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4465 Clover Lane(TOWNHOUSE) ° CITY OF EAGAN N°_ 1 12 2 5 3830 Pilat Knob Road, P.O. Box 21-798, Eagan, MN 55121 PHONE: 4548100 ? ???T- BUILDING PERMIT keceiPt # T. y. "ad f. 1 OF 4 PLEX Est_ Value $60,000 Date NOVEMBER 7 ?q 85 SiteAddrem 44675 CLOVER LN Lot $ Blotk 1 Sec/Sub. EDEN ADDITION Parcel No. W rleme GOOD VALUE HOMES INC ? Address 1460 93RD LN NE city BLAINE phone 780-5510 o Name SAME s? Address ? City Phone a F?, Nama ?? Address ?uZi City Phone I hereby atkrrowledge tFat I hove read this apPlicofion ond stote that the inlormotion is corcect a d o9ree fo comply with oll opplicoble State of Minnewfa Statulet and Cily of Eo - dinances. Sipnature of Pe ! A Building P ir t ssued to: GOOD VALUE HOMES oll work s II done in ocwrdance wifh oll cppli ble Stote of 'i Buildinp 0{flclol ?-f Erect QC Occupancy R3 Remodel ? Zoning PD Repeir ? Type of Const. V Addition ? No. Stories Move ? Langth 44 Demolish ? Dapth 24 Int Impr. ? Sq. Ft. Install ? Avvro•als Fees Assessment Permi f = 0 0 Water 3 Sew. Surcharge 30. 00 Police PlanReview 156.50 Fira SAC 525.00 Enp. WaterCOnn. 500.00 Plcnner WeterMeter 63.00 council Raad Unit 280.00 Bldg. Off. '1 4/85 T, pL 132.00 E+P Parka ar. Date Coples Total si 999 _ SQ ,C on the ezpress conditlon that wto Statures and City of Eepon Ordirwnces ( TOWNH.OUSE ) CITY OF EAGAN N°_ 11228 . s 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55721 PHONE: 454-8100 BUILDING PERMIT Recelpt # Te b, ard 4er 1 OF 4 PLEX Est. Value $60,000 Date NOVEMBER 7 ?q 85 Sitenddress 4465B CLOVER LN erect cg occupancy R 5 1 EDEN ADDITION Remodel ? Zoninq PD Lot 81ock Sec/Sub. Repair ? T ype of Const. V Percel No. Additlon ? No. Stories GOOD VALUE HOMES INC Move ? Length 44 Z Name 1 6 9 RD LN NE oemoiish ? Depth 24 Addreas InL ImPr. ? Sq. Ft. ? Citv BLAINE phone 0-5 install O Avorovob Fees g Name _ $u Address ? City - Phone Name _ Address City Phone I hereby ackrawledgs thaf I have read this opPliconon and stofe ihat the inlormotion is correct arild ogree fo rAmply with all opplicoble Stote of Minnesato Statutes and Ciry of Eo9go-(?rdingncea. Sipnature of Permittes ? A Building Permyl ued ro: GOOD VALUE HOM: all wark sMll4?ne in xcordance wilh all oppliwbla-Stote of Assessment _ Waler 8 Sew. Police - Fira Erp. Clonner _ Council _ Bldg. Off. 11 INC Date Permit 4 OiZ) .vv Surcharge 30.00 Plan Review 156,S O SAC 52$.00 waterconn 500-00 waterMeter 63.00 HoedUnit 280.00 Tr.PL 132.00 Perks Copiea $1 ? 0 999 , ' '-' _ on fhe axpress conditlan thot and Ciry of Eoqan Ordinonces. Buildinq Offrcial 91"LC.F (TOWNHOUSE) -, CITY OF EAGAN N°_ 1 12 2 6 " 3830 Pilot Knob Road, P.O. Box 27-199, Eagao, MN 55127 BUILDING PERMIT PHONE:4548100 Receipt # 4_?L2 ? Te M wad fer 1 OF 4 PLEX Esr. VaIue $60, 000 Date NOVEMBER 7 1985 SiteAddreu 4467 CLOVER LN Erecf FC1 occupency R3 Lot7 Block 1 Sec/Sub EDEN ADDITION Remodel ? Zoning PD . Repair ? Type of Cooat. V Parcel No. Addition ? No. Stories ? Nen,e Move ? GOOD VALUE HOMES INC h ? li Length 44 1 £ Add 1460 93RD LN s NE oemo ? Depth 24 ress Int. ImDr. Sq, Ft. a City BLAINE phone 780-5510 Install ? $AME Name ? ? Assessment - ? . Address ? City Phone Water 8 $ew. Police - ? W Name Fim w i? Address Enp . a W City Phone Plannet - Approvab Fee* Council _ I hereby acknowledge thot I hova read this opplication and stote thot Bldg. Off. 11 4$ rJ the inlormofion is corrett ond ogree to comply with oll applicable AP? ? State of Minrxwta Srotutetlnd Ciry of Eagan _QEdiran5as. Permit Y Surcharge iv . v v PIBnReview 156.50 snc 525.00 water conn. 500.00 WaterMeter 63.00 RoadVnit 280.00 Tr.PI. 132.00 Perka Copies Signoture of Permittee I Totai $1,999.50 A Building Pe ' Is iss ro: GODD VALUE HOMES INC on ihe express cordiHon Ihoi oll work sMl e in xcordnnea with oll ppplicable innewfa Stotutes ard Ciry ot Eagun Ordirwncez. 8ulldirq Offlcial ??-{J? ? (TOWNHOUSE) CITYOFEAGAN N°_ 11227 , 3830 Pilot Knub Ruad, P.O. Box 21-199, Eagan, MN 55127 ` BUILDING PERMIT PHONE: 454-8100 Receipt # !?2i- _ T. M wad !e. 1 OF 4 PLEX Est. Vulue $60,000 pafe NOVEMBER 7 1985 siteAddress 4465 CLOVER LN Lot 6 Block 1 sec/Sub. EDEN AUDITION Parcel No. ? Nme GOOD VALUE HOMES INC ? Address 1460 93RD LN NE 9 City BLAINE phone 760-5510 g Name $?1E ?? I Address 1,- City Phane Name City Phone I hereby acknowledge tMf I have reod this upplicahon ond sfale ihat the infofmofion is correcl and ogree to comply with all applicable Stote o4 Minnewta Stqtujes and City of Eagon?rdrywnyqs. Sipnaturc of F A Building Pe oll work shall? Buildinp Offidal yeEd to: in cccordonte with all Erect N Occupency R3 Remodel ? Zoning PD Repair ? Type of Const. V Addition ? No.Stories Move ? Length 44 Demolish ? Depth Zt} InL Impr. ? Sq. Ft. Ins[all ? Approralt Feet Asseesmenr Permit $ 313.00 Water 8 Sew. Surcharge 30.0() Police Plan Raview 156-50 Fire snc 525.00 Eng. WaterConn. 500.00 vlonner water6teter 63.00 Council Raad lJnit 280.00 BId9.Off. 11/4/85 7cPl. I32.?0 APC Parks . ate Copies 1,999.50 INC 7otal on the express condition thol ;soto Sfatutes ond Ciry of Eopcn Ordinances. 3830 IILDING PERMIT Site Addreas _ Lot Percel No. _ ? Name - ?'-' ? Address -? ? City Phone ?t ?? 1- Name Addresa City Phone cirY oF Ei b Road, P.O. Box "p'' - 11227 I•199, Eagsn, MN 55121 100 Receipt # t? I Addresa ? W City Phone I hereby acknowledge thot 1 hove recd this opplicution and stofe that tha informotion is o0rred and agree to tomply with oll opplitoble Stote of Minnesota Stotutes and City of Eogon Ordirances. Siflnotum of P N Buildin9 Perm oll work shotl be euikhng offlaoi Is issued to: bne in accordonce with all opplicoble Stote of ct O Occupancy nodel ? Zoning ieir ? Type of Const. lition ? No. Stories ve ? Length nolish ? pepth Impr. ? 5q. Ft. :all ? Aporora k F??• ? essment Permit ter 3 5ew. Surcharqe ? ice Plan Review U i SAC U ?. water conn. nner Weter Meter mcil Road Unlt -U . g. Off. ' Tr. PI. Date Parks C?ies , Total on the exprcss condition Ihat i Statutes ond City of Eayon Ordinonces. ? Pwmk No. P@?mit HoWW D TeIephons ? Plumbipy H.VA.C. ? EMCtfiC 1 1 ? Softerwr Intpection Date Insp. Oth*r Footinps 1 r? S 1?,? Footlnps 11 Foundedon Fnminy Roofing • Rouqh Ptby Rou9h Htg. &'(/ T S ONL Inaul. Fireplace Final Ht9• Flnel Plbg. Flnal C?tt/Occ. Wets? Dowibs Location: Wsll Sawor Pr. Dlsp. CONTRACT PRICE Site Address Lot .::L m ? y C PLUMBING PERMIT For Office Use Only CITY qF EAGAN PERMIT # 3830 PILOT KNOB RO1l'4,, EAGAN, MN 55122 RECEIPT # PHONE 454'8100 DATE: . , BLDG. 7YPE WORK DESCRIPTI( Block SecJSub Re5• ?--- New Muk. Add-on ? Comm. Repair CD Addres?eC&6'15• ? Cfty ",.< .G .wa COMM./IND. FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) er , RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 UrinaVBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERMIT) Softener - $5.00 ? Well - $10.00 Privabe Oisp. - $10.00 Rough Openings - $1.50 PERMIT FEE: STATES S/C: GRAND TOTAL: . ?v Lot , Block ; SeclSub. Remodel LJ Repair ? Parcel No. Addition ? Move ? W Name A Demolish ? ; Address r' Int Impr. ? . . .. . J ^. , ` Name ' ? Address (:itv Phnna Name rhis opplication ond to comply with oll of Engan Ordinont 5iqnoture of Pertnittee N Buildi all work Buildle?p ;ued to: i • ; s. ' : : , : in accordonu with all applicable State Occupancy Zoning Type of Const. 1 No. Stories Length Depth Sq. Ft. Assessment Permit r1 Q i Woter & Sew. Suroharge ? n() ? Police Plan Review !? Fire SAC Enq. Water Cann. i10 ? n Plonner Water Meter (-i -0 ; Council Road Unit ? fs 0 _ fl Q Bldg. Off. !.1/ 4 ?i?i Tr. PL Var. Date Parks Cop1e8 . .. `.C Total A ` on the exprcn condition thai ? rsota Stotutes ond City of Eogon Ordinances. tTCi4"' CITY OF EAGAN . 'i 12 2" ;3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 _ BUILDING PERMIT Receipt ?t ` ' - Permit No. Permit Holdar Dsta Telsphons # ???ing . : . : = w '1-> -- 3 H.wA.C. _' " . EMctric 1 c. + ,6? Sottener Inspection Data Insp. Other Footings 1 (,?,? Footings II dation Foun Frsming F ? ?B Rooting RouyhPlby. . ?-?// L Rouph Htg. Insul. Fireplace Finai Htg. Flnal Plbg. =-D-J: Final / Grt/Occ. Water Desc?ibe Location: Well Sewer Pr. Dlsp. CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 BJILDING rERMIT Receia To 6t sised fer Est. Volue Dafe , 19 ? Site Addreu Erect ? Occupancy ? Lot Block Sec/Sub. Remodel ? Zoning Repair ? Type of Const. Parcei No. Additfon ? No. Stories Move ? Lengch ? ? Name ` ? Demolish ? Depth Addresa - Int Impr. ? Sq. Ft. ; City Phone ? Install O a O Name AoProra Is Feu ? ?u Address Assessment Pertnit Wofer a Sew. Surcharge City Phone Police Plan Review ?W t? Name W Fin 4 SAC --- ?'t ? ?? Address Erp. Water Conn. ,?; t' tW City Phone Plonner Water Meter U0 ? Council Roed Unit I hercby ocknowfedge that I how reod t his opplicotion ond state that gldg. Off. 1) Tr. PL ?