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4441 Clover Lane Use BLUE or BLACK ink For Office Use l F ! of Eap I Permit ( 1V.11 itr~ I ! ~ Permit Fee: V I f 3830 Pilot Knob Road i i Eagan MN 55122 11~,Y 1 1 2, 0 11 l bate Recei ,red S- ,lj I Phone: (651) 675-5675 s ! Fax: (651) 675-5694 ! t -l - ff 2011 RESIDENTIAL BUILDING PER IT ~'PLICATION Date: Site Address: 11 Unit Name: I )V Phone: RESIDENT I J , OWNER Address / City / Tap: ~ 1 L/ I C ((J L_ci e- s' Applicant is: Owner __Y,_ Contractor TYPE OF WORK Description of work: b.r s k Construction Cost: -,L Multi-Family Building: (Yes I No Company: c r' - s o Contact'~C.)1° CONTRACTOR Address: 19(t1-1-5 beer'e-V 4 4 ye I City: CC4 K-L le State: M N Zip: S s~ L L Phone: UJ 1 I J` License : } 3c) 1 C? 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 would permit the City to conclude that are trade secrets, CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cal! 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecail,oLq I hereby acknowledge that this information is complete and accurate; that the work will be in conformapqe 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 vWk is not t tart t a permit; that the work will be in accordance with the approved plane in the case of work which requires a review and appr f plans. AppiicanYs Printed Name ill`s Signature U Rage 1 of 3 DO NOT WRITE Lq96 &5 t 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 Demolish Foundation Alteration _ Fire Repair _ Windows 41 Replace _ Repair _ Egress Window - Water Damage _ Retaining Wall 'Demolition of entire building - give PCA handout to applicant DESCRIPTION ~,v Valuation L/y Occupancy k MCES System Plan Review Code Edition /j,: t9 SAC Units (25% 100% Zoning City Water Census Code [ Stories Booster Pump # of Units Square Feet PRY # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: ( , Building Inspector RESIDENTIAL FEES Base Fee Surcharge C Plan Review 'V MCES SAC City SACr Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies t TOTAL Page 2 of 3 0--49 37 PaA& 53 ROsE n : PIRNNEiS AS and LAND ENGINEERING CoNSU`TI 4NOIN(CAS IAND ivAYEYOAS COMPANY, INC. 1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA 55337 PH 4323000 QQI .~e~cr~ ~ZOrt: Lois 9, l0, 11 AN,U l2; PLUCK 3, EDEN ADMIT/o/V,, VAKOTA COUNTY, MINNESO-1-A UENLIIE5 EX167%N6 ELEVATION (93~ , o) DENOTES FROPOSE D ELEVATIOAI ..r - /NVICATES DIRECI%C~'Al OF SURFACE DRAIIVArE 931.5 = FINISHED GAK116E' FL001? ELEVAT10A/ NORTH SCALE 1" = 30' 9/9.o DRAINAGE AND 4 _ (9z5> N 89° 58 02" E 9 / 3 3.05 30~?, UTILITY EASEMEAfT '%n 42.4-0 90.65 -l-n'-7 ~ Z L 0T 9 ° LOT l2 N C9 44 r 00 056 1? UNI to ~ ~ W 3Z"-". ~ . ~ / Q+ l00 O ,~f LJ oho , ! 9P9.? rh 69.5 N 82° 17' BUlL I X07 v~ o' L or 44 z~ b s'~ e7 131, y 0 ~J 30' FRONT BVILDING 5 I\ \ ~9,Z~9 i_ e=23°36' z SG7-BACK L IAIE \ \ 3 24.7 S~ 1 / 1 23:z'? o / ~\1~ ►8 342.85 ze M R- /po°2z$ 22 4,190-0o I L'23.67 \~6~,Fjo1 R%: 30.E 4 = 45.1?, 4T F 930`26 I hereby certify that this is a true /And correct representation of a tract of land as shown'and described hereon.. As prepared by me on this 7rW day of ~j~~ 19 sT& Minn. log. No. CITY OF EAGAN 1161? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?•- PHONE: 454-8100 BUILDING PERMIT Receipt # ? To be used tor 1 nF 4 P4,9X Est. Value $48,000 Date MARCH 19 , 1g 86 Site Address IO 4443 CLOYER LN 3 ? EDEN A Erect L? DDITION Remodel ? Occupancy R3 Zonin pn Lot BloCk Sec/Sub . g Repair ? Type of Const. v Parcel Mo. Addition ? No. Stories ? '?D VALUE HUMES Move ? Length 4 4 W Name- 1460 93RD LN Demolisn ? Depth 24- a Address Int. Impr. ? Sq. Ft City BLAZNrPhone 780-5510 Instau ? o Name ? 'M Approva is Fs?s 0 i Address Assessment Permi&- ? city Phone Water & Sew. Surcharge Q Police Plan Review_ - ` ? W Name Fire SAC • ?75 - ? ? Address Eng. Water Gonn. 500, i W City Phone Planner Water Meter63.50 Council Road Unit I y A- UO I hereby acknowledge that I have read this application and state that the Bldg. Off. 3/ 191b 6 Tr. PI. 156. 00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Perks Var. Date Copies-? # 019 . SO Signature of Permittee - Total _ A Building Permit is issued to: GOOU VALUE HONiES on the express condition thet ? all work shall be done in accordance with all applicable State of Minnesota Statutes and City ot Eagan Ordinances Building • Psrmil No. Pwmlt HoMm Dwb TNwphor» ? PlLCnbfny M.Y.A.C. O C? El.ctdc 05% 67 Solhna Impecdon Date Imp. Commmt Footlngsl Foodngsll FoundaUon Frsminy Roofiny RouqhVlbp. -(?j ef/-/r'1 •///5. .q Rouyh Htp, y/? y a-a& a,4. Insul. Firsplace Flnd Htq. 7/- ? Flnal Plbp. 1 &dy. Finsl COM.Occ. ?7 ?IJ Dock Ftg. Deck Frmp. "1 Pr. Dhp. F::? '- PERMIT # MFCHANlCAL FERMlT RECEfPT # GITY OF EAGAN 3830 PILOT KNOB ROAD, EIIGAN, MN 55121 DATE ?-/ O?? G RACT PRICE: PHONE: 4548100 Idress ?BLDG. TYPE WORK DESCRIPTIQN Lot Blqck ? m Name m Address ' c City Name _ i, Address 0 CitY - Forced Air Boiler Unit Heater Air Cond. ? Vent Gas Piping Outists # Other Phone M BTU M BTU M BTU M BTU CFM TOTAL• ? `Res. FEE: S/C: ? . Mult ? Comm. Other New Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 8.00 ADD-ON AIR COND. 0-24 BTU - 12.00 AQDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1 % OF CONTFiACT 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) CITY OF EAGAN ' • ? PERMIT # ...., S PLUM8ING PERMIT RECEIPT # CtTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _ Site Add fe'lot `'' `' - Lot Block m Name ? Addre c City r ? Name • ? 3 Address O CitY : ? ? FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMiJM - 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) SIGNATURE OF PERMITTEE BLDG. TYPE WORK DESCRIPTION Res. ? New - Mult Add-on Comm. Repair Other NO. FIXTURES Water Closet - $3.00 TOTAL 4 - ?Bath Tubs - $3.00 ` Lavatory - $3.00 Shower - $3.00 ? Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ? Laundry Tray - $3.00' ` -Z7--- Floor Drains - $1.50 ' 1-Water Heater - $1.50 ??Whirlpool - $3.00 Gas Piping Outlets - $1.50 Soitener - $5.00 Well - $10.00 --,-,_Private Disp. - $10.00 ' - Rough Openings - $1.50 FEE STATE S/C: ?' - GRAND TOTAL• 0 FOR: CITY OF EAGAN ?, ?Gi? sr'.LF u.• ? '1:: CITY OF EAGAN ?,? ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?`• - ? . PHONE: 454-8100 BUILDING PERMIT Receipt# r..",..-A r... 1 OF 4 PLLX F?r troi?o $48,000 nflfo N3ARCF1 14 ?a 66 Site Address 4441B CLUV£-R I.N Erect C? Occupancy R 3 SDEN ADUITIOt f' t 12 Bl k 3 S L /S J Remodel ? Zoning pD o oc ec ub . ? Parcel No. Repair Type of Const. y Addition ? No. Stories GOOD VA.LUE I-i0A1ES Move ? Lengm Qa W Z i Name 14 6 0 9 3 RD LIV Demoiish ? Oepth 2-4 o Address CitBLAILNE Phone 780-55iV Int. Impr. Install ? ? Sq. F+ ¢ pU U? ¢ ? W W ? U? gc z W t Name SAJ'iE Assessment I Permit Water & Sew. I Surcharge Police Fire _ Eng. Water Conn. 5 U U. U U Planner Water Meter 63.50 Council Road Unit 290.00 I hereby acknowledge that I have read this application and state that the gldg. Off. ? 14 ? 8 Tr. PI 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. APC Parks ? Signature of Permittee ""Var. A Building Permit is issued to: vOGD VAI.U[:> HO!'_I:S all work shall be done in accordance with all applicable State oi Minnesota StatL Building Official ? Copies- Total- on the express condition that i Ciry o( Eagan Ordinances. PermN No. PermN Hoider Date TMephone M Plumbiny 6 H.VXC. v eloeMe ?s • , ? vA\ a3 % b ? y l _ son.n.? Impsctloo Oah Inep. Commiob FooNngsl B W ? Footlnps 11 FoundaHon Framiny RoWH?p Rouyh Plby. - /S. - Rouph Hty. ? ? Insul. 4! a? ` ? 8 Flnplsce final Htg. Finsl Plbp. / ?`; . i• n , ? D &dp. Fk1a1 Cori. Occ. CL L' 1? Dsck Fty. Doek Frmy. Wdl Pr. Dlsp. lp ???J J . . PERMIT # MECHANiCAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 Site Addr BLDG. TYPE WORK DESCRIPTION Lot Block ? Sec/Sub R N J m Name es. ew M lt Add Address u -on air Comm Re L ' ' ' ' ?z s ? . p 3 c ; City = ^ • . : . ? Phone t • :; c Oth er Name ! - • a ? ? " 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 TYPE OF WORK ADDITIDNAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% 4F CONTRACT FEE Bailer 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 BEYONQ $1,000.00) Gas Piping Oudets # Other . FEE: O, S/C: SIGNATURE OF PERMITTEE TOTAL: ? FOR: CITY OF EAGAN Site Address `- ~' Lot Block m m ? c d c 3 O PLUMBING PERMIT FiECElPT # CITIf OF EAGAN r? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: PHONE: 454-8100 ' ? ?- tBLDG. TYPE WORK DESCRIPTION Sec/Sub ??_ Res. New Mult Add-on Comm. Repair iond,'? Other FEES COMM/IND FEE - 1% OF CONTRAGT FEE MINIMiJM - RESIDENTIAL FEE MINIMUM - COMM/IND FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ? NC). FIXTURES TWater Closet - $3 00 TOTAL ? - - . ? Bath Tubs - $3.00 - ? ' • Lavatory - $3.00 7 Shower - $3.00 -T - Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ?-Laundry Tray - $3.00 _ $?O ? TFloor Drains - $1.50 - ' 20•00 Water Heater - $1.50 7 - •50 Whirlpool - $3.00 ?Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE STATE S/C: FOR CITY OF EAGAN PERMIT # GRANO TOTAL• ? 6- d G R CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21-199, PHONE: 454-8100 BUILDING PERMIT r 1 OF 4 PLI3X Est value $ 4 8,0 0 0 i . sss?z 66 SiteAddress 4441 CL6VER LN _ Erect IN Occupancy 113 EDEN ADDITIUN b ! Remodei ? Zoning F1) Lot Block 5ecisu . Repair ? Type of Canst y Parce l Mo . . Addition ? No. Stories Cc VOOD VALUE HOE4ES Move ? length 44 = Name 14FQ 43kJ LN Demolish ? Depth o Address Int Impr. ? Sq. Ft. City ????flhone 7$0-5510 Instau,.%'? o Name s`?'S E 0 i Address _ f ? w W¢ Name ? a Address i W City Phone e.L .1 Receipt # Assessment Permit ? :,?4 , tlL Water 8 Sew. Surcharge Police Plan Review_ ? ? 0 I Fire SAC ? : 0 ? Eng. Water Conn. 5{} L' , Z' fl Planner Water Meter 63 • Sfj ? I hereby acknowledge that I have read this application and state that the Bld9 iniormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC. Signature of A Building Permit is issued to: all work shall be done in accordance with Building Official _ GOOD VALUE NOMES RoadUnit 250•00 1/14/86 Tr. PI. 156.00 Parks Copies- Total on the express condition that City of Eagan Ordinances_ Permlt No. Psrmit Holda Date Tslephone M Plumbiny M.V.A.C. 5L 01474 el.ea+c A a3 % 1 " sonener Inspectlon Dab Insp• Comrnwft FootinqaI J ? Footlngs ll Foundatbn Fnmin9 Roolinq Rouqh Plby. 11MA-6 Rough Hty. / y' - rg Ineul. Fireplaer Final Hty. > C/J Finai Plbp. -! y &dy. Final Csrt. oce. 7 pock Ftp. Oock Frmy. We11 Pr. Disp. . MECHANICAL PERMIT CITY OF EAGAN 3630 PILOT KNOB ROAD, EAGAN, MN 55121 Site Addr " Lot Block ?5 Name J ' ' ' / '' ` ' ? Address c Ciry "_? , Phone ' y c- ? Name _ c Address p3 CitY - TYPE OF WOIiK Forced Air Boiler Unit Heater Air Cond. Verit Gas Piping Outle4s p Other 73'02?r M BTU M BTU M BTU - M BTU CFM FEE $/C: TOTAL• PERMIT # RECEIPT # DATE 'y ' / ') -x0 BLDG. TYPE Res. Mult Comm. Other WORK DESCRIPTION New Add-on Repair 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 QF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMfT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ?? _, ,• ; / ' ? ? t ..i , SIGNATURE OF PERMITTEE I FOR: CITY OF EAGAN ? PERMIT # PLUMBING PERMIT RECEIPT # (.0 ClTY OF EAGAN y 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ? Site Ad ? L ot Block Name ? ? Addre c City = Name ; Addre O CitYgl ! FEES j 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 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) BLDG. TYPE WORK DESCRIPTION Res. New ?- Mult Add-on Comm. Repair Other NO. FIXTURES TOTAI ?Water Closet - $3.00 S_ Bath Tubs - $3.00 - ? Lavatory - $3.00 = Shower - $3.00 ? Kitchen Sink - $3.00 - Urinal/Bidet - $3.00 ?Laundry Tray - $3.00 ' Floor Drains - $1.50 , =Water Heater - $1.50 Whirlpool - $3.00 ? Gas Piping Outlets - $1.50 - Soitener - $5.00 Well - $10.00 Private Disp. - $10.00 % Rough Openings - $1.50 - FEE " STATE S/C: ? GRAND TOTAL ' FOR: CITY OF EAGAN ? ---- CITY OF EAGAN Remarks Addilion Eden Addition Lot 11 oWner _, street 4441 Clover Lane Block 3parcel #10 22750 110 03 State Eagan MAI 55122 Improvement Date Amount Annuai Years Payment Receipt Date STREETSURF, lQ) 19$2 504.70 100.94 5 STREET RESTpR. GRADING 1982 232.99 46.60 SAN SEW TRUNK 11 74 62.93 20 ? SEWER LATERAL 1982 1896.46 3T9.29 WATERMAIN ? WATEFi LATERAL 19 WATER AREA ? * Services 1982 STORMSEW TRK ? 1982 256.0o 51.20 5 STORM SEW LAT 19 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOING PER. SAC PARK CITY OF EAGAN Remarks Addiiion Eden Addition Lot 12 Bik 3 Parcel #10 22750 120 03 Owner j" =" -? .! i.; " :- sireet 4441B Clover Lane State Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 19$2 504.70 100.94 STREET RESTOR. GRAOING 232.99 46.60 SAN SEW TRUNK ? * SEWER LATERAL 1 . 46 3T9.29 5 WATERMAIN • WATER LATERAL 1982 WATER AREA * e ea 1982 STORM SEW TRK QLCL 1982 256.00 1.20 - i STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PAR K CITY OF EAGAN Remarks AddiCion Eden Addition ? lO Blk 3 Parcel #10 22750 100 03 Owner street 4 &-over Lane scate Eagan NIlV 55122 Improvement Amount Annual Years Payment Feceipt Date STREETSURF. , 504.70 100.94 5 STREET RESTOR. GRADING ^ 1 232.9 46.60 5AN SEW TRUNK I 1974 67-93 2 5 f SEWER LATERAL U? 1982 1896.46 .2 WATERMAIN * WATER LATERAL 1982 WATER AREA g ? Services 1982 STORM SEW TRK b?q 1982 256.40 51.20 * STORM 5EW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. S UILDING PER. SAC PARK ? CITY OF EAGAN Remarks ?den Addition 9 3 #10 22750 090 03 Addi,,ion Lot Bik Parcel Owner ??"? ? LA.lJI: Street 4443B Clover Lane 5tace Ea?an NllV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. (?l 1982 504.70 100.94 5 STREET RESTOR. GRADING UL/0 1982 232-99 46.6o 5 SAN SEW TRUNK ?(l 1974 62.93 20 i * SEWER LATERAL S? 1896. 46 379.29 r WATERMAIN • WATER LATEAAL 1982 5 WA TER AREA 3 * 1 82 5 STORM SEW TRK 182 2 6.00 51.20 S ?F STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT • WATER CONN. BUILDING PER. SAC PARK INSPECTI4N CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: + I : iY N ! (tl + f,! ()VF'R l RNli PERMIT SUBTYPE: ? I 't i.m 1 AI TYPE OF WORK: il; tit, i i+>N F i 14 /11 N1?11 UrPtEi At It"itAT t OM ([iR'; iMrtiF'Ftt 1 I ;CORD PERMIT TYPE: Permit Number: Date Issued: ji Ock : APPLICANT: Pertnfl No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFINQ ROUGH PLUMBING PIBG AIR TEST ROUG!-1 HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST l ?clJ FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL I l ° W+10..€QK SALf.: ta.4 :'? CiTY OF EAGAN 3830 ??t Knob Road, P.O. Box 21-199, Eagan, MN 55121 r,lrt 11614 j ,, .? _. BUILDING PERMIT PHONE: 454-8100 Receipt p , J To be used tor 1 OF 4 PI;,EX Est. value $ 4 8,0 0 G Date 14 , 1g 8 6 Site Address - Lot 9 Block Parcel No. W Name GUOD VALUE HOMES ; Address 1460 9 3RD LN ° city BLAINE pnone 780-5510 Z o Name S??'? OU Address ~ City Phone Erect oh Occupancy R3 Remodel ? Zoning jZn Repair ? Type of Const Addition ? No. Stories Move ? Length 44 Demolish ? Depth Int. Impr. ? Sq. Ft Install ? Assessment Water 8 Sew. Fees Permit Surcharge Plan Review_ ¢ ? Name Police Fir W z e ; ? -y Address En z 9' i W City Phone Planner Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Council Bld9 Off. 3/14/86 iniormation is correct and agree to comply with all applicable State of Minnesota 5tatutes and City oi Eagan Ordinances. APC Water Conn. 3Vu . uu Water Meter63.50 Road Unit 290.00 Tr. PI. 156A00 Signature oi Permittee Var. Date I Copies-. r?"•-'.U?:.??: Total_ A Building Permit is issued to: VOOU VA,UE 110I4t:S all work shall be done in accordance with all applicable Sltate of Minne: Building on the express con..,;.un that and City of Eagan Ordinances. PKmll No. Parmlt Ho1dN DNe TeNpfwng N P1um61r?p ? VIW6 H.V.A.C. aj, 0196 El.ctrlc 'a b05 ?d 7 ? Soft.ner InspeeNon Date Insp. Commenb Footlnps I L?f $ FooHnysll Foundatbn Framiny 4d Rooflny Rouph Plby 5'11, Rouph iltq. ?Y-?'-fL ,g./4. ?/S ?4 -Cs Ingul. Flroplace Final Hty. Final wbg. 219' Bldy. Final Grt. Occ. Dock Fly. Deck Frmp. Wdl Pr. Dlsp. i ' INSPECTIUN REC4RD ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. "?'? "F'? Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 I ? SITE ADDRESS• '' ' ' " ? `• `' ? 4' 4? " ? APPLICANT: • L ??i ? ,y, ?s1??1:r I .? ,.; . 1 1 nVEit t ANt" I iI ,; I,;, : n?J? ? i1?, i iit?• ? ? . , ,. i; PERMIT SUBTYPE: (612) H118_ Y'?.4H TYPE OF WORK: l?1 •.•r.?, 11, 1 11ifl f, i f'1 A i r :, f I+1 Nh 1 N ii l 65'14ta ? ? .?. PermR Holder Dats Telephone # SEWER/ WATER PLUMBING HVAC Inapection Date Inap. Comments FOOTINGS FDUND 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 BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ' 3830 Pilot Knob Road Permit Number: n' t` h Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 ? ! SITE ADDRESS: , „ i : • , f, i, i, t APPUCANT: f li? T4 ( L ilVf'R l AN ? PERMIT SUBTYPE: ? US f 0 14 F: aaC ?=r= rs i' DFd r4*.t."1 t't'tH-%0 TYPE OF WORK: ,PA r O I p1 ACF wKD[NG rt+aI I ?AkM I F -1 + ? ?` yl wl? ? Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC InspecUon Date Insp. Comments 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 BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? _ p T - , INSPECTION RECORD ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. .4 1f.4 Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: , i •, ; ,. a ? t,VER I.aN1 f 11F tA PERMIT SUBTYPE: , , 1 ri , I ?? P`I K S: EIlV i i fi f61 ?! WIH-7;`9N TYPE OF WORK: Rf P A 1 R it'F"P 1 At' t 1 1'i 1 1,46 I I F <.r t: l 1 ; r nN ? ? ? Permn Holder Dete Telephone A EWER/ WATER PLUMBING HVAC Inspacdon Date Insp. Comments 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 BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITV TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL ' DECK FTG DECK FINAL i CITY OF EAGAN PERMIT TYPE: '' ""' r' .? 3830 Pilot Knob Raad Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: ? 4441. Ci IIVER I.AWF r I 1 rri PERMIT SUBTYPE: CUti'rfI M t:r?Nc r['1N- rnW 4 t.1.?1 ftsj R - y."iN TYPE OF WORK: pFl'A IR Ut`tif'RrtF?T InN Rf f'I ACE SI:fOINCi 1ldRl ? ? rl? ?l?po L ? Psrmk Hoider Date Telsphone M SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP 80ARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY dF EAGAN WATER SERVICE PHtMIT CITY OF EAGAN WATER SERVICE PERNUT 3830 Pilot Knob Road 3580 P31pt Knpb Road P. O. Box 21193 PERMIT NO.: P. O. Box 27199 PERMIT NO.: Eegan, MN 55121 D^TE: Eagan, MN 55141 D/1TE: 14 - n Z?ing; _ No. of Units: Zoninp: - No. of Units: - ::on, • a ::t- .orses Owr+er: OwrNr: /lddross: Add1!'SS: . _ ! " rOV2t flTle T. ... .. . . +r? ?• - - Site Addftff: - ' . • ,c•• i . _ .. . SiL! ^ddf!!s: , PlNmbEf: ? .r' . P1umMr. Meftr No. waarge: Maftr No.J76 SA??". Size: ?11?'? Rx ?-?u ??'??? `, , • , . _ ., sin: ?g?"RoC1[ ??v9rx?a?t: , ? , . o...,?.. .n3n1 W 7 x 3 Q_.o , V.? "Fee: •i . , Readef No.v?rv -lb 7-Lg"Wt-1""'1 +• rermlv ree: I Mn- N pM* wNh tM ?Wok' J .lm 10 .owMllr wft !r. G+r of ?lw orla..e... TornSC. l: rgM ., ? -,_, • . ? .;, e t ? T- -& _ QV By By Daft POid: Data of insp.: Dcte of I rap.: InsP• : (p CITY OF EAGAN SEWIM sMMCE PUMR CITY OF EAGAN ?3830 Pilot Knob Road 3830 Pk'.t Knob Road Y P. O. Box 21199 PERMIT NO.: P. O. Box 21189 Eagan, MN 55121 p^TE; ' Eegan, MN 55127 Zoninp: No. of Unifs: Zaninp: Owrnr. Ownsr: Address: /lddrcss: _ Site /Iddress: 4._ ?113 !"' p- ; Site Addross: Pltwnhwr. "! CkPl3G?? Plumber. I Mm N Mm*f wft fV 011y of io"o Ql+INMM. By Dote of Insp.: ConrncHan Owrge: ACoDunt apowt. + r ,-?n^ r Pennk FM: ' Surrharps: ' Misc. Chorgs: Torol: _ Dah Potd: te eo-Fyr wWi !M Gfy ei yNa of Irap.: P?,?. ..,... y?.. Total: ,'. ' Pc merer Date Paid: SEWER SERVlCE PERMIT pERMIT NO.: DATE: . No. of Units: CpulR.ti«1 bfome• Aooount Oeposit: Pe11i1it Fee: Surdwrps: Misc. C1+orqts: Totol: Da" Poid: ? CITY OF EAGAN WATER SERVICE PERMiT ? 304 Pilot Knob Road P. O. 6ox 21199 PERMIT NO.: Eagan, MN 55121 DATE: ? Zaniny: ?'V( ^`` No. of Units: n' ?. ;;ouc; JaJ_ue is??r-fes ress: /lddrees• Clov2r i 1:? uriber, ? i son TJ-f . r,o.: yo i ze: ?[114 • n r??nf! I y?w te aewply wft o.?w.wo... { Z17 i 0 Mlsc. Chorpes: " . -'•'!•" 1 r Yotal. )`t , S,)pu meter ? CITY OF EAGAN WATER SERVICE PERMIT i 38.."'0 PEtst Xnob Road P. O. Box 21199 PERMIT NO.: , Eapsn, MN 55121 - ' DATE: ' Zoninfl: No. of Units: 4-F `?- ; pN,Mr. v,:?c? ??Alt?e Tiome:. /lddnss: Sit? Add?ess• `` + •? R 1 nv?r Lane L(, Plumber: ;) % Flum Mebr No.: O CCW . ?q. - Size: lqoc?k .•_..in4 14:?...._.,.r,C. ..n. !o ae..ol, .ieh K. cilffAw:"? v IF4??...a.. ?tR x. fraw I ?? 013I " Total: i ° 9y L?? Dab Pold: - rI oore oF Insp.: Insp•: gy Dats Paid: Dote of Insp.: Insp.: ?-IO-$(o 30 Pilot Knob Road 0. Box 21199 gan, MN 55121 SEVNER SERVlCE PERMIT CITY OF N PERMIT NO.: 3830 Pilc ib Road NWER 5UVICE PERMff P. O. Bc; 4,1199 PERMIT NO.: DATE: Eagan, MN 55121 No. of Units: - DATE: < Zoninp: No. of Units: --^ 7 r,- ' Owner: - , , Address: Sj1Q Addrlfl: `•?('Lrny, ?... - Sia <1f{?yZ13 +'zrj'4'CL I.2IlF1 7.?} • Address: ? a en Add n. Plumber. • s, -; Pl??tmbin.2 Piumb?er. ' ? 1c ` ?..c^.] ' { I yrM h e?pyr wMM Nw Q?r oi ?e Co?rwctian C3+a?s: --17-?: I Mm H Nm* Nft dw Cky of gqpm C0nMCtIOfl VR J J Jl>?. OrNw??. Aacax?t Depo?it: 1- ` - ? ?y ?' 4 ? - 1/? • l?l, _ ?? Vp 1 4.01 (1,'Pannk FM: Surcharps: gy Misc. Q+oross: er Date of Insp.: Total: Doft of Insp.: Inp,; Dote Paid: Permit Fer Surchorps; Mbe. CMepm - Totol: Daft Poid: st void from y,.;? 3_e' Licensed Electrical Contractor Owner reet Address, Box or f?ute No. MINNESOTA Grigps_MidM 1821 Univer Phone 1612) rvuW I hersby request inspection of above electrical work installed at: VE BOARD OP ELECTf11CITY THIS INSPECTIOP Bldg. - Room N.191 BE ACCEPTED BY Ave., St. Paul, MN 65104 UNLESS PROPER I '2771 ENCLOSED. REQUEST FOR ELECTRICqL 11YSpECTION See instructiona tor completinp this }am on back ot yellow copV, ? 7 Be/ow Work Covered by 7his Request 6./tpa 5) , Will Notiiy, Inspec- tor When Ready r? Li TILL NOT 80ARD FEE IS :B-00001-04 1??? ThLS fbQUBSL VOId months from o nqr)n5R b D, 6 i,?ag SL12 - Request Date ? ^Y ?/ V Frx No. RouB . ?Insuecuon I Pea Vos ? d No ?qeaAy Now Wdl Notity Inspec-I ?or When ReadY C:) LicenseA Elecincal ConVactor I hareby request ins0echon ol above sie.-r..-i .,,...n inculled ai: Street A dress, Boz ? Route No. ? Ciiy idi?.(?_/ /.i?.. _Y1> j ` l ? ?.il?? . ecUmr o. Town3 ip Name or No. flenge No. • CountY / ? Occupant IPI Phone No. Powei $apober Atldress ElectnoI Convectnr (COmpanV Name) y?7 Contracmr's LicenseQ N'o. ? / iiC-li 'Maillnp:4ddress lCoMractor or Ownur Making Instailauonl Amhonred Si9naWre (COnttactor/Owner Making Installatwn) Phone Number o - ? ?r MINNESOTA STATE?BOAND OF ELECTAICITV Griggs•MiAwey Ifide. - Room N-197 1821 UmversrtY Ave.. St Paul, MN 55104 Phone I6121 297-2111 eE ACCEPTED BY THE STqTE BOAAD UNLESS PROPER INSPECTIUN FEE IS ENCLOSED. L;,,?3 REQUEST FOR ELECTRICAL INSPECTION Ea-ooooi.oa See inshuetions tor comoletinp this torm on back ol Yellow copy n n n e nC:? ••Vr Qa,,,,., wnrk Cnverr.d bv This Request U ? V.7v ? Typn ol Bmlding ApPlianCee Wired Equipment Wired Home Range Temporary Service ? ?uplex Water Heater Lightiny FiMUres Apt. Bwldmc? Dryer Electric HeaLn Commercial 61dy. Furnace Silo Unloader Indusirial Bldg. Air Conditioner BWk Milk Tdnk Farm Olhei PN???fy Other ISPOrilyl t n SVecrtv t e? Oth?r 1.0f/ p lpUIC ll/J Fea j/C(.(,?" , CO vc,- ServiceEntmnce5i¢e fl Fea - Fexders/Subfeeders N Fee - Circurts. 0 0 to 200 qm s 0 to 30 Am s C?G 0 to 30 Am s A6ove 200_qinps 31 to 100 Amps 31 to 100 Am s Swimmin Pool Above 160_.Amps Above 100-Am 5 TransTOrmer.s IrngaLOn Boonis Partial/Other Fee gnS Si Speual InsPecuon V?? n ? TOTAL ? Roueh-tn Oxte o y 1. the Ele ?e Insoectoq nereey certity thet the above G r ?n? D 1e y/? inspection has been Final -? ?C - de. tnis repuest voia 18 momm nmu ihis request wiC 18 months from ? ?. 0 09605o Ll?? - Rpqucst D`aie/ r, / Fire No. pY4ghe,., InsVectwn ?Ready Nuw Wi11 NoUfy InsPec ?or WheqHeady es ?No ry.? 0 Lwensed Electncal Contrector 1 hereby raquast msPacuon oi ebove ai woh iristslled at' U Owner -'-' --- S[reet Add?? or Route No. te-c? ?GIn•?Iy Ran e No. ectmn o• Townsh,p Name or No. g Cov 7 CountY / Occ?y?ant (PRIN(T') Phone Na. Power Suppher Address t Ndmel Eloc'1 ical ConVactor (Company '/^ ! l?«?L.?_. C Co^?ctocel'se Noi i / ? , ? /G iT /? ? ICmtractor or Owner -akin6 ?ns?allatmnl s g Add r es M6 11m / r / ? ? 1 'J?J X V . b N Authonzed'Sl namte ICOnhactodOwn1m Makln9 Ins n) er Phone um runs iNRPECTION flEQVEST WILL NOT MINNESOTA?6TATE BOANO OF eLECTRICITV Griggs•Mi&4aY Bldg. - Room M?N 65104 1821 UniversitV Ave.. St. Paul, Phona 1612) 297-2111 BE ACCEPTED BV THE $TATE 80AH0 UNLESS PflOPER INSPEGTION FEE IS ENCLOSEO. y-a3 ? REQUEST FOR ELECTRICAL INSPECTION EB-00007-04 ll, See instructions fr o completi? this iorm on back of ? ? 9 va,low caaV. '"x" Below Work Covered by This Request "'?? .1, a. TYae oi Bwleme APaliancea Wiretl Enuiomen[ Wired Uommercial Bldy. Fumace - Silo Unloader Industnal Bldg. Av Condinoner BWk Milk 7a„k ? mn Fon Aalm., N Fee ServiceEnhenceSize # Fea Feeders?Subfeetlers N Fee Cirwlts . ? J U to 200 Am s 0 to 30 Am s J 0 to 30 Am l Above 200 Am ps 31 to 700 Amps .O6 31 to 100 q y Swinvning Pool _ Above 700_Amps Am s Above 700 Transrormers Irngation Booms _ Partial.Other F c. ee Aemarks ?VCUai iii?Necoon S r floueh-in Date • Y->2 Final pre Thu reaves[ voitl 18 months tmm cartity (het the nbove inspe<tion has been mede. ------------------ ? ? Per?rc?: ? ? ? ? Permrt Fee:-y? j Date Received: I I Statl: I I ------' 2008 RESIDENTIAL BUILDING PERMI7 APPI.iCAT10N DWa: SiteMd??S: c/a?er c.,J Tenant: RESIDENT / OWNER Name: Qe..W66 `i`,( i?J Phone: Address / Ciry / Zip: Appiicant is: _ avner -X- ConRactor TYPE OF WORK Descrip6on ot work: Y_P ro- << ? / Construction Cost:,4 /?4 ?f_0 C Multl-Family Butiding: (Yes / Na CONTRACTOR Name: bcL?6PL5 46 01,Q ?p+i,?lp?Pim s License#: 2? ?I?? I?.S 7 Address: Ciry: State: Zip: 4? . Phone: (?``i Contact Person: ?CJ? Lk?bF?E S COMPLETE THIS AREA ONLY iF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 EI1Bfgy COdB . R¢sidential VenAlatlon Categay 1 Waiwheat • New Energy Code Wwksheet CetegOry Submitted Submitted (4 submisslon tppe) • Enerpy Emelope Cakaaadwis SubmiBed In the iast 12 maMhs, has the Gty of Eagan Issued a permtt far a simitar pian based on a msster pfanT _Ves _No If yes, date and address of master plan: Licensad Plumber: Phone: Aechenical Contractor: Phone: Sexrer & Water Cantracror: Phorre: NOTE P/MS 9ftd,S1l?pf?:(?DCIlftJBltt B fh8t jIIIY'9U?H1t1f B!p=!,'+?lISICrBlB'd 14 ?IB.:?Nl?S?[#?O1fII8?`IOIt-. -POi?10118'D? ; : the hrPOi»astlan ?iray0? ?? ssftd as no+Hpr?b1l?`If pou prqVfde s? : INC t?o??s tha# terautd'perm?t?.City tc' ? . .,soiichide?hat:ttte ` ? riets. r, I hereby acknowledge that this infarmation is canplele aM accurate; Mat tha wak wlll te in conformance with the ordnenoes and codes of Ihe City d Eepan; that 1 understand this is not a permit, 6ut only an appiiration Mr a permit, arW work is rrot to at with ut a pertnR; that the wak wili be in accordance with the approved plan in tha case of orle which requires a review ard approval x ? ?e, ? ?rl?e?5 X ? ? ?- Applicant's Printed Name Applicant's Signature Page 1 of 3 b ?8o? 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/wndos when permits are required for each unit (4 3o,so Dete b3 , a t , Site Address -1' `7' 7 ? ?? V ?1 ? ? ? Unit # \ Property Owner Telephone # ( ?S? ) Contractor 1 Street Address (?!J 34a 5-77 City State / / / ?• Zip Telep6one# <QS? ) 5(:22- O Bond #: Expires: The Applicant is _ Owner __?Gontractor _ Other Add-on or alteration to existiog dweiling unit $ 30.00 ?fumace _Additional _?Replacement J , air exchanger air conditioner _New _Replacement other State Surcharge $ .50 Total $ 56 `sv I hereby appty for a Residential Mechanical Permit and acknowledge that tw6info ation is complete and accurate; that the work will b formance with the ordinances and codes of the City of Eagan and w' t e Mechanical Codes; that I understand this is not a erm?t ut onl an a lication for a ermit, and work is not to start wi ut ermit; that the wo k will be in accordance with the ap ved plan n the cafe-?f' wqrk wlVch repuires a review and approva of pl s/ A??, _ ? ??? Applicantrs Printed Name Applicant's Signature 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 ?f Please complete for modifications to existing residential dwellings. Date 10 I V I 0H Site Street Address 44Lf I C(.ovef_ We _4t_P5 Unit # Property OwnerJ(/I I,rSw, Mwl k- Telephone #(t6j) qO5"Oy769 Contractor& Noy.himr,-, Address 2-q?"? cl/.?.1?-1?!1_?(,/r -P.L?'q.u,'.rn h ? JI • E17• City Telephone# ((0t? State Ol ZipC 6K The Appiicant is: _ Owner _ Contractor _Other Alterations to existing dwelling _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _WaterTurnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 Water Softener _ replacement _ _ Water Heater additional $ 15.00 ? Lawn irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total $ ?D ? , 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 only 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. ?Jer-,f Nvrb[m-w ApplicanYs Printed Name ???f??1r 1?j ? OCT 19 2004 Signature f4 1986 BttII.DING PBRMIT 9PPLICATIOH - CITY OF EAGAN ? To Be Used For: Valuation: ?''--`-? ( " "' Date: 3 - /,Z •?? Site Address 4,1144V61 &KV_e_?4 OFFICE IISE ONLY Lot ? Block Erect _ Oceupancy _- ,o /J , Remodel Zoning Pareel/Sub Repair _ Type of Const Addition # of Stories Owner (?p?-? vee•-/?'?? 2/? Move , Length Address Demolish Int.Impr. ? Depth Sq Ft Install City/Zip Code li i?r,r ,.1J?"ry??' r/ ---------- -- -------------------- Phone APPROVALS FEFS HOTE: ALL CONTRACTORS HtiST BE LICEl15ED iIITH TH6 CITY OF E9GbH COMMERCI9L SINGLS F9MIILY DiiSi.LINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULIITIONS $2,000 LANDSCAPE BOND Contractor 5'49-nw Address City/Zip Code Phone Areh./Engr. _ Address City/Z3p Code Phone # Assessments Permit Water/Sewer Sureharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off3-c"7s6 Treatment P1 APC Parks Varianee Copies TOT9L ? ? NOTB: 9DDBESS&S FOR CORASR LOTS - CONTRACTOR/HOMPAWRER M03T DFSIGDIATE WHICH ADDRFSS IS DESIRSD. NO CHAAGSS iIILL BE ALLOWED ONCE BDILDING PSRMIT I3 ISSIIED. *7 FORSALE UNITS CITY OF EAGAN Np 11611 - ?! 3830 Pilot Knob RoBd, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-810 ? 0 6 BUILDING PERMIT 4 Receiptu 7 7obeuaedlar 1 OF 4 PLEX Est.Value $48,000 pate MARCH 14 1986 Site Address 4441 CLOVER LN Ered ` yCJ .? Occupancy R3 Lot 11 Block 3 Sec/Sub EDEN ADDITION Remodel ? Zonin9 PD Parcel No Repair ? Type of Const U . Addition ? No.S[ories s Name GOOD VALUE HOMES Move ? Length 44 1460 93RD LN 3 Demolish ? Depth 24 Address a Int Impr. ? Sq. Ft Ciry BLAINEphone 780-5510 Install ? o Name SAME Approvala Fees 8¢ Address Assessment Permit 274.00 ? Ciry phone Water&Sew. Surcharge- 24.00 Police Plan Review - 137 . 00 ? W Name Fire SAC 575. 00 ?a nddress Eng. Water Cona 500.00 a W ciry pnone Planner Water Meter 63 . S 0 Council Road Unit 290 • 04 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe 3/14/86 gldg Off Tr.pi. 156.00 information is correct and agree to comply with all applicable State of . . Minnesota Statutes and Cit?r of Eagan Ordinances. APC Parks ? ? ? ts?Date Copies Si9nawre olPermine -?--?? 7otal $2 ? , 039.50 A Building Per is i;s ed to: GOOD VALUE HOME S on the ezpress candition that all work shall b one in accordaace wi a ap icable State oi in ta tatutes and City ot Eagan Ordlnances Building Official 1986 BOII.DIHG PER[iIT 9PPLIC9TION - CITY OF EAGAN NOYE: 9LL CONTRACTORS HIJST BS LICSNSED WITH THE CITY OF EAG9N COlBKERCIAL SINGLS F9MIILY DW$LLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRIICTURAL PLANS, t SET OF 3 CERTIFICATES OF SIIRVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For: Valuation: ??U v U Date: 3- Site Address OFFICS DSB 0&LY Lot LR Block 3_ Erect _ Occupaney l ning Pareel/Sub _ Reair p T ype of Const Addition lF of Stories Owner _ Move Length Demolish Depth Address Int.Impr. ? Sq Ft Install City/Zip COde c5.ri`?1v `1 °'-__-__' __'---°---°--------- Phone 17'%0 APPRO4ALS FEES Contractor Assessments Permit Water/Sewer Sureharge Address Police Ylan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road IInit Bldg Off`+, I? Sro Treatment Pl Arch./Engr. 9PC Parks Varianee Copies Address TpqAL I -;W City/Zip Code Phone # NOTE: ADDRESSHS FOR CORPER IATS - CONTRACT08/HOMfiOiiNER MU3T DFSIGNATE iiHICH ADDRFSS IS DESIRED. NO CHANGES iiILL BE ALLOiiED ONCE BDILDING PSRMIT IS ISSIIID. ? FO,R SALE UNITS ? CITY OF EAGAN ? ? 11?12 I • ? ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 450-8100 BUILDING PERMIT Rece?pt# 1 OF 4 PLEX Est.Value $48,000 Date MARCH 14 1986 i To be used tor 4441B CLOVER LN ,y R3 SiteAddress Erect lJ Occupancy Pp Lot 12 elock 3 Sec/Sub. EDEN ADDITION Remodel ? Zonin9 V Repair ? Type ot Const Parcel No. Addition ? No. Stories Move ? Length 44 w Name GOOD VALUE HOMES Demolish ? Depih U ; Address 1460 93RD LN Int.lmpr. ? Sq Ft 0 Cl?BLAINE phone 780-5510 Install ? ....,......?. Fees SAME o Name z a 0 u ? Address City Phone ? w Name ? ? -y z I Address a w Ciry Phone Assessment_ Water & Sew. Police - Fire Eng. Planner- Council _ Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.OH- information is correct and agree to comply with all applicable State of APC- Minnesota Statutes and ?ty of Eagan Or/din7ances. e- Signature of Permitte GOOD VALUE HOMES A Building Perm' is ued to: all work shall be one in accordance with all applica tat Minnesota S ute nd. Building OHicial . Permi? 2j4.00 Surcharge - Z4.00 Plan Review 137. 00 SAC 575.00 Water Conn. 500.00 Water Meter 63 . 50 RoadUnit 290.00 Tr. pi. 156.00 Parks Copie'$ 2 , 019 . 5 0 Total- - on the ezpress conddion that of Eagan Ordinances. -?- i/?,- j -3 1986 BOILD7NG PERHIT APPLICgTIOA - CITY OF EAGAN NOTE: ALL COliTBACTOSS MQST BS LICSNSBD WITH THE CITY OF EAGAN INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONSf $2,000 LANDSCAPE BOND SINGLS FAMIILY DiiSI.LINGS INCLUDE 2 SETS OF PLANS 3'CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS '„ " _ To Be Used For: paluation: Y" / Date: Site Address 416'? X. OFFICE OSB ONLY Lot Z2, Bloek 3 Parcel/Sub Owner Gdd?TJ.r-e'??e ?d?]zo2 Address 9 3 City/Zip Code Phone -7Q19 - Contraetor S B?r? Address City/Zip Code Phone Areh./Engr. _ Address City/Zip Code Phone # Ereet Remodel Repair Addition Move Demolish Int.Impr. Install Occupaney Zoning Type oP Const 0 of Stories Length Depth Sq Ft 9PPROVALS FEES Assessments Permit Water/Sewer Surcharge Police _ Fire Engr Planner Council Bldg Off APC Varianee Plan Review SAC Water Conn Water Meter Road Unit 3 17 fio Treatment Pl Parks Copies TOTAL =00 ?/ NOTS: ADDHESSBS FOR CORNSR LOTS - COATRACTOR/HOMfiOWNER 14U3T DffiIGHATE WEIICH ADDRESS IS DESIRED. NO CHANGFS 6TILL HS 9LLOiiED ONCE B(JILDIHG PERMTT IS ISSIIED. FOR SALE UN ITS CITY OF EAGAN N? 11513 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receiptp Ta be used for 1 OF 4 PLEX Est. Value $48,000 pate MARCH 14 1986 SiteAddress 4443 CLOVER LN Erect Occupancy R3 10 3 EDEN ADDITION Remadel ? Lot Block Sec/Sub Zoning PD . qepair ? Type of Const v Parcel No ? . Addition No. Stories GOOD VALUE HOMES n4ove ? Len9th dd Z Name 1 60 RD LN Oemolish ? 93 Oepth-zr o Address Int. Impr. ? Sq. Ft. ciry BLAINEphone 780-5510 Install ? , z ¢ Name ? Address s CiTy Phone w W Name ?? x Z5 Address i w SAME APProvale Feea o City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable Slate of Minnesota Statutes and Ciry,pf Eagan Ordmances. Sgnature of A Building PerR all work shall be Building OHiCtal vgd'ta, GOOD VALUE HOMES n accordance with all applicable State gwi Assessment water & Sew. Police Fire Eng. Planner Council eid9. on. 3/14/86 Permit $ 14.00 24.00 Surcharge 137.00 Plan Review_ Sa,C 575.00 Water Conn. 500 . 00 Water Meter 63.50 RoadUnit 290-00 Tr. PI. 156.00 Parks Copies-$2 019 . 50 Total- ' on the express condition that City oF Eagan Ordinances. r • 1986 BIIII.DING PERNIIT gPPLIC9TI0H - CITY OF EAGAN NOTE: ALL C09THACTORS MQST BE LICENSED AITH THE CITY OF EAGAN COPIl+IERCIAL SINGLS FAlffLY DWSLLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF J 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS ? $2,000 LANDSCAPE BOND To Be Used For: /? yv Valuation: ?`d`•-._? Date: ?s. 4 _ V43? c?c-av? Site Address ` ? OFFICS IISB ONLY Lot 2 Block '7 Erect _ Oceupaney - ? Parcel/Sub Remodel Zoning Repair _ Type of Const Addition # of Stories Owner ?we Move . Length ? Demolish Depth Address Ae /?b 9v?G- f.? Int.Impr. Sq Ft Install City/Zip Code ---------- ----°?-------------- Phone 12'$O - S-XllD 33,JM4F Contraetor Address City/Zip Code ? Phone Arch./Engr. _ "Addresa City/Zip Code Phone S 6 -Y 3? NOTE: ADDBSSSES FOR COB9ER LOTS - COATRAC'IOS/HONSOWNER MOST DFSIGHATS WHICH ADDRESS I3 DSSIRSD. HO CH9NGES iiILL BE ALLOASD ONCE BQILDIHG PERMIT L4 ISSOBD. ? APPROVALS FSES Assessments Permit Water/Sewer Sureharg Police Plan Revi?w Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg'Off3li S6S48Treatment Pl APC Parks Varianee Copies TOTAL 41 3/3. " ?_?o SL7 ?S • ? ?•SO ?• t? ! (o, ? T ? BLDG FOR SALE UNITS CITY OF EAGAN N? 11614 ' 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 PNONE: 454-8100 BUILDING PERMIT Receipt# 7o be used for 1 OF 4 PLEX Est. value $48,000 pa1e MARCH 14 1986 SiteAddress 4443B CLOVER LN Erect CY' Occupancy R3 9 3 EDEN ADDITION Remodel ? Zoning Pi1 Lot Block Sec/Sub Repair ? Type of Const. v Parcel No. Addition ? No. Stories a Name GOOD VALUE HOMES Move ? Lengm dd z 1460 93RD LN oemalish ? Depth_24 o AddrBSS Int. Impr. ? Sq. Ft CityBLAINE Phone 780-5510 Install ? m o $?[yE Name APProvale i $ ¢ Address Assessment ? Ciry Phone Water R Sew. Police _ = Name Fire ? a Address Eng. a W aty phone Planner Council Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bidg.Off.3/14/86 information is correct and agree to comply with all applicable State of Minnesota Statutes and C/it7? of Eagan Ordinances. APC - ate Signature of Permitt?iz.-*?- ?--?--Z--?/ A Bwldu all work iued to: GOOD VALUE HOMES in accordance with all applieaHlg Aate of Mmne Permit $ 274_00 Surcharge _ z4.00 Plan Review_ 137.00 SAC 575.00 Water Con n. 500.00 Water Meter 63. 50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies--.$72 I OI9-;-50 Total- on the express cnnditian that and City of Eagan Ordinances. j Building PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: 8 urL n:r.raG Permit Number: 034366 Date Issued: 01 /BS! G 9 SITE ADDRESS: W.7. N. : 10-22750-090-03 4443rs ci_oVER i.aivE LOTa 9 t3LOCK: 3 EIJ F fd DESCRIPTION: 51D'I.NG 570f<Id C1NfriraGE NEP A792 434 ALT, IiESIDEIVTTAL , ?' .,., .. ..7 '1 • ? ?? ? - C i. _ _ ..., _. ? 4 ??; ? . _ _. REF'LACE Bu11dIna'-Permit Tvuu (7uildirtg ixJ'#,rk Tvpe rten-sus Code"- ? t x r i ' , t . REPJIARKS: uNsT R. FEE SUMMARY: CONTRACTOR: - A p p.t i c a n t - 131 , Lt r. OWNER: CUS70M CONCFPTS CONSl 1$987290 20142417 .30HNSbN MTCMIIaEI. 1554M I<.EPdRJCK LOCiPJ5Tc E 4443B CL.(7VER LANE LPoKEVILLI= MN 55044 Ef1GhN P4D: 56122 (612) 898--7290 f herebY acknaw.Eedqa that I riave read L'haw applie,ation and staT.e 9'hat Ciie ini`armGtion is correct and eqree Co comply ,wiLh all appl.ieable State at DM1n. SCatutes and C.uCy aY Eaqain GYrdiriances, . I APPLICANT/PERMITEE SIGNATURE 0? ?hfs: I IS D BY: SIGNATURE 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-4675 New Cons[ruc[ion fte4uirements ? 3 registered site surveys ? 2 copies of pian5 (include beam & window sizes; poured fnd. de5ign; etc.) ? 1 energy calculations ? 3 copies of Vee preserva[ion plan if tot platted after 717193 required. _ Yes _ Na D4TE: l - -l - 9 1 DESCRIPTION OF WORK: RemodeUReoair Requiremenis ? 2 copies of plan ? 1 site 5urveys (exterior additions & decks) ? 1 energy calculahons for heated additions _S.9l CONSTRUCTION COST; H 3 -7 "?-) S7REETADDRESS: L"IyL43 B 1.lo12fV t Cr?P v LOT: 9 BLOCK: _?)_ SUBD./P.I.D. #: ti:uue:?)Piio«c a: PP.OPERTY I-'L Ubb:\LR Street Address: ------------------------ ------ City State: Zip: C --- - CW_j?4?q"_'!J---- ---- cr?v-raArroiz ? ?J ,Z_o__Y`-?NN????? License#4?I_,ayJ'1__EXP. StreetAcldress:A (( C ttN ------"`-? - ----- S[ace: _G`_=_-e`----- ZiP' L?y----- ARCHITECT/ EYGINEER Camp:vry:---- ---------- ------------ Phone #: ----- ------------ Rc,,astr.t[ion ff: Strce[ Addmss:-------------------------------- -------- ----- City .............. -........ --------- State: ------ ---------- Zip: Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. Penalty applies when address I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Scate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes _ No - Not Required ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMITTYPE: euzLoxNG Permit Number: 029190 Date Issued: 11 / 0 7/ 9 6 4443-B CLOVER LANE Lp7: 9 BLOCK: 3 EDEN DESCRIPTION: J ../ ?`-O ?•S f'}..":?,^:?.`..%4 ?---?._ (6AS INSERT) Buiiding.,Permit Type FIREPLACE Building_,WQ?rk Type ALTERATION CeY(SUS C+3'd2 ` a. 434 AIT. RESIDENTIAL l ? ., , '?`y? .._. w< ..--• t "«? __. 4 H ?r1 Li L: REMARKS: FEE SUMMARY: 8ase Fee Surcharge Total Fee ? $25.00 $.50 $25.50 CONTRACTOR: - Applicant - OWNER: MISSION MECH 15301432 JQHN50N MIKE 6324 BOONE AVE N 4443-B CLOVER LN BROOKLYN PARK MN 55428 EAGAN MN (612) 530-1432 (612)452-0392 I hereby acknowledge that I hav,e read this applicatian end state thet-the inPormation is correct °ahitl ag,'r`e"e` t6- com'p1y'witt?rt 'all 'e?pplio'ble 3tate v'? Mn.?' 5tatutes anii City of Eagan Ordinances. L - - - m_ . . . .. - ? ?Otld- ?? AP C TlPERMITEE ATURE ISSUED BY: SIGNATURF_ l iLqlqo DATE: DESCRIPTION OF WORK: CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 FIREPLACE PERMIT APPLICATION 681-4675 ??ff'jo CONSTRUCT NEW FIREPLACE: _ WOOD BURNING 4 GAS ?[NSTALL GAS INSERT ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: ROOM TO BE INSTALLED IN: STREET ADDRESS: LOT Q BLOCK SUBD./P.I.D. #: LAW) APPLICANT: (circle one only) OWNER - NTRAC? TOR 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. PROPERTY OWNER FIREPLACE INSTALLER Name: ?J??r3o•. ? /??--- Phone#: 05?- 3? ? Signature: Street Address: City: State: AV Zip: Company: T1I i,SSi0&l C\ ? Phone Signaturev Street Address: /" License Ll? City: v/ 40?/( State: jLL?Z Zip: GAS LINE Company: INSTALLER Phone #: Name: Signature: Street Address: City: State: Zip: PERMIT CITY OF EAGAN 2330 Pitot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT TYPE: e u i Lo z ra G Permit Number: 0 3 4 3 6 5 Date Issued 0 L t0 8 / y 9 SITE ADDRESS: nnns CLovea LflNr: LQT: 141 BLOCK: 3 1=UEN P.I.N.e 70-22750-100-03 DESCRIPTION: REPLHCE SID7:NG He{3..ldind Permit tvf) e a70R14 UAMA6E iXuildinq LJb.rk Type F2FPAIR rCc:nsus Codw ? 484 AL"f. RE5IDE BI1'7A1. ? ? r •. r? ?_- ? REMARKS: FEE SUMMARY: CONTRACTOR: - applicaric: - sr. -IC, OWNER: CUSTOM CONCEP-IS CQPlST 18987290 20.1.q2417 ERICKSON PIiYLLIS 7.6590 KENRZCK LUOPJSI'F_ B 4443 C40VER LANE LAY.EVILLE hIN 55044 EF4GAPd MN 55122 (612) 896-7292 I hereby acknowledqe thiit; :[ Ylave read this apolication ancl statc that the intorinati.an is correct and aqree to oomply with a11 appiacatale 5s:at,e ofi Mn. St.atutPS and Citv ot EaqarI Ordinances. ? L z - ? APPLICANT/PERMITEE SIGNATURE IS ff D BY: SIGNATURE - 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 0BRD - 55122 ? 3830 PI( 51? 8 4 New Consiruction Reqwrements ? 3 registered site surveys ? 2 copies of plans (indude beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1193 required: _Yes _ No DATE: ? -7 - 99 Remodel/Reoair Recuirements ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? 7 energy calculations for hea[ed additions CONSTRUCTION COST; t-I 3 7 S DESCRIPTION OF WORK: STREETADDRESS: Ia Lc LOT: l() BLOCK: 3 SUBD./P.I.D. #: Name:_ Z.r 1-?-L0(1 ??IL?1 5------ Pkioue #: PROPERTY LUE r' ` OWvLx st,celAa<irry5: ---- ------ ---------- - c«y. staCe: ziF): Yfiaic Z- --jU---------- --------------------- C 0 \TR.1C`C012 StrcctAddress:??.?J_!-??1?.G?{ License#ZQ??4??_L'xp• r City ---- ARCHITECT/ ENG[-NEER Compau):_ \:unc: Sutet Addi Cu} --- Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. Penalty applies when address 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 Ordinances. Signature of Applicant 7 ? OFFICE USE ONLY CeRificates of Survey Received _ Yes _ No Statr. Yf y?`?----- Lip' ??----- PLone #: ----- ------- Reansaatiou -- Statc: -------- --- Zip: Tree Preservation Plan Received - Yes _ No - Not Required PERMIT CITY OF EAGAN 3830 Pilot Kpob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT TYPE: Bu 7 Lo z N c Permit Number: U 3 4 3 ri q Date Issued: 01 /0$/y s SITE ADDRESS: 49418 CIOVER LAN1= I..OT: 1:' E;LOCK: 3 FDEN P_I.N.: 10-22750-120-93 DESCRIPTION: REF>LHCE SID'ING Biiild.tnd'permit lype 5TORM DAMFlGF F6iaildi,nq W-o.rk 7ype RFPAIR ,Lensus Code ` 434 RLT. RESIOEN7'IAL REMARKS: UNCT R- FEE SUMMARY: CONTRACTOR: - Applicant - sT. LIC. OWNER: CU51'OM CQNCEPlS CONST 189£37290 20142417 OLSON TNOhIAS 1.6548 I<CNkICK LUOP/STE B 44418 CLDVER LFlIVE IAKEVILLE MN 55044 EAGAN MN 55122 f6121 ^098-779m I here6y acknowlPdoe that L Yiave read Chis applicatipn and state :hat tihe intormation is correct and aqres Ln cornplv wi,th a11 applicatale 5tate q1' Pin. StaL'utas and L"ity ofi Eaqan Ordindnces. L APPLICANT/PEFMITEE SIGNATURE ? SUED B? URE J 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3?-'?? ? l I 3830 PILOT KNOB RD - 55122 q T (651) 681-4675 11 Jr? ,? 1 New Construction Requirements RemodellRepair Requirements ` b ? 3 registered site surveys ? 2 wpies of plans (include beam & window sizes; poured fnd. tlesign; etc.) • 1 energy calculahons ? 3 copies of tree preservaGOn plan if lot platted after 711/93 required: _ Yes _ No DATE: I - I - DESCRIPTION OF WORK: v:uiic:-? rnoiie n: [:nt Fu5[ ? LI -1 ? ?1 v STREET ADDRESS: `7 `? I 1-? C, j r)1A rV( Ei/1lP LOT: I -.->- BLOCK: ?3 SUBD./P.I.D. #: v' PROPERTY OAi'\1:12 CO\T12:\Cl'OR ARCHITECT! ENGINEER SU'cet City ? 2 copies of plan ? 1 site surveys (extenor additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; Li31t) State: Zip: Cump:uiy:__6-1?? ??? Phoue 9:61Y f_5_Q_L_2 ?-------- Strcet Address:,a ? O A? HC&ff -- 9 h 4 License #?[,????.?P. City Strcct Cuy Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. Penalty applies when address 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 Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No State: -z ------- Zip: >?'T ?--- ------- Yhouc #: ------ --------- Reoisuation 4: ---- --------------- - ---- ---- State: --------- --- 'l_ip: Tree Preservation Plan Received - Yes _ No - Not Required PERMIT CITY OF EAGAN 3830 Pilot Knob Road , Eagan, Minnesota 55122-1897 (651)681-4675 PERMITTYPE: rsur.i_ocNs Permit Number: 034363 Date Issued: 01 ! m 8 j 9 9 SITE ADDRESS: 4441 CLOVER LANF LO1', 11 rLOCK: 3 L•"CiEN P.T.N.: 10--22750-110-03 DESCRIPTION: R4_PLAcE srozNe Buildini Permit TyU' STORM DANiAGE f3uildino WDrk Type RFPAIF2 i"tensus €;ade 434 ALl. RE°,1L1EN1'1FlL ? ? < I " - V ti? ... .t , . , ' .. ?_?t ..n. ., REMARKS: FEE SUMMARY: CONTRACTOR: - fl p p 1 i c a n t- s T. L1 C. OWNER: GUSTOM CONCEPTS CUNST 18957290 20142417 FEIGES STEVEN 16540 KENRICI< LOOP/STE f3 4441 CI_O`JC'R LANE 4_AKEVILLE Mtd 55044 ENGAN MN 55122 (612) 89E-7290 I hareby acknowledge that S hava read this aop.l.icatAOn ?ncJ state that the intormation is correci and ayree to complv with all applicable State ot Mn. SraL'ute, ejnd Ca.ty ot Eaqan Urdrnanees. • L APPLICANT/PERMITEE SIGNATURE IS ED BY: SIGNATURE J 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN L? 3830 PILOT 1 4 - 55122 51) 680 ? 6 New Constructian Reamrements ? 3 registered site surveys ? 2 copies of plans (include 6eam & window sizes; poured fnd. design; etc.) ? 1 energy calculalions ? 3 copies of tree preservation plan if lot platted after 7l1193 required: _ Yes _ No D.4TE: I-1-9 9 Remodel/Reoair Reouirements ? 2 copies of plan ? 1 site surveys (extenor additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; ?I 3 ? ? DESCRIPTION OF WORK: STREETADDRESS-1qq/C1 ()112r Lo,nt LOT: I (- BLOCK: , 3 SUBD./P.I.D. #: ?Cx9 l^ PROPERTY r„s` OWVL•'R Su?eet Address:--------------- - ---------- - City State: "Lip: Comp,ury':_ C?C•C?? ?--!?C/? ??"? -- Plioue ti: S2L"-Z4 ?------ co.-rizAcroit __ ? }k ?/NZ4/2 --- StrcetAddress: ? jt? i'c.?-L?rl ?? - Liccnsc LXp• - Gty' ----------?-t/"--------- Sr.de:??------- ZiP' ?-F---- ARCHITECT/ ENGIYEER Company.----------- --------------------- - Yhone #: ----- --------------- ----- Keanstr,ition H: Stree[ Address:----- ---------------------------------------- Cuy ---------------------------------- State: ------------ Zip: Sewer & water licensed plumber (new construction only):. change and lot change is requested once permit is issued. Penalty applies when address 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 Ordinances Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required . ?? L /0 BL CITY USE ONLY ? -> RECEIPT #: SUBD. RECEIPT DATE: PERMIT # & R !J (P Z 1999 PLUM$INfi PEiMIT (U.SiDENTIAI.) crrYoF enenw 3830 PaoT Krros ctn Ensniu, aix ssiYE (651) 681-4675 Please complete for: D single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x $ Floor drain 3.00 x = $ Gas 1 in outlet ` minimum - 1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alteretions to existin dwellin 30.00 x = $ Private Dis osai S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Watef SOftener If dwellin under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e .50 --> ---> ---> $ 3 0 .50 Total --> --> ----> $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. - - - - - - -----------------•-------------- --. _. _..---- --------•------------------------------------------ - s. - -is- -cortect, and agree to comply with aIi applipble Ciry- of Eagan -ordinance- - I-have-re ad -this appli- ption,-state that the infort-nation- I hereby adcnrnNedge-that- It is the applicanPs responsibility to notify the property owner that the Ciry of Eagan assumes no liabilily for any damages caused by the City during its normal operaGOnal and maintenance activiUes to the facilities consWded under this pertnit within Ciry propertylright-of-way/easement. SITE ADDRESS: S3-/ ??Z OWNERNAME:: TELEPHONE#:C.lB?Z? -T (AREA CODE) INSTALLER NAME: STREET ADDRESS: CIN: //4 ~0- _ W/-. K-v ? TELEPHONE #: SS7'-0S_5? ? (AREA CODE) STATE: ZIP: SIGNATURE OF PE ITTEE CITY OF EAGAfV APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *101P,: PAYMEN71' QF FEE AT TIME OF APPLICATSON DOES NOT CONSTZI[T1E APPROVAL OF PII2NIIT, nNSPncriotv oF SENM Arro/? WAM 7i1S+rAr.ramrpNS y,7ILt, NOr gg SCHED- ULID UNTIL PERMffT HAS BEEN APPROVID. ? ..w..w_x.Rx.w.w,.,.,.w,.,.xx;.=,.=x==ww_w. P ease Print 1) PROPERTY ADDRESS: ?,/ _ 1- n V e ? L Y+ C - LEGAL DESCRIPTION: •- Lot B ock Subdivision or Tax Parcel ID IF EXISTING STRC'MME, DATE OF ORIGINAL BOILDING PERMIT ISSL`ANCE: P12FSENr ZONING/PROPOSID USE: (Mon YearJ ? CalMERCLAL/RETAIL/OFFICE 0 R-1 SINGLE FAMILY Q IDIDC'STRIAL ? R-2 DUPLEX (ltao IInits) n INSTI2UTIpNAL/GpVERNMENT ? R-3 70WNHOUSE (Three + Units) (y Units) ? R-4 APAR'IMENT/COAIDOMINICT7 ( Units ) 2) ? NAME: roo4 (I AL LiE U c,&.« ADDRFSS:_/(//wo Q.`?1-t? / ?,h1 Y',• CITY. STATE, ZIP:f%1 A_j`n?%?. ? S! 3?/- ?{ 3 9(e i'LttV PHONE: 7 fS(7 ^ SC/b 3) NADE =b1 PckerLsow oLg For City Use Plumbers License: ADDRESS:?p? / ?tp Active i CI17. STATE, ZIP: F?cPired S Cjc, ud-) /L !S' S'n ? M 1?/ Not recorded PHONE=_e13 3- S/ 7 I MASTII2 LICENSE# St?a f?ini al 4) •• " ?.,ni?+: tuAME: C? a o:l u?a ?., r ?-- c _ ADDRESS: /y CITY, STATE, ZIP:? L fv. /' N p U 3el L •A'n A/ ? PHONE: 7? p.-. ? ?.1 . 'S) ?? i a: ?• : a • a? - ?i ? mrNEcrioN zv ciTSC sEWER ? wrrNEcrzorr zo ciTr wATm Q o= . . 6) ?? •' • i ? pr,EASE HOLD APPROVID PERMIT FC)R PICK-CP BY ONE OF ABpVE ---- --- ? PLEASE MAIL APPROVID PIIiMIT TO 1, 2, Q 4, AEpVE (Circle one) ' 7) FOR CITY USE ONLY PERMIT # ISSUED y6 Pd w/Bldg. Permit FEES: $ $ /G -> V SEWER PERMIT (INCLUDE SURCHARGE) $ $ /L WATER PERMIT (INCLUDE SDRCHARGE) $ $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ /S•?-Z ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ S ? G O-f) $ WAC $ S 7S'Ci-6 $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRL?NK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ I??eGT.'. $ t WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ $ 7l /' e'-t> TOTAL ?,16)ZZ RECEIPT RECEIPT DOES UTILITY CO NNECTION REQUIRE EXCA VATION IN POBLIC RIGHT OF WAY? a F--j YES IF YES, THEN A" PERMIT FOR WORK WI.THIN PLBLIC Q ROADWAY" MOST BE ISSLED BY THE ENGINEERI'NG NO DIVISION. LIST AS A CONDITION. SOBJECT TO THE FOLLOWING CbNDITIONS: . APPROVED BY: TITLE: DATE : _ ! CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION rATE: PAYMF.N1' OF FEE AT TIME pF APPT.TCATION DOFSS NOT CONS1'IZL71E APPROVAL OF PERNffT. INSPFX.TION OF SfiSdM ADID/Ot MMII2 TISS'I'AT.TATTONS WILT NCYr BE SQED- ULID iJNPII, PII2MIT HAS BEFT] APPROVID. P ease Print 1) PROPERTY ADDRESS: i ?/SIZS57 f? C O.. .? ,, 14.v t ._ LEGAL DESCRIPTION: - Lot B ock Subdivision or Tax Parcel ID ) IE' EXIST2NG S7RC'CIVRE, DATE OF ORIGINAL B[IILDING PII2MiT ISSL'ANCE:iq P V; i - 1- / 9$ L PRFSIINT 7ANING/PROPOSID C'SE: (f%bn Year ? Ca'SE=IALARETAIL/OFFICE ? R-1 SINGLE FAMILY Q I2ID[.'STRIAI, ? R-2 DLPLEX M,n Onits) n INSTITUTIONAL/GpVEE21ZIENr ? R-3 TUWNiOL?SE (Three + Units ) (_4Y_Onits ) p R-4 APARTT7EN'P/CObIDOMID]ILfi1 ( Units ) 2) ? NAhE: (? ot?A l/ ??. 1r- iF o c ADDRESS: I?1 L O q? t d L' h ru p'"" . CITY. STATE. ZIP:? L a{ w< .C t' 4 3 u_ i/ 4 4(? !l? N PHONE: 7&0 S51o ' 3) For City Use NAh1E: ,N C ker 1, cb w p L c Plunbers License: ADDRESS: C? Ax ! 28 Active ? CITY. S"PATE, ZIP'._ Expired c n s?t2 ? u 5" 0 7 3 M-n4 Not recorded PHONE: 41 k3 _ 5 1 7 y MASTER LICENSE# ta Inltial 4) •• • i?- NAME: -?td-lv C-N c-, .1 1! 14. ) t= A? n zs. ADDRESS: 14 G o ?l 2 ?.1 L T?. h ?,P CITY. STATE, ZIP:3 G, tb T w K -? L T - U 2 c, 4 M N/ PHONE:7$ U- S S" ln • ? 'S) " a: ' ?• : a • a? - ?? ? CONNECTION 16 CITY SEWII2 ? CpIM=ION TO CITY WATER ? p'1'fgR . , 6) ?? • • r C] PLEASg HOLD APPROVID PERMffT FOR PICK-UP BY ONE OF'ABpVE ---- - PLEASE MAIL APPROVID PERMIT DD 1, 2, b 4. AHOVE (Circle one) 7) r.r. u• CSo b NPc k e`,- f¢? ?J : Y' 76-10 FOR -CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit S $ s ? 3 - 5-2) $ $ S s $ 5?5 [: - ?rv $ <77 5. b`t-' $ $ FEES: $ //> • $ A S D S $ $ $ $ rs ? $ $ $ $ w SEWER PERMIT (INCLODE SURCHARGE) WATER PERMIT (INCLUDE SURCAARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLLDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRtJNK WATER ASSESSMENT TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRDNK SEWER $ $ LATERAL BENEFIT/TRDNK WATER $ ???• ???' $ WATER TREATMENT PLANT SURCHARGE $ S OTHER: $ TOTAL 77 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PLBLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSLED BY THE E[VGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING Cb[VDITIONS: • APPROVED BY: T, TITLE: DATE: ?f1-2-/" . ry CITY OF EAGAiV ?APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *KYP6: PAYMhTlP QF FEE AT TIME OF APPLICATION DOFS NOT COKSI`I1(71E APPROVAL OF PERPffT. ?? P ease Print "__,..,,,,....__..._,.,._._,.x,?,. 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: _(Lot/Block Subdivision or Tax Parce ID ) IF EXISTING SiRL'CiL72E, DATE OF ORIGZNAL B[7II,pING pERMIT ISSL'ANCE: - PRFSENf ZONING/pROPOSID LSE: (Ilbn Year) ? CO44ERCIAi./RETAIL/OFFICE ? R-1 SINGLE FAMILY Q IPIDCSTRIAL Q R-2 D[?PLEX (7tao IInits) n INSTI7S!TIONAL/00VERtag,TVT ? R-3 '1C)WDII-IOLSE (Three + Units) (/ Units) R-4 APARTt?ffN'p/COAIDOMINIUM ( Units) 2) ?'ii'? vr AwDxess:_/ sr? n e.1 ra j A ,,, ?-° CITSt, STATE. ZIP:_? z KA ?1 PHONE: `7 R b .- S s/ 3) • i: ?• - nraI-2: iv r c ke-vl, s o w AnDRESS:la) o x I --z s 'r - CITY, STATE. ZIP:_5' C DL W??'ir Ti S n 7 3 -/V1 h/ PHONE:C .? 3-.5"/ 71 - MASTER LICENSE# 4) •• • i?- NAME: ? r? o d U 14 L u l= l-F- n .? f _ ADDRESS: ??f_?.. • j y G, 1. Gi 'L w. ni ,p CITY. STATE, ZIP:_Qs S' S/ 4 ti - 4! h'illG PAONE:?f? . Active Ekpired Not recorded St?Intia]. "5) " a? • ?' : a • a? ?? ? CONNECTION 7n CITY SEWII2 ? COIa7ECTION m CITY WATF1R ? p= '. . 6) n •' •• ? PLEASE HOLD APPROVED PII2DffT FY)R PICK-IIP BY ONE OF P.BOVE ---- _- PLEASE MAIL APPROVID PERMIT TO 1, 2, 3? 4. ABOVE (Circle one) ' nvsPncriorr oF sEMx Arro/oR %%M TnM+rar.ramrpNS p7ILL NCYT gg SQED- ULID UNPII, PII2MIT AAS BEEN APPRWID. 7) r. r• • ? h 1 ?`? i-L ? ? ? y`t - ?p 7 -ISTf% zo-ts v c . FOR CITY USE ONLY .. PERMIT # TSSUED Pd w/Bldg. Permit FEES: $ $ %C• S--Zi SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLODE SDRCHARGE) . $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ?.S . o O ACCOONT DEPOSIT - SEWER $ $ /6- O6 ACCOUNT DEPOSIT - WATER $ $ WAC $ $ sAc $ $ TRL?NK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ • LATERAL BENEFIT/TRbNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL ?- /,Ij' 77 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY? ? 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: %???, 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. -a i,.? Date r 1 l 1?`J q Site Street Address Cjo_t.LCtJ bWa_YV- Unit # Property Owner Telephone #(/5/ ) 5?5? D 3 ci41. Contractor N Y vo-?GCJa-?_?4J Teiephone# (/,51)3(D5 -13410 Address 310?6 fC?," City ?o_-eF?E?rJ State M7. Zip 55 /,13 The Applicant is: _ Owner k-Contractor _Other Alterations to existing dwelling _Add fixtures 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 Softener v Water Heater _ replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 ? Total 15_56 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 only 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 Pnnted Name ApplicanY Signature p MAY 14 2004 1 ? II 52nK- 37 PKsE S3 ,FIOG` CONSULTINO ENOINEEflS ENGINEEt?ING PIRHNEHS ond IAHD 3URVEYOfIS COMI?ANY, INC. 1000 EAS7 1461A STREET, BURNSVILLE. MINNESO7A 55337 PH 432-3000 Ce7-01 i}'i cca Surv-e y 193?6.0; OENOTES EX16T/N6 ELEVAT/ON ( 930, d) DENOTES PROPoSED 6LEVAT10N -+- /NOiCATE'S DIRECT/nN oF SuRFACE ORAlNA6E FINI5146D (aRRA6E FLODR ELEVAT/pV NORTH ScALE : 1" = 30' Lg9acrp2iost: LOTS 9, /D, !IANU l2, sLOCK 3, EDfN ADDIT/oN, (UqKOTA COUNTY, MINNESOTA ORAINA6E ANO l1TIUTY EASEMEA/T BuiI.DING LrA/E ? ?? ?i93?,_tb 1 • I hereby eertify that this ie a true/and correct representation ot a traet ot land as ahown'and daacribed hernon.. As praparad by ma on this w7r,;l day ot /ysAUw , 19 gG . . Hinn. 1leg• s4- _ Use BLUE or BLACK Ink ----------------i For Office Use I Permit I 1 Li4 of Eajan I ~j I I ~ I „Q~ ' 3830 Pilot Knob Road j Permit Fee: Eagan MN 55122 I Phone: (651) 675-5675 I Date Received: 3 ~3 I Fax: (651) 675-5694 I j Staff: t A~ 2013 MECHANICAL PERMIT APPLICATION ❑ Pleta~se submit two (2) sets of plans with all commercial applications. Date: dr 26 '/J Site Address:00 C,10,V& (f7 /J/fj f ~0"' S-,S'-l 2 z Tenant: Suite Resident/Owner Name: UrA6I Phone:-7463 3~ 7V y0 Z,,27 S" 6 ~i~r- si z~,6 City p: 7-,e ,w ~S' 7;;' Address / / Zi Name: YvlSd c.✓ License Contractor Address: C2 -4 e - v city: mac, State: t Zip: 5 qRJ Phone: "7,6 3 -:~ISrf Contact: 1' t 0: t r X 51' . Email: /J e1l* -0-r- rp c✓ L '-~,o - ~c" 4 New Replacement Additional K Alteration Demolition Type of Work Description of work: I.LiSpa. /i llen)~ iCw- I-aa T e h ®b~ NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction _ Interior Improvement Permit Type -Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump / - _ Under/Above ground Tank Install Remove) VCw ' K~ Other Re q RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) _ $ a TOTAL FEE COMMERCIAL FEES Contract Value $ X.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal Permit Fee *If contract value is LESS than $10,010, Surcharge = $5.00 Surcharge* *"If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 *"If the project valuation is over $1 million, please call for Surcharge TOTAL FEE 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 vCl~~i° x Applicant's Printed Name Applicant's Signature FOR OFFICE USE q Required Inspections: Reviewed By: Date: U ~ 3 Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:34 #582 P.029/079 Use BLUE or BLACK Ink 1 For OfFce Use I j Permit#: D City of E alEm, n , Permit Fee: iW 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 Staff: v 1 I I 2013 RESIDENTIAL, uBUILDING PERMIT APPLICATION Date: 611'512013 Site Address: 44q 114LAIg fyyy~). 4yy 3B ODVCY L n . unit Name:010 ~CJasft C"YN Phone: Resident/ Owner Address/ City/ zip: l09M Gtr Vftt BOYMON, edW I2driet MN %34L4 Applicant is: Owner Contractor Description of work: -VtQr Off QY0 VC-VDDf Type of Work Construction Cost:..G 0 Multi-Family Building. (Yes / No ) Company: *Shr tom-'yUC110Y1 WY1d01PnIIP' , L L Contact: doe HnKteaGl Contractor . Address: 51y5 lyidmgt oill S-fteei # 103r~ City: ft~, Plain State: M _ zip: ✓ ✓3CJ 1 Phone: _ _ _ "I ✓ Z~ H Z - ~-1 ✓ 1 License ~C~3i 5-►~ Lead Certificate IA T_ '20tog -0 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 would permit the City to conclude that they are trade secrets ._.,e....~~..-.. ' 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.oooherstateonecall.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. X_ c Ut X Applicant's Printed Name A pl' ant's Signature Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 13:02 #301 P.013/022 44!! Cityofaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: _ Permit Fee: Date Received: Staff: '3 SS 10.1, J 20162016RESIDENTIAL BUILDING U 7 VYLD NG PERMIT APPLICATION Date:I4t /ALO Site Address: We . L � e h./7 G Unit#: 4 Resident/ Owner Type of Work Contractor Name: AWAtVA t i e$ LL, -�.1e/°l i7®i Address / City / Zip: V41/ *y.3 4 Applicant is: Owner X' Contractor Phone: //�1 Descriptionofwork: A'F $%Cl`% kt//7 �Ylt// SA'/rs�' f44t.4 Construction Cost: i'04 dd'd Multi Family Building: (Yes /No __) Company: A li5r/ 4L, d a9El'K e4rovt /t X/97;h &tan C Contact:.) a .rift A 11 ern A Address: 6-1 146 Ine44.0-/'r A i s?^ ..SN rf-/03 City: fill'`'Re/- T L r s t 1 State: (Mr rN Zip: 56635 3 Phone:4040• '745y Email: illy`/ @ %.//S-4 r.. Z License #: f36 6/0356 Lead Certificate #: o24 1 /A V - v� If the project is exempt from lead certification, please explain why:Div�t-1,. `el /983 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.aocherstateonecall.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 , ;:�u . mplefed within 180 days of permit issuance. x �, ► j'//errial7 Applicant's Printed Name x Apollo : nt's Signature Page 1 of 3 � 1 0EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 build inginspections(abcityofeagan.com -------------I For Office Use I 7�I Building Permit #: I I S&W Permit #: I Permit Fee: I (, I I I I Date Received: I I I I I Date Issued: ---------------------' RESIDENTIAL BUILDING PERMIT APPLICATION Date: �hq el V Site Address: - Applicant is: ❑ Owner aContractor Name: EGL SLI, 1A b Vk/`+- d t, 5,—(42S C-2 Homeowner Address: g4-1'A I y 4 City: �aQ0- v� i Stater 1AP: G51 2 Phone: Email: Description of work: Pi P_ Q Cs t — Type of Work Construction Cost � Building Contractor Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan .M 0 ontact: (20v' �' f Address: L/39 rt& W QsA-(� 4 _Y City: Gl" �'_yx RV-G��vx-l e_ State:Awip: 55366/Phone& 15 07-License #:EC!Q(4 I �j ,,� Expiration Date: J ? /J Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction j 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 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 build inginspections(abcityofeagan.com -------------I For Office Use I 7�I Building Permit #: I I S&W Permit #: I Permit Fee: I (, I I I I Date Received: I I I I I Date Issued: ---------------------' RESIDENTIAL BUILDING PERMIT APPLICATION Date: �hq el V Site Address: - Applicant is: ❑ Owner aContractor Name: EGL SLI, 1A b Vk/`+- d t, 5,—(42S C-2 Homeowner Address: g4-1'A I y 4 City: �aQ0- v� i Stater 1AP: G51 2 Phone: Email: Description of work: Pi P_ Q Cs t — Type of Work Construction Cost � Building Contractor Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan .M 0 ontact: (20v' �' f Address: L/39 rt& W QsA-(� 4 _Y City: Gl" �'_yx RV-G��vx-l e_ State:Awip: 55366/Phone& 15 07-License #:EC!Q(4 I �j ,,� Expiration Date: J ? /J Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction j 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