4691 Hirta PtCITY OF EAGAN Remarks
adaition? Ridqeclj.ff 3rd Addn Loc 4 Blk 10 Parcel #10 63982 040 10
owner Street _ 1758 Karis WaY state Eagan, hIIV 55122
;? -
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. '
GRADING
SAN SEW TRUNK 1990 i O 1 2
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATEFi AREA
STORM SEW TRK 1982 246.22 5 246.22 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
1 R/R/Ro
WATER CONN. 305.00 20373. 8/8/80
BUILDING PER.
SAC
PARK
CITY OF EAGAN
Addition Ridgeelii?31r? ??Eln. Lot I Blk ??-Parcel tt1V 02y04 Vlu 1V
Owner t'4: _k,: Street - 1760 Kari s Way 5tate Eaga.ll, MN 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 3EW TRK 1982 246.22 5 246.22 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
185.00 20373 8 8 80
WATERCONN. 305.00 20373 $/8/80
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition Ri dgec li ff 3rd Addn _ Lot 2 elk 10 pa,,,l #10 63982 020 10
owner street 4691 Hirta 4lesx? 03v ` State Eagan, MQV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTpR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATEFiMAIN
WATER LATERAL
WATER AREA
STOfiM SEW TRK 1982 246.22 5 246.22 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
185.00 20373 8 8/80
WATER CONN. 305.00 20373 8/8/80
BUILDING PER. 6079
s,ac 525.00 20373 8 8 80
PARK
CITY OF EAGAN Remarks
Additiom RidgPdi ff 3rri Add1z Lot 3 Bik j Q Parcei #1 n6.,;982 030 10
Owner )' '` VHno;A. 5treet 4695 Hirta-Rea& State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1982 246.22 5 246.22 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. 6080
sa,c 525.00 20373 8/8/80
PARK
. • ' . , PERMIT # ?j r, j (r ,r
MECHANICAL PERMIT ?G LL ??,
GIT1l QF EAGAN RECEIPT # 7
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
?
CONTRACT PRICE: r PHONE: 454-8100
Site Address
BLDG. TYPE WORK DESCRIPTION
Lot j Block Sec/Sub
?
? ? Res. J
New -
?
Mult Add-on -? ?
_ Name
°-' Comm. Repair
m Address
c City Phone aher
FEES ;
Name RES
HVAC 0
BTU
,
-100 M
-$24.00
Address ADDITIONAL 50 M BTU -6.00
?
4 CitY Phone (RES. HVAC INCLUaES A/C ON NEW
CONSTRUCTION)
' GAS OUTLETS (M1NiMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK ?
COMM/IND FEE - 1°!o OF CONTRACT FEE
ForCed Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU ? ? MINIMUM COMMERCIAL FEE - 20.00
Vent . STA7E SURCHARGE PER PERMIT - .50
. CFM ? (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Qutfets # $ BEYOND $1,000)
Other
FEE:
'
S/C: ? ITTEE
TQTAL: .7
A
FOR: CITY OF EAGAN
CASH RECEIPT •
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MIPJNESOTA 55122
DA7E
19
RLG BI V ED
FRpM
AMOUNT $ I
? CASH ? CHECK
DOLLARS
100
FOR ? ? ? ? O
White-Payert Copy
Yellow-Poatiny CoPY
Pink-File Copy
Thank You
B Y
?? U
cirr oF Er?G?N
3795 Pilof Knob Road
No. Eogon, Minnetota 55122
Phone: 454-e100
PERMIT
Date:
LO
Site Address: 1760 Ksrie Way
• r?Lot ? Block _ Sub/Sec.
Name Orrin i har_tpson Fioraes
.
g Address ' 'li ".0"1:J.I.S
?
+
' ' '. o+ ?ELr - • Phone: .?
City
Name . 'N@?-tE?.' _:En1.lr:f.
.
? Address 4637 TMIC£,j*O :'J•
Clty ,' - Phone:
This Permit is issued on the express condition thot oll work shall be
Minnesota Statutes and City of Eagon Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
_ ., ,
Receipt No.:
Single
Residential L
Multi Res., Comm./Ind. I
New/Alter./Repair. Cost of Installation
Permit Fee Surctwrge
Total done in accordance with all oppliceble State af
Building Officiol
- cirY oF EAGAN
• 3795 Pilot Knob Read
No. Ea9an, Minnesota 55122
Phone: 454-8100
PERMIT
Date: 9-16-8o
Site /lddress: 1750 LarS S
Lot Block I Sub/Sec.
°,icigecliffe :3
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residential - •'
Multi Res., Comm./Ind.
Non,e ')rrin Thompson fiones
New/Alter./Repair. ? Address 171-0 :iapkiris Crsrcl. Cosr of Insrollation
?etonka ?„(n. 7?:.;-
City ` ? Phone: " Permit Fee
}?V €LIl .
Nome Surciwrge
.
? Address '-rt ir.
e
? Ci t Phone: tY ' Total
This Permit is issued on the express condition that all work shall be done in accordonce with ell applicable Stote of
Minnesota Stotutes and City of Eogon Ordinances.
Buildiny Official
cirr oF eaGaN
. 3795 Pilot Knob Rood Eagon, MN 55122 N2 6078
PHONE: 454-8100
BUILDING PERMIT ReceiPt #
Te ba used for Est. Volue Oate , 19
Sffe Address _ Erect 0 Occupancy
Lot Black Sec/Sub. Alter ? Zoning
Porcel # Repoir ? Fire Zone
Enlarge ? Type of Const.
Nome r-"i.? i?1r'-'I??'on Move ? # Stories
W
3 Address ?`r1.2 :-j01??''. Demolish ? Front h.
U ?ity '`? ?ZiletOn;, PRone 544-7333 Grode ? Depch k.
? Name
o
u? Address , J. .
?- r:.., a?..,.,e
Name _
Address
I hereby ocknowledge that I hove read this opplicotion ond stote that
the information is correct and agree to comply with oll opplicable
State of Minnesota Statutes and City of Eognn Ordinances.
Water & Sew.
Police
Fire
Eng.
Plonner
Council
BId9. Off. -
APC
Fees
Permit 1 '
Surchorge ?
Plan check
SAC -
Woter Conn.
Woter Meter
Road Unit
Total 1,259.75
Siflnature of Permittee I
A Building Permit is issued to: = on the express condition thot
oll work shall be done in accordance with all npplicnble 5tote of Minnesota Statutes and City of Eagon Ordinonces.
Building Officiol
Pamit # osM iwned hnaitfN
Plumbing
MeFhoniccl
--,,, Cl'
INSPECTIONS DATE INSP. Rqryh-In Finol
Footings 11-27- r0 Date Insp. Dcrte Irap.
Foundation Piumbing
Frome/ins. -? ?/--/3 -`d0 MecFanical
Fincl b/ '
i
Remarks: 2?d -?.--..6,11?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
t tAY
, { It I t i 1 1 ;j<?+
PERMIT SUBTYPE:
? 0111 ; 1 f? 1..
fi(+riF 1NI+
I ,: MA itY S:. I N+:1 41t)E 5
ON
;CORD?
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
1l1 'i.I, k i I I O+N
l ltafb KAlt 1'; WAY i t.ili tI
4 641 li i 3i iA S• T ( 1 o1:' )
1}1 }2iA f't t t 0 1
tsiliJ IlfNr•i
H; is7t>ol
0n I 1. t t06
RFPAtR
?
(Pno F I NO
?
Pcrmit No. Permit Holder Date Telephons #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEAT{NG
GAS SVC
TEST
INSUL
GYP BOARD
F4REPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FIIVAL iiTG
ORSAT
TEST
L
BLDCi FINAL r?n
BSMT R.I.
BSMT FINAL
DECK FfG
dF_CK FINAL
I
?
• CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 6081
? PHONE: 454-8100
BUILDING PERMIT Receipt #
To ba med for Est. Value Dote , 19
Site Address Erect p Occupancy
Lot Block $ec/$ub. Alter ? Zoning
Porce) # Repair ? Fire Zone
Enlarge ? Type of Const.
Name Move p # Stories _
W
3 Address
I demalish ? Front ft.
_ ?. .
0
City Phone Grode ? Depth ft.
0: Name Approvals Fees
a
Assesstrent - - Permit
u? Address Water & Sew. 5urcharge
~ Ci Phone
Police Plon check -
FW Na^? Fire SAC
?? Address Eng. Water Conn.
<W Ci Phone Plonner Woter Meter
Council Rood Unit
I hereby acknowledge thot I hcve reod this appiicotion and stote that gldg. Off.
the information is correct ond ogree to comply with all applicoble
APC
Totnf
Stote of Minnesota Stntutes and City of Eagon Ordinances.
$ignoture of Permittee
A Building Permit is issued to: ' on the express wndition that
oll work shall be done in accordance with oll appliwble Stute of Minnesoto Statutes cnd City of Eogan Ordinances.
Buitding Officiol
jlr
r+mff # DaN luned ?a+slMw
Plumbing
Mechanicol
INSPECTIONS DATE INSP.
Rough-I n
Finol
Footings Date Inap. Dote Inip.
Foundation Plumbing
Frame/ins. -86 - 3 -8C Mechanicol ?
Final
i
Remarks: /8-1?- ve ?-- ?;, -/0-$0
_ cinr oF EAGAH
, 3795 PiFot Knob Rosd
No. Ea9ap, Minwesote 55122
Phon.: 454-8100
PERMIT
Date:
Site Addreu: '
Lot Bixk ? Sub/Sec. `-i%i,?eC1i:?fe
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
_ y
Receipt No.:
Single ,
Residentiol ?1?
Multi Res., Comm./Ind. I
T-lOfIIp9021 ltOL'IeB
Name New/Aiter. / Repoi r
.
?'lpk 71? 2"Si• •
? Nddress Cost of Instollotion
City . . Phone: Permit Fee
Name ?ielter :i(:fltir,4" .
? Surthorge
? I' .I i:C3f'G • ' -
? Address '
V - ,:-
City . Phone: . - i Total
This Permit is issued on the express condition that all work sholl be done in accordance with all opplfcable 5tute af
Minnesoto Statutes and City of Eagan Ordinances.
Building Officiol
CITY OF EAGAN
3795 Pilof Knob Road
Eosen, Mlnnesota 55122 INSPECTOR NOTIFICATION
No. Phone: 454-8100
REQUIRED BY LAW
FOR ALL INSPECT40NS
PEAMIT
Dote: Receipt No.:
Single I
Site AddresS: ' Residentiol •
Lot Blxk $ub/Sec. Multi Res., Comm./lnd. I
Name New/Alter./Repair
qcp Address Cost of Installotion
City '?•ox' Phone: '?'' " ` Permit Fee
Name Surcharge
?
? Address 745 ' ' •
e
0
V -
City . - ? ; . Phone: ' :'. i Total
This Permit is issued on the express condition thot oll work shall be done in occordance with al) opplicAble StCte of
Minnesoto Statutes ond City of Eagan Ordinonces.
Building Official
-?---?,
Reoeipt PLUMBING PERMIT Permit No.,?
'
CITY OF EAGAN -
Fee
Fill in numbered spaces S/C i
Type or Prrnt /egib/y Tot. ?
1. Date 2. Installation Cost ?
3. Job Address ' - Lot ,7, Blk. r0 Tract
4. Owner ? 5. Contractor _ ?• Phone
6. Address
7. City _ State ' Zip
8. Building Type: Residential ? Commercial ? Institutional 0
9. Work Description: New ? Add ? Alter D Repair ?
10. Describe
11,
No. Fixtures
Water Closet No. Fixtures
Ce
l/D
i
fi
ld
Bath tubs sspoo
ra
n
e
Se
tic Ta
k
Lavatory p
n
S
ft
e
Shower o
n
r
Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
&k-l
CITY OF EAGAN
3795 Pilot Knob Road Eogon, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
Te 6a used fm _ . Fd Vnhin ?. .,`.r nnfo
Site Addn
Lot
Porcel #
Block Sec/Sub. Pid?,'CCliffe 3
W iName ?Irrin Thormson HameeB
I Address
tr,nkm . ?An SL-.-71 -3
p Name
?
?< Address
?
?- r:*., at,,,.,e
Name
I hereby acknawledge that I have read this application and stnte thot
the information is correct and agree to comply with all opplicable
State of Minnesota Stotutes and City of Eogon Ordirsonces.
N°_ 60$0
Erect [I Occupancy
Alter ? Zoning
'S
Repair ? Fire Zone
Enlarge 0 Type of Const.
Move p # Stories
Demolish 0 Front ft.
Grode ? Depth ft.
Anorovals Fees
AssesSinent "- - Permit
Water & Sew. Surchorge
Police Plon check
Flre 5AC
Eng. Water Conn. 'n
Pfanner Water Meter
Council Road Unit
B Idg
Off
.
.
APC
Totol
Sipnoture of Permittee I
A 8uilding Permit is issued to: on tha express condition that
oll work shall be done in ocwrdance with all applicable Stute of Minnesota Statutes and City of Eagan Ordinnnces.
Building Officiol
Permk ? Doh Imed PvM11iM
Plumbing
Mechanical
INSPECTIONS DATE INSP.
Rauqh-In
Finol
Footings Date Insp. pote Irnp.
Foundation Plumbing
9
Frame/ins.
Mechoniwl 7
Final
Remorks: ?dw?F? ?
/ /a_$a
? CITY OF EAGAN
3795 Pikf Keob Road
Eegae, Minneaota 591?
No. phewa: 464-8100
' mb irir PERMIT
Dote:
Site Address:
Lot s
4695 Iiirta Pt.
Block 1 ? Sub/Sec.
Ridgecliffe 3
Nome ? ''"iz1 T71a[ttpeon Aom
; Address 1712 Hapkins Crsrd.
O
"' lu"letonLa.? 1,Qn. Phone• `'44. '1333
CitY .
Nome ;,.'?i2 R,Yti.*1
.
? Address lc.7l*5 : ?_c;7EI't "'
? . ?.r- ' . . .I r.
City Phone:
This Permit is issued on the express condition thot oll work sholl be
Minnesoto 5totutes and City of Eogan Ordinonces.
)_16-80
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipf No.: ?
Single _ I
Residentiol
Muiti Res., Comm./Ind. I
New/Alter./Repoir
cost ot Insrollarion
Pem+it Fee
?..
Surcharge ' Totol
done in xcordance with oll oppliooble Stote of
Buildin9 Offitiol
CITY OF EAGAN
3795 Pilof Knob Read
Eogen, Minnesoto 55122
No. phene: 454-8100
PERMIT
Dote: ' r)-15-
Site /uldress:
?
LOt J
4695 Hirta Pt.
Ridpecliffe
Block $ub/Sec. ?
Name Crria ''hor.ipson Hotnes
-
Addreu 1i1;_' ?iophins Crsrd.
°e
? _riratoT1k8.. City Phone:
1,yelter ";eatin^
Name
.
? Address
City Phone:
This Permit is issued on the express Condition that all work sholl be
Minnesoto Stotutes ond City of Eagan Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single ?. of ?. plex
Residenfial
Multi Res., Comm./Ind. I
New/^Iter./Repoir
Cost of Installotion
Permit Fee
Surchcrge Total
done in accordance with all applicoble State of
Official
:. , ,. CITY OF EAGAN
3795 Pilat Keob Rood Eagan, MN 55122 N2 6079
PHONE: 454-8100
BUILDING PERMiT
Site Address
Iz
Lot Block Sec/Su6:- ••• ?•F,•.•.y+• . `
Porcel # i?r.rPenrrl?r±
aWc Name
3 Addre
0
8 Nome _
r
?? Address
r r:.,,
Name _
Address
I hereby acknowiedge that I have read this application and state that
the informution is correct and ngree to comply with oll applicable
State of Minnesota Statutes ond City of Eagon Ordinonces.
Receipt #
Erect
? ?
Occuponcy '
Alter 0 Zoning
Repair 0 Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode p Depth
Appro vols Fees
Assessriiefit Permit `r
Wuter & Sew. Surtharge
Police c
Plon check
Fire SAC
Eng. ?? .
Water Conn.
Pl M
W
anner ater
eter
r,
Council Road Unit
Bidg
Off.
.
APC , , ,- -
Totat
Signoture of Permittee ?
A Building Permit is issued to: on the express condition that
oll work sholl be done in occordance with oll opplicable State of Minnesoto Stntutes end Ciry of Eagan Ordinances.
Building Official
Pemk # Oefe Mnd Poadltw
Plumbing
Mechonical / /G
_? i, ci °r 7 k/ 7 //
I
INSPECTIONS DATE INSP.
Rouph-In
final
Footings g-;2?-X Dafe Insp. Date Irap.
Foundation Plumbing
Frame/ins. ??- Mechanital
Finol -11 _ '
Remarks: lV `3 46)^'0'• .4e 9- /d- $4
?
. . } cirY oF EAGAN
3795 Pilot Knob Reed
No, E°g°", Mi""°'or° 55122 INSPECTOR NOTIFICATION
Phone: 454-e100 REQUIRED BY LAW
FOR ALL INSPECTIONS
PERMIT
Dote: Receipt No :
.
$ingle I
SiM Addrcu:
-
- Residential
Lot Block I ' Sub/Sec. '. " i- :' ^ ". "`'
Multi Res., Comm./Ind,
I
Narne 11•intTYicumson F01 ". New/Alter./Repafr. '
.
; Address Cost of Instollotion
O
City 11iI1B?IlkB, Y^ Phone:
Permit Fee
? Nome SurcFwrge '
?
g Address
e
? City - - - Phone: - '" ? - Totol
This Permit is issued on the express condition that oll work sholl be done in occordanu with all cpplitobla 5tote of
Minnesota Stotutes and City of Eagon OrEinances.
Building Officiol
No.
Oote: i - ,
Site Address: 1.2' t:t
Lot Block Sub/Sec.
Nonw ? :•rln '"hotnsor_ ficr:es
g Address !?12 1"pUkl7x
?
City ``'tOTlkft, 1.-_ Phone: -
Nome a" ?"lel.ter etef.t,t",
.
? Address 4,)37 Ch.i cn7o t,V@ .
0
61 ,
City Phone:
This Permit is issued on the express condition that all work sholl be
Minnesoto Stotutes ond City of Eogan Ordinonces.
aTr oF EAGAN
3795 Pilof Knob Road
Eagen, MinnasoM 55142
Phone: 454-8100
PERMIT
INSPECTOR NOTIFICATION
REQUI RED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single ` I
Residenticl
Multi Res., Comm./Ind. I
New/Alter./Repair. Cost of Instollotion
Permit Fee
$urtharge
Total
done in eccordonce with oll applicable State of
Building Official
745 Pilot Knob Rood
Il ITY O?F E AGAN
agcn, MN 55122
oning:
wrrer:
ess:
te Address:
umber:
t N
e er o.: Connection Charge:
, ize:
d Account De
posit:
_ Reo
er No.: Permit Fee:
? 1 °9ree fo eompFy with fhe City of Eagan Surcharge:
Ordinonces, Misc. Chnrges:
Totul:
By Dote Poid:
Date of Insp.:
Insp.:
CIT'" f EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eayan, MN 55122 DATE:
' Zoning: No. of Urtits:
Owner:
Address:
Site Address:
?fumber:
1 r..•ee to comply with the City of Engon
Ordinanoee.
By
Date of Insp.: .
I nsp.:
.eEi
Connection Churge: -
Accovnt Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Tota I:
Date Paid:
CITY 4r' EAGAN
379v Pilot Knob Road PERMIT NO.:
Eogan, MN 55122 OATE:
_ No. of Units:
nin9,
0
ner: -
uress:
ite Address:
?Plumber:
' Connect+on Charge:
eter No.:
S; Account Deposit:
Reader No.: Permit Fee:
.1 agree to aampiy wiH+ the City of Eagon Surcharge:
Ordinnnees. Misc. Charges:
Total:
tlote Paid:
,By
'` Date of I nsp.: I nsp.:
WATER SERVICE PERMiT
PERMIT NO.:
DATE: ?
No. of Units: -
CITY OF EAGAN
3795 Pilot Knob Road
Eagon, MN 55122
Zoning:
I agree to compiy with the Ciry of Eagan Connection Charge:
Qrdinunoes, Account Deposit:
Permit Fee:
5urchorge:
gy Misc. Charges:
Date of Insp.: Total:
Insp.: Date Poid:
WATER SERYICE PERMIT
CITY CIF EAGAN
3795 Pilot Knob Road PERMIT NO.:
Eogan, MI'1 55122 DATE:
Zoning: No. of Units: ?
Owner: _
I
? . . ?i
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
_ No. of llnits:
No.:
to eompiy with the City of Eagan
Connection Charge:
Account Deposit: -
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
I nsp..
' SEWER SERVICE PERMIT
G'Tl( OF EAGAN pERMIT NO.:
g pil? Knob Road
? gae, MN SSIZZ DATE:
No. of UnTs:
oning:
ner:
;Address:
?$ite Address:
Plumber:
I ayree to eomply with the Cit7r of Eagan Connection Charge:
Account Deposit:
Ordinances. permit Fee:
Surchar9e:
B ? Misc. Chorges:
Y
Date of insp.: Total;
?
Qate Paid:
? I nsp.:
VIlATER SERVICE PERMIT
CITY OF EAGAN pERMIT NO.: ,
3795 Pilof Rnob Reud
MN 55122
n
E DATE:
'
,
oga No. of Units:
Zoning: ,r
- pwner:
Address:
;$ite Address:
'? Plumber:
Connection Charge:
1 Meter No.: t:
qccount DePosi
Size: Perm+t Fee: _
Reader No.:
; 1 agree ro tomply wiH+ the City of Eagan Surchurge:
_
Misc. Charges:
' Ordinaneea.
i Total: -
n Dnte Paid;
BY i
(nsp..
? Date of insp.:
SEWER SERVICE PERMIT
CiTY OF EAG/?M PERMIT NO.:
3795 Pilot Knob Rood
. pqTE:
Eagon, ?y1N 55722 No, of Units:
' Zoning:
, Owner:
Address:
'`-
-"-
Site Address: ------ -
Plumber:
Eagun
to eOMp1y with the Citr of Connection Charge:
it
I agree :
Account DePos
Ordinances. permit Fee:
? Surcharge:
Mi sc. Cha rges:
By ?- Total:
Dote of Insp.: Date Poid'.
I?sp.:
`-- -.. mmnesota state noam ot eiectricity ?
T ' Griggs Midway Bldg. - Room N791 t?
182?'Univxjsity Ave.. St. Paul. Minn. 55104 - Phone 297-2111
-REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
EB-00001-02
99376
Type ot Bullding New Add. Rep. Check Appliances Wired Foi Check Fquipment Wired For
Home ? ? Rartge Tempoxary Wiring
Duplex
?
El
Watei Heater
Lighting Fix Wies ?
t. Bldg. ? ? ? Dryer Etectric Heating ?
mme:cial Bldg. ? ? ? Furnace Silo Unloadec ?
Industrial Bldg. ? 0 ? Air Conditioner Buik Milk Tank ?
Farm List L
ist 1
Other
?
?
? p
peieis? p
y
HeieTSf
COMPUTE INSPECTION FEE BELOW
Semice Entrance Size: - Subfeedecs: # Fee C'vcuits: u Fce
0 to 100 Am s. 0 3 m eres 0 to 30 Am eres
IOI to 200 Am s. Am res 31 to 100 Am eres ,1u
Above 200 Amps: P bove 100 Amps. Above 100 Amps.
Transformers RemoteControlC"vc. Partialototherfee
Si ns Special lns ection Minimum fee
Remazks
TOTAL FE t7'J Q J
I, the Electrical Inspector
(Rough-in)
(Final) _
hereby certify/tfiat'the
has been maaE-?
Date /6 -16 -J J
This request void
18 months from
¦mm--
This reqlest void `/, C' 16/
18 months from
?? o c
27, SOt?
Date ol this Request 10 11 ' g6 Fire No. S 99376
I, as[KLicensed Electncal Contractor OOwrier, do hereby request inspection of the above electri-
ca1 winnkinstal]ed at:
eet Address or Route No. ??o ?_-ApS UH City 414
ion Township Range County ic-dal,
Which is occupied by
Is a roughin inspection required on this job? No ? Yeso4C,_ Ready Now ? Will CaUk
OCA
,PowerSupplier I`t7tl Address fAl4'AM'JDJ
Electrical Contractor Contractor's License NSM
(COmpany Name)
Mailing Address tqtl U4{1" (1p,
(EI 05 Contractor or Ownar Making This Installatlon)
Authorized Signature ?._ _ke? Phone No. i-5S0S
rr (? (Electrlcal Cantractor or wner Making This Instalhtlon)
q?,? )?j, ?"a ?? ?0??? ??p? This inspection request will not be accepted hy the
r?.,? fs State Board unless proper inspection fee is endosed.
This request void ?7
18 rtpnlhs trom ?
r`D o . !;.42 8 0 ! / /
9o7.
9-25-8'7 epwr d? yc, fleatly Now ?R'ill Novly, Inspec-
?yes +?NO tnrWhenReedV
JL?j LwenseA Elecincal Conlractor I heraby request mspecbon of ebova
? Owner eleclrical work installe0 et'
Sveet Atldress, Box or Poute No. City
' 1760 Ffaris Wa E an
ectmn o. Townsh?p Name or No. qanye No. Counry
OcpuVent IPflINTI Phone No.
Connie Mau
Power $upplier Address
Elec[ncal ConVacmr ICompany Namel Contracmr's Lucense No.
Lein Heating & Electric, Inc, o42468-6
Mailinp AdJress IContractor or Own¢r Mabnp InstailaUUN
6525 E. 170th St. Prior Lake, MN 55372
Auffionr Sipna[ure ICPnhactor/Own akrnp Instal bnn) Phone Number
447-2490
MINNESOTA STATE BOAflO OF ELECTRICITV O THIS INSPECTION FEQUEST WILL NOT
Griggs•Midwey Bldg. - Room N•191 0E ACCEPTED BY THE STATE BOAND
1821 Umversiiv Ave . 51. Vaul, MN 55104 UNLESS PPOPER INSPECTION FEE IS
Phone (672) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION /ee?-ooio?oCi-ons
? See instrucbons fqr tompleting tNS 1wm on batk of yellow copy.
?D' o-028 O "X" Below Work Covered by Ihis Request
k+...lnnal aeo.l Tvue o+ auiiains I ApPlmneae wi.ae I Enuiumant wi.¢a _I
Cond i ti oner
p Fee ServmeEnLancaSiie tl Fee Feadars/5ubienders b Fee Grcurts
0 to 200 Am s 0 to 30 Am s 0 to 30 An s
Above 200 qmps 31 to 100 Amps 31 to 100 qm s
Swimming Pool Above 100_Amps Above 100_Amps
Transtormers Irngation Boortos Partial-'Other Fee
Signs 5peciallnspecuon S
]
Q '
TOTAL E
Pem3rks .
.S
/O ?
?
Nough-in D''te I, the Ele
? InsOactor, he,eby
certify t?at tha above
Final inspec[ion has been
y AV moee.
(Nn request vob 18 monthe from
minnesota aece ooaro or oec[ricicy
' Griggs Midway Bldg. - Ftoom N191 EB-00001-02
1821 University Ave., St. Paul. Minn. 55104 - Phone 297•2111 W
?ELOW WORK CO ELECTRICAL
TH S REQ EST f ON al r S 9 9 3 7 5
Typeof Building New Add. Rep. Check Appliances W'ved Foi Check Equipment Wired Fot
Home ? ? Range
Iff Temporary W'ving ?
Duplex ? ? Water Heater Lighting Fix[ures ?
t. Bldg. ? ? ? ?ot
Dryei ?a Electric Heating ?
mmercial Bldg. ? ? ? Fumace ? Silo Unloader ?
dustrial Bldg. ? ? ? A'v Conditioner Bulk Milk Tank ?
Farm ? ? ? L
ist ) List 1
Other
?
?
? p
y
Heher$f o
F
Heieisf
COMPUTE INSPECTION FEE BF,LOW
Service Entrence Size: # Fce Fcede[s&Subfeeden: # Fee # Fa
0 to 100 Am s. t m eres D
101 to 200 Amps. t? 0 eces es
Above 200 Amps.
? 10 " Amps.
ps.
=100--Amps.
Tcansfoxmers
"R ' trol Circ.
fee-
Signs SpeciallnspeCtion
Remazks
-, ,
'TOTAL
I, the Electrical lnspector, hereby certify that tL?¢?above vnspectiofi? h2s 6ee?,m'???
(Rough-in) , Date _?___?,3 -a<--)
(Final) Date
7'his request void
18 months from
,/ ?
This request void ?'/ /n?
18 monibs froc:r
ot',P '
2'1, Se v
Date of this Request /c/a" /o Fire No. S 9937"
I; a icensed Electrical Contractor ? Owner, do here6y request inspection of the above electri-
cal irin instatled at:
§treet Address or Route No. Wi I`A o-i 5 W?t City_Qtla-
0-on Township Range County DoNa,
Which is occupied by
Is a roughin inspection required on this job? No ? Yes.R?_ Ready Now ? Will CalM
Power Supplier pfzk Address ?RH???G'?!'?
Electrical Contractor ??aA4 c- Contractor's License NdA:L?
(Company Name)
Mailiag Address E--
(EC cal ontractoror Owner Making This Installatlon)
AuthorizedSignature PhoneNo. ?-550c-
. (Electri<al ontractor or own r Makinq inis Installatlon) T?? ? ?` This ins ?tian re uest wiil not 6e acee ted b the
Sc? U ?d??RD CO[f" VState Boerd unless proper inspectian fee is enelased.
mimresoca axace aoara or necxrici[y
, Griggs Midway 81dg. - Room N797 ?
1827 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 ?
REQUEST FOR ELECTRICAL INSPECTION q
CHECK BEJOW WORK COVERED BY THIS REQUEST
F Type o % New Add. Rep.11 Check Aooliances W'ved For 11 Check Eauion
EB-00001-02
99368
Home I.J LJ Range p? Temporary Wiring ?
Duplex ? ? WaterHeater ? LightingFiactures yK
t. Bldg. ? ? ? Dryer Electric Heating ?
mercial Bldg. ? ? ? Fumace ? Silo Unloader ?
ustrial Bldg. ? ? ? Air Conditioner Bulk Milk Tank ?
Farm 0 ? ? List List 1
Othec
?
0
? p
Hehers? p
}
Hehersl
COMPUTE INSPECTION FEE BELOW
Service Entcance S'ue: # Fce 1 1 Fceders&Subfeeders: ;r Fee C'vcuits: n Fce
0 to 100 Am s. ) 7 0 to 30 Am eres 0 to 30 Am eres /'
101 ta 200 Amps. 31 to 100 Ampe[es 31 to 100 Am res 3 Ou
Above 200 Amps. Above 100 Amps Above I00 Amps.
Transformers oteControlCua Parttaloro[hertee c..
Signs S al Ins ction Minimum fee
Remarks TOTALF E? J"O OL
I, the Electricaf Inspector, hereby certify
(Final)
This request void
18 months from
has been m?
Date ik "- ?O
b%e .? /3 -?r_I (
Tfiis request void
18 months from a I(p y?`/ 31 SO ?
Uate of is ReqiSest W V 3 I'&0 Fire No. S 99368
I; a .Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri•
cal wiring installed at:
Street Address or Route No. qow l} te-TN PQ virr City_ EAW
0- on Township Range County ?Aicz-174
Which is occupied by 0
Is a roughin inspection required on this job? No ? Ye6!?- Ready Now ? Will Call CC
Power Supplier R?=id Address who (07(1J
Electrical Contractor ??ORZ" Contractor's License Nd:?
(COmpany Name)
Mailing Address ?911 E. Al r-r, N.
Authorized
Installation) ?
?hone No. !, 31fi•650.?
t? (cletlrKM6 altiorlHaccor or uwner maNing 1 nIS Insianailon)
??7 r„1 ?( ? ? D ?0?? This inapection request will not 6e accepted hy ffie
r, ?J w u Stete Board unless proper inspection he is endosed.
mmnesoca alace aoara or eIectticiry
n Griggs Midway Bldg. - Hoom N191 4 EH-00001-02
762i University Ave., St. Paul, Minn. 55104 - Phone 297-2171 p
C`HECK BEL<fW WOAKOCOV RED BY I THIS EQ EST INSPECTION S 9 9 3 6 7
Type of Building Ne Add. Rep. Check Appliances Wired Foi Check Equipment Wired Fm
Home ? 0 Range ? Temporary Wving ?
Duplex ? ? ? WaterHeater LightingFixmtes
L Bidg. ? ? ? Dryex ? Electric Heating ?
mmercial Bldg. ? ? ? Furnace
Silo Unloader
?
Industnal Bldg. ? ? ? Au Conditioner Bulk Milk Tank ?
Farm ? ? ? List Lis[
Other
?
?
? pthexs
Here Others
Here
COMPUTE INSPECTION FEE BELOW
Seivice Entcance Size: # Fee Feeders@Subfeeders: ? Fce C'vcuita: # Fee
0 ro] 00 Am s. 0 to 30 Am eres 0 to 30 Am e[es AN
101 to 200 1 to 100 Am res 31 to 100 Am res
Above 200 ' ps bove l00 Amps. Above 100 Amps.
Transforme emoteControlCuc. Partialoxother(ee
Si ns pecial Ins ection Minimum f
Remazks TOTAL EV, ?
14 ?03
I, the Electrical Inspector, hereby certif the a verm?ection has been m`ade--?
(Rough-in)_ J Date
(Final) Date
This request void
18 months from
Tlvs request void Z7, <'j 0?
78 months from S 99367
Date of this Request IQ (3?? Fire No.
!, asURLAcensed Electncal Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
et Address or Route No.
?ion Township Range County UAKv?
Which is occupied by
Is a roughin inspection required on this job? No ? YeEK, Ready Now O Will CahX
Oea
C;R Address Whkivd
Power Supplier F-
Electrical Contractor k'-L- Contractor's License Nd">x
(COmpany rvame)
Mailing Address q I l
( tH I Cont?actor or Owner Making This Installatlon)
Authorized Sir;nature tN-' Phone No. a,
(Electrlcal conSracSar or owner maKln9lnls Inscallatlon7
?'( j? A I I? p O?? E V QOp? This inspection request will not be accepted by the
rJ u u State Baard unless praper inspection fee is enclosed.
?.< " -- - -
? ' ,
CASH RECEIPT ,
CITY OF EAGAN
3795 P!LOT KN08 ROAD
EAGAN, MIUWOTA 5?2
n CASH
Y?)
19
/ISAli
Furvo cooe nMOUnr
42 ?J
/4
>3
Thank You s:??-l 5;e:5
gY
N° 203'73
?
d-rJ
?,A
:-7Val`?
CnPV
19 coPY
rv
? i
? CASH RECEIPT
? .? `....
CITY OF EAGAN ,
„3795 PJLOT KNOB ROAD
EAGAN, MI }E?OTA 55 2
0
? pA 19
?ces?veo ? ,
PP
AMOUNT $
•__DOILARf
[03 CASH CK
?1/d. . ? /`-?Pi ??!``x" •
•?no eooe .MOUHr
V / ? Ad
? hJ
?G
?Y 1L ?3 ?
/
3 ? .2? -r-)
Thank You s??r G? 7 V4?--
er
wnite-Peven Coov
N° 203'73
Vellow-Pwtinp CoPY
o;..6_cx. r ov
(Irr#ifirtttr of (Orrupttnry
Citp of (Eagan
IDrpurttttrttt nf BuilDing Aspcdicm
Tbi.r CMificate itrutd purrarant to tbe rrquirtmrnu of Sntron 306 of the Unrform Building
Code rMi f ring tGat at the time af ittuarat tbif strruture wat in com pGana witb the variayr
ordinarua of the City ngalating baildieg ronnrurtion w ux. Fa tlx folloudng:
un chwfi?w 1 of Q plex . j•`?dFPamm?No. 6081
o=warryw R3 nPC? V Flnf 3 z..4 ??t PD
bAw?,?. 1758 Karis Way L4„H10,Ridgecliffe 3
3-13-81
ro., ,. , .«a,,. ..,.
cirY oF EAGaN
3795 Pilot Kno6 Roed -'Fagan, MN 55122
PHONE: 454=8100
BUILDING PERMIT APPLICATION
N? 6079
Receipt .# oc- -a 73
Te ba ueed fer 1 of 4 pleX Est. Value 38,000 Date g-g , 19-8D-
Site Address 691 Hlr1,2 Pt,. Erect gg Occupancy R3
Lot 2 Bixk 10 $ec/Sub. RidgeCliffe 3 Alter
? Zoning PD
Porcei # Ud1TgCOL'?2L1
Repair
?
Fire Zarre
3
E
l T
f C V
n
arge ? onst.
ype o
? Nome Orrin Thompson Homes Move ? # Srories
Z Address 1712 ' Hopkins. Crsrd. oemoitsh ? Front 24 ft.
° r;«. MUrmetonka, Mg, _e 544-7333 Grode ? Depth 24 ft.
Name S?e AVOrorals Feea
p
oU Address Assesst?iit 'S- 0 Permit 110. 0
V? Woter &$ew.
"
Surcharge 19.00
Ci 'Phone Palice Plon check 55.25
F
" Name
Fire 525.00
SAC
Address Enp. Water Conn. 305.00
<W Ci phone Plonner WoterMeter 60•00
Councu aood unir 1$5.00
I herebY ackrwwledga that 1 have read this opplication and state that gldg. Off.
the information is correct and ogree to comply with oll applicuble
APC ]_, 259.75
Totol
State of Minnewfa Statutes and City of Eagnn Ordinances.
Signoture of Permittee
A 8uilding Permit is issued ro: Orrin Thompson HOID25 on the express wndition thot
oll work shall 6e done in acc ance with qN-qpp?licab`le State of Minnesota Statutes cnd City of Eagan Ordinances.
??
/
Building Official
?
? ? U?
CITY OF FAG4N Include 2 sets of plans,
?C/ ' • • 1 site plan w/e]evations 6
SUIIDINC; PERMPI' APPL7CATI0N 1 set of energy calculations.
3i5; ?? -
7b F3e Used For ?N«_ Valuationj Date Su?? 31 1 980
Site Fddress: 4(,Q1 41RYN P-T-, OFFICE USE ONLY
Int Z Block ID Sec./Sub. RIQGE?c
!-IFFS
Erect X
Occupancy
Pa
l THI RD A1teY Zonirlg p
rce
Repai.r Fire Zone 3
Oaner: Enlarge _ 'Iype of Const.
O°R Move # Stories
Pddress: a Division oi U, S. Home C r Dernolish Front ft.
City/2ip Code: *• 1/14 KIfJS CROSSRDqp
MINNETONKA A• Gr3d2 D2ptll £t.
IVN ",142
Phone #: 54y-1333 APP7<OVALS F'EES
Contractnr: gRRI1V TI-iAMPS9A2 I-1CA4E$
PddreSS: a Divis7on of U. S. Home Corporation
1712
..vi ?.rt rcU
City/Zip Code: MINNETONY.n, h11NN. 55343
Phane #:
Arch. /Eng. :
Address:
C'ity/Zip Code:
Phone #:
Assessnents - . N-Y'7 Penrti.t
Water/Sewer Surcharge
Police Plan Check
Fire SAC
Eng. Water Conn. 7 as ?
Planner Water Meter Loo
Council Road Unit / y5`
Bldg. Off.
APC
TOTAL
CITY OF EAGAN
- 3795 Piiot Kno6 Road Eagon, MN 55122 Ng 6080
PHONE: 454-8100
BUILDING PERMIT APPLICATION ReceiPt #
Vaiue 38,000
Site Address 4695 FLirta Pt.
Erect
Occuponcy R3
Lot3- Block 10 Sec/Sub. RidQ'ecl3ffe 3 Alter ? Zonin9 PD
Parcel # =ecorded Repair ? Fire Zone 3
Enlarge ? Type of Const. V
w Name Orri n Thr?ms aon HomPS Move ? # Srories
3 Address 1712 Hopkins Crsrd. oemoii:n ? Front - 24 _ ft.
o r;,,, Minnetonkay NIgL,,,_„ 544-7333 Grode ? Depth 24 +r.
?
0
Zu
V?
r
Name _
Address
Nam[
I hereby acknowledge that I have read this opplicotion ond state that
the information is correct ond agree to comply with all upplica6le
State of Minnesota Statutes and City of Eagan Ordinances.
AssesbC?nt a
Water & Sew.
Police
-
Fire
Eng.
Plonner _
Council -
Bldg. Off. -
APC
Permit 11U. hU
Surcharge 19•00
Plan check 55.25
SAC 525_00
Woter Conn. -3Q5--09
WoterMeter 60_00
Road Unit 185- nn
Total
Signuture of Permittee I
A Building Permit is issued ta: OY'I'].ri ThoIDpSOn Homes on the express condition that
oll work shall be done in ac49rdunce with alLapplicable State of Minnesota Statutes and City of Eagan Ordinances,
Building Official
CTI'Y OF F.ACrAN Include 2 sets of plans,
.
I '- • - 1 site plan w/e ]evaticros 6
6, SUILDIN(; PEf?MIT APPLiCATION 1 set of energy calculations.
7b IIe Useci Far ?E?cJD?N?p Valuation 31-4.g-B,-o0 Date .Z'u?y_3 4}984
Site Fddress: 46°lS tkt RZYk Q'n OFFItE USE OISL,Y
Lot 3 sloclc to See./sub. R14_G6_cklFFb Erect _x _ occupancy ?
Parcel #: THtRO Alter Zoning P
Repair Fire Zorn 3
O,mer: Enlarge _ 'Iype of Const.
Nbve # Staries
F!j(.?ie55: a Division of U, 5. Home C r • D2Ili71iSh FiOnt ?y ft.
City/Zip Code:' - ? Ki1.5 CFOSSROAD
MINNETONKA A•?rdN Grade Depth ?ft.
Roua3t
Phone #: 541A- l3 3 3 APPItOVAuB FEES
/? ?
Contractor: ?? ?!?{
L
J Assessrents S Perrnit
? , //?
A[3die55: 1
c
a Division of U. S. Home Corporation
Water/Sewer
Surcharge
/ Y ?'
.,? „ n ,,,u U-- Police Plan Check S??
Clty/Zlp COd2: NiINNETOiVyA. M1NN. 55343 F1TE ' SAC
Phone #: En4. Water Conn. 3 as ?
Plannes Water Meter
Arch./En4•: Council Rflad Unit / F-6` ?
Bldg. Off.
Address: p,pC
City/Zip Ca3e:
Phone # : TO'I'AL
CITY OF EAGAN
3795 Pilot Knob Rood Eagen, MN 55722
PHONE: 434-8700'
BUILDING PERMIT APPLICATION
N° 6081
Receipt .jk
Te be uaed for 1 of Li. p18X Est. Value 38,000 Dote g-g , 1 9_$o-
Site Address 1758 K3TiS W3y Erect ia Occupancy_ R3
l.ot 4 Block 10 Sec/Sub. Ridgecliffe 3 Alter ? zonin9 PD
Parcel # 11T1Z,eCL7rdAd Repair ? Fire Zorre 3
l
E T
f C
t V
orge ?
n ype o
ons
.
w Name QrTiri ThOIIlUSOri HolIles Move ? # Stories
Z Address 1712 Hopkins CTSY'Cl. Demolish ? Front 24 _ ft.
? Ci Phone 544-7333 Gmde ? Depth 24 ft.
?
0 Name Approvals Fees
?? Address
r r:.,,
Name _
Address
I hereby ocknowledge that I have read this application and state that
the informotion is wrrect ond agree to wmply with ull applica6le
State of Minnesota Statutes ond City ot Eagan Ordinances.
Asses ' A?ent f3-5-£i(l
Water & Sew.
Palice
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit l l f] _ 5f1
SurcFwrge I R - nn
Plan check 55 _ 25=
SAC 52.5-nn
Water Conn. 395 .4Q
Woter Meter hn _ nn
Road Unit ? 85-00
Total 1 i2`2.9-75
Signoture of Permittee I
A Building Permit is issued ro: Orrin Thompson Homes on the express condition that
ull work sholl be done in occordptxe with all upDlIWble State of Minnesota Statutes and Clty of Eagan Ordirwnces.
Building Official
CTTY oF FAQIN Include 2 sets of plans,
• 1 site plan w/elevations 6
p / BUIIlJINC; PER%-JT AI=PLICATIdIJ 1 set of energy calcul atians.
3S1aT-6
Zb Be Used For Valuation ??Date 3'u?y 3?; 1980
Site Pddress: k'Z?Sg W?.? OFFICE USE ONLY
Lot _9,_ Block _Lo_ Sec./Sub. RtpGEgt LFF6 Erect o<, occupa,cy X3
Parcel TNtR9 Alter Zoning
Repair Fire Zone 3
Omer: Enlarge Type of Const.
P'bve # Stories
Address: a Divislon oi U, 5. Home C r ?• D?Jnolish Front ?-/ ft.
[ PKIf:S CROSSROqD Grade Depth o2y ft.
Clt]//ZlP COC32: *- NItJNETONKA A^I'JN St342 9? 'd.'o ?t2 Z
Phone #:. S`t 4- 133 3 APPROUALS
Contractor: ORRIN 7a-l9MP?9P? h-18hl,-ES
Add.r255: a Division of U, S. Home Corporalion
i .vr i.o 111??311UAU
C1ty/Zlp C?_Od.e7 NINNETONY.A, PdINN. 55343
Phone #:
Arch. /E1ng. :
Pddress:
City/Zip Code:
Phone #:
Assesgnents f ???;? Pexmit / /d
Water/Secaer Surcharge / g ?
Police Plan Check SS ?
Fire SAC
?,}1q, Water Conn. ?p s
planrer Water Meter (?p C-0
Council RDad Unit
Bldg. Off.
P.PC
l'O7'AL
CITY OF EAGAN
, 379$ Pllot Knob Road Fo9an, MN 55122 N2 6078
PHONE: 4546100
P
A
BUILDING
ERA
IT APPUCATION Receipt #
Te be umd he 1 Of LF pleX Est. Value 38,000 pate 8-8 , 1980
Slte Addreu 1760 KarisW y Erect Ig R3
Occuponq
----
-
Lot 1 Block10 Sec/Sub. Ridgecli£f_g -a Alter ? Zaniny PD
Parcel # uncrecorded Repoir ? Fire Zone 3
' E
l f Co
T
t
`7
n
ar9e ? ns
ype o
.
z Name arrin Thompson Homes Move ? # S<ories
Z
9 Address 1712 Hopkins CrSTd. Demolish ? Front 24 ft.
ci Minnetonka, 46ne 544-7333 Gmde ? Depth 24 ft.
Approvala Fees
p Name -
?r? Address
Name _
Address
I hereby ocknowledge that I have read this apDlication and state that
the information is wrrect ond agree to comply with all applicable
State of Minnesota Statutes ord City o4 Eagan Ordinances.
AssessrAot g.
Water & $ew.
Palice -
Fire
Eng.
Planner -
Council -
Bldg. Off. _
APC
Permit 11 f1 _ 50
Surcharge 19-nn
Plan check 95.95
SAC 52,5 (ln_
Water Conn. 305..00
_
Water Meter hn. nn
Road Unit 185 _ ()(1
Total I 299 75
Signature of Permittee I
A Building Permit is issued to: nrri n Thm=ROri H07I12S on the express condition thet
nll work shall be done in occqydance with oJlaapplicoble State of Minnesota Statutes and City of Eagon Ordinonces.
Building Official
.,y /() ?? CITY OF EAC',AN Include 2 sets of plans,
7,? (u
? ?- F `' '" • 1 site plan w/elevations 6
BUIIDINC; PERMIT FaPPLICATION 1 set of enecyy calcvlations.
'Ib IIe Used For Nr„ Valuation ?Aavtoo.g Date 3'uL
v 341980
Site Pddress: _ t'160 "Ri W R4 OFFIC£ USE ONLY
Int ? Block ti0 Sec./Sub. R14?cr
,L ?FLE Erect ,x Occupancy eA?3 _
Tri1RD A1ter Zoning pD
Parcel gepair Fire Zone 3
O.mer: En1a-r9e 'IYpe of Const. I/
Nbve # Stnries
Adclr255: a Division of U, S H? DPl[1O1i517 FtOnt. ft.
[ KIf:S CROSSP.OAD GraCle DePtI'l ?Y
Cft.
ity/Zip Code:' • MuahETONHA kI.VN ?Q a?
Phone #: 5`i4-1 333 APPROuArs r'EES
Contractor:
LJ
At3d1'255: a Division of U. S. Home Corporation
.? 1 " , ,. nu u
City/Zip Code: MINNETONKA, MINN. 55343
Phone #:
Arch _ /Fng _ :
Address:
City/Zip Cci3e:
Phone #:
Assessments . . /j80Pesmit > /0 ?
Water/Sewer Surcharge
Police Plan Check
Fire SAC
Enq, Water Conn. 3 o u' ?
Planner Water Metex C o
Council Roed Unit / 5,r ?
Bldg. Off.
APC
7OTAL
: . . PERMIT
CITY OF EAGAN BUSLpING
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number 028760
(612) 681-4675 Date Issued: 1 0 9/ 11 J 9 6
SITE ADDRESS:
1758 KARTS WAY
LOT: 4 BI.OCK: 16
RID6ECLIFFE 3RD
P.I.N.: 10-63982-040-10
DESCRIPTION:
(ROOFxNS)
Permit Type
,,6ork Type
U
;
- r ?sa
d'
?:• .w ?3t' ^ •?
?A+?w 91P?
s
MULTI. (MISC.)
REPRIR
434 ALT. RESSDEN7IAL
a a
REMARKS:
INCLUDES
el? ei?mr `atm e;x"°d ?'°u,??'?
Ls 3q i??? a=?n ? i'a, °' tF €?
1760 KARIS WAY (1.0T 1)
4691 MTR7A PT (lOT 2) 4695 HIRTA PT (LpT 3)
FEE SUMMARY:
Base Fee
Surcharge
ToCal Fee
VALUATSQN
$74 .75
$1.50
$76.25
$3.000
CONTRACTOR:
G & G ROOFING
11677 HALL AVE
NpRTMFIELD MN
(507) 645-2531
- Applioant - ST. LIC
16452531 0069369
55057
? - . . 4-.. .9 ' x t d 4 ?.? F=
Z her,eby aeksr?s?wie?g?z
aL?:nftSrty?M??ii?rC? ?Ts N?..prnyec?,y y?{.-i1i?
f . . ?1.t&tE.} EOyIIYE VY'
L_ v? . •. . . tmpv.e aix,.?? ?o ., i.d+ ?.u_
APPLICANT/PERMITEE SIGNATURE
RID6ECLIFFE ASSOCIATION
1745 KARIS WAY
EAGAN MN
?-ead"e?h?.:?? ?plslscaUOtt &md st t:?
?ir,?,vmply w1tM a3.? ap{s?.icab?e S?a?e,?a? Tfr?:'=
?. ?
?nc???>.
' , .. . . _ ? ,.. .. _ . . ,. . ? `' _ . ,. _ e . ... . ...... . .....a:1
ISSUED : SI NATURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?20K
189110 996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 •
Mew ConsWClton Reauiremenfs RmnefeUReoair Reauirements
.r 2"coplesofpfan y
'? 3regiakredeiteaurveyaVY A
? 2 wpiea of plana (inGude beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addRions 8 decks)
? 7 energy calwlations ? 1 energy calculaNons (or heated additions
? 3 copiea oT tres prexrvation plan if lot plelted aRer 717J93
required: _ Yes Na
DATE: ???-. a, CP (p CONSTRUCTION COST: ? t? O D
DESCRIPTION OF WORK: 6 ?
11 s$
STREET ADDRESS: k??,?q L ck
9
LOT I' L BLOCK 10 SUBD./P.I.D. #: _
PROPER7Y-- Name:"
OWNER - - --- `"••
CON7RACTOR-
ARCHITECTf
ENGINEER
q_?Q
Phone
HPSt
Street Address:
City: State: Zip:
Company: 3Qj 61 QDU-ELt Phone
Street Address: I IL 7.? -.Ha 74? ? License #: a3?O ?•
•")A,-.__'.T;?Sf7-_'.?4?
Company: _ _.. _.e.
Name:
SUeet Address-
City:
Sewer & waier licensed piumber:
change are requested once permit is issued.
State:
Zip:
Penalty applies when address change and !cd
I hereby acknowledge that I have read this applicaGon and state that the i rmation is correct and agree to comply wih ?
applipble State of Minnesota Statutes and City of Eagan Ordinances. ??
Signature of Applicant:
OFFICE USE ONLY
s
..Phone
?Registration #:
Certificates of Survey Received , Yes No
Tree Preservation Pian Received Yes No
vo I rva. vv? v..?.
BUILDING PERMIT TYPE
. ?
? 01 Foundation ? 06 Duplex ? 11 Apt./todging o 16 Basement Finish
? 02 SF Dwelling. a
D7 4-plex ,z.g?=v=•o., 12 Multi RepairlRem. ? 17 Swim Pool.,.r.,;?.y.,,,,..?;,•.,;
? 03 SF Addition ,
?" 08' 8-plex ``'` "o' 13 GaragelAccessory ? 20" Public'Facility '
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = piex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair a 37 Demolition
GENERAL INFORMATION
Const. (Actuai)
(Ailowable)
UBC Occupancy -
Zoning
# of Stories _.. .__
Length
Depth
Basement sq. ft.
Main level sq. ft.
..sq, ft.
sq. ft.
sq. ft...
sq. ft.
Footprint sq. ft.
APPROVALS , •. .-----. _, __.. _. _ .
Planning. ,."., ". , . Buiiding-------=--,3' -'.-- `-..Engineerin9--
~ry Y k t
.„.ll'r. .. .._ttl" ? n_ n.R.. ? .?? ?l .
Permit Fee " 7 y• 7 S? ? ? Valuation:
5urcharge -°-'/'S-
Plan Review
License---..-- '?
MCNVS SAC
CitY SAC _._..._
Water Conn.
Water Meter
Acct. Deposit -
S/W Pertnit
SM/ Surcharge,
Treatment PI.
Road Unit
Park Oed. r.,;:.. . .. . .. _ ;?
Trails Ded.
Other
Copies
Total: 476`4?
$ _
MCNVS System' "
City Water
Fire Sprinklered .
PRV'
8ooster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
_ ? .
- Variance
?. ?•
.r 3. _
;?r, • , -. ? - --
5"i:
% SAC
SAC Units %1
'
C.R. WINDEN & ASSOCIATES, INC.
LAND SURVEYORS Te1.845-3616
1381 EUSTIS ST., ST, PAUL, MINN. 55108
FOR:
U. S. HOME CORPORATZON
.?
N
`
ae, \
e, `
\
Note: Buildings shown are proposed
As of this date RidgeCliffe
Third Addition has not been
recorded.
scale: 1° = 201
o Denotes Iron
Lots 1 through 4 inclusive, Block 10,
Ridgecliffe Third Addition, Dakota
County, Minnesota.
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION DF A SURVEY OF THE BOUNDARIES QF 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 thls 3! s7 day of-j•-7` V/„-A.D. 1980
CERTIFICATE OF SURVEY
C. R. WINDEN & ASSOCIATES, INC.
BY ' OC1• ?V?.Cllu-4onJ
Surveyor, Minnesota Registrat3on No.)o9Nq
?
t
?
, ,
? ??? ??`
; ,r `y1?'i3
(C -? ?
\.)?
\??
2004 RESIDENTIAI, BUILDING PERMIT APPLICATION
City Of Esgan
4 L(- ? 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
? 3(oo.2SS
III
New Construction Reauiremnts RemodellReoair Reauiremenfs Offce Use Qnlv
3 registe2d site surveys showing sq. tt. W bt, sq. R ot house; and all mo(ed areas 2 copies of plan Cert of Survey Recd _ Y _ N
(20% rreximum lot coverage allowed) 1 set of Energy Calculations for heated addNOns Tree Pres Plan Recd _ Y _ N
2 copies o( plan showing beam R windax sizes, poured found desgn, etc. 1 site surrey for additlons & dedcs Tree Pres Required _ Y _ N
1 setNEnergyCalcula4ons Add'N'on - indkafelfon-sifesepfksysfem On-s@e5eptic5ystem _Y _M
3 copies of Tree P2servation Plan if lot platted after 711l93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date ? C)
Construction Cost o 0 0
?
Site Address ?? (o ? ?'? ??S ? GLJ?.,Ln `/•? 0.? UniUSte #
?--1 coq t `I l09's- ?-?-i e, p 3-
Description of Work ?.Q? Q--(- v?
Multi-Family Bidg _ Y_ N FSreplace(s) _ 0 _ 1 _ 2
Property Owner g p c .?,
d:Q--? lSS6 G?Ai dtejephone #(cf54 c?"t
Contractor
Address C'llkQ_63" a V-r- S City? ?v v`S \J t ?l-e-
State YVl 1V Zip 5? Telephone #( '(?°r ?`7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy COde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Caiculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # ( )
Telephone # ( i--)-----, ?1
iPI?
Telephone # ( lI U)' `'
II?,I hereby apply for a Residential Building Permit and aclmowledge that the informatiOn is complete and accixrate;
that the work will be in conformance with the ordinances and codes of the City ofl? and tfie State b? MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. • ,
AI? ? i?x
Applic Ys Printed Name Applicant' ignature
OFFICE USE ONLY
Su6 Types
? 01 Foundation ? 07 OS-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.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) 0 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Yor_ 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 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appllcant
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) _ FinallNo C.O.
_ Footings (addiflon) _ Plumbing
Foundation HVAC
Drain Tffe Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test Final Windows
_ Insularion _
_
_ 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
/1
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Po.?
ck.
New Consimdion Reqmrements RemodeUReoav Reawremenis (3ffxeUse OnN
3 registered site surveys showing sq ft of lot, sq fl. of house, and all roofxd areas 2 copies of plan CerkcitSxveyRecd ,.,,V _N
(20%maimumlotcoverageailowed) 1setofEnergyCalculationsforheaiedadditions TrCePresPlBnRebd -1'_Yd.
2 copies of plan showing beam & window sizes, poured found design, etc. 1 site survey for addihons & decks TrCeFEeS ReqGimd ? i4
lsetofEnergyCalculahons Adddion - indcateiton-siYesepticsystem DrrsitsSeptic8ys€em _.! ,vN
3 copies of Tree PreservaUon Plan if bt platled afler 711193
Rim Joist Detail Ophons selecUon sheei (bldgs with 3 or less units
Date / Z- /? ? / ? Y ?`? ,-,
Site Address '7 lJ'7 /? 7' ?-
. ConstructionCost ?
UniUSte #
Description of Work rNS%?'?. 61?3 E12GI ",L(,S
Multi-Family Bldg ? Y_ N Fireplace(s) 0 _ 1 _ 2
Property Owner Tetepnone #0Q) 3t,7 'tL'/U
Contractor bts I?? H -
Address
State City
Zip Telephone #('J?z
COMPLETE THIS AREA t1NLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone #( ?J}l f?' i l717]
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
- '. r
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
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 an in t c e f k which requires a review and
approval of plans. ?
Applicant's Pnn ed Name Applica Ys Signature
OFFICE USE ONLY
Sub Types
? Ot Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 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 PorchlAddn. (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-pleac Plbg_Yor_ Pl ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Bwlding" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (EMire Bldg) - Give PCA handout 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 Wid[h
REQUIRED INSPECTIONS
^ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation
^ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T es[s Final
_ Frazning _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Perrnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
8uilding Inspector
Use BLUE or BLACK Ink
r
For Office Use
Permit: Wq j
4110~ in
City of EaW~cl s
I Permit Fee: / J I
3830 Pilot Knob Road I 22 I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 1760 AXIX 411 Unit M
Name: f`"/~6~ GL«`" ~s~ Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: -S Multi-Family Building: (Yes V, /No
)
Company: Contact: Dleh' 5h7e~r~ ls4l
Contractor Address: 131-4r ~5?e $,V 4p- city: 41"f" le
State: /W/1 Zip: 533 / Phone: /27h? dF~ /50
License #:<2? 6) lO 4~ G 7 Lead Certificate M
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.ooaherstateonecall.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
Applicant's Printed kafme Applicant's ature
Page 1 of 3
Use BLUE or BLACK Ink
r________________�
I For Office Use �
• I Permit#: � � I
I �,�
City of �a�a� 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
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � 1 "' �� Site Address: I ��ff /�`U al(k�'fs�+�'� �6�� y��� �Cr"f`� r Unit#:
,�;. � � ��������
���°" ���'��� �� Name:—!, ������� �I r�� Phone:
� ��� � .;
Res�de t/
��� ��'��`� � � �-l�7 I �.l S� ��— a�r�'�t�,
Owner �' Address/City/Zip:
� � �
� i#�� ����.�;, Applicant is: Owner Contractor
��� # ���:� �:
��� : ����� �
�;», �� �.: Description of work: �i��� '�►
� Type�of�Work�;
,� ��� ��., ,�F�� Construction Cost: � ( Q � �' Multi-Family Building: (Yes ( /No )
"�� � �'
� . ��.��.��'� "F `� �° � � y�
�;�'�� Company:__ �-tS i/'l 2iJL� t1Uy� Contact:�� �hrl t i'e °s _
� � �� � �
����� '. �� � y ���,� '�.
��Contractor��� Address: /�,�-r� � ��Q����� cit : ✓l�`P �
� �� ��� �, � � �� q f
_ ��' ; State:� � �3�31 Phone �
��
Zip: �"`'�l�-��� / EmaiL•�Oh'�Ip h 6irs��l��lvov'Pl� �° l�
-> �
�• ' License#: ,r�[}( �b��P� 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 P/ans antl su orfiri tlocui�i�ents�fhaf��ou subm f are cons►dered'tQ be��ub,�rc� fo `��`at�on orrtiQ�ns��o�_
� . . .� PP �ti.,,�'�.zara�,�,,,^7. €�#a�� �k,: ''`� ``,� "=�`��.�� "��.. 2�.,..','„� �r. � �, ��� ; '� '�.'�€ �...a3�
_ �t�►e�nfor�mation may be c/�ssc ��d s€aor��p�b�Ir�G rf��yQU p��o�r�a/e sp���c� easo �th� woul erm�t t e�t .`#o
��`.��. ., ��.�4 ���'.�. .: �� - � ' � � �:, �
.-S� ��r� R° ,.°'� b �: a� ^ �, � . . �,� .: _ ' .
� � . �. �:.�on.clud�that�they.are:xtraale sec�ets�; �.���,, -
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 completed within 180
days of permit issuance. �,
x �� ��'�`M x
App' nt's Printed Name Appli ign e
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178360
Date Issued:08/12/2022
Permit Category:ePermit
Site Address: 4691 Hirta Pt
Lot:2 Block: 10 Addition: Ridgecliffe 3rd
PID:10-63982-10-020
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mi Rinda Kovacs
4691 Hirta Pt
Eagan MN 55122
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature