn, \ . the lor.ation of all existintf, bt:ild- 7 0 ings, if any, thereon, sll visible ancroachmenis, if eny, from or on said / ls.*.d, s^d the proposed location of a pro- ? ooeed huildi^.r ar.d driveuaqs. ? GCRI70P1 R. COFFIN CC„ IhC. 4 . ? Goraou h, Coffin iie I:o. 6C54 ? I.and Surveyor and Planner ? Lor:e tes;ce, Mir.nesots ? Scsle: 2" = 40' Date : 11-15-22 o Iron mrker i1? : $pot elevetion Datum: Eagan sever datunr. Prepered Gaiyr S/.6FJrv.- BB2.0 . _ PIO/?J'IYe/ ijf'[v/IS?O?%Il ? BBZ.S . . . =.: ?. -'. . ._. , . :. . ' .. , .. _.......,. ..Y: . . _ _ . . . . . . . .. . r..?. .. .. a A Ss.,.lids?...dti`a.a.:? .? r«.? . '.: .? .... ... . . . b v ".. ,.. ... . . _ .s_ ... , x. •.... .. . r.. .i iu? ic. ov rnn t uJ a( L 4Y6? 1SLPIClIAL ri! 9IYUri1(JC,LV June 7, 2001 City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 To Whom It May Concern: Elder Jones is authorized to pull huilding petmitig for Renewal by Andersen_ Please allow F1der Jones to provide this service for us in Ea.gan. This authrnization is valid for any date beyond 616101; unti! aRbnawal by Andersen manager expressly revokes it in writing to the City. I requcst tlus uithorization be accepted exgeditiously, as to not delay in the processing of ovr building pcrmits any furthcr. Plcasc caIl mc if thciro arc a»y questiuus. I can Ue contacted at 763-502-4706. Your immcdiate sttention to this matter is appreciated. Sincexely, d R. Rau ®roisrtallZtion Manager - Renewa] by tludersen Corporataan qg UUL/ UIl'L C'r.: OGHADA M. ?(, qPqAL NoiAN FWlip MY Commisc? ea ipn Ew0f8 OVef lia a7, pppg Received Time Jun• 7. 1:07PM 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? 5? y S Ibo CITY OF EACAN ' 3830 PILOT KNOB RD - 55122 851-681-4875 New CanahucMOn Reaulremanh '33S.3 ? Remodel/Reoair Reaulrementa a s reyisrerea sne wrveys anowiny sy. n. a bt. aa. rt. oi na,se 7_ L. ? p s coviea a pla, and gp rooletl areaa (20% mmcimum bt coveraae albweal 1 set ol energy cdculatlons for heatad addlMona > 4 coples ot plau (show beam a wlntlow aizea; poured W. deslgn; etc.) 1 sNe wrvey tor exfeAor addlHau d tleeks ? 1 sef ol energy ealculatlau - > J coplea W hee presenatlon plan il lOt plalfad afler 7/1/93 / 5-00 ? - DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT: 6 BLOCK: r: PaoaErm OWNER Sheet / aCity ??54?m ? State: Zip: Companr? .z•r.?ez?w?f'w ?` Phone #: 5a "6?:38b -? (area code) CONTRACTOR ? p?/? Sheei Address: / ?? io?•O'oe? license If Exp..3 ?! o CNy State: ? Zip: ?TZa ARCHITECT/ ENGINEER Telephone M: ( Name: Sheet Address: RegishnHon Jf: Ciy state: Sewer/water licensed plumber (H InsWllino sewer/waterl: Phone #: Zip: I hereby acknowledqe ttaf I hwe read Mds opplicaNon. stafe thaf Ihe info n is cortect, and agree 1o compy wNh atl appacable State of Minnesota Stalutes and Cify of Eagan Ordinances. Sigrwlure of Applicant c OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received Yes _ No Yes _ No - Not Required oltiO 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)? 