778 Cougar Dr(Itr#iftra#t uf COrrupttttry
titp of (Eagan
lgppul'wP1tt of li1tilbiM JmWPt2tDrit
?7eu Certificate issued pursuant to the requiremenzs of Section 306 of the Uniform Buitding
Code eertifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
ux a .. ifia6. 1J 2 nUPr.Ei ? .? Bldg. Per„iit No. IAS"'IS
OccuP+rcY TYPe R3 Zooing Diavid ?- ,f.ype Const
r ?
Owaer af Bwlding :!TiP?7>:SM, BLt'}P:i. AddflSS ;l31
=
&WldingAddreas Lxuty
n {••r'' ? (? i t'r??
DBte:
Building ofricial
POST IN A CONSPICUOUS PLACE
F--
• CITY OF EAGAN
3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt?
To be used for -t Ba Est Value ;%9+? ' Date ,19
Site Address
Lot Block Sec/Sub. -Parcel No.
rc Name
W
= Address
O
City Phone
a Name
? ` Address
F. City Phone
c~i °C
FW Name
? z., Address
z Ciry Phone
W
On Site Sewage Occupency
MWCC System _ Zoning
On Site Well ? Type of Const
Ciry Water _ (Actual)
Allowabl
(
e)
* of Stories
Len
th
g
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit
Water/Sewer _ Surcharpe
Police Plan Review
Fire _ SAC, City
Engr. _ SAC, MWCC
Planner _ Weter Conn.
Council _ Water Meter
I hereby acknowledge that I have read this applicatfon and state Bidg. OH. _ Road Unit
thettheinformetionisconectandagreetocompiywithallappHCable APC _ Treatment P1
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Slgnature Of Permlttee ` Copies
TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done fn accordance with all applica6le State of Minnesota Statutes and City of Eagan Ordinances.
Building
" rmA11tmr. Pira11ltM1id11?R 6atle lied?hRll??
F1dumbrmg
liV.A? L x,C, , P 8
Ekctric
? w6ft mw ChnnwmM
Foo6rW 1 ?
Foobigs N
Foundaban 5z
FramiM
ROORn9
Rou4h Pta -?7
liw'a' HtS V 7
A1
Isul
FWeplace
Final Htg
F'mal Pba , .
Blda Final
Celt oem
Temp LP G!?/G? ??5 ? :3 ?
Decic Fto.
Doclk Fning
Pr_ Diw
PERMIT # Fs
PLUMBING PERMIT RECEIPT # -7 `f .2 7 1
CITY OF EAGAN j ' 7
KNOB ROAD, EAGAN, MN 55122 DATE: ?
Site Address
Lot -'
m Name _
? Address
? Ciry -?s
? Name _
3 Address
O Ciry T
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
CITY OF EAGAN
BLOG. TYPE WORK DESCRiPTION
Res. ? New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NQ. FIXTURES TO7AL
I Wa1er Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
? Kitchen Sink - $3.00 %
Urinal/Bidet - $3.00
Laundry Tray - $3.00
_-,/-Floor Drains - $1.50 ?• '? -'
--/-Water Heater - $1 50 ; , r L
Whlrlpool - $3.00
?Gas Piping Outfets - $1.50 f'
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
well - 510.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: "STATE S/C:
.
GRAND TOTAL: ? - % ? ?
PERMIT #
MECHANICAL PERMIT '
RECEIPT 4i
CITY OF EAGAN
3830 PILQT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE PHONE: 454-8100
Site Address " BLDG. TYPE WORK DESCRIPTION
Lot ? Block y - ec/Sub
?? Res. New
°
' Name Muft. Add-on ,
-
co
Address
' Comm. Repair
Other
c City Phone /
y
Name ,,{
f FEES
RES. HVAC 0-100 M BTU
-$24.00
3 Address ??• ADOITIONAL 50 M BTU - 6.00
p City Phone - INCLUDES A/C ON NEW
CONSTRUC ON
)
GAS OUTLET
M
ER
I'
S (
INIMUM - 1 PER P
M
) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air - e1r)M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. • M BTU $ MINIMUM COMMERCIAL FEE - 20.00
Vent
CFM STATE SURCHARGE PER PERMIT - ,50
. (ADO $,50 S/C IF PERMIT PRICE GOES
Gas Piping Outtets # BEYOND $1,000)
Other
FEE:
s - ? (?,.?.-
S/C: -r SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
. i ? .
(Itxtifir?tit uf (Orrupttnry
titp of (Eagan
mPpartrilPttf Df sudbitlg iwpttlDr[
TJris Cerdfwate issued pursuanl to the requirements of Sectron 306 of the Uniform Building
Code certifying that at the time of tssuance lhis structure was in compliance with the variotrs
ardinanres of the City reguJaling building corrstruction or use. For the jollawing.
Lbecianifimfim 1/2 UUPLEX 6 GA ', 13574
aldg. Rrmit No.
occov.ocr ryPe R3 Zomng oqa?a R I ,yx c.- V
??ofBuM,g UNIVERSAL BLDb1R Add. 4731 GIAIDSM MIVE, Pl',AN
Buildi,g Ad&= 778 00[]C,AR i)4?Tt L 1,001 ty 13, B2, dAWM NTS 2ND
p,te: APKIL 1, I9K,
eu,?ang offici.t
POST IN A CONSPICUOUS PLACE
3830 Pilot Knob
OF EAGAM
:). Box 21-199, Esgsn, MN 55121
1 E: 454-8100
Receipt #
BUILDING PERMIT
To be used for
Site Address _
Lot Block
Parcel Na
t. Value
ZS 4 •? . ?. e ? . . ? ? ( ?d .
Z Sec/Sub. '
HTS i: On Site Sewage
MWCC System
On Site Well
City Water
m Name
; Address '
° City Phone
452--4R55
Phone
Name
City Phone
APPROYAL
Assessments
Water/Sewer
Fire
Engr.
Planner
Council
1357
;
,19 '
_ Occupancy
= Zoning
_ Type of Const
V- (Actualy
(Allowable)
* of Stories
Length
Depth
S.F. Total
Footprint S.F.
L
?i
3
y?
FEES
_ Permit
_ Surcharge
_ Plan Review
_ SAC, City
_ SAC, MWCC
_ Water Conn.
Water Meter
I hereby acknowledge that I have read this application-and state Bldg Off. _ Road Unit
that the information is correct and agree to comply with all applicable APC _ Treatment P1
State of Minnesota Statutes and City of Eagan Ordinances.- Variance _ Parks
' • Copies
Signature of Permittee TOTAL
A Building Permit ia issued to: on the expresscondition that
all work shall be done in accordance with all applicable State af Minnesota Statutes and Ciry of Eagan Ordinancea
Building Officfal
1'uIleL Pvjrmlt libltqw ? OaN I TWephamfv i
?
H.Y.AG
?
Erxe.ic 3?N? v 00
soKener
lnapaction oirft 1q. 6orwm.nes
Footings 1 ?
Footings 11
Foundatian P !?
Ftaming v
Rod'mg
Raigh Plbg y?7
Rough Ntg ?j) gl /Zll? '
Isul
Fkepiace
Final Htg -/•? ??}
Final Plbg ? . ?
Blda Final
Cert UCG
Temp? LP
Dedc Ftg
Deck Frmg
We11
Pr. Diw
i . PERMIT # "l 9 7
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN , -?
3830 PILOT KNOB ROAD, EAGAN, MH 55121 DATE: :T PRICE PHONE: 454-8100
ss Y BLDG. TYPE WORK QESCRIPTION
m Name I L
?c Address c-?' '
c Ciiy Phone
? Name -"'-44 ,' i ,. tv s3 AddresS U' 7
0 City :- ?
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMJM - RESIDENTIAL FEE
MINIMUM - COMM/IND FEE
STATE SURCHARGE PER PERMIT
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Res. ? New
Mult Add-on -
Comm. Repair
Other
NO. FlXTURES
W
t
Cl
t
$3
00
? - er
a
ose
-
.
Bath Tubs - $3
00
.
Lavatory - $3•00
Shower - $3.00
T
Kit
$3
h
Si
k
00
.
c
en
n
-
Urinal/Bidet - $3.00
7-
00
- $10 Laundry Tray - $3.00
?
'
00
? 20 Floor Drains - $1.50
T_
-
50
- Water Heater - $1.50
. Whirlpool - $3.00
T
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10
00
.
Private Disp. - $10.00
Rough Openings - $1.50
FEE
FOR: CITY OF
STATE S/C:
GRAND TOTAL•
TOTAL
s
?->-
,,r, ?
G:
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
Site Addres:
Lot _9?:
C,
? Name
?o Addre
c City _
? Name ? ?c Address
p City Phone
TYPE OF WORK
Forced Air
8oiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
` • ? MBTU
M BTU
M BTU
MBTU
CFM
!
FEE
S/C:
TOTAL:
BLDG.TYPE
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New ?
Add-on
Repair
FEE5
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 PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
GNATURE OF PERMITTEE
FOR: CITY OF EAGAN
Q I ' ` ' . CITY OF EAGAN 3830 Pibt KnOb R08d, P.O. BOx 21-199, Eagan, MN 55121
? PHONE: 454-8100
• ' UfLD?1NG PERMIT • " Receipt #
To be used for ' Est. Value 5.•• Date l u ,19
SiteAddress f?? ;--°,,1 OFFICE USE OMLY
Lot Block Sec/Sub.,'-V'??•i?r-?r OnSReSewage Occupancy 4-3?,.
MWCC Syatem Zoning
Pa?CeINo.
OnSiteWell (Actual) Const
¢ Name nLA".:.1+: , ly'-;r?;? CityWater (AllowaWe)
W
;
Address l731 ?+r?:-i:t?: ?n PRV Required i? of Stories
0 City PhOne 454-+j9z?2 Booster Pump Length
Depth
p Name q ' ' i•: -h S.F.rotal
,
? ? Address Footprint S.F.
? City Phone APPROVALS FEES
?
W H
? W
Name En r/Assess.
9 ' Permit
"
_z Address Planner Surcharge
`W City Phone Council Plan Review
Bidg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable 5tate of Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
Water Meter
Signature of Permittee
- - - -- - -
Road Unit
A Building Permk is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official__ TOTAL
Permit No. Permlt Holder Date Tslephone ft
Plumbing
H.V.A.C.
Electric
. 61
Softener
Inspection Date Insp. COR1mA11ts
Footings 1
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
Owner
Remarks 1' _ "
ADDH Lot 3 slk 2 Parcel 10-53801-039-02
- Street 77880 C?? ? Dr+r e- State ?? ? 551Z3
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1994 395.40 39.54
STREET RESTOR.
GRADING 511 1981 49.62 3.31D 15
MER LATERAL ' 77 981 34.31 ?
SAN SEW TRUNK
SEWER LATERAL - 7 i I
WATERMAIN
WATER LATERAL 7
.
WATER AREA 7
?
STORM SEW TRK 85 1984 717.20 47•81 15
STORM SEW LAT
DRAINAiGB 1 1984 3S3.58 35.36 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC
PARK
2ND
.3 - ?> _ ftr5 -z-nV
City of Eagan 4-6-88
Re: Snow removal.
I aqree not to push snow from my drive"ay located on
th• aost property lina of Lct Z, Block 2, oakNOOd Haights
2nd. Addition, Dakota County, Minnesotn, onto neighborinq
easement.
Barry Demsky
?
? ? W ?YY
CASH RECEIPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD ?
EAGAN, MINNESOTA 55122
/ _' • /i?
DATE 19
i ?
Raceweo
FROM ? ?? ?' ,?. ,? 1?? '?. ?'S ?_c?-? ? ?--? •
AFiIOUNT ?-
Ee DOLLAR{
too
? CASH [?] CHECK
i /
FOR ..: ? ? ! /.I'_.l/ /7!? ? r?_ ?I1 ? ?I ? 1 ? J I / ?
r
BY
BLDG. P
01-3710 ?
01-3422
01-3445
01-3446
01-2155
17-3860
2b-2275
20-3865
20-3868
20-3716
20-2252
20-3713
20-3743
79-3866
17-3855
- ??
P?an Check
Surch./Adm.
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
TOTAL
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
CITY UF EAGAN Permit No: ?Datec 11-3 7
3830 Pilot Knob Roed Meter No: 3?7 d261O Size: " Rec K
P.O. Box 21199 Reader No: /h p- ?3 D(a 3 Da#e; 3-
Eaysn, MN 55121Cpn oer q
Owner. Colzs t .
Si*,eAddress:- ??? (?'ougar Drive L3 B2 Oakwood :IeiQhts TT
Conn. Chg:
Acct Dep:_
Permit Fee:
Surcharge:
Tr. Ptant_
Meter. _
the Ctty of Eagan
WATER SERVICE PERMIT
CITY OF EAGAN PermK No: pek-r '11-'0, ?
3830 Pllot Knob Road Meter No: giZe: 4A Roc /C
P.O. Box 21199 Reader No: Dat? ?=? ?.?Sl
Eagare, Mp 551211, Ontveva
? I
Owner. ?'- :i Consirt:c'_ i.c;:
SiteAddress-_ <Drive L3 7'Z Oa wooci Heiniits II
onn. hg: - LFd TV ff.. --
? ?ti11?IBS I;?
Aect Dep:-_15 _ OQ? e te-?- ?li ?ing c ??f?? _
=-
Permit Fee: o - E? ?
Surcharge: '3 ?g?o ?with the Clty of Eagan
Tr. Plant rdinances.
Meter. ps;Vd
WATER SERVICE PERMIT
I
? CITY OF EAGAN
i 3830 Pibt Knob I
P.O. BoX 21499 ,
Eagan, MV 6512'
Zoning: r
_u
Owner. "
Addi
Site Address:
PPlumber
SEWER SERVICE PERMIT
PERMIT NO.: 9972
DATE b- 11-07
*?p1ex
Dlo. of Units:
1 spne to comply vrith A Clty ol Ea9an Connectlon Charge: 57 5f}r'pti-
•
Ordinanca.
.
Account Deposit: 1 S _ (1npri-
?
I Permit Fee: 10 (?(?P---
Surcharge: - 5 ??1
BY Misc. Charges:
Date of Insp : Total:
Insp.: Date Paid:
Pilot Knob Road
?
SEWER SERVICE PERMIT ?
PERMIT NO.: 9973
?
1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN
?WV
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ANITS FOR S9LE UNITS 4 OF UNZTS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CO[•MERCIAL
ZvCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENEAGY CALCULATIONS
To Be Used For: &2AUE- Valuation: ?? OCO, Date: !-/`I -97
Site Address '790 C'D6[5q2 n2iilig?- OFF:
Lot 3 Block Z On site sewage
'I MWCC system
Parcel/Sub 0-iK (ocrpp I?+ E i 6M -T 5 7, Ao On site well _
City water _
Owner ();;TH- I" wfa---?avJ PRV required _
Booster Pump _
Address DIZ .
City/Zip Code
Phone -.14 SA - O°IS& I APPROVALS
Contractor l`An? ? i7 ?tiS7? ?. (3u )?flic2S Engr/Assess
Planner
Address ?Sl v?n E Council
Bldg. Off.
City/2ip Code Variance
Phone
Arch./Engr. _
Address
City/Zip Code
Phone li
Occupancy '2 3 M
Zoning
Actual Const V-N
Allowable V'-q
IF of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, M41CC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
jx,oa
a.Ard
lag.So
vAL Lnk-, 10ji,1
Z2 xzo = y4{o
q, Y, ( ?s
-(-°
ti/2 x?z = L) yg
? No final until letter
from owner ie: CITY OF EAGAN N° 14785
snow rzmoval' 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
a reemen ' PHONE:454•8100
a?fL"64?G PERMIT Receipt#
I To be used for GARAGE Est. Value $5, 000 Date APRIL 6
,19 88
Srte Address 780 COUGAR DR OFFICE USE ONLY
Lot 3 gbck Z Sec/Sub.0AKWO0D HGHTS 2ND O^ Site Sewage _ Occupancy
Parcel No. MWCC System _ Zoning
On Site Well _ (qctuap Const
a Name_ KFNNFTH W WAS(1N
w CiryWater
- (Allowa6le)
3 z Address 9731 WAT DFN DR PRV Required _ u of Stories
° City FArAN Phone 454-098 Booster aump _ Len9th
o Name UNIVERSAL BUILDERS Depth
? qddreSS SAMF 00 S.F.Total
? City Phone Footprin[ S.F.
APPROVALS FEES
F w Name Engr./qssess. Permit
V ? Address Planner Surcharge
a w City Phone Council Plan Review
I here6y acknowledge that I ha iead this application and sta[e that the
information is wrrect and a Bltlg. Off.
Variance SAC, City
SAq MWCC
gr e to compty with applicable State of
Minnesota Sfa[utes and City
Eagan Ordi nce
Water Conn
. .
Signature of Permit Water Meter
A Building Permit is issued to: NIVERSAL BUILDERS Roatl Unit
on the express condition that all orkshallbetloneinaccordancewithall
applicable State o
f
Minnesot
St TreatmentPl
J
?
a
atut?y of Eagan Ordinances.
Builtling Parks
TOTAL
R-3/M
V-N
V-N
66.00
2.50
68.50
REQUEST FOR ELECTRICAL INSPECTION epe-ooooi-os
, Sae instructions tor comolatinB this lorm on back ol vellow coOV. ?z
? 66148 "R" Be/ow Work Covered by This Request
Nnd FeO. TyOe or stomine Aooliances Wirea ea.inr,eot wi.ed
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixturgv
Apt. Building Dryer Electric Neatin
Commercial Bldy. Fumace $ilo Unloader
InAuStrial Bldy. Air Conditioner Bulk Milk Tank
F2rm ONer peofv 01her 15t??,rilvl
171e1uccifyl Othc, Oibui
Comnute lnsoection Fee Belaw
p Fee ServiceEMrenceSize H Fae Fneders/SuGfeetlers k Fee Circwix
U to 200 qm s 0 to 30 Am s 0 tn 30 An >s
Abwe 200 Amps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Am ti Above 100_Amps
Transiormers Irrigatioit &onms Partial.'Othcr Fee
Signs Special Inspec - n S
Sf% TOTAL FEE
Aenv?rks f ?
floueh-in w/? ` I\ \
f y?. //7w ` •? ??? ? Onte i, Ihe Eleevical
Insoector. M1eroby
certilV [hpt She nbav0
Final ? ` ?'??e nspection has been
rtwde.
Thia reduest voiE 18 monihs Irom
5Z'
ThiS fHqu@6t votA 6)-2
19 mpnths Imm 66148 0-0
Rx?uest D, te '
Fi No.J
re
`
Fough- n
i InsVerilnn
flequi?t:A!
Ready Now Q Wdl Noufy Inspec-
11? ?Yes ?No ?or When Reatlv
? Licensetl Elec[rir.al ConVacwr ?I ? 1 hereby request insPection ot above
'9Owner, elachical work installed at:
Sveet Address, Box or Foute No. J' ChY
700 d))i , N
xcLOn o. T na ip No e or No.? Fnnge No. Caunty
\.
Occupdnt(PPl 7) Phonc Np,
Puwer SupDli `r
\ I
1 Address
ElecUical Contiactor IComUanv Namel Contrnctor's License No.
M:iilinq Address lContlar,[or or Owner MakinB Installation)
?J J ? T? J ? O
Au[horiz Si ture ( ontraclnr/Owner kiny Invtallationl Phone Nurnbee
? ?,
THIS INSPECTION pEQUEST WLLL NOT
MINNESOTA STpTE BOARD OF EIECTqICI BE ACCEPiEO BY THE STATE BOARO
Griggs-Midway Bldg. - Room N•191 IINLESS PROPER INSPECTION FEE IS
1821 Universitv Ava.. SL Peul, MN 55704 ENCLOSED.
Phone (612) 662-0800
i
p 43474fil,3 /,?.c?,
Request Daie Frte No.
on
Roughin pM
Ins
Requirau?
] Reevly Now ? Will Notily Inspac[or
Ves = No When Reatly?
I- licensed contractor _ owner hereby request inspection of above electrical work at:
Job Adtlre(s?s IS:reet Box or Roule No.i Clty
Seaon No. Townsnip N e or No. ?Aange No. County?
?/w?C•,?
Otcupentl°AINTi
70H n/ pil?? Pnone No.
?-fs? -6o9'v
Pawe? Sup er
? 0& . /+tldress
Elecinaol Conlrautor IGompany Nemel Gonlractor's Cicense No-
Mailing ndee? Commaoi or Owner Maning?lanelionc
0
Humonietl ign
onVac O?Mnkmylnstnonl Ph $?e-
?1.C? 7
? 7
MINNES P STATE 80ARD OF ELECTRIQTY 9OF THIS INSPECTION RWUEST WILL NOT
Griggs-Mlaway BICg. - Room S173 z EE FCCEPTED BY THE STATE BOARD
1821 University qve., 5t. Vaul. MN 55104 l1NLES5 PFOPER INSPECTiON FEE IS Phone(612)66P-O800 ENCLOSED
?/i?/o? REQUEST FOR ELECTRICAL 1NSPECTION nee-00Q001 -ons(? ?
/ 1. See insvucli, lor comple4ng this lonn on hack ol yellow copy. y?°?q= (,; Q?Q/ //
u
e - n
Type ol Building oeruw vvvrn vww-v ?y •••- •-?-
AppliancesWired
EquipmentWired
Home I Range TemporaryService
Duplex Water Heater Electric Heating
Apt. Building Dryer _ O[her (Specify)
iComm./Industrial Fumace _
? Farm Air Conditioner
13 ?ner Ispecity? ConVadors Remerk? ?/? C! 6 z.,?? Inspecfion F ee Below:
pther i Fee * ServiceEntrance5ize I Fee # Circuits%Feeders Fee
ming Pool ? 0 to 200 Amps to 100 Amps
formers Above 200 _ Amps 6ove 100 _ Amps
0 ?nspecmr's Use Only. TOTAL
on Booms
ial Inspection ?
.?Communication E?D DISCONNECTED IF NOT
THIS INSTALLATION MAY BE O
r Fee ? COMPLETED WITHIN 18 MONTHS.
lectrical Inspector, hereby Pov9?-?n Date
at the above inspection has
de.
. F;,,ai o
-y,?-
OFFICE USE ONLY .
Th5 repues: voic 18 mor.ms fmm
ThiS rewest voitl / /
18 nwnths 1rom
L
313 4 6 8.r. _3 P4 r,
Reqoest Date "
' Fire No. Rouph-i Insuer.tion
Requiretl?
Aeady Now?Will Nnlity hnsPec-
?
JLLnO 9, 19$7 Mcves ?NO ?or when seaav
91 Ucensed Eleclric.al Cmuractor I hereby request insOeUion oi above
? Owner electncel work inslalled at
Street Address, Bon or Route No. Coy
778 Cougar Dr. Eagan
ecbnn o.
TownshiD Name or No.
R?nge No.
Counly
I Dakota
OccuVantIPRINTI Phone No,
Universal Builders 454-0982
Pawer suoone, Address
D.E.A. Farmington, MN
Elecvir,al ConVacto. ICOmpany Namel CoMructor's License Nn.
Corrigan Ele ctric Company 039549 8
MailinB Address IContractor or Owner Making Instailalionl
P.O. Box 475, Rosemount MN 55068
!+uth r zed Signamre IC Irac?o Or Makine Ins[allationl Phone Number
423-1131
MINNESOTA STATE BOgflo OF ELECTPICITY a THIS INSPECTION FEQUEST WILL NOT
Griges-Midway Bldg. - Room N-791 gE ACCEPTED eV THE STATE BOAHO
1821 UNLESS PqOPER INSPECTION FEE IS
Univereitv Ave.. St. Pau1, MN 55104
Phone(fi72)642-0800 ENCLOSED.
? ?1,2/8' -2 REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os
1 See InslrucGOns lor com0latin9 Uhls form on bqck o} yellow copy.
184 68 1f' Below Work Covered by lhis Request
, HAtl Fep. Type oi Buildinp Apolinncna Wired Equiymeit Wired
Duplex Water Heater Liyhtinp Fixtwes
Apt. BuilAing Dryer Electnc Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bidy. Air ConditionEr Bulk Milk Tank
Farm n+n?? oeci v .iho,lsucci?v)
t r Succlfy Othcr ptni.;r
OI ROUI B IRS OBCrlOR FPA Aelnw
# Fee Service Enhance5ine M1 Fee Feeders/Subieeders n Fec C vcuits
Id• trQ 0 to 200 Amps 0 to 30 Am s /40 \•DL 0 tn 30 Am s
A6ove 200 qinps 31 to 100 Arnps 31 ta 100 Am s
Swinvning Paol Above 100_Ampy Above 100_Amps
Transformers Irrigation &wms Pertial.bther Fee
a?g?s speciailnspeCLOn S a? TOTAL FE
flema r ks _ i1 pIr
J
// l
?/??? ? - thoeecE,oIecV21Ir
Insq hereb
Final I
certify thal the above
Inspaction has bean
mede.
thie repuest
This reques? void
18 nwnths from
a7925,;
.ti
Requesi Date Fire No, qou?h-in InsGeclio?5
?_ j? _?? Fepuin:dt ?ieady Now ? Wdl Nmity Inspec-
?Yes ?Nn Lor When Feady
ZXLicensed Elemrical Contnctor I hereby request inspection ul ebove
? Owner electrical work installed at
Sneet Address, eor or Route No. CitV
780 Cou ar Dr. Ea an
ecuon o. Tnwnship Name or No. Renpe No. Couuty
Dakota
Or.cuuant(PRINT) Phone No,
Universal Builders 454-0982
Power SupVlier AdAress
DEA Farmin ton
Hectrieal Con[ractnr (ComVany Name) Cnnirn<:tor's License No.
Corrigan Electric Comvanv 039549 8
Mailing AtlJress ICun[racmr or Owner Making InstailatioN
P 0. Box 475 Rosemount MN 55068
?+µl r zeA Siqnature IC{?nha/c?? v?/O?wner Making Installatiunl
? Phone Number
423-1131
MINNESOTA STATE80AND OF ELECTFICIT.`?'
Gnges-Midwey Bldg. - Room N-191 / '
1821 Univarsitv Ava.. SL Peul, MN 651041
Phone 1612) 642-0800
TMIS INSPECTION REQUEST WILL NOT
9E ACCEPTED BV THE STATE BOAPO
UNLESS PPOPEN INSPECTION FEE IS
ENCIOSED.
///REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os
, See instructlons for com0lelinp this lorm on back ol vellow copy. ~ I
? "1(" Below Work Covered by 7his Request
y7925
AAd Nep. Typa of Bulltllnp Apolioncna Wiree Equiument Wired
Home ?iC F1an9e Temporarv Serviw
rnace
Industrial Bldg. Air Conditioner 6ulk Milk Tank
Farm o?n., oPl:l v ome, isnc,iv)
N iee Service EnVancaSixe 4 Fee Feetlers/SUbteedars N FeH Circwts
- p 0 to20 0
qm s 0 to 30A m s 3<` Q 0 to 30 t1m,?s
Above 20
0 Amps A (O :Od 31 to 100 Amps 31 to 100 Am s
' Swimming Pool Above 100_Amps Above 100_Amps
Trans(ormers Irrigatlon f3ooos " Parti ?r Fee
Signs
SpeciallnspeCtion
5--V `/I TAL FEE
No?Bh-?n ????e ( Ihe Electr'
Insp eraby
cer?ify thet he
t a?ove
Final ? D/??te inspaction has been
/C/• ((? meda.
This requast void o /?'/?(S/?',
18 nwnths tmm
DD 13 4 6 ,c? ?3 : ? ? ?? ? ?? ? ?.?? ?-`'
RqquesLOate Fire No. R?Uhe-,l?_InsV?er,ron ?qeaAy NowE]Will Nntify Inspec-
June 9, 1987 r?, N? [of wnen aeaav
? licensed Elec(rical ConVac[or I M1ereby request insDaction ot abova
? Owner elactrical work installed aL
SVeet AdAress. 9ok or Ravte No. City
780 Cougar Dr. Eagan
ecbnn o. Township Name or No.
RanBe No.
County
I Dakota
OccupantlPRINTI Phone No.
Universal Builders 454-0982
Power SupVlier AAdress °
D.E.A. Farmington, MN
Electrlcal Cnntractor (Company Name) Conhncmr's License No.
Corrigan Electric Company 039549 8
Mailinq AdJress ICOnhactor or Owner Making Instauationl
P.O. Box 475, Rosemount, MN 55068
Au h' ed SiBna[ur IContra r/Owner Making histallation) Phune Numbcr
Z?
I
423-1131
MINNESOTA STATE quwfl0 OF ELECTHIG?
Griggs-Midwey Blda. - Room N-181
1821 Univarsitv Ave.. SL Veul, MN 55704
PhOne (612) 642-0800
TNIS INSPECTION REOUEST WILL NOT
BE ACCEPTEO BY THE STATE BOARD
UNLESS PFOPER INSPECTION FEE IS
ENCLOSED.
ueB I
, ng,iuFOR EL ? EC ?TR?ICAL ? INSPECT ^ON ck or va??ow ?oo?. ee-ooooi-os
"'1(" Be/ow Work Covered by This Request
HdJ Rep. Type ot Building AOGla,n.ea Wired Equipment Wired
Home Range Tempnrary Service
Duplea Water Heater Liqhtiny Fixtures
Apt. Buildmq Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unloader
InAustrial Bldy. Flir Conditioner Bulk Milk Tunk
Fdtm Otb?rr 1 peci v ihei ISU,•r:iivl
1 ?cr SuccifY ONer pthui
l.0/!IU(lI@ l/ISOCCIlO/1 hPB 6FlOW
p Fee ServicaEnheneeSixe h Fee FAe.ders/SubfeaAers tt Fee Circwts
1 • py? 0 to 200 Am ps 0 to 30 Am ps d ..i 0 tn 30 Am s
Above 200 Antps 31 to 100 AmpS 31 to 100 A rnps
Swimminy Pool Above 100_Am s Ahove 100_P,mps
Transiormers Irriga[icn Booms PdrtialOther Fee
Signs Special inspection $
Aemarks TOTAL E
, ?` Clli?
?7p
Noue?-in Dme Q I. the Ele '
? Inspector, le?ebv
cer?ify thet the ebove
Final D.te ? {^ / mspaction hes been
?•V made.
Thia reauesl voiE 18 montl+e irom
REQUEST FOR ELECTRIM 'dNSPECTION . . ea-ooooi-os
f Vel ,
" BOb??yC
a.: ?- D ? See inshuctie.s for comoletlne ihls form on back olow?coVY.
C ^r'• aoi... w.,.a Covered bv 7hrs Request ..a? V V .L'1' lx
EquiV'm¢nt Wired
Add R.P. TVPe o1 Buil0in9 APPliancea WbBtl
Home Ranqe Tem?rary Service
Duplex Watet Heater Liqhtiny Fixtu?es
Apt. Buildinc? Oryei Hectric Heatin
q Commerc?al Bidy. Fumace Silo Unloflder
Industrial Bldg. Air ConAitioner Buik Milk Tank
Farm t e nen v
? ?ihc? ISnec?ivl
thar l5uoci Y Other Oihe.
ftough-in D°tP I, tha ElecVicfll
Ireieby
Inspector
a/,??((??{/9 ,
cerldy thet the above
' Di1e inspection hes haen
Final made.
This reQUesl vo+a lC momm uen.
" 1 p ??02 yc
This request void /?//7
18 nwn[hs fmm
.z 1 ? 62 i o ? 0-o
Aa:b V V -L -T 4 ./ ?
?Rppuesl Uale ? Fire Rouph-in,lnsu ?:??mi
Renurted ReaAY Now?Will Nnbfy insoec-
?
J
(T ?Y ?N
Ior When Readv
Q Licensed ElecViwl Cotrtractor ^ I`? ?' I herehy request ins0ectlon of above
i • ?ni -k instaliad aL
Ci1y ? 1
Sveet Address. 6ux or koule No.
78U
1
e or
ectmn o. T wn ?p N Ranye No. County 4
?
?
Occupant IP NTI Phone No.
n
Power $uppl e,r
i AAAress . .
a
i
Elr;etrical Cnrieractor (COmpany Nxme)
Crnntiactor's lcense No. ,
\
?
-
M7ii.n9 ,?d,s (Conlractnr or Owner Makina lasmilatioN qss'
Au{horiz Si ture. I??nVaclodOwner kinq Installation) Phone Numher
- &'-1
?, v
3?
nurct wu I wnr
MINNESOTA STATE BOARD OF ELECTqIC174 BE ACCEPTED BV THE STATE BOAFD
Griggs•Mitlwey Bidy. - Poom N-191 _ UNLESS PflOPEN INSPECTION FEE IS
1821 Univarsilv Ava.. St. Pnul. MN 55104 ? ENCLOSED.
Phone (612) 642-0600
CITY OF EAGAN
SUBJECT:
APPLICANT:
LOCATION:
EXISTING ZONING:
DATE OF PUBLIC AEARING:
DATE OF REPORT:
REPORTED BY:
WAIVER OF PLAT
KENNETH WASON - UNIVERSAL BUILDERS
IAT 3, BLOCK 2, OAKWOOD HEIGHTS 2ND ADDITION
PD R-2 (PLANNED DEVELOPMENT DUPLEX)
APRIL 19, 1988
APRIL 11, 1988
PLANNING DEPARTMENT
APPLICATION: An application has been submitted by Kenneth Wason
requesting a Waiver of Plat in order to split Lot 3, Block 2,
Oakwood Heights Addition. The duplex lot split would allow
individual ownership. This duplex has separate utilities and
meets all setback requirements.
If approved, this Waiver of Plat shall be subject to all
applicable Code requirements.
Lfn?e 76, Pste 3 -
i7O B E l/.V/V6zS4L $u,LDEZ.?, -,
-
EMGINEEflING C=NSJLTIH6 EH61NEf9S . DkaecT No. 226.01
Pl34HE9S and LAHD ?LRVEYOflS
COMPRNY, INC.
L fa00 GST 146N S7AEE7, E'_c.WJILLE, WNNE:oT.1 53237 pH 41-2-II000
• G't°7"'ZZ?Z. CQZ?? [J? ?y?e
J ? Z44'cj lk?cr ?'art LoT 3, BLOCK Z, OAKW049 11E16117-9 7AJ0
ADD/T/ONJ DAK07A CO[1417Y, A4I10NExTq
, D?Iv/
? LOMP?
?
51 ? ,nnk?>? +
FRoNT 3u11-DINE
S. 0?
`' Sfi7'QACK L/A./E
A?- ? j3•s5? ?---? DEA10TE5 EXISTIIV C-
H E[.EVqT10N
ss 00 01 1 oSED ?%??? .. .. r = ) _ DENOTES PROF0S:?7
ra,l o ca? ?? pFDp?,bX L? :, 9eS•°) ? ? c)ry ?(.EV,qTlON
? a 68.00 OF SU2FACE OFZAINqGc
? ? ? ?1?(qu4o) 0??:3.
IqoB.o? ?? • \ m = F/N/Sh'?'D 6ARAG'c
FLOOlZ ELEUATIC.Aj
-? ?
8
o7.e?
m 1 \
? A \h
LO
? D r
? a5D?
ss?.52
?
C2ce.9'i Lc /?2• 1?gpf1 D
J
?e7.a???e?'. ?, WILDE?NESS R sc?IC.F: i"=3o•
I her*hy cs;,?.ify that thia ia aand correct rapreaantition of a traci of
11nd as ¦hcmen•jnd deacrihed he::c-.• Aa prepared by ma on this SW 'dsy ot
/?1ay , 19 8'? . ,
Hinn. Ieg. Ho. /e-asf
`.
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
,xxxxxxxxxxxxWWF_xx_;;__W_WxxxxxW
*ATF: PA)WNP OE FM AT TIME OF
ArrLIcATzoN noEs Nar aors-izI=
APPR0VAL OF PERNIIT.
- xxxxxxw,.w,.wxxxx--_f =. _ _ ... _...-w
P ease Print
1) PROPERTY ADDRESS :
LEGAL DESCRIPTION: °
Lot Block Subdivision or Tax Parcel ZD )
IE' EXI6TING STRL'CiL?RE, DATE OF ORIGINAL BL'II,DING PERMIT ISS['ANCE:
..
PRESENf ZONING/PROPOSED USE: (hbn Year
Q COI`PEEiCIAL/REPP.IL/OFF'ICE
Q IAIDC?STRIAL
n INSTIZ[]TIONAL/GOVIItMAENr
? R-1 SINGLE FAMILY '
?R-2 DLPLEX (R4m Onits)
0 R-3 RUWNiOLSE (Three + Units) ( f-Inits)
0 R-4 APARZMENT/CODIDUMINIUM ( Units)
2) ?
ADDRESS:
CITY. STATE, ZIP:
PHONE: ?/O
3) u c ?•
NAME:
ADDRFSS:
CITY. STATE, ZIP:??c?5
PHOM: y.f"Z^ 72 MASTIIt LZCENSE# 77 ^?325?
Plucnbers License:
Active
EScpired
Not recorded
St?a fIrli.tlal
4) <rAwy7W?
NAM:
ADDRFSS:
CITY, STATE, ZIP:_ jp?c_S a.? N1?
PxoNE: - r? 9lopz_
.5) '' ? d' • ?• : ? • y. • ??
CON[=ZON T0 CITY SEWER Q`I CONDIDGTION ZU CITY WATER O'I'fM '.
- -
6) '? ??• ? PLFASE HOLD APPROVID PERMIT FOR PICK-UP BY ONE OF ABOVE _....._
? PLEASE MAIL APPROVID PERMIT TO 1, 2? 5 4, ABOVE .
• (Circle one)
7) r 1,11 •
-?- ? & /l - e''
nvsrncriorr oF sDM nt+ro/ait WAxEst
jTl$'LAi.T.ATTQN$ W1T7• jxj'j` EE $CHFD-
UI,ID ONPIL PEEtMIT AAS BEEN
APPROVID.
. FOR ,CITY USE ONLY .
PERMIT # ISSUED •
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SURCHARGE)
$ WATER PERMIT (INCLUDE SURCHARGE)
$ ? 7C9 l7 $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLLiDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ISO-tJ ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
$ '07J S WAC
$ lo ? S " ?'' D S SAC
$ $ TRUNK WATER ASSESSMENT
$ " S TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER `
$ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ 7 • TOTAL
_ -- 7-3 ? C/ / 7 3 e .
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION
LIST A ISSDED BY THE ENGINEERING
S A CONDI
ION
. .
T
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED
t
?
CJ
Z J
BY: ?
? ?-yc?1
r
-?
TITLE:
DATE:
CLAIM VDUCHER - REFUND REQUEST
CITY OF EAGAN
CLAIAfANT .TOH[V B. DFNISI.SY
ADDRESS 780 COK,AR DgIVE
EAGAN, MN 55123
Location 780 COUGAR D= - ,
L3 B2. OAM()D HTS 2
Receipt No./Date _ gon24/12/21/87
Reason for Refund F7F.C1'Rrr.ar. mNra[^mu im pvary FOR PF:an+TT
Type o€ Refund Electrical Pexmit 01-3211 $ 20.00
Plumbing Permit 01-3212 $
Mechanical Permit 01-3213 $
Surcharge 01-2155 $
Water Connection Permit 20-3713 $
Sewer ConnecEion Permit 20-3743 ? $
Account Deposit 20-2252 $
Utility Account Over-payment 20-2250 $
Other: $
$
TOTAL $ 20_0p
I declare under the penalties of law that this account, claim or demand is jusC and
that no part of it has been paid. --
i
nF.rTnmIER 11,_1987
Signature Date
ser finck u.?,
MI ,
3ET
N
?
i'
9 m
/ N
SKg o• e
i
j i
? ? ? r, /' ?? ?
i.
E,1[ ?tT ! l.lTl l.
??? I , ; // ? / . \ ? , ?• //
0
i, i'
ya 1 7YPf 'X' GYR BD.
F/lV'E SZOEYl A'P4+4
BE7wES;K) Flo?,sSE ?
GA R A6{
aPPe2 pEGIL,
t
QrioPcaao
Ir __..
,
?
FRorwr
`4.
K£AR-
61 oE vi G.w ..
PIANNEflS nnd6lAHD s?UA?/n. 226.0?
• ` , NPH422-3 aoaE ?L au,??
ENGIN EE?IING CCHIUC
COMf?ANY, lNt.
1000 EA57 1461p S7REET, !t)ANS1fILLE,YIHHESOTA SS33? 000 ?
Cer-zz
A cczze ?SztrYe c? .
2 LoT 3, BtocK 2, a4K1NOLp HE/6NT5 vD
-2.
2iort•
ADD/T/ON, QWTA CWti/7Y, MIx/NES07A
? . DR?vE
y
30' FRoNT 8WLDlN6
R? 37?.3$ SET?ACK L/NE
L: 95.00
? C-- -? DENUfES EXISTIN6
/ oSA ? qs4
2?•pO o?\ , ELEVi4T10N
?. ?
i , 90'/00 o, DENOTES PRDPOSSFD .
?
; ?. E(.EVAT/ON
'\ ?l N l a qy6o) ??? :
? 4001 V INDICATE!; D/Rc'CT/ON
OF SURFACE ORAlIV46E
o•
"? = FlNISHED 6AKA6E
'-?j ? ? ?qQ .o) \ ' \ FLODR ELEVATlON
: , g g yp.o°
? j ?? . `'" I __ `qo1•O) \
? _+ a 1 ?Q?
C
m ? ?,1- ? ?, i3• 9 . ?,?daD
' z
D
? ILAA ..
!; ??ob.. •L: /s2. ?' RS
Q"??) ?NESS R ?;scACE : ?° . 30'
I ber*by car4ity that thia ia a t:ue and carrect rnpr=seatition ot a tract ot -
? land aa sho+Ri and deacribed he:aon.• As praparsd by fne on this $'day ot
i AMy
I ? .
? Rinn. lte6. No. /??ar
.
? ..?-._____?«e., ' .? .4,._".._.. _._,.,,.. ,.:..._... -.__.._...?...._..__. __ .___._._.,.. . _. ..?....._.........».-._ _:..: _...?._...?_ '. .."
CITY OF EAGAiV
APPUCATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
?..F__._.._F_____________________
,
*ATE: PA7WnTr' OF EEE AT ZIME OF ?
APrt,zcrazoN noFS wr aomrn[rm ;
APPFtOVAL OF PF.RNIIT. !
INSPDCrION OF SESrM ANID/OR MTER
nSrar.ramrpNS WII,L N0T BE SCHED-
UI.ID UNPII, PERMIT flAS BEIN
APPR(R7ID.
------------------------
- P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISTING STRL'CIL'RE. DATE OF ORIGINAL BLILDING PERMIT ISSL'ANCE: . .
i
' {Nbn ear}
, PRESENl' ZONING/pROPOSID LSE:
q M',TMcIAL/xErazL/oFFIcE
Q IPIDC'STRIAL
n INSTIZ[;TIONAL/GOVFI2NME67T
? R-1 SINGLE FAMILY
? R-2 DLPLEX (Ztto L?nits)
? R-3 70WNIIiODSE (Three + Units) ( Units)
R-4 APARTNEN'P/COAIDOMINZLTI ( Units )
2)
ADDRESS:
CITYr STATE. ZIP:_-1n ve.r L;ro ve- /-//.f S-O 7S
PHONE: ?Isl _y,flv
3) • u ?: ?• For City Use .
NA`E:__4La q a n Plimbers License:
ADDRESS:_? b /? ?ro,r.rFo a FScpi as -?]- Active
red
i CITY. STATE. ZIP:_ j-, ti3 a.. Not recorded
PHONE: tfSz- / 9 7.?, MASTER LZCENSE# 77- St Inltial
4)
••r . ia?- .
NAME:
ADDRFSS:
CITY? STATE, 2IP:_ r0-pz a..-t
PxorE: ?/- b 4 9-?-
•L'j? :? V' 1 Y' • ?' • ][I\ ' ?? U '11Y}/ . .
CONNff'CTION T0 CITY SEWEE2 ? CONNEC.^TION 70 CITY WATER ? OMER '. .
6) ? .`•?. ? PI.EASE HOLD APPROVID PERMIT F'OR PICK-(7P BY ONE OF AEUVE
[[? PLEASE MAIL APPROVID PERMIT 7D 1, 2.0 4. ABOVE
(Circle one)
7) r n p•. ? ? y^?
(?ST- ?? Jl ° •i..`..7..'2? ? -' ?? ? O /
FOR CITY USE 4NLY -
PERMIT # ISSCED
Pd w/Bldg. Permit FEES:
$ $ l0 - S2, SEWER PERMIT (INCLUDE SORCHARGE)'
$ $ ?? SZ WATER PERMIT (INCLUDE SIIRCHARGE) ..
$ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLPDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ?J Gr? ACCOONT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ $ WAC
$ IZ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TR[!NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRONK SEWER
$ S LATERAL BENEFIT/TRL'NK WATER
$ $ '
WATER TREATMENT PLANT SL
RCHARGE
$ $ OTHER:
$ TOTAL
7 qS3 ,9
RECEIPT RECEIPT
DOES LTILITY CONNEC TION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
a YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION
LIS
.
T AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: i
`??? ?p zt?'-?
TITLE:
DATE:
-
w
1987 BOILDING PERMI APPLICATION - CITY OF SAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CfiRTIFIC9YES OF SORVEY, 1 SfiT OF ENERGY C9LCOI.ATIO&S
NOTE: ADDRESSES FOE COENER LOTS - CONTRACTOR/HOMEOiiNER MDST DESIGAAYS WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE 9LIAWED ONCE BIIILDING PERMIT IS ZSSQED.
MOLTIPLE DWELLINGS - RFSIDENTIAL RENTAL O,AITS FOR SALE 0@TITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECB WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CO.MRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
q
To Be Used For: Valuation: 9liDnO
Site Addres7 so L,1,ur1i21.1ROFFI
Lot 3 Block ?-
Parcel/Sub byt?'-?D ?1? ic1 V?IS z??•
Owner yy?-A,LF-a /A A \' Y'"??c?? ah
Address 47-11 LA
City/Zip Code
Phone OcigZ
Contractor 1)m i' ,7 F i2 _v'{ I 1'-?,IC,?
Address
City/Zip Code ? cQ qy1 Y. ??%vw?. 55/Z'Z
Phone 4154- nrj ?Z
h'e_ `ES?'y`dSS
Arch./Engr. n
Address
City/Zip Code
Phone I/
On Site Sewage_
MWCC System ?
On Site Well
City SJater ?
APPROVALS
Assessments
Water/Sewer
Police _
Fire
Planner
Council
Bldg Off
APC
Varianee
Date:
Occupaney V? 3
Zoning {<•I
Type of Const
(Actual) ?
(Allowable) 'ig:
# of Stories
Length ?
Depth 3Z
S.F. Total
Footprint S.F.
FEBS
Permit 4tv S
Surcharge ¢4. g'
Plan Review Z3Z. ?
SAC, City (OU.
SAC, MWCC 525-
Water Conn 525
Water Meter (o].
Road Unit 3051
Treatment P1 It3p.
Parks
Copies
TOTAL ?
`
fCo O x ?? ^ ?0 4v
ZC? ? z 4 2o X ? 2? ?d ?d
S??4? -
34x3? = 0
12??J-
???4,lr
. CITY OF EAGAN Na
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454•8100 ?3 a cr?
Receipt #
To 6e used for 1/2 DUP & gar Est. Value $89,000 Date MAY 7
13574
1981
SiteAddress 778 COUGAR DRIVE OFFICE USE ONLY
Lot 3 Block 2 Sec/Sub. OAKWOOD HTS 2ND On Site Sewage Occupency R3
MWCCSystem ? ?-
Parcel No. Zoning
o sit w n
a Name liNIVERSAL BLDRS
W address 4731 WALDEN DR
3
? City EAGAN Phone 454-0982
=o Name_ SAME 452-4855 (KEN)
ou Addr
n e e Typeo(Const
City Water X (Actuaq V
(Allowable) V
# ot Stories
Length '{R
Depth 32_
S.F. Total
Footprint SF.
u? e33 APPROVALS FEES
? Ciry Phone
Assessments
_ Permit
? 465.00
WaterySewer _ Surcharge +A.50
F W Name Police Plan Review 9?9 Sp
4 _
xZ
5 Address Fire _ SAQCiry inn.op
aw City Phone E^9r. - SAC,MWCC 595_p0
Planner _ WaterConn. 525-00
Council _ Water Meter 67 _ 00
I hereby acknowledge that 1 have read this application and state BIdg.Off. _ Road Unit zn 5 nn
thattheinformationiscorrectan reetocomplywithallapplicable APC - TreatmentPl p
18n n
State of Minnesota Statutes in ity of E y Ordi nces. Variance _ Parks ?s
Signature of Permitte -A4% Copies
TOTAL
$2 444.00
A Building Permit is issued to: liNIVERSAL BLDRS
all work shall be done in accordance with all applicable St of M
inne ta S?atutes on the express condition that
and City ot Eagan Ordinances
Building Official
J
1987 BQILDING PEAPIIT APPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLINGS
INCLDDE 2 SETS OF PLANS, 3
OF SOEVfiY, 1 SfiT OF ENERGY CALCOLATIOIdS
NOTE: 9DDEESSES FOH CORNER LOTS - CONTR9CTOR/HOMEOANER MOST DESIGHA?S WHICH ADDRESS
IS DFSIRED. NO CHANGES WILL HE ALLOWED ONCE BDILDING PERMIT IS ISSOED.
MOLTIPLE DTiEL.LINGS - RESIDENTIAL RENT9L 0NITS ? FOR SALE 0NITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIJEVEY - CHECB SiTTH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COLMff+IERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
'/2 C)uFu?x
To Be Used For: Valuation: ?Ii0C)(2) Date: ?
Site Address OFFICE USE ONLY k
Lot -z-,_ Block Z
On Site Sewage_
MWCC System ?
On Site Well
City Water ?
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
Ok of Stories
Length
Depth
S.F. Total
Foatprint S.F.
FEFS
R-3
?
?
Parcel/Sub
Owner __?cvl?t,?-F?1.1 fi X 1'71?c S
Address
City/Zip Code
Phone 4-17 Al - /5?i ?t7
Contractor
Address
City/Zip Code Y- tA,p r J?/a? , ?"as`!Z
Phone /?{<j ?l - (??j ?2Z
Arch./Engr.
Address
City/Zip Code
Phone 4k
APPROVpi R
Assessments
Water/Sewer
Police
Fire
Engr _
Planner
Council
Bldg Off
APC
Varianee
?
Permit ?(-os?
Sureharge ?
Plan Review 2
SAC, City IDO
SAC, MWCC 525.
Water Conn 525-
Water Meter (07.
Road Unit 3C75
Treatment P1 [elo.
Parks
Copies
TOTAL t
`
o`71-rE:e '/z of=,
?- - - -
CITY OF EAGAN No
3830 Pilot Knob Road, P.O. Box 21-199, Ea9an, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt#
Tobeusedfor 1/2 DUP & gar Est.Value $89,000 pate MAY 7
13575
1987
Site Address 780 COUGAR DR OFFICE USE ONLY
R3
OAKWOOD HTS 2ND
Lot 3 Block 2 Sec/Sub OnSiteSewage ? Occupancy
. MWCCSystem _ Zoning
ParCelNa. OnSitewell TypeofCOnst v
City Water (ACtuaq
rc Name UNIVERSAL BLDRS (Allowable) V
i 4731 WALDEN DR
Address x of Stories
Lengtn
38
? City EAGAN Phone 454-0982 oepth 32
S.F. TOtal
p Name SAMF FootprintS.F.
oa .
Address APPROVALS FEES
w? City Phone qssessments _ Permit $ 465.00
Water/Sewer Surcharge 50
oW Nef11e Police Plan Review
- ?7250
W y? Fire _ SAC,City 1?,? ?p
i?
??f AddfeSS Engr. SAC,MWCC 2s,.y0
a w CityPhOne Planner _ WaterConn. 525.? p
Cauncil _ Water Meter 67. p
I hereby acknowledge that I have read this application and s[ate Bltlg. Off. _ Road Unit 305. p
thattheinformationiscorrectan agreetocomplywithallapplicabla A? - TreatmentPl
St
te of Minnesota Statute ? City ot
n r i ces. variance _ Parks
? COpies
9
Si nature of Permitt /h ?•!.?"r
707a1 ? 444 • 0
0
A Building Permit is issued to: UNIVERSAL BLDRS on the express condition that
tate of Mi er? sota Statutes and City of Eagan Ordinance&
all work shall be done in accordance with all ap
pliC
bl_ e
S
?
/
?
?
Building Official [/"`'"?'-???. ??c/•?.?
l)0
.
IFaosE
ENGiNEeRiNG
COMPANY, INC,
1000 E115T 1461n 57RE:7,
Ye l.?
CLTzZ7
J--Z CLLLze d3f
zAg-cl crlp2i o rr:
DR??E o,,?
? 6aR?
U?//VEA_S4L gur?DE7t,S
LOT 3, BLOCIC Z, 04KWDOp NE/6NT$ 2n10
ADD lT/ON, DAKD7A COW7Y, M ll??ljE-eeTA
• 30' FRoNT BU/G.OIN6
$ETQfiCK LINE
Q
7 C464-0 9 9e$' OYj3 55 ?
w ? N \.
op?
C ?
?
\
Z°'oo 'o? D?iEP ? A'• 7:1? ?
N ?? \ ?X •g ?qaS)
?o
68.0 ? _ ° ??pa )
o ?
C==-D DEM0TE5 EXISTI IV G
ELGVATI O M
? DENOTES PRDP0S7
ELEVFITIDN
/ND/CATEc D/RcCT/OAJ
OF SURFACE DRAlNA6E
? a
?a
a a
Z.
3a
m
Z
?
(7-e A \
0) ? C`7
h
tc?
? ?? 1 `qaQ•O? ? ?/
?-?---?a \
?qo,.?? J' ?
? \5
?
f?f ?_1304
l.?
? v_ 551.92 /
ioe9 L= l32.Ab " ??R,pAD
a? ?`pE2NE55 -
I hereby carliry that thia ia a t:ue and correct
ljnd as shovn'and deacribed he:eon.• Aa praparnd
/y/Aq . 19 8 •
.o
= FlNJSHED 6ARAGE
FLODK ELEVfaTlGnl
SCACE : /" = 30'
rnpraseatatioa of a
by me on thia S? W_
tract of
day of
\
,?.•F Hinn. Ees. Ito. Aasr
C:NSllLT(HO EH6IHEf4S PRa/ECT No. 226,01
PtAHHE9S and LAHO iURVEYOliS
Ei:AYSYILLE, YIHNE=07a 5S337 Pti 432-3000
_ ;';?7y?3 131?C Z-
? a?- <( 6!k ?
OKIfER: ?
SIiE ADDRESS:
Du-rc"+E.re.1 p?l-m 8-7?
CITY OF EAGAN
EXTERIOR ENYELOPE AYERAGE 'Uf CO!lPU7ATION
.4
- - ? T/ff v !l'DO/di0l
COMTRACTOR: ? Q 91 F_ y. ?Q ?S DATE: PHONE: d -09 Z
Determine working square footage of each:
1. Total exposed wall area .. sq. ft. x.11 = :ZT3.e?l
.j. . I
2. Total roof/ceiling area ... .a? sq. ft, x.026 = -Y!•F?
Total exposed xall area above floor = S/
a. Total wall xindox area ............................ /LO
b. Total door area ................................... .
c. Total sliding glass area .......................... !
d. Total fireplace wall area .........................
e. Total wall framing area (average 10%) .............
f. Total net wall area above floor ................... J.,1.74,-
g. Total rim joist area ..............................? i!e[.D Z_
iotal exposed fovndation area = 15?-
h. Total foundation window area .......................
1. Total net foundation area above grade .............. ?-
Determine 'Ut value of each xall segment:
a. 1r_0 x OU'
b. -15 k1 x.'U'
e. ifpo X rpl
d. 3z x 'U'
e. &06-ig x tUg
f. t I 3io X 'U'
8, LILLo? x lue
h. .? x 'U'
I. ?- x 'U'
st = q2,B0
.4(0 = 3467Q
qs.-
,0"1
?5 = IbL?77
. 04 = ,2,i41 . a4 = ?p ,44
3 . ................................................... Total : 34D,o7
If item 03 is the same as or less than ltem 01, you have met the intent of SBC
6006(c) 2.
Total exposed roof/ceiling area - Z1 8$
J. Total skylight area ............................... "?r
k. Total roof/ceiling framing area (average 10%) ..... 16,96
1. Total net insulated roof/ceiling area .............. oi V 0..?.0
OYER
RESIDENTIAL
BUILDINC PERMIT APPLICATION
I CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651•681-4875 a?-
New Construction Reauiremenh
• 3 registered site surveys showing sq. n. ol lol, sq. fl. of house; afM all roofed areas
(20% mazimum lol coverage allowed)
• 2 copies of plan shaxirg beam & windax sizes; poured found design, etc.)
• 7 set of Energy Cakulations
• 3 copies of Tree Preurvatian Plan if lot Matted after 711/93
• Rim Joat Detail Optlons selection sheet (61dgs wAh 3 or less units)
DATE 6 ? S
_ Water 5of[ener
Water Heater
_ No. of Baths
SITE ADDRESS a'O MULTI-FAMILY BLDG Y N
TYPE OF WORK t FIREPLACE(3) _ 0_ 1_ 2
APPLICANT ?
STREET ADDRESS /?U CITY 4-CSTATE?t?v ZIP -E_ ,-L'f
TELEPHONE # CELL PHONE # 6S(-77 7.? 3 FAX #
PROPERTYOWNER TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MI.VNES0I:A RULES 7670 CATLGORY 1 MINNESOTA RULES 7672
(J submission type) . Residendal Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plum6ing Confractor:
Plumbing system includes:
Mechanical Confractor:
Vlcckianical system includcs:
Sewer/Water Conhactor:
_ Air Conditioning Fee: $70.00
n? ?
Heat Recovery System Frr?
fl ilfl I? l?n ?l ll LS I
Phone # I t 9 ir•
"""""""""""'-"-""""-"""""""'-""""""""""""""""-""""" -"•"""""""""""
I hereby acknowledge thaT I have read this application, state that the information is coRecf,onci?gree_tar.omp?
with all applicable State of Minnesota Statutes and City of Eagan Or ina e. ? J??--y
S(gnature of Applicant < k
OFFICE USE ONLY
Phone #
Fee: $90.00
RemodeVRewir Reauiremena
• 2 wpies ol plan
• 1 set of Enertgy Calculations for heated additions
• t sile survey for exterior additbns & decks
• IrMicate if hane served 6y seplic ryslem (or additions
VALUATION iffi/1
0
_ Phonc #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
?i 3830 PILOT KNOB RD, EAGAN MN 55722 I ?
651-681-4675
New Conetructlon Beaulremente BemodeVHeoa'v HeuulremeMe
• 3r6giSler9d Sile SUrveys Showing Sq. n. 01 bl, Sq. ft of hou52; and AI ro0fed areas • 2 cOpiBS ot pl2n
(20Y< maximum bt coverege allowed) . 1 set ol Energy Calculaeons for neated add'd'ans
• 2 ooples ot Dlen showNg beam & window slzas; poured lound deslgn, etc.) • 1 sile survey for extenor addttbns & decks
• t set of Energy Calculations • Ndkate il hane servetl by septic sysiem for addilions
• 3 copies of Tree Preservatbn Plen it bt platted afler 711/93
• Rim Joist Detail Optbns 581ectlon sheet (bldgs wiN 3 or less unb)
DATE
SITE ADDRESS _??o v CC?t-^
NPE OP WORK K`e- - ?? c?
_ FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANTFixS?t4 ??S r
STREET ADDRESS t %a - (A Psl a,^ L in CIN / i'R, (t?iet?k STATE I't %? ZIP 3-7( (
TELEPHONE#i KX6-d'0(CC CELLPHONE# Q??50-6 (a? FAX# ?ELv715_
PROPERTYOWNER 0if TELEPHONE#
COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MINNE
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New ??c? V?rk??SP
. Energy Envelope Calculations Submitled
p MAY 2 0 2002
Plumbing Conhacior:
Plumbing system includes:
Mechanical Conkactor:
Mechanical system includes:
Sewer/Water Conhacfor.
_ Air Conditioning
_ Heat Recovery System
PhOne #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the Inf rmationi rrect, and agree to comply
with all applicable State of Minnesota StaiuTes and City of Eagan Ordi? ces. ?
r
Signafure of Applicant ?
r. . . OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
_ Water Softener _
_ Water Heater _
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
VAIUATION U 7 OD '(QU -
'de
MULTI-FAMILY BLDG _ Y _ N
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118148
Date Issued:10/28/2013
Permit Category:ePermit
Site Address: 778 Cougar Dr
Lot:031 Block: 02 Addition: Oakwood Heights 2nd
PID:10-53801-02-031
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jackie Terrell
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John B Demsky
780 Cougar Dr
Eagan MN 55123
Walker Roofing Company
2274 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature
4�nn
AGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 TDD: (651) 454-85351 FAX (651) 675-5694
buildinginspectionst-cityofeagan.com
v /
------------------�
For Office Use I
I Permit #:
Permit Fee:, rl
I
I
I Date Received: I
I I
I I
I Staff: I
L----------------�
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ��'�_ -/ Site Address: -7 -11?
Unit #:
Name: Cl r c5 o u- i n Phone: S 0 7- ROQ - 0,33 7
Resident! c / I _
Owner Address/ City/ Zip: 0 7 E HGt m / / 4on A 1/l lA-� 5 70
Applicant is: Owner Contractor
Type: of WorkDescription of work: RPD ltd I m 8MS a- �i Is
�j
_.� Construction Cost:' O t Multi -Family Building: (Yes / No /
Company: �,b� j'�'G%1Ck � ontact_ KkQl . � A e ('C%ti✓i '
Contractor Address: �a J % �. �+ • Pau.[ c,c,[ ('�.
c!550 -7 4SI ' a7O
�3 Y
State: � Zip: Phone: mail: R 3 ► • CA
1 1,2 T1;2- �/ 0 �
40
License #:=Q 015 Lead Certificate #:
If the project is exempt from lead certification, please explain why. ►
ti
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Fagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber. Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor. Phone:
Fire Suppression Contractor: Phone:
V NATE: Flans end s documents Naa# J- F_
SPP° ,ywu submit -ane conirr`dered to be Pubft irtjbrrrratian. Porfions of the iinfortinatiron may
ciassifierfll as not flLm le 3mcillk r+ ons drat would dt the city to conckmb Nkat f *Y aerie bade secnots.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, andwo is n t 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 f Ian
X_ �r!j!' l ►,�Pl`�rl�' x
Applicant's Printed Name Applicants Sign e
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
-77� OU`� r2, /Ste/ �9 :;I_
Fireplace Porch (3 -Season) _ Exterior Alteration (Single Family)
Garage _ Porch (4 -Season) _ Exterior Alteration (Multi)
--�a Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
Lower Level Pool Accessory Building
Interior Improvement _ Siding _ Demolish Building*
Move Building — Reroof _ Demolish Interior
Fire Repair Windows Demolish Foundation
Repair — Egress Window _ Water Damage
*Demolition of entire building — give PCA handout to applicant
DESCRIPTION
LZ
ValuationPlan
✓j? 7Zo) S -
Review
Review
(25% 100% )
Census Code
# of Units
# of Buildings
Type of Construction
Occupancy
LZ
Code Edition
✓j? 7Zo) S -
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test Hood
Pool: Footings Air/Gas Tests Final
Drain Tile
Siding: Stucco Lath Stone Lath Brick EFIS
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Fire Suppression: Rough In Final
Erosion Control
Other:
.
Reviewed By: •rn `� 1' � I Mzlg- , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Dana 7 of 'A