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1655 Donald Ct Use BLUE or BLACK Ink For Office Use ~I~ Permit y of Eap JUL o Permit Fee. I 3830 Pilot Knob Road Eagan M N 55122 7 j I Date Received: I I- Phone: (651) 675-5675 Fax: (651) 675-5694 i! ><S i Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ~~5 I.V/U121J) C- ,Eir6( 0A,1 Ad 5~lZ" Tenant: rl ode ^ Suite RESIDENT / OWNER Name: c"r1►'~ 1-10 e. Phone: 95-2-2_5v-9v3-3 Address / City / Zip: 1&55 ' ' UbNl~ L n CT_, f: AGXPIV MA.) !5_511-1 Applicant is: Owner Contractor _)~f TYPE OF WORK Description of work: 4ioto'l l 0P.-ht-) M - Iftje 4-6111U_ D-2c-*__ Construction Cost:O em - Multi-Family Building: (Yes / No ) CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email 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? Ye No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X x/`~ I Applicant's Printed Name Applicant's Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES - Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage - Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) - Multi Deck jAil,/ _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of - Plex Lower Bevel` _ Pool _ Miscellaneous Accessory Building WORK TYPES - New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION i Valuation -Ll~- Occupancy R MCES System Plan Review Code Edition R6V"7 SAC Units (25%_ 100%z Zoning City Water Census Code 4V31 Stories Booster Pump # of Units - Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) ~ Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings `Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FE S Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 I Trrtifiratr of (Orruvaurg Citp of Cagan Bepartinrni of Builbing ,fin prainn This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the follouing: U. Ci.mr h. Duplex Rld&Pomu. No. 5837 ° Pw Tra R3 Tywc.t Uoo V R. tun. III zom.,o t. t R2 o.....rwfi m,_ Cameron Developmen,#e.h. 2499 Rice St, St Paul DoI&,AEd.c 1657 Donald Ct. L?;,, Cameron Ct. l ???Q?? OuJding Oitd.l v Aye: pn-26-80 Minnesota State Board of Electricity 19$4 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ! d T REQUEST FOR ELECTRICAL INSPECTION ".HECK BELOW WORK COVERED BY THIS REOUEST /A i l n i Home Li U LI Duplex ID ? ? Range F7 Water H ? Temporary Wiring ? Lighting Fixtures 5 Apt. Bldg. ? ? ? Dryer Electric Heating ? Commercial Bldg. ? ? ? Fumace A N Silo Unloader 11 Industrial Bldg. Farm ? Q ? O El ? Air Con ion D Bulk Milk Tank ) ? ther ? Rere Herers } Rere Herers COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee 1 1 Feeders&Subfeedera: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 2-8- 0 96 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eyes ? Above 200 Amps. Above 100 Amps. Above lOQ_Amps. ' Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5,9? = Remarks O'I'AL r e G I, the Electrical Inspector, hereby (Final) This request void 18 months has been made >? 5th Date Pate_ ?J??/-Ft1 nis Mgluest void 18 months from CG pn cal / ?( ? Date of this Request.... March 31- 1110 S 3 4 6 6 4 1, as ® Licensed Electrical Contractor 13 Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 1655 & 1657 Donald Court -City-Eagan- Section Township Which is occupied by Cameron Deve 1 opment Range County Dakota (Name of occupant) Is a roughin inspection required on this job? No ? Yes IXI Ready Now ? .Will Call Q 3000 Maxwell Rd. Power Supplier NSP/ Red Rock Address Newport, MP 55055 Electrical Contractor li I I I crest E l ec t r i c (Company Name) Mailing Address 2050 White Bear Ave. Authorized or Contractor's License NoA31D.9 No. 777-8186 tectricai Contractor or OwnOrMaRing Tfn§-1nsta11atlon) STATE BOARD ® State on request eiil not accepted by the CO State Board oard unless proper inspection fee is enclosed. SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. toORm 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881-9000 TEST RECORD ADDRESS M1 vor"\ OCCUPANT eDLon,re SOLD BY MAKE (x` SERIAL NO. F O rJ l ?? LIMIT SETTING _ FAN SETTING _ PILOT TYPE _ IGNITION MODEL PILOT TIMING - PRESSURE (oeva PERCENT CO, INPUT CFH c c PERCENT Oz - STACK TEMP, 3 2 6 PERCENT CO G CITY 'AV% OWNER INSTALLED BY I 19 G ?a ?l/zy?7a MODEL INPUT GG G VENT SIZE TYPE OF LINER n 1 L/ LINER SIZE C 1 ` / ? f FILTERS: SIZE _ NU R WIRING 4 TEST TAG n_. LIGHTING INST. DATE TESTED ` Z ?(? O COMPANY TESTING NAME OF TESTER FORM m(REV. 11/89) FORM OISTHBUTKRI: WHITE COPY - JOB FILE YELLOW COPY - CRY CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN $5122 PHONE: 454-8100 BUILDING PERMIT APPLICATION T. be mad far g Duplex Fct. Vni:,e $38,000.00 Site Address ?ualu ul,. Lot 29 Block 1 Sec/Sub. Cameron Ct. Parcel # In 1630n ?An m Name Cameron Development Co. z Address 3499 Rice St. o St. Paul,MN 482-1210 g (Name Same u0 Address 1- Name - Address I hereby acknowledge that I have read this application and state that the information is correct cad agr g to comply with all applicable State of Minnesota Stat a d 'ty 9 nn mod e S. Signature of Permitte A Building Permit is issued to: all work shall be done in accorda6&' with nl?ao wble-SYafe_of Mil N? 5838 Receipt # /C e Erect )(X Occupancy - R3 Alter ? Zoning R9 Repair ? Fire Zone TTT Enlarge ? Type of Const. U Move ? # Stories Demolish ? Front 24 ft. Grade ? Depth 40 ft. Aaarovols Fees Assessment /6/6l Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 1/14/2 APC Permit 1111. 7U Surcharge l c) n0 Plan check 55-25 SAC 525- (10 Water Conn. ._3.0.5._DO Water Meter hn. n0 Road Unit 185, (10 Total 1959. 75 nn . on the express condition that Statutes and City of Eagan Ordinances. Building Official .. CITY OF EAGAN ' 3795 Pilot Knob Read Eagan, MN 55122 N? 5837 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # _ / To be used for 9 Est. Value 38, 4 1 000.00 Date - tfiny? . i9-8Q Site Ad dress 7 Donald Cwt* 1.5 Erect [ Occupancy R3-- 3 0 Cameron Ct. 1 Lot Block " Sec/Sub. Alter ? Zoning R2 10 16399 399 91 Repair ? Fire Zone ?Tr Parcel # __ Enlarge ? Type of Const. to Cameron Development Co. r< Name Move ? # Stories Address 2499Rice St. Demolish ? Front 2/± ft. o City _ St . Paul Phone 482-1210 Grade ? Depth 40 ft. o Name _ t• ou Address Name _ Address I hereby acknowledge that i have read this the information is correct and ogr??e%g, to c State of Minnesota Statut€s'and QfYV of Signature of Pennitte6?- A Building Permit is issued to: all work shall be done in acct and state that 0 ,all p Iicable Assessment ?/ 7/ 0v Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 1/14/80 APC Fees Permit 11V.>V Surcharge 19.00 Plan check 55.25 SAC 525.00 0 Woter Conn. 305.0 Water Meter 60.00 Road Unit 185.00 5 Total 1,259.7 _ on the express condition that and City of Eagan Ordinances. Building Official CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERNIIT APPPLeICATION 1 set of energy calculations. To Be Used For r Valuation ?o-II ? Date '/ TO Site Address: ?Lo of C-t- OFFICE USE ONLY Lot -t Block / sec./Sub. ! Erect X Occupancy If.3 Parcel #:A j/., :P&.. C? Owner: Address: City/Zip Code: Phone #: Contractor: Address: -? yG1 ?,. . City/Zip Code:! Phone #: y?P- - i7/O Arch./Eng.: Address: City/Zip Code: Alter Zoning A 2 Repair Fire Zone 3 Enlarge _ Type of Const. f/ Move # Stories Demlish Front ?y ft. Grade Depth y ft. APPROVALS ' FEES Assessments Permit //0 j:QL Water/Sewer _ Police Fire Eng - Surcharge J9 Plan Check '3W SAC SAS °? Water Conn. 505 Planner Water Meter L o ML Council Road Unit Bldg. Off. APC Phone #: TOTAL CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERM APPLICATION 1 set of energy calculations. To Be Used For e valuation Date Site Address: /lv$7 _boc?Lla OFFICE USE ONLY Lot Block Sec./sub. ?/Erect X _ Occupancy /e" Parcel #:'1G?Za r' 'nc? Repair Fire Zone 3 Alter Zoning _ Owner: Address: City/Zip Code: Phone #: Enlarge _ Type of Const. Move # Stories Demolish _ Front ?y ft. Grade Depth yd ft. Contractor: ( ih?,oyc?,r?G Address: ?Z V 9 T F f City/Zip Code:. Phone #: Arch./Eng.: _ Address: City/Zip Cade: Phone #: APPROVALS FEES Assessments ( Permit l/OIva- Water/Seder Surcharge / 9 Police Plan Check Fire SAC 3-Rd- do Eng. Water Conn. Planner Water Meter 60 council Road Unit / Bldg. Off. APC TOTAL 577 --? CITY OF EAGAN Remarks Addition/I CAMERON COURT Lot 29 Blk Owner Av?1o u L Street -1655 Donald Court Eagan Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1975 PAID UND ER P.10 4130 124 01 STREET RESTOR. } 76 1975 66.41 6.64 10 26.57 A009079 5/21 80 GRADING 80 SAN SEW TRUNKyU 1974 26.92 1.12 24 15.35 A009079 5/21/80 * SEWER LATERALI$ 1974 142.49 11.88 12 85.53 A009079 5/21/80 ** Sew Lateral,l-`I' 1974 358.09 18.84 19 119.39 A009079 5/21/80 ** WATER#%## LatfS 1974 12 * WATER LATERAL 1974 19 WATER AREA 1973 PAID UN ER ORIGINAL ARCS ** Storm Sew Latl?`? 1974 19 * STORM SEW TRK 184 1974 12 STORM SEW Trkl97 1974 35.15 2.51 14 16.43 A009079 5/21/80 ` > 1149.79 A009079 5/21/80 CURB & G TIER SIDEWALK STREET LIGHT Road Unit 185.00 19096 5/27/80 WATER CONN. 305.00 19096 5/27/80 BUILDING PER. r, r, "4 9 IQ096 5/;z7/80 SAC PARK CITY OF EAGAN Remarks Addition CAMERON COURT Lot zP?Blk I OWnerhVI)DIA L NhY 4 l1[l?J]±ll? ,Or} Street 1657 Dnnald C:cntrt Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. I 97-q AM IIN3 FR 2 10 43 1 00 19 3 01 STREET RESTOR. 76 - - 26.57 A009440 9/17/80 GRADING S SAN SEW TRUNK 5!p 1974 26-92 112 2. a 1 3-S A009440 9/17/90 * SEWER LATERAL 1974 142-49 11 gg 1? q.; s -,; A009440 q417jRf) *,r 12q , -()Q 18-84 A009440 9 ?17?RQ ** WATER1#4 . * WATER LATERAL 1974 lo WATER AREA ,t * / J Storm Sew Lat 1974 iq ,r* STORM SEW TRK 1974. 12 STORM SEW ##f# Trk i `I 7 1974 35.15 2.51 14 16.43 A009440 9117/80 CURB & GUTTER SIDEWALK STREET LIGHT 125 QQ 19095 5/27/80 WATER CONN. . 305.00 19095 5/27/80 BUILDING PER. SAC 5? 5 00 19095 PARK INSPECTION RECORD! ---CffY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: I '1 I Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ONAi 11 1 i r<+11ri`:i1Pi I OW4T PERMIT SUBTYPE: TYPE OF WORK: Of",+ R I1•T ION Vnuf INo 1,? 14ANK5,. INC1 11111 6NI 00HA11) FT t 1 n1 30 RF PAIR {Rl1O1"TN13I Permit No. Permit Holder Date Telephone N 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 FTG DECK FINAL CASH RECEIPT `- CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 • DATE 19 RECEIVED FROM AMOUNT $ I & _DOLLARS ioo ? CASH ? CHECK FOR / v..` Xelf- fb T pk- l G1 1 / FUND CODE AMOUNT T_haryJc?fou B Y T White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 f RECKI V ED FROM AMOUNT ? CASH ? CHECK ao DOLLARS FOR White-Payers Copy Yellow-Posting Copy Pink-File Copy BY CITY OF EAGAN w 3795 Pilot Knob Road Eagan, MN 55122 N° 5837 PHONE: 454.8100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone r T T Enlarge ? Type of Const. j W Name Move ? # Stories Z Address Demolish ? Front City Phone Grade ? Depth ft. W Name a ..oN..,.a.. ' A uu Address ssessment - F' cit Ph n Water & Sew. y o e Police ?? FW Name Fire uC5 Address Eng. <"' City Phone Planner Council Fees Permit Surcharge Plan check SAC _ Water Conn. Water Meter Road Unit I hereby acknowledge that I have read this application and state that f Bldg. Off. the information is correct and agree to comply with all applicable APC Total ^5 7r State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express ndition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Or inances. Building Official Permit # Date Iwd Perm"too Plumbing i 7a9 /? U Mechanical T INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation Plumbing Frame/ins. Mechanical Final I l Remarks: CITY OF EAGAN ' r 8795 Pilot Knob Road Eagan, MN 55122 PHONE: 454.8100 BUILDING PERMIT Receipt # TO ho v.wd for Fe* V.I..n rL,*e Site Address , U. Lot Block Sec/Sub. Cameron Gt . Parcel # (^- ?1 a: Nome -• c?_.c? vu roc r :=...?-? t ?, t ?u V _ v . Z Address V99 R.i 3 e 10t. o -t. Paul,!-q4 a: Name - ,o a Address 01 ?- r-:... Name - Address 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 Permittee N2 5838 Erect Occupancy ;L. Alter ? Zoning Repair ? Fire Zone I'TT Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Appro vals Fees Assessment 1 ! c;/ Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge Plan check 7 • -' SAC 5?5-7a Water Conn. 305.00 Water Meter Road Unit Total = 259.7`, A Building Permit is issued to: .0 • on the express condition that oil work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. B 'Idi Off' ' I ul ng I- Permit # Deft lowed Permutes Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation Plumbing ?r Frame/ins. - _ Mechanical Final Remarks: CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 i (.psi ATTNr, PERMIT No. Date: Receipt No.: Single I v Site Address: Residential Lot Block _ Sub/Sec. Multi Res., Comm./Ind. Name Ir -,,eron N--y• New/Alter./Repair Address 1/ `r Rice fi't' Cost of Installation O City Roseville Phone: Permit Fee Name (Ieo. Sedrewick Htg, r`' V - - Surcharge Address 1(101 XPnln A V(, . e 0 i7 G x . 1 F/? "', City Phone: Total This Permit is issued on the express condition that oil work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official C+_ -A1P MUTP 1, CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 `A,TIbfG PERMIT Date: 2/6/80 Site Address: 1655 Donald Ct. Lot Block Sub/Sec. Cameron Dev. Name 3 Address 2499 dae ;t. C ?G:'EVI? 2? ?, ? City Phone: Geo. e:igmich 'rite'. & AC Nome (((ppp. Address e o _ " 1 5 7' 4 , City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. No. 16914 17823 Receipt No.: Single Residential Multi Res., Comm./Ind. New/Alter./Repair. Cost of Installation Permit Fee en Surcharge Tota I done in accordance with all applicable State of Building Official No. Date: Site Address: Lot 1655 Donald Ct. Block Sub/Sec. 1areron Ct . Name Address '49) Rice Street `i+ . Paul City Phone: R. .1`Offl.n Name 1 4 1 yestSextant Address ?eville -_ City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. FOR ALL INSPECTIONS Receipt No.: Single Residential Multi Res., Comm./Ind. New/Alter. /Repair Cost of Installation Permit Fee Surcharge Tota I done in accordance with all applicable State of PLM +Ti 1T:; J,z.o 16, CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 INSPECTOR NOTIFICATION Phone: 454-8100 REQUIRED BY LAW PERMIT Building Official No. Date; June 16, 1980 CITY OF EAGAN 3745 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT Site Address: ,onald Lot Block ' Sub/Sec. I'llne INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Mufti Res., Comm./Ind. Name ercn 1Dev• New/Alter./Repair 3 Address V Cost of Installation City Phone: Permit Fee Name Surcharge r '.'Jest Address 0 City Phone: ` Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official No. Date: i CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT 717 Donald Ct. Site Address: _- _ Lot 3 q Block I Sub/Sec. C'ai? roc, Y\ INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Name New/Alter./Repair. Address Cost of Installation C City Phone: Permit Fee Nome g. Surcharge Address City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official eader No.: agree to comply with the City of Eagan WATER SERVICE PERMIT DCDAAIT K10 Connection Charge: •r'r3 Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: _ Date Paid I nsp.: CITY OF EAGAN SEWER SERVICE PERMIT i795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: _ Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: • Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CIT OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No, of Units: Owner: _ Address: l Site Address:. Pl umbe r: Meer No.: Connection Charge: e: Z Account Deposit: No.: oder Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: - BY Date Paid: CITY "F EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 35122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Ordinances. By Date of Insp.: Insp.: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: 411 n CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT cRq o PERMIT TYPE: BUILDING Permit Number: 031899 Date Issued: 04/30/98 SITE ADDRESS: 1655 DONALD CT LOT: 29 BLOCK: 1 CAMERON COURT P.I.N.: 10-16300-290-01 DESCRIPTION: (ROOFING) Building,?ermit Type ,Budding Work Type Census Co" *a MULTI. (MISC.) REPAIR 434 ALT. RESIDENTIAL U?n ^` ('" V2 iF °m r Yea ?`'?? ?z d ry.?'Sd t"v kl-`i(14'.H c V REMARKS: INCLUDES FEE SUMMARY: 1657 DONALD CT (LOT 30). VALUATION Base Fee Surcharge Total Fee $87.25 $2.00 $89.25 $4,000 CONTRACTOR: - Applicant - ST. LIC.OWNER: BERGLUND/JOHNSON CONST 12219170 2000625 CAMERON COURT ASSOCIATION 4860 MINNEAPOLIS AVE DONALD COURT MINNETRISTA MN 55436 EAGAN MN (612) 221-9170 I hereby acknowledge that 'I have°'re,6d`this application an;l state that the information is correct and agree, to-comply°w!ith°all appl3ca-bla-_$tote of Ma, statutes and City of Eagan ordinartcs: r? Pm RAP. A ? ?1/J APPLICANTIPERMITEE SIGNATURE ISSUED Y: SIGNAT E 93-1.691998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes _ No DATE: DESCRIPTION OF WORK: _ i ? 2 copies of plan ? 2 site surveys (exterior additions 8 decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; 3 3 .t/ , vD STREET ADDRESS: Z)tW4L,1p eo Uf- 7- - LOT: 1 BLOCK: SUBD./P.I.D. #: I Ivmmfm C Oyj Name: Phone #: PROPERTY Last OWNER Street Address: City State: Zip: Company: f??,eL?L UN? ?)Ofil?S+r/C J Phone #: CONTRACTOR 7 Q nG S 315 Street Address: Li3(ce City /]///N/V X7 15 7TH State: I VZA Zip: SS 3 6V 7 ARCHITECT/ ENGINEER Company: Phone #: Registration #: Street City State: Zip: Sewer 8 water licensed plumber (new construction only): 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 ply with applicabl 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 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition slb?- 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Permit Fee W7 a 5 SurchargeX-0 O Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 8 9• P ; MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Valuation: $ ?DOa % SAC SAC Units 12 Minnesota Federal 355 Minnesota Street o Saint Paul. Minnesota 55101 • PHONE (612) 298-6400 City of Eagan 3795 Pilot Knob Rd. Eagan, Minnesota 55122 Date: May 16, 1980 To: As above - Assessments Re: Rasmusson, Arnold V. 1655 Donald Ct. Acct. 3-9-233 Eagan, Minnesota 55122 Gentlemen: We are holding funds to pay assessments as soon as they are levied on the property described as: Lot 29, Block 1, Cameron Court Sanitary Sewer Storm Sewer Sidewalks Curbing Water Frontage Street Improve. xxx see attached Curb and Gutter Other Please notify us as soon as the above assessments are levied and payable. Yours y truly, Robert A. i1c1<in " Secretary Mortgage Closing Departmen C. C. Memlxr Federal Savings and Loan Insurance Co Marion y COUNTY OF RAMSEY OFFICE OF John C. McLaughlin STATE OF MINNESOTA ABSTRACT CLERK ROBERT E. NON'AK CHIEF DEPUTY 1,373 RAMSEY COUNTY COURT HOUSE SAINT PAUL MINNESOTA 55102 City , c/o Clerk County of: Subject: Pending Assessments Request is hereby made as of this date to determine whether or not there are any pe d?issments not certified to the office of the Cou nty AWditor nertaininq to the following described property: . / 5' Assessed in the name of: Property Address: The following improvements are having been approved, and are now in completion. contemplated or pending after process, planning, or Nature of Approximate Date Approximate Cost Improvement of Completion of Improvement /?l214 Whereas the information shown above is intended to be reliable the Ramsey County Abstract Clerk assumes no liability for its accuracy. -t Ra Sey County Abstract C' rR `t BEA BLOMOUIST MAYOR THOMASEGAN JAMES A. SMITH JERRY THOMAS THEODORE WACHTER COUNCIL MEMBERS July 15, 1982 Dee Zegan Servicing Supervisor Banco Mortgage Co. 794 Pillsbury Building 608 2nd Avenue South, Minneapolis, MN 55402 R9 ' CITY. `OF K COB iAGAN 1 g,rJ195 P1L02 ROAD - " -?1 0.0-8 X 071199 EAGAN?" N11 N NESOTA FF . PHONE 4$4-6100 Subject: 1657 Donald Court, lot 30, Block 1, Cameron Court Eagan, MI 55121 Dear Ms. Zegan: THOMAS HEDGES CITY ADMINISTRATOR EUGENE VAN OVERBEKE CITY CLERK The above referenced one-half of a duplex was inspected on June 29, 1982 by my assistant inspector, the plumbing inspector and me. In our opinion, the dwelling is structurally sound. There are sore minor defects that can be corrected. The builder was negligent in requesting inspections. Therefore, many of our inspections were made after the fact, and there had been no final inspection ever recorded on this parcel. sincerely, ` ? Dale S. Peterson Building Official DSP/bar THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY. 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Z, New Construction Requirements Remodel/Repair Requirements 3 registered site surveys showing sq. ft. of lot, sq. (t of house; and all reoG;d areas 2 copies of plan Su (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions' e s'..,,,t+1 2 copies of plan showing bum & window sizes; poured found design, etc. 1 site survey for additions & decks TleePr? ", 4'3d _ r N l set of Energy Calculations Addition - indicate ffonske septic system 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date S / 72 / 6 t Construction Cost Site Address ?(p S S DO^M-L D CdV(Lr Unit/Ste # 61`1G 4K Al nl 5612- Description of Work f?? ? 1 Qp S a y wrr P3 0 S I D t11'rJL Multi-Family Bldg Y N Fireplace(s) k 0- 1 _ 2 Properly Owner J f M' ? n ?E? Telephone # (1-51 )Z O!7 - go q Contractor Address State Zip City Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone # ( N If so, 25% plan review I hereby apply for a ?._ a Residential Building Permit and acknowledge that the informa is co -a ?wate; that the work will be in conformance with the ordinances and codes of the City o gar and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. hA , 49?1 Applicant's Printed Name pplicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of- plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N (Yd 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors f.t- 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Q.2- Occupancy 21-3 MCES System Census Code_ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace - R.I. -Air Test -Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ Final/C.O. Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Building Inspector 2005 RESIDENTIAL BUE.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Now Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc, 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildirigs with 3 or less units) I i?a a5 oRioe use only Carl of Survey Rood _Y _N Tree Pies Plan Recd '.., _Y -N. Tree Pres Required Y N on-site Septic System Y _N . e I AI")f5 DateJu,X-/ r Construction Cost - ?- Site Address 1 L zS Do. A (o cv. - Unit/Ste # l ? t ' +? ?? , ` Description of Work .? d- !:. - - Tf 1 Multi F il BI Y Fi l ( ) 2 ?I 1 0 - am y rep ace s - _ - 1 Property Owner r , ? ' ?ui?1 ? 3 Telephone # (G?? r L Contractor Address ? 9,k R /)s,4 4s=8, L City S'{? l State Yn Zip SSD!?-c3k\ Telephone # ((a n COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which r uires a review and approval of plans. Applicant's Printed Name Applicant's Signature Remodel(Reoair Requirements 2 copies of plan t set of Energy Calculations for heated additions 7 site survey for additions & decks Addition -Mears, Nornsde sepfk system OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of-plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units # of Units # of Bldgs Type of Const Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace - R.I. -Air Test -Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_y or _ N ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS Final/C.O. _ Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco _ Stone - Brick Windows Retaining Wall Building Inspector ,e- H 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 a ?- 651-681-4675 New Consibuction Reaulrements C61 13 i 8 3 3 registered site surveys showing sq ft. of lot, sq. ff. of "o.CO- I - G d and 911 roofed areas (2096 maximum lot coverage atbwedl 2 copies of plans (show beam 8 window sizes; poured Ind. design; etc.) > 1 set of energy calculations 3 copies of free preservation plan If lot platted after 7/1193 DATE: / TU ne WaD I ?- 0 .SZ? (' -9-C-)C) 2 copies of plan I set of energy calculations for heated additions 1 site survey for exterior additions & decks $ 4V CONSTRUCTION COST: 'Vm DESCRIPTION OF WORK: -ILeD&Ce, -OCC k STREET ADDRESS: 1657 7)o-Y a/r/ Cr EjL--,yA /UIltl LOT: BLOCK: SUBD./P.I.D. If: C ok W1-e ro to l C) t - 65T1- 9i?39 Name: yr?/v_),cJ 5)S'_UCe Phone lf: (("50 PROPERTY Lost First OWNER Street Address: 1,657 D0?7R1 ' C r City. SAGA/ State: Zip: 551-2/ Company: Phone A: (area code) CONTRACTOR Street Address*.- License 9 Exp. city State: ARCHITECT/ ENGINEER Company Name: Telephone ff: ( Street Address: Registration p: Cly State: Sewertwater licensed plumber (H Installing sewertwater)7 Phone #. Zip: Zip: I hereby acknowledge that I have read this application, state that the information Is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicank OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Yes No Yes No JUG ll Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? o9 07-plex -)a::- 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Rog _Y or -N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE R31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning 0 # of Stories 0_ Length I Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Permit Fee -? 6o-so Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: -f? 0.5 0 E6, 23.4 ll.d Engineering Valuation: sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance ? 31 Ext. Aft - Mufti ? 33 Ext. Aft - SF ? 36 Mufti ?13H SAC Units % SAC N. 6124694109 05/29/2000 05:19 6124694109 JIM AND ALYCE BENSON June 7, 2000 TO: City of Eagan FROM: Jim Benson. SUBJ: Building of deck at 1657 Donald Court Bruce Nelson, 1657 Donald Court, Eagan, MN, has the Cameron Court HOA approval to build a replacement deck on his property, in accordance with the building codes of the city of Eagan. cerely; )esident Benson. of Cameron Court HOA 952-469-2161 Voice 952-469-4109 Fax 612-812-1324 Cell PAGE 01/01 Cities Digital uality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ?.t 4?5 -°° L?CT V-11 COMMOW A A si f SITS (,-IIANl r ? 'scAS.ulrs^lfa, , Z:a DATE: t#1c•,F BANCO MORTGAGE COMPANY Program Administration Department 794 Pillsbury Building 608 2nd Avenue South Minneapolis, MN 55402 612/343-3741 1 June 30, 1983 Dale Pederson Chief Building Inspector City of Eagan PO Box 21199 Eagan, MN 55121 Subject: property at 1657 Donald Eagan, Minnesota Fee owner: Rasmusson, Mr. Pederson: BANCO® Court Arnold and Mary Our telephone conversation advised you that The City of Eagan has addressed a rescission action against the captioned mortgagors of record due to violation of the occupancy covenant of the City of Eagan Mortage Revenue Bond Issue, The mortgagors have offered to deed the property to the City in lieu of rescission action. We have been informed that the structure is, in the opinion of the mortgagor, unsound and unsafe for habitation. It has been unoccupied since March. He states the faults are such that he would not consider selling the unit at cost which he was permitted to do as an alternative to deeding. His primary concerns are the fact that the building has no center footings and the truss structure is unsound causing a crack across the ceiling area throughout both units. The second unit is not an investment in the City of Eagan Mortgage Revenue Bond Issue. We would appreciate a report on your earliest convenience. You indicated o the construction of this building. Dee Zegan Servicing Sup rv'so PROGRAM ADMINISTRATOR FOR THE CITY OF EAGAN REVENUE BOND ISSUE findings at your very to me he was the foreman cc: Rick Mark David Greening Nancy Penca G4.331 v` Use BLUE or BLACK Ink r————————————————� I For Office Use � I � C�� O� n� �� j Permit#: ��(v .S � j � � � I I i Permit Fee: ��"�� 3830 Pilot Knob Road Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: �� Name: �- I�— �� Phone: �� ,.- �� ; Address/Cit /Zi � / � / /l �Wt1�`.�. . Y P� ' Applicant is: J� Owner Contractor ` Description of work: �E'-- �Q � b �2 T�'� �� ; _� �� a�,� ,� � _ : Construction Cost: Multi-Family Building: (Yes ,- � /No� � � j�u ' �' Company: Contact: ' ' Address: Gity: �?tl��'��?P ; �� `� ,� State: Zip: Phone: Email: � a �' �� License#: Lead Certificate#: � � If the project is exempt from lead certification, please explain why: COMPLE7E 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: �'� ��if��?t�'�g�i�ac�r��at� ,�''y�tr�a��#�c�� ' �� y �� ` ��f � ��#��e � z ��zt� � ��'��t��' r��s t��w�� r� �' _ � � � ,., � �.:� ... .. ; `�...��:�.. ,�r� .. .: �� ,` .��`.. :: .�►��. ' � � �°�" �.... ' CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exteriorwork authorized by a building permit issued in accordance with the Minnes State Buildin Code m pleted within 180 days of permit issuance. X ��-1 �1a�-�� X - ApplicanYs Printed Name Ap anfs Signature ' Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177676 Date Issued:07/13/2022 Permit Category:ePermit Site Address: 1655 Donald Ct Lot:29 Block: 01 Addition: Cameron Court PID:10-16300-01-290 Use: Description: Sub Type:Water Softener Work Type:Replace Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Colin Dingfelder 1655 Donald Ct Eagan MN 55121 (507) 250-5161 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature