1796 Covington Lane䥃奔传⁆䅅䅇ൎ匊敥椠㌧杤䍥氧晩敦䄠摤瑩潩汐瑡䘠汩潆൲刊来牡Ᵽ湉畂汩楤杮倠牥業獴愠摮匠睥牥传瑵敬൴ㄊ漠‴䥐䍅䌠⸮嘠ㆄ䤠猊敩摁牤略潌⁴求歸匠捥匯扵മ倊牡慣⌮⁗⁉慎敭※摁牤獯൳戊㽩Ꝗⴱഭ上浯ൟ䄊摤敲൵ㄊ栠牥扥⁹捯湫睯敬杤桴瑯䤠栠癡敲摯琠楨灯汰捩瑯潩湯瑳晡桴瑡桴湩潬浲晣潩獩琠牯敲瑣愠摮愠牧敥琠海汰⁹楷桴漠汬漠灰楬潣汢匊潴整漠楍湮獥瑯瑓瑡瑵獥愠摮䌠瑩⁹景䔠条湯传摲湩湯散汓湰瑯牵景倠牥業瑴敥⁁畂汩楤杮倠牥業⁴獉椠獳敵潴ഺ漊汬眠牯桳汯敢搠湯湩砠潣摲湡散眠瑩汥灡汰捩扡敬匠潴整漠楍൲䈊極摬物ⁱ晏瑦楣汯끎㘠ㄳ牅捥ॴ॑捏畴潰据൹䄊瑬牥瀉娉湯湩൱刊灥楯ॲि楆敲娠湯䔊汮牡敯㼉吉灹景䌠湯瑳മ䴊癯॥ि‣瑓牯敩൳䐊浥瑯獩२ि敌杮桴片摯॥॑敄瑰煓瑆മ䄊灯潲爉污ॳ獥獁敳獳敭瑮慗整‸敓潐楬散楆潲牅瀿മ倊慬湮牥潃湵汣൬䈊摬汦晏ⱦ偁ൃ倊牥業൴匊牵档晲獬汐湯挠敨正✠䅓ൃ圊瑡牥䌠湯潗整敍整൲刊潯湕瑩潔捴൬漊桴硥牰獥潣摮瑩潩桴⭡湯楃祴漠慅数牏楤慮据獥
Permit No. Permit Holder Misc. Permit No. Holder
Plumbin9 'z5q
H.V.A.C. Z'Z Q ?(?tU
Wdl
Water
Disp.
S?wer
eleceric -T77`l'Z5 bPl( ? -(o -g?
Inapection Date Insp. Qthar
Footinpa b
Foundation
Fnminq
Rough Plbp.
Rouqh HVA
Inwlstion
Final Plbp.
Final HVAC
Final
water Da6eribe Locatian:
VWII
Sowar
Pr. Dbp.
See Ridgecliffe -5-
Regarding Building
File For Memo
Outlet
Site /lddreu
Lot Block Sec/Sub.
Parcel #
ac Name
W
; Addross
? G Phone . - ?
°C Nome
Zo
u? Address
?- ?-r.., o?..,.._
Nume _
Nddress
;:Io
,
c.? ? ??upancy
Alter ? Zoning
Repoir p Fire Zone
Enlorpe ? Type of Const.
Move ? # Stories
Demolish ? Length .'
Grode Q Depth Sq. Ft.
Approvols Fees
Assessment _
Water 8 Sew.
Police
Firo
Enp.
<"' 1 City pfione Planntr
Counti I
I hereby ocknowledge thot I hove reod this application ond stote thot gldp. Off. -
the intormation is oorrect ond ogree to comply with oll opplicable APC
State of Minnesata Statutes and City of Eogon Ordinonces.
Permit
Surchorfle '
Plon check
SAC "
Woter Conn.
Water Meter
Road Unif
Totol
$ipnoture of Permittee ?
A Building Permit is issued to: on ths expross tondiNon thno
oll work sholl be done in occordante with all applicable State of Minnesota Statutes ond Ciry of Eopan Ordinonces.
BufldinQ Offlciol
t
PermiC No. Permit Holder Mise. Permit No. Hoider
Plum6ing zrj 1 0{ llZ-
(foLA
H.V.A.C.
We1 1
isp.
p
EI,ctrI
c 32-7
Irnpsetion Daft Insp. Other
Footinyt ;?j?5/
Foundatlon
Framinp ? ??_?
Rouph Plb? ? Q
Rouph HVA _??-?'
Inwlation _ ?_
Final Plbp. . ? Ci ?
Final HVAC
Final
Wour Wwiba Location:
YYell
Sewer
P?. Ohp.
rlrr ne VAGeN
?,See li?dgecliffe ??? Addition Plat File For I?en
? Regdrding BuiZding Permits and Sewer Outlet
IiY1LDING PERM17 ...
SIM Addrcss A' %mju >
Lot Block Sec/Sub.
Parcel #
ot NOm! iu? lr y
? /hddMSt r'U?`O0 .? .
u?
?
Nome _
Address
Name _
Address
I hereby ocknowledge thot I hove read this opplication cnd stote that
the informotion is correct and agree to comply with all applicoble
State of Minnesotu Statutes and City of Eogun Ordinonces.
Sipnoture of Permiftee
A Building Permit is issued to:
all work sholl be done in acwrdance with all upplioable StoQe of Min
Buildinp Officiol
Erect (]
Alter p
Repoir ?
Enlaroe []
MOve ?
Demolish ?
Grode ?
IV° U64
Occupancy
Zoniny
Fire Zone
Type of Const.
# Stories
Length
Depth Sq. Ft.
Fees
Assessment
Water 8 Sew.
Palice
Firo
Enp.
Plonner
CaunNl
Bidg. Off.
APC
Plan check
SAC
Wnter Conn.
Woter Meter '
Rood Unit
Totol -
m the express conditfon thnt
y of EaQon Orclinonces.
Permit No. PKmit Holder Misc. Permit No. Holdor
Plumbing ?S?' ? ?rtZ-? ZSQ ?
H.V.A.C. ??Z C Cv? I ? C. r ? Z?
Well
Wator
Disp.
Swwr
EI..t.i, 03a-7?
Inspeotion psts Insp. Othar
Footinyt
Foundation
Framinp
Rouph P16y.
Rouph HVA
Inwlation -4? -802,
Finel Plbp,
Final HVAC , (,v
Final
Waftr Daeri6e Loestion:
VYall .
Sovwr ?
Pr. Dhp. .
, • cirir oF EAGAN
See Ridgeeliffe 5? Addition Plat File For Mel
':Regarding Building Perrnits and Sewer Outlet
To w wmi fe.
SiM /lddrcu
Lot Block Sec/Sub.
Porcel #
W I Name
Z
g Addrc:
Name
IL1?? RIM
Erect [J Occuponcy
Alter ? Zonlnp
Repair ? Fire Zane
Enlarys p Type of Const.
Move ? ,# 5tories
Demolish p Length
Grade ? Depth Sq. Ft.
Approvals Fees
/Wdress Assessment _
City Phone Water & Sew.
Police
Name Firo
/lddress Enp.
1 hereby acknowledge that I have read this cpplication ond store thot
the informotion is correct ond ogree to comply with oll upplicable
State of Minnesota Stotutes ond City of Eogcn Ordinonces.
Sipnaturc of Permiftea
A Building Permit is issued to:
all work shcll be done in accordonce with all appliwble Stote of Minr
Buildinq Offitial
Pennit
Surchar9e
Plan check
SAC
Woter Conn.
Woter Meter
Rood Unit
Totol on fhe express oonditlon thni
rid-City of Eupon Ordinantes.
Council _
Bldg. Otf.
APC -
Psrmit No. Permit Holder Misc. Permit No. Holder
Plumbinp GE nz-? ?'? /D-?b ??
H.V.A.C.
wau
w?..
Disp.
Sower
Electrie T( 3:2 c t ?? -la
Irnpection Data Insp. Other
Footinpt _,7y
Foundetion
Framinp 2, ?F
Rouph Plbp. Z- 4
Rough HVA
Inwlstion
Final Plbp.
Final HVAC
Final W
Water Dosc?iba Loeation:
YWII
Sevwr
Pr. Disp. ,
?
Receipt ??
1. Date 1"-8-81
3. Job Address
4. Owner
1798
0-riRIr1 TILMIDS)orr HDrr?s
5. Contractor Phone 'S•-?r i
6. Address
7. City State Zip -' :l+07
8. Building Type: Residential El Commercial ? Institutional O
9. Work Description: New 0 Add 0 Alter O Repair ?
10. Describe ='-'.. ? ,. !. - -. . ;Fuel Type
? 11•
No.
? Eauioment STU - M. Ea.
Forced Air No, Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
' Air Cond. c _
Mfg.
1 Gas, Piping Outlets
L
12. I hereby certify that the above information is true and correct, and I agree to
comply with a11 ordinances and codes governing this type of work.
Signed : for
Rouyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fae
Fill in numbered spaces S/C •'
Type or Print !eglb/y T
t
'• ??'
o
.
2. Installation Cost ? '' ??' • ^ ' _ ?
Reoeipt -MECHANICAL PERMIT Permit No.
i CITY OF EAGAN '
Fee
Fill in numbered spaces S/C
Type ar Print legibly Tot.
1. Date 2. Installation Cost -
3. Job Add1'eSS i ? '?' ? ? ' -` '?" • Lot a ? Bl k. TreCt ?
4. Owner 5. Contractor - Phone
6. Address ';.c.37 Ct1iCago -;vo. :.
7. City State ' 2ip
8. Building Type: Residential El Commercial O Institutional ?
9. Work Description: New El Add ? Alter ? Repair ?
I 10. Describe _? ;.3tt11 foTCed -7j_r• Fuel Type .:a-t ?
1 11•
No.
l Epu'u m? ent 9TU - M. Ea.
Forced Air No. Equiament CFM
Ai
H
dli
Mfg. ng:
r
an
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mfg. Other
1_ Air Cond. jf
Mfg,
1 Gas, Piping Outlets
I 12. I hereby
comply I
I Signed :
Inspections: Date
This is your permit
Approved
is true and correct, and I agree to
ning this type of work.
for
Final
Date Insp.
approved.
- CITY OF EAGAN 464-8100
Receipt _
7 , r
_ MECHANICAL PERMIT Permit No. -
CITY OF EAGAN •
Fee
r
? Fill in numbered spaces $/C
Type or Print /egib/y Tot.
1. Date ?-~ -• ? 2. Installation Cost
3. Job Address i Lot ? L4 Blk. , Tract
4. Owner
5. Contractor Phone
6. Address ':hiC--t''o , v?
7. City State •
zip '?5L?07
$. Building 7ype: Residential LI Commercial ? Institutional ?
9. Work Description: New 13 Add ? Alter ? Repair ?
10. Describe '-!3t`-L1-' forced FdL' uel Type
11.
Nmt gti8
No,
i EQuioment BTU - M. Ea.
Forced Air No. Ectuipment CFM
Ai
Ha
dli
:
Mfg. n
r
ng
Boilers
Mtg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond. - • -- -
Mfg.
i Gas, Piping Dutlets
12. I 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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
- i ^J
Receipt '
1. Date 12"8"81
MECHANICAL PERMIY
CITY OF EAGAW
Fill in numbered spaces
Type or Print /egib/y
2. lnstaUation Cost
Permit Na.
Fee
S/C Tot.
3. Job Address 17% ?OV-inf=t('nl.ot Blk. Tract •
4. Owner " - "
5. Contractor Phone 8. Address - ` •
7. CitY "- State Zip
8. Building Type: Residential Q- Commercial ? Institutional ?
9. Work Description: New 0 Add O Aher O Repair ?
( 10. Describe ?n? E, Ll . ..., c • ? ?:• :r. ".:.11fuel Type •::Lt
1 11•
No.
1 Equioment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg, r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg, Other
? AirCond.. ?'?•c. :t_ c....__.?c;
Mfg,
? Gas, Piping Outlets
12. 1 hereby certify that the abave information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Pinal
Inspections: Date Insp. ____ Date _ ___ Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN
454-8100
/.
Raceipt
3
PLUMBING PERMIT Permit No. ?-
CITY OF EAGAN
Fee
Fill rn numbered spaces S/C
Type or Print legibty -
Tot. '
Date l 4- 2, Installation Cost
?
Job Address ' Lot -a_Blk. ? Tract Owner
Contractor Phone
Address ? G ? *=, :; , ,, • -? ,
City Siate -?r Zip X ' - -
8. Building Type: Residential ?
9. Work Description: New E1
1 10. Describe
1 11•
Commercial 0
Add ? Alter O
Institutional ?
Repair 0
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Dr
infield
Bath tubs p
a
tic Tank
Se
Lavatory i p
g
ftner
Shower a
Well
Kitchen Sink
Urinal/Bidet Othe
Laundry Tray r
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
1 12.
I 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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
leh
'
Receipt PLUMBING PERMIT - /
Permit No.
CITY OF EAGAN -
Fee
p Fill in numbered spaces S/C :
? Type or Prrni /egibly
? i
? .
Tot.
1. Date
e" ' 2. tnstallation Cost
,_ .
3. Job Address Lot l Blk.
-- Tract
4. Owner -
5. Contractor Phone
,
6. Address -
7. City State <
Zip
S. Building Type: Residential O Commercial ? Institutional O
9. Work Description: New E1 Add O Alter O Repair ?
10. Describe
1 11.
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Septic Tank
Lavatory Softner
Shower Wel4
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above infarmation is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: - for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt " PLUMBING PERMIT Permit No.
CITY OF EAGAN '
Fee
Fill in numbered spaces S/C
Type or Prrni legibly Tot.
1. Date 2. Installation Cost • ? 'I -
. f,
3. dob Address Y Lot Blk: Tract
4. Owner r • !,O /??ri?! -??1?? ?
5. Contractor
State 0 ? i (; Zip -,
8. Building Type: Residential"El--' Commercial ? Institutional ?
9. Work Description: New fl.l- Add O Alter ? Repair O
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
/ Bath tubs p
Septic Tank
Lavatory S
ftner
Shower o
Wel l
% Kitchen Sink
Urinal/Bidet Oth
LaundrY Tray er
/ Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with a44 ordinances and Codes gov¢rning this type of work.
Signed: r for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
.. -??
Reoeipt PLUMBING PERMIT Permit No.
CITY UF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prini /egib/y Tot. ?-
.-,
1. Date ' 2. Installation Cost
3. Job Address Lot Blk. Tract
I 4. Owner I
5. Contractor ; - Phone - ` '
6. Address
7. City r State Zip -
8. Building Type: Residential Lff Commercial ? Institutional ?
9. Work Description: New 0- Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures •
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I 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 F inal
Inspections: Date Insp. Date Insp.
454,8700
This is your permit when numbered and approved.
Approved CITY OF EAGAN
Raceipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
fi!l in numbered spaces S/C Type or Print legib/y Tot.
1. Date ' 2. Installation Cost ' I/ `
i,
3. Job Address Lot Blk. Tract
4. Owner
zzl' 5. Contractor r - 7 ? Phone ? ! ! 1!
6. Address Zia,, S , (it""i 7'_ 7 c',- 1 t
7. City State 1V Zip
8. Building Type: Residential? Commercial ? Institutional ?
9. Work Description: New q-- ' Add ? Alter ? Repair ?
10. Desaibe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
_L Kitchen Sink
UrinallBidet Other
Laundry Tray
? Floor Orains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type af work,
Signed: - for '
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt - 'PLUMBWG PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C Type or Prini legibly
Tot.
1. Date 2, Installation Cost - '
3. Job Address i. ,.i Lot Blk. Tract T- 1C
4.
5.
6,
8. Building Type: Residential 40 Commerciaf 0 Institutional ?
9, Work Description: New f1 Add O Alter 11 Repair ?
10. Descri be
11,
No.
' Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry TraY
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I 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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
7. City State l)ja / Zip
?
CITY OF EAGAN Remarks
Addition?Lot ? Blk 1 S . Parcel
own?.?'"r`?f C?P?? ?{} 1-'r'' • Street 1796 Covington Lane Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STR EET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK ? 1982 98.12 5 98.12 C007616 12-23-81
SEWERLATERAL 1982 652.71 5 652.71 C00
WATERMAIN
WATERLATERAL 1982 630.40 5 630.40 C007616 12-23-81
WATER AREA 19$2 98.12 S 98.12
Services 1982 637.75 5 637.75 C007616 12-23-81
STORM SEW TRK 1982 259.49 5 259.49 C007616 12-2 -8
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 26695 9-11-91
WATER CONN. 335.00 rt n
BUILDING PER. 6$63
sAC 525,00
PARK
CITY OF EAGAN Remarks
Addition Ridgecliffe 5th Addn. Lot 2 Bik 15 pafcel 10 63984 020 75
o,,,,n8r` r::• i'Al{Ip,C•I L 'raY r(ti street 1798 Covington Lane Eagan, hIIV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STFiEET RESTOR.
GRADING
SAN SEW TRUNK -19.82 2 2 _2 _ 1
SEWERLATERAL 1982 652.71 S 652.71 C007616 12-23-81
WATERMAIN
WATERLATERAL 1982 630.40 5 630.40 C007616 12-23-81
WATER AREA 1982 98.12 5 98.12 C007616 12-23-81
Services 1982 637.75 5 637.75 C047616 12-23-81
STORM 5EW TRK 1982 259.49 5 259.49 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
85 00 26695 -11- 1
WATER CONN. 35.00 f? ty
BUILDING PER. 6$62
sa,c 525.00
PAFK
CITY OF EAGAN Remarks
Aadition _ Ridgecliffe 5th Addn. Loc 4 eik 15 Parcel 10 63994 04n IS
owner hd?' t,c i` LIY,?eLj!c1 ?ti)i i,.?st.eet 1800 Covington Lane stete Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1982 9$ 12
SEWERLATERAL ig
WATERMAIN
WATER LATERAL 1982 40
ki
WATER AREA 1982 98-12 C00761 6 1 2-21-Al
Services 1982 X 7 71,
STORM SEW TRK 1982 259.49 12-2-1-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Ro _R
WATER CONN. 535-00
SUILDING PER,
6864
sAC 525.00
PAR K
CITY OF EAGAN Remarks
Addition Ridr?ecliffe 5th Addn Lot 1 Bik 15 Parcel 10 63984 p.10 15
OwnerLIU- IL!?, W1°210'11 '. L Lak:.,rtStreet 1802 Covington Lane 5tso Eagan, NW 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR,
GRADING
SAN SEW TRUNK '', 1982 98.12
SEWER LATERAL
WATERMAIN
WATER LATERAL 1
WATER AREA
S rvi s 1982
STORM SEW TRK 19$2 259.49
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 '
WATER CONN. 335. 00
BUILDING PER. 6861
sAC 525.00
PARK
(Etrtt#ir?te uf Orruptturg
Citp of Olagan
`. _ Eepttrtmpn# vf luilbing Jnsppr#inn
?'bis Certi f icak itsutd pursuant to tbc rcquircmcnu o f Sation 306 o f thc U»i f orm Building
Code certifying lhat at tfx tiAU of issuancc tbis strucsufr wal in compliance wirh tbr var;ous
ordinances o f the City rrgulating building constructian or xse. For tfx fo!louring:
u«c?..:a?a 1 of 4 PLYX Q61
n? s? ?r? ni1
bwdi,,,amc,, ? Daa: Februarv 11, 1982
l?-
? ?- '- LITHJiN u.5.<.
