1839 Covington Lane. cirir oF E?caN i ? ?550
3795 Pilof Kwob Rood Eogaw, MN 55122
PHONEs 454-8100
BUILDING PERMIT
T„ ._ ...., t... SF DWG/GAR
Slte llddrcss.
Lot 2
Porcei # -
oc Name _
W
2
? Addrcn _
_. rX.
??` Nome _
?
?? /lddreu
ri?„
Reteipt #
,o00 D,tP October 5 19 ", 3
Erect
18t AIt -
,a
Otcupcnq R-3
(PD) !-,`1
Zo
in
er p g
n
Repair Q Fire Zone i'A
Enlarpa ? Type of Const. V
Move ? # Stories
Demolish ? . Length 70
Ft.
Nome
Address
Nssessment
Water 3 Sew. l, .
Police
Firo
Enp.
Plonner '
Counci 1
Permit J.: 4•vv
Surcharye 31.50
Plon check 16I.00
5,,,C 525.00
Water Conn.450.00
Water Meter
Road Unif ."0
-
I hereby acknowledge thot I have read this application ond stote that gldp. Off.
the informotion is torrect and ogree to comply with oll opplicable APC Totol 51799.50
Stote of Minnesota Stotutes and City of Eogon Ordir?ances.
Sfoncture of Permietee 1 o,rrgon a es v s on
A Buildinq Permit is issued to: on ths expreu condition thno
oll work shall be done in accordonce with all applicable Stote of Minnesotn $tututes ond City of Eopan Ordinances.
8ufldinp Officiol
Permit No. Pe?mit Holder Misc. Permit No. Holder
Plumbing
?
H.V.A.C.
Well
Water '
Disp.
Sewer
n
Electric ?-1 ZS-11 I?-,?l( 61EC . 16-17 -$3
Inspeetion Dete Inap. Other
K A
?f
Rouqh HVAC
Inwletion
Final Plbg, - - ? ? ?
Final HVAC
Final
wac.r ascrib. Loe.cion:
IMell
Sewer
Pr. Dhp. .
,
Receipt ---
I ti-I ;?
1. Date 11-14--83 2.
PERMIT Permit No.
- Fee o 1 •?
d ?ces s/c .50
'egibly Tot. 20•5, 0
Cosc ?C•??' •
3. Job Address lb?9 Lot ?.7- Blk. 1? Tract
1
4. Owner . .. . T TH.
5. Contractor - ` .`• '?r••'L`-'_- . <,il:`'': '; Phone 5-6807
6. Address 4637 Chicago -ve. ; ?.
r?
7. City r?P 9• State •
8. Building Type: Residential Ea
9. Work Description: New a
Zip 5507
Commercial O Institutional 0
Add O Alter O Repair O
10. Describeitlst.a7-1 foZ'C63 eiI' heating Fuel Type ?vat W'4
& '_ir r.nrtd-itlorl•in.-
11.
No,
? Eouinment STU - M. Ea.
Forced Air
• No. Equipment CFM
Handli
Ai
Mfg. r
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
1 AirCond. 22s90(: 3tu i:i.e .
Mfg.
? Gas, Piping Outlets
12. 1 hereby certify that the above information is irue 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
/ .
CITY OF EAGAN
Fee _?-
Frll in numbered spaces S/C = wType ar Piint /egib/y Tot.
Installation Cost
Address1 $Me
839 COv i ?gto? L ???
4. Owner Orrin Thampson Hames
s. contraccor Wenzel Mech. Phone 452-1565
s. Address 3600 Kennebec Dr
7. c;ty Eagan State Mn z;p 55122
8. Building Type: Residential I?l Commercial ? Institutional ?
9. Work Description: New Cx Add ?
10. Describe
11.
Receipt PLUMBING PERMIT Permit No.
f (. )
1. Date 10/12/83 2,
3. Job '
Alter O Repair ?
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
; 5hower Wetl
, Kitchen Sink
Urinal/Bidet Other 4 $21.00
Laundry Tray water @1"
Floor Drains S OY2
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that ihe 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
Inspections: Date Insp. Date Insp.
This is your perm,it.when numbered and approved.
Approved ?.CITY OF EAGAN 454,8100
,
? Bik. Tract
? ? ? C `
,
Receipt PLUMBING PERMIT Permit No. -
-•, r CITY OF EAGAN ?--,' ?-
Fee
Fill in numbered spaces S/C ?-'
Type or Prini legibly
, Tot.
.;
1. Date /? 2. Installation Cost
i / q ??..? ,? fT ??
3. Job Address Lot ? Bik. ! Tract
4. Owner
5. Contractor Phone -y
6. Address c/-A-
7. City -.- w ,"" State
8. Building Type: Residential Eb
9. Work Description: New Lb
10. Describe
11.
Zip
Commercial ? Institutional ?
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory ? Softner
Shower Well
Kitchen Sink
Urinal/8idet 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 wittL? ordinances and code governing /this type of work.
Signed :
?- for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved --? ?-? CITY OF EAGAN
i -
454-6100
CITY OF EAGAN Remarks
Addition _ Ridg . li ff Fi rs Ad n Lot 2 Bik 12 Parcel #10 639R0 020 12
Owner screet 1839 Govington I,ane gaa_Eagan_ NW 55122
Improvement Date Amount Annuai Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK -O?; 1982 298.08 5 2
SEWER LATERAL 1982 5
WATERMAIN
WATER LATERAL 1982 1260.79
WATER AREA 1
STORM SEW TRK 1982 638.24 5 638.24 CO 16 12-23-81
STORMSEW LAT 1982 955.45 5 955.45 C007616 12-2 -81
Services 1982 637.75 5 07.75 C007616 12-23-81
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250.00 39470 10-5-83
WATER CONN. 450.00 n tt
BUILOING PER. ssso
SAC
PARK
CITY OF EAGAN
3830 Pi{w Knob Aoad INATER SERY{CE PERMi'f
P. O. Box 21199 PERMIT NO.:
Eagan, MN 551??1 DATE: 1'-:'" 14- .?
ZOn'ng'
Owner. T:110mpson I.a -es No, of Units:
D v
Address:
Site Address: Covingtoa Lane L B 1?ci ?c st
Plumber: ,tnzel 'iec.i
Meter No.: Connectian Charge: :)• p
Sixe: M D
Acc
ou
eposiY;
Reader 1Vo.: Permit Fee: t•
1 agree to osmpiy wiTh tiu Citp of Ee9on Surchorge: •• n
O.diwono.s. Mtsc. Chorpes: , pa meter
Total:
BY D
P
ate
aid:
Doce of Insp.: _ 1„c„ .
CITY OF EAGAN SEWER SERVICE PERMIT
383C Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
ZO„ing' No. of Units; I
Owner: `Fhon?ngCr? T; i ;y
Address:
Site Address: at,-?...,,.± 1 cr- `--
19~5-83 -,) ?103 . , ac'
1 ogree M ooMplY wkh flw Cihr of Eayon Connectton Charge: pd
Ordinenea. Account Depca7t:
Permit Fee:
Surchorpe:
By Misc. Charpes:
Date of Insp.: Totol:
Insp.: Dats PaEd:
This tequest void 11
18 months irom
A i 7,7 'I
!S
3qZ°l o
Vn. ^ n
Reques?T; fire No . Rough-in Inspection iReq ired? ?Ready NowQ?Will Noiify.lnsp( Yes ?No ?? tor Wh,,., Ready
prJ??ce??seu uectricai contractor 1 hereby request inspection of above
? Owner electrical work installed at_
Streat Address, 8ox or Route No.
`835 Covwl??io? ua+k Ciry
?G?,,
ection o. Township Name or No. Range No. County
DA r"V rh
Occupant (PRINT)
q V(C1"YfJQ," ??""?l Phone No.
Power 5upplier
? Address
??"'? (?+rD 1 1+??
Electrical Contrector (Company Name) Contractor's License No.
?>E+-- Ct
?cr
-z
,
kc
-
Mailing Address (Contractor or Owner Makine Instailation)
1
1
41
L Cq1, " "0
Authorized Signa re (C tra ir/Owner Making Installation) Phone Number
o-ss?s-
•??v??+ ??qit nVAno VF ELECTRICITY gnw IivsNEC:iiON REQUEST WILL NOT
Griggs-Midway Bldg. - Room N.191 BE ACCEPTEO BY THE STATE 60AR0
1821 University Ave., SI. Paul, MN 56104 UNLESS PROPER INSPECTION FEE IS
Phone (6721 297-2171 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-ID4
' See instructions for completinp this form on back of yallow copy.
A 7
? "X" Below Work Covered by This Request _?9 ZCL b
?
.'Add Rep. Type ot Buitding Appliances Wired Equipmen[ Wired ?
BUIk
M Fee ServiceEntrance5ize H fee Feeders/Su6feeders # Fee Circuits
0 to 200 Am S 0 to 30 Am s ? ?O.l? 0 to 30 Am s
Above 200 Amps 31 to 100 Amps 31 to 100 Am s
Swinuning Pool Above 100_Am s Above 100_Amps
Transiormers Irrigation Boorns J Partial-`Other Fee
ci-
Remarks ..',•....•,? . o?,c???v??
S yo,Sv TOTAk?-----
?, . D.GQ
:rical
hereby
t the a6ove
has 6een
4?3a.so
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/wndos when pertnits are required for each unit
Date_ ? /:f-/
Site Address Unit #
? ?57
Property Owner elephone # ( )
Contractor -?
Energy Center
fHome
5200 25?h Ave N#128
Street Addre I City
I Plymouth MN 55447
5tate _1 763-476-1990 fax 763-4 ?
76-I143
Telephone #(
)
Bond #:?2? (Q O ? y Expires: C? "y`?- d;!
The Applicant is _ Owner
r Contractor _ Other
Add-on ar alteration to existing dwelling unit $ 30.00
Additi
l
L--?-f R
l
urnace _
ona
- ep
acement
' air exchanger
airconditioner _New _ Replacement
other
State Surcharge s .50
Total $
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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.
Applieant's Printed Name
Applicant's Signature
1839
?/? . .
?
FOR:
?C. R. WINDEN d ASSOCIATES, INC.
LAND SURVEYORS Tel. 646•3646
1381 EUSTIS ST., ST, PAUI, MINN. 55168
U. S. HOME CORPORATION
q 3 Zg 'TaQ °? r'QCb
' .
s q
c?V/
? 4- /V
GT(DAI
0
\
?
Q' ? N P 49
411 / r
3 oPOSed ? 2?
~? e
>0 ? '+s
/
?
?
v
O
-/Ves
?S. Q
^ ? 945.bb
0
?J
/
caa7{3>I
.?
?Z
,{op o{ Gurb/IV
Scale: 1" = 30'
O Denotes Iron
Lot 2, Blockl2, Ridgecliffe First
Addition, Dakota County, Minnesota.
/
(Vofe :
Proposed 9ara3e floon E 1. 44833
j (900.0) Deno+CS propcsed fini5hed 9round'EI.
t Deno4es direc+ton o-? Surface dro;n4,3¢
Vert+co.l Datum - NGVD Iq29
(953.0)
WE NERE6Y CERTIPY TMAT THIS IS A TRUE ANO CONRECT REPRESENTAT10N OF A SURVEY OF THE
60UNDARIES OF THE LAND A90VE Of5CRI6E0 AND OF TME IOCATION Of ALl EUIIDINGS, If ANY,
THEREON, AND ALL VISIBLE ENCROACHMENTS, If ANY, fROM OR ON ,SAIO IANp.
Detad Ih f dor of Au C. R. WINDEN ?6 ASSOCIATES, INC.
i????'i?•s'f . A.D. 1983
? by `e?"
Swroyor, Minnesolo Rapisfralion No, 77Z6
li(1]19
CITY OF EAGAN N? 8550
9795 Pllae Knob Nmd Eagan, MN 53112 .
PHONE: 4 51-8100
BUILDING PERMIT " Receivr #
Value $63,000 pate
Te bs uwd Fer SF DWG/GAR Esr October 5 _ 1 q 83
.
Siee Address 1839 Covington Lane Erecr )a Occuponcy R-3
Lot 2 elock 12 Sec/Sub. Ridgecliffe lst Airer ? Zonin9 (PD) R-1
10-63980-020-12 olr ?
Re Fire Zone NA
Parcel # p
Enlarge ? Type ot Consf. V
w Noma Thompson Lakes Division Mave p # Scories
Z Address 1712 Hopkins Crossroad pemoush ? Length 70
? Ci Mt ka. 55343 phone 544-7333 G.ode ? Depth 24•6Sct. Ft-
Q Neme 047I1eT Approrals Feea
o? Address Assessment _
S? Water 8 Sew.
Cit Phone
Police -
Ww Name Fi
F?,
? re
i
- Address En0•
,
?
i'Z" City Phone Planner -
Countfl
1 hereby acknowledge that 1 hove reod this applimtion and sTate that gldg. Off
fhe informotion is correct ond agree fo comply with oll applicoble AP? _
Slote of Minnewto Statutes and City of Eogan Ordinonces.
Permit °" • ""
Surcharge 31.$0
Plan check 161.00
SAC 525.00
Wofer COnn. 4 90. . 00
WoterMeter Fo.on
Rood Unit 250.00
roroi 1799.50
Signature of Permittea
ompson Lakes Division
I? Building Permit Is issued to:
ull work shol( be dane in accordance with oit applicable($/M?1e of pM?inne;
Building Officiol
_, on the express conditlon Ihnt
ond City of Eogan Ordinances.
`, ` t ? \ t1t CI'i'1' OF ElGVd ??5c-? Includc 2 sets of Plans,
Tb Te C..'?r--+ i? W•l:??r - J
? - ? site plan w/elevatiorts 6
plan: 13UZI.DINC PFRt?IT APPL _ 1 set of energy calculations_
? ?0.r ? a Q n
'Ib IIe Used For Valuation??.,00(a Date ZQ- U3
Site Pddress= ??? 1 CGII y\ ?CtpL? OFFI(E USE ONLY
Lot 2 Bloc?c lZ sec./sub_ ,'Erect OccuP?' .?.3
Pdreel 3qgC) - o Z C) -! 2r Alter Zoning -/>/3
Regair Fire Zone
Q.mer: Enlarge Zype of Const. ? -
Nbve # Stories -?
Pddress Dennlish Front ft.
City/Zi Grade Depth /'f'/ft.
Phone I
contractor: . DIQi+Ap$QM LAKES DIVlSION
Fi3dress: a Wvfeian of US. Ho?e ra 1712 INB CROSSROAG
Ci ty/Zip Cade: MINNETeNKA• INN. bWW
Phone
Arch_/Dng-: _
Fddress:
City/Zip Code=
Phone 4:
APPMUALS
Assesstrnnts Permit
4aater/So,er Surcharge ??-
Police Plan Check
Fire SAC
g,q, water conn. ysD `9'
Planner Water Meter ?
Council Roarl Unit
Bldg. Off. ?
APC
,
?ALj_l 7q_q, sc?
HOUSE HEATING TEST RECORD
ADDRESS APT. FLOOR CITY "c'. fl
OCCUPANT au \ ? T GI M S?nk OWNER m G?1flI?-
HEAT LOSS DATE HTG. INST.
SOLD BY HOM E ENERGY CENTER INSTALLED BY HOME ENERGY CENTER
Electrical Work By HARRISON ELECTRIC Gas Line By
TYPE OF HEAT GA -FA X HW_ STEAM _ SPACE HTR. UNIT HTR. OTHER
Model
Serial
Valve _
Limit
Limit Setting
Fan Setting
Pilat Type _
Pilot Make
Pilot Model
Pilot Tming
L. W. Cut OH
Pressure
Input CFH
Stack Temo.
Form 235
C
MAKE OF BURNER
Model
Max. BTU Rating _
MAKE OF FURNAC
Model
Heat Plug
Vent Size
KIND OF LINER_
Draft Hood
Filters Size
Chimney Location
Chimney Constmctic
SIZE NONE
Regulator
Number
Inside Outside
Smoke Bomb
Draft Wiring
T
t T
Ooor Pressure es
ag
Li
hti
I
t
Percent C02
Date Tested ?- g
ng
ns
.
Percent OZ
Percent CO '? CompanyTesting HOME
Name of Tester ER
/J 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
? ? ?? `?- ? CITY OF EAGAN
? ??? ' 3830 PILOT KNOB RD - 55722 2L?
651-681•4675 -1
New Conshuctlon Reaulrements Remodel/Recair Reauhe? ? ?
ts ?
? 3 registered sHe surveys showing sq. H. ol lot, sq. H. of house 2 eopies of plan
antl 2?II roo(ed areaa (20% maximum lot coveraae allowed) 1 set oT energy calculafions tor heated addHfons
? 2 copies of plans (show beam 3 window sizes; poured fnd. design; etc.) 1 sXe suney for exterior addRlons S decks
D 7 set of energy calculatfons
D 9 copies oF hee preaenatton plan N lot plaHed alfer 7/7/93
DATE: B' -311 - 9? CONSTRUCTION COST: FI D Z/
DESCRIPTION OF WORK: X@ 269 A-
STREET ADDRESS: ?O /?-?rc TB/IJ ?/v
LOT: ? BLOCK: ? SUBD./P.I.D. #: 96
G(???C?'??,f 1 ?r
?r?
P.g G
Name: y Phone #: ? z 6 y3?.7'l'??
PROPERTY Laat Flrst
OWNER /p
StreetAddress:I2.?y
cuy ?•?6.Q,u state: zip:
Company: /Y 1 CD s?'L? _ phone #: .??
(area code)
CONTRACTOR
Sheet Address: Aale License Exp.
City erN.c' State: ?J? Zip: J 5-xZ;?-
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Streefi Address: Regishation #:
CrtY State: Zip:
Sewer 8 water Ilcensed plumber (reaulred fw new constructton onlvl:
'' PenaMy applies when address change cnd lof change Is requested once permit Is lssued.
9 hereby acknowledge that I hove read fhls appllcation, stafe that the informaHon Is cortect nd agree to comply wtih alI applicabl
State of M(nnesofa Statu}es and CIty of Eagan Ordlnances.
Sfgnature of Appllcant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
2-%2 ?C
?
`ib: IIJIh'?IR OLSON, iIPILITY I f3ILLICIG QTRI
DALE PETERSON, Q3IE[' BUILDIN[; OFFICTAT,
BIIS, IIRANCEi, SUPERINi'LNDFSIT OF PUBISC L40RK5
FRCXM: THCY°]AS A. COLBERT, DIRECI'OR OF PUBLIC SVORKS q4-?
DATE: NOVa7BER 17, 1981
RE: RIIX;ECLIFFG 1ST ADDITION - SE[+IER AND FTATER CONNF.CPIONS
--- On Septeinber 10, 1981, a iremo was distributed listing several lots in
the Ridgecliffe lst Addition which would not be issued sewer and water
Peimits tmtil sanitazy sewer service had been made available. Eecause
it is not anticipated that gravity sanitary sewer will be available to
provide service to the affected lots until July/August of 1982, Orrin
Thoupson Hoires has agreed to install a texporarv lift station from Man-
hole No. 37 to the 4" service line for Lot 8, Block 9, Ridaecliffe lst
Addition. Attached to this i?e?o is a copy of the letter we received
fram Orrin Thompson Homes whereby they indicate that they wi11 perform
the installation, m3intenance and liability of this terporary lift sta-
tion/force main sanitary sewer until such ture gravity sanitazy sewer
can be eatended across the future I-35E during the spring of 1982. There-
fore, with this terrporary system being installed and tnaintainecl bv Orrin
Thar.pson Homs, the termraxy hold on sewer and water pertnits and occu-
pancy for the following lots has naa been lifted:
Lots 1-9, Block 7
Lots 1-6, Block 8
Lots 1-7, Block 9
Lots 18-23, Block 9
Lots 10-16; Block 10
Ints 1-10, Block 5
Tiots 1-4, Block 6
Lots 1-6, Block 12
Lots 1-17, Block 13
This tPtrporary sanitarv force main ivill still not orovide service to
the following lots:
I.nt 1, Block 8
Ints 1& 2, Block 9
Lots 18-23, Block 9
Lots 11-17, Block 10
Therefore, the restrictions as referenced in my previous trem will still
applv to these lots.
These lots are referenced on the attachcd mp for your information. If
any problems arise pertaining to sanitary sewer availability, back-ups,
etc., please refer those calls directly to Orrin Thoi*pson Hcnes for the
proper resolution. If you have any auestions to this release of the re-
striction on the building and scwer/water pernlits, please mntact m.
Please insure that all personnel in your departra-ant are aware of these
res trictions .
TAC/jach
cc - Bob Carlson, Orrin Thcn-pson Ha*es
TO: UJRNA oISON, UPILITY BILLINr, CT=
DALE PEPERSCJN, CHIET BUIId)ING OFFICIAL
BILL BRANCH, SUPERINTINDENT OF PUBLIC WORKS
FROI"I: THOMAS A. COLBFR'I', DIRECI'OR OF PUBLIC WdRKS a?' V
DATE: NOVEMBER 18, 1981
RE= RIDGECLIFFE 1ST ADDITION - SEFIER AND WATER CO?iIECTION RESTRICTIONS
On November 17, 1981, a m=sro was fonaarded listing several lots within the
Ridgecliffe lst Addition that had restrictions placed on the issuance of
any sewer, water or occuoancy pennits due to the tmavailability of sanitary
sewer. There appeared to have been a duplication of lots that were re£er-
enced for future restrictions as aonpared to those whose restrictions had
been listed. Please be aware that the folloaing lots only will have re-
strictions placed on the issuance of sewer, water or occupancy perniits:
Lot 1, Block 8
Lots 1& 2, Block 9
Iots 18-23, Block 9
Ipts 11-17, Block 10
Please insure that these referenced lots are not granted any permits that
wnuld alloa their occtpancy or use of the sanitaxy sewer system.
Please insure that all personnel are made aware of this correction as stated
in this nPrro.
TAC/jach
cc - Bob Carlson, Orrin Thcsrpson Homes
L,2 , g/ TzC- l
10: ICFSIA OISCN, LlPILi'i'Y IIIIS.IIQG QE.RFC
BUTSDING INSPECPICN DEPAR2,1ENT
SIIS, BFAN(]i, SUPERPi1TfTZEN'I' QF PCBLIC WORRS
Fl3YM: 4fiCPgiS A. QMERT, DIRECIUR QF PCBISC WRKS dt/C-?
_ OATE: SEPPIIMBIIt 10. 1981 RE: RIDGEQSFFE 1ST ADDITZCN , .
Because the following list of lots in Ridgecliffe lst Additim does
not have qravity sewer outlet at this tu!e, the follvaing prooe-
dures will be initiated tmtil further notice:
VPILITY BILLIM
No water turn-ons will be allowed prior to 8-1-82 or imtil 52Wer
is available in these areas. "
BUIIDD7G I:NSPECfICN
BLu1dui9 Permits can be issued for these lots, but the Builder
should be infox-md at time of peanit issuanoe (perhaps stamning
the bui.lding pexanit with "NO OCGT..PANCY PRIOR 'IU 8-1-82 OP. LTJTIL
SEWER IS AVAIIABIE") the restrictions on sewer availability.
N1ALN'PEVANCE DEPI\M"
See both utility billing and building inspection above.
The lots with these restrictions are as fol].aas:
7.aI5 1-9, BLOCK 7
- IOI'S 1-6, BICQC 8
LCJIS 1-7 BIpCR 9
LdIS I8-23 BLOCK 4
LO'I'S I0-16 BLOCK 10
IL7f5 1-10 BLOCK S
I?'1f5 1-4 BLOCK 6
Il7PS 1-6 BLOCK 12
LC7I5 1-17 BIlJ(SC 13
anc3 are also indicated on the attached maps. _
jac
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Tetephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion Reouirements RemodeUReoair Reauirements Office lJse Onlv
3 registered site surveys showiig sq. R of lot sq. ft of house; and all roofed areas 2 copies of plan _ CeR of Survey Recd
(20% maximum bt coverage allowed) , i set of Energy CalculaUons for hwted addibons _Tree Pres Plan Recd
2 copies af plan showing beam & wintlow sizes; poured found design, eta 7 site survey for addiGOns & dedcs _ Tree Pres Not Reqd
15etofEnergyCalalafions AddrGon-indkafeMOnsitesepticsystem _Qn-si[eSepficSystem
3 wpies ofTree Preservation Plan'rf lot platted after 711193 •
Rim Joist Dehail Options selection sheet (61dgs wiN 3 or less units
Date C),)- / \ ') / Q?
Site Address t Fj3°t 0_,C?,v Construction Cost A . '9 2
O v__-, UniUSte #
Description of Work c=_1;z. ??si--
Multi-Family Bldg _ Y? N Fireplace(s) V_ 0 _ 1 _ 2
Property Owner Telephone # ( \, ,5j) koa1a ?03_f ?
Contractor Z-r?Cs .
Address Z4e>9 R, n-, ?
State _?? ?O City
Zip 4:S5k\ 3 Telephone # (L-6 k)
COMPLETE THIS AREA ONLY IF
Energy Code Category
(J submission rype)
Licensed Plumber
- Minnesota Rules 7670 Cateeorv 1
• ResidenHal Ven5lation Category 1 Worksheet
Submitted
U ?, ? lJ
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Pernvt and acknowledge that the information is complete and accurate;
that the work will be in conforntance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand tkris 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 ofplans.
Applicant's Printed Name ' pp 'cant's Signature
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
?3 b? l f City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
$-?aT
NewConsWctionReauiremenfs RemodeUReoairReauiremen(s
3 registered sRe surveys showing sq. ft of bl, sq. ft. oi house; and all roofed a2as 2 cropies of plan
(20Yo maximum lot coverage allowed) i set of Energy CalcuWtions for heated additions
2 copies of plan showirvg 6eam & window sizes; poured fountl design, eta 1 site surveY for addNOns & tlecks
?
7 set of Energy Calculatlons Addrtion - indicefe tl on-slfe sepOc system
3 copies of Tree Preservation Plan'rf lot platted after 717/93
Rim Joisl Defal OpGons selech'on sheet (bMgs with 3 or less uniGs
2
-1 / /
Date Construction Cost
Site Address ? ' U e #
Description of Work
Multi-Family Bldg _ YN Ftireplace(s) _ 0 _ 1 _ 2
hone # f(['Y43
J?? ?7
Tele
Property Owner .
p
--
Contractor
Address CiTy
#
l
? T
h
State ep
one
e
Zip
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category
• Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitled Submitted
. Energy Envelope Calculatlons Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanicai Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Teiephone #(
rrrs .. _
I hereby apply for a Residenrial Building Permit and aclrnowledge that the information is cr"n lete and accutate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and tlie Sfate of NIN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
app f lans. ? 1
ApplicanYs Printed Name Applicant's Signa
Use BLUE or BLACK Ink
r-----------------
I for' Office
o I Permit#: l
City p Ea
I I
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 j staff:
Fax: (651) 675-5694 L - - - - - - - -I
INFLOW & 1 LTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: q5A \ Site Address: rJ
Tenant: Suite
Name: Phone: S: RESIDENT /OWNER
Address /City /Zip: \ C_..~/ ~ ~t~ .
License Name
CONTRACTOR Address: 4, F .City: Z ~r-S
State: Zip: Phone: fp y i a - a
Contact: Email: e L G a-S p.
PLUMBJNG (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
Description of work: L2 e-
DESCRIPTION
FEES
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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. mvw.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that t 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 app ' ation for a permit, and work is not to start without a
hat the work ' e in accordance with the approved plan in the case of wor 1hich requires a w and approval of plans.
X X
Applicant's Printed Name Applicant's S!6najLjx~
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final