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
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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