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3813 Country Creek Way CITY OF EAGAN . 3795 Pilot Knob Rood Eagan, MN 55122 N2 4436 ' PHONE: 454-8100 BUILDING PERMIT ReceiPr # To be uwd fer - Date , i 9 Site Address Erect Q Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone e ? E l e of Const T arg n ype . W Name Move ? $k Stories 3 [ ddress Demolish p Front ft. ? Ph one Grade Depth ft. A...........1. ?sae ? NAITIC .'..!`. - - -- ?? Address - F d-:... oL.._.. Name _ Address 1 hereby acknowledge that I have rcod this application ond sfiate that the information is correct and agree to comply with o!I appticabie Stote of Minnesota Statutes and City of Eagan Ordinances. $ignature of Permittee A Building Permit is issued to: all work shall be done in accg Building Official Assessment _ Woter & Sew Police Fire Eng. Planner - Council _ Bldg. Off. - APC Permit y ti' 1 Surcharge Plan check SAC Woter Conn. `• ^? Water Meter ` . nQ Total 50 on the express condition that with all applicoble State of Minnesota Stotutes ond Ciry of Eagan Ordinances. Pawk # Doh IwM pwwklM PI umbing 'ff /r, S- 7 7 . Mechanical INSPECTIONS DATE INSP. R???n Finol Footings Date Irnp. Dote Irrp. Foundation Plumbing Frame/ ins. ? Mechanical Final - 77 ? Remark5: Receipt.!' 'MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered speces S/C Type or Princ /egib/y Tot 1. Date 2. Installation Cost 3. Job Address Lot ? Blk. Tract- 4. Owner 5. Contractor Phone 6. Address 7 • 7. City State A'IA] zip c, 1.22 8. Building Type: Residential 0 Commercial O Institutional O 9. Work Description: New C2 Add ? Alter ? Repair ? 10. Describe .-.,a, 11. Type No. Equinment 8TU - M. Ea. Forced Air C? EC?rcC No. Equiument CFM A Mfg. ?- ir Handling: Boilers Mf 9. b 1 b Mech. Exhaust ?o ?Ksoh o Unit Heater ? ? E C+ Mfg. Oth Air Cond. er Mfg. Gas, Piping Outlets 12. I hereby oertify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed 454-6100 for Rough Final Inspections: Date /p-it7-Q Insp.9C Date Insp. This is your permit when num ered and approved. Approved CITY OF EAGAN _J CITY OF EAGAN Addition CEDAR GROVE Street Improvement Date Annual Years Pa ment Receipt Date STREET SURF. ?d ? 1971 2 16 0 74- STREET RESTaR. 2?1 1975 E 12 4 lO GRADING ree ? . 4 5 U3 , . - - SAN SEW TRUNK 1 E>H 6O O 2,00 30 )t SEWEFi LATERALr 1975 14 6 298 *- WtLter lat._ axea 1975 5 WATERMAIN WATER LATERi4L & g a, 197-3 200.4 1-3-36 1 WATEF AREA * 3torm Sewe Trunk 1 6 268.39 .68 STORM SEW TqK -79 1971 33-56 1.6 20 •? Ci STORM SEW LAT t [O 1971 22• 'T 1111 20 CURB & GUTTER SIDEWALK ? 1978 187.52 C003497 10-6-77 STREET LIGHT WATER CONN. ? BUILDING PER. SAC ?r .DO (o PARK INSPECTION REC4RD Control No. 0426 CITY OF EAGAN PERMIT TYPE: "l1 i i FJ 1 NQ 3830 Pilot Knob Road ? Permit Number 000679 p f? 4 . Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: !.o t: ? gLac K: ,r APPLICANT: 3ll1 :s COUNTRY CREFIf WAY HA','?k I 1 .IAMES Cl'ffAR 8H'ilVf 1lTH (612) 454-4161 PERM4T. SU?TYPTYPE OF WORK: r: >. r?K?.? NEw DESCRIPTIAN o' 7( il' DF.CK INSPECTION fOo l TN(i ., . C'6fAM.[N .• iNSUT A i tUN F'IMA1 It11/ARKSo "1'.C.EJPt • IMrttJUE'S N' X 12' UFf.K #F ;%???e"S . '? -. _; s???: ?.._: `?_• J ? i ? i ' ? g ,? o I N ? j ' i ? r r- G r ?' n n n lO ? ? ? a? ? °•° ? ? r • ? M CD ? o q° 0 n Z ? ? z z ? ? 09 o S ? i v c 3 ? ri 11 ? Q v ? ? • ? CITY OF EAGAN ' 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 PLOMB'G Date, Avgast 5, 197' PERMIT Receipt No.: Single Residentiol Statement 0324 Site Address: ?- Lot Block 5ub/Sec. Name ' . ,aiale Avc. ; - ? Address ?loamington City Phorie: ffhomPson Plu:nl,ing r'r:. ame 12201 Minnetonka Blvd. ? Address City Phone: This Permit is issued on the express condition that oll work sholl be Minnesota Statutes ond City of Eogan Ordinances. I nd, New/Aiter./Repair. Cost of Instollation Permit Fee Surcha rge Total done in accordance with all npplicable State ot Building Official d CITY OF EAGAN 3795 Pilot Keob Road ? Eagon, Minnesota 55122 Phone: 454-8100 ' PERMIT Dote: . .??3 .?•. . Site Address: Lot Block ;L_ Sub/Sec. - " Name , _ . . . ; Address ` . . , ? City Phone: ;'Te;.*-z i:eatinc No Receipt No.: Single I Residentiol Multi Res., Comm./Ind. I ??4t1 New/Alter. / Repair Cost of Installation Permit Fee Surcharge ,g Address 37 !fi:. ? . .. e 0 V - : City . ? . Phone: Total This Permit is issued on the express condition that all work shall be done in uccordance with oll applicable State of Minnesota Statutes and City of Eagan Ordinonces. No :536 . Building Offlciol CITY OF EAGAN ." 3745 Pilat Knob Rond Eogan, Minnesofa 55122 . Phone: 4548100 ` PERMIT No. -? r Date: 'ep tember 7, .'.-?7 Receipt No.: , . . 5ingle Residential Site Address: Lot Block Sub/Sec. - Multi Res., Comm.llnd. I Nome New/Alter./Repafr. 3 Address )u.?try ^c ? • ? _ Cost of Installotion ' O City _ Phone: Permit Fee ? . ..,: ` Nome - Surcharoe ? ? -ss ? City _ Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CIvY nF EAGAN WATER SERVICE PERMIT 3795 Pilot Kno6 Rood ? Ecyon, MN 55122 PERMIT NO.: Zoning; ----- DATE: ! C? ? wner; - No. of Units: `. Address: ? ? Site Address: Pl umber: ' Meter No_: °Size: Connection Charge: ~ Reader No.: Account Deposit: ? Q9ree to comply w7th the CitY of EQ 9d^ Permit Fee: ? S Qrdinonees, urcharge: Misc. Chorges: BY Total: Date of Insp.: Dcte Paid: f nsp.. ? CITY fj¢ EAGAN SEWER 3795 Pilot Kno6 Rood SERVICE PERMIT E090n, MN 55122 FERM17 NO.: Zoning: dATE: ; O ?,?r: - No. of Units: Address: ---- -? Site Address: Plumber: ----- f ogree to eompiy with the City of Eu an g Ordinonces, Connection Charge: AccounY Deposit: P2rmiY Fee: gy Surcharge: Dote of lnsp.: Misc. Chorges: Insp.; Totol: Date Poid: 14?790 - ?'?°23 - ? Request Date l Fire No. Rough-in Insa wpe? R red? ? Q Ready Npw/}?Will Nolify Inspedw ? es ? No ?Vhen Ready? IL-. licensed contractor 4wner h b ere y request inspection of a bove electrical work at: Jab Atltlress (Street. Bo Roufe Na.1 sp'3 ? ?xe ? ,? c?`? . SecTownsp)p Name or No. Range No. Coun ry Occu ant p I /?,?c K7?l4 SS ?? Phone Na. G Power Supplie! Address Electncal Con actor (Company Name) /hg-o cun l Contractor's Ucense No. Mai ing qdd ess IContraCtor or Qvaner Making Instellabon) 0 L/V Authonzed ignature iContractor,Owner Making Installanon) - _-j i Phone Number rvtsV7A STATE BOARD OF ELECTRICITY riggs-Midway Bldg. - Room 5-773 TM?S INSPECTION REOUEST WILL NOT 1827 University Ave., St. Paul, MN 55104 8E ACCEPTED BV THE STATE BOARD Phone (612) 642-0800 UNLESS PROPEFi INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRfCAL INSPECTION ee-oooo,-oe ? J42790 ? S9e mstructions for completing ihis torm on back of yellow copy. "X" Below Work Covered by This Reauest ew AtrO Rep. , TypeofBuilding Home AppliancesWired Range EquipmentWired Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Fumace Farm Air Conditioner Othgr (specily? Contrector's Remarks: Compute Inspection Fee Below: 13 # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Am s Transformers i Above 200 Amps p Above ?00 Amps gnS S inspedor's Use Onry: ?T ? Irrigation Booms ? fGt? ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED D dther Fee ISCUNNECTED IF NOT COMPLETED WITHIN 18 MO S. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in Finai Date Date , A OFFlCE USE ONLY This requesl vo,d 18 months from -1 -? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Datelssued: 3813 COUNTRY CREEK WAY LOT: 2 BLOCK: 2 CEDAR GROVE 11TH BUILDING 000529 05/14/92 DESCRIPTION: B' X 12' DECK ,Building Permit Type RES. PORCH Building"Work Type NEW UBC Occuparic.y R-3 Construction'Type V-N ; Zoning R-1 Building Length % 14 Building Width 14 ? . ?. i r ??'? r -. ? , ?? ; ;'• ? ? ? r i I ? (? t" , i ?_,?• REMARKS: RECEIPT . eo13-7 to b FEE SUMMARY: Base Fee 3urcharge Total Fee PERMIT ? ' INCLUDES 8' X 12' DECK VALUATION $117.00 $5.00 $122.00 $10,000 CONTRACTOR: OWNER: - Appiicant - HASSETT JAMES 3813 CDUNTRY CREEK WAY EAGAN NN 55122 (612)454-4457 I hereby acknowledge that I have read this application end state that the information is correct and agree to comply with all applicable State of pln.---• Statutes and City of Eagan Ordinances. L ? APPLICANT/ RMITEESIGNATU ISSUED SIGNATURE Control No. 0426 PERMIT # cmr oF EacaN - •?- - -, • ?"?? 1992 BUILDING PERMIT APPLICATION 681-4675 Mp1r i i RECo SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered_stte-sur-veys, 1 copy a£-easxgy- COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot than e is re uested once ermit is issued. Date ? / ?[L / ? Yaluation of work ???Od t Site STREET STE ? Tenant Name: LOT ? BLOCK C7- StlBD.4G,02<?evee5 ,(/C' Descri tion of work: The applicant is: X Owner ? Contractor ? Other coeacrtbe) Name Phone?-5?' Property LASi FIRST ?,,?'6 - 3 6b z Owner Address STREET STE N City State /eW- Zip Company ????c`?'L Phone Contra ctor Address License # Exp. City State Zip Company Phone Archttect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber X'/ . Processing time for sewer & water permits is two days once area has been approved. 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 Statu tes and City of Eagan Ordinances. Signature of Applicant: xg? , 1??? BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. O 03 Two family ? 04 Multi-fam. ? 05 Apt. Bldg. WORK TYPE OFFICE USE ONLY ? 06 6arage/Accessory Fire lace T.H. 09 Basement Finish O 10 Swim Pool 1 New ? 33 Alterations ? 34 Remodel ? 35 Repair ? 36 Tenant Finish GENERAL INFORMATION HI .r..? ? k- T4 ? t 4 3911 Res. Add Porch ? 16 Agricultural ? 12 Comn./Ind. New ? 17 Building Move ? 13 Comm./Ind. Add ? 18 Demolition ? 14 Comm./Ind. Rem. O 20 Miscellaneous ? 15 Public Fac. ? 37 Move ? 38 Demolish 0 99 Undefined Occupancy R-3 Basement sq. ft. MWCC System Zoning lst F1. sq. ft. City Water Const. (Actual ; v-N 2nd F1. sq. ft. PRY Required (Allowable v_,? Sq. Ft. total Booster Pump # of Stories - footprint 5q. ft. Fire Sprinkler Length On-site well Census Code J-13 Depth 1?f On-site sewage SAC Code APPROVALS Planning Building ?,_SS'=)z-9Z Assessments Engineering Variance REGIUIRED IN SPECTIONS QErnstRKS: 3 s??so?? PoRGH 4-/7N SX12' DoCt ? Site ? Wallboard fN Footing jff Final 9 Framing ? Draintile q Insulation ? Fireplace Permit Fee I 1'7,00 vewaston: : 1oo C)? Surcharge 5.00 py"f/ Plan Review I L-(x?14 = 1-r-t6 X'fS=- License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: g?rZa lbo? 1k2o .> SAC % SAC Units ?• ? ? - ?MpINYtM?NO i? -- ? •i ?r V^ ?w :It ?` .? ? .Yw.rv. A.y ..- ? •.? 1..?w ? LJ ? ? . ? ? I.J h...... ? 'I ? F. v?? •? ? • •• IIb. ..• , ,• Ull' 7 Certificate of Sixrvey for_C ?-?1A?? ?.://1C)??C: ???i ??• 3g1? . Co,?r1??Y C?:?ck ?rJr?Y -- 51 ;p? --- i ? I i ? r ? S N ' Pa sch - ? 6K11'DSCJG i , ? I _- SI----- - - _ _ - - - _ _I S 10i.0tii---- --- -- LoT rL , g?o?k `?- , C?n,nQ ?r;ovE ?vo. 11 I ( f,ulwfa Coun?N- ?Q/Q '?K1 -- - ?L? iGi2•i drll//7:1?a ? r J..ui4.d I.wd, and sl IA. I??a?iu. ul ?II 4eJJ?ny• Ih?.??n? .nd .II f?ILI• •na.o?ahm.wl?, i/ Ln,, 6o- ?. ? ?aid lan?. ?? ??..?y?d rr X.D. Njj. . SUYURSAFJ l (i1NE[iilNO, INC. [..pi?.... ? • ? .3.....yq.. Da e : BUILDIT-!G P1?Ri4Ii P..PPLICATIO'_I LOT K ELOCK o2 1filDITIOc) (1- 0" / / HtIRCEL & uECTS0Y7 '.•]Ui12ER IF UidPLATTED ADllRESS OF PARCEL ? $(/ 3 200I:1G /U OCCUPALICY U S E S//--?t,i,t, Le -r--?v? x 3 8 E5TI[+lAi'ED COST Ot'711ER TELEPHOtdE iVO. ADDR85S CONTLtF.CTOR AllURESS TELEPHOI3B 170. Notes Include site plan, building plans, anii energy calculations vaith this application Signed OPFICE USE vALUnTIosl (51 30000 etj? SAC o? I'rATEI co.3NEc=MT a3v e1F1TE& '3ETER SUILDItIG PE}?I1IT FEE g? SIIRCI3ARGF FEE: I'S PLMi CnECK Fr.E P R D ? ?s A IC EDIC11TIG,>T FEE ,,, OT R tl gs '' :. a TOTF.L* APPROVALS: ' ASSESS+IE"N'T CLERR j?/ 1. SUIi,DIIQG DEPT. POLICE DEPT. ?^IAi$R & M3E'R DEPT. FI''T'?. DEPT. P11RIC DEPT. CITY OF EAGAN No 4436 3795 Piloe Knob Roed Eagen, MN 55122 PXONE: 454-8100 6904 000 $30 i t # BUILDING PERMIT . , APPLICATION p Rece - Sing. Fam Dwlg. S Garg. pateJul y 29. 79L ro be umd for Site Address 3813 CouIItiy Cieek WflY-- Erect [?C Occupancy I Lot Z Block 2 Sec/Sub. CG 11 - Alter ? Zoning Rl Repoir ? Fire Zone - P l #' V orce . Enlarge ? Type of Const. Name Marell Const CO Move ? # Srories a z 10800 Lyndale AYe. So. Demolish ? Front 46 ft. 3 o Address BLOOQIiIIgtOII Grade ? 38 ft. Depth Cit Phone Fees Approvals p Name _ Address ? r».. Name _ Address 1 hereby acknowledge that I have read this applicotion and state that the information is correct and agree to comply with all aOPlica6le State of Minnesota Statutes and City of Eagon Ordinances. Signoture of Permittee _ A Building Permit is issued to= all work sholl be done in accc Buildirg Official Assessment _. I Woter & Sew. Police Ftre Eng. Planner council Bldg. Off. APC Permit ?y Surcharge 5.00 Plan check_ snc 475.00 Water Conn.?30.00 Water Meter Park Don 7500 Total - --rrr?-. M8[Ell COIISt. CO. on the express condition thac th ap liwble $tate of "nnesota Statutes and City of Eagan Ordinances. ' i ? . ? 7n. N M. 1 If+Yra? IMI? ? !ir ? Yuw.rr If+M'??Y ? b..l Tnnv ? fw? BwYMI ? IrJ ?Iw+V 1' I laf C'm Pue ? FmwW r Mlli Certilicate of Survey for 6&;'O?C 3g13. COllNTRY CREEK WAY ioi.io i ? i - 1 ? r ? T l 1 1 I ? ? ? . A--1-? 1 ?. $£ IS I I I I I ( ti N I ? ? ? ?05.08 • - $ 8- Y V- ?oT 1, g?ocK I - , ccDaa Oaovc uo.1t ? t rx?? c?n?y /Ca/¢ ? 1 e- n i/anor¢5 irbr7 ma'2um¢nf ? Oe4oies drn„o?e ; tif li- /y ea6emewf , 1 Mre6y i«ri/y the, Mb 1. 0 uw ewd yr,nt ??M???w??14w N• wr,Or of tM ?wWerbs a( 2M 01.ew dOWS,trlbeA Iowd, swd d/M Iwari" No11 Mildiwqo y Marv?y wnd dl wId?b 0ws.NaMwots, H 1q. /rem ?r ew 'eid Nnl. A. sw.9yed ?7 ?w& tAi,_dn. ?l [-xT. A.D. H_H. . SUBURSAN E'y,i61NtE?INO, INC. ..,.i..... //?? •.....?.y.' J •? f'f1?.k+ -? C 34 -7 7 5 reuues. void 18 monCliS 1fOm G,M fl7Q1? C; ?- Renuest Ua Fire No. Rough-in Insuer.tion Required? y eadY Nuw ? Will Notify Insueo ?Ves tpy QNo [or When Ready ] LiceAsed Elearical ConVactor ? Owner electncal work installad at V aVVYe Streei AAdress, Boz or Route No. City ectmn o. Township Name or No. Range No. County Occupnnt ( RINTI Phone No, =SSi= `/r- -f7 Power Sup lier Address ? • : LC" . . Ele al ConVactor (Company Namel Conhnr,m r's License No. /J ailing AdJress Contr actor or Owner M king Instaila[ioN Aallationl Phon e Number . ?y y . minrvt50TA ST Ap0 OF ELECTqICITY Gri06s-Midw 9 , -qoom N491 1821 UniveF ' Ave., St Peul. MN 55104 Phona (812) 287-2111 TMIS INSPECTION HEQUEST WILL NOT BE ACCEPTED BY THE STpTE BOARD UNLESS PNOPEfl INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAI INSPECTION Ee-ooom.oa t955 ' See instructlons fer comUleting this lorm on hack ot yellow copy. ? "N" delow Work Covefed bv This Reaue.cr N Add Fap. Typa ol Building Appliences Wired d `L [ ( J Equipment Wired Home Range ervice DupleX Water Heater xtures Apt. Building Dryer atin Commercial Bldg Fumace er JW Industnal BIAg. Air Conditioner ank Faf01 Dih«?r pecifv fyl t er Speciiv 01hcr OI AOUf E In.c ?ertinn Faa Ral..?., P Fee Ser vice EntrenceSize # FPe Faeders?Subtexders p Fna Circui?s ? t0 100 AtYt S 0 to30qm s Oto30Am s 101 to 200 qmps 37 to 100 qmps 31 to 700 qm s Ahove 200 q?n??s Above 100_Amps Above 100 Am s hanstonners Remotz Control Circ. O S _ Parti2l%Other Si ns 9 Speciai Inspection Remarks $ ?• ` Ol . flough-in ' Date I,the Electrical Inspector, hereby Final ? i carfily thei the above i nspeclim hns been This reaue?r "i?lA made. . 78 mmnths f,am This`:equest void 18 months from .?eoe_!C-Yq n 71998 Date o this Request & 4;l ?// 7 2 I, as Licensed Electrical Contractor LJ Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route o. ??-City t-- ?- Section ?? ns ip---- Range County Which is occupied by i,_--Y Y` (Name of Occupantj Is a roughin inspection cequired on this job? No ? Yes ? Ready Now ? Will Call ? Power Supplier J/cklkol Address 3-&_?z,?_ ? - - Electrical Contractor L-?"'? ? Contractor's License No?33? (COmpa Name) Mailing Address •?? ?= ? ? ?? ? ? "'? !l (ElflctricalCOnt(actor or 0 ?!laklnq7hlsPhOR0N0, ??v ????? Authorized Signature 'd ?-^" ,tY-• fElectrical ntractor or Owner M ing This InstallaHOn) Minnesota State Board of Electricity liS C57 ?/ '1954 University Ave., St. Paul, Minn. 55104-Phone 645J703 N ? 71998 REQUEST FOR ELECTRICAL INSPECTIO 'iECK BELOW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances Wixed Foi Check Equipment Wiced For Home ? ? Range ? Temporary Wicing ? Duplex ? ? k'atex Heatex ? Lighting Fixtuxes O Ap[. Bldg. ??? Diyer ? Electric Heating ? Commercial Bldg. ??? Furnace ? Silo Unloader El Industrial Bldg. ? ? ? A'v Condi[ioner ? Bulk Milk Tank List Farm ? ? ? Lis[ ) (?thecs} Othe:s? n.r,e, ? ? ? Aere ) Nere ? N FEE BELOW COMI UTE INSPEC TIO Circuits: # Fee Se?vice Ent?ance Size: # Fee Feedecs&Su s: 0 to 100 Am s. 0 to 3D Am to 30 Am eres 101 to 200 Amps. 31 to 100 A eres 31 ro 100 Am eres Above 200_!+mps. Above 100 Q1Ps. . Above 100 Amps Transtormers Remo[eControlCicc. partial or other f Signs Special lnspection Minimum fee .0 Remaiks TOTAL FEE ?C 7 - I, the Electrical Inspector, hereby c?tpfJP that ovf inspection has been,rade ?-7 (Rough-in) Date ? - ? (Final) Date This request void 18 months from Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use Permit non ; City of Ea I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 ; Date Received: I I Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone: ~~i l` Resident/ 067`-~ ' Y Owner Address / City / Zip: 3-3 Applicant is: Owner ?~N' Contractor A E Type of Work Description of work: Construction Cost: Multi-Family Building: (Yes / No Company: ' C UCContact: e C too Contractor Address: City: r f~ State: ~I Zip: Phone: License Lead Certificate 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that 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.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, 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 mustjlp completed within 180 days of permit issuance. J xe1`rEJmf x 2it, Applicant's Prin d Name Appli t' e Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA114746 Date Issued:09/18/2013 Permit Category:ePermit Site Address: 3813 Country Creek Way Lot:2 Block: 2 Addition: Cedar Grove 11th PID:10-16711-02-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 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 - James Hassett 3813 Country Creek Way Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA135682 Date Issued:03/30/2016 Permit Category:ePermit Site Address: 3813 Country Creek Way Lot:2 Block: 2 Addition: Cedar Grove 11th PID:10-16711-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - James Hassett 3813 Country Creek Way Eagan MN 55122 Dana Hoagland Plumbing Inc 410 Regency Lane West Hopkins MN 55343 (952) 935-5150 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA147169 Date Issued:12/14/2017 Permit Category:ePermit Site Address: 3813 Country Creek Way Lot:2 Block: 2 Addition: Cedar Grove 11th PID:10-16711-02-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - James Hassett 3813 Country Creek Way Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature r For Office Use *�` �, Permit#: /SlO 7� 7 (...: EAGANPermit Fee: 1 P ' 7---5 )1 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionst citvofeagan.com 2019 RESIDENTIAL PLUMBING PERMIT APPLICATIO Date: ‘-----+-7C Vift:A/' Aress: 6- _1\ C - ' ‘/"......._ 41 Tenant: ---16- ' ---\. S S' Suite#: Resderitnrner Name: --c.\ 1--'\ `"'"-\\--- ,...-SSrz Phone:C 4 S` 3 tk t - /0� c Address/City/Zip: -.‘, 3C--45%."------ ThC�.e l Name: ---S*** L �...1- ...._A—.__—\ ,% ' ense#: 6 3 CJ Contractor Address: \OO' \ (3,,,..., a� t State: Zip: ��1�� Phone: lg\ >9C0 e- ';C:.(9-`3 Contact: o`-"-) \ Email: -- ��ec---D - 'Ca"`"t New Replacement Repair Rebuild Modify Space Work in R.O.W. Type of Work Description of work: Water Heater Lawn Irrigation( RPZ/ PVB) Water Softener Add Plumbing Fixtures( Main/ Lower Level) Description Septic System Description: New Connection to City Water from Well Abandonment RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+ $290 for Meter and $190 for Radio Read = $540 *Sewer&Water Permit also required for connection charges TOTAL FEES $ 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.ora You may subscribe to receive an electronic notification from the City of proposed •rdinances by signing up for an email update on the City's website at www.citvofeauan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in confo ce with the ordinances and codes of the City of Ea an; that I understand ' is not a permit, but only an application for - ••ermit, and work is not to -•• ••• - ••- ., that the work will be in accor a th the approved p the case of work which requires a review and appr•'- ..-• -• x .------)\ ...........3...,...)......24- x Applicant's Printed Name Applicant' gnature Page 1 of 2