3605 Crossroad Ct/aGV-6? CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 4548100 -
dU1LDING rERMIT Rtce+pt #
-
T. L. u...1 iw. +1 19
Site Addreu ::. :? tl !?, t'..' ,t 1?, .=".O.T• 1: '.7'
7777 7
l? 7 Erect
Aai"I U
? Occupancy n?
?
Zoning
lot '
Blcek Sec/Sub. " Repair ? Type of Const.
Parcel No. Enlarge ? No. Stories
. , .• - Move ? Length
W Name
0
` t T
? Dem
olish
?
Depth
Addres
l g
• -
y
, Grade ? Sq. Ft.
city ,
= r? • , : '-Phone Install ?
; AU-ROiV I P? ,
? nvwovo?s
? Name
u
. . Asussment
o
u Addresa
? ' , t Woter b Sew.
City Phone
?
? Pol ice
W Name Fin
? ;
x Address . Enp.
13
t Z. City ?- Phone Plonner
Council
I hercby atknowledqs thaf I havt reod this opplicotion and stote that gldg. Off.
the inlormofion is torrecf ond agree to comply with oll opplicabls APC
State of Minnesoto Stotutes and: City of Eagon Ordinpnces.
? Var. Dete
Sipnoturc of Permiffte
Permit -` `. `. •` ,
Surchorqe
Plan Review q f' . `,
SAC . Q `
Woter Conn.
Woter Meter
Road Unit
Total •? i , .
A Buflding Pertnit Is iuucd to: on the expnen Cordifion thot
all work sholl be done in acmrdance with all opplicoble State of Minrxsoto Sfatutes and Ciry of Eopon Ordinonces.
BuHdirp Offidal '
PwmFt No. Pwmit Holder Date TeIephone #
P???ing
H.VJIC. vu
Eleetrie
Sohemr
Iroipection Date Insp. Othn
Footinpt f?
Foundstion
Framinp S- 3 -
Roofing
Rouph Plba y ?
Rouqh HVA
Inwlation _-L
tt)
Find Pibp. e4a
Final HVAC . ?
Final
Cart/Occ. cl) (p
?ater Dascriba Location:
YYell
Sewsr
Pr. D'ap.
?-? CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
Receipt #
$ 53,u0t;
PHONE:454-8180 -• - "?/ 1
QUILDING PERMIT
_ . . . FLf3.
09993
?
Erect LJ
Site Addreas
Rsmodel
?
Lot Block Sec/Sub. Repair ?
Parcel No. Enlarge ?
. t , Move ?
Na^e
? lish ?
D
i emo
? Address _ Grade ?
.
City J
Phone Install ?
- ?
?
Name
?
Addreas
Assessment _
Citv '
Phone
Woter 8 Sew.
Occupancy '
Zoning i . `
Type of Const.
No. Stories
Length
Depth
Sq. Ft.
Name
Address
City Phone i
Police
Fire
Eno•
Ptanrwr
Council
I hercby ucknowledge that I how reod this eppiitotion end state thot gldg, pff, the inlormotion is correct ond ogree to comply with oN opplicpbl¦ APC
Stote of Minnewta Storutes a+d City of Eagon Ordinonces.
Var. Date
Slynoturc of Pem+ittee
/1 Buildinfl Permit Is issued to:
all work sholl be done in otcordonte wifh all opplicable 5t,
Buildirp pfficiol
Permit
Surchurpe
Pian Review.
SAC Water Cam.
Wate? Meter
Rood Unit
Parfa • '
Total on tM express condiNon thol
Minnewto Statutes ond City of Eapan O?dinonces.
« r,
Pwmk No. PKmk Holdn DKs Tele hone #
Piumbinq 5( 3 P
H,VA.C.
E6cWc
S;ft«w
Irapection Oste insp. OtAer
Footinp -
Foundation
Fnminy -.L 3 • ja4
Fioofing
Rough Plbp.
Rouqh HVA ?
Inwlation
S=
FiMI Pibp. . ?.
Finsl HVAC
Final 1
CMt100C. (q f a
ia
?ater ,
Dssc.ibs Locstion:
IAhll
S?w?r
W. Dbp.
,366 CITY OF EAGAN 099$9
. 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 • , . PHONE: 4548100
eU1LDING PERMIT RecA+vt #
Te be rwd fee Est. Volue pate 19
Site Addreas Erect Occupency .1
Lot Block Sec/Sub ?.?p A?!Qdel ? Zoning ? -
. Repeir ? Type of Contt. v
Percel No,
Enlarge ? No. Stories
W
Name More
h
D
ii ?
? Length 4 4
D
h
Addre
ss emo
s
G
? ept
22
F
S
? rade q.
t.
Citv r ' 1 -- Phone `+ .a ? ?:• ? Install ?
nVMovan
Name
Address Assessment _
$? City Phone ; 3 ? t- 1' Water b Sew.
Police
W
Name ` ? ' • f Fire
x? Address En0
V
?W City Phone Wonner
Permit "??'q ?
Surchor9! p
Plan Review
SAC . )0
Woter Conn. '; O i
_ wN
Water Meter 5 3 - 0 0 ?
CouncU Rood Unit •
I hereby ocknowfedye that I hove reod this opplicotion ond state thot gldg, pff, .:S J2 5 $ S
the informotion is wrrect and ogree to comply wifh oll oppliccble.
A? Total • ' ?' I
Stato of Minnesota Srotutes and City of Eogan Ordinancea.
.. Var. Oete
Sipnature o( Pemnwttee ' , .
h Buildin9 Pennif Is issued to: on the *xpre?s taditlon thai
oll work sholl be done in occordance with all opplicoble Stote, of Minneaoto Srotutes ond City oi Eapon Ordinoncts.
Bufldirq Official
Permit No. Pvmit Holdn Dace Telephone #
Plumbiny 3 1 l?, 3
H.VA.C.
El.ctric
Softensr
Inweetion Dm Inap. Othn
Footinyg
Foundstion
Framiny
Rooflng
Rouph Plbp.
Rouqh HVAC ler, /a"-j
Imulttion
Final PI6q.
Finsl HVAC
Final
CMt/Ooe.
Water Oesaiba Loeation:
NNII
Sewrr
Pf. Disp.
C ITY OF EAGAN
3830 Pilot Knab Road, P.O. Box 21-198, Eagan, MN 55121
' PHONE: 4548100
BUILDING PERMIT Reu+vt #
Te M wnd fer Est. Value Date_ , 14
Sita Addreas Erect 0 Occupsncy
Lot Block Sec/Sub. Remodel ?
? 2onfng
f C
Repair onst.
Type o
Parcel No.
Enlarge ?
No. Storiea
Name Move ?
l
? Length t q
h
D
Demo
ish ;
ept
?
Address Grade ? Sq. Ft.
City Phone - Install ?
A?ovob Fn@
? Name
z
u
A?? /??Synent Permir
?
F City Phone i ` Woter & Sew. Surchor9e
Pollce Plan Review
W
? Name
W Fin SAC
_
Address ' - ? • ' ,} Enq. Woter Conn.
? W City Phone Plonner WMer Meter '
Cour?cil Rood Unit -----i
I hercby acknowled9e that I how rood fhis opplicotion and stoie that Bldg. Off. 3?2 Psrksx'-
ths intormufion is correct ond ogree to comply with a'll ppplico§h APC Total
Stob oi Minnesoto Stotutes and City pf Eogon Ordinor?[ex-?"_ .
-
"
' Var. Date
- ..
•
. .?
5iqnoture of Pertnittpi ti?' .__.
A Buildinq Pemiit Is issucd to: on the exprcss tor+ditlon that
oU work shall be done in acoordance with oll opplicobl• Stote of Minnesoto Statutas and Gty of Eoqcn Ordironcet.
Buildinp OffiNol
Parmit Na PKmit Holder Orto Telephone *
Plumbinp 5 I ? ( ,
H.VA.C. 5't
E??
??
Ir??etion Dete Insp. Othor
Foo:inw
Foundation
F?amin9
Roofiny
Rouyh PI6y.
Rou¢+ HVA
C
??30
Inwiation ? w
Fin.l ?? 3
?
Final HVAC
Final .91
CMt/OCC.
water Ooscribe Location:
YWII
Sewer
Pr. Ditp.
(TOWNHOUSE)
- 4 ? CITY OF EAGAN N° 0 9 9 9 8
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
eUILDINO ?ERMIT RKela #
To M wed ie. 1 OF 4 PLEX Est. Volue $ 5 3, 0 0 0 pate MARCH 2 6, 19 $q5
Site Ad ea 3 607 CROSSROAD CT Erect ? Occupency
? CROSSROADS OF EAE?Akiddel O Zoning R
Lot Block Sec/Sub.
Repeir ? Type of Const. V
Percel No.
Enlarge ? Na. Storiea
CROSSROADS PARTNERSHIP Move ? l.ength 4
W Name Demolish ? Depth 22
? Address 1020 E 14 6TH ST Grade ? Sq. Ft.
City BURNSVILLFphone 4 3 2- 8 2 4 0Inscau ?
A Name
8 ? Addre
H l`itv
I hen
the il
SfuN
Sipnaturo of Permive if
A Building Pem?it Is Isswd ro: JA
oll work sholl be done in otcordonce with
Buiidinp Offfciol
,
2-8131 woter b Sew.
Police
Fin
O E„p,
- 0 4 7 7 Plonner
Council
olitation and te that eid9. oft. 3/25/85
ply wi h II lic le APC
3n (YAKE-es. ? Var. Date
Pertnit '''
Surchorqe 7 f;- 5 0
Plen Review. 1 d Fi _ f1 Q
SAC 525.00
yyater conn, 5 0 0. 0 0
worer Meter 63. 0 0
Rood Unit 280.00
IMWT_p_ 132.00
Totai $1, 964 . 50
on fhe expmss conditlon that
Minnesoto Stotutes ond Gty of Eapon Ordinonces.
(TOwNxousE)
• _ CITY OF EAGAN No 09997
" 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE:454-8100 RKei? 0J??-j'
aU1LDING ?ERMIT 7?
#
T. L. .d fa. 1 OF 4 PLEX Ese_ vaiue $53, 000 pote MARCH 26 . 1q 85
g[to qddress 3605 CROSSROAD CT Erect IXI OccuPancy xl
Lot 2 Block 1 Sec/SubCROSSROADS O
. F EAE?iI ? Zoning R3
Repair ? Type of Const. V
Percel No.
Enlarge
?
No. Stories
W Name CROSSROADS PARTNERSHIP Move
Demolish ?
? Length 44
Depth 22
j Addrec s 1020 E 14 6TH ST Grade ? Sq. Ft.
Assessment
Woter a Sew.
Police
- Fin
- E^0•
_ Plonner
Cauncil
that Bldg. Off. 3 2 5 8 5
?1Q APC
? Var. Date
of
al I
A Buildinp Permlt Is issued
all wo?k shoU be dona in a
Bufldirp OffiNol
Plrtnlt ? G 7 L. V V
Surchorye 26.50
Plan Review 146.00
SAC 525.00
Woter Conn. 50.0 .?Q 0
Woter Meter 6 3- ? 0
Road Unit ? R[l fl Q
ru=T. P. 132.00
rotal $1, 9 6 4_ 5 0
on tM exprcss condifion tfiot
Statutes ond City of Eapan Ordinanus.
