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4471 Clover Lane 4 Use BLUE or BLACK Ink For Office Use I U Permit#: ~Q City of Ea EaI PermitFee: I I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 1' J / L 1 G 1,3, Tenant: _ >i5) L21I Lr. ,'CA„ds,0, SuiteM RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: lalc& Construction Cost:01`~0 0 Multi-Family, Building: (Yes / No ) CONTRACTOR Name: Q. License Address: cl S! C„~,g~ City: n Ct e, State: Zip: g7 S-/9 Phone: Co S % - ::z S'"? - V3 , cc(( J Contact: Email: 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.cjoi)herstateonecall.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 approv I of plans. x cam- J~ x IL, - , ~ ziaua Applicant's Printed Name Ap" is is Signat e Page 1 of 2 LH -71 QWC-(~- Ln' DO 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 ,3CYw Occupancy T ge, -1 MCES System Plan Review Code Edition `,ZM -2 SAC Units (25%_ 100%_I/) Zoning ID City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length- Fire Sprinklers Type of Construction Width0 REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) _-Y4 Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: Footings Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review JT-2 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 i s "1(tG~L ~✓1 a ~SC~(l 3-5 37 ROBE ' CONSULTING ENaINEEAS ENGINEERINGI PLANNERS and LAND iURVEYOAS COMPRNY, INC. .1000 EAST 1461h STREET,; BURNSVILLE, MINNESOTA 53337 PH 4323000 c4ff z 'z ctac_,_, ~ `dux-3c u '4q:-i LOTS 9, /o, ll, AND J,2, BLOCK / J ' E'DCA) AOL717-10,t,1 DAK07-4 COU"TY, MIAIM550TA C~-P% DENOTE5 E)(15771!16 ELCVf17-1QN (920.0) DENOTE5 PROP05--D E'LEVAT/on/ W DI CATS 5 Ul KECT1o/cl OF SvRFACE 09A/NA6 920.5 = IN/SHED C.~iRAGE FLOOR ELEVAT/otv .00 IV aRT H EAC At' d R SCALE: 30 NS DIVISION X10 'q g fj SIC C Ri S9 T a ~ 9,80 del, A, red) at pi"t \ 9/7 A)ZI .00- O E3 a • 00 v Q` Irv X03 8 nAi ~'sj `9j [r'fv),-~~'.`" ~ ~9_` ~ yam, o ~ I O P a O p b I hersby certify that this is a true and c"ct'representation f a tract of land as shown' and described hereon.. As prepared by, me on this 33M,r day of ' Minn. log. No. Mike, Jeff has several building permit applications for deck replacements in Eden Addition. Eden Addition is quad homes, zoned PD, dating to 1980. There was no provision for reduced setbacks in the PD Agreement. Some of the permits are for decks are in front yards, facing public streets. The buildings are already at the 30' setback, and it appears existing decks are 8' deep. I gave the go-ahead to replace decks the same size as existing, which appears to be 8'x 10'. Two are proposed to be 8 x 20'. Are you comfortable with larger decks, provided they do not go any closer to the front lot line than the existing 8'? . Please let me know. Pam Thu 7/22/2010 3:34 PM Yes, as long as the 8' encroachment isn't increased. Thanks, Mike J " CITY OF EAGAN NO 18763 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 ? f ' PHONE: 454-8100 BUILDING PERMIT Receipt # ? To be used for g?gx' h?-pAjg esc Vaiue ??0, OCO Date MAR 5 , 1g 91 Site Address 4473-.A ,C.I.p\g= LN _ Lot i l- Block 1. Sec/Sub. Parcel No. w Name?ITIKh',,.OSTF.i.E ? Address 4413=A CLOU,Ek LN Citv EAGAN Phone o Name _ADVANCE COMPANIES INC gQ Address FW00,Etd,'Fp?A?i?,.gkELNE i- Cjty ?FRIDLEY Phone 572-2000, r ww Name ?'a Address aW Cdy Phone I hereby acknowlege ihat I have r ad this app' ation and state that ihe inlormauon is correc _and-agree mply witb II pplicable State ot Minnesota Statut? a?ntl Ciry o g?n O dinarices. ' SignaNre of Permnee ?- ?-` A Bwlding Permit is issued to: ADVANG?_ CO 4P I- on the ezpress condition that all work shall be done in accordance wifh all applicable State ot Minnesota Statules and Qty J of Eagan Ordinances. BmltlingOlfiaal 1N14 .Oif.?-1411i OFFICE USE ONLY Occupancy R-3 M=1 FEES 2oninq - (ACtual) Const _ Bltlg. Permit ?07 - On (Allowable) - Surcharge 10 • 00 F of stories - lengih _ Plan Review Depih - SAQ City S.F. Total - SAC, MCWCC S.F. Footpnnls - On Site Sewage - Water Conn On Site Well - Water Meter MWCCSystem _ Ciry Water _ Acct Deposrt PRV Required _ S/W Permil Boosler Pump - SNJ Surcharge Trealmenl PI APPROVALS qoad Umt Planner - park Ded Cauncil BIdg.Ofl _ CoPies Vanance - TOTAL 217.00 ~ - CITY OF EAGAN ' Np 18769 3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121 PHONE: 454-81 00 BUILDING PERMIT Receipt # T Tobeusedfor FIRE REPAIR EscValue $60,000 Date MAR 6 ,?g 91 Site Address 4473-B CLOVER LN Lot 12 Block 1 SeclSub. EDEN OFFICE USE ONLV Parcel No. Occupancy R-3 M=1 FEES Zoning - s Name RICHARD ENDERS (ACtual)Const - BIdg.Permit 460.00 w o AddrBSS 4473-B CLOVER LN (Allowable) - Surcharge 30.00 Clt EAGAN PhOne Y A" of Stones _ 299 .0 0 Plan Rewew _ Length o Name ADVANCE COMPANIES INC Depth - SAGCtly 4 0 Addr2sS 6400 CENTRAL AVE NE S.F.Total - , IE City FRIDLEY phone 572-2000 S.F.FOOtprints _ SAC.MCWCC Water Conn On Sne Sewage _ ? ww Name On SileWell - WaterMeter ?i X AddfBSS MWCCS lem ? - ? a W Ciry Phone ary water - pcq. Deposit mil S/W Pe PRV RequirBd _ r I here6y acknowlege tha[ I have read this application and state thal ihe Booster Pump - SMJ Surcharge inbrmation is corract a io co p witp all applicable State of Mmnesota Statute -dnc Cit a ag Or inan es, Treatment PI SignaWre of Pertnit APPqOVALS Road Unit ADvANCE COMP $ IT]C A Butlding Permit is issued to: Planner - park Ded. on the ezpress condition that all work shall be done in accordance with all Council -- applicahle State of Minnesota StaWtes and City of Eagan Ordinances. Bldg. Ofl _ Copies BmltlingOBiaal noi(q 4,aid,j V Vanance - TOTAL 759-00 (TOWNHOUSE) BUILDING PERMiT CITY OF EAGAN N°_ 11221 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r PHONE:454-8100 Recerpt $ 4_ PLEX Esr. Value $60, 000 Date NOVEMBER 719 85 sttepddress 4473B CLOVER LN Lot 12 elock 1 Sec/Sub. EDEN ADDITION Parcel No. W Neme GOOD VALUE HOMES INC ? Address 1460 93RD LN NE City BLAINE phone 780-5510 ? Name SAME i Address City Phone rc F W Name ?-Z, Address <uZi City Phone " I hereby ackrqwledge that I hava reod this applicotion ond stote thof fhe inlormotion is correct d agree fo comply with oll applicobte $tata of Minnesoto $tatut s nd Gry o4 Eagon Ordin ces. Sipnafure of Permitte A Building Pemi s i d to: GOOD VALUE HOME ] all work ahall ne in acmrdance with o^ll ap,{pF/imbla Storop{}-Jp?n- Buildinp Offlciol / 11L?.e ? / \-?S Erect [R Occupancy R3 Remodel ? 2oning Pil Repair ? Type of Const, V Adddion ? No. Stories Move ? Length 44 Demolish ? Depth 24 Int Impr. ? gq, Ft. Install ? Approrals Fees Assessmenf Permit +S 31-3.00 Woter 8 Sew. Suroharge 30 . 00 Police PlenAeview 156.50 Fire SAC 525.O0 En0• WaterConn. 500,00 Plonner WaterMeter 63 _ 00 Council Road Unit 280 _ 00 81dg. Off. 11 4$?j Tr. PI. 132. OO APC Parks Var. Date ? Copies rotal 51.999.50 C on the axpresf conditlon thoi soto $tatutes ond City of Eogan Ordinancea. (TOWNHOUSE) ,. CITY OF EAGAN N2 11222 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHONE: 454-8100 BUILDING PERMIT tieceipt # Te M wed !er 1 OF 4 PLEX Esr. Vol,e $ 6 0, 000 p„tp NOVEMBER 7 Ia 85 SiteAddresc 4473 CLOVER LN Lot 11 elock 1 Sec/sub. EDEN ADDITION Parcel No. d Name GOOD VALUE HOMES INC ? „ ; Address 1460 93RD LN NE U City BLAINE phone 780-5510 ? Name SAMF. 0? Address ? City Phone w Name ? ?? Address 16 City Phone I hereby ackrrowledge that I have read this opplicahon and store that the iniormofion is correcf rid ogree to comply wifh all applicable State of Minnesota Statufe and Cily of Eaqo rdinances. Sipnofure of P . ee A Bulld?ng Ve it Is iuu to; GOOD VALUE HOMES IT all wark sholl do n attordance with oll appliypble Stote of Erect p(1 Occupancy HS fiemodel ? Zoning PD Repair ? Type of Const, V Addition ? No. Storias Move ? Length 44 Demolish ? Depth 24 Int Impr. ? Sq, Ft. Install ? Approrab Fees Azsessment Woter & Sew. Police fire Enp. Vlonner Council Bldg. Off. I 1/4/$ 5 APC te on Statutes ond Ciry ol Permit +:? 313 . V U surcnarge 30.00 P1en qg?ievi 15 6. 5 0 SAG 525.00 Water Conn. 500.00 waterMeter 63.00 aoaeunit 280.00 rr. Pi. 132.00 Parks Copies Totel $1 ,999.50 the express conditlon that Ea9on Ordinoncas. Buildinp Offkiol ( TOWNHOUSE ) CITY OF EAGAN . , N° 11224 3830 Pilot Kirob Road, P.O. Box 21•199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipf # To M wad /er 1 OF 4 PLEX Eo,Value $60,000 Da1e NOVEMBER 7 1 q 85 Sitenddreu 4471B CLOVER LN erect %7 OccuPancy R3 Lot 9 Block 1 Sec/Sub. EDEN ADDI TTW Remodel ? Zoning PD Parcel No Repflir ? Type of Const. V . Adtlition ? No. Stories GOOD VALUE HOMES INC Move ? Length 44 5 Name l h ? Z 1460 93RD LN NE Damo is Dapth 2¢ 9 Address BLAINE 780-5 1 Int lmpr. ? Sq. Ft. City phone Install ? o Name SAME Address ? City Phone G W Name Q Address U ?w City Phone Asseument - Water 8 Sew. Police _ Fira Enp. Planner _ Council _ I hereby ockrwwledge thot I hove read fhis opDlication ond state thaf Bldg. Off. 11 4$S the inlormotion is torrett aS d agree fo ComDtY with all oppliceble AP? Stote of Minnewto Statut94 JOnd Citv of Eooan Ordir?oncez. Sipnature of Perminea _ A eultding Pe ?s 'e ?ed to: GOOD VALUE HOMES INC oll work yvdone in ocmrdance wifh oll aoolicnble Statc of Mln ew Fees Parmit S 513. UU Surcherge 30.00 Plan Review 1 5 Ei _ rj Q SAC 525.00 Water Conn. 500.00 Watar Meter 63.00 iioad Unit 280 _ 00 Tr.PI. 132_0 0 Parks I COPIes Totel $1,999.50 _ on tM expren condition thoi ond Ciry of Eapan Ordinanus. Buildfny Official (TOWNHOUSE) CITY OF EAGAN N°_ 1 12 2 3 3830 Pilot Knrob Road, P.O. Box 21-199, Eagen, MN 55121 BUILDING PERMIT PHONE: 454-8100 2eceipt # ??1 ZZ Te he good for 1 OF 4 PLEX Est yalUe $60, 000 Do1e NOVEMBER 7 ?y 85 SiteAddress 4471 CLOVER LN erect 91 occupancy R3 Lot 10 Block 1 Sec/SubEDEN ADDITION Remodel ? . Zoninq PD Parcel No Repair ? 7ype of Const. V . Adtlition ? No.Stories Name GOOD VALUE HOMES INC Move ? Lenqth 44 ? 1460 93RD LN NE Demolish ? Depth ZQ nddress Int?mpc ? Ft' BLAINE City 780-5510 Phone Insiall ? SAME Approvols Fees O Name Addreu Assessment Permlt $ 313.00 City Phone Water & Sew. Suroharpe 30.00 156 50 p Police . PlanReview F„ W, Name Firo SAC 525.00 ?? Address Enp. WaterConn. 63.00 ZW City Phone Planner WeterMeter 280.00 CounNl Road Unit 132.00 1 hereby ocknowledge ihat I Mve read ihis opDlicotion ond state that Bldg. Off. 11 4$$ fhe inlormotion is correct?d ogree to wmply with oll opplicnble AP? SMta M Minnewro Statut and Ciry o?n Or?nuncez. Tr. PI._ Parks Sipnafure of Pe I Copies A Buildinq Pe ?e ssued ro: GOOD VALUE HOMES INC on tha atxl $1, 999.50 preu conditlon ?Mi all wrork shall done in xcordonee with oll o I' ble Stme??(_yy??}{?nesota Statutes ond Ciry of Eogan Ordinonces. Bulldinp OtfiNol ?-- ?!T.?t?-?L r ? CITY OF EAGAN . : ?;. b.. . !P dUILDING PERMIT . Site Addre Lot 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-$100 Receipt # - Esf_ Velue • - '-/ 4 ?• IL,?a ,4.: I: _C .,_ lo Name q Address ?- City Phone _ ?W Name ?? Address ?W City Phone- 1 hereby ocknowlodge that 1 hove reod rhi: the intormution is correct and ogree to Stale oi Minnesoto Stotute4 and Citv of ,ued to: in occo?donte wifh and state thot oll opplicoble Ocxupancy 2oni ng Type of Const. No. Storiea Length .i Depth Sq. Ft. /lssessment Permit )0 Woter & Sew. Surcharge . i10 Police Plan Review - 50 Fi?. snc - W Eng. wace? conn. • 0 0 Planner Water Meter ? ? • U 0 ? Council Road Unit 2 .00 Bldg. Off. Tr. PL '. } .' ,. ? 0 APC Parlcs : . :) TNC Stote of Minnesota Coples Totel , ` 1 t. . G on the •xprcss condition ihai ond City of Eogon Ordirances. napeir u Percel No. AddRion ? Move O W Name Demolish ? Z ? ? Address Int Imp?. ? PMmh No. Permk Holder Daa Telophone # Plumbinq ? U ? H.VA.C. ? ?05? J + ?a/ - goo EhmWc p, S q o ni ,??. aA 8?. soft«». In"etion Dats Insp. Other Footin9s 1 Footinps II FoundaUon Framiny Il) </ Rooflny Ad, Rough Plbg. ROU9h Htg. 1e ?-IZ S'TA CNL InsuL Flnplaca Flnal Hty. Final Plbp. ?L Flnsl Cort/Occ. ? b'6 ld B W?K DKeribe Lotation: W11 Sewer Pr. Disp. e ? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 QUILDING PERMIT Te ie wud fe. ;.a A.1./-- Peroel No. W Nxne " ? Address ^. , """' 11223 Receipt # ' Dcte _ Erect ? Remodel ? ' Repeir ? - Addition ? ? Move ? - Demolish ? - Int tmpc ? 3I Name o? Addreu u ? r.i*„ Phnno Name I hereby ocknowledpe thot I the informotion is correct o State of Minnesoto Stotutes Sipnoture of Per?nittee ' A Buildiny Pen+iit is issued ro: oll work shall be done in acoo Buildinp Officfol how read this nd ogree to c ond City of i Hsxssment Wcter a Sew. Po! ice Firo Eny. Planner CourKil Bidg. Off. APC with olt opplicoble 5tote of Occupancy Zoni ng Type of Const. No. Stories Length ? Depth Sq. Ft. Permit Surcharqe ) Plan Review SAC : 5 .UO? Water Conn. _:s 00 Water Meter . J 0 Road Unit . Tr. PL Perke Copies Total on the axpross CondiNon Iha+ ? and City of Eapon Ordinances. • Pamit No. Pwmit Holder Da" TeIephons # Plumbinq H.VA.C. -(p?QS ehictric q S44 5 u Ne- iSe 7. 42? soft.n.. InWaet{on Da" Insp. Other FooUnys l Footinys 11 Fo undatlon Framing Roofinq F Rouph Plbp. -/2 - 4 ? / '? ? Rouph Hty. inwl. ? Firoplacs FInN Htg. Final Plbp. Final Cert/Occ. WatN Dsscribe Location: w.u Sewsr Pr. Disp. Receipt PLUMBING PERMIT CITY OF EAGAN Parmit Na. Fee ? fill in nm»bered spaces S/C ? TYpe or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner b. Contractor Phone 6. 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add 11 Alter O Repair ? 10. Descri6e 11. Na, Fixtures Water Closet No. Fixtures Cess ool/Dr infield Bath tubs p a Se tic Tank Lavatory p $ ft Shower o ner Well Kitchen Sink Urinal/Bidet Oth Laundry Tray er 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 af work. Signed : for Rough F inal ,.... ?___ ' CITY OF EAGAN r 3830 Pilot Kno6 Rosd, P.O. Box 21-199, Eagsn, MN 55121 J PH ON E: 454-8100 QUILDING PERMIT Reuipr TO w w"d fa Est. Volue Dote Site Address Erect ? Occupancy Lot Block SecJSub. j! Aemodel ? 2oning Parcel No. Repair ? Type of Const. Addition ? No. Stories Move ? Length Z N&^e Demolish ? Depth ? Address Int Impr. ? Sq. Ft. City Phone ' Install ? Aoprovab Fees Name /l ?? Address sstssmenf Permit ? City Phone Wcter b Sew. Surcherqe Police Plan Review • ?W Name Fira SAC ?? Add?ess Eny. Water Conn. j t W C ity Phone Plannn Water Meter j Council Road Un{t :. c`:' I heroby ocknowledye thot I have reod this opplicotion ond stote thot gldg. Off. Tc PL fhe informotion is correct ond ogree to comply with oll opplicable APC Stota of Minnesota 5tatutes and City of Ea9an Ordinonces. Parks VaF. Oate Copies ? Sipnaturc of Permittee Totel A Building Pennit is issued to: on the exprcss conditia+ thot oll work sholl be done in accordonce wlth oll opplicoble Stote of Minnesoto Statutes ond Ciry of EoQon Ordirances, Buildinp Ofliciol . Pamit No. PNmit Holda DoN Telephone it Plumbinp H.VA.C. ?p? ? J ?J ? ?. Ebct?ic r U I1? 2 { S? Softsn?r Irapection Date Insp. Other Footirtgs 1 (,J Footings 11 Foundstlon ? ? ?,4 B Framing ? Rooflng Rouyh Plbq. -j-f6 of, a, / ` Rouyh Htq. _ ewl Insul. ` Firoplace Final Ht9• 3?z7 Finel Plby. d - $L ' ?3GC ? o 9 Final Cert/Occ. 2 ? WatH Dftcribe Location: WNI Sewsr Pr. Olsp. t ? _ . .??....? . - ...._ ....:. : . ..,.:-, . . , ,- . ?? -? . CITY OF EAGAN iJ? 18763 : , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' G; PHONE: 454-8100 j BUILDIjV PERMIT Receipt # -nt& ??vp T D t 19 91 o be used for Est. Va lue a e Site A pss OFFICE ? USE ONLY Lot Block Sec/Sub. R-3 U- ? Parcel No. ? Occuaa"cv - FEES ? ? $499, Zoning 00 k W Name ?? ?? (Actual) Const - Bidg. Permit ' 7W ? ? Address (Allowable) - surcharge . City EJWIM Phone r ot stories _ ? Length Plan Review o Name - ? ? ? *W ' Cpw p kt DePth - SAC, City ? l ?? Address ?i _ S.F. Total - SAC, MCWCC ~ Clty PhOf12 S.F. Footprints - On Sife Sewage _ Water Conn r ?u¢+ Name ? On Site We11 - Water Meter ? ? z ?? Address MWCC System ? a W City Phone Ciry water _. Acct. Deposit ? PRV Required _ S!W Permil , I hereby acknowlege that I have read this appiiCation and state that the Booster Pump - S/w Surcharge 1 a information is correct and agree.tG comply with all e Minnesota Statutes and Ci!?_015agan Ordinanoes. pplicable State of Treatment PI Sgnature of Permitee APPROVALS Hoad Unit ? A Building Permit is issued to: Planner - Park Ded. on the express condition that all work shall be done in accordance with all Council ^ • applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. gldg, pff, _ Copies - Building Official Variance - TOTAL . . - - Parmit No. Permn Holder Date Tekphone # WATER SEWER PIUMBING H.VA.C. ELECTRIC ?y / Inspeetion Date Insp. Comments Faotings I Faxndetion F?am-tng 3 -,f -? / Roofing Rough Pm9• Ra?h HD9. lsul. cs ? G.? - s ti."%2 Fireplace ?- /%;,.? IC?a?'7 c•?:3 i?l Final Htg. Final Plbg. Cpst. Meter Plbg. Inspector - NoG(y Plumber Engr.lPlan Bldg. final Deck Ftg. Deck Final Well P?. asp. CITY OF EAGAN v4L+ 1$769 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? i BUILDING PERMIT PHONE: 454-8100 t # R i /' . 1 . ?! ' ece p FIRZ R"AIR ?60,000 ? MAR 6 91 To be used for Est. Date Value , 19 Site A liess R LM &DEN OFFICE USE ONIY ? Lot Block Sec/Sub. R-3 M-1 a P8fC81 N0. Occupancy - FEES RZCHM ziumm Zoning - ??.oo ?t N8t11B (Actual) Const - Bldg. Permit ? Address (Allawable) - S cha e 30.00 0 City PhOne # ol Stories _ ur rg ? Z".pp Plan Review no?vurc8 caMruNIa irc ??h U - o Name DePth - SAC, ccy 0? < Address S.F. Total - o LrKlu LEI SAC, MCWCC ? City Phone S.F. Foolprints - Water Conn On Site Sewage _ ? ? W W Name On Site Well - Water Meter W AddfASS MWCCSystem - ' Acct.De t ? <W Phone City ' Water C' ?' - SlW Permit PRV Required _ I hereby acknowlege Ihat I have read this applicati " ' on and state Ihat the Boaster Pump - 5IW Surchazge inlormalion is correct and ag rAi to comply with a ll applicable State of Minnesota Statutes and City of Eagan Ordinances. - Treatment PI ? . Si nature ol Permitee -}-? " APPRQVALS Road Unil g A Building Permit is issued to: ADYI1IiCE 8 I11C Planner - Park Ded. on the express condition that all work shall be done in accordance with ali C.ouncil _ applicable State ol Minnesota Statutes and City of E agan Ordinances. gWy. pff. _ CoP'es --?-? • Building OffiCial `' j' ' Variance - TOTAI ? Permk No. Permit Holder Date Telephone # WATER SEWER PLUMBING , 3 H.vAC. ? ?. r' . 10,119 ELECTRIC InlPecttion Date Insp. Comments Footings I Foundation Framing .S Roofirg P-Ou9h PIb9• Rou9A FIt9 is,i. 5 9- S L? S ir{slb N-? c tj?ef Fireptace Fnal Htg. Final Plbg. -? - Const. Meter Plbg. Inspeclor - Notity Plumber Ergr./Plan Bldg. Final oeak Ftg. F%.,Af- ?- Dedc Final Well Pr. Disp. • r f CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21-199, Esgan, MN 55121 BUILDING PERMIT PHONE: 454-8100 tteceipt Site Address - Lot Blc Percel No. - W Name ? Address City Phone Est. Vclue Date _ Erect ? Remodel ? Repair ? Addition ? Move ? Demolish ? _ Int Impr. ? !' . /? ;?t 1 Occupancy Zoning Type of Const. No. Stories Length Depth Sq. FL ..po.v.a.s r?as ? Name " tv A?? /lssesunent Permit (1 u? F City Phone Water 3 Sew. SurCharge Polite Plan Review 1 5 fi _? Q Fin SAC • ? - ' (? Eny. Water Conn Plonner Water Meter Council Road Unit 3nd state that Bldg. Off. Tr. PL oll applicoble APC Parks onces. Var Date ` C?ies Total on the express condition 1hol e State of Minnewta Statutes ond Ciry of Eopon Ordinonces. Name _ Address fhat I hove reud fhis opplica rrect ond ogree fo comply i tatutes and Citv of Eaaon 1 sued to: in accordonce with oll appl Bufldlnp Officfal ' PKmk No. Pwmit Holder Dirw Telsphone # ?urnbing H.vrA.c. 411 J/ - Ekmtr;c Sottener InWeetion Dats Insp. Qther Footinys I Footings II Foundatlon Framing . 3 - -? Roofiny , 4 Rouyh Plbg. Rou9h Mtg. Insul. Finpiace Finel Ht9• Final Plbg. 10-1 Final Cnt/Occ. ? W??r Detcri6o Location: Wsll Sewor Pr. Dlsp. CITY OF EAGAN Remarks Addition Fclen Addi ti on Lot 10 Blk 1 Parcel #10 22750 100 01 owner_ ?JScreet 4471 Clover Lane State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 050 1982 504.70 100.94 5 STREET RESTOR. GRADING (p D 182 232.99 46.60 5 SAN SEW TRUNK ' 1974 62.93 4.20 15 1F SEWER LATERAL 8 6 46 3T9.29 5 WATERMAIN 1F WATER LATERAL 1 82 WATER AREA ? 1977 62.93 4.20 15 * Services 1982 STORM SEW TRK 1982 2 6. Qo 1.20 5 f STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT Rnad Unit $280.00 572/4 11/5 WATER CONN. 500.00 BUILOING PER. 1221-11224 sAC 525,00 PARK CITY OF EAGAN Remarks Additio--.Eden Addition Lot 9 sik 1 Parcei #10 22750 090 01 Owner Street 4471 B Clover ` Lane State Eagan NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ?5 1982 504.70 100.94 5 STREET RESTOR. GRADING 1982 232.99 46.6d SAN 3EW TRUNK al,? 1974 62.93 4.20 15 !F SEWER LATERAL (p?j4? 1982 1896.46 319,29 WATERMAIN • WATER LATERAL 1982 WATER AREA jg']'] 62.93 4.20 j5 • Ber-yices 82' STORM SEW TRK ? 1982 2 C).OO 1.20 iF STORM SEW LAT 182 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. u n BUII.DiNG PER. 21-11,224 sac 525.00 PARK CITY OF EAGAN Remarks Addition Eden Addition Lot 11 _sik 1 Parcel #10 22750 110 01 Owner Street 4473 Clover Lane State Eagan MW 55122 ' Improvement Date Amouni Annual Years Payment Receipt Date STREET SURF. & 19$2 504.70 100.94 rJ STREET RESTOR. GRADING c.( 1982 232.99 46.6o _ SAN SEW TRUNK dl/ ? SEWER LATERAL 7j' 1$Q 18 6 46 379.29 .5 -- WATERMAIN f WATER LATERAL ], S2 WATER AREA .3 * Services 1982 STORM SEW TRK ? 1982 256. oo 51.20 - STORM SEW LAT 1982 S CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. no-on „ n BUILDING PER. -1122 sAC 525.00 PARK CITY OF EAGAN Addition __._Eden Addition Lot 12 sik 1 Parcei #10 22750 120 O1 Owner Street 4473B Clover Lane state Eagan, hA1 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1982 504.70 100.94 STREET RESTOR. GRADING 4'4 1982 232.99 46•6o ' SAN SEW TRUNK # SEWER LATERAL (? 3 1826.46 ? . WATERMAIN • WATER LATERAL 1982 WATER AREA 1977 62-91 20 4 * Services 1982 . STORM SEW TRK 1982 256.00 1.20 * STORM SEW LAT 1 ? CURB & GUTTER SIDEWALK STREET LIGHT WATER ?CNO NN. 9UILDING PER. 11221Z11224 sAC 525.00 PARK Raosipt PLUMBING PERMIT Psrmit No. CITY OF EAGAN FN p Filf in numbered speces S/C Type ar Print /egib/y Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract ? 4. Owner ? 5. Contractor Phone ? ? 6. Address ? i 7. City State tip ? 8. Building Type: Residential D Commercial ? Institutional O 9. Work Description: New O Add O Alter ? Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures ? Cesspool/Drainfielci Bath tubs Septic Tank l.avetOry Soffner Shower W e I I Kitchen Sink Urinal/Bidet ptner Laundry Tray Floor Drains Drinking Ftn. Stop 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 Rouqh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? PLUMBING PERMIT Pormit No. CITY OF EAGAN Fea ?- I Fill rn numbered spaces S/C ? Type or Piint /egiWy Tot. " i 1. Date 2. Installation Cost ? 3. Job Address Lot Blk. Tract ? 4. Owner Phone 6. Addreu 7. CitY State Zip 8. Building Type: Residential ? 9. Work Description: New 0 10. Describe 11. Commercial ? Institutional ? Add O Alter El Repair ? No. Fixtures Water Closet No. Fixtures l/D fi C i l Bath tubs esspoo ra n e d S ti k T Lavatory ep c an S f Shower tner o Kitchen Sink Wel I Urinal/Bidet O Laundry Tray ther Floor Drains Drinking Ftn. S lop 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 Rouph f inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Reoeipt ' MECHANICAL PERMIT Permit No. CITY OF EAGAN ." ? Fes - fill in numberied spacm " S/C Type or Print legiWy Tot. 1. Date 2. Installation Cost 3. Job Addreu • Lot Bik. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? ? 9. Work Description: New ? Add C) Alter O Repair ? { 10. Describe Fusl Type I f 11. No. Equip,¢epi 9TU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codel qoverning this type of work. Signed : , for Rough Final Inspections: Date Insp. Date InsR• This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Raceipt PLUMBING PERMIT Permit No. C17Y OF EAGAN , `- Fee ..,_ Fill in numbered spacea S/C ? ' TYPe or Print legib/y Tot + 1. Date ' 2. Installation Cost ; - ? 3. Job Address ' Lot Blk: Tract j i ? 4. Owner 1i i 5. Contractor Phone ? 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New fl Add ? Alter ? Repair ? 10. Describe 1 11. No. Fixtures Water Cfoset No. Fixtures Ce i fi !/Q ld Bath tubs sspoo ra e n Se ti T k LavatOry p c an Sottner Shower W e I f Kitchen Sink Urinal/Bidet O h Laundry Tray er t Floor Drains ?- Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby ceriify that the above information is true and correct, and I agree to Compty with all ordinances and codes governing this type of work. Signed : for Rough Final (nspections: Date Insp. Dafe Insp. This is Your permit when numbered and apqroved. Approved CITY OF EAGAN 454-8100 INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, MinnesQta 55122-1897 Date Issued: ?•? •? ?? .? I (651) 681-4675 ' SITE ADDRESS: '' APPUCANT: 4 4 71 r,lOVf=R t AlIE F Iaf N - i t F? l;' 1 F4t7R %:'??! PERMIT SUBTYPE: TYPE OF INORK: ' l I'AIR ??? .t ;r ? i ?, r??; I4I 1'I-ACE '+Itll'Nfi ? J Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Dete Insp. Comments fOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLAC£ AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCTwirr TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL IN5PECTION RECURD CITY OF EAGAN PERMIT TYPE: AI! 1 fff Nri 3830 Pilot Knob Road Permit Number: ?.i a 184 Eagan, Minnesota 55122-1897 Date Issued: o I/0k 19" (651) 681-4675 4 l 1 E? 1. 1._ 1 I?F M ! PERMIT SUBTYPE: ? 1 fJtk',,- IIN11 F L " 10 - ` z7sA-H90 f': - APPLICANT: !1?'T T y HLOf'e ? i ANf TYPE OF WORK: . „ , i i . r 1,+! r.0 H1, i hFi•'H]fd I?Ff'i Ai:I= ?; [I.)TNG ? ? .?r Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Data Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDFOSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? . . . ? ? ?? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ? 3830 Pilot Knob Road Permit Number: ? Ea an, Minnesota 55122-1897 9 Date issued: (651) 681-4675 ( SITE ADDRESS: ' 1 tio "' APPLICANT: ? ?? ? i t i?1 c?r.y . i i?vEfk ?. R?wr- i .,? ii, i ?,;t, i t , c!„ + ' N i?k:'1 ti•?kt?{?N ' PERMIT SUBTYPE: ? I TYPE OF WORK: IiE'':KftlPllf.iN 1411 t 111 tNli 41.iAI't}ih HI IOa r()q FPpIR FV1 Ac,E. <;I(??N(-i ?? 1\'??DD ? ? ? Permk Holdsr Date Telephone N SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLAGE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCriviTv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL I - ? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS:. 1 0 1 ; (1Wr< t Arit' N PERMIT SUBTYPE: . i, ., lt++ i I Dr N+ 014 -4 Hti 61 1 / 4! hi / q' iR APPLICANT: i 3 :: ???• i: TYPE OF WORK: ?;, . ;, i „ . ir i' 1' 11 I 1,1 kF I'I A"f -- flilh#C I [NAI ? F L ? J ?? PertnR Holder Date TNephone • SEWER/ WATER PLUMBING HVAC Inspection Date Insp. CommeMs FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUI GYP BDARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONOUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN WATER SERVICE PERMIT 3830 Pflot Knoh Road P. O. Bdx 21199 PERMI7 NO.: Eapn, MN 551.;J DATE: ` L C= :`? Zoninp: _ No. of Units: oo<: ? a ue Ownsr: /4ddross: 51» Addroas: s _. ,. over ane _,i Lc en Plunber. '-?ic?e •_,,nt? P u i•, hAsfer No.: aOfge' Siu: ?HINNOt' _?.00 n a 0 T-_ Rsod.r No.: 't ?: ? 11). 0 F . ? u I N? h oo?rol?r wi1A elw c¦ rpe: ' ` P ? or&mmm? REQUfRED W- t4vW p Totol: 63.00pd meter ey Dor. Pnid: Dnft of Insp.: Irop.: CITY OF EAGAN . SEWER SERVICE PERMR 3830 Pilot Knob Rosf! P. O. Box 21199 PERMIT NO.: Eagan, MN 55W DATE: Zonirq: No. of Units: '? Aie;•. Ownsr: ? Addrass: S 4; Plumber. 1 Mrw te wwRly wM6 tiwJClhr of `iowa "MmaM. ay Dote of Insp.: 100.OG ca??+?ctia, aar,.: A z s. 010 nu AcaouM Deposit: 1 tJt?- _ P1Tmit FN: Surtharfls: Misc. Chorpm Totol: Doh Poid: ? CITY OF EAGAN ? WATER SERVICE PERMR , 3830 Pilot Krtiob Rosd ? P. O. Bax 21159 PERMIT NO.: _ ; Eagan,lNN 551??1 DATE: ~ t? Zoniny; . ,oo a ue No. of Units: r. rrss: ???: 44/3 . over .ane Lil u , s: en 7 :n. ??r *?ic elson P u-i n^ WAN ?; 5dtl QOpd r No.• 3? 7 SG D ?D?lT'p.?_ _°' •? Vulul ?t: 10.00 r?.: D/ N S ???F(Q,C3l UIIIItieS p .p+.. eo eomph? M?o Ir. Ctp LSiJ?NM?ci Q - f,AS Fts, • P ' REQU1i%SP°? 132.00pd Ta .°..' . ? 6?, . o opa °? Dati Pbid: of Insp.: Irnp.: 3-/Y- J(- CITY OF EAGAN SEVVER SERVICE PERMIT 3830 Pilot Knoh Road P. O. Box 21599 PERMIT NO.: Esgan, MN 55121 DATE: Zoninp: f I;{ , No. of Units: , !;oed 17a_ue Owrwr. Address: `{`?, 3 Cldvex Lsne ! :? k Sia Addross: ??` ickeZ son P u?:l; w nber: -- '? w h?? wMU !W G1?r oi ?ps ConrNCtian Charps: AooouM Depodh Pem,it F..: - t SY1'C?10fQl: , MFsc. CMrpn: of iru : Total: p. : : ns Dote Poid: p ?.18- Q j, FEQUEST FOR ELECTRICAL IIYSPECTION Ee-00001.04 9 0 ?See instructions for completirq thia lorm on baek o( yellow copy. "X" Below Work Covered by This Request I AAd Rep. Type o} Buildrng Aoolianeea Wirwd Eauinmwnt Wi....i k Fe Service Entrance Size !! Fee Feeders/Subfeeders # Fee Cfrcuits 0 to200Am s 0 to30Am s Oto 30Am s Above 200 Am ps 31 to 100 Arnps 31 to 100 A s Swinunin Pool Above 100- Am s Above 100_Am 5 Transformers Irrigation Booms Partial- Othe apeciai inspection ? eerks TOTAL EE ?L 7 _ad ` I, the Ele ica , ?.sDector, hereby certify that the abova Final DAte in spection has been ? meda. This request void ? „ l?7r.&Ib firnoriths trom 095908 41o, B /, Fde n Aru_ `J 9 g 3 z 9-4! 7_ m, Request Date ? Fire No. Rou h-in Inspection Req ired? , v C]Ready Nuw Will Noufv. Inspec- Yas ? N. or When Ready U ucensed Electncai Contractor I hereby request inspection of above ? Owner electrical wwk installed et: Stree Address, Boz or R t . - I IF vt 1 l?.J?.JVL l Cit? ' ection o. Township ame or No. ange o. ounty Occu ant (PRINT) ? Phone No. l.-? ower Su p i Address El,pWrical Contracior lCompa amel ? Comractor's Licanse No. . -? 9 7,-? - -4- Mailinp Ad ress (Co?ractor or Owne? M ?;J C7 ? 1 c J aking Installation) A ized Si?nature (Con ?ac or Owner Making Installation) ['7hoj?ne umberw+?nrvcsprq S7ATE BOARD OF ELECTRICITY lr+is IrvSPECTION REQUEST riILL NOT Gripga-Midwey BId9• - Room N-181 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Peul, MN 56704 UNLESS PNOPER INSPECTION FEE IS Phone (612) 297_2111 ENClOSED. CITY OF EAGAN WATER SERVICE PERIIAIT 3830 Pild( Knob Road P. O. Box 21199 PERMIT NO.: 74 Eagan, MN 551,2,1 DATE: Zoninp: . No. of Units: ' . ,.. OWI'1lr: Address: ;-lifIR C over ane i .. _ n. Site Address: - - - -- - --- - - Plunber. Meftr i 1 q?w eo esM??11 M?ti'i?? 1 BY Date of Insp.: .'p,ynnection Charye: ' J?unt Deposit: L ' . , p it i Fee: - • . L' `fl" pci L . . Misc. Chorgm ..,, Total_ 6-3 . 0Ond meter Dats Paid: Intp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilat Knob Road pERM1T NO.: P. O. Box 21199 , Eagan, MN 551?1 ?TE: ,... Zoninp: ' No. of Units: r Owrnr. Address: , _ , iJar?.e s n , Aeen Site /lddress: . :,i?;?,_! •. - Plumber. 100. 0D6 I asm !,. ea.yy w11! eW Ciw of dN• Connection C]+orye: 4 2?. C?U?u x S . 0??? OrJiu?eas. Aco°?mt DtPait. f 0 p a Prnnk F«: ? Surchwme: BY Misc. CFaroes: Doft of InsD•: Total: Imp.: DoN Pofd: i CITY OUAGAN WATER SERVICE PERMIT ? 3830 Pibt Knob Road • ^ ? ' P. d. Box 21199 PERMIT NO.: , i- `. -;_ •; ? Ea9sn, MN 55W DATE: . , Zoniny: No. of Unlts: n.....i lla uP ( OWfIlr: Acld`om 4 71 over ane ? ?. en .<-r- - Slh Addmff: ., . , _ I n 1 .....h 4 n n PlYIY1blf: Meftr No.: Z? j 51u: ? r No.. 2.L 1.s?.. re oenoh? ?is?/IweaoM. O?arpr %X ?P?°p°s`. 0 . , p, C. • P ?M 13z.oopa Tr *-. . dcol Date Paid: gY Dote of Irup.: I^sp.: CITY OF EAGAN SEWER SERV P ICE ERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 551 11 pATE; ' . Zanirp: Na. of Units: : x Ow?rr. !'ilo d Va.Lue Address: ?Ond mater S3 ? . Sit* Address; Plumber: - bddn_ 1 pree ro oomm* wilU 1M Cily oi gqpmm Ordleanon. By Dote of Irap.: -:':) . o ,"1,c's Carxtiectton 0oepe; 425. 0fl j:-? Aooow+t 0.posit: Pem+it Fw: Surcharpe: Mise. Qwrges; Totof: Oate Paid: REQUEST FOR ELECTRICAL INSPECTION ??yy'??yap Ea-oooot.cu ? See instructions tor mmnlwtmn tAi. L..m .... 6en4 ..1 ..eu...., .? WnGW l-f. ? .. ou 5909 '"X" Below Work Covered by This Request maw '-;, I aZ)"l' f.dd flep. 'fype oi BuiltllnB Aapliancea Wired Equipment Wired Home Runge Temporary Service Duplex Water Heater Lightiny Rztures Apt. Building Dryer Etectnc HeaLn Commerc,al Bldg. Fumace Silo Unloader Industnal BIAg. Av Conditioner Bulk Milk Tank Farm ihe.r peo v ther ISnec?fyl t er Sur:ruY Other Other l.V//IU(l(C I/15DBGLlOq f?P ffP/OW M Fe 'ServiceEntrencaSize b Fee Faetlers/5ubteetlers p Fee Cvcmts 0to 200 qm s 0 to 30 qm s 0. ) O 0 to 30 Am ps 20 A6ove 0 Amps 31 to 100 Amps 31 to 100 qm s Swimmf ng Pool Above 100_Ain s Above 100_Am s Transiormers Irrigatfon Booms Partial-'Other Fee Signs $pecial Inspection G $^ Remarks -'? J 1 TOT FEE . ? O Pooeh-in ? ?nw I. xh c 'zM?j?fJ ll Inspector, herebV Rnal D?? e cerlify that the nbove ? . i p msoeetwn has been i??7 mada. rnierequestvamitlmonmeirom ? v• - - • ' ? - This requast voitl 18 months from " r /' I? ?a Reqpest Date Fire No, flauph-in Insyectmn L ' 'e9iredI ?ReaAyNOw??/?'illNOUiVInsPec- X- Ves ?Nu y`or When Ready ? Licensed Electncai Convacwr I hereby raquest inspection ol above ? Owner electncal work installatl et Sve i Atldress, eox oryHOUte ryo. ?1?1 l ?7 L C I ection o. Township NamF or No. Range No. Occu ant VPflINTI Phone No. Fawer $upp ier c4a Atldress Li Elec[ncal Convactor (COmyany Name) ? Contrar.tor?s ?L7ice se No. ? M21mq / A Jr\5 ICOnVacmrlor Owngr MakingInstallavon) U J ?TJ Me[¢ed Smnauure (COmra todOwnxr M2kmg Installabon) Phone Number l. LG MIPIPoESOTA STATE BOAflO Of ELECTNICITY THIS INSPECTION qEQUEST WILL NOT Griggs-i gldg. - Room N-091 BE ACCEPTED eV THE STATE BOAHD 1821 UniversitY Ave., 51. Paul, MN 65104 UNLE55 PflOPEH INSPECTIpN iEE IS Phane (672) 297-2111 ENCLOSED. a/i.a /a. ,, ga-, „ a 13961 iaa 4409 ,a fiepueet Daid ire No Ro?9Mn In speceon uned9 ? ReaEY Now CVill Notity Inspeclor ? Ves ? No When Reatlyl I licensed contractor p owner hereby request inspection ot above electrical woik at: J NGdress (Streeq Box or Ro e No ) Cm, Seclion No. Township Name a W. parye ? Occ eM (PFINTI Plqne No. KIC O ? 7 2 P o r upplier . Atltlrpss Elenr al onvai (COmpany Nartre/)- ? ConVacbr9 4cense No. - ? 039u_ Minhng AEpress ICOmrocro. or Ownyr IA?ping Installafiory , " Il ? ) W L e I '1'Ylt? () _ Author¢ed Sgn (COnlractonOwner Maki Nallat n) Nur!ber MINNESOTp STATE BDARO OF ELECTRICITY GrIppHlldray BIEy. - pppm S1T! THIS INSPECTION HEOUEST WILL NOT 1821 Unlverslty Ave., St. Peul, MN 55100 ?OM (b?Z) WZ-0BW BE ACCEPTED BYTHE STATE BOARD UNLESS PROPEF INSPECTION FEE IS ENCIOSED REOUEST FOR ELECTRICAL INSPECTION EB-0000 ? Sae msimclions tor complelmg Ihis form on back of yellow copy /Oo 342 ? P 'X" Below Work Covered by This Aequest " ew Add Rep 7ypeof8mlding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Elec[nc Heating Apt. Bwldmg Dryer Other (Specify) Comm./Industrial Furnace Farm pir Conditioner Other(specAy) Contractor's Ramarks Compute Inspection Fee Belaw: k Other Fee # ervi EmranceSrze Fee # Circmts/Feeders Fee Swimming Pool Transformers 0 to 200 AmpS Above 200 _ Amps 0 to 100 Amps Above 100 _ Amps S,gns Inspeclors use onry TOT Irngation Booms i S ? pec al Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. 1, the Electrical Inspector, hereby certify ihat ihe above inspection has , been made. Rou9n-,n r. oere2 /? ? OFFICE USE ONLY TpiS repuest voitl 18 mOnOis irom . J. This request voiC ?,? / 78 months from ?t m 0 5906 i, 6), fo/en S?' fi'3a Rrpuest Date Fve No. RouPh-in Inspecbnn ? ?^ C! fl? red? J oFeady Now W?II No1rtY ??spec- ? d ?es ?No or When Ready ? Licensed Eleuncal Cmrtrac[or i hereby raquast ins0ecfion ot above ? Owner r elecfricel work mstalled at: Street Address, B oa or qaute No. C??Y ^ ?+ ? ? 3 , ecLOn o. Township Name or No. qange o. Cnunry ? OccupantIP NT?/ P ne No. Power ulier Atltlress Elec ?cal Cnnvactor (Company Na Contrecmr' s license No. Mailinq AdJress ICOntractm or Owner Makinq Insiailauon) Authorize a[uro (COnh todOwn¢r Making InstallaUOn) phone Number 66 - '?60 MINl STATE BOAND Of ELECTBICITY Griggs-Mitlway Bltlg. - Room N-181 7821 University Ava., 5[. Peul, MN 55104 Phona (612) 297.2111 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BV THE STqTE BpqRD l1NLESS PNOPER INSPECTION FEE IS ENCLOSED. ,2? REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 Sea instructions for com0leti ^ 0 9 5 9 0 ne this form on beck of yel low copy. ""X"" Below Work Covered by 7his Request ?43 ?- ^ ql ^ ql Rep. • Type of Bwlding Appliancea Wrtetl Equipment Wved Home Range Temporery Service Duplex Water Heater Ligh6nG Fixtures Apt. Bwlding Dryer Electnc Heatin Commercial Bldg. Fumace Silo Unloader Industnal Bldg. Av Condrtioner Bulk Milk Tank Farm Other pem y ihe? l5panfy) [ IP.f $VnGIfY ?thC! ?- O1hL'r nspection Fee Below k Pee ServweEntranceSize en enersSUbfeeAers N iee Grcus rt 0 to 200 qm s r 0 to 30 Am s G .G` 0 t. 30 An! s A6ove 200 qm)s 31 to 100 Ainps UO 31 to 100 A Swinming Pool Above 100_Am s A6ove 100_Am s Transformers Irrigabon Boorc?s Partial-`Other Pee Signs Special Inspection S flemarks - '] N-(? / TOT EE ? RouBh-in 2 Date ''r? ? ?wiC? •? I, tM1B ICAI Insoecior, he.eby Final ? 1 ? cerlifv that the above s pecLon has been mede. Thle repuast voi01B monllre from 2 4 5- 5 91 51 OFFICIE USE NLY This reqven.oid 18 montha from .olidaeon dote pnnMd in fhrs box - ?a.?I9(a PLEASE PRINT OR TYpE UI / pLG.r?-- ??O ? Requast Dok4 poogh-in mspenion reqwred2 ? Yes (Yo ? ll th Na Inspenian 01her ihan Rovgh.lnReady Now ? Will Coll u m. s co e inspedor whm ready) Do1e Ready 1,96censed conirocior ? owner hereby request mspeciion of fhe above eleciriml work of. Jo6 Pddress (Skaet, Bm, or RooM ? µ 7 tl ; L pM Z.o Code - - r DUt Ci/l e? 5s Id0 ? $eciion N. Township Name or Na_ Range N. Fire No C L Occvpont r . Phone No ail Power Suppiier Address Eleclnco ntractor (Compa y Nome) ` - Confrocror Lianse N. Mosler Lic. Nn (Planl Elen Only) ??., ?IG _{- L./I''il 00 MadLag Md v (Co hoclor or Own ? Performinp Installonon) 'Ai G ? ? Aulhonzx{$iaoaNr ontrudororOwMrPer/ormerglnstollaM1On) / I PMneNo ? 61?+ oiwitli CaW-SEEINSTRUCTIONSONBACKOPYELLOWCOPY IIIIIIIII Ilyllllll REQUEST FOR ELECTRICAL INSPECTION 5,50:ilit MmnesoW State Board W ElectricRy II 1821 University Ave., Rm? $-128, St. Paul, MN 55 0 104 ? 2 4 5 5 9 1 3?t Phone (612) 642-0800! /??/Oi_ ?•??? Home Duplex Apt. Bldg. ?... ? y Other: - Commeraal Indusfnal Form Air Cand. Hfg. Equip. Woter Hir. Load Mgmt. Other: D er Ran e Elec. Hea} Tem . Service 7 "X" above the work covered by fhis reques? Enter remorks m fhis spoce and on the back ol the w ,,ly. Colwlate Inspecfion Fee - This Inspection Request will not be occepted wdhout ihe mrtect fee: Olher Fee $ $ervice Enirnnce Size Fee /F Circuils/Feeders Fee Mobile Fiome Park $fall 0 to 200 Amps 0}0 100 Amps $freet L}g./Tro{fic Sig. Above 200_Amps 6ove 100 Amps Tronsformer/Generator INS PECTONSUSEONLY TOTAL Sign/Oudine Lig. Ximr. Al /R arm emofe Confrol Swimming Paol Irriga}ion Boom I hereb oeni tha1l tn: tha elecmcu insmllafion dvmbed hemin on ?ha dote. slated Rwgh-In Speciol Inspedion Doie Investigofive Fee F'"°l Da _ THIS INSTALLATION MAY BE ORDEReo rncrnuuc n ...... «??.. vnnm iomvnI na. I 0 08 ?. -1 3 9 6 4G ? e Haquest Oate Flre o. Fough-in InspecLOn ? ? Repuire0? ? ? Fleatly N. pill Notiy Inspeclor ? a ? No hVhen Readyi I licensed contrector O owner hereby request mspection of above electrical work at JoD AEdress (SVwt, Bmt o-FOWe No ) cryy E Secuon No Township Name or No Range No. yJ A 9ccu nt PRINTI NoL7 . ?N P ro No. - C? P r SuOPlier Pdtlreu f I ro I Convanor (Cwnpany Neme) Conhacmr's 4cense No. ?T/l6- G Meih q M ress Comra or Owner Ma king Installat y ` AuthonieE S onVadorlOwror Making Instal i Phone `Number 'f L MNlNESOTA STATE BOAHp OF ELECTRICRY ? THIS INSPECTION qEOUEST WILL NOT GrIp9rMi0way BIEg. - Foom St]3 BE ACCEPTED BV THE STATE 6DARD 1821 Universlly Ave., St. Pwl, MN 55100 UNLESS PROPER INSPECTION FEE IS Pli (812) 642-01110(l ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION a,1L " N ei? es.oooo,aa ? See insvuaions for compleeng mis torm on back of yellow copy ?b sY * ? 13964 X" Below"Work Covered by This Request ??? /OO6 e AHd Re Type of Butltling AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Elechic Heating Apt Bmldmg Dryer Other (Specify) Comm /Industnal ' Furnace Farm Air Contlihoner Other(speciy) ConVacWr§ Remarks ? I Campute lnspechan Fee Below: # Other Pee # Service Entrance Size Fee # Circutls/Feeders Fee Swimming Pool 0 to 200 Amps 0 m 100 Amps Transtormers Above 200 _ Amps A 00 _ Amps Slgns Inspecror§ Use Only TOTAI IrngationBooms Special Inspection AlarmlCommunication THIS INSTALLATION MAV BE OROERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Electncal Inspecior, hereby certif that the abov in ti h pouyn-in t o?/ G < y e spec on as , been made. oeie / OFFICE USE ONIY • This request voq 16 months fmm rn,z .ea.ast yale nths (rom ';? _ / p r NA 095907 Z-,ajB;, ?fdP,) 1? 3? ?? U "Py7 4? Reques ate Fve No. Rough-in Inspecuon (/ ^ g R qu• ed, ?FeadY Nnw WiII Nntrtv Inspec- Q e;x Ves ?No ?nr When FeadY U Licensed Electncal ConVactor ( I hereby requast inspec[mn of above ? Owner e lactnca I work vwta I led at Street Atldres s, Boxor/ Foute No. City ? ? / ? J /'??LJ ?iL??2? ? Gp-'C?ti? ecv n o. Towrehip Name or No. qange No. Cou Occu I PRINT one No. wer SuDO ? Atldress E l actr al Contrec tor (Gompany Nem Contracmr's Lwensa No. ?..?1.°C'_-c? Q Maitmg Address (COnVacmr or ner Making Ingtailation) Author mre (Co a dO wne r M aking Installation) Phone N omb er ? / - / , f?? / ' Ej C? " C1 b? Oo I MINNESp STqTE BOAHD OF EI.ECTfliCITV GriB9s- itlwey Bldg. - Hoom N•191 7821 Umvatsity Ave., St Paul, MN 55106 Phone (812) 287-2111 THIS INSPECTION pEQUEST WILL NOT BE ACCEPTED 8Y THE STqTE BDARD UNLE55 PNOPER INSPECTION FEE IS ENCLOSED. REQUESTFORELECTRICALINSPECTION 0*02111 Ea-ooooi-oa See InstlUCtlons (ar campleting this 7ofT on EaCk 07 Vellow coPY-c?/? ? D . .,PwaQ nti ¦ n "Y" Ra/nw Wnrk Cnvered bV Thrs Request ? na?oa Aoot?ancea wiree Equipmen[ Wired Ratige Temp orary Service Water Heater Lightiny Rxtures inc? uryer Electric Heatin l 61dg. N Fumace BIAg- Atr Conditioner Bulk Milk Tank Pec?iV Othei ISper,ifyl fy ffv Ot er Oiher r (:ompu[e inspecuun ree oefuw - r Faw . ServiceEntrenceSiza tl Fea Fanders?Subfeeders p Fee Cvowts O 0 to 200 Amps 0 to :1U Am s on?P 90? 31 ta 100 Amps ?._ S_oC 31 to 100 Ainps FF Swimming Pool Abave 100_Hmps a+oove ????-•°• Transiormers IrngBbon Booms Pamal.'Other Fee Signs Spec?al Inspection ? TOTAL E Femarks ? //2 -? s Rough-in, _ I D"::te ' y LI y? I, the EI ical Inspectoq heraby ° ? efIHy that the above- Fnal pection has been ? . Thi91BQYe5t v014 10 momns mnu ?i?N? p?? tirrT- pa,4 -G c4y" ru?- ?073 0/1 2006 RESIDENTIAL BUILDING PERMIT APPLICAITON ??????/ .-rr tt?? City OfEagan ? 3830 Pilot knob Road, Eagan MN 55122 '1'elephone # 651-675-5675 FAX # 651-675-5694 New Consiruction Reuwremonts 3 registered sde surveye showng ,q fl ofloi, sq fl of house, and all roofeU areas 209G ma?miirti lof corerage eL'cwdJ 2 copies oPplan showng beam ?I wmdow s¢es, poured found tlesigq elc 1 sel of Enecgy Cnbmahcns 3 copies ofTree F'reservalion Plan if lot plali=d aAer 711,93 Pom Joist Delad Opiioos selechon sneet (hwldmgs wdh 3 or less unds) Minnegasco tidechanical acnhla[ion form RemodPliRemir Rzawrem>nis 2 copies of pian shovnng foo5ngs, beams, joists 1 set aiFnergy Cebula6ons fur heated ndddions I sile survey for adtldions & decks AddiNon - indroale ,f cnvde s?ptr system A NEW BUILDING Date CS l? i? Construction Cosf ?,? ,S ? _ Site Address y? i UniUSte Description of Work Mulri-Family Bldg Jz ?Y _ N Fireplace(s) _ 0 _ 1 _ 2 Proper[S Owner 7'elephone #(6?1) Contractor PELLA WINDOWS and DOORS - 15300 - 25th Ave N., #100 Address _ Plymouth, MN 55447 Ciry 9tate (763) 745-1400 LICENSE: #20165884 Tele hone#( ) p COMPLETE THIS AREA ONLY IF Energy Code Categwy - Minnesota Rules i 6?0 Cateeorv 1 • Residential Ventdation Category 1 Worksheet (d submission type) Submitted • Energy Envelope Calculations Submitted Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permit fa a simikn plan based on a master plan? _ Y __ N If yes, date and address of master plan: _ Licensed Plumber Mechanical Contractor SewerlWater Contractor Telephone # ( Telephone # f OUce Use Onlv Cedo(SurveyRecd _Y _N Tree Pres Plan Reca 1' N Tree Pres Reqmred Y N On-sdzSep6cSystem _Y _N Telephone # ( J I hereby apply for a Residential Building Pernut and acknowledge that the infoixnation 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 pernut, and work is not to start without a permit; that the work will Ue in accordance with the approved plan in the case of work which requires a review and approval of plans. 1- -?-k-??-?? - ? ?`• . AnAli.,?nNo Printnd hTomP An?lirent?n Ci.rno` 1.ra ePermits Page 1 of 1 You are here: Home > Shoooinq Cart > Checkout Complete Contractor Tab Owne 7a6 VeriSign has routed, processed and secured our a ment information. More inf4rmation abc bY Your order has been processed! An email containing your purchase information has been sent to you. Please print thls page for your records. Purchase Information Permit yVindows/Doors Number: EA073611 4471 Clover Lane B Required Inspections: Windows/DOOrs Final Comments: If altering the opening size, a framing inspectlon is required. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Total Fee: It is the permit holder's responsibility to call and schedule inspections. Please call City of Eac 675-5675 to setup the inspection times and dates. Privacv Statement https://epermits.logis.org/ePermitsWebPublic/CheckoutComplete.aspx?orderID=130 6/2/2006 % RESIDENTIAL BUILDING p,,p Permit Application 7 6 ? W?? 1( City Of Eagao 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshuction Reauirements RemodeVFteoair Reauiremenfs Oft Use OnN 3 registered site surveys showing sq. R. of bt sq, ft ot house; and all roofed arm 2 copies of plan Cert of Survey Recd _ Y_ N (200k maximum lot wverege allowed) 7 set ot Energy Calculations tor heated additions Tree Pres Plan Recd Y N 2 copies of plan showing beam 8 window sizes; poured fountl desgn, etc. 1 site survey for addNOns & decks Tree Pres Reqd Y N 1 set of Eneqy Calculatlons Add'Mon - indkate ilonsde sepBc system On-srte Septic System _ Y_ N 3 wpies of Tree Preservatlon Plan if lot platted after 711/93 Rim Jast Defail OpWns selectlon sheet (bidgs with 3 or less unils Date tJ ./?) / 03 Coostruction Cost Site Address L (l{-11 b (? u) v? ;?, (A) UniUSte # L m Description of Work il Bl X y Muiti-Fam dg -Y _ N Fireplace(s) _ 0 _1 _ 2 Property Owner Telephone # ((o---1 ) (?90-0s SO Contractor Address 30-4;1) 1,.1. f-lw`7 13 City 3uqWS?LI,l.(S' State WL?/ Zip Telephone#(94?1) Fi`33-05D -X/lIz{.15A COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy CAde Category . Residentlal Vantilation Category 1 Worksheet ? • New Energy Code Worksheet (d su6mission type) Submitted Su6mit[etl • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Confractor 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 NIN 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 wo which requires a review and approval of plans. ? . ??,? N 9? YI?llO c Applicant's Printed Name Applic 's Signature 1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED pITH THE CITY OF EAG9N C014MERCIAL SINGLE FAMILY DWEGLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1'SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS ' $2,000 LANDSCAPE BOND I cp 4 ".o,ooo To Be Used For:,% Valuation: -?-e-? Date: ? f 1 Site Address //v7? C?„eT ?N Lot /0 Block ? Parcel/Sub Owner <??l ?l?p L?uf?s ?- Address /46o 93d4? NL City/Zip Code /3R,Ae o'1,) 5143 Y/ Phone ?,?z1 s?-YO Contractor - 49;7? iL Address City/Zip Code Phone Arch./Engr. f, = E- Address City/Zip Code Erect X Remodel ? Repair , Addition Move T Demolish '- Int.Impr. ? Install ' APPROVALS Occupancy Zoning Type of Const # of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer ? Surcharge Police ? Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off//-¢.¢JS Treatment Pl APC Parks Variance Copies TOT6L Phone # . / ?DIV 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTEACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMRfERCIAL SINGLE FAMILY 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 t SET OF ENERGY CALCULATIDNS ENERGY CALCULATIONS' ' $2,000 LANDSCAPE BOND I bF 4/ cao,ooo To Be Used For: 7?sdx.(I ,;,' Valuation: ? Date: f-?/3d Site Address !Z/?-71 '?j C/ux V.- 4 1-)r?OFFICE USE ONLY Lot 2 Block ? Parcel/Sub Owner?'( Address /4160 2?44LJ A) ? City/Zip Code Phone 7ffv SJ2 O Contractor sL Address l City/Zip Code ? Phone Arch./Engr. Address ?- ? Cfty/Zip Code Phone # / Erect X Occupancy Remodel 2oning A Repair ? Type of Const Addition # of Stories Move Length Demolish ? Depth Int.Impr. Sq Ft Install APP@OVALS FEES Assessments Permit Water/Sewer ? Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Offj?g•?gS Treatment Pl APC Parks Variance Copies TOTAL U 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED ifITH THE CITY OF EAGAN C014MERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTZFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF t SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND i oF 4 caO,aoo To Be Used For: au16; Valuation: ffnC-6-= Site Address Lot ? lock ? Parcel/Sub Owner ??? ???., C ??c S .?•? Address /"a City/Zip Code 'D /a,N e ?H?u 33--467 Phone `?Fo S"J / J Contra Addres City/Z Phone Arch./ Addres City/Z Phone Date: Erect ;K, Remodel ? Repair , Addition Move ^ Demolish Int.Impr. ? Install , APPROVALS Occupancy Zoning Type of Const S of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer ' Surcharge Police ? Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg 0ff11:4R5 'h-eatment Pl APC Parks Variance Copies TOTAL i V ? • • / /?? / 1985 BUILDING PERMIT APPLICATION - CI1R OF EAGAN NOTE: ALL CONTRACTORS NUS'f BE LICENSED iIITH THE CITY OF EAGAN C0141ERCIAL SINGLE FAMILY DIiELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRl3CTURAL 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 I o F q- To Be Used For: Valuation: Date: Site Address OFFZCE USE ONLY Lot ? Block ? Parcel/Sub 3.1?9 Owner ?c-/ Y05jUe- 6= 'i 27Je- Address /j6CJ lJ3"'a ), N q) L City/Zip CodePy4k.A) c?(/p/J Sj4D/- Phone 2 eO $-r/ 0 Contractor 6W? Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone If Erect X Remodel ? Repair ? Addition Move Demolish T Int.Impr• ? Install ? Occupancy Zoning Type of Const # of Stories Length Depth Sq Ft FEES Assessments ? Permit Water/Sewer Surcharge Police ? Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Variance Copies TOT6L so V ? 1991 BII 1ILDING q9 q PERM?A ZCATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS 14fTLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE tTNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CNANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERM2T IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT NAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For, t ?i 2 Valuation: Date: Site Address 3-8 OFFICE USE ONLY Lot Block ? Occupancy R 3 M-1 f Zoning Parcel/Sub Actual Const Allowable Owner # of stories ?f Address 7?? l??OIJ????9,LYE, Length Depth S.F. To[aI City/Zip Code i Footprint S.F. Phone On site sewage_ On site well _ Contractor qt-?g MWCC System _ ? r ??' ? lE City water E . Address A = PRV - Booster Pump _ City/Zip Code T 2 x__U I / Phone l9l Z^??? Z' z-?? APPROVALS Planner _ Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code FEES Bldg, Permit 46t).00 Surcharge (D(D Plan Review 0 299,0 SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. TraiZ Ded. Copies SUBTOTAL Penalty Lot Change TOTAL . C ( ? Yhone # agrees that all work shall be done in accordance with (Signature o ontra r) all applicable State of Minnesota Statutes and City of Eagan Ordinances. 1PERMIT AP?? 1991 BUI NG PLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: r t Site Address Lot 11 91ock _I Parcel/Sub dValuation: OC.YO Date: Z?-s- -I ( Owner M,KF 0STLtE Address 3?b3r7 ??p?/E.e LANc City/Zip Code T' Phone -'- Contrac tor ACSV A A-P£i'_t? vvi?u IE< ? ZiJC Address (04co t,)E City/Zip CodeFe:xka?a * ?`{3Z -?_ Phone Co I Z-?? Z- Zoc7O Arch./Engr. Address City/Zip Code Phone # OFFICE USE ONLY Occupancy R-3 M-I Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. SS-q/61S Variance FEES Bldg. Permit c207,00 Surcharge 10.00 Plan Review - SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL 21 4? ?.`IV /O 1 2uS5e5, S ,E(ZFG`17°i(saC.) f agrees that all work shall be done in accordance with (Signature o Contra tor) i2oG K ) f cU?.cu4T?! 2?.1.? cJ/?c.t- r? t?Ca2 ?a7'i oNC? ali applicable State of Minnesota Statutes and City of Eagan Ordinances. PERMIT CITY OF EAGAN 3830 Pilot Knob Road , Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT TYPE: s u } L D J N G Permit Number: 034386 Date Issued: ml /+'03/49 SITE ADDRESS: 4473E CI OVHR L,9PdF_ LOT: 12 CiLOCK: 1 [DEN P.Z.N.a 10-22760-120-01 DESCRIPTION: RFPI.ACE SIDSNG Buildinq-..Permit 'I'vpe S7DRM DAI+iAGE aui.ldina W&rk Type REPFlIR i CensuS Code ?•? A34 ALT. RESSDF.N7IAL i / i ? i' i \ i i i ? V';, . . . . _ . . , . . REMARKS: UNIT B. FEE SUMMARY: CONTRACTOR: - A ppLic,nr. -- sr. i.TC. OWNER: CUSTOM CUNCEPTS CONST 18987290 201.42417 SWANSON JOLEEiV 16540 KE14ftTCK LOOP/STE 8 q4738 CLOVER LANE IAf:EY'ILLI: MN 5500.4 EAG.jIV 1+7h! 551.:2 (512) 858-7296 i hereby aclcnowledve thaY I have read thi,, epplication and stote thnt tifie intormation is ccrr'Gcc and aqree to ccmol.v w9th ali apoJicable St:eTe ui Mn. StatutLle and Gitv ot Eaqan t7rdS.ndnces. I APPLICANT/PERMITEE SIGNATURE UEDB??R? I 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN :. J. ' 3830 PILOT - 55122 q? ??-1-3 (651) ? ` New Construcnon ReQUirements RemodellRepair ReQUirements ? 3 registered site surveys ? 2 copies of plans (inUude beam 8 window sizes; poured fnd, tlesi9n; etc.) ? 1 energy calculations ? 3 wpies of tree preservation plan if bt platted after 711l93 required: _ Yes _ No DATE: DESCRIPTION OF Wt STREET ADDRESS: ? 2 copies of plan ? 1 sde surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; c'f ?1 S D ? LOT: I-?- BLOCK: SUBD./P.I.D. #: c? V` Nante:__?wcAn5Ql'1__ Phone t#: PROPERTY I-"' ObbNliR tiheet City . coi„i: CONTl2:ACl'OR Street G[y ARCHITECT/ E V GINEER Compazy: N.unc: Strce[ Adc 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. / J Signature of Appticant: OFFICE USE ONLY Certifcates of Survey Received _ Yes No Tree Preservation Plan Received - Yes _ No _ Not Required State: ------------- Zip: - - -C?----- ?ess:? License # ljQ oiZ 141L.1p. _- --? - ?L ? -------------------- State: ------ L'p: _ y Yhoiic #: ------- _ Registr.ition #: -- - - ----- - - ---- Statc: ------ -------- - "/_ip: ??_ . PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: ButLotNs Permit Number: 034385 Date Issued: 01!08 j S 9 SITE ADDRESS: 4473 ci.uvER LArae t.vT. 11 si_Oct<e 1 FoEr•i 10-22750-110-411 DESCRIPTION: REF'1_NCF Bu.'4 Ldinq'_Nermi t 'fyr.,,? ? Uu,..Ldinq WdCk 'rYPe -Ceuqua eoac, ? / . , . ?s SIIJING STOHN DFlMHuE REPRIR 434 AL7". RESSDL'NT.IWL ? ??• G' .._ .: __?; .. REMARKS: FEE SUMMARY: CONTRACTOR: - ElPplicant: - s T. i_:i c. OWNER: CUSTOM CONCEPTS COPlST 18387290 20142417 ANSARI KHALED 96540 KLNft;CCK LOUP/S'(L= fi 4473 CLOVF_n I.ANE LFlKFVILI.E MN 55044 EA(SAN MN 65122 (612) 298-7290 ? I nareby nel,nowledqa chat i have read 'chls applicatiion and scvtH Lhat the LntorrnaT.ion is correct and iqrAe to comply wiLh a11 aoplicable 5t'ate oY 1+7n. Statut<rs and City o`i -1-aoan Orc'in&rlce-. APPLICANTlPERMITEE SIGNATURE 1 ,l ISSU BY: SIGNATURE I 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN J??g S 3830 P(60T ) 80 4RD - 55122 New Cons[mction Requirements ? 3 registered srte surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; elc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7!1/93 required: _ Yes _ No DATE: 1- 1 -Kckq DESCRIPTION OF WORK: Remodel/Reoair Reauirements ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? 1 energy calcuiations for heated addifion5 - C7 / q ?-7 S-Dc CONSTRUCTION COST; z?p? STREET ADDRESS: u `y]J 1.?h71)QJ?' l C It-9 LOT: BLOCK: SUBD./P.I.D. #: ? ?'?-- / , ?\.mie:_?Gl (_ 1-----?*-"`?? ! ----?---- Yhone H: PROPERTY Last First O'VD?V1:R SucctAddress:_- --------- ----------- ------------------ City S[ate: Zip: C:ouipazry:-L??al?'----C VC-? % J --- Plionc?: -- CONT12r1C1'012 ????^'n ?? ? ?- ^ Street Adelress: Iacense # aOf N 21?-1 ZE?p. __ C'ity --K-"?-- ------- ------ - State: ,y?? --- Lip: :sJ_?? F---- ARCHITECT/ EvGPIEER Yhone k: Registraliou #: Stmct CIIV '----------------- __ 541[B: ------- _'---- 71p: Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. Penalty applies when address 1 hereby acknowfedge 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 ? ?I,!7 OFFICE USE ONLY ---- ? Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No - Not Required PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 551 22-7 897 (F51) 681?-4675 PERMITTYPE: ?u??ozivs Permit Numher: m 3 4 3 S 4 Date Issued: P 1/ N 8! 9 9 SITE ADDRESS: 44718 r,LovER i_AraE LOT: 9 C3LUCK: 1 EOEra P.z,N, e 10--22750-090-01 DESCRIPTION: _ _ RcF LFlCr_ P,aildinqLpErmit: l"ype kl.?i.tdit7w 4?Ti?i,?k Type rtensu% Code ? L. ? i \ J ? w 1> `?•- ? + ll?, l? slnzraG &'1`S5RM C1AMfiCiE FEP61.T.R 434 ALT. RESIDEINT:CHL !% ?''_ ;-' j-'.` _ _''" ?`+_. . _ ... '. `?r?? 1 • -._ ? ,. REMARKS: uP,lTT ra. FEE SUMMARY: CONTRACTOR: - Applicanr - s7`. LTc. OWNER: CUSTUhi CONCEPTS CqNS'i' 1.8987290 2014?_417 F'FVL?pA JAPlE 15540 Kf_NRICK LOOF'/STE F, 4471E3 Llt]VER LRIVE IHKEVILLE MA! 55009 tl4RfiiV hIN 55122 (612) 89$-72947 , I I FierQby acknnwlodqe tVtat T haue read this apolicafi;i,an ancl state that the iniarmation ,i.s e:orrect and agree ;tca cnmW1v wa,th all applir.abia Sta#e nf Mri. SLatuE;es and City aE Ea4aa} Clr^ri3.riances. I APPLICANTlPERMITEE SIGNATURE )-? A A m I UED BV SIGNATURE' - 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?y CITY OF EAGAN 3830 PI' Sl) 680 4RD - 55122 Nzw Cons[ruction Reouirements Remodel(Reoair Requirements ? 3 registered s"ite surveys ? 2 copies of plans (include beam & window s¢es; poured fnd. design: etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 711193 required: _ Yes _ Na DATE: I ') " ICl ? 2 copies of plan • 1 site surveys (extenor additions & decks) ? i enerqy calculations for heated additions CONSTRUCTION COST; q _? I 5-(X) DESCRIPTION OF WORK: r 3 u STREET ADDRESS: L{ f? ?-I rJ ? 1? ?Y nl'19 A 1cl_6n n LOT. q BLOCK: I SUBD./P.I.D. #: 21tk?L? Vaine:_ 60.r\ (L ---- Phoue k: PROPERTY F"st OWNI R Strect Address:---------------------- --------- City State: "Lip: 10 Comp,uiy:_C _-yj 74! ?_ C?C`l{9 ?r'?? -- Pliouc k: ?1? CON"1'ftAC'1'Olt +r ?? ??$"Y??--- License # xI ?I? ?I ? L:xp. Stree[ Address:? _?.??' / ? CIl4 _----- 4__1V -- ------ ---------- - $LaLC: 71P• ARCHITECT/ L-NGINEER Coinp:ury:------- ---- Plioue d: -------------- -------- Rc;,risltation 4: Street Address:------- --------- ---------------- Citv .... --........... - ----------- State: ------- --- Zip: Sewer & water licensed plumber (new construction only): , change and lot change is requested once permit is issued. Penalty applies when address I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? R F OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ,. Tree Preservation Plan Received _ Yes - No - Not Required PE?RMIT CITY OF EAGAN 3€330 Pil7it Knob Road Eagan, Minnesota 55122-7897 (651) 681-4675 PERMITTYPE: Bur_Lozroc Permrt Number: 034383 Date Issued: 01108199 SITE ADDRESS: 4471 cL ovE '? L A riE 1_0 r: ie cH_ucK: c. E 0 r_N z=.l.iu.e 1 0 -:2 7 5 0 -10 e-0 .i. DESCRIPTION: REMARKS: sI oTN G STURP9 OA1+1RGE rtrP A ztt 434 AI'f. RFS7i7ZNTIAL Fl, ?P 1- nce. Bplld3nq:..Ferrn3L ly;pe ?raaldina intc`ri°IS Type ./Cansus Cade, J - , /F ?.. t' FEE SUMMARY: CONTRACTOR: - aipplicant - s'r, i.ice OWNER: C115TOhl CGhlCEVl`S CQNST 18987290 20142417 ROSENOL,I LAp0Y4uR 15540 KENRCCK 1_OQP /57E B t1471 CLOtIER LANE LAKEVTLLt IqNI 560A4 EAGAN MN 55127 (612) 898-,7290 ? I heYebY acknaw]edqe thar I have road this appliaation and sL'ate that T.he S.ntnrmatiari is cor rect aiid agraa to complv wi Cli a1.t applicable Stete nfi Mn. Statut:es and Citv uY Eaaan Qrdi,nances< APPLICANTlPERMITEE SI6NATURE ? 1? l-se UED BV. SIGNATU E I 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PI` 51) 83O4? - 55122 I-?` a q New Construction Requirements ? 3 regislered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design: etc.) ? 1 energy calculafions ? 3 copies of tree preservation plan rf lot platced after 711/93 required: _ Yes _ No DATE: I -1- 91 RemodellReoair Requirements ? 2 copies of plan ? 1 sile surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; DESCRIPTION OF WORK: ? q3l5. 00 STREET ADDRESS: LOT: I D BLOCK: SUBD./P.I.D. ??- N:une:,?S dY?? Phone --------- ------------ PI20PERTY O"'ul:lt Street Adclress------- ------- ----------- ------------- ---------- Ci[y ----- Sta[e: ---- ------ --- %tp: D/?y] 9 ?y?/ /// 9/ ?:c)Itl[>?111?':?d?L?' Pllone#: fQ/?XLSl_--Jr--L_--- coN"TizA(:rox '7 r Street Address:?`?'?? 1-icense # )Ul ` L I Lp. _ --- cit, ----L ? _ sL,Lc: ?? ---- r;p: ---- ARCFIITECT! GNGINEER Company: -------- ---------------------- --- Phoue #: ---- ------ ----------------- Reonstntion #: Slrcct Address:---- ------------------- ------------ ------------ Citv ...... --........ ------- ------ Stare: ------ Zip: Sewer & water licensed plumber (new construction only):, change and lot change is requested once permit is issued. Penalty appiies when address I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No --, -.?-- -, ? Tree Preservation Plan Received _ Yes _ No - Not Required L / CITY USE ONLY ? BL ? RECEIPT #: 44A50 / SUBD. _ ?? DATE? 1995 MECHANICAL PERMIT (RESIDENTIAL ?/a g/9S CITY OF EAGAN ?7 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dweliings ? townhomes and condos when permits are required for each unit New construction Add-nn furnace _4z?ldd-cr, sir cc^di:;oning ?dd-on air exchanger, i.e. Vanee system, etc. Date: ? Minimum Fee: Add-on/Remodel (existing residence ? HVAC: 0-100 M BTU Additionai 50 M BTU ? Gas Outlets (minimum of 1 required Q$3.00 each) ? State 5urcharge TOTAL FEES only 20.00 24.0 6.00 S .50 SITE ADDRESS: Yy7/ OWNER NAME: 'j U,?t•? PHONE #: ??60co WV- 667 - 0.7Z4 INSTALLER NAME: STREET ADDRESS: 1,0frU xo? • CITY: _ ??? STATE:? ZIP: PHONE #: ) CITY USE ONLY L I? BL _L RECEIPT#:?i4?'9d SUBD. ?? DATE: "Q t°.P. 1996 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 construation Add-on furnace ? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: ti - I -? lo FEES ? ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? 5tate Surcharge C.50___1 TOTA` " SITE ADDRESS: 4`1 ?? CL'wn 1^- OWNER NAME: ILln u J ft?,wtj a 11n.an.r . PHONE #: 1`3?q53j INSTALLER NAME: YM+IFAPOLIS. YN 6610B-29i8 STREET ADDRESS: e1zaz44sss CITY: STATE: ZIP: PHONE #: ( ) ? ??? s / PLIKIVIlTrEt: ?? qsn? i?Gl? I e4tW rCITY OF EAGAN FOR CITY USE ONLY 3830 PILOT RNOB ROAD F:eaGAN, MN 55122 PERMIT PHONE: (612) 454-8100 RECEIPT # O O "C?,I'?I?A?,;DATE: S / 4P n. . .. .. . .n.n.n... PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNAOMES/CONDOS WFtEN PERMZTS ARE REQDIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _ ADD ON REPAIR n 1 OWNER NAME: SITE ADDRESS: LOT:_? &LOCK SUBD. INSTALLER: 4v/-,G ADDRESS: DR- CITY: A) ZIP: Q / r PHONE #: I¢Z2 ?7 ?E '?7Z5 FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $°1j?7 zo STATE SURCHARGE: .50 TOTAL: Sd ?S?c7 SIGNATURE OF PE TEE PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDIISTRIAL BUILDINGS, ' APARTMENT BUILDINGS, AND MULTI-FAMILY BUIJ.llINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. ^` QO PF.30cS3cD PIFItiG - ?c? $25.00 MINTMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) $ CITY OF EAGAN CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 9"Br7*;AY'??C.? FOR CITY DSE ONLY PERMIT # RECEIPT # • ? 3( J DATE: ?/ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMZLY DWELLINGS & TOWNHOMES/CONDOS WIiEN PERMITS ARE REQUIRED FOR EACH IINIT. WORK DESCRIPTION NEW CONST _ ADD ON ? REPAIR OWNER NAME: ,? ??C L' n? CY R?' S SITE ADDRESS: /_3 ?G?Ur.e L") LOT:_/21 BIACK ? SUBD. INSTALLER: ?/- -F R P-1- /'z? ADDRESS : 9 9'? S /? ,. T.. ? .? Zcl9! O? CITY: G ?llq S' eiA ZIP: ?i yi /6Q COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 o?L SHOWER 3.00 !a ? WATER CLOSET 3.00 _e_ ? BATH TUB 3.00 3 ? LAVATORY 3.00 61_ ? KITCHEN SINK 3.00 3 ? LAUNDRY TRAY 3.00 3 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 '? ? FIAOR DRAIN 3.00 -3 GAS PIPING OUT. ? (MINIMUM - 1) 3.00 3 ROUGH OPENINGS 1.50 OTHER P WATER SOFTENER 5.00 5 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL S h/,q ST. SURCHARGE .50 TOTAL: S ?{2 y? bqT&IAIIi PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ ____________------ ________ CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: SLOCK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN FEES ZIP: , 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: $ $ ( S IGNATITRE ) s i ? •?? ? • i o• • • u r. ?• •?. •01• a •o• i • •?? ? • •• r•?• ? ? ? ?? ? ? ? ff-A u CITY OF EAGAN APPLICATION FOR PII2MIT SEWII2 AAID/OR UL4TER CONNECTION 1) PROPII2TY ADDRESS: 4/1,,r1 _ r•Fr:ar• DESCRIPTION: k LOt/t3lock/SUbcLtvi5lon or Tax Parcel I.D. Nu IF EXISTING STRL'CTLRE, DATE OF ORIGINAL BL'ILDING PERNffT ISSL'ANCE: (Nbn Year) PRESENT ZONING/PROPOSID LSE: R-1 SINC',LE FANLiLY R-2 DL'PLEX (ZGro L'nits) R-3 'NWDII-IOC'SE (Three + Units) ( Lnits) R-4 APARTMENT/CODIDOMINICM ( L'nits) CONAIERCIAL/RETAIL/OFFICE IDIDCSTRIAL INST IT['TIONAL/GOVERPA'IENT 2> ? NAME: /Y/'C 1-E 1,9,11 Art /,71 P/VC"• ADDRESS : CITY, STATE, ZIP: PHONE : 3) ? i:?• NAME: ADDRFSS: Sd?-6yi e.- CITY, STATE, ZIP: PHONE: MASTER LICENSE #0o!&f2- h7 ?'i For City L'se Plumbers Licens: CI Apt' ve Recorc 4) • r " ' • ?• /' NAME: ?oc? [/ Fl?Lt E /?a mE$_ AonxESS: 1C1,60 CITY, STATE, ZIP: PHONE: MIGN& • a• ?? )ELCONNECTION TO CITY SEWER O$"CONNECTION 'Ib CITY WATII2 Q OTfiEEt (Please Describe) 6) u • • i [3 PLEASE HOLD APPROVID PERhffT FOR PICK-L'P BY ONE OF ABOVE 01 PLEASE MAIL APPROVID PII2MIT 7C] 1,(D2 3, 4, ABOVE (Circle one) 7) ? ??? ? l/z? ?? F O R PERMIT °- ISSUED C I T Y U S E O N L Y FrES: $ ?'(?-.? ? $ $ G= 3??. S $ UC- $ $ $ $ $ ? - 3{, ? V $ $ $ X/ , nrR1qTT (I`ICL't;iE SURC^?aGc) WATER PEIU1IT (INCLiIDE SliRCHA2Gn') WAT:R METER/COPPERHORN/OUTSID° REi,DER WATrR TAP (INCLUDE CORPORATION STOP) SE:-iE4 T?? AC.^.OtiVT DEPOSIT - WATER W?.C SAC TRuNK NAT°R ASSESS2?E.:T TBi;:7K S?:iER aSSESSME^iT LATE3.,L BE:IEFIT/TRUAIK SE:,T--F L`n:c.RAL BENF.FIT/TR[7NK WATER WATER TREATMENT PLANT SURCHARGE OTHER: T0;',aL r1MOL'NT PAID/qECEIPT DOES UTILITY CON.IECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY? ? YES IF YES, THEN n"PERb9IT FOR *r10RK WITHIN PUBLIC ROe\DWAY" MUST BE ISSUED BY THE ? NO ENGZNEERING DIVISION. LIST AS A CONDI- TION. SUEJECT TO THE FOLL0WING CONDITIONS: APPROVED BY: TITLE: DATE : ???? )? • ' I ? • ' • ? • I • ' ? 171' I? /• ?1• • ?1• • 7?' ? ' D• • ? ? • /• • ` 7? ? M "H7+? • 1 1 1 01 • • ; CITY OF EAGAN APPLICATION FOR PERMIT SbWER ADID/OR WATIIt CONNFCTION 1) PROPII2TY ADDRFSS: LEGAL DFSCRIPTION: or IF EXISTING STR[:CZL'RE, DATE OF ORIGINAL B[7ILDING PERMIT ISSCANCE: (NFnth Year) PR£SENP ZONING/PROPOSID USE R-1 SINGLE FArffLY R-2 DCPLEX (?t,o Cnits) R-3 TOWDIIHO[:SE (Three + L'nits) R-4 APARTMENT/CONIDOMINI[:M C0MA'1EE2CIAL/RE.TAIL/OFFICE IPIDCSTRIAL INS72'I['TIO[Vr1L/GOVII2I= ( Onits) ( Lnits) 2) ? NAME: / /' /v/ C6?So T C- 'v c. ADDRESS : PjQ x- 129 CITY, STATE, ZIP: 5g?ya/lr,, 5-2?-J 73 PHONE: 413 3 S/ 71/ 3) r?• For City L'se NAME' Plumbers Licenst ADDRESS: 59•9 /r?c? A ive CITY, STATE, ZIP: ired PHONE: MASTIIt LICINSE # /JO%??/ZJyi t Recor( tial 4) ? • i?• / ' NAME : 61n 6 4-,( E ya rn E S' ADDRESS: CITY, STATE, ZIP: ?HODE: '7 ?f'G - S S/ D 5) n « ?• • a? ?? IIW CONNECTION TO CITY SEWER ACONNECTION TO CITY MTII2 Q OTHER (Please Describe) 6) n • i ? PLEASE HOLD APPROVID PERMZT FOR PICK-t'P BY ONE OF ABbVE WPI.EASE MAIL APPROVID PERNIIT TO 1, , 3, 4, ABJVE / I (Ci cle one) J 7) 2 FOR C I T Y U S E ON:,Y PER.`tIT °- ISSUED F°ES: $ /?).5e $ 1(i } (l $ S $ S /•-?,? +S J•1G cr, $ S C y S $ +S ?o?. v cJ / $ $ SE:':L.D. n.r'..RMTT (INr.T..:iE W-ATER PElTU1IT (INCL'uDE SiiRCAi2Gc.) WP.TER METER/COPPERHORN/OUTSIDE REi,DER WATER TAP (INCLC7DE COR?ORATIQN STOP) SEWEB TAP ACCOliNT DEPOSIT - S•7A:ER wac SP.C TRliVK WAT°R ASSLSC.iF::T TRli?1K SE:dER HSSLSS;:ENm LrITEP,aL SEDIEFIT/TRUVK SE': ?R LATERAL BENEFIT/TRUNK ?4AT°_R WATER TREATMENT PLANT SURCEIARGE OTHER: TOTAL AMOU:;T PAID/RECEIPT n DOES UTILITY CON.IECTION REQUIRE EXCAVATION IN PUBLIC RIG'rIT OF WAY? YES IF YES, THEN A"PERMIT FOR ;90RK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ? NO ENGINEERING DIVZSION. LIST AS A CONDI- TION. StiEJECT TO THE FOI.LOWING CONDITIONS: APPROVED BY; TI:LE: i DAT£ : / PERSON3r REQUILRZNG- p,DDITIONAL OOPIES WIiSi, BE' CHARGED A $20.00' FEE TO CITY OF EAGAN APPLICATION FOR PIItMIT SE47ER ANID/OR WATER CONNECTION (Please Print) 1) PROPII2TY ADDRESS: T.FYiAT DESCRIPTION: IF EXISTING STRC'CT[JRE, DATE OF ORIGINAL BC?ILDING PERMIT ISSC'ANCE: (Nbn Year) PRESEN'I' ZONING/PROPOSID USE: R-1 SINGLE FAMILY R-2 DL'PLEX (Trro L'nits) R-3 TOWNHOL'SE (Three + L'nits) ( ['nits) R-4 APARTMENP/CODIDOMINICM ( [:?nits) CONIMERCIAL/RETAIL/OFFICE INDCSTRIAL INSTITC'TIONAL/GOVII2NMENT 2) ?173d4? :?r / ? NI?ME: °? /4 ADDRESS: A(:ia. zZ i?,, CITY, STATE, ZIP: PHONE: ' ?/ 7 J 3) • r.?' NAME: ADDRESS: 5 ,b /,y ? CITY, STATE, ZIP: PHONE: MASTER LICENSE #Qp/,gtj?h? For City Cse Plumbers Licens: rArE: (;oo C? U /-7 /ti!5- lg-,e?' r,oDREss: 4?6 o q? .C .qrv?- CITY, STATE, ZIP: gIJ9 L?yF ?f7 .Al PHONE: '7& G-.S$ 5) i1 ' ?• • a• ?+? %CONNECTION TO CITY SEWER JO CONNECTION 'PD CITY WATER Q OTI-LER (Please Describe) 6) u • • ? PLFASE HOLD APPROVID PERNffT FOR PICK-L'P BY ONE OF ABpVE ? PLEASE MAIL APPROVID PERMIT RO 1,? 3, 4, ABOVE (Circle one) / ?? ? z6e 2/? ? 7111x3l.?S? F O R C I T Y U S E O N L Y PzPHIT °- ISSUED ? FEES: $ sg',:.?.. --v nrR:-- ..tr1 (z_ L.,-??r ? st;.._ or-ci?Gc) ..tr.-.... S rC. s?- waTER PE?P1I: (IiICL'uDE SiiRC:iARGc) WATER METER/COPPERHORN/OL'TSZD° READER $ WATER TAP (INCLUDE COR?CB?,iZO?I STOP) $ SE'.vER TA? $ $ / S U D ACCOUNT Dv?OSIT - S9AT°_2 $ i C.c WAC $ -?.? S^ o c1 SP.C +S TTZli-NK SqAT°R ASSESS:?E.:T $ TRGNK SET•iER YSSESS:e°_:iT +S Lr1TE?-AL BE:3EFIT/T'2,U`IK SE: ?= $ LATERAL BEVEFIT/TRUNK ?•;A^E? , $ WATER TREAT.*[ENT PLANT SURCF?ARGE $ OTHER: S TOTAL $ AMOU;;T PAIJ a /REC°I2T r DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR TrlORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SLTSJECT TO THE FOLLOL4ING CONDITIONS: APPROVED BY: TITLE: DAT° I NAME: G,GEA O.N ADDRESS: Z & CITY, STATE, ZIP: ,?G??yQ/j y fh rv S? 6 73 PHoNE: Sr33 ?S/ > / CITY OF EAGFIN APPLICATION FOR PERMIT SEWER ADID/OR WATER CONNECTION (Please Print) 1) PROPII2TY ADDRESS: . T•fY:AT• DFSCRIPTION: IF EXISTING STR[:C'IS7RE, DATE OF ORIGINAL BL?ILDING PERNffT ISSL'ANCE: (Nbnth Year) PRESENT 20NING/PROPOSID USE: R-1 SINGLE FAMILY R-2 DCPLEX (Trro Lnits) R-3 TO4NI30L'SE (Three + Cnits) ( Lnits) R-4 APARTMENT/CONDOMINIL'M ( Units) COn,ERCIAL/RETAIL/OFFICE IAIDL'STRIAL INSTI7['TIONAL/GOVEF2NNIENT 2) 3) • i:?• s i I ••• 9 • i e% m ?• • u r ?. •?. •a?• • •a• •?? ? • •• r • ?? ? ? ?? a? • • ; •? • ADDRESS: CITY, STATE, ZIP: PHONE: 5rV/'n ez- MASTEEt LICENSE #422/8-rZiy,? For City L'se ¢nbers- Licens( Ac ive Cr pired /Not Recor( Staf Initial 4) ? • i?• -- tVAME: ??rY V AlGC 6 ?arnC-S ADoREss: CITY, STATE, ZIP: PHONE: 5) u a ?+• a? ?? WCONNECTION 1CO CITY SEWER PrCIONNECTION TO CITY WATEE2 p OTI3ER (Please Describe) u • ? i 6) ? PLEASE HOLD APPROVID PERMiT FOR PICK-L'P BY ONE OF ASOVE ?T PLEASE MAIL APPROVED PIItMiT TO 17 3, 4, ABOVE (Circle one) 7) P! /3!?'? F O R C I T Y U S E O N L Y PER'V!IT °- ISSUED ?--1 ? Fr...r ..5: PER?1Ty (In.T.l .=_ JU'.?..r.=.;?.RCiL) $ /G' SU WATER PERPIIT (I.:CiuDE SliRC::ARGc.) $ WATER METER/COPPEBHORN/O[ITSIDE READER $ WATER TAP (ZNCLUDE CORPORATICN STOP) $ S::iER TAP $ ?rCcu:i'r ???CSI= - c_..=:2 $ /S-uo AG:OliNT DrPOSIT - WATER $ c c WAC $ SPC $ TRu:IK WATER ASSES52?E.1T $ TRli't7K SE:dER yS5E;5?iE?iT +5 L`n; ;?,<`-.L BENEc IT/T:?UVK SE".= $ L :Tr'.2rlL BENEFIT/TRUNi{ WATER $ WATER TREATMENT PLANT SURCEiARGE $ OTHER: $ TaTAL $ S94, c U AMQli1'T PAID/REC°'?'t n DOES UTILITY CONNECTION REQUIRE EXCaVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMZT'FOR WOR?C WITHIN PUBLIC ROADWAY" MUST BE ISSL'ED SY TY.E ? NO ENGZNEERID]G DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOI,LOWING CONDITIONS: APPROVED BY: TI':LE: DATE: ? -? , RESIDENTIAL BUILDING „ Permit Application ` City Of Eagan / 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694, _, New Construction Reauiremenls RemodeVReoair Reauirements ??x 3 registered sile surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan (20°h maximum lot coverege albwed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window s'izes; poured tound design, etc. 1 sife survey tor addNOns & decks 1 set of Energy Calculations Add'rtion - indicafe tl on-sRe sephc sysfem 3 copies of Tree Preservation Plan rf bt platted after 717193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units I ?-j (),C) 6 -I --1 _03 Oifice Use Onlv Cert of Survey Recd Tree Pres Plan Reod Tree P2s Not Reqd _ On-site Sep6c System Date 0 6_ _ /.c r Site Address qq i / o -s =3 C( C) VeA- L-o ConstrucHon Cost y, UniUS[e # Description of Work A cld Q4a C-L d &2= ?_k Multi-Family Bldg _ Y-k-FT Fireplace(s) Afo?O _ 1 _ 2 Property Owner A A(Xw?l Up pAca „,A Telephone # (6Y I ) ?j FS? ' B I ?'L7 Contractor Address State Ciry Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category (J submission type) Licensed Plumber - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Works e Submitted - " • Energy Envelope Calculations Submitted?\ Mechanical Contractor Sewer/Water Contractor Minnesota Rules 7672 . New Energy Code Worksheet Submitted 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 approv l ?lans. 7- C?flk'? R c_? _ ?A ?A ApplicanYs Printed Na e Applicant's Signature Sub Types OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex p' 18 Deck ? 23 Porch (screenlgazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ,tD 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation 2/ Dvv Census Code q3 SAC Units Nbr. of Units Nbr. of Bldgs Type of Const v ? Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Fratning _ Fireplace _ R.I. _ Air Test _ Final Insulation Width REQUIRED INSPECTIONS FinallC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? r , ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors `Oemolition (Entire Bldg) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered July, 26, 2002 Ta The City of Eagan Building Inspection Department RE: Building Permit for addition of deck to 4473 Clover Lane OWNERS: Adam and Rakia Copeland To whom it may concern: Adam Copeland has asked the Eden Homeown?rs _"-_°??r•?'?*? ^r F= ?° __,"'- '"-:''' " to kis tuwlitiome at 4473 Clover Lane in the Ciry of Eagan. Having u.??Cu um ?yu..: .Wa«u„b ?iu ?,ians be has pre:is:r.ar}' appmr•n_ to build this adct:t:on. : --. Since rel?, ? ,- L._ Homeo ers ssociation `?1??? 3 Go? ?F.,K, ?a,a.,, ss?z2, ? ? ? ? ? I- UwNJ o4` W SM;i J I ClCa vcfi 7?u &? soos RESIDENTIAL PLIJMBING PERMir aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date /D ! ?3 1 49 6, ' Site Street Address -1y71 a Covr? ?.?rlG Unit # Property Owner _jaeC /;;A21c4 Telephone # Contrector Norblorn PLam bf n? Telephone# ((p12-) Address 2qD5 Cnar-hfld Av.So. cicympts Statefl'1N 2ipr?,6q Dg The Applicant is: _ Owner V Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alteretions to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. !f you are lnstal!!ng onlv a water softerer and/or water beater, do not complete fftis section; move to the next section and check the appliance(s) you are instatling. _Septic System Abandonment _WaterTurnaround (add $130.00 if a 5/8" meter is reciuired) OCT 2 5 200 Other: Water Softener ? Water Heater $ 15.00 _ new X replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total S /rSO I hereby apply for a Residential Plumbing Parmit and acknowledga thet tha Informatlon is complete and accurata; that the work will be in conformance with the ordinances and codes of the City' of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a per it, work is not to start without a permit and work wili be in accordance with the approved plan in the event a plan is requifydi, to be,r)Lgiewed and approved. jefi'-reV L_ Norblorq Applicant's Prin d Name City of ?agn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------------ ? ?m om?e ose i j Pertnitlt: ? Permit Fee: ? ? Date Received: i s+ae: I ----------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I' 04 Slte Address: "7'Y 7 f 4' W 7 3 C I.OUE( 1-.O Tenant: Suite #: RESIDENT / OWNER Name: r) D+h % !.r?hone: Address / City ! Zip_ Applicant is: _ Owner _X_ Contractor TYPE OF WORK DescripGOn otwork: 1C'e (DD P Construction Cast$ {,?F,?co0, op Mu16-Family Building: (Yes X / No CONTRACTOR Name: "? A.CmP 'C?D(bJ.-""46nse#: `ZOq?lQ'i) Address: 141q 240 W • City: - f;.1 Mi f14 b?o ss State: MAJ Zip:?T70Z<l - / '/ n-' n L ?1 ' 2'? `J?V'3 Ph 23 C P L? '?QO one: ontact erson: Y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Ene?gy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Wrnlcsheat Categoty Submitted Submitted (4 Submisalon type) • Energy Envelope Calculffiions Submitted In the last 12 months, has the City of Eagan issued a permit for a simflar plan based on a master plan7 _Yes _No It yes, date arW address of master plan: Llcensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supportlng documents that you submit are conaidered to be pub!!c intormatiort. Portions o/ ihe lnformation may be classHied as non-pub?ic H you provlde specific reasons that wouid permlt the Ciry fo conclude thet the are trade secreta I hereby acknowledge ihffi this information is complete and accurate; that the wofk will 6e in conformance with ihe ordinances and codes of the Ciry of Eagan; that I understand this is not a permit, but only an appliwtion far a permit, and woAc is not to staR withaut a permit; ihat the work will he in accordance with the approved plan in the case of work which requires a review and approval of plans. xkr?4"? AppllcanYs Printed Name Applicant's Signature Page 1 of 3 &be 33 r 37 {r7OYE COHSUlTIHO ENOINEE85 ENGINEEAING PLpHNE85 ond LfIND jURYEYORS COMPANY, INC. ? 1000 EAST 1461R STREE7, BURNSVIILE, NIHNESOTA 65337 PH 432?3000 Ce TlZ?ZCGLj? S7?C.T"'YeIV DC.7Cl'Ge22072: L075 9, lo, /!, ANU 12, BLOCK l?rDEN AaolrioAl, ? D4K07A COVn/TY. MINNESoTA C'5Z--9% DEN07E5 EX/5T/N6 ECEVfIT/OA/ (9to.o) pgNOTES PROPaSEU ELEVAT/ON /A/O/CATES pI/ZECTloAl oF SvRFACE pRA/NACz" 92o.S = JSjN/SHED GARA&E FLPOR ELEVfIT/ON N O R-i' H ScALE : /" = 30' a-- ?` ??? ? ?-• ,'? ..??t?, !'°,.SC?Q???'•?'' " o, - s a / ti s9e / 3p 9ie 7i °v i I hareby cnrtify that thia ia s trueiand/c?d`rract rapreeentatio6t a tract of land aa sAoxn'and deacribed hereon.. As prapared by me on this _34P day of Q=ya? , 19 Ff5 . ' % .. ,...: ltinns llea. 110._.?'??3 .,? , . . • - - S?or 33 r"xr? 37 ,aOBE CpNSUlTIHO EN31NEEflS ENGtNEEA1NG PLpNNEflS ond LAND iURVEYORS \1jjvaj COMPANY, INC. ?1000 EAST 1461h STREET, BURNSYtLLE, MINNESOTA 55331 PH 4432-3000 ?04I ?GlCf"?p?201L: LO"f5 9, /o, ll, ANp 12, 6LOGK (1' i5DEN ADD/T/DN? zAAKOTA CoUA-ITY, M/NNE5077a ??14??% OffNOTES EX15T/N6 ELEVSIT/O,V (9ZO•0) DENOTES PROPoSEO ELEVAT/ON - !dlDICATES UIReGTioa oF SvRFACE pRA/NAC'6 ?ZO•5 = JS/N/SHED C?4RA6,E FLOoR ELEVAT/ON NORTH SGAIE : /'I 3 30? i Y i \ N c9e is3`S6- 3p ie ? ? a ot ?. Q ? ' ??!! A v - 41 i v s2 ¢Saiv ? o h/ ;? qv Q b ? 1 . / ?O . y? T ? .? . O` i 2,? `%Ls v '°'?'o,poS?Q?` ?\ r B ` ?.oo •?? i • .o 9/9. O / m _ >R o ?, N, \? aq• ,y oy 9i? ; ?) ? ? q L//4? ?? ??, ? ?92 0 ?,v6 ?• o h ??' ?4? . O 8B h ? ` ?? 9zc,,t) .00 y' ? ? lN?? v i ? /- ? ?77 rr ?9? ?o / :? o su LO q?c I her+by cartify that this ie a true and c"ct rapr,assntation i a tract ot land aa ahovn'and deacribed hereon.. Aa preparad byma on this }ea day of Grrc,B?2 . 19 £f5 . ' . leE. Ho. .?i'.ecs D C C~ E D C D , For Office Use k City o f ~aan JUN 1 2009 i Permit 0: 3830 Pilot Knob Road , Permit Fee: I Eagan MN 55122 1 Dale Received: Phone: (651) 675-5675 I - " Fax: (651) 675-5694 staff: 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: L4 ' Tt 015), l - Tenan Suite RESIDENT / OWNER Name Phone X11__ PA% Address / City / Zip:4LA- - lf~ _Otavg~ . -V-~ ~ 21 CONTRACTOR Nam OCL - - icense H: ~ - ~-LqwX Address: ~U _ - City: Stale: L b~ Zip: _ J "r V L -L- Phone: Contact Person: TYPE OF WORK _ New 4 Replacement _Repair -Rebuild _ Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PV13) Main _ Lower Level) Septic System Water Turnaround _ New Abandonment s- RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEES 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 approva7fpf ns. x ~ x _kZ J Applicant's Printed Name Appc is Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough-In -Air Test Gas Test `Final PERMIT City of Eagan Permit Type: Plumbing Eaaan, Permit Number: EA100492 Date Issued: 08/09/2011 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4471 Clover Lane Lot: 10 Block: 01 Addition: Eden PID: 10-22750-01-100 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Champion Plumbing Christophe R Louisiana 3670 Dodd Rd., =100 4471 Clover Lane Eagan NIN 55123 Eagan NIN 55122 (651) 365-1340 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 Citv of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Plumbing Eaaan, Permit Number: EA100492 Date Issued: 08/09/2011 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4471 Clover Lane Lot: 10 Block: 01 Addition: Eden PID: 10-22750-01-100 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Champion Plumbing Christophe R Louisiana 3670 Dodd Rd., =100 4471 Clover Lane Eagan NIN 55123 Eagan NIN 55122 (651) 365-1340 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 Citv of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:29 #582 P.014/079 Use BLUE or BLACK Ink I For OfficeUse--------- I j Permit M City j of EaflaIl I Permit Fee: J 0 , r7 3830 Pilot Knob Road Eagan MN 55122 I Date Received: i Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: q 1,512-013 Site Address: 'Iy1I,4~h1 g,yy13.yy13B CtUve►~ Lahr unit Name: Ean big CIO*, &_Qlal I COMWA Phone: Resident/ i~ ~n~ Owner Address / City / Zip: tt/13t G tm Y ~a1 1 Pa1,m C'CiG') IPM Ae f MN 55391 t(Applicant is: Owner Contractor Type of Work Description of work: T@GY and Ve-=f Construction Cost: 5,1150 • y0 Multi-Family Building: (Yes / No Company: AiMar MwWw Mau , L LC, contact: (hit alftrgd Contractor Address: uy s Indunjoi l M+ *103 City: Mapt , I iai n State:M N Zip: ~J3 Phone: q~JZ" q~1Z" -I~'IS"1 f License Bu.24 G- 1r, Certificate N T" i0y If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) r~ 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: E NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe 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. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.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 pe completed within 180 days of permit issuance. rfl X_ Hai& Applicant's Printed Name Appff/ant's Signature Page 1 of 3 ff % z , 0 ® I I e r ® �.•• •®,V® EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections a�cityofeagan.com ------------- For Office Use I I Building Permit #: I I I I I S&W Permit #: I � I I I Permit Fee: I I I I Date Received: I I I I Date Issued: I t---------------------- RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Applicant is: ❑ Owner Contractor Unit #: I Name: IGt e sA b ul�e— (z:> �_�� y,_ ._- _f4s�5 o C' A Ot_4 k 6 In Homeowner Address: J "i -�, I N—t! � i q "1 —+ D"�/ City: �aaOL State: Wip: S51 ?—Phone: OoQ6-✓ LEmail: I Description of work: �2 C, tD, Type of 2 Work Construction Cost) of building: ❑ Single Family ❑ Townhome, of units 14,Twin Home Compan �ThQ��tl Building Address: �� T KAA/. City:��iLe Contractor � / '/ State:M&6: 5-37 Phone�otZ�7)' Email. _Vlke�C ,\^_e,v� License #: o O Ex Iration Date: Sewer & Company: Water Contractor Address: Required for State: _ new construction Zip: Phone: Contact: Email: License #: Expiration Date: City: 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 v~.gopherstateonecall.org for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X Applicant's Printed Name A licant's Signature