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 ;?
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i
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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