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1310 Deerwood Dr•• ' CITY OF EAGAN NO 19244 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 PHONE: 454-8100 n ?,} q BUILDING PERMIT Receipt # (? l? 6 l ? Tobeusedfor GARAGE Est.Value $16,000 pate JUN 13 , 1991 Site Address 1310 DEERWOOD DR Lot 2 Block 51 Sec/Sub. SECTION 22 OFFICE USE ONLY Parcel No. occupancy M-Z FEES 2oning A w Name RA1tMOND A KANGAS (AClual) Const V-N eldg Permit 171. 00 . I Address 1310 DEERWOOD DR (qllowable) V-N 8 00 0 1 Surcharge . City EAGAN Phone 885-0262 452 1941 rotstones 4$ ' Plan Review 111.00 Length o Name SAME oaPU, 32' snc c , ry u Address S.F. Totel ? 1 536 SAC, MCWCC City Phone S.F. Pootprims ? On Site Sewage Waler Conn m8 On Site Wel l - - WaterMeter J3 ,30 dfBSS A MWCCSystem - ?/ Ph0n0 City Waler _ Acd. ?eP?it PRV Required - S/W Permit I hereby acknowlege thal I have read this application and state that the Booster Pump - SNJ Sumharga iniormation is correct and agree to comply with all applica6le State of Minnesota Statutes and City of Eag , Ordinances. Treatment PI SigneWre of Permitee `-'? ?.-1 ????? APPROVALS qoad Unit A Buildinq Permit is issued to: ?YMOND A? NGRA AS Planner - park Ded. on the ezpress condition ihat all work shall be done in accordance with all Council applicahle State ot Minnesota StaNtes and Ciry of Eaqan Ordinances. gldy, pry, Copies yy? J Building Official Aroiq 4G1fif IIi.11 Variance - 70TAL LyU.UU CITY OF EAGAN A' p g 3830 Pilot Knob Road,P.O.. Bqx 21-199, Eagan, MN 55721 I r- 1Z7`? 6 PHONE: 454-8100 BUILDING PERMIT rteceiptu To be used lor GARAGE Est. Value $4,500 Date ? Site Address - 1310 DEERWOOD DR Erect C? Lot 2 eiock 51 secis.b. SECT 22 Remodel ? ParcelNo. 10-02200-020-51 Repair ? Addition ? W Name RAYMOND A KANGAS Move ? 3 Address SAA14E Oemolish ? o Int Impr. ? 7a & )CTOBER 8 ?g 86 Occupancy M1 Zoning Rl Type of Const. 11 No. Stories Length 24 Depth 24 Sq. Ft City Phone 894-5111 (W) Install ? o Name 452-1341 (H) APProvals i ? a Address ASSBSSme11t m ? Ciry Phone Water & Sew. ? Q Police ? i Name Fire ? a Address Eng. W a Ciry Phone Planner Council Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe B?dg OK 10/7/86 information is correct and agree to comply with all applicable State of Minnesota Statutes and City o Eagan Ordinances. APC Var. Date Signature of PermiMee Faes Permit $ 50.50 Surcharge 2.50 Plan Review SAC Water Conn. Water Meter Road Unit Tr. PI. Parks Copies53.00 Total ' A Building Permit is issued to: RAYMOND I ANGAS on the express condition that all work shall be done in?eccoXdance withfall a licable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ?. CITY OF EAGAN 5795 Pilot_Knob__Rqad Eagen, MN 55122 N2 6 177 PHONE: 454-8700 BUILDING PERMIT APPLICATION ReceiPt # ?a9?7 To 6e uud for SIDING Est, Value 1,700 ppfe 9-16 19 80 DeeT'WOOd Ih' g ss 1310 Site Add ? Erecr ? Occupancy - ' ? ,/ Lot!?? Blotk-5 Sec/$ub. c2-6-• cP Aker ? Zoning Porcel # Repair ? Fire Zone l E t f C T n arge ? ons . ype o w Name Ravmond Kan2as nnove ? # smrie: ; Address- 1310 D2eZ'WOOd Dx'. Demolish ? Front ft. ? Ci Phone - Grode ? Depth ft. m Nam Approvnla Fees 0 oU Addfew SaTRe Assessment Permit 900 • u? 1- Water & Sew. SurcFwrge 1.00 Ci Phone F Police Plan check ?w IJame Fire $AC Address Eng. Water Conn. QW G phane Planner WaferMeter Council Rood Unit I here6y ocknowledge that I have read this application ond state thot B?? ?f. the information is mrrect and a9ree to comply with all opplicable 10 ?0 Stote of Minnewto Stot nd City of Eng n inances. p APC Total - • ` ` V Signoture of Permittee A Building Permit is issued to: RaymnnLI KnnpaG on the express condition that all work shall be done in accordonce wiyh oll apDlicgNe c.ym ni Minnesota Statutes and City of Eagan Ordirwnces Building Official /?? oaan0 -0 ao--57 6?`" ?`1? ? ' CITY OF EAGAN ? J? ?` BUIId)ING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. To Be Used For Valuation p o Date Site Address • ?? I n ? Pr ?,?o tl?_ OFFI(E USE ONLY Lot ?7 Bloc)c ?/ Sec./Su6. Erect pccupancy Parcel #: Alter Zoning Repair Fire Zone O.mer: Enlarae _ Type of Const. Nbve # Stories Pddress: \3 i o cJQF ?, ,,? _ V? pemlish Front ft. City/Zip Cocie: ? , I-) ?,,, ,,.? Grade Depth ft. Phone #: TDDxYI[rnr c Contractor: ?oLF Address: City/Zip Code: Phone #: Arch./Eng.: Pddress: City/Zip Code: Phone #: Assessments Permit .? ' Water/SecVer Surcharge Police Plan Check Fire SAC En9• Water Conn. Planner Water.Meter Council Road Unit Bldg. Off. APC - TO'FAL ??Y•.. - y'?„ip"?r^' . -r . .• . . . . v , , , CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN PHONE: 454-8100 BUILDING PERMIT Receipt # _ To be used for CAXA('a8 Est. Value s16,000 Date_ Site Address 1310 DRtRilOOp Dt Lot 2 Block 31 Sec/Sub. SECtIOI?T ?.2 Parcel No. W Name RAIMl1D A iCANl'.AS ? Address 1310 DEE?OOD DB City ZAW Phone 065--0262 ,o Name z? 0? Address City Phone W W Name 0 ; Address - a W City I hereby acknowlege intormation is correct Minnesota Statutes ar Signalure of Permitee A Building Permit is is on the express conditi Phone have read this application and state that the ag?ee to comply with all applicable State of of Eagan Ordinances. all appiicaoie 5iaie ot twmnesota Statutes and City of Eagan Ordinances. Building Official 1, ` R i ? 19244 "i YI? 1 OFFIC E USE ONLY Occupancy MM2 FEES Zoning A_ (Actual) Const ?_N Bldg. Permit 171 -AA (Allowable) YMN I $urcharge 8•? # 01 stories Length _" I Plan Review 111 l0o DeDth -32-# SAC, City S.F. Tolal 1 S36 ?+C, Mcwco S.F. Footprints 0 On Site Sewage _ Water Conn On Site Well - Water Meter MWCC System Cit Water _ Acct. Deposit y PRV Fiequired _ _ S!W Permil Booster Purtip - g/yy Surcharge Treatment Pf APPROVALS Road Unit Planner _ Park ped Council ? BIdg.Ofl. _ Cop'es Variance - TOTAL 290•00 Permk No. Permit Halder Date TMephorw # WATER SEwER PLUMBING H.V.A.C. ELECTRIC 471?? Inapection Date lesp. Comments Foolings I ?a 6i?,B Foundation Framing Rooling Rough Plbg. Rough Htg. Isul. Fireplxe Fnal Htg. Orslat Test Fnal Plbg. Plbg. Inspec.Kor - Notify Plumber Const. Meter Engr./Plen Bldg. Final Dedc Ftg. Dedc Final Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12736 BUILDING PERMIT PHONE: 454-8100 Receipt # ' 6-7 To be used for GARAGE Est. val ue $4,500 Date OCTOIiER 8 ,1 g$ 6 Site Address - 1310 DEL•'RWOOD DR Erect L* Occupancy M1 Lot l Block 51 Sec/Sub. SECT 22 Remodel ? 2oning R1 ParcelNo. 10-02200-020-51 Repair ? TypeofConst. {J Addition ? No. Stories a RAYMOND A KANGAS Move ? Length 24 Name Demolish ? De th 2? o Address S?E Int Impr. ? SqPFt city Phone 894-5111 (W) Install ? =o ?vame 452-1341 (H) Approvi ? e Address Assessment _ ? ~ City Phone Water & Sew. Police Fire 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 Ciry of Eagan Ordinances. Signature of Permittee j " ' o ?_ , I. -?-? ' 1:) AYPiCND E('AtVGAS Permit " `"' • ''• Surcharge 2.5( Plan Review SAC Eng. Water Conn. Planner Water Meter Road Unit Bldg. Off. jv/ 1/ ov Tr. PI. APC Parks Var. Copiss Total 4 5 3. il U A Building Permit is issued to: ' 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 -4 ,r ? - ,T I IPomn No. I WrmM Moldkr I oal. I TNephone M I date Plbq. Hly. FMaI Mfy. Flnsl Pibp. alag. Fanal Cert. Occ. v/,7/4-? Ftg. Frmp. Disp. CITY OF EAGAN 3795 Pilot Knob Rood Eogon, MN $5122 N2 6177 PHONE: 454-8100 BUILDING PERMIT Receipt #k To be urod for Est. Volue Date , 19 Site Addrcss Erect [] Occupancy Lot Block Set/Sub,_-?-C?L Alter ? Zoning Parcel # Repair ? Flre Zone Enlarge ? Type of Const. W Na?ne - Move ? ?' Stories 3 Address 0 ' Demolish ? Front ft. Ci -, Phone ; F• Grade ? Depth fi. O Name ^rr........ ?? ~ /lddress Assessment Water & Sew. Ci Ph ?? ?W one Police N°^'e Fire ?a Address Eng. <W Ci phone Plonner Counci I Fees Pem'iit Surcharge Plan check SAC Water Conn. Woter Meter Road Unit I hereby acknowledge that I hove read this application and stote thot gldg. Off. the information is correct and agree to comply with oll applicable ApC Total State of Minnesota Statutes ond City of Eogan Ordinonces. Signature of Permittea A 8uildin9 Permit is issued to: on the express condition that all work shall be done in occordcnce with all opplicable State of Minnesota Statutes and City of Eagon Ordinances. Buildinq Officlcl Ponk # pafa Iomd ?*mktw Plumbing Mechonital INSPECTIONS DATE INSP. Rouph-1 n Firwl FoOtings Dote Insp. Date Insp. Foundction ? Plumbing Frame/ins. Mechanioal Finol Remarks: CITY OF EAGAN Remarks Addition _ SECTION 22 Lot QZO gIk 51 Parcel 10 02200 020 S1 ow?a??xs?%1??2?! Street 1310 Deerwood Drive state_ Eagan, NA1 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ?jtj 1973 1520.00 76.00 20 1064.00 C005174 9-11- SEWER LATERAL. • WATERMAIN 1976 2126,20 212.62 10 1458.34 C00517 9-11-79 WATER LATERAL * WATER AREA 1976 STORM SEW TRK STORM SEW LAT CURB & GUTTER ' 51DEWALK STREET LIGHT WATER CONN. 160.00 ' O 8-13-75 BUILDING PER. SAC PARK OF EAGAN Remarks eld2? 22 Lot Rlk Parcel 10 02200 020 51 Street State _ Improvement Date Amount Annual Years Payment Receipt ? Date STREET SURF. STREET RESTOR. GRADING ? - 5AN SEW TRUNK 7 30:? 20 On SEWER LATERAL m WATEFIMAIN WATER LATERAL 97 ?. WATER AREA STORM SEW TRK STORM SEW LAT i CURB & GUTTER SIDEWALK STREET LIGHT ? WATER CONN. SUILDINGP SAC P Y OF EAGAN Remarks Addition ? ? ri 22 Lot Blk Parcel Owner Street 5tate Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 $912.00 $45.60 ^p SEWER LATERAL WATERMAIN WATER LATERAL ? WATER AREA STORM SEW TRK ? STORM SEW LAT \ CUR6 & GUTTER SIDEWALK STREET LIGHT ?. WATER CO . $160.00 908 -13-75 BUIL G PER. \ S `- ARK I 020 51 CITY OF EAGAN Addition Section 22 Lot eik Parcel 10 02200 020 51 Owner ,rLLI Street State EAGAN MIN 55123 ?` / •s%- ? =b3 t7/ Q. 1'72 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 1520.00 $76.00 20 1064.00 C005174 9-11-78 ? SEWER LATERAL WATERMAIN WATERLATERAL& areggy 1976 2126.20 212.62 10 1488 34 174 9-11-78 WATER AREA ? 77 ? ; • ..? - ? STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. 160.00 908 -13-75 BUILDING PER. SAC PARK u+_?%?:1'1?Ilf C?R1R?/?Y'i°C ?T ' •.? . _ _ - -'' • - ?Qaarva.??22 / 98'? wQ?11? ?`' ? . . , /aF? C3? ar,tc? IL CfTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 PERMIT TYPE: f I i' i "in Permit Number. 1443 Date Issued: SITE ADDRESS: 1 011 . PERMIT SUBTYPE: ? R I n ?r: • ? , APPUCANT: c<qiA 4 1 FtA ti TYPE OF WORK: iIi ,1 i. i t t??IN nru - C 14 (1 f.sF -! M A 1 N i I uc r.. .A . .A ?„ ?ii „? i?iwE ii?;•.t I 'i1hF'`.i: -sfi f'ARATf ( l Ft: I N 1I AI t, 1'1 IlMft I Nli {•t kM l 1', kt 1I111 Ml !? 1- Permit r1o. Pem,rc r+ower aate Telepnone r S/W PLUMBING HVAC ELECTRIC ELECTRIC Inapection Date Insp. Commerns Footings I ?• 12 s' 3 D5 Foundation ow/ Framing !!/ 2 ? Roofing ? Rough Plbg. ? ? ?Y ? ._ ? Rough Htg. ? Isul. ,CJ Firepkace Final Htg. Orsat Test Frtai Pibg. Plbg. Inspec[or - Notify Plumber Cwisl. Meter Engr.IPlan Bldg. Final ? L Deck Ftg. (J / - D Dedc Final , weli l ,2 7 _ ? Q Pr. Disp. _,,,i Q 55122-1897 j'CQRD PERMIT TYPE: Permit Number: Date issued: Cil11 ! D IIMG H :' o i ,' ii 1 0 r :1 it !y6 APPLICANT: SITE ADDRESS: 1 ?rr ? . lRL?)ek : i ? ??i t NIJ??flf? ItR ? ?? ? ? PERMIT SUBTYPE: TYPE OF WORK: ?iA INSPECTION DA • D• ?., ? . • ? s . ? % Permlt No. Perm(t Holder Date Telephone • ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTING5 FOUND FRAMING ROOFING ROUGH PLUMBIN(3 PIBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST - FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL d 3 9 8 20JUL 2 6 1993 Fequest Date A ?4 F? Fire No. / I:2 licensed coniractor ? owner here6y ri bb Aatlress (5[reet Bo r Raute No.) ? ££YWDo iection No. TownsM1lp Name or No. fCOmpany Name, 'l £oGuh?h'" trectoror Owner MakinB ??s?allaiion? ?M?? = No I ?FeetlyNow? ? Ye s i inspection of ahove electrical work ah Range License ICOmremor/Owner miNNE50Th$TpTE BOAPp OF ELECTf( Grig9s-MlJway Bltlg. - qoom S-173 1821 llnivereity Ave.. Sf. Paul. MN 55104 Phone(81]) 642-0800 L't,$z' 73 C 1070 - I ?- e".0 Notily Inspect" 3n Reetly? THIS WSPECTION REQUEST WILL NOT BE ACCEPTED 8V THE STATE BOARD VNLESS PROPER INSPECTION FEE IS ENCLOSED. ? EQUEST FOR ELECTRICAL INSPECTION ?`?? ee-ooooi-o J??"2 ?6 9g? See9slmctiom'ior completing thls torm on back M yellow copy. L 39820 "X" Below Work Covered by This Request ew A ep. 7ypeotBuilding AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Healing Apt. Building Dryer OtheF(Specity) CommJlndustriai Furnace Farm Air Conditioner Other (syeciYy) ConVactor's Re ?j rn. Compute lnspection Fee Below: ? Other Fee ar ServiceEntranceSize Fee # CircuitSiFeetlers Fee Swimming Pool 0 to 20() Amps D to 100 Amps Transiormers Above 200 _ Amps Above 100 _ Amps SignS Inspectors Use Only. ? TOT L Irrigation Booms /Ji.cd D ?? Special Inspection y Aiarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee l COMPLETED WITHIN 18 MONTH$r-r I, the Electrical Inspector, hereby certify that the above inspection has I been made. Rou9n-rn ? F?°ai ate ?_. oare OFFICE I/SE ONLY - / This request vaia 18 moniM1S irom ? ? North Star Abstract & Title Order 303 Nicollet Mall Title Minneapolis, Minnesota 55401 Recordings DeparUnent 371-1777 Taxes Plat Please include Thank You 1,6 o?a'c c? a 7 D 5-1 Date ?2 Numbe`r"""???c??7?/ 3"? Number ' ?SV .s?7-j' VILLAOE OF EAGAN WATER SERVICE PERMIT 1804 ' 379 Pilot Knob Road PEAMIT NO.: - 8/14/75 ' Eogan. MN 55122 DATE: 7.oninK- A No- of Units: owner: Carl LPSn e - ? i'i?,?6?J Address: ? Sice Address: 1310 Deerwood Drive Eaqan 55123 ? Plumber: Same Meter No. ????L'77`?7 Connection Charge: 160.00 : ---.-?---- Size: -s L Account Deposir. 10.00 pd ? Reader No.: Permit Fee: - 50 pd ? 1 ogree fo compIy with the Villa9° of Eogan Surcharge: hOLR 10.65 pd ? Ordinances. Misa???s. ? Meter 60.00 pd I Total. gy ?. - "Pd $?e?u?er tap 35.00 P I I llate of Insp.: 1°gP. ? 4111? Clty 0f EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ,. . - -_ - - - ------, ? For O?ce Use ? ? Permit #: h I ? PermitFee: I ? ? Date Received:0(0. 'U?- ? i ? Staff: ? ----------------- 2008 COMMERCIAL PLUMBING PERMIT APPLICATION Date:• Tenant: 131o U????u -?R. Suite #: PROPERTY Name: Phone: OWNER CONTRACTOR hame: License #: rrS `38 0`d^ {?N1 Address _q45 1 W•?(o?? E-cUA State: Mrl zip: 55 6- Phone: Q?'1??s r, -3sID Contact Person: ?lki'K?c? lFl Q2rnRN TYPE OF New Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. WORK 1\rrLtDIJ ( 0 ?l?`"L Src2iftl $? I'?37(all Description of work: i PERMIT TYPE COMMERC/AL _ New Construction _ Modify Space Irrigation System (_ yes !_ no) (_ RPZ! _ PVB) • Rain sensors required on irrigation syslems • Avg. GPM (2" turbo required unless s maller size allowed by Public Works) Meters CaII (651) 675-5646 to verity that tests passed prior to pickinq uo meter. Domestic: Size & Type Fire: Size & Price 3/4" meter 183.00 Avg. GPM High demand devices? _Yes _ No Flushometers Yes _No PRV Required Yes _No COMMERC/AL FEES: $50.50 Minimum (includes State Surcharge) OR contraa Value $ x 1% - $ I" 2 0 •60 Permit Fee Required on ALL new buildings and boulevard irrigation systems 4 _$ Radio Meter Read - fl Permit Fee is less than $1,000, surcharge is $.50 =$ Meter(5) - tl Permi[ Fee is >$1,000, sumharge inaeases by $.50 for each $1,000 $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). _$ State Surcharge Following fees applywhen installing a new lawn irrigation system. 8 Water Permit Call [he City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES; 15 D 050 I hereby acknowledge that this intormation is complete and accurate; that ihe work will be in coniormance with the ordinancas and codes oi the Ciry ot Eagan; that I undarstand ihis is not a permit, bu[ only an application for a permit, and work is not to stan 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 ot plans. /?7p.?tt? / x Lf?'?Wf.Ur?-lJP_YY.AlY x CW'V?1'?V? ApplicanYs Printed Name ApplicanYs Signature FOR OFFICE USE Approved By: Date:. Required Inspections: Under Ground Rough-ln Air Test Gas Test ' Final rage 1 ot 3 PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when pernuts are required for eacL unit Date 6 / .2-3 /63 SiteAddress 1316 L Unit# Property Owner ka,,_ k?r? Telephone #(Q„SZ Contractor Address r? Ciry el, ? State ? /7 Zip Telephone # (p63) 411 3 The Applicant is _ Owner &--,/Contractor _ Other Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fi#ures to lower levels or room additions, exciuding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: ? RPZ ? i t ll ti i il ew ns a a on _ repa r _ rebu d $ 30.00 _ Lawn irrigation system Water softener Water heater - - $ 15.00 _ replacement _ additional L? J JU'V z . State Surcharge $ .50 Totsi s 36.4s0 I hereby apply for a ResidenHal Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes, that I understand this is not a permit, but only an application for a pernut, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. , J /ZV G -}. ? L[ h I ? ? L.a,-P ? Applicant's Printed Name ? ApplicanYs Signature Peimit?? Receipt Date: CITY OF EAGAN 2002 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Address '9ocrtvo0el A-1/ OFFICE USE ONLY Property Owner J\?-? ?5 U n cu5 ?. Telephone # J-?-CI Plumber FXI-. Date of Inquiry 7-p 2 Jos?l ,??z- 2s3- ?28Z _ 6G,o---43? Sewer Lateral charge @ $23.35/ffe/9ff'r Trunk @ $945/connection Pd CiTy SAC MC/ES SAC Receipt # , Date Sepric abandonment ? Permit Fee i State Surcharge Total " PRV required Y?,5 City ?Y1 County R-O-W Permit / ???(, y 13 Water $ y?0 Lateral charge @ $23.60/ff owev,n??W.Trunk @ $985/connection 100.00 '°/Vw Water supply & storage 1,200.00 Receipt # , D e _ Treatment plant 50.00 Permit Fee 50.00 State Surchazg _50 Plumbing pe t required - water meter to b acquired with plbg pemut Sewer and Water Sewer lateral charge @ $23.35/ff Water lateral chazge @ $23.60/ff Sewer trunk @ $945/connection Water trunk @ $985/connection Ciry SAC MC/ES SAC Receipt # , Date _ Water supply & storage Receipt # , Date ? Treatment plant ? Sepric abandonment Permit Fee / State Surcharee-, Total Plumbing pemut required water meter to be acquired with plbg permit / 100.00 1,200.00 880.00 540.00 50.00 100.00 _50 $ s 880.00 540.00 50.00 .50 $ cc: Cazolyn Krech, Finance Department LAT 0 2 Q BLOCK -6 1 SUBD. Juhn Z.Z. RECEIPT # C?i f? 1 I f) ? ? --q 21?1? CITY OF EAGAN SEWER/WATER REPAIR PERMIT 1993 Date: -Eul 4. 3,3 MrA3 Sewer Description: Water Fee: $50.50 Le uzL (9 5 kp PL"J rhi ct??; ?;0..1 Area/address to be repaired: C?10 Z, ?/?' Q - Installer: Street address: Or. City, state & zip: ?e--y??? r?:r, ?• 551z Telephone #: '-8z-- - v3q? Owner name: V-A? ?? ? • k?. ?-. a G ? Street address: W v? Ciry, state & zip: Phone #: Lf SZ - 1 3--I? 5 + Z. ?,& 0, K Permittee .? 1991 BUILDING PxT PL CATION CITY OF EAGAN ` v SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCUTATIONS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SZTE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SAI.E UNITS PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER M[IST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED 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: 90'v`a Valuation:? Site Address 131o DeJm"D,L.N', Lot I Block ?il ,.lA-m za., ° Parcel/Sub 10 - 07.7..0 o? o ZD-S? Owner ?)0.M Yha.? G 'Q• aS Address l3 l a QR2?..? e?? `fl h. City/Zip Code Phone '45L-134/ /wo„lc 8uS-oLla'(, Contract Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Date : (,-, ( I / q I AK OFFICE USE ONLY Occupancy M Zoning Actual Const ? Allowable V-AI # of stories Length Depth S.F. Total Footprint S.F.? On site sewage_ On site well MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. 1, -" 9 -'5 Variance FEES Bldg. Permit Surcharge 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 171.00 ?U SUBTOTAL Penalty Lot Change TOTAL • '/C , (2",? a-- ' 1Q'^r.? agrees that all work shall be done in accordance with (Si ature of Contra r) C all applicable State of Minnesota Statutes and City of Eagan Ordinances. L.7?:_.LL.: , ?? w.i?.: ? \ ? ? \\ r., ? ?I :? , ` ? ? ? ' ' F r. i ; 3???r 3'? ??. -----__- --_T . _-------- a ? ?? ._? ?`?-? _. ????? __ ti??.? ,..??.<<..,?,? u) ??? ? i1 ? ??/` ?'? \ /` E_?it??? 44?? •.>u ? ?> ol ?' N, ? --+v ?rr'sT," Gi-LN-._..?? ? ??, y ?- ?1??:...:-?..,, ,. ?? -? _-_._...__. .__ ? .. _.-__.._ .? ?.._. ? ?'__.3 ? 1986 BOILDING PEAMIT APYLICATION - CITY OF EAGAN HOTS: 9LL COHTRACTOES MIJ3T BE LICENSBD WITH THE CITY OF EAGAN SIlNGLE FAlIILY DiIELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS MQI.RIPLE DiiEI.LINCS - EfiSIDENTI9L RENTAL UNIYS FOR SALS UeIITS INCLUDE 2 SETS OF PLANS, CEHTIFICATE OF 3DRVEY - CHECB i1ITH BLDG. DEPT.9 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, ? $2,000 LANDSCAPE BOND 4500- To Be Used For: Yaluation: ? Site Address OFFICS D; Lot ? Block Erect ? Remodel Pareel/Suh J C) -' l? Repair _ ? Addition Owner ?l4yvY,o:,? R- Move -? Demolish Address ?3 So %)--e?..a oo ? Int.Impr. _ Install City/Zip Code F<<?a- , 55`Z3 Phone 45;1- QqI u0-1c g9y_S111 9PPHOYAI.S Contractor SQ 1-$ Address City/Zip Code Phone Areh./Engr. Address City/Zip Code Phone lf ? Date: 2- q $ 4 Oecupaney M•I Zoning ? Type oF Const # of Stories Length Z11- Depth ZA Sq Ft FEffi ? Assessments Permit Water/Sewer Sureharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Couneil Road Unit Bldg Off/t7 Treatment P1 APC Varianee Parks CoDieg-'---? NOTE: ADDHESSSS FOE CORNER LOTS - CONTRAC20H/HOliEOiiNER MQST DSSIGN9Tfi i1HICH ADDRESS IS DSSIRED. NO CHANGES iiILL HE ALI.OiiED ONCE BDILDIHG PSRMIT I3 ISSDED. h t Z?F X 2q" ?? ??(a n i Z: (??' ? z i . ? 'f .-.?../? ? •,j, •,/`"'f// -/(/I/I/?I////? ? '.l r''?%;?; f! /?/:r• J?7il ? ? ? ?r ?f? ? l1'! ? , „? ? :? ?? i?'? f ...... +. f'r!!1!'`it ( /y'?'?? 1•?'. ?.` ? ', .!? Sr,'I? fl???? f1(? 1' ?w.? /:,?fJ/ , :/??It (i ,.f.-f'^.' ? ' I, . ( ?? ' i!;;?!?i +f?`:??I1''?? 11???•!? ? ,i ',r ? /?? j /? . . ? r"? •? J '" l , `? 1 I? f ,? ?.j r, •,J 1 '??? J ??, ! ? ?? ? ? ? 7'i? ?? Y' ` ... . . " ? I? .. ??t11,`,1?11? ????? \)r 1??? t,??Itf?il r ?! ?? 4 ItVI:?? I•,^'?, 9.r9 ? ? ?f,i' 1.? ?pt'????t ? ,?? S 1? t, t\ ,'• t ?. . . j? ?- ?`'. 1 ? ' \1N?. ..1,?c•..iu`\ I ? ? '?.f, } 1 ?? I.:l'ti?l'V?.?1? ?? . f/.,,'_'`\?. ? J ?.?\.?:.`\,`\'`?\?? ? t' ! ?_'?_. \`• -./,?' /,j??' ( ? t!;?'U ` 1 :(.`?? 2(O.''?.? _ • .'Y?? . ,. Y ?? ... •,.: ? ?? 1 \ `\ ? \ ? ? '? _' ? ? i \ .?/ ?. ?'\ v i .y..?.-a.? .1.., T_..? ? • ? ?, "S"_ ='• `?? ? r ? i ? 1' ? ?? ?? f ?. ? i} s ,•, r' -`\\ . ,.? ^?" . / /? _?. ? t ? ) ? { ?.. `? . ? 7'f? ??./??,???J?1?? •?? /jJ? ? fl lr t?f1?yf?t Ji' t ..`1 t ?_.•-_? ----?- ? ' ; ? ? t, --'r . ? ? ` ? ; ? } , ' i; ,?- . ?, :..„ , \?-? _ - "" .,?-- ? -' ; ° ? ? ? ?-`----.' .. ' ' -; ?? . i:i ? 1 1 i? ? t f i ??- ?,,• ??1?. t?. ? ? .??-r.??? ? ? ? I ?S,ti .r. / /' ? ? Z! ? ??' ' ?4°?" ?•.,, ? v .'? ? `( i 7 ' _ ?' ' ~ ,` •, ? ' / ' ? ? . ?! ?.? ?`? ? .`? 1 . l 1 ? ? ' ' )? / ? ? ?/ ?. ,?? ?, ? \. ._.._??..` ?` ' ' • 1?.? iI ?:? 2a . . ? .erif?/'///? ? i.,'•/'!/:?i..\ .? ? ( i ?%i?'f f . ?'•, ?1 f ' {' ? i? ? -'I ??_ l,b?? - . .. ?J? "L l.ii -/.i ?'jf/?? r \\. ? "?,- / ?y ? '?? .'r . \ ?1 ?' ??'i?l , ir'??l ! /, ?/ r.. ? ?'nl?r?./?/?? ? .?.? ? `? \ ?I: ? 'l /,,?? .? ,? ?rO/ ? 1 ? f ? f' i I, ? ?I!,IV 1 . ?? ? d ?/ /?•/ j?/?? ? 't?/+a? ? ?? ? ^ \" ??\?*?..???..?` /;/ ?I 10 . f??.!t-???l.?i' `?'\?,v?;•J.r'?\ . ' ../ I i c? i???'1i? s,?,?;?u•? ? ?,/?= 3 i { ? „i ?' , ', /?Y ?.. .</ ? ?? ?! Jr? • ? I (.? f! I? ?t.? - ,+ ? `J ?-----'?'s,. ?' f f ?? ? ?( j `• t . ?/'• ' L' ???? f"? ?° ? ?/? ' ??? `- ?? ? !/ ' ?f 6 1 + ; .? ? 1 t??t ? - ?/`, ,. ; J ? f / G- /?;. ? '`:/? ,? j 7?? -?'?• t?- _ _,^ • .?} 7 ? r'? S ? { : l ?\ ; ? Jy`' t ? ? y ! ',• r?'J???,/?i?? r'? :?????? ? ??lTj? /? F??•' /??'irJ.? ?~? ` ?;' ? ? i? .?{1' ?' '! .`1 , `\1 ?jl, { ?+??. ? . ' ? r_:>- ? ?, ? ` ?'//, / ?;?,%/; 'i - ?: • ?',. ?' __r5`; ? ?? I.?; IE l . `, ` ?7`. ? t ?? ? ?? / ' ? , ? / I ? J ( 1 ! / 1? ? . 7` + ? 1 S ? WA'F.`IER OF HEA.RII`ZG REQUEST FOR UTILITY IN,PROVEMENTS I,/f?e hereby request of the City Council, City of Eagan, Minnesuta, utility improvements on and over property cwned by me/us as followse (Y9ention type of improvement, e.g. water, sanitary sewerp e*_c.) WATERLATERAL AND WATER AREA The location o: said utility improvements shall 6e generally as follows: Section 02200 020 51 WATER LATER.AL 198' at 6.90 per £oot = 1366.20 WATER AREA 2 acres at 380 per acre = 760.00 total 2126.0 I/%?e hereby waive notice of any and a11 hearings necessary for ttie installation of said improvements and further consent to any assessments necessarily levied by the City of Eagan for such improvements. I/41e further agree to grant to the City of Eagan any easements neces- sary for the iastalltion of such 3mprovements. It is further understood that this request shall be :evieaed by the City . Council of The City of Eagan or its agent and I/we will be given reasor,ahle notice as to whether this request is possible under present utility planning as to timing' location, etc. Dated Au st 13 1 : ? ? 975 1 .) ?=-- 'equest accepted by ,u .-Q-?-` Date ?'-/?3-?S? City of Eag3n Request referred to ?ity Engineer: D?te Cepiesa 1. City 2, City Engineer 3. Applicant A1C,.ITY 4F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-02200-020-51 DESCRIPTION: PERMIT TYPE: Permit Number: Datelssued: MAZN LEVEL SF ADDZTION NEW A 49 24 ?1 c?{ rL, r t?JC ?2?uLi Li 1310 DEERW000 DR IOT: 2 BLOCK: 51 SECTION 22 --1- & REMODEL Building-_Permit Type 4uildittg Wbrk 7ype f?Zoning / Building LengthT ?? Building Width "l -? \`` +t REMARKS: _ SEPARATE ELECTRTCAL & PLUMBING PERMITS REQUIRED FEE SUMMARY: VALUATION $85,000 Base Fee $572.00 Plan Review $371.80 Surcharge S42.50 Total Fee $966.30 CONTRACTOR: i??75 ?/ 7 BUILDING 021493 07/26/93 OWNER: - Applicant - KANGAS RAY 1310 DEERWOOD OR EAGAN MN (612)452-1341 I hereby acknowledge t'hat I have read this information is aorrect and agree to comply Statutes and City of Eagan Ordinances. ? PPLICAM/PERMITEE SIG RE PERMIT ? C14C application and state that tNe with all applica6le State of Mn. -?1}tiA fua:kfw ISSUED Y: 5 GNA l?R- I REACTIYATE ^ ??i?(`9.??lUJ?D . -t.ltY OF EAGAN , Per-,Mr? a? ?? 1993 BUtLDtNG PERMIT APPLICATION J Itf? 2 9 1993 681-4675 . 3 ---==--- - --- li SINGLE & MUCTI=FAM1lY 2-sets of plans, 3 registered site-surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last warking day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date (? ?o 3 Yaluation of work Site Address: I hJ I o ?PJti"e ru9nc? C? _0Y ? v`e- STREET Sl1iTE 0 Tenant Name: (commerciat only) LAT ? BIACK _?L SIIBD. tT P. I. D. * lb ? Q Z Z Descri tion of work: 4& , '? 1' O 1'? The applicant is: Owner ? Contractor ? Other (Describe) Name S -+- Phone 4SM -1 3 4 ? Property LAST iIRST Owner Address (Zi U e STREET STE M City ?-a o v) State U ? LR Zip Company _ Phone Contra ctor Address License # Exp. City State Zip Company Pt;one archltect/ Engineer Name Registration M Address City State Zip Sewer & water licensed plumber 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 :orrect and agree to comply with all applicable State of Minnesota Statutes and City of a9an Ordinances. l inature of Applicant: ?1K ?A,? dti4L::9? i OFFICE U5E ONVY BUILDING PERMtT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex 0 08 8-Plex 0 09 12-Plex ? 10 Multi. Add'1. ? 11 Apt./Lodging ? 12 Multi. Misc. O 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 16 Basement Finish 0 17 Swim Pool ? 18 Comn./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous WORK TYPE C] 31 New ;R 32 Addition ? 33 Alterations ? 34 Repair ? 35 Tenant Finish ? 36 Move ? 37 Demolish GENERAL INFORMATION Const. (Actual) v- N Basement sq. ft. MWCC System (A1T owable) v- N lst F1. sq. ft. City Water UBC Occupancy Q-3 M-? 2nd F1. sq. ft'. PRV Required Zoning A Sq. Ft. total Booster Pump N of 5tories _ Footprint Sq. ft. Fire Sprinkler Length ? On-site well Census Code q3 41 Depth 24j On-site sewage SAC Code I APPROVAtS d Planning Buildinq Assessments Engineering Yariance REGIUIRED IN SPECTION S ALSv a-xESnivc. M•4anr U-VtZ.. ? Site 0 Footing ? Framing ? Insulation • Wallboard ? Final ? Draintile ? Fireplace Permit Fee S121 00 Ysluatim: $ $S.4DO6? Surcharge t,so N? Plan Review 3 +7l,k'p GAKI AG-t; Z2xS-0 =`1Ko License 3y MWCC SAC City SAC 7= Water Conn. ?r,5p ?C/ y ; ?f?ou Water Meter Acct. Deposit jeK2.q-; 4-/37 }c/? S/W Permit ; G U?? S/W Surcharge Treatment P1. Road Unit Park Ded. ?ST ?,o2y ' Trails Oed. Copies Other Total: pt l. y SAC % ?C Z ? s SAC Units W ? ?ys'7A ? ? ? V? ? ?' I ? ? I ' I `• ?V OWRCMA q ,M,o..? ?. ??. ? ?,s Y3 ko?.e "' '3?11 I 885-o26z , •w?y?'?'tO?E _ '_ii__'_irr iw_____DRIVC' ?'?`? --rm _ - J - -.a,. - - `\ -, ` j I ? i u°z• 7ECR ? ? 1 y ? \ I ' ?4 ? r . I I e ? ? i . I z +- _ _ _ _ _ i ? N _ _ _. ' .' _ I_"' _ ?_ __ _ " _ =w?• - - _' _ . 3 ...:.., I ? . ?? ( I I3 Z -?c-- ---- -- --- ?.o.. ----- ---- - I ? N ???0 ? ., ... CHAT RTON ? P0. DS f ? .! ' •?w ar N ? -0 .?J tN? .ra c nv? ? , - . ? ? ?A• ?' -^e?. • .? .;G?, ,+, T : j • ??. _ ? - .?,: ..?.:?, ,?R ,??• ? _ .w' ? ?I '. • is uY j/ Or. A YPOND ?v?? ? ? ' ?, ?' ?? • ?tiy. ?? ?? ? ? ?M' . 7'? • ? :a tO I + mnor . . ?. ? ? • t?. + ? • ? ? 4 `? O /? ? ?' t? 1 --.?- ?, - LT i? ? o %•?> ? • a t L ,,k' ?r • ?? . Q ? ?? ? ? ??yy ? • dC i •. b 10 ? 1° ? _ ? i ;?+ • L. .?a f [ 4 ??.ry ?- ?d ,' ?M1.M•? '?i ?I?f??? ? . ? 7 \M,YO'L pw?. ?w. n-' _ ? -- ? ,? ??4w we? mm h . . '.d ? • ? ??+ 8 ?, ? ? } r? - ???i if? Y? ? ? ?? I _ .~ a? . ? _ •? ' i !9 ?a , i ? ? _ 4 f? ? ? aj ? !/ ?3-,_ _•c i? . ? ? ? 1 I.>??LLIa: ?.-v ? . .' . ---- -- \ L? 4yy 1 3a. 3'j - ?? ?. _ _ 4- Notli \ p,V ?L/ , rS?A..'• 'J.ij ?l t i1 N ?--lo ? u y c ? PERMIT CR U13? CITV OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 029128 (612) 681-4675 Date Issued: 10 / 2 S/ 9 6 SITE ADDRESS: 1310 DEERW000 DR LOT: 2 BLOCK: 51 SECTION 22 P.I.N.: 10-02200-020-51 DESCRIPTION: ,~r(Ga s ) Building?.,Permit Type ;Building Wa.rk Type ?Certsus Cod e i ¢ ? r + Y / FIREPLACE NEW 434 ALT. RESIDENTIAL tt 1 . F".? I 7' F -^ze+n ?p p '3 ? r 1 ' REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee $25.00 $25.50 CONTRACTOR: - Applicant - sT. LIC OWNER: FIRESIDE CORNER INC 16331042 0001066 KANGAS RAY 2700 N FAIRVIEW AVE 1310 DEERWOOD DR ROSEVILLE MN 55113 EAGAN MN 55123 (612) 633-1042 (612)452-1341 ? . . .. _ , _ i. : . .. . . . `_ . ? I her'eby acknowledge that I have read this application and state that the info:rmation is.correct actd agree tp comply with al.l ap{zlica6.le State of Mn.. Statukes and City df Eaga'n Ordinanees. 1 - APPLICANT/PERMITEE SIGNATURE ISSUE : SI NAT LJRE-k 2 ? CITY OF EAGAN ? 3830 PILOT IGYOB RD - 55122 1996 FIREPLACE PERMIT APPLICATION 681-4675 DATE: f U/z-5q ?O DESCRIPTION OF WORK: x CONSTRUCT NEW FIREPLACE: _ WOOD BURNING ix GAS _ INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE _ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: ROOM TO BE [NSTALLED IN: '-g"? t STREET ADDRESS: l3 L DZ??? G,,1n01D az-, LOT j- BLOCK SUBD./P.I.D. #: 14- a APPLICANT: (circle one only) OWNER CONTRACTOR 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. -43 PROPERTY Name: eA ? Phone #: OWNER Signature: Street Address: City: State: ? Zip: 7; FIREPLACE Company kgw "r444t?L Phone #: INSTALLER Signature: Street dress3? License City, (?U2nf5vState: ? Zip: GAS LINE Company: Phone INSTALLER Name: Signature: ? Street Addre : City: State: ? i 6g262006 09.40 ERGPN ENG+CGM DEU 4 99528849146 41"' Clti 0f waR 3830 Pilot xnob Roaa Eagan MN 55122 pryana:(651) 679-5675 Fax:(fi51)675-569A 2008 RESIDENTIAL Oate;Zl/ , 9tte 7enant: ?-- RESIOENT I OWNOR LUINQ PERNIIT AddrosSfCiry1[ip'1?ry--'?.`?'?°'c'-?_ AppAoan[ is: _Ownaf XContracior I TYPE OF WORk Doscdption o( work' ? . COnGWC[I0f1Cob1; QON7RACTQR Nnme: Adaregs: Clty: i , Phcna: .' Cortacl Perean: N0.909 ? paotrrcouea _..^ j ? PmN1 fi: ? Percnit Foe: a,?a I I j Oale Rncslvai: -/ i i SIaA: ? ? j I ----°--------..___• LiCATION i: Phone; ?+?' ??1 ? A in h+'? ( !fV) i'1 ?/v MutN•F? ily Buildin9: (Y?L/ ? I Nn _.a W. Zip: COMP4ET'E TtiIS AREA nNI.Y IF C4NSTffUIG Ayo BWtoinO Mnne66Ya 145 7 Z ??e wa RuIBB 670 C9te_ Q?w ? ` g • Naw EnaryY COde Wit"I'shqql Energy Cada ? Pesltlaixfa?Venple0an Ga?epory 1 Wmksneet submpiod Cotegory sunmitwa (J submissmn type) • Enerpy Emebpm Ceiculaliono Submined lo tMe last 12 tnoMh9, hes fha Ctry ot EaBan issued a parmit for s 9Emlke Plan baaed °n p meetm Plen? ^Yes _.__Na H yes, tlata eod addresa ol mastecWan; , Pnona• Llc9nsed Plumber: Phono• Machanlaal CmltraMOr. Pllone: 5ewar & Wala Conhaclor. AIOTE: l+laas snd aupporNng.OOCUmehls ;that yau submlf are rnnslde+ed fo. be publle InfOM+attOR. ftKfO"9 ° T??e 1nlomraUott may da cldseNka?, aS.hompuaflc !f you provltle sAeclftc reas°ns lhst wnufd permR the CHy to _.d..ae .a.t *f.~ ? trede sEClet9. .. c4ty I Dereoy aoKnowletl9e Nat tMe ?nlormaqon11 pon?l nn a?Acalk? ie t i d e Pp/*4219 mBWY h4 1i1 CDnt?el Ola oel8rt W"h xi'Ihou ??:ahe1?? ork wIY be ?n atalp: Eagan; that I wMeteland tNk Is not e permlt, bui Y oVP e?r,qpance wlm the apPro-`ed pian bine ceee af werx wNen reqWeae a rnwew ana a AppllconCe Slgnature pege I d8 pppllCBrrt•? nlea Nam? fA1