3315 Donald AveCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEiVQO
FROM
AMOUNT
& DOLLARS
ieo
E]CASH Q CHECK
FOR J..j ?K". •.I
FUND CODE er AMOUNT
Thank You
Y
White-Payers Copy
r .. Yellow-Posting Copy
:? '? Pink-File Copy
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 5342
PHONE: 454-x100
BUILDING PERMIT Receipt #
r
To be Bud for Est. Value Date 19
Site Address Erect ? Occupancy
Lot Block Sec/ alb"' Alter ? Zoning
parcel # i Repair ? Fire Zone
Enlarge ? Type of Const.
°g Name Move ? * Stories
3 Address Demolish ? Front ft.
o City Phone
- Grade E] Depth ft.
Nome
Approvals
Fees
ut Address Assessment Permit
Water & Sew. Surcharge
city Phone Police Plan check
?W NOn1e. Fire SAC
XZ5 Address Eng. Water Conn.
a W Ci Phone Planner Water Meter
Council
I hereby acknowledge that I hove read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable APC Total
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
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
Posh # Date Isud Panaittaw
Plumbing %1(9(0 9- Z 14-- 7-7
Mechanical (- b - 7
INSPECTIONS DATE INSP.
Rough-In
Final
Footings
Foundation r-17`jf
Plumbing Date Insp. DDattee Insp.
Frame/ins. (g-f-29 18 -a16- 2 7 Mechanical
Final -Z2-Sb
Remarks
3%
h
F
I
El
?lJf?d _ PERMIT #
?r I'1?'
?
'
IC1?ci
•
i ?f? h ? y MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
;d
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
NTRAUT PRICE PHONE: 454-8100
?Addre 0.";;..?, ; : rl
BLDG. TY WORK DESCRIPTION
J
lock y Sec/Sub
.0
.
-
K-..{< ; x . _. i ? Res. New ?-
Nameif& Mult Add-on -
Address/ Comm. Repair
City 'l'•-' Phone Other
Name FEES
HVAC 0-100 M BTU -$24
00
RES
Address .
.
ADDITIONAL 50 M BTU - 6.00
City phone!- - i (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PERMIT) - 1
0 EA
.
.
(
-
PE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
ced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
ler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
t Heater M BTU REMODELS - 12.00
Cond. M BTU $ COMMERCIAL MINIMUM 20.00
E SURCHARGE PER PERMIT - .50
it CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
s Piping Outlets # BEYOND $1,000)
er
FEE
:
S/C: SIG U F M EE
TOTAL:
FO : CITY OF EAGAN
CITY OF EAGAN ,,.rr,•„? -rn ,.?...; .-NT?
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8104
• ar s!1 PERMIT No.
Date: Receipt No.:
:33I? '':c?z:ald Av--n-y? Single v
Site Address: _ Residential
r'' ? TIC- 1elxir Adrl .
Lot Block Sub/Sec. _ I Multi Res., Comm./Ind.
bsgel (r .
Name - New/Alter./Repair. -3 Address Cost of Installation
Pal
City Phone: Permit Fee
Name Surcharge
J G .EM1.i3 :-'A th
„ Address
e
V '. c
City Phone: TotoI
This Permit is issued 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
i
t
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
M' r PERMIT
Date: ?F?r'CL'h7t;e]C 24, 1979
Site Address: 331;: i)onald Avenue
Lot
Block Sub/Sec. Letendre
Name ReBon€
C Address 11426 Palance Ave.
3. O
X23:21 551(!5
City - Phone:
Name
g Address
0
C
V
City Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Statutes and City of Eagan Ordinances.
No.
1496
Receipt No.:
Single
Residential
Multi Res., Comm./Ind.
ne-
New/Alter./Repair. Cost of Installation
Permit Fee
Surcharge
Total
done in accordance with all applicable State of
Building Official
CITY OF EAGAN
Addition Letendre Addition #1 Lot Pt. 10 Bik
Owner by l, U, j, ` street 3315 Donald Avenue
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. qj7 1979 884.26 88.43 10 795-84 A00R065 - 9/97
479
STREET RESTOR. ,
GRADING
SAN SEW TRUNK qt) 1968 100.00 3.33 30 Paid
* SEWER LATERAL 1973 2303.27 115.16 20 Paid
WATERMAIN
* WATER LATERAL 1973
WATER AREA r . 1977 160.00 10.66 15 129-02 AOOR06S q427-79
STORM SEW TRK yAj 1979 466.18 31.08 15 435.00 A008065
* STORM SEW LAT 1973
CURB & GUTTER
SIDEWALK
STREET LIGHT
road unit 7-9-00 15394 R/2179
WATER CONN. 770-00 11 it .
BUILDING PER, It
SAC rt
PARK
By
Date of Insp.:
CITY L. EAGAN SEWER SERVICE PERMIT
379'j Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units: '
Owner:
Address:
-
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By _ Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
4v EAGAN
Pilot Knob Road
MN 55122
r --
to Address:
umber:
Connection Charge:
Teter No.:
ize: Account Deposit:
eader No.: Permit Fee:
agree to comply with the City of Eason Surcharge:
Winances. Misc. Charges:
Total :
Date Paid: l
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 q
a 19 _.L-
DATE
rwdn
AMOUNT d' .. (J I O
,..
??? /Dy 9D0 /?? - s COLLARS
O CASH CHECK
row'
t. / 63
White-Payers COPY
Yellow-Posting COPY
No 15455 Pink-File COPY
N.
Thank You
QY
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N9 5342
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt # 15394
$58t000.
To be used 'f.SF Dwlg. Est. Value Date Aug 2 19 79
Site Address 3315 Donald Ave. - Erect [-FK Occupancy R3
I-W E Blockl Sect eTendre Addn Alter ? Zoning Rl
Parcel # 10 44900 105 Ol) Repair ? Fire Zone 3
Enlarge ? Type ofConst. V
W Name Mark Resong Move ? # Stories
Address 1426 Palace Ave. Demolish ? Front 63 ft.
o
city St. Paul Phone - Grade ? Depth 26 ft.
Nome _ Approvals Fees
o - -
u? Address
Name ousoct ?V
Address 1970 Cmmn Avp_
r:... St_ Paul nc___ 646-7888
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 pity ofyEaggn 9rdinances.
Signature of Permittee
A Building Permit is issued to:
all work shall be done in accc
Building Official
Assessment Permitl 52 , 50 -
Water & Sew. Surcharge 79.00
Police Plan check 76-25
Fire SAC 129-00
Eng. Water Conn. 770.00
Planner
_nn
Water Meter 60
Council
Bldg
Off
.
.
APC Total r Sussell Co
on the express condition that
State of Minnesota Statutes and City of Eagan Ordinances.
4 CITY OF EAGAN Include 2 sets of plans.
1 site plan w/elevations b
BUILDING FEIL141T APPLICATION I set of energy calculations.
To be used for Res.'d P he e_ Valuation z .7 ° P Date 7-3V- 7/9
Site Address ??;? ?J[r?c?P ?j°
Lotl??fasth4/F?Block Sec. /Sub. Lei e 7 ?+ e //° d'
Parcel 9 /Q s??/900 ?O h /? 1
Owner: /77 or k ?eSO^?
Address: / Y 6 P4/q ce
Phone fl Ego-??a7
Contractor: 177w k Yf 'S`74
Address: iYa E ?e?tieC. ?`2
Phone A: X1`0 /a?7 %y/'f36v rwor/?
Arch/Eng.: ?H SSF?? Co. 1', c -
Address:
Phone 0:
/yaa came /? 6,P -
6`/f -78 S S ??oafRCt d%?? [rrs6>?
OFFICE USE ONLY
Erect //,? Occupancy 3
Alter Zoning
Repair Fire Zone 3
Enlarge Type of Const.
Move 9 Stories
Demolish ft.
Front Ca 3
Grade _
Depth ,1 ft.
Approvals
Assessment Permit /sue'
Water/Sewer Surcharge_ __!;??
Police
Fire
Eng.
Planner
Council t,
Bldg. Off. -7
Plan Check ?l
SAC .SR? -
Water Conn. ?- AV
Water Meter O/?
Road Unit 7s'
TOTAL 117 -17S
GEO. SEDGWICK HTG. & AIR COND. CO. L1? LE,tid {tee
)"'**?ROUSE HEATING TEST RECORD -
.a
ADDRESS
OCCUPANT OWNER' n 1
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA_ FAG rtw_ STEAM- SPACE HTR-UNIT HTR
GAS SIGN
MAKE .? MAKE OF BURNER
Model - -? ._ Model
Serial Max. BTU Rating
INPUT MAKE OF FURNACE
CONTROLS
THERMOSTAT eat Plug
Valve C'.2! S
Limit
Limit Setting v -r 7
Fan Setting
Pilot Type
Pilot %ke
Pilot Model _
Pilot Timing
L.W. Cut Off
Pressure Percent COZ
Input CFH- 4X Percent O2
Stack Temp, S-24 Percent CO n ?
Vent Size Cl'
KIND OF LINER - SIZE NONE
Draft Hood ^?/? Regulator
Filters Size Num
Chimney Location Inside-. Outside
Chimney Construction
Smoke Bomb
Draft Wiring
Test Tag
Door Pressure Lighting Inst.
.? /
Date Tested
Company Testing - ? ?ti'lT' v
Name of Test
CONVERSION
Form 235 , ,
Minnesota State Board of Electricity
1054 University Ave., St. Paul, Minn. 55104-Phone 645.7703
-REQUEST FOR ELECTRICAL INSPECTION
Chiit K-BELOW WORK COVERED BY THIS REQUEST
1_t!;7-99_3
R. 5311
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? Range 19 Temporary Wiring ?
Duplex ? ? ? Wat
er ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Electric Heating ?
Commercial Bldg. ? ? ? Fur
]o
AID Silo Unloader ?
Industrial Bldg.
Farm ?
? ?
? ?
? d,
Air
L
is[
L?
sA Bulk Milk Tank
List ?
Other ? ? ? pp
}
=
Fiere s % -? erhers?
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders&Subfeeders: # Fee . Circuits: # Fee
0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes
101 to 200 Amps. i icr. 31 to 100 Amperes 31 to 100 Am eres /
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee
Signs Special Ins ection Minimum fee $5.00 n--C1
Remarks
TOTAL FEE G
I, the Electrical Inspector, hereby certify
,oa
(Final)
This request void 18 months from
This request void 18 months from
R 5 311
Date of this Request 9 - sZ 4Z
I, as ? Licensed Electrical Contractor Owner, do hereby request inspection ? of the above electri-
cal wiring installed at: U U F-V Z g Le f2?-l- n
Street Address or Route City
Section Township
County1C%Le4e___?
Which is occupied by
Is a roughin inspection required on this job? No ?
Yes Gr Ready Now ? Will Call W
Power Supplier rpQ ? Addres?? ??'-?
Electrical Contractct4?!/ - ? Contractor's License No.
( any Name)
Mailing Address / 4 _ !i ?-f2--f+"?? ?v? S G ??
Authorized Signature
(Electrlcal contractor or Or
NAVE BOARD ODPIV
tion) to p
No.
Installation)
This inspection request will not be accepted by the
State Board unless proper inspection fee is enclosed.
18-. request yoitl v p/{y 9' ??
months from O O CJ CJ o CO
E 40407 L//)5 FinI . tM 4-,Y,/ Request Date" Fire Mo. Rough-in Inspertiou
Required? eady flow El Will Notify, Inspec-
Q Elves 19 No for When Ready
r
Licensed Elecvical Contractor - I hereby request inspection of above
Owner electrical work installed al:
Street Address, B.. or Rpute No. City
3:36 Domquo v JE
7
90cloon o. Township Name or Nn. County
7 F77 7 DiUj, jo
Occupam (PRINT)
Ni0jklA L/4FRJ'VF-K( Phone No.
Power Supplier Address
Electrical Contractor (Company Name) Contractors License No.
Mailing Address (Contractor or Owner M» ine Installation)
'V1,733 R PvL t ti,,mv Gr b i awl ? s i a?
Author; Si -naturo IC tra Owner Making Installatinn) Phone Number
1/IWt, y?- 3?3 i
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone 1612) 642-0800 ENCLOSED.
REQUEST FOR PLECTRICAL INSPECTION EB-00001-06
p? IF 4 ea instructiofs for completing this form on heck of vellow cope e?J
e l
.q.
4 U 4t7 ` -X" Below Work Covered by this Request
Fda Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heati i
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other peel y .mar ISpecrtyl
t nr Specify Other Other
Compute Inspection Fee Below
If Fee Service Entrence Size k Fee Feeders/SObfeaders M. Fee Circuits
0 to 20 0 to 30 Am s 0 to 30 Am
Above ps
NM, 31 to 100 Amps 31 to 100 Am S
Swimming Pool Above 100_Anlps Above 100-Am s
Transformers Irrigation Booms O Partial, Other Fee
Signs Special Inspection ?s
Remarks L?' TOTA
I, the E?aGjFjea•r?
Inspector, hereby
certify that the above
o impaction has been
made.
This recluest vold 1S
`. Y P S. [r Pn c p ?r ?-
f ?? 2 1P9 7/
Y -sr6 / --
a 1
j?
/63/ --
3
??76
a
/c{ l7nF
L o/ /o, FcJf !?/?
Eicrh:// tefFadre /V
It 3'
A- c
d fe/, Efc -/az7
cam- %y/- 55 6 e /"-:, ./Y)
39
ayf u. h rd' ' .
S/?.rse
f<,Qye.
tier ri,tLnf •%f?
go/
//C
i
E/a? foc c,,,-6?
f ? off-It"
/o/ /i n £
L ,.
p,i ?,
ZONING - NOTIFICATION OF INTENT
Foster Family Homes
Day Care Homes
TO
dos.- 01 _ `??i
yA^yyylytSf/yy??--?,,n.?' DAK 544
FROM: Dakota County Social Services
357 9th Avenue North
So. St. Paul, MN 55075
APPLICANT
S
Number of Natural Children under 18 in home: 0 1123 4 5J".1
(circle number)
(circ a number)
DATE OF NOTIFICATION:
(circ e. number)
Number of Foster Children included is license: 0 1 2 3 4 5 6 7
circle number)
Number of Natural Preschool Children in Nome: 0 1?2 3 4 5
Number of Day Care Children included in license: 0 1 2(3)4 5 6 7 8 9 10
Use BLUE or BLACK Ink
`
I For Office Use
Cat of Eaoa~ i Permit ~
b I Permit Fee:LQ•
I I
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: & -to ` Ia j
Phone: (661) 675-5675 I 1
Fax: (651) 675-5694 j scarf: IY~-- j
4---------T-------
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone:
~~VIIVER' Address /City /Zip: <y~
Applicant is, Owner Contractor
Description of work:
TYPE °0:V 61tic: - -r-
Construction Cost: Multi-Famlly Building: (Yes / No )
Company: Contact: /-I/? CtF1`RiC1`OR! Address ty:
Inv W A-4
State: ~J t Zip: Phone:
License Load Certificate
If the project is exempt from lead certification, please e explain why; see Page 3 I information
. p ( for additional information)
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:
>51O"M Flans and suPPcrting do'cunrfer~rstlr~t ydu submi# arse c~»siderdd' >b10 pcrb!iiti itrfa► biat an:: Patio»s cif
the rnl 5r~rra>flo»?may b~ alassifi tat nb~l~pub& `ifyoa_ provi e:sp flit :l acs it : ~tl~e 'livoar pei ►it tN City to
cflnd)dde fh4t hh ~ 0re::Yra~►+e sr~n► t ; '
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. wuww_nooherstateonecall.ore
I hereby acknowledge that thls 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 permlt, 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.
Exterlorwork authorized bya building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days permit issuance.
X
pllcant's rinted me Applicant's Signature
Page 1 of 3