Loading...
HomeMy WebLinkAbout3609 Crossroad Ct (TOWNAOUSE) CITY OF EAGAN No ?(((???((?? H O 3830 Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 ? BUILDING Receivt PERMIT < # Te M wed ter ' 1 OF 4 PLEX Est yalue $53,000 Date APRIL 12 19 85 SiteAddrets 3615 CROSSROAD CT Ereee SI Occupencv R3 CROSSROADS OF Ramodel ? Lot 17 glmk 1 sec/Sub 2oning R3 . EAGAN Rapair ? Type of Const. V Pereal No. Enlarge ? No. Stories Mwe ? Lengeh 44 ? ruame CROSSROADS PARTNERSHIP oemaliah ? oepth zZ ? Addresa 1020 E 146TH ST Grede ? Sq. Ft. c;IyBU RNSVILLE pnone 432-8240 Install ? JAD-RON INC '4oPro'°ls p'°' 9 Name i L ? 1020 E 146TH ST Hsse:sm+ent- S 4 AI Ciiy BURNSVILLEphone 432-8131 woror3Sew. Police _ ?W Neme JOHN KINSELL Flre Addrese 12131 62ND AVE NO Eny, iW citv MAPLE GRV phonB 559-0477 planner _ CouncU _ vermie $ --292.00 Surcharys 26.50 Plan Review L4 6. 0 C , SAC S9`+-OC wore. coon. S n n 0 C Water AAeter c-I 0 C Road Unir 2Rn OC 1 hercby oekmwladgs that I have rcad fhis oDPliwtion ond state thaf gldB• Off. 4 1 Z $ 5 Tr;;P.. 1 3 2_ 0( tha inlormotion Is conect and ogree fo comoly with all aDVlicoble APC ? Total C l Q 6 d 5( Staro of Minnewta $totutas nd Ciry o4 Eayan Ordinonces. -.--,-- t?y Ver. Date Sipnatura of Permittaa A Buildlrq Permit ii Issued to: JAD-RON INC on the expren ccnditwn thoi all work shall pe dona in xcordance with oll apdTiknble,Stapf-F)Minnewto Stotutes erd Ciry of Eayan Ordinoncae. Bulldinp Offlcial ( TOwNxOUSF ) CITY OF EAGAN No 1 0 0 7 9 ; ' 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 PHONE:454-8100 ?PQ 1 BUILDING PERMIT Receipt # 1 OF 4 PLEX E,_ Velue $53,000 SiteAddrea 3613 CROSSROAD CT Lot 20 elxk 1 Sn/Sub. CROSSROADS OF Paroel No. EAGAN Name CROSSROADS OF EAGAN ? Addre,s 1020 E 146TH ST city BURNSVILLghone 432-8240 g I Nmne SAD-RON INC gG nddMIS BURNSVILLEphone 432-8131 Name JOHN KINSELL Address; 12131 62ND AVE NO City MAPLE GRV phone 559-0477 I hercby ockrwwledge tMt 1 Mw mad this opdicetion ond stare that tM inlormotion is correM ord ogree to comply wlth oll opplicoble StaM of Minnesoro Smtutss a City of Eaqun Ordironces. SiQnofuro of Permiltee cg- ? A Buildinq Permle Is Isswd ro: J -RON INC all work sholl be doro In uccordance with all opplicabV'?tote of MI4(i e.ect X1 occuo•nw xs Ramodel ? Zoning R3 Repnir ? Type of Coert. V Enlerge ? No. Storiea Move 0 Langtn 44 Demolish ? Depth Zz Grede ? Sq. Ft. Install ? - Anorovola has Assesament _ Water R Sew. Police _ Fire Eno• flonror _ Ccutuil _ 81dg.Off. 4 1.2 $5 APC Vaa Oato _ Permit 474•vv SurcFarqa 26.50 Plan Review 146, 0 0 y,C 525_00 WaterConn. ? 1-00 Worer Meter 1; -4 - n 0 Road Unit 280, 00 T.P. 132.00 7otel $1,964.50 _ on the axpret7 Candition Ihot ond Ciry ot Eopan Ordimncea Build{rq Offkiol ( TOWNHOIJSE ) CITY OF EAGAN a t ` 3830 Pilat Krwb Road, P.O. Box 21•199, Eagan, MN 55121 N 10078 ? ??j7 BUILDING PERMIT PHONE: 4548100 Receipt # o Ts M m"d !m 1 OF 4 pLF.X W, Value $53,000 pete APRIL 12 , I y 85 SiteAddreu 3611 CROSSROAD CT Erett Qt Ocwpancy R3 Lot 1$ CROSSROADS OF el«k 1 Swlsub Remodel ? Zoning R 3 . EAGAN Repeir ? Type af Conn. y Parcal No. Enlarge ? No. Staries M°"e ? Lenyth 44 x Name CROSSROADS PARTNERSHIP Demolish ? Depth 22 = 1020 E 146TI3 ST Address Grade Q Sq. Ft. I City BURNSVILLEpno. 432-8240 Install ? PE Ne,,,e JAD-RON INC $? qddras 1020 E 146TH ST City BURNSVILLEpnone 432-8131 Name JOHN KINSELL qdd,m 1 131 62ND AVE NO Gty MAPT.F. (;RV phorre 559-0477 Asxssment Water 8 Sew. Pollce Firo Enp. Plomer Council Aef pen,,;t $ 292.OC Surchorqa 26.5( Plan Review 146, 0 C S,,C 525_OC water Conn. _ 5 11-0 C WaterMeMr F+3 - OC Rood Unit '?Rn OC I hereby ackrwwledge tVwt 1 how mod this application ond state thof eldg. Off. 4 2 85 I T. P. 132.0( tha inlormation is coned ond ngree ro wmply with oll applicable APC Taal $1 9 _ 6d _ S( Stats of Minnewto Statutes anA,C.??of Eagnn Ordinanus. ? // _?Var. Dete Sipnoturo of Permittss ?'?+?`°?V ?-^? A Buildinq Permit Is luued ro: JAD-RON INC on ths ezDross conditlon thol oll work sholl be dons in ecoordanee with oll o ' ble Sfate ?nne StWUtes ond City of Eoqan Ordinancea 8uildirp OFficial ? ( TOWNF.OUSE ) t CITY OP EAGAN No ?,O 7 ` 3830 Pilot Knrob Road, P.O. Box 21-198, Eagan, MN 55121 - PHONE: 4548100 ??J BUILDING PERMIT RQ«iat 1 OF 4 PLEX $53,000 SiteAddrep 3609 CROSSROAD CT - erect: gl amoaocv R3 La 19 Block 1 Sec/sue. CROSSROADS OF EA844NBI ? Zoning R3 Rapair ? TypeofConst. V Pareal No. Enlarge ? No. Storiea Nama CROSSROADS OF EAGAN pdd,g„ 1020 E 146TH ST Citr BURNSVILLEpho„e 432-8240 ? N,me JAD-RON INC ?u AddreSe 1020 E 146TH ST ? CiTy BURNSVILLEphone 432-8131 Na„e JOHN KINSELL qddfe„ 12131 62ND AVE NO city MAPLE GRV pnone 559-0477 1 hercby ackrawledya thot I haw rcad this opplication ond stnte that the Inlormotion is correcf ard agree lo comply w1Yh oll opDlicoble StaN of Minrowta Stotutes /nq? ?d Ciry of Eogan Or? D dinances. Sipnaturo of PanniMea l?J+.? A Buildiny Pamrit Is Issued m: JAD-RON INC dl work shall bs done in acmrdonca with all appliapbie State f My Mwe ? Length 44 Demolish ? Dapth 22 Grade 0 Sq. Ft. inscan o Aoorwab - - Fws Assessment - Warer 6 Sew. Police - Fin Enp. Plonner - Couruil _ eld9• off• 4./12/85 APC Var. Dete _ Pertnit a-A 7 "v t, SurcMrqa 7 6- 5 C Plan Review l4 F- 01[ SAC 595 OC Water Conn. S 1LU 0( Water Meter ??? 0( Road Unit 280_0C T.P. 132.0( rotai 51.964.5( _ on ths exprau carditlon 1hat ond Cily of Eoyan Ordinoncet Bulldinp Offidol CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan. MN 55121 + PHONE: 454-8100 sU1LDING PERMIT Re«ipr # :`.:,,t,?v , 85 T4, w wod far Est. Value Dote ? 19 Sita Addren -) fi .; ? . c'.•`. +: -'!?tsl_ . Erect ? OccuPancY ?- i Remodel ? Zoning R S l.ot Block Sec/Sub. Parcal No. Repair ? Typeof Const. `- Enlarga ? No. Storiea ? Move ? Length -t • ; Name t, Demolish ? Depth i'.l ? Address Grade ? Sq. Ft. 1 _-- --- City Phone i4 t ? Install ? J Name I ; .., .?. . .. , . . ..,.r........ . ?.. ? A?? i ` ? Assessment Per it _ ? City cs .. ? ... ,, '' Phone J ? Water a Sew. Sur horpe - Poliu P n RevieM t W Name ?0?? T?`' ` ?, Z' ' ??' Firo C rZ U13 Address Enp. Water Coru 04 ?W City ?'-? Phone , ? j . ` Planntr Wote? McH Countil Road Unit I F+ereby acknowledgs that I haw reod this applicotion ond stote thct Bldg. Off. '' ;"'. `' ,! •, 5'j' 1:: M. the Intormation fs torred and ogree ro tomply wfth oll opplicabl* APC Total ? 1? 9 6? . Stote of MinnesoM Stotutes ard Ciry of Eoqnn Ordinonces. Var. Date Siynoturo of Pem+ittM . _ -...? . _ _ , N Build{nq Pertnit is issued to: on !M express tonditlon lhat all work sholl be done In accordonce with oll cpplioobl• Stoh o} Minneaota Sfotutes ard City of Eogan Ordinonces. Buildinp Offidal POrmit No. Pwmit HoWw Daq TN? hon? ?t Plumbiiq 1 0 H.v.a.c. ?- Eheaic SoiteMr Inspsctian Oau (nsp. Oth?r Footinq? Foundation Framin4 Rooflng Rou? Plbp. Rouph HVAC Imubtfon ? ? - Fiml Plbp. •? .? Final HVAC y 00, ? Find 6 ? CMt/Ooc. Water Dac?ib? Location: NNII Sftwr Pr. Dbp. , CITY OF EAGAN A7 n , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 , PHONE:454-8100 ' ? . 6UILDING rERMIT ttece+pt # T. V rrd iw J J' i' I?i' :'• Fd Vnlu? '' r'"? Dete - - i•? _ 19 Site Addreu `i 3 ^ lot I. Blxk SeclSub. ` Parcel No. ? Name ? Address " • , '. City Phone Name ? Addrm ul Citv ' Phone Name Address . . . _ . _ . , ?. City Phone I hercby ocknowledys that I how rood this application ond stote that fM inlormotion is correct and agree to Comply with all applicobl& Srote oi Minnasata Stetutes Qnd City of Eoqon Ordinonces. Sipnotun of Pem+inu ' - . .i1.;? , .. .. A Buildinq Pernit is issued to: otl work sholl be done in octordonce with all opplicable State of Mii Buildinp Oifidal Erect U Occupancy Remodal ? Zoning Repeir ? Type of Const. Enlarge ? No. Stories Move ? Length '_ Demolish ? Depth Grede ? Sq. Ft. Assessment Water S Sew. Po) ite FIn E++0• Plonner Councfl , Bldg.Off. APC Var. Date Permit Surthorye Plan Reviaw. " SAC ' Woter Conn. Water Meter Rood Unit Total an tM •xprou tondifion Ihat tes ond City of Eoqan OrdinontN. Pormit No. Pwmit Holdw paq Tel2 hons it Plumbing H.VA.C. Ebct?ic ? a 1(e c,.?? s' L?(r$ sonw.. InWection Dste Insp. Othp Footings If?? Foundation Frominp Roofing Rou9h PlbO. Rough HVAC Inwlation V Fin.l Plbg. Final NVAC Final ? Iu?-- ?.'MVOO1.. C"O <, w.te1 Dewibe LOCat1011: ` well Sewer Pr. Dhp. " , CITY OF EAGAN . , . • 3830 Pilot Kno6 Road. P.O. Box 21-199, Eagan, MN 55121 PHONE:4548100 . - -, BUILDING PERMIT RKeivt # Te ?o w"d ier PLSJC Est. Volue $53i000 Date AP1tiL. 12? 19,ILS,_ Site Addrea 3611 CRO88RQAD CT Erect q Oceupancy R3 - BlackI Lat ILS Sec/Sub ?g O? Remodel ? Zoning n2 _ - . Repeir ? Type of Const. sr Percel No. Enlarge ? No. Stories Move ? Lenath 44 ?c N„me CROSSROW8 PAR TIIERBHZP Demolish ? ?? Depth ? 1020 g 146TH $ Address T Grade ? Sq. Ft. City SURNSVILLB Phone +3 2-8240 Install ? Assessment Water & Sew. Pol ite Fin E++o• Plarmer Council Permit i LXl -U(J Surchorye 2 6 - 5O Plan Review I46 _ UO SAC 525_.DO Woter Conn. _5.0.11..D 0 Water Meter 6? - nO Road Unit .2&n-n0 ( hercby acknowledye that I haw rood this applicotion ond stote thot gldg. Off. 110AL T.P. 132.00 tM intormotion is oorred and agree to comply wifh oll opplicable, APC Total $1 ? 9G? ? 50 Stah oi Mirx?esoto Stotutss Qnd City of Eo9on Ordinonus. , A T Var. Dsts Siqnoture of Penniftee A Buildiny Pennit Is issued to: Jiw-Aom _nc . on ri,s .xpress ca+diH«+ thol oll work sholl be done in aaoftionce with dt app(iaable Stote of Mirv+esoto Statutes ond Gty ot Eoqon Ordinances. 9uildirq Offitial ' Penhit No. Pwmk Holdsr Don TNe hone ? Plumbirg 5 ? 3 H.VA.C. A, ?7 E"ctri? 911 9 R ? - sono,.r Impsction Date Intp. Othor Footin¢ oundation F F?minp F Roofing Rou¢? Plbp Rouqh HVA ? Inwlation ,( . ? Ffml Plbp. - ?? Finsl HVAC Final ' ?1 P #e GrdOce. ? fO kt1 Wmr D"wibe Loution: Ylhll S?w?r Pr. Di?p. ?? ('1101•4KH() I lr;N: 1 BUILDING PERMIT r L- ....A &- . ClTY OF EAGAN I flI-f_.? 7`4 3830 Pilot Knob Rosd, P.O. Box 21-199, Esgan, MN 55121 PHONE:454-8100 •? Receipt # 4 PLEX $53,000 Site Add?es? Erect ? Occupancy Lot ? Block SecISub • ,A?el ? ? Zoning h? . Repair ? Type of Const. ;,; Parcel No. Eniarge ? No. Storias ? Move ? Length Nsme Demolish ? Depth 1. Addra ss Grede ? Sq. Ft. Citv V ? •'Phone - j ?' ? ? ?' Install ? Name ? Addma ? Citv 1 JONN KI Phone I hereby ocknowtOdy* thot I hove rood this opplicction ond stote that tM inlormotion is corcect and ogree to comply with oll applicable StoN of Minnesota Stotutos pnd Ciry of Eaqon Ordinonces, Sipnotun oi Pertnittes ?- } ., . I? Bulldinq P*nnlt Is isswd to: atl worlc sholl be dorw in accordance with all cppliaoble State of Mirw Bulldirq pifidol /lssessment Woter b Sew. Poliu Fin Enp. Plonr?er Council Bldg. Off. APC Vsr. Dete Permit Surchorge Plan Review SAC WaTer Conn. Woter Meter Road Unit Tatal a+ tFw txpreas condltion ihat and City of Ecyon Ordinonces. E -t? a Mnnit No. Pwmk Holdn OM Te1e hons *. Plumbinp CQ rl S O i H.VA.C. ENevic SOfLMer Inspeetion Dats Insp. Othw Footinyt Foundation Framinp ? Q Roofing Rou9h Plbo. Rouqh HVAC ? IIA I1INIlat1011 AZ,,j2jj,-, Final Pibp. ? Finsl HVAC Fi"'i od?1f o s c..voa. cc ( wa?r D YYsll Sewer Pr, Dbp. Rsceipt MECHANICAL PERMIT Pannit No. CITY OF EAGAN Fae ? ? Fill irr numbered spaces S/C S? Type or Prini /eyibly ToL . 1. Date - 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner • ,:_u?tB1Sr?i. 5. Confr'actor Phone 757-5040 6. AddreSS ?? u?; : : ? ? rl ! ? r! 7. City . State 2ip 8. Building Type: Residential ar Commercial ? Institutional ? 9. Work Description: New 0 ? Add 0 Alter ? Repair ? 10. Describe FuelType C%j!? I 11. No. EQuipment 8TU - M. Ea. Forced Air • `' ? ' " No. EquiDment CFM Mf9• Air Handling: Boi lers Mfg. Mech. Exhaust - Unit Heater Mf9• ' O h Air Cond. er t 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 goverping this type of work. Signed : Rouph Final Inspections: Date Insp. Date Insp. This is your parmit when numbered and approved. Approved CITY OF EAGAN 4548100 1. Date 2. Installation Cost 3. f JoD A?dres'a ' Lot ?. Bik. • 5'?._' i Sfiii 4. Owner Permit No. ? Fw S/C Tot Tract ; , F???:t.?r?i; ? f'•r .. i?-?_: 5. Contractor Phone . _wr? 6. Address 7. City State U433 8. Building Type: Residential 0; Commercial O Institutional ? 9. Work Oescription: New C7t Add ? Alter ? Repair ? I 10. Desaibe Fuel TYpe I 11. I No. Eauioment 8TU - M. Ea. Forced Air No. EpuiDment CFM Mf9. Air Handling: Boilers Mfg. Mech. Exhaust Unit Heater ? Mfg. : O h ? Air Cond. t er Mfg. , Gas, Piping Outlets , ,. ' ' , U L i 3C:c . 12. I hereby certify that the above information is true and correct, and I agree to oomply wijh atl ordinances and codes goreming this type of work. Signed : " , - for Rouyh F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 .?.+M?.?,.......,_,..?-,.. ,.., _. , i w?++ra?.:b. ,?•?I ? Raosipt , MECHANICAL PERMIT Psrmit No. CITY OF EAGAN Fu fill in numbered spaces S/C % TYPe or Rrint lepiWy Tot 1. Date 2. Installation Cost 3. JobAddr'esi'--,)SSradC? Cotu?'±Lot Blk. ? Tract ' ! -stafscr. a, owner 5. Coniractor `H2d ?? rt? $ f'hone RApids 6. Address 757-5040 7. City State Zip . 8. Building Type: Residential 0 Commercial 0 Institutional ? 9. Work Description: New.Q Add ? Alter ? 1 10. Desaibe I 11. Repair 13 Type No. En^inment BTU - M. Ea. Forced Air - No. Equipment CFM Mfg. Air Handling: r Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Oth Air Cond. er Mfg. Gas, Piping Outlets 12. I hereby certify that the aa comply with all ordinances Inspections: aate Insp. This is your permit when numbered and Approvetl is true and correct, and I agree to ning this type of work. for F inal Date Insp. EAGAN 464-5700 Raaipt MECHANICAL PERMIT Pe?mit No. CITY OF EAGAN FN _ •_,_-__?- I?? fill in numbered spsces S/C •Type or Print legibly Tot ?1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. OVYf16f • . ? l ? ' ; ? "' .` . ?. , . °• ra ? . ? 5. Contractor Phone ? . . •,?.. ,?,.?., ? 6. Address , 7. City 8. Building Type: Residential EJ 9. Work Description: New Q Add I 10. Desaibe I 11. Type No. ? Equioment 8TU - M. Ea., Forced Air No. EQUipment CFM Mfg. Air Handling: Boilers ? Mfg. Mech. Exhaust Unit Heater ' - , Mfg. Oth Air Cond. .?." ? C r I er Mfg. Gat, Piping Outlets ' ? 12. 1 hereby certify that the above comply with 411 ordinances ani Signed : Inspections: Date Insp. This is your permit when numbered and Approved Mn . i5A.3,-- ? Institutional ? Alter ? Repair ? and correct, and I agree to iia type of work. Final Date Insp. ? CITY OF EAGAN 454-8100 ? { _ . . .. . ' I Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fm •' ? Fill in numbered spaces S/C Type or Prini /egibly Tat . 1. Date 2. Instal lation Cost . 3. Job Address?609 Crossroa:; E].ot r? Blk. ? Tract 4 4. Owner Crussroad s Ldw,:ifl 5. ContractorConsu 1 i dateu PI UiriGiIl9 Phone ? 44 -.'?L 6. Address L. tAu 7. City 3ut7isville State Zip 5F'i _iJ 8. Building Type: Residential 0 Commercial ? Institutional O 9. Work Description: New 0 Add ? Alter O Repair ? 1 10. Describe 11. No. ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? ` -y--- Bath tubs Septic Tank Lavatory Softner ? Shower Well ? Kitchen Sink Urinal/Bidet Other I 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 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 464-8100 Recaipt PLUMBING PERMIT Permit No. CiTY OF EAGAN , Fm Fill in numbered spaces S/C Type or Prinr legib/y T&L 1. Date 2. Installation Cost 3_?,._?.•; _.!u 3. Job Address L:ot Blk. ' Tract 4. Owner 1•i-OSSt"OdC1S Jf E.dc 3i1 5. ContractorLu`:so] i i:iiy._.. F f u,::I ; ,,--r',1 Phone - 11r;c3t !?i?i 6. Address 1530 E. Cliff Rcf. 7. City , . ... '. , i ? ? 8. Building Type: Residential D 9. Work Description: New ? 1 10. Descri be 1 11- State 0t: Zip ; ; Commercial ? Institutional O Add ? Alter ? Repair ? No. L Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank T Lavatory Softner " Shower Well Kitchen Sink Urinal/Bidet Other ? Laundry Tray i Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above informatian is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ' I for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-5700 / Receipt ' ? ' • ' ' PLUMBING PERMIT Permit No. r? CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prrn[ legib/y Tot. v ? 4. Qate 2. lnstaJlaiion Cost 3. Job Address-:; '(-Lot Blk.' Tract 4. Owner ji' r..ije?il 5. ContractorLoiisaliciaied ?lumkiir,g Phone - 94-3ZCJ 6. Address l!j3U &'-• ?-'l j f -` L? . + 7. City State zip 7 8. Building Type: Residential 0 9. Work Description: New M Commercial ? Institutional O Add O Alter ? Repair ? 10. Describe 11. No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank _ Lavdtory $qftner '. Shower Well ' Kitchen Sink Urinal/Bidet Qther ' Laundry 7ray 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 Cpdes governing this type of work. Signed: for Rough ? Final Inspections: Date Insp. Date Insp, This is your permit when numbered and approved. Approved CtTY OF EAGAIII 454-8100 ? ? Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fes fid in numbered spaces S/C Type or Print legibly TolL 1. Date 2. Installation Cost 3. Job Address ?_MS S 1'Oju 14. ' Blk. Tract • 4. Owner radGS ot Eayar 5. ContractorC(:4150I 7 ddtAC! P 1 Ut'.;t: iti,i Phone 6. Address ?:. ± l.llff 1;;,. 7. city "riisv ; : :.. State Zip 8. Building Type: Residential fl Commercial ? 9. Work Description: New [;l Add 0 Alter O 10. Describe 11. Institutional ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspoot/Drainfield ? Bath tubs Septic Tank ' l.avatOry Softner ? Shower Well + Kitchen Sink Urinal/Bidet Other i Laundry Tray ? Floor Drains Drinking Ftn. f -- 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. 5igned : for Rough f inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Additian CROSSROADS OF EAGAN Lot 19 BIk _ Owner Street 3609 Crossroad Court Parcel 10 18700 190 01 State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 19$6 703 41 140 68 5 . . STREET RESTOR. 1981 GRADING ' SAN SEW TRUNK * SEWER LATERAL WATERMAIN * WATER LATERAL WATER AREA * STORM SEW TRK * STORM 5EW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit WATER CONN. 500.00 BUILDING PER. sac 525.00 " PARK CITY OF EAGAN Remarks Addition CROSSROADS OF EAGAN Lot 18 Bik 1 Parcel 10 18700 180 01 Owner screet__ 3611 Crossroad Court stace Ea a?n, M 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF . 198 STREET RESTOR. 1981 .:j , GRADING -t- e SAN SEW TRUNK r/ 1972 * SEWER LATERAL 1981 WATERMAIN * WATER LATERAL 1981 WATER AREA 1971 * STORM SEW TRK 1981 • STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT RCk1d UY'llt . WATER CONN. 500.00 BUILDING PER. - SAC 525.00 PARK CITY OF EAGAN Remarks Additien CROSSROADS OF EAGAN Loc 20 Blk 1 Parcel 10 18700 200 01 Owner street 3613 Crossroad Court State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Oate STREET SURF . ?ZA 1 ? ? _ STREET RESTOR. 1981 •_.(, : ' , ',--. GRADING ' :G. SAN SEW TRUNK ? 1972 * SEWER LATERAL 1981 WATERMAIN * WATERLATERAL 1981 WATER AREA 1971 * STORM SEW TRK 1981 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET UGHT RUdCl LTIllt ?280.00 50838 4712185 WATER CONN. 500.00 BUILDING PER. /-J-UUUU SAC PAR K CITY OF EAGAN Additien CROSSROADS OF EAGAN Owner 5treet 3615 CrnaGrn rl ('.nurt State Eagan. MN 55123 ' Improvement Date Amount Annual Years Payment Receipt Date STREETSURF , 19$6 703.41 140.68 5 - STREET RESTOR. 1981 ? rL-' ?'•J - GRADING d-t? -A.< - SAN SEW TRUNK 1972 *'SEWERLATERAL 1981 WATERMAIN * WATER LATERAL 1981 WATER AREA 15 1971 * STORM SEW TRK 1981 * STORM SEW LAT 1981 CURB & GUTTER SIDEWAIK STREET LIGHT Road Unit ,?280.00 50838 4/12/85 WATER CONN. 500.00 BUILDING PER. - 5AC 525.00 PARK 17 18700 170 O1 P. O..Box 21-199 ----- PERMIT NO.: t1J74 Eagan, MN 55121 C D/?TE: . ' ?'?/ -'+--12--35 Zoni?: • No. of' ts: 1 o: 4 a le:c ner , croac?lrQ? ri? ;, ? 'JtJ?l?1$? . ?eSS' :. .. r , , . Slte /lddross: '113 t'r.ossroads Co Pltxnber: r 0r? C oG NA% S-c,??!? - na ' c ?,AAeter No.: ? 0 3 Connection ChorQe: 500.00 pd ?. ? Size: '` Aocount Depasir: ? 15.00 Raoder No.: a? 1-12/3 1 Pertnit Fee: 10 .00 1, 1 aoew to eoniolp whb !he Cihr of Eevew Surcho?ge: .50 Orlinseow. Mlsc. Chorpes: 1 3?. 00 q?? TotoL• 61 il1 .,,? g' gy U Cl v...?Ca Date Puid: Date of 1 nsp.: Ll2 S I nap.: ciTV oF EAGaN SEWER SERVICE PERMIT ; 3830 Pilot Knob Road ^ P. O. Box 21199 pERM?T NO.: , Eagan, MN 55121 DATE: }o f!: ry 12x Zoninp: No. of Units: . O wnsr . A(dfESS: Ec1i:tiA Site /lddress: l b um er: P ,1 ;, .; ?ns"?. _ .•. 1 pm to os?0hi wiM tm Ciy of feM• Connsction Oarpa: 'Ordieeeas. Acoount Deposit: ?.., j, ? ? n PermM Fee: . SuRhorpe: . J.I . ,gy Misc. Charges: pote of Insp.: Total: Insp.: Data Paid: j CITY OF EAGAN f 3830 Pilot Knob Ro ? P. O. Box 21199 Eagan, MN 55121 Zanirg: ?- ' Owner: -rossroaM::Vz,,T-< ress: tlif AddIlSl: i f ? ] l , Z" O ' _ Cj ?d;C?;b`• Plumber I'.r.??-?u L`t: WATER SERVICE PERMIT PERMIT NO.: lex T ? ?! _ vbter No-. •3 ?/ Conruction Char9e: Duu. uJ Pq Size: 6&7-s" Actount Deposit: 15. QO ud Readsr No.: +R al? 9 Permit Fee: 10•00 nd I pm M aasioly wiN !1e CRY ef Eegue Surthorge: .50 n ci adis.na... Misc. Chorpe:: - 132.00 p c? Total: -nd iaeter By Dote Poid: Dote of Insp.: Insp.: ` OF EAGAN Pilot Knob R Box 21199 i, MN 55127 s AddfESS: te oonwip wM6 tw Cihr of fevaw of I nsp.: PERMIT NO.: DATE: No. of Unih: ConrntHon C}wnpa: Acwimt Deposit: _ Permit Far: Surchorm: Miu. Chorpet: - Totol: DoN Pold: avv.vv Nu 425.00 pd CITY OF EAGAN dr_ j ,/ 3830 Pilot Knob Road P. Q. Bcr 21199 Eagan, MN 55121 . WATER SERVICE PERMIT PERMIT NO.: ?.Tr_ 1_ 1 r i Address: ' ' 1 ... mber: ='r!con UtD tsr W.: Sft Connectia? CFwrye: 1: !;, '3 qq a .?-y a s Account oeposit: _ ider No.: 6 2 L aqd 7 7 2 Permit Fee: irM fo eewPly Mrili tl» Ghr of Eoqe¦ Surcharya: Mlsc. Chorpes: _ Total: Dote PoId: s of Irap.: q _;ro/frs Insp.: _- Y OF EAGAN 0 Pilot Knqb Road 1. Box 21199 3n, MN 55121 i n0: er. t :OoSLO3d8 af l:.8gi ress: llddress: 1663 Crossr.ead Cot ,ber , •i:caa :!t i ?-12-B5 508 ;' w M eae* wiM Nw Ghr of bson NnoM of Insp.: SEWER SERVICE PERMIT PERMIT NO.: ^' = DATE: Z - No. of Units: ' tI Con„ecHan Charge: 425.00 Pa , Account ?yQ?i 1 J . VV FA? •? PemnM Fas: • P SurcF?orge: . . , ? Misc. (horyK: Totol: DoN Paid: CITY OF EAGAN ?? 7 f WATER SERVICE PERMIT 3830 Pilot N:n:)b Road P. a. Box 21199 PERMIT No.: Eagan, MN 55121 DATE: Zonin9: _ No. of Units: rtPX ?r: ? ?qddross: Sita /lddross: "? - - , 1 „ ' IL! , Plumber. F^ COP ?later No.: 314'? ol yq :3 2+ Connection Charga: r? -? •, ,?:'. size: S18' &AA.. Acoounr oeposir: 15.00 p(i Reader No.: T?- ???• 3O Permit Fee: 10.00 pd 1 pne M oomplw whh &a Ckp ef Eaye" Surchorge: .50 P<1 Orllmw?. Misc. Chorges: 1 3 2_(lfl pd p Totol: t-?d gy !,J Date Paid: Dote of I nsp.: kh4? g S Insp.: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55?1?1 Zonlnp: pwner, -rossr? Addross: Sire Address: Plumber. ? SEINER SERVICE PERMIT PERMIT NO.: 7 -' ?? 2) DNl'E: No. of Unih: 1 yni te amqy wl& 11M Cihr o1 Eese. Ordirenem By Date of (nsp.; [1 CainWton Chorpr. 4'L5. 00 pd Acoount Deposit: .' . p Pem?M Foe: 'J . ? ? Surchoroe: , ••? Mtsc. Chorgm Totol; DoM Roid: 5 2O? ? REQUEST FOR ELECTRICAL INSPECTION EB-°°°°'-°'' 7 ' See instructions for complaiinp this form on back oi yallow coDY. /_ B22158 ••x" 8elow Work Cove?by This Requesl t),? V? II S Add HeD• Type ol Buildinp Appliances rlired Equipment Wired Home Range Temporary $ervice Duplex Water Heater Lightin,y Fixtures Apt. Bui Iding Dryer Electric Heatin CorTnnercial Bldy. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ther Peci y Qther ISpr.cefyl t?r uecify Other Othi:r [=M7n1/tP 1nSnBCIln!] tBB HPMW N fee ServiceEntreaceSize d Fee Feedars/5uhfeeders # fee Circu,ts 0 to 200 Am s 0 to 30 A s 0 to 30 Am Above 200 Am ps 31 to 100 Amps 31 to 100 Anips Swinming Pool Above 100_Amps Above 100_Am%)S Transformers Irrigatfon Boon?s v Partial Olher Fee 5igns 5pecialinspection Re?rerks TOTAL FE? `? i. t?+e eiecvici+ - ?nspector, herBby _,erfify thet the above c inspection hes been fiom This request void Amonths from ? 30 3?-. 991?R LI76i f'ru Requ st te Fire No. Rnugh-in Inspection Required? Y E]Ready Now RWill NotffY Inspeo lor Wh q es ?No en eady Licer*.;ed lflectncal Contractor r I hereby request inspection of above pwner electrical work installed at: G 4_0? ? License THIS INSPECTION REQUEST NILL NOT MIN ESOTA STATE BOARD OF ELECTRICITY Gri9pa-UAidwaV BIdQ. - Room N-191 BE ACCEPTED BY THE STA7E BOARD UNLESS PROPEH INSPECTIOH FEE IS 7ffi1 University Ave., St. Paul, MN 65104 ENCLOSED. phpne (612) 297-2111 ihis reouesl void p?? Q/? ? nths /mm ? !/ [?rtq991R1_ L.ao No. ).ice. sed ESectrical Contrnclor Owner '.reet AQAress, Boz or Houte No. 3 CrDs? o.?..,. . inwnshio Name or No. h-q 1 81r 06 Y SSrB . InsPection igh? tl R No'+ill Nnlilv Insl ? T yCS ?No ea Y IOr Wi?en RradY 1 heraby request insDectio^ of above electrical work insmllad et N n. AAdress No. NINNtSOTA STATE BOARD Of ELECTRICITY Grigps-Midwav Bldg. - Aoom N•191 1827 UniversitV Aye., SL Paul, MN 66104 Phone 1021 297?111 Qd -o //U THIS INSPECTION flEQUESr wILL NOT BE ACGEPTED BY THE STA7E aOAMD UNLESS PROFEp IUSMCTION FEE IS ENCLOSED. E9-OOOO' '04 ? REQUEST FOR ELECTRICAL INSPECTION ba 'B ? See instruetfa^ %Io, .om0leIin9 this fmm o' Oack oi vallow coDY• r?rj ed by 7his Request B L L???' ,.x.. Be/ow Work &?-- IffQUEST FOR ELECTRICAL IPLSPECTION Ee-°`w°i'°" ? n , See i?struciie?s iw compleiinp this 1mm on back ol Vellow copy. ?6,L( ' h? 0 i Z 159 ??X" 8e/ow Work C edby Thrs Request dd Re Type o1 8uilding Appliances dired Equipment WireA Home Ranye Temporary Service I Duplex Water Hea[er liahtina Fixiurec I I 1 IIndustnal SIAU- 1 ^ Air Coixiitfoner 1 I Buik Milk Tenk I p Fea SttviceEntranceSize k Fee Faeders/Sableeders # Foe Circuits 11 0 to 200 qm 0 to 30 Am s f 0 to 30 Ane rs Above 200 Am?x: 37 to 100 Amps S,M 31 to tOQ Amps Swimmirg Pool Above 700_Amps Above 100_Am - Tra?tormers Irtigation Boorcrs ,i ? Partfal,'Other Fee aig?s a{ICCIai In5(RC!ion / Remarks $ TOTAL FEE } \? Roaph-in ? r oate ? ?/I -/ ? S , ?he Elecviwl Inspacbr, heroby Final certiry thet the above ?`ate2 ?nspection heg been 0 _Jo ? msde. This npuent wiC IBmmtlLLlrwn ? This reqoest wid ?o3a- ?IL?I ['RZ??If v) 9 4 .wssv e? ? a Ys. Heque t.Dal ? ? r- Q Fire Nn. Rnauh-in Inspeclfon W? red? ?qendY Now I?' ill NolifV Insper.- ? ?es N. uur When qeady ? licens Elec[ri ? ? cal Contractor 1 hereby reqeest inspection ot above ?e? llecVi?al W,vk 1M1a11M n. Street Atldrr.ss, Boa or Roule No. 3?l C??ss? .) Q)( City? L',?? 61VI- ecuon . Township Name or Na. Ran9e Nn. Couwily / a1? . V IJ\.? Occu nt IPPINT ? Phunc No. 26? - 9ya Pow¢r Supplia Address EI - rical Contrac or (COmpany Namel ???,?c., Con rac[ur s Liu:nse Na. ?f?Q) 2 -3 Mailmp AAdress IContra ?lq N mr or Ow?r Making In railationl u-rn.i Sb-, ?&e J! 1 h1 tU ? 5` (13 70furett Sig ture Con actod0 ner Making Ins W Ila[ionl ? Phone. Nvmber qf a- &T? 6 'IwnESOTp STATE ppppD OF ELECTAICITY I MIS IIYSPECTION REQUEST WILL NOT Griqps?idway 91dy. - Room ry.781 BE ACCEPTEO eY THE STp7E BOARD 1821 Univeryity Ave.. St Vaul, MN 55104 UNLESS PROPER INSfFCT10N FEE IS PAOoy (6121 29]2111 ENCLOSED_ Thisre'yuestvoid /.?'?/? 18 months /mm J S4I1s / 0 . o d I Redu`ec`f Dat /? Fire No. nou9n- n mspecuon ' /?' fle?quirecN ? ?eaAV N. Will Notify InsPer.- ? J ? No 'or Wh?n Reatly I?.LicenseA Eleclncal CmVactor I hemb, lequest insOeciion ot above Vrnrk ireialled at: ? ??..?. She¢i Address, Box or Houte No. 3ll? D C C ss ?o cc ection o. Townshi0 Name or No. flanpe No. LW^?K U???Cv Or.cu ' nt IMINTI ? o. ? us?sC)? ?M1one No. y3?-?avo Poer upPiier w?C L4ZC Address , EI ica ContracrorI?COmpany Namel P(/wY 7IJL C cractor'x License No. Lli -J Mai ing AAdress lCon[ractor or Owner Making 30qq iU ? d, Instailationl o??l? n9?U SSl/ Au zed $ignaWr IConVector wner Maki ?, ? ,0 o? . ,?A ne l??Ila[iwl Phone Number?ao ??a -? ? THIS INSPECTION PEQUEST YIIILL NOT - '4 STATE BOARO OF ELECTRICITY BE ACCEPTED BV TME 5TA7E BOARD ay Bidg. - Aoom N-191 IINLE55 PROPER INSPECTION FEE IS `y Ave., $t. P.W. MN 55104 ENCLOSED. 2111 REQUEST FOR ELECTRICAL IP?SPCTION EBJ/-60I?I1 ? ! 6151( See insbuctions for tompleng IMfr m an back o1 Wlim C°OV- ? b b? ? 2 2 1 5 2 ""X" Below Wavk Covered by This Request ... ur.en AdJ pew TVDe ot Builtling APplianroa airaa -' " Service Home Ranye xtures piinII Hx Waier Heater aiinq Apt. BuilAing Dryer A 1 Commercial Bldg. Furnace er V InduStnal eldg. Air ConAitioner enk ryl Farm Othe, pecdv tMr Succify otner 01he, 0i 'apute Inspection Fee 8elow it p eEnhanceSize b Fee Sarvic N Fee Frteders/5ubfeaders s Fce Cbcu U to 200 Am s 0 to 30 qm 100 q 0 to 30 Am - 31 [u 100 A Above 200 qmps mps 37 to AmFs Above 700 Swimming Pool Atwve 100-E+m _ Partial.'Other Fe Transiormers Irrigation Boons Signs SVecial Inspection S i0i " TOTAL FEE ? O1° 1. Me ElecvicY?/ - ? ?nspector, i?ereby certifV ttat the above ' ?,.;??4.n? Date k •?, fi? jpypg?l{on M1es oean ?ee. This fequest wia 7 /?U ! J Go "22 1 B0 49 Licensed Electrical Concncror ? Owner Sveet Address. eox or floute No. 3?,n9 Cr05? ?????t 15 4(5. cW Imcection a R Now??(ry1II Nolifv InsPec- a 0 Y 7'"? Wh n Reaa ?Y ?N e Y 1 herabv repuest insPeii,iion of above elecvicel wark irelalled ar. +?!L, Mo. L-1 i {3 1 ?v?r. Power Supplier n?.lt c? E-?°T C,[? [ractor IC ^Y N /,Milino Address ICqrolagtor or O NINpE50TA STATE BOAMD OF EIECii11CITY Griggs-MidwaY BIdB. - R.m N-191 1921 UniversitY A,re_, St Paul, YN 551M Phane (612) 297-2171 TNIS INSPECTION REQUEST WILI NOT BE ACCEPIED BY THE STAiE BOAAD UWLESS PNDPEp INSPECTION FEE IS ENCLOSED. EB-00001 A-0 ;?--REQUEST FOR ELECTIIICAL IPSPECTION I ?' Sae i?struc?iw?s for co?leta?J this farm m baek o1 yallowr coDY- 0 22160 ?x? I &1OM' Wo?k'?'?'?a? by This Nequest F..??imm?nl WI(Bd (ny qyggt ypid 18 SS +l _` 09iT Hr" JuN a s 2008 ----------------- - _-?-_ , i oUo ? ?.ce:us?„ ? ? Pertnit#: ? I ? Permit Fee: I ? I ? I Date Received: ? I ? j Staff: I L - - - - - - - - - - - - - - - - - I 2008 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address: -7(U01?3 l/<!J»&&? (,/ Il iLll,(ClC? 31?/J Tenant Name: G us-rKs a r-) (Tenant is: _ New I-?L Existing) Suite ti: :s//S PROPERTYOWNER Name: Jti L?051 PCF5OO Phone: 6 5-I-4??4'33.52 Address 1 City / Zip: ? Owner Contractor Applicant is: 3- TYPEOFWORK Description of work: RCpLr(Ce5' Construction Cost i CONTRACTOR Name: BUlLDU,S License #: Address: 1Z-v?, r 1? C-Ci ??? ? S 1 City: `I thul_ State: h' 1l Zip: 7?` C7 PhonelpSl `Z<? j `+ZZ,?- Contact Person: / 6) ?? ??lL ARCHITECT / Name: _N*1 Registration ENGINEER Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: Phone #: documents fhaf you submitare considered to-be pubfic information Portions of : ; NOTE:. Plans and supporting , ; .. covrde specrfic reasons thaf would permrf ihe C?ty-to <? the mformahon may be classifred a`s non public rf you p , x? x >iY. t ° 4 - ' w`',COlICiW@-thaf tt12 .;2lC t!8l?CS@Cf2?5 . '~f c*+,„ " .-:+e,.?..,.. •.?• I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wkh the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a pertnft, and work is not to start without a permd; t^t the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ^ 1) x ApplicanYs Printed Name Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES: ? Foundation ? Public Facility ? Accessory Building ? Apartrnents ? Commercial I Industrial T Ext Alteration-Apartments p/IC/"s' ? Lodging ? Greenhouse ? Eut. Alteration-Commercial ? Miscellaneous ? Antennae ? Ext. Alteration-Public Facility ? Nail Salon WORK TYPES: ? New ? Interior Improvement ? Siding ? Demolish Building` ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Demolish Foundation ?5 Replacement ? Windows ? Water Damage • Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation ? Occupancy n ?•L C_ 7 MCES System Plan Review Code Edition - ?ade SAC Units (25%_ 100%7i?j Zoning 0 City Water - Census Code L/,it( Stories - Booster Pump # of Units Square Feet PRV # of Buildings ? Length Fire Sprinklers Type of Const. Width ? REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: ? Footings (deck) FinaI1C.0. _ Footings (addition) _ ? FinallNo C.O. Foundation HVAC Drain Tile Other: Roof: _ Decking _ Insulati on _ Final _ IceM/ater Pool: _Footings _Air/Gas Tests _Final Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _AirTest _Final Windows Insulation Retaining Wail Final C/O Inspection: Schedule Reviewed By: ? COMMERCIAL FEES: Base Fee Surcharge Plan Review SAC-MCES SAGG ity SIW Permit S/W Surcharge Treatrnent Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (WAC) to be present. Building Inspector Yes -X No Reviewed By: Planning Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other 6610/1?j Total Sewer Trunk ' 2S- Water Trunk Page 2 of 3 a? 4? ? r?. = d£ C\J IA ?- 91 ?+dy s,ire3.Ll m Gt 5 t90 'SL bS'GL p? a a C\j z ? A? 9 ? '? • ? '?, ?.?'? ? E ?_•- C` ? 44 •?, +?? • ?s? ?p 1 fF ? -°?'? ? a,? ?y ? i ?•. k? ? v o+? 1 : ? ' ?? ?•? ? \ ) ? .?s ? ? \ 4 ? E k??,.•'`«^'?'? ? M` r,°?' M I ?; ? v? ? ?' •rz y? i ?.o Li 1 ", ?n ? J? ?? ?• ?? . I a C FO ? r , ?' ?•..` g { ?'' L C u.? ? ? y? ? ? ° I m4 ? o 0 ? 1?• ?q +• ,/ I CD 1'? q I ? 1tr9 " WI3 ?t ? r+ !YV S 66 ? l ?° ut ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED HITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY TOWN(-Ia?SE 1 SET OF ENERGY CALCU(.ATIONS To Be Used For: 1 o f 4 P l ex Valuation: $53 , 000 Date: Ap r i l 11, 1985 Site Address: 3609 Crossroad Ct. OFFICE USE ONLY Lot: 19 Parcel It rossroads of - Block 1 Sect/Sub Eagan Erect Remodel Repair X Enlarge Owner Crossroads of Eagan Move Demolish Address1020 East 146th Street Grade City/Zip Code Bu rnsv i 1 1 e, Mtd Phone 432-8240 Contractor Jad-Ron, I nc Address 1020 East 146th Street City/Zip CodeBurnsville, MIJ Phone 432-8137 Arch./Engr. John Kinsell Address 12131 62nd Ave. No. City/Zip Code Map 1 e G rove , MfJ 55337 55337 APPROVALS Occupancy 1Z-2? Zoning (Z-3 Type of Const 'EZ:: ll of Stories Length 4q- Depth 22 Sq Ft Assessments Permit Z92.? Water/Sewer Surcharge ZCo.?" Police Plan Review 14(D Fire SAC Engr Water Conn Planner Water Meter (o 3 Council ' P? Road Unit 2$0. W ? Bldg Of ?z?' ?.,., ?°"`Parks APC Treatment Pl Variance TOTAL / , SO ?6 / Z Phone Ik 559-0477 VI\VVV ,.? .:. ?. ? 1 Duonvow ?5 I f IK k ? ? i i i 4 ? Y .q. ' ? ? I EAGAN >?rs? !.._::,n.,._.?.,?-._-__........_......,.._._..?:?.:.??._. _.._ 1 ?!:TIIF.S• _...,..-.,., ,,„ _. ...... ,_._.._ . .,., . ? ..........._....-,..__........,,._. .._. . . . ? .. ??? ....-?..._. ?? r ...,_..___.,_...._..... __ '?__._.._ ww al?a@1..? II??W 11111?? K . E T D 9 ?y cr. xs R cr OAD i 1: cueKLooeo DR. cltC%$ RMD Cr co GRoss4swa cT. /o ) &q e . I C A c 9 e eRa T t/ 3G OkNTA vE 3cv vo I Ma _ Ro ii ciG DBmmA AvE. v3 . • ° C < °p ? 9 'ILjt ouehwooC D /3 32aa DEMrlyq K Ar . CRo3SRoAD Gl+ t < ? • ?it?i cvcKwooc p. F4% ? 3ctt aenm x Avc 2 C. 30 c oAA Y o Daw?.uRk I?ve. /S cs ainm vt 29 3c! sb RDSSReAa cT eT I 3% 2 ?ru isdt Or+ rw,ew Ait, Wweo? _AR. g 36eG C?NM?wI? AVE• ?C 3G24 DFNn?1qRK A 24 3G4, G . ?, ,; ??a.t) I (a? '? - ?a2 i. o}r - •- ?a?? 5 + +. I ? - --- - - - - - - ----- - - -- ?-- - ,? ._ n ?.? . ? . \ I il o 968 0 ? ???Le P`1D.c ^-??T ? -=!OM_isN?T ? „ ?? \?? i" ?? ? G \ \ \ ? / .? , ?7s ?---- ---- -- s ? - ----- - I )dp 1985 BUILDING PERMIT APPLICATION - CITY OF 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 TowuNousE - To Be Used For: 1 of 4 Plex Valuation:$53,000 Date: APri> >>> 1985 Site Address: 3611 Crossroad Ct. OFFICE USE ONLY Crossroa s of Lot: 18 Block 1 Sect/Sub Eagan Erect X Oecupancy F--3 Remodel _ Zoning ?-3 Parcel I/ Repair Type of Const Q Enlarge It of Stories Owner Crossroads Partnership Move _ Length 4 Demolish Depth 22 Address1020 East 146th Street Grade Sq Ft City/Zip Code Burnsvi 1 le, MN 55337 Phone 432-8240 Contractor Jad-Ron Address1020 East 146th Street City/Zip CodeBurnsville, t1N 55337 Phone 432-8131 Arch./Engr. John Kinsell Address 12131 62nd Avenue North •noonnarc Assessments Permit 2?12.?_0 Water/Sewer Surcharge ' .SO Police Plan Review 146 Fire SAC 57-S Engr Water Conn gpn.°' Planner Water Meter o0 =- CounciloYL6P-962YRoad Unit 2gp, Bldg Off Parks APC Treatment Pl 132. ?° Variance TOTAL ?? SO City/Zip Code Maple Grove, MN Phone II 559=0477 Y CROSSROADS OF EQGAN • ..?.? . ? '(4:Y'M:.v 'w - ? ' ? ... .. r??r .? i.. C L . ?...-. •..?........?..?...?.,._?.a.?.?.?-eT •.rw .. .?.?..?...?n ? . ............u. n.....?x ..x.rnn«unn...nxw...M .nnni ?c4?,e, ?.+??. i -_ ..ox .. r. .n...nrn.? . .. - .. _. __....___ .__ .i ?n.. - . _ - - ? u.n....nr. ?r i..?.....+r.u.. n n.?.?. r..u. ?.i. r... ?•. r... w. u. ? .?nf 1 ...:??.._...C. ....r. ? . ..................?_... ` ...........-.. 1 I ? . . ? crr?m.?" _.. cr"g • L I ...........??.?..... . ... ?? _. .?..._. _ _'__ -_. _. r...... y i ? ----`- - ......... -......---'-'-......... ...._,_..... P t.: ? ? I: ? ._.. ._ .......... ............. ............,.,..__ ...,.._ ..,......_,...._..__...._. ,.....?. ,. ? wro . ._ .__.._ . ..._ ... _....._.... .. _.. .. . . _.._._.....m., . ? ..._.?...?..??..............??.....n..r?......?.n._w?_._..........._. ? .. I i ' 26 ? •_?r?..T--__--_ ? ? __ .........?._.?......?...?....?? " r ........ _.. _.,._.. _,.... -_' « ___ - f _.. _lY. ?.. . ? 'ry 1= ? .. IIINAM MMA, R E ? ES 9 :s rr / dP244 DucKWooo . DR. . CS cT' io C?lossqswa CT. Io ) EKmn I ?cu e ? c ? 07 eaa T. r/ 34 P&JVrnA#tK fkVf. 105 sc !?o . c ixi iL ciG vA mw AvE. a3 . • ° c < °A cr - f I/L72 OucNaeon D 13 2o DbNn7va K AV . CRoSSRoAD GT+ _ < , 6 'i27i DvcKWOOD D. 36 y2 Dsnm x Avi 30 G Y cr- 7 o OeWmwRK ^ve. /S :ijs aiNmqRK Avi ?3 3c/ AA KoSS14eAD cr CT 1 32 x is^ ucXwweo . 0&a1'Me*p -04' fl 36oG DsNMrftK AY[. /C 3G24 DEMr+'1qRK ' A 24 }?4 G . , „ ?+.z) I (?y] + + --- _ 1 ?_J O I I i - -361 ? . ? _ I ( - -- -- -- - - - - --- -- ? _ - 1- - ? I ? Lo ?1 . c, p m . ' ? i w' EA 3-NCN'Tfi= . .. ? .`' ? ? . 1 . . I I I \\?,1 ? l rQa- ?? 9. "? i B1 1.¦ ? ? - --?j- /-- - - - ? , ? ? E _ .C?F?? ? - - - -?-.-- --- - - - - / ? 21Y 4 1985 BUILDING PERMIT APPLICATIDN - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED HITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS TnwNNous? To Be Used For: 1 of 4 Plex Valuation: $53,000 Date: April 11, 1985 Site Address:3613 Crossroad Ct OFFICE USE ONLY Crossroads of Lot: 20 Block 1 Sect/Subeagan Erect ?C Occupancy (Z-3 ' Remodel Zoning (Z-3 Parcel 0 _ Repair Type of Const ? _ Enlarge It of Stories Owner Crossroads of Eagan Move Length -? Demolish Depth ZZ Address1020 East 146th Street Grade Sq Ft City/Zip CodeBurnsville, MN 55337 Fhone 432-8240 Contractor Jad-Ron Inc Address 1020 East 146th Street City/Zip CodeBurnsville, MN 55337 Phone 432-8131 Arch./Engr. John Kinsell Address 12131 62nd Ave. North •ononnArc Assessments Permit 2q2. =° Water/Sewer Sureharge Zfa.$O Police Plan Review 14? . Fire SAC SZS.'? Engr Water Conn 5?)o. Planner Water Meter = ? Council Road Unit 2&O•- Bldg Offll-lp?sa Parks APC Treatment Pl Variance l 9 6 0, S TOTAL , o City/Zip Code Maple Grove, MN Phone 41 559-0477 r CROSSROADS OF EAGAN , .. .... .._...,..._ ?n_:er..:c?....M ._...._r.......: ?_...-_,t..?_...r=..yr.".r."_.S. ._... ......... . .... ?... •................?.. « .. ?...i I C:tt•di?. ..... . -'-- ", ? zv,w<a _ _ '. _...._..._ . .._ . . .c:r 7 ?......??.._.. ..................?._.?...?:...?....??.......`. t • i OUPnvOW ' --- -_. --.•• ;5 L ? ? • an: _.._ •/ {F . ? • y*.?.. • S ? ? ? ?1' _ ___ .?..._.._ _._.. __. -. _. ......._..........?__.._. 1tx? < 1 6 in .? ? • i 1 M !2 we.+-Lj ?, ?? ? ? . I txnt •? - 1/ t a .?,? ? ..._. ? ....? t ?a ??: r . - .. I .._.._ ;y:v? 7? , .. .. •._.. . . . _... . .. ..- `+?? ?rrw-{r : , w.... . .... . . . .. . . ..:? ... I i ? i 11L a f J _ ..-".. ?„ _.,.. . .... _...? -.. ..__... _ a e?c lR . ? - r a ?1 .e : . i : w ! ? I . ? , ? ? , _'----- ' *- ? ? . `?. ?n?i .' s? i ? . ???zi ??? . 1 3 _ ..........._.?.....?..?._.?.. i? R ? _ __"_" - '• ? o N ` I ' ' ? ?s • N H;xx , ,_.... , ,?.. ._,?. _ ..._. ,. >....:, r - ? e,.T?;------ ? W. --- --,. ? . _... _- -- --- -- ? ,.._`:?...,:_..?,,......_......?._._.,._...._.,._... : i i yIII??IIIM CMNpI?. Illt. ? . FI[lT 1 Cl 1 NI[Ll LOT L E T DDRES / J i2 GO 2607 wcKiaoeo DR. GRO3240AD CT. C o eaa r. 9 /a t/ 1 34 PJg/M rnAItK vE /7 / m 3GI7 36 CAOaRoAP cr. C. C 2S 7 c?' C( Gt v? ic-awgmp c- c ^ 4 S I:6 ?/Z72 OuchwooD Pit, /2 /3 ciG 2o Denma DEMrlfq K AvE. AV • 413 n CRo RoAD . Cn L e < < °p Icy a cr ! 7 2 'K7i -46" 36 oG DucKWOOO p, eirW I"wRK Ave. CaNNli AVt. i4% k /S iG 3Gt2 DsNm K AVi 6t4 arnrrnqRK Avt 3G26 DFNn'WRK A 2 23 24 / 3G,( 3 W4 O^p An GRvSSROAD CT. er CT'. 30 f 3= ???? ..__ .... : . . ; ...? ..._.??...?..._..... ? . uofi G 14,572 ucx.wen . ?? P&wM000 -04- i . ? M I I O p I ? I / / / ? Q, / 'I ? • • 1 I n ? \ ? ` O O / ( ... ? .:i 3 I \ ? \ / ?// C \ ° ? I I ? ?? \ • ? j ? \?? - ? A ' ,. . : .5??. ? ? ? ?? ? ?y. ti s • . LL? 3.5) ? , :? o ^+ ?- ? ? . ? N ? F IY/? ,M,V 1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN TowH yPuSE Ta Be Used For: 1 of 4 Plex Date: April 11, 1985 Site Address:3615 Crossroad Ct. OFFICE USE ONLY Crossroad of Lot: 17 Block 1 Sect/SubEaoan Erect Remodel Parcel S Repair Enlarge Owner Crossroads Partnership Move Demolish Address1020 East 146th Street Grade City/Zip CodeBurnsville, MN 55337 Phone 432-8240 Contractor Jad-Ron Address 1020 East 146th St. City/Zip CodeBurnsville, MN 55337 Phone 432-8131 Arch./Engr. John Kinsell Address 12131 62nd Ave. No. City/Zip CodeMaple G,rove, MN Phone # 559-0477 INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Valuation: $53>000 enaunveie X Occupancy (Z-13 _ Zoning Q-3 Type of Const :?Z # of Stories _ Length 14 Depth ZZ Sq Ft Assessments Permit Water/Sewer Sureharge Zto.s° Police Plan Review 14?-= Fire SAC SZS. °_° Engr Water Conn SoO.°-' Planner Water Meter (o -5 Council a?-69dRoad Unit 'L86.°L Bldg Off Parks APC Treatment Pl l 3Z. °? Variance T4TAL lif fO 7 S I) J,) " ? ? 5? ? CROSSROADS OF r ADDRESSEST:-,::?.?M??.?,::-.?:?.?.:.-??:::???:.:?:?. --?;-?_-__7 ._. - .... ..._.... i,.,::Y.:: . ?..:._?-:=..........:?...==t_._.?_?,:?.:._. .?.._ .... __ ......... _... .._.. ..,., ? M:,,? ? o..w<e >..:? ? i _....,._.,_..__..?......,__..,?._....,,.?...... ....__ . oao.. oua y I? t r vf ?? -:f? ! ? a ac . j! 'I? I. ' •a + .. ?^? ?I r , ? ?` ' , ?1N :w iA j - ? ? bYY i iB L S ,r ?? 6 ? K • '• • % 'wa a. I ... ? / . ,.? , =i -J'" = - . ?xra __:;...,. i. 4 ? • N : 0 ? • ' • d... .H1-. ? _. ._ c?imt \ 1! ? ..::. ? T . N Nf< r . „ . ._.. .. .. ? . ? . . ?::.... . '. -"? ? ....... ? ?....... ? ...... e 'l Y ? I$•' TiNC:?!'.IV.NY ?1lR•. M1.4?.fi I ?I ? ? • F .. i ' as .... .. .? . -.?. ..._. .1 .... .. . . ... ^ .. . . . ... ,.?? . . ..... ? _?,.... ...._.....».,.....,.. _ -""'?--.......?._.. ? .?... ? .:.._?..._.._ ? .. _. ....?._........ __ .._ .?..- ----- ? iy uaw Gaeu?? w4 . Int[? ? Y? ? M[Ll L E T DORES ' 9 17 36is- ossa cr. xs cr I .: dxkLoooo aR. ' C( ct io LROysqvAD CT. /o l EN / 34/! CA05ORGAD e. 3 o o eaa r, tI 3 4 DtH Ma r f 36° - 4 '176 /2 C/G pBNmw AVE. i/3 • P . e C .. S ?/i7t DuchweoD D 13 xo DFNVM k Av . CR QoAD Cr+ L C C °p ? 'i27 i a?K WooD y, i 4% ?3G Z2 D?IVm AvL Owb GT. 30 C a ??• r o pV?vmARlc AvE. /S ci4 Dinn?qRK Avt 23 3G! Ap cT " t i 2 ?? a? &+'? . YO°? ?• R 3606 C?rp+?Rx AvE. IC 3 G26 DF?rnlqRl( ' A 24. ?WG, CRoSSAe++e ci . 3? ?? - I -- - - -- - - - - ----? - - - ?-- ?o ? i . c, I p M 3 2 J I I / - ? I ? - i 968 o ff 9.e P`10.o ? T I - - ? - 10'64sMCSIAL I 1 / 1 ` .01 ? / t a 9131 4 . / .. , 1 C { ? 2/84 d CITY Or EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODI (PLEASE PR[NT) 1) PROPEFtTY ADDRESS: e??O%S?G?9?S ?=_ ? TFrAr• DESGT2IP'TICV: g' / ? -?`? (Lo t/Block/Subaivisicn or Tax Parcel I.D. NL=Se ! ic S?'fl.L'CP'RE. DA'P O_° ORIGi T.AL LLl'I=NG :?_"1'i ISJt?t??C?._ c?`) PRFSL'P ,,.^,`IZ?r'/P?OPOS=-D ? R-1 Szl= rPti+SLY . ? 2 DLJP?{ (Tv'0 L^?ITS) 4i R-3 'IC:v1i1F?rvTCE + L^IZTS ) WZmc) ? R-4 AFA,?'^+c-n;T/C'_ZJCi•tri;I??1 ( UNITS) Q CQ`?,fE?CLAI,/FtE:'AI;,/OrF2CZ ? "D'DUST.4SAL ? L\STITLTIGJLAL/G?'"VE,$`nT?;T 2) A'?PLI= (PLEASE FRltii) NF1i'fE: ??/EL? AnD:tESS: CTT`_', ST1TE, zIP: PHONE: 3) pI,L,;.IBE.q (PL'cASE PRINT) FOR CITY USE ONLY ?= N GL - L . ADCRESS: ? PL(1MQER$ lICEBSE: ` Attive CITY, STATE, ZIP: ? Expired PHO.IE: PLUMBER LICENSE N Not a Becnrd G!/ arr lnltta 4) UC,[.:u?pl'V'P/(7•7N[,t"j (YLtAJt YHltlff NAME: ADDRESS: GxLe A- ? CITY, STATE, ZIP: PHONE: 5) INDZGATE SI1iZCH PERIviZT IS SEI\G REQTJESTED: Y?ErCOi'NECriOiV TO CITZ SE"ER ?.fJ ?C:?'iVECrlOiQ TO CITY WATER ? 071M (PLL•ItSE DFSCPSSE) ? PI.`ASE F?OID APPROVED PER.tiLIT FOR PICi:-CS? BY ONE OF ABC'iVE .-?PI,E+SE :!AIL APPROVF? PEP`•LiT 'PJ 1. 2, 3, 4 AEOVE (Circle one) E ? J 7) SICm[,'RE• 1 ? DATE: ° ,• - : . MR WAAli4flJl! i Q!l:1Q? " i ??mwia iA i f?sai:? a! !/!flS1f}FJ? f? ! ti ?s?Dlsa?/ t F 0 R C I T US E ONi,Y PERMIT °- ISSUED F°^S: $ ia. $ /e. S o S S $ ? v s-Cl $ $ $ $ S $ S S $ <v? SEi^iER nrRMrm (I`ICL'uDE SURCti?RCE) WATER PERD4IT (INCL'uDE JLRCHARGL) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (ZNCLUDE CORPORATION STOP) S::TVE4 T.'-1P ?r?Cl._'.T ...J_2.rl.c.i_ ACCOUNT D.F.PpSIT - PIATER WAC SAC TRU'VK WATER ASSESS?4ENT TROiJK SESdER ASScSS:iE:iT LATERAL BENEFIT/TRUNK SE?•TER LATERIL BEVEFIT/TRUNK I4ATER OTHER TOTAL f `3 AI,IOU:VT PAID/RECEIPT Re 9 °-*a- 7 DOES UTILITY CONNECTIO[V REQUIRE EXCAVATION IN PUBLIC RIGiIT OF WAY? C? YES IF YES, THEN A"PERMZT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISZON. LIST AS A CONDI- TION. SliBJECT TO TFiE FOLLOSJING CONDITIONS: APPROVED BY: TITLc?y?.- DAT° : .,-/, i '?' - F -5 r ! R A??N1lJO ? i 0!?gl? !?f !!!?.'a?ii# i f s ?f.si'i :a a!!! ?fFJ?l7i? s f? !! S?ig? ? F 0 R C 2 T Y U S E 0 N L Y PERMIT '-` ISSUED F°ES : $ $ $ $ $ $ $ $ S $ $ $ $ !?? • -?:-?= $ $ FT"i n?.°. ?? .., E411I: (I`.IrLUD: SURC!i?RGc) WATE? PERPIIT (INCiuDE SliRCFIARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SETvER TAP ?C -CU::r 7._:0s1: - __:.ZR ACCOUNT DFPpSIT - P]AT°R WAC SAC TRliVK WATER ASSESS2QENT TRliidK SEWER aSSESSilEAiT LATEF2AL BENEFIT/TRUNK SE?•IER LATERIL BENEFZT/TRUNK WATER OTHER ' TOTAL f I P,MOU::T PAID; REC°ZPT 4 7 DOES UTILZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi-IT OF WAY? ? YES IF YES, THEN A"PERMIT FOR T/JORK WITHZN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBSECT TO TEiE FOLLOS4ING CONDITIONS: APPROVED SY: T I ; LE : e_z? DAT°: r-? - / ? - 85 o! W:m Ws w w? sk" j. • . . 2/84 mp CITY Or EAGAN APPLICATION FOR PER?lIT o SEWER A[VD/OR WATER CONNECTION (PLEASE PRINT) 1) PROPEiYP!' ADDRESS: 36/5 ? ?fCOS% ?GA? S?G L?T ? r.FrAr DESGRIPTICN: (Lot/Block/Subaivisicn or Tax Parcel I.D. Nlsr,>er) , lc ':G STPS,'CP? 2E, DAT 0_° ORIGi 1AL 'ZLDL:G r?_ST ISSii??G: P°FSL.'" US': ? R-1 SiNGLE rPtiffLi . ? R-2 DUPLz'`{ (T,•? LI7ZT5) [Y`2-3 ZC?°.?-?CvTSE (`rf'p, u. + L?IITS) (T7WZ'"S) ? R-a APaaT=,:r/cc_)C•INn,M ( w•zTs) ? CCI?nfE;.?CIAL/Rf,'I'AII,/OF:'IC Q 'uUSTRIAL Q NSTIILTIO:]AL/GGVERNn'T Z) APPLICn..\iT (PLEASE PRINi) NANL: ADDRE55: ?Gj ?G ? C.1lF/ iPD CITL, STATE, 7.TP: /IS[" ?C- . _ ?.rJ 7 PHO?: ?i?7 ?LG'e:5;7 3) PLL:ffiER (PLEASE PRINT) FOR CITY I1SE 04LY rAME_ orY cL / l ADDpEcS: PLUHBERS lIC.45E: ` CITY, STATE, ZIP: ? Active Expired - PHONE= ""'^- ? Not o Rec rd PLUMBER LICE45E H arr nicia '+1 u.cU_FllVl'/V.??7Lc2 ? trLcnac rH1riiJ NFaME: C/?G Gr9 S fl /y? ?/? ADDRESS: _ J-• ?? LZ 4T CITY, STATE, ZIP; PHOVE: S1 12dpIG'1TE [-iHICH PER•lIT IS BEINC; REQ[JESTGD: I'n CONNECPION TCJ CITY SE,TrIER ?r Q CQNNECI'ION 'Ib CITY SVATEFt ? di[?ER (PLPIISE DESCRIIIE) o) lx.uitl?.? c';+t: 7) SI??T[JFtE: ? PI.EaSE f?OID APPRCn7ID PER.MIT FOR PICfC-UP BY 0NE OF ABWE PLFI+SE :-T'.,1IL APPR(}VID PER:•lIT 'P'J 1, 2, 3. 4 ABO7E (..:_-'- ---) DATE : C' ? 2 Fd' - ??----?? i 2/84 i ? re? l CITY Ot EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODT (PLEASE PRINT) 1) PROPEPTY ADDRESS: r.FrAr• DES(MIpTIC:I: (Lot/Block/SWciivision or T&x Parcel I.D. N' r) ? i-u.'S:='=:G ST?S:CPT:tE, DATT' 0_° Oc2TGi^.IF1L uiII.DL`:G :?_?ST IS?i,??G: ? [)?r`:.,• _a--; porSLm ::r•.Tr1F;/T)sOPO= L'S: ? R-1 SMi=- FPMSLY . ? R-2 GUPL...t'Y (T-a IIT:ITS) ._,/ a it 3 TCI.,7-1,'F?CUGE ('IT%= = L':TIT5) ( 1 f UVIS) f? f LJ tZ-4 [-?i'?i'?tT??/CCMCi•Sl?,'1i'1 ? _ _ Wl ITj) p CCH%E2CL%L/RETA:I,/OFFIC:: Q LM'JSTRTAy ? NSTIT'[,TIO.'?L/GGV?-2??1^'''T Z) APPI,IC..?+"I' (PLEASE PRiNI) I?•IE: ?L? ADDRESS: z?- `l-//?? x?j cI^:r, s:aT--, zzP: PHOiuE: 3) pu,?t,gE,o AIALME: (PLEASE PR1NT) 66K?41 - ? FOR CITY USE O4LY . PDDF2ESS: PLl1MQYRS LILENSE: ` j Active CZTY, STATE, ZIP: " Q Expired PHOiVE1 ? w?r pLUMBER LILENSE k v 0 Not f Retord ? aF i lnitta 4) OCa7pANT/C!+i:Q2 (PLtASE PRINi) NAIAE: ADnREss: ? F i?V' Tl. sr- CIT'!. STATE. ZIP_ 4LL/??yS//?L?? PxorrE: ?/?1 ?PZYa + 5} aZlG*,TE j,Il{ICH PERRLT IS BEItiG REQCiES'PED: y"- ? CONT]ECi'ION 'IO CITY SE,L9ER P - ? COCNEcTZON 'A] CZTY SJATER ? 0`171'R (PT.EASE DESCRIBE) ol u:ul?s?? U::t: ? PLEISE f?OID APPR(NFD PER.MIT FOR PICFC-L'P BY QNE OF A6GVE ? PLF115E N't1IL APPFtOVID P?.T:?IIT 'PJ 1. 2, 3. ?A6C'?lE (Circle one) 7) SIG?TL'RE: ?? ?.. /ialu.i/Y DATE: ? ?t R a:RtwJ?s:l? r a??gac? a? s e!+?s7sr? a? s s issa:? a ae :l1??rlt? ar a s?tsssar r . ? . FOR C I T Y U S E ON:,Y PERMIT y ISSUED F°TS: $ +S $ S $ $ $ $ si--o. •--? $ S $ $ $ SE:^iER PER:%1TT (I_`iCI.::D: SURC`.i?Rr'c) J WP.TEiZ PERP4IT (IiICLliDE SliRCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATZON STOP) SE:dER TAP ?/?:?:i._:•T ?.=.:r,c?_ - ?_..=? AC^OUNT D.F,ppSIT - G7ATER WAC SP.C TRliNK WATER ASSc.SS:IE:IT TRI;NK SEWER ASSESSMENT LATERAL BE:IEFIT/TRUNK SE::Tx,'R LATERr1L BENEFIT/TRUNK S4ATER OTHER ' $ TOTAL ? ? p ---;, k $ Ar10UNT PAID; REC°IPT R ? °?"Z 7 DOES UTZLITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi-IT OF WAY? ? YES IF YES, THEN A"PERMIT FOR 'r10RK WITHZN ? PUBLIC ROADWAY" MUST BE ISSL'ED BY THE NO ENGINEERING DIVISION_ LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: C?< e__Q TI:LE: DAT°_: MR . ?? • i 2/84 CITY Ot EAGAV AP PLICATION EOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPEf?TY ACDR°_SS: ?6 Cf j ? OS G Gc r_Frar• nE..?arTcv_ t (LZt/Block/Su:,ciivision or iax Parcel I.D. Niurber'j ? g r:iIE:'=;G S?'?.CCP=, DATt. OF ORSGyIF1L LUII.DL?':G ISJU;%.NC.: PFESL"?' US"r.': ? R-1 Si1iGL: FA'AILY . ? R-2 DTJPIM{ (TWO Ln?ITS) J2?R-3 7.C1.•.`NHC{JSE ('!'fTEE + II:IITS) WI'^S) ? c-t-4 tlP=ucTT.?IT/CC;3JCi-S`:I?'-N ( UPIITS) p CCLM1MERCLU/RF.TAII,/OFFIC ? 1i\1DL'ST7.IAL ? L1:STI'I"CTIONAI./GGVEiM-ME:?'T 2) APPI,IC`-?iT (PLiASE PRINF) NPt•"F' : L-! /G?? / r,DcREsS: CTTY, ST?'1Tf.', ZIP: A/y PxoNE: 3) pa;?.TE;,o NtuME_ PLEASE PRINTJ FOR CITY USE ONLY AGCR.ESS: 1 Plll!l9ERS LICE4SE: ? Attive CITY, ST?':E, ZIP; 0 Expired PHONE: PLUMBER LICENSE N Nat o ?ecyrd v ar lnitla Y) C-LL,,JppN'j'/Cf:'•;E2 r kYIGA?t YN1r1If u?r?: -&VsiY?v9/?s ADDRF-Ss: CIT'!. STA'IE, ZIP_ ffj//??SG?/LLf PfiO^IE: i 5} IDIDI=Sr'HICH PERtilIT IS BEINC REQUES'PID: l 4' 1?1 CCNNECTION 'IO CITY SEYiER CON,=IOV 'IO CITY TVATER ? 0`171ER (PZTIISE DESCFtZBE) ? PI.E-ISE fiOLD APPROJID PERNLLT FOR PZCF:-t,P SY ONE OF APGVE ? PLFIkSt :•t'?1IL APPROVm PER,tiT M 1, 2, 3, 4 AFWE (Ci:cle one) 7) SICa'ItiRE:, DATE: T- ? R AiM}!A -?i!f lm??fA il.ftiiiai 1/ i irFiii:ma 1! ?!lJr1fJF.r.! 1? S?isY t F O R C I PERNIT °- ISSUED Y U SE ON:,Y FEES: $ $ $ $ S $ $ $ $ $ S $ $ $ $ $ SEidGR °?4?2rT (I`ICI.::D : SURCH?P.Gc) WATER PERN1IT (ILJCLliDE SliRCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SE:vER TAP =C-Oi::i'r AC^OUNT D.F,ppSIT - S•iAT°R WAC SAC TRUNK WATER ASSESS??E:IT TRliNK SE[QER aSSESS:lEAiT LrITERAL BENEFIT/TRUD]K SE:dER LATER?L BENEFIT/TRU:IK WATER OTHER TOTAL f? X AMOU::T PAID; RECEIPT n?°? DOES UTILITY CONNECTIO[V REQUIRE EXCAVATZON IN PUBLIC RIGi-IT OF WAY? C? YES IF YES, THEN n"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSCED BY THE NO ENGINEERING DIV.SION. LIST AS A CONDI- TION. SUBJECT TO TIiE FOLL069ING CONDITIONS: APPROVED SY: ?et_? TITLc: DATE : ?'? me a?d Ms ww in sks ?c? ra ?cw w:a www s?m 6e00 w.WGcM w=iMWP@ 0tM M%Wie w=M Ra rE00 w sM SE ? 11/29/2016 1 :09PM FAX 9529858836 Bulldog l60001/0004 Use BLUE orrBLACK Ink For Office Use City of Eaali ::: ` 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)676.5684 Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11/29/16 _Site Address: 3609, 3611, 3613, 3615 Crossroads Ct. Unit#: Crossroads Partnership Phone. 651-454-3352 Rider ti ''` Address/City/Zip: 1500 McAndrews Rd W. Ste. 100, Burnsville, MN 55337 ;:OYi(tter•;'`•'";;.�,•;::• Applicant is: Owner Contractor Remove & replaced asphalt shingles •Wo� "' Description of work: P P 9 �•TYPe�of:� �'? Construction Cost: $15,000.00 Multi-Family Building:(Yes X /No M`4 Company: Bulldog Contractors, LLC Contact Peter Retka s• 21663 Cedar Ave Lakeville Address: City: State: MN Zip: 55044 Phone 651-253-8211 Email: pretka©bulidogroofs.com BC639635 NAT-F162654-1 License#: Lead Certificate it: l 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 submit;are;considered to be public'inforfmation: Portions of • the information•may beclassified as non public if you provide specific reasons that would permit the City to ' conclude that the are trade'secrets. :I CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstaieonecaliorq I hereby acknowledge that this Information is complete and accurate;Ihet the work will be in conformance with the ordinances and codec;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 L�� ' • Applicant's Printed Name Applicant's Signature Page 1 of 3