4396 Clover Lane For Otfice Use Only:
4? `
MECNANICAI PERMIT PERMIT #
F CIn OF EI?QA RECEIPT # ??OD
3830 PILOT KNOB ROAD, EA AN, MN 55122 ;- - ?? _; •;
TRACT PRIC •
! - C? ' PH E: 4S4-e DATE:
Addres s
i
te . TYPE WOflK DESCRIPTION
ock Sec/Sub NeW
m
N me
-.
_ MuR Add-on
dd ";
ress ' ioa Y;' a Comm. Repair
c ity 'Liol e :i =1- 4 41 I Other
FEES
N e RES. HVAC 0-100 M BTU - $24.00
?
c Address j_( Lti= ,2 ADDITIONAL 50 M BTU - 6.00
p City one '' !- ?•? (RES. HVAC INCLUDES A!C ON NEW
CONSTRUCTION) I
GAS OUTLETS (ININIMUM -1 PER PERMIn - 1.50 EA. ?
TYPE OF WORK
?
, COMMlIND FEE -1% OF CONTRACT FEE
Forced Air 4im
U APT. BLDGS. - COMM. RATE APPLIES ,
Boiler M BTU TOWNHOUSE 8 CONDOS - FiES. RATE APPLIES I
Unit Heater M BTU MINIMUM RE5IDEMTIAL FEE - ALL ADD-ON & '
Air Cond. M BTU REMODELS - .12.00 .
MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE }ER PERMIT - .54 ?
Ges Piping Outiets # (ADD S,5Q S/C PER )FACf+$10Q0.00 OF PERMIT FEE) -
'
Other a : .; ? i _ . . -F- '
^ • ;
1, 4 r1
?;'
PERMIT FEE:
• f
-?r . J . s?I•?-?
50 [SIGNATURE OF PERMfTTEE I
S,C: . . ;
TOTAL: ' j' ?? FOR: CITY OF EAGAN
CITY OF EAGAN N0 18434
3830 Pjlot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
?
BUILDING PERMIT Receipt # I
To be used for BASEMENT FINISH Est. Value $1,500 Date OCT 5
Site Address _ 4396 CLO VER LN
Lot 11 ` Block 4 Sec/Sub. EDEN OFFICE USE ONLY
Parcel No. occuPancy - FeEs
Zoning -
W Name MATT & .T AtDA A.T.F13 (Actuaq Cons1 Bldg. Permit 35.00
-
Address 4396 CLO .R LN (alioWabie) - nn
1
0 _
surcnarge _
City -A =AN Phone 452-6334 # of Stories -
Plan Review
_
lengih
o Name KEE CONST RUCTION, INC Depth - SAC
City
Z Address 11382 BUR R RIDGE LN S.F.Total _ ,
SAC, MCWCC
h City EDEN PRAIR IE Phone 941-8980 S.F. Footprints _
ter C
W
On Site Sewage _ onn
a
?
uw
Name
OnSiteWeil
-
ter Met
W
? w er
a
AddreSS MWCC System -
Acct. Deposit
?
W
City
Phone City Water
_
PRV Required - S!W Permit
I hereby acknowlege thai I haue read this application and state that the Booster Pump - S/W Surcharge
information is correct and.agr ply with all i e S ate o1
Minnesola Statutes and jt rdinances. Treatment PI
Signature ot Permitee APPROVALS Road Unit
A Building Permit is issued to: KE CONSTRUCTION, INC Planner ? park Ded.
on the express condition that ali work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Oft. _ Copies
n
l}ti??
8uitding Officia4
ti ?
4A fA. !??
Vaciance -
Tp'SAL 36.00
CITY OF EAGAN N° 113 01
3830 PilotlCnob Road, P.O. Box 21-199, Eagan, MN 55121 OUILDING PERMIT PHONE: 4548100 ae«fpt # '5 f-? .??-- "
Ta L. ....e 9" SF DWG/GAR F,+ $ 6 2, 0 0 0 ._ NOVEMBER 15 ,,, 85
Site Addreas 4396 CLOVER LANE
Lot 11 elcek 4 Sec/Sub. EDEN ADDITION
Parcel No.
Name
Name SAME 435-8846
Address
Name
Sipnoture of Pennitt
/1 Building Permit Is is
all work sholl be done
Bufidirq Offkiol
I have read this
and agree to c
e: And Qty of
Erect 119 Occupency K3
Remodel ? Zoning Rl
Repair ? Type of Const. V
Addition ? No. Stories
Move ? Length 36
Demolish ? Depth 46
Int Impr. ? Sq. Ft.
Install ?
Appro vals Foes
Assessment Permit S 319.00
Water & Sew. Surcharge 3 7_ 0 0
Police Plan Review 19. 9_ 5 Q
Firo sAC 525.00
Eng. Water Conn. 5 0 0. 0 0
Plonner Water Meter 63. 0 0
Cauncil Road Unit 280.00
ation and state thut gldg. Off, l l 17 85 Tr. PI. 132.00
with all applicable APC
Ordinonces. PerkB
Var. Date Copies
? • ?
INC rotal
on the exprcu conditlon thai
cdbla St$te of inn o totutes and City ot Eopan Ordinances.
L'11YKlAL rvn ybuhZ8/gb , CITY OF EAGAN ?' '? 1301
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
sU1LDING PERMIT Reu+pr #
To be wwd fer Esf. Volue Date _ 19
Site Addreas '
Lot Block Sec/5ub.
Parcel No. _
? Name
? Address nL
Neme '
u? Addrest
Ciri Phone
U) °W` Name ' LL;i1
?W
Address
?
?uz+ City Phone
1 hereby ocknowladge that I have read this opplicotion and stote thot
the inlormotion is correct ond ogree to comply with oll opplicable
Stote of Minnesotn Stntutes ond City of Eogan Ordinonces.
Siqnoturo of Permittee
A Buildinfl Permit is issued M:
oll work sholl be done in ocoordonce wlth oll epplicable State of Mir
9uildinp Officiol
Erect ? Occvpancy
Remodel ? Zoning
Repair ? Type of Conat.
Addkfon ? No. Stories
Move ? Length
Demolish ? Depth
Int Impr. ? Sq, Ft.
Install ?
AoYrorols Foos
Asxssment Permlt
Water b Sew. Surcharge
Police Plan Review
Firo SAC
Erq. Water Conn
Plonner Water Meter
Councii Road Unit
Bldg. Off. ' Tc PL
APC patkg
Var. Date Copies
Total
on tht expres3 tondition 1hai
nesota Statutes ond City of Eopan Ordinonces.
Pwmit No. Pwmk Holdw Dow Tslephons
Plumbin9 11/d
H.VA.C.
ENcaie "1 . ? ?t'• %? 7 •'?) ??' .:C 7.-
Softww
Inspeetion Date Insp. Other
Footinysl ?l l??r '
Footings il
Foundstion
Framing
Roofing
Roueh Plbp.
Rouyh Htg. .
Insul.
Fireplace
Flnal Htp.
Finei wee.
Final
Cert/Occ. ?
A
1(.?
Watsr Dssaiba Loestion:
? ?
YI?e11
Sew?r
P?. Dlsp.
pnWPt MECHANICAL PERMIT Perntit No.
CITY OF EAGAN
Fe!
101 ff/l In numberod apsces S/C ._ 5^
TYP+ or Pirint /spidy Tot
1. Det? 2. instsllstion Cost
3. Job Addrns Lot Blk. Tract
4. Ownw
5. Contractor Phone
8. Addross
7. City State Zip ?;-.•,
8. Buildiny Type: Residential ?
9. Work Description: New Q
Commercial ? Institutional ?
Add O Alter ? Repair ?
10. Desclibe - ?: . - Ruel Type '
11.
No• Fguioment 9TU • M. Ea.
Forced Air Nj Eauiament CFM
Ai
H
li
Mf9• r
and
ng:
8oilers
Mfy. Mech. Exhaust
Unit Fbater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : _ for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OP EAGAN 454-8100
Rsoeipt PLUMBINQ PERMIT Permit No. '
CITY OF EAGAN
FN
Fill !n numbered Wacea S/C
Type or Pr/nt legibly Tot -
1. Date 2. Installation Cost ,
3. Job Address ?- ?- Lot " Blk.
4. Owner
Tract I
5. Contractor Phone '
6. Address • '
7. City ' State 2ip S. Building Type: Residential E] Commercial O Institutional O
9. Work Description: New 'E] Add ? Alter ? Repair O
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
C
Bath tubs esspool/Drainfield
S
i
T
Lavatory ept
ank
c
Softner
? Shower l
-?
Kitchen Sink We
l
Urinal/Bidet h
O
'
L.aundry Tray t
er
.
' Floor Orains
Drinkin9 Ftn.
S
lop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I ayree to
comply with all ordinances and codea governiny this type of work.
Signed : for
Rouyh F inal
Inspections: Date Insp. Oate Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4544100
, r .. . , . ' - . .. . _I' ' .... . . .'?`?Ti . . 'T.-.n..., ??. . . ?R? , • ..
CITY OF EAGAN } 18434
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
PHONE: 454-8100 -'-
BUILDING PERMIT Receipt #
To be used for BASElIEHT FINISH Esl. Value $1,500 Oate OCT S , 19 90
Siie Address 4346 CLUVER LN
Lot 11 Block 4 Sec/Sub. ?EN OFFICE USE ONLY
P2fC@? NO. Occupancy - FEES
Zoning
W Name ??TT & LIHDA AL.1.EN (Actuaq Const - Bidg. Permft 35•?
9 Address 4396 CLOVER LN (Alloweble) -
Surchar
e
? •?
o City ??N Phone 432-633?i ..# ot Stories - g
Plan Review
Length _
Q xEg coNSraucrior?
FNc
o ,
Name ?,h _ SAC
C,ty
?` Address 11382 SURR RIDGE LN S.F. Total - ,
? Cit EDE?1 PR/1IRIE Phone g41-$9?
y S.F. Foolprints
- sac, Mcwcc
Water Conn
r On Site Sewage _
Q
Name
On Site Wetl -
Waier Meter
? W
sa" Addf9SS MWCC System -
u=
i W
Clty Ph011e
City Water - Aoct. Deposit
it
W P
S
PRV Required - erm
/
I hereby acknowlege that I have read this application and state that the
in(ormation is correct and agree to comply with all applicable State of
' Booster Pump - SMI Surcharge
Minnesota Statutes and City ot Eag.0
Ordinances. ? Treatmem PI
Signature of Permitee APPROVALS Road Unil
A Building Permit is issued to: KI CONSTRUCTION, INC
on the ex
r
nditi
th
t
ll
k
h
tl b
d
i Planner -
Council Park Ded,
p
ess co
on
a
wor
a
a
n accordance with all
s
e
one -
applicable State of Minnesota Statutes and City of Eagan Ordinances. g?y. pn. _ Copies
36.?
Building Official - Variance - TOTAL
Permit No. Permit Holder Date Telephane #
WATER
SEWER
PLUMBING
H.V.A.C. ?n /`'C,? ? SL D
ELECTRIC 011??-'0
Inapection Date Insp. Comments
foptings I
Foundation
Framins o
Roofing
Rough Plbg. 712
Rough Htg.
Isul.
Freplace
Fnal Htg.
Final Plbg.
Const. Meter Plbg. Inspedor - Notify Plumber
Engr.JPlan
Bldg. Final 3- Z 3 j ?
Deck Ftg.
Deck Fnal
Well
Pr. Disp.
PRICE
Site Add
Lot
? Name
? Addre
c City _
? C,
, Yjoo CITY OF EAGAN PERMIT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT#
PNONE 4548100 DATE: ? Sv
BLDG. TYP WORK DESCRlPTION
Blodc ? SecJSub Res. Lol Maw
Muft. Add-0n
...+h .'„? „ u .. Comm. Repair
tr r ? ?S+?E ? ?„? . . oa,er
Phone:
? I Address 113 9 ?
? CRy
FEES
COMM./IND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
RES. PLBG. ONLY • COMPLETE THE FOLLOWING:
NO. FIXTURES TO T1L
°
Water Closet - $3.00 $ 3-
Bath Tubs - $3.00
?-
Lavatory - $3.00
? Shower - $3.00 3 , =
Kitchen Sink - $3.00
UrinaVBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpod - $3.00
?
Gas Piping OuUets - $1.50 ?
(MINIMUM -1 PER PERMIT)
SofDener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
U. G. Sprinkler System - $12.00
PERMIT FEE:
STATES S/C:
GRAND TOTAL: ?
CITY OF EAGAN
Addition ???n Add.itiAn - Lot 11 Blk 4 Parcel #111--22750 330 94
Owner Street- -449h-rlover T anP State ESge.n MP1 55122
4.3`7 l0
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 19$2 2271.15 454M 5
STREET RESTOR.
GRADING 0 182 24.22 14.84 •
/
SAN SEW TRUNK a 1974 62.9 4.20 15 / a
1F SEWER LATERAL 1$2 3711. O 4. O
WATERMAiN
• WRTEf7 ZATERAL 1982
WATEF AREA p
• 8ervices 1982
STORM SEW TRK 60 1982 48T. 61 . 2 ?
* STORM SEW LAT 19$2 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. 11301
SRC 525.00
PARK
REQUEST FQR ELECTRICAL INSPECTION
^ ? See instructions fa completing this form on beck p} yrelbw cppy.
M51
:s? s. cH lJ5071 ?X?? BP.Ir7W Wnrk (?nvvrorl hv Th:? O- ;l! 4?
e
Add
Rep.
-
• TypeofBuilding - -
AppliancesWired ---• -
EquipmentWired
Home Range Temporary 5ervice
Duplex Water Heater Etactric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (sPecifY) Contractorl. Remarks:
P
Compute Inspection Fee 8elow.•
# Other Fee # ServiceEntranceSize Fee S Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
SignS ?nspe ctor?s Use Ony:
" TO
Irrigation Booms .
' TAL
?"
0
5pecial Inspection .?' ?
Alarm?Communication THIS INSTALLATION MAY BE
Other F ORDERED DISCONNECTED IF NOT
ee COMPLETED WITHIN 18 MO iniso
•
I, the Electrical Inspector, hereby
certif
th
t Rough-in
y
at
he above inspection has
been made.
oFFIce use oNLv
rtns request void le monms from
H 05071 %?s*,X?
aequesl Date
G Fre No. Rough•in Inspec1ipn
??/ D R 1?7 ? Ready Now WII Notlfy Inspectw
?? es ? No hen Ready7
'ensed contractor :1 owner hereby request inspection of above elechical work at:
ob AdAress (Street 8or qoute No.)
S U L? ? c^y ?
??? ?Township Name or No. Range No.
/T
L-cense
or
MINNESOTA STA7E BOARD OF EL ICfTY
GrlggpMltlway Bldg. - qppm g173 THIS INSPECTION REQUEST WILL NOT
1821 UNvenMy Ave., 51. Paul. MN 55104 8E ACCEPTEO BY THE STATE BOARD
Phone (612) 842-0800 UNLE55 PROPER INSPECTION FEE IS
ENCLOSED.
?'
1,211161,? c? REQUEST FOR ELECTRICAL INSPECTION EB-00001
I
1 Sse instructions for complalinp ohis farm on back o1 Ysllow coDY•
! nr.^ r---7 "Y" Relnw Work Covered by This Request
4.4
AAd .•.+
ReC.
Type of Buildi?p
Applia?css Yrir?d
Equipmant Wired
Home Range Temporary ServiCe
Duplex Water Heater L?ghtin Fixtures
Apt. Building Dryer Electric Heatin
Cortxnercial Bldg. Furnace Silo Unloader
Industrfal Bldg. Air Conditioner Bulk Mllk Tank
Farm
thr.r Peci y
lher ISp?cffy)
t r ueci v t or ocner
nmpute lns pectran Fee Below
M Fae ServiceEntrancsSi:e /Subleeders der•
r Fee Circurta
Uto200Am s Ann)s
Above 2_Amps n 31 to 100 A •
Am -
Swinmin Poot W
Am Abov 100_
Transformers 01 Partial-'Other fee
tion
?
S TOTAL FEE
_ ?
?i.
Houph-in 1, the Elsctricet
Inspsctor, hersDy
certity tMt the above
Final D;t?^?? y napdeectionn hss basn
.
tllb f"ulSi vwa
This request void c/g
18 montl7:^, from _
fR qR _E; 7
?---
?•?
Reques Date ?
?
?_^ Fire No. qough-In Inspection
Req ired?
TOReady Now iII Notify, Inspec-
or When Ready
D Yes ?No
W-Licensed Electrical CoMrector 1 hereby request inspaction of above
r"1 n.....e, alectrical work installed at:
Streg tfddr s Box or Rou?j No.
l
e
4
M Citr., ?
s
}.
/L
. Cl??
ection o. Township Name or No. anpe o. County
6/,4&"V
Occup?ajn?t (PRINTY
/'r,a H/+LL? 4-11zG, Phone No.
Power SupDlier
-
rlGC1
'
t
0 Address
00U
c
i i4
H
1v
Ele al Cp ntractor lCompany Name)
?? C I 1
?
?
' Contractor's License No.
0 ?'ll ?' 2 9
-?
?
?-Te-?S-? ? ?
Mailiny Address (Contractor or Owner Making Insiailation)
2 y 2f CJ 4 ??? ? 4.A Aw ss?? ?
Authorized Si nature (Contractor w?nstallation) Phone Number
6;D PJ Z?Trj 2
MINME80TA STATE BOARO Of ELFCTAICITY BE ACCEPTED 8Y THE STATE 80ARD Gripqa-Mlidwsy Bldy. - Room N•187 UNLESS PNOPER INSPECTION FEE IS
1821 Univsreitv Avs.. !t. Peul, MN 66104 ENCLOSED.
Phone (672) 642-0800
CASH RECEIPT
CITY QF EAGAN
RlCt1VCD
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
AMOUNT $ I
& DOLLAR$
' oo
? CASH ? CHECK
CITY OF EACAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoninp:
Ownsr:
Addrass:
Site Address:
Plumber:
1 yew to *ON* wft !w Clhr of fepw Ca+rnction Charge: -?
Ago«,r,+ apadt:
PaIT1* Fee:
BY Surcharpr
Data oi Insp.: Mitc. Chanpe?;
Totol:
DoM Pold:
CITY OF EAGAN
3830 Pilot Knob Road WATER SERVICE PERMfT
P. O. Box 21199 pE
Eagen
MN 55121 ?1 T NO.:
,
'
Zonirg; _ ?
?y
DATE
:
01Y?Ifr: T'ne? ... .._3 NO. Of Units:
^ddrom
Sits Addnas; I ` C' nVei ,
pIu,r+ber.
,. , e s e T' 1 ura : e
1
?:y? "' '.. . DC?
Meter No.:
Size: .?B'? I ??.L ? TC? r.,. _ •?r??P.?
I Mme
By __NL°_
Dote of Insp.:
6Y
UUhite-Peyers Copy ?
Yellow-Posting Cppy
Pink-Fila Cppy
? ..?
SEVVER SERVICE PERMIT
PERMIT NO.:
D111'E;
- ko. of u?its:
t - 3/ -r Ce ...,...
Thank You
CITY U5E ONLY
PERMIT k: RECEIPT DATE:
SOOQ RESIDEPTiiRL MECHAftICi4I. PERM1T APi'LICATIOft
crrY oP EAsm
3$30 PILOT KAOB RD
gAHAft lIR 55122
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: ? 4112L41(02,
SITE ADDRESS:
OWNER NAME: MC) C',
p.StaQ?.AA? 9CJ'e
INSTALLER NAME: T?Ilv
STREET ADDRESS:
4-F_'
TELEPHONE#: 071-14514'?201 C)
TELEPHONE#: (05(-3?2_ ,Z?P
CITY: ?6?Q (YrC')STATE: I r vi ZIP: 653(E)8-G/5!S
Pface a check mark next to the permit work type
_ Add-on, modif' ' nnr ration to existina dwelling unit
D $ 30.00
• fumace replacement
I,
!
. e JUN D 5 COU2 ?
• air conditioner
• other
Nature of work:
State Surchat e $ .50
Tatal $ .
G/
SIGN OF PERM
? tro2
CITY USE ONLY
PERMIT #: ??L)_V1 RECEIPT DATE:
2002 ItESIDEPTIAL MECHlkAICAI. PEiblTf !EPPLICATIOR
crrY oF EAsxir
S$SO PILOT KROB i{D
EAtBAP 111Y 5518E
651-691-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 0 ?0 ' I ? / Q 2-
SITEADDRESS: 4??q Lp Cld ??A LN
OWNER NAME: TELEPHONE #:
tYr-i??w.{ s0 ? lRD ??-?4"C"(?' Cs'E.D
INSTALLER NAME: 1 G` ? TELEPHONE #:
STREET ADDRESS:
CITY: ?(ICSZ ?'?U` ???
-Orl- S ?_ ?_') .
22-
lon 1-45 L1- (o G I CD
tz5 l- 3 2Z- eFi Z?,
y
?' -G??j
STATE: I?? ZIP: S5UG
Place a check mark next to the permit work type
Add-on, modification or alteration to existinq dwelling unit $ 30.00
• furnace replacement
• air exchanaer
?°? ?
? I
JUI 1 12002 '?
u?
Nature of work:
State Surchar e $ .50
Total $
/
?
SIG ? OF PE ' E
voz
,?ERMIT# qq "55I
RECEIPT DATE.
2002 RES1DE1VT'Ii4L PLUM$INfi PEiiM1T APPLICATION
crrY og KAGM
3880 PILOT KFOB RD
EAsaN. edN 351aE
e51-681-as75 FMn APR 11 7002.
Please complete for: single family dwellings, townhomes and condos when permits are required for ach unit,
backflow preventer for irrigation system By ?
SITE ADDRESS:
OWNER NAME: :?LG TELEPHONE #: 1051-
(AREA CODE)
INSTALLER NAME: ? L?C,9?iC9+'CTELEPHONE #:
STREET ADDRESS: Q-2---)c1 Q) IS T t-Aj (AREA CODE)
CITY: LL?-Q Y?,? M-Q ('C) STATE: MN ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC Iicense) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATIOW/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding flxtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abendonment of septic system.
_ Water turnaround - existing dwelling unft (+ 5/8" meter'rf needed -$118)
Other:
_ RPZ: new instatlationlrepaidrebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener water heater $ 15.00
State Surcharge $ .50
s 1
,5',?
Total -
I herebyacknowledge lhat I have read this application, state tAat tlie informaNon is cortect, and ag ee to complywith ali appiicable Ciryot Eagan ordinences. It
is the applicant's responsibiliry to notify the property owner that the Ciy of Eagan assumas n lia ilit for a y damages cause e Ciry during its nortnal
operational and maintenance activiGes to the facilities conswcted under this permR with' ?ty a/ease ent.
SIG TURE O P MI E 1/02
1985 BUILDING PERMIT APPLICAYION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED NI7H THE CITY OF EAGAN
HooeL A
. C0141ERCIAL SINCLE FAMILY DilELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1'SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be Used For: SF DW I1 .A-P2 Valuation: 62,ODo Date:
? Site Address / lO ez? o4t, OFFICE USE ONL
Lot fl Block ? Erect X
Parcel/Sub
Owner RSM Homes, Inc.
Address 18308 Murphy lake Alvd,
City/Zip Code Prior Iake, Mn 55372
y3a _j 4y o
Phone ? or 435-8846
Contractor same
Address
City/Zip Code
Phone
Arch./Engr. A.P.S Home Design
Address 2779 75th St E.
City/Zip Code Inver Grove Heights, Nfi 55
Phone B 450-0867
Remodel ,
Repair ^
Addition ?
Move _
Demolish ^
Int.Impr. _
Install ^
APPROVALS
Occupaney
Zoning
Type of Const
B of Stories
Length
Depth
Sq Ft
FEES
Assessments Permit
Water/Sewer ' Surcharge
Police ^ Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Offe /;/a %j -Treatment Pl
APC Parks
Variance Copies
TOTAL
.S O
? .
33 PA4,E "
OFliOBE
ENGINEEAING t PMpNNEAS ond?lAND SfUBVEYOIIS
COMPANY, INC.
1000 EAST 1461h STREET, BURNSVILLE. MtNNESOTA 55337 PH 432-3000
Cerlii cczj?e ? Surzre y
?041 IJ?e.tcrip2fo?: Lor ir, B[OCK 4, EDEN AD0171ON,
; ? . CDU/VrYj M/NNE.SOTA.
I/ ?c 340
(qZy.o? B9° 50'416 "E II
79.26 3o.z.
i
.?
NoRrH ;j;' °` ?,_;, ? '9?•5Y ?o
SCALc?? /"= 30' Y - '- - -ZA1 C2?•s'
?2 ?• 25.47 ? 0
A)
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3 ?in,e
o n?b / V? 0 53t.5)
} i ,` IX? ?j5 ? ?'}! d? r 20,0'? 3e•i3
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?.
at? I
\1/ I .o
N99° s0'-e6"E
DRA/N.4GE?`UT/L/TY EASE?ENT
3Q' FRaVT BU/CO/NG
SETBACK L/NE ?
?`1'x+•o? DENOTES EX/ST/NG ELElii9T/oN
?--? i
(93e.o) OENOTES PROPOSED ELEli.4T/ON
?? /ND/CATES D/RECT/ON OF SU?PFACEO•PA/N.4GE
DA.4?DTA
O V
O ?
? V
w
- _ ?1 C
F/N/Sf/ED GAi2AGE FGOOiQ E"CEI/?9T/pN `131 2+ 3 •
I her:by cartify that thia ia a true and correct representation of a tract ot
land as ahavn'and deacribed hereon.• Ae preparnd by me on this (- n+ day of
?x?+8? s 19 s5 .
' Minn. 1te;. No. &095
---
SINGLE FAMILY DWELLINGS
A 0434
/1/SETS OF PLANS
-3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
MULTIPLE DWELLINGS
0 E SETS OF PLANS
GISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CALCULATIONS
# OF RENTAL UNITS
# OF FOR,SALE UNITS
COMMERCIAL
2 SETS OF ARCNITECTURAL
& STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUE TED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED 0 E PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEO ER MUST DE5?6NATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUI DING PERMI? IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TtJO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER. ?
To Be Used For: ?t??y?,jfj9y}'1 Valuation: ?- Date
Site Address /nittp
Lot ? Block _?
Parcel/Sub
Owner /Jln',
Address ¢fffe?z LYm= tRA,Q-
City/Zip Code
Phone C, 3-3
Contractor
Address
City/Zip Code
Phone
Arch./Engr. 23!?M'
Address
City/Zip Code
S E P 0 5 RECD
S
/SO 0 aFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Yump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
35, zyO
/, J o
i .a;
Phone #
PLEASE NCYPE: THE CITY SVILL PROVIDE ONE COPY ''OF SEWER AND I+IATER' PERMITS. I
PII250NS RE 'IRING ADDITIONAL COPIFS WILL BE CHARGED A$20.00 FEE TO COVEN
CITY OF EAGAN
APPLICATION FOR PERMIT SEWER ANID/OR WATII2 CONNECTION
1) PROPERTY ADDRESS:
T•FY:AT• DESQ2IPTION:
(Lot/BlOCk/SUbdlvision or Tax PdT'cel 1.0. Msnber)
IF EXISTING STR[:CTJRE, DATE OF ORIGINAL BUILDING PERNIIT ISSUANCE:
(IKonth Year)
PRESENP ZONING/PROPOSID LSE: R-1 SINGLE FANIILY
R-2 DL'PLEX ('Iwo C'nits )
R-3 7CWM0L'SE (Three + Units ) ( L'nits )
R-4 APARTMENT/CODIDONIINIUM ( Lnits)
CONA7ERCIAL/f2ETAIL/OFFICE
IAIDL'STRIAL
INSTI'IL'TIONAL/GOVEEtAA'IENT
2) ?
?• ?
NAME: 10v=11 A? 1 iVif?=?',_ /1G•
ADDRESS:
CITY, STATE, ZIP:
PHONE: -??' I L I -
3) • m?•
NN111ME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
? ?, ?: ?_ ?l..r= t???? rl ? z1•? ?fir,'i,'t.' .l
1?•?/ ?t %' ?, :?v r?? J -T
? --
?:)? MASTER LI(E[VSE #
For City Dse
•Plimibers I.icens
Re,corde
4 ) • • i?•
NAME: fn . 401°i1'-?b
ADDRESS:
CZTY, STATE, ZIP:
PAONE:
5) n • ??
A CONNECTION TO CITY SEWM #(CANNECTION TO CITY WATER
Q OTHII2 (Please Describe)
6) n • •
? PLEASE HOLD APPROVID PERMIT FOf2 PICK-CP BY ONE OF ABOVE
C7 PLEASE MAIL APPROVID T 1U 1, 2, (?G! 4, APlJVE
(Circle one)
7)
- -,-
!-
F 0 R
PERMZT °: ISSUED
I T Y U S E O N L Y
FEES: $
$
S
S
$ /S rn
$
$
$
$
S
$
$
$
$
i
SE:iLP. PiRMTT (INCLJDL JUP.C:;?RCE)
WATER PERPIIT (INCiuDE StiRCHARGE)
WATER AIETER/COPPERI-tORN/OUTSIDE REaDER
WATER TAP (INCLUDE CORPORATION STOP)
S::vER T??
Ir?Ci:_i"'
i_ .._..
ACCOUNT D£POSIT - F7ATER
WAC
SP C
TRGVK WATER ASSESS22ENT
TRliNK SE4iER aSSESSDIENT
LATEP.'?.L BEivEFIT/TRUNK SE:•IER
LATERtlL BEYEFIT/TRU:IK WATER
WATER TREATMENT PLANT SARCHARGE
OTHER:
TOTAL
AMOU\T PAID/RECEI?T $
?vc ? . S c? •r
OOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY?
? YES I£ YES, THEN n"PERMIT FOR 470RK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOS9ING CONDITIONS:
APPROVED BY:
TITLE:
DAT°_;
/.? 1°/ ?1
fl.nni Vflilr:lli'R - RF.rIlAO r.ronr.sr
ciiv (,r rnr:nn
cI,A1MANT KLEVE HEATING & AIR CONDITIONING
qlmR?;55 13075 PIONEER TRAIL
EDEN PRAIRIE, MN 55344
4396 CLOVER LANE
Lll, B4, EDEN
p,•,.-I?•1 tln./Pnlr 990-03_914190_
P?•;,??„i (vr r,prllt,d UNNECESSARY PERMIT BASEMENS FINISH (DUCTWORK _ONLY)
?J f?rfunci
I Flrrli 1,?n1 1'?rntlY Ol-:JZII ?----_ --
T'rtm1?
I'luml.inr
01-3212 S
------- -
Ilrrlvnndrnl 01-37I1 S ._12.00 -
O1-2155 8
1d:11PT 1'nilllnt'Y?f?ll rPflll?? 20-1711 C _-'---'
Sr1:nf I?nllilrr?'?ntl rFfill?f 70-3741
ArrmttlY Ilr??r?•:l F 20-2252
IIY iI I I C ArCminY OvPr-?'?ymrnt 20-2250 $-- -_-- --
flf lirr! ?
S ??------.. ._
T07'AI. S 12.00
Ir1rr l.Irr unf1pr 1hr t-nnlHn^ ?f 1aw that thi s accnuiit, c]aim or dcmind 1c ,ju^t nnd
tlin? ??o ?nrY of iY I?n? h??n n:i1?1.
0r'TOBER 11. 1990
- -- Ignat?irr ------ -- Untc
. ?._ _-
?
?
city oF esa
an ?
3830 PILOT KN08 ROAD, P.O. BOX 21199'
EAGAN. MINNESOTA 55121
PHON@ (672) 454$100
DATE: Fe6ruary 5, 1986
Requested hy:
Holly
Universal Title
SPECIAI. ASSESS`iE`IT SEaRCH
1
RE= _Fden Addition
. ''• Iot-1-l-Block_4?
BEA Bl0M9lllST
1norQ
- 1HOMAS EGAN
JAMES A. SMITN
JERt7v iN;JMpS '
1HEO00(:E `NaCHTER
Cc?. '?n
THCMAS MEp[ES
Ciry ?amn.noro
EUGENi VAN OvERBEKE
Car C'en
Enclosed herein is the search which you requesced made on the above described property
Kind oi Ir„orove^.:ent yPa._ Beeinnins Orisinal .V^ount Balance Due
San Sew Trunk 15 1974 $62.93 $ 8.46
Water Area 15 1977 62.93 21.03
?
I further certify that according to the records of said office, the following improve-
ments are contemplated or pending after having been approved and are now in the proces
of planning or comple[ion. . . .
Kind of Imnrovemen[ Aooroximate Date of Comnletion Aonrosimate Cost
None
WAIVER: . '
heither the ^.ity of Eagan nor its employees guarantees the accuraey of the above infor
mation Which was requested by-the oerson or persons indicated. Nor does the City or i
employees assume any liability for the correctness thereof. In consideration for the
supplying of the indicated information in the above form and for aIl other considerati
of any nature whatsoever, any claim agains[ the City or i[s employees rising therefron
is hereby expressly waived. Levied assessments to be paid to the CITY OF EAG.a,v,
3830 Pilot Knob Road, P. 0. Box 21199, Eagan, MN 55121. '
.Very.truly yours, • , ' . G'(Le'?'??2?./C/I'`'"?. - . .
SPECIAI. ASSESS:fENT DIVISION • ?
\ THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWTH IN OUR CO!MMUNIiY • •
u RESIDENTIAL
tj ??aU BUILDING PERMIT APPLICATION
cmr oF E?GnN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NawConstructbn Neaulrementa
• 3 registered stte suNeys showing sq. tt. of bt, sq. H. af house; and gu rooted arees
(20%meximum lot coverage alWwetl)
. 2 capies at plen showing beam & window sizes; poured fouM design, etc.)
• 1 set of Energy Calculatbns
• 3 Copies of Tree Preservation Plan N bt pleqed atter 7l1/93
• Rim Joist Defail Options selectbn sheet (bldgs wAh 3 or less und5)
DATE ? ""l 'QL
pemodeNieoair Neauirements + , ? ? 7 '?;
• 2 copies ot plan
• 1 set of Energy Calculations for heated additbns
• 1sAe&urreylore#erbraddttbns&decks
• Intllcate il home served by septic system for aAditions
VALUATION ? ? DD?•?
7ULTI-FAMILY BLDG _ Y -)-- N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT
STREET ADDRESS /dJY / NiCo //Pe
TELEPHONE #?IsSJ-707 6?LS? CELL PHONE #
SS
GAN STAiEAV ZIP U
FAX # QbQ?"?LYb 'Y.K(D
PROPERTYOWNER 5Ge7-T OWARO TELEPHONE#&Sn dsi qs"oio
------------------ ------------------ ------- --------- -------------- ------- --°--°------------
COMPLETE THIS SECTION FOR •%NEWff RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 n
(d submission type) . Residential Ventilation Category 1 Worksheet Submitted •
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Confractor:
Mechanical system includes:
Sewer/Water Confractor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
JUL 1 0 2002
Fee: $90.00
Fee: $70.00
---°---------------------------------°-----------------------------°---°----------------------------------------------
I hereby acknowledge that I have read thls application, staFe that the information is correct, ond agree to comply
with all applicable 5tate of M(nnesota Statutes and City of Eagan Ordinances.???^/??
Slgnature of Applicant QJ'? ?f o
------------------------------------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
--------
? For Qffice Use ----------
?
j Permif /t' Y7 SJ ?? I
? Pertnit Fee: ?
? Date Received : ? -/F j
I
Stafl: ? I
i
2008 RESIDENTiAL BUILDING PERMIT APPLICATION
oate: SiteAddress: 4-3cl(? CZ-DVE(Z Lf3NE _
Tenant:
Suife #:
RESIDENT / OWNER Name: QE H.A??) NA 6.rl3 Phone: b5I - 3aS- 5-1 (6 (
Address/City/Zip: 43?L C_(-0VE<C LI)NE EM GAN W1N SS/2Z_
Applicant is: _ Owner V Contractor
TYPE OF WORK Description of work: UPCf1 CE ozQoF
Construction Cost: 7000 ? Mutti-Family Building: (Yes _/ No x)
CONTRACTOR Name: Lfi6/{r kavsb L uSTO rN ifoMES _ License #: 2 06 30/ od'L
Address: a 1 D?L I f{ E2Q N iv AY STE /p q
city: LH K E U-? L 1- E State: m"J Zip: S SOy y
Phone:oSlo Contact Person: Vk A'R V- KZ PJ Sf4Z
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residentral Ventdation Category 1 Waksbeet • New Energy Code Worksheei
C8S0gOty Submined Submined
(4 5ubmission type) • Energy Envelope Caiculations Submitled
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:
NOTE., P/ans and supporting dacuments-that you submit are considered to be public informatfon. Portions of
ihe information may be classified as non-public if yau provide specific reasons that wou/d permit the CiTy to
concludethatthe are trade secrets.
I hereby acknowledge that [his information is complete and accurate; that the work will 4e in conformance with ihe ordinances and codes of the Ciry of
Eagan; that I understand this is nol a permit, but only an appllcation for a permit, antl work is not lo start without a permit; that ihe work will be in
accordance wi[h the approved plan m the case ot work which requires a review and approval of plans.
\
?- m 6,?k K?NsF,e X
ApplicanYs Prinied Name Applicant's Signature
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