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4453 Clover Lane, r ' ?, ?+r4 QUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 Receipt # Site Address ??' ' •+ Erect LI Occupancy Lot BI OCk ^ r) 1:•;(` Sec/Sub Remodei ? Zoning . Repefr ? Type of Const, Percel No. AddRlon ? No. Stories , ? , .i(: Move ? Length W Name D li h ? ; " emo s Depth . b Address Int. Impr. ? $q. Ft. City Phone Inatall ? & F Name .,ppra.a.s roes 8=v Addresa Assessment Permit I $- City Phone Wofer d Sew. Surcharfle `l _ I I C Police Plan Review `L ?W Name Fin SAC ? . ? . ?? Address Erq. WeterConn. • ?, Z. City Phone Planner Water Meter "'• i? ' CounNl Road Unit " I hercby xknowledye thot I haw reod this application ond statc that ll li h i l i l i h bl d gldg_ pff, Tc PL y w t n ormot on is carrect on ogree to comp t o app ca e e Stote of Minnesota Stotutes and City of Ea9on Ordinonces. APC Perks Var. Date Sipnofuro of Permittee Copies Total A Buildinq Permit is issued to: on ths txpress condiNon Ihat oll wotk sholl be done in ocaordonce with all opplicoble Stote of Minnesota Starutes ond City of Eaqan Ordinances. Bufldinp Offitiol Pe?mk No. Pamit HoNla Drte Telephons 7t Plumbhq Cl(G kL 1S (j)? .H.VA.C. ENarie Sg • ? - $oftemr Irnpeetion Date In . Othsr Footings I Footings 11 Foundation Freming Roofing Rough Plbp. Rouyh Hts. Insul. Flnplaw Final Hty. Final Plbq. Finsl c.fvocc. -23-i Wster Desc?iha Location: Wsll r E lsp. D . . • . : PEAMIT # CiTY OF EAGAN FEE . ?. ?. MECHANICAL PERMIT RECEIPT # 454-8100 S/C ? ?'? ? 6 MINIMUM RESIDENTIAL FEE - $10.00 + $•50 TOTAL DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res L Comm Inst 2. New Add Alter Repair 3. Total Bid Price d. Job Address `l , . •? , Lot Block ? Sec 5. Owner ? ?~? ?G ??? r ?-`o •? < 6. COf1tf8CtOf -l ? ? ?il?w ?tiy .?r':Y .S "is +r c' .ry???T ?rll•? _`-L%G?" (Name) (5treet) (Ciry) (Zip) 7. Cvntractor Phone # U+'' L`? r.__----- -- RE5IDENTIAL HEATING - 01=.?,04?09.BS? -$24.00. Each additional 50,000 8TU's or traction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee /. ' HEATING VENTILATING HOT WATER STEAM AIR COND. -?AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. REFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM./INO. RATE - 1% OF TOTAL SiD PRIGE PlllS $.50 STATE SUACHARGE FOA EACH;1,000 OF FEE. . Signed::-?for - _! -'•.c' i /?.?? ? - . Approved Inspections: Date Rough Insp, Date Final Insp. • ? PERMIT # PLUMBING PERMR RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE Site Addr "-P BLDG. TYPE WORK DESCRIPTION LM ? Block ?- Sec/Sub e Res. ? New Name ? ?' ?' •? ` Mult Add-on ? Addres,s _*T Comm. Repair c City''?f-"` Gt?' Phone Other ? Name Np. FIXTURES 7 Water Closet - $3 00 TOTAL t - ` c Addr . -?Bath Tubs - $3.00 - L ' _ T - p SS / City Phone % - Lavatory -$3.00 Shower - $3.00 T FEES Kitchen Sink - $3.00 - COMM/IND FEE - 146 OF CONTRACT FEE Urinal/Bidet - $3.00 / Laundry Tray -$3.00 s ' MINIMUM - RESIOENTIAL FEE - $10.00 =Floor Drains - $1.50 - ' MINIMUM - COMM/IND FEE - 20.00 f yl/ater Heater -$1.50 STATE SURCHARGE PER PEFMIT - •50 Whiripool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10 00 . __7__ Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• - , . , '..' . CITY OF EAGAN ' 1 `a 22 ;a 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121 PHONE: 454-8100 BUILDING rERMIT Receipt Ts w IIYJ fOf j L..'_ Esf_ Velue 1'• J U 0 I1nfo ?i i ?VL:?•?ris.k > >p ^Site Addresa Lot ' Block -'' Sec/Sub. Percel No. W Name ; Addre b r:... ZF Name ou Addresa u? ? r.i.., Phnnn City Phone Erect l.J Occupaney Remodei ? Zoning Repair ? Type of Const. ? AddiNon ? No. Stories Move ? Length ?. Demolish ? Depth Int Impr. ? Sq. Ft. Aoprorals Feaa Assessment Permit • ?? Woter b Sew. Surcharge 'C 0 Police Plen Review ? ? ? • ?`G Firo SAC ? . Ov Enp. Water Conn. r '- J f; Plonner Water Meter Countil Road Unit J « I hereby ocknowtedye thot I hava reod this opplication ond stote that gldg. Off. Tc PI. , fhe iniormation is oorrect ond agree to comply with ofl opplicable APC Stote of Minnesota Stotutes ond City of Ee9an Ordinances. Parks Var. Date C??? ? Sl?oturo of Permittee . v ,, L . .. Total A Bulldiny Permit ia issued to; on tha express condition thoo all work sholl De done in accordonce with oll applicoble State of Minnesota Statutes ond City of Eaqon Ordinances. 8uildinp Officiot d • Pgrn?k No. Pwmk Holdw Dau Telephone ? Plumbinq 0 H.VA.C. electric 5?13 le ? ?r? S? ? a8 ?l, ? - oa sotc«wr 1nW»ction Date Ins . Other Footlnys I Footln9s II Foundatlon Framing Roofin9 Rouqh Plby. RoughHtg. _U T AIl- Imu1. y,r Firoplacs k Flnal Htg. wA. '? Flnal Ptbg. Final C?aCC. e Water ??ibe Location: WNI Sswer Pr. Disp. PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KN08 ROAD, EAGAN, IVAN 55121 DATE: Block --) SeclSub y Name m Addre c CityL! Name e--- ?' - 3 Addr _1416 o C; FEES COMM/IND FEE - 1% 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) PERMITTEE FOR: CfTY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New ? - ! Mult Add-on Comm. Repair Other NO. FIXTURES / Water Closet - $3.00 TpTAL TBath Tubs - $3.00 T Lavatory - $3.00 Shower - $3.00 1 MCitchen Sink - $3.00 Urinal/Bidet - $3.00 ? Laundry Tray - $3.00 T Floor Drains - $1.50 Z Water Heater - $1.50 ? Whirlpool - $3.00 Gas Piping Outlets - $1.50 SoRener - $5.00 Well - $10.00 Private Disp. - $10.00 = ? ' Rough Openings - $1.50 - FEE ? ... STATE S/C: GRAND TOTAL• PERMIT # ?CITY OF EAGAN FEE MECHANICAL PERMIT RECEIPT # 454-8100 S/C MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL DATE MINIMUM COMMERCIAL FEE - $20.00 + $.SO 1. BIdg.Type: Res?lef' Comm Inst 2. New Add Alter Repair 3. Total Bid Price 4. Job Address Lot Block ? Sec 5. Owner :.'g-, 6. Contractor Ihjj?e.Q t_ - . • ? ?: l, .. k; :,,.,; - (Name) ' (Streeq (Ciry) (Zip) 7. Contractor Phone # L7 . ?.,?,.. . . .... . . .,_. RESIDENTIAL HEATING - `01-100,000 BTU?$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - b1-24,Ob0 '9TU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MOOIFICATIONS/ALTERATIONS -$10.00 minimum fee -]L HEATING VENTILATING HOT WATER STEAM AIR COND. 61R PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHEFi COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH =1,000 OF FEE. Signed: tor ? Approved Inspections: Date Rough Insp. Date Final Insp. ) '' : v. :1 . I . f' : 1 .. C' BUILDING PERMIT Lot ? Percel No. L, I MaN,e ; Addre b CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454•8100 u I Name - ' to ? Addresa F C:itv Phnno Name _ Address City _ Phone 11236 Receivt # n,... !'7OVI.t".Hr.R ? ?n Erect CJ Remodel ? Repeir ? Addition ? Move ? Demolish ? Int Impr. ? Zoning Type of Congt. No. Stories LengRh Depth Sq. Ft. Aswsu.+ent Permit 3 i3 -.0 Q Woter & Sew. Surcharge - ", (, ' Poliu Plan Review A Firo SAC " • 0 Erg. Water Conn. ? • 00; Plonner Water Meter -' 3 - UO Council Road Unit =• t' U• 0 C. I hercby ocknowledge that I have rcad this aPPlicotion and state that Bld9. Off. i'-, Tr. Pl _ The inlormotion is correct ond ogree fo comply with all appliceble A? State of Minnesoto Stotutes ond City of Eo9on O?dinarxxs. Parks Var. Date C?? Slpnofuro of Permiftee . ? Total A Building Permit Is issued M: • .?o?+ the exprcss condition thav oll work sholl be done in occordance with oll applicable State of Minnesota Statutes and City of Eoyan Ordinoncas. BWldinp Officiol ? Pwmit No. Permit Holder Date Tslaphone # PIum61no l0 ? 't ( (L -Y ;.l( k c+ Hi/A.C. i Elecbic 3/ Softemr ImWction Dota Insp. OthN Footings l Footings II Foundation Framln9 17 RooHny Rouph Plbg. f?? LU Rouph Htg. y ? Insul. Flnplece Flnal Hty. Final Plby. Flnal CWt/Occ. Water ??ibe Loeation: Wsll 8svrer Pr. Disp. ' PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 Lot _;?_ Block ? Name a? Addre c City?-_ Name "`-'- c Address p City Phone FEES COMM/IND FEE - 1% 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 BEYONQ $11000.00) OF FQR: CITY OF EAGAN PERMIT # _ RECEIPT # _ DATE: ? BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on _ Comm. Repair Other NO. FIXTURES ' Water Closet - $3.00 TOTAL $. TBath Tubs - $3.00 T Lavatory - $3.00 Shower - $3.00 ? - Kitchen Sink - $3.00 Urinal/Bidet - $3.00 -7- - Laundry Tray - $3.00 -7- ` Floor Drains - $1.50 / Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ? ' . Rough Openings - $1.50 FEE ? =F ?- STATE S/C: ? ? ?? C? GRAND TOTAL• PERMIT # CITY OF EAGAN MECHANICAL PERMIT RECEIPT # 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 DATE MINIMUM COMMERCIAL FEE - $20.00 + $.SO FEE S/C TOTAL 1. Bldg. Type: Res v - Comm Inst 2. New - Add Alter Repair 3. Total Bid Price c <- 4. Job Address >; Lot ? Block ? Sec 5. Owner 6. Contractor timuffmi 7. Contractor Phone # ?- `i `? ( - 7 ,) (ziP) RESIDENTIAL HEATING - 01-100,000_BTWS.L $24.00. Each additional 50,000 BTU's orfraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee HEATING VENTILATING HOT WATER STEAM AIR COND. aIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTIETS - $1.50 TANKS: LP. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. , Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. BUILDING PERMIT Site Address Lot ? Block Sec/Sub. tl J 1 [ OT ' Parcel W. W Name ? Addrqs s I ^ / City Phone o Name tu Address F- City Phone Name _ Address Phone I hereby acknowled9e that I I the inlormotion is torrect a Stote of Minnesota Stotutes Siynaturc of Pei A Bufidiny Pertnit oil work sholl be ? Buildinp Officiol _ CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21-199, Ea9an, MN 55121 PHONE: 454-8100 read this opplication and state that gree to comply with all applicoble City of Eogon Ordinances. occordonce wifh all oppliwble Stote 11235 Receipt ?j - Erect L? pocupancy t ? Remodel ? Zoning i Repeir ? Type of Const. , Addition ? No. Stories ' Move ? Length Demolish ? Depth ;s Int Impr. ? Sq. Ft. llssessment Permit .5 .;. i . U ci ? Wate? b Sew. Su?charge Polite Plan Review Fire SAC ' • V L) Enq. Water Conn. -' L.? •? G Plonner Water Meter b ? • u 0 Council Road Unit 2 f' 0 • 0 0 Bldg. Off. ! '_S ', Tr. PI. 1= l. 3 u APC PaAcs Var. Date Co ies p 9 `! Total , on the express tondition Iha+ iesoto Sfatutes ond Ciry of Eoqon drdinantes. Pwmit No. Pwmk Hokler Daw Telsphons # Piumbinp (G 1 y?r `i 1 S l°? "1 3 3 g(o w.v.a.c. --1 4 -.i Ebect?ic C" " Soitmmr Irapeetiorf Dste n . Other Footings 1 FooUngsll Foundatlon F?anHng po? Roofinp Rouyh Plbg. 5i !lJ,z- Rovgh Htg. -7-Y Insui. - .a Finplace FInal Hty. Flnal Plbg. Flnal Z Cert/Occ. - Z?•?(? ? Water Dftcribe Loeatfon: Ws11 Sswer Pr. Disp. . ? ,, i Site Addre Lot Block `m m ? y C a? c 3 O FEES COMM/IND FEE - 1°Y6 OF CONTRACT FEE MINIMi1M - 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) OF PERMITTEE FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF E/4CaAN 3830 PILOT KNOB ROAD, EA(iAN, MN 55121 PERMIT # 6- ? RECEIPT # DATE BLDG. TYPE WORK DESCRIPTION Res. ?- " New M ult Add-on Comm. Repair Ori'lAf NO. FIXTURES -4--Water Closet - $3.00 TOTAL - $ Bath Tubs - $3.00 - Lavatory - $3.00 ? ? Shower - $3.00 / Kitchen Sink - $3.00 Urinal/Bidet - $3.00 / Laundry Tray - $3.00 1 Floor Drains - $1.50 =Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.d0 ?_Private Disp. - $10.00 ` ` Rough Openings - $1.50 FEE STATE S/C: . GRAND TOTAL: ? - ` ? a PERMIT # CITY OF EAGAN FEE MECHANICAL PERMIT S/C RECEIPT # 454-8100 aV?. MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL DATE S? MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res ? Comm Inst 2. New ?Add Alter Repair 3. Total Bid Price ? 4. Job Address QL'? Lot ? Block ? Sec 5. Owner ? ? ? , I?''t_,-:c `-?`? ??'{ri.G9 . ?? ? ` . ?i cu.' /,• nti?r?< f.i ; ? ?' 6. Contractor ? -??:. k, r' ?` -'_ (Name), (StreeQ ! (CftY) ' (ZiP) 7. Contractor Phone # RESIDENTIAL HEATING - 01-100,000 BTU's - $24.00. Each additional 50,000 BTU's or iraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee - HEATING VENTILATING HOT WATER STEAM AIR COND. nIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER COMM.IIND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHAFiGE FOR EACH $1,000 OF FEE. Signed: for ?L Approved Inspections: Date Rough Insp. Date Final Insp. ? CITY OF EQGAN l.ot 3 elk 3 Parcel #10 22750 030 03 4453 Clover Lane State Eagan MN 55122 Improuement pate Annual Years Payment Receipt Date STREETSURF. (?S 19$2 504. 0 100.94 STREET RESTOR. L GRAOING 1982 2 46.60 SAN SEW TRUfVK 1?l f 1974 62,93 4.20 5 * SEWERLATERAL 1982 1896.46 379- 29 . WATERMAIN * WATER LATERAL ], 82 WATER AREA ? S rvi ces 1 82 STORM SEW TRK G 1982 26.OO 1.20 * STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT Road ri1t . WATER CONN. . BUILDING PER. 35-1123$ sac 525.00 PARK CITY OF EAGAN Remarks Addition Fden Addi ti on l.ot 4 Rlk 3 Parcel #10 2275Q 040 03 Owner i,,' , Street 4453B Clover Lane 5tate EaQan NW 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. (P Q 19R2 504.70 100.94 rJ STREET RESTOR. GRADING (NO 1 2 . 46.60 SAN SEW TRUNK N SEWER LATERAL 1982 86.46 379.29 WATERMAIN * WATER LATERAL k182 WA TER AREA Services 2 STORM SEW TRK 182 Q C).OO 1.20 1F STORM SEW LAT 1982 S CURB 8i GUTTER SIDEWALK STREET LIGHT 80.00 57375 WATER CONN. 500.00 BUILDING PER. 11 5-11238 sac 525.00 PARK CITY OF EAGAN Remarks Addition Eden Addition Lot 2 Rik 3 Parcel #10 22750 020 03 owner ? street 4455 Clover Lane State Eagan NRV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ? ?82 504.70 100.94 5 STREET RESTOR. GRADING 1 8W2 232.99 46. (O SAN SEW TRUNK ay? 1974 62.93 4.20 is '* SEWER LATERAL 1982 2896.46 319.29 WATERMAIN *' WATER LATERAL 1982 WATER AREA 3 977 62.93 4.20 15 * 3ervices 1982 STORM SEW TRK 1982 256. oo 51.20 5 * STORM SEW LAT 1982 S CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. SO O BUILDING PER. 9-15-11238 SAC PAR K CITY OF EAGAN „r,c,;t;,,,, Eden Addition 3 Parcel #10 22750 010 03 Eagan NA1 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. L? 19$2 504.70 100.94 rJ STREET RESTOR, GRADING 1982 232.9 46• 60 5 SAN SEW TRUNK / 1974 62.93 4.20 15 * SEWER LATERA L 1982 1896.46 379.29 5 WATERMAI N • WATER LATERAL 1982 WATER AREA 1977 62.93 4.20 15 * Services 1982 STaRN1SEWTFiK ' 1982 256.oo 51.20 5 • STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 500.00 n n 9UILDING PER. SAC 525-00 PARK ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: I•? ,, 1 ANf I I I' f fIN'. I iJ UH , PERMIT SUBTYPE: ,, 1 , TYPE OF WORK: t: I Fr ri I H l1FS?'f?t1'1[[1N REF'IACk tiTCilNI: NNR1. ? ? IL PermN Nolder Daee Telephons 1? SEWER/ WATER PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPIACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAI DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITV TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL INSPECTI0N RECORD ? CITY OF EAGAN PERMIT TYPE: i 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued o I ' o,` ` ' ' (651) 681-4675 SITE ADDRESS: ?' ' i;ilt ,t APPLICANT: ? I OVEf? I ANt %; r?A PERMIT SUBTYPE: TYPE OF WORK: , t?r;1 A(R !?i ?.i ?: i i I I?s!•? frf F'l ACF fi 1 t?1 N? ? oa t N1%A, ? Permit Holder Date Telephone ! SEWERI WATER PLUMBING HVAC Inspectlon Dste Insp. CommeMs 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 CONDUCTWITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 7 - - - - - - - - - - - - - INSPECTION REC4RD ? CITY OF EAGAN PERMIT TYPE: ? 3830 Pilot Knob Road Permit Number: TI Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: , . ? t uVi?R 1 ANi i I 9 , i, PERMIT SUBTYPE: ( hl'1) aislti° 7?C) 0 TYPE OF WORK: krllprk [)t'ir TF' f if1iw kf'{'! ACE tiTtll"Nfi F --1 L PemR Holde? Date Telephone !t SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUNO FRAMING ROOFING ROUGH PLUMBING PLBG AIF TEST FOUGH 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 PERIVIIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 , SITEADDRESS: APPLICANT: ;Ilyl'4M t ()Ni"f='pf'.'? Cf.1N ( f+ 1? ) Wi Fi l.'. ,`; 4i PERMIT SUBTYPE: I %NK? r- L ItN f I ii TYPE OF WORK: P f S,I i? 1 F' 1 I CtN F I'nri< F t•I nCi .???. r? i ra ? ? .?. Psrmk Hdder Dete Teleplwns # SEWER/ WATER PLUMBING HVAC Inspection 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 coNOUCTiviTv TEST HYDROSTATIC TES7 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ITY OF EAGAN WATER SERVICE PERMR Pilot K11pb Ro? . O. B;iX 211'89 PERMIT NO.e sgan, MN 55121 r. pA?; 1 j-? - zo"I^D: - No. of Units: ?«-p ex coc?d vA1ue Iiomes roa: te Addron: +453?I Clover Lane L4 B3 !?":n ,;ddFi. ' ?r kelson Plu;:'. 3,6 7 .5 d ?: ?)tlpd :Meter No.: ze: ,r cl t: ? 5. JL'?c1 CITY OF EAGAN 3830 Piln Knob Road P. O. Box"?'i 199 Eagen, MN 55121 Zonirq: _ ? Owrnr. . ? Address: ? Sits Mdress: _-? Plurr+ber. ? Mster No.. 76 i g, { Size: •` l',lavei Lane L3 S3 Ehei Q+orqs: Rsoder No.: (o SS 8 ' eapm, Fise; _ ].U.Oopc3 ?7 ,/,,,?__? y--- ----• -------- ??+, :??,d NO.: LL3/?? F?'PB{, Ijh?CMDI/QI? ?: ? 1 Nm h aerplf wkh 1w Cifq OhAw?neM. ? 0 - C132.f1(;,,fi ? r ? L.- ?i( V ?? v?''???Q°?? I'p" f" O01w?' D TMi?/'?h?dfoas' sl A\ 63 .?)Ond met '. . On/iMnaa. , i,, ? REQUIlZ ??? A? TOtAI: in;LFC.t'_L' BY -? ? Date Patd: By ??Dote Paid: Date of Insp.: Imp.: ?_?? J$ b Dote of Irop.: Irup.: 5,Ij 46 CITY OF EAGAN SEWER SERVICE PERMIT CITY OF EAGAN SEWER SERVECE PERMIT 3830 Pilot Knob Road 3830 Pilot Knob Road P. O. Box 21 i99 PERMIT N4.: P. O. Box 21199 PERMIT NO.: Esgen, MN 55121 DATE: ' Esgan, MN 55121 DATE: Zoninp; No. of Units: Zonirg: No. of Units: Owrwr • - ?; ;? j, ?? :;:,?;: E; O"'^w?: Addross: Address: - Sice Address: Site Nddross: Plumber. Plumber. I.ge.. te aa.py wiw Kw Clep of iy.s Canneetton Chorpr. 7-I N?w /e eewply whh !M Cky Of fyPE Connsctian Charps: OrJiMwOw. Acoount Deposit: F OrdlMeaa. AocOUnt Deposit: - Pam-At Fw: ? C ? Pennit FN: Surcharge: - Su?dwrps: gY Misc. Ciwrpea By Mlsc. Chorpes: Date of I" Date of Irop.: Taroi: ?.: Totol: Insp.: Do» Piold: ??" Date Paid: _•?_ - - --- - - - --- - -?:? WATER SERVICE PERMR PERMIT NO.: DATE: y ,. No. of Units: CITY OF EAGAN CITY OF EAGAN WATER SERVICE PCitMlt 3830 Pilot w- )b Road WATER SERVICE PERMR 3$30 pilot,Knob Rosd ? PERMIT NO.: P. U. Box 21199 PERMIT N?.: P. O. Box L'1189 Eagan, MN 55121 DATE: Eagan, MN 55121 D/1TE: ?' ? No. of Units: Zontnp:. No. of Unih: ? Zonlnp: . Owrrr. rcr, ?,??• Gu:?=- Value Mdrm: Mdress: Site /lddrcas• '' ;:e: z?._ Ll r '??ri =.c?d?!. Sih Addross• t:15 ('lover L??i1c?. L? P3 Plun'ibsr. Plumber. No.: g/ ?7 M 3 70 r?: eteNo., • sr:e: ` Ro?efoedigging c?6 ca ? c'° t: '°" s??• ?cd Aifnre digginv ca I c.. ?o.Meter t: p ?Reod,r No.: ? - ELE '? . Reodsr No.• . ?/? ?? '?? 1 N?w M oo?* wilh iti ?Iq&c?\A/ , 1 NeN !e eo??lp wM6 ..?. TP ? Or?ir?neM. K C ? ?liliic. Chorpss: - - . : "' Ordiw?wa?. 4: ?: t ? ? ? • L:. °? isc. ?qes: r?? F' '(' Tr t ? Totol: F? ,1?1?„1 ?eter s Total: ;, BY Dots Pald: ? BY Daft Roid: Dan of Insp.: Iryp,; Oote of Irup.• Insp.: Z- $6 . r, -I ?-f1G CITY OF EAGAN $IEWEj SERVICE PERMR CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 3830 Pilat Knob Road P. O. Box 21199 PERMIT NO.: P. O. Box 21199 PERMIT NQ.: Eagun, MN 55121 DATE: Eagan, MN 55121 DATE: ZoninO: No. of Units: - ?.: ?-- Zonirp: No. of Units: - Ownar: Owrwr: /lddrcss: Mdrcss: Slte /lddross: 3 Slte Address: Plurr?ber. Plumber. . . . . - ,..,. ,-- ]n _ 1a!m h?ph? wiNi !IM Clhr ef iyos Connsetian Ciwege: c. 1arse to wwph wllr !Ir C'ky of Mpn Ordi.enea. Atoow+t Deposit: . Pemdt fw: . . ?..- Surrhorge: BY Mlsc. Cho?qes: By Dah of Insp.: Totcl: Dah of Insp.: Insp.: Doh Pald: Insp.: . t Conrnttlon Cho?pr: llccount Depwlt: Penrdt FN: SurtFwrqe: Miic. Chorpas: Totol: DoM Poid: This request void nth m i 3,?p?? / r '7a ?,1?r/• ?+ !?+ T s ro (09597 L.3,Q3 1 trole, lpa6s) Req?u@ st Date "?{ _ ? r No. I,&d.., -in Inspection ?Ready Now 111411 Notify. Inspec- t Wh ? es ? No or en Ready E] Licensed Electrical Contractor I hereby request inspection o1 ebove ? Owner electrical work installed at: Stree A?ess 8 or Route o. l ` ?? ar-c-, City ection o. Township ame or No. Range No. ounty J Occu nt IPRI NTi Phone No. Pow r Suppli +c??? Address Elect 'cal Contractor (Company Name) ? Coctor'?cense No.? Mailiny Address (Contractor or Owner rllaking Instailationl ?t"? O 4 ci? • ? Aut ed Signature IContractor Ow er Making Ins\tallationl ? ?' Phone Number ? MINNESOTA STATE BOARD OF ELECTRICITY Gripga-Midway Bldg. - Room N-791 1821 University Ave., St. Peul, MN 55104 Phone (612) 297.2111 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STAIE BOAND UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION es-00001-04 See instruetions for comoletirp,this torm on beck ot Vsllow copy. 4e) R n o[;Q 71 "X" Below Work Covered by This Request ? AAd Rep. , . Type ol Building Appliancaa Wirsd Equipment Wired ome Range Temporary Service Duplex Water Heater Lightin, Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ' Ot rr Pec? v ther ISuer_ityl t r Spec:i y t er Other Fee ServiceEntrsnceSixe $1 F feeders # Fee Circuits Uto2?Am s Oto 30Am s Above 200 Arri )s ps 31 to 100 Arnps Swimmin Pool Am s Above 100_Am s Transiormers ms Partial- Other Fee r- r Signs ction TOTAL FE Remarks 1--? - / - ,. • ? k?. ? ., i.. ?L • }•' E?w ?: CITY OF E AGAN 3830 Pllot " '- )b Ro'sd P. O. Box e 7199 Eagan, MN 55121 Zonirg:, ' Owrnr /lddress: 51te Mdress: ' . - Plumber: ,,.",.; ," •? AAsttr A' Ro <~?7 Ii B'' SI2e: '4 , L1 B3 Sdea ;i)•) . 0(!pd , Reader No.: (J/N (n I .pm h een,y, ,wfi e? ft""D OnfiMror. isc. Chorpea: ir?v iT f?...? TotaL• -,ne r. sY 44? Dolr Paid: Ooh of Irnp.: Intp.: z, - r6 CITY OF EAGAN SEWER SERVICE PERMIT 1 3830 Pilot Knob Road P. 0. Box 21199 PERMIT NO.: Emgbn, MK 55121 D/1TE: Zoning: No. of Units: DYYMr: /1dd?ess: ? Slte Address: i.aite T,L 113 ".den Plumber. C: r -i 1?lrw N N-tb rrMr /M Cihr of Idws OrowewaM. Bw - Date of Irnp.: WATER SERVICE PERMR PERMIT NO.: DATE: No. of Units: -P `???7Q Con?wction Chwrpe: Acootmt Depotit: ' . _ ` Prnnit Fn: Surcharps: •.'? Misc. Chorpts: Total: DaM Paid: _ CITY OF EAGAN 3830 Pilot Knob Road P: O. Box 21199 Eagan, MN 55121 Zoninp: _ R3 - Owror. C,ond Value [iomes /lddress: t[der AMrea; 4455 Clover I.,itie ?r r ?.: 70 ! 8/ y?o gOfnre No.: Q? - ? ??i?? { WATER S PERMIT NO.: {'t 7 1 D/1TE: _ No. of Units: en Addn. 1 ?i? ?' ?s: 32.?Opd TP ?tl_"•??i°,??Ge? ?••a?•. o;1,n0pd meter ?J / ??v,N?-r Totol: f? f Dote Paid: ^sP.: of I nsP•: I CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zanirq: Ownwr: /lddroes: Site Add?ess: Plumbar. 1 yrN to e?wtlp wiK tw Qhr of 4pn OrdlNwas. SEWER SERVICE PERMIT PERMIT N4.: DATE: No. of Unifs: Ca.xNC.tlon C7wrpr ` /?ccount Oepoeit: ' Partnlt FM: Surcharpe: , R. Date of Irsp.: 111+IZC. ChOfQlf: Totol: _ Dob Paid: ThitreQUestvoid ?63Yk?_' lE nths from ? 0 9 5 9 6 4 y47• ? Reqvest Data - - Fve No. I Rouph-m Inspeouon Pepwred> ?Heatly Nuw C]Will Notity "p-c- Ej N. tor Wh¢n Ready LJ LicenseA EIecV?cal Convnctor I hereby request mspec<ion ot above' ? Owner electncal work instelled ar Street AdAress. Boa or Rou1e N City ecUOn o. Township Name or No. R?nBe No. -;? mny ?i? Occ ant IPqINTI Phone No. P^ow?er $uppli¢r`? AAdress Electn I Conhaclor ICompany Namel Convac?myr's L,cen>e No. y? 1 Mailing Address (Contracmr or O?er Makinp Instailauon) ? 9 ? ? ? ? ? zed Signature (COnvector/Owner Making Installavon) PhC ne Number 7? I ? c J ? MINNESOTA STATE BOAND OF ELECTNICITY Grie9s-Midwey 91de. - Aoom N-191 7827 Universi<y Ave.. St. Paul, MN 56104 Phone (612) 297-2117 THIS INSPECTION qEQUEST WILL NOT BE ACGEPTED eY THE STqTE BOAND UNLESS PHOPER INSPECTION FEE IS ENCLOSEp. -3,/ D` S1 L REQUEST POR ELECTRICAL INSPECTION Ee-ooooi-a 0 See inatructions lor complebn9 this form on beek of yellow coOY. o ""X" " 8elow Work Covered by This Request Q '4 959 FAtl .leo. Type of Building Apoliances WireE Equioment wired Home Fange Temporary Service Duplex Water Heater Lighhny Fixtures Apt. 8wldi16 Dryer Electric Heatin Commercial Bldg. Fumar,e Siio Unloader Industrial Bldg. Air Conditioner Bulk MiIk Tunk Farm otnai pea v Other (SneuW) .... .....? .. I I P.r Syccl Y _ . _. ? r Olhef 011i1:! M Fee SarvmaEniranea5ize H Fee FAAders/5ubfeeders # Fee C?rcuuts 0 to200qm s Above 200 qm ps 0 to30qm s 37 to 100 qmps 0 m30Am s 31 to 100 qm s Swimming Pool Above 100_Amps Above 100_Amps Transtormers Signs Irngation Booms Speciailnspection S ` Partial.bther Fee Re?rks ? l CJ TOTAL?2E? i nn Noueh"^ Date __ ?, ih e ?acvic ns ct i o e Ieby Finel cerbly thgt the above f t ? ? ~? nspec mn has been ?/ ? i / T made. Thie requesc voitl 1B months fram s request void mon(hs /rom -21 nnr^ni. .e MINNESOTq STATE BOAND pFELECTqICITY Grig9s-Midwey Bldg. - Room N-191 7921 University Ave., St. Paul, MN 56104 Phone 16121 297 .2117 /c0/Og 4L(7. L-6 'ill NotrtV InsPec- or When Ready THIS INSPECTION REUUEST WILL NOT BE ACCEPTEO 6Y THE STqTE gpqqp UNLESS PROPEF INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-aoooi_oa ? See instructions for comoletinp this torm on beck ef . Yallow coay. Below Wak Covered by This Request k Fee SarviceEnhenca5ixa q 0 to 200 qm S iea Feaders/SUbleedars p Fee Cncults Flbove 200 qm)y 0 to 30 qm s 31 to 700 AinPs to 30 Am s 3 Swmming Pool 1 to 100 A s Transiormers Abave 100_A1111 y Irngation Booms Above 700_Am Rem?.?.. Signs Special Ins ection V M,..? Pdrtia6 Other \ F. I' iUTAL ,U(/ ? in ? Oa[e C \ ?? I, the Ela Vme ?,- InSOectoq hereby certifY tNet tpe above inspectlon has been made. ? gn-in insUecLOn ? ????? ?Reatly NowJJJ ? ?Yes ?No ? I hereby repuast inspechon o1 abovg elactricel work instelled at ? Licensetl Electncal Contracmr 0 owne, ?? °s 1s1 36 - ($ao Repuesl Fale 1 Fve No 1 Rough-ln Inspection Reqwred (VOU most call inspec1or ?vhen ready) Inspeclmn Olher Then Roughln eatly Now ? Will Notity Inspeclor 4-28-95 ? ves ?] No p ie Aeaa Ikicensed contractor ? owner hereby request inspection of a6ove electrical work aT Job Atltlress (Street, eox or Fauie No) Giry 4455 B Clover Lane Eagan SecOOn No TownsMp Name or No Range No Counry Dak. occupaN (PPINT) Pnone No Mark Roemer Power SuppOer Address Dakota Electric Farmington Electncal Coni (COmpany Name) Contraclors Lmense No Roehning Electric CAO 1557 tdaAing Adtlress (ConVactor or Owner Makmg Installation) 14811 Endicott Wa A le Valley, Mn. 55 ANhonzetl 5 (ConlractoCOwn aking In IlaPOn) Phone NumOer 423-4328 MINNESOTA STATE BOARD OF ELECTRIdTY THI$ INSPECTION HEQIIEST'.NILL NOT Gtlggs-Midway Bltlg. - Room 5-129 I I I I III ?I II I I BE NCCEPTEO BY THE STATE BOARD 1021 Universiy Ave.. SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phane f6121 642-0900 . , ENCLOSED ZL aREQUEST FOR ELECTRICAL INSPECTION ?`?•`?1%h e-ooooi-?0j9? 5/a?/?j' Sea instmetions br completing ihis form on back of yellow copy ????y - "X" Below 'rVark Gwered by This Request "W Ne Add Rep Type of Bmiding Appliances Wired Equipment Wved Home Range Temporary Service Duplez Water Heater Electnc Heatin Apt Building Dryer Load Management Comm./Indusirial Furnace Other (Specity) Farm Av Conditioner Olher?speci?y) onVacror's Rema?ks Compute Inspection Fee Below. # Other Fee # Service Entrance Srze Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Amps 0 to 10 Am s Transformers A6ove 200_Amps ve 1 0-Amps 51 n5 Insvector's Use Only TOTAL Irrigation Booms ? O. OtJ 20 . 50 S ecial Inspection Alarm/Communicahon THIS INSTALLATION MAY B ?E ISCONNECTED IF NOT Other Fee COMPLETEO WITHIN 18 MONTHS. I, the Electncal Inspector, hereby Rouqn,n oaie certiry ihat the above inspechon has been made. Final oac ' L(-?.1 OFFICE USE ONLY This requesl voitl 18 mon[hs from REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 See hnstructions for compleLM this torm on bnek ot Vellow copy. a--N Yq, 7 '"X" Below Work Covered by This Request Atl Reu. Type of 9uiltling AOOLancna WireA Equipment Wired Home Ranqe Temporary Service Duplex Water Heater LighLny Fixtures Apl. Bwldinq Dryer Electnc Heatin Commercial Bldg. Fumace Silo Unluader Industrial Bldg. Air Condihoner Bulk Milk Tank Farm ome? peafv oihor (SOecify) r P.! SyCClfy 1 L•f OtM11:! (;ompute inspecaon hee Celow M Fee ServmeEnVenceSiza q Fee Feaders/Subfexderfi # Fme Crtcwls 0 to 200 Amps 0 to 30 qmus ?. i 0 tn 30 A iros Above 200 .__qmn,, 31 to 700 qmos C' h/y 31 to 700 Amns I ion flou0h-in Dape r ?, the ct 3 / ?? InsDec?oq hereby certify thxt the ab v Final ? DAto .I-?-7 )? a e inspection has been revae. iTi5re0uesivolClBmonIDnfrom V - ' _"/ `"!/"-yJ This repuest void p C? nths from V t Q ? ? on 095937 z r. a, 177) Request Date Fre. No. qough-in InspecLOn R ed> ?fleaAy Now W I Notify InSPec- ??' J s ?No 711 ur When FeadY U Licensed Electncal Convactor I hereby requestins0ection ot above ? Owner electrical work installeE at S[reet AdAress, Boa or qoute No. City 44 5C:D ecLOn o. Township Name or No. qanpe No, opnty 0. O Pdnt (PpI NT 1 Phone No. Power SupPlier Atltlress K Electr,cal ConVacror (Company Namel Contractor's License No. ?..n ,?? 3 `r _ Mailmg Address ICOntractor or O;T??MakinH InstallaLOn) 4C'St) q? n ,zetl Signature (Co ra tor Owner Makrnp InstallaUOn) Phone Numbxr ? / t ?? / MINNESOTA STATE BOARD Of ELECTqICITY THIS INSPECTION NEQUEST WILL NOT Griges•Mitlwny Bldg. - floom N•191 0E ACCEPTED BV THE STAiE 60ANU 1821 University Ave.. SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (672) 297-2117 ENCLOSED. RESIDENTIAL ? Jl ? ? BUILDING PERMtT APPLICATION _ I C ITY OF EAGAN 3830 PILOT KNOB RD - 55122 Q$p? Co . 75 651-681-4675 Iew Coostmction Reouiremenls RemodeliReoair Reauirements 16 a- c? ? 3 reg'stered site wrveys sMwirg sq, fr. of kt sq. R. of house; and all roofed areas • 2 copies of plan (20°h manimum bt coverage allaxed) . 1 set of Energy Calculatiore for heated addilions 2 copies of plan showing beam & windmv sizes; poured found design, elc.) . 1 site survey for extenor addNons & decks 1 set of Energy Calculations . Indirate if hane served by septic syslem tor addNions 3 copies of Tree Preservation Plan if bt plaked aRer 711/93 Rim Joist Detail Options selection sheet (hldgs with 3 or less units) )ATE YALUATION f Di IOB 51TE ADDRESS F MULTI-FAMILY BUILD NG, HOW NY UNITS? 'ROPERTY OWNER 'YPE OF WORK 0) 19a FIREPLACE(S) _0 p1 2 ?y3p aPPLICANT kieb- s PHONE #????' ?0 I?' I hN( 4DDRESS ? ZIPCODE 2- 'AGER # CELL PHONE # FAX # I ' 3? NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RUI.ES 7670 CATEGORY 1 nF? rr? [? In (check one) - Residential Ventilation CateRory 1 Worksheet Submitted - Energy Envelope CalcuTations Submitted II I _ MINNESOTA RULES 7672 ?I `i - New Energy Code Worksheet Submitted lBy Plumbing Contractor: Phone P1umUing System Includes: Water Softener Lawn Sprinkler Fee; $90.00 Water Heater No. of R.I. Baths Nn. of Raths Mechanicai Contractor: Mechanical System Includes: Sewer/Water CoMractor: Air Condirioning Heat Recovery Systcm Phone # Fee: $70.00 Phone # kII a6ove information must be su6mitted prior to processing of application. hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with 311 applicable State of Minnesota Statutes and City of Eagan Ordinances. ??I ,'"' y Signuture of Applicant 3v'f :ertificates of Survey Received _ Tree Preservation Plan Receive _ Not Required _ Updated i/01 ? ------------ i j Parmd iF: l.L/ O V/ j ? Permit Fee: ? Date Received: I I f I Statt: 1 I ----------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION nate: sice naares8: _??3 ?r ?S-S C?ou 2/ L, nJ renanc: Suim &: RESIDENTlOWNER Name: ei-i QtiJ,?.rS ik6J Phone: Address ! City / Zip: Applicant is: _ Owner ? ConVacior TYPE OF WORK pescripdon ot work: pfo fflonp Construction Cost: /? ?_ 0 O MukFFamfly Bullding: (Yes ! No CONTRACTOR Name: ?Z486PLS N?s'iP -?-N?,fl(D?? S License #: To nea,au: Gty: nh TO *j State: 0711) ZiP: -D Z Phone: (Li I' 4g '.35?Z 5 Contact Person: RXI,? &L&e COMPLETE THIS AREA ONIY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 7 Minnesota Rutes 7672 Energy Code . Reafdential Ventllation Catepory 1 Waksheef • riew enargr coae worksneei C8t9gOfy SuMnitted Su6mitteU (V submisston typ8) • Energy Envelopa Cekulatlons Su6mitPed In the last 12 months, has the Cky of Eagen Issued a permlt for a atmilar pian based on a mester plert7 _Yes _No If yes, tlate and address of master plan: Licenaed Plumber: Phone: Mechanlcal Condactor: pryone: Searer & Water Coniractor: Phonre: ; `A?'I?C?P/dtlS 8fid ?Sf??JOf? tl1iClflIlBh?B #h8? j!{ftt C?BIYIBI? ?`4:b8.#iUb//4'-=/fi?tllYXG?('FATT ,? . !'HGhB OP -; 8tl1NilN.? ? the lnfomlet7arr may be classtf? ms ?eon -p ubl le A yiw pr vlde e r"soas Niat waw?It flre CityLo-,. - o ? ?y ? v "• y p ? 4 T`..?T??/[?IV(T.M{Y BTV;??iVMVfV kY di I hereby arJcnowledge thffi Mis infortnation is cmplete and accurate; Mat ihe work wlll be In conformance with ihe ordin2nces arnd codes of the City d Eagan; Mat I undarstand this is not a parmk, but only an applicetian for a pertnR, and work is?nost to sti with ut s pertnft; that lhe work will be in accordance with the approved plan in the case of aic which requires a review and approval x ?betl1`" ?? x - Applicani's Printed Name Appl[cant's Signature Page 1 ot 3 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55922 p. BJ 651-675-5675 I?0 Please complete for modifications to existing residential dwellings. I f? Date Ap l / -,y2lc5-g / ' Site Street Address ?,Pi2 ,,l?19/C1 °c, Unit # Property Owner ?f/'/2/?? ?'y??5'/!/ ll-,)N Telephone # y q?a-,Y 3 5'' ? { G Contractor "1 Telephone# - " Address -' City _ State,k? Zip h ?- i Th A li O C e pp cant s: _ wner on ractor _ Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excludi ng water softener and water heater _Septic System Abandonment _Water Turnaround (add $121. 00 if a 518" meter is requi red) Other: lxWater Softener Water Heater $ 15.00 -k replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total $ 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 accor ance with the approved plan in the event a plan is required to be reviewed and aW -., ,) ?? ?P y P A canYs Printed Name Applicant's gnature :71 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED YfITH THE CITY OF EAGAN CONMERCIAL ? aF 60l mu To Be Used For: -?? Valuation: bit?- Date: /Z..y(--yl$? SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS? $2,000 LANDSCAPE BOND Site Address Y`f.Syj C/ntiar g") Lot --3 Block ParcellSub 41vJ ?,• ? Owner "_d- Vq:(np =,6-.P-S 4>' C. Address ZVj6Q 9?3^4A_fj /Jfi City/2ip Phone 2n 5-5-1 ? Contractor ?'JL? Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # OFFICE USE ONLY Erect Occupancy •3 Remodel Zoning PE) Repair , Type of Const Addition # of Stories Move Length ? Demolish Aepth 2 Int.Impr. ? Sq Ft Install ? ----------- -------------------- APPROVALS FEES Assessments Permit Water/Sewer Surcharge Police ? Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Raad Unit Bldg Offl/ Treatment Pl APC Parks Variance Copies TaTAL ( TOWNHOUSE ) CITY OF EAGAN N° . 1 12 3 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?? PHONE: 4548100 ?'? BUIIDING PERMIT Rece+Pt # R 7 85 Value $60, 000 1 OF 4 PLEX Est NOVEMBE pate 19_ . Te M wed fm R 4453 CLOVER LN erect ? ocwpancv PD SiteAddress EDEN ADDITION 3 Rem°del ? Z°"'"9 SeclSub. Lot 3 Block Rgpeir ? Type of Const. V Parcel No. Addition ? No. Stories ? th 44 o L GOOD VALUE HOMES INC Move Demolish ? g e Depch 24 a Name RD Int. Impr. ? Sq. Ft. ; Addrecs BL INE 8?-5510 7 install ? b pnone City Approralf Fees o S?E t $ 313.00 P ? tvame dd Assessmenf ermi Surchar e 3 ?•? ? ? ress A Woter 8 Sew. 9 f City PhO^e police PlanReview ?. 0 525.00 ?w Name Fire SAC 500•?0 _? Address E"g' y?rater Conn. 63.00 t M 'W City Phone Planmr er e Water 280.00 Council Roed Unit 00 132 1 hereby ackrwwledge that I have read this opp' Lcahon and state that gld9. Off.ll 1 85 . Tr. PL fhe inlormotion is Correct e? o9ree to comply with oll opplico6le " APC Parks nces, Stote of Minnesoto $tafutes o d City of Ea9a^ Or Var. Date C?lQy Sionmure of Pertni 7otal $1 999.50 GOOD VALUE HOMES INC on the expren cordition fhat A Building Perml Is i d ro: rdance with oll app???bla Sfafe of Minneaota $tatutes ond Clly of Eagnn Ordinonces. ol( work sha11 be ne in acm j 8ufldinq Officiol 1: 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: bI.L CONTRACTORS MUST BE LICENSED YfITH THE CITY OF EAGAN COlRIERCIAL i q-- (-v,eoo i To Be Used For: ? Valuation: 'a--d Date: SINGLE FANILY DNELLINGS 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 CALCULATIDNS ENERGY CALCULATIONS' $2,000 LANDSCAPE BOND Site Address Lot ? Block Parcel/Sub %-:) ?lcra t Owner ??S3rl? V?•?? ??`"'"-e..5 bJ C- Address L6 0 C- City/Zip Code Af.J Phone )f'U Contractor Qj,^ „ Addres City/Z Phone Arch./ Addre: City/2 Phone OEFICE USE ONLY Erect k Occupancy 3 Remodel Zoning p Repair ? Type of Const Addition # of Stories Move ? Length Demolish Depth 2¢ Int.Impr, ? Sq Et Install , ----------- -------------------- APPROYALS FEES Assessments Permit Water/Sewer ? Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Offy 1t-eatment Pl APC Parks Variance Copies TOTAL (TOWNHOUSE ) CI7Y OF EAGAN ° 21 799 Eagan MN 55127 N! 11238 ?,7? 7 S 3830 Pilot Kno6 Road, P.O• 8ux • I I PHONE:454-8100 Receipt # 85 BUILDING PERMIT NOVEMSER 7 T?? b. 1 OF 4 PLEX Est. Value $60 , 000 pate 19 e 4453B CLOVER LN Erect ? Occupancy PD in Z SiteAddress EDEN ? 3 Remodel q on V Sec/SUb. Lot 4 Block Repair ? TypeofConst. Parcel No. Addition ? No. Stories 44 Move ? Length GOOD VALUE HOMES INC Demolish ? oeptn 24 a Name 1460 93RD LN NE Z Intimpr. ? Sq.Ft. Address ? BLAINE phone 18u'S510 Install ? CitY ApOrorals iaes 00 ? Name AME Asses fm?? 30.Q0 uAddress Wute urCharge 156.5? r City Phone Poli" an Revlew 5 2 5 . 0 0 7 Fira nc 00 500 Neme _- Address E^q• • flterConn. 6 3• 0 D ter M Phone City Plon e er ?wat 980.00 qoad UNl Council 00 132 d this opplication ond store ihat . gldg. Off. 1?. 1 85 Tr. PI. I hereby acknowledge that I have rea orreCf and a9ree fo wmply with all opDlicable i i APC pafke 5 C on fhe informot $tate of Minnesoto Statund City of Orlirwnces. t a Var. Date Copies 9 9 . 5 0 1 Siqnoturcof Pe ' GO C , To[al en the exprcas conditlon tha? A Bullding Pe it ls i d to: all work shall e in acwrdance with oll apvlicoble StateM ta St utes Ciry ol Eo9an r irancea. Builditq Otficiat ? 7985 BUILDING PERMIT APPLICATION - CZTY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DriELLINGS INCLl1DE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF '1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS' $2,000 LANDSCAPE BOND -t? / I /poF Go,ooo To Be Used For: E-???O Valuation: P-0-0-15"0 Site Address q(? Jm?- iI e/ 1"IAJ OFFICE Lot ? Block 3 Parcel/Sub ScIV..) Act Owner ?'??YC ?°'yS. ?IG Address City/Zip Code q4',d.,Lr. Phone 7rlr? SY7 t7 Contractor 4241?? Addres- City/Z Phone Arch./ Addres City/Z Phone Date: Erect ? Remodel ? Repair ? Addition Move ? Demolish Int.Impr. ? Install _ APPROVALS Occupancy Zoning Type of Const S 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/ Lz Treatment P1 APC 77- Parks Variance Copies TOT9L , ,-- - -- - - - ( TOWNHOUSE ) CITY OF EAGAN N°_ 1 12 3 6 3830 PiIM Knob Road, P.O. Boz 21-799, Eagan, MN 55121 i PHONE: 454-5700 BUILDING PERMIT Receivt # Te M wad far 1 OF 4 PLEX Est. Value $60,000 pate NOVEMBER 7 19 85 4455 CLOVER LN erect ? occupancy R Site Address EDEN ADDITION 3 Z Remodel ? 2oning PD SeclSuh. Block Lot Repair ? Type of Conat. V Percel No. Addition ? No. Stories GOOD VALUE HOMES INC N Move ? li h ? Length 44 h 24 D W ame z 1460 93RD LN NE Address Demo s lntlmvr. ? ep2 Sy.Ft. ? BLAINE 780-5510 City Phone Install ? Approrala Faes z$? Name SAME Assessment , ?0 Pertmt a? Address u? WaterSSew. Surchar9e 30.00 v Phone Cit Police 156.50 Plan Review Name ?W Fire SAC 525.00 ~Z Address Z o Enp, waterconn. 500.00 ?W City Phone Planner 63.00 WaterMeter Council Road Unit 280 • 00 I hereby acknowledge fhot I have read fhis application and state thaf gldg. Off. 11/1 85 Tr pI 13Z . OO fhe inlormation is correct and ogree to comply wilh oll oOGlicable APC Parks State of Minnewto Statutes d City of Eogan Ordirwnces. Var. Date Gopiea Sianoture of Permitte 7otal $1,999.50 A Building Permit s iss ro: GOOD VALUE HOMES INC on the exprcu corditlon thal all work shall be in accordance with oll applicable Sj of Minneaota tatutes a 'ty o4 Eaqan Ordirances. Buildirp Oflitiol ? ? 1985 BUILDING PERNIT APPLICATIOH - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED NITH THE CITY OF EAGAN COMQIERCIAL SINGLE FANILY 1riIELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF '1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND I or C'C>, To Be Used For: Valuation: j2:pggv- Date: Site Address !¢yj ,S 6 Qm Q Lot 2- Block 13 Parcel/Sub r Owner ???p.'?? ?.?? Address City/Zip Code Phone Contractor 452?? Addres City/Z Phone Arch./ Addres City/Z OFFICE USE ONLY Erect X Occupancy R, Remodel ^ Zoning Repair , Type of Const T1 Addition !I of Stories Move ? Length Demolish Depth Int.Impr, _ Sq Ft Install ? ------------- --------------- ----- APPROVALS FEES Assessments Permit 3?3 Water/Sewer Surcharge ? Police Plan Review Sco s` Fire SAC 525. Engr Water Conn Soo. Planner Water Meter (03. Council Road Unit Zgp. Bldg Off&1 Treatment P1 1 Z APC Parks Variance Copies TOTAL t y y'. S Phone # ( TOWNHOUSE ) CITY OF EAGAN d P O Box 21•199 Eagan, MN 55721 N_ 11235 3830 Pilot Knob Roa , . . _ PHONE: 454-8100 • 7 ? BUILDING PERMIT Receipt - # 85 NOVEMBER 7 19 $60,000 Dare 1 OF 4 PLEX Est. Volue Te M wad foe Ered EK OccuPancy R3 4455B CLOVER LN Sitewddress EDEN ADDITION D qemodel ? Zoninq P La 1 81ock 3 ?ec/5ub. RePalr ? TyOe of Const. V Parcel No Additlon ? No. Stories . Move ? Length 44 GOOD VALUE HOMES INC Demolish ? Depth 24 W Name z 1460 93RD LN NE intlmpr. ? Sq.Ft. Address 780-551? BLAINE Phone t Instail El City Fees app.orals g Name SAME ?? I Address ? CitY Phone Name Assessment Water 8 Sew. Police Fire i,j I Address Eng. ?Z Phone Plonner ? C'tY Council I hereby acknowledge thaT I have reod this aDPlicat10^ a^d stote Thaf gldg. Off. ]. ). 1 8 5 ihe informotion is correct and gree fo wmplY with oll appliceble APC Ordinance P 313.00 8f11,;i Surcharge 30.00 PlanPeview 525.00 SAC 5 0 0. 0 0 Water Conn. 63.00 WetarMeter 280•00 RoadUnit Tr.PI. 132-00 Parks Stute of Monr?ewto 954t Var. Date I Copfes Taai $1 999•50 Sipnnture of PertnHOMES INC on the express conditlon A Bufiding Permit Is oll work shall be do oble State of in sotu Statutes and City of Eagon r irwnces. i, Building Official PERMIT CITY_OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: h??I L UI Nr Permit Number. 0 3 4:3 T 4 Date Issued: 01/08/9 y SITE ADDRESS: /4 n55 a Ci_nvER LANF Ln-r: i BLocn: a L'D Eid P,T..IV.: 10-22150-010-03 DESCRIPTION: sruzNc S70RM OldMt1GE ttEPF1SR 434 ALT. RESIIJEP'T.CAL ,,' ?'I ?? - {t "?;t •f._ - ]??'_ ? ?-. t?E p t_RCt_ 8tt'1..ldih2r. P e rrni.t Tyae I?uildinq Wo-,i°4< Typ? ,-Cansus Code r ? ? % -? l, 1 ? 4 . REMARKS: uNI cT a FEE SUMMARY: CONTRACTOR: - AGpLicarit - 5T. ?IC. OWNER: CUSTOM GOtdL'Ep'I' ; CONSI 18951290 fZDf=P4F_IR MARK 1G5447 ICENhICK LC7Llf) lS7E 13 4455F CLCIVER LANE i..AKEVLI.IE MN 55044 LA G AN MN 551.2 2 (6121 895--7250 ? C herehy ackriowledqe that 1 haue reaef this=applieaCion and st_ate tFiat the infnrmatian is correct ane9 aqreo to aonip?v ?with aJ,l applzcable utiate ot Mn. 5taCutea and City oi' Eagan Orciinances« APPLICANTlPERMITEE SIGNATURE I ED BV: SIGNATURE ? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) . 'CITY OF EAGAN ? --I ? 3830 P ?651) 68014? - 55122 ? New Construcuon Reauirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. tlesign; etc.) ? 1 energy calculahons ? 3 wpies of tree preservation plan rf lot platted after 7!7193 required' _ Yes _ No DATE I " ? -? ? RemodellReoair Reouirements ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? t energy calculations for heated additions CONSTRUCTION COST; (4 3 7 S DESCRIPTION OF WORK: %I Q /? ?-????? STREETADDRESS: ?I,-I56 k ?-x-UIJ?fA C&/bt- LOT: 1 BLOCK: 3 SUBD./P.I.D. #: N,une:_ L?ccjn-trMWL_ Plione k: PROPERTY L?L F"nL pLVN1:R Street Address:---------------------------- ------------ --- CiLy State: Zip: --- - -? ------- COA'1'ILAC COR , Street Address: k..Cp. Cur' ARCHITECT/ ENGINEER CoinF Nvnc Strcet Ciq: Sewer & water licensed plum6er (new construction only): _ change and lot change is requested once permit is issued. Penalty applies when address I hereby acknowledge that 1 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 State: " _---- Zip' -'`?v??-! ----- Yhone #: ------- Rc?risLration #: --- Statc: ------------ LP` PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: ??J I L 0 1nG Permit Number: 0 3 4 3 7 3 Date Issued: 01 J 0 8/ 9 9 SITE ADDRESS: 4455 CI_OVEft LflNE LOT: 2 BI.OCK: 3 r-t) E ni P.1,N.e 10-22750-820-03 DESCRIPTION: REPLACL" 5IDIR!6 Buildind-Permit Type SfORM DAIIAti!= ¢uildi.ng 06,rl< Type RI=PFISR ?fierrsus Code 434 ALT.. fiFSlt)ENTIAL ? / \\\` ? ? 1 ?? ?A , ..? , ?. - ? • -- !/ REMARKS: FEE SUMMARY CONTRACTOR: - Applicant - sr. Lzc. OWNER: CUSTQM CONCEPTS CONST 18987290 20142417 OCHIS DOU(; 16540 KCiVR7CK LfiOPlSI't= B 4455 (;LGVER L.ANF LAKEVtLIE MN 55044 EAGAN MP1 55122 (612) 898-7290 ? i harabv acknowledqa that .C have reGd i:has apptication .ind state thati the intormation is cor*rect and aqree to eomply wii'.h alt applicahle Stat? oT Mn. Statules and Citv oi` Eaqan Ordananca5. APPLICANTlPERMITEE SIGNATURE 0-is, I EO BV: SIGNATURE I 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN OBRD - 55122 3830 PILOT 51) $ ? `_ti l D 6 New Construchon Reouirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fid. design; etc.) ? 1 energy calculations ? 3 wpies of tree preservation plan if lot platted after 711l93 required: _Yes _ No DATE: I ' -1 - Remodel/ReDair Reouirements ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? 1 energy calculations for heated addihons CONSTRUCTION C05T; y 3 -7,S- DESCRIPTION OF WORK: ?"?' U STREETADDRESS: y?'IJ?,SI /??t_vUj/i LOT: D- BLOCK: -3_ SUBD./P.I.D. #: N;vne:_ ' V11 S I!)OAA_ Pliotte H: PROPERTY Lv' ? 0 t'^t ?J oWvi:it sti«i Adare,s:---------------------------------- CiLy StaR:: "Lip: /? ?rp , Cy C:omp:uiy':_ L(99/I Yliouc rt: ?r?_a /L-?----- CONTRACCOR ?V ?J 0??-?-/?-!.?- License #ZO/?/ 2Y (2-ErP' --- Strcet Address: ' Cily ARCFIITECT/ ENGNEER ColiiP \;ime SlrceL Citv Sewer & water licensed plumber (new construction only): , change and lot change is requested once permit is issued. ? Statc: -- - ------- G`u0 -16250t(c/------ --------- Phone #: ------- ----- Registrauon 4: , ------------ S[a[e: ------------ - "Lip: 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 PERMIT CiTY OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: BulLurntG Permit Number. 0 3 4 3 7 2 Date Issued: 01 ( 0f3 / 9 S SITE ADDRESS: q4538 cLoveft Lr,r!E l0'f: A BLUCK: ' EDEN P,.T.eN.- 10-22750-040-03 DESCRIPTION: RrpLACE SIDSM1IG Ciwll.diriq'_ Permi.C 'i'ype sroRM UFlMAGE 8uildinq Qark Type RF_PAIR -C ensus Coda A 430 l4lT. RESIIJfNTIAI_ j ? • / .. _, I'/??,, ?? ?C'.-' -.. REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - 5t. I.zc. OWNER: CUSTOM CONCEPTS CQNS7 18387290 20142417 UKNIS KA7'HERINE 16540 I<EIVRICK LOOP/STE B 44538 CLOVER LANE LAKEVILLE nIN 55044 EFiGAN MN 55122 (612) 898-7298 I herebv acknowladqe that 'S have read "this application anG state that the inYarmation is c.orract and aqree to complv witii a11 applicable Stato of Mn. St:atut.€:s and City afi Eaqan Orda.nances. I APPLICANT/PERMITEE SIGNATURE I - SUED BY: SIGNATURE ? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?j -- 3830 PILOT KNOB RD - 55122 9F (651) 681-4675 New Construction Requirements • 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 711l93 required: _ Yes _ No DATE: I J ?I -?I ?1 Remodel/Reoair Reauirements ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? t energy calculations for heated additions CONSTRUCTION COST; W?-?S DESCRIPTION OF WORK: STREETADDRESS: L44?!i3 IL GQl)m Laa-M? v LOT: q_ BLOCK: SUBD./P.I.D. #: N,une:_ ?A-'l J S Ykwne PROPERTF L:61 Erst pWNER Slrect Citp S[a[r. %ip: Compvry: d? 1/L1 --- (CY?6? /- Pltone ?S!__! 4_ -- _--- --- ? - ------ ?: C( )\"1'RACCOIi s Street rlddress:_1(0 Vro 13 Liccuse # 4??(yL"07 _-Fxp ' ----- Ci1y' ARCHITECT/ ENGIA?EER ContF: \:vnc Strcct Ciry 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 Slate: _______-_ Zip: ?j? -"?`?? ---- Phone #: ------- Rcbnstiation #: -- State: ----------------- %ip: Tree Preservation Plan Received - Yes _ No - Not Required PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT TYPE: Su 1Lri z N c Permit Number: 034371 Date Issued: 01 J N 8 I 9 9 SITE ADDRESS: P.I.N.: 10-22750-030-83 11453 cLoveft LAivr_ L07: 3 f3LOCKc 3 EIILN DESCRIPTION: REPI.ACE SID7NG Bt-,l 7dinG Permit Tvpe STORM DAMFlGE PuLldina Wbrk 7ypE REPpIR ,"Ce nbuf? Code 434 A1.7. RL5T.DEhJi7AL i , i ? . . ? .? , -_ REMARKS: FEE SUMMARY: CONTRACTOR: - flpp.ti.canr. - ST. LTC. OWNER: CUuTOhI CqNCEPTS CUNS'i 18987740 20142417 STANTQN CAROL 16546 P:ENRICK LOOPJSTE E 41153 CLOVEft LAME LAI<EVILLE MN 55044 EAGFlN MN 55122 (6J2) 898-7290 ?L L hereby acknowleclqe tihat I have read t.his applS.cation aiiG 5tate tliac tF2 iniormat.ion is cnrreri_ ond aqree ta comp.ly with a1.1 applicable State nf IMn. Statutes and City ofi Eaqan Or-dinazices. ? APPLICANT/PERMITEE SIGNATUIiE @OUED BV: SIGNATURE 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT 6 q? 51) 680B RD - 55122 New Construc6on Reauirements ? 3 registered sde surveys ? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 Copies of Iree preservation plan iF bt platted after 711l93 required: _ Yes _ No DATE: 1 - Remodel/Repair Reawrements ? 2 copies of plan ? 7 site surveys (exterior addi[ions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST, y 3-7 S DESCRIPTION OF WORK: STREETADDRESS: 44b3 lkoIJQ.I. 1AA"lSL LOT: 3 BLOCK: -3 SUBD./P.I.D. #: N:unc:?m -----CLy,C_O Pho,ic ?t: ? PROPERTY L.+t F'ust U4VNL:R Strec[ Address:---------- -- ------------- --- City State: %ip: Plionc SL l/ G - ---- ----------- CO\"CRACI'Olt StrectAddress:y? License #20141Zy l:xp. ------ Ciq' ARCHITECT/ ENGiNEER Comp; Name: Strect Cily _ Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. S[atc: 'Ziyd_V_ __------ L1U' ??-a- % 7 ---- Phouc #: ------- - - Rcgishatiou k: -- Slate: ------ %ip: 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 ` __,a BL CITY USE ONLY I ? suao eG? RECEIPT #: 3" + l:5 RECEIPT OATE: "l 0-G 0 PERMIT# S 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground spnnkler system cnrn1occ EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas pipin outlet * minimum - t 3.00 x = $ Hot tublspa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory Septic System newlretvrbisned ' requlres PAPC lic. 3.00 75-00 x x = = $ $ Septic System ahandonment 30.00 x = $ RPZ new installation/repair/rebuiid 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler rf dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water cioset 3.00 x = $ Water heater 3.00 x = $ Water softener If dwellfng under construction 5.00 x = S Water softener if existing dwelling 30.00 x = $ Watertumaround 30.00 x $ State Surcharge TOtal 50 __> --> --> --> --> ---> $ .50 $ 30.5 Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. -------------------•• ------------------------------------------------------ - -- -- I hereby acknowledge that_I have read this applicafion, stste that the inforrneUon is cortect, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicanPs responsibility to notiTy the property owner that the City of Eagan assumes no liability for any damages caused by the City during ds normal operational and maintenance adivitles to the facilities constructed undar this permit within C@y property/right-of-wayleasement. SITEADDRESS: 4453 B CLO[fER LN EAGAN MN OWNER NAME: : KAHTY UKNIS TELEPHONE #: (651) 688-6896 (AREA CODE) INSTALLER NAME: MARK SCHLINK TELEPHONE#: (507) 334-6171 (AREA CODE) STREETADDRESS: 9149 140TH ST W CITY: MnNT('l1MFRY ST ZIP: Sh(1f,Q SIGNATURE OF PERMITTE Z°ai, Qznv,',j tt 0/0 (11 71 & 61a s /9 s O A?r. LZ gL d CITY USE ONLY RECEIPT #: 3972TI SUBD. CP? oATE: 35/95 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 65122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air condkioning Add-on air exchanger, i.e. Vanee system, etc. Y' Date: `/X-P / /95 FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20_00) ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required Q$3.00 each) ? State Surcharge .50 TOTAL SITE ADDRESS: y?V55 !J e/G{%r- I a/?P OWNER NAME :/7?C?ere PHONE #: INSTALLER STREET /"' CITY: / G-tr STATE: ?YIN ZIP: k56D 77 PHONE #: PERSONSiRDQL![RING AD[)ITIONAL COPIES WIIS;, BE CAARGID A$20:OQ! FEE Tp COVE CITY OF EAGAN APPLICATION FOR PERNffT SE'WER ADID/OR WATEE2 CONNECTION 1) PROPERTY ADDI2ESS: T,HY;AT, DESCRIPTION: (LOt/Block/SUbctivision or Tax $aftle?l I.D. Munber) - IF EXISTING STRCC7S,'RE, DATE OF ORZGINAL BLILDING PERMIT ISSC'ANCE: (MOnth Year) PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY R-2 DL'PLEX (Ztvo Onits) R-3 TOWNHOL'SE (Three + Cnits) ( Units) R-4 APPRTMENT/COAIDOMINICM ( Units) COhA7Ef2CIAL/RETAIL/OFFICE IAID[;STRIAL INSTIZRUTIONAL/GOVII2NMENT 2) ? NAME: ADDRESS: CITY, STATE, ZIP: ,SCfiNd/?? ?J .R/ 51!?-d 73 PxoNE: 3> • r ?• NAME: aoDREss: CITY, STATE, ZIP: PHONE: MASTEEt LICENSE ?' For City C'se Plumbers Licens( ive ired • Not Recorc Sta Initial 4) ? • • • • ia• /) J NAME: ?Od? !/N/Cle-- .17d3.s-E AnDREss: 93 CITY, STATE, ZIP: Ih N SSS`??? PxonE: -790 d 5) i? ? ?• • n• a? t'[" COiVNf:CTION 'I+U CITY SEWER At CONNECTION TO CITY WATER Q OTI-IER (Please Describe) 6) u • i ? PLE715E HOLD APPROVID PERMZT FOR PICK-L'P BY ONE OF ABOVE 87 PI.EASE MAIL APPROVID PM2MIT TO 1, 7, 3, 4, ABOVE (Circle one) 7) ?!5' 7 ? ' 4? ?/ 02/ O? FOR C I T Y U SE ON;,Y PERMIT " ISSUED F°_ES: $ _ /U U $ /v S7i $ S S s i s oo $ /S 0 U $ 510,00 $ S S $ $ $ $ $ ???• ?v -' .. E:'. j n^o nr?^..__ ?1TT (I_I?CL.:i... *"?v Sli. ':.?Rr'^ .. '?..r.. .,c} waTEa PEi2P1IT MrciUDE Su C :ARGE) WATER METER/COPPERHORN/QUTSIDE READF.R WATER TAP (INCLUDE COR?ORATIOV STOP) S?:VL3 TAP ACCOliNT DEPpSIT - S•IATrR wac SP.C TRGVK TIATER ASSESc;.tr;;Z. TRliNK SE;dER lSSE55:4z'NT Lr„E?.lL BENEr IT/TP,U`diC SE:%-ER LAT'c4r1L BENEFIT/TRU:IK i' WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL AMOUNT PAID; REC°IPT R '77 DOES UTILITY CONNECTION REQUIP.E EXC.aVATION IN PUBLIC RIGi-IT OF WAY? ? YES IF YES, THEN i{ "PERMIT FOR SdORK WIT??ZN PUBLIC ROADWAY" MUST BE ZSSUED BY THE ? NO ENGINEERIr7G DIVZSION. LIST AS A CONDI- TION. SL'EJECT TO THE FOI.LOWING CONDITIONS: APPROVED BY: TITLE: ? DATz' : 17 '?? 7 ? ? ' 1 • ' ? ? • 1 • ' ? IJI' • I? /• 01• • ?1• '91' i •7? •?? ? /• •' ' ?1? • 1 11 ?1 • • ; 'W Y ? CITY OF EAGAN APPLICATION FOR PERMIT SEWEE2 APID/OR WATEE2 CONNECTION 1) PROPII2TY ADDRESS: 44y5 3 T.FY;AT• DFSCRIPTION: ?_;,7? 7/fi :? C? ,7?.a (Lot Block Subdivlsion or Tax Parcel-I.D. Number) IF EXISTING STRCClL'RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (MOnth Year) PRFSENP ZONING/PROPOSID USE: R-1 SINGLE FAMILY R-2 DL'PLEX (Two L'nits) R-3 TOWNHOL'SE (Three + Onits) ( Lnits) R-4 APARTMENT/CODIDOMINICM ( L'nits) COMMERCIAL/RETAIL/OFFICE IPIDL'STRIAL INSTI'IL'TIONAL/GOVEEtMV= 2) ? rAME: H- ADDRESS: CITY, STATE, ZIP: .57C/?? ? A ?'j , y S Sp'73 PHONE: 213Y - S/ 71 3) For City L'se NAME: Plucnbers License ADDRESS: L CITY, STA TE, ZIP: PHONE: MASTER LICENSE ar( ? Staf Initial 4) os m• i Di• ru,ME: ADDRFSS: CITY, STATE, ZIP: PHONE: (:a6av 5) n r :0 • 1 16M49 m z I I F a L $j COIV=ION TO CITY SEWER AD-CONNECTION TO CITY WATER Q OTI-IEl2 (Please Describe) 6) ?• i ? PLFA,SE HOLD APPROVID PERMIT FOR PICK-L'P BY ONE OF AEOVE Al PLF.ASE MAIL APPROVFD PERMIT 'IC) 1, 0 3, 4, ABOVE (Circle one) 7) F 0 R C I T Y PER`1IT " ISSUED FEES: $ 16).SiJ $ /0•5-a ?3va $ $ S $ / reiv $ ?,•UU +S ? O. UrJ $ Sa3-:?? S S S $ $ $ $ U S E ON;,Y / SE:'ic.°. PE3MTT (I_`ICL"t:D: SUAC:i?RGc) WATER PEI2A1IT (INCL'uDE Sli^C::AcZGr.) WATER METER/COPPERHORN/OUTSIDv. REr,DcR WATER TAP (INCLUDE CORPORATIODI STOP) S::YLR TAP . =C?C'i;:._ ??C•SI= - a=:._3 ACCOliNT DvPnSIT - WATER HTtiC SPC TRG:IK WATER ASSLSS:SE:JT TRli:7K SE:9ER aSSESS:iE:iT LniE?,lL BENEFIT/TRUVK SE:'iE:c LATr.;21L BENEFIT/TRU:1K WATER WATER TREATMENT PL-07T SURCHARGE OTHER: TOTAL Ah10U\T PAID/qEC°2?T DOES UTILITY CONNECTION REQUIRE EXCaVATION IN PUBLIC RIGi-IT OF WAY? Q YES IF YES, THEN n'•PERMIT FOR WOR?C WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ? NO ENGZNEERING DIVISION. LIST AS A CONDI- TION. jLiBJECT TO THE FOI•LOS9ING CONDITIONS: APPROVED BY; TI:LE: ` DAT°_ : ?l ? • 1 M •'• ? • I •' 0 I' • I? /• ?I' •?• ? '?' 1 '7? I' ?? ? • •• ' 71? • 1 11 ?I • • ; •? • CITY OF EAGAN APPLICATION FOR PERMIT SEWERR ANID/OR WATEEt CONNECTION 1) PROPII2TY ADDRFSS: T•FY:AT, DFSQ2IPTION: IF EXISTING STRCCTI'RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month Year) PRESENT ZONING/PROPOSID OSE: R-1 SINGLE FAP'iILY R-2 DCPLEX (Twa L'nits) R-3 TOWNHOC'SE (Three + Cnits) ( Units) R-4 APARTMENP/CONIDOMINICM ( L?nits) CONA9Ef2C IAL/RETAS L/OFFICE IAIDCSTRIAL INSTI'Ii'TIONAL/GOVERDA9ENT 2) F-TWERKTUM / j NAP'IE: fv/G.G E/S o.V C- ADDRESS: r_? d yc / Z? CITY, STATE, ZIP: ,5'C"y'yd/l4 S5073 PHONE: y33 - 5-i7/ 3) • r?• [VAME: ADDRESS : CITY, STATE, ZIP: PHONE: MASTEE2 LICENSE # (fj0/SS? ? ?i For City tse Pltunbers Lscens? ,,j2Z1?Ac ve Q ired tRor(Sitial &L?c 4) ?• i?• N11ME: ADDRESS: CZTY, STATE, ZIP: PHONE: 600 d 7/A/GfcC A/6a - 9 3 / -y .R //q /.v& AV 4, 5) i? d ? ?• • a• ?? ta CONNBCTION 'IY) CITY SE44ER IM CONNECTION TO CITY Ug1TEE2 Q OTfIIIt (Please Describe) 6) u • • i ? PLEIISE HOLD APPROVID PII2MIT FOR PICK-L'P BY ONE OF ABOVE ? PLRASE MAIL APPROVEa PERMIT 70 1, 6) 3, 4, P.BOVE ---s /` (Circle one) 7) •? h?' S? ??// ?/?"l?t,. ? ???1 ??I F 0 R C I T Y U S E O N L Y PEDNjT u ISSUED rrr.s: $ 1291_5?0 $ /D-SU $ S $ $ ?S d G +S $ ?o.uo $ ??-57?v $ $ $ $ - $ $ $ $ SE:':GR °ERMrT (INCL::DE =C::?RGc) WATER PERf1IT (I17CL'uDE SliRC::AcZGE) WATER METER/COPPERHORN/OUTSZDE REaDER WATEP. TAP (INCLUDE CORPORATION STOP) S--:dER TA? AG.OUNT DvPOSIT - t9ATEB WAC SP C TRG:IK SVATER ASSES52?E.dT TFii:]K SE:•iER ASSESS:IENT LaTE?.:+L BE:IEFIT/TRUNK SE:•i: R LATcRAL BENEFZT/TRUiIK WATz'R ZdATER TREATMENT PLARTT SURCHARGE OTHER: TOTAL AMOU::T PAID; REC°I?T ''n J 77 ' Yy DOES UTILITY CONNECTION REQUSRE EXCaVATION IN PUBLIC RIGiIT OF WAY? C?. YES IF YES, THEN A"PERMZT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE Q NO ENGZNEERING DIVISION. LIST AS A CONDI- TION. S[:BJECT TO THE FOT.LOWING CONDZTIONS: APPROVED BY: TI:LE: DAT°: ?/ c+?/ Alc • 1 I ' ' • w9ro I 0 • • ?71' ' ID /. 71• • 710 • :` • ' 6tn I. a vk "es-I f, 1 • /• vmvG1!A ' 7?? • 1 i 1 ?I • • kN:ivzl CITY OF EAGAN APPLICATION FOR PERMIT SF.WER ADID/OR WATER CONNECPION IPIPASP Printl - 1) PROPII2TY ADDRFSS: T•FY;AT, DESCRIPTION: IF EXISTING STR[:CTi'RE, DATE OF ORIGINAL BLILDING PEEtNIIT ISSL'ANCE: (Month Year) PRESENT ZONING/PROPOSID C'SE: R-1 SINGLE FAMILY R-2 DLPLEX ('I4ro ['nits) R-3 TOWNHOL'SE (Three + Cnits) ( Onits) R-4 APARTMENT/CONDOMINICM ( ('nits) COA'A'iERCIAL/RE'I'AIL/OFFICE IAIIJCSTRIAL INSTIZL:'TIONAL/GOVERNNiENT z> ? NAME: z e,??"?s?rv ADoREss: Rn ? ? z ? CITY. STATE, ZIP: SG'A??O?l.'3 ?i' N ?,Sd 7.? PxorE: y33 - 6-1 7/ 3) • r ?• NAME: ADDRFSS: CITY, STATE, ZIP: PHONE: MASTER LICQVSE For Ci 4) ? • ?' NAME: Gaao/ ???/uG I?o ADoREss : r?6 B 9-3 CITY, STATE, ZIP: PHorE: 790 - sS/4 5) i. a •?? ? • o? ?. a CONNECTION TO CITY SEWEE2 Or CONNF7CTION 'IC) CITY WATIIt W 02'fiIIt (Please Describe) 6) u • • i ? PLFASE HOLD APPROVID PIItNIIT FOR PI?CK-CP BY ONE OF AEOVE ? PLF.ASE MAIL APPROVID PERMiT M 1,(Za 3, 4, A&OVE (CiYcle one) 7) ucvw-m v F 0 R C I T Y U S E O N L Y PEDMIT °- ISSUED Frrs' $ &S U 5 /u )a $ S S $ $ ?lGUo $ S $ S $ $ ? $ S $ pG . r -? E7'iL-"D ny vr? ? .. RMTT (INCu.:LL JU..?..?..GGJ WATE2 PE:U4IT (IrICL'uDE JLnCi:AfZGG) WATER METER/COPPERHORN/OUTSIDE RE.aDE3 WATER TAP (INCLL'DE CORPORATIOD7 STOP) SEFiEB TAP ?c__cu::•r :?__0s= ACCOUDIT DF.POSIT - S^7ATER wac SP.C T4Gi7K SQATER ASSLSS:?E::T ' TRli?]?{ SE;dER ?,SSESS:LYJT LelTE?1,L BEDIEFIT/TRU`IK SEi•7EH LATcRrlL BENEFIT/TRU:1K WAT°R WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL Ab10L'\T PAID/REC°IPT 4 ' DQES UTILZTY CONNECTION REQUIRE EXC?VATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR :40RK WITHZ'kq PUBLIC ROADWAY" MUST SE ISSUED BY THE C? NO ENGINEERIrIG DIVZSION. LIST AS A CONDI- TIO[V. SUEJEC: TO THE FOI•L0WING CONDZTIONS: APPROVED BY: TI':LE: ,?? ? DAT°: IP30Lo 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagaa MN 55122 Telephone # 651-675-5675 Please comple[e for: single family dwellings & townhomes/condos when permits aze required for each unit I O AS I DatO / ( / SitcAddress jOUe.(- LG-Oe, Unit# Property Owner I' lv?- ?Ocme r Telephone # ( (p / ? ) 40S - J l Contractor Bu psyjpe Heatin S?LUC LU' , g r 12481 Rhode Isiand Ave. So. Street Address Savg(ie, MN 65,378-9177 CitY S[ate Zi hone # Tele p Bond #: r Uq 2& -3'Sv f Expires: p 0 The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to eaisting dwelling unit $ 30.00 ? fumace _Additional ?Replacement JAN 3 u Z004 L J , air exchanger - I?LI i ? _ _ air conditioner New _ Replacement ` - other State Surcharge $ .50 Total $ ' ? v I hereby apply for a Residenrial Mechanical Pernut and aclmowledge that the informarion is complete and accurate; that the work will be in wnformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pernut, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with tbe approved plan in the case of work which requires a review and approval of plans. e. 1\ . 1_-WbsOY-\ Applicant's Printed Name plicant's i ature ?1 -rx) .50 Permit # 2 Receipt Date: 2006 Sewer/Water RepairlDisconnect Permit City Of Eagan 3830 Pilot Knob Road Eagan MN 55122 Telephone # 651-675-5675 Fax # 651-675-5694 Date / L / V?p Fee: 50.50 -7-- V?City Sewer _ City Water v Repair _ Disconnect Description z q ai U' Ct u r? I i:La' f),cSZ f0lill? t C7tCY`i+-. ? o A -e.,? Y-.Pd 74 Street Address for Proposed Work y usS VJ G`G U zr Owner _p Name EGY-QUL ?f UMA-e_l-p Witia?S ?SOC Street Address i C C Uup City ? c? Gq?? State Zip _ss r a?--Telephone #((9/,"Q Licensed Pipelayer Master Plumber _ Property Owner _ Name Rp/Q QOcy yti- Street Address /14y+ e-/? G.? City p?) State f?AV- Zip Telephone # ( 1) 637 -Qceq(o Pipelayer Training Certification Card #/)-:5S or Master Plumber License # I acknowledge that the information is complete and acwrate and that the work will be in confoRnance with the ordinances and codes of the City of Eagan and the State of MN Statutes. I understand this is not a permit, but only an application for a pemiit, and work is not to start wi[hout a permit. 20 Cr e-- Applicant (Pfint Name) ? Applicant's Signature infRose " pLpNNEAS ondOlAH? S3UEIYE' ENGINEEfi1NG CONS COMPANY, INC. ? 1000 EAS7 1161A STREET, BUflNSYILLE, 111HNESOTA 53337 pErJOTES PFtoP06EU ELEVq71vIJ ?Q?it .?Gtcr? ?p iOSi • L075 I,2, 3 AND 4, BLOCK 3, EDEN ADDI71oN, • DAKO7A cOUA1TY., MiNUESOTA pENoTES E7(/STlAl6 ELEVATIOA.! (9/7.0) IIJDICATES Df17ECTIoN OF SuRFACE DR.QINA6E 9/700= FINISHED GARAGE Fl.ooR ELEVAT/oA/ NORTH scqLe : i" = 30' (9 iio? r(i ,.. .l oRaWA4&E AuD U71LITy EASEMENT I . i NI . ?? ? Z I l ? 0 } EAGAN f-` .?N I R c v? D .e QY ? DATE JU 89° 58 0 02" E (9/410 ? /26. 8G (9i4.U 74.96 52,ao 'u) - - - -? j - - - ?5 LOT 1? o?N ? LOT 4 I o ro ? I (916: (9/6.7) ? r,9 6_0` z- i iQis: t i.' . a n ?.1 B9° 58'02"6a`. ? 44. 67 ? PROp 5ED 4 - UN IT i a W ? ` lp gUIL IFJ6 L .67 J LaT 2 30' FRONT BUILpIN6--?' ' SETSACK LINE ? 1 ? ? t9Z0.0) a 27.66 ? Pfi 432-3000 (9Af. J ii , j 0 I ? , O J Klz ? 0 - • 52,00 --' ? o o '? ( :2 LoT 3 I'-- ._: ? --? , 7s28.ID i 79.66 R, P3g;oo I S 890 56,021, W n=64'5° 1 _ I I (2 ?.49t CLOVEF2 LANE .3) i' 0 m I hereby cartify that this ie a true and correct t'apresenSation of a tract ot land as aho+m'and deacribed herean.. As praparad by me on thi¦ day of NOVEM8E74 ? 19 8S. ' ? ' Ninn. 1leg. Ko. /Ga?s- Use BLUE or BLACK Ink I For Office Use 1 1 Permit #r 1 City of f Eajan lr ' t I d 1 I , Permit Fee: I 1 3830 Pilot Knob Road 1 Eagan MN 55122 f 1 Hate Received: ~-C)D._ I Phone: (651) 675-5675 L L I ff, Fax: (651) 675-5694 1 V I L.. 2011 RESIDENTIAL BUILDING PERMIT APPLICATION [ate: Site Address: Unit Name: C 4 If o f s t c, ~ Phone: RESIDENT i OWNER Address I City / Zip: C(ovC,/ 44^-c Applicant is: Owner Contractor TYPE OF WORK Description of work: rep-44 &.;,i l d G Construction Cost: 17 T40 Multi-Family Building: (Yes / No Company: G ~ L Contact: CONTRACTOR Address: 1 -I (P 5 V f ^ e y't "t ~2. city. 0'x A(dvc f z _State: A W Zip: 5 5 1 7 5 Phone: (,r5 j --797- 3 4 2 3 License 20Co 30 70d-- 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: !VOTE. Plans and supporting documents that you submit are considered to be public information. Pardons 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. v.oooherstateoii,orc I hereby acknowledge that the information a complete and agate; that the wait 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 wait 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 ans. L X S Applicant's Printed Name App tot's Sig re Page 1 of 3 ITV /NU 1 WKI I t tftiLVYY I HIS LIIM SUB TYPES ~'I ~ C I0 U&g-- Z V1 , _ Foundation _ Fireplace i Porch (3Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi Deck - Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of - Plex _ Lower Level Pool _ Miscellaneous _ Accessory Building WORK TYPES _ New _ Interior Improvement Siding _ Demolish Building* Addition _ Move Building _ Reroof Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace - Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation AD Occupancy 4 C - 2 MCES System Plan Review Code Edition ,,c 7 SAC Units (25% 100% Zoning _P-V City water Census Code L/ 3-Y Stories Booster Pump # of Units W Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width 13 REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No G.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 r icy, 1- 9 RESIDENTIAL FEES Base Fee 3...~ Surcharge Plan Review Lf MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Z'n . C~ 7~ 7 aosE PLANNEAS ndGLAND SjUAVEYOAS ENGINEERING CONSU COMPRNY, INC. 1000 EAST 1461A STREET, BURNSVILLE. MINNESOTA 55337 PH 432-3000 cecCZl? Qj-- mar/ L075 I, 2, 3 AND 4, BLOCK 3, EDEN ADDITION, DAKOTA COUKITY, M WMESOTA DEMO'] E5 EXI67-1"G Ez-,c vATI0AJ (9/7.0) DENOTES PROPOSED ELEVATIOAJ IhIDI CATE5 DIRE'CTIOAJ OF 5uRFACE DRAWAGE 9/7.00= Flhl15146D 6ARA6C flooR EI-EVAT/oAJ ~ErAGAN NORTH RE V I"E ED SCALE : I"= 3o' BY. DATE: Z4-2Z-1,1 BUILD64t, ~ /J~CJ6. ~'1fO S DIVISION r914.v,~ tt1 7¢.86 5200 N DRAWAGE AWD 715 UTILITY EASEMENT I LOT I LOT 4 I ° I o Ni I o °0 (9/6w J apI (.9Z6.0,~ . N 44.67 ~y 94 J 9/4.5 PROP 5ED • ry 1 A G, N 41 4 - UNIT $ t(i R 916.5) 4 / Ri ~k ~ 91'6 b~ O oo o /l~ 22 d n GATE In ` rn ~J B U I L I N G d LOT LOT oto 2 3 1 I ~ .67 36' FRONT, BUILDING I ~ (92c3o) SETBACK LINE I o 5 _ r3lL f~lcft- ~~fair~:t• 5 I ~ n 20.3 (996 ° I 27.66 1 52.00 i9/9.Z VI Ov ~=28•Ip 79.66 23gQp„ I 5 890 58' 02" W f p . 6° 4-51 0 1 1 0 I m CLOVER LANE X9/9, 9Bi 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 I...~ day of NavEn,e~ , 19 es'. ' )1inn. Rea. No. i PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108826 Date Issued:01/15/2013 Permit Category:ePermit Site Address: 4453 Clover Lane Lot:3 Block: 03 Addition: Eden PID:10-22750-03-030 Use: Description: Sub Type:e - Furnace Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Dayna Gardner 505 RANDOLPH AVE Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Carol A Stanton 4453 Clover Lane Eagan MN 55122 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:31 #582 P.023/079 Use BLUE or BLACK Ink -----fi ceU --se ~ For Of ~Q I j Permit City of Ea6,,n I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: "L Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 1 Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: q 1512,013 Site Address: 453, 9536,44 a;t 44%R 0MY 1_~n_1, Unit ~r..-.. Resident/ Name: Edtyl ~ C IV. .....=.n.,,~.~ ' Phoney -,.,.~.<.~....~,.a,<~~,_........~..~ bmal ~ T- Owner Address / City I Zip: U"it Utm WSt%r1CVVMT4 r W61 kaI4e MN C rON4 J J_ Applicant is: Owner r Contractor H - G Type of Work Description of work: To off avid re- wo Construction Cost: V Iq ~Z~l D • Multi-Family Building: (Yes X / No Company: AIoCbYI~Y AtfiUJ MRnWA&ff&LL•G t Contact: JQt t tLtIStPAC T` ~I Contractor Address: SIyCJ Ind ftia I Stye 103 ~y City: maot Plai n State: _ IN Zip: %5~9 Phone: '152-gy2- ~ySy License ?S U:51 G15 Lead Certificate NAT-- Jpq V4 - D 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: I i 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. 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.aooherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 1 Applicant's Printed Name A pli nt's Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use I I Permit n0n I City of EaEd Permit Fee: Ida 1 I I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: L/ Phone: (651) 675-5675 1 Staff: Fax: (651) 675-5694 1 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: C5S E+' ~ Tenant: Suite Resident/Owner~ Name: 0 arm Phone: C5S"I LL Address / City / Zip: Name: Flom G s License r Address:purc> h AV City: Contractor State:l 11W Zip: E55 ic.--) Phone: Lest - q' 0-11 G Conta Email: f Type of Work New x Replacement _Repair -Rebuild _ Modify Space - Work in R.O.W. Description of work: G __.__....~_..._...W._._...~.._ ;RESIDENTIAL -L Water Heater Lawn Irrigation RPZ PVB) Water Softener Permit Type Add Plumbing Fixtures L- Main Lower Level) Septic System Water Tumaround - New t Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) 'Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ (AJ 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.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. x S"C x.~~ Applicant's Printed Nfirne Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Staff: From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 12:53 #301 P.001/022 CilyofEaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 675-5675 Fax; (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: /51(3321 Permit Fee: Date Received: Staff: 1 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1l //1i Site Address: 7 c.,- yrs A/F7 44-nL Unit u: Ar". Name: ..01404 1,4la - 4164 /-/O T 7 /4 Address / City / Zip: .5.E yf� -' G�/Ot/ti2 I,4i Applicant is: Owner )< Contractor Description of work: A -.5 loth 74 v'ny/ 5 ;&L V Construction Cost: 4a4P,c IV , Multi -Family Building: (Yes / No Phone: /1//i • Company: Ail9 M. tKt ro &in ffainiervinee Contact: J A m 4 /1Ern et -1-2 Address: Ci415 I nQw$rI-rrR 157- .sit r/ -t- /03 City: fnftei- ?Lk ;el State: /1114 Zip: 566359 Phone4040-7g6q Email: ,;.4 oLds-{a.r• 4 z— License #:136 eogo 3'S © Lead Certificate #: N,4 T- 070 9(Q V - dt If the project is exempt from lead certification, please explain why: 4.4 LT. X983 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? I 1 Yes No If yes, date and address of master plan: 1 Licensed Plumber: Phone: 1 Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Phone: Fire Suppression Contractor: ,:.E Plans and suppos'tingdocuments. that you submit areconsideredto 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.gooherstateonecall.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 permlt, but only an application for a permit, and work is not to start without a permit; that the work wiU 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 Buildin ,:;us • mpleted within 180 days of permit issuance. x dim //1 &fflav7 Applicant's Printed Name x Appli nt's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137818 Date Issued:07/25/2016 Permit Category:ePermit Site Address: 4453 Clover Lane Lot:3 Block: 03 Addition: Eden PID:10-22750-03-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Carol A Stanton 4453 Clover Lane Eagan MN 55122 (651) 456-0136 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature -------------I For Office Use I 1 1 i Building Permit #: 116 7 1 0 0 I ®a I S&W Permit #: I EAGAN I Permit Fee: I I I Date Received: 1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 ( FAX: (651) 675-5694 1 Date Issued: I buildinginspections(aicityofeagan.com I---------------------., RESIDENTIAL BUILDING PERMIT APPLICATION Date: _3h Site Address: Applicant is: ❑ Owner Contractor Unit #: I ct-4 i o l/-� Homeowner Address:b L3 IA/I:? L4L-155 A City: o`Cka \t� Wip: 512-2 State:/ ytPhone: Email: P Description of work: P_- Type of Construction Cost i y Work Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan -Thy Building Address: Ll� ( . i�.� WeS`�t-y City:�GCPin ��G��1y—�1 Contractor State:Wip: 5531-/T /� Phone6tZ-JY5 Emaili AkeQ �e l 4sCSM`��""�Q°`�i �r 0Z V 3/� ZI Expiration ration License #: D E TiQ� Date: Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction License #: Expiration Date: �I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www,gopherstateonecall.org for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. /f 1 1k 1-1 ( ` Applicant's Printed Name A licant's Signature