4084 Diamond DrINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3630 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Cot 1 ?i 1. OC k = 2 APPLICANT:
4004 DIAMOND OR KAUSHA6EN
CEDAR GROVE 3RD (612) 451-1844
PERT I4T PUBTYPE:
TYPE OF WORK:
Control No. 0414
"to ItnINR
0008 1 1
06111/92
DUDLEY
M
Permit No. Permit Holder Date Tblsphone i
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Dabs Insp. Comments
FootingsI
Foundation
Framing
Roofing
Rough Plbg.
Rough Mtg.
Isul.
Fireplace
Final Hbg.
Orset Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Fnr./Plan
Bldg. Final
Deck Fig.
Deck Final ` ?
well
Pr. Dlsp.
CITY OF EAGAN
Remarks Cedar Grove AcM;isition
Owner L )7«,;-LG 44 Street
Parcel In 16702 Q10 Q2
StateEagan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL 1(f (B 1972 1304.00 2.16 2 P d
WATERMAIN
# WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
EAGAN TOWNSHIP
j? BUILDING PERMIT
Owner ----W ........
Address (present) -.-..:..'.-Llt*-?
Builder .............................. _.......------------------ ------ -
Address .....
N° 814
Eagan Township
Town Hall
Date --°--1..//.-.lv.._?'.......
Stories To
Be
Used
For_ Front Depth Height Est. Cos! Perini! Feel eemarks
?
p
?
LOCATION -
Street, Road or other Description of Location Lo! Block Additions or Tract
g
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT O)I&THE?PREMISE //WHILE THE WORK IS IN PROGRESS.
This is 20 certify, that.. .<f.' ?:rY-.°....4.- t--_--has permission to erect a.......................................... ` upon
the above described remi -sub] c to the provisions of the Building Ordinance for Eagan Township adopted April 11,
1955.
.......................:.-----......air..-_............. Per .--- -...------ ....................--------/.. P ...-------...
Ch ......
man of Town Board / Building Ins or
PERMIT F Control 0414
?
CITY OFSEAGAN `
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit
Number:
000511
(612) 681-4675 Date Issued: 06111/92
SITE ADDRESS:
4084 DIAMOND DR
LOT: 1 BLOCK: 2
CEDAR GROVE 3RD
DESCRIPTION:
Building Perm it Type DECK
Building-Work Type NEW
UBC Occupancy R-3
REMARKS: C 0l97a3
14' X 22'
B' X 8'
FEE SUMMARY:
Base Fee $25.00 COPY $.50
Surcharge $.50 Total Fee $26.00
Subtotal $25.50
CONTRACTOR:
OWNER: - Applicant -
KAUSHAGEN DUDLEY
4084 DIAMOND DR
EAGAN MN 56122
(612)451-1844
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L-
/ APP[ JET 'V ??
A ICAN PER ERMITEE SI NATURE -Into u-ti ISSUED eV SIGNA UR
PERMIT # CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
All 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural.& structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re guest is made or lot Shan a is re guested once permit is issued.
°
Date 1 / 7_ / _I Zf_-2- Valuation of work c7- J? di
Site Address: ua&'-'f P(Aft'?0WO P
STREET STE s
Tenant Name: (commercial only)
LOT 1010 BLOCK UC. EDEl (gf_0?z- 103
..
P.I.D. f
Description of work: E;
The applicant is: ® Owner ? Contractor ? Other (Describe)
?5?-az`?d'd -
Name KflUS-HA 9AI Dt)_V _GY Phone
Property LAST FIRST ys/ _ Y49 b."
Owner Address L10 'Dl Am o rw o V e2
STREET STE #
city State f I?Zip 7- _Z,
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
/
Signature of Applicant: ? s
W4
OFFICE USE ONLY
BUILDING PERMIT TYPE `-
? OI Foundation ? 05 Apt. Bldg ? 09 Basement Fin ish ? 13 Coon/Ind `flew
? 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 14 Comm/Ind ft
? 03 Two family ? 07 Fireplace ? 11 Res. Add. ? 15 Comm/Ind Rem
? 04 Multi-fam. T.H. t`08 Deck ? 12 Res. Porch ? 16 Public Fac.
? 17 Agricultural
WORK TYPE
31 New ? 33 Alterations ? 35 Move
? 32 Addition ? 34 Tenant Finish ? 36 Demolish
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy- 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. ?- Fire Sprinkler
Length /yxz z x /B On-site well Census Code y?+
Depth 8 xjg7 e x/2 ' On-site sewage SAC Code
APPROVALS
Planning Building U S,y`. 1 Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Fi nal ? Draintile ? Fireplace
Permit Fee ?5 - Valuation: i
Surcharge sv
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surchargge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total: ql,.
SAC %
SAC Units
?.