4395 Hamilton DrINSPECTION RECORD ?
? CITY OF EAGAN PERMIT TYPE:
I 3830 Pilot Knob Road Permit Number. ''104/
I Eagan, Minnesota 55123 Date Issued: "'' /0 1 /Q?
SITE ADDRESS: 4 H I t„ R APPLICANT:
• I??,ii ? i ?„i? f?k ? ; ???,,,, i.tr1 ? rli
, 114111 111W Pi11 N I t ?. I 11
PERMIT SUBTYPE: TYPE OF WORK:
,
II I ! I Ni. I I I! I r1„t
?-?-._...r?._._.`._----??`?????------ -- ----------------- ?
Pern,n rro. Pe.e,n Holaer nete Telephone N
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectfon Dste Insp. Comments
Footings I
Foundatbn
Framing
Fioofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Final Hlg.
Orsat Test
Rnal Plbg. Plbg. Inspector - Notify Plumber
Carist. Meter
EngrJPlan
Bidg. Fnal
Dedc Ftg. (, / 3
40-
Dedc Fnal rs
Well
Pr. Disp.
? ?., .
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD '
EAGAN, MINNESOTA 55122
OATE I? /' 19?
cr+ow '-? t i i ,: ] 136(f
?
T
AMOUNT S -
8 DOLLARS
,oo
? CASH ,?HECK
8Y -d
C 13357 Whde--fayws Copy
YNbw-? Copy ?
Pink-FYe Copy
Thank You
SEWER & WATER PERMIT
cIrr 6F EaGaN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE '_7-9j
OFFICE USE ONLY
METER # PERMIT DATE 03f 14/91
CHIP # PERMIT # 1198 J
MEfER SIZE
ISSUE DATE
SITEADDRESS Dr.
LOT `-BLOCK ? SEC/SUB
APPLICANT:
ADDRESS:
'CITY, STATE : i:.;;iiL , .».:. ZIP
, PHONE: - - ?? ` -
PLUMBER:
ADDRESS: tc:,?oc9 I7CfVe
I CITY, STATE • . ui.?;_; ,:: ? ra[! . ZIP 1.?.i24:
PHONE:
OWNER:
ADDRESS:
CtTY, STATE ZiP
PHONE:
B.P. RECEIPT # ?13357
B.P. RECEIPT DATE Z?91
_ PRV _ SOOSTER PUMP
PERMIT REGIUESTED
x SEWER ?- WATER - TAPS
COMM/IND
A NEW
X RESIDENTfAL
EXISTING
Lawn Sprinkler Meters are ta be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
i,''A , t? ;-'1 /_I.: L
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER 15SUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEMfER PERAAITS, CONTACT ENGINEERING DEPT.
SEWER S WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
5-7-91
OFFICE USE ONLY
METER # LI V J•?lcy."S- 3 PERMfT DATE
CHIP # O? 0,2 1 a- II PEFiMIT # _
METER SIZE ` B.P. RECEIPT # C 13357
ISSUE DATE 6- Z 7' ? ! B.P. RECEIPT DATE «S 1111 91
- PRV - BOOSTER PUMP
?I SITEADDRESS '1,1.? ' ,'!'ilton Ur.
LOT=BLOCK i SEC/SUB ?-`=?ln* LGt. YcililLe
I
? APPLICANT: "'t,;::l.`.iii .,;;t.??ilivl. oc l.?i`.Z.Ll?t':?"4T ili. i'a
i ADDRESS: 3_j99 hrlar,Axyj Lac;f:
? CITY, STATE raKan, ;-iiLl .: ZIP D 7173
! PHONE: '+52-6644 PLUMBER: 1°I'• Fiessian PlLan'cing, Lr,?_,
I ADDRESS: 121 xedc,kxxi Gz.ive
? CITY, STATE NPple Val.L.•,, .;^:iDr: o Zlp
, PHONE: `;3%-689`r.
' OWNER: -
ADDRESS:_
? CITY. STATE
i PHONE: _
ZIP
PERMIT REQUESTED
)L SEWER X WATER - TAPS
- COMMlIND
X NEW
R RESIDENTIAL
- EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CtTlf OF
EAGAN ORDINANC S
?
SI ATURE WHEN METER ISSUED
1985
PIEASt'/1LLGW TWO WORKIN(i DAYS FOR PRk)CESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
.
? °_t'•'.
f
(grrtt#tra#t uf (Orrupaury
Citp of Cagan
iBv,vwfttrttt o# luilding JtmPrtiatc
Thir Cerlrfirnle lsrued pursuant to lhe rwc&mw.rur of Secliae 306 af lhe Uniform Building
Code carifying 11iat ct the time of iuuaRCe this struclure xas in cnmp!'uurae with rire various
ordinanaer ojthe City regulating bur7ding conm"rclion or use Fvr the foUowing.
we aeormatioe SF DWG/GAR awg. Pcsc ra. 19044
OWUMVCYT?ve R3/M1 zonivs Dishkt P'Q/K) TMN COR., vN
owmaramum PARRISH MA[nTING & WVELM. 3799 &tIAR4J0M IN, Fl?l'aAN
o„C 7/12/91
POST IN A CONSPICUOUS PLACE
. • 4il CITY OF EAGAN
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING P'FRMIT Receipt # ? I?
30 19044
To be used for SF DfIGjGAR Est. Value $81 0000 Oate M?Y 1 0 , 19-9L
Site Address 4393 f1A["lILTQN DQ
LOt 4 BIOCk I_'SeC/Sub.ijAXIHGTON ZOIM
T$
OFFICE U
SE ONLY
6TH
Parcel No. occupancy ?3?1 FEES
'
PD?1
zon??y
¢
w
I Name PARISH lWtlcFtitiG i DEV CA?*
Address 3799 MiAltimo f.M
- (Actual) Cons1 -.*
(fulowatNe) -3L.-!1 81dg. Permit
Q
"
o Cit
y ArAm Phone M-66" # ot stories _ Surcharge
•
f
0 X0•00
nR
i
Pl
F
Name 3AM ?Q
Length
oePtn
42' ev
ew
?
a
100
00
snc
Cit
= __ ?
.
,
y
00i Address S.F. Total - 6
?
City PhOnB
S.F. Footprints - ??? ?
sAC, Mcwcc
6?.?
? On Site Sewage _ ?Nater Conn
? W Name On Site well 95.00
?
xz Address -
MwCC System x water Meler
i?
City PhOne
CiryWater ? Acct ?0? ?
. Oeposit
???
PRV Required S!W Permil
?
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with a1J applicable State of Boosfer Pump - .
S/yy Surcharge •30
Ji
Minnesota Statutes and City of Eagan Ordinances. Treatment PI 276•00 ?
Signature of Permitee y,4C 1-„46A ,,6?,!! APPRaYALS Road Unit 370000
A Building Permit is issued to: PARIaR NARWI
on the express condiGon that all work shalt be done in accordance with all Planner _
Council Park Ded
applicable State ol Minnesota Statutes and City of Eagan Ordinances.
Building OHicial Md9. pry. _
Variance - Copies
TOTAL 3?i?Q•?
l
' Permit No. Permit Holder Date Telephone #
WATER
SEYIIER
PLUMBING
?,.VAC. 38? '? .?? ? r? S 89?1 ovo5
ELECTRIC L1,0257 w ti a0
InspscNon Date Insp. Comments
Foolings I S?
1
Foundation - 2 O
Framin9 -// 4 S' ' c? fL' ,/ • a[ m,? ?.cyiti,r..
Roolin9 c/+si o %
Rough Plbg.
Rough Ht9•
tsul. . 4
F,replace
Fnal Htg.
4 ^
Orstat Test
Fnal Plbg. 7/0'y( y! Plbg. Inspeclor - NoGfy Piumber
Const. Meter
EngrJPlan
ekig. Finai ?• l Z-9 ??
Oedt Ftg.
Dedc Final
weli
Pr. Disp.
1
30 6 t r D
I ,
o?• _
DATE: MAY 14, 1991
4395 tiAMILTON Dx (PARISA MARKETING 6 DEVELOPMENT CORP)
x
p Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WQRKS (454-5220) FOR YOUR PERMANENT WATER TURN OM.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY; Please pay for meter at City Hail. Meter size must be
canfirmed by Bifl Adams or Dirtc fiouse (Piumbing Irtspectors- 454-8100) before issuance.
WARNiNG: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW. "
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
I Addrgss:4395 HaffL1CJN DRIVE
Lot 4 Blk I Sec/Sub j,EXEC
ete at the time oP the final
Yes No ,_______ PpINNTE 61H
These itcms were/were not
D 7/12/91
Final grade (6" from sidi
Permanent steps - garage
Permanent steps - main en
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
)
Please verify with the buildar the removal of roof test caps from the plumbing
system and the shut-oPf of water•supply to the outside lawn faucat before
freeze potential exists. lq;?,
mc%EOwax
White -
Yellow - Resident copy P1nk - Contractor
. CITY OF EAGAN ryo . 1 g044
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100
Receipt #
To be used for SF DWG/GAR Est. Value $81, 000 Date MAY 10 91
Site Address 4395 HAMILTON DR
Lot 4 Block 1 See/Sub.LEXINGTON POINTE
Parcel No. T
w IName PARISH MARKFT7N & D V ORP
o Address 3799 BRIARWOOD S N
Ciry EAGAN Phone 452-6644
fF Name SAME
gAddress
? City Phone
w Name
.
°3 Address
zw City Phone
I hereby acknowlege that I have read Ihis application and state that Ihe
information is wrrect and agree to comply with'-aM-a licable State oi
Minnesota Slatutes antl City of Eagan Ordinapnces. Q
Signawre of Permitee ?!v'? i..r?a n i Y. • , j
n euiidin9 Permit is issued to: PARISH MARKETING & EV
on the e:press condition ihat all work shall be done in accordance with all
applicable State ol Minnesota Slatutes and City of Eagan Ordinances.
Building Oflicial
OfFICE VSE ONLY
Occupancy R-3 M-1 FEES
Zoning PD R-1
(ACtuaq Const VL-N Bldg. Permit $54.00
(Allowahle) -L=N Surcharge 40.50
x of swries -
360
00
Length 500 Plan Raview .
Depth 42. ' SAC, Ciry 1 nn _ n0
S.F.7otal - SAC, MCWCC 650.00
S.F. Foolprinis -
On Sile Sewage _ Water Conn 660.00
OnSiteWell WalerMeter 95.00
MWCC System X
Acct. Deposil
3?• ??
Cily Water x
PRV Required - S/W Permil 30.00
Booster Pump - S/W Surcharge • 50
7reatment PI 276.0
0
APPROVALS RoadUnit 370.0?
Planner - park Ded.
Cquncil -
BIdg.Oft _ Copies
Variance - 707AL ?,lbb.nn
p 00257 / oa
Feauesl Date
?_/? / No. Foughin Inspection
qe u?tr d?
Q ?
? ReatlY Now ?wlll Notih' InsPeklor
n R
?
Wh
tl
r No
2'Ses e
ea
y
I2 licensed coniractor ] owner hereby request inspection oi above elechical work at
Joo Aadres iSlreet Bok or Roure No.)
S cr""'/f
Seclion No rowr,snio Hame o o. Range No. Cou
Occupani Tj
I
T 4KI PhOne No.
Pawer S ?fT? ? Atlaress
Eleclri oniraclor ?COnpary Na el ? Contrattor$ Wense No.
3
D S -
Matli??ng qtlJJtlr//ess i wnacio,or Owr,er Making Inslailaiion?
i
. ?
?
AumonzSignawre (GOn[raci vOwner mg Installa
??.?L-? ? Phone Number
1?' ro
MINNESOTA STATE BOAFD OF ELEGTRICITY THIS MSPECTION REpUEST WILL NOT
Gtlggs-MiEway BIEg. - qoom 5-193 BE ACCEPTED BV THE STATE BOARD
1821 Univerelty Ave.. SL Paul. MN 55704 UNLESS PROPER INSPECTION FEE IS
Phone (612) 603-01100 ENCLOSED. -
S/o?0/J? REQUEST FOR ELECTRICAL INSPECTION
? See InstruEtions lor cifi Ihls brrn on Dack oi yellow cop¢
?(1(? ?F)7 "X" Below Work Covered by This Request
"R EB-OOOOLOB
4
ewAdd Rep. " TypeofBUiltling AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Eleciric Hea[ing
Apt Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
OtM1er(syeoRy) Conlraelor'6 iiemarks.
Compute InspeUion Fee Belowr
a Other Fee # Service EntranceSize ee F CircuitslFeetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps 700 _ Amps
Signs Inspeclors Use Only. TOTAL Q
?
Irrigati0n Booms ?0• NJ Q
Special Inspection
Alarm/Communication TMIS INSTALLATION MAY BE ORDER6D- ISCONNECTED IF NOT
Other Fee r' COMPLETED WITHIN 18 MHS.
I, the Eledrical Inspectoc hereby R°°5n-'" aie r^,,,
J
certifythattheaboveinspectionhas
been made. Final Date ,?/
( (
OFFICE USE ONLY ?
This requesl voitl 18 momM1S Irom
? 7 RESIDENTIAL
' S BUILDING PERMIT APPUCATION
cInr oF encnN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conetruction AeauiremeMs
• 3 repistered sne surveys strowmg sq. tt. of bt, sq. fl. of house; and gII roofed areas
(20°k maximum lot coveraga albwetl)
• 2 coples ol plan showing heam & whdow saes; poured found design, etc.)
• 7 set ol Enafgy CaNwlatbns
• 3 coples W Tree Preservatbn Plan N bt platteA efler 711183
• Rim ,bist Detail Options selection shaet (bldgs wth 3 or lass unils)
DATE
RemodeUReoair RenuiremeMe
. 2 coples of plan
• 1 se10l Energy Calculatbns lar heated eddilions
. 1 sile suney IOr e#erl0r addilbns & deck5
• Irldk.ate M hane served by septic system tor atldilbns
iy a ---7 5
VALUATION? (P, 4 a? 0
AULTI-FAMILY BLDG _ Y AN
FIREPLACE(S) _ 0 2 1 _ 2
APPLICANT r .
STREET ADDRESS -ZZ#2/Cbllc SCIN?&1'&XW2kSTATEr,ZIP ???7
TELEPHONE # ?'}o m-L CELL PHONE # _ _ ___ ,_;'FAX #?Q?•_ ???'?
PROPERNOWNER hZU?,1Jf?.j?;49,?_W TELEPHONE#46?j "?b,?3.3'
---------------------------------- '---------- -------------------------------------------- ----- -
COMPLETE THIS SECTION FOR -NEW" RESIDENTIAI BUILDINGS ONLY
Energy Code Cate9orY MINNESOTA RULES 7670 CATEGORY i S,'R6'Yi
(d submission type) • Residential Ventilation Category 1 Worksheet Submitted rE3y- C d?,?Y4kt4A?
• Energy Envelope Calculations Su6mitted 8[uUt I J?
Plumbing Coniracfor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler ee:
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanlcal Conhacfor: _
Mechanical system includes:
Sewer/Water Conhacfor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone N
Fee: $70.00
I hereby acknowledge that I have read this applicatlon, state that the intormation is correct, and agree to comply
with all applicable State of Minnesota Statutes and Clty of Eagan Ordinance ?
Signafure of AppllcarM
...............................................
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
? Updated 4/02
OFFICE USE ONLY
O 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 07 OSplex ? 13 16-plex
? 08 06-plex ? 18 Fireplace
? 09 07-plex ? 17 Garage
O 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
? 20 Paol
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
O 31 Ext. Afl - Multi
? 33 Ext. AH - SF
O 36 Multi
0 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. O 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/Doors
? 34 Replacement *Demolkion (ErHlre Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Fina7/C.0.
_ Footings (deck) _ FniaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _
_ Retaining Wall
Approved 8y
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
? 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date issued:
(612) 681-4675
SITEADDRESS: Lor: n eLocK: 1 APPLICANT:
4395 HAMILTON OR EBELING WAYNE
LEXZNG70N POINTE 6TH (612) 686-0335
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
F
L
BUILDING
021047
06/01/93
J
?yi
PERMIT c? 7
CITY OF EAGAN
383o Pilot Knob Road PERMIT TYPE: s u z Lo z N G
Eagan, Minnesota 55123 Permit Number: 021047
(612) 681-4675 Date Issued 0 6/ 01 J 9 3
SITE ADDRESS:
4395 HAMILTqN DR
L07: 4 BLpCK: 1
LEXINGTON POINTE 67H
P.I.N.: 10-45090-040-01
DESCRIPTION:
Svildin$t?Permit Type DECK
Bu3Xsi,trtg 44Rrk Type NEW
faeuiiainy Len'xitn zs
; Building Wi;dth-e 12
Sase Fee $25.00
Surchar9e $,50
Total Fee $25.50
001c n
REMARKS:
FEE SUMMARY:
CONTRACTOR:
L
OWNER: - pPplxcenc -
EBELING WAYNE
4995 HAMSLTON OR
EAGAN MN
(612)686-0935
have resd! this appl3cation anct stat6 that thv . I
agree to oomply w€fth ail applicab2s State of rn.
Rrd;tnanae5-.
C- ? ?-'- - m APPLICANT/PEFMIT E'S NATUR ISSU BY: S NATURE
?--4
?
,
.. ? ?
t>?
\? 1?'" a _ .l ?'•_„.-1'..
T hereby acknowledge that I
information is correct and
Statutes and City af Eagan
KtRI.IlYAIt {ull T Vr CAL7NIY PERMIT M 1993 BUILDING PERMIT APPLICAjT10N cO
681-4675 ??S •??
Yrie-o 5 ?
?
6
?
4
SIN6LE 8 MULTI- 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIA 2 sets of architectural & structural plans,.l set of
7 specifications, 1 copy of energy calcs.
Penalty applies: ermit is typed, but not picked up by last working day of month.
in which request ) address is change d or 3) lot change is requested once permit
made,
is issued.
Date J / G G? /?,3 Yaluation of work
Site Address: GJY'
STREET SUITE #
Tenant Name: (commercial only) ,
IAT BLUCK L SUBD. ?+h
? a P.I.D. N .
Descri tion of work: P$_o C.?
The applicant is: ? Owner O Contractor ? Other coesortbe>
Name WA VJ z-- Phone 4911-0'=-?y
Property -
LAST F1R5T
Owner pddress ?-
STREET- STE /
City State ZiP
Company Phone
Contra ctor Address License # Exp.
City State Zip
Company Phone
ArchitecU
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this a lication and state that the information is
e tate of Minnesota Statutes and City of
correct and agree to comply with all applica
?
Eagan Ordinances. ,?
,,
/
/
Signature of Applicant: ';W4"a
J
\.,? . M.. .? ?
BUILDING PEFCM1TnATYPE
? OI Foundation
0,02 SF Dwg.
L7 03 SF Addition
? 04 SF Porch
O 05 SF Misc.
WORK TYPE
;E(31 New
? 32 Addition
OFFICE USE ONLY
O 06 Duplez", '
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1,
? 33 Alterations
? 34 Repair
F•a,\? ? t ? +,
.x ?.s
? 11 Apt./Lodging [116 Basemer?t Finish
? 12 Multi. Misc.
? 13 Garage/Accessory
O 14 Fireplace
`5 Deck
? 35 Tenant Finish
? 36 Move
? 17 Swim Pooi
0 18 Comn./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of 5tories
Length
Depth
APPROVALS
Planning
fngineering
REQUIRED INSPECTIONS
Building Assessments
Variance
? Site ?Footing
? Wallboard ? Final
? Framing
? Draintile
Permit Fee 00 v.iuo:;«,:
Surcharge
Plan Review -
License
MWCC 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
Basement sq. ft. MWCC System
lst F1. sq. ft. City Water
?? 2nd F1. sq. ft. PRY Required
Sq. Ft. total _ Booster Pump
Footprint Sq. ft. , Fire Sprinkler
T4; On-site well Census Code
F,'h On-site sewage SAC Code
y3W
?
0
? Insulation
? fireplace
SAC %
SAC Units
lzotK i/1 to tZo r- I1BRtIJt-1 tvI /atx nG e iivv
1875 PLA2A DPdVE a D E V E L Q F' ME N 1-
EAGAN, IIRiNIPlE80YA 651
(...EC'3AL 1 DESCRIPTION: LOT-A-,BLOCKL, LEXINGTQN POINTE 6t ADD.
ACCORDING TO THE RECORDED PLAT
THEREQF DAKOTA COUNTY,MiNNESOTA
` '
' SCALE: I"=30' `
N81°404 0 2E S8,
LOT 3 Z-
?RAWAGE B UTILITYj
EASEMENT
1 LOT 4
a ?
s
K?r
ih
_ .?
=
cvtoi (92?09
0°?
I
5
0
?
?qJh ?
a4!
55.?5 `?14'
151?
, "-' LOT 5
O
0
- Z
v V R,t 2.1?j8.05
z ,
1, ?0,6?6• ?,_
. ?'? D Z naNE
?' -
,I
?RoPoSED 4 LF.uF.t. SPcrr
LEGEND? INVERT ELEVATION AT SERVICE EXTENSION=?
o DEldOTES IRON AAOPdUh9EMT PROPOSED GARAGE FLOOR ELEVATIOPAs cl? z
=
o DENOTES W000 HUB 5ET PROPOSED FIRST FLOOR ELEVATION
DENOTES EXISTING SPOT PROPOSED BASEAENT FLOOR
' ELEVATION ELEVAT10Pi
DENOTES PROPOSED SPOT
ELEVATION ci nnc MFtrwTS wiTM
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN MN 55122 PERMIT # /o'?c4o2
PHONE (612) 454 8100 RECEIPT # l0/ ? y
DATE: /
Y PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
- TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIZRED FOR EACH UNIT.
------
--
WORK --------------- --------------------°---
DESCRIPTION ---------------------
FEES ----------
NEW CONST ? ADD-ON MINIMUM $15.00
ADD ON _ HVAC 0-100 M BTU cZ:i. ?
REPAIR _ ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM ?3 1>
M
'? OF 1 PER PERMIT
OWNER NAME: l
.}Zn ?
?Yr'Cc1
?
p/
?
r SUBTOTAL: $
SITE ADDRES S:
v! STATE SURCHARGE: .50
IAT:// BLOCK L SUBD;_-??* TOTAL: $a2f
INSTALLER: /}71
Bdrn5VIlie F128Ein
-,$ ?
g
,,c.
r
12481 Rf10C1B Island Ave. So.
i
ADDRESS: Sava
e
5fi3
^ sicrr fURE 0 PER1 T E
cITY: g
?
z2
?
894-00QL5tP:
PHONE ik:
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING iINIT.
------------
CONTRACT PRICE
OWNER NAME;
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
E9rH $i npn nF PEPMIT. FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
( S I GNATIktE )
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
-• 3830 PIIAT KNOB ROAD
EAGAN MN 55122 PERMIT
PHONE (612) 454-8100 RECEIPT
t;:'?H""M DATE:
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMESJCONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIP?ON
/
NEW WNST
ADD ON _
REPAIR
OWNER NAME: Bg/LGd
SITE ADDRESS:
LOT: 17' BLOCK _Z_ SUBD? 17r? ? ?
INSTALLER: TOM liES? I? PLUMBING. INC.
E
ADDRESS : t- APPLE VALLEY' MN 55124 ,
CITY:
ZIP:
OF PERMITTEE
COMPLETE THE FOLIAWING:
ND. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
-7 WATER CIASET 3.00 .3 ?
7 SATH TUB 3.00 .? '
4 LAVATORY 3.00 _S-
KITCHEN SINK 3.00 _,7-
? LAUNDRY TRAY 3.00 3 _
? HOT TUB/SPA 3.00
WATER HEATER 3.00 ?-
FLOOR DRAIN 3.00 3 -
? GAS PiFING CUT.
(MINIMUM - 1) 3.00 .7 -
ROUGH OPENINGS 1.50 --kS7
_ OTHER
WATER SOFfENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S ?0 SD
ST. SURCHARGE .50
TOTAL: $ 9 a
CtIMlqERti?T.,?iNDI75T&IAL; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL 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:
CI1'Y: 2IP:
PHONE
FOR:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $_
STATE SURCHARGE $_
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
. .
o•,
554•OOF
40•50+
360•00+
21 211•50+
3, 166•OOF
r 554•00}
40•50+
360•00+
2,211•50+
31 166•O0*
?4pEit ?^."5 W
, 1991 BUILDING P ICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET DF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER fi WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN CDMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Single Family Valuation: Date: ?7
Site Address 4395 Hamilton Dr.,Eagan
Lot 4 Block 1
Parcel/Sub Lexington Pkinte 6th
Owner PP.RISH MARKETING & DEV. CORP.
Address 3799 Briarwood Lane
City/zip Code Eagan, Minn. 55123
Phone 452-6644
Contractor _
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/2ip Code
Phone #
IT i? APPL
OFFICE USE ONLY
FEES
Occupancy R=? M-I Bldg. Permit
Zoning PD Tt -I Surcharge
Actual Const V-N Plan Review
Allowable &AC, City
# of stories SAC, MWCC
Length ? Water Conn.
Depth Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
S/W Surcharge
On site sewage_ Treatment P1.
On site well Road Unit
MWCC System V Park Ded.
City water Trail Ded.
PRV Copies
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. Y-/o"9/Q$
Variance
(?7 yUJ r
SUBTOTAL
Penalty
Lot Change
TOTAL 3 (ir_Dv
e-4rD?
)?,nA,y„„_,,Qc _ X agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
VA L l*",?N ?. w
GAR-&,(?
ayX2Z? szg x ?? = ?g?.?
I3sMr
,
? X1O ? ?o
)<,) 6 = 6 y
1 o6z. x Iy = rL/?,68
? sr FL oo,•Z
st?rY?°1"?= f 64a'-
?xic?= ?
?--
/aBL X 53 = 5r?34 (,
o•-
I r O CD
f?
?, f:? ? ?t:. • .
TRI°LAND C0.
SURVEYING
SERVICES
1875 PLAZA DWVE
EAGAN, MINNESOTA 551
LEGAL DESCRIPTION;
N SCALE:I",30'
CERTIFICATE OF SURVEY FOR:
.
PARISH MARKETING
a DEVELOPMENT
LOT-A- ,BLOCKL, LEXINGTON POWTE 6th ADp,
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
N816,40.4-02--E S84955'48"E 55.75?4
? M N I??N -
DRAWAGE B UTILITY J S?
?- EASEMEN7? 0
LOT 3? I LOT 4 ' LOT 5
I , I
I _ I
- (`ISo7 ? q
?sx?jq? q't9 q9q" °f18-??
?Q.. M
?,?`? ?
? ° N
r4i?I ? . ?>h? i .0 5
Q! a ?? ? ?
b o
IL.o
? ? ?3 ' q? (q$3s
O
e
O
$ °- e`6,?6• R=
q?? p.23
.,
s ,. +s
LEGEND!
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
OENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I Mnby csrtify thaf this survey,plan or
report was preparsd py me or undsr my
direct supervision and ihat I am a duly
Repistered Land Survlyor under fhe
Lows of ihe State of Minnesota
- GI I'n Nuwr6 ='?
? 1- K9A.r
? N O
?- N Q
o Z
8.05
.?
?. f
?-? 3 ?`?,' . "•??
?E A G4 A N c:l?br??:?s?vi?
I'RoPoSED 4 [.?yFt.. SPtrr' ?+?Wo
E(.e? _ °180.9
INVERT ElEVL1TI0N AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION ¦ 98A'?- --
PROPOSED FIRST FLOOR ELEVATION = qR4.5
PROPOSED BASEMENT FLOOR = 976,5
ELEVATION
NOTE: VERIFY ALL FLOOR MEtGHTS WITM
FINAL HOUSE PLANS
Bradlsy Jlirenson, Mn. Req. No. 15233
ocre : S/9151
CltleS D1g1
ity Control
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6519948701
11/03/2009 21:52 6519948701 JANECKYPLUMBING PAGE 01
Use BLUE or BLACK Ink
i
I ~
Permit
city of 8u
i l I
3830 Pilot Knob Road i Perrin Fee: l
Eagan MN 63122 i
Rhone: (651) 675-5675 Date Received: I
t
Fax: (851) 675-5694 f staff
t
2009 RESIDENTIAL PLU BIND PERMIT APPLICATION 4
Date /'-,3 r Site Address: r 7 s~ ,4,q,'-11 / I) i~
Tenarl
suite
RESIDENT / OWNER Name: d'12 0 Lin
Phone-
Address / clty / zip: 143 R,S /4 ITi l Om 6j-
CONTRACTOR Name: License A
Address:
Ct .0 00 000 VP; y}~
Phone:LPS-I' "74_\-q• i9acl-f-I Contact Person. ~I U~!'l
TYPE OF WORK New replacement w Repair Rebuild Modify Space
Work in R.O.W,
Desert lion of work:
PERMIT TYPE RESIDENTIAL
✓Water Heater Water Softener
Lawn Irrigation Add P icing Fixtures
RPZ Pv8) L..-. Main - Lower Level)
- Septic System Water Turnaround
New
- Abandonment
RESIDENTIAL FEES;
$60.50 ni um Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn irrigation (includes $.So State Surcharge)
$50-60 Add Plumbing Fixtures, Septic System an a e_nt, Water Turnaround" (includes $.5o State Surcharge)
'Water Tumaround (add $165.oo if a 5/8" meter is required)
$100.50 Septic System New ($Tp,pp per as built) (includes County fee and $.50 State Surcharge)
$90.80 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.SO State Surcharge)
TOTAL FEES $
CAS EFORE YOU DIG, Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Galt 4$ hours befpte you intend to dig to receive locates Of underground UtlAtieB..wnnrsn. ~x,nnarara~gainst ail de
I hereby ac
knowledge that this information Is complete and accurate; that the work *11 be in conformance wlth the ordinances and codes of the City of
Eagan; that i understand this is not a permit, but only an appilcation for a permit, and work is not to (!i_ pout a pwrl that the work viii be in
aca°ordance~ with the app oyed plan in the ease of work which requires a review and approval of m.
x
Applicants Printed Name
i ~ Applicant's Signature
I~tegwired Inspections: Under Ground
Ioigh-lrf ~Afr Test. _ Gas Test i=rna[
r
a. ------------1
For`Office Use f
i Cty of Eapn ~WII►Q 1 1 TOW i Permit
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received:
I
Phone: (651) 675-5675 i
Fax: (651) 675-5694 staff:- j
- -----J
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: In
`T T~I
Tenant: Suite
RESIDENT / OWNER Name: Phone:Sf - Lf1 \1lC (~a~
s /City /Zip: a M~_- CO O`eO (;)j C__
Addres 5
CONTRACTOR Name: License @ ~l
Address: ~S~ 1~VKJ~ ~~1,LS f u I La Of, I r
City: -U f C /1 e_ State: M Zip:
Phone: Contact Person: (Aln S6
TYPE OF WORK New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
L_ RPZ PVB) Main _ Lower Level)
Septic System Water Turnaround
_ New
Abandonment
li
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 $136.00 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 $
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 approv plans.
x L(SQ x
(II(A /I
Applicant's Printed me A icant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In -Air Test -Gas Test Final
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA091883
Eagan, MN 55122 . Date Issued: 11/03/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4395 Hamilton Dr
Lot: 4 Block: 1 Addition: Lexington Pointe 6th
PID 10-45090-040-01
Use
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Angell Aire Wayne E Ebeling
12253 Nicollet Ave S 4395 Hamilton Dr
Burnsville MN 55337 Eagan MN 55123
(952) 746-5200
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA092240
Eagan, MN 55122 . Date Issued: 12/07/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4395 Hamilton Dr
Lot: 4 Block: 1 Addition: Lexington Pointe 6th
PID 10-45090-040-01
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements 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 by law in ALL single family homes.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Capstone Bros Contracting Inc Wayne E Ebeling
216 North River Ridge Cirle 4395 Hamilton Dr
Burnsville MN 55337 Eagan MN 55123
(952) 882-8888
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.
Applicant/Permitee: Signature Issued By: Signature
Sep, 15. 2015 4.06PM Purpose �riven Restoration LLC No, 0369 P. 2
. �
Use BLUE or BLACK Ink
_ i Foro(ticeUsa----------' f.-.�
' I Permil�: ✓� �V � `---
City of �a�an � Permit Fee: ��•�� j
�
3830 piloE Knob Road I I
Eagan MN 66122 � Dale Received: �
Phone:(661)676-6676
Fax:(651)675-5694 � 3taff: �
L--------------�--�
20'15 RESIDENT�AL BUILDING PERMIT APPLICATION ��(�-( �
Date: ����I�_�-, Site Address: !�_1� ����I�h � �
Unit#• �(�
_ �:���-=�:�,:. � . �,�t�i 1r�do., �De Q �:1�9�►-(�u��
'==:�'; Name�_ Ile� L� td1 Phone:
,���Reside_nt! 7�� � ' ( � a� ✓1 'TJ�I Z3
''Owne�,;xy;. Address i c�cy�zip: i � � _
l:��A:�:._-:;:�
'-�-��� Applicant is: Owner ,�Contractor �
-,,:-
. ..._,:�_�... — . � v
� �� �`. � o�� �d� i £.�d. �y�, ��C Cr��c+6'►,
��T=• Desc�iption of work: � '�Y� �
,Ty.pe of�WorK..� q.� °K?6"6 ' 'nwW
- ConslrucGon Cost: ���-� Multi-Fami(y Building:(Yes,�!No
_::::���-_. `� ��
- -= � Company:�l,u� �N{�0r1 d�i�Jl Contacl:a�SP�1Ztl\ � �i'1^
.CO��r.a.etor Address: 1�1 Ciry: G�h fi`�
.��—�-•_,.., '/
��- �'_'��'".,:• Slate:�Zip:��� Phane: ��'T��� Email; = n , �
� - ��::�:.::�� /�.r � N�
' -_ �. License#:�.ID�poS� Lead Certlficate�:
if lhe project is exempt from lead certification,please explain why:
� �a� ��,t�1� I � °I I R�P� ��.�-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has fhe Cily of Eagan Issuad a permit for a similar plan based on a master plan9
Yes _No IF yes,dale and address of master plan:
Llcensed Plumber: Phone:
INochanlcal Contractor: Phone:
Sewer&Water Cont►actor: Phone;
Fire Suppresslon Contractor: Phone: '
_;,... , . . ;.._ . .,.. ,,_ :.::M•-.-,.,.�..._.._
'�-��NOTE:P+la.p_;,';ai�['su�ortFn documenfs that oa submlt a1��on��(�..@��g:�Q�pub►ic information..•Po�tions of.,
�:_, �-A�:��; .:�.�;.. PA 9' Y . . ,._. .. .,_.,,.. . . ::. ,.
. . ,. .:.,M....._. �.�
_ .
� �=;,the MfQ,:"Ima;�ion may be classlfied as t�on.public if you pi'oy��lew,�p�'�_�c;'►'e.��ons that wau/d,pe�ml.L•th.�TGlty:��',:�:
�� �W ' conclud,e:that:the ,ar��r..ade.:s:e�'�Y",ets:°~:�'� ._���.�:::�.,�.�.,.; _..�
CALL BEFORE YOU DIG, C&II Gopher State One Call et f 651)a5a-OD02 tor prolecllon agalnst underground ukility damage. Ca1148 hours I
before you inle►M Co dlg lo re0e�ve loca(es af unde�ground uQliQes. www.goeherslateonecall.ora ,
I nereby acknow9edge Ihal Ihla infotmation Is compleCe anA aCCUr�Ie;Itlal Ihe work will be In conformance wllh lha ordinances and codes of lhe Cily o( I
Eagan;Ihat 1 undersland lhis is nol a permil,bul only an applicalion for a permil, and work is not to sld�wilhoui a permll;Ihat the work wpl be In �
accot4dnC2 wilh Ihe approved plan In the case of work which requires a review and approval oi plans.
Exteriorwo�k authoritsd by a bullding psRnit issued In accordance wilh Ihe Minnesota 8tate Bullding Coda muet be completed wilhin 180 �I
days of permit iesaance.
X �,r �,,� f
A�� C�'•1 X �, 1�-�^�
Applleant's Printed Name Applicant's gnature
Page 9 of 3
Sep, 15. 2015 4: 06PM Purpose Driven Restoration LLC No, 03b9 P. 1
, �
. � �� ��
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pURPOSE DRIVEN�ItESTORATYON
"craftsmanshlp you can tryst"
3251VIain Sti�eet�TW
Elk Rive��,1ViN 55330
(763)633-�737
(87'7)'125-4737 •
www.pdrmn.com
Fax G�over Sheet � � �
.
DATE: �I(�J)(�
, �-o: C�y � E���
� Attn:�w�l���n �� .
Fax: � i�g15-5(°°�y�
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RE: ``� ' .
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Pages (Including cover sheet) .
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA167946
Date Issued:04/05/2021
Permit Category:ePermit
Site Address: 4395 Hamilton Dr
Lot:4 Block: 1 Addition: Lexington Pointe 6th
PID:10-45090-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Wayne E & Linda M Ebeling
4395 Hamilton Dr
Saint Paul MN 55123--260
Bob Boldt Hvac
4310 Trenton Tr
Eagan MN 55123
(651) 454-7760
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175744
Date Issued:04/13/2022
Permit Category:ePermit
Site Address: 4395 Hamilton Dr
Lot:4 Block: 1 Addition: Lexington Pointe 6th
PID:10-45090-01-040
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Wayne E & Linda M Ebeling
4395 Hamilton Dr
Saint Paul MN 55123--260
Haferman Water Conditioning Inc
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature