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4405 Clover Lane. -a. . . . _ _ CITY OF EAGAN ?T 880? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 lr ? PH ON E : 454-8100 BUILDING PERMIT -r_ ._ .Y_A '__ Z 0 r ". P LEv Site Adt?r?ss Lot 3 Percel No. . W Name _ 3 AddreIl a citv - Name _ iUe Address ? Receipt $ 35,000 FEBRL'ARY < ?^4 Erect ? Alter ? Repoir ? Enlcrfle O Move p Demolish ? Grade n /155essment _ Wafer b Sew. Pol ice Firo Eng. Planner Council 81dy. Off. _ APC OcCUponcy "-l Zoninq F`' PID) •I Flre Zone Type of Const. V '4 Sq. Ft. Fees Pe?mit ? ? • 50 -? : $urcharge 7 JO ? Plan check? ' 7 ? SAC 525.00 Water Conn. 450.00 Water Meter ? O O Rood Unit Total , 6 2 u . 7 5 Name . ?....,..., .,?,. _..?., Address City Phone I hereby ocknowladge that I have ?eod this application ond stote that the informotion is correct and agree to tomply with oll upplicoble State ot Minnesoto Statutes and Ciry of Eagan Ordirwnces. Sipnaturc of Permiftee A Building Permit is issued to: oll work shoH be done in otcp Buildinp Officiol ? on the express condition Ihnr State of Mlnnesoto Stotutes ond City of Eagan Ordinances. Pormit No. Permit Holder Misc. Permit No. Holder Plumbinp H.V.A.C. wen Watsr • Disp. S?we? Electric ???j 17 ? g i??0 6 ' 0?T 3 ? O Inspedion Data Insp. Other Footings "pr Foundation Framina _??f, Rauph Plbq, Rouph HVAC Inwlation ?/f. ako • Final Plba IJ _S,g ' Final HVAC ,? &) Final Wstsr Deuxibe Location: YVell Sewer ' Pr. D'np. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E : 454-8100 BUILDING PERMIT *., L. ....A s... 1 c)" 4 YL $35,000 N? 8804 Receipt ? r r rintP ,I3'131ZUT:RS' 3 1084 SiteAddresa 4405B CLOVER LANE E?ed ?'p Occuponcy R3 Lot ? E Block 3 SeclSub. FD N;U ' Alter ? Zoning R3 P? Parcel No. i 0- 2 2 7 5 0- 3 6 0- 03 Repai r ? Flre Zone N A Enlorye p Type af Const. V TILSF:?i =?? )_IES IidC. d Name Move ? # $fqries Z Addresa 627 SO. SNELLIiIG Demolish p Length 4 3' 8 ? City OT• T'AUL phone 6 9 8- 5 5 O 1 Grode p Depth 32 Sq. Ft. 99 Zo ou U? ? Name _ Address Phone ? .. _.u?? ?:? laVl'.WJ ? .??v?.. ? WW Name H i? Address ? 77 7 -: 2 024 - ? Z. City Phone I hereby ocknowledge that 1 have read this application ond stote thot the inlormotion is torrect ond agree to tomply with all applicable Stats of Minnesoto Statutes and City of Eogan Ordinonces. Assessment wdfBf & 5lW. Police Fira Enq. Planner Ccurxil Bldg. Off. /1PC Fee• '' 7150 Permit .. 1 / J O $urchOrpE • Plan check ? SAC . ? O Wafer Conn. -- -7711 ? Water Meter Rood Unit Totol .. ., . 5 5ipnoturc of Pe?mittee _, I /1 Building Pertnit is issued to: on tlw expmss corwdition Ihnr all work shdl be dona in acwrda4e wlth all appficable State of Minnesota Statutes and City of Eaycn Ordinonces. Permit No. Permit Holder Misc. Permit No. Holder Plumbing 1 ? v' A H.V.A.C. We11 Weter Disp. Sewer ElM.ic y?? 94 oP,'T?o 5?elg?f o. ?o InWeetion Date Insp. Other Faotinyt -0-fy Foundation Framing Rouph Plbq. Rouyh HVA 1 nw lation Final Plbp. ;7.IS-iry a ? . - Final HVAC Final Water Dewibe Locatian: Wail .%wer Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 56121 PH ON E : 454-8100 BUILDING PERMIT , 1 OF 4 PLEX 35,000 Site Addreas 6407 CT,OVRR T.ANF Lot 3", Block 3 Sec/Sub. •DF.N 1,DD . ParcBl No. 10-22750-340-03 W Name ; Addre b City _ ac io OU u? ? Name Address City Phone ??+ Name - - .._.- .? ...._ ? ?_?... W xt3 Address v W City Phone ' ' ? 1 hereby ocknowledye that I hove read this opplicotion and state that the informotion is torrect and ogree to tomply with OII opplituble Stafe of Minnesota $totutes and City of Eagan Ordinances. Siqnoture of Permittea A Building Permit Is issued ta _ m?? s .1 •,.,?? oll work sholl be done in otcordante wit all opplitable 5tote of Mir Buildinp Officiol _? Recelpt # Erect 0 N? ssor ?'/ y?L /11ter ? Zoning _ Repoi? Q Fire Zone _ Enlorge 0 Type of Co Move Q # Stories Demotish p Length - Ft. Assessment Permit `_ . 5 3 Water 8 Sew. Surchorpe 17.50 Police Plon check 107.75 Fire SAC 5 2 5. CO Enp. Woter Conn. 4 5 tO • 07 Plonner Woter Meter Council Rood Unit Bidg. Off. /1PC Total on the express c.ondiNon thnt ssoto Stotutes ond City of Eopan Ordinances. Psrmit No. Permit Holder Mise. Permit No. Holder Plumbinp H.V.A.C. C4 jbQ 4 WaII Water 1 Disp. Sewer E kctric Inspaction Date Insp. Other Footingc ?,' ?_ ? ; : -• Foundation Fnminp Rouph Plbp. 1 g ? ?¢ RouQF+ HVAC ?F Inwlation Final Plba Final HVAC ?s s / Finsl W?r Descrihe Location: Well 5awer Pr. Disp. CITY OF EAGAN 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? PHONE:454-8100 ? . BUILDING PERMIT Receipt Te be we4 for ]_ O}' 4 PLEX Est. Value ? 35, 000 pa,re F ?:B RUARY ? 19 ° 4 Site Address 440713 CLOVER LP21r Erect 6 Occuponcy R3 Lot 3-1 Biock ? Sec/Sub. EDE`1 AbI?I^_'IO!':. qlter ? Zoninfl R3 (PD ) Percel No, 10-22750-330^03 Repolr p Fire Zone N r' Enlorpe p Type of Const. V oc Name TILSEN HOI'1ES , INC. Move ? # Stories Z Address 627 SO. SNELLII.IG _ per,wl;sh p Length 43' 8" ? City ST. PAUL phone 6 9 8- 5 5 01 Grade p Depth 32 Sq. Ft. SAM Na ApProvals F?es me ?? Addreu Assessment Permif 211 J ' .,O ? City Phone Water & Sew. Surcharye tw TILSEId F'.O''iES, I.C. Polite ?0 Plon check525 W Name rui Firo . SAC i? Address u 777' 4 2 C4 Eny. Woter Conn. 450.00 -?? ? W City Phone Plonner Woter Meter 250.00 Council Road Unit I hereby ackrawledga that I hove reod this opplication ond stote thot Bldg. Off. I the intormafion is correct and ugree to comply with oll opplicable ApC Totol ' 1?? Z`? .75 Stote of Minnesoto Statutes ond City of Eogan Ordinonces. Slpnoture of Permittee /1 Building Permit Is issued to: on the express condition thno oll wo?k sholl be done in occordanas with oll opplioobl4_Stote of Minnesota Statutes ond Ciry of Eogan Ordinances. Bulidirp Officlol fS) Permit No. Permit Holder Misc. Psrmit No. Holder Plumbinq ?- l H.V.A.C. ?e ??-. w.u Watsr Disp. Sewar Ekctric 12 00 ?fj (11 S 3p' .?Q Inspeetion Date inap. Othar Footin¢ ?j Foundation Fnming / [RoughPtbg ,ouyh HVA Inwlation ? Final Pibs, Final HVAC Final f6 (? Water Desaibs Loeation: VYell ? Snwr Pr. Disp. . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 {?a 163,26 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for RE-81" Est. Value =s9fl00 Date .11J1. T ZO ,19-09 Site Address 4407-3 ?U IM Lot 33 Block 3 Sec/Sub. mm OFFIC E USE ONLY ` Parcel No. oaupancy - Fees W Name ??? ?$= Zoning (Actual) Const Bldg Permit 72?? ? Addfess "07'B CLOVEa LM - (Allowable) - . 50 2 City "G" Phone # or stories - Surcharge 9 Plan Review o Name K J COHSTRU+CTIOK Lenglh _ DePih Cit SAC o' ?a Address 7?1 ?? A? S - S.F. Total - , y ? City RICHFIRLD Phone ""300 S.F. Footprints - SAC, MCWCC t C W F On Sile Sewage _ er onn a yVj W Name On Site Well - W t M t er er a e . ? ; Address newcC system _ i W City Phone Cily Water _ Aect. Deposii PRV Required _ S1W Permil I hereby acknowlege thal I have read this application and sta that the information is correct and agree comply with all .app?"Ca State oi Minnesota Statutes and City?of n Ordiri?ince?. ? BoostQr Pump - S/W Surcharge Treatment PI 5ignature Of Permitee ? ?% APPROVALS Road UNt A Bwlding Permit is issued to: K '? ?mumom on the express condition Ihat all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ; Pianner - Council gldg. pry. _ Variance - park Ded. Copies TOTAL 4.50 r?_ Permit Ho. Permit Hotder Date Telephone # WATER SEWER PLUMBING H.V.A.C. EIECTRIC Inspectioe Date Insp. Comments Footings I foundatan Framing R°°fing Z: a qpugh Plbg. Rou9h Htg. Isul. Faeplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. ? CITY OF EAGAN Remarks Addition_EdPm Adtii t; on Lot S5 eik 3 Parcel #70 22750 350 03 Owner - fT_r ,t r Street 4405 Clover Lane State Eagan M 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. (P ? 19$2 504.70 1.40.94 5 201.88 STREET RESTOR. GRADING 46.6 93.22 A 014257 7 18 84 SAN SEW TRUNK S! 197 62.93 2 15 16.84 A 014257 7/18/84 • SEWER LATERAL ti if WATERMAIN * WATER LATERAL 1982 WATER AREA 29 * STORM SEW TRK 182 2 6. 00 1.20 102.40 A 014257 7 18 84 # STORM SEW LAT 1982 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 450.00 of it BUILDING PER. 805 SAC PARK CITY OF EAGAN Remarks Addition Ear?n-Add}?i,n? Lot Rik ? Parce?_ ?10 22750 360 03 Owner -?; ?j ? (..?<<- Street 4405B Clover Lane State Eagan I4II?1 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 1982 504.70 100.94 5 201-88 4394 8-8-84 STREET RESTOR. GRADIRfG 1982 232.99 46.60 93.22 A014394 8-8-84 SAN SEW TRUNK 1974 62.93 4.20 15 16.84 A014394 8-8-84 • SEWERLATERAL (C 1982 279.29 5 758.59 A014394 8-8-84 WATERMAIN • WATER LATERAL 1 82 WATER AREA 1977 52.93 4.20 15 29.41 A014394 8-8-84 Services 1982 STORM SEW TRK 9j 1982 2 6.o0 1.20 102.40 A014394 8-8-84 '1F STORM SEW LAT 1982 5 CURB & GUTTER 51DEWALK STREET LIGHT 250.00 41400 2-8-84 WATER CONN. 450.00 ot n BUILDING PER. ARoA SAC PARVC CITY OF EAGAN Remarks Addition_Q?? Lot 34 BIk 3 Parcel #10 22750 340 03 owner • street 4407 Clover Lane state Eagan MN $5122 Improvement Date Amount Annual Years Payment Receipt Oate STREETSURF. G . 10U.94 5 100.94 A014856 11-19-84 STREET RESTOR. GRADING 1982 232.9 46.60 46.63 A014856 11-19-84 SAN SEW TRUNK 12.65 A014856 11-19-84 • SEWER LATERAL 1982 1896.46 .2 9 5 379.30 WATERMAIN * WATER LATERAL 1 ? WATER AREA 25.22 A0148 6 11-19-84 Services 1982 STORMSEW TRK 1982 256.g0 51.20 5 51.20 A014856 11-19-84 • STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT Z WATER CONN. 450.00 i? n BUILDING PER. 8804 SAC 525,00 PARK CITY OF EAGAN Remarks Addition Fdgfl Addition Loc 33 sik 3 Parcel #10 22750 330 03 Owner '?? `` ? - Street 4407B Clover Lane State Eagan M 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. . - /uo• 9y STREET RESTOR. GRADING 1? 2?.9 46.6Q 5 '/6 63 SAN SEW TRUNK !A ,(p 5' 9F SEW ER LATERAL 1982 18 6. 46 3T9.29 •?, p . WATERMAIN f WATER LATERAL 1982 rj WATER AREA " J- * Services 1982 5 STORM SEW TRK 1982 256. oo 51.20 5 * STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT 250.00 41400 2- - WATER CONN. 4SO.00 9UILDING PER. SAC PAR K Raceipt ' I y I I CI MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Prini legibly 1. Date ` 2. Installation Cost 3. Jab Address ' - Lot Blk. Permit No. - ? - Fee S/C Tot. 3 Tract I I (I Y r\ 4. Owner 5. Contractor Phone 6, Address 7. City $. Building Type: Residential ? 9. Work Description: New n State Zip ? Commercial ? Institutional ? Add ? Alier ? Repair ? 10. Describe Fuel Type 11. No. . ? Eauipment 9TU - M. Ea. Forced Air No. Enuipment CFM Ai H dli Mfg. r an ny: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Qutlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes goveming this tVpe of work. Signed : ' for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 / , ? - - ? /_ Reoeipt ? ._ PLUMBING PERMIT Permit No. ? `- `P ? ., CITY OF EAGAN Frll in numbered spaces S/C ? Type or Print /egib/y Tot. 1. Date 4-9-84 2. Installation Cost 3. Job Address4405 ?;lover LaneLot 35 Blk. 3 Tract 4. Owner`1'ilsen lIemes Inc_ 5. Contractor ii$lph 's Plumbing Phone 429-1733 6. Address 99000 KeBxiCk 7. City State Mn. zip 55082 8. Building Type: ResidentialX0 Commercial O Institutional O 9. Work Description: New ? Add O Alter D Repair ? 1 10. Describe 1 11. No. 1 Fixtures Water Closet No. Fixtures Cesspool/Drainfield 1 Bath tubs Se tic Tank 1_ Lavatory p Softner Shower Wel l 1 Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply w' II ordinances and codes governing this type of work. Signed : i ' for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464$100 Receipt Q)?e 1 PLUMBING PERMIT Permit No. 2 ? CITY OF EAGAN t Fee FiII in numbered spaces S/C ? Type or Print legibly Tot. 1. Date G 2. Installation Cost 3. Job Addresfj--?7?5?1^?/J??g,ot <?, ( Blk. J Tract " r?- '- ? ?. 4. Owner )?A?fG?7 5lN??6.4/?j 5. Contractor/7",' 1/3.elx Phone 6. 7. City --- State _ _----- Zip -- 8. Building Type: Residential EJ Commercial ? Institutional ? 9. Work Description: New>O Add ? Alter ? Repair ? 10. Describe /A.J?i ?f ?;:" F? !.?! f• I 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softne r 5hower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : Rough Inspections: Date Insp. for Final Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 Receipt MECHANICAL PERMIT Pe rmit No. , CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibJy Tot . . 1. Date 2. Installation Cost 3. Job Address Lot "?. Blk. ? Tract i 4. Owner _ I 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential O Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter O Repair ? 10. Describe Fuel Type 11. No. Equipment 8TU - M. Ea. Forced Air No. EQUiament CFM Ai H dli Mfg. r an ng: 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 I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt??' ' PLUMBING PERMIT Permit No. CITY OF EAGAN Fes fill in numbered spaces S/C Type or Print legibly Tat ` 1. Date 4-9-84 2. Installation Cost ? .r . 3. Job Addres4ilF4,5 3 Clover Lot36_Bik. 3 Tract f7 ?, ne 4. Owner 'i ilsen Homea Inc. 5. Contractor Ralpr1 9 8 PZllAlbdIIg Phone 429-1733 6. Address 9900 KCS?tiCk 7. City oti11u8teT State klri. Zip 55082 8. Building Type: Residential 7EJ Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter 11 Repair ? 1 10. Describe 1 11. No. Z Fixtures Water Closet No. Fixtures Cesspool/Drainfield 1 Bath tubs $eptic Tank 1 Lavatory Softner Shower Well 1 Kitchen Sink Urinal/Bidet Other 1 Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : - i '. +L /' " for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved _ CITY OF EAGAN 454-8100 Receipt iL-- PLUMBING PERMIT Permit No. I-? U 0' CITY UF EAGAN Fee-isgAt Fi!l in numbered spaces S/C Type or Print legibly Tot. 1. Date 4-9-84 2. Installation Cost 3. JobAddress -- '?ot ^Bik. 3 Tract 4. Owner ii1s6R1 liOID@8 IIiC. 5. Contractor 1,a1ph's Plumbing Phone 429-i?33 6. Address 99M Keswick 7. City ?:tillxa,ter state mn. zip 55082 8. Building Type: ResidentialxO Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 1 10. Describe 1 11. No, Fixtures Water Closet No. Fixtures Cesspopl/Orainfield Bath tubs Septic Tank ? Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other 1 Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ? ? .!. .4 for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 Receipt MECHANICAL PERMIT Permit No. q CITY OF EAGAN Fee ? Fill in numbered spaces S/C Type or Prinr legrbly Tot. 1. Date - 2. Instaliation Cost 3. Job Address Lot-1 I Blk. Tract??- ' 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential El CommerCial ? Institutional ? 9. Work Description: New El Add ? Alter O Repair ? 10. Describe ( ••_`?C ?S- ...% { «,??r. ? e . Fuel Type (_o 11, No. E.quioment STU - M. Ea. Forced Air No. Eauipment CFM Ai Handli : Mfg. r ng 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 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 464-6700 Receipt Lf P)U' J MECHANICAL PERM17 Permit No. J v ?_ ?4 CITY OF EAGAN Fee ? Fill in numbered spaces S/C - ? Type or Print /egibly Tot. 1, Date //- ?- ay 2. Installation Cost - 3. Job Address ? i.? ?• Lot ? J Blk. Tract Ta 4. Owner 5. Contractor ., . ? ' c / ?c ????•. i/?lr Phone ? 6. Address ?? i 9 % ? ? , , ;. ; ?. /? ;? ? 7. City State Zip 8. Building Type: Residential C" Commercial ? Institutional ? 9. Work Description: New C3" Add O Alter O Repair ? 10. Describe Fuel Type 11. No. Eauioment BTU - M. Ea. Forced Air No. Equipment CFM Air Handling: Mfg. Boilers E h Mfg. Mech. x aust Unit Heater Mfg. Otfier Air Cond. Mfg. ? Gas, Piping Outlets 12. I hereby certify tfiat the above information is true and correct, and I agree to comply w' o dinancespnd ¢odss governing this type of work. Sign4: ?.?'I.? - - : ;? ? ?`?'r//C • ?. for Fiough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. ,' ,.:/(' ' CITY OF EAGAN ? ? Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 4-9-$4 2. Installation Cost 3. Job Address 4407-J3 Clover Lot 33 Blk. 3 Tract l 7 c/ d 4. OwnerTilsea liom98 IriC. 5. Cantractor - - Phone 429-1.'j"3 ; 8. Address 9900 KeswiCk 7. City :-,tillwater State As n• Zip 55082 8. Building Type: Residential -10 1 9. Work Description: New ? 1 10. Describe Commercial O Institutional ? Add ? Alter O Repair O No. Fixtures Water Closet No. Fixiures Cesspool/Drainfield ? Bath tubs Septic Tank 1 Lavatory $oftner Shower Well 1 Kitchen Sink Urinal/Bidet Other 1 Laundry Tray 1 Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets ` 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ? for Rough Final Inspections: Date Insp. Date Insp. ? This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN N. ? 8804 • ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-8100 BUILDING PERMIT Recelpt To 6e wud for 1 OF 4 pL EX Est, Value $ 3 5, 0 0 0 Date FEB RUARY 8 1 9 8 4 Site Address 4405R CLOVER LANE Erect 113 Occuponty 1z 1 Lot 36 elock3-Sec/Sub. EDEN ADD. /hiter ? Zoniny R3 (PD) Parcel No. 10-927S.Q-36n-03 Repolr ? Flre Zone N/A oc Name 11L?J1J1Y 11VL'liJ?J lL?t. • W ; Address 627?. GNEr.T.j? b citv ST. PAUL pnone 698-5501 o Name SAME ?? Addreu ? City Enlorpe ? Type of Const. v Move ? # Stories Demolish ? Length 4 3 Grode ? Depth --32-Sq. Ft. Aovrovcls Faes Assessment - Water 8 Sew. Police Firo Enp. Plonner Council Bldy. Off. _ APC Permit +1 L 17 . 7 V Surcharge 17 . 5 0 Pton check 107.7 5 5AC 525.00 Water Conn. 450. 0 0 Water Meter 6 3. 0 0 Rood Unit 250.00 Name ...,..??. ... f Address City Pnone 777-4204 1 hereby ccknowledfle that I have read fhis opplicotion ond stare thet the informotion is correct ond ogree to comply with oll applicoble State of Minnesota Statutes ond City of Engon Ordinances. Sipnoture of Permittee I /1 Building Pertnit is issued to: • all work sholl be done in atco Toral $1,628.75 on the express condition thnt Stote of Minncsoto Statutes ond City of Eogan Ordinonces. Bulldinp Official CITY OF EAGAN • 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 N? ? 8803 PHONE:454-8100 ?/ 7?v BUILDING PE RMiT Receipt # // Te be wad ior 1 OF 4 PLEX Est. Value $ 35 f 000 pate FEBRUARY 8 1984 Site Address 440 5 CL OVER LANE Erect 0 Occupancy R3 Lot 35 Block 3 Sec/Sub. EDEN ADDITION ^lter 0 Zonin9 R3 (PD) Parcel No. 1 0-2 2750-350-03 R oir N/A Fi Z ep ? re one l V En arpe ? Type of Const. aWc Name TILSEN HOMES INC. Move ? # Stories i Address 627 SO. SNELLING ' pemoiish ? Length4 3' 8" city ST. PAUL Pfione 698-5501 Grode ? Depth -32_Sq. Ft. o Name SAME wpprovow i uu Address Assessment _ ? City Phone Woter & Sew. F? Name TILSEN HOMES Police Fi re _? Address E ?, ? W city Phone 7 7 7- 4 2 0 4 Planner Council I hereby acknowledge that I hcve read this upplicntion ond state that Bidg. Off. _ the informotion is wrrect cnd agree to comply with oll applicubla Stote of Minnesota Stotutes and City of Enqan Ordinnnces. APC Permit S 215.50 Surtharge 17.50 Plan check 107.75 SAC 525.00 Water Conn. 450.00 Woter Merer 63.00 Road Unit 250 . 00 Totat $1,628.75 Sipnafure of Permittee f A Building Permit Is issued to: TILSEN ?Ir} on the express condition that all work sholl be done in acc onte with ap li • ble Stote of Minnesota 5tatutes ond City of Eaqen Ordinances. BuildinQ Officiol f? Q^ BUILDING PERMIT To be used for RE-ROOF CITY OF EAGAN ND 16826 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 Receipt # C YD Est. Value $5,000 pate JULY 20 Site Address 4407-B CLOVER LN Lot 33 BloCk 3 Sec/Sub. EDEN OFFICE USE ONIY PBfCBl NO. Occupancy - FEES Zoning - W Name EAGAN HOMEOWNERS ASSOC (Actual) Const _ Bldg. Permit 72.00 I o Address 4407-B CLOVER LN (Allowable) - 2 50 . 5urcharge City EAGAN PhOne # ot Siories - Plan Review Lenglh _ o Name K J CONSTRUCTION Depth - SAC city , U Address 7501 PENN AVE S S.F.7otal SAC, Mcwcc ¢ City RICHFIELD Phone 869-4300 S.F. Footprints _ Water Conn On Site Sewage _ F W W Name On Site well - W ter Meter ?? Addf6SS MWCCSystem a _ a W City PhOne Cily Water _ ?t. Oeposit PRV Required _ S/W Permit I hereby acknowlege that 1 have read this application and sta e that the Booster Pump - S/W Surcharge intormation is correct and agree comp with all a ca e State of Minnesota Statutes and Ci o1 n Ordi nce . Treatment PI Signature of Permitee APPROVALS Road Unil A euilding Permit is issu d to: K J CONSTRUCTION Planner - Park Ded. on the express condition that all work shall be done in accordance with all Council _ applicable State of Minnesota Statutes and City of Eagan Ordinances. Bidg. Olt. _ Copies Building Official 7? Ml. fi D ? j ? ? Variance - TOTAL 74.50 CITY OF EAGAN N00, 8806 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING 'PERMIT Rece+pt # yalue Te b* wwd Mr 1 OF 4 PLEX Et $ 35,000 pate FEBRUARY 8 lq 84 , , SiteAddress 4407B CLOVER LANE Erect ?5 Occupancy R3 Lot 33 Block 3 Sec/Sub. EDF:N DDI TInN. AIter ? Zoning R3 (PD) PercelNo. 10-22750-330-01 Repoir ? FircZax NlA l E f Co T t v urpe ? n ype o ns . oe Name TILSEN HOMES, TNC Move ? # 5tories Z qddress 627 SO SNELLING _ Demoiish p Length 4 318 ? City ST . PAUL phone 6 9 8- 5 5 O 1 Grode p Depth 3 2 Sq. Ft. ? N SAME Approvals Fees Zi- Ou u? ? ame _ Address Name _ Address City _ Phone I hereby acknowledge thof I have read this opplication ond state thot the inlormution is correct and ogree to tomply with all applicnble State of Minnesota Statutes ond City of Eogon Ordinonces. Assessment Permit $ 215 .'J U Water & Sew. SurcFwrge 17 . 50 Police Plnn check 10 7• 7 5 Firo SAC 525.00 Enp. Water Conn. 450.00 Plonner Woter Meter 63.00 Council Road Unit 250.00 Bldg Off. . NPC Torol $ 628.75 Sipnoture of Permittea A Bullding Permit Is issued to: TILSEN HOMES INC, on the express condition thn+ otl work shatl be done in accordor4570tth al) opp)ftpble Stote of Minnesotu Stotutes ond Ciry of Eogan Ordinnnces. Building Official CITY OF EAGAN ?T - ? 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 1r ? 8805 PH ON E: 454-81 d0 BUILDING PERMIT Te be ?d fa 1 OF 4 PLEX 35,000 SiteAddresa 4407 CLOVF.R T.ANF Lot 34 Block 3 sec/sub. .nFN DD. Parcel No. 10-22750-340-03 oe Name ? Addre I... o Name _ 8u Address 1- City - 698-5501 _ Phone Name Address Citv Pnone 77 7' 4 2 0 4 1 hereby acknowledge that I hove reod this application ond stote that ihe informotion is correct and agree to comply with oll oppiicoble Sfate of Minnesoto Stotutes and City of Eogan Ordinances. Slpnature of Permittee A Building Vertnit Is issued to: TIT. oll work shall be done in accardonce wit oppli ?H01,4e e Buildinp Official Receipt * 7/ r ? Ercct $] Occupancy 1`-' Alter ? Zoning R3 (PD Repoir ? Fire Zone N/A Enlcrye ? Type of Const. V Move ? # Stories Demolish p Length 4 3' 8" Grade ? Depth 32 Sq. Ft. Aoororals Fees Assessment Water 8 Sew. Pol ice Fire Enfl. Plonner Council Bldg. Off. APC permit $ 215.50 Surchorge 17.50 Plan check 107.75 sAC 525.00 Water Conn. 450.00 Woter Meter ?Q Q Road Unit U?? Torol $1, 628 . 75 on the express conditlon thal Stetutes ond City of Eapen Ordinunces. ;? . Assessmen Goittractor: TI L ?? "` 1c, rqater/sewer padress: t?7Z -1 ?•r? ?`n? ?'^A . Police City/ZiP Code= Fire Eng. t ". . Rlaruner Phone #: ? uncil Arch./Eng.: ?.Mcf, -71 7-4-3D4g dg. Off. APC. Addre35: City/ZiP Code: . . phone #: _ o? 'Ib Be Used For T-nvR--'pLlla?' Valuation ??.? OFFICE USE dNLY Site Address Lot 33 Block Sec./Sub. E_Za&_-Atjv. Erect OccuPancy - o f? Alter Zoning Paroel #: ) - g??dix Fire Zone Enlarqe 'IYpe of Const. f pwner; ? Move # Stories ft. pemlish Front ft. Ac3dress: Grade DePth ? ? --' City/ZiP Gode: PhOne # : APPR3VP?S FT:ES +-?- Pexmit ?2 /S .• - Include 2 sets of plalls r '. ' CITY OF ?? 1 site plan w/elevations 6 BUILDING PEF?ITT ?'PLIC?TT? 1 set of ener.qy calculations. Date 2 - 3 - 8A Surchar9e ._ Plan Check . SAC Water Conn. Water Metex gcad Unit _ wrAL )61.P- ?F-0 5' Include 2 sets of plans. CITY OF EAGAN 1 site plan w/elevations & ICATTON PERNIIT AI'PL UILDINC ^ 1 set of enerqy calculations. , - - B o n e, v r, ,4- -- i . ? T 3S?DG 3- pate z .---- on _ valuat 'Ib Be Used Fbr O? '?•??2-P1?? ? ' OFFTCE USE ONLy Site Address 34 B1orJc Sec./Sub. ?AF?1 A-+?• Lpt Fxect ??'Pa`n?' _ . 3?f o?3 Paroel #: ------ -- Alter g,epa'i„r ? Zonirx3 Fire Zone _ Enlan3e 'IYpe of CAnst. pwner; Move # Stories ft. '?3 ? Address: Den?olish ft. Front ? 3 Grade ?p? City/Zip Code: PhOrg # : APPR?7VAI.S FEES Perntit ,;?73?11 Cbntractor: Assessnents Water/Sewer ?- Surcharge : ?n???rP? l -l ? Police Plan Check ? , Z Ackiress: ?,? l 1 b City/Zi.P Qode= t)"? ? . Fire Eng. sic ?- Water Conrt. ??,5 r? 3 PhOne #: g1anne 1 Water Nleter G RDad Uriit 1. ?Tl L.SE?.1 r?r?e S Z Arcfi , f Eng .: t ldg. Of f. _ APC- City/ZiP Coae: phone #: TorrAL j ?:: " =:- •€ . ??- - CITY OF EAGArl nrtTi TtiTAiC-- PT:WTT Af'PI,ICATiON ? .10 Include 2 sets of plans, 1 sit:e plan w/elevations & 1 set nf energy calculations. City/Zkp Code: mrAL -- phone #: p_g'BQ? ? Include 2 sets of plans? ? • CITY OF FAGAN 1 site plan w/elevations & BUILDING PEFdgT Ai'PLICATiON 1 set of energy calculations. Or1E v ? ?Y ?? . Zb Be Used For __ Valuation Date 'z - - SE r*JT.Y OFFICE U ? Erect pccupaincy ? Alter ? ??? iZepai,X Fire 7.one Ehlarye ? ZYPe o? Gonst Mbve - # Stories ft. Demlish Front U 3 ? ?p? 3 f t . Grade Taater/Sewer Police Fire En3 - Planner Council gldg. Off. APC. P lan Check . SAC Water Cann. Wat,er Meter gpad Uriit _ To?r?, ?.?' ?..?- CITY OF EAGAN WATER SERVICE PERMR 3820 Pilot K'•nob Road 5415 P. O. Box 211..9 PERMIT NO.: Eagan, nAN 55121 pATE: 4-19-84 Zon;np: R4 No. of untts: 1 of 4p lcx Ownwr: 3[11 aen Homea r No.: 3?/ a. Connection Q+orge: 450.00 pd u; ,S/9 " /cCOUnr pep,sit; 15.00 pd Readsr No.: 4q LG -1 3 `/ 7 Permit Fse: 10.00 pd 1 qeN h aarolp wNh 1M Cihr of fyew Surchargo: .50 Pd OrManeem Mjw, pqrgm 63 _ 00 nd metE Total: gy Dots Pafd: Date of Inap.: - Insp.: CITY OF EAGAN 3830 Pilot Knob Road P. O. BoK :.:199 Eagr:., MN 55121 Zoninp: Owner; Iflsen Ilomes Addross: Srte Address: 4405 C2over LE Plumber. ''11nh's ?'IL•s* ._'-3-r,•? ?'. f Ia'rw te asnt* wkb !he Cily ef Easas OrAlneeon. By Dote of Insp.: SEWER SERVICE PERnniT Na.: 6605 37 ,,.. DATE: No. of Units: i Conntction Clha?ge: /lccount Depoalt: Permit Fee: ' Surcharye: ' Misc. Chorpes: Total: Dah Roid: ? xecsIveo CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT ? I n. noL I-aRs White-Payers CopY Yellow-Posting CopY Pink-File CopV CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 5414 P. O. Box 21199 PERMIT NO.: 4-19-84 Eagan, MN 55121 D^TE: o.?infl: R4 nar: T2IY Ti japn Hnm No. af Units: a 1 Of 4p_? "? ress: ite I?ddrcss: 4407B Clover La ne U B3 Eden A ddn RalUh's Plbe umber . _ Mehr No.: 3 il (o F l'7 9?/ Connectian Ghcrga: 450.0Q Dd Slu: " ?? Accaunt Deposit: 15. 00 pd / Reoder No.: 6 8' L63 8 6 3 Permit Fee: 10.00 pd 1 ym to aow* wilG !Iw Gry of Eayan Surcharge: .50 Ad Ordis.ACw. Mtsc, Choroes: 63.00 ud metc Totol: gy ^ Dote Pcid: Date of Insp.: IrMR: . :? -:iv 4 1 1'J:l 1 eyno to eom* wilh !M Gep of EooaA Ordiwonaa. CITY OF EAGAN SrV1lE1t SERVICE PERMIT 3830 Pilot Knob Road ; . •-?. ' P. O. Box':1199 PERMIT NO.: Ea n, MN 55121 DATE: Zoninp: `t4 No. of Units: flEf: Tolti i iLYae° al V AddYCSS: Site Address. 1107B {:ic?ver C.n-!e i..i 'z ::ien A-.;dd Plumber: `' a' 2ihss P1bp BY ? Qata of Insp.: I nsp.: Connectianaorgs:._.. 425,011 ,._ Atcotmt Deposil: 1 5 • Du Permit Fes: F 0.00 pci Surohorpe: .50 pd - Misc. Chorges: Total: - Dote Poid: Tha?k-You ?' a B Y CITY OF EAGAN WATER SERVICE PERMR 3830 Pilat Knob Road P. O. Box 21199 PERMIT NO.: 5413 Eagan, MN 55129 DATE: 4-19-84 zw,i.g: R4 No. of Unir:: 1 of 4vlex ? Owner. Ti1SeT1 Holues llddross: Sire Address: -4407 Clover anQ L34 B; ??dRn ed.r P mber: R ' s P1 --- -..i' r No.: ?- ?. ?S_ ConneCtion Chorge: ?IDZ .450 d Stze; ? ? AccouM Deposit: 15 . 00 pd Reade No.: 2?L. 3 9 7 0 Permit Fee: 10.00 pd I ssme to QOM* wftb 11w Ciry ef Eayaw Surcharye: .50 pd OndiwoneM. Mtsc. Chorflss: 63.00 pd _ Totcl; , BY ? Date Paid: Dote of Insp.: Irop.: 1 o a? ??,( TY OF EAGAN SIEWER SERVICE 130 Pilot Knob Road 0. Box 21199 . PERMI7 NO.: gan, MN 55127 pATE: ninp: -? No. of Unifs: Addreu: r Ratpil's Y1LIF, 2-8-34 4141)1) to oauolq wilh N6 Gy of Eogen of Insp.; 100.40 ncf Conneetion Choege: 4 Account Deposit: i a.0 0 nc: Permit Fee: - 10 UO vd Surchorpe: Mlsc. (hanpea: ^T Total: Dote Paid: •? ? CITY OF EP,GAN WATER SERVICE PERMIT 3830 Pilot Knob Road 5416 P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 p,,TE; 4-19-84 zoniny: R4 No. of unirs: 1 of 4p?eX pwr1er; T lsen Home rass: S Addross: 440SB Clover LSIIe 11,16 0F=,lpn Aricln --- iPluU_Wr mbar: Ralph's Plb? No.: ?3 y a, ? a o 6 3 c??i? cha.?: .. 15. o ? pa Siu: S /kc°unt D°postt' 10. QO pd Raader o.: a Permit Fee: 1.lrv. to eomVlp S. citp Of bSOs surchwr9*: .50 pa Misc. Choroes: 63 _(Hl nd met E Of??M Totol: gy Data Paid: Date of Insp.: L - I^sP.: CITY OF EAGAN SEVVER SERVICE PERMIT 3830 Pi1ot Knob Road P. Q Box 21199 PER14{IT NO.: F ?'? Eagan, "IIN 55121 p^TE; 4 -19 -- S Zoni^g: :I4 No. of Units: ? O - 4n1Cr Ownar: ; ils8'A ;td?es Address: . "- 5rte Address: 4405B Clover La*t4 i,36 B3 !:den Adsn Plumber: RSlph '8 Plbv? --- - - ..-. -.?-?_u aVV.VV ' Iegra to eomPy wNh tM Cil?r of Ea9aA Connectlon Char+ps: 4 2?. 90'; ?rdieeeoa. Atcount Deposit: 1• pd T ParmR Fae: 1, Surcharya: - S Pd BY Misc. Chorpas: Date of Insp.: Tota1: Insp.: Uate Pold: .h,s reques[ void ?, 3? ? 18 rcwnths Irom A 4 8 L3? 8 3 Ed a aC,?( u V 0, 0 Pequesc Date Fire No. Rouph-'n I N e?j ved> nsVecLnn ?ReaAV Nov}?WiII Notrty Inspeo- 5-24-1984 . ? `?'i' s ?Na tur Whan Kaady )aLicensed Electncal ConVactor I heraby request inspacHOn ot aoove am.-?.i?a1 wnrk iristelled aC ? w.1.1 CQY Sveet AAAress, eox or Route No. 4405 B. Clover Lane Eagan ecuon o. Townshi0 Name or Na. Hanpe No. County I I Dakota Occupant (PRMT) Phmie Nn. Tilsen Homes Power Suppl,er .4ddress Farming ton Dakota Ct ' al Coniracmr iCompany Name) Electnr s License No. Contrar.tor . O.B. Thom son Electric Co., Inc. A40602 Madmp Address ICOntrnr,tor or Ow?er Makinp I nstailatmnl 12201 M?ka Blvd. Mtka 55343 Auffinr¢eA Slgnature IConVactor Owner Makinu In5talldvnN { x,ra Phone Number 933-2521, . 3 ocnucct wu 1 unr MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midwey Bldg. - 0.aam N-191 1821 UniversitY Ave.. S[. Paul, MN 55704 Phane (812) 297-2117 BE ACCEPTED BV THE STATE BOARD UNLESS PHOPEN INSPECTION iEE IS ENCLOSEO. 6 REQUEST FOR ELECTRICAL INSPECTION gf% Ea-ooooi-oa - ' See inslructims for comple4 -'i'e-!=4- on back oi Yellow coOY• 111 a Oy n id oono ••r• aai??., w.,.k Cnvered bv This Request Fdcf Rep. TVpe of Building Ao0l.ancne Wi?ed ent Wired ' g ' Home X Range Service Duple,x Water Heater ixtures Apt. Bufldmg Dryer i eaLn m Commercial eldg. }( nace Q. ?j0 Fur der Industrial Bldg. Av CondiLOner Tank Farm X o??,? utvl thr.r I Vcufy Ot er 4.0//I(JUIC /na?eouvn i cc oci?.. p Fee Service Entrence5ize d Fee Feeders?5ubfeeAers H Fex Crcmts 1 p(JG] f7QQ200 qm s ? to 30 Am s tn 30 Am s . Above 200 qm?s 31 to 1U0 Amps 37 to 100 A Swimming Pool Above 100-P.mps Above 700_A?nVs Transrormers Irrigation Boorr?s .50 PartialOther Fee Signs Special Inspection $ 4?.50 70 FEE? o,.. .._..? ua 1 t fJ ed,AA., D.I. ? i . flou9h-in / (rt ?• ?ns0ecbr, he?eby certilV 1het the above Final U^1e inspection has bean niaea. 'rhinraQUastvommmomrmno??? W?v ?-_V ? -V = This request void 18 nwnths trom [ A 48897 L353 vI ?n ?-Zy-yvxg V+ucens¢tl Electncal Cmtratlor ? Owner ....vnoress, eox or Route No. 4405 Clover Lane avon u. Townshi vccupant IPRINTI Tilsen Hom Power SupP?ier Dakota Cty. Hectnr.al Cnn[ractor fC O.B. Thomo 122 613of g y ? ?`? u9h-,,, I -=Pe?`e;'a S, o0 Pepwretl? ?qeatly Nnw?(Yyill NoLty InsPeo X??es ?No mr Wh. R tly i hereby requast mspaction ot above elec[rical work instxlled at Eagan 0 Name or No. H es r uany N ame) Contractors son Electric Co., Inc. c[or or OwneMaking ns,ailauonl Blve., Mtka 55343 P??one Number "i ^ 1 ^ MINNESOTA STATE BOApD OF ELECTRICITY Grig¢s-Midwav Bldp. - floom N-191 1821 Univergity qve., 5?. Paul, MN 55104 Phone (612) 29]-2771 No. ? ?33-2521 THIS INSPECTIpN REQUEST yyILL NOT BE ACCEPTED 8Y THE STATE BppRD UNLESS PROPER IrySPECTION FEE IS ENCLOSEO. 6REQUEST FOR ELECTRICAL INSPECTION EB-OaW1-Oq p /?/ ?? rySee inshuctions for m plet?ne on back of yallow covY. ?'j'f 3o I gY ^ MA?S.?1 A ? "X" Be/ow Work Covered bv This Reouest Fdd flep. Type 01 Bmlding AppliOnces Wirod EquipmBnl WireA Home Range Temporary Service Duplex Water Heater X LighUny F?xtures Apt. Bwidmg Dryer Electnc Heatrn Commercial 81dg. X Fumace Silo UnloaJer Industrial Bldg qir Conditioner BWk Milk Tanl< Farm ot ir Oiher ISM3? i?v? ther Sunafy Other Other Fee ServicaEntrenceSiza Fee Faeders/Suhfaeders Fer Cucwts {d 200 qm ? to 30 Ams 1$ U to 30 Am? Above 200 qm y 31 to 1 UO qmps 31 to 100 q?» s Swimming Pool qbove 700Amps Aov100 Transiormers Irrigation Boort?s • Partial-'Other Fee Special Insection Remarks Dick al?l T Nough-in Date , { isaac, Fnal U cartdy ? m spect ? deENo. ma Phoness Farmington A40602 ? REQUEST FOR ELECTRICAL INSPECTION f. e-?- ?30`! gy ' See instrucLOns for com0le???9 «?2 form on back ot Vallow coOV- This request void 113'? (n1 I.? 18 months from I hereby request mspec"on of ebove electncal work mstalled et' 0) 8Y tfC3 . UV THIS INSP?VEST WILL NOT LJNL $S E PROPEX VINSPECT ON FEE?IS ENCLOSED. MINNESOTA STATE BOARD OF ELECTNICIT• Gr,g9s-M1dweV Bld9. - poom N-191 1821 1Jniversrtv Ava-• Sf. Peul. MN 65104 Phone 18121 297-2111 ? 1 This request void ? ?? U v 18 nwnffis trom 4 48 8 9 9 L 34 !5'(ad/s y (Fv- ud Ren?+est Dale FireNo. Rouph-in InsoecUOn Repinrc<i> eaAy Nux? ?hll NoUfy Inspec- 24-1984 ?NO m. W\en Ready 5 XPLicensed Elecvwal C.ntrectar ? Owner I hereby request inspachon af ebove electncal work installed at. Streec Address, Boz or Route No. C"v 4407 Clover Lane Eagan ecuon o. Township Name nr No. Ranpi? No. County Dakota OccupantlPRINTI Phone No. Tilsen Homes Power SupDliar Address Dakota Cty. Farmington Electrical ConVactor ICompany Namal CouIractor's Licens-e Nn. O.B. Thompson Electric Co., Inc. A40602 Mailing Address ICOnvnctor or Owner Makinp Installanon) 12201 C4tka Blvd., Mtka 55343 Authonzetl Signature IConvactor;Owner Mai Insfallalhonl " .Phone Number " ` _'` -h fXI ' <L 933-2521 , ,,-•.:. ? ±-r " , MINNESOTA STATE BOAflD OF ELECTflICITY THIS INSPECTION FEQUEST WILL NOT Griggs-Midway eltlg. - Raom N•181 BE ACCEPTED eY THE STATE BOAflD 1827 UnivarsrtV Ave., SL Paul, MN 66104 UNLESS PflOPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION B-00001-04 Sea instructions tor com0 ?? < <orm on back ol vallow coav. 5?(3aI a}? n,? ?H q '"X'" Below Work Covered by This Request thisiv AAd Rep. Type ot 9witling ApOitancds WireE EqwVment Wired X Home X Range ,QQ TemporaryScrvice Dupiex Water Heater ][ Liphtiny Fxhsres Apt 8widinq Dryer Electnc Heatin ' Commercial Bldg. X Fumace Silu Unloader Industrial Bldg. Air Condrtinner BLtlk Milk Tank Farm Otn, oP,fv oth", Is4,e"iiv1 T" P, su"iv x H'ft .Dish.5.00 0th';, Compute Inspection Fee Below N iee ServiceEntrence5ize k Fee Fa»ea.sis.maaaa.s ? Frte Cvcwts UG]. _Ko 200 Am s l 0 to 30 Am s to 30 Am s Above 200 qmps 31 to 100 Amps 31 w 100 Am s Swimming Pool Above 100-Amps A6ove 100_Am>s Transformers Irrigation Booms . ?jU ParLal/Oth Signs Special Inspecuon 5 40 50 i0 Pemarks aI . e ? Roueh-in . ? Date ? Inspactor, he?aby cerLiy thnt the above Final spection has been mede. This requeat vaiE 18 months irom t ? G Z N? m C ?D J "v _ l ?204U . Q , ? . ? • ? ?J ? m ? " ??a??- ? -' ?P ? ?. ? ?J ?"$ +?.Y ' ? ??'? ?-?-__ 6a ,0 ?F . .- . ?. ? 2 ? - ...?. . .. - b , ?. rv ' ? , P l ' f' -V`:? . , , 32 33 32 -- H p 4z° ` .? ' r C 40 '__ ?? 1 'r ,?, ," r/? At 3 - 9?.5 .`4 ? - Y 31 3O u P ti a+" A ? Q ' s o _ ? ?,? n`: 94x o 9440 ? ;.• ? _ M s c.' _ ~ N ` ,?a r? B? -'?-'?' •, p????. _?yZ'??; ? _ 3 ? ??Y?"?? ' , '944r 'j • - ?? ` ' 7P_ - q 943.0 ". rh 2 $ J V 1 Ih - P o; -zr? ? A O , - - • . . . _. r -, +, Q -' ? _ - - 4 ° '' - - _ ? - t e, ` ': ? ? . p '?. ? •:MOD6t.. ?° . *h a,- ,? . ? ,, 7 ? . ^ ? i=637 w ss e _ _N y f??_? •? ?, 1•?c -' ? a._ -'??- - . - y,?".,'?r,Y?k,.?,,,?++?'X'i?s_T??? - .L?1,'' ?: ?/1- 7 f'•' . 'a'' ''? e ;' h "? y xA r ? x "?? . L ? 1 +?` a7k Qo ?_. k? -? s ' 'sro'nie° ' ? ? Qi ?',3, }?"•?.?„KP+? ?? •Sb?.' _ S? . - 3>5? vS?-fK,s.?ry 'R v - ?j! ?'_ L ? t _ a 't' ? .? 5e ? ?'' 4f?R ? ? ? W"€?' 10 :,?. . F.?.3zrnB . } (v.eY?la`a 4-?' t' K`?"oa•`'? .v a rr.J*? `F ? ? i?„- ¢ ?' 9 t o- A .. SIHGLE FAHILY DiIELLIAGS 2 SETS OF PLANS 3 8EGI3TERED STTE 3URPEYS 1 SET OF ENEAGY CALCS. 1989 BDILDI9G PEAMIT iPPLICATION CITY OF AN 140 *1 (r lEILTIPLE DiIELLINGS 2 3ETS OF PLANS 8EGI5YSAED 3ITE 3QRVEI3 - (CHECb iIITH BLDG DIV.) 1 SET OF E9EAfiI CILCS. COhB'ERCIAL 2 SETS OF IRCSITECfURdL i STADCTQRAL PLiNS 1 3ET OF BPECIPICATIORS 1 SET OF ENERfi2 CALC3. MULTIPLE DIiELLING3 BENTAL IINITS FDA SlLfi DAITS i OF ONITS iOTEt IDDRESSES FOS ODRHER LOTS - COATAICfOR/HOt+EOi1NER MDST DESIGNAYE i1HICH IDDRE45 IS DFSIHED. Ii0 CAENGES AILL BE AI.LOHED ONCE SDILDING PERHIT IS ISSOED.. SEitER 6 xATER PERMIT FEES lPD lCCOUPT DEP03Tt F6E4 iiILL BE INCI.IIDED iTITH THE SOILDINa PERHIT FEE. PAOCESSING TIME FOA SEWER AAD NATER PEAMTt3 IS TtiiO DAYS ONCE l PERMIT HAS BEEN COMPLETED IFDICATIBG A LICENSED PLIRMIDEA. PENALTY 9PPLIES WHENt PEEiMIT IS NOT PAID FOR IN SAME MONTH IT IS REQfJESTED. LOT CHANGE IS AEQOESTED ONCE PERMIT IS ISS[JED. To Be Used Fort REROC?F CexeSioe) Valuation: SCX?D^ Date: -?L-y ZO , )9e'1 Site Address Y1407 g t,oe 35 alook 3 Parcel/Sub r=DEN Al.-DMpN Owner L 1K>AN t7flirli uln!(2-5 szC ? / Address '' y?7 B C%?? f1i `X/ • City/Zip Code 2F+tr,4? .?sj ZZ Occupaney 2oning Aetual Const Alloxable # of stories Length Depth S.F. Total Footprint S.F. Fbone On site aewage On aite rrell Contractor ?+/ST2u?Ttd4l l1NCC System _ /? ? ? City vater Address 7.?D / ( ?,d.? /'tV, - PRV required _ ? ?? " Booster Pump _ City/Zip Code yZ3 ? - 1 ? H r 1£ L 1 1PPBOYALS Phone Planner _ Couneil Areh./Engr. Bldg. Off. varsance Address Citq/21p Code FEF.s Bidg. Permit ?2.aL) Sureharge a,sv Plan Review SAC, City SAC, HWCC ftater Conn Nater Meter Acet. Deposit S/W Permit S/Ui Surcharge Treatment P1. Aoad Unit Park Ded. Copies SIIBTOTAL Peaaltq TOTAL ?'-T? Phone 0 L ?5 B}, ? SUBD. CITY USE ONLY RECEfPT#: ?w cp ?L? RECEIPT DATE: PERMIT# ???U ?S 1999 PLUM$IN? PER14IIT (RESIIIWNTtAL) crrYoF E?s" 3830 Qv.oT Kxoa xn f.ASRN, irtN 55122 (651) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FlXTURES EACH # TOTAL RZfh tiih $ ? n? = W Floor drain 3.00 x = $ Gas i in OUtlet " mmimum -1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished * re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installationlrepair 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkVer if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ set 3.00 x = $ Water heater 3.00 x = $ a er so ener if dwelling under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e 50 --> ---> ----> $ 50 Total --> --? ----> ----> $ ?o Reminder. Call for insoeclions of alterations: i.e. water heaters; watPr so#teners, etc I herehy adcnowledge that I have read this appliption, siate mat the intormaUOn is correct, and agree to comply with all applicahle City of Eagan ordinances. It is the applicanPs responsibility to notiry the property owner that the Ciry of Eagan assumes no liability for any damages caused by the Gity during its normal operetional and maintenance actrvities to the facilities constmcted under this permit within City property/dght-of-way/easement. SITE ADDRESS: 7W eL 0 UC.e L,tJ OWNERNAME:: TELEPHONE#: (AREA CODE) WSTALLER NAME: /17? 6CdG?-f? ?u?.?t?,?? TELEPHONE #: ' (AREA CODE) STREET ADDRESS: ?`?'?G ?/r.e?Ci•P ?Q # 5?6 CITY: O?//no?ar/1 STATE: 'ZIP: ' a..y.? , 'OF SIGNATURE PERMITTEE CITY USE ONLY S ?+ BL Z5 RECEIPT#: SUBD. RECEIPT DATE: 1998 PLUIYIDING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT I¢408 RD EAGAN, hIIi 55122 (612) 681-6695 Please complete for: ? single family dwellings ? townhomes and condas when pertnits are required for each unit ? backflow preventer for underground sprinkler system ? ??----??_? ?- FIXTURES ----? EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 100 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - t 3.00 x = Raugh Openings 1.50 x = Water Softener ' for dwellings under construction 5.00 x k:"Zt2r So°enef ' for azisting c+tivelling 20.00 .. _ / U.G. Sprinklet ' for dwelling under const 3.00 = U.G.Sprinkler 'forexistingdwelling Altefatl0n5 ' to existing residence 20.00 = 20.00 = ^Vq = } Water Tum Around 20.00 ? Private Disposal System ' MPC iic. ? 75.00 = (new and refurbished systems) Private Disposal Systems `ntandonmenc 20.00 = STATE SURCHARGE .50 TOTAL 50 - ------------ - ---------- --------•-------------------------._ - ••---- -- ----- ------- ..-------- ----- - - - -.. - City - of - - Eaga - n ordinances. - fhat - fhe - iniorm . e . ti . on - Is • corred, and agree - to - comply . wiM - all - applicable - I hereby adenowledge that I have read- this application - , - state - It is the applicanPs responsibility to notify the property owner thal the City of Eagan assumes no liability for any damages caused by the City during i4a nortnal operational and maintenance activfties to the facilities construded under this pertnk wilhin City propertylrightof-way/eesement. SITE ADDRESS: R N ME A : OWNE INSTALLER NAME: TELEPHONE STREET ADDRESS: lYf &?tc cin: Sn- S y /??1 Al , ivni ZIP: Sr_ SIGNATURE OF JSIFORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 1 ,. 3 0. a--7? ' ? ? • ? 2/ 8 4 I 7i .s a ? CI:Y OF EAGAN " APPLICATION FOR PERAIIT - SESJER AND/OR WATER CONNECTIODT (PLEASE PRINT) 1) PROPEFYI'Y ACDRESS: 4405 Clover Lane r.rrar. DESCRSP'rTCN: ?5 3 (Lot/Block/Subdivision or Tax Parcei I.D. NuTiber) u' E{I:='= :G S°iRLTCPTtE, DA'I=.' O_° ORIGiiSAL B.iILDL`TG F=!IT ZSSUANC°: ? PRES..-`?_ :' _-^;7I_X;/F%C°CS= iS?: ? R-1 SINGZ-- FPm.!LY ? R-2 GUPL= ('Ih'0 Wi ITS) [3 R-3 MvMiOUSE (THR"E + (1NITS) ( UNITS) ? R-4 APP.R'?T1EN`P/CONDC?nPiIICM ( Wi ITSi ? CO44ERC7AI,/RETAII,/OFFICE ? nMUSTRIAL ? INSTITUTIONAL/GOVII21,1MQNT 2) APPLIG?V'T (PLEASE PRI4T) NA2"IE= Tilsen Homes Inc. AnnREss: 627 Snelling Ave. So. CTTY, STATE, ZIP: gt,_ paii„ Mn. 55116 • PHO.IE: 698-5501 PLEASE PRINT) 3} pLUmggR FOR CITY USE ONLY ?? ' Ralph's Plumbing PlUMBERS LICENSE: ADDRESS: 9900 Keswick r571 Active CITY, STATE, ZIP: Stillwater. Mn. 5082 0 Expired TFR PxovE: 429-1733 PLUMBER LICENSE N Q Not of Aecard Q a nitia 4) OCCUPANT/CF,%TTER (PLtASt PRINT) NA"E= Tilsen Homes Inc. ADDFtESS: 627 Snelline Ave, So. CITY, STATE, ZIP: ST. Paul. Mn. 55116 PHO-NE= 698-5501 5) INpICA'I'G W11ICH PERMIT IS SEI?,'G REQUESTID: ? CO.INECPION 'Ib CITY SETi]ER ? CONTIECI'ION 'Ib CITY WATER C] dI'HER (PI,FASE DESC2IBE) 6) IIVDIGITE E] PI.EASE f?OID P,PPROVID PEF2?^?LiT FOR PICiC-UP BY ONE OF ABOVE ? PLEASE bVNJL APP.ttO= PER.%lIT TO 1, 2, 3, 4 ABWE (Circle one) 7) s?GNA=RE: oATE: . . . - . ...iE NM? ? A:44 ' 4W**'A;0= iOR !NLl?A* 1O!!!tMNii4=... ? • #ii{ F 0 R C I T Y U S E 0 N L Y PER*4IT - ISSUED F°ES: $ SE'viEo nroMTT (I:ICL:;D: SGRCS?RGE) WATER PERA1IT ( INCLUDE SURCHARGE ) $ WATER METER/COPPERFIORN/OUTSIDE READER $ _ WATEP, TAP (ZNCLUDE ('ORanRFm7nN cTnVi $ SEWER TAP $ <r5'-?--g ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ WAC $ -s-z?---? sAc $ TRUNK SJATER ASSESSMENT $ TRliNK SEWER ASSESSMENT $ LATEP.AL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ ' OTHER ' $ TOTAL / $ J s'a. ?---rJ AiMOUNT PAID/RECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? ES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGZNEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOFJIDIG CONDITIONS: APPROVED BY; TITLE: DATE: . i 2/84 CITY OF EAGAN ? APPLICA'SION FOR PERMIT SE:4ER AND/OR WATER CONNECTIODT (PLEASE PRINT) 1) PROPEi27'Y ADDRESS: 4405-B Clover I,ane r Frnr DESCS27DTICN: 36 3 (Lot/31ock/Subclivision or Tax Parcel I.D. Nisnber) ii E{IS':'_ :G ST,4CCTL12E , = GF ORIGIi?7AI, :,JILDL`IG PE=_,ST TSSUa2NCE: .. r " - -- ' , ? P?ZS.-,'! ::^.,`Ti`r-/P.-LPCS=- li5-: O R-1 SINC?'LE rP_A.ILY ? R-2 GUPL,EX (ZS,;p Wi ITS) ? R-3 TG?vMCUSE (THE2EE + iJNITS) ( UNITS) ? R-4 FLpAR'LP^F"?1T/CONDC1•11r1IUV1 ( Wi I:Si ? CON!ME.4CIAL/RETAIL,/OFFICE ? L%DUSZT2IAL ? INSTITG'TIONAL/GOVERNNENT 2) APPLIGA-NP (PLEASE PRINT) NAME: Tilsen Homes Inc. ADDRESS: 627 Sne111nK Ave. So. CTTY, STATE, ZIP: St I ? Mn 11?+ ' PHOZ?E: 698-5501 3) Piumm PLEASE PRINT) FOR CITY USE ONLY NAbtE: Ralph's Plumbing PLUNBERS LICEVSE: ADDRESS: 9900 Keswick ? Active CITY, STATE, ZIP: Stillwater, Mn. 45082 0 Expired -AA3T?R Q Not of Record PxoNE: 429-1733 PLUMBER LICENSE N ce-d a nitia cj) OCC[JppNT/(x,]NER (PLtASt PRINT) NAME: Tilsen Homes Inc. ADDRESS: _627 Snelling Ave. So. CITY, STATE, ZIP: St. Paul. Mn. 55m16 PHo:vE: 698-5501 5) INDICATE W[-IICH PEPMiT IS BEI?C REQUESTED: ? CONiVEC7ION TO CITY SErIEFt ? CO"dL1ECPICV TO CITY 6JATER ? dI'I'ER (PIS'ASE DESCRIIIE) b) 1i1D1G?i: C:a: ? PIy°.aSE HOLD APPRWFD PERhLiT FOR PICK-UP BY ONE OF 11BWE -Q °LF.ASE MAiL APPROVID PER1IIT 'IC) 1, 2, 3, 4 ABOVE (Circle one) 7) SIGNATtiRE: DATE: /?y U ., 14?e F 0 R C I T Y U S E 0 N L Y PERMIT '-` ISSUED E • SE;^iE? oca%irm (I`dCL;;D:E SliRCHARG:) $ 10 . 's-e WATER PERb4IT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (I.'CLUDE CORPCRATICN STOP) $ SEWER TPp $ ACCOUNT GEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ wac $ sAc $ TRUNK :JAT°4 ASSFSSP9E;IT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BE1\TEFIT/TRUNK WATER $ ' OTHER $ TOTAL ? 02-/ a' • ?e2? ? t AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? 0 YES ZF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISIO[V. LIST AS A CONDI- TION. t SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: =eeff`e--) TITLE:????? Lr1?/ DATE: .4 ss w? ???mum mmmakm ??.e? w sw w? ?t+? ?? w s? w?w w?a wt ??e f-w Ra ?.c? rt ??+ w? 1. • , i 2/8 4 s CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODI (PLEASE PRIHT) 1) PROPEI2'PY ADDRESS: 4407 Clover Lane T.rrar• DESCxzPrzcv: 34 3 (Lot/Slock/Subctivision or Tax Parcei Z.D. Nunber) I'r' STRL'CPi2E , DaTE 0° ORIGii:AL :?UILLL`:G P=m T.C.?.'ITANCE: ? ( PFLx'S-`_^ --^?IS_r,/F?'J°OSED- US:: ? cZ-1 SINGLE r^PMiLY ' _ - -- , ? R-2 GUPL''{ ('?S%'O UNITS) ? R-3 TUANH0USE (TFRE" + UNITS) ( UNITS) p R-d ApAR'IP=:T/CCDMMNi IIM ( LNITS) Q CCMMERCIAL/REI'AIL,/OFFICF.' p L'MvsTRIAz p INsTSTTrrzoNAL/covEy?NmENr Z) AppISGa?NT (PLEASE PRINT) NRME: Tilsen Homes Inc. ADDRESS: 627 Snelling A$re. So. CITY, STATE, ZIP: St. Paul, Mn. 66116 ' PHONE- : 698- S 501 3) PIEMBER NA`E= PLEASE PRINi) Ralph's Plumbing FOR CITY USE ONIY ADDRESS: 9900 Keswick PLUHBERS LICENSE: 52::? Active CITY, STATE, ZIP: PHONE. ' Stillwater. Mn. 5?082 c 429-1733 PLUMBER LILENSE N Q Q Expired Nat of Record at nitia 4) OCC[JPPNT/CWNER (PLEASE Pfl1Ni) NP.ME: Tilsen Homes Inc. ADDFtESS: 627 Snellinz Ave. 50. CITY, STATE, ZIP: St. Paul. Mn. 55116 P«: 698-5501 5) INDICATE WHICIi PERMIT IS BEIiv'G RLQUESTID: ? CO;vTIE(_TION 'Ih CITY SES^lER ? CON.IEKZ'ION 'Ib CITY WATEFt ? dPEEEt (PLEASE DESCRIBE) 6) 0:.::: 7) SIQ,1A'IC'RE: ? P=- E I:OLD r1PPRC7VID PgtP4IT FOR PICi:-UP BY ONE OF IIBGVE ?°LEASE :11AIL APPROVID PER:?LiT TO 1, 2, 3, 4 AEWE (Circle one) a&-z DATE: - -?/ ? R a1_ae:a+w?.?s ?? ia ??u::r ?I fs M.ssw=:a?# a? ai s r;ss:? ?a ?? wa?r;a? +ir:1?:r s m+? ?t ??1?sasr s F PERMIT °- ISSUED C I T Y U 5 E O N L Y FEES: $_ ? ?. s o $ $ S $ $ $ $ $ $ $ $ $ S ? $ . $ SE;.`ER PE?ZMrm !I`iCL::D: SURCHAi GE) WATER PERP4IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (I.;CLUD° CORPORATICN STOP) SEWEB TaP ACCOUNT DEPOSIT - SEi4ER ACCOUNT DEPOSIT - S4ATER WAC SAC TRUNK WATEP. ASSESSP-1ENT TRliNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER TOTAL FllMOUNT PAID/RECEIPT # s1..2,?°?A ?`5! . DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LZST AS A CONDZ- TION. SUSJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : •e qw--pa ataw w=Asa&s mtmi.e s= wrZlwmwre jp?m w" Ra MMwIPMsPG w.40 wMia "I:" wUM ?MMs" w= i I ? 2/84 ? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODT (PLEASE PRINT) 1) PROPERTY ApDRESS: 41L 07-B Cldver Lane tFrar• DESQZZ°TIC;7: q3 q (Ir?t/Block/Subdi.vision or Tax Parcel I.D_ NLUnber) 1^r E{I;:'=`:G STRL'CPURE, = GF ORIGii1AL =LL'L`.G P=T ISSUAtiG: t::or==- --- , PR,z'Sy'? ?? `IL F:/??OPOSc?"Je LS=-: ? R-1 SD1GIZ r^PYLILY ? R-2 CUPLEX (TWp i.NITS) ? R-3 TCTiYNHGYJSE (THF2E" + i]NZTS) ( UNITS) ? R-4 APP.R'RE:,:T/CCAIDOMNIL^Q ( Wi ITS) ? COMMEI2CSAL/RE7AII,/OFFICE ? LMDUSTRiAS, Q INSTITUTIONAL/GOVERNMENr 2) APPLICPVT (PLEASE PRINi) N'bE= Tilsen Homes Inc. ADDRESS: L2? Sne111ng Ave, So. CITY, STATE, ZIP; Gt. Pavj, Mn. 55116 ' PHO`E= 698-5501 3) P=.ffiER PLEASE PAINT) FOR CITY USE ONLY NAN1E: Ralph's Plumbing PLUMBERS LICENSE: ADDRESS: 9900 Keswick ? Active CITY, STATE, ZIP: Stillwa.ter. Mn. ?5082 0 Expired Tt? Q Nat of Record PHO??IE: 429-1733 PLUMBER LICENSE /f a r nitia t]) OCCUPp,Nr/Cf,17I,,1Ef2 IPLtASt PN1NTJ NA'E: Tilsen Homes Inc. ADDRFSS: _627 Snellinu Ave. So. CITY, STATE, ZIP: St, Paul, Mn. 55116 PfO`E= 698-5501 5) INDIGATG WHICH PERfLIT IS BEID:G REQUESTID: ? CO.tNECTION 'IO CI:'Y SLVIER ? CONIVECTIO.I 'Ib CITY WATER ? 0'I'f'.ER (PL,EASE DESCRIBE) 6) INDIGzI-E 0:E: ? PLEASE HOii] APPROVED PgRMIT FOR PICK-UP BY ONE OF 11BOVE ? PLF,ASE +AiL APPROVID PERMST 'iO 1, 2, 3, 4 A BOVE (Circle one) 7) SI&%'A'IL'RE: ? ?j ? ???"i DA''E: (J -- ?lRO?:aFY#EAi?i?!lE????f?7?ht . . . . . . ' ' %' • .. . • ? F 0 R C I T Y U S E O N L Y PERMIT °- ISSUED I I FEES: $ /O•?+?? S°S^iE? nER?1IT (rNCLJDE SU°CHr?RGE) $ i Q..± WATER PERP1IT ( INCLLTDE SURCHARGE ) $ WATER METER/COPPERHORN/OUTSIDE READER $ _ WATER TAP (INCL'JDE CORPORATION STOP) $ SE;9E4 Tno $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK ?4ATE.°. ASSFSSi4ENT $ TRUNK SES4ER ASSESSMENT $ LATERAL BENEFIT/TRUNK SE[ro'ER $ LA'T'ERAL BENEFIT/TRUNK WATER $ ' OTHER ' $ TOTAL $ AMOUNT PAID/RECEIPT DOES UTZLITY CONNECTION REQUIRE EXCAVATION IN PUBliIC RIGcIT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO E[VGINEERING DIVISIOIV. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: - APPROVED BY: TITLE: DATE: Me"m wow ia mms oun mc wme w?_w mumiamwwn w" ?t+ wt? ie ?? ?? wLa wtmse wAm Ra mmw sr wm ------------------ i j Permit p: ? Permit Fee: ? / 5 • C) ? j Date Received: ? j ? ?r { i sran: ? U I i i ---------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ?Z - 0$ sne naare": Tena,c: sune ar. HESIDENT/OWNER Name: Gl"(7 b,) Phone: Address / City / Zip: Applicant is: _ Owner I Conhactor TYPE OF WORK Description ot work: ConsVUCtion Cast: _!??f _ 0 C Multl-Famlly Bulid(ng: (Yes / No CONTRACTOR Name: ba't t-t +, !p?Pnn s Lir.ense #:'Z o e-lil 7 / Address: G1/0 11` City: rw!'h:r7q fD"? Siate: o7I-L) Zip: _53nZ Phone: - 4r-3?Z S' Contact Persai: KXlb Lti" COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Catenorv 1 Minnesota Rulss 7672 E116rgy GOdB . ReskWtial Vanul8COn CateporY t Wakslteei • New Energy Code WaksheBt Categoty subrnmed summtaed (d aubmission type) • Energy EnvBlope CglculaHorre Submitted In the lest 12 morrtAs, has the City of Eagan Issuad a permit for a simllar plan besed on a master plan? _Yes _No It yes, date and address of master plan: Licenaed Plumber: Phone: Mechenicel Contractor: phone: Snarer & Water Contractor. Phone: NdTE:. Pians ar?d suppertMg rJaCUme»ts that'_ypq subnrPlBte cor+s/dered ta 68 ptrbli? lnhvrteeffon ?brtlars ct .; tl?e Mlonr?Nan may bs elasef!(ed as rrbn-pnWic H you?wylde s?lNq re8sotwih?t Nro+rhbpertntt? Clty ta ?„ I he'eby acknowledge that ihis mfortnation is cmnplete arxl accurate; that the worlc will be in confortnance wVtlh the adinances and codes of the Ciry d Eagan; ihat I understand this is not a pertnk, bLil only an application For a parmit, end woAc m not to st wi[h ul a pertnR; Mat ihe work wiil be in accordance vnth ihe apprwed plan in the case of which requires a renew and ap?roval 771 K Pi x ? ?e??" ?rJ?e 5 X apaicanc's PHnted Name nppncam's signa?ure Page 1 of 3 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - 3 I For Office UsI Permit I City of Ea a I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 L Staff: INFLOW NFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Addr ss: Tenant: Suite RESIDENT OWNER Name: r- YA Phone: Address I City / Zip: L `7 ti'lit Ct j (CI er Lh Name: Tif License PM Address: ~T Ln ` City: CONTRACTOR State: Zip: 2 Phone: 9 3 2 ql,? ' 1?~ Contact: ' 6L1" Email; r-, rzr CC~t r C L MBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair ther: Other: Descri tion of work: DESCRIPTION h r lC 0 \a::~b FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.gol)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with t rdinances and codes of the City of Eagan; that I understand this is not a permit, but only an application r a permit, and work i to start without a permit; t at thew k will be in accordance with the approved plan in the case of work w 'c a r iew a approval of plans. x x Applicant's Printe ame A pl nt's Sig ure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Final Use BLUE or BLACK Ink For Office Use City of Eapn i Permit 4: I I Permit Fee: Z2. W I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: i 2012 RESIDENTIAL BUILDING PERMIT APPLICA1f ION - - - - - - - - - - - Date: 7- 12 -f-) 019 Site Address: -Unit RIEsroElvT i Name: Phone: f OWNER Address / City / Zip: C l p t&,r- Applicant is: Owner C Contractor I I TYPE OF WORK Description of work: 1 r~ 1 Construction Cosk ov Multi-Family Building: (Yes c / No ) Company: Gh~ 1ljLl Contact: T oc Address: (q(~s ~enC~UGrI~vP -/V• City: CONTRACTOR tlv Zip: Phone: (OS-1° 717 3`423 ^ License* I~ nn 30 0 Lead Certificate If the project is exempt, from lead certification, please explain why: (see Page 3 for additional information) ' L-1- 46j- / 4 79 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: ff NOTE: Plans and supporting documents that you submifareconsidered to be public-Inf'ormatipn. Portions-of j the information may be classified as non-public if you provide specific reasons that Would permifrfhe City to f conclude that-they are trade secrets. 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. mmUopherstateonecall orq 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 Pm- c~. Is Applicant's Printed Name Ax -k" pp 7t!s Signatur Page 1 of 3 My 3 6563D DO NOT WRITE BELOW THIS LINE SUB TYPES wbs- QGVe/1- Foundation Fireplace Porch (3-Season) Storm Damage - Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Faamily) _ Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool Miscellaneous - Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* - Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall "Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 000 Occupancy a L MCES System Plan Review Code Edition Wjj SAC Units (25%,_ 100% Zoning City Water Census Code T Stories Booster Pump # of Units Square Feet pRy # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/ C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: _Rough In Air Test _Final Windows Insulation Retaining Wall: _ Footings a Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control: Reviewed By: , Building Inspector i RESIDENTIAL FEES Base Fee Surcharge Plan Review 1 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies OL90 TOTAL r~Y Pagg 2 of 3 , , 0 P6 -~p F:z ~-P,5 rl -9~ ~1 W 3 'l8 3 t : Z ~~y ►©_7ig 12- r 9 1 \9 y". 21 1 AG L~l ILI lllf~ A e ~ _ i From:ALLSTAR CONSTRUCTION 19529427464 10/21i2015 12:22 #269 P.003/020 Use BLl1E or BLACK Ink � ForOfficeUse---------i � j Permit#: ����� �Ity of�a��� ; . . �- � 3830 Pilot Knob Road RECEIVED � Permit Fee: � Eagan MN 55122 OCT Z � ZO� j Date Received: � Phone:(651)6�5-5675 � � Fax:(651)675-5694 I Staff: � 1 � �..��_�.�_���_���_��J 2015 RE�IDE�`f�AL �111LD[i�C P�RIVl�T APPLIC,4TI0l� Date: Site Address: Unit#: ��,..�,...,.,��me: .,.M.,....���✓A. 1 ��31�'� �.'�l..c..i i'7d+4.,.�,��...��.. ..Phone: ,Mnl�� � � � Resident/ � Owner Address/City/Zip: �`I��"`�'5��7 �J�,/g� � ��� ��-�,y�, � � Applicant is: Owner � Contractor t � ��.,,.�.�,.ma .�.. ._..., ..,�,,>-,.n...F...����.rt,�..-�..:�.......,�-,�...-�..r�....,m.._.�..�,.=.�...�..�,..r,�,...m..,...�.�..�....�..�._...�.,.......--�...�..�.,r�...-,.. ....�n,.._� , ; -# Description of work: ��•- '�i�e �,ti/�y-�� �,,,�',�� ,��n� Type .o.f Work. v . � , � Construction Cost: �,i� Muiti-Family Building:(Yes �No_) f .v.�..-�,.e.,� ..��..Y..�.,,�-�..�.� _ � Company:�ItS��� (..c,nS��uC�.�r► tr/�/t�htG�7laHG� Contact: �..�,sn_ �l�f.�.-►J�..�:,....�...,.A,.�.=„'_� � � Contractor add�eSS:S�i�JS 1n��S�f�.�+�c��,f - S►�;kE ��3 c�ty: t`V1A�+It i���,.! � State:�Zip:����`'� Phone: �52-'�/2=?�/5'S�Email: t�t���td.1/��/". �'Z. � •. / �icense#: .�� !c"9c.`� ���� Lead Certi�cate#: A/�=' ��I(d� L.. �..�-�,�.,,.����� ---�-- __ _ _ - - - - -�.�,....�.,.a,.e.�. ; If the project is exempt from lead certification, please explain why: ���L,� �„� �c��3 � � , �" � �T COMPLETE THIS AREA ONLY iF CONSTRUCTING �,NEW BUILDING ��T�~��� In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master pian? Yes No If yes,date and address of master plan: I Licenced Piumber: oM,,,,,,. & � _ � � Mechanical Contractor: Phone: � � Sewer 8 Water Contractor. Phone: � � Fire Suppression Contractor: Phone: � NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of ; : t e iniormation may be classified as non-public if you provide specifc reasons that would permit!he City to �„_� conciude thaf they are trade secrets �Po�� � CALL BEFORE YOU DIG, Catl Gopher State One Call at(651)454-0002 for protection against underground utilky damage. Call 48 hours Y before you intend to dig to receive locates of underground utilities. www.00pherstateonecali.ora I hereby acknowledge that this iniormation 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 oniy an application for a permii, and work is not to start without a permit; that the work will be in accordance with the appraved pian in the case of work which requires a review and approval of plans. Exterior work authorized by a buiiding permit issued in accordanee with the Nfinnesota State Building Code must be co pleted within 180 days oi permit issuance. ___ ,.�-� X _-►'.�. �//E.���1 x �.y-T --.- �. Rpplicant's Printed Name �,.,,,�Applic nYs Signa'ture Page 1 of 3 i: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA170895 Date Issued:07/21/2021 Permit Category:ePermit Site Address: 4405 Clover Lane Lot:35 Block: 03 Addition: Eden PID:10-22750-03-350 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Welcome Home Properties Llc 377 Maple Island Rd Burnsville MN 55306 (952) 239-2926 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature -------------I r For Office Use I ► Building Permit #: � , , / I 1 0•, j S&W Permit#: `.. •..® EAGAN I� I ,� I Permit Fee: I I I ^1 I Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I 1 (651) 675-5675 �FAX: (651) 675-5694 I I Date Issued: I buildinginspections cityofeagan.com I---------------------� RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Applicant is: ❑ Owner Contractor Unit #: h �5 e' C' pL4 1 6 l� Homeowner i Address: qllb C% City: �aQ Q_ State: i Phone::''' Email: Description of work: P e—b�- Type of Q Construction Cost, a Work Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan T7QM Building Address: �t"� WQST' K--y City: GGC('V6��� Contractor , //� '/ State:AWIp: � Phone61L2'f _/_/ � � 9� fi 0 Z G2xCo 7131 5 � License #: o O Expiration Date: Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction ! License #: Expiration Date: *I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. 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. Applicant's Printed Name A licant's Signature