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4483 Clover Lane?, •??,' CITY OF EAGAN ' 379 ilot Koob Raod Eogan, MN 55122 N2 6170 PHONE: 454_8100 BUILDING PERMIT Receipt # - - Te 6e rsed far Est. Value Date , 19 Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter p Zoning parcel # Repoir ? Fire Zone Enlarge ? Type of Const. Nome Move p # Stories W 3 q??? Demolish ? Front ft. ? i-.., Grode f-I Depth ft. °C Name _ o ?? Address Name _ Address I hereby acknowledge that I have read this application ond state thot the information is correct ond ogree to comply with all applicable State of Minnesoto Statutes and City of Engan Ordinances. AssessmenY - Woter & Sew. Police Fire Eng. Planner Council BId9. Off. _ APC Permit $urcFwrge Plan check 5AC Woter Conn. Water Meter Road Unit Total Signature of Permittee I A Building Permlt Is issued to: on the express condition thnt all work sholl be done in accordance with oll applicoble State of Minnesota Stotutes and City of Eagon Ordinances. Building Officiol ?Q°?`? -; ?# ?s s a y • - -? s?jai/?d 7_4" /? / ?- ?` ? ? ? !1 • - ? ?. PomM # Defe Isaed ftrwMfoa Plumbing _-- Mechanical ` S f'/ 77 INSPECTIONS DATE INSP. Rouph-In Fincl Footings Dote Inap. Dote Insp. Foundation Plumbing • ?'- Frame/ins. MecFaniwl ' Finol n;/n 0611 Remarks: CONTRACT PRICE: 5ite Ad ss '? y . Lot Block ? Name a? ?o Address ? c City - ' A I Name c Address O CitY TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other ? M BTU M BTU M BTU ? M BTU CFM FEE: S/C: TOTAL• 3830 PERMIT # AL PERMIT RECEIPT # EAGAN 1D, EAGAN, MN 55121 DATE j BLDG TYPE O SCR P O . W RK DE TI I N ub R N es. ew t M ul Add-on C omm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS COMM/IND FEE - 19'o OF CONTRACT FEE - 1.50 EA. MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PEAIAITTEE FOR: CITY OF EAGAN • • , ' PERMIT # PLUMBING PERMIT RECEIPT # CRY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _ Site Address ?/"/ '5 - Lot 7Z Z?- Block - m Name ? Addre: c City ? Name 3 Addre O City ts FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR: CITY OF EAGAN -.-?. o? ? BLDG. TYPE WORK DESCRIPTION Res. ? New ? Mult Add-on Comm. Repair Other NQ. FIXTURES C TOTAL Water loset - $3.00 _T ? Bath Tubs - $3.00 _LLavatory - $3.00 Shower - $3.00 _) Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ?Laundry Tray - $3.00 Floor Drains - $1.50 ~ = _L-Water Heater - $1.50 Whirlpool - $3.00 5 .f,..Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 -Private Disp. - $10.00 ` " Rough Openings - $1.50 - ' FEE STATE S/C: GRAND TOTAL• n ? ?? • •, . ?. . . ? No. Date: CITY OF EAGAN 3745 Pilot Knob Resd Eoqan, Mineesote 55122 Phone: 454-8100 PERMIT Site Address: 413 Clnv'er Ln. Lot Block Sub/Sec. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIUNS Receipt Na.: Single I Residential Multi Res., Comm./Ind. I Nome N /Alt /R ew er. epoir. . Address t f I C ll ? os o nsto otion CitY Phone: P it F - erm ee Name h S urc orge ? Address ? City Phone: Total This Permit is issued on the express condition thot all work sholl be done in accordance with all opplicoble Stote of Minnesota Stafutes and City of Eogan Ordinonces. suiidi?,9 officiai CITY OF EAGAN 3795 Pilot Knob Rood Eogon, MN 55122 N2 6169 PHONE: 454-8100 BUILDING PERMIT W- - ---' - Site Address Lot 81ock Sec/Sub. Porcel # oc Nume W Z3 Address b a z° Name a§ ' Address V F- i^r... Name Receipt # Dnte - - - , 19 Erect ? Occupancy Alter ? Zoning Repair ? Fire Zone Enlorge Q Type of Const. Move ? # Stories Demolish p Front ft. Grade ? Depth ft. Approvob Fees Assessment '-1-`- Permit Woter & Sew. Surcharge - Police Plan check _ Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit - I hereby ocknowledge thot I have read this opplicotion ond stote that gldj. Off. the information is correct ond agree to comply with all applicable ApC Totol Stote of Minnesota Stotutes and Ciry of Eagan Ordinances. Signature of Permittee A Building Permit is Issued to: on the express condition that all work shall be done in occordance with all applicoble Stote of Minnesota Statutes and City of Eoyan Ordinances. 8uilding Officlal 9??- 6?i s / -- ?. --? ? /a a 6 114 G ? .. Puwk peh IwNA pormkfM Plumbing Mechonical '^?? L ? ? ' INSPECTIONS DATE INSP. RoupF-I n Final Footings ??- Date Insp. Date Insp Foundation ? Plumbing Framellns. 3?t-K? } A _ Mechanical r ' rl, Fi?,ai -? - Ar61 Remnrks: Aze.) ?""`" &- e-- PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 PERMIT # RECEIPT tk ? DATE: Block ? Name a? Addre c City'<_= ? Name 3 Addre p Cityfs' FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) OF PERMITTEE FOfi: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other NO. FIXTURES ?OTAL _1-Water Closet - $3.00 s? ?Bath Tubs - $3.00 = ?Lavatory - $3.00 Shower - $3.00 )_Kitchen Sink - $3.00 Urinal/Bidet - $3.00 _l-Laundry Tray - $3.00 - ?- ' ? Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 ? Gas Piping OuNets - $1.50 ` Softener - $5.00 Well - $10,00 .Private Disp. - $10.00 ` Rough Openings - $1.50 FEE -' STATE S/C: GRAND TOTAL• ? G OO ? No. CITY OF EAGAN 3795 Pilot Kno6 Resd Eoqaa, AAinwesote 55122 Phone: 454-8100 PERMIT Dote: Site /lddress: 4483 B C,lover Ln, Lot Btock Sub/Sec. Eflen A.dd. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residentiol Multi Res., Comm./Ind. I Nome New /Alter. / Repol r ? - ; Address Cost of Installation O City . Phone: Permit Fee ` Name Surcharge g Address CitY Phone: Totol This Permit is issued on the express condition thot oll work sholi be done in attordante with oii cpplitoble Stote of Minnesoto Statutes and City of Eognn Ordinances. Building Officiol . • PERMIT # ' • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN CONTRACT PRICE: 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: PHONE 454-8100 " Site Addr sj 7, ? ? BLDG TYPE WORK DESCRIPTION p ? . Lot Block Sec/Sub r R ? es. New m Name M lt Add u -on Address R i c' City Phone m. r epa Oth r e Name FEES ? 3 Address RES. HVAC 4-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK AQDITIONAL 6 M BTU - 6.00 ? ?L GAS OUTLETS - 1.50 EA. Forced Air M BTU ? COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other - FEE S/C• ?GNAtTURE OF'PERMITTEE TOTAL• FOR: CITY OF EAGAN CITY OF EAGAN 3795 Pilot Knob Road Eogon, MN 55122 PHONE: 4548100 BUILDING PERMIT Receipt # Site /lddress Lot Block Sec/Sub. Porcel .# 0! Name - W 3 Address 0 °C Nume 0 0t5 Addre: Name _ Address I hereby acknowledge ihat I have read this application ond stote that the information is correct ond ogree to comply with ali opplicable State of Minnesota Statutes ond City of Eagan Ordinances. N2 6171 Erect Q Occuponcy Alter ? Zoning Repair ? Fire Zone Enlarge 0 Type of Const. Move ? # Srories Demofish ? Front ft. Grode p Depth ft. ADProvo Is Fees Assessment - Wuter & Sew. Pol ice Fire Eng. Planner Council Bldg. Off. _ APC Permit Surcharge Plan check SAC Water Conn. Water Meter Rood Unit Total Signoture of Permittee I A Building Permit is issued to: on the express conditfon thot all work sholl 6e done in cccordonce with oll applicable State of Minnesoto Statutes and City of Eagun Ordirwnces. Bullding dfficicL i -?'71.;z? , s . Pwmk # Deh had PaneittN Plumbing o2(y ,3 _ 3 ?Q -/ Q -,/a Mechanicol '' INSPECTIONS TE D INSP. Rouqh-In Finol Footings , ? Dote Insp. Date Insp. Foundation _ Plumbing -t-b .?I • . ? •?7?" ' Frome/ins. Mechonical --- r Finol Remarks: •_ . CITY OF EAGAN 3795 Pitot Knob Raad Eagen, MN 55122 ` - PHONE: 4648100 BUILDING PERMIT Receipt # N° 6172 Te 6* ssed for Est. Value Date , 19 Site A ddress Erect ? Occuponcy Lot Block Sec/Sub. Alter p Zoning Parcel # Repair p Fire Zone Enfarge ? Type of Const. W Name Move p # Stories 3 qddress Demolish ? Front ft. ° Ci Phone Grade p Depth ft. ? Aovrovals Fees Z? Name ?? Addreu F Name _ Address I hereby ocknowledge that I hove read this applicotion ond state thut the information is correct and agree to comply with all opplicable State of Minnesota Stututes ond City of Eagan Ordirwnces. Assessment Permit Water & Sew. Surcharge Police Plon check Fire SAC Eng. Water Conn. Plonner Water Meter Council Road Unit _ Bldg. Off. APC Toto I Signcture of Permittee I A Building Permit is issued to: on the express condition that oll work sholl be done in accordance with all opplicable State of Minnesoto Stntutes ond City of Eagon Ordinances. Building Officiol P?enM # oaM laa?d PannRN" Plumbing Q - v Mechanical 4 Xu/ T ^ ?"'?- c' :' - ? - / /' - U' ,?•r ?,? =y-?•? ? INSPECTtONS DATE INSP. Rouqh-In Finol Footings Dcte inso. Date 1 Foundation Frame/ins. ? -? $L !C>/ _ Plumbin9 Mechanicol I ? +0? Final I xq Remorks: f0 -/6 ? ?6 oCJ• /'( , 0.?. ? ? .od?? 10, 16`174?e6/ ? 4 7 xQ? !J . _ !Y ?.? L ? ? ' PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: -??CONTRACT PRICE P ONE: 454-8100 5ite Address `y ? BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub ?-?-?- _..` . , r . . , . Res. New ? X m Name Mult Add-on ?e Address Comm. Repair c City Phone Other Name . ,---v _'v ?? r- ?--L ?-- -- --? FEES ? 3 Address RES. HVAC 0-100 M BTU - $24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK ? ? u GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 196 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. , M BTU -` < < STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GQES Vent CFM BEYOND $1,000.00) Gas Piping OuUets # ? ocner VU FEE r?....?J ,'• _?:L-.? .? ' SIGNATURE OF PEfAMIT'fEE S/C: TOTAL: -' ? ? FOR: CITY OF EAGAN No.' ^ Date: -- CITY OF EAGAN 3795 Pilot Knob Read Eogen, Minnesote 53122 Wwne: 464-5100 PERMIT 51te Address: Lot 4485 B Clover Ln. Block Sub/Sec. Add. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential • "lE Multi Res., Comm./Ind. I Ncme New/Alter. / Repalr ; Address Cost of Installotion O CitY Phone: Permit Fee ` Nome Surcharge ? • ? Address 0 V . , City Phone: Total This Permit is issued on the express condition thct oll work sholl be done in occordance with ail applicoble Stote of Minnesota Statutes and City of Eagon Ordinonces. Building Official Site Address "/7 • Lot _._2 L) Block ? Name ? Addre c City _ Name c Addre" p3 City PERMIT # PLUMBING PERMIT RECEIPT # GTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _ ounuc• ece_21nn ol / - X (o FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ' SIGNATURE OF PERMITTEE I FOR: CITY OF EAGAN L BLDG. TYPE WORK DESCRIPTION Res. ? New Mult Add-on Comm. Repair Other NO. FIXTURES IOTAL __?__Water Closet - $3.00 x ? Bath Tubs - $3.00 ? c' C; ?Lsvatory - $3.00 = c ? Shower - $3.00 / Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ?Laundry Tray - $3.00 ? ? - Floor Drains - $1.50 =Water Heater - $1.50 L) Whirlpool - $3.00 ?=- Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 = ? `' Rough Openings - $1.50 FEE: ?--_-_ STATE S/C: GRAND TOTAL: ?? ? ??? cIrY oF EAcAN ` 3795 Pltot Knob Rood Eagen, MN SSt? N? s ?72 PHONE: . 45481.d0 BUILDING PERMIT APPLICATION Receipt # To be and ier 1 Of 1+ plex Est. Value 1+2 ,000 Date 9-16 , 19 80 - ? Site Address 4485 B CloveT Lil. Erect xgj Occuponcy R3_ Lot 20 Block 1 Sec/Sub. Eden Add. Alter ? Zonin9 PD Parcel #I ()_2?750 ?o0 01 Repalr ? Fire Zone 3 Enlarge ? Type of Const. v TAddress e Tilsen Homes IriC. Move ? # Stories 627 S. Snelling ?,,,orsh p Front ?44 ft. phorw,6.cR_55()1 Gmde ? Depth 22 ft. ? o Nome ' ApProvals - - - Fces - - z °t u? same I hereby acknowledye that I have read this application and state that the infortnotion is carrect and agree to comply with all applicable Stote of Minnesota Statutes and Ciry of Eagan Ordinances. Siflnature of Pem?ittee A Building Permit is issued to: ' GPn HcmPg' I? all work sholl be done in xoordance 14 all applicgMe Sjote of Minn Water & Sew. Pol ice Fire Eng. Planner Countil Bidg. 4ff. _ APC Permit 1.I-v. iv Surcharge 21•00 Plon check 60.25 sAC 525.00 Water ConO05• 00 Water Meter 60 . 00 Rood Unit }85 • 00 Totai 1, 276.75 on the express condition thot Statutes and City of Eagan Ordinances. Bullding Offidal - cIrY oF EAGaN ' 3745 Pilot Knob Rood Eagan, MN 53122 " PROiF1E: 454-8100 BUILDING PERMtT APPLICATION Receipt # Site Address 440?) ulover iz. Lot 19 Block 1 5ec/Sub. Parcel .# ce Nome _ W ; f1ddfeSS b ,. Zo Name S 8IIt2 ou Address v§ ? r:,,, ahn.,e I hereby acknowledfle that I have read this opplicotion ond stote that the informotion is wrrect ond agree to comply with all appliwble State of Minnesota Statutes end City of Eogan Ordinances. N° 6171 Erect X$1 Occuponcy R3 Alter ? Zoning Pj? Repair ? Fire Zone ?-. Enlarge p Type of Const. Zj Move ? # Stories Demolish ? Front 44 ft. 22 Grade ? Depth ft. Approva Is Fees Assessnt 9_1_80 Water & Sew. Police Fire En9• Planner Council Bldg. Off. APC Permit 17(1 _ 50 su?ctbrge 21 nn Plan check ti(l?5 SAC 52500 Water Conn. .30.5..rQo. Water Meter6Q_nO Rood UniY 185 Q,Q Torol 1,276.75 S[flnature of Pertnittea ( A Building Permit is issued to: Ti l SPn Homps-, Ine. on the express condition that oll work shall be done in aocordonce wit oll appliwblg.,5 of Minnesota Stotutes end City of Eegan Ordinances. Building Offitial /? ? CITY Of EAGAN 979b Pito! Knob Rood Eogen, MM 55122 PHONE: 434-9100 BUILDING PERMIT APPLICATION Site Address 44t5s t3 I;lOVe2' Lri. Lot 17 Block 1.? Sec/Sub. Eden Add _ Parcel # 10 22750 170 Ql w Nome 1115e: 3 Address 627 S 0: Ncme ?? Address 387T12 F' C'itv a1,n.,c N° 6169 Receipt # Erect gj] Occupancy R3 Alter ? Zoning PD Repclr ? Fire Zone 3 Enlarge p Type of Const. V Move ? # Stories Demolish ? Front 44 ft. Grode ? Depth 22 ft. {1pprOVOit Fees Police & Sew. Eng. - Planner _ CAUncil _ Permit 101-u. Ju Surcharge 21•00 Plon check 60 . 25= S,s,C 525.00 Water Conn305 . 00 Water Meter 60. 00 Rood Unit 185.00 I hereby acknowledga that I have read this applitotion ond state that gldg. Off. the informotion is torred ond agree to comply with ali appiicable A? T?a? 1?2•76.•75 State of Minnesoto Statutes and City of Eogan Ordinances. 5lgnoture of Permittee A Building Permit is issued to: 7'llseri HOIri@S , IriC . on the express condition that all work shall be done in accordance w#h all applisgble State of Minnesota Stvtutes ond Gty of Eaqan Ordirances. BuIlding Offidal ciTr oF EAG?N . ` 9795 Pilot Knob Road Begon, MH 35122 N4 6170 PHONEa 454-8100 - o ?l BUILDING PERMIT APPLICATION Receipt .f,t Sire Address 4463 t;lover Ln. Lot 18 Block 1 Sec/Sub. Eden Add. Parcel # 10 22750 180 Ol H °? Name Tilsen Homes Inc. 3 Address 627 S_ snPl l i ng ?; St. Paul, Mn phme 698-5501 ? Ncme 0 same ? Address ? ?- r?,,. Pti.,..e Erect XJD Occuponcy ",,) P Alter p Zoning D Repoir ? Fire Zone 3 Enlorge Q Type af Const. V Move ? # Stories Demolish ? Front 44 ft. Grnde ? Depth 22 R. Avarorals Fees AssessrMt _ Water & Sew. Police Fire Eng. Plunner Council PermiY 14U.?V Surcharge 21.00 Plan check 60.25 S,s,C 525.00 Woter Conn. 305. 00 Water Meter 60. 00 Road Unit 185-00 I hereby acknowledye that I have read this opplication and state tFwt Bldg. Off. the information is torrect und ogree to comply with oll applicable APC Total l, 276. 75 State of Minnesoto Stotutes and City of Eagan Ordinonces. Signature of Permittee A Building Permit is issued to: Ti l GPn HnmPS, Inc _ on the express condition that oll work sholl be done in xwrdance all opplico le 5 ote of Minnesoto Statutes cnd City of Eagan Ordinonces. 8uilding Officfal ?/1- 4 ? -2 ?' CITY OF EAGAN Remarks Addition Eden Addition Lot 18 _ Rik 1 Parcel #10 22750 180 01 Owner ?' ` _ street 4483 Clover : Lane srace Eagan Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. , L 1982 504.70 100.94 5 STREET RESTOR. GRADING $Q 232.99 46. 6o SAN SEW TRUNK 1974 62.93 4.20 15 1F SEWER LATERAL WATERMAIN • WATER LATERAL 1982 WATER AREA 1977 62.93 4.20 15 • STORM 5EW TRK 1982 2 6. oo 51.20 • STORM SEW LAT 1 $2 CURB & GUTTER SIDEWALK STREET LIGHT 9/16/80 WATER CONN. 305'00 20914 9 16 80 BUILDING PER. 6170 SAC PARK CITY OF EAGAN Remarks Addition Eden Addition Lot 17 Owner street 4483B CloveY' RIk 1 Parcel #10 22750 170 01 - : Lane State Eagan NW 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. D 2 504.70 100.94 5 STREET RESTOR. GRAOING a 1 82 232.99 46.60 SAN SEW TRUNK 67 4 * SEWER LATERAL 82 1896.46 379.29 n WATERMAIN * WATER LATERAL 1982 WATER AREA * Services 1982 S70RM SEW TRK ? 182 2 6. 00 1.20 • STORM SEW LAT 1982 5 CURB & GUTTER SfDEWALK STREET LIGHT Rd 9 16 80 WATER CONN. 305.00 20913 9/ 16/80 BUILDING PER. 6169 sAC 525.00 20913 9/16 SO PARK CITY OF EAGAN Remarks Addition. Eslen Addition Lot 19 Rik 1 Parcel #10 22750 190 01 Owner - Street 4485 Clover '. Lane State Eagan MM 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. $ 504.70 100.94 5 STREET RESTOR. GRADING 1 82 232.99 46.60 5 SAN SEW TRUNK ? SEWER LATERAL " 1982 1896.46 379.29 WATERMAIN N' WATER LATERAL 1982 WATER AREA ? Services 1982 STORM SEW TRK C 1982 Q 6.QQ 51.20 5 • STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT 185.00 20915 16 80 WATERCONN. 305.00 20915 9/16/80 BUILDING PER. 1 SAC PARK _ CITY OF EAGAN Remarks Addition Eden Addition o 20 ownerKCo ot : street 4485BClover _ Lane i #10 22750 200 01 Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ? 1982 504.70 100.94 rJ STREET RESTOR. GRAOING G 1982 232.99 46.60 SAN SEW TRUNK a? 62.93 5 1F SEWER LATERAL q 1896.46 379,29 9; WATERMAIN * WATER LATERAL 1982 WATER AREA * STORM SEW TRK " G 1952 256.00 51.20 1F STORM SEW LAT 1952 I CURB & GUTTER SIDEWALK STREET LIGHT Rd. UNIT 1.00 20916 9 lb 80 WATER CONN. 305.00 20916 9 16 80 BUILDING PER. 6272 SAC PARK INSPECTION MCCORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. •' A;'?h Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 . i.9 _ SITE ADDRESS: ' APPLICANT: AdfcI R CLoVt It 1 ANr GllS;Tl?" f'(jMC171:11S Cnl f tit N ( ti 1, 1 w1,l¢3 . 7: ') A PERMIT SUBTYPE: TYPE OF WORK: 10 pntfa HFf't ACF c:Tf1TNk 1 N !1 I 1 , r M S'ti1??b ? ? ..?. Permk Holder Dela Telephone #? EWER/ WATER PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCrivirv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD GITY OF EAGAN PERMIT TYPE: ' N 6 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 I SITE ADDRESS: APPLICANT: isvi tr I nioi , it , i :,,'4 1 111`+1'1 I'i M PERMIT SUBTYPE: (F,); 1 H'IH ?:'`IN TYPE OF WORK: isi !; r.ti t'E> t rr) ta kt-V1 Ar.E ', Iurr,t6 I N A I ,r?$11'Ic+o ? ? ? PermR Holder Dats Telephone M EWER/ WATER PLUMBING HVAC Inspectfon Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING flOUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL r---T----- ---FINSPECTIOI`1 RECURD-- CITY OF EAGAN PERMIT TYPE: '" I 1 +, 1 N+, I 3830 Pilot Knob Road Permit Number: .4 ( Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: ? ? ? L +? ? APPLICANT: I ?? ? .?G? i:??? ? ? f`11'9'C4')M rfthtCtPT''; r[al ( t. 1 i 1 it <d !^I - 7:? t? fYl PERMIT SUBTYPE: : TYPE OF WORK: . ? i>prk ??1 ?? ). , I i 1?;t• i i F'tA('E fit[I tNtl INSPTR. INSPECTION D• • .A I tP F L M??Ar. ? ? .?. Permit Holder Date Telephone N SEWER/ WATER PLUMBING HVAC InspecHon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST RDUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTI4N RECURD CITY OF EAGAN PERMIT TYPE: t4lt T 1!t 1 Nti 3830 Pilot Knob Road Permit Number. {' ;•? h`i r; I Eagan, Minnesota 55122-1897 Date lssued: ? (612) 681-4675 ? SITE ADDRESS: APPLICANT: i c?? ?? t; t r? r t t 1 1,21 i? ! ANI IPAVIU ' I 14 • (:? ?_ i t,ti6 PERMIT SUBTYPE: TYPE OF WORK: ?;. , . , „ „ . ?, . ? ? • ? i INSPECTION .. . .. ? I fi ?• ?? 3?,;i Permit No. Permk Holder Date Telephone # ELECTRIC PLUMBING HVAC Inapeetton Oate Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEAI'ING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BIOG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ??Gto i2l7 -, - - _- -? CITY QF EAGAN WA?ER SERVICE PERMIT 3795 Pilot Knob Roed PERMIT NO.: 3480 10/22/80 Eeyan, MN 55122 DATE: uriit ex RIII No. of Units: -p Zoning: Tilsen Homes Inc Owner: Address: 4483 CloveY' Lane Ll B1 Eden Addn Sira Addreu: PI umber: P lumb in onnection Chorfle: 305 . 00 pd Meter No.: Size: Acwunt Deposit: ?r ? nl U(c 5,?3 Parmit Fee: 10. 00 pd Rea r No.: .50 d I syrew to eomplp witb 1he Cifp oi Eagan Surcharye: 60. 0 pd meter Qrdinanees. Misc. Chorpes: Y Totol: B Dote Paid: Dote of Insp.: I^sp•' CITY OF EAGAN 3195 Pilot Knob Road Eo9an, MN 55122 Zoning: Owner: Address: Site Address: Plumber: 1 agree co comply witli fhe City of Eagan Oedinances. R., Dote of Insp.: I nso.: PERMIT NO.: DATE: No. of Units: cin oF E,n"H WATER SERVICE PERMIT 3795 Pilot Kno6 Road PERMIT NO.: 3478 Eogon, MN 53122 DATE: 10/22/80 Zoning: RXIY No. of Units: 1 unj.t'.4.z*Y Owner: Tilsen Homes Inc /Wdress: Site Address: 4483 B CloveY' Lane L17 B1 Eden Addn Plumber: _ lumb Meter No.: /C ? e 31a 83'O nnection Charpe: 305.00 pd Size: " Account Deposit: 10.00 pd Reoder ?0.: () 3???? Parmit Fee: - 5? pd 1 ayrae to w?npb wiNi the Gh? ???e SurcF?arge: . Mix. Ctnroes: 60.00 pd meter Ordieonus. / Total: gy ? D CJ ? Dote Poid: Oote of Insp.: Insp.: g'IZ -irF CiTY OF EAGnN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eogan, MN 55122 DATE: Zoning: No. of Units: Owner. Address: - - $ite Address: Plumber: Connection Charge: Acwunt Deposit; _ Permit Fee: Surchorge: Misc. Charges: - Total: Dute Paid: 1 ogree to comply wilh ths City of Eagan Ordincnees. a„ Dote of Insp.: Connection Charge Account Deposit: Permit Fee: ? Surcharge: Misc. Chorges: Total: Date Poid: CITY OF EA6AN 3795 Pilot Vnab Road Eogon, MN 55122 Zoning: RII: Owner: Til; /lddress: Site Address: 448 Piumber: ?,.-Rat?. ?i ,ee! WATER SERVICE PERMIT NO.: 3481 DI?TE: 10/221$0 No. of Units: uAit -plP..]C i - i: Meter No.: rl 5 J / .L /J -tohndction Chor pe: Jv., . vv Fu ? Size: /lcwunt Deposit : ?' ? 10 00 pd ReodeNo.: ?LL-- ? ? 7 Permit Fee: ? . I . 1 e qrae M e emp Fy with 16s C N y of Ea y oa 5urcher p e: .50 pd Ordinances. Misc. Chorpes: 60.00 pd meter q?` ? Total: ?OG1Jfiw"? gy l , Date Poid: Dote of Insp.: Insp.: ?-IY- rc- [ ITY CS EAGAN 'l795 rilot Knob Rood ?agon, MN 55122 oning: r?er. Address: $ite Address: Plumber: I agree to complp with the C7h of Ea9nn Ordinances. By Date of lnsp.: SEVI/ER SERVICE PERMIT PERMET NO.: DATE: No. of Units: Connection Charge: Account Deposit: _ Permit. Fee: Surcharge: Misc. Charges: - Total: Date Paid: a I WATER SERVICE PERMIT CITIf OF EAGAN 3479 3795 Pilot Knob Reed PERMIT NO.: 10/22/80 Eayan, MN 59122 p^TE; 1 unit 4--p lex Z?ing: RIII No. of Units: Tilsen Aomes In Q c r,ner: Addres3: d Site Address: 448 Clover Lan e B L20 B1 Eden n Ad s Plumbin Plumber: ' ? Meter No.: I c C? S e n 375l? l l nection Chorge: 305.00 pd Size: " C /kcount Deposit: d 10 00 Reader No.: 10 7 a 7 D y3 ? Permit Fee: . p _ 1 eyroe to cornPlp with tl+e Ch7r of Eeqoa Surchorge: • 50 p? Ordinaneas. Misc. C h orges: 60.00 ? d e t e r \ l Total: `? By ?L Dote Poid: Date of Insp.: I^sp•: cmr oFcAaAN SEVUER SERVICE PERMIT $795 Pilot Knob Rood PERMIT NO.: Eoyow, MN 53123 DATE: Zoning: No. of Units: Owner: Address: Site Address: ' Plumber: 1 agrea to eomply with tho Citr of Eagan Connection Chorge: Ordinonces. Account Deposit: R.. Dote of I nsp.: I nso.:_ Permit Fee: Surchorge: Misc, Chorges: - Totol: Data Paid: . ,,:.? ? ? "?y?? ? , . 7b Be Used Eor _ Site Pdclress.: L,pb: 02 a :. Block Paroel 4 . . ' .. .. . . . : .` .. ' , ' • CPi'Y ' EAGAN . Include 2 sets . of 'plas?s. - I Sit2 pldn W/B32vat16ris BUTLDSNG= PEFdUT 'APPLICATION' ' 1 ,aet iJf ener9Y dAlGU1.8t1? ? ?. Valuatitin Date C (? ?e r G.4ti? OFFICE USE ;ONf?Y . ' ? Sea./Sub:' ? d Erect 1X ' ??' ? ? ??,?7ySD ?D/J a Alter . Zani.n?3 , g,?pAlT Fire Zone'. p , ?, ?Je?? of-C? s wrier: -, Move # storie . p,ddreSSS AemofisY?i?' Fsoiit ' ? Cj.ty/Zi.p Caie: I AvN : DePth SS! / 6 Grade ?------ phone APPFtOVAI__ Cbntractbr: 5 A?n F. ___?='?= ' Assessments t4ater/Sewer Perntit Swrchar9e. p?,ress: ? Pt>lice ° P1an'Cl'?eck. ?? ' Fire •_ : ?? , SPG . : Qodes Cih'/2;p ?? Water ? ' ?y- . pnonp Planner Wat?s . - . . '... ?. " Council T- :Unst Rpad AYC3i./f1?g:: - , . ,_•. . Bl ?.' Of ?? ? - .-::=^-----':---- ?ft. _ MOP',? ' "• ; ? ? _ . ..,.? . ,?'S ?,it"?? , . . ,_ : : ' ' ;: 1' ? ??? ?:• Inclucle 2'sets,o? pTans, ?` - , .,CI2"Y OF EAGAN ' •'1 site plan w/eieuatwns % gUILpING, pEEdCT P.PPT,ICATION 1 set of ener9S!, h?? r?zin Date z?-?? , To ee-tisea xor Valuati'on Site Pddr2ss k(LF?'?i GLov?e OF'FICE ilSE ONLY )V3 Lot seC./sub. ?e'04. Erect occupancY: ` ' ' SD l9/1 Ji alriar zoidrxl- Pa.rcei ??.. (;ity/zi?S,Codez 47= -h-a 41 i NN ContYactar:' S a M ? ' P,ddresS:: City/Zifv?Etode: ? P4torye A ; ?? . Arctt./Eng ? ? • ? .` . Adcizess e ` CitY/Z?,P.>Caie: ? . Pheme Assessmnts 'Permit ' Water/Se?aer .. Surcharqe ?> ' Police Plan Checkc - '-'?? `-- Fire SAr- Water"C? Eng Planner WaCer Nl?ter D ?'.. Coumcil' Rbad Uni.t Bldq. Off.-y??? aA^ ` .. . CITY CF ? EAGAN lude`. ? sets 'of Pl", , Inc `- ? 1 site:pl.ar3 w/elgvaticxrs & ',- . ' ? HUZLDING'PEFMT APPLICATION L seC' of ejLer'9Y-. 'lb se osed Fbr ' _,? Valuation 'y?? n?? Date Z?1 ? ------- ? sir? o?ica usE__au.x r.ot sec./siib. QeN n/ Fsect " , oocupanc5' Paroel ? Alter gspair 2oming . ? Fire Zone ---;_._ ?-.-.,. tA? ?'?i l-lo • Enlaxye ? Z?+pe of Odnst. _ ? , owMr Nbve . # Sto=ies. pddress , _ a?f S S AJ,??/f,?+a Datnlxak Fmnt a Code:, h'/Zlp., Grade ?P? : pho 6? ? SSo / , ree # s APP1t?TATS --,---,- 1,27 . E'EM. = ? t Pe.nnit , Ooistractinr: a &n a s Assessmen t4at?er/Sew'er ? Stu:chaxtiJe ' Address ;? Police P1an.Check ? j Fire . ? ' code:' . : C1??? Eng. '? bt`7 . - WdtPI `GOnYI . ' ' Pkbne ?.:; . c Planrier Council Iiot?d,:Unit I fs? Axc.h.? Bldg. -Off. _ Pddress;, APC . ' : , . citylzip"coae` i . mr L Pk?e #: : . . .,1:,. , -- . _ .. -CiTY_jW EAGAN Incltri?? 2 setsofplaris, 1 site glan w/elevaticros ? f, T APPLICATION 1 set o£ ener4Y' ca3: culat'la BUA i8 PEANII ;DING - 61 . .,. 4b He Valuation l??C) Date PG Sit6` ?, 4?.tA 3 C100C v Li?c OFFICE USE UNLY /sub. Erece X_ O=Vancv Alter ZoitiruJ gepair Fire Zane -? , Enlarge _.ZYPe of Doz?st OWX1Er ? ?L.SC?I ?O.CwB< G.' ., • „ ."; Nbv?e #'3tiories nc3dressa=='?- ? ? ?tS S ?iicllirou De+?bl eh ExonC Grade Depth ;.lft APPROVNS ?? Asses?nts Pesmit , Water/SEwer `ar9e Sutch Police Plan Gtbeck.'?? ,. , Fire= SW; ' ?." ? Vi3ter. Co[u'?., ? rv` Plaru?er • ?"iatier Meter °. 1in8d Unit 7?' Council Bldg. Off. " APC ------------- TOTAL Minnesota 5tate BoaM of Electricity Griggs Midway Bldg. - Room N797 i, EB•00001.02 .';niversity Ave., St. Paul, Minn. 55104 - PFane 297-2111 ? REQUEST FOR ELECTRICAL INSPECTION p G7 CHECK BFLOW WORK COVERED BY THIS REQUEST " ??'' v' Type of Buildi?g Home Duplex Apt. Bldg. CommemialBldg. ]ndustrial Bldg. New Add. Rep. tl ? LJ ? ? ? ?? ? ? ? ? ? ? 11 0 11 Check Appliances W'ved For Range 3214.uu Water Heater ? Dryer ? Fumace )IM2>00 A'v Conditioner ? List Check Fquipment Wired Fm Temporary Wiring ? Lighting Fixtuces Bc Electric Heating ? SdoOnloader ? Bulk Milk Tank ? List Faim Other ? ? ? ? ?ehers 15Ge 19-.e7CX , ? Herets •?mrmc iwicncoTl? CCF RFI /1W V Vl L 1 l Selr?Z tr i:eSize: ' ?? ee v?.v Feedecs&Subfeeders: it Fee Circuits: # Fee to 0 m s.1 OT7 0 to 30 Am eres 0 to 30 Am eres 10L to 2 Amps. - 31 to ]00 Amperes 31 to 100 Am eres Above 200_Amps. Above ]00 Amps. Above 100 Amps. Transformerx 1 1 Remo[eControlCirc. Partialoxo[herfee Signs 1 1 Speciallns etion Mmimum Cee Remarks H311 TOTAL EQ/.a'b 32,00 I, the Electrical Inspector, hereby certify [hat the (Final) This request void IS months from This iequest void hqs been 7?f?/ o/ Ilnto na 18 months from ? Dace of this Request 1-25-1981 Fire No. ?????? - I, as M Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri cal wiring installed at: a93 Clover Lane City Eagan Street Address or Route No. 4 Y Dakota Section Townsltip Range Count Which is occupied by Tilsen IIomea ` Is a roughin inspection required on this job? No ? Yes flc Ready Now ? Will Call EDc Power Supplier Dakota Cty< Address Farmington O.B. Thomps,n Electric Co. Contractor's License NoM0602 Electrical Contractor ? (COmpany Name) Mailing Address 12201 Mtka Blvd, , r,?tk? 5534? '.(Electncal Contracto? o? Owne? Makin9 This Installatlon) Authorized 5ignature - - ' "Phone No: (Electrical Contractor ot Owne? Makin9 This Installatlan) ????? ????? Qap? This impection request will not be accepted 6y the - ? Q State Board unless proper inspection fee is enclosed. Thns requast voiG IL rtan[hs from V/ - i' - S Q 18149 7- Feawst Uate Fire No. RouPh.in Insper,tion ? 1?_ / uired? ?qeaAy Nuw WiII Nou?y Inspec- 1 SO Yes ?NO ?or When Reatly ? Licensetl ElecVical Contracmr I hereb Owner vreouesc inaDacbon of abova ? aie?r. . ___......_._ Street Adtlre , 8ox or floure No. ecuon o. Townsh.p ame or No. Range No. ..City.. Covm ? v Oc pant IPqINT) ? Phone o. ' PO ef $uppI1QI AddR55 El?tncal Con(ractor J 1?' IComOanyCNnmel ? Conlractor's Lice No. `5e . - Mailmg A?IJress IContrar or Owner MeWnu Instailatmn D~ ? / AutRqrizetl S,Bnalure ICon actor OwnerMaking Installationl Pp ne Number ?5s ;SZG Grie9s.MitlweY Bltlg. -?floom N?191 ?nn.nr 1821 University Aye., SL Peul, MN 65104 Phone 18121 297.2177 -rc'llvn rctuUEST WILL NOT BE ACCEPTED BY THE STATE BpqqD UNLESS PqOVER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00007.04 6 _/?? - 8=t?' ?- 0 See insbuctions lor tompletinq this form on back of Yellow copy. ?Q 1 O 1 4 9 ""X" 8elow Work Covered by lhis Request ^?ewT-wAd Reo- TVDe of BuilEine Aooleoncea WrteE Eqonumenl WveA IeCSnc ilo Unl M Fee Sarvice Entrance5ize d Fee Fxxders/Subfeed M Fc. Grcuits U to 200 Am s 0 to 30 qm s 0 tn 30 Am s Above 200 qm ps 3[0 00 Amps O 31 to 100 Arrips Swimming Pool Ab00 Above 100_Amps Transiormers Irngation Boofr's Pertial. Other Fee Signs Special Inspection $ ? /7 7pTA FEE ? ertwrks ? ? / ?t ?/ . 710) I I (V-.?? ,he a?„ ?? -- , nspeclar, eraby rFinal p? certdy thai the above speetion hee Deen i' 7? n nunea. rm..equaat "ia 18 ! 5';L °,i This request void 4 17 18 months from Date of this Request 1-26-1981 Fire No. N545" I, as 5Il,icensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. .446.3 B Clover Lane CityEaaan Section Township Range County Pakota. Which is occupied 6y Tilaen Homes (Name ot Occupant) Is a roughin inspection required on this job? No ? Yeso Ready Now ? Will Ca1M Power Supplier Dakota Cty. Address Frixm:ington Electrical Contractor 0 B Thomnson Electrstir Coe Contractor's License NoA4_9602 (COmpany Name) MailingAddress 12201 n7tka Bivd?, IlRtka 553t1',?? (Electrical Contractor or Owner Makinq This Installation) Authorized Signature Phone No. (Eiec[vical Contractor or Owner Making This Insiallatlon) ? f\?;??? ?Q /;,?'n(? ? ?/ On?J This inspection request will not be accepted by the J(? ?, ??f ]? State Board unless Propar inspection fee is enclosed. Minnesota State Board of Electricity ? Griggs Midway Bldg. - Raom N197 ?`7 EB-00001-02 1821 University Ave.. St. Paul, Minn. 55104 - Phone 297•2111 ? I REQUEST FOR ELECTRICAL INSPECTION ? CHECK 9ELOW WORK COVERED BY THIS REQUEST 4 2 5 4 5 8 'fype ot Building New Add. Rep. Check Appliances Wired Foi Check Fquipment W'ved For Home ' )Q ? ? Range ? Temporary Wiang " ? Duplez ? ? ? Water Heate ? Lighting Fixtures Ec Apt. Bldg. Commercial Bldg. ? ? ? ? ? 0 Drye ? F? a? ? o 00 ? Electric Heating Silo Unloader ? ? Industrial Bldg. ? ? ? Ax'di er ? Bulk Milk Tank ? F ) Lis List ? } o is? Other ? ? ? Heie ) lsr^ 1S.e o Hcre COMPUTE INSPECTION FEE BELOW Seevice Entrance Size: # Fee Feeders&Sub(eedeia: # Fce C'vcuits: # Fce 0[0 100 Am s.1C 0jJ 7.90 0 to 30 Am res 0[0 30 Am etes 1 e 0? !Ol to 200 Amps. 31 to 100 Ampeies 31 to 100 Am exes Above 200_Amps. Above 100 Amps. Above ]00 Amps. Transformers Remote Comrol Ciro. Pariial oi other fee e Signs Special lns ection Minimum fee $5.00- Remarks Hall TOTAL EkJJ.Jb 32a00 I, the Electrical Inspector, hereby certify that bas been Q G Aate/il I ?/ 0? (Final) This iequest void 18 months (rom TIiS request voiA 18 rtpn[hs twm C 2 4 3 7 9 fleqoest Date Fre No. RouPh-in InspecUOn ? Req etl7 E)ReaAy Now Will Nobty InsPec- Ves ?NO ?o? When Reatly LJ licensetl Elec[rical ConVactor ? I Memby repuast inspectwn oi ebove ? Owner elactrical work instelled at: Sveet Address, Boe or Rout No. ? 3 Cny ?. ecuon o. Townsmp ame or No. Pan9e No. Covr Occuu? flINTI hone No. o' r ap her .? Atldress Elec ica Convaclor (COmpany,Name) Con« ar.tor's Li? s= No MailinB dJress?mractor or I Making Inst 'latmnl ? AuthonzeAS at re IComrac wner Mak? Installaumn) Pho NymbW' MINNESOTq S70E BOARD OF ELECTqICITV Gnypa-Mldw#)v`Bld9. - Aoom N-191 1821 UniversitV Ava., St. Paul, MN 55104 Phona 18121 297-2111 THIS INSVECTION NEQUEST WILL NpT BE ACCEPTEO 6Y THE STATE BOAFD UNLESS PPOPEp INSPECTION fEE IS ENCLOSEO. j? REQUEST FOR ELECTRICAL INSPECTION EB-00001-01 ? Sea inshaetions lor comDleting this fwm m baek o1 yellow copy. ('' ?V?7 9 "X'" 8elow Work Covered by lhrs Request C/"?{ Nki AACP.eO. TVOa ot Bwltling ApOlmneee Wirod Equiyment Wired Home Range Temporary Service Duplex Water Heater Lighuny Fixcures Apt. BwlAmg Dryer Electnc Heatin Commercial Bldy. Fumace Sito Unloeder Industrial BIAg Air Condiboner Bulk Milk Tank Farm oinr, oe,J v oti,n, (sncc,rv) t e. Suculy tner 01h11r lOO1IlUlA M30Pf!!O/1 hPP HP/OW N Fee ServiroEnhance5ixa tt Fee Feeders/Subfeeders b Fae Cvcurts 0 to 200 qm s 0 to 30 Am s 0?? 30 M' Above 200 Amps 31 to 100 Amps Q 31 to 100 Am s Swimming Pool Above 100-Amps Above 700-Amps Transtormer5 Irngauon 8ooms Pdrtial,'Other Fee Signs Speaai InspecLOn G TOTAL FEE-' pemarks pJ7 UGJ / NouBh-in Dnte 1. the Electrwal • Z,?U ?-(p I^soector, nereby cervfv that the above Final A?e inapecUOn has Eeen Joadia. Tltls reauesl vo1E 18 monthe Irom This requast vo'tl -'') k / ^ 18 months fmm / (4 24377 6C5 ? - Fe}? uest Date' ' ^ _ ?/'? /_ LG Fire No. Rouph-un Insper,UOn @VUireA, , , ?Ready NowkW"ll Nobfv Insuer l 4C `J?? lL? ?VOS ?No tor When ReatlY V ucensea uectncai contractor 1 hereby request ins0ection ol above ? Owner elecbicel work inslslled atSveet Adtlress. Box or oute No. City " ? ? eCi n o. nshi0 Name o No. ange No. Courliv O uuanllPRINTI ? Phone No. P r Suppher Address EI [ncal Contrarcto41 iCOmpany Na IJI n ( ^ ?? ? Con ar, or s Licen No, ? 1 A l ?.1? l Q `1 1 I? nyQdJress IComracm? Owner k?ng InstailaLOnl ? ? O ? s?/? C?.J " S5? 3 Au onzed Signature 1 na ctodOwner Mabng InstallaLOn? (?'bss ss Phon e N ber Co ? c& DO ^^iNhE50TA STATE 90AXO OF ELECTpICITV Gnpps-Mitlwav BItl9. - floom N491 1821 Umversi<y Ave., SL Paul, MN 66104 Phone 161111 297-2111 THIS INSPECTION NEQUEST WILL NOT BE qCCEPTED BY THE STqTE BOAND UNLESS PHOPEH INSPECTION FEE IS ENCLOSED. --1 ?V REQUEST FOR ELECTRICAL INSPECTION Ee-oocbi-oa L' If Sae instructions tor comoletinp this form on Deck oi Vellow copy. C24377 -R" Below Wark Covered by lhis Request ?n-7 AG? Rep. T e at 9wldrn9 Apolinnews Wrtetl Eqoiumem Wired ome Range Temporary Service Duplex Water Heater Lighuny Fixtures Apt Bwldmg Dryer Electnc HeaUn Commercial 81dg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk MiIk Tank Farm otnYr oe.:i v 01nor l5rnarity? t er Sucu y ther pTh.r 60/PUUIE //lSUP.CIIOOYPP /fF/OW N Fee Serv1ceEmrance5o?a p Fee Faxders/Subieaders N Fee Cvcwts 0 to 200 qm s 0[0 30 Am s 0 m 30 l?m s Above 200 qmpsi 37 to 100 qmps 37 to 100 Amps Swimming Pool qbove 100_Amps Above 100_/amps Trans+ormers Irngation Booms Pertial.'Other Fee Signs Special Inspection gr ? perttarks ? ?-' TOT FEE 1 i1^7 nw? Rough-m ? Oate i - I, the Ele el Final ^ pi certAy tha> >he above .r5 ? inspection has been mede. Thb raqueat vo1E 18 montM hom Oo This request void 2C ] 8 months from Date of this Request_ _ 1-25-1981 Fire No. 725460 I, as OrLicensed Electncal Contractor OOwner, do hereby request inspection of the above electri- cal wiring instatled at: Street Address or Route No. 4485 B Clover Lane CitY Eagan Section Township Range County Dakota Which is occopied by Ti 7 aPn Homea (Name of Occupant) Is a roughin inspection required on this job? No ? Yes Qc Ready Now ? Will Call Oc PowerSupplier n k+a C+y Address Farm;netnn ElectricalContractor MailingAddress _ O,Be ThomASOn Electrie Co, Contractor'sLicenseNoAAE0? (COmpany Name) 12201 h:tka Blvd,, Mtka 55343 '(Electrlcal Contra<toI or owneLMakinq 7hls Installation) Authorized Signature Phone-Noi •'' (Electn<al Contractor or Owner Making This Installatlon) ?j' Q 5? (( t'J lJ ? 1J ?'?o} /,?,} ?? This inspection request will nat 6e accepted by the E U?jr?, Q State Baard unless proper inspection fae is enclosed. _.nesota State Board of Electricity ? Eg_00001-02 65104 19Phone 297-2711 M ' ? J ..niversity StW Paul, Ave. REQUEST FOR ELECTRlCAL INSPECTION 7 25460 HECK BELOW WOAK COVERED BY THIS REQUEST Type of BuRding New Add. Rep. pliances Wited Fo? Home ? ? ? ^ Wiring 0 ? Duplex ?? ? ? ixwres Apt. gldg ? ?? ? 2 ?? El ating 9 O CommeicialBtdg. ? ? ? ? ° der 0 Industrial Bldg. ? ?? er ? Tank Fa.m ? ? ? ? ? ? j?e 1S e o - _ ? - -- quipment Wved Fm ..iencr?inwi CFG RF7(1W l.vlnrt? ? c u?o? n?, Se?viceE ntnnceSize: i,va # . ..... Fee .... •. FeedersBeSubfeede[s: # C'vcuits: # Fce 0 tc ]00 Amps? 0 II 0 to 30 0 to 30 Am eres o 101 to 200 Amps. 1 1 to 100 Am exes Above 200_Amps. e bove lO?Am s. I 7ransformers mo on artial or other fee a Signs ecin Ins ection inimum fee • Remarks H&11 F E??•? TOTAL 32>?-? I, the Electrical Inspector, hereby certlfy that the abbve inspec{ionhas (Final) This request void 18 months from bq 0 a-Co 2005 RESIDENT7AL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Ylease complete for. singlc family dwellings & [ownhomcs/condos when peimi[s aze required for each unit 14?, S-0 Date _? / oZU l b ? Site Address c&W ( 2? Unit # Property Owner Telephonc # ( (qs( ) ?/S? (12 Contractor _CLV????? Street Address City 90,06 State t -? Zip _sS t,L Telephone# (,?S))V3(-5?-/31 Bond Expires: The Applicant is _ Owner / Con[ractor _ Other Add-on or alteration ta existing dwelling unit $ 30.00 furnace _Additional /?eplacement air exchanger ? air conditioner _New _ Replacement other State Surcharge $ 50 Total $ 30,5 I hereby apply for a Residential Mechanical Perntit and aclmowledge that the informaUOn is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I undcrstand 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 ihe case of work which requires a review and approval of plans • Applicant' rinted Name Appli*t's Signature 7 2005 I PERMIT CITY OF EAGAN 3830 Pilat Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT TYPE: Bu c L u I N G Permit Number. 0 3 113 9 8 Date Issued: 01/09( 9 9 SITE ADDRESS: 4485B C104`ER LANE LOT: 20 6LOCK: 1 i_DEN P. I . N. : 10-22750-206-01 DESCRIPTION: uEpi_ACE szoiris Bw'iJ dino)Permit Typra 13l'"Uf2M DAI'4AGL"• Buildino 1,16r4; Tyoe REPHIR /-Lonsus Code ? 434 AI.I- REtiIDEPITIAL \ , REMARKS: urarr 8. FEE SUMMARY: . ?. CONTRACTOR: - Applir..ant - sr. I_IC. OWNER: cusroM cOnicePTS cnNSr 1898729e 2e1a24t7 w;rANrrR Tono 16540 ICENt2ICK LOOPl51"E B 44856 CLOVER LANE ?'LAvEVILLt°. MN 55044 E,AGAN hIN 55122 (612) 898-7290 I hereby ackriow;edqo i:hat I have read i.riis app-licut'aori urio state Liiat Liia iiiiormai:iQii i,- corract antl ,sara< t:o comGLy wiili all apolir.a6le Siote oi h1n. StatuLe7 ,nd Ci4V ot [aoan Urdina7ces. I APPLICANTlPEFMITEE SIGNATURE '`\9J?•t.,`fl A ? / ?6/ IS ED BY: SIGNATUFqE ? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 _9? (651) 681-4675 New Construcfwn Reouirements ? 3 registered site surveys ? 2 copies of plans (indude beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 711193 required: _Yes _ No DATE: I- JI Y t? DESCRIPTION OF WORK: S?Q f(rt? YY1Gl (? RemodeURepair Requirements ? 2 copies of plan ' - ? 1 sde surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; y 375 . D v idi STREET ADDRESS: ?q S? A-rp I o A ?a ~ LOT: 01- v BLOCK: I_ SUBD./P.I.D. #: Y.une:_ Qla 0 " rY,,?p ^-y Phone #: PROPERTY ---- ?'"?` O"N1:12 Strect Address:------- ----------------- -------- ---- City State: "Lip: CrJyI=p-???'rl? ----- Phone#:DIG CONTI2ACCOR /p 11 (? ? g ?j??/[?_ ?" ?cense # ?j?1 ?`'? ??P• ___? StreetAddress: / ?O 7 J O Cnv ARCHITECT/ ENGIi IEER ComF Namc Stnxt C;ity State: - ----- ZlP' -o7e/ ---- Phonc #: _____ Regisuntiou #: State: ___ ZIP: Sewer & water licensed plumber (new construction only): . Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable . ? State of Minnesota Statutes and City of Eagan Ordinances Signature of Applicant: ?r- OFFICE USE ONLY c Certificates of Survey Received , Yes _ No Tree Pseservation Plan Received ? Yes _ No _ Not Required --??-CITY OF EAGAN 3830 Piiot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMITTYPE: euzLnxNG Permit Number: 0 2 7 9 9 6 Date Issued: 0 6/ 19 / 9 6 4485 CLQVER LANE LOT: 19 BLOCK: 1 EDEN P.I.N.: 10-22750-190-01 DESCRIPTION: DECK JOIST/6UARDRAIL 'x^'...... 6ildin'-.,Permit Type SF (MISC. ) !HuiJ,ding W'ur,,k Type REPAIR ? Census Ct5'de ?434 ALT. RESIDENTIAL , • ' ? ? . i I ?. 31 ,w- ? ti..i ,.... ..r .. _? ._ .. .? ....,._, ?. REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $34.75 $.50 $35.25 $1,000 CONTRACTOR: OWNER: - npplicant - pURIGAN DAVID 4485 CLOVER LN EAGAN MN (612)686-9566 I I hereby acknowledge that Ihave read thisapplication and state that the information is c.orre,ct a;nd agree tp comply:..witfi a11 ap,plicable Stete of .f4n. Statutes and City ofi Eagan Ordinances. PERMIT !?? 1?(-9--P?a?ff I???,-o?ql;;?y?? I ?? ICAN R 71T ' NATURE ISSVtD °'?f"'^""'^E I CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 6814675 New Construelion Reauirements RemodeVReoair Reauirements ? 3 registered aRe surveys ? 2 copies o( plan ? 2 copies of plans (include beem 8 window sizes; poured fnd. design; ele.) ? 2 slle surveys (exterior additions & decks) ? 7 energy calculations ? 1 energy calculations Tor heated additions ? 3 copies of tree preservation plan N lot platled after 7/7/93 required: _ Vea No DATE: CONSTRUCTION COST? DESCRIPTION OF WORK: ? c(4 ?F-2,j2LI r ? o(g7-! j`? j(-C'Lj STREET ADDRESS: G` ? ? ? r ? ??/ LOT ? BLOCK SUBD./P.I.D. #: _? _211 - PROPERTY Name: C/ C? ??ld Phone #: OWNER Street Address 4-c( gs C? o `-"PC L':?tn e City: ??'?' ???` State: V? Zip: CONTRACTOR Company: Phone #: Street Address: License #: City: State: Zip: ARCHITECTI Company: Phone #: ENGINEER Name: Registration #: Street Address• City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalry applies when address change and lot I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received _ Yes _ No PERMIT CITY C?F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT TYPE: Permit Number: Date Issued: QutLOxrae; 034397 0 1/0S/99 SITE ADDRESS: 4 4 f,5 r,tovEk LAivc LOT: 19 E3LOCii: 1 Fot- ri P .r.iv,: 3.H-2 2 7 5 0 -19 0 -0 i DESCRIPTION: , REPI.PaCG SIOING B7aild1P ermit Type STORM DAMHGE ES`uildina WB,rk "i ype? ftEPA1:R ,Censu!, Cad., 434 FlLT. RESIOENf7:AL i i \ ; ?_•?`.C i. i _ ' ?, . . ?? ?.•?-' REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - ;T. Lzc. OWNER: CUSI'OM CUR:CEP75 CONST 18987290 20142417 UURIGFlN JUOITH 165A0 KENRTCK Lf]Uf'lSTF_ B 114E51 CLdVER LANE L/-1KEVILLL N1N h5o44 GACFlN MN 55122 (612) 898-7298 I hei,eby acnnowl.edqe Chat L have read tliis appl.ication ,ane! :>i:ate that tha inYorRation is corrn.r,t anci aqreE tn comp).V wiS.h 711 applitr,t,le 5tete nfi Mii. Statutes and City ot E,;qUri Ordinances. L ? bpe APPLICANT/PERMITEE SIGNATURE ISSI ED BY: SIGNATURE , 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) " CITY OF EAGAN ? cy ??q ? 3830 PILOT KNOB RD - 55122 ? (651) 681-4675 New Construction Reauirements ? 3 registered sile surveys ? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 711193 required: _ Yes No DATE: I -1 -q9 Remodel/Reoair Reauirements ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? 'I energy calculations for heated additions CONSTRUCTION COST; ? ?--7S ' QQ DESCRIPTION OF WORK: 'I p STREET ADDRESS: , I ?I `[PS ,I (7110 k rQ oo LOT: )I BLOCK: I SUBD./P.I.D. #: ?wY? C-? Ck h N:une:_?S.jyl_IriOV'? VS?fL'rk,------- Phonc PROPERTY rmt c nrNLit su«cAddres5: - ---- --------- ----------- --- City State: ----- ----- %ip: L ?_°_?l n: +?" ?!_1.S coNTizAcrOa 110L1 ?2 l? StreetAddress:__ U P?lr, C_? License# Le«?'?lL?_Lxp. cin L-v siate: _ M?v----- Z`N; -?G? L - ------- ARCHITECT/ ENGNEER Compan}' ------- ------------------------ -------- Plionc #: ---- ----------------------- Registrauon tk: Strcel Address:------- ----------- City -------- --------------- - Statc: ------------- 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: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: P,I.N.: 10-22750-170-01 44838 1.OT: eOtni CI-OVER LRNE 17 BLf1Ch;: .1 PERMITTYPE: BuiLDjntG Permrt Number: 034396 Date Issued: 01 / 0 8! 9 9 DESCRIPTION: ? REPI.ACE SIDIIVO Bvildir$_Permit iype S70Rf9 OAMHGE t}uildinq Ul'a?rl< Type FtE.PFlIR ?-Census Code 434 AL1. ;<ESIDEiITIAL •? i i ? ?" •, ? , -- REMARKS: uNri e FEE SUMMARY: CONTRACTOR: - Applicant - =,7. uc. OWNER: CUSTOM CONCEI'TS CONS1' 18987290 20142417 HOLTEN lSPd01 16540 KCNFtICK LGflf /STE 13 44836 f,(.OVER 1.ANE LFlKEVILLE MN 55044 EflGf,•N MM 55122 (612) 393-7290 ? I hereGy ar.knowlvdqe thaT. I have read Y.his epp.licat:ipn and sta?e that ttie i.ii'ormction is correcC and aGree to r.omplv with a11 aop'_?r,ahl?: StuY_e ot Mn SLatuLes and City ofi Eaqan Ord.inances. ? APPLICANT/PERMITEE SIGNATURE QSUED BY: SIGNATURE 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 31 f,7? q r CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-4675 New Construc!ion Reau"irements Remodel/Reoair Reauirements ? 3 registered sde surveys ? 2 copies of plans (inGuda beam & window sizes; poured fnd. design; etc.) ? t energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/93 reGwred: _ Yes _ No DATE: k '? A ? ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; S. 00 DESCRIPTION OF WORK: STREET ADDRESS: ? H B E) lIC5110 A I a_ML LOT: I ? BLOCK: _I SUBD./P.I.D. #: ? ??- \:une:_..AaLC_n ---- ----?? F???.------- Yhoue k: PROPERTY L"` F"'t O'WNLR Strcct :lddress:---------- ----------------------- (;iLy. Statc: "Lip: Cump:uIr':_CL!-?o ?w C..d7'q gpol_1__--------- Pliolie#: f04210 -------------- CON1'lU\CfOR / Strect Adclress:l ??? ?"5!/y4--- Licensc # u?Q I LI ? '( Lxp. ----- ? s?,,ce: _-,?1? ---- Z'?', J --------0-ctlel -- -------- ARCHITECT/ ENGINEER ComPuiy: Strcct City ------- Yftouc N: ----- ------ 12er,nstratiou ---- -- - ---------- State: -------- Zip: Sewer 8 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 Certifcates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required PERMIT CITY OF EAGAN 3830 Pilot Knoh Road _ Eagan, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: euiLoltvo Permit Number: 8 3 4 3 9 5 Date Issued: 0 i/08/ 9 9 SITE ADDRESS: 4483 CI.OVER LANE LOT: 18 81-OCi:: 1 E DL=N P,I.N.: 10-227S0-180-01 DESCRIPTION: I REPLflCE SIOL'NG Bu'i].dand'_Pei-m.iY 'iype STURM I)AmACrE 'r7luildinq W3rk '1"vpe RL=fD AIR -'Cen nus f.ode 434 HLT. RE5ZDENTIfdI ? . ?. , ? `. : ..- , .. ,?.?.' ? . . _. REMARKS: FEE SUMMARY CONTRACTOR: - Aoplicarir. - ?Tr.. OWNER: CUSTOM CQNCEPTS CONST 1g98729Pi 2p1A2417 SIM> MRRSHHLI 165447 KENR'CCM. LOGFISTE u 4lIC33 CLUVCR LANE LAKEVILLE MN 55044 EFlGFlN MN 55122 (612) 898-7290 L hereby acknowladge that I have raGd this Gpoli.cot.zen und Staiz tha? the informatzon is correqY: and mGi'ee to compJ.y witli a11 applicabl2 State or Mn. Stutut2s und City ofi Caqan Ordinr;ncPS. ? APPLICANT/PERMITEE SIGNATURE I ?SUED BY: SI ? ?R Tk) 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?+ ? 3830 PILOT KNOB RD - 55122 I (651) 681-4675 l , g - 91 New Construction Reawrements ? 3 registered site surveys ? 2 wpies of plans (include beam & window sizes; poured fnd. design; e[c.) ? t energy calculations ? 3 copies of tree preservation plan if lot platted aker 7l1/93 required: _Yes _ No DATE: DESCRIPTION OF WORK: Remodel/Repair Reouiremen45 ? 2 copies of plan ? 1 site surveys (exterior additions & decks) ? t energy calculations for heated additions CONSTRUCTIONCOST; ? J-I S•?v STREETADDRESS: 4q L3?l?a)m_ I cAN\k v LOT: I '?' BLOCK: SUBD./P.I.D. #: ?V?-- ? Qr ????? ?.?1.j?l?hone N: \ :une:_ 11'n? 1 ' I-? ?-1L?-- PROPERTY rirsc O\VV I:R Succt Cily $Gl[e: Zip: Plioiic ft: ? - - cov'raAci-oiz ('n Il.l-(? ? ?stzs2? Stree[Address:_/ ___ ?YI.?k- < _ License # ADLL?2K.«-xP• -- Cit> ----- LC%--------- -- 5ta«: __Zy 1?% Z,p: `1-`-'----- ARCHITECT/ ENGINEER Computy: \:une: Strcct Adi City --- Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. Penalty applies when address I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No Phonc N: ____--- - ------ RcbrisirUion H: _ --------------- State: -- ------- iP. ' Not Required City of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 675-5694 ------------------ ? Fa grrce uce ? I I ? PermitM: ? ? ? ? ? PertnitFee: 4 ? Date Received: ? I I i srae: i I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION oete: ?-? ? ? ? Site Address: 4-4 Tenant: M RESIDENT 1 OWNER Name: & U6me0(.Une( Phone: GilZ' 2? Z' LI <lO Address / Gty / Zip: Applicant is: _ Owner L! Conhactor TYPE OF WORK Descriptlon of work: ?t QlNV" Construction Cost?e/!?- .? Mu1G-Family Bullding: (YesK / No CONTRACTOR Name: A Q15 t/mr, T ?a?'? ? License #: C QJ?f ?9? .37 Address: f ?? ( .n ?' s/- 0, ./ City: ?alll?l ?/W ?l? State: h'I ? 7rp: ? ??zY Phone: Inri `i`/ ?- 3Y -&3 Contact Person: Q0i&e4- eA COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Energy Code . Residential Ven6lation Category 1 Wwksheet • New Energy Code Worksheet Cetegol'y Submitted Submitted (4 submissloll typ8) • Efrergy Envelope Caiculations Submitted In the last 12 months, has the Clty of Eegan issued a permit for a similar plan based on a master plan7 _Yes _NO If yes, date and address of master pian: Llcensed Plumber: Phone: Mechanical Contrecror: Phorre: Sewer 8 Water Contractor: Phone: NOTE: Plans and sapporting documents that you submlt are considered to be pvb!!c iMormattorf. Portions af ' the 1Mormatlon may be clasalfled es non-publ(c H you provlde specHlc reasans that wouid permit the City to concfude that they are trade secrets. I hereby acknowledge that this infwmatlon is complete arM accurate; that the work will be in confomance with ihe ordinances and codes of the City af Eagan; ihat 1 understand this is rrot a permrt, but only an application for a permit, and work is not to start vrithaut a perinil; tliat Me woflc will be in accordance with the approved plan in the case of work which requires a review and approval ot pi x fobac+ ptl,?bQ X AppllcanYs Printed Name ApplicanYs Signature Page t of 3 Use BLUE or BLACK Ink r. _ rw; r- LL dt I For Office Use Permit City I O Eaja11 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Receive 2 j Phone: (651) 675-5675 I Staff: Tl`~I Fax: (651) 675-5694 1 I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone: leS °~5 y -V3 09 RESIDENT I ~~II OWNER Address / City / Zip: `G 3AC I oyyy- LN man lylN • S"sl z 2 Applicant is: )L_ Owner + Contractor TYPE OF WORK Description of work: S+l (YA Aa,_ k Construction Cos Multi-Family Building: (Yes No ) I Company: G~ 11J1.! S®~ Contact: 'tStC~ 6i Address: 1169s- VenelT ` /V City: k/e- CONTRACTOR / State: v Zip: S7/ )'p Q Phone: 63-1- 717- 3 `12 3 License #:M6.3 0,3 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 13v~~.-T Z42 ~G 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 may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. r a x X ItL~ Applicant's Printed ame Ap ica is Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ~J 06v u- _ Foundation Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage Porch (4-Season) Exterior Alteration (Single Family) Multi 4- 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* JC 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 PGA handout to applicant DESCRIPTION Valuation Occupancy ,Ilk L MCES System Plan Review Code Edition AZ?7 SAC Units (25%100% Zoning City Water Census Code 3 K Stories - Booster Pump # of Units ! Square Feet PRV # of Buildings Length Tr Fire Sprinklers Type of Constructions Width 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 RESIDENTIAL FEES / a~ C,~J C~ /•y Base Fee --3 - Surcharge Plan Review 17 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant J Copies '~4 o2(rj ¢ TOTAL 2 ef3 qqK -s,,- c,6v-o p 40 , "I , e~. Oo rMOO 41vt 174 1,L4 From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:27 #582 P.008/079 Use BLUE or BLACK Ink I For Office Use I City ~ Permit j of Ea Ed~ I Permit Fee: 9 1 o I 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: 0( Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I 1 2013 RESIDENTIAL iBUILDING PERMIT APPLICATION Date: 2013 Site Address:4gpi3l4:56,Hq(7,L44irOI3 00ya Wou Unit Name: E A 1 ~ CIO, uaSSl~! Lwul ~ 'hone: s i Resident/ U(P Owner Address / City / Zip: V H J~ N kt POI K.VY ItiYl 11>04I YI f., MN i39_-3L1 L_1 Applicant is: _ Owner Contractor l Type Description of work: 201 and Y,-YQD of Work Construction Cost: 202W D Multi-Family Building. (Yes /No___) Company ~~YIS~Y1dC110Y1 Molt~a~P , LL Contact: 60t rr,,~ -},~ee.~ Contractor GI(A ( d y; ~ndM&Q(SIIGGI *05 City: pp iain Address:=1 ~rA 951-991, ~-1r~e ~ P State: MN _ Zip: Cr J Fy 1 Phone: ' 1 7-1 License RCIP3IGJ19 Lead Certificate NM - 2DgWq If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: I Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: _s NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of t the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aonherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must b completed within 180 days of permit issuance. .t 1 llG 4: X_ dut Applicant's Printed Name Ap -ant's Signature 7 Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA130779 Date Issued:05/14/2015 Permit Category:ePermit Site Address: 4483 Clover Lane Lot:18 Block: 01 Addition: Eden PID:10-22750-01-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Marshall Sims 4483 Clover Lane Eagan MN 55122 (651) 470-1796 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature From:ALLSTAR CONSTRUCTION 19529427464 10121 /2015 12:29 #269 P.013/020 Use BLUE or BLACK Ink � For Office Use � �} j Permit�: ✓�� 1 �16y o�� RECEIVED � � Permit Fee: � 3830 Pilot Knob Road � I Eagan MN 55122 QCT 2 1 Z015 � Date Received: � Phone:(651)675-5675 � � Fax:(651)575-5694 1 Staff: � � I `_��__��J 2015 R�S��TiAL �tJ�L�� ERi�tT APP�tCATIOi� Date: Site Address: Unit#: �.w.a.,�..�,,.,w..:��..._M,....•.�,.."�.._�,.��.,..�,,.__�_�...._.�,.m�.,.�,_�� ..�-.o.�.rT.��:,-:�....,.�..�,,.._.�.�,.�.�,�...V._�. _ - � � Name: itn�A✓A, 1 ��31t� '" �.�'� �d/� �.�n_.. ..�//g�.��.��.��,,. ,� Resldentl f Phone: � OW11@P_ � Address/City/Zip: `/��3' L�y�-�' � � �p-� � � � �� ' Applicant is: Owner � Contractor �..�.,...�.��,..,..�.:�,,,.. �....,.�.�.��._��.,M.�,:..,.�...._>...�:.�_.r...�...m...._�.�..�.,...�.,�.�....��..-�.,.�.x�,.,..�._�,..M,..... W.�..�..M.w.,�..,-�_.,.�..,.�.,._4..,.�.t,-_..��,-_._..��..,..�.�.,,�,.� Descri tion of work: ��- ,;� ?�,/� _ .... ..... . ,_ � p �r�r Wi:/� L';,�.f�B` �:�.n(` � Type of Work 'f � � � ` Construction Cost: ��';L1CC%� - �N �..,�_,�....,�._...,c,,,��......�Y_.�..r�,-.,..,.�..�....----._... ._. ... ,.�...._�,....,�.4,�....,.m.._.m..,.,�....�......_-.:,.,,_....,_.�...,�,�,,,�.��y B - �g:{Y.�...�.�...�-.._.4._....�-...-...�,...�,..�,,.,. � u ti am uiidi es o ) p Y J �� Company:��St�� C.t^��S'��2u��.Gr��t�ti an tG�9l��t`�' Contact: c.....��n�+ ��.r,.,e�,� � � � i _ ` � Address:�i�/S /n�u5�,��rt�L-5�' ` �u�kf. lL� Cit � ' v: _!�1 n �� I'E�,.� � � Contractor �' � � State:�2ip: a�s.S�`3 Phone: ��Z-`}�2=75�5��Email: �st•�d�c�.l l�'�z f°'. �s'Z- � , License#: .�C (�9i� �C�c? Lead Certificate#: l��• �Jy(�� Z.- � x _ .�.P�,..�,.�.�-x..,.s,.�..�.�...��,�...��,.�,=,m,.,�,�.m-�. .�.R.�.�.,.�.-V�...,,.,. ....�...�..a.�..._....� .....� � If the project is exempt from lead certification, please explain why: ��L„T �„� `c��3 � .�,�,< _..�.,.�,,.�..�.�.w.�..� .......-�._,._..-...�,.,,.�.�.,.�......s,,�.�.,�..��,....��.�-�.�,�,,..,,s__.��,.�..a................��.,�,.:....,1.,�.,,,....n.�_��.�.�.,�,.,,..,�...._.,�...�...:.....,....N...,.,�.� � CON9PLETE THIS AREA ONLY IF CONSTRUCTING A NEVI! BUILDING � � In the last 12 months,has the City of Eagan issued a permit for a simila�plan based on a master plan? � � Yes No If yes,date and address of master plan: � � Lice�sed Plumber: Phone: � � Mechanical Con4ractor: Phone: � � Sewer&Water Contractor. Phone: � s Fire Suppression Contractor. Phone: } , � � NOTE:Plans and supporting documents that you submif are considered to be public information. Portions of� � the information may be c/assified as non-public if you provide speci�c reasons that would permii the City fo [ conc/ude that the�are trade secre ,.�...��,�.,w.,,��.�.�.,.,.�,�_:.�_.._,....m...��.,...�......:.�,�_o.�,.....�..._...�--�,e„-�.�_r_.��.�,w�.__.�,..R��.,�a.,..�,�.�.�._�:..�-�.a,�fs.,T...�...:��...,,�.,..,.��,�.�...,�,�,.�.__�...�..._�,�,._�,..,�......,,.N.�..�.... m. � CALL BEFORE YOU DIG. Call Gophe�State One Call at(651)454-0002 for protection against underground utility damage, Call A8 hours before you intend to dig to receive locates of underground utilities. www.00aherstateonecall.ora I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, bui only an application for a permit, and work is not to start withnut a permit; that the work wili be in accordance with the approved plan in the case of work which requires a review and approvai of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State 8uilding Code must be co�pleked within 180 - days of permit issuance. ...-- �- :r..... �• ..—. �-''` 1 ' f x �_,�, �//'m�1 x �� ; /�pplicant's Printed �lame � � � Applic nt s Signature Page 1 of 3 � a 's: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA165224 Date Issued:10/23/2020 Permit Category:ePermit Site Address: 4483 Clover Lane Lot:18 Block: 01 Addition: Eden PID:10-22750-01-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Marshall Sims 4483 Clover Ln Unit A Saint Paul MN 55122--243 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166448 Date Issued:01/11/2021 Permit Category:ePermit Site Address: 4483 Clover Lane Lot:18 Block: 01 Addition: Eden PID:10-22750-01-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Marshall Sims 4483 Clover Ln Unit A Saint Paul MN 55122--243 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature -------------I For Office Use i Building Permit #: I i I EAGAN I Permit Fee: 4 3 _ ` I I I Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I (651) 675-5675 �FAX: (651) 675-5694 1 I I Date Issued: I buildinginspections a.cityofeagan.com I----------------------j RESIDENTIAL BUILDING PERMIT APPLICATION Date: zh q Site Address: Applicant is: ❑ Owner Contractor Unit #: Name: �G( �V� i--ib Vv`e- CDtt2.,rS A95c,ei ot`-�i b li,/� Homeowner Address: z/L/P!5 yz�P,3 AJB City: �o Ct a ', `'' y Stater l/�ip: 5122 Phone: 1� Email: Description of work: P, Q t' bh- Type of Construction Cost �, j Work Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compank3 l/� t'c .Lc_ �s Contact: �JJ�`� �✓ M, Building Address p, 61, Wes* T 4/—\y City:1de—yX Contractor �J '/ State: Zip: 553/T Phone6Iz�7 License #: � D Expiration K- q� � 0 Expiration Date: Sewer & Water Contractor Company: Address: Contact: Required for State: Zip: Phone: Email: new construction i I 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 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