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782 Golden Meadow RdCASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 y RCCEIVHD . FROM AMOUNT ? GASH El CHECK FOR L- FUND COOE AMOUNT ?-? •4 Thank You BY a White-Payers Copy Yellow-Posting Copy Pink-File Copy BLDG. PERMIT NO. 0173210 Bldg `Permit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. . 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded, TOTAL • ? CASH RECEIPT ? OF EAGAN -? 3795 PILOT KNOB ROAD r EAGAN, MINNESOTA 55122 i .- ? '. DATE ? -? 19 G RECq1VED FRa4 j? AMOUNT $ ` I ? " [:] CASH ? CHECK roRi?•: . .? 1i ? ??'`? `? '? ? ? ??? BY . 65900 , White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You CITY OF EAGAN r?3830 Pilot Knob Road P O Box 21-199 Ea an MN 55121 12496 • • ? g , PHONE: 454-8100 . BUt?DING PERMIT Receipc # S? UWG/G1? $63,000 86 AUGUS`t' 25 To be uaed ror Est Value Date 19 Site Address 7 S 2 GOLDEN M EADOhi RD Erect N Occupancy x3 Lot-3 Block Sec/Sub T. E. M. AD`J Remodel ? Zoning J?D . Parcel No. Repair ? Type of Const Vi+ Addition ? No. Stories ¢ W Name J05EPFi MILLER CONST Move ? Length 4 Lp Demolish ? Depth o Address t I ? I Ft S c;ty FAR!`dYNC,Wati 892-1010 n mpr. Install ? q. ,o W z? 0< s h Phone ?-¢ F W Name u n Address i W City Phone 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. Signature A Building Permit is issued to: all work shall bo,done in acco Building Official Assessment Water & Sew. Police Fire Permit Surcharge Plan Review?T Eng. Water Conn. - "" . "' Planner Water Meter--- W3' SQ Council Road Unit 24U' 0 a Bldg. Off?? Tr. PI. ---TST' 4g APC Parks Var. Date MILLF.R CONST of Minnesota Copie Total ? .OC on the express condition that of Eagan Ordinances. PwmN No. PNmN Holdsr Dab Tdephone k Plu" ?,%'; -6 "'? l o (n ??c- :? 5-, IL-)IC.218 , m.VA.C. 77 ei.c+?ic - c o san.ne. Inspectfon Date Inrp. Commenb PoonnQ. 1 1?1-76 IiJ Footinys 11 Foundafbn Frsminy Roofin9 Rouyh Plby. Rouyh Mfy. Insul. Fireplace Ffnal Mtq. Final Plby. &dy. Flnal ?l Cert. Oee. Doclc Ftq. Dsck Frn?y. Well Pr. Dhp. PERMIT # _ I Site Address _L? ? Lot Block ? Name _ ? Address c City _ MECHANICAL PERMIT RECEIPT #, CITY OF EAGAN . ?- 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE PHONE 454-8100 ` ' BLDG. TYPE WORK DESCRIPTION ec/Sub ? ? t ? ? -- - - Res. New 7 Mult Add-on ? Comm. Repair ne? '' Other ? Name ' c AddresS. ? - • ?° ! c_, l : p City Phon ? / ? TYPE OF WORK -1 r•. _ Forced Air ? E M BTIi `rk Boiler M BTU Unlt Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # - Other FEE S! C: TOTAL• FEES RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMMIIND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) OF PERMITTEE " 11 FOR: CITY OF EAGAN Site Address J =a Lot Block m Name ? Addre c City _ ? Name 3 Addre O CttY ? # PLUMBING PERMIT RECEIPT # ClTY OF EAGAN 3830 PILGT KNOB ROAD, EAGAN, MN 55121 DATE: BLDG. TYPE WORK DESCRIPTION ' Res. New ' Mult Add-on Camm. Repair ., Phone Other NO FlXTURES TQTAL ?Water Closet - $3.00 $ Bath Tubs - $3.00 pn„no Lavatory - $3.00 FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD a.50 S/C IF PEFiMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR CITY OF EAGAN Shower - $3.00 ?Kitchen 5ink - $3.00 Urinal/Bidet - $3.00 ?- Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 ' Gas Piping Outlets - $1.50 Sottener - $5.00 Well - $10.00 .Private Disp. - $10.00 - Rough Openings - $1.50 FEE STATE S/C: ' GRAND TOTAL: .? - CITY OF EAGAN 16444 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # D ?:C K. *SAY 1 I 89 To be used for Est. Value Date , 19 Site Address ??? WLD=y "'?A`?'?T•? ROAfl Lot 3 Block 1 Sec/Sub. Z•' ••'' • OFFICE USE ONLY Parcel No. occuPancy FEES $Rl.f??: ?fZT?I . vt, . Zornng - 7 , M. {?t; W . Name (Actual) Const _ Bldg. Permit 3 AddreSS SAmi?' (allowable) - S h 0 arge urc City Phone 681-92 f' # of Stories ? t ? Plan Review Length p Name '?Ae" Depth 1 t' ? SAC City Z . O ¢ Address S.F. Total - U SAC. MCWCC ? City Phone S.F. Footprints - Water Conn On Sfte Sewage ? W w¢ Name On Site Well - Water Meter FW Address MwCC System - Acd. Deposit Q W City Phone cicy wacar - S W P it PRV Required - ; erm I hereby acknowlege that I have read this application and state that the Booster Pump - S!W Surcharge information is correct and agree to comply with all applicable State of Mmnesota Statutes and City of Eagan Ordinances. Treatment PI 5ignature of Permitee APPROYALS Road Unit A"iiFv? ??'?Jva:i A Building Permit is issued to: Planner Park Ded. on the ex ress condition that all work shall be done in accordance with all Council 2 applicable State of Minnesota Statutes and City of Eagan Ordinances. gldy. pn. _ Copies _ 12 Building Official Variance - TOTAL PermH No. Permit Holder Date 7elephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspectlon Date Insp. Comments Footings I Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Flnal Plbg. ConsL Meter Plbg. Inspector- Notify Plumber Engr./Plan &dg. Final Deck Ftg. Deck Fnal Well Pr. Disp. CITY OF E,AGAN 3830 Pilot Knob Road P. O. $ox 2118R Eagan, MN 55121 Zontnp; . i 1 Ownar: .7oe '4i1 Addross: Site /4ddrcsa: ? -' r'o 1 Plumber: ` t_ •' L' Mstar No.: T. R". No.:??a7?_3 ?`,?;r?4C•"?'" - c)4 d 1 qwe te oow?pl?r wilh eM cihr oE ??},?'Q . 50 d On?iweneM. t eK I56.Of_lpd T-P i ? R?Vs?o 63 . 50pd -?et gr ! eY Dots Poid: ,r--- Dace o# lnsp.: 6 Insp,; 0. Box 21 igan, MN ! ninp; " rner: Idr+ess: ? s /lddross: Wnber. - rter No.: _ N WATER SERVICE PERMR Road PERMIT NO.: DATE: No, of Units: WATER SERVICE PERMIT PERMIT NO.: D/ITE: _. ? No. of Units: 1 _ leT Coc".?:~, No.. M oomply wilh !M Cih ef Ee9ew Conriection G+arpe: /kcount Deposit: _ PeRnit Fee: Surchorge: Mlsc. CFarnes: _ Tofal: Dote Paid: CITY OF EAGAN SEWlR SER1/ICE PERMR 3830 Pilot Knob Road P. O. Box 2110-19 PERMIT NO.: Eagan, MN 55121 DATE: Zoninp: No. of Untts: Owner. /tiddrcss: ? 5lte Address: - - - - :?r•- ? ? '?- - Plumber. - - - - - r - `" - ? = - _ .. .. . 'p?. .•.i1.??r`.. ' oom ? ?ply wkA the MN> of iagaA \rllnnection VhVrge• - ? i.10pil Y? AR.f7{Fni vCposit: Permlt Fee: Surdwrpe: By Misa. Charpes: Dcta of irop.: Total: I?uP•= Dots Poid: CITY OF EAGAN No 12496 3830 Pilof Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 L BUI DING PERMIT Receipt p SF DWG/GAR $63,000 86 AUGUST 25 7obeusedtor Est.value oate 19 SiteAddress 782 GOLDEN MEADOW RD Erect ?L Occupancy R3 Lot3 8lock 1 Secisue. T.E.M. ADD Remodel ? 2oning PD Parcel No Repair ? Type of Const. Vn . Adtlition ? No. Stories ? JOSEPH MILLER CONST N Move ? Length W ame 18133 CEDAR AVE SO Demolish ? Depth 4$ p Address I t l ? FL S n . mpr. q. Ciry FARMINGWPA 892-1010 Install ? o Name SAMF. o u a Addres5 City Phone .a oi w Name E =a Address a w Ciry Phone I hereby acknowletlge that I have read this appl ication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and\CityAf Eagan Ordipauqs. Signamre of A Building Permit is issued to: p V° all work shall be done in accordance with all Building Official Fees Assessment Permit $ 322.0( Water & Sew. Surcharge 31.5( Police Plan Review 161.0( Fire SAC 575.0( Eng. WaterConn. 500.0( Planner Water Meter 63 . 5( Council J Road Unit 290. 0( 81dg.Off. 8?25?8t? Tr. PI. 156.01 Var. Date Copies Total $2.049.0( MILLER CONST on the express condition that ij)AState of Min sota tatutes and Ciry of Eagan Ordinances. .. .. BUILDING PERMIT DECK CITY OF EAGAN N? 16444 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # $1,000 Est. Value Date MAY 11 89 19 Site Address 782 GOLDEN MEADOW ROAD T. E. M. Lot 3- Block 1 SeGSub. OFFICE USE ONLY PBfCBl NO. Occupancy - FEES w BRUCE NORTH Name zoning (Aduap Const - - Bldg. Permil $26.00 3 Addl255 SAME (Allowahle) - • 50 0 Surchar9e City Phone 681-9283 # of storias 161 Plan ReviBw Length o Nam6 SAME Depih 16, SAQ City i p 0 Address S.F. Total - , SAC, MCWCC ? Cliy Phone S.F. Footprints - ?Nater Conn On Siie Se wage _ Na On Site Well t M l W rmm- AdeSS MWCCSystem er a er e - - City PhOnB Ciry Water _ Accl. Deposit S/W P i PRV Required erm t _ I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge informalion is correc[ and agree Io comply with all applicable State of Minneso[a Statutes and Ciry of Eagan Ordinances. Treatment PI Signalure of Permitee x.ma\f,1.'"p?Mat?111 ? APPROVALS Road Unit A Building Permit is issued to: - BRU:.E NOM IV Q L' • I Planner - park DeA. on ihe express condition Ihat all work shall 6e done in accordance with all Council -- 2.50 applica6le State of Minnesota Statmes and 2ky of Eagan Ordinances. Bldg. Off. Copies 29 • ?? Building OtfiCial -l? -7?!?`-"- r1 !/ Variance - TOTAL .. , 1989 BIIILDING PERMIT APPLICATION - CITY OF E9GAN ° 3INGLE FAMILY DWELLIIVG5 N241?? ? ?. INCLUDE 2 SETS OF PLANS, 3 C RTIF ATES SUR Y, SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOt9i0WNER M03T DESIGNATE WHICH 9DDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT I3 I3SOED. MQLTIPLE DWELLINGS RENTAI. UISITS FOR SALE ONITS / OF ONIT3 INCL[IDE 2 SETS OF PLANS, CERTIFIC9TE OF SURVEY - CHECH WITH BLDG. DEPT.t 1 SET OF ENERGY CALCULATIONS COMAfERCIAL INCLUDE 2 1 SET OF SETS OF ARCHITECTURAL SPECIFICATIONS AND 1 & STRUCTURAL PLANS, SET OF ENERGY CALCULATIONS (j ?I 1989 To Be Used For: Valuation: ? G'nn Date: ? . _? Site Address 1 '6 d Lot ?3 Bloek I Parcel/Sub /` E7 - x') ` U-k Owner gt-m.Q, IV ? Address City/Zip Code ?ZE1,P,U? ? J6 ? Phone ?i ? Contractor Address City/Zip Code Phone Areh./Engr. _ Address City/Zip Code Phone ll Occupancy FEC3 Zoning Actual Const Bldg. Permit 6.00 Allowable Surcharge =tneia-, # of stories Plan Review Length I&' SAC, City Depth /`' SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Aeet. Deposit On site sewage_ S/W Permit On site well S/W Surcharge MWCC System _ Treatment P1. City water Road Unit _ PRV required Park Ded. Booster Pump _ Copies ? TOTAL APPROVALS Planner _ Couneil Bldg. Off. j?E5/lq Varianee NOTE: Sewer & Water Permit Pees and account deposit fees rill be ineluded in the building permit fee. Processing time Por sewer and water permits ia two days onae a licensed plumber has applied for a permit at City Hall. N 89°44'36"E 329.00 "--" - s .?.,r...._. - ?.. -? I DJ. P. WATERM?N ? I ? 8 P.V.C. SANITARY SEWER - - GOL DEN`--_ ? ME?100W ? ROAD - . R- T RM-•-SEWE\h - -- ? C?..cr?te urb ? i ?wBr&TBleDhort / C-._-.__ C--P. P. ? 215.00 * - ? ? - - - ? ? ? Pines ? . cs / 1 rO S?w ? Pines ? Q?. _ Zc; f-Bl 36 Sq. 'Ff 3 ;. GoT3 0 yPines Vt N l.. i . ?' 71C ?lk ?Trc< ? A\` . . ro O ? ?P ? \ -ppppF'P,'iY DESCRIPTIOC7 - a (/ 76 1986 BDILDING PERlIIT APPLICATIOH - CITY OF EAGAN NOT6: 6LL CONTRACTOES M[JST BS LICfiNSSD flIRH THE CITY OF EAGAN 3INGLE F94IILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DAEI.LINGS - RESIDENTIAL INCLUDE 2 SETS OF PLANS, CEA 1 SET OF ENERGY CALCULATIONS EENTAL Q9ITS FOR SAL6 DNITS OF SDRVSY - CHECB HITH HLDG. DEPT., INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ed-2 To Be Used For: Valuation: ? Date: Site Address //Jp( -,LLQ,y,(,I,QM If OFFICE USE ONLY Lot J Block ? ?• Erect ? Occupancy 9-3 P S T i ?L Remodel Zoning pp arcel/ ub ! •/ i i• 2?t.[il/'Li . Repair _ Type of Const ? v Addition # of Stories Owner Move _ Length 17&- Demolish _ Depth yy,z Address Int.Impr. Sq Ft _ Install City/Zip Code _ Phone APPROV9LS FEES Contraetor?[?, (??? Assessments Permit 3Z? Water/Sewer Sureharge .3ISO Address ?? ? 3? 01 L-e •?