Loading...
4477 Clover Lane. `?OpE CONSUlTINO ENGIHEEfli PiCCINGINMPIEFRNYJI, ?IING PLaNNeas ond IAND ?uavevons 71 INC. L1000 EAS7 1461A ETREET, BURNSYILLE, AIINNESOTA 35337 PH 432-5000 Cer?i}'i cczze ? Sur3r-e r I,4041 -0C.tcr4PgiOn: LOTS 13, 14, l5, AND I6, aCOCK /) EDEN ADDlTIo DAK07A G04/N7Y, lV11AINE507'A DRAiNA6S ,quD uTIcrTY 45ASEMEaT _y i ^: ?v ? ? n?i a m , N ??e ? :? 'r .. _ ? ?_B3S8? 00 (`lto. N ? ? P e ??j V/ .e% , NORTH SGAIE : 1" = 30' ¢ 4/A// T - /NG /7e ? b. QN / G? : i 30' FROnrr Bu/CpiNG SETQACK LlNE ? 4- \ ?y?\83 ? _ ???A\:: O V ? 0 ?y4-,J) v / I,N \ V13 ? v 7 ?. - o ? tih V 2 O / 4C h(%0 ?Q}o.oj DENOTES I EXIST/N6 ELE?RT/oN 020,0) DENOTES Pf2oP05C0 EG6YHT1o" /NDICATES D/RECT/oN oF SURFACE pRf?/NAaE = F/AlISNED 6.t1RA6E GLDOR ELEVAT/UN I I hereby certify that thia is a true and eorract raprnsentation oi a tract ot land as shanti and desoribed hereon.. As prsparad by ma on thia /Gn/ day ot 19 f?S . ' ? • ?*.?.? 1(inn. 1lea. No. ? . I "" BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Hoad, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 PLEX 60,000 SiMAddress 44795 CLOVER LN Lot 16 91xk 1 sec/sub. EDEN ADDITION Parcel No. W IN... GOOD VALUE HOMES INC ; Address 1460 93RD LN NE b C;ty BLAINE pho„Q 780-5510 O Name _ ?? Address City - 5 Erect lM Occupancy R3 Remodel ? Zoning pn Repeir ? Type of Const. V Additlon ? No. Stories Move ? Leng[h 44 Demolish ? Depth 24 Int, Impr. ? Sq. Ft. Install ? Avororels Fees Phone Name _ AddreSs City _ Phone 1 hereby ocknowledge that I have read this the iniormotion is correct and agree to c State of Minnesotn Sfotutfs and City of I SiOnoture of Permitte b A Building Pertni s i ued fo: GOOD all work shall be?d6ne in accordonce wifh all Buildinp Officiot Assessment Permit $ 313.00 Water 8 Sew. Surcharge 30. 00 Police PlanReview 156 _ SO Fire SAC 52$.00 En0• WaterConn. 500.00 7lonner waterMeter 63.00 CAUncil RoedUnit 280.00 and state that gldg.Off. 9I18/85 7r. Pl. 132.00 all applicoble '4? Parks wnces. Var. Date Copies Total $1 ,9 9 9. 5 0 HOMES INC on i he express conditlon thot e State of Minnewm Statures ond Ciry of Eaqan Ordirwnces. N_ 11006 Reteipt # 53-6,°l3-- CITY OF EAGAN N_ 11005 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # 'S 3-6 ?Y Ts M med ler 1 OF 4 PLEX Est. Volue 560, 000 pa,e SEPTEMBER 18 ,Q 85 Sitenddje?s 4479 CLOVER LN Lot Block =eclSub. Parcel No. W Name GOOD VALUE HOMES INC ? Address 1460 93RD LN NE City BLAINE Phone 780-5510 " Name $AMF. G Address City Phone V? Nama Address Z . City Phone I hereby acknawledge thot I hove reod this eOGlication and stote thaf Ihe inlormOtion is correct and ugree fo wmply with all oppliCable Srote of Minnesoro Statut s and City of Ean Orduwnces. Sipnofurc of Permit ? - A eullding Perm' Is iied ta: GOOD VALUE HOME otl work sholitit 6e ne in eccordance with ollie li le Stote of ii Buildirp Officiol t Erect 91 Occupancy R3 Remodel ? Zoning PD Repalf ? Type of Const. V Addltlon ? No. Stories Move ? Lengtn 44 Demolish ? Depth 24 Int Impr. ? $G, Ft, Install ? ApProrals Fees Assessment Permit > 31.i . U U Water 8 Sew. Surcharge 30. 00 PoLce PlanReview 156, 0 Firo SAC 525.00 En9• WeterConn. 500.00 Plonner waterMeter 63.00 Council RoadUnit 280.00 BIdg.Off. 9 I8 $5 Tr.PL 132.00 APC Parks Var. Date Cap1B3 $1,999.50 C Totei on the axprexs cordiNon Ihat wt $tqtutes and Ciy of Eaqon Ordinonces. I BUILDING PERMIT Ts bs wad fer_ 1 OF CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 4 PLEX N° 11003 Receipf # `?? G ??? $60,000 DO1e SEPTEMBER 1$ 19_ SiteAddress 4477B CLOVER LN Lot 13 Block 1 Sec/sub. EDEN ADDITION Parcel No. W Name GOOD VALUE HOMES INC Z Address 1460 93RD LN NE 9 City BLAINE phane 780-5510 g a Name SAME V` Addf2S8 1- City Phone rc wW Name V- Addres s N < City Phone I hereby ackrwwladge that I hove rend this apDlicohan ond stote thof fhe informofion is torrecf and agree to comply with oll opplicable Sfate of Mmnesota Sfafutes nd Gty of Eogan O?rwnces. 4 $ipnature of Permittee A Building Permit Isd to: GOOD VALUE HOMES I all work shall 6e n acrnrdonce wi?h'afF?ppg' ble Stote of M Buildinp Official ?? L 85 Erect FE] Occupancy R3 Remodel ? Zoning P? Repair ? Type of Const. ?J Addltion ? No.Stories Move ? Length 44 Demolish ? Depth 24 Int Impr. ? gq, Ft. Install ? aovwab Fees Assessment Permit $ 313.00 Worer & Sew. Surcharge 30 _ 00 Police Plen Revlew 156.50 Fire SAC SZS.OO Erp. waterconn. 500.00 Planner waterMeter 63.40 Council RaadUnlt 280.00 BIdg.Off. 9/18/8 S TcPI. 132.00 APC Parka Var.Oate Capies 0 Total on tho axpresf conditbn thoi wjp $f fi¢es ond City of Eoqcn Ordinnnces. BUILDING PERMIT T. L. aawd lia. 1 OF 4 PLEX $60,000 SiteAddress 4477 CLOVER LN lot 14 elack 1 sec/sub. EDEN ADDITION Parcel No. ? INme GOOD VALUE HOMES INC ? Address 1460 93RD LN NE c;ty BLAINE pnone 780-5510 o Name SAME Address City Phone ?w Name x-Z,, Address ?w City Phone N_ 11004 Receipt # ????"- .,_._ SEPTEMBER 18 85 Erect ][1 Occupancy R3 Remotlel ? 2oning PD Repalr ? Type of Const. V Addition ? No. Stories Move ? Leng[h 44 Demolieh ? Oepth 2 Q Int Impc ? gq, Ft, Install ? Approrols Faat Asseument Permit $ 313.00 Woter 85ew. Surcharge 30.00 Police Plan Revlew --1-5jk.,_5 0 Fire SAC 525.00 Enq. WeterConn. 500.00 Plonner WaterMeter 63.00 Gouncil RoadUnit 280•00 I hereby ackrowledge tFwt I have read fhis epplication nnd state ihat gIdg. Off. 9/18/85 Tr. PI. 132.00 the informotion is correct and ogree to comply with oll opplicoble AP? Stata of Minnesota Statute und Ciry of Ea an Ordirwnces. Parks - Var.Oate Copiea Sipnaturc of Permitte 7otal $1?999.50 A Building Vermit i ed to: GOOD VALUE HOMES INC on tha axpress wndition thot ali work shall be e in accordance with oll opplo wble of Minnewt Stot tes. City of Eopon Ordinonces. Buildiny Officiol CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 PHONE: 4548100 • CITY OF EAGAN ?3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55129 PHONE: 454-8100 QUILDIMG PERMIT Receia Te M ww fa? Est. Volue r ? Date `' 19 Site Addreas Erect 0 Occupancy Remodel ? Zonirtg • Lot Bicek ? SeclSub. Repair ? Type of Const. Parcel Plo, Addition -? No. Stories Move ? Length w Name Demolish ? Depth . Address " Int Impr. ? Sq. Ft. CRy Phone Install ? Approvals Fees Name ' u? A?? I?sussment Permit Clty Phone Woter d. $ew. Surcha?ge I ? Police Plan Review i i ae Neme Fin SAC ? ?? Addresa Enp. WeterConn. ? Z. City Phone Plonner Water Meter Council Road Unit 1 hereby acknowledpe thot I how reod this opplication ond stote that Bldg. Off. 9-" R 'f 5 Tr. PL ' '•? the informotion is torrect and ogree to comply wifh oll opplicable Stote of Minnesotc Stotuto,s and City of Ea9an Ordinonces. APC Perks Var. Date Copies Sipnoture of Permittes , . Total - ' A Buildiny PeRnit Is iuued to: on the exprcss cadition Ihoo otl work sholl be done in acaordance wlth all oppliooble State of Mlnneaola Statutes ond Ciry o4 Eapon Ordinonoes. Buildirq Official - - .L - ? Pwmk No. Permk Holdw DaN Telephone ?t ?umbinw (IO 3- S H.VA.C. Iu(g .? EMctric Soitwwr InsMMion Dab Insp• Other Footlnys I gsll Foodn Foundation Framinq F Rooflny Rouph Plbp. • ?D ??' g 1 ? AIIE Rough Hty. _/? -p? oDvL Inwl. Fireplace Finel Htg. ? Final Plby. , Final Ce?t/Occ. ter ??ibe Loeation: I ; w?r PWr. Diap. ' 3830 BUILDING PERMIT CITY OF EAGAN Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 Receipt Site Addren -: 4 7':,E CL;',,':' 9 L!v Erect Occupancy .?? ?,' , .N r", - ? iv Remodet Zoning }--? Lot I- Block _Sec/Sub. Repair ? T ype of Const. Percel No. Addition ? No. Stories Move ? Length W Name Demolish ? Depth ? a ; Address ? •- ' `` : ' : , f :, Int Impc ? Sq. Ft. b City Phone Instell ED " Name Approvah iNs At A??s ?lsussment Permit ILI' u? City Phone Water & Sew, Surcharge ±!_ G U Police Plan ReNew ]?, ?W Neme Fin SAC `2' • C' 0 ?? Address Enq. Water Conn t Z. City Phone Picnner Water Meter Countil Road Unit I hercby acknowiedqe thct I how reod this opplication ond sbte that gldg. Off. Tr. PI. fhe infotmotion is correct ond cgree to comply with oll opplicoble APC STOte of Minnesoto Stotuties ond City of Eagan Ordinonces. Parks Var. Date Coples $iynafuro of Pertniftes - - Total N Bulldiny Permit is issutd to: ` on the express conditlon Iha+ oll work sholl be done in aocordance wlth oll opplioable Stare of Minnesota Statutes ond Ciiy of Eoqan Ordinonces. Buildinp OiNtiol -- - - - - - +.,--- --- - - -- `"'^ 1 10 0 5 ??, .? Pormh No. PKmit Holda Dab Talephone #t w??ing O?IS' / 0 ?4 33- S H.VA.C. ENeMe -erJ r-o Soitwwr Inweetion Data Insp. OthN Footlngs I 1 ? Faotinps 11 Foundstlon Fnminp Roofing Rough Pltrp. Rouyh Htg. Insul. Firoplsa Finsl Htg. Lk) B Final Plby. Finsl %u CerVOcc. Watsr Descrile Lotation: WeII Sower Pr. Dlap. • 3830 Pi dU1LDIN6 PERMIT To w wed fer . Site Address 1 4- 7 7 R Lot Block ? Sec/Si Parcel No. ? W Name ? Addre City . Name Add re CiN _ I Slgnature of Pei A Bullding Permit oll work shall be 4 Buildinp Officfal - Phone Phone Phone Ifle thot I haw reod torrect ond agree i Stotutes and Ciry iiKea - i issued ro: ne in otcordance w CiTY OF EAGAN Knob Road, P.O. Box 21-199, Eagsn, MN 55121 PHONE: 454-8100 Receipt $60 i,?)I4.t;:.• . ! opplicotion orn omply with oll Stote of "'^ 13003 53?4 -)-- `) `' Date , 19 f' EreCt Q Occupancy Remodel ? Zoning Repair ? Type of Const. Addition ? No. Stories Move ? Length Demolish ? pepth Int Impr. ? Sq. Ft. InQtAll n Assessment Permit I-1 _ Q Q Woter & $ew. Surcharge ? U_ 00 Police Plan Revlew 6. 50 Firo sAC 5 ? 5. 0 0 Eny. Water Conn. % U) %' • 0 4 Plonner Water Meter 6 3 . 0 Q Council Road Unit 28(1• 00 Bidg. Off. 4 Tr. PL 13 L. J U APC Perlcs Var, Dete iea Co p ? • ` Total on the txpress condition thoo wta Statutes ond City of Eopon Ordinances. i Pamft No. Permit Holdsr Dato Talaphons i? Plumbfng O? ? d G ' S H.VA.C. ENetric Soitww Iropaction Data Insp. Other Footings I ? Footings II Foundatlon Fnming Roofing Rough Plbg. 7 77 Rouyh Hty. Insul. Finplacs Final Hty. Final Pfby. -/a F???? G Gt? c??vo?. ? - rlt W??? Describs Location: Wsll S?w?r Pr. Disp. . . I ` R Address ? .c City Phone -' Name ; Address ` r ' 7v t O City Phone., TYPE OF WORK Forced Air M BTU ; Boiler M BTU Unit Heater M BTU Air Cond. M BTU ! Vent CFM f Gas Piping Outlets # FEE: I S/C: f TOTAL• I PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ? LOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 ?, .. BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair SOther ? FEES RES. HVAC 0-100 M BTU -$24.00 ?- ' ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 RSTATE SURCHARGE PER PERMIT - ,50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) ? , ? ? • l? . ,?:? SI UR O E ,r? ; FOR: CITY OF EAGAN ?--? - " CITY OF EAGAN 3830 P41ot Knob Rosd, P.O. Box 21-199, Eagao, MN 55121 PH ON E : 454-8100 BUILDING PERMIT Lot Parcel Pfo. Name _ Adtfress 5lpnoture of P /? Building Perm oli work sholl be 8uildirq Officicl Phone Phone Phone I have reod this opplication orn ond agree to tomply with oll ss and City of Eagon Ordinan wed to: in occordonce with all applicoble Stote 11005 Retelpt # ' Erect Li Occupancy '. i Remodel ? 2oning Repair ? Type of Const. Addition ? No. Stories Move ? Length Demolish ? Depth Int Impr. ? Sq. Ft. l,ssessment Permit 0 0 Water & Sew. Surcharge 0 Police Plen Revisw 0 Fi ra SAC 5?'= • C G Eng. water conn. fii . 0 G Planner Water Meter • 00 Counci{ Road Unit Bidg. Off. Tr. PI. ? • l ' '? APC Parks Var. Date Coples Total , : 0 . on the expross condition tha+ inesota Stotutes ond Ciry of Eapan Ordinances. Eiecttic Softeoar Inspsction Date Insp. Other Footinps I // uy,? Footinys 11 Foundation Describa CITY OF EAGAN Remarks Addition F.den Addi t i on Lot 14 elk 1 Parcel # I(1 2275n 140 f11 Owner VE-"o ?• Street 4477 Clover Lane State Eagan MN 55122 Improvement Date Amount Annual Vears Payment Receipt Qate STREETSURF. ?j ].9$2 504.70 100.94 _ STREET RESTOR. GRADING D 1 82 232.99 46 O SAN SEW TRUNK 1974 62-93 4.20 {{•SEWER LATEfiAL 1982 1896.46 379.46 ? WATERMAIN IF WATER LATERAL 1982 WATER AR EA 3 ? • _ STORM SEW TRK 1$2 256.00 - ?F STORM SEW LAT 1982 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK I CITY OF EAGAN Remarks Addition Eden Addition Lot 13 ___sik 1 Parcel #10 22750 130 01 Owner '','?Ji ??,'A . Street 4477B CloVer '. Lane 5tate Eagan hIIV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. &G 19$2 504.70 100.94 5 STREET RESTOR. GRADING 1 $2 232.99 46.6o SAN SEW TRUNK 1974 62.93 4.20 15 • SEWER LATERAL .46 379.29 5 WATERMAIN 1F WATER LATERAL 1982 WATER AREA „Z 1977 62.93 4.20 1$ N STORM SEW TRK 1982 2 6. OO 1.20 N STORM SEW LAT 182 S CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition Eden Addition Lot 15 Rik 1 Parcel #10 22750 150 al owner_ street 4479 Clover - Lane srate Eagan NA1 55122 Improvement Date Annual Years Payment Receipt Date STREETSURF. D 1982 .7 100.94 5 STREET RESTOR. L GRADING d 1982 2 46.60 SAN SEW TRUNK IF SEWER LATERAL E' 1982 4 WATERMAIN 1F WATER LATERAL 1982 .5 WATER AREA , p a * STORM SEW TRK ? 1 1982 2 6. OO 1.20 11 STORM SEW LAT 1982 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition Eden Addition Lot 16 Owner ' Street 4479B C1oveT elk 1 Parcel #10 22750 160 01 Lane State Eagan 14IIJ 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. () 1982 504.70 100.94 5 STREET RESTOR. GRADING IND 1982 232.99 46.60 . i SAN SEW TRUNK J R SEWER LATERAL $ 1896.46 WATERMAIN !F WATER LATERAL 1982 WATER AREA * e 9 c 1982 STORM SEW TRK CQ 1982 256.00 51.20 1F STORM SEW LAT 182 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK Reaipt MECHANICAL PERMIT Permit No. ? J I r CITY OF EAGAN FN • i Fill in numbered spacee S/C Type or Ptini /egidy Tot ' 1. Oate 2. Installation Cost 7 . , . 3. Job Address `1 - Lot Blk. Tract 4. Owner l 3 5. Conuactor - ` ' Phone • , ?? 8. Address 7. City State _ 2ip 8. Building Type: Residential O Commercial ? Institutional ? 9. Work Description: New Q. Add ? Alter ? Repair 0 10. Desaibe . . -r Fuel TYPe 11. No• Eeuinment BTU - M. Ea. Forced Air No. Equipment CFM Ai He dlin : AAfg. r g n Boilers Mfg. Mech. Exhaust Unit Fbater Mfg. Other Air Cond. Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to wmply with all ordinances and codes governing this tYpe of work. Signed : for Rouph Ffnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 I ? Raoeipt PLUMBING PERMIT Parmit No.` ^ . ? CITY Of EAGAN ? Fee ? Fill in numbered spaces S/C TYpe or Prinr /egibly Tot. 1. Date 2. Installation Cost 3. Jpb Address Lot B4k. ' Tract 4. Owner 5. Contractor Phone 6. Address 7. City 8. Building Type: Residential ? 9. Work Description: New ? 10. Describe 1 11. No. Fixtures Water Closet No. Fixtures l/O i fi C ld Bath tubs esspoo ra n e $ tic T k Lavatory ep an f S Shower tner o W ll Kitchen Sink e Urinal/Bidet h O Laundry Tray er t Floor Drains _ Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. 5igned : ' - for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 State Zip ` Commercial ? Institutional ? Reaipt ' MECHANICAL PERMIT Permit No. CITY OF EAGAN ' ? FN L Pl/I in nur»bered;vsces S/C TYpe or Print IsgibJy Tot . 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. OWf10r : ?, . W! f 5. Controctor V Pho ., . . _ ne 8. Address State ?? - Zip 8. Building Type: Residential ?1 Commercial ? institutional O 1 10. 11. Wo?k Detcriptian: New Add ? Alter O Repair ? i Descxibe ;' Fuel Type ' N?o . Eauipment BTU - M. Ea. Forced Air No. Equiument CFM Air Handlin : Mfg. g Boilers Mfg. Mech, Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outleta 12. I hereby cenify that the above information is true and oorrect, and I agree to comply wilh all ordinance; and'codea,governing this type of work. Si ed : ?^ -? ,-,- for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? Receipt PLUMBING PERMIT Permit No. ' CITY OF EAGAN Fse FiII in numbsred spaces S/C Type or Prini /egib/y Tot 1. Date. 2. Installation Cost ` 3. Job Address Lot ? Blk. Tract 4. Owner ' 5. Contractor . ? ` 6. Address 7. City 8. Building Type: Residential O I ? 9. Work Description: New CJ 10. Describe '? 11 No. Fixtures Water Closet No. Fixtures Cesspool/Orainfield Bath tubs Septic Tank Lavatory Softner Shower wel I Kitchen Sink Urinal/Bidet Other Laundry Tray " Floor Dtains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to cpmply with all ordinances and codes governing this type of work. Signed : for Rough Final (nspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 Phone State Zip Commercial 0 Institutional 0 Add 0 Alter ? Repair ? INSPECTION RECURD ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: ` I " " - * ? `' tit H `) ? I APPLICANT: Itil f+i ?_?r r ? ? I nVF 17 L 041,44 I;ii ?(qJ1 t I I-. I UN., i i?? r? ?? ?. ? t: ?t;• I'I.yB PERMIT SUBTYPE: TYPE OF WORK: F ? L J rnrl I'? rl ACf `,rnjN r, Permk Holder Date Telephone • SEWER/ WATER PLUMBING HVAC Inapectlon Date Insp. Commenta FOOTINOS 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 IRRIGATIDN METER FLUSH MAINS CONDUCTIVITV TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ?----^--- -- INSPECTIOl`1 RECORV - - CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 f l 1 fi .';+ i,e : e1 49 # SITE ADDRESS: APPLICANT: ? 0 F I`a ;lRKS: 1114 t t Fi ? ? w,,IqM Ct)Nr f1.1? fONyl ( b ! :' 1 R+1li I7??A ? ? PERMIT SUBTYPE: TYPE OF WORK: ; r PntR Permlt Holder Date Telephone i SEWER/ WATER PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINC3S 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 CONDUCTIVfTY TEST HYOROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG OECK FINAL Reaipt pAECHANICAL PERMIT Pennit No. CITY OF EAGAN ; ?. F« fill in numbered spaces S/C Type or Print /egibly Tot. . 1. Date 2. Installstion Cost 3. Job Address -7 Lot Blk. Tract 4. Owner - ' 5. Contractor Phone . 6. Address 7. CitY State Zip 8. Building Type: Residential Cff ' Commercial 0 Institutional 0 9. Work Description: New U Add El Alter ? Repair 0 - 10. Describe ' Fuel Type ? 11. No• Faninniont 9TU - M. Ea. Forced Air No, EQUiament CFM Air Handlin : Mfg. g Boilers Mfq. Mech. Exhaust - Unit Heater Mfg. Other Air Cond. Mfy. Gas, Piping Outlets 12. I hereby certity that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : - for Rouyh F inal Inspections: Oate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT CITY OF EAGAN Pe?mit No. ' .5 Fes ? Pil/ in numbered spaces S/C Type or Prinr /egiWy Tot. , 1. Date 2. Installation Cost 3. Job Address ` Lot??Blk. ; Tract 4. Owner 5. Contractor 6. Phone 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter O Repair ? 10. Describe 11. No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Se tic Tank Lavatory p Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 7. City State - Zip , Rftaipt MECHANICAL PERMIT Parmit No. CITY OF EAGAN ? FM ? fiN Jn numbered spsces S/C ? Type or Pri»f /agibly Tat ?- ? 1. Data ? 2. Ir?stallation Cost 3. Job Addrets , Lot Bik. Tract 4. Owner V"1l"? 7't-e,.--J-- _ ?- - - --- --- - - - 5. Contractor Phone 6. Addrosa 7. City - • State 2ip ? 8. Building Type: Residential C? Commercial 13 Institutional O 9. Work Description: New .? Add ? Alter ? Repair O 10. Describe `J i Fuel TYPe 11. No• ? F.quipmsnt 8TU - M. Ea. Forced Air No. Equiament CfM Air Handlin : Mfg. g Boilars Mfg. Mech, Exhaust ? Unit Hester Mfg. Other Air Cond. Mfp. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed' for Rouyh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved C17Y OF EAGAN 464-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fea Fi!l in numbered spaces S/C TypB or Print /egib/y Tot. 1. Date 2. Installation Cost 3. Job Address Lot? Blk. Tract 4. Owner . ? " . . • . -- -- --- - 5. Contractor - Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New CD Add ? Alter O Repair O 11. No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Baih tutx Septic Tank Lavatory Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Dtinking Ftn. Slop Sink Gas Piping Outlets 12. t hereby certify that the above information is true and correct, and I agree to comply with all ordinances end codes governing this type of work. Signed: for Rough Final lnspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 /CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: F III I I PERMIT SUBTYPE: f TYPE OF WORK: ri V nt r11r1 INSPECTION ? .A . .• ? N RFVIE-W('il CtY f.17A)4-I IVrIVAI::'Y IFraT'E PF14MiT kr011TFtf rl FOf? A . , . ,, ? ? PERMIT TYPE: Permit Number. Date Issued: 13 ti ?. 1.) r. t' : APPLICANT: ? ? Permit Holder Date Telaphone A SEWER/ WATER PLUMBING HVAC Inepection 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 4MO ORSAT TEST ? + L ? BLDG FINAL ? _ J &,v r?' I?"`r DOMESTIC METER IRRIGATION METER FLUSH MAINS CONOUCTIVfTV TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Xa CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: ' I r` i„? yl I , 1 11VE1: 1 AN I i?l II ` PERMIT SUBTYPE: ? I ,irr ?; . OM t i PERMIT TYPE: Permit Number: Date Issued: ` "_ " .. ° .. . APPLICANT: tr% lgi.llC!' ? { ?, ? .• ) +t?rti !:'t?4f TYPE OF WORK: til! ,? i. 1; i i ii;! titi I I I,iwu if i A 'a'l 4 cf1 l A?ii<?w kt 13 A I :? trf'CII Ar.f ?1rirNr; F- Z\ ? L Pwmn Haae. Date relepnon. r SEWERI WATER PLUMBING HVAC Inspecdon Dete Insp. Commeota 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 coNDucriwrv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ---^ --- T----INSPECTIOl`? RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS• APPLICANT: • i o r: f. H r+ t ?. i i?V4:F t AIVI F iir H 8 -•7 rH ??r?a•. i !"t1l 1 1 U 1 Moi 41'{4 {':??> Htlsm /Qq 41A 4? L 41i? I PERMIT SUBTYPE: TYPE OF WORK: ±;r PaTFt ?II;a Irt Pi ncf sjntMr, Pertnit Holder DaM Telsphone S SEWER/ WATER PLUMBING HVAC Inspectlon Dete Insp. Commenb 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 HYOROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL I l CITY OF EAGAN ? 3830 Pilot Knob Road ? Eagan, Minnesata 55122-1897 (651) 681-4675 SITE ADDRESS:' . I : .+Vt t; t A141 PERMIT SUBTYPE: PERMIT TYPE: 1 11 i N'; Permit Number: Datelssued: of;/ a') i::)W - I n i APPLICANT: TYPE OF WORK: Rl'NA [R 0Ef'I Af.f c,I:111.N(i ? ? ? Permit Holder Date Telephone # SEWER/ WATER PLUMBING Hvac Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC 7EST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNDucnvrrv 7EST HYDROSTATIC 7EST BSMT R.I. BSMT FINAI DECK FfG DECK FINAL Zoniny: -- ? Ownsr: ?i Address: - Site Address: i Plumber. - f AAetar No.: j 6 Si der I4o.. WATER SERVICE PERMtT ? i; PERMIT NQ.: DATE: ---_p Ex . No, of Units: Inc . -. 1 UPermit. Fee:rF . :'JUPcs 5urchorga: nc Mlsc. Ciwroes: TOtCl: ? 1sorM io oowolp whh !M Cihr af E4110w ?1/IOAOM• Dat. oln..: ? ?- t" ^ Dote Paid Ins,. - oF EAGAN - - SEWER SERVICE PERMIT ? Pilot Knob Rosd Box 21199 pERMIT NO.: 1 ? MN 55121 DATE: p; _No. of Unfts: _ . . ,?.1'..? 'i... ? 1_ . , . . . _ ddress: _ _ . . . . ,,. , - . Ite Address: lumbar. . , ? ?to osee* wi16 tw Ghr ef fa@oo Cannectian Charpr. k/ieaaea. Acoourit DePoslt: Parmit Fas: Surchor0e: Misc. Chnrpm Total: poes Pald: CITY OF EAGAN WATER SERV14E PERMR 3830 Pilot it nob Road I P. O:"Box 27199 PERMIT NO.: - Eagan, MN 55121 DNTE: i zontno: _ 73 Nu. of untca: Owner; ;-p ex t Coo :a ue olizes, iuc. Address: _ Sih Address: Plumbsr. _ r No.: , L t oW???` - - ? : - ? ulnit r"d,.?' al/t! Pertnit Fee: No.: ? to aowi? wilh 11e Ciy of Eoyon Surchuroe: p' . Pc? sear. . Misc. Chorpes: ,3. O[?}nd me* ( Total: Date Paid: of I?np.: CITY OF EAGAN SEWER SERVECE PERMR 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO:: - E?.Ian, MN 55121 DATE: - ZoninO: No. of Units: ,. Owner: . Md?m: ^..^ SiTE Address: ' • - , r?,, - Piumber. , I pr.o ro aanpiq wNb !IN Gty of lkoo¦ OeJinemesa. ey Dote of Inap.: Insp.: Conr+eetlon Chorpa: /kcouM DepOSit: Permit Fee: SurehGrpe: Misc. Charpes: Totol: Dafs Poid: . ' By Dote of Insp.: Irnp.: CITY OF EAGAN WATER SERV14E PERMIT 3830 P»?bt K nob Road ; P. U. !!ox 21199 PERMIT NO.: • -- ., L 1.' Eagan, MN 55121 DATE: ex Zonlny: _ 1.0 ,?;? a. of Unlts: -p Owner: rood Va ue Homre: " - /lddrcss: No.: Reade? NO.: <) Permit Fee: • P 1 prw !o oow-pMj wi16 ilw Cky of Eqsn Surcharge: • P O?iw?ear. Mlsc. Chorqes: 63.00pd meter . ? /? ---?-- Total: ? BY Dote Paid: Date of Insp.: I?sP•: CITY OF EAGAN -?'- . SEWER SERVICE PERMIT 3830 Pilot Knob Road ?i ` . P. 0. Box 21199 p?IT NO.: _ EagB 1, MN 55121 DATE: Zoninp: - No. of Units: C'?OOcj. G81u- liG?iae : IIIC. ,Owner: /4ddrcss: 5ite Add PlumbAr: I qe? te eou?plp wNl? 1M Cit?r ef ?aN• u CAnnedion Choepe: =+5 Uiltx: AuouM Deposit: Or?iMeps. Pam?it Fer Surcharpr I Misc. CF+oross: By Dote of Irop.: Total: Insp.: Dot? Pold: ITY OF EAGON 30 Pilot Knoh Rwd WATER SERVICE PERMR . O Bali 21199 PERMIT NO.: . agan, MN 55127 DATE: ?Ing: F3 l N0. of Units: -P ex I ue omes, r: F.ood Va nc. r+ess: lte Addrcss• 4477 Clover ane d+ 31 _.c en ,, rl. umber. . r No.: ] . ? ? pd Connedfat Charga: + ze: AcCOUnt Deposit;. • L)Upd No.: Id m207 Sl' Permit Fee: '. Pu yrr !e ?plp wHA e6e Ciry of Lagon Surcharye: •- P w?noM. . ,:?c 1 Misc• Choryes: , c.; pd meter Total: Dote Paid: e af Irup.: Inap.: -?? CITY OF EAGAN SEWER SERVECE PERMR l 3830 Pilot Knob Road ? . P. O. Bc K -21199 PERMIT NO.: Eagan, MN 55121 DATE: - , 1 ?1,, af Units;. ..P1 . z°nlnp' -;30,. e?.t:e Aii. OwrNr: - :JWdress: ? 5ite Address: `' • . . 77. ..Qi_) tt 4: Plumber: `? - . _ =, i ? Z `•'l'' , _ c11 prw te miwpfl wYb 11e CR1r of I+lp* Cannxtlon Clwrpa: 42 Atwunt Depasit: 1 ` Or?iu?aas. Ptrmit Fae: Sureharoe: . , gy Misc. Chorges: ? Date of Insp.: Total: ; insp.: Dah Pald: This request void 18 mon(hs irom `/ -3-x?0 Y')_ 60 Request pate Fire No. RouAh-inInspecbon ,,,,__,,/! r`? R qu ed, ?ReadY Nu Will Nntrty Inspec- %? J? ' ? J ? ? ?es Nu ?or When Reetlv Fl Licensed Elec[nc21 Con[ractor ? Owner I hereby requast inspec4on oi above eleccncal work installed at. SVeet Atldress, Bax or Route ? CrtY 77 Lf ? ecLOn o. Township Name or No. Fanye No. County ? Occupant(PRIN 1 /n Phone No. Power Suooiie. Address -1? G^ Electri ? I Cnntractor (COmpany N Conhacmr's Lice nse No. o nhac[or or Ow Mai me p. dJ res s (CO ner MakinP Instailavcn) ? ? '} jf / J Auffionze na[ure IConhactor/Owner Makmy Installatmnl Phon• umber v &' - MINNESO6/STATE BOAHD OF ELECTNICITY THIS INSPECTION flEdUEST WILI NOT Grigps•Midway 61d9. - Aoom N-791 8E ACCEPTED BV THE STATE 60ApD UNLESS PROPER INSPECTION FEE IS 7821 Univelsity Ave., St. Paul, MN 55704 Phone (812) 297-2111 ENCLOSED. REQUEST FOR EIEGTRlCAL INSPECTION „ ee-ooooi-oa ? ' See instrucLOns for aamplehn9 this form on back o1 Vellow copx ? I "X" Below Work CQi;gTd=4y Thrs Request r? 3 ?. Tvoe oi Bwldmu Appliancas Wired E4amnient Wired DupIex Water Heater Lighting Fiztwes Apt. Bwlding Dryer Electrie Heann Commercial Bldg. Furnace Silo Unloader Indtistrial Bldy. Au Conditioner Bulk Mi Ik Tank Olhei oP??fv 0? e? lSUm?fy7 Farm Gom k puterns Fee pecuon ree aeruw ServiceEnhance5ize F ders?5ubteetlers Cvcu?ts 0 to 200 qm s 30 Am s n 30 Am s Above 200 Amps a 1 DO Amps A to 100 Am ? Simmfn Pool e 100-Amps ove 100_Am Ab Transiormers tion Boorr?s rtial/Othe r Fee Signs S'7, U TOTAL FEE ? Remarks ? r / Dwa I, 1he Electri PouBh-in inspectar, heraby ? certify that the above Final inspection has baen made. This request voia 18 manlhs irom This ren??est void ? ?( ? ? 1d months from Q ° 0 4 L I?? I ?,.?C?. I r 3 ? V ? RequesL?aio ^ ??.i'l _(y?? ?'? f? fire No. Rouqh-in Insuection Req ved? -? ? ?FeaAy Now Will Nouty Inspec- Yes ?NO Yur When Ready I hereby request inspecbon ot above ? ?W?P? ¢Ixctncral wnrk inciallnd at SVeet A dAre,. Bot pr Route Na. L / ?? ? e?1io1' 7ownship Name or an9e N Comny Occupant (PFI T)? Phona No. PowE/` PPI Address Electri I Contrector ICompany Na Gonvnrtor'?, Lmen se No. ? y Mailine Adtlress lConvactor or ner Makine In steilnrion? ? ' Authonzed Si ure (ConVactor/Owner MnJong Installatiun) Phonp Nu,,ber miNNE50TA-?qTE BOAHD OF ELECTflICITY THIS INSPECTION qEQUEST WILL NOT Griggs•Mdfwey Bidg. - Foom N-191 BE ACCEPTED BY THE STqTE BOARO 1827 Llniversity Ava., St. Paul, MN 56104 l1NLES5 PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSEO 6-2 5??+-1 REQUEST FOR ELECTRICAL INSPECTION ea-eoom-oa t5 1 , See insirachpns lor complepng Ihis torm on back oi yellow copy. ? U n?.,r? qR -,X'" 8elow Work CoV@TLti vN Thi.s RenreocI 01 BUIIdinP Applldrytee Wif A `0 ?, B Equip??e??[ W pd Runge -Temporary Service x Water Heater Li htin F A wld g g ixtures P inc? rmal 61dg Dryer Furnace El Siio Unloader nal Bldg. Air COndrtiOner BWk Milk Tank SUeufv Fen Ra/., ?.? n N F e ? S f# ? Fee Feeders/Subfeaders N Fee ? . A, to 30 Am s 0 31 io i 00 Am s Q? 0 to 30 Am s g S P 37 to 100 qm s Tr Above 100_Am Irrigation &onms Above 100_,P.mps " Si SUeu l I P?rtia6 Other Fee ao,..,.?e a nsPectwn _ ?1 G^7 L!(•l vl ?YtE Ele cal Inspector, hereby Final ? certify that the ?bove insoacpon has baen made this reQUest voitl 18 manlha irom . This reques[ vaid?g 3 18 months trom i? '6 0861 8 U L ,? s,r') Reaues[ ate Fire No, Rnue -'Inspecuon R 1 ?j 1 Re? red? . ?ReadY Ni Will Notrty InsOac- - ' Ycs ?No ?nr When ReadY Lf Licensed Electnt-al Contractor I hgreby request ?nspecbon ot above - ? Owner eiectncal work mstalled at. Sveet Address, Box or Raut9o. /'j C?tY {y; / ? / o 5 '"C1--?_ Cic__y?a S L? '"{?? ?_rf ecLOn o. Township Name or No. Rnnge No. County Occupant I RI Phone No. Power upplier Address Elect wl Contrac[or (COmpanv Name) CnMractor's Licensr/e No. - Q .? Mailinp Address IConVav-[or or Owner Making InstailauoN Author¢e.d na ure (COnVar-tor/Owner Makmg Installabon) Phone Number J Coo MINNESOTp/S?TE BOARD OF ELECTRICITY Grrggs-Midv°day Bitlg. - flaom Nd91 1821 University Ave., St Paul, MN 55104 Phona 16121 297.2171 THIS INSPECTION HEQUEST WRL NOT 8E ACCEPTED 8Y THE STATE BOARD UNLESS PFOPER INSPECTION FEE IS ENCLOSED. ¢ REQUEST FOR ELECTRICAL INSPECTION es-ooooi-na ' See instructions tor completinglthis form on sack oi Yetlow copy. 0 ? n ° ??Q ""X"" Below WorKi"-tl by This Request 1 n Atl Rep Type oi Bwlding Appliakcea WveU Equiuman! Wired ° Home Range j Temporary Service Duplex Water Heater Lightiny Fintwes Apt. Bwidinc? Dryer I Electnc Heatin Commercial Bidg. Furnace I Silo Unloader InduStnal Bldg. Air Conditloner Bulk Milk Tank Farm oinP, coP"M otnP, rsot,c:itv) t or 1 ucaty other O+ncr !'noinufo lncnartinn Faa /Safnim tt Fee ServiceEnvanceS¢e k Fee Feeders/5ubfeetlers 7 Fee Cvcuits .QQ 0 co 200 qmps 0 io 30 Am ps .O? 11 0 to 30 Am s A6ove 200 qi»py 31?to 100 Amps 31 to 100 Am>s Swimming Pool Above 100-Amps Ahove 100_AmPy Transtormers Irrigdti?n Boorr?s PartialOther Fee Signs Speaal InspecLOn $ TOTAL F Rerra.ks ? ? ' Roueh-m D"1e ZVP I, the Eleo InsOactoq haneby wrtify Net the above Final r , i D"t`?r_ ? ? w ?, mmspectmn has baen ade. TNarapuestvoi018monthsfmm ( ;?G?^ -- ,nuz ,el-.st 1o1a ie awclns r..m 0 0861 9 3 Bequest Date J _? ?,/J( g ? Fre No. R< ph-?Ylnsped?on Fenu atl , (e.s ?NO ? Peady Nuw Will Nu?ity Inspec- or Whrn Ready U Licensed Electrical ConVacmr ? I herehy request inspec4on of above ? Owner electncal work installed ah Sireet AtlJre s s, Bnx or qoute o. CitY ' 7 ! er, ion o. Township Name or No. Range Nn. Count OccuDan[ IPflINTI n 1 f, Phone No. Power S lier Atldress Nec[r a CnnVactor (COmpany Namel ConVactor's Liconse No. Mailiny AdJress IContrac[or or Owner Making InstailanoN ?2 O -P a-e ?-? Authonzed S? re IConvector/O ner Makmu Installavonl Phone Nu mber ? / ?? C.n ' G] ?C/ LS MINNESOTA S??A'IE BOAPD OF ELECTRICITV Griggs-Midwgf eldg. - Roam N•191 1821 UnivarsitY Ave., SL Paul, MN 55100 Phone 16121 297-2111 TNIS INSFECTION REQUEST WILL NOT 8E ACCEPTEO 9Y THE STqTE BOARD l1NLE5S PflOPEN INSPECTION FEE IS ENCLOSED. ? REQUEST FOR ELECTRICAL INSPECTION ,r-;, ea-oaooi-oa ? ' See insbuctions tor completmg this form on back of Vellow cooV. w p ?? q g J(" Below Work c ? by This Request j?%j i& FtlJ R4. Tvpe ot Bmldrog Appliunce. Wved Equipment Wved Home Fange Temporary Service Duplex Water Heatei Lighhny Piztuies Apt Bwlding Dryer Electno Heatin Commerciai Bldy. Fumace Silo Unloader Industrial 81dg. Air Conditioner Bulk Milk Tanl< Farm ot neI soec?tY o,ne, isw,,:+vi t er ?SpamFY Other Oihrr pectron Fee Below se.vice enx.ence sae D to 200 Amos 100 gns il'7 ?. / p TOTAL //?+ Ld/? ) RouBh-in Dat e ?, the I ^ l ? fI ISpBCtOf, h¢f8hy, f ffi I Final 0, carv y at tbe ebova msveccion bas been ? rv ? mada. TMS repuest voia 18 months Iwm RESIDENTIAL BUILDING PERMIT APPLICATION a?- CITY OF EAGAN -P l f7GD Y 3830 PILOT KNOB RD - 55122 651-681-4675 Haw ConsWCdon Reauirements RemodellReoair Reauirements • 3 registered site surveys showing sq. ft. ot lol, sq. R of house; aM all roofed areas • 2 copies af plan (20% maximum lot coverage albwed) • 1 set of Energy Calculations for heated additians . 2 copies cf plan showiig beam & window saes; poured found design, etc ) • 1 sBe survay for eztenor addNOns 8 decks . t set of Energy Calwlations • Indicale if home served by seDtlc syslem for additbm . 3 copies of Tree Preservation Plan'rf lot platled after 711193 . Rim Joist Deul Ophans seleclion sheel (bidgs with 3 or less units) T. DATE VALUATION4 JOB SITE ADDRESS '(1yf22A 1-W9_90 6600,O't 4? /U If MULTI-FAMILY BUILDING, HOW MANY UNITS? ? PROPERTY OWNER ii?_,04010 /-bru 07 c')cdu?S ASS oe--, TYPE OP WORK U%? Fp FIREPLACE(S) _ 0_ 1_ 2 APPLICANT hJU'f71biAnrpJ &6bS CesnlS7?Ave-ITOnJ PHONE(S/ AODRESS PAGER # CELL PHONE #/( ?I ??.35-??37 FAX # <.? NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Su6mitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor: _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Hea[ Recovery System All above information must 6e submitted prior to processing of application. Phone #: Lawn Sprinkler No. of R.I. Baths Phone # I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Orc Signature of Applicant Certificates of Survey Received - Tree Preservation Plan CODE S3/I ZZ Fee: $90.00 Fee: $70.00 U ? d..aad=69re comply ed Updated 1lOt RESIDENTIAL q ? BUILDiNG PERMIT APPLICATION ? i , ?D? ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction ReauiremeMS RemodeUReoair Reauirements • 3 registered site surveys showing sq. ft of IoL sq. M. of Iwuse; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 sel of Energy Cakulalions for heated additions . 2 copies of plan shovnrg beam & windav s¢es; poured found design, elc.) • 1 sfte survey for exteriw addRbne 8 decks • 1 set of Energy Calculations • Indicale tt hwne served by septic system tor additbns • 3 mpms of Tree Preservation Plan M lot plaHeC after 771193 • Rim Jaisl Detail Options selectbn sheet (Wdgs with 3 or less uniLs) DATE 9'D 6 1 VALUATION 3 7Da ?= JOB SITE ADDRESS yS??'I A¢ yy77 ? CJtaJ?.7P IF MULTI-FAMILY BUILDING, HOW MANY UNITS? a2 PROPERTY OWNER A"^r-, bfarw.r- oc.,3.vdZS A55oC TYPE OF PHONE#"K ' ZB-a o _ZIPCODE Q FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT /V0T?M dti ? Q,eh:i d?7V31-2°vcV0 6-2 ADDRESS PAGER # CELL PHONE # PAX # NEW RESIDENTIAL BUILDING ONLY - FIIL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor. _ Plumbing System Includes: Mechanicai Contractor: _ Mechanical System Includes: Sewer/Water Contrcctor. ? Air Conditioning _ Heat Recovery System All above information must be submitted prior to processing of application. I hereby acknowledge That I have read ihis application, state that the with all applicable State of Minnesota Statutes and City of Eagan Orc Signature ot Applicant _ Water Softener _ _ Water Heater _ _ No. of Baths Phone #: I.awn Sprinkler Fee: $90.00 No. of R.I. Baths Phone # Phone # ?P, ? ? LJ ? (?, is correct, and agree to comply Certificates of Survey Received _ Tree Preservation Plan Recetved _ N? Req a_ ? Updated 1101 PERMIT CITY OF EAGAN 3830'Pilot Knob Road ' Eagan, Minnesota 55122-1897 (651) 6814675 PERMITTYPE: buzi-nr.n6' Permit Number: 034394 Date Issued: 01;08/ y 9 SITE ADDRESS: 4479B cLovEt? LANr i.or: a6 BLoCxo I ror-.iv P,i..iue: 10-221u,O-160-11 DESCRIPTION: ; ,,f, , i? ?.. RiF>t_ACE Y4tiLdinQ':,,Pcrmii: '7yce E?w.ildinq WACk '1'ypa ?Cerasus Loc?e. `- / r i SS?TidG G'f f) fd M IJ A NI fl f-i t= t2EpP Ih2 434 ALT. RES7:i)EfVTT,A1. REMARKS: urdl_T B. FEE SUMMARY: CONTRACTOR: - ApplicGnt - IIC. OWNER: Cl,ISTOM C'UNCEPTS C0NS'f 189^o7'?9z7 20 ,1112417 FOS7Eli LIN[lfl 16540 K[NRTCI< I.OfJP(S1"E B 44790 CL0VFft I.r11VF I_AHEVTLLL h1N 55P.4A , i=PUGA N MN 56122 (siz) 848-7290 T herebl acknowiedqe tMat T Fiavo rFad th5s apqlir,atiOm and state thar the inYormation is cr,r^rect and aqrea t„o camI wi.L'h a.li applicab1ti 5tate of Mn. StG'tutvs and Citv at Eaqan Orcfinances. I APPLICANT/PERMITEE SIGNATl1RE I is ? o ev si Nn?a ?t 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) New Construction Reawrements CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-4675 Remodel/ReDair Reauirements ? 3 registered sde surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan rf lot platted after 7f1193 required: _ Yes _ No DATE: DESCRIPTION OF WORK: ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? 1 energy calcutalions 4or heated additions f-g.q? CONSTRUCTION COST; ? ? -TS • 0 6 STREET ADDRESS: 1,J-1JL9 Q AA?Yt.4 V LOT: I?o BLOCK: I SUBD./P.I.D. #: Nazne:__ U?fl?_5..r------???G--- Pliotie H: PROPERTY c)WNLR StreeLlddmss:----- --------------------------- - City Srate: Zip: !_L-?Q---- Comp.w}: `?'? =J?= mCfRJ'vf???_--- Pliouc #: ?oC_?y cc ?N?riz?crroia ,vr/?-- N I Street Address /(J LQy[J7(['?Z3?? _Lceilse H a? I+-I_2. N'IF xp. Citr ARCHITECT/ ENGINEER Comparly: SlmcL Gtv Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. Penalty applies when address I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No State: -1"` ,/?/ --- z'p' -?-?(- ? -`--- -------- Phone #: ----- ----- Renistnuon -- - - ---------- Sta[e: ------------ Zip: Tree Preservation Plan Received _ Yes - No - Not Required 1985 BOILDING PERNIT APPLIC6TION - CI?Y OF EAGAN NOTE: ALL CONTRACTORS 1R)37 BE LiCENSED 1fITH THE CITY OF EAGAN f ? ?_?-- ? COHKERCIAL SINGLE FAMILY DWELLZNGS INCLUD'c 2 SETS Cr ARCHITECTURAL INCLUDE 2 SETS OF PLANS & SThUCTUR.AL PLANS, 1 SET OF .1 CERTIF'ICATES OF SURVEY SPECIFiCzTICNS AND t SET OF 1 SET OF ENERGY CALCULATIONS ENEF.GY CrLCL'LkTICNS $2,000 LA'.DSCAPE BOND 1 oF 4 L--''C?f? ? To Be Used For: ?y,/e(t?i r?, Valuation; ?r' Site Address Lf? ?2 0J L.J OFFICE Lot 'z L B1ock Parcel/Sub ???e ri Owner "Al?Je ?Brr/es Address?q&?? City/Zip Code BIA,',l) E•r dyU Date: Erect ! Occupancy Remodel , Zoning Repair ? Type of Const Addition q of Stories Move ? Length Demolish ? Depth Int.Impr, ? Sq Ft Install ? Phone ?i ^' - :&S/O Contractor 620d6 Address 11 City/Zip Code ? Phone .1 Arch./Engr, ? Address +? City/Zip Code ? FEES Assessments Permit Water/Sewer ^ Surcharge ? Police Plan Review Fire SAC ' Engr Water Conn _ Planner Water Meter , Council d Onit Bldg Off Treatment P1 ? APC Parks Variance Copies _ TOTAL Phoee ff z . /00s ? ! ?:,-,.k?:*7985 BUILDING PERHI7 APPLICATION - CI17 OF EAGAN - gOTE: ;:;<?I3:_ COIITRACTORS MUST BE LICENSED RITH THE CITY OF EAGAN ''y' '? T ,• , _ s;?;?IERCIAl. SINGLE FAMZLY DiiELLINGS INCLUDE 2-SETS;Y#?:.ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL4d.1AJ1S,'1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS'.AND 1'SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2?OD0 LANDSCAPE BOND - .. , 10 F 4 Gn,oob To Be Used For:X71vletL ) n? Valuation: Site Address ?{?2?/ C.Io??- L? OFFICE Lot 4? Block Parcel/Sub C ?E+ Yp 00 t `^1,?o -? Owner ?--no Va/Je ?ern?s Tn? Address?V(pd 9??`??Ln( RJ? City/Zip Code $Ia"OET Phone 460 Contractor A g p ?? Address ? City/Zip Code ? Phone ? Arch./Engr. ? Address ? City/Zip Code ? Phone 0 ? Date: Erect ? Remodel _ Repair ? Addition Move _ Demolish Int.Impr. ^ install APPROVALS Occupaney 2oning Type of Const fl of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer ? Surcharge Police Plan Review Fire SAC Engr Water Conn Pianner Water Meter Council Road Unit Bldg O:f / reatment P1 A?C Parks Variance Copies TOT6L 6T * 1985 BOZLDING FPRM21'...APPL7CATIOM _ CTT4 [ NOTE: ALL CONlSERCI9L a" - - - ??- -=-,?^?,e- _-°`-x-f--„ ? - -- - t3?105T:?:[:iCENSED iiITH ?HE CITY OF EAGAN ° SINGLE FAlIFLY DHELLINGS ?.. INCLUDE 2 SETS OF ARCHITECTURAL'`'y? INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANSi 1 SET OF =3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1'SET DF 1 SET OF ENERGY CALCULATIONS ENERGY C9LCOLATIONS $2, 000 LANDSCAPE BOND i' - ` .- (opooo I vF?} `-To Be Used For: j0µ/etL1 t2G _Valuatfon: ? Date: T- _ Site Address Lfc,l77 g ?,'/v=?.- Lot ?a Block Parcel/Sub C!Ele rp Owner Address?c?(ofJ City/Zip Code z/a.,JS? '.LGya SSy3?f Phone ?Wc' - S-57-1O Contractor _A130Ve Address ? City/Zip Code ? Phone r Arch./Engr, ? Address ? City/Zip Code ? Phone S ?: . sc ' -'- s" , ? ; OFFICE USE ONLY Erect X Occupancy Remodel Zoning ? Repair T Type of Const 7: Addition N of Stories Move ^ Length Demolish ? Depth 2 Tnt.Impr. 1 Sq Ft Install APPROYALS F£ES Assessments Permit Water/Sewer Surcharge '60. Police ? Plan Revfew 5(,,SO Ffre SAC 25 Engr Water Conn 5co, Planner Wat 63. Council Road Unit ?80. Bldg Off Treatment Pl 32. APC Parks Variance Copies TOTAL _, U CJ T , 1985 BUZLDING PERMIT APPLICATIOB - CITY OF EAGAN NOTE: 9LL CON?RAGTORS NUST BE LICENSED ifITH TFIE CITY OF EAG9N [ 'ftj coaseeciA. INCLUDE 2 ScTS OF ARCHITECTURAL u STRUCTURAL PLANS, 1 SET QF SPECIFICA;IONS AND 1'SET OF ENERGY CALCULATIONS $2 040 LANDSCAPE BOND SINGLE FRMZLY D{JELLINGS INCLUDE 2 SETS OF PLANS j CERTIFICATES OF SURVEY 1 SET OF ENEAGY CALCULATIONS Date: -- ' I o? 4 ?o,d? Ob To Be Used For:iC p/e(L ?q Valuation: Site Address /-/,/77 64-' er OFFICE Lot _Z- Z Block ? Parcel/Sub ??g n A. Ocmer Val?'C Address?</(op q?'??11( NE City/Zip Code AIa"?)c r`{,Cl?J ,?5435? ? Phone Contractor A gCJ45 Address .? City/Zip Code ? Phone .? Arch,/Engr. ? Address ? City/Zip Code ? Phone # / Erect Remodel Repair ? Additfon Move ' Demolish ? Int.Impr, _ Install ? Occupancy Zoning Type of Const # of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer ' Surcharge Po2iee Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Unit Bldg Off reatment P1 APC arks Variance Copies TOTAL City of Eapn 3830 Pilot Kno6 Road Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 675-5694 ?----------------- ? I ; PBmit #: ?53 g(tz, I ? PermitFee: ? Dffie Received: I Staff; (J ?i I i ? i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -1` QQ Slte Address: _9_?] 3 dA+ Tenant: 11A/ Sulte #: RESIDENT/OWNER Name: WC.ril d(hh,P t19cJOP1S QSSO?&he: Address / City / Zip: Applicant is: _ Owner 4 Conhactor TYPE OF WORK Descripeon of work: ke (b 0P Construction Cost Oc'30 Muiti-Family Building: (YesI2(- / No CONTRACTOR Name: .?v wonoxp. ? License #: r?dyj t 9 37 Address: lq47 Z40-li- ? biJ. City: f-AA h.ha ? State:MAJ Zi p: ? _?2 jl Phone: Contact Person: &6n??bdelg COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Categorv 7 Minnesota Rules 7672 EOergy COdB . Residential Ventllation Category t Worksheet • Naw Energy Code Worksheei CBtegOry Submitted Submitted (4 BU6misslon type) • Energy Emelope Calculations Submittgd In tha last 12 months, has the City of Eagan Issued a pertnit for e simllar plan based on a master planT _Yes _No It yes, ctate and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water ContracMr: Phone: NOTE: Pfans aird supporcing documents that you submit are consfclered to be public intormatfon Partions oi - the infomiaiion may be classiiied as nort-publfc H you pmvide speciiic reasorrs that wbuld perirrk the Clty.to corlGude that they are trade secrets.. 1 hereby acknowledge that this information is complete arM accurete; that the work wilt be in confortnance with the ordinances and code6 of the City of Eagan, that I understand this is not a permit, but only an application for a permd, and work is not to start without a pertnR, diat the work will be in accordance with ihe approved plan in the case of work which requires arwew and approval qPplans, A I / ? x ?O?J tf 1' hv A:vA x_ Appllcant's PriMed Name Applicant's Signature Page 1 of 3 PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: P.1:.1+1. : 10--2; 750--154]-4) 1 4a79 LOT: L-L7ERI c1_ oV t; R L ;°, H r_ .L6 BLOCK: 7. PERMITTYPE: Bu?LD7.Nr; Permit Number: 0 s 43 9 3 Date Issued: 0 1 1 0 %; ,' "9 DESCRIPTION: ??.`----_ f2EPlACE P, U'3.lalrtq`t.P?rrmi C Yyn?a (41jlldlnq W0r'k Typ E'C2nsu6 C4de ?-1 i /? . i ? J r' `l z ` \l SSUTPJG o'i f7RM DAniF1CiE RE'firR =134 t?LT. i+GS'IUFNT7fll REMARKS: FEE SUMMARY: CONTRACTOR: - appiioar,t - sr, LIC. OWNER: CUSTOM CUP!CFPiS CIJNS7 1838;2 90 2NJA2?1? 1'06JN SLtY PA UI_ 16540 KENS'7:t"K L[70P/5T; B ' 4479 CLOI/FR LP,NE LAKEV7:LL1: i+IN 550 44 L:f?CiA N hiltl 55122 (612I 898-7290 I i I hereby acknow}edge thet I have read th:is int'ormatSan is cqrrect anc; aqree tp comp.Lp Sfi:aCuLes an€i City o7 Ea4an Or'da.nanGes. APPLICANT/PERMITEE SIGNATURE app9.ic4tiun and sCat.e Lhat ihe ,ai.i-h all aPptir.able ytate o# Rin. ti o? A ? I EO BV SIGNATUR I 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-4675 New Construchon Retluirements ? J regislered site surveys ? 2 copies of pians (include beam & window sizes; poured fnd. design; etc.) ? t energy calculations ? 3 copies of [ree preservatwn plan rf lot platted aker 711l93 required: _ Yes _ No DATE: } ? "11\ DESCRIPTION OF WORK: Remodel/Reoair Reouirements ? 2 copies of plan ? 1 site surveys (eztenor addiBOns 8 decks) 4 1 energy calculations for heated additions CONSTRUCTIONCOST; ?S _T5`" STREETADDRESS: '14 1 q 0 ?n l1o?L ?[7. /Y-?_Q LOT: I "5- BLOCK: 1 SUBD.(P.I.D. #: PROPERTY OWVLR Sneet City t.UL State: Zip: co,,,P:uly:_GeIs-?Om CWw_?j ----- Yl,o,le #: e?---- coN-rxAcroiz ///,? y? 0 2?I??,;? SLrcet Address:_` V`70_CP????1-icense # 2 1 y ___ p. _______ Gty ARCHITECT/ ENGINEER ComF Naine Strcct Gry 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 applicabie 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 S[a[c: Zip' 'st_z ??el_ Phone #: _______ Rehristritiou #: __ ---------------------- S[ate: ______------ "Ltp: PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: 4 977 ci ClraV Er2 I_;sr!F_ LOT? 1'3 F?Ll)CK? 7. PERMITTYPE: H ucu0 rNr Permit Number. 0 3 4 4 3 4 Date Issued: 0 1 12 L!9 a DESCRIPTION: L;0 i.ldin?ct* F`armit 1"vo01 i.a11c7inq Wti?,;_k rype ,,"Censua Code ?\. i_ i f-:t,s E iyIf:NI' t'ZNISI-i AL1`1-RATTUPV 434 rdLT. !?ESIOE N(J:flL ?` •,< <' , ? _. _. '*}e? (: =I+=.-? .._: `?'`_ ... _ ... µ . . REMARKS: r-1_A rl MF v!>?wE r., 8r cF;f,iuovA r.-^?r, st??E R nTE r{_tzmlr R FQ uzP. Fr, FoR araY aL uM 0 1 iv6 wi) P K. C?11 1 1551 A4°,-- R. ?40 i41=GAf@iI11VH t- I Fi:T"F2'l:CPiL I'1 PWPI7T yfJl1 ThISPi=f.}'TONS. FEE SUMMARY: 8a ?- 2 Pt, E n6(?.63C9 S11 ec1h a! oF 5.50 1ntaJ_ Eae ---- - 31 uV.60 CONTRACTOR: , OWNER: - VEIVNLX 4 4 7 7 g Cl E A (i ld N l6611!1S2-G2:3L ? I heia6y acknowledpc Lhar I haue rlead Y.his [n'toi°niatson 3s correCT„ and a4rae to comolY ? Statutas ane! C3TV oT` [aqan Ot°dinan?aR,. ?. i APPLICANT/PERMITEE 51 ATURE I App.Licant -- (, f: tA l (5 OVER L.RNG 11 Id 55122 applicaCiori and stete that rhe +,ai.th ali npp1LCable 5tet's oi' hix?? ? ? ?q,?z SUEO BY SIGNAT RE 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? CITY OF EAGAN ? 14 3830 PII,OT KNOB RD - 55122 ':S C) 5 (651) 681-4675 ("?,A`J New Construction Reauirements `--""J? I ? RemodeUReoair Reauirements ? ? 3 registered site surveys ? 2 copies of plans (include Cesm & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservatlon plan if lot platted aRer 7l1193 required: _ Yes _ No DATE: yH --n -6 Clov-es Lav? e E a,qav, rn1,J s5?zz DESCRIPTION OF WORK: F?n" yl-` woi,, Bed ?8R i H/F?-M+t y R6vm5 STREET ADDRESS: LOT: ls PROPERTY OWNER BLOCK: l SUBD./P.I.D. #: ?j-e? ? ,?' Name: V-2 v\ J-" X C,(' 2 LaSt First Street Address: qLl ? _7 ' IS C [ov`6- La`'^-P_ Phone#:6S??yS2 ?°23J or City E?? ? state: M N zip: ?5 ? ZZ ? 2 wpies of plan ? 1 site surveys (exterior add'Rions 8 decks) ? 7 energy calculations for heated addkions CONSTRUCTION COST : 3 5 co Company: ?on?p?r.1?2S'Phonetl: CONTRACTOR , Street Ciry ARCHITECT/ ENGINEER Compa Name: Sveet E License # _ State: Zip: Phone #: Registration #: City I Siate: Sewer 8 water licensed plumber (new consVuction only): change and lot change is requested once permit is issuet Zip: Penalty applies when address I hereby acknowledge that I have read this application, state that the information is corcect, and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: 4.44 C OFFICE USE ONLY U! ` Certifcates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No V Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. O 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace 0 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New )?_33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) 5-r1 Basement sq. ft. Census Code (Allowable) 5•+T- Main level sq. ft. SAC Code D UBC Occupancy R-3 sq. ft. Census Units ? Zoning p- (D sq. ft. Census Bldg o # of Stories - sq. ft. MC/ES System Length - sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building ? Engineering Variance Permit Fee Surcharge Plan Review License MCIES SAC City SAC Water Conn. Water Meter Acct. Deposit SIW Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: . % SAC SAC Units PERMIT CITY OF EAGAN 3830 Pilot Knob Road - Eagarc, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: aus1_oirar, Permit Number: 0 3 4 3 3 Z Date Issued: 0 i / 0 S ! 9 `? SITE ADDRESS: 44776 CL OVER LF1fJE LOT: 13 PLOCK: 1 f-_ D (= I'Q P.T.N.: 20 -:2750 -7.`,30.'-2,:L DESCRIPTION: ?FP I.Acc 6taildinq'.Pe tmiT. 1'yne ?,iailding U76, i-k TupE ??ensus Ccde i r t, ? ? t? sxnxN G a'I'OftM [)l1MGGE REPAIR 434 F4Li. F2i:,7iJcNTIAI_ :r- _ti.... REMARKS: i i Ni_ ?7 i, . FEE SUMMARY: CONTRACTOR: - flnplicanr - sT. L ]G:, OWNER: Cl15Ti1M (:OIVCEP73 CpNST 1Y74?3729@ 2G1:142A1' VENPIJri (,:IZ A7:6 16 54 0 KENRLt:K LOUP/SfE B 44775 CLDVE{2 LlhNE l FIKEVILLL'- I'diV 55044 EAGAu MN 55122 (612) 898-7290 I hereby acknowledqe that S havv rpad th1.s app]1_vatiari and st3te that Che inhvrmetaort is aarrect and ac7ree ttr com{a1y wiCh a11 a.ppllcable State crf Mn. Si:atutes and f.iCy ot Earaan OrdirranGeL. I APPLICANT/PERMITEE SIGNATURE I f?? Qu?? ?-? ISSUE Y- SIGNATURE 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 q, (651) 681-4675 f New Construction Reauirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculaGons ? 3 copies of tree preservahon plan if lot platted after 711/93 required. _ Yes No DATE: 1- 1 -19 Remodel/Reoair Reouirements ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? 1 energy calculations for heated adddions CONSTRUCTION COST; ll S Q" DESCRIPTION OF WORK: ,n I STREETADDRESS: q'`1 -11 ? ???IIQa (a mO, LOT: BLOCK: ? SUBD./P.I.D. #: Ptionc ti: PROPERTY WXN P:R S[ree[ r\ddress:------------ -- ---- ----- City S[ate: Zip: ?l-???--- CO ?.?''f IL,.CCOR /? ? Stree[ Address: /C?FI?j[? License # lg1L1 ,??L 7Erp. -- ---?- -------- _ sL,ie: ?.,- - --- Z'p: '?yj?zy(l cuy - f----- ? - ARCHITECT/ ENGINEER Comp:my: _____- Phouc #: Registnlaoii #: Slrcct Address:--- ------------------------- ---------- ------- City ------------ -- State: ------- - Zip: Sewer & water licensed plumber (new construction only): . change and lot change is requested once permit is issued. Penalty applies when address I hereby acknowledge that f have read this application, s[ate that the Information is correct, and agree to comply with afl applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 'e??Z ' OFFICE USE ONLY Certificates of Survey Received _ Yes _ No --- i - Tree Preservation Plan Received - Yes _ No - Not Required PEI RMIT CITY OF EAGAN 3II30 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: W, IeNe: 1.0-227547-1u0-OL ?/a7; LU7: EIJEN C!„OVFR LANE IA Fsl 0 CK- 1 PERMIT TYPE: k; u r L D r iv r Permit Number: 03 4; 9 t- Date Issued: a 1 I08/ 9? DESCRIPTION: ,-- __ R EP LiAcI. sufl.ldirig.,PQr?n,lr rv?,a i?r?iLdinw W?,r!< Tvn?w ?r?Ensus Code \..f l? --? ! ?t`\ 1.. , _ t ?-,. s.>: •' sr.rI Nc STORHI CJf}MACnE REf'AIfi 4 34 FVLI . R F_5TDEid'fIA l_ ??i ? .s.?? ?•i? ?•• +i ?.??j? ..-?„^`.} .,.. i REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - sn . LIc. OWNER: CUSTOP1 C6NCEPTS C0149T 16937290 20142417 TftpXi.ER CiiRIS 1654G7 KLNR7CIC Lf1CiPIS'i"E ? 4 117! C10VEH LANE I_AKEViLLG MN 65044 Ef1GAN MP! 557.22 15121 895._739?3 I hereby aeknr,w.tedqe tha1 G have r;oad this aoplieation snd sCaCe thet t:Pie infqrniati.on is Earrect and aqree to ccxmplv wi`Pi a11 applicable SCate oT Mn. Statutes dnd ciCy af Eaqan Ordinancas. L I ? 14? U&& U ' U E APPLICANT/PERMITEE SIGNATURE I ED BY SIGNAT? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ' CITY OF EAGAN p, ? ? l 3830 PILOT KNOB RD - 55122 ' p"? (651) 681-4675 New Canstruchon Reouirements ? 3 registered sde surveys ? 2 copies of pians (include beam & window s¢es; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted aker 7!1/93 required: _Yes No DATE: I"10? RemodellReoair Reouirements ? 2 copies of plan ? 1 site surveys (eztenor adddions & decks) ? 1 energy calculations for heated addinons CONSTRUCTION COST; ? ,;TI S °Q0 DESCRIPTION OF WORK: u v r''I STREET ADDRESS: ` 't ? ? ? Nfok '?? I L2a /v'n LOT: ) y BLOCK: I SUBD./P.I.D. #: ? CU_ V? N;une.?r aXl { r _ CV)(;56VVVLJk ? (\? Yhonc #: ------- PROPERTY r;'s` Obb v1:R SLrec[ Address:------------------------------------- --------------- Gty ------- ------- -- S[atc: ------------ Zip: Company:6?1-/? Yliacie #: CO\"1"RACC0R / StreetAddress:10 I,icense # 0"101?-IaN?2 Lxp. CiLy ----- ------ -- ----------- State: Zlp` -'? Z---- ARCHITECT/ ENGINEER Ylione #: Rea stration #: Strce[ Address: ------------ --- ------------- ------ -- Crtv S[ate: --- Zi ------------- ------- P: 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 aIl applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 7?1 OFFICE USE ONLY -- -- Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No - Not Required v/ ?`3 BL ' CITY USE ONLY RECEIPT #: ?aOl?O c SUBD. 9a? ?? ?r\ lr ?? RECEIPT DATE: ?°1/ 79 1999 PLU14I$INC PERMTI' (itESIDEN77AL) crrY oF EAsnrr S$SO Pll.OT KNOB RD £AfiAN, MN 55122 (651) 6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when perm its are required for each unit ? backflow preventer for underground sprinkler system -° ---'--'--°-_--- - - ____-- FIXTURES ------------- ACH -- -- ------------- --- # _ TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener ' for tlwellings under construclion 5.00 X = Water Softener ' for existing dwelling 30.00 x = U.G.Sprinklef ' fordwellingunderconst. 3.00 = U.G. Sprinkler ' for existing dwelling 30.00 = Alteretions ` to existing residence 30.00 Water Turn Around 30.00 = Private Disposal System * MPC iic. 75.00 = (new and refur6ished systems) Private Disposal Systems ' Abandonment 30.00 = RPZ (new installation/repair) 30.00 = STATE SURCHARGE 50 Rem/nder. Call 687-4675 for inspections of water heaters, water softeners, alterations, etc. 30,50 TOTAL ----ereby---------acknowledge-------fhat---I--have------- read-- •this•-•-applica6on-----•-•,---state----that----the--- information----------is-----mrt-ect,------and-•-agree-----to-------comply--with ----all----appli---p--ble---City----of--Eagan------ordinan------ce--s- Ih . It is the applicanYs responsibility to notify the property owner that the Ciry of Eagan assumes no liability fw any damages nused by the City during ifs nortnal operational and maintenance activi6es to the facilities wnstructed under this permit within City property/right-of-way/easemenl. SITEADDRESS: 9??-7-6 Udq?? Lar".V E-8?p+n ?MN SSI ZZ OWNER NAME: U? ,/\,A ?i k INSTALLER NAME: 'e. • TELEPHONE #: STREET ADDRESS: CITY: STATE: ZIP: SIGNATUfYE OF PERMITTEE CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1999 L4 gL / CITY USE ONLY RECEIPT#: SUBD. C..?? RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete tor: . sie family dwellings . Ctownhom and condos when permits are required for each unit . backflow preventer for underground sprinkler system FIXTURES EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = VVatee=Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum- 1 3.00 x = Rough Openings 1.50 x = Water Softener ` for dwellings under construdion 5.00 x = Water Softener ` for axisting dwelling 20.00 x = U.G. Sprinkler ' for dweiling under const. 3.00 = U.G. Sprinkler 'forexisti wellin 20.00 = terations ' to existing residence 20 .00 Water Turn Around 20.00 = Private Disposal System ' Dak Cty iic. 75.00 = (new and refurbished systems) Private Disposal Systems' AbandonmeM 20.00 = STATE SURCHARGE .50 2o.S? TOTAL I hereby acknowledge thet I have read this application, state thatthe information is correct, and agree to wmply with all applicable Cily of Eagan ordinances. I[ is the applicenPS responsibflity to notify the property owner that the City of Eagan assumes no liabllity for any damages caused by the City during its nortnal operetlonal and maintenance activRies to the fadlities wnstructed undar this pertnR wRhin City prcperty/righFOf-way/easement. SITE ADDRESS: y??? ? C(O v? L2+?? ? c? ??r? S S( 2"Z OWNER NAME: P.--n n " X INSTALLER NAME: C r?`?t U-e-!\ r\ ` X TELEPHONE #: ? S 2? G z 3? STREET ADDRESS: ?Ic47 C- C cirr: S a C? -n? r STATE: mN ZIp; SS122 SIGNATURE OF PERMITTEE W???? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 ,.; . .. . . . .. ?z?rsaxrr?:,r?xu?x FOR CITY USE ONLY PERMIT # RECEIPT #?? O DATE: O ca?8 ?-- aS5; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLZNGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ ---------------------------------------------------^----- WORK DESCRIPTION COMPLETE THE FOLLOWING: NEW CONST _ ADD ON ? REPAIR _ N0. FIXTURES- EA. ADD-ON MINIMUM 15.00 _ SHOWER 3.00 _ WATER CLOSET 3.00 BATH TUB 3.00 TOTAL 11 /e ° ?%VATORY 3.00 OWNER NAME: j U KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS: L/ / S?7 7? 1_149vCw HDT TUB/SPA 3.00 A WATER HEATER 3.00 LOT:BLOCK ? SUBD. FLAOR DRAIN 3.00 ? GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS: ZDe 2f /Y/-l-ie..; 4 G'? So OTHER _ CITY: ZIP: WATER SOFTENER PRIVATE DISP. 5.00 ? 15.00 U.G. SPRINKLER 3.00 SUBTOTAL ST. SIIRCHARGE TOTAL ? .50 ? ?OMt?EAGIfi?,fINLS17S'PitIAI.s PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WFiEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SIIBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.SQ FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) $ $ CITY OF EAGAN s i ? ••? ? • i e? ? i • • u r• ?. .?. 'Di • f •?X I• •?? • • •• ? ? 1 il ?i • • ; CITY OF EAGAN APPLICATION FOR PERMIT Sf.S4ER AbID/OR WATER CONNECTION , _ _??.... . _ ?..,. , 1) PROPERTY ADDRESS: , -- C:?LOUE'e T.E7GAL DESCRIPTION: r-.?-![/? / ?.:c_/ ??z•'-? .?J (Lot Block Subdivision or Tax Parcel I.D. NUmber) IF EXISTING STR[:CTL'RE, DATE OF ORIGINAL BDILDING PEE2NLiT ISSCANCE: (Month Year) PRESENT ZONING/PROPOSID DSE: R-1 SINGLE FAMILY R-2 DOPLEX ('Itvo L'nits ) R-3 TOWNHOUSE (Three + [Jnits} ( Lnits) R-4 APARTMENT/CObIDOMINIOM ( Onits) CONN7EFtC IAL/RETAIL/OFFICE INDI;STRIAL INST I'IL'TIONAL/GOVERI?IN1[?NT 2) riarE: A) -e f? . aDDREss: czTY, STATE, zzP: ,sG<3.fi?i .? Y?'l ?v S?d'o73 PxoNE: 3) • i:?• NAME: ADDRESS: _S?3f?l E CITY, STATE, ZIP: PHONE: MASTEf2 LICENSE For City L'se P1Lmibers License C Recor( 4) • • iDi• NAME: AooREss: /y6o °i 3 L??sr E lI./? CITY, STATE, ZIP: g C? PHONE: 'Z<-D - S S?O 5) 6) u • • i ? PLEASE HOLD APPROVED PERhffT FOR PZCK-L'P BY ONE OF ABOVE ? PLEASE MAIL APPROVw PERMIT TO 1, 3, 4, AHOVE (le one) 7? ? , l .,?- . ? WrCONNECTION SO CITY SEWER ?CONNECTION TO CITY WATEF2 Q 0'PI-IER (Please Describe) R C I T Y U S E O N L Y . . ,, PERMIT °- ISSUED F°MS: $ lv. CcU $ /O )U > 5 $ $ $ S UU GJ $ S $ $ $ $ $ >- SLP. nP..RMTl (I_ICLi:DZ SU2C.:AZGL) Sd3T°R PER.^lZT (INCLLIDE SliRCHAaGc.) WATER METER/COPPERHORN/OUTSID: REaDER WATE?2 TAP ( INCLUDE CORPORATIO:I STOP ) S:.vc3 TAp AC^Cli\T Dc?OSIT - WATER Wl,fC sac TRli`;iC NAT°R ASSr,SS2?E::T TBut1i: Sn:iER aSSESSiIEDiT LnT ; :ZAL BcNF,FIT/TRUiIK Sr.::ER LATER.aL BENEFIT/TRU:IK [•7AT°R WATER TREAT;fENT PLANT SURCHARGE OTHER: TOT;,L PlM0[J`T PAIJjYECEI?T 4 ?7?17L_ DOES UTILITY CONNEC;ION REQUZRE EXC?VATION ZN PUBLIC RIGi3T OF WAY? YES ZF YES, THEN A"PER612T FOR 'AORK WITHIN PUBLIC ROADWAY" MUST SE ISSUED BY THE C] NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUEJECT TO THE FOI.LOS4I.IG CONDITIO.TS: APPROVED BY: TITLE: DAT° : s • ? ? • • ? • i ? • o ia?? ? io r. ?. . ?. •7?• t • • I• •?? • • •` • ?? • 1 11 • • ; CITY OF EAGAN APPLICATION FOR PERNLiT SEWER ADID/OR WATER CONNECTION 1) PROPIItTY ADDRFSS: li.ot/ttlocx/sunaivision or •rax rarcet t.u. Munuer) - IF EXISTING STRCCT[,'RE, DATE OF ORIGINAL BLILDING PERMIT ISSCANC'.E: (Nbnth Year) PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY R-2 DL'PLEX ('Pao L'nits) R-3 2C)WNHOL'SE (Three + Cnits) ( Units) R-4 APARTMENT/CONDOMINICM ( Onits) COMI?ERCIAL/RETAIL/OFFZCE IN?)L'STRIAL INSTIT['TIONAL/GOVERNNNIENT . 2) ' NAME: /YcAE /sdev Ai ? ADDRESS: g6k J2$ CITY. STATE, ZIP: ?-.A" SSG73 PHONE: /" L5`l 71 3) • c?• ADDRESS: CITY, STATE, ZIP: PHONE: MASTEF2 LICENSE #Qp/g!/-i iljCL 4) ? ?• i?? __ -- NAME: ADDRESS: CITY, STATE, ZIP: PfIONE: 5900c/ UAIGIE' !5'Dine5. N6 0 - 9 s .C .q?e? 'M 1?'. A/,a/,vE 7r?0 - S3'! O For City Ose PluThers LicensE Recor( 5) i? a ? ?+• • • ?+• ? CONNECTION 1b CITY SEWER CONNECTION TO CITY WATER Q OTHII2 (Please Describe) 6) u • i ? PLEASE HOLD APPROVID PERMIT FOR PICK-C'P BY ONE OF AHOVE gr PLEASE MAIL APPROVFF.D PERNffT 'IC) 1,a), 3, 4, ABOVE (Circle one) 71 Z!AcL F O R C I T Y U S E O N L Y PEB.MIT °- ISSUED FE°S: $ IC.S-c. $ re:._sz. $ ? ? L (l S S $ $ $ ? ^' l 2 ? t U $ $ $ S $ $ SEi:E.°, ?'E3MrT (I`ICL::DE SURCS?RGE) WATER PElU42T (ZiICL'uDE SIiRCHAcZGL) WATER METER/COPPERHORN/OUTSIDZ REaDER WATER TAP (INCLUDE CORPORATION STOP) S?.:vER TAP I ?r-CCL'::_ ACCOliDIT D..F,POSIT - WATER WAC SPC TRUNK WATER ASSESS`?E::T TRli:7K SE:vER a55: 55MENT Le`.T°R:yL BE:IEFIT/TRUVK S-'.: .?_B LATERrlL BEVEFIT/TRU:IK SdATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL ANlOU\T PAIDjQEC5I?T um DOES UTILZTY CONNECTION REQUZP.E EXCaVATION IN PUBLIC RIGHT OF LJAY? ? YES IF YES, THE:I A"PERMIT FOR :dORK WITAZA] PUBLIC ROAD;qAY" MUST BE ISSUED BY THE ? NO ENGZ:IEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOILOWING CONDITIONS: APPROVED BY: TI':LE: DATE: , i ? 7z ? e • i ••? ? • i o• a i . . ?? . ?. .?. • 7?• f ? • a• ? ? • r? • • ?1? ? 1 1 ? 71 ? ? ; CZTY OF EAGAN APPLICATION EYJR PERMIT SE?'WII2 ADID/OR WATII2 CONNECTION (Please Print) 1) PROPIItTY ADDRFSS: ov T,FY:AT. DESCRIPTION: -5/ (Lot Block Subdivision or Tvc Parcel I.D. Number) IF E}{ISTING STRCCTURE, DATE OF ORIGINAL &)ILDING PII2MIT ISSC'ANCE: (Nbnth Year) PRESENT 20NING/PROPOSID USE: R-1 SINGLE FAMILY R-2 DL'PLEX ('Itao L'nits ) R-3 TOWNHOL'SE (Three + Units ) ( Units ) R-4 APARTMENT/CONIDOMINIL'M ( Units) CONAIERCIAL/RETAIL/OFFICE IDIDPSTRIAL INS'II'ISiTIONAL/GOVEF2DA4ENT 2) NAME: A/- 7.1yC ADDRESS: ?jCX /aS? CITY, STATE, ZIP: PHONE: 1/33°S/7 / 3) • r?' For City Ose NAME: Pltunbers LicensE ADDRESS: Si9 M? ? /Q Active CITY, STATE, ZIP: C7 Exp? ed PHONE: MASTII2 LICENSE Recor( Q i4 Staff nitial 4) • • i?• ruAME: cvcc/ L%.g /as E ?o p'" e ? s AnDxFSS: 14l60- 9 3 .C.V ?Ale N.?'. CITY, STATE, ZIP: A lIq jNe /'y/ ? 46-S-013 l,r PHONE: 5) i? a • ?• • a• ?? e( CONbIECTION 'Ib CITY SEWER krCONNECTION TO CITY Fg1TEE2 p OTHER (Please Describe) 6) n • ? i ? PLEASE HOLD APPROVID PERNffT FC)R PICK-L'P BY ONE OF AHOVE ,Ba PLEASE MAIL APPROVFD PERMIT ? 1? 3, 4, A?OVE (Circle one) ? 7) ? /`/3 lrT,s ? . F O R pFONIT Y ISSUED I T Y U S E O N L Y FEEs: $ /G-5L $ S $ $ IS $ Y c'? GO. u U S S .?2 c^ ? < S $ S $ $ $ $ $ S5:•iE.°. °E7}1Ti ?IJCL..u? JL?C :]RGGJ WATER PE-,U1T_T (Ii:CL'JDE SiiRC?:ARGc',) WATER METER/COPPERAORN/OCTSID-- READER WAT°R TAP (INCLi;DE COR?OBATIQN STOP) S::;EB T?? AC:.Oli:IT ?EPpSIT - PIATr3 W `r,C SPC TRUViC tIAT°R ASJLSS.:F"T TRli:7K SESvER ?SS: SS::E`iT LnTE?.AL BENF.FIT/TRII`IK 5v::?Fc LATERrlL BENEFIT/TRUNK ;'.A^rR ;1ATER TREATTfENT PLANT SURCHARGE OTHER: TOTAL t1MOlitiT PAID;'REC°I?T ,1, E>v7 OOES UTILITY CON.IECTION REQUIRE EXCaVATION IN PUBLIC RZGHT OF SVAY? ? YES IF YES, THE:] P. "PERMIT FOR WOR!: WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY TEE ? NO ENGZNEERZNG DIVISION. LIST AS A CONDI- TION. SL'BJECT TO THE FOI.LOTVING CONDITIONS: APPROVED SY: TI':LE: / DAT°: • ' I ? "• ? • I •' 0 1 ' ' I? ?1• •?• • • 91' ? • ?? I ' • ? ? • /• ? • ' ?1? • i i 1 ?1 • • CITY OF EAGAN APPLICATION EOR PERMIT SEWEE2 P,NID/OR WATER CONNECTION (Please Pr1nt) 1) PROPII2TY AMRFSS: T•FY;AT• DESQtIPTION: IF EXISTING STRL'CT[.'RE, DATE OF ORIGINAL BL'ILDING PERMIT ISSI-IANCE: (Month Year) PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAN1iLY R-2 DCPLEX ('IGro Cnits ) R-3 TOWNHOL'SE (Three + Dnits) ( Units) R-4 APARTMENT/CODIDOMINIL'M ( L?ni.ts) COb'IINERCIAL/RETAIL/OFFICE IDIDCSTRIAL INSTI ZS'TIONAL/GOVERNMENT 2) ? tvarE: /1//e /E holv OOC?4 /o/ ADnREss: /a S CITY, STATE, ZIP: S?'AsY or///i 1;1'?i7i S 507--.*31 PHONE: 4/3 3 `S/ 7 ? 3) c?• For City L'se NAME: Plurnbers Licensc ADDRESS : 5?9 /77 ez Q Active CITY, STATE, ZIP: Ct Expi ed Q N° Recorc PHONE: MASTII2 LICENSE ? e- -( , Staff nitial 4) ?• • ?? NAME: 6sod 0.9/" c- ADDREss : /Y6o 93 .? .s+?r? /Y• F. CITY, STATE, 2IP: Nh J(r 5?5?5?35? PHONE: 5) . s? 3 Nj CONNECTION TO CITY SEWE:E2 IM CONNECTION TO CITY WATII2 Q OTHER (Please Describe) 6) ? • • i ? PLF115E HOLD APPROVID PET2MIT FOR PICK-C'P BY ONE OF ABOVE S? PLZASE MAIL APPROVID PERMIT 2b 1, 0 3r 4, ABOVE (Circle one) 7) r, o/r?r, ??s?AG / ? .? / ? `d F O R C I T Y U S E O N L Y PEpMim '-` ISSUED F°T'S: $ $ $ S S $ ?S[:G $ ? /1 .c G $ $ $ $ $ $ S SS'tiLR Pr*351rT (I_ICL:;?E SU?C:-i?RGc) WATER PERP1IT (I21CiuDE Sli'RCHA2GB) W,aTER METER/COPPERHORN/OUTSIDE READER WATE.°. TAP ( INCLCJDE CORPORATI0:1 STOP ) S: :aER : A? ACCCUNT DEPOSIT - PiATz'R WAc SP.C T3u:•+K IqAT°R ASSLS5:IE::T ' TRtii7K SES•7ER r1SSES5:LJiT LnTE?.nL BENEFIT/TRU`iiC Sc.:'ia4 LP,TERAL BEDIEFIT/TRU.Ii{ SVAT°R WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL ANIOLNT PAID/RECEi?T ,'?? 7,- DOES UTILITY CONNECTION REQUIP.E EXCAVATION IN PUSLIC RIGcIT OF WAY? ? YES IF YES, THE:I e•. "PERMIT FOR WORS 54ITF3IN PUBLIC ROADWAY" MUST SE ISSUED BY THE NO ENGINEERID]G DIV:SION. LIST AS A CONDI- TION. SUEJECT Tt7 THE FOI•LOSaING CONDITIONS: APPROVED BY: TI:LE: DATE : V?°IaS 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Z / 3 ? O s - TOWNSLEY, DIANNA Site Street Address 4479 CLOVER LANE Uf111 # EAGAN, MN 55122 (651) 683-1949 Property Owner Telephone # ( ) NORBLOM PLUMBING CO . contractor Telephone t! ( ? Address Gity State Zip MINNEAPOUS, MN? The A li a t i O _ pp c n s: wner ontrac or Other Alterations to existing dwelling $ 50.00 _ Add piumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). . _Septic System Abandonment ? _ Water Turnaround (add $125.00 if a 5!8" meter is required) , Other: _ Water Softener X Water Heater $ 15.00 new )4- replacement _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ ?5.50 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be., in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ?le-?F ?lrrrbl?nn ??S [l ? [? ApplicanYs Printed Name A Signature ? FEB 1 12005 ...tl1? 2006 RESIDENTIAL MECHANICAL rEUMrr arrLicaTiorr -*'NP City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dweilings & townhomes/condos when permits are required for each unit d? ?0? Date Si[e Address Unit # Proper[y Owner zz) Telephone # c6 Contractor L,ofgren Htg & A/C - 5708 Upper 147th St W#102 - Street Address Apple Valley, MN 55 ] 24 _ Cih, ?`tate Telephone # ( ) Etond #: Expires: The Applicant is _ Owner 7? Con[ractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 k furnace _Additional _Replacement _ New _ air exchanger air conditioner . heat pump other Staite Surcharge $ .50 Total $ 30j I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and be i.n wnformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes• tt pertnit, but only an application for a permit, and work is not to start without a, rmit; that the work i approved plan in the ease of ork which requires a review and approval of pla s. 6- tA k6 F / 1 AplilicanYs Print Name A lcant's Sig ccura[e; tlial the work will :t [ understarid this is not a be in aqcordaneK witWthe E F ? V LSn il II lJ F r.E3 27 2006 . `?OpE CONSUlTINO ENGIHEEfli PiCCINGINMPIEFRNYJI, ?IING PLaNNeas ond IAND ?uavevons 71 INC. L1000 EAS7 1461A ETREET, BURNSYILLE, AIINNESOTA 35337 PH 432-5000 Cer?i}'i cczze ? Sur3r-e r I,4041 -0C.tcr4PgiOn: LOTS 13, 14, l5, AND I6, aCOCK /) EDEN ADDlTIo DAK07A G04/N7Y, lV11AINE507'A DRAiNA6S ,quD uTIcrTY 45ASEMEaT _y i ^: ?v ? ? n?i a m , N ??e ? :? 'r .. _ ? ?_B3S8? 00 (`lto. N ? ? P e ??j V/ .e% , NORTH SGAIE : 1" = 30' ¢ 4/A// T - /NG /7e ? b. QN / G? : i 30' FROnrr Bu/CpiNG SETQACK LlNE ? 4- \ ?y?\83 ? _ ???A\:: O V ? 0 ?y4-,J) v / I,N \ V13 ? v 7 ?. - o ? tih V 2 O / 4C h(%0 ?Q}o.oj DENOTES I EXIST/N6 ELE?RT/oN 020,0) DENOTES Pf2oP05C0 EG6YHT1o" /NDICATES D/RECT/oN oF SURFACE pRf?/NAaE = F/AlISNED 6.t1RA6E GLDOR ELEVAT/UN I I hereby certify that thia is a true and eorract raprnsentation oi a tract ot land as shanti and desoribed hereon.. As prsparad by ma on thia /Gn/ day ot 19 f?S . ' ? • ?*.?.? 1(inn. 1lea. No. ? . I "" Use BLUE or BLACK Ink I Office Use For ] I • i Permit ! I Cat of Eap A€j~ , 7b I Permit Fee: P 3830 Ptlot Knob Road i Eagan MN 55122 f gate Rerred: a° l Phone: (651) 675-5675 I Staff:- I Fan: (651) 675-5684 I 1 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: AA C4 Il St- - - - Phone: RESIDENT/ OWNER Address / City / Zip: I 7 7 C l over .~1 _n , 1"4 X51 _>z Applicant is: Owner -X_ Contractor TYPE OF WORK Description of work: lea/c e c o Ole C9 Construction Cost: ~7Z C Multi-Family Building: (Yes / No Company: NC' KS 1~ "10. i n C, Contact: c~ S ~-CO[ t K i Address:-19(05 ycr eVa "t ~J- City: Qa !(A4, a l- CONTRACTOR State: M 0 zip: J 51 215 Phone: Co 51 - -7 9 '7 - 3 4 License* ;?0CP 30 700- Lead Certificate #b: If the project is exempt from lead certiftcadon, please explain why. (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes -No if yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor. Phone: Sewer & Water Contractor. Phone: /VOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permait 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. M8M.2oqherstateonecallorg I hereby acbwwledge that this amfonmation 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 permtit, and work is not to start without a permit,, that the work VA be in accordance with the approved plan in the case of work Mich requires a review and approval of plans. x ~G L 5 x o~ Applicant's Printed Name p nt's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE 79 q 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 -3aro Occupancy [ MCES System Plan Review Code Edition SAC Units (25%-100%-k-< Zoning P10 City Water Census Code Stories Booster Pump # of Units Square Feet j GO PRV - # of Buildings Length $ Fire Sprinklers Type of Construction Width 44-0 REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: ,-Footings Air/Gas Tests -Final Framing Siding: Stucco Lath -Stone Lath `Brick Fireplace: Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: . Building Inspector , n n e,r RESIDENTIAL FEES G r1 @ Base Fee *'b Surcharge Plan Review 7 8 3 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ~O 6E CONSULTING ENGINEERS ENGINEERING PLANN(AS and LAND SURVEYORS .COMPRNY, INC. 1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA 55337 PH 4323000 I, Qccl .Iaescr4p2ion: LOT5 13, 14, l5, AMP I6, eLocx EDEw ADD/TI, DAKOTA C04IA17"Y, MINNE507A EAGAN REV17ED DRA)MAGE AND BY UTILITY EASCMEnIT DATE:. r_y BUILDIN INSPECTIONS DIVISION olx $1 /gs6'K 1 'i 30FRonlr Bv/LD/rV6 S SETBACK LINE \ N k7 3- O'k ;74 't-ew4i 00 w v a ? No/ rr ~ PRppos ! ,oo r ~ ~ IO ~ ~v 1< G<cb~ UN ti OA; a ` 8.8 ~r s.` r: S gyp. Sj °jD 3 - ti 4i 46 A I 1\1 zz- gzz 06 3 ~ 0 Q~ o O N RTH SCALE: I" = 30' Cfi • d j DENOTES EKI ST/A!6 E1-E✓.47 C9zo,o) DEAIO?E'S PROPOSE,) EG<=YAT/ON 1A/D1CA7"'ES DIRECT10" OF SURFACE DR,41A %4E FLAOR ~5tEVAT/oA/ 9'zz.S = F/A.1ISM6© aAR/466 .1 hereby certify that this is a true and correct representation of a tract of land as'shown'and described hereon.. As prepared by me on this day of ~i-z~i~r~ ~ 19 ~S • t , Jx a~ % Minn. Red. No.~ From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:28 #582 P.011/079 Use BLUE or BLACK Ink I For Office Use ~j I ' j Permit 1H ~ ✓ I fln City of Eap a ; Permit Fee: /1 D • 15 I 3630 Pilot Knob Road I I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I I ------J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2013 Site Address: 44111 H411 b 1H41q 14411 B Uhtr L 9nG Unit Ainl IM IIVtT Name: 1,dit 00: Gasser CQMP0f1A Phone: f t Resident/ G Owner. Address/ City/ zip: lOLM Gft V nt Pig 0k mm. c4h Pwit, MN iih 3H L4 Applicant is: _ Owner I- Contractor 1, off I x Description of work: TeQr Q I e' Y0vf 1 Type of Work 1 Construction Cost: $1111 O- 00 Multi-Family Building: (Yes X / No Company: z911Sior C 34 cal MgngANtlit, LLG Contact -00t ~ l tCpd h Contractor Address: 51%4,; Inamteal StPPe #IU3 City: MAW, Plain State: MN zip: %359 Phone: 9152- gLu-,1`iG,4 1 License 3C.1031 CJT3 Lead Certificate M N AT- 2Cq VLi -0 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) fr e 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: ti Sewer & Water Contractor: _ Phone: ~i 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 th 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.Qooherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the (Minnesota State Building Code must be completed within 180 days of permit issuance. x dire N&w x Applicant's Printed Name Ap is is Signature Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 10/21i2015 12:26 #269 P.009/020 Use BLUE or BLACF(Ink � For Office Use ^ ` � � • ��!7(� (� �+ � (-���g�j � ���y o�LU�LL� R�4����� � Permit#: �� � b � �O� � Permit Fee: � 3830 Pilot Knob Road OCT Z � � Eagan MN 55722 � Date Received: � Phone:(651)675-5675 � � Fax:(651)675-5694 I Staff: � 1 I �...��������_����_�.�J 2015 R�SI��NTBl4L �!JlLDl�C� PER�i���aPPL�GATIOt� Date: Site Address: Unit#• �,me..,.�.�.�..�,...,y.�.H:,.m.�„_,.._,.,�_.,.�.,,.�.,<�.,...._...W.r...�,�:...:J.,� ....<��.,.,.n...,..,N�.�...�,z,,..,u. .,....,,,�.�.�,a � � Name: i�nP�1✓a. J h�31��.V.,..��_��E•.s:,��..,0�`t Phone: /}//�I 6 � Resident/ � Owner � Address I City/Zip: y`I��' ��'7`j L �/gyZ � �'�.t= � f 1 � Applicant is: Owner � Contractor �.._�.,�,..w1.�.�>.n..��.:x�<.,�:.��..'-.�._..,�_,�-,.:..��.,.�,.....�K..,.�.,-.�.w..,._,_._..��..ti..�,..„�,._...".._.,.z.��.,�..,T..�.�,.:_._�_..,.�...�.-�,.�._....�._.u.,..�w�....�r..�.�,,._.�..P,.=._�4r�v.�....�,-...,.�.�..,T�,_ � � Description of work: t•- ���r �-� ,e, � Typ�e of Work � ��w�� g Construction Cost:���GiCi' Multi-Family Building:(Yes �No � .. .�...,�..,._.,_:__,.a.,,._�.,..�.......,-�..Y.,._m..�.�e....w.� f m�.n_.�._�_. .—_�-..�...s.�..�n�..R._..._�.w..<�,.�..:..,,�....,...���.,�..,a..�,.z.»_�...,,.,....�_..�a,. ... . ,:,,F..._ .....�...;.,a.� ... .. _ .. _. . � _ p . �.� Company:�I�S��st. 4�nS'��uG�.�•r��s/Ylh�r►��i7L�f��G: Contact: �_.�,r►�+ dQ���-ro-ai+-� � � �� Contractor ` Address:�i2/S �n��aS�-�-�mz 5� - �+�;4� �C3 c�ty: _,�I/1��+j�. i�'1,�„� � State:�Zip: �5��`� Phone: �S�``��2=7����Email: /°��tc� cI, S�!"'. b'Z- � � � tl ; License#: �� (C�}�`� ��c? Lead Certificate#: d���=� 2�J�(�'� L �� � ..��...�.�.....�.� _. �,........,_��„�.<.� �p.�,.,�,�,,...�.,..a .�..r��.,,�.R-�....�,. � If the project is exempf from lead ce�tification, please explain why: �u r L, ;,� Ec�g3 �_—x-.�.�..��_,�..�a.�.,...._s��,.a....� ._ .."�,,�..-s.,<=<,�M��.,�,�,�-�,,.�..,.�^..�.....,a,.,�._�,....�. ...T....�.�...,.,�. ..,.-.�,Ra,�,...�..�...w..,�.�. .. .�..,�.��,.,,.�� � CONfPLETE THIS AREA OIVLY IF CONSTRUCTING A NEW BUfLDING t In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? � j Yes No If yes,date and address of master plan: � Licensed Plumber: Phone: > � � � Mechanical Contractor: Phone• � t ' Sewer&Water Contractor: Phone: � � � Fire Suppression Contractor: Phone• � �.�,a.:.,.�,,� � NOTE:^Plans and supporfing documents that you submit are considered to be�ublic information. Portions i � P of the information may be classi�ed as non-public if you provide specific reasons that would permii fhe City to ' �..m.,....,�_.M,._�,..�_.��M,n..,�,.�u,__._.�.._R,�.�,.-_...�s.�...:.���.conclude that the�r are trade secretss..,,.�.�.,,�..,�...�,..��..�r,..�,.�x.a.__.,.�,.,.,�.,�....�.,.��T..�,..,ti�. <. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.400herstateonecall.ora I hereby acknowiedge that this information is compiete and accurate;that the work will be in conformance w3th the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an appiication 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 authorixed by a building permit issued in accordance with the Minnesota State 8uilding Code must be cor�pleted within 180 days oi permit issuance. p _ _ �,...-�! X -�;:�, �//'m� X �� _ �;. Applicant's Printed Name �.. Applic nt's Signature" Page 1 of 3 F s ®o�eirEAGAN Ir�® 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(abcityofeagan.com -------------I For Office Use I 20 8 I I Building Permit #: I I I S&W Permit #: I I Permit Fee: ✓ ! �� I I I Date Received: I I I I I I Date Issued: I---------------------J RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3/Site Address: Applicant is: ❑ Owner aContractor Unit #: Name: �Gt l/\ b t/l-t-e C) V, _-:3 llN-¢_y' S G' t O_4 Homeowner Address4l 2l AlE LI t l ?"3- NE city: �; `Q OL- VI-1, IylR: 5(22 t�ve.. i� State: Phone: Email: Description of work: P2 Cs b�- Type of 22 Q Work Construction Cost) t Type of building: ❑ Single Famil ❑ Townhome, of units Twin Home Compan T7QM t/l�('c,LC_ _Contact: 20" of Building Addresszy� rt& weST City: z;-deyx Contractor �/ /� State:M&6: S3�T `J Phhone6tZ�`1S Email0_k4Ae\f _\^_e,v� 2L( qc�C 1j b Z GPCo -- License #: D Expiration Date: � �� Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction License #: Expiration Date: ` 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name A licant's Signature