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4459 Clover Lane. ? BUILDING PERMIT CITY OF EAGAN 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Site Addreaa 4 4 59 ` • ?' `' '? LT+ Lot Block ? Sec/Sub. Parcel No. Name ''AL[T ? FlON'i?S ; Address ? City Phone Zo Name u? Address F City Phone City Phone P 101 ll0co Name Address Receipt # Erect ? Occupancy _ Remodel Zonin9 Repefr ? Type of Const. Addition ? No. Stories Move ? Length Demolish ? Depth Int Impr. ? Sq, Ft Assessment Wnter 8 Sew. Pol ice Firs Eny. Plcnner I hercby ocknowledge fhot I hove read this opplicotion and stote that Bldg. Off. the inlormation is torrect ond ogree to comply with oll opplicoble APC Stota of Minnesoto Statutes and City of Eagan Ordinonces. - Sipnoture of Permittee A Bullding Permit is issued to: .. oll work shall be dorte in acoordance wlth Buildinp Official 44 24 P@rmit 313.0011 Surcharge 30• Oij Plan Review 156.51) sac ?g. `.) .0 ? ? Water Conn. == Q 00 j Water Meter b 3__ u u j Road Unft -- '? G . ?.? D ? Tr. PI. ......,o. I CuPies " • a:r Total - - • -on the exprcss condition thoi State of NUnnesota Statutes ond City of Eapan Ordinances. Pwmit No. Pwmk Holder Drts Telsphone # Plumhirq H.VA.C. T ?"'p - Ebctric SO}teMr InWsction Dsta Insp. Other Footing.l Footinys II Foundatlon Framing w' Roofiny Rouyh Plbp. _ C •_ _ " Rough Hty. k)- ? Insul. Firsplace FInalNty. ;P I ???? ? h ,? Y•?_?A.,, i•,?:o- ? Final Plbg. F D?sc?ibe Loeation: Pr. Diap. Site Addreu _ Lot Parcel No. _ W Name = Addre 9 _,-- j Name oU Addresa u ?- Citv Phone Name 1 hereby ocknowfed9s that 1 haw reod this application ond state that the inlormotion is correct and agree fo comply with oll applicable Stote of Minnesoto Stotutes and Ciry of Ec9on Ordinonus. Erect Occupancy p 3 Remodel ? 2oning Repair ? Type of Const. Addltlon ? No. Stories Move ? Length .? . Demolish ? Depth Int Impr. ? Sq. Ft. Install ? Aporovols Faes Assessment Permit 3n? Woter S Sew. Surcharge .?? U Polica Plan Review -% Cl Firo SAC ' u G Enp. Water Conn. .60 Planner Water Meter ` ?•()a ? Countil Road Unit f0 . u U ? 81dg. Off. Tr. PL 0 APC Parks Var. Date I - Cop es Totel '99• 50 ? ? a+ the exprcss condition 1hoi ? of Minnesota Statutes ond City of Eopan Ordinorxes. Sipnoture of Permitfee A Buildinq Permit Is isawd to: oll work sholl be done in accordonce with all Bulldinp Officicl CITY OF EAGAN j 0 9 99 . • 3830 Pilot Kaob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 QUILDING PERMIT Reuipt # Pwmit No. Pwmit Holder Dats TNephone # ?unibhV ?b '???-- ILI ?fa _5? s H.VA.C. I 'b-0 _ ?7 ENctric Softeoer InWection Date Insp. Othar Footinqs 1 9 rti? ? - Foodngsll Fourtdatlon Framinq u')k RooNng Rouyh Pibg. Rough Htia. 17S InwL i? /Z-) ' Flreplsce Final Htg. Final PI6y Final S f Cert/Occ. Watsr ??ibe Location: WNI Sewor Pr. Disp. # Site Address Lot Block PLUMBING PEAMIT RECEIPT # GTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: -nu^rir. -• e.nn ? Name m , ? Address 'f c Ciry / , _ : Phone ? .. Name 3 Address, p Ciry Phone ' FEES COMM/iND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) , FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New i?ulk Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whiripool - $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: Lot Parcel Na. 5 Nane ; Addre b Repair Addition Move Demolish Int Impr. ? ? ? ? ? Occupency i4:. Zoning Type of Conct. No. Stories Length Depth A Sq. Ft. Name t •. .• ^YVrv?vw A??? Nssessment 1- City Phone Woter a Sew. Poilce oc FW Name Firo ?? Address E?, -,W City Phone Plcnner Council Fees Pennit -N 1] 3 i 1 O ? Surcharfle ? fl Plan Review SAC G 0 ? ; :i Water Conn ,?? (1 _ 0 p ? Water Meter C, 3_ 0 0 Road Unit "l -SO _ ti. U; 1 hereby ocknowledge that I hove reod this application and state that gldg. Off."/ 1?% Fi5 Tc PL 12_ OQ ? the intormotion is correct ond cgree to comply with oll applicoble A? Srofe of Minnewto Stotut?ps and City of Eogcn Ordinances. Parks ? Var. Date Copies ' Siynotum of Perrnjme Total A Buildiny Pert»if Is issuad to: ?`'?- on the exprcss conditbn Ihoi ? all work sholl be dww in acco?dance with oll oppiicable State of Minnesoto Statutes ond City of Eapan Ordirances. 8uildinp Official • CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E : 454-8100 QUILDINCt PERMIT ReceipR # Pwmlt No. Pamit Ho1dK Date Tsl?phon? ?t Plumbing H.VA.C. a ? f? Q?O ? EbeVic SOt'[eMf Iroaetion Deh Insp. Othw Footlnys 1 ? Footinys 11 Foundetlon Framinq Rooilnp Rouqh Plbg. . -/ U •- S ? Rough Hty. Inwl. Flreplece Final Htg. Final Plbp. Final ? Csrt/Occ. Watsr ??i? Loeation: WeII Sewor Pr. Disp. Site Address Lot 4 Parcel No. _ Name ; Addre b ?? Name ?? Address ? City Phone Name W ?? Address -< W City Phone I hereby acknowltdfle thot I hove reod this applicotion and stote thot the intormation Is correct Qnd agree to tomply with all opplicobls State.of Minrxsota Statutas and City of Eagan Ordinancss. Sipnaturo af Permittea , r- A Buildiny Permit Is issued to: " oll work sholl be done in otcordarxe with all oppliooble State of Mir Buildirq Offlcial ' Repair Move Demoliah Int Impr. I nstall ? ? ? 0 ? occupancv ,t _' Zoning O?. Type of Const i, No. Stwies Length Depth Sq. Ft. Asseument Permit : ?I 1 A . Q () Water & Sew. Surcharge ? Ci . 00 Police Plan Revlew 56 50 Firo SAC '' • ? 0 Eng. weter conrL -- O u- 00 Plonner Water Meter 63.00 Council Road Unit 1 t(} - flG eid9. off . y: rr. PL ?.0o APC Parka Var. Date Copiea Total ' `7 • ? ? on tF+e express condition Iho1 sofo Statutes ond City oF Eopon Ordinances. CITY OF EAGAhr ' •o ' ;?r??; 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 , BUILDiNG ?ERMIT Re«ipt # Pwmlt No. Pwmlt Holder Dab TeIephona !k Pluivibinq 3 ?-'/ ) / H.VA.C. 1dCD Electdc Softwwr Irqpeetion DaM Insp. Other Footings 1 ? - !" Footfngs II Foundation Framtn? Roofing Rough Plbp. Rouyh Hty. lesul. ? Li& -?- Finplaca FIna1 Hty. ^6,? Final Plbg. - ;? q Flnal af gi?o Cert/Occ. WatN afp1be LOCiL1011: Ws11 8ewer P?. Dlsp. CITY OF EAGAN Remarks Addition Fden Addition Lot 2 Owner_ Vid;i Street 4459 Clover -Blk 1 Parcel #10 22750 020 01 Lane 5tate Eagan, h4N 55122 improvement Date Amount Annual Years Payment Receipt Date STREET SURF, -. .9 4 ?- STREET RESTOR. GRADING ?. 1$2 2 12. 99 46. C)O S ? SAN SEW TRUNK _ 1974 62.93 4.20 15 • * SEWER LATERAL ? l4' 82 1896.46 3T9.29 5 ?- WATERMAIN * WATERLATERAL 1982 S WATER AREA ? 1977 62.93 4.20 is 16 a-? + Services 1982 5 STORM 5EW TRK ?? C Z 2 6. oo 51.20 5 ? * STORM SEW LAT 1982 S CUFB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 900-00 n u BUILDING PER. 10 - 1006 SAC 525.00 PARK CITY OF EAGAN Remarks AdditionEden Addition Lot t Bik 1 Parcel #10 22750 010 Ol Owner KiAA ?'?' Street 4459 B Clover lane State Eagan, hIlV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. - 5? 5 STREET RESTOR. GRADING - (P 1982 232.99 46.6o .?- SAN SEW TRUNK_ 7 2.93 4.20 ZS 1F SEWER LATERAL _ ?)s 379.29 ?- WATERMAIN • WATER LATERAL 1982 - WATER AREA . 97 62.93 4.20 15 iL, * S rv e 82 STORM 5EW TRK - (F 82 iF STORM SEW LAT 1982 - 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILDING PER. sAC 525.00 PARK CITY OF EAGAN Remarks Addition Eden Addition Lot 3 Owner , Street 4461 Clover -BIk 1 Parcel #10 22750 030 01 Lane 5tate Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1952 504.70 100.94 STREET RESTOR. i GRADING 0 i 82 232.99 46. (50 SAN SEW TRUNK ?7 62.?g 3_ 4.20 15 •? Q1 2- 2. -e 1F SEWER LATERAL 1982 4 WATERMAIN ? WATER LATERAL 1 $2 WATER AREA 1977. 62 93 4.20 15 ?I oC r 03 0 ' z?-- * Services 1982 STORM SEW TRK 1982 256.00 1.20 N STORM SEW LAT 1$2 CURB & GUTfER SIDEWALK STREET LIGHT Road Unit 55622 9 18 85 WATER CONN. 500.00 BUILDING PER. 0999_1 SAC 525-00 PARK CITY OF EAGAN Remarks Aadition -Eden Addition Lot 4 .Bik 1 Parcel #10 22750 040 01 Owner Street 4461 B Clover Lane 5tate Eagan, NA1 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 19$2 504.70 100.94 5 . STREET RESTOR. GRADING (; 1982 232.99 46.6o ' SAN SEW TRUNK 1-974 62.93 4.20 15 O ? SEWER LATERAL ? 1$2 18 b. 46 319,29 WATERMAIN ? WATER LATERAL 1982 WATER AREA 1977 62.93 4,20 15 o ' a3 ? Services 1982 STORM SEW TRK ;p 1982 2 6. OO 1.20 1F STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT Road Unlt $280.00 55622 9 18 85 WATER CONN. 500.00 if " BUILDING PER. 10999-11006 sAC 525.00 PAR K Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print /egib/y Tot 1. Date 2. Installation Cos ?'y ?' ek ey? 3. Job Address LotBlk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New;C Add 13 Alter ? Repair ? 10. Describe No. Fixtures - -"I -_ . ..,,.. _ Water Closet iVo: • -Fixtures Cesspool/Orainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is Your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 . _? . Roaipt MECHANICAL PERM17 Permit No. " CITY OF EAGAN Fet ? ' Pil/ !n rwmbeied spsces S/C ? Typt nr PrInt /eglb/y . ? Tot 'l t. Oste ' 2. Installation Cost . 3. Job Address v G/ Lot Blk. Tract " 4. Owner ? 5. Contnctor ?? i? •'F'.,'s`?-? ` T'I Phone ? , B. /"??dylaii ?? 7. City State Zip $. Building Type: Residential f? Commercial ? Institutional ? 9. Work Desaiption: New ? Add ? Alter fl Repair ? 10. Descxibe fuel TYPe No. . Equiptmni 8TU - M. Ea. Forced Air No. EQUiament CFM Air Handlin : Mfg. g Boilers AAfg. Mech. Exhaust Unit Heater W9• Other Air Cond. MI'fg. Gas, Wping Outleti 12. I hereby certify that the above information is true and oorrect, and I agree to oomply wit11 a11 ordinances and codes governiny this type of work. t Signed: ' for ' Rouph Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PEFtMIT Permit No. - CITY OF EAGAN Fee Fil1 in numbered spaces S/C Type or Print /egib/y Tot. 1. Date 2. Installation Cost . '? 3. Job Address ' e*' ' Lot Blk. Tract ' 4. Owner 5. Contractor - Phone - % 6. Address: 7. City State ? . - Zip 8. Building Type: Residential 0 Commercial O Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Qescribe 11. No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank Lavatory Softner ? Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Flaor Drains Drinking Ftn. Siop Sink Gas Piping Outlets 12. ( hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of wark. Signed: ' for Rough Final Inspections: Date Insp. , Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 INSPECTI41`? REC?RD -- - - -- 7 CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: q?` Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 ? SITE ADDRESS: ? 1„1 My . S y; L 0 ?, ?, , APPLICANT: ,lv?' R ! AN1 PERMIT SUBTYPE: TYPE OF WORK: , ,.i;;i; i'l AC;E ihtN(i , i 1NA1 LL F ? -------------- ----------------------- Permit Holder Oate Telephone 0 SEWER/ WATER PLUMBING HVAC Inspectlon Date insp. Comments FOOTINGS FOUND FRAMING AOOFING 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 OECK FINAL INSPECTION REN!RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ? q; r rA Eagan, Minnesota 55122-1897 Date Issued: !08 l`'4 (651) 681-4675 SITE ADDRESS: i I t?vr-tz iANr 1 I F fJ i APPLICANT: , ,; z i 0 r'1 , 1 1 , 141, i ( () I :,' ! ti'.it? ? / "°)A ? PERMIT SUBTYPE: ;TYPE OF WORK: ; I r? A r H < <<t: o: i (' l At: E i orNfi i' tNAt. 1 •'112 K": : a 1 NI f F L Permft Holder Date Telephons N EWER/ WATER PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIF TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC MEfER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDfiOSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL i Roaipt pAECHANICAL PERMiT Permh No. ` CITY OF EAGAN F"-------- fill in numbeisd wwes S/C Type oi Prini /egibty Tot ' 1. Date 2. Installation Cost • . ?' _,....? 3. Job Address Lot Blk. Tract , n 4. Owner ?!-•',°..; _ , . _ S. Conusctor , - f - . Phone 6. Address ' • `% 7. City State - • Zip ' 8. Buiidfng Type: Residential 125 Commercial O Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Deacribe Fuel Type - '?`- - .. 11. No. x FquiAti,ienL BTU - M. Ea. Forced Air No. Eauiament CFM : Air Handlin Mfg. g Boilers Mf9. Mech. Exhaust Unit Fleater Mf9• Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above informetion is true and correct, and 1 agree to compiy uvith aH ordinances and codes g?verning this type of work. $igflBd : ??? for Rough Final Inspectionir Date Insp. Date Insp. This ia your permit when numbered and approved. Approvad CITY OF EAGAN 454-8100 PLUMBtNG PERMIT Psrmit No. ? CITY OF EAGAN Fae Fi/l in numbered spaces S/C ? Type or Print legibly Tot. 1. Date 2. Installation Cost ' 3. Job Address '- Lot Blk. Tract ; ,; • 4. Owner - ' .r ? . .. 5. Contractor Phone . 6. Address T ? / 7. City ? State -- Zip .S` , 8. Building Type: Residential D 9. Work Description: New ? Commercial O Institutional ? Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank ? Lavatory Softner Shower Wel l T Kitchen Sink T Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all prflinanees and cddes governing this type of work. . Signed : for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: '? ! 1iiVF N 1 AN r: I PERMIT SUBTYPE: ? PERMIT TYPE: Permit Number: Date Issued: 3 It ? Ur, K t ? APPLICANT: TYPE OF WORK: ,,: i i . i ,4ri fillll (I!N 01 /il8If1 rrerA ri? Re:Pi nl-F '001NC ? X i+l R I. 6-) ?????? ? ? ? r? Permlt Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Inap. 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 Reaipt ,-?.-.. MECHANICAL PERMIT CITY OF EAQAN FiII in numbened apsces Type or Prinr /egiWy 1. Dste 3-•.:'•-? 2. Installation Cost . : ?j., ?_ _ ,•. , , 3. Job Address Lot Blk, 4. Owner ?'erry Folder: _ Tract 5. Contractor ?'- . r` '.••??I: " phcne ? ?..- ' T 71 6. Address 7. City r' tn,,n State t*t; Zip -- 8. Building Type: Residential Q?• Commercial ? Institutional O 9. Work Description: New ? Add 0 Alter ? Repair ? 1 10. Describe sEAil Fuel Type 1 11. No, Eauinment 9TU • M. Ea. Forced Air No. Equioment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. _.y . .._ .,. Gas, Piping 4utleu 12. I hereby certify that the above information is true and correci, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY qF EAGAN 454-8100 Permit No. Fee I S,C . Tat 1 '^ . ```, 3 R"ipt MECHANICAL PERMIT Ponnit No. ? CITY OF EA(iAN FN ? fll/ !n numbwed spacac S/C Type w Prlnt /epiWy TOL , 1. Dau Z. Installation Co:t 3. Job Addrest Lot Blk. Trsct 4. OwMr ? 5. Contractor + . ` Phone 8. Addnss < - ? 7. Gty ; , State Zip 8. Buiiding Type: Residentiai JR? Commercisl D Institutional ? 9. Work Description: New ,G Add 0 Alter ? Repair ? 10. Desaibs Fuel TvPe . 11. No. Equioment BTU - M. Ea. Farced Air No. Enuiamant CFM Air Handlin : Mfg. y Boilers Mfg. Mech. Exhaust Unit Heater Mfg, Other Air Cond. Mfg. Gas, Piping Outleu 12. 1 hereby certify that the above information is true and correct, and I agree to wmply with all ordinances and codes governing this type of work. ,i Si?ed : f l - for Rough Final InSpeCtions: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERItAIT Permit No. ' CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prin[ legrb/y Tot. ? 1. Date 2. Installation Cost 1 Job Address Lot Blk. Tract ' 4. Owner 5. Contractor Phone - - ' f 6. Address 7. City State , _-- Zip ? - -,---- 8. Building Type: Residential D Commercial ? Institutional O 9. Work Description: New ? Add O Alter O Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Orainfield Bath tubs Septic Tank Lavatory Softner Shower We l l Kitchen Sink Urinal/Bidet Uth„r ,` Laundry Tray Floor Drains Drinking Ftn. - Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and,codes governing this type of work, Signed : " for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 PLUMBING PERIMIT CITY OF EAGAN " Fi!l in numbered spaces Type ar Print legibly ---?--- Permit No. Fea S/C Tot. i 1. Date f y' << 2. Installation Cost - 3. Job Address -'? ,•" - Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address • ?' ? i 7. City State rZ - Zip ' 8. Building Type; Residentidl 0 Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter El Repair ? 1 10. Descri6e 1 11. No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray ` FVoor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 4 haceby certify that the above iniormation is true and correct, and 1 agree to comply with all ordinances;and codes governing this type of work. Signed: " for Rough f inal {nspections: Date , Insp. _ Date _ Insp. ? This is your permit when numbered and approved. Approved CITY QF EAGAN 454-8100 T ` MECHANICAL PERMI Penn Rueipt k No. CITY OF EAGAN FN ' !v fill in numberod tpscis S/C TYps or Prlnt /tgiWy Tot _ 1. Date 2. Installation Cott .?- - 3. Job Addra?t ` Lot??-Blk. Tract 4. ?r ??--??'_.,,? , , 5. Contractor ? ?y- ; • -, y ' ?' ' Phona -r . ? 8. Address - 7. C'ity . . State,r, Zip 8. Buitdiny Type: Residential Jk' Commercisl D Institutional ? 9. Work Descxiption: Nsw O' Add O Alter O fiepair ? ? - 10. Desaibe ? FueI TvPe ' - 11. No• ? Enuupment STU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mech Exhaust Mfy. . ' Unit Heater Mfg. Other Air Cond. Mfg. Gas, P"iping Outlets 12. I hereby certify that the abave information is true and correct, and I agree to Comply with all ordinances and codes governing this type of work. Signed : ,. ; . , for Rough Final Inspections: Date Insp. Date Insp. This is Your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: y ;CORD PERMIT TYPE: Permit Number: Date Issued: I _. M . r 10 1 (h fA :; 0 • 4f f t?VF"k I.11Wi I PERMIT SUBTYPE: i 11 :iNW ? APPLICANT: TYPE OF WORK: i rar,t •y ? . ?? cr ? .? , ? ?, , ??i•?? Permit No. Permit Holder Date Telephons N ELECTRIC PLUMBING HVAC Inspection Date Insp. Commenta 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 BSMT R.I. BSMT FINAL DECK FfG J t?ECK FINAL ?`! INSPECTI01`? RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Dete Issued: (651) 681-4675 SITE ADDRESS: ' APPLICANT: ;, 1 ?. i , Or• N PERMIT SUBTYPE: TYPE OF WORK: i =rAtR i?? •., ?;: I? ?,61 s<I F'4 AGE S. Itl i tJta 1:kVR1. ? ?. i ntjftKS F IL I } IV Vt' fl -'•?, , ??Do ? ?? Permk Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PIUMBING 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 coNOUCTivirv TEST HYDROSTATIC TE5T BSMT R.I. BSMT FINAL DECK FTG DECK F1NAL CITY OF EAGAN WATER SERVICE PERMIT 3830 Pn.,'=Kno6 Road • P. Qf Bax 21199 PERMIT NO.: ` agan, MN 55W DATE: 'inp: No. of Units: 4-- p1ex - Goo Value Romes, Inc. „re - r. - - - ?.-?-T--- /lddress: - Site /,ddress: P1urriber: - i Meter No.: •? b? .9 ! 'r, dG11AC_ t Crmnectlon CYtitgO: Sixe: " kaautrt Ae?t: ' 00p Raad4 Na: I .' ? • 'Pe?mit Fee: 1 t!lit?•. m ' 1 prw 10 osu?oh wMl? ?!M CkY of E?se SurthorQe: ' t P Misc. Choroas. 132. . OAgd TI' ' . ^ . c' A?- ? Totnl• 53.O:?ij?? meter y Date Raid: e If? 3?` insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: . MN 551 Z7 E DATE: " agan, , - ? ?irp: . No. of Units: r ,_ ^•ood Vslue Hames, Ifl.ce Owner _ Address: Site Addr son mber: Pi u 55629 t ? I a ym i OnuMeG ? Surcharge: Y i Miae. CF?arpe? r?e ote af Insp.: ! Total: • ].nan Dot. Raid: i ? CITY OF EA6AN 3830 Pjlot Knob Road P. O. 8ox 21199 ? Esgan, MU 55121 WATER PERMIT D/1TE: _ YD^ f^fl: - No f I s U it Y-i V o n s: ? ° c r. ,oo a ur? omes, In . ress: ???:.'? : ? ? ?rc?: 59 C.Iover La 'i unlbsr ,77 E= sOn A.' T«?? C31? 0:' ii U r No.:. 3 ? ?0/ .?(o/ u. . ? No L+/ ?- L ?c? 917 Y- .. . rmit ee: N+M !e om oly wie6 fM Ciry oi lWONw Surchorge: '"' 'p° 6N60M. : Misc. ChorQes: 2 • D ? • ? Totol: t' Op - meter . Dote Paid: ? ??.: Insp.: ? ? CITY OF EAGAN ? 3830 Pilot Knob Road . O. Box 21199 : EagAn, INlN 55127 Zoninp: r-3 OWrNr: CC'Oii UE:! U. ?!OII2PE Address: = Si» Address: "4?9 C:over ?.r?Ze SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Plumber: • C el3ori l3fHb1t1g -- 1-20455622 ? ur. ,(?{}r;? " - I Nm• +o ew* wNa Na Cihr ei S.w¦ Connectton Chorpe: 4 Z v. 40 d OAiMeeN. Acwunf DepOslt: i . (1(lr,-: PlRI1i? FyO: 1 Surchorpe: By Misc. CFwrpes; Date of Insp.: Totol: l^uR: Date Paid: SERVICE PERMIT NO.. ` CITY OF EAGAN 3830,Pilot Knob Road P. O. Box 2i199 Eagan.,MN 551?? Zoninp: _ Mo g ue O N, Uvrer: /Sddress: Site Addresa: 4461F, :.i c e Plumber. son 1WE, AAetar No.. b 5/ St:e: y ' Rsodar No.: 1 ym fn oowsplp wilh 11w Cinr of Eo4an WATER SERVICE PERMIT PERMiT NO.: _ DATE: .. ... .. t-ptex i I` - DepOSiY: Permit Fee: .?:..n . C: Surchar9e: p( • P Mix. Choroes: A3.00pd meter Tutpi: Data Poid: I nsp.: Mm h eow?ply MrNb 1lw Cihr of ENoa By Dote of Ir+sp.: SEWER SERVICE PERMIT Connection Q+argo: /kcount Deposih _ Parmit Fee: Surcho?4e: Misc. Ctwroes: _ Total: pote Pcid: ? I CITY OF EAGAN ! 3$30 Pilot Knob Road ; P. O. Bor 21139 ? Eagan,1111N 55121 ' Zonirip: ' Owner: C?d?? Addresx: /?ddn? LSiteu-ror No.:X,5' -57 WATER SERVICE PERMIT PERMIT NO.: DATE: Y" {f?ww • Acoount Deposit: ' No:: T eIng3 Pen.,it Fee: te emPlp wNb !M City of Eoyse SurcharQs: , ?.. . p< ? • ras. Mlac. Chorfles: Total: Dots Pold: , F Irup.: Z ? Insp,. ? CITY OF EAGAN 3830 Pilot Knob Road SEWER SERVICE PERMIT ' P. O. Bo): 21199 PERMIT NO.: ? Eagan, MN 55121 DATE: Zcnirg: No. of Uniia: Ownsr: GOu+.i r'?+:e: tis]?OtCCS ziu' . /1ddIe55: Site Addross: 4451 C10v:tr I.aae L3 Bl r:t!eq? Ad:it,_ : pl11Rlb!!/: , 1.CkP, a.3Oi1 F l1Rt 12irri 4-204'5 55622 1:)(?.t?C+pc1 1 qrw te aewply w1M 1im Cilp of ielew Canntction Chorpe: 5,no ,*,a d.die.Ae... Acoount Deposit: 15 . 0 01;C Permit Fea: ? n nn._.? Su?dharpt: Br Misc. Choryes: Date of Insp.: Total: In+P-: Dote Poid: This request void iB manths from 6? 0 D .?? 0-1-3 i / Rapuest ata r . Frte No Buuph-u?lnspection Re?I red? poc- ?ReadY Now W?II NoLfy Ins / J Ves ?NO tor When Ready ? Licensetl Electncal ConVacmr ? I hereby request inspectron of above f-l elecv,cal work installetl at. Street Atldress, Baz or ftoute No. ?`I J`J ?? U?e Crty Ce.,,?J ecllon o. iownship Name or No. Range No. CountY a- k Ocruuant (P INT Fnone No. PowerSupp G,"'?J'J i AAtlress Electrica ConVactor (Company Name) ConVar.tor's L ? ? ir.ens?NO., ? Matline tldress IContracmr or Owner Making Installavon 5/Oo .?.? ??. Author¢ed Sign ture Convactor/Owner Making In ? stallaLnnl Phnne Number S?G- ?6 0 0 MINNESOTA ST/yIq80APD OF ELECTHIGITY Griggs-Midway ?(d9. - Hoom N-191 1821 University Ave.. St Paul, MN 55106 Phone (6121 29]-2111 I?IIJ IIVdYGI.IIVIV dLLLIIWI YYIIt?VV1 8E ACCEPTED BV THE STqTE 6ppflp UNLESS PNOVEF INSPECTION FEE IS ENCLOSED. .? .1 r REQUEST FOR ELECTRICAL INSPECTION 5 Y ' See insiractions tor completi" Lhis form on back ot yellow copy. ? "X` BelowWes*-6vered by This HequP est EB-00001-0d l3-1`) R.P. TYPe ot 6wltlm9 APPlmntas WnBd Equipment Wved Home Range Temporary Service 7 Duplez Water Heatei Liyhtiny Fixtunes Apt Bw?ding Dryer ElecYnc NeaLn Commercial Bldy. Fumace Silo Unloader ndustnal l Bldg. i Air Condrtioner Bulk Milk Tdnl< Faim O+her SnemtVT Pther ISneuivl S P.r S110GI(y Olhf'f 01hV'! v?.. p .?...... ..... Fee ?.....?.......... ?..._.. ServiceEntrence5rze fl Fae Feeders?Suhfeeders F.o Cucwts U to 200 Amps to 30 A m s o 30 Am s Abooe 200 Ampv 31 to 100 Amps to 100 Am s Swimming Pool ove 100-Amps g ove 100_Am s Transiormers Irrigation Booms tialbther Signs Special Inspection 7AL? F E flemarks ??? ,,, //// ? ?-O? ? flouBh-in D"?e / I. the Eleetrical - l/??? i}? ? Inspector, he?aby certily thet the above Final ? U`11e ?nspecvon has been This request void 18 montRS from This request void ?1Lmonffiafrom 08231zf) C? Request Datc Fre No. Rouqh-in Inspe?.uon red? EIReady Now Will NobtY Inspec- Z-ZX- 2? ?es ?No lor When ReadY ? Licensed Electncal ConVactor ? I F1e1e1hy request mspe1tion oi above ? Owner electrical work installeA at Stre.e[ AdAress, Boa nr Foute No. Gty /? 7 ectron o. Towns ip Name or No. Nange No. Couniy Occupant IP NTI Phone No, n Pawer Sop ier / Address Bect cal Contractor (Company Nam Contr; cmr'v Li,ntie No. Iing AdJress (COnVacm r Owner Making Installaticn0 ? ?o ? Ss /y 3 Auffionzed ture ICOnhacmr/Owner Makmp Ins[alla[ion) Pho ne N umber / / MINNESOT?qTE 80ANp OF ELECTRICITY Gnggs-Mi wey Bldg. - Boom N-191 1821 Univarsity Ave., St Paul. MN 55104 Phone (612) 297-2117 THIS INSPECTION REQUEST WILL NOT BE ACCEPTEO 6Y THE STATE BOAND LINLE55 PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa ' See inshuct?ons for complehng this torm on baek of Vellow copy. ? nd`7 i-4'I cz '"%'xlff?eow Work Covered b1 • This Re9u est ? // _ /-?s._ /? J Hdd Rep. TVPn ol Bmldmp AOP?urinces Wned Equiument Wired Home Range Temporary Service Duplex Water Heater Lighuny Fiztules Apt. Bwld,nq Dryer Electnc Heatniq Commercial Bldg Fumace Silo Unloader Industrial Bldy. Au CondiLOner Rulk MiIk Tank Farm orner 15nemtv n+her 15nec?fy; LM19r {Spo[ifY Other (-ompute insper.zion ree uelow p Fee ServmeEnlranceSize p Fee Faeders/Suhfeeders tt Fec Cvc?rts ?QC} 0 tp 200 Amps 0 to 30 An ps tn 30 Am s Ab?.va 200 Am„', 31 to 1 DO Amps 5. o O 31 to 100 Am s Tr2nstofinef5 IrrigaLOn noonis rainai, ree Signs SUecial InspecLOn y???? TOTAL•FEE Herrv3rks ) f l Roueh-in D?"P I the HacVical? • r ? , Inspec'tar?hereby ? ? ?/ " certiiy that the abovo Final pection has Eeen ns mad I This raqaest voiC 1B monlns vom REQUEST FOR ELECTRICAL INSPECTION ee-ooooi.oa See instrvctions tor comple<in9 this form on back of yallow coOY• "X'" Belaw Wo?o'vered by This Request >45 FAd AeO. TyDe ot 9mldine Aa0lmnces Wired Equipment Wired Home Fange TemUOiary Scrvice Duplex Water Heater LiyhUng Fixtuies Apt. 8wlding Dryer Electnc HeaLn Commermal Bldg. Fumace Silo Unloader Industrial Bldg. Air Condinoner 8ulk Mi Ik Tank Farm O:hP, SpPCifv1 n[her (Si,crify) thnr (SUrcity Cther Other Com 71 pute Ins Fee pectron!-ee selow ServiceEntrenceSize k Fee Feeders/Subteeders N Fee Cvcmts U to 200 qm s 0 to 30 Am s O 0 m 30 An, s Ahove 200 qmps 31 to 100 Amps -Od 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_AmPy Transiormery Irngation Booms Partial, Other Fee Signs Special Inspection ry/?'7 TOTAL F E? ? Rema.ks , ? [ ?L7' 7- ??? Pough-in Da;e I, tlie Electrical ' Inspect or?, fmrebY carLfy that ti?e nbova Final ' '7/ ?\ ? ? /¢ D^te "'fj" inspection has Eeen made j ? ?/tyLf 1J . TNS reduest vola ta montre rrom ihis request void ,s,rmncnsr,om Y a 08- 315 r/ ., /? -1s ?? 4-1 -) r-I ., Rzque[ va e s / Fire No. Rou?h-in InsVer,UOn Pep red7 ?Ready Now ill Nntifv insuec- or When Pead ? os OPlo y ? LicenseA Electncal ConVac[or ? I hareby request inspecvon ot nbove ? Owner elecV ica l work insta l led a1 $veet AdAress, Boa or Route No ? GCH? ectmn o. Township Name or No. Ranqe No. Countp Oc cupant I RT?I Phonc Nn. Power Sup er Address Elecb al Contracmr lCOmpeny Nam GonVar,tor's 'L?i7ca?njse No. Mai ? g Address (COntr act r wner Making Installauon) ? ??? ? Author¢ed Sign r fCOntrector/0 nar Making InsYallalionl Phone Number WILL NOT MINNESOTA STA 80HPD OF ELECTNICI7Y TM8EIASCICEPTEDNSPEGTIOBYN TME REQUEST STATE BOAftD Griggs-Midwey Bltlg. - Room N-191 l1NLESS PflDPEH INSPECTION FEE IS 1827 UnivervtY Ave., SL Paul, MN 55104 Phone (612) 297-2111 ENCLOSEO. E B-0OW 1.04 . REQUEST FOR ELECTRICAL INSPECTION ' See ins<rvctions tor completing this torm on back of yellow copv. ? '"X" Bered by Thfs Request ?_l? -?Fdd Pep. ot Bmldnn9 es W?roO E9???Omen[ WIreA Temporary Service e upl2x LiGhting Pixtures t wl:nElec[nc HeaLnc mcial ldy. Si?o Unloader ISLaBdg. ne? Bulk Milk Tanlc O[h[v ISOCL:fY) p Fee ServiceEnYrenceSlze ? Fee reeuers-?e= - s (1 0 to 200 Amps 0 ta 30 Am ' a 31 ta 100 Amps 31to to 100 30 Am is Am s ?F?bove 200 Amps v S mmi q Pool I Abo e 100 An psl I IA I ,ks nspecuon S TOTAL-PEE ` 7? Date I ctr iwl th El RovB , e Inspe tHr: herebp ? ceIUfy chat the abovo - ? Ftnal f v? a D.?le insO0CL0?? has ba¢n /_Dr0 made. ?`a? Thie request vob in monma uv... Thnt reques? void 18 months I om ' G82313 ?equest Date Fve No. ? Licensed Elechical Convactor ? Owner $treet Atltlress, 9ax or RouYe Noq _ /j 'Z Q C) ? igh-in?InsVecUOn ?qa??y Now?ill NoLfv InsPec- _/r ?N or When Ready C?' I heraby request mspection af above electncal work mstalled at: or rvo. Occupent I ConVactor (Cumpany N Le ?+.n Vafs ?tcomU,?-ir Ina MINNESOTA STATE,1?GAHD OF ELECTRICITV Grigps-Midwav Bldg. - Room N-191 1821 UniversitV Ale.. SL Peul. MN 55104 Phone (612) 297-2111 a. No. ress ConhacVor's Lirense No. 7F-y ?iac,on) ;tall Lonl Phone Number THIS INSPECTION REQUEST WILL NOT BE ACCEPTED 8Y THE STATE BOAftD UNLESS PROPEF INSPECTION FEE IS ENCLOSEO. i ------ --- - ? Pgm,a #: CJ.J??D 0_r) ? ? Permit Fee. i pate Receivad: I Statt: f i I 2008 RESIDENTIAL BUlLDING PERMIT APPL6CATION Date: 5?te Md?: q?1 ? -4- Wrn / Tenant: Sulte #: RESIDENT ! OWNER Name: ' t?orr &A fr<6l phone; Address / City / Zip: Applicant is: _ tJnmer ? Contractor TYPE OF WpRK Description of work ? ?? Constructicm Cost: jS ?C'no _ 0 C? Multl-Family 6tdiding: (Yes / No CONTRACTOR Name: #: -? o 1-/D Address: Cih' State: 071-1) Zip: Phone: L2 - Z?g '.3y,7 7 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTIIVCa A NEW BUILDING _ Minnesota Rufes 7670 CateQorv f Minnesota Rules 7672 Energy Code • Residentlaf VentllEtion Category t Wpkcheet • New Eaergy Coda Wwkaheet Category submiaed Su6rniited (4 submisSlon typ9) • Energy Envelope Calculations Submetted In the lest 12 morAfis, has the Clty ot Eagan EssUed apermit for e slmliar pf8n based on a master plan? ,Yes _No If yes, ckjte and address of master planc ucensed wumber: pryone; Mechenical Contractor: pryone Seuver & Water Contractor: phone; 7?P3E Aia715 a?E( dbCl7r11Bx11?s.f?t ?at+.sab+ll*sV+? W be-?@C?? ?itfPore?.4f '.. the7Nfri?xrratlluf tr#?r b? ?'ae?l?teK1 aa ars' ?`?v4?1?'jxe?r?ttlre4?yi? ?? ??l?"?:r Y ?+ me .. ? orom I hereby aGuiaxiedge that fhis infarmaGOn is cornplate and accurate; that the work wifl be m confonnance with the ordirwnces and codas ot !he Gty ut Eagan; fhat I understand this is rwt a pem+it, but only an applica4ion fpr a permit, aM work is not ta s a pertnit; Mat fhe wak wtli he in accordance mth ihe 2ppruved plan in the case of which requires a rpview ard approvai P f ` x ApPllcsnt's Printed Name Applloaat's SlgnnXUta Page 1 of 3 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan COLS (o0 1? 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX 9 651-675-5694 aZO .0U New Construchon ReawremenGs RemodeVReoair Reauiremenls Office Use Onlv 3 registered site surveys showing sq H. of lol, sq. @. of house; and all mofed areas 2 cop'es of plan C6rt of Survey Recd Y _N (20% maximum lo[ coverege allowed) 1 set of Energy Calculalions for heated add'NOns Tree Pres Plan Real Y _ N_ 2 copies of plan showing beam & window saes; poured found design, etc. 7 site survey for additions & decks Tree P2s Required _Y _ N lsetofEnergyCalculatians Addrtiar - irMiceteKoinsifesepfksysfem On•siteSepticSyslem _Y _N 3 copies af Tree Preservation Plan tt bt platted after 711193 Rim Joist Detail Ophons selechon shee! (bldgs wAh 3 or less units !io D /? lzl p ate / Construction Cost p Site Address Unit/Ste # Description of Work 6 av /il ` 6?/ ez Multi-Family Bldg ? Y' _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ((S/ Cootractor r Address - City State lpI/7610,Oe?GL Zip?W? Telephone#(65'j ) (o l16? ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Suhmitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( ? I hereby apply for a Residential Building 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 State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Prmted Name XjpIicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 DS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? OB 04-plex ? 12 12-plex Plbg_YorXN ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair "$- 33 Alteration ? 37 Demolish Buiiding* ? 43 Reroof ? 48 Windows/Doors ? 34 Replacement •Demolition (Entire Bidg) - Give PCA handout to applicaM Valuation ? Occupancy /2 • / MCES System ? Census Code ? Zoning City Water ? SAC Units - Stories ` Booster Pump # of Units ? Sq. Ft. ? PRV ? # of Bldgs ? Length - Fire Sprinklered Type of Const ? Width -? REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ? FinaUNo C.O. _ Footings (addition) Plumbing _ Foundation ? HVAC Drain Tile O[her Roof Ice& Water Final Pool Ftgs _ Air/Gas Tests Final ? Frmning _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ AirTes[ _ Final _ Windows _ Insulation _ Retaininro Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Capies Other Total Building Inspector RESIDENTIAL ` BUILDING PERMIT APPLICATION ?- --_ CITY OF EAGAN C t ro z-v 3830 PILOT KNOB RD - 55122 -0 u____) 0 ? 651-681•4675 New ConaWedon ReauinmeMs • 3 registered site surveys slarMrg sq. R af lot, sq. ft. of Irouse; and all rooled aRas (20% maKimum lat coverage allowed) . 2 copies of plan shmving beam 8 window s¢es; poured found design, etc.) . 1 set ol Eneryy Calculetlam • 3 copies M Tree Preservatlon Ran if lot plaCed aHer 711193 • Rim Joisl Delad Optiais selection sheM (Ndgs wilh 3 or less unifs) DATE \, 21? JOB SITE ADDRE; IF MULTI-FAMILY PROPERiY OWNI TYPE OF WORK_ APPLICANT ? ADDRESS U1 HOW MANY UNITS? PAGER # CELL PHONE # RemadellRanair Reauiremend . 2 copies of plan . 1 set af Energy CalculaGm for healed additans • lskesurveyformclerloradd'NonsBdecks • Indicate if home served by sepdc system tor additions VALUATION %Z Z J6FIREPLACE(5) _' 0 _ 1 _ 2 rrnv a?,??S PHONE# 7'd`•S_-ZzZ ? ,?)riO IPCODE FAX # xEw RESIDENTIAL BUILDING ONIY - FILL OUT COMPLETELY Energy Code Catagory _ NIINNESOTA RULES 7670 CATEGOR I ??' -??' I-? U (check one) - Residential Ventilation Category 1 Worksheet S itted,Y 14 Z0? - Energy Envelope Calculafions Submitted IVIfI _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. _ Plumbing System Includes: Mechanical Contractor. _ Mechanical System Includes: Sewer/Woter Conhactor: _ Air Condidoning _ Heat Recovery System Phone # Fee: $70.00 Phone # All above information must be submitted prior to processing of applicatian. I hereby acknowledge that I have read this application, state that the irr with all applicable State of Minnesota Statutes and City of Eagan din Signature of Applican y Certificates of Survey Received _ Tree Preservation Plan Received Phone #: Lawn Sprinkler Fee: $90.00 No. of R.I. Baths _ Water Softener _ _ Water Heater _ _ No. of Baths J?QoWeqt, (MAYk2) -b ? to comply Updated 2002 ? -• ' ??' C?? ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: 9LL CONTRACTORS MUST $E LICENSED IiITH iHE CITY OF EAG9N COlMERCI6L SZNGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIr'ICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND I?F4 ?U To Be Used For: 47t?/etL 1 r1 Q Valuation: Date; 9/ ,SJ _„y Site Address Lot 2 11 - Block Parcel/Sub A L„° :'0,17 Owner Address?%?(p0 9???11./ fJ? City/Zip Code B/a',)s? &nll)??,S1f3Y Phone fj' Ss/O Contractor Agp\/t Address ? City/Zip Code ? Phone V Arch./Engr. ? Address ? City/Zip Code ? oyor.e 0 ? x.<-- ? ?Lllr? ?-= --_ ? Occupancy Zoning Type of Const N of Stories Length Depth Sq Ft APPROYALS FEES Assessments Permit ? Water/Sewer ? Surcharge i Police Plan Review ' Fire SAC Engr Water Conn Planner Water Meter Council d Unit Bldg Off 1j Treatment P1 !APC Parks Variance Copies I TOTAL CITY OP EAGAN N_° 'I 'I O O O 3630 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55 121 BUILDING PERMI T PHONE:45a-870o Receipf * _ T. M wed lor 1 OF 4 PLEX Est. Value $60,000 pate SEPTEMBER 18 19 $5 SiteAddren 4459 CLOVER LN Erect ? Occupancy g3 Lot Z Block 1 Cc1Suh. EDEN ADDITION Remodel ? Zoniny pn Parcel No. Repair ? Type of Const. ?? Addition ? No.Stories ? W Name GOOD VALUE HOMES INC MO°e El Length 44 Z 1460 Address 93RD LN NE oemolish ? oeptn 24 ? City BLAINE Int.lmpr. ? pnone 780-5510 S Ft. 9 Inatall ? ,o Name S?E Apy.arelf Faes Zi' OU Address ? CitY Phone U? W Name ' Address tW City Phane I hereby acknowledge that I have reod this opDlication ond stote that fhe informotion is correct nd ogree to comply wifh clf opphcoble Stote of Minnesofo Statule and City of Eagon rdirwnces. SlOnofure of Permi h euilding Permit is iss to: GOOD VALIIE HOMES oll work shall be docmrdonce wrth ppl" le Staro f Mir? Buildinp OffcNol Assessment Permi[ $ 313-.00 Water & Sew. Surcharge 30.00 Pal'ce PlanReview 156.50 Fire SAC 525.00 Ena. WaterConn 500.00 Planner WetarMeter _ 63.00 Council RoadUnit 280.00 BIdg.Off. 9/1H/$rj TcPI,139 00 APC Parks Var. Date Copies I'NL* 7otal $1,999.50 on tha express condltlon thoo wA $ fytea ond City of EaOan Ordinances. . PERMIT APPLICAiION - ROTE: ALL CONTRACTOftS I{UST BE LICENSED WITH 1HE CIl'Y: CQ}tlSERCI9L SINGLE FA!lILY DHE INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS DF 3 S:RUC17RAL PLANS, 1 SET OF 3 CERTIFICATES DF SPECZ:ICATIDNS AND 1 SET OF 1 SET OF ENERGY'C E6ER'l-Y CALCULATIONS $2,000 LkNDSCAPE BOND ? :t, ?•? Ic-F4 da - To Be Used For: CK"e- Valuation: Date: Site Aadress L/c,lsq? a- Lot L Block 11 Parcel/Sub c??e yy A? a Owner Address??/(pp City/Zip Code pjxo,'4s? r`??,J •SS ?{3?f Phone ?0 - ,6-/0 Contractor 613 0 Address ? City/Zip Code ? Phone y Arch./Engr. ? Address r City/Zip Code ? Phone 0 ? .... Erect x Remodel ` Repair Addition ? Move A Demolish " Int.Impr. ? Install , Occupancy Zoning Type of Const # of Stories Length Depth Sq Ft FEES Assessments Permit ? 5 L Water/Sewer Surcharge . ? Police Plan Review L Fire SAC 525 Engr Water Conn SaO Planner W ter Meter C3 Council ad Unit 2,c Bldg Off q •- ? reatment P1 ?2 ? APC r ? Parks Variance Cop3es ' TOTAI, 0 +. . BUILDING2PERMIT CITY OF EAGAN 3830 Pilot Kirob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE: 454-8100 Receipt # _ 1 OF 4 PLEX 60.000 SiteAddress 4459B CLOVER LN Lat 1 Block 1 sec/sue. EDEN ADDITION Parcel No. W IN,m, GOOD VALUE HOMES INC ; Address 1460 93RD LN NE b C;ty BLAINE pnone 780-5510 S?E o Name i ? Addreu ?- City Phone wW Name F ?? Address ?W City Phone Assessment 313.00 Permit $ Water & Sew. Surcherge 30.00 Police Plan Revlew 156, S0 Firo SAC 525_O0 Eng, WaterConn. 500. 0 Plonner WaterMeter 63,90 Council RoadUnit 280_n0 I here6y ocknowledge thot 1 have read this opDlicatian ond srate that gldg. Off, 9/18/$5 Tr. PI. 132 . 00 the information is correcf and ogree fo comply with all oppli[oble APC pa*s Sfate oS Minnewto $fatutes?and Gty of Eogon Ordirantes. Var. Date Copies $ipnafure of Permii Total $1,999.50 A Building Permit I i ed ro: GOOD VALUE HOMES INC on the exDrcss condiNOn Ihat oll work sholl be done in otcordon[e wifh oll opplirabii;t 5tgte of Minnewta St tutespn C?jy af Eoqan Ordinonces. Erect IJY Occupancy H3 Remodel ? Zoninq PD Repair ? Type of Const. V Addition ? No.Stories rnove ? Lengtn 44 Demolish ? Oepth 24 Int.lmpr. ? Sq. Ft. Install ? ApOrevals Fees , N_ 10999 S3'4?- eL,>- 8uilding Official SINGLE FAMILY DWELLINGS 7985 BUILDING PERMIT APPLICATION - CI?Y OF EAGAN NOTE: ALL CONTRAC?ORS MUST BE LICENSED HITH THE CITY OF EAGAN COl4(ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATZONS AND 7 SET OF '1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS' ' $2,000 LANDSCAPE BOND I oF 4 ?coo pb To Be Used For: Aw/e(L) n G Valuation: Date: 9/ ? Site Address OFFICE USE ONLY ,ot 3 Block / Parcel/Sub ??e yy Owner Va/lie Address(o0 q?'?A/ /J?City/Zip Code &&',J^ SS'V3Y Phone 4wp - :F?10 contractor 613 odC Address ? City/Zip Code ? Phone V Arch./Engr. ? Address ? City/Zip Code ? Erect Remodel ^ Repair ? Addition ? Move ? Demolish Int.Impr. ? Install ? APPROYALS "W ?- Occupancy Zoning Type of Const # of Stories Length Depth Sq Ft FEES Assessments Permit ? Water/Sewer ? Surcharge Police ? Plan Reviex Fire SAC ? Engr Water Conn , Planner Water Meter Council , Road Unit Bldg Off eatment P1 ? APC Parks Variance ? Copies , TOTAL Phone (y ? ,_ . . , . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDIN6 PERMIT Te M wed Ior 1 OF 4 PLEX Est. Value $60,000 N_ 11001 Receipt # ?-i? petp SEPTEMBER 18 19 85 SimAddress 4461 CLOVER LN Lot 3 elock 1 Sec/Sub. EDEN ADDITION Parcel No. W I Name GOOD VALUE HOMES INC ; Address 1460 93RD LN NE ? City BLAINE phone 780-5510 p Name $AME Z. Address ?- Clty Phone uw ?W Neme 1 i -Z, Address 1 ?W CitY Phone I hereby otkrowledga that I have read this applicahon and stota fhat the inlormation is correct and agree ro comply with all applicable Stote of Minnesoj,.i Srotut ond Gtr?of Eaq nces.i- Sipnoture of Perw Building Permrt ed to: GOOD VALUE HOMES oll work shall be done in accordance wlth II opp' ble Stote of Mi Buildiny Officiol EreCt 13t Oaupancy R3 Remodel ? Zoning PD Repair ? Type of Const. v Addition ? No.Stories Move ? Length 44 DBmolish ? Oepth 24 Int. Impr. ? Sq. Ft. Install ? Avor"al+ Faet Assessment Permit S 313.00 Water S Sew. SufCherge 30 _ OQ Polite Plan Review 1 S fi_?i O Fira SAC 525.00 Enp. WaterConn. 500.00 Plannar WaterMeter 63,?0 Count7l Road Unit 280, ? Q BIdg.Off.9 1$ 85 Tr.PI. 132_O0 APC Parks Var. Date Copies 1,999.50 INC Tota? on tha e:press condirion ihol sota $t utes and City of Eoqon Ordirwnces. ?671 . .. . , ?r ?_-- -- COl4tERCIAL -:INCLUDE 2 SETS OF ARCHITECTURAL STRUCTURAL PLANS, 1 SET OF ``SPECIFICATIONS AND 1 SET OF " ENERGY CALCULATIONS -- 2 000 LANDSCA SINGLE FAXZLY Di/ELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS ,?„- _- $ , PE BOND ??. . `:? I oF 4 ?,?o To Se Used For: eCL I R ? Valuatior.; Date: `= -- - '?- Site Address /QC/I.? ?j " Lot 1 Block -4L ;-. Parcel/Sub ?12 C,I ,. OKner (-noj Valj)e ??smas ?nr AddressLj(o-) qL?1d ?JE : City/Zip Code Phone ??Q - $s/O Contractor C\/E 1985 BUILDING PERMIT APPLICATSON - CITY OF E9GAN BOTE: ALL CONTRACTORS MIUST BE LICENSED 1dITH THE CITY OF E9GAN - Address City/Zip Code Phone r ? ? Arch./Engr. __ _ ? Address ? City/Zip Code Phone p ? ? Erect Remodel _ Aepair T Addition ? Move Demolish ? Int.Impr. ? Install _ Oceupancy Zoning Type of Const dl of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer ^ Surcharge Police Plan Reviex . Fire SAC cngr Water Conn Planner Water Meter Council ad Unit 91dg Of Treatment P1 ' APC Parks 'Variance I Copies TOTAL - -. . , CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT RecelDt $ N_ 11002 s-sza..L 1 OF 000 4 PLEX $60 SEPTEMBER 18 85 Te M we d {or , Est. Volue Date 19 SiteAddress 4461B CLOVER LN Erect M Occupancy R3 Lot 4 eIock 1 EDEN ADDITION Sec/Sub Remodel ? Zoning PD . Repalr ? Type of Const. V Parcel No. Addition ? No. Stories GOOD VALUE HOMES INC Move ? l.enqtn 44 W 0 Name Demolish ? pepth 24 z A?mE 1460 93RD LN NE Int Impr. ? Sq. Ft. City BLAINE 780-5510 Phone Install ? SAME Avvrorols Fas? F Name ?? Addreas ? City Phone G? ?uW Neme i? Address ?W City Phone I hereby ocknowiedpe iMf 1 have reod this appiiconon ond stofe ihaf the inlormafion is correct nd ogree fo comply with oll applicable Stote of Minnesoto Stotut and Cify of Eoqan Ordinonces. Sipnaturc of Pe ' ea A euilding Penn Is ued ro: GOOD VALUE HOMES oll work sholl be ne in acwrdance with oljyapplicable State Mir Assessment _ Water 8 Sew. Patice - Fire Enp. Plonner Countil BIdg.Off. 9 I8 85 APC Vef. Date Permit $ 313.00 Surcharge 30.00 Plan Revlew - 156.50 SAC 525.00 WaterConn 500.00 WaterMeter 63.00 RoadUnit 280•04 rr. Pi. 132.00 Parks Copies ? rotal $1.999.50 _ on ths axpreu cadifion thw ond Ciry ot Eapan Ordirances. Buildinp Official PERMIT .. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: 8 IJ TL 0 iN. 6 Permit Number: 0:3 4 3 7 - 8 Date Issued: 01 / 08/99 SITE ADDRESS: 446 10 r,i.n;1FR i_ANL LO'f: 11 BLiJCKe 1 t7EN P.T.N. ? 10-22750--040-01 DESCRIPTION: REPLACF 5Yl.ldirio-)„Permi.1, T yor t3'Uxldinq aimrk Type r6ensus Code '., i f ?.. - / } Y^ 1: f, r r 12 TDIPlG I m oAmaGt 5 roR (2Ep/-11:R 4 3.1 FiLT. ttES1DENTIAL •? r' ' ' -?--- ?V,. REMARKS: UN11 t7 . FEE SUMMARY: CONTRACTOR: - Appcicant - si. L zc. OWNER: CUSTOM CfJNCEl)"7-3 C.ONST 1£5987790 20Y.42477 SiAP'il)K6`JICH Lt1RI "Lfi5A0 KENRTCK LQOFlSTE B 446J.1i CLOVEFt LANE IRKEVILIE MN 55044 E('.G NR! MN 55122 tE12) 3 98 ,-7290 S here6Y acknawledge that I haue read thS,s appZacatian arid state that the 3nYormati,qn is cbrrect anrJ aqrce to eomplu aith alk aipplica6le Statp- e+f hin. ttatuteg end Ca.tY ofi E6Gan t2rdinancss, ? APPLICANUPERMITEE SIGNATURE I ?SUEO BY: SR? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 2r CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-4675 cy ol 4 / New Construc4on Requirements ? 3 regislered site surveys ? 2 wpies of plans (include beam & window sizes; pouretl fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preserva[ion plan if lot platted aker 7/1I93 required: _ Ves _ No DATE: `` -7 ` 9 DESCRIPTION OF WORK: RemodeVReoair Requirements ? 2 wpies of plan ? 1 site surveys (ezterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; Z S _?S -On Si C??lc STREET ADDRESS: y4 ln I? C laum r Lc?n L LOT: Li_ BLOCK: SUBD.lP.I.D. #: c s??\ ? ? Nvne _J?"flC7?Q\1?5?? __-1_ wu'e #: PROPERTY `°` o'WN1:12 Suect City CO\TRACPOR Street City . ARCHITECT/ EVGIPIEER Loi»p? N:unc: Strect. Cuy _ Zip: ic k: 11L?_Q?-t? -?c?-d?-?-- Zy..?C?/_7 _Exp. License #t?6 ? ----------------------- Statc: --/- / ?----- Glp' _? 5y - ------ Plione #: -------------- - ------- ------------- Rcaishatinn f#: ------------- ------- --------- 5[ate: ----- ------ Zip' ---------- --- Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. Penalty applies when address I here6y 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 Sta[e: S CITY OF EAGAN js 3830 PILOT KNOB RD - 55122 4fi1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -4675 New Construction ReauFrementr BemodeUReoair Reauirements ? 3 registered ske surveys ? 2 copies W plan ? 2 copies of plans (indude beam & window sizes; poured fid. design; eta) ? 2 sHe aurveys (exterior additions & dedcs) ? 7 energy calwlations ? 1 energy calculations for heated additions ? 3 copies of Vee preservation plan iF lol plattad after 7/1/93 requNetl: _ Yes _ No r?-?Y-9S f`?c DATE: CONSTRUCTION COST: ???' DD DESCRIPTtON OF WORK: eck ?X'fens,o? STREET ADDRESS: ??? ?? Cldu&- t-un@- LOT 3 BLOCK ? SUBD./P.I.D. PROPERTY Name:_ / D?dev? ?e.usLe- Phone #: OWNER FRV Streef Address- yy6/ Gfaiar Lu n e City: E0440 State: ? Zip: CONTRACTOR Company: `JG ? F Phone Street Address: License City: State: ARCHffECT! Company: ENGINEER Name: if Zip: Phone \ Registration #Street City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penally applies when address change and lot 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. Signature of Applipnt: OFFICE USE ONLY ??CEVED Certificates of Survey Received _ Yes _ No APR 2 4 1995 Tree Preservation Plan Received Yes No --------------- . EOEN HOMEO'vYNERS ASSOCIATIDN P.O. BOX 21476 EAGAN. MN 55121-0476 4/30/95 TO WHOM IT MAY CONCERN IN REFERENCE TO JEROME L. FOLDEN (4461 CLOVER LANE) PROPOSED DECK EXPANSION. JEROME HAS PERMISSION FROM THE EDEN HOMEOWNERS ASSOCIATION TO MAKE THIS EXPANSION PROVIDING PLAN CONCURS WITH ALL CITY OF EAGAN BUILDING CODES AND A PERMIT IS ISSUED BY THE CITY OF EAGAN. YOURS T C DOUGLAS C. HELGESEN PRESIDENT PERMIT CITY OF EAGAN 3830 Pilo,+.Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: 8 tJ IL oING Permit Number: 034377 Date Issued: 01 / 0 B/ y 9 SITE ADDRESS: 4461 CLOVER LhNE IOT: 3 6LpCK: 1. lOEN P.I.N.: 10-22750-030-01 DESCRIPTION: aEpI-Ar.r siD7NG Bpildind'Permit Type STORM DAMAGE B/ uildinq ?c°rpk Type RtPAIR ,tensus Code ?., 134 AL'i. RF5I:DEYI'IAI ? . / ? i REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - sT. L zc. OWNER: CUSTOM CONCEPTS CON5T 18587290 20142417 FOLDEN JEi2RY 16 51147 KfcNRICI< LOOP/STF 13 ?461 CLOVER LFlIVE LAY.EVILLF MN 55044 EA(;AN MN 55122 (692) 898-7290 I hereby aeknnwledqe thaL .C have read this app.L.i.catipn and sCrtte thaL the inrormaT,ion is correct and aqree to compty uit.h ail ?.pplicable State ot Mn. :,i:atuLes and City ot Etrqan Ordinances. ? APPLICANTlPEFMITEE SIGNATURE ? Qmw??, e4 A?? /;c UED BY: SIGNATURE 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? CITY OF EAGAN 3830 PILOT 51) 80B RD - 55122 6 New Construction Reauirements ? 3 registered site surveys ? 2 copies of plans (inGude beam 3 window sizes; poured fnd. design; elc.) ? 1 energy calculalions ? 3 copies of tree preservation plan if lot platted after 7l1193 required: _Yes _ No DATE: I ` 7' ?/od DESCRIPTION OF WORK: ?inr Nune:-Lo LLLICYI-------- JP!•1 ---- ------ Phone#: Iait tirsN STREETADDRESS: qLI(u1 t"IGJt'r %cv,L_ LOT: 3 BLOCK: SUBD./P.I.D. #: P20PERTY OWNLa CC)A'1'RACI'OR ARCHITECT/ ENGINEER sti«< City. RemodellReoair Requirements ? 2 copies of plan ? 1 site surveys (exterior additions 8 decks) ? 1 energy ralculahons for heated additions CONSTRUCTION COST; y3 7S `0 C'' State: Coinpaur':-( (c! Sjt2Lr _-c.o-n4y{LL?,t)--,S1 kaj-dLC94honc tk: ---- Street Address:__/Jj'_ ------- - Licensc N '? UJ y??l 1xp. ? -- -- City --? v -- S[atc: _ ?1' !? _----- Ziu ?---- Contp.mY`--------- -------- I'lioue #: \;unc Succi Ciiv ------ --------------------- State: Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. Regisaatiou #: "Lip: "Lip: Penalty applies when address 1 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: gL OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No _ Not Required -' ,-- V I. PERMIT CITY OF EAGAN 3830 Raot Knob Road Eagan, Minnesota 55122-1897 (651)6814675 PERMITTYPE: BuJLOING, Permit Number: 034376 Date Issuetl: m 1/oa199 SITE ADDRESS: p.I.M.c 10--22750--010--01 4459B c?OVErt ?ANr- LDT: 1 HLC1CK: L GIJEh! DESCRIPTIOId: s:rozNs STO12M URhIf4C;F RERA TR 434 ALT"? RGS:[DCIVTTHL ?. ?...? .-: S z.q M, i:i !l '1 ?7t•- ?la- . .? .. ;-. kEPI.ACt_ k3uikd?,riJ?f?ermit Type quilcling 4b-rk i yoe -C2nsus Code 1? . ! t ?- r ? \ ?r /v` REMARKS: UNST 8 , FEE SUMMARY: CONTRACTOR: - a P p l- a. G a n r_ -- s I . L T c. OWNER: cusrOrs co?vee:Prs coNSr 1e987290 z?,t.az4tr tiumr??s xazsrzNE 18S40 KHNRICK LfiUPISTE 8 44596 CL9VER LAiVE LNKEVILLF_ MN 55OA4 EAGAPI hiN 55122 t612i 398-71949 I Z hereby acknowledqe tMat T have read Chis;appZicatSan arECI 5tate that the infqrmatSan is pcrrect and a9rPe t9 aampl,Y'wi.th all dpplicab1e SCdte at Mn. :itatutes and City oF Eagan Ordiriances. APPLICANT/PERMITEE SIGNATUflE / ISS D BY SIGNATURE I 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3 l I?? ? CITY OF EAGAN -1 3830 PILOT KNOB RD - 55122 g,? Q (651) 681-4675 New Construclion Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc ) ? 1 energy calculations ? 3 copies of lree preservation plan if lot platted after 711/93 required: _ Yes _ No DATE: I' 7' cl 9 DESCRIPTION OF WORK: Remodel/Repair Reqwrements ? 2 copies of plan ? 7 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; 75 ? - STREET ADDRESS: ?/ G/s`j °/ /'?i ? I ??C'? Lr?o LOT: 1 BLOCK: SUBD./P.I.D.#: PROPERTY t)\1'NLR CON"1'12ACfOR ARCHITECT/ ENGNEER v:unr._ Phonc #: Gu[ FuSt Sircet Ciry $[a[e: "Liy: (:ompury':_?.¢l?t?? C''LS? CLST --------- _7?-1?.1_--- S[ree[Address:_`?_44?f--Cl'7/?G_?C?e??? 1?--- Citt Comp N.une Street Citv 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 I.icetue # d 0111-2 1/l7 Lcp. Statr. / n_` v "Lip: Z_7_------- --------- Pho[ic 4: ------- ------- RegisU ation #: --- ---- - - - - ----- --- Sta[e: --------- -- "Lip: ?2 0 Z' l(. ?---; , I?..`1I i Not Requir(:? J ? PERMIT CITY'OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: t' . I . IV . : 7.6-227541-020-01 PERMITTYPE: BiJ T L 01 Nr Permit Number: A 3 4 3' 5 Date Issued: o1 I N£t ( 9 9 44?,9 cinvEe i.ANr LOT: 2 E3LOCK: 1 ECJEM DESCRIPTION: REPLf;CE 841 1 ding! Pe rml_t 7ype 4i.ti Ldint} 142?.rk I'yoe ansus ecrde ?`. 1 i' ?.7.. r' l i , r?- ? f` sznINe 3fORin DAMFIGE P.EPAIft 4'34 frLl . R E5]:DEPdI"TAL REMARKS: FEE SUMMARY: CONTRACTOR: - Ap p i i c ant -- ;I . i. x c. OWNER: CUS-I'0M COnIC,'EPTS fONST :1.8987290 "'0142417 FRANZ DEL1/IPJ 16540 KENRICK LOOPIS`IE 6 4459 C;L(J`JEf2 LAIVE LHKEVLLI_L pIIV 65044 E0 GNN Mn! 6512? I612) 8 98'..7290 I hereby aoknoorledge that T have read this.app7.ication and atate tha* tha intormatiort is cffrract and aqrse tc+ coinpi7;wii.h all appl.icab.Lro SL;atie of Mne Stiatutes and Citq aY Eaqan Ordinances, zgz APPLICANT/PERMITEE SIGNATURE ?LSSUED BY SIGNATURE ' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ' CITY OF EAGAN 3 l ? 2--I S 3830 PI( 51) 81O4? - 55122 New Construction Requvements ? 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 rf lot platted after 711193 required: _ Yes _ No DATE: /' / - Y7 DESCRIPTION OF WORK: STO/M a/nGtql' , N:unc:__E fLi (12 ------ _D? l1V i'1 t Gt(1 n e_ 1'lione Lui Fint STREETADDRESS: yLIJrGI C?lau?, r l-4 nt LOT: BLOCK: SUBDJP.I.D. #: 'F_?I'- P20PERTY o?ANLii CO\'CR:1CfOlt .4RCHITECT/ Ei IGIiv"EER Remodel/Reoair Reawrements ? 2 copies of plan ? 1 site surveys (exterior additions 8 decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; ?37s` C) 6 i; stlect City Sta[e: "Lip: Con,pamS.'-C??- `d-?-?? ----- PIiouc #.: ,IQ1? ?_'L_6___ -- Street Address:_???i?.Q.C????L_? _?----- Cily License # 2o?yZ????V• Slalc: _-?1L Y---- %ip: J.SU Y _7 ----- Cotnp N:unc Strccl City 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: vs22?1 .F'?-*-?/ ? 61 OFFICE USE ONLY ?, ---?? i? Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required ? I 1 ------ Yhone #: ----- -------- Rcnnsliatioii k: ---- State: -------- --------- "Lip: L LL CITY USE ONLY BL ? SUBD. ?? RECEIPT #: _? A O RECEIPT DATE: PERMIT # 1999 PLl1bIBINfi PERbllT (RESI)F1V17AI.J crrYosEksna 3830 PnA1' xiNoe an _ f.AflAP, !!A 551 EE . (e51)681-4675 Please complete for: D single famity dxreilings ? townhomes and condos when permits are required for each uNt D beckflaw preventer for underground sprinkler system FIXTURES EACH # TOTAL ^3th?vF -- -- ---- r a -?- -- -------- Floor drain 3.00 x - $ Gas i in OuUet " minlmum - t 3.00 x - $ Hot tub/s a 3.00 x - $ Kitchen sink 3.00 x - $ Laund tra Lavato 3.00 3.00 x x - - $ $ Minimum fee alteretions to existin dwellin 30.00 x - $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x - $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new 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 Under round s rinkler ff existin dwellin Wat 3.00 30.00 3.00 x x x - - - $ $ $ ater heate 3.00 x - $ M r s er if dwellin under constructlon rsoftener 'rfexistin dwellin 5.00 30.00 x x - - $ $ Water tumaround State Surchar e 30.00 .50 x -> --- ---> - -> $ $ .50 --> 0.5U Reminder. Call for inspectlons of altereUons, t.e. water heaters, water softeners, etc. I herebY ackno+?%ledge tliat I have read this applicetlaistate tliat tlie ?famstiai Is carect. arid agree io wmply wilh all appliraWe Ciy%of Eagan ord'marices. It Is the applicanPs responsibility to notify the Property amer that the Cty W Eapan assumes no liabllity for any damages pused by the City during its nmrtial operetionai and meintenance activitles to The hadlities construded under this pertnit wBhln City property/rightof-way/easement. SITEADDRESS: 7"`7F(O? ? 6;e47/-e? ?? OWNER NAME: : 'Ar-? INSTALLER NAME: G? L STREET ADDRESS: cirv: TELEPHONE #: L? 4L?o .S?S?Z (AREA CODE) TELEPHONE #: ,6&z;-_ ?7 (AREA CODE) _ STATE: ZIP: SIGNATURE OF P MITTEE L?- BL ? CITY USE ONLY 7?L?? p ? RECEIPT#: 9?7 SUBD. 4?? RECEIPT DATE: 1998 PLiJAMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT HIi08 RD EAGAN, MIN 55122 (612) 681-6675 Please compfete for: ? single family dwellmgs ? townhomes and condos when permits are required for each unit D bacMlow preventer for underground sprinkler system FIXTURES EACH # Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = INater Heater 3.00 x y - Floor Drain 3.00 x ? _ Gas Piping Oudet ' minimum • t 3.00 x = Rough Openings 1.50 x = Water Softener `for dwellings under wnstruction 5.00 x = Water Softener " for existing dwelling 20.00 X = U.G. Sprinkler * for dwelling under const 3.00 = U.G. Sprlnklef " for existing dwelling 20.00 = Altef2tions ` to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System " MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = STATE SURCHARGE TOTAL TOTAL 5D 0?0S? --------------•----------------------------------------------- -------- ------------------------------------------------------------- I hereby adcnowledge that I have read this application, state that the infortnation° is corred, and agree to comply with all applicable Cityof Eagan ordinances. It is the applicsnYs responsibility to notify the property owner that the City of Eegan assumes no liability for any damages caused by the City during its nortnal operational and maintenance adivities to the facilkies construUed under this pertnit within City property/right-of-wayleasement. SITE ADDRESS: 5??-?J Atl' CLO i?,e- L.l? OWNER NAME: m? ?G INSTALLER NAME: ?? AfOoTr`A TELEPHONE #: STREET ADDRESS: ??DG L'RmeGr? 4e 04, CITY: STATE: ZIP: - ^ - SIGNATURE OF JSlFORM5 BLDGIPLBG PERMIT (RESIDENTIAL) 1998 I CITY USE ONLY L BL ? SUBD. RECEIPT #: RECEIPTDATE: O ?9 D 1998 PLLJNBING PERMIT (RESIDENTIAL) CITY OE EAC>AN 3830 PILOT IQROB RD EAGAN, D41 55122 (612) 681-4675 Please complete for: D single family dwellings ? townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system ------ FIXTURES ------------ --- EACH -- - "--' # Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 100 x = Hot Tub/Spa 3.00 x "ter Weater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener "for dwellings under construction 5.00 X = Water Softener ' for existing dwelling 20.00 x = UG.SprinklBr 'tordwellingunderconst. 3.00 = U.G. SpflflklBr ' for existing dweiling _ 20.00 = Alter8ti0n5 ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC iic 75.00 = (new and refurbished systems) Private Disposal Systems ; Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE TOTAL TOTAL 50 Sa av - ------------------------------------------•---------•---------- ------------------------------------------------------ 1 hereby acknowledge that I have read this application, state that the infortnation is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYS responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its nortnal operational and maintenance activities to the hacilitias constructed under this permit within Ciry propertylright-af-wayleasement. SITEADDRESS: -?Iv;r9 s97 GALG"E?2 2,r/ OWNER NAME: INSTALLER NAME: "?w 'A7" /?C.mCli.?G TELEPHONE#: STREETADDRESS: ?WG6 m,e ?U>rr ?G GTY: ?ilh-ia?r,ci STATE: SIGNATURE OF RMITTEE CD/PERMIT FORMSlRPLBG PERMIT (RES) - 1998 -- - L/ BL ? CITY USE ONLY RECEIPT SUBD. ??-+- DATE: 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 • (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 conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: & -/- 9 ,5- ?? ? 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 @$3.00 each) ? State Surcharge .50 TOTAL o70,,!5-0 SITE ADDRESS: y-?2 ' 6 C Iv v er 1-ah e OWNER NAME: S cc 5 ci h lq//a n PHONE #: ?j,2' .29v.3 INSTALLERNAME: Wvk I-ee S So72?iside /`fr1 ?c Vc ?tO7 c. STREET ADDRESS: 2(o 3,1 W l ys ?? ?/• CITY: I-e STATE: d7(// ZIP: PHONE #: $T? ?r? l /LG(..5_ ClJ t' 1 CITY OF EAGAN APPLICATION FOR PERMiT SEWII2 ADID/OR WATER CONNFCTION 1) PROPII2TY ADDRESS: T•FY;AT• DESQtIPTION: or IF EXISTING STRL'CTt!RE, DATE OF ORIGINAL BiJILD2NG PERMIT ISSUANCE: PRESENT ZONING/PROPOSID LSE: (Month ear) R-1 SINGLE FAMILY R-2 DL'PLEX ('ltao Onits ) R-3 'IbWDHOUSE (Three + Lnits) R-4 APARTMENT/CONIDOMINIC'M CONA'1EEE2CIAL/RETAIL/OFFICE INIDLSTRIAL INSTI'IL'TIONAL/GOVERDZIENT c_.I Units ) ( L'nits ) - Z) NAME: l/C F i ADDRESS: f? o CITY, STATE. ZIP: S;<"r-?.ivd" ///J rvwv `ei,f'i5-1.3 PHONE: 3) For City Ose NAME: Plwnbers L-icense ADDRESS: J?? ?.»? ' Act ve CITY, STATE, ZIP: C7 ired PHONE: MASTII2 LICFNSE # CSnl32 ?Y! i ? t Recor( ., F , Ini?3 4) • , e ia/ / f // P1AME: Gar3?Y C/C?LC??' ?oiYlCS r,oDREss: CIT3t, STATE, ZIP: PHONE: 790 - 5) u a? ? a• o• ?rs st COIVb0CTI0N TO CITY SEWER 0 CONNECTION TO CITY WATEE2 p 0'PIBSRR (Please Describe) 6) u • • ? PLF.7I.SE HOLD APPROVED PERMiT FOR PICK-C'P BY ONE OF APlJVE C1 PLEASE MAIL APPROVID PERMIT TO 1& 3, 4, ABOVE (Circle one) >) F O R C I T Y U S E O N L Y % -1 PE4.kIT " ISSUED E FE^S: $ ci; $ $ S $ $ $ $ S $ $ $ $ $ SF:YLB PEBMT"i` (I`IC?.::DE SliRC.°.?3Gc) WATER PER^tT_T (Ii7CiuD : SuRC?:Ac2Gi.) WATER METER/COPPERHORN/OL'TSIDc REi,DER WAT°R TAP (INCLUDE COR?ORATION STOP) S :r.3 TA? ?r?.'?.'i._:•= ._.=?Si: - :._:.?? ACCOti\T DEPPSIT - FiA'T°_3 WAC SP.C TRli?7{ S1ATER ASS:551E::T TRli:7i: SE:•iER aS5ES5:rgN;• LATE RAL Bt.N[,FIT/TRU`IK S=: =.R LATcRr1L BEVEFIT/TRUVi{ i•;A^_'O_R WATER TREAT:fENT PLANT StTRCY.ARGE OTHER: _ TOT ;L At10U`T PrIID;'FECEIPT n ?77/LDOES UTZLITY CONNECTION REQUIRE EXC`1V,aTION IN PUBLIC RZGi-IT OF WAY? L YES IF YES, THEN n"PE.Rb1IT FOR `AOR?C WITHIN PUBLIC ROADWAY" MClST SE ISSUEC BY TY.E ? NO ENGINEERIDIG DIVISZON. LIST AS A CONDI- TION. SUBSECT TO TAE FOI.LGWING CONDITIONS: APPROVED BY: TI:LE: DATE: ? ??/? / s - i ? • • ? ? • i a ? s i?. ? u _ ??. • ?• • .?' • • o-? ? ? ? • r? • • r: • • e??l? ? 1 1 1 ?I • • CITY OF EAGAN APPLICATION F'OR PERMIT SEWER ANID/OR WATEE2 CONNECPION 1) PRUPII2TY ADDRFSS: T.FY;AT DESCRIPTION: / G????G?? ? =1 (Lot Block Subdivisian or Tax Parcel I.D. Number) IF EXISTING STRL'CTT.'RE, DATE OF ORIGINAL BI'ILDING PERMIT ISSL'ANCE: (Mon Year) PRESENT ZONING/PROPOSID LSE: R-1 SINGLE FAMILY R-2 DCPLEX (Ztao L'nits) R-3 ZOWNHOUSE (Three + Cnits) ( Units) ' R-4 APARTMENT/CONIDOMINIi:M ( Lnits) CONA"IERCIAL/RETAIL/OFFICE IDIDUSTRIAL INSTI'I['.TIONAL/GOVER?,.'%ff 2NT 2} ? , . NAME: /?,! AnDRESS: CITY, STATE, ZIP: I/'9 iY' PFiONE: 3) • m?• NAh1E: ADDRESS: CITY, STATE, ZIP: PHONE; MASTER LICENSE # For City Dse Plumbers LicensE i e C7 ired t Recor( Staff Initial 4) • ?• ? NAME: / C.?Ca c9 '?(' / ADDRESS: Q ? -v -?--/ CITY, STATE, ZIP: 10,A/ PHONE: C) 5) i? a•?i - a? ?? jt CONNECTION TO CITY SEWII2 19 CONNECTION TO CITY WATEFt 17 O'PxER (Flease Describe) 6) u • • i ? PLF.ASE HOLD APPROVID PERMiT FOR PICK-L'P SY ONE OF ABOVE CI PLFIISE MAIL APPROVFD PERMiT TO 1,02 3, 4, ABOVE (Circle one) 7) /l?8`"/ ? sti% ?' /` // 2? ?a `? F O R C I T Y U S E O N L Y PE?HIT °- ISSUED I FrAS: $ f(i, S`(i $ /U.fU $ 6j0(/ $ S $ $ /S^ $ $ $ S $ $ $ S $ SL'::c.°. PEB52rT (I`ICu..LL JU'i'?.C :t7P.GL) WATER PERD4IT (ZLICLUDE JLRCHARGL) WATER METER/COPPERHORN/OUTSID; REnDER WATER TAP (INCLUDE CORPORATION STOP) SE;dEF TAP ACC.OliNT DF.PpSIT - WATER whc SPC TRUVK WATER ASSESS:?E21T TRli:7K SEi7ER ASSESS:eE:iT LnTE?,AL BEDIEFIT/TRtJ:IK SE:• ?? LATcRP.L BENEFIT/TRU.`IK WATER WATER TREATMENT PLANT Si7RCHARGE OTHER: TOTAL AMOU:.T PAID/REC°I?T am J._7y/U DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN P(l6LIC RIGHT OF WAY? ? YES IF YES, THEN n"PERMIT FOR Tr10R:C WITAZN PUBLIC ROADWAY" MUST BE ISSUED BY THE ? NO ENGINEERIAIG DIVZSION. LSST AS A CONDI- TION. SL'BJECT TO THE FOI.LO[4ING CO[`IDITIONS: APPROVED BY: TI:LE: ??/ DATE: ? I'L-Z • • BI• I I INIUMNITAI 1 • I 0 • • PI• •Di' • 4 'D• •C 0 • I. e' M'•' ?1? 1 11 3 ? roW CITY OF EAGAN APPLICATION FOR PERMIT SE«R ADID/OR WATER CONNECTION 1) PROPII2TY ADDRFSS: LE7GAL DES(12IPTION: -I / (Lot Block Subdivision or Tax Parcel I.D. Number) IF EXISTING STRi:C1S,'RE, DATE OF ORIGINAL Bi)ILDING PERMIT ISSL'ANCE: (hbnth Year) PRESENT ZODIING/PROPOSID i:SE: R-1 SINGLE FAMILY R-2 DCPLEX ('I4ro L'nits) R-3 TOWNHOL'SE (Three + L'nits ) ( C'nits ) R-4 APARTMENT/CONIDOMINICM ( Units) COD'A'EEEtCIAL/REPAIL/OFFICE IDID[:STRIAL INS7I'I[.'TIONAL/GOVERNAIENT 2) ? /? N11ME: ?9C ?F'S t7.3y /?V< ? _-1 A/C -- ADDRESS: 46 (:y,1C ? 5 SC CITY. STATE, ZIP: ?.h/ SS?? ?-3 PxorE: t/.--?T3 -.S-i `7/ 3) F-J i:.71• ADDRFSS: CITY, STATE, ZIP: PHONE: MASTEI2 LICENSE #0pjS.f.l/_',7rJ919t7 For City L'se Pliunbers Iricens Recor 4) •a • i?• . NAME: Ge'?d o/ 0 f9 / L!E? ?TO r?e=S ADDRFSS: 1416C) - 9?3 L`?;v? /?/. ?', CITY, STATEr ZIP: A /R/.h/c, A1.N PHOrE: 790 - SS"?Z> 5) ?? m•?• ? ? v• a? 01 CONNECTION TO CITY SEWER 99 CONNECTION TO CITY WATER ? OTFIER (Please Describe) 6) u • • i ? PLEFISE HOLD APPROVID PERMiT FOR PICK-C'P BY ONE OF AEOVE CI PLE'.ASE MAIL APPROVED PERMIT 'It7 16 3, 4, P.BOVE ? ? -(Circle one) ?? ?? ? 7) r '?' ? T.!/b'"??? F 0 R C I T Y U S E O N L Y PE'LMIT " ISSUED F°ES: $ /G•SL $ %D $ ?.Sau 5 5 $ +S S S'zV.<<, S S S $ ? , cJ $ $ SE.':L.fl. PE$MT'j' (INCLJLL JVi?.Ct:?RGL? WP,TER PER11IT (INCL'J?E SiiRC.°.ArZGE) WATER METER/COPPERAORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SE:Oc4 TAP ACCOUNT DEPOSIT - 4IATE2 WAC SP.C TR[iNK WAT°R ASSESS;!E::T TRtiNK SEWER ASSESSME:iT L`nTE?,<`-.L BENEFIT/TRUNK SE:• LAiERAL Br.NEFIT/TRU::K ;•IATrR WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL Ab10U::T PAID/YECE22T n S,7'-??p DOES UTILITY CON.IECTION REQUIP.E EXCaVATION IN PUBLIC RIGHT OF WAY? YES I£ YES, THEN n"PERMIT FOR 'rIORK WITHIN PUBLIC ROADWAY" MUST SE ISSUED BY THE ? NO ENGINEERZNG DIVISION. LIST AS A CONDI- TION. SliEJECT TO THE FOI•LOWING CONDITIONS: APPROVED BY: . TI:LE: DAT°: ? ? ??i- PERSONSi REQC.?IRING• ADDITIONAL -COPIES WILti. BE CHARGID P; S201:00: FEE', Tp: Cp CZTY OF EAGAN APPLICATION FOR PERNIIT SEWER ADIIJ/OR WATEF2 CONNECTION (Please Print) 1) PROPERTY ADDRFSS: r•Hrn.r• DESCRIPTION: IF EXISTING STRtCT[.'RE, DATE OF ORIGINAL BLIILDING PERMIT ISSL'ANCE: (Nbnth Year) PRESENT ZODTIWG/PROPOSID USE: R-1 SINGLE FAMILY - R-2 DUPLEX (Ztao L'nits) R-3 'IbWNHDU-SE (Three + Units) ( Units) R-4 APARTmETPP/CODIDOMINIL'M ( L?nits ) COMNIEE2C IAL/RETAIL/OFFICE IAIDL'STRIAL INST I'!Y'TIONAL/GOVERIZ'fENT 2) NAIC: I/rc I-E/ o.v /Jtj- /Dl -Z >,i c. ADDRESS: R a X /? S;` CITY, STATE, ZIP: SG /3,it/c?/ y 9 h/ SS C? 7? PHONE: ?`/ j 3 /7 / 3) • c?' NAME: ADDRESS: CITY, STATE, ZIP: PHONE: MASTER LICENSE #r<} /g y,>?j? ? . l??L?'•" For City [.'se tacLive Expir O Not ecor( Staf I itial 4) ? "? ?• i?• NAME: 60 Gd ADDREss: a/ CITY, STATE, ZIP: ? //9 /A/e-- 07 .v PHONE: 7 SsG - SS / C? 5) a CbiVN}?CTION TO CZTY SEWER 1!9 CONNECTION TO CITY WATII2 Q OTHER (Please Describe) 6) ? PLEASE HOLD APPROVID PERMLT FOR PICK-[.'P BY ONE OF AHOVE C? PLFASE MAIL APPROVID PEE2MIT TO 1,? 3, 4, ABOVE (Circle one) >> ? ????.? F 0 R C I T Y U S E O N 'w Y pED`1IT " ISSUED ? FELS: $ $ $ $ $ $ ' $ $ $ $ S $ $ $ . S $ ? t SE.':L.D. PE3N11T (I`ICL'IiDE SURC`.i?RGc) WATER PERP[IT (INCL'uDE SliRCHARGE) WATER METER/COPPERHORN/OUTSZDE READER WAT°? TAP (INCLUDE CORPORATION STOP) 5: ,•iER Ta? ACCOliNT DFPOSIT - WATER W ;C SP C TRliVK S17ATER ASSESS:?E;;T TRu:7K SESvER ?SS :SSilE:iT LnTE?=.L Br.?it'.FIT/TRUNK S."-.5:=.R LA:c',RtIL BENEFIT/TRUNK WATER WATER TREATPfENT PLANT SURCHARGE OTHER: TOTAL P,M7L'\T PAID;REC°IPT n DOES UTILITY CONNECTIO[V REQUIRE EXC,aVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THE:I A"PERp1IT FOR WORK WITHZN PUBLIC ROc1DWAY" MUST BE ISSUED BY THE Q NO ENGINEERING DZVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOI.L0WI.IG CONDITIONS: APPROVED BY; TI:LE: DAT°; -? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT e1k qoooo PERMIT TYPE: 6-9 -96 PermitNumber: BUILtlING Date Issued: 025474 05/01/95 SITE ADDRESS: 4461 LOT: EOEN P.I.N.: 10-22750-030-01 DESCRIPTION: CLOVER LflNE 3 BLOCK: 1 Bailding`Permit Type Bullding Wor-k,. TYPe i ? DECK ADDITION 31- REMARKS: FEE SUMMARY: Base Fee $30.00 COPIES $1.50 Surcharge $.50 Total Fee $32.00 Subtotal $30.50 CONTRACTOR: OWNER: - Applicant - FpLDEN JEROME 4461 CLOVER LN EAGAN MN 55122 (612)526-8751 I hereby acknowledge that I have rsacf this application and state that the information is correct and agree to pomply,with a11 applioable Stiete of Mn. 3tatutes and City of Eegen drdinance5. L J APPLICANT/ RA1 EESIGNATURE ?E,fl.SI vTU???? INSPECTION RECORD CITYOF EAGAN PERMITTYPE: eurLozNG 3830 Pilot Knob Road Permit Number: 025474 Eagan, Minnesota 55122-1897 Date Issued: 0 5/ 01 / 9 5 (612) 681-4675 SITEADDRESS:P•I•N.: 1e-22750-e3e-e1 APPLICANT: LOT: 3 BLOCK: 1 4461 CLOVER LANE FOLDEN JEROME EpEN (612) 526-0751 PERMIT SUBTYPE: TYPE OF WORK: DECK ADDITIOM F- L - ` ? JAOBE ? ENGINEEAING CONSUlTINO EN3IHEENS PlBNNEAS cnd LAHD fUflYEY0115 ? COMPRNY, INC. 'N 1000 EAST 1461h STREET, BURNSVILLE, AIINNESOTA 53337 PM 432'3000 ?gaal ..Iae.scr{??2iorc: LOTS 2,3, AND 9, BLocK l, EDEAI Aooirio, AAKoTA CouNT`(, MINNE.SOTA. DRAINAGE AND UTILITY EASEMENT (9o4.s) ?1 99° 58' 02" E a..s? 97.27 oa,y. `n_ - - - - - tn-? NORI'H s? scaLE: I" = 30' ? 1 . / s? LOT 4 9i \ i? , C2+4?i?j D6A10TE5 CX/ST/Al6 ECEVAT/ON qENOTES PROPOSE4 ' E446 VS1 T/ON ? z LoT l \ ?' -?e ' -- --' - ' - - . o IL ' ? I2$? . .. ?y?•" \ ?, 5? VApN . ur ? Q?o 7 / \ t--- ?? ` o .? INDfCATES DIRECT/ON oF SURFsiCE pRA//uA6E i ' ? 30' FRoNT BvIL, 567BqCK LflJE FIA! l SNED 64Rfl 6 E F4-0D9 .&LEVA7roN = 914,0 1 31,E; S?'P p??b, ? ? (qY ? /-? .: r i ` ? ? sA \? b ir ? ' b'1' q?•O ? 5 C? 11,?9 590 ?0 y Q ? 4ts ZI?g. . A$ X 0102 0 50 [.0 %, 9 g ? E N6"? ° `'Pa•? L, q??• ? oJti?. ? ?ii's,?»+ e cl ? v ?Q??nK? Oe??'?erS?o?ltox8. e? I hereby certity that thia is a true and correct Tepresentation of a tract o land a• sho+m'and described hereon.. As preparad by ma on this l4-r? day ot 54o?mB?e , 19 _Ninn. Reg. No. ,'C j*WFONGINCEGRING AOBE CONSULTIN6 EH3INEEAS PIANNEAS cnd lBND fURYEYORI COMPANY, INC. ? 1000 EAST 1461A STREET, BURNSVILLE. IAINNESOTA 55337 PH 4332'3000 ces-jei}'i cctI? suf-v-e y Lgaal Iae?tcr?,eZiost: LOTS 2,3, AND 4, BLocK j, EDEN ADOiT/oN, DAKOTA COUN'TY, MINNESOTA. fDRAINAGE AND UTILITY EASEMENT N 89° 58' 02" E 97.27 ,y NORTH s' ? ----- ?5 SCAIE: I"= 30' d 0 ? r-• ' ' ??? v( ' i CL'?•Oj 0 / Pq b? ? LoT ? :.?? ? z LoT ? I ? - - ? `J?<- --- - -- s ? 2•i ? ?,/qn\ ? p P) ? pR ^Ii2rg) DCNOTES C](IST1N6 ' ELEVAT/ON (9/0.0) DENOTES PROPOSEQ / ELEVi1T/aN IAIDICATES DIRECTJON oF SURFqCf DRA/AlAbE F/N / SHEO 6Al?<16E ,?LEVATION = 914,0 \ rr P'1 \ u ? y5• !i J^\r ? ,. . 30' FRoNT 8uJLO/N6 56T8ACK LlNE 1 FLOaR I 3- 6Q I hereby certify that this ta a true and correct rapreeentation of a tract of • ljnd as shown' and described hereon.. As preparad by ma oa this l&rd day of SE??mBGe ? 19 85 . 1?- SEA , \ ? .: a 1 ? ?= g .-'. . ? . a ?E / ' 31 st? 6I bb'g? ??. „ ? k , b ?\ b,? • ' tkpjo (. v p? kA , ?? 0 5 ?4.qi??'?j\? Ds??• bq,f ?O Z?? k /5? 5 R 06 5 7 0•102`o O ltinn. 1leg. F Use BLUE or BLACK Ink For Office Use j Permit ~fIJO j City of htdt, n ~i I Permit Fee: 3830 Pilot Knob Road_ A Eagan MN 55122 j Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: L----•------------J 2012 RESIDENTIAL BUILDING PERMIT APPLICA1rm Date: -Site Address: l ct4eY t-n Unit A RESIDENT ! Name: Phone: _ OWNER' Address/ City /Zip: H L'S 1 Cto\f~ Ln Applicant is: Owner Contractor Description of work: I TYKE OF WORK Construction Cosh C Multi-Family Building: (Yes / No ) Company: c jq J®e- Contact: CONTRACTOR Address: 6enc~wf+ye -IV City: ~k(~a/e- State: t 1 v Zip: Phone: 7 17 - 3 Y23 License F) tit 3 0 3 0 0\' 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: N0TE: Plans and sup ortin documents that you submit are considered tc be public information. portions th'e -information ma r be classified as non-public if you provide specific reasons that would permit the City to. conclude that they are-trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of theCity 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 ompleted within 180 days of permit issuance. x Dam -AA AA-L x Ap ica is Printed Nam b Ap can 's ig atur Page 1 of 3 rDO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi' Deck - Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Level - Pool _ Miscellaneous - Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 6 Occupancy & MCES System Plan Review Code Edition! SAC Units ° (25 /o,_ 10050 Zoning City Water Census Code y341 Stories _ Booster Pump # of Units Square Feet g~ PRV # of Buildings- Length Fire Sprinklers Type of Construction Width /Q REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Foot! n s- Addition g ) _ final /-No C.0. 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 e Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee 73 Surcharge Plan Review 7 9 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ' ROBE uv CONSULTING ENOINEEAS C it EHG1HEEt~iNG PLANNEAS pad LAND 9URMOSS COMPANY, INC. 1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA '55337 PH 432-3000 iggag cgrtxt 4010" . LOT5 4 213, AND 4, BLOCK 11 EDEN Awl-noIV DAKOTA CouN`rY, MINNESOTA. DRAINAGE AND UTILITY EASEMENT 89* 58' 02 97.27 MORTH SCALE I"= 30' Of o► L-o - - - - rtj - -tea-- ,7 ` i- qi -0 LOT 4 -z' r.e a E ti,1J i r 31 w FIE ION BUILDING IM" v i 3 2ri D CX 19" \ ~ ~y11•► -i ELEVAT10A1 ps\ 1.0 y~ (9/0.0) D A107j .5 PROPOSES \ 1, • ' A 0~ I ,C4Z VA 7741V j r "o ~Q ~ fib' 149 ' INDICATES DIRECT1O~v L~^ I~ it a S OF SURFACE DRA~AIA6E ` /53~ 5~~ R o .IO 10 ; 50 ~,4~ i qQ' 2 4 P E i 30' FRONT Bu1LDIN6 5678ACK LINE ~1 1 1Z'Sr~,e,•+sf a - . Gtio F1N1SHED 64RA6E FLOD,e ELEVAT1oA) = 114.0 q I hereby certify that this is a true and correct "presentation of a tract of land as shorn'and described hereon.. As prepared by me on this 1&rd day of 56p~r,8~e , 14 85 . • e r . Minn. Reg. No. le From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:30 #582 P.020/079 Use BLUE or BLACK Ink ForOfflceUse---------- I j Permit 114~ 1 City of Cagan I (J 1J Permit Fee: 3830 Pilot Knob Road C.~ 2 Eagan MN 55122 Date Received: l L1 Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 41512213 Site Address:'iy59i44595,4401,441oIP5 CIDYev LWf,, Unit Resident/ Name: EMI ftDft CN * (*`ili W WMDQh_ J- Phone: Owner Address If City / zip: WH;5? UhA Wit IlMW, Witt 20d, MN %NS Applicant is: Owner Contractor Type of Work Description of work: Rat Off aild Yt-npf Construction Cost Multi-Family Building: (Yes X / No ) C Company:A11ft (zles 1►U(i 1elyi MGhU mbit ~ontact: BaS Ie d y -t-~/°~ 2 a t Address: 5'y5 lWuslylal S►'I,GI * `103 City: Contractor State: q Phone: a5Z-NI-114514 MN Zip: 5535 MFtT- License 5GIV3151S Lead Certificate M 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: I 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 r, ~~F~_` y ~mTt{~ T conclude that they are trade secrets - ry r~y= 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.ooi3herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit. that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X_ (jut I l/tl~lA~ x ~f Applicant's Printed Name Ap6lic nt's Signature L Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA130771 Date Issued:05/13/2015 Permit Category:ePermit Site Address: 4459 Clover Lane Lot:2 Block: 01 Addition: Eden PID:10-22750-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Delvin Tstes W Franz 4459 Clover Lane Eagan MN 55122 (651) 688-2826 Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature -------------- � For Office Use 1 Building Permit #: %I � � / i %-�% ��' EAGAN S&WPermit#: I Permit Fee: ` - 0 I I ^1 1 I I Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1 I 1 (651) 675-5675 �FAX: (651) 675-5694 I I Date Issued: I buildinginspections(cDcityofeagan.com I---------------------� RESIDENTIAL BUILDING PERMIT APPLICATION Date:. �"I LZLL, Site Address: Unit #: Applicant is: ❑ Owner JELContractor Name: ��;Ce t/� —t b vv.e- C> V_ AS'S t, C? 1, a-4 i b U-,., Homeowner Address: q` 5-q 6/B u q C+� 1 r city: �aQ 0. V, r State:fm Wip: Phone:: Email: Description of work: 2 Q is C:,,- Type of Q i Work Construction Cost l Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan Thy Building Address City:�GcP�G��ti �� Contractor / State: Zip: 5-3,1- V P h o n e 6 t z-i2115 Emaill aMQ �C �,�e��CSN� MQ°` License #: � D Expiration Date: Sewer & Company: Water Contractor Address: Required for State: Zip: Phone: Contact: Email: City: new construction License iration Date. `*I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name A licant's Signature