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1648 Donald Ct1 crrr oF EAc,aN 3795 Pilot Knob Raod Fegen, MN 33122 PHOtiEs 4548100 BUILDING PERMIT APPLICATION N2 5453 Receipt # ?'°?/'?'/ $88,000. Te ba uead fer n„pi Est. Value Dote A-_ s , 19_? Stte Address 1 648 DOttald Ct. Erxt pX Occupancy R3 Lot 6 BI«k 1 Sec/Sub. C8[ttExOn Ct. Alter ? Zoning RZ Parcel # 10 16300 060 Ol Repair ? Fire Zone 3 E l of Con t v T n arge ? s . ype a Name Cetneron Dev. µoye ? #$mries Z ? Address 715 Raymorid Ave. pemolish ? Front 24 ft. St. Pau1 646-5643 Grode ? oePrn 40 ft. Ci phone ? Name 0 pprovu a ees ?o6 Address Assessment _ Permit 110.50 u? Woter & Sew. Surchcrge 19.00 Ci Phone Police Plan check 55.25 ?w Name Fire SAC 525.00 Address Eng. Wnter Conn. 270.00 aW Ci Phone Planner WaterMeter 60.00 C,u,cil d Unit 75.00 I hereby ocknowledge that I have reud this opplication and stote that gldg. Off. the infortnation is mrrect and ogree to comply with all applicable APC Totol 1114.75 Stote of MinrK:soto Stotutes ond City of Eagan Ordirqnces. Signature af Permittee ameron ev, A Buiiding Permit is issued ro: on the express condifion that oll xrork shall be done in occordoue -oll apDli ?b State of Minnesotu Statutes ond City of Eagon Ordinonces. Buildin9 Officiol l F A ciTr oF en"N 9795 Vilof Knob Road Eagan, MN 55122 N2 5454 PHONE: 454-6100 BUILDING PERMIT APPLICATION Receivt 138 000 . , To be wed fer Duplex Est, Value ct. 5 Sire Address 1650 Donald Ct. Erect Ox paupancy R3 Lot 5 Block 1 Sec/$ub. Cem- eran C, ' Alter ? Zoning RZ Parcel # 10 1630n 05l1 Ql Repair ? Fire Zone 3 E l t T f C V arge ? n ype o . ons W Nome CBnleron Dev. Move ? # Stories ? Addreu 715 Raymond Ave, pemolish ? Fronf 24- fr. Ci Phone 61,6-R6L+IA Grade ? Depth e? ft. ? N m Approvah _ Feea.. p oe _ F ?u Addreu F r:... Name _ Addreu I here6y acknowledge that I have reod this opplicotion and state thot the informotion is correct ond ogree ta comply with aIl applicoble StaM of Minrrewta Statutes and City of Eagon Ordinances. Signature of Permittee - A Buiiding Permit is Issued to: all work shall be done in acco Assessment _ Woter & Sew. Police - Fire Eng. Planner _ Council _ Bldg. Off. _ APC Permft 11u.7u Surcharge 19.00 Plan check 55.25 snc 525.00 Water Conn. 270.00 Woter MeMr 60.00 Rd Unit 75.00 Torai 1114.75 on the express mndition that State of Minnesota Statutes and City of Eegan Ordinances. 8uilding Official CITY OF EAGAN?? Incltxle 2 sets of plans, ?i) 1 site plan w/elevations & &TILDING PER-IIT APPLICATION 1 set of energy calculations. 'Ib Be Used F'or Ar Valuatio'e 3$, Date site Pddress Lot Bloclc l Sec./Sub. Parcei a: c5r Qaner: Address: City/Zip Code: OFFICE USE ONLY Erect Occupancy JP3 Alter Zoning Repair Fire Zone Ehlarge 7ype of Const. j/ Move # Stories Dertiolish Fmnt ? ft. Grade Depth 5?0 ft. Phone #: Contractor: ?a=.o?,,, Ptldress: City/Zip Code: Phone #: Gyd-?G4/3 Arch./Ehg.. Address: City/Zip Code: APPROVAIS FEES Assessments 144. Pexmit T4ater/Sewer Surcharqe J 9 °y- Police Plan Check Fire SAC S25 `=° Eng. Water Conn. Planner Water Meter p ? Council Road Unit Bldg. Off. APC Phone #: TCTAL I l J y''= •' ` CITY OF EAGAN 5(,? Include.2 sets of plans, 1 site plan w/elevations & BUILDIM PEINIT APPLICATION 1 set of energy calculations. oI 'Ib Be Used Fbr CS Valuation OZ76 Date Site Pddress /lo cSFJ 2?/ 4!:?I. Lot .S Bloc7c / Sec./Sub. ?inss? Ui'• Erect ? Parcel #: ?/} Jl? ?D? /?Sn /3 I Alter ' REpair O+mer: EnlarJe Address: City/Zip Code: Phone #: Contractor: luidress: City/Zip Code: Phone #: 65! gg? --?? `,/,3 Arch./Fng.: P,cldress : City/Zip Code: Phone #: Nbve Demlish Grade OFFICE USE OfII,Y pccupancy zoning Fire Zone _T Zype o£ Const. !O # Stories Front ?r{ ft. Depth ?Y6 ft- APPftOVALS FEES Assessnents 36 Permit //D's= [+7ater/Seaer Surcharge Police Plan Check ? Fire SAC ,3-as F11g. Water Conn. a 76 ? plannar Water Meter Council Road Unit 7 Bldg. Off. APC TarAL vr / l /'/ =V ? GEO. SEDGWICK HTG. & AIR COND. CO. ///??? HOUSE H/EATING TEST RECORD ADDRESS ?QCITY_,_Q? OCCUPANT- HEAT LOSS_ SOLD BY Electrical Work By Gas Line By I ? x-r%- Ai TYPE OF HEAT G"_ FA_ HW_STEAM_SPACE HTR._UNIT HTR._OTHER_ /GAS DESIGN CONVERSION MAKE ?h MAKE OF BURNER Model Model Serial ? DIM9 Max. BTU Rating INPUT ` -4Xn MAKE OF FURNACE Model CONTROLS THERMOSTAT Heat Plug Valve Limit Limit Settin9 Fan Setting ? Pilot Type Pilot Make jt t Model o -H? t Timino . Cut Off ssuPercent COZ ut CFHPercent OZ ck Temp. ?_ Percent CO ??. m 235 Vent Size !I KIND OF LINER SIZE NONE Draft Hood /??e s' g Rneulator Filters Size „rrl6ec Chimney Lacation Inside.? _ Outside Chimney Construction SmokeBomb Wiring 0C Draft -TestTag Door Pressure Lighting Inst. Date Tested ' Company Testing . Name of Tes* ? c C' GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HE TING TEST RECORD ADDRESSA/,CITY? OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BV INSTALLED BY Electrical Work Ry Gas Line 6y TYPE OF HEAT GA_ FA` Hu!_ cTFnnn_ ganrE HTR._UNIT HTR._OTHER_ GAS DESIGN CONVERSION MAKE ' Model Serial INPUT THERMOS Valve , Limit ? Limit Setting Fan Setting _ Pilot Type _ Pilot Make - Pilot Model _ CONTROLS _ Heat Plug Pilot Timiag OFM 4IR-C ? L.W. Cut Off - Pressure Percent COZ ? Input CF? Percent OZ Stack Temp. ? y Percent CO zzz? MAKE OF BURNER _ Model Max. BTU Rating - MAKE OF FURNACE Model Vent Size z KIND OF LINER SIZE NONE Draft Hood ?' RPOUlator Filters Size N mber? Chimney Location Inside Outside Chimney Construction --?' JA /3 Smoke Bomb Wiring -9) Draft ?-Test Tag Door Pressure Lighting Inst. Date Tested Company Testing Name of Tester ? Form 235 (I.er#ifictt#r uf (Orrupttnry , Citp of (eagan Depttrtmmt nf llui1D'mg Jnsperfum Tbir CMi fuatt iftutd partuaru ta rbt stquirementt of Satrorr 306 af tfx Uniform Bai/ding Cade tndfring thas at tbe timc o/ iuaaxn tbit ururtun war in tom pliance wrtb thr variorcr ordinaruat of the City+rgulating buiJding rontt+iutiors or uta. For tlx fo!lourng: U„cbdk? } Duplex/ SF Dwlg 5453 Oom,snq7YpR3_ry?cmmucuae?v Fw7 III zw?qpumn R2 Mdft A?164g Donald Ct. By: wuaWOrtrm . w?: .Tiina 73r l?$Q . . .. • ' ?pf ??/ ? R?OM1CYW? MAfi .. .- .. . .. ?M (gtrfifirttft nf (Orrupttnry . , . , Citp of Cagan EPpmbIiPllt Of N11ft11U3 -%,6}1plftIIii Tbii Crreifuate irrued purturtru ta t& frquJrenunu of Srrtion 306 of thc Uni fonn Buildiag Cads tatifyin8 tlwt at tfx ti+ne of irwance tbiJ rtrurtun wru in romPlianu witb elx varroru ordinaura of t& City regnlating buiJding wnntruution w un. For thr /ollowrng: } u.c Duplex/SF Dwlg enq. ?;'e'''?'`??' ' ' ee,mn wo 5454 ?mnm . o°a'Pa, T'7° R'3 T7PC?tim v Fin] III ymypUWq R2 o„m „f DO&,, Cameron Development,m. 715 Raymond Ave.St.Paul BWIdWS Adh? 1 50 Donald Ct. L.WftL5 B1 Cameron Ct. le S. Peterson .. . ?: e.uamio?ar . o,,.: Tune 23.i 1980 . .?; „ . ?...na.?. ...?. ` . .. ?M ' ?=i ?-_i ? \? U \? ?_? LITx??4 V.S.a. This request void 18 months from l_L-0^? co Date of this Request S 23002 L I, as IN Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring instatled at: Street Address or Route No. // s?/,F '9" A(o .5"6 12?2n o/(/ C t• City Section Township Range County Z)2?e y__. u. Which is occupied by cnrr, o r 0 r- ,L 1 P//? ? n n i? a n t (Na e of Occupant) Is a roughin inspection required on this job? No ? Yes.', Ready Now ? Will Call.83 ,3000 /hkx L• e/I /jd • Power SupplierPA'd Ro+C,k Address iz?aar n. SSoSS ElectricalContractor ?????GYesl ?IPC:'fYi`(. Contractor'sLicenseNo{-U&9 ICOmpanY Name} Mailing Address `) Q5D (t) h tP ?2(} r?} //? .? Po ?,?2LJ ..? s! a 9 (Electrlwl Contractor or Owne? Mak sing This Insta? it on) Auihorized Signature Phone No. ?(? ectr cal Cont ector or owkn-er-FA akin9 Thls Installatlon) ?IM n.,??? ???? This iinpectian request will not be accepted 6y the ?? State Baard unless propw inspection fee is endosed. Minnesota State Board of EleMricity_ 1954 University Ave., St. Paul, Minn. 55 e 645-7703' ? ? ELOW WORK CO ERED BY' TH13 REOUEEL 3T ION s9-in p ? o[ suuaing new waA. Rep, Check Appliences W ired For Check Equipment W'ved For ome ? ? ? Range ? Temporafy W'ving ? Duplex ? ? Water Heater ? Lighting Fixtures ? Apt. Bidg. ? ? ? Dryer ? Electric Heating ? Cammercial Bldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. ? ? ? A'v Conditioner ?fl Bulk Milk Tank ? Farm 11 ? D List ) List Other 0 ? ? p y Heher $1 Q Heie?s? COMPUTE INSPECTION FEE BELOW - Sevice Enhance Size: 1 # Fee Feede[s?.Subieeders: # Fce Citcuits: # Fee 0 to 100 Am s. 1 ,3 -? 0 to 30 Am eres 0 to 30 Am res .3U 40.00 101 to 200 Amps. 31 to 100 Am ies 31 ro 700 Am eres . O Above 200 Amp:. Above 100 Amps. Above 100 Amps. Transformeis Remote Control Cuc. Paztial or other fee S" ns S ecial Ins ection Minimum Fee E5.00 Remazks TOTAL F ?j, 0 ?_ I, the Electrical Inspector, hereby certi?? t th m?pecti n has been made. /Q 2'?' (Rough-in)_ ?? Date 12-11 ? (Final) Date?T This request void 18 months from - ??? CITY OF EAGAN Remarks Addition CAMER(Jlij C01-JR.1 Lot 6 Blk I Parcel? owr,er? .,( street 1648 Donald Co irt State- Eagan, Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1975 PAID UNDE P. 10 4130 124 01 STREET RESTOR. ? 1975 66.41 6.64 10 GRaDiruG S SAN SEW TRUNK yL 1974 26 . 92 1.12 24 ' 5 +t SEWER LATERAL -5 1974 142,49 11.$$ 12 '"' ** Sew Lateral /zl 1974 358.09 18.54 19 ** waTERMA#* Lat 8,/ 1974 12 * WATER LATERAL ?- 1974 jg WATER AREA 1973 PAID UND ORIGINAL P RCEL ** Storm Sew Lat a 1974 19 * STORM SEW TRK 1974 IZ STORM SEW UW Lat 1974 35.15 2.51 14 16.43 A009072 5 15 80 1149.79 A009072 .51.1.5180 C RB & GU ER ' SIDEWALK STREET LIGHT WATER CONN. 270-00 11 ? BUILDING PER. SAC r? PARK CITY OF EAGAN Remarks Addition CjLj4?$?j? C(?IJ,R'j' Lot 5 Blk I_ Owner ???? E 1 i) < F?` ? c.' `?• ?. ?j'j;:;iStreet 1650 Donald ('ourt Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1975 PAID UN R P. 10 413 )0 12 01 STREET RESTOR. ?7c 1975 66.41 6.64 10 GRADING ST 9 SAN SEW TRUNK ? S 1974 26.92 1.12 24 A009071 5/IS/80 * SEWERLATERALj? 1974 142.49 11.88 12 35.53 A009071 S 15 80 ** Sew Laterali- 1974 358.09 18.84 19 119.39 A009071 S 15 80 ** WATERM{k#N j,a't 1974 12 * WATER LATERAL - 1974 19 WATER AREA 1973 PAID UN R ORIGINAL ARCE ** Storm Sew Lat ??/ 1974 19 * STORM SEW TRK / 1974 12 STORMSEW LW TrilIIIC? 1974 35.15 2.51 14 16.43 A009071 5/15/80 ew, water, strm sew T ts 198 1231.91 82.13 15 1149.79 A009071 5/15/80 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 270-00 BUILDING PER, n SAC 16162 PARK ? CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ? 19 -2 f RECEIVQD ' FROM _ AMOUNT $ I -t" & DOLLARS 1 oo CASH ? CNECK Foe _-_- C?ly:-:_ PUND CODE _ AMOUNT - ').. -? . . / i /- • l' " ?- - -- 1 tf !, c ? - - ?- ?- ? f ? Thank You `? • ' 151 11 s v ?_ ?.. White-Payers CopY Yellow-Posting Copy Pink-File Copy CASH RECEIPT CITY OF EAGAN 3795 PILOT KN06 ROAD EAGAN, MINNESOTA 55122 DATE 19 RGCEIVED FROM AMOUNT ? I 8 DOLLARS lao [] CASH ? CHECK FOR • .. ? l , . . . I ,r . . . . ? . . White-Payers Copy Yellow-Posting Copy ? 161 ^ Pink-File Copy Thank You ?- ??l ' ?? 9Y ? . CITY OF EAGAN . 3798 PIbF Knob Rood Eayan, MN 55122 N2 5453 PHONE: 454-8100 BUILDING PERMIT Receipt # , 3:, , ,. . . Te be wed for Est. Volue Dote .. 19 , - SITe Address - - n , [ d Erect 0 Occupancy Lot Block Sec/Sub. t' Alter ? Zoniny Pcrcel 01 Repair ? Fire Zone E l T f C t n arge [] ype o ons . oWC Nome a!;ie ron lle v. Move ? # Stories ? Address 715 Raymond Demolish ? Front ft. Grade ? Depth ff. Ci Phone ce ?AMe Approvols _ Fees ZO °u u? ? Nome _ Address I hereby ackrawledge that I have reod ihis opplicetion and state that tFx information is correct ond agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinonces. Assessment Permit _ Water & Sew. Surcharge Police Plnn check Fire SAC Eng. Woter Conn. Planner Woter Meter . il Council Bldg Off . . APC Total Slgnuture of Pertnittee ? A Building Permit Is issued to: on the express condition thot all worlc shall be done in accordance with all appliwble State of Minnesota Statutes and City of Engon Ordinances. Building Officiol ? ? Pomk # Dah IMUd ?wwIMN Plumbing y Mechonicol 1 .? 7 INSPECTIONS DATE INSP. RoupF-ln Firal Footings _ Date insp. DaFe Inap. Foundution t Plumbirtg Frome/ins. Mechonical ? Finol Remarks: • ? : , : cIrir oF EAG,?N .9746 Pilot Knob Road Eogan, MN 55122 N° 5454 PHONE• 454-610Q BUILDING PERAAIT Receipt T 6 d f 9 o e aa or Est. Value Dcte 1 Site Address '-'-• Erect ? Occuponcy Lot Block Sec/Sub. Alter ? Zoning parcel Repair ? Fire Zone E l t T f C n nrge ? ons . ype o aWC Name ` r. i•• Move ? # Stories 3 Address • Demolish ? Front ft. ? r:«.. ., , . , n?.,..... ? , , _ . . , . z Grade rl DeDth ff. Neme r?pProvals 0 S Addreu Assessment - ? f. C? Phone Water & Sew. Name PoliCe F ire j Address Eng . Ci Phone Pianner I hereby acknowiedge that I have reod this opplication and state that Council gldg. Off. - the informotion is correct ond ogree to comply with all oppllcuble State of Minnesoto Statutes and City of Eagon Ordinances. AP? Signoture of Permittee A Building Permit is issued to: oll work shall be done in occordance with Building Offlcial Permit Surchorge Plan check SAC Water Conn. Water Meter Totol on the express condition thct e Stote of Minnesota Statutes and City of Eagan Ordinances. remk # i P?Iths Plumbing Jr P`7 J Mechanical INSPECTIONS DATE INSA• RoupMin Final Footings ?D -?6 • 74 DaFe Inrp. Dote Irap. Foundotion Plumbing Frame/ins. -16- 7 Mechonic.al Final Remarks: r . CITY OF EAGAN 3795 Pilot Knob Roaa C;-)MBUSTION AIR REQUIRED Eogan, AAlnnesota 55122 Phoee: 4544100 HEAT ING Dote: 11/5/7a PERMIT Site Address: 1650 DOns id Ct. Lot " Block ' Sub/Sec. Cameron Ct • _ Nome ?ciI1E=C:P ??c.?; ? Ra-.rnlIond : Ve. ? Address City P8ll l Phone: 18 u 4 3 Nome CeO. SedgE°WiC}: Ht ,:; . Address Yc'ila AvE. SO. r,r City ' Phone: ' This Permit is issued on the express condition ihat oll work shall be Minnewta Statutes and City of Eagnn Ordinances. No. Receipt No.: Single I Residential Multi Res., Comm./Ind. ' New/Alter./Repair * Cost of Installation Permit Fee Surcharge Tota I done in accordance with oll applicable State of Building Officiol S ` arr oF EAGAN ,. 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454.8100 IIEATIN'r' PERMIT Date: 11/5/79 1648 n;.nalc?. Ct. Site Address: Lot 6 Block 1 Sub/Sec. _ CamerQn Ct Name Cafneron Dev. c Address 715 Raymond Ave. ? St. Paul, 546-8643 City Phone: ^eo. Sedgewicln Htq. & 1?+C Npme ? ? 1011 Xenia .'1ve. S^ . ? Address ? e ?d?- City Phone: This Permit is issued on the express condition that all work shall be Minnesota Stotutes and City of Eagan Ordinances. COMBUSTION AIR REQUIERED No. 1616 Receipt No.: 16563 Single Residential Multi Res., Comm./Ind. r)L`t'1' I New/Alter./Repoir. ,JeW ?778'50 Cost of installation i?, • ?? 0 Permit Fee Surcharge Tota l done in accordonce with afl applicoble State of Building Official CITY OF EAGAN 3795 Piloe Keob Road Eagan, MinnesoM 55122 Phone: 454-5100 pT.ITy1RT1df= PERMIT Date: 11/15/7 Site Address: 1650 Donald Ct. Lor 5 Block 1 sub/sec. _Cameron Ct. Name Cameron DeV. _ e Address 715 RaYn?ond AVE'. 3 O City = t. pdul Phone: Nome R.C. Hoffman I'ibq. . g Address 804 Y? . SEXt.3flt e 0 City ,,:- v _i11?. Phone: ' This Perrnit is issued on the express condition thot all work shall be Minnesota Statutes ond City of Eagon Ordinonces. No. Receipt No.: $ingle I Residential Multi Res., Comm./Ind. NeW New/Alter./Repair. Cost of Installation Permit Fee c? .?, Surcharge Tota I done in accordnnce with oll appliwble State of Building Officiol CITY OF EAGAN 3795 Pilot Knob Road Eogan, Minnesofa 55122 P6one: 454-8100 PLTjMr3I'ti(' PERMIT Date: Lot 11r15/79 Site Address: 1643 Donald Ct. Block Sub/Sec. Caneron C t . Camernn I-)ev. Nome ? e Address 7 15 Rayr.tonci 3 O St. F'??ul, ??`N City Phone: R.C. ?'nffrnan P?; Name . ? nj . q P Address e N '? . _ . City Phone: This Permit is issued on the express condition that all work shall be Minnesota Stotutes and City of Eagan Ordinonces. No. Receipt No.: " Single Residential Multi Dupl New/Alter./Repoir Cost of Installotion ? Permit Fee . :. i Surcharge Total done in actordance with all applicable 5tote of Building Officiol CITY OF EA6AN SEWER SERVICE PERNIIT 3795 Pilot Knob Rour PERMIT NO.: _- Eagan, Mt! 55122 DATE: Zoning: No. of Units: Owner: ?---- alnAt Address: - Site Address: G f; ` ? _ . . • . . _ * , Plumber: 1 agree to compir wieh the Citr of Eagan Connedion Charge: of Insp.: AccounY Deposit: Permit Fee: Surchorge: Misc. Chorges: Total: WATER SERVICE PERMIT arr oF uaAN 3795 Pifot Knob Rood PERMIT NO.: Eagon, MN 55122 DATE: Zoning: - , No. of Units: ? Owner• -'rc:?? CVN!Gp iLe Address: Site Address: Plumber: Meter No.: :? Connection Charge: Size: Account Deposit: Render No.: . .?i?., . Permit Fee: 1 agree to eomply with the City of Eagan Surcharge: ' Ordtnanees. . . ? VN tar Misc. Charges: Total: By Dote Poid: Date of Insp.: Insp : . cnY oF EAGaN SEWER SERVICE PERMIT 3795 ?ilot Knob Road PERMIT NO.: Eagon, MN 55122 DATE: Zoning: _ No. of Units: Owner: _ Address: --- Site ^AdrE55: r?- - r'<??u '_ ? ? ^n?e?n' Plumber: ? 1 agree io complr with the Cifp of Eagan ConneCfion Charge: r,i Ordi^a^ces- Account Deposit: _ Permit Fee: Surchorge: BY Misc Char es: . g Dote of !nsp.: Total: Insp.:--_ Dote Paid: 4- cIn oF FAGAH WATER SERVICE PERNUT I 3795 Pilof Knob Road PERMIT NO.: MN 55122 E DATE: agan, Zoning: No. of Units: Ow Pr : R Address: Site Addresr . Piui nber: Meter No.: Connection Charge: Size: _ Acwunt Deposit: Reader No.: Permit Fee: I agree to comply wlth the Cily of Eagan Surcharge: - Ordinances. Misc. Charges: Total: gy Dote Poid: Date of Insp.: _ Insp.: 'A199'131JILDING PER9VIIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KN08 RD • 55122 ,? ?Q •S? ??j?Q( ( 651•681-4675 „ n(1 (1S.S-?9 C._P_ t SULRI2Y New Constructfon Reauiremenfs Remodel/Reoatr Reauiremenfs 9 3 registered stte surveys showing sq. k. ot lot, sq. tt. oF house 2 copies of plan and all rooled areas (20% maxfmum lot coveraae allowed) 1 set of energy calculaflons (or heated addHions i 2 copies of plans (show beam d. window sizes; poured Fnd. design; etc.) .-1 sRe suney for exterior addklons & decks > 1 set of energy calculatfons > 3 coptes of free preservatlon plan H loi platted aRer 7/1/93 DATE: CONSTRUCTION COST: ?vd DESCRIPTION OF WORK: _ Ju??? (?PG?- STREETADDRESS: (6 .XJ JJdlQ0_4 l pu& ?/??rn1 LOT: ? BLOCK: ? SUBD./P.I.D.#: CaYYA-2CLQ v\- C-? PROPERTY OWNER Name:tL,:l.WOTZW") La,, Firn Street 6 Phone #: Jr City F--AGa-nl State: Zip: Phone #: (area code) CONTRACTOR Street Address: C i6 4 /' _ City -,)? Stafe: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( Sheet City Sewer 8 water Ifcense6plumber (reauired for new consfructlon onlv): State: Penalty applies when address change and Iot change Is requested once permM Is issued. Zip: Zip: c I hereby acknowledge that I have read ihis application,.state fhat the informat on is co ect, d agree to comply wNh all applicable Stit+e of Minnesota Statufes and City of Eagan Ord(nances. ----. _? -_` ? Slgnafure of Appl(cant: - - OFFICE USE ONLY Certificates of Survey Received ? Yes Tree Preservation Plan Received Yes _ No - No - Not Required License # Registration #: ? ;JiI? i ??i? . . OFFICE USE ONLY BUILDING PERMIT TYPE '06 . -i:.: ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 5F Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-piex ? 09 7-plex ? 14 Apartrcients 19 Lower Level ? 24 Storm Damage ? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Misceilaneous WORK TYPE ffi, 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 Bidg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handou t to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Censd's Code 3 L (Allowable) Main level sq. ft. SAC Code C/ UBC Occupancy sq. ft. No. of Units Zoning sq. ft. ? No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS h Planning Bu ilding 1? Engineering Variance Permit Fee Valuation: $ i 2 av Surcharge _- Plan Review License = ?i-ttMINnL tdo- ?'39 ' MC/ES SAC nn rr- ., ri?. i07/93 r:?:i?? 07: 25: 53 , City SAC Water Conn. Water Meter ,..,..?.,.. .?:,r ..r:::._ _! : E t. ,u •<,:;n;" Acct. Deposit S/WPermit t ii :uoNr`.i_,?cr ? :?i)ot 1.650 ; S/W Surcharge .tS.S 9L10?. :tr,::SO 57r.7M.I...li r.;T = Treatment PI. Park Ded. Trails Ded. Other . Copies r TotaL• SAC Units -4•a.os.3r ;") 1J81:.{cr TT::r, P,A!?GY % SAC ? : ?:.%?in?•4..A....:1'1.i?Y:(?Ii ?:1?:).?.)?:5:,?1N.)...i?:M}?)i\Y:.:l:?:?n n DONALD CQIJRT LL,:s vG I SP CTIOi?-Z-k Co,Mrno?j Arta cot 33 r,tice- RPR-30-99 09:37 PN L+_ CAMFKN UVW Bq!? CONNIE J. HOCHSPAUNG $OX 638 LA%EVILLE, MN. 55044 612-469-3714 APRIL 27, 1899 1)ANIEI, HALVORSON 1650 DONALD COURT F,AGAN, MN. 55121 ON APRIL 27. 1999 THii HOARD OF DIAECTORS APPROVED YOUA ARGHI'PEC'1'URAL i3EQUEST FOR A DECK J:XTENSIUN AND REPLACEMEN'I. SIZL• OP NEW DECK WILL SE 16 ?S 14. MUST MF.ET EAGAN C1T'Y CODF•. AND YQU Mi1ST ORTAIN A BUILOING YEkMIT AND SEND A COPY TQ THE ASSQC1ATiON. (-Y?OURS TRULY, ? F?aVI?.C?v,1?fY`\ CONNi£ J. HQCH5Y12U G ? RECORDER P.02 LQ 26 a?q PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Piio€ I{nob Road, Eaggn Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date15 / W ? - - -- -- - - --l JACKSON,JACKLYN Site Address 1648 DONALD COURT ? URii # EAGAN, MN 55121 (651) 405-1396 ? Property Orcner j Telephone # ( ) Contr•ac[ur NvfBLvlq P6LI MBIEIYl7 O - V , (612) 82T-4033 Address City State • ip __ Telephone # ( ) The Applican[ is _ Owner ? Contracror Other Septic System NeW Reftt;bished Submit 2 se4s of plans and MPC license $ 100 00 Includes County fee. Addttionai consu!!anf fees may agply. . Atierations To Existing Dwelling i;nit, ii:c!u•3_;:g _ Adding fixtures to lower levels or room additicns, exduding water softener and water heater $ 50.00 _ Abandonment of sep?ic system _ Water tumaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation repair _ rebuild 30.00 _ Lswn irrigation system _ Water softener x Water heater $ 15.00 x replacemant additional State Surcharge $ 50 Totai $ 15-. SQ i nereoy appiy tor a Kestdenhai P:u-!:bing pcnni: an:l a; irnuwiedge that the irfcn`1:an ;a is complete and accurate; that the work will be in conformance with the ord:'nances xnd codes of tiie Ci.y of Eagan and with 'he ?'lumbing Codes; that I understand this is not a pemilt, but onty an application for a;soi?,il, arci •,vcrk is not tu start without a pe:ri;u:; that the work will be in accordance with the approved plan in the case of work which reqaire, a :eview ar,d r,pproval of plans. Je? NoCUUVY, 40- Applicant's Printed Name icant's 5ignature ?...?.???, ??'.?? :? ?} ? ? ?'???????? ?? ?? ?} ? ??? iti ? ? ?? ?.?i,:?? ?'? ? ? ? ??,?`;;? ?4?`= ?`?? ? ? ?.`???" ?Ar?: {,?.a,?, ?`t l ? ? ?? ? ??u???? ? ?? - Use BLUE or BLACK Ink � �'----------------� � For Office Use I I � V�UOl �� 11 j Permit#: ,�v�`�SG`� j � v I I 3830 Pilot Knob Road� � Permit Fee: �� Eagan MN 55122 � Date Received: � Phone:(651)675-5675 I I Fax: (651)675-5694 � Staff: � ' I I 2015 RESIDENTIAL BUILDING PERMIT PPLICATION � ��t�i � /' �! ��iz� Date: �� Site Address: (� 7 � ��,R� � � Unit#: <� � � n n ! /�,� . � Name: � � ��t� �� !/['1 � I '� (v �-i � Phone: W�� ✓�.�� J �O,� �� y U /�' ' r r / P ��y�� }* Address/City/Zip: `� p �� Wt� � 2 � � "v " ' Applicant is: Owner Contractor � � ' ` Description of work: �� -�� Y�?t��1�t`� Construction Cost: Multi-Family Building: (Yes�/No_) �y ;� ' �� ' Company: Contact: � � � ��, Address: City: �`�^,� � State: Zip: Phone: . EmaiL �� ; � # License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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&Water Contractor: Phone: Fire Suppression Contractor: Phone: - :��3'1`�,��!'��3�'��;�pQ��c�t�e�#��',�1��1��`��e r,�� wt��rr��t�� +�'��' , �� y�� ;� � � �� a �.. ��., .. . ,_ �� ,�.�:� .. �,. G � � a, � �. � ,,.. , _�t° �,�= w ., �,.. � � - � ..�.,_ . ,�.� �:;� � _ s-.= .�,.� CALL BEFORE YOU DIG. Call Gopher State One Call at(657)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.ora 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 withouY 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. Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. --�, X ;��,�I �� 1 j�f� �a(;� X Applicant's Printed Name Applicant' Signature Page 1 of 3