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4815 Eriks Blvd? CITY OF EAGAN ??? 383? Rilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 GA? d Site Address ? S?? `-' ? rti' `? B Ll?li Lot ?' Block `' SeclSub. Z???IN V1EM ?ANO& Parcel No. W Name GkG? e '?6?FG..IP o Address ; 5? ? k' S*Y-VI:? City ' ???• Phone 4??-66?0 o Name ??`?? ,r >Q Address ?? City Phone Name _ Address I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Permitee ? * .- ' A Building Perm?t is issued to: ???ct. :n,: r.n? :??,°?r on the express cAndition that all work shall be done in acCOrdance with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. Building Official sx' ?1' . .?_ ? ? ? ?. Receipt # OFFICE USE ONLY Occupancy ?`'" ? ? `? 1 FEES Zoning - (Actuap Const V- Bldg. Permit t)4. Q? (Allowable) Y??? Surcharge T f? ? # oi Stories 3? ? Plan Review ? ?•? Length Depth 26 ? SAC, City S.F. Total - SAC. MCWCC S.F. Footprints - On Site Sewage _ Water Conn On Site Well - Water Meter MWCC System - Acct. Deposit Ciry Water - PRV Required _ S'W Permit BoOSter Pump - SAN Surcharge Treatment PI APPROVALS Road Unit Planner - park Oed. Council - BIdg.Off. _ Copies `''?"? Variance - TOTAL Permit No. Pe?mit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection D e Insp. Comments Footings I foundation Framing Rooting Rough Pibg. Rou9h Htg. Isul. Pireplace ho ? C f Fnal Htg. Fnal Pibg. Const. Meter Plbg. Inspector - Notify Plumber Engr.lPlan Bldg. Final oec* tis. v ,'{?•? .+- s Ueck Final / -*vt /JL?L 46- Well Pr. Oisp. CITY OF EAGAN Remarks Addition Twin View Manor Loc 3 eik 5 Parcel 10 78200 030 05 Owner?+ Street 4815 Eriks B1Vd. State Eagan+MN 55123 Improvement Date Amount Annual Years qy Payment Receipt Date STREET SURF. Z$ 1983 3687.77 368.78 10 281 . 6 C010 $1 6- -$ STREET RESTOR. GRADING ? 1$2 1311.56 8.44 i 961.84 SAN SEW TRUNK 1976 1 .oo 1.00 1 ?j . 00 9F SEWER LATERAL 1982 4142.29 276.15 1,5 3037.69 - WATERMAIN ?F WATER LATERAL 1 82 1 WATER AREA Z.L, 1280 280.00 j$.6'J 1$ 168.04 Services * 1982 1 STORM SEW TRK -7 1$2 61.00 37.4o 1 411.40 ?F STORM SEW LAT 1982 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUIIDING PEF. SAC PARK CIT11' OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 ' Eagan, MN" 55121 Zonirg: `' ' Ownsr: /1ddreaa: - SIh /lddrcn: Jilumber. _ Meftr No.: ,(size:.?i Reader No.: 1 Mrw Ie eowol? wp6 elw Ckp Ono ert WATER SERVICE PERMR PERMIT NO.: D11TE: No. of Units: 1 Charge; i(?Q. 0Q pd posit: 15.00 nd 10. 00 ad i Surcho?ye: • ?`? pLl. - Misc. Chorgss: - 1%?