4677 Jackstone PtCITY OF EAGAN Remarks
Addition , R1duecliff 4t.h Addn. Lot 1 Rlk 9 Parcel #10 63983 010 09
Owner f1 ` L' Street 4676 Sa l em Poi nt State Eagan, NQV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 19$0 110. (79 7.3$ j$
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATERAREA I980 1I0.69 7.38 IS
Services 1982 637.75
STORM SEW TRK 1982 346.09 5 4
STORM SEW LAT
,
CURB & GUTTER
SIDEWALK
STREET LIGHT
' R 185.00 21163 10 2 80
WATER CONN. 305OO 21163 10 2 80
BUILDING PER. 6219 7
SAC
PARK
CITY OF EAGAN Remarks
Addition Ridseclif£----zlth Add?a- Lot 4 Blk Q Parcel #1.0 6S483 nan 09
Owner ??'! • i?-??? b? 6Street 4679 Sa 1 em Pni rir State Eagan, l4IN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 19$0 110.69 7.38 15 9
? SEWER LATERAL
WATERMAIN
1NATER LATERAL
WATER AREA jg$a 110.69 7.38 15
Services 1982 637.75 S 637.75 C007616 12-23-91
SEW TRK 1982 346.09 5 346.09 C007616
S70RM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Rd. LINIT 185,00 21163 0
WATER CONN. 305 . 00 21163 10/2180
BUILDING PER.
sac 525.00 2116 10 2 80
PARK
CITY OF EAGAN Remarks
2 Blk 9 Parcel #10 63983 020 09
ackstone Poin-t 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 1980 II0.69 7.3$ 1$
Services ? 1982 7
STORM SEW TRK 1982 46 --
STORM SEW LAT
CURB & GUTTER
51DEWALK
STREET LIGHT
185.00 21163 10 2 80
WATER CQNN. 305OO 21163 10 2 g0
BUILDING PER. 6220
SAC
PARK
CITY OF EAGAN Remarks
Additi0n , RidgeCliff 4th Add11. Lot 3 gik 9 Parcel #10 63983 030 09
Owneri? '(.? ? street 4679 Jackstone_ Point State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STR EET SUR F.
STREET RESTOFI.
GRAdING
SAN SEW TRUNK 4-04 1980 110.69 7.38 15 9 3/27/81
SEWER LATERAL '
WATERMAIN
WATER LATERAL
WATER AREA 19$0 110.69
Services 4 1982 637.75 S 6 12-23-81
SEW TRK 1982 346.09 5 346.09 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Rd. LJNIT 185,00 21163 10 2 80
WATER CONN. 305.00 21163 10/2/80
BUILDING PER.
sac 525.00 21163 10 2 80
PARK
' CITY OF EAGAN
, 3795 Pllot Knob Road Eagan, MN 55122
• PHONE: 454-8100
BUILDING PERMIT Receipt #
Site Address =-F'' ` l IAOa@1so3 )
Lot Block ? Sec/Sub. ??d,-ecliFfe !.
Parcel #
ac Name -
; Address - -- ?' ., _ _ =?' • .
b C; rnetonl.• phone
? Name
o
Address
? P:r..
Nome _
Addreu
1 hereby acknowledge thot I hove rend this npplication nnd state that
the informotion is correct and agree to rnmply with all appiicnbie
State of Minnesota Statutes ond City of Eagan Ordinances.
ry)()
N2 6222
Erect
Occupancy r ?
Alter
?
Zoning -„
Repair p Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ff.
Grode ? Depth ft.
Anorovals Feos
Assessment _
Water & 5ew,
Poi ice
Fire
Eng.
Planner
Council
Bldg. Off. -
APC
Permit -
Surchorge '
Plan check ? ? • ^
SAC
Water Conn. ''?? • ??n
Water Meter
Road Unit
Total
Signature of Permittee ?
A Bullding Pennit is issued to: on the express condition thet
ell work shall be done in occordance with all applicoble State of Minnesoto Stotutes and Ciry of Eagon Ordinonces.
Buildinp Official
PennM # peh Isned IW=MMe
Plumbing
Mechonicai X 31 S- - - /
--
T
INSPECTIONS DATE INSP.
Rough-1 n
Final
Footings Dote Insp. Dote Insp.
Foundation Plumbing
ram ins. Mechonical ?
Final
Remcrks:
No. 'r)4F
CITY OF EAGAN
3795 Pilot Knob Road
Eagen, MinnesoM 55122
Phone: 454-8100
PERMIT
Dcte: 1?-10-80
Site Addreu: 4678 Salem Pt.
lot `' Block Sub/Sec. '-`jdgecliffe 4
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
o?iI
Receipt No.:
Single .?
Residential -
Name Ori-In Thaanpsan Iiornies ?-p•:
New/Alter./Repcir
0 ] 7? ? Hopkine Crsrcl.
; Address Cost of Instollotion
O
?'?Unlta ' `r , .`?1-4- 71?3
. '
City Phone: ? Permit Fee
Name
? Surcharge
?
Address 1j'."%'45 c.
e
0
Cify " Phone: Totul This Permit is issued on the express condition thot oll work shall be done in accordonce with all applicable State of
Minnesota 5totutes end City of Eagan Ordinances.
Building dfficial
No. 1-5
PERMIT
CITY OF EAGAN
3745 P11ot Knob Reod
Eagan, Mlnnesota 35122
Phone: 454-8100
Dote: ?
Site Addreu:
Lot _
46713 Sa1er1 Pt
Block Sub/Sec.
4
Name . ? irI"c:?•'
g Address
O
r ?
City ' Phone:
Name '
Q.
8 - -
g Address
e
?
Ciry Phone:
This Permit is issued on the express condition that oll work sholl be
Minnesoto Statutes ond City of Eogan Ordinances.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL IfVSPECTION5
Receipt No.:
Single I
Residentiol
Multi Res., Comm./Ind. I
New/Alter./Repair. ? Cost of Instollation
Permit Fee
Surchorge
I
Total
done in accordcnte with oll applicoble State of
Building pfficial
J
Receipt '
Permit No.
Fae
Fill in numbered spaces S/C
Type or Print leqibly
Tot. -
t. Date 2. installation Cost
3. Job Address C:ot ' Blk. Tract
4. Owner '
5. Contractor
6. Address
7. City -
9. Work Description: New O
10. Describe
11.
?..
State Zip
Add ? Alter ? Repair ?
No. Fixtures °
Water Cioset No: Fixtures
Cess
oo!/Drainfield
Bath tubs p
Se
tic Tank
Lavatory p
Softner
Shower 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
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date fnsp. Date lnsp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
8. Building Type: Residential b Commercial O Institutional O
? CITY OF EAGAN
• 3795 Pllot Knob Road Eagan, MN 55122
• PHONE: 454-8100
BUILDING PERMIT Receipt #
Site Address ,, ` ? , ( ? r.oclP? i3 1
Lat 81ock Sec/Sub. ^ecliffp l..
Porcel #
W Name '-'='i=? T'1o?mson 1:oIIles
Z Address 1712 Iiopkins Cz'srd.
o matrm',rn _ ?.tn
A No., ..
?? Address
1-- r:.,, ati.,..e
Name _
Address
1 hereby acknowledge that I have read this appiicotion and stute that
the informotion is carrect and agree to Comply with all applicable
Stute of Minnesota Statutes and City of Eagon Ordirwnces.
N° 6219
Erect Octupanq
Alter ? Zoning
Repair p Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Derrtolish p Front ft.
Grode p Depth ft.
Approvals Fees
Assessment -
Water & Sew.
Police
Fi?e
Eng.
Plonner
Council
Bidg. Off. _
APC
Permit
Surchorge Plon check
SAC
Water Conn.
Woter Meter
Road Unit
Total I 22, ^ ,c,
Signcture of Permittee I
A Building Permit Is issued to: on the expreu condition thct
oll work sholl be done in acrnrdance with cll opplicable State of Minnesota Stotutes and City of Eagan Ordinances.
Building Official
pah liwd twaIMw
Plumbing
MethaniCOl
?r?:-?/ •? -,,,'?; .?-,?.>' -.?? ?.L?C'?'-C ?
INSPECTtONS DATE INSP.
Rouph-In
Finoi
Footings Dote Insp. Date Insp.
Foundotion
Fram ins.
- $=Fs
-'' ?17- $ / Plumbing
Mechanlcol
Finol -?
Remarks:
,?.
No.
crrir oF EAGAN
3795 Pilot Knob Rood
Eogan, Minnesota 55122
P6ena: 454-8100
PERMIT
Date: --;_'9--81
Site Address:
Lot I
4676 Sa7fn. Pt.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residenticl i Oi •.
`? :-Y.:lc?eclif.fe ?'
Block Sub/Sec. Multi
Name i-r111 'iI1CYT-%90Q7 I3mLB
Address l J12 Hap}:ins Crsrci.
?
City '? n'n"?a
Phone:
Name Ray weiter ::el-iti.z-rT
pr
y Address
-
? • ?-
City ` Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Stotutes and City of Eogon Ordinonces.
New/Alter./Repoir. Cost of Instollotion
Permit Fee
GrrMma
Total
done in occordonce with oll opplicable State of
Building Officicl
CITY OF EAGAN
- , • 3795 Pilot Knob Read
' • Eayen, Minneaota 55122 INSPECTOR NOTIFICATION
No. phewe: 454-8100
REQUIRED BY LAW
PERMiT FOR ALL INSPECTIONS
1 n z ... ??
Dote: Receipt No.:
Single I
$ite /Wdress: Residential
Lot Blotk ? Sub/Sec. 'i f i r , Multi Res., Comm./Ind. I
Nome )r'rl.E1 i.'10IIp80I: rOnes
New/Alter./Repeir
? Address
Cost of Insrallation
Ciry ! ;,11@tU.:;c'l.. ' `-n, Phone: 5i 4
Permit fee
` Name Surcharye ? Addreu 11.71.
? :'prprt . .
? - _, -),
City . Phone: Total
This Permit is issued on the express condition that all work shall be done in occordance with all applitable Stote of
Minnesota Statutes ond City of Eogan Ordinonces.
Building Official
Receipt PLUMBING PERMiT Permit No.
CITY OF EAGAN -
Fee
Fill in numbered spaces S/C
Type or Prini legibty
Tot.
1. Date 2. installation Cost
3. Job Address =Lot ?- Blk. l Tract
4, Owner
5. Contractor ' -? Phone ~ ' -
6. Address i
7. City _ State • ' ? Zip ? 22 I
8. Buiiding Type: Residential 0 Commercial O Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governinp 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
MECHANiCAL PERMIT PERMIT #
?'
? ?
CITY OF EAGiAN RECEIPT #
•
3830 PILOT KNOB ROAD, EA[iAN, MN 55122
CONTRACT PRICE:
PHONE: 454-8100 DATE:
Site Address ' ? ` = . . ' " • BLDG. TYPE WORK DESCRIPTlON
Lot Block Sec/Sub
Res. New
?
Mult Add-on
m Name
Address Comm. Repair
?
Oth
c
City
Phone ` er
?
FEES
Name
1' RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU
; Address - 6.00
O CitY Phone (RES. HVAC INCLUDES NC ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COAIMlIND FEE -196 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler M 9TU TOWNHOUSE & CONDOS - RES. RATE APPLIES
Unit Heater M BTU MIHIMUM RESIDENTiAL FEE - ALL ADD-ON b
Air Cond.
M BTU REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
Gas Pfping Outlets # (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Other
PEFiMR FEE: ?
:
??&, ?/? TT E? -
SIGN
S/C: ? ,
??Y !? !?
-, .
TOTAL: FOR: CITY OF EAGAN
' ?d/3o?d5 az'
CITY OF EAGAN
3795 Pilot Knob Rood Eagae, MN 35122
PHONE: 4548100
BUILDING PERMIT Receipt .#
Te be rad far Est. Volue Date
N! 6 221
-_-
19
Slte Address Erect Occupancy
Lot Block Sec/Sub. Alter ? Zoning
Portel # Repoir p Fire Zone
Enlorge ? Type of Const.
W Nurne Move p # Stories
Z Address Demolish ? Front k.
? - - ?
Ci phone .
Grode ?
Depth ft.
iz Name
p
?? Address Approvols
Assessment Feas
Permit
~ Water & 5ew. Surcharge
Ci Phone Police Plan check
r
F?
W Name
Fire
SAC
?? Address Eng. Water Conn.
?W C; phane Planner Water Meter
Council Road Unit
I hereby ackrwwledge that I have read this cpplicotion and stote ihot gldg. Off.
the informotion is correct and agree to comply with oll opplicable ApC Total
Stote of Minnesoea Statutes ond City of Engan Ordinances.
Signature of Permittee
A Building Permit is issued to: on the express condition thct
oll wark shcll be done in accordance with all appliwble State of Minnesota Statutes and City of Eagcn Ordinances.
Building Official -
raak # Dah loumd hraMh"
Plumbin9 Q 3 0-/(J-,P6
Methonical „l,? /,? ?? -?/L ? ?
INSPECTIONS DATE INSP.
Rouph-I n
Finol
Footings Date Insp. Date Irnp.
Foundotion Plumbing
-
Frame ins. ?-aG-? / MecFwnical ? ?
Final
Remarks: f pwj? l?-q- ad
v
No.
2313
cirr oF Er?GAH
3795 Pilot Knob Road
Eagae, Mineesoto 55122
Phenro: 454-8100
PERMIT
Dote: ` Sife /lddreu: , ' , _ , '' - , `•
Lot Block T sub/Sec. T'1`'ccN3cliftE' '
Nome ??? abmpsm I?
g Address
?
City Phone: . _ '
' , _.??•
Name 14--1rA-r : ,C,;,ting
.
? Addreu . ; % C"_!'.j.G^. r'7
? i - ... .,Ir?...," .;7
City ' Phone: ,
This Permit is issued on the express condition thot otl work sholl be
Minnesofo Statutes ond City of Eogon Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Recetpt No.:
Single
Residentiol ? New/Alter./Repair
Cosc of Installation
Permit Fee
Surcharge
Totn I
done in accordonce with all applicoble Stote of
Building Officiol
No.
CITY OF EAGAN
3745 Pilot Knob Road
Eagan, Minnesofo 55122
Phone: 454-8100
PERMIT
Date: 10-10-8; ,
Site Address:
Lot
4679 Jackstone Pt.
Block fol sub/sec. I'ddgeQliffe !,. i
INSPECTOR NOTIFICRTION
REQUIRED BY LAW
FOR ALL INSPECTIONS
213e??
Receipt No.:
Single
,
Residential - - `' - ? ?•
Multi Res., Comm./Ind. ?
Nome Oz`Y'in Thor.cpson ?iones N
/Alt
/ R
i
ew
er.
epo
r
; Address "}-' CI'3I'(l.
f I
ll
C
O ost o
nsto
ation
City Phone•
P
i
F
• e?m
t
ee
Name G$nZ Ry` r` S
h
r
`
p
?
" urc
a
ge
Addreu •=n'' ,._,
14745 S.
`-? .
City d3awu'it Phone: !^-,- -11 LC` Total
This Permit is issued on the express condition thot oll work shall be done in accordcnce wlth all oppliccble Stcte of
Minnesota Stotutes and City of Eogan Ordinonces.
Building Officiel
cirY oF EAc,aN
.. -,, 3795 Pllot Knob Rood Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
5lte Address `c•'
Lot Block Sec/Sub.
Parcel #
W I Nome
f Addre:
0
ad Nome _
Zo
o? Address
u
r'....
Nome _
Address
1 hereby acknowledge that I have read this application ond state thut
the informotion is correct and ogree to comply with all applicoble
State of Minnesota Stotutes and City of Eagan Ordinantes.
N2 6220
Erect E] Occupancy '
Alter ? Zoning
Repcir p Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ff.
Grode ? Depth ft.
Approvols Fees
Assessment -
Woter & Sew.
Police
Fire
Eny.
Planner
Council
Bldg. Off. _
APC
Permit
Surchorge
Plon check =
SAC
Water Conn. > >> - -'
Water Meter
Road Unit
- ?-
Total 1 `.
Signoture of Permittee ?
A Building Permit Is issued to: '-'rl?' r 5 ' • •"- on the expreu condition thot
all work sholl be done in acoordonce with all cpplicable 5tote of Minnesota Statutes and City of Eagan Ordinances.
Building Officiol '
ioewk # Osh IMneA PermMll"
Plumbin9 0 ?? -/d oj)
Mechanical
INSPECTIOIVS DATE INSP.
RougMl n
Final
Footings Dote Insp. Dafe leyp.
Foundation Plumbing
Fram ??,5. a -a.r- / ;-Y J-$ / Methanicol - -
Finol 3 ?s
Remorks: 15/?
. . cirY oF EAGAN
' • 3745 P71ot Keob Read
No. Eayoa, Mlnnasota 65122
Phom: 454-e100
PERMIT
Date:
1-29^81
Site Address: ' 'Tac?cst.rnm P`.
Lor Block . SublSec. ?-ck?r.ll??f' ?
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. I
Name ???lri :.iCi*? i
N
/Alte
ai
/R °
r.
ew
ep
r.
Address ? "l? I3??Cfi?3 CIT9'C'cI.
C
stoll
tio
t
f I
? os
o
n
n
o
City - "'11?0I1}Cca ' " Phone: , ; - - Permit F
ee
Name
S
rthor
e
?
? g
u
t''?7 C111C`.dCJC) r'?'r>,
Address
City _ ., Phone:
Tota I
This Permit i s issued on rhe express condition thar oll work sholl be done in accordance with all applicoble Stote of
Minrtesoto Statutes and City of Eogon Ordinances.
Building Official
No.
CITY OF EAGAN
3795 Pilof Knob Roed
Eogon, Minnesoto 55122
Phona: 454-8100
".! ut?? PERMIT
Date: .. __ - ? .
$ite Address:
?
Lot
4677 Jaekstone Pt.
Block t- Sub/Sec.
RidCecZiffe /,
INSPECTOR -NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTfONS
Receipt No.:
Single , nr IResidentiol ' r? r
(,rriil 'I`?in_:;n;?o*: ; or,en -
NO? New/Aiter./Repair. ` 1712 :io?>kinr C.rsr??.
? Address Cost of Installotion
... r 1
City " Phone: Permit Fee
Name ' ?'?Yclll . '
. SurcFarge
? - ? - -
? ?y.?
Address 1
_.?.r„ ,,1^'• "??. I ??-17
.',.r .
Ciry ' Phone: Totol
This Permit is issued on the express condition thot oll work shall be done in ocwndance with oll applicable State of
Minnesoto Stotutes and City of Eegen Ordinonces.
Building Official
WATER SERVICE PERMIT
ciTY er EAGAN
3795 Pilot Knob Rood PERMfT NO.:
Eugan, MN 55122 DATE:
Zoning: No. of Units: E
?
Owner: - ?
Address: i
Site Address: ?
Plumber:
Connection Charge:
Meter No.:
Account Deposit:
Size: Permit Fee:
Reader No.:
I ugree to aompllr with 4he City af Eagan Surcharge: _
Ordinanees. Misc. Charges:
Total:
Date Paid:
By
Date of Insp.: Insp.:
C1TY OF EAGAN
379= Pilot Knob Rood
Eogan, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber: .
( pyree to eompfy with the Cily of Eagan
Ordinanees.
By
Dute af Irtsp.:
? i nsQ.: '
SEWER SERYtCE PERMIT
PERMIT NO.:
DATE:
_ No. of Units:
Connection Charge: Account Deposit:
Permit Fee:
Surcharge:
^ Iwlisc. Charges:
_ Total:
? Date Poid:
WATER SERVICE PERMIT
!CITY OF EAGAN pERMIT NO.:
795 P'slot Knob Road
Eogan, MN 55122 pATE:
No, af Units:
,Zoni ng: -
pwne r;
, Address:
. Site Address:
Plumber:
Connection Charge:
• Meter No.:
Account Deposit:
Size:
Permit Fee:
Reuder No.:
? agree to ?omply with the City of Eagan
Surchar9e:
Misc. Charges:
= Ordinances. Total:
Dote Paid:
By Insp.:
Date of Insp.:
CITY OF EAGAN
`3795 PiloF Knob Rood
IEayon, MN 55122
?Zoning:
Owner:
Address:
5ite Address:
` Plumber:
1 agroe to oon+PlY with the Cih of Eagan
Oedinanees-
BY
' Date of Insp.:
I nsp..
CITIf OF EAGAN
3795 D:!ot Knob Road
Eagae, MN 55122
Zoning:
Owner: "
Address:
Site Address: "
Plumber:
Mete; No.:
Size:
Reoder No.:
1 agree to wmplr wiH+ the Citr of Eagon
Ordinanaes.
gy ?.
Date of Insp.:
SEWER SERVICt PERMIT
PERMIT NO.:
DATE:
_ No. of Units:
Connettion Chorge:
Account Deposit:
Permit Fee:
Surchorge: ,
Misc. Chorges:
Total:
Dote Pnid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
- No. of Units:
- Connedion Charge:
Acoount Deposit:
- Permit Fee:
Surcharge:
Misc. Charges:
Total:
- Date Paid:
- I nsp.. SEVIlER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
it
CITY OF EAGAN
3795 jlot Knob Rood
Eagao, MN 55122
agree to eomplr with the Cily of Eagan
By
Dote of Insp.:
Connection Chorge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Totul:
Dote Paid:
QF EAGAN
Pilot Knob Roud
, MN 55122
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
. No. of Units:
Address:
ender No.:
egroe to aompiy wiNh the Ciry of Eagan
By
Connection Charge:
Acmunt Deposit: _
Permit Fee:
5urcharge:
Misc. Chorges: -
Total:
Date Paid:
CITY OF EAGAN SEYVER SERVICE PERMIT
379:. Pilot Knob Rond PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Own
r
e
:
Address:
.
?
_ . . .
. '?. . .
:.
..
iite Address:
Plumber:
I agree to eomply with the CiYy of Eagan Connection Charge:
Ordinancas. Account Depasit:
Permit Fee:
5urcharge:
By Misc. CFarges:
Dote of Insp.: Total:
Inso.:__ Dote Poid:
mmnesota state Isoara ot tlectncity
Griggs Midway Bldg. - Room N191 . q? EB-00001-02
1821 Un;versity Ave., St. Paul. Minn. 55104 - Phone 297-2111 CHECK BEL013?' WOKk COV RED BR I TH S EOUEST INSPECTION T 16 7 3 6?
Type ¢rt Building Ne Add. Rep. Chmk Appliances Wired Foc Check Fquipment Wi[ed For '
Homc
Duplex ?
? El
? Range ?
Wx[erHea[ex Temporary Wiring
LightingFix[tues ?
't. Bldg. ? ? ? Dryec ? Electric Heating ?
mmexcial Bldg. ? ? ? Fumace Silo Unloadet ?
dus[rial Bldg. ? ? ? Air Conditioner Bulk Milk Tank ?
Fazm ? ? ? L
ist List
Other ? ? ? p
HeheIS? Herers?
COMPUTE INSPECTION FEE BELOW
Secvlce Entiance Size: # Fee Feede:s&Subfeeders: # Fee Cucuits: # Fee
0[a 100 Am s. CJ 0 to 30 Am res 0 to 30 Am eces Z_
]Ol to 200 Amps. 31 to 100 Amperes 31 ro 100 Am eres
Above 200_Amps. A6ove 100 Amps. Above 100 Amps.
Transformex w ca . emo[e Control Circ. Partial or other tee
Signs ? ciai Inspection Minimum fee S
Remarks TOTAL F ?-!5 2y
I, the Electrical Inspector, here6y certify that the ab6yci(ispe ? n s iSeen ?fade?
(Rough-in) (/?? 1- g a-Y7
(Final) Date . /`f?
This request void
18 months from
Thisre4uestvoid a_? If?
] 8 months from
a
1 16736
Date ot this Request Fire No. T
1, a icensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal ' installed at:
Street Address or Route No. 46- a City QGkiI4
•ion Township Range County b?nI-"Th
Which is occupied by
'SOnI ?
me of Occupa
YeK-
I5 a roughin inspection required on this job? No ?
Power Supplier k1v'
Ready Now ? Will Cax
Address. F*41VW6-444
Electncal Contractor ContTactor's License NoMZ4
Mailing Address N11 E •
(Ele[t i al ntractor or Owner Makln9 This Installatlon) 6
Authorized Signature ?w Phone No. D o -SSO j
(ElectHcal Contractor or Ownar Making This Installatlon)
???? III??? ? ? 4J???? ??[?? This inspection request will not 6e accepted by ffie
Er State Board unless proper inspeetion fee is enelased.
. imnnnsoca acaw aoam or neccnciry
Griggs Midway Bldg. - Room N191 ? EB-00001-02
1821 Un'wersity Ave., St. Paul, Minn. 55104 - Phone 297-2111
CH?CK EE OW WSO'RK CO EREDTBYI TH1S EOUEST ION T 16735 ?
iype o[ Buiiding New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? Range Tempotary Wiring
uplex
?
?
Water Heatei
Lighting Fixmies ?
. Bldg. ? ? ? Dryex Electric Heating ?
mmercial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner El Bulk Milk Tank ?
Farm ? ? ? List List
Othet
?
?
? Othecs#
Hexe Othecs?
Aere 1
COMPUTE INSPECTION FEE BELOW
Service Enhance Size: it Fee Feeders&Subfeedeis: ft Fee Cucuits: # Fee
0 to 100 Am s. D to 30 Am eres 0 to 30 Am eres
101 [0 200 Amps. 31 m 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 300 Amps. Above 100 Amps.
Transformeis Re o ol Circ. Partial or other fee +
Signs . Sp Ma nsp ion Minimum fee
Remaiks
. D..u?
TOTAL F EV q.
?
y 1Jv
I, the Electrical InspectJrher?b"y cer{ify that
(Final)
This request void
18 months from
t has n lade?
i ; at ?- ;z 24-/
?
' x/i
This request void / i ?2y?l
18 months from
Date of this Request Fire No. ? 16735
I, as(S?Licensed Electrical Contractor OOwnec, do hereby request inspection of the above electri-
caI ?tnng installed at:
t Address or Route No. q o? City %6W
ct,ion Township _ Range Counry D1of'-6TA
1Vhich is occupied by
Is a roughin inspection required on this job? No ? Yq? Ready Now O Will C4W
Power Supplier 1E& Address '!p? ??Q -aA/
?
Electrical Contractor eu, ?6,,.? Contractor's License No.IJ-??q 6?-
- 8 ??l le-? ! 1_
g /? J I ? ( omDanmeJ?Or
Mailin Address ? j
anttactor or uwner making t nIS instanauon) ?C
Authorized Signature `- ?cigc n a? 41-All Phone No. 0
(Elactrical ontractor or Owner Making This Installetlon)
(Q????? ?? if?'?Y ? This inspec6on request will not be accepted by ffie
?? /,j ?"f ?
(?,{ ?1 IJ l?' State Board unless proper inspeetion fee is enclosed.
mmne5ota state noara ot Hectrici[y
Griggs Midway Bldg. - Room N191
EB-00001-02
?
1 University Ave.. St. Paul. Minn. 55104 - Phone 297-2111
,! 7
^?
EQUEST FOR ELECTRICAL INSPECTION
1 T
11?9RK COVERED BY THIS REQUEST
16730,
Type of Building New Add. Rep. Check Appliances W'ved For Check Equipment W¢ed Foc
Home ? ? Range ? 7emporary Wiring ?
Duplex ? ? Watet Heater ? Lighting Fixtures r?
L Bldg. ? ? ? Dryei Electric Hea[ing ?
mercial Bldg, ??? Fumace Silo Unloader ?
ndustrial Bldg. ??? A'v Conditionei Bulk Milk Tank ?
Fazm ? ? ? Lis[ L
ist
Other ? ? ? p
Hehets( p
Herers?
COMPUTE INSPECTION FEE BELOW
Seevice Enhance Size: x Fee 1 1 Feeders& Subfeeders: # Fee Cixcuits: # Fee
0 to 100 Am s. 0[0 30 Am eres 0 to 30 Am eres
101 [0 200 Amps. 31 [0 100 Amperes 31 to 100 Am etes
Above 200_Amps. Above 100 Amps. Above ]00 Amps.
Transformers Remo[eControl. Pai[uloiothertee
Signs Special inspec[ion Minimum fee $5
Remarks
I O? TOTAL FE 8 a
-
cd
I, the Ele iical I oj?J eb fertifY ? `" that(oven haf en m
(RouBh•in) LJ?'?!
(Final) /r Da41' -
This request void ? ?-
18 months from
This request void ??ql78
18 months from
Date o this Request Fire No. G 16730
I,.aLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal mng installed at
Street Address or Route No. 507 Ji0Cf4???? Fi c;ty. CA664
Oon Township Range County &-aA
Which is occupied by
1`i
Is a roughin inspection required on [his job? No ? Yesp(, Ready Now ? Will Cae<
Power Supplier k-(*' Address FA41111J61CVJ
Electdcal Contractor ?Ez?&i Contractor's License No)0_525
Mailing Address (COmpany Name)
(Fle ical antractor or Owner Making Thls Installation)p?
Authorized Signature ? y," Phone No. a 1c) 'SSQ,sr
(Electrlc5l Contractot or Owner Makln9 This InstallaSlon)
???? ???{ll9?? ( V???7 ? This inspection repuest wiil nat 6e accepted hy the
NJ ?f? State Board unless praper inspectian fee is endosed.
minnesoca atate ooam or tiec[nciry Griggs Midway Bldg. - Room N791 EB-00001-02
'1621 ::niversiry Ave., St. Paul, Minn. 55104 - Phone 297-2111 J'79
CHECK BELOW W RKOCO EREDTBY'THIS EQUEST INSPECTION I? , T 16 7 3 2?
Type of Building Ne Add. Rep. Check Appliances Wved For Check Equipment Wired For
Home ? 0 Range Temporary W'ving ?
Duplex ? ? Water Heate[ Lighting Fix[utes 19,
t. Bldg. ? ? ? Dryex F.lectcic Heating ?
mercial Bldg. El ? ? Furnace ? Silo Unloadet ?
ustrial Bldg. 11 ? El Air Conditionex ? Bulk Milk Tank ?
List List
O[her ? ? ? Rthers?
erc ) Others?
Heie 1
COMPUTE INSPECTION FEE BELOW
Service Entiance Size: Fee Fcedas&Subfeedets: it 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 Am eres 31 to 100 Am eres
Above 200 Amps. A6ove 100 Amps. A6ove 100 Amps.
Transformers RemoteControlCuc. Partialorothetfee si
Signs Speciai Ins ection Minimum fee $5 .
Remarks ?? ? r7? T07'ALF E?.? y
I,the
that
(Final)
This request void
18 months from
I
request void 11.3 62i ?-1?
18 months from
Date o his Request F;? No. 1 16732
I, Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal inng installed at:
Street Addreu or Route No. - 409 dw`?-Dtie 1 1L CityS66"
Oon Township_ Range County()AK107A
Which is occupied by
o nl I-1oPsa
Is a roughin inspection required on this job? No ? Yes ? Ready Now O Will Call ?
PowerSupplier i"'C7d" Addcess FISM-r `?N aw
Electrical Convactor ?? 6CECTr-olC Contractor's License No.?1?R6
(COmpany ?Na^me)
MailingAddress G .
(EI rIc Contractor or Owner Making This Installatlon)
Authorized SignaturePhone No. D/
(elactrical contra<tor or Owner Makinq This Installation)
?? (?(i c,?? ?Q IJ??/..?Lia??? ? ?f ??? This inspecvon request will not 6e accepted by the
State Board unless praper inspectian fee is enclosed.
CASH RECEIPT '
- CITY OF EAGAN
? 3795 PILOT KNOB ROAD
' EAGAN, 9TA 55122
DAT 19 ?
M<[v
F
AMOUNT t 4/9.7/
? IliU '
e ooLLwwS a
?..
?_? ...
s j y? ,G/Lu '
FYND YOn[ AMOYNT
? ov
?
? 6
/ ?-? ?7 •^rJ
3` 7 ? /
7UrJ
Thank You *
ay _
N° 2116 3 W„„e_o.Ym Cop,
Vellow-Pottlnp Copy
. Pink-FileCoDY
CASH RECEIPT a
- CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, p4F_NNe§6TA 55122
• OOLLAR!
Iu
L9-evi?G`^
?!"?- ??_-/
r?rao cooe ?.ouMr
i v
e No
dafu•'Y/
Thank You ?5--
er
N° 21163 ,Wh;ts-P.ym Copy
v.uew_vosunq oow
. ' Pink-Fib Copy
CITY OF EAGAN
3795 Pilot Kno6 Road Eegan, MN 55122
PHpNE: 454-8700
BUILDING PERMIT APPLICATION
To 6e med for 1 of 4 plex Est. Value 33,0
Site Address 4677 Jackstone Pt. (Model 83
Lot 2 Block 9 Sec/Sub. Ridgecliffe 4
Parcel #
c INa,e Orrin Thompson Homes
3 Aaaress 1712 Hopkins Crsrd. _
0 _ hffinnat.nnlra. ndn 5//._7Z27
° Nome
Zo
ou Address
Name
I hereby ackrwwledge thot i have read this application and state that
the information is correct and agree to comply with ail applicoble
Stote of Minnesota $tatutes and City of Eegon Ordinonces.
Receipt #
N° 6220
oO/ le?-3
Erect &] Occupancy R3
Alter ? Zoning PD -
Repoir ? Fire Zone _ 3
Enlarge ? Type of Const. U
Move ? .fk Stories
Demolish E] Front 26-20, _ +r.
26-22
Grade ? Depth _ ft.
Approvals Feee
Asussment -
Water & Sew.
Police -
Fire
Eng.
Planner _
Councii -
Bidg. Off. _
APC
Permit lUU.7U
Surcharge 17.00
Plan check 50.25=
snc 525_n0
Water Conn. 305.00
Water Meter 60.00
Rood Unit 185_f1(l
roral 1,242.75
Signoture of Permittee I
A Building Permit is issued to: Orrin ThomDSOri HOR125 on tha express condition that
all work sholl be done in occorpnce with ollpqplicable Stote of Minnesota Statutes and City of Eagcn Ordinonces.
Buildirg Official
CZTY oF EAGAN Include 2 sets of plans,
? ? C) 1 site plan w/elevations &
6 ?(p BUIIDINC; PERMI'P APPLICATION 1 set of enen7Y calculations.
3
?3'°? ••.? SEP 1 9 1980
Ro Be Used For Q si D ue P Valuation ? nate
.???• (MoveL B3) oFFICE u5E atu.Y
site Pddress: ?lo ? OA,
i.ot Elocx sec./sub. RIDGer..L?Ffr Erect oc occjpar,cY ?-? -
Alter Zoning
Pasrel
Repair Fire Zone ?
Enlarge _ Type of Const. ?
__Owner• Nbve # Stories
ft.
a Division of U. S. Home Coronrat'n,. ?ro115}7 Front 26
AdaSPSS:
TiT1 KINS CROSSROAD GTdde Depth ?C, ;2--z ft.
C1L"y/ZlP CAd@: MINNETONKA. MINN ss3A3
Phone #: 5`1 4-1,333 APpRDVALs ?
Contractor: npRini Tunnnornni HnnIEr_
Ada.c255: a Division of U. S. Home Corppration
City/Zip Code: MINNETONKA, MINN. 55343
Phone #:
Arch.JEng.:
Adciress:
City/Zip Code:
Phorie #:
Assessrnents Peimit / (J6 i`
Water/SEwer Surcharge
-
Police Plan Check
Fire SAC
Enq. Water Conn. o? 6"
Planner Water Meter G
Council Rflad Unit
Bldg. Off.
P.PC
'Il7I'AL
CITY OF EAGAN
3795 Pi1M Knob Rood Eagan, MN 33122 N2 6221
PHONE: 454-$100 BUILDING PERMIT APPLICATION Receipt # ?116-3
To be usad for 1 Of 4 U12X Est. Value 33.000 DatP 10-2 . 1980
$ite Address 40iy jacxs-cone rT,. ;,NLOQ21 i5j)
Lor 3 eiock 9 5ec/5ub. Ridgecliffe 4
Parcel #
z IName nrrin Thmm:pqn- Homes
3 Address 1712 Hopkins Crsrd.
? ?;,,, Minnetonka, Iuk„__ 544-7333
p Nome _
r
?u Address
Name _
Address
I hereby acknowledge thot I have read this application ond state thet
the Information is correce and ogree to comply with oll applicoble
State of MinnesoM Statutes and City of Eagen Ordinances.
Ered $] OccupancY nJ
Alter ? Zoning PD
Repair ? Fire Zone 3
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front 26-20= ff.
Grade ? oepth 26-22 ft.
Approvala Fees
Assessment -
Waier & Sew.
Police -
Fire
Eng.
Planner _
Council _
Bldg. Off. -
APC
Permit 100.50
•Surcharge 17.00
Plan check 50.25
snc 525•00
V?aterConn. 60, 00
Woter Meter 155.00
Road Unit
Tatal 1,242 75
Signature of Permittee I
A Buildiny Permir is issued co: Orrin Thompson HOID25 on the express condition that
GII work shall be done in accordon with all app?ble tote of Minnew Statutes ond City of Eagan Ordinances.
Building Official ? /"r ?
• CITY pF E)aGAN Include 2 sets of plaru,
a?( • • 1 sit,e plan w/elevations
j ?? 6
SUIIZGNC; F€RNIIT APPLICATION 1 set of energy calculatians•
zb Be Used For R S?p N?P valuation ?'3` 'e? oate SEP 1 9 1980
site Address: -15?474
oFFICE vSE ONII.Y
Lot 3 Block
Izsec./Sub. R?ocEr? Erect K Occupancy ' • A4P
3
-
Alter Zoning
Parcel #:
Repair Fire Zone 3
Enlarge 'Iype of Const.
_
O.mer:
Nbve # Stories
pddipsg- a Division of
U. S. Home Comorat'n„ Derrolish
? ft.
Fmnt
-
f
I /iz HUPXINS CROSSROAD GTade Depth
C1L'y/ZlP COC1E: MINNETONKA MINN S?43
Phone #: 544-1333 APPFOVALS FEES
Contractor: O Rini runnnpcnN uo,MES
Addr255: a Division of U. S. Home Corpora[ion City/Zip Code: MINNETONICA, MINN. 55343
Phone #:
Assessments ?.
Peimit
Water/Se,aer Surcharge f)
Police Plan Check
Fire sAC
gg, Water Conn. 03 4" -?
2-
Planner Water Meter 610 A0
Cotincil Road Unit > FT cs
Arch. /f1ng. :
Pddress:
City/Zip Code:
Phone #:
Bldg_ Off.
PPC
CITY OF EAGAN
3795 Pilot Knob Read Eagan, MN 55122 N2 6219
PHONE: 454-8100
BUILDING PERI'v11T APPLICATION Receipt # //&3
Site Address 40 r0 odleui rU, (TRodP, 83)_
Lor 1 eiock_2_ Sec/Sub. Rideecliffe Q
Parcel #
W I Name Orrin Thnirmenn Hnmac
3 Address 1712 Hopkins Crerd.
? ,.;,,, Minnetonka, 544-7333
Erett ? Occupancy n3
Alter ? Zoning F.D
Repair ? fire Zone 3
;Enlar9e ? TYPe af Const. V
Move ? # Stories
Demolish ? Front 26-20 ft.
Gmde ? Depth 26-22 ft.
Apprevale Fees
o Name _
r
Address
? n...
Neme
Addrew
I hereby ockrrowledge that I have rend this application and state that
the information is corred ond agree to comply with all applicoble
Sfate of Minnesota Statutes ond City of Eagon Ordinances.
Assessment -
Woter & $ew.
Palice -
Fire
Eng.
Planner _
Council _
81dg. Of4. _
APC
perm{t 100.5a
Surcharye 17.00
Plan check 50.25
SAC 525_00
Woter Conn. 3.0 5 - QQ
WaterMeter 60.00
Road Unit 185 _ CIn
Totol 7 ,?4?-75
Signoture of Permittea - - I
A Building Permit is issued to: nrrin ThnmDSOn HOmBS on the express condition that
all work shall be done in uccord/qrI??e- wit,?h ull op icable Stote of Minnesota Statutes and City of Eogan Ordinances.
Buitding Offlcial -L???(? ? 0?'--??
CZTy pF EAGAN Include 2 sets of plans,
? e) ' ?'] -' ' 1 site plan w/elevativns b
f ? BUIIDINC; PERmIT P,PPLICATION 1 set of energy calculations.
zb se vsea For Rs i D urP valUation 46;6 ?- Date SEP 1 9 1980 -
Site Address: 76, ? 12 (MoDG.83) OFFICE ll5E (RII.Y
Lot _I Block ? sec./sub. R?EgJa? _FK Erect 2(_ OccuFa"cy ' /?-----
Parcel #: 4* Alter Zoning
Repxir Fire Zone ? -
_Oaner: ??4e _ TYPe of Const.
Nbve # Stories
lish Front ? ft.
p?j?psg; a Division of U. S. Hom? Demo Corooratin?- _
-1 111 Kirvs"Fb? cROSSrtpnp Grade Depth ?2o ?z ft.
C1LY/ZlP CAd@: MINNETDNKA h•INt? ss3A2
Phone #: 5`t4-1333 APPROVALS FEES
Contractor: 10-Rp?nt T?SONl IOPS-ESi-
Addr25s: a Division of U. S. Home Corporation
rt nU
City/ZiP COde: MINNETONKA, MINN. 55343
Phane #:
Aich- /fn9. :
Address:
City/Zip Gode:
Phone #:
Assessrents ?.
Peimit JL6
Water/Se.aer Surcharge ;77 ?' -
Police Plan ChecJc
Fire SAC vr`cZS ?
gg. Wdt'ET COr171. .3 p S?
Plannes Water Meter e? 6 es
Council Rvad Unit
Bldg. Off.
APC
ZCyi'AL
CITY OF EAGAN
3795 Pilof Knob Road Eagan, MN 55122 N2 6222
, PHONE: 454-8100 .
BUILDING PERMIT APPLICATION ReceiPt #
. .-. _..... +
To be uaed' for 1 of Q p1eX Est. Value 33,000 Dute 10,2
Site Address 4678 Salem Pt. (Model 83) E
t arx
Occu R3
rec
iik p
y
4 8fock R Ri?ecliffe 4
-Lw-?, Sec/Sub. Alter ? zonin9 PD
Porcel # Repair ? Fire Zone 3
E
l T
f C
t
V
n
orge ? ons
ype o
.
w Nome Orrin Thompson Homes Move ? # Srories
Z Address 1712 Hopkins CPSPd, Demolish ? Front 26-20 'ft.
? C Grade ? Depth 26-22 ft.
i ny
p .Neme _ Avvowls Fees
r
?? Addren
r ri..,
Name _
Address
I hereby acknowledge tFat I have read this application ond state that
the information is correat ond agree ro comply with all opplicable
State of Minnesota Stotutes ond City of Eagon Ordirwnces.
Assessment
Woter & Sew.
Polite
Fire Permit lUU.7U
Surchorge 17.00
Plan check 50.25
5AC 525.00
Eng WaterConn. 305.00
.
Plonner Water Meter 60.00
Council Road Unit 1$5-00
Bldg
Off.
.
APC Totol 1,242.75
Signnture of Permittee I
A Building Permit is issued ro: Orrin Thomps-on HOID2S on the exprew condition that
all work sholl be done in acwrdan e Ith all oppi 3we Stae of Minnesota 5 atutes and City of Eagan Ordinonces.
Building Official
same
PFwne
• CITY OF EAGAN Include 2 sets of pl.ans,
1 site plan w/elevations &
BUIIDIN(; PERMIT APPLICATION 1 set of energy calculations.
-'3 .3
'Ib He Used For R?,?..NrP v??tion ? ?te SEP 1 9 1980 _
Site Address: /z6zs' jagM' 61, (MoDCI B3) OFFICE USE OAII.Y
i,ot 9 slock 9_ sec./sub. R?oGEg,?Fne Erect 9<_ OccuPancY
Parcel Alter Zoning
Repair Fire Zone P?
Oaner: Enlar9e _ ZYPe of Const. l/ -
pddresg; a Division of U. S. Hom? Coinoraf'n„
I / i'z HUHlifNS CROSSROAD
City/Zlp COde: MINNETONKA. A'INN 55342
Phone #: 5`t4-1,333
COrltrdCtDT: !1R[)INTI-If1AAP.SON1Onrr?
Addre55: a Division of U. S. Home Corporation
Cli"y/Zlp COdE: _ MINNETONKA, MINN. 55343
Phone #:
Arch. /Eng- :
Address:
City/Zip Caie:
Phone #:
Nbve # Stnries
Deriolish Front , ft.
Grade Depth a/ a2 ft.
APPF20VAIS F'EES
Assessrrents Per?mit
Water/Sewer Surcharge
Police Plan CheckC5'r
Fire SAC
gxj, Wates Conn.
Planner Water Meter 6 Q ?
Council Road Unit
Bldg. Off.
APC
"1700-6--
i q&.
2007 RESIDENTIAL BUILDING PERMi'r nrri.icnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reouiremenu
3 regis[eretl site surveys showing sq. ft. of lot sq, ft. of house; antl all mofed areas
(20% maeimum lot wverage allowed)
1 Soils Report dproposed building is to be placed on disWr6ed soil
2 copies of plan showing beam 8 vnndow sizes; poured found desigq etc.
1 set of Energy Calcula6ons
3 mpies of Tree Preservafion Plan if lot platled after711/93
Rim Jois[ DeMail Options selectlon sheet (6uiidingswith 3 or less units)
Minnegasco mechaniwl ventilz0on form
RemodeilReoair Reauirements OfFice?Use-0nlv
2 copies of plan showing footlngs, beams, jouts Cerf of Survey Recd Y _'N
t set M Energy CalcWations for heated addifions Soils Report _Y '_ N
1 site survey for additions & decks Tree Pres Plan Recd ,Y _ N
AddXion - indicatei(on-sitesepficsystem TreePresReqmred _Y _N
OnsiteSephc$ystem _Y '_N
Pians are considered ublic information unless ou state the are trade secret and fhe reason.
Da[e 31 10 /?7 ConstructionCost 91Qd f
5iteAddress Ll b'Tj YAC K S'f"6?( P-7-. UniUSte #
7 ?Aell S'rziP L I(o 7(o -q la -2 e S 61 fR-A_
Description of Work ? Q - CEO C) ?
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( )
Contractor j) t JA NP L_ Mil? J( , i 1 rn,J
Address P)9-Y fl CiTy F}STivt?f
State Zip ?i S0 3 3 Tetephone #(6I Za 9k7-9&3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Aules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet New Energy Code Worksheef
(q submissian type) Submitted Submifted
• Energy Envelope Calculations 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 pian:
Licensed Plumber Telephone #( ?
Mechanical Contractor Telephone #( ?
Sewer/Water ContracTOr Telephone # ( J
I hereby apply for a Residential Building Permit and acknowledge that the infonnation is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name Applicant's ign ture
s/5
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55722
651-675-5675
Please complete for modifications to existing residential dwellings.
-
Date
l 11-2 l
Site Street Address Unit #
Property Owner Telephone #
Contractor ( t/?r-//?I Telephone #?v?
Address /af? zLCity? State ' t" 2ips5'.S;- ?
7he Applicant is: _ Owner -k Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener andlor water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
X Water Softener _ Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is requir d to be reviewed and approved.
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ApplicanYs Printed Name ?- plicanYs ' 9ature
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2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc single family dwellings &[ownhomes/condos when pemiits are required for each unit
Date ?
SiteAddress ?0?? ?a.??vrl 1 l v-?
Unit#
1
Property Owner N L2 jai 021
0 Telephone # (,s 1) ?
Contractor
street Aaj?aRD HEATING 8 AIR CONDIT?DNN6 C0.
4 rv-?VE8T?,.?€-S R c;cy
State MINNE/APOLI8, MN 55408-2998 Zip
612-824-26-56- Telephone #( )
Bond #: Expires:
The Applicant is _ Owner x Contiactor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
? air conditioner _New Replacement
other
State Surcharge $ 50
Total $ 30 ,?
I hereby apply for a Residenual Mectianical Pemut and aclaiowledge that the informalion is complete and accuiate; that the work will
be in conformance with the ord' and codes of lhe City f Eagan and with the Mechanical C t I understand Uus is not a
pcrnA ' but only an applicauo f pe t, and work is not o start without rmit; tltat the o will in accordance with the
quires a review and pproval of p' s. n
app o d planin the casepf wo wlvz
?L?v /1i
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Printed Name
?
z 9 2005 ! ii ?
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L? --- -
S CITY USE ONLY
PERMIT #: RECEIPT DATE:
8008 fiESID£PTIAL M£CMRICAL PERMIT APPLICATIOR
? crrY oF Etse?rr
9$30 PII.OT KFOB RD
$R6AP b!A 55122
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: ?- 0C.r- U?
SITE ADDRESS: LI??? R ?-?-l,C-f'S1? OWNER NAME: TELEPHONE #:
INSTALLER NAME:
STREET ADDRESS:
CITY:
STATE:
Place a check mark next to the permit work type
ZIP:
--. ?_ 71- i, vle i Tr, f1
11 , ;I i'. I , i _
Add-on, modification or alterztion to existina dwelling unit 1??LI $ ? P 3 0
c
• fumace replacement , I ,- 11111
30A0
• air exchanger
• airconditioner ,3
• other ----
Nature of work: I l?.?GlC2jj?r?C.LC?j i,_)I
U-
State Surchar e $ •50
Total $
aj,?? d`?' ?,
SIGNATURE OF PERMITTEE
Wohlers Southside Htg. & Air, Inc.
6950 W. 146' St., #106
Apple Valley, MN 55124
(952) 431-7099
ilo2
.
C.R. WINDEN 8 ASSOCIATES, INC.
LAND SURVEYORS Te1.615-3C46
1381 EUSTIS ST., ST. PAUL, MINN. 55108
Note: Buildings shown are proposed.
As of this date Ridgeclif£e Fourth
Addition has not been recorded.
CERTIFICATE OF SURVEY
For:
U. S. IiOME CORPORATION
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Lots 1 throuc,*h 4 inclusive, Block 9,
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 BOUNDARIES OF THE LAND
ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, YF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY,
FROM OR ON SAID LAND.
Dated chls lStnday of S?-' P* A.D. 1950 C. R. WINDEN & ASSOL'IATES, INC.
by
Surveyor, Minnesota Registration No. 7776
**??***********************************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 004
DATE: 04/11/00 TIME: 12:02:58
ID:
NAME: EVERLASTING HOMES INC
3210 9001 4676 JACKSTONE 293.25
2155 9001 4676 JACKSTONE 9.00
32?10 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
?*****??**??***;r*********?*??*?********
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
? o 7?-? ? 3830 PILOT KNOB RD - 55122 ? Q
651•681-4675
..
w
: 3 refllatered site wrveys showlny sq. ry, pf bt, sq. B. 01 house
and gU roofed areas (20% mmdmum lot coveraae allowed)
% 2 coples of plana (show beam & wlndow sizes; poured fnd. deslgn; etc.)
> 1 sef of energy calculatlons
? 3 coples of hee preservallon plan Il lot plattetl affer 7/1 /9J
u.•. ^/L'2T!?iCI.
2 copies of plan
1 sef ol energy tdculaMOns tor heated adtllHons
1 site zurvey tor exfehor addlMons d decks
DATE:
CONSTRUCTION COST:
-? 18, 000
DESCRIPTION OF WORK: T) E'_ .S i ql -Q_
STREET ADDRESS: L? ,D-1 ?O - 'l g IOQ?` ? ? - ?3" ?- ?o'l ? -OJ q
LOT: BLOCIC ?I SUBD./P.I.D. wzj" , `"1-
Namel ILC I, k AS Soc Phone #:
PROPERTY tasF Flrst
OWNER
Sheet Address:
CiN state: tlp:
Company. EL/z r In c . Pr,one 4-3
CONTRACTOR (area code)
Sheet Address: /9 6 )L ? Lkense g ExP,
Cify I7 (nY n S vi ? ?L - Sfate: fY1 /Li Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone q: ( )
Sheet Address: Regisfraflon M:
Clty
Sfate:
Sewer/water licensed plumber (if insWllina sewerlwaterl: Phone #:
Zip:
I hereby acknowledge Mwt I have read Ihis applfcafbn, atafe thal lhe infortnation is cortecf, and agree to comply wilh atl appGcable Sfote
of Minnesota Stafutes and CHy of Eayan Ordinances.
Signature of Applicant: -4-
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No '
Tree Preservation Plan Received _ Yes _ No _ Not Required
PERMIT
City of Eagan Permit Type: Mechanical
Permit Number: EA106915
Date Issued: 09/17/2012
of 3 a R Permit Category: ePermit
Site Address: 4677 Jackstone Pt
Lot: 2 Block: 09 Addition: Ridgecliffe 4th
PID: 10-63983-09-020
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088
Valuation: 6,400.00 Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Hoffman Refrigeration & Heating Matthew R Stok
5660 Memorial Ave. N 4677 Jackstone Pt
Stillwater MN 55082 Eagan MN 55122
(651) 439-5770
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.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r I
I For Office Use
I /~j
Permit C/ l ,;14Sq I
I ,
City of Ea
Rd~ , o~
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Staff:
Fax: (651) 675-5694 L
/ 2012 RESIDENTIAL? PLUMBING PERMIT APPLICATION
Date:! Site Address: a C S~Ur'u- p o, w
Tenant:k or H & Suite
RESIDENT /OWNER Name: p'1A r Phone: l Sao(' A9 -ysA.
Address / City / Zip: 7 L~ ~1`a E q
Name: License 4/1
CONTRACTOR Address: 3aZ~ D 01519h 100 City: 4 JLmo, /0/1 ° S5~33
State: 1' a Zip: 'ssy 33 Phone: Ll a YP 7(c,-?~
Contact: 13ek% Email: bin ! 4 e),c K f' D ['o m cg s t n e-4-
TYPE OF WORK - New X-Replacement _Repair -Rebuild - Modiff/y Spa'Iffce _ Work in R.O.W.
Description of work: -e `Co A II-ki i'At- r✓~k✓ ff -
RESIDENTIAL
Water Heater
Water Softener
PERMIT TYPE Lawn Irrigation RPZ PVB)
Add Plumbing Fixtures Main Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved Ian in the case of work which requires a review and approv tans.
x::z VLI~ x
App icant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final