7-5 ??1 I CITY OF EACAN 3830 PILOT KNOB RD - 55122 851-681-4875 New ConshucHan Reauiremenh Remodel/Reoalr Reauiremanh n 3 regisfered Yte wrveya ahowing sq. H. of bf, aq. H. of house (??6 3 I 2 copies W ptan and gU rooled areat (9076 mmclmum bf covemae alloweN ?-(o "C' U 1 sef ol energy cdcWatlons tor heatetl addiflons > 2 coples of plans (show beam 8 window sizes; poured fnd. dealgn; etc.) 1 Nfe wrvey for extedor admHOns 8 tlecks > 1 sef of eneryy cWCUlalloro > J copies d hee PrefervaHOn Plan I11of platted aRer 7/1/93 DAiE: 2-:5?6z> CONSfRUCitON COST: - DESCRIPTION OF WORK: i??..,/ STREET ADDRESS: ? LOT: ? BLOCK: ? SUBD./P.I.D. / ?A ? ? Name: G iLr hone ?? PROPERTY Laat Flist OWNER Sfreet Address: Cly State:Zip: A 1 &? ? ? 4 . Compan ? : Phone ,4r COMRACTOR O (area code),,/ 2?0?0?`?7 - ??? .?1L/Cr Sheei Addreas' = Llcense # Exp J? rX?i ? ? Clly State: 224i, ZIP: ARCHITECT/ ENGINEER Company: Name: Telephone S: ( ) Sfreet Addresa: RegishaHOn Y: ciy state: zip: Sewer/water licensed plumber (if insfallina aewerMrater): Phone #: I hereby acknowledge Mwt I have read thls applkaHon, sFate thaf Ihe info on 1s cortecf, and agree to comply wilh an appBeable State of Minnesota Statutes and City of Eagon Ordinances. Signalure of Applicanh OFFICE USE ONLY CeRiflcates of Survey Received _ Yes _ No JUL - 5 Tree Preservation Plan Received _ Yes _ No _ Not Required CITY USE ONLY LOT ? BL '^ PERMIT k: 0-513 SUBD. VVlY1 r_(P?gt RECEIPT #: RECEIPT DATE: 2000 MECHANICAL PEiMIT (RESIDENTIAL) crrY oF Ens,uv S$SO PILOT KNOB ftD Ei46AN MN 55128 651-6$1-4675 Date: Complete this section on[v if you are installing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge .50 Total $ Complete this section onlv if you are remodelinQ, adding to, or replacinp an existjng single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. _ New _ Replacement N Other _ Furnace _ Air exchanger Reminder.• Cal1 for final inspection. SITE ADDREBS: ? r r OWNERNAME: INSTALLER NAME:?'`fP STRE6T ADDRESS: CITY: _ Air conditioning _ Other ad 5 Un eI_ Fee $ 30.00 State Surcharge .50 Total $ 30.50 PHONE #: 'e?el ' Q (A ODE) rC E.? PHONE #: (AREA C E) L BL SUBD. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 M£CHANICAL PEitM1T (COMME{2CIAL) CiTY OF £i46M S$SO PILOT KNOB itD £A6t4N, MN 55122 651-6$1-4675 Please complete for: all commerciai/indusVial buildings DATE: WORK TYPE: W/ien installing/removi, p[umbing inspector. Description of work: Fees: 1% of contract pri( Undergrour,d tank Contract price: State surcharge TOTAL for each dwelling unit ***x*,r**+****:r:r**:r************?*x,r*re*** CITY OF EAGAN CASHIER: JS TERMINAL NO: 781 DATE: 09139100 TIME: 08:27:19 ID: NAME: MARI`LNN B SIGA 3213 9001 3809 DEERCLF CT 30 00 2155 9001 3809 DEERCLF CT . 0.50 Total Receipt Amount: 30.50 SIT'EADDRESS: CR137492 USER ID: JAN and OWNER NAME: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: CITY USE ONLY PHONE #: - (ARFA CODE) S[GNANRE OF PERMITTEE ? i 2/84 ? CITY OF EAGAN f ; APPLICATION FOR PERMIT - SEWER AND/OR WATER CONNECTIODT (PLEASE FRINT 1) P P ' ' D?? ? RO ER I Y ADDRESS: p t. r.Frnr DESCRIpricrr: (Irot/Block/Subr3ivision or Tax Parcel I.D. Nuiber) ir EYIST=_:G STRIICI'J[2E, DATE OF ORIGINAL ,'-,iiILLL`;G PEP_,ST ISSJXaG: - -- P2.Sa:' :::.,'II`:r/FQOPOS=_ liS: : [J'R-1 SLNGI,F r^P_ViILY ? R-2 DUPLEX (?SGO LNITS) 0 R-3 T('IA[4HOUSE (TfIItEE + i_RqITS) ( LINITS) ? R-4 AnARiS?TI'/CONDC.??1INiLi$ ( INITS j ? COMD'fE12CIAL/RETAII,/OFFICE p IIMUSTRIAL ? INSTITUTZONAL/GOt)II?T,= Z) AppISCANT (PL E PRINT) ? NAME: n ? u ? ADDRESS: CTTY, STATE, ZIP PHONE : ZG' 7_l?i 3) PLU'BER NNME: ,O L PT ` FOR CITY USE ONIY ADDRESS- PLUM S LICENSE: Active CITY, STATE, ZIP; J -- [? Expired PHONE: ?' Q Not of Record pLUMBER LI ENSE i a nitia ¢) CCC[jpANI?/GWNER NAt IE: kYLtASE PRINiJ ADDRESS: QITY, STATE, ZIP: PHONE: 5) INDICA'I'E W[-]ICH PEPMIT IS BEINC; REQUESTID: ,??..,?CONNEC:'ION `I1? CITY S?*r1EE2 ?'J CONNFCTIODI TO CITY LVATER ? C7I'fIER (PLEASE DESCRIBE) ol 1ivu11?1i: u14h: 7) SIGNA1G'RE: ? P.T,EA,SE f?OLD APPROVED pERh1IT FOR PICY.-UP BY ONE OF ABWE ?°?-EASE MAIL APPROVEp PER%tIT 'iO 1, 2,03 4 11E(JVE /f)// n (Circle one) DATE: ? ??e?t:a?,s?+?riai.? ?:.c?:s?.+?f r At?;a=;+r?ii ?s iai wr ?.;¦F,'s:? ir r Y.i rllnr,..?..??r?r!rin rr 1?i r.N???.aw ' F O R C I T Y U S E O N L Y PERMIT r ISSUED F°E5: $ ? e,. s-a $ io _ s-o $ ? j °-Y1 $ $ $ $ $ $ $ • $ SEWER PEBN1ST (I?TCLliDi SUP.CHARGE) WATER PERP1IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATZON STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK :VATER ASSESSPIENT TRliNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER TOTAL AMOUNT PAID/RECEIPT # -?'=-,? G DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUIIJECT TO TEIE FOLLOWING CONDITIONS: APPROVED BY: ,Q TITLE:???,? DATE: MR w-m okm ww:ma muw wkmsa 86:00 w_+m pewme nt:w w? w?+ w.a wEmse ar Ra vcmw ssm so= ., i I 2/84 Es ITY OF EAGAN C APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODT (PLEASE P9INT) 1) PROPFI,RTY r.Frnr DESCS2IP'I'ICN: (Lot/Block/Su}xiivision or Tax Parcel I.D. Nisrber) lr E{IS^_=`:G STRL'CI'Ui2E , DATE 0F ORIGlM .'-;UILL'L`:G PEF.-IIT I55'uaiNG: /' , ? / PFtESc'?..T ",,••]rir;/-:wOPCS^ L?Si: l9" R-1 SIiVGI.F, r^AIMETLY ? R-2 DUPLE{ (Tn'O Wi ITS) ? ? R-3 TCWNHOi;SE (TfIREE + UNITS) ( UNITS) ? R-? A°AR'II'=/CONG'X?LT'iIIL^4 ( U1ITSj i ? COMMEf2CIAL/REl'AII,/OFFICE ? IIMU57'RIAL ? INSTITUTIONAL/GO-V7ER1VN!ENT 2) APPLICANP NANIE: ? (PLEA${? PRINT) / ADDRESS: ? CITY, STATE, ZI PHONE: .?51 ? 3) PIU4BER PLEASE NT ' FOR CITY USE ONLY ADDRESS: PLUMVRS LILENSE: Active CITY, STATE, ZIP: Expired PHONE: N? ?card PLUMBER LICENSE {/ a nttia 4) CCC[TPANT/Or7NER NANIE: ADDRESS: CITY, STATE, ZIP: PIIONE: 5) INDICIITE [VF3ICH PEP,MIT S BEING R6QCJESTED: D COVNECTION 'Ib CITY SEFIER CONiVECPION TO CITY WATER ? dP[-iER (PLEASE DESCRIBE) b) 1NUl(1\'11-: O.`,IE: / 7) SI?A'IURE: Dr^?TE: ` ?-(? ? PLP.a.SE HOLD APPROVID pER+1IT FbR PICK- BY ONE OF ? *AIL APPROVID PII2?tIT TO 1, 2 4 AEWE FLEaSE ^ (Circle one) F O R C I T Y U S E O N L Y PERMIT = ISSUED FEES: $ $ $ $ $ $ $ $ $ $ .. $ TOTAL $ AMOUNT PAID/RECEIPT # 9?- DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ZSSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUIIJECT TO TEIE FOLLOWING CONDITIONS: APPROVED BY: TITLE:?f DATE: SEWER nER;IIT (I:IC:.UDE SUP.CFIP_RGE) WATER PERPIIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER ^1AP (INCiUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK ;QATER ASSESSPIENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRIINK WATER OTHER RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EACAN MN 55122 651•681-4675 New Constructian Reauiremenis • 7 registered sile surveys showirg sq. %. of lot, sq. fl. of house; and all roafeA areas (20% maximum bl coverage allowed) • 2 copies of Dlan showing beam 8 windaw sizes; poured found design, elc.) • 1 set ol Eneryy CalcWations • 3 copies of Tree Preservatqn Plan if lol platted after 7l1193 • Rim Joist DetaJ Oplions selecGOn sheet (61tlgs with 3 or less unds) DATE 5.AIX-l-On? v 113 7S RemodeUReoair Recuirements • 2 copies of Pian • 1 set of Energy Calcula6ons for heated aCditions • 1 5rte survey !or exteri0r aCCifions & decks . Indicate if home servetl by septic system (or additions VALUATION 5,CAZ)'7' SITE ADDRESS s570Ll CAW-CaG MULTI-FAMILY BLDG _ Y `ii;i? TYPE OF WORK FIREPLAGE(S) _ 0_ 1_ 2 •- APPLICANT Renewal By Andersen, Inc. STREET ADDRESS 1920 County Road "C" West TELEPHONE CI Roseville, MN 55113 \ STATE _ ZIP kX # PROPERTY OWNER?jWQ?, TELEPHONE #(OS I• L9n"OCM .................... -----------------.................................... ----- -------°-------- i COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIYNESOT.\ R[iLf:S 7670 CATEGONI' 1 N[INNLSOT.1 RC"LlS 7672 (J submission type) . Residential Ventilation Category t Worksheet Submitted . New Energy Code Worksheet Submi[ted • Energy Envelope Calculatlons Submitted Plumbing Contractor: Phone # Plumbing system includes: _`V:uer Softener _ Lawn Sprinl:ler Fee: $90.00 Water Heater No. of R.I. Baths No. oF Baths Mechanical Contractor: Mcclaiical svstem includcs: Sewer/Water Contractor: Phone # Phone # Fee: 570.00 °•------------------------------°-----•-------•--.....-°--•-----•-------°---..._...------....---.....----------------- I hereby acknowledge ihat I have read ihis application, state that the information is correct, end agree to comply with all applicable State of Minnesofa Statutes and City of Eagan Ordi ances. SignafureofApplicant & 4nnen t-- OFFICE USE ONLY Air Condi[ioning Hca[ Recuven System CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Uptlated 4/02 ?- ?I .....•.a iuv ta.ou rnn 404 O!1 '4$40 KGfICIPAL tlYal'ILtlK'JLSPI re ?? . Juno'7, 200I CAY of Eapa 3836 PiIot $nob Roed Eagea. MN 55122 To Whom It May Concxrn; Elder 7ones is authoriztd to puil bnilding permits for Renawal by Andezsem_ Pleaso allow Blder Jones to pmvide this ses'vice far us in Esgan. '1ltis mtthori2etian is valid fvr any date bcyond 616/01; wnti,( akenevva! by Andmsen manaor wwrewy revokes it in wridng to the City- I request this authorization be acccpted expedidonsly, as to not deley in tha processMg of ovr buildinS Po=ita any furthcr. Plcasc eaII me If thetc are eay qnastiona. I can be contactcd at 763-502-4706. Your immpdiabe atxcntion to this mattcr is npprectaud, Sincarely, ynnond R. Rau as?talladon Managcr Renowal by AudeJSen Coiporatian C'r.: Karn-F.ide.r Tnne¢ S?J?F?(i«eC4 asz ti,a !il y C?HADA ? ? 'Y ?uEUc Nr "f?yn.», 200,y WUUZ/ UI ReceiveJ Time Juo. 7. 1:01PM SURVEYOR'S CERTIFICATE ' , :q ;-_ ih N1 h 'e^ vI u^, ;-_ ? Mqr,NAR TENOLD ? ? . - ' i -? - ?, e?sJh _ N2p562 ro? ? h J r 4 6 B76.BX jw R 0? ?j Q. , ? N 8101332., o?' o W V? ? PRpp? 41 1g e I 9.47 QW t ,' ? w o 0 0? euicoiNO' H ,o A W 447m zX ? 3p67 h ?! ` xea? ? ?- N B/°/3 32••w / ? L f 1? /93.3g ee:,ea?3 eB2.BX XBB3.7 fX/ST, BLDG. xeaa.i 1 / 40 ? ? . 30?? , • , n i? /O ? ? BT6.B ? ? ??t'BBOS 0 ` ..i • Q ? R ;$, ? O h3 .Z: CO w -,e... Q: I Q -? 1° ? ?(J h O 0.00?" XBB/, ? ' e9q ? I 40 I -.* DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 40 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = -?F:t•= FEET X000.0 DENOTES EXISTING ELEVATION °ROPOSED LOWEST FLOOR = 9•= FEET (000.0) DENOTES PROPOSED ELEVATInN PROPOSED TOP OF BLOCK = ???•? FEET (AT GARAGE) I HEREBY CERTIFY TO h'ArNAP, TENOLD . COMPANY THAT THI S IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lots 15 and 16, f3lock 2, WINDCP.EST ACDITION, accordinq to the recorded plat thereof, Dakoisa County, 'tinnesota. AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR OR SAID LAWD. AS SUP.VEYED BY NE THIS 20TH DAY OF JFINUARY., 1984 . SIGWED: JAMES P. ILL, INC. ? t %;?, ., c?'' f L•1.?/. ; 'r-?,.--- BY: ?- HAROLD C. PETERSON, LAND SURVEYOR PSINNESOTA LICENSE N0. 12294 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 691 Planners / Engineers / Surveyors FILE NO. 75 8200 Humboldt Avenue South ? Bbominyton, Mn. 55431 612-884-3024 REQUEST FOR ELECTRICAL INSPECTION ea-oaoo1 .oa Sea inatfuetions for completi [h" f b k} ? ? rq ?s wm on ac o Yel low copy. 59469 "%" Below Work Cqvered by Thrs Reques{ AAd R.P. Typa ol BuilCinO APPIianCes Wired EpuipTenl WIrBtl Home ' Sel Range Temporary Service Dupiex ter Heater Lightin, Fixtures Apt. 6uildinc? yer Electric Heatin Commercial Bldy. ' rnace Silo Unloader Industrial Bldg. tAir Condetioner EE Bulk Milk Tank F8bY1 ? v - iher (Specify) t r SYeci(y Othnr nmpute lnspection fee Below p Fee .vicaEnhenceSize p Fea Feaders/Subfeedera N Fee Circuiea to200Am s Oto30Am s 0 tn30Am ;Abo ve 200Am ?s? 31 100 Amps 31 to 100 q 5 imming Pool Above 100_Am s A6ove 100_Am s Transiormers Ir,i ation Booms PyrtiaL'Other Fa Signs Special Inspection 5 7? Hamnrks T?AL F E 1?i ./f floueh-in 9 ??e I eetor, hereby oeI Final rtify tM? [he nbove AN , Jr?i ?? _ r?9,pe ction hea bNn [lk ?d Thla requeat vole 18 manlhe Irom This request void 1 / 1B ?qnihs from `? ? A ?. ?_ 9 ? C? ? L la 16 ?- W i ^oC (!.??? ?ft5tv 1-n•50 Request Date U?( Fire No. Pough-in Inspection fiequ red? [:]Ready NuwII Notify lnepec- 6rj3 , „&Yes QNO tar When Ready QsLicensed ElecVical ConVactor I herebV requeat inepec<bo ol abova ? Owner elactrlcal work Inaielled at: Streei Adtlress, Box or Foute No. Ciry A ??? lI TT ?/ • ecunn o. ownship Name or No. Range No. Cou Occupant IPRINTI Phone Nn. Aom C,5 Ek u ?-i li?c l Pawer Supplier Adtlress ? Etecvicel Connactor 7COmpany Namal Contractor's License Na. tt MailinB /lddress nv a cmr or O wn ekinB Installation) ? ( ( ? SS 'Y'?clT• /?/'?' AuMorized 0nature (C nvactor/Owner Making Installa[ion) Phone Number -dfl?f?il MINNESOTq STATE 90ANO OF ELECTNICIiV THIS INSPECTION REQUEST WILL NOT Grigps-Midwey BldB• - poom N-191 gE ACCEPTED BV THE STATE BOARp 1821 University Ave., 51. Peul, MN 56104 UNLESS PNOPEP INSPECTION FEE IB Phone 18721297-2111 ENCLOSED. This reQUest void y?l I O ' 18 months from ? - A 0 vi.9 4 7 0 L 5 6 ??C.?....?- 61r5l?y I fleques[ Date i pr / Fire No. -1 FouBh-in Inspection He?qu;red? ?Heedy Nuw?`Nill Nntity Insoeo- ??:/3 ?r Q ? ?aes No ?or When ReadY Wicer.sed Elecvical Contractor I hereby repueat InaDeetion of ebove ?Owner - electricelwarkinatelledaL Sireet Atldress, Box or Raute No. City &,eI ' Ff + . * ectmn o. I owns?ip Nama or a. gnge o. C. OccupantlPfllNTI Phone No. / C Y Pawer Supplier qtltlress J ?V TeCJ ? /C l Elechicel CoMrectar (Company Name) Conirector s Licenge No. ?lvv.3- Mailing Atldre (COntractor or Own king Installation) )/ SlJ ?"1 ST. . id Autharized iena?ure ICOntrector Owner MakinB Insiallationl Phone Number v l 5 c1 63? -"% MINNESOTA $7p7E BOARO OF ELECTRICITY TMIS INSPECTION NEQUEST WILL NOT Oripgs-0.lidway Bldg. - koam N•181 eE ACCEPTED BV THE STqTE BOARD 7821 Univenaity Ave.. St. Paul, MN 66104 VNlE33 PFOFER INSPECTION FEE IS PAOiw I612) 287-2111 ENCLOSED. REQUEST FOR ELECF'.'rCAL INSPECTION Ee-00001-04 ? , See inetruc[iona for comp101im thia form on baek of yetlow copy. n? Cd Q 7 n "X" 8elow Work Covered by This AequesY FYMjP.tltl[ Xep.l Tvpe o1 8uilEinp I Aooliencea Wiratl ? Eouiament Wlred I p Fee SeevieaEntrBnceSlne # Fae Fendera/SUbfeedera M Fae Circuite U to 200 Am s 0 to 30 qm s 0 ta 30 Am Above 200 qm zsl 31 to 100 Amps .,r.(JD 31 to 100 A Swimming Pool Above 100_Am s Above 100_Am s Transiormers Irrigation Booms Partia6'Other Fee ci9ns apeciai inspection S ik amerks TOT EE y/ ue B4ec1,:e6i Inapector, hereby cerlilv thot the nbove jipspection has been ie This request vaid 18 roariths tmm E 1 4 n_?R L L, , 7 n? `??? Date Fire No. Rauuh-in Inspcr,tinn fienuired? ?ReadY Now ?Will Notity_ Inspe c- c- ?? ..-.?s'? - 6?^?{ RYes ?NO ? tor When Feady kKLic-sed Elecvical ConVactnr I hereby repuest inspection of above ? ? Owner electrical work installed at $heet Address, Box or Raute No. City r} 7 ? ?G`_- ? •' ? ?/ (f;z ecLOn o. ownship Name or No. Pange No. Coun?y Oc?uu.n[ IPflIM) Phone No. Power Sop iee Atldress ElPCt-aa/l Con?ractor 1Company N/a?me) ConVaofor's L'rcens?e No. 1 9 r__, ?/ f / C/ - i I I/ ?l 6 Mailin0 Address (Cumracmr or Owne, Makine InstallatioN ?C?.' ? ' ? G ? ?? / ., . C Authorjed 'Bnature IConvacmr/Owner kiny ista lionl Phone Number .?- ?7?G?!! MINNESOTA STATE BOARD OF EIECTXICITV Gryggg-Mitlway Bitl9. - Room N•181 1821 Universitv Ave.. SL Paul, MN 55104 Phone (672) 642-0800 TNIS INSPECTION NEQUEST WILI NOT BE ACCEPTED BV THE STATE BOAFD UNLESS PFOPEP INSPECTION FEE IS ENCLOSED. - ;EQSee UEST uFOR EL?ECTR ?ICAL ? INSPEC TIONck o+ ve11ow cooV • ?1 r E "1 G, 0j 8 "X'" Below Work Covered 6y 7his Request eV4 Addj Reo. Tva« oi suimina Appliancea Wired En?iu?,e?,e wi.en Home Range Temporary Service Duplex h'ater Heater Liqhtinq Fiatures Apt Building Dryer Electrio Heatin Commerclal Bldy. Fumace Silo Unloader Industrlal Bldg. Air Conditfoner 9ulk Milk Tartk Farm om" oecirv t Pr succuv omer o,ne. [.omnuve rn.coecnnn ree neinw B Fee ServiceEntrenceSize ll Fne Feeders/SuMeeders fl Fee Circults U to 200 Amps 0 to 30 Am s 0 to 30 Am. s nbove 200 qmps. 31 to 100 qrnps 31 to 100 qm s Swimming Pool Above 100_Amps Above 100_4,mps Transiormers Imigation Booms Partial."Other Fe Signs Special InsPection TOTA F EE Aemarks , ? r?? .J<= ?t,? ?<`•0 4-v cL / ?-n -L_ Rov h-in - Dnte . e . ?. / ?: • . I, the lect hereby er?ity Nat the above Flnal L in?spection has been nel [ o? rH ae. ru--1vnintPmnntlntrom •- . . .. / t / / EAGAN �1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(a�cityofeagan.com --------------------- For Office Use I Building Permit #: I I I I I S&W Permit #: I I I 22as� I Permit Fee: I I I I Date Received: I I I I Date Issued: I t---------------------� RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3/30/2023 Site Address: Applicant is: ❑ Owner 0 Contractor Name: Windcrest Twin Homeowners Association Homeowner Address: ,380� 3(7 I � F,Cii t jpc- 6�- city: Eagan i State: MN Zip: 55122 phone: Email: it #: r Description of work: Residential Re -Roof Type of Work Construction Cost: 4 Type of building: ❑ Single Family ❑ Townhome, of units 0 Twin Home Building Contractor Sewer & Water Contractor I Company: GCM Construction 6438 City West PKWY Contact: Carter M Address: city Eden Prairie State: MN Zip: 55344 License #: BC766925 Company: Address: Required for State: new construction il Phone: 612-245-026E Email: cmelchert@gcmcompany.com Expiration Date: 3/31 /2025 Zip: Phone: Contact: Email: L. License #: Expiration Date: City: 0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the _v information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. 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. xCarter Melchert Applicant's Printed Name AkpplicanVs Signature