, (TOWNYOUSE)
SUILDING TERMIT
T• ?e w.d h. 1
Site Addrep 1268 I
Lot 4 slook 1
Parcel No.
W Name CROSS
? Address 1020
City gURNSVII
Name JAD-R
u? Add
F city BURNSVIL
GW JOHN
L„ Name
Address 12131
?W c;ty MAPLE GR
1 herebv ockrwwledae tFwt I
CITY OF EAGAN N° 0 9 9 9 9
3630 Pilot Knob Road, P.O. Box 21-199, Eagen, MN 55121 ?
PHONE: 454-8100 ?? !
RecelPt #'
OF 4 PLE4$t, VO1Ue $53, 004 pat e MARCH 26 1 q 85
UCKWOOD DR Erect ? occupancy Rl
ADS OF EAIRNWel D Zoning R3
-Sec/Sub. CROSSRO
Repair ? Type of Const. V
Enlerge ? No. Stories
ROADS PARTNERSFiIP M°"e
h ?
? Lengcn
th
D 44
22
EAST 146TH ST Demoii: ? ep
F
S
Grode
LEQ,,?„p 432-8240 instan
? q.
t.
fM inlormotion is torrect d ree to c
Stab of Minneso Statute a Cify of I
Siqnotum of Pe
A Building Permit Is issued to: `TAD-
oll work sholl be dork in ocoordence with?
Buildlrq Offkiol
Asyessment Pe?mit 292.00
Water a Sew. Surchorye 26.50
Poliu Plan Review 146.00
Firo SAC 525.00
Enp. Water Conn. 500.00
Plonner Woter Metsr 63.00
Council Rood Unif 280- 0 0
Bldg. Off. 3 2 5 8 5 T. P. 132.00
?PC
Var. Date
? Total $1. 9 6 4. 5 0
on the expross Condition 1hol
esota Stetutes and City of Eagon Ordirwnces.
(TOWNHOUSE)
CITY OF EAGAN N° 10000
3830 Pilot Knob Road, P.O. Box 21•199, Espan, MN 55121 ?'
PHONE: 454-8100 ,] & 3??
sU1LDING rERMIT
*. a- ...As... 1 OF 4 PLEX
She Addrm -
Lot 1 elo
Parcal No.
Name -
? I
? Address _
Chy _
Name
? Addreas _
c?ty BU:
?W Neme !
?0 Address _
i W City ?'•'
1 F+ercby xknowl
the inlormation
State of Minnex
5iqnotura of Pei
A Buildinq Psrmit
oll work shall be Bulldirq Off{dol .
Receipt *
53,000 pate M
ARCH 26,
19?$5
Erect ml Occupancy R1
, Fjr.Wemodel ? Zoning 8,3
Repafr ? Type af Conct. j.X_
Enlarge ? No. Stories
Move ? Length 44
Dsmoliah ? Depth 22
Grade ? Sq. Ft.
0_ Instell ?
Assessment _
woter & Sew.
Polite
Fin
?GRV Phone 5 5 9- 0 4 7 7 Planner
Councll
r?wt I " rcod 'hi: oppiicorion ond sr +fiat glde, pff, 3 25/8
5
rre d gree fo ly ?ti licab A?
totu?? o¢d City Ea9on frrdi Var. Dete
Pennit 292. 00
5„rcr„?o. 2 fi _ 5 a
Plan Review 1 4 Fi _ 0 0
SAC `195 0 0
Water Conn. _._S?Q.n?00
Water AAeter 63 00
Raad Unit ---2zQ-V0 0
MaWT.P. i 32_ np
Tosal $1, 9 6 4_ 5 0
on the exp?ess conditlan thas
Statutes and City of Eogon Ordlnoe?ces.
CITY OF EAGAM PERMIT #
CONTRACT' 3830 pILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT;
PRICE „ , pMDNE 45d.81 AA DOTE! 4
? Name
? Addre
c Gjty _
Cfty
' ` -- , BLDG. TYPE WORK DESCRIPTIi
Block c/Sub Res. New
Mult.? Add-on
Comm. Repair
. , Other
Phone
Phone
RES. PLBG. ONLY - COIIAPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.40
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
U. G. Sprinkler System - $1l?_A6-
PERMIT FEE:
STATES S/C:
GRAND TOTAL: S O
.:.:_. - --.- _ .. b •+(C` _._.__ _. .. : ._
FEES
COMMJIND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50;S1C PER EACH41,000 OF eERMIT FEE)
FOR:
CITY OF EAGAN Remarks-
Additiort CRUSSROADS OF EAGAN Lot 2 Blk 1 Parcel 10 18700 020 01
Owner ? street 3605 Crossroad C:rn,rr State Eagan, MN 55123
Improvement
Date 494902
Amount 7-
Annual
Years
Payment
Receipt
Date
?. STREET SURF. 1986 703
41 -
. 140.68 5
STR E ET fiE3fi9R.
?
GRADING r,
5AN SEW TRUNK
SEWER LATERAL
z
WATERMAIN
WATER LATERAL
WATER AREA i
ft
STORM SEW TFiK
? STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Roa Unit $280.00 50393 3 2 '
WATER CONN. 500.00 11 "
BUILDIMG PER. 997-10000
9 n n
SAC - - n u
PARK
CITY OF EAGAN Remarks DlGZ?c ;_"J#f5.?1 ' ??
Addition CROSSROADS OF EAGAN Lot 3 BIk 1 Parcel 10 18700 030 Ol
owner Street 3607 Crossroad Court State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF
. Za= 19$6 703.41 140.68 5
STREET Rf9T9f?.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
? WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK '
STREET LIGHT
WATER CONN. 500.00 n n
13UIIDING PER. 9997-loooo n u
SAC
PARK
? CITY OF EAGAN Remarks
Addition CROSSROADS QF EAGAN Lot 1 elk 1 Parcei 10 18700 010 [ll
? owner ?O.y ? .S.ra.. 1264 Duckwood Drive State Eagan, MN 55123
.? ,._. i A ._ I
i_ •
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF 19$6
. 703.41 140.68 5
STREET?R. _ f
?
GRADING
:C Gt' ?1
SAN SEW TRUNK ?
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
11]. .
WATER CQNN. .
BUILDING PER. -lOQ
sac 525.00
PARK
CITY OF EAGAN Remarks
Addition CROSSROADS OF EAGAN Lot 4 Bik 1 Parcel 10 18700 040 Ol
Owner Street 1268 Duckwood Drive State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt date
STREETSURF.
1 6 703.41 140.68
STR E ET RE?: ?
GRADING
C-'k.c_ et..
SAN SEW TRUNK VT)
SEWER LATERAL
WATERMAIN
? WATER LATERAL
WATER AREA
STORM SEW TRK
•?- STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
$280.00 50393 3 25 85
WATER CONN. 500.00
BUILDING PER. 9997-10000
sac 525.00
PARK
I
F} CITY OF EAGAN
?? 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
I 1. i
' t illi`,iF7f1P11ll. 111 ( Af'i/1N
?
I PERMIT SUBTYPE:
CTION
iCURD
PERMIT TYPE•
Permit Number: . ?
Date Issued:
APPLICANT:
(i_.i.') i/.? r,•i?1{t
TYPE OF WORK:
Iik .1; I t I 1 '1I•1
IMi i if i Nri
0.1 ti 1.11 i
1A 4, I 4i .' / rj;y
FtF F'A 1 F4
f 1 t+t t_tAMAii!
INSPECTION .. . ..
! I7!';I , ? ; t , :;f 1
Permit No. Permit Holder Date 7elephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapeetlon Date lnsp. Commenta
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
!J
i6ui.
Firepiace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Canst. Meter
Engr./Plan
Bidg. Final 7 3 &2
Deck Ftg.
Deck Final
1Ne11
Pr. Disp.
-- --- ------ ---------
Rsosipt MECHANICAL PERMIT Pamit No. ?
CITY OF EAGAN
.., Fss,
r
Fill in numbsred spaces 5/C
Typs or Print /egib/y Tot
1. Date 2. Installation Cost
3. Job Address Lot Blk. ; Trect
4. Owner
. , ?
5. Contraetor Phone
6. Address 75 )7-5na0
1,r 1rc C'.;
7. city ' scate ° za
7
554?..
8. 8uilding Type: Residential 0 Cornmercial ? Institutional ?
9. Work Description: New E3 Add O Alter ? Repair ?
10. Describe Fuel Type `-
? 11.
No. E.quioment 9TU - M. Ea.
Forced Air No. EQUiament CFM
Ai
H
dli
Mfg. r r
an
ng:
Boilers
Mfg. Mech. Exhaust
?
Unit Heater
Mfg. Otfier
Air Cond. .
Mfg. . , ,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree ta
oomply with all ordinances and codes goveming this type of work.
Signed : - - fior
Rouyh Flnal
Inspections: Oate Inap. Date Insp,
This is your permit when num6ered and approved.
Approved CITY OF EAGAN 454-8100
Reaipt PLUMBING PERMIT Pormk No.
cinr oF EAc?w
FN
iill in numbersd tpwcea S/C
Type or Print /eyib/y ToL
1. Date 2. InsUllation Cost J(".
3. JOb Address ' V-i uk! ?KWGLu . 1L,ot Blk. Tract
:
?:iU:,
4. Ownar ?mSSruadS Of L,
5. Contrsctor 'CariS4l1 dAc4 Pluabin; ? phone <3`!?-3t0i.?
',ea L i, O,
6. Addreu ''_ 3U E. i; i i ff Rt;, y
7. City -u+;l::V'! i it-: State 111u4 2ip `?53:i7
8. Building Type: Residential [%S Commercial O Institutional 0
8. Work Description: New b Add ? Alter ? Repair O
1 10. Describe
I 11•
No.
L Fixtures
Water Closet No. Fixtures
Cesspool/Drainf ield
? Bsth tubs Septic Tank
- l.svatory $oftner
a 5hower
Well
? Kitchen Sink
Urinal/Bidet Other
Laundry Tray
1 Floor Drains
Drinkiny Ftn.
? Slop Sink
Gas Piping Outlets
12. I hereby Certify that the above information is true and correct, and 1 agree to
compty with all ordinances and codesfoverning this type of work.
Signed : • ?- -for
Rouyh F insl
tnspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4644100
' '?
Receipt PLUMBING PERMIT Pemnit Na -
CITY OF EAGAN
FN
Fill in numbered spaces S/C
Type or Print /egibly To?
1. Date 2. Installation Cost ?? :' ' ` • ?-'?
3. Job Address ? - ?? ' ' ' *•"'?"-``? `''Lot Blk. Tract
4. Owner
5. ContractorUitiSGZ'!d'utet! PIJ.:,L't? 'j `Phone
j4 .dLli;
6, Addresa
7. City i E State t;l?• Zip 3.5 ';
8. Building Type: Residential D
9. Work Description: New b
I 10. Describe
I 11•
Commercial ? Institutional O
Add ? Alter O Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Draintield
Bath tubs Septic Tank
Lavatory Softner
? Shower Well
? Kitchen Sink
Urinal/Bidet Other
1 Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outiets
12. I hereby certify thai the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Si9ned : N. - 1. ,.
for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
R.aipt C) "'L` i ?.
1. Date ' 2. Installat
3. Job Address Lc
4. Owner °
5. Cont?acEor . , 6. Add?s?
7. City'^,_,oii r•:!r"State
8. Building Type: Residential ? Cor
9, Work Oescription: New',L-1 Add I
, 10. Dasaibe
1 11
Phone
75#75040
,, '
2ip
al ? Institutional ?
Alter ? Repair ?
Type
No.
? F,auinment 8TU - M. Ea.
Forced Air it; No. EQUipment CFM
Mfg. Air Handling:
Boilers
'
Mfg. Mech. Exhaust
Unit Heater Y
S ' ? -
Mfg. ; h
O
Air Cond. .":>: er
t
Mfg. .,. i. r ?
Gas, P'iping Outlets i
1 12. I hereby
ihat the above
ordinances anc
Signed : ' ,
Inspections: Date
This is your permit when
Approvetl
PERMIT Psrnnit No. r'
GAN
Fee
rd speces 5/C
IeyiWy Tot
Cost
. ,
Blk. ' Tract ' ' .
is true and correct, and I agree to
ning this type of work.
for
Final
Dete Insp.
CITY OF EAGAN 454-8100
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE: ''" f I r' 1 N `,
3830 Pilot Knob Road PeRnit Number. 0'??'?
Eagan, Minnesota 55123 Date Issued: y F' r y?? ??' {
? (612) 681-4675
SITE ADDRESS; APPLICANT:
;1N 1 ? 1 . ? : -1 r?v4?i
PERMIT SUBTYPE:
I ; i f0i + )
TYPE OF WORK:
!iCi f' I I 0 N
N tI
1 N',tI l A ! I 1lN
F T Rt" 11AMA0I
iNAI I I I I il;f f'l Ai 1
Permlt No. PermR Holder Date TNephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapection Date Inap. Comments
Footings 1
Foundation 61-e?l/j oJA . ?zv
Framing
Roofing
Rough Plbg.
G
Rough Htg.
?U
Isul.
Flreplace
Fnel Htg.
Orsat Test
Final Plbg. Pibg. Inspedor - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Finel
Deck Ftg.
Deck Final
Well
Pr. Disp.
Recoipt PLUMBING PERMIT Permit No.
CITY OF EAGAN Fw
fill in numbered s,paces S/C
Type a Prini /egiblY Tot. _
1. Date 2. Instatlation Cost
3. Jo6 Address ' -' -= A Jsot Blk. Tract 4. Owner
5. Contractor',C? Phone . :??..
r
6. Address
7. City ' . ?.- i I : Stdte Zip
8. Building Type: Residential 13 Commercial O Institutional O
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
' Bath tu6s
Septic Tank
lavatory Softner
? Shower Well
? KitChen Sink
Urinal/Bidet Other
' Laundry Tray
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Qutlets
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.
5igned : ? • 1.
for
Rough F inal
InspeCtions: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Rscaipt MECHAI
CITY
Fill in n
Type a
1. Date 2. Insta
AL PERMIT Permit No. ,
EAGAN
Fae
5end spacas S/C
nt /egibly
ToL % -
on Cost
3. Job Address Y Lot Blk: Tract `
4. Owner
5. Contractor Phone 6. Address 7. City ? State r Zip
! 8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New O Add O Alter ? Repair ?
10. Describe Fuel Type
11.
No. Equipment BTU - M. Ea.
Forced Air No. EQUipment CFM
AAfg. Air Handling:
8oilers
Mfg. Mech. Exhaust
Unit Heater ,. , ,.
Mfg. h
O
Air Cond. r q, er
t
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes gove.rning this type of work.
Signed : ' for
Rouph Final
Inapections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464$100
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
N REcoRD
PERMIT TYPE:
Permit Number:
bate Issued:
ffll 1 I !i ( MCI
0 .'Hn01.a
ot., / i9 : f !? :i
? SITE ADDRESS:
, , 1% " , ;, r:I e: r
111 I HI)F1iV
SUBTYPE:
i . i., I . , y
Fi t 0 C APPLICANT:
Ildl ,fll i.'. thl1
3/4 61414H
TYPE OF WORK:
+A. F'A1P
r?l , ?• ? ; i i 111d ! !"ftE: DAMA(iF
INSPECTION ., • .A
tii•?,,? , i:i+?,
?
- ?-
? t
,
. . . ' . . - '"` . - .. , .
J I
- - - - -- - --------..._. -._ _--- --` _ _ -._ -------
Permit No. Permit Holder Date Telephone #
SNV
PLUMBING J/ 9? •??a - S?
HVAC Si I?? •
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
J
Roofing
Rough PI6g.
G.?
Rough Htg.
Isul.
Fireplace
Final Htg.
orset Test
Final Plbg. ? ?1(Q Plbg. Inspector - NOtify Plumber
Const. Meter
Engr./Plan
Bldg. Final
I'
Deck Ftg.
Oeck Final
Well
Pr. Dlsp.
?
?
Raceipt
PLUMBING PERMIT
CITY OF EAGAN
fiJl in numbered spaces
Type o. Prinr legid?y
Permit No. _
FN
S/C
Tot,
1. Date .i?• ? r`'?? 2. Installation Cost
3. Job Address-'t?A, Lot Blk. Tract
4. Owner LroSSt"QddS Of
5. Contractor"Uf1S0l'I (1dtec: FlW,1:;', : Phono ? 4-.?'•` .
6. Address ??+sU L. Ci1 i:
7. c;tY ?urnsvi l le
8. Building Type: Residential 0
9. Work Description: New 0
10. Describe
11.
- ?--
State tip
Commercial O Institutional ?
Add ? Alter 0 Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
' Bath tubs tic Tank
Se
`
- Lavatory p
Softner
T
' Shower Well
Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
' Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply wiih 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 454-6100
Ropipt MECHANICAI PERMIT Pernnit No. CITY OF EAGAN Fee
flll in numbened speces S/C
TvPe or Print /epibly Tot
1. Date - ° : - ` 2. Installation Cost •
3. Job AlFdieAi PllGrtr±f)iK ' Ct iirt, Lot ` B Ik. Tradt .:
.
4. Owner ?
5. Contractor • Phone
' 6. Address . . } , <
7. City State ' Zip
B. Building Type: Residential Commercial O Institutional 0
9. Work Description: New 0 Add ? Alter O Repair ?
10. De3cribe Fuel Type -? 9 rf
11.
No,
? FquipmenL BTU • M. Ea.
Forced Air ? No. Evuipment CFM
Air Handling:
Mfg,
,
t
Boilers
Mfg. Mech. Exhaust
?
Unit Heater
Mfg. Other
" Air Cond.
Mfg. ,
Gas, Piping Outlets
.--
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
5igned : . . . for
Rouph Finat
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
:-a.
- - ? - -?-??. ?or•? -
.
' ; CITY OF EAGAN
`` 3830 Pilot Knob Road
SITE ADDRESS?_-_ . . .
? ; J? Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECURD
PERMIT TYPE:
Permit Number:
Date Issued:
• Ir)i:
uf 1 Af",AN
i PERMIT SUBTYPE:
, A' i t
RAMt t N+#
i MC+I
; ti tnCh : APPLICANT:
il ; I,tit t I It+
0• I .' ! ii 4 c• +4t3
TYPE OF WORK:
I)I ';I Ft { P 7 1 (iN
I N`,111 A f i ?+tJ
I ikl P! Al t
1011 i U I NO
N.'Ht11 tt
06/A?/43
It 1 I' A f V
f ! fti-: 1.1l1MAC,F
. , . ? . _ ' " ' . . . ?. , . . _ ' • - . ' ° _ ? _ ? . ?.?5- ... - ' <.. , • . _- ?
Permlt No. Permft Holder Date Telephone #
S(VV
PLUMBING
HVAC
ELECTRIC a
ELECTRIC
Inspectbn Date Insp. Commenb
Footings I
Foundation G1YXq3 4-e)
Framing
! 7
Roofing ? .?
Ra,g, Pibg. I .13 ?
Rough Htg. Q _
?-
Isul. ??30 A6
Fireplace
Fnal Htg.
O?sat Test
Fnal Pibg. Plbg. Inspector - Not'rfy Piumber
Const. RAeter
EngrJPlan
Bldg. Flnel
Deck Ftg.
Deck Final
Well
Pr. Disp.
CIT'i il1= CkGAN
3830 Pilot Knob Road
P.'O. Box 2119%
Eagsa, IVIN 55121
Zoninq:
r;
ress: _
Site Address:
Ni'AYER SER1i1CE PERNIIT
PERMIT NO.:
DATE: No. of Units: l nf-
ber:
r?qection Chorye:
ter. o..
?N
M;bk Depasit:
Readar No.: /1 4 L? 47 g? Permit Fee• 1i '-
. ?
i yeM !o ooinply wifh 1M CiFy oE Eaqan
Ordimnns.
s,, a-c..?
Dote of Insp.:
5urcharge: . DU pn
Mfsc. Ct,orpes: 132.00 Pd
Torol: nr
Date Paid:
CITY OF EAGAN SEWER SERYICE PERMIT
3830 Pilut K nob Raad pERMIT NO.: 7 11) ?
P. O. Box 21199 . _
Eagan, MN 55129 DATE:
Na. of Units: 1 af 4plex
Zoniny: '
Fartaer ehip
pwner:
Address: -
Site Address:
Plumber: _'.n.co ?
100.00 pd
11N Cit9 of Ea9aw Connectlon Q+arqe: 425. 00 pd
1 pra !o oemP1f?
Ordimeas.
By
Date of 1 nsp.:
Account Deposit: 1 I- ULL41a-
Parmit Fm: ? ? - M ?---
$UfChGfgl: ?0 nr?
Misc. CFarOes:
Total:
G. 4 1P U. , . GA.V
3830 P:Io '.?,nob Ru`ad
P. O. Box 2 i 199 ? 3.?
Eagan, MN 55121
'ERMIT NO.: - (AO?
)ATE:
No. of Units:
CITY OF EAGAN SEWER SERVICE PERMIT
; 3830 Pilut Knob Road 7191
i P. O. 8ox 21199 PERMIT NO.:
? Eagan, MN 55127 DATE:
? Zoninp: R4 No. of Units: 1 of 1 x
Owner, Crosaroads Partnaranip
Address:
Site wddress: _ 1264 D+ckwood D ve Ll I31 Croesroade of Fagan
? Plumber: FT1COA
3-25-85 50393 p
s I yrw to eanPy wilh Hw Cihr of lagon Connectlon Charge: 425.00 pd
; OrdiMnea. Account deposit: S- O0 pd
' Parmit Fee: 10.00 lij
? Surchorga: _ 50 pd_
By
Qate of Insp.:
Misc. Qharges:
Totcl:
Dote Poid: _
WA(ER SERWICE PE1tMIY
Ci i ? ;.?? kl,,?!,,N
3830 Pilof°Knob Road
P. O. Box 21199 y-?? ? 7 l
Eagan, MN 55121 G
Zonj?g:
`/
.Yowmr:
Address: 36o 7 a
v,#ta Address: RPfftF'P?i???1?r??P^:
Plumber. TF-I 'M?;r-?i--?
'WATER 3ERVIt.9 rEl?liT
E ,
PERMIT NO.:
DATE:
_ No. of Units: ' -
AAatar No.: _• V . . , Connection Char9e: 5 (a 0. p ,?
siu: a: ti_ "" ,??
,i+:
'r I Permlt Fee:
Reader No.: S? ? L- 90 7 '
I O9r» M emply wilM Ilw Ciry of Eeyop SurchOrge:
Ordinanaa. Misc. Charges:
.
Totol: =
gy Data Puid:
Dcte of Insp.: r Insp.:
OF F4GAN ' SEWER SERVICE PERMIT
Pilot Knob Road 71414
?
Box 21199 PERMIT NO.: V267F ?"
i, MN 55121 DATE:
p; R4 No. of Units: 1 O£ 4plsat
r: Crassroada I'artnerahip
Address:
me
3-25•-35 50393 425.00 pd ?
4 h aoa+plq wMh tio CU?r of boae Connettion Charpe: p
snas. Accoimt Deposit: ., 15.00 nd '?
PermR Fea: 1? 50 ud-
Surchcrpe: F
Misc. Charges:
of I nsp.: Total:
Dote Poid
WATER StiRViCE PERMIT
PERMIT NO.:
D/1TE: . No. of Units: l o p 1
vt./?ddrosa• ! L?11? C±-ossroads of F,aean
srze: _sXFR-e- 15.00 Pd
Recder No.: 4) 9 G a O 7 7 d Permit Fee: - 10 . 00 nc'
Iayrsr to omply wilh Nhe Ci1y of Eayea
Surchorge: r?? ^
Ordlnane.s. Misc. Charges:
TotoL• Ij'7
?-'- :
gy Date Paid:
Dote of Insp.: VT a s? Inap.:
CITY OF cAGAN SEWER SERVICE PERMIT
3830 Pilat Knob Road ;"l '4 3
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoninp: P, 4 No. of Units: 1 n f' i{PIQ,r
Owner. Czaasxcada Part.-.ersi41,p.
Address:
Site Address: 3605 Crossroad Court L2 B1 Cvoesroada af EaAan
Plumber: EhCOA
3--25- 5 11 50393 IUD.UU p
1 agew h oomPly wiM tM Cihr ef Eeges
Ordiwanea.
Connectlon Charoe: 425.00 pd
Acwunt Deposit: ., t 5_(l(l nd
Permit Fae: l? Q() pd- I
Surcltorge: _ 5l1 pr1
Misc. Charges:
Totat:
?o4?s
2 1 C1-0 5 5
HOUSE HEATING TEST RECORD _ _ ?I
ADDRE55 APT.-FLOOR CITY?' '-? ?SUBURB
OCCUPANT
HEAT LO55
SOLD BY _
Elscirical Work By
TYPE OF HEAT GA-FA
OWNER
INSTALLEDBY.?ChZLL J?IVWL
i. ,
Gas Line By
-STEAM -SPACE HTR. UNIT HTR. -OTHER
GAS DESIGN
MAKE MAKE OF BURNER
Madel Madel
Sxial 2- Max. BTU Rating-
INPUT MAKE OF F C
u_1_i
„ ?ONTROLS ?
1 1
THERMOSTAT Heat Pluy Vsnr Size `?
Valve KIND OF LINER ? LV l"1 SIZE NONE
Limit Draft Hood T NZ`J4Lh Regularor 3Z5 14 /
Limit Satting Filtsrs Size lbx`U?x [ Numbar /
Fon Satfin9 ?I rvvf 0 Chimnsy Location Inside ? Outside
Pilot Type iAo-r $Vl2rf}<F Chimney Construction ? ??'?'??
Pilot Make
8
b
k
S
,/
Wi
i
?
Pilot Model e
om
mo r
ng
i
Pil
t Ti Draft Y Test Tag
m
ng
o Y
L.W. Cut Off Door Pressure v Lighting Inst. ???
?
Preasure Pareant CO
? Date Testsd 1 9
'93
Z
CFH L?0 P
t O ?D•s Com
an
Testin Akh'zCl- H?hc
arcan
Input
Z g
p
y
Stock Tamp. Percant CO Q Name of Taater WVWx-IL,
DATE HTG. INST
CONVERSION
Form 235
. . .
? _ALLtONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
D'' y/C ? INCLUDE Q SETS OF PLANS,
0 CERTIFICATES OF SURVEY
Io? L? FE-EX 0 SET OF ENERGY CALCULATIONS
To Be Used For: ;
lESih EN7? L Val
uation: 53, ? ?o
Date:
Site Address: ;3(cf)6- ??/,??,SSRL,4D LT. • •
Lot: ,2„ B1ock:__L Sect/Sub: CKI.'SS;2oADS Erect: X Occupancy: ?-?
Parcel # = d-11 ^ ?
'? ?- ' -'-
-` °°
"• ' Remodel: Zoning: ?-3
%
` Repair: Type Of Const: :ST
Owner: c
`RhS?K
A'U< ?o4RTJ?
?/lSN/?' Enlarge: # Stories:
_
?.
, Move: Length: 44
Address: Demolish: Depth: _
2z,
City/Zip Code:
g?Rn/SVi??k. /7"1? s ?a37 Grade: Sq. Ft.:
Phone #:
?TRO--2a
?
Contractor:-::=_:-??/iy?
Address: jh 20 .;?AST /4kll' cf • Assessments: Permit- Z9 2.'?
5,?-7
City/Zip Code:
(Qd,ei,isy14«
IVAI
Water/Sewer:
Surcharge:
Z?.so
.
,
.
- Police: Plan Rev.:
Phone #: Fire: SAC:
Engr.: Water Conn: 500.
Arch./Eng- SkLt- Planner: Water Meter (02, :°
Address: 12[,3} &Z qyf_ i?L+K7N Council: Road Unit:
T 2Sp.°°
Bldg. Off.: PG
3Z? ? E??: 13Z.
City/Zip Code: APC:
Variance _ ?
IN a 0 t u Ilk A _ • 7 REffe-WiWo
?,AI,L CUNTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 12 SETS OF PLANS,
? CERTIFICATES OF SURVEY ?
Id F 4??X ? SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: 53,OVO. LO Date:
Site Address: 12(oif j)U4,kWO6N ,De_1VF_
Lot:__L Block: I Sect/Sub: C,e-eg?,RoADS
Parcel #:
owner: CpossKollD? 7--
kkTN[?'SN1?
Address: /oZ0 FAS7- l/16'f4 ?7',
City/Zip Code:gveN?:Y/6L E. Iv/N. 5Si337
Phone 4??z= A2yO CflA0
?1HA -je0
Contractor: ? /H`,
Address: ?d;-)L) F_AST 141,fX .?T.
City/Zip Code:.????V/?Lk? Mhl. .4g37
Phone
Arch./Eng: --fb}(t.J }()).(Sf-LL
Address: (,,7 AVS ?VTXrf{
City/Zip Code: //JRPl£ Gi?GY,,?,, )JN,
Phnna4 SS !' 0477
Erect: ? Occupancy:
Remodel: Zoning:
Repair: Type Of Const:
Enlarge: # Stories:
Move: Length:
Demolish: Depth:
Grade: Sq. Ft.:
Assessments:
Water/Sewer:
Police:
Fire:
Engr..
Planner:
Council:
Bldg. Off.:
APC:
Variance:
?-?
R- 3
Q
44
22
Permit: Z9 Z.00
Surcharge:
Plan Rev.:
SAC:
Water Conn: 5cn .°"
Water Meter c' 3.
Road Unit: 2g0 ,
pa-r" ° TPC 132 .
? /, f (o (/So
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: euiGOine
3830 Pilot Knob Road Permit Number: 020918
Eagan, Minnesota 55123 Date Issued: 0 6/ 0 2/ 9 3
(612) 681-4675
SITEADDRESS: Lor: 3 eLocK: 1 APPLICANT:
3607 CROSSROAD CT U S FINI3HERS ING
CROSSROAD3 OF EA6AN (612) 374-6948
PERMIT SUBTYPE:
MULTI. (MISC.)
TYPE OF WORK:
REPAIR
DESCRIPTION FIRE DAMA6E
INSPECTION .. . ..
FRAMING INSULpTION
FINAL FIREPLACE
? _?
INSPECTION RECORD
CITY OF EAGAN PERMITTYPE: euiLoiNG
3830 Pilot Knob Road Permit Number: 020909
Eagan, Minnesota 55123 Date Issued: 06 /02 J99
(612) 681-4675
SITEADDRESS: Lor: 2 BLOCK: 1 APPLICANT:
3605 CROSSROAD CT U S FINI3HERS INC
CROSSROADS OF EA6AN (612) 374-6948
PERMIT SUBTYPE:
MULTI. (MISC.)
TYPE OF WORK:
REPAIR
DESCRIPTION FIRE DAMA6E
INSPECTION
FRAMYNG .. .
INSUlATION ,.
FINAL FIREPLACE
?- _ _ ?
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuiLoiNG
3830 Pilot Knob Road Permit Number: 020919
Eagan, Minnesota 55123 Date Issued: 06 /02 /93
(612) 681-4675
SITEADDRESS: Lor: a aLpcK: i APPLICANT:
1268 DUCKWOtlD DR U S FINISHERS INC
CROSSROADS OF EAGAN (612) 374-6948
PERMIT SUBTYPE:
rouLrs. (rarsc. )
TYPE OF WORK:
REPAIR
DESCRIPTION FIRE DAMAGE
INSPECTION .. . D.
FRAMING IN3ULATION
FINAL FIREPLACE
? _ __ ?
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuiLozNo
3830 Pilot Knob Road Permit Number: 020917
Eagan, Minnesota 55123 Date issued: 06 /02/93
(612) 681-4675
SITE ADDRESS: LoT : 1 8 L 0 C K: 1 APPLICANT:
1264 DUCKWOOD OR U S FINISHERS INC
CROSSROADS OF EAGAN (612) 374-6948
PERMIT SUBTYPE:
MULTI. (MISC.)
TYPE OF WORK:
REPAIR
DESCRIPTION FIRE DAMAGE
INSPECTION D. . ..
FRAMING ZNSULATION
FINAL FIREPLACE
? ?
City of EapIl
-----------------
? Fo
? (2? Pertnit#?? ;
2008 ? i Permit Fee: I Date Received: I '?-^^ j Staff: I
L - - - - - - - - - - - - - - - - - I
2008 COMMERCI ING PERMIT APPLICATIO
Date: Site Addre s:
Tenant Name: TD R G UST`1}"FS D t,3 (Tenant is: _ New /-A- Existing) Suite #:
PROPERTYOWNER Name: -ptt GuS IPCF5OO Phone: & 5-I-+,?4 '3352-
Address / City ! Zip:
?
Owner Contrador
Applicant is: 3
7X
TYPE OF WORK Description ofwork: RE-29L.R"C ?5, Cx61110C0 -DCC1?S
Construdion Cost -
6rf co ?
CONTRACTOR Name: R--DBLAQET-?? License#:
Address: 12?? ' 1l1?-Rl)il?N ??
City: J 1 State: Zip: ?5-n17
Phone:(DS 1 "ZU Contact Person: WlV (`? ?IL
ARCHITECT I Name: Registration #:
ENGINEER
Address:
City: State: Zip:
Phone; Contact Person:
Licensed plumber installing new sewer/water service: Phone #:
Plans andsuppoRrng documents that you submit are considered to be publ!c informaUon Partions of
NOTE:
.
,
,
,
?«. , , ,
c reasons that would perrrirt ihe Crty fo
specif
pio
f
i
t
l
bli
f
d
th
b
?
d a
n
c
e m
ma
ion may
ass
,
you
vr
e
_?.
o
e c
e
s
on-pu
?
i
?conclude that the'_a're trade-secrets.? . ?? - ' ? :? .,• °
I hereby acknowledge that this irrfortnation is wmplete and accurafe; 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 appliwtion for a permit, and work is not lo start without a pertnik that the work will be in
n \ n
accordance with the approved plan in the case of work which requires a review and approval of plans. , // ??
X NeF(L_
ApplicanYS Printed Name
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? Public Facility ? Accessory Building
? Apartments ? Commercial/lndustrial X Ext.Alteration-Apartments
? Lodging ? Greenhouse ? Ext. Alteration-Commercial
? Miscellaneous ? Antennae ? 6ct. Alteration-Public Faciliiy
? NailSalon
WORK TYPES:
? New ? Interior Improvement ? Siding ? Demolish Building*
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Demolish Foundation
?3 Replacement ? Windows ? Water Damage
* Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation 40U
Occupancy T
1/z t-3
MCESSystem
Plan Review 411, Code Edition .?co'16 SAC Units
(25%_100%V? Zoning P7 CityWater ?
Census Code 3'4 Stories ? Booster Pump -
# of Units ? Square Feet 6 y eq PRV -
# of Buildings ? Length p Fire Sprinklers '
Type of Const. ? Width p
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size:
? Footings (deck) Final/G0.
_ Footings (addition) ?- FinallNo C.O.
Foundation HVAC
Drain Tile Other:
Roof: _ Decking _ Insulati on _ Final _ Ice/Water Pool: _Footin gs _Air/Gas Tests _Final
Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _AirTest _Final Windows
InsWation Retaining Wall Final C/0 Inspection:
Reviewed By: _
re Marshal to be present. _ Yes )f- No
Building Inspector Reviewed By: , Planning
Base Fee
Surcharge
Plan Review
SAC-MCES
SAGGity
S!W Permit
SIW Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Qualit7+
Water Supply & Storage (WAC)
A7 ?
?
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other cepi2J
Total
Sewer Trunk
m 15- Water Trunk
Page 2 of 3
P uGk
?..? U 'w` FN
Z:oo?
/a/, &I
a?
?
?;.. •??- i
.. F C?
; 4.• ,
i ?
3
A
.
i 1!5 LP,
- ???^ f 4 lk ,+ ? • ?9W ?! iY+ eI 'y
3 G? 7 E6 ??°
r ? f
Frl` ?.1 ? ?3 ? • \
*
???' 4p
Es`'3 7 E
? ? JY ? ?? ? ?? ? . ?•?,.?. ? d ? } 4t ° AGAN
4. 7 C) ? OR' EWSD
DAM:
BUILDIRIG IPfSPEC'PIONS D@MBOM
City of EapIl
3830 Pilot Knob Road
Eagan MN 55722 ?
Phone: (657) 675-5675
Fax. (651) 675-5694 C C- ` cS?Cri-r(
?---- -------
i
3 (? ?
? Pertnit #: ?
I
? Permit Fee:
i ?
i ?
1 Date Received:
C,? ? Staff: ' I
L -----------------?
008 COMMERCILPLUMBING PERMIT APPLICATION
Date: W/IAOR SiteAddress: I 2V ,1 pl1?,Jzbd Dr
7enant:
Suite #:
Y
P N
m
:C
r
? C ?
VA
? NarWs Ph
?5t -y5y -335?
WNER a
e
r(L?
()(?,
l
? one:
CONTRACTOR Name: License #: c?7`2 l0 PPA
? I 5-Sy1 q
"
Address:
City: IlVZip:
State:!
Ph
UL ?- Zf//
P
one:
Contact
e rsorr
TYPE OF New Replacement Repair
- - _ Rebuild _ Modify Space Work in R.O.W.
-
WORK -
Description of work:
PERMIT TYPE COMMERCIAL
New Construction
? Irrigation System (_ yes / _ no) (-iRPZ / Modify Space
_ PVB)
• Rain sensors required on irrigation systems
• Avg. GPM _(2" turbo required unless s maller size allowed by Public Works)
Meters Call (651) 675-5646 ro verity that tests passed prior ro oickina uq meter.
Domestic: Size & Type Fire: Size 8 Price 314" meter 183.00
Avg. GPM High demand devices? _Yes _ No
Flushometers _Yes _No PRV Required _Yes No
COMMERCIAL FEES:
$50.50 Minimum (includes State Surcharge) OR contract vaiue 8x 1%
1 /?
?!/ Permit Fee
_
?
$
i
Required on ALL new buildingsand boulevard irrigation systems 4 _$ Radio Meter Read
- If Pertnil Fee is less than $7,000, surcharge is $.50 _$ Meter(s)
- If Perrnit Fee is >$1,000, surcharge increases by $;50 for each $1,000
$1,000 Permd Fee (i.e. a$1.001-$2,000 Permit Fee,requires a$7.00 surcharge). _$ State Surcharge
Following fees apply when installing a new lawn irrigation system. $Water Permit
Ca11 the City's Engineering Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Wffier Supply$ Storage
$ State Suroharge
TOTAL FEES E
I hereby acknowletlge that this information is complete antl accurate; that the work will be in confortnance wiih the ordinances and codes of the City ot Eagan; that I untlersland this
is not a pertnit, 6ut only an application for a permit, antl work is not to start without a permR; that the work will be in accorUancq with the approved plan in.the case of work which
nnc?•..:r..
Page 1 of 3
2008 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES
EXISTING COMMERCIAL PROPERTY (if applicable)
D
t FOROFFICE USEDNLY
a
e:
PRV reqmred'0?,XJ
Property Owner:
?
Address: Phone Number: " CAty RArW Penmit
Plumber.
Contact Name: ?
County R 6?1, PeinRw
gEWER' i
I ?
r,
<
'? ?
WATERi !
"
"
?
.
,?. ,.. n
.
? ;a.
,?.?
..
4" Sewer Service $1,589.00 1" Water Service $2,660.00
Sewer lateral charge @$28.30/ ff Water lateral charge @$36.00 / ff
Sewer trunk @$1,750/ connection Water trunk @$2,500/ acre
City SAC @ $700/unit Water supply storage @$3,93D / acre
MCES SAC @$1,825/ unit Receipt #: , Date:
Receipt #: , Date: Treatment Plant (a3 $690 J unit
SepGc abandonment $50.00 Permit Fee $50.00
Permit Fee $50.00 State Surcharge $0.50
StateSurcharge $0.50 *PlumbingPermitRequired - watermetertobe
acquired with building pemrit TOTAL:
T07AL:
,,,;, _ . ... .i., .. . ..
SEWER _ ... . . .,
& UVATER,"i, ,?
; ?,R- :
4" Sewer Service $1,589.00
1" Water Service $2,660.00
Sewer lateral charge @ $28.30/ff
Water lateral charge @ $28.60/ff
Sewer trunk Ld $7,150/connection
Water trunk @ $1,200/connection
City SAC
MCES SAC
Receipt # , Date
Water supply & storage
Receipt # , Date
Treatment plant
Septic abandonment $50.00
Permit Fee $100.00
State Surcharge $0.50
'Plumbing Permit Required- watermeter to be
acquired with building permif TOTAL:
Number of SAC unifs is determined by the Metropolifan Counci! Environmental Services (651) 602-1000.
Sanitary Sewer Trunk Connection Charge applies if not charged sewer trunk by assessment in the past
1-5 SAC units $1,540/ SAC unit _______
6-10 SAC units $385 I SAC unit
11+ SAC units $155 / SAC Unit ?
? Pertnit#: ?
?
I
? Permit Fee: ?
I ?
I ?
? Date Received: I
I ?
I
j Staff: I
L - - - - - - - - - - - I
Cc: City of Eagan Finance Department
Page 2 of 3
1985 BUILDINC PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS KUST BE LICENSED WITH THE CITY OF EAGAN
INC LUDE 2 SETS OF PLANS
3 CE RTIFICATES OF S URVEY
1 SET OF
- ENERGY CALCULA TIONS
To Be Used For:
I OF 4 PLjEk Valuation:
53,000 • `
u
Date:
Site Address: 12(oa pUUCWCI'p Dp, OFFICE USE ONLY
GK?Rt?r1x
Lot: 4 Bloc k I Sect/Sub0f-- FE444"+4 Erect ? Occupancy R_I
Remodel Zoning P--3
Parcel Ik _
Repair Type of Const g
Enlarge # of Stories
Owner Move Length 4T-
_
Demolish Depth ZZ
Address Grade Sq Ft
City/Zip Code ------------- --------------- ------
Phone APPROVALS
Contractor Assessments Permit
Water/Sewer Surcharge
Address Police Plan Review 14(? °?
Fire SAC 525 .°-°
City/Zip Code Engr Water Conn 500, °-'
Planner Water Meter (03 0=
Phone Council Road Unit Z8o_
B1dg Off .zb Parks
Arch./Engr. APC Treatment Pl 132.
Variance
Address TOTAL
City/Zip Code
Phone Il
° 74?v q?7r
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS 14UST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES DF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: I OF 4- PLEX Valuation: S3,?oo.'? Date:
Site Address: -3(o0-7 LFOSS(LOp.O ?T. OFFICE USE ONLY
GRoSS epaDS
Lot: 3 Block ? Sect/SuboF ?a.c-„A.,4 Erect x
Remodel
Parcel ll _
Repair
Enlarge
Owner Move
Demolish
Address Grade
City/Zip Code -------------
Phane APPROVALS
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/2ip Code
Phone ll
Occupancy F-- I'
Zoning ?-3
Type of Const ?
I! of Stories
Length 44
Depth ZZ
Sq Ft
Assessments Permit Zq2?m
Water/Sewer Surcharge Z(o.`-i°
Police Plan Review I 4(0 =
Fire SAC 525, V
Engr Water Conn
Planner llater Meter (03.°-°
Council Road Unit
Bldg OffjL;6Igr Parks
APC Treatment Pl {32_'?
Variance
TOTAL
.
• ?
C ? 2/84
CITY Or EAGAN
APPLICATION EOR PEPSIIT
SEWER AN?/OR WATER CONNECTIOTi
- (PLEASE PRIH7)
1) PROP= ADDRESS:
=aI, DE..ZlyTICV:
(Int/Block/5 •ivision or Ta4 ?arc I.D. ?iL:.?r)
? i S?'?i'C^'RE, DA'?' 0F OiTGI.T,AL, Ei;ii.DI::G =-_S'; ISSu:?:C-:
_e?,
P•°?5?.'?' ?.^;IZ?:?;/P?OPGS?J C'S'r.': Q R-1 SLiGLLL cP-%+SLY
? R-2 BUFL: (T,•."'J L'??ITS)
F r-3 'IC:t?-F_CTJLE ('?"-_°?- - L^.:ITS ) TNr'"S)
? c2-4 tl=^-An"_"z'`"P/CC_SXi?T`II'?•I ( UiiITSi
? CG1' l%E:.:C Lvi./RE:AI?,/OL r T_LE
? n.?eusTPIL2?r.
? INsTT-rzo:AL/GCFj=, nTE17
2) APPLZC•;T (PLEASc 'rRili)
r2V.:E:
ADDRESS: 7Gj
CI'I"l, STATE, ZIP: '/m/
PHG-NE:
3) pI1„iBEr{ (PLEAS NT)
FOR CITY USE O4LY
NPtIE_
ADCZSS: PLII!!B,E RS LICEYSE:
Active
CITY, ST?.TE, ZIP: ? Expired
- PHODIE: Not qf Ae[ord
PLt14eEFl LICENSE N ?j?
a?r ?ni-ia
14J (rLtaa[ rn1n1)
NAP'IE:
r- ?
ADDRESS: ST
-??t- -t
CI7I, STATE, ZIP:
PHo:ve:
5) INpICATE Iv'HICH PERh1IT IS BEING REQUESTED:
CO[JNECTION 'IO CITY SEY)ER
? COC7NECPIC;V 'Ib CITY WATER
? 0171ER (PLEASE DFSCRIBE)
u i
? PL--7%SE f?OLLI APP?OVED PER.'"LiT fbR PICi:-L'?i BY C:uE OF AfiGVE
? PLFI+SE :•T'.?1IL APPRWED PEF'•LIT T'J 1ZO 3, 4 AFiOVE
/ ? ; (Circle one)
DATE:
??ea?a???r.,si.rar?:a?.ca?w?rx?sa?aas?.a?:aa:..s?crac..r?e?a?.???s .
F 0 R C I T Y U 5 E O N L Y
P£RMIT '-` ISSUED
?crrs: $ /D• ? d CE:tic,B nLD_"Ti (I?11?7 ..?
::?L .]U....e'...?L?
S ie. <S a WATER PERA1T_T (IrlCiiiDE SuRCHARGE)
$ WATER METEP./CDPPEFHORN/OUTSIDE READER
$ WAT°.°. TAP (INCLUDE CORPORATION STOP)
$ S?;•7ER TA°
$
$
$
$
S
$
$
ACCOUNT DF.POSIT - i^iATrR
whC
SAC
TRtiVK WATER ASSESS2-SE:IT
TRu:d?{ SE[IEP. ASSESSMEPiT
LATE2AL BENEFIT/TRUNK SE:1:E2
LA^.r.RAL BENF.FIT/TRUNK WATz'Y
OT?iER '
$ TOTAL
$ o2D ? r? A;uOCI::T PAZD; RECEIPm 4?fj-'o 3 9r.
DOES UTILZTY CONN£CTZON REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY?
r- . YES IF YES, THEi] n"PERMIT FOR 'AOR?C WITHZN
PUBLIC ROADWAY" MUST BE ISSL'ED BY THE
F7'; NO ENGZNEERING DI`JZSION. LIST AS A CONDI-
TIDN.
SUESECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ? cc .0
T I : LE : ?? 2!? ?,¢J
DAT°_: .3-
?
CI;Y Or.EAGaN 2/84
APPLZCATION EOR PERb1IT
SEWER AVD/OR WATER CONNECTIOPd
- (PLEASE PPINT)
i) PPOp7-D?^! aeDREss:
r.Fr-,L D :..?C?tT_2TICV:
(Lot/Bloclc/S •i.=+:ivisicn or Tat : arcel T.D. Dit..^:,ter)
? lr _:i, DATE 0F C.cIGLlrli, cuIiDL`:G =:5-- I=?ANC_:
P.ZESLT t,SE: 0 R-1 S.itiGLE cA.'JSLY
? R-2 CUP?_-^_ (7.,:0 UNITS)
0 R-3 'IC:`-r-irrTCE M-T= + L'?.iiS) U:;1'_'S)
? r-s r,c.-., __ "t/C'_?CitT`IIL:•1
[J\IT
? i
Q CCifiImCL??,/Rf.'::-,II?0:'F'I?.?
? L`:DL'ST?Su
? T_VSTI".'LTIC%AL/G^;=n=.T
2) APPTiTC!_;my (PLE„S[ ?Rllii)
61(jNSo .i,/&i ?/A ,
ADD.4ESS:
c=, s: =-, zzP: i Z/r?/f/sl//LGE /7y
3) p=?IBE:v
NI1ME: (PLE,iSE N) FOR CITY USE O4LY
ACiCi2E5S:
CITY, STATE, ZIP: ?
C PLtIM8ER5 LICEVSE:
?
Aetive
? Expired
- PHOPIE;
PLUflBER LICENSE H Not oi Record
ar- lnltid
'+) (X.LL^: A??JT/CC'i?'IGI2
NF4ME,
ADDRESS
CIT'!, STA'I'E, ZIP.
Pf;oNe: ? r'L S?f iS??
s) rrrozc= :ahzcx PERnuT rs BEZNc REQuESTED:
? COVNECPICN 'IO CIT'I SETr.TER
? COCINc"'C. TICN 'Ib CITY G7A'I'E:;
? 0,71E2 (PLG'1SE DF_SCRISE)
b!
? PL--:!,SE E?OID t?PPP.OVID PERtiiZT FOR PICi:-LP BY Qti'E OF A6C'VE
PL.EASE :*aIL APPRC7VID PEF:LIT T'J 1,g;)3, 4 AFiCJVE
(Circle or.e)
7) SICcTL:v.: C? <
DATE: Al2 Gn6" O5-
-- /
??la?al?wff?ssra????a?ar+svsa?a+?srs:as:?aa?r??c:??rsyta?ras?? ?a?s
F O R C I T Y U S E O N L Y
F°DMLT - ISSUED
'S
Fcrs?
/D. aSd v?? o?..
G?
$ lO.SU WAT°R PER242T (INCLiiDE SIIRC:iARGn)
$ l.3 --O WATER METER/COPPERHORN/O(1TSID° REi,DEP
,
$ WATE.°. TAP (INCLUDE CORPORATION STCP)
$ S?.:iER TAP
$
$ / SA-c AC..OUNT DFPOSIT - PIATrR
$ WAC
$ SP.C
$ TRi;VK WATER ASSESS2-!E.IT
$ TRii:7K SECdER aSSESSbiEAiT
$ LA;r,RAL BENEFIT/TRUNK =?ER
? LATERAL BENEFIT/TRUNK S9ATER
$ /3?• m----?? OT3ER '
$ TOTAL
$ c.2v? 6^-ci Atirnli.`:T PAID/RECEI2T R?d?/ lr
DOES UTILITY CONNECTION REQUIRE EXC;VATION IN PUBLIC RIGHT OF 49AY?
YES ZF YES, THEN A"PERh1IT FOR WORK WITHIN
? PUBLIC ROADWAY" MUST BE ISSL'ED BY THE
NO ENGINEERITIG DIVISION. LIST AS A CONDI-
TION.
SliBJECT TO TfiE FOLLOS9IidG CONDITIONS:
APPROVED BY: vYC_Q
TI':Lc: _z:!f e?j
DAT°_ : _-3 - ,_5 le _ ?'•2C-
+ aMG•? w W?W t+ ?=ua ="a 8,?W w Ww W&?p% w" wa.W 9t4Ww lW-Masv Sk-M wt Wse IWAIN w40 PcMie WJM w M
1.. - ,
`
1111! /
CITY OF EAGAN
APPLICATION EOR PERMIT
2/84
SEWER AND/OR WATER CONNECTIODT
- (PLEASE PRINT)
1) PP.OPEP.T'`_' ADDRESS: ??C? % ? OSS ? ?CJ??
L,EC'y`-,L OESCRI?'I'ICV:
(Iot/Blcck/S u:A-uvlsicn or Tat rarcel I.D. NL:.?er)
S7L=-,j:ZE, DA'IEEE Oz' CRIGI?T.r.L ISS?AN
P°ESL."I' ,,.^.:]Z;T,/P?OPOS= L'S'r.': ? R-1 SL;GL. rP?1ZLY .
? R-2 CUpLr (2:;0 L?:ITS)
?. i2-3 ZC:t1iII-I^II?E (T?'_°? + L':72TS)
TNI"
'S)
? R-4 _
CiiITSi
? CCi1ME.°.CL?L/RETAII,/Or'F'TCy
Q ?'Cu-S-=--,AL,
Q ;T
2) AP'?L=?yT (PLEAS'c PRIfii)
C?i?r??sotiD/TC/? PL
ACD.T2ES5:
CI'PY, STl'I'E. ZIP:
PNO?: ?s? 3'??
3) PLL:1L'E?
I`IPME : lPL' E PRI4i) FOR CI7Y USE QYIY
ADCRESS: PLl1Hg{RS LIC:95E:
? Active
CITY, STATE, ZZP;
_
PHO?,
-?
PLt1MBEA LICENSE # ? Expired
? No of Record
arr lni[ia
4) I,LL:U_'Ai?'1'/C7viPc.i2 lr?cea[ rrcial)
NAME=
? .
anDRFss:
CI?"L, STATE, ZIP:
PHONE:
s) ll'MzVI're :vHzcx PeR%uT zs BESNc REQuESTED:
121 ce,=iov To czTZ s?M
12 co::.vEcrzcv TO ciTY isaTER
? di[IM (PLFr'LSE DFSCRIBE)
6)
L:.uiC:?,:c Uz:t::
7) SIG;NZCTv°.:
? PL--7?SE f?OLD APPP.OyID PER.`^.IT F>7R PICi:-L'P BY CDIE OF 11GGVE
-S-P?.Z?+SE :•AZL APP?20VID PFF. LLT 'PJ 1. ?__?>. 4 AECA7E
(Circle one)
_ (
D'nTE : ;??< - L2
Mm* w aalaw.f?s:f? a? s..c..a?r :..s r.. as+.a ?. +s r,c.ssr:as..? ?. waynryu?.::?. a? ae s ?a?isFa.a?r .
F 0 R C I
pERMIT °- 2SSUED
?
Y U S E O N:. Y
FrT`S ? $
i9..Sd
$ _+`' CI
$ ?3. •-?
$
S
$
$
$
$
$
$
$ i.3e?..?d
G.`..."R PER'.1Ti (=irL`uiE SU?.?.?i7ARuc.)
WATER PER11IT (2,`:CLVDL JuRCHARGL)
WATER METER/COPPERHORN/OUTSIDE REAG`cR
WATEP, TAP (INCLUDE CORPORATZON STOP)
5E:•iER TAP
ACi.OUNT DrPOSIT - WATER
Wt.C
SAC
T3liVK WATER ASSc.SS'r?E2iT
TRu:dK SEWER ASSiSSME`iT
L`nTiR'1L BE:vEFIT/TRUNK SE?•:"'R
LA:ERAL BEVEFIT/TRUNK WATER
OT3ER '
S
$ a s .4C, ?-o
TOT:,L
AMOL'.;T PAID;'qECyIPT n
D0E5 UTILZTY CON:]ECTION REQUIRE EXCAVATION IN PUBLIC RIGI-IT OF WAY?
F-7 YES IF YES, THEN A"PER6IIT FOR '40RK WITHIN
? PUBLZC RCADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVZSION, LIST AS A CONDI-
TION.
StiSJECT TO THE FOLLOL4ING CONDITIONS:
APPROVED SY:
TI . LE :
DRTE:
i . -
?
'I
2/84
CITY Or EAGAN
/
Util APPLICATION EOR PEP.MIT
-` SES9ER AND/OR WATER CONNECTIOAT
- (PLEASE PRINT)
1) PP.OPERT`_' ADDRESS: ?
r.Fr=,L Da=?TT_C:I: C?P 'T?
(Lo t/'31ock/S u:aivision or Tat Parcel .D. Ni.raDer)
ST=[;C^.,^.v:, De?Tu OF CRIGi r,,L ZtiiI=:G :.y_-Si ZSS?:;?J:Cr:
poFgENm;r•.IT:?:/p??c''C,Sc`? R-1 SDG'T.E cP3ffLY
-
? R-2 DUPZ,...`"t ('IL:'O L'PIITS)
. 19 R-3 'ICr.,.?.rrvteE (==- + L^:2TS) ( / UyI^-S) .
? P.-4 .`,"r?,T'_ =T/C=Ct.LT`.ILtii ( L^?iTSi
Q CQ'.sfE.°.CLn-T /Fit.-^.'1?I,/0::'=
? u'DUSTRI.?S,
? I:VSTI'I'?TIG:LA;./GGV?:`n?:T
2) APpI:` -?T (PIEASE 'rRI;iT}
ADD3ESS: ?llY
cTM=r. s?xr, zzP: ?Z?%r'%YfL'jLGi-
PHGNE:
3) pu,;.maa NAME (P "E PRiNT) FOR CITY USE 0!7LY
PDC<c.SS: - PLUPB ERS LIC.YSE:
? Active
CITY, STaT, ZrP; ?/V Expired
PHOJI'; ?Hacn
707 ? Not af Re[ord
PLUMBER LILENSE N
d?P :niLla
14J UC.::;:Ye'VYI'/CS'?:II2 lr?eNae rn1N?J
ADnREss:
cri^:, sTATr, zzP: zyiV ?s?r % Z;>
PFONe:
5) TNDIGATE ;v'HICH PERti1iT IS BEI\G RF,OLTESTLD:
,L?,I /?+'•?`1ECPI0:] 'IC) CZTY SEYiER
ICJ COCI:QECI'ZCN 'IC) CITY WP,TE2
? CIi'IIER (P7SASE DESCFtIBE)
bJ C;',t;:
7) SIC.;-,TL:v,:
? PI,--nSE F?OLD APP?OVFD PEft.+1IT ft7R PICi:-LP BY CNE QF '1BGVE
PLFI+SE :,".?IL APP?tOVFD PEft.?tIT TJ 1. <f? 3, 4 AEOVE
(,. -' )
DATE : 0 z;-- .i "--
??l QIi.?Yl/1lJY:f? i L7 !?g]? !? At ?:s?Y?? i? i iiii :!? s 1R !!!l?Ill?lFJ? f?l ! 1R! ? 4¢?Jr e
. . . . . ` . , . T
F 0 R
PERMIT " 2SSUED
C I T Y U S E O N L Y
rrrs: $
/O S"o
$ /a. S o
$
$
S
$
$ .
$
$
$
$
$
S
$ S
SE'.'iGP. ACOtTTy IINC.'..-=- JUP(`L'?.RGLJ
WATEB PEP.?4T_T (ZNCiIIDc. .=URCHARGE)
F
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE'.•iER TAD
=CCCi;:?° CSI'=
ACCOUNT DF.POSIT - PiATE.^Z
WAC
S.A.C
TRIiVK LPATER ASSESSi'IE2IT
TRuN{ Sr.S'1ER ySSESS.SE.iT
LP,:iRAL BENEFIT/T.°.UNK SES9ER
LATER2.L BENEFIT/TRUNK L4AT°R
OT:iER
TOTAL
A:".OU:IT PAID; REC°IcT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLZC RIGHT OF WAY?
YES ZF YES, THEN A"PERAIIT FOR :40RK WITHIN
? PUSLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGZNEERING DIV:SION. LIST AS A CONDI-
TION_
StiBJECT TO TEiE FOLLOWING CONDITIONS: '
APPROVED BY: o?eL.d
TI':Lc:
DATc: ---tT
r? ?-? ? w ? s? ? E? ra ai? /iti? w ? w +ii? ?RS? wd? ?4a w ?i? ??i? R+ ?t ? ?e ?i? w?a ?c? 1! si? ? ?
-? CITY OF-EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
?.
,
BUILDING
020917
06J02/93
SITE ADDRESS:
P.I.N.: 10-18700-010-01
PERMIT (?C
PERMIT TYPE:? ?93
Permit Number:
Date Issued:
DESCRIPTION:
r
MULTI. (MISC.)
REPAIR
R-3
N
REMARKS:
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
Lic. Search
Total Fee
FIRE DAMA6E
e,uildingi ,PermiC Type
puiLding W'qrk Type
?'UBC Occupancy\,
., ?
1264 DUCKW000 DR
LOT: 1 BLOCK: 1
CROS5ROADS OF EAGAN
VALUATION
$297.5@
$193.38
$16.00
Fee $5.00
$511.88
CONTRACTOR: - APpli
U S FINISHERS INC
1601 INSBRUCK DR
FRIDLEY MN 55432
(612) 374-6948
$32,000
cant - S7. LIC. OWNER:
1374694$ 0007543 CROSSROAD OF EAGAN PTNRSHP
14661 CHICA00 AVE S
BURNSVILI.E MN 55387
(612)432-8240
I hereby acknowledge that I have read this
irtformation 3s correct and agree to comply
Statutes and City of Eagan Ordinancee.
?
&4LPLR1C4 R ITEE SIGNATURE
application and state that the
with all applicable 5tate of Mn.
110HL(i `(1f m.? 1
?SUED''. -SIfNATU?
-j
nar+rI awn?6 - Inj 15%?oIGG V lel4.l ?••
PERMit # 993
.Uqr MAy 0 5 1993 ________ _____
BUILDING PERMIT APPLICATION
881-4675 ? ?l I • ?,?
SINGLE 8 MULTI-FAMILY 2 sets of pTans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 3 structural plans, 1 set of
specifications, 1 copy af energy catcs.
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 , r+aY /s_ / iooz Yaluation of work $126 000
5ite Address: 1264 DUCKWOOD DR EAGAN
SiREE7 . SUITE M
Tenani Name: (commercial only)
IAT , SIACK I SIISD. Z ? P.I.D. e
aADS c
Descri tion of work: FIRE RESTORATION
The applicant is: M Owner ? Contractor ? Other (Deacrfbe)
Name CROSSROADS OF EAGAN PARTNERHSIP Phone 432-874Q
Property LAST flRST
Owner
pddress 14661 CHICAGO AVE 5 BIIRNSVILLF
STaEET SiE 1'
City BURNSVILLE $tdte MN , jjP 55337
i
r a'E.= .?.•.,•cs
Company 0.5,??'Au?rSrtiN15i?t'?,a^";Phone _22s?-8?- ?•??i FYy
Contractor i?CI SN'-?C%F4:K UI<. ?fk, nt C?i ..
Address License # ro-n,?`!-l' Exp.
City s+-ftm State ifti- Zip 55i-M'
Company s n xixsF?.?. Phone
ArchitecU
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber N/n . Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply w' all applicable St e of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
\ :.---
-?C CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT . .. ?? ?-7
PERMITTYPE: suiLoiaG
Permit Number: 020919
Date Issued: 0 6/@ 2/ 9 3
SITE ADDRESS:
1268 DUCKWOOp DR
LOT: 4 BLOCK: 1
CROSSROADS OF EA6AN
P.I.N.: 10-18700-040-01
DESCRIPTION:
REMARKS:
FEE SUMMARY:
MULTT. (MISC.)
REPAIR
R-3
5' ?l n
?Ln`?r' ?(?j g- g n
-? FIRE DAMAGE
Buildingt,_Permit Type
Bu3lding Work Type
i-fUBC Occupancy-?,
-,
\
\
? lJd/
,
1
Base Fee
Plan Review
Surcharge
Total Fee
VALUATION
$297.50
E193.38
$16.00
$5@6.88
CONTRACTOR: - Applicant - sT. lIC
U S FINISHERS INC 13746948 0087543
1601 INSBRUCK DR
FRIDLEY MN 55432
(612) 374-6948
$32,0@0
OWNER:
CROSSROAD OF EA6AN PTNRSHP
14661 CHICAfiO AVE S
BURNSVILLE MN 55337
(612)432-8240
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and city of Eagan Ordinances.
L
L?k ?
APPLICANT/ MITEESI NATURE
appl3cation and state that the
with all applicable 3tate of Mn.
11l,0 41,1r1 ,ITh,t?
ISSUED B: I NATURE T?-
J
REALTIYA7E _
PERMII N '
1 illi 1
I? Ism (4? I? b V f? LUJ v??? v ?•,,••-•• •
893 BUILDING PERMIT
MA'! U 5 1993 681-4675
APPLICATION fff06,q?
?s ¦
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architettural 6 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1} when permit is typed, but not picked up by last working day of month.
lot change is requested once permit
3
d
)
or
in which request is made, 2) address is change
is issued.
Date M?v __ /9__ / iooq Valuation of work Q126 ^^O
Site Address: y 1268 nucKWoon nx EacaN -
STREEi SUITE M
Tenanz name: (commerclal only)
l
I,pT
BIACK _J_
SUBD,/J?,?DADS OF EP?.AN
LI'1
Y.I.D. M
Descri ti0n of work: FIRE RESTORATION
The applicant is: 12 Owner ? Contractor ? Other (DecCribe)
Name CROSSROADS OF EAGAN PARTNERHSIP Phone 43?-8940
Property L•ST FIRST
Owner BURNSV77TE
Address 14661 CHICAGO AVE S
STREET fTE M
City BURNSVILLE State MN Zjp 55337
'ryACS ??'I1ICZi 7
rgAu?t5 ; J=iN15W>, 1^'?;Phane = .?. , E
U
"
.
.
Company
5'-1-3 Ex
' a"s License r0:i?
# P•
C011tr8CtOC Address
City sT~?Atr State s-t?- Ii P 55ttY
- Company J a xzrrs LL _ Phone
AtChitECt/
Name Registration
Engtneer
Address
City 4tate ztP
Sewer & water licensed plumber N/ . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and stafe- that the infcrmation is
f
correct and agree to comply w' a11 applicable St e of Minnesota Statutes and City o
Eagan Ordinances. ?
Signature of Applicant:
CItY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT ?? ??/::?
PERMIT7YPE:? ? uiLozNG
Permit Numher: 020909
Date Issued: 0 6/ 0 2/ 9 3
SITE ADDRESS:
36A5 CROSSROAD CT
LOT: 2 BLOCK: 1
CR03SROADS OF EA6AN
P.I.N.s 10-18700-020-01
DESCRIPTION:
REMARKS:
MULTZ. (MI3C.)
REPAIR
R-3
V1 M
.', FIRE DAMAGE
Bu`ildirig; Permit Type
Building Work Type
f-iUBC Occupancy,,
,
i'
i ?
1 (? 1
--? ?.\? - ` . ? -?'
?
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
Total Fee
VALUATION
$297.50
$193.38
$16.00
$506.88
CONTRACTOR: - APplicant - sr. Lzc
U S FINISHERS INC 13746948 0007543
1601 INSBRUCK DR
FRIDLEY MN 55432
(612) 374-6940
$32,000
CROSSROAD OF EA6AN PTNRSHP
14661 CHICAGO AVE S
BURNSVILLE MN 55337
(612)432-6240
T hereby acknowledge that Z have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
L L
?
A PLICANT/P MITEE SIGN R
application and state that the
with all applicable State of Mn.
tnc(n A I , .
1 D Bl. SI NATU
?
REACTIYATE _ RECEP`UfED CITY OF EAGAN
PERMIT,# MAY 0 5 1993 993 BUILDING PERMIT APPLICATION
} 681-4675
tv" ---------- M=:.---
SINGLE & MULTI-FAMILY 2 sets of plans, 3 reg9stered site surveys, 1 copy of energy
calcs.
COMMERCIAI 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date riav iA4i Valuation of work $126.000
36oS
Site Address: ? CROSSROADJ cT
STREET SUITE t
IE/Idn2 Name: (commercial Ollly)
IAT a` BIACK I SUBD. P.I.D. M
Descri t10n Of WOY'IC: FIRE RESTORATION
The applicant is: 10 Owner ? Contractor ? Other (Describe)
Name CROSSROADS OF EAGAN PARTNERHSIP Phone 4-8240
Property LAST FIRST
Owner
Address 14661 CHICAGO AVE S BURNCVTLLE
STREET STE N
Clty BURNSVILLE State MN Zip 55337
d?.C'EL-J.hi?ES
Company d.S.,W?zT/N1W$,=^%one
-
Contractor !601 2Nsr>"rtbtuc 'ad. , FKr Ot.?z) S ] k13z-
Address License #do&l5"y3 Exp. ' r
City sT-PAt'r State °-Naa- Zip 55t07
Company J A KINSELL Phone
Architect/
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber N/a . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply w' all applicable St e of Minnesota Statutes and City of
Eagan Ordinances. /
Signature of Applicant: ?
--k ° C1TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55723
(612) 681 •4675
C?e 77I?
PERMITTYPE: euiLoiNG
Permit Number: 020918
Date Issued: 0 6/ 0 2/ 9 3
SITE ADDRESS:
P.I.N.: 10-1$700-030-01
c,
DESCRIPTION:
REMARKS:
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
Total Fee
PERMIT
3607 CROSSROAO CT
IOT: 3 BLOCK: 1
GROSSROADS OF EAGAN
VALUATION
$297.50
$193.38
$16.00
$506.98
CONTRACTOR: - Applicant - s7. Lxc
U S FINISHERS INC 13746948 0007543
1601 INSBRUCK DR
FRIDLEY MN 55432
(612) 374-6948
$32.000
OWNER:
CROSSROAD OF EAGAN PTNR3HP
14661 CHICAGO AVE S
BURNSVILLE MN 55337
(612)432-$240
I hereby acknowledge that I have read thie
infiormation is correct and agree to comply
Statutes and City of Eagan Ordinanees.
L
I
? APPLICANT/P MITEE SIGN RE
FIRE DAMAGE
Bu3ldirtg?Permit Type MULTI. (MISC.)
Building Wbrk 7ype REPAIR
/iUBC Occupancy?, R-3
1y
?
•? ? .°
i -
application artd state tfiat the
with all applicable State of Mn.
Y1.rwn &t?
? ?
-SUED e : SI NAT E
-i
REALTIVATE _ rI-"?iECEOMED 1993 UILD NG PERMIT APPLICATION ??OG•??
PERMIT ?". MAY 0 5 1993
681-4675
----------------
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
catcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month•
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date MAY / s_ / 1qq3 Yaluation of work s126.000
$71.E Address: o_? CROSSROADS CT, EAG N
STREET SUITE 0
Tenan4 rvame: (commercial only)
IAT 3 BIACK J_ SUBD. c
?o?n.?,? OF ,?A P.I.D. N
Destri ti0n of work: FIRE RESTORATION
The applicant is: 10 Owner ? Contractor ? Other (Deeeribe)
Name CROSSROADS OF EAGAN PARTNERHSIP Ph011B 432-8240
Property L.ST FIRST
Owner
Address 14661 CHrCAGO AVE S BURNSVTLiF
SiREET iTE M
Cliy BURNSVILLE $L8L8 MN Zip 55337
Company ? U.S. tiN15mW,1"",Phone ?-- ? •?y Fvy
COntf8Ct0r ,'ccCr >sy"sz_
Address ? License # 6 0=75`9 ? Exp.
City s-T-? State =ra?-- Zip 55i97
Company J A KINSELL Phone
Architect/
Eng(neer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber N/a . Protessing time for
sewer 8 water permits is two days once area has been approved.
1 hereby acknowledge that I have read this application and state that the information is
correct and agree to comply w' all applicable St e of Minnesota Statutes and City of
Eagan Ordinances. ?
Signature of Applicant: ' r
PLUMBING PERNIIT (RESIDENTIAL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
FIXTURES ? EACH
SHOWER 3•00
? WATER CLOSET
BATH TiJB , 3•00
3.00
LAVATORY 3•00
? KITCHEN SINK c? 3•00
LALJNDRY TRAY 3.00
HOT TUB/SPA 3•00
WATER HEATER 3•00
FLOOR DRAIN 3•00
GAS PIPING OLITLET • minimum - t 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5•00
PRIVATE DISP. • DakCry. lic. 15.00
U.G. SPRINKLER • eome uoeer mn:i. 3•00
ALTERATIONS ' to adsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
?Sb J?0
TOTAL:
SITE
Id-
OWNER NAME: ai?Y 6Q1)7Ie1IJ `' Y/A? -
INSTALLER: L//or,J 717"..e`IIe,?
CTTY: ( STATE: /h oil ZIP CODE:
PNONE #: ( //,-4)
}i,al,n x°, ? 7d
IGNATURE O ERMITTEE
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH
?
SHOWER Ue? 3•00
Yyt,PJ
WATER CLASET ? 3•00
?
BATH TUB 3.00
LAVATORY 3•00
KITCHEN SINK 3•00
LALTNDRY TRAY 3.00
I-iOT TUB/SPA 3.00
WATER HEATER 3•00
FLOOR DRAIN 3•00
GAS PIPING OLTTLET • minimum - t 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5•00
PRIVATE DI3P. • DaLcry. iic. 15.00
U.G. SPRINKI.ER • eome unoer consi. 3•00
ALTERATIONS • to adsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
STTE ADDRESS: /
OWNER N
INST
CTI'1':??./?'L? _ STATE: ZIP CODE:
PHONE #: (l0/a) 4ZSR-1S6S
!?? ?• (?z??.?z)
SIGNATURE O PERMITTEE
lYY3 YLUM2S1PIls rr.luvua ?ncaa+ir.i?aae++•?
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
MECHANICAL PERMTf (RESIDENTIAL)
CiTY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AL50, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIl2ED FOR EACH UNTf.
NEW CONSTRUCTION
zl? ADD-ON A/C
?ADD-ON FURNACE
DATE W,9?
/N°44ri°'f
HVAC: 0-100 M BTU 15'l-oon '
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExIs'r[NG CoNSrxucnox)
STATE SURCHARGE
TOTAL
FEES
$ 24.00
6.00
C.50
&E-4m
$iTE ALDRESS: '?!i d S" G?r -
OWNER NAME: Con?Al± TELEPHONE
INSTALLER: !•r/l?T?"r?G io'f7g?-?c
ADDRESS: 19fS J"/?2 ??„- ?
CTI'I': L"_994? STATE: ?'!i? ZIP CODE: 5-3%2 Z
TELEPHONE #: $*J?
SI A $ OF PERMITTEE
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UN1T.
1p. FIXTURES EACH TOT?
1 SHOWER 3,00 3104
WATER CLOSET 3•00 06
? BATH TUB 3.00 :
?
LAVATORY 3•? °
a
? KITCHEN SINK 3.00 300
LALJNDRY TRAY 3.00
HOT TUB/SPA 3.00 ?-
? WATER HEATER 3•00 ?
FLOOR DRAIN 3-00
?- GAS PIPING OUTLET • minimum • 1 3.00 3./JO
ROUGH OPENINGS 1.50
? WATER SOFfENER 5.00 S,Od
PRIVATE DISP. • neray. iic. 15.00
U.G. SPRINKI.ER • nome unaff const. 3.00
ALTERATIONS • to aosting 15.00
WATER TURN AROUND 15.00
STATE SURCNARGE 150
TOTAL: 3a • 540
SITE ADDRESS: c3 (1p e 5 lo / ?' -
OWNER
INST.
CTTY: STATE: /l'/llI ZIP CODE: SS/aa-
PHONE #: h?,R
?Q/'piYl 41 o ?izByC) _
GNATURE PERMITTEE
lYY3 YLUMlS1P1lr rr.iciVUl tlCbD+i?rjN a?l
CITY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 6814675
1993 PLUMBING FERMIT (REST
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SIlVGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
COND05 WHEN PERMITS ARE REQUIFtED FOR EACH UNTT.
NO. FIXTURES ? EACH TOTAL
? SHOWER ? 3•00
WATER CLOSET 3•00
TUB 3.00
BATH
1 LAVATORY 3:?
? KTTCHEN SINK
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3•00
FLOOR DRAIN 3•00
GAS PIPING OUTLET • minimum • t 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • neiLay. i+c. 15.00
U.G. SPRINKLER • eome uneer const. 3•00
ALTERATIONS • to odsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
STTE ADDRESS: 36,47 Lai-0 1W ?
OWNER NAME: /J/,,c'?
CTTY: ?A-C?Z'n) STATE: /07 4/ ZIP CODE:
PHONE #: (??a ) S?Sa - /v (o S
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137169
Date Issued:06/21/2016
Permit Category:ePermit
Site Address: 3605 Crossroad Ct
Lot:2 Block: 01 Addition: Crossroads Of Eagan
PID:10-18700-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
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 City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Crossroads Ptnshp
1500 Mcandrews Rd W Ste. 100
Burnsville MN 55337
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
11/29/2016 1 : 12PM FAX 9529858836 Bulldog Z0001/0007
Use BLUE or BLACK Ink
For Office Use
J —7 I
Cityof Eataft Permit#: /10
3830 Pilot Knob Road
Permit Fee:
Eagan MN 55122 Date Received:
• Phone:(651)675-5675
Fax:(651)675-5694 Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11/29/16 Site Address: 1264, 1268 Duckwood Dr. 60C.' -z6°7
C� os� CS
• Unit#:
C-71;
•
Crossroads Partnership
Phone. 651454-3352
:':•ResidohV•.,;.;�:,•:
address,city/zip: 1500 McAndrews Rd W. Ste. 100, Burnsville, MN :55337
Applicant is: Owner X Contractor
', Description of work: Remove & replaced asphalt shingles
:;Type•of Work-;
_' ;'.•` Construction Cost 0 Multi-Family Building:(Yes X /No . )
Company: Bulldog Contractors, LLC Contact: Peter Retka
21663 Cedar Ave
C,oritracto r'' Address: City, Lakeville
..'; State: MN zp: 55044 Phone: 651-253-8211 Email: pretka@bulldogroofs.com
Lead Certificate ii NAT-F162654-1
License#: BC639635
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'documentsi that•you sub'niltWre.considered to be public information Portionsof
the Informationmay be classified as•non public if yojr provide specific reasons•that would permit*City;to.
conclude that they are trade secrets: ' • '
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4544002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locales of underground utilities. www.noaherstsjteonecall.oro
I hereby acknowledge that this Information is complete and accurate;that the work will be in conformance with the ordinances and codes:of the City of
Eagan; that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed Within 180
days of permit Issuance.
x Peter Retka
Applicant's Printed Name Applicant's Signature
Page 1 of 3