_ Police Plan Review Fire SAC City/Zip Code d QAV}1 .1 /V1Q?, S/ JUd? Engr Water Conn r' ? I? Planner Water Meter ?3. Se Phone ? ? Council Road IInit 290 Bldg Off Treatment P1 / Mch./Engr. APC Parks Variance Copies Address TOTAL ? G 99 City/Zip Code Phone # HOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOriEOiiNER MIIST DESIGNATfi NHICH 9DDRESS IS DESIRED. NO CHANGES WILL BE ALLOiiSD ONCE BDILDING PERMIT IS ISSQSD. ?c,-- )31 TRl-LAND C0. SURVEYING SERVICES 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 SITE PLAN FOR : JOSEPH MILLER COST. ?GOLDEN MEADOW _ROAD _ S 89°44'36" W 215.00 iD 'nnyQ,. t U};I?}v 6useMen?i11 :? I ?-- 9 ------------ -7 ? - ? (?PV ^Mi I ti $015? I 3 ? LOT 3 ? I ? v . ? ?? ,.? ? ?1 //r ????? / \?O / ` PROPERTY DESCRIPTION LOT 3 , BLOCK I , T E M ADDITION accordinq fo tha recorded plat thereof DAKOTA Counry, Minnesota LEGEND a DENOTES IRON MONUMENT ? DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION DENOTES PROPOSED SPOT EIEVATION ? DENOTES DRAINAGE DIRECTION I Aaedy cartHy ihat fhis survey, plan or reporf wes proparsd by me or under my direct suparvision ond that I am a duly Reyistered Land Surveyor under ths Laws of the State of Minnesota. Bradley J.`"pnso , Mn. Req. No. 15235 u r Oate ? e /S / c?' .? N SCALE: I"= 30' PROPOSED GARAGE FLOOR ELEVATION= O..f_33jr0 PROPOSED FIRST FLOOR ELEVATION= PROPOSED BASEMENT FLOOR = ELEVATION NOTE ' VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS .r _,,. One or` Tao Family All Other CITY OF (Ja BUILDINa DEPARTh1ENT l:XTERIOR ENVII.OPE AVERA(iE IOUIO 0014PUTATION (To be eubmitted with building permit application) Dwelling Owner ?ALQ}? Bite Addreae Contraator JC1E Iv1 ?J 1?.v7 /,t)A }5ZrDate Phone LINEAL FEET OF/y? EXPOSED YU1LL 7??-'?wf?/?'??j ti ft. aboVe gTade a_11301 . eoo owi . TOTAL EXPOSED WALL AREA BQ. FT. OPAQUE WALL CONSTRUCTIONt "Ull Value x Area • Detsil ?''1?MF "U" , d x SQ. FT.' ?? (U)(A) reTerence L "u d " x 8q. FT.yE°?9?(V)(A) from nptt p Y SQ# FT• jN.22 a?.H.s U)(A) attached "?° x 8Q. FT, - ?U)(a) sheete IIU° X 8Q* FT. a (U) (A) uUo x 8Q9 FT. ? (U)(A) WINDOW3t "Ulf Value x Area Make & TyPe ??l)LG?1?olY\tnUn X 8@ . FT. 1 (U)(A) o u-?---?T u ? U x SQ. FT. ? A) n ?? npn x SQ. FT. = ?U)?A) iIV° X J3Q. FT• a (U)(A) DOORS s "U" Value x Ares Fialce & Type IIUIII x 8 . u n p. npn a$Q. u it x xQ. olpir, x BQ, TOTALB l ~jD 3, DO TOTAL (U) (A) VALUE3 DIVIDED BY TOTpL WALL AREA I403?OIOa ? i AVERAQE IOUII ? • 15 leee for 1&2 famiiq ngH ROOF/CEILINat ???? ,? TOTAI. AREA: --? ' ' Detail referenae x SQ. from ettached sheete. upu x s@. Deacribe openinge in rooY. TOTAL (U )%A) VALUES DIVIDED BY 'TOTAL ROOF/CE _AREA A?ERA(fE ?? ? .025 fo ventilated '1'T. 9" a I00 (UXA) FT. 100 a ? (L)(A) FT. a (U)(A) F'T. I70 . 9 (D)(A) mr•_ 9 5co a /I?u)(a) FT• ...?._ (U)(A) FT• _ (U) (A) AF+T• a ?U)?A) ?? 3L roora. ?pZ? . _-- - e.PAJ?? ?- ??J?jX _.--____----- ?X3? 2n x 40 = U,ldoX ¢ 2bw _ 24x ? = ?O?a x 7 = 4Z?oa . z4-x ?t3 = _ S, x 4 1s2, 60? zma io °" -P??'r?a ?P,? _ - q2 ?o . __ -- _ ?'` - 190 3,Zo 78 ?Im ????2z W ?? 152 ? CoCo 1460.34 Detormining uUit valuea at Rooft IYalls Itim, nnd Uono. Bloalc h00F/OEII.INU I.) Interior Air !'ilm 2.) 51800 (IYP. Bd. 3.) Ineulstinn 4.) . . 5.? Exterior Air Film (BTILL) R VALU . 0.61 .56 4't00 .. .61 .. ??pi1 a 1/Ro rOZ? 'L+OTAL (R)w 7-.S7g . R VALU 60 .Interior Air Film 0,68 7.) 8. ) .8e) i" aYP. gd. Ineulstion .115 <<],00 9.) ) lU .?w',tv-{',?rr Maeo lt sid 2.0 1 . e n i»g .6 11.) Exterior Air Film .17 Ilull i'i 1 j TC1TAL (n)a ?!+ LIA R VALU '12.) Interior Air Film 0.68 13.) Ineulation 1q 14.) 211 Fir nim Joieb :8 ? 15.) 16.) .Pvxrl! ,e,rF MaeolllEa Siding z o,?- .( 17.? Exterior Air Film 017 uU1.1 0 1/Ra , O?D TOTAL ? (R)a z?.??• ? FOUtIDATION R YALU 180 interior Air £ilm 0.68 19.) 20.) tc-N STI?lPI?b II o0 210 1218 Uonorate 91oak 1.28 2P.) 23.) Bxterior Air Film ; » iipa e 1/RQ 007(9 TOTAL (R) m/3 I? . CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECT(ON . ? *TOn: PAYMW OF F. FE AT TIIM OF * ; arPLscAmoN ooFS NOr mNsriT.rrE ? * APrxovAr. oF PERMIT. * ? . * ZNSPDGTION OF SEWEt ADID/OR F4,'1FTT2 * *t aMnrTaTTONS WILL NOT HE SCHED- * ? [7I,ID UKiIL PEE2MIT HAS BEEN • r * APPROVID. ,*F It ? P ease Print ? 1) PROPERTY ADDRESS : •- LEGAL DESCRIPTION: ?-Lot Block Subdivision or Tax Parcel ID ) g' EXI3TING SI'RL'CILrRE, DATE OF ORIGINAL BIIILpING PERMiT ISSL'ANCE: " • - ? (Mon Year - PRFSENP 7ANING/PROPOSID OSE: [] C0.1Z]ERCIAL/RETAIL/0FFICE IPIDCSZRIAL ? INSTITLITIONAL/GOVIIWENT 2) ?r R-1 SINGLE FAMILY ' Q R-2 DUPLEX (1t.A Units) ? R-3 40WNiOLSE (Three + Units) ( Pnits) [j R-4 APARTA'IENT/CONIDOMINIUM ( Units ) NAME: ._??K.. r ADDRFSS:- - ?- -`.- ? S CITY, SPATE, 22P: PHONE: • 3) u ?: ?• NAPE. l? .? Y?-!? ?_ ADDRESS: i CZTY, STATE, ZIP: PHONE:g?a _ o ,0 ?i MASTII2 LICEbISE# 4) ?a« • ? ? i?- NAME: _ ADDRESS: CITY, STATE, ZIP: PHONE: i Plimibers License: Active EkPired Not recorded Sta Irutial 'SJ 1./ V• ' i'1 Y' •?' ' Dli? ' D? U' 11Y?i ' . ? CONNECPION 1n CITY SEWER ?R7 CONNECI'ION TO CITY WATII2 ? OTHER-'. 'W 6) ?"' ?•'['? PLEASE HOLD APPROVED PERMIT FY)R PICK-C?P BY ONE OF ABOVE PLFASE MAIL ApPROVID PII2MIT 10 1, 2, 3, 4, ABOVE . (Circle one) 7) r r, u• • . ? ??- 6 ?- ? FOR CITY USE ONLY PERMIT # ISSL'ED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT ( INCLIIDE SL'RCHARGE ) $ $ WATER PERMIT ( INCLL'DE SL'RCHARGE ) .. $ L-•3-S? $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOC'NT DEPOSIT - WATER $ O c9 $ WAC $ $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRL'NK WATER $ 'o ?J $ WATER TREATMENT PLANT SLRCHARGE $ $ ' OTHER: $ V ' S U $ S ?• ? 7) TOTAL RECEIPT RECEIPT DOES UTILITY CON NECTION REQUIRE EXCA VATION IN POBLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC Q NO ROADWAY" MUST BE DIVISION LIS ISS[!ED BY THE E[VGINEERING . T AS A CONDITION. SUBJECT TO THE FOLLOWING CbIVDITI0N5: APPROVED BY: TITLE: DATE : - i ? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cirv oF E?cAN 3830 PILOT KNOB RD - 55122 657-681-4675 New ConstrucNOn Reaulremenh _1? Bemodel/Reodr Reaulremenh > 3 reglstered site wrveys alwwing aq. H. of lot, tq. tl. of houte 2 coplea of plan antl gl roofed areas (20°6 maximum bt covemae allowe? ?j 3? rJ C) 1 set ol energy calcWallons lor heated addlNons > 2 coples ol plans (show beam & wlndow sizea; poured 1nd. deslgn; etcJ v 7 sife survey for extedor addlNons & decks t set ol energy calculaHons : 3 copies of tree presenaNOn plan it lof plaMed Wfer 7/1/93 DATE: r) CJ I-) C? CONSTRUCTION COST: 11 ? '/00 -? • v DESCRIPfION OF WORK: Te.q[r o4-?? d d'C - l?'U v-F I( multl-famity bldg., how many units? STREET ADDRESS: LOT: -?? BLOCK: Name: e.S /Yi1wfi glp'.qin,svr?.a Phone #: J?, .:E/ ' 114s- ? a 9 4 PROPERTY wst Flrst OWNER Sheet Address: 7 A;2 Go IcJ e s, rI'1 &aGf4O W 16c? city &4 Ak state: /?'Jb) zip: Company: Sc'n.tf, s;j c Cn 617- .x'na Pnone:: c)lj?? ?)y9 - 'YS69 (area code) CONiRACTOR SheetAddress: /1o7di ,h6lcssucl& /n LlCensetl .bo/'Vel/j' Exp. 00 aty 6de;. srara: /77/7 zip: Ar?gw ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Sheet Address: Registratton Y: CHy Stafe: Sewerlwater licensed plumber (if Installina sewerlwaterl: Phone #: Zip: I hereby acknowledge Ihaf 1 have read fhis appllcaNon, atate that 1he fMortnalion is cortect, and agree to comply wiTh all applicable State of Minnesota Stafutes and Cify of Eagan Ordinances. Signalure ol AppUcanh 'c4 Certificates of Survey Recefved _ Tree Preservation Plan Received _ OFFICE USE ONLY Yes _ No Yes _ No _ Nat Required flEQUEST FOfl ELECTRICAL INSPECTION Ee•ouooi.oa , See instrucUOns for comoletin9 thia lorm on back of Vellow copy. "'X" " Below Work Covered by This Request C 44168 -?' NWAAddl Neo. Tvoe ol Builtlina Aooliuncee Wirwd , Equiument Wire!f I Fi -H ? Comersia? Bidg" Furnace Silo Unloader ? Indusmtrial Bldo. Air Conditioner Bulk Milk Tank k Fee Service Entrenca5ize H Fee Fexdars/Subfeeders IX Fee Circwts 0 to2 00Am s Oto30As Oto30Am s Above 200 qinps 31 to 1U07, ps 1 to 100 qm Swimming Poal Above 100 _Am s Above 100_Am " Transtormer5 ?rrigation Booms r eIg P&rtial-"Other Fee L. I I Signs iSUecial Inspection AS ,/?TOTAL FEE Aemarks ??? I AQ Final Tms muuast voia ie I,the Electrical Inspector, hereby certi(y that the above insoection has bean 3 This requesl voitl isnms r,om . C 44168c-?; c,iG3 -fi F. ?. nd e-4 -* RGauast,Dato l ? Fire No. RouBh-in Inspection Re ireA7 yes ]No Ready Nuw W.II Notily [nspec- ? [or When PeaAy ? licensed Eleclrical ConLactor I hereby requast inspection ot above ? Ow^er eleciricel work instelled at: Street AddreSS, Box r RoWe No. 78a oldeh Meadocu rQd Gty ? ? ? ecuon o. Township Name or No. flange o. County OccuoantlPplNTI Joe MI Iler Phune No. Power SupPlier N5P Atltlress ElecRic I Con raqor ? ompanY amel '1/? dt ? Cartractor's License No. / r at?c E eC-hr I L LI16Io-a- MailinB Addrass ICOntractor or Owner Makine Installarion asoo 1N Co /Pd zk? urn.svrlle Authori ed SiB?aWre onVa tor Owner Making Installation) Phone Number ??