4676 Jackstone PtReceipt PLUMBING PERM17
CITY OF EAGAN
Fill in numbered spaces
Type vr Prini legibly
1. Date AU'? 2. Installation Cost _t7 j
r.? ?"71
3. Job Address ?,)! i F,Wv?5 c+ Lot • Blk.
4. Owner
Permit No.
Fee
S/C
Tot.
D
?0 Tract P'C '
5. CoMractor C?-:eS S oY-C WHi :_K_ Phone-7 1? -1
73 'S nI
8. Address __? v i ?? , ?
7. City LS • State Zips
8. Building Type: Residential A Commercial Q Institutional O
9. Work Description: New )< Add ? Alter ? Repair ?
10. Describe ? N S 7')L?- W7A WfSl ttZ S o t'? i;M Ge_
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory ? Softner
Shower Well
Kitchen 5ink
_ Urina4/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
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 C1TY OF EAGAN 454-8100
r ? CITY OF EAGAN
• 3795 Pi1ot Knob Raad Eogon, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
N4 6230
Site Address `?,:'r;L i.5 ?"+, O,iodel. Erect ? Octuponty
Lot Block ' Sec/Sub. li?3?ee?iffe 4
Alter
?
Zoning
po?l # Repoir ? Fire Zone
" Enlorge 0 Type of Const. ?
'-'??:'f•:??n =10i'P3
W Nome -'='' Move ? # Stories _
z Address -712 Hoplri`l-, rT'ST`i'. Demolish ? Front ri^ ft.
?'if.. . -' T1A'fl1T?fA ' ftl'DL.nwe rW i. G1'O? 0 Deptf1 ?.
4%
NOfi'IB
,O
v?
Addreu '?'Tne
Assessment _
? Water & Sew.
Ci Phone
Pol ice
W Nome Fl
F ro
Address Enfl.
<W Ci Phone Plonner
il
C
I hereby acknowledqe thot I have read this application and state that ounc
gldg. Off. -
the information is correct and ogree to comply with oll applicoble
Stote of Minnesota Statutes and City of Engon Ordinonces. pPC
Signoture of Permittee
Permit - `
?$urcharge
Plon check
SAC
Water Conn. -???? • ?
rn r
Water Meter '
Road Unit
ToYol '
A Building Permit is iuued to: on the express condition thot
oll work shnll be done in occordonce with oll opplicable State of Minnesoto Statutes and City of Eagan Ordinonces.
Buildfng Official .
i
?
I
?..
oa. hw.d r...x+« 42
Plumbing
Mechonical
?
INSPECTIONS DATE INSP. Rou9h-In Fino1
Footings d Date Inap. Date Inap.
Foundotion Plumbing
Frame/ins. -o?C'J- $1 V;,-r-$ / Mechanical - d-
Final
?
Remorks:
?
cIrr oF EAGAN
3795 Pilot Knob Reed
Ea9an, Minnesota 55122 INSPECTOR NOTIFICATION
^'o. - rtiom: 454-8100 REQUIRED BY LAW
FOR ALL INSPECTIONS
= - PERMIT
Date: 1?i.? - •1 Receipt No.:
Single
_Residentiol 1 "
Site Address:
Lot ' Block Sub/Sec. ` CZ1-f?`' ? IMulti Res., Comm./Ind. _
Name ' `--r-Lri 'I'1'rQ1ipi0[1 HGimmilis New/Alter. / Repoi r
.
? Address 1712 lnc??l-{T,S (`1S1', .
Cost of Instollotion
City Phone: 3 3 3 Pem+it Fee ,
Nome '-ay Welter FA?atix!c` Surcharge.
.
?
Addreu =4;37 ChicaM
,
City ??P1S "fi Phone: Total
This Permit is issued on the express condition that oll work shall be done in occordonce with all cpplicable State of
Minnesota Stotutes ond City of Eogon Ordinances.
Building Official
.
Na
cirr oF EAw?N
3795 Pilot Kno6 Reed
Eagan, Minnesota 55122
Phone: 464-8100
PERMIT
Dote:
$ite /lddress:
lt679 M12'Q11i8 Pt.
Lot ' Biak ?5i?/Sec Fidgecliffe 4
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residentiol '
Multi Res., Comm./Ind. I
Nome :i-rin Thompaon Homes New/Alter. / Repoir
g Address 1712
Cost of Installotlon
O
Cir
Y Phone: Permit Fee
Name n'-512 F?,?&I'; .
? Surtharge
? Address _.1745 "r .'_'i . .
?
v City n--o'in-?' ,'`... Pnone: -1 ?4F, ,.
Totol
This Permit is issued on the express condition that otl work sholl be done in xcordcnce with all appliwble State of
Minnesoto Stotutes and City of Eogan Ordirsonces.
Building Official
(grrtifiratr nf (Orrupttury
Citp of (Eagan
Oppttrtmpttt ,af Builbing Awpertion
Tbis Ccrtificatc issucd pursuaru to thc requirements n/ Section 306 of the Uni form Building
Codc cMi f png that at thc time o f issuanu thil itructu?e was in cmn pliancc with thx variouJ
ordirrunce.c o f tbe City regulatitig builrling constrrution or rue. For thr f ollowing:
1 of 4 PIEX o,._ 6230
Oaup--y Type R3 J_ 7ype Contructian V Firc Zone ?1 3 Zoadrtg Diicrict
? Addren ?.71` ""r"'- Crg
Owner of Bufld?v ?r?l
,d a 4?_ ?--- . .?-/
?
...
461 - - - - - - v
LITNOIN U.5.4.
BUILDING PERMIT
Te ba u,ed fer c
000
N2 6229
Site Address "'' ?' ' ? • k j?IoLle1 Erect 4ccupancy
Lot Block Sec/Sub. Alter ? Zoning
Parcel # Repair ? Fire Zone '
Enlcrge ? Type of Const.
ce Name
W
Move
Q
Stories
#
3 Addres
s
Demolish
? ,
Front ft.
o Ci Phone 3;' Grade ? Depth ft.
0? Name _
0
?? Address
F' f irv
Nnme _
Address
Water & 5ew.
Police
Eng. -
Plcnner _
Councii _
Permit
Surcharge
Pian check
SAC
Water Conn. -
Wuter Meter
Rood l)nit
I hereby acknowledge that I have read this application ond stote that gidg. Off.
the informotion is correct and ogree to comply with oll upplicable APC Total
State of Minnesota Statutes and City of Eagan Ordinonces.
Signature of Permittee
A Building Permit is issued to: " on the express condition thot
oll work sholl be done in nccordonce with nll applicoble State of Minnesota Statutes nnd City of Eogan Ordinonces.
Building Officiai
CITY OF EAGAN
3795 Pilo! Knob Rood Ecgon, MN S5122
PHCNE: 454.8100
Receipt #
Pamif # peh IaWd PwnMtw
Plumbing Q- O ? 6
Me5 anicol _ ad 7f
IPtSPECTIONS DATE IN5P. Rough-In Final
Footings Dote Insp. Dote Insp.
Foundotion
Frame/ins. Plumbing
Mechanical
? ?
Final
7
Remorks: ?/C l xo-zJ,?v
164. .? I/-P-o-- gc
No.
, cinr oF EAG?N
3748 Pilot Kno6 Road
Eogen, Minnesota 55122
Pbone: 454-8100
PERMIT
Date:
Site Address: - ? ,'- Y ?' t
Lot Block Sub/Sec. `
Name Payin rllrlC7''',04'! %CI'Ie5
.
? Address
?
Ciry Phone: ' 1--7 ?'17
Ncme
.
? .
? Address
Ciry Phone:
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single , I
Residential '
Multi Res., Comm./ind. I
New/Alter./Repair
Cost of 1 nsta I lotion
Permit Fee
This Permit is issued on the express condition that all work sholl be done in accordonce wlth all opplicable 5tate of
Minnesoto Statutes and City of Eogon Ordinances.
Building Official
. * CITY OF EAGAN
• - 3795 Pilof Knob Road
Eogan, Minnesote 55122
"?. Ptione: 45"100
PERMIT
Dare: 1n--10-80
Site Address:
?
Lot
4677 M82`qili9 Pt.
INSPECTOR NOTIFICATION
REQUIRED BY LA1N
FOR ALL INSPECTIONS
Receipt No.:
Single
Residentiol 1 r` f )
?-e?
BI«k Sub/Sec. R1dgeC1iP1'e ?+ I Multi
Name nrrin Thorapeon Home`
New/Alter./Repair
` 1712 Iiopkir_!,, Crpr?.
; AAdress Cost of Instollution
O
' i +1-n'f:oT'LkA. . "`Tl . 5 ' J. 7 ^ y ? ? r !1(1
Ciry Phone: Permit Fee Nome 7
., Surcharge
? Address 11745
? `USC-1'1lL"?. , ,',1. ?: "+- 7.)_?.?, , .- -•
Clty Phone: Totol
This Permif is issued on the express condition that all work sholl be done in ocoordance with all applicable State of
Minnesota Statutes ond City of Eogon Ordinonces.
Building Official
Receipt PLUMBING PERMIT Permit Na
CITY OF EAGAN
Fee fill in numbered spaces S/C
Type or Prini /egib/y Tot.
1. Date 2. Installation Cost
3. Job Address Lot 2- Blk. ? Tract ?I- 'C `
4. Owner
5. Contractor `-?r's Soft T"'ater Phone 721-3-'C7
6. Address M01 Cai ifornia '.; '
7. City State Zip '^^" 1
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New 0 Add O Alter ? Repair ?
1 10. Describe
1 11.
No, Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Se
tic Tank
Lavatory p
5oftner
Shower Well
Kitchen 5ink
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
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
CASH RECEIPT
CITY 4F EAGAN
? 3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
oAre
is
AMOUNT $ I
d` DOLLARS
? d ?eo
CASH ? GHECK
?
FOR •
YVhite-Payers Copy
Yellow-Postin9 Cvpy
Pink-File Copy
Thank You
?&19 - BY
• • r
No.
CITY OF EAGAN
3795 Pilot Kwob Read
Eogan, Minneaota 55122
P6one: 454-8100
i 1 Lt*,;L1 Tl.:7 PERMIT
Otte: 10-10-80
!.671 Jackstone Pt.
Site Address:
Lot 1 Block ? 5ub/Sec.
Fjcigecliffe 4
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.: Single i o}' .: ^ 1i '.
Residential .'?rrin Homes , - -
Nome N
Al
R
ter. /
ew /
epai r
Address l.i'].? CI`3T(l.
i
ll
C
f I
t
ti
? os
a
o
ns
on
a
Clt
Y r? I1netoT?..iT3 • ?'_?1. FL F_?J? : }
Phone:
P
F . • .
ermit
ee
Name ?enz P.ja.z
h
S
?
.
'
urc
orge
g Address r/.5 ;;. "'.oi"er±, 'r.
•
e
0
V
C'ty
'
"? . Phon
:
e Toto I
This Permit is issued on the express condition that oll work shall be done in atcordance with all eppliceble $tote of
Minnesoto Stetutes ond City of Eogon Ordinances.
Building Officiol
CITY OF EAGAN
3795 Pilot Kno6 Roed
No. Eagan, Minneioro 55122
Phone: 434-8100
PERMIT
Date: 1
Site I\ddress: I ` .7 2 'Yack-5t'I]r%- Pt -
Lot 4 Biock Sub/Set. -?'?1 ;-r `'^ •
Nome --rin ?'?xzrLwr?n I tci?-
.
e Address ? •7- ?' •,r,e - _ i ~Y;Y ;
?
City Phone: ? A~7V' ,
Name •.'?"1sl ?:?A1 tl?;^ ;?Fi?-; r ?-
?
Address , (;':7 C"h{ t`acrn T,l??
?
City -- Phone:
This Permit is issued on the express condition that nll work shcll be
Minnesoto Statutes ond City of Eogan Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. I
New/Alter./Repeir
Cost of Instollotion
Permit Fee ?^' ;•}r,
Surchorge
Toto I '
done in acoordonce with oll oppliwble State of
Building Offitiol
?
BUILDING PERMIT
Te 6w u?d inr •-
$ite Address , OQeI
Lot Block Sec/5ub. i f fe 4
Parcel .#
W I Name
3 Addre.
0
? Nume
? o F•
?? Address
Name
Address
I hereby acknowledge thot I hove reod this npplicotion and state that
the informotion is corred and agree to comply with ull applicoble
State of Minnesota Statutes ond City of Eogon Ordinances.
wo
N4 6231
Erect Occupancy
Alter ? Zoning -
Repcir ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front
Grode ? Depth ft.
Appro vols Fees
Assessment
Water & Sew.
Police
Firo
Eng.
Plonner
Counci I
Bldg. Off.
APC
Permit _
Surchorge
Plan check
SAC
Woter Conn. ?
Water Meter ?
Road Unit
Total
Signature of Permittee I
A Building Permit is issued to: - - `?r {^ on the express condition that
oll work sholl be done in cccordance with ail oppticoble State of Minnesota Statutes and City of Eagon Ordinonces.
Building Officiai r ?
CITY OP EAGAN
3795 Pilof Knob Road Eagan, MN 55122
PHONE: 454-8100
Receipt #
PanmM # OaN Nemd PWMlMw
Plumbing
Mechonical leu _
% /G 7 5
INSPECTIONS DATE INSP. Rougtv4n Final
Footings -v Date Insp. Date Irap.
Foundation ? Plumbing
Frame/ins. 12- 1$7-b 1 Mechaniool -?a-
Final :3 ^ :? $l)14?1
?
Remorks: 11 y-f6
?
• _ . CITY OF EAGAN
?> 0 3795 Pilot Knob Road Eagan, MN 55112
PHONE: 454-8100
N° 6228
BUILDING PERMIT Receipt #
Site Address c1-: ?c?;'_c i't. ('.'IOd@1 8
Lot ' Block Sec/Sub. 11 f'fn /:
Parcel #
W Name ?',rri n i'ht=nrm i-Ic]?1c+S
3 Address
O , ". . . . .- -
Ci , , Phone .
p Nome
z?
o' /lddress
u?
? Cih. DL,.,.,a
Name
I hereby ocknowledge that I have read this application ond stote that
the infortnation is correct and ngree to comply with oll opplicable
State of Minnesota Statutes ond City of Eagon Qrdinonces.
Erect ?j Occuponcy
Alter 0 Zoning
Repair ? Fire Zone
Enlarge ? Type ot Const.
Move ? # Stories
Demolish
? ,
Front - ft.
Grnde ? Depth ft.
Approvals Fees
Assessment _
Water 8 Sew.
Polite
Fire
Eng.
Planner
Counci I
Bidg. Qff. _
APC
Permit
$urcharge ?
Plan check
SAC
Water Conn. ;??`' •
n r ,
Water Meter
Rood Unit l ' • ?
Total 1 .1"` `- r'
Signature of Pertnittee I
A Building Permit is issued to: Orr1n on the express condition that
oll work sholl be done in cccordance with all applicoble Stote of Minnesota Stotutes ond City of Eagan Ordinances.
Building Official
0
remN # DYte INmd PMUlffM
Plumbing 4cnt,
Mechonical
'C.c-
,
INSPECTIONS DATE INSP. RougFrln Final
Footings 01-$0 Date Insp. Date Irnp.
Foundotion Plumbing
Frane/ins. Mechaniwl
Finai
?
Remarks:
No.
Date:
CITY OF EAGAN
3795 Pilof Knob Road
Ee9en, Minnesota 55122
Phone: 454-8100
PERMIT
Site Addrcss: Pt.
Lot ? Block Sub/Sec. - ? ?
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residentiol
Multi Res., Comm./lnd. I
Nome `l?? Thcupsm fkric'g New/Atter./Repoir '
; Address 1712 1-bOjjig Crsrd• Cost of Installation
O
City L''`=torj<d Phone: Permit Fee
Name a`1 WE3Zt-'r 5urchorge
.
? Address ,'e37 G'z.ic,ac*o A';(
0
City Phone: ?' . Total , r .
This Permit is issued on the express condition thot all work shall be done in accordonce with all applicable State of
Minnesoto Stotutes ond City of Eogon Ordinonces.
Building Official
, . - cirir oF EAGAN
. „ 3795 Pilot Knob Read
Eagon, Minnesota 55122
No. Phons: 454-8100
PERMIT
Dcte:
ia1o-8o
Site Nddress:
4676 ,Tecketone Pt.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
?l??F
Receipt No.:
Single 1 of 4 plex
Residential
Lot 1 Block FSub/Sec. Ridireoli£fe 1; I
Multi Res., Comm./Ind.
Name ??'_T?'.1; i110!i1?]3CT'. ?'70ff:',,^.
N
A
R
ew /
lter./
epoir
.
Add?ess
1712 HopLir.s Crs,•,? .
C
f i
ll
i
? ost o
nsta
on
ot
CIty , UT'1@t.Oliafl, it1. Phone: 544-7331 ._,.. -..i`P
i
F
erm
t
ee
Nome 0-enz P?Van .
S
h
? urc
orge
Address 14745 'obert
?
City osc?r;cur+, '„, Phone: 4231--l.il+i; .
Totol
This Permit is issued on the express condition that all work shall be
Minnesota Stotures ond City of Eagon Ordinonces. done in xcordonce with ull cpplicable State of
Building Official
CITY OF EAGAN Remarks
Addition Ri ?gecl.i£f?lth Addn, Lot- 2 Blk fa Parcel #10 L634_83 020 06
owner st,eet 4677 Marquis Point s,ate Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ?
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 1 110.69 7.38 iS
SEWER LATERAL
WATERMAIN '
WATER LATERAL I
WATER AREA
STORM 5EW TRK 1982 346.09 5 346.09 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK I
STREET LIGHT
WATER CONN. 305.00 21165 0/2
180
BUILDING PER. 6229 .
SAC
PARK
I
CITY OF EAGAN Remarks
Addition RidgPC1 i ff 4th Aclrin Lot 3 Blk 6-Parcel #1,0 63983 03(] 06
Owner ±.• - Street 4679 Marquis Point 5tate Eagan: I4IN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 110.69 7.38 5 95.95
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 110.69 7.38 $
? ^ 1 12-23-81
STORM SEW TRK 5 346.09 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Rd UNIT
WATER CONN.
SUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition Ridgecliff 4th Addi1 Lot 1 eIk 6 Parcel #19 63983 010 06
Owner',-?-L'. Street 4676 4as4swn Point State Eagan, MN 55122
M-cKskoe. E
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 110.69 7.38 5 95-95 1 3 27 81
SEWERLATEFAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1982 346.09 5 346.09 C007616 12=23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Rd UNIT 185.00 21165 10 2 80
WATER CONN. 305OO 21165 10 2 80
BUILOING PER. 6228
SAC
PARK
CITY OF EAGAN Remarks
Addition RidgeslJ - Ef 4th /?dd , p . Lot-4 Bik 6- Parcel #10 63983 nnn 06
Owner street 4678 Jackstone Point scate Eagan, NIIV 55122
J -- --
Improvement Date Amount Annuai 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
WATERMAIN
WATER LATERAL
WATER AREA 1980 110.69 7.38 15 95.95 C007109 3 27 81
Services 1982 637.75 5 637.75 C007616 12-23-81
STORM SEW TRK 1982 346.09 5 346.09 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER .
SIDEWALK
STREET LIGHT
Rd. UNIT 185.00 21165 10 2 80
WATERCONN. 305.00 21165 10/2/80
BUILDING PER. 6 23 1
SAC 59500
PARK
Rsceipt ?PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fea
FiII in numbered spaces S/C "
Type or Prini /egibly Tot. '
1. Date ` 2. Installation Cost
3. Job Address ' t~ l: _. LotBlk. t Tract `f- C•?
4. Owner
5. Contractor Phone T'
6. Address S ? ?' ' •
7. City State Zip "
8. Building Type: Residential L?1 Commercial ? Institutional O
9. Work Description: New b Add ? Alter ? Repair ?
10. Describe
1 11.
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drai
field
Bath tubs p
n
Se
tic Tank
Lavatory ' p
Softner
ShOwer Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 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
CITY dF EAGAN SEWER SERVICE PERMIT
3i 9S Pilot Knob Reed PERMIT NO.:
Eagnn, MN 55122 DATE:
Zoning: No. of Units:
Owmr: _
AddreSS: '
Site Address:
Plumber:
I agree to complr with Yhe City of Eagan
Ordinance:.
ev
Dote of I nsp.:
Connection Chorge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Total:
Date Pold:
WATER SERVICE PERMIT
CITY aF EAGAN
3795 Pilot Knob Road PERMIT NO.:
Eogan, MN 55122 DATE:
Zoning: - No. of Units: -
Qwner -
. -
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
I agree fo eomplr wifh fhe City of Eagan Surcharge:
Ordinanaes. Misc. Charges:
Total:
gy Dote Paid:
&Dote of Insp.: Insp.:
WATER SERVICE PERMIT ;
CITY OF FAGAN
PERMIT NO
:
3795 Pilot Knob Road .
Eagan, MN 55122 DATE:
Zoning: - No. of Units:
O
wner: -
Address:
Site Address:
Pl
b
er:
um
Me.ar No.: Connection Chorge:
Size: Account Deposit: .
:
Reader No Permit Fee:
.
1 agroe to wmplp with Hhe City of Eogan Surcharge:
Chorges:
Mi
Ordinoneas. sc.
Total:
g Dote Poid:
y
Dote of Insp
: Insp.:
.
cirr oF eaGaM WATER SERVIC E PERMIT
4195 Pifot Knob Road PERMIT NO.:
Eegan, MN 55122 dATE: '
Zoning: No. af Units:
Owner;
Address:
Site Address: •
Plumber:
Meter No.: Connection Charge:
Size: A
t D
ccoun
eposit:
Reoder No.; Permit Fee:
I a4ree to eompir with the Cily oF Engon Surcharge:
Ordinaneea. Misc. Charges -
Total:
BY Dote Peid:
Dote of Insp.:
! nsp..
CI7'1r OF EAGAhI SEWER SERYICE PERMIT
3795 P1fot Kno6 Road
Ecgon, MN 55122 PERMIT NO.:
DATE:
Zoning:
No. of Units:
dwner:
tlddress:
Address:
a9?ee fo eompIY with the City of Eagon
of Insp.:
Connection Charge:
Account Deposit: •
Permit Fee:
Surchorge:
Misc. Charges:
Totol:
Dote Paid:
r CITY OF EAGAN SEWER SERVICE PERIIM1IT
; 3795 Pilot Knob Road PERMIT NO.:
tEagan, MN 55122 DATE:
'Z°nin9' No. of Units:
'Owner:
:Address:
-'Site Address:
Plumber:
1 ogree to eomply witb the City pf Eoyae Connection Charge:
Ordinances. Account De
posit:
Permit Fee:
5urchorge:
BY Misc. Charges:
Dote of Insp.: Total:
Insp.: Date Pcid: .?
OF EAGAN SEVIIER SERYICE PERMIT
Pilot Knob Road PERMIT NO.:,
, MN 55122 DATE:
?: - No. of Units:
Address: _
t.,.,..
agree to comply with the City of Eagan
cli ffe
Connection Charge:
Account Deposif:
Permit Fee:
5urcharge:
Misc. Charges:
Total:
of Insp.:
CITY OF EAGAN
3795 Pilot Knob Road WATER SERVIC
PERMIT NO.: E PERMIT
Ecgan, MN 55122 DA7E:
Zoning: No, of Units:
Owner: ?
Address:
Site Address:
Plumber:
Meter No
: Connection Charge:
.
Size: Account Deposit:
Reader No.: Permit Fee;
1 agree fo eomply with fhe City of Eagan Surcharge:
Oedinonees. Misc. Chnrges:
Total:
8 Dpte Paid:
y
Dote of Insp.: lnsp.:
CITY OF EAGAN
- 3795 Pilo! Kno6 Rmd Engon; MN 55122 N2 6228
PHONE: 454-8100 ?
BUILDING PERMIT APPLICATION ReceiPt #
Te be ueed fer 1 of 4 Plex ESt. Value 24,000 Date 10-2 , 1990
Site Address 4b'!0 J8C1SSlORB Yt. lM0Ci21 YS
Lor1_ eiock6_ Sec/s.b. Ridgecliffe 4
Parcei #
w Name 9"`I"Il ThninPSGI TjO.TLeR
; nddress 1712 Hopkins Crsrd.
°
r.., Minnetonka, Mib,,,,.,s 544-7333
Erect [a Occupancy n3
Alter ? Zoning PD
Repoir ? Fire Zone
3
Enlarge ? `
Type of Const. _ V
Move ? # Stories
Demolish ? Front 28-20 ft.
Grode ? Depth 26-22 fr.
Approvalt Feea
? Neme _
?0 u Address
Name _
Address
I hereby acknowledge that 1 have reod this application ond state that
the informotion is correct and ogree to camply with all opplicable
State of Minnewta Stotutes und City of Ecgan Ordinances.
Assessment _
Water & $ew.
Police _
Fire
Eng.
Plonner -
Council _
Bldg. Off. -
APC
Permit /7.UU
SurcFwrge 12.00
Plan check 37.50
SAC 525.00
Water Conn.305.00
WaterMeter 60.00
Road Unit 185.00
Toral 1 , 1 A9. 5n
Signature of Permittee I
A Building Permit is issued to: L1TY'lri T]7QII[j1GRI1 Hnmpq on the express condition that
all work sholl 6e done in accordarlyq with oll oppliwhle-Stote of Minnesom Stmutes ond City of Eagan Ordirwnces.
Building Official
? ?y',? 00
This request void ``?7?"" j 6
18 o ths4- 1 1?
m n om ?
Date of his Request 1 I Z ? Rire No. T1
? 1[e ?
I, aLicensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
c=!O.Hng installed at
?et Address or Route No. f??
LlQ?'
City
?
on Township Range County
Which is occupied by
Is a ioughin inspection required on this job? No ? Ye6i?: Ready Now ? Will CallJd.
Dit:
PpwerSupplier i?k Address fw vi vyVdi
Electrical Contractor E?EGZP?« Contractor's License No !i3
(COmpany Name) p?
Mailing Address ?' nG?[F
F
I e cnc ? wniracior or vwner making i nis inswnauon7 40 ???
Authorized Signature Phone No. ?u
( ectrl Contractor or O ner Making This Installatlon)
???`C?? ?? IS?1 ?? tl?? (l'? :Y?k? This inspection request will not be accepted 6y the
? EyF1 C?I? State Board unless proper inspection fee is endosed.
mnasma acace wara ot ceecniciry
Griggs Midway 81dg. - Room N791 EB-00001-02
7821 University Ave.. St. Paul, Minn. 55104 - phone 297-211l ?
CHEk'?i{ $??I.OW WOItK COVEREDTBYI THIS EQUEST1ON T 16 7 2 6?/
Type oP Building New Add. Rep. Check Appliances Wited Fm Check Equipment W'ved Fot
Home` ? El Range ? Tempocary Wiring ?
Duplex ? ? Wxter Heater ? Lighting Fix[ures O4
. Bidg. ? ? ? Dryer ? Electric Heating ?
mercial Bldg. ? ? ? Fumace ?. Silo Unloader ?
Industrial Bldg. ? ? ? A'u Conditioner ? Bulk Milk Tank ?
Fazm ? ? ? List Lisl
Other ? ? ? p
Heiels? p
Hehers?
COMPUTE INSPECTION FEE BELOW
Selvice Enttance Size: # Fee Feedeis$Subfeedeia: # Fee C'vcuits: Fce
d to 100 Am s. Z? 0 to 30 Am [es 0[0 30 Am eres
10 1 [0 200 Amps. 31 to 100 Amperes 31 to 100 Am eces
Above 200 Amps. Above 100 Amps. Above 100 Amps.
ransforme[s Remo[eConttolCirc. Partial or other fee
:.?
Signs Special lnspcc[ion Minimum fee . 0
Remazks
-?
IOTAL?'E:E o
,17
0
U
I, the Electrical
been made.
K1`; I- ZLY
(Final)
This request void
18 months from
.. mmneso[a State BoarA of Electricity Griggs Midway Bldg. - Room N197 ^A EB-00001-02
?-:$21 Univsity Ave., St. Paul, Minn. 55104 - Phone 2974111 /
C-LOW er WRK O COVERED ELEMICAL
THIS EQEST ION
HECK F T 16 7 2 4?
Type o[ Building New Add. Rep. Check Appliances W'ved,For Check Equipment WiredFor
Home
D
l ?
? ?
? Range ?
? TempotatyWiting ?
up
ex Water Heater
l Lighting Fuwres
L Bldg. ? ? ? Dryei Electric Heating ?
mmexcial Bldg. ? ? ? Fumace ? Sllo Unloade
r ?
duslrial Bldg. ? ? ? Ait Conditionet k
Bulk M8 Tank ?
Farm ? ? ? List List )
O[her ? ? ? Hehers? Hereers}
)
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fce Fcedeca&Subfeeders: # Fee C'vcuits: M Fce
U to 100 Am s. to 30 Am ies 0 to 30 Am eres
IOI to 200 Amps. [0 100 Amperes 31 [0 100 Am exes
Above 200_Amps. kove
100 Amps. Above 100 Amps.
Transformers mote Control Circ Pattial or other fee
Signs ecial lns ution Minimum fee E
Remarks
? ?D
? ?
TOTAL F
?
I, the Electric s {et ? g? fy that the'?ve iny? c o,J n Ras been f-?/
PLJ?? ce ?
(Roueh•in)
(Final)
Tlus request void
18 months &om
' ?,
7his request vo3d 6
18 months from
D2Yr f:his Request 1 ?
I I I? Fire No. T 16724
l, Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal i g installed at:
Street Address or Route No. ?I 0( 1 ?pl?- J?S ?• City&46kY"
•ion Township Range County
Whichisoccupiedby IlU"`?-
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yepk_ Ready Now ? Will CallK
Power Supplier Address f 19'HAlN 61R0fJ
Electrical Contractor ?LEGmC,, Contractor's License No T?'5as
Mailing Add
Authorized
C{' ?? j?? ?0??? ??(?? This inspecUan request will not be accepted by the
t'9 Ll E)'' State Board unless proper inspection fee is enclosed.
? co
This tequest void
18 months from
DsTe f'this Request ?' S??i Fire No. T 16775
I, icensed Electrical Contractor ? Owner, do here6y request inspection of the above electri•
cal inng installed at:
Street Address or Route No. `0 ? ? F1?-t^??N? ??? City IEP 6Qi?
0-on Township Range County ? a
Which is occupied by Ui?ZIi`? ftbM4IJ ?`I bp6`j
Is a roughin inspection required on this job? No ? Yet-Z-, Ready Now 0 Will Cag<
Power Supplier kN Address 1 IVf?`JN(;-tbr?)
Electrical Contractor -DELc 676457G-fr1c, Contractor's License No(gn?S
(COmpany NdT{e)
MailingAddress G?pi? ? ?Y&
Authorized
(Electric5l Contmc[of or OwnS
????? c(DARD COPY
or owner making inls Instanatlon)
? Phone No. '04D "5?5?
This inspection request will not he accepted by the
State 8aard unless proper inspection fee is enclased.
mmnesota 5tate uoartl oT Hectricity
Griggs Midway Bldg. - Room N191 ? EB-00001-02
4%1111111?1 University Ave., St. Paul, Minn. 55104 - Phone 297-2111
CHECK ELOW WS RKOCO EREDTBYI THIS REOUEST INSPECTION ? T 16775
Type ot BuAding Ne Add. Rep. Check Appliances W'ved Foc Check Fquipment Wued For
Home ? ? Range ? Tempocary Wiring ?
Duplex ? ? Water Healer ? Lighting Fix[ures ?
t. dldg. ? ? ? Dryer ? Electric Heating ?
mercial Bldg. ? ? ? Fumace ? Silo Unloader ?
dustrial Bldg. ? ? ? p'u Conditioner ? Bulk Milk Tank ?
Faim ? ? ? pLut List )
Othei
?
?
?
Rehers? p
}
Hehersf
COMPUTE iNSPECTION FEE BELOW
SelviceEnt:anceSize: # Fee Fceders&Subfeedus: # Fee Cucuits: # Fee
0 to 100 Amps. to 30 Am eres 0 to 30 Am exes (p Lui
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am etes 'L. -pU
Above 200_Amps. A6ove 100 Amps. Above 100 Amps.
Transformers oce Control Circ. Partinl or other fee ` , - 7
S" ns - I lnspection Minimum fee
Remarks
.
y. .
TOTAL E
I, the Electricallidspeftbr, hereby certify that tl}eA$Jve inA*cj1bn Ras been ma
(Final) Date
This request void
18 months from
This ?request void 'ey '
?
18 months from ,.?
Date this Request_ Fire No. T1?+ 731
I, as?!?Licensed Electrical Contractor ?Owner, do hereby request inspection of the above electri-
?t Address or Route No. f T. City
tion Township_ Range County 1A
Which is occupied by
Is a roughin inspectlon required on this job? No ? Yes P( Ready Now ? Will Calb'?
PowerSupplier 1`C* Address IAtiY'!WkvoNj
Electncal Contractor Beu' 6&`??C' Contractor's License NJ?
/??/ ?, (CO ? ny Name)
Mailing Address
(EI tri< Cont?actor or Ownar Making This InStallaHOn) ?
Authorized SignatureN Phone No. a ?SSO-?
or owner making
S?j'??? ?? (? ?? ???(?/? This inspection request will not be accepted by the
u ? ?,f State Board unless proper inspection fee is enclosed.
wa awm wav o? uww?cny .
? Griggs Midway Bidg. - Room N791
1821 Univarsity Ave., S[. Paul. Minn. 55104 - Phone 297•2771
REQUEST FOR ELECTRICAL INSPECTION °?
CH6EK BELOW WORK COVERED BY THIS REQUEST
EH-00001-02
16731?
Type of Building Ne Add. Rep. Check Applisnces W'ved Foc Check Equipment W'ved Fm
Homc ? ? Range ? Temporary Wixing ?
uplex ? ? ? Water Heater ? Lighting Fixtures d?
. Bldg.
W ? ? ? Dtyer ? Elec[iic Hea[ing ?
m
macial Bldg. ? ? ? Fumace ,?pq? Silo UNoadei ?
Industrial Bldg. ? ? ? A'u Conditioner iC7 Bulk Milk Tank ?
Facm ? ? ? List List
Other ? ? ? Herers? p
He?ers?
)
COMPUTE 1NSPECTION FEE BELOW
SaviceEn[nnce Size: # Fee Feede[s&Subfeeders: # Fee Ciucuits: # Fee
0 tu 300 Am s. 0 to 30 Am res 0 to 30 Am eies
IOl to 200 Amps. 31 to ] 00 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformeis RemoteContmlCirc. PartialorotherFee
Signs Special Ins ection Minimum fee
Remarks
TOTALF Eiip,?
(Final)
This request void
18 months from
has beenlrade'?
p
4m
e ;7- q-P /
Date G_ ?T f'-?I
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGMill SOTA 55122 ?J
' DAT ?+C•l
?
RQC61V6
rw
' AMOUNT
70?
L X/ s DOLLAR9
3 .-e
I `? ?? ??CASH MECK
?
.B4
N-4-
1'
PIIHG COOfi •MO T
'ej
v ?
d ?-J
l.?.J
J /
4d '7'fd. AsJ
Thank You? a? `??
BV
N? 21165 1io-rave.. coor
Vellow-Postinp CqPV pnk-File Copy
6 ` CASH RECEIPT
CITY OF EAGAN
- 3795PIL0T KNOB ROAD
EAG MI SOTA 55122
DAT
ve
R
AMOUNT
a ?
Q CASH
77
Pune coo[ •MOl iT
• J 'v
OAXJ
Thank You? " ???
i,
I'
BY ?
N ° 21165 ,,,_P,Y,„ Co,Y
Vellow-POrtinp CoDV .
Pink-Flle Copy
(grrfifirtt#p af (Orrupttnry
. Citp of (Eagan
Br}rttrtrnrnf nf iluilding 3nsprriinn
7bir Ccrti firatc ircuu! pHrrtraru to the nqrurrmrntt of Sraian 306 0/ the Useiform Buildrn$
Codr eriti fring that ar the timt o f irwanct tbit rt+uuwe war in corrs flianre witb the varioar
oidinanrar of the Ciry regulating buildrng roanruttrott or uJr. For the fo!louvng:
. ,
u,. chrK,em 1 of 4 Alex ' • , % ,?', ^
0-? 7Y? R3 'lrYp,ce,.??a,w?uao V
O-ovo(&AEmeOmn ?ry ++?+?F+$C81 fk
6229
. PD
BY:
3-6-81
ro.. .. . m...,??,,. .uQ
.,,
I.S.A.
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAG MI SOTA 55122
?
owr 12
?
•C61V!
FR
AMOUNT $ ??yp
a ?
? R _DOLLA RB
? /1 t u
El CA3N . HECK „ .
0? !/v
f ?
FVND COD6 •MO Ir
U
/.t.J
/ .?
?l
i'
Thank You-s"
?- ,
BV
N° 21165 z._paYa.. copY
Yellow-Portinp CopY .
Pink-Flle CoDV
?
?j )-7 CITY OF EAGAN Include 2 sets of plans.
1 site plan w/elevations 6
,
gUILDING pERi-lIT APPLTCATION 1 set of energy calculations.
SEP 1 9 1980
7b Be Used For
__R ,E_j_jV_jt ucn Valuation Date
Site Pddress• ?Mooe.%. SI? OFFI(E USE OAII,Y
Lot eZ Bloclc C See. Sub. g"Egj,tFFi Erect Occupancy ? 4
F o uRT N Alter. Zoning
Parcel #: Repair Fire Zone 3
?az5e ''Pe of Const. a/
O..mer: _
Nbve # Stories
Add[2SS:
a Division of
U. S. Home Comoraf'nn Demolish
26 ft.
a o
Front $ ,,,
-
1 7I'2 HOPKINS CROSSROAD Grade ft.
?p? d6
Clty/ZlP CAf12: MINNETONKA MINN SF342 -
Phone #: 5`t4 APPT2nVATS FEES .-
.
-1333
Contractor: THOMPSON f 19f'"r?-cT-
Pddr2S5: a Division ol U. S. Home Corporation
1712 NS CROSSROAD
City/Zip CodE: MINNE70NKA, MINN. 55343
Phone #_
Arch _ /En4. :
Pddress:
City/Zip Code:
Phone #:
Assessments pesmit ??Pffi
Water/Se,aer Surcharge
Police Plan Check 37 ?
Fire SAC
gnq, Water Conn. ,?Gtsffi-
Planner Water Meter
Council Road Unit
Bldg. Off.
APC
'Il7i'AL
CITY OF EAGAN
. • 3795 Pllot Knob Ruad Fagan, MN 55722 N2 6230
, PHOt$E: 454-8100
BUILDING PERMIT APPLICATION Receipt .#
Te 6e uted for 1 Of 4 p1eX Est. Value 24.000 Date •10-2- , 19$Q_
Site Address 4679 MarqLi s Pt (MOd 1 g Erect ? Occupancy R3
Lot 3 B lock 6 Sec/Sub. Ridgecliffe Q Alter p Zoning PD
Parcel .# Repair ? Fire Zone 3
E
l T
f C
t
V
n
arge ? ype o
ons
.
w Nume Orrin Thompson Homes n4ove ? # Stories -
; Address 1712 Hopkins Crsrd. Demoltsh ? Front 28-20 ft.
b
Grade ?
Depth 26-22 ft.
Ci one
?
0 Name ApProvals Feea
? Address S?e Assessment _
?
? Ci Phone Water & Sew.
?
Police _
?w Name
?w Fire
? Address Erg
?
<w w CI PFwne .
Plonner -
Council _
I hereby acknowledge that 1 have read this application and state ihat gldg. Off. -
the information is wrrect ond agree to comply with ull upplicable
State of Minr?ewto Stotutes and City of Eagnn Ordinonces. APC -
Permit i7•VV
SurCharge 12•00
Plan check 37.50
Snc 525.00
Water Conn. 305.00
Water Meter 60.00
Rood Unit 185.0?
Toml 1,199.50
$ignuture of Pertnittee - I
A Buildinq Permir is issued ro: Orrin Thom,pson HOIDeS cn the eupress condition thot
oli work shoil be done in accor/da/y/?e with oll op/pli?m6le State of Minnesota Stotutes ond City of Eagan Ordinances.
Buildin9 Officicl
CIT1' OF EAGAN Include 2 sets of plans,
1 site plan w/elevatians 6
30 BUIIDINC; P APPLICATION 1 set of energy calculat3ons.
u ? fr -
'Ib Be Used For r P Valuation ?2.25 0400.00 Date SEP 1 9 1960
site aaaress: ///,; 7Y L'w? &' (P+ooe.L 8I ) OFFICE USE OHI.Y
Ivt 3 slorx 6 sec./suh. g?o?E?!-1FFr Frect pc occupancy
Fou0.T H Alter. Zoning _
Parcel #: Repair Fire Zone .3
??le 7YFe of Const. f/
O+mer: _
Mve # Stories
AddieSS:
a Division of U. S. Home C Dennlish Front g2$ -z ft.
KINS CROSSROAD GLdde ?P? ?? °- ft.
C1??ZlP CAC1E: MINNETONKA MINN
Phane #: 544- l33 3 APPF40VAL-S FEES
Contsactor: o i ni T MPSoA! I 19 MES-
Addres5: a Division of U. S. Home Corporation
1712 IV CROSSRUAD
City/Zip Code: MINNETONKA, MINN. 55343
Phone #:
Arch./Fhg.:
Address:
City/Zip Code:
Phone #:
Assessrents Permit -AS?' -
Wster/Sec.er Surcharge /02 ?
Police Plan Check 37
Fire SAC
gny, Water Conn. ?os? -
Planner Water Meter j?
Council Road Unit 7515 CM _
Bldg. Off.
APC
Tt7I'AL
CITY OF EAGAN
3795 Pilot Knob Raad @agan, MN $3742 N2 6229
PHONE: 454-8100 ?
BUILDING PERMIT APPLICATION
Te be uted fer 1 Of !, plex Est. Volue 24,000
Site Address 4677 Marquis Pt. (Model $1)-_
Lor 2 siock 6 sec/5ub. Ridgecliffe [,
Parcel #
? IN.,e Orriri ThortmSOn Homes
Z Address 1712 Hopkins Crsrd. _
9 Minnetonka. Mn 544-7333
o Nome _
?f
u Address
F r:«.
Name _
Address
I hereby ocknowledge thot I hove reod this applicotion and state that
the information is mrrect ond agree to comply with all aDPlicable
$tate ot Minnemta Stotutes ond Ciry of Eagan Ordinances.
Receipt # - ` /?O5
Erect
Alter p
Repair ?
Enlarge ?
Move ?
Demolish ?
Grade fl
Auessment _
Water & Sew.
Police -
Fire
Eng.
Planner -
Council _
Bldg. Off. _
APC
OccuPOncy H,L.
Zanin9 Pn
Fire Zorx 3
Type of Const. v
# Stories
Front 2g-20 fr.
Depth 26-2z f;.
Fees
Permit .1J.vv
$urcharge 12•00
Plan check 37.50
snc 525.00
Water Conn. ?3 5.00
Woter Meter 60. 00
Road Unit _ 1$5.00
Toral 1,199.50
SignMure of PermiMee I
A Building Permit is issued to: OY'Y'in Tho7RA50ri H0711@S on the express conditlon that
oIl work shali be done in acwrdance with all apaUrsble $tete ofi Minnespta Statutes and City of Eagon Ordinances.
Building Official
CITY OF EAGAN
, . 3795 PiIM Knob Rood Eagan, MN 55722
PHONE: 454-8100
BUILDING PERMIT APPIICATION Receipt #
re 6e used fer 1 of Q plex F? v„ia 24,000 r),,,>
Site
lot 4 Biock
Parcel #
W Name Orrin Thnmiann Hnme,c
3 Address 1712 Hopkins Crsrd.
AR.w. S/ /
a' Nome
Zg same
Ou Address
f r..., o?....e
w I Nome
z _
I hereby acknowledge that I have read this application ond state that
the information is correct and agree to comply with oll opplicable
State of Minnesota Stotutes and City of Eagan Ordinances.
Signature of Permittee
A Bullding Permit is issued to: C)?
all work shall be done in accordance w' h all
Building Officiol
6 Sec/Sub. - Ridgecliff?
N° 6231
Erect p OCtupancy R3
Alter p Zoning pD
Repuir ? Fire Zone 3 _
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front Zg-20 fr.
Grade [I Depth 26-22 ft.
Aovrovala Feea
Assessment-
Water & Sew.
Police -
fire
Eng.
Planner -
Council _
Bldg. Off. -
APC
Permit -/ ] . UU
Surcharge 12. 00
Plon check 37 • 50
snc 525•00
Waler Conn, 305.00
Water Meter 60.00
Road Unit 1$5.00
roral 1,199. 50
on tha express condition that
Statutes ond City of Eagan Ordinances.
CITY OF F.AC'AN Include 2 sets of plans.
?/??? J? • 1 site plan w/elevation9 &
BUIIDINC; PERMI'P APPLICATICkI 1 set of energy calculations.
4b Be Used For ?Fc?D urP Valuation Date SEP 1 9 1980
Site Address: OFFICE USE OrII.Y
i,ot -y,- siorac 6 sec./sub. g?4sEg? Erect o- oCCUPancy lP? -
Parcel F o uR'rN Alter Zoning
, Repair Fire Zone
Oaner: ?-az9e _ TYPe of Const. _
-. Nbve # Stories
a Division of U. S. Home CoroMDerTp1i5h FiOnt. 2 20 ft.
A[jdre55:
1112 KINS CROSSROAD Grade ?P? 'oZ?a ft.
C1ty/ZlP C.OdE': MINNETONKA MINN c5343 Phone #: 5`t4-1333 APP?N7?1,S ?
COntraCtDr: ORRIN TI-If1AAPSON F1e?qES
PddI25S: a Division ot U. S. Home Corporation
1712 4S LNU?)bl?Uhij
City/Zip Code: MINNETONKA. MINN. 55343 -
Phane #:
Arch./Eng.:
Addressa
City/Zip Code:
Phone #_
Assesanents Pexmit 73?
Water/Sewer Surcharge
Police Plan Check >
Fire SAC ? --Aci?
bnq, Water Conn. aS 0?
P1annPS WatEr Meter 64
Council Road Unit j gS112
Bldg. Off.
APC
7CyfAL
CIly pI' LAc,AN Include 2 sets of plarLS,
Q 1 site plan w/e7evatians 6
gUILpING pfRMIT*APPLICATION 1 set of energy calculations.
'Ib Be Used For vaiuation Date SEP 1 9 1980
Site Pddress: Mope,L $1 ? OFFICE USE OrII.Y
Iot l slorx ec./sub. g?o ?_FC Erect °ccupanc7' /?-3 -
Parcel #: Fou0.zH Alter Zoning %
Repair Fire Zore ?
Enlarge _ Zype of Const.
Owner:
Pddre55: a Division of U. S. Home Como[arn„
-Tn'Z' KINS CROSSROAD
C1iY/ZlP CAC1e: MINNETONKq NINN r,FVnn
Fhone #: 54 4 -1333
Contractor: ?Rini -r?u^^"°roBA!-I 19f?4ES
PLjdr25S: a Division of U. S. Home CorporaliOn
1712 IS UNU?)b)WAIJ
City/Zip Cocle: MINNETONKn, MINN. 55343 '
Phone #:
Arch. /Fng. :
Pddress:
City/Zip Ca3e:
Phone #:
Nbve # Stories
Dennlish Front ft.
Grade Depth ;?2 / a./9?ft.
APP137UAL.S FEES
Assessments Pennit 7?
WatEr/Sewer Surcharge I;2
Police Plan Check ,q
7
Fi.re SAC -
8 2s =
gny, Water Conn. 3 oa" 41,
planner Water *Meter 60 l-
Council Road Unit
Bldg. Off.
APC
? (COM RESIDENTIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please compiete for. Single Family Dwellings & Townhomes and Condos when permits aze required for each unit
DBte q / a? /.93
SiteAddress 4676 JACKSTONE PT IInit#
PropertyOwner DAVID BOYUM Telephone#( 953--) 435-8091
Contracror RON' S MECHANICAL, INC.
StreetAddress 12010 OLD BRICK YD RD City SHAKOPEE
State MN Zip 55379 Telephone# (952-445-8585
Bond Expi res:
The Applicant is _ Owner xX Contractor _ Other
,
Add-an, modifca[ion or alteration to existing dwelling unit $ 30.00
Y f u r n a c e r e
l a c e m
n t ?
1
3
p
e ?
.T
St
_ air exchanger
_ air conditioner _ New ?_ Replacement =- '
other PN "
State Surcharge $ .50
Total $ ?• ?
I hereby apply for a Residential Mechanical Pernvt and acknowledge tUat the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pemrit, but only an application for a permit, and work is not to start without a pe 't; that the work will be in accordance with the
appro ed plan in the case of work which iequires a review and approval of pl
?trda ???-rtQhder kGo j6k.AaGtaA,
ApplicanYs Printed Name App
COMMERCIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Pleasc completc for. commerciaVindustrial buildings
multi-farnily buildings when sepamte pemvts are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Properiy dwner Talenhor: # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Eapires:
The Applicant is _ Owner _ Conuactor _ Other
Work Type
New construction _Install _ Remove Underground Tank
Interior Improvement Schedule inspection during installation or removal of tank
Processed Piping
Nature of Work:
Permit Fee 550.50 MinLnum Fee (includes Sfatc Surcharge)
Contract Value $ x 1% _$ Permit Fee
• If pernvt fee is $1,000 or less, add $.50 => $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Pemrit Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Pemut 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 with the Mechanical Codes; that I understand this is
not a permit, but only an applicarion for a pernvt, and work is not to start without a permiE; that the work will be in accordance with
the approved plau in the case of work which requires a review and approval of plans.
Applicant's Printed Name
ApplicanYs Signature
Approved By: , Inspector Date:
PERMIT # RECEIPT DATE:
EOUE RUIDEPTIAL PLUM$ING PERl4ITT APPLICRTIOH
crrYoF EAsM
3930 eu.oT xivoa ttn
EABAP, MR 55122
651-691-4675
Please complete for:
SITE ADDRESS:
OWNER NAME: :
single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
INSTALLER NAME: k, P
TELEPHONE #: 651 4r'J2-23S2.
(AREA CODE)
rK? TELEPHONE#: I.?qo
, A n h (AREACODE)
STREET ADDRESS: Jb iV IJCAALk K(.Yr
cirv: STATE: ? N ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic sysfem.
_ Water turnaround - existing dwelling unit (+ 518" meter if needed -$118)
Other:
'
RPZ: new installationlrepair/rebuild $ 30.00
VjUt4
0
lawn irrigation system 4 200
By
Replacemenf/additional: _ water softener ? water heater $ 15.00
State Surcharge $ .50
15
??
Totai g ,
I herebyacknowledge fhat I have read this application, sfate thatthe information is correct, and
is the applicanCs responsibility to noUfy ihe property owner that the City of Eagan assumes no
operational and maintenance activities to the facilities construded under this permit within Ci)
; Ciry of Eagan ordinances. It
by the City during its normal
1102
PERMIT # -I C)
RECEIPT DATE:
5008 RESIDEPTLA1. PLUM$INfi PEiiMIT APPLICATION
ci7'Y oF EAsM
3830 PaoT Kxoe an
Ea?sM, Mx sst$s
651-681-4678
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: 4/Cd?2 &,/,,
OWNER NAME: : O-W TELEPHONE #: ?6ST/_
(AREA CODE)
INSTALLER NAME: TELEPHONE #: &? -.;L
-? (AREA CODE) ' T
STREET ADDRESS:
CITY: STATE: Ak ZIP:
_ SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: ?<water softener _ water heater $ 15.00
State Surcharge
?? ? $ .50
€I
FFR 277002 sb
TOtal
i $ ?
I hereby acknowledge that I have read this appliradon, state thatthe information is correct, and agree t, mplywith all ap ca e i of Eagan ordinances. It
is the applicanl's respansibility to notlfy the property owner that the Ciry of Eagan assumes no liabili or any damages caused bxthe City during its normal
operational and maintenance activitles to the facilities constructed under this pertnit within City pe ht-of-wayfe?sem?
SIGNATURE OF PERMITTEE ' ---? 1/02
C.R. WINDEN i ASSOCIATES, INC.
IAND SURVEYORS To1.645•3646
1381 EUSTIS ST., ST. PAUL, MINN. 55108
Note: Buildings shown are proposed.
As of tnis date Ridgecliffe
Fourth Addition has not been
recorded.
Scale: 1" = 20'
O Denotes Iron
N
dov?lv t
, f?}?lr6
T1 b?? 9 ?
A0?
i
(?u.ro-9G ?` `i ? Q
\? w
/
4!Q.
1 °?°'??? s2 _ Q.S N
2 ??i o k
5.? G o
, 151-1'00
?p ? 4S
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9
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w ,
.?
0
p
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C p
Cc(n 39 ? ?0 /?
i
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0'14 `\N? ' IV,
\o
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-A 1
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10
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k.? i?
/
CERTIFICATE OF SJRVEY
Por:
U. S. HOME CORPORAiION
(7-00 ?0 O
w
6-
?rn
2i?'
/ 9Oo ? , , } N
\ ? / ? p1G
o
. ?
32--
?
lo
01.00
?0
60
Lots 1 through 4 inclusive, Block 6, Ridgecliffe
Fourth Addition, Dakota County, Minnesota.
L J
miZ
4
NE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE 80UNDARIES OF TNE LAND
ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY,
FRON OR ON SAID LAND.
Dated thle i8t"day of SCPr A.D. 19$0 C. R. WINDEN & ASSOCIATES, INC.
?
urveyor, Minnesota Registration No.
,i
.xxFxxxxx?x?t**********#***************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 004
DATE: 04/11/00 TIME: 12:03:19
ID:
NAME: EVERLASTING HOMES INC
3210 9001 4676 JACKSTONE 293.25
215$ 9001 4676 JACKSTONE 9.00
321Q 9001 4670 SALEM PT 293.25
2155 9001 4670 SALEM PT 9.00
3210, 9001 4670 JACKSTONE 293.25
2155 9001 4670 JACKSTONE 9.00
3210 9001 4676 SALEM PT 293.25
2155 9001 4676 SALEM PT 9.00
Total Receipt Amount: 1,209.00
CR125856
USER ID: JAN
- 1 1 + i } f ? } * * * * * * * * * * * * { * * * f ? f ? t t i i i i 1 1 a a
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RO - 55122 ? Q-a -a ?
-1 U?? 651-681•4675
New Conshucflon ReaWramenh
> 3 reglsfered Aro wrveys showlny sq. N. of bt, aq. 8. ol houne
and gJl roofed areas (20% mazlmum lot coveraae allowaAl
> 2 coples 01 plan7 (stww beam 8 wlndow slzes; pouretl tnU. deslgn; etc.)
> 1 set of energy calculaflona
? 3 coples ol hee preservaflon plon if lot platted alter 7/I/93
DATE: 1-- 1 -2- ' C' C
Ramodel/Raoair Reauiremenh
2 coples of plon
1 set M enerpy colculaHons br heoted oddlHOns
1 site wrvey for exteAor addiflons R decks
CONSTRUCTIONCOST: 1, )g% Go o
DESCRIPTIONOFWORK: T)C? Si
STREET ADDRESS: 4?1? 4'7? " l?
LOT: BLOCK: (D SUBD./P.I.D. M: Q?1 , r? o c? w 1 IZ o, ?'?
Namel I(1S,kC', 1tC AS S o c. Phona If: S?' 0
PROPERTY last Flrst
OWNER
Sfreet Address:
Cly Sfate: Zip:
Company: E?Z r r-, S'c 4 Mc5 I n c. vnone a:
(area code)
COMRACTOR ,Q ,/
Sfreet Address: ? ?' /? `"/ I V llcense S 2 ? Exp, 7 3 ! U %
City ?(/?Y h S Y ? ? 1 'L. - State: M n ? Zip: S S"s 2S 2
ARCHITECT/
ENGINEER Company: Name:
Telephone ?: ( )
Sheet Address: ReglshaHon M:
City
State:
Zip:
Sewer/water licensed plumber (if installina sewar/water): Ptwne #: ()
I hereby acknowledge ttwt I have read this applkation, stafe thaf the Infortnalion is cortect, and agree to eomply wHh atl appficable State
of Minnesofa Sfafutes and CNy oi Eagan Ordinances.
Signalure of Applicanl: ?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
3UILDING PERMIT SUBTYPES
:1 01 Foundation ? 07 05-plex
7 02 SF Dwelling O 08 06-plex
7 03 01 of _ plex ? 09 07-piex
7 04 02-plex O 10 08-plex
7 05 03-plex ? 11 10-plex
] 06 04-plex ? 12 12-plex
NORK TYPE
7 31 New
1 32 Addition
7 33 Alteration
7 34 Repair
? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF
? 18 Deck ? 23 Porch (screened) ? 36 MuRi
? 19 Lower Level O 24 Storm Damage
Plbg _V or_ N ? 25 Miscellaneous
? 20 Pool ? 30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
13 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 WindowslDoors
" Give PCA handout to applicant for demolition permit
3ENERAL INFORMATION
3AC Code
Vo. of Units
Vo. of Buildings
:onst. (Actual)
(Allowable)
JBC Occupancy
?oning
# of Stories
Length
W idth
Basement sq. ft.
Main Ievei sq. ft.
sq.fl.
sq.ft.
1AISCELLANEOUS INSPECTIONS
3 Stucco/Stone
4PPROVALS
'lanning Building
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
rotal: 3U a. 2 S
sq. ft.
sq.ft.
Footprint sq. ft.
Census Code
MClES System
City Water
Booster Pump
PRV
Fire Sprinklered
_ Engineering Variance
Valuation: $
SAC Units
% SAC
L CITY USE ONLY 1 a Q I.??
? BL ? RECEIPT #: I
SUBD. RECEIPT DATE:
4?- GQ 1
PERMIT # ?Cl l l ?
1999 PLUM$INfi PEfiMIT (RE,StDENTIAL)
cmt' oF Ews,ax
3930 Paor [txoa Rn
£ttfiRN, MN 55122
(651)6$1-4675
Please complete for: > single family dwellings
? townhomes and condos when permits are required for each unit
"r backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Fioor drain 3.00 x = $
Gas i in outlet ' minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavator 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ` re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---
State Surchar e 50 --> #H?
Kj ----> $ 50
Total --? --? > ----> $ W-I?la
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------ = ------- ---------------------- - ----- ------------------ ----- -------------------------- ---------
I here6y acknowledge that I have read this application, state that the iniortnation is corzect, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanPS responsibility ro notify the property owner that the City of Eagan assumes no liability for any damages causetl by the City during its
normal operational and m-`-`------ --°---- "- `-- - - -- '-' - +er this permit within City propertylrightof-wayfeasement.
MEREDYK, ROBIN
SITE ADDRESS: _ 4678 JACKSTONE POINT -
EAGAN, MN 55722
OWNER NAME: : _ (651) 452-8766 _ TELEPHONE #:
(AREA CODE)
tNSTALLER NAME: TELEPHONE #:
(AREA COD
STREET ADDRESS: (612) 827-4033 ?
e-yu5 UARFIELD AVE, SO.
CITY: MINNEaD01 asI. STATE: ZIP:
I rijijonjo -
?SE OF PERMITTEE
l1/ b(o?t MECHAlVICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. Single Family Dwellings
Townhomes and Condos when pertnits are required for each unit
.s-b
Date
Site Address Uni[ #
PropertyOwner??,?`? Telephone#??1 (P
??
C7
? ?
v
Contractor
l
-
Y?1v
T
Street Address City Y I?m0\a
State 7ip ?.J?5H Telephone #
The Applicant is _ Owner lh Contractor _ Other
Add-on, modification or alteration to existing dweliing unit $ 30.00
furnace replacement
air exchanger
?J-, air conditioner
other
State Surcharge $ .50
T
t
? 3c?
5b
o
a .
i 0 8 2003 I hereby apply for a Residen[ial Mechanical Petmit and acknowledge [hat the informatio complete and accurat ? at ihe work will
be in conformance with the ordinances and codes of the City of Eagan and with the Me anical Codes; that I undersiand this is not a
permit, but only an application for a pemut, and wock is not to start without a pemvt; Ga,t_the_t?od?will be_in_a?cgrdance with the
ap o ed plan in the case of work which requ'ues a review and apprwal of plans.
?
UY\`-_? Y1?-l
Applicant's Pri4ted Name ApplicanYs Si ature
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot I{uo6 Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please completc for. commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if app?icable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Appticant is _ Owner Contractor _ Other
W ork Type
l
Newconstruction underground Tank _Install _Remove
Interior Improvement Call for inspection during installation/removal of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Minimwn Fee (includes State Surcharge)
ContractValue $ x .Ol% _ $ PermitFee
• If permit fee is $1,000 or less, add $.50 => $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Pemtit Fee
$ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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 wluch requires a review and approval of plans.
Applicant's Printed Name
ApplicanYs Signature
Approved By: , Inspector Date:
6,5f 3/
2004 RESIDENTIAL MECIIANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Pleaze complete for: single faznity dwellings & townhortxs/condos when permits are required for each unit
Date o -7 / 06 / .?>JOQu
SiteAddr
ess Unit#
Proper[y Owner?(?`l'1? t'L1 Telephone #((pS I)?r12 S?? ?e
Contractor _ ? - , ? ? ?
StreetAddress Z(e(-nrj )4!-24k--- Qr kg
O?QIVr?IA?_
nc gsSCity
State (?T\,Nj Zip 650(ca Telephone # ( (o rjI ) 32-21-292, (e
Bond 11: Ezpires:
The App6eant is _ Owner _ Contractor _ Other
Add-on or alteration to eristing dwelling unit $ 30.00
x furnace _Additional _Replacement
air exchanger
? airconditioner _New _ Replacement
other
State Surcharge $ .50
p
zotw JUL 16 1004
,
f
I hereby apply for a Residential Mechanical Perndt and aclmowledge th
e in c nfom?ance with the ordinances and codes of the City of Eagan/
peimi but only an appli for a permit, and work is not to start 4
ap r ved plan ??case f k w?ic?? view and approval
ation is complete and accurate; that the work will
Mechanica] Codes; that I understand flris is not a
nit; that the w94 yvill henn accordance,with tlie
Applicanf's Printed Name Applicant's Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagau
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindushial btiildings
rtwlH-family buildings when separate pemtits are no[ required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if appticable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address Cit3'
State Zip Telephone # ( )
Bond #• Eapires:
The Applicant is _ Owner _ Contractor _ Otber
Work Type
New Construction _ Underground Tank _ Install _ Remove "*see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
**When Installing/removing underground tank, call for inspectlon by Fire Marshal and Plum6ing Inspector
Permit Fees: S7050 Undaground tank installaSorJremoval
$5050 Mintmum (includes Shrte Surcharge)
or
ContractValue $ x 1% _ $ PemutFee
• If v_ermit fee is $1,000 or less, add $.50 ? $ Sffite Stucharge
If permit fee is over $1,000, add $50 for
every $1,000 ? fee $ Total Fee
I hereby apply for a Commercial Mecbariical Yemut ana acxnowieage ra3c me nmurmauun lb w,.y„v- a„u o....»...•?, ---. -- ---
will be in conformance with the ordinances and codes of the City of Eagan and with tlie Mechanical Codes; that I understaud this is
not a pernrit, but only an applicarion for a pemtit, and work is not to start without a pemut; that the work will be in accoxdance with
the approved plan in the case of work wluch requires a review and approval of plans.
Applicant's Printed Name ApplicanYs Signature
Approved By: , Inspector
-?a832
2007 RESIDENTIAL PLUMBING PeRnnir,aPPUCArioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?$ 1???o
ckacfr:?
Date 9 1 ( 1+ f 0 7
Site Street Address (o aC:k.SiO-? oiht
ELt Q.A^ 551' Unit#
,
Property Owner MEYeC(' k Telephone #(&j1) 452- E7 & 6
Contractor t1/rattn '` ro PftJl^'i.b{w Telephone# (q5Z4 +6 R 6Re.? 'T
Address 5 Ld 6hb?' City La?-2v+l f e State lVl IJ zip 550
The Applicant is: _ Owner x Contrector _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
Atterations to existing dwelling • $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are insta!ling on/v a water softener and/or water
heafer, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other.
? :Nater Scftaner _ Wa*er H°3t8r $ 15.00
_ new _ replacement I
Lawn Irrigation _RPZ _PVB _new _repair _re6uild $ 30.00
State Surcharge $ .50
Total $ 15 . 5) U
I hereby apply for a Residential Piumbing Permit and acknowledge that the information is compl
d
?
l
work will be in conformance with the ordinances and codes of the City of Eagan and th b g
o e, t
?
understand this is not a permit, but only an application for a permit, work is not to start without a rrj@pdy,,,yk20dpe i
accordance with the approved plan in the event a plan is re ' to be eviewed and proved. ?
-? .
raNNncama nmroU rvmnG ?pucams 01ynayui
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA125441
Date Issued:07/24/2014
Permit Category:ePermit
Site Address: 4676 Jackstone Pt
Lot:1 Block: 06 Addition: Ridgecliffe 4th
PID:10-63983-06-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Samantha Doble
2200 Hwy 13 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
David M Boyum
403 Oakland Ln
Burnsville MN 55337
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature