3880 Cinnabar Dr. CITY OF EAGAN
3795 Pilot Knob Rood Eogan, MN 55122
PHONE: 4548100
BUILDING PERMIT $36,9 06 :'.. ReceiPt .#
Te 1.a u:ed fer At t,. Dnte
Site Addre=77(a
Lot A.. Block Sec/Sub.
Porcel # -
? W Name
Z Address
3
0
Cit Phone
? Nume
N4 4328
24
Erect 0 Qccuponcy
Alter ? Zoning -
Repair ? Fire Zone
Enlarge ? Typs of ConsY.
Move p # Stories
Demolish ? Front ft.
Grade Q Depth - ft.
Approvola Fees
o?
Address ' ASSessment -
??
Water & Sew.
Ci Phone
F
?
W
Nome Police
Fi
e
W
r r
Y? Address Eng.
-
<'?" Ci Phone Plonner
Council
I hereby acknowledge that I have reod this application ond state that Bldg. Off. -
the information is correct ond agree to comply with a!I opplicoble
$tote of Minnesota Statutes ond City of Eagon Ordinances. p`PC
Signature of Permittee `
.
Permit _
Surchorge
Plon check
SAC
Water Conn. _
Water Meter
Total
A Building Permit is issued to: -__ _ on the express condition that
all work shall be done in occordonce with alI opplicoble Stote of Minnesota Statutes and City of Eacon Ordinanc?s.
Building Official - ---- --- - - ---
PemM # potr Isiwd P-wNl"
Plumbing O
Mechanical
INSPECTIONS DATE INSP. Rouph-In Find
Footings - ?- ? Date Irap. Dote Irop.
Foundation Plumbing
Frame/ins. --? ?__ Mechoniwl
Final
Remarks: ??,? ?
, CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesoie 55122
Phone: 454-8100
PERMIT
Date: Jti1y 27, 11-; 7 -
Site Address: - z r
Lot =Block Sub/Sec.
Name -=11e5saii Builders
.
? Address 1-41 ?,-ivenport
,ty -gan Phone:
Na,,.,e Pr_edrickson Heating & A/c:
.
?
P Address
e
?
City Phone:
This Permit is issued on the express condition that ull work shall be
Minnesota Statutes and City of Eagan Ordinances.
No. -2
Receipt No.:
5ingle I
Residential
Multi Res., Camm./lnd. I
New/Alter./Repair
Cost of Instaliation
Permlt Fee 2. 0 . 00
.S0
Surcharge _
Tota I ? P, " 5 ()
done in accordance with all appliooble State of
Qfficial
CITY OF EAGAN
, 3745 PiloE Knob Road
t Eogan, Minnesota 55122
Phone: 454-8100
PERMIT
Date: '11, 1977
Site Address: . - ' ' -
Lot Block Sub/Sec.
Name ''ll2fsbri :31iildex'S
; Address l 4 ?7" '?ave.-.}?ort Fve.
O
City ' `in _ Phone:
` Nome "z-Ryan Plumvdna s L.eatir:g 1'nc.
? Addres 7So. ?ber? Trail
0
V
ty '•.usemount `SC;E?• . Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Stotutes ond Ciry of Eagan Ordinances.
No.
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. I
New/Alter./Repair
Cost of Installation
Permit Fee `0. 0 (1
5urcharge
- -, ?
I Total ?
done in occordance with all applicable 5tnte of
Building Official
CITY OF EAGAN
3795 Pilot Knob Roed
Eo9an, Mineeoofa 55122
Phone: 464-8100
WATER SQP'mF.tiE^_ pERMIT No.
Date: Decemher 13, 1977 Receipt No.• ?
Single
Site Address: ' ?' ? ? `' i '-, '' ? ` '? t "• r : Residentiol
Lot Block 1 Sub/Sec. _ Multi Res., Comm./Ind. ?
Name - ' ' ' - /Repair
.
New/Alter
.
.
; Address C i , Ti ' . ? - - Cost of Installation
O
City Phone:
Permit Fee . ,
?
Nome t5c,- ' nY' Cc) T :• i r, ?.
•--
Surcharye
? Address 1: ?,v e
?
v
City Phone: Total
This Pem,it is issued on the express condition thot all work shall be done in accordonce with all oppliceble State of
Minnesota Statutes and City of Engun Ordinonces.
l
?
Buildina Officicl
r
i CITY OF EAGAN Remarks
Addition CEDAR GFipVE #9
Owner ? ` - ' {•' Street 3880
Cinnabar Drive .-._ Eacran. MN
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 197$ 1035.45 103.55 10 931.91 A005152 11-10-77
STREET RESTOR.
GRADING
SAN SEW TRUNK 1968 55.16 1.83 30 35.03 A005152 11-10-77
* SEWER LATERAL 1975 1,289.38 2 11-10-77
* Wat. Lat Striibs 1975
WATERMAIN ? 257.90 005152 11-10-77
WATER LATERAL
WATER AREA
STORM SEW TRK ? 1976 279.12 55.82 5 111.66 A005152 11-10-77
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. pp s- • 7
BUILDING PER.
SAC , D0 ' - 77
PARK
I Receipt
1. Date 2. Installation Cost
2 ?
3. Job Address _Lot Blk.
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential O Commercial 11 Institutional ?
9. Work Description: New ? Add O Alter ? Repair ?
10. Describe Fuel Type
1 11•
No. Eyuinment BTU - M. Ea.
Forced Air No. Equipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
-
F- I
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
C??• ?
Tract
Permit No.
Fee
S/C
Tot.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: I i
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
,. ? 1 NV1HFCAP (,r; ,i'i lltltii 11 1 W ?
PERMIT SUBTYPE:
TYPE OF WORK:
UESC.RiPT'[tlN
fef Pal R
(ui aocIIJs /c'Ar r 0 nna? ?
INSPECTION ., . •
Permlt No. Permit Holder Date Telmphons A
ELECTRIC
PLUMBING
HVAC
Inapection Date Inap. CommerKs
FOOTINGS
FOUND
FRAMING
ROOFING
RDUGH
PLUMBING
PLBG
AIF TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL .
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDGFINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
???T ^Ti? s INSPECTION RECORD^
CITY OF EAGAN PERMIT TYPE: I I I+ t N4i
3830 Pilot Knob Road Permit Number: ''' s?`" t•' Eagan, Minnesota 55122-1897 Date Issued: `(612) 681-4675
oil .
, SITE ADDRESS: APPLICANT:
w80 CINNABAR [1R
I• liAR 6F?OVE #9
PERMIT SUBTYPE:
kENFWAI 8Y ANn
461: ) 6N:',.4711
TYPE OF WORK:
r?t'scRxPrION
? E
' 1
-?'i ?
3 fr $ ? ?
? _ ' . . Y . .. .t .... ? ?., ,j. ? ?.
.. ..„ .. _ r...
Nti•A ?1<
( W1 Nii+it! Pf? P1 AR 1 M1- N I)
1 . °E3, f ?. . ? 1
I
Penmft No. Permk Hoider Dab Telephone N
ELECTRIC
PLUMBING
HVAC
Inepectlon Uata Innp. Commenta
FOOTINGS
FOUND
FFAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
VCITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: Ot jo`, /"' ;
(612) 681-4675
SITE QDDRESS:
? ? ?i;i?< i??:i?'vt •?
APPLICANT:
, ,.
r-
L
?
?
PERIIAIT SUBTYPE: TYPE OF WORK: ?
?;?1 Ncafc.0 FF r r/raC ra
?
l
Permit Holder Dete Telephone S
PLUMBING
HVAC
Inspection Oate Insp. Commente
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
CONDUCTIVITV
TEST
HYDROSTATIC
TEST .
BSMT R.I.
BSMT FINAL
oee?c Frc
DECK FINAL ?I
I
CITY 6F EAGAN ,
3795 Pilot Kno6 Road
Eagon, MN 55122
Zoning:
Owner.
Address:
Site Address: _ A
Piumber: ?t
Meter No.:
Size:
R L C:3 !
Reader No.:
1 agree to complr with the Cier af Eagan
Qrdinanees,
Connection Charge:
Account Deposit:
Permit Fee: '
1 r? 1
5urcharge: -
Misc. CFwrges:
Total: Date Paid
' 1 nsp.:
By
Date of Insp •
SEWER SERYICE PERMIT
CIT1F 6F EAGAN
3795 Pilot Knob Rood PERMIT NO.:
MN 55122
Eagon DATE:
,
Zoning: iVo. pf Units:
Owner: --- - -
Address -
Site Address:
_
Piumber:
1 ogree to comply with the City of Eogan Connection Charge: -
Ordinances. Account Deposit:
Permit Fee:
?
Surcharge: " -
By Misc. Charges:
Date of Insp.:
:
Insp Tatol:
Date Paid:
.
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
- No, of Units:
cirr oF eacaN
3795 Pilot Kno6 Road Eugan, MN 55712 N2 4328
PHONE: 454-8100
D ?!y9
iNG PERMIT APPLICATION $36,000. ReceiPt
$111L _
#
Te be used for Sing. Fam Dwlg. d Att. Garg. Date May 24+ 19 L7
Site Addre Fle "NOW CiA11 b8T Erect g] Occupancy T
Lot --Mo!k- Block 1 Sec/Sub. CC' 9 Alter ? Zonin9 $], .
Parcel .jR' RePair ? Fire Zone _
Enlarge ? Type of Const.
s Name
Move ? #k Stories
.L
3 Address_ ??? 1pl-L ?{/R-4SdA1 Demolish ? Front ff.
?
Cit Phone Grade ?
Depth ft.
Apvrorols Fees
? Name Garl Tollefson
0
Address 13816 Holyoke Ln Astessment Permit 1l1S!1 _
454-6873 Water & Sew.
r
.
Apple Ve11Ey Surcharge _ 1$..00-
?
?
phone
PoliCe Plon check
Gw
Nome Fire SAC 475•00
w
r
?-UZ, Addreu Eng.
Water Conn. _.2?0
<w Cif Phone Plonner WaterMeter----60-.00
Council
I hereby acknowledge ihot I hove reod this apptication and state that gldg. Off.
the information is correct and agree to comply with all opplicable 8S8•?'j?
Stote of Minnesota $totutes ond City qf Fpga rdi ances. ?APC
?
?
?
( Total
-
Q=4
-
-
$ignature of Permittee
C8Y1 T lE£SOn
A Building Pertnit is issu to: ? on the ex ress condition that
P
oll work shall be done i accord ce with a app iwble Stcte of Minnesoto $totutes and City of Eagon Ordinances.
Officiol ?
ildin
B
g
u
3
•,. ,? , ,?
` SIIILDI't?G Pi:RA12T P.?'FLSCATIO'I
Date: rfU/Ij P f ?f ? 977
eLocx'' rDnz: io.r Ce d ae- 0-,Ae o r e.
.;
PAItCEL & SECTIOM IdUi13ER IF Ui1PLATTEU '
11DllRF$S OF PARCEL i n7 /J FF 10 a. p- ?-?
7,0:17::G- 4OCCUPP3jCY6 1,J4Ie -?a,., S I ?l USE
ESTZiAiL•'D COST
(`T.-7s!?::: 172 ie Ne /S DA) TELEPHOI?E iQO.
ADDFE59
CO! ;iRAC TOR / d il 411? A l (3 IcIS . TELF,PIIO.IE TTO.
AunZESS /,I X.l? I1,-) A/ rl ffP. ---44_ / V4 P N N?
CT73fe: Inclu3e si.te plan, building plans, and energy calculations with this
4
epplication
Siered
U
? 0?,2CP USE
VtiT.i7?1i'L7;.i_
b
JT.C
C0:7i7EC^_IaI
[ i11TL:F. 19I: i'ER IIUZLDID7G PERtdIT FL'E;
SURCF.2IRGE FLE;
FLe1:1 C:'S.CK FEE
PAILT. DEDICIITIOid FtE
OT::ER
TO::FiL*
d
EFPP,OVALS. ?
A°SL•'SSr7F':?T CLEt.i<--z4ej- -BUILUIi4G DE T. LICE DFYT.
!'IF1TER Fi SO.ti2 Dr^.PT. FSIL DLPT. PFIRIC DEPT.
t
To).leisen euildere, Inc.
Ur, 10rb5
179-15A
F. C. JACKSON
i.wno suRVEroR ?
nKaisrcnen uNOCn uwe of atAre Or MINNWTA 5CAU : 1"= 30'
LIQNY[D ry ORDINANCt Or CIT' OR MINNHAlOLIY ojeootee ILOO MO11. ?
361e EAST 537H STREET 727-3484
burbcpor'g lLcrtiticatc
i2? 99
j JH ^^-
?? ? ,, r- ? - - - - -.- -?S ?
26 ? 1
??? •?
6
.t
.? a Gar. '? 1?_
''- /Z5, SZ -''
I HHRfiSY CERTIpY 7HA7 TX[ ABOVE Ii A TRU[ AMO OORN6CT RI1T N A 811RVpY Op
Lot 2 Block 1, Cedar Grove No. 9.
Dakota County, Miqneenta.
AS BURVEYED BY M6 TH16?SCh_OAY 1977
516NHn.__ 4MNNZYA FC. AC KSON. RAT1oM. NO. HBOO
??
?' MEMO
U'.'i? city of eagan
4b? ?;?,v
-
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 23, 1993
SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 9(18 LOTS)
This memo is to inform your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners in Cedar Grove No. 9 Addition.
Block 1, Lots 1-13 13
Block 2, Lots 1-5 5
18
The City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
, 0?_ f?,
Edward J. K' scht
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
PERMIT
CIo YoOF EAGAN PERMITTYPE: BuzLazrvG
Eagan, Minnesota 55122-1897 Permit Number: 029192
(612) 681-4675 Date Issued: -kg/ 0 8 J 9 6
SITE ADDRESS:
P.I.N.a 10-16705-020-01
3880 CINNABAR Oft
LO7: 2 BLOCK: 1
CEDAR GROVE #9
DESCRIPTION:
,--, (WINDOWS/PATIQ
8:uildiri'g,e.Permit Type
fluild'xng W'?rk Type
?Census -Code434
\ -
. . ? 1:y: ; _ ? =dR?
g
DOOR)
SF (MISC.)
REPAIR
ALT. RESIDENTIAL
11 __ ...? ??..^... _. .. T?....?
Y ??' 1 '
0'? d t q?
i.. .? ...l ???• t
?r` •• . ...? ?e x i
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$112.25
$3.00
$115.25
$6,000
CONTRACTOR: - Applicant - ST. LIC OWNER:
RENEWAL BY ANDERSEN 14307255 2004063 MOORE JOE
1700 BUERKLE 3880 CINNABAR DR
WHITE BEAR LAKE MN 55110 EA6AN MN 55122
(612) 430-7255 (612)454-8770 '
?
T hereby acknowledge that I have read this
information is correat and agree to comply
$tatutes and Glvty ot Elagan-,fkrdinanpos. :
APPLICANT/PERMITEE SIGNATURE
applieation and state that the
with all app2icable State of Mn.
?` . - .
(kA 0d[
ED Br: A U E
y`. 3830 PILIOT KNOB RD 55722
?? ? 9 ? 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-46T5
Remod^ffleoair ReauiremenM
? 3 regialered aRa aurveys ? 2 eopies oi plan
? 2 copies of plans (inGude Deam 8 window slzea; poured fid. design; etc.) ? 2 ske surveys (exterior addidons & decks)
? 1 energy calculatlons ? 1 energy caleulations for heated addkions
? 3 top'ies oi tree prcservetion plan H lot platled after 7Hl93
required: _ Ves No
DATE: LIZ?' CONSTRUCTION COST:
DESCRiPTION OF WORK: ?te.s???uc L? u'?tul°r^?r G?!°? ?ovc/e.?i?"sarfs `''?lv?v"' cc.?c?
-r,12--? dawn Wrd? c;z 11 aa, e.a.c.c- s r??...
STREET ADDRESS: 3?'rro
LOT .?- BLOCK SUBD.IP.I.U. #: ? aL XI-' 4. Q
PROPERTY Name: IVI vor?- ? T0e, -4" 7-et'?' y PhOne #: ?y?877b
OWNER '""
aggo i2`n?I`L?'ae `T
?r4ve..
StreetAddress
City: State: Zip:
coNTRAC7oR Company: LP-Vlew0--( ? i4kdevs-e.k Phone #:
Street Address: / 70 d 6uer(F.l? License #: ???`O63a
Vv hj-iv? Aea,- Lcr,4? State: A) Zip•
N
Ciry: - .
ARCHffECT/ Company: Phone #-
ENGINEER
Name: Registration #•
Street Address, -
City; State: Zip:
Sewer & water licensed piumber:
change are requested once permit is issued.
I hereby acknowiedge that I have read this applicatlon and state that the
applipble State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applipnt:
OFFICE USE ONLY
Certifiqtes of Survey Received
Tree Preservation Plan Received - Yes
No
No
Yes
Penalty applies when address change and lot
correct and agree to comply with all
FERMIT
CITY OF EAGAN
3830 Pilot Knob Road
EagPi, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: aurLozNG
Permit Number: 032183
Date Issued: 0 6 J 0 5/ 9 8
SITE ADDRESS:
38$0 CINNABAR DR
LOT: 2 BLOCK: 1
CEDAR GROVE 9
P.I.N.: 10-16708-020-01
DESCRIPTION:
-p_ SIDZNG/SOFFZT/FACIA
Buildihg Permit Type SF (MISC.)
x&uildiflg Wnrk Type ALTERATION
r'Census Code'°,, 434 ALT. RESIpENTIAL
s. .
?
>
J.i f+ {
!?` f L ( _y (
REMARKS:
FEE SUMMARY:
VALUATION $4,000
Base Fee $87.25
Surcharge $2.00
Total Fee $89.25
CONTRACTOR:
L
OWNER: - APPlicant -
MOORE JOE
3880 CINNABAR DR
EAGAN MN 56122
(612)785-1111
I hereby acknszwledge that T have read this applicat-ion and state that the
information is correct and agree to comply with all applicabl,e State qf Mn.
StatuCes and City of Eagare Ordirrances. 1 11 APPLI? T/PERMITEE SIGNATURE
.
ISSUED BY 9 GNAT?
I
30200 1?• rJ T7?998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ??i 9 Z?
CITY OF EAGAN
• • 3830 PII.OT KNOB RD - 65122
?ra I1t ? ?'r
681-4676 ?y? r
New Construction Reauirements RemodeVReoair Requirements ,
? 3 registered sde surveys
? 2 copies of plans (InGude beam & window s¢es; poured fid design; etc.)
? 7 energy calalations
? 3 copies of tree preservation plan if lot platted aRer 7!1l93
required: _ Yes _ No
DATE: Iv 13 /%
? 2 coples of plan
? 2 s0e surveys (exterior addttions 6 decks)
? 7 energy calculatlons for heated addRions
CONSTRUCTION COST; 'A 3 5 oa
DESCRIPTION OF WORK: KeF14c? OU wao c? sJ:nc w?? v?.,I • Pfo??n S?-K?i ??;sc:5 ??
STREET ADORESS: 3U D C.C.r.
BLOCK: SUBD./P.I.D. #: or ? 9 's?rt? O P 4+ 61a
Oa.'J-ol
Name: I'1BOrer 0e- Phone #:
PROPERTY Last First
OWNER
Street Address: 3%Z0
Ciry State: MNl Zip: 5?11a
Company: Phone #:
CONTRACTOR
Street Address: License #
City State: Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. ^^ 1
Signature of Applicant: ?-
U
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No Not
PERMIT
CITY C?F EAGAN
3830 Pilot Knob Road PERMIT TYPE:
9 2 N G
Eagan, Minnesota 55122-1897 Permit Number: 0303
(612) 681-4675 Date Issued: 10 / 0 6/ 9 7
SITE ADDRESS:
3880 CINNABAR DR
LOT: 2 BIOCK: 1
CEDAR GROVE #9
P.I.N.: 10-16708-020-01
DESCRIPTION:
" . (WINDOW
¢t+ild$ng-R,ermit Type
_ _ • , ' ? REPLACEMENT)
,?3uilding_ W?drk TYPe
= Ceflsus `Cpde=, rt.
SF (MISC.)
REPAIR
934 ALT. RESIDENTIAL
r_
?j??S
r,x `?f
vA?'?ia ?t?1'? Li
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$74.75
$1.50
$76.25
$3,000
CONTRACTOR: - Applicant - sT. LIC OWNER:
RENEWAL BY ANDERSEN 15024777 2004063 MOORE JOE
350 73RD AVE NE 3880 CINNABAR DR
FRIDLEY MN 55432 EAGFlN MN 55122
(612) 502-4777 (612)454-8770
i hergby,?acknowlerlge . thatj; have -read CWr3s appl-ica°tian? .arr?d, s;ta.te tha"G ?ttrv,'? ?
information is carrect, and agr@e,xo camp;ly ,krith -al-l app-131cabkAa gtaGe `-mf t1w• _•
Statutes and Clty? of _Ea9an 9rdiimneas.
, -
.?
?
APPLICANT/PERMITEE SIGNATURE
-bOt,n,?.o.?' md
ISSUED 8: SI A U E?-
9 97 BUILDING PERMITAPPLICATION (RESIDENTIAL) ?7i,,?
obot CITY OF EAGAN
3830 PILOT KNOB RD - 55122
687-4675
RemodeUReoeir ReauirameMs
? 3 regiatered aRe surveys ? 2 nopies oi plan
• 2 copies of plana (Indude beam & window atrss; poured fid. design; etc.) ? 2 sfte surveys (exterior addRions 8 dedcs)
? t energy calalations ? 1 ene
rgy celaletions tor heated eddiGons
? 3 eopies of tree preservation plan H IM plet[ed after 711/93
required: _Yes _ No DATE: C) • 3 O•Cl1 CONSTRUCTION COST: 7 6?1D?
DESCRIPTION OF WORK: {-WME- W fTFa C'?UGET / fvS `Zf ?-fi?A?? ,
STREETADDRESS: 3$?? G^r?6AQ . pq- •
LOT ? BLOCK SUBD.lP.I.D.#: CDI?4n,.?1k1?11U,?Q
PROPERTY Name: IV1OCl?LL* ?OE • Phone #A54' Ell)•
OWNER
Street Address: 3a2 p C i-Qnp2 0(Z-.
City: E../?CrQhl State: Mr,4 Zip: SSIZ2- ^
coNrw?CTOR Company:ZalErJW-- M AA-40liN--45%Er! Phone#: SZ)z-' ?1-11
Street Address: ?? T$e-p iJJE NtE License 0•
City: F' fU O V? State: ?Y?"? Zip:
ARCHITECTI Company: _ !?lt?- Phone
ENGINEER
Name: Registration #:
utreei Address:
City: State: Zip:
Sewer & water Iicer.5ed plumber (new conshuction only):
and lot change are iequested once permit is issued.
Penalty appiies when address change
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 Cily of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
CeRificates ofSurvey Received _ Yes _ No
Tree Preservation Plan Received - Yes _ No _ Not Required
„ ._ . 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-689-4675
New Conshuciton Reauiremenfs
? 3 reglsfered sNe surveys ahowing sq. R. o( lot, sq. R. ol house
and all roofed areas (207 maximum lot coveraae allowed)
> 2 copfes al plans (show beam 8, wfndow slzes; poured fnd. design; efc.)
: 1 set of energy calculatfons
? 3 copies of free preservation plan M lot piatted affer 7/1193
DATE: ti lab Ia'?1
Remodel/Reoalr Reauirements
$acl - a5
2 copies of plan
1 set ol energy calculaFlons for healed addBions
1 sife survey for exRerlor addMtons 8 decks
i
CONSTRUCTIONCOST: 4) -?:5900
DESCRIPTION OF WORK: LA UV lUU
STREET ADDRESS: ?SSO L",l(1(l) tiLlr plir
LOT. BLOCK: l SUBD./P.I.D. _L- G Y C) U???
Name: MOOr? ?? Phone #: 45q '
PROPERTY Lan F"st
OWNER Cinniba? Dr
Street Address: 3 ??
City ? n State: Zip: ? ?aZot
Company: H0PjZ0bL Qv5)0-F??6 Phone#: SGO- ?59Qo
11 (area code)
CONTRACTOR Street Address: 1333 Larc InUUStrial Blvd. ucense #e9cok5t"5exp.
urn -vi e. ivi 50331
City
ARCHITECT/
ENGINEER
Telephone #: area code (
Street
City
Sewer 8 water Iicensed plumber (reaulred tor new consfrucflon onlv):
State:
PenaHy applles when address change and lot change is requested once permR Is issued.
Ztp:
I hereby acknowledge thaf I have read th(s application, state that ihe Information Is cortecf, and ogree fo comply wRh all applicable
State of Minnesota Statutes and City of Eagan Ordinances. \Cl ? ? ?
Signature of Appifcant: 1 ?`^'?•
OFFICE USE ONLY
Certificates of Survey Received
Yes _ No
State: Zip:
Name:
?
Registration
Tree Preservation Plan Received - Yes _ No - Not Required
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? bG1.1 h
J? H ),370
New ConihucHan Reaulremenh
Name:?Tm? 1?f F +?n? Phone #:
> J reglstered sIfe wrveys showlny fq. II, d lot. tq. fl. 01 house 2 caplea ot plan
and gJl roofed oreas (40X RIQxIIY1LLm 101 COVBtdOB dIIOWBCD 1 set d enatgy cdCUlaMOns for heated addleon5
> 2 coples of plana (show beam 8 wlndow dxes; poured tnd deflpn; etc.) 1 fite survey for exleAOr addNlons 4 decks
> 1 aet ol energy calculaHona
> 3 coples ol hee presenailon plan H IW plaHed after 7/1/93
DATE: CONSTRUCiION COST:
DESCRIPTION OF WORK:
STREETADDRESS: ?)Bg a
LOT: ? BLOCK: ? SUBD./P.I.D. M: L'2 V U V-C,? ?
PROPERiY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Sheef
Clly
CITY OF EACAN
3830 PILOT KNOB RD - 55122 ca((ed ?J16J0(
651-681-4875 ?
? ??? Remodel/Reoalr Rewdreme?b
/ /n ItO-Gb
/2 qQ,? v State: /U1l&- Zip:
Company. ,?) & Phone i:
(area code)
Sheet Address: llcense ? EyP•
Cly
State:
Company: S e- « Name:
Telephone ri: (
Sheet Address: Regishaflon Y:
CMy
Sfpie:
Sewerlwater licensed plumber (M installirw sewer/water): Phone #:
Zip:
Zip:
I hereby acknowledye Ihat I have reod this applicafbn, afate 1ha? Me InfortnaHon Is cortecl, and agree to comPH wlih an appOCable Stab
of Minnesota Statutes and CHy of Eagan Ordinances.
Signalure of
OFFICE USE ONLY
Certificates of Survey Received _
Tree Preservation Plan ReCeived _
Yes _ No
Yes - No - Not Required
JuN 1 52 A
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-piex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 OB-piex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
fff 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
OFFICE USE ONLY
? 13 16-plex ? 21 Porch (3-sea.)
? 17 Garage ? 22 Poroh/Addn. (4-sea.)
18 Deck ? 23 Poroh (screened)
? 19 Lower Level ? 24 Storm Damage
Plbg _Yor_N ? 25 Miscellaneous
O 20 Pool ? 30 ' Accessory Bldg.
? 36 Move Bidg. ? 43 Reroof
? 37 Demolish (Bidg)' 0 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code fJ)
No. of Units O
No. of Buildings T-
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main Ievel sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $C oZ?3'0
' Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total
? 31 Ext. Alt - Mutti
? 33 Ext. Alt - S F
? 36 MuRi
SAC Units
% SAC
jlldera, Inc.
/
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4
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V\
? Ur, 10065
rrvi ,?3}
F. C. JACKSON 179-15A
wvo auRVeroR ?
RWI6T[A[D UNDiR uwa w srwrc w rIHNnorA SCAI.E : 1"= 30'
uaNSeo tY ORDINANC[ or cITr W YINN[A?OllS o Jenotee iron lLon.
9616 EAST 35TN STREET 727-3484
, bucrocpor's Catiticatc ?
i2 s 99
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ti Gar. ? L,
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I M[R[!Y G[RTI/Y TNAT TN[ Ab1/[ 10 A TRY[ AND ODfiqiCT RAT OI A SURViY Or
Lot 2 Block 1, Cedar Grove Na. 9.
Oakota County, Mianeeoca.
At 9URYEYLO sY M[ TH16--2.-5Ch_DAY OF ___?!y --A.O. 1977
F. C. lACKSON. MINN[sqT'A Ji961S7pwTroN. No. 3600
.Sq z( `i
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pemuts aze requued for each unit
v3a/-?7
4(s"Sb
nace -3
???
Uw"t #
Site Address ??/? ( ;j!/,!'/? ?yf R ??,Q ?G J9/? ////Z?
Property Owner ? //f`/e4d&6' j"/?we?' Telephone #V5, )? 7 7
Contractor h?e yf°/2
Address
State Zip ? Telephone #
,
T6e Applicant is _ Owner ? Contractor _ Other
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Eaisting Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Water sof[ener Water heater $ 15.00
replacement additlon
? al ?
?
0 5 ?J
, ?? f?lar.
$ .50
StateSurcharge
/
Total $
I hereby apply for a Residential Plumbing Permit and aclmowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand tlris is not a
pemilt, but only an application for a pemvt, and work is not to start without a permit; that the work will be in accordence with the
approved plan in the case of work which requires a review and approval of plans. 111%
pplicanYs Printed Name /?p¢l1-lnfs Signa