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4370 Diamond Dr CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN $5122 N2 5693 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date i 9 Site Address Erect [] Occupancy Lot Block Sec/Sub. ,ar ^rnv? Alter ? Zoning P Repair p Fire Zone arcel # Enlarge ? Type of Const. ce Name Move p # Stories Z Address Demolish E] Front ft. City Phone - Grade C] Depth ft. ly Approvals Fees ,O ame Z : ,l,r'1r7 ? u? Address ` n ~ City Phone uce Ww Name Fl Address 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. Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge Plan check SAC Water Conn. Water Meter Total Signature of Permittee T,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 Pemlt # Date laud Feeelttee Plumbing Mechanical INSPECTIONS DATE INSP. Rough-in Find Footings Date Irup. Date Insp. Foundation Plumbing Frame/ins. Mechanical Final 7 1,, Remarks: -- CITY OF EAGAN Remarks * Cedar Grasse Acquisition Addition GROVE #4 Lot 16 Blk 8 Parcel 10 16703 160 08 Owner = - Street 4370 Diamond Drive State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 1 SAN SEW TRUNK * SEWER LATERAL 1972 1,304.00 52.16 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 BUILDING PERMIT Owner ---------- Address (Present) -40. 7 --- ------- ------'---------------------- .......... Builder -----..,..-?. - -- Address DESCRIPTION N° 1245 Eagan Township Town Hall Date Stories To Be Used For _ Front Depth Height Esi. Cost Permit Fee Remarks zt in / ., -.LOCATION` . Srreex, itoaa or omer Lescrlplion or Locanon LO! I 15,10Ca 1 AoGiIIon or Tract 16- I -sr I c 1z?. 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 5EPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that --- ------- has permission to erect a....S?!?COi ......................................upon the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. ............................... -............. ........... ----.._.....?t3r!.1att?_/,CCzM„'-..... Per .-'--_.....t_...... ........ Chairman of Tnwn Board ' Building Inspector a (j EAGAN TOWNSHIP BUILDING PERMIT Owner _-_ '1: C- -...cS..._&-.? (.'o 1...._......... Address (present) ----- .......:.Cc.«?..? Builder ........... ........... __..__-.._..._ Address ._ .... .......... .... Stories _ _ To Bi DESCRIPTION N° 850 Eagan Township Town Hall ' Used For Front Depth Height Est. Cost Permit Fee Remarks TION Street, !toad or other_ Description of Location- I Lot !2 _ BC.j-C.)V- 5--13- . 3, -li- 8 fn- -Ll- ,tom 7-.3 ?3? V ?_ j_ y 7? This permil oesno1 authorize the use of streets, roa s, eys or sideSidllCs the right to create any situation which is a nuisance or which presents a hazard general welfare to anyone in the community, 9,-1 4j Date --- or nor doe, it give the owner or his agent to the health, safety, convenience and THIS PERMIT MUST BEpKEPT -f?ON Tgy'E PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that._...1'?:.. ,r liLfc"-i-!.. .,S,ebas permission to erect a...._OZg ---.upon the above desc re a subject to the ,p2oVlsions of the Building Ordinance for Ea an Townshi a o fed April 11, 1955. / e ? j C?r??lr`i-- ...._ ... ._... Per Chairman of Tnwn Board Building Inspecor CITY OF EAGAN 3795 Pilot Knob Read Eagan, MN 55112 PHONE: 454-8100 BUILDING PERMIT APPLICATION To be used for Deck E Site Address 4370 Diamond Drive Lot 16 Block $ Sec/Sub. 0 Parcel # - z Name ??L Viiai u. . "'a. 3 Address same address o Name Arwidson Bldrs. N? 5693 Receipt # Erect Ey Occupancy R3 Alter ? Zoning R1 Repair ? Fire Zone 111 Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front 13 ft. Grade ? Depth 18 ft. Approvals Fees o? u Address 12907 Hialeah Path Assessment Permit 9.00 _ ? Apple VallFW 454-2391 Water & Sew. Surcharge 1, 00 d city F Police Plan check ?W Fw Name Fire SAC ? w u Address Eng. Water Conn. <w City Phone Planner Water Meter Council I hereby acknowledge that 1 have read this application and state that Bldg. off. 4/$/$0 the information is correct and agree to comply with all applicable APC 10.00 Total State of Minnesota Statutes a d of E an Ina es. p? / j ; Signature of Permittee r1 , A Building Permit is issued to: Richard oh .ng a` on the express condition that all work shall be done in occordanc th all a 1 ote of Minnesota Statutes and City of ? Eagan Ordinances. cn Building Official o> ? 1? I , CITY OF EAGAN BUILDING PERM1'1' APPLICATION To Be Used For 0,?'C K Valuation Site Address: 11370 D/A HaA/U D R £!f6// Lot L Block S Sec./Sub. Parcel #: Owner: /S1CIY RU _ d/I1f/-/yiL1!/t I/- Phone #: Erect_ Address: City/Zip Code: Alter Repair Enlarge Move Demolish _ Grade _4c de 2 s-f plans, 1 site plan w/elevations & l set of energy calculations. Date ???/lJ !! OFFICE USE ONLY Occupancy zoning Fire Zone 3 Type of Const. # Stories Front 3 ft. Depth ft. APPROVALS FEES Contractor: 91?W j1250 A-' QU/Lp91 .S Assessments Address: / 2 f 0 7 // 1 NLi,'fl Al Water/Sewer Police City/Zip Code: 171.21,?l £ Y/tLl E- V Fire Phone #: ;z Eng' ? Planner Arch./Eng.: Council Bldg. Off. Address: APC City/Zip Code: Phone #: Permit orb Surcharge L Plan Check SAC Water Conn. Water Meter Road Unit TOTAL / O •? r 1 ;? ?` i ._ _ - -- - --- , ?' ----- M+-------- - - __-_ n? ? ? 1?R t?c?rh D --- --- ---- -- ----, - - - _? - --- - - -fit - - - -- --- - --- ? -- - -- -- -- - - - --- ------ - t l ---- - ---- - ?-- - • - - - - -- - ?-1- - - ---- - ? ? , f --- ? -w- - - -- --- -- ----- --- ?-z -- --- - -- ? _-___-_ ? N-?.?.? ?? ! ? _.. i_X _ _-_ - /J?? ; W r, ? - - - --- - a -- - - _? --- -- o y?` - ? - - -- -- - --- - - I - - - -- _- - ----- - - - - - - - ---- •, - ---- - - - --- -- -i- ------ ?° --- - ? -- - --l-3?c - ra a N,? - - - - - - - - ----------- i V_CV,)CD City of Eap 3830 Pilot Knob Road Eagan MN 55122. Phone: (651) 675.5675 Fax: (651) 675-5694 2008 RESIDENTIAL Date: Zz?l 6 ? Site RESIDENT / OWNER Name: / //) Le" e h SPY 85155 I Pemhtt X: I 1 Uv I Permit Fee: ( I Date Received: I l I I Staff: ----- PERMIT APPLICATION Address / City / Zip: / Applicant is: _ Owner ? Contractor TYPE OF WORK Description of work: ` 4 r Construction Cost: S CONTRACTOR Name: Suite #: Phone: VAS g.? ?--?; Multi-Family Building: (yes_ I No I )- license #:?RQ Lng City c r 11r KI qI_ _ State: t? r?L ZP: 55 Phone: G 51_ y)1 I_ Contact Person: _ k/nCeIn COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Residential Ventilation Category I Worksheet • New Energy Code Worksheet Category Submitted Submitted (J submission type) Energy Envelope Calculations Submitted 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: the City r hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances dand ? work will be of Eagan; that I understand this is not a permit. but only an applicaton for a permit, and work is not to start without a pe , accordance the ap roved plan in the case of work which requires a review and app7it !'O_Fri x lZ x ?L Applicant's Prin ame _ Applicant's Signatu Page 1 of 3 Dec, 1, 2015 3: lOPM Genz — Ryan No, 0163 P. 2 Use BI.UE or BLACK Ink � For offlce Usa � • � �,�`7' � �� I �� . � Permit�: � � ���� O���6� � Permit Fee: —_ �� i 3830 Pilot Knob Road Eagan MN 561 z2 j bate Recaived: /�` `�� j Phone:(651)675-5675 RE�'E�VE� I � Fax:�ss��s�s-sssa 0 2015 i st��: i DEC 1 ' ' �---�—�----------� 2015 RESIDEIVTIAL BUILQING PERM(T APPLICATION pate: �� Site Address:. "l� l � �(1��0�� ��lV Gr Uhif#: ' � � Name: Irrv SS�V �"! �'�IS�I' 7�PP��L Phone: �(�•'' SJU�� �p �2- �: Y.:.��Sitl�tlt/ � � �OWner � Address�city izip: �-I�J�O '�,��,D�1��1/I� " .� Applicant is: Owner Contractor f� /� r c Description ofwork: �L�� ��L T1 !� � `� G�`S�� T.yp.e of Work �� _ � , Construction Cost: Z— U�f3 Multi-Family Building:(Yes /No � . � company:�'I�S'�1�./�l lON D�31 �C �' 1�ontact: ��'L{•E�' Qf�l���- 'Contractor Address:�i�d I.�! I'�`� �3 r c,� City: ��������� , 5tate: '�zip:�J, 533''1 Phone: ��Z' 1����,�) Email: 'I�II[r(b�•f+r1S�0i/'w�1d'�G(.�Si�,ln�/,;ev� ,C�►h License#: 6Ei�03�'SD� l,ead Certificate#: 1��1 � 114'I 21•��'�1 If the project is exempf from lead certification, please explain why: COMPLETE THIS AREA ONLY I�CONSTRUCTING A NEW BUILbING In the last 12 months, has the City of�agan issued a permit for a similar plan based on a master plan? Yes _ No If yes,dale and address of master plan: Licensed Plumber: Phone: Mechanlcal Gontractor: Phone: Sewer 8 Water Contractor: Phone: F9re Suppresslon Contractor: Phone: NOTE:�Plans and supportfng documents that you�sub►nit�are considQre.d to be public informationv; P.o'rfi,'ons�of '�.. t!'ie;��nforr»at/on may bs c/assffisd as non=public if you pravide specific�reasons tiiat�wauld�R�erinit the City to � , concludo that�the are trade sec,rets. � ��� � � '' � � CALL BEFORE YOU DIG. Cai(Gopher State One Call at(661)464-0002 ior protaclion against uhde►ground utilfty damage. Call 48 hours before you intend M dlg Co recelve loc�tes oF undergrpund utllltles. www,gonherstaleonecall.orq i hereby acknowledge Ehat this fnformatlon is complete and accurate;that the work wlll be Ip c�nformance wlth the ordlnances and codes of khe Clt�qf Eagan; Ehat I understand thls Is not a permlC, but only �n�pplic&tlon For a permit, and work is not to start without a permlt; that the wodc will be in acoordahce with the 8pprpved plan In the case of work which requires a review and approval of plans. �xteriorwork authorized by a bullding parmlt Issuad In accordanco wlth tha Mlnnssota State Bullding Code must be completed wlthin 180 days of psrmlt Issuance. . x �—�il�-�.-� �,►�lu..✓'"' X ��.�--- Applicant's Printed Nama Appl cant's SI nature Page 1 oF 3 Dec. 1. 2015 3; IOPM GenZ ;�— �R� a No. 0163 P, 3 �.���/�'� ������'���D��Iv07 WRIT�BELOW THIS LIN6 ��`—y� �� SUB TYPES _ F�lundation ^ Fireplace � Porch(3�Season) ,^ �xterior Arteration(Single�amily) � �ingre Family _ Garage _ Porch(4-Season) _ �xterior Arteration(Multi) _ Multl _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of�Plex _ Lowe�l,evel _ Pool _ Accessory BuildPng WORK TYP�S _ Naw ,�4 Interior Improvement _ Siding _ aemolish 6uilding"` ,_ Addition � Move Building _ lteroof ,_ Demofish Interior � Altera6on _ Flre Repalr _ Wlndows _ bemo(Ish Foundation _ Replace � Repair � �gress Window ,� Water Damage _ Retalning Wall *Demolnlon of enNre building—glve PCA handout to appllcan! DESCRIPTION �� Valuation � 3,Q�p .o� Occupancy ,�.^ZC_ } MCES System I' Plan Review Code�dition liYl✓1 2o iS SAC Units (25%_100°/a�) � Zoning � City Water � Census Gode Sfories Booster Pump #of Units - Square Feet PRV #of Buildings l�ngth Flre Suppresslon Requlred 7ype of Construction � f� Width REQUIRED INSPECTIONS , �ootings(New Building� Meter Size: Footings(Deck) F9nal/C.O.RequPred , �ootings (AddiEion) �inal/Na C.O.Required Foundation � HVAC`Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final �O Framing braln Tlle Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � insulatlon Windows Sheathing Retaining Wali:_Footings_Backfill_Final Sheatrock Radon Control Fire Walis Fire Suppression:_Rough In�Final Braced Walls �rosion Control OEher: Reviewed By: (� W� ��1�1�{� ,Butlding Inspector RESIDEWTIA����5 t 2 � � ' 2 � � � 1 = ��''� . ,S'9 �T Base Fee Surcharge Plan Review �2 � ,� � ,5� . � / MCES SAC , City SAC Utility Connection Charge S�W Permit�Surcharge Treafinent plant Goples TOTAL Page 2 of 3� Dec, 1. 2015 3; 12PM Genz - Ryan No, 0163 P. 9 Use Bt,UE or BLACK Ink � • —�-------ti �-------- � For Office Use I ' ' /�L�� �� I ��. C�ty of Ea�a� i Permit F ' �` C..�� � ermlt ee I 3830 Pilot Knob Road i I Eagan MN 55122 �'�����/�(� � bate Recelved: � Phohe:(651)675�5675 I staff• j Fax: (651) 675�5694 ���'� � 201§ L----------------, 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: � � Slte Address: 3 � � Tenant: �S S '�-- `�/ �I/ � � ��P��- sulte#: Resiclent/.Owner Name: ��S�Ll.- t✓ �(�{,(,SS� "TP�P P� Phone; �.l�7i"-'Q0) r ��y2.. ' � Address/City!Zip: �3'G� bl P�M,o tiJ� UI�-��-' ., Name; lTi)�N z- ,�l� License�: 1"�-��—(� Contiractor . �ddress: Ti7ifJD W �1`a 13 c�ty: .'�I,I�NS V I�� State: �►" �ip:��3�� Phone: �'��'7��' ��� I � • • Contact; � Gt✓t�W �maiL b� �'�I�G�.lil. �.Di'+'i Type of Work. —,New ,�Replacement _Repair ^Rehuild ,,,�Modify Space �Work in R.O.W. � � Description ofwork: L1 Gi/l �0� �' S� �ICJt'�� �t.�u. �S ���'e- RESID�NTCAL ' Water Hsater � Lawn Irrigation(_,RPZ/,^PVB) w�ter Softener � �Permit Type . �Lf.WI�►Lc�. � , . � , SepUc 5ystem ��dQ'Plumbing Fixtures�Main/_Lower Lsvel) . , New Water Tumaround � AbandohmQnt x��' �S f1�"'�71✓ ���k''�'1�' R�SID�NTIAL FEES: ' $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) �� $60.00 Lawn lrrigation (includes State Surcharge) I $60.00 Add Plumbing �ixtures,Septic Svstem Abandonment,Water Turnaround*(includes Stata Surcharge) "Water Turnaround(add$210.00 If a 5/8"meter is requlred) $115.00 Se�tic Svstem New(includes Gounty fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gapher State One Call at(651)454•0002 for protection against underground utility damage. Call 46 hours befora you intend to dig to receive locates of underground utilities. www.go�herstateonecall.or� • I hereby acKnowledge that this informaElon Is eompleta and sccurate;that the work wlll be In conforrnsnce wiG►the ordinanees and codes of the Clty of �agan; that I unde�stand thls Is nqt�permlf, but qnly en�pp1lc�Gon for a per�l�it, and work is not to staR wilhout a permit; that the work will be in accordance with the approved plan in the case of wark which requires a review and approval of plans. x �i�( 1��(� x; �C���l��-----. Applicanfs Printed Name Appl9canfs S gnafure FOR OFFIC� US� ' � .' Reviewed�By:�� �' �, . ~ . � '� . ; �Date:. .� Requirecl�Inspections: Under Grourid. � , Rougli=ln� '. � �.� Air,Test , � �:Gas Tesf � Final� , MeterRelated Items: ' Meter Size.. . Radio�Read .•.' . Manornete� � Staff: , Use BLUE or BLACK Ink r----------------.--, I For Office Use � � j ������ I C��� �� n���� Permit#: � ' �� S- �s � � Permit Fee: 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I � Fax: (651)675-5694 I Staff: i � I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � C�-�'�� ��S te Address: ���� �',C.�wo K C� �� Unit#: ,.�,.�,,,,,m��.����.��.��,�,..,,�..��,��,�,.�„�,,�.,.��.o ������.,�r, a. �� Name: �cJ.SS� � � ,p��OL Phone: � Re�id�ntl � {)����; . Address/City/Zip: C�3�(� ��u �vr u N � O _ _ Applicant is: Owner �ntractor � ���� ��� Description of work: i dt � � �� �G4' � � l� U r oL � �Y�� of l�or�k� �— ' Construction Cosfi ��d �� Multi-Famity Building: (Yes !No� � Company: 0� f..� �u . �C� �/� �..,L Contact:��� �/��G— � ' ' � Address: /4 7� a>�� �J City: �/' �V,,,_�� ', �o�ra��r �- � � State:�Zip: � � Phone:G���� 7��mail:QG�./�u1L D&�vs (-���a��I�r,:Cvor� ' License#: /�� �y O4� Lead Certificate#: � �t1C l0�g��(� � 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: g Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: ' N�31"�':Pl�rrs ar�d�tep�artrn�c�cr�rnents that y�r�.s�rbr��t are c�n���ed to,bs�ub���t��'or�a�f�n. Por�ons r�f -; ' t�e��n�fort�a���n rn�,y be'�iassrfie�l as n�n�pu�fi�if�ror�pr�vidQ sy�eci�Yc reasr�►��that s�au�rt�per�it th��ity t� cor�cl��e fh�t�he -a�e t�ratle se�ret�. ' 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.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the or ' nces 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 withou a ermit; that the work will be in accordance with e approved plan in the case of work which requires a review and approval of plans. Exterior k a t orized by a building permit issued in accordance with the Minnesota State Building Co e m st be completed within 180 day o r it i uance. x � � � x � ApplicanYs Printe Name ApplicanYs Signature Page 1 of 3