1979 Chipmunk Ct• = CITY OF EAGAN
3795 Pi1ot Knob Rood Eagan, MN 55122 N! 6664
PHONE: 4548100
BUILDING PERMIT ReceiPt --
To be wnd fer Est. Value Date , 19
5ite Address Erect p Occuponcy
Lot Block 5ec/Sub l Alter p Zoning
.
p Repair ? Fire Zone
arcel #
E
l T
of Co
t
n
orge ? ns
.
ype
W Name Move ? # Stories
Z
0 qddress Demolish ? Frant ft.
?:.., o?.___ Grode fl Depth ft.
Q? Nome _
,o
?? Address
?- r:..,
Name _
Address
I hereby acknowledge thot I have read this application and stnte that
the informotion is correct and agree to comply with oll applicable
Stote of Minnesota Statutes and City of Eagun Ordirances.
Water 8 Sew.
Police
Fire
Eng.
Plcnner
Council
Bldg. Off.
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Rood Unit
Total
Signature of Permlttee I
A Building Permit ls issued to: on the express condition thot
oll work shall be done in accordcnte with oll opplicnble State of Minnesoto Stotutes and City of Eagon Ordinonces.
Building Officiol
r .
hnaM * oaft FaNd ??rsifh?
Piumbing 3713 -.?'j - ?
Mechaniwl .r? -?j T 9- -7 -?
INSPECTIONS DATE I NS, P. Rouqh-In Finol
footings ?t Dote Ir\sa. Date rnp.
Fo aiion Plumbing - • GtJ f
Fram /i s. - -?3 Mechanical
Final ISO
Remarks:
gr- z.s-- ff( - ?, ? ?•?
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print /egibly Tot. °
1. Date 2. Installation Cost
3. Job Address /Lot Blk. ; Tract
?
4. Owner
5. Contractor
Phone
,- ?
6. Address
7. CitY State Zip
8. Building Type: Residential O
9. Work Description: New E]
1 10. Describe
I 11.
Commercial ?
Add ? Alter O
Institutional ?
Repair 0
No. Fixtures
Water Closet No. Fixtures
C
l/D
i
f
Bath tubs esspoo
ra
n
ield
5eptic Tank
Lavatory Softner
Shower Wel I
Kitchen Sink
Urinal/Bidet Oth
Laundry Tray er
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
I 12. ? hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
? Rough Finel
? Fnspections: Date (nsp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt
MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Prinr leg/b/y
_ .,
1. Date 2. Installation Cost
3. Job Address Lot Blk.
-?-
?
4. Owner
Permit No.
Fea
S/C
Tot.
Tract
5. Contractor Phone `•? / - ? ' -
_ a
6. Address ?--
7. City - State
Zip ? 1
8. Building Type: Residential 0 Commercial ? Institutional ?
I 9. Work Description: New ff Add 0
1 10. Describe
1 11•
Ty pe
No. Equinment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg, an
ng:
r
Boi lers
Mfg. Mech. Exhaust
Unit Heater
Mfy. Other
Air Cond.
Mfg.
Gas, Piping Outlets
I 12. I hereDy certify that the above information is true and correct, and I agree to
comply with all ordinances and codesgoverning this type of work.
I Signed : ? ` for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
- Aipproved _ CITY OF EAGAN 454,8100
Alter ? Repair ?
CITY OF EAGAN Remarks
Addition Meadewland lgt Add$tiOn Lot 31 Blk 1 Parcel 10 48050 031 OL
owner ( i1r' ?? ? 6a' J R? street 1979 ChiPmunk Couz't state Laqan, HU 55122
Improvement Oate Amount Annuai Years Payment Receipt Date
STREET SURF.
STREET RESTOR. MP. b? 1589.99 • 99 1431.00 A010536 9-3-81
GRADING
SAN SEW TRUNK 1970 77.95 3.12 25 4.63 01 4 5-11-81
* SEWER LATERAL 2$40.93 A010536 -3-81
WATERMAIN
* WATER LATERAL 1981
WATER AREA 461 1973 95.27 6.35 15 38.12
STORM SEW TRK ) 1971 282.92 14.15 20 127.38 A010164 5-11-81
* STORM SEW LAT 1981 10
* services 1981 10
CURB & GUTTER
SIdEWALK
STREET LIGHT
Road Unit
WATER CONN,
13UILDING PER. 6664
sac 525.00 24709 5-18-81
PARK
(?
,,
. u b l.(1
Zb Be Used For
CITY OF EA?'?IV
BUILDING PERNIT APPLICATION
Site Address: " 9z,1
Lot 31 Block ? sec.isub.
Parcel # : I /? ???r??? O.?
City/Zip Code: f
PYwne #: y(1 7- ? 3 6 0
Contractor:
Address:
City/2ip Code:
Phame #:
Arch./Eng..
Address:
Inciude 2 sets of plans,
1 site plan w/elevations &
1 set of erlergy calculations.
Date j- '"/ / - 9//
OFFICE USE ONLY
? Erect occupancy ?P3
Alter zoning
Repair Fire Zone ?
gilarge Type of Const. ?
' Nb-ve # Stories
Demolish Front /v 2. ft.
zGrade Depth 26 ft.
APPF?'.NAL.S F'EES
I yD ,
Assessments J4' ??/ Permit SD
Water/Sewer Surcharge c'd
Police Plan cbec.k 7 c. 2?
Fire SAC 32 6; e o
gng , Water Cann.
. plamer Water Meter ?O . oD
Council RAad Unit 00
• Bldg. Off.
APC
City/Zip Code:
TOTAL 2? r?e #: 1-3 ?l o ,
Pho -' ?
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
DATE:
Eagon, MN 55122
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
o.:
eter N
Connection Charge:
ze: Account Deposit:
eoder No.: Permit Fee:
agree M eomply with !he City ef Eagon
[ Surcharge:
rdinoncRS. Misc. Charges:
Total:
s Dote Paid:
y
ate of Insp.:
,
I)
I^SP•:
?
CITY OF EAGAN SEINER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagon, MN 55122 DATE: F
Zoning: No. of Units:
O --
wner.
Address:
Site Address:
PI urnbe r:
1 egree to eomply wiH+ the City of Eogan Connection Chorge:
Ordinances. Account Depasit:
Permit fee:'
Surcharge:
BY Misc. CFwrges:
Date of Insp.: Total:
Insp
: Dote Poid:
.
c:) U
This request void /? 3
18 months from
Date of this Request Fire No. T 46132
I, as Faticensed Electrical Contractor O Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. `°` ? ' ` 0 '?rt V?t-? t' Cit Q
?9 / ,
Section Township _ Range , County ?
Which is occupied by LK/ ! f' w?
(Name Oca
Is a roughin inspection required on this job? No ? es ?
Power Supplier Address _
Electrical
Mailing Address
Autharized
Ready Now ? Will Call
No. "74yep
STATE BOARD CQPY This inspection request will not be accepted by the
State Board unless proper inapectian fee is endosed.
Minnesota Siate Board of Electricity
Griggs Midway Bldg. - Room N191 EB-00001-02
1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 2(e
F?EQUEST FOR ELECTRICAL INSPECTION
('itiFf'K RRi.nW W{1RK ('nVRRF.n RY THiS REOUEST T 46 ?1 2
Type of Building New dd . Rep. Check Applianc es Wired Foi Check Equipmen t Wired Foi
Home
Duplex
Apt. Bldg.
Commercial Bldg.
Industrial Bldg.
F [Er
?
?
?
?
? ?
?
?
?
?
? ?
?
?
?
?
? Range
Watet Heatei
Dryet
Fumace
Air Conditioner
List ?
?
?
Q?
? Temporary Wiring
Lighting Fixtures
Electric Heating
Silo Unloader
Bulk Milk Tanlc
List ?
?
?
?
?
azm
athei
?
?
? p
Hehers? p
Hehreers
CnMPiITF. INSPECTiON FEE SELOW
Seevice Entrance 3ize: 4k Fee Feeders&Su6feedeis: # Fee Cacuits: ?k Fee
0 to 100 Am s_ 0 to 30 Am eres 0 to 30 Am eres L??o0
101 to 200 Amps. pb 31 to 100 Amperes 31 to 100 Am res
Above 200 Amps. A6ove 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other Fee
Signs SpecialJnspection Minimum fee $S.OQ ?
Remazks 111111111111111k
_ ? . TOTAL FE Q.p? ?
This request void
18 months from
,us request void 18 months from
? . No
Date of this Request_ 4-1
I, as [YLacensed Electrical ntra
cal wiring installed at:
Street Address or Route No. ?
Section Township
Which is occupied by c?
Is a roughin inspection required on
Power Supplier 40Ak 4 / onL,.
Electrical ContractorA?
c?
Mailing Address U
(E
Authorized Signature
CU .
STATE B ARI
'R a7so5
70 er; do hereby request inspection of the above electri-
,` . . ??+?Ilto C?r ?O I? e
Range - ' ' County
O Ready Nowr Will Call ?
Contractor's License
caITon r ctoLor ner Ing This Installation)? `' ?
,fn ' Phone No. /.-ia'; 7
or o wn6r Makiny Thls Installatlon) ?
COPY TMs inspection request will not be accapted 6y the ?
Stne Board unless proper inspection fee is endosad. ?
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK Cf1VFRFn uv Turc orni rrcT
??
R n-7 cnc
Type of Buildiqg
New Add. Rep. - - - -----' -?-'?c.,?,.,.
Check Appliances Wired For -
Check Equipme %J 1 V V J
nt Wired For
Home
Duplex ?
? ?
? ?
? Range
Water Heater ?
? Temporary Wiring ?
Apt. Bldg.
?
?
?
Dryer
? Lighting Fixtures
Electric Heating ?
? I
Commercial Bldg. ? ? ? Furnace ? Silo Unloader ?
[ndustrial Bidg.
Farm ?
? ?
? ?
? Air Conditioner
pList
lsi ? Bulk Milk Tank
List ?
Othe - ? ? Heie HOthers#
ere
v I c; .iv31-c- i iurv r r.r. rtr.i (Iw
Seivice Entrance Size: ?k Fee Feeders&Subfeoders: Circuits: pee
0 t 0 to 30 Am eres 0 to 30 Am res
101 to 200 Amps. A re 1 to 100 A
Above 200 qmps. A 0 m
6 bove 100 Am
4
tansformets
Si
ns artial of
g
Remarks S ecti 1Mmimurn
fee
TOTAL EE S
?
(Final)
This request void 18
...?rr?•?=,•="GUy %AP,«,y u?at Lne aoove inspection has been m'a?
? i --, ?r 1/ r Date
7
CITY OF EAGAN
3795 Pi1M Kno6 Road Ea9an, MN 55122
PHONE: 454-8100
BUILDING PERMIT APPLICATION
Est. Vnlue 50
Site Address 1y 1y LZu?Iurm L-'L.
Lot 31 Block 1 Sec/Sub. MeadQwlrndc
Parcel # in aaoso n'li ni
s Name Johil B. M2S'loiley CAnstLl.iCtl.o11
? Addrgss Rt 1 Ho?c 239
o Prior Irilce 55372 _. 447-3360
p Name_
?u Address
Nome _
Address
Phone
N° 6664
Receipt # ?C eZ- 7D
Erect R Occupancy 15,3
Alter ? Zoning Rl
Repair ? Fire Zone 3 _
Enlarge p Type of Const. V -
Move ? # Stories
Demolish ? Front _ 62- ft.
Grode ? Depth 26 ff.
Approvals Fees
Woter & Sew.
Police _
Fire
Eng.
Planner -
Councii -
Permit 14U.9V
Surcharge 25.00
Plan check 70.25
SAC 525.00
Water Conn.335. 00
WaterMeter 60.00
Rood Unit 1$5.00
I hereby acknowledge that I have read this oppli4ation and state that Bldg. Off.
the information is mrrect and agree to comply with al1 applicable APC Total 1?340_75
Siate of Minnesota Stotutes ond Cit? of fian Ordinances.
Signature of Permittee
A 8uilding Permit is issued tab JO B. ?k]ri2y LOI]St.YllCt.lOT1 on the express condition ihot
all work shall be done in acc6rdance?with all applicoble?State of Minnqsota Statutes and City of Eagan Ordinonces.
Building Offidol
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= DELMAR H. SCHWANZ
' LANOSUr+wEVOR ? •
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'- .7lft-145TH $tNEEt W. - Bf1X M R06EMOUNT, MINNESOTA d60tt PMONf 412 4211700
BURVEVOR'S CERTIFICATE
CO. FORD ;NO. SO SCALE: 1 Snch -i 30 feet
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? T hereby certify tY?at this 18 a true
and ccrree.t representation of I,ot 31; . ;
Blcek 1, MEADOWLA"7D FIRST ADDTTICN,
according to the recorded plat
'r! ?_? '? P°'"_° _Z.•:?. thereof, Dakota Cownty,. Mannescst_a:.Y..,:.,,•,.:
Dated Ju1?T 1?.. 39?'?9.
K ?.?u?-r
. `Rpproved =for Dunn & Curry Re 1 h state Management, 7nc.
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by; ;,-. T
, . i `?.A M O?x
V ' MINNESOTARE618TRATIONN0.8l46??`???
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? RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
91J4Q. oco
New CansWction Reauirements RemodeVReoair Reauirements Office Use OnN
3 registered site surveys shaving sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N
(20%mazimumlotcoverageallowed) ise[o(EnergyCalculationsforheatedadditions TrcePresPlanRecd _Y _N
2 copies of plan showing 6eam & wirWow sizes; poured found design, etc. 1 sHe survey for addilions 8 decks Trce Pres Reqd _ Y_ N
lseto(EneyyCalculations AddRton-indicatei/arsitesepUcsystem On-si[e5eptic5ystem _Y _N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (hldgs with 3 or less unBs
Date??/ ? /.C)e Construction Cost 06 CD
Site Address ? 7 9 Ai Q, Mcln /j' ?'[7ic /r 4- UniUSte #
Description ot Work c-I'"o.
Multi-Family Bldg _ Y?l N Fireplace(s) _ 0 _ 1 _ 2
Property Owner M ? +c? Telephone # 6s / ) 4- 1:?¢ Jr
Contractor k6Tdle#°) 5/-7VM
Address Z/ az_'ap &/„(O O d Anelh t/:e? City ? 5 ????r?
State Telephone # (?S ?)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . ResidenUal Ventilafion Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N
fee applies.
Licensed Piumber --?- F-)1 Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
If so, 25% plan review
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 pemut, 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.
ApplicanYs Printed Name
r
C 4Acant's Si ? e
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 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) O 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 ? 25 Miscellaneous
Work Types
? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy V? ?3 MCIES System -"-
Census Code Zoning ? City Water ?
SAC Units ' Stories ! Booster Pump -
Nbr. of Units "- Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const ? Width Ai-
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) ? FinaUNo C.O.
/,V Footings (addirion) Plumbing
?G Foundation =
HVAC
Drain Tile Other
Roof ? Ice & Water F inal Pool Ftgs Au/Gas Tests Final
? Framing Siding Stucw Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Approved By
?
Building Inspector
70 h?
11'.cate fbr:, v
.n h Curry
--- • I
DElMAR H. SCHWANZ
LwHOSUavevon ?
. aqntwoe unew uwi of rn. suu or M~06e4
=79 - 149TH STNiET W. -BpX M R06EMOVNT, M1NNEbOTA 660Yi P1WNi 612 42117M
SURVEYORS CERtIfICATE
,. 1,.o. RORD ; NO. 2)O SCALE: 1 inch ? 30 feet
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hereby certiPy that this is a true
and ccrrect representation of l,ot 31,
s Elcck 1, NEADOWLA"rD FIRST ADDFTICN,
o•Q^ ?? according Lo the recorded F2at
thereof, Dakota Counttr, M:nnesota.
Dated: July lc,- 3979. ,
Approved for Runn & Curry Rea1 l,tate Management, Inc.
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a,
by ; , ? ,?
,?y??t \ MINNESOTA qEOiSTRNTION NO• 8426
W ?'
RE5IDENTIAL BUILDING
• Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagau MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsW ction Reauirements RemodelR2eoair Reaui2menLS Offica Use Oniv
3 registered site surveys shoxrirg sq. fL of lot, sq. R of house; and al1 roofed areas 2 capies of plan Cert of Survey Recd _ Y_ N
(20% maximum bt coverage allowed) 1 set af Energy Calculetions for heated additions Tree Pres Plan Recd _ V_ N
2 copies of plan sfwwing beam & window sizes; poured found design, e[c. 1 sfle survey for additions 8 decks Tree Pres Reqd _Y _ N
1 set a( Energy Calculatlons Add'diort - irMkate if on-sife sepfic sysfem On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan'rf lot platled aRer 7/1N3
Rim Joisl Detail Options selecbon sheet (bldgs with 3 or less units
D a t e Ct-? l c 1?W S Construction Cost
SiteAddress K-?411 /Ylcih ?G?rj" UniUSte #
Description o[ Work ? ? ?¢-` ? ? P/"a o f- ?? ??Y?? ?7 /7???' .?
Multi-FamilyBldg _ Y_L- N Fireplace(s) _ 0 _ 1 _ 2
?C?
P
O S
1 Telephone# 6S %
wner
roperty i
Q 4,
Contractor Oade s '?"?1 C?
/
Address ?/ ?z 4eI NGJ 4 2YL- C<<Y
t
St Zi Telephone #(?s 7)
e
a
n p
I o /a?/U3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Catecorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a
fee applies.
in Eagan with a similar plan?
N If so, 25% plan review
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
??IC ? IC II I'J ?F
n nrT ? „ .,....., 'i 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 requires a review and
approval of plans.
Applicant's Printed Name Ap icant's Si a ure