-t ^??'•' the inlormotion is correct ond agree t f Mi d Cit S f S o tomply with oll upplicoble A? f E o Ordinanc s Parks nnesoto fotutes an y to e o . o og n e Var. Date SiQnoturo of Permittea ` - Copies Total A Bulldin9 Permit is issued to: on t hs express tonditlon Ihot olt work sholl be done in oaordance with all applicoble State of MUnnesota Statutes ond City o# Eayon Ordinontes. Buildinp Officiol ? Pwmit No. Permit HoWK Ds" TNephone it Plumbin0 K?va?.c. ,; =; Nz - EbetNc 1,? / J 9 Soitonr irqqetion Date Insp. Other Footings 1 r`S ?1i Footlnpall Foundstlon Fnming Roofing ' Rouyh Plbg -'6 Rouyh Htg. ~7fLA,/J DNZ Insul. Firoplacs Fin.l Htg. Final Plbp. Finsl s f? ? C?rt/Oec. Wstsr Dowibe location: WNI Sswer Pr. Disp. J PERMIT # MECHANICAL PERMIT RECEIPT # '~ 7 CIT1f OF EAQAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE ,' PHONE 454-8100 Site Address I ?'"'` :?- t--'/`' ?`= < , % r?r? BLDG. TYPE WORK DESCRIPTION Lot_ Block ' Sec/Sub R m Name es. New , l M Add ? Addre ss -on u t C omm. Repair c City Phone -? p ther Name 77777 FEES ? c Addre ss ?0 RES. HVAC 0-100 M BTU -$24.00 p City z Phon? ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU - - MINIMUM - COMM/IND FEE - 20.00 Air Cond. T:?7 M BTU J. •?r STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other FEE S/C: , ? - SIGNAI'URE OF PERMITT E TOTAL FOR: CITY OF EAGAN ??. CITY OF EAGAN 1122 5 ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? • PHONE: 454-81 b0 ; • BUILDING PERMIT Reu+or # To be wod isr , . Est. Value Dote , 19 Site Address ' Erect ? Occupancy Lot Block SeclSub. Remodel ? Zoning Parcel No. Repair ? Type of Const. ? Addition ? No. Stories , Move ? Length . 1 •{ S ? Name , Demoliah ? Oepth Address Int Impc ? Sq. Ft. City Phone Install ? ? ? Name Aoprovob F??s q Addres$ Assessment Permit - ' City Phone Water b Sew. Surcharge Police Plan Revfew ?W Name Fire SAC ME Address Enp. WaterConn. ' H. ? W City Phone Plonnar Water Meter ' j• U0 ' Council Road Unit L)6 • Oo ? I F?ereby acknowledge that I hove reod this oppiicotion ond store that gldg. Off. ?`' ? Tr. PI. --77o G tM iniormotion is correct and agree to comply with all opplicable APC ? State of Minnesota Stotutes ond City af Eagcn Ordinonces. Parkg ? Var. Date Copies 5iynoture of Pennittes Totel ; ? y ? /1 Buildin9 Permit Is issued to: .. on tM expross cadition that oll work sholl be done in xwrdance with all applicoble State of Minnesoto Stotutes and City of Eoflan Ordinonces. ? 1 8uildinp pfffcial ? • Pwmk No. Prrmit Holda Dab Telephons ?f PlwnbiA9 5 H.VA.C. Electric c ;i?u iur s soh«». Irupection Date Insp. Othar FooUnyal ? W Footings II Foundatlon Fnminy Roofln9 Rouyn PIbQ. i - Rouyh Hty. -U T ST U< ?vSIL P. Inwl. Finplaee Finsl Htg. Flnal wbp. ;u 46 Final C*rt/Occ. WMw Dsscribe Location: WNI Sewer Pr. Disp. Reoeipt I-5 I ? 1. Date 2. Installation Cost 3. Job Address Lot Blk. _ Tract 4. Owner 5. Contractor Phone 6. Address 7. City State - Zip 8. Building Type: Residential O 9. Work Description: New ? 10. Describe 11. Commercial ? Institutional ? Add ? Alter O Repair ? No. Fixtures Water Closet No. Fixtures i C l/D fi ld Bath tubs esspoo ra n e ti 5e T k lavatory p c an f S Shower o tner Well Kitchen Sink Urinal/Bidet Oth Laundry Tray er Floor Drains Drinking Ftn. SIoD 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 F inal Inspections: Date Insp. Dpte Insp. This is your permit when numbered and approve . Approved CIT OF EAGAN 454-8100 PLUMBING PERMIT Permit Na. CITY OF EAGAN F»- fill in numbered spaces S/C Type or Print legibly Tm Receipt .)4 / ; 7 PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legiWy Pennit No. Fw + S/C ? Tot 1. Date 2. Installation Cost 3. Job Address Lot Blk. ' Tract 4. Owner S. Contractor -• Phone ,' - 6. Address 7. City State - Zip' 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair O OesCribe 11. No. Fixtures Water Closet No. Fixtures I Cesspool/Drainfield Bath tubs 5eptic Tank I, Lavatory Softner ? Shawer Well Kitchen Sink Urinal/Bidet Other Laundry Tray ' Floor Drains Drinking Ftn. Slop Sink Gas Piping Ouclets 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 464-8100 CITY OF EAGAN Remarks Addition Edtin Addition Lot 6 Rik 1 Parcel #1(' 22750 060 01 j Owner Street 4465 Clover Lane Scace Eagan MffV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. - ?<j( ]982 504.70 100.94 5 STREET RESTOR. GRADING t.?p 1 232.99 46.60 SAN SEW TRUNK--, ,I.s/ * SEWER LATERAL - q 1896.46 319.29 WATERMAIN o WATER LATERAL 1982 WATER AREA ! STORM SEW TRK ? Ip 1 SZ 256.00 I.20 5 ? STORM 5EW I.AT 1 S2 S CURB & GUTTER SIDEWALK STREET LIGHT Road Unit • WATER CONN. 500.00 BUILDING PER. 2-5-11228 sa,c 525.00 PARK CITY OF EAGAN Remarks Addition Eden Addition Lot 5 Blk 1 Parcel #10 22750 050 01 owner_ Street 4465 B CloveY' Lane Stace Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. . ?cJ. 1g82 .?r04.70 100.94 ?j STREET RESTOR. # GRADING ]. 82 232.99 46.60 5AN 5EW TRUNK 4 * SEWER LATERAL ' 1982 1896.46 WATERMRIN * WATER LATERAL 1982 WATER AREA - y v 4-20 • 3ernices 1 82 STORM SEW TRK _ &36 1982 256.00 1.20 5 • STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. n n 9UILDING PER. SAC 525 - 00 PARK CITY OF EAGAN Remarks Addition Eden Addition Lot 7 Rik 1 Parcel #10 22750 070 01 Owner ' Street 4467 Clover . Lane State Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. - ?L7 19$2 504.70 ?.00.94 5 STREET RESTOR. GRADING 1$2 Q?. 99 6. (Q 5 ' SAN SEW TRUNK? ? 1974 62•93 4.20 15 1F SEWER LATERAL - ? 1982 1896.46 319.29 5 ?' WATERMAIN # WATER LATERAL 1 5 WATER AREA ? 1977 62.93 4.20 15 ? S rvicea 1982 5 STORM SEW TRK 1982 256. 0Q 51•20 5 1F STORM SEW LAT 1952 S CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. „ n 9UILDING PER. 11225-11228 sAC 525.00 PARK CITY OF EAGAN Remarks Additeon Eden Addition Owner ? h R?? • ? ( ?-1( t ?-- Street - T ., Lane Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 19$2 504.70 100.94 5 STREET RESTOR. GRADING - 1982 232.99 4 SAN SEW TRUNK -- tfl? 1974 62•93 4.20 15 * SEWER LATEFAL 1982 4 WATERMAIN # WATER LATERAL WATER AREA - 9 1977 62.93 4.20 15 ? STORM SEW TRK - CCI 1982 2 6. 0o 1.20 N STORM 5EW LAT 1982 CURB & GUTTER SIDEWALK STREET LtGHT WATER CONN. BUILOING PER. SAC 525.00 PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: I (651) 681-4675 SITE ADDRESS: APPLICANT: i I i OVNR 1 ANI • , ..i, ?irlf . , I' I Ilt' N I ( tS } .' ) 'riI I t{ , .', t $7 F L I (?W?bo PERMIT SUBTYPE: TYPE OF WORK: , ! w-pAtR i,i-PI Af'E f-.11,)aG Permft Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inapectlon Date Insp. Commente 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 BLOG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECif FINAL INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ; 4'i K A Eagan, Minnesota 55122-1897 Date Issued: "I/ A}; ?`? g (651) 681-4675 SITE ADDRESS: n . :! `y .' . f»n n?? *7 a i I APPLICANT: l(11 b I:tl. ??? Y. ? ?, 1 t ? . ? . i tIVF'R 1.ANF 1 I ff N I ( f., I? 1 1 114 '.7 1)IU1 I LL ? ? ?r PERMIT SUBTYPE: TYPE OF WORK: i.E- p A r P ?.tf.liNt?i kEP! ACE Permn Haas? oace relepnono # SEWER/ WATER PLUMBING HVAC Inapectlon Dete Insp. Commenta FOOTINGS FOUND FFAMING 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 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: I UVF R i Ahll PERMIT SUBTYPE: • I iii l+l (111M.+??i I I I 110 ( i NCi t; PERMIT TYPE: 1;++ r t 0r f4G Permit Number; ».' r 4? ; Date Issued: A ! / 08 /96 "b" ? n " . APPLICANT: r. e??nck?- ? TYPE OF WORK: tii !1= i;• 11r-ta F CNAt Mnr{r Rft"Atli (I?1' CK ) ? Permit No. Permft Holder Date Telephona M ELECTRIC PLUMBING HVAC Inspeetion Date Inap. Comments FOOTINGS FOUND FRAMINO ROOFING ROUGH PIUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BIDG FINAL BSMT R.I. BSMT FINAL DECK FTC - DECK F ;. ; i i/?!! 7 / r•. ? Raceipt PLUMBING PERMIT Pemnit No. CITY OF EAGAN Fe? ,• ? Fill in numbered spaces S/C ' Type or Print legibly TOL 1. Date 2. Installation Cost ? 3. Job Address Lot Blk. ' Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New 0 Add ? Alter 0 Repair 0 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Septic Tank Lavatory $oftner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray ' Floor Drains Orinking 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 F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 Roaaipt „ . -?i Permit Mo. Fss ? MECHANICAL PERMIT CITY OF EAGAN Fill in numbered goacas S/C i TYpe cr Piini legiWy T? - J 1. Date 2. Installation Cost ; 3. Job Address z C' Lot Blk. 4 Tract . , . , • 4. Owner _ .. , ? _ 4 . . . 5. Contnctor 4- , Phone ' s? 8. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Desaiption: New p Add ? Alter ? Repair ? 1 11. No. Eauioment BTU - M. Ea. Forced Air ? No. Enuiament CFM Ai H dli Mfg. r an ng: BO1lers Mfg. Mech. Exhauct Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby oertify that the above information is true and oorrect, 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 464$100 -? Raosipt PLUMBING PERMIT Permit No. . CITY OF EAGAN FN ? _ Fill in numbered s,peces J S/C - Type os Prinr IegiWY Tot . I 1. Date - 2. Installation Cost I ! 3. Job Address` , Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential El Commercial ? Institutional 0 9. Work Description: New D Add ? Alter ? Repair ? 11. No. Fixtures Water Closet No. Fixtures C l/D fi ld i Bath tubs esspoo ra e n ti T S k Lavatory ep c an $ f Shower tner o W ll Kitchen Sink e Urinal/Bidet Oth Laundry Tray er ? Floor Orains Drinking Ftn. ' Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rouyh F inal Inspections: Date Insp. _ Date Insp. This is your permit when numbered and approved. Approved CITY QF EAGAN 454-8100 I???? INSPECTION REC4RD CITY OF EAGAN PERIIAIT TYPE: 3830 Pilot Knob Raad Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: 1 lIV1,N i 1?1?li tt!'M PERMIT SUBTYPE: I F l___ H i? r? r, 1 nr r; 03 n A ta" R t /BEi /94 se -w `i A -0' ' APPLICANT: B N t[1 ?' K° ? III . lifil 1111li I{ : ? t h t;'l EIWH- r:.}yN TYPE OF WORK: ;ti ,1; 14 It IIri t MV. I lzF P ;, i f-, rlFrI n; I •,rni ?_? PermR Holdar Date Telephane N SEWER/ WATER PLUMBING HVAC Inspsction Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITV TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfC'i DECK FINAL CITY OF EAGAN PERMIT TYPE: ?+" N'-i 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 1 . N t4 . . , ?1 ? ; 4) 4) I SITE ADDRESS: APPLICANT: {? l Wv1-1+ i nNr 1u1 ha PERMIT SUBTYPE: (?t:1 Nya-7: ?N TYPE OF WORK: tef l>Ark IiE.f'LAI'F :tfiJNl; , (S'?7 1,11oa ? ? .?. PertnR Holder Dete Telephone # SEWER/ WATER PLUMBING HVAC Inspectfon Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBINO 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 I ! CITY OF EAG? i 3830 Pilot Kno Road ' P. O. Boz 21199 6.Eaysn, MFI 551P 2oninp: Umsr: . rew. .;y o iover ae , •». ? - /lddreas: ,: _c e son a:RD3-119. - plun+ber: . . ? p nectian Q?orye: , „ . ?e? ?:. 61 5: ?k l?I?leiee:?t: . , _ peod?r No.: R1C sG?Sdr?: ; ;r:? I .,me ce .e?v?r .'"l'?f fR?1'tt? ? ?...a... ulRED 8Y`??wgw . . t T, Mr. E BY .. Qate Paid: Dote of Insp.: I^?': 3 ..0• - o. of Units. Owner, 00 18 Ue WATER SERVICE PERMIT PERMIT NO.: - ?ATE: ' - - 1. ? - t, . 7-1 N _ CITY OF,:EAGAN 3830 Pilot Knob Rosd P. a. aox 211" Eagan,'MN 55171 iv F ? Addnss: 44fil k. uver ane v Pn _ n. SIh /lddrosc: Plumbsr. '': ytmb i^.•, ? Meter No Fon (7horQs: , siu: is. oopa Reads W.' -eewre dloging ca zo . o?pd _ I .,mo to @M,y wuh ??Mp?;f.•?IEC'I ?,a.?: . sa a :_ . pc. ' E(?U1RED ,,ro,: ' By Dcrce Poid: Date of Insp.: Irnp.: 3 -ry - ? CITY OF EAGAN SEWER SERV{CE PERINIT 1V? TY OFEAGAN SEWER SERVICE PERMIT 38:30 Pilot Knob Road 3830 Pilot Knob Rwd P. Q. Box 21199 PfRMIT NO.: p. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Eagan, MN 55121 DA?: Zonirp: No. of Units Zoning: No. of Unlts: Owrwr: Owrnr: •?? e Add?ess: Address: - Site /1dd Site Addross: - Plumbar. plumber. I? h?ly wMb !M CM7 d fs"w Ordi?aa. By Date of Inap.: WATER SERVICE PERMIT PERMIT NO.: DATE: No, of Unlts: ' r Cwrnctlon CFwrget ? Ititeount Deposit: Pertnlt Fee: - - Surchorpe: Misc. CFnrpss: Total: Io'ew to aeswplp wieli tiw CIlp of ypw OrdiwaepL By Dah of Irsp.: ConrnCtion Chorpt. /1ooount Deposit: Prnnit Fse: SurcFwrpe: Misc. Chor+pm Totol: Dats Pnld: Insp.: DoM Paid: This request void ? 1 .)pntna from S97a? 0959n2 Request Date ^?? Fire No. Rough-in Inspection Req red? ?Ready Nuw Will Notitv. Insvec- n R tor Wh d j -? ves ? No e ea y F] Licensed Electrical Contractor I hereby request inscection of above ? Owner electricel work inslalled at: Street A dre s, Box or Route No City ection o. Township Name or No. ange o. County Occupan P NT1? Phone No. P w plfer c ? Address Elect cal Contractor (Company N Contractor's License No. ailin Address (Contract?r Ownera stailation) AuMorized nature iContractor/Owner InsWllationl Phone Num?? O ? (? ?? 0 . MINNESOT?ATE BOARU OF EIECTRICITY TMIS INSPECTION REQUEST WILL NOT Griqgs•Mi v gldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 7821 University Ave., St. Paul, MN 55704 Phone (612) 297-2111 ENCLOSED. 4 ?. REQUEST FOR ELECTRICAL INSPECTION Ee-oooor-w ?4,Cj See instructions for completirp this torm on back o1 Yellow copy, ? 2 B "X" Below Work Covered by This Request ? AAd Rep. Type of Building ia-ce. wir?d A Equipment Wi?ed Home Temporary Service Duplex t i ater Lightiny Fixtu+es Apt. Building Electnc Heatu? Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ther Oect y .ther (Suecify) [her Veci y t er Other ompute lnspection Fee Below g ServiceEntraneeSize # Fee Feeders/Subfeeders ? ee Circwts U to 200 Am s 0 to 30 Am s 0 to 30 Am s Above 200 Am u 37 to 100 Amps ('j 31 to 100 Amps Swimmin Pool Above 100_Am s Above 100_Am s Transformers rrigation Boorrs Partial• Other Fee Signs Special Inspection TOTAL Remarks ouqb-in . R Date I ctr' G p T or. erebv ? ehat the above : Final D:+te has besn in-pection T01s f9QlIB81 YOro lo mvnum -r.. ? CITY OF EAGqN WATER SERVICE PERMIT $830 Pifot Knob Road f P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 " ' - ' D/1TE: i.4 -p ex ZO^I^fl: . ... No. of Uniri: ooca d ue i /lddross: Sit@ Addrcss: { B Cnti•e- Lane :.. 7c.en c.;1iz. ;Plr. , c e soa umr)g , JUU AA efer No.: ? 7 fY? f -S! ? i ion C1+orps: • P 11 Siu• &AU ^t De??ositc 15. Ocipc; ??os ! No.: c) I ? ?lSo5? 10'00P"3 ? I pr« to oe.sply wilr N?AI0fling w ` . 50 d . ? p ?.. ? °??M.?••. TELEPHONE - ELEC ? . 132 UIRE?'??' LA? 63.00pa met,? B , Y ??oons aaid: aore of Insp.: Insp.: CITY OF EAGAN 3830 Pitot K nob Road P. O. 6ox 21199 Eagan, MN 55121 Zoring: OYVfllr. - ` nd 1 Address: Site Addron: Plumber. m PERMIT NO.: D/1TE: No. of Untts: r I NrM hsenmi/ wMb !M Glfi oi iMPw Connxtla+ Chorpos Of+IM11CM. AOOOU11t Dlposit: . . Permit F«: Surcharpe: gy Misc. C7+aro.s: Dcte of Insp.: Total: Insp.: Dote P+oid: ? i CITY OF EAGAN ? 3830 Pilot Knob Road P. O. Oox 27199 Eagan, MN 551;,1 Zoninp:_ Owrwr. /1ddrou: Sits llddrcn: '+ 4• F: 5 Pluriber. " ` i c ' } WATER SERViCE PERMR PERMIT NO.: DATE: - _- -- , . r ? No, of Untts: en Ac:dn. AAeftr o.: Ca+nection Chorge: '-. v"?, Siza: ?' Dapostt: 16. ' F'`" Rea r No.: IAI 4 p frm,,,i,? Fee• 1Q.OOpa g c 1 n. te ai ities . 5;1 pd n ?vM will? WL f 85 '?!% pr,?,?.?.,, NO E- ELEf?j? ? 132.70F,-' B,, 1•?`?EQtJIRED?` ?j1.nn ?; e Dote of Insp.: ? I/ 3-o6 Insp.: ?? Ur ep?vAN SEWER SERVECE PEIWIR Pilot Knob Road Box 21 ? 99 PERMIT NO.: i, MN 55121 DATE: - ,i?X No. of Un1ts; . ' ' . ? Ilddnss. ovzT C.ane LF h1 F-den !'.:.;_, .T ber. ri i , . ,?,•; N Msesepiy willi fIN Cihr oi !kso• Cannectlan (horp: - 4 ?5 '-1 orlw. Naoiu+t Depodt: 15. - PsRIIit FN: Surchorpc ,,. Misc. Qho?pm of Irnp.: Totol: ' D47e Pap: F ?? CZ -18-91 6 This reuuest vom 'o EB-00007-?14 REQUEST FOR ELECTRICAL INSPECTION 0 /? ? Ae irehuction?tor comotetuW this form on Eaek oI vellow copv. SyP??,_, ? . 6v Ihis Request st 'ona irom ni'iz an'2 .? O L,censed Elec[riwl ConVactor Owner reet Address, Box or Noute No /,?h?/ 7 /??r ip NBme or E iCOmpdny ? </7• ? ? ire No. qeuA??ed?Insunctwn ?Ready Nuw'Nill NoUfy InsPe?:- g ?N tor Whan Ready _ I hereby reVUast insOection of ebove electrical work installed at: ?' CrtY np Insta z THIS INSPECTION REQUEST WILL NOT MINNE50T TATE BOAHD OF ELECTNICITY BE ACCEPTED 8Y THE STAiE BOA D ' Griggs-M' wey Bldg. - Room N•1B7 UNLESS PNOPEN INSPEGTION FEE IS 1821 UniversitY A?e.. St. Paul. MN 55104 ENCLOSED. Phone 1612) 297-2111 REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ' Sea instructions far completing this torm on back of Yellow copy. jS ? j14 ?j q n? "X" Be/ow Work Covered 6y This Request Add R.P. Tyoe of euiitling Appliances WireA Eqmpmenl Wved Home Range Temporary Service Duplex Water Heater Ligh[iny Fixtures Apt. Bwlding Dryer Electnc HeaUn Commercial Bldg Fumace Silo Unloader Industrial BIAg, Av Condiboner Bulk Milk Tenk Farm 1not oeci v ?ne,isuc?.dHl iher Suem(y Other Other l'mm..uin Incner)mn Fan Ha/nw M Fee ServmeEntrance5rse e Fee Feeders/Subfeeders F.O Cvcwts 0 to 200 qm s 0 to 30 Am s # 0 tn 30 Am. s A6ove 200 qmps 31 to 100 Amps O 6 31 to 100 q y Swimming Pool Above 100_A.mps Above 700_AmPs Transtormers Irrigation Booms Pertial.'Other Fee Signs Specialinspection $ TOTAL F Hemirks Q , ? A RouOh-i^ Da1e I, tha Ele ' Inspectoq beraby ra.i.ry maI rne aeoye Final ? ?^le? ff' ` msoecbon has been mede. This reQUeat voltl 18 monlha trom ih s reQUest void months Irom ? - 095901 4 ?c4,, A4d Hequest Da[e (] _?? Fre No. RouBh-inInspectmn Req rc?? Ready Now`L?TW?11 NoUty Inspec- ? C U Yes ? No .lor When PeadY j C] Licensetl Electncal Convactor ? I hereby request inspection of above ? Owner electncal work inslalled at $treet Adtlres Bux or Route ?--Q 7? F' S ?G-GTC1-Lt ?`CG G?.Pv CnV /?^ u•r? ection o. Township Name or No. Range No. Couniy Occuva t PINT P e No. Power Sup er 7'? Address Elec[r al Cnn[racmr ICompany Namel /t/C.C2C. Contrer,mr"s License No. ' C aili.. g AdJrasslContrac((pp o, Owne?tailauoN Author¢e Sig amre ICOntra ?[o /Owner MakinB InstallaLON Phone Number MINNESOT?ATE BOAND OF ELECTflICITY TNIS INSPECTION REQUEST WILL NOT GrigBS-Mi ay Bldg. - Xoom N-197 8E ACCEPTEO BY THE STqTE BOARD 1821 University Ave.. St. Poul, MN 55104 UNLESS PNOPEN INSPECTION FEE IS Phone 16121 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-°°°oi-°< See insVUCtions for complatine this torm on back o1 Yellow copy. n Q?i Q n5 "X" Below Work Covered by 7hrs Request Yel v AAd Nep. Type of Bwltling Aaoluancee WireE Equiumenl WireA Home Range Temporary Service Duplex Water Heater LighLny Fixtures Apt. Bwldmg Oryer Electric Heaun Commerual Bldg. Furnace Silo Unloader Industnai 81Ag. Air Condrtoner Bulk Milk Tank Farm otnrr nec? v 01her ISOCUfvI t.r Suecl1Y Ot er Oiher # iee rServicaENrencaSrze k Fee Feetlers/Subleeders FO 0 to 200 Am s 0 to 30 Am s ove 200 Amps 31 to 100 Amps I ! 31 to 100 A s Swimming Pool Above 100_Amps Above 700_Am 5 Transrormers Irrigation Booms Partial-'Other Fee Signs Special Inspection 5 TOTAL FE Remarks Q .i7J/U1 fiough-in Ol1e // ty I, the Elec ic Inspecbq hereby certdy thatthe.nbove Final r D.I. nspection has bean mede. This reauest voltl 78 montM Irom 7.?C ?/ This re0uesl votd y 18 months fmm 4 0 7 7 9 liv ..? ReqSest Date. ' ire Nn. flough-n ?InsVecunn ?q(Ready Nuw ? W.II Noufy InsPec- Requ?red Jp( tor When ReaGy ?Ves No Lmensed EI¢ctncal Coniractor I hereby request inspacbon of above ......4 in.talled at: L,j Owner -'- -.. . - Street Atldress, Box or Roule Na. . ecUO? Township Name or No. ? Range o. CitY County bs7 /< Occupan1(7HINT) ne Nn. Pho Power $upplier Atldress Electncal CnnVactor lCompany Namel CoMractor?s Lwense No. Mail?ng AdJ?ess (ConVacmr or Owner Makmg Ins?ailaUOnl ? `• , ? Au oraed SiBieture ICon tor?Owner king Installatin 1 Phone Num er - -?a ?wis ?NSPPCTION REUUEST WILI NOT MINNESOTp STATE BOARU OF ELECTXICITY BE ACCEPTED BY THE STATE eOAno Grigge-Midwav Bldq. - poom N-191 UNLESS PROVEN INSPECTION FEE IS 1827 Universitv Ave.. St. Paul, MN 55106 ENCLOSED. Phana (872) 297-2711 qEQUEST FOfl ELECTRICAL INSPECTION 7?G 1 -04 1 See instructions for completing this lorm on ba, o Vellow . 40779 "X" Below Work Covered by This Request Ad P. Type ol euiltline Aoahnncee WrzeA Equipment Wved Home Range Temporary Service Duplex Water Heater LighLny Fiztures Apt. Bwldmg Oryer Electrve Heatin Commercial Bldg. Fumace Silo Unloeder Industrial Bldg. Av Condrtioner Bulk Milk Tdnk p Fee ServiceEntranceSize H Pee Feetlers/Subiexdars u Fee Cncuits U to 200 qm s to 30 Am ps 0 m 30 {1m s Above 200 qmps i 1 to 100 qmps 31 to 100 Am s Swimming Pool bove 100_Amps Above 100_AmUs Transtnrmers Booms rrigation Partia6 Other Fee aUecial i . ? A 5/D-" ITOT FEE - - I. cM1e Elac al r I?ISpB Of, hBIB ay cer4fy theithe bove final ospection hes beBn • maaa. TMa requesl voitl iB montlm tram This request wid ? n[hs trom a 6 b 1?0959Q4 <Q. ej, F (y`en fdw_ J "r'1 Request ?ate J ? a ?i-9?? Rre No. Nuuph-in Insuecbon Requrted> ?es ?NO ?Ready Nnw W- II Noutv Insoec ?r When Ready U LicensEtl Electncai Con[ractor I herebV request inspection oi nbove ? Owner elaetncal work instelled at Sveei AdJress, 9ox ar Route No. Ciiy y6 7 Z?F ection o. Township Name or No. Range No. CounA OccuD u (PAINT) I e !/ / Fhone No. er ppli? P. Adtlress Elac ical ConVactor (Companv Name) onh:iclor's Lmense No. C -?.i!/LiC?? a Madfng AtlJress (Contractor or Owner M, king Inslallab Authonze gnamre (COmrac[or/Owner Making Instzll von) Phone Number ??- "ey a MIryNESOSTATE eOAHD OF EIECTHICITY THIS INSPECTION NEQUEST WILL NOT Griggs-M way Bldg. - Hoom N-191 BE ACGEPTED BV TME STqTE BOARO 1821 Univarsity Ave., St Peul, MN 55704 UNLESS PHOPER INSPECTION FEE IS Phane (812) 297-2711 ENCLOSED. ? ? ? Clty of EalaIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 676-5694 2008 RESIDENTIAL BUILDING PERMIT Dffie: Site Address: -I q b? -.4- 4 I6 ? E ?----------------- ? Fa Office Use I ? Pertnit Fee: ?` 3•6d ? U ? Date Received: j I I i stae: i i APPLICATION SuNe A: RESIDENT / OWNER Name: (%),1)945 Gr`< i1h) Phone: Address / Clty / Zip: Applicant is: _ Ovmer _X_ Contractor TYPE OF WORK Description ot work: P P rDC?i?' Construction Cost?/ 600_ d O Multl-Family Building: (Ves / No ? CONTRACTOR r?/ ? / Name: a;.??)P.f5 N???P ?-['n,??U?? S License#:00 ?/ / 2 3 7 Address: lj?(V tA) - City: rwYh State: r,/L) Trp: Phone: - Contact Person: &b &,?6 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code • Residential Venlilation Categay 1 Wrnksheet • New Energy Code Worksheet Category Submitted Submitted (4 SUbmi8810n iypB) • Energy Envelope Calculatipn3 Submided In the last 12 moMhs, hes the Cfty of Eagan luued a permlt fw a simllar plan besed on a master plen7 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phane: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: P/ans and supporting documents that you submn are consldered to be public in/armatian. Portlons of the Mtormation may be classH/ed as non-pu61/c (f you provlde speclf/c reasons that woedd pertnlt the CRy to conclude that the are trade aecrets. 1 hereby acknovAedge that this information is canplete arM accurate; that the vrork will be in confortnance with ihe ordinarices and codes of the Ciry of Eagan, that I underetand this is not a permit, bu[ only an application tor a permit, and work is not to st wiM ut a permit; ihat the work will 6e in accordance with the approved plan in the case of rk which requires a review ard approvZo . // '? v j x Lbe? 4 rS x ?? Applicant's Printed Name ApPlicant's Signeture Page 1 of 3 *dtV oF eagan PAT GEAGAN Mayor PEGGY CARLSON CYNDEE FIELDS MtKE n-ucutaE MEG TILLEY Cuuncil Members THOMAS HEDGES Ciry Adminiscracor Municipal Center. 3830 Piloc Knob Road Eagan, MN 55122-1897 Phone: 651.675.5000 Farz: 651.675.5012 TDD: 651.454.8535 Mainrenanm Faciliry: 3501 Coachman Point Eagan, MN 55122 1'hone: 65 1.675.5300 Fax: 651.675.5360 TDD: 651.454.8535 www.ciryoFeagan.com THE LONE OAKTREE The symbol of urengch and growch in our communiry October 30, 2003 MR MARK MARTY 4465 CLOVER LANE - iINIT B EAGAN MN 55122-2437 Re: Volunteer Services - Cleanup of Park Property Dear Mr. Marty: As I mentioned in my telephone conversation with you on October 24, the City of Eagan is very much appreciative of the care and concem you have shown for City park property by providing the volunteer services necessary to remove various construction debris and rubbish from the Highline Trail Puk just east of I-35E adjacent to MnDOT Pond AP-12. It is citizenship like yours that make Eagan the great community that it is for all of us. Again, thank you very much. Sincerely, L"` h masZ.A. Colbert, P.E. DirectorofPubiic Works TAC/jj C: Ken Vraa, Director of Parks & Recreation Paul Olson, Superintendent of Puks Enclosure: Claim Reimbursement 086558 Payee: 115146 MARTY, MARK Check No. - 86558 Stub 1 of 1 Check Date -10/31/2003 Supplier Invoice No Date Remark PO Amount 103103 10/31/2003 CONSTRUCTION DEBRIS REMOVAL 87.26 87.26 PLEASE DETACH BEFOfiE OEPOSITING THIS INSTPUMENT WHEN SIGNED BV THE 17-2 ' 0 8 6 5 5 8 CITY OF EAGAN TFEASIIRER $HALL BECOME A CHECH Mbank. 970 ' `,""Mm?Fes?ou55?2a 3830 PILOT KNOB ROAD PAYABLE TO THE ORDER FO THE PPYEE , EAGAN, MINNESOTA55122 NAMEO FOR THE AMOUNT STATEO , NUMBER OOOBESSS , DATE 10/31/2003 AMOUNT $**ww-***87 zfi ; P A Y EIGHTY SEVEN AND 26/100+.+..?ra.e<tx<xrx.xx??+ ..r:zx.+.? ??a.?x.???.:+?..x+x??..wee:• TO THE . MARK MARTY ORDER , OF , ?} µt ?,...- ' MAYOF ? TREASURER? / 11808 558ii' I:09L000022e:1ii9 194 38 5 28iI' 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTR9CTORS MUST BE LICENSED tifITH THE CITY OF EAGAN C0141ERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIF'ICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND 1 oF ¢ c'o,ooo To Be Used For; u,e- ^ Valuation: Site Address G1a-ti- Lot ? Bloek _? Parcel/Sub Zja,a Owner `ti. d-, d ?kI QA: _T Address L?(60 ^"'O4 ?) k)?- i City/Zip Codeur,?? M'j 55?y V/ Phone W5 -M/o Contractor Addres City/2 Phone Arch./ Addres City/2 Phone Date: 6 U S/ OFFICE USE ONLY Erect ? Occupancy ?•3 Remodel Zoning P D Repair , Type of Const ? Addition # of Stories Move ? Length Demolish Depth Z Int,Impr. ? Sq Ft Install ? APPROVALS FEES Assessroents Permit ? Water/Sewer Surcharge Police ? Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off/- - Treatment Pl APC Parks Variance Copies TOTAL ? 1985 HUILDING PERNIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS lNST BE LICENSED WITH THE CITY OF EAGdN C0141ERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Coo,ooo To Be Used For: w ValuationM/'?-?-v Date: --Aa ?- rl Al's Site Address cl ? "r L 1? OFFICE USE ONLY INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND I vr-4 Lot 5' Block _j_ Parcel/Sub . ! Owner 6-04)4 YAL?e- :b?G Address lYS.o 23" 4,,) ??? City/Zip Code ``? L;to -e a4,? ?3 r Phone :2 FO lz?y/ J Contractor 0:a k,_? Addres City/Z Phone Arch./ Addres City/Z-p ---- + Phone 1) Erect X Remodel ^ Repair ? Addition Move ? Demolish Int.Impr. , Install ? APPROVALS Occupancy Zoning Type of Const 0 of Stories Length Depth Sq Et FEES Assessments ? Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off - ? Treatment P1 APC Parks Variance Copies TOTAL SO : 1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN AOTE: ALL CONTRACTORS NUST BE LICENSED iIITH THE CITY OF EAGAN COl41ERCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1'SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND IoF4 To Be Used For: w A.` ? SINGLE FAMILY DNELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Go,ooo Valuation: Site Address Vc/ (" :2 C???? 1 ,J Lot f Block ? T' ,. Parcel/Sub -„) Owner 't'j -n- Address 1(1(2? -?J7???n1 ?? e, City/Zip Code?li};, "n) 51*) Phone ? ? J Contractor Addres City/Z Phone Arch./ Addres City/Z Phone Date: j6lae OFFICE USE ONLY Erect k Occupancy Remodel ? Zoning PP Repair ? ? Type of Const ? Addition # of Stories Move Length Demolish ^ Depth 2 Int.Impr, T Sq Ft Install ^ --------- ---------------- ----- APPROVALS FEES Assessments Permit ? Water/Sewer Surcharge Police ' Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off/?? Treatment P1 APC Parks Variance Copies TOTAL 1985 BUILDING PERMIT APPLICAITON - CIiY OF EAGAN NOTE: ALL CANTRACTORS MUST BE LICENSED llZTH TNE CITY OF EAGAN COlQIERCIAL SINGLE FAlIILY DNELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIF'ICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATZONS ' $2,000 LANDSCAPE BOND I oF 4 cbo To Be Used For: `?u,?(/,,,_ Valuation: -_ Date: _ Site Address ? yT 67 69 GLQ.i„ L„) OFFICE USE ONL Lot 9? Block ? Parcel/Sub C.1 eJ u1?s.L OWRer 11n,?,?J e. 41 .s Address /cQ 9-,4'L'0 pJ? City/Zip Code wL $?3 Y' T Phone 7r-v Erect k Remodel ? Repair ^ Addition ? Move ? Demolish ? Int.Impr. 1 Znstall ? APPROVALS Occupancy Zoning Type of Const U of Stories Length Depth Sq Ft 3 Contractor I01,t,'11-.- Addres City/2 Phone Arch./ Addrez City/2 Phone FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off// Treatment P1 APC Parks Variance Copies TOTAL PERMIT Eagan, Minnesota 55122-1897 Permit Number: m 3 n:3 tt 2 (651) 687 -4675 Date Issued: 01/ a 8/ 9 9 CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L U'r N G SITE ADDRESS: 44678 cLovEk i ANr_ LOT: E Bi_or.K: 1 f:DEN P.T.N,: 1e-22750-030-0L DESCRIPTION: REpLAr,e sTnr.n!G rD rIildiny'-Pei°mit- Typc SrORM f1AMF1(,E V?uildinq Wo`Yk -1'vpe RFPA'[R '-Census tode ?`- 934 AL7. RES:T.DEIV'1'SAL i i ' - \ i ? . ? `? _ ?, ,-A _, REMARKS: uiurr 13. FEE SUMMARY: CONTRACTOR: - Ap o 1 i. c a n t- s r„ i. I c_ OWNER: CUSTOM CONCEPTS CONST 18487290 20142417 WINNLR NWNCY 15540 KENRICK LOOP/STE B 44678 CL(JVER LANE IAKEVILLE MN 55044 FHGFlN hIIV 55122 (612) 89^0-7290 S herebv acicnowledqe that 1 hava redd this aoplication and sZ:aC° t'hat thE inforinaliqn ia correcf and aqi^ee ta complv wiCh alt ?ippticable 5[ate oY Mn. ST.a?ilces and City oi' Eaqan Ordinanaes. iL APPLICANT/PERMITEE SIGNATURE I ED 0Y: SIGNAT RE ? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?2 ( I 2 g ? 3830 PILOT KNOB RD - 55122 J `? J (651) 681-4675 Naw Construction Reauirements Remodel/Reoair Reamrements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (inGUde beam & window sizes; poured fnd. design; etc.) ? 1 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7l1193 required: _Yes _ No DATE: /° 7- n7 !? CONSTRUCTION COST; Y'375• D6 DESCRIPTION OF WORK: 11410? 1?(I'I)c/G? LnyL.i STREET ADDRESS: LOT: Z' BLOCK: I_ SUBD./P.I.D. #: V vnc:_ K`-' ?n_VA _e`? ----I V O./\G__ Pltoue H: PROPERTY 1?sr Fi3t O%W 1:R Sn eet Add City State: Zip: ?lnG ?( [Ja?-_- Pliouc N: ? C O V"1'R.\Cl'OR Su'cet Adclress:?? ?S? GP/7//G? ?J? ?? ? Licettse H ???Ja ? ' ?P• ------- Cuy --___ `! _ ----- State: ? Gv------ ZiP: ARCHITPCT/ i:NGNEER Compaiiy:---- ---- PLonc P: ------- -- Rcpstntion it: Sircet Address: ------------------------------- cuy --- stact: ------ --------- Z`p: ------------ Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. 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 ? ?.- 1,?_ PERMIT GiTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: Bu:ti_nTNs Permit Number. 034381 Date Issued: 01/08/ 9 9 SITE ADDRESS: P.I.N.e 10-22750-070-01 4467 cLoveR i.ANe L.OT: 7 C}LOCK: 1 EpEN DESCRIPTION: RGPLACE STUING 6w2 Ldin$) Permit 'rypu STOR1I C)AM1IAGL: Euildino C?brk Type REPAIR ,tensus Cqde 434 AL.7. RES'LDEN7.T.AL f ? ^> ? REMARKS: FEE SUMMARY: CONTRACTOR: - Appiicant - Sr. LIc. OWNER: CUSTOM CONCFPTS CONSI' 18987290 20192417 iFIIESEN UFFRA 16540 KENN'I:CK LOOP/STE B 446T CLOVLi2 LAN[ LAI<EVILLE MN 55044 EAGAN MN 557.22 (E12) 598-7290 L tiereby acknowledqe i:haL i have read this application and state 'cfiaC the intormati.on ic coi°i°sct and acarf?e to co;nplv wiCh all appliaable St::Ite o1' Mn. Stiatutes and City ol Eao?n Ordinanchs. I APPLICANT/PERMITEE SIGNA?URE tSWED BY: SIG ATURE I - " 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 C? (651) 681-4675 New Construchon Reauiremen4s ? 3 registered site surveys ? 2 c o p i e s o f p l a n s (in c l u d e b e a m & w i n d o w s i z e s; p o u r e d f n d. d e s i g n: etc.) ? t energy calculations ? 3 copies of tree preservation plan if lot platted after 711l93 required: _ Yes _ No DATE: /`2_2L DESCRIPTION OF WORK: RemodeVReoair Reauirements ? 2 copies oF plan ? 1 si[e surve ys (exterior additions & decks) ? 1 ener9y qlculahons for heated additions CONSTRUCTION COST; LI375` O-D A ., STREET ADDRESS: ??{lD 7 K /4f(J'Ul LOT: ?L BLOCK: SUBD./P.I.D. #: v- PROPERTY o?A'N Blt CON'I'1uCCOR ARCFIITECT/ ENGIPfEER PhoueR: la?c Fi?st Sueet Citv Sta[e: Zip: Cuaipauiy:_Ll!AVV7 Plwnc ?i---- StreetAddress: fliy?J 1692,s?Z____ Irceiue# Cit}. L_ V Stalc: ! iJC // V -- Zip: `?_---- Compan}': Name: Strcct Adc 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 OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received _ Yes - No !?- - No _ Not Required . Phouc N: ------- --------- Rcgistration H: ---- . Stare: ---------------- lP' PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 661-4675 PERMITTYPE: BUcLniNO Permd Numher: 0 3 4 3 8 Q) Date Issued: 01 / 0 8/ 9 9 SITE ADDRESS: P.I.N.o 10-22760-0547-01 44658 CIOVER LFiNF.. LOT: E BLOCI<: 1 FDER! DESCRIPTION: P,Ff'IACF.. SIDING Hu'!ldiiitr I'ermit Type STORM DNMAGE uiLdino Ldcrrk TypF REPAT'N, (-?en,u'3 Codc \ 434 ALT. RESIDENTTFlL t ? . ?. ? :? X ti' ?. . J REMARKS: UN1.1" B. FEE SUMMARY: CONTRACTOR: - Apolicane - 5T. 1_1 c. OWNER: CUS7"OM CONCEF"T;; C:ONS7 18987290 20142417 MAi?TY M1'IAIiK 1654@ KENftICI< LOOP/STE 3 44658 CLOVFft LANE LAKEU'ILLE MN 55094 L`AC;l1N MIV 55122 (612) 898-7290 I hareby acknowlerloe Yhat I have read this applicatiori and statie rhat tha inTormation is correct and aqr+=e to r,omply with at1 appJ.icable 3ta1.e ot Mn SCaCUt'es ?nci CitY ot Caqan Ordinancas. I APPLICANTlPERMITEE SIGNATURE ?A ? [4;0 I ED BY: SIGNATURE ? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? l - CITY OF EAGAN -T 3830 PILOT KNOB RD - 55122 q (651) 681-4675 New Consfruction Reawrements RemodellRepair Reouirements ? 3 registered si[e surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured Md. design; etc.) ? 1 site surveys (exterior additions & decks) ? 1 energy calculations ? I energy calculations for heated adddions ? 3 wpies of tree preservation plan if lot platted after 7J1l93 required: _Yes _ No DATE: I- -2 Jg ?I CONSTRUCTION COST; DESCRIPTION OF WORK: q46S ? C?d?es- ??-? STREET ADDRESS: LOT: BLOCK: SUBD.lP.I.D. #: Name:_1 n _??,[??¢- S'h(..? Pllonc #: PROPERTY" c)\t'V1:12 ' Strcct City State: 7.ip: Cump:ury:_?Sd???'?__ Ylioue n: CON'CRACCOR ?< ceiisc # Street AddresslLq_.?io Li -- Gty --? V--------- ------ ---- State: ---- Zli_/v - Gip: SSd L/ L/ ------ ARCHITECT/ E\?GIDIEER Plione #: Rc?nslr.iuon #: Strcet Address:---------- ---- ------- City --------------- ------------ Stalc: ---------------- 7ip: 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 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 -- i _ Not Requlii ;d J I PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BuxLprNc Permit Number: 0 2 7 9 7 3 Date Issued: g 7/ 0 8/ 9 6 SITE ADDRESS: 44656 CLOVER LANE LOT: 5 BLOCK: 1 EDEN P.I.N.: 10-22750-050-01 DESCRIPTION: ( D E C K ) Building-,Permit Type ?BuSlding CJork 7ype F+? ? Census Gode ^ ` ¢ ? t , tl STORM DAMAGE REPAZR 434 ALT. RESIDENTIAL ,? f??, ?`? ?? c.?E?_ a ?q:,? . a L. ,m?.,': -'"f.? ?<',.`7? e y75 _ ? REMARKS: FEE SUMMARY: CONTRACTOR: OWNER: - Applicant - MAR7Y MARK 44656 CLOVER LANE EAGAN MN (612)681-8231 L I hereby acknowledge thati 2 have read Chis application and state that the intormation is correcC and agree to eomply vith sll appl3csble Stete of Mn. Statutes,and City Af.Eagdn Qrdinances. APPLICANT/PERMITEE SIGNATURE ' i ?° s ??TJ?i?? CITY OF EAGAN ? ??-?-- a? 9 ? 3 3830 PILOT KNOB RD - 55122 1996 Bt11LDING PERIIRIT APPLICATION (RESIDENTIAL) ? 681-4675 ? New Construction Reouirements RemodellReoair Reauirements ? n ?? ? 3 registered eite surveys ? 2 copies of plan uC ? 2 copies of plans (include beam 8 wlndow sizes; poured Md, design; elc.) ? 2 site surveys (exterior addHions & decks) ? 7 energy calculations ? 1 energy ealculetions (or heated additions ? 3 co0les of tree preservation plan if lot platted afler 7/1193 required: _ Yes _ No DATE: 6, h6 CONSTRUCTION COST: 11; Z o0 ob DESCRIPTION OF WORK: STREET ADDRESS: LOT ?S BLOCK ? SUBD.lP.I.D. #: !b ?a?S? a50 ?1 PROPERTY Name: (11ar4u (?1aie_k._ Phone#: OWNER 11p'T StreetAddress: yUU.B Clevez nae - a ' City: Fai C1'J State: mA1, Zip: % STl z 7.. : , CON7RACTOR Company: Phone #: ? ARCHITECTI ENGINEER Street Address: City: Company: _ Name: License #: T Zip: ; Phone Registration Street Address, City. State: Zip: Sewer 8 water licensed plumber: °enalty applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the information is correct and agree to compiy with all --1? applicable State of Minnesota Statutes and City of Eagan Ordinances. ?---i / Signature of Applicant: OFFICE USE ONLY Cerlificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No State: 1 • CLAIM VOUCHER - REFUND REQUEST CiTY OF EAGAN MAKE CHECK PAYABLE TO : rLa?uc rts2TY ADDRESS : 4465-B CLOVER LN EAGAN MN 55122 LOCATION 4465-B CLOVEB LN RECEIPT # / DATE 60610 07/08/96 REASON FOR REFUND HOMEOWNER INDICATED THAT DECK WAS BEING BUILT BECAUSE OF STORM DAMAGE. (STORM ?AMAGE PERMIT FEES ABE WAIVED.) TYPE OF FEFUND ELECTRICAL PERMIT 3211-9001 $ PLUMBING PERMIT 3212-9001 $ MECHANICAL PERMIT 3213-9001 $ SURCHARGE 2155-9001 $ WATER CONNECTION PEAMIT 3713-9220 $ SEWER CONNECTION PERMIT 3743-9220 $ ACCOUNT DEPOSIT 2252-9220 $ UTILITY ACCT OVER -PAYMENT 2250-9220 $ CURB BOX DEPOSIT REFUND 2253-9220 $ CONSTRUCTION METER DEP FiEFUND 2254-9220 $ WATER USAGE CHARGE 3711-9220 $ OTHER:BUILDING PERMIT 3210-9001 $ 45.00 $ I declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. nA)1J1tA1r?.. /y m ? I 1 /96 Signa ure Date PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minr,esota 55122-1897 (651 f 681-4675 PERMITTYPE: BU r L.0 1, 111 G Permit Number: 034379 Date Issued: N:t ! H 3/ Si 9 SITE ADDRESS: 4?65 r,i.ovr_rz LHiue IOT: G t3LOCK: ]. kUEN P.I.Pl.: 141-22750-060-07 DESCRIPTION: REFLACE S1l7ING Boi.ldinq -PPrrni,t 7ype STORM t)AMAGE P?L'i Ldinq WcYrk Type REPATR CL nsu,, Code ? 434 AI.T. I2E3Il7EN1'IAL i ? i / \ '. REMARKS: FEE SUMMARY: CONTRACTOR: - Aoplicant - ST. IIC. OWNER: CU'3TOM CONCEPTS CONST 18987290 20142417 ESMfJIVf) NANCY 16548 KENRICK LOOP/STE B 4465 C?(7VER I.flNt LAKEVILLE MN 55044 ENGAN NN 55122 (512) 898-7?qG7 1 harebv auknowiedqe thal' I Yiave reed ttiis appldcatian nnd sY.ate that the inYormat±on is <.orr=cC arid aoree to cumply uSth all appli.cable S"aue vt i4n. Statutes and City of Eatisn UrHinances. IL APPLICANT/PERMITEE SIGNATURE IS ED BY: SIGNATU E 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ? r? p3830 PILOT KNOB RD - 55122 ? (? ? ?-r r 1 (651) 681-4675 O 9 New Conshuc[ion Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes: poured fnd. design; etc.) ? 1 energy calculabons ? 3 copies oF Vee preservalion plan if lot platted after 711/93 required: _Yes _ No DATE: /'J7' 9 CI Remodel/Repair Requirements ? 2 copies of plan ? 7 site surveys (exterior additions & decks) ? 1 energy calculations for healed additions CONSTRUCTION COST; 1'I2;,-75-00 DESCRIPTION OF WORK: ?G/GS C/OUer 4574 STREET ADDRESS: LOT: ? BLOCK: I SUBD./P.I.D. #: ?- Vanic Phanc --- ---------------- PROPERTY Lu? F"" o"'vL:a Slreet Address: -------------------- ---------- City Scate: "Lip: Compvly':`?,?_? Plionc 9: ?/P_? coN?ra:?c roit I/ Street Address:??/{/? ,e?j?/r License # Z0/1W24//7L'sp. a ARCHITECT/ EvGINEER Strcet City Sewer & water licensed plumber (new construction only): . change and lot change is requested once permit is issued. State:"Lip: ?.Sll??------ Yhoue k: ----- -- Regish:itiou #: - -------------- Zip: 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 applicabie State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? •?,Y9? ? OFFICE USE ONLY ?, ??? ----- - ? Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required?? L, I Ll PERMIT # y?.a 9 g RECEIPT DATE: -a q-U M RES1DENTLkL PLiJM$1N6 PERMTf APPWCATION crrY oF E,e?sM 3930 eu.oT xNOS su Ek6AN, MN 55122 651-6$1-4675 Please compiete for: ? single family dweliings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: q?1 L2 S C\U lS? '--NJ OWNER NAME: : N r\ u TELEPHONE #: ?S (AREA CODE) INSTALLER NAME: \i-C V? n?-?"?? TELEPHONE #: SGA oDE33?f -? I-) I STREET ADDRESS: -t O? S ?- I,_? ciTV: STATE: (r\IJ ZIP: (OC1(D n 't k t e riace a cnecK marK next to t e ermi wor z1f New residential dwelling unit under construction and not owner/occupied $ 90.00 ? Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repaidrebuild of RPZ • lawn irrigation system • water turnaround AT-E-2 2 a l Nature of work P/?M Septic System, newlrefurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ 50 ? ?-'?-U Total - _. .. :.., e?? Reminder: Be sure to schedule inspections ot aitereuons, i.e. wacei 110aL0101 ..a•Gi .•?•_•-1-•- I herehy acknowledge that I have read this applicaUon, state that the information is correct, and agree to complywith all appliw6le Ciryof Eagan ordinances. It is the applicant's responsibility to notiy Ne property owner that the City of Eagan assumes no liabiliiy for any damages caused by the City dunng its normal operational and maintenance aclivihes to the (actliUes consWcted under this CITY USE ONLY PERMIT #: -7 ? RECEIPT DATE: ( o G ? RESIDEftTiAL MECR!lRICALI. PERM1T APPLICATION crrYor Easnx 3$30 FILOT KAOB itD F.A8AA MIY 561 EE 651-681-4675 Please complete for: ? single famiiy dwellings townhomes and condos when pertnits are required for each unit Date: 0l??)-C3 l 61 SITE ADDRESS: G ckp-, (Vti ly? OWNER NAME: NGN??--?a ? 5 r^r`z)r\.A TELEPHONE INSTALLER NAME: NC?-XO-Q(TGO TELEPHONE #: STREET ADDRESS: / A UU5 lq-S CITY: k U.5I -J4o5-S53 ) (AREA CODE) C? 5 t 32z 9z? (AREA CODE) STATE: Ny--, zIP: 550k&-Q!?/-S-5 Plarn a rhnrlr m2r4 nnv4 }n tMn nnrmi} wnrk 4vnn New residential dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on,modificatian'ot-8lteration xistin dwelling unit _ $ 50.00 • furnace replacR?? ? • air exchan er air conditio • other Nature of work: State Surchar e $ .50 Total $L5V Reminder: Call for inspections. r. • I 8 •'• s • I •' 0 1' • I? I• ?I' ??I• ? ':1' f '7• ?1 • ' ?' ' 7i? ? 1 11 ?i • • CITY OF EAGF1b] APPLICATION FOR PERMIT SEWER ADID/OR WATII2 CO[VNECTION 1) PROPIItTY ADDRFSS: or IF EXISTING STRC'CTURE, DATE OF ORIGINAL BOIISJING PERMIT ISSC'ANCE: (Month Year) PRFSENT ZONING/PROP0.SID OSE: R-1 SINGLE FAMILY R-2 DL'PLEX (Tao L'nits) R-3 TOWNHODSE (Three + []nits) R-4 APARTMENT/COAIDOMINIL'M COhM'IERCIAL/REI`AIL/OFFICE IbIDUSTRIAL I[VSTI'IL'TIONAL/GOVII2NMENT ( L'nits ) ( Cnits) 2) NAME: 5'SoXr / z c d! ADDRESS: /2 k CITY, STATE, ZIP: 5'CA1y?jA f1j? SS673 PHONE: 71 3) For City L'se NAME: PlumUer /Licens, ADDRESS: S f!/nE ?tive CITY, STATE, ZIP: ?Cl k'?pired t Recor? PHONE: MASTIIt LICENSE #p6/fs42in? ? . . Staf 'Initial 4) ?a • ia• /? NAME: l?aiipl 0i9/ue /7omE? ADDRFSS: 14?60 93''? 1-,4.t'E /t/. e-" CITY, STAR'E, ZIP: A1'qiN.:C jy/ 'k/ S5'S/3 S/ PHONE : ? SJD ^ O 5) u ? ? ;' • • a• el COiZ:CTION TO CITY SEWER tg CONNECTION 1t7 CITY WATEFt Q OTfIER (Please Describe) 6) ?? • i ? PLEASE HOLD APPROVID PERMIT FOR PICK-L'P BY ONE OF ABOVE CI PLEASE MAIL APPROVED PERMZT TO 1,ffl 3, 4, ABOVE (Circle one) 7) 11113 ??? - , .. . , FOR C I T Y U S E ONi,Y PE2MIT °- ISSUED Fr..E5: $ (0 5 (_: SJ.,,? . LR PE-3mT^i` ?I?:I?LJLL JURC:.IRGL) $ W?TEB PETU1IT (Ii:CL'uDE JURCHAfZGL) $ WATER METER/COPPERHORN/OCTSIDE READER $ WATER TAP ( INCL[7DE COR?ORATIO:] STOP ) S S ::6ER TAD .,...=?•?i- - ?_..=? $ _ / t" , n ACCOUNT DEPOSIT - S^iATER $ ? ..' L. WkiC $ SP.C $ TRli_IR NATER ASScSS:?:::T $ TRui7:C SEWER aSSESS:SE?iT +S LnTE?.7+L Br.NEFIT/TRU_IK SE=-:c $ LATERAL BENEFZT moU.1 ? / K IQATr .,R $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL $ AMOUtiT PAID/qECEi?m ? 7? DOES UTILITY CONNECTION REQUIRE EXC.IVATION IN PU6LIC RIGiiT OF WAY? YES IF YES, THEN A "PERMIT FOR 'AOR?C WITFiIN PUBLIC ROADWAY" MUST BE ISSliED BY THE ? NO ENGZNEERING DZV:SIO[V. LZST AS A CONDI- TZON_ S[IEJECT TO THE FOI•Lr.1WING CONOSTIONS: APPROVED BY: TITLE: i DATE: ? ? i ? • o ia• • n r ?• . ?. • 7^ • ? ¦ •' 'Nits ' ?I' t • a? I • • ? ? • ? ? • 71? • 1 1 1 ? ? ? CITY OF EAGAN APPLICATION EOR PERMIT SEWEF2 ADID/OR WATII2 CONNECTION (Please Print) 1) PROPIIYPY ADDRFSS: T•flf;AT• DESQ2IPTION: IF EXISTING STRC'C1S.'RE, DATE OF ORIGINAL BLILDING PERMZT ISSL'ANCE: (Nnnth Year) PRESENT ZONING/PROPOSID CSE: R-1 SINGLE FAMILY R-2 DL'PLEX (Zwo Onits) R-3 TOWNHOC?SE (Three + L'nits) { Units) R-4 APARTMENT/CODIDOMINICM ( Units) COA'A'JEF2C IAL/RETAIL/OFFICE IbIDL'STRIAL INSTI'IL'TIONAL/GOVII2IZfENT NAME: LY/C?E?SaN ?e4 ADDRESS: ? n CITY, STATE, ZIP: A) S'?5_0 7? PHONE: 3) • ? ra• NAME: ADDRESS : S' 1-7 CITY, STATE, ZIP: PHONE: MASTII2 LICENSE For City L'se Jr?,r active Cf Expired ,Not ecorc ? Sta tial 4) •a • i?. NAME: GL GL 11amES ADoREss: iy6 0 CITY. STATE, ZIP: 3 1,09/l?F ?YJ /V N S.-??J? ?/ PHONE: 4( 7&6 O S) D Y• • M •?1' 1 •?• 71? ;jj;,CO:VNECTION TO CITY SEWER rdr CONNECTION TO CITY WATER Q OTHEE2 (Please Describe) 6) ? u • • i ? PLEASE HOLD APPROVID PERNIIT FOR PICK-[.'P BY ONE OF ABOVE CI PLEASE MAIL APPROVID PERMiT TO 1, Q 3, 4, ABOVE (Circle one) ? 7) r, r. • ?? % /s?%t.?cC??-? ? a1 /?/X?/ - ._ . .? Y_ - I FO R C I T Y US E ON:,Y PE2MIT °- ISSUED FEES: $ $ /G • S i: $ $ S r $ $ $ $ $ $ $ ? . ? L-...C S?:•iER n?3?1rT (I`TCLi:D: Sli?C'i?RGE) F1ATE? P :i2.^1T-T (ILICLVDL SliRC°ARGc) WATER METER/COPPERHORN/OUTSIDE READER WAT_°R TAP (INCLUDE COR?ORAT20.] STOP) Sr:'IGR ACCCuNT DEPOSIT - P7ATER WAC SAC TRucIR ;:'AT°R ASS: Sc;+.r::T TRu:I{ 5?;iER =.SSESS:?EJiT L'nT: RAL BE::Er IT/TRU`]K SEIdF.B LA:c:ZP,L BEVEFIT/TRU.`1K jJAT°R WATER TREATMEATT PLANT SURCHARGE OTHER: _ TOTr.L Ai?1?JG`:T PAID/RcC°I?T n? ^ DOES UTILITY CON.IECTZON REQUIP.E EXC:,VATION IN PUBLIC RIGHT OF WAY? rl-7 YES IF YES, THEN A"PERDIIT FOR 'AORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE C] NO ENGINEERIDIG DIVISION. LIST AS A CONDI- TION. S[IBJECT TO THE FOI•LOWING CONDITIONS: APPROVED BY; TI:LE: ? DAT° : I r . • i i W.-NIGA t • i aW91 i• I i? ul• •swt mha •:?• ? •a? i • •?? • • ?? ? • ? ?t ? • • CITY OF EAGAN APPLICATION FOR PIItMIT SEWII2 ADID/OR WATII2 CONNECTION (Please Print) 1) PROPERTY ADDRFSS: T•FY;AT• DFSCRIPTION: IF EXISTING STRCCiLRE, DATE OF ORIGINAL B[)ILDING PERMLT ISSL'ANCE: Nbnth Year) PRESENT ZONING/PROPOSID OSE: R-1 SINGLE FANIILY R-2 D[.'PLEX (Two L'nits) R-3 'IOWNHOC'SE (Three + Lnits) ( Lnits) R-4 APARTMENT/COAIDOMINIL'M ( L'nits) COMN]ERCIAL/RETAIL/OFFICE IbIDL'STRIAL INSTITL'TIONAL/GOVIItNNNIEENT NAME: ADDRESS: I'?SO J? / ? FS CITY, STATE, ZIP: Scf3/v ?/?t ?j 'V S SG'73 PHONE : 3) ' c?•- D]AhIE : ADDRESS : CITY, STATE, ZIP: PHONE: MASTII2 LICENSE # For City Ose Plisnbers Licens ve 4) • .. • ia• NAME: G'ood 0g44 6 ?10rA'e s AonREss: /yS0 93 _71' .L i9wef- ff CITY, STATE, ZIP: n/ $"51{j,?/ PHONE: 5) u r•?• ? 5? ?? ,$ COiVNFCTION TO CITY SEWER 'ff CONNECTION 'IC) CITY VATER Q OTfIER (Please Describe) 6) i? ?' •i ? PLEASE HOLD APPROVID PERMIT FOR PICK-L'P BY ONE OF ABOVE C7 PLEASE MAIL APPROVID PERMIT TO 1, ?l 3, 4, ABOVE (Circle one) 7) L, - ? . F 0 R C I T Y U S E O N L Y PE2MIT °- ISSUED FELS: $ /G C?G E'?^o p? r°?_- or?; vr-^} S .lL.. ??.1Ti ?I?I?....:i... .iU.......?.wG +S WATER PE.TUtIT (Ii:CLliDE Sli3CHAaGc) $ WATER i4ETER/COPPFRHORN/OUTSIDE REaDER $ WATER TAP (INCLL'D° CORPORATION STOP) $ S??ER TA? $ :..?GS== - ?=:.? _3 $ ? 3- • AG:CliAIT DEPOSIT - WATER $ '• WAC $ SP.C $ T2;i`IK WATER a55E55:•.E:iT $ TRu?1:C SE:•iER ASS :SS:iEiiT $ L:-.TS'?,rL BEivEFIT/TRU`IK SE:'iE2 $ LA:c;2lL BE\E.^IT/TRU:IK ?JAT°R $ WATER TREAT4fENT PLtV\T SURCHARGE $ OTHER: $ TOTAL f • $ AMOL'::T PAID/RECEI2T n ? . -. DOES UTILITY CONNECTION REQUIP.E EXC.aVATION I,I PUBLIC RIGi-IT OF WAY? YES IF YES, THES] A"PERAIIT FOR ;VORK WITHIN PUBLIC ROe1DWAY" MUST BE ISSUED BY THE 0 NO ENGINEERID7G DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOILOS9ING CONDZTIONS: APPROVED BY; TITLE: i DAT° : /. i- t r i ¦ • • ? ? • i u • ? i?• • n r. ?. . ?. • ?1• • . ' ?? • ? ? • • ? • M' ? ' ?i? • 1 1 1 71 ? • ; CITY OF EAGAN APPLICATION FOR PERMTT SE.%IER ADID/OR WATER CONNECrION 1) PROPERTY ADDRESS: le LEGAL DESQtIPTION: (Lot 1'ock Subdivision or Tax Parcel I.D. Number) IF EXISTING STRICTL?RE, DATE OF ORIGINAL BUILDING PII2MIT ISSL'ANCE: (MOnth Year) PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY R-2 DC'PLEX (TrJO Cnits) R-3 TOWNHOUSE (Three + L'nits) ( Lnits) R-4 APARTMENP/COIMMINIL'M ( Units ) CONA9ERCIAL/RETAIL/OFFICE IAIDL'STRIAL INSTIT[:TIONAL/GOVERN?Ei NT 2) ? ' ' IVAAIE: j G ??E S G ?Y /'" / ? Cf /61• Nj ADDRESS: ? O Jt /2 $ CITY. STATE, ZIP: 73 ,. PxorE: tj33-s/7/ 3) For City C'se NAME: Plimibers Licensc ADDRESS: G',L CITY, STATE, ZIP: _,C?7 d PHONE: MASTEE2 LICENSE # pa/gG? g 4Rec= ? Sta l 4) ? • i?• ADDRFSS: CITY, STATE, ZIP: PAONE: Goed UR?/.fE I?Gz+, ES- !qfoo A/. S'. a 1,4 ?a?? j'!'1 .xi S`S'1l34 7£'s0- SS/D 5) ?? • ?• • ?? 367 ? CONMDCTION TO CITY SEWER ? CONNE)CTION 'In CITY WATII2 Q OT1-IER (Please Describe) 6) n • ? ? PLF.ASE HOLD APPROVID PERMIT FbR PICK-L'P BY ONE OF ABOVE ? PLEASE MAIL APPROVED PERMIT TO 1,(D 3, 4, AHOVE (Circle one) >) ?A?7??.?.? ? /c?3ls- ° O R PERMIT °- ISSUED I T Y U S E ON:,Y F°°S: $ /C) S< $ /n. } r.. $ ?niy,r, • S $ $ $ S $ S S $ $ $ $ ? L.°. PE7MTi I_I ? ?CL r_']7rJ^ .:L._ ?r . oL.o.? ...G) WATER PEMIIT (INCL'uDE SIIRC::ARGn) WATER i1ETER/COPPERHORN/OUTSiDZ READER WAT°R TAP (INCLUDE CORPORATiON STOP) 5::•ic3 TAP =-??'?-•- ..?GSS= - .: _..23 ACC:OUNT ?FPOSIT - S^7ATE3 WAC SP.C T3u?iK tOATER ASSESS:?E:dT TRu:i?C SESdER .aS5ES5ME`iT L.-.iE?,.,L BENEFIT/TRU`IK ?R LATERAL BEiQEFIT/TRU:IK [?AT°_R WATER TREATMENT PLANT SURCHARGE OTHER: TOT ;L AMOU`T PAID/REC.. ?22T.n :+? 7f5'j- DOES UTILITY CO\.`:EC':ION REQUZP.E EXCaVATZON IN PUBLIC RIGHT OF WAY? I?- YES IF YES, THE:1 ti"PERMZT FOR WORK WITHZN PUBLIC ROADWAY" MUST BE ISSUED BY THE Q NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUEJECT TO THE FOLLOS•II:IG CONDITIONS: APPROVED BY: TSTLE: OATE: ° M r33 PAW- &P rAOBE COHSUlTIHO EN31NfEAS ENGINEEAING PLaN?+Eas ond LAND ?URVEYOflS ' COMPRNY, INC. ?I000 EAST 1461h STREET, BURNSYILLE, MINHESOTA 35337 PH 432 IaG.*cri.1,y sZ: LDTS 5,6,7AND 81 BLOGK lj EDEN ADDJT/aNj N • DAKO7A cauti/rY, MINNEsaTA ' •ig?s_o; Dg'NOTES FX1STlN6 E1.6'VRT/ON (91s•6) DENOTES PROr'oSEU EL6VATio,U '- /NO/CAT4rS D/REtT/o,V OF 5vRr,4CE bRAlNA6E ? 9/S•o = F/N?SNED 6AKy?E FICbR EC.CvA7/ON ' NORTH , srsl[E : 30• `y .^ h . ? ? y 4i 40Y' i aqoily N/ . ; ? '? ?h ? ? . s. 0 ;?•? ? 1 m 6- _ v 30, pTZON-r BUIIDINb SE'TBAcK L/A/E 10^ ?k a' <. o ?(b ? ' / ? ?, ? ?i ? Q ?` • . ;v???r, ?}-? Q •? ? <Q, ?. ? 0 0 ' ?b G ?o A` 5dI ?' ? ?O. lr- ? ' i ? t? ? ? L? ? yQ ?•? o 00 ?? ? Sg s3 8F ?,? ?? % 47 Se, 9a ? ?n ? Q,a / 8?„ p ?? a. qo^o a2\ ,,w i o 0 jN, ?.. CV i ` / d I hersby cartity that this ie a true and corract i*ap sintation of a trac!.ot land as shown'and described heraon.. Ae preparad by'me on this 5tp day ot GYrAf? , 19 P5 Use BLUE or BLACK Ink ECE~ > a For Office Use q6o AUG 9 2010 1 Permit -A City of Eajan , Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 j Date Received: ; Phone: (651) 675-5675 I I I Staff: I Fax: (651) 675-6694 I I CcfJ 2010 RESIDENTIAL BUILDING PERMIT APPLICATIONS Date: Site Address: Tenant: C1_A12_:A <S;gt &(U) SuiteM RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: Pry- a Multi-Family Building: (Yes / No CONTRACTOR Name: ille k- .,.,,~-du+ e License ~(5 6 0 l') 0 Address: Jq'cs. City: 0 e~Lt ~ State: OWZip: Phone: 5"7 - 2V3-1 Contact: T ~ Email: .4-A a-\ . C' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes -No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 rk is not to start 'thout a pe ; that the work will be in accordance with the approved plan in the case of work which requires a review and approv f plans. x Applicants Printed Name Ap ica is Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace ^ Porch (3-Season) Storm Damage Single Family T 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 f , o New Interior Improvement Siding _ Demolish Building* _ Addition a Move Building Reroof T 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 o Occupancy MCES System Plan Review Code Edition SAC Units (25%~ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: _Ice & Water !Final Pool: iFootings Air/Gas Tests Final Framing Siding: Stucco Lath ®Stone Lath Brick Fireplace: Rough In Air Test Final Windows Insulation Retaining Wall: Footings Backfill Final Meter Size: Radon Control ` Erosion Control Reviewed By: t , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge ~ t S&W Permit & Surcharge Treatment Plant r f "S f" Copies q e) r 2' XFr,`V TOTAL Page 2 of 2 Use BLUE or BLACK Ink r I I For Office Use I Permit Ad 76) I I City of EaEd~ ' I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I ' Fax: (651) 675-5694 I Staff: L-----------------i 2012 MECHA ICAL PER IT APPLICATION Date: Address: L ~ ' ( ' Tenant: Suite M p _ 2 Name: 5 5~>~ LtV~ Phone: ` _ O lT 3o 2 3 RESIDENT / OWNER Address / City / Zip: Name: v _ /v * C License Address: 03~ CONTRACTOR City: State: Zip: Phone: G/ll 2- / f Contact: Email: New eplacement Additional Alteratio / Demolition - 5) ~ ~I Fl/~TYPE OF WORK Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement PERMIT TYPE Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a$ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is n to start without a permit; that the work will be in accordance with the pproved plan ' the case of work which requires a review and approval of plans. w x r - ~ Applicant' P nted Name Applicant' ignature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Jan 18 12 03:26p Carlson Plumbing, Inc. 763-434-4872 p.2 Use BLUE or BLACK Ink - For Offic ---e Use j City of Evan 3830 Pilot Knob Road Permit Fee: I Eagan MN 55122 1 Date Received: Z' 1 Phone: (651) 675-5675 1 Staff. 9 Fax: (651) 675-5694 201l92 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: i Site Address: ^Tq O bv -f l Tenancy "I e- _ Suite Name: RESIDENT 1 OWNER Phone: Address I City /Zip: Zj R~LgieVdy Name. Cae-1~06A L1lM.=J `t/\ 1 C.. License ®(!!~►~~(~'-Pr' ~t LS t-;} CONTRACTOR Address: L Z 1.-- city: State: r e Zip: Ls L, P ~ ho 1 ne: 3 Contact: Cag L. Gti C-lS u1 Emad: TYPE OF WORK New Replacement _ Repair - Rebuild _ Modify Space -Work in R.O.W. Description of work: RESIDENTIAL ~._m.._..,....,,,.~..e...~..~._._-.~-~_~..~......_.~...._,-..._.__.._,.~,.~... Water i Heater Lawn IrFi anon Water Softener PERMIT TYPE g RPZ I _ PVB) Septic System Add Plumbing Fixtures (Z Main / Lower Level) s z New Water Turnaround Abandonment t .,....W.....~a..-...._......__ - - ...a..._..~......._...........,...._._~.~~.~.1-~~~L~S:,!'''p-S' ~-RESIDENTIAL FEES: $60-00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) i 'Water Turnaround (add $189.00 if a 518" meter is required) $105.00 Septic System New ($10.o0 per as built) (includes County fee and $5.00 State Surcha e r9 ) TOTAL FEES $.a . r CALL BEFORE YOU DIG. Call Gopher State One Call at (659) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall orq I hereby acknowledge that this information is complete and accurate; that the work will be in conforrna with the or and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is no with a pe it; that the work will be in accords with, the approved pl the cas of work which requires a review and approval of plan . x ~T Q !r~~5O x Applicant's Printed ame Applicant's nature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:29 #582 P.017/079 Use BLUE or BLACK Ink I For Office Us `e ~j I j Permit l tttI l City of Cap I Permit Fee0-3 a I 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: - l Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 Staff: _ t. -------J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: '012,013 Site Address:44tA.44L66l'yybli4LiUl(5 UpVtY L V1& Unit#: Name: _eft" ftp ~CJIV l QJS t" Wh1 tit Phone: ~k Res1dent/ lI Owner i Address/ City/ Zip: _k0413$ G I V W. paq_-W", Eotw pUGt a , MN CsNq Applicant is: Owner Contractor Type of Work Description of work: ItCAY Off GIYICI VC-YOOf Construction Cost S I IDlgw ' O V Multi-Family Building. (Yes / No Company: .T1IC ll' ~~Y►SIYUGf101r1 M4ffiJ M , It Contact: l ~b d Address: 5IL6 4100M AI S-tVWt 0103 City: Contractor n ryc~ T t State: M1~ Zip: %2FO') Phone: '15Z-'I-IZ" 1-1CJ~ License 2CU3I515 Lead Certificate NAT- Z0q Pq -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 Mechanical Contractor: Phone: Sewer & Water Contractor: _ Phone: c 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 pennit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X_ Vl x ~-...c Applicant's Printed Name Appli n 's Signature Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 13:04 #301 P.017/022 4116City afkali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675.5694 Use BLUE or BLACK Ink For Office Use 3�bLit Permit #: Permit Fee: Date Received: Staff; 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I//O / Co Site Address: `f'/GS- WO �i`/0Vele- Lr**•G Unit N: A ►3 Resident/ Owner , Address / City / Zip: 'HIPS- G✓8 L- Lie Name: WA/ 4' A th h%Ofl Type of Work Contractor Phone: /t'//, J Applicant is: Owner X/ Contractor Description of work: /Si -54 W/7 ti y/ 67A'/ j - t /Am'a/04;4OAIy (J Construction Cost: I U/ VOW — Multi -Family Building: ;.: .., .:... _ ty 9 (Yes No Company: A11544,t 6, 41. Baan / // /I /,-dera l Ct° Contact: vi i on A dErn kr Address: C./ (n1i4 4-r; A I S?_ _5-1.4 /4 3 City: M}ple.- TLA-; l State: /4 Zip:663.59 Phone:g0-90•7'I5t% Email: /%14444-1/5114,-r• ••'7--_ x License #: OQO3Ss ® Lead Certificate #: /'i+7 - ,78 9eP V If the project is exempt from lead certification, please explain why: Blit 1. ,,tr `e4 /9g3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor. Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecali,orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Suildin r +-amu jl . mpleted within 180 days of permit issuance. v� x C..)I r, n x Applicant's Printed Name Applic , nt's Signature Page 1 of 3 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(a-)cityofeagan.com r--------------------- I For Office Use I I (% / I I Building Permit #:� 0' lC I I I I I S&W Permit #: I 91. Permit Fee: 0 ' I I I I Date Received: I I I I I I Date Issued: I t- - - - - - - - - - - - - - - - - - - - - J RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3h I el 12 Site Address: Applicant is: ❑ Owner aContractor Unit #: 1 Name: �GC t/� -} 0 o,/ e— CS I '23 C-2 C ► Ct_41 6 l/\� Homeowner Address: H&S Ai R yqV-- AIR City: kaQ0. ,'I10V�v Lv� Stater 1/R: 512-Z Phone: Email: Description of work: P,Q- C� Type of 1 Work Construction Cost, 2 19 of building: ❑ Single Family ❑ Townhome, of units J4,Twin Home Compan L Thy /-, Contact: Building Address:/LlPWQST T City:tr;cCPy-, le Contractor State ftkip:.55.3�T`� Phone6tZ-J'/5 EmaiICVtke�C Ae,,1j(- -6 ^ems` Ui O Z Cp License #: D =�l �r�C Expiration Date: Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction License #: Expiration Date: [_I l 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 L are trade secrets. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.orq 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