3631 Crestridge CtAddress
Lot .
3633 C22ESIRIDGE !XH7rtT
Zip 5512 3
Blk i Sub sUFFEx tHLs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 12(30(94 Yes No Inspector.
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage ?
Porch ?
Basement finish
Deck E/
Please verify with the builder the removal of roof tes[ caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists. Con[act engineering division at 6814645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy . Pink • ConUactor Copy ?
Address 3631 r-ResTtIDGE OUrtr Zip 55123_
Lot I Blk 1 Sub s[iFEEt xir.r.s
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 12/30/94 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas ?
Sod/Seeded grass ?
TraiUcurb damage
Porch
Basement finish
Deck ?
Please verify with the buitder the removal of roof test caps from the plumbing system aod the shuboff of water supply to
[he outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightrof-way or installing undergcwnd sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contracar Copy ?
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: auiLDiNG
3830 Pilot Knob Road Permit Number: 023878
Eagan, Minnesota 55123 Date Issued: 06/14 /94
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 1 BLOCK: 1
3633 CRESTRIDGE CT CHRISTENSON BLDG C0, DON
BUFFER HILLS (612) 452-1061
PERMIT SUBTYPE:
puaLex
TYPE OF WORK:
NEW
DESCRIPTION (1 OF 2 UNITS)
INSPECTION
FOOTINGS .. .
FOUNDpTION .•
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: S& W PLBR - D C MECH
F-
L
1
?, 4 t
- 10-A& '.
Wei.tificate vf Cccupanc?
?it4 n? ?"an
ZO at 1 = lent ? Zaming 3ttopee;on
This Certificate issued pursuant to the r+equirements of the Uniform Building Code
certifying tftat ai the ttme ojissuance thrs struclure was rn cornpliance wrth tfte various
ordinances of the City regedatirtg building construction or use. For the foltowing:
Usc Qassificvian:q?( iOF 2BWg. Pertni, No. 23877
OccupancY Type R3/M l Zoaing Disuia R2 Type Ccrosi. VN
ownaor Buiiaing Dot+t atiSrENscN rr mAddmss 3676 PTIrn tans tm, Encax
swding naa= 3631 CKESIRIDGE UOURT tmcanyL1, B 1 s B[1M HIII.S
1, ' Due: DECEMBER 30, 19i}4
enaaing offi.W
POST IN A CONSPICUOUS PLACE
?
.?I 4" i(
NkT- I
Wertificate vf Cccoancv
CM4 of Cfagan
zepartmeat o? 13waixg auispcctioa
77tis Certiftcate issued pursuant to the requiiements of the Uniform Building Code
certifying that at the time of issuance this structune was rn compliance with the various
ordinances of the Crty regulalueg buildireg construction or use. Far Jhe following:
ux c.ti.r,.?: W= Q CF 2 MITS) sieg. Pennit wo. 23878
O-p-ly Type R3/H1 Zoning Dimia R2 Type Const. VN
Owircr o[ Buildiag DM QMSrQ??? ?= OD AdMets 3v75 PlWT 1?" RD , EWAN
su;Mingnaanm 3633 (ItESIRIDGE Od[lRT 1-:,lityL1, S1, BiIF'M HIt1S
DECEMBER 30, 1994
s?d&ng Officbki
f
i
POST IN A CONSPICUOl1S PLACE
CITY OF EAGAN
Remarks v/_tt?9irY?ti1,4-t ? ? - / /J ' .- 1? .
ADDITION Lat 1 alk 1 Parcel 10 15400 010
Eaean. NIlV 55123
d1/ !"91- 9G G!l_aAr,i?.
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1974 UIl @T DT1 naI parcels
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PEF.
SAC
PAR K
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
INSPECTIUN RECORD
PERAAIT TYPE:
Permit Number:
Date Issued:
. ?_?:??r,?Fr1E?rwr r.?
PERMIT SUBTYPE:
APPLICANT:
?
i.11 !J .1ih! 1;I 1.1
t r?i.'1 4 h.' 141 t,1
TYPE OF WORK:
!II '•E 1; 1 f' 1 { I-;'
Ftli f I 4? ! Ni,
01138 ! N
86/l4/09
r rI , [iiiN
?rE w
( 1 UF Y f.INI !?; 1
INSPECTION TYPE
i ?i?i I I I,i?. , DATE INSPTR. INSPECTION TYPE
• ??? .. , ? i ?i D•
lI;AMINii
) PI',111 A ( IIV r 1 i;! s' I n? i
I Ilinl f'i I??i ti IfHl11
I ;. j1f2K51 . !. 6l I'1 f4R
IF
E4 1 Ht I !I
[L-
' PsrmN No. Permft Holde? Dafe Telephone M
SNV
PLUMBING
HVAC
ELECTRIC D !? ' ? ?,? O? $ .c?so
ELECTRIC
Inspeetbn Date Insp. Commeirts
Footings I ?
Foundation 4_4?/l!
Framing ?4?f?/L Scu 6v? ?s-s a...•
Roofi
ng ?
Rough Plbg. ? (? • / .. ?!
L n
?u ?
Rough Htg.
C?
Isul.
Fireplace
Fi?al ?-ft9. a - lo?
orsat Tes?
Final Ptbg. z,14?
/ Plbg. Inspedor - Notify Plumber
Const. Meter
EngrJPian
Bldg. Final O ?Q
Deck Ftg.
Deck Final
Well
Pr. Disp.
? 0-3-9
INSPECTION RECORD ?T
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ?? ?•??
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
? ? •. i; i ?,?,i ? i ii; i. t? t??,??ra ,:? ,??. ?:? , ?:??i?
PERMIT SUBTYPE: TYPE OF WORK:
.? ?ar t)
I Ut` .' tilV F tS1
INSPECTION D• • DA
?, ?.Pro 1 NIi I, kiti I i
! IJ i f 1 1; 1 1?; P+ ? I i 7;I ri l t
? ililltl1 I fi I I I?r? -01411i I ti
I! 1!(',I 1'1 li?? f I P1%11
141 hf A Ft K.c? : SaAi 6.1 4' 1 Fi !t
M t I
I?F
?
Pertnit No. Permit Holde? Oete Telephone #
SNV
PLUMBING
HVAC • 9 ,? ? - a
ELECTRIC ?a9D ? . O !? J ,j ?'O
ELECTRIC
Inepectlon Date Inep. Comments
Footings I
Foundation
Framing ?b
Roofing
Rough Plbg.
Rough Htg. ?
Isul.
FireplaCe
Final Htg.
Orsat Test
Flnel Pfbg. Z_? d
7
Low Plbg. Inspector - Notify Plumber
Consi. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
V,241 /D ?-?J ?
? .._ . i '
4 a?av ?
v
9
03
291 ?` °
Request ?ate ire No. oughln Inspedion Requiretl Inspection O[her T?an Rougn-In
(YOU must call inspecior when reatly) ? Feetly Now ? Will Notify Inspeaor
81_
?"a i ves No oate Reaa
?
I? licensed contractor ? owner hereby request inspection of above electrical work at:
JoD Atltlress (Slraet, Box or Route No.) Ci?y
r?
3 r2s??? C?'
$ection No. Township Name or No, ilange No. Coumy
Ko?
Occupant (PRINT) P?one Na.
?? ' 1 ?? ?
l
Power Suppller Atltlress
?L ?
ElecVical Conl act? ompany Name) Gontrac?of's License No.
LJLJV'J'\ l?,r'SE.C?LF?
t[aIXor or Owner Making Instella6on)
Malling Atldress (?
. . G??
te.nra?Or
i SignaWc/Owner aking Inate4)ation)
Auth
?k?: C?a-?-??-???? _
Phone NumOer
"4 a3-01i
MINNESOTA STATE BO 0 LECTHICITY
Grlggs-Midway eldg.- R m 5?128 ( r
1821 Unlversity Pve., St. Peul, MN 55100 v
Phone (612) 642-0800
REQUEST FOR ELECTRiCAL INSPECTION
0 0 J? 910, See insimclions far campleting this form on back of yellow copy.
-"X° Beiow Work Covered by This Request
Water
Other
THIS INSPEGTION HtWts vv"u11i
8E ACCEPTED 6Y THE STATE BOARO
UNLE55 PROPER INSPECTION FEE IS
ENCLOSED.
E ?00001-09
??? ,??3•C%<3a?o1
:ri,iioment Wired
Compute Inspection Fee Below:
Booms
0 to
0 to 100
Other Fee
?,. the Elecirical Inspector, hereby
r "
'ity that the above inspeclion has
made.
USE ONLV
at void 18 months fmm
specmrx ?ad..,r? ? / L?
J
THIS INSTALLATION MA(? ?? RDERED DISCONNECTED IF NOT
COMPLETED WITHIN 18 ?jIlOA1TFiS. - f .?p
[ I'l.<-/-(
?..
V
? &5 °`'
A0 2290
ii
Retluast'L'ate , P ough-In Inspeclion Required
whe
(VOU mu 1 call inspector ready)
n Inspection O\her Than Roughdn
? Ready Now ?Will Notify Inspec[or
4 ? O!?
- Q N
o
Ves ? Oate Reatl
I)A Jicensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Street, Bax or RoNe Na.) City
41v
F
3631 CTZESZ Al CT ? .
Section N. Township Name or No. Range No. County
i?ka'r?4
Occupant (PRINT) 'J pII-j
c??zs???Ns ?cs????sz
Phana No.
Sa- rolol
Power Supplier
'r) ^
?7?!
AtldTress I
ElecMCal Conirador (Company Name)
t?c?jZl G Ca
C Comractofs License No.
c? a-a
o G N
Meiling Atlaress (Conlractor or Dwnet Making Installatlon)
S
?I
?
J
D
'1
7 D
Author gtl SlgnaWre Conha owner Ma ymg Instalation) ?
/ V.b-u a? ? • ('.d-?,? AEJ? Phone Numoer
`? a3 - ! 1
MINNESOTA STATE BOARO CTflICITV
GrIggsMiaway Bltlg. - Faom -128
1821 University Ave., Si. Paul, MN 55104
Phone(612) 642-O800
I C4elf ?90 REQUEST FOR ELECTRICAL INSPECTION
O /? See insVUCtions for completing this torm oh beck of yellow copy
"X" Below Work Covered by This Request
THIS INSPECTION REQUEST WILL NOl
6E AGCEPTED BY THE STATE 00AR0
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
EB-00001-09
CR3? ?
b
Ne p. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Elactric Heatin
Apt. Building Dryer Load Management
Comm.llndustrial Furnace Other (S eci
Farm Air Conditioner
O[her (s0actly) Conhector's Famarks'
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee Circuits/Feeders Fee
Swimming Pool to 200 Amps $6.00 to 100 Amps
Transtormers Above 200-Amps Above 100 _Am s
Si 11S Inspeclor's Use Only: C, 5?j OTAL
Irrigation Booms
Special Ins ection
AlarmlCommunication THIS INSTALLATIO Y BE ROER ED DISCONNECTED IF NOT
Other Fee rso COMPLETE? N 18 St
I, the ElecMcal Inspector, hereby Rough-in
. Date 2? •
? '
certify that ihe above inspection has Finai Date ?'1 „.
been made.
OFFICE IISE ONIV
This request voitl 18 months trom
? -----------,
? Permit #: C? S? ? V 1
i Permit Fee: o c) i
? Date Received: ?
I I
? Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant:
Suite #:
RESIDENTlOWNER Name: `LCUl2.°'?rlVv?'c IfC,l4JlG7tW!?61+"Phone:
G?__ TJ
?t ?
`
'
I
Address / City / Zip:
t
(fl
?2
?
? U ?( $?
?T
Applicant is: _ Owner ? Contrador
TYPE OF WORK Descriptian of wark: ki_? f/ZD DQ
Construction Cost: ?r `eq 0, ? Multi-Family Building: (Yes No ?
CONTRACTOR Name: 1M ? ????7 ? V Wl {?, f C IL?1 `} Ut`{7License #: ?-0 I ZbD -!'i
/4
4
Address:
.LZ
City: ?LA cDl7<? State: %WL. Zip:q 51
Phone: (/f ZG Contact Person: C; L' 1S 4f
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 SubmisSion type) • Energy Envelope Calculations Su6mitted
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:
.._ .
iVOTE: Plans and supporting Vocuments that y`au submitare
ubltc'triformationi:!I Partrons of :
consrdered
to b?
?
?
1- 11
p
?the inforinafron ma
b
f per
l
sii
d?a
" i
`th
l
itth
C
#
t
o
bli
r
ffl
t
Jf
id
w
y
e c
as
re
s n
c
easvns
a
,wou
a
m
e
i
y
n-Aa
c
ov
e sp
ec
yv
p
o 9
'conclude?fharthe aretradesedrets,' _
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 permd, but only an appliration for a permit, and.worIy? not to start witho t a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval /Sf pJans. /1 /1
x )?-D Vlq6A(Lrjz6ki-_ x ZIA&&
ApplicanYs Printed Name Appli anYs Signature
Page 1 of 3
Alkib-
Clty of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?----- ------,
?
?
? Permit #: 5 ?? I
I Pertnit Fee:
I ?
? Date Received: ?
I ?
? Staff: I
I ------- ------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
i
Date: Site Address:
Tenant: Suite #:
RESIDENT/OWNER Name: `?U12??14L,sc kt/L1`241ib'tvv S61? Phone:?`J?°"T'J?
Address / City l Zip:
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description of work: n 1
ConstructionCost:
? Multi-FamilyBuilding:(Yes_lNo?
CONTRACTOR Name: 1M' i U WI i,'I ? IZri1 A? hLicense#: 20 11 (n0 -?i(„
Address: /4G ve CL"w6 c?^--?-??
City. ?IflCo State: !t_) Zip:47 5t Z'7--
Phone: [/f Zb Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 CateqoN 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Woiksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit 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 8 Water Contractor: Phone:
NOTE Plaris and suPP' orting documents that you;submif are cons?deie'd to tie;public"informat?on :;j,Porho'n`s'of , i
the inforr`n?afion may be classiied as non putificif yop proWde spe&fic reasnns that would permif the Gly to K;_
conclude fhat fhe aie'frai/e `seciets
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 - not ta start witho t a permR; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval f p ans. n/1
x5 Q-O? V6 x r,
Applicant's Printed Name Appli anYs Signature
Page 1 of 3
2007 RESIDENTIAL PLUMBING PeRMIr aPPUCaTioN
CITY OF EAGAN
3830 PlLOT KN08 ROAD, EAGAN MN 55122
651-675-5675
Please com lete for modifications to existin resideMial dwellin s
Date 5 I ZO J 01
Site Street Address S+y? Q Unit #
PropertyOwner 1?V\ ('llri<?Ae414?Y1 Telephonet/ ((QSI) D& hpIU
Contraetor V??S PIUXUl1+J1n-O1
Telephone# (&1a 5?tog??og?
1
Address a? J,'&u_j75jn ,:AkO V[) Cily CS'fGY,In State_A&fj, ZiP 5535?
The Applicant Is: _ Owner 8 Occupant Licansad Plum6fng Contractor
Septle System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-buiR $ 10.00
Fire Repalr (replace bumed out f6ctures, etc.) $ 90.00
This fee a lies when extensive umbin re irs are made to a buildin .
AIleratlons to exlsting dwelling $ 50.00
? Add plumbing fixtures to main level bwer level. This fee indudes
installation of a water softener andlor water heater at the same time. M you are
Inafal/fng on a water softener and/or water heater, da not complete this seafi?on;
move to the neM section and place a checkmark next to the appliance(s) you are
installing.
,Septic System Abendonment
_Water Tumaround (add $736.00 if a 518" meter is required)
Other:
_ Water Softener _ Water Heater $ 15.00
_ new _ replacement
lawn Irrlgatfon _RPZ -,Y-pVg _new _repair _rebu(Id $ 30.00
State Surcharge $ .50
Tptal g 30
1 1 ivreQy appiy ror a rceaaerniai riumoing Pertnlt anC acknowledge th2t thB informati0n i8 Compiet@ 8ntl accurate; that the
work will 6e in confortnance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a pertnit, work is not to start without a permit and work will be In
accordance with the approved plan in the event a plan is requirad tg,be revowed and approved.
74-r,- eL 4 f1`l?1
/{pPlicanPs Printed Name pl' 's Sgnature
JUN 0 5 2007
????
6gz18
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
$/S.s0
?
J
0
Date
/ ! /
/'
+
?
Site Sfreet Address
Unit #
..7
l,
J?
P
t C/un ??v1
l
h
#
roper
y Owner one
( )
Te
ep
Contractor Telephone #{'?,J
Address ?Li -1 L15 city k_KC,'iybtA.t1+ state IdL zip_f?ff??
The Applicant is: _ Owner ?(Icontractor _Other
Alter7tion existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
_ Water Softener ? Water Heater $ 15.00
new
A replacement
_
_
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total . ?
$?
I hereby apply for a Residential Plumbing Permit and acknowledge 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 the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
r7? ?
AppircanYs Printed Name ApplicanYs Signature 1411 2
??? 3 2005 ?;?
--CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
BUILDING
023878
06/14/94
SITE ADDRESS:
DESCRIPTION:
3633 CRE57RIDGE CT
LOT: 1 BLpCK: 1
BUFFER HTILS
? (1 QF 2 UNTT3)
Buildi»g-Permit Type DUPLEX
'Building We,r.k Type NEW
j' UBC Occu,pancy'r? R-3 M-1
Constructian Type V-N
Zorting R-2
Sui td:ing Lsn-gth !?. 40
Build'zrtg Width ?i 50
Building Staries?,;-• 1
??-
?' .i`
?..
,3?? (?-JJ?
L ?,?i ll ?
REMARKS:
S& W PLBR - D C MECH
u? el????
FEE SUMMARY:
VALUATI4N
Base Fee
Plan Revisw
5urcharge
SAC
SAC ?
SAC Units
Subtotal
$54@.5@
$351.33
$39.00
$800.00
iee
$1,730.83
$78,000
MISCELLANEOUS $1R828.50
Total Fee $3,559.33
CONTRACTOR: - ppplicant - sT. LIc. OWNER:
CHRISTENSON BLOG C0, DON 14521061 0007612 DON CWRIS7ENSON BLD6 CO
3676 PILOT KNOB RO 3676 PILOT KNOB RD
EAGRN MN 55122 EAGAN MN 55123
(612) 452-1061 (612)452-1061
Z heraby acknowladge that I have read this applieation and state tihat t;he
information is correcC and agree to comply with a11 applinable SCate of Mn.
L 5tatutes and Gity afi Eagan Qrdinances.
APPLICANTlPERMITEE SIGNATURE
-ISS? `. I NATUR
-i
Ig !: 1
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
t5, Z.O.33
SINGLE &„MULTI-FAMILY 2 sets of p ns, 3 rey istered s te surveys, 1 copy of energy
calcs. 5 y93?t
COMMERCIAL 2 sets of ar hitgst,uY'_aJ_&_stry,c ural plans, 1 set of
specificatio
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 /'X1"-5L 1//2 T-/94( Valuation of work BB'.9 '-
Site Address: ? 3? ?,>? ??p?oc7G,qifJs,a ?y? .- '?`?',?¢?,n.,? zz
STREET SUI #
Tenant Name: (commercial only)
LOT SLOCK _z SUBD,
K ? s
Descri tion of mork: 2- U„ •
The applicant is: 0 Owner Contractor ? Other (Describe)
Name o Phone 4?rz- /igA /
Property LAST FIRST
Owner' Address ??? ??a ?a
STREET STE #
City zzd=r .y.,.l State ZipS?'lz3
Compan - r Phone /
Contractor ?
Address ? ?/ License #607y/Z- 7)
/ Cit State Zip2'2.
Company Phone
Ar chitect/ ?
&
Engineer Name _
l
Registration #
Address
City State Zip
Sewer & water licensed plumber .A C/?I / Processing time for
sewer & water permits is two days once area as been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply wytk?-all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ?Dn ?... ?,
OFFICE USE ONLY
SUILDiNG PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 5F Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex 0 13 Garage/Accessary ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck 1:1 20 Public Facility
? 21 Miscellaneous
WORK TYPE l a f 2
Q 31 New ? 33 Alteratians ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Canst. (Actual) VA,_ Basement sq. ft. MWCC System ,E-
(Allowable) lst F1, sq. ft. ? City Water .?-
UBC Occupancy M-I 2nd fl. sq. ft. PRV Required
Zoning - z Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkl er
Length On-site well Census Code ?
Depth o On-site sewage SAC Code 01
Census Bldg
APPROVALS Census Unit ?
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? s;te
? Wallboard
? Footing
?O Final
P Framing
? Draintile
U Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ued.
Copies
Other
Total:
vatmjtim: $ '' j d
. 2gxYo -llGo
`z3k Y - _9?
?-
?/
?-
/'?
-?---
y26, 2s,
SAC % l00
SAC Units -
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTI'S ARE REQUIIZED FOR EACH UNTT.
? NEW CONSTRUCTION
e ADD-ON A/C
` P,DD-UN FuFtNAf;E
_ FIREPLACE INSERT
DATE 9Iad-19S!
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH) • 00
ADD-ON/REMODEL (Ecrs'rnvG CoNSTRUCrION) $ 20.00
STATE SURCHARGE .50
TOTAL r?0•sd
SITE
OWNER NAME: ,? oe1 (2 yRi' s ???1 Svn idlc?jr.S TELEPxorrE #: _ ysa - tad /
INSTALLERM ET2o l ??'2 .1 C .?•
F.
CTTY: Ni21'o 4 L1i-K? STATE: 'MiJ . ZIP CODE:
TELEPHONE #: fz4f 7 - 6?9
SIGNATURE OF P
1v94 N1ECtlANICAL PERMTl' (RESIDENTTAI.)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
? £Y ?J ESS? ? ,kpip j I?•S?yt ^Y$ ?? ?"y?tt'A C ? ??yf W S Y ? .. . .. ..... . .??¢ . 3 ? 'Y ? k ? ? ?9 S b? ?9???? , )`? AN ?y,`aq???s 3 "? )? ? ? ... f?C`?O`_ ? YSPY' k ? R R
J
c :, ''?4'27x `aa?,?°e,?y-?s?.Y J??' „?; `? •°'y:?yk °zx ?. ? y?.?k.? r a?F?. c°'°`3 . ? i?'??,?' ??,ka 3,? ..
,<,?? ,,,?<?`. . ` • : %'CF ?w s.. . . s ?'< ???w ' ??,???z6? ,.c?.?: ?? .. , ., .. . .m,E.a??V x ,v?' ? < ,. ... . ..
,;,.,, ' 1994 PLUMBING PERMIT (RESIDENI7AL) '
CITY'OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122'
? (612) 6814675
PLEASE COMPLETE FOR SINGLE FA1viiLY DVJELLINGS. ALSO, FQR TOWNEOME5. ,AND?
CONDOS WHEN' PERMITS ?iRE REQUIRED FOR EACI3' UNTT.
------------------ -------
NO. FIRTUdiES EACH TOTAL' .
SHOVdER 3.00 3 ?
-2_ WATER CLOSET' 3.00 fl
BATH TUB 3.00 sc3`c? .
LAVATORY 3.00
LAUNDRY TRAY 3.00
HOT TCTB/SPA 3:00
/ WATER HEATER 3.00
/ FLOOR DRAIN 3.00
-?.• `!1'z3 '?` '' i
GAS PIPING OCTTLET •minmum - 1 -100
ROUGH OPENINGS 1.50
;r
WATER SOFTENER ?:00 ?
PRNATE DISP. • nekcn•. uc 20.00 "
U.G. SPRINKLER • emw u,&-r m„M. 3:00
' ALTERATIONS • to cristine 20.00 • -
WATER TURN AROLTND 20:00
STAT'E SURCHARGE .50.
TOTAL: ? .
? ? . ?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTI'S ARE REQUII2ED FOR EACH UNIT.
? NEW CONSTRUCTION
_ ADD-ON A/C
_ ADD-ON FURNACE
_ FIREPLACE INSERT
DATE
FEES
HVAC: 0.100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH) d-Od
ADD-ON/REMODEL (ExIS'rirrc CoNSTRUGTION) $ 20.00
STATE SURCHARGE .50
TOTAL o.50
SITE
OWNER NAME: boti a ffK,'Sf en56n B LWrS • TELEPHONE #:
INSTALLER: mET/Z? ? = 0-,
STATE: MN • ZIP CODE: 553'7->--
TELEPHONE #:_
SIG ATURE OF PER ITTE
LYY4 iViLt;t1A1V1l:AL YEK1111'1' (KLS1llEN11Al.)
CI'1'Y OF EAGAN
' 3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
rr.w ri.umniNU rExmii (KE5wLri:MLU),
CITY OF EAGAN
3830 PILOT KNOB RD ,
EAGAN MN 55122`
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWN,I=IO °MfES. AND; ,'
COND05 WHEN PERMITS ARE REQUIRED FQR EACII UNIT: ?
_-_---------------- -- -- - -- - -- :?
NO_. FIXT[JRES EACH TUTAL-
? SHO.WER 3.00
.z WATER CLOSET 3.60
i BATH TUB 3.OU
?- LAVATORY 3:00
? KITCHEN SIIVK 3:00
? L??UNDRY TRAY' 3.00
HOT TUB/SPA 100
? WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET •?? = i 3.00
ROUGH OPENINGS 1.50
WATER SOF'TENER 5:00 _
PRNATE DISP. • naLety. iic. 20:00
U.G. SPRINKLER • n? ? mom. 3:00
ALTERATION$ • w oustin8 20.00
WATER TUR1V AROiJND 20:00
STATE SURCHARGE
TOTAL:
S1TE
OWNER
. . . F.i_ e., .. _
. . ? . . ". _. F . ..
. ... . ? ? ????? .
SIGNATURE OF PERMITT_EE'
2007 RESIDENTIAL PLUMBING PeRMir nPPUC,arioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
PIeBS@ COlIlDIe1C fOI' fYtodifiCations to erletinn rnciriPnfial riwwllinnc
Date
` _
Sita Street Address '?')" UnRA
Property Owner 'b" 0_W54hc'6Y) Telephone M? 51 ]b RSZ II D I O
ConVaetor p111M"YlO1 Telephone# Vj12I XQg':'(LOa
Address ? s. &i tkn Lna i _ Cky C'S?Lt.V? State_UL\L ZIP s535'?
The Applicant is: _ Owner 8 OccupaM licensed Plumbing Contractor
8eptit 3ystem _ New ? Refurbished Submit 2 sets of plans and MPC license Includes County fee
f 100.00
Per as-buift $ 10.00
Fire Repair (replace bumed out flxtures, etc.) $ 90.00
This Tee a lies when extensive umbin reirs are made to a buiidin .
Alteradons to existlng dwellin9 $ 50.00
_ Add plumbing fixtures to _ main tevel lower level. This fiee indudes
installation of a water softener andlor water heater at the same tlme. H yroa are
insfelling oniv a xater softener andor waemr heater, do not complete this sec6on;
move to the next section and ptace e checkmark next to the appliance(s) you are
installing.
_Septic System AbandonmeM
_Water Tumaround (add $138.00 if a 5!8" meter is required)
Other.
Water Softener _ Water Heater $ 15.00
_ new _ replacemeM
Lawn IrHgatlon _RPZ pVg _new _repair _re6ufid $ 30.00
State Surcharge $ .50
Total
I hereby apply for a Residential Plumbing Permit and acknowledoe that the information is comolet e and accurate: that the
work will be in coniortnance with the ordinances and cades of the Cily of Eagan and the plumbing cades; that I
understand this is not a permit, but only an application for a pertnit, work is not to start withaR a permft and work will be in
accordance with the approved plan in the event a plan is required W reviewe and approved.
??w
ApPlicaM's Prirned Name WcentignaWre w iE n
JUN 0 5 2007
S'c???
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