1640 Donald CtCASH RECEIPT .. ,
I
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
Recervec : i
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AMOUNT $ I
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iv_?. CASH RECEIPT
ClTY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
:
DATE 19
eecervr.o . ?
FROM ' ? •
AMOUNT ?
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----?- --'- - --s ,. '-- - }- •
BY ' .
White=Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
3795 PUof Knob Road Easos, MN 55112 N2 5449
- PHONE; 454.8100
BUILDING PERMIT ?: 3 5'?)??1 _ Receipt .?#
Te 6e wad for Est. Vnlue Dote L19
Site Address t. C. Erect ? OccuPancY
Lot Blxk Sec/Sub. a'?`=' o_, ? t. Alter ? Zoninp -
Purcel # Repair p Fire Zone #
Enlanpe ? Type of Const.
-:t ?.ri L? v. Move
W Name c?
? # Stories
? ft.
Address 7 .-, Demolish p Front
r:*- t:. 'au? M- 64b-8b43 Grode ? Depth
Name _
0
ol Address
I hereby ackrwwledge that I have reod this application ond state that
the information is correct ond agree to comply with oll applicable
State of Minnesota Stotutes nnd City of Eogan Ordinances.
Assessment -
Water & Sew.
Pol ice
Firo
Enp.
Planner
Council
Bidg. Off. _
APC
Permit 1 ' '
SurcFarge
Plnn check
SAC 0
?
Wcter Conn. e" 7 n .
Water Meter
Total '- 14. 7 -')
Signoture of Permittee
.,a ... _ .. ..._ e
A Building Permif is issued to:
Building pfficial _ on the eacpress condition that
all work shall be done in accordence with all appliwble State of Minnesota
Ciry of Eogon Ordinances.
PorwM # DaN Iaoed PWMI""
Plumbing T c
Mechonical
/ 3 i 5 75
?
INSPECTIONS DATE INSP.
Rouph-In
Final
Footings Date Insp. Dafe Irup.
Foundation Pfumbing -
Frame/ins.
Mechonical ?
Final _Q
Remarks: 2 • x 2 ' r-O
BUILDING PERMIT
Ts bo used for
CITY OF EAGAN
8795 Pilof Knob Rood Eagen, MN SSl?.S
PHONE: 454-8100
5ite Address on a l d C t.
Lot Biock Sec/Sub: 220ron 't
Pcrcel #
g Nome
; Addreu
°C Nome
Zo
?? /Wdress
i- rin, 94.,,.,e
Nome _
Address
I hereby nckr?owledge ihat I have read this application and stote thnt
the Informotion is correct and ogree to cromply with oli applicoble
State of Minnesoto Stotutes ond City of Eogcn Ordirwnces.
Erect ? Occupancy
Alter ? Zonfnp
Repoir ? Firo Zone
Enlarge ? Type of Const.
Move ? .# Stories
Demolish ? Front ft.
Grode ? Depth ft.
Approrols Feos
Assessment _
Water & Sew.
Polite
Fire
Eng.
Planrrer
Council
Bidg. Off. _
APC
Permit
Surchorge
Plan check
5AC
Water Conn.
Water Meter
Total t
Signcture of Permittee I
A Building Permit is issued to: on the express condition thot
oll work shall be done in accordance with ull appliccble Stote of Minnesoto Statutes and City of Eagan Ordinances.
Building Official
Receipt #
onne _ -
N2 5450
5. 7'2
Pomk # peh Isned INwiffN
Plumbing
M chonical ?--?
/ /? // ? 7 , Qn. _ U _ ?
INSPECTIONS DATE INSP.
Rouph-In
Finul
Footings Dote Inep. Date Insp.
Foundotion Plumbing ?
Fromelins. Mechanicnl
Final 11? f'
Remarks: .2• 2 x ^ p0
CITY OF EAGAN
.
3795 Pilat Knob Road
Eagan, Minnesoto 55122
Phone: 454-8100
HEATING PERMIT
Dote: 11/5f79 Receipt No.:
Single
Site Address: 1640 Donald Ct. Residential
Lot 1.0 Block 1 Sub/Sec,
_ CEl1tiEI0I1 Ct. _
COMBUSTION AIR
No.
563
Dupl.
Name Cameron Dev.
New/Alfer./Repoir. 3 Address 715 R3Ymand AVe. ;? ? t; ?< ,`?`•
Cost of Instollotion
O
City St'• Pai'i'1 Phone: 646-8643 Permit Fee ? i.'`• }
Name ';Ieo• Segwick :itL) . . ? :
` - $urchorge
0
1_;01 Xenia Ave. So.
P Address
e
0
U City `_i ri 4 ?. E Phone: r 4 5 - 16 ` 1 Total .
This Permit is issued on the express condition that all work shall be done in uccordance with all applic.able State of
Minnesota Stotutes ond City of Eogon Ordinances.
Building Officiol
1
Date:
,- CITY OF EAGAN
3795 Pilot Knob Rood
Eagon, Minnesota 55122
Phone: 454-8100
HTG.
PERMIT
No
1613
lI/5/79
1542 i:onald Court
Site Address: _ _
Lot Y Block 1 Sub/Sec. _(`?erOfl Ct.
1:33t;@Y`Q:t i»V.
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind.
•;W
Name oir v
New/Aiter
/Re
.
p
3 7 "t=i ,aymond Ave.
Address ? I '; 3 . '-, 0
Cost of Installation
0 _
c +-
. Paul
:146-8643
20. 0`:
City
Phone: Permit Fee
(,°>o 5edgewick F?{-r;, ?.r
Norne $urchorge
.
?
1001 3ienia AVe. Sc-.
Addreu
e
0
v
J ? ?
City
Phone: Totol
This Permit is issued on the express condition that all work sholl be done in accordance with cll opplicable State of
Minnesota Stotutes and City of Eogan Ordinances.
Building Official
_J
? ' • CITY OF EAGAN
3795 Pilof Knob Rood
Eagan, MinnesoW 55122
Phone: 454-8100
Zr9', PERMIT
Dote:
11/15/79
1642 Donald Ct.
Site Address:
?y 1 Cameron Ct.
Lot Block Sub/Sec. _-
Receipt No.:
Single
No 1545
1E683
Multi Res., Comm./Ind. nuPl/ I
Nome Cameron I}eV. _ New/Alter./Repair `vFt`'
3 Address 715 Raymond AVE` .
Cvst of Installotion
O
City St. PtlUl phone: 646-IC4" Permit Fee 20 ' 00
Name R• C. Hof fman P? i: g. Surcharge • 5P)
Address R04 111• SE?XtaI7t
e
0
City Phone: Total
This Permit is issued on the express condition that oll work shall be done in accordonce with all opplicable State of
Minnesoto $tatutes and City of Eagon Ordinances.
Building Official I
J
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PT,i1MBING PERMIT
11/15j79
Date:
l i 40 1?or?? ld Cto
Site Address:
.? ? Cameron C'-.
Lot Block Sub/Sec. _-
?arfe?-or<
Name
?
715 RayYr?ond Ave.
e Address
3
O .ry7t. ,`cT`•.?e! , '`7'?.
City Phone:
Nome _ -
?
?
Address
o
City Phone: `
This Permit is issued on the express condition that all work sholl be
AAinnesota 5totutes ond City of Eagan Ordinances.
No
1544
Receipt No.:
$ingle ?
Residentiol
Multi Res., Comm./Ind.
New/Alter./Repair
Cost of Instollation
Perrnit Fee
Surcharge
Tota I
done in accordance with all applicable State of
Building Ofificial
INSPEC
? CITY OF EAGAN
` 3830 Pilot Knob Road
[ Eagan, Minnesota 55122-1897
? (612) 681-4675
C
SITE ADDRESS:
PERMIT SUBTYPE:
,: ? ?
E N + I •
?
10 ti i iw t
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
Rlt(1 0 tNta
0 .' Fi :4 4 f?
07 f?..-3/9f
? APPLICANT:
, r,:ri, ?? ?,? ? iii•{ , I
TYPE OF WORK:
,: ,,?,.1 '";
Fti'A!H
cRU ai nt.rMFMr)
I iMnI
??'
?
?
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspaction Date Insp. Comments
FOOTI NG5
FOUND
FRAMING
Fi00FING
HOUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPIACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG _C??7Z
pECK FINAL
!I ? t7
IN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTVPE:
;illi ; r ?H ;? , )
10 f< I l?t- a
;CORD
PERMIT TYPE:
Permit Number:
Date Issued:
Eti, l I (, «G
0zt; 341)
07 / ,'. 1/96
: APPLICANT:
„I1M? ? M Vi,O vf M f N s
( e> i . i ri r; at - .' ,' 4 .'
TYPE OF INORK:
tl k`; i. I: i 1' i 7 wN
r+FPArR
t 5.f1i7Ms? jl„!i Nft?t?lk: )
?i
?
Pormit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
inspection Date insp. Commenta
FOOTI NGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
OECK FINAL ?
? i
- --
r , 0 ?rLO 1
I ? I
_
? ?
I
?
IN
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
I 1.:j.' fFNJiI !i I
r.IiMt F2tlN ( Iltl? I
PERMIT SUBTYPE:
f- f l fl 1 I #J r;
j Isf rM{?P?
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
ciui1 0 1 Ni
f+l ;' i3 3 4 e.
H! / ?"i}tit
? APPLICANT:
TYPE OF WORK:
?.; . . ? ? i • ,.
r.rP A rH
? Rf"f'I A$ F P!# N f?
1 1 H/1 i
.. .. .
?
? - ?
-----------------------------------
Permit No. Permit Halder Date Telephone #
ELECTRic
PLUMBING
HVAC
Inapection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
FOUGH
HEATING
GAS SVC
TEST
INSLJL
GYP BOARD
FIREPLACE
FIFiEPLACE
AfR TEST
FINAL PLBG
FINAL HTG
OflSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FlNAL
DECK FTG
--
DECK F1Pr`- ;
?t
?r?'?
--
?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
i, ; . I?UtJ?ll t1 i
i -,t11 1:?lJ i ?ilic ?
'3 NI ui.k
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
? APPLICANT:
I i f: 14
( r, I . . .itii4
?t1i 1 i !+l l??i
0 7/?:3 f?rh
I MI'ft(IJI• MF? PI i
PERMIT SUBTYPE: TYPE OF WORK:
r-PA I a
lVllflf?l?. ?
';illlClCrlW
Permit No. Permit Holder Date Teiephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS „
FOUND
FRAMING
ROOFING
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 FfG
DL-CK FINAL
',
----
- - ?
L
CITY OF EAGAN Remarks
Addition CAMER(1N COLIRT Lot ln Rlk -I -
Owner ?! f: a Street 1640 Donald Court
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK G
* SEWER LATERAL ?
** /.2
** WATERV
WATER LATERAL / J
WATER AREA
*?r ? Ij'
* STORM SEW TRK 1,tj
STORMSEWW T k4 197 35.15 2
CURB & GU ER
SIDEWALK
STREET LIGHT
WATER CONfV.
BUILDING PER.
sAC 525.00 6 "
PARK
r--
CITY OF EAGAN
Addition.CAME,RO
-M !4 7f ?f Iny q IUF
Lot 9 Blk---J- Parcel 4*&4w og.o ns
'L Sveec 1642 nnnal dCnurt State F.agan, MN_ 5 S 121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREETRESTOR. ?7G,
GRADING
.s'9
SAN SEW TRUNK ' 1 $'
* SEWER LATERAL
** WATERV##ij
* WATER LATERAL 1974 19
WATER AREA •
?r STORM SEW TRK /,5'/ 7
STORM SEW Lff# TTUIlk t 1974 35.15 2.51 1
CURB & GU ER
SIOEWALK
STREET LIGHT
WATER CQNN. '
BUILDING PER. • ri
SAC ? r
PARK
CITY OF EAGAN
3795 Pilof Knob Road
Eagae, t.1N 55122
WATER SERVICE PERMIT
PERMrr No.:
DATE
_ No. of Units: ' • ? "`'
r.i„ -
M comply with the City of Eagon
of I nsp.:
Connection Chorge: =
Account Deposir: -
Permit Fee:
Surcharge:
Misc. C}wrges;
Totol :
Dote Paid:
TY OF EAGAN SEWER SERViCE PERMIT
'374Z Pilat Knob Road PERN?IT NO.:
1 I
gan, MM 55122 DATE:
Zoning: No. of Units:
Owner. -
Addreu:
. Site Address:
lumber:
,
1 ogree to wmply with the City of Eagan Connection Chorge:
rJinances. Account Deposit:
8y
Date of Insp.:
I nsp.:
Permit Fee:
Surcharge:
Misc. Charges:
rotal:
Date Paid:
' WATER SERYICE PERMIT
c
TY OF EAGAN
374'' Qilot Knob Road PERMIT NO.:
Ecgon, MN 55122 DATE:
Zoning: No. of Units:
Owner: _
Address:
Site Address: , . ' . .
Plumber. -
Meter No.: Connection Charge:
Size: Account Deposit:
_
Reader No.: Permit Fee:
1 agree to compfy witb the City of Eogon Surcharge:
Ordinances. Misc. Chorges:
Total:
By Date Paid:
Dote of Insp.: Insp.:
C1;7Y GF EAGAN SEWER SERVICE PERMIT
3741 P?4?* Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 agree to eanply with t6e City of Eagon Connection Charge: Ordinanees. Account DeposiY•
By
Date of Insp.:
Permit Fee:
Surchorge:
Misc. Chorges:
Totol:
?
" ? . cirr oF EaGAN
8795 Pilef Kne6 Reed Eogan, MN 55142 N? 5449
PNONE: 454-8100
?
BUILDING PERMIT APPUCATION
000
38 Receipt # zlr%/9?-
$
.
,
To be uwd for Duplex Est. Value pcQct. 5 1979
Site Address 1642 Donald Ct Erect Occuponcy R3
Lof 9 Bl ock 1 Sec/Sub. Cameron Ct. qirer ? Zoning RZ
Poroal # 10 16300 090 Ol Repair ? Fire Zone 3
l t
V
T
f C
orge ?
En ype o
ons
.
W Nome C88eTOn DeV. Move p # Storles
Z Address 715 Ra}Rnond Ave. Demolish ? Front 24 ft.
? C. St. Paul phone 646-8643 Gmde ? Depth 40 ft.
rc Name ADProvals Fees
o0
u
uq?
f
Hddress
Name _
Addrew
1 hereby acknowledge thnt I hove reod this application nnd state that
the informotion is mrrect and agree to comply with oll upplicable
$tate of Minnewta Stotutes and Ciry af Eagon Ordinunces.
Sfgnature of Permittee
ame n
A Bullding Permit is issued to: x
all work shall be done in acw "` wit aII,oDP ? able 5
8uilding Officiai
Assessment Permit 110.50 _
Water & Sew. Surcharge 19.00
Police Plan check 55.25
Fire sAC 525.00
Eng. Wmer Conn. 200.00
Planner Water Meter 60.00
Council Rd Unit 75.00
Bldg. Off.
APC Total 1114.75
on the express mndition Mat
wto Statufes and City of Eagon Ordinances.
CITY OF EAGAN6?5*pt
BUILDING PERNIIT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Th se usea For ,0(1.-s_ valuarion 3?4? U Date 9'- -?
site P,ddress: 4q62r? I-fl
Lot -9 Block / Sec./Sub.?
Parcei #: /0?.r(! d?'/1 L3,/
Owner:
Pddress:
City/Zip Code:
Phone #:
Contractor:
Address: 7i S
?-
City/Zip Code:
Phom # : _ ? ?/G - c?+ Sr3
Arch./fng.: _
Acldress:
City/Zip Code:
Phone #:
OFFICE USE OTII,Y
Erect y_ OccupancY
Alter Zoning 2 _
Repair Fire Zoxe ?
Enlarge 'Iype of Const. t/
Move # Stories
Delcnlish Front ? y ft.
Grade Depth ft.
APPROVALS F EE'S
b
'Z
Assessments Permit )/0
Water/Sewer Surcharge
Police Plan Check SS a'
Fire SAC
Enq, Water Conn. a776 931-
Planner Water Meter
Council Roac1 Unit
Bldg. Off.
APc
'POTAL
GE 1 CO
OUSE HEATING TEST RECORD ?
ADDRESS 1 w(D--? tnM Cb+-a CITY?-?„A' v1 --?
OCCUPANT
HEAT LOSS DATE HTG. IfdST.
OWNER
SOLD BY INSTALLED BY
Electrical Work Bv Gas Line By k
TYPE OF HEAT GA_ FA _ Hw_ crFnnn_ ccnrE HTR._UNIT HTR._OTHER_
GAS DESIGN CONVERSION
MAKE - MAKEOFBURNER
Model Model
Serial P- Max. BTU Rating
INPUT MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT H atPlug -
VBlVE -
Limit
Limit Setting
Fan Setting -
Pilot Type
Pilot Make
Pilot hQodel - ?
Pilot Timing-- A°A
L.W. Cut Off
Pressure S,? Percent COZ r . ?
Input CFH Percent OZ ?
Stack Temp. Percent CO
//
V@nt $li¢ ? //
KIND OF LINER SIZE NONE
Draft Hood Regulator
Filters Size Number
Chimney Location Inside Outside
Chimney Construction
Smoke Bomb Wiring
Draft 64- Test Tag
Door Pressure Lighting Inst.0-It
Date Tested -
Company Testing
Name of Tester ?
Form 235
GEO.SEDGWICKHTG.&AIRCOND.CO.?
HOUSE HEATING TEST RECORD Y?i ?-?J(
/? n M1 ?
ADDRESS!1??? ? GTY
OCCUPANT ' OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY J
Electrical Work By b / l"?v Gas Line By TYPE OF HEAT GA_ FA„L HW_ STEAM_ SPACE HTR._UNIT HTR._OTHER
G ESIGN
MAKE ? AS ?,-f MAKEOFBURNER _
Model _,4(4? Model
V
Serial Max. BTU Rating
INPUT MAKE OF PURNACE -
CONVERSION
CONTROLS
THERPJIOSTAT Heat Plug
Valve ?
Limit
LimitSetting ?•
Fan Setting
Pilot Type
Pilot Make
Pilot Model 6 "- -
Pilot Timing 'Mp-QP4 ?
L.W. Cut Off
Pressure q
,C) Percent COZ
Input CFH? Percent O
2
Stack Temp. Percent CO ow3q
i?
Vent Size
KIND OF LIPIER SIZE NONE
Dreft Hood A R?gudator
Filters Size Number
Chimney Location Inside Outside
Chimney Construction
Smoke Bomb Wiring ?,,
Draft Test Tag i'?'?
Door Pressure Lighting Inst. ?'?
Date Tested
Company Testing
Name of Tester Q3i.E -
Form 235
cirr oF eacaN
9795 Piloc Kno6 Road Eagan, MN 55142 N2 5450
PHONE: 454-8100 /-
BUILDING PERMIT APPLICATION $38,000. Receipt .# S-
To be ueed for Duplex Est. Vulue pjct, 51
Site Address 1640 Donald Ct. Erect ?X Occupancy R3
Lot 10 Block 1 Sec/SubCBmelOn Ct. Alter ? Zoning RZ
Parcel # 10 16300 100 Ol Repair ? Flre Zone 3
Enlnrge ? TYPe of Const. V
? Name Cameron Dev. Move ? # Srories
? qddreu 715 Raymond Ave, pe,,,olish ? Fronr 24 tt.
o c.8t, Paul phone 646-8643 Grade ? Depth 40 ft.
p Nnme APProroti Fees
o? Address Assessment Permit 110. '0
Vg Ci Phone H'ater & Sew. Surcharge 19.00
Police Pian check 55.25
Fw Name Fire SAC 525.00
?? Address Eng. Water Conn. 270.00
<w Ci Phone Plunner WoterMeter 60,?0
Council Rd Unit 75.00
1 hereby acknowledge that I have reod this opplication and siate that gldg, pff,
the Informatlon is correct and agree to comply with all appiicoble 1114
75
Stote of Minnesoto Statutes ond Ciry of Eagan Ordirwnces. APC .
Total
Signature of Pertnittee
A Building Permit Is issued to: CetnEion/-D?v. on tha express conditlon thot
cll work shall be done in x
co
r
? Ce
w?i 0I1/aD iwble State o ' esota Statutes and Clty of Eagan Ordirwnces.
,
/
?
_ /
Buildirg Otficial ?? C ?= ??..Z/ - - -
„e
- CITY OF EAGAN ?,Q,S? Include 2 sets of plans,
11' 1 site plan w/el.evations &
BUILDING PII2MIT APPLICATIODT 1 set of ener9y calculations.
Zb Be used For .pes• valuation 33 p D o ? Date 7- -;:?s - ? 7
site Pridress: lGS%O Z 2Wx,,,,: ? & &
Lot 1C? Block ? Sec./Sub.
Parcel #: J1? /z, ?611 /D/J /3/
Ovmer:
Pddress:
City/Zip Code:
Phore # :
Contractor:
Pddress • 7/ S
City/zip Code:
Phone # : ? ? ? • ?'G y3
Arch. /FSng. :
Address:
City/Zip Code:
Phone #:.
OFFICE USE ONI,Y
Ex'ect OccuPancY IP-3
Alter Zoni.ng ?
Repair Fire Zone _s
Enlarge _ Type of Const. y
Move # Stories
Desmlish Front ft.
Grade Depth Nh ft.
APPRDVALS Fgs
Assessnents Permit
water/Sewer Surcharge ? ga?-
Police Plan Check
Fire SAC 5•2?
En4 -
Water Conn.
Planner Water.Meter („U ?
Council Road Unit 7S?
Bldg. Off. /
APC _ .?
'PDTAL
(ger#if irtttr uf CtDrrupttnry
Citp of (Eagan
Ee}rttrhneni uf lguilDing lnnprri'rmt
TI1t7 Clllf`![Rtl 1ISNC[t pM/II/Aql j0 the 1[qll7/[plttlJS Of Sertion 306 of the Uniform Building
Code rnti fying tbat at the time of itnaue thit ttr"tart wat in tom plranrr unth the variont
ordinaruu of the CiJy ngulating brilding rnnJtruttion or urr. For the (ollowrng:
u.cmvK.um DUPLEX Nal.nmaf No SkkR
0.-warTrwR3 ryrcoo?uae v Fjnn.,. 3 zomaonm« R2
Cameron Devel. Addm, 715 Raymond Ave,St.Paul,
1642 Donald Ct.. LoWisY L9,B1,Cameron Ct.
By:
p,,,: 9m.30-80
- - IiTNOIw u.}?.
O'Erdifirtt#e af (Orrupttnry
' Citp af (Eagan
igepurtmrnf of Builhing Ins;rrrlimi
Tbu Cari/irare irrued purzuqru to 1he requinernrnu of Stttion 306 of the Uni" Building
Code mtif ying lhat at the timt af irruunn tbir tt+urture wai itt com pliantt with t/x variouJ
ordirwnrer of the Citr rcgulqting 6uildirog ronflruttros ar urr. For tht fo!loudng:
U. ckdn?? Thil}l Px_ em,. wmit r,o. 5450
oA-?TraR3Trvcw,?n? V Fin2on. 3 z?rowtna R2
o.?.orsman, Cameron D v l Aaa. 715 Raymond Ave Bt PaL
e„em,,,yp?. 1640 Donald Ct. L,w,,, L10,B1,Cameron Ct.
n:
.,_._. 9-30-80
.e.. „ , .?.. ...?.
This tequest void 18 months from cc_'-lLt? ?
DaYe of this Request ?/_ i a-?5 . §. 2 3 0 0 3
I, as ?Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. J(a yn - IG 5?P- I917n6 /d C7'. c,ry 2?'??
Section Township Range CountyAi.d?'nt ea.
Which is occupied 6y e O rn ,p r na_7 P d a I p?? n+w ,,? t
(Na of Occupanq
Is a roughin inspection required on this job? No ? YesA Ready Now ? Will Call
f?
I / 3000 maaweil (Zd.
Powei Supplier AIS PIn r )-Pq sOcK Address Nau + o„/hn , v SD SS
ElectricalContractor eregj LC/Qetr?'t- Co• Contractor'sLicenseNo.ffl39 y'
(COmpany Name)
Mailing Address'R4,? j?J? i hp Re ? r? U? • S f' 6G K.? SS/G 9
,.? (Electrlc Contractof or Owner Maklnq 7hls Installatlon)
Authorized
(EI)ctrlcal contrector or Ownl
/
SWtd=?Y ll5p 1 ? 0 (DARD COPY
No. - "S-
This irtspection request will not 6e accepted by the
State 8oard unless proper inspection fee is endosed.
Minnesota State Board of Elec[ricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
,,,74`EQUEST FOR ELECTRICAL INSPECTION
CHJE(;K BELOW WORK COVERED BY THIS REOUEST
? /??n.1
7ype of 8uilding New Add. Rep. Check Appliances W'ved For Check Equipment W'ved For
Home El ? Range ,Q Temporazy W'ving ?
Duplex ? ? Watec Heater ? Lighting Fizlures
Apt. Bldg. ? ? ? Dryei .? ElecVic Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo UNoader ?
Industrial Bldg. Cl ? ? A'u Conditionec Bulk Milk Tank ?
Fazm ? ? ? Lisl ? List
Other ? ? ? p
Hehers? o? L? ?__. HeheiS?
INSPECTION
to
Remazks
q I?
(
I, the Electrical Inspector, hereby f? th tion has been madel/_ ?-7
(Rough-in) t• ? ? Date - J ^ 2
(Final) / L ? nDate 3? T-3 - bd
This request void 18 months from ?' °'?' '-
053
MECHAIVICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete foc Single Family Dwellings
Townhomes and Condos when pemtits aze required for each unit
$3o-st
Date 1? / /T :3
Site Address 1?? Unit #
Property Owner T
l
h
#
e
ep
one
( )
Contractor ti?m
Street Address Roj lo ? ¢r Ci L?m (3 ax-i-
/?)
ty U
State / ! J / / Zip Telephoue #
The Applicant is _ Owner X_ Conhactor _ Other
Add-on, modification or alteration to esisting dwelling unit $ 30.00
? furnace replacement
air exchanger
air conditioner
other
State Surcharge $ 50
n ?s -' '= fl IV ;? !A
Total I If?? F?C
IJ L l 8 2003 I?
? ?iJ?"
I hereby apply for a Residenrial Mechanical Pernut and acknowledge that the informa? on is comp e e an accurate; that the work will
be in conformance with the ordivances and codes of the City of Eagan and with the Mechanical Codes; that I understan this is not a
pemut, but only an applicafion for a pemrit, and work is not to start witho emut; tbat the w rk will be in acco an e with the
approved plan in the case of work wlvch requires a-r.eview and approval pla ? n _
Applicant's Printed Name Applicant's Sigiature
?g U-,g-f
MECHAIVICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55132
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Fami(y Dwellings
Townhomes and Condos when permits ue required for each unit
???-5?
Date e? / I? l (f? -
Site Address ? p4V Unit #
Property Owner?a/ ?\??` ?;o j(y?,?
LU ? J !m xtu, Telephone # ( )
Contractar ? , (f ? ? L
Street Address ? . ? kD City 1?,)3eM6(jj&
State fy) n Zip Telephone# (?,J I)`7'?-?" d ?ctl?
The Applicant is _ Ownet ? Contractor _ Other
Add-on, modifcation or alteration to existing dwelling uoit
? fumace replacement $ 30.00
air exchanger
air conditioner
other
State Surcharge $ .50
Total ; ?
? ' ?' ? .'? ?
I? ?? . ?-
nl F, t g u
?? ?i $? ?
_0?3 i I1 ??
?
u
I hereby apply foi a Residential Mechanical Permit and acknowledge that the inFormarion i couiplete and accuiate; that he work will
be in confocmance with the ordinances and codes of the City of Eagan and with the Mec ' 1 Cosles;Xhat-I-u Ud=stW this is not a
permit, but only an application for a permit, and work is not to start wi ut a p 't tl?a ffie ?vork will be in acc dan e with the
approved plan in the case of work wluch requires seview and approval f plans. ?YY?ei?Gz J???75
ApplicanYs Printed Name A 'canYs Signahxre
?j 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
E830 PILOT KNOB RD • 55122 .-] ?
651-681-4675
New Conshuction ReaulremeMs Remodel/Reoah Renuirements
D 3 regisfered sMe surveya ahowing aq. FI. of bt, sq. R. ol house
and gll roofed areas (20% moximum lol eoveraae allowed)
? 2 copies of plans (show beam 6 window shes; poured Ind. deslgn; etc.)
D 7 sef of energy ealculaHona
D 3 copiea of hee preservaHon plan M bt plaMed affer 7/11/93
DATE:
DESCRIPTION OF WORK:
2 copfes M plan
1 set W energy calculcHona lor healed adtlHions
t sRe survey for exferlor addRbns i decks
CONSTRUCTION COST: ?;tq640'00
STREET ADDRESS: / rnYv '7d
LOT: BLOCK: ? SUBD./P.I.D.
Name: Phone #:
PROPERTY Last FIM
OWNER
Sfreet Address:
City State: Zip:
Compcny: Phone #: 7!?V-
(
CONTRACTOR ? area code)
Sheet Address: ??License #-,-4A2XW6/ Exp. ?
City State: /?JN zip; ss 3?0 ?
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
: Shee't Address: Regishation #:
? City State: Zip:
Sewer 3 water tlcensed plumber (reaufred for new conshucNon onlv
PenaNy applies when cddress change and lot change Is requesFed once permM ia fssued. ?I hereby acknowledge thaf I have read this application, siate that the IMOrmaFion is
StWe of Minnesota StMutes and CfFy of Eoqan Ordinances. k__,
Slgnature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
and agree to cortgll applicabl
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea.
? 03 1 of _ plex ? 08 6-ptex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 5torm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of 5tories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
PermitFee Valuatior
Surcharge
i
4 ?2
Plan Review .
License
MC/ES SAC , ar,i• , ,171 r.i i? +? , ? ,....
r.. ,{ r?r i?c; i..?.a?y
City SAC
WaterConn
.
Water Meter
1.i J.
.(iUI+
Acct. Deposit
SNVPermit 9?ir?:. :i.f?',C
na
SNV Surcharge fIT. ,{ q
4.
4A..
Treatment PI rt
.
Park Ded. •?: ?_- ;,.
c..;....,,., .',1.11.!.I
:t.C;!.:i i:;i;?t'
Trails Ded.
Other
Copies I..,,?a,;:?:i 4.;:-r?? .,i;:r, ?<;?=?n?.,:•,t: t+_?. r:it:i I
Total:
:
- ?.t
IC'?
?
?
SAC Unlts
% SAC
;
?- ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: BuzLpxNs
Permit Number: 0 2 8 3 4 9
Date Issued: 0 7/ 2 3/ 9 6
51TE ADDRESS:
P.I.N.: 10-16300-100-01
DESCRIPTION:
1640 DONALD CT
LOT: 10 BLOCK: 1
CAMERON COURT
'-. (SIDING/WINDOWS)
?
B-uildi'ifig , Permit Type MULTI. (MISC.)
Building Work Type REPAIR
Census,'Cad'.H434 ALT. RESIDENTIAL
. v .,
.7t'?i ir vi
REMARKS:
FEE SUMMARY:
VALUATION $10,000
Bese Fee $162.25
Surcharge $5.00
Total Fee $167.25
CONTRACTOR: - Applicant - sT. l.IC.OWNER:
KELLER HOME IMPROVEMENT 18682242 2001326 DAKqTA COUNTY HRA
9217 17TH AVE S 210 2496 145TH ST W
BLOOMINGTON MN 55425 ROSEMOUNT MN 55068
(612) 888-2242 (612)423-8106
I heredy apknowledge that S have read Lhis application and state that the I
information is cbrreoC artd agree 'Co camply With a1l app3.ica6lenState o?'f Mn;.
Statutes and City o'f Eagan Ordinances.
n?,n
?
APPLICANT/PERMITEE SIGNATURE D B: SI ATUR
CITY OF EAGAN I G"?• ?
3830 PILOT KNOB RD - 55122
1996 BUILOING PERMIT APPLICATION (RESIDENTIAL)
IM49 681-4675
n
? 3 registered sile surveys ? 2 coples of plan
? 2 copies af plana (indude beam & window saes; poured fid. design; ete.) ? 2 stte surveys (exterior addkions 8 decks)
? t energy calWlationa ? 1 energy oalcula6ons for heatad additiona
? 3 capias M free preaerveHon pfan H fot plalted aMer 7/1/83
raquired: Yes No DATE: CONSTRUCTION COST: /
DESCRIPTION OF WORK: LS"-Le"L , -? ?
STREET ADDRESS: 1d6 ZC ' c6 '?e0" 7?
LOT -4-_ BLOCK I SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT!
ENGINEER
Name: Phone #:
U.61 fW6T
Street Address•
City:
State: Zip,
Company: Phone #:
?!Z /d
Street Address: -? License 62?
City: 74?-Z' State: v? Zip.SJ
Company:
Name:
Phone #-
Registration #,
Street Address*
Ciry:
Sewer & water licensed plumber:
change are requested onoe pertnit is issued.
State:
Zip:
Penalty applies when address change and lot
1 hereby acknowledge that i have read lhis application and state that the infortnation is correct and agree to compiy with all
applicabte State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant:
?-
OFFICE USE ONLY
Certficates of Survey Received _ Yes No
Trce Preservation Pian Received Yes No
BUILDING PERMIT TYPE
0 01 Foundation o 06 Dupiex
0 02 SF Dwelling o 07 4-plex
n 03 5F Addition ? 08 8-plex
? 04 SF Porch o 09 12-plex
? 05 SF Misc. 0 10 = plex
WORK TYPE
a 31 New o 33 Alterations
0 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actuai)
(Aliowable)
UBC Occupancy
2oning
# of Stories
tength
Depth
APPROVALS
Pianning
OFFICE USE ONLY
? 11 Apt./Lodging ?
0 12 Multi Repair/Rem. o
a 13 Garage/Accessory ?
? 14 Fireplace ?
0 15 Deck
0 36 Move
0 37 Demolition =•?°°"''¢
16 Basement Finish
17 5wim Pool
20 Public Facility
21 Miscellaneous
_ Basement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq, ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Foatprint sq. ft. SAC Code
Census Bidg
Census Unit
Building Engineering Variance
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Pertnit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
4ther
Copies
Total:
Valuation: $
% 5AC
SAC Units
?
L; CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDZNG
028345
07/23/96
SITE ADDRESS:
1640 DONALD C7
LQT: 10 BLOCK: 1
CHMERON COURT
P.I.M.: 10-16300-100-01
DESCRIPTION:
s
<n" ,
F
?,£ &
(REPLACEMENT)
Permit Type DECK
?ork Type REPAIR
??,mw
434 AL7. RESIDENTIRL
G?
Bn,
REMARKS:
0?c
K3 e+'?zv r-a ".t- s?raw+ rvt.
"EPll% i }.
?i.
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$45.0@
.50
$45.50
vvnlnllvi vn. "rrm - "`^"`• ". • "^-VYYIVGR:
MINNESOTA CONST 16665573 2000737 DAKOTA COUNTY HRA
6417 PENN AVE S 2496 145TM ST W
RICNFIELD MN 55423 ROSEMpUNT MN 55068
(612) 866-5573 (612)423-8106
? I'herehp acF
irrfurmatiesri
?tatu,rtes a.rra
?. ._ ..
^? .
IB CITY OF EAGAN 5D
41W 3830 PILOT KNOB RD - 55122
1996 BUtLDiNG PERMIT APPLICATION (RESIDENTIAL)
4ff
681-4675
? 3 registered site surveys ? 2 coples ot plan
? 2 oopiea of plans (fndude 6eam 3 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior addflions 3 decks)
? 1 energy celculetbns ? 1 energy qiculations for heated additions
? 3 copks W tree pieeenetion pian M bl plefled eRer 711193
mquirod: _ Yea _ No
DATE: 7 ' ZZ -'?'ifn CONSTRUCTION COST: 35jb'?l
DESCRIPTION OF WORK: °L-N4LV2?7C-1-)'T-
STREET ADDRESS: t?
?o
LOT _10 BLOCK SUBD./P.I.D. #:
PROPERTY Name: -DjCX-0tA- UDC)?-?i tA? Phone #: `-t:2'?IQLe
OYVNER _.. ",°
Street Address• z`'?qLP ""••
City: State: V"Aq Zip- 2SZKO"I
CONTRACTOR Company: Mkv\v\es:c? C-Or`sr' Phone #: ??-s??eI3
Street Address: l-9t-?l?l License #-Z?319
City: V-ic: State: Nkt? - Zip' ss`la3
ARCHITECT! Company: Phone #*
ENGINEER
Name: Registration #-
Street Address,
Ciry: State: Zip:
Sewer & water licensed plumber:
change are requested once pertnit is issued.
Penalty applies when address change and lot
I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with ail
appBcable State oi MinnesoW Statutes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE l1SE ONLY
Certificates of Survey Received _ Yes No
Tree PreservaNon Plan Received - Yes _, No
OFFICE USE ONLY
BUILDING PERMIT TYPE
?.
ae -
? 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
n 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 = plex om"7'5 Deck
WORK TYPE
a 31 New o 33 Alterations ? 36 Move
0 32 Addition ovptl:?-34 Repair ? 37 DemolitioFiY =w; -, »:i
GENERAL INFORMA710N
Const (Actuai) Basement sq. ft. MC/WS System
(Allowabie) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
s C
d
?
C
Length sq. ft. ensu
o
e.
Depth Footprint sq. ft. SAC Code e/
Census Bidg i
Census Unit o
APPROVALS
Planrting Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
5NV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ ?-
% SAC
SAC Units
', PERMIT
?CITYOFEAGAN BUILDING
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: 028946
(612) 681-4675 Date Issued: 0 7/ 2 3/ 9 6
SITE ADDRESS:
P.I.N.: 10-16300-090-01
1642 DONALp CT
LO7: 9 BLOCK: 1
CAMERDN COURT
DESCRIPTION:
(REPLACEMENT)
Permit Type DECK
ktqrk Type REPAIR
de`"?°,. 434 ALT. RESIDENTIAL
?
?
36.? iyp
REMARKS:
??? ¢t$?? y8 iw bS '°?F+y gy4"miki
ke62mN? ?R 6 V?
?
FEE SUMMARY:
Base Fee $45.00
5urcharge $.50
7ota1 Fee $45.50
CONTRACTOR: - flppticant - sT. Lzc.OWNER:
MSNNESOTA CONST 18665513 2000937 DAKOTA COUNTY HRA
6417 PENN kVE 5 2496 145TH ST W
RZCHFIELD MN 55423 ROSEMOUN7 MN 55088
(612) 866-5573 (612)423-8106
?
4 Aa CITY OF EAGAN 145 ?Q
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New -ons nietion Rectufrementa Ramodet/Reoalr Reauiremenh ? 3 reBbtered sRe surveys ? 2 eopies oi plan
? 2 oopin of plairo (fndude 6eam 6 window s@es; poured fid. deaign; ete.) 4 2 site surveys (e:teAor addMians d decks)
? 1 mergy eakuletions ? t energy cakulatlons Wr heated adddions
? 9 copies of tne preserveHon plan fl lot ptaqed aflsr 7/1193
iequtred: _ Yes _ No .
DATE: -7 ' Z Z"qf n . CONSTRUCTION COST: 35??
DESCRIPTION OF WORK: ?Q Rs??C,--yy-
STREET ADDRESS: ? -
LOT 0_ BLOCK I SUBO.IP.1.D. #:
PROPERTY N3me: ??? C001-21`?1 K? Phone #: `AX?"?IQLe
OWNER
Street Address• 24qu l S?'-? ?-• ?' -
CONTRACTOR
ARCHITECT!
ENGINEER
City: State: ? Zip' ss-0
Company: (-'NS2• Phone #:
Street Address: (5t-?\'l License #•
Ciry: ? i State: Nk?A_ Zip•
Company: Phone #-
Name: Registration #•
Street Address*
City:
State: Zip:
Sewer 8 waten ccensed plumber. Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and scate that the in(ormation is correct and agree to wmpty witfi all
applicable State oi Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFF{CE USE ONIY
Certiflcates of Survey Received _ Yes No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
0 02 SF Dwelling o 07 4-piex
0 03 5F Addition o 08 8-plex
n 04 SF Porch o 09 12-plex
0 05 SF Misc. ? 10 = plex
WORK TYPE
0 31 New a 33 Alterations
0 32 Addition,.wvd:::-34 Repair
GENERAL INFORMATION
"C?`$ • .X: "???t ??im
^?';,r'?;? ..
.`..? '? :?. r...
0 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi Repair/Rem. 0 17 Swim Pool
? 13 Garege/Accessory ? 20 Public Facility
0 14 Fireplace ? 21 Miscellaneous
,Ow'n Deck
? 36 Move
? 37 Demolition
V. : 14
MCIWS System
City Water .
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Const (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft:
Zoning sq. ft.
# of Stories sq. ft.
tength sq. ft.
Depth Footprint sq. ft.
APPROVALS
Planning Building
?
/ .- •
-.Engineering . Variance
?
ei
D
Pe?mit Fee Valuation: $ ?-
Surcharge . . , . . .. ._ _ - --
Plan Review _? .
License ,
MCNVS SAC . . _ . _ . ._ . _.. ,
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded. „ .
Trails Ded.
Other
Copies -
Total:
°k SAC
SAC Units
?
ya
?1. CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
6UILDING
028350
07J23/96
SITE ADDRESS:
1642 DONALO CT
LOT: 9 BLOCK: 1
CAMERON COURT
P.I.N.: 10-16300-090-01 .
DESCRIPTION:
(SIDING/WINDOWS)
15`uild4rtq Permit Type MULTI. (MTSC.)
jauildin??,ork Type REPAIFt
??e?su?r.Cad?e??kb, 434 ALT. RESIDENTIAL
15 +n °a
.?;u. gn ? pa ff` y2 a,?"vZ`: ? aTy''4r's
,?m re3 ?' i? gi ?6m 131??? j
+ ?a?? ?w ? ?.", ti ??,?
.?.,an?x_ ' ?,
?#a
REMARKS:
FEE SUMMARY:
Bese Fee
Surcharge
Total Fee
VALUATSQN
$162.25
,$5.00
$167.25
$10,000
CONTRACTOR: - Applicant - sT. Lzc. N?[?
KELLER HOME IMPROVEMEN7 188$2242 2001326 ODAltOiA COUNTY HRA
9217 17TW AVE.S 210 2496 145TH ST W
BLOOMINGTON MN 55425 RQSEMtlUNT MN 55068
(612) 888-2242 (612)423-8106
? -,
S he reb?y ac#r ?
?ot.r0i
a,r?farmat?ars 3s crr:
StatuC'es =and:. C
APPLICANT/PERMI7EE SIGNATURE
_ ntu? L:rL I m -
ISSU D B SI ATURE
? CITY OF EAGAN 2J,
3830 PILOT KNOB RD - 55122
? D 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Consfrudion Reauhements RemodeVReeaii ReaulremeMS . ? 3 rogbtered site aurveye ? 2 copiea of plan
? 2 wpies of plans (Indude beam 3 window sizaa; poured fid. design; etc.) ? 2 sHe auneys (exterior atlditions 6 decks)
? 1 mrergy oalaAatiom ? 1 energy ealculatlona for heated add'Aiona
? 3 wpies of tree preservation plen H bf platted efter 7/1/93
mquired: _ Yea _ No
DATE: CONSTRUCTION COST: ?
DESCRIPTION OF WORK:
STREET ADDRESS: ?LOT 0BLOCK I SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR:
Name: 7412-0% Phone #:
w. ...,
Street Address-
City:
State: Zip,
Company: ?e? ?° Phone #:
Street Address: 9z1? i? ??r? -Td License #• A"
_ . . ...?__ --
City: /??? - - --- State: /j Zip.S-J
ARCHITECT! Company:
ENGINEER
Phone
Name: Registration #*
Street Address,
City:
State: Zip•
Sewer 8 water licensed plumber. Penalty applies when address change and lot
change are requested once permk is issued.
1 hereby acknowiedge Ihat I have read this application and state that the informaNon is correct and agree to comply with a!t
appltcable State of Minnesota Statutes end City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certiticates of Survey Received _ Yes No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
a 02 SF Dweiling o 07 4-plex
? 03 SF Addition o 08 8-plex
? 04 SF Porch o 09 12-plex
o 05 SF Misc. 0 10 _ plex
WORK TYPE
0 31 New o 33 Alterations
0 32 Addition o 34 Repair
.
- ?-?
"
.? ?.
'
?.
?
0 11 Apt./Lodging o 16 Basement Finish
0 12 Multi RepaidRem. ? 17 Swim Pool
? 13 Garage/Accessory o 20 Public Facility
? 14 Fireplace a 21 Miscellaneous
a 15 Deck
0 36 Move
a 37 Demolition
GENERAL INFORMATION
Const (Actuan
(Allowable)
UBC Occupancy - -
Zoning
# of Stories
Length
Depth
APPROVALS
MCMIS Systerri
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning " Building -- -- Engineering
Variance
Permit Fee Valuation: $
Surcharge----
Plan Review
License. - . '
MCNVS 5AC _ . _ . .. _ ,_._ .
City SAC _
Water Conn.
Water Meter
Acct. Deposit
S/W PertnR
S/W Surcharge
Treatment PL -
Road Unit
Park Oed. •
Trails Ded.
Other
Copies
Total:
96 SAC
SAC Units
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