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4681 Hirta PtDate: City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 1 03 V-1. 21 Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: � rr1" P 1'1C ,,1%LY IG,crii tY Unit#: J Resident/ Owner Type of Work Name: /2 /,dbc..—Gvt Fr-fe 1S* 1" Phone: Address / City I Zip: r'ei-h Applicant is: Owner V- Contractor Description of work: Jl r%I i'L Construction Cost: t —0 d u v Multi -Family Building: (Yes ),:(/ No ) ContractorAddress: Company: 141)r121'1 litikve,1/k P Contact: l A 1e? ‘fr 4 &- (3 ?-1%S 5�Ff �t � City: 6.,,,,,,,,,z,_ State: MA Zip: ') < 337 Phone: G 1)--1(-- 5 r d License #: 2-03 f' Cl 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 the 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 4frt 01 Applicant's Printed Name x f/k. Applican gnatm Page 1 of 3 C1TYkOF EQGAN Remarks AdditRidgecliff 3r Addn Lot 4 a)k 1 Parcel?#E-l-O (39Q9? 040 W owr,e- ..un.43_, h1 S?,y Street 1764 Karis Way srace Eagan MN 55122 ?` :'• ?r. f1 erD oFti ? Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. S7REET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK ? 1982 246.22 S 246.22 C007616 12-23-81 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. sa,c 525.00 24364 8 8 80 PARK CITY OF EAGAN Remarks ??= * - • - ?% - ?? Addition Lot ], Rlk ? Parcel#10 639117 MIl 01 Ownerd `5treet 1766 Kari q N[ay State Favan _ MAT 5S1 22 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW THUNK SEWER LATERAL. WATERMAIN U4fATER LATERAL WATER AREA I STORM SEW TRK 1982 246.22 5 246.22 C007616 12-23-81 STORM SEW LAT CURB & GUZ'fER SIDEWALK STREET LIGHT WATER CONN. 9UILDING PER. 6042 sac 525.00 20364 8 8 80 PARK CITY OF EAGAN Remarks ?-?••'? f. ?;? -?g1 Add;t;o„ Ridgecliff 3rd Addn. Lot 2 Rik 1 Parcel #l?gg."2ggj Owner/IS Vnill __ d,af-D/2r/1 Street 4681-Eirta-{M+'} ?- State Eagan, MIIV 55122 I'1 L' - " f`rCr r? i Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRAOING SAN SEW TRUNK 19$0 Paid unde arcel O11 02 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1980 aid U Cl Y' 2 STORM SEW TRK 19$2 246.22 5 2 STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. 6043 sAC 525.00 20364 8//8/80 PARK CITY OF EAGAN Remarks Adaition ? Ridgecliff 3rd Addn. Lot 3 Btk 1 Pascet #10 63982 030 01 owner ] 11 L(? `?{k; Q.t?; Sc,eet 4685 Hiz'ta Rea-& State Eagan. MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STFEET SURF. STREET RESTOR, GRADING 5AN SEW TRUNK SEWEF LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK ? 1982 246.22 5 246.22 STORM SEW LAT CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. BUILDING PER. 6044 SAC $ PARK • CASH RECEIPT ? CITY OF EAGAN 3795 PILOT KNOB ROAD _, EAGAN, MINNESOTA 55122 DATE RECEIVGD • ' op 19 AMOUNT ? I ? CASH ? CHECK DOLLARS 100 Foe -? L /' ( i r ?--. White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You ??}- - By BUILDING PERMIT To be used for Site Address ? CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 Receipt # Lot Block Sec/Sub. ':'iav-eeiif.re 3 Parcel # - -' 'e pe IVame Orrin i1lO=a071 1iOI'1eS W Z Address 1732 :iopkins ('rsrd _ o : f. -- ,.+..R,... .C-. A , j 0 - o Nome _ r- ?U Address r ?:... Nome _ Address I hereby acknowledge thot i have reod this application and state that the information is correct ond agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinonces. N°_ 6042 Erect 0 Qccupaney Alter ? Zoning Repnir ? Fire Zone Enlarge ? Type of Canst. Move 0 # Stories Demolish ? Front ft. Grode ? Depth ft. Apurora Is Fees Water & Sew. Pol ite Flre Eng. Planner Council Bldg. Off. APC Permit 5urchorge Plan check SAC Water Conn. -'' • `?'" / •? nn Water Meter Road Unit Total Signature of Permittee I on the express condition thct A Building Permit is issued to: 2 all work shall be done in acmrdance with all applicable State of Minnesoto Stotutes ond City of Eogan Ordinonces. Building Officiol - , 4w+nff # Daro laued ?emNhft Plumbing Mechanicul ?7,?f ?C - ?• - INSPECTIONS DATE INSP. Rough-In Final FoOtings Uate Insp. Dote Inap. Foundation Frnme/ins. - 3 Plumbing Mechanical 77 Finol + -- ? Remorks: ? 7" ? --/a 4/ No, Dote: , CITY OF EAGAN ' 3795 Pilot Knob Rood Eagaw, Minnevote 35122 Phese: 464-e100 PERMIT 10-15-SO Site Address: Lot 1766 KS2'i9 Wa 3 Block Sub/Sec. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: ^l?F , Single - Residential UY Ole)' ?.?rri:: lhornpsOn t?Wr?es . Nome New / Alte r. / Repoi r . , 1; i ?_ ? Address Cost oF Installotion City Phone: Permit Fee - _ ter itrat ;. _ " Nome ?. ? Surcharge ? ? ,??,' ' ? • ,- , . ? Address a:' City Phone: -F Totol This Permit is issued on the express condition thot oll work shall be done in occordance with oll oppliwble Stote of Minne9oto Statutes and City of Eegan Ordinances. Building Of . ' cInr oF EAGaN . ' 3795 Pilot Knob Rond EogaA. Mlnnesota 55124 Na. Phone: 451-8100 F? - PERMIT Dote: Site Address: =76E Lot - Block Sub/Sec. 1{ dQeCli:'fe ; Nome `?rrin Thammson 3iones ? Address 17L2 fiopkina Crerd. ? r. , ? _ Cify ' `?etn:l?ifl, ?'?71. Phone: ??'4_ Nome rienZ PLyAIl r g Address 147/5'. L?obert . City Phone: «. .. This Permit is issued on the express condition that aIl work shall be Minnesoto Statutes and City of Eagon Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residentiol .- Multi Res., Comm./Ind. I New /Alter. / Repai r n(,,w I Cost of Instollotion I Permit Fee Surtharge Total done in occordance with oll oppliaable $tate of Building Officiol C{TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PAiR r '; 4JAY PERMIT SUBTYPE: '1(11 Y ! ! jl 1 ,.I { I I 1 : I I c,f 1 n6 I MnNY ? oN REcoRn^ PERMIT TYPE: Permit Number: Date Issued: N:?'NT?r1 09 11 !. 1 U b APPLICANT: n (tt.Or.K : s ( Fk0I ) 64!. .,?fi.il TYPE OF WORK: kf tAA r?c 1,1 .,, 9; t i i 1 1! ri 4 Rtilef' tN[i ) I htf.:1.11UE S. 176 6 l:AN 1S WAY ( t.OT 1) 46*11 NIPra Nt tt.uT 2s 461if IIER't A i'i tl_OT 3) ? ? Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection bate insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GA5 SVC TEST INSUL GYPBOAAD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R I. BSMT FINAL DECK FfG DECK FINAL x -- CITY OF EAGAN 3795 Pilot Knob Rood Eayon, MN 35122 w2 6045 PHONE: 454-8100 BUILDING PERMIT Te he ?d fer '_ , . Site Address Lot Block_ISec/Sub. -'?''r-t=^11 ff el 3 Paroei # ,.or(ie?? ,,, Nome -'I'rin Tliamoson Horaes 3 Address 1712 Hopkins Crsrd. 0 - - i....y.._ 1 ? cI I n11? -, 01 Nome _ o Address r r;.., Name _ Address I hereby acknowledge that I have read this applicotion and state that the informotion is correct and agree to comply with oli applicoble State of Minnesoto Statutes ond City of Eagon Ordinances. Signature of Permittee ? A Building Permit is issued to: all work shnll be done in acrn Building Offitlal Receip[ # Erect Occupancy Alter ? Zoning Repoir ? Fire Zane Enlarge ? Type of Const. Move ? # Stories ^ Demo(ish ? Front ft. Grade ? Depth ft. Acorovals Fees Woter & Sew. Police Fire Eng. Planner Council Bldg. pff. - APC Permit Surchorge Plon check SAC Water Conn. ? - Water Meter Road lJnit Total ` - • ` '` ,'' ? ?? on the express condition that with all opplicroble Stote of Minnesoto Statutes ond City of Eagan Ordinances. . Peneit # Deh Iwad Panaittw Plumbing 7 Mechonical INSPECTIONS ? Footings DATE INSP. Rough-In Date InsP. Finol Dote Insp. Foundation Piumbing Frome/ins. Mechanirnl ? Final ?-? Remarks: ? g -o rVc No. ,r?ci7 cirr oF EAGAN 3795 Pilot Knob Reed Ee9an, MIAMlOh 55122 Pbone: 454-8100 PERMIT Date: Receipt No. Single Site Address: Residentiol Lot Block Sub/Sec. Multi Res., INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS 1?`c 1 of b D1- - I ; i.T.`?'i:1 ?1t10YffpR0?1 I!OI?HF ' Nome New /Alter. / Repai r Cr:.rc'_ . ; Address Cost ot Installation City ? Phone: Permit Fee ` Nome ' Surtharge ? Addreu City Phone: Totol This Permit is issued on rhe express condition thaf oll work sholl be done in accordance with all applicable State of Minnesoto Statutes ond City of Eogon Ordinances. Building Official No. cirY oF E?G?N 3795 Pilof Knob Road Eo9en, Minnesoto 55122 Ptiom: 454-e100 PERMIT Dote: -16-8C' Site Addrcss: 176!, -,aI']. Lot 4 Blxk 1 s?bisec. t?idgeeli#'fe ? Name Orrin `fhompson iiCrles ? Address t712 7-opk3ns Crsrd , ? City 'S,etO71kfl, 1{11. Phone• 544-', 3- Nume f'°TtZ pYFlri . ? Address 2.1745 S. •-ci'i,,^t ' ? Ciry Phone: , This Permit is issued on the express condition that olt work shall be Minnesoto Stotutes ond City of Eagon Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residential PY. Multi Res., Comm./Ind. I New/Alter./Repoir. ? Cost oF tnsrollction Permit Fee ?? • ()n Surcharge Totol done in accordonce with oll opplicable Stote of Buildirq pfficial ? CITY OF EAGAN ? - ? 3795 Pilof Knob Rood Eogan, MN 55142 N2 6044 PHONE: 494-8100 BUILDING PERMIT ReceiPt # To 6e ueed far Est. Value Dote , 19 Site Address - Erect p Occupancy Lot Block Sec/Sub. ' P -- Alter ? Zoning Parcel # _ Repoir ? Fire Zone l E T f C t n arge p ype o ons . W NpMe Move 0 ? Stories 3 Address Demolish ? Front ft. 4 .r r,_e tOllks . ? ?b.,,..e Gmde fl Depih ft. 01 Name _ ?0 'J Address ? r.., Name _ Address Water & Sew. Police Fire aW ' City Phone Planner _ Council _ I hereby acknowledge that I have read this application and stote that gldg. Off the information is correct and agree to camply with all applicable APC - State of Minnesofa 5tatutes and City of Eagon Ordinances. Permit Surchorge Plan check SAC Woter Conn. Water Meter Rood Unit Total , Signoture of Permittee ? A Building Permit is issued to: ' on the express condition thot ull work shall be done in atcordonce with oll applicable Stnte of Minnesotn Statutes ond City of Eagan Ordinances. Building Officiol I Peeml! ,# Dah Issaad Persditee Plumbin9 '- Li Mechonical ?.C'c.C? ?L? /I? •J ' dJG ?i?_.E?? / I IPISPECTIONS DATE INSP. Rauqh-In finol Footings =. '`-?O Date Insv Date Inap. Foundvtion Frame/ins. Plumbing Mechanical ? Final Remarks: 10~3-S0 / -!z _fI ??? 1411- .41 ` i'4 No. Date: Site Addreu: Lot 4685 F-irta Pt. Block 1 Sub/Sec. :r':.. tlt?"?' ' Nome Address ? : 'lB?'iOI:_., , --. ? ? ?-ri.?•) ? City Phone: NOme ?C IM ? ? Address e City Phone: This Permit is issued on the express condition that all work sholl be Minnesota Stotutes and City of Eagan Qrdinances. cInr oF EAGAN 3795 Pilot Knob Road Eagan, MinnesaM 55122 P6one: 454-8100 PERMIT Rid?,?eclifre 3 INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS 209?1+ ' Receipt No.: Single - , I Residential Multi Res., Comm./Ind. I New /Alter. / Repai r Cost of Instnllation Permit Fee $urchorge Totol done in occordonce with alf opplfcable State of Building Officiol cIrY oF EAGAN 3795 Pilot Knob Rood No. Eo9an, Mien?sote 55122 Phone: 454.e100 ' - • PERMIT Dcte: J Site Address: Lot Block 1 Sub/Sec Rid.gecl3ffe 3 INSPECTOR NOTIFICATION REO,UIRED BY LAW FOR ALL INSPECTIONS Receipt No.. Single I Residentiol ? Multi Res., Comm./Ind. I Name 0rrin 1"?io?.*.osan llo-, New/Alter./Repair. ; Address :•?- Cost of Instnlletion ? City ?-F.O?a' ' . ' Phone: "4 -73)? Permit Fee Name i.[?y ..101.- ` Surcharge ? . , _ . ? Address -- . .n . , , . City ' Phone: " Totul This Permit is issued on the express condition thet all work sholl be done in accordonce with all applicable State of Minnesota Statutes und City of Eogen O?dinonces. Building Official CITY OF EAGAN ?3795 Pilot Kno6 Road Eogan, MN 55122 M2 6043 PHONE: 454-8100 BUILDING PERMIT Receipt # To ra ussd for '°Y Est. Value Date , 19 Site Address ? Erect anc Occu ? ;Q p y Lot Block Sec/Sub. Alter p Zoning Repair p Fire Zone Pcrcel # _ E l T f C t n arge ? ype o ons . W Nome (`""'• ^ 7'?,?r"., ^pr: ?'-nmPp Move ? # Stories Z Addres s ' Demolish p Front , ft. Phone Gmde p Depth °f a Name Approvols - Fees ?F ?U Address Nome _ Address e AM I hereby acknowtedge thot I have read this application ond state that the information is correct ond agree to comply with all applicable 5tote of Minnesoto Stotutes and City of Eagan Ordinances. Woter & Sew. Pol ice Fire Eng. Planner Counti I Bldg. Off. APC Permit ? Surchorge Plon check SAC Water Conn. i•'.'?; -;r n^ Woter Meter ' Road Unit TOtOI " Signoture of Permittee I A Building Permit is iuued to: on the express condition that all work shall be done in accordance with oll applicoble Stote of Minnesota Stotutes and Ciry of Eagan Ordinances. Building Official Panwft # Deh laued hrwFMae Plumbing 9 /( ' iU Mechanical a6 ? S ?C i" S-??i W INSPECTIONS DATE INSP. Rouqh-In Finel Footings Dote Inap. Date Irap. Foundation Plumbing Frame/ins. - -$6 11--,"3-96 MecFanical Finol ? Remorks: D , r / r Sa No. cirY oF EAcaN 9795 Pilot Knob Roed Eegan, Minnesota 55122 Phewe: 454-E100 PERMIT Dote: Site Addreu: Lot Name . ? Block ry Sub/Sec. ?i ur:In 1DCe17os0;`1 :Ior.2es /lddress t'-oAkins ?/rsrd . cirY =-n.zetonka, "ii. Pho.,e: r;i:,-73233? r,eTlzy RvBll INSPECTOR NOTIFICATIOM REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: ' Single Residentiol ? ^AeY Multi Res., Comm./Ind. I New /Alter./ Repair Cost of Insfollation Permit fee ` Nome Surcharge ? Address 3.4745 S. Robert '1 r, '4n. City Phone: Totol This Permit is issued on the express condition that all work sholl be done in ocoordarxe with all applicable State of Minnesoto Statutes and City of Eogon Ordinances. Building Officicl - CITY OF EAGAN 3795 Pilot Knob Rood Eagaw, Mlnnesofe 55122 No. `phone: 454-8100 PERMIT Date: . Site /lddress: Lot Block ' Sub/Sec. _ Nome )i'_*'±ri i?lOll'!?SO'? HO?':r'', ? Address ? City ? - "t0:1.i?"fl? TrTI. Phone: Name l?E.'?.tBi' ? ? Address City Phone: This Permit is issued on fhe express condition thaf oll work sholl be Minnesoto Statutes ond City of Eogon Ordinonces. ti.dgealiffe INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: 5in91e ? Residential ' Multi Res., Comm./Ind. I New/Alter./Repair. Cost of Installotion Permit Fee 5urcharge ' Tota I done in accordance with all appliwble Stnte of Buildinq Official CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilat Kwo6 Raad PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: agree Fo oompfy wi1}i the Cify of Eogan Connection Charge: rdinanees. t Account De posit: Permit Fee: y Surchorge: Dot of I Misc, Charges: e nsp.: I Totol: nsp.: , Date Poid: CITY or EaGAM WATER SERVICE PERMIT 3795 Pilot FCnob Road PERMI7 Np : Eogrn, MN 55122 . DATE: oning: No, of Units: wne r: dress: - ' $ite Address: Ptumber: Meter N • o.. Size: Reader No.: 1 agree to comply with the Ciry oF Eogan Ordinanees. By Date of Insp CITY df EAGAN ? 3798. Pilot Knob Road Eagan, MN 55122 , Zoning: Owner: _ Address: 5ite Address: Plumber: Meter No.: Size: Reader No.: 1 agree to eamply wit6 !he City of Eogan Qrdinanees. R» Qate of Insp.: Connection Charge: i Account Deposit: Permit Fee: Surcharge: Mlsc. Charges: Total: - Date Poid PERMIT NO.: , DATE: No, of Units: Connection Charge: ' Account Deposit: Permit Fee: Surcharge: Misc. Charges Total: Date Paid: - I nsp.: OF EAGAN Pilot Knob Rood MN 55122 80ft r: ta eomplr with the City of Eogan of Insp.; SEWER SERVICE PERMIT PERMtT h64.: DATE: No. of Units: 0%r..rirre Connection Charge: Account Deposit; Permit Fee: Surchorge: Misc. Charges: Totol: dote Poid: CITIr OF EAGAN WATER SERVICE 3795 Pilot Knob Rood ELgon, MN 55122 Zoning; Owner, Address: PERMIT NO.: DATE; No, of Units: Site Address: Plumber; Meter No.: 5ize: Reader No.: _ I agree to eomply with the City of Eagan Ordinonees. BY - Dote nf CIT1f dF EAGAN 9795 Pilot Knob Rood Eagoe, MN 55122 Zoning: Owner: Address: Site Address: Plumber; I agree to eomply with the City of Eagan Connection ChQrge Oedinanees. Account Deposit: ? Permit Fee: Surchorge: BY Misc. Chorges: Date of Insp.: Total: Insp.; Date Paid: Connettion Chorge: Account Deposit: _ Permit Fee: Surthorge: Misc. Charges: Totaf : Date Paid: 5E1NER SERVICE PERMIT PERMIT NO.: nnTF• PERMIT No. of Units: r ?CITY OF EAGAN WATER SERVICE PERMIT 3795 :lot Knob Road PERMIT NO.: Eag7n, MN 55122 DATE: Zoning; No, of Units: Owner: Address: Site Address; Plumber: Meter No.; Connection Charge: Size: Account Deposit: Fteoder No.; Permit Fee: ' I agme to eomplr wiEh the City of Eogan 5urchurge: Ordinonces. Misc. Chorges: Totof : BY Date Paid: n.,+o .,c i..?... . CITY OF EAGAN SEWER SERVICE PERMIT 1799 Pilot Knob Roed . . + Eagan, MN 55122 • p?R1viIT NO.: DATE: 'Zoning: No, of Units: Owner: SAddress: --------------- ite Address: Pf umber, 1 agree to eomPly with the City of Eogon Ordinanoes. BY - Dote of Insp.: r,eclirf : Connection Charge: Account Deposit: PertAit Fee: Surcharge: Misc. Chorges: Total: minnesoca atace noam ot tiectnary ? Griggs Midway Bltlg. - Room N191 /.? EB-00001-02 -1B2'1 University Ave., St. Paui, Minn. 55104 - Phune 297-2111 J?o r REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST 9 9 3 7 S Type o Building New Add. Rep. Chmk Appliances W'ved For Check Fquipment W¢ed Foc Home ? ? Range Temporary Wiring ? Duplex ? ? WatexHeatef ? LightingFiacWCes t. Bldg. ? ? ? Dryec 10 Elec[iic Rea[ing ? mmemial Bldg. D ? ? ? Fumace ? SIlo Unloader ? Industrial Bldg. ? ? 0 A'v Conditioner Bulk Milk Tank ? Fazm ? ? ? List Lis[ Other ? ? ? Others Here pIhers Aeie COMPUTE INSPECTION FEE BFLOW Service Entrance Size: # Fee Feeders& Subfeedeis: ik Fee Circuits: u Fee f 0 to 100 Am s. - 0 Am iliere s 0 to 30 Am eres 101 to 200 Am •° - - to 0 Amperes 31 to 100 Am exes _OJ Above 200_A ' 0 Amps. Above 100 Amps. Tcansformers ontcolCixc. r Par[ialo[othe S' ns ZeMial s ection Minimum $S. Remaiks ^ A . _ J TOTAL F I, the Electrical Inspector, hereby certj?:'t#?at t abpke;anspecNnn has been Ron -m '? -( PJi' ) r-: Date (Final) This request void 18 months from This request void Z,/j 6? 18monthsfrom ?c Date o?"this Request 10 I ? Fire No. ?' 99378 I, aLicensed Electrical Contractor ? Owner, do hereby request inspection oC the above electri- cal ?ring installed at: eet Address or Route No. I?6p kR-A5 Wrv City? on Township Range County Which is occupied by VI4-RIPA J 14pf11°ArJ ldmv (Name of OccuDant) Is a roughin inspection required on this job? No ? Ye*I!Z_ Ready Now ? Will CaK ? Power Supplier k-h Address fA(?hVf 6Vr Electrical Contractor k'k- ??`?`^ Contractor's LJcense NoAftx (COmOany Name) MailingAddress w?? c • (c? <ai ntracror or owner maKing Tnis instanatian) Authorized Signature Phone No. v•?.1,)r (Elxtrital C nt ctor or Owne Making ThIS Installatlon) i, This ins ection re uest will not 6e acce ted b the kl State Board unlessproper inapection fee is enclased. This rer- est void di/i 18 morw- fwrs5 2 7,5 o u Date of this Request_ Fire No. s 99377 I', aCKLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiri g installed ai: ? eet Address or Route No. _ I?(04 f`-W*iS In1kK/ City_&UAd ion Township Range County UiKOTA 1ti'hich is accupied by V(t{Zlo 1 y'j Is a roughin inspection required on this job? No ? YesGo(.Ready Now ? Will CalfIS-ir (??? "J3 - ? Power Supplier 1`? Address F04'wN u1y? Electrical Contractor Contractor's License Nb-3'16X Mailing Address Authorized Signature "1 " ?.j" (Electriwl Contractor or ? ? ??n 'roDi 00 G?L3D Q( or No. FW'TC6 This inspection request will nat 6e accepted by the State Board unless proper inspection fee is endosed. minnesoca acace ooara oT necmct[y Griggs Midway Bldg. - Room N797 / ? Y 1891 University Ave.. St. Paul, Minn. 55704 - Phone 297•2771 ? f?P ? ? ?EQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUHST EB-00001-02 99377 'Lype of Building New Add. Rep. Check Appliances Wiced Foi Check Fquipment W'ved Foi Home ? ? Range ? Temporary Wiring ? Duplex ? ? Watec Heater ? Lighting Fix[ures E? tt . Bldg. ? 0 ? Dryer (?. Electric Heating ? mereial Bldg. ? ? ? Fumace Silo UNoadei ? Industrial Bldg. ? ? ? A'v Conditionet ? Bulk Milk Tank ? Fazm 0 ? ? List List Other ? ? ? p Hexers? ) Oehers? H l COMPUTE INSPECTION FEE BELOW Seivice Entrance Size: u Fce F &Subfceders: # Fce Circuits: # Fee 0 to 100 Am s. . o , m eres 0 to 30 Am exes ffj .d 101 to 200 Am s. 1 Amperes 31 to 100 Am res A6ove 200 Amps; ." j b; 0 Amps. Above 100 Amps. Transformers 1 1 Remote Control Circ. Partialorotherfee Signs Special lns ction Minimum fee Remarks TOTALFEE 7J? QO I, the Electrical Inspector, hereby has beeq moad ? Date l _. ? (Final) This request void 18 months trom sI'his request void i / ?(? ?? go ? 18 months from ( Z 3' Date of this Request Fire No. ° 993 6 V I, asoQLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. rw m?k t'd("' City 060/J sion Township Range County - po"T__ Which u occupied by ?Rf4 14 0^1 `iUW (Name ot OccuDang Is a roughin inspection required on this job? No ? Yes 0?_ Ready Now ? Will CaICir Power Supplier ? Address Electrical Contractor Contractor's License NA? ? (COmpany Name) MailingAddress V111 µiYf +w. ( c al tor or owner Maklnq 7his Installatlon) Authorized Signature Ctra< Phone No. 0_5 4 (Electrical Contrxtot or Owner Making This Installatlon) (C ?'( (? ?? r_!(? {? ? D (t' (?j ?? This impection request will not be accepted 6y the c?` lJ W tY? ?JL+ti1li11 ?U State Board unless prnper inspection fee is enclosed. minneSOCa 0i2[e OOara oi tlBCtriClty Griggs Midway Bldg. - Room N791 1827 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 cI ? REQ?JEST FOR ELECTRICAL INSPECTION ? J?' ? S L''hECC'BELOW WORK COVERED BY THIS REQUEST EB-00001-02 99366 Type of BuOding New Add. Aep. Check Appliances Wixed Foi Check Equipment Wired Foc Home D le ? ? ? ? Range ' E] Temporary Wving ? up x Water Heater ? Lighiing Fixtures pt. Bldg. ? ? ? Dryec Etectcic Heanng ? memial Bldg. ? ? ? Fumace ? Silo Unloadei ? strial Bidg. W u 11 ? ? p'v Conditioner ? Bulk Milk Tank ? List List O he 0 0 ? 2thers( ere Others? Here COMPUTEINSPECTION FEE BELOW Se:vice Ent?ce Size: # Fee Fcede:s&Sub[eeders: # Fee Circuits: # Fce 0 to 100 Am s. . J 0 to 30 Am eres 0 to 30 Am eres Gll 101 to 200 Ajmps, Above 200 31 to 100 Amperes ove 100 Amps. 31 to 100 Am ies Above 100 Amps. Tcansformer oteControlCirc. Partialorotherfee . -? Signs cial lns ction Minimum Pee Remarks TOTAL .e E?3,J? .d0 I, the Electrical Inspector, hereby (Final) This request void 18 months from the.abq4e;insyecriod has been ma . ?U r Date /3-/ 0 (.::.? ..=: •; ?__,b?te . -y-? _ mmneso[a a[ace noara or eiec[nci[y . Griggs Midway Bldg. - Room N791 E13-00001-02 1821 URiversity Ave., St. Paul, Minn. 55104 - Pfwne 297-2771 THIS REQUEST ION ?' 16" 4 CHECK BELOW W?O? RK FOR COVERED ELECTRICAL $ 99364 Type ot 8uilding New Add. Rep, Ch¢ck Appliances W'ved Foc Check Equipment Wued Foi Home ? ? Range ? Temporazy Wiring Duplex ? ? WateiHealer ? LightingFixtu[es ? t. Bldg. ? ? ? Dryei g Electric Heating ? mmercial Bldg. ? ? ? Fumace Silo Unloadex ? Industrial Bldg. ? ? ? A'v Conditioner ? Bulk M0k Tank ? Faxm ? 11 ? List ) L ist > Other ? ? ? p } Heher$) p y Hehersl COMPUTE INSPECTION FEE SELOW Service Entrance Size: # Fee FeedetadSubieedeis: • Fee Circuits: ;r Fee 0 to 100 Am . ,'O 0 to 30 Am res 0 to 30 Am eres 101 [o mp 31 to 100 Am e:es 31 to 100 Am ies / Abave " Above 100 Amps. Above 100 Amps. Transf eis ? RemoteControlCirc. Pattialoro[hecfee Signs Special Ins ection Minimum fee Remazks TOTALF .Jro ,y? W 1, the Electrical Inspector, hereby cert' at abu6e ihspection has beenyma (Rough-in) C?o Date (Final) Date This request void 18 months from This re uest void ]Smonthsfrom , +2 /& 7? l?ate o this Request Fire No. ? 99364 I, asicensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri- cal wiring installed at: ? eet Address or Route No. f?8 ? r11?R ? 1• qC?ity ? tion Township Range County VA"m Which is occupied by Is a roughin inspection required on this job? No ? YeCE?_ Ready Now ? Will Ca;)K1 Power Supplier 1"c? Address 1 1iWl(4Gw0rJ Electrical Contractor ??- 6-WI94 ` Contractor's License No@.36Z (COmpanv Name) Mailing Address 141( Z• Cu ff- (Ele t ica 'ontractor or Owner Making This Installatlon) Authorized Signature Phone No. J5 I? (Eiac^tricanl Contractor or Own?ar Making This Installatlan) ?'-(?'??? p This inspectian request wiil not be auepted by the c'J u v[?v u SWte Board unless proper inspection fea is endosed. ? CASH RECEIPT ? CITY OF EAGABV 3795 PILOT KNOB ROAD ERGAN, MINNESOTA 55122 "Z 1e- _ooLLwns Iaa euHO e H •MOUMr 132/ 3 w o ^c/ Thank You '7yo -? N° 20364 Wh;«P.YB„Cop, vellow-Poetirp Cqpy Pi.L_cu. r ..,. C] CASH „Zj,@?K . CITY OF EAGAN 3795 Plloe Kno6 Roed Eagan, MN 55722 N? 6043 PiiONE:`A54-8100 -` 3E BUILDING PERMIT APPLICATION ReceiPt . # To ba used for 1 of Q plex Est. Value 38,000 Dote $-g , 19-aQ- Site Address 46 f?1 Hi rta Pt _ _ Erect a Occupancy R3 Ridgecliffe'3 k 1 5 /S t 2 BI b L Alter ? Zonin9 PD « . o ec . unrecorded Repair ? Fire Zone 3 _ Porcel # E l e of Const T V n orge ? yp . n Name (lrpin `[hpmicnn Hnmac Move ? # Stories 3 Address 1712 HOAklriS CTST'd. Demolish ? Front 24 ft. ? Minnetonka Mt1 544-7333 Grode ? Depth z4 ft. , Ci Phone ? Approvals Fees O Zu °u? 1- Name _ Address Name same I hereby acknowledge that I have read this application and state thot the information is correct and ogree to comply with all opplicable State of Minnesain Statutes and City of Ecgan Ordinances. Water & $ew. Police _ Fire Eng. Planner - Council _ Bldg. Off. _ APC Permit ilv. iv Surcharge 19•00 Plan check 55.25 snc 525.00 Water Conn, 305.00 Water Meter 60.00 Road Unit 185.00 Toral 1 .259. 75 Signoture of Permittee I A Building Permit is issued to: Orrl.ri T110S[IjJSOri HOIR2S on the exDress condition that oll work sholl be done in accordancg?wit??JDDlje?fe Sjate of Minnespto St'at'utesand Clry of Eagan Ordinances. Building Official ?- Y tl 3 CITY OF F'JGAN BUIII}INC; P£ItMIT APPL7CATION Include Z sets of p2arts, 1 site plan w/elevations 6 1 set of energy calculations. 'Ib Se Used For Valuation?3_Tpp.op Date 3I„IL.y 31y.]980 site Address: ?bBt??TA 19T' oFFICE UsE orII.Y Lot Block ? Sec./Sub. F1QGf4LIFFS Erect '? - OccuPancY 9?.3 Parcel #• THiRD Alter Zoning CJ Repair Fire Zone 3 Oaner: Enlarge _ ?pe of Const. I , Nbve # Stories Fddress: a Oivision ot U. S. Home C r + ?„ DeJrolish Front a°/ ft. [ HOP"I'S ' Grade Depth ?2y ft. City/Zip Codec - r?irar,ETONKA M1'I -?N 561 ?v ? , 42 ?r' Phone #: 544- l3 3 3 APpROVAis F'EES Contractor: gRRIN 7H9MPS8N4-4^MES AddresS: a Divislon of U, S. Home Corporation .vr MJ rt rcU . City/Zip Codes MINNE70NY.A, MINN. 55343 Phone #: Arch./Eng.: Pddress: City/Zip Code: Phone #: Assessments ?jb'D Pesmit 11() `? Water/Sewer Surcharge /4 Police Plan Check 675-? Fire 5AC Sv215- " Enq. Water Conn. 3 06- Planna.s Water Metes - (?p ? - Council RDad Unit / F G- Sldg_ Off. P.PC IO'I'AL CITY OF EAGAN 3795 Piloe Knob Road Eagan, MN SS722 N? 6 Q 4 4 PHOPIE: 494=8100 BUILDING PERMIT APPLICATION Receipt # U ? To ba uced for 1 of 4 plex Est. Value 38???? Date ??g 19?_ , SiM Address ?bg 5 H].T'ta Pt Erect g Occuponcy R3= Lot 3 Block Ridgecliff 3 1 secis?n Alter ? Zoning pD . 11 12' c 'd d Repair ? Fire Zone 3 i Parcel # e oY e E l T f f C V n arge ? ype o ons . rc Name Orri n ThomDSOn Homes Move ? # StoNes 3 Address 1712 Hoplans ?.'TSPCl. . pemolish ? Front 2?+ ft. ° M3nnetonka Nf? 541 -7333 Grode ? Depth 24 ft. ?? , o?e ? ? Name ADDrwale Feea sessm?rsT S?e A ?? _ s Address t & S W ? ew. a er City Phone Police - F? Nume F Fw ire ?? Address Enq <"' . CI Phone Plonner _ Council _ 1 hereby acknowledge that I hove read this upplication and state that g?dy, pf{. _ the informacion is correct and agree to camply with all applicable APC - State of Minnesota Smtutes and City of Eagan Ordinances. Permit 11U. ?U Surcharge 19.00 Plon check 55 • 25 sAC 525.00 Warer Caon. 0 .00 Water Meter 6?Q Rood Unit 1$5.00 Toral l, 259 . 75 Signoture of Permittea I A Building Permit is issued to: OTT?ri ThOIItpSOn Homes on the express mndition that ell work shall be done in occardonce(ry( it?h o?ll appli/co/?1? Sta e of Minnesoto totutes and Ciry of Eagon Ordinonces. Building Offictal rir?`a-? ? ?, v???? ? ' CITY OF EAGAtd Include 2 sets of plarLs, 1 site plan w/elevations 6 yq SUILbIN(; PERiNIT APPLICATION 1 set of energy calculations. 1b Be Used For Dj? Nc„ Valuation3-1? ioO.op Date Z?uLy 3' 1980 Site Pddress: (p S ( /a} OF'PICE USE ONLY i,ot 3 Bloc]c Sx./sub. $1Qy?,tFFS Erect I7, oocupaT,cy z'3 - Parcel ?I : THI RO Alter Zoning _ e'`'°'J' =`'? Repair Fire Zone ? O.mer: Enlarge _ Type of Const. V M)ve # Stories Fddress: a Division of U. 5. Homo c r Derrolish Front ?y ft. 1/1 ? rrcin?s cFOSSROAO Grade Depth ,2y ft. City/Zip Code: "• MrNrd?roNxa r„y? ?434? ?5°`? ?oxae.. Phone #: 544- 1333 Contractor: ORRIN T!-i9MPS8Ad I-Ib1f,,rr P[3clr2SS: a Division of U. S. Home Corporation .vr ?.? i.rt J V City/Zip Code: MINNE70NKA, MINN. 55343 Phone #: Arch. /Eng- : Address: City/Zip Code: Phone #: APPROVALS FEE'S ? Assessrtents Pernit / /O Water/Sewer Surcharge I 9 Police Plan Check Fire SAC Sa3 ? Eng. Wates Conn. 3 o S P1annPS Water Meter (a a ? council Rnad Unit Bldg. Off. APC CITY OF EAGAN 3795 Pilo! Knob Roud EagTan, MN 55722 PHONE: 454-8100 BUILDING PERMIT APPLICATION 1 Site Address 1764 Karis W3y Lot 4- Block _L $ec/Sub. Ri dgpnl i fflP 3 parcel # unrecorded w Nome ? r?'._? ?? T$4=GOn HOID2s 3 Address 1712 Hopkins Crsrd. a Nume _ r Address 1- r..., Name _ Address I hereby acknowledge that I have read this npplicotion ond state that the information is correct ond agree to comply with all applicable Smte of Minnesota Stotutes ond City of Eagan Ordinances. N4 6045 Receipt .? Z,3°$/ Erect Occuponcy R3 Alter ? Zoning PD Repoir ? Fire Zone 3 Enlarge ? Type of Co nst. V Move ? # Stories - Demolish ? Front - 24 ft. Grode ? Depth 24 ft. Approvols Feea Water & Sew Police - Fire Eng. Plonner - Counctl - Bldg. Off. _ APC Pertnit 110.50 Surchorge 19.00 Plan check 55.25 SAC 525.00 Water Conn. 305.00 Woter Meter 60.00 Road Unit 185 _ 00 Total 1y299 _ 75 Signature of Permiftee I A Building Permit is issued to: Orrin Thompson HOIIt2S on the express condition that ull work sholl be done in nccordapce with all ayAicable Stote of Minnesoto Statutes and City ot Eagan Ordirwnces. Bullding Officiol CITY OF F.I+GAN Include 2 sets of pleu?s? ' n4q) 1 site plan w/elevations & /?5 t' ? SUIIDINC PtI2MPP-APPLICATION ? 1 set of energy - calculatiorLS. 'ib Be Used For ??y?Nc P Valuation?137kr1 pp,op Dat,e 3'uLy 31 o1980 Site Address: 17(04 K4R Is W 9'Y oFF'ICe Use orrLY Lot _It_ Slocic ( Sec./sub. R?k?Erj,IFEr. Erect occuPancY Parcel TH1 RO Alter Zoning CJ Repair Fire Zone ? Oaner: Enlarge _ Type of Const. i/ _ Nbve # Stories AddreSS: a Division of U. 5. Home C r ' DeTriJlish Front ft. City/Zip Code: • PKINS CROSSROAD Grad2 MINf1ETOPJKA. A'IUN S?-3q3 Depth a/ ft. y-a 20??9- Phone #: 544- 13 3 3 APPPDVALS F'EES . ?, Contractor: gRRIN THBMPS9P! !-IL1MES P13dr25S: a Division of U, S. Home Corporation 1712 .7Vi nJ CgiSSHuAu City/Zip Code: MINNETONY.A, MINN. 55343 Phone # : Arch-/EYig- : Adclress: City/Zip Code_ Phone #: Assessments J? '/P?-"?t ) /b'? Water/Se..er Surcharge g Polioe Plan Check 6's - Fire SAC ? gnq, WatPS Conn. ?os ? Planner Water Metes (oo Council Road Unit / ?-67 Bldg_ off. P.PC BUILDING PERMIT APPLICATION Receipt .fk --..aCv 3i"?A To ba usad for 1 of Q plex Est.Value 35,000 Date $-g , 19-L0-- Site Address 1766 KflY'iS WB.y _ Erect ]E$ Occuponty R3 _ t 1 L l i ff Ri dOe Block c/S b 1 S e 3 Alter ? Zoning Pn o , _ e u . d d Repair ? Fire Zone 3 Parcel # nnre[!nr a l E e of Const T v arge ? n . yp a Name Orrin Tho=son Homes Move ? # Srories Z Address 1712 Hn?nki nc (`rerd _ Demolish ? Front 24 ft. 0 Ci Minnetonka, $kbne 544-7333 Grade ? Depth 24 sr. Approvals Feas w 0 Name ? Address Nome _ Address I hereby acknowledge that I have reod this opplication and state that the Informotion is correct and agree to comply with all applicable $tate of Minnewta Stotutes ond City of Eagon Ordirwnces. Woter & Sew. Police - Fire Eng. Plenner - Council _ Bldg. Off. - APC - Permit 11V.JV Surcharge 19.00 Plan check 55.25 sAC 525.00 Water Conn. 05.00 Water Meter 60.00 Rooa u„ir 185.00 Totol 1,259.75 Signature of Permittee - 1 A Building Permit is issued to: OZZ'1R ThOIIIpSOIl HOID@S on the express condition thot oll work sholl be done in xmrdanqe with uli opplica6le State of Minnesota Siatutes and City of Eagen Ordirwnces. CITY OF EAGAN V95 Pilot Knob Rood Eagan, MN $$722 N2 6042 PHONE: 454-8100 Building Official CITY OF EF1c',AN Include 2 sets of plans, 1 site plan w/elevations & -. * BUILDING PERMTT A?PLICATION 1 set of energy calculations. e3? To Be Used For REc?D?ucF Valuation? . ? -p-,-?9p Date 3'u?? 313?480 Site Pddress: 11 (66 "R?S WPrA '+ OFFI(E USE OrII.Y Lot Block ? Sec./Sub. $IDGEr.IFFS Erect ?X_ Occupancy Parcel TH1RD Alter Zoning ? gepair Fire Zone Oaner: Enlarge 'Iype of Const. v Nbve # Stories Address: a oivision of U, S. Home Cornoratinn DPIO)lish FrOnt ?7y ft. C1tY/Zlj? CAC72: * PKIf:S CROSSROAD MINNETONKA A'I"JN GradO D2pth aN ft. ?• . F,?n? aa aa Phore 5?k 4- 133 3 APpRDVAL•5 FEES ? contractor: 9 RRIN THAMPS9N f-18fk4ES Assessments Permit fLO ? AddT25S: a Division of U, S. Home Corporation Water/Sewer Surcharge ? 9 3 " 1712 .,,, „ CAUS?,IIOAU Police Plan Check 'xS C1ty/Zlp Code: MINNETONKA, MINN. 55343 Fix2 SAC S"';? 6- Phore #: En4. Water Conn. 3(1 o ? Planner Water N]eter (00 Arch /Eng : Council Road Unit Bldg. Off. Pr7clress: APC City/Zip Code: Phone #: 'IOTAL 6/77o RESIDENTIAL BUII,DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ??7j New Construclan ReQUiremems RemotlallReoair Reouirements INfce Use Onlv 3 regisfered sife surveys showing sq. ft, of IoL sq. ft. of house; and all rooted areas 2 copies of plan Cert ot Survey Recd Y N (20% matimum lot coverage allowed) 7 set of Energy Calculafions Por heated addifions Tree Pres Plan Recd Y N 2 copies of pWn shovring beam & window sizes; poured found design, etc. 1 srte survey for addNons & decks Tree Pres Reqd Y N 1 set of Energy CalculaGons Addifion - indicate i/on•site seplic sysfem On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan if lot plahed after 71V93 Rim Joist Detail Optlons selection sheet (bldgs with 3 or less units Date ? l 1? l Q3 ?q C Construction Cost ?p? J ? Sit Add ?" ( j -- 1 1 ?l 1 U i /S # e ress ? O y F n t te Description of Work (e RULt1a4 4-rrV12Ge rv Q ,QS ?2OCS iYLS2?^?1?-?$ i (2e11?,e ? ;w,n.,?V -Family Bldg _ Y_ MuU N FYreplace(s) _ 0 _ 1 _ 2 Property Owner LdgV_P ?('b? iYL LZ ? Telephone #((a31 ) 3`ps ^7? /?/ Contractor Address City 22-1&0 Lq ??s State Zip S CJ Telephone li ((E 1;? 7Sb COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code CategOry . Residential Ventllatlon Category t Worksheet • New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculations Su6mitted Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone Telephone I hereby apply for a Residential Building Permit and acknowledge that the inforty8'tiga-as-s'_e-te_?ccurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a 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. \Ah I ? P'd +n D Ca r e evL e :-???? ?f?? --- - Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 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 Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - 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 Bidgs Length Fire Sprinklered Type of Const Width REQUIREDINSPECTIONS _ Footings (new bldg) Final/C.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC _ Drain Tile pther Roof _ Ice & Water _ Final Au/Gas Tests Ftgs Pool _ Fina1 _ Framing _ _ _ Siding Stuceo Stone _ Fueplace _ R.I. _ Air Test _ _ Final Windows (newheplacement) _ Insulation _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector C.R. WINDEN i A880CtATES, INC. IAND SURYEYORS T*I.615-3616 ' 1381 EUSTIS ST., ST. PAUI, MINN. 55109 ' FOR: U. S. HOME CORPORATION : CERTIFICATE OF SURVEY oC) Ov''\ o D ' ? ?? p C9 ? o ? O ZZ N A•,' ? ? l? p ?E a ?P N Scale: 1" = 20' p Denotes Iron y 2 Z i,?- / ? ( N? o a ?° 00 ? A ?vV $--:: ONk Z? ? Vo ?:,.'1 ? ?p ld lp ?Z_ ko 1 t-a V O o ? r n / '33 •D ? ? r ; ?, / ? -?'? ? 0 ? ?-> N c ? O\ ? P ? ? O O 1 Note: Huildinqs shown are proposed \ As of this date Ridgecliffe Third Addition has not been recorded. oo \ ???Ja \' ? ? Lots 1 through 4 inclusive, Block 3, Ridgecliffe Third Addition, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORREGT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRISED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Da[ed this /5 day of J?.A.D. 19$o C. R. WINDEN & ASSOCIATES, INC. By YJ• YdR-CtRtAoA,J Surveyor, Minnesota Registratioa No.4'? y2 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: BUILDING 028751 09/ll/96 SITE ADDRESS: 1764 KARIS WAY L07: 4 BLOCK: 1 RIDGECLIFFE 3RD P.I.N.: 10-63982-040-01 DESCRIPTION: (ROOFSNG) ?ut'ltlirp?,Permit Type TYPe ?,e.ll'?#,b6, .,. a ; 14,"` ? _: P- t IP? 6hp#w'(3? a, r +? MULTI. (MISC.) REPAIR 434 AL7. RESIDEPITIAL ro:6 .y`E sl '?k c?mr a? ?d X'3 ?4l REMARKS: INCLUDES 1786 KARZS WAY (LOT 1) 4661 HIRTA PT (LOT 2) FEE SUMMARY: 4685 HIRTA PT (LOT 3) VALUATION Base Fee $74.75 Surcharge $1.50 Total Fee $76.25 $3,000 CONTRACTOR: - Flpplicant - 5l'. Lzc.OWNER: G& G ROOFING 16452531 0009369 RIDGECLIFFE A55pCIATION 11677 HALL AVE 1745 KARIS WAY P10RTHFIELD MN 55057 EAGAN MN (507) 645-2531 , T he t`°eb y Fa ?;k ?. znfP_r*aiia,KF ? ?Statut?? q APPLICANT/PERMITEE SIGNATURE ' e- q? `dtt?'Chi'?: lueota„Ptt tid stdt? 'tkte ?PR?'.?cab??`,?ta??.;af ?xr r' . _.e. ._ ..,... ? .... ._.. q ' ' a ,. " • /? . . . ISSU D BY: SIGNATURE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 6814675 New Constnutton Reauirementa ?.,y] - RemadeUReoai? Reouircments pµ ..,. .,w::.:T51?S'?r?.'t'?.Fi`3YifF:?:7???;rz"A:?„i?'?:yiyy -"nF;t.,•?;?las?'"=i,?:3?".?.:Y?h:i??-,?{ 'Qe51`:,`4??? 4. A ,- Y?.11 {iY[4?' 1••+'?'?? .r f'?.- .-. {^' ? 3 registered site surveys .' . - , .' . .°)+*'-. . `Ir?•?:''"'. ,? 2 copies oTplan ? 2 eopies of plans (include beam 3 window sizes; poured tnd. design;,ele.) . ? 2 site surveys (extedor addRlons 8decks) ? 7 energy ealculations . . ? 1 energy ealculations for beaMd edditions : ? 3 copies of lree praserveUon plan if lot pfaried aRer 7l7/93 -•. - . . • requlred: _ Yes _ No DATE: 4 tt 4 CP C.P CONSTRUCTION C05T: DESCRIPTION OF WORK: STREET ADDRESS: LOT BLOCK ? 1 -1 ti y a- r1'iola CP.v ??.• . ? ( -?? ?- 4-3 . ' ' i ? - .. ?._. .... ? . ,.?.Y;. PROPERTY-- OWNER---- --- CONTRACTOR" ARCHITECT/ ENGINEER ` SUBD./P.I.D. #: Name .-1" :> :I I . , . "",....,.__.,. '.I?.?` .mn..,...».p....... ? ..... ? ? StreeYAdd-ress• .;.. Zip. City: C?ompanr?'c?sC?.? s? KOU?I"??• Phone?sv4 .?f ?.J rt,.,.ctr?+;e?rdriraccl _:.License'#. k., `;V --`- ?-Company:_; yi?Phone . o ? •,. r + - S?A.,. , r - •' • ? ?w?. ?wwihM?. , . : Name: ' Regisfrai o -, •.,:.- ... . .. . . -. ? ? ?.. Street Address? , . " - . . ' . . , - . , .._,...;?, ..,r..? ...fi8t;? '.???1!?{ City: ? State: Zip:,??? ?0V?OVV ?i:??c;=•t ?°?:?, ,_.....?.. _.._._ Sewer & water licensed plumber: •' ° . Penalty-applies when addresscharige and lot change are requested once permit`is issued. ., :: r, ,. • . '.7A • . °' " ...' -.._,?..?.t??:.'-'. .` -i;l .2.,a .. . `+Y?.rM. }?..a.....,...?.. :,ri?ieV+?_a_?i+'?++?`r,,:' 1 hereby acknowledge that f`haye read this applicaUorr and state that the iMrmation is.correct.aod_agree to=comply-w&;A applicabie State oi MinnesoNa Statutes and City of Eagan Ordinances. Signature of Applicant: " , . ._ 'y. .. ' , ' . - -. '. . ?. _. . . OFFICE USE ONLY. ._ _ . .. . ? w i Certificates of Survey Received _ Yes No -?.xa4?a,....: ?. ... % . Phone #: n Tree Preservation Plan Received Yes No BUILDING PERMIT TYPE o ;? o02 5F'Dwelling o '07 4 plex " ? 03 , SF Addition _ 0 08 :.8-plex . 0 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 -plex WoRK TYPE _ . ..._ _ _ _........._.. ., _ .___._ 0 31 New o 0 32 Addition -.-- _ a OFFICE USE ONLY -. . .., - :.1 a LJ':'-IL- NIUILI RCF7d111RCin. u ?i vvvnli ? 13 Garage/Accessory o- •"20 Public Facility o -14 Fireplace ? .21 Miscellaneous. ? 15 Deck <.. ... _,:.....; n f - ` ..?....- ..,. ?.? L. .l?.t_. ?. _ _ -i .-,.___._,..._.,.._..._...,v,.....Y.,.._..__.._..`.?..-_._.-....._.-....?...__1."_"y_ ". . ,.., . » .. , p .,, . _ . ?-?.._. 33 Alterations ? 36 Move 34_Repair_. __.?_ ._.. 0._.37._DemolitionL.__.._.. GENERAL INFORMATION _,..__ ..; ?_ -'?... .:'. _._T__,_,-:?' ??• ,`,.t3 ?? ConstM (Actual)? " - :Basement sq. ft. ?MC/VHS"System (Allowable) ? ' Main level sq. ft: ' City Water UBG OccuPancY---e._ _ ", •?'?_.???I s, ft Fire Spiinkiefed Zoning sq. ft. ? ? „A? PRV , , •v;?,s?t, # o[ Stories__.. __.. _?.._... gg uft:_..._...__.. _.. ,,Booster.Fump • Length sq. ft. Census Code. DePth__.„.,...? _._...._.?... °; Footprint sq:ySAC Code.: ,.Census Bldg'. _,. Census Unit APPRO S ' .!i? u'°'J : 1 ?i e • . '. Y- - . , i i?. "T ) }t.",B?i O??p? Enineerin , d,?r?g?--? ? ?-g 9 ' P1anning ??'?? - .. .-.-,. _ '?,»s.?.,«-:..x.:? •w', r.*t?:m.?_ ? .??_;:.+..ti.1;1.....::,:.:,,.:?,??„?. _??w; , _ , _ , ., ?•. _ P.ermit Fee? rt 7 Y-?7 S~ ' V=•"",aaluation: ., SI7fCf1'al'fJ@^,',"'.""','.m_r?E'„'. 4 •i? .?.,.....,,,,._? ... _ :?.,:; .T.. ?..si,^' '_? . ?.it•f7aL?lY?LU'?~ "'? `? ..3?`??.?r?`t..-.i?tb?.:'?,. • ?' Plan? Revievii = ? ? . :?,. ? _ • , ?.. . , , . ? ? ? ? ?_...w .? _ , . , . ?, . ? ??`?b?°????, _ '. .. _ ;..,?License?.-...r,?tt0;R0xt:?cOR? ? ???.. ? , . , ? ? ?•.. ?F.. °:3st?,ui, ?P. ? "?`???`.?. . F„ - wwr,Ur.«u:N4»W-a?"°.t?^+lw+'??i..n'r?±.+T-.?..+w'ww MCIWSSAC ._ ?' ;s :. ., ._. _: :'? . . ,; _ :?:. z•-. - - 7 7 7 7 ,:City:SAC....:,,.,.._ - ? i . _....._.... ::?:? _??tt•`?.SLL';?t?!1? ?,? i!. ;, , t _ . \ ? ;:.;:. ' Watei Conn. ? ?Water Meter;g z .??: ? ?? • ? ,r,-? , x ? ? -?_ Acct. Deposit S/W Pertnit, %;x P-.p•S/WSUrC{l,'d,rgiP•,. .a ..??. ,;=?F,;3"p ' ' . •_'!3?,?"i'w'7:? ???.F:;7;3? "r»iL`S•' ,L'..?:*.'F'i?Yi' "freatment Pi. . Road Unit._ ..; . ..._ _;, . . . , _ .. - - ` ? . :37P$tk, DeCt:,11`b of`l7?iP5 } t^J? t??..,,-.: Trails Ded. i? 1 ? V/??? ? . L .A... j .?? t4i t?Y .,.'31 i:} ."l?b . T°rY.xW! 1118r ?-? ? ? S? '?? ??? ? .? ? ' ' - - ---Copies--._....._: Total: .. , . : .• . . . ;. 9b SAC " _' , . : ? _ , SAC Units ?F€#''Y - , r• , . :r? . . . .. ? L BL CITY USE ONLY ? sUao ??da .1i4? ?d RECEIPT ti: l? -7q d 5 _ RECEIPTDATE. /"dS- Cv) _ PERMIT# ._,UOSlI 2000 PLIJM$INEi P£iiMiT (RESIDENTil°kI-) crrYoP eAsRx seso eaor icxos gn EAfiAN, MP 55122 851-8$1-4675 Please complete for: ? single family dwellings > townhomes and condos when permits are required for each unit ? backflow preventer Eor underground sprinkler system rnru s TOTAL rinI vrtoa Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tu6 $ 3.00 X $ Floor drain 3.00 x = $ G85 i in OUtlOt ' minimum -1 3.00 X = = $ $ Hot tubls a 3.00 X = $ Kitchen sink 3.00 x ° $ Laund tra 3.00 x = $ Lavato 3.00 x $2 tic S stem newftefur6fshed ' iequires MPC lic. 75.00 x - $ Se tiC S Stem abandonment 30.00 X = = $ $ RpZ new installationlrepairlrebuild 30.00 X Rou ho enin 1•50 X = $ $ Shower 3.00 x = $ Under rounds rinkler ifdwellin isunderconstruction 3.00 x = $ Under round s rinkler ifezistlngdwellin 30.00 x = $ W ater closet 3.00 x = $ Waterheater 3.00 x - $ Water softener if dwemn undercomtruction 5.00 x = $ Watersoftener iteztsun dwewn 30.00 x Water tumaround 30.00 x -- - > > 50 $ State Surcha e ,50 --> --- ---- . Total Reminder: Cail for inspections of alterations, i.e. water heaters, water softeners, etc. . ?------------------------------- •------ --••-------------...-------------••----------------------•-----------------------•--------?------ I nereby acknowledge that I have read Ihis applicatlon, state that the information is correct, and agree b comply with all applicable Cityof Eagan ordinances It is the applicanCs responsibility to nobfy the property owner tha[ the City of Eagan assumes no liability for any damages caused by lhe Ciry during its nortnal opereGOnal and wdhin City propertylrighFOf-wayleasement. SITE ADDRESS OWNER NAME: WSTALLER NAME- STREET ADDRESS: CITY: CARTER,TOM 1764 KARIS WAY EAGAN, MN 55122 (651) 454-6201 TELEPHONE #: (AREA CODE) TELEPHONE #: (AREA CODE) ST ZIP: SIG E OF PERMITTEE 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 ? New Construction Reauirements RemodellRepair Reouiremerds t- Oifice lJse OnN 3 registered srte surveys showing sq. ft. W lot, sq. fl of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20°h maximum lot coverage aNowed) 1 set of Energy Calculafions for heated additions Tree Pres Plan Rerd _ Y_ N_ 2 copies of plan showing beam & window sizes; poured (ound design, etc. i site survey for addNOns & decks Tree Pres Required _ Y_ N lsetofEnergyCalcuWtions AddRion-indicafeilonsitesepficsystem On-siteSepticSystem _ Y _N 3 copie.s of Tree Preservation Plan 'rf lot platted after 711193 Rim Jaist Detail Options selection sheet (bldgs with 3 orless units Date 3 / 10 /io ConstruMion Cost 0 () C) C) Site Address Unit/Ste # ?-t (o FS 1 ?-} la FSS -i ?r ?S-r? ?-' Description of Work ? C,t D- L ? U lIJ-5 Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner l ? /? _ d?f? i YS'- lJ-SS25 CA•?Y?fephone #(?i Contractor Address C City 'F)? k V VlS \J State Zip Sj 33'? TelepLone #(9"S? COMPLETE TIi1S AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Categorv 1 . Residential Ventilation Category 1 Worksheet (Jsubmissiontype) Submitted • Energy Envelope Calculations Su6mitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y_ N If so, 25% plan review Telephone #( Telephone #( I hereby apply far a Residential Building Permit and acknowledge that the i that the work will be in conformance with the ordinances and codes of the is complete and accurate; ¢an-and_the-State of MN Statutes; I understand this is not a pernut, 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 work which requires a review and approva?lof plans. 1 Applicans Printed Name Applic Ys Signature A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet SuhmiKed OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? OB 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 48 Windows/Doors ? 34 ReplaCement •Demolition (Entire Bldg) • Give PCA hantlout to applicant Valuation Occupancy MCES 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 REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests Final _ Framing Siding _ Stucco _ Stone _ Brick _ Fueplace _ R.I. _ AirTest _ _ Final Windows _ Insulation _ _ Retaining Wall 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 Building inspector I~ "Y t` L~ X1/7 j For Office Use I City of Ea on Q i Permit 11 Q 6o0 I Permit Fee: - S 3830 Pilot Knob Road J Eagan MN 55122 I Date Received: I r Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: / 2009 MECHANICAL NICAL PERMIT APPLICATION Date: l ! Site Address: 11/ (p , U X A y Tenant: Suite RESIDENT/ OWNER Name: k n Phone: 4r5 "46" ` t Address / City / Zip: G CA CONTRACTOR Name: -rL J I L&-, A30 License Address: (,1 b 6.11 f- &A City: ~AJ State: VA/ Zip: Phone: Contact Person: acn TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: T4 L f MAC Cult. L.f 4- Ps NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction _ Interior Improvement Air Conditioner Install Piping Processed _ Air Exchanger _ Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install / _ Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ~ $ 450 •y`0 TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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 understand this is not a permit, but only an application for a permit, and work is not to start without permit; t t the work will be in accordance with the approved. plan in the case of work which requires a review and approval of plans. 4!'~.Wr X Applicant's PrintedName App `s ig FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground _ Rough In -Air Test -Gas Service Test -In-floor Heat -Final T Exterior HVAC Screening Inspection ~ + ~ l ~ taw r~'Y ; sea ~ 4 ~ d, ~ t w~. y , . ~ 1 k ~ . ~ F . 4 ' ~ ~ ~ y 4°.. ,r _ °t »+"y ' ~ ~ ,x ~ . r a a R °;'s s fl ti For Office Use I Permit I r I I City of Eana n G~ I 3830 Pilot Knob Road I Permit Fee: Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: j ---------------J C~ 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ~ 0'~ Site Address: 1-:) Tenant: Suite RESIDENT / OWNER Names J (1-4-n JQ Phone: Address / City / Zip: CONTRACTOR Name n License Address: C~A L) City State:" ~_j Zip:, ~t Phone Contact Person: TYPE OF WORK - New 1>_Q Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) Main _ Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge) `Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New 1$10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be i n ance 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 ork is t to star out a ermit; that the work will be in accordance with the approved plan in the case of work which requires a revi val of pi s. x -L,)A Applicant's Printed Name Applica is ign ure FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink r-------------- t~ I For Office Used" } .ry I Permit t z l°" _ I City of Ea I Permit Fee. 3830 Pilot Knob Road I I r I I . Eagan MN 55122 Date Received. I I Phone: 651 675-5675 I I Fax: (651) 675-5694 I Staff: C 7/' I I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _ Site Address: Tenant: Suite RESIDENT / OWNER Name: Phone: f, Address /City/Zip: ' Applicant is: Owner- Contractor TYPE OF WORK Description of work: Vz ~ e Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name:'". License Address: /1~~'~ City: State: K,~j Zip: S 3 Phone: r~ Contact Person: 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 conclude that the 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan' in the case of work which requires a review and approval of plans. JV X / v 14lal G~ x / Applicant's Printed Name App 'cant's Sign ture - Page 1 of 3 Use BLUE or BLACK Ink r For Office Use Permit City of EaEd~ I I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIA/L~ BUILDING PERMIT APPLICATION Date: D 7 /3 Site Address: lwr/ Y - )14w//t Unit Name: Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner X Contractor Description of work: T/ l~ Type of Work Construction Cost: Multi-Family Building: (Yes / No ) Company: /0 Contact: e YrG'1,,Y,ek? 4 Contractor Address: ,4 City: State: / Zip: ~~33 Phone: L I~'~~6 < L License 0~ -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 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.clopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of 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 ke~ x Applicant's Printed Na a icant's S ature Page 1 of 3 Use BLUE or BLAGK Ink --------------, � �Of�CB US@ � Uib U�� ll j PertnR#: ��"T Ot O � i 3830 Pii�t Knob�ad �v�� d � � Permit Fee: • � Eagan MN 55122 JUL 1 1 2014 i _ //�/ Phone;(651)675-5675 i Date Received: � Fax:(651)675�5694 �Y, � � � Staif: � ��..��..��.�.�.�.�J 2014 NlECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of ptans with afl commerciaf applica#ions. Date� �' 9 4 /�T Site Address: ��" �/�" /�I�I' / Q., �� ct ',� r��L �. ;�� . _�_ Tenan�_ �v� ��„��,�,, �p ,� �,� t�.YI Suifie#: j. .�� , a _ . � �- � U h 7�3 Y'.�'�' �?� � � ' Name: � ,�� i{ / � �h1 ��_ Phone: �' '` � Res�dent/Owner = . ; t Address I City!Zip. �6 7/�(.r3 -° � ��,a �'" ��,, ��'r:�1 sr� � c�.-l�C S 5 } �,r �a_.... � .� , .�va _..,_�. . � �,�-q _. _ �.� _ � ; � ; Name. J F ` � � �icense#: � � : : Address: Q��' f i/Q �i � City_ � ,c � � Contractor �� ' � r� � � Stafe:�Zip:�3� ,� Phone: ��' d �'� -'��,� . , : Contact: " �fi�°G+'� Emait: S� � : [/ 9 J/ � �;.�... ,.,.. .,.s- . ,.�::.z . .r.. � _ � -.gm,�.mF,:�w�.,., .. ..��,e.,��.... � . . . . . _ . � . � . .. . . � New �Repiacement Additionai Alferatien Demaition = °� � � Type of Work v �escription af wo�c: �d- f� ,, �.,��m � .� � ; NOTE:Ro�maur�ted and ground mouribed hanical equipenertt is requie+ed�be scr�eer�d by City ; Code Please con#act the Mechanicallr�spectnr for irtformation on permitb�sc�+eereittg t»effiotls. � ,,, ,,��- , , ...,: . . _G�. . ;� �._,��,. �.�,�u..�,�,..��4F��.�� ,�,.�� .,x�.,�,_..a..�..,��.� REStDENTIAL � COMII�ERGAL � � � i !� Fumace ; New Construction interior improvement � ` P@�"1111t TY� , ---=�Air Condifioner � Install Piping Processed ` ; �Air Ejcchanger ;� �s F�cterior HVAC Unit � �, # _____Heat Pump r �t�nder/Above ground Tank (_tnstait/^Remove) � k` � _Other e > , �x _-..- _ „� �� .�. . .,�..�� — _.__ �..�-r.�-,.�..�� _-,��.,�_..�..�.,�..-�.-..�.�.��..�-��Y<�.,a-�.4r�- ' � RESIDENTIAL FEES � ' � $60.00 Minimum Add or aiteration to an exist+ng unit{inGudes$5.00 State Surcharge) � . � $104.04 Res�dentia!New(inGudes$S.Od State Surcharge) _$ � � � (?� TOTAL FEE � �.�:.�_.�-�,� -._�—,�m..��.��:,�,-�.�.x. _ � COMMERCIAL FEES . _ Co�et Vatue$ x.01 � k $55.OQ Permit Fee Minimum fi � $70.00 Underground tank installatioNremovai =$ Permit Fee � � '`tf contract value is�ESS than$10,01 Q,Surcharge=$5.00 =� Surcharge* � *`tf contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 � �� '�'"'If the project valuation is over$1 miilion,please cai!for Surcharge _$ TOTAL FEE ..�-��:. ,�,.,-�.�--, � i hereby acknow�dge that this information is complete and accurate; that the work witl be in canformance with the ordinances and codes of the City of Eagan;that 1 understand this is not a pertnit,but oniy an application for a permit,and work is not to staR without a permi�that the work will be in accordance with the approved plan in the case of work which requires a review and approval af ptans. x t�v�e.r� Sre, ��r� X �.,� � ApPiicarrt's Printed Name Appiicant's Signature fQR OFFICE`USE Required inspections: Reviewe�d 8y: Da#e: ' Underground Raugh in Air Test Gas Service Tes# in-ftoor Heat Final HVAC Screening> PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA146931 Date Issued:11/22/2017 Permit Category:ePermit Site Address: 4681 Hirta Pt Lot:2 Block: 01 Addition: Ridgecliffe 3rd PID:10-63982-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Shannon L Zigmund 4681 Hirta Pt Eagan MN 55122--263 (651) 226-8764 Blue Sky Mechanical Llc 41531 237th Ave Le Center MN 56057 (612) 756-2255 Applicant/Permitee: Signature Issued By: Signature r For Office Use `� ‘4% 44, lo:„, E AG A k Pemrit#: / /z2 -7 / �� Permit Fee: r`. Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ECEIVE 1 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionst'c�citvofeagan.com APR 2 2 2020 2020 RESIDENTIAL BUILD NG EE MI APPLICATION i(o$1 RI ITA PT. 6 €4204Wi l...Sr Unit#: Date: "1 r��o'��/�C3 Site Address: Name: HQ rntcJ1J.62 Phone: Resident/owner '[�t ��J Q.� Address/City/Zip: Ikea t ii f2-TA P ♦✓1 14.,iv Applicant is: Owner ✓Contractor g i L&E c I i (ic__ Type of Work Description of work:12F � Iv E P.-FP/ ACE CO&ICR.6 a rao#JT- Construction Cost:,v,ROOeOO Multi-Family Building: (Yes ✓ /No ) Company: EN.S diki TeS— LCE '�� Contact: ck A g. 'k -�. 11-ea. Contractor Address:155417(c SeL! Ice-L. 0119City: APIA VA/ r=`'/ mail��'`�~''r 1�DdTF �� State:Q�,Zip: s/ � Phone�� (c�e�� r License#: Lead Certificate#: If the project is exempt from lead certification, please explain why:loo LeRA etAtrielereL 12CinOt2FL , l)2 USFt. 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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. 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.gooherstateonecall.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. r 110 E-14keg -. . _ ,4 wiew,- Applicant'st1Printed App cant's Signature DO NOT WRITE BELOW THIS LINE q6 6 ) /-I- e.4A i 1- • /z2 7 7 ' SUB TYPES Foundation Fireplace _ h orc P (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 — Interior Improvement _ Siding Demolish Building* Addition Move Building Reroof Demolish Interior — Alteration _ Fire Repair Windows _ Demolish Foundation — Replace X Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation -$ZrOc'C) Occupancy X p y Trer- MCES System Plan Review Code Edition 2a2o�4>z-2e SAC Units (25%_ 100%_) Zoning e-3 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Vr-3 V13Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) ?< Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water Final Pool:_Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final Siding: Stucco Lath _Stone Lath Brick EFIS Insulation Windows Sheathing Retaining Wall: Footings Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: / ./j , Building Inspector RESIDENTIAL FEES SoP ,cepa i Base Fee Surcharge Coo `mac I,ui%V t/' t�, Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3