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4408 Clover LaneGTY OF.EAGAN 3830 Pifot Knob Road, P.O. Boz 21-199, Eagan, MN 55121 N2 11964 r PHONE: 454-8100 BUILDII?'a PEFiMIT Receipt # usedtor 1 OF 4 PLEX Est. Value $48,000 Date MAY 16 Site Address 4410B CLOVER LN Lot 35 Block 2 sec/Sub. EDEN ADDITION Parcel No. W Name GOOD VALUE HOMES 3 Address 93RD LN 0 CiN BLAINEphone 780-5510 i ? Name SAME o" Address • City Phone ? F m w Name _z ? 5 Atldress i W Ciry Phone I hereby acknowledge that I have read this application and state thatthe intormation is correct and a"e t omplpwith all applicable State ot Minnesota Statutes and Ci of ga , Qinances. Signature of Permitte A Building Permit is issued to: GOOD VALUE HOMES all work shall be done in accordance with all ap licable ' te of Minne o Building Official ? , 86 Erect ff Occupancy R3 Remodel ? Zoning PD Repair ? Type o( Const Uri Addition ? No. Stories Move ? Length ??? Demolish ? Depth2 4 Int. Impr. ? Sq. Ft Install ? ApDrovab Fees Assessment Water 8 Sew. Police _ Fire - Eng.- Planner Council eid9. on. 5/16/86 APC Var. Date Permit $ 274.00 Surcharge 24.00 Plan Review 137.00 SAC 575.00 Water Conn. 500.00 Water Meter 63. 50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies r....,? 42 ,019.30 on the express conditlon that and City of Eagan Ordinances. -,;p FOR SALE TOk'bii:,^iuSE CITY OF EAGAN - " 3690 Pflot Knob Road, P.O. Box 21-189, Eagan, MN 55121 N2 11961 PHONE: 454-6100 BUILDING PERMIT Receipt p . To be used for 1 OF 4 PLEX Est Value $48,000 Date Mp'Y 16 19 86 SiteAddress 4410 CLOVER LN Erect C? Occupancy R3 Lnt_3 4 Block 2 SecISub. EDEN ADDITION Remodel ? Zoning PD Parcel No Repair ? Type of Const. Un . Addition ? No. Stories ? Name GOOD VALUE AOME$ Move ? Length 44 1460 93RD LN 3 Demolish ? Depth 24 Address ° BLAINE 780-5510 Cit Ph Int.lmpr. ? ? Sq. F+ y one Install o Name SALME Approvals Fees ?¢ Atldress Assessm0nt Permit $ 274.00 • ciry pnone Water&Sew. Surcharge 24.00 137 00 ? ? W Name un Address I W City Phone I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable SWte oi Minnesota Statutes and Ci o ?a$??? Ordmances. 5ignature of Permitte --?`A ? 02?- '?? ? A euilding Permit is issued to: GOOD VALUE HOMES all work shall be done in accordance with aII,eBRlicabiOState ot Minn st Pohce Fire _ Planner Council Bldg. Off. 5/ 16/ 8 6 Var. Date Plan Review sAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks e3 T?P? 2,019.50 on the express condition that and City o( Eagan Ordinances. Building ONicial CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 11963 ? iTHONE: 454-8100 BUILDING PERMIT ReceiptR b Tobeusedfor 1 OF 4 PLEX Est.value $48, 000 Date MAY 16 19 86 SitaAddress 4408B CLOVER LN E t Qg p R3 Lot 32 elock Z Sec/Sub. EDEN ADDITION Parcel No. x i2 UQ ? V? WW ?i x? as t W Name GOOD VALUE HOMES Address 1460 93RD LN Ciry BLAINE phone 780-5510 Name SAME Address Ciry Phone Name Address Phone ' Iherebyacknowledgethatlhavereadthisapplicationandstatelhatthe information is correct and a ree to comply with all applicable State ot Minnesota Statutes and Ci f gan Or nances. Signature of Permitt ?/ A Building Permit is issued to. GOOD VALUE HOMES all work shall be done in accordance with all applicable Statqtf?Miq{?psc rec ccupancy Remodel ? Zoning p_D Repair ? TypeoiConst. yn Addition ? No. Stories Move ? LengN 44 Demolish ? Depth24 Int Impr. ? Sq. Ft. Install ? Assessment Water 8 Sew. Police - Fire Eng. Planner Council Bldg. Off. 5/1¢/ 8 6 APC Var. Permit $ 274.00 Surcharge 24.00 Plan Review 137 . 00 SAC 575.00 Water Conn. 500.00 Water Meter 63. 50 Road Unit 290. 00 Tr. PI. 156.00 Parks Copies I t,,.,,, 2 .019.50 on the express condition that an Ordinances. Buildinq CITY OF EAGAN 3804 Pilo! Knob Road, P.O. Box 27-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt # 2 11962 ?-S'?J-1 - Tobeusedlor 1 OF 4 PLEX Estvalue $48,000 Date mAY 16 7986 SiteAddress 4408 CLOVER LN Erect )b Occupancy R3 Loi 33 elock 2 Sec/Sub. EDEN ADDITION Remodel ? Zoning PD Parcel No Repair ? Type of Const. pn . Addition ? No. Stories a Name GOOD VALUE HOMES Move ? 44 Lengm 3 Address 1460 93RD LN Demolish I I ? ? Depth 24 F ° BLAINE 780-5510 Ciry Phone mpr. nt. Install ? Sq. t g Name SAME = 8 ¢ I Address ? CityPhone 1- "' F W Name ? m Address o a w Ciry Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appticable State of Minnesota Statutes and Cityp Ord' 6es. ? Signature of Permitt A Building Permd is issued to: GOOD VALUE HO AS all work shall be done in accordance with all aoolicable)State of Minne? Assessment Permit $ 274.00 Water 8 Sew. Surcharge 24.00 Police Plan Feview 137.00 Fire SAC 575.00 Eng. WaterConn. 500.00 Planner Water Meter 63. 50 Council RoadUnit 290.00 BIdg.Off. 5 16 8 Tr. PI. 156.00 APC Parks Var. Date Copies * 50 Total ' on the express condition that Sta tQs and Ciry of Eagan Ordinances. Building 1-3,;2r 331 341 3J` . • . •? BUILDING PERMIT Receipt# CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 9 ro" 2 To be used for 1 OF 4 PLEX Est Value $48,0 00 Date MAY 16 ,19 66 SiteAddress 4408 CLOVER LN Erect ?M Occupancy ft3 Lot 33 Block2 Sec/Sub. EDEN ADJ ITION Remodel ? zoning pn Parcel No. Repaic Additi ? ? s? Type of Const. Tf, N St i on o. or es GCH)n VALLIE "riONMS Move ? Length 44 W z i Name i4G0 93R? LN Add oemolish ? Depth 24 a ress city BLAINLphone 780-3510 Int. Impr. Install ? ? Sq. Ff Z o Name SA"Z 0 ? Address ~ City Phone Address Water & Sew. Police Fire P{anner Permit $ 274.00 I, Surcharge 24.00 Pian Review137• UO ' sAC 575.00 Water Conn_504? 00 Water Meter 63. 5 U Road Unit 290 OU Iherebyacknowledgethatlhavereadthisapplicationandstatetnatthe gldg.Off. ??j6?8 Tr.PI. Copie 156.0(3 information is correct and agree to comply with all applicable State of , Minnesota Statutes and City of Eagan Ordinances. APC Parks - Signature oi Permittee Var. Date ? Total ? ' ? ? A Building Permit is issued to: GOOID VALLfE FiO:°"jEa on the express condition that all work shall be done in accordance with all applicable?State of Minnesota Statutes and City of Eagan Ordinances. Building Wrmn No. PKmR Howw Date rsNernon. A 11numbing H.V.A.C. Elockie ISOften Inspection Oate Insp. Commenis Footings I FooUnysll Foundatlon Framiny Rooflng Rough Plby. Rouyh Hty. Insul. N'! /'i/,1,? Fireplace Fleal Htg. Final Plbg. Bldg. Final Cert. Occ. ?rtJ. Deek Fty. ' Qack Frmg. Well ' Pr. Dlsp. . ._ . , :. PERMIT # ' PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ?•?? CONTRACT PRICE PHONE: 454-8100 Site Address'`'?` ? 37 ` BLDG. TYPE WORK DESCRIPTION Lot?Block ? Sec/Su b ' Res. ? ?- New Name Mult Add-on , Address Comm. Repair 4 c City ?-?-? }t-1L%'4 Phone1 ? EI" 7 Oth@f , NQ. FIXTURES TOTAL Name ? Wateu Closet - $3 00 $ ? Addre?s l . ?-Bath Tubs - $3.40 - O City?`? Phone O -? ?JU Lavatary - $3.60 ? Shower - $3.00 FEES COMM/IND FEE - 1°Ib OF CONTRACT FEE MINIMUM - RE5IDENTIAL FEE MINIMUM - COMM/IND FEE STATE SURCHARGE PER PERMIT (ADD $,50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) $10.00 _20 00 _ .? / Kitchen Sink - $3.00 Urinal/ Bidet - $3.00 undry Tray -$3.OU ! Floor Drains -$1.50 Water Heater -$1.50 Whirlpool - $3.00 Z" Gas Piping Outlets -$1.50 Softener - $5.00 ^ Well - $10.00 ?? •s /' ? ? ..L Private Disp. - $14.00 __?_Rough Openings - $1.50 SIGNATURE OF PERMlTTEE FEE STATE S/C: ?+.•; ? .'; - -' ' FOR: CITY OF EAGAN GRAND TOTAL- ? ??' ? ? ? PERMIT # MECHANICAL PERMIT RECEIPT # GTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: WORK DESCRIPTION Res. ? New m Name ? ?'? ? D''? '}' ? ~`? Mult Add-on ? Address j! Comm. R r c Ciiy Phonef ` ( '' Other ?i ? a? c 3 O Name _ City TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other ? M BTU M BTU M BTU M 8TU CFM FEE S/C: TOTAL• o+ G G FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/iND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ? i ,tw.,. i SI FOR CITY OF EAGAN 4- 3q?,?4„3# * 3.f BUILDING PERMIT ??!? 11gF33 Receipt # ` To be used for 1 OF 4 PLEX Est value $ 4$,000 Date MAY 16 ,19 d b Site Address 4408B CLOVEI2 LN Erect 11 Occupancy R 3 Lot 32 Block _Z-Sec/sub. EDEN ADDITZOA Remodel ? Zoning p}? ¢ Name W o Addre Repair Type of Const Vii Addition ? No. Stories Move ? Length 4 4- Demolish ? Depth Int impr. ? Sq. Ft Install ? ? = o Name SAM Approvals ? a Address Assessment ~ City Phone Water & Sew. cc F W Name ? n Address i W City Phone I hereby acknowledgethatl have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinancea. Signature of Permittee A Building Permit is issued to: GOOD VALUE HOMES alI work shall be done in accordance with all applicable State of Minrleso i Building Official CITY OF EAGaN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Police _ Fire _ Eng. _ Planner Council Bldg. Of Var. Statutes and City Fees Permit $ 274.00 Surcharge 2400 Plan Review.137? 00 SAC 575.00 Water Conn.--3-Qg-a 00 Water Meter63? 50 Road Unit 290 . 00 Tr.PI. ito L,.'JU _ Copies Total ?2 . 019 . 50 on the express condition thet an Ordinances. prrmlt No. Parml1 HoWN DN? Tahphone N PIum6lny N.V.A.C. ei.cac 12 son.?.r Irapeetion Date Imp. CommKft Foodnps I FooGnys II Foundstbn I Framfnq ?1784 /,Z),,8 I RooNnq Rouph Plbp. Rouyh Htq. Insul. ? . Flreplace Final FMg Finsl PIbO• o-/0 46l Bldq. Final GA. Occ. Doelc Fiy. Dock Frmy. WeU Pr. Dhp. . . .. . _. . . ._ . .. ? F_ ._ _ ' . . . , PERMIT # PLUM8ING PERMR RECEIPT # 60 CITY OF EAGAN ? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 QATE Site Ad ess Lot Block Sec/Sub 3ACT FEE - $10.00 - 20.00 IT - .50 BLDG.TYPE ?-% Res. ' Mult Comm. WORK DESCRIPTION New Add-on Repair ? Name ?c Addre c City l? ,. IVame 3 Addre o CitY -4 COMM/IND FEE - 1%OF MINIMUM - RESIDENTIAI MINIMUM - COMM/IND I STATE SURCHARGE PER (ADD $.50 S!C IF PERMIT BEYOND $1,000.00) OF PERMITTEE FOR: CITY OF EAGAN GOES Nt?. FIXTURES TOTAL ? Water Closet - $3.00 $ ZBath Tubs - $3.00 I_Lavatory - $3.00 Shower - $3.00 _L-Kitchen Sink - $3.00 Urinal/Bidet - $3.00 f Laundry Tray - $3.00 ?Floor Drains - $1.50 ?Water Heater - $1.50 TWhirlpool - $3.00 ' Gas Piping Outlets - $1.50 • Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE: STATE 3/C: L' GRAND TOTAL• '? ? ? ? •-? PERMIT # Z Z MECNANICAL PERMIT RECEIPT # CITY OF EAGAN ?. 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: SiteAd ess '/ 2 % a- Lot? Block Sec/Sub m Name _ ? Address c City , ? Name _ 3 Address p City _ TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlerts # Other ? M BTU M BTU M BTU _.? M BTU CFM TYPE Res. Mult Comm. Other WORK DESCRIPTION New /X Add-on Repair FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU ADD-ON AIR COND. 0-24 BTU ADDITIONAL 6 M BTU GAS OUTLETS COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE MINIMUM - COMMIIND FEE STATE SURCHARGE PER PERMIT (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) - $24.00 - 6.00 - 12.00 - 6.00 - 1.50 EA. 10.00 20.00 .50 , FEE: ' - - _ . S/C: SIGNATURE Q PERMITTEE i TOTAL• FOR: CITY OF EAGAN I ... . . ._ . ' 1 . _ 'r'nR SALE TOtdfa:.UU -., CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE• 454-8100 Assessment _ Water & Sew. Pol ice Fire BUILDING PERMIT ? Receipt# ???1.,a> > ?- To he used fer 1 Uk' 4 PL't;X cat vaj.,p 448,000 n9m &AX 16 'a 86 SiteAddress 4410 CIrUVER 1.N Erect ? Occupancy R3 EDEN A lot3 4 elock 2 Sec/Sub DDITION Remodel ? Zoning PD _ . Parcel No Repair ? Type of Const uA . Addition ? No. Stories cc u00D "VALUE HOMES Name Move ? Length 4$ = oemolish ? oepth 14 a 146U 9 3 kD Ll?i Address Int. Impr. ? Sq. F+ Ciry $LAIN4hone 7E30-5510 Install ? a O U? ? ? ? ?Q UW W W ?z U ? oe z ? W Name 5AME Address I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all applicable State oi Minnesota Statutes and Ciry ot Eagan Ordinances. Signature of Permittee A Building Permit is issued to: GOOD VALUE HOMt;S all work shall be done in accordance with alf auolicable State of Minnesc N -2 11931 Permit , Surcharge Plan Revie Eng. Water Conn. Planner Water Meter Council Road Unit_ Bldg. Off. 5l16186 Tr. PI. Var. Date Copies T,,.,, 2, 0 9. 50 an the express condition that City of Eagan Ordinances. Building ' Permit No. Pemdt Holdw Dab TNophonw N Plumbiny • ? ? ? 1,,L (. H.KA.C. I? 4 G I I dL ENtlrlc SoMN1?I Inspeetion Daq Inap. CommMb Fooanq. I ba ?' FooNnysll Foundadon Framiny 7/7 WB Rooliny RouQh Plbg. ? - 6 a-G Rouyh F1ty. Insul. . L . f ? . Fkoplace FfnM Htp. _L FInN Pibp. Bldp. fMal Cert.Oce. -? - , , Doek Fty. Doclc Frmq. YIltII Pr. Disp. . Z , PERMIT # " ' `" • • ? PLUMBING PERMIT RECEIPT # CITY OF EAGAN c 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE PHONE 454-8100 Site Ad ress, ?Z' BLDG. TYPE WORK DESCRIPTION Lot Bfock ? Sec/Sub ? Res. ? New m Name W Mult Add-on « Addrese ? 'n. Comm. Repair c City Lc ?- Phone 3? 7 Other _ NO. FIXTURES TOTAL ? 6t, e 1-? Name Water Clos t - $3 00 $ 3 Addr . e ?Bath Tubs - $3.00 O City??-rw Phone ? _LLavatory - $3.00 Shower - $3.00 FEES COMMIIND FEE - 194, OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE _$10,00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - •50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) =Kitchen Sink - $3.00 Urinal/Bidet -$3.00 f L-aundry Tray -$3.00 ? Floor Drains - $1.50 ? Water Heater -$1.50 Whirlpool -$3.00 7_Gas Piping Outlets -$1.50 Softener - $5.00 Well - $10 00 . , Private Disp. - $10.00 7r_Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE v STATE S/C: t) FOR: CITY OF EAGAN GRAND TOTAL• ?"'j I PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PIL OT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE PHONE: 454-8100 Site Ad ess, ? ` ; ?- t "- '? TYPE WORK DESCRIPTION B1DG ? . 1 Lot Block ' Sec/Sub -0 R ? N ? ,?,? es. ew - - m Name ,? M lt Add ? Add t?ss ? 'f ` ' Y1 u -on Comm Re air « . p c Cit?Y-_ ? > ?` '. • P Oth er Name FEES ? c Address RES. HVAC 0-100 M BTU - a24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK ? GAS OUTLETS - 1.50 EA. Forced Air ? M BTU °° COMM/IND FEE - 196 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. ?- M BTU STATE SURCHARGE PER PERMIT - .50 ' (ADD $,50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping OuUets # / Other - ' l,<, FEE :•? ffr SIGNATURE OF ERMITTEE S/C: ; TOTAL 5 6? FOR: CITY OF EAGAN ? PERMIT GTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, IYIN 55121 PHONE: 454-8100 Site Address = Lot - Name _ ?o Address c City - IVame h . ? ,U ? • ? . 3 Address _- t1 i s`,- p Cjty i , a FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR: CITY OF EAGAN PERMIT # RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTION K Res. New Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 ? Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 UrinallBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping OuUets - $1.50 ' Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: ? GRAND TOTAL• Z 34 3y v 3 . , BUILDING PERMI ? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 30 Date MF.Y 16 , 19 ?? 5 Site Address 4410H CLOVER IaN Erect QX Occupancy <<3 EDEN ADDI Lot 3 `5 Black Z Sec/Sub TIDN Remodel ? Zoning ???? _ . Parcel No Repair ? Type of Const ?yt.n . Addition ? No. Stories a Name ?'?D V'?UE HQ?`?%S Move h ? ? Length 44 D 3 146U y 3RD LN Add Demolis e th p Z ° ress Int. Impr. ? Sq. Ft City BLAZilFphone 780-5510 Instan ? a SME APp?ovals = o Name ?°, ¢ Address Assessment ~ City Phone Water & Sew. a ? AE all Bu ` Police Fire _ City I hereby acknowledge that I have read this application and state that the MinSignatur8.nesota ot Statutes Permittee and City of ? Eagan Ordinances. information is correct and agree to comply with all applicable State of f . '••"A"-- °-?rmit is i C??ssued to: D VALUS HOME$ be done in accordance with all PHONE: 454-8100 ; T Receipt# `• ' ` Eng. Planner Council Bldg. Off. /16 f 86 Var. Minnesota N; ? 3i9S4 Permit $ 274.00 Surcharge 24 . UO Plan Review 137 • 00 SAC 575.00 Water Conn. 500 . 00 Water MeterU Road Unit 290.00 Tr. PI. 156.00 Parks Copie 1 1 . 50 Total on the express condiGon that and City of Eagan Ordinances. I -I ? p'). Prrmlt No. P*emN NWdw Oab Tekphom M Plumblng 1 ?R lo IH.4.A-C. , Sr EkwW sonenor InspeeNon Dale Insp. Commwnh FooQngsl Footlnys II FoundaUon Framley Rodiny Rough Plbg. - -?G . Rough Hty. 76 W Insul. - • ? 2? Finplae* Finat Hlp. Flnel Plbp. ?? - I Bldy. FiW Csrt. Occ. ID-k Fty. I Dock Frnq. Well Pr. Olsp. ? ! I I ? • PERMIT # . . , MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PIL OT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Ad,dre,!s BLpG. 7YPE WORK DESCRIPTION ?ot Block Secl Sub R ? N ? d Name ` ! es. ew M lt Add ? ^ u -on c Add4eess ' - ? - ? R i C ... c Clfy :. ? Phon '?'ym omm. epa r ? Other Name FEES ? c Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITtOlVAL 6 M STU - 6.00 TYPE OF WORIC ? GAS `I ??? Forced Air M BTU COMM IN FEE - 1°?6 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMMIIND FEE - 20.00 Air Cond. ? M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.5d S!C 1F PERMVT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlgis # ! Other $ FEE: -i r'• r,G 51NATURE? PERMtTTEE S/C: TOTAL: FOR: CITY OF EAGAN ' • - PERMIT # .. . , PLUM8ING PERMIT RECEIPT # 'U 3 7'17 ? CITY OF EAGAN C/ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ? 5v Site Ad ess ? ? BLDG. TYPE WORK DESCRIPTION ot ? lBlock ai- Sec/Sub Res. New ` y Name Mult Add-on ? Address S Comm. Repair c City "t" ?- " - Phon? L 2 Other NO. FIXTURES TOTAL Name L Water Closet - $3 00 $ . 3 Addre?s CF r Bath Tubs - $3.00 p City Phone f? r ry 33 Showe - $ 00 FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMJM - RESIDENTIAL FEE _$10,00 MINIMUM - COMM/IND FEE - 20•00 STATE SURCHARGE PER PERMIT - •50 (ADD $.50 SJC IF PERMIT PRICE GOES =Kitchen Sink - $3.00 TUrinal/Bidet -$3.00 Laundry Tray -$3.00 TFloor Drains - $1.50 1 -yyater Heater -$1.50 Whiripool -$3.00 =Gas Piping Outlets -$1 50 BEYOND $1,000.00) . SoRener - $5.00 W811 - $10 00 . Private Disp. - $10.00 =Rough Openings - $1.50 SIGNATURE OF PERMIT'fEE FEE ? - STATE S/C: FOR CITY OF EAGAN GRAND TOTAL: Remarks 2 Parcel #10 L22750 330 OZ stateEagan MN 55122 Improvement Date Amount Rnnual Years Payment Receipt Date STREETSURF. (? 1982 504.70 100.94 'rJ STREET RESTOR. GRADING 19 2 232.99 46. 0 5 SAN SEW TRUNK * SEWER LATERAL 1 6:46 Q'j9. WATERMAIN * WATER LATERAL 1982 5 WATER AREA * Sexwicea STORM SEW TRK 1982 Q5 • QQ 51.20 5 ? STORM SEW LAT 1 1982 5 CURB & GUTTER 51DEWALK STREET LIGHT ? ? WATER CONN. BUILDING PER. SAC PARK LITY OF EAGAN Remarks adaicion_ • Eden Addition Loc 32 aik 2 Parcel #10 22750 320 02 owner Street 4408B Clover Lane State Eagan I4IIV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 5 L 1982 504.70 100.94 5 STREET RESTOR. GRADING O a SAN SEW TRUNK * SEWER LATEAAL WATERMAIN ; WATER LATERAL WATER AREA • STORM SEW TRK f STORM SEW LAT ? CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks aadition Eden Addition Lot ?+4 Blk 2 Parcel #ln 22750 340 07 Owner "`' Street 4410 Clover Lane State Eagan MIlV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1952 04.70 100.94 5 STREET RESTOR. [ ! GRADING (? 1982 2 32.9 4(•(o 5 SAN SEW TRUNK 74/ 1974 62.93 4.20 15 1k SEWER LATERAL 1982 18 6.46 319.29 WATERMAIN * WATER LATERAL 1982 5 WATER AREA '?18 1977 62 * Services 1982 5 STORM 5EW TRK 1982 256. oo 51.20 5 • STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY QF EAGAN Remarks Addition • Eden AdrLtion Lot 35 gik 2 Parcel #10 22750 350 02 owner street 4410B Clover La.ne state Eagan MIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 19$2 504.70 100.94 5 STREET RESTOR. GRADING UqD 1982 232.99 46.60 SAN SEW TRUNK / 1974 62.93 4.20 15 1F SEWER LATERAL n 1 112 l? 6.46 279.29 . WATERMAIN ? WATER LATERAL 5 WATER AREA 62.93 A ZO I5 * Services 5 STORM SEW TRK 9 256.Qo 51.20 5 1F STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 9UILDING PER. SAC PARK ?-- _ _.__ - - - - - e_ __=I "rMl?L?C?RIY - _ ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: '"'•' ? Eagan, Minnesota 55122-1897 Date Issued: ; (612)681-4675 ? SITE ADDRESS: , . ; APPLICANT: ? ,. -,?PERIIAIT SUBTYPE: TYPE OF WORK: Permit Halder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR 7EST FINAL PLBG FINAI HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAI DECK FTG ?+ifry F( DECK FINAL ! CITY OF EAGAN 3830 Piloe.(noL Road P. O. B%;x 21199 Eagen, MN 5512? , Zaninp: Owrnr. ` Addmss: t Addrcss: ber : r No.: ?r No.. N M tO LOm? M? l?l0 ewa?. ? t ?? Q ? ? '.st v eJ of Ir?sp.. WATER SERVICE PERMIT PERMIT NO.: _ DATE: No. of Units: cnarge: 1'dm: /o ^/-8? ...__ wri-L.&W 1 i 6 . O0nd TP CITY 00 EAGAN 'VilD PilotlCnob Road WATER SERVICE PERMIT ? P. b. Box 21199 PERMIT NO : Eagan, MN 55121 . pATE: ?- - ? Zoninp: ` p?,??; uc)d V81ue Hones No. of Units: " /lddress: Sit, Addrow. 44()8 Clover Lane L33 plumber .`'?ickelso?? Pluta AAster No.: -3 70 a'L 7 y 1 a ??..c, t? ?,(1 ??-?a? sl?: r• . Reodsr No.. ? rm ? pme t0 OOWph 1Nnh !M City Of so11 Odiw?so?. J?%%'.V ^ ? ix. Chary.s: ? S6 5?.q??i a r'J ;0yd meter 6y 6 /d?--- Totol: ;;z.5!1+•?, ?n Dats Paid: bote Pafd: ? DcM of Insp.: Irup.: ? . 7 2 8- ??O CITY OF EAGAN SkWER SERV6CE PERMR 3830 Pilot Knob Road 21199 P O B PERMIT NO.: ox . . MN 55121 E DA?: agan, Zoninp; No. of Unin: , , Ownsr. ? /lddress: - ? Site Addross: , wumb.r. ? I sor« h eMylf w4b !M Ci1y of iqMw ConrNCtion ClwMe: OfdIM?ON. ALCOU11t DipOlft2 PeItRit FN: SNfCh01'Qf: ey l Miac. Chorqea: poft of Irop.: - Totol: jrwp,. Doh Poid: This request void 1 B months from C 24387 Ae4Vast Uatb n?{ 7 Fire No. Rouph-fn InsVection R qu?red? ?Ready Nuw Will NoUfy, InsDec- ' ? r-, . . Yes ? No tor When Ready i u- ??.?_•• "a....•?_? ?.???,rncior 1 herebv repuest inaDection ot above ? Owner electrical wwk installsd at: S re t Address, Box or R ?tqo. City lO v?? o-AD ecUOn o. TownsMp Name or No. ange a• County ? Oc ant (PAINTI Phone Nn . Power Supplier Address EI ical Contractor.(ComDan ame) . Contracto r's Licen e No. ' M ss (Con actor qy0 ner Making Installation) YM - ? ? /u Au orized Sipneture ontractor/ wner Making Installation) Phone Nu mber ?CZO rnrvtbVtA S7ATE BOARD OF ELEC7AICITY ripqs-Midway Bldy. - Room N-191 1621 Universitv Ave., St. Psul, IYIN 56100 Phone (812) 297.2111 THIS INSPECTION REQUEST WILI NOT BE ACCEPTED BY THE S7ATE BOARD UNLESS PROPER INSPECTION FEf IS ENCLOSED. Jr/, REQUEST FOR ELECTRICAL INS'PECTION es•ouooi-oa 17-!`? 1 Sse instructiona lor completinp this (orm on baek o1 Vsllow copy. OL" L// G/ C 2 4 3 8 7 "X" Below Work Covered by 7his ftequest ?G Now Add RaD• Typy ot Buildinp Appliances Wired Equipment Wired Home Range Temporary 5ervice Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric HQatiri Commercial Bldg. furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Mflk Tank Farm ther peci Y ther ISPer,oyl t.r Vecify t er Other Comoute lnsoectinn FPe Re/nw M Fes ServiceEntronceSize M Feeders/Subteeders 7? fee Circuita ? 0 to 200 Am s 0 to 30 Am s . Q7 0 to 30 Am Above 200 Am ?5 31 to 100 Ainps 31 to 100 A s Swimming Pool q Above 100_Am s Above 100_Am ' Transformers Irri tion Boorr6 Partial, Other Fee Signs Inspection Special TOT ? emerks AL? -z . - - -- Rouph-in ? Date ths E r' 1 , Inspector, Ae.ebv cerlily Ihat the a6ove Final 5 Date rp_ inspection hsa baen 1 msde. i Tlris reuueat rold 18 months from CITY QF EA GAN 3830 oPilot K nvb fload WATER SERV ICE PERMIT _ F: O. Box 21 199 PERMIT NO.: Eagan, MN 55121 DATE: - - -- Zonirg: No. of Unlts: , 4 -"'1 e=- OIYMR Addrosx Sib Addrost: - - Plumber. Metsr No.: ' 7.? '? ?ock ? s+ze: ? ?tilit?es . ,,;?, ; _ ? Rsader IVO.: ' 0 3_ 3.nehtE d?1?lRm . FM? E1S'r.. OOpti 1 Mm to ao0 yir v?YA tV Citf of E?Q?'? i'9e:? . 5 Und pep?, ??: . , ? :) nd ? ? gy 1 ? Doft Pold: Dote of Irap. : Inp.: ?- OF EAGAN SEINER SERVlCE PERMR Pilot Knob Road Box 21199 PERMIT NO.: i, MN 55121 DATE: o: No. of Unlts: AddMtt: - - - ., 6ar. ' L N hfeel/Ir wMi IM CleT oi M"aw Con+eetlOn Chorpe: NNGS& Aocaint Dopotlt: Prmnit FN: Surd?orp: Misc. Charpm t of Imp.: TWnI: ,. Doft Poid: ?ITY OF ?AGAN V1IATER SERVICE PERMR 0 3830.Pilot Knob Road ? P. 6. Bax 21189 PERMIT NO.: ? Eagan, MN 55121 D/?TE: ` Vtornon r+9: p I No. of Units: -? er. r. C-00 Vfl UE @ S ?e:f: /lddrcss: '?•''1`l GIoL t'r Lane L, + 3_ ?'d??n :?..c' ::: ?r. '•? iC celsOn F u:s s ? Slu: r No.:-3 7-2' 1-5-1 ? G. ( ) • ?? •? E? Reoder No.: (.5-O e 6S ?; 1 0. ?l p, 3 1 pm te sonplp wilh !6w Cltr ? q".a' p ? R??` Toro?: ? ` ' • ?';???- '"Tt? , 8Y Pafd: Dote of Insp.: In"P.: KJ/"7 _YG CITY OF EAGAN SEYM sUVIO PERMR 3830 Pilot Knob Rosd P. O. B,ox 21'189 PERMIT NO.: Eagan, MN 55121 DATE: r,'- Zaninp: "-i No. of Untts: ? •; ? ?' ,. Ownsr, G-OOd Vx?.TU2 :222:2 llddrcss: ? Siro Add Plumber. 1 wm te eaw* wilh tl» CNy oi aqew Ordiwwac By Dofe of Insp.: Connection Owrgr. Aoowwit Depait: Pem+lt Fee: , Surchorpe: Misc. Chargm Totol: Dah Pcid: Th.s request void L% ?(: ? 18 nwnths from [ ? C 2 4 3 9 0 Feques! 2te R?e Np, ouAh-in InsVecUOn ?_('? equheA> ?Heady Now Will Noufy InsPec- '?? <J ' ?es ?No tor When Ready ? Licensed EleMncal Contractor I hereby repuas, insoection of above ? Owner electncel wark mslallad a[. . Street AddrJ s?s/, B;ox('or Route N. f f ? C?ry / _/"U "Cl?-? ???..? ! C?'(/ (/ N ?u? G ecimn o. Township Name or No. R.nge No. Cow? OccuG nit tPRINT) Phone No. Po er Su ,er Adtlress Eie`tr cal Contractor ICOmDanv Namel M Contmctor's License No. J?/ ?C?-c.c? Ma/ili?n/g`?Ad/J/r`ess (ConVactor or? Ow/ner Making Inst ilauoN /?%' U ? t' ) Authonzed Sig ?ure IContracmr/O?wncr Making InStallatmN / Phone Nu/m/ber lr' - V 0 MINNESOTA SYATE BOAND OF ELECTPICITY Gnggs-MidweY'atdg. - Room N•191 1821 Univarsity Ave.. 5t. Paul, MN 55104 Phane (612) 297.2111 THIS INSPECTION pEQUEST WILL NpT BE ACCEPTED BY THE STqTE gpqftD UNLESS PPOPEN INSPECTION FEE IS ENCLOSED. ? (? ; QUEST FOR ELECTRICAL INSPECTION ee-uucwi-oa / - / 7-?& See mshuc<ions tor camoleLrs; this torm on back of Vellow copv. / r//- C? ?r 0 n? o n ?•x aP/oW Work Covered by Tl?hs Request CG' 7 w/?5 de flev. Tvoe of BuJEing Applm^ces WneA Equipm¢nt WireA 40me Range Temporary Service ?uplax Water Heater Lightiny Fiztures Apt Bwlding Dryei Hectnc Heatin Commercial Bldg. Fumace Silo Unloader Industnal Bldg Au Conditioner Bulk MiIk Tenk Farm othee on??fy ther (Sperify) t ar Succ?fv ?her Other v vu N rpu? ?. . ... Fee p .......... . .... .?... _ .. ServiceEnbance5ae L Fee Feeders/5ubteeders _.. Cirewis 0 to 200 qm s 0 to 30 Am s 0 m 30 Am s Above 200 qmps 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100-Amps M Ahove 100_AmPs Transtormers trrigation Booms Parbal-Other Fee Signs Speciailnspection X? TOT EE pem?rks i Rou9?-?n ?1fe ` 1. the ¢al ? inspectoq ?erebv cerlity that the nbove Final P " U'11emsvection hes been /1 IrA , ?oa. -5 4 `nio mnunxr wid 18 monihs irom This request void 1B months /?om ?' L? ? ? ? C 2438R Request Date Rre No, ?t: ,-c .. Fouph-in Inspectmn R qwretl? , ?fl¢ady NowkWill Notify Inspec - ? rj ?Ves ?N !or Wh n R dY _? "=c?nca? i,wnrnvmr 1 hereby request inspeclwn of above ? Owner xi..cr-a1 ?..e1e1- Sveet Addyre?ss, B or Houte No. CnY ? ecuon o Township Name or No. Range No. Cwnty Occ ant IPqINT^) ?v K P^or Power SuOOIier Adtlress ? / ? V Ele,)ncai ConUactor tComp y Namel . Cont acmr's Lwense No. / ? Mailing AdJress ( onvactor or O? wqeI MTking Instailation) 1 4(t) 8 o - 7 ,-) s 3 Au nzed Signature IConVacior Owner Makmg Installation) Phone Number dlal3a6 g /--/ ?j & -86 00 5? mnnn"U?A StATE BOARO OF ELECTNICII'Y Gnpgs-Midway Bidp. - qoom N-197 1821 Univarsity Ave., 51. Paul, MN 55106 Phone (812) 297.2111 ]NIS INSPECTION qEQUEST WILL NOT eE qCCEPTED 9Y THE $TpTE BOARD UNLESS PXOPEH INSPECTION FEE IS ENCLOSEO. EB-OUOOL04 k??`"? R SQUEST uFOR EL ? ECTR ?ICAL ? INSPECTIONck ot yellow coov. ? fi' !5 A'D Q i.. "Y" Rnlnw Work Covered by 7his Aequest ? C_YJ Vv - - AAd Rep T ot 8wltling AVOIc,,rea MIVeE EqwV??ent Wired - ome Range Temporary Service Dup?ex Water Heater Lighnny Pixtures Apt. Bwlding Dryer Electric HeaLn Commercial Bldy. Fumace Silo Unloader Industriai 61Ag Air Condrtioner 8ulk Milk Tank ther peci V Diher ISV?r.?tYl Farm t e? Sueufy Other Oiher ompure rnspecumi ree oc?vw tl Fne ServicaEnheDce5ae tt Fae Faeders?Su0leeders d Fee_ G??curts ??1??-Ahnvv 700 Ami?c31 to 1D0 AntpS 1 1 /Q? 31 tp iVV Amps ? Swi 00 TOTqL?FEE f? ?-f i r Di11e th N al \E I h ,n flou0 m 4eo . e 7iIil' InsPector, hereby ? cerlily ?hat the above n F l C ?te OacUOn has been i a ' ? de. lttla repueet wiu 10 monnm .. .... 9?o2c1 9075Sa 0 02 4 0: 33 _61dt.. 91!? D°'° Reduest Data G a S Fire No Rough-ln Inspection Reqwretl (VOU must cell mspector nen reetly) Inspec?lon Olher Than Rough-In ??Reatly Now ? Wnl Nollry Inspemm - a- ? Yes No DateReatl 1Z licensed contractor ? owner hereby request mspection of above electrical work at: JoG Atltlresa l6tceet, Bax or Paute Na ) City O v ?-C.t k4l'A EG Sedion No Township Nama or No Renge No County I _ 4J Oa<upam (PRINT) PM1one No 0 Power Supplier Atldress rn S.J c- Electncal CoMractor (COmpany Name) Conhactor's Lmense No C^ a Maihng AOdress (CO racror or Owner Making Installauon) \ JV Authonze 9ignature (ConiractotlOwner Ma xng Installallon) I Phone Null ? Q, ? MINNESOTA STATE 8O0.PD O L CTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-Mftlway Bldg. - Room S 2 8 BE AGCEPTED BY THE STATE BOARD 1621 Onivenlly Ava., St. Peul, MN 55106 ????? ? UNLESS PROPEF WSPECTION FEE IS Ghona(612) 642-OB00 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os e e Far completing iNS 7ortn an back of yellow copy. 4 001 Sea inatmdlon _ 'X" 8elow Work Covered by This Request Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Fumace Other (Speci ) Farm Air Conditioner Other (spenly) GoniracroYS Remarksi Compufe Inspection Fee Below: ar ? # Other Fae # Service Entrance Siza Fee # Circuits/Feeders Fee Swimming Pool D ro 200 Am s 0 to 100 Am s Transformers Above 200 Amps Abave 100 -Amps Si ns inspectors use omy ' TOTAI Irrigation Booms i 5 ecial Ins ection . Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITMIN 18 MONTHS. I, the Electncal Inspector, hereby Rouyn-m oate certity ihat the above inspection has been made. Finei OFFICE USE ONLV This request void 18 months irom This reques[ votd ?_ ??7` ?/ . 18 months (rom i t(' 243f3q L3? P,1 5r-,? 6 Y!?9S ? y -? - Fequest Oate 7- - ? ? Fire No. Rouph;in InsVecUO n fl qu red? V oAeaAV / Now?Wili Nnbfv Inspec- h -? ? es NO ? torW enPeatlY ? licensed EleGncal Convactor I 1 hereby request inspecLOn of above n Owncr elac1nca1 work instelled ac Street AAdress, 8ox or Pwte N9., 01??1 ecLOn o. Township Name or No. a Rsnge No. County Occ 11PRINT1 / - 1' ? - hone No. ? i t P6wer Su ier Address Electn.oal Convac[or (Company Nnme) Conlractrur's License N`? Maihn qddress 1IC'jOnVaclor or ?Ojwnq.E-Making In ?IITUOmI Authonzed'Si nature (ContncwdOwne Makmg InstallaLOn) Phone.Number MIMNES W$IATE BOAND OF ELECTNiCITY Grig ay Blde. - Foom N-197 1827 niversity Ave., St Paul, MN 55104 Phane (8121 297-2111 ims irvsrtcuvrv ncuvcs. mu rvol 9E ACCEPTED BV THE STATE BOAAD UNLESS PFOPEN INSPECTION FEE IS ENCLOSED. Ey.00001-?4 n rj^ REQUEST FOR ELECTRICAL INSPECTION J'6/ II, Sea instructuons for camp1e1in9 ihus torm nn back ot yellow copv. /? 2(? ? g? "'X"" Below Work Covered by 7his Request -f -'-1 `? Aoo? W a E uiomen? 1 [.nn Nao. Tvoa of Bwltlmg wi.ee uplex Apt 8wlding Water Heater Dryer Lighuny Fixtures Electnc Heabn Unloader l S Commercial Bidg. Fumace o i Industnal Bldg. Air Conditioner eulk MsIk Tenk 0 1herl5ue?iNl Oiher Soeciiv Farm ? .r SPeufy Othe? e lncnuPfl/Itl FPP Relnw vp Vae ?SarviceEnhence5ixe B Fae Faeders?Suoteeders %? F^e U to 200 Am s 0 to 30 Am s 00 ? tO-' 00 31 to Above 200 Amps? Amps 31 to 1 _ Swimming Poal Above 100-Amps Ahov Transiormer5 IrrigaLOn Booms Pdrti+ Signs Speaal Inspection TOTF Hemarks Pouah-in Final 100 L 4A) (?? Ihe Elec? Y?-' InsDectoq hereby cerLty that the above e unspeclion has been r?PO mede. r , rt - ' RESIDENTIAL BUII.DING Permit Application City Of Eagan 5 g (R?O 3830 Pilot Knob Road, Eagan Mn 55122 J Telephone # 651-675-5675 FAX # 651-675-5694 New Construd'an ReouiremeMs RemodellReoair Reaui2ments Otfice Use OnN 3 registered site surveys showing sq, il. of lot, sq. ft of house; and all mofad areas 2 copies of plan Ced of Survey Recd (20°/o maximum lot coverage allowed) 1 set of Energy Calculations for heated addiUons Tree Pres Plan Recd 2 copies of plan showing beam & wimlow sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd 7setofEnergyCalwlations Addftion-mdicetei(on-srtesepticsystem _On-siteSepticSystem 3 copies of Tree Preservatlon Plan if lot platted after 717193 Rim Joist Detail Options selec6on sheet (bldgs with 3 or less units , Date Q, /t)LA /()3 Construction Cost19 7, Site Address 441[j6-C\pUP.lr L QM2. U¢iUSte # ?l S 1z2 Description of Work -I_ *AA Apsu y\8t,? ? a X?;Q Multi-Family Bldg A Y_ N Fireplace(s) _ 0? 1 _ 2 Property Owner ? (,Zr 6 e- Telephone # jp5, ) (o %j^ Q9 G21 Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesob Rules 7670 Catesorv 1 . Residential Vantilation Category 1 Worksheet (Jsubmissionlype) Su6mitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor ?e # ( . ?e # ?II )UN 1 , - i," „ B ' I hereby apply for a Residential Building Permit and acknowledge that the i rniation-is - mpletie Jand accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Stahxtes; 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. A NEW BUILDING Minnesota Rales 7672 • New Energy Code Worksheet Submitted Telephone #( Cavr,le A 1-av he+n C&hj") Q. )A? Applicant's Printed Name Applicant's Signature ROs` [OHSULTI HO E3i61NEEA5 ?6 µ?NGiNEf?1NG PLANNEAS and LAHD iU8ECOMt?ANY, [NC. N44ZZ22--33'000QQ C 1000 L1ST 146L1 S-AEZT, BURNSYtLLE, YIHNE!Ci1? 5!=3? PH Cer.? jftz ccz?e Sj?c-7"-?4ey scaLE 2 ?`Cl .&YJC1 C;crL: L0T5 32, 32-; 34AAID 35, BLCCK EDEN AD0j%16A1, DAKOTA CO?,VTY MIlVNESO7A c?u3DENOTES EX157/A,'65 ELFVAT/oeV C93c•o: DENOTES PROPO5c0 ECEJAT/oA/ C L lNDICRTES OIREC r'IOAI OF SURFACE OR4 l?7 IG E DNORTH ?J39.g3- FiA/lSHED GARAC-c FLDC.? ELEVAT/o?, 141 o° A a, ? ? Q.I O ?1 a 1 L EAST ???_z tn 83_00 ,? ---- -? m LOT I / lo?o', 9?4.A'il ? l9za wz1 - ? N B7° c -r-- ss_z - LOT\,31? ??- ? J ? DRAlNA6E ANA UTtLITY EASEMENT B:?! L D I IV C- , ? 'l 1 WC- "'- ? ` L.OT > 770 ?s o =3 `0- ? W ? s eh P i. •N a ?36 ?'s I her:by caMify that thia ia a t:?se and eorrzct rspreeenSstion ot a t2'ac; ot ltnd aa tha+m'and deeeribed heraan.• Aa preparad by mn on this - 9? day ot m?i , 19 Sa . Nian., l?eg, Ho. /GaBS PROPOSED 4 -U/VlT r6c - - _ i LO i 3? 1 ? ???'? - c - -- - r M ? --ea.zo-- - 6Tl_I o = ?4z \ (? ?- 1?? 3G.4 m O I 3F g ? (q?y.S) ' pc y5 1 ?., I $ ? ? ? h ` N ? '. 33 ? ? 9 ??? ? ? /O c RESIDENTIAL f-5C-Ac\ ? BUILDING PERMIT APPLICATION CITY OF EACAN 3$30 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reoulremenls • 3 registered site suneys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies ot Tree Preservahon Plan if lot platted after 711/93 • Rim Joist Delad Oplions selecpon sheeY (61dgs wilh 3 or Iess units) DATE ?a ? f ? RemodellReoalr RenulremaMs . 2 copies of plan . 1 set a( Energy Calculations for heated addNons . 1 site survey for ezterior addilions 8 decks . Indicate if home served 6y septic system for addNOns VALUATION E200 - SITEADDRESS ?CII ?J 9_ &OULI%' G-04Q_MULTI-FAMILYBLDG _Y _N TYPE OF WORK /gar ? J'P ?(/ 1 FIREPLACE(S) -??S¢;ky APPLICANT STREET ADDRESS 7I(7 ?// •!T GriU ' I.j CITY UrlI? STATEI/?JV,ZIP 5? 3 v TELEPHONE #q - -0 CELL PHONE # FAX # ?hf?m :'P'+ehra PROPERTY OWNER EGA-V' r-P, 4CkVivk TELEPHONE# CO?I-6914Vo? COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (J submission type) • Residendal Ventilalion Category 1 Worksheet Submitted • Energy Envelope Calculations Suhmitted OCT Q 4 2002 Plumbing Contractor: ------------------------ Phone # "__ _ Plumbing system includes: _ Water Softencr _ Lawn Sprinkler gy? Water Heater No. of R.I. Baths - No. of Baths Mechanical Contractor: ?? %J??' t?l? r7V'til Qf/- Phone # g52 - Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor. Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinqpces. A _ . „ Signature of Applicant OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 RESIDENTIAL 70 ? S SL3 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Canstruction Rauuiremanb RamodeVReoair Renuirementa • 3 registered site surveys showing sq, N. of lot, sq. k, of irouse, and all mofed areas . 2 copies of plan (20%maxxnum IM coveraga allowed) . 1 set of Energy Calculations tor heated additions . 2 copies of plan showing beam & window sizes; poured found design, elc.) • 1 site suney for ezlenor addNOns & decks . i set of Emrgy Calculation5 . Indicate if home sened by seplic system for additiom • 3 copies W Tree Preservation Plan if lot platted afier 7l1793 • ftim Joist Detail Options selection sheet (61dgs wdh 3 or less unifs) DATE v? VALUATION SITE ADDRESS IJ 9-61OIJ 2r 1-CY!'1 P MULTI-FAMILY BLDG _ Y _ N TYPEOF WORKTYtdu1 ( ot Piats d 1'fecfUEhd ?iTG?o//C aNcQ FIREPLACE(S) _ 0_ 1_ 2 V'U h C4- 'qcLs Ii'n L. v APPUCANT Pi V`Q & 4 () , 0(3)l 11All` /d//ii?d Ei` rESJrIC P STREETADDRESS 11), (,L?n I.? CITY?I"NSU/'Ile STATE?ZIP-`-K33 TELEPHONE # ?? ?J?1O-O`JSBCELL PHONE # FAX # PROPERTYOWNER MGY\ U?4 lC 0 yt/"x TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO"1'A RliLLS 7670 CATEGORY 1 MINNLSO"I'A RULES 7672 (J submission type) • Residentlal Ventiiation Category 1 Worksheet Su6mitted • New Enargy Code Worksheet Su6mitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Water Softener Water Heater No. oF Baths Phone # _ I.awn Sprinkler _ No. oF R.I. Baths Mechanical Contwctor: ?I I?P-S /IP IfO tn H p Mcchanic:il systcin includcs: Air Condilioning Hcat Recovcry Syslcm Sewer(Water Contractor: Phone # Phone # Fee: $90.00 ema -fto o 2sg Fcc: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply wiTh all applicable StaTe of MinnesoTa Statutes and City of Eagan Ordjtnp,nces. / y ` Signafure of Applicant Y?/ ----..--._____--____.__---------------__....____• --.....__.______?_-------.. _. . . _....._ OFFICE USE ONLY CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Boo:< 4? pf76E' 35 f AOBE ?ONSULTIH6 EH61NEf!tS, ?sD ?n?vc ?,,,E? ENGINEERING PLANHEAS and IAHD SUAVE90!!5 COMnfiNY, iNC, ? 1000 LiST 146L1 S7AEE7, BURHSYILLE, ItiHHE:0iJ1 5Z337 PH 4:!2-3060 4075 32, 33, 34 AAID BLCCK 2j EDEA( ADDI`10A1, . ? DAKOTA CoJhITY 10jAtAlE507r1 -2:?•c? DENL'TES EX/S7i'A,'G E-VAT/0IV (y3f.• o i DENOTc 51"ROPOS c"L' E?? VqTIOti! E G NN .?? rNDICATES 01RE='ICAj OF SURrACE O1?141"*t141 E D N O RTH qgq.?,3 = F%'tl; 5?'Eu^ GARQC-? FLCC,7 EL.EVA 7ro16 ScALE : !„' :0, W 0 ? `? a o ? Q? 6 - . /.? -Ln 83.00 ? - - - - ? ? L G; ; .? J ? V 1 ' n? T: N 87°oc"cr""i,v EA5'" 3c.2 160 .7Q - - 77_ 74 , I p r6 11"Oe L 0 / 34 $Q ?34.53 4--UNlT rf J? I?N - 6s.z7- _ ? PRGP05E0 t939•4?? ? n? C93R.5? 93;a- ' LO 1 ??C DRAlNA6E AND U7iL77Y EASEMENT i; N? ?. ?&4 /6f 7 j?? 93 C'lJ i Q ? o ` N 936 I her:by cartify that thia ia a t:ue nnd correc* rsPraentation o! a tric: ot land a: shown'and deec^ibed he^acn.• Aa praparad by me on thfs 9rW dty of 19 Sa . .'?? ?? Hinrt. !lag, No. /?SS ° B:?1LDl NC- I i 1 - aa.zo-- ? ? ?9 S) '3S 6d -? - I ?W 4 ' J I ? m i ry v - ? h k h ti ? ?OT 3 3 I?. ti? Q , a ,.. 4, / /a' i ?--- 1986 HOILDING PERHIT APPLICATION - CITY OF EAG9A NOYS: 9LL COATR9CTpRS M03T BE LICENSED WITH THE CITY OF E6GAN COl4MERCIAL SINGLE FAMILY DiiELLINGS INCLUDE 2 SETS OF ARCHITECTORAL INCLUDE 2 SETS OF PLANS & STR[SCTUAAL 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: Valuation: l/?t!?M Date: ? Site Address OFFICE USE ONLY Lot y10 Bloek :2-_ Pareel/Sub Owner Address City/Zip Code Phone Contractor S?XX Q Addres City/2 Phone Areh./ Address City/2ip Code Phone S NOTE: ADDRESSSS FOR CO@AER ADDRFSS I3 DESIRED. is zssnEn_ Erect ? Oecupancy 3 Remodel _ Zoning ?? Repair Type oF Const ? _ Addition !F of Stories Move Length Demolish ? Depth ZL Int.Zmpr. Sq Ft Install APPROVALS FSSS Assessments Permit 07V Water/Sewer Surcharge 7?77- Police Plan Review /37 Fire SAC 57 ' Engr Water Conn 15?-y Planner Water Meter Council i Road Unit 2 Bldg Of // 7?reatment Pl APC / Parks Variance Copies 1OTAL IAi3 - COPTRACTOR/HOl7EOfiNER HOST DESIGHATE HHICH NO CH9NGES WILL BE ALLOiIEp ONCS BQILDING PENIiIT Vl?6,3 1986 BDILDING PBRMIT APPLICATIOH - CITY OF EAGAN NOTE: ALL CON'PHACTORS MpST BS LICSNSED AITH TBB CITY OF SAGAA CON4IERCIAL SINGLE F9MILY DWSC.LINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 7 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For: Valuation: ? Date: ' Site Address t/Ye g 3 pM--.. LX? OFFICE IISE ONLY Lot 3 Z Bloek ,7 _ Ereet Oceupancy -?3 Remodel Zoning Parcel/Sub Repair _ Type of Const ? Owner / Addition Move # of Stories Length ? Add iy? O f G? 9 j Demolish Depth ?. ress / .-t Int.Impr. Sq Ft City/Zip Code l??¢?rn5???? ? Install ---------- --------------- --°--- Phone APPROVALS F&FS Contractor Assessments Permit 'L -7L/ Water/Sewer Sureharge ? Address Poliee Plan Review LK2 Fire SAC City/Zip Code Engr Water Conn Planner Water Meter ("a Phone Couneil Road Unit Bldg O£ff Treatment P1 ? Areh./Engr. APC Parks Variance Copies Address TOT9L City/Zip Code Phone # 80TS: ADDHFSSES FOR CORNSR LOTS - CONTBACTOR/HOMFAWNER MQST DESIGNATE SiHICH ADDRESS IS DESIRSD. NO CHANGFS IiILL BE AI.LOiiBD ONCE BOILDING PEEMIT I3 ISSIIED. : 1986 HOILDING PERlII? APPLICATION - CITY OF EAGAN NOTE: Ai.L CONT6ACTORS MQST HE LICENSED iiITH THE CITY OF EAG98 COMlliERCI9L SINGLE F91ffLY DiiSt.LINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLIIDE 2 SETS OF PL6NS & 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: ::, Valuation: ? Date: I o Site Address OEFICS QSE OIIiI.Y Lot 3?1' Bloek Z Parcel/Sub ?- Owner Address City/Zip Code Phone Contractor Address City/Zip Code Phone Arch./Eng-. _ Address CitylZip Code Phone # Ereet ? Oecupaney 3 Remodel Zoning Repair _ Type of Const lZrI{/ Addition # of Stories ? Move ? Length Demolish _ Depth Int.Impr. ? Sq Ft Install APPROV9LS FEES Assessments Permit 27 Water/Sewer Sureharge 2 Police Plan Review 73 7 Fire SAC S 7 Engr Water Conn Planner Water Meter Council / Road Unit 7?i O Bldg OffS reatment P1 APC Parks VaMance _ Copies TOT9L NOTS: 1DDRESSES F08 C08NER LOTS - COATRACT08/HOMEOiiN88 HOST DESIGHATS SiHICH 9DDRESS IS DBSIRID. NO CHANGES fiILL HE ALLOAED ONCE BIIILDING PBRMIT IS ISSOfiD. 4 4. 11?b 1986 HOII.DING PERlIIT APPLIC9TIOA - CITY OF EAGAN NOTE: ALL C0FIRACTORS MpST BS LICSNSED iiITH THE CITY OF EAGAN COMMERCIAL SINGLS FAlULY DHSI.LINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STAUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For: Valuation: -//? Date: ,j - 9?4 Site Address OFFICB IISE OHI.Y Lot ? Hloek Z Erect 2L Occupancy -.3 1 Remodel Zoning Pareel/Sub AE;M,??0 Repair _ Type of Const Owner Addition Move # of Stories Length ? Demolish Depth ? Address Int.Impr. .? Sq Ft City/Zip Code ? Install °-------- --------------- ----°- Phone W6?1- 15-3 /49 APPR09AL5 FEES Contractor Assessments Permit 27 C/ Water/Sewer Surcharge ? T?CT Address Police Plan Review 3 7 Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Couneil oad Unit •::?? ? Bldg Off. , reatment Pl Arch./Engr. APC / Parks Varianee Copies Address TOTAL City/2ip Code Phone # NOTS: ADDHESSFS FOR CORNER LOTS - CODITRACT08/HOMSOi1NER HOST DFSIGHATE IiHICH 9DDRESS IS DfiSIRSD. NO CHANGES 6iILL BE ALLOWSD ONCE BOILDING PERMIT IS ISSIIED. ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 4408 LO7- EDEN P.I.N.: 10-22750-330-02 FERMIT CLOVER LANK 33 BLpCK: 2 PERMITTYPE: euzLnxNG Permit Numher: 0 3 2 9 0 2 Date Issued: 0 8 /Z 1/g$ DESCRIPTION: B u,?-4d1fi;P-gg,P e r m i t T y p e Bu`ild?ri.g;(4mrk Type ??nsus. Gd`de_ L. g =t 't£'x 4 d?„i=?I6 I ?r Is` tv ?eM? \m ?. Ym+ .?^"wf 4 S NL Y Af° DECK AODITIpN 434 AL7. ftESIDENTIAL 'eF&F . dt?I"e!S.f??t2j'+% a?b'jy gfi 64 ? Piw ? asF€xla Qfl WNER: - HPP1JOHNL - 4408 CLOVER LANE EflGAN MN 55122 (651)686--6932 REMRWyREVZEweo BY JOE VOELS. FEE SUMMARY: Bese Fee $50.06 Surcharge $.50 Total Fee $59.50 COVTRACTOR: ? X - Me.reb.y aak-rta?+I edqe tb at, 4 h.air?: r e a si t'hss ?:?aa??aa ' infcrr-?ci?z,vnz :' cta,r, rect. and agr-ee -to „c?mp?y 't;?;:th a5ta.tL€'tes anty,o:? Eagan.Ordiriances'? ? APPLICANT/PEflMITEE SIGNATU ?n+iS Q u ? F? ? g?PIr?{kF, Wk[2li 4ii? ??? ?o- R? } ? `?P€???`,c?t??r,??aj?,ew,`tif Mn. .o;?e ..?r? • . 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) / CITY OF EAGAN ? ??? ? ? 3830 PII.OT KNOB RD - 55122 50 681•4675 New CanstruGion Reauirements RemodeVReoair Reaviremenis ??l?Ag? ?•?`t "9 c? • 3 registerod site surveys ? 2 wpies oT plans (inGUda beam & window sizes; poured fid. Gesign; ete.) ? 1 energy calculations ? 3 copies of tree presenation plan d lot platted after 717/83 required: Yeg, No DATE: ? SC 151TION OF WORK: T/ f,,J F STREET ADDRESS: z?i- oL6 tJ e& ?? i- ez"t- Z,1 ,J LOT: 3? BLOCK: ?- SUBD./P.I.D. #: e &-?- PROPERTY OWNER Name: OYf/1J Phone #: (O 0P6 ?- Last Fiist Street Address: c,ty C Company: CONTRACTOR Street Address: City ARCHITECT/ ENGINEER Company: Name: Street Address: City State: Sewer & water licensed plumber (new construction onN): and lot change is requested once permit is issued. Zip: ?'?f -)- ti- Zip: Zip: Penalty applies when address chang to y with all applicabl I hereby acknowledge that I have read ttiis appliption and state that the infortn i n is co a77a State of Minnesata Statutes and City of Eagan Ordinances. Signature of ApplicanL OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Pian Received _ Yes - No _ Not Required State: /1-//lJ • 2 coDies of plan ? 2 site surveys (ezterior addkions 8 decks) ? 1 energy wlwlations for heatad addkions ? CONSTRUCTION COST; Phone #: _ License # State: Phone #: Registration #: _ Eden Homeowner's Association PO Box 22195 Eagan, MN 55122 7ohn and Bea Fay 4459 Clover Lane Eagan, MN 55122 July 17, 1998 To Whom It May Concern: The Eden Homeowner's Association has given you permission to build an extensian to your deck. I[ aiay not be exfended towards the sueet at all and xnay, not eartend past the' end of tfie house. Additionally, yon are not allowed to attach stairs since you face the .> street Your plan meets these criteria. . When the work is done and signed off by the city, we will need a copy of it for our records. Sincerely, /j /?-9, ? Troy Haskins Maintenance Manager G ?? 0 -r' 77 ., . - --.._.. _. . CITY USE ONLY ? ?L BL 4- RECEIPT#: SUBD. (Qotp? RECEIPTDATE: g.° <-9 •'f. ? ,: '? .r,u•, .': z.• M , . , .. . :.°.i:; '.?4iai;r: . 1997 PLUMBING PERMIT (RESIDENTIAL) ? CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6874675 Ar ?'??. ?i•?.??t ? I. Please complete for. ' ? single Tamiy dwellings - ? townhomes and condos when rtnits are re uired fbr each unit backflow preventer fbr undergro nd sprinkle system ,, .., . . . , . FIXTUREg F.?H x tLQ. Shower 3.00 x Water Cioset 3.00 x Bath Tub 3.00 x Lavatory 3.00 x Kitchen Sink 3.00 x Laundry Tray 3.00 x Hot TuWSpa 3.00 x e r, <Wjer' 3.00 x _L Floor Dra n - 3.00 x 'Gas Piping Outlet • minimum -1 • 3.00 x Rou,gh Openings 1.50 x W er Softener • fbr dwenirrea unaer consm,ctton 5.00 ? x Water Softener ror exianng ewemng 20.00 x _L U.G. SprInkler "ror dwantng under eonst 3.00 U.G.Sprinkler `rorexiaNngawellinp 20.00 Alterations ` ro exsnrro rcsmenoe 20.00 Water Tum Around 20.00 Private Disposal System • oak Cty nc. 75.00 (new and rofurbished aystems) . Private Disposal Systems' nbandonmert 20.00 ' TnTei"" ' t - i' .• Y. f ? •' . y STATE SURCHARGE .50 ' _ TOTAL . . ,., - , i hereDy edcnowledge that I heve ieed this epp6catlon, etete thet tAe Infortnatlon la cmmd, and agree to comply with all epplicable City ?t .: •'. , , M Eegan ordlnances. tt is the appCxeM's respons+'DICdy to noWy Me property owner that tha CMy oi Eegan aasumea ero Ilability for any ; a darttages eaused by the City during Rs normal operatlonel and maMtenance ecttvoa8.to Me fadlltles consWded urMer this pemiR wRhtn .:; _? Cit1'ProonY/ri9MOr-way/easw? MRRY OLLRNO B SITE ADDRESS: I 4408 B CLOVER LHNE % ; ' . ;I: ; .? •:. .- . : Mh{ 5512? OWNERNAME: ? Hp376-327? W ? i. °i?? x'r;?i'.:'•:.?{ a n: , INSTALLER NAME: I? P]? 0M PQL?UM? &N L7 :` TELEPHONE #:' SZ=?.?3j s ? ..._ .. • .. . n r_ . . ?? ??/???::" V EA?? ? Y°l~ STREET ADDRESS: ? ` ? 't'.',•y; ; : i ?' ' cmr: MPLS 4 i - STATE: 1 ZIP: RE OF PERMITTEE CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ?KYP?': PAYMFTLC OF FEE AT TIME pF APPI.IC111ZON DOFS NOT CON6TIZLTIE APPROVAL OF PERMIT_ INsnEMoiv oF smm Am/OR mm INSZAr.ramrONS WILi, NUT BE SCHED- [7LID UNPII, PII2NffT AAS BEQd APPROVID. r x xaex ar'R1f llfi[ RRii[ l[xl[ f'R l[S]tlt][lt'lY YtxY'X'R1R'l P ease Print 1) PROPERTY ADDRESS: y!j/a? `??C??l, ??g?E •_ LEGAL DESCRIPTION: •_ _ Lot Block Subdivision or Tax Parcel ID ) IF EXISTIMG STRC'CtL7RE, DpTE pg pgIGINAL BIIZLDING PERMIT ISSL'ANCE: PRFSENP ZONING/pROPOSEp T-ISE: Mon Year J q COMERCIAL/REPAII,/OFFICE [7 IAII)USTRIAL n INSTITL'TIONAL/GpVII2N,1ENT 2) ? ADDRESS: CITY, STATE, 2IP: PxorE: 1133 ? / 3) ? NAME: ADDRFSS: CITSt, STATE, ZIP: PHONE: SINGLE FAMILY ? R-2 DCPLEX (7top IInits) ? R-3 TOWNHOLISE (Three + Units) Units) R-4 APARTMENT/coDIDOMINI[JM ( Units) )OV- MASTER LICENSE# 4) •• ? NArE: _ ADDRFSS: CITY. STATE, ZIP: y PHONE: r1uuWCI.J J,aC2R$e: ? ActiVe Expired Not recorded St In1t1a1 5) n v ? ? a• • ?• : ? a? • ?? ?CONNECTION TO CITY SEWII2 [!A Cp?.TION M CITY WATER r-y pTHgR 61 ?r ' • i? PLEASE HOLD APPRpVID PII2MIT EY)R PICK-C'P BY ONE OF ABpVE ? PLEASE MAIL APPRO?/ID PERMIT TO 1,? 3. 4, AHOVE ? -? (Circle one) 7> r ,. • /i./??? /r.??? .:c,-.. ?` / /.. FOR ,CITY USE ONLY - PERMIT # ISSUED 76- 75- Ir7 Pd w/Bldg. Permit FEES: $ $ ?6?3 ZJ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SL'RCHARGE) $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ (l-? ACCOUNT DEPOSIT - WATER $ ?j OC - C.•? t7 $ WAC $ ?,-75 %UD $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ • LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ `n e) $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: TOTAL ? 2sLZ- 4,3,573 RECEIPT RECEIPT DOES UTILITY CONNE CTION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC Q NO ROA DIV DWAY" MUST BE ISION LIS ISSLED BY THE ENGINEERING . T AS A CONDITION. SUBJECT TO THE FOLLOWI[VG CONDITIONS: APP ROVED BY : TITLE: DATE : ?? ? ? d ? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *RYPT: PAYMF'NS OF FEE AT TIIE OF ? r,PriscATzoN noFS Nar cmem= k APPROVAL OF PERNII"P. x . .. *?,r::re***x,r************?*********rt P ease Print ? 1) PROPERTY ADDRESS: ?41_/_.yQS' LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) IF E}ffSTING S1RC'C'MmE, DATE OF pRIGINAI, B[IILDIM PERMIT ISSL'ANCE: ' ' PRFSENT ZONING/pROPOSID OSE: (14Dn Year Q CO147El2CIAL/REPAIL/OFFICE [7 IPIDC'STRIAL n INSTITL"fIONAL/GpVEWEM 2) ? NAME:-° !? ? r?CC-?'?,v T' ?- /b` • ?.i ADDRE55: CITY, STATE, ZIP: rxorrE: y?3 - s i 7 ? 3) ? c?- NAME: i ADDRFSS: CITP, STATE, ZIP:, PHONE: Er R-1 SINGLE FAMILY 0 R-2 DC'PLEX (Z+ao C?nits) ft--rR-3 1UWDIIHOC?SE (Three + Units) Units) Q R-4 APARTMENT/CpNXpMIIV1IIM ( Units) NIASTER LICENSE# 4) ?• ? i?- NAME: ADDRESS: CITY, STATE, ZIP: ?.?.a.y,? ? PHONE:_7,3'0 rlunIDeiS L1CP11S2: Active EScpired Not recorded St Initial .5) ? a: • ?+• : a o• ?? ? CONfECTION 'IO CITY SEWfIi ? CONNECTION TO CITY WATER El pnM ' • 6) ?? • ??- [? PI-EASE HOLp APPROVFD PFRNffT F'OR PICK-UP BY ONE OF ABpVE ----- ? PI,F.ASE MAIL APPROVID PERMIT 1O 1. & 3, 4, ABOVE . 00?21 (Circle one) ' I LM-5:-,- ,..a w - ..?? IxseECrIorr oF MM arn/OR WMa TnSmAr.r.nmrpNS WILL NOT SE SQHED-- [II.ID UNrZL PERNffT AAS BF.?2I APPROVID. FOR -CITY USE 4NLY , . ? . PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ /,e?- 5 7? SEWER PERMIT (INCLODE SURCHARGE) $ $ WATER PERMIT (INCLUDE'SORCHARGE) . $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLODE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER $ --'`?7??C? • C9 ZJ $ WAC $ 575-,C-7> $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ • LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ /`a ?••O n $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ J? `'/" y •SZ? $ S??' ? TOTAL /7. 7 =4 RCEIPT # RECEIPT DOES UTILITY CONNE CTION REQLIRE EXCA VATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, TFIEN A" PERMIT FOR WORK WITHIN POBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: iL_it ?4<? (. 6? 1 Ye?_.? TITLE: DATE: (Jl12- s/?(o Y CITY OF EAGAiV APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ^RYL'9: PAYMF'NT OF FEE AT TIME pg APpI,ICATION mES. NOr CONM717M APPROVAL OF PERMff'P. nasrncriotu oF sD'Aa r,rro/oR MUM INSTALIAzzorxs wuL Nom BE scUD)- tn,ID cnWII. rERMIT HAs smv APPROVEa. xx? ?xxxxxxxxxxx,.xxxxx,.,?x,xx,.:xxxxx P ease Print .:1) PROPERTY ADDRESS: LEGAL DESCRIPTION: •_ . Lot Block Subdivision or Tax Parcel ID ) IF EX'STING STRCCl[JRE, DATE OF ORIGINAL BLILDING pERMIT ISSL'ANCE: ' ' PRESENT ZONING/PROPOSID OSE: (Nbn ear q corlIERcIAL/xErrsz/or-FZCE ? irmosTxzAL f-I INSTI7UTIONAL/GOVERNME?]T 2) ? ? m ?• 3) tvAME: ADDRESS; CITY, STATE, ZIP: PHONE: MASTER LICENSE# 4) NAME: ADDRESS: CITY, STATE, ZIP: PxoNE:y33- •• ? NAt?: ADDRESS: CZTY, STATE, ZIP: ? PHONE: SS / U' Plumbers License: Active Expirefl Not recorded SteffInitial ? CONNECTION 7U CITY SEWEFt 1?1 CpNNI7C,TION TO CITY WATER ? pTHE:?' f? + _ 6) ?? • •?F] PLEASE HOLD ApPRpVID pg2MT Fpg PICK-C?P BY ONE OF ABpVE ? PLEASE MAIL APPRaVID PERMIT TO 1,20 3. 4, ABOVE -/? (Circle one) 7) /Z ? R-1 SINGLE FAMILY Q R-2 DLPLEX (7Wo Onits) Ef R-3 'IUWNHOC?SE (Three + Units) (_ ?_[,nits) p R-4 APARTMErr]T/Cpj,IDpMiIVJC'Ly ( Units ) FOR CITY USE 4NLY PERMIT # ISSL'ED 75 7l ? Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SL'RCHARGE) $ $ ?D? SCJ WATER PERMIT (INCLUDE SL'RCHARGE) $ ?C 3 S? $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ /S•0?7 , ACCOLNT DEPOSIT - WATER $ C> Ci $ WAC s .? 7S, n n $ SAC $ $ TRONK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ • LATERAL BENEFIT/TRDNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER s ?S G= • LrZ? $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: S Ii %??'S O $ TOTAL 35 7?3 RECEIPT RECEIPT DOES UTILITY CO[VNEC TION REQUIRE EXCA VATION IN PDBLIC RIGHT OF WAY? ? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERIIVG Q NO DIVISION. LIST AS A CONDITION. SU BJECT TO THE FOLL OWIN6 CbND2TI0N5: APPROVED BY: TITLE: DATE : 4zz 91,y46 CITY OF EAGAN APPLlCATION FOR PERMIT SEWER AND/OR WATER CONNECTION rtora: PA)[MENrr oF FEE p.m xnM oF APPLIcATIorr noFS Nom CONSTT= APPR(7VAL OF PERMIIT, INspnMoiv oF sEWmt nrID/Ut MM trF'iAT.TATTONS WILL NCYP BE SCHED- ULID C7NTII. PII2NIIT HAS BEIN APPR(7VID. ' 'Faf cix ixx xxx x x; }][1[Flll[X'X'Fx][l[9tY S!t'A"X'RX P ease Print) 1 J PROPERTY ADflRESS : <_?? G F C? .C ? ?riE •_ LEGAL DESCRIPTION: _ Lot B ock Subdivision or Tax Parce ID IF EXISTING STRL'CMME, DATE OF pRIGINAL BpZLDZNG pERMIT ISSL'ANCE: ' PRESENf ZONING/pROPOSID t'SE: (Mn Year [] COI?VERCIAL/REfAIL/OFFICE Q IPIDCT52RIAL n INSTSTUTIONAL/GOVERNAEN'p 2) A§ R-1 SINGLE FAMILY F-I R-2 DL?PLEX (Ztao C?nits) Ll'-R-3 'IOWNHpUSE (Three + Units) Units) 0 R-4 APARTMEN'p/CObIDOMINILTM ( Units) NAME: ADDRESS: CZTY, STATE, ZIP: PHONE:?/S ?- j) ¦9 .U?i: ?; NAN1E i ADDRESS: ??y Y CITY, STATE, ZIP: PHONE: MASTER LICENSE# riumoers ticense: Active EScpired Not recorded Staff Initial 4) U• • i?• NAME: ADDR£SS: CITY, STATE. ZIP: ? PHorE:-7 80 ° 5 So / - 5) Fi ?: •?• : a • o? - a?. CONNECTION '1U CITY SEWII2 CpNNXpION TU CITY WATER 0 pZ'[? ? ? 6) ?? • • r ? Pr•FncE gpl,p p,pPROVID pERMIT F'OR PICK-OP BY ONE OF ABOVE ?.] pLEASE MAIL APPROVID PERMIT 10 1,2 3, 4, AHOVE ?? ? 5?? ' (Circle one) 7) e?k ri ? FOR CITY USE ONLY PERMIT # ISSOED ?j(? C 7 2 3 ?f'F, Pd w/Bldg. Permit FEES: $ $ (C ? S O SEWER PERMIT (INCLUDE SURCHARGE) $ $ S7?'' WATER PERMIT (INCLODE'SORCHARGE) $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ?S - Crz1 ACCOUNT DEPOSIT - SEWER $ $ / •S ? o-7) ACCOL'NT DEPOSIT - WATER $ -o $ WAC $ f, 'S• !) C-) $ SAC $ $ TRLiNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRLNK WATER s • /r-c7 $ WATER TREATMENT PLANT 'SURCHARGE $ $ OTHER: $ $ TOTAL 5 7-7 _ 7? RECEIPT R ECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUSLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE : RESIDENTIAL BUILDING ?ON Permit Application Y City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 LAA(?J ? ?6a .,z,?i, . qWo New Construcfian Reauirements RemodellReaair Reauirements INfice Use Oniv 3 registered site surreys showing sq. h oi lot, sq, ft, of house, and all roofed areas 2 copies of plan Cert of Survey Reoi (20% mazimum lot coverage allowed) 1 set of Energy CalculaGons for heated addifions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addNons & decks Tree Pres Not Reqd lsetofEnergyCalculations AddiUon - mdiceteit onsitesepticsystem _On-siteSepticSystem 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Dehad OpGons selection sheet (61tlgs wAh 3 or less uniGs Date l-G2-1?l ? Site Address y';IL2 ?? 6 10 Construction Cost yO0d co & UniUSte # Descrip[ion of Work Multi-Family Bldg ? Y _ N Fireplace(s) _ 0 _Z 1 _ 2 ProperTy Owner Telephone ti ( ) Contractor ?--5-Ck -E Vl Z l 1 V Vti'\ L ti.JL 10 A ti? Address 141"_9,f-y? State e?? ? City .Q -? Zip ?y rj-jj2P Telep6one #(9,s,)) a e9/ -!J Y_st, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Catecorv 1 -fi esota Rules 7672 Energy CodB CategOfy , Residentiai Ventilahon Category 1 orks ? efl ` ?^ I gy hQ . New Ener Code Worksheet (J submission type) Submitted ']? L11U7 LS Submitted • Energy Envelope Calculations Sub I i?t d J I Iv Z? -?.? I I ?II Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. P4 Z?&Z__ c?._..Z y4414:- Applicant's Printed Name App icanYs Sign tur OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-piex ? 10 08-plex X 18 Deck ? 23 Porch (screen/gazebo) ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration )k 34 Replacement Valuation A" Census Code 43LI SAC Units - Nbr. of Units ^ Nbr. of Bldgs V T--- Type of Const _ U/? ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 - Siding ' ? 36 Move Bldg. ? 42 Demolish (Foundation) ?• 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy R ? MC/ES System Zoning p n City water Stories - Booster Pump Sq. Ft. PRV ? Length /L Fire Sprinklered ? Width "_Z.. Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS Final/C.O. ? FinallNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Siding Stucco Stone _ Windows (newheplacement) _ Retaining Wall Approved By Base Fee '2D `? • Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies I . O v Building Inspector Other Total $ocK c P?dc 3= ROp` CDHSlllTiHO EH61NE{AS. ?'n J4LJ6 ur,,,E? ENG1NEfiifNG PL9NNE9S end IAHD SURVE'10flS - CoMf'flNy, INC. ? 1COa LlS7 146:5 5'AE:T, BpANSVILLE, 11IH9==0Ta 56337 P`i 422'30GO Zce-S:CI ?i ..3CT'1PG'' C7L • LOTS 82, 53134 AVC _-, BLCCX c? ECEiL' Ap/); :/Olt/, DAKCTA CO?ti'TY ,J41h,',UE:C7a ?,?fn.CDE/vCTES EX/ST;Ai E!=VA.`iOti' C924.6; DENQT?S G;44PCScJ E1-cJqTICAj" E INGlCATc'S 0lF?E?7iCAr OF SJRFACE DRQh)r,? ?? I ?p . NORT'r' q3?.83= ;=,ti;5?'E? G,?IL,"C-_ FLCC2 E:.EVA"%oIVY_ /?. SCALE . 1°' ?^' W ? a, ? d _lr•_ _ 8?.00 L c` l.? i h r- N 9'?C . EAS' /6C.74 L m 3 8-E. 0 0 .C_w? , , --6 L-Z- _ nl.' PP,GPcSE??_ ?t ?-UNIT ? y ? I 9¢? DRA1NAoc' AND UTiLITY c'qStMEh1T E ?'IL C/ if/V 6 I i a? a? ? ?& m I°? >- /C ?._ LC% i ?G ??- 0 ? ? j?7.4 ?- ? ?MNr? v ? ? bc ? i ? ? r j le = J i ?(2 ? a ? ?9?•T? lY3:., I ? u . + q? ? , 3j4G O e ? h ? ? LOT 3 3 a la ti ? a , kn? /o' ? W 4 n N ?O P l? `3?f S her:by cartify that th'_s in a t:l:t and ccrr`a* raPz`reentatian ot a tric! ot land as ahavn'and described hcrtcn.- Aa preparad by me on this 9Y71 day o[ m? , 19 Sa , Hinn. 7t:g. Nc. /GO8.1- \' ?? v ------------------ E j Pertnrt#: (U`' D- j ? Pertnn Fee: . -7 3r C? ? j Oate Received: i Si2.ff: l;`'LI t i I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Daie: Slte Address; qqo 3 ` yqlo jOU P.f 4..ju Tenant: Sulte #: RESIDENT/OWNER Name: Q?l?? t`4 0? Phone: Address / Clry / Zip: Ppplicant is; _ ownet ? Contractor TYPE OF WORK Descripdon ot work: Jf-( Conshuction Cost: J? 600 . D O Multl-Family 6ulkbrtg: (Yes / No _I CONTRACTOR Name: ?6ej s ?ioenseg; 2o 4 Add7e53: ?`'?rv ?" ({L' . Ciry: rwP''1, n) A ^j State: 071-0 Trp: Phone: ?? Z 3p ContactPerson : &b &"LS COMPLETE THIS AiiEA ONLY IF CQMSTRUCTlNG A NEW BUILQfNG _ Minnesota Rules 7670 Categ rv 1 Minnesota Rules 7672 Eoergy Cade . Residential Yentilafion Categay 1 Work6heet • New Energy Cw1e W wksheet Category Submmea Subnined (4 gugryyiggipn type' • Energy Envelope Calcufations Su6miited In the last 12 mortths, hes the Clry of Eegan iseued a permlt for a simllar pian based on a master plenT _Yes _No It yes, date and addreSS of master plan: Licensed Plum6er: Phone; MecheMcal Contractor: PhOne: Sewer & Watar Contrector: phonre: ' IfNp7'E P:f?O?ai?}d `. . d#}YHr?Ft}8tfi8?}+9tF&!?'If?'l1@'?NB?p?@IBE?#O??'?tilk'?F+NlBtr?,' =:?1hfQY'PqA'?'l6tT/1l8jfb@G?R?R??h?'/? ?1y1'?lY .T?t?? ?8E- ??E`8?G'? ? , ?4R4' , , 1 hereby adcnowledge that this infwmation is cmnplete and accurate; that the wak win be in cvntormance with the oNinances and codes of the City d Eapan; that i understand This m not apertnN, 6irt only an appiicatlon Sa a permil, and work is not to st wrth?? ut 8 permit; Mat the work wiil be in accorclance wiih the apxw? plan m the case M which requires a review and approval x U be? ? 0 Qf?r?, ?b s? ` ? ? vq fk? AppFlcanPs Prirted Name Appllcant's Sigrteture Page 1 of 3 Use BLUE or BLACK Ink For Office Use I I o City of Eap Permit ~ I i Permit Fee: 3830 Pilot Knob Road ' Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2012 RESIDENTIAL' BUILDING PERMIT APPLICATION Date: 7-11 - 261 Z Site Address: 9 0a c ~r vL f Unit Name: J k Fa V- Phone: RESIDENT / OWNER Address / City / Zip: 4 y (2 S7 czey4- 4-~ e Applicant is: Owner Contractor TYPE OF WORK Description of work: Re,' ' 1 Construction Cos t Multi-Family Building: (Yes / No ) Company: C,K 30 Contact CONTRACTOR ~ Address: /%-5- (5enc wove -IV J p City: State: V' Pi /Zip: Phone: S-1-212' - License #:a 3 o d~ Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: 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 world permit the City to _ 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. www.gooherstateonecail.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota to Building Code must be completed within 180 days-off-permit issuance. x y On b"del zit x Applicant's Printed Name A icant's Signature Page 1 of 3 3 G/~-fob" CIoU LnI DO NOT WRITE BELOW THIS i LINE ZY SUB TYPES - Foundation - Fireplace _ Porch (3-Season) _ Storm Damage - Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) - 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 Valuation6 Occupancy MCES System Plan Review / Code Edition SAC Units ° ° l~ (25 /o_ 100 /o~ Zoning City Water ` Census Code 11341 Stories - Booster Pump # of Units i Square Feet gy PRV # of Buildings- Length Fire Sprinklers Type of Construction Width /p REQUIRED INSPECTIONS Footings (New Building) Meter Size: J Footings (Deck) Final / C.O. Required Footings (Addition) _ - - - ----FinalfiVoC.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 _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee 73 Surcharge Plan Review 7 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ,8cc ~ ~ ose E7 CONSut.71140 EH01HEIRS, D Ja~,~~ ~4c-+y. M s7IN IN PLANNERS and LAND Sunvc10135 qq compntv INC. ct e~ r 1000 ><A$, 146A SIRE:-1, 8uallsvttLE , UINNES0IA 5-317 PH 432-3000 C4C J"Z ~Z,-Jj q C-X z e Z-V- -Y -I BLCCX 2, EDEN ADD1711JA1, ~orrZcrt: LaTS 32, 33, 3. A1JG -65 DAKo -A CrVAJTY 10111f111ES0TA ~q`f .off DEMO-rE5 EX1S71ti,'C- Eta VAT/O1lt' 3(~ fridtiT /t2d Sr r ~x DEAIOT~ 5 FROPOS EJ 61 ✓-47/0A/ E ~ 1ND1CATE5 p1RE~T/C~G` OF SGRFACF DRAJ ED N O RT}-,' 459 S!;. = F MJ15n'ED 6AEAGE ccl? SCALE 1" = 30' EA-- r5) g?_p~ 77.74 i I J LGr t~ f jJ I V~ ;~U 88. oc 37.4• c A/ 87°oc"cc""w 1 q. St3.z7-_ PfZGPCSED__ t 4-UNIT V~94~ c ~:~ILDl /V ~I / ra M O st, LO 7,777~ L 3+ • `1~ le 1, l V 14 11 DRf1 iNAbE AI.rD ~y UTILITY CASE G WED BY. W ~-tJ X36 , r:.ect reVre sentation of A tract of I her:by cart ify- t iAt V1 PC- as shown' and desc^;be' z VI~1 1 ra arad b ms on this 9, day of land r i , 19 y. . N~ a Minna logs IJ From:ALLSTAR CONSTRUCTION 19529427464 09117/2013 08:43 #582 P.053/079 Use BLUE or BLACK Ink For Office Use 9 I Permit I I 7~ I City of Ea Permit Fee: I ~S _ I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Ot Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: rT) I I I 2013 RESIDEN,,TIInIA% IUL BUILDING PERMIT APPLICATION Date: 6111017_01-) Site Address: -t'gog%gq1p1yyIDg_ Ct W hb Unit Name: _ Eda 1 IIUI t C'~ I~SA.Y I CDIt►1~tAhV _ Phone: Resident/ n Owner Address/ City/ Zip: UH;v G W~,St~lrkyrr,~U; tin aide r M N -ICI Applicant is: Owner l Contractor Type of Work Description of work: RaV Of avid Vt-no~ Construction Cost: 191 4 ~60 • 00 Multi-Family Building: (Yes / No Company:; Iwai uvl aikhm Matwo><.Ylmv~t,u~Contact: dUe hamead Contractor Address: VH5 1ndUstna1 Sled 44I0's City: 1001t 1000 State: MN Zip: Gj~j3y t Phone: "I ✓Z- y~.^ 1t"~ ~'7 License i3CU31 C ~ICJ Lead Certificate # Nil T" ~~7 by If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non.-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. _ R CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection againstunderground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.ora 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. l X_ c1Ut ~Ml toad x ~L Applicant's Printed Name ApP i ant's Signature Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 12:56 #301 P.005/022 41,11 City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax; (651) 675-5694 Use BLUE or BLACK Ink For Office Use 1 � �� Permit #: L� Permit Fee: L , Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ../4 //Ce Site Address: rM9 1✓1/42 v142 -'.e-4-- 101-4r0e-- Unit #: /7i 'B Name: goyfildor,f4 /IA - 4:11C/4 /O,4 Phone: /11/4 Resident/ Owner z' Address / City / Zip: 7il/r/ ' 7(/40 dA/eic Type of Work Contractor Applicant is: Owner X1 Contractor Description of work: �P ®O �S W,T% t4n y/ �a Construction Cost: g, GM/ — Multi -Family Building: (Yes / No _) Company: 40- ditlette4d e?»1 diavdentnce Contact e w. A 11E111s vg Address: Cf q5 / r a&* 4-r.A Si--'�5 rI-t j`' /03 City: tkPL- ;ti State: ITh Zip: $5359 Phone:q5J "'99%"7�/�� Email: /;74444S -/-4.r. 42_ License #: & 6403S 3S D Lead Certificate #: A/AT- T- o?O 9to - o� If the project is exempt from lead certification, please explain why: ;LT. ;Ai /993 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public 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. 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.gopherstateonecall.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 Buiidin j mpleted within 160 days of permit issuance. x i rh I4)/ tnal' t Appi�nt's Signature Applicant's Printed Name Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144540 Date Issued:07/31/2017 Permit Category:ePermit Site Address: 4408 Clover Lane Lot:33 Block: 02 Addition: Eden PID:10-22750-02-330 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John J Fay 4408 Clover Lane Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166056 Date Issued:12/09/2020 Permit Category:ePermit Site Address: 4408 Clover Lane Lot:33 Block: 02 Addition: Eden PID:10-22750-02-330 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Alex Hulute 4408 Clover Ln Eagan MN 55122 North State Mechanical 1444 14th Street W Hastings MN 55033 (612) 207-0345 Applicant/Permitee: Signature Issued By: Signature ®11® ® ® 1 I • I ® / �.�. ®®W® EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(cbcityofeagan.com -------------I For Office Use I Building Permit #: G I I I I S&W Permit #: I I I Permit Fee: i I I I Date Received: I I I I I I Date Issued: i---------------------J RESIDENTIAL BUILDING PERMIT APPLICATION Date: .3hSite Address: _ Applicant is: ❑ Owner Contractor Homeowner Type of Work nit #: Name: �GC 14b Vl�e_Cn, ._-, Address:41 49 iqle !YqfO 1918 CLUB I /_' n City: �l C(OL � Phone: Email: Description of work: P"2 C, Construction Cost 2 19, _11y Type of building: ❑ Single Family ❑ Townhome, of units NTwin Home Compan T7CM r� P Contact: (2 �t of M, Building Address3p) rr& es-� \A1 y City:�GLE�'� Contractor /J '/ /? State:A p: 553�T Phone6tI—J7 �' EmaiI0-Me.�[ �e V -'�/�9� o�t2(o 3/31/2s License #: ' D Expiration Date: Sewer & Water Contractor Company: Address: Contact: Required for State: Zip: Phone: Email: new construction License #: Expiration Date: City: ` 1 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. x Applicant's Printed Name A licant's Signature