• T) Pd By? Total: " wr rer Duts Paid: DarFe of Insp.: ltuip; CITY OF EAGAN SEWER SERVICE PERMR 3830 Pilot Knob Roed P. O. Box 21799 RERMIT NO.: Eagan, MN 55121 DATE: %-- 't Zoninp: Ownsr. No. of Units: Address: SiM Addross: - r i ' - . _ , L '? I 'l P s Twi n Vi r.4 w, . . . r - PIUmblr: ?e. i iL-r P i?6•. `i 21:3 i 100.00 p:i ? Nna to e?.py whU elu ciryr d 4?0D C,on?ection Chorpr 425 -00 Std OdiNra?, Accpuint Permit Fw: Surcharps: By Date of Insp.: Misc. Cho.pm Totd: Doh Pald: zl s?F'7 41. -189 91 REQUEST FOR ELECTRICAL INSPECTION 7? y -1.tainn95ola State Board of Electricity 1821 University Ave., Rm. S-728, St. Paul, MN 55104 Phone (612) 642-0800 Home Duplez Apf. Bld . 01her: New Addn Commerciol Induslrial Form Remod Re oir Air Cond. Ht . Equip. Warer Hir. Load Mgmt Other: Dryer Range Elec. Heot Temp. Service "X" above !he work covered by this requesf. Enter remarks in this space and on the ba af rhe white copy on/y. Colculate Inspedion Fee - ihis Inspection Request will not be accepted wifhout the correct (ee: Ofher Fee # Service Entrance Size Fee k Circui[s/Feeders Fee Mobile Home Pork Siall 0 l0 200 Amps 0 to 100 Amps Sheet Ltg./Traflic Sig. Above 200-Amps Above 100_Amps Tronsformer/Generator INSGECTOP'S USE ONLV ? TOTAL ? $ign/Oudine Ltg. Xfmr. /?lW" T"??' ?6/s ?/1 I O• r v Alarm/Remote Control ?? 1J Swimming Pool i fie"by ce?ri ma? dee: I? hercin a? tha dme, no IrrigOfiOn BoDm RougMn Dore $ enol Ins ecfion p p Investi olrve Fee Finol Oate THIS INSTALLATION MAV BE ORD D T .1B1IHM1-4B#IONTHS. d 4 0 2 3 7 Request Dale , Flre No S y ? iiough-in Inspection Feawretl? ?ReatlyNOw ? ???ot? ?n?s,pectar d l'] j Yes 4 N. IiXhcensed wnlractor ? owner hereby req uest inspection of above eleclriCal work at. Job Atldress (Streel Box or Route No ) Qry 4815 E3ctx Eriks Blvd. Ea an Seclion No Township Nama or N. Ranqe N. County Dakota Ocoupant (PRWT) Phone N. 6reg & Michele Dor mp Power Sup01ier Adtlass ?],Q DEA 4300 220th St. W. Farmington, NIN 5502 Ele<hmal Comractor (Company Name) CoOVactor5 Lrcense No Corrigan Electric 0 39549 8 Mailing Atltlress IConVaCtor or Owner Makmg InstalleVOn) P.O. Box 475 Rosemount MN 55068 AuthonYetl SignaWre IGonlrectorlOwner Making Inslallacron) Phone Numtier 423-1131 MINNESOTA STATE BOAPD OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT Gnggs-Mitlwey Bldg - Poom S-173 G BE ACCEPTED BV THE STATE BO/+RD 1811 Univereity Ave., St Peul, MN 55104 ? UNLES$ PftOPER INSPECTION FEE IS Phane (612) 642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION nq r? 0, See m-tmdwns lor compleLng this lorm on back ol yellow copY. y?? +e9? /?/- 93 L; 4 O L 3-7 ( "X" Be/ow Work Covered by This Request CkQQxw ew Add Rep TypeotBmlding Appliances0red EqwpmeniWiretl Home Range Temporary Service Duplex Water Heater Electnc Heating Apt Bwlding Dryer Olhec(Specily) Comm./Indushial Furnace Farm . Av Conditioner Other (suecily) Conlractor5 Remarxs' Compufe Inspection Fee Below, # Other Fee # ServiceEnirenceSze Fee # CircwGS/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SignS inspectorg Use onty TOTAL Irngation Booms Speaal Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee "'U COMPLETED WITHIN 78 MONTHS. I, the Electrical Inspector, hereby certiry that the above inspection has been made. RO09""" ' r oaca Final ? OFFICE USE ONLY This repuest vmtl 18 manths irom p 49756 Repuest Dale Fre No Rough-in Inspection R2qWred? f {? RBBtly NOw ? WIII No01y 105p2L10! Ves No When Feady? I? licensed contrector ? owner hereby request inspection of above electrical work aT Joh Ftltlress fSVeet B?r Rou, ¢S4q / C L /? / J ?/` /. ? ICl ?J v City {?? /_ ? Seaion N. Townsmp Name or No Range N. County Ocwpa/m}q? INTi Phone No /^ ` 4L/ / 4 ' ? ? !+""C / ??" Powe' Svppli¢r Atltlr¢ss ?? 3 ? /'y Y Elecincel ConVactoriCompany Namel ? . ConUaotor5 License No Mailiny AOtlress IC hatlororOwnpr Ma4in Inslallai Aut9o?izetl 5? at o raclo,;Owner Maki Inslallatqn? PM1one NumOer MIN TE BOA F4!'lCfRICITV? ?}T• /// (? / INSPECTION BEInGCEPTED BYTHEOSTATE BIMRDT G nggaMidwa Room S-1] .1., 1821 Un-i y Ave , St a 4..y04 ? -Ff- / ? ! UNLESS PROPER INSPECTION FEE IS P 61]) 602-0800 ENCLOSED ?/?/?/ REQUEST FOR ELECTRICAL INSPECTION >.'=""'"? EB-00001-OB 'p/ See msvuctons lor tompleong this lonn on bacrc ol yellow mpy 0 4'7 7:) Cj v "X" Below Work Covered by This Request ew Atld ep ' rypeofBuiltling App6ancesWired EquipmeniWired j Home Range Temporary Service Duplea Water Heater Elecinc Heating Apt Buildmg Dryer Other (Speaty) Comm /Industnal Furnace Farm Au Condihoner O!M1er (suealy? ConVedors Ramarks Compute Inspechon Fee 8elow u Other Fee # ServiceEntrance Sae Fee # Circwts/Feeders Fee Swimming Pool 0 to 200 Amps 0 ta 100 Amps Transformers ? Above200_Amps Above100_Amps Sgns inspactors Use Only OTAL Irngahon Booms Special Inspecnon Alarm/Communicahon THIS INSTALLATION MAY BE ORDER CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elecincal Inspector, hereby Roughin cerhfy ihat the above mspection has been made F,,,ai oac l? OFFICE USE ONLV Tros reyues: vmo i8 monins trom + ? Q' i ? OFFICE USE ONLY This requesl void 18 monlhs fiom wlidafion date pnnted in Il+is box ` ,-. , `1 tii4n'9 tllllillllillilllll?llllllllilhlll lilllllllil?l?? ?5 ??- `???- "?-` ' * 11 4 1 61 8 9 9* PLEASE PRINT OR TYPE keqoest 0 re 'l RougMn mspecfbn reqwred2 Ves 0 No Inspttnon Olher Than RoughJn ? Neody Now Will Cull _ ? 7 [You most mil Ihe inspecmr when mady? ?are Reody: I, i sed contrador owner hereby request inspection of the above electrical work at- Jo6 et 8ax, or Route Na ) p) } City ? Zp Cade r,C?a P/VOt {c 2v'i 5? B o? ? Sxhon No Township Nama or No Rarige No Fre No. Couny ? Dci !\'fJ-t ' pon1 + 1 -T04\ E?J Af -116 Power Suppliw addme, Elxniml Canhacbr Gompany No tvW :?, r-c Connactar Lcensa No NwsM Lc N. (Plant Elecr. Only) Mailrtg A ress (Conka<Iw or Owner Perfwmirg Insmllanon] u r Authy' ing Inslallolion) Phone Nqa EBO000IAi(18/96 ?-..r?e...e........., ?a?.?e.n?v?.u..??...?e...v..vvn?...v?..ov BUILDING PERMIT ATTACHED GARAGE & To he used for ENTRY Est Value 14,000 Site Address 4815 ERIK' S BLVD Lot 3 Block 5 Sec/Sub. TWIN VIEW MANOR Parcel No. _ wlName GREG DOSENKAMP o Address 4815 ERIK' S RLVD City EAGAN phone 454-6690 .o Name S? gp Address ? City Phone ? w W Name ?? Address aw Citv Phone I hereby acknowlege that I have read ihis application and sta[e that the miormation is correct and agree to comply wrth all apphcable Sta[e of Mmnesota Statules and Citv of Eaaan Ordmances. , N4 16561 Receipt # v •) ---) n 0 Date .7IINF1 7 . 1984- OFFICE USE ONLY Oaupancy R-3 M=1 Zomng R-_1. (ACtual) Cons! V?- ` Bidg Permrt FEES 154.00 7.00 77.00 (Allowable) V-N Surcharge # ofstones Lengih 30' Plan Raview Depih 26' SAC, Ciry S.F. Total - SAC, MCWCC S F. Faolprinis - On Site Sewage - Waler Conn On Sne Well - Water Meter MWCCSyslem - Accl. Deposit Gty Water _ PRV Required - SN1 Permit Booster Pump - SIW Surcharge Signature of Permrtee ? APPHOVALS A Bmldmg Permit is issued to. G E Planner - on Ihe ezpress condition that all work shall be done in accordance wit all Council - applicable State of Minne.s.ota Stalutes and Qty ?o/f Eagan Ordinances. BIdg.ON. - 8uilding Olficial -, I ` Al?q-? A1??1 2 L variance - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE: 454-8100 Treatment PI Road Unil Park Ded Copies TOTAL 238.00 410 W. LAKE ST. 1072 PAYNE AVE. MINNEAPOLIS, MN 55408-2998 DD ST. PAUL, MN 551013892 612/824-2656 EATING nNDA1R CoNDITtoNiNG Co 67 2/772-2449 Senia, 7T e Twie Ciries Sixt f 930' ORSAT TEST RECORD ADDRESS c?o ??cY CITY OCCUPANT C?- • p2r?., ??.,? , ? OWNER DATE HTG. INST. INS TALLED BY z GAS LINE BY - TYPE OF HEAT: GA FA?HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF B MODEL a 3 6 o L 9/?.9i??DEL SERIAL 2,;? ,y S'- 5 MAX. BTU RATING INPUT 6'p (70 'a MAKE OF F CE CONTROLS THERMOSTAT /zGV C._HEAT PLUG - VENT SIZE VALVE KIND OF LINER SIZE NONE'L_l? LIMIT T' DRAFT HOOD REfaULATOR %,v Ucz.?.c,?l LIMIT SETTING l 7 O CHIMNEY CONSTRUCTION ;)o C-- / FAN SETTING 44-.;?pd/ DRAFT Y?-? TEST TAG ?.?? PILOT TYPE_ - LIGHTING INST. ? C PILOT MAKE PILOT MODEL? ? ?? PILOT TIMING ? e?; PRESSURE '3, S PERCENT C02 S. ? DATE INPUT CFH PERCENT 02 1?? I STACK TEMP.?/ Q PERCENT CO . O NAME TESTED a a ?- 9/ OF TESTER ?' , 1989 HITILDIAG PERIiIT APPLICATION CTTY OF EAGAN I (A(* I SINGLE FIMILY DWELLIPGS lIITLTIPLE DHELLINGS COl4'IERCIAL 2 3ET5 OF PL6N5 2 3ETS OF PLANS 2 SETS OF IACHIiECTUR6L 3REGISTEAED SITE 3QRPEYS BEGISTHAED 3ITE SIIR9EYS - 6 STAOCTURAL PLANS 1 SET OF EIiERGY CALCS. (GBECH iTITH HLDG DIV.) / SET OF SPECIFIC9TION5 t SET OF Sii&!IG! CiLC3. 1 SET OF BHERGY CALCS. MULTIPLE DiiELLINGS RENfAL DIiTT3 FOA SALE DNTfS 1 OF IIliITS BOTEs ADDRFS3ES FOA COANEA LOT3 - COATRACfOA/HOMEOflHEA !lQST DF.SIGNATE IiHICH 1DDRFSS I3 DFSIRED. HO CBANGFS i1ILL BE ALLOiiED OPCE BOILDING PERMIT 78 ISSDED.. SEiIER 6 N6TEA PERMIT FBES AND ACCOUNT DEPD52T FEES IiII.L B& INCLODED iiITH THE BUILDIN(i PERMIT FEE. PROCffiSING TIME FOA SEWER AND U9TER PEIniITS IS TiiO DAYS ONCE A PERMIj SAS BEEN COMPLETED IHDICATING A LICENSED PLUlBER. PENALTY IPPLIES WfiENt PEAMIT IS NOT PAID FOR IN S@ME MO[VTA IT IS AEQOESTED. LOT CAANGE IS REQUESTED ONCE PEAMIT IS ISSUED. fbfAY ;. .. 19uy lk1TAaGMm To Be Used For: (?-rR? E? Valuation: ? Date: Site Address YS/S C&//s? alv z Lot ? Block ? ? Parcel/Sub T.v/.v / 4 .F 1N 14A44or Owner Address yR/ S E f?? r 414..X City/Zip Code C,42,aiv. SS>? Phone y sy - ZC 9c?? Contractor Address City/Zip Code Phone 9reh./Engr. l4,000 .,_?.,,? ,,,...., ....... Oceupancy R- M'1 FEF.4 Zoning R-f Actual Const V-N Bldg. Permit ISq.OC Alloxable V-N Surcharge 7. A? E of stories Plan Review nq,oJ Length SACO City Depth d4 SACt MWCC S.F. Total Aater Conn Footprint S.F. Kater Meter Acet. Deposit On site sexage S/W Permit On aite xell S/W Sureharge tiWCC System _ Treatment P1. Citq vater _ Aoad UniL PRV required _ Park Ded. Hooster Yump _ Copies SOBTOTAL APPAOVAL3 - Penalty ? Planner r?? Couneil Bldg. Off. Varianee Address City/Zip Code Phone # 6 A R,4,ge 3 o x 2?= 7fj'o ?-- f??Ll ? IJ = ?7c ? r ?Z ?c Lro = , ?' ??.• .* lo qqq 1 3?6314 a?z J yova P'°$1'F?J ,*[,.A??;ena'r"?;;?y?i' n.w'? ?.o?ti's. 1I?•?ti:? ??'i';` <'? *•`a?Yq, . .v; :: ?1?, i..r"• F-T , as {. ? ? . i3kW '?.f J?. r i ?•.'„ ?,J?:/s?,q'°.?T,?`."•?r`?.y?s.,{t ? 5?.? ?.".??'`.kF?; ,,l;:ti?vs,i . c,)fy.a'fX+t'ir,?`?7;Jtlh`. j ry• r. . i4'i5.1r? ?f"^y?"i?",.`ai'yk? "'}??'..?.5? •`?,++.?.?;..?i+n ,!?(`:; .,,`y ..?-?, .y,• . rh:x s? `? 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YC? r',',y}`m .+.ef"•'':t'?: . i Wp! ? t ?1? -iky z i - .A v ¢u` *;ff<•r•.,.v' Y... .?ur ?... ? . . ,? . ;ie I_ . ,a , S ?r . ?'• d? `?'? i?`?',-'?`T?,'? . r ,a°-??{'? ra :ts?Y#?y i i ?(? _i4ya.E ? ? ?? ' ? ? , .?+. t?`x;; '•- ? * g?,$? ?A?1+ $* }r J? y.i, S?3 F . L } t?l q{ i 6? ,?. X f S ?' Ei R Y 9r .?1 ? DESIGNC: r , :, t: .. Twduitn?. . n„? piw?JF. o.. l. , _ ... ... cLi?: I/14?Pdenyl:.?rr:? a.I?n?rvuK?i(ll[ br dJleku sm r.u?nca- ?hudli?it udhYull..LL,ir . ..... .+dalur +iA7P1?Y]'.,..?•?..,.e . m i•.ro.pvdd u pp ol Ju huf.u.....:. .n F? ? BuiLbn? Ikdpiv ?rca.:u.a. ?.,:u.ru w Pm&?iwul V'.Yil(?. hW'II INYi?t()IK1?.1..1• . ..IIi1?.?nYtbtMll anNaps , . ?fhd:Jwraodn? IxdrLmaurn . ?. ?. n.?u um.e yro?eqip?cr %?am.... ?,, q rri.: ayYLsdL+adi The ?Fi/n arvnn? :,.ry. um,? rnurG pnp o. baean) an nn.:u_...... ev?rrJh? ?LeeJwg rAafiG¢?u , ,... F,e:<Jlalrwlly 61aP^i?a)•f:?.? •.?i?auLnqJip'JwuW 6sbnadm o ?:+v,,....,. anwans oJ 1C-Oa c. FADRfCA7lONA',4G PAtjloJabnmu..?. u:. mhnaewshall+mew JJa bawind u? ? ed r??i:i? du. ma.?mj i+u? con/enw.rr.W?vi :.l?n?aw:,y4nue.da i??wuuwm3,??1,•,.. iFdui?1 m<A?Yo- /kadxAln.u,.,, 1,411-1 m wiid??Islaraue,?,,, m7.aauw?. Coueaw. ylara?Wl6r.mn?r...:v..J h?.+3P6°"b+i°?' vaNqdnrclme.uny 15Tff.1+41,71 Ciuded. lPw1 jOse! ?al.nru? : ??ilm almm?in down ?a0na 4r im?.C.e wrr knwhdu, ?11Wpd11N?1?1(/..'i. A)fnl?V/!!)WQ{YNI 1a+i?DNl?em?c??.?in.....lbn,.ins Corr rrrlw pWu ,IJ!F? ..?..?nl w? bal, Jasa o1 dis wn wilh nwy 1?!? onbrJmJ m?d dW16e ObpilfMp"uuudc?:?.ircmuvil?a.n ASs4 /bq4Twul` 14'b..5 .46?N^mL6 ? •Tk S.S:w ?py plu??n?/i.: D, Ilrruna?MF ?? eeu„?..?... wud., ?a n?.! . ?rJ ?.i d?e /.uca?+Lw+n Co, r;ores :,., ? .nJ . '.:Ili..l ?'/OC4iS I! O?M'6y! Y ? u m am?d wPP?nt p T'.. umn?Jrx<uonoJ ? ?.r... ul?NIfWY . .,ui. .iJ,aoJv ? - . • .upp??dm . ; N.,. ? ll+?t TOP CtiORDS: 2x4 Fl p 1 2x4 FL21ooF-t.BEt•3b-7 BOT CHORDS: 2x4 FL p 1 WEBS: 2x4 NF M7 WEDGES: 2x4 fL p1 ? M ? 1D 0-7-5 No wane oc knols allowed In plate area. X-LoeaUon Len to Right An plates w ue symmetrfc aboullne jolnt 7C 0.00 6.61 7.47 13.01 18.54 18.50 26.00 u111086 othefw150 ShOWII. 0.00 8.67 16.00 17.39 26.00 15ir6 15-8-0 7 5.00 -500 1560k 350' - 26-0-0 ExCEPf WFERE SOLN. R.L PlATES TO ff TEE-LOf 20-GR T-GIG LITTFIN LUMBER COMPANY ?rtvxf vu ? rynmu ?1 ro-aw+.o 0'7'S i -F 15599 3.50'91e ??? scale - 6.2?33 HEAD ALL NOTES ON THIS SHEET. OflAWING TO BE GIVEN TO ERECTING 11 Eng.Job: WO: Dwp : Truss ID : Des'd : Chk'd : Da1e : 72• 8-87 TC Lfv9 40.0 psf DutFac - Lbt : 1.15 7C Dead 10.0 psl DurFac - Plt : 1.15 BC Livo o.o psf O.C. Spacing : 24.0" BC Dead 70.0 pst Deslgn Criteda : TPI TOTAI 60.0 psl Seqn : 2.0- 798 1 , " 4 I 2/84 CITY OF EAGP,N APPLICATION FOR PERNIIT SEWER AND/OR WATER CONNECTIODT -??rt•?t i (PLEASE PFINi) , 1) PP.OPEzI'Y ADDRESS: ?;- ?'/ 3 rFr=S. DESCRIF?'ICN: kGj (Int/Blcck/Su:aivisicn or 'Pax Parcel Z.D. NiznDer) S?'4CC^ :v°., DrIT :' 0F Oc2T.Gi^.t-lI., :ii2I.DI::G T_SSZ:?.NC?: , •:=: ?.: a?-; =rSc :I' C'S: Gr-.."2-1 SL:GL: P?MffL'_' ' 0 R-2 DUpr n; (?'••:0 L^:ImS ) 0 R-3'ICI.':1i.7?CY?cE ('I"??,W. + L^IITS) f Wi ITS) ? R-4 APa:T=.;T/cc_Ma.1,NIL7.%i ( cr,;i.s) ? CCi-nf&°,CL-lL/RE?'e'?iWpF_= IC:: ? MMliSi. TU ? r..sTlMTzeN.ai./ccV=?.?r 2) ivo?Li= (PLEAS E PRiNT) / 1 NAt•LF': P?6^(/' Gcf/?l ?C?•?/ , ACD:?ESS: CIT", 5M?'E, ZIP: PI:ONE: 3) Pu..?FP, (PLEASE NT), NP. ... • ?l/P ? ??? .. FOR CITY USE 04LY ATCRESS: PLUY.B 45E: CITY, STATE, ZIP: 4't'/e I" Attive Eapir ' ?iuicr. PF.O?IE: ?/.SZ-/S ?1 pLUMBER LFCENSE il Q J'ot of Retord ? , ? ni[ia btqr. 4) 0.^C71PPZ1T/C!io?E12 N31ME: ADDRE55= CI:"L, STATE, ZIP: PFiO`IE: LPLtASE PR1NO 5) INDIG.TE ;vHICH PER•LIT IS SEZNG Rf.'O UES'IED; 0, Cb:INECPIO:I 'ICJ CITY SETr1ER Eq CC:N=ICV TO CITY UATEIt ? dit'fR (PLGliE DESCFtIBE) o) 1Z.Uil1?i::: G::::: 7) SZC:?'I?,r?tE: PM?E F'.OLD APPRWID PERNLIT FOR PICF:-Ur 8Y ONE OF D?'?APPR(7? PEP.lIT DATE: MR ?! OI-rliqfl?Oi? l? Lel?.a ? •. fl1? fr ? I!f[p ?r? ? i i iiii:? a 1[ !!!lflls?y? S!!! i?sgr F O R C I T Y U S E O N L Y P=•°`^•r^.' °- ISSUED rrEs : $- /(? ? o $ ll7 S v $ ?oU S $ $ $ I?=UCI +5 $ $ C y S $ $ ' $ $ _??,5 0 - U?-rJ S..r..':G.D. PEBMTT (P_ICL::D: SU?C :iRGc) WATER pEP,.^4T': (Ii7CL'uDE cuaC:iARGn) WATER METER/COPPERHpRN/OUTSZD: REi,D:R WATER TAP (ZNCLCDE CORPORATI0:1 S^OP) SL.YLR T.'-1P -_.,?•i::i'? ?..=r,S?= _ __: _? ACCOUiNTT DEPOSIT - P]AT_°3 wac SAC TR(i?IK IVAT°R ASJLSS.:E:.'T TRu:JK SEWER ASSESS?SE?iT LATEP.AL BEivEFIT/T°U`IK SE:•::' L.ITc,RrIL BEVEFIT/TRU::K D7AT°3 TAATER TREATMENT PLA:VT SURCHARGE OTHER: TOTAL A,`?OCJ:;T PAID/REC°I2T ; si/j/ DOES UTILITY CONNECTION REQUIP.E EXCaVATION IN ?U&LIC RIGi-IT OF [JAY? ? IF YES, THEN n"PERMIT FOR 'AORK WITHI.1 PUSLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVZSION. LIST AS A CONDI- TION. SUEJECT TO TFiE FOLLO[9ING CONDITIONS: APPROVED BY: TI.LE: DAT°: ^f" swsm m on m+nWcM ra'k" wwm wqw-s?wM w.400towl"I sM w.awEmwlwj" 044" rcM ON sww.. 4W ??? '?-t°c?,?i??u.?c? CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, HN 55122 PHONE: (612) 454-8100 ... . ., FOR CITY USE ONLY ? PERMIT # RECEIPT•# a? DATE: ? PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE E TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------- WORK DESCRIPTION NEW CONST _ ADD ON cZ REPAIR _ OWNER NAME: SITE ADDRESS: lW5- ??? .C?S• /.? /dtd r nT •? ELOCK ? SUB^. .i7 s<1f.Y`? U.r.[.t?? '• W''""' - INSTALLER: s./? ? ?`? Y4 x A-11 r l r-? ta? ?ADDRESS: 1/lJ o s f .Go /? ? CITY: ZIP: PxoNe #: FEES ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT DWELLINGS & $15.00 24.00 6.00 3.00 SUBTOTAL: $ STATE SURCHARGE: .50 ?F :nmpr ; ; cti-- . SIGNATURE OF PERMITTEE a? C044MERC.71'IJDU$TRIAT:. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRZAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------___-__ ° -_°------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) PERMIT City of Eagan Permit Type:Building Permit Number:EA159416 Date Issued:12/16/2019 Permit Category:ePermit Site Address: 4815 Eriks Blvd Lot:3 Block: 5 Addition: Twin View Manor PID:10-78200-05-030 Use: Description: Sub Type:Windows/Doors Work Type:Overhead Garage Door Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Derek T Bronson 4815 Eriks Blvd Eagan MN 55122 (612) 702-6961 Twin City Garage Door Co 5601 Boone Avenue North Minneapolis MN 55428 (763) 533-3838 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169642 Date Issued:06/03/2021 Permit Category:ePermit Site Address: 4815 Eriks Blvd Lot:3 Block: 5 Addition: Twin View Manor PID:10-78200-05-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Derek T Bronson 4815 Eriks Blvd Eagan MN 55122 (612) 702-6961 T 10 Construction Services Llc 16754 US 10 Bldg 2 Elk River MN 55330 (612) 254-8060 Applicant/Permitee: Signature Issued By: Signature