No preview available
 /
     
3811 Country Creek Way     íü    ûôë  þýýü ûú ôú ÿ     ùüüýý ðëÿÿéï úÜæó  áã    þý   ÿþýüû êåúÿýüû ùýüûêû ûÿßÜ úÿúîî äÿûü Þ ôÿë åóûûûåóõÿõóû÷àåþè  ý ÿûþÿåûè úþõçôÿþü÷åõüóõè  ëéâéííè í èî í öù  ÿó Ýÿéâéè ð èð Ýÿ è  õó  òñ ûû óêå ß õÜÿ ýóõ  íáã üæíúÿüúùü æòø òø ñðïíð á  óþü÷ó óæóûûóóåõõûü÷óûûþ  åò ÿúüåäè ûûà õ ÿ ÿü ÿ CITY OF EAGAN . • 3795 Pilof Knob Rood Eagaa, MN 55122 N? 4 7 t 3 PHONE: 4548100 BUILDING PERMIT Receipt # "43? To be usad for Est. Value Dote `19 Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # 1 1 Repair ? Fire Zone < E l of Const T arge ? n ype . W Nome Move ? # Stories ; Address Demolish ? Front ft. Ci Phone Grode ? Depth ft. °C Approvala Fees Name 0 ?a Address Assessment Permit _ °C Ci Ph ~ Water & Sew. Surcharge one r Police Plan check F W Name Fire SAC ?a Address W Eng. Weter Conn. W M Q Ci Phone Planner eter - ater Council I hereby acknowledge thot I have reod this application ond stote that Bldg. Off. the informotion is correct and agree to comply with all opplicable $tate of Minnesota Statutes ond City of Ecgon Ordinances. ApC Totcl Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in ocmrdance with oll applicoble State of Minnescta Statutes and City of Eagan Ordinonces. Building Official PennR # Date Iawd ?maMho Plumbing /a G <- - o? --a - 7 JL Mechanical G y? - 7d vy„?„L ,?? INSPECTIONS DATE INSP• Rough-In Flnd Footings ,j -e,15- ? Date Iruo. Date Inap. Foundation Plumbing ?-?- s Frame/ins. - - Mechaniool Final Remarks: ,?-4'?c?% J? /i•to ?o,..??j .?.t-o-"`?'-_'.-'? ?.?o-a?c--? i'?-0 ????"i'"'-' / - i CITY OF EAOAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt * To be used for Est. Value "? t • Date %' J''" .1 L i ,19 Site Address Lot A_Block Sec/Sub. Parcel No. iIAY a Name 3 Address A} ° City Phone `, "=`i`'` -., C'i 5T0[S !'(1Q1.S City 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 Statufes and City of Eagan Ordinances. Signature of Permittee A Building Permif is issued to: on the express condition that all work shall be done in accordance with al I applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY On Site Sewage OccupanCy MWCC System Zoning On Site Well (Acfual) ConBt City Water (Allowable) PRV Required * of Stories Booster Pump Lenn?e, tn D dp S.F. Total FootDrint S.F. APPROVALS FEES 114' ' Engr./Assess. Permit Planner Surcharge Council Plan Review ? Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks a,.,. TOTAL Psrmit No. Psrmit Holder Date Telsphone i? Plumbing H.VAC. Electric 711 , Softener Inapection Date Inap. Commenta Footings I ? Footings II r Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bidg. Final Cert. Occ. Temp. LP Deck Ftg. Final ? cr Q.? he., ?,, i??e ??C Well -2 Pr_ Disp. 0 CITY OF EAGAN Remarks Addition CEDAR GROVE #11 Lot 3 Blk Ow er ??i .Qd?? ?•B??'J Screet ?11 Countxy Creek Way ?-? IV Improvement Date Amount Annual Years Payment Receipt ate I STREET SURF. 1/4 STREE7 RESTOR. GRADING ree - , , SAN SEW TRUNK 0 ? 1968 * SEWER LATERAL * WA7ERMAIN WATER LATEHAL 2 7 (o WATER AREA * 3! 1 - STORM SEW TFjK -71 1971 6 1.6 2 f ' Cc ?Ji ?" STORM SEW LA'f ( D 1971 22.37 1.11 20 ? 'U'"q G,b CURB & GUTTER SIDEWALK 187.52 , , - - STREET L(GHT WA7ER CONPV. 250.00 3-22-78 BUILDING PER. sAC 500.00 9432 - - PARK f OF EAGAN S Pilot Knob Raad in, MN 55122 PERMIT NO.: DATE: No. of Units: te Address: . _ ' lumber: (eter No.: Connection Charge: Account Deposit: . ize: - eader No.: Permit Fee: • agree to comply with the Cifiy of Eagun Surcharge: lydinanees. Misc. Charges: • Totai: DQte Paid: . • . , dy ; . Date of I nsp.: I nsp.: .: .. s . cIrr 0;• EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: .. Eagon, MN 55122 DATE: Zoning: No. of Units: . Owner. . Address: - ' Site Address: ----- ., . . .. ' . . ? Plumber: • . -. 1 agree Fo wmply wilh the Cify of Eogon Connection Charge: , osit: M D A Ordinances. ep ccou , Permit Fee: • , ,? • Surcharge: Char es: M gY _ g isc. T t i: Date of Insp.: a o Paid: t D . Insp.: e a City of Eagan 3795 Pilot Knob Road Eagan, NAJ 55122 Date: August 3, 1978 Dakota County Abstract Co. SPECIAL ASSESSMENT SEARCH 1250 Highway #55 RE: 3811 Country Creelc Way, Eagan Hastings, NIN 55033 Lot 3, 81ock 2, Cedar Grove 11 Enclosed herein is the search which you requested made on the above described property: Kin o mprovement uns Beginning Orzginal Amount Balance Due Street $ Sidewalk 10 1978 1222.97 1100.68 I further certify that accordiag to the records of said office, the following improvements are contemplated or pending after having been approved, artd are now in the process of planning or completian. Kind o Improvement Approximate date o Campletion Approximate Cast NONE WAIVER; Neither the City of Eagan nor its employees guarantees the accuracy of the above information which was requested by the person or persons indicated. Nor does the City af its employees assume any Iiability far the cQrrectness thereaf. In consideration for the supplying of the indicated infarmation in the above forma artd far all other consideration of any nature whatsasveT, apy clai.m against the City of its employees rising there from is hereby e3cpressly waived. Levied assessments to be paid to the County puditor at Hastings, Minnesota 55033, Very truly yours, SPECIAL ASSESSMENT DEPAR'1'MENT /sJ Ann Goers Assessment Clerk . . . P R H'ELSHONS. Prcddent DAKOTA COUNTY ABSTRACT CO. HASTINGS PROFESSIONAL BUILDING ' 1250 Highway 55 Hastings, Minnesota 55033 Phone 437-5600 L. L. iHYEN, Vtce Prealdent Please send me a Pending Assessment Search on each of the Pollowing tracts of land: Lot 150 Block 1. Ches Mar Fourth Addition Dunberry Lane, Eagan, Minnesota Lot 9, Block 2, Ches Mar First Additio n Ches Mar Drive, Eagan, Minnesota AND Lot 3, Block 2, Cedar Grove No.11 3811 Country Creek Way, Eagan, Minnesota Enclosed please find check Yor $15.00 to cover costs. . . . Thank ypu, r;n :.'„ .,'..._. Rosie 1g78 ?- RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConatructWn NggphemeMe • 3 registered sile surveys showhg sq. fl. of bt, sq. N. of house; end gg roofed areas (20°/amaximumbtcoveragealbwed) - • 2 copies ot plan showmg beam & window sizes; poured found design, etc.) • laetofEnerpyCelculetlans • 3 Copies oi Tree Preservation Plan B lot plattetl afler 1/1193 . Rtn,bisl Detail OpGOns selectbn sheet (61tlgs witli 3 or less unfts) DATE / j 36 ? ? Z_ 4 - 3() - 6 a- pemodeUReneir NeaulremeMS ? . 2 copies of plan r • t set ol Energy Cakulations for heated additions I?. J . 7sAesurveyforexterbraddAbnsBtlecks ? . Indkate tl home served hy seplic syslem lor addillans G 00 VALUATION ! ) i , ? t SITE ADDRESS Z?)<s j I ( C?vSY MULTI-FAMILY BLDG _ Y ? NPE OF WORKS 1 U ooti ?? FIREPLACE(S) _ 0_ 1_ 2 C / APPLICANT ?? t2 S ,p? STREET ADDRESS/ Z?.3L9 57 CIN OW?L?'coO":?sSTATF/`"rZIP ??o TELEPHONE #7f?? 7S ? CELL PHONE FAX # 7e'v 3 PROPERTY OWNER ?01? ?ll `(? / ?/ a? ? TELEPHONE # e/ :5j ??Z 4?99?? COMPLETE THIS SECTION FOR -NEW,, RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (J submission type) • Residendal Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: Mechanical Conhactor: _ Mechanical system includes: Sewer/Water Contractor. _ Air Conditioning _ Heat Recovery System Phone # Phone # Fee: $70.00 I hereby acknowledge ihaT I have read ihis application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin . Signafure of Applican? OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updeted 4/02 PERMIT# qlUq RECEIPTDATE: MIDEP17lkL PLUM$IRfi PERMiT APPWCATIOR crrY og EAeattQ 3830 PELOT KROB IiD $t4HAF, MP $5122 651-6$1-4675 Please complete for: ? single family dwellings . ? townhomes and condos when pertnits are required for each unit ? backflow preventer for irrigation system ? - - - PLANT, TOMNICKI SITE ADDRESS: 3811 COUNTRY CREEK WAY EAGAN, MN 55122 OWNERNAME:: (651)452-1085 TELEPHONE#: (AREA CODE) INSTALLER NAME: TELEPHONE #: , (AREA CODE) STREET ADDRESS: /R17\ A97-AA!Yi cin.: 2905 GARFIELD AVE. SO. STATE: ZIP MINNEAPOU3. MN 55408 Plaee a rher.k mark nnYt fe the nArmit work tvoe New residential dwelling unit under wnstruction and not owner/occupied $ 90.00 Add-on, modification or alteretion to existin dwelling unit, including: i,$ , 50.00 • abandonment of septic system • newinstallation/repaidrebuildofRPZ 1 EP i 2 LU?I I, • lawn irrigation system ' • water turnaround - ? Nature of work: r?Jpt?'? wµ? hea?vf -r Septic System, new/refurbished - $ 225.00 • inciudes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total $_ Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I here6y acknowledge fhal I have read this appllcadon, state that the infortnatlon is cortect, and agree to complywlth all appllcable City of Eagan ordinances. It is the applicanPs responsibility to noU(y Ihe property owner that the City of Eagan assumes no liability for any damages caused by the C(ry duAng its nortnal operadonal and maintenance act(vities to the facilities consWcted under this pertnit within City property/rightof-way/easement. SIGNA RE OF PERMITTEE Updated 1/01 . 1 ? 1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN * SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL IINITS FOR S9LE UNIT3 U OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUAVEY - CHECB WITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMA1EHCIAL INCLUDE 2 1 SET OF SETS OF ARCHITECTURAL & STRUCTURAL PLANS, SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ..1-?Cy?2..6ti9_u.?l ?tJ tL?LAGtW V To Be Used For• Valuation: Site Address 3811 Ccwntrk, L'r:ik i ? Lot 3 Block Z Pareel/Sub CEn•vf- ??r'c.•c !/ 7N Owner g??r?l?i?a1'C Address 12"l,t Lu uy" City/Zip Code C'..j Phone ATI- ?Z:; 8's- Contractor Address City/Zip Code 4.py'iaY Phone Arch./Engr. ??v6 Address }JZL'?.. City/Zip Code Phone # ?Cyy. Date: 4-4'1:)Tn / / p0p - On site sewage_ MWCC system _ On site well _ City water _ PRV required + Booster Pump _ APPROVALS Oceupancy Zoning Actual Const Allowable # oP stories Length Depth S.F. Total Footprint=S.F. FEES Engr/Assess Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL Ily,oo 5150 5?, Oo /7G,So CITY OF EAGAN N2 14 7 9 8 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55127 PHONE:454-8100 BUILDING PERMIT Receipt# To be used for POOL Est. Value $11, 000 Date APRIL 7 ,19$$- Site Address 3811 COUNTRY CREEK WAY Lot?_Block ? Sec/Sub. Parcel No a Name TOM PLANT ? Address 3811 COUNTRY CREEK WAY o City EAGAN Phone 452-1085 OFFICE USE ONLY On Site Sawage _ Occupancy MWCCSystem _ Zoning On Site Well _ (Actual) Const Ciry Water - (Allowable) PRV Requiied _ # of Stories 8ooster Pump _ Length . Depth S.F. Total Footprint S.F. ¢ Name CUSTOM POOLS, INC 0 oQ Address 601 E EXCELSIOR AVE City HOPKINS Phone 933-2255 ? Uw W, fi ua a W z a Name_ Address Ciry _ I hereby acknowledge t t ?have read this?Gp? ica o and state that the. information is correct nc?gree to compy? ?py`lh ap ' able State ot Minnesota Statutes a d i pf Eagan Orpin2Alc APPROVALS Engr./Assess. Planner Council Bldg. Off. Variance - FEES Permit Surcharge Plan Review SAQ City SAC, MWCC Water Cann. Water Meter Road Unit Treatment P1 Parks TO7AL 114.00 5.50 57.00 SignatureotPermitte&.J?.?- A euilding Permit is issued ro: CUSTOM POOLS_,_INC on the express cond ition that all work shal I he done i n accordance with al I applicable State of Minnesota StIatutes anpd City of Eagan Ordinances._ BuiltlingOfficial ??Gro EdAfA. I y ? 176.50 . r?• y .. , .. • , i ;' ? ? s 9 ? ?i , i (C?-n „ p, ?•??v?? ? t ; 4 I I ?. . ? r i r I , I ; ? ? . { ?MCITY OF EAGAN 3795 PIlat KwA Road Eo9on. AAiwwowh 55122 Phone: 464-8100 Date: Site Address: Lot Block Sub/Sec. _- No. Receipt Na.: Single I Residenrial Multi Res., Comm./Ind. I Name ` E'•ll Constructinn New/Alter /Repair . . ; Address LYri Cosr of Installorion O _ City . )rnlnqtOn P??: ? ? Permit Fee Name ??.?7 1•3. G'•'''_ ]?f', : :.:1. ri=: - - Surcharye ? ? Address - 37 ChiCar . vp. SC. e 0 U - City ^ ? Phone: Total This Permit is issued on the express condition thot cll work shall be done in ccoordance witfi all opplicable Stote of Minnesota 5totutes and City of Eognn Ordinances. ? Building Officiol Eagaw, Miwnasofa 55122 Phene: 454-8100 PERMIT No. Date: Receipt No.: ' Single I Site Address: Residential - Lot BI«k Sub/Sec. _ PERMIT reek Way - Phone: Nome PZt1IAb 11Ct Co. New/Alter./Repair. Cost of Instollation ? Permit Fee Surcharge v ? Ctry Phone: I Total This Permit is issued on the express condition thot oll work shall be done in occordance with all opplicoble State of Minnesota Statutes and City of Eognn Ordinances. I new 20.00 ? Buildln9 Official This reQUes? void 18 0 2 5 F; 3-1 Request UaYe Fire No. Rouqh-in IreVection Requlred? (:]RCadYNOwE]WiIlNotify.lnspec- Wr Wh n R d U ?Yes ?No e ea v ?Licensed Electrical Convactor I heraby requastinspec<lon olaEOVe Owner elachical work installedat: Sveet Add/ress, Baz or Rou?re jNo??? City ecLOn o. Township Name or o. Hanqe No. ? C nt?? Or.cuGani(PplNT) PGh'o/ne No. / `ej 9's- P w¢r $upplie! ' Addre55 Eloctr^- I(? o_mra-/tor? ?Compan?y N}?me`l Co?nh/acto,r's? LiCense No. l??.f".=-?s'K.'G% Malling AdJress (Contracmr or Owner Makinp Instailat S 7 ?L ? ? ir? ,, 0C Auffiorized Signa[ (Con to?/Owner Maki Installationl ? Phone NumDer MINNESOTq STATE BOAflO OF ELEGTRICITV IX G,iggs-Midway eldg. - Boom N-791 1821 Universitv Ave.. 51. Paul. MN 55104 Phone (612) 642-0800 iHIS INSPECTION qEQUEST WIIL NOT BE ACCEPTED BV THE STATE 90ApD UNLE55 PROPEP INSPECTION FEE IS ENCLOSED. '/ REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os ? See instruc4ons 1or compieting ihis fwm on back ot yellow copy. ???"? ? ""X" Below Work Covered by 7his Request ? 2563 AAd Heo. Tvoe oi 6u'la'n Apohir,cm Wiratl E?uiu??e?? wiren ? I 1 ?I Horn.? Ranae Ternporarv Service niiNr.v I I Water Heater Liyhtiny Fixtures Commercial Bldg. Fumac e Silo Unlonder Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Otner 0 eafv -iher Ispecifyl tmr Succily Other 01hr,, __. N ..r...., ...., Fee r.,_........,., __._.. ServiceEnhanceSize fl Fee Feeders/SubleeJers a Fee Circults 0 to 200 Amps to 30 Am s 0 tn 30 Am s Above 200 qmps? 1 to 100 Ainps t 31 to 100 Am s ? Swimming Pool 100-Amps Above Above 100_Am s Transiormers rrigation &oonis PartiaLOther Fee pigns oNecm? uisVe S? 5 ? ? TOTA Aemarks I Rou9h.'in ?Ir?? ?. the EI ? I I Ilnspectoq heroby ? certity thnt the above Final inspection has been m /! ade. /cG?G This request void 18 months from ?? 7? P 64446 Datt o this Request S - I, as L Licensed Electrical C ntractor ? Owner, do hereby request inspection of the above electri cal wiring installed at: ?( - G( ? Street Address or Route No. Cit ? Section Township ^ Range County Which is occupied by Is a ronghin inspection required on this joh? No ? Yes ? Ready Now ? Will Call ? ???w Address A?L? ? Power Supplier r ?I ?,S?p• C? Contractor's License No3`?A Electrical Contractor (?ompany ame? , Mailing Address ?. sO S ?->n" ? 1j? . ,-.? (Elect al Copt ?t?OwAkln9 This Initallatlon) ^ J???. ' ? \ C-4?_ ?yVh1 . Authorized Signature I Phone No. o t . (ElecVical Co ector or Ownef Ma n9 Tnis Installatlon) ttt??? This inspection request will not be accepted 6y the Stata Board unless proper inspectian fee is endosed. rJ !n1 Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phooe 645-7703 7e. REQUEST FOR ELECTRICAL INSPECTION P? s Q??? .,r,. nv mv1c ncnrrPc?r If l;tlt,l;K1fGLVw n'Vnn?VVa; Type oi Building New Add. Rep. Home ? ? Duplcx ? ? ApL Bldg. ? ?? Commercial Bldg. ? El El Indus[rial Bldg. ?El El ? ? ? -,.a Check Appliances Wired Fo? Rxnge ? Watcr Heater ? Dsye ? Fum Au ;dlti Lrst - Check Equipment Wired For 7cmporary Wiring ? Lighting Fixtures El Electric Heaiing ? Sil o Unloader Bulk Milk Tank ? List ) } Fazm Othei ? ? ? thers O? Here Others Here 7 cvv oci ntu (,'VMYU 1 C 11vJrc.? Service En4ance Size: t ivi # v Fee Feedecs$Subfeedecs: # Fee Cirwits: # Fce 0 to 100 Am s. 0[0 30 Am eres 0[0 30 Am e[es 101 ta 200 Amps. 31 to 100 Amperes 31 [a 100 Am eres Amps. A6ove 200 Above 100 Amps. Above 100 Amps. _ T[ansformexs ItemoteControlCire. Paztialorotherfee Signs Specul lnspection Minimum fee $5.00 Remaxks TOTAL FEE ?y S I,the Electricallnspector,hereby (Final) This request void 18 has been made. pate -1)? te n -?_??r ?x j 1-7r 3 nnxE 3-/ a- tI ;z S' BUILDITdG PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. 7b be used Por Site Address; & vtr?P( !/ Valuation -f 6 h1 7 Lot ? Block Z, Sec. 5ub, et; r Parcel Number iQ / G 711 D 3 o D]" / I Owmer Telephone Address AQ ?sp Contractor Address Telephone Arch./Eng. Address Telephone OFFICE USE Erect v Alter P,epair . Lhlarge Nbve Grade O L ccupancy 2oning Fire Zone .3 Type of Const. fl of Stories Front f'9 Depth ? 2 y OFFICE USE Date of Aoproval & Initial / Assessment D 3 Q 1J7g' 4)ater/Sewer Police Fire Eng. Planner Lbuncil Rldg. Off. A.P.C. FEES ° fJ Permit Z04 f 0 Surcharqe?/z Plan Check --?-/-? SAC - e9 U!! ..o Water Conn. ,?? S°Iater Meter TOmAI, ?? ? J cirr oF eacnN 3795 Pi1M Kno6 Rmd Eagen, MN 55122 N? 4713 PHONE: 4548700 BUILDING PERMIT APPLICATION $40 ReceiPt # 9432 ,000. , 19 To be used for Sf Dw1gS Garg. Es[. Value Date Mar, 22, 78 . Site Address 1811 r....,.fr., r.ee? t?Erect g) Occupancy-1 --- Lot 3 Block Z Sec/Sub. CG 11 Alter ? Zoning R- } Porml # 10 167p 030 02 Repair ? Fire Zone 3 Enlerge ? Type of Const. v w Name M8'r >> SiyL Move ? # Sfories z p?res, 10800 Lytldale Ave So Demolish (] Front 59 ft. Ci Bloomington phone 884-7225 Grade ? Depth 26 ft. AvProrab Fees o Name Z? Assessment Permit.1] 5 50 o" Address U? Water & $ew. Sur<harge ??Pnn 'i Phone Police - F? Fw Name Fire ?z Address En9. a"' Ci phone Planner - Council _ I hereby acknowledge that I have read this application and state that Bldg. Off. _ the information is correct and agree to comply with all opplicable State of Minnesota Stotuies and Ciry of Eagan Ordinances. APC Plan check--.Da_ SAC Water Conn. _ 2n QO Water Meter a t, n.... 75.00 Totol o??50.- Signature of Permittee I A Building Pertnit is issued to: ' 1 on the express condition that all work shall be done In acwrdance v'th oll pplicobl Stote of Minnesoto Statutes and City of Eogan Ordinances. Building Official Y 390 OOON47 ? ? ?-.Tf 1-0-2 ? z5 0 ?: o2 ? ° L? da--s- 4!' 1^0 v - Ibc) . `? U)?-/ ? ?      ð  ÿ    þú ÿ ÿþ  ÿ þýþýþþ     üÿÿ ò ëî ìð ÿ á ã  ïíì    ù  ýüûúù  ö é ð  üúù   ö é ÷ öéñ ÿ ò    øü ð  ü ð ååâü ÿù Ú  ýÜüÿ  ò ã ò   ò  Üü  ò    ÿû  ò æóÿ  öö  þÿó ó ÿò     æðÿó óÿ ÿó  ÿÿæ ðÿ ûòä    ÿ  Üü ûùÿö   óÿòùò æ ÿ î çåàçæìæå øü  ýü ÿ çìææì Ûÿüÿþæ  ÷ñõþñ ù ôó  ÿ øò  øò ý úòÿ ÿ ïïõ   ã æ÷ðü ùð ÿù á Ûÿ ùõ÷åìí ÿ ÿõ÷ìì ëíïèåììï  ûùÿö  ÿÿã  ÿ ÿ ÿÿ ÿ ÿ ó òÿ  ÿÿ ò ùöÿÿ ÿû ýÿ  óõ ÿýÿü ÿðùó ÿ ÿâ ÿ æ  ÿé ò ý ÿü  ü ùý ÿü Date: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: 1' LkL73 Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Resident/ Owner Name: 1 O W\'k 0 t C. -V._ \ € S)A 'li Phone: 00- f&e - 705S' Address / City / Zip: 3 it aid ,1 1. /uek c1,- /.1(r l')-747 i31z2 Applicant is: Owner Contractor Type of Work FaXILAI Description of work: ' -C t COLK c' l�a \V- \ ` *1'01.v4 e f, 961A -N, Construction Cost: 11 ('1-.-p, .c19 Multi -Family Building: (Yes / No ? ) Contractor Company: Cgli Y1 fW &1Contact: ii 4 Ar !� Address: 229-_s- /?iii sir 4r t ' City: ,&/./1'67-c..4 State: ‘71Zip: 53 ---VV I Phone: 76 3 f 2 2'8 '''1‘S% License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code e completed within 180 days of permit issuance. x � \I1([C Applicant's Printed Ntarne x Applic Page 1 of 3