1883 Deer Hills TrCITY OF EAGAN ND 19671
3830 Pilot Knob Road,'P.O. Box 21-199, Eagan, MN 55121
BUIIDING PERMIT PHONE: 454-8100 c I r
3 II?
'
Receipt # ). 1
To be used for yASEMENT Est. Value Date SEPTEMBER 12 19 91
Site Address 1885 DEER HILLS TRAIL
Lot 041 Block 1 SeGSubSUN CLIFF 3RD
. OFFICE USE ONLY
P2fC81 N0. Occupanry _ FEES
w
Name BRIAN STRAND Zoning
(qctuapConst
BIdg.Permit
?35.00
a Address SAME (Allowa6le) _
- • 50
Surcharge
City PhOne 452-7226 #olStories -
Plan Review
Length _
Name SAME Depth SAQCiI
ip -
y
00a AddfOSS S.F,TOtal -
? SAC,MCWCC
CIty PhOft@ S.F. Footprints -
rC
t
W
OnSileSewage onn
a
e
-
?-
W w
Name
pn Site Well
W
M
l
t
??
AddfBS3
MWCCSyslem -
er
e
er
a
_
s?
a W
City Phone
Citv Water Acd. Deposit
-
PRV Requiretl _ SNJ Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SrW Surcharge
information is corred and agrae to w ply with aIl applicaCle State of
Minnesota Statutes antl Cit r Eagan inan Treatment PI
Siqnalure of Permitee? ?t APPROVALS R
d U
i
A Building Permit is issuedo? ? 7i fiiB- STRAND
Planner oa
n
t
- park Oed.
on tha express condilion that all work shall be done in accordance with all Council -
applicable State of Minnesota S tules and City ol fiagan Ordinances. gia9, pff. Copies
y35.50
Building OHicial
? ? Variance - TOTAL
CITY OF EAGAN
3830 Pilot Knob Road P.0 Box 27 -199 Eagan MN 55121N2 129 23
I I . , . > >
BUILDING PERMIT PHONE: 454-8100
ReceiptN r
Tobeuseator 1/2 DUP/GAR EstValue $63,000 Date DECEMBER 2 19 86
1885
Site Adtlress DEER HILLS TR
Erect
?'
Occupancy R3
Lot 4 Block 1
Sec/Sub. SUN CLIFF 3RD
Remodel
?
Zoning R1
Parcel No Repair ? Type of Const V
. Adtlition ? No. Stories
c ADVANCE DEVELOPERS CORP
Name Move ? Length 28
W
3209
W 76TH ST
20 Demolish ? Depth d?
o Address ., #
5 I
t
l ? S
Ft
City EDINA phone 835-5405 ,
mpr.
n
Install ? q.
a
0
?
Name SAME
Address
Phone
F W Name MINNETONKA DESIGN
ma nddress 337 WATER ST
gW C;ty EXCELS7APMe 474-5991
. I hereby acknowledge tha[ I have read this applicafion and state that the
information is correct and agree to comply with afl applicable State o1
Minnesota StaWtes and City of Eagan rdinanCe^s.^ )
M.._ ' nn
Signa'ture ot Perminee??i?ltoia ? rW?
Assessment
Water 8 Sew.
Police
Fire _
Eng.
Planner
Council
eldg. Oit. 11/26/8
APC
Var. Date 11/18/8
Permit S 322.00
Surcharge 31.510
Plan Review 161. 00
SAC 575.00
Water Conn. 500.00
Water Meter 63 . 50
RoadUnit 290.00
7r. pi. 156.00
Parks
Copies •ZS
Total $2 .099.25
A Building Permit is issued to: ADVA-1GCE DEVELOPERS CORP on the express condition that
all work shall be done in accordance with all appUlW' ab`le State of in ta Statutes and Ciry of Eagan Ordinances.
Builtling Ofticial .G
?
1
?_.
BUILDING PERMIT
Receipt #
Tobauseetor 1/2 DUP/GAR Est.Value $63.000 Date DECEMBER 2 19 86
SiteAddress 1883 DEER AILLS TR
Lot 4 Block 1 Sec/Sub. SUN CLIFF 3RD
Parcel No.
m
Name ADVANCE DEVELOPERS CORP
W
3 nddress 3209 W 76TH ST. #205
° ciry EDINA phone 835-5405
o I Name SAME
0¢ Address
? CiN Phane
? W Name MINNETONKA DESIGN
?? nddress 337 WATER ST
<W cityEXCELSIQ%,e 474-5991
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
Minrfesota Statutes and City of Eagan OrdinaJn?c?e?s.
signatureof Permittee ?GQ ??lY(_i?9"'?
Erect 10 Occupancy R3
Remodel ? Zoning RL
Repair ? Type of Const. y
Addition ? No. Stories
Move ? Length 28
Demolish ? Depth 49
Int. Impr. ? Sq. Ft
Install ?
Aoorovals Faea
Assessment
Water & Sew.
Police
Fire _
Eng.
Plapner
Council
Bldg. Off. 11/2 6/8 i
APC
Var. Date 1 1/ 7 R/ S i
A NCE DEVELOPERS CORP
Permit '? J6G • ??
Surcharge 31.50
Plan Review 161.00
SAC 575.00
Water Conn. 5 0 0. 0 0
WaterMefer 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies .25
rotel 52.099.25
A Building Permit is issued to: on the express condition that
all work shall 6e done in accordance with all applicably4tate of Mi nes a fitatutes and City oi Eagan Ordinances.
CITY OF EAGAN k' O
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 'v ? 4 1???
PHONE: 454-8100
Building Official
?
?
I To
I Lot 041
Parcel No
W Narr
? Add
o _.
I on
CITY OF EAGAN
3830 Pilol Knob Road, P.O. Box 21-199, Eagan, MN 55121
? PHONE:454-8100 ?
a PERMIT Receipt #
nr nA.4EMM s!P'l'a1MR 12
Block 1 Sec/Sub.
MlAll 9TBA11A
SAl18
Phone 451-7226
that
Phone
Phone
this application and state that the
ortaply with all applicable State of
shall be done in accordance with all
? and City ol Eagan Ordinances.
OFFICE USE ONLY
Occupancy - 1' FEES
2oning _ S35.00
(Actual) Const - Bldg. Permit
(aio"able) - Surcharge .50
# of Stories -
Length _ Plan Review
Depth - SAC, City
S.F. Total - SAC, MCWCC
S.F. Foolprinls -
On Site Sewage _ Water Conn
On Site Well - Wa1er Meter
MWCC System -
_
Ciry Water Aoct' Depogit
PRV Required _ SNV Permit
Booster Pump - S/W Surchar e
APPROVALS
Planner
Council
Bldg. Off.
Vanance
B
Treatment PI
Road Unit
- Park Ded.
Copies '
- TOTAL ;'s ? ?
Permit No. Psrmk Holder oate Telepf+ons #
WATER
SEVYER
PLUM8ING
H.V.A.C.
eLEcrRic
L7
knpeceon Date Inap. commenss
Footings I
Foundation
Framing
Roofing
Rough PIb9. - -
Rough Htg. ?
15u1_
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - NoNfy Plumber
Const. Meter
Engr./Plan
Bidg. Final ?
Dedc Ftg.
Dedc Final ?
Well
Pr. Disp.
• -.?,
BUILDING PERMI
To be used for 1/2
Site Address 1885
Lot_.4- Block 1
Parcel No.
W Name rlUV`14
3 Address 3209 i
O G'r1TAfA
CITY OF EAGAN 1.12
i29?3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1?` -
PHONE: 454-8100
T Receipt # ` 7, q
nup /t,AR $63,000 „o,o DECEMBER 2 Ye 86
Phone
Erect ? Occupancy x'3
Remodel ? Zoning K
Repair ? Type of Const V
Addition ? No. Stories
Move ? Length Z$
Demolish ? Depth 42
Int Impr. ? Sq. Ft
Install ?
Assessment Permit _
Water 8 Sew. Surcharge
Police Plan Revie
Fire SAC
Eng. Water Con?
Planner Water Mete
0ol
50
00
Council Road Unit ?? ?• v v
I hereby acknowledge that I have read this application and state that the B?dg. Off. 11?2 6 6Tr. p?. 156.00
information is correct and agree to comply with all applicabie State ot
Minnesota Statutes and City of Eagan Ordinances. APC PBrks •2?
11 ?13/ ?
Signature of Permittee Var. Date ISCopies J Total a2, 0 9 9•2 5
Buildin Permit is issued to: ADVANCE i7EV1:LOPEiZS CORP
9 on the express condition thet
I work shall be done in accordance with all appliCable State of Minnesota Statutes and City oi Eagan Ordinances.
.u.fi.,., nNi..ifli • -
i • I w?mn No. I Pem* ?+aa.. I Da+• I rolopho- M 1
G
Plbg.
Fty.
Dlsp.
CITY OF EAGAN
•;?:.._?._,,; 3830 Piiot Knob Rnad, P.O. Box 21-199, Eagan, MN 55121 N2 i? 12922
2
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used tor 1/2 DUp/GAf2 Est. Value $ 63 ,000 Date UEC:EMBER 2 19 86
Site Address 1883 bEFR N I LLS T?2 Erect El Occupancy R3
Lot-4 Block 1 secisub._SUN CLIFF 3RD Remodel ? Zoning ?21
Parcel No. Repair ? Type of Const y
Addidon ? No. Stories
W Name ADV11i!'li DLII},'L"1l.'F:i?S COf2i? Move ? Length 2?
3 Address 3209 W 76TH Si, #205 Demolish ? Depth 49
Int. Impr. ? Sq. Ft
Z o Name 5ALL
0 Q Address
~ City Phone
F W Name MINNETONKA. DESIGN
Address 337 WATER ST
i W City E'XCELSI?e 474-5991
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 o( Eagan Ordinances.
Instell ?
Assessment
Water & Sew.
Police
Fire
Planner
Bldg.
Var. [
Signature of Permittee
ADVA-NCl, DEVFLJPF.RS
Building Permit is issued to:
work shall be done in accordance with all applicable State ot Minnesota Statut
Permit T " - - - -
Surcharge 31.50 1
?
Plan Review 161.00
SAC 575.00
Water Conn. ?OU . 00
Water Meter 63 • 50
Road Unit 290. OU
Tr. PI. 156.00
F'SrKS
ite 11118/8 Copies .25
CORP Tocal S2.099.25
on the express condition that
3 and City of Eagan Ordinances.
I I PermN No. I Pe?mN Holdw I Gde I TNephone N I
00
Dats
&dq. Final
Cert. occ. f r 7?: ?
Dock Ftp.
Deck Frmp.
YIldl
Pr. Disp.
'-+.-?...,-? _ . . . . .
PERMIT #
• MECHANICAL PERMIT RECEIPT # 7110
¦ ? ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
rRACT PRICE: PH E: 454-8100
ddress r
? Block S-ec/Subl
CULAIld BLDG. TYPE WORK DESCRIPTION
'
.?
?. ? New ? y
Name M ult Add-on
Address Comm. Repair
Ciry Phone
Other
FEES
Name RES. HVAC 0-100 M BTU -$24.00
Address AODITIONAL 50 M BTU - 6.00
City ? Phane (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
PER PERMIT
(
- 1
) - 1.50 EA.
OF WORK COMM/IND FEE - 1% OF CONTRACT FEE -
d Air ???-J?7?(? BTU
"' APT. BLDGS. - COMM. RATE APPLIES
_
?7•" TOWNHOUSE & CDNDOS - RES. RATE APPLIES
M BTU MINIMUM RESIOENTIAL FEE - ALL ADD-ON &
eater M BTU REMODELS - 12.00
nd. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM
PERMIT PRICE GOES
BA
lping OuNets #
.
EYND $1 apy
FEE ?
S/C: SIGN URE E MITTEE
TOTAL•
FOR: CITY OF EAGAN
MECHANICAL PERMIT t;-
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: '
CONTRACT PRICE: ? PHON : 454-8100
Site
Lot Address
Block
?
Sec/Sub gLpC,, TypE WORK DESCRI
•
_ ,
Res New
Mult Add-on
? Name
Add ? Comm. Repair
c ress
Ciy Phone Other
; FEES
? Name
! RES. HVAC 0-100 M BTU -$24.00
c
p Address ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDE?S A/C ON NEW
Gity Phone
4 +
- , CONSTRIP?TiON)
GAS OUTLETS (MiNIMUM
1 PER PERMIT) - 1
50 EA
-
.
.
TYPE OF WORK COMM/IND FEE - 19'o OF CONTRACT FEE
Forc ed Air M BTU APT. BLDGS. - COMM. RATE APPLIES
? TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boile r M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air C ond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ? BEYOND $1,000)
,•
Other $
FEE
S/C: + SIGN RE OF PERMITTEE
roTaL
?
FOR: CITY QF EAGAN
.. ` • , PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
PERMIT #
RECEIPT 9
DATE: _
Name
Addre
City _
Name
Addre:
City _
/• /i S / " BLDG. IYPE
Sec/Sub
Ras. V
l' , Mult
i%' %' Comm.
one Other
FEES
41/1ND FEE - 146 OF CONTRACT FEE
AJM - RESIDENTIAL FEE - $10.00
AUM - COMM/IND FEE - 20.00
E SURCHARGE PER PERMIT - .50
$.50 S/C IF PERMIT PRICE GOES
iND $1,000.00)
', 4ir47; v`e
CITY OF EAGAN
WORK DESCRIPTION
New
Add-on
Repair
N? FIXTURES TOTAL
Water Closet - $3.00
4:Bath Tubs - $3.00
Lavatory - $3•00
Shower - $3.00
-TKitchen Sink - $3.00
Urinal/Bidet - $3.00
--- 7-1 aundry Tray - $3.00
"
Floor Drains - $1.50
7-
Water Heater - $1.50
Whirlpool - $3.00
Z
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Prir+ate Disp. - $10.00
'.
1
=Rough Openings - $1.50 X,
•?
FEE -T '•
STATE S/C: `
GRAND TOTAL• ` ? ? ' l
PERM
° ?-
_ ., PLUMBING PERMIT RECEI
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
m Name c/(/ C' ! NAI?
?o Address `/? ,? ?4 , ? ; ' ' ?L.
c City Phone V=' k=
Name ':',
3 Address (.d; 7fi i! 1
p City Phone
FEES
D FEE - 196 OF CONTRACT FEE
- RESIDENTIAL FEE - $10.00
- COMM/IND FEE - 20.00
RCHARGE PER PERMIT - .50
S/C IF PERMIT PRICE GOES
X_?'
OF
OF EAGAN
BLDG. TYPE WORK DESCRIPTION
?Res. New
Mutt Add-on
Comm. Repair
Other
N. FIXTURES TOTAL
Water Claset - $3.00 ST--Bath Tubs - $3.00 ?Lavatory - $3.00
<< ~
Shower - $3.00
-7--Kitchen Sink - $3.00
.TUrinal/Bidet - $3.00
? Laundry Tray - $3.00 ?
-7-Floor Drains - $1.50
=Water Heater - $1.50 ?
Whirlpool - $3.00
=Gas Piping Outlets - $1.50 ?
Softener - $5.00
Well - $10.00
Private disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL• f
CITY OF EAGAN Remarks?
Addition dvzt n ?-?x
Owner Street/ 0 ?? ?
?«-?.?
?
?
? Parcel /e7 - 7,2 Z 77 - 0 9(.0 -4l
Impravement D'te Amount Annual Years Payment Receipt Date
STREETSURF. 1033 1986 1925. 10 128. 34 15
STREETRESTOR. 924 1985 853.05 56.87 15
GRADING
9 1985 256.50 17.10 15
SANSEWTRUNK 05 1971 352.00 17.60 20
' SEWER LATERAL 1986 472 .35 31 .49 15
1977 25.80 1.72 15
WATERMAIN
WATER LATERAL 98 1985 480. 15 32.01 15
WATER AREA 343 1 4]] 10 6. 6 5 7. 11 15
e 560.35 112.07 5
S aRMSEWTRK 194 1970 98.00 3.92 25
STORM SEW LAT 1050 1986 3 4 7. 8 5 23. 19 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
, a .,.,
(ter#i#irafe uf COrrupttnrg
Citp ot Cagatt
ar.prohnraY n# sunwg jwrr#inn
This Ceneficate issued pursuant to the requirements of Section 306 ojthe Urdform Building
Code certifying that a1 the time of issuance tllis structure was in compliance with the various
ordinances of the Cfty regulating building construction or use. For the following.•
uee aswi,&uoa 112 U.TP & GA:: sidg. tanw No. "'-J22
Occupomr Trx zooias nisaia 'rype conrt
Ownero[Building "7 71117'r`- Address !?}7): ` ? :.'L'i?•'
Building Olficial
POST IN A CONSPICUOUS PLACE
CfTY OF EAGAN WATER SERVIC
3830 P"A Knob Road E PERMIT
P.O. B.,x 21189 0243
PERMIT NO.:
Eagan, MN 55121 DATE: 2`- E
Zonin ?'z
9
No. of Unfts: _ ?nlex
RMC Dev.
Owner:
Address: -
Site Addess:
Plumber. _
Sun Cliff 3rd
Meter No.: J /6 (o S S Cv a?J Connection Charge: 500 •00pd
Size: 5'r o Account D
i 15
0Opd
epos
t: .
Reade No.: Q 2,07 ?L 3 2 4
Permit Fee: -
10 .0Opd
I agrse to compiy with the City o} Eagan Surcharge: . SOpd
Ordina es. Misa Charges: I5F, , OOpd Tp
To?l. 3.5(?nd meter
?
? Date Paid:
Date of Insp.: Ins
p.:
'"' ?"1"
3830 Pilot Knob Road SEVNER SERVlCE PERMIT
P. O. Bax 21199 PERMIT NO.:
Eagan, MN ? 35121 D^TE:
Zoniny: No. of Units;
Ownsr: c . .
Addrcss: '?-
Site Nddrcss:
Plumber. _-
iz-i-ga 68
I O/1'M 10 IM=* 1tl" [he cby Of <OlO•
OfdIMROp,
BY -1_
Date of Inap.:
COfIPNCtiOfl Qlp?ge; -
I,COOIJnf DEppf(}.
Pennit Fee:
Surthorpe;
Mitc. Cxarg,sa;
Total:
Daft Paid:
tn TY OF F AGAN WATER SERVICE PERMIT
30 PUot Knob Road
O. Box 21199. PERMIT NO.: S?42
gan, MN 55121 DATE:
ning: ?2 No. ot Unils: ?plex
wner: FR,!G b..__
Address:
$ItB Adde33: t ^-?r*,p,ee't_1;443 T 4 ,? ? Sac, ?,? ?Tr?`- - `r -3rc'
IJ 1
?-
! Plumber.
Meter No.: Hon Charge:
Size: S?B''?Rod1' t
? s?.?3s Befo er tigg?ht?ti? ;
Reader No. •
:O'27 ,?",.? ?'?I F?S? €t? ???.?'•
I agree to comply wRh thsw.?fn ?urcharge:
Ordinan . REQUIRE?i?'?h ' • .
? TOtal: r
B Date Paid: Date of Insp.: Inso.:
Wg -/7--77
CITY OF EAGAN
3830 Pilot I(nob Road
P. O. Box 21199
Eegan, MN 55121
Zoninp;
Ownsr:
llddress: -
Site Nddress:
Piumber: -
PJ•IC
m
SEVUER SERVlCE PERMIT
PERMIT NO.:
DATE:
No, of Unita:
tirs -! :.>eer Hills T--.7
a11ey Plambinn
? agme to OCIII* W*b o/ '? of EO*O• COII?1lCtl011 QI0M!•
??NIICM. I+CGOUn! DlpOf?t: . ? ? .
Pennit Fee:
Surchorpt:
By Misc. Chorpas:
Date of Insp.: Total:
Dote Vaid:
???2T'•S ---._ . . . . .. . . ._ _" ? - .
.a ? . . . .,i .. .
t? CASH RECEIPT '
. ......
CITY OF EAGAN
3830 PILOT KNC7B ROAD
EAGAN, MINNESOTA 55122
19 ?
AMOUNT
s C , . I
?
Thank You
BY
I ,
White-Payers Copy
Yellow-PQSting Copy
Pink-File Copy
BLDG. PERMIT ti0./` '?%' .)') doty??
_ 1
? •' j ;J J l ? <' : Z , ; _'j? fO ? .
01-3210' B10. Permit
01-3422 Plan Check
01-3445 Surch. /r',dm,
01-3446 SAC/Adm.
. 01-2I55 Surcharge
17-3860 Road Unit ?
24-2275 SAC
20-3865 Water Conn. ?
?.,
20-3868 Water Trmt. ?, -
20-3716 Water Meter
20-2252 Acct. Dep.
20-37I3 Water Permit
? 20-3743 Sewer Permi[
79-3866 Sewer Conn. 11-3855 Park Ded. ` . ?
---+-
i
- - ,
TOTAL
& DOLLARf
ioo
? CASH ? CHeCK
9i
91 eis?tZ?'
8 p
M
'7
"'" O 1 ?I
• ?
?/°J
1 OO
Request D:.[? ire No. R Inspection
? ReeOy Now Will Notily Inspecta
P
d
?
L_ Yes ? No n
y
ea
i p licensed contractor crl?ewner - hereby request inspection of above electncal work at:
JoC
yy? ?Ireet''`Bw or te No.)
V ?J ?J LPr ?l
/4h I
Ciry v
(?°, k ?
Section No. Townaliip Neme Or W. Range No. Caorhy
h v
OcCUpan RINT) - /
?V ?? Plwrie No. 7 L/
?? `G--?
Powe lier Ptltlress
`? ? ?YC ,
ElecVical ConVacYor Company Name) CanVaIXOrY Liransa No.
Mailing Atltlless IGOnVa or PxY77 Ins ') 5?/ 2
/ti
?
N Gr h. (
Authorizea 5? wre Comrocv ner aki I stana' )
.?? Phone N beL,... ? l
( /
" $
IaINNEEOiA STATE BOAryO OF ELECT81dTY TMI$ INSPECTION REQUEST WILL NOT
GrlppcMlEway BWg. - I?mm S473 BE ACCEPTED BV THE STATE BOARO
18Y1 UnNOrtMy Rve.. St. Poul, MN S5100 UNLESS PROPER INSPECTION FEE IS
PMM (612) 8424)800 ENCLOSED.
6i? ? REQUEST FOR ELECTRICAL INSPECTION ee-ooom-ae
? See inslructions for completing ihis brm on Eeck oi yellow cvpy.
b?_
"X" 8elow Work Covered by 7his Request 1..?:.
ew Add Rep. TypeofBUiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Oiher (speciyl Contrector5 RemaMS:
Compute fnspection Fee Below:
Other Fee # Service EntranCe Size Fee # Circuils/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above200-Amps ove700_Amps
SignS Inspecmr§ Use Oniy. TOT-AL
Irrigation Booms
?d° ?
?fs? Si
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON?ft
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. RO19"""
F;,,ai
f oaie ??7 }
OFFICE USE ONLY ?
Tpis reqvest voiG 18 monttis Irom
?4
%
Thi%'requesl void ?2`j 1rf
18 months Irom / 1
2 80090
Feq t Date (? 7
? Fire No. Rough-in InsUeclion
RequireA??
?Aeady Nuw QAIi11-NotifV InsPeo-
? U s ?NO ror When 0.eady
[Ja,e'censed ElecVical Contractor I hereby requesl inepection ol eDOVa
? Owner elechical work ins[elled aC
Sireet(ddl s, e? or Rou No.
5 CitV?? / L7? 1
? ?/
ecbon o. Township ame or No. HanBe No. Covnty A
G?
Oc 0'nt IPflINT?j ?
l? Pho.e N?-?
er up ier AAdre
? fIA???y1?y{,p?rp? 1Tc
?iY LL?? Cnntrac?ors License No.
Mailing o e a i I
?'i ilatio?)
AuthotizB iBna[ure 1 on[ractor Owne? a inB nsta lation) Phone Number
MINNESOTA SiATE BOAFD OF ELECTflICITV
Grippa-MiCwey BIAg. - Room N•791
1821 Universitv Ave.. St. Vaul. MN 65100
Phone (612) 642-0800
TFIIS INSPEGTION HEaUEST WILI NOT
BE ACCEPTED BV THE STATE BOANU
UNLESS PNOYEfl INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?e}e'-oaooi-os
' See insVUCtions lor completinB this torm on beck ol ?( C? ??
yellOw copy.
? 80090 x Below Work Covered by lhrs Request
Reo. TvDe oi 0uiltliee ApDlmncm WiroC Epuipmenl Wiretl 1
H
itioner
ciT-
Electric
N Fae ServieeEntronee5ize tt Fea Feaders/Subieede,s M Fea Gircuits
Uto200qm s Oto30Am s Ot,30Am
A6ove 200 Amps 31 to 100 qmps 31 to 100 A s
Swinmin Pool Above 100_Am s Above 100_Am s
Transiormers Irrigation BoomS Partial-`Other Fee
i inspe_? i I'7 S(1 TOTAL
( ^? the Ele? Inspector, ?e?eby
?y
Finel Dxte certily that the Above
inspection hes been
da. I
repueat voia 10 montM fmm
This request void
18 - npn[hs Imm ?
Q go 089 a,
Nequ¢tit Date ., / ?i? Fire No. Reuu ietl7i ? Pection DfleadV Now ?II NolitY InsPec-
?? 1 NO mr When Ready
I
L sed Electncal ConVactor I hereEV ?equest inapaclion o} abova
ninntri.:wl werk inslelled et
Sireet r s, n or Fout o. C
??? " ' ?
7? ?
Ran No.
ection o. Townshiv Name or No. ee /?
County? ' !
1 /T
Occ Dal (P NT) ? ^
? ?
? P??pp ne No. ?
Powe SapPlier
i Aadress
E ttical,Cqnvactor (CompanY Namel
?iE1VL?RILK FLFCTRIC ontractor's License No.
MailinB1A????,?1q96CK LANE
Au o a ? d ? Mllation?
• Phone Number
r
S
nu iti,1111[1 WII I NlIT
MINNESOTA STATE BOARD OF ELECTPICITV BE ACCEPTED eY THE STATE BOARD
Grigpa-Midwav sldg. - RoOm N•191 UNLESS PNOPEN INSPECTION FEE IS
1821 Univsrsitv A".. St. Veul. MN 65704 ENCLOSED.
Phona (612) 642-0800
7 REQUEST FOR ELECTRICAL INSPECTION Ee-ooo'o/i-os
, See inslruetions lor completing this lorm on beck of Vallow co0n 7v??`JT"Z
? '3 00 89 ""8"' Below Work Covered by 7his Request
V.4A01 Reo. Type of BuilCing Appliancea Wiretl Equiument Wired
- F?me Range Temporary Service _
Duolex Water Heater i igh[iny Fixtures
Industrial 01dg. Air Conditioner Bulk Milk Tank
Fafm thr.r peci v C???r ISner.:fyl
p I Fee ServiceEnVencaSize p Fee Fexdars?5ubtaeders N Fea Circuits
Uto200Am s 0 to30Am s 1 Otn30Am
Above 200 Amps 31 to 100 Amps ( 37 to 1 U0 A s
q Swinvning Pool Above 100_Am s ? Above 100-Am s
Transformers ?rngation Booms P
artial.'Other Fee
aigns inspecuun 1SlI7-"`j TOTAL
I noopn'm ` I. the Elac?-l I
7 Insoacar, he?eby
l eertify Mel the above
rFinal _ f ??VC?.f? insoection hes Eeen
I lr? ir C J 'a ,?aa.
tnisrepueat
. ?
, .? ?
?.
1986 BUILDIBG PSR!!IT 9PPLICATION - CITY OF &AGAN
AOTE: ALL CA6TBACTOHS MOST BB LICENSSD iiITH THB CITY OF EAGAN
3INGLS F9lQLY DfiELLING3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS
liOLTIPLE DTaELLINGS - RSSIDENTIAL gENT9I, DNITS FOR SALfi UNITS Y
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COhAIERCIAL
OF SIIRVSY - CBECB WITH BLDG. DBPT.,
INCLUDE 2 SETS OE ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIDNS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
?j2 PUPLEX,
Aftsi" S (o',[?flU
? ?t
To Be Used For: ?,?,?,;? Valuation:
-T
Site Address 1563 PaE? N.k?s 14-0 1 OFFICE U
Lot ut Bloek 1
Pareel/Sub
Owner Ad?•?+4 Devs?e{? Cir?F,?Son
Address
City/Zip Code ?d?n•., M-NJ SeJ' ?S le
Phone 23S -
Contractor Som4., a5 kwv#-
Address
City/Zip Code
Phone
Arch./Engr. K n4g-6mky,De6%T
Address 33-t W0.?,r Si/'eti
City/Zip Code E1LC4,W%or 'Mlg Srjs%
11 Phone # C( ?
Date: 14 WeiAet ?x lIf(L.
Erect ? Occupancy 9•3
Remodel _ Zoning ?2 r
Repair Type of Const 77
Addition # of Stories
Move Length Z _
_
Demolish _ Depth 47-
Znt.Impr. Sq Ft
Install
APPRO{TAI.S FEBS
Assessments Permit 32Z.
Water/Sewer Surcharge 31 `-3
Police Plan Review Ilo I.
Fire SAC 5-75.
Engr Water Conn 500.
Planner Water Meter Co 3. 59
Council Road Unit Z90,
Bldg Off Treatment Pl I S?o•
APC Parks
Variance ll l? 8A;, Copies ,??5
'fOTgI, Z1011 q. zs
NOTE: ADDHESSSS FOR CORNER LOTS - CONTRACTOR/HOMEOWNEB lIII3T DESIGNATE WHICH ADDRfiSS
IS DESIRSI3, 90 CHANGES iIII.L BE ALLOiiED OACIi HDILDING PERMIY 13 ISSIIED.
5s - (0& 4 x 44- ` 4-?6 i&
?l7 K e?, ` ac) ?K q-o
22x z 2 = ?f?4 x (2 =.
?, ?c I g - I(D b r ( q--
Zo ?? 2-b ? ? K I 4- `
58og
(S I Z
7g?_o
, , .
(o zc?! (?,
/ 2
1986 BOILDING PEIt?IIT APPLICATION - CTfY OF &AGAN
1QOYS: ALL CONTRACT08S MU3T BS LICENSED iiITH THE CITY OF EAGAN
SINGLS FANIILY DiiELLIBGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DSiELLINGS - RESIDSNTIAL R6NTAL IINITS FOR SALS DNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATB OF SURVEY - CHBCB i1ITH BLDG. DfiPT.,
1 SET OF SNERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & S
1 SET OF SPECTFICATIONS AND 1 SET
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND t?Z du??q
To Be Used Eor: fnM.t l1 Valua
Site Address I $as ?G? A ;ll,e,Tr.; ?
Lot '4 Bloek (
Parcel/Sub ??4 1%htf? ?QA
Owner k
_ 6,fMfi uat#Rs LwrD.
Address 3zp? ww
City/Zip Code _Ed.ww ? YI?? SS431
Phone as " s4O<
Contractor aMC. 6ky 46M+t.
Address
City/Zip Code
Phone
Areh./Engr.
Address WQr?J'?V'tck
City/Zip Code EK.rudi,ler ? y/? 55331
Phone # 4114- sOlcj l
TRUCTURAL PLANS,
OF
63CO<D
tion*4? _ Date: 1?0%4en.LAC LC.0i9fS.
Erect ? Occupaney 9.3
Remodel Zoning R•I
_
Repair _ Type of Const 7=
Addition _ # of Stories
Move _ Length ZS
Demolish Depth 4a
_
Int.Impr. _ Sq Ft
Install
APPR09AL4 FEES
Assessments Permit 3 22.
Water/Sewer Sureharge a, I, k-0-
Police Plan Review I fo l,
Fire SAC 5"75.
Engr Water Conn 500•
Planner Water Meter f03. s'
Council Road IInit Z90
Bldg Off -ir, :E reatment P1 l S(o.
APC Parks
Varianee 11 1g ? Copies ?k) 25
TOTAI. ZO `I9 - !?5
60TE: ADDHESSBS FOR CORNEB LOTS - CONTRACTOR/HOMEOWNER MUST DfiSIGNATfi WHICH ADDRESS
IS DESIHED. HO CHANGES WILL BE ALLOAED OHCfi BIIILDING PERMIT IS ISSQED.
-? .
?.14•,M11 n1iur1
99 17id
r
UWNi_R: (????.??? • ?_.`?-:-- .-?? 1 unii
-------
. slTr_ nDnarss: riInNr:.c.?4 _-
CONT
RACTOR r-?
: ?j '(C,? r??V?L??'"? G.?' ?.
Determine workiiig s(luare footage of eacfi
1. Total exposed wall area.,... ";?.J``??- ft. x.11
2. Total roof/ceiling area..... _sq. ft. x.026
Total exposed wall area above floor= ?c.
a. 1'otal wa11 window area ......................................... .. II
b. Tota1 door area ................................................ .. .? i
c. Totnl sliding glass door arca .................................. ..
-
d. Total fireplace tieall area ...................................... ..
"'
e. Total wall framing area (average 10") .......................... .. ?G i? 7
f. Total rim joist area ............................................ .. 1 h
g. net wali area above floor ................................... ..
h. wall area a6ove floor ................................... ...
i. wall area above floor ................................... ..
j. frame wull area at four.datior .................................. ..
Total exposed foundation area= ?5 1(b
k. Total foundation windcw area ....................... .r'
1. Total
-?=;;=> -
net foundation area a)ove 9rade ..............
?
Determine "u" value or eacl; wall seqmert
(e.g. window, donr, each scrparate v,all section)
a. i f _ x " U,.
,
b. 1 Y„u,.
??
C. l j, x "Un LG.' `?I
d. -- z
1 ..? -', .--
e._
x
x
„U,.-Z -' . .1 __ - ?C
U,,
" Z
4 . 4?
:?.
n. x "u., =
; z „u„ _
? ? x
- °u° -
----- -
k.- -- y' ?????-------°---
1 •-
if item 63 is the same
as, or less than item
you have mei, the
inCcnt cf S(iC 6006 (c;
3. ......................... ........Tntal ?t-J.
?y,rlwt Iinvulop?? Avur:iyi• "11" C?m?•ut.nl i•?u . Pmjr. % uC d
`
L
?
.
•
1
1Uti1?. CXiAH:?•.j /"O(1?r??'i? ...
.
?l,y:
ltu? :IY?'.1 ' 1?'_t"'_'_"_
m. 1bta1 ,1:yl.i.yht nrca ............:..... r
.......... ---•-
.. _n. ToCal roof/ccilinq fr:uoiuq arca (nvcr:?. p• 10'14 ...
o. ToL-al net insulatcd rooffcc9.ling :u?ca. ..........
Ucl'orminc "U" valuc far o:n!fj nK?f/r..ilinq ::c,pncviL
m.• -?- x ..U„ '-
n. X „U.t , C77 __ _ ?Z ,? J
x
o 1?--
.
4 ........................... 1,.,-.,l --
I.f LU4;1l. O.? 114 .1.:1 1:i1i1 ;7lI;llC .1::, iil' L.-;::: 1.11.,11 lI.:' }'..n.l Iwn'?• Iml. C.h?• i.lil.ltnl. (?I
ShC 60QG (.r,) 1.
nltcr.nato Build.in 1?uvc•]i?•1-
- --`?-----„? - t)?,::.i.ryn
-----'--
TO `1Y.1l122 the total envelope 'systcen met:iod , the vnlucs estabiished by tile szm of
i.tems #3 knd 04 shall not be greatcr thau tlic stiun oE item: ;il and A2.
r.?r
+2
?_T
l
V0 = / J
.
.
.
3. + 9. z- , ~1 = ?-1?.? J
.. `?r.
?....
E' LA (?..d ?'rr
- ? UuEAL FT, EXposED WALL
?
,
;:7U L.r 1... ? 1 ? ;? -L lL? -{' ? _j -: L_ '? •' ?.. ?J = ',,;?
?-
,
t J ??
S6z. ;:%'T-. SKi>05G---b VIIA l_L.
.??_.
?.N EE : ? ?,C> >C S
?
1/t! .O. .
T-?uLLI
Y,
X
K =
FULL Z % =:--?
F, P, '
r---
[Z1 M • , __ _;.
-rd-rA
AR-EAv
5o„rfi , E;?po5?b G? 1 ?t?.lC? , L;?R ?.
emu
W DvJS ?
C.:?cL-?
,
-, t7- L,
?...
Doo?S ?1
2t
?ATIO
?Sh-t4 Ua±i+s
? ..`.,•..? ,'
fiea[ flou
un
EIG. 45 ?
• ^ or.... ?n?.t..??...\':.? ?e?t??r?
i .,? ' It-Val??••
l. i??trri?•r.ir filr.n . O.Cil ?
7. ,7j-
,
3. /
-
Cd1.?i??4•. _
•
""
"
--
?
,(. _.
Il
il
?
).Y,?.ItI1.111' dli:
-----
--- ,il't1
I? o.GI
?
--- Totz.l (Z it.s pO
?r r?
• ' ' DZ .
' U=
-
. .
.
Fn_r9•?t a= ' , .
fil^I
1. Irit:crlnr nlr 0.61
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8
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< <+ Su?
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;o tal. 2 r L??.??
. ? .oz4..
Ga??1r.Yi?LTr .sly-'
n.61
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Y.eat flcv uP
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,Yxf°!.:.?..... ••'-"' •""1
?\.JS?'?^.'......?..• !_.?l_' •'?.I'_ :/- '' 1
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, ? • . tlcv ?.?,? '
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1. Insidc air _il?n 0.61
: ----- . .
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air filin 17-
?-y--- iotaL
l. : nsid^. air fS7m a • 0.61
? . ` ' -???-• ?
'
_f
_.._-?. _._. TOCdl •
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yr,,t.., U;y add!t:.o??•11 Shcr.tz; 1f more space
??+ nccde.: ic)r actailc and ealculations-
? ? t vented
' . . .
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of pI?.;,iu,: ?.?I1 n,?a f..,r
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r:?i.?? YL= Iv. 85
Uy ?O°I
l. Tui?•f!?•Y :?i• 'i!?•, b.f?li
: . .'i?' . 9.?P. 61t . . . .. . ._ ... ._ _?.`i5
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a. 15/3Li_.Sw??.
5. btid'I '.,? ?z
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r„ i.al lc . 22 .`1$
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s . .. Z'--.°?1.,+r o - . . .. ............ IQ.Cb
4. . Pratcci'tvc tv.r.._
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I C.P. WIND[N • AtfOCIATEf, INC.
IAND SUAVEYORS Td.64 5-36,10
t911 EUSTIS ST„ ST. MUI, MINN. $3108
Norihcrn No+urol C?oe Compony EaxrtwnF '
. .
. . O 49'Z6 3p° E,
68.01 S
?o
A '
'
E
a °; ,p
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?
u ?
W s?o.«M.y S
t -W '
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t
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f
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?
?g
* u
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/eaa
wree5 i
o:ed
O
ubk
P/a
p
_ n
u
t
l1 BunyolMINous<
? scaie: i• . ao-
2z
;
i o Denote• Ison.
zz _
v ..
Monwes
?.nt
<9uS.l
N
I 0 Denotea woaden Stake
5 k
-
5
" J Gaiage Flvor Elev.
i ,?ql 9oc.o
- . ,.
o
?
n ) Denotes ProPOSed .
l4 5 Finiahed Ground Elev.
?- Denotes Direction of
Surface Dreinage
DEER l LLS TRALL VeYtical Datum - N.G.V.D.
1929 Adj.
Lot 1, BlOCk 1, SUN CLIFF ADDITION
, Oakotn County,. Minneeote
•L . - . . . o .. , . . ;
^:i'.
Y[ tlRY6bY CLlt1tY 111AT SNIS IS A SkUE ANO GOiIECT REPRZSENTATION OF A SUAVCY OP THE BOUNDARIES OP TtlC LW?
? AlOVL 9ESQI6P1f AMU 0F TIIE 1ACATIOl1 0[ N.L l1711DING3, It ANY. TXEREON. AND ALL Y3516LE ENCNOACtlMPMS. 1? AMR.' ..
1ROM 00. OM 6ALD LANO. '
pKW phL'JV4 dq 0! Ocf dei A.D. 19eb C. R. VtNUEDI i ASSOCIASES, lYC. -
bY
n
• . Sur•eyor, Mlnwwt& MQlaccatfoa Mo. 77?
C6FTIFICATE OF SURVBY FOR: ADVANCE DEVELOPEAS, INC.
'i
J
?.i
i
T;
I ''
i
+ 144 B7APY]ACATION
CITY OF EAGAN
SINGLE FAMILY DWELLTNGS MIJLTIPLE DWELLINGS C0M4ERCIAL ?
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES VfiEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP BY LAST WDRKTNG DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: S?? ar /, Valu tion: Date: %"I?/
Site Address lIl Li?
Lot 041 siocx 1
Parcel/Sub
owner 1/?'li
Address
City/Zip Code
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr. /?/o P-?
Address
City/Zip Code
Phone #
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
On site sewage_
On site well _
MWCC System _
City watex _
PRV _
Booster Pump _
APPROOALS
Planner
Council
Bldg. Off
Variance
J?fllrt?
FEES x D
Bldg. Permit J?/?
SuYCharge W
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
Sewer ater Lic ed tr
?agrees that all vork shall he done in accordance with
(Se of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
CITY OF EACAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*IOTF: PAYMhTtL' OF FEE AT 7IM OF
APPT.TcaTTCv ooES Nom oorsri?
APPROVAL OF PFRMIIT.
rNsrncrsoN oF sMM AND/oR MM
7NtSI`n7S nTTONS yILt, NOr gE cuQ.]ED--
TJLID [7N'M PII2NIIT HAS BFMN
APPROVFD.
-P ease Print) xxx????
'1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IE' EXISTING SIRL'CIL'RE, DATE OF ORIGINAL BLILDING PERMIT ISSL'ANCE: - -
i
PRFSENf ZONING/PROPOSID LTSE: Mon Year
? COMMEltCIAL/F2E.TAII./OFF'ICE
Q IbIDL'STI2IAI,
C] INSTI2L'T'IONAi,/GOVERIZ=
2) ?
ADDRESS:
CZTY, STATE, ZIP:
• PHONE:
C] R-1 SINGLE FAM2LY
[?r R-2 DL'PLEX (7Wo Onits)
? R-3 7.OWPII30L?SE ('I7iree + Units)
? R-4 ApARTMENT/CObIDC)MINI[M
3) u c ?• /
- NA`"E: ( r
rDDxEss: 64 6 e 4
; ciTY, STATE, zIP:
PHONE: -q°? a- a (a%?? LICER
: a) ... • ? ?
rAI?E:
_ ADDRFSS: ?
CITY. STATE, 2IP:
PHONE: •
.s)
CONNECPION 1O CITSC SEWIIt ? CONNELTI(
6) "s)(0-2' • r ? pr,E{,gE HOLD APPROVED PERMIT 1
r`T PT,F.ASF. MATT. nDdbflcfxT nu+onrm C I. "
( Units)
( Units)
,
(/J,-!C ?J,? .i-? •
?J
,
/
r -
r
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n " U
?- I
FOR CITY USE ONLY
PERMIT # ISSUED
vz .
Pd w/Bldg. Permit FEES:
$ $ /G -5Z) SEWER PERMIT (INCLODE SURCHARGE)
$ $ WATER PERMIT (INCLODE SC'RCHARGE)
$ 6,3 S-D $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ $ J 5(l? ACCOONT DEPOSIT - WATER
$ ??0?•!)-C? S WAC
$ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $
OTHER:
$ 12- ? `/ " ?;-D $ z- TOTAL
- G? ? ?? a -) / y
RFCETrPT RECEIPT
DOES T;7'PILITY CONNE CTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
Q
NO ROADWAY" MUST BE ISSOED BY THE ENGINEERING
DIVISION
LIST AS
CO
D
ION
. .
A
N
IT
SUBJECT TO THE FOLLOWING CbNDIT20N5:
APPROVED BY:
TITLE:
DATE : / .4 2 A
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*ATF': PAYMF9!Tf OF FF1? AT TIME OF
APPLxcaTTON DOEs Nom aoNSMTtrTE
APpxovAL oF PEP14IT.
zrrsencrioiv oF sBM Arm/Ot VmM
TuSrnr.r.AmrONS WII.L NOT BE SQED-
ULID U[dPIL PIItMiT HAS BEQQ
APPROVE9.
trlease Yrint)
1) PROPERTY ADDRESS: Z/
, j??, 1?-
LEGAL DESCRIPTION: L,? ?/ 6/61 c 4- /
Lot Block Sub ivision or Tax Parcel ID )
Ik'' EXISTING S'I'RC L`RE, DATE OF ORIGINFIL 8C'ILDING PERMIT ISSCANC'E: ' -
;
(Mon ear}
PRFSEtPP ZONING/PROPOSID LSE:
? corMcTAL/TMpsL/oFFIce
Q IAIDL'STRIAL
n INSTIZL'TIONAL/GOVE[2Izg,TPT
Z) rj ar'
0 R-1 SINGLE FAMILY
? R-2 DOPLEX (TWo C?nits)
? R-3 ZUWN30IISE (Three + Units) ( C?nits)
? R-4 APARTmENI'/CONID(MINILTI ( T7nits)
ADDRFSS:
CITY, STATE, ZIP:
PHONE: S " 5,- 7 2-3
3) • . ?. _ NAME: 0Q.C/ f 6
anDxFSS: C
i CITY. STATE, ZIP: 3p 7? CS vc? tr Ao .
PHONE:_ G{ E?CP ' c?71a ( MASTER LIl
- ?
: 4) ?? • i?• --'i
MAME:____?
_ lwnREss:
CITY. STp,TE. ZIP: /
PxoNE: . '
-5) ?i v? r: • ?• : a ? a? - ?? I
? CONNECrION 'lq CITY SEWIIt ?A CpNNFQ,
6) ? •' • i?. ptFp„gE HOLD APPROVFU PERMIi
Q PLEASE MAIL APPROVID PERMI7
7? r ?. -4v,?'6? 'I
6POS'-_
_.._....,_...__..?_ ?
_?._........?... .,,.., .?.,__._._..._
,
3 D?5 7.
J a
C.
3`-? r
,
J 6
_ ?
FOR CITY USE ONLY
PERMIT # ISSUED
;;?z V 3
Pd w/Bldg. Permit
S
$
$ VJ} ' -5?
$
$
S
S
$ o •U ?"i
$ `v7S'CI-a
$
S
$
$
•?D
$
s lz- i V- ,S-D
RECEIPT
FEES:
$ /b - s?
$ /0- S?
S
$
$
$
%? rs-a
/SU7?
$
$
$
$
$
$ "
$
S
$
s 5 /? ?-a
r/ 7/ ?/
RECEIPT
f •
SEF?,ER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SL'RCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOCNT DEPOSIT - WATER
WAC
SAC
TRLNK WATER ASSESSME[VT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRONK WATER
WATER TREATMENT PLANT SLRCHARGE
OTHER:
TOTAL
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY?
? YES ZF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
.? ROADWAY" MUST BE ISSL?ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : J ° ?-??(c7
Ut'rx vr ne.ueuv run loirz ubc uaLi
3830 PIIAT RtiOS ROAD
EACAN, MN 55122 PERMIT #
YHONE: (612) 454-8100 RECEIPT # Ci.5 3V7'
?, :.BIA7G;.1'EA?ZT DATE :
.........:..
,:.....:.>....::...w
PLEASE COMPLETE IIPPER PORTION ONLY FOR SZNGLE FA?tILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH IINIT.
STGNATURE OF
YORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA.
NEH CONST _
ADD ON ADD-ON MINIMUM
SHOWER 15.00
3.00
REPAIR WATER CIASET 3.00
SATH TUB 3.00
?
OWNER NAME: IAVATORY
KITCHENSINK 3.00
3.00
SITE ADDRESS:
?[
IAT:o !1 BIACK I SUBD.
_
_ ??DRY TRAY
HOT TUB/SPA
WATER HEATER
FIAOR DRAIN 3.00
3.00
3.00
3.00
GAS PIPING OUT.
INSTALLER: _ 1ai YYI P. (MINIMUM - 1) 3.00
_ ROUGH OPENINGS 1.50
ADDRESS:_? _ OTHER
WATER SOFTENER 5.00
CITY: ZIp: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE #;
??.
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCZAL/INDUSTRIAL BIIILDINGS AND
2NLTI-FAZfILY BUILDINGS iTHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CIT'Y:
PHONE
fOR:
TOTAL:
(SIGNATURE)
TOTAL
SUBTOTAL S ?S
ST. SURCHARGE .50
TOTAL: S /S. SJ
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF FERMIT FEE.
$25.00 MINZMUM FEE.
CONTRAC'f PRICE x 18 $
STATE SURCHARGE $
ZIP:
$
CITY OF EAGAN
PERMIT# H S O"70 RECEIPTDATE: 4' ??-v I
n/`` • ti . ,
U$IDENTIAL PLiJM$INfi PEIiMIT APPLICATIOR
crrYoF EAsm
3830 Paor Kvos Rn
gas,aiv, huv 551 Es
651-6$1-4675
Please complete for: ? single family dwellings
: townhomes and condos when permits are required for each unit
? backflow preventer for ircigation system
SITEADDRESS: f V? A? I.L `M4(I_.
OWNER NAME: :?i-D I?H) TELEPHONE #: bsi 6V
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
CITY:
Place a check mark next to the permit work tvae
TELEPHONE #: ct 931 "`707b
(AREA CODE)
STATE:
ZIP:
_ New residential dwelling unit under construction and not owner/occupied $ 90.00
_ d-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work: F eYV&,C Wkz-?
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MFC Iicense
,
State Surcharge
?,? 11 ?
.50
? ?li?. 9. •r. . '?
T
t
l c?7?
o
a
11'
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water s"ofteners, etc.
t---.
I hereby acknowledge tnat I have read this application, stale lhal the infortnation is cortect, and agree to comply with all applicable City of Eagan ordinances. It
is the applicanPs responsibility to notify the property owner that Ihe Cily of Eagan assumes no liability (95 any damages caused 6y the City during its nortnal
operational and maintenance activilies to the facilities constructed under this permit within City prope t lriqht-of-way/easement.
SIGNA'TUFT£ OF
Updated 1/Ot
?? .
SUBJECT:
APPLICANT:
LOCATION:
EXISTING ZONING:
DATE OF PUBLIC AEARING:
•. DATE OF REPORT:
, REPORTED BY:
CITY aF EAGAN
;
) 0
Vaciance ? Advance Developers_
-Lots 3,415, Block 1, Sun Cliff 3rd Addition
P.D. Eagan Hills West
November 18, 1986 -
November 13, 1986- . '
Planning Department APPLiCATION SUMMARY: •
An application has been submitted by Advance Developers requestiq9
a 5' front yard setback to 25' on Lots 3, 41 5, of Block 1 in
the Sun Cliff 3rd Addition. . All three duplex lots have fcontage
on Deer Hills Trail. Northern Natural Gas Company has an easement
along the rear •property line of these lots. By 9ranting this
Variance, the distance from the dwellings to the easement will
be at least 151. The developei would be receptive to making
lots 1 and/or 2 also have the 25' setback for greater unity if
so desired by the Council.
If approved, this Variance shall be subject to all applicable
Code requirements. .
SUN CLIFF THIRD ADOITION
. (SOUTXPOIME COUPTYAflO XOMES)
. . ' . . . ADO11fYS PL11
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DEER HILLS TRA1L ^;':,?°'•?-•.°.•.
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DEER HIltS TRAI.L
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/-
CLAIM VOQCHER
CITY OF EAGAN
?
CLAIMANT RAY 41ELTER HEATING
ADDRESS 4637 CHICAGO AVE
MINNEAPOLIS, MN 55407
REFUND $12.00 MECNANICAL PERMIT FOR 1883 DEER HILLS DR., RECEIPT #72524 DATED 4/14/87.
DliPLICATE PERMIT
I declare under the penalties of law that this account, claim or demand is ju:
and that no part of it has been paid.
L-4al? ? ?
ignature
Date
FI112: CLAIDiS
894939
DRAINAGE AND UTILITY EASEMENT
THIS INDENTURE, made and ente
A P?.\ , 1987 by and between
Minnesota General Partnership fee
DEVELOPERS, INC. contract vendee,
the CITY OF EAGAN, Dakota County,
red into this 7-'?4- day of
CLIFF ROAD PROPERTIES, a
owner, and ADVANCE
collectively Grantors, and
Minnesota, as Grantee,
WITNESSETH WHEREAS, said Grantors, are the owners of the
tracts of land in the City of Eagan, Dakota County, Minnesota,
legally described as follows:
See Exhibit "A" attached hereto and made a part hereof.
and Grantors desire to declare an easement for drainage and
storm sewer purposes over the real property described on
Exhibit "B" attached hereto and made a part hereof.
NOW, THEREFORE, the said Grantors, in consideration of One
Dollar ($1.00) and other good and valuable consideration, to it
paid by Grantee, receipt of which is hereby acnaowledged,
hereby grant an easement over the property described on Exhibit
"B", to said Grantee, its successors and assigns, for permanent
drainage and storm sewer purposes and for utility line
purposes.
The Grantee shall have the right to what is reasonably
necessary for the enjoyment of the rights herein granted,
including the right of clearing the easement area to allow for
the use thereof as stated herein, and for ingress and egress to
and from said easement area and over and across said easement
area only for the purpose of laying, maintaining, operating and
repairing said utility lines.
And the said Grantors, for themselves, their heirs,
executors, administrators and assigns do hereby release the
said CITY OF EAGAN, its successors and assigns, from ail claims
for any and all damages resulting to said easement area by
reason of the exercise of its rights hereunder.
By acceptance of
it shall restore the
instaliations to as
possible and further
shrubs or sod and to
these easements,.the Grantee agrees that
property after construction and
near the existing grade as is reasonably
agrees to replace existing cultivated
seed all other areas.
IN WITNESS WHEREOF, the parties hereto have hereunto set
their hands and seals the day and year first above written.
ADVANCE DEVE PERS, INC. CLZFF ROAD PROPERTIES
By: ? , CBy: rdV.L "e-??c?
It : l'A ' IE ? ItS:?r-Fn4/ ?-
and and
Sy: By:
Its:
STATE OF MINNESOTA}
)ss.
COUNTY OF Vle^n' ea^ )
Its:
On this Z'1d day of 1981, before me a
Notary Public within and for said County, personally appeared
L. 0-4;,.C„ and - to me
personally known, who, being each by me duly sworn to be
partners of the Partnership named in the foregoing instrument,
an.d th-t tha coal ffisrPd t thS.gg1-pf
sa_a ?-==-__=`ip and that said instrument was signed a-ad--&ea-l-ed
on behalf of said Partnership by said po.r t?kr and
`- and they acknowle ged said instrument to
be the free act and deed of the Partnerysh#., ,,q
( SEAL ) I ??DALE V, EGYY.'ALI.
??j? (pTARYPU9LIC-MINNESOtA
?? HENNEPIN COUNTY
QJ W c?mi..an E,cvo-.. nw. sa. iaea
STATE OF MINNESOTA)
)ss.
COUNTY OF t-lzn?'.2x:. )
On this Z"t day of Ae;.? , 19?, before me a
Notary Public within and for said County, personally appeared
&fr.ck C, and -- to me
personally known?, who, being each by me duly sworn to be
partners of the Corporation named in the foregoing instrument,
a «„^'s--?---h - i -- r r• a -• a ..... f
said -cerperat4sn and that said instrument was signed amd seaizu
on behalf of said Corporation by said
and - and they acknowledged said
instrument to be the free act and deed of the Corporation.
i
(SEAL)
?r E,",OrARY AE ECKWALt. Notary ublic
PULIC • MNHESOTA
NNEPIN CUNTY
mmiaalart E*9?m AP.20. ?M7
THIS INSTRUMENT WAS DRAFTED SY:
LARKIN, HOFFMAN, DALY & LINDGREN, LTD.
1500 Northwestern Financial Center
7900 Xerxes Avenue South
Bloomington, Minnesota 55431
(612) 835-3800
EXEMPT FROM STATE DEED TAX STAMPS
3.
JHL:BFSS
EXHIBIT A
Lots 1 through 5, inclusive, Block 1, and Lots 1 through 5,
inclusive, Block 2, Sun Cliff 3rd Addition, Dakota County,
Minnesota.
JBL:BFBS
;
c: E F
EXHZBIT B
Those portions of Lots 1 through 5, inclusive, Block 1, SuJ
Cliff 3rd Addition, Dakota County, Minnesota, described as
follows:
That part of said Lot 1 lying northerly of a line drawn from a'
point on the west line of said Lot 1 distant 15.00 feet ?
southerly from the northwest corner of said Lot 1 to a poinr oh ?
the east line of said Lot 1 distant 36.21 feet southerly from '
the northeast corner of said Lot 1.
The north and northeasterly 35.00 feet of said Lot 2, as
measured at right angles to the north and northeasterly lines
of said Lot 2.
The northeasterly 35.00 feet of said Lots 3 and 4.
That part of said Lot 5 lying northeasterly of a line and its
easterly extension drawn from a point on the northwesterly line
of said Lot 5 distant 35.00 feet southwesterly from the most
northerly corner of said Lot 5 to a point on t::e southeasterly
line of said Lot 5 distant 20.00 feet southwesterly from the
most easterly corner of said Lot 5.
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BEARING
S N 83' 15' 08" w
Mosf W'ly ?oiaer o." Lo1?, Bio:k6, 2 N 89'45' 10 " E
, SUN CL/fF F'+`7ST A0.7177^N 3 5 00'14'50"E
0'w
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5 N ao'ia'zo'E
_ 6 5 66'40'290 E
• 7 S 29'23'13"E
?8 S 15'45'31"w
? 9 S 49' 28' 50" E
. 10 /
F
_
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N 89'45'31'E
;-•• CURVE OELTA RAOIUS ARC CHORO BfiG
85'24'50"W
-• "'• 1 4'19'25' 3819.65 2BB.24 N "
'
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:•' rr' Z 0'50'00" 11509.16 167.39 5 E
50
39
00
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.: s°?- 3 20'01'00' 183.88 64.24 S E
59
13
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-
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i.•'.+ '•?- q 40'00'00' 167.37 176.85 S E
29
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0
32
01
Ca?n
,. ,.. ... ?I?
I rz ti :i ! 7*j C; 'n:
< _ L o Denotes Iron Monument Set I/2"x 18°
.....?...? "R I .5.7726"
The North line of the NE I/4
NW I/4 of Sec. 29, T 27, R 2
Dakotc County, Minnesota ha!
ossumed bearinq of N89°45
*.
City of Eami
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE orBLACK-.,Ink
For Office Use
Permit #: /OKI
Permit Fee:
Date Received: 1?
_04 2'
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t -/ 1 7/2-0( Site Address: 1(/ SYY �� /1-4 7 )1
Unit #:
Name: (hs GI --1 Phone: 61 7-- 274
Address / City / Zip:
Applicant is: Owner X Contractor
Description of work:�jd 6( �- ( API e)4
Construction Cost: / Multi -Family Building: (Yes X / No )
Company: /fir,/ Contact:
Address: m3-5— 5— (�`/cC4e—, i�r" 5, l y City: /I4i
State: M Zip: 475----.1 �� Phone: gra:-
License
r2
License #: ✓- C3 - Lead Certificate #: `' ( X?—!
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:
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 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.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 J ilding Code must be completed within 180
days of permit issuance.
x J L— 9C,' 4c_ii,1 4.`%1
Applic nt's Printed Name
x
Apc s Signat
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