2047 Coral Lane
Use BLUE or BLACK Ink
I
For Office Use
I I
Permit I
City of EaV I 0
I Permit Fee: ~S • I
3830 Pilot Knob Road 0
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff: -
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date:" Site Address:
Tenant: Suite
RESIDENT OWNER Name: &~a 1~e r sc'r Phone: Q15 1
/
Address/ City/ Zip:
Name: License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
Description of work: C-01 Q Cl) Q~ f7 P
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. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that 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 wo77-
Applicant's a review and approval of plans.
x Mkyt V-I rrl x
Printed Name Appli nt's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
f CITY OF EAGAN ? Remarks Cedar Grove Acquisition
Addition Cedar Grove #2 Lot 25 ' Bik 4 Parcel 10 16701 250 04
Owner Street 2047 Cora1 Lane State Eagan,MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL 1972 1304.00 2.1 2
WATERMAIN
# WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
' SIDEWALK
STREET LIGHT
WATER CONN. '(i,
BUILDING PER.
I SAC ? . I
PARK
,
BUILDING PERMIT
! Sits Address z947 Coral IAne
Erect ? Occuponcy
Lot 25 Block 4 Sec/Sub. G-'daL GrOVe 2IId Alter ME Zoninp
parcel * 10 16701 250 04 Repofr Q Fire Zone
Enlaroe ? Type of Const.
W Noma John T. 3teV@IL80A N1eve ? # Stories
? /?ddress 2?+7 Coral Iane Der„oi;sh ? Length
r:.,, Fs?aan S9022 M- 456-6875 Grode [-1 Depth Sq. Ft.
Nome _
gg Aearon
r ??...
Name _
/lddress
1 hereby ackrawledge thoA I hove rea
the intormotion is corre a
Sfote of Minnesoro Stot s
Sipnaturo of Permittes
A 8uiiding Vermit fs iu to:
oll work sholl be done in atoordonce
Buildinp Offkial
cirY oF IEAGAN _
3795 Mlef Kwob Rood Eegew, MN Sl122 NO 7G44
PHON[: 454-8100
Receipt # ?J(
Assessment Pennlt 11.SU
Woter & Sew. Surchorpe •50
Palice Plon check
Firo SAC
Enq. Woter Conn.
Plonner Water Meter
Ccuncil Rood Unit
applitotion ond stote thct gldg
Off.
.
omply with oll applicoble
gow ^PC
sa-(]r?iaoac?s.
Total $12.00
30II on tha express Condition 1hm
of Minnesoto Statufes and Gty ot Eapcn Ordimnces.
?- (-Oq
7.b Be Used Fbr
site Address
Lat 2 S Block
Paroel #: 10
City/Zip Code:
CrTy CF gAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDIlJG PEFd?IIT APPLICATT0N 1 set of energy calculations.
- Valuation b ?9l'> `?- Date
? sec./sub.
CfF'FICE USE CJNLY .
?t occupancy
Altgr zani.rig
Repa.ir Fire Zone
Ehlarge Zype of Const.
Nbve # Stories
Demolish Front ft.
Z Grade Depth ft.
Phone # : IO "S (-?-J F?
APPR(nTALS
Contractor: ?? L?, • Assessne.nts pernut
Water/Sewer Surcharge
Address: police Plan C7?ck
City/Zip Qode: Fire SAC
Enq, Water Conn.
Phone # : planner Water Meter
C Council Raad Unit
Arch•/EnJ• : Bldg. Off.
AddresS: APC
City/Zip Oode:
?
Phorie # : morrAt, l z • U
3795 Piler
BUILDING PERMIT
cirir oF EAcAN
Kwob Rood Eoyae,
PHONE: 454-8100
MN 55122
Receipt #
rf ?
To be aea fo? Est. Vclue Dote 19
5lte /Iddrou Emd
? Occupancy
Lot Blatk Set/Sub. /11ter ? Zoninp
porcel # • Repoir ? Fire Zone
W Nama
; llddrcss
b
Nome
u? /lddresf
~ Ci Phone
?
WW Nome
Enlorps ? Type of Const.
Move O # Stories
Demolish p Length
Grnde p Depth Sq. Ft.
Aporovols Fses
/tissessment
Woter 8 Sew.
Pol ice
Fire
Enp.
Plcnner
Coundl
Permit
Surchorge -
Plan check _
SAC
Water Conn,
Woter Meter
Rood Unit _
I hereby acknowledge thot I have read this opplicotion and stote that gldp. Off.
the intormation is correct and ogree to tompiy with oll opplicuble ?PC Total
Stote of Minr?esota Statutes ond City of Eogon Ordinonces.
Sipnuturo of PermiMee
A Buflding Pertnit Is issued to: on the express cor?dition Ihnr
oll work sholl be done in atcordonte with all oppliwble State of Minnesota Statutes ond City of Eoqen Ordinonces.
Buildinq Officiol
Permit No. Pormit Holder Misc. Permit No. Holder
Piumbing 31?J j
H.V.A.C.
YVell
Water
D'up.
Sawer
Ekctric W Z-i S? 3 ('X.v /t.Ir- 2-
Irwection Date InsP• Other
FootirWt
Foundation
Fnminp •
Rauyh Plbg.
Rough HVAC
InwlMion
Final Plbg.
Final HVAC
Final
Water Dacribe Location:
Wall I
Sewlr I
Pr. Disp.
' CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. •?', .?''
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ??? ? .• ?. ,; ? ???? ? APPLICANT:
lq
?f10
PERMIT SUBTYPE: TYPE OF WORK: ;,; 11
,. , ; I , i , ,:, I ( I Nl: i E'A I i 0 110411
01) > > N, , :
?
9'`A
.. .. . . .s .. . .. . .. j? ? ?t ir ? ,?r ... ..
L? .. . . . .. . . ... . ?? . . . . . _ . . J
- - - - - - - - - - - - - - - - - - - - - - - - - -
Pertnit No. PermR Holder Date Tilephona #
ELECTRIC
PLUMBING
HVAC
Inspectlon DaM Insp. Comments
FOOTINGS
FOUND
FRAMING
(P ?
[.G6?'Zr4
ROOFING
ROUGH
PLUMBlNG
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FlREPLACE
FiREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BIDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL r ??//, QY
'•l ! A4 ?
AA=
M
INSPECTION RECORD - ?
48130 TY OF EAGAN PERMIT TYPE: Pilot Knob Road Permit Number. `I 14H
Eagan, Minnesota 55122-1897 Date Issued: 04 /pqfqti (612) 681-4675 : i
• a.ry. r Ra
SITE ADDRESS: k077
. ?)RAI L.ANE
f;k?l3Al? lii?l?Vf112
PERMIT SUBTYPE:
PittH`; TAR iiUMf'. I'14PItOVIEMEM1
(; 1 :' ) 9.`< 9 - ') H ti ?i
TYPE OF WORK:
H'r'P AtR
('-; 1' 0 1 li4)
I t t 1-J !1 f
: 5 k1 0 r?r , 4
?L L_
Pem,R No. Pennn Floider naro Telep1?one A
ELECTRIC
PLUMBlNG
HVAC
Inepeetion Dab Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFlNG
ROUGH
PLUMBING I
'
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARU
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLDG FlNAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
? ?
CITY of EAGAN
BUILDING PERMIT
... ..
OW[16i ...._(...'.SI.H.?I...........l...!c.Y......... ... ""'.. ..............
Addracs (PSesenll....?.D.Y...7.....?.,....??....? ............... .1- ._.,..:S7.7 y
Suildes .......... A4)-`'•--C...I.. ..................
Addreu ...... ?T:-12,:? ---•°°
. ,.
N°_ 3212
3795 Piloi Knob Road
Eagaa. Minnesola 55122
454-8100
Dals .,?1. .-L7......s:7.C.l?.f1..,...f..
6SOriec To Be Used Fos Fron! Depih Haiqh! Esl. Cm! PsrmS! Oa Rsmask0
/
z c?/l 9'Q/16fQ
.2.iS?Tlnu
/9.? O
ti/
- 5lreel. Road or olhex Daseri{rlion of Localion I Lo! I Sloek I Add3tion or Traet
;2ae) 7 eqlai -'41 1.7s 9 e-4 /-I't q,e? -7-
This permit does not authoxise the use of slreeffi, roeds, allaps or sidewalks aor does it give ffie owner o= hU agan!
the =ighlto ereale aap aiivalion whiah is a nvisenee or which presenlc a hesard !o the healf6, sefely, eoavsnieaee aad
general welfase !o anyone in the communilp.
THIS PERMIT MUST BEp REPT O MISE WFIILE THE WORK IS IN PAOGRESS.
..... `. ?... .'??.-•........._..._........••-upen
This is !o eerlitY. lhat../1..?.... .(.R ?.................. ........ has parmisalon !o erect a..........
the above described ise subjeeS Yo the provisions of all appliaahle Or ' es for ! 2p of Eagan.
`
........ .-'---'--.....--'-'°--......... Pes ............. ...... -'--......_....---....... . ........ . ...................._-.....................
. .. ..... ....... .... ..../Meyor Su[lding Inspec!°s
EACAiV TOWN51-IIP
B9JILDINC; PERMIT
Ownas .._??.._'?!...L.
//' ?J ' _ _..... _. _... _'.. _.... _.. _........ _ .
Address (presen2)
Builder ..............._.---.. ------------------------------------ - ? -
.........
Address ..... ------------ -- - -------- .. ....... -----'-
DESCRiPTiON
N° 78:1
Eagan Township
Town Hall
nete - -.l?_-L.7..." 6J --....... _.
Siories To Be Used For Fron! Dapih Heigh! Esf. Cosi Permit Fee Aemarks
??? .
LOCATION
Sfreei, Ro2d or ofher Descrsp}9on of Loca}ion Lo1 I_I'•1rl_ J_ _ Addiiion or 'Praci
- ?----- - ---- -- ---= 2 Z - -- --- - - -
This permit does nof authorize the use of sfreels, roads, alleps ar sidewxlks nr- does ii give the owner or his agent
the righi !o aseale any si:ualion which is a nuisance or which presenls a hazard So the healkh, safefy, convenience and
geaeral welfare !o anyone in the communi4y.
THIS PERMIT MUST E? KE,PT ON THE PREMIS£ WHILE THE WORK IS IN PROGAESS. •
This is !o cerlify, fhai.....-'_o&.:......L.p.(r?..?._r.._? ................... has permission io erect a..... Jr?.._ ....upon
the above described premise subjeef to the provisions of the Suilding Ordinance Ser Eaasn Township a opizd Apzil 11.
1955. d
t L ?- ?Q(/t?-?
...... '-•--- --•---°--°--' ?
!-- R`-. .-.-.-.........._.... Per .....------- --- -
....... . _--'--------------. .. ----
Chairmap ofTn? Board Suilding Ins ector
/? 4
I II I I I I) IIIII REQUEST FOR ELECTRICAI INSPECTION?/
Minnesota State Board ot Elec[riciTy
.
1821 University Ave., Rm. S- 28 Paul, MN 55104
*0 2 3 M46 7 4 p* Phone (812) 642-0800
a?
ome Dupex Apt.8ldg. Other New Addn
Commercial Indusfrial Farm Remo Re air
Air Cand. H}g. Eqwp. Wofer Hh. Load Mgmt. Other
D er Ran e Elec. Heat Tem Service
"X" above the work mvered by fhis requesmarks m this space and on? ?the back of fhe white copy only.
?
??.?w?Mu<b???J?
r? U c? U
Colculate Inspecfion Fee - 7his Inspxhon Request wJl nof be accepted withwt the mrred fee-
Olher fee 3k $ervice EnhoMe Sae Fee # Crcvih/Feeders Fee
Mobile Home Park $lall O to 200 Amps ? 0 to 100 Amps
$freet L}g /TraHic $ig. Above 200 Amps Above 100_Amps
Transfortner/Generator INSPECTOR'S USE ONLY TOTAL ti(A'L).
n/Oudine Lfg
Xfmr
$i ?
• a?
.
.
g ?
Alorm/Remo}e Control
Swimming Pool I hereb cem t I t e elernical Ilo inon the doro: led
Irrigafion Boom p.q?gh.ln NK
l i
nspedian
Specia F??al Wt
TH Invesfigahve Fee
IS INSTALLATION MAY
BE OR
DER DISCON CTED IF OT COMPLETED WITHIN 1 MONTHS.
/? /? m?+ 7 A ?
C. J`f U ?'t ??SE QNLV This request wid 18 monlhx fmm validofion dore pnmed in M,is ?bra?a
?.7
PLEASE PRINT OR TYPE ?vc?S 0(
Requesl Da
' S ?? Rooghm mspernon reqwnd2 ? Yee ?No
h
d
Y
ll
h Inspernon Olher Than Rough-In. Ready Now ? Will Coll
D
l
R
d
oo m?n ca
(
t
e inapMOr »
e n reo
y) a
e
m
y
I, Lcensed mnfractor ? owner hereby requesf i nspection of ihe above electrical work ah
Joh
A
dd
ress (Areel, Box, ar Route No t Gry o
de
Z
ip C
?
?
A
. `
?"?+ `N • ?/?? ,? ? \
l..J'1?`YV '
?
',`1
?
?
v ?(L`
5 non No. Tawnahip Name or No- Ranq<No Fim N. Co
1,?oTA
Ocwpam
RatoOD"? Q-( RKS,!Aa4
Ess% Vhone No
togco - 51n-S
Power Supplier
AU S7 Pddrexs
?so Nta ?s- ?&?er
Elecld<ol Contmdor (Campany Namid Commclor Lceme N.
Mashr Lc No. (Plvnl Elen Only)
- A?O L o
MaiLng Addrtss (Conimtlor oi Ownar Pedarming Inslollatian)
Aufhon 5i9nowre Conhacbror Owner Pedo ing Insbllanonf Phone o
EB 1/ AE D91`PY-as?IN871iUC770N50NBACKOFYLLIOWCOPY T
1
This request vaid
16 rcroo;bs from t I 1 _ Zµ( L 1-;ZCJ ??aco^ ? 3 Z? (
l ? ?? ? ?
Ni4 27593 zot oC?)
fleques[ Date
? I^? Piro No. flough-in InsUer,Imn
Reqwred?
?Ready Now XWill NoLiY Insaec-
????
?? Yes ?NO ?or When Ready
U Lit.ensBtl EIBCutcal ConVactOr I herebY request inspec[ion ot ebove
u Owner elaclncal work matelled et.
Stree[ Address, Bos or Route No
Co.vL City
Ea aV-\
ecbon o. Township Name or No. anpi; No. County
\
Occupant (PpINT)
o????, Pho e No
S.
?-lo 87 ?
Power Supplier
? 51:> Addre5s
Electncal Conlraaor ICOmpany Namel
0 UD N Con[ractor's License No.
Mailine A?Jress (COntrar.tor or Ownar Making Instailauon)
C
A' ?or¢ tl S ur ntractor/Owner Makine Instellation) Phone Number
MI,N?JESOTA STATE BOAHD Of ELECTqICITY
Grides-Midway Bldg. - Room N•191
iB2y Univeraity Ava., Si. Peul, MN 66104
Phone Ie121297-2117
THIS INSPECTION flEQUEST WILL NOT
BE ACCEPTED BY THE STATE BOANO
UNlESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooom-oa
'TJ275 g 3 1 Sae inshuctions tor comUhetine ihig farm on back ot yellow copy. ?J
"X" Below Work Covered by This Request 332Z i
Na
Add
Nep,
Type of ewlding
Apoliances Wired ?
Eqvipmant Wved
Home Range Temporary Service
Ouplex Water Heater Lightin Rxtures
Apt. 8wldmg Diyer Electric HeaLn
Commercial Bldg. Fumace Silo Unloader
Indusirial 81dg. Air Condrtioner Bulk Milk Tank
Farm Other Oeufv Other lSUecifyl
i er SGecifY Oitier Other
# Fee ServiceEnhenceSixe p Fee Feadars/Sabfeetlers # CircW[s
0tol00Am s 0 to30Am s Cto30Ain
101 to 200 Arnps 31 to 100 Amps t 31 to 700 Am s
Above 200 qmps Above 100_Am s Above 100_Am s
7ransformers Remote Control Cira Pamal-'Other Fee
Signs Special Inspection
$ Cy?\ ?`c
Rema rks
?? , tn 4?Cn ?...n nn.t n; W1 t I 1N
77,1 1 T
OT
/l.. ..w
Roudh-in
Date
/??? ?,?/?\ cI, the Electncal
b, /?'?/V?+6(J 1,7 actoq hereby
Final ? taH Ihef the nbova
? e ? Uection has been
i
This repuest ?o,d
?a mantns rrom
?
?
g -?
?
?Z
?N?..,
?oi "o' L
1 RESIDENTIAL BUILDING ?o
``? ?
Permit Application `-,
J City OfEagan
3830 P2lot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstrucUOn Reauiremenls RemodellRepair Reauirements Oifice Use Onlv
3 registered site surveys showing sq. ft. of lot sq. ft of house; antl all roofetl areas 2 copies of plan Cert of Survey Recd
(20qo maximum lot coverage allowed) 1 setof Energy Calculalions for heated additions Tree Pres Plan ReW
2 copies oi plan showing beam & window s¢es; poured found desgn, etc 1 sRe survey for additions & decks Tree Pres Not Reqd
isetofEnergyCalculaUOns Addifion-indicateifon-s'rtesep6csystem _On-site5epticSystem
3 copies of Tree Preservalion Plan i( lot platted after 711/93
Rim Joist Dehaii Options selection sheet (bkigs with 3 or less units
Date J l;?3 l 0-'5 i
ConstructionCost a?Op -
Site Address `tv 7 ("?Q Un iUSte #
Deseriptian of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner yy?? Telephone # ((oy/ ) (o ? ? ^ U ?/?
Contractor k.il.oPimc.ti. (..e?
Address :)-7 / gV X-L i . City A•r ,r.?-?j,?{..
State [/L? Zip SS r?G S Telephone #(?'X
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 WoAcsheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone #(
1Mechanical Contractor Telephone #(
j
Sewer/Water Contractor , ?(17 1,? ? Telephone # (
I hereby apply for a Residential Building Permit and aclaiowl'edge 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
pernvt; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
G c v? (.A- )-<,y- G - ?V
Applicant's Printed Name Applicant's Signature
PERMIT - CI`TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuiLorne
PermitNumber 031748
Date Issued: 0 q/y g/g g
SITE ADDRESS:
2047 CORflL LANE
LOT: 25 BLOCK: 4
CEDAR GROVE #2
P.I.N.: 10-16701-250-04
DESCRIPTION:
(sroiHG)
BuSlding„tiPermit Type
Building 0o.rk Type
;'Cen.sus- Catle?'
/ ?•
?
,:.
j ?
ti ar. _
f
m +? ?
b
, i?"° i 1 . ,V.u?Z
; ?
5F (MISC.}
REPAIR
434 AL7. RESIDENTIAL
'e?£
W??`?(? ?k?i?J AG`Y
REMARKS:
FEE SUMMARY:
VALUA7ION $8,000
Base Fee $137.25
5urcharge $4.00
Total Fee $141.25
CONTRACTOR: - Applicant - ST. I.IC OWNER:
NORTHSTAR HOME IMPROVEMENT 19291888 0005336 PERRON MICHAEL
§'121 EXCELSIOR BLVD 207 2047 CORAL LN
?ST LDUIS PARK MN 55416 EAGAN MN 55122
1612) 929-1888 (612)667-0810
? I hereby' acknowledge tfiat' IPtave re'ad 'thiS' applioation andP"sCgte 'thaC th-e I
i.nformation is correat end agree ta oQmply wi.th a?ll applicable 9Cate„of,Mn.,
5"ratutes' and C?;ty ?rsf 'Eaga? Qrdinances.` _ _
fi04.U1. ?11 ? 114APPLICANT/PERMITEE SIGNATURE SSUED Bt(. N FE
CITY OF EAGAN
31 ? 4 f3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
dew ConsWtlion Reouirements Ramodelrt?eoair Reaviremenis
? 3 reglalered elte surveys ? 2 eopies of plan
? 2 eopies of ptans (indude beam & window saes; poured fnd. design; elc.) ? 2 site surveys (exterior additions 6 decks)
? 1 energy cakulaliona ? 1 energy calculetlone ta heated additions
? 9 copies of kee pieaenation plan H l01 pletled efter 7/1J93
required: _ Yas _ No
40
DATE: T" 5' . CONSTRUCTION C05T: 79fU
DESCRIPTION OF WORK: A SIDt
STREETADDRESS: 070`?7 644"4- G,t&?
LOT J? BLOCK _J,_ SUBD./P.I.D. #: C?P?AIh .,11h?1u ?.Z
PROPERTY Name: f.f,It1 P i. Phone #:
OWNER `°`T
Street Address• a04(7 ?ir
Ci{y: 64+) State: /r9N Zip. 5Sl z.z
coNTw?cTOtt Company: /Vv'fr Kri.t?.1(10.Yr' Ir?f?• Phone #: 9al"/9X9'
StreetAddress: G/xi ?Keccsro.e??Jd License#• s33L
City 4-te- State: W?- Zip• $.iW L
ARCHITECTI Company: Phone #
ENGINEER
Name: Registration #-
Street Address-
City: State: Zip:
Sewer 8 water licensed plum6er: ? Penalty applies when address change and lot
change are requested onc:e pertnit is issued.
i hereby acknowledge that I have read this application and state that the informati n is correct and agree to comply with all
applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ? "--
OFFICE USE ONLY
Certificates of Survey Received
Yes
No
Tree Preservation Plan Received _ Yes _ No
C1TY OF EAGAN PERMIT ?R-041
°
3830 Pilot Knob Road PERMIT TYPE: 8 u zL o z N e
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 6 A 0
(612) 681-4675 Date issued: 70/26/9 5
SITE ADDRESS:
2047 CORAL LANE
LGTt 25 6LQCK: 4
CEDRR GfiOVE. 2ND
r- .z.N . : 10-16701-:50-e4
DESCRIPTION:
a. 1
(SNCI. F'ATIO IIQOR)
I'ermi_C. TypF CIFCK
'i4brk TypL NEW
a A ?E
G ffl
?
F•i
?rv+i v??i s8r'r?
I. ? SJ_;v i?l 1a'? e N9"iffi?w ?4evi
a? ?t ^_"c ba
.- -.. .5?r ess
r ??i3
?}iR_k.er +j6: Rit ?'L{Y, a??1 f« t..r ?ai
?N
REMARKS:
FEE SUMMARY:
6asQ Fee 5;349. 00
S u r c h a r ge --------5 a-
Total Fee y;30.5k)
CONTRACTOR:
coNCEPrs xiv LrvrNG
23105 Gf;ANO AVE
BURNSVILLE MN
(612) 890-210E
- Appl.icant - 5T< LTC
15902106 2001126
55337
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PLI T/PERMITEE SIGNATURE ISSUED e :51 ATU
OWNER:
CIF2KSENA RAMC]Y
2047 COftAL LN
EAGAN MN 55122
(612)685-5778
ir h?#t^sb'y?iack,rr,ow1'*cfge tFsAt?;t" ?
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CITY OF EAGAN Zr`J
3830 PILOT KNOB RD - 55122
ILL40,995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
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? 3 registered sRe surveys ? 2 copies of plan
? 2 copies of plans (inWude Deam & window sizes; poured ind. design; etc.) ? 2 site surveys (exterior addttions 8 tlecks)
? 1 energy calaletions ? 7 energy plculations for heated addi[ions
? 7 free preservation plan it lot platted after 711/93
required: _ Yes No
DATE: 1 D;0`sS CONSTRUCTION COST:? 600 60
DESCRIPTION OF WORK:
-F Ve ta 2 c?
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STREETADDRESS:
LOT ? BLOCK Cop-A?-
SUBD./P.I.D. #:
PROPERTY Name: CkKSeNla ?a? au Phone #: 06(0-5`19$
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Street Address,
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City: ?r1'!A c?a k'C State: Zip: 1ZZ
CONTRACTOR Company: ?UC?Cer,ks 'iN Liil iNQTh
-r C.Phone #:
-
Street Address: ?'31 U`b aQCa v\J %)c. License #: a-UO \ 1 aioS
City:
ARCHITECTI Company: Phone #
ENGINEER
Name: Registration #•
Street Address-
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read tnis application and state that the info ion is co ct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
?
Signature of Applicant:
OFFICE t1SE ONLY
CeRifiqtes of Survey Received _ Yes _ No
7ree Preservation Plan Received _ Yes _ No
' G. r T 2'+ 1995 ?
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T0:
ZONING - NOTIFICATION OF INTENT
Foster Family Homes Day Care Homes
or
? nax 544
FAOM: Dakota County Social Services
357 9th Avenue North
So. St. Paul MN 55075
APPLICANT: ' /(JO/r'nA 7 ?,
02/-? L
treet Address
Number of Natural Children under 18 in home: 0 1 2?3 4 Y
DATE OF NOTIFICATION:
(circle number)
Number of Foeter Childrea iacluded in license: 4 2 3 4 5 6 7
(circle n?ber)
Number of Natural Preachool Childrea in flome: 0 1ff 3 4 5
" (circle number)
Number of Day Care CMildrea included in licease: 0 1 2(3? 4 5 6 7 8 S 10
(circ3e aumber)