1999 Diffley RdEAGAN TOWNSHIP
BUILDING PERMIT
N? 423
vwney¢?/.7,<y_ we .:..
Eagan Township
Address (present}q%?'_- Town Hall
Builder .--.'-.-.--... ..._.a
Address D .._°r-?i'_... _:L::.? ........ .....
nrgrnTpTTnM
Stories f To Be Used For
-? Front Depth Height
Est. Cost Permit-
Feel Remarks
y [
or
LOCATION
or
7
' -- 7?1-X15'-?
This permit does not authorize the use of streets, roads, alleys or sidewalks nor does 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 T THE/, MI WHILE THE WORK IS IN PROGRESS
`
This. is certify, tha ..... ._. ..-.. _y.?. ....?.-_-has permission to e....
the
ab ibed bject to the provisions of the Building Ordinance for Eagan Town-1 adopted April 11.
19d?I v .,, i77 e .a
Per ....:.......... :._..._._.............. .. ----- _.......__............ ..
Building Inspector
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Eagan Township
Dakota County, Minnesota
Application for Building Permit
Type of building or work contemplated. Circle correct descriptions.
Residential Commercial Industrial Other_. .............................................................
Build Enlarge Alter Repair Install Move Wreck Other_ ............
Dimensions ..._------------------------------------ ...... Cost ............. ------....-----...
Details or remarks-----"------------ -S.?.--------....---....--------.-------------- ---------------------- -------..-------- -----.....
Location
PERMIT
'?N/O........... ...............
Date .° ..._.?.?1. 197G
Number Street Between what cross streets Size Est. Valuation
f 9 9 ?0 20 zz ?3 2 SG.?
Lot Block Addition Rearrangement or Tract
13 6
-? 40
Owner ........... ....... __... Address ... 17Y7 're- JO
..................... .... ...................... .--------- ......................... ....-----------
Contractor F.v"W?'a- IZ ------._....__...---................... AddresSl1.C--'A?Y------ C?z?lL. }----'-- - - ---.._ ..............---
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.
............... .'L......................................
...................................
Signed
IK dsnFF
/ ? `- 6 -
Regdest Date
I
L% - - ? Z
Fire
t
-in Inspection
uired?
Yes G No
eady Now ill Re Inspector
an
?
an Ready?
I ? licensed contractor?,owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.//) F';
Section No. Township Name or No. Range No. Count'
Occepam (PRINT)
G E x5,-,4 v ' Phone No.
'? S(o ,y
- 7 lid
Power SUpThe Address
Electrical Contractor (Company Name)
S o' rn <--> Contranor5 Lkanse No.
Mailing Address Connector or Owner Making Installation(
Authorized Signature (CCoonnttrraacctoor/Owner//M/fa king In let I Phone Number
V\
MINNESOTA STpT9 BOARF ELEBTRICITY dp I THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 ?emo BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55100 (ee 5 UNLESS PROPER INSPECTION FEE IS
Phone (612) 6424800 ENCLOSED.
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CITY OF EAGAN Remarks * Cedar Grove Acquisition
Addition MAR GROVE #1 _ Lot 13 Rik 11 Parcel 10 16700 130 11
?Bnj MN 55122
Owner,
Street - 1999 CO. Rd. #30 state Ed
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. HO 1985 1266.95 84.46 15 O
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 110 Lf 1972 1,304.00 52.16 25 1
04 A00473a.. 9-21-77
.
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
--------------
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: i ' 'RU
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: , ,; T . 1 .? 1+I .?r k. 1 , APPLICANT:
f' V IIAk f,1"OvF t
APP :? 1"00F IN(i
(61.1) HQI • 19.19
? r 3
PERMIT SUBTYPE: TYPE OF WORK:
AI TFF ATTON
1 +ru PFROOF
倉牥業⁴潈摬牥䐉瑡॥敔敬桰湯ണ倊啌䉍义ेउ噈䍁उഉ䤊獮数瑣潩慄整䤉獮䌉浯敭瑮൳䘊住䥔䝎॓उ但乕ॄउ剆䵁义ेउ佒䙏义ेउ佒䝕ൈ倊啌䉍义ेउ䱐䝂䥁⁒䕔呓उഉ刊問䡇䕈呁义ेउ䅇⁓噓ൃ吊卅॔उ义啓ौउ奇⁐佂剁ॄउ䥆䕒䱐䍁ॅउ䥆䕒䱐䍁䄊剉吠卅॔उ䥆䅎⁌䱐䝂उഉ䘊义䱁䠠䝔उഉ伊卒呁䕔呓उഉ䈊䑌⁇䥆䅎ौउ佄䕍呓䍉䕍䕔॒उ剉䥒䅇䥔乏䕍䕔॒उ䱆单ൈ䴊䥁华उഉ䌊乏啄呃噉呉൙吊卅॔उ奈剄协䅔䥔ൃ吊卅॔उ卂呍删䤮मउ卂呍䘠义䱁उഉ䐊䍅⁋呆ेउ䕄䭃䘠义䱁उ
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
' SITE ADDRESS:
fill 111-Y 1?11
? I It+1 F; i;I<li"t I I
PERMIT SUBTYPE:
1 ; !N! i
'ION RECORD
PERMIT TYPE: I I I, I N
Permit Number: 14 I
Date Issued: k9 ` ` 0 r' /,A
t Y h t I)1 K: ; I I APPLICANT:
r ! , I ! PIS
TYPE OF WORK:
A I I F R A 1 1 4 1 N
INSPECTION
I I !di DATE INSPTR. INSPECTiON TYPE
i I rsi'1 t ,. DATE INSPTR.
W, If I AI IIIN I o:i1 ?..s,
I , I tl r41; v ' - I
1 1,11 NII1IW`: ',I I II1 N I i DIIa11(" AN11 '04-
R11ON f XPAN', 111N
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector- Notify Plumber
Cont. Meter
Engr./Plan
Bldg. Fina
l c/ G /I
1F
Deck Ftg.
7
Deck Final
Well
Pr. Disp.
PERMIT
^QTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
032289
06/19/98
SITE ADDRESS:
1999 DIFFLEY RD
LOT- 13 BLOCK:. 11
CEDAR GROVE 1
P.I.N.: 10-16700-130--11
DESCRIPTION:
REROOF
Permit Type
Work Type
STORM DAMAGE
ALTERATION
434 ALT. RESIDENTIAL
x 1 i I I w? ??? n?
a zBrv? ? Sm% w v v
c is is .. ? ?.n r m a?
Bie »c"
Ls? a §t?? iu z.
FI S § E1%E t k 5_IB At lip
'Va 3(g iP3ti n'J KE R.- 's
Im
4°"a.
a
?Swx$ ?.L^t4 $.m pw,?l ??m? ?? we
REMARKS:
FEE SUMMARY:
APPLICANT/PERMITEE SIGNATURE
V.,299 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construction Reouirements
? 3 registered site surveys
? 2 copies of plans (Include beam & window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted after 711193
required:: _ Yes _ No
DATE: Co -/7 DESCRIPTION OF WORK: -e-{ w- 4 e-
STREET ADDRESS: / 9 ? 9
?j U
LOT: 17 BLOCK: SUBD./P.I.D. #:
Remodel/Reoair Requirements
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calcutations for heated additions
CONSTRUCTION COST;
Name: Sl a4/IGk ? Phone #:
PROPERTY Last ,? first
OWNER
Street Address:
CONTRACTOR
ARCHITECT/
ENGINEER
$ Gf,'G-9ydp
City rw±; '?` State: 1? ?' Zip?S/2LJ
Company: ??X o0 //Y6 Phone #: 4- fl /`f/ 9
Street Address: /99y License#
City .. tate: //1 t N-
Company: Phone #:
Registration #:
Street
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
zip: 3S ) --;? 2
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applioabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
State:
Tree Preservation Plan Received - Yes No Not Required
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
ck, -7
A? BUILDING
021412
07/08/93
SITE ADDRESS:
1999 DIFFLEY RD
LOT: 13 BLOCK: 11
CEDAR GROVE 1ST
DESCRIPTION:
ildinp. Permit Type
iIding rk Type
C Occupanc
SF (MISC.)
ALTERATION
R-3
My OCR gogan
REMARKS:
DECK, NEW WINDOWS, SLIDING DOORS AND 20"x 10' ROOM EXPANSION
FEE SUMMARY
VALUATION $18,000
Base Fee $189.00 COPIES $1.50
Surcharge $9.00 Total Fee $199.50
Subtotal $198.00
CONTRACTOR: - Applicant - sT. LIC. OWNER:
MIC-G.7 INC 14560287 0007775 SLAVIK GREGORY
1369 LAKESIDE OR 1999 DIFFLEY RD
EAGAN MN 55123 EAGAN MN 55123
(612) 456-0287 (612)456-5768
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 Mn.
Statutes and City of Eagan Ordinances.
L_ rUY
A LIC NT/PERMITEE SIGNATURE
' ISS ED V:8? R '?-
I
REACTIVATE
PERMIT #
114 1
HECENED CITY OF EAGAN
JUL 0 6 1993 1993 BUILDING PERMIT
681-4675
APPLICATION 414 9'10
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date / ;L Valuation of work
Site Address: S o
STREET SUITE M
Tenant Name: (commercial only)
LOT BLOCK I I SUBD. 1 _ . 6nQ P.I.D. M
Description of work: o S f C
The applicant is: . El Owner Contractor ? Other (Describe)
Name s ; 1 ?v?._? _ Phone 171 6-f;7 6g
Property LAST FIRST
Owner 4
Address Z? f ::? 4
,01
STREET STE Y
City State ??1 w Zip SSA
Company r=e- G T PhoneC - 00
Contractor Address e-, ?Cn s- ke License #'7?) 7 Exp.
City State 61, m zip 6Ss-
Company _ Phone
Architect/
Engineer Name Registration #
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
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
UPF'IC:t U't UNLT
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
K 31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'l.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
R 15 Deck 4
? 35 Tenant Finish
? 36 Move
V
? 16`Basemen't Finish
?='17 Svim_*Pool:
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy _K__3 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster PumpP
# of Stories Footprint Sq. ft. Fire.Sprinkler
Length 9 On-site well Census Code
Depth 16 oz, On-site sewage SAC Code
+ i
APPROVALS AL-5o Hew LJND0'n15,-SID1N66 acEVS An+D zoo gy 10fAco„t ExPAAfSl,?
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECT IONS
? Site J& Footing t Framing Insulation
? Wallboard Ej? Final ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
I. 5b
vstmflm: J s /8 4000 "
APPOOP
SAC %
SAC Units
ca
O
09
V'
0
20 </o'
' Romn
ckr"FJ?Sw?.i '
L(o fc WaJf`
r
c 9'x9 Dar<
/,,'?
5A6Ut C..
OQA.t, Ci obk
9V0, ct
(o: S ?? a4- )
MASTER CARD
40
OWNER
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING 3 9'Y°Y ?-a 177 .P
s.I pt
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING 6 TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
p
COMMENTS:
SUSSELGARAGES's.sso,co o.?'
Permit by Zkzd ?
Legal Description
Lot
Add'n
Value s Zb
Type Const.
SLAB:
YbySUSSEL
?By Owner Approx.
?ln
2-STARTINGS POINTS ONLY
5a S. P. L.
S. S. P. L.
R. P. L.
Alley
lam/' :AeK House
F. Street
Other
? Square With -y wS E
? Rods
? Mesh
§ Sod Rem. - By crXGe vATjo ,,..
? 5-Bag Mix.
X1 6-Bag Mix
? Tamping
1 No Tamping
? A.B.U.
?1®Grade Point
'Conduit
121`Elocks ? By Owne'013y Sussel
ErMaintain 8' Total Wall
Height including Blocks
?Maintain 8' Wall Height on
Top of Blocks
? Other
O.H. Or Offset
6,S.D. Location
? Att Gar Roof Tie-in
Drawn on attached pictures
Existing garage: No Iff
? Detached ?Attached Yes ?
Size of existing:-x -
Existing garage will be:
? Left as is
? Converted to L.S. - By owner
? Removed By: Owner ?
Sussel ?
Junk Must Be Removed By Owner
? SDec' remussel
or owner - trees, bushes, etc.
Show approx. dist. garage to
house and all prop. lines
Stakes visible - ? Yes ? No
Survey available - ? Yes ? No
Special instructions from
owner:2e 5. 3 !It/
o_e
DOOR SWING:
JH
OUTSIDE INSIDE
8H
WORK ORDER $-Y- /7 C
HOME PHONE:
NAME k "j c y J E BUS. PHONE:
JOB ADDRESS / 5 c, / ? u `D ? 6
BLDG CODE AREA C k A t
SALESMAN b"_ CONTRACT DATE SIZE a U r Z
FOR OFFICE USE ONLY
CONTRACTOR -JOB # yEC?aw /5 i9RElf ro 13 E GQAoro
Le yr 4ue-re THis 4-ec5-,f to y eeocc
nar.v r y' A-e.Qa 1( J
V ;
?L.
;. n i.
at 0
ja C
3 kk
a
r
r:-
L• i .r
r ($ ri
?
6
V
r
r
HASER' INITIALS:
e.101 WAP_{
t ..
V
DIFECTION
5231
AUG 24,2009 04:23P 5231 page 1
For ot6ae Use i /
*City of Eajan ; Permits: c
3830 Pilot Knob Road Permit Fee: _~,D` a Z~
Eagan MN 55122 Date Received: 1
Phone: (651) 675-U75 I
Fax: (651) 675-5684 i slat ~
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date
1 8lta Addtvss• ~ C 1 'ub't j J "I
Tenant
Suite
RESIDENT I OWNER Name: r AA I/ Phone:
Address / City !,Zip: 2&S,* 61J~ i /off
Applicant is, Owner Contractor
TYPE OF WORK Description of work:
Construction Cost, Mufti-Family Building: (Yes No X-)
CONTRACTOR Name: "Ole E License
Address: lr'"
City: 2 el State: -Al- zi : ~
Phone: Contact Person: IltI1°!?~~s1 h9
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
MDesota Rutes 7670 Y -11 Minnesota Rules 7672
Energy Code • Residential Ventilation category 1 Worksheet Now Energy Code Worksheet
Category Submitted Submitted
0 submission type) • 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?
„Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer dr Water Contractor: ! Phone:
NOTE. Plans and supporting documents 6%W you submit are considered to be public information. Pottions of
the inAvw melon may be classh7ed as non public K you provide s ecilfc reasons dw would
conclude that the are bads secr*&. permit the City to
I hereby acknowledge that this information is complete and accurate; that the worts will be in conformance with tho ordinances agill 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 a erm
accordance with the approved in the case of work which requires a review and approval pia s. [ l the
of wont will he In
X x,
Appllcant's Prin Itte
AppOca s Si 'n
Page 1 of 3
use bLUt or tiLAUr, inK
For Office Use
i
Permit S Aa~A~~
City of Eap
Permit Fee:
3830 Pilot Knob Road
I Date Received: i~
Eagan MN 55122 _8, I~
Phone: (651) 675-5675 j
Fax: (651) 675-5694 I_ Staff _ - _ - -
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing ! * Sewer & Water
Dater - 10 Site Address:` LD
Tenant: Suite
Name: t fillA ! .6 -~5 . I- gn Phone: ZoI2, ° 7D I -'-In 12'
_
RESIDENT 1 OWNER
Address / City / Zip: 53
Name: License
Address: City: &D4 "_60<
CONTRACTOR
State:
~~'Zip: Phone: Z a9~
Contac :`t 7-
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: ~ Other: /y//i
DESCRIPTION Description of work:
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.cityofeagan.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.
✓1 x i
Applicant's Print d Name Applicant's Si e
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final