4351 Dunrovin LaneCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675 . 1 1-1 1 Q ,
SITE ADDRESS: + ,f l
?;11NIeF'Vi rat I. AN1
{ '?t !'Ni PUN h IN
PERMI,T,,.
O
:CORD
PERMIT TYPE:
Permit Number:
Date Issued:
1,4111IJITNi
0: HOt9
Olfi /'."a /71
10 1 ri, r APPLICANT:
ti i i,11t. T I OH
x,014
TYPE OF WORK:
P f F A I R
At:F OOF
I; t '. 1 I I 1 CJ l i I 1 tr
Permit No. Permit Holder Date Telephone #
ELECTRIC
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.
BSMT R.i
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: ?-
(612) 681-4675
SITE ADDRESS: I f I I ! +j I I I APPLICANT:
1 I 11IINI+;.fV1N tANI I I on'.IV111 11014
? f I 1 111 I Nl I? ism 4 114 1 .' ! 489- 601 4
PERMIT SUBTYPE:
i i; 11-i r 1 N h
INA I
TYPE OF WORK:
NFw
u? i,.ll' i fi?rt b IRLPIACt tlt:CK
I=RAN I Nf,
I ? , MA1-:h
I PARAIi' I I t I. I&1I'A1 1': PMI I l l QIIIRI It
7
Permit No. Permit Holder Date Telephone k
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Data Insp. Comments
Footings I
Foundation
Framing S x'93 ??
Roofing
Rough Pibg.
Rough Hig-
Isul. 1 0
Fireplace
Final Htg.
Orsat Test
Final Plbg. P%. Inspector - Notify Plumber
Const. Meter
ErVJ%n
Bldg. Final ?r
Deck Ftg. '3 9j ?s
Dea Final
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition Wilderness Run 4th Addition Lot 10 Blk 5 Parcel 10 84353 100 05
Owner64,1,? ,a Street 4351 Dunrovin Ln. State Eagan, MN 55123
17IC.YIc?c a;."_ -
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
I
SAN SEW TRUNK
11373 ?Ib3.2b $81b
- 20
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1991 14 99 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $320.00 1298 10-8-75
BUILDING PER. #3762 1298 10-8-75
SAC 1298 10-8-75
PARK
VILLAGE OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 1863
Eagan, MH 55122 DATE: 10/21/75
Zoning: RT No. of Units: 1
Owner: Ti 1 RPn xinmo Inn
Address:
Site Address: 43$?.
Plumber: Bey-roc
Meter No.?o7--,'`????? ?? 00
s
k Connection Charge: 320.00 Pd
Size: '
2(??0 ?
. Acc
D
i
_ ount
epos
t: _
Reader No.: Permit Fee: 10.00 pd
1 agree to comply with the Village of Eagan Surcharge: .50 pd
Ordinances. Misc. Charges: 60.00 pd
Total:
By Date Paid:
Date of Insp.: Insp.:
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Read PERMIT NO.: 2621
Eagan, MN $5122 DATE: 10/21/75
Zoning: _ RT No. of Units:
Owner: _ Ti-Ise
Address:
Site Address: - 414.4 N rnv' n T' r JOB WR TV
Plumber: Rpy roc
1 ognte to comPly with the Village of E agan Connection Charge: 425.00 Pd
Ordinances. Account Deposit:
Permit Fee: 10.00 pd
Surcharge: .50 pd
By: Misc. Charges:
Date of Insp.: Total:
Insp.; Date Paid:
1
CITY of EAGAN
BUILDING PERMIT
Owner
.....L?..?°/?? rat......... `p?................................
Address (present) ......
..... y ..............
Builder ............................................ -- ................................................
Address
W, *
N2 .3762
3795 Pilot Knob Road
Eagan, Minnesota 55122
454-SIOO
Data ...-C,-7`f-
................................
Stories To Be Used For Front Depth Heigh! Est.
