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3604 Crossroad Ctf? CITY OF EAGAN N° 10 3 7 9 3830 Pila Knob Road, P.O. Box 21-799, Eagan, MN 55127 PHONE: 4548100 BUILDING PERMIT Receipt # 1 OF 4 PLEX siteqddreu 3606 CROSSROAD CT Lot 30 Bloek 1 SeclSub. CRnRRRfIAIIC nF Percel No. W Nerne CROSSROADS PARTNERSHIP Z Addrees 1020 E 146TH ST ? city BURNSVILLE pnone 432-8240 ? N?B JAD-RON INC $? IUZU E 146TH A?ress ST City BURNSVILLE pho„B 432-8131 GW N?e JOHN RINSELL ' ?i 12131 62NA AVE NO xo Address RW City MAPLE GRV phone 559-0477 Erect Q{1 Otcupency 1L3 Remodel ? 2oning R -4 Repeir ? Type of Const. V Addition ? No. Storief Move ? Length 44 Demolish ? Depth 2 Z Int Impr. ? Sq. R. Install ? AOprovala fen Assesvnent _ Wnror 3 $ew. Police _ Firo Erq. Vlannar _ Council _ Permit S 292.0( Surcherge 26 - 5( Pian Revlew 14 6. 0 L SAG 525.0( waterconn. 500 OL Water Meter 63-OC RoadUnit 280_0C I herc6y ocknowledge thot I hova rood this applitation ond stote fhat Bldg. Off. 6/108$ Tr. PI. 132 _ QQ tha inlormotion is Correcf an gree lo comply wirh oll opplicable APC ParkS Staro of Minnesota Stctute d ty of Enqon Ordinnnces. o var. 5ate Gopiee ??50 Si noturo of PermiM ??? JA RO INC rotal A Buildiny Permie Is iuued ro: on ths axprets corditlon that all work shcll be done In occordonce with all appl'ypble Stote of in tc Statutes ord City o7 Eaqan Ordironces. Buildfnp Qfflciol I? CITY OF EAGAN N_ 10 3 7 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 v PHONE:4548100 BUILDING PERMIT efteia SiteAddreu 3604 CROSSROAD CT Wt 29 Block 1 Sec/sub. CROSSROADS OF Pareal No. EAGAN Name CROSSROADS PARTNERSHIP Address 1020 E 146TH ST City BURNSVILLFphone 432-8240 o Name JAD-RON INC Add,a„ 1020 E 146TH ST ? City BURNSVILLE Pho.e 432-8131 VW Neme JOHN KINSELL x? Address 12131 62ND AVE NO ?W city ?PLE GRV pnone 559-0477 I hereby ackrowladga tMt 1 tha inlormation is corrcct , Stots o{ Minrwsota Statutf Erect t}Q Octupancy _ Remodel LJ Zoning RBpair ? TypeofConst. u- Addition ? No. Stories Move ? Length 44 Demolish ? Depth 22 Int ImPr. ? Sq. Ft. Install ? AOVroralf Feas Asussment _ Weter E Sew. Polita Firo P?lanrror Council read this epplication ond arote tFwf gld0, p{{. b/ 1 U/ 25 3ree fo wmply with oll opplicoble APC of Eagon Ordinancas. C'h I Ver. Dete $ipnofuro of 7ermit? " ? ? r? JAD-RON I w Buildirp Pertr?ir Is issued ro: WI work shall ba doro in atmrdance with oll opplimble Bulldinp Officiol of Permlt 'ii 292 _ 00 Surcharge 26.50 Plan Review 146 . 00 SAC 525.00 watercona 500.00 weterMeter 63.00 RoedUnit Z80 .0 4 TcPI. 132.0C Perks - I cooies 1964.50 TOtfll +S ? _ on ths exprea eanditionthat Cify o7 Eopan Ordinoncas. -T ?A ` - CITY OF EAGAN No 1 O 3 H'I 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE:4548700 BUILDING PERMIT R«eipt # ? 3 r 4 PLEX E?_ Vel. $53. 000 SlteAddreae 1256 DUCKWOOD DR Lo< 32 Block 1 c111s1b. CROSSROADS OF Percel No. EAGAN W Neme CROSSROADS PARTNERSHIP ; Addrmy 1020 EAST 146TH ST b cicy BURNSVILLAo„a 432-8240 ? Nme JAD-RON INC $? Add,eB 1020 E 146TH ST nj*„ BURNSVILLEP,,,,,, 432-8131 PW Name JOHN KINSELL _U qddm, 12131 62ND AVE NO iW City MAPLE GRV phone 559-0477 I hereby ackmwledge thot 1 Mva read this oOGlicction and store that the inlormotion is corre[f ond ogree fo comply with oll opplicable Staro of Minnesota Statut/eys?h.d Ci of ogan Ordimnus. t? Sipnaturo of Pennittaa (q? C??%Mpv h Building Permif Is iuued fo: JAD-RON INC oll work sholt be dona in accordance with all opplicoA Stote of h Erect LX Occupency A.i Remodel ? Zoning R 3 Repair ? Type of Conrt. V Addifion ? No. Stories Move ? Langtn 44 Demolish ? Depth ZZ Int Impc ? Sq, Ft. Iosteu ? APOrmab ins nsse:smenr _ Worer 8 Sew. Polica Fire Eng. Dlonnsr Council Bldg. Off. 6/1 0/8$ APC Var. Date Permil +' c?c.vv su.cnarge 26.50 PlenRBView 146.00 SAC 525.00 Water Conn. 500.00 Water Meter 63.00 RoadUnlt 280.00 TcPI. 137_Q0 Parks I Copies raai $1,964.50 _ on iha axpmu wndiHOn Ihai and City a9 Etpan OrdirorKas. Buildinp 0{fitiol T? CITY OP EAGAN N? 10380 3830 Pilot Kiwb Road, P.O. Box 27-198 Eagan, MN 55121 PHONE: 4548700 BUILDING PERMIT Receipt # 1 OF 4 PLEX Esr. Vulue $53, 000 pOte JUNE 12 siteaddreu 1252 DUCKWOOD DR Lat 31 elock 1 Sec/Sub. CROSSROADS OF Pa.ael No. EAGAN NaMe CROSSROADS PARTNERSHIP q?resg 1020 E 146TH ST C;ty BURNSVILLFpnone 432-8240 o Name JAD-RON INC ss pck,es, 1020 E 146TH ST ? City BURNSVILLE pnone 432-8131 LW Name JOHN KINSELL ?W i 12131 62ND AVE NO ? Address W<W ciey M PLE GRbVFt,ho„e 559-0477 I hercby ackrawledge thot 1 Fww rood this opplicotion ond store that fhe inlormofion is correcf ord ogree to Comply with oll opplicable Srote of Minnesota Statuta d of Eaqan Or inances. Sionatum of Permittea i Ci (i:•?ur-?t.?' A Building Permlf Is issued to: 47 SdAD-Rdfi NC oll work sholl be done 7n ocwrdonee wifh all oppliqkble Stoce of Wi EreCt W Oecupency Remodel ? 2oning _ Repair ? Type of Conat. V Addition ? No.Storiea rnove ? Length 44 Demoliah ? Dep[h Z 2 InL Impr. ? Sq. Ft. Install ? Ayyreveb Fsn Assessment _ Water d Sew. Police Fire Enq. vlonner Council Bldg. Off. 6/10/85 APC Var. Date Permi ? 0 0 Surcharge 26.50 PlanRevlew 146.00 SAC 525.00 Water Conn. 500.00 Weter Meter 63n 00 RoeAUnlt 284-00 T,.PL is2_oo Parks ' COpies Totel $1, 964.50 _ on tha exprea widitlon iW ord Ciry ot Eayan OrdinonceL Bulldirp pfffdal ( TOWNHOUSE ) CITY OF EAGAN 3`b ?f -D I? C-h.aa,--043830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 10381 PHONE: 454-8100 - sUtLDING PERMIT Receipr # PL :x Site Addreu Lot Percel No. _ W Name ? Address - City ' Phone A Name ?? Address ? Citv Phnnn DW Name ,_!OF??: A , , - ??Z Addresa ' Or, W City Phone ' I hercby ocknowledqe thot I haw rcod this applicotion ond state that fhe inlormotion is torrect and ogree to comply with ull applicobl• $tote of Minnesota Statutes and Ciry of Eogcn Ordinantes. Siqnotun of Pennittae ? . , A Buildinp Permit is issued to: oll work shall be done in acoordonce with oll opplicoble Stote of Mii 8uildinp Officid Dote 19 Erect Q Occupancy Remodel ? Zoning Repalr ? Type of Const. AddRion ? No. Stories Move ? Length • Demolish ? Depth Int Impr. ? Sq, Ft. Install ? Approvols FNs Assessment Permit °' y l• U U, Water & Sew. Surcharge " 6- 1)() Poliu Plan Review Fin 3AC Enp. water conn. •a ? Plonner Water Meter Council Road Unk J Bldg. Off. Tr. PL APC Parks Var. Date Copies Total ` . . : U on the exp?eas conditbr? Ihat sota Statutes ond City of Eoqon Ordinances. c. : Pwmit No. PKmk HoIdK Oab TeIsphone # aumbi,g H.VA.C. ??I oZ s U EhctNe 8ohenw Irapectioo Date Insp. Othw Footings 1 .,? Footlnys II Foundatlon Fnmirty ? Roofing Rou9- h Plbg. ?- Rouph Hty. Inwl. ? r Firoplacs Final Htg. Final Plbg. r, 16? c.J !1 Final Csrt/Occ. Water Dfturibs Loeation: Well Sewer Pr. Disp. (TOWNHOUSE) 346 ?- o lo C:,?? G`` CITY OF EAGAN :• V 1P380 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT tteceipt 1 OF 4 PLE:X 53,000 Slte Addresa ' - Lot Block Sec/Sub. Parcel No. Narrme .:`{t?SSFQ.''v.•.- ?'t?K•I:',.<:.: f; Address City - ?Phone Name : `!-}_Rt7N Ii','C t. Cit?, Phone 4 G°C+ Name ?TG'H.i• K:. ? _? addres: 1.? -L 31 0 ? W City Phone f, I hsreby acknowledgs that I hove read this opplication ond state that the information Is correct ond ogree to comply with all applicoble ? Stota of Minnesato Statutes and City of Eaqon Ordinancas. ? Sipnoture of Permittse A Buifding Permit is issued to: ' oll work sholl be dons in accordonce with all oppliwble Stote of Mii 8uildirq Official Erect Q Occupancy Remodel ? Zoning Repair ? Type of Contt. Additian ? No, Stories Move ? Length t. Demolish ? Depth y Int Impr. ? Sq, Ft. Install ? Apoeorais Foes Assessment Water & Sew. Pol ice Fire E^7• Planner ? Council Bldg. Off. APC Var. Oate Permit = 5uroharge _ Plan Review SAC Water Cann. Water Meter Road Unit _ Tr. PI. k • - Parks I Copies i Total on ths expren cOnditlw? lhar ond City ot Eaqan Ordinontes. , Pennit No. Pumit Hobdsr DoN TeIsphone ? Plumbiep ? ( ,3 ? Co r, H.VA.C. SJ?SD O EMctric Softeeer {nWsction Dsta Insp. Other Footings 1 M Footinys II Foundatfon Framing ? Roofing Rough Plbg. Rouqh Ht9. Insul. Fireplace Final Htg. f . Final Plbg• Final CemOcc. Water DftC?ibs Locaeion: W911 Sewer Pr. Disp. (TOWNHOUSE) ?a ga _ s` fD k../iw;,,c BUILDING PERMIT 40378 Receipt # Te w wrd far Est. Volue G Date - a,[ a? Site Address Erect Q Occupancy ,3 Lot Blxk Sec/Sub Remodel ? 2oning S Parce1 No . Repair ? Type of Const. ~ . Addition ? No. Stories '.. _ . Move ? Length 4,1 ? Name W ? `. • ? Demolish ? Depth ; Address _ b , ' Int. Impr. ? Sq. Ft. City Phone - Install ? O Name JAi]--F',UN .i.I1L. ?? ,_ 1 ?; ? Address T i ?- City V , .? ?' „ Phone • Ci°C JUl3N KINSELI, wW Name x13 Address ?W City . , . Phone :' `, cj _'•J t:' ;"j I hercby ocknowledge that I have read this application ond stote thaf the inlormotion is correct ond ogree to comply with all applicoble State of Minr+esota Stotutes and C,ity. of Eogon Ordinonces. Sipnoture of Pem?iftee Assessment Permit Water a Sew. Surcha Polica Plan Review 141 d• Fire SAC 25. Enq. Water Conn. 5 f? 0 • Plonner Water Meter C3 • Council Road Unit ` 80• Bldg. Off. Tr. PI. 13 7• APC Parks Var. Oate Coples .?InI ??r T /1 Building Permit Is issued fo: olt work sholl be done in atco?dance with oll applicablt Stota of Minnesoto Buildirp Official CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 on fM txpress taditlon Ihot ond City o3 Engon Ordinonces. Permit No. PKmit Holdx Deft Tslephons #k P?unibin, 5V x 2y• H.VA.C. / EMctric 61 Soitanwr Impsction Date insp. Othsr Footinys I ? Footings II Foundatlon Framing ? All Roofing Rouph Plbp. Rough Htg. Insul. / Fireplace Finel Htg. a? Final Plby. ? Final 8 Cert/Occ. +? ( ? Watsr ??ibe Location: Well Sewer Pr. Dlsp. TOWNHbUSE) CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 F t PHONE: 454-8100 ., t -- BUILDING PERMIT Receivt TO be w"d fer -• i?t•-''Est. Velue Y J J• U?j o I7nte rvame Addr IDUMBYI"E r City Phone Name Add City Phone Name Address 359-0477 City Phone 1 hercby ocknowledge thot I haw reod this applitation and state that tha information is correct cnd ogree to comply with oll applicable Statt of Minnesotc Stotutea ond Giry of Eogan Ordinonus. Sipewturo of Permiftes ' ,•: -,; .. A Bultdi^q Pe?mit Is issued to: oll work shalt be done in nccordoe+ce with ell npplioable State ef Mir Erect LA Occupancy Remodel ? Zoning Repair ? Type of Const. Additian ? No. Storiea Move ? Length 22 Demolish ? Depth Int Impr. ? Sq. Ft. Install C7 Approvals _ Ftes ,C 7 Q 7 Assessment Wote? & Sew. Poliu Flre En0- Plonner Council VIA/& Bldg. Off. Permit _" 6. Surcharge 14 6 ? Plan Review sAC sne . Water Conn. 63. Water Meter • 7 A A_ Road Unit 1 32 _ APC I Parks var. Date Copies $1a454.50'i Total on fhe express conditlon tho+ wta Statutes ond City oi Eapan Ordinoncss, . ? Site Address C Lot 30 Block_ l Sec/5ub. CRO5SRC"6 Og Parcel No. Pa?mit No. Permit Holder DO" Telsphone ik Piumbiog ENctHe Soitaner Inepaetion Dste Inap. Other Footinps I ? Footinys II Foundstlon Framiny I Roofing Rough Plbp. ?g? Rough Htg. Insul. Flnpiace Final Htg. Final Pibp. Final Cer!/Occ. Water Ofta1be Loestion: Well Sew9r Pr. Disp. CITY OF EAGAN Aaa;.;.... CROSSROADS OF EAGAN Own0 Street Lot 31 Blk 1 Parcel 10 18700 310 01 1252 Duckwood Drive Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF . 1986 703.41 140.68 5 STREETRESTOR. GRADING SAN SEW TRUNK * SEWEA LATERAL WATERMAIN ? WATER LATERAL WATER AREA * STORM SEW TRK * STORM SEW LAT ' CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. 500.00 BUILDING PER. 10-372-10381 sac 525.00 PARK CITY OF EAGAN Remarks Addition CROSSROADS OF EAGAN Lot 32 10 18700 320 01 Ownel Street 1256 Duckwood Drive 5tate Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF 1986 • , 140.6$ 5 STREET RESTOR. 1981 S1Cj und r OT1 1 al arce ??tJ ? •" '? ?«., "? GRADING ` 5AN SEW TRUNK 1972 • SEWER LATERA4 1981 WATERMAIN * WATERLATERAL 1981 WATER AREA 1971 * STORM SEW TRK 1981 * STORM SEW LAT 1981 CURB & GUTTER SIDEWAtK STREET LIGHT Road rll WATER CONN, 500.00 BlliLDING PER. sac 525.00 PAR K CITY OF EAItiAN Remarks Addition CROSSROADS OF EAGAN Lot 29 10 18700 290 01 sveec _ 3604 Crossroad Court State Eagan. MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF 19 . 86 703.41 140.68 S STREET RESTOR. 1981 ?•,? , GRADING SAN SEW TRUNK 3 19]2 * 5EWERLATERAL 1951 WATERMAIN * WATER LATERAL 1951 WATER AREA /5 1971 * STORM SEW TRK 19$1 * STORM SEW LAT lggl ' CURB & GUTTER SIDEWALK STREET LIGHT Road Ill , WATER CONN. BUILDING PER. s,ac 525.00 PARK CITY OF E,atSAN Addition CROSSROADS OF EAGAN Lot 30 Rlk 1 Parcel 10 18700 300 01 Owner street 3606 Crossroad Court State Eagan MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF . 1986 703.41 STREET RESTOR. GRADING i SAN SEW TRUNK 1972 * SEWER LATERAL WATERMAIN * WATER LATERAL 1981 WATER AREA F 1971 * STORM SEW TRK 1981 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 52635 6 2 85 ? WATER CONN, 500.00 if BUILDING PER. 0378-10381 SAC 525.00 PARK Raaipt ? , ?. 1. Dste 3. Job Address 4. Owner 5. Contractor ' J•j',x 6. Address 7. city , . . , . , . , . : 8. Building Type: Residenti 9. Work Description: New 10. DQSCrIbQ 1 11• Type .11. r I No• ' Equioment 8TU - M. Ea, Forced Air No. Equipment CFM Air Handlin : Mfg, g Boilers Mfg. Mech. Exhaust Unit Heater ' Mfg. Otfier Y"•sot ??r,,,;,?. j Air Cond tOri I? Mfg. Gas.Pipin.g Qutlets , i.r_? 12. I hereby certify thaithe above information is t?pe and correct, and 1 agree to oomply with al)-ordinances and codes govemiFYg this type of work. ? Signed : ' s - _ - • ? 46Y' -.-. . ? ? Rouyh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Cost r'? Pennit No. Fee S/C Tot ,r, • ?'-., ' Tract ? 1 tln A nl (- phone 757-5040 , Zip Q ' Commercial O Institutional ? Add 0 Alter O Repair ? Raaipt -' " MECHANICAL PERMIT Ps?mit No. - re ' C1TY OF fAGAN FM Fi!l in numbened s,pecas S/C ? Type or Prlnr /e8/blY Tart. 1. Date ? 2. Installation Cost ? ,.? . ? 3. Job Address Lot Blk. ' Tract rJStdt'-zo: 4_ Owner 5. Cantvactor Pfione 8. Address _ 75795040 7. CitY "PU?ds: State ... 2ip . . ? 8. Building Type: Residential ift Commercial ? Institutianal ? 9. Work Description: New 'M Add ? Alter ? Aepair O 10. Describe Fuel Type - I 11. No• ECttljp?teat STU - M. Ea. Lt 1 Forced Air No. Eauioment CFM Air Handlin : Mfg. g 8oiters ? Mfg. Mech. Exhaust Unit Heater Mfg. 5 Other _i Air Cond. Mfg. Gas, Piping Outlets ;?; '? •?' '{' !' . . , , .: 12, I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governirrg this type of work. 5igned : -for • Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ;? FtQaipt . ' 1 Permit No. I Fa S/C Tot. fill /n 1. 08te 2. Installation Cost . 3. Job Address Lot -' 8lk.; Tract 4. Owner - 5. Contractor 3'hone 8. Address P. RdpIdS, °li?. 7. City ? - ? . . State ? 2ip 8. Building Type: Residential Ci:' Commercial 0 Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 1 10. Describe 11. Fuel Type `' ^ cz No. ' Equipmgat 8TU - M. Ea, Forced Air - No. Eauiument CFM Air H dli : Mfg. an ns Boi lers ? Mfg. Unit Heater Mech. Exhaust 1 _ Mfg. ° Other v"nt ? Air Cond. m' t C"i Mfg. Gas, Piping Qutlets . 12. I hereby certify that the above informatiQn is true and correct, and I agree to cqmply with all ordinances and codaf governing this type of work. Signed : ? - •• fbr h , Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 ..,.._ ... - . _ . ?.i .._ _ . .a,.. . ?` Reasipt . ? 1. Date ? - " 2. 3. Job Address - - 4. Owner D. N. vliStc?fSOt1 ? Permit No. FN S/C _r Tot Cost 81k. ? Tract 5. Contracior _ _ . .. , 8. Address Phone 7. City '?•GO?: ,r, , j State i. Zip 8. Building Type: Residential 13X Commercial ? Institutional ? 9. Work Descxiption: New Add ? Altsr ? Repair O 10. Describa Fuel Type 11. No. ? Fqujppent 8TU - M. Ea. Foroed Air No. Eouipment CFM Air Handlin : Mfg. g Boilers Mfy. Mech. Exhaust Unit Heater Mfy. . .Y,n+ lry,,?, Other ? Air Cond. Mfg. - .,: 1'!e a' Gas, Piping Outlets ,. _ 12. I hereby certify that the above information is true and correct, and I agree to coMIply wit I h-al? ordinances and codes gove,ening this type of work. . Signed : for - ' Rough F inal Inapections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Raceipt PLUMBING PERMIT Parmit No. CITY OF EAGAN , Fee fil/ in numbered spaces S/C Type or Print /egibly Tot. 1. Oate 2. Installation Cost :'. L. ?`? • i?' 3. JobAddress-" Lot Blk. Tract 4. Owner ?rossroads of Eayan 5. ContractoryGU?GI': ?'dl.:.L :' i 1?i?l1[lf- Phone . ,, t:6. Address V,?ii j_. GjTf-' {:<l, 7. City 1: i.' 1' i i5i I I t' 8. Building Type: Residential L? 9. Work Description: New 0 10. Describe State Zip Commercial ? Institutional D Add ? Alter ? Repair ? 11. No. ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Sottner Shower Well ° Kitchen Sink Urinal/Bidet Other ? Laundry Tray Z Floor Drains Drinking Ftn. - Slop Sink Gas Piping Outlets 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 af work. Signed : for Rouyh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAf11 454-8100 Receipt I L? PLUMBING PERMIT CITY OF EAGAN FiII in numbered spaces Type or Prini legibly ?. Permit No. / Fm S/C Tot 1. Date 3z) 2. Installation Cost 3. Job Address • r? ?' • -&ot ' Blk. Tract ? 4. Owner °'t? ?:} ?"?:a?:S Of tilodti 5. Contractorv-AiSUl 1 ddtEd P1 umbi rig Phone " . '?;.: :. . 6. Address 7. City ' State Zip 8. Building Type: Residential 11 9. Work Description: New m 10. Describe 11. Commercial ? Institutional ? Add O Alter ? Repair ? No, Fixtures Water Gloset No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to Comply with dll ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fm FiII in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot - Blk. Tract 4. Owner -i of Eac.u:?, • 5. Contractort-c?t:SLl iUiltE:u P1UtAbi lly c: Phone ..;:ot ' ng 6. Address 7. Citv State ' ? - Zip 8. Building Type: Residential 0 9. Work Description: New 0 10. Describe 11. Commercial ? Institutional O Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other ? Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 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 Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Fs94-320U ? r PLUMBING PERMIT Receipt Psrmit No. CITY OF EAGAN Fee Frll in numbered spaces S/C Type or Print /egibly Tot. ' 1. Date . 2. Installation Cost `J.% , z' 36 3. Job AddressIl?Z vUCkY.vGt: U!'Lot Blk. r ' ' Tract 4. Owner t;rassroads Of F-dgd+t 5. Contracto4;U11S(:ljL3ted Yluwbiilq ;, Phone ',;'`.? 1'•;;;` t„a?i?c 6. Address 1JsV E. Cli{j i?d• 7. CitY 'tSUP'ilSt'1 l le State Zip 1 8. Building Type: Residential L? Commercial O Institutional ? 9. Work Description: New M Add ? Alter ? Repair ? I 10. Describe I 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank ? _ Lavatory Softner T Shpwer Wel I 1 Kitchen Sink Urinal/Bidet Other Laundry Tray ? Floor Drains Drinking Ftn. w Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, dnd I agree to oomply with all ordinances and codes governing this type of work. , Signed: for Rough F inal Inspections: Date Insp. Date tnsp. This is your permit when numbered and approved. Appraved CITY OF EACAN 464-8100 OF WATER SERVICE PERMiT iloc Knob Road ox 21198 PERMIT NO.: , MN '551,21 DATE: , - . No. of Untts: - !:rilssr<?a.aq /lddrcss: d..'No.:Q3m?.U9 FL7 im h eeMl?I wN6 !Iw Cihr of Eato• iMwaw. . ., -s l? C.onnection Charps: -' . . '. ) u ? ACODUM Oepoalt: 1 , . p`? Pertnit Fee: ? • a? ?i . 77 Suraharge: Misc. Chorpss: 13'_.Ott Total: ' ? - - Dots Paid: e of Irap.: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoninp: SEWER SERVICE PERMIT PERMIT NO.: DATE: - No. of Units: ??' 4? 1 ex Owrwr roS3rio- /lddress: 5ite /lddress: Plumber. _ 1 Kn. ft eowmf w16 eM Cify of 4pe By Dore oi Insp.; Total: _. Insp.: Date Paid: $1 Cr CorxNCtlon C]+orpe: ^(s??,y?1 7 ? a?: S J• UV I2i1 PeRnk Fee: -pu Surolarpr. Misc. (]arws: CITY OF EAGAN SEWER SERVICE PERMR 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 D/1TE: ' Zoning: No. of Un1ts: of 4•-7 i c QyyMr' - I?TARRTc:?iiG i 'I?87 ? _ . Site /lddross: ir.ira t-revsroa i:nierr !..';+ i('roe roa:i,y ? Plumbe?: P S li g 1 NM tO MNMPF! wllb tM CIh Of FA19e• Ccnnectlon Qwrgs: OrJi?.no.s. Account Deposit: Permit Fae: _ Surcharpa: 8Y Mfsc. Chorpea: - Dote of Irup.: Totol: I nsp.: Dah Pald: CITY OF EAGAN WATER SERVICE 38$Q Pibt Knob Road P. U. Box 21199 • PERMiT NO.: Eagan, MN 55121' DATE: Zoning: _ Owrnr; Addross: _ Slte Addnas: Plurnber. - Mebr No.:15 - No. of Units: CITY OF EAGAN WATER SERVICE PERMIT 3830 P'Iot Knob Road P. O. ox 211`99 PERMIT NO.: Eagan, MN 55121 DATE:' - -i -- ' Zoning: ?? - No. of Unin: 1 o f 4v lex p pM,Mr; Crossroads Ptns , AddflfS: i 5ift /ddrem 1256 Iluc kwood ?r' B1 Cross roacts of Fatian Plumber. Con"w? Id ate3 Flb; t N :LF10 M Connection Charya: 5 UO.OQ pd o.: e ar size: __ ?/ . Account Deposit: 15.00 pa 00 pa 10 Reae.. No.: PeR.,it Fee: . wbi ew Ck me !e oow l 1 of 116goww Surcho!De: .50 Pd y h p ' y : ' ` 00 p ?i 132 ? ( OrliNsam ? ;. ,: Mta. Choroes: . ? k) . Totah 63.00 vd rt.rer P?T CITY OF EAGAN ?UL`? 3830 Pilo?t Knob Road P. O. Box 21199 - - ? Eagan, MN 551gI 1 of 4plcn Zoning: CFwrfle: . / ' Reodf? NO.:0=Z /Y1;7S'M :3 ? 1 qrN !o OOwylp w1lb'l?N?.l?r;? '"li?? ? OatN?e?a. ? ) J QY - ` OcM of Insp.: Psrmtt Fee: lv.uu pa Surct+o?gas .50 p Misc. Chorpes: 13 2 . 00 {?? 1 Totoi: F 1- ?? n" ,na+--. r Dote Pnid: Owrwr. _ Add?ess: Site Addi Plumber. .w. aaef wsp¦ Ordiu?nea. Potd: SEWER SERVlCE PERMR' PERMIT NO.: 7477 DATE: - -RS No. of Units: o LPlex Connecfion p,pme: 425.00 pd Aooount Dspowt: pd P.m+it Fee; . 0 pd Surrhor0e: pd Misc. Charpq; Totol; Daft Pald: _ 8 0 W ? ? >p Y ` ? y Z ? y ? o?a i . g? ?=o ? b ? ? . ? - el".? v r` rq N ? N ? ? ? g LL Q ?y ` 4? V ? ' N X LL tL = ? ?a Y 2 ` u f,°., « p o O ?y >Q Q ' .'? 1 ?- ? 6 ? G ? M 'f Q W . . r n ? J r H C7 J t? 61 w ? y Y ? L C y t O m ? a o S `0 t; y } LL r $ 't ? ° ? Ln r`? 3 O ,i V Q t ?P u g ? Q7 ? m a ? ° ? H y C Q E l p D a a x C .= u ?a u y J ? C ? W o O N g N ?s c ? o ?- Q S ? a Q - 62 5 4 in o Q ¢ C y o 9 44 ? E LL N ? ? CITY OF EAGAN 383P Pilot)(nob Road P. 0. box 21199. Esgan, MN 55121 Zoninp: WATER PERMIT O/1TE: _ SERVICE PERMIT NO.: ') =hG- No, of V„its; 1 of 4n1_ex. Owner: - - Crossroads Ptusn l,ddl'lfS: Slte Addross: 3606 Crosaroad Court j,?"J B1 Crossraods of la&an pI-1-r _ Consodidated Plbg Maftr No.!' $1Ze: v Reade No.: I .em to « OrdblesoM. F.. Connsctian Chorge: ? ., ., . ., .. r " umt Depostt: 15.00 pd coo ?tl???cook4it Feo: 10.00 pd GAa&kfi„w: .50 pd Cho 132.00 P rm: 61.00 p meter ? _ CITY OF EAGAN SEWER SERVICE PERMR 3830 Palot Knob Road • 21199 P O B PERMIT NO.: . . o- Eagan, MN 55121 dATE: Zaninp: i'• i No. of Units: i of '??1cex nsr: ' «a&ruadq Ptas; O w Addross: - Z' ?h l T!•.: 9-t?^Ei SifQ AddfESS: • ., - - .ii'• _ -- rt+ber P? Pl u . 52635 U.:.su pd 1 Mm te ees111r wllli tio CNp of 4po f.onnectlon Qwrpr. O!'NM110N. A0001#d DlQOlih Permit FM: - Surchorye: gy Mitc. G+arpec Dote of Imp.: Totol: Inso_c- Doft Poid: _ REQUEST FOR ELECTRICAL INSPECTION EB-00001-84 , See instructions for completinq this fwm on baek of yellow copy. 0 1122113 "X"' Be/ow Work ('overed by This Request Wag Add Rap. Type of 8uilding Appliancea Mlired Equipment Wired ? Ranye Temporary 5ervice uplex Water Heater Lightin,y Fixtures pi. Buildinc? Dryer Electric Heatin k mmercial Bidg. Fumace 5ilo Unloader dustrial Bldg. Air Conditioner Bulk Milk Tank rm Other pec7v ther ISaer:?tyl t ,r Specify iher p1h4,.r / Fss ServiceEntranceSize M Fee Feeders/Subfeeders 7t Fee Clrcuits 0 to 200 Am s 6 to 30 Am s 0 to 30 Am s A?ve 2? Am ?s 31 to 100 Amps 31 to 100 Anips Swinming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Boorns Partial- Oth r_F e .n yim, apec+ai inspection 11-7 "7 /t 1 l ,•?•?^ ector ? crASiy thet?the above Y, // spection Fys bsen i • ? r? . Z N ?. Q LC) ? ? a - tW.? W N W X W ? LL, m Z : a ? U ? a a W c? o '+'• W ? 1.. V 0 ? Y? N ? ? J J Q ? I ? Y u W I u a _ a t u O . ? v . ? ? 0 • `y > m O ? .?r ? ? ? EO N tn Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?T 2 ? 0TM JUN 16 2008 ?----------------- ? ? Pertnit #: U-3 ? ? Pertnit Fee: ? i i i i I Date Received: I I I I I Staff: I ?-------=---------I 2008 COMMERCIAL BUILDING PERMIT APPLICATION Date: ?? Z7 Site Address: Tenant Name: C..) o S-FfrFS (D f?) (Tenant is: New /X Existing) Suite #: PROPERTY OWNER Name: 1A C05 IPCFSC?'J Iti-7 Phone: 47S 4 '-53,J 2 Address / City ( Zrp: : Owner Contractor Applicant is: 3- TYPE OF WORK Description ofwork: ? Construction Cost: . CONTRACTOR Name: fi1?Vf?/J_T_I7& ?UILDEK? License#: Address: U7 (?? 0 RLii\ jE? N 'a ?\ City: State: Zip: li-Y 1 1-7 Phone:(6-1 -Z? 7-4Z;Z.? Contact Person: L- ARCHITECT / Name: Registration #: ENGINEER Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: Phone #: NOTE Plans and supportmgdocuinenfs thaf you submit are considered to be pubbc'informaUon: Portions of ; the nform haf would the C 'to ; tion ma ons er r be s f ` d l rty t p m ? a y c?s ? s "j'ecrrets "`;a a conclude fhat teh a?etras , M 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 pertnit, but only an application for a permit, and work is not to start without a permit; that ihe work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ? n X O? ??IL- ApplicanYs Printed Name Page 1 of 3 53a ? p REQUEST FOR ELECTRICAL INSPECTIOIY Ee-oaoo+-o+ ? ' See instructions ior complqti?g this fvm m Wek ef yellor copy. 0 lJ ? 2 1 7 2 .,x., Below Work vor?4re?-.?This Request g-/^ Aaa nau. rvW or euiiaine ho? 7 Awcliancsa AirW ?^9e . . .. ... . eo?:n.?..c w?.ee Tert?pprery Service Duplex Water Heater Gghting Fixtures Apt. BuilAing Dryer Bectrfc Heat?n Canmercial Bfdg. Furnace S:lo Unloa.fer Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Orner oeurv O?ncr iScedFyl n. n?,n a 1.,.. tiwr Suecity .._.,...... ?__ .. . . ONer O?ncr N Pee Ser Siie N Fee Fceders/Subfeed¢rs # Fee Glr uits 200Amps ? t 0 to 30 q D j,3Q ? $ Abmps Sw 31 m 100 Anqs Above 100 31 to iD0 q - A6ove 100Anis Tra Si? Irtigation Boorrs Special Inspec[ion O Parnal-'Other Fee ?- - - pemarks S/E? TOTQL F,EE j ' ' Noueh-in ? ' 1 -7 ? ?` - G ? c ?'e ?3•- , :??E"? s - I Final oa? i1y 1ha[ iip ahpve n ' grta? on ha: bean ?u...?.,?ve?...aw.n __...b....... . This rwue=: wid M55a G y ????0 D onqhs from 00171 ? , Reques[ ?e, ?? ? 4s - Fire No. ReqBheti?lnspection ?Reaay Now?Wiil NoLi1y Inspec- tor When Readv Yc; ?NO D(Licedsed Elechrc?l Con[rac[or I hereby req uxst inspection ot above Fl Ownnr electncal work insfalled at S[reei?j ddress, Box/? r Poute !rt1?Gl.U f./(1J`?: C t I eLOn o. Townshlp Naine or No. Ronge No. Cou Occu n[1 INT) r' , ? 64 ?/ • PhonP No. / ? ? ?? ?U ? O Power Suu lier ???? ?+ddress Elec ' I?actor . ompany Name) ? ? ? G C? L.YL. , ConVactor s License QNo. L' n? J liailing Atldress iGontractor r Owner Makin Ins[all ion) ? Au eE Sig?ture onV ctooPO wner M kinA InstallatioN Phone/'Nvmb?ey? ? YINN?¢OTp STp7E BOARO OF?ELECTRICITY THIS INSYtGTIUN ntuucsi wi?? rv? Criqps-YidwaV gldg. - Room N•191 BE AGCEPTE? 6Y THE STAiE 80AN? 1@1 Univarsiiy Ave., SL PaW, MN 55104 UNLESS PAOPEfl INSPECTION FEE IS ?? ,M Z) 29'?"' ENCLQSEO. 55a ?? REQUEST FOR ELECTRICAL INSPECTION , See inshuetions tor comoletirw thiy farm on beck of yellow eopv. D L 2 1 7 0 "X" Below Work C-uerP: by This Request E&00001-Od %-ro -ff ism Ada Ibo. TvPe of euileing Aooliances wireA Equipment wi.ed Home Range Temporary Service Duplex Water Heater Liqhtiny Fixtures Apt. BuilAing llC Uryer Hectnc Heatin Commercial Bldg. Fumace Silo llnluader Industrial BIAy. Air Conditioner Bulk Milk Tank Farm Otne; pecJy IherlSUeci1v1 r mr SVer.ity plhar Other {.U!/IOULQ lDSOBCI/O/1 tPP /fPlOW # Fea ServiceEnirenceSize k Fee Fxeders/5uhtaeders N Fee Circuiis U to 200 Am )s 0 to 30 Am s 0 to 30 Am s Above 200 Amps 37 m 100 Amps 31 ta 100 A Swimming Pool Above 100_Amps - 1 Above 100_Amps TransYormers Irrigation Booms 6 0 Partial.'Other_F.ee_ l- ? Ia'g15 1 I I?{?eciai insPecuun ;S'/l`,r{ Ne?rks 4? ?l? ?.? rh,s ,eoye=t vo;d , 5a 6g ' q- t o -f ? M720 55,69 2 ? rc ?- ? ?ro : Y 0 HeOUes Date ? Rre No. liouph-in IRSpec[ion p( _ ..7 11en ?reA? ?ReaCY N? p? rWl?ieni peady ?_ ' ?J ??es ? No b? 61-icensed Electmal Contmc2or 1 4erebY re9isest insoec6m uf above ] Owner elechical work bcYlld aY. SVeet Address, eo r Rou No. 1 ? S o . ; I X Lih'--- L-a ?-? ection o. Township Name or No. flange No. Cou ly ?IEJ & Oc panl IPRINT ?. ?l. ??s??? ? ?ure No. y3?-ktl .;L0 Vauppl i er, Zi ?I .?r.?.i Aadress Elec ical Contractor Comuany Namel LL? L LL Cmtracmr's License No. Ma'ling AdJress (COntractor or Owner Makiog IreWil ionl 3f?`i`1 ? w !Q- Mio A -zed Sianature Cocmr r Making Iretallatian) FM1OnR fY? r? -r 7 Q MINNE)OTA STpTE BOARD OF ELECTRICITY THIS INSPECTION NEQUEST NILL NOT Griyes•MidweY gld9. -Room N-191 BE ACCEPIED BY 7HE bTAIE BOABD 1827 Universi[Y Ava., St Paul, MN 55104 UNLESS PIIOPER INSIECTION FEE IS Phorre 16121297-21H ENCLOSED_ This repuest wid 5:572 18 S Ks h / if ' Sfs" d d Hrqu ? I es e Fire No. flough-in Insper.tion pe9u red7 []Reatlv N. W?II NulilV Icapec- or When Peady KYes ?NO MLicensed Electrical Comractor I heFepy request inspecteon af ehove n Ownn. electriml wak instelled a[: Sve/?y/[? dd,??ejs, Box Route No. / J /?V `?V C'rnsS (6?L. ? f "c.i-vv\ C'tY cUOn o. Towreh p Name w No, flange No. Cmnyy i Y occu?.ni IMINT) m `?3> ?`v7f? eo ? sUooue? Atldress Ele'??/??ca?y,Co?? ctar ?IC,Ompany Namel F'CyL' F? v(? L Contrecto?;? liccnse No. 7 7 3 Mailig Atldress ICOmr ctor or ETF aking 1 tailafionl M 0 6?? ?c? SSi?3 Au "zed Sigreture (Conhacror Owre, Making Inatallationl Pho^e Nuilper YINNSpTA $TpTE BOAPD OF ELECTRICIT' GriW11J1fitlwer BIAg. - fbom N-791 1821 Univsrsity Ave.. SI. Paul. NN 55104 Plnre (612) 29].2111 .e" .... BE ACCEPIEO 9Y THE STAIF BOAND UNlE55 PROPER INSPECTION FEE 15 ENCL0.4ED. This repuest wid ?mwnths Irom n ? r)_ r oJ, oa p Fire No. qe 9 ied7 n'Oectinn ?0.eatlV Now?Will NotitV InsPec- A^ mr When ReatlV ?? ?Yes ?No $ Li nsed E ectrir.al Conlractor I hereby requayt inspection oi above el-t.t-i ..,n.n installed aL ? ??..?. Strg?t Adtl... Bo ar floute No. ? / VJ`••' Ci?t/? cl?o? o. Township Name or No. flangu No. CoiyytV 3l Occupant IPItINTI Phv3? fb r SuP pli AddFess •-T?L ? ? . EI -ral C mrac?,pc ? ? . Comp nV nNamel 6- ? Cotr ctor . License No. n Gv`' ' Yailin A dress (COntrar.t r or Owner Making Ins latinnl I1J S4 . f?0 .? 6(_ ?? rYl N SS? Au -zetl SiBna[ure Conva tor wner Ma i g InsWlWtioN - Phone Numbner ? qkj- U WII I Nl1T YINNE#OTA STATE BOARD OF ELECTPICITY BE ACCEPTED BV THE STAiE BOARD GrigiBsalidwar Bldg. - Poom N-197 VNLESS PflOPEN INSPECTION FEE IS 7821 Ilniwrsiry Ave.. St. Peul, MN 55104 ENCLOSED. Plome (6121 297.2111 DO NOT WRITE BELOW THIS LINE SUB TYPES: ? Foundation ? Apartments ? Lodging ? Miscellaneous WORK TYPES: ? New ? Addition ? Alteration g Replacement ? Public Facility ? Accessory Building ? CommerciaU Industrial JX Ext. Alteration-Apartments /7/CGFI ? Greenhouse ? Ext. Alteration-Commercial ? Antennae . ? Ext. Alteration-Public Facility ? 'Nail Salon ? Interior Improvement ? Siding ? Demolish Building* ? Move Building ? Reroof ? Demolish Interior ? Fire Repair ? Demolish Foundation ' ? Windows ? Water Damage • Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation oc'G Occupancy ,Z2c. - 3 MCES System - Plan Review / Code Edition SAC Units (25%_ 100%? Zoning City Water - Census Code 1-13Y Stories ? Booster Pump - # of Units _ly Square Feet 4?`( N9 PRV # of Buildings / Length Fire Sprinklers Type of Const. Width ? REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: ,U Footings (deck) FinaUC.O. Footings (addition) ?L. FinallNo C.O. Foundation HVAC Drain Tile Other: Roof: _ Decking _ Insulation _ Final _ IceNVater Pool: _Footin gs _Air/Gas Tests _Final Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _AirTest _Final Windows Insulation Retaining Wall Final C/O Inspection: Reviewed By: _ Base Fee Surcharge Plan Review SAC-MCES SAGGity S/W Permit S/W Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Traii Dedication Water Quality Water Supply & Storage (WAC) to be present. Building Inspector Yes J4 No Reviewed By: Planning ? Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other t0,,?ij2f • 7.7 Total Sewer Trunk Water Trun4i Page 2 of 3 ? ? uG?`..'?vop IV ? .%? ? ?,ab ? ? 0 ELA ? ?,•• ? .? ??. ?. F, ? ,.? .? S C Y? s?/94 C1 iv 6, 3 ?, ?? ,?,•..e 3Gm?l 1-29- •? i^ te?.?.} 7 2 o!? ? _.._....---•?_? ? ?.- ? ? ? ? s? ?Z r i& '-p" e ??a 3GoC a ? € N SA V ? 1 0 • ? ? ---- - ?-- j ? ? ?. F ? E ?0,+ 5, 56 " a f ?? ???T "I 4 1 ? ? i ? 4yf: Ee`"?s E: f?'`# T 4 r? Ar ? ...?...? RE?0? E D ??TF-:- BUILDING ONSPECYE0RIS DOd9SlON E? 4 s? ? ? ? 3 rO D ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED WI'!H THE CITY OF EAGAN To Be Used For:1 of 4:'1ex INCLUDE 2 SETS OF PLANS 3 CERTZFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Valuation: 53,000 Date: June 7, 1935 Site Address: 1252 iluck;aood Dr OFFICE USE ONLY (,Ross?o5 Lot: 31 Block 1 Sect/5ub c>F Parcel 0 Owner Crossroads Partner.stLin Address 1020 Eaet 146th Street City/Zip Code Burnsville, MiQ 5533 Phone 432-3240 Contractor Jad Ron , Inc Address 1020 BAst 146:1 Street City/Zip Code Burnsville, ':,LTd 55337 Phone 432-8131 Arch./Engr. John Kinsell Address 12131 62nd Avenue No City/Zip Code itaple Grove, tIN 559-0477 Erect ? Occupancy Q-3 RemOdel Zoning V -3 _ Repair _ Type of Const SZ Enlarge _ 1! of Stories Move Length 4-4 _ Demolish Depth 22 Grade Sq Ft APPROYALS Assessments Permit Zq 2.? Water/Sewer Surcharge Z(D.$D Police Plan Review I4(P'=° Fire SAC SZS.= Engr Water Conn 5op, Planner Water Meter (03. Council ad Unit ao,°-° Bldg Off 0 Parks . APC Treatment Pl 132'- Variance TaTAL Phone 11 OF EAGAN I ? El, ADDRESSES"::":,Jy?;._?,^;??:??.?w?? .?ii.?.n?..?.ns .w^.r-?r_ i _n ....?ir..?riwn.u.?.??r? I ? ? qqtY00D ..• [ ?? ?} ? ? ov'. ' : • ? ' a ? 3 11 +w.. N .vtir .Y I I ? f rw f n?w,.• a ? ?. /; ? t 9? t? . U• ? I: I? s . ? : . _ ..?. ? I i,?-?. . : -•.. a - :w+ , ? MYY r . i `x tt n_,` ? : . .: ._ . ....:.. ..__ . .... ,, . . __. 1 SI?.^.i'Ililn n.w r.^• .. ..? r?._.?... ? u?... ==.s......??m1Vi ??.? ? u ? ?._... .. _ ? i ........?....:_..ru.r....?...?._...?..?rnu.i.+...in?.+...r.. ? ? .... ?..... ? ..... __ ;11, .....................-._..?......._.... ...--..?.?... .,......_..........__.,_. -?-?- _" - ._ - • '?T ? ..... ?._.... _. -.. ?... ...? ?- a i . . _. . ..,:. . . _ . ... . ?„ . . ....... '' ?t ?._• - "----" _' ri, ?„ -- ' . .... ? . ? -- ?x . $. ? u ly? . ? 1 P ? .. , IIINUM WIIIII?. R E T D E A DDRESS % 'iz co DueKwoeD DR. cROSS4sna cT. 9 /o 1 rr , cokamcoqb e rA cr. c , ts' cr c? cr c c 3. S 3607 !/i72 G eRa r OveKwsoD A r/ IL /3 34 c.,G Zo DLJvmn p8 mw DFAn]0 K vE AvE. AV . 36o ' 44F 3 . R CR RoAD G . Gn CT L 30 vo e C _ C C °R cT G a e 'J '127i O DuCkWOOD QlNTA/qK AVG`. /S 36yZ ' G2 W'M?n DiNI7! AVi Vi 2 23 3G! e?1D AA . GT I 32 /352 /r.f"c ???O'? • 0"WMOao -09' . .% 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONSRACTORS MUST BE LICENSED idITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: 1 of 4 Plex Valuation: 53.000 Date: June 7. 1185 Site Address: 1256 iluc::aood Dr L (ZC7-iSRCA-DS Lot: 32 Blockl_ Sect/Sub °F Parcel N Owner Crossroads Partnership Address 1020 East 146tn Street City/Zip Code Burnsville , PI.d 55337 Phone 432-8240 Contractor Jad-Ron. Inc Address 1020 East 146t:i STreet City/Zip Code Burnsville, n4N 55337 Phone 432 -8131 Arch./Engr. Jo'rm Kinsell Address 12131 62nd Avenue NOTtSl OFFICE USE ONLY Erect y, Occupancy Remodel Zoning R-3 Repair Type of Const "SL Enlarge 0 of Stories Move _ Length 44_ Demolish Depth Z2 Grade Sq Ft APPROVALS ? Assessments Permit 21 2 on Water/SeHer Surcharge 2j" Police Plan Review 14t;" Fire SAC 525. Engr Water Conn 5LW, ? Planner Water Meter (03 Council ad Unit 2go.°-' Bldg Off(9 b Parks . APC Treatment Pl 132.? Variance / y 4 Y •56 TOTAL . , City/Zip Code Map1e Grove, I4:V Phone n 559-0477 , i ALI 1 ?Wowl 4? ? ( ? r !Y I i i K I ? I ?e•?x ' ? i2 ?.. 1 I' ? {: ' .. EAGAN ADDRESSES":--::?:???._?..:.??.??:??:_?,?:- ..__.... _ , . _ ... .. _ ... . „ . . .._..._. ? ..?.,.. ? ......_.. ,-......_ " __ _ _ c ? ? ..???..?...__.._..M.... _' ___ _ ??0?? ???D11Ln? I1?111??/IM GM?M1?? 111f. E DDRE ' $ 17 nssa cr. as ? r ? .z welaooeD aR. cS ftAID cr Go CROSS4sAa CT. /o W Ert /it e c . c C ? 36*7 eAa T. N G P&JVrnAPtk vE 3Go . 4we C 4 'i2G iL CiG BNma AvE. 613 C-RosSPOAD • t. A <1' C ? I/i72 Orxhw00D a /!. ? 2o D6AwM AV . CROSSRoAD GT+ t o i 6 'i27i DvGKWOeP D. - i4? ? 3Gt2 piNm AvC pwp GT. 30 ofi G D r o neW„u?Rk i?vr. is ' cz asev vt aa 36e ?w cr i x ouro,?eav . 04' e ' ? - - - - ----'?-- - -- .? ?? s? nr.u.?..wa? n.u sa 3C[6 C?SSAOAD GT. 32 ?Lf ?. ?? M? - --- ? -- ...__. , I i?n«!eFaYf+F rIxR•. an.•'M1 I 03 1985 BUILDINC PERHIt APPLICATION - CITY OE EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: 1 n£ 4 nlex Valuation: 53 , 0r? Date: ,Tune 7 1985 Site Address: 3604 Crossroad Ct. . LRanRdaoS Lot: 29 Block 1 Sect/Sub-r Parcel # OwnerCrossroa.ds ?artnershin Address 1020 r:aat 146ti1 S OFFICE USE ONLY Ereet X Occupancy lz-?) Remodel Zoning _ Repair _ Type of Const ? Enlarge A of Stories Move _ Length ? Demolish Depth Z2 Grade Sq Ft City/Zip Code Burnsville, `1:1 55337 ------------------ -----------°--- Phone 432,8240 Contractor Jad R.on, Ir.c Address 1020 i,?ast 146th Street City/Zip CodeJiurnaville, !N 55337 Phone 432 8131 Arch./Engr. John hinsell Address 12131 62nu Avenue _7orth APPROYALS Assessments Permit 2-,q 2•ff Water/Sewer Surcharge 'ZCo.$D Police Plan Review 47`° Fire SAC 525 °` Engr Water Conn eloo.? " ' Planner Water Meter (93. - Council Road Unit Z ?m ia Hldg Off4 Parks . . APC Treatment Pl Variance y? ,/ s? TOTAL . l T City/2ip Code =1aple Gro?re, [Z:v' Phone B 559-0477 ..? ....,. . Ri . ... L . . ? i I ?Wooo j? I e i ,Y 1 F , I ? 4 I ? N . ?•? f ?. ? W I ? ? .. I ? ...?.......?. ?., ..... .. . ............ ?...__ ....i._.. ? .._ _ . _. •• rGi?__.?__- , ?" ..i??-.......?..?..._..... __. ? -?_?. _ 11}IM?MM (NMII?. IY4 OF EPGAN ADDRESSES":-:,-:??M,:?,--,??:.?_??;...,._.,:? iiCf:YM..X.' wr^ :.?....r..?.....: ?...??F.?._..r.,.?.v.nwCR•?..:.'..a.+..?. I EMatEY . . . 1 . ?.... _.. p?w 1 ? ...... ...._.... .......?_...._....r...r........+.....`_.... --- jt7 i DucKwooo % % ar, w & .?• •,•? - - mw?lc Av! /S aGL4 D??IRK Avt 73 .?G/ +m GT ? 2 '?"7O°P ' 4604 ? me sl nswrM.v?r • .eusl-s4 3W4 CROSSROAL CT. I l2 /L.fY. PLArMeq? ?•?+c i I ? TINI!:M'.I?."MC? i1f.R:. :[LRt:M . 1 ? ,- ? ? ? . ? 1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUSi BE LICENSED HITH THE CITY OF EAGAN INC[.UDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: 1 of 4 nlex Valuation: 53,000 . Date: June 7, 1')85 Site Address: 3606 Crossroad Ct G2o??Ror.o5 Lot: 30 Block 1 Sect/SubeF Eac,c+? Parcel # Owner Crossroads °artnershin Address 1020 East 146t1i 3treet OFFICE USE ONLY Erect X Occupancy ?-3 Remodel Zoning R-3 Repair _ Type of Const ?1 Enlarge _ li of Stories Move _ Length 4 4 Demolish Depth 2Z Grade Sq Ft City/Zip Code liurnsviile. `1N 55337 -------------------'---'--'--'°-"' Phone 432-3243 APPROVALS Contractor Jad-Ron'T_ac Address 1020 East 146t".i St City/Zip Code BsLnsville, Mid Phone 432-8131 Arch./Engr, Jonn Kinsell Address 12131 62nd Avenue idorth Assessments Permit Z`12 =' Water/Sewer Surcharge 2(0,s° Police Plan Review ? 4(9. = Fire SAC 5251 Engr Water Conn 500, Planner Water Meter _(03.°° Council oad Unit Zgo. Bldg Of7f6 /n Parks . APC Treatment Pl I Variance '/ ) ?I? n TOTAL . o7? City/Zip Code Maple Grove, ilyd Phone 0 559 0477 r ; _..?.._ I oum? i « sA 1 ? IG ? ^ 1 y 1 1 y I 17 1 1 4 ? v2 ' lY. ?.. ;F ?I Cj 4 I . 1 .. ... . . . .. .. ..... . . . .? . ... .... ? ... . . , ? ..??-,.. . ........ ...?...... ? __. _? _ ,. 6; ,..?_......._.._........ _'. __' _ 11?IIINFlM COMM?. Illt . a I /Z S !/L7 k uM?r.. A + /S '3C2¢ DiNffyqRK A? 7,j 2G2G DFM1nAlK' A OF EAGAN ADDRESSES'`=-.--?~??w??.??:?-?:? ?:._.:xm:?:^ .._.. ?^ ....... ;.......C_....-a_._.??.er.".??_..... ' In:fATF,? ? ..?....?...?.. p?m i ` ...._.n..i.?.._...n-?......?.__.?..?rn..?..?....nr.....?. z4 3G4, CRvSSAoAb CZ'. I 32 ii.s'a Dwl'wew? Ar[• I 1 TN.^:PfIY.A'? ilY.lY.• .1tLTtY,A 1 i ( I 2/84 CITY OF EAGAN APPLICATION EOR PERMIT SEWER AND/OR WA"'ER CONNECTIODI ' • ' (PLEASE PRINi) 1) °P.OPFRPY AL`DRESS' rFr?r DFSGRI°TICV: (Lpt/Block/St:buivisicn or a?c? T.D. Parcel tunzer) L-NI;':'=:G S'?`aC:.'^TRE , DA'IE 0_° OR?G=.`IAL 'cuILDI::G P?%a= cax1 pccS= ?"r•:TrNr/p??OPOSrJ L'SL: ? R-1 Si1;GL5 FP_KSLY . ? R-2 CUPL...{ ('_TS%'0 UTNITS) ? R-3 7Civi,II4CYJSE ('I'f?p. W + (,^TITS} ( i7NI^'G) ? rZ-4 APP,R'1'_'x'h"S/CC:'MCi'SIIUM ( Wi ITS1 ' Q CC10n1ERCL-kL,/RE^'AIL,/OF'FICi a ?.'DusT-.?ar. ? INSTITL'PIO.N7AL/GG=`'T i, 2) ApoT?T= (PLEASE YRP1i) , Ann:zess: d' CI^."l, S=. ZIP: Ej//ei1v.f(?/l`e; ? PY.ONE 3) pu„!2EER _ (NLE,]SE PRLNT) - FOR CITY E 09LY NAME_ /°o ? - PDDRESS: PLUHBER ICEYS , Active CITY, STA'IE, ZIP: Pi ed - PHODIE: ?'?! -- PLJ,?BER IICENSE A ???=- ? /0? ? o f RB ord ? _ C` I ` t nitia s) cL?UY.A??Pi'/C?v?•}? NAME: ?rLcx?c rniNl] ADDREss: /0.2D ?1%f T s> C?'-"r, s=, zlP: PxoNE: _4?„O s) rnDrC^,TE ,saTcx PE^?•uT zs sEZVC REQcEsTM: El ccNmEcrzoN TC) czTr sD.TEx CO\"JECPZCN TO CTTY WATER ? GT[ER (PI,PIISE DFSCRZBE) 6) .uw_?_' ,.? v:ic: ? PLEaSE F?OLD APP?2WIID PER%LIT FOR PICIi-V"?i BY ONE OF REWE ? PL.FII.SE MIL APPRCN'?'?..,? PIILMiT 'PJ 1, 2-, a 4 A£OVE ? (Circle one) ' 7) ST??TL'RE: /ar'' ?i DATE: ? '?a ?t mo,c.: a? wa_.m mv +a ta r¢ va:ma.szsa au m rw m:mi ?-`m.ma ?e ?s sa r:r?-ar :sy w ati ra ?e-r?}r+.?:ffa? aw uC ra ? a nqocme-rn r . . .. ._ . . ?? , FOR C ITY U S E ON:,Y PEpMIT °- ISSUED ? FELS: $ z SE?^iEF PE4?7rT (I_`iCL:;DE SU°CH? RGc) : $ WATER PERU1IT (INCL'JDE SliRCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ Sr-'JER TAP $ =r.:Oi:: ?' .....:??i': - ?_.,?? $ ACCOUN T DFppSIT - G7ATER $ WAC $ SAC $ TRUVK WATER ASSESSi4E.IT $ TRliA'K SEWER ASSESSMEDIT $ LATER ; L SENEFIT/TRUNK SE;+:ER $ LATET.tA L BENEFIT/TRUNK SdATER $ `° OTY,ER ' $ TOTAL $ ?-3°Z• J G AMOL':VT PAID/RECEIPT ? ?'7"7 DOES UTILTTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? 7-7 YES IF YES, THEN A, "PERMIT FOR WORK WITHIN -?'O?DWAY" MUST BE ISSUED BY THE N ENGINEERING DIVISZON. LIST AS A CONDI- TION. SUSjFCT TO TE.E FOLL0WING CONDITIO?QS: APP?20VED BY; TITLE: DATE : m casa e?,m ea ? sa m?ea c? m e?e ca-:u? ?:? ca m ca c+r+s ctsa ma mtm w e?i? ?a? w:? et. ? sa ?a? w!e ?t? ra sr ? m. CITY Or EAGAN APPLICATION EOR PE?2MIT SEWER AND/OR WATER CONNECTIODi 2/84 (PLEASE PRIHT) 1) PROP= p,DpRESS: T FPaI. Dc.=!y:'ICN: 3d--1-9 or TcLx DAT' 0F ORiGi IAL 'r,'.]ILDI:.'G F?:?ST i[•}? :_:,-:?41 PD`:.SLT !,'.`,?N7I2T,/P.°.OPOS-,n US• ? R-1 SINGLE FPYSLY . , G R-2 DUPL..?'Y ('?S%'0 LTTITS) _ Q R-3 TCfv?II?CLTSE ('IYR? + LZi1ITS) ( Wi ITS) 0 c2-4 APAR=]T/CL_ZG_-S727_-;S ( Wi ITS) ? CC1tili?,SEEtCII?L/R-F'I'AIL?OFF'IC ? INDL'STRIAL - ? ID?STI'I'[.'PIO:IAL/GGV?'?NT.M.EI%T 2) A-P P I _T(PLEASE PRiNi) AnnREss: ?Gi14?f /f'b cIzY, s:??TE, zzp: Pxo-NE: . ` 3) Pr,?,^.Lgm --" CP!EASE PFtNO FOR CITY t1SE 08LY r?,r?: PL/jr' 'A f/T(° r°o ? - PLl1M8E ?ICE45E: ADDR^.SS: Active CITY, STA^."?.?', ZIP: L Expir ? ?%P?YI///G F ? ??/1' ! u3 ? : „ ? PFO'?=- &l "-???_PLUMBER LICENSE N I_a?f/ ? a Rec rd 4) CCC[JpRT]'I'/C!yi`?ER (PLEASE PRINr) NA[?: ?f//JS' annREss: czT^!, sTATS, zzD: ?J/?i'/?'!i/CG/-' M/.v S.?'3,?' PHONE: ic" S) INDIG^I'IV «fIICE! nER= IS SEINC REQUESTID: y" ? CONVECTION 'ID CITY SLTrIER CO?-,=PIOV ib CITY 6VlTEFt ? 07= (PLEASE DESCRIBE) oI uvu:: C.tc;: 71 5=1.?'IG RE: ? P=?SE F?OID APPROVFD pER,M,IT FOR PICI:-L'P BY 0NE OF 71HOVE , ? PI.£?NS?.' b*AIL APPRWFD?PERMiT M 1, 2, 3j 4 1?,OVE ? (Ciscle one) DATE: J'i/NG-? r I pm,? -. =+?i w:;cs.:.,,?.:. _.-?..? Aa .m m?a:f:m?v¢cma m m e+r r.m:u c?+m w M ka r r:ss.]?:?u ia ma a.a ?m-..?rrrs:fms s fir r[ urt ?se?ea:mcwvx.?.u r FOR C I T Y US E ON;,Y ' I " PE4-%?iT " ISSUEO E: FEES: SEi°iER °ERMrT (I`1CL:;D: SU°CH?.RGc) $ l0' WATER PERMIT (INCL'JDE SliRCHARGL) $ WAT°R METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SE;vE:2 TAP $ =r.-.,:osi_ - $ IS-? ACCOUNT D.F.POSIT - F7ATER $ WAC $ `??-S v u SAC $ TRGVK WATER ASSESSi4E,IT $ TRUidK SEWER ASSESSME.]T $ LATERAL SENEFIT/TRUNK SE:dER • $ LATEBAL BENEFIT/TRUNK IIATER $ / / J.2. OTHER ' $ TOTAL $ AJ?IpUNT PAID/RECEI?T C71 f DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF yES, THEN n"PERMIT FOR 'r70RK WITHIN PUBLIC ROADWAY" ML1ST BE ISSUED BY THE C?.] Hfl--''? NE GINEERING DIVISION. LIST AS A CONDZ- v? TZON. SUBSECT TO TfiE FOLL0WING CONDITIONS: APPROVED BY: TZTLE: DATt': -/2; ? oym ?o w o i.e mcs? e?ca m ?a?e exca em ? ca ?m nt mos?m nt•s sa4Wrrt eP?Mwssa w:MMWsa Wir wi.+n wcW w W.n m.. f .? t..M• 2/84 ? CITY OF EAGAN ? \ -1Nt1 APPLICATION EOR PERMIT SEWER AND/OR WATER CONNECTIODT • (PlEASE PRINi) 1) PROPERI'Y AqDRESS: r.Fral, DESCRIP'!'ICV: z (Lot/B1ock/ ubcLivisior. or TaY Parcel I.D. Numer) uE-{I5='.?:G ST_??(;C"-j:'tF, DAT' Oz' OR.TG27AL :i;IiDI_G PEE'•ST _TSS::?tC:: P°ESLT --.^`7I2rv2??OPOSm 0 R-1 SMiGLE FPMSLY , ? R-2 CUPL?..°Y ('?Zti'0 L'NITS) 0 ?-3 ZGS,-NI-?CiSE (?'Yp= + L^TSTS) ( INI'rS) ? R-4 APART""1TIC0?:DCi'SII[J41 ( Wi ITS1 ? CL1Mj%fERCL:kL,/RE:AII,/OFFICE ? MbOST-ZIAL _ ? I\STITC,'TIO:IAL/GGVE`i=-T 2) APPTr,T= (PLEAJE PA1NiJ rArE: ??'?r?iY vr?iTirf AnDREss: /S3a r°? CGirf /PG c=, sra--, zrP: ' P??0-NE: ??? ?Ln0/'J I 3) pUU.BER ,._. (P!E„SE PRINT) FOR CITY USE 04LY ? NAME: ADDRESS: PlU 5 IICENSE: active CITY, STr'1TE, ZI?:, IF- Pir Pxc:vE_ ' (i,?/ ,?2,ilJ PLUPIBEA LIC£ASE N ?eeC" ?--? arr nitta 4) CCr-CIPA'VT/CSv?..?F'2i - lvLtnsE veiNfl r?^? : ADoREss: ?? iY,? T Sr cri^r, szA•rc, zzP: _?l//?i?'?'!?/CG/-" 44/Y PHonE: 5) IIVDiGA3'b' P7HZCH PE.RbffT IS HEING REQUESTFD: y'' Q mNNr.cr?oy TO czTr =1rgz CO[v'NECrIOy T'J CITY WAMR == (PLFIaSE DESCRIBE) ?°LF-nSE f?OID APPROVED PET?MIT FOR PICi:-UP $Y ONE OF ABOVE "?LE'1SE hT'.IL APPROVED PERMLT M 1, 2,( 0 4 1?60VE ? (Circle one) 7) SIczA'IL`RE: DATE: „TI/NE r -< <'+`? ?@,C::..?-lw:so:sm i?a ?a ?cx.eSSnao aw aI!'ntim:mw-lxm.eG pe Y4 ?I Yr:sal?'sl?:rs ?4 raYtfwlsl?? fY f? ?,tat?m4i??+wFa.r< t FOA, C I T Y USE ON;,Y PER`-!IT '-` ISSUED F°ES: $ /&, C U cE?,iEB ?'EBD?rT (I?ICL?D? SU°CHaRGE) $ ,/01 SU WATER PERA1IT (ITdCiIIDE SliRCHARGE) ? $ ?•"`7l WATER METER/COPPEBHORN/OUTSIDE READER ? WATER TAP (INCLUDE CORPORATION STOP) $ SE;vER TAP $ $ ACCDUN T D..F.PnSIT - 4IATER $ ?U u e"'U WAC SAC $ TP,GVK 64ATER ASSESSi4E^•IT $ TRLi.JK SE64ER ASSESSME.IT $ LATrRA L BENEFIT/TRUNK SE:•TER $ LATETZA L BENEFIT/TRUNK FQAT°R $ OTHER ' $ TOTAL $ - Qg?4°U Ar!O[JNT PAID/RECEIPT ?- DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGiIT OF WAY? YES IF YES, THEN A"PERMZT FOR 'AORK WITHIN PUBLIC ROADWAY" MUST HE ISSUED BY THE N ENGINFERTNG DIVISION. LIST AS A CQNDI- TION. SliEJECT TO THE rOLLOS4ING CONDITIONS; A?PROVED SY: '_"I:LE: • DAT°: Qe e.se mso ea m sa s?m e?ce vs 0? rsvm am am wa mimm ¢+am ML-M Mc.s rf a.? esPE sia ?Mg M wi+ R+0 F* M ra NW" W ? 1 1 I II ('!?y rl` ? 2/8Y CITY Or EAGAN APPLICATION EOR PERMIT ? ? SEWER AND/OR WAT_ER CONNECTIODT I • (PLEASE PFINT) I 1) °ROP._.R7.^I ADDRFSS: k:-,??' j ? ar, c?-un^rcv_ / ? ??...? ' (iot/Block/SU-bcLivision or Tax P?iYc-el I.D. Nlsriber) ? ir -t157=:G S?"RL'C7-":2E , D1TE OF ORIG^?AL L.iILDi:G P=:=:I', ZSS??\Cz: i nRrg:?-n --..^,:7Tr./P.p0PGST C•?': O R-1 SiVGL.z' FP?ffLY ' , ? R-2 DUPLz"{ ('R%1J CJ[9ITS) j . Q R-3 1Ctvi?II-ICLJcE ('?'Yp.? +[.^IITS) D P-4 APART`TM'^:T/CC:DG:.1ry2[J:1 ( Wi ITJJ Q CQtinIERCZAL/?2EI`AIL,/OF'FICc: ? ?1^JUSTRTAL - Q ,1'NSTI':'C,'TIONAL/GGV?'?:`??;T 2) FPPL?C--?:iT (PL£ASE PRftii) ADDRc.55: cIT^t, sraTE, zz?: wl?/LLF" I PuaNE= 3) pLU,.roL7z rPME: NLEASE PRINTJ `- - 4 HT ° /° FOR CIT 15E OYLY , (, o ADDRL•SS: PLUMB LICE45E: Active CITY, STATE, ZIP: Expir PHCNE= l??? ?.2G0 P! U:NBEF--L-ILENSE k af He ord - -- ? a r nitia k) !.XS:J?'.??;T/C(v?:II2 (rLtn5t NktN?) NAMF: i?,f'?JSS /?d/yos /j?2 ADDRESS: czrl, s=, zzP: _?U/?iY?'tiiGG/-" ?'Iti 5?33?' PxoN .E: 5) I-NTDIG",TL' ;v'F?ICcI PERtiLiT IS BEINC REQCTESTE'J: y' x? r?,`NTcrzov TC) cTT^r s?c,= / ??] conNDCrzo?,? TO cz-Ly «TIR ? C7"[T--t (PITILSE DE,CRIBE) ? P'??.SE FiOLJ APPF.WF'uU PER."^.IT ECJR PICF:-U'r BY ONE OF FIBGUE ? PLFIISE Df'.?1IL APPROVED'P£FL?1TT TJ-1. 2.&) 4 A£OlE (Circle one) 7) S?a ;TLR°_: Qt// DATE: *A,2r- 5' IP? °`+ %:t a.q:csn.s,sa t?ss::r.7 1c m m:m?amcsm s4 eu rn m. .:w m-mz.ea bee O r?:sa?:a?:r s s r wt??yas.r ? fa Y6,?s ? at:aca?rrur • F 0 R C I T Y PE?-MIT " ISSUED ? P°':S : $ $ /o. S!> $ S 5 $ $ S $ $ S U S E ONi,Y SSi^?ER ?'EB^1IT (I_`ICL:;DE SU°C.F.?RGE) WATER PERP4IT (INCL'JDE SliRCHARGc) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SE:vEF TAP ACCOUNT D,F,POSIT - P7AT°_R WAC SP.C TRG'VK IIATER ASSESSi4E;IT TRli\K SE6qER ASSESSME?]T LATERA.L BENEFIT/TRUNK SE?•:ER LATEvAL BENEFIT/TRUNK WATER OTHER $ TOTAL $ A.hIOU.:T PAID/RECEI?T DOcS UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN N"PERMIT FOR 'AORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ? NO ENG.INEERING DIVISION. LIST AS A CONDI- TION. SUEJECT TO TtiE FOLLOSJING CONDITIONS: APPROVED BY: TITLE: ' DAT°: Me a-3s cm}s e3 e im C'.?Ct ea o G1 t?F3-?.' ^t nC D*? m t4 m1J$ CrtS9 Ol? 1?44 A RP i? a!f? a1 a rF ? f! ?i? R! R? 4 sl? ? rv 11/29/2016 1 :01PM FAX 9529858836 Bulldog 110001/0007 rr� GS" Use BLUE o BLACK Ink ForOffice Use I Cf.11 Ci �N City of Eaaali Permit#: / Permit Fee: .2-7f3. cd 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5676 Fax:(661)675-5694 Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L. 11/29/16 S Address: 1252, 1256 DuCkwood Dr. -�� `�/ �� `�� ( . Unit#: `` :' : ; ; Name: Crossroads Partnership Phone: 651-454-3352 ;Resident/ ,;+.:, 1500 McAndrews Rd W. Ste. 100, Burnsville, MN 55337 :':,o Tyne �;; ',:' Address/City/Zip: :;i: `"' Applicant Is: Owner X Contractor "' Description ofwork. Remove & replaced asphalt shingles X13: , Construction Cost ,, �,, ��0 Multi-Family Building:(Yes X /No_j '.'-` , Company: Bulldog Contractors, LLC Peter Retka ::' Contact: Address: 21663 Cedar Ave Lakeville >.Contr'actor:?.c;: City: {'' State: MN Zip. 55044 Phone: 651-253-8211 pretka bulldo roofs.corn� <;: Email: @ 9 . ;;a,..;,�;;.;.`,,. License#: 6C639635 Lead Certificate#: NAT-F162654-1 If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF:CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor. Phone: NOTE;Plans and supporting documents that you sutimlt.are considered to b'e.public'information: Portions"of the information may be.classified as-non-public if you provide specific reasons;that wou/.d permit the City,,to .. ` .. . . conclude.that they are bideSecrets. .. `1 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4544002 for protection against underground utility damage. Call 4a hours before you Intend to dig to receive locates of underground utilities. www.000herstateonecalLorg 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 permit,and work is not to start without a permit; that the workk 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 permit Issuance. x Peter Retka *7%1 i; --- x Applicant's Printed Name Applicant's Signature Page 1 of 3