4671 Jackstone PtCITY OF EAGAN Remarks
d31 Lot 4 Bik $ Parcel #1.0 63983 044- 08
Street 4672 Salem Point state Eagan. MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 110.69 7.38 15
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 19$0 110.69 7.3$ 15
Services 1982 637
STORM SEW TRK 1982 346.09
STORM 5EW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
sAC 525.00 21169 10 2 80
PARK
CITY OF EAGAN Remarks
AddiYson ' Ri rigecl i ff 4th Adcln _ Lot I eik g Parcel #10 639R3 010 OS
Owner ? Street 4670 Salem Point 5tate 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
Services O(G 1982 6
STORM SEW TRK 19$2 346.09
STORM SEW LAT
CUFB & GUTTER
SIDEWALK
STREET LIGHT
Rd. UNIT 185.00 21169 10/2/80
WATERCONN. 305.00 21169 10 2 80
BUILDING PER. 6232
SAC 57500 10/2/80
PARK
CITY OF EAGAN Remarks
Addition Ridbe6l}€f 4th naa?. Lot 2 sik 8 Parcel #10 63983 020 08
owner).ll;? ^ ?; • V, ; screec 4671 _Jackstone P?- I State Eaean, MW 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 110.69 7.38 15
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1980 110.69
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER .
SIDEWALK
STREET LIGHT
WATER CONN. 305 - 00 91169 1012/90
BUILDING PER. 6233
sac 525.00 21169 10 2 80
PARK
CITY OF EAGAN
Addition Ridgecliff 4th Addn Lot3 e1k R Parce? #10 63983 030 n8
Owner i' .
; 5treet 4673 •7ackstnne_Poin.t State Eajzan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 110.69 7.38 15 95.95 C007109 3 27 81
SEWER LATERAL
WATERMA W
WATER LATERAL
WATER AREA 1980 110.69 7.38 15 95.95 C007109 3 27 81
Services 1982 637.75 S 637.75 C007616 12-23-81
STORM SEW TRK 1982 346.09 5 346.09 C00 ?
STORM SEW LAT
CURB & GUTTER ?
SIDEWALK I
STREET LIGHT I
WATER CONN.
BUILDING PER.
s,ac 525.00 21169 10 2 80
PARK
I
BUILDING PERMIT
To be amed fe?
Site ?ress
Lot Block
Parcel #
CITY OF EAGAN
3795 PUot Knob Raod Ea9on, MM 55122
PHONF: 4546100
sec/s,b. 'dggecliffe 4
aWe Name %I'x' j1=80ri ti 8
Z Address 171-2 71rmkiii8 G`rsrd.
,o Name
?gV Address
F- i-:... eL___ .
Name _
Addreu
I hereby ccknowledge that I hove reod this oppiication ond stote that
the informotion is torrect ond agree to comply with ail applicable
State of Minnesota Stotutes ond City of Eogan Ordinonces.
100
Receipt #
N° 6235
Erect ? Octuponcy
Alter ? Zoning
Repoir ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish 0 Front ft.
Grade ? Depth ft.
ApDrova Is Feet
Assessment -
Woter & Sew.
Pofice
Fire
Eng.
Pianner
Counci I
Bldg. Off. _
APC
Permit
Surcharge
Plan check
SAC
Wuter Conn.
Water Meter
Road Unit Totol ' • ?
Signoture of Permittee ?
A Building Permit is issued to: on the expreu condition that
oll work sholl be done in accordance with all opplicable State of Minnesotn Statutes ond Ciry of Eogan Ordinances.
Build(ng Official
Pamk * Oah IorW POMNtr
Plumbing '0 ?I(4
Mechanical Z,2 - f i
INSPECTIONS DATE INSP.
Rough-In
Find
Footings -? Date Irnp. Dafe Insp.
Foundati Plumbing 7-
Fram ins. Mechonicnl 1? ~ ^
Finol - 9-
Remarks: IO -O? / '
, . CITY OF EAGAN
• 3795 Pilot Knob Raad
No. Eu9on, AAlnnssote 55122
Phowe: 454-8100
PERMIT
Date:
Site /lddress:
Lot
Biock ,Sub/Sec,
:2?.c.? _•r'.(l?`e ?.
Name
. . .•
? Address
City . Phone: ?
Name
Er
L . ?-. . ..
j Address ;7
-, '7
CitY Phone:
This Permit is issued on t express condition thct oll work sholl be
Minnesotu Stotutes ond ity of Eagan Ordinances.,
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. I
New/Alter./Repoir
j Cost of Instollction
Permit Fee
Surrknrna
Total
done in accordance wlth oll cpplicable State of
Buildin9 Official
.
No.
Dote:
cinr vF EAGAN
3795 Pilot Knob Roed
Eegan, Mlnnesota 55122
Phone: 464-8100
PERMIT
Site llddress:
Lot _
4672 Salem Pt.
Receipt No.
Single
Residential
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
J -uf 1.- I
Block Sub/Sec 7iageourre ,
• „ i
Nome N
/Al
R
ter,/
ew
epalr
? ?-?, •, _ i
; Address C
f I
ll
ost o
nsta
ation
Ciry
i_netar:?n ,
?
P?^e: 54,-a333
P
i
F
erm
Y
ee
Nome
h
S
.
?
Address
14745 'S. urc
arge
?
City _ . • c", :, a
Phone: -?
Totol
This Permit is isSUed on the express condition thot oll work shall be
Minnesoto Stotutes ond City of Eagon Ordinances. done in atco?dCnce with all applitoble Stote of
Building Official
C?Prtif iratt nf Mrruvanru
Citp of (Eagari
Drpttrtmpttf uf Building 3tta.per#imc
Thu Certi f icate issuul pursuaru to tbc requiremcnts o f Section 306 a f tbe Uni f orm Burldrng
Code urti f ying that at the tiine n f i.tsuarut thij structtert waJ in com plianct with tht various
osdinanu.t o f the City rcgulating bui/ding connruction or use. For the f ol[owing:
Ux Clucfisatim V Bldg. Pamdt Na. r-;) -?S'
Occup9ncy'iYpe/e TyprCmaiucdoa?FiceZone Zoning Districi
Ovner of Bufldima':: 4.9,-21C./gvc I Addrw " 2/ 2 Yn??"A
•e,
1? ??? I r By:
BdWin6 OffrL1 Date: - .'? W
rosr An w conencuous ?cc
Receipt ? J MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legibly
Permit No. ?
Fee
S/C
Tot.
1. Date 2. Installation Cost
3. Job Address , - • ?? ?. Lot ? Blk. Tract
4. Owner • '
5. Contractor Phone
6. Address • ? ' 7. City State I ' / , . Zip
8. Building Type: Residential O
9. Work Description: New O
Commercial ? Institutional ?
Add ? Alter El Repair ?
10. Describe tt 11 0//^'FuelType
11.
No. Equipment STU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
Mfg. r
andling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
-r-- Mfg.
Air Cond. Other
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough ?Fyi ?I ?
Inspections: Date Insp. DaInsp.
/ s
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt ?- PWMBING PERMIT Permit No.
CITY OF EAGAN
Fee
fill in numbered spaces S/C
Type or Print /egib/y Tot.
1. Date 2. Installation Cost
J
b Add
3
? ?
.
o
ress
Lot l Blk. Tract
--r--
4. Owner
5. Contractor Phone
6
Address
.
7. City State 2ip
8. Building Type: Residential O Commercial ? Institutional O
9. Work Description: New O Add O Alter O Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cess
o
l/Drainfield
Bath tubs p
o
Se
ti
T
k
Lavatory p
c
an
ft
S
Shower ner
o
Well
Kitchen Sink
Urinal/Bidet Othe
Laundry Tray r
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.
i
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
7his is your permit when numbered and approved.
Approved CITY OF EAGAN
454-8700
t
.;:.
ii? 4
o# (Orrupttury
Citp of (Eagart
,m
3911vttdmprtt of
Tbis Ceriificatc is.rued pursuant
Codc certi f ying that at the timc o
ordirranai o f the Cfty rrgulut{ng I
vje
.?i_. G.
?
3nja,ppr#imt
Section 306 o f the Uni f orm Building
e waf in comptiance rvith tbe various
ure. For the following;
lly«:
CITY OF EAGAN
.
" ' 3795 Pilot Knob Road Eagan, MN 55122 N? 6 2 3 Z
.
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be uad for Est. Value Dote , 19
Site Address Erect ? Occupancy
Lot Block Sec/Sub. Alter ? Zoning
Porcel # Repair ? Fire Zone
Enlarfle ? Type of Const.
oWe Name Move O # Stories
z
qddress
3
Demolish ?
Front ft.
-
? Ci ,
Phane
Grode ?
Depth R.
? Nome Approvols Fees
O
,
u? ?dre?
Assessment
Permit
?' Ci Phone Water & Sew. Surcharge
Police Plan check
?,w N°r"e Fire SAC
?? Address Eny. Water Conn.
<W ? pho? Pianner Water Meter
Council Road Unit
I hereby ucknowledge that I have read this appiicotion ond stote that Bldg. Off.
the information is correct and agree to comply with all applicable APC Total
State of Minnesota Stoiutes ond City of Eagan Ordinances.
Sipnature of Perrnittee
A Building Permit is issued to:
oll work shall be done in accordance with all
Building Official
of Minnesoto
on the express condition thct
and City of Eagan Ordinances.
peeAk # peN lawd 1peewiMM
Plumbing /O -d"D
Mechanical ?2a2 9 ? / - e7
INSPECTIONS DATE iNSP.
RauyFfin
Finol
Footirtgs /(r - 9-$D Date Insp. Date Inap.
Foundation Plumbing
Fram ins ?? Mechanital
.
?
Finoi -3 ! 9- iF
Remarks: 16";2
/?
? SG / ?
No. ,, 7
cinr oF E?GAN
3795 Vilot Knob Roed
Eayan, Mlnnesota 56122
Phoee: 454-9100
PERMIT
INSPECTOR NQTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Date: Receipt No.:
$ingle
Site Address: Residential
Lat ? Block Sub/Sec. ^?'C??'?'F? ,
? ;31r,
1 oF 4 rle
,-..
Nome
New/Alter./Repair. ` 1 71 .. ??'""
3 Address Cost of Installation
- :
City Phone: Permit Fee
. . . .. . _. ? ??., Nome `
? ." ' . . SurCFlOrge
? Address
City ` Phone: Total
This Permit is issued on the express condition thot all work sholl be done in octordance with all applicoble 5tote of
Minnesoto Stotutes ond City ot Eogon Ordinonces.
Buifdiny Officiol
No.
CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, Minneeofa 55122
P6one: 494-8100
PERMIT
Date:
Site Address:
Lot 1
4670 Salem Pt.
Block Sub/Sec.
Nidrecliffe 4
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residential E"?
Nome ? T . lor. r
N
/Alt
R
i
ew
er./
r
epo
,-?x'c..
Address t
f I
ll
C
t
ti
? os
o
ns
a
on
o
City Phone: P
F
ermif
ee
?• r Name
Su
h
r
.,
? rc
o
ge
Address
Cit
Ph
one:
Y Totul
This Permit is issued on the express condition that all work sholl be done in accordance with ell opplicable State ot
Minnesoto Stotutes ond City of Eegan Ordinances.
Buildin9 Officicl
?•
V".1PdiftratP ?f (0
tlCitp of (Eagan
Brpttrtrnmi of Nuildittg Na.prrtintt
Thit Ccrtificatc i.csuad pursuant to 1he rcquisemenu of Srction 306 of the Uniform Building
Code artifring that at the time of issuanu thii strunterc was in campliance with the variouJ
ordinancu o f the City rcgulating building connruttion or ucc. For the f ollounng:
1he ClneGcetlm ?/ ?f '{l •? //. _ 1 Bldg. Pertnt No6 j;V
OrcuPancY TY'"??T 77P. Caortructlan? Fite Zona Zoning District ?
OwnarofBuUdipw AddrcssiT.,% ;D
gS,, +.. ? . i
~- Dste:
rosr ?N w ooruricuoua 'uc?
•• , cirir oF EaGaN
' 3795 Piler Knob Rood Eagan, MN 55122 N2 6234
' PHONE: 454-8100
BUILDING PERMIT
Te 6o r?A fer
Receipt #
Site Address 1
Lot Biock Sec/Sub. 4
Porcel .#k
oWe Name
3 Addre
0
` Name
o
?? Address . .
r 4-:.., oL___
Nome _
Address
I hereby ocknowledge tlwt I have read this opplicotion ond state that
the informotion is correct and agree to comply with all oppiicable
State of Minnesota Stotutes and City of Eagan Ordinances.
Erect [] Occuponcy
Alter ? Zoning
Repair ? Fire Zone
Enlorge p Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode ? Depth ff.
Approro(s Fees
Assessment _
Water & Sew.
Police
Fire
En9•
Planner
CAUncil
Bldg. Off. -
APC
Permit
Surchorge '
Plon chetk
SAC
Water Conn.
-? ,
Water Meter
Road Unit
Totol
Signatu?e of Pem?ittee ?
A Building Permit is issued to: on the express rnndition thot
oll work sholl be done in accordance with oll applicuble State of Minnesota Stotutes ond City of Eagon Ordinances.
Building Official
r..m+r # oaft i.wd r.mnt..
Plumbin9
Mechonicol ---2. 3 p O i--2
T/C -1 ,4
INSPECTIONS DATE INSP.
Rough-In
Finat
Footings Date Insp. Dote Irup.
Foundotio Plumbing ;a
Fro ins. ?2,;>- Z? Mechanical
Final
Remarks: I6 0? J?o .c? R?(
No. 2300
cinr oF EAGAN
3795 Pilot Knob Read
Eegen, Minneseta 55122
Ptiam: 454-8100
PERMIT
Date:
Site Address: ' 73 JaCkStim-
Lot Block Sub/Sec.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FQR ALL INSPECTIONS
Receipt No.:
Single ,
Residentiol
Nome NewlAlter. /Repof r
.
? Address "'s c`sqr`•
Cost of Installction
Clt "lK•._ _ '
Y Phone: Permit Fee
,- .
Norr,e r c"'r. .
? Surcharge
? Address
-nr-, -
CitY Phone: . Total
This Per?nit is issued on rhe express condition that oll work sholl be done in accordance with all applicoble Stata of
Minnesota Stafutes and City of Eagan Ordinonces.
Building Officiol
CITY OF EAGAN
, 3795 Pilot Knob Reed
No. E090n, Mineesoh 55122
Phows: 454.8100
PERMIT
Dote:
Site Address:
ia-i0-8o
4673 Jaeketone Pt.
Lot ? Block Sub/Sec.
. . • ?. ,
Nume C'rrin ThompB011 Hme8
; Address "vl P !iapkine C.rsrfl .
O
City Phone:
Name '
r
f Address 7 / ^x,
V City Phone: ? . _
This Permit is issued on the express condition thot oll work shall be
Minnewta Stctutes ond City of Eogan Ordinonces.
INSPECTOR NOTIFICATIOfV
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single _ I
Residential
I Multi Res., Comm./Ind. I
New/Alter./Repoir
Cost of Instnllation
Permit Fee
S?ir?Mrn?
Tofal
done in accordonce with all applicoble State of
Buildinp Officiol
Receipt ?'M, PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prinr legibly
Tot.
1. Date ' 2. Installation Cost
3. Job Address -` Lot' 2- Blk. ? Tract
4. Owner ' / ':-' /" 0!f
r-
5. Contractor - - y r•" ''Phone
8. Address 7. City ? - ?- State - Zip S. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Descri be
11
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
51op Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply 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
?? .
erftfzra#t of (Oxrupanrg
Citp of eagan
Dppttrtmmt nf Butlbing 3ztiijjrr#inn
This Ccrti f icdtt 2ssued pur.ruant to tbe requiscmenrs o f Section 306 o f the Uni f orm Building
Code certi fying that at tfx tinu o f i.rtuatu'e this stracture wu.r in cotn pliance witb the various
ordinances o f the City regulating building connruction or use. For the f oltowing:
Uu CFa?if'iea8oa ` ' 7? ? - ?I-. Bldg. Pemut 6:5F33
,! J
Oecupan?.y'IYpe YYp Cooatrucdon Ll Fire Zooa zoning Disuice /
Y?,?'s-Yf -_L? " [i!
, t. Z Date: -2
M6T IN A CONB?ICUW9 ?LACf
oN
BUILDING PERMIT
Ts be uMA fer .
Site Address
Lot Block
Parcel #
CITY CF EAGAN
3795 Pilot Knob Road Eagon, MN 53122
PHONE: 454-8100
N0- 6233
Receipt #
Sec/sub. T'idgecliffe 4
a: Nome ('i'I'in Thomnaon Iiomes
W
? Address 1%'].? 3',oZ)1tiT?8 G?'SY'd.
hn-31)
Name
?§ Address
?- ('i*v PMnna
I hereby acknowledge that I hove read this applicotion and state that
the information is correct ond agree to comply with oll applicnble
Stote of Minnesoto Stotutes and City of Eagan Ordinances.
Erect ? Occuponcy
Alter ? Zoning
Repoir ? Fire Zone
Enlarge ? Type of Const.
Move Q # Stories
Demolish ? Front ft.
Grode 0 Depth ft.
Anvro vo Is Fees
Asseument Permit
Water & Sew. 5urcharge '
Police Plon check
Fire SAC
Eng, Woter Conn.
Plonner Water Meter
Council Road Unit
Off
Bldg
.
.
APC
Totol
Signoture of Permittee I
A Building Permlt Is issued to: `on the express conditlon that
all work sholl be done in accordance with all appliwble State of Minnesotn Statutes and City of Eagnn Ordinances.
Building Official ,
J '
Pamk # Dah Iwd ftriaithe
Plumbing a io -?c - o
M!.to?icai a 9
?2 _I?? i /? %.?.? .? - ,7-?
INSPEC'fIONS DATE INSP• Rouflh-In Finol
Footings Dote Irup. Dote Irup.
Foundatio Plumbing
rom ins -k Methanicol
1nal
Remarks: J0 -,?2 /4? 14?I
i????Yo ? ?,
No. ' 2299
CITY OF EAGAN
3795 Pilot Knob Reaa
Eagoe, Minnesote 55122
P6one: 4544100
??- - PERMIT
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
1'-c?.1' k? ?
.
??? Receipt No.:
`r .. t.. Single 1
$ite Address; Residentiol
?if?C'
Lot Block Sub/Sec. r i ? 7E'C` Multi Res., Comm./Ind.
' ,-rin - ? ,T,
Nome New/Alter./Repoir
• 1.712 I.. .- Ur-sr- _
a
c Address Cost of InstallaYion
r? ",f1E:?+CZI}:d
C?? PhO^e: Permit Fee
: a.v ,rlel?:?r_ `i? i';
? Nome Surcharge
?
Addreu 1637 ChjC."ir'<? , `j,
•+.?
V 57,40 -'r- r"', 7
C'h' Pho^e: Total
This Permit is issued on the express condition that oll work shall be done in accordonce with al) applitoble 5tote of
Minnesofo Stnfutes ond City of Eogan Ordinonces.
Building Official
cinr oF E?"N
3795 Pilot Kao6 Rood
Na. Ea9dn, Minnewte 55122
Pbone: 454-8100
PERMIT
Dcte:
Site Address:
4671 Jackstone Pt.
Block SublSec.
Riaf;eeiifre 4
Lot _
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single _
Residentiol 1 O' 4 -, ? '-?
Muiti Res., Comm./Ind. ?
Name li-rin ?o=p80ri $O? te S
New/Alter. /Repoir
$ Address 171-2 F'opY3ns Crsrd.
Cost of Installotion
O
, .T . ,,.et,o21k8
? '``J" . c,.1 7'3'3"?
City Phone: " Permit Fee Nome reriZ RYtin
Surchorge
Addreu J ,.,. ,?,•t :r.
J`'
Ciry r?t?"'? . _ - • Phone:
Total
This Permit is issued on the express condition that all work shall be done in atcordance with all appliaoble $tate of
Minnesota Statutes and City of Eogan Ordinances.
Building Officlal
C1TY bf EAGAN V1/ATER SERVICE PERMIT
3795 Pitat Knob Rood PERMIT NQ.:
Eagan, MN 55122 DATE: .
Zoning: No. of Units:
Owner: - -
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
.; 1 agree to aomply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
1' Totol:
-'R., date Paid:
Date of Insp.:
' CITY OF EAGAN
3795 Pi!at Kno6 Raed
. EC9qR. MN 55122
Zoning;
Dwner:
Address:
5ite Address:
Plumber: .
?°9ree ro MMP'Y with Fhe Cify o{ Eagcn Connection Charge:
Ordinantes.
Actount Deposit: _
Permit Fee:
B • Surchdrge:
Y . Misc. Charges: _
Dote of Insp.: Total:
Insp.: . Dote Paid:
^ITY tlF EAGAN
-95 Pilo! Keob Road
Eagan, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
Meter Na.:
Size:
Reader No.:
1 agree to eomply wif6 the City of Eagae
Ordinpneas.
BY
Date of Insp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
- No, of Unita:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No, of Units:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Totnl:
dote Paid:
I nsp..
r_ r
° riTY OF EAGAN
gt?s Pilot Knob Rood
s,gan, ?M1N 55122
Zoning:
Owner:
Address:
S+te Address: ?r
:?-
to eomply wit6 f6e Gty °f EO9°n
SEWFR SERVICE PERMIT
PERMIT NO.:
DATE:
_ No. of Units; _
- ?? pd
Cannection Charge:
Account dePosit: -
Permit Fee:
Surcharge: -?-
Misc. Charges: -
Total: --
af Insp.:
CITY OF EAGAN
3795 P{1et Knob Rood
Eagan, MN 55722
Zoning:
pwrf_r:
Address:
Site Address:
Plumber:
gSWER SER VICE PERMIT
PERMIT NO.: .
DATE:
- No. of Units:
?Y w?h the City of Eugan
n Connedion Charge:
osit:
D
I
P
agree to ao? _
ep
Account
Ordinanees. Permit Fee:
Surcharge: --
. M;Sc. Charges: -
Sy Totol: _----
Date of Insp.:
Insp.: Date Paid:
C17Y OF EAGAN
3795 Piluc Knob Road
Eagan, MN 55122
Zoning:
Owr.r:
Address: .
Site Address:
Plumber:
Meter No.:
Size:
Reader No.:
I a9ree to comply with the City of Eagon
Ordinanaes.
WA'iER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
rt
Connection Charge: -
Account Deposit: .?---
Permit Fee:
5urcharge:
Misc. Charges
Total:
Date Paid: -
By
Date of Insp._
CITY OF EAGAN
3795 Pilot Knob Roed
Eoyon, MN 5S1Z2
Address:
PERMIT NO.:
DATE:
- No. of Units:
ecZiffe 4
a9ne to eomplp M•ith the CitY of Eogae
of Insp.:
CITY OF E,4({qN
3795 Pilr* Knob Rood
Ea3an, MN 55122
Zoning: i'.I 7 7
Owner: "
Address:
Site Address;
PI umbe r:
Meter No.:
5ize:
Reqder No.:
1 ag?ee to eomply with the C
hy of Eagen
Ordinonoes,
By -
Date of Insp.:
Connection Charye:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: _
Total:
1NATER SERVICE PERMIT
PERMIT NO.:
DATE:
? No. of Units: - ' :
e 4t
---------------
Connection Charge:
Account Deposit:
Permit Fee:
Surchorge:
Misc. Charges:
Totol:
Dare Pn;d;
I nsp.:
ivav.a owiv ouaru oi cleccric"ry .
Griggs Midway 81dg. - Room N197 EB-00001-02
'7821 University Ave.. SL Paul. Minn. 55104 - Phone 297Q711 i
kr'QUEST OW W0?{.K?OV REDTBYITHIS EOUEST'ON 'T 16734V
CHECK E
Type of Building New Add. Rep. .Check Applisnces Wired Fo, Check Equipment Wired For
Homc ? ? Range Temporary Wiring El
Duplryc ? ? Water Hea[et Lighting Fix [ures
ApL $Idg. El ? ? Dtyer
? ElecVic Hea[ing
mercial Bldg. 0 ? ? Fumace Silo Onioadcr ?
strial Bldg. ? D ? A'v Conditionec ? Bulk Mitk Tank ?
arm ? ? ? List Lis[
pthei El 1:1 ? O[he[s
Here Others
Here ?
COAfPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders&.Subteeders: # Fce Cilcuita: F Fce
0 to 100 Am s. 0 to 30 Am etes 0 to 30 Am eies
101 to 200 Amps. 31 to 100 Ampeies 31 to 100 Am eres
A6ove 200 Amps. Above 100 Amps. Above 100 Amps.
Tcansformers - 'eControlCirc. Partialorotherfee C ?
Signs FA ecia lnspection Minimum fee $S
Remarks
TOTALFE s}
??
1, the Electrical lnspectoi, here6y certify tha,Y'`? ?bov? ?on h een
(RouBhan) v ' e ( - ? ? -V
(Final) ?te 3--/ ?/4 I
This request void '
18 months from
This request void 7
18 months from IZ
/?
Date of this Request ~ Z? Fire No. '¦ 1?+ 73
T
I, a Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal *ift installed at:
Street Address or Route No. YO f+ r City ac*,j
eon Township Range County "?°r "'?
Which is occupied by On4?v FId Vr"1p$ Jw nC!'w"S
4Name of Occupant)
Is a roughin inspection required on this job? No ? Yec< Ready Now ? Will Cal?-
PowerSupplier ['A Address Fm7'Ilma1Gr
Electrical Contractor J?EL'u "('Q?--rocjG Contractor's License NA??
?? ? ? (COmpa? Name)
Mailing Address !
(Elr?ctr c I C tractor or owner Making This Installatlon) Authorized Signature Phone No.
(Elect?ltal Cont? to? o? Owne? Making Thls Installatlon)
This inspectian request will not 6e accepted hy the
State 8oard unless proper inspection fee is enclased.
minnesota state uoara ot eiectncity Griggs Midway 81dg. - Room N191 EB-00001-02
14b,7821 University Ave., St. Paul, Minn. 55104 - phone 297•2117 i
CHECK BEEOW y'OAKCO ERED BY'THIS REOUEST INSPECTION T 1 6 733--/
Type of Building New Add. Rep. Chmk Appliances W'ved For Check Fquipment Wired For
Homc ? ? Range ? Temporary W'uing ?
Duelex ? ? Wa[ei Heater ? Lighting C•ixwres (9
t. Bldg. ? 0 ? Dryex ?- Electric Heating ?
mercial Bldg. ? ? ? Fumace ? Silo UNoadex ?
dustrial Bldg. ? ? ? Air Condi[ioner ? 8ulk Milk Tank ?
Farm ? ? ? List List
Othei ? ? ? p
Herers? Hehers?
COMPUTE WSPECTION FEE BELOW
Service Entfance Size: ? Fee Feeders&Subfeeders: # Fee Circuits: # Fee
0 lu 100 Am s. 0 to 30 Am res 0[0 30 Am etes
101 to 200 Am s. 31 to 100 Amperes 312 100 Am eies
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Tcansfotmeis Remote Control Cira Partial or othet fee
Signs e' s ection Minimum fee $
Remacks
?D fl TOTAL F a,-?,S
I, the Electrical Inspect'or,fhere"Bj?idrttf'y'that the ahove in?sp?ec?f `on Has been m311E.°
(RouRh-in) 1? - V ""?'C,Heta?)
(Final)
This request void
18 months from
This reyuest void -o/ 18 months from ??
Date of this Request P'ire No. B 16733
I, alik Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal winng installed at:
Suee3 Address or Route No. 5I)LiEn T+• City?
loon Township Range County ?k4k
Which is occupied by
ls a rougliin inspection required on this job? No ? YrSE?_ Ready Now ? Will CallIRC
_>Ji
Power Supplier ?`?1? ??}?, Address 1 IRI"'f-? ?/?? I IV G !
Electrical Conuactor i"u. E`""" 7alG Contractor's License No k-`625
Mailing Address
Authorized
or
No. U I o '"
t1 (electrICaI"Conttactar or Owner Making This Installailon)
?? Rg?q`rtl ll j?? ????? ?? ,O ?. This impection request will not be accepted by the
E ? State Baard unless praper inspection fee is enclosed.
mmnnsoca JiBie nOaro OT OBCirlcrty
Griggs Midway 81dg. - Room N197 ? EB-00001-02
iversiry Ave., St. Paul. Minn. 55104 - Phone 297-2177
UF;
CHECW WS RKOCOV REDTBY'TH S EQUEST'ON e 1 p 7 Z J'/
Type of Building New Add. Rep. Check Appiiances Wired For Check Fquipment Wired Fo:
Home ? ?
? ? Range 7emporary Wiring ?
plex ? WalerHeater ? LightingFiztures
L Bldg. ? ? ? Dryec ,-,P
Et.
I Electcic Heating ?
ommemial Bldg. ? ? ? Fumace r
?
(,?v Silo Unloader ?
Induslrial Bldg. ? ? ? Air Conditionet ? Bulk Milk Tank ?
Farm List
) List
Other 0 ? ? p
}
Hehersl Heheis?
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fce Feeders&Subteeders: # Fee C'vcuits: # Fee
0 to 100 Am s. 0 to 30 Am eies 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am res (}D
Abovc 200 Amps. Above ]00 Amps. Above 100 Amps.
Transfoxmexs 1 1 RemoteControlCiic. Paztialorotherfee . v
Sns 1 1 Special Inspec[ion Minimum fee 55.0
Remarks $?
? TOTAL FEE •?
I, the Elec{nc'aYIn4 " d,tof, 6 e67ertifY LC//?? Ihat ove ?? fio has been made.
(RouBh-ir?L? \'
(Final) ? ?"-? r Da e?7-?
This iequest void .
18 months from
This request void
18 mqnths from
Date o this Request Z- 1S?3 Fire No. ?16729
I; Licensed Electrical Contractor 0 Owner, do hereby request inspection oT the above eleciri-
cal i g installed at:
0 t Address or Route No. City %7i"
Section Township _ Range CountyD"_
Which is occupied by
Is a roughin inspection required on this job? No ? Ye$,__ Ready Now ? Will Callg
Power Supplier Kk Address ` A'4`W 67(yj
Electrical Contractor P,6--L cuxolC/ Contractor's License No ???-s
f (COmpany Name)
Mailing Address L? ? I E. ??? ?F P?D.
?a iaearu?l `
?v • nn?Y -
Authorized Signature Phone No. a--?4?s
(Electrka Conbactor or Owner Making 7his Installatlon)
SUVf? Q???? f???? This inspection request will nat be accepted 6y tM1e
?, ? SWte Board unless praper inspxtian fee is enclosed.
MFFIIIV?UL? aaao waIu 01 owLncuy
Griggs Midway Bldg. - Room N791 ? p EB-00001-02
-1821 University Ave.. St. Paul, Minn. 55104 - Phone 297-2111
RE'QUEST FOR ELECTRICAL INSPECTION ,?3 r
CHECK.BELCaV WOKK COVERED BY THIS REQUEST T 16 7 2 8?
7ype of Building New Add. Rep. Check Appliances Wired Foi Check Equipmenl W'ved For
Home
Duplex ?
? ?
? Range ?
Water Hea[er Temporary Wiring
Ligh[ing F'ix[ures ?
. Bldg. ? ? ? Dryex Electric Heating ?
mercial Bldg. ?? ? Furnace Silo Unloader ?
Indust[ial Bldg.
Farm ??
? ? ?
? A¢ Conditioner
List 8ulk Milk Tank
List ) ?
Other ? ? ? Eiheis?
ere ) Others}
Here )
COMPUTE INSPECTION FEE BELOW
Seivice Entrance Size: # Fee Feeders& Subfeeders: # Fee Ciceuits: # Fce
0 to 100 Am s. J 0 to 30 Am eres 0 to 30 Am eres L7N
101 ro 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200_Amps. Above ?00 Amps. Above 100 Amps.
Transformers Remote Control Circ. Pa[tial or other fee
Signs 1 1 Special Ins ection Minimum fee SS
Remarks
TOTAL F ?
y
I, the Elqe#rieal InsRectpr,01ereky certify that t4ej$3ve inpIjecyion llas been Ateda,--'
(Final) 4--/
This request vo i
18 months from
J) "? /3-k/
e 7-ay?fr'
? ? CG
Thistreauest void A
1 g ? F ? ?`
mon s rom
Date of this Request I ? 2 I?! Pire No. T16728
1, ay4 Licensed Electrical Contractor ? Owner, do hereby request inspection oC the above electri-
cal 4rift installed at:
?t Addiess or Route No.
on Township Range County??.lf V?
Which is occupied by
Z) #44
Is a roughin inspection required on this job? No ? Yepg(,. Ready Now ? Will Cal71T,
Power Supplier Address FO-0 I A[67U"
Electrical Contractor ?,eC4_ eLez?-rpa« Contractor's License Nol ?2'S
Mailing Address 1'I 1, E.
( e irlc I Contractor or Ownef Making Thls lnstallatlon) /]/?O -?0?
Authorized Signature_ ? Phone No, r? +
(ElectritaYCOn[ractor or Owner Making Thls Installatlon)
This inspection request will not 6e accepted 6y the
?3} [f' State Board unless proper inspection fee is enciased.
?
CASH REGEIP,T 7
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, WNyE$OTA 55122
19
DOLLARS
ruwo cooc •mo .r
L) / ??s)
7
? btd
Thank Yow5s / ?J
BY
N° 21169
?
&A_?Lj
!Q?h ite-Payen Copy
Vellow'=Pottinp CaOY
Pink-File Copy .
,
• CASH RECEIPT - ?
?' . . ,
GTY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, E$OTA 55122
DAT
weee??m ,? ? / /
?waw , f ?6'rs.
AMOUNT $ IO?
?
f
ye d
Av
•YND C006
•MO NT
Q
22
y
/
Thank Yoit-53- '
BY
N° 21169
? .;moo ?rj
,M CDPY
ossoo covr
CuPY
CITY OF EAGAN
3795 Pilet Kno6 Road'" Eeyaq, MN 55722 Na 6235
PHONE: 454-8100
BUILDING PERMIT APPLICATION ReceiPt #
're he u.aa fa. 1 of 4 nlex F? v„i". 37.100 n...P 10-2 1980
Site Addresc 40/4 aaleiii rb. ?iviouel 041
t.or 4 Block g Sec/sun. Ridgecliffe 4
Porcel #
w I Nome Orri n Thomj)con HomPs
3 Address 1712 Hopkins Crsrd.
o ,.. - , .. ,- , , rv.,....
Ereci ? Occupancy n3
Alter ? Zoning PD
Repair ? Fire Zone 3
Enlorge ? TYPe of Const. V
Move ? # Stories
Dertwlish ? Front 24^20 ft.
Grade ? Depth 24=22 ft.
Apprornla Fees
p Name _
?
?? Address
?- ??...
Nome _
Address
I hereby acknowledge that I have read this application and state that
fhe Informotion is correct and agree to comply with all applicoble
State o4 Minnemta Statutes and City ot Eagan Ordinances.
Assessment _
Water & Sew.
Police _
Fire
En9.
Planner _
CounNl -
Bldg. Off. _
APC
Permlt 110-50
$urchorge I 9 - nn
Plon check ,55 _ 25
SAC 525 _ (1(1
Water Conn. 305 _ 00
Water Meter 60_ nn
Road Unit l R5 _ (]n
Total l ,25,9-75
Signature of Permittee I
A Bullding Permit is issued to: OP7'iri Th0111 JSOR HOID85 on the express condition that
alt work shall 6e done in accordqqce with oll,qpplicgble State of Minnesota Statutes and Clty of Eagon Ordinantes.
Buildirg Official
CITY OF JIA('?F+N Include 2 sets of plans,
? ? • 1 site plan w/elevations 6
J? gUILDING PERMIT APPLICATIdN 1 set of ernsgy calculation4•
N -
7b se used For R?ino N'LE Valuation Ioo,oo Date SEP 19 1980
site Pddress: LJhoaEL 81) oFFI(E USE OMY
Lot _Ik Block ? Sec./Sub. Fiect g_ OccuPancY
Parcel Alter Zoning f O -
Repair Fire Zone Y
O.mer: Enlazye _ Zype of Const. t/
_ Nbve # Stories
Pddress: a Qivision of U. S. Hom= CorooEa+fo., DPno115h Frorit ft. - In' KINS CROSSROAD Grade ? Depth ft.
Clty/21P CO(3Q: MINNETONKA. MINN 5s3q? . -
Pnone #: 5`i'i-1333 APPROVATS ?
Contractor: ORRIN -ruIX
nocnni unPAES
AddT2S5: a Division of U. S. Home Corporetion C1Ly/ZlP CAdB: MINNETONKA, MINN. 55343
Phone #:
Psch./bhg.:
Address:
Assessments Pesmit 1?2R-
Water/Sewer Surcharge
Police Plan Check
Fire SAC
png, Water Conn. -1
planner Water Meter?
Council Rflad Unit J e5
Bldg. Off.
P.PC
City/Zip Co3e:
Phone #.
?y
cr.rY oF
BUIIDINC, PIIN7Pf APPLICATION
Include 2 sets of plan-s,
1 site plan w/elevations &
1 set of energy calculations.
1b Be Used For R Es i D Ituc p Valuation `a 37 100,oo Date
SEP 19 1960
Site Pddress: °?1p7(} 81) OFFIC£ USE ONII.Y
Int ? Block $_ Sec./Sub. ??_sFtt.1F__F1C ?ct k' OccLipa1c7'
Parcel #: Alter Zoning
Repair Fire Zone
Owner: En1ar9e _ 'Iy1e of Const.
NYrve # Stories
lish Front o'? ft.
j?]?psg: a Division of U. S. Hom? Coronraf;n? Derio ? ft.
1 71 HOPKINS CROSSROAD Grade DEpY?1 f y ?'
Clt}+?ZlP COCIe: MINNETONKA MI'vN 55342
Pnone #: .544-1333
Contractor: ORpiN Tunnnornni OMES
PddI'2SS: a Division of U. S. Home Corporation
City/Zip Code: MINNETONKA, MINN. 55343
Phorie #:
Arch./Fng•:
Address:
city/Zip Code:
Phone #:
APPF3OVAIB FEES
A
Pssessnents Pexmit f l0
Water/Sewer Surcharye 1=
Police Plan Check Ss'" ?
Fire SAC cS?S ?
gng, Wates Conn.
planner Water ^5eter / a
Council Road Unit
Bldg. Off.
APC
Tdi'p,i, 199'? '1'S
CITY OF EAGAN
3795 Pilof Kneb' Rood y Fagan, MN 35722
PHONE: 450.8100
BUILDING PERMIT APPLICATION Receipt .#
1
Value
Site Address 40t3 oacxsione rti. ?nnoael
Lot _3- 81ack 8 Sec/Sub. Ridg .l i f p.
Parcel #
w Nome Orrin Thomnson Homes
z Address 1712 Hopkins Crsrd^
a Nume _
O< Address
rc
Name _
Address
I hereby acknowledge thot I have reod this appiication and state that
the informotion is mrtect ond agree to comply with all opplicoble
State of MinnesAta Statutes ond City of Eagan Ordinances.
N? 6234
caP/16
Erect Occupancy iL-)
Alter ? Zoniog PD
Repair ? Fire Zone 3'
Enlarge ? Type of Const. J
Move p # SMries
Demolish ? Front Zr+'-20 ft.
Grode ? Depth 24-22 ft.
ApDrovals Fees
Assessment _
Water & Sew.
Police _
Fire
Eng.
Planner -
Council _
Bldg. Off. _
APC
Permit 11V.7V
Sumhorge 19.00
Plan check 55.25
snc 525.00
Water Conn. 305.00
Water Meter 60. 00
Road Unit 185.00
Trn,i 1,259.75
Signature of Pertnittee I
A Building Permit is issued to: nrrin Thn=enn Hom2S on the express condition thot
all work shall be done in accordance wiykQall 9pplicablg,State ot Minnesota?5totutes and Ciry of Eagan Ordinances.
Building Off(cial
?? CiTY pF ?',AN Include 2 sets of plaris, .
6 1 site plan w/elevations &
a gUiLDINC; PERMPf APPLICATION 1 set of erergy calculations.
7b Be Used For R s,o ueP valuation a37 ,10040o nate SEP 1 9 1980
Site Pddress: Y/, 172 y(.?'?.oDE? 81) OFFICE USE ONLY
int 3 slock e) ec./Sub. R1DCEGSIpFG Erect OccuPancY
Parcel #:
Q.mer:
??
pddresg; a Division of U. S. Home Cornarat;nn -
?7I' KINp
Clty/21P COC72: MINNETONF(A MINN 55343 -
rhone #: 344- T333
Contractor: ORpIN Tunnnocnni unMrS
PLjC1t255: a Division of U. S. Home Corporation C1ty/Zip Code: MINNETONKA, MINN.55343 -
Phone #:
Arch./Eng.:
Pcldress:
City/Zip Code:
Phone #:
Alter Zoning ! _
Repair Fire Zone 3
Enlarqe _ Type of Gonst.
hbve # Stories
Denlish Front 157 9E 2a ft.
Grade Depth a5? ??. ft.
APPFd7URLS FEES
Assessments
Water/Sec.er
Police
Fire
En4-
Plannes
Council
Bldg. Off.
P.PC
PPSmit //4,5
Surcharge "j q IZ-V
Plan Check ss"?
SAC
Water Conn. z:Q
Water Meter
Road Unit J g?
ZOTAL
GTY OF EAGAN
3795 Pilw Knob Road Eagan, MN 55123 N2 6232
' ° . PHONE: 454-8100
BUILDING PERMIT APPIICATION Receipt # '1?d._._? _
ro ? una fe. 1 of 4 lex ?
P Est. Volue 37,100 Date 10^2 , 79 $0
Site Addreu 4670 531erR Pt. (MOd21_82L Erect ?do 0«upancy R?
Lot 1 Block g sec/Sub. Ridgecliffe LF Alter ? Zoning PD
Parcel #
W I Name Orrin Thomn4on Hom s
3 Address 1712 Hopkins Crsrd. _
° r;ti. Minnetonka, I& __ 544-7333
p Name
???
Addre,
r r..,
Nome _
Address
I hereby ecknowledge ihat I have read this application and stote thet
the information is correct ond agree to comply with ull upplicable
Stote of Minnesota Statutes and City of Eagon Ordinances.
Repoir ? Fire Zom 3
Enlarge ? Type of Const. 1T
Move ? r{k Stories
Demoiish ? Front --24-2n ft.
Grade ? Depth 24-27 fr.
AvDrovals Fees
Assessment _
Water & Sew.
Palice
Fire
Eng.
Planner -
Council -
Bidg. Off. _
APC
Permit 110.50 _
Surcharge 19.00
Plan check 55.25
sAC 525.00
Water Conn. 305.00
Water Meter 0 00
Road Unit 185.00
Totol 1,259.25
Signoture of Permittee I
A Building Permif is issued to: Qrrin Thompson HOll12S on the express condiTion thot
all work shall be done in accordan?{ce?{?w??th ?ol?l applicabl..e, 5tote ot Minn)esoto Statu/tgs and City of Eagan Ordinances.
Building Official ?'`-?'-'?-•?- ?-G?LC ?L?' ; 7
CITY OF EAGAN
? 3795 Pilw Knob Road Eagan, MN 55122
' PHONF: 454-8100
BUILDING PERMIT APPLICkT10N- ReceiPt #
T. be uted for 1 Of 4 p1BX Est. Volue 37,100 Date?
Site Address
Lor 2
Parcel # -
w Name Orrin Thomneon HomPs
; Address 1712 Hopkins Crsrd.
p Nome
Z? same
Address
? Citv Phone
Name _
Address
I hereby ackrrowledge that I have reud this application ond state that
the information is correct ond ogree to comply with all opplicable
State ot Minnesota Statutes ond City of Eagon Ordinnnces.
$ignature of Permittee
N? 6233
a//4 i
Erect [O Occuponcy R3
Alter ? Zoning Pi1
Repair ? Fire Zone 3
Enlarge ? Type of Const. JI
Move ? # Stories
Demoiish ? Front 24-20 ft.
Grade ? Depth 24=22 ft.
Aoororala Fees
Assessment Permit 110.50
Water & Sew. Surcharge 19.00
Police Plan check 55.25
Fire SAC 525.00
Eng. Water Conn. 305.00
Planner WaterMeter 6o.o0
Council Road Unit 185.00
Bldg
Off
.
.
APC
Toral 1,259.75
A Building Permir is issued eo: Orrin Thompson HOID@S on the express condition that
oll work sholl be done in accordonce with ?all/,p?OPl,i?cable State of M?cin.?nesata Statut and City of Eagan Ordincnces.
Buildirg Official 4Z2-? -+
Bi«k g 5ec/Sub. Ridgecliffe Q
CITY OF PGAN
BUIIDINC; PII2NLIT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations 6
1 set of enezgy calculatjans.
1b Be Used For REsip?cn Valuation `t371op,oo Date SEP
site paaress: -y? 7/ C-VI'IoaEL 81) oFFicE vss aNLY
1980
Int .7, slock /Sec./sub. Rl9GEgLLEES Erect A,1 _ occucancY ?.3 -
..lter Zoning
Parcel
Repair Fire Zone 3
o.mer: ??'9e _ ?'Pe of Const. ?i
Nbve # Stories
p<]?p$g• a Division of U, S. Hom? Coronrat'n,. DHilO115}1 Front 2'? ft.
• ft.
1/ 12 HUP91NS CROSSROAD Grade D0pYh o2'5?
Clty/21p COd2: MINNETONKA_MinlN 5r342
Phone #: .S44-1333
Contractor: ORRIP1 Tunnnocnni HOMES
Address: a Division of U, S. Home Corporation CKU??HUAU
City/Zip Code: MINNE70NKA, MINN. 55343
Phane #:
Asch. /Eng• :
Pddress:
Gity/Zip Code:
Phone #:
APPROVAIS FEES
Assessrents Petrtut O ?
Water/Sec.er Surcharge z y
Police Plan Check aa:
Fii2 SAC SaS ?'
gg, WateY Conn. 3 oLs` ?
-
-
-
Planner Water.Meter /
6
?
Council Road Onit > sr?s =°
Bldg. Off.
APC -
ZC)TAL
?-/1De+
2007RESIDENTIAL BUILDING PExMiT ArPLicnTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWClion Reauirements
3 registered site surveys showing sq. H. of lot, sq. R. of house; and all roofed areas
(20% marimum lot coverage allowed)
1 Soils Report if proposed building is to 6e placed on disturbed soil
2 copies o( plan showinq beam & windowsizes; pouretl found design, e[c.
1 szt of Energy Calculatrons
3 copies of Tree Preserva6on Plan if lot platfed akeR11793
Rim Joist De[ail Options selecfion sheet (buldings wAh 3 orless units)
Minnegasco mechanical ventll2lion form
RemodeUReoair Reau'rements
2 copies of plan showing footings, 6eams,joists
1 set of Energy CaIcWa6ons for heated addi6ons
1 site survey for addifions & decks
AddAron -indicate iloo-sik septic sysfem
%4. -11?r
OKce Use-0nlv
CedofSurveyRzcd _Y _N
SoilsReport Y N
Tree Pres Plan Recd Y _ N.
Tree Pres Required _Y _N
On-siteSeptic5yskm' -_Y N
Plans are considered public inforrriation unless ou state the are trade secret and the reason.
Date ?3 / 1 a l?7 Construction Cost _ 9,1 Q6 ?
SiteAddress g(c'7/ rAC)? SJtdn,[ Pi . UniUSte #
u 7 3?4cV & . 1, ) a- y(, rz s?t &? )0 ; ,
Descrip[ion of Work QQ ' {L.cC)"p -
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 2
Property Owner JC. ? a?.? C ) > ? ? ?S TOC Telephone # ( )
Contractor 1(JA ?P L, Y-tffg Icvj -
Address ) J q ? L? t? i ) f} ?" f e,+T k) City F}3 T, vqC f
State /"4 /--" Zip , 0,3 Telephone#(614 9,Y7-9//3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Cate9ory 1 Worksheet . New Energy Code Worksheet
(J submission type) Su6mitled SUbmitted
• Energy Envelope Caiculacions Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber
Mechanical Contracfor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # (
Permit and acknowledge that the information tis complete and accural
e;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State ot 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 work which requires a review and
approval of plans.
'b lJf} ,?/ l" MRKV S &,,?l
ApplicanYs Printed Name
(a_ .
Applicant's ign ure
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ?? ? C)?
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauiremenis RemodeVReoair Reauiremenis O(fice-UwOrdv'
3 registered site surveys showirg sq. R of lot sq. tt. of house; and all roofed areas 2 copies of plan Pert of Suney Re{,d Y N
(20°k maximum lot coverape allowed) 1 set of Energy Calculations for heated additions Ixee,Fras #aBn ROd ?14N_
2 copies of plan shaxing beam 8 window sizes; poured found design, etc. 1 site survey for addNons & decks ?ree Pres RequrzeC ,
? - Y_N
T
lsetofEnergyCalculatlons Addition - indkatedarsltesepticsystem P"
pn+sit??ap9ysk?m l,2J
!-"
3 copies of Tree P25ervation Plan'rf lot platted afler 71193
Rim Joist Delail Options selaction sheet (bldgs with 3 or less unifs
/ r?
Date 3 6
Construction Cost 2Sd p?'?
/'
n
Site Address Y?t7 l 3 fj?Z?! +i't, Unit/ste #
Description of Work 614'5 1
"3
Multi-Family Bldg _ Yr N Fireplace(s) _ 0 4\,-l 1 _ 2
Property Owner S L?C.c„ 0•-, ? ?l; j 4-6 Telephane # (&S-/)
Contractor ??'G C% C? j S' e l?n ?`
Address
[f!¢,? /?
Citv ?k
State Zip Telephone # (ySZ) ?'/3.3
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Cateeorv 1 _
• Residential Ven4lation Category 1 Worksheet
(Jsubmissiontype) Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
N If so, 25% plan review
Telephone # ( II D
Telephone #(
m
I hereby apply for a Residential Building Permit and aclrnowledge that the informa '" p e e an 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 plan in the case of work which requires a review and
approval of plans.
lGk /V Ie.S ek)
? Applicant's Printed Name
Applicant's Signature
\
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
C.R. WINDEN i A850CIATES, iNC. CERTIFICATE OF SURVEY
LAND SURVEYORS Te1.615-3646 For:
1381 EUSTIS ST., ST, PAUI, MINN. 55108 U. s. HOME COxPORATION
Note: Buildings shown are proposed.
As of this date Ridgecliffe Fourth
Addition has not been recorded.
Lots 1 through 4 inclusive, Block 8,
Ridgecliffe Fourth Addition, Dakota
County, Minnesota.
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WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TNE BOUNUARIES OF THE LAND
ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, TNEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY.
FROM OR ON SAID LAND.
Dated thia 18{hday of CJ -L'pf A.D. 1980
C. R. WINDEN & ASSOCIATES, INC.
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Surveyor, Minneso[a Registration No. '77 Z6-
D?611, J
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CITY OF EAGAN
L-i- B - I/ MECHAIYICAL PERM11'
SUBD. (612) 681-4675
RESIDEIVTIAL
RECEIPT #
DATE
PLEASE COMPLEfE UPPE]t ppRTION ONLY FOR SINGLE FAMILY DWF.LLINGS. ALSO, COMPI.E,TE FOR
TOR'NHOMES/CONDOS R'AEN SEPARATE PERMITS AgE REQiJIREp FOR EACH DWELLING UNTf.
OR'NER (q lr t' ._ 2 r?. c? Z, FEFS
SITE ADDRFSS:
O.? ct- (2 0 j ? ADD ON ODEL (EI?IISTING
UCITON ONLI) $ 15.00
INSTALLER: AVAC: 0.100 M BTU 24.00
PH01vE #: 12481 Rhode Island Avel So. ADDIT[ONaL so M BTU 6.00
ADDRESS: avage, - ?--- GAS OUTLEfS - MINIMUM 1@ $3 EA.
[
CI7'P: ZIP: SURCAARGE: $ .50
SIGNATURE: TOTAL: $
i/ f/
COMMERCIAL
PLEASE COMPLEI'E THIS PORTION FOR ALL COMMERCIALINDUSTRIAL BUILDINGS. ALSO COMPLEI'E FOR
APARTMENT BUILDINGS OR OTHER MULTI•FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
Fi?CH DWELLING UNTI'.
R'ORK DFSCRIPTION: CONTRACf PRICE FEES
196 OF CONTRACT FEE
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE. $
PROCFSSED PIPING - $25.00
a
i?uxirnrM rEE - $25.00
owxER: ToTaL: a
SI1'E ADDRFSS:
TENANT:
SiT11'E #:
INSTALLER:
ADDRESS:
CI1'Y: ZIP:
PHONE #: CI1y SIGNATURE
SIGNATURE:
2000 BUILDING PERMiT APPLICATION (RESIDENTIAL)
CITY OF EACAN
??-?-?`-l 3830 PILOT KNOB RD - 55122
? 651-681-4875 30 2- "? s
New CanshucHon Reaulrertfenta Remodel/Reoalr Reaulremenri
> J reglsfered slfe wrveys showinp tq.1f. of lot, sq. H, of houae 2 copiea of plan
antl 90 rooted area: (2D'i6 maxlmum lot coveraea anowad) 1 sef d eneryy cdculaNOns tor healed addlNOns
? 2 coples of plans (ahow beam ! wintlow slzes; poured Ind. design; etc.) 1 site wrvey for ezteAOr additbns A tlecks
i set of enerpy calculaMOna
? 3 copies of hee preservaHon plan Il lol platt9d afler 7/1/93
DATE: ? • C' C; CONSiRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: + • ? ? ?O_I , ? ? ? ?".
LOT: j- '- BLOCK: S SUBD./P.I.D.
Namel? IL,l C- ?, S oc . pnone u: ?/9/
PROPERTY laadT-- flrst
OWNER
Sheet Address:
City Sfate: Zip:
Company: E-UZ r IVS 71 f\ ? ?U McS ?/1 C. Phone #: ?D
(area code)
CONTRACTOR Sheef Addreu: ? 6''`-? G ).- Ilcense # ?322 Exp, ?I 31 ?1 ?
?
CNy ?LAY n S V? ? lL - Sfate: fY1 A? Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: (
Sheet Address: ReglshaHon #:
City
State:
Lp:
Sewer/water licensed plumber (it Installina sewer/water): Phone #:
I hereby acknowledge fhaf I have read Ihis applicatbn, stafe that tho intortnafion is cortect, and agree to comply wilh all applicabie State
of Minnesota Stalutes and City of Eagan Ordinances.
, Signalure of Applicanf:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
CITY USE ONLY
PERMIT #: Li RECEIPT DATE:
RESIDENTIAL MECHANICAI. PEiiMIT AppLICATION
(o? I I(d?3 ??- ?-?- crn'oFEt?snx
!-? '-4
sBso Paor wuos Rn
o Z
y EAsnP buv ssi ss
651-681-4675
Please complete for: : single family dwellings
townhomes and condos when permits are required for each unit
Date: V }
' :?!t SITE ADDRESS: ?-i (,o7 c) ?]CS. ?.i? Mr? ??• . T-cC'G r
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS: 4"lC?LO I `(-O'
CITY: STATE:
Place a check mark next to the oermit work tvoe
TELEPHONE #:
TELEPHONE #:
? S /ZZ
_ New residential dwelling unit under constructionand not owner/occupied $ 70.00
_ Add-on alteration to existina dwelling unit $ 50.00
• f rnaro ?enlorcmcn
• air exchanger
• air conditioner i
• other
Nature of work: n4
Q O(/Z ???"n q G?
? I
State Surchar e I
$ 50
I I
L Total
Remixder: Call for inspectioiu.
Updated I,Oi
1/ ? ?ob
9_?885-RESIDENTI.AI. BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
4-?_0 - n
New Constmction Reouiremenis RemodellReoair Reauiremenls Office Usz Diilv
3 reglstered sile su(veys showinq sq. fl. of lol, sq. fl. of house; and sll roofed areas 2 copies of plan CedotSurvey Re,.d Y :N
(20% maximum bt cwerage allowed) 1 sel of Energy. Calculations for hea[ed additions TrwPreS PI2ri ReCd Y N
2 copies of plan showing 6eam & wintlow sizes;poured found design, elc. 1 site survey for additions & decks Iree PreS ReQ?3ired Y? N
iselofEnergyCalculations Addition - indicateifon-sitesepficsystem S3n-site:SeptieS}?siem ; _Y._lil
3 copies of Tree Preservation Plan if lot platled aBer 711193
Rim Joisl Detail Options seleclion sheel (buildings wiih 3 or less unils)
Date _?- /_':?A / Construction Cost o_ooy C7 V
Site Address TJnit/Ste #
1
? VYUV
?
^ ? '
? ? ?
'
' ?? ?
Description of Worlt
pQ-ty.
? pJ7 p
p'(,
W?
?J[ 1 vYYi
Multi-Family Bldg ? Y _ N ' Fireplace(s) _ 0 _ 1 _ 2
Property Owoer "?yj_] LIJ}j Telephane#( 01 4'qq -3776
Contractor ?
Address ' City
State - Telephone
^
r
COMPLETE THIS AREA OPILY IF CONSTRUCTING
Energy Code Category - Minnesota Rules 7670 Categorv I _
(J su6mission type) • Residential Ventilation Category 7 Worksheet
Submitted
. - Energy Envelope-CalcWations Su6mitted
Have you previously constructed a building in Eagan with a similar plpn?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
NEW BUILDING
?vliiuiesota Rules 7672
. New Energy Code Worksheet
Submitted
Y_ N If so, 25% plan revi2w.
Telephone fl
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accuratf
that the work will be in conformance with the ordinances and codes of the City of Ea-an and the State of NE
Statutes; I understand this is not a permit, but oniy an application for a permit, and work is not to start without
permit; that the work will be in accordance with the approved plan in the case of work which iequires.a review an
approval of plans.
&\( kTXAMa lU
Applicaf's Pnnted Name
?
Applican S' ature
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157218
Date Issued:08/09/2019
Permit Category:ePermit
Site Address: 4671 Jackstone Pt
Lot:2 Block: 08 Addition: Ridgecliffe 4th
PID:10-63983-08-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ezra Kesler
4671 Jackstone Pt
Eagan MN 55122
(612) 916-3042
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA163627
Date Issued:09/08/2020
Permit Category:ePermit
Site Address: 4671 Jackstone Pt
Lot:2 Block: 08 Addition: Ridgecliffe 4th
PID:10-63983-08-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ezra Kesler
4671 Jackstone Pt
Eagan MN 55122
(612) 916-3042
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA170066
Date Issued:06/18/2021
Permit Category:ePermit
Site Address: 4671 Jackstone Pt
Lot:2 Block: 08 Addition: Ridgecliffe 4th
PID:10-63983-08-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
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 -
Ezra Kesler
4671 Jackstone Pt
Eagan MN 55122
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature