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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. V P 721,y9,-fvA1 X ~ , z,,-~ ~ - 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 ,„,„ __-- Description Of Work: 'DL-'.' 4-4.----(,.-- ,I,,,,a.III I.'"‘ /IN, ,42;>./1 r0, cr—eye-- ,.. 1 , / „,7,,,.. .(...._ t I Street Address for ProposedWork 7 7, -)_ 4 -,e/Tt,',4-x-70S-767 tie i . 1I 1±_lIT 1 I Name: 'N--JC) ft, C/1/* '6"‘ r‘.- Phone: I . Owner Information =: Address/City/Zip: i t 1 Applicant is: Owner ( "Contractor Licensed Pipelayer Master Plumber (:)C Property Owner :I Name _ ,,-,c2s:74-' ---77.- , Address/City/Zip: 46 — ,--: - : 4if 7 Fe,,- „,,,,e'' i 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. ---' — . .,- ' ,,, ,,,, . (—"I'' Z .‘-c.... ! 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 ........_,.....,____ __,_