4261 Diamond DrINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: lilt ANONA OR
? 1 I I A li #:i fi t 1'11 F ?' i•! E+
PERMIT SUBTYPE:
9 F,
APPLICANT:
TYPE OF WORK:
Al 1FFRAI TW4
NA t FI Ftv14of?,/WN01-j REP
OF CI?IP'T ION
INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR.
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING.
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
'ilr/v s
/AL-L-
f-1 ff 10 tv,,
- - - - - - - - --- - - - - -
INSPECTION RECORD Control No. 1322
CITY OF EAGAN PERMIT TYPE: BU 1 I DIN&,
3830 Pilot Knob Road Permit Number. ! "3 *1
Eagan, Minnesota 55123 Date Issued: 1.1 /10/92
(612) 681-4675
SITE ADDRESS: t v? ;
42A I DIAMOND OR
f,. P OAR GROVE 2NO
PERMIT SUBTYPE:
E (hSic..)
Hf MAltk 9; PEcE 11'1 #
11 B L OC. K% a APPLICANT:
TWIN CITY STORM RASH CO
(612) f"46--8160
TYPE OF WORK:
NEW
OESCIRIPTION SIDING Zip,
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CITY OF EAGAN
n..a.
Owner
Grove
Street
T?-1?C ?--'(imp 1
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. PPIS 9 5 1266.95 84.46 15 1266.95 0009264 8-27-84
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL 1304-T) 52-16 2 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
'./ pQBUILDING PERMIT
Owner ,. . J?iC..fiC.?:1CrYRA...............
'-.
Address (present) ........ .... l...L...1....... . ehalvt
Builder :------'...... .----------------------------------------- -- ----------- --
Address
DESCRIPTION
N° _718
718
Eagan Township
Town Hall
Date
Stories To Be Used For Front Depth Heiigh! Est. Cost Permit Fee Remarks
LOCATION
Street, Road or other Description of Location Lot Block
Addition o Tract
C?.
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 KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify. that_ .............................................................has permission to erect a-------------------------------------- ..._...........-..-...upon
the above described promi ubject tto the provisions of the Building Ord' rice for Eagan Tow hip
adopted April 11.
r
1955. ???--'s. c _?A1
.................'- '---- ....-.........of --nwn I-----..........--... Per ------.... ..... .y""!d'..
Chairman of Tnwn Board Sui n Ins actor. .. -...
I
EAGAN TOWNSHIP No 657
BUILDING PERMIT
Address
DESCRIPTION
Eagan Township
Town Hall
Dal
l---??<l
Stories To Be Used For Front Depth Height Est. Cost PJR mit
Eetl Re _ r s _
' -
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 MUSTyg},g /??rEPT T I EILE THE WORK IS IN PROG?g?/SS.
??-
This is to certify, ihrtt'L!C ? 6 =A ..-... `..has permission to ere a---T"......_ ... .................................upon
the above described premise subject to the provisions of the Building Or nce for nsh'p adopted April 11,
1955. ,?Jp
-".f-¢ ,
_..------------ ..._.-------- .--------------------------------------- Per
Chairman of Town Board it i rJ Inspector
II?IIiII Iu Q II I II REQUEST FOR ELECTRICAL INSPECTIONs5
V'ul Minnesota State Board of Electricity
1821 University Ave., Rm. S-128, St. Paul, MN 55104
* 0 L24 5 6 1 1* Phone (612) 642-0800 S J
Home Uupez Apt. Bldg. Othe% New Addn
Commercial Industrial Farm Remod a air
Ar Cond. Htg. Equip. Water Htr. Load Mgmt. Other.
Dryer Ran a Elec. Heat Temp. Service
abboo Qe the he/?w.o?rk? covered by this request. Enter remarks in this space and on the back of the white copy only.
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee:
Other - Fee # Service Entrance Size Fee # Circuils/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ug./Traf is Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECTOR'S USE ONLY TOTAL
Sign/Outline Ltg. )(fmr. '
Alarm/Remote Control aD-
Swimming Pool
I here tern char I Ins d the elearical ins o anon desuibed herein on the dares sated
Irrigation Boom Rough-In Dole
S
ecial Ins
ection
p
p
Investigative Fee Final
TH IS INSTALLATION MAY BE ORDERED DISCONNECTED(W )WT CO D IT IN 18 MONTHS.
245-672 OFFIC US ONLY This request void 18 months from validation dale printed in this baU? O
S?7 5S'
_- 4
ryp1
PLEASE PRINT OR TYPE
Regsest Dak Rough-.n inspetlion regwred2 ? Yes ON. Inspection Other Than Rough In: ? Ready Now Will Call
i (You must toll the Impecor when ready) Date Ready:
I,. ? licensed contractor ? owner hereby request inspection of the above electrical work at:
Job Address (Street, Box Rouk No.)
. City Zip Code ?J/
/
Section No, Township Name or No. Range No. Fire No. Coon,-2
Q
Phone Nv /n
3
r
/ ^
Power Supplier Address
EI rmactor tCampany Name)
)0,4567V Contra cor Liceme Na. Moskr tic No. (Plant Elect Only)
Mailing Address (Contractor or Owner Pert rmm, Inst9bloyan)?• n ?
A a (ContmMrorO rP nsml n) Phone No.
??J 7
E8- lA- 0 6/95 S ATEBOARO COPY-SEE INSTlIUCTONS ON BACKOF YELLOW CO
REQUEST FOR ELECTRICAL INSPECTION r°. E-
,See instructions (or completing this form on back of yellow copy.
T `8?5,0 2
X_eBelOw Work Covered by This Request
Ne Add Rep. Type of Building Appliances Wired Equipment Wired'
Home Range Temporary Service
Dtq)lex Water Heater Lighting Fixtures
Apt. Building ryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Fa on Other SPec,fy Other ISpecifyl
I her l5ppcifv Other Other
Compute Inspection Fee Below
p Fee Service Entrance Size {I Fee Feedars?Subfeeders k Fee Circuits
0 to 100 Aln )s 0 to 30 Aro)s j 62 4-0 0 to 30 Amps
101 to 200 Amps 31 to 100 Amps 31 to 100 Amps
Above 200 Amps Above 100_Amps Above 100_AmPs
Transtormers Remote Control Cite. ,S"V lpartial%Other-Eau
Signs Special Inspection ? T
Remarks •
.
??•'?
OTA
E
G?
Roughs Data , v
I, the Electra aI
Inspector, hereby
certify that the above
Final D+' a inspection has been
made.
18 months honi
This request void Y12,q
TI 8 5-5"'0 2
Lily 6$, r?VF- ` 3I s`ls
/0,00
Request Date Fire No. Rough-in Inspection
Required
?Ready Now - Notlty
Insuec-
7 _? ,.,., /
?Yes LfNO ,
tar When Ready
wensed Electrical Contractor I hereby request inspection of above
? Owner electrical work installed at:
Street Address, Box or Rf Nn. . Ci
4 C2' /V
O 0 fa°
ecLpn No. Township Name or No. Rangc No. County /"Z'/
INT)
L T`h non No.
Ppwer Supplier Address
Electr'cal Contra clor (C ompan Namol Contra rtor's License No.
cc7`2?- s?? S' S'J
i
.
o-Address (Co ractor or Owner Making Ins ti
'on
l
?
h
?
Auth na ?1 ntractor w r Making Installation) Pane Nmnber
?J
YY ' ?
t J
MINN SOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Roam N•191 BE ACC EPTEO BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 - UNLESS PROPER INSPECTION FEE IS
P6nn. IR121 297-2111 ENCLOSED.
,q,)-7r
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
I
11 ? `-I S
New Construction Requirements RemodeVReoair Requirements Office Use Only
3 registered site surveys showing sq. ft of lot sq. ft. of house; and all roofed areas 2 copies of plan _ Ced of Survey Recd
(2(r/. maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Reod
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addillons & decks _ Tree Pres Not Reqd
l set of Energy Calculations Addition- indicate ifon-site septic system _on-sile Septic System
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date 3 7 03 Construction Cost $4,035.00
Site Address 4261 Diamond Drive, Eagan MN Unit/Ste #
Description of Work Tear off and reroof
Multi-Family Bldg - Y x N Fireplace(s) x 0- 1 _ 2
Property Owner Dakota County CDA Telephone # ( 651) 675-4481
Contractor Kathy's Construction Inc.
Address
State 7837 12th Avenue South
MN City Bloomington
Zip 55425 Telephone # ( 952) 854-5884
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/ Water Contractor
Telephone #(
Telephone # (
Telephone #(
IN MAR 1 U
I hereby apply for a Residential Building Permit and acknowledge that the inform ion is corn_d ac urate;
that the work will be in conformance with the ordinances and codes of the City ?an and the Siate r ?_ f MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
( 1 16A uwe!?,
Applicant's Printed Name App 4nt's Signature
PERMIT#u
RECEIPT DATE!
8008 RESIDENTIAL PLUM$INfi PERMIT APPLICATION ?j
CITY OF EmAN Q '4'0
3830 PILOT KNOB RD U a _ - D a
£AGAN. MN 55122
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEAWRESS: L}ZlQ
OWNERNA : 1Y2Vf- TELEPHONEM
INSTALLER NAME: V I bLSOR, P1 C TELEPHONE #:
STREET ADDRESS:
CITY:
STATE:
J?1 L( u
3 -y5y 5
ZIP: 55 9
SEPTIC SYSTEM, new/refurbished (r uires two sets of plans and MPC li nse) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING D LLIN NIT, INCLUD ING:
Adding fixtures to lower levels or room additions, a uding ater softener a d water ters. $ 50.00
_ Abandonment of septic system.
_ Water turna nd - existing dwelling unit (+ /8" m ter if nee ed 118)
Other:
\
RPZ: new installation/repair build $ 30.00
awn irrigation, system
Replacemen dditio I: so ener water heater $ 15.00
State Surcharge D iC fc' /7 $ 50
/dN 2 1
Total 2002 $
I hereby acknowledge that I have read this application, state that the information is correct, an a to ' m`p?yedRf li e City f Eagan ordinances. It
is the applicant's responsibility to notify the property owner that the City of Eagan assume o'lipbility fora damage cause City during its normal
t7d"AJ
UtZ"'C,
AREA CODE)
operational and maintenance activities to the facilities constructed under this permit with il?lri f / , se ent. Q
SIGNATURE O PERMITTEE 1/02
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: ERICKSON PLUMBING
ADDRESS: 1471 92ND LANE NE
BLAINE MN 55449
LOCATION: 4261 DIAMOND DR VALUATION:
RECEIPT #/DATE: 2199312-1-02
REASON FOR REFUND: NO PERMIT REQUIRED PERMIT #: 48825
TYPE OF REFUND:
Plumbing Permit 9001.4087 $ 50.00
Mechanical Pemtit 9001.4088 $
Building Permit Fee 9001.4085 $
Plan Review Fee 9001.4222 $
SAC (MC/WS) 9220.2275 $
SAC (City) 9379.4681 $
SAC (Admin) 9001.4246 $
Water Connection 9220.3865 $
Sewer Permit 9220.4532 $
Water Permit 9220.4507 $
Account Deposit
Water Meter
Water Treatment
Surcharge
Overpayment
Curb Box Deposit Refund
Construction Meter Dep Refund
Other
9220.2252
9220.4509
9220.4685 $
9001.2195 $ .50
9001.2250 $
9220.2253
9220.2254
TOTAL $ 50.50
I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
February 1, 2002
SIGPJrti RE DATE
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
EF3gar,; Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE: BUILDING
Permit Number: 0 3 2 2 8 2
Date Issued: 06/23/98
SITE ADDRESS:
4261 DIAMOND DR
LOT: 11 BLOCK: 8
CEDAR GROVE 2ND
P.I.N.: 10-16701-110-08
DESCRIPTION:
i
BATH REMOD/WNDW REP
B-uild'3n"q„-Permit Type SF (MISC.)
Building. Work Type ALTERATION
Census Code 434 ALT. RESIDENTIAL
REMARKS:
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
Total Fee
VALUATION
$174.75
$113.59
$5.50
$293.84
$11,000
CONTRACTOR:
D6J REMODELING
350 FULLER
?y!{? PAUL
(612) 690-2649
- Applicant - ST. LIC
16902649 2006980
AVE
MN 55103
OWNER:
DAKOTA COUNTY HRA
2461 DIAMOND DR
ROSEMOUNT MN 55068
(612)423-8171
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of-Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE
application and state that the
with all applicable State of Mn.
ISSU IGN R
J
6
y.yyyny`yy y,{ JJ''yy.y,..y_y.yuw, yyyy. yy?.yy+g.. . yI"{yy,y.y.y,y).gIXlT,TR`TITTMT'n`4TTM9MMTMTT9TTTTT??X?`T1"PTf MMT '!.
A.ttlER f TERMINAL .',15%0-3-1 Mo 808;
'PATEN . 96/2'is8 TIY 2
TDa
NAME'd, D t J REMODELING 5ErVlCE
,32i0 9001 4261 DIAMOND -DR , 174.75
:3422 9001 426i DIAMOND .DR l,i3.59
2i55 900i.4261,D[AMONDLiR 5.50
Total Receipt Ap,»>nt: 293.84
CR094084
USER-ID. NANCY
?k?NX?YF*?Xc?;?sk?k?>X?k?NC?;?k?c?k??*?C?KtX:XkYe?czk '
52 1 38 BUILDING PERMIT APPLICATION (RESIDENTIA 7 13 34
W2013 (? ? CITY OF EAOAN
3830 MOT KNOB RD - 55122
681-4675
New Construction Requirements
? 3 registered site surveys
? 2 copies of plans (Include beam 2 reiric•: sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted after 7/1193
required: _ Yes _ No
DATE: to ` (r `::N
Remodel/Repair Requirements
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
DESCRIPTION OF WORK:
STREET DRESS: 1f L Q ( UIXI-W)Al® V
1I BLOCK: SUBD./P.I.D.
UCTION COST; 4L
Name: Vl+lO} A 69yiV/ 17 /-1 Phone#:
PROPERTY Lait Firsts ?Z3`?17I
?J T,[
OWNER qy, Z&x S7i?.G
Street Address: 1
City ,Q?Sn?ocw? State: /?fit/ Zip: '5t061
Company:, 1 T) ?I 11?C7? lr /y &Phone #: tF /lnn "? ?v??5 c'J
CONTRACTOR
Street Address: 350 teiey ;< XVZ5 License # yooT902-
city 1944 State: Zip: ?rJlt? ??
ARCHITECT/ //
ENGINEER Company: 1-
Name:
Street
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
State:
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the info on is ect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
? - hV-
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
Phone #:
Registration #:
Zip:
OFFICE USE ONLY
a -`.4 ?;
Of".
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
XL 05 SF Misc. ? 10 = plex
WORK TYPE F".4-rt+po? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi Repair/Rem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
? 15 D
ck
IZF e
v Z?fL / WIAIWo) rZ?7PL ?1GBMSn1T-
0 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft,
sq. ft.
Footprint sq. ft.
Building M3 Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
of
v
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Totat.`? -t! ? r
Valuation: $ //,000- -
ji SA 61?
1d.$AC Units
a PERMIT Control No. 13 2 2
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 018 3 0
(612) 681-4675 Date Issued: :t, 1 / 2 0/ g 2
SITE ADDRESS:
4261 DIAMOND 1) R
LOTS 1.1 BLOCK: 8
CEDAR GROVE 2ND
DESCRIPTION:
sT,DING
Building Permit Type SF (IrIISC.)
Building---,.Work Type NEW
),,
REMARKS:
RECEIPT 4f Q
FEE SUMMARY:
VALUATION $:9,000
Base Fee 1108.00
Surcharge 4.C,0
Total Fee $112.50
CONTRACTOR: -- Applicant - ST. utOWNER:
TWIN CITY STORM SASH CO 1.5468160 0003090 DAKOTA COUNTY HRA
108,25 GREENBRIER RD 2196 145TH ST W
MINNETONKA MN 55343 ROSEMOUNT MN 55068
(612) 546-8160 (612)423-4800
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.
L Statutes and City of Eagan Ordinances. J
R ??'ra t 17! 91
f?Aj
APPLICANTIPERMITEE SIGNATURE 'ISSUED B_: SIGNATURE
1992 BUILDING PERMIT APPLICATION
° 7
CITY OF EAGAN
11.30
REQUIREMENTS:
$!12.0
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE DB LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
To Be Used For: Valuation:
Site Address
Lot 1L_ Block,
Parcel/Stub r •r
OwnerA, 4, -/; P,,f
Address X4/96 -
City
Phone
Contractor 090-911i-Zt9
Address avoa a31USNBUO SZOOL
.,
City/Zip -2f W71
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
O
ROAD
10825 GREFL
M _-M
612-548-6180
Date:
Occupancy Bldg Permit
Zoning Surcharge
Actual Const Plan Review
Allowable License Fee
# of stories SAC, City
Length SAC, MWCC
Depth Water Conn.
S.F. Total Water Meter
Footprint S.F. Acct. Deposit
S/W Permit
On-site sewage S/W Surcharge
On-site well Treatment PI.
MWCC System Road Unit
City water Park Ded.
PRV Trail Ded.
Booster Pump Copies
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL
Bldg. Off.
Variance
FEES
Sewer/Water. Licensed Contr. . Processing time
for sewer/water permits is two days once area as been approved.
f.i agrees that all work shall be done in accordance with
(S gnatur o er ittee
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
CITY USE ONLY
L BL RECEIPT #: 5 UL
Q/ ?1n?
SUBD. C? Stt. D?? DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH tLQ. TOTAL
Shower 3.00 x =
Water Closet 3.00 x
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x
Water Heater 3.00 x
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 50.00 =
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL Z0 1
SITE
OWNER NAME
INSTALLER NAME: /??/rA
STREET ADDRESS: GI`- IVE
CITY: /?? /? O'41t)2 STATE: ZIP:
PHONE #: (? ?z) `7k-3 -?SZ?S
SIGNATURE OFtYERmr
L BL a ' CITY USE ONLY RECEIPT M
SUBD. DATE: 3/s?9<o
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Adel-mon air r+mreltinninn od'roA 'J?( 3•iny, fsi.; ?r :.v. Van-v 31 stomp atc.
Date:
EE ES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @ $3.00 each)
? State Surcharge .50
TOTAL 40"S--b
SITE ADDRESS- -7 d? (a/
OWNER NAME: 2)1?z"7;v
INSTALLER
STREET ADDRESS: -?-? ?-- --J-
CITY: ?C/Gl Chi S'
PHONE #: 4S4S
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PHONE M 4Z-77? /4
ZIP:
Use BLUE or BLACK Ink
1 For Office Use
City of Eap I Permit I
I Permit Fee: 0°
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I ~J (a
Fax: (651) 675-5694 1 Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2,2_ tO Site Address: ps ~'4 n' &1~ "
Tenant: Suite
RESIDENT / OWNER Name: cbj~- 1 / Phone: (_O.- (-V)
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Address / City / Zip: \Z 1 Wv (Cf l e..~
Applicant is: Owner Contractor
TYPE OF WORK Description of work: Gh~ e~c-f-.R S
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: Q; a- t ~),~~-_0kS t- _L License#:
Address: -on City: uc. M !t
State: W Zip: ZZ Phone: - 8-
Contact: Email K- Lt7vtilY4C~C!? ( L~C
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.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:
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Applicant's Printed Name Applicant's Signature
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