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4428 Clover Lane Use BLUE or BLACK Ink For Ofte Uw C Cat of Ea an I Permit .J ~ j I Permit Fee: `1 7 I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: J 2010 RESIDENTIAL BUILDING PERMIT APPLICATION cmta Date: -7 "r3P- f)O/0 Site Address: Tenant: 01 r,4 b .A'jr C 't l Suite RESIDENT i OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor 8 zzo TYPE OF WORK Jw N fig' Description of work: n Ir Construction Cost:-0490 d Multi-Family Building: (Yes /No CONTRACTOR Name: ~ec s v tic License f0 C,30 70R Address: 19' C.5- G-e'u eycL City: ~OAz rtil-e- State: -IbA,/_ Zip: 'S-5_)9 9 Phone: Ce51- '7- 7 - 7S?33 Contact: test : Email: ~c~ \ e - Gp vr~ 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 would permit the City to conclude that the 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.org 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 f plans. , Applican s Printed Name Appl ants ignahrre V Page 1 of 2 C~cw&,Pe- Ln THIS LINE DO NOT WRITE BELOW SUB TYPES Foundation _ Fireplace _ Porch (3-Season) Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi Deck ` Porch (ScreerdGazebotPergola) _ Exterior Alteration (Multi) _ 01 of - Plex _ Lower Level i Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement Siding Demolish Building* Addition i Move Building _ Reroof _ Demolish Interior _ Alteration ` Fire Repair _ Windows Demolish Foundation Replace , Repair _ Egress Window Water Damage Retaining Wail *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation + 1 Occupancy MCES System Plan Review Code Edition4 irtil, y07 SAC Units (25%_ 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock i T Footings (Deck) Final / C.O. Required Footings (Addition) Final I No G.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water Final Pool: -Footings Air/Gas Tests _._,_Final Framing i Siding: -Stucco Lath Stone Lath -Brick Fireplace: _Rough In Air Test Final Windows Insulation Retaining Wall: _ Footings Backfili Final Meter Size: Radon Control --77 Erosion Control Reviewed By: mfr Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge _l/ o p' S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 ROBE CONSULTING ENGINEERS ENGINEERING PLANNERS and LAND SIURVEVOAS COMPRNY, INC. 1000 EAST 1461A STREET, BURNSVILLE. MINNESOTA 55337 PH 432-3000 aff :v F if cac~c y W Z. Qcxl ~e~cr~fwZt'ort LOTS 40,41,42 AND 43, BLOCK 2, EDEM ADDI-00K1, DAKOTA 0001+.1TY, M I W IVE5a7A `932:8; DEIJOTES EXISTIAM6 ELEVATION (933.0) DENOTES PROP05Q) ELEVA-MAJ INDICATES DI RECT IOIU OF SURFACE DRAIIUACG 5 m0PITH 933.0 FIAJ15HED GARAGE" F'LOOfi~ I=LEVATIOIJ scALE I" = 3o' X922 S. 9pc / A . E v l E I Dr a m DATE ~922.oi 24.94 I 1 e (oa; i 204 I dr 5 . I LOT 42 °~s9 ~v I ASa99 ti~ ~9, ~Ct 0 '0 00, rON I ` N Ul "N ~"LOT fr~ 43 ~.t a u ' L T ` w L _ qyi,~ +y9 4 O ° 5 LO 4 ~ (930,0 2 i 33,0 40,02 -U 14.90 NZ (934 .79) /.54.92 936.0 34.6,' ((43S EAST 30' FRONT BUILDING DRAINAGE AuD 5ETBACK LINE UTILITY EASEMEWT I hereby certify that this is a true and correct repress tation of a tract of land as shoxn'and described hereon.. As prepared by me on this / r day of NOVEM56R , 19,95% ' ninn. Its, No.` ? ? sU1LDING PERMIT Ts W r?A iwr I CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 Receipf 4 PLt, Y C.. %1..1.._ ,?, 000 Site Address ' '-'N Lot ' Block Sec/Sub. L%f)F..N i%DV i? Parcel No. ? Name ' ? Address ? ? - ? z,o Name u? Address t- Citv Name Address I hereby ockrawfedpa that I hove reod fhis opplication and stote thct fhe inlormotion Is torcect ond ogree fo comply with oll applicoble Stote of Minnesoto Stotutes and Ciry of Eoqan Ordirwnces. Sipnofuro of Permittea A Buildirp Permit Is issued to: dl work sholl be Aorn in occo?dance with oll opplicoble Stote of Mir Buildinp pfficial "'^ 11244 C., ?n Erect 13 Occupency - Remodel ? 2oning Repair ? Type of Const, Addition ? No.Stories Move ? Length Demolish ? pepth int Impr. ? Sq. Ft. 44 Assessment Pe?mlt " Woter 3 Sew. SurCharge Police Plan Review ` Firo SAC E?q. Water Conn. Plonner Water Meter Council Road Unit Bldg. Oft, Tr. PI. APC Parks Var. Date Copies , Total 4 s on the express conditbn thot ntsoto Statutes ond City of Eoqen Ordinantea. Pwmit No. Pormit Holdar Dan Tslephone ?k FlYmbirlq / L l H.VA.C. L., J I{ J IYb electric So}tener Inspsction Date Insp. Othar Footings 1 Footlnya II Foundatlon Framiny a% Roofing Rough Plbp. - 1- 6 -6 aougn Hty. ? • Insul. Finplau Final Htg. ?3=d G ,?9 • Final Plbg. Flnai c.woce. Watsr p"eribe Location: wsu Sewer Pr. DIeP. ??- PERMIT # ? RECEIPT # DATE p 4N CITY OF EIetGAN PLUMBING PERMIT 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $•50 MINIMUM COMMERCIAL FEE - $20.00 + $.50 FEE ' 100 S / C TOTAL 1. Bldg. Type: Res Comm Inst 2. New Add Alter Repair /4X_ 3. Total Bid Price 4. Job Address 4/y K l Lot Block :?ec ??"' " u `'?? • 5. Owner 6. Contractor /1-11' ? ; ir rr?? .SSO (Name) (Sbeeq (Cfty) 7. Contractor Phone #3 NO. FIXTURES I Water Closet - $3.00 -T-Bath Tubs - $3.00 =Lavatory - $3.00 --L-Shower - $3.00 / Kitchen Sink - $3.00 -Urinal/Bidet - $3.00 NO. FIXTURES ? Laundry Tray - $3.00 ? Floor Drains - $1.50 ? Water Heater - $1.50 Whirlpool - $3.00 =Gas Piping Outlets - $1.50 -Softener - $5.00 NO. FIXTURES -Well - $10.00 Private Disp Syst - $10.00 =Rough Openings w/o Fixtures - $1.50 COMM./IND. RATE - 1% OF TOTAL BID PRICF, PLUS $.5P STATE SURCHARGE FOR EACH $1,000 OF FEE. ? - ? ?,.riY? ; t Signed: z?im?.? or Approved Inspections: Date Rough Insp. Date Final Insp. -? CITY OF EAGAN Y . 6. ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # Te ?e w"d fer Est. Volue Dote , 19 ? Site Address Erect 0 Occupancy Remodel ? Zoning Lat Block Sec/Sub. Parcei No. Repair ? Type of Const. AddRion ? No. Stories Move ? Length . Z Name Demolish ? Depth ? Address Int Impr. ? Sq, Ft. n:•.. n?___ . .__._.r-i Name Address Phone 1 hereby ocknowledge thot I have read this op the in(ormation is eorrect and agree ro com Stote of Minnesota Statutes and City of Ea< $ipnature of Pertnittee N 8uilding Pertnit is issued to: all work shall be done in acoordonce with ull Buiidinp Officiol Faes Assessment Permit Woter 8 Sew. 5urcharge - i) U Police PlanReview ' SU Fire SAC Enq. Water Conn. 0; Plonner Water Meter ?! o Coundl Road Unit Bidg. Off. Tr. PI. 32.0 APC Parks Var. Date Copies Total on the expross Condition Ihot esota Stotutes and City o4 Ea9an Ordinonces. Permit No. Permit Holdsr Date Teiephone # Pipmeing 3 H.VA.C. . Ebctric Soitwmr Inspettion Date sp, Other Footings I Footings II Foundatlon Framing ] Roofiny ? Raug h Plbg. Rough Ht9• -.?-86 Insul. %y FireplsCe Final Htg. Final Plbg. Flnsl Cert/Occ. ,? uJ Water D??i? Location: Well Sswsr Pr. Dlap. L PERMIT # CITY OF EAGAN PLUMBING PERMIT RECEIPT # `-' 454-8100 k6 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 DATE -X MINIMUM COMMERCIAL FEE -$20.00 + $.50 1. Bldg. Type: Res V Comm Inst 2. New Add FEE S/C TOTAL ???'?• ? v Repair 3. Total Bid Price 4. Job Address Lot Block "L Sec Z"/ G``'`''??• 5. Owner 771 s. COntfBCtOf ? ' i ?i? ' a Y r ? - h'??L =? ?U / ? (Name) (Street) (Ciry) (Zlp) 7. Contractor Phone #? 3 1lO. FIXTURES N0. FIXTURES NO. FI%TURES ? Water Closet - $3.00 TBath Tubs - $3.00 TLavatory - $3.00 Shower - $3.00 ZKitchen Sink - $3.00 -Urinal/Bidet - $3.00 COMM./IND. RATE - 1% OF f Laundry Tray - $3.00 LFloor Drains - $1.50 ? Water Heater - $1.50 Whirlpool - $3.00 ZGas Piping Outlets - $1.50 -Softener - $5,00 AL BID PHICE PLUS 5.50,STATE FOR EACH $1,000 OF FEE. -Well - $10.00 Private Disp Syst - $10.00 =Rough Openings w/o Fixtures - $1.50 Approved Inspections: Date Rough Insp. Date Final Insp. PERMIT # /L `/- 7 PLUMBING PERMIT RECEIPT # CITY OF EAGAN / 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE / G G O•- PHONE: 454-8100 Site Address a BLDG. TYPE WORK DESCRIPTION Lot ? Biock G ? Sec/Sub fV` Res. New m Name ??-. ?? :? • 2 _ • ? ? ,c ,, ,h ... ,: , M ult Add-on . Comm. Repair 9 c City+.? ?° L-427 Phone j? ' 6 o PIP Other Ssi'L NO. FIXTURES TOTAL Name Water Clos t - $3 00 $ ., Addre ? e . Bath Tubs - $3.00 3 p Cily Phone Lavatory - $3-00 Shower-$3A0 Kitchen Sink - $3.00 FEES Urinal/Bidet -$3.00 COMM/IND FEE - 1% OF CONTRACT FEE Lsundry Tray -$3.00 MINIMJM - RESIDENTIAL FEE _$10,00 Floor Drains - $1.50 MINIMUM - COMM/IND FEE - 20•00 Water Heater -$1.50 STATE SURCHARGE PER PERMIT - •? Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - 31.50 BEYOND $1.000.00} ? Soitener - $5.00 Well - $10 00 . Private Disp. - $10.00 Rough Openings - $1.50 SI(3NATURE OF PERMITTEE FEE STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: ? k "`OWZV11;3?`' •? - " CITY OF EAGAN t 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 QUILDINa PERMIT Reuipt # Ts be NOd fee i C,, -' • : . ,, Est. Volue Detn )? '?'FI•1?F'?' to - Site Addresa 4430 1-' .0VF;R. j,N Erect 1? Occupancy ' Lot 4 2- Block 2 ?c/Sub. Remodel ? Zoni ng p? ? L Parcel No Repafr ? Type of Const. . Addition ? No. Stories , - . ? Name Move ? Length ' ? 1 Demolish ? Depth ; Address ? J Int Impc ? Sq, Ft. City Phone Install ? ? ,o Name Appro vols Fees A?? /lssessmen t _ Permit F City Phone Woter & Sew. Surcharge ? Police Plan Review i' tName Firo SAC ?2 5•ID 0 _? Address Enq. Water Conn i u 1?,;''} ? Z. City Phone Plonner Weter Meter C3 - G U CouncH Road Unit 2 h`! '0 {'j I I hereby acknowledge thot I have read this epplicotion ond stete that gld9, pf{. ??75 Tr. PI. fhe intormotion is corred and ogree to tomply with all opplicoble di t f Mi St d Ci f E O St APC Parks r nances. nnesota otutes on ty o ogon a e o Sipnoturo of Permittee Var. Date C??? . oi :Ojl 7.77 Total A Bullding Permit is issued to: on tha express conditfon thot oll work shell ba done in oaordance wtth nll oppliooble State of Minne sote Statu tes orid Ciry o4 Eapon Ordinonces. Buildinp Offltial Pe?mit No. PKmk HoWw Drte Telaphons * ?umbing H.VA.C. Elseb;c b S o ?v ni2?s? 9? ?o gl? ? 47, Softamr ImWeetion Dste Insp. Othar FootinyeI Footinys 11 Foundation Framin9 Roofin9 Rou9n Plng. ??/ i/Widd- .t- Rough Htg. ?p 44 Inwl. Fireplace Flnal Hty. Final Plby. Final Cq?t/Oca Wat?r ascriba location: WNI 8ew?r Pr. Dlsp. PERMIT #, RECEIPT # CITY OF E/kGAN PLUMBING PERMIT 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + s•SO DATE MINIMUM COMMERCIAL FEE - $20.00 + $-50 1. Bldg. Type: Res L Comm Inst 2. New Add _ FEE a ' I ev S/C ? S v TOTAL Alter Repair 3. Total &d Price 4. Job Address ? ? a ? - -- • "? ? "`?'_? -' ? - Lot_? --Block S 5. Owner 6. Contractor 4V46` /7vtv SS-U79 (Neme) . (Street) (City) (ZIp) ? 7. Contractor Phone # FIXTURES NO. FIXTURES N0. FIXTURES ?.Water Closet - $3.00 ? Laundry Tray - $3.00 -Well - $10.00 i- Bath Tubs - $3.00 ? Floor Drains - $1.50 Private Disp Syst - $10.00 Lavatory - $3.00 ?Water Heater - $1.50 --2-Rough Openings w/o IWShower - $3.00 Whiripool - $3.00 Fixtures - $1.50 .LKitchen Sink - $3.00 ?Gas Piping Outlets - $1.50 -Urinal/Bidet - $3.00 -Softener - $5.00 COMM./IND. R TE - 1% OF TOTAL BIO PRICg PLUS $•50 STATE SURCHARCE FOR EACH $7,000 OF FEE. of - )or Signed:; Approved Inspections: Date Rough Insp. Date Final Insp. :• CITY OF EAGAN Knob Road, P.O. Box 21-199, Eayen, MN 55121 PHONE: 454-8100 _ Block Sec1Sub. ' ` • ?'• ' Name Address City Phone Phone '%^ 9 9 246 Receipt # EreCt ? Occupancy Remodel Repair ? Zoning - ,-, i., Type of Conrt. AddRfon ? No. Stories Move ? Length Demolfsh ? Depth _ _t Int Impr. . ? Sq. Ft Assessment Permit water a sew. surcnarge , +) Police Plan Review ? U Firo SAC 'J ERQ. WBtef COnR Plonner water Meter - . •.) f.' Council Road Unit Q ( hereby ocknowiedge that I have read this oppiication ond state that gldg, p{f. 17r. Pl the inlormation is torrect ond ogree fo tomply with oll upplicoble APC State of Minnesoto Stotutes and City of Eagon Ordinonces. Parke Var. Date Copies Sipnoturo of Permitte* Total h Buildiny Permit Is issued to: a+ the express condition Ihal all work sholl be done in attordanCe with oll oppliCabls State of Minnesota Statutes ond City of Eccqan Ordinonces. Buildirq Officiol Pwmk No. Pwmit Holder aq Toiophone it ?umbino ?,.,n??-?/ yZ?.c/`<<..? Ja-L- ? (n ?C• 33 ?/ l/ H.VA.C. Ebetric Soiternr Irnpedion Date Insp. Other Footlnys I Footings 11 FoundsUon Framiny Rootinq Rouyh Plbp. Rough Htg. ;?, Insul. 41 Finplace Flnal Hty. ?/2 ?l Final Plby. ? - ` Final ? Co?t/Occ. Wat*r Describe Loeation: WNI Sewer P?. Dfsp. ? PERMIT #' RECEIPT # DATE CITY OF EIkGAN PLUMBING PERMIT 454-8100 MINIMUM RESIDENTIAL FEE - $70.00 + $•50 MINIMUM COMMERCIAL FEE • $20.00 + $•SO FEE ? e-U Sic - 5 v TOTAL 1. Bldg. Type: Res -4-- Comm lnst 2. New Add Job 6. Contractor (Name) 7. Contractor Phone # /Z 3 3 417Z NO. FIXTURES / Water Closet - $3.00 --7-Bath Tubs - $3.00 TLavatory - $3.00 Shower - $3.00 =Kitchen Sink - $3.00 -Urinal/Bidet - $3.00 Repair -"" 5. Ow er i (Stree? (Ciry) RiP? NO. FIXTURES ` Laundry Tray - $3.00 _TFloor Drains - $1.50 rWater Heater - $1.50 Whirlpool - $3.00 =Gas Piping Outlets - $1.50 -Softener - $5.00 NO. FI%TURES -Well - $10.00 Private Disp Syst - $10.00 ?Rough Openings w/o Fixtures - $1.50 COMM./IND. R E- 1% OF TOTAL BID PRICE LUS $.SQ STA E SURCHARGE FOR EACH S1,000 OF FEE. ?`' J , .G 1 Signe for / Approved inspections: Date Rough Insp. Date Final Insp. _ MECHAN{CAL PERM17 CITY OF EAGAN 1. Date " 2. •,,,o 1 3. Job Addresa .r?fC,_ 4. Owner Parmit No. Fee S/C 0 Tot . 1 ? Blk. Tract 5. Contractor ) #? t;Q&,nn F J141.1 Phone : 4. . 6. Address ? 7. City State t_' Zip 8. Building Type: Residentiai s-0 9. Work Description: New"Q Commercial ? Vnstitutionai ? Add ? Alter ? Repair ? 10. Describe Fuel Type I 1 11. No. .?? Egu*nrnant STU - M. Ea. Forced Air No. Enuiament CFM Mfg. Air Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Air Cond. Other Mfg, Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Finel Inspectiona: Date lnsp. Date tnsp. This is your permit when num6ered and approved. Approved C17Y UF EAGAN 454-8100 ? ? J CITY OF EAGAN Addition Edan Addition Loc 41 eik 2 Parcel #10 22750 410 02 owner . - I )I I '' street 4428 Clover Lane 5cate Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Oate STREET SURF. 1982 504.70 100.94 .r? STREET RESTOR. GRADING SAN SEW TRUNK 11 197 2 93 1F SEWER LATERAL WATERMAIN IF WATER LATERAL WATER AREA 69-93 4.20 15, • STORM SEW TRK IQ ?j 1982 256.00 1F STORM SEW LAT 1 82 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 500.00 u n 9UILDING PER. 11243- sa,c 525.00 PARK CITY OF EAGAN Remarks Addition EdAn Addition Loc 40 Bik I ' 4428B Clover Lane Owner ? ? ' ' ' - Street #10 22750 400 02 Eagan MN 55122 ' Improvement Date Annual Years Payment Receipt Date STREET SURF. ?g2 100.94 5 -- STREET RESTOR. GRADING 1982 2 46. 60 --- SAN SEW TRUNK !t SEWER LATERAL 6.46 T9-29 5 WATERMAIN * WATER LATERAL 1 $2 WATER AREA 1977 67-9-3 * 1982 STORM SEW TRK C' 1982 26.00 1.20 5 * STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT Unit • 11 26/85 WA7ER COIVN. 500.00 BUILDING PER. 1243-11246 SAC 525.00 PAR K I CITY OF EAGAN Remarks Addition Eden Addition Lot 42 R,k Owner - ??-, Street 4430 Clover Lane #10 22750 420 02 Eagan NW 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. (QS ?` 504.70 100.94 5 STREET RESTOR. GRADING 19 2 232,99 5 SAN SEW TRUNK SEWER LATERAL 'n 19 2 1896.46 379•2 5 WATERMAIN WATER LATERAL ].9 S WATER AREA * Services 5 STORM SEW TRK Fil-9 Q 256. QQ 5i.2Q rj STORM SEW LAT 5 CURB & GUTTER SIDEWALK STREET LIGHT ni 280.00 57872 11/26/85 WATER CONN. 500.00 BUILDING PER. 11243-11246 sAc 25.00 PAR K CITY OF EAGAN Addition Fd'Pn Addition Lot 43 elk 2 Parcel #10 2275(1 430 (12 oWner- A:cLi( :. 1' ,__ street 4430B Clover Lane State Eagan NIlV 55122 Improvement Date Amaunt Annual Years Payment Receipt Date STREETSURF. ?SQ ?$2 504.7? 100.94 5 STREET RESTOR. GRADING ? 1982 2 . 46.6o SAN 5EW TRUNK ? 197 62.93 4.20 15 * SEWER LATER-AL 1982 1896.46 279.29 WATERMAIN IF WATER LATERAL 1982 WATER AREA 24/1/ 1977 4.20 15 * Servic s 82 STORM SEW TRK $2 1 2 6.00 1.20 !F STORM 5EW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, n n BUILDING PER. 11243-11-24C s,ac 525.00 PARK ' CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ,:I , , fI,• I i a ANk ii! 114 PERMIT SUBTYPE: ON RECORD PERMIT TYPE: Permit Mumber: Date Issued: 10 ??? IMr. ti APPUCANT: tif.>4! 9194 TYPE OF WORK: ttli ! 1 li 1 Nt3 4 1 0 49ll1N/';iD li)IIW .. € .?? . . ? . . ., . Frf:Paik r1;tnI N(i ? ? Psrtnk No. PHmit Holdsr Dab Tilephone i ELECTRIC PLUMBINC3 HVAC Inapection Qeb (nsp. Commenls FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BIDG FlNAL BSMT R.I. BSMT FINAL DECK FfG DECK FlNAL i?? ? ITY OF EAGAN WATER SERVICE PERMR 0 Pityt Knob Road . :4. Sox 21199 PERMIT NO.: agan, MN 5512.1 DATE: a+ir+o: - No. ot Units: -P ex t'ooci Value ;lomea r: ? Addrom -+ ? '. B !'lover B ' i A n . 4Jfl71bQf: pi .-Qn n V" r No.: 3L? 5-1 S 7c . Up},?,t :e: " C??' 15.0471p(7 m a ?,?,1# Fee: 10.00Pa M?w io ?ewrl?r wNh 1w a j"i Surd?orge: . 50p d Misc. Cho?flea: 132 . ?t7pcI TP ' 63 . (lOpd met Tota1: Date Puid: e Insp.: I nsp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road pE?,{?T NO.: P. O. Box 2'! 199 Eagan, MN 55121 DATE: Zoninp: No. of Units: Owrnr. :Addreu: ? Site Address: fo ear* wiw tr. CN7 ef ls"w of Insp.: CovNGtlon Chorya: Aooount Daposit: Permit Fes: Surchorps: Misc. Charpm Total: Date Pald: CITY OF EAGAN 3830 Pi1pC Knob Rasd P. `O. Bpx 21199 Esgan, MN 55121 Zoninp: Owrwr: -.,,f V81ue fIo Mdress: 5th /1dd?eu: Plumber: Meter 91 $ize: .. " Qe!?e WATER SERVICE PERMIT PERMIT NO.: OATE: .- . No. of Units: ' i Deposit: Reodofr No.: Permit Fee: _ 1 MM ft ow4 wMh Surcharps: OrdiNwaM. ? Mlsc. CMrpes: - Totol: 8Y Date Paid: Date of Inap.: Irnp.: 3 - /? - 5? (o ? CITY OF EAGAN SEWU sEltvICE POMR '3830 Pilot Knob Rosd P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zontny: Owmr: No. of Units: Address: Stte Ilddress: Plumber: ?l?w b e880y w" 1ie C ky of yMn of Insp,; Cannrction ChoMe: ilcoow+t Depotlt: _ Pennit Fee: 5urchorgo; _ Mlsc. Chorpm - Toro1: _,___ DoM Peald: CITY OF EAGAN 3830 Pilot-Knob Road P. C. Box 21199 Eagan, MN 55121 _ ;:`-• Zoning: Ownsr: t'oo Addrosx i,7,2 SIh Addrrss: Plun+b:r. ='• ic Meter No.: 3 6 7 Size: " . ? 1 wm to eeM* +vN6 t!w "MmOM. WATER SERVICE PERMIT PERMIT NO.: ' D11TE: No. of Untts: -p `Y lue Homes CITY OF EAGAN 3830 Pilot Knob Road P. U. Box 211l19 Esgsn, MN 55121 Zoning: Owner. r.ood Addro:a: Sft Addnss: ' F Plumber. i.c 1- µ,r., No.: 3 S Slu: q .. ••-?? Recde No.: D o WATER SERVICE PERMIT PERMIT NO.: • p^TE: 11-L7-?:: ?) - No. of Unirs: ue ' ,?..... . ..... N * ? ? Surchorpe: ?w I?e eow M?st. d,orpas: l3^.00pd TP onn°•wo••• Total; 53 . OOpd met er Dote Paid: BY ? Irop.: Dote of Irap.: _ Addn. - 10 ??. 54)0. 0??;x, H ? 15. !lili,(' ?rmlt Fee: Surcharge: ipd Tf' Mlsc. Chorpes: [, j meter Total: Dote Petd: irup,: gy Dote of I rqp.: ? ?-e)' ?!o CITY OF EAGAN 3830 Pitot Knvb Road P. O. Box 21799 Eagan, MN 55121 Zoning: _ Owner: _ Add?ess: Slre Addi Plumber: SEWU SOVIO PERM CITY OF EAGAN PERMIT Np.: D/1TE: No. of Unih: ?? °?Mf' willi !M Cih ol yp¦ BI 1 Dote of insp.; Connettfon ChaMe; Accounc Deposit; Plarmit FM: Surcfwrpa; Misc. Chorgm Totol; DaN Paid: 3830 Pilot Kn-)b Rwri SE" sOVKE PBMR P. O. Box 21799 PERMIT NO.: Eagan. MN 55121 DATE: Zoning: Na of Units; - Owrwr. llddress: Stte Addren: Plumber. I swon h- - yb wMM IV Cly .f f?-n '. .)c OediNwam ey Dah of Irup.: onnsctian C?orp?; * AcaouR+t Dspoar: Memif F«: Surclarpe: Mizc. CMrpm Totol: Date Poid: C ' CASH RE(:EIPT CITY OF EAGAN 4 ' P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 wicuveo PROM AMOUNT $ I , & avLLwreS 1 oo This request vaid Wnths from 095883 ?? /-/7. n S ? ? ?? ? ? ?, 6 a a -116-,f 4 Request Date / ? - Fire No. Rough-in Inspection R q red7 Y `UReaAy Now Will Notify Inspec- Wh {Q es ? N. ?r en Ready U ucenseu tiectncai Contractor I hereby request inspection o1 ebove ? Owner electrical work installed et: Street Address, Box or Rou No. / D Aiy LQ? . Cit:5!u4 a.a•t] ection o. Township Name or o. a e No. County Occupan ( INT) Phone No. Power Supplier Address Electr al ontractor ICompany mel ? . Contractor's License No. .3 aifing Address IContractor or Owner Making Instailationl Authorized S' ture (Contractor Owner Makin)p Install ion) Phone Num6er MINNESOTA/6JATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midvbfy 81dg. - Room N-181 BE ACCEPTED BY THE STATE BOARD 1621 University qve., St. Psul, MN 56104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297_2711 ENCLOSED. REQUEST FOR EIECTRICAL INSPECTION Ee-00001_104 See instructiona for comDleting this lorm on baek of ysllow copy. _"586 3 X" Below Work Covered by 7his Request A-IAAAI ao„ r.,..e ..? w.:?w:..., e....i:,.....--urs.? F-in...e..r w:.va 4 . ? ?. I? ?. ? M Fee SarviceEntranceSize p Fee Feeders/Subfeeders it Fee Circuits U to 200 Am s 0 to 30 Am s O 0 to 30 Anz s Above 200 Am ps 31 to 100 Amps S 31 to 100 Am Swinmiing Pool Above 100_Am s Above 100_Am s Transformers Irrigation Booms PBrtial• Other Fee Signs Spec ia 1 Inspection emerks _ ? Q TKO 5 FEE _ ,? t r tna abov has been ? CASH ? CHECK REQUEST FOR ELECTRICAL INSPECTIO(11 ? Ee-oooot?oa bo See instructlnnw f..... v -----?'--.•.? ....? ..w... w. wcR or yBIIOW cppy, "X" Below Work Covered 6y This Request fYdd Rep. Type of Building ApplianCes 1?ired Equipment Wjred Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Bui Iding Dryer Electric Heatui Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other vec, y the, (soocirv) t.r Pecify Ot Cr i'' d?,.., -- O/I]Ol/IP lnc nnrtinr, C.,., D,.l..... K Fee ServiceEntrence3ize q Fee Feeders/Subfeeders Jf Fe a Circuita U to 200 Am 5 Above 200 q 0 to30Am s Oto30Ant m ?s 31 to 1 00 Amps 31 to 100 q Swinming Pool Above 100_Am s Above 100 A Transformers Si ns rrigation Booms _ Partial. Other Fee g Special Inspection ? y /, ?(?• IviAL t?, ? Rouyh-in ' r D2te 1, the ectri Inapector, ereby Final Date certi}y that tAe above r ??r? inspection has besn Thla roquest vold 18 months from 7 mede. This request void b-nths irom 7 ? _ l? .?e6 5 ?f'7 j / (095880 ?'Na" ? a 4", 14dd,?;?. TuT .??'i Reqi-st Date ?j ? Fire No. Rough-in Inspection Required7 ,• ? ?Ready Now Will Notify Inspec- Q Yes [] N. tor When Ready U ucensea tiectncal Contrector I hereby request insDection of above ? Owner ,.....4 e. Street Address, Box or Route No. City _ 7e!ctlon o. ownship Name or o. Ranee v• ounty Occupant (PRINT) C?? V YrV-I V?--? Phone No. Po er Supplier Address Electrical Contractor (Compan Name) Contractor's License No. ?l? Mailing qddress (Contractor or Owner M aking Instailation) ???? 19 ? <?- . 55 ?l y 3 Autho ed Signa e(Contractor Owner Making nstallation) Phone Number L/ ^^????a'JIAIE 60ARO OF ELECTRICITY i^i? IrySrE?%l ipN REQUEST WILL NOT Grigps.Midway BIdO- - Room N.191 gE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS ? Phone (612) 297.2111 ENCLOSEO. This reQUest void 18 month5 from c2 -^ F ; ?19F R 7 q j ?/l,Ba. ?c?e,.,??,`?im ?y7•? Request pate i - ?G Fire No. Houph-in Insuec[ion Re4ui?etl7 ?Heady Now [?W?II Notily InsVec- ??tor When Featl ?Ye= ?No v Fl Licensed Elec[ncal Convacmr I herBby raquast inspect.on ol ebove ? Owner elactncal work instelled aY Street Adtlress, Boa or Route No. ?/ y ?-? Cl u'v e.r GW t ecbon o. Township Name or No. Range o. Cowrty Occvpant (PRINT) (i'ood Phone Ne. Pnwer Supplier 1 ,1 1 ll?/ Adtlress Electncal Convactor IComDany Ndmel . Su.n r i ?. ? 1-?C.?'r C????*ractor?s License No. -3 -? - y Mading Atldress IConvador or Owner Makee Ins[ailanonl ?S L) -n?.? Ss L4 y 3 Author ed Sig awre lConVactor?Owner Making Instafiabonl ` r`?, Phone Number MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midway BIdB• - poom N-191 1821 Univarsity Ave., St. Paul, MN 55104 Phane (612) 297-2111 THIS INSPECTION flEnUEST WILL IVOT BE ACGEPTED BY THE STATE BpqpD UNLESS PflOPEA INSPECTION FEE IS ENCLOSED. EB-D0001-?4 REQUEST FOR ELECTRICAL INSPECTION C(?' See instruc4ons for camole4n9 this form on beck ol Yellow copV- B0958 ?] ? "X ' 8elow Work Covered by Thrs Request I J Eqwpme??'Mired N Ay.6wR TVP f B itl e APPI ncea Wired ex ? Water ServiceEnVencaSize # Fea to 100 Amps _3 31 to t Sy7 Insoector , hereby C9filfy Lh81 Lh0 AbOVB Date mspection has Eeen ?aa. 1hts rxques[ wid ?'=? ,• ???' 1?8 months imm C?3 095??2 ? Req.iest Date Fre Na. Ro? rl Licensed Elecvical Convaclor [-j Owne, Sueet Adore s.?BOx ,?Or Route o. ID??iV ? . o?unn n. Townshio Name or o. ??L? c ?-?? .?-?G?•?'G ?Inspectlon C:]NeotlY Now WilI NoUfy InsOec- (1No [or When FeadY I heraby repuest insOection of ebove electncal work Instellad aY Phnne pber ? Convar,tarlCompany ng Adtlress 0 MINNESOTA S-&fE BOAMO OF ELECT0.ICITY Griggs-Midwey 91dg. - Room N-191 1821 Umversiry Ave., SL Peul, MN 55104 Plwne (6121 297-2111 I S?(c ^ d ?? C? . TNIS INSPEGTION NEQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD l1NLESS PROPEfl INSPECTION FEE IS ENCLOSED. flEQUEST FOH ELECTRICAL INSPECTION Es-ooooi-oa H ' See instructions tor comOlelin9 this form on back of Veliow copy. "1("" Below Work Covered by This Request J A?id Nep. TYOe 01 BuiiEing APVliuncea WireA EquiUmOnt Wired Home nge Temporary Service Duplez ater Heater LiHht?ny Fixtures Apt. Bwlding ryer Electnc Heatin Commercial Bldy. T urnace Silo Unloader Industrial Bldg. F6rm Condmoner Air cner peci y Bulk Milk Tank ?herl5uocifv) t e? SVeulv ther Other # ee ServiceEntrencaSixe Faxders/Subfeeders # Fae - Cvcutts ,? 0 tp 200 Am s 0 to 30 Am s ?? O ? 0 tn 30 Am s Above 200 Amps 31 to 100 Ainps , p0 31 to 100 A s Swimming Pool E Above 100-Am s Above 100-Amps ' Transtormers Irngation 6ooms Other Fee PerUal, Signs SpeciallnspecUOn 5. O T A? p€E ao, .ur?c ?.? 7 t A Rough-in Date the Elec<ri In , e,eby certif4 that the above Drte inspaction has baen Fnal ' rtade. ihu request voltl 18 monlns Irom -------------- ; Pem,t .:? 85t???-- - It Permn Fee: j Oate Receiv ! ? I I SiaN: ! I ----------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATBON oWe: sice nad?ws: (44 Z$ -.t- <&?30 C, LnJ Tenant; SUlte ffit RESIOENT / OWNER Name: (IJ?Ve,r5 'zrkifkil Phone: Address 1 Clry / Zlp: Applicant is _ Owner A Contractor TYPE OF WORK Description of work: ponp Conshuction Cost: _ j??? 0 O Muld-Family Building: (Ves / No __j CONTRACTOR ? Name: d mi -t-yh ! Jem s License #: ? o "-l D Address: 14a 51 L1.)_ Gry: rwm ; O? State: '?7t"j Zip: ?- Phons: 65 1-4-3y2 j Contact Person: RXJ? 1.V?E?S COMPLETE THIS AREA OPILY IF CONSTRUC7IN G A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . pesidential verrilation categwy 1 wo'ksneat • Mew Energr cade W aksneet C8f6g0Yy Submilted Suhmiltgd (4 submisslon typB) • Enerpy Envelppe Calculatlqn6 SubmiKed In the lest 12 morrths, has the CRy of Eagan Issued aperniif tor a similar plen based on a master plen? _Yes _No If yes, date and address of master plan: llcensed Piumber: phone; Nechenical Contractor: Phone: Sewer & Watw Contractor: phwte: °AIOTE:Pfana.and,suppatb?giJocwmenisthat,you,sulxnff Bio CRlrslderedtobepubifckl???CmBtfotr P?+`tlonsW„ ` tbe liHOmraNon maybe alassllted as na?-puWic,lfyouprovGie aspedfk. t?s?skhsi'h8t?walf7d pemilt.ttr? Cilyiv I trereby ackn¢wtedge Mat ths information is compiete and axurate; that the work will be in conformamz witli the ordinanceB and cades of the City d Eaqan; Mal I understand this is rwt a permlt, but only an applicetian 1or a pettnit, and vrork is nM to s wtth u[ a pe'mR; tliffi the work will be in accordance with the approved plan in the case af vypk which requires a review ard approval o7 ? x ?bef? 4????be5 x AppllcanYs PAnted Name ApplicanYs Signature Page 1 of 3 Y , 1985 BUILDING PERHIT APPLZCATION - CIYY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED IiITH THE CITY OF EAGAN COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCT'URAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BON ? D To Be Used For: ? SINGLE FANILY DHELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIF'ICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Valuation: Date: ?/?fd7 -Y?-'---- Site Address vi?? n g OFFICE USE ONLY Lot `-? Block Erect ? Occupancy 5??? ?? f ? ? ^Z ftemodel 1 Z?ping Parcel/Sub G .?,,, Repair T e of Const ?r Addition S of Stories Owner J?1 a t7?q ? Move ? Length p, ' r Demolish Depth Address D 73??•? Int.Impr. ? Sq Ft Install City/Zip Code --- ---------------------°- ? "' - - - Phone 70P6 V'/ a Contractor CLA?? Address City/Z Phone Arch./ Addres City/Z Phone APPROVALS FEES Assessments ? Permit Water/Sewer ? Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg IAIAf_ - Treatment P1 APC 77 Parks Variance Copies TOTAL r (TOWNHOUSE) BUILDING PERMIT 1 OF 4 PLEX E r Volue 000 pate $60 NOVEM13EH /_ jq l Te ba wad br . s , 4430B CLOVER LN Erect ?'. Octupancy R3 SiteAddress 43 EDEN ADDITION Remodel 2 ? Zoning PD _ SedSub. elock Lot Repair ? Type of Const. V Parcel No ? . qddition No. Stories 4 Move ? Length W Name GOOD VALUE HOMES INC pymolish ? oepth 24 ; Address 1460 93RD LN NE Int.lmpr. ? Sq.Ft. b ??ty BLAINE phone 780-5510 Install d Ase..a115 Fees 8 Name 0?v18 Assessmenl Permit 313.00 o? address 30 00 u? oter & Sew. W . Surcharge City Phone 156 50 pai;ce . PlanReview GW Name Fire SAC 525.00 ? _a Addrass E^9• ater Conn. 500. 0 0 W ?W City Phone Plonner WaterMeter 63.00 280 00 (,oyMil . Road Umt 1 hereby ocknowledge that I hove reod rhis application ond state that gldg. Off. 11 6 85 Tr. PL 132 . O 0 fhe inlormation is rArce[t ond agree to wmply with oll opplicoble " APC Parks nces. $tofa of Minnewta Statutea and City of Ea9an Or Var. D ?- Copies Sipnoture of Permitt Total $1, 999.50 GOOD VALUE HOMES ' INC on rye express conditbn thai ro: h Building Pemut ble Stafe of,kG'n?n' ofu Statufes and City of litp oll work shall be done in atcordcnce with oll o _ Eaqon Ordirwnces. / ?/ l ( ? "" O4fi i 77 a Buildirq c CITY OF EAGAN N°_ 1 12 4 6 3830 Pilot Knob Road, P.O.•Box 21•199, Eagan, MN 55121 PHONE: 4548100 Receipt # .? . , 7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED YIZTH TNE CITY OF EAGAN COMMERCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND t'SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND F To Be Used For: SINGLE FA!lILY D1iELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Ca0, 06C) Valuation: 1J1&*qx:Z> Date: Site Address V 43 p G?6vt-, l?J Lot ±?? Block C"- Parcel/Sub e> Ip?„7 , ? ?p 1 Owner 6Q.j " p_ &. Q.S 3;3-U Address Nll City/Zip Code ?„ p{.? 't`? Phone '?4QZCU2 Contractor ? Addres City/2 Phone Arch J Addres City/i Phone „ Erect ?C Remodel ^ Repair , Addition Move ? Demolish Int.Impr. , Install ? APPROVALS Occupancy Zoning Type of Const # of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer ' ? Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off>/ s Treatment P1 APC Parks Variance Copies TOTAL ? N ' (TOWNHOUSE ) .? CITY OF EAGAN N°_ 11245 ` 9830 piloi Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE:4548100 S ? Receipf $ 85 BUILDING PERMIT NOVEMBER 7 _ ..__. s_. 1 OF 4 PLEX Est yalue $60.000 pa?e 319 = SiteAddress 4430 CLOVER LN Lot 42 slock z seclsub. EDEN ADDITION Parcel No. W FAddrEE ame GOOD VALUE HOMES INC ? 460 9 3RD LN NE LAINE pnone ?80ty o INeme SAME ?? Address 1- CitY Phone Neme _ Address Phone 1 hereby ockrwwledge that I the inlormotion is currect Stote of Minnesoto Statute Sipnaturc of Pe ' e - read lhis oDPlimtion and stote thaf gree to comOlY wirh oll opDiicabla City of Eogon Ordnces. ?2 A Building P it issued to: -- -- all work done in acw?a^?° W'th oll a icabla Stafe Bulldinp Official ? ? EreCt ? Occupancy Remodel ? Zoning PI? Repair ? Type of Conat. V Additian ? Na. Stories Mave ? Length 44 Demolish ? Depth 24 Int Impr. ? Sq. Ft I.0all ? Approveu '-" it $ 313.00 erm . Surcharge 3 0 00 . w ? 50 i e plan Rev 525.00 SAC SO OO iA WaterConn. Water Meter ?-? 00 280,00 Z? I6IaS Roed Unit 132.00 pl 7 . , r, ? Gopies 7otal Sl 9? 9? 50 Total___$- INC on the express condiHnn tha' . .n Smtures and City of EeflanOrdiro^ces. , / ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED WITH THE CITY OF EAGAN COl4MERCIAL SINGLE FANILY DFfELLINGS 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 l o F (oo, 006 CJl ? To Be Used For: ?ZLA-t-0 Valuation: 42:92== Date: ? Site Address cfiGa 6 40-R.- L„J OFEICE USE ONLY Lot _q0 Block Parcel/Sub ?a.wi ??-a.? Owner C( (?jqav 2 H" Q!) C- Address f(Llg p 9? `,'-o ,S wl ^) ? City/Zip Code &.s:1 , ?) t1'43T' Erect Occupancy •3 Remodel Zoning PO - Repair - Type of Const SL Addition 0 of Stories Move ? Length 44 Demolish ? Depth 24 Int.Impr. Sq Ft Install Phone 167e-r? '$17 C7 Contractor Addresq City/2 Phone Arch./ Addre: City/2 Phone 6PPROVALS FEES Asseasments ? Permit Water/Sewer ? Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off t( e Treatment Pl APC Parks Varianee Copies TOT6L 3 132. I c? ( TowNHOUSE ) , CITY OF EAGAN N° 1 12 4 3 3630 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 BUtLDING PERMIT PHONE: 454-8100 Rece+m 3?7 # Te 6e u..e fa. 1 OF 4 PLEX Est_ Vol.e $ 6 0, 000 pat, NOVEMBER 7 19 85 SiteAddrese 4428B CLOVER LN Lot 40 Block 2 seclsub. EDEN ADDITION Parcel No. W Neme GOOD VALUE AOMES INC Z 2 Address 1460 93RD LN NE 5 C;ty BLAINE pho„Q 780-5510 0 Name SAMF. Address City Phone Gw Name ?? Address 'w City Phone Erect M Occupancy R3 Remodel ? zoning PD qepair ? Type ot Canst. V Addition ? No. Stories Move ? Leng[h 44 Demolish ? Oepth 24 Int Impr. ? Sq. Ft. Install ? Approvals Fees Assessment Permit $ 313.00 Water85ew. Surcharge 30.00 Polite Plan Review 1152.. 50 Fira SAC 525.00 Enp. WaterConn. 500.00 Glonner waterMeter 63.00 Council Road Unit 280.00 Bldg.Off. 11I6I85 Tr.PI. 132 .00 APC Parka Var. D Co ies p 50 -?? Total on fhe express condition fhar wta Statutes and City of Eoqon Ordirwnus. e I hereby acknowledge thot 1 have feod this oppiical?on ond state fhat the informafion is corre f ord ogree to comply with all opplicable Srote of Minnewto Srot es and City of? Ordirwnces. Sipnoture of Pe ' e A Bu?ldiog Pe ' iss?ed ro: GOOD VALIIE HOMES INC oll work sholl be done in accordance pxRh-gp(oppe fate Minn Buudinp OiRciol ??1;? Q •?. t il ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED NITH THE CITY OF EAGAN COMQIERCIAL ENERGY CALCULATIONS $2,000 LANDSCAPE BOND 6 /F ?ooo To Be Used For: Valuation:?/'"S'a"o Date: 0 SINGLE £AMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIF'ZCATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS Site Address OFFICE USE ONLY Lot _tlj Block ? Parcel/Sub? Owner -6:?ayc( 2 Address ZcZ6 O 97 ` 4J City/Zip Code p 1/4.;?-.P i.A7_V $T?l? Phone,?C2 5T72 Contractor Wu?- Addres° City/2 Phone Arch./ Addre: City/2 Phone Erect X Occupancy Remodel Zoning Repair , Type of Const Addition lF of Stories Move ? ? Length Demolish Depth Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit Water/Sewer ? Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Variance Copies TOTAL f ( TOwNHOUSE ) CITY OF EAGAN N°_ 112 4 4 3830 Pilot Krwb Road P.O. Box 27-199, Eagan, MN 55127 PHONE: 4548100 Receipt # BUILDINC PERMIT 1 OF 4 PLEX $60,000 D NOVEMBER 7 19 85 Ta M wd hr Est. Volue ot e - 4428 CLOVER LN Erect ? Occupency R Site Address 41 Z EDEN ADDITION Remodel ? Zoning pD Bl Lot Sec/Suh. ock qBpair ? Type of Const. v Parcel No ? St i N . Addition or es o. GOOD VALUE HOMES INC Move h li ? ? Len9th h D 44 W Name s Damo ept 24 ? Address 1460 93RD LN Intlmpr. ? Sy.Ft. Citv BLAINE phone 780-5510 Install ? Aee.als fees o Name S7aMF. ?? Address 1- Citv Phont Name _ Address CitY _ Phone I hereby ackrrowledge thuf I ave read ihis opplicahon ond slore ihat the iniormafion is corrett agree fo wmply with oll npplicoble Stote of Mmnewto Statute nd City of Eagon O ce? Sipnature of A Building Pe oll work sholl be Buildirp Officlal Assessmenl Water 5 Sew. Police fire Enq. Plonrwr Council Bldq. Off. 11 / 6/8 5 APC Var. Date 6?d to. GOOD VALUE HOMES INC o„ In acmrdance with cll qpRlicable Stott( of ? n esofo Statufes and City a Pemit }' -'?. ' 30.00 Surcherge 156.50 PlanReview SAC 525.00 W ater Conn. 500. 0 0 waterMeter 63.00 RoadUnit Z$O.OO rc Pi. 132.00 Parks Copiea Total ^?L . 999 _ 50 fha exprcn conditlon that ' Eaqan Ordinaoces. ? ? CITY OF EAGAN PEIZMIT 3830 Pilot Knob Road PERMIT TYPE: PermitNumber: BUILDING Eagan, Minnesota 55122-1897 029410 (612) 681-4675 Date Issued: 01 / 14 / 9 7 SITE ADDRESS: 4428-6 CLOVER LANE LOT: 40 BLOCK: 2 EDEN DESCRIPTION: (SIDING) Building'--Permit Type ,building War-k Type p.? CensiAs Cadz` 4 ? ?'- l f`"'?'"? STORM DAMAGE REPAIR 434 ALT. RESIDENTIAL "?te =2i 1- J q n i'. f^.p(ijv S`J`3 4y.NaF}3..P? try???-n???( rvw{it??? :$/,:?L_? .. REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - sT. l.IC OWNER: ORFIELD CQNST, JOHN 18509194 2002105 EDEN HOMEOWNERS ASSN 110 WINNIPEG N 4428-8 CLOVER LN ST PAUL MN 55117 EA6AN MN (612) 859-9194 (612)687-0597 ? I hereby acknowledge that I have read this application and state that the information is correct and ag.ree to cvm'ply With all epplicable SGate of Mn. ? Statutes and City of Eagsn Ordinances. APPLICANT/PERMITEE SIGNATURE ? ? ioS ED : SI ATUR ?? - ? ? 1897 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PIIOT KNOB RD - 55122 681-4675 Hew Construcfion RecuiremerMs ? 3 ngistered site surveys ? 2 copies M plen ? 2 copies oT plans (Indude beam & window sixes; poured fid. tlesign; etc.) • 2 sfte surveys (exterior edditlons 8 dedcs) ? 1 energy calculations ? I energy celwlations for heated additions • 8 copies of tree preaervatfon plan H bl pWtted efter 7H/93 required: _Yes No DATE: Z71 "' / ? - 7 ? CONSTRUCTION COST: Z v o f DESCRIPTION OF WORK: 64 ?' /,A ( d I h STREET AODRESS: 6 veG' QGre,'EGt OJc7h , ( d! 1 Vr S51 Z 2 LOT -4L- BLOCK a- SUBD./P.I.D.#: L211) Knudt?/a/n.,J?an? ? PROPERTY Name: L ??t ah (7?E1??4cln??^ /4*6A/?A Phone #: OWNER (7ft? [? J?1 StreetAddress: ???? ??ti?? ???'??V 12G City: State: l? Zip: CoN'rrtacroR Company: _r/w,, Phone#: Street Address: I I 0 ali `19kr r` Jr°?i ?y License #: ??0 z 1DS?j`- ? City: ? 14l?1 j state: V zip:,Lr711 7 ARCHRECT! Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer 8 water licensed plumber (new construction only): and bt change are requested once permit is issued. Penally applies when address change i hereby acknowledge that I have read this appiication and sfate that the information is w act and agree ta comply with II applicable State of Minnesota Statutes and City of Eagan Orciinances. ?-. Signature of Applicant: / ? C OFFICE USE ONLY FW, Certificates af Survey Received _ Yes _ No JAN 13 1997 Tree Preservation Plan Received - Yes _ No _ Not Required BY_ CITY USE ONLY PERMIT #: RECEIPT DATE: U.$WENTIAj. MECiH"CiA. P'ERMrr AP'PLICiATION Cfl'Y Og EA6r4N 5830 PILOT KNOB RD #.4fiAA EtA bbl YE 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: I SITE ADDRESS: "T`IG'Y/ J (iC-IJVGK L.nl zG _ OWNER NAME: 0I -, SbtW_Oa TELEPHONE INSTALLER NAME: TELEPHONE (Evj? ?&!? JP-0f"/;9'7 (AREA CODE) STREET ADDRESS: w°3AS/!/ CJV ?\! 495 CITY: LV &4OL STATE: U`"l- ZIP: ? .,?--- - -`--?. .Y _?, _ ...... .u .. .. . ...:.. ..? ,....e . _. . - New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existina dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other ? " a"'Z??e ?6?n4 ?"l?.l I?'v Nature of workjbm y?,,.K?? ??? 'mC ? State Surchar e $ 50 Total $ Reminder: Call for inspections. , BY SIGNATLRE OF PE ITTEE Updated 1/01 CITY USE ONLY LOT ? BL q2 RECEIPT #: 900 Fe SL7BD. ?fO&e-_ RECEIPT DATE: g/a'S/s 7 1997 MECHANICAL PERMIT (RESIDENTIAL) CTfY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 Date: Complete this section only if vou are iustallin¢ HVAC in single familv, townhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas oudets ( minnnum of one required @$3.00 ea.) • State Surcharge: .50 • TOTAL: ay_so Complete this section onlv if vou are remodeling addine to, or renairine existing single family dwellings, townhomes, or condos. Add-on fiunace ? Add on air conditioning Add-on air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 CfatP Su2Ch2*ae SQ 'rOtBl: s ?.i SITE ADDRESS: \A\-\7yp OWNER NAME: PHONE #: \A ?ln - C\ INSTALLERNAME: PHONE#: ???`? 3a73 STREETADDRESS: \-\\V O CITY: ?_ w Y? Q STA'I'E: N\S,) ZIP: S S?A'4x ?i? SIGNA'FURE OF PERMITUD - ,.. FOR C I T Y U S E ON:,Y P°T.Z.'1IT '-` ISSLTED ? $ 0G S°ii= P-B'.1rT (I`ICLi;D: SURC?i?RGc) $ lb'$U WATER PE.TtI:` (Ii7CL'uDE SlinCHAaGE) $ WATER METER/COPPERAORN/OUTSIDE READER $ WAT°R TAP (INCLUDE CORPORATIQN STOP) $ S°,•]c4 ; AP $ vo -=i;:._ ,._:CSI= - o=..'c3 $ /S•oU ACCOlitT DEAOSIT - S4ATEB. $ ?-Do.00 WAC $ SJ,S.uo SPC $ TRuVK SJAT_°R 155: S5:!°::T +S TRli:7{ SE:dcR ASSESSi:°iiT +S L'nTE?.nL BE:vEFIT/TRU`IK 5E::?R +S LATc.:2AL BENE^IT/TRUNK S•7ATz'R $ • ?` °G WATER TREATMENT PLANT SURCHARGE $ OTNER: $ TO:.`-?L $ GG T ' P,MOUNT PAZ J; REC°I?T ; DOES UTILITY COA::VECTION REQUIP,E EXC.?IVATION IN PUBLIC RIGHT OF WAY? ? YE S IF YES, THEN n"PERb1IT FOR :40RK WITHIN PUBLIC R0ADWAY" MUST BE ISSUED BY THE C NO ENGINEERING DIV:SION. LIST AS A CONDI- TION. SliBSECT TO THE FOI.LOwING CONDITIONS: APPROVED BY: TI:LE: DATr: • i ? • • • ? • i o ? o i?• ? u ?• ? a?• ? •?• ? ?a• •?? ? ? •? « •• ?+? • ? ?? ? • • : CITY OF EAGAN APPLICATION FOR PERb'IIT SENER ArID/OR WATER CONNECTION 1) PROPII2TY ADDRESS: T•FY;AT• DESCRiPTION: F iu)Lirslocxiaunmvision or rax rarcel l.ll. NU[iIpEY1 IF EXISTING STRLC'ILRE, DATE OF ORIGINAL BLILDINS PERNLiT ISSL'ANCE: , (Nbnth ear) PRESENT ZONING/PROPOSID L'SE: R-1 SINGLE FANffLY R-2 DCPLEX ('Rao L'nits ) R-3 TOWNHOL'SE (Three + [Jnits) R-4 APARTMENP/CONIDOMINIL'MI CONIINNE2CIAL/RETAIL/OFFICE IAIDtiSTRIAL INSTI'Iq.'TIONAL/GOVEE2NMENT ( Cnits) ( onits) 2) ADDRESS: ,z5 er CITY, STATE, ZIP: SCJ5' w c?/ i3 %1-I A i `7 -S 4' ? 3 PHONE: 3 3) • ?: ?'• For City L'se NAME: Pltunbers Li se ADDRESS: tive CITY, STATE, ZIP: ered PHONE: MASTII2 LICENSE #ox)/??2/7r t Recorc I Staf` niti 4) •9 • r i?• rAME: ADDRESS: 0 CITY, STATE, ZIP: RzA/N& PHONE: 5) ?? • ?- ? • a• a? '?M COiVN=ION TC) CITY SEWER X!J?CONNECTION TO CITY WATEE2 Q OTHER (Please Describe) 6) ?• i I ? PI,EASE HOLD APPROVID PERMT FOR PICK-L'P BY ONE OF ABOVE ? PLEASE MAIL APPROVID PERMZT ? 1,? 3, 4, AHOVE (Ciscle one) 7) ?/'x/ N IIDMWIWWF • • • ? • I 0 ' • 1?I• II /p• zm*,44 '.?' f 'D? I' •?t • • •' M.•'l4x? 1 11 ?1 • • • ? ? ? CITY OF EAGAN APPLICATION FOR PERMZT SEWE2 ANID/OR WATEEt CONrIECTION 1} PROPERTY ADDRFSS: T•FY:AT• DESQtZPTION: (lAt/131OCK/SUpCl1V151On OY '1'c1X YaY'C21 l.ll. NU IF EXISTING STRL'CTL'RE, DATE OF ORIGINAL BUILDING PERMIT ISSL'ANCE: (Nbnth Year) PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY R-2 D['PLEX (T4ao L'nits) R-3 TOWNHOL'SE (Three + ['nits) ( L'nits) R-4 APARTMENP/COAIDOMINiCM ( I:nits ) CODM'fERCIAL/RETAIL/OFFICE IDIDUSTRIAL INSTIT['TIONAL/GOVEFtIZENT 2} NAME: &C z-E ?S O /? ?? CI- `? ADDRE55: I? ts }? / ? ?S CITY, STATE, ZIP: SC19JS/O'i?? ,?y/?i S ?^0 -7 S PHONE: 71 3} ? m?• E ADDRFSS : CITY, STATE, ZIP: PHONE: MASTER LICETISE # 4) ?? ?• N13ME: ADDRESS: CITY, STATE, ZIP: PFIONE: 1?c9 61 cVI/ U.? Afe- /yV/ o y ? ? ta- .v F ?/?i.?? I? ,v S S 3 ?i ? ,- 7?U-SS/G? For City Pse PluTbers Licens? Recor: 5) i? ? a •?• ? • a? ?? ? CONNECTION TO CITY SEWER CONNECTION 'Iq CITY V7ATIIt p dPHE[t (Please Describe) 6) u • • i ? PLEFLSE HOLD APPROVID PERMZT FOR PICK-UP BY ONE OF ABOVE ?T PI,EASE MAIL APPROVF.D PEE2MIT TO 102 3, 4, ABOVE (Circle one) ? 7) r '?' ??z GZ? ? _? F 0 R C Z T Y PEa+12T °- ISSUED FEEs: s /b.yo S /G-So $ $ S $ / j,?o $ ZC'ov $ <-eo.UO s J ?f Gu $ $ $ S S E ON1, - , - - ? ? . • SEi"E.°. P-_RmTT CINCL.:LL JURC?:?RCL? WATER PERU1ZT (ILICiIIDE StiRCHARGn) WATER METER/COPPERHORN/OUTSZDE READER WATEP. TAP (INCLUDE CORPORATION STOP) SE:JER TAP :..?GSI: - a_:.?3 ACCOliNT DFPOSIT - P7AT°R, WAC SP.C TRliVK WATER ASSESSi?E\T TRli:dK S%tdER .^-.SSESS:iEDiT Li,:E?,.`-.L BENEFIT/TRU`1K SE:-i?R L;TERAL BENEFIT/TRU.`IK WATER WATER TREATMENT PLANT SURCHARGE $ OT'f3ER: $ TOTAL I $ ?U APIOL'::T PAID/RECEI2T ? y!!?. ?/G G i ?- DOES UTILITY CON NECTION REQUIRE EXCAVATION IN PUBLZC RIGiIT OF WAY? ? YES IF YES, THEN n"PERMZT FOR *rlORK WIDHIN PUBLIC ROADWAY" MUST BE ISSUED SY DHE ? NO ENGINEE RING DIVISION. LIST AS A CONDZ- TION. SUBJECT TO THE FOI.LOWING CONDITIONS: APPROVED BY; TI.LE: I DATrc • 1 • • • R • i e • • i?• • u a• ? ?• ? "Di • s • wi • m ol ti ii m . Iffele):5 ..r?? ? ? ?? ? • • ft u ? CITY OF EAGAN APPLICATION FOR PERNLiT SEWER AAID/OR WATII2 CONNECTION 1) PROPEE2TY ADDRFSS: T,FY;AT• DFSCRIPTION: IF EXISTING STRL'CT[JRE, DATE OF ORIGINAL B[JILDING PERNIIT ISSL'ADIC'.E: (Nbnth Year) PRESENT ZONING/PROFOSID L'SE: R-1 SZNGLE FAMILY R-2 DLIPLEX (7WO L'nits) R-3 TOWNHOL'SE (Three + L'nits) ( Units) R-4 APARTMENT/COrIDOMINIi:M ( Cnits ) COMMEE2CIAL/RETAIL/OFFICE IbIDL'STRIAL INSTIT[!TIONAL/GOVERNMENP 2) ? / 1 N11A?]E: ??c,?'C/SoFw t? •r` l?e ADDRESS: ? el"( / ?-' k CITY, STATE, ZIP: 0" JV SSd -7 3 PxoNE: ?'{3 3 -s> a'L ? r. a• 3) ADDRESS: 6 For City C'se Pluchers Licem CITY, STATE, ZIP: PHONE: MASTII2 LICET]SE #Oa/._7/77 y 4) ? • ?• ADDRESS: CITY, STATE, ZIP: PHONE: .CaoD c/ 6-ff1 lU E %/O 2's crS J414o _ 93 -1? .4 'S 1,41 xiE A7.v S cS-?4i.3 CV AC'tive ?S Exp'red Recor, 5 iti 5) iffl ? ?+- • a. ?? ? COiVNECTION TO CITY SEWII2 ,!C CONNECTION 7U CITY WATER Q OTI-IER (Please Describe) 6) u • • i ? PLEASE HOLD APPROVED PERMCT FOR PICK-L'P BY ONE OF AMVE ? PLEASE MAIL APPROVED PERMIT 7Cl 1,? 3, 4, ABOVE (Circle one) 7) '?' ? ?? Z4Z F O R C I T Y U S E O N' y ? PERkIT u ISSUED F°ESc $ PER?2rT (I`.: i'--?.= •or? ar-_._.. ? SL.......?..?L) $ Zb-S_/> WATER PERDIIT (I::C:,7_'D : SiiRC:iARGi) $ ? aG WATER METER/COPPE2F.OR*I/OCTSIB.: READER $ WATEP. TAP (INCLL'D° C03?ORATION STOP) $ S-:GER TA? $ $ - ?S•UC, ACCOtiNT DF.POSIT - ?•iAT°3, $ ?O.vu WAC ' $ <5LS??v SP.C $ T?tliAIK LdATER ASSESS::°_;;^ $ TRli;7K SE:•iER n5S°_S5;•E:,i^' $ Lr`.:L?„aL BEivEFIT/TRP`:K S I ::=_:c $ LATET.2rlL BENEFIT/T4li`IiC `r:AT°_:'? $ WATE E N L SL"RCf?AR E ATME ANT R TR T P G $ OTHER: $ TOTAL I AiNIOL'.IT PAID/qECZ:?^ n ? ? ! 7 91..-./ DOES UTSLZTY CONNEC.ION REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY? ? YES IF YES, THE N n"PERMIT FOR WOR?i WITHI:1 POBLIC ROAD WAY" MUST BE ISSliED BY TY.E ? NO ENGINEERIT7G DIV:SIDN. LIST AS A CONDI- TION. SUEJECT TO THE FOI•LOSVI.IG CONDITIONS c APPROVED BY: TITLE: DAT_° : _ `(l / ?i?r o ? ? ?•? ? • i •? • i • • u ?. ?. .?. • 21 • s • y ? ?,? • ? ? • ? a?? • ? ? ? a? ? ? ?? u • CITY OF EAGAN APPLICATION EnR PERMIT SEWER ANID/OR WATII2 CONNECTION 1) PROPII2TY ADDRESS: p I,I7GAL ?ESQtIPTION: E (1,0t/1310cx/subcttvision or '1'ax Yarcel I.D. tviunber) IF EXISTING STRtiCTI.'RE, DATE OF ORIGINAL SLILDING PERMIT ISSL'ANCE: (Nbnth Year) ` • PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY R-2 DUPLEX (Two L'nits) R-3 TOWNHOL'SE (Three + L'nits) ( Lnits) R-4 APARTMENT/COAIDONIINICM ( Units) CONM"IERCIAL/RETAIL/OFFICE IDIDL'STRIAL INSTITC TIONAL/GOVERNMENT 2) ? i ?: ??,?,??rOJV ? t ?ADDRESS: CITY, STATE, ZIP: U7 3 PxorE: y33 - > i 7/ ? r. a?• 3) ADDRESS: S - fy/e--_ CITY, STATE, ZIP: PHONE: MASTER LICQVSE # GTO/Blf_'2,,779? 4) KUNKMWA? tVAME: ADDRESS: CITY, STATE, ZIP: PxoNE: ?oeic? A/E iyro S? '21 Xn`..vF For City Cse Plumbers License i? « •?• :? •s• ?? 5) /0 CONDIECTZON TO CITY SE.WER MCONNECTION TO CITY WATII2 p OTfER (Please Describe) 6) i? • i ? PIEASE HOLD APPROVID PERMIT FOR PICK-L'P BY ONE OF ABOVE PLEASE MAIL APPROVFD PII2MIT TO 1,02 3, 4, AHOVE (Circle one) ? 7) ZGre??"'?,. , ? / /? J?S F O R C I T Y U S E O N L Y PEa`4IT °- ISSUEO FEES: $ ??_?_o $ $ ? UG $ $ $ /Suo $ $ ?i?uup $ Sd-S-oU $ $ $ $ $ Ii , . SE.'iLR °EBMrT (I_^ICL;;DE SLI°C`i?.?Gc) 59ATER PERPlT_T (INCi,IIDE SliRC°AZGc.) WrITER METER/COPPERHORN/OUTSI'JE READER WATER TAP (INCLL'DE CORPORATION STOP) S::•iE3 TAP I nr.?..?.'1..._ .....SJ?i? - AC('OliA1T DEPOSIT - P7ATER WAC SP.C ? TRuVK tdATrR ASSt,SS21E;dT TRli:7K SL:VLR 1SSESSb1EDIT L`nTE?.:yL St.NEFIT/TRII.IK S£:•iER LAT'c4AL BEVEFZT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: $ TOTAL $ AMr]L'1'T PAIJJREC°I?T ? 7%`/' • °? ? ? 7 1-?' DOES UTILITY CONNECTION REQUIRE EXCaVATZON IN PUBLIC RIGHT OF WAY? I ? YES IF YES, THEN A"PEAp1IT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY TAE ? NO ENGINEERING DIVISZON. LIST AS A CONDI- TION. SUHJECT TO THE FOI•LOS4Ia1G CONDITIONS: APPROVED SY: TI:LE: DATE: - I,/?/?S 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN ??O 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. n 1'S.So Date6 Z/ // n 4 Site Street Address Unit# Property Owner ? Teiephone # V?51 ) 4,Z - 9(a ? 9 Cantractor f/ Y' P"..r ? 0.? Telephone #((051 ) 36S -/ -3 Vd Address_j/ '26 ?,?a-??, City. ? State rNn. Zip 5/.Z9 The Appiicant is: _ Owner Zcontrector _Other Alterations to existing dwelling _Add fxtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 _ Water So/ft?ner ? Water Heater ` replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 I Total $ /Ss6 I hereby apply for a Residential Plumbing Permit and acknowledge 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 plumbing codes; that I understand this is not a permit, but oniy an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ApplicanYs Printed Name ApplicanYso ignature ? F APR 2 7 2004 rAOBE COMSUlTINO EN3INEERS ENGINEERING PLANNEi1S end LAND 3URVEYOflS COMPANY, INC. ? 1000 EAST 1461h STREET, BURNSV1lLE, YINMESOTA 55337 PH 432-3000 Cep-lii caz Sur?r-e y Lgaa, 1_Qe-s, c,r4,e2ian: LOTS 40,41,42AND 43, g11DcK 2, EDEN ADDITION, DAKOTA CoUti ri', M i N N1E507i1 DEtJOTES E)(157/AI6 ELEVATiON (933.0) DENOTES PROPOSEU ELEVqTION fNDfCA7E$ DIRECTION OF SURFACE DRAfNAGf NORTH 933.0 ° FlAlISHED GArzAGE riooR FL6vq-rIoN scAl.E c W= 30 i. I .5 89°58, a1 "w? 2.Oi Pd_9d I ?. 1 a` s • ? LOT 42 .1 EAGAN REV) E BY oare f 1 ? - 8S GF ? i v?0 9? o ° o "tn r-' I ?v.?i`\ / i ? ?Po tK ?%? ?' l o ?, o \ oc, a 3 r ?'7tii \ Q °o o? ? "a gl ?LOT sz,` I? q q"D(,; $ \ J o h 43 ?v buL .T 1 ,no W 41 i ? ? i ?j? y?. • 5 I ? LOT 40 ?T ' Pp 7+.90 NZ C934 79.? , 15 936.0 : EAST i ..-r- .-. ? •-,-s' : L_:_? ? ..? 30' FRONT QUILDIh16 DRAINA6E AuD 5E7BACK LINE , UTILI7Y EASEMEhff i I hersby cartify that this ie a true and corract repneentation ot a tract of land •s sho+m'and described hereon.. As praparad by ma on this isr day ot , NOVEhr3ER ? 19 BS. ' Ninn. ltea. 1(0. /4oP,1 From:ALLSTAR CONSTRUCTION 19529427464 09/17/2043 08:46 #582 P.059/079 Use BLUE or BLACK Ink Afth- for Office Use 1 non I ` I I Permit#:__i'`[~~~ l City of EaEd Permit Fee: D r 3830 Pilot Knob Road = 1(i3 Eagan MN 55122 Date Received: Phone: (651) 675-5675 i I Fax: (651) 675-5694 1 Staff- I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: q I V 12012) Site Address: 44A yy2kP22, 4430, LIKE C10YU LUX, Unit i Name: eft c/D• basil m W[riW4 Phone: Resident ° Owner Address / City / Zip: ~Dy38 G1'N V1 PRY10VAUT M~ i>faIYif, M N 55" Applicant is: Owner Contractor Type of Work Description of work: Tea of ~ Ye-Voo Construction Cost: h t Dad • DO Multi-Family Building: (Yes No ) Company: 4-IIft G)Y"VA INQPlaladmenfj L Contact: .SJI)t• t fl1~i~~tU Address: 5145 IndtA Q1 SlTfM * IID3 City: WtiP,f N in ' I Contractor r'~ OI u rI' State: MN _ Zip: '~J35 1 Phone: ~GJL~ IZ' 1~ J-i License %r.IP,2J19 S Lead Certificate WT- 2bq 1pL4 --Q 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: :Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe c/assfrted as non-public. if you provide specilfc 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.org 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. 4 Applicant's Printed Name A icanrs Signature Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 10/21/2015 12:23 #269 P.005/020 . Use BLUE or BLACK Ink � For Office Use ' � � RECEIVED j Permit#: �� i Clty of�a�aIl ; . "'�L-� � � � Permit Fee: V t d � 3880 Pilot Knob Road OCT 11 20� Eagan MN 55122 � Date Received: � Phone:(651)675-5675 � � Fax:(651)675-5694 I Staff: I I � ��_�.�`_��.��_�J 2075 �E�tC3E�!'T�A� ��IL�� PER�oT �PP�ec�Tion� Date: Site Address: Unit#: � �arne:�r,=�., �n�A✓A. 1 jkj31�-m.,..�.,�...:��+�s �'�0��.��-_. Phone: N/�,�_,�.�.,.,M..n.�,.,�...,�...�� Residen�/ � Ow�lef Address/City/Zip: ��l��"yy30 �/,� � �'p-� � � � �� Applicant is: Owner � Contractor �-�.._..,� ..�._.n�.,.:�..,..,.. .�....��.F,.�.,T.�..,.�_,�,'..,.��...z-,,t...�__.�.,,,.^.��.�.<..�,.�. . .,,..�.�.r_�.�...�._....�,,�. ,.,�-.os...,....._,.,_r,,.�_.�,...-u..._..�.� � Descriptionofwork: ��'°' ��c in/ii/� /+�;,�r�'�✓` .��Cf°,�(" � YP@.O INOr{c � Construction Cost: �Z�'i�`'� Muiti-Family Building:(Yes �No � � n�..,.,�...�..,�,..s-...,�..,.,..x.,z,�_�...,,..�..,,... r......��,....�.„..�.��..,.��,,,..�....A..,.�,..^._....��_,.�:...,_..�..,.,..�a.....�.m.,.,.,,,,._,..,.�......�T_,..a. � �---- � A _ + � ..� .. �Company: ��As�. C..:r�SY��uG�.�a-ti t/1�fh�►��f71� GG'. Contact: .' � /y»�� _ ' � �. � 9'I rr+e�}-.� � k i ) r � Address:�� /n[�uS��rrL s� ` Si.:�k�. I C°� City: �A �� l ftl�,.� CO.t1t�1Ct0� .. .� ' � � � State.�Zip: ��`i Phone: �52-`��2�7��'�Email: �'►•�d c� S /". 17 2. � � r� � � � ,. . .. ..... License#: .�� (r'94'! 3��c� ; �,,,.. � . _.A�.�,� __. �. Lead Certificate#:��►� ��l y(1� Z_._. .�.� - If the project is exempt from lead certificatfon, please explain why: � �+��c-, ;..d r�83 ._�....._..�.,�.,..,,, _�.,�....�._,�,�_..��.,�.�.__�..�.., r�.......�T...a...�.,�,.,�....h�-..�n...��.��...�.._.--,.F..,.�.�.�.,�,��.�._.�.r��. . W�.� �� COMPLEI'E TH1S AREA ONLY IF CONSTRUCTING A NEW BUILDING � In fhe last 12 months, has the City of Eagan issued a permit for a similar pian based on a master plan? � � Yes No If yes,date and address of master plan: � � Licensed Plumber: Phone: � � Mechanical Contractor: � Phone: � � c-"--_ o u•_a_..n_—`---`--- r:._.._. � a .............._ ; �: � ?. i Fire Suppression Contractor. �..��.�..,.,�.�:n..,.II..�.�,..—.,.T,..._._:,_�,.��.n.,:-,�:,._�..:3_.��.w:�....�.�_.,�_:.,�.�,,�...�,..�,,.��...A.,�.�..�..��.,..,.,�,�...,.�.,.�..Pho�e • �& � NOTE:Plans and supporting documents that you submit are considered to be public information. Portfons of � the information may be classified as non-public if you provide specific reasons that would permit the City to � �.,.�:U._,�.��..a,..�,..�.�....:_�.��„�,R,�.r...�..:.�.��._�..�, conc/ude that t,�Y.�'are trade sec�ets��...,..,�.,.�,��..�..�.m.�.��„�.�.�.�.-�A..�..�..�...� CALL BEFORE YOU DIG. Call Gopher State One Call at f851)454-0002 for proteclion against underground utility damage. Ca�l 48 hours before you intend to dig to receive locates of underground utilities, www.gooherstateonecall.ora ' I hereby acknowledge thaf 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 !or a permit, and work is not to start without a permit; that ihe work will be in accorda�ce with ii�e aNpiuv�d pia��;r�ii�e caa��c�i w�rii i�vnitin requires a review ano approvai oi pfans. Exterior work autho�ized by a building permit issued in accordance with the Minnesota State Building Code must be co pleted within 180 days of permit issuance. _ -.--�� _ y�...._... yw X / x �;:� �//'.�� ". . f " Applicant's Printed Name �„ Applic nt's Signeture " ` � Page 1 of 3 � PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA165201 Date Issued:10/22/2020 Permit Category:ePermit Site Address: 4428 Clover Lane Lot:41 Block: 02 Addition: Eden PID:10-22750-02-410 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 - Donald & Margaret Van Dale 13600 Harwell Path Apple Valley MN 55124 (651) 233-0197 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(cD.cityofeagan.com -------------I For Office Use I I Building Permit #: I I S&W Permit #: I I. I Permit Fee: I 1 I I I Date Received: I I I I I I Date Issued: t- - - - - - - - - - - - - - - - - - - - - J RESIDENTIAL BUILDING PERMIT APPLICATION Date: Shqz6Q23Site Address: Applicant is: ❑ Owner Contractor Unit #: I Name: �G(� t/� b VV`� C� �_,�� 11�.�.1' S lasers e, C I Ot_4 l C> In Homeowner 7 Address: Me ( 1 f7"LAZ /AA City: �aQ OL \/1-, Phone: Email: Description of work: P, Q b t7Z Type of Work Construction Cost l Building Contractor Type of building: ❑ Single Family ❑ Townhome, of units 19,Twin Home Compan I7L,qj (� �t`t't.� C_ C� \lam Contact: �� Address: � r t & W Q�T City: GCS' VG��11' l StateAwip: 5�3_ Phone6tZ-'f 5 Email(Vtk .k[ �e,� CUk-- � b 71*-/- / _ — License #:� 7 4.3 ,i l � Expiration Date: J/ 3 Sewer $ Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction i I License #: Expiration Date: ` 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