Cost Permit Feel Remarks
/
LOCATION /7S-<s0
bireez, noaa or oxner Lescrrpnon or Locanon Lox tsloca Acanton or Tract
3, g'
? 4,4 This permit does not authorize the use of streets, roads, alleys or sidewalks nor does if 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, 3hat....7<.... . :°-":." ................haspermission to erect a............ ..... ??,,.....,¢...1`............. ........ .upon
the above described premise subject to the provisions of all applicable Ordinances for She C p of Ea y "
....................... Per ?-c
Mayor Building Inspector
718
i? y?.?.5? ?cc_ cS
P=T NO.: 627
The City of Eagan hereby grants to L. H. Peter Co.
CITY OF EAGAN
3795 Pilot Knob Road
Eagan] Minnesota 55122
of 1854 Grand Ave., St. Paul
a PLUMBING Permit for: (Owner) Tilsen Homes Inc. _
at 4351?s *3fpt M=ovin Ln. 9 pursuant to application dated 10/22,(75
c?-
Fee Paid: 540,00 dated this 29 day of October 19 75 0
1.00 s/c
Building Inspector
Mechanical Permits:
Bic Total:
cam//?
CITY OF EAGIAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: -76n
The City of Eagan hereby grants to 1l?ii' a Hq•.??a oast; ng c A/C
a W.--. Permit fort (Ouiner) John Reek
n.?:?. Q..
4520 Oak Chase lisp
at __, /,;•"_1e?e
.520 ??wtiRa2
Fee Paid: sao_no dated this l day of Nov. , 1
2.00
Building Inspector
Mechanical Permits:
Bid Total: 3
*2°-
L ?re-7?z)7
24230 (
?j f_ L14 Sale j3
Request Date ve No Rough-In Inspection
Reputed'
Weedy Now D
WIII Notify Inspector
May 24, 1993 XYes D No When Ready,
I X licensed contractor D owner hereby request inspection of above electrical work at:
i
Job Address (Street Box or Route No) City
4351 Dunrovin Lane Fagan
Section No Township Name or No Range No. County
Dakota
Occupant (PRINT) Phone No
Mr. & Mrs. Rex Herns
Power Supplier Address
Dakota Electric Farmingt on
Electrical Contractor (Company Name) Contractors License No
Lau hlin Electric Co. CA01109
Mailing Address (Contact., or Owner Making Installation)
400 Selby Ave., Suite E St. Paul, MN 55102
A o c Signature IContrctorO?wnpehr IM?ek Mk, Inslallanom Phone Number 924-2913 5
MINNESpTA STATE BOARD OF ELEJTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-- away Bldg. - Roam S-170 BE ACCEPTED BY THE STATE BOARD
1621 University Ave., 51. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ' Ee.oooot-oe
See instructions fgFcomgleting this form on back of yellow copy ??l 7 7 1-7
?a
2 4 2 3 0 X" Below Work Covered by This Request ??' ' S7a (,
New Add Rep. Type of Building Appliances Wired EqulpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm /Industrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks
Wire new porch in back. Our Job #5356.
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 2 O to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspectors Us. Only ^ TOTAL
Irrigation Booms 7
f?.a 30
50
Special Inspection .
Alarm/Communicatfon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT+IS?
I, the Electrical Inspector, hereby Rough-in Date .
certify that the above inspection has
been made. Final
/ r DaWl
7®•
OFFICE USE ONLY
This request voic 1e months from
PERMIT #
97q-7
CITY USE ONLY
RECEIPT DATE:
MIDENTIAL MECHANICAL PERMIT APPLICATION
crrYoF EA6AN
3650 PELOT KNOB RD
ElIflAN MN 551 EE
651-661-4675 ! - ZZ '
Please complete for- ? single family dwellings
?/ ttoownhomes and condos when permits are required for each unit
Date: ' - I b o 71
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME
STREET ADDRESS:
CITY
Place a check mark next to the Dermit work tvne
ZIP:
New residential dwelling unit under constructionand not owner/occupied $ 70.00
_ Add-on, mo ration to existing dwelling unit $ 50.00
e laceme
changer
• air conditioner
• other
tn? \I
Nature of work v%Njr \(k 2Al.L 40
.--
State Surcharge .50
Total $
3®. Sa
Reminder: Call for inspections.
VOQT HEATING & AIR CONOMONINO \
72,90 GORh'XAVE.
"IV r rAhj, MN 55426
SALES S_'9-6767 SERVICE 929.4011STATE
TELEPHONE #:
(AREA CODE)
TELEPHONE
(AREA CODE)
[ 11
? Y Ad
SIGNATURE OF PERMITTEE
Updated U01
CITY USE ONLY
PERMIT #:
APPROVED BY.
INSPECTOR
RECEIPT DATE:
COMMERCIAL MECHANICAL PERMIT APPLICATION
CITY OF EAE6AN
S$SO PILOT KNOB RD
EAG", MN 55122
651-6$1-4675
Please complete for all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACES Y N. NAME:
INSTALLER:
ADDRESS:
PHONE #: -
(AREA CODE)
CITY: STATE: ZIP:
WORK TYPE: New construction Install U G. Tank
Interior Improvement Remove U.G. Tank
Processed Piping
Specify Nature of Work:
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing Iinspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removal/installation = mimmum fee
Contract price: $ x 1%= $
State surcharge
TOTAL
(Base Fee)
calculate at $.50 for each $1,000 Base Fee
SIGNATURE OF PERMITTEE
Updated 1/01
Q
[?] CARLSON LAKE
1 200
7 Z
NWL = 840.5 HWL = 845.4 >
O
351 Z
LF
357
TRAIL EASEMENT 4363
DOC# 464245
I 1299 1293 1287 1281 1277
1273
1265
CARLSON LAKE
LANE
U
O
7
G Exhibits misc STAFFORD PARKI NG 050603
Existing Trail Easement - Doc # 464245
May 6, 2003
Wilderness Run 4th Add.
City of Eagan
TEA.IL E&SEMZ TI
THIS INDENTURE, made and enCered into this 'day of
19 7. by and between Arnold A._ Carlson& Anna C. Carlson.
.3 ? Iy
rlrSen a Joyce '1'11aeII hus_._ b?I1da3 Qi?aLtor. s , and City of Eagan,`4
Dakota County, Minnesota, as Grantee,-, 4 wile N
/ v
WITNESSETH WHEREAS, said Crantors age the owners of the. tracts sf
RIDER fS A:.? rd in the City of Eagan, Dakota County, Minnesota, legally des be 11
BART Oi r' follows: I
R1,9li13?
?1?IDER?!S '
A trail oasentent over that part- of Lots 1, 2, 3, 4, 5, 6, 10, and 11, all in
Block Five of WILDERNESS RUN FORTIF ADDITION lying between the Park in Wildcrne:::+
[tun 41,11 Addition and a lino 5 feet Southerly of the following described line;
Beginning aL a point on the north line of said Lot 11 distant 56.76
foeL westerly o` the northeast corner thereof; thence South 09 degrees, 35
minutes, 37 seconds West alonrl the north line of said Lc)t 11 a distance of
feet to the northwest corner of said Lot 11; thence South 00 degrees
24 .ii:utes, 23 seconds E,st a distance of 35.00 feet; thence South 81 degrees,
53 :::mutes, 31 seconds West alunq the northerly line of said Block Five a
rii;_;:ance of 513.35 feet: to Cho northwest corner of said Lot l; Lhenco South
51 degrnos, 16 minutes, 52 seconds East a distance of ;.50.19 teot; thenco
Nnrch 37 dournes, 0o minutes, 37 seconds 1',ast a distance of 235.00 feet;
Chr•nr•e North 67 degrees, 25 mi.nuLes, 37 snconds Cast a distanco of 160.00
fc•r?.; thence North 26 degree:;, 55 minutes, 37 seconds FasL a diS:Lance of.
1:15.63 feet to the point oL beginning.
and across which the parcel vi
location, grading, construction, maintenance, and use of a public trail over
and upon the premises hereby conveyed and from the uses incident t,-.ereto, and
the said City' of Eagan shall have the right to use and remove all earth and
other materials lying within the parcel of land hereby conveyed and the right
to construct and maintain, upon the lands adjoining the parcel hereby conveyed,
such portable snow fences during such months as weather conditions make necessary.
All stumps and other debris resulting from the clearing of the right of
way will be disposed of by Grantee by burning or otherwise, accordinS to law.
The Grantee shall have the right to post such signs and posters along
said trail as are deemed necessary and suitable to define the above lands and
locate teem for public use.
IN WITNESS WFIE.ZEOF, said Grantors have hereunto set their hsnd s and
seals the day and year first above writtE
In Presence Of:
NCW TIIErEFOFE, the said Grantors. in consideration of One ($1.00) Dollar
and other good and val*iaule consideration to th em paid by Grantee, receipt
whereof is hereby acknowledged, hereby conveys, warrants and dedicates to said
Grantee, its heirs and assigns, for trail purposes, together with the un-
restricted rigb: to improve the same, free and clear of all incmmbrances, the
above described tracts of land for trail purposes.
The Grantors, for themselves , their heirs, executors, administrators
and assigns, do, covenant never to cut, damage, destroy or remove any tree or
shrub or other natural growth upon the hereinbefore described premises for the
continuance of this easement, and do _ hereby grant and convey to the said
City of Eagan all grasses, shrubs, trees and natural growth now existing
on said lands or that may be hereafter planted or groan thereon.
The Grantors, for themselves , their heirs, executors, administrators
and assigns do hereby release the said City of Eagan, its successors and
assigns, from M11 claims for any and all damages resulting to the lands thro•_'c;h
and across which the parcel of land hereby conveyed is located by reason of the
'_ccation, grading, construction, maintenance, and use of a public trail over
and upon the premises hereby conveyed and from the uses incident thereto, and
the said City' of Eagan shall have the right to use and remove all earth and
other materials lying within the parcel of land hereby conveyed and the right
to construct and maintain, upon the lands adjoining the parcel hereby conveyed,
such portable snow fences during such months as weather conditions make necessary.
All stumps and other debris resulting from the clearing of the right of
way will be disposed of by Grantee by burning or otherwise, according to law.
The Grantee shall have the right to post such signs and posters along
ssid trail as are deemed necessary and suitable to define the above lands and
locate them for public use.
IN WITNESS WIMEOF, said Grantors have hereunto set their hsnds and
seals the day and year first above written. n /17 a
In Presence Of:
/ - Arnold a lson
Robert S. Ti s n
fl.--ti>- .(??.--
r
I
of Deeds.
I
STATE OF M441A25GfA ?? ~~^
County of Dakota, ss.
Office of Reg.ster 3f Deeds,
This is to certify that the within
instrument of filed for record tr.
this offic at cssips, on the
da . D. 19
o clock-d/U M., pnd that
:h same was Au/y reAbrded in
Transfer Enters
dsy of p
County And}tor,
This -l -
? , f f rLV?y(yJc./
3
(moo
PERMIT i#
RECEIPT DATE: l 4) y / o a-
2008 MIDBNTIAL PLUMBING PERMIT APPLICATION
CITY OF £A(LRN
3630 PILOT KNOB RD
$AGAN, tilN 551 EE
051-881-4875
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
j, 2backflow preventer for irrigation system
SITE ADDRESS: 7 4/C eUye`/ GaI4 "r
OWNER NAME:: e1° TELEPHONE #:
(AREA CODE)
INSTALLER NAME: TELEPHONE #: ?cY6
?r
STREET ADDRESS: 31V Z fee i / (AREA CODE)
,
CITY: STATE: ZIP: ?7 Z
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118)
Other: t ? lh Ir- o VV\, 0 ll Q
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
Replacement/additional: _ water softener P11 water heater $ 15.00
State Surcharge D 'jam 2-8 2002 $ So
Total t $ 5? ?(J
By
hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Fagan ordinances. It
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages Caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within Ci a ght-of-yay=ser9ent.
SIGNATURE OF PERMITTEE 1/02
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE: B{V;6yjNG
Permit Number:
Date Issued: 06/20/96
SITE ADDRESS:
P.I.N.: 10-84353-100-05
4351 OUNROVIN LANE
LOT: 10 BLOCK: 5
WILDERNESS RUN 4TH
DESCRIPTION: R E R O O F
@`il'23q Permit Type
"B il,din "?aWork Type
Census.Code"
STORM DAMAGE
REPAIR
434 ALT. RESIDENTIAL
lqn
r.
REMARKS:
FEE SUMMARY:
Cgtj$T? PTf R - HPPlicanc - ai. 9 ONE'R 5"
0 UCTION 14896014 000594 42 REX
832 PARKER AVE 4351 DUNROVIN LANE
ST PAUL MN 55113 EAGAN MN
(612) 489-6014
I hereby acknowledge-that I.have read this application and state that the
information,-i,s, , coIrrsoi, and a`gres:'to comply with al,l applicab-le State of Mn. °
. .
Statutes aiid°,City of,Eagan_Ordinances
APPLICANT/PERMITEE SIGNATURE
ISSUED IGNATURE
a 1 ^ CITY OF EAGAN
RD - 55122
CP'S 3830 PILOT KNOB B RD
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
RemodellReoair Reoulrements
? 3 registered site surveys
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan H lot platted after 7/1193
required: _Yes _ No
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS: 1?/
LOT I fa BLOCK S SUBD./P.I.D. #:
Name:
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
.t.CA
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Street
City:
3
COST-`-20001 O
FlAST
Phone #:
State: C 1-9
Zip:
Phone #: SIy2? 1-7/
U o-,, ? J D 4-6 7LL
Street Address: O J License #:
lv,? Zip'Jry // 3
City: State:
Company:
Name: _
Street Adi
City: _
Sewer & water licensed plumber:
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Phone #:
Registration #:
Zip:
Penalty applies when address change and lot
is correct and agree to comply with all
Tree Preservation Plan Received - Yes - No
4 ?-t
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE: BUILDING
Permit Number: 020811
Date Issued: 05/03/93
SITE ADDRESS:
P.I.N.: 10-84353-100-05
4351 DUNROVIN LANE
LOT: 10 BLOCK: 5
WILDERNESS RUN 4TH
DESCRIPTION:
& REPLACE DECK
Building' Permit Type SF PORCH
Building Work Type NEW
Building Length 16
Building Width 10
REMARKS:
SEPARATE ELECTRICAL PERMIT REQUIRED
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Lic. Search Fee
Total Fee
$108.00
$4.50
$5.00
$117.50
$9,000
CONTRACTOR: - Applicant - ST. LIC. OWNER:
JNT CONSTRUCTION 14896014 0005942 HERNS REX
832 PARKER AVE 4351 DUNROVIN LANE
ST PAUL MN 55113 EAGAN MN
(612) 489-6014
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.
Statutes and City of Eagan Ordinances. pp??
I - i ?- .J
APPLICANT/PERMITEE SIGNATURE ISSUED B SIGNATURE V
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number
Eagan, Minnesota 55123 Date Issued
(612) 681-4675
SITE ADDRESS:
LOT: 10 BLOCK:
4351 OUNROVIN LANE
WILDERNESS RUN 4TH
PERMIT SUBTYPE:
SF PORCH
F
L
BUILDING
020811
05/03/93
APPLICANT:
5
JNT CONSTRUCTION
(612) 489-6014
TYPE OF WORK:
NEW
DESCRIPTION & REPLACE DECK
REMARKS: SEPARATE ELECTRICAL PERMIT REQUIRED
REACTIVATE'- n=%;tIVhL))
PERMI I'# 1 APR 2 6 1993
900 ( _ ------ n----7
- --------
,r, S T Vr S:/>• x6,6
,
1993 BUILDING PERMIT APPLICATION
681-4675
oil,
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date / o / Valuation of work l>O O G
Site Address:
STREET SUITE N
enant Name: (commercial only)
/0
OT
lu
BLOCK
SUBD. W1L?N??y
P.I.D. +?
?/
n
escri tion of work:
The applicant is: ? Owner Contractor ? Other (Describe)
Name Phone
Property
Owner LAS n FIRST
Q
`??
?
Address
7
STREET STE 1
Gg? State Zip
City
Compan Phone O?
d
Q 59s41Ex
# L
Li
?
Contractor p.
L
_
cense
.?ct
Address o??.L (?
City State Zip 3
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that have read this application and state that the information is
of
d Cit
St
t
t
l
y
es an
u
a
e State of Minnesota
correct and agree to co with all applicab
Eagan Ordinances.
Signature of Applic
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
04 SF Porch
05 SF Misc.
WORK TYPE
? 06 Duplex
? 07 4-Plex
? 08 S-Plex
? 09 12-Plex
? 10 Multi. Add11.
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage /Accessory
? 14 Fireplace
%I-4 ck
? 31 New ? 33 Alterations
? 32 Addition O? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length -E E
Depth o•-6
? 35 Tenant Finish
? 36 Move
Basement sq. ft.
1st F1, sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code ?zyz
SAC Code
APPROVALS -'-
0
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS RC711.4-ec vtzK ? Utz, 3-5C-A!;,..RAII C_)11/577NG FooT/N61
? Site Footing Framing ? Insulation
? Wallboard 8( Final IDraintile ? Fireplace
Permit Fee -8 0 vatuetim- $ ?f c?O J
Surcharge o
Plan Review 9NZ
License
MWCC SAC
City SAC
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er
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Water Meter
Acct. Deposit --
S/W Permit y Z S,
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
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374z
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I LOT -P L 44
4 3 S ( MASTER CARD
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OWNER
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK n
-1
?_?'? 7 -
a ?'j •7
r l"
WELL
ELECTRICAL
HEATING
GAS INSTALLING
L?- R
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING AP SEPTIC
FOUNDATION
FRAMING
?J- CESSPOOL
TILE FIELD FT.
FINAL
ELECTRICAL
H
HEATING _
DEPT
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL f
Y?
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
PERMIT# ygi7q
RECEIPT DATE: 4 L / D I
USIDENTIAL'PLUM$ING PEPJW APPLICAMON
CITY OF Elk(iAN
3830 PILOT KNOB RD
KAGM, MN 5512E
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS: ' UA?l ?U (fit hV YN LrLt^ F
OWNER NAME:: RixTELEPHONE #:
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS: 605 12th Avenue Sot
CITY:
DI.,. n eharlt mnvil, narf fn tha narmif wnrk tvne
STATE:
ZIP:
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existing dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work: "izOQaP ?yI)Afr M
_ Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
$ 60
Total
Reminder., Be sure to schedule inspections of alterations, i.e. water heaters, water sorteners, etc.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It
is the applicant's responsibility to nobly the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City operty/right-of-way/easement.
S N TURE OF ERMITTEE
Updated 1/01
TELEPHONE #:C?62k- -90i/1
(AREA CODE)
F-- t- -----------
I J(y
Permit t C7 '?? ?l ?? Gam' j
I Permit Fee:
I I
Date Received:
I I
I I
I
I Staff.
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: t-1.d1l-C"L LA_
Tenant: )ee_?C `/- cc=1c" Suite #:
RESIDENT/ OWNER Name: Phone: L,?St-
Address/ City /Zip: n tal V-"t"kq h
Applicant is: k Owner _ Contractor
TYPE OF WORK Description of work:
af- ADO- I t2G
//
Construction Cost: ono . 00 Multi-Family Building: (Yes _ f No
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
_ Minnesota Rules 7670 Category 1
_
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 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:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Plans and supporting documents that you submit are considered to be public information.. Portions of':
NOTE:
,
" ., the information maybe classified as non-public if you provide specific'reasons that would permit the,City to
conclude that the are trade secrets: `-
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.
X ce l( vie 4erv-\ X r_J l -`--
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use I
j 23 0757;
City of Ea Ran I Permit
I f1~~5
I Permit Fee: V
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675 I I
I
Fax: (651) 675-5694 I Staff: I
I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name:
Phone:
Resident/
Owner Address / City / Zip: ~J~ f ~~✓S Gy4~~1 C. 4 i
r
Applicant is: Owner Contractor
- 4
Description of work: ~ri h .7
Type of Work
Construction Cost: Multi-Family Building: (Yes / No
Company: ~~~sc' d1c~5 r yam,~L U r
h Contact:
Contractor Address: 7 City:
State: lZ? 11 Zip: / G~ Phone: t,11Z -2 Z-/- % ail: Sl'am' /7- c4' 5 5! , t G'• ,7
License G/f G~ 4/ Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 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:
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 they 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of plermit issuance,
x
Applicant's Printed Name Applicant's Signature
Page 1 of 3