1624 Donald Ct
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA095706
Date Issued: 09/01/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 1624 Donald Ct
Lot: 18 Block: 01 Addition: Cameron Court
PID:10-16300-180-01
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Home Depot At Home Services Ngozichukv U Akubuike
656 Nlendelssolm Ave. N 1624 Donald Ct
Golden Valley NIN 55427 Eagan MN 55121
(763) 42-8826
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
cIrr oF EAcaN
. t" 3745 Pilof Keob Read Eegan, MN 55142 N2 5585
PHONEs 454-8100
BUILDING PERMIT APPLICATION Receipt #
Duplex 38,900 12/28 79
Siro Address ivcs uwialu ?L.
tae 18 si«k 1 sec/Sub. Camron Ct,
p„cel # 10-16300-180-01
w JN,me
? Addre 2499 Rice Street
' _482-1210
p Nome _
Address
r;...
No,,,e New Orleans Model
Address
I hereby ackrwwledge that I have reod this aDPlication ond stote thot
the informotion is correct and ogree to comply with oll appliceble
State of MinnewM Stotutes ond Ciry of Eogon Ordinances.
Erecr 2 acupancy R3
Alter ? Zonino RZ
Repoir ? FireZorre jii
Enlarge ? Type of Const. U
Move ? # Stories
Dertalish ? Front 24 ft.
Grade ? Depth 10 ft.
Approvola Feea
Water & Sew.
Police -
Fire
Eng.
Planner -
Council _
Bldg. Off. 1
APC
Signoture of Permittee
A Building Permit ig issued m: Cameron DeV C/
all work shall be done le aecordo'xe with al limiN Mii
Building Offlciol
' Pefmit
Surcharge 19.00
Pian check 55.25
SqC 525.00
Water Conn. 270.00
WaterMeter 60.00
Rd.Unit 75.00
Towl 1,114 .7
on the axpress condition that
and City o£ Eagan Ordinonces.
cIrr oF EaG,sN
? 3795 PUet Kae6 Raed Eegan, MN 53721 No- 5584
PHONEo 454-8100
BUILDING PERMIT APPLICATION kecetPr # 12&L"? -
Ta 6e med fe/`/a. Duplex Esr. Value 381000 oate 12/28 19 79
5ite qddreu 1626 Donald Ct. Erece IN pecup,,,cr Rl
Loc 17 ei«k 1 Sec/Sub. Cameron Ct. Alter ? zoning R9,
Parcel # 10 16300 170 01 Repair ? Fire Zone TTT
Cameron Dev. Co. Enlarge ? TyPe of Const. V
g Nome Move ? # Srories
3 nadre?499 Rice Street pa„wi;sh ? Front 24 fr.
? ci Roseville phone 482-1210 Grode ? Depth 10 ff•
o Name _ S ame APVrovala Rees
?
?? Address
Noma New Orleans Model
Address
I hereby ocknowledge that I have read this application und state that
the tnformotion is correct ond agree ro mmply with oll applicable
State of Minnesota Statutes ard City of Eagan Ordinances.
SignMUre of PermiMea
A Butiding Permir is issued to: am
all vrork shnll be done in occord c it II ppli e State
/
Building Ofticiul
Assessment 11,426f Water & Sew.
Police
Fire
Eng.
Planner
councu
BIdg.Offll 26 79
APC
,Y.......
19.00
surchorye
Plon check5 $ . 2 S
SAC 525.00
WMer Conn? 7 0• 00
WaterMeter 60.00
Rd.Unit 75.00
5
Totol 1,114.7
?-u • on the express cnndition ihat
Statutes and Ciry of Eagan Ordirwrrces.
;
.
CITY OF EAGAN
BUIIDING PERNIIT APPLICATION
3f's5$T
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
1b Be Used For Valuation 2"k. /)n/) Date
Site Pddre ?U f??hG/?/ Q? OFFICE USE Y
Lot /,47 Block Sec./Sub. ?'m?rrore?e L??_ EreCt OccUPancY
Parcel #: /D /G> _e3 OD ??D (?? Alter Zoning
Repair Fire 2one
Owner:
Address:
City/Zip Cocie:
Phonz #:
Contractor: ??g ? p ra n[ lEll A[OOMOr? ?"r
Pddress:
City/ZiP Code:
Phone #: 4/9 2 -l2l0
Arch./F?74• : ( itfr+u? ?r f eo as .?e M??Z
?
Address:
Cih'/Zip Code:
Enlarge 'Iype of Const.
Nbve # Stories
Deirolish
Grade Front
Dep?
Assessments % ,?eTyf[jk 1/n, 50
Water/ '?S?urcharge do
Police Plan Check ; -. QL$
Fire AC q- nn
Eng, water Conn.
Planner Water.Meter no
Council RDad Unit 7 h'. OD
Bldq. Off J/ i, . p
APC
Phone # : ZOTAL ///? 7 j
•. Bp 5 5 $At
CITY OF EAGAN Include 2 sets of plans.
1 site plan w/elevations &
BUILDING PII2NIIT APPLICATION 1 set of energy calculations.
To Be Used For Valuation Date .?- 7F
site Pddress: /6 2G /d ezz. oFPicE vsE ODU.Y
Lot slocac sec. /sub. Frect Occvpancy !7 ?A
Parcel #: ?O /6?r1? 17!) D/ ?? -
Repair
Owner: Enlarge
Nbve
Pddress: Demolish
City/Zip Code• Grade _
2onin4
Fire Zone
7.me of Colr . ?
# Stories.
Front ft.
Depth ft.
Phone #:
Contractor: y? ?d
Address: ?2 Y 9 9
City/Zip Code:
Phone #: 4192 - 12ip
Arch./Eh4•: /1le-:.) QrAcna
Address•
Assessments Permit?v //p . SO
Water/Sewer Surcharge
P.olice Plan Check
Fire SAC on
Eng. Water Conn. y.;P'P , no
Planner Water Meter G p.0o
Council Roafl Unit 75. nD
Bldg. Off.
P,PC
City/2ip Code:
Phore # : TnTAL ///,C/ 7 5-
INSPECTION RECORD
CITY OF EAGAN PERMITTYPE: eurLoitiG
3830 Pilot Knob Road Permit Number: 021695
Eagan, Minnesota 55123 Date Issued: 0 8/ 10 / 9 3
(612) 681-4675
SITE ADDRESS: Lo T: 17 B L 0 C K: 1 APPLICANT:
1626 DONALD CT WEST LAKE BUILDERS
CAMERON CT (715) 386-9878
-1
PERMIT SUBTYPE: TYPE OF WORK:
DECK REPAIR
DESCRIPTION REPLACE DECK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: Lpr: ie sLocK: I APPLICANT:
1624 DONALD CT WEST LAKE BUILDERS
CAMERON CT (715) 386-9878
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
DESCRIPTION
BUZLDING
021694
08/10/93
R£PAIR
REPLACE DECK
INSPECTION .. . ..
F007ING FZNAL
? ?
uest void 18 months from /? 3Z?
..7
te of this Request S 23018
I, as F7 Licensed Electrical Contractor Owner, do hereby request inspection of the above electri-
cal wiring instaped at: ? /
?_S?-
StreetAddressorRouteNo. 1624 s 1626 ;lonald f.nnrr CityFagan
Section Township
Range County Dakota
Which is occupied by me r
" (Name of occupant)
Is a roughin inspection required on this job? No ? Yes CX Ready 1Vow ? Will Call E7
3000 Maxwell Rd.
PowerSupplier NSP/ Red Rocl< Address Newpnrrr Mn SSnGS
Eleetrical Contractor N i 1 1 c rP s t E 1 e ct r i c Cn Contractor's License No. q--34Z49
(COmpany Name)
MailingAddress_?OSn ulhtra eear Ave S? Pa ? M??1^O
n (Elettrical Contractor or owner?v ?ng Thls?ta??1'dlon)
Authorized Signature Up?e 12&v-ee2- Phone No. 777-87 u6
?c,?ettrlcal Contractar or Owner Making Thls Installatlon)
V
????? ????D ???? This impection reqP Dwill not ?tie accepted by the
o State Baerd unless ro er inspecaion fee is enclosed.
minnesota State Board of Electricity
7254 University Ave., St. Paul, Minn. 55104-Phone 645•7703
REQUEST FOR ELECTRICAL INSPECTION
6HECK BELOW WORK COVERED BY THIS REOUEST
./ 7-?
s qui A
Ty of Building New Add. Rep. Cheek Appliances W'ved For Check Equipment Wited For
,
Home ? ? ? Range 91 Temporary M'uing ?
Duplex I@ ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? Cl Dryec Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? ? pu Conditionei Bulk Milk Tanl: ?
Fazm ? ? ? List List
Other ? 0 El Rthers?
ere 1 Others?-
Aere )
COMPUTE INSPECTION FEE BELOW
ServiceEntranceSize: # Fee Feeders&SubFeedeis: n Fee Cirwits: # Fee
0 to 100 Am s. Z 0 to 30 Am res 0 to 30 Am etes
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am en:s
Above 200_Amps, Above 100 Amps. Above 100 Amps.
Transformeis RemoteConVOlCim. Partiatoiotherfee
Si ns S ecial lns ection Minimum fee $5.00
Remazks unf in i s hed basement o
?
I, the Electrical Inspector, hereby certify
been
(Final)
This request void 18 months from
CITY OF EAGAN Remarks
Addition 6AME}jON 6AUn Lot 17 Blk i Parcel 0...P0 ^+ '?
Owner ? . . . .+ : ?. - ?I s :1 i ?1 R• ?? r; 7+ ; `Street 1626 Donald Court State a.gan,?IYII?i 55121
li 1'1)Ji i, '?iflillf. rOl.l{l
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. j
STREET RESTOR. 7cC 1 [
GRADING
.j
SAN SEW TRUNK s/p 1974 26.92 IZ 2
* SEWERLATERAL /5 1974 2 7$.41 A009603 10-27-80
** Sew La ral ia= 1974 358.09 18.84 19 95.52 009603 10-27-80
** wATEW#4yN Lat ir 1974 12
* WATER LATERAL ? 1974 1
WATER AREA 1973 ppI
** Storm Sew Lat o7 1974 19
* STORM SEW TRK ;,/ 1974 12
sroRnnsEw ?#'# Trk/cil 1974 35.15 2.51 14 14.09 A009603 10-27-80
1067.67 A009603 10-27-80
URB G R ' '
SIDEWALK
STREET LIGHT
R
WATER CONN.
270
6UILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition C-AMERON C(lURT Lot ?.$ Blk ?-
Owner Street 1624 Donald Courr ;
U;, Iliavn, F,. r 11i'l nn; T 'Cu( , r,.n F , , )-j 1 .1 . Ilr, / , ;: ,
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 197$ FAID iTN ER P 10 412 00 1
STREET RESTOR. - -)G 1975 66.41 6.64 10
GRADING
S REET S
SAN SEW TRUNK C 1974 26.92 1.12 24
10-27-80
Ik SEWER LATERAL 1974 142.49 11.88 12
k* Sew Lateral ?Z1 1974 358.09 18.84 19 95-52 10-27-90
** wATEF"***Lat 1974 12
WATER LATERAL ? 1974 19
WATER AREA 1973 PAID UND R ORIGINAL ARCE
** Storm Sew Lat i? •" 1974 19
* STORM 5EW TRK 1974 12
STORM SEW 941 Trk 1974 35.15 2.51 14 14.09 A009604 10-27-80
6 0 -27- 0
URB & G TER '
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDING PER. 5585 9
SAC
PAR K
CASH RECEIPT I'
1
CITY OF EAGAN - ; .
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RECEIVED
19
AMOUNT $ I
& OOLLARS
1 oo
? CASH ? CHECK
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
???- BY ?f
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNQB ROAD
EAGAN. MINNESOTA 55122
DATE
RECEIVED
19
AMOUNT $ I
E]CASH F?CHECK
Thank You
C5<-- ZO .
.•.
BY
White-Payers Copy
Yellow-Posting Copy,
q
Pink-File Copy i
crnr oF EA"N
3795 Pilet Knob Rood Eagan, MN 55122 N2 5585
PHONE: 454-8100
BUILDlNG PERMIT Receipt #
To be asea for Est. Vafue pote , 14
Site Address Erect p Occupancy
Lot Block Sec/Sub. Alter p Zoning
parcel # Repoir ? Fire Zone
Enlarge ? Type of Const.
W Name Move
a
# s??ies
? Address Demofish ? Front ft.
Grade rl Death ft.
°C Name
,o
zu
?? Address
Name '
Address
1 hereby acknowledge thut I hove read this opplicotion ond stote that
the information is correct ond agree ta comply with all applicable
$tate of Minnesota Statutes and Ciry of Eagan Ordinonces.
Assessment Permit
Water & Sew. Surcharge
Police Plon check
Fire SAC
Eng. Water Conn.
Planner Water Meier
Council
Bldg. Off.
APC Total
Signoture of Permittee
A Building Permit is issued to: on the express condition that
oll work shnll be done in occordonce with ali appiicable Stote of Minnesota Stututes and City of Eagcn Ordinunces.
Building Officiol
Pennk # pal? hrwiefM
Plumbing
Mechanical / at1 ?i w ? ?
z'z ??? ?.
INSPECTIONS DATE INSP.
Raqh-In
F1na1
Footin95 Dote Inep. Dote Irnp.
Foundation Plumbing a-
Frame/ins. ?$v Mechanicol
Fincl A,
Remorks:
,? -S-g o , a.?.t, *,d e6g?
BUILDING PERMIT
Tn 6a ueed ier
CITY OF EAGAN
3795 Pilet Knob Road Eagan, MN 55122
PHONE: 454-8100
38,000
Site Address ` ' ` Z- •
i ':??"'^rnT; C t:,
Lot Block " Sec/Sub.
Parcel
oc Name , "' •
W
? Address _ I , , r ? 4 c; 2 _ 1 ? 1 (1
? Name _
Address
? r?...
arle
Name
Address
I hereby ucknowledge thot I hove read this opplicotion and state that
the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagen Ordinances.
Reteipt #
Erect
Alter ?
Repalr ?
Enlarge ?
Move ?
Demolish ?
Grode ?
N°_ 5584
l2/? o
Occupancy
Zoninfl
Flre Zone
Type of Const. '
# $tories
Front ft.
Depth ft.
Assessment 1'
Water & Sew.
Police
F(re
Eng.
Planner
Counci I
Bldg. Off.
APC
Fees
Surchorge
Plan check '
SAC '
Water Conn.
Woter Meter
Total
Signature of Permittee I
A Building Permit is issued to: on the expreu condition that
ull work sholl be done in occordonce with oll opplicable State of Minnesotn 5totutes and Clry of Eagan Ordinances.
Building Official
PNmit .?j Doh ed PMMItfM
Plumbing ,°?`p. //? L• ' . ?. ' •,..1??I?`?
Mechanical
?
Zro
-L( e:fl. ? i' J
INSPECTIONS DATE INSP• Rou9h-in Fl?wl
Footings / Dute Insp. Dats Iruv.
Foundation Plumbing `
Frame/ins. ? Mechcnicnl
Final (J
Remnrkt: -
.i
: .
CITY OF EAGAN
3745 Pilot Knob Road
Eagon, Minnesoto 55122
Phone: 464-8100
PERMIT
. .?'/u0,riz>
Date:
1624 & 1626 Dimulyd C i: .
Site Address:
??? ~ 1 (`•AP'?Tt;rs ;',` .
Lot Block Sub/Sec. _-
Car.ier?r:
Name
`
? Address
City Phone:
"2o ilE,'dr.?3 Ck _i, tv- ?• s'i!:
Nome
¦
? Address
City Phone:
This Permit is issued on the express condition thot all work shall be
Minnesoto Statutes and Ciry of Eogun Ordinances.
No.
_.T' ^a
Receipt No.:
Single I ..
Residential
Multi Res., Comm./Ind. I
New/Alter./Repoir. '
Cost of Instailation
Permit Fee
Surthnrge ~
Tota I
done in occordonce with all appliwble State of
Building Official
.
.
YT.,UMING
1/29/$C
CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT
No.
-77(?P
Dote: Receipt No.:
Single I
Site Address:
Residential
: ? •?r?e-?r. Ct. I
Lot Block Sub/Sec. Multi Res., Comm./Ind. y
Name oir
/Alter
/Re
N
.
p
ew
.
°e
Address
Cost of Instaflation
City Phone: P
rmit Fe `
e
e
f'rmr??? F?ti)•--
Name Surchor
e
.
?
' . .
g
? Address
a
City Phone: Tota I
This Permit is issued on the express condition that oll work shnll be done in uccordance with al l applicable State of
Minnesoto Statutes and City of Eagan Ordinances.
Building Official
? . CITY OF EAGAN ?
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
r i:,.
PERMIT No.
;r•.
Date: Receipt No.:
Single I
Site Address: t ° Residential +
Lot Block ' Sub/Sec. Multi Res., Comm./Ind. I
Nome ` New/Alter./Repoir
?
3 Address
Cost of Instnllation
O
City
a:
! ?j C r;?? [)
Phone• .
Permit Fee
Nome
Surcharge
.
?
Address
?
_ -
0
V
City
Phone:
Total
This Permit is issued on the express condition that all work sholl be done in accordance with all applicable State of
Minnesota 5tatutes and City of Eagan Qrdinonces,
Building Official
CONTRACT PqICE
Site Address 165-Ll Lot Block Sec/Sub
?
? Name WAIFO A r M21
a?
? Address
c City Nopsrins F1iiMMS - 57'L43
Name
c Address
p City - "` ?'Lk Phane ?
FEES
COMM/IND FEE - 146 OF CONTRACT FEE
MINIMUM - RESIDENTfAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNA'i'URE,bF PERMITTE.
FOR: CITY OF EAGAN
PERMIT #
i PERMIT REGEIPT #
EAGAN
D, EAGAN, MN 55121 DATE: ??-' -
54-8100
BLDG. TYPE WORK DESCRIPTION
Res. New L
Mult Add-on
Comm. Repair
Othar
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinalfBidet - $3.00
Laundry Tray - $3.00
Ftoor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
I_Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL•
? CITY OF EAGAN
3834 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
? SITE ADDRESS:
rii
? PERMIT SUBTYPE:
I,1 i 1 tI I 1 1 hl+;
PERMIT TYPE:
Permit Number:
Date Issued:
i,i APPLICANT:
i :.? i
s?lb
TYPE OF WORK:
uI ,' 1; i . , t liN
I i NnI
'rt/ae/?) I
rrtf,Ai?r
RV t° i At i n i? r.
Permit No. Permit Holder Date Telephone #
S!W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ft9• 4 1f t? 3
Deck Final
Well
Pr. Disp.
F
7-
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
? ?? ?
, i,41NAI Il 1. .1
)MtKdN Ct)UitT
I PERMIT SUBTYPE:
?
141Ifl{ 1 Nl,
'SPECTI4N RECORD
PERMIT TYPE:
Permit Number:
Date Issued: ' ' ` ?•' `' '
f. iAi4f • - ? F, APPLIGANT:
1 (f?l?) 22I ?17A
TYPE OF WORK:
tjEPAtR
ij i i, tV 40(1(i f 1wfi1
RF MARKS.: INf'1.41f3i '; 1 t•'?? f1+)FtAt U f: f (101 111
F.
?
1 I
?r
Permk No. Permft Holds? Date Telephone
ELECTRIC
PLUMBING
HVAC
Inspectfon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFlNG
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTO
DECK FINAL
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
, 1 1, , INa?t
r.'iij i il! 4
? PERMIT SUBTYPE:
I I 1 '' I 1 Nt,
7 F
LL
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
? i r;i ??? ?. : APPLICANT:
? ?, , , , , •? ? i i?? ,
TYPE OF WORK:
I11`-('f. IP 1 1 iIIV
1 1 h! Jt i
H?l i i ta t tu(
H.• 1 h ??r,
4'1fi / 1 o /w
{rtl'A?f,
ftlF'til?f I)I?k
Permit No. Permit Holder Date TelephoM #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Inap. Commenta
Footings 1
Foundation
Framing
Roofing
Rough Ptbg.
Rough Fitg.
Isul.
Fireplace
Flnaf Htg.
Orsat Test
Ffnal Plbg. Plbg. Inspedor - Notify Plumber
Const. Meter
Engr./Plan
81dg. Final
Deck Ftg. y If e
7
DeCk Flrtal
Well
Pr. Disp.
_ '.?!??'_?l?R.yi _. .
0. SEDGWICK HTG. & AIR COND. CO.
HOUSE HEATING TEST RECORD
CITY
- +• OW N E R
'HEAT LOSS DATE HTG. INST. ?
SOLD BY INSTALLED BY
Electrical Work By Gas Line By -
TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT HTR
GAS DESIGN
MAKE - - MAKEOFBURNER
Madel - Model
Serial Max. BTU Rating
INPUT MAKE OF FURNACE
CONTROLS
THERMOSTAT Heat Plug
Valve _ .'?Limit ? --^-
Limit Setti
Fan Settini
Pilot Type
Pilot Make
Pilot Mode
Pilot Timir
L.W. Cut Off, ,
Pressure Percent CQz?
Input CFH Percent Oz
Stack Temp. -- Percent CO
Vent Sixe
KIND OF LINER S12E NONE
Draft Hood Regulator
Filters Size Number
Chimney Location Inside? - Outside
Chimney Construction c ?-
Smoke Bomb Wiring
Draft Test Tag
Door Pressure Lighting Inst.
Date Tested
Company Testing
Name of Tester
CONVERS
/7U-D/ GEO. SEDGWICK HTG. & AIR COND
; HOUSE HEAl'1NG TEST RECORD
ADDRESS ?Le«?c???,,1.?1? CITY 4
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY
' #Yectrical Work By PE OF HEAT GA_ FA_ FIW_ STEAM_
GAS DESIGN
MAK E
Model
Serial
? INPUT ?'? ?,7 CY_7d
Valve
Limit
Limit Setting
Fan Setting _
Pilot Type -
Pilot Make -
Pilot Model _
Pilot Timing.
L.W. Cut Off
MAKE OF BURNER
CONVERSIOIV
Max. BTU Rating -
MAKE OF FURNACE
CONTROLS
? Heat Plug Vent Size
KIND OF LINER SIZE NONE
?
Draft Hood Regulator
Filters Size N,umber
Chimney Location Inside--,.,7,- Outside
Chimney Construction '' -?r' ,? ? "-•
Pressure Percent C02 5
Input CFH k? Percent OZ
Stack TempPercent CO
Smoke 8omb, Wiring
?.
Draft Test Tag ?
Door Pressure Lighting Inst.,'^?r?- -
Date Tested ?
, ?
.
Company Tectina ttr,,6
Name of Tester
o 0)
0 cn
?? _,
P'?
1
?\ ? ?
RESIDENTIAL
' BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD -
651•881•46'la?
NevrConsbvcdon Reauirements
• 3 registered sfte wrveys showing sq. ft of IoL sq. fl oT house; amy[I roofed areas
(20% matiimum bt coverage albwed)
. 2 copies of plan showing beam & wiMow sizes: poured found design, ek.)
. 1 sel of Energy Cakulatlons
• 3 cDPies af Tree Preservadon Plan if bt platted aftar 711193
• Rim Jdst Detail Options selection sheet (Wdgs with 3 a less unlls)
DATE V 1 -PI -
JOB SITE
a
4 70.av
1-01
by?-,
.? 2 copies of plan J+ ?
. k?eatedadditlons
.
. s
VALUaIo? o-?'}' ?a,?oa, on
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
TYPE OF W
APPLICAI
ADDRESS
PAGER #
ZIP CODE
NEW RESIDENTIAL BUILDING ONLY- PILL OUT COMPLETELY
Energy Code Category
(check one)
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Workshee
- Energy Envelope Calculations Submitted
MINNESOTA RULFS 7672
Ptumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water CoMractor.
_ Air Conditioning
_ Heat Recovery System
FIREPLACE(S) _ 0 _ 1 _ 2
NE#,9. 68r-ns7o
Phone #
Phone #
Fee:
$70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge ihat I hpve read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and Ci1y of Eagan inanqes.
Signature of Appl(can' PJ W4007
New Energy Code Worksheet Submitted
Phone #:
Water Softener _ Lawn Sprinkler
Water Heater _ No. of R.I. Baths
No. of Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
CELL PHONE # FAX #
OFFICE USE ONLY
? 01 Foundation
? OZ SF Owelling
? 03 01 of _ plex
D 04 02-plex
? 05 03-plex
? 06 04-plex
V 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. AIt= Multi
? 33 Ex[. Alt - SF
? 36 Muiti
? 35 Ini Improvement ? 38 Demolish (Interior) ? 44 Siding
O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
0 37 Demolish (Bidg}* ? 43 fteroof ? 46 Windows/Doors
•Demolitlon (Entire Bldg only) - Give PCA handout to applicant
a
?'oo
?
l
-( ?
Occupancy fi -3 MC/ES System
Zoning ? City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED lNSPECTIONS
_ Footings (new bldg)
_ Footings (deck)
_ Footings (additlon)
Foundation
Drain Tile
? Roof _ Ice & Water ? Final
Framing
Fireplace RI. Air Test Final
? Insulation
Approved By ? , Building Inspector
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8? Surcharge
Treatment Plant
Plumbing Permit
Mechanicai Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex
? 08 06-plex Q 76 Fireplace
0 09 07-plex 0 17 Garage
? 10 08-plex ? 78 Deck
? 11 10-plex ?' 19 Lower Level
? 12 12-plex Plbg_Y or _ N
Final/C.O.
? FinaUNo C.O.
_ Plumbing
HVAC
_ Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
1
? SEWER SERVICE PERMIT
CITY OF ,A?A
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: - No. of Units:
Owner. - - -- -
Ad
d•ess: ---
Site Address: _ ---
,
-r
Plw nber: -
-
- . 1
1 agree to eomplr wlth the Cify of Eogan Conriection Char
9e: ?
-
Ordinanees.
Account Deposit: N
-
Permit Fee:
Surcharge:
gy Misc. Charges: -
Dote of Insp.: _ Total:
CITY OF EA(iAN
3795 Pilot Knob Road
Eaga.., MN 55122
WATER SERVICE PERMIT
PERMIT NO.:
DATE: -
. No. of Units:
er No.: Connection Charge:
. Account Deposit: _
der No.: Permit Fee:
iroe to eomplq with tha Ciry of Eogan Surcharge:
inaneas. Misc. Chnrges: -
Totol:
Date Paid:
e of Insp.: Insp.:
1 'CITY QF EAGAN
:3"-)5 Pilot Knob Road
Eoyan, MN 55122
Zoning:
Owner:
Address:
Site Address:
PI umber:
Meter No.:
Ci7e•
Reader No.:
1 agree fo wmply wilh the Citr of Eagan
Grdinanees.
By
Date of I nsp.:
t OF EAGAN
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges: _
Totol:
Date Paid:
I nso.:
f Wlot Knob Road PERMIT NO.: ? i
in, MN 55122 DATE:
n9: No. of Units:
er. _ ? -
•ess:
Address: •-
iber: _
to oompir with the City of Eogae
of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Charge:
Account Deposit: _
Permit Fee:
Surchorge:
Misc. Charges: _
Total:
Dote Poid:
200.00 nd
,5'1 °I LQO
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 4 651-675-5674
Please complete for: Single Fanuly Dwellings
Townhomes and Condos when permits are required for each unit
$ L-V _SD
4a
06
0 -3
Date
/
/
Site Address J/d Z6 rQ-L ? ?T U
i
#
n
t
Property Owner Telephone #(6? ) 6F6
Contractor
Address City
Sta[e Zip Telephone k ( )
The Applicant is n Owner _ Conuactor _ Other
Septic System NeW _ Refurbished Submit 2 sets of plans and MPC Iicense $ 100.00
Includes County fee. Adtlitional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including
-,2,Adding fixtures to lower levels or room additions, exclutling water softener and water heater $ 50.00
_ A6andonment of septic system
Water turnaro nd (+ 5/8" meter if needed -$121.00)
-_ I?
_ Other: GLA?..VV?c ?.?"" ? Vl l ?'( _
_ 1tPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
State Surcharge
N
$ .5?
C? l1g7 Z
n,
Tota? s
I hereby apply for a Residential Plumbing Pemilt and acknowledge that thb=in}'orxnarion i cs omp ett-e 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
pemut, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the
ap roved plan in the case of work which requires a review and approval of pl s.
?gl,r?
ApplicanYs Printed Name Applicant's Signature
? RESIDENTIAL
BUILDlNC PERMIT APPLICATION
CITY OF EAGAN f
3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675
New Conetmetion Reauiremants
• 3 registered sife surveys showing sq. ft. of Ioi, sq. ft. of house; and all roofed areas
(20% maximum lot cave2ge allowed)
. 2 coples of plan showing 6eam 8 window sizes; poured found design, etc.)
. 1 set of Energy Calculatiore
• 3 caRies M Tree Preservation Plan'rf {ot platted aHer 711193
• Rim Joisl Detail Options seledion sheet (bldgs wifh 3 or less unXs)
DATE 1'2 • I 6- 0 2- .
SITE ADDRESSj6ECo ?9Uoh a L? CT
TYPE OF WORK 1?ePLeYSW,
APPLICANT
STREET ADDRESS
TELEPHONE
PROPERTY
AN. d 61Zr
_ CELL PHONE ??S <
k.(3L tk<,Q)
_CITY L
37 o 9
1LTI-FAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
ZI
FAX #
TELEPHONE ? 661) V6 6 ,?
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CA`CF:GORY 1 MINNESOTA RULES 7672
(4 suhmission type) • Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing systcm includes:
Mechanical Conhactor:
Mechanical sysfem includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all appticable State of Minnesotca Statutes and City of Eagan ?nances.
Signature of Applicant ee"'/ y P "-tAf'-3
OFFICE USE ONLY
r
Water Softencr
_ Water Hcater
No. of Baths
RemodeVReoalr Reaulrements
. 2 copies of plan
• 1 set of Energy Calculations for heated additiofa
. 1 site survey (or exterior add2ions & decks
• Indicate if home served by septk system for additions
VALUATtON A 0 $ E "
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4102
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-687-4675
I `-10 . -?-5
a-
New ConsW clion Reauirements RemodeUReoair Reauirementa
• 3 registered site surveys showirg sq. k. of lot, sq. ft, of house; and all rooted areas . 2 copies af plan
(20°,6 maximum lot coverage allowed) . 1 set of Energy Calculatlons for heated addilions
• 2 wpies of plan showing beam & window s¢es; poured found design, etc.) . 1 sile survey for ex1erior additions & decks
• 1 set of Energy Calculatbns . Indicate if home served by septic system kr additionu
• 3 copies of Tree Preservation Plan if lot plattad after 711/93
• Rim Joist DeWa Options selection sheet (Wdgs with 3 or less uniGs)
DATE oao c), .9, VALUATION
JOB SITE ADDRESS 16 c,2 G !/pnq Zd Cf r eQ EAII/ . /yti 55-12 /
IF MULTI-FAMILY BUI
PROPERTY
TYPE OF
)ING, HOW MANY UNITS? _
1?
eV6ehJy a-?kc
A-Me . } ns uLai-; o
ele cl?' c FIREPLACE(S) _ 0_ 1_ 2
APPLICANT YevCev,i v JKa`tk0 PHONE# .
ADDRESS 16,2 ? 'VOi1a lQf C'1 L4 G 4 /U M N ZIPCODE 5 5 l2 ?
PAGER #
:ELL PHONE # <
6n) 6'S6 9S8/
?2 9e? 3 _709 FAX #
hoq. e
NtIV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical Syseein Inclucics:
Sewer/Water Contractor:
Water Softener
Watcr Heater _
No. of Baths
Air Condiiioning
Hcat Recovery System
Phone #:
Iawn Spruikler
No. of R.I. Baths
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application. I? l MAR 2. 1 2002 U
I hereby acknowledge that I have read this application, state that the informatio uis correc?ree t comply
with all applicable State of Minnesota Statutes and City of Eagan gy
SignafureofApplicant ?J'
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex G?19 Lower Level
? 12 12-plex PI6g.L/Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt- Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
I;f 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolitian (Entire Bldg only) - Give PCA handout to applicant
Valuation Pv o O Occupancy g- ,_? MC/ES System
Census Code A34 Zoning R_z- City Water
SAC Units O? Stories Booster Pump
N6r. of Units d Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (deck) _ Fina]/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Franung _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
3 -z ?-b ?'
Approved By ? f Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
11 city oF eagen
PATRICIA E. AWqDA
Mayor
PAUL BAHICEN
PEGGY CARISON
CYNDEE FIELDS
MEG"IILI.EY
Council Memben
THOMAS HEDGFS
CiryAdminisvamr
Municipal Cencer.
3830 Pilot Knob Road
Eagan, MN 55122-1897
Phone: 651.681.4600
Faz: 651.681,4612
TDD: 651.454.8535
Maintenana Faciliry:
3501 Coachman Point
Eagan, MN 55122
Phonr. 651.681.4300
Fax: 651.681.4360
TDD: 651.454.8535
www.cityafeagan.com
THE LONE OAK"CREE
7he symbol of scrength
and growrh in our
wmmuniry
December 17, 2001
Mr. Rafik Iskhakov
1624 Donald Court
Eagan, MN 55121
Deaz Mr. Iskhakov:
During an inspection of the framing at your residence on October 17, 2001, I noticed that
the concrete masonry units in the basement wall were severely pushed in, and mortar was
missing in the joints of the affected area. A correction was issued requesting that a
Structural Engineer view the wall before proceeding with construction.
Subsequent reinspections by Building Inspector, Don Hadd, on December 12`h and
December 13'" (I was present at this inspection, as well) revealed that a Structural
Engineer had not viewed the wall for recommendations on repair and the joints had been
filled with a concrete repair product. This letter is to advise you that the City does not
consider this an acceptable repair.
During the December 13`h inspection, we expressed concern with the structural integrity
of this wall and the ability it has to protect your finished basement from groundwater
infiltration. You were given options of contacting a Structural Engineer or completely
excavating the exterior portion of the wall so we can make a more thorough inspection.
I am sending this letter to reiterate the concems we have with this wall and to make
certain you understand your options. Please contact me at (651)-681-4697 if you have
any questions.
Sincerely,
evel
?1:, Fr
Building Inspector
7F/J S
cc: Dale Schoeppner, Chief Building Official
Donn Hadd, Building Inspector
PEIZMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: s u z Lo s N G
Eagan, Minnesota 55122-1897 Permit Number. 031897
(612) 681-4675 Date Issued: 0 4/ 3 0 J 9 8
SITE ADDRESS:
1624 DONAID CT
LOT: 18 BLpCK: 1
CAMERON COURT
P . I . N . : 10--16300--180-01
DESCRIPTION:
.? (ROOFING) BU,ij d4?Permit Type MULTI. (MI3C.)
? ?
?BUi?.,c[40S 4qXk TYpe REPAIR
a? C6?ns us Code ih 434 ALT. RESIDENTIAL
m4(1??"i %ja
ME I? IR g?j
F , ?t
? ?. MIMI
?m w?c ?r
se g?; H?
'++i ffw .°?
REMARKS:
INCLUDES 1626 DONALD C7 (LOT 17)
FEE SUMMARY:
VALUATION
Base Fee $87.25
Surcharge $2.00
Total Fee $89.25
$4.009
CONTRACTpR: - Applicant - sT. LzC.OWNER:
BERGLUND/JOHNSON CONST 12219170 2009625 CAMERON COUR7 RSSOCIATION
4860 MINNEAPOLIS AVE DONALp CpURT
MINNETRS3TA MN 55436 EAGAN MN
(612) 221-9170
?o-t.& 0jgi.Im.d
APPLIGANT/PERMITEE SIGNATURE ' ISSUEDI
N? :^ +
;(v .a f 01.:.l. ?J __, 1 .
i , .
. ' ?. : I ?I ..? . r . .I? . `? ..? ? • . ?.'??
? ., : r! ...1 .?.I•rL.; ,?r? ?.,.. , .]
,.o i ..,.
Cl.l`: 07 . .AGM
,.
? .?... .. ?.1.'::7
I^ ...r 4 `,-,
' F?'.??r,.
. ... .. .. . ... ,.. i .
'
.?'::; f 'I. ..E, } ri?l.•?:..i: .-. ..,.
.? . ..3.?.
.
' .
'
' .'.!J -0!.1 .LI?i; Y li1 1?':_... ..,..,.
.,: . : i
.,.
.
.
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' I.'..,'ii .1
? .. . ., i. ? ' : .4:
.t i . ?.. D
.
. ,. . .
..?..
... .
c-i
!'-:i??d i,
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?„
:
... :
.
r ?...,
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? . ..
.
' ? .
:.
i
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... ..
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.; ._.... ..:
..
C: .0'.)
1
.? . . .r ri ... ... I 1 li. i ... ?'., i.. . . I ' . • , , I, ?'t?li: ? l i?{'?
?.????,i• ?? .,. r;?. i?-. _ . . ?'" i : ? . _ ?i? i. ..
' ?998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EAGAN
3830 PILOT ANOB RD - 55122
681-4675
New Construction Requirements
? 3 registered sde surveys
• 2 copies of plans (inGUde beam 8 window sizes; poured fid. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan 'rf lot plat[ed aRer 717193
required: _YesNo DATE: ? A? /R P,
DESCRIPTION OF WORK:
RemodeUReoair Requirements
? Z copies ot plan
? 2 site surveys (ezterior additions & decks)
? 1 energy calculations tor heated addRions
CONSTRUCTION COST;
STREET ADDRESS: 163- St "1?a-G UON f?LD COLy=
LOT: 4-L BLOCK: SUBD./P.I.D. #: C?l,btA
PROPERTY
OWNER
Las[
Street Address:
City
Firs[
Phone #:
State:
Zip:
Z2 ( ql ""0
Company: Phone #:
CONTRACTOR ,r? n
Street Address: Te (o C) License #c9'-000C?o a`-S /
ARCHITECT/
ENGINEER
City 11//,141NC77-' /ST4 State: 141") Zip: ss 3(-?` T
Phone #:
Registration #: _
State: Zip:
Street
City
Sewer & water licensed plumber (new construction onty): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to,co ith all applica6l
State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
• ?
---'' CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
CC, ?.116 63
BUIL02qGg
021694
08/10/93
SITE ADDRESS:
P.I.N.: 10-16300-180-01
} ..
PERMIT
1624 DONALD CT
LOT: 18 BLOCK: 1
CAMERON CT
DESCRIPTION:
;-, REPLACE DECK
Bu3lding,_Permit Type DECK
Building W'Qrk Type REPAIR
y'Building Length
? euilding Width'-
j' ....?
(
12
10
?
%/
- -J-,
,J?1,? L
REMARKS:
FEE SUMMARY
Base Fee $25.00 COPY $.58
Surcharge $.50 Total Fee $26.00
Subtotal $25.50
CONTRACTOR: - APplicant - ST. LIC. OWNER:
WEST LAKE BUILDERS 13869878 00087$7 WEST LAKE BUILDERS
P 0 BOX 703 P 0 BOX 703
HUDSON WI 54016 HUDSON WI 54016
(715) 386-9878 (715)386-9878
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Urdinances.
?
.
APPUCANT/PERM'FE SIG ATUS
1
appl3cation and state that the
with all applicable State of Mn.
?
C
ISSUED V: SIGN URE
REALTIVP7E _
PERMIT k a1 oq
CITY Of EAGAN
1993 BUILDING PERMIT
681-4675
APPLICATION
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site survey
?
calcs.
LAUG
0 q 1993 i
COMMERCIAL 2 sets of architectural b structural plan 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 / / Yaluation of work
Site Address:
SiREET SUITE 0
Tenant Name: (commercial only) s cw
LOT BIACK / SIIBD. P.I.D. #
Descri tion of work: T¢? ?°e ?ace ?xx,?+ ' ct'
The applicant is: Owner Contractor ? Other (oe4«tbe)
Name Phone
Property «ST FIRST
OWnef
Address
STREET STE A'
Lity State Zip
Company 4 t e%,? ;9c„a"c Phone 7t5--3£s'G -?i'8?1d'
Contractor Address Po, l3ox 70-3 License # 27R7 Exp3 3l(ys
City cu: State W.` Zip SSr?I?
Company Phane
Architect/
Engineer Name Registration #
Address
City 5tate Zip
Sewer & water licensed plumber . Processing time for
sewer 8 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: ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 5F Dwg.
? 03 SF Addition
? 04 SF Po'rch •
? 05 SF Misc.
WORK TYPE
?. 31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
` 0 08 8-Plex
O 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
0-34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy ?
Zon9ng
# of Stori es
Length
Oepth
APPROVALS
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
F 15 Oeck
? 35 Tenant Finish
? 36 Move
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
5q. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Planning Building
Engineering Variance
REGIUIRED INSPECTIONS RF_'P«c.c.S -?us-nN& beE?C
O Site V Footing ? Framing
? Wallboard jia Final 0 Draintile
? Insulation
? fireplace
Permi't Fee z,, 00 I nw.cion:
Surcharge
P1aD Bwview
I City SAC
, Water Conn.
' Water Meter . ''
Acct. Deposif
3/W Permit
S/W Surcharge •,. ?
Treatment Pl: ?
Road :Unit . ?r .
' Park:Ded.
_Trails Ded. -` - ?.
?.Copies
°=Other
i 70.t"d.l:
?saG %
-SAC Un i..fs .. r , ., .. ,
.. `- ?? . . _
$
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Pubiic Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRY Required
Booster PumP
Fire Sprinkler
Lensus Code
SAC Code
Assessments
PERMIT
?fTY OF EAGAN
PERMITTYPE: BUiLorwG
830 Pilot Knob Road Permit Number: 621695
Eagan, Minnesota 55123
(612) 681-4675 Date Issued: 0 8/ 10 / 9 3
SITE ADDRESS:
1626 DONALD CT
LOT: 17 BLQCK: 1
CAMERON CT
P.I.N.: 10-16300-170-01
DESCRIPTION:
t--? ` REPLACE DECK
Bt?zltfin 4, PermiC Type OECK
puflttirlg Wt?,rk Type REPAIR
'BUiiding Len4t,h 10
euildtng wlath' ? se
?
=' u r? '" v r ? I
'? ?``,??? ??
`
REMARKS:
FEE SUMMARY
Base Fee
Surcharge
Lic. Search Fee
Subtotal
$25.00
$.50
$5.00
$30.50
COPY $.50
Total Fee $31.00
CONTRACTOR: - Applicant - sT. Lzc
WES7 LAKE BUILDERS 13869878 0008787
P tl BOX 709
HUDSON WI 54016
(715) 386-9878
UWNtIi:
dEST LAKE BUILDER3
P 0 BOX 703
HUD5QN WI 54016
(715)386-987$
I hereby acknowledge tha't S h.ave rea•d 'Ch?? ??ppif.oat.iory and' stake tharZ th4e ?
info-nmatian is carreot aYtd aqr-gg ta eemply witYr all applio&bXe 5tate of Rtft,
5tetutes an.ti City of Eagan Ordirtaneefi.
?
. APPLICANT/P MIT IG RE ISSUED V: SIG U E
E
REACTIVATE _
PERMIT N ?
?????5
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLICATION ?
?
SINGLE & MULTI-FAMILY n rgy
2 sets of plans, 3 registered site su eys,
calcs. AUG 0 q 1993
COMMERCIAL set of
1
2 sets of architectural & structural lanss
_
_
specifications, 1 copy of energy calc . -
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 permlt
is issued.
Date / / Yaluation of work
Site Address: /d 26 -0
'-rnaa
SiREET SUITE M
Tenant Name. (commercial only) zce.I.b a ti.?s
IAT BIACK J SOBD. ell-, P.I.D. N .
Descri tion of work: "ro W crfl)ac ex Ls4K.' 4[eek
The applicant is: JECOwner Contractor O Other (Descri6e)
Name Pfione
Property LAST FIRST
Owner
Address
STREET STE /
City State Zip
tompany Phone 7(s .?BG 78
Contractor Address ? ? <%X 7e, License #9287 Exp. 3/ y'S
City State ZiP :S'?Igy/%
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:
11 z -
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Additi,on
? 04 SF Porch •
O 05 SF Misc.
WORK TYPE
? 31 New
0 32 Addition
O 06 Duptex
O 07 4-P1ex
? OS 8-Plex
' `? 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
@:34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
p 15 Deck
? 35 Tenant Finish
? 36 Move
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq, ft. City Water
UBC Occupancy R. 3 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
1 of Stories Footprint Sq. ft. Fire Sprinkler
Length ot On-site well Census Code
Depth fol On-site sewage SAC Code
APPROVALS
Planning Buildin9 Assessments
Engineering Variance
REQUIRED INSPECTIONS REPLAcs pec"K
? Site ? Footing ? Framing
? Wa}lboard ? Final O Draintile
? Insulation
? Fireplace
Permi t Fee 2S; v0 veiuac;a,:
Surcharge +?a
Plan Review
icens ?
C
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Oed.
Copies
Other
Total:
S
5AC %
SAC Units
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161905
Date Issued:06/17/2020
Permit Category:ePermit
Site Address: 1624 Donald Ct
Lot:18 Block: 01 Addition: Cameron Court
PID:10-16300-01-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Ngozichukw U Akubuike
1624 Donald Ct
Eagan MN 55121
(651) 808-5001
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161905
Date Issued:06/17/2020
Permit Category:ePermit
Site Address: 1624 Donald Ct
Lot:18 Block: 01 Addition: Cameron Court
PID:10-16300-01-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Ngozichukw U Akubuike
1624 Donald Ct
Eagan MN 55121
(651) 808-5001
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature