1343 Easter Lane
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA081148
Eagan, MN 55122 . Date Issued: 11/19/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1343 Easter Lane
Lot: 4 Block: 5 Addition: Wilderness Run 5th
PID 10-84354-040-05
Use
Description:
Sub Type: e - Furnace
Work Type: Replace
Description: Furnace
Comments: Expired Permit - Closed w/o Required Inspections. Letter sent. 12/10/2008 pf
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Controlled Air Abraham Tesfai
21210 Eaton Ave 1032 Kettle Creek Rd
Farmington MN 55024 Eagan MN 55123
(651) 460-6022 X253
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.
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, Minnesota SS122
Phone: 454-8100
PERMIT No. 17 ?'
Fe-bruiary 8, 197P 09012
Date: Receipt No.:
Single
Site Address: y 3 1As.er "one Residential
Lot Block _ Sub/Sec. wfaef'AfXf VJt S- Multi Res., Comm./Ind. I
Name Mnn; s Dpn
Address T-a 5:; i, r ']. ' R? a 1_
City Phone:
Name TLLiclsay .ct:r
Address t1S Cedar. - %!-. ::iii.
e
0
V City Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Statutes and City of Eagan Ordinances.
New/Alter./Repair. =.itAC3*-ion
Cost of Installation
Permit Fee
Surcharge
Total
done in accordance with all applicable State of
Building Official
CITY OF EAGAN Remarks
Addition Wilderness Run 5th Addition Lot 4 elk 5 Parcel 10 84354 040 05
Owner- Street 1343 Easter In. State Eagan, MN 55123
l3'?S
'{Litt t?;L'r?
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 $132.60 $6.63 20 PAID
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA Paid with water ronnpction
STORM SEW TRK ?', Q? Cf?.7979 p-/?o-cvS
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $640.00 1148 9-18-75
BUILDING PER. #3681 1148 9-75
SAC $850.00 1148 9-18-75
PARK
RESIDENTIAL
BUILDING PERMIT APPLICATION
qq5j5 CITY OF EAGAN 3830 PILOT KNOB RD - 55122
651-681.4675
New Construction Requirements RemodellRegair Requirements
. 3 registered site surveys showing sq. ft. of lot, sq ft. of house; and all roofed areas . 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
. 2 copies of plan showing beam & window sizes; poured found design, etc.) . i site survey for exterior additions & decks
. t set of Energy Calculations . Indicate If home served by septic system for additions
3 copies of Tree Presewat*n Plan Slot platted after 711193
. Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
DATE L- Z? -U I
JOB SITE ADDRESS
IF MULTI-FAMILY BUILD G
PROPERTY OWNER U
TYPE OF WORKh
APPLICANT
ADDRESS
ZN3
PAGER #
UNITS?
P CODE -53) Z
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
MINNESOTA RULES 7670 CATEGORY 1
Residential Ventilation Category 1 Worksheet Su
Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the in r tion is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordina
Signature of Applica
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
10IINW1 oya ob
VALUATION (EXCLUDING LAND)
9 J4')
Water Softener
Water Heater
No. of Baths
_ Phone #:
Lawn Sprinklcr
No. of R.I. Baths
Air Conditioning
Heat Recovery System
FIREPLACE(S)
Updated 1101
CELL PHONE # FAX #
OFFICE USE ONLY
? 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 O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex pr\ 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) • Give PCA handout to appli cant
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. 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
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
_ Other
Pool Figs - Air/Gas Tests - Final
Sidmg Stucco Stone
Windows (new/replacement)
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Ito
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
REQUIRED INSPECTIONS
_ FinaliC.O.
Final/No C.O.
_ Plumbing
HVAC
T• I
(I ?? CITY OF EC?G-AN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO,: 724
The City of Eagan hereby grants to gay ta. Welter Heating co.
of
a HEATING Permit for: (Owner) Marell Construction
1335=37, 1339-41, 1343 45, 1347-49, 1351-53,
at RaateF Tanya pursuant to application dated _o/r47r
Fee Paid: $299 96 dated this 11 day of Qgp+ 19-75---
5.00 s/C
Building Inspector
Mechanical Permits:
Bid Total:
J
CITY OF F- _., N
0
-5 3795 Pilot Knob
Eagan, Minnesota P.oad
55122
PEXv1T NO.: Fos
The City of Eagan hereby grants to Thornson Plumbing
Of m nnetonka
a PT.nmRTmr. Permit for: (owner)
1377 E. Sigfrid, 1356 1'ster 1,ane, 1135-37 faster, 1339-41 raster, 1343 5)Easter,
at 1zn7_ag roarer i ? .i-ti i Eag#W,jW eto application dated a/i 8
Billed
Fee 4W. S24o_On dated this jjL_da.y of Sept. a 19 75
a,nn q/o
Billed on Statements T7o. 154 and 158
Building Inspector
Mechanical Permits:
Bid Total:
aSCIS OF EAc-,r;
3795 Pilot Knob Road
Eagan, ;Minnesota 55122
PERtff T NO.: 605
The City of Eagan hereby grants to 't'horn n Plumbing
of Minnetonka
a vr.TTmnTmr. Permit for: (Owner) Marpll o
1377 E. Sigfrid, 1356 1'ster T,ane, 1335-37 faster, 1339-41 Faster, 311'1-45 Easter,
at 77d7-da Raatnr x i-Aei-51 EaWt7ftul "veto application dated 9/18
Billed
Feel i': sg.dn_nn dated this 1.?L_da.y of _ Sent. 19 75
a.nn s/c
Billed on Statements ;70. 154 and 158
Building Inspector
Mechanical Permits:
Bid Total:
S
CITY OF FAoAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: 724
The City of Eagan hereby grants to gay 14. welter Heating M.
of
a HEATING Permit for: (Owner) Marell Construction
1335=37, 1339-41, 1343 45, 1347-49, 1351-53,
at a?-iana , pursuant to application dated
Fee Paid: $2g0 00 dated this 11 day of Sagt , 197.5 .
5.00 s/C
Building Inspector
Mechanical Permits:
Bid Total:
VILLAGE 95 EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 1837
Eagan, MN 55122 DATE: 9/18/75
Zoning: RII No. of Units: 2
Owner: Ware nst.
f
Address• '?? ? Ji! %.?
9hl9AO,l1 ?1J /7_
Site Address: 1343-45 Easter Lane
Meter No-..;1'-S"' -5?' `- --- e9 Connection Charb40.00 Pd
Size: •?Account Deposit:
Rid _- - ._ Permit Fee: 10.00 billed
.50 billed
1 o ree ro comply wiM?th6 Vill ye i Eagan Surcharge:
Drdinonees Misc. Charges:
Total: -? r ?"'??
flY ? - Mete PtitL2 r--a'J
Uate of Insp.: Insp.:
VIICROE?*EAGAN SEWER SERVICE PERMIT
3795 pilat knob Road PERMIT NO.: 2596
Eagan, MN $3122 DATE: 9/18/75
Zoning: RII No. of Units: 2
Owner: Marell Const.
Address:
Site Address: 1343-45 Easter Lane
Plumber: Thompson Plumbing Co.
I ogres to Comply with the Villogo of Eagan Connection Charge 850.00 pd
Ordinances. Account Deposit:
-
--
ea
Permit Fee: 10.00 bill
Surcharge: billed
By: Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
CITY of EAGAN
BUILDING PERMIT
Owner .. p?
Address (present) ..OLi.Y?....W ..4LG?
Builder ....................{...:................---...............-.-....._.........
Address ......... .....................................................................................
DESCRIPTION
ft ;"
N6 3681
3795 Pilo! Knob Road
Eagan, Minnesota 55122
454-8100
Dale ..%•••-'.V...... (..C ...................
Stories To Be Used For Front Depth Heigh! Est. Cos! Permit F Remarks
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE PT E P M WHILE THE WORK IS IN PROGRE
This is to certify. that .. ..... ...................... '............has permission to erect a...... ....................................upon
the above/ ¢escribe .erm subject to the provisions of all applicable O es for th i
......I.. ......... ... .................................. Per .......... .......------........... ......................................
or Building Inspector
a1 u{S RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
00
90
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd _ Y _ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y _ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _ Y _ N
l set of Energy Calculations Addition - indicate ifon-site septic system On-site Septic System _Y _N
3 copies of Tree Preservation Plan if lot platted after 71V93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date /Z I /L / 0 Construction Cost 700 -
Site Address 131-13 ) Unit/Ste #
)
C4 6.n/
Description of Work /, 3 5 / ?(? ( T?? / ?S C
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 1 - 2
Property Owner (n? Telephone # ((???) ?/j? yzil
Contractor
Address 36-D 41-2. H- )7 /3 City
State zip 5 i33 z_ Telephone # ( 9;2) t) i4) -07 f?,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 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? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
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
permit; that the work will be in accordance with the
approval of plans.
C
Applicant s Prrnired Name
g ? ? U l ll ll Telephone # (
DEC 2 2 2003 1011 Telephone #(
an application for a permit, and work is not to start without a
approye,d planIt the Fatse of lwot( which requires a review and
84354 WILDERNESS RUN 5TH 84355 WILDERNESS RUN 6TH
EASTER LANE (PAGE 2 OF 3)
1314 10 84354 020 06
1315/ 10 84354 112 05
1317 111 05
1318 10 84354 030 06
1319/ 10 84354 100 05
1321
1323 10 84354 090 05
1327 10 84354 082 05
1329 10 84354 081 05
1331/ 10 84354 070 05
1333
1334 10 84354 140 03
1335/ 10 84354 060 05
1337
1338 10 84354 150 03
1339/ 10 84354 050 05
1341
1342 10 84354 160 03
1343/ 10 84354 040 05
1345
1 1AA 1 A 9 A1 GA 1'M Al
MASTER CARD )
A- - C YV
LOCATION
STRUCTURE AND
LAND USED AS J2 y d
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING ? 7S-
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING INS
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION ? CESSPOOL
FRAMING ??0• _ ?? _ ILE FIELD FT.
FINAL
ELECTRICAL
HEATING -DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS
L
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN S (, C),'1 ??
tit Lv 3830 PILOT KNOB RD - 55122
L >a 740 651-681-4675 S - a -0 O
Now Construction Requirements 6 --5-60 Remodoil erxi r Requirements
> 3 registered site surveys stowing sq. ft of lot, sq. n. of house 2 copies of plan
and gQ roofed areas (20% maximum lot covetous alloweA) 1 set of energy calculations for healed additions
2 copies of plans (show beam & window sizes; poured Ind. design; etc.) 1 site survey for exterior additions d decks
> 1 set of energy calculations
> 3 copies of tree preservation plan If lot platted after 7/1/93
?U??'
DATE: _ Z' ?U CONSTRUCTION COST:
DESCRIPTION OF WORK: &E-Lsk I C) S-`-(3 `(U -G
STREET ADDRESS: /J7 v-
LOT: !_/ BLOCK: SUED./P.I.D. C
PROPERTY
OWNER
Name:_ ? r /???5 A)37) )37) Phone #:X Last First
W
city -State: T
Street Address: 113`1_3 ` 1(_
Ilp: 'V33 / _3
Company. v ?6?_ Phone #: _
(area code)
CONTRACTOR
Street Address: License # Exp.
City
State:
ARCHITECT/
ENGINEER Company Name:
Telephone #: ( )
Sheet Address: Registration #:
city
State:
Sewerlwater licensed plumber (if Installing sewertwater): Phone #:
lip:
Zip:
I hereby acknowledge that I have read this application, state that the Information J cnd agree to comply with 00 aPPlicable Stak
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received Yes
Tree Preservation Plan Received Yes
No
No
Not Required
v
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 ? 09 07-plex 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
31 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 b I
No. of Units o
No. of Buildings
Const. (Actual)
(Allowable) 15, t l
UBC Occupancy (Z
Zoning 1Z?
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building
Permit Fee
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: (oG .-r?'
c'1 bt Engineering
Valuation:
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water .
Booster Pump
PRV
Fire Sprinkiered
Variance
? 31 Ext. Aft - Multi
? 33 Ext. Aft - SF
? 36 Mufti
SAC Units
% SAC
/0 8h/35? d y? os
r -? t!?-!? u n s Z?..
June 21, 1977 „„_- -
Mr. Dennis Dunn
1343 Easter Lane ,. ,,.
Eagan, Minnesota 55122
Dear Dennis:
r, 'Regarding the location of_8.firq,bydrant.logated-..
adjacent to your property,,,,I_aeked,the City. Council
at a recent MkIting,if they.woUjd_okyjdct to re-
//I. locating the hydrant because.of..thq-,past, and
potential hazard-it creates.in,relationship.to.._
driving an automobile on„your,drivsway.,,_jt,wss
the decision of the City,.Council-that since,the
hydrant is located three,feet-from,a.driveway it
doesnnnb normally constitute,a_hazar4.and,since
the hydrant in question w4e,j?*aq&dce at the„time
that the driveway was conotructed,.it is.opinton,
of the City Council that,therq_i*.nQ,ob3-ig4tion
to move the hydrant:
f;
I
l
i
i ,
.
lJ. ` t
'The City Council also stoted<tbat,if you,wish to,. „.
move the hydry" a few f9et.tq,thOw*g4t.it O,,.
estimated that the Cost .ytguld,be,approximAtelY.-
0 00 to $700. Ns>{, :... .,
If you have any questionq_rQgarding.?thg_city„.„s ,
Council's decision on thiOYmmat#er,,,pleere feel
free to contact this office..ot apy.time,
Sincerely,
/
Tia`omas L. Hedges
C,?ty Administrator
' T.?.rskk
r
y .:
uY4?+. s+. nRq
to
Bosrea ,Wa, Radeoe, yQadedU & 4d"a4-ed, 59C.
G'""&m¢ C'aposs"
2335 W. -Amx 4 oOfA&" 36
A Pam4 M&muwa& 551f3
Pkoae: 636-*600
April 19, 1977
City of Eagan
3795 Pilot Knob Road
Eagan, Minnesota 55122
Attn: Mr. Tom Hedges
Re: HYD @ 1343 Easter Lane
File No, 49 - General
Gentlemen:
Otto G. Bonestroo, P.£.
Robert W. Rosen, P.E.
Joseph C. Anderlik, P.E.
Bmdlord A. Lemberg. P.S.
Robert D. Frigaard, P.£.
Richard E. Turner, P.E.
James C. Olson, P.E.
Lawrence F. Feldsiem P.E.
Glenn R. Cook. P.E.
Keith A. Gordon, P.E.
Thomas E. Noyes, P.E.
Richard W. Foster, P.E.
Robert G. Schandchb P.E.
Marvin L. Su,.la, P.E.
Charles A. Erickson
The City of Eagan has received complaints from the resident of 1343 Easter
Lane that a fire hydrant is located very close to his driveway. He further
states that this hydrant is located in such a place that he will hit it
with his automobile in the normal use of his driveway and that he would
like to have it moved.
On April 19 I responded to the complaint at the request of Bill Branch
and observed that the hydrant in question was located at the edge of the
property and was approximately 3' from the edge of the property. Since
an object located 3' from a driveway does not normally constitute a hazard
and since the hydrant in question was in place at the time that the driveway
was constructed, it is my opinion that the City is under no obligation to
move this hydrant.
The cost to move this hydrant 9 few feet west would be approximately $500.00
to $700.00
Yours very truly,
BONESTR00, ROSENE, ANDERLIK & ASSOCIATES, INC.
Keith A. Gordon
KAG:mb
kL
Suite 105 Bridgeway Office Building
900 West 128th Street
Burnsville, Minnesota 55337
Phone 612/8945020
&SI.PAULTITLE
INSURANCE CORPORATION
December 12, 1975
Eagan Town Hall
3795 Pilot Knob Rd.
St. Paul, MN 55122
Please find enclosed 2 checks for a anent of special assessments
on the following propertys Lot , Block 5 Wilderness Run 5tbj
and Lot 2, Block 5 Wilderness Run 5th
Thank you,
Sincerely
Franklin
Yours,
t
0. dZV
One of the ST PAUL COMPANIES
11?BOI Tyndale
Bl^om1!<^tor., ?Fi7negnta rSLA2
DELMAR H. SCHWANZ
LANOSURVEYOR
RW 151ar" Uneel Laws of The State of Mmnesbta
100'% MAIN STREET P.O. BOX M • ROSEMOUNT, MINNESOTA 55058 •
SURVEYOR'S CERTIFICATE
1?f3 `/ ??^4` J ? G
17!5? ??y 90,F
t o -/'9" '?:Zif.
^ert. F1c2
PHONE 612 423-1769
?_ ti c / -h0
4- i?• lv
. F .11 '? Il ? ' w 1 • -
W N 1 1
N ?
7x3
13
T hereby certify thRt thir is a true and co-Tect mprerentation of Lot L,
Block 5, ?IIL`BF? S5 RUT. F=7 APT)MnNp Dakota County, Yinnesota.
Also showing the locr--Lion of a proposed building; thereon.
7-11-75
'>+
MINNESOTA REGISTRATION NO. 8626
f
r
Use BLUE or BLACK Ink
- - - - - - - - - - - - - - - - -
V0F office Use
Permit C11110
City of Ea
Ea~ 1
e1 I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
RESIDENT/ OWNER Name: 3- CFuf Phone: 12 -3 q3 ' 7~
Address / City ! Zip: SAM,
Applicant is: _)L Owner Contractor
TYPE OF WORK Description of work: ~-d~ df7
Construction Cost: loo Multi-Family Building: (Yes X_ / No
CONTRACTOR r6 S &t i 0,K) ~ ,tt
Name: License 2. ~1~ q ~G5`
Address: 1 3 b v` r,,
City: we'State: Zip:
Phone: - QL J Lib-7 Contact Person: s 4ku'LJ 0 hA
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit fora 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:
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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 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 -
App icant's Printe Name Applicant's Signaf
Page 1 of 3