(ger#if iratP uf (Orrupttnry
Citp of (Cagan ,
. ?=
DPpat'#ritPlif of Illtddilt J -II18pPCtiDIt
Tbu Ctrti f icatt i.urud ptrrjxant to the rcqairemnua of Sutiou 306 o f tbc Unif orm Buifding
Code urtifring that at the tine of it.cuamt tbit ttructurt wat in compliana urith the vuriout
adixarrcu of tbc City rcgxlarixg 6xilding coanrucrios or,rse. For the followrng:
w. ckAwecadm I of 4 PLFX Rds. r.? No. 6 A64
oa„p.m, Typ. P.3 7?v ca..uucua. V n4o raa. NA xamft nbuia PT)
??JdF By? n..L.,..,-..-.. I 1 IQ
-------- ??L?
ron .M r coMw+woM w...a •.:;,?,, r ? .. ? . ..
.e, v? ti.-?t? ?- -- - urNOiwu.s...
. _
?
1082 Payne Ave.
St. Paul, MN 55101
651 /772-2449
LAST rG Il ; G n _ F I RST fOG ri 1
ADDRESS OC' Co a 1, r/
CITY P r/ ZIP S5-l Z Z
HM PH /v_S"107!? WK PH
TECH _? I r 11 ?l DATE ?,?? f?fJ l
TYPE
MAKE C o,j-
MODEL 3-30 A4U 03 (, d 6 G? C J ?Cl
SERIAL 3 SOO /4?9'?dG
INPUT 0 OCDC)
ORSAT TEST RECORD
C02 ?% METERED INPUT 6 0? Cfh CHIMNEY TYPE
02 , % LlMIT SETTING ?(?d ° FLUE SIZE in.
CO % PILOT OUTAGE CONNECTOR SIZE in.
NET STACK TEMP 0 TOTAL CHIMNEY INPUT 0 a O btuh
. . . . . GAS 1NORK ORDER
STANDARD
6HEATING09
410 W. Lake St.
Minneapolis, MN 55408
612/824-2656
& AIR CONDITIONING
A Blue Dot: Service Co. EQUIPMENT INFORMATION
oF Fr?cnN WATER SERVICE PERMIT
Pilof Knob Roed PERMIT NO.:
M!! 55122 DATE:
I' No. of Units:
Address:
No.: Connection Chorge:
Accourrt Deposit: _
No.: Perrntt Fee:
to complr wlt6 !he Ciry of Eagan Surthorge:
1°°& Mtsc. Chorges: _
Totol:
Date Paid:
OF EAGAN SEWER SERVICE PERMIT
Pilof Knob Road PERMIT NO.:
MN 55122 DATE:
1' No. of Units: J uIZit
Address:
n to eomPlY with the Cft of Eagan Connection ChanDe:
ianaes. Account Deposit:
Pertnit Fee:
Surcharge:
Mlac. Chorpes:
of Insp.: r.,._r.
OF EAGAl1
Pilot Knob Rood
MN 55122
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Unitr. ---- n?- ! f,
o ?
;
Address: rviTi-,ton T,a._t= j,4
No.:
M eo-plY wilb the Citr of Eagan
OF EAGAW
PUot Knob Reor
MN 55122
Connection Charge:
/lccount Depostt: _
Permit Fee;
Surchorge:
Misc. CFarpes: -
Totol:
Dote Poid
SEWER SERVICE PERMIT
PERMIT NO.: •
DATE:
No. of Units:
Address:
/ .. , , . .
fO cmVlY Wth Nw City of Eagan
of Insp.:
Connection Charpe:
Permit Fee: ?
Surcharpe:
Misc. Ciwrges:
Total:
Date Poid:
Dote of I nsp.:
1F EAGAN
'iloc Knob Road PERMIT NO.:
MN 55121 DATE:
` No. of Units: ? `'• ';.: .
i ,..
OF EAGAN SEWER SERVICE PERMIT
Pilat Knob Roed PERMIT NO.:
, Mli 55122 DATE:
r ` No. of Units:
Address:
M oompy with tha City oF Eagan
Connection Cho?pe:
/lctount Deppsit:
Pertnit Fee:
Surcharge:
Misc. Chorpes:
Total:
Dats Poid:
CITY OF EAGAN WATER SERVICE PERMIT
3795 Piloc Keob Reod PERMIT NO.:
Eugon, MN 55122 DATE:
Zoning: No. of Units:
C 'nQf: 'r t`-,-`t1- .?...
Address:
Site /lddress: li :oviu L:.' 41.5 , I1ffe Sth .
Plumber.
Meter No.: Connection Char9e: - ? , • ? .
Size: Account Deposit:
Reader No.: Permit Fee: Pc:
I a9roe to wmply wiNh !he City of Eagan Surchorge: Pt'-
Misc. Chorges: ) i 11 : .
Total:
BY Qata Paid:
Date of Insp.: Insio:
1 1/ -,
to aamPlr wifh fbe CMy of Eagan
of Insp.:
Pilof Knob Road
, MN 55122
i
Address: 1 7' i; t'r, - '
No,.
No.:
M aomply with t1N City of Eagan
Connedion Chorpe:
Acwunt Deposlt:
Pem?it Fee:
Surthoree;
Mlac. Chorges:
Total:
Dote Peid? _
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Charge: Account Deposit:
Permit Fee:
Surchnrge:
Miac. Choryes: r
Total:
Date Paid: W
Ordtnanep.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD • 55122 ?X, 0,!z-
651-681-4675 ?a I? e?
New Canstruction Reauirements RemodellReoair Reauirements
• 3 registered site surveys showing sq. tt. of lot, sq. ft of house; and all roofed areas . 2 mpies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculatiow for heated addi6ons
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for extenor additions & decks
• 1 set of Energy Calculatlons
• 3 copies of Tree Preservation Plan if lol platted after 711193
. Rim Joist Detail Options selection sheet (61dgs wiN 3 or less units)
DATE VALUATION (EXCLUDING LAND?? Y ySO, va
JOB SITE ADDRESS_ OUI ( 0vitiJ6 n?v L/9niE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNERP,orSE-4-T GId..C-,Z
TYPE OF WORK 3rtS t?? 6?•? (-?-,wS,t,? FIREPLACE(S/) 0 1 2 3
APPLICANT ?utY? ?? C2 f}FT ?swr{?, ?,.c, PHONE # C7s?-/ (d95o y/y
ADDRESS
PAGER #
CELL PHONE #
_ZIPCODE
FAX #(-95))-NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
Plumbing Contractor:
Plumbina Syslem Includes:
- New Energy Code Worksheet Submitted
Phone #:
Water Softener _ Lawn Spnnkler
Water Heater No. oPR.I. Baths
No. of E3aths
Mechanical Contractor:
Vlccliamiril Svstcm Includes:
Sewer/Water Contractor:
:1ir Conditioning
Hcat Rccovery System
Phone #
Phone #
Pee: $90.00
Pee: $%0.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the inform
all applicable State of Minnesota Statutes and City of Eagan Ordinan
Slgnature of A I ?
i v
Certificates of Survey Received _ Tree Preservation Plan Received
r'4P
?
Updatetl t/Oi
OFFICE USE ONLY
? Ot Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
P4, 31New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
O 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
`Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy k 3
Census Code Lz? Zoning
SAC Units O L Stories
Nbr. of Units _L Sq. Ft.
Nbr. of Bidgs . ? Length
Type of Const Jr - Width
_ Footings(new bidg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
-)0 Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
? Plumbing
? HVAC
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved Byale_, Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex op 19 Lower Level
? 12 12-plex Plbg_Y or_ N
10: LOFEVA OISIN. [1PII,II'Y DIIS,LV(, CLEMFC
BUIIDNG LySPECI'ICN DEPAM`]E]T
' BILL HRA.VQI, SL'PE.4L`7M+'DE.T CF PLBLIC t+ARKS
F:SM: ZHDAS A. COISEFQ, DIR£CIC)R OF PLHISC WqRf6 dt"-r
DAT:7: SEPI'=.•ffiER 10. 1981
IE: RII?'.Q.IFFE LST ACDPI'IIN , .
Because the following list of lots in Ridr,ecliffe lst P,dc.'iticn does
not have 5zavity sewer outlet at this time, the folla+i.uxJ proce-
dures will be initiated imtil fLUther notioe: .
VPZI.IZ"I BILL?'JG
No water turn-ais will be allowed prior to 8-1-82 or +.aitil scwes
is available in these areas. '
OV1'W1W l1-<CI..C11l.1Y
Building pezmits can be issued for t'nese lots, but the builder
should be infozred at tir.e of pe=it issuanoe (per'.^aps stanpi.^q
the building peaut wi.th "*IO O=2RXY PRIGR TO 8-1-82 CP. LN'I'IL
SE•-EF2 IS AVAILA,3IE") the restricticns rn sewar availability.
MAI.`:^"Lk% C E C.EP.kT"R.VP
See both utility billing and buildirg ins-pection above.
The lots with these restrictions are as follows:
_
LC7I5 1-9, HIIJC..?C 7 ? Lo-? s I-?( , B l o c?
u?rs 1-6, src e t o?k
UJIS 1-7 B=-( 9
LcT.S 18-23 BLDCTC 9 '
L(yI5 10-16 BLfCK 10
Il.7I'S 1-10 BLlJCK 5 IUIS 1-4 B7A7 6 .
LC7PS 1-6 B={ 12 •
IL7I5 1-17 BLO'K 13
and aze also indicated as the attac`ied ; iaps. .
jac
i
ADDRESSES OF LOTS IN RIDGECLIFFE FIRST ADDITION AFFECTED BY THE UNAVAILIBITY OF SEWER
OUTLETS UNTIL AUGUST 1, 1982
Lot Block Address Lot Block Address
1 5 1719 Forssa Way 10 10 1822 Karis Way
Z 5 1773 Covington Lane 11 10 1826 Karis Way
3 5 1769 Covington Lane 12 10 1830 Karis Way
4 5 1765 Forssa Way 13 10 1834 Karis Way
5 5 1761 Forssa Way 14 10 1838 Karis Way
6 5 1753 Farssa Way 15 10 1842 Karis Way
7 5 1743 Forssa Way 16 10 1846 Karis Way
g 5 1739 Forssa Way 1 12 1843 Covington Lane
9 5 1733 Forssa Way 2 12 1839 Covington Lane
10 5 1725 Forssa Way 3 12 1833 Covington Lane
1 6 1766 Forssa Way 4 12 1827 Tampere Circle
2 6 1762 Forssa Way 5 12 1823 Tampere Circle
3 6 1758 Forssa Way 6 12 1819 Tampere Circle
4 6 1756 Forssa Way 1 13 1815 Tampere Circle
1 7 4750 Narvik Drive 2 13 1811 Tampere Circle
2 7 4754 Narvik Drive 3 13 1807 Covington Isne
3 7 4758 Narvik Drive 4 13 1801 Covington Lane
4 7 4762 Narvik Drive 5 12 1797 Covington Lane
5 7 4766 Narvik Drive 6 13 1795 Covington Lane
6 7 4763 Flora Drive 7 13 1791 Covington lane
7 7 4755 Flora Drive 8 13 1718 Forssa Way
8 7 4753 F'lora Drive 9 13 1722 Forssa Way
9 7 4749 Flora Drive 10 13 1726 Forssa Way
1 8 ¢749 Narvik Drive 11 13 1730 Forssa Way
2 g 4751 Piarvik Drive 12 13 1734 Forssa Way
3 8 4753 Narvik Drive 13 13 1738 Forssa Way
4 8 4759 Narvik Drive 14 13 1746 Forssa Way
5 8 4763 Narvik Drive 15 13 1750 Forssa Way
6 8 4765 Narvik Drive 16 13 1752 Forssa Way
1 9 4738 Narvik Drive 17 13 1754 Forssa Way
2 9 4742 Narvik Drive
3 9 4727 Lenore Lane
4 9 4721 Lenore Lane
5 9 4715 I.enore Lane
6 9 4711 Lenore Lane AI,SO: RIDGECLIFFE FOURTH
7 9 4701 Lenore Lane
18 9 1823 Karis Way 1 16 4716 Lenore Lane
19 9 1$27 Karis Way 2 16 4718 Lenore Lane
20 9 1831 Karis Way 3 16 4754 Flora Drive
21 9 1835 Karis Way Q 16 4752 Flora Drive
22 9 1839 Karis Way
23 9 1847 Karis Way RIDGECLIFFE FIFTH
1 15 1802 Covington Lane
2 15 1998 Covington Lane
3 15 1796 Covington Lane
4 15 1800 Covington Iane
(yg614(a
4N / 7t, ?S'
2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conslruction Reouirements RemodeURenair Reauirements Office?Use Onlv
3 registered sile surveys showirg sq. ft of l04 sq. ft, of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N
(20% maximum lot crovarage allowed) 1 sat of Energy Calculations for heated addrtwns Tree Pres Plan Recd ? Y_ N
2 wpies o( plan shawing beam 8 window sizes; poured found desyn, etc. 1 site survey for addilions 8 decks Tree Pres Required _ Y_ N
1 set o( Energy Calculations Addfion • iMicate i/ar-site septic system On-site Septic System _ Y. _ N
3 copies of Tree Preservalion Plan if lot platted after 711/53
Rim Joisl Detall Options selection sheet (buildings wilh 3 or less units)
Date_ ' l??! 6? ?-' C'n t?-
ConstructionCost ?sz0 J
Site Address 1860 ?/b'62? fM, /? S? Ca v,y-??-,r„? ?A.? F UniUSte #!
Description of Work It-? Il.? J
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # (6l
Contractor ? OA?! N/1 A-Y !2 ?d t,,i
Address )gqS(o (-J •]!/'?!i Qa-rH City 14437;),7 SS
State 1lM /f) Zip 563 Telephone #( lo)2a 9k7 - S// 3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Cetegory . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submiried
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
5tatutes; 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.
? 0A,11 /A?'1cj%
Applicant's Printed Name
???--
ApplicanYs S gna e
CITY USE ONLY
EERIv1I'I` ii: RECE[PT DATE:
MIDENTIAL MECH4NICi41. P£RMIT APPLICATION
CPCY OF L'kfii4N
3850 PII.OT KNOB RD
SEl&AN MN 5812E
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: ? / '0 ( b f
SITE ADDRESS:
f
OWNER NAME: Cx*1 Y!:? ??(a' ' TELEPHONE
(AREA C?DE)
INSTALLER NAME: SiAyDFiiD HEAIiNG 8 AIA Cf1i0TiQNjWG Vo TELEPHONE
410 WEST LAKE STREET (AREA CODE)
MINNEAPOLIS, MN 55408-2998
STREETADDRESS:
CITY:
STATE:
ZIP:
Place a check mark next to the oermit work tvoe
New residential dwelling unit under constructionand not owner/occupied $ 70.00
? Add-on, modification or alteration to existin dwelling unit $ 50.00
• fumace replacement
• air exchanger
• air conditioner
• other /
Nature of work: iCt/ C(4 Tf4G(
State Surchar e $ 50
T
t
l $ JO °
o
a
Reminder: Call for inspectians.
f:"?'' ------------
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CiTY OF EACAN
3830 PILOT KNOB RD - 55122
c') 651-881-4875
[Jew ConshucHon ReaulremeMa . . gemodel/Reoalr ReaulremeMs
> 3 registereC alte wneys ahowlnq aq. fl. d lot, aq. H. ol house 2 coplea of Plan
and 20 rooletl areaE (2096 maxlmum lol eoverane alloweUf 1 set of eneryy calculaHOns tor heafed admHOna
> 2 coples o( plans (show beam 4 wlndow stzes; poured 1nd. dasign; etc.) t sNe survey tar exteAOr addtHons 8 decks
> 1 sef ot energy calculaflons
> S copies ot hee preservaHon plan B loF platted aRer 7!1193
DATE: 3 o mta y 00 CONSTRUCTION COST: I g, C% U ()
DESCRIPTION OP WORK: Eqrerz _i or )nL-r-EuL?r i crj5 - S tC) i " L-
STREFf ADDRESS: i c) o a C,o ?J ? r.k ln r? ?--t c?? r.l ?
LOT: 1" BLOCK: I S SUBD./P.I.D. 4: 4e-? OL ??? Er- E- ST H
Name: 2-&, e cL? Ck-,"-C`' Phone e:
PROPERfY LCIM " flmt
OWNER
Streef Address:
City State: vP:
Company. HOvACSy i til Cy Phone t: lo ta. U5rE> - a i 4`'d
(area code)
CONTRACTOR
SheetAddress: P O. 13DU 9ILI Ucensep 303-,4 Exp.
CNy 5?sul, ? StOtA: iN1 f\,.V Zip: 5533 74-
ARCHITFCT/
ENGINEER COmpany: Name:
Telephone N: ( )
Sheet Address: Regishaflon C.
Ctfy Siole:
Sewer/water licensed plumber (N installina sewer/waterl: Pho^e M
Z1p:
I hereby acknowledge Nhaf i have read this applicaNon, state that Ihe intarmation is cortect, and agree to eomply wtlh aA apptlcabte Stats
of Minneaota Stalutes and City of Eagan Ordinances. ? ;
Signalure o(
Certificates of Survey Received ` Yes
Tree Preservation plan Received _ Yes
OFFICE U5E ONLY
_ No
` No - Not Required
CITY USE ONLY
LOT ? BL ?-s RECEIPT#:
SUBD. RECEIPT DATE:
1998 MEcHAxtcAL PERMrr (REsinENrtAw
crrY og $ws."
3$30 PILOT [{AO$ RD
FJIHAA MP 5512E
nete: (612) 661-4675
Complete this section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied '
?;iVAC: O-InOML T LT $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas oudets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
-Y Install fumace ! Install air conditioning
Install air exchanger, i.e. V anee system, eta _ Other
Minimum fee appiies fo aii remodei or a3d-ors uf zxisi:ng .es:.'izaces g 20.00
State Surchazge
Total: 20.50
SIT£ ADDRESS:
O WNER NAME:
rxoNE #:/,s/- yvs- o0 0f
INSTALLER NAME:
STREET ADDRESS:
CITY:
PHONE#: cGa-YN- 7o75'
JS/FORMS BLD/IvIECH PERMIT (RES) - 1998
'.e Va. l?e .s STATE: /h /'/ . ZIP: SS,?-q
xa.?.v ,0 4d,4ee.,
SIGNATURE OF PERMITTEE
CITY USE ONLY
L ? BL ?? RECEIPT #: 5& (P
SUBD. DATE:
1996 PLUMBING PERMIT (RESIDENTIAL) /f 3 17-
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH ? TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
o..sti
{J411 1 MY 3.00 x -
?
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Ho 3.00 x =
a er ea 3.00 x =
0o rain 3.00 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Pfivate Disposal * Dakota Cty. license 50.00 =
(new and refurbished systems)
'nkler * home under const. 3.00
Alterations to existing 20.00 = 2o. na
ater Tum Around 20.00
STATE SURCHARGE .50
TOTAL Irpo
o w -i.gr?
SITE ADDRESS:- FAsiAn MFRTIN
1800 CLIVINGTON LRNE
ERGRN , MN 55122
OWNER NAME:_ Hese-to7s w
INSTALLI
STREET
CITY: STATE: ZIP:
PHONE #: ( )
MY
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIl2ED FOR EACH UNTT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDIT'IONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING CoNSTRUCi'ION) $ 20.00
STATE SURCHARGE .50
TOTAL ??"56
SITE
OWNER
TELEPHONE
INSTALLER: Ron's Mechanical. Inc.
ADDRESS: 1812 East Shakopee Avenue
CITY: Shakopee STATE: TIN ZIP CODE: 55379
TEI.EPHONE #: 445-8585
SIGNA ? F PEXl?
RMITTEE
1994 MECHANICAL PERMIT (RESIDENTIAL)
C1TY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PERMIT # M/
RECEIPT DATE: FI/ O
WISU}EPTIAL PLUM$IAfi PERMiT MPLICATlON
crrYoFEksAx
5930 PILOT KAOB iiD
Etk6AA.1NN 55] E8
681-6$1-4675
Please complete for: ? single famiiy dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS: 1?6701 C'n J ;?tP_fon 1 v?
OWNER NAME:: 1-7'1 052?ej-T Cc Loj (tr
TELEPHONE #:
(AREA CODE)
INSTALLERNAME: TLuw? t ? S LTELEPHONE#: ?JSa -y3? `0?o3?p
(AREA CODE)
STREET ADDRESS: 't>c
ciTV: -i?? ukSd,ll? STATE: Uk V\ ziP: 55357
Place a check mark next to the ermit work t e
New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
. lawn irrigation system
• waterturnaround
Nature of work: `Za? kA p?_"v -;SaCF'11
Septic System, new/refurbished - $ 225.00
• includes County 8 Consulting Inspector fees
. requires MPC license
State Surcharge $ .50
Total $ SD • SO
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge thal I have read this application, state thatthe informa6on is corre and agree to comply with all applicable Cityof Eagan ordinances. It
is the appllcanPs responsibility to notlry the property owner that the City of Eagan assu s liabiliry for any damages caused by the Cily during its nortnal
operational and maintenance activities to the facilities constructed under this permit wi ' ry pro e /easement.
SI ATURE OF PE ITTEE
Updated 1/Ot
.
_??._. .
C.R. WINDEN A ASSOCIIlTES, INC.
LAND SURVEYORS Te1. 6A5 • 3616
1381 EUSTIS ST., ST. PAUI, MINN. 55108
Note: Buildings shown are proposed.
CERTIFICATE OF SURVEY
For:
U. S. HOME CORPORATION
\0
O
a5 O
1 ?
4
.
h
? 22 0 / / ', \c'9? ??O
° 2 ' o
'V`?
d?a9 /
N
Scale: 1" = 20'
(-D Denotes Iron
22 ? 2z `N G
oo
?jj; n9 65s ? G
? o .
4 . ?? ;;'• ' w ??1;n9 _ _ e??'n9 a s ?
,.
6 y ? a ??n?t 6 . %`'' ? ??,?? ", ?°? ?
,
,
A ,c
00?t
-P ? __ L2 ? j 22 N
\0
% ? ?? a9e \
? / ? 1lJ n / /
? , V #, ? / ?5 O V
.? %\ / v
?
o
° ? i
? o0
/ON
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Lots 1 through 4 inclusive, Block 15, . 1?
Ridgecliffe Fifth Addition, Dakota Ov
County, Minnesota. i
v
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SORVEY OF THE BOUNDARIES OF THE LAND
ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY,
FROM OR ON SAID LAND.
i
Dated this 2%Ih day of FIUQUSI A.D. 19,?/ C. R. WTNDEN S ASSOCIATES, INC.
by .a
?
Surveyor, Minnesota Registration No. %j2E
rhis ,eu„e5t verd ? I ?
?18nw?tl3278 3"
? [7G
Repuest?Dat?
L Flre No. Houyh-in Insuectlon ReGymed? ?FexAV NowWill NotifV lnspec-
o
Wh
?s r
on Reatly
icensod Electrical Con[rar.m. I herehV requesc inspacfion of above
Owner elechlwl work installed aL
S11ee1 A
Jdrass, 6ox o
r
Route No. CIty
`
y
?
ecuon o. Township Name or No. Renge Nu. (;ounty
OccuA=?n( IPqINTI
?R-i+-A `?N?s?r? li?t•,g5 Phone No.
Paw Sopplier AddrossR?
Electncal ConVactor ?Company Namel Ct i -mr's Gcense No,
???a3?5zs
Z
tlfkcrR.+,1- -
Mailing AdJress IGonVactor or Owner Maklnp InstatlatioN
lill C. . CLI tf:_ W
Authorl d Slgnat ?e (G [ractor/Owner Making Insiallation) Phone Numbe
?
?
t
?
MINNESOTA STATE BOARD OF ELECiHICITY ' THIS INSPECTION flEQUEST WILL NOT
Griggs-Midway 81dg. - Hoom N-191 gE ACCEPTED BV THE STATE 60ARp
1821 Univarsity Ave., 5t, Paul, MN 55104 UNLESS PflOPEF INSPECTION FEE IS
Phone 1612) 297-2111 ENCIOSED.
°? REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa
?}
yi See insvuctlons for completin9 tM1is form on hack of vellow cupy. 0 u,! f
II l..S ? ?} 7 i
X" Below W'ork Covered by 7his Request
N¢ Add oi Buildinq Applianr,85 Wired Equipm¢nt WirBd
Horiie 1 Rage Temporary Service
Water Heacer Lighting Fixtures
uilding Dryer Electrlc Heatlnc
B
rcial Bldg umece Sllo Unloader
nal Bidg. Air Caiditioner eulk Mllk Tank
Orher ISOenfyl
Specily Othor Other
(.OD]UUIB 1/iSUL'CIIOO hBB BP.IOW
k Service niranceSize k ee Fypders/Suhfep.Aars Circuits
qr?>>s 0 to 30 Am s 30 Am s
00-AniUs 31 ta 100 Ainps 31 to 100 qm ps
=
Q0 ?Amps Abve 100 Amps Above 100_/aRips
riaers% Rrinote Control irc. Partial.'Other Fee
- Special Inspection
S
?
TOTAL PE
Ron,nrks 3?
Rouah-in
•
/ //?'d ihn Electrical
Inspector, hereby
Flnal niod-/* C¢lLHy thdf \h¢ above
.. ?
fy ? ion has bean
.
made.
This reauest voitl
18 manths fiom
This request voiri
18 months trom
T 93277
Renuest J1Dote1
??
?
? Fire No. Rouuh-ii Inspec[lan
HC(? IfCf?,
I
? f3P.?3(?y NUW.WIII NOtlfy ?II6V2[:-
h
\
\
as ?No
?r W
e
n RcotlY
?icensed Electncal ConLra( tor I heroby requst inspection of above
? Owner
electrical work installed et: .
S',qet Adtlress. Box or Route No. (;Ity
iSo COvihi LAti? EfdvhW
ection No. Townshlp Nami or Nn. qango No. Cowity
Q
Piw? A
Occuu=?ra IPRINTI
O(zFaN `T?HPScr? yc?,?,? Phone No.
Power 5upuller
?* Address I-
?? I`1`? ibilij
Ele rical Contre
ctnr ?CoinuF
ny Name) ConV
actor
s Liconse No.
/
,
10-
`?+"ec??1p-'''- A
1C
1'?+ Zj;-Z
-Malling AdJress lCOnvactnr or Owner Maki19 Installntlonl
c;"rf PJM
AuMorized SIp a?ure{,Contmctor/Owner Making Inst2llatlonl Phone Number
a i`1L `%4
MINNESOTA STATE BOARD OF ELECTHICITV
Griggs-Midwey Bidg. - flaom N•191
1821 UnivarsitV Ave., SL Paui, MN 55104
Phonx 16121 297-2111
THIS INSFECTIDN REQUEST WILL NOT
9E ACCEPTEO BV THE STATE 60APp
UNLESS PflOPEF INSPECTION FEE IS
ENCLOSEO.
-y ? REQUEST FOR ELECTRICAL INSPECTION ? EB-00001_03
f ? See mstructions far comoleting this fonn on bnck of ?
yellow aopv
? 'r r
"X" Below Work Cavered by 7his Renuest '7 SC ?i'i
New qtltl Reu Type ni Buiitling Appliance.s Wiretl Equinment Wired
Home Range Temporary Service
Duplex Water Heater Gghtiny Fixtures
Apt Bulldlng Dryer Hectric Heatinc
Cornmercial Bldg. Furnace Sllo Unloader
Industrial Bldg. q!r CondfYioner Bulk Mlll<Tanlc
Farm ome. Soe?ifv nmer ?sucdify;
'hor Spci:ilv (11her 01h.,
Fee Service EntranaeSize !I Fee FeetlersiSUbfeetlers d Fee Circuits
Pef?;?
? L J? ?'to.100',q'rri s?t }
7.01?40 200'Amp's ? 0 to 30 Am s
31 to 100 Amps 'lA -` 0 tn 30
31 to 1
1( jAbove\200! `°qmPs Above 100_Amps Above
Yransrormers RemoteControl Circ.
-
,3-'1.
Partlal%
4
Signs Special hispection S
?5 V F'
TOTAL n:no
,. ,ha F,aatriat,
r nsoec<oq herehy
Fnal I „??
py? ? f
? cerYity that . the above
ion has been
y?.
?/
i'
` ??? mreB.
.
dv &??d
::
i
18 mOn(hs tfom ?
3 3 0° 4 6 91 o?? ?5E o?.?G Thi„e,?e,t vaid ,a mo?,h= f,om ?oI ,do,o, do,. P. n?d n ,hs bo..
/o?o
?j??
^
A
r
p
p
U
PLE/CSE PRIflT OR TYPE a 1 cJ
Reqmsl Do1e Rough-In inspeCion ieqoired2 ? Inepecllon OAer Than Rougbin: N.N.ady Now ? WiII Call
(You mvst coll the inspecmr when ready) Dale Ready: rv
I, irensed confrocior ? owner hereby request inspedion of the above eledricol work at
lob Pddes r
s
(SVee1, Bo; or Raafe Na.) Gp Zip Cade
/?
?
S onN vTownship ameo.N . RangeNo. Fbe N., C.urry 1
OccupoM Phona No.
?
' V7
PowerSup her Md
?
lenn I Conlractor Cam
I pany Name) GonVOdor icense No. Masrcr Lic. No. IPlam Elea. Only)
Malling Addmss (Commctor ar O»ner PeAorming Ins atianj
AuMo' ed Sia?oNm (Convodor r wner Perfarming Insmllalion? Pho e No.
..,,._'_..._ ..__ ' ?r "l?v??
oo?unuin-m a/YJ STATEBOApDCOPY-gEEINBTRUCTION50NBACKOFYELLOWCOPY ?
IIII IIiII?IIII IIIIIIIIIIIIIIII IIII ?II?III??I BE?Uo eSt OBe. Rm? 5-R1 BASt.IPauIP, MNTSSO704
* 0 3 3 0 4 6 9 8* atio12) saaosoo aAt
ome Duplex Apt. Bldg. Other: New Addn
ommercial Industrial Farm Remod Re air
Air Cond. Hig. Equip. Water Wr. Lood Mgmt. Ofher:
D er Ran e lec Heot Tem . Service
"X" obove the work rovered by this iequesL Eyfer remorks in ? is space and an the back of the whife copy only.
A? ?7,S?rOtl ??,,,y.,?'-
? Q
?
Calc fe Inspection Fespe ion Requesf will no16e o<cepfed without the mrrecf fee:
OMier Fee # Service Enlronce Size Fee # Circuih/Feeders Fee
Mobile Home Park $fall 0 fo 200 Amps 0 fo 100 Amps
Street L}g./rraffic Sig. Above 200 Amps Above 700 Amps
Tronsformer/Genera}ar INSPECTOF'SUSEONLY TOTAL S
Sign/Outline Lig. Xfmr. ?
?b .
Alarm/Remote Control
Swimming Pool
'
I
}i
i
B I hereb certi fhm
s d e elednml'nsbllofion dezcnbed hereu? on Ihe dares sMkd .
on
rr
ga
oom Rough-In Pofr
Speciallnspecfion
TH Investigafive Fee
IS INS7ALLATION MAY
BE OR
Finei De
DERED DI CONNECTED IF OT COMPLETED WITHIN e nNTHC
l'
?
/ -
Thi,; reqonit ,old /O ? t '? /-! ? , C ?O`(-. p- ?/'3 VJ
r]8 mar:.hs Ir" ? ?
Il 77925
e
AI`nues Ua Fire No,
rynuyh-i(? InspeCl?on
?kL ?HqutlY NowWill No[ity Inspe??
?'os ?N?? <r When Rearly
icensetl Electrical C.nnL:m, m
? Ownei I hxreby request insueclion ul ahovu
i.4 0?0....:_.,i ..
Sveei AtlJres?, eha or pou?e No. ???y
Cov??N ?-?? ?
rawnshlo Numo or No. Fnnqe Nu. caun
Y
p
Ocuupant (PRINT,
Ck?-1n1 1 C1?'MPS?
{?M?S Ph?„? N?,.
Pow¢i SupPlier Ahdrer:S
`
?1t7`I
?/?'ilh
Elc Vncal Contracmr (GomuuIny Namel Con ir,mr's Licen?e No.
p
Mailin8 qdJress ICOnor
rier Making Ins,ailatiuN
FF P-?la? ?1R-
vs
onvac[or?Owne
gww r
r Mak iug bisl:?llationl Phone Number
., 890 ?5G5
"- ^- ??a?ie euaxu UF tLECTHICRY ]HI5 wSPECTION HEQUEST WILL NOT
Grig9s-Mitlwey Bldg. - Room N-191 eE ACCEPTED BY THE STA7E BOAPD
1821 University Ave., St. Pnud, MN 55104 , UNLESS PqpPEP INSPECTION FEE IS
Phone(612) 297.2111 ENI;LOSED.
? ^r' REQLIEST FOR ELECTRICAL INSPECTION ,r,_ es-ouooi.oa
I 7 Q/ ry See inshuc[ians Iw comnletinq this torni nn beck ot
?J L ? yellOW COpK
Be;ow Wark Covered byThis Reauesr
Ne
euilAing
Appliances Wi?gd ? 0 ? ?., v..
Equipmant WireA
Ranp? ?
y Se.rvice
Water Heater Fixiures
" M
Apt.
inq E
Dryer Heatinc
al Bldy}. Fumoce adar
!
BIAg. qir COnditipner BulkM,
Tank
Olhpr ISpec? V rIIVI
cifY O[hc?
COm nut e
^ Fee Service ENrence 5ize p Fee Feqaers/Subfeetlars p Fee
to 100 qmls 0 to 30 qin)s ? ? tn
01 to 20fY?,qmps,A 31 t10 qmps 31 t
qinl7s Abave 100_Amps
R Aho
N
Si
[5 emoteControl Circ. Parti
g Sperial Iispectinn
p""
'•""k'
S?.?J FE(?O-CCI
TOTRaiiph-in "
Uaiu
I, [Md FIeC1riCPl
sVector, hereb
Finnl ' certifv that the . bova
T ? ? ( Drlu "sVection nes neen
i?
e.
' CITY OF EAGAN
3795 PiIM Knab Read Eegan, MN 55127
PNDNE: 454-8100
BUILDING PERMIT
Tn
000
Site Addreu 1796 Covington IBne MODEL 103
Lot 3 Blak 15 sec/s,b. Fddgecliffe 5
Parcel .# 10 63984 030 15
W Nome Orrin Thompson Homes
z 1712 Hopkina Crossroad
? ?h"Iu?Itka. 553/+3 544-7333
z
0
Ou
u?
?
Name OwneT
Addren
Nome _
Address
I hereby ocknowled9a thoT I have reod this application ond sfate that
fhe information is correct ond ogree fo comply wifh oll opplicoble
Stofe of Minnewta Statutes and City of Eogan Ordinances.
Signature of Perminee
A Building Permif is issued to: O1'rin
oll work sFwll be done in occordonce with oll
8uilding Officiol /
(0 'K C0 3
PLEX
CI7'1' OF F4IC'r1N
Receipt #
N° 6863
. z c c- .5'3,
Erect (g OccuponcY n?J
-------
Alter ? Zoning
Repair ? Fire Zone NA
Enlorge ? Type of Conrt. V
Move ? # Stories
Demolish ? Length_29
Grode ? Depth3()_Sq. Ft._
Approvala Fees -
Assessmenf Permit
Woter 8 Sew. 1 , a
Surcharge
Police 11 . 5
Plan check
Fire SAC 525.00
Eng. Water Conn. 335.00
Plonner Water Merer 60.00
Council Rood Unit 155.00
Bidg. Off.
APC
Totol $147'4.
on f he express cordition thm
?ta.?tatutesnd City of Eagon Ordinances,
/,:?FY?j? ? BUILDIN(; PF.RNSTT AF'PLICATIdN
311a0C
'lb Be Used For ,-n-s-??y-? Valuation ? ,?
Site Address: 17q Car Coww?t nu
Include 2 sets of plnns,
1 site plan w/elevations b
1 set of enerc3Y calculatiors.
-_Date ?S-e ert- alqs
OFFICE USE CJNII.Y
Lot 3 aiock -1,S_ sec./sub. B%"EgjAFys Ere-* ? ?cupancy 1,0
Parcel #: jo CA?`? PY c) 30 /:S FI, FVe\ xlter
Repair
O«mer: Enlarge
---0,°f? Nbve
Addi25S: e Division of U. S. Home C D2nb115}l
KINS CROSSRDAD GLdd@
C1ty/Z1F7 CodC7 MINNETONKA.1,11Pdf1 5?,nno -
Phone #: 5 4`1- 133 3 ApPROvAL-S
Contractor: HONAE-S
Addi2SS: a Division o( U. S. Home Corporation
1712 1 1 JI\U
C1ty/Z1[7 COd2: MINNETONKA, MINN. 55343
Phone I! :
Arch. /E.lng. :
Pddress:
City/Zip Code:
zons p?
Fire Zone
Type of Const.
# Stories
Front ft.
Depth ft.
Assessrents Pes-mit
Wster/Sewer Surcharge
Police Plan Check
Fire SAC
Eng, ' Water Conn. 3 7S ="'
Planner WatEr Meter
Council Rnad Unit ? VS- ?;9
Bldg. Off.
P.PC
Phorie #: nrrAL 4 N7
s?-?-t- av\? wk` 1-6-f- (t g(acK !?,
??c??.
cirr oF EacnN
3794 Pqof Knob Rmd Eagan, MN SSIYY
PHONE: 454-8I00
BUILDING PERMIT
1 of 4 PLEX esr. voiue $39
Site Address 1fE° wvia,?ovaa awxaac %aau' tv?
Lor 2 eixk 15 5oc/s.n. Ridgecliffe 5
Portel # 10 63984 020 15
rc
0
ou
uS?
w Name ?"' iaav yca?n u?suco
Z3 Addmss 1712 Houkins Crossroad
Name _
Addreas
Nome _
Address
I hereby acknowledge fhat I hove read this opDlicotion ond stote ihat
Ihe informafion is torrect ond ogree fo comply with all applicable
Stnfe of Minnewto Statutes ond City of Eogon Ordinonces.
Sipncture of PertniMea
A Building Permit Is issued to: OrT3n ThOtIIpSOII HOIDQ3
ull work shall be done in ocmrdonte with all oppjlyqbla Stote of hAir
Building Officiol
Receipt #
N° 6862
/
10 , 0 81
Erect ]($ Occupancy ' -?
?-
Alter ? Zoning
Repoir ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Length_29
Gmde ? Depth-JO-Sq. Pt.-
Avvrorala Feos
Assessment Permir 233.50
Water 8 Sew. Surchorge 19.50
Police Plon check 116.75
Fire snc 525.00
Erg. Water Conn, 335.00
Plonner WaterMeter 60•00
Cauncll Road Unit 185.00
Bldg. Off,
APC Totol $1474.75
_ on tha ezpreu condiNon Iha+
tnM Slntutes and City o4 Eagon Ordinancea.
,r ?J ^ cizz' or r,Nc'aN Incluae z sets o£ plans,
1 sitc p] an w/c7 evations 6
l5?
` 1E?BUILDINC: P1:RMIT APPLICATION
3 .
1 set of enexxjy
calculations.
'ib Be Used Far
Valuation
1
"
?? _jept• ?-
? lQ eI
Site Pddress: \"jqa Co4 1?t o?1 letai6, OFFICE USE ONLY
Lot Z Block Sec./Sub. $?py??? Frect ?K OccupancY _ 3
??g4 Ej
Fr!\ Alter 2onirg PYl)
Parcel #: (d cyowi L
jS
Repair Fire zone ,CJ A
Enlar9e 'IYPe of Const. TL
Owner. _
Nbve # Stories
Ajdresg; a Divsion of U. S. Ho me Derrolish
C Front ft.
KINS CROSSROAD Grade
D2pth ft.
3(? _
Cliy/Zlp CAdG': MINNETONKA AtI Npi
Phone #: 5`t 4- 133 3 APPROVALS FEES
Contractor: ORpiN r?_uADApSO,N HONIES
AddL255: a Division of U. S. Home Corporetion
l, ?J,
Clt]7/Zlp COC1E: MINNETDNISA, MINN. 55343
Phone #:
Arch. /En9- :
Pdc3ress:
City/Zip Code:
Assessments Pennit 'R33 ?
Water/Sewer Surcharge I
Police Plan Check I[?
Fi re sn.c 15-126-
gg. Water Conn. 3,35- ?
?
plaruer Water Meter (10
Council Rc>ad Unit / 8S
Bldg. Off.
APC
Phone #:
?J( =? ?? (\- t,v l
TOTAL ? ? y -7 'C c 7
CITY OF EAGAN N? 68G4
9795 Pilot Knob Raod Eegan, MN 55122 .
iHONEi 454-8100 ys-?
BUILDING PERMIT RecNpt
Siro Addreu ?Uvv NVY11%LU(1 uuie kMUael iv3
Lor 4 Block 15 See/sunfd?ecliffe Sth
Porcel .# 10 63984 040 15
W Name ui2'lII -rnompson nomes
Z Addreu 1712 Hopkins Crossroad
? "" ---'- ------
p Nome _
0
Su Address
? ?1-
Nome _
Addren
1 hereby acknowledge thot I hove reod this applicotion or+d state that
Ihe informofion is Correct and agree to Gomply with oll opplicable
State of Minnewta Statutes and City of Eogan Ordirances.
$ipnoture of Pertnittee
A Building Permif Is issued ro: Orrin
ull work sholl be done in accordance with oll
Erect [$ Occupancv R^$
Alter ? Zoning PD
Repoir ? Fire Zone NA
Enlarge ? Type of Consf. V
Move ? # Stories
Demollsh ? Length29_
Grade ? Depth-M_Sq. Ft-
Anoro.als Fees
Assessment Pertnit G S SJU
Water 8 Sew. Surchorge 19.50 .
Police Plan check 116.75
Fire SAC 525.00
Erq. Water Conn. 335.00
Planner WaterMeler 60_00
Council Rood Unit iAS.,nn
Bldg.Olf.
APC $14 4
Totol
on the exryress condiHon thai
,;ota $fatutes and City of Eogon Ordirwncez.
Buildirp Offlciol
r r CIT1' OF F1'?c'?W Includc 2 sets of plrutis,
???
?-? 1 sitc plan w/c lcvations &
r/pI?XBUIIDINC: PF.RMTT pPPL7CATION
1 pP '
/ ? 1 set of enc?y calculations.
T
l
-4
Tb Be Used For ? Valuation p Date ?eP
'?_Z ? 1q$?
Slt.2 1dClrC'SS:
I
g00 C04 INf_lD?1 l? J ?
OF'FICE USE ONII.Y
Lot Block 1? Sec./Sub. g14GE6,?lEtT E? ? ??P?cY
Paxcel #: lo Ca 329L1( F%FTlt-\ Alter zoning
Repair Fire Zone NA
Owner• En1ax'9e 'Iype of Const. ?
Nbve # Stories
P[jdL25S: a Division o! U, S. Hom? Coronratinn DHm11S}1 Front ft.
C1?/Zlj?
COde: KINS CROSSROAD Grade
MINNETONKA h'I Depth ft.
NN
Phone #: 544-1333 APPrmvAr.s FEES
Contractor: EIR-R-IN TN9MPS9N 1 I()f,5-ES
AddreSS: a Division of U. S. Homc Corporation
?A'Ub,,IUAIJ
G1iy/Zlp COd2: MINNETONKA, MINN. 55343
Pharie # :
Arch. /k.l-ig - :
Address:
Assessrents Peimit
Water/Sewer Surcharge
Police Plan Check
Fire SAC
blig. Water Conn. 3 3S ?
Plannes Water Meter
Council RDad Dnit ?-
Blcig. Of f . '
P.PC
City/Zip Code:
Ph'on1e#:
?( p.l"?
I kcC ` ?
-T=
( 7 ??S
CITY OF EAGAN N° 6861
3795 Pllet Knob Raad Eagan, MN S5111 -
PHONEs 434-8100
BUILDING PERMIT Receipt {k J'<<s?"
5i}8 AddfE55 lOVG W ra+i6 ?vu ar..?. ?...?....? --'
Lot 1 BI«k 15 sec/sun. Ridgecliffe
Porcel # 10 63984 010 15
nc Nome va a iaa
; Address 1?2
b _ u+i.e 5
o Nama _
r
Address
f firv
Name _
Addre7a
I hereby ackrwwledge thot I hove read this aDDlicotion and stote that
the information is corrett and agree fo comply with all applicable
Stata of Minnewta Stofutes and City of Eagon Ordirwnces.
Siqnoture of Permittee
A Building Cermlt Is issued to: OIR'in 'rhOIDD!
all work sholl be done in accordance with oll opplicable
Buildirg Officfol
on tha express condition ihat
e of Eagan Ordinances.
11?
Q?j C17'?' OI' F:,r,.? Includc 2 scts of plans,
? UC ?_ 1 sitc plan w/clevations 6
loF x BUIIDIN(: PF.ftMTT N'PLTCAT-&ION 1 set of emr'gy calculations.
`t -A
'Ib Be Used For valuation ? ?? -seet• a 19 81
CoV?rr.to La\?o06L OFFICE USE O[?II.Y
Site Address: 1a OU. lo? ,
I.ot slock sec./sub. B1v?E?!=lEEt Erect °cm'par"y
Parcel #: IO ojb (5F+IF?V"%A Alter Zoning P1J
Repair Fire Zone -?A?.4
Enlaxge _ Type of Const. `?
Cwner0 ---o,° Nbve # Stories ft.
Pddress: a Division ol U. S. Hom? Cernora+' Dert7lish Front ft.
?? - s?
I7T7 KIIJR? CRp$SRppp GTdd2 ?Pth C1iy/Zlp COa2: MINNETONKA A11NN 51,3q:t
Phone #: 514-1333 APPaz
Contractor: ORRIN ponni un??«J_
Pdd.ieSS: a Division of U. S. Home Corporation
onv
C1ty/Zl.P COC1E: MINNETONKA, MINN. 55343
Phone #
Arch_/En9•: _
Address:
City/2ip Code:
Phone #:
R-3
Erect W Occuponcy
?-
Alter ? Zonin9
Repair ? Fire Zone ?,?--
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Lengih_29_
Grade ? Depth ?-Sq. Ft.-
A.._......1. Fees
Assessment
Woter & $ew.
Pol Ice
Fi.e
Eny.
Plunner
Council
Bldg. Off.
APC
Permit °Jj•i"
Surchorge 19.50
Plan check 116a75-
snc 525.00
Water Conn. 335 _ 00
Water Mefer 6n.nn
Road Unit iR5_t1CL
roral $1474.75
Assesarients Pel'mut
Water/Saaer Surcharge
Polioe Plan Check
-
Fire SAC Sa5 ?
gm, Water Conn. 3 35 ?-
Plannes Water Meter (90 -=
Council Road Unit
Bldg. Off.
P.PC
?-
'I0TAL ? ` ? -
ihis re4,,est vniA (??
8 mon[hs hoen
Il 93276
Hnauest Uat Frto No.
1 ???z
censed ElecVical Contracior
Owner
Svpet qddress, Aox or Raule Nu.
????lt ?-1J1?+?'T?N ?-?
1 lownship Name ur Nn.
M (Pql
EJHeatly Now ill Noiii I
y?s V_ nspec-
?Nu lor hen Fe d
I herehy reyuest i isoec11on nl above
elechical wnrk inatalied ac
C)tii,4 Vlla
J T?AAMi
Power Supplier
RA Acldiross
FAMIr??
Elee eal Co n?iartm (ComVany Name) ?f?
?? ? Con
y
?
Mailine Ad?ress (COntracror or Owner Mak
?=(11 ?, 1-tff- QC?O
Au[horb.ce e Sfgnot r ?Co racror/Owniv M
MINNESOTq STqTE BOARD OF ELECTqICITY
Griqgs -Micfiyay Bldg. - poom N-191
1827 UniversitY Avx., St. Paul, MN 55104
Phone (612) 297_2117
nsteiiavOn
ng InStalla
&N?N
Y ?Rt?3 R
No,
Lir.enye
? -?
THIS INSPECTION pEQUEST WILL NOT
8E ACCEPTED BY THE STqTE Bpppp
UNLESS PHOPEH INSPECTION FEE IS
ENCLOSED.
( ?REQUEST FOR ELECTRICAL INSPECTION W
J Ee-ooooi-ua
4 K? l?.y See insfructions (m completing lhis torm on Luck ol Yellow copY.
"X" Below Work Covered by This Renuesl
N Add Rep. Type o} guiltlinfl Appliances Wiretl Equipment Wiratl
Homc Range Temporary Scrvice
Duplex Water Heaier Lightlny Fixtwes
Apt. Huildin9 Dryer Electric Heatin
Commercial Bldg. Fumace Sllo Unloader
Industnal Bldg. Air Condlrioner BWk Mllk Tank
Fdrm Otner,_,pncify Otln;r ?SUOCity)
1nyrl5pc?i1K Ollic? pther
!! Fee Servica EnhenceSize 4 Fee FeaAers/SubfecA¢rs n FeA
^./ (1 to 100 Am s 0 to 30 Am)s ? v-
1 to 2D0 Amps 31 to 100 qmps j
Above ?DO ,-qrnPS Above 100_Amps Ahove
V
RemuControi Circ.
Special Inspaction -r
5
J
TOT
FEM/
-
R?uqh-in -
oate
I
E
:7 the Electricel
D:{I, cer.ifV that the abovo
InsOection has been
made.
ihis ieuucst ?nid
18 momhs i,om 1F
Th, =,rmr,,.,,,?d ?/c 9c 'P
?U moc,h-sf,-ry c
771 9GJ
R?nuos Ua e Fim No_ Fo ?n-in Inspuciion
R reJ?
?HeaAV NumflRWill Nniliv Insnec-
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?VOS ?Nu orWhenReady
D!?u censed [lectrical ConVactor I hereby raquest inspar.uon oi above
?Uwne? i elecVicalworkinslallBd at'.
Sueec AddresV, ?/ox oruV Route No.,?y
. l. ..? 1 ?' C??Y
,,-ion n. Tnwnship Name oe No. R.v,9e No. Cnw? Y yry p
Oc?mu?aN'1 C1CMP5QVA fwfiwfS Phnne No.
POwPr $upPliHr AtltlrESs
fbeh"
Ha?ntractor ICompany Namel 'n roxctoLrs' `I_ice7nsa No.
MailinH AdJress (COnVactnr or Ownor MakinH InstailatioN
tiii E. COtF- FOfaD ?x1 ?5064t
Auized Siq?ature? Con[rau ner Makine trizliillationl
'\ Uf \1 Phon?Numbm
°??.?,SGS
T
MINNESOTA STATE BOAND OF ELECTRIGTV HIS INSPECTION NE?UEST WILI NOT
'
BE ACCEPTED BV THE STATE BOAFD
Griggs-Midway BIdB. - Room N-191 UNLESS PFUPEP INSPECTION FEE IS
1821 University Ave.. St. Paul, MN 55100 ENCLOSED.
Phone 16121 297-2111
,r-«
f]^ REQUEST FOR ELECTRICAL INSPECTION Ee-on0m-03
See instrvctions for cnmulelin9 tM1is bnn on bnck ol vellow cnpv?
T ? 1 ?.I ` ? ?I'.
?
"Y" Ra:nui IAlnrk ('nvarad hv ThiS RCOLIP.Sf ?Dq?
Ne Add Rep. typa ui Nulldinp Anpliances Wlretl ment Wired
Home Rpnyc Service
Duplez Water Heater f-Ixtures
Apt. Buildinq
Dr
yer I M
eatin
Commerciai Bld?. Furnace ader
Industrial Bld?. Air Conditioner T2n1<
Farm oiner ucc? vi ?-nvi
?nci isot,?:tfy oincr ...,,,?,..._ ....,r.._.._....,' _'.___ _
x EntranceSize tt Fee Featlers?Subfexders b Fee Circuits
0 Am s 0 to 30 Am ?s ? ?? to 30 Am ps
t 200-Amps.
n 31 m 100 Ainpti 31 to 100 Am s
20Q1 f Amj15
'e, Above 100_Am?s
Above 100_An'P5
-_
? ?fran5tormer5l ?./ ? Reute Control Circ.
m P2rtial:Otl?er Fee
i Si.giis cial InsPection
Spe 5.?-it-7?.., ?s
7 7OTAL FE e •CG
qmn.irks ?
Rou?h-In ?'?" I, the Electrir.al
? ? lspec?oq hureby
? oe,rfv that u,e anove
Final i inspection hes been
e.
T6Ic st vnltl
18 nicnthe Lam
r
3 3 0° 4 6 9? OFFIC USE O LY/ Thie reqoest.oid 18 momhs fmm mlidotian dote pnmed in this box.
?kr?
PLESE PRI T Ofl PE
Requesf Do%
I po
ughin insp«fion reqoired2 ? Inspecnon 01her Than Rough-In: Ib.n.ady Naw ? Will Call
V
(Vou most mll the inspecror when reody? ?me Ready: Y
I, icensed conirodor Q owner hereby request inspecfion of the above elecfriml work at:
lob Pddrc
s
s
?Sfree?, Box, or Roure No.) Ciry 2ip Code
/
?
?
ov 1
S on N
Township Nome or N. Range Na. Firc No. ?nry
?????? Phonv No.
PowerS? L ??
n
I«tn I Conhacror (Compony Name) Conhamr ianse No.
i Masler lic Na ?Plom Elen. Only)
Moiling Addmsz (Cammcloror Owner Parfarming Inxi lafionj
" o-l- •IVN ?l
)suMo' $ignoNrt (Conrcaclo er PeAorming Insmllanon) Pho e No.
{
`°`""^"^'o o11? STATEBOARDCOPY-SEEINSfRUCTIONSONBACKOFYELLOWCOPV Y -
?
1 REQUEST FOR ELECTRICAL INSPECTION
I III I II II II II I I I III ? I I II III II II ? I?I I I?I Minnesota State Board of Electriciry
1821 UnwersRy Ave Rm S 128 St Paul MN 55104
* 0 3 3 D 4 6 9 8 s Phcr.e (612) e42-0e00 ome Duplez Apf. Bldg. Other: New Addn
ommercial Indusfrial Farm Remod Re oir
Air Cond. Htg. Equip. Wa}er Hfr. Load Mgmf. Other:
D er Ran e lec. Heaf Temp. $ervice
"X" above the work covered by this requesL? E"pterremork?s in t is `space and on the nback of the white copy only.
Cr 4/0 0. 7?00 +yywk? - .J ?•K d+YW?euiL .?Y?¢ .?A?p.?,
V
??y1
Colcu fe Inspection Fee - 7his Inspe 'on Requesf will nof be accepied without the corcetf fee:
Okher Fee # Service Enhoixe Sae Fee ff Circuih/Feeders Fee
Mobile Home Pork Stoll 0}0 20D Amps 0 to 100 Amps
Sireef Ltg./frafiic Sig. Above 200 Amps Above 100 Amps
Trans{ormer/Generafor INSPECTOR'SUSEONLV T07AL s
$ign/Oufline Lig. Xfmr. ?
Alarm/Remote Control
Swimming Paol
I
i
B I hereb ceni thar e elecnicol'nsbllaton described h<rein on the dalee stmed .
rr
gofion
oom Rough-in paK
Special Inspedion
TH
Investigafive fee
IS IN57ALLATION MAY
BE OH final pa
?ERED DI CONNECTED IF OT COMPLETED WITHIN e ON7NS.
a
?
Z?
I-._/._ L i
a 9s5?
? 6 3
Repue3l Date re No. R h-In In ion qepuiretl Inspection Othar Than ougM1-In
no mu
s) cv?: ?p¢COr when reedy) ? qaetly Now ? WiII Natify lnspector
?
14 94
R No Date ReaCy
I Qlicensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 Ntltlress (SVea[. Bo* ar Route No_I CitY
1800 Covin ton Lane Eagan
Section No. Township Nama or No. Range No. Counry
Dakota
OccupanttPRINT) PM1One No.
Terr Manske 454-0452
Power Suppllar Atloress
Dakota Electric Co. 300 220th St. Farmington, MN
E'ectricai Contranor (Conpany Name) ConVactor5 License No.
Total Electric, Inc. CA01834
MaAing Atlcress !COC•sactor or pwner Making Insla11a0onl
1537 92nd lane N.E. Blaine, MN 55449
Amhonzec Sgnatore 9-COnvaacr:0wner Makinq Insianauord Phone Number
U?i 786-8484
MINNESOTA STATE BOARD OF EIECTRICITY THIS WSPECTION REQUEST WIIL NOT
Grigqa-Mltlway Bltlg. - Room 5-113 ? BE ACCEPTED 6Y THE STATE BOARD
1821 University Ave.. SL PauL MN 55104 UNLESS PROPER INSPECTION FEE IS
PMne(612)662-0800 ENCLOSED.
?1919? REQUEST FOR ELECTRICAL INSPECTION ee-ooomoe
? See Instmciions for complatinq this form on back ol yellow copy. p 9a J!'S?
M63997 "X" Below Work Covered by This Request eTypeof8uilding AppliaricesWired EquipmentWired
Home Range Temporary Service
Ouplex Water Heater Electric Heating
Apt Building Dryer Loed Management
CommJlndustrial Furnace Other (Specify)
Farm g Air Conditioner
Oiner spaciy) Conhamars RemerKS
pection n Fee Below:
# Other Fee # Service EniranceSize Fae k CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ AmpS Above 100 _ Amps
Signs Inspecror5 Use Only. TOTAL
Irrigation eooms 20.50
Special Inspection I)? ?
Alarm/Communication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Ro°9n-'"
? oaie
oa?a ? ? -
IOFFICE USE DNLV Tms request voitl 18 moNhs hom
r-'------
f-OF Office US!
City Ol 11Permit#: I
RECEIVED i Permit Fee: cro
3830 Pilot Knob Road I
I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 DEC 2 8 2011 1
I
Fax: (651) 675-5694. I Staff. i
L - ----------I
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 24 7111 Site Address:
Tenant: Macolm Hughs
1796 Covington Lane _ Suite
RESIDENT/ OWNER Name: Eagan, MN 55122
6125987798
Address / City / Zip:
CONTRACTOR Name: (lIORBI OhA PLUMBING r.C. License OU f 52
Address: (612) 827-4033
City: 2905 GARFIELD AVE. SO. State: Zip:
MINNEAPOLIS, MN 55408
Phone: Contact Person:
TYPE OF WORK _ New - Replacement _ Repair - Rebuild _ Modify Space - Work in R.O.W.
Description of work: i ' vvater vm
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / _ PVB) l- Main - Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ ti~'J•-
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 j fnem L. iyolax o1 x
Applicant's Printe Name A icant's Signa ure
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough In Air Test Gas Test -Final