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3610 Denmark Ave BUILDING PERMIT Receipt * I r; Erect %O Occupancy Remodel ? Zoning Repair ? Type of Const. Enlarge ? No. Stories Move ? Length Demolish ? Depth Grade ? Sq. Ft. Install ? Approvals fans Name UVSELL Address ]. b[ AVE ' Assessment Water & Sew. Police Fire Eng. Planner Council Permit Surcharge Plan Review t SAC Water Conn. Water Meter Road Unit 1 hereby acknowledge that 1 have read this application and state that Bldg. Off.' Parks the information is correct and agree to comply with all applicable APC Total '.. 7 f .' . State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Signature' of Permittes A Building Permit Is issued to: an the express condition That all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Site Address 0 ts: AV L Lot Block /Sub. Parcel No. Permit No. Permit Holder Date Telephone # Plumbing H.VA.C. a g ) Electric t/ c Softener Inspection Date Insp. Other Footings Foundation Framing Roofing Rough Plbq. Rough HVAC v Insulation 8? Final Plbg. j?- Final HVAC Cert/Ooe. ? . Water Describe Location: Wall Serer Pr. Disp. CITY OF EAGAN 9812 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 454.8100 BUILDING PERMIT Receipt ? Site Address 30? D F W'4I k''. K %V P Erect L.I l ? Occupancy i Z Lot Block ----Sec/Sub. (;°"D10 Q r' Remode ng on Repair ? Type of Const. Parcel No. Enlarge ? No. Stories Move ? Length '44 W Name Demolish 13 Depth Address = Grade ? Sq. Ft. Citv Phone 40 Install ? Name Address Name `) aN K NSPI.I Address 121111 67 AVF Ali i Assessment Water b Sew. Police Fire Eng. Planner Council Permit Surcharge Plan Review SAC Water Conn. ' Water Meter Road Unit 1 hereby acknowledge that 1 have rood this application and state that Bldg. Off. Parks the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Signature of PemuMee A Building Permit Is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Ho lder Deft Telephone # Plumbing ?i (} p C 6 N ?t? t / ( X - r, H.V•.A.C. / A I ? )577- __ ?d Electric t .? 5 U 4 Y - Softener Inspection Date Insp. Other Footings ! Foundation Framing Roofing Rough Plbg. Rough HVA ?j Insulation Final Plbg. Final HVAC -3 -S Final s Cwt/OOC. T Water Location: Well Sower Pr. Diw. CITY OF EAGAN 9 $ 1 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # .U Occupancy R-1 ? Zoning - + ? Type of Const. V t 0F, ? No. Stories ? Length c.4 ? Depth ? Sq. Ft. Name T.DHON Name 'JOHN KINSELL Address 12131 62 At't Y(? I hereby acknowledge that 1 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 Permittee - A Building Permit is issued to: r' all work shall be done in accordance with all applicable State of Mir Building Official Permit i Surcharge Plan Review R SAC Water Conn. a 7(-t -.,I Water Meter Road Unit Parks Total i on the express condition that y of Eagan Ordinances. Permit No. Permit Holder Date /Telephone # Plumbing 56 o C -o r\ S O d J ?/o h -3 H.V+C. Q 2 Electric G Softener Inspection Date Insp. Other Footings Foundation Framing Roofing Rough Plbg. Rough HVAC Insulation Final Plbg. V Final HVAC Final Cert/Otx. Water Describe Location: VWII Sewer Pr, Disp. Enlarge ? No. Stories Move ? Length Demolish ? Depth Grade ? Sq. Ft. Assessment Water b Sew. Police Fin Eng. Planner Council Permit Surcharge Plan Review SAC Water Conn. Water Meter Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. i Parks the information is Corr and agree to comply with oil applicable APC Total + r , t State of Minnesoto otutes and City of Eagan Ordinances. Var. Date Signature of enniftee A Building Permit Is issued to: an the express condition thol all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 9814 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454.8100 BUILDING PERMIT Receipt # Site Address , , : c. A', A' ,ti.r : Lot Block--` ` Se/Sub. U FA Parcel No. Permit No. Permit older Date Tels hone * Plumbing / ') b H n St1 ; C? 3??0 ?$ ! d H.VA.C. C ?j , 7 ?-JO Electric • 6 Softener Inspection Date Insp. Other Footings Foundation Framing Roofing Rough Pibg. -/ Rough HVAC Y? Insulation 15- Oa/ Final Plbg. Final HVAC S Final Cart/Oos. Water Describe Location: Wall Sewer Pr. Disp. 1 Receipt 1 ' I 0 MECHANICAL PERMIT Permit No. J.A 14K CITY OF EAGAN Fee 2 q .'0 0 ' Fill in numbered spaces S/C . 5 0 Type or Print legibly rot. 2 n . 5 0 1. Date 2. Installation Cost ,1 ) elimar< ! 3. Job Address Lot Blk. % Tract D. H. Gustafson ? 4. Owner ')Antln(+,lhle Heatinq sad Air Cond., Inc. ' 5. Contractor Phone 757-5040 11) Coon ra_oids 1v(I . Coon ra!)ids 554?3 6. Address 7. City Coon r A p i d s State N n 554.33 8. Building Type: Residential InX Commercial ? Institutional ? 9. Work Description: New7d Add ? Alter ? Repair ? 10. Describe Fuel Type G a S 11. No. 1 Equipment BTU - M. Ea. Forced Air 75000 No. Equipment CFM Air Handling: Mfg. C a r r i e r Boilers ?. Mfg. Mech. Exhaust Unit Heater 1 path 1 K Mfg. i t Other Air Cond. Mfg. Gas, Piping Outlets - i, .eter to furnade 12. 1 hereby certify that the above information is true and correct, and I agree to comply )Kith all 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$100 -2 Receipt i MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Z 0 . 0() Fill in numbered spaces SIC .50 Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract - i - 4. Owner - "• CLIStafS0n 5. Contractor Ohone 6. Address 0 U n ? A r; j r' c ; j yr! 7. City ,? tl P A. [) 1 (is State Zip 8. Building Type: Residential Q;, Commercial ? Institutional ? 9. Work Description: Newyp Add ? Alter ? Repair ? 10. Describe Fuel Type G 11. No. Equipment BTU - M. Ea. Forced Air 5 it ^ No. Equipment CFM Ai H dli Mfg. r r an ng: Boilers Mfg. Mech. Exhaust Unit Heater I[ Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all 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 AI11""-) CITY PERMIT 1. Date 1 - P 9 - P 5 2. Installation Cost Opnna r 3. Job Address Lot// _Blk. Tract 4. Owner ')• 11. CustdfSol) NFatinq ian(l Air Cond., Inc. 5. Contractor Phone 6. Address 2519 Coon RAP i ds MO. 7. City ,0o11 1,aF)1',S State Vn' Zip 5r??? 8. Building Type: Residential (Y Commercial ? Institutional ? 9. Work Description: New'O Add ? Alter ? Repair ? is s 10. Describe Fuel Type 11. No. 1 Equipment BTU - M. Ea. ) , o (1 Forced r 7' Al No. Equipment CFM Air Handling: i 1?,=,rr ?r• Mfg. Boilers E h M h Mfg. ec . x aust 1 h ? t h Unit Heater 1 i< 1 t Mfg. . Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all 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 Permit No. Fee S/C t Tot. ' ?' Receipt MECHANI L PERMIT Permit No. `J ? CITY OPEAGAN Fee 2().()o f I I J Fill in numbered spaces S/C .90 Type or Print legibly Tot. 20.90 1. Date 1 - 29 - R;; 2. Installation Cost ?h1r; Denmark L i?JSr:' ?- 3. Job Address Lot Blk. Tract -?, - D. H. Gustafson 4. Owner •r?,.,iidahle Heatina and Air Cond., Inc. 5. Contractor Phone 2619 Coon Uoids 1310. 6. Address Coon RApifs 7. City State Mn. 75755040 1 Zip 8. Building Type: Residential 29X Commercial ? Institutional ? 9. Work Description: New' Add ? Alter ? Repair ? 10. Describe Fuel Type G a S 1 11. No, 1 Equipment BTU - M. Ea. Forced Air 75,000. No. Equipment CFM Air Handling: Mfg. Carrier Boilers h E h M Mfg. aust ec . x 1 i; i t Unit Heater 1 hat h Mfg. Other Air Cond. Mfg. Gas, Piping Outlets „eter to fi!rllace 12. 1 hereby certify that the above information is true and correct, and I agree to comply with aWordinances 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 3-1-pr' PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly Permit No. Fee S/C Tot. 1. Date 2. Installation Cost 3. Job Address 3`? Blk. Tract 4. Owner Crossroads of Ea; ar: 5. Contractor Cci i-solidated PILaub ing u Phone 694-3200 Heat. ,y 6. Address 1530 E. Cliff Rd. 7. City ;urnsyille 8. Building Type: Residential ? 9. Work Description: New (b 10. Describe 1 11. State - '+ Zip L)- j- Commercial ? Institutional ? Add ? Alter ? Repair ? No, - Fixtures Water Closet No. Fixtures Cesspool/Drainfield ' Bath tubs Septic Tank Lavatory Softner ' Shower Well Kitchen Sink - Urinal/Bidet Other T Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all 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 ' PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address:` lot Blk. Tract 4. Owner ?i ?'-. r•,,.. uv' !. a. 5. Contractor :elisolidated Plumbing I Phone 894-39200 6. Address ?• '.11": f 7. City t iJt _tS .. J _ State t:; Zip 8. Building Type: Residential b 9. Work Description: New 0 10. Describe I 11. Commercial ? Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank -" Lavatory Softner - Shower Well T Kitchen Sink Urinal/Bidet Other 7 Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all 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 / ?4' & 5 1. Date -,-1-85 PLUMBING PERMIT Permit No. CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print legibly Tot. _2. Installation Cost )31200.OU 3. Job Address3b IL deiyaark hv%ot Blk. Tract 4. Owner kI"DSSPOadS Of Lag•ii11 5. Contractor WnSolidated Plumbing a Phone 894-3200 f.•.:; tl.ta 6. Address 1`J30 E. CIITT Rd. 7. City but i:sy1 I le State % Zip ,-,5JJ7 8. Building Type: Residential C Commercial ? Institutional ? 9. Work Description: New 0 10. Describe I 11. Add ? Alter ? Repair ? No. L Fixtures Water Closet No. Fixtures Cesspool/Drainfield 1 Bath tubs Septic Tank L Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Laundry Tray Other 1 Floor Drains Drinking Ftn. Slop Sink L Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and 1 agree to comply with all 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 PLUMBING PERMIT Permit No. CITY OF EAGAN Fee ~llC i Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address 4-%t Blk. Tract 4. Owner of 5. ContractorCul ISO l l dated Plumbing & Phone 854-3t-a 6. Address I 7. City >i;t'T15: i State ? :d Zip 5 =33, S. Building Type: Residential Is 9. Work Description: New 0 10. Describe 11. Commercial ? Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool /Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray 1 Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all 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 CITY OF EAGAN Remarks Additior+ CROSSROADS OF FAGAN Lot k 1 Parcel 10 18700 090 01 Owner Street - 3610 Denmark Avenue state Eagan. MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 701 41 140 - A& 5. 4: STREET RESTOR. ?il GRADING f 'A SAN SEW TRUNK h * SEWER LATERAL 1981 WATERMAIN * WATER LATERAL 1981 WATER AREA 157 3972 * STORM SEW TRK * STORM SEW LAT 1QRI CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #48496 12-20-84 WATER CONN. 470.00 rr rr BUILDING PER, r. rr SAC 525.00 n n PARK CITY OF EAGAN Remarks Addition CROSSROADS OF EAGAN Lot 10 Rik 1 Parcel 10 18700 100 01 Owner Street 3612 Denmark Avenue State Eagan, MN 5512' Improvement Date Amount Annual Years Payment Receipt Date STREET SURF . 1986 701 41 140.68 9 STREET RESTOR. GRADING SAN SEW TRUNK 151 1971 * SEWER LATERAL WATERMAIN * WATER LATERAL iggi WATER AREA 1 C172 * STORM SEW TRK 1991 * STORM SEW LAT 1981 . CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #48496 12-20-84 WATER CONN. 470.00 It " BUILDING PER. it SAC 525.00 PARK CITY OF EAGAN Remarks a,,,,;,; , CROSSROADS OF EAGAN __ 11 1 10 18700 110 01 Street 3614 Denmark Avenue State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF . 1986 703,41 140,6L 5 -Tf STREET RESTOR. ?.) GRADING C2t a SAN SEW TRUNK 1971 *SEWER LATERAL WATERMAIN *WATER LATERAL 1981 WATER AREA 45 7 1971 * STORM SEW TRK 98 *STORM SEW LAT 171, 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #48496 12-20-94 WATER CONN. 470.00 ii BUILDING PER. 11 SAC sqs-nn ?t it PARK I T OF EAGAN Remarks Addition CROSSROADS OF EAGAN Lot Owner 10 18700 12 Street 3616 Denmark Avenue State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF , . 1986 703.41 140.68 5 STREET RESTOR. 511 1981 G^'? GRADING ?- c< SAN SEW TRUNK 1971 *SEWER LATERAL 1981 WATERMAIN *WATER LATERAL 1981 WATER AREA r 1971 *STORM SEW TRK 1981 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #48496 12-20-84 WATER CONN. 470.00 If ?r BUILDING PER. r- SAC 5525-00 t• PARK CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 703:11 P. O. Box 21199 PERMIT NO.: Eagan, MN 55 vi DATE: 12 - ` --b Zoning: No. of Units: of Alex r.or:aroa s r_ll- Owner: Address: ., cnmprr:. Avenue 112 B Crossropds Of E&ai Site Address: Plumber: I agree to aerrrpy with on Chy of Iowa Connection Charge: Ordimmem Account Deposit: Permit Fee: Surcharge: By Misc. Charges: - of Insp.: Total: nsp.: Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob-load c. P. 0. BoxA1199 PERMIT NO.: Eagan, MN 55121 DATE: ` - ` - ` Zoning: No. of Units: ZAP 1 .v \,COwner: c, r o: r e a] s± ? v Address: 's/ Site Address: ?1r 68#ot#xit ?g =??}1f1C1f'UtIfIE?Sros7°t, -s of aw n umber 1 1' ta, y_ F,?(.I-;_ _?,4:AS Ftl;• Meter No.: • . n r e: 7 OC Size: _'a?/_8 ?• 1Qa? i'? l ) 1 5 15 .00 a?i Reader No.: 0 9 L ;10 7 7-5" Permit Fee: 1 ' . 00 pd I agree to amply with the Chty of Eagaa Surcharge: ? 1 *n "nom es. Misc. Charges: R/ Total: By ?.t••,`?? Date Paid: Date of Insp.: UT 0/ 8'.!;- [rap.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21195 PERMIT NO.: Eagan, MN 5512 DATE: Zoning: R No. of Units: I of plex Owner Crossroads Prtns: Address: Site Addy Plumber: Imam. Account Deposit: 0 • UU p 16hhtkyUW*p-: ree to oesph? wh6 The Chy of Begun Connection Charge: 4 5. 00 d .00 P Permit Fee: Surcharge: .50 p Misc. Charges: of Insp.: Total: Date Paid: CITY OF EA 3830 Pilot Kn GAN WATER SERVICE PERMIT ob Road 'P. O. Bbx 2119 PERMIT NO.- ; f ,'Eagan, MNi 55121 DATE: 12-?0 -34 oning: No. of Units: I of G pIOX pwner: ?ess: b E; i - to Address t ti :1 r :1 umber. .Ld P i r No.: 3 4 Connection Cho, 470.00 pd ze: '`kazk ' I-? Account Dipostty 15. 00 red de No.: /2 9 L 0?0 7 2 Permit Fee: - 10.00 pd Gone to comply with the City of Eagan Surcharge: .50 pd iaomae. Misc. Charges: 63.00 p d meter Total: Dots Paid: / k s- e of Insp : 0 Insp : , . . r Address: Meter No.: Cr_ r/o ei J 61v 00-' WATER SERVICE PERMIT Road'.. PERMIT NO.: 1/08.00 DATE: h:' No. of Units' 1 f J. ex Reoddr No.: 4 X /- a2 D 7 7 3 1 agree to amply whh the City of Eagan By Date of insp.:/.?a/s? r jr'. an C n?tiq? 470.00 pd 'Accocc;6 beg s t?: 15. 00 pd Permit Fee: 10, 00 pd Surcharge: .50 r) d Misc. Charges: 63.00 pd meCer Total: Dote Paid: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: ? 3 No. of Units: - 1 of 4 ple Owner. Crossroads Frta:; ., Address: Sits ,address. 3612 Denmark Avenue 7,10 B1 C osn ?. ,4S Plumber. -'oaso ate bg 12 - 20 -• 4 1,649€ 100.00 p I peen to earnpy with the ply of Eognn Connection Charge: i 2 S • 00 d Onilannew Account Deposit: P(' ' Permit Fee: 1), 00 - pd Surcharge: .50 pd By Dote of Insp.: Misc. Charges: Total: Date Paid: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box ?1199 Eagan, MN 55121 oning: - nor: CrossroadA1'fltIMAP ¦ ¦ rv..a' row 36 1 ',? *- wr w `:1sa Plumber: Conw] Wlte'..?11 Meter No.: A Si": 6&K der No.. alien to amply with the City of Eagan nonem e of Insp.: 3d l k -? WATER SERVICE PERMIT PERMIT NO.: DATE: c 1 No. of Units: of Co otiChorye: 470.00 pd `' L7 ,rt Depo 15.'n p :' Permit Fee: Surcharge: 50 pd Misc. Charges: ') 1' c? met,-.r- Total: Dote Paid: Insp.: Frp- CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road ? .. f: i P. O. Box 21199 PERMIT NO.: 1 Eagan, MN 55121 DATE: _ " ; Ip Zoning: 3 No. of Units: 1 of 42 lex I Owner: Crossroads Prtna,. Address: Site Address: 3610 Denmark Avenue L9 B1 Dyo.srroads of Eagan Plumber' Consollldated Plb7 12-20-84 43446 10C.00 Pr' 1 some to eeaply wish the My of Palen Connection Change: G 2 5.00 ld Ordlnonau. Account Deposit: 1 > PrI .,., By Dote of Insp.: Insp.: Permit Fee: . Surcharge: - Misc. Charges: Total: Dote Paid: _ ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN (? INCLUDE © SETS OF PLANS,- 1 © CERTIFICATES OF SURVEY OF 4 FLG--Y, © SET OF ENERGY CALCULATIONS To Be Used For: Site OAdddress: j?, /\Z, _? 4 ) Valuation: 53,UGY'.? _ Date: 2-/j4/yq Lot. '_ Block:/Sect/Sub: Ckt)SSI aRDs Erect: Parcel #: Remodel: Repair: Owner: ?'P_oss/zyAOS /A47-NF.-SiWIP Enlarge: Move: Address:_/r? Z0 FAST //«l-/i S% Demolish: City/Zip Code: 1?j/17NSV/LC -S3Y7Grade: Phone #: ??;/2) y3L- a yr Contractor: agt),Co,/ Address: /640 ST. City/Zip Code: ??nNSYi«r i17/ ?/? ?s'3jJ Phone #: 6 [2) ?F32' 9 Arch./Eng: wll7farl K/NS?LL Address : i 1 j 31 G, -L AUr NC/'- i/f City/Zip Code: ~1, je ?rUU )'0 //4 Al n.,,,.,?a - r - bq 77 X Occupancy: ?P--I Zoning: Q-3 Type Of Const: I IHiz, # Stories: Length: 1+4 Depth: ZZ Sq. Ft.: APPROVALS Assessments: Permit: 292.x' Water/Sewer: Surcharge: 2(0 •' Police: Plan Rev.: Fire: SAC: Fj z Engr.: Water Conn - : 410.°° Planner: Water Mete r (P3,°= Council: ad Unit: 2Coo,°-° Bldg. Off.: ??? arks: APC : Variance: / I, 7Pa S() ALL CON TRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE © SETS OF PLANS, a © CERTIFICATES OF SURVEY © SET OF ENERGY CALCULATIONS To Be Used For: of 4 F-:?X Valuation: 53,G2?0, Date: Site Address: '0 12 D(:NriPRK Ave. • • Lot: 10 Block: I Sect/Sub: (t?Qgo?j Erect: X Occupancy: Parcel #: Remodel: Zoning: Repair: Type Of Const: iN f Enlarge: # Stories: Owner: Move: Length: Jrl?_ Address: Demolish: Depth: 7-2 City/Zip Code: Grade: Sq. Ft.: Phone #: Contractor: Address: Assessments: Permit: 2212•a? ' City/Zip Code: Water/Sewer: Surcharge: ` Police: Plan Rev.: ¢(o . = Phone #: Fire: SAC: ?j25 Engr.: Water Conn: 4'70,t Arch./Eng: Planner: Water Meter (P3°= Address: Council: Road Unit: 2'(0C;'.! Bldg. Off.: Parks: City/Zip Code: APC: p a S (? nh?„?B. Variance: d ,AL,L CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE © SETS OF PLANS, © CERTIFICATES OF SURVEY © SET OF ENERGY CALCULATIONS To Be Used For : or- 4 FLEX Valu ation:-5-3,000- Date: Site Address: 3&i4 DEIjM442r- A\jE, • • Lot: 11 Block: Sect/Sub: (-2055QOpp5 Erect: X Occupancy: R Parcel #: Remodel: Zoning: 12 3 Repair: Type Of Const: -YC)Htz, Owner: Enlarge: # Stories: Move: Length: Address: Demolish: _ Depth: ZZ City/Zip Code: Grade: Sq. Ft.: Phone #: Contractor: Address: Assessments: Permit: City/Zip Code: Water/Sewer: Surcharge: Police: Plan Rev.: 1410•°= Phone #: Fire: SAC: 525• Engr.: Water Conn: 4'10.= Arch./Eng: Planner: Water Meter j•°D 0 1 Address: Address: Council: - as sy Road Unit: 7 Bldg. Off.: Parks: City/Zip Code: APC: phnna36- Variance: Ilk a \ :Y 141 "A U2 a COLTA AN Eel\ 6 ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE © SETS OF PLANS, X f © CERTIFICATES OF SURVEY UUU SET OF ENERGY CALCULATIONS To Be Used For: I OF IT pc;-=X Valuation: Date:_ _ Site Address: 3olb DENMPt?K `? • Lot. ?Z Block: Sect/Sub:LIZ?P-q pS Erect: X Occupancy: (z-) Parcel #: Remodel: Zoning: (Z-3 Repair: Type Of Const: :g-- BHP-. Owner: Enlarge: # Stories: Move: Length: --44- Move: Demolish: Depth: Z7- City/Zip Code: Grade: Sq. Ft.: Phone #: Contractor: Address: City/Zip Code: Phone #: Arch./Eng: Address: City/Zip Code: Phone#: Assessments: Water/Sewer: Police: Fire: Engr_: Planner: Council: Bldg. Off.: APC: Variance: Permit: Oo 292 Surcharge: Z?.?e Plan Rev.: 4(..°° SAC : 5Z-5-`° Water Conn: 47o,2! Water Meter O3, °B Road Unit: Parks: TOTAL: CITY OF EAGAN o 9 8 1 1 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55 121 PHONE: 4548100 9 BUILDING PERMIT Receipt # Te be used for 1 of 4 Pr FX Est. Value 53-000 Date nvOEn,rRER ? n 119-414.= _ Site Address 3610 DENMARK AVE Erect 11 ? Occupancy Z i R-1 R-3 9 Block 1 Sec/Sub. CROSSROADS OF Lot Remodel ? on ng T f C t V 1 HR EAGAN Repair ype o ons . . Parcel No. Enlarge ? No. Stories Move El Length 4 _ W Name CROSSROADS PARTNERSHIP Demolish 11 Depth 21) Address 1020 EAST 146TH ST Grade ? Sq. Ft. City BURNSVILLE phone 432-8240 Install ? Approvals Fees o Name JADRON Address 1020 F 146TH ST City BURNSVILLE Phone 437 R131 Assessment _ Water 8 Sew. Police - Name JOHN XTNSFi T Fire Address 12131 62 AVF N Eng. City MAPr.R GRnVF Phone 559-0477 Planner Council I hereby acknowledge that I have read this application and state that Bldg. Off. 12/20/84 the information is correct and agree to comply with oil applicable APC State of Minnesota Statutes apdd City of Eagan Ordinances. Var. Date _ Signature of Permittee Permit 797-00 Surcharge 96-50 Plan Review 146-0t) SAC 525.00 Water Conn. .470-..00- Water Meter 63 _ On Road Unit 260.00 Parks Total 1.782.50 A Building Permit is issued to: CROSSROADS PARTNERSHIP an the expren condition that all work shall be done in accordangp)withrfll appliAble State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN No 9812 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # To be used for 1 Of 4 PLRX Est. Value 5 3 (Vin Dote DEC EMBER 2t1 19 R/, Site Address 3612 DENMARK AVE Erect 50 Occupancy R_1 1 10 CROSSED OS OF RACANp emadel E3 Zoning R-3 Block Lot Sec/Sub. Repair ? Type of Const. V 1 HR Parcel No . Enlarge ? No. Stories Move ? Length 44 rr Name CROSSROADS PARTNERSHIP Demolish ? Depth 99 z Address 1020E 146TH ST Grade ? Sq. Ft. z City BURNSVILLE Phone 432-8240 Install ? Approvals _ roes o Name JADRON Address 1020 E. 146TH r- City BURNSVILLE Phone 439-8131 Name 1nHN KIN-PTT Address 17117 69 AVE No City MAPT F GROVE Phone 539 ^r 7-otT? I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with oil applicable State of Minnesota Statutes nd City of Eagan Ordinances. Signature of Permittee Assessment Water 8 Sew. Police Fire Eng. Planner Council Bldg. Off. 12/20/84 APC Var. Date Permit ZYZ.UU Surcharge 26.50 Plan Review 146.00 SAC 525.00 o Water Conn. 470.0 Water Meter 63.00 Road Unit 260.00 Parks Total 1,782.50 A Building Permit is issued to, CROSSROADS PARTNERSHTP an the express condition that all work shall be dons in ogGardonrt with q11 applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN NO- 9 813 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PHONE: 4548100 O Receipt # ,A To be reed for 1 of 4 PT FR Est. Value "I rnnn Date nEC T?- 19=g4-_ Site Address 3614 DENMARK AVE Erect f] Occupancy R_1 Lot 11 Block 1 Sec/Sub. CROSSROADS OF EAGAfflernodel ? Zoning R-3 Parcel No. Repair ? Type of Const. V 1 HR Enlarge ? No. Stories W Name CROSSROADS PARTNBRSHTP Move ? Length 44 Address- 1020 E 146331 ST b City BURN VTLLE Phone 437-8740 iZo Name JADRON u? Address 1070 E - 1.46'!•11 t' City BURNS rT i i F Phone r a j a j F,W Name JOHN KINSELL Uu Address 17131 67 AVP <W City MAPJX-r_un4mhone_559_0_4"- I hereby acknowledge that I have mad this application and state that the information is correct and agree to comply with all applicable State of Minnesoto Statutes o City of Eagan Ordinances. Signature of Permittee Demolish ? Depth 22 Grade ? Sq. Ft. Install ? Approvals Fees Assessment Water 8 Sew. Police Fire Planner Council Bldg. oft12 / 20 / 84 APC Var. Date Permit 797 nn Surcharge 26.50 Plan Review 146.00 SAC 599,00 Water Conn. 470.00 Water Meter 63.00 Road Unit 260.00 Parks Total 1 717 _ 50 A Building Permit Is issued to: RO SROAD PARTNFRe on the express condition itwt all work shall be done in ac=7 me wth all oppj{ybble State of Minnesota Statutes and City of Eagan Ordinances. Building Official L s r •, i.... CITY OF EAGAN N0- 9814 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # Site Address 3616 DENMARK AVE Erect IN Occupancy R-1 Lot 12 Block 1 Sec/Sub. CROSSROAD OF AGkImodel ? Zoning R-3 Parcel No, Repair ? Type of Const. V 1 HR Enlarge ? No. Stories W Name CROSSROADS PARTNER HTP Address 1020 E. 146TH T City BURNSVILJ,E Phone 432_1 40 G Name JADRON Address1020 E. 146TH T u? City BURNSVILLE phone 432-1131 FW Name JOHN KIN E . Address 12131 62 AVE NO Xz A <W City MAPLE GROVE Phone 559-0477 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 Permittee Move ? Length 44 Demolish ? Depth 22 Grade ? Sq. Ft. Install ? Approvals Fees Assessment - Water 8 Sew. Police Fire Eng. Planner _ Council Bldg. Off. 12/20/8 4 APC Var. Date Permit awn Surcharge 26.50 Plan Review 146.00 SAC 525.00 Water Conn. 470.00 Water Meter 6300 Road Unit 260 _ nn Parks Total 1 r 712 -in A Building Permit is issued to: CROSSROADS PART F.RS14TP on the express condition that all work shall be done in turd nca with l applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official 7" o `?-(A City of Eap 0) )IL ?N JUN 16 2008 ----------------- FQ:'tfirt')se 83 t?57 1 ? Permit# I I Permit Fee: I Date Received: I I I Staff: I t-----------------1 2008 COMMERCIAL BUILDING PERMIT APPLICATION i Date: r'CP Site Address: 361zli -6616 Tenant Name: !/ R G y STNS 0 t?3 (Tenant is: _ New / __X_ Existing) Suite #: PROPERTY OWNER Name: ` tt &2 MEGON) Phone: CO.SI- ? '3352 Address / City / Zip: Applicant is: _T_ Owner Coontractor TYPE OF WORK Description of work: "E 29L [tC_ 1!5' ?7ClST I IJ? ? ?? o S? Construction Cost: CONTRACTOR BUILDU-5 License#: Name: ft`,).-N--FR&C ? Address: Zi : 5yl1 `7 r St te: ? L 57 p _ a City: F 1 r I V ? Phone:62y -Z?5 _!j:?.? Contact Person: li ' ,( `rlEIL ARCHITECT 1 Name: / Registration #: ENGINEER Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: Phone #: .: NOTE: Plans and supporting documents-thatyou sutimrt aYe cohsrdered 64't-6e public inforrriafion Poi- ions of ." ,permit, you provide specdic reasons that would he G to . ` the mformatron may be classfied as non public if T- . _ug _.> conclfideythaf the ,?arre trade aecrefs 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- /-7 //1/ X Applicant's Printed Name Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES: ? Foundation Accessory Building ? Public Facility ? ? Apartments r? ? Commercial I Industrial ,mil Ext. Alteration-Apartments "QCp ? Lodging ? Greenhouse ? Ext. Alteration-Commercial ? Miscellaneous ? Antennae ? Ext. Alteration-Public Facility ? Nail Salon WORK TYPES: ? New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Demolish Foundation P3 Replacement ? Windows ? Water Damage • Demolition (entire building) - give PCA handout to applicant DESCRIPTION: 7 Valuation Occupancy MCES System - Plan Review Code Edition SAC Units (25%_100°/n? Zoning City Water Census Code 3?( Stories Booster Pump - # of Units y Square Feet Gy @:3 PRV # of Buildings / Length Fire Sprinklers Type of Const. -T-/3 Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Roof: _ Decking _ Insulation _ Final _ IceNVater Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick _ Fireplace:-R.I. -Air T est -Final Windows Insulation Retaining Wall Final C/O Inspection: Schedule Fire Marshal to be present. _ Yes * No Reviewed By: - ---- , Building Inspector Reviewed By: Planning ----------------------------------------------------- ----------- COMMERClA EES: 30 Base Fee Surcharge Plan Review SAC-MCES SAC-City SNV Permit Financial Guarantee S/W Surcharge Storm Sewer Trunk Treatment Plant Sewer Lateral Treatment Plant (Irrigation) Street Sewer Trunk Park Dedication Water Lateral Trail Dedication Other Col 1;2j Water Trunk Water Quality Water Supply R Storage (WAC) Total Page 2 of 3 ?3 N V XI I Y 0 10 it, 7 7 • ? z IL 7 7. ra I '• z /y !iu bell L F ?r ?X. ? gclo ` ZA' _ 8' ? ° 5& " ..,I I v 1. ? r. ? 4 P 1 W - C,?) P r\ EAGAN REV?IFWED DATE: BUILDING INSPECTIONS DIVISION ' GQQQAIi LOT BLOCK J- SUBD. rJt&LktV-A RECEIPT # S-34 740 J&t) X00 - ? f I UI CITY OF EAGAN SEWERIWATER REPAIR PERMIT 1997 Date: ?f- ?- ?? S,*wer Water Fee: $50.50 /V' (f Description: dex4 j /e d ??tf ??^ d -tom ??t Area/address to be repaired: Installer: Street address: 1,oo-3r-d Sly --r City, state & zip: Telephone #: 1Y63-7Y3/ nn Owner name: ?.sfoK TQh?r ?n? ill Street address: 10 10 146 f k A X15 City, state & zip: sgZ?? - 1141Its LQ0 AAIg Phone #: Y ?Y 3 s2 CITY OF EAGAN 2/84 (W APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPER'L'Y ADDRESS: ? ???f /d.??/??/Y? / LEGAL DESCRIPTION: q O y ?? (Lot/Block/Subdivision or Tax Parcel I.D. Number) I n;IS"_=:G STPECTURE, DATE OF ORIGZIAL EUI DL':G PI;'-ST ISSUAN PPWSr "T Z. `IINr /P?OPOSED USE: ? R-1 SINGLE FAMILY ? R-2 DUPL{ (TWO UNITS) P( R-3 TOtv&II?CUSE (TH.1= + UNITS) ( l WITS) ? R-4 APARU1ENT/CCNDa4INIUi1 ( UNITS) ? COtiMEPCLAL/Rm_AIL,/OFFICE ? INDUSTRIAL ? TNSTITUTIONAL/GOVERI`I. FNT 2) APPLICA%P NAME: (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PHONE: PLUMBER NAME: PLEASE PRINT) ic /VS C/ % FOR CITY USE ONLY [ n C OjfT???llr/? l ?a ADDRESS: Alb PLUH?ER NSE: Active CITY, STATE, ZIP: Expired PHONE: Ji.n PLUMBER LICENSE N fGe-K Q Not of Record of n3t33 4) OCCUPANT/a,7NE R NAME: L_ ?0fS/1O/?G? tglpWi 3,17PT 1 ADDRESS: ??0 L 1( ?. fT CITY, STATE, ZIP: U ytGYLG E PHONE; ?ZS?Ij 5) INDICATE WHICH PERMIT IS BEING REQUESTED: [? CONNECTION TO CITY SEWER CONNECITON TO CITY WATER ODIER (PLEASE DESCRIBE) b) livUiQ?Li: U2iEL: - PMn,SE HOLD APPROVED PERMIT FOR PICT:-UP BY ONE OF ABOVE P :TAIL APPROVED PEPMIT TO 1, 2,0 4 ABOVE (Circle one) 7) SI=TURE: DATE: & ?D ? ?l q+L+Y1A?.1s ? ? s! lsg? ! ?{ ?4t ??:aa i as ? ?Fiii :? a ! ?a!#:rrilyri 1r f? ? /R SeFia?i/ Q F O R C I T Y U S E O N L Y PERMIT u ISSUED FEES: $ gyp, S° $ 1J $ $ SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER TOTAL AMOUNT PAID/RECEIPT $?-- 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. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED Byf.?,!?? TITL£?L? ?&- ? ? DATE : / _;;? - New"" a=mwme a**m rcmaawmmommomwqp=m wtwRa""m maw-ing mum RmM%wmm--ps Rasawwug?w wm j 2/84 i CITY OF EAGAN ' 1111 APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: e (Lot lock/Subdivision or Tax Parcel I.D. Nurber) IF EYIS ::--G STRU=JRE , DATE OF ORIGINAL EUILDING PE:AIT ISS!:A-;CE: ear) PPS 2^`IINr:/P?OPOSED LTSE: ? R-1 SINGLE FAMILY ? R-2 DUPL.`'Y MTO LTTITS) ,P( R-3 Ta,7,TCIJSE (TI p + T, ]ITS) UNITS) ? R-4 APAR? ? Tl'/COiTDa%1NIr-M ( WITS) ? CCLMN ERCLAL/RETAIL,/OFFICE ? mDIISTRIAL ? INSTTI'L'TIONAL/GOVERr1%= 2) APPLIC.AV'T NAME : (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PHONE: rM PLEASE PRINT) FOR CITY USE ONLY NAME: Jc vsaCiO/lF0 !z/?4 fiT? ?• ADDRESS: PLU ERS LICENSE: Active CITY, STATE, ZIP: Expired PHONE: pa Ji.n 274--/o PLUMBER LICENSE # All ?--f/ Q N t _Recofd at nitia 4) OCCUPANT/CF'JNER TPLLA]L PN1N1) NAME: /`k'a5'S /? ps p/rTiYG-rU?i/} ADDRESS: CITY, STATE, ZIP: gUl?NSi/iLi G^ PHONE: y?z ?? f U 5) INDI= WHICH PERMIT IS BEING REQUESTED: 0 CONNECTION TO CITY SEVIER CONNECTION TO CITY WATER ? OMER (PLEASE DESCRIBE) b) INDIG,i:. ONE: 7) SIG:.?•I[,12E: r PERMIT FOR PICT:-GP BY ONE OF ABOVE PLEASE D*flTT APPR PER%UT TO 1, 2, (?j) 4 ABOVE (Circle one) Tr/ DATE: ae, /O i? '?Rq !>f?smeNli:g?at iI•ltii i! iftm?wyww? m F O R C I T Y U S E O N L Y PERMIT °- ISSUED I FEES: $ / S.,? D- RNITT ? - or - x';rER (I_ICLU?n SURCHARGE) $ le U ° WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ /cam- ? =CCO :i'? = GSi: - S77, ER $ S • ??J ACCOUNT DEPOSIT - WATER $ 7 D ° WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER ?? TOTAL AMOUNT PAID/RECEIPT 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. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY. ?,.4 le? TITLE:,{' 4e- DATE: Z??_ W&W NO RUM ELM WOMM OUR §WJM@ MUM WLw W&+ wF Wse =_-P4 w.a rtM>aa sJM W i 2/84 f CITY OF EAGAN ?(( APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: (L ot/Block/Subdivision or Tax Parcel I.D. Number) 17 EYIS:'_:G STPU=-T:RE , DATE OF ORIGl IAL BUILDL`.G PEF-'= ISSUA-NC : PRESET C `T1'1r PROPOSED USE: ? R-1 SZGLE FAMILY ? R-2 DUPLZ(710 UNITS) je R-3 TCINHCLTSE (TILpEv + LTITS) ! f WITS) ? R-4 APAcZ2E:,1T/CCi a=11LM ( UNITS) ? CaMMETRCLAL/RETAII,/0FPICE ? DMUST:RIAL ? INSTI=TIO:IAL/GCiVERNP4ENT 2) APPLIC?WP NAME. (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PHONE: 3) PLL??ER NAME: (PLEASE PRINT) ??NS FOR CITY USE ONLY GCiO? /Q /?? L HTG' CO ADDRESS: PLU ERS LICENSE: Active CITY, STATE, ZIP: %i?r'i?SULC L /??/ Q Expired PHONE: ?itn PLUMBER LICENSE N Q Not of Record - Star?Tnitial- 4) OCCLTANP/CroZim (PLLASL PRINT) NAME: L'49 'S / l,g?_f?/I yiNl 'H//? ADDRESS: Le -)L' /yl' CITY, STATE, ZIP: l//;,jySyjLLL- PHONE: y71 er?yd 5) INDICATE WHICH PF04IT IS BEING REQUESTED: y (i CONNECTION TO CITY SEWER CONNECTION TO CITY WATER ? OTTUP (PLEASE DESCRIBE) b) liJll1G'iiL U: Y:: ? PL£aSE HOLD APPROVED PER,%1IT FOR PICK-UP BY ONE OF ABOVE E " IL PROVED PERMIT TO 1, 2,C3) 4 ABOVE (Circle one) 7) SIGAIGRE: .G« Ls 4:'-gA ??„/ DATE: //- /e, /1?5? ??ea+??wr.?s.sisa wc?aar?lsr+?sas?aa+?ssrFSa?r:iaat rea?a...' ? •` ' ' • F O R C I T Y U S E O N L Y PERMIT ISSUED FEES: $ D. v-d $ / a ffi a rr S S $ $ l a?. ?J $ 'Y 74. $ $ $ SP'WER PERS?IT (INCLUDE SUPCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER TOTAL / <? AMOUNT PAID/RECEIPT $ 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. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ?j TITLE: DATE: '+ ways.s.sswcaswESw?wwt wsswswa?t?wrwwtwryww.aaewsaa=Pmo Raw:wwtw.sw. 2/84 i CITY OF EAGAN 1411( APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: yb?/g? LEGAL DESCRIPTION: `(M t/B /Subdivision or Tax Parcel I.D. Number) IF F YZS ?:u STRUCPTRE , DATE OF ORIGuIAL EUIL='G P?:IT ISSC?-\;C : PRESET 0^`II2?/PROPOS D USE: ? R-1 SIN= FAMILY ? R-2 DUPLEX (TWO UNITS) 0 R-3 M.,R?FCUSE (T-R= + DNITS) UNITS) ? R-4 A2ARI SEAT/CC EC'S7ILtiI ( UNITS) Q CC%IMERCLAL/REI'AII,/OFFICE ? IIMDUSTRLAL Q INSTITUTIONAL/GOVER2,= 2) APPLIC?V•P (PLEASE PRINT) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) PLU,1BER NAME. PLEASE PRINT) FOR CITY USE ONLY ADDRESS: PLU RS LICENSE: Active CITY, STATE, ZIP: Expired PHONE: Z/z-"n' 'P'LUMBER LICENSE N ID?y Npt of Record ?k? arr nttia 4) OCCUPANT/a,7?iER tPLLASE PRIM) NAME: 6f L25' c//OS?I ADDRESS: /419_? 5'T CITY, STATE, ZIP: ?jU?/YfU/LL"G^ PHONE: f?i2Zy? 5) INDICATE ,'7HIC1I PERMIT IS BEING REQUESTED: CONNECTION TO CITY SEWER CONNECTION TO CITY STATER El OumER (PLEASE DESCRIBE) b) 1NU1L<;iE C:.:: 0 PLEASE HOLD APPROVED PERMIT FOR PICT:-UP BY ONE OF ABOVE PLEASE-1111AIL' 1CPP 2OVID PER"UT TO 1, 2,n 4 ABOVE (Circle one) 7) sIm:AmRE: Gam/ DATE: ?& e //?i? ? ?! q:RMfcffa i? it salR:g? apt t Ae pir? as I? f 1?.saa:p a at ?aElalils?? f?,a? ? ? ?' 1F?.?- p F O R C I T Y U S E O N L Y PERMIT ° ISSUED FEES: $ / G1_? d $ $ tt? $ $ $ $ L??D $ SETriER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SES•7ER LATERAL BENEFIT/TRUNK WATER OTHER $ TOTAL ' T _4"?:40 AMOUNT PAID/RECEIPT # 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. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED TITLES DATE: q•M !s M=! Wl?M q! W Ml WUW R.# qE M M Wli4 R" R:W R:A q! 4PiW W"m MUM qE W !R W--P@ R# !k W m4 W"m ? ? 11/29/2016 1 : 18PM FAX 9529858836 Bulldog 110001/0003 Use BLUE or BLACK Ink For Office Use * City Of —tan Permit Fee: 9-7 ` 0 0 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)675-5694 Staff: J 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11/29/16 Site Address: 3610, 3612, 3614, 3616 Denmark Ave unit#: Crossroads Partnership 651-454-3352 • Name: Phone: ResiientJ, 1500 McAndrews Rd W. Ste. 100, Burnsville, MN 55337 • er is Address/City/Zip: • Applicant is: Owner X Contractor Remove & replaced asphalt shingles Description of work: p p 9 Type;'or'work Construction Cost: $15,000.00 Multi-Family Building:(Yes /No ) ° Bulldog Contractors, LLC Peter Retka • • Company: Contact: ;`..;• ,•. `;.`4,.r 21663 Cedar Ave Lakeville Address: :contractor+ ;< City: - State MN Zip: 55044 Phone 651-253-8211 Email: pretka©bulldogroofs.com BC639635 NAT-F162654-1 ' ' License#. Lead Certificate#: If the project is exempt from lead certification, please explain why: � 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: Ucensed Plumber: Phone: Mechanical Contractor. Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: 'NOTE:Plans and supporting documents:that you;submit;are considered to•be public,information: Pgrtions.of•' the Information may he 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. 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.aoohorstaleonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances end codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Peter Retka x . Applicant's Printed Name Applica s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155222 Date Issued:05/06/2019 Permit Category:ePermit Site Address: 3610 Denmark Ave Lot:9 Block: 01 Addition: Crossroads Of Eagan PID:10-18700-01-090 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Crossroads Ptnshp 1500 Mcandrews Rd W Ste. 100 Burnsville MN 55337 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature