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4680 Hirta PtDate: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: /Z'((io' Permit Fee: ✓ / /- �J Date Received: # /io/iy Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION ° 11 SiteAddress:Address: pt e/6FO,(1(fV hit .�- Unit #: %� VL�3 !t Resident/ Owner Type of Work Name: Ai06CC -1 6- /5.1. Phone: ��, � N Address / City / Zip: r' Applicant is: Owner Contractor Description of work: 5/ 0/ S Construction Cost: 51 9- 0 ado • Multi -Family Building: (Yes X / No ) Contractor Company: )V12 4-41, t i+ Contact: D'il J,elf6Yt Address: I3?-& 51b2 City: Ovled%SO`le-- State: 1/1111 Zip: SC 3 31 Phone: (0% 2— —i-/— lib 5 License #: a- 03f b 7 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes _No If 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 plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.orq 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 approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x �/1 Cll. SP6b#1 Applicant's Printed Name x Appli s Signa Page 1 of 3 CITY OF EAGA}V Addition gidsec.li?? 3-y? ??d-mLot 2 81k ? Parcei# 1.8-6ZQ$2 0.20 02 Owner street 4679 Lista Point State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Da2e STREET SURF. STREE7 RESTOR. GRADING 5AN SEW TRUNK 980 aid wide arcel O11 02 SEWER LATERAL WATERMAIN WATER LATERAL ' WATER AREA aI'CSl O11 2 F STORM 5EW TFiK 1982 2246.22 S 246.22 C007616 12-23-81 S70RM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. SUILDING PER. 6047 SAC 525.00 20365 818180 PARK CITY OF EAGAN Remarks Addition. Lot3 Rik 2 Parcel #10 63982 030 02 owner 1 E street 4683 Lista Point State Eagan, MW 55122 ? Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 5AN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK • p 1982 246. 22 5 246.22 C007616 12-23-81 STORM SEW LAT CURB & GUTTER ' 51DEWALK STREET LIGHT WATER CONN. 20365 BUILDWG PER. O4 s,ac 525.00 20365 8 8 80 PARK ? CITY OF EAGAN Remarks addition,- Ridgecliff 3rd Addn. _.Lot 1 Bik 2 Parcel #lU 63982 010 02 Owner . i.i Lt! ?.' street 4680 Hirta -Fte-ad p+ ? 5tate Eagan, A'IIrT 55122 Improvement Date Amount Annual Years Payment Receipt Date RE ET SURF. E ST REET RESTOR. GRADING 5AN SEW TRUNK 1980 a,7.Cl under arcel QI1 2 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 19$0 a.].Cl under arcel O11 Z STORM SEW TRK 1982 246.22 5 246.22 c007616 12-23- 1 570RM SEW LAT CURB & GUTTER • SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. 6046 SAC 525-00 20,165, g PARK CITY OF EAGAN Remarks Addition- Rideecliff 3rd Addn. Lot 4 Blk 2 Parcel #10 63982 040 OZ Owner 'Tj 10 i1111 Street 4684 Hi ri-a Rrrmr} P?-? Scate F.agan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1980 31d under arcel O11 2 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA J?LV 19$0 ald under arcel O11 2 STORM SEW TRK 19$2 246.22 5 246.22 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 4 = BUILDING PER. 6049 - sAC 25.00 20365 8 8 80 PAR K CITY OF EAGAN 3796 Pilo! Knob Rood Eogcn, MN 55122 N2 6048 PHONE: 454-8100 BUILDING PERMIT Recei pt # Ts ha umd ier . Fct Vnl,,e ()nFP 19 Site Address .-' l..i v1;a r '-, , Loi Block 2 Sec/Sub. ?-'IdFecliffe j Parcel # ?'u•ecorci?:1 W Name 3 Addre 0 " Nome _ 0 ?u Address Nnme _ Address Crsrd. 1 hereby acknowledge that I hnve read this opplication and state that the informotion is corcect ond agree Yo comply with all opplicable State of Minnesota Statutes ond City of Eagon Ordinances. Erect ? Occupancy =?,5 Aiter ? Zoning r1 Repoir ? Fire Zone ? Enlarge ? Type of Const. V Move ? # 5tories ? Demolish ? Front ft. Grode ? Depth ft. Anororals Fees Assessr4nt Permit 1 Water & Sew. Surcharge Police Plan check - Fire SAC ' Eng. Woter Conn. - ' Plonner Woter Meter Council Road Unit Off. Bldg . APC Total l,???•- - Signcture of Permittee I A Building Permit Is issued to: on the express condition that all work shull be done in accordance with all applicable State of Minnesota Stotutes und City of Eagan Ordinances. Building Officiol Permk # peh Iored PanoItfM Plumbing -?? - Mechanical 41, INSPECTIONS DATE iNSP. Rough-In Finol Footings ? -$G Date Insp. Dote Inap. Foundation Frome/ins. Piumbing MecMnital ? Finai 1 I Remarks/ _ ' I f /`1-Sf__,yc.u.°. - CITY OF EAGAN 3796 Pllot Knob Roed Ea9en, Mlnnewte 55122 INSPECTOR NOTIFICATION No. Pbone: 454-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: _ "1115-80 ? V • Site Address: 'T Lot ' Block ? Sub/Sec. idgaclii'fP 3 Name OrY'in ThomP84II Hoai@e ? Address 1712 Hopkins ? City i_T2I1e'tOI"!}:G , ' . Phone• `> ;4-- ;1't j J Nome t'A`r "Jelter 'eatin;^ . ? Address ? City - - , . Phone: This Permit is issued on the express condition thot all work sholl be Minnesota Statutes and City of Eugon Ordinances. ? Receipt No.: Single Residenticl ! Of Lr plv Multi Res., Comm./Ind. I New/Alter,/Repair Cosi of Installation Pennit Fee Surcharge Totol done in accordonce with all opplicable State of Building Official - - CITY OF EAGAN ? 3795 Pilot Knob Roed No. Ea9an, Mlnnesota 95122 Phone: 454-8100 --?Tbi °,cria.i.14 ? • PERMIT Dote: Site Address: .'.i at l Pt . Lot Block 2 Sub/Sec. 1- i clgPe1 j ffP j Name nrri n ^'hmmp4? ? ? Address nS C•r?,,, ; CitY "ndt 1n !<g Phone: 411- Nome r'•?+?^ ?v.-?•1 ? ? Address _ 1117115 q_ ?'nhFlr+t Tr. e 0 V City enin?,:?:; ` Phone• !:, This Permit is issued on the express condition thaf oll work shall be Minnesota 5totutes and City of Eogon Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: 20 ; L Single 1 2 of 4 Ple New/Alter./Repair r'•E'w Cost of Installation Permit Fee - • ? C., Surcharge Total - done in occordance with oll applicoble Stete of Building Official ? ?YOF EAGAN PERMIT TYPE: ? it 1 L(1 t hlU 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: APPLICANT: ,', ?A VI ;:; i ? r, ?,r? ? r?ti:??? --•4U13 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . D. G- - 96 crFMARKSi PLAN pfVIt-'Wf'n t3Y .10E7 vnl F5 F- ?,1 ? ? L Permit Holder Date Telephone N PLUMBING HVAC Inspection Date Insp. Commenis FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST I N 5UL GYP BQARD FIREPLACE FIREPLACE AIA TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METEfl IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TE57 BSMT R.I. BSMT FINAL DECK FTG ?S-?G ? 7 , ?//YJ uICJ DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADQRESS: 1 I.ur. I rsrA Pr R(Ul,k( l lf'fE 30C? ' PERMIT SUBTYPE: ri 1 1! ;) i ri 1' t 1 PERMIT TYPE: Permit Number: Date issued: APPLICANT: HIt?CIC: 1';0l ! 6 4-151 l TYPE OF WORK: Of ':t'kYPT tON Rfltit INr. Itl MAlth. NU 1 I U (Hfi A:'ii 1!'r:' N9J11/h6 ?4F i'A ti? i Ettl()17I N?1 ti fNLI UOF So 461811 Li?-1"A P1 (1 01 t) 46B# NIR/A 1`t ttt?T tl qf.+lid FliRiA F'1 (I.U'f A) F L Pern?it No. Permit Holder Date Telephone 8 ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTiNGS FOUND FRAMING ROOFING ROUGH PLUMBING • PLBG AIR TEST AOUGH HEATING QAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAL [,!? 7? BSMT R.I BSMT FINAL DECK FTG DECK FlNAL ? F? No. . arr oF EAc,AN 3795 Pilot Knob Roed Eagan, Minwesote 55124 Phone: 454-8100 PERMIT Dote: Site Address: - ? Block ? Sub/Sec. `' Lot Name ? - . ' ? Address ? City Phone: ? Name ? Address ? ' ' ? . . . ? - City Phone: This Permit is issued on the express condition thot cll work shall be Minnesota Stotutes and City of Eogon Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Multi Res., Comm./Ind. I New/Alter./Repotr Cost of Installotion Permit Fee , Su?cF+arge Total done in occordonce with all applicoble State of Building CITY OF EAGAN 3795 Pilot Knob Road Eagon, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt #k Site Address Lot Pnrcel #k - ,ecli£fe 3 Blxk Sec/Sub. dp cc Name Orz'in Tho=e0T1 Iior'es z 1712 Honkins Crsrrl. ? Address . ` M ^ ^ ^ a Nome _ ? FO, ?? Address ?- r:.,. Nume _ Address I hereby acknowiedge that I have read this application and state thot the information is carrect and ogree to comply with all applicuble State of Minnesoto Statutes and City of Eegen Ordinonces. N2 6047 Erect :a Occupancy Alter p Zoning Repoir ? Fire Zone f Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Aaaeoro Is Fees Water & Sew. Pol i ce Fire Eng. Planner Counci I Bldg. aff. _ APC Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Tatal Signature of Permittee I A Bullding Permit is issued to: on the express condition thot all work sholl be done in acwrdante with nll applicoble State of Minnesota Statutes ond City of Eagan Ordinances. Building Official Pennir # onre l«oea r..wttr.. Plumbing v, A n Mechanical 20 f C.t t. - ? 5c; 5- INSPECTtONS DATE INSP. Rough-In Firwl Footings - Dcte Insp. Date Inap. Foundation Plumbing Frome/ins. Mechanical ? Finol 2 Remarks: No. ? CITY OF EAGAN 3795 Pikf Knob Road Eogan, Minnesoto 55122 Phom: 454-e100 PERMIT DGte: L ''- i ^ Site Addreu: 'tZ '-It. 17 Lor Biock - Sub/Sec. PicipeclifBe : Nome GT'Tiri 'IZ10r^p80T3 KO!*ies g Address 1312 fIopLins Crsn' . ? City Phone: ? Name ? - !,'hi r? •- ?:,; - ? Address City Phone: - This Permit is issued on the express condition thot oll work sholl be Minnesota Stotutes und City of Eagan Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single - ? Residentiol - ? - ? I Multi Res., Comm. / I nd. 'i New/Alter. / Repai r Cost of Instollotion Permit Fee Surthorge Total dorx in occordance with oll applicoble State of Building cInr oF Fr?GAN , , . 3795 Pilot Knob Road No. Eagan, Minnasota 5S1?.Z Phene: 45+1-8100 - PERMIT Date: Site Address: !C7 9 L' 8L q Ft. Lot I Block 2 Sub/Sec. Rii:E;@C1j.7.`fL j i INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single . Residentiol Multi Res., Comrre,/lnd. Nome _ '-rrin TYlOIripsC :] New /Alter./ Repair e Address ? Cost of Instollation r>et onl. City - Phone: ' - Permit Fee -I • ` Nome ?-f'r?::; Surcharge - ? Address .-'0bET't '1: ? ,- • ..4? 1 , - City Phone: Totol This Permit is issued on the express condition thaf all work sholl be done in acwrdanCe with all applicable State of Minnesota 5totutes and City of Eagan Ordinances. Building Officiol BUILDING PERMIT CITY OF EAGAN 3795 Pilot Knob Road Eagun, MN 55122 PHONE: 454-8100 Receipt $k N° 6049 To bo ussd ior L<?Ilr ?'lex Est. Value 3F, i.)nr• Date - , 19 Site Address - -j•='t? ' Erect }3: Occu onc p y Lot - Block Sec/Sub. i`?f(' { Alter ? Zoning Parcel #. I^SeCo7'r?e;-? Repoir ? Fire Zone ? - Enlarge p Type of Const. `-' W ,r. rir, '??ia?,.rsor. 'i Nome o?^,?? „e ? Mo # Srories Z Addreu 1? Demolish ? Fronf ft. 0 Cit Phone Grade ? DepYh ft. ? Approvols Fees Name , io ??u Address t- r-,.., eL,.__ Name _ Address 1 hereby acknowledge that I have read this application ond stote that the informotion is correct and ogree tn comply with all applicable Stote of Minnesota Statutes ond City of Eogan Ordinonces. AssessmeAt Permit ? Water & Sew. Surcharge Police Plon check Fire SAC Eng. Woter Conn. . ,r ` Plcnner Water Meter Council Road Unit Bldg Off. . ' APC Total - - ' ' Signature of Permittee . ? A Building Pertnit is issued to: on the express condition thct all work sholl be done in accordance with oll applicoble State of Minnesota Statutes and City of Eagon Ordinonces. Building Official POslt # Dah hwed Pastlf« Piumbing Mechonical INSPECTIONS DATE INSP. Rough-In Final Footings Oote Insp. Date Irup. Foundation Plumbing Frcme/ins. ? -? Mechanical ? ? Finol • /,S ? Remarks: • ' CITY OF EAGAN 3795 Pilot Keob Road No. Eagan, MinnasoM 55122 P6ona: 454-8100 PERINIT Dote: I f-'- 15-80 •,i'_.r iTtS Ft. Site /Wdress: :? ? • n;? Lot ' Block - Sub/Sec. Nome ? ••r•?.I` 'i~?aL7n5017 HOIfle3 . ? ? Address 1712 I1opkin8 Cz'srr.. City . ' '1• Phone: ¦ ? ? ? Nome Ra.Y 4v'elter '.:cEt+iII(1,, Address 4637 Chicat;o Ave. INSPECTOR fVOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: 2136 Single I , ,,• ? . Residentiol J - ' - Multi Res., Comm./Ind. I •_ry•,,- New/Alter./Repair Cost of Installation Permit Fee Su rcha rge 20.00 I Cify - ' Phone: Total This Permit is issued on the express condition that all work shall be done in xoordance with all applicoble State of Minnesota Statutes ond City of ECgan Ordinantes. Building Official , - cinr oF EAGAN - - 3795 Pilot Kwob Road No. , ?gan, Minnemota 56122 ' Phews: 454.e100 Pltmbi ZC PERMIT Dote: Site Address; 46?1'4 'r{ rta Pt, Lot Block ' Sub/Sec. T7'jd°eCliffe ? INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: $ingle I Residential - - ! Multi Res., Comm./Ind. Name -"-'in T_zompson Iiomes New/Alter./Repair. Y ry- .? - r ? Add?ess ?' -•- -'o°,k;r??, , rsrd. Cost of Instollotion City 'netQnka, Mn• Phone: 544-7333 Permit Fee Name -1?; PyC1Z1 . ? $urchorge ? Address , - • Ciry Phone: Totol This Permit is issued on the express condition thct all work shall be done in occordonce with all uppllcable State of Minnesota Stotutes ond Cify of Eogan O?dinantes. Buildiny Official INSPECTION RECORD ! CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 314-3I O Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS:? APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .• . .• I i F- ? ? -J PBrmft Holder Dete Telephone # SEWER/ WATER PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOAFD FIREPLACE • , ?,I'_?? ? FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION MEfER FLUSH MAINS coNOUCTivirr TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL • CASH RECEIPT ? CITY OF EAGAN 3795 PILOT KNOB• ROAD EAGAN, MINNESOTA 55122 DATE 19 wece?vao IrROM AMOUNT 1 $ 1 i a ooLLwres +.e ? CASIi ? CHECK 4Vhite-Payers Copy Yellow-Postinp CoPy Pink-File Copy Thank You , BY ? No. 'n7$ cirr oF E?cAN 3795 PiloF Knob Road Eegan, Minnesote 59142 Phone: 454-9100 T-?a,V- PERMIT Dote: zo-ls--6a Site /lddress; ' 30 FI.iY'ta Y t . Lot - Block Sub/Sec. Nome I)='rin 'hor?*?sor. IfomF -3 ? Address 1712 i:opldne Crsrd. ? City 'iiI121@t0:1:{A , "n.. Phone: 51 , . . ? Name PhY IVelter ? ? Address /. i , 3 7 - a City Phone: This Permit is issued on the express condition thut all work shall be Minnesota Stotutes ond City of Eugan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residential Multi Res., Comm./Ind. I New/Alter./Repair Cost of Instollotion Permit Fee Surcharge ' Total done in occordance with all appliwble Stote of Buildirp Official - CITY OF EAGAN . ? ' 3795 Pilot Knob Roed No. j - , Ea4an, Mlnnesoto 55122 Phoee: 454-8100 - PERMIT Oote: q-16-30 Site Address: lrb 80 FIi2'ta Pt. n I?3 ?3F*ec l; f ? ' Lot - Blxk ` Sub/Sec. ' INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single : I Residential - ? Multi Res., Comm./Ind. Nome 'l'rrl': ThOT?Sc?'.1 r G, .` N /Alt /R l ^., ew er. epa r 3 Address 1,n` F{Orkd.In Co t f In ll ti t s o s o a on O City 7 f.j.:lrie t0:1k8 ? ?': Phone: ?-`r ?3' P mit F . er ee Name r'-'en7 r-?? E?.?''? Surchorge . Address ? City ? ..;?'. ... C . Phone: . ' - Total This Permit is issued on the express condition thot oll work shall be done in accordonce with oll cppliwble State of Minnesota Stctutes ond City of Eagon Ordinontes. Building Official cirY oF IE?GAN 3793 Pilot Knob Rocd Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Site Address Lot Block Sec/Sub. Paroel oe IName '-''Z'in ThoLnsan Homes ? Address , 711 ' =o7)kiI1B Crsrd. nnPtnn?cra _ 11n 5l.1._?l?Z"; 0? Name _ ??0 Address ?- ro... Nome _ Address I hereby acknowledge that I have read this opplication ond stote thot the informetion is correct ond ogree to comply with all applicable Stote of Minnesotn Statutes nnd City of Eogan Ordinonces. Receipi # N° 6046 Erect ? Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Approvals Fees Water & 5ew. Police Fire Eng. Planner Council Bldg. Off. - APC Permit SurcFar9e Plan check 5AC Water Conn. Water Meter Rood Unit Total Signoture of Permittee ? A Building Permit is issued to: on the express condition that oll work shall be done in accordance with all applicable State of Minnesoto Statutes and City of Eagan Ordinonces. Building Official Pwn+k # poh bmeA PenwktN Plumbing Mechcnicol ? :Zp l INSPECTIONS I DATE INSP. Rouph-in Finol Footings r= Dote tnsp. Date Insp. Foundation Plumbing Frnme/ i ns. Mechanica I Final ? Remarks: CITY aF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 56122 DATE: Z?ing: No. of Units: pwner: - Address: Site Address: Plumber: .. , ,, . ,. . 1 agree co eoe+ply with ti+e City of Eogon Ordinanees. By Date of Insp.: Connection Charge: Account Deposit: Permit Fee: Surcharge: _ Misc. Chorges: _ Totcl: _ Date Poid: CITY OF EABAN WATER SERVICE PERMIT 3795 Pilot Keob Road PERMIT NO.: Ee wn, MN 55122 DATE; Zuning: No. of Units: n,....e.. Address: Site Address: Plumber: Meter No.: Size: Reoder No.: I agree to eomPly with the City of Eagon Ordinances. By Date of Insp.: 4F EAGAN Pilof Knab Road , MN 55122 Connection Cherge: Account Deposit: s Permit Fee: SurchGrge: Misc. Chnrges: Total: Date Paid: WATER SERVICE PERMIT PERMIT NO.: DATE: _ No, of Units: ' Meter No.: Connection Charge: j1Ze; Account Deposit: Permit Fee: ? Reoder No.: I ogree M eomply wiH+ N+e City of Eagan Surcharge: Ordinenoea. Misc. Charges: Totol: -Lii gy Date Paid Date af Insp cirir oF Eac+?N SEWER SERVICE PERMIT $795Pilot Knob Road PERMIT NO.: Eagan. MN. 55122 DATE: .; aonirig: No. of Units: Owner. Address: Site Address: Piumber: ' 1 agree to eompiy with the City of Eagon Connection Charge: Ordinancea. Account Deposlt• By Dote of Insp.: _ Permit Fee: Surchorge: Misc. Charges: ?i Total: Date Poid: i1 ? ' CITY 0? EAGAN SEWER SERViCE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: - . No. of Units: Owner, . • '. Address: Site Address: ? Plumber: ? 1 agree to eomplr with fhe City of Eagan Connection Charge: Ord"'a?ces• Account Deposit: Permit Fee: - .: gy Surtharge: Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: Y of eaaaN WATER SERVICE PERMIT ? 5 Pilot Knob Road PERMIT NO.: an, MN 55122 DATE: ing: No. of Units: er: eess: l Address: ber: er No.: Connection Charge: ize- Account Deposit: " Reoder No.: Permit Fee: F agree Fo wropfy with f6e City of Eagan $urchargg: Ordinanoes. Misc. Charges: Totol: i BY Date Paid: -i Dote of Insp.: Insp.: ? SEWER SERVICE PERMIT CITY OF EAGAN 3795 Pilot Knob Road PERMIT NO.: Eugon, MN 55122 DATE: Zoning: No. of Units: Owner: ? Address: . . 5ite Address: Plumber: 1 agrea to complr with Nhe Ciryr ef Eagen Connection Charge Ordinances. Account Deposit: _ Permit Fee: Surcharge: gy Misc.'Chorges: _ Date of Insp.: Totol: Insp.: Date Poid: ? CITY OF EAGAN WATER SERVICE PERMIT 3705 Pilot Knob Rood PERMIT NO.: fcgan, MN 55122 DATE: Zoning: Plo, of Units: Owner . Address: Site Address: ? ' Plumber: Meter No : Connection Charge : . Size: Account Deposit: Reader No.: Permit Fee: L agree to eomply with ths City oF Eagan Surcharge: Oedinanees. Misc. Chorges: Total: By Date Paid: Dote of I nsp.: I nsp.: CITY OF EAGAN 3795 Vilot Kno6 Rood Eagan, MN 55122 P{h6N8! 654-9700 BUILDING PERMIT APPLICATION N°_ 6047 Receipt .jk Of61 -3 6_!Sr- Te be uted For 1 Of 4 p18X Est. Volue 38,000 Dote $-$ , 19$4- Site Address 4679 Lista Pt. Erect ? Occuponcy R3 Lot 2 Block 2 5ec/sub. Ridgecliffe 3 Alter ? Zoning pD Porcel # uTLrecaTded Repair ? Fire Zone Enlarge ? Type of Const. V z Name Orrin ThomDSOn Hames Move ? # Scories 3 Address 1712 Hopkins CT'STCl. Demolish ? Front 24 ft. ? Ci Grode ? Depth 24 fr. one ? Name ADDrovals Fees 0 saEie- Q Assessnmt a-5- 0 Permit 110.50 Address 0 -- , F Woter & Sew. Surcharge 19.00 Ci Phone Police Plan check 55.25 Fw Name Fire SAC 525_00 ?? Address Eng. WeterConn.305•OQ aW Ci Phone Pianner WaterMeter hn.no Council Rood Unit 7 f35 _ 00 I hereby acknowledge thaf I hove read this applicotion ond state that Bldg Off the information Is correct and agree to comply with all applicuble . . APC Total ??5Q _75 State ot Minnesota Statutes ond City of Eagan Ordirwnces. Signature of Permittee I A Building Permit is issued to: OTTln ThOIDpSOri HOIR2S on the express condition that oll work shall be done in ocmrdonco) with all apAcablg State of Minnesofa Statutes and City of Eagan Ordinonces. Building Official . ? 0 c' ? CI'I'Y OF EJ?C'?N Include 2 sets of plans, ? 6•f 1 site plan w/elevations & i BUII.tYINC PERMI T APPL7CATION oetis. 1 set of energy calculat - Tb Be Used For _ KE.Sjp_ NcP Valuation --?, 0?% ?- Date .'uLy 31}1490 Site Address: q(P79 Lis-rfi ?=_ OFFICE USE ONLY Lot ;L slocc 2 Sec./Sub. R14??1FE6 srect OC OccuPanc7' ?33 J Parcel TH1 RD Alter Zoning ? Repair Fire Zone Enlarge 'Iype of Const. Owne1_ _ Nbve # Stories AddresS: a Division of U, S. Home C r Derrolish Front a ft. C1ty/ZijJ COaO: • [ rctNS CROSSROAD MINNETONKA A'INN F534X Grade Depth ,,Z ft. dX>? pt,one 5't y- 133 3 rPPnovAr s ?s Contractor: -?1 RR1 Pl n nn PS9 N -I1p '- ET- Assessr?nts ? Permit D ? - Addr255: , r a Division of U. S. Home Corpora[ion Water/Sower ? Surcharge ? ? ? , „ Polioe Plan Check ? - - C1iy/Zip COdO: NINNETONKA, MINN 55343 F1TE - SAC 6"2 c5- Phone #: Eng. Watex Conn. ? Plannes Water Meter Jg p? Arrh./Eng.: Council Road Unit / -r6" Bldg. Off. Address: APC City/Zip Code: Phone # : qOTAL CITY OF EAGAN 3795 Pilot Knob Read Eagan, MN 55122 PHONfl'454-8100 BUILDING PERMIT APPLICATION N° 6048 ? Receipt # cgV?6- S To ba uaed for 1 of 4 P12X Est. Value 38,000 Dote 8-8 , 1 9$Q_ Site Address 4683 Lista Pt. _ Erect ia Occuponcy R? Lot 3 Block z sec/sub. Ridgecliffe 3 Alter ? Zoning PT) Parcel # unrecorded Repair ? Fire Zone 3 l E T f C `J n arge ? ype o onst. rc Name Orrin Thomoson HomPC Move ? # Stories ; Address • 1712 Hopkins Crsrd. De„wlish ? Fronr e4 ft. o Ci Minrletonka, Mj;none 544-7333 Grade ? Depth 24 fr. ? Name APProrab Feas 0 /\ssessr?'at 8-`?Q Permit 110 _ 50 ?? Address _ - C1 1 ~ Ci Phone Woter 8 Sew. 9-Q Surcharge Police Plan check 55 75= 0 Name Fire SAC 525.00 ? Address Eng. Water Conn. 305.00 iw Ci Phone Planner Woter Meter 60.00 Council Road Unit 185.00 I hereby acknowledge that I have read this applicarion and stote thot Bldg. Off. the information is correct and agree to wmply with oll opplico6le APC l 259.'75 Totol State of Minnesota Statutes ond City of Eogon Ordinonces. i Signoture of Permittee I A Buildtny Permir is issued to: Orrin Thompson HOID2S on the expreu condition that all work shall be done in acmrjpue with all,.pooLcabie Stare of M7nnewto Statutes and City of Eagan Ordinances. Building Offidcl Ai Include 2 sete of plans, C; ^Y OF FF+c',A ;, ???C UV f - 1 site plan w/elevations 6 ? BUILDIN('r PM-tIT APPL7CATION 1 set of energy calculations. Tb Se Used For Valuation -1 3-1, t p p, o p Date 3'uLy 3110 1980 - site Pddress: yb?3 L.csT'?- PT or-FzcE ose arri.Y Int 3 Block Sec./Sub. PqpGFgjL ? Erect TH1RD Parcel Alter Repair Owner: Enlarge - --^Q,,RI{dTi-ff3{V1pSfrRf-HII1VfE? Nbve Addr255: a Division o! U. S. Home C r ration DenioliSh 1/12 HCJPKINS CROSSROAD Gtdde Cliy/ZlP COCj2: -- MINNETONKA. A'NN 55342 - Phone #: 54'i- 1333 Contractor: nppini runnnornni ??NIES r-- ?Y1dr255: a Division of U, S. Home Corporation 1712 .3 i vo ?n U . City/Zip Code: MINNETONY.A, MINN. 55343 Phone #: Arch./Ehg.: I+r3dress: City/Zip Co3e: Phone #- OccuPancY Zonirig Fire Zone ? 'Ime of Const. # Stories Front R y f t. pepth ft. APPROVAiB F'FES Assessrents Pesmit Water/Sewer Surcharge / 9,0? Polioe Plan Check Fire SAC S?cs-.crn gnq. Water Conn. 3 p r Plarner Water Meter ? Council Road Llnit / 8219- Bldg. Off. APC - TO'I'AL CITY OF EAGAN 3794 Pi1M Knob Reod Eagen, MN 55121 PHONE: 4548100 BUILDiNG PERMIT APPLICATION Site Address Lot 1 Parcel # - w Nume 0rrin Thn rson Homas 3 Address 1712 Hopkins Crsrd. ? ;., Minnetonka, Mn,,,,,,,e 544-7333 p Name _ ?r ? Address Name _ Address 1 hereby ocknowledge that I have reod this applicotion and stote that the information is correct and a9ree to comply with all applicable State of MinnesoM Statutes and City of Eogan Ordinances. Signoture of Permittee - A Building Permit fs iaued to: all xrork sholl be done in acco N° 6046 Receipt # ?9 41.45?- Erect $j Occupancy R3 Alter ? Zoning PD Repair ? Fire Zone 3 Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front 24 ft. Grade ? Depth 24 ft. Aoororala Peea siock z sec/Sub. Ridgecliffe 3 unrecorded Water & Sew. Police - Fire Eng. Plonner - Council _ Bldg. Off. _ APC - PeRniT 11U.7V Surcharge 19.00 Plan check 55 _ 25 SAC 525.00 Water Conn. 305 • 00 Woter Meter 60.00 Road Unit 185.00 Totat 1 5T7 9.75 Ho'IID2S on the expres condition thot of Minnewta Statutes and City of Eagan Ordinances. Building Official CIT'Y OF fJaCAh1 Include 2 sets of plans, ' ?- 1 site plan w/e]evations 6 BUIIDINC; PERMIT APPL7CATION 1 set of energy calculations. 'Ib Be Used For ?'jp Valuation ?.A..czo Date ?ZuLy 3t, 1980 site naaress: 'ibBo N?Rrt Pr• OFFICE USE ONLY Lot I Block 1 Sec./Sub. Rl2_GFg.LLLES Erect _ D?_ occuPancY R3 TH1 RO Alter Zoning ,? _ Par?el p' Repair Fire Zone 3 Owner_ Enlarge _ Type of Const. d Nbve # Stories P[3die55: a Division of U. S. Home C r DenDliSh Front ft. Prar:S CFOSSROAD Grad2 Depth ft. C1ty/ZlP COaO: • MINNE70NNA A•iVN st3y? ° Phone #: 5`f4-1333 APPROVAL-S tEES Contractor: ??IN Tunnnpcnni u iES A13dTe55: a Division of U. S Home Corporation 1712 UKLJ?,?,IIOAL) City/Zip Code: MINNETONKA, MINN 55343 Phone #: Arch. /Eng _ : Address: City/Zip Code: Phone #: s? Assessments - ?? Petmit " //() water/Sewer Surcharge /G = Police Plan Check Fire SAC gg, Water Conn. s 1= Planner Water Meter (q O e-? - Council Road Unit ? g6- ?- Bldg. Off. P,PC - ROPAL CITY OF EAGAN 3795 Pilot Knob Raad" ' Eagaiy MN 35124 PHONE: 4548100 BUILDING PERMIT APPLICATION N"_ 6049 Receipt # To 6a uaed for 1 of Q plex Est. Value 38,000 pute 8-8 , 1980- Site Address 4684 Hirt.a P.t Erect TX Occuponcy R3 lot 4- Block 2_ Sec/Sub. 31-da. Q=_fe 3 Altcr ? Zoning PT'l parcel #unreeorded Repair ? Fire Zone 3 _ l E T f C t Z1 n arge ? ype o ons . w Name OTPlri 7`IlOI11D8011 xOD1P.S Move ? # Stories Z 0 Address 1712 Hopkins Crsrd. Demoiish ? Front •24 fr. ?;ti, Minnetonka, Mn,,,,,_„ 544-7333 Grade fl Depth 21it. p Name _ Address ? r:... Nome _ Addreu 1 hereby acknowledge that I hove read this opplication ond stute that fhe iniormotion i5 carrect and agree to Compiy with all applicable State of Minnesota Stotutes and City of Eagun Ordirwnces. Woter 8 Sew. Pollce - Fire Eng. Planner - Council - Bldg. Off. _ APC Permit 11V.7V Surcharge 19.00 Plan check 55.25 snc 525.00 Water Conn. ?3 5. 00 Water Meter 60.00 Road Unit 185.00 roral 1,259.75 Signature of Permittee I A Building Permit is issued to: (lrri n ThnmD4on HOID05 on the express condition that aIl wark shall be done in accordan%with oll applisqble Stote of Minnewta Statutes ond Ciry of Eagon Ordinances. Butlding Official C CI'IY 0F •F-AGAN Include 2 sets of plans, i site plan w/elevat3ons b t? BUIIDINC; PERMIT APPL7CATICIN 1 set of energy calculations. 'Ib Be Used For RE?D-r-NrP Valuationa31,1o0•op Date S',,,Ly III1480 ? Site Pddress: ?(?8y 1?f(t,TA QT' OFFICE USE ONLY Lot ? Blocc Sec./Sub. $14GEALIFFS Erect t? OccuPancl' 7 3 THi Ro Alter Zoning f0 _ Parcel #: Repair Fire Zone q O.mer: Enlarge _ Type of Const. ? _ Nnve # Sbories AddI25S: a Division o! U. S. Home Cprnoarn. DeJOOllSt1 Front ? ft. ' Kit:SCROSSROAD Grade Deptll 2`/ ft. C1ty/ZlP COCjE: • MINNETONKA M1`JN cryI,d? a rX7?-9°""' Phone 5'f 4- 1 33 3 APPRDVAJ-S F?s Contractor: ? •• • nLV AC3di2SS: a Division of U. S. Home Corporation 1 hVP Iv R RU City/Zip Code: MINNETONKA, A11NN. 55343 Phone #: Arch. /Eng. : Fddress: City/Zip Code: Phone #: Assessrents -o ? 5 dPesmit J/ ? Water/Sewer Surcharge Polioe Plan Check - - Fire SAC ? 6' gnq, Water Conn. 3 o a - Planner Water Meter Co e> ? - Council Road Unit / g- cS? Bldg. Off. APC _ 'SOTAL mmnesota state uoara ot eiectnmty 4kk Griggs Midway Bidg. - Room N791 - 1821 University Ave., St. Paul, Minn. 55704 - Phone 297-2711 REQUEST FOR ELECTRICAL INSPECTION a ? CHFCK BELOW WORK COVERED BY THIS REQUEST EB-00001-02 99382? Type of Building Ne Add. Rep. Check Appliances W'ved For Chack Equipment Wired For tme ? ? Range ? Temporazy Wiring ? plex ? ? WatexHeater ? LighlingFixtures ? t. Bldg. ? ? ? Dryer Electric Heating ? mmereial Bldg. ? ? ? Fumace Silo Unloader ? ndustrial Bldg. ? ? ? Air Conditioner Bulk Milk Tank ? Fazm ? ? ? List p ssI List 1 p y is Other ? ? ? Aeie f Here 'COMPUTE INSPECTION FEE BELOW Smice Entrance Size: # Fee Fcedecs&Sub[eeders: aF Fce Cucuits: # Fce 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 ro 200 Amps. 31 to 100 Am exes 31 to 100 Am eres L1J Above 200_Amps. Above 100 Amps. Above 100 Amps. Twnsfo RemoteConvolCirc. Paztialorotheifee G . Signs Special Ins tion Minimum fee $5.00_ Remarks TOTALFEE I,the Electricallnspector,hereby certify (Final) This request void 18 months from has been ma21e? We fiJ' ...? tL?i ? D n3,'; This request void 3 18 months from ~ Date of this Request 1? 1 3 l? Fire No. ? 99382 I, a Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- oal sM- wininpg installed at: Street Address or Route No. - 710?3 Li 5T? ????1 City 6(a4 igion Township Range County Kd? ? Which is occupied by V_?? ?11. hP.S?I? Daiv Is a roughin inspection required on this job? No ? YK Ready Now ? Will Cajt5, Power Supplier Address f /dl`??iN?j'Qp( Electrical Contractor ?40M C- Contractor's License N6'ILPE (COmpany Name) Mailing Address ?? k C (2p, (Elec t t T .1 ractor or Owner Making Tnls Irtstallatlon) Authorized Signature Phone No. PJ'55-,5 (Elec rlcal antroctor or Own Making This Installatlon) Eu ?? p U ??1 QOp? This inspection request will not 6e accepted by ffie State Board unless proper inapection fee is enclosed. - minnesoie aiace eoara or necvicIry Griggs Midway Bldg. - Room N791 ( EB-00001-02 ? 1821 University Ave.. St. Paul, Minn. 55104 - PMna 297-2711 11 ? d Ja RCAI IFCT Cf1Q CI C/`TQI!`A1 IIUCDC!`TIfIIU (f 0 &ECK BELOW WORK COVERED BY THIS REQUEST v• ? 9938C Type of Building New Add. Rep. Check Appliances Wrted For Check Fquipment Wued For Home ? ? Range Temporary Wiring ? Duplex ? ? Water Heater Lighting Fixtures ? L Bldg. ? ? ? Dryei Q*- Electric Heating ? mercial Bldg. ? ? ? Fumace I Silo Unloader ? ndustrial Bldg. ? ? ? A'v Conditionei N Bulk Milk Tank ? Fum ? ? ? List ) L ist Other ? ? ? p } Heiersf p HeheL3? COMPUTE INSPECTION EEE BELOW Service Entrance Size: # Fce Fceders&Subfeeders: # Fce Cvcuits: a Fce 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 0 101 to 200 Amps. 1 131 [0 100 Amperes 31 to 100 Am eres ha Above 200_Amps. Above 100 Amps. Above IOQ_Amps. Transformeis RemoteControlCUC. Pactialorotherfee S? ns $pecial Ins ec[ion Minunum fee SS-UO Remaiks O ? r TOTAL F E I, the ElectiMal Iq?jiexT4beUW,certify that the above (Final) This request void 18 months from been it? ((i •So-o-0 This request void ? months from Date of this Request 13 6 3 I? Fire No. S 99380 1, Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal win g installed at: Street Address or Route No. W7 L157-tv r dI N'r City_R6 Oon Township Range Counry Do-? Which is occupied by uWLVN Uanrf?IJ M('t$F (Name of OccuP nt) /? ? Is a roughin inspection required on this job? No ? Ye?Ready Now ? Will CayJ2C Power Supplier__prP, Address MF4-11N"4 Electrical Contcactor _P;ie? El? Contractor's License N#3R ?r (COmpany Name) Mailing Address 1?? l c- CL (cl ri Contractor or Owner Making Thls Installatlon) Authorized Signature Phone No. (Electrical ConlractoT or Ownet Making Thls Installatlan) , ;???1r ? p? ;rYl f? {p i C? J?? ? ?D 05 This impection request will aot be accepted by the ?j 1!pl r., ! L Is \lV State Board unless proper inspeetion fee is endosed. minnesoia afaie noara ot eiectnCity Griggs Midway Bldg. - Room N191 EB-OOW 1-02 ?7"niversity Ave., St. Paul, Minn. 55100 - plpne 297-2111 ??/ REQUEST FOR ELECTRICAL INSPECTION ? J?' l Y CHECK BELbW WORK COVERED BY THIS REOUEST S 9 9 3 6 5 Type of 8udding New Add. Rep. Check Appliances W'ved For Check Fquipmenl Wired For Home ? ? Range Temporary Wiring ? Duplex ? ? Water Heater Lighting Fix[ures (15 t. Bldg. ? ?" ? Dryer ? Electric Heating ? mercial Bldg. ? ? ? Fumace Silo ilNoader ? ustrial Bldg. ? ? ? A¢ Conditioner ? Bulk Milk'Iank ? Fa[m ? ? ? pList List Other ? 0 ? Heie`Sf p Heiels? COMPUTE INSPECTION FEE BELOW Semice EnUance Size: ;a Fce FeedersBSu6(eeders: n Fee C¢cuita: # Fce 0 to 300 Am s. 0 to 30 Am res 0[0 30 Am eres ip QO 101 to 200 31 to 100 Amperes 31 to 100 Am res _ ' M Above 20LL4Ujh s. ' o ; er 6ove 100 Amps. Above 100 Am s. Transforme - ttr mo[eContro]Circ. Partial or other fee Si ns ecial Inspection Minimum NwMg! Remarks TOTAL EE3?,Jb w I, the Electrical Inspector, hereby certify tHat the atiAv,e?ecti as been ma (Rough-in) (/ ? (•C?J`' Date (Final) . (?i?ti?ii-•,.i?)Date t-,, /cC bf This request void 18 months from This request void ? ?''? ?? ?~??? ` `•-eJ.j 18 months from 31.50 ? Date of this Request Fire No. S 9936o I, 64 Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cai winng installed at: Street Address or Route No. ?Vjw NltiT CityBW Oon Townsltip Range County h&K'dTA Which is occupied by lJ WZIN J 17t1f_V_" rILM (Name oi Occupant) Is a roughin inspection required on this job? No ? YeORr- Ready Now ? Will CaW Power Supplier kk Address Electrical Contractor Contractor's License NAM, (COmDany Name) Mailing Address cI l tk W. ctri I ContL ctor or Owner Making Thi3 Inztallatlon) Authorized Signature Phone No. ??•SSvS? (Elactri al Contractoro+r Ownar Making This Installatlon) (? ? n l?['y ")?(?? J1 ?? ?? / ???V This inspection request will not be accepted 6y the e?f ? L=? u lS L. `. Inl Stete Baard unless praper inspection fee is enclosed. mmnesoca aMce ooara ot neccnciiy Griggs Midway Bldg. - Raom N791 ? EB-00001-02 .4821 University Ave., St. Paul, Minn. 55104 - Phone 297-2117 q CH?CK E?LOW WORKOCO EREDTBYI THIS RQUEST'ON S 9 9 3 6 3 Type of Building New Add. Rep, Check Appliances W'ved For Check Equipment Wired Eo[ Home ?? ? Range Temporary Wiring ? uplex ? ? Water Heater Lighting Fixtures t. Bldg. ?? ? Dryex Electric Heating ? mmercial Bldg. ?? ? Fumace Silo UNoader ? Industrial Bldg. ?? ? Aix Conditionec Bulk Milk ?ank ? Faim ? EO) ? List List Othei ? ? ? Heiers? Hehers# COMPUTE INSPECTION FEE BF.LOW Service Entrance Size: # Fce Feeden&Subfceden: # Fee C'vwits: # Fce 0 to 100 Am s. " J 0 to 30 Am exes 0 to 30 Am eres 0cl 101 to 200 Am 100 Amperes 31 to 100 Am eres ' OJ Above 200 .Abo ' 300 Amps Above 10Q_Am s. Transformers V. teControlCirc. Paztialorotherfee Signs pecial lns ecnon Mimmum fee Remazks TOTALF 7,Jb I, the Electrical Inspector, hereby certify theL,l,?1?' ?ns{rection has been ?a3? ? (Rough-in) ? Date ?iti ?/ a? (Final) te /6-V ?-:?-- This request void 18 months from This request void '01 oo 18 months frpm J ? ? Date o this Request Fire No. ?s I, aslicensed Electrical Contractor OOwner, do hereby request inspection oCthe above electri- cal wlnng installed at: et Address or Route No. ?u? Il ?R? Po?A'r Cit,y &?' ?ion Township Range County (? IJpJc47)4 Which is occupied by Is a rouglwn inspection required on this job? No ? a VY04 Ready Now O Will Caff5l Power Supplier up Address Electrical Contractor 411- L_61NV-C? Contractor's License Nd:"L (COmpany Name) Mailing Address ?`{ ? ? ?• R0. (EI trtc Contractor or Owner Maklnq This Installatlon) Phone No. ?i?_ Authorized Signature flo, (Electrlcal on ractor or Owner Makin9 Thlz Installatlon) SV??;1/? 1?? ?f E a t f? 2D ?/'O?? This inspection request will not be accepted 6y the ? l?? State Baard unless proper inspection fee is enclased. Cities DiQital Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. APPL_ 1a1f?IC?. p??Fr,,RMAPICE TEST Aflacb to 9as line Atllacenr ro reguiafor ?GS?? i\d..?? Heating Gontractor .__------- Name of Tester Date?L-.-?; qp n n)?- "!{Jl Job Address ` Heatmg Contractor _ ?-- Name of Tester pate .?- .f ? percent `J2 Pement CO percent C02 _ 5tacx Temp Gombustion ai? is adequately supplied per UMG Sec. 006 ?---- ? Vnput C.R. WINDEN & A550CIATES, INC. IAND SURVEYORS Te1.645•3646 1381 EU5T15 ST., ST. PAUI, MINN. 55108 FOR: U. S. HOME CORPORATION _ A, K \ v? CERTIFICATE OF SURVEY . Note: Buildings shown are proposed As of this date Ridgecliffe Third Addition has not been recorded. Scale: 1" = 20' o Denotes Iron Lots 1 through 4 inclusive, Block 2, Ridgecliffe Third Addition, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Dated this 3/Sf day ofLL.Z?. A.D. 19(1?p C. R. WINDEN & ASSOCIATES, INC. sy U, ?J2?.nvn? Surveyor, Minnesota Registration No./09yrJ 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION City Of Eagan ( f?'7cr? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 CJ New Cons6ud'an Reauirements RemodeVReoair Reauiremenis ? 3 registered sile surveys showing sq. ft of IoL sq. ft of house; and all roofed areas 2 copies W plan Inase (20%maximum lotcove2ge allowetl) t setof Energy Celculations for heated additions 2 copies of plan showing 6eam & wimiow sizes; poured found desgn, etc. i site survey for addlgons & decks 7 set ot Energy Calalations Adddion - indicafe ii on-s?Ye sepfic system „p? 3 copm of Tree Preservation Plan if lot platted ailer 7l1193 Rim Joist Detail Opions selection sheet (61dgs wBh 3 or less un'Rs Date D Construction Cost tc?Zc)c) ? SiteAddress ?--??o,-` V c:?1rA Unit/Ste # Description of Work 'I Y1 G-D V 3(- ?2-- N ..?n5? ? \1 Y)2. Multi-Family Bldg _ Y X N Fireplace(s) _ 0 Y. 1 _ 2 Property Owner CCn c ? li ) ere YlMc?I'1 _ Telephone # (40) ld0 lL/" ? I (1 ? Coutractor i004X' \V \-? ? ?1 nI L° G ? a ? c t Add \ ? LA ( '? City P)bC Y' n,3V% 1l"e- ress State ? ? <- ???,,y?? ' ? ?-14 a _G? . 7 ?CC? 1 elephone #(q?? Zip f' 33 ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy COde C2tegory . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission iype) Su6mitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar pian? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Telephone # ( Telephone # ( -Q. Sewer/WaterContractor Telephone #( ) 11 ]? ? c ? `I " T A llk O('T 1 4 7fif14 I hereby apply for a Residential Building Permit and acknowledge that the informatio is complete and accur?te; that the work will be in conformance with the ordinances and codes of the City of E ''' Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. '?w-? )tUD.1-?U- ApplicanYs Printed Name Applicant's Signa 'P, OFFICE USE ONLY Sub Types 0 01 Foundation ? 02 SF Dwelling ? 03 Ot of _ plex ? 04 02-plex ? 05 03-plex ? OB 04-plex Work Types ? 31 New ? 32 Addition ? 33 AReration ? 34 Replacement Valuation Census Code SAC Units # of Units # of Bldgs Type of Const _ Footings (new bldg) _ Footings (deck) _ Footings (addirion) Foundarion Drain Tile RooF Ice & Water Final _ Framing - _ Fueplace _ R.I. _ Air Test _ Final _ Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Pibg_Y or _ N ? 25 Miscelfaneous ? 30 AccessoryBldg O 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Muiti Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors •Demolition (Entire Bidg) - Give PCA handout to applicant ' Occupancy MCES System Zoning City W ater Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS _ FinaUC.O. _ FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaming Wall Building Inspector ?':k:'Y:::.I:ik:fY:$Yt;ki?;%?;;'..%I•6t:?:X;}:;9rY,iY,($::' ;'rn:::'+;`i";$:> ?.J:n:?..., !]1'T'Y Cir ::r=tGAii I.':?<;;'TI"R:: <i IS_P?'?Irt'i9l_ N:.i'; .%=' nqTF::N I.'r`/'3i/93 'Y7:F1•:. 09;43:(70 ID : Nn,%.r:; iqi.I'f.i:lt r;RF.`_;'['.'.1i:' 1N'l' :i210 9001 4t.20 !-I IR i ;"i i' I 50.00 205 900I. W:;ll i I.i N1':3i n' U, stj ? ,_ii;a.i ..,.-.7e'i prN ArnO"lYI; r 50.10 C'iA(I i.4`:)f; WR :C:)r NAr.?OV }:Y',%t:t.`;UXY;MM ...rR':L. 31010!:,,. . M..,. , . - PERMIT CITY OF EAGAN PERMIT TYPE: 3830 Pifot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number. in'; q?" 10 (651) 681-4675 ? Oate Issued: 12 l31 I 9II SITE ADDRESS: 46£30 HJR7ft Pl" I.OT: .1 61_f1CKo ?. R;I'UG6:CLTFF[ 31RD I' . T. N.: 10-63982-01 0--02 DESCRIPTION: E?`ild,tne.rmi.t Tyoe Ui?,d3rJq bd?a?4T??nE ?IehaUs Cf)?? ?', FIRLWLRCE HL-1FitAl':I,ON 434 A(?l'. RESIOFIVTSflI } ' ? "_'?{•.?? ?'-.'?7.. L? .' REMARKS: cH zmN F vlFL ur M u'il' 8 1- rNsPECrrn RE FnRE CuNr:Fp1- itvr. FEE SUMMARY: Sase Fc.e $50. 00 Surcharoe ToCaI. f-ee 259.50 CONTRACTOR: - OWNER: FZkES't0E COItiVER ING 1,6331042 2@@9t?917. HARl-MWN 'r7RTTI 27?i ' PJ FATR:/TEW AVF ?4t?8I? t?IJRTfi W7 Rki .VI( LE -MN Fa51L3 f-'F?GFiiV MN 55122 (?i?`i") 633-S.L42 (f51)9&?w-?73oFi T herebY acknowladqe ChaC I Naue r2atl thir apsalacation and statp that Cho infbrmariatt is earrect and actrea ttl comcrly with a11 app13,,cable 5tate ofi Mn. Statutes a»d City Qt Ea9art orct€nances. ? ' - APPLICANT/PERMITEE SIGNATURE ` I SUED B RE 3 y 3 I C?. CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 1998 FIREPLACE PERMIT APPLICATION 681-4675 DATE: DESCAIPTION OF WORK: Construct new fireplace ? Install Pas insert onlv Other JOB ADDRESS: /"r fzr - LOT: BLOCK: o? SUBDIVISION/P.1.D. #: APPLICANT (circle one only): OWNER rCTRACTOR 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. PROPERTY OWNER FIREPLACE INSTALLER GAS L1NE INSTALLER Name: &'yytjh ?Ql ft ; P6oneti: Last I First shve naaress: yr? 0 v ai,r rc, I-F)rvr r city state: ? zip: Company: svees $ S?-S?) I-.)--31 -g? PERN[IT FEE: $50.50 _ Alterations to existing _ Install eas line oolx Phone #: ????!??? PO?// v ciry aWHS u r` sffite: ? zip: Ss`-33 Street Address: A.. . _ OFFICE USE ONLY BUILDING PERM[TTYPE ? 14 Fireplace WORK TYPE O 31 New O 33 Alterations ? 32 Addition E3 34 Repair GENERALINFORMATION Census Code. 434 SAC Code 01 REMARICS Chimney/flue must be inspected before concealing. ?:?;;'crr:;o'c:?°,ci;;v,:'.y*:d;:4;l:?k?c.;.i.? ::' y",??;,",?:?,};Z:,dl,o4d,??,• k?'.?C: Ci..r.r, .7F `_r-aCf+N, c^s:.i,E;: t-<.aa I."?!U.?!9,0'. I`.:,ii:;ll'I.LI(i?Jf; i1:i:'J.I.LI `;7i:!i. IWJIl ALI:i; P-pN'L'' 0 . 170 A$<,, ;?};:;:iC-;'xY.i,"• :>6aJ4. , .?;Y;:+:i"ti[7;'wyr?y-?.y., , '. ? CITY OF EAGAN 3830 Pilot Knob Road Eagan; Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: guxLoiNG Permit Number: 032152 Date Issued: 0 6 j 0 2/ 9 8 SITE ADDRESS: P.I.N.: 10-63982-020-02 4679 LISTA PT Lp7e 2 BLOCK: 2 RIDGECLIFFE 3RD DESCRIPTION: Permit 7ype Work Type p'-iuE n,.w...yaj qM' ?u vi' '? ?"- .? ??. ?T^'•?S+E??` s?.E U REMARKS: PLAN REVTEWED BY .]OE VOLES FERMIT DECK NEW 434 ALT. RESIDENTTAL M-[9?m" vw jbt,?E ?°S ?t 3e ? t t 16E ,;X"? 'R :.4? -a ? ? t?? ?? ? ?s 15 :v; '? c Ga FEE SUMMARY: 6ase Fee $50.00 8urchar9e _ $.50 Total Fee $50.50 r OWNER: - App1rcant BERENTSON CAROL 4679 LISTA PT EAGflN MN (612)496-4913 55122 ? ? her?:ehy ackno?.sled?? h,aye "re,„tt`iis-.aA"Pp lia'atzon sEt?t;e°?hat:th? ' Is aokrsct -e,hd aVre_e ta ?aampl.y `Stdtu_tes and City:"r?'F Esg'ahL.Urc!'irr?rt?e,s•. ` . .; f APP ANTiPERMITEE SIGNATURE I55 V SIGNA RE ? 998 BU'ILnING vi:RMiT APPLICATION (RESIDENTIAL) G? CITY OF EAGAN ` 3830 PILOT KNOB RD - 65122 681-4675 New Construdion Reauirements RemodeVReoair Reauirements ? 3 regiatered a8e surveys ? 2 copies of plans (inGlide beam 8 window saes; poured fid. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan 'rf lot piatted aRer 7l1193 reqwred: _ Yes _ No oA-re: f-a9 -I Y DESCRIPTION OF WORK: ?"Q Ae..,- . STREETADDRESS: j°4 LOT: 2 BLOCK: 2 SUBD.lP.I.D. #: • 2 copies of plan ? 2 sRe survays (eMerior eddkions 3 decks) ? 1 anergy calculations for Freated additions CONSTRUCTION COST; Ap+'X ? X,::?wo cch ? / PROPERTY OWNER CONTRACTOR !-! - (a?-(fl - 7r?1 Name: P6one k: C,? "' "7' ??a '?r`? f? Last First Street Address: L` S4T., , I CiTy L o,c=, 0. v? Statc: ??? Zip: ?- Company: Street S e- ? State: M)J_ Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Street City State: 5ewer & water licensed piumber (new constructlon onty): and lot change is requested once permit is issued. Zip: Penally applies when address chang I hereby acknowledge that I have read this application and state that the iniortnation is correct and agree to Compty, with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: r? r?.......---- OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Registration #: ? BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Pqrch ? 09 12-plex ? 05 SF Misc. ? 10 = plex OFFICE U5E ONLY ? 11 Apt./Lodging ? ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ?J14 Fireplace ? /?-TJ Deck 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Misceflaneous WORK TYPE 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION ? 36 Move ? 37 Demolition Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Y391 Depth Footprint sq. ft. SAC Code 0 / Census Bldg / Census Unit o APPROVALS Planning Building Zzl -?Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment Pi. Park Ded. Trails Ded. Other Copies TotaL• ? Valuation: $ % 5AC SAC Units /+ . %3f IC, y;Y?• ?.?? r?-? r. ?t 4v?, c? ;.rl? 1.. ?? d y..•e 5?e ? 0 r1 ? ?CLSd j- ? ? ?? ._-._.?• -, ?_ ? G f a o, Y i e.. ? ? n o J ' J ?rllp?Y ;?k O ?f'.R h?S "o )Cy /` v ] Cc?.4_t o? , ? , ; . ? ' ? ' ? • ? I 2. r. Y?o <?' } oe? ? .? $ ?? ?? ? ' ? ' ? / 4-0 ' ? -- - --- -?--?,._,_ --"Ck r;% f '. r . : • . , . - i ? t "? - ? I • ?? ?: ft, ? ? . . ? _ . C , . ? [n' j- , RV v . -10 SD P. PERMIT 4 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE Permit Number: Date Issued: 4679 LISTA PT LOT: 2 BLOCK: 2 RIDGECLIFFE 3RD P.I.N.: 10-63982-020-02 DESCRIPTION: MUL7I. (MISC.) REPAIR 434 ALT. RESIDENTIAL a??s cf?!a° *: a a="sa 'sis ?st ,y?- y?^"m e a m? y',?, ?+ ? "??,'??` BUILOSN6 028752 09i11J96 REMARKS: INCLUDES 4683 LISTA PT (LOT 3) 4680 HIRTA PT (LOT 1) FEE SUMMARY: (ROOFING) ermit Type n_rk Type VALUATION Base Fes $74.75 Surcharge 1.50 Total Fee $76.25 $3,000 CONTRACTOR: - Applicant - sT. L=c.OWNER: G& G ROOFING 16452531 0009369 RTOGECLIFFE A5SOCIATION 11677 HALL AVE 1745 KARIS WAY NqRTHFIELD MN 55057 EAGAN MN (507) 645-2531 cr'xmr.,ectl= 4-_ Statu,tes ?aqd'' }`2-<34? '??"I1S .?}43?.?C18'?E4? tu - ?ramplY ;w? ?h ?11 aF Rl'ic8t?.ke 5?m?t? of ?dn . - 4684 NIRTA PT (LOT 4) APPLICANTlPERMITEE SIGNATURE CITY OF EAGAN " 3830 PILOT KNOB RD - 55122 ?'•' "`? 7996 BUILDING PERMIT APPLICATION (RESIDENTIAI) 16,14641 681 -4675 . '? "! .? . . New CcnstnxNon Reauiromanis_, ". ?.g? ':?}.:!,"`•.,?xg=s,":j..rtl5:nh'. CS?? ?,.. ? 3 registered eite aurveys 2 copfea oT plan ? ? 2 copiea of plans (intlude beam 8 window sizes; poured fnd. design; ete.)1 ? 2 sile surveys (exteriar additions & decks) ? , ... A 1 energy eakutations " . ? 1 energy calculatlons for healed eddRions ? 3 copies ot tree preservetion plan H lM platted afler 7l1/93 required: _Yea No ' ' ..' .. , '? _ , . DATE: 4 a?q ??? n CONSTRUCTION COST: t? O O DESCRIPTION OF WORK: yl?' ° o8 i-I STREETADDRESS: +-4623 LOT ? BLOCK SUBD./P.I.D. #: PROPERTY • OWNER - - - CONTRAGTOR"? ARCHI`fECT! ENGINEER ? ie3f-;??ri: J" . ?' ??n'i. 'i?'t??. ? ,.,_.,,-.r ?f,?(;?i?_•?.}SiFil" .?7 Phone 4l' .?L= ?..r . . -,......._ .. . - Street Add'ress State: Zip. Ci}tqS,t?HLN?^ .,?' ,. ~ 44l..f l??nl'?•tiU . Phane AddFess: tceet Q 11I;:?' ?ic . ? ' - , • ? ? q ? .?i i?{kY?, , •^? ?, _ t' ? ? ' } `rie #^ Company: . _ Name: . Registration . d . , _ ... A: WWL"j'` ? ?36 I4? ip- le• D A•^• aWAOW? , ress Street.A - City: State: Zip: Sewer 8 water licensed plumber. n Penaltyappiies when ad'dress charige arn! lot change are requested once permit is issued. ?. . . .:rL: l'?t i . „ , ?,„;?.,... .. ? . riniallon is.correctand„agree to ?mply:wa ?I 1 hereby acknowledge that/I have read this applicatian and state that the P appiicable State of Minnesota Statutes and City of Eagan Ordinances. licant: re of A Si t pp gna u _ ? . . . ..,. ... . .. _ . . ., . , - -,. , .. ,_, , - , . ?•, _,? 't ' ?'?'?' OFFICE USE ONLY: Certificates of Survey Received _'Yes No - d _....._._. _... ? - Tree Preservation Plan Received - Yes - No OFFICE USE ONLY ? t .. BUILDING PERMIT TYPE a.,01:°?oundation?.a•:?.06.:tDupf'o;F?,1..;,Apt.lLod`7(?in,.7/?.$_ ? ?Q 16.v,BasemenE4 Firiistt: . .8 t w+ .ry . `F'9 r ? Y ,tScr?w:v.stM.M, 3?;'??.p • P07 ?' i_41t a u.. . Fi. ..t i '" ? -<^5? ?. .?, ?`f b, - ?"02 SF Dwelling ,'4-plex o? 12 "'Multi Repai"r/Rem.' ? 17 Swim Foo? ? 03 SF Addition o 08 ,.8-plex, o' 13 Garage/Accessory ° o','20 Public Facility " 0 04 SF Porch o 09 12-plex ? 14 Fireplace ?,21 Misceilaneous ? 05 SF Misc. ? 110 _-plex ? 15 Oeck WORK TYPE _?t.. .' ._....?.._.?.........._-•--.._... .'.'._,.. _.._.._..._____...__..._.__......«__.__....._.:_.???u_..i.._,:?«,..,: ?:_u_ r,.v?{ 0 31 New o 33 Alterations ? 36 Move ? ? 32 Addition _0._34.-.Repair___ ...._.-0_.37___Demolition__.._._ _. _.__?._.,_.._.._ • ?" .' .- GENERAL-INFORMATION . _.....___.____.._._? ........... ..`-.? . '?.'.. `' ` .,,,?.. :'?-.;..:3 :t?. _ ,. ? ..,. ?,. , _._.. . Const. (Actual).? _ __..._,,.,_•---.-Basement sq. ft. ?MCNVS-Sy`stem; (Allowa6le) "Main level sq. ft. City 1Nater UBC Occupancy--..- :-Tfo:'q ` sQ•.it. ,__,_, _ `Fire Spnklered Zoning sq. ft.? # of Stories-_____.._ sq,ft,_ -..Bo,oster, Pump Length sq. ft. - ?Census Code. - , Depth..__,,__ ? 7 Footpri?nt sy.;ft7 SACCode,,-, -- - _ ,. ,?.•.. ,- --?_ ...?_.,_.,_.,,,.Census Bldg' ?; I e '-Eensus lfnif .. ?f.ve"y.. ? ....«._._._... ..,,c i4 , ,.«..s.,-..?? ..,::,.?..?. <+?{????f?!.? Y Y6??i•.1 ?r r? ? ?e APPROVALS := ?- °Z?p t ? ?' ? ? t ' ? ? a y Planrim 'gu"??T? ihie.eo . PerrrriCFee ; - 7 y?• 7 S:' Valuation:. ?l.. T;'. •. =SCI?Ch'afgB?".:,>_.. .::'i.°,JS".:a- .,r......,:;?w...??:,.?:? '....?;,..,:v.t-.`».,..?.,'~.,•...,_.-...-.-..».....'?;L!53aT?;fCY?.''r;??'--?,-..,,r}??+=?i ti;{?u • . Plan Review ? . -?.License?-...?:?? ???>?.?9i.???:?:r'? ?.?,,:.„, ?" ? ,: `• '? ' ? :?(t??! ? . ?? . • .. ' ?. MCNVS'SAC' ... _City SAC;,.. ? ._,,,. - ?.- .. ? ` ?, ?? •Y " : Water Conn` ,• ,--..:.. _ . ,..?:,......_ _?:.??1??? f_?t??;;,;r'? ???_ : 44 ? ,, ?' =?. Water MeEer,-i.S, c .?.:, __;...-----_ __-. ---- ..,, .. .,_.._.___. . ; , • ' • Acct. Deposit - ,_?_ SNV Permit . -j;SAN;Surcharge -., ..._.. .. v?; i??sr? ? .. . - . . :??,:?s?yltu,r-pq ?nio hsm?ufx_r ' Road Unit?':> .. _; . . . _. ? °- ? . - >' . . •, . ,. •;:. }r-? '. .. . ., ..- , . -.. N .`-.`.?;'- 7,, _ . .,'. :?,.?, , : ta t.aPark*Ded:? 3i','?3 Trails Ded: . ? ' #?.Et??`' ._,? ?. •> ??=,r? ? ??r?3 i:?*?4 st?a?., Oif1Br r, - Total:_ SAC Units PERMIT# ??d`13 RECEIPTDATE: -1`7-0I MID£NTIAL PLUM$INfi PEiMTT Ai'PLICATION crrYoe EAs" S$SO PILOT KNOB RD gaeAv, MN 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITEADDRESS: T69/ G(SM Pm/N OWNER NAME: : ?EGL?' t/??'f}St TELEPHONE #: GrI - 0:5-3 - SyzI (AREA CODE) INSTALLERNAME: TELEPHONE#: ???`aa8'71?/d STREETADDRESS: S %2A1?pd-L?/f' ? (/E (AREACODE) cirv: 5?(- '0:wu G Place a check mark next to the permit work type STATE: /fW/ICy ZIP: 7?1° Z New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • waterturnaround Nature of work: 6??&At Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees . requires MPC license State Surcharge $ .50 Total $ Sd '? Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicant's responsibility to notty the property owner that the City of Eagan assumes no liabili y damages raused by the City during its normal operational and maintenance activities to the facilities wnstructed under this permd ithin ' ro rty/righ f-wayleasement. SIGNATURE OF PERMITTEE Updated 1/01 PLi7MBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date BERENTSON, CAROL 4679 LISTA POINT 5ite Address EAGAN, MN 55122 Unit # (651) 686-7181 Property Owner - --- -- Telephone # ( ) Contrxctor NOR9LOM PLOJI1AE11NO CO. J (612) 827-4033 Address 2905 City • State ip Telephone # ( ) The Applicant is _ Owner ?/, Contractor ` Other 5eptic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additionai consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5!8" meter if needed -$121.00) Other: _ RPZ _ new instaflation _ repair J rebuild $ 30.00 _ Lawnirrigatlon system ?? (? TL? ?i ? ? IS y x ?? _ Water softener Water heater J? $ 15.00 X _ replacement _ additional ? '?, ' u-_--__._.., t State Surcharge $ 50 Total $ i I hereby apply for a Residr.ntial Plumuing Permit and acknowledge that the informatron is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pemut, but only an application foi a petmit, 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 raquues a review and approval of plans. j.?--? ?1ot-b1uvy-\ Applicant's Printed Name Ys Sign ure. 2004 RESIDENTIAL BUILDING PERMIT APPLICATION ? City Of Eagan ?{ 3 5 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Cons6uction ReauiremeMs RemodeUReoair Reauiremenis v 3 registeied site surveys shwnng sq. tt. of lot, sq. ft of house; and all roofed areas 2 copies of plan (20% maximum lof cove2ge allowed) 1 set of Eneigy Calculations for heafed additions 2 copies of plan shaxing beam & window sizes; poured found tlesign, efc. 1 site survey for additions & decks 1 set of Energy Calculations Addition - indicate rf ortsRe septk system 3 copies of Tree PreservaGOn Plan'rf lot piatted after 7f1193 Rim Jaist DeYail Oplions selection sheet (61dgs wiN 3 or less units Offce UseOnlv Cert of Survey Recd _Y _ N Tree Pres Plen Rectl _ Y_ N T2e Pres Required _ Y_ N On-site Septic System _ Y_ N Date 3 / 1 v Construction Cost Site Address 4 („ ( c,_ Unit/Ste # '-E Yl 5-40. ' ?- Description of Work , LQ,?(? v Multi-Family Bldg _ Y_ N F}replace(s) _ 0_ 1 _ 2 Property Owner C 9y 4-1 vs? QSSo Ct, ? U 4elephone # ? Contractor Address vtS v.? Qs State 1`Y1 1`7 Zip Telephone # PI S? 9 S? COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesob Rules 7670 Cateeorv 1 _ • Residential VenUlation Category t Worksheet (J submission type) Submitted • Energy Envelope Calcula6ons Submitted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted Have you previously constructed a building in Eagan with p similar plan? _ Y _ fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Coniractor N If so, 25% plan review ?UISu u ? #N?AR?. I hereby apply for a Residential Building Permit and aclrnowledge that the nifopnation i"om ?d accurate; that the work will be in conformance with the ordinances and codes of the Ei?y'-of'Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of wark which requires a review and approval of plans. Applicant' Printed Name Applic 's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex '? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteratlon ? 37 Demolish Building* ? 43 Reroof ? 48 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appiicant Vatuafion Occupancy MGES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Fowdation Drain Tile Roof Ice & Water Final _ Framing _ Fueplace _ R.I. _ Air Test Final Insulahon Approved By: Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ FinaUC.O. FiuTUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick Windows _ Retaining Wall Building Inspector RESIDENT I OWNER Phone: Name: il`� Address City Zip: //Zi if,,, iL G 1,K7 Applicant is: Owner Contractor TYPE OF WORK Description of work: J L a Construction Cost: Multi Family Building: (Yes No CONTRACTOR Name: k L License `C'6 56 .3 Address: g 5-(- ?S CLCV \Z- 'D✓ City: Ch C4 State: W-Y Zip: S S 3 QT Phone: l- g f5 Contact Person: ��kU 1 (kriVAtk COMPLETE In the last 12 months, has _Yes If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: No Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non public if you provide specific reasons that would permit the City to conclude that they! are trade secrets. City of Eagan Date: Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Name Site Address: Ye ///r7& ,K nature Ap Si nature For Office Us Permit Permit Fee: Date Received: Staff: Use BLUE or BLACK Ink 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Suite Io 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.orq 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 approval of pla Page 1 of 3 Use BLUE or BLACK Ink r For Office Usieq Permit t -1 City of EaRdii I LK .'5" I Permit Fee: 3830 Pilot Knob Road r 1 Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: _ 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: A)&12 Site Address: 7r~o ry 3L/S p~ ~6 ~~lG~y ~~r ~a,~ Unit M Name: /T/pGe cq Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor /D Type of Work Description of work: Construction Cost: Multi-Family Building: (Yes / No ) Company: d02jkj f-l&" Contact:l fl Contractor Address: /22,01- i-4e t`rlr7e4P ( City: ~Y6 State: 4 Zip: ffg 7 Phone: I Ir I& F License 90?,e4 44 7 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to N conclude that they are trade secrets. 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.gopherstateoneGall.org 1 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 approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x 49e x Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink --------, � For Office Use I Clt of E� �Il ' /,� � tt � � Permit#: I Y � � 3830 Pi ot Knob Road � Permit Fee: LW ' � j Eagan MN 55122 I � Phone:(651)675-5675 AUG 0 3 2015 I Date Receivec�'�� Fax:(651)675-5694 � I � Sta : � ��J 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: �'} $�� '�5 Site Address: y�Q ��4'-�-c,� �o� � � Tenant: �G.. 1��i ��c�, Mc�� Suite#: � � �� r '� ' �, 'F Name:�o.'�v �--�t�..c �maa� Phone: � 1 Z- �(E� �� Li�'� ,�; .. ��:N � �` ��s�� Address/Ci /Zi '"1 � � � � ty p: ��r'��. �o c�`�` t ,�X}� r \ (�.,,y:, k Name: �1�5 t t1 e.n'�,�� -t�c..��.,� e A.� License#: Y`s'fis'+�`3,"Y` '� . . � . '�� x � � t �'`�`' `�,� _ �y Address:� i S `L..- �'1�, S ��'t �- �v�� . � City: �•�r.c_�.oc>\�S �� ` `�'�"�� " State: � Zip: '�J S�'1�� Phone: � f L-�i 'Z'-1—�$�l� ,r �, „:�r�'� ar��z o� L;.��t, ' `, 1 ��'��,��,.° Contact:y_,,,�r�� '�[.._- Email: A.nr.c. i[..c�1..� : � �,��ti,,c�c , • ' t�`� � , ,� �� New �Replacement Additional Alteration Demolition � � ,�'�� -:- � r; � � Description of work ��y � � n� J� � ��,��peeyy �.. K 3*y,`.y''T'v�Y,Y:� �Y" � ?W f q�� T ,� „5�. �� k. ,,.;s� ^,,. �s� t -�� a yw� "'� '�`�� : RESIDENTIAL COMMERCIAL � ,�� <: � � Furnace _New Construction _Interior Improvement s � =�s�: �'� ��`� �� Air Conditioner _Install Piping _Processed � � X �"`' Air Exchanger Gas Exterior HVAC Unit � ��° � � ;�.�` — — _ �'"��' ` k�<;: `�, - �~ Heat Pump Under/Above round Tank Install! Remove "�� — 9 (— — ) r,s a�' ��;�� Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge pc�. $100.00 Residential New, includes State Surcharge =$ �TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum, includes State Surcharge $70.00 Underground tank installation/removal =$ Permit Fee "If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 -� Surcharge* If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be i con rmance with the o in ces d codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is n t to s rt without a erm' ;th the ork will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x b/ c,c�� CS�f�L� x Applicant's Printed Name Applican i re �� , � �'�y.b� c`� 3 �{x,��,�.�� .: � � ',� � d� '34��}�i�"�^�" { „ ��. `� F � k � . � +G { �- �,#��.. rc�� 0 ��:v��"''� d � X � "�''Y � "�+,�ti�+"� ' `, � ^" n �' � �� r. �.�i r .,.,�`'�b}� y,y� �,.,^.....r .r.�.�iYi�,��>,.:sf ��r'�y ,�r�, .a� ��i�:'y.��„!?'+;� ��"f „S> � PERMIT City of Eagan Permit Type:Building Permit Number:EA154986 Date Issued:04/22/2019 Permit Category:ePermit Site Address: 4680 Hirta Pt Lot:1 Block: 02 Addition: Ridgecliffe 3rd PID:10-63982-02-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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 or installing Bay or Bow windows, 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 - Patricia S Erickson 4680 Hirta Pt Eagan MN 55122 (952) 200-7183 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature