4444 Johnny Cake Ridge Rd??I.i£?' . Y? _ ?y. . . . . .
?Q. ., . . . . - .. .. , • ' . .
•
' CITY OF EAGAN A?
"° 18126
{
` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
' PHONE:454-8100 /"'
BUILDING PERMIT Receipt # `?
'wo JU'Y 9 19 ?
To be used for Est. Value Date
Site Address 4"6 JOHNN1i CAKE RIDGE RD
OFFICE USE ONLY
Lot 16 Block I SeclSub. ??ATE 3RD ?
P8fC8l N0 Occupancy - FEES
.
PA??LA b P14?lL CAA?,SON zoning - 75.40 ?
W ?Jgrpe (Acwal) Const - Bldg. Permit
;
AddreSS ,
(Allowable)
- Surcharge j
. 30
VAGAW
452
5305
° -
Phone
City # ot stories
Plan Review
sAw Length ? q
o Name Depih - SAC, City i
?a Address S.F. Total - SAC
MCWCC
,
? CIty Phone S.F. Footprints - ?
S
S Water Conn
ewage
ite
On _
W w Name On Site Well - Water Meter {
W
z
ddreSS
MWCC SYstem
-
?
0Z Acct. Deposit
a W City Phone City Water -
S/W Permit ,
PRV Required _
pplication and state that the
I hereby acknowlege th Booster Pump - 5JW Surcharge +
information is correct awit all appiicable State of j
Minnesota Statutes and nc
W9 Treatment PI
Signature of Permitee APPROVALS Road Unit
PAUL GkLWN
A Building Permit is issued to: Planner Park Ded.
-
I
on the express condition that all work shall be done in accordanCe with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. 81dg. Off. _ Copies
?
25
50
Building OffiCial ' - Variance TOTAL
- .
_a:?
I I Permit No. I Permit Holder I Oste I Telephone # I
H.V.A.C.
Date
Plumber
Well
Pr. C
CITY OF EAGAN
3795 Pilof Knob Road
Eogon, Minnesota 55122
P6one: 454-8100
P?A L? C-rTT M1771
PERMIT
No.
??0
Dote: 1-
4 4a R W,nr,y C.'ake Ri?
Site Lot Address: Block ?_. Sub/Sec. _ I
Receipt No.:
Single
Residential
Muiti Res., Comm,llnd. I
C
d.rlw7l
Nome New/Alter./Repair
? '? (? I? ? YC: , %?"' • _ "T?. ',-" - ??.
3 Address ? Cost of Installotion
O
City Phone: Permit Fee
C'm
. ,lc?.?t' «;tS_"_' • c?'.._...?:: '.?'? . - , , , '?1
Name Surcharge
.
Address
e
r
City Phone: Totol
This Permit is issued on the express condition that all work shall be done in accordance with all npplicable Stute of
Minnesota Statutes and City of Eagon Ordinances.
Building Officipl
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
? Fi!l in numbered speces S/C
Type or Prini legib/y
Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. ? Tract
4. Owner
5. Contractor GFO c; EWICK NFATIL ; R,"Z PFlWKl'_"`I!ai; L, _
1001 XENIA A1,'r. L ::'',J ?"
6. Address ? ? h4jF=A,?eI=IG, NqP4 6,8446
7. City StaPe45-1611 Zip
8. Building Type: Residential 0 Commercial ? Institutional O
9. Wark Description: New ? Add ? Alter O Repair ?
10. Describe , Fuel Type
11.
No, Eguinment STU - M. Ea.
Forced Air No. Equipment CFM
dl
Mfg. - - Air Han
ing:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : far 91NIY3 L-"W 5 ?y T
ROUgh FinalF-??? d j a' p/u?
Inspections: Date Insp. Date In3 sp. ? f'
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt '
1. Date ?"?' 1?+? 198)2, tnstalia-
(1 ..vi
3. Job Address L
4. Owner
C, E;".. H. 371'LL P,
PERMIT Permit No.
GAN Fee
d spaces S/C • ?'''?
legib/y Tot. { •
Cost '64(1.0L
a. / Tract
/ 0 Y-qllo-oZ / O O /
5. Contractor • - ? ? ? •
.u
6. Address
7. City ?'-'-''C-.rpolis State `7"•
r
rp 5`4U`9
8. Building Type: Residential ? Commercial 11 Institutional ?
9. Work Description: New ? Add O Alter ? Repair ?be-)i?LCt3)
10. Describe°t`1''1.,-:,-2 hov_t -.Atii -^orTUBITYPC •l,"•J
=?T F'.L''Yl."C6 c; t:L1VE .1ee-t ?,11L7? 20. ;c1.Z' C022 --T:.1Ori_L!eF ;:1..v
11.
No. Equinment 9TU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
i
Mfg. r
andl
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
?
Gas, Piping Outlets
12. I hereby certify thaLth e above information is true and correct, and I agree to
comply with all ordina noes and codes governing this type of wark.
Signed:
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit whe n numbered and approved.
Approved CITY OF EAGAN 464-8100
Phone
,.t i Y OF EAGAN Remarks
Addition %SdOOdQdte 3rd Addition Lot 15 Rik 1 Parcel ? 84602 150 Ol.,_. ?
Owner Street 4444 Johnny Cake Ridge Rd. State EaQan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 370 1977 476.67 158.89 10 476.67 C002399 10-9-76
STREET RESTOR.
ig GRADING 1974 37.67 7.53 5 15.08 r003254 10-15-76
5AN SEW TRUNK 1974 65.31 4.35 15 52.26 A003254 10-15-76
* SEWERLATERAL 1976 3
WATEfiMAIN
* WATERLATERAL 1976 3
* WATER AREA 1976 3
*3'3STORMSEW TRK 1976 1628.80 542.93 3 568.43 A003254 10-15-76
*y STORMSEWLAT 1976 3 517.44 A003254 10-15-76
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 160.00 1763 12-5-75
BUILDING PER. 43808 1763 12-5-75
sa,c 1763 12-5-75
PARK 100.00
I CITY OF EAGAN Remarks
Addition Wood a e 3rd Addition Loc 16 Rik I Parcel =X0 84602 160 Ol
Owner ;< <' ' F'"'• Street 4446 Johnny Cake Ridge Rd. State Eaqan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 370 1977 476.67 158.89 3 476.67 C002400 10-9-76
STREET RESTOR.
A RADING 1974 $37.67 $7.53 5 15.08 A003255 10-15-76
Aqi SAN SEW TRUNK 1974 $65.31 $4.35 15 52.26 A003255 10-15-76
i* SEWER LATERAL 1976 3
WATERMAIN
* WATER LATERAL 1976 3
* WATER AREA 1976 3
it1 k;STORMSEW TRK 1976 $1628.80 $542.93 3 568.43 A003255 10-15-76
*3ASTORM SEW LAT 1976 3 517.44 A003255 10-15-76
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $160.00 1763 12-5-75
8UILDING PER. 176-4 12-5-75
sAC 1763 12-5-75
PARK
CITY OF EAGAN Remarks
Addition Wood ate 3rd Addition
OwnerT;:L-?-?r'-"• L.,'1•.. Btreet 4448
sute Ea an MiT 55122 •?
i
R `-
Improvement Date Amount Annual Years Payment pt
ece -
STREETSURF. 3-7 1977 476.67 158.89 3 --
STREET RESTOR.
23 GRADING 1974 67 7.53 5 PAID
a SAN SEW TRUNK 4.35 15 PAID
* SEWER LATERAL 1979 3
WATERMAIN
* WATER LATERAL 1976 3
* WATER AREA 3
*313STaRM SEW TRK 1976 1628.80 542.93 3 PAID
* 14STORM SEW LAT 1976 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. $160.00 1763 12-5-75
BUILDING PER. 1763 12-5-75
SAC 425.00 1763 12-5-75
PAR K 0 . 00
CITY OF EAGAN Remarks
Additio Lot 13 Blk 1 Pace110 84602 130 OZ
Owner? '? Street AA 50 JAluzny Cake RitigP Rcl- State F.agan ?MN 55122
1- v
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFiF.
STREET RESTOR. 1977 476.67 158.89 3 6.67 23 7 -7
AS3 GRADING 1974 $37.67 $7.53 5
a? SAN SEW TRUNK 1974 $65.31 $4. 35 15
* SEWERLATERAL 1976 3
WATERMAIN
I* WATER LATERAL 1976 3
* WATER AREA 1976 3
'?. STORM SEW TRK 1976 $1628.80 $542.93 3
TORM SEW LAT 1976 3
CURB & GUTTER
SIDEWALK
, STREET LIGHT
WATERCONN. $160.00 1763 12-5-75
BUILDING PER. #3$08 12-5-75
sAC $425.00 1 3 12-5-75
PARK 00.00
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: E?;? 'A r, ??
L--Eaqa-n, Minnesota 55122-1897 Date Issued: s(612) 681-4675
SI.TE-A6-DRESS:
PERMIT SUBTYPE:
, ? • ,,? ?.. , ; , ? ? ??? ,
i i .: » ti 1 0 r?
? A?' t rro
APPLICANT:
Tl(PE OF WORK:
i7FPAIH
Df:sCo1F1 i()W T.O. & PfR4QF
INSPECTION D• • ..
I , , .: , . , 444
F
L
144H_ AA1t) 44S6
'CA'b (j -6\" Oo
?
J
??
Permit Holder Date Telephonell
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PL6G
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONOUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
INSPEC
I CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
; I I fti`IW'i rtF l
;ii+tii t t ,Ii!
PERMIT SUBTYPE:
1 r• F+ t i.i r_ M. r
Ir I l??,I R1?
?-...r?.
ON
j'caRD
PERMIT TYPE:
Permit Number:
Date Issued:
N!I I l U i NI
w:=9 17 3
e4 /?t /9,
; APPLICANT:
;???I, 1 Ni4??vA 1 t ri?J•. I N?
tt +l if H 1 4
TYPE OF WORK: ItEpA i R
•;?r?Tw?/s0 F F ir/FaC,rtA
1" 't 14 A 1
RtMARks: [Nct 4 44 ft ( i.+) i i+
1414 i 1 01 1 4) 44?-O (![lT 1:4) .1011IMNY CAKE R 1 f.Iti(' 1411
.?? .?.. ,.
.
,
? z . .
V
Permft No. Pormft Holder DaLa Telepha?e #
ELECTRIC
PIUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLeG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT F.I.
BSMT FINAL
DECK FfG
DECK FINAL
SEDGWICK HEATING & AIR CONDITIONING CO. HEanNG JOBNO. 60110
6910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDRESS rL?Cz' !?Z
OCCUPANT
'
cirv
OWNER
SOLD
MAKE Lq'o
SERIAL NO.
THERMOSTAT L1Y ?
VALVE??Y
LIMITL.1°12lly2V`
LIMIT SETTIN j, ? f2, Z,
FAN SETTING
PILOTTYPE
IGNITION MODEL?f
PILOTTIMING
r,
PRESSURE'f•'?/GJ-( PERCENTWz?
INPUT CFH ??n ??PERCENT Oz ??~Y
STACKTEMP.PERCENTCO
FORM 235 (REV. 11189)
INSTALLED BY
MODEL v V I V,4 P
INPUT
VENTSIZE f4-w•2
TVPE OF LMER
LINER SIZE _J
FILTERS: SIZE NUMBER ?
WIRING cJ s•?Sn
TEST TAG
LIGHTING INST.
DATE TESTED
COMPANYTESTING.. `-
` .?.?TIOIN: NAME OF TESTER ?
FORM OISTR WHITE COPV - JpB FILE YELLOW CAPY - CITY
WATER SERVICE PERMIT
nuace oF eacaa 1898
3795 Pilot Knob Roud PERMIT 1V0.:
12/12/75
Eogan,MN 551I2 DATE: A
RII_
Zoning:
Na of Units:
Owner:
d
A
dmsa
Site Adc
Plumher: 111OmpsOn Ylwnbing Co. _
640.00 pd
Meter No.:
Connection Charg
Account Deposit:
-
Size: 10.00--??'3ec?
Reader No.: Permit Fee: -3-p?yile?'
on Surcharge:
f E
M Vili
oge o
a9
1 agree to comply with t
Ordinancas. ' Misc. Charopu.
Totah
BY Dare Paid:
• ?
Insp
!
Date of Insp.: .
YILL40E qFJEAGAN SEWER SERVICE PERMIT
3795 Yilot Knob Road PERMIT NO.: 2655
Eayan, MN $5124 DATE: 12/12/ %5
Zoning: Rii No. of Units: 4
Owner. i 6w ri011 vli HOfiES WOOdQdtO III
Address:
Site Address: 4444-46-48-50 Johnnv Cake Ridqe
Plumber: Thompson Plumbin4 Co
I agna w comply wieb Ma V{Ilaya of Eayan Connection Chazge:1700. 00 pd
Ordimnuti Account Depoeit:
Permit Fee: 10.00 billd
$.50 billed
Surchazge. -
gy; Misc. Chazges:
Date of Insp.: Total:
Inep.: Date Paid: -
C-17L li?
id B?IGca o o?
0
n=
,-nis to Thompaon Pl"all.ing Co. _----
, 12201 Minnetonk.a Blv1.
s PLCCII?I"IG Yc:-mit f'o^: (?i;,rner?__ New Horizon - Woo3yate III
4443-45-47-4A, 4A39-4.7. woodgate Pt., 1729-26 Woodgate Z,n, 4A66-70-72-74, 4469-62-64-66
A152-59-56-53, ^r!.!"._:+?.-!;[_-`,'jrF?4$Qr!??, i@1iA??".1?'?15Bi$?49er,ct?Fi95-98? 1700-02-04-06?
-- '------ --'- -------. _..._ _ .
1708-10-12-14f?1F-1R-2?-22;-} _ _ ... ,. .. , . Pt:
_ .b md
Rk'.'dc"?. _„_d i;his 12 d.-if oi nec. 75
IIilled: ,s 22rH0 sjc -_ ?- -?-' -------
3 a '-e,
- ... i...Gl:
%C> 9?L'CI ? 1?16?) v?
CITY OF a4?"N
3795 nl .O t? ROFC)
n., ... ., . . . c,'...1 ?
..? i?'L"T:71J:iOL'c ?i.? 2
Fic';,'/1 i' rJ7 ,
Ti:c Cit;; of D-.I,an h2.Erf grr?ii;s to Geo. sedqwick Heatina spIC Co.
of 1001 Xenia F.ve. So.
a HF;ATI24G . Pe"rit for: (Owner) T?ew Florizon nomes-- Wood?ate III
- - -
a? Jo?inny. Ca};e Ria2e_?_,_ ? pursuant to apol;cltion dated 3/1%1/7G _
Fee Dai: " ; SHp. CO dated this 12 day of March 19 76
_a ^
2.00 s/e '
Luildir.g Inspeoto.•
A?ecY_anicaJ_ Yermii;a:
&id Total:
3
v.est void I! `? L13
m 34$?9
18 onths from 1 7
A •? 1 R'J1r1g 10•00
Request pato
1 Fira No. Rouph-in Insper.tion
fleqwrad7
Lie-dy Nnw Q Will Notify Insoec-
1I? ? -
8-3 ?Yes 'i tor Whe.n fle??tlV
['j;,L'ir.ensed Electrical Contracror 1 heraby request inspection oi above
? Owngr elecVical work installed at:
Srrent Adtlress, Box or Route No. C{ty
5 ? 0f1N?vY ° ,C . A AN
eciuon o. Township Name or No. Fange No. Coumv
YAT/-1
Occupant (PqWT) Phona Nu.
8 t t- L- s y- r a
Power SupPliar Address
us n,0)??.
Elecerical ConVactar ICOmD.ny Namel Cumractor's License No.
c. A? o l??
Mailing Address (COntracmr or Owner MakinB I [ailationi
C7 r-- % A Uc. 1? • t? pJ + aS 08
Authorized SiBnature IConVxcmdOwner M? ing Installation? Ph
une Number
? '^
)p
..J ?Cl
?S'-1 ?"Y
MIryNESOTA STATE BOAflD OF ELECTniiyyV THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - floom N-191 BE ACGEPTED BY THE STqTE BOARD
1821 Univarsifv Ave., St. Paul. MN 66704 UNLESS PqOPER INSPECTION FEE IS
Phone (812) 297-2117 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
?.
' See instmetians for compleling this form on beck of Yallow copy. ?
9Qan2 '"X'" Be/ow Work Covered by This Request 3Q `xqAAtl BeP Tyoe af Building AOPliances Wiretl Equinment WireA
Home Range Temporary Service
Duplez Water Heater lightiny Fixwres
Apt. Building Dryer Electric Heatin
Commercial BIAy. Furnace Si!o Unloader
? Industnal Bldg. Air Conditioner Bulk Milk Tanlc
F3fm Other oea y OtherlSne11ifyl
t er uCC7 4 Othm Olh¢r
Compute Jnspection Fee Below
M Fea ServiceEntrencaSize tt Fea Fande,s/Sabieeders a Fee Circuits
U to 200 qm s- 0 to 30 qm s 0 to 30 Am
Above 200 qmps 31 to 100 qmps 31 to 700 A s
Swimmfng Pool Above 100_Amps Above 100_Am s
Transformers Irrigation Booms Pnrtial;'Other Fee
Signs Speciallnspection Sd
S
TO
EE ?
?, co
flouBh-in Date ?. ?he /¢al
Inspectoq hereby
„ 0 . ...h_ .h_ _.---
Final i.spection has baen? I
Thia reaueat voitl 18 monihs trom
REQUEST FOR ELECTRICAL INSPECTION °f/e?O 1 /0 s
O 2 5 210- See inatrucibns lor completlng this lorm an beck ol yellow copy. r? !
" _- x„ Below Work Covered by This Request W"
e Add p. Type of Building Appllances Wired Equipment Wired
Home Ran e Temporary Service
Du lex Water Heater Electric Hsatin
Apt. Building Dryer oad Management
Comm,/Intlustrial Furnace Other (Specify)
Fartn Air Conditioner
Other (specity) Contracfor's Ramerks:
Compute Mspection Fee Bebw:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fea
Swimming Pool 0 to 200 Am s 0 to 100 Am s
Trensformers Above 200_Amps /' Abovi`460 -Am s
SI f15 Inspemor's Use Onry: TOTA ? V
Inigation Booms 0
S eclal Ins ctlon
Alarm/Communication THIS INSTALLATION MAV BE ORD RED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electdcal Inspector, hereby
certify that the above inspaction has
been made. Rough-In
Finei Date
o
OFFICE USE ONLY I '
This requeat voitl 18 monihs Irom
a ??97
70?A 52
1,0
3.
Request Date Flre No. Rough-In spection Requiretl Inspec OtherThan Rough-In
'
(YOU m
us callinspector1vhylreatly) eatly N W
I NoT Inspecror
I
e•( ?
Yes ?No D. Reatl
I E icensed contrector ?owner hereby request inspaction of above electrical work at:
Job Atltlress (StreBt. Box or RoNe NoJ Ciry
o s E?qgd?
Sedlon No. Tawnship Name o
r . Renge No. County
z?,q Ko! A
Occupent(PRIN'p Phone No.
ower Suppller
?ieoTA Adtlre3s
;•?y aAt lv7w.
Electncel Coniratlor (COmpeny Neme) Contrectors License No.
e ^ F?J'L°?
Meiling Atltlress (COntrec r Owner Making Instellelion)
?
(
?
R c,
H S, 1
!
4l,9,4c
Authorizetl ure (COnVact Making In tall i ni Pnona Number
?j4?- 0 OQJ
-M1IrNESOTA STAT OARO OF?TRICITV T THIS INSPECTION REOUEST WILL NOT
Grlgga•Mltlwey B g. - Poom SBE ACCEPTED BV THE STATE BOARD
1821 UnlVertlty ve., St. Peul, MN 65104 UNLESS PflOPER INSPECTION FEE IS
Phene (812) 842?0900 ENCLOSED.
This redLest voiE f???? y / O• (?
18 months fmm
!y, 1L3oodqak 3 r ?lbb4/
Rac?4est Oate
1 Fire No. Pnuph-in Insoection
Required?
ntity Inspec-
[NReaAY Nuw ? Will N
Gq
1^3-OY Elye5 [A LorWhenReadY
[kLicensetl Elec[rical ConVnctor I heraby requpst inspection oF ahove
? Owner electrical work installed ar
SVeet AdAress, Bok or Route No.
4448 o n Cafz ' e CiiY
ecuon o. Township Name or o. Range No. Co ?ty
Occupant(PRINT)
e Bu?
Gevn
eA Phone Nn.
Power Sup0lier Address
ElecVical Contractor (Company Name)
Convacmr's License No.
Mailing Address IConvac[ot or Owner Making Instailationl 6525 E. 110xh St., Pn,i.on Lahe, MN 55372
.4Uth rized S,Bna re ICoptfactor Owner Making InStaliationl
! Phone Number
447-2490
MINNESDTA STATE BOARD OF ELECifllCITY THIS INSPEGTION PEQl1EST WILL NOT
Griggs-Midwey Bldg. - Faom N-191 eE ACCEPTED BY THE SiqTE BOARO
UNLE55 PFOPEfl INSPECTION FEE IS
1821 University Ave., St Paul, MN 55104
Phnoa (6121 297-2111 ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION Es-00001-01
/' J• , See instrwtions br complecinB this torm on back ot vellow copy.
A,9?' R ""1f'" Below Work Covered by This Request ? r
AdA Rap. Tyoe of Builtline ApPliancee Wired Equiument Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm otner peci y otnor fsuecitvl
Fher Sper:ify O[her Other
ompute lnspection Fee Below
p Fee ServiceEnhenceSize p Fae Fexders/Subteeders N Fex Circuils
0 to 200 Am s 0 to 30 Am s 0 to 30 Am s
Above 200 qmpy 31 to 100 qmps 31 to 100 qm s
Swimming Pool AbOVe 100-Am s Ahove 100_Am s
Transiormers T,rigation Booms 5 Partia6'Other Fee
Signs $Uecial Inspeaion s
TO
Pemarks ]Q.SQ
d•oG
Roueh-io Date the Elac ncal
Inspectaq heroby
certity that the above
Final
? speetion has baen
Veade
(hls rpueat voiE 18 monHia irom
CITY OF EAGAN ND ? $ ? 26 ,
3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
r
/4c
L
??y11
? ??
ERMIT
P Receipt # ??
DECK Est. Value $1,000 Date JULY 9 , 191Q--
Site AddreSS 4446 .TOHNNY CAKF. RT?pE RD OFFICE USE ONLV
Lot 16 z Block 1 Sec/Sub. WOOIICATF 4RD
PefCel N0. Occupancy - FEFS
w
Name P?LA & PAUL CARLSON Zoning
(qcwaqConst -
-
eidg.Permit
25.00
; Address 4446 JOHNNY CAKE RIDGE RD (Albwable) - Surchar
e
O
.5
° Cit EAGAN Phone 452-8365
y x oi stories g
h 171 Plan Review
lengt
o Name SAME Depth 13-1 SAQ City
,
a
0
Address
S.F.TOtal
-
S
C
CWCC
,
? City Phone S.F. Foolprinls - A
,M
Water Conn
On Site Sewage _
ww Name OnSiteWell - WaterMeler
w
si AddreSS MWCCSystem -
u? AcM. Deposil
a W Ciry Phone ary water
i
d -
5/W Permil
re
PRV Requ _
I hereby acknowlege Ihat I hav read ihi application and state that the Boosier Pump - SNJ Surcharge
information is wrrect and a o o?y wit all applicable State of
Minnesola Statutes and Ci 'i d anC . Treatmenl PI
Siynature of Pefml[ee ? APPROVALS Road Unil
PAUL CARLSON
A Building Permi[ is issued to:
Planner
-
park Detl,
on the express contlition that all work shall be done in accordance with all Coum'l --
applicable Stala of Minnesota Statutes and Cit
y
of Eagan Ordinances. eldg. Ofl. _ Copies
?
,
Building Official ? Alid, f't i Variance - TOTAL 25.50
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagau
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
C??ek ? l l0 2 ?'s?
Please complete foc single family dwellings & townhomes/condos when permits aze required for each unit
Date )` / it-, / U-h
SiteAddress `-10`I4, ijy"111r11? CQK ?1U ?.? • Unit#
Property Owner ? ? • • ,?' ` ?D-?? 1?51Q-Ke? Telephone # (GS
?--- - -
Wohlers 6outhside Htg. & Air, Inc. '
Contractor _ 6950 W. 146?' St., 9106
? Apple Valley, MN 55124
Street Address
C?ty
_ (952) 431-7099
State - - - - - -F - Telephone # ( )
Bond / 9 0 / Expires: ISZ-S -05-
/
"Conhacror _ Other
The Appticant is _ Owner
Add-on or alteration to existing dwelling unit $ 30.00
?- furnace _Additional "?LRepiacement
air exchanger
airconditioner _New _Replacement
other
State Surcharge $ 50
T
l $?15Tj
ota ?
?
n'OV n r ?n }?YI?,?f
1
I
1 - IGI
I hereby apply for a Residential Mechanical Permit and acknowledge that the ?? o?rmahon is complete and? ccurate; that the woik will
be in conformance with the ordinances and codes of the City of Eagan and withTe I?Tv - al-CQdes; t I understand this is not a
permit, but only an application for a pemut, and work is not to start without a pemut; that the wor 1 be in accordance with the
approved plan in the case of work which requices a review and approval of plans.
4p?116canfs Sip
ApplicanYs nted Name
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
$3o-s-b
New Constructbn Reouirements RemodellReoair ReauiremeMs Office Use OnN
3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and all mofed areas 2 copies of plan Cert of Survey Real
(200h maximum lot coverage allowed) i set of Energy Calculatlons for heated additions T2e Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 s'rte suney for addNons & decks Tree Pres Not Reqd
1 setof Enerqy Calculations Addition -intlicate ifonsite septicsystem _ Onsite Septic System
3 copies of Tree Preservation Plan 'rf lot platted aNer 7l1/93
Rim Joist Detail Options selection sheet (bldgs wAh 3 or less uniLs
Date
SiteAddress
11?114 Connstruction Cost ?0Q'?
3'OAnny ldiA?G Unit/Ste #
Description of Work PezK,
Multi-Family Bldg ? Y _ N Fireplace(s) X 0 _ 1 _ 2
Proper[yOwner IL2fr 'I `!t/ft- Wfl/?rL Telephone#(64
Contractor tlY??
? Qydl?
Address
State /q /
?/kfqy
a,
Zip ?IZL City rGY6Aj
Telephone # (01) Zi0 '/d Od
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesob Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Vendlation Category 1 Worksheet • New Energy Code Worksheet
(J submission rype) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone #( J
Mechanical Contractor Telephone #( )
Sewer/Water Contractor Telephone #( D'P j? i t1J
L ?
JuN i s 2091 lurate;
I hereby apply for a Residential Building Permit and acknowledge that the inform isagan-_and-_the-Stati.--bf n is compland that the work will be in conformance with the ordinances and
codes of the City MN
Statutes; I understand this is not a pernvt, 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.
?, tM-{' PIAV) -
Applicant's Printed Name Ap icant's Signature
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
1 $/up
SINGLE FAMZLY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WEiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WNICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: 1tC ?n?u,.ce•,,oJ Valuation: tOOo- Date
-?
Site Address /?
??(?L{??;? 0,
Lot ik, Block _L
Parcel/Sub Waaao?fC, 3?Ao.c?i71v+N
n ? ? /?
Owner /'krygla h'nu,( /7, opnf50v"
Address 406 alpllnn., la1S¢ e4?R?.
City/Zip Code ifilbArl ?n. Ssj z,Z,
Phone Q'sz- 9365J
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
9- 1-q0
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.
OFFICE USE ONLY
F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Bldg. Permit 2,'5', °v
Surcharge ?CJ
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies ?
SUBTOTAL
Penalty
TOTAL ?S, So
PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: eurLoiNG
Permit Number: 0 3 3 5 7 2
Date Issued: 10 / 8 2/ 9 S
SITE ADDRESS:
4444 JOHNNY CAKE RD
LOT: 15 BLOCKs 1
WOODGA7E 3RD
DESCRIPTION:
T . 0 . & R E R O O F ' Y-?-
I.dzng1,.P?ermzt Type EHHhM-fi-N-O. MISC.
Type REPAIR
Ji?.ding W?Ck
3 n s u s C o d e?`- -4? A-L?---N61WRf-S :
?Vi V !j
( t
i
I Q(C ( [!4?`?
r.r .. ..
REMARKS:
REPLACING ROOFS INCLUDINGc 4446, 4448. AND 4450.
FEE SUMMARY:
VALUFlTION $19,000
Base Fee $274.75
Surcharge 50
Total Fee $284.25
CONTRACTOR: - Applicant - OWNER:
SUBURBAN EXTERIORS 28818232 WOODGATE ASSOCSATION
9701 PENN AVENUE SOl1TH 4444 .]OHNNY CAKE RD
BLOOMINGTON MN 55431 EAGAN MN 55122
(612) 881-8232
1
I he,reby.aokrr.ctwlQdqe that i haue„ raad thas appLiaatS.an and sGwte tttat t-he
infcsrmaCinn is correct end a9reo to`comply w3th 611 appliceble State of Mn.
Stat te nd Cit f E 0 d` ,
u s a yo aga? r?nance?.
,
APPLICANT/PEIiMITEE SIGNATURE 6SUED BY: SIGNATaRE
CITV*OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-84602-150-01
DESCRIPTION:
PERMIT TYPE:
Permit Number:
Date Issued:
4444 JOHNNY CAKE RIDGE RD
LOT: 15 BLOCK: 1
W00[IGRTE 3ftp
aY
5 a? ' ??1 •s
5.
.. ao?tii SJA?¢
5ID2NG/SOFFIT(FASCIA
Permit Type MULTI. (MT5C.)
49rk 7ype REPAIR
434 ALT. ftESIDENTTAL
?A ?'
rv,tiin?`s. t sui
€zj?eti?o- ?473 ? M,
ifi% S?3R
6UILDING
029773
04/21/97
REMARKS:
TNCL 4446 (LOT 16) 4448 (LOT 14) 4450 (LOT 13) JOHNNY CAKE ftTOGE RD
FEE SUAAMARY:
VALUATION
Base Fee
Surcharge
Total Fse
$137.25
14.00
$141.25
$6,000
CONTRACTOR: - Applicant - sT. LIC.OWNER:
EXJfERIOR INNOVATIONS ING 18840814 0009318 WOODGATE TOWNHOMES ASSN 2187 OVERLOQK DR JOHNNY CAKE RIDGE.Rp
BLQOMINGTON MN 55431 EAGflN MN
(612) 884-0814
?..
I hereJay, ackncr0:
' in?orrnatidn?rs i
$ta?Wtes ari•tl'
? . . ?,._. '° .
PERMIT
tmlQ
APPLICANT/PEFMITEESIGNATURE UEBY:'?G?A?R ?
997 BUILDING PERMiT APPLICATION (RESIDENTIAL) 414I-1. ^
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4B75
New Construction Reouirements RemodeVReoair Reauirements
• 3 registered ske surveys • 2 copies W plan
? 2 copies of plans (inGude beam & wirMow saes; poured fid. design; etcJ ? 2 slte surveys (exterior addklons & tledcs)
? 1 energy calaletions ? 1 ene
rgy eelwletions for heate0 additions
? 3 ooDies Mtree Preservadan ptan i( Iot p{ptted aRer 7H193
required: _Yes _ No '
DATE: `( - t-C- I 7 CONSTRIJ,CTION COS7:
!1
DESGRIPTIQNOFWORK:
?-
STREETADCJRESS: V4C4L{ ?4W4S- L{c{S(i Ju"K1! Cako- Z.??e lCc?„
LOT BLOCK SUBDJP.I.D.#:
PROPERTY Name: H-c-so . Phone #:
OWNER „s, Mn
StreetAddress:ck?u T'f"4''1???a''?e-
City: State: ltw=`' Zip:
T
CONTRACTOR Company: &AX, ?+ 7tio?w?w?-d? Phone#:
5treet Address: 2r kZ Ovs.,r ?c k- c7i _ License #: ? a&ff
City: '? State: (.Ul s/ Zip:
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (new construction onty): . Penalty appiies when address change
and lot change are requested once pertnit is issued.
I hereby acknowledge that I have read this applicatlon and state that the information is correct and agree to comply with all applicabie
State of Minnesota Statutes and Ciry of Eagan Ordinances. ax?,?
Signature of Applicant OFFICE USE ONLY RECEIVEI?
APR 0 4 1997
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yss - No _ Not Required BY'--?--
2000 BUILDING PERMIT APPLICATION ENTIAL)
'-7 ??
3830 P1651-681-4875 551 (?,.1?° l?° LU
9 Conahuc8on RequlremeMS Rertadel/Reo?di ReaWrem?enh ???
a 9 reglatered site wrveys ahowlnp aq. fl. of lot, sq. tt. ol house
and 21 rootetl areas (20X maximian tot covemaa allowetll
? 2 coples o( plans (show bepm A wlndow alzea; poured fid. deslgn; etc.)
? 1 sel of energy calculatlona
n 3 coplas ol hee Preaervnflon plon If loT plaMed pfter 7/1/93
DATE: II)" I /J -00
,? ,
DESCRIPTION OF WORK:
'-/ ',l `,l (r
STREET ADDRESS:
Sheef
LOT: 1 ? BIOCK: I SUBD./P.I.D. N:
?
? J-G OL1
neatetl addinans
ro & dacka
Phone #: (/lJ?? 76,5?- / 21Z
PROPERTY
OWNER
O
2 coptes of plon
1 set W energy c
?site wrvey ror i
CONSTRUCfION COST:
o tINNy C 1VJrc ,??P6-E lP?
laat
S
Hrsi
Clly ?r9 ?f1 N SiaYe: ? IIp:
.?5
CompanY?-Y?L-??'r/ LJ[[`1 /N" I?bne M: S12-! Yll/IZ
(area code)
corrrRa,croR 5 aSTi'?f?? ii/E llcenset ?0i3/09 ? 3?3> BJ
Sheet Address:..J30D ?
CNy /??/l??i4?OC1S State:
/f??N Zip; S-3- W/
ARCHITECT/
ENGINEER Compqny: Name:
Telephone #: ( )
Sfreef Address: ReglshoHon li:
qty
State:
Sewer/water Iicensed plumber (if installina seweNwater): Phone #:
Ztp:
I hereby acknowledge ihat I have read fhis application, date that the in(ortnalion is cortecT, and agree to comply wHh all app6cable Sia1
ol Minnesota StaluTes and Ciy of Bagan Ordinances.
Signature of
OFFICE U5E ONLY
CeAificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
_ No
- No - Not Required
ocr z s 2000
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 OB-plex
? 05 03-plex ? 11 10-plex
0 06 04-plex ? 12 12-plex
WORK TYPE
0 31 New
? 32 Addition
PO 33 Alteration
? 34 Repair
21 Porch (3-sea.)
22 Poreh/Addn. (4-sea.)
23 Poroh (screened)
24 Storm Damage
25 Miscellaneous
30 Accessory Bidg.
? 13 16-plex ?
? 17 Garage ?
W 18 Deck ?
? 19 Lower Level ?
Plbg _V or _ N o
? 20 Pool ?
? 36 Move Bldg. 0 43 Reroof
O 37 Demolish (Bldg)* ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
O 42 Demolish (Foundation) ? 46 Windows/Doors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 4 ?
No. of Units _L
No. of Buildings
Const. (Actual) =1?
(Allowable)
UBC Occupancy
Zoning P-10
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharga
Plan Review
License
MC/ES SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copfes
Total:
SAC Units
°k SAC
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building 1Lt Engineering Variance
Valuation: $
? 31 Ext. Att - Muw
? 33 Ext. Alt - SF
? 36 Mulfi
--?
1998 BUILDING PERMIT APPLICATION (COMMERCIAL)
CITY OF EAGAN t (?, - -
681-4675 y
Submit followin to obtain necessary ermit
Foundation Onl New Construction Interior Im rovement
struaural plans (2 sets) architedural pfans (2 sets) archReaurel pians (2 eets)
civil plans (2 sets) structurel plans (2 sets) code analysis (7) "
eode analysis (t) " civil plans (2 sets) project specs (1 set)
soils report (t) landsaaping plans (2 xts) Key Plan
projectspecs (1) wdeanalysis (1)" energycalculations (t)ndaNrays"
Special Inspactions & Testing Schedule " soils report (7) Eledric Power & Lighting Fortn (1) not alwdys "
SAC detertninat(on letter from MCNJS - SAC detertninetion letter from MCNVS - SAC detertnination letter from MCMIS -
call 602-1000 call 602-1000 call 602-1000
SpeGal Inspections & Testing Sehedule (t) "
project specs (1)
energyalwlations (1) "
Electric Power & Li htin Form 7 "
" Contad Building Inspections for sample
Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Heafth. Call 215-0700 for details.
DATE:_ 1-Z? WORK TYPE: _ NEW _ REMODEL
DESCRIPTION OF WORK:
CONSTRUCTION COST: JSy Zx-7 TENANT NAME:
SITE ADDRESS:
LOT I S?BLOCK I SUBD. ?? L4L -?b Y V P.I.D. #
PROPERTY
OWNER
Name: w(3C? *a)(V- Phone #:
Last First
Street
4444- 44Sc, -?
City State: /Llc.) Zip:
Company: ?Ud'k)zxjvl f S Phone#: ??I ?CJZ3?
CONTRACTOR p A _ n,
Street Address: ` 7? i R?V?l ,-
fP /0 7 License # Z a?
City 81crj? State: /?'t?l Zip:
ARCHITECT/
ENGINEER Company: P6one #:
RegistraHon #:
Street
City
Sewer 8 water licensed plumber (only if installing sewer 8 water):
State:
Zip:
I hereby acknowledge that I have read this application and stste that the infortnation i rtect and agree to comply with all applicable Slate of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ??na&,A?
-
r S?'^ / CITY USE ONLY ? L/Qi,)
L r BL RECEIPT #:
SUBD. DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? single famiiy dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH ? TOTAL
5howPr 3.00 x =
Water Cioset 3.00 x
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 ;c =
Laundry Tray 3.00 :c =
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 x
Floor Drain 3.00 :< _
Gas Piping Outlet' minimum -1 3.00 :c =
Rough Openings 1.50 ;c =
Water Softener 5.00 x =
Private Disposal ` Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinklef ' home under const. 3.00 =
Alterations " to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE
`I'OTAL
itILKIt 61ARIE
4444 JOHNNY CAKF RIDGE ROAD
SITE ADDRESS: EncnN , ssizz
H 45Z-SQSi ik
OWNER NAME:
.50
0 ( U
INSTALLI
STREET
CIIY:
PHONE #: (
3 copies of Trce Preservation Plan'rf bt piatled after 717l93
Rim Joist Dehail Options selectian sheet (bldgs wflh 3 orfess unils
Datc- / a`b / 0? Construction Cost /?0Q!? 00
Site Address ? 4 q ?. Y
9 ?cr?rvr?yi c.? ?? e UniUSte #
Description of Work
Multi-Family Bldg ? Y_ N Fireplace(s) _ 0-k 1 _ 2
Property Owner Telephone # ( )
Contractor
Address 0 City
State .Pvk," p
S ?I ? ? ? ? d 0
Zip Telephone # (763)
LaY Gahfv-T :Zt- (!?11-203-Sy?/
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateaorv 1
(d submission type) ' ?idential Ventilation Category t Worksheet
Su6mitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
SeweriWater Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone # (
Telephone
Telephone
N :*V, 25% plan review
I hereby apply for a Residential Building Pernut and aclaiowledge that the info ?tion is omplete and ccurate;
that the work will be in conformance with the ordinances and codes of the Ci i of MN
Statutes; I understand this is not a pemut, 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.
G?ov?
Applicant's Printed Nazne ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
'A 03 01 of // plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex p 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation A 45 Fire Repair
? 33 Alteration O 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handoutto applicant
Valuation / Occupancy 1i -3 MCES System -
Census Code Zoning City Water ?
SAC Units Stories ? Booster Pump '
# of Units Sq. Ft. PRV "
# of Bldgs ? Length Fire Sprinklered
V ?
Type of Const ? Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaVC.O.
_ Footings (deck) ? Final/No C.O.
_ Footings (addition) Plumbing
Foundation ? HVAC
Drain Tile Other
Roof Ice & Water F inal Pool Ftgs AidGas Tests Final
? Framing _ Siding _ Stucco _ Stone _ Br ick
R.I.
Air Test
Fireplace Final _ Windows
_
_
?L Insulation _ _ Retaining Wall
Approved By: , 8uilding Inspector
-------- ----------------
- - ------ - ------ - --- - - - ----
Base Fee !/
Surcharge
Plan Review
MCIES SAC
City 5AC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Ofher
Totai
3 ?' ,'?1 S
23(9?-
zoos RESIDENTIAL PLUMBlNG PERnnir,cQPLIcATioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
551-675-5675
Please compiete for modifications to existing residential dweliings.
Date
[
Street Address A>WY/? {? Z Unit #
?? /Ce Telephone # (?c??
O
wner
perty
f?elephone # (y?'?3<S -7S^??
Contractor
jl"?
?L? State `
? •?O
1)?
? Cit ZiP ?
?
,
y
i
Address _
The Applicant is _ Owner ?Contrector _Other I
'
New _ Refurbished Submit 2 sets of plans and MPC license
Septic System Includes County fee
_ $ 100.00
Per as-built $ 10.00
Alterafions to existing dwelling $ 50.00
Add piumbing fixtures. This fee includes installation of a water softener and/or water
? hzater at the same iime. !f you are installing onl a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
tWater Softener _ Water Heater I
$ 15.00
_ new X replacement
Lawn Irrigation _RPZ _PVB -new _repair _rebuild $ 30.00
State Surcharge $ 50
$ ?
Total
I t nd accurate' that the
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is comp e e a
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 oNy an application for a permit, work is not to start without a permit and work will be in
accor ce with thu?d lan in the event a plan is required be reviewed and. approved.
? ?
A'licant's Printed Name ppl cant's Signature
2006 RESIDENTIAL pLUMBING PERlVIITAPPLICATION
CITY OF EAGAN
3830 PIL07 KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
? Date
?
Unit #i
Site Street Address /? ?'
Z?ZTelephone#??-°?
4
/
PropertyOwner/C
,i ?
, 2 ? ? ?'? !/ s 7elephone # (?s?
Contrector
ll ? ?StateZip
Address? A
7he Applicant is: _ Owner ?Contractor _Other i
Refurbished Submit 2 sets of plans and MPC license
New
tic System
Se County
Include$
fee
`
_
p 00. O
1
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water soft7and
^ heater at the same time. ff you are installing onl a wafer softe
'
I
heater, do not complete this section; move to the next sectio
appliance(s) you are installing.
_Septic System Abandonment
Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Heater
? Water Softener _
$ 15.00
new replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
$ 50
State Surcharge
Total $
??n,ni ete and accurate: that the
t hereby apply for a Residential t'wmoing rermit a[Ju ecnJ,UwJGWy= L110. t- 1??•••?-•-•• ---
work will be in conformance with the ordinances and codas 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 wili be in
accordance with the approv,ed plan in the event a plan is requir" be reviewed and?ayproved.
pplicanYs Pnnted ame Y+ppGcanYs Signature
2008-09-09 21:08 ANDERSON 6513881098 » 651 675 5694
I/LA-YP 4
Cl6y ol Eapn ?i? CA2f? ?-
, 3830 Pilat Knob Road
Eagan MN 55722
. _ ,... Phone: (651) 57S-d675
Fax:(65t)675•5699
u.m:
Tenant:
?^8;
pE31DENTlOWNER Name: ??y/?
?
'I
&&hlql?g "
4
A?b
'q
Address I Gky I Zip:
Tt
.y1
I
Applitant ia: _ Owner Conhattor
TYpE OF WORK tion d work:
Oescri
p
1 Lr Multl-Famlly Building: (Yes No
l
tl
C
t
on
ruc
ps
:
COns
s1 ? License M:
N
CONTRACTOR ame:
Address:
Zlp: t"JSjZ-Z.+
? State:
' ?
.
Gry:
Phon 5 b l'4 ContettPerson: ;`
COMPLETE THI$ AREA ONLY IF CONSTRUCTINfa A NEW BUILDING
Minnesota Rules 7670 ¢ateaorv 1 MinnesOtB Rulas 7672
--
• New Enerpy Cade Workaheat
En@fgy COd9 . Re6ldemlal Vemilatlon Cetepory t Workchea[
Submltted
Category SubmlttaA
(q Submission type) • Energy Envelope Celcula9onaSubnitled
In the laet 12 montha, hea the City ol Eegen Issued e psrmR tor a slmllar plan based on a msaler plen7
_Yes _NO If yes, date and addrBSS ot mes[er plan:
Llcansed Plumber• Phone-
Meehenical ConUactor: - i'hone:
Sewer 6 Walsr Contrector: Pho^°°
NOTE: P/ans end supporNng dxumentt fhat you aubm/t are eons(dered to De publlc fnlormatfon. Por!lons of
the M/ormatfon may be clasallled as non-publldH you provlde speoi/ic reasons ttiat wou/d pertnR /he Clty to
conclude that the are trade s crots.
1 hereby BCknowietlge that MiS IMOrmatlon Ia comdele Bn0 9001)*910; thal tha wak wlll be "lo?ancs vn ne ommancoo anu cwoo v? ?^. u17 .?
Eflqan; d+dl f Undelatend ihis is not a permh, 6ut onty an BppllWtlon fa a parmit, and I6 n011o stan hout e parm4; Mal Ih¢ wnrk wAll he In
accordance with the approved dan in the cace m work which requlres a revlew arW epprove Wans.
xAmx&q AppilcenYs Printed Name Applloanl'a Slgnetura
Page 1 of 3
------------------
? FodOlllca? I
? Pemilt p: i
? PermltFae???4. ?S ?.
? I
? Dab Received: ?
I
,
I St011:. . .... _?..
? ---'
P 3/4
? u
2008 RESIDENTIAL BUII.DiNG PERMIT APPLICATION
2008-09-09 21:08 ANDERSON 6513881098 » 651 675 5694 P 4/4
?
.Americen Faroily lnsurance Group
.?..a. WOODGATE_[p_HOMEO15
Building
Exterlor
Rooflng
DescripUm 8ese Service Beplacement Actual Caab
Qty Uuit prlce CharRe Traea Caot TMaI lkpredrtion Value
Tbe jo(lowing trems renect npdocemeM qjroqjon tAls ttrtretun. lncuwd [xdicafrd roojls approzimafely f0 ytpix oGL Bartd op uVSmge
condtfian apAlj/t tspsGancy oJ30 ysars, 33%Qepratiwion haa baeA tepp/ied Price includes dsbris reexnval.
I- Removt Tcar ofl: haul and dispose of comp, shingles • 30L40 yeur
46.57 SQ $50.96 $0.00 $0.00 $2.373.21 4783.16 (33%) S1.590.03
2- Replece Roofmg felt - IS Ib.
46.57 SQ $10.71 $16.07 $18.34 S952.70 •5308.93 (33%) $643.33
3a - Rtttwve Additionel chafge for high roof (2 storiea or groutef)
46.57 SQ 54.43 $0.00 $0.00 f206.31 •S68.08 (33%) $138.23
36 - Replace AAditiunal chazge tor high moF(2 stwies or grcater)
46.37 SQ $ I 1.39 49.29 S0.00 $539.72 -3175.04 (3396) $364.68
4- Replace F•lashing - pipe jack
4.00 EA $23.19 $1.e3 S1.57 $95.90 -$31.13(33%) f64.%3
5- Rcplace Rtxef vent - le rype
Ib.00EA 336A5 S10.10 $13.69 $600.59 -$194.86(33%) 5405.73
fi- Repincc Ezhauxt cap - thruugh rnnf
5.00 EA $64.98 $5.68 $10.90 5341.38 -S1i0.78 (33%) E230.60
7- Replacc Ice 8e water xhitlJ
1,337.00 SF $135 631.61 $51.28 51.887.R4 4612.55 (37%) $1,275.29
tl- RePlace Rashing, 14" wldC
45.00 LF $2.66 $2.11 53.143 E126.54 -E41.07(33%) $85.47
9. Replace RWf vcnt - turbine type
- 2.00 EA a70.18 $2.46 $5.55 EI4R.37 -E48.15(i3%) 3100.22
10 • Replace Chimney flashing - evtragc (32' x 36")
4.00 EA $209.72 $14.69 31().94 $864.51 -5280.44(339h) $584.07
11 a - Remove Fumace vent - faln cap and stpRn collar, 5"
2.00 EA $8.96 $0.00 S0.W E17-92 •55-91 (73%) S12.01
11 b- Replace Pumaae vent - rain cep enJ storm collar, 5"
2.00 EA E34.71 $3729 $2.22 $108.93 -523.64 (33%) 585.29
12 - Replace 4.uminated - 30 yr, - comp, shingle A'g. - wluut felt
53.67SQ $149.69 E140.68 3237.85 $8.41239 -E2,729.66(3396) f5.692.73
13 • Replaee Ridge cap • composition shingles
136.75 LF E3.15 $7.54 $6.76 $445.05 -5144.38 (33%) $3IX1.68
To1p1s
Gutters(Downspiwts
WUODGATE III HOMEOWNERS
ASSOCIA"fIONS
SZ79.13 $362.87 $17,121.03
00311284562
45,557.80 $11.563.23
7/2W2008 Page:4
?
Qq Of Eap
3830 Pi1pt IC+Mb R00d
Eagan MN 55122
Phonc: (657) 675-5675
Fax: (651) 675-5694
,
-------___-------
; Fo. onioa use ? l0 3 1 '
i
r Pemin x ?
j PpMit F00: ? ? " ? i
? Oaze Aeceived: ?
i
---
---------------_
2008 COMMERGfAL BUILDING PERMIT APPUCAT1oN
MIS: ?- 2 - a sft Add,,v=: ?+??i-A
TenantRem:
(TerrerN is: _ New / _6c;stmg) SuRe #:
PROPERTY OWNER Name: Pnone:
Addiess / City ! Zip:
Applicent is: _Owner _ CoMractor
TVPE OF WORK Oescription ot work: l C_ 1? C
Construction C0.st: zonr?
CONTRACTQR Name: PTFMER Lice?se #: ?
CON7RpCTlNG
Atldress: 8141 PEAR50N PKWv
BRUOKLYN PARK, btlQ Syaqg
Gty: ANPLe MN1041W_ State: Zip:
Phone: Contect Person:
ARCHITECT / Naffe: Registraiion 9:
ENGENEER
Address:
Ciry: State: Zip-
Phone: Contflct Person:
Lieensed pWn+ber instaNing r?gw sewerlwater servfoe: Phoroo #-
NOTE: Pl8tt8 and sapportirtg dod/ments [het you subm7 a?e oonsldered to be public in/ormaffon. Pnrflorts of
the lMomutlOa may be dassi0ed as rrorFpuDUC H you prov/de specr%Ic reamw+s thet wOW Permit thC CitY fo
oona„de tha! ..e &ade sec?erx
1 hsreby adtnirrAedpe thffi ttd6 fftforrnatbn is complete and accurate: triat tNB work'IMB DB in eoMortnarice With the adinBr+Ce6 dnC cadas of 1he CiIY Of
Eagan: tlmt I under5t9rn1 ihfs is rot a pennil, but only an appGCetion lor a permN, ard vrork is not to slart veiNlaR a Piirrted; Mm the wmk will be in
accordance Mrilh ttie approveU plnn in the esse W work which requires a raview and epproval of p1flr5. , t
x x
Applkam's PrlMed Name Applican Sigosture
Page t of 3
bL/ti 39t1d 0l0-1d 17NN17 LCbE60SE9L 9E:ZT 800Z/EZ/60
City Qf ?apn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651)675•5694
APR 2 3 2U03
__?
7'_ , -, ? '
Permit Fee: 1Jt-) ?[ l I
I
I Date Received: '
I ?
? Staff: ?
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 'i -Lv"V I Site Address:
Tenant:
Suite
RESIDENT / OWNER ?6- Y-95
Name: 011A"r) NGaI 4hnIt5Lt Phone: w5J-
f
S
2Z
e
r
Address / City / Zip:
"cLn
CONTRACTOR Name: License #: TI, -J C) IEM
Champi0n
Address:
664 38
5 1340
City: 3670 Dodd Rd. #100 State: Zip:
Phone: Gontact?erscn:
TYPE OF WORK _ New YRepla ent Repair _ fiebuild Modiy Space Work in R.O.W.
Descri tion of work:
PERMIT TYPE RISlDENTlAL
Water Heater _ Water Softener
Lawn Irrigation Add Plumbing Fixtures
(_ RPZ PVB) Main _ Lower Level)
Septic System _ Water Tumaround
New
Abandonment
RESlDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (inGudes $.50 State Surcharge)
`Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($i0.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $?
37? 17N,0
I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ortlinances antl cales or tne c:ity oi
Eaqan; ihat I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; ihat [he work will be in
accordance with [he approved plan in the case of vrork which requires a review and approval of plans
_ x
=?`k?eS
ApplicanYs Printed Name ApplicanYs Si O Wre °
Use BLUE or BLACK Ink
-For-- Office --Use---------- I
I 1
I ~L
j Permit P 1I ~T I
City of Eajan I Permit Fee: 4 Yt I
3830 Pilot Knob Road j
l
Eagan MN 55122 I Date Received: U 13)
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
w
2013 RESIDENTIAL BUILDING PERMIT APPLICATION`
Date: CD-1 3 Site Address: LIW4Lf JO A l le Unit M
Name.- Wondo afe Homeowners AsSyC. ~ Phone: 6v5I -152 "78!03
Resident/
Owner Address / City / Zip:
Applicant is: Owner ✓ Contractor
J
Type of Work Description of work: ~rf~ ,~C7P1~t~ G/,2f l
,p . Multi-Family Building: (Yes No
Construction Cost: ~52r
Company: tl) P&-Y-9.2 S 01J '(.nnlS ti 1A&)o n S11r Contact: C ARAy rE1~"RSQA1
Contractor Address: 2.01005 W Ai OAe City: / gj;:i k.2 6,4h~5-
State: NA Zip: ,T~'5- 3 72 Phone: ('J2-960-32-040
License* PAC g l o.5"}d Lead Certificate /VAT- 11? 3/ 9 I
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classed as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4544)002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x 4~ tok- -&Rsoj x lb all, q,qVt;Z77
Applicant's Printed Name Appel ant`s Si ture
Page 1 of 3
1
DO NOT WRITE BEI-8W THIS LINE J I IL441
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family Garage _ Porch (4-Season) Exterior Alteration (Single Family)
Multi Deck - Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex Lower Level Pool _ Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy .»J~- MCES System
Plan Review Code Edition SAC Units
(25%_ 100%~ Zoning ~ City Water
Census Code 7 7734/ Stories Booster Pump
# of Units Square Feet .Zp PRV
# of Buildings j Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition)
Jot, Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough in -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
49,14.14 77A
RESIDENTIAL FEES
Base Fee 73
Surcharge/+Q9 n~- p
Plan Review `!'Nper Ks
MCES SAC 7bLA " (OLL)
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
- len
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a~ g5ro_ &F td! '800 a y5~'`ii v _/4~°~ ~ A p 1'St
£ty:,s 4 g N pe O -g 9T o°; u , ' ~"5 / r Z D
Asa Pi ° m
0 e$9 aF`sr.~'J aD q. j~.ae 1*iC~ O
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Use BLUE or BLACK ink
r - l For Office Use ~
City of Eap j
t n Permit* l Permit Few.
.15- 1
3830 Picot Knob Road i i
Eagan MN 55922 l Date Received: f
} l
Phone: (659) 675.5675 } 1
Fax: {659) 675-5694 1 StafF 4
l l
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: L ac
r°
Name Phone:
Resident/
Owner Address 1 City / Ztpc
Applicant is: Owner X Contractor
6 Type of Work ' Description of work _s
-7bb
y Construction Cost: Multi-Famity Building: (Yes i No
Company: C l Contact A Y-%
Contractor Address: Q City. 0 CI
State:-NW Zip: 553 U'2_ Phone: t o 12 ~7_T 61 Lo
s'
Y^ License* G y T-I t Lead Certificate ' j Cj' l G ®1'S 1
If the project is exempt from lead certification, please explain wiry: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No if yes, date and address of master plan:
Licensed Plumber. Phone-.
Mechanical Contractor: Phone:
Sewer & Water Contractor: phone.
NOTE: Mans and supporting documents that you submit are considered to be public Information. Portions of i
the information maybe classified as non-public if you provide specific reasons that would permit the City to
aonctude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utilty damage. Cali 48 hours
before you intend to dig to receive locates of underground utilities. www.qcvherstateonecall.org
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that i understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days ~of. p~er~nmit Issuance. t p p
Applicant's Printed Name Applicants Signature
Page 9 of 3
"~AA(o, 4qq~; "~4 1/lJy, Um M.UE or W" Ink
1 ForORioe!!ee i
5
L Pwntit F
d hp 1
M39 Plot tcild, tit ; ~
Eagan tit 56421 i
Phone: (661) 6754875 i step t
ft=(651) 678•f56" 1
PERMIT APPUCA `
RESIDENTIAL BUILDING
vC~ ~cQ .
oatia• - SHeAddrew. It V.
i7 ~z :L
1 6 ®r~~A a lnA AIZ g Ptrone
Riisidenf/. _
OMer Addrom ! City ~ zip.
owner
Daecri to of %%vdc
Type of Work ~ / No
Corudian Cost Mkt-Ff!
COMPW.
Addrew 156 t b-49L Wli P car- -
Contractor ~J ~5'~ - 2.""7Q
tee: M1 zk pw :5 -73? 6
If the p wd is enmpt *on Ind Medico, pWam mom why: (sue Pale 3 for {
COMPLETE TM AREA ONLY IF CONSTRUCTING A NEIN BtNLfNNG
In the last 12 awnths, has ow city of Fagan issued a permit for a sirssar plan based on a master plan?
Yes No If yes, date and address of master plem .
Licensed Pkw*or. phone:
Phone:
Yscharoral Canksefor.
Phone: ; Contractor. Sevier
8, Wabarp~ ins Of
rrbm>t ar+e c of to he m. f
WOTIa• fans are#s ipporf ng do unfet s:i t you s sii c teasops that would permit the City to
the i~ ~y be clod as noPj)ubhC if you Aro+nde
secrets. w
Conclude that theye trade
x+18 hotxs
RE~E YOU i)Ks. Car Cophw Sae Ow Con at (M) 454 M for aowson wrist ~ LtRy ,
bebre you 6dend to dig to mWW locales of crxierW=W uWGs- altd codes of the Get of WO 20 i hereby W*nowsedge ow iiis k*ansdon is wropleft =d a mrds: ine work ~d in ambVINGING
is w a perm to iha sock ,eC be in
Ewan; W 1 underslrgrd this is not a pemdt, but any an appilcatim for ~
accordance vft ft approved pbm in to terse of vmkwhM
ExbwW work audwrbad by a buildiag peewit issued to acoordaece wilk the Masada 81M0, 1300111011 Corti mast be somovied war 100
dw ON permit immium
x S WOE PAkL5Z)d i Ck,t mown- x
fltp~- P*ftd Hame !9-#,6m4v-mYNR- S m, Pap 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165337
Date Issued:10/28/2020
Permit Category:ePermit
Site Address: 4444 Johnny Cake Ridge Rd
Lot:015 Block: 001 Addition: Woodgate 3rd
PID:10-84602-01-150
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Vicki Lynn Rossi
4444 Johnny Cake Ridge Rd
Eagan MN 55122
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature