4769 Hauge CirCITY OF EAGAN
Addition RitiQ? £f First Ad(iIl. Lot 7 Blk4 Parcel #1fl 6'?48() fl7(1 (ld
pv,ner Clf4- ?,^z,(.1'- b1@l.?,^.l: :.i ; c street 4769 Hauge Circle State EaQan, MN 55122
improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK t, 1982 298.08 5 298.08 C007616 12-2 - 1
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 19$2 298.08 5 298.08
STORM SEW TRK 1982 638.24 5 638.24 C007616 12-23-81
5TORM SEW LAT
ervices 1982 637.75 5 637.75 C007616 12-23-81
CURB & GUTTER
SIDEWALK
STREET LIGHT
185.00 19717 -3-80
WATER CONN. 305.00
BUILDING PER.
5AC
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RECEIVED
19
AMOUNT $ I
? DOLLARS
ioo
? CASH ? CHECK
FOR
VYhite-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
V" ? 9 Y ,
.` cirr oF EAGAN
3795 Pilo! Knob Road Eagan, MN 55122
PHONE: 4548100
BUILDING PERMIT
Site Address
Lot Biock
Parcel #
W I Name
3 Addre:
b
sec/Sub. "idgecliffe lst
Receipt .#
Erect ?
Alter ?
Repair p
Enlorge ?
Move ?
Demolish ?
6rode ?
N2 5920
Occupancy
Zoning
Fire Zone
Type of Const.
# Stories
Front ft.
Depth ft.
w Name '- ' ..?M?.,,....
?? Addreu Assessment
Water & Sew.
Ci phone
Police
W W Nume
FW Fire
Address Eng.
a W G Phorie Pionner
Council ??? /r•n
I hereby acknowledge thot I hove reod this oppliwtion ond state thut Bidg. Off. ry/ p?n
the information is correct and ogree to oomply with oll upplicoble
Stote of Minnesota Statutes and City of Eagon Ordinances. APC
Fees
Permit ,
Surcharge '
Plan check
SAC
Water Conn.
Water MeYer,
Road Unit _
Total
Signature of Permittee I
A Building Permit is issued to: on the express condition that
oll work sholl be done in uccordonce with all opplicoble State of Minnesota Statutes and City of Eogan Ordinances.
Building Officlal
Pomit # Daft Mwed PerMMlw
Plumbing n ? 7- ape1 ?
Mechanical ??
? 19 12> - fo
INSPECTIONS DATE INSP.
Rough-In
Final
Footings f- gCS Date In:v. Dote Insp.
Foundation Plumbing
Frome/ i ns. Mechonica I
Final i/^?•-QG
Remarks:
CITY OF EAGAN
3795 Pilot Knob Reed
No. :'r?7 Eeyen, Minnasota 55122 INSPECTOR NOTIFICATION
Pbene: 454-e100 REQUI RED BY LAW
PERMIT FOR ALL INSPECTIONS
Date:
Receipt No.:
Single I
Residenticl
5ite Address:
Lot Block ? Sub/Sec. Multi Res., Comm./Ind.
Nnme )rri'ri Thompson Fosnea
New /Alter./ Repair
? Address 1712 F:Opk3118 Cz•9Pd.
Cost of Installotion
' jr.-netonka, 17LL1• '4 .4 °r/?
City Phone: Permit Fee
Nome "mzel lSeohanieal .
? 5urchorge
j Address ;•5'.ric?@.^. . ' _ ..
l, 7 r?. I
City . . . Phone: Total
This Permit is issued on rhe express condition that oll work shall be done in acrArdance with all applitable State of
Minnesota Stotutes and City of Eogan Ordinances.
? Buildinq Oificial
CITY OF EAGAN
3795 Pllo! Knob Read
?sa¦, ?n?? 55122 INSPECTOR NOTIFICATION
NO' Phone: 4544100
REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Dote:
Receipt No.:
, Single I
Site Nddress: Residential
Lot t ?
Block 5ub/$ec. I"?"-i ?--`? Multi Res., Comm./Ind. I
Nome rr1;1 i'IlO;itD.30I2 tlOnles New/Alter./Repoir. ` -:ins Grsrd.
3 Address Cost of Instollation
0
City ?LIu'a Phone: 744-733" Pe?mit Fee ?0, On
-
4
Nome '? ?+?•?• ' ?"'?'1' ,???• Surchorge
.
g /\ddress 4'= ?`7 i11CttF ?? -
e
City
Phone: Total
This Permit is issued on the express condition that oll work shall be done in occordance with all opplicoble State of
Minnesota Stotutes and City of Eogan Ordinances.
Building Officiol
CITY OF EAGAN t ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 / , .
BUILDING PERMIT
Receipl #
11729
To be used for PORCH Est Value $ 6,80 U Date •apR I L 4 , 1g$ 6
Site Address 4769 IiAUGE C I R Erect C? Occupancy
Lot 7 Block 4 SeciSub. - RZDGEC LIPFi; I5Itemodel ? Zoning
Pa-?•al No Repair ? Type of Const.
. Addition ? No. Stories
a HAJ;LAN LA;JGSTRk;ET Move ? Length
_ Name A Demolish ? Depth
a Address IdE
S Int. Impr. ? Sq. Ft
City Phone 45 2"' 2 7 9 a Install ?
Z o Name SAM
?°, ¢ Address
~ CiN Phone
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.
Y.
Signature of Permittee
A Building Permit is issued to: f`ARLA14 Lt114G5TREET
all work shall be done in accordance with all applicable Stataof Minnesota
Assessment Permit Y "` • ""
Water & Sew. Surcharge 3.5U
Police Plan Review
Fire
Eng.
Planner
Council
BIdg.Off. 4/4 86
Water Conn.
Water Meter
Road Unit
Tr. P I.
Parks
Var. Date I Copies$bb,uQ
Total
on the express conditlon that
Statutes and City of Eagan Ordinances.
I I ftrmH Na ' I Permit FIO1dN I DN& I TNOphons N I
Plby.
Hty.
Plby.
Final
Occ.
Dbp.
ClTY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO
:
Engan
MN $5122 .
, DATE:
yZoning: No. of Units: ?
Qwner:
Address:
Site Address:
Plumber.
Meter No.: Connection Charge:
S
ize: Acwunt Deposit:
Reoder No.: Permit Fee:
1 agree to eomply wjth the City oF Eagan Surcharge:
Cedinonees. Misc. Charges:
Totol:
BY Date Poid:
Dote of fnsp.: In
sp.:
CiTY OP EAGAN
3795 Pilot Knob Rood
Eagan, MN 55122
Zoning:
Owner:
Address:
Site Address:
PI umber:
1 agree fo eomply with fhe City of Eagan Connection Charge
Ordinances. Account Deposit: _
Permit Fee:
Surcharge:
gy Misc. Charges -
Dote of Insp.: Totol:
Insp.: Date Paid:
PERMIT NO.:
DATE:
No. of Units:
CITY OF EAGAN p
N-
117 2 9
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receiptp /
To6eusedfor PORCH Est.Value $6,800 Date APRIL 4 ,1986
SiteAddress 4769 HAUGE CIR Erect C?J Occupancy
Lot7 elock 4 SeGSub. RIDGECLIFFE 1S%emodel ? Zoning
Parcel No Repair ? Type oi Const.
. Addition ? Na. Stories
a HARLAN LANGSTREET Move ? Length
rvame Demolish ? Depth
3 Address
° SAME
inLlmpr. ?
Sq.Ft
City 452-2790
Phone Install ?
o Name SA-ME Approvals Fees
i
.
$ ? Address ASSessment Permit '
? City Phone Water & Sew. Surcharge 3. 50
? w Name
z
?
a Address
z
i w City Phone
. I hereby acknowledge that I have read this application and state Ihat the
inbrmation is correct and agree to comply with all applicable State of
Minnesot2 Statutes andC/? ol Eagan Or inances. ?
. Signature of Permittee ?]Joldiy1_,???
Police
Fire _
Planner
Council
Bldg. Off. 4/4/86
Var. Date
Plan Review
SAC
Water Conn.
Water Meter
Road Unit
Tr. PI.
Copies-M--vu-
11_1
A?BUilding Permit is issued to: HAIZLAN LANGSTKEP:T on the express condition that
all.woYk shall be done in accordance with all applicable Sta of Minnesota tatu and ?Ciry of Eagan Ordinances.
BuildiogOfficial ?-4 .:
Model 50 GF GITY OF EAGAN
3795 PiIM Knob Read Eugen, MN 55122
PHONE: 454-8900 •
BUILDING PERMIT APPLICATION
N4 5920
Receipt # { hl r
ue 75,000.00 Date Jul y 3 , 19$D_
Site AddreSS `"vi a.y?c vilvic .
Lot 7 Block 4 sec/s,b. Ridgeeliffe lst
Porcel fk
rc Name Orrin Thompson Homes
z Address 1712 Hopkins brossroad
3
o NCinnetonka. MN 553G'i 5GG-73't'?
o Name Sa[t2 _
?
0, <u Address
? Cit Phone
1„w Nome `53me r
_r n Addreu
1 hereby ocknowledge thnt I hove read this applicotion and state that
the informotion is Correct and agree to mmply with all upplicable
State of Minnesoto $tatutes and City of Eagan Ordinances.
Signoture of Permittee -
A Building Permit is issued to:
oll vrork shall be done in acco
Building Official
Erect [Z Occupancy R'3
Rl
Alter p Zoning
II
oir
Re ? Fire Zone -
p V
Enlorge ? Type of Const.
Move ? # 5tories
Demolish ? Front - 50 ft.
3T- f
Grade ? Depth t.
Aoorovals Fees
Assessment
Water & Sew
Police
Fire
Eng.
Planner
Counci I ?l ?g?
Bldg. Off. 7 /l /g0
APC
Permit ?"'•-"
Surcharge 37.50
Plan check 88. 50
snc 525.00
Woter Conn. 305.00
WaterMeter 60.00
185
00
Road Unit .
Total -??378-. W
on the express condition thot
Statutes and City of Eagan Ordinarrces.
? CITY OF F.F+GAN Include 2 sets of plans,
I .. 1 site plan w/elevations 6
? gUILpING PP,RMIITAPPLICATION 1 set of energy calculations.
7b Be Used For 9'lS1DEMc.E Valuation 00 Date 6-3-4-9D
site raaress: 4,6c. ooF? _so ?a or-FicE osE oru,Y
I,ot -7_ blocx sec./s,.,t?. s ol occugancy ?3
Parcel #:
O.mer:
Pddress:
City/Zip Code:
Phore # :
?? Alter Zoning ?/
Contractor: QRRIN THnMPS(lN H()AAFC
AddseSS: a Division of U. S. Home Corporation
-1,?1 ,o ;:n.s-sROssaeAe
City/Zip Coc12: MINNETONI(A, MINN. 55343
Phone #: Syq•1333
Arch./E1ig.:
Pddress:
City/Zip Cade:
Phone #:
Regair . Fire Zone 3
Enlarge _ 7'YPe of Const. t/
Nbve # Stories
Delrolish Front ft.
Grade DePth 3 ft.
APPRO VALS F'EES
Assessments
. a3
Permit
Water/Seaer Surcharge
Polioe Plan Check S fr
-?
-
Fire SAC
?° `S'
g?; Water Conn. 3 0.1-
Planne.r Water Meter
Council Road Unit /flis
Bldg. Off_
APC
nYPAL /3 ? . OZ7
REQUEST FOR ELECTRICAL INSPECTION . ee-oooovoa
Sae instruetions tor completine this lorm on beck ot yellow copy. ?,?G
o. _"X" Below Work Covered by This Request 7
N Adtl R.10 Tyoe ot Buildina Avoliancea Wired Equiument Wired
ex
Commercial Bldg. Furnace Silo Unloader ?
?-????ndustrial Bldo. Air Conditioner Bulk Milk Tank
N Fee ServiceEntrenceSize IX Fee Feaders/SUbteeders N Fae Gircuita
0 to200qm s 0 to30qm 5 Om30Am s
Above 200 qm ?s 31 to 100 qmps -31 to 100 A s
Swinvning Pool Above 100_Amps Above 100_Am s
Transiormers Irrigation Booms Partial-'Other Fee
J Slgns I I ISpeciallnspection ?S
Aemarks p?Q • TOTAL FEE---1?
a Elacvical
th
?^sDectoq hereby
ce.titv t?+ tne aeove
Final I ?
insvaction has been
rf 7 /'i ,?. . A"t made.
i nis re4uest void
18 months (rom ? '? _?
b
o? 0682
83 ?
Roquest Date
? ^ Fire No. flouB - Inspection
ReyWr tl?
?Ready Nuw ? Will Notify Insoec-
- f (.7 ?Vos N. tor When Ready
? licensed Electr ical Contracmr I hareby request insoection ot above
? Owner electrical work instalted ar
Street Adtlress, Box or Foute No. City
ecLon o. Townshi0 N e or No. Ranye Nn. Cnunly
OccuOant (PflINT) Phone No.
,, _ , . -C
Po r Sut?ppJlier Atldress
?t??"mir?L
'?v n
Electrical Convactor (Company Nnme) Con[racinr's License No.
j?
Mailing Address ICOnvactor or Owner
M
aking Ins[ailationl
Y769 /
1
Authori
Sipnature IComr
odOwner Making Installa[ion)
Phon
e
Number
/
(N /
/
^j
MINNESOTA STATE B APD OF ELEC RICITV THIS INSVECTION REQUEST WILL NOT
GrigBS-Midway Bldg. - Noom N-181 BE ACGEPTED BY THE STqTE BOAPU
1821 University Ava., St. Paul, MN 55104 UNLESS PROPEX INSPECTION FEE IS
Phone (612) 297.2111 ENCLOSED.
........ esoxa acace uoam or Gectnciry
Griggs Midway Bldg. - Room N797 ? E13•00001-02
1 1 University Ave.. St. Paul, Minn. 55104 - Phone 297•2171
' EST FOR ELECTRICAL INSPECTION ?C.??
CHEI,n aELOW WOAK COVERED BY THIS REQUEST S 8 4 984
Type of Building New Add. Rep, Check Appliances Wved For Check Fquipment Wired For
Home
qi- ? ? Rangc ? Tempoiary Wiring ?
Duplex ? ? Water Heater ? Lighting Fi?ctures
t. Bldg. ? ? ? Dryer ? Electric Heating 0
mmercial Bldg. ? ? ? Fumace Siio Unloader ?
Industrial Bldg. ? ? ? Air Conditionec ? Bulk Milk Tank ?
Fazm ? ? ? List List
Other ? ? ? 0?[hers? .
ere ) ?_?. Others?
Hexe f
COMPUTE
U to 102 Am s. V 11c311 qi r `? 0 to 30 Am etes . W
101 [0 200 Amps. 31 to 100 m eres 31 [0 100 Am eres
Above 200 Amps. Above 100 Amns.1 1- Above 100 Amns.
TOTAL
I, the Electrical Inspector, hereby cer6fy the 66???has t
, ° A ,. Date
2` -!J -jt-/
? rtis reguest void 47 9??
18 months hotn
Date f this Request ?, DLS I80 Fire No. -S 84984
I, as Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
et Address or Route No. ??9 HPu(66 "`X(_? City ?'?
fion Township Range County DAY'OTO
Which is occupied by_VIz" H4H?f-t,ef
Is a roughin inspection raquired on this job? No ? Yeo Ready Now ? Will CallcK
PowerSupplier N++J Addcess Wh 1AA?iU1°'
Electrical ConUactor??u? ecec7 ?? ? Contractor's License No?s? I
l (COmpany Name)
MailingAddress ??`? ?. G
(Eiqct 'cal ont or or Owner Making This Installatlon)
Authorized Signature AAJ Phone No. gq
/0 -??
(ElaCtrlcal ontractor or ow r Making Thls Insiallation)
1f))?,7 This inspection request will nat 6e accepted by the
d? ??"? « State Board unless proper inspeetion he is enelosed.
. ? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4875
Naw Constructian Reauirementa
• 3 registered site surveys showing sq. ft. ot lot, sq. R. of house; and all roofed areas
(20%maximum lot covera9e allowed)
• 2 copies of plan showing 6eam 8 window sizes; poured found desgn, etc.)
• 1 set of Energy CalculaUOns
• 3 copies of Tree Preservation Plan d bt piaded after 711/93
. Rim Joist Oetail Options seleIXion sheet (61dgs with 3 orless units)
DATE -I- Ib'UZ
?SIpTE?
i'ItPE
APPLICANT .46tfSC
IULTI-FAMILY BLDG _ Y -b N
FIREPLACE(S) _ 0 _ 1 _ 2
STREETADDRESS Jo7a41 ?z X?'eol/e_f .44c S• CI7Y&rns?'1(e STATE s1'IN ZIP55337
TELEPHONE # t15aJ7e-7'6997 CELL PHONE # FAX # 695a'? FB?- sr a `i6
PROPERTYOWNER6UCkS+YLnz ?c /-?aTFw YLv?Ge TELEPHONE# ((. 5i Ysa- olaa
----------------------------------------------------------------°-----------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINIYESOTr\ RUL.ES 7670 CATEGORY 1 bIINNESOTA RULES 7672
- -?
(d submission rype) • Residential VenGlation Category t Worksheet Submi[ted • Ne E e?gy Go?Wark'sRieet.3 timitted
• Energy Envelope CalculaGons Submitted ; ???-?' . ri ??? fl
Plumbing Contractor:
Plumbing syseem includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
qg, d3
RemodaURewir ReauiremeMa
• 2 copies otplan
• 1 set of Energy Calculations for heated addNOns
. 1 site survey kr exterior aCditlons & decks
. Indicate if home served by septic system far addNOns
VALUATION ?
_ Water SoRcner
_ Water Heater _
No. of Baths
Air Conditionine
Heat Recovery System
Phone #
sEP 1 a 2ec2 ' j i`
UI
Fec: $70.00
-----------------------------------------------------------°------°-----------------------°------°--------------------
I hereby acknowledge that I have read this application, state that the information is conect, and agree to comply
with ali applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature W Appllcant
OFFICE USE ONLY
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updaled 4102
OFFICE USE ONLY A,
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage 13 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (BIdgJ' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire 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 W idth
REQUIRED IN SPECTIONS
Foorings (new bldg)
_ FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addirion) Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ lce & Water _ Final Pool Ftgs Air/Gas Tests Final
_ Framing Siding Stucco Stoue
_ Fireplace _ R.I. _ Aic Test _ Final Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
5&W Permit & Surcharge
Treatment Plant
Plumhing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
? *'00 C. R. WiNDEN d AS50CIATE3, INC.
? lANO SURVEYORS Td 645•3648
FOR: 1361 EUSTIS ST., ST. RAUI, MtINN. SStd[
U. S. HOME CORPORATION Lj
J
N 0
:D
Q Ll
? =U
e
/'11,10 SS 6
Scale: 1" = 30' 0
o Denotes Iron ?g
A `aC7'
V\ / ? q
r"
i
,b?5
9?Q I
\X1 2h?
P?? ? / s? ?GSP I
O?P / \ I o
/
i o, ?
-
-
? I
-
•`'6 = ;>
:
Jg
0
Lot 7, Block 4, Ridgecliffe First
Addition, Dakota County, Minnesota.
WE NEREBY CERTIFY TMAT THIS IS A TRUE ANO GOPRECT REPRESENTATION Of A SURVEY OF THE
60UNDARtES OF THE LAND ABpvE DESCRIBED AND OF THE LOCATION Of All 6UILOINGS, IF ANY,
TMEREON, AND ALL VISIBIE ENCROACMMENTS, IF ANY, FROM pR ON SAID LANO.
Oorod this 297?6 doy of1Mn?l_A.D. 19$p C. R. Z70 CIATE
by Survey or, Mien?wla Rapi?rrolion No.77ZE
rvrarv
?
1986 BDILDING PERMIT 6PrLICAFIDN - CITY OF EAGAN
HOTE: ALI. CONTR6CTORS M[IST BE LICENSED iiITH THE CITY OF EAGAN
SINGLE FAPIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SET OF ENERGY CALCULATIONS
M[ILTIPLE DWELLINGS - RFSIDENTIAL RENT9L IItBITS FOR SALE QNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORYEY - CHECg iIITH BLDG. DEPT.,
1 SET OF ENEBGY CALCULATIONS
COMMF.RCTAT:
INCLUDE 2 SETS OF AACHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For:
Site Address
Lot 7 Block y
Parcel/Sub RiVyZC1jF F?' ??v^?? Co{
Owner ??j,?µ?m '?'T ??c?
Address y761 Li-o,wq¢ Gi
City/Zip Code a,yi ,? ,rj 1? Z
?
Phone ? -ri 2. WO
Contractor ?
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone 4F
?
Valuation: A00 Date:
c' Girc• f C? I OFFICE USE ONLY
Ereet ? Oceupancy
Remodel Zoning
Repair Type of Const
_
Addition 4F af Stories
Move Length
Demolish _ Depth
Int.Impr. . Sq Ft
Install
APPROVAIS EEES
Assessments
Permit ?
?Z "
Water/Sewer Surcharge 3.50
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off 9 Treatment P1
APC Parks
Varianee Copies
TOT9L 18-7 v QZT
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOHEOBNER MUST DESIGNATE iiHICH ADDRESS
IS DESIRED. NO CH6NGFS WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSIIED.
CITY OF EAGAIQ
EARLY UTILITY CONNECTION PERMIT
4769 Hauge Circle L7 B4 Ridge Cliffe lst
Address Subdivision/Parcel
I hereby request permission from the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way. I
understand that the City has not yet completed, inspected and/or accepted
the sewer and/or water lateral. I agree not to use, test, o'r connect these
indivfdual services to any interior plumbing and understand whe require-
ment to cap thP sewer service to prevent any unauthorized use.
In accepting this permit, it is agreed that I will hold the City and its
agents harmless from any damage that may occur due to this early connection.
It is understood that no Occupancy Permit will be issued or water allowed
to be turned on until the City utility system has been declared operational
by the City Engineer.
Signed by - Plumber:af"Ive ll? tr /kLl4?
Owner: ?J
?
Develaper:
Builder•
Dated: /)/j?c_,i
CITY OF FACAN
EARLY UTILITY CON:IECTION PERMIT
4752, 4758, 4764, 4768, 4769, ' L3 B4, L4 B4, LS B4, L6 B4, L7 B4, '
4765, 4759, & 4753 Hauge Circle LS B4, L9 B4, & L10 B4 Ridge Cliffe lsti
Address Subdivision/Parcel
I hereby request permission from the Ci[y of Eagan to connect to the
sanitary sewer and wa[er lateral line in the public right-of-way. I
understand that the City has not yet completed, inspected and/or accepted
the sewer and/ar water lateral: I agree noc to use, test, or connect these
individ_al services to any ±nterior pZumbing and understand tho_ require-
ment to cap the sewer service [o preven[ any unauthorized use.
In accepting this permit, it is agreed that I will hold the City and its
agents harmless from any damage that may occur due to this early connection.
It is understoad that no Occupancy Permit will be issued or water allwed
ta he turned on until [he City utility system has been declared operational ?
by the City Engineer. °
Signed by - Plumber"_'O?? ??•O? ?' ???
Owner:
Developer:
Builder:
Dated:
?
Citu of Eagan
Cash Rereipt
Receipt 6ate 1119/60
iioe Frinted 13;45:27
Receipt Nuqter 1230
_`•EHL GUpRG SYSTEii; INC
4759 HAtlGE GIR ?
9001.205 2.03
6`r 33199
4101.4885 97.25
OP 43199
lGL.3I ReCelpi AHioIJPi$ 99.25
U_.pY HtC6RH61
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
? 3I q q CI? oF E?G,?
3830 PILOT KNOB RD - 55122 ? q• ??
851-887-4875 ?
•New ConthueHOn ReaulremeMs Bemodel/Reoair ReaWromenh
> 3 replarored Yte wneys slwwiny sq. R d W. sq, ry. o( Iwune 2 ooptes of plan
antl gl rooled areas (20'6 rtwxlmum Io1 coveraae atlowe[11 1 set d energy cdca6aXafs for Mecletl atlmMOm .
a 2 copiea of plam (ahow beam R wUUbw slzas; poured hW. dedqn;etc.) 1 a8e aurvey fa exteda addHOns 8 decb
a 1 set of eneryy edcwanons
i 3 capies of hae presenaMon plai B lot plaRed aRer 7/1 /93
DATE: Q - 0 -} " a C7 CONSTRUCTION COST:
DESCRIPTION OF WORK: l.. ?\C1C?dC A?S C?C'? ??Y1
.
STREET ADDRESS: `Z 1 '
LOT: --- L BLOCK: _H - SUBD./P.I.D.O:
PROPERTY
OWNER
ARCHRECT/
ENGINEER
Name: Z Ch h,f ?? Pr,one #: (e5l - 4?a • ? t a a
Laaf ? FlFaf
Sfreet
City Cln Stafe: MNl. Zip:
V
Company: Phone #: ?_? ? ? ' U ? ??
(area code)
sn«tAdaress:??11 o?vnlc??CW9 ucensa#aboFEXP 3ldl
city Acz? ?11\15 s?ate: zip:
Telephane A: (
Name:
Sheet Address: Registrafion M:
CHy
State:
Sewer/water licensed plumber (if InsWlllna sewerhvater): Phone #:
LP:
I hereby acknowledpe ihaf I have read Ihis aPWicaFion, Nafe Mat 1ha infortnalion is correct. and ayree b comPh' wilh a0 applicable SMFe
of Mlnnesota Staiutea and CMy o} Eagan Ordinances.
Signalure of APPlicanY. ??j? ?
OFFICE USE ONLY
Certiflcates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation p 07 05-piex
? 02 SF Dwelling ? OS OB-plex
? 03 01 of _ p?x ? 09 07-plex
O 04 02-plex ? 10 08-plex
? OS 03-plex ? 11 10-plex
0 06 04-piex ? 12 12-plex
WORK TYPE
E3 31 New
O 32 Addition
? 33 Alteration
O 34 Repair
? 13 16-plex ? 21
? 17 Garage ? 22
? 18 Deck ? 23
O 19 Lower Levei ? 24
Plbg _Y or _ N ? 25
? 20 Pool O 30
Porch (&sea.)
PorchlAddn. (4-sea.)
Porch (screened)
Stortn Damage
MisCellaneous
Accessory Bidg.
13 36 Move Bidg. ? 43 Reroof
? 37 Demolish (Bldg)" ? 44 Siding
O 38 Demolish (Interior) ? 45 Fire Repair s
O 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL IIVFdRME?I iUN
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTiONS
? Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surchsrge
Pian Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SMI Permit
S/W Surcharge
Treatment Pi.
Park Ded.
Trails Ded.
Other
Copies
Total:
Building
Engineering
Valuation:
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MGES System
City Water
Booster Pump
PRV
Fire Sprinkiered
Variance
0 31 Ext. Alt - Multl
? 33 Ext. Alt - SF
? 36 MuRi
SAC Units
% SAC
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City of Eagafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
FEB 292016
VIA/w rl rLreme V. moo gmf•...• ...n
For Offi6e Us
Permit :
Permit
Date Received:
Staff:
2016 RESIDENTIALBUILDINGPERMIT APPLICATION
Date: \ C-YWC1^ IlWitL
9 SlteAddress: OCI \Aau\C C-ttClR.:. I Unit #:
e,�, rte, j �„ ,.:, •,
• .• F. <,.,,,,,; ;:;sy'
Name: 1-Y1a( l'e.5' '(r% Phone:
S I -4 5a -619Q
Address ! City / Zip: (S.4.)
Applicant is: Owner ti0 Contractor
�
'`..
,
Description of work:' - . .: b . , _ ' ... — 'a. . J .
.. (4..k.Ou
�}o ewc4ewl. - u
/ No )
Z
y Gad
w'*, 0\mA ha..5. dG? led; - roc 4 o,
Construction Cost 4 MoD. I Mu i-pamiiy Building: (Y=s
�•'''�,R'�,,��ii����,'y"��"�
Company: i Clnrnca_ C L,;•-..n,eq Corneav►n Contact:
Address:San G4..."k4'a\ 1A1.4...0 .N.E. 51l.i'r i4 City: SQ(4‘q
State:T'nr)Zip: 559' Phoner+{o3-232-(0I1$Email
License #:'F,G 16331o9 Lead Certificate #: `1\VPa • 3 21 S}
If the project Is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master pi
If yes, date and address of master plan:
it?
Licensed Plumber
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor
Phone:
' Phone:
Phone:
Phone:
s%,,�rdy�+ ..r..,3..?,., rr .<.5.. „n.1, '•��•r,QQe,,�}}py.��',: >•�• •q�' /,r, r�
�'r i;.�+..,r;,, '�� •1r:.^a,^.,••;:�, ««•'.nxat QJ'tT+1.?rin<':
'v,.«.;L•�?�iir1d1.:.7A•x...r�1l�,'!f'',•y/t(Si :«1... "Y,•..r. :) ,•�.Ra�:�rN�•,,i�{!,},a"..:n,�:,r11y��.,yt;wy5..'''•'', ,•,`r„"r.�,'i' ; p..r.�•�,•j"..7��,I*.•!•�,•?t ,";•,••'.:�!'P, •.,.
.'k7n4::;r.f,::p:f �`k':'b"'i":.�
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CALLBEFORE YOU DIG. Call Gopher State One Call at (851) 454-0002 for protection against underground utilidamage. Call 48 h 'tats
before you intend to dig to receive locates of underground utilities. www.000herstateonecail,orq
I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the ordi
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
accordance with the approved plan in the case of work which requires a review and approval of plans.
. Exterior work authorized by a building permit Issued in accordance with the Minnesota State' Building Code mus
days of permit issuance.
C0. soh
Applicant's Printed Name
x
A "• lice - a Signature
ances and codes of 'e City of
sank; that the work will be in
,be completed wlthi 180
Pige1of3
Lt (01 i -k e„
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation , Fireplace — Porch (3 -Season) _ Exterior Alteration (Single Family)
Single Family_ Garage _ Porch (4 -Season) _ Exterior Alteration (Multi)
Multi _ __ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
— 01 of _ Plex .___ Lower Level _ Pool _ Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Type of Construction
Interior Improvement
Move Building
Fire Repair
— Repair
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
__ _ Siding _ Demolish Building*
_ Reroof ,_,_ Demolish Interior
Windows Demolish Foundation
Egress Window_ Water Damage
'Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Roof: _Ice & Water _Final Pool: Footings _Air/Gas Tests _Final
Framing Drain Tile
I\ Fireplace: Rough In Air Test *Final Siding: _Stucco Lath ,Stone Lath _Brick
insulation Windows
Sheathing Retaining Wall: Footings _ Backfill _ Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
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