1745 Deerwood DrBUILDINta PERMIT
CITY OF EAGAN = *?3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 -
Receipt #
NG Est. Value $7,, Site Address 1765 tDfiliOA>Q fBf?
Lot 11 Block In Sec/Sub. CEDAR f?QONE aTli
Parcel No.
W Name ANTU fM1_? TYEWAN i
Address 176% IIt>lswrlafn pp
a City ItAnAll! Phone 4S2-S7SS
to Name AMERICAN 221 Li MC
OV Address 3700 ANNAPOLIS LN
City PLYMOM Phone 553-0020
Phone
hereby acknowlege that I have read this application and to that the
information is correct and agree to comply with all a able State of
Minnesota Statutes and City of Eagan Ordi?aoes.
Signature of Permitee
A Building Permit is issued to: AT!ICAM ING
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 r
i
OFFICE USE ONLY
Occupancy FEES
Zoning -
(Actual) Const Bldg. Permit 99 i0
(Allowable) Surcharge Cop
N of Stories Y
Length Plan Review
Depth SAC, City
S.F. Total SAC, MCWCC
S.F. Footprints
On Site Sewage Water Conn
On Site Well Water Meter
MWCC System
City Water Acct. Deposit
PRV Required S/W Permit
Booster Pump S1W Surcharge
Treatment PI
APPROVALS Road Unit
Planner
Council Park Ded.
Bldg. Off. Copies
Variance TOTAL 103.00
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUTAdING
HN A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector- Notify Plumber
Consl. Meter
Engr./Plan
Bldg. Final
Deck Fig.
Deck Final
well
Pr. Disp.
CITY OF EAGAN Remarks
Addition Cedar Grove #8 Lot 11
1745 Deen
OwnersI) r n' 7:: 21' ' ? Street
i ?ti3?-rt.a1__?
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. `j( DD j
5 626.75 62.67 10 Paid
STREET RESTOR.
GRADING DD o9. o. 9b --T(T Paid
SAN SEW TRUNK 1970 125.00 5.00 25 Paid
* SEWER LATERAL 1914 1539.10 307,Y2 Paid
WATERMAIN
* WATER LATERAL 1974 5
WATER AREA
?(- STORM SEW TRK
STORM SEW LAT 1'
1 974
5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 00.00 $ 0$ 7-12-73
PER.
SAC 26o.o0 0 7-12-73
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
Owner .......... ?
----.................. ..... ... -----?-?----....... ---------------
Address (present) ..... -4-0----- ?:---ip - ..__._..
Builder ..................................................................
Address
N° 3079
Eagan Township
Town Hall
Date ..7-__? ` - 7-3
................
Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
or
LOCA
or
e. -- 3
This permit does not authorize the use of streets, roads, alleys or side44ka-/rro'I oes it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
o T
This is to certify, Thal.... C..., ......... ? ................. has permission to erect a....... ?....._i-....--.........-............_upon
the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11,
1955.
Z?
......................... 2..: .......... ---° Per ---- ............................
......... K; ..
Chairman of nwn Board Building Inspector
/a 1x;70 7 Ile 16'
C nfi'e CG W c f? ` S
VILLAGE ON' EAGAN
3795 Pilot Knob Hoad
Eagan, Minnesota 55122
PERMIT NO. 363
The Village of Eagan hereby grants to Cedar Grove Construction Co.
of 7343 Concord Blvd. East. So. St. Paul
a PLUMING Permit for. (Owner) Same
dated 7/9/73
Fee Paid: __ 4tnn nn dated this l-Ith_ day of July 19??.
2.50 a/c
Building Inspector
Mechanical Permits:
Bid Total:
VILLAGE OF zAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO. 379
The Village of Eagan hereby grants to Cedar Groner ronetructim? Co.
of7343 Cnnrnrd Blvd, East. South St. Paul 55075
a _ WRATTNC Permit for: (Owner) Same
ag67 Palisade Way 9-2-8, 1749 Sartall Ave. 5- -8, 1745 Deerwod Dr. 1-1o- ,
3
'1864 Ralinada way 7-4-8, 3950 }?MIR4 8a of plication dated 7/9173
Fee Paid: $lnn_nn dated thisl3th day of July , 19 73
2.50 s/c
Building Inspector
Mechanical Permits:
Bid Total: c?
EAGAN TOWNSHIP
BUILDING PERMIT N° 2931
-_--? - ? ?L ..........
Address (Present). ...._ µ ? y-:- ??--- Eagan Township
-K ...------ Town Hall
Builder ........................................ .................... _. J J,2.
... ? .............
Address Dale .... f.) ------.?
DESCRIPTION
Stories To Be Used For Front Depth Height Est. Cost Permi
Foe
-
Remarks
/G d.?-•.J /t?y
F lc -
LOCATION id i"6
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does if give the owner or his agent
the'right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that....... :`.:...G.`.o;;wc has permission to erect a..... L.6------- -.'::.:.... .............. upon
the above described premise subject to the provisions of the Building Ordinance for Eagan To ship ado !ed April 11,
1955.
......... C _ :........................?.`...-------... :"- Per ------------...... ...._..°- -=----_......---............-°------..........._....
-7 ---.,c--) Building Inspector
?? 4
r l0
CITY of EAGAN N2 4055
411S..... BUILDING PERMIT
3795 Pilot Knob Road
Owner .i.O.klxL.SY..1........ :.L..L?...??...C?.N...J.:.L.CL....... nnesota 55122
Eagan, Mi
Address (Present) ..[..7....... ?i.....P.t'.K!A..Q.....J? 454.9100 7 7/
Builder .....................Q?CF ...gl. ........................--.------..............
Dala...... I/ ?[6/../? d... {•-Ya
Address ......... f
DESCRIPTION
Stories To Be Used For
Front Depth Heigh! Est. Coet
jParmi! ea
Remarks
/
I/
P i? t[ r I ? 6 ?a
or
? Pvu/v?
TION f
This permit does not authorize the use of streets. roads, alleys or sidewalks nor does it give the d6rner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health. safety. convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE EPT ON THE P MIS]E W LE THE WORK IS IN PROGRESS
?
This is to certify, that?14).t:_-.-. .... uelg-l_ hespezmissI o arse! ak. !°..R.P....`.?. I.^.-lPrIJ....4md.C?CCupon
Hy a
the above described premise subject to the provisions of all applica Ordin ces Vthe
......?..L ....z:1! _........................... Per ...._ ............ r a .........._.........
Mayor Building Inspector
Eagan Township
Dakota County. Minnesota
Application for Building Permit
Type of building or work contemplated. Circle correct descriptions.
esidenlial Commercial Industrial Other ---------------------------------------------- -------- ............
Euild Enlarge Alter Repair Install Move Wreck Other...............
U
Dimensions ................................................ Cost.--?QF?..:...°....
PERMIT NO. _4?
Date
Details or remarksf/./.rC?J.----S.S-- --....6.??.'.,.c?G.G.E'o,?7 - L1ocJSC-' --.._..-----------------------
Location
Number Street Between what cross streets Siso Est. Valuation
Lot' Block Addition Rearrangement or Tract
/D Ce d-Y "2 _ l eO.J,C O
Owner -------- L?.-..-- ----...._....... Address e2::C..crc-c--C?"---`? I.........
Contractor
Address
The undersigned hereby makes application for a permit to
do work as herein specified, agreeing to do all work in strict
Total fee collected. accordance with the building ordinance adopted April 11, 1955
by the Eagan Township Board of Supervisors.
Permit fees are not
refundable.
..... _........_..........._....---°.--...-° .................._---..-----------....--------.......
Signed
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: July 13, 1973 (12/29/72) Number: 1246
/' .oe 1745 Deerwood Drive
Billing Name: Cedar Grove Construction Site Address: 1-?
Owner: same
Plumber: Stein's
Meter
/13/73
Meter No. IPermit Fee 1n nn nri 12/20/72
Meter Reading Meter Dep. •50 pd 12/29/72
Meter Sealed: Yes_ f Add'1 Chg.
NO Total Chg.
Building is a:
Residence X
Multiple No.
Commercial
Industrial
Other
Inspected by
Date
Remarks:
Billing Address
00 )E !^ wFEC
$25 ;10''1 FrE FOR
.
pp {.n n?' }`i.?.i tLLCJ
? Mpnt(i i.r.L( ?i I'i?L I `L ii J.
By:
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Please notify the above office when ready for inspection and connection.
VILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan; MN'55122
Zoning: R-1
Owner: Cedar
Address
Site Address.//-
-Plumber: Stein'
1 agree to comply with the Village of Eagan Connection ChargZ§0.00 pd 7/13/63
Ordinances. Account Deposi?:
Permit Fee: P
Surcharge: P
By: Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
SEWER SERVICE PERMIT
PERMIT NO.: 1375
DATE: 12/29/72 (7113/73)
No. of Units:
CITY OF EAGAN No .19259
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100
I
Receipt # y7
To be used for RE-SIDING Est. Value $7,850 Date JUN 17 tg91
Site Address 1745 DEERWOOO DR
Lot 11 Block 10 SeclSub. CEDAR GROVE 8TH OFFICE USE ONLY
Parcel NO. Occupancy FEES
Zoning
Name ANTHONY TIEMANN (Actual) Const Bld
Permit 99.00
W
o Address 1745 DEERWOOD DR (Allowable) g.
4
00
City EAGAN Phone 452-5755 BofStories Surcharge .
Pl
R
i
Length an
ev
ew
o Name AMERICAN REMODELING De
th S
C
p A
, City
ci? Address 3700 ANNAPOLIS LN S
F
Total
City PLYMOUTH phone 553-0020 .
.
S.F. Footprints SAC, MCWCC
r On Site Sewage Water Conn
w Name On Site Well
W Water Meter
=3 Address MWCC System
i
aw
City Phone
City Water Acct. Deposit
PRV Required S/W Permit
I hereby acknowlege that I have read this application an 'ate that the Booster Pump S1W Surcharge
information is correct and agree to comply yth all a able ate of
'
Minnesota Statutes and C 'of
Ea Or 1 Ees. Treatment PI
Signature of Permtee ` f APPROVALS Road Unit
A Building Permit is issued : AMERICAN REM ING Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes an
d
City of Eagan Ordinances. Bldg. Off. Copies
n
,
Building Official -h(iq ? u?? l1111 Variance TOTAL 103. 00
1991 UI 'I:r RMIT z".&TION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (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 WHEN, TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - 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 LICEN PLUMBER.
To Be Used For: ;"GP LLGCGG ?J Valuation: ???o' Date:
Site Address ?/ Y /?-?I?LVVGrY OFFICE USE ONLY
Lot Block
Parcel/Sub.
Owner ?,,7//t
Address / /?
City/Zip Code ` dIx
Phone
Contractor
Addre
City/Zip Code
Phone 6? UGC 2 U
Arch./Engr. _
Address
City/Zip Code
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System
City water
PRV _
Booster Pump
7
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
Phone
C-?z agrees that all work shall be done in accordance with
. (Signature ontractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New construction Requirements
3 registered site surveys showing sq. ft of lot sq. R of louse: and lilt roofed areas
(2g%madmum lot coverage allured)
1 Soils Report if proposed building is to be placed w disturbed soil
2 copies of plan slowing bean & window sizes: poured found deign, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Ran if lot platted after 7!1/93
Rim Joist Detail options selection sheet (buildings with 3 or less until)
hbm egasw medenical ventilation form
RanaddRww Reouiremenls Office use OnN
2 copies of plan showing footings, beans, joists Cart or Survey Reed -Y -N
1 set of Energy Calculations for heated additions Sods Report -Y -N
1 site survey for addli im & decks Tree Pres Plan Read -Y -N,
Addti"un-irlydxfe ifonsite septic syatem Tree Res Regwred _Y -N
On-site Septic System -Y -N
Plans are considered Dublic information unless you state they are trade secret and the reason.
Date /4_/ ()7+
Site Address 1?1Lif ryw Construction Co ! ri!d.)_?
Oc7? t?r?ve, Unit/Ste#
Description of Work CL?(`(Q QI C] (Y iWil? VI I bL& QarGk??. re
Multi-Family Bldg _ Y -'J?'N Fireplace(s) _ 0 - 1 _ 2
Property Owner C
Telephone #((F-)')
Contractor
Address (?,(? ?l lCshi ??
State It )?Ylpe$,?Q' Liy 1\? City 1 m U
Zipt)&?=3"'j I_ Telephone #(,?nr?l n()L?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Category 1 - Minnesota Rules 7672
(J submission type) • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building 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 the State of MN
Statutes; 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.
chni v)Pg' SfUUx-zV
Applicant's Printed Name %
?1?0a'<
,070,"
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
RemodellReoair Requirements Office Use Onlv
2 copies of plan Ced of Survey Recd _Y . -N
1 set of Energy Calculations for healed additions Tree Pres Plan Redd _Y _N
1 site survey for additions & decks Tree Pies Required _Y _N
Addtion - indicate Hon-site septic system On-site Septic System _Y _N
Date 5 / / &( / C-) S Construction Cost /0C Y)
Site Address 121 15 700 V U 2CXJ(T DD, Unit/Ste At
Description of Work I P Q V t? i? t I/1 S -i-001D Ca)lk,lAo 1 n i1 W1 AC ?_L (1C?
Multi-Family Bldg - Y N Fireplace(s) - 0 - 1 - 2
Property Owner T r
rni 7'1
3
D Q;ae r 11'P h7C] ) 74 Telephone #(& 5 0
S9 i 5 r/? S
Contractor S y r I (-1 T,( ,0-,
Address 1()la 5() (?f),kCj. 31 A+ao City 1430 jjf
!'OUP
State {M (? Zip 75_34p 01 Telephone # M j) l <; - ?(CjCY1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # ( )
I hereby apply for a Residential Building 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 the State of MN
Statutes; 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.
F I o ?Av%,? COQ. kt maa-
Applicant's Printed Name Applicant's Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651.681-4675
New Construction Reauiremertts
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window saes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan 4lot platted after 7/1193
• Rim Jost Detail options selection sheet (bldgs with 3 or less units)
DATE P n ?a 04 O.?Z
7D
RemodeltReoair Reoulrements
• 2 copies of plan
• 1 set of Energy Calculations for healed additions
• 1 site surrey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION .$- load -
SITE ADDRESS 0 Y'S h9PV Wo ar, Dr . MULTI-FAMILY BLDG -Y _N
TYPE OF
APPLICANT
STREET ADDRESS
TELEPHONE # Ll - N04C_Z5f9 CELL PHONE #
e0r;IS 111A STATE 111W, ZIP -Z7
FAX #
CP 5 / - yS -S?$s
PROPERTY OWNER -Fo vt U rl P_ I I' AC -77 e- m a 17 /f TELEPHONE #
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _
Plumbing system includes:
Water Softener
Water Heater
No. of Baths
Phone #
MINNESOTA1-RVLF 7672 ?
t,Ai 4WIr;iI,I,,
• New EnergyiCude orksheet Submitt
e
i ?
SLP 2 6 2002 I
?U
Lawn Sprinkler '`jyFee $9U0t?-_ - _?
No. of R.I. Baths
Mechanical Contractor. 12i4 P C 1600 ())' me
Mechanical system includes: Air Conditioning
Heat Recovery System
Sewer/Water Contractor:
Phone # &P-t? L'7Zs o
Fee: $70.00
Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or inances.T
Signature of Applicant zjz?024'
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
ry,
)RK Z sf-all a Qn.c tf
_tLItnf ?iyeO?r FIREPLACE(S) _ 0 _ 2
oW ruin 110 has l?°n /11-
L _L BL S CITY USE ONLY RECEIPT* 79'57,4,
SUBD. VX cNdrr 2", DATE: 2 Nlf
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
New construction ?Add-on furnace .?-
Vl Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: 1- \\ --q 1
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @ $3.00 each)
? State Surcharge
TOTAL
50
SITE ADDRESS: )jz - ??l e
OWNER NAME: or?v -C e ?. u r.r. PHONE #: ASR ? -7SS
INSTALLER
-9- -
STREET ADDRESS:\_3\300
:
CITY: ?-'s-V, .\\-, STATE: IVV?j ZIP: SSc??"?
PHONE M (\n\)-) `\_?>?- A 33-
j //-2'4/ 97
go
MASTER CARD
LOCATION
7
0-
OWNER z edar `Y Cfr'
STRUCTURE AND Y 7 Y
LAND USED AS
Permit I
No.
Issued Issued To
Contractor Owner
BUILDING _ _
293 /
?
PLUMBING ?"63 _
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING 7
GAS INSTALLING
SANITARY SEWER /37
OTHER
7
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING Or SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
11
SANITARY SEWER aj 61/
=a ?7
`7
Violations Noted
on Back
COMMENTS:
MASTER CARD
LOCATION /?tr C,$ a
OWNER O& ,rte 2?f-e?
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING S I ;t6_ I
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTIN G SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
!!
Violations Noted
on Back
COMMENTS:
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
For Office Use
q~O f5q I
Ci of Ea~d Perm it#: I I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Staff:
Fax: (651) 675-5694 L -----------------I
INFLOW & INFILTRATION PERMIT APPLICATION
7XI, Plumbing / Sewer & Water
Date: Site Address: I
Tenant: Suite M
RESIDENT OWNER Name: I A_J;L Z 7 &_,44 A V A,- Phone:
/
Address/ City/ Zip: ' 1,71/S- ,0c&2 we "::"9 4,e 5-s1,", -
2-Name: License M
Address: City:
CONTRACTOR
State: Zip: Phone:
Contact: Email
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
DESCRIPTION Description of work: 22e,0G r✓ 1740 S,E" O-) z 7-& / 464A-z2
,Oipe
FEES
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.
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Applicant's Printed Name A licant's Sig ture
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112566
Date Issued:08/19/2013
Permit Category:ePermit
Site Address: 1745 Deerwood Dr
Lot:11 Block: 10 Addition: Cedar Grove 8th
PID:10-16707-10-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
James Vibar
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 -
Anthony Tiemann
1745 Deerwood Dr
Eagan MN 55122
(651) 485-4065
Aztec Exteriors Llc
856 Magnolia Ave E
St Paul MN 55106
(651) 357-4431
Applicant/Permitee: Signature Issued By: Signature
For Office Use
i
Pemlit#:
EAGAN
Permit Fee:
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:
buildinginsnectionsftcit ofeasan corn
2018 SEWER AND WATER REPAIR/ DISCONNECT PERMIT
Date, r--_--
. --7/—,;2014()
Fee: $66.00,_.--
City Sewer City Water :)( Repair Disconnect I
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Description Of Work: 'DL-'.' 4-4.----(,.-- ,I,,,,a.III I.'"‘ /IN, ,42;>./1 r0, cr—eye--
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I Street Address for ProposedWork 7 7, -)_ 4 -,e/Tt,',4-x-70S-767 tie
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1 I Name: 'N--JC) ft, C/1/* '6"‘ r‘.- Phone:
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Owner Information =: Address/City/Zip:
i
t 1 Applicant is: Owner ( "Contractor
Licensed Pipelayer Master Plumber (:)C Property Owner :I
Name
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Address/City/Zip: 46 — ,--: - : 4if 7 Fe,,- „,,,,e''
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I, Pipelayer Training Certification Card#: or Master Plumber License#: / /I'L-('if)S-75-CiI.:c1 41
I acknowledge that the information is complete and accurate and that the work will be in conformance with the ordinances and codes 1
I of the City of Eagan and the State of MN Statutes. I understand this is not a permit, but only a -policed/9n for a permit, and work is I
not to start without a permit.
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! Applicant(Print(Name). Applicant ' s ature
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email
update on the City's website at www,cityofeacan.comisubscribe.
CALL BEFORE YOU DIG. Cali 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,copt)erstateonenali.cm
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