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4109 Diamond DrCITY OF EAGAN Remarks * Cedar Grove Acquisition Lot 15 Blk 3 Parcel 10 16700 150 03 Diamond Drive State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1985 1266.9 84.46 15 STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL (fj( T972__ 1,304.00 2.16 25 Paid 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 PERMIT NO. Dakota County. Minnesota Date .............. Application for Building Permit Type of building or work contemplated. Circle correct descriptions. Aesidenfial Commercial Industrial Other.-- ......................................---------...._.--........................-.........--. Build Enlarge Alter Repair Install; Move Wreck Other. ......... ........................................ Dimensions..L..?1_?-W/..l??tz cost .... Details or remarks .-.1Sr.em?L ....... _ .-- is .....T.i4T-icy.-.-..., /L..-_..... .....57`:i~T...5.S---- A----4-?. x--- ? Location Lam; c c i> D C c, ?L Number Street Between what cross streets Siro Est. Valuation 4rag n/"n' i-pi c ti Lot Block Addition Rearrangement or Tract C ? ? C C? 1 Owner .....---._-/ ....................../............../y................. .----------- ........ Address ........ .------------------------------- ....--------------- .-.------------.....---------.. _-.. C Coniracto / .. G."?C :°"..... :...`...z :G.-......... Address ? ?3 ! /) ??l 1 C Pf- L ?i-SI G /Ll The undersigned hereby makes application fora permit to $ do work as herein specified, agreeing to do all work in strict Total fee collected. accordance with the building ordinance adopted April 11, 1955 by the EEEaaagun Township Board of Supervisors. Permit fees are not r refanundable. ?? ../ f?_/"o". Signed CITY of EAGAN BUILDING PERMIT Owner L/ ...... ?Ly ..oq . ........... .?.......................... Address (present) ---...•T I / .0./ ............. Builder ....... Address P`P?..fly.......y.....Q.e.....rS ............. DESCRIPTION s. iw N2 3983 3795 Pilo! Knob Road Eagan. Minnesota 55122 454.8100 Dale .lQ..:.ILl..?f..tp... ............... Stories To Be Used For Fron! Depth Heigh! Est. Cos! Permit Fea Remarks _ /a 16 /5cc ?? a QD ....!..Q..' ... .. :............................... ........................ Per .... ...... ...{. :!:'.7......................... ............ Mayor Building Inapeelor?? This permit does not authorize 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 EPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. nn G7 ,(? ?y This is to certify, that... .....!C.?.a.o?.q as:...... ?.r.Y..'......has pezmiufon to erect s..,/..gz .:[%aP.?l..?......__upoa the above described premise subject to the provisions of all applicable Ordinances for the City of Eagan. z 2005 RESIDENTIAL BUILDING PERMIT APPLICATION n - City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use On 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Can of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Reod _Y _N . 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pros Required _Y _N I set of Energy Calculations Addition - indicate if on-site septic system On-sfte Septic System _Y _N 3 copies of Tree Preservation Plan I lot platted after 71153 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Cy Date ? / ter` ?? Construction Cost /s-W Site Address y ?dc? b/Cwro, J ?? - Unit/Ste # L Description of Work o d I Multi-Family Bldg _ Y 3?- N Fireplace(s) 0 _ 1 _ 2 Property Owner a VAC % L R? (( Telephone # VOTE) y S,q-/ 7 C1 Contractor DN P ( 5 ? Address . City State Zip ' /P /11 Telephone # ( ) -19 COMPLETE THIS AREA ON Energy Code Category - Minnesota Rules 7670 Category I • Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. ) a WW- S L g V`C- Applicant's Printed Name Applicant's Signature c MASTER CARD LOCATION OWNER STRUCTURE AND _ ?a? ,/ ,,) .^ D p A LAND USED AS =-i-fy'/-C vC/ .LY ?AlL?i?ar Permit No. -I Issued - Issued To Owner Contractor BUILDING PLUMBING ? Joao. CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: /Q Use BLUE or BLACK Ink r————————————————� I For Office Use � �' � Permit#: � ' � j I�d 0� �� . � Permit Fee. `� `� �,ee �f;;, 3830 Pilot Knob Road ��`4�.�-_� `'�--.t� j jn [�} -�� I Eagan MN 55122 � Date Received:lY � Phone: (651)675-5675 ��f{� � � ��i� I 1 _, I Fax: (651)675-5694 i Staff:�4�J i ------------- -- � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �� Date: �9 � Ig �� Site Address:�C�� Qf' ��• Unit#: '�\��\, {--_. r�,/ y Name:�,.� t IM �C�V C-� Phone: I�D�Z�j�' ��7`7'' �� :�� .. Address/City/Zip: `?"f��_�I G�iC>H�-f ��- - � �,� �; Applicant is Owner `�� Contractor �� ,� ' ' Description of work: ��o� ��I�P� �� ,� ,Y� � Construction Cost: �a � Multi-Family Building: (Yes /No� u `� � �-- . .. �; \�, � Company: ��!c-� �SC tc V't b 6z.S Contact: �C.v t w � � ` y�� `� Address: �,��l Dt�[C.-LfF4fN� ��--- City: �J V�S v��l-e.' ` �+�? �`8�#€�� ,/�/� �\ ��'`�� : State:�� Zip: �� Phone: �O IZ��(�3�Email: �CG.k-e..LY�,��C��-.�i��(Du�t��C ��F � � ,7 / /� y�� License#:p�-l�g 7ro.�c,� 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer�Water Contractor: Phone: Fire Suppression Contractor: Phone: �t�'?TE !�'tans� �u�: �tin� ��i�+�z��th�,�c�u�r�bmrt ar� r� �d tt�be�t��lic;�r�f�rmatrc� �� r��a�' : '� : �� e . \ .... -�� e� : � : f�� trrr�ti�a��n�y��la,�sr'�iec�� ;p� �'�`you,��tr�tle s�ec►�i�r�' tt��h�t wat�td ��C��y tt� ' � ,�� l��t �`i�, #�atle �c � � �� , e -:. �. :, , .. . ��.. s ,��.� ��°,� ��.��. ��;- ,�:. . , 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.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. 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. l-�" X �l��`v �. �nf�l�- Applicant's Printed Name pplicant' ignature Page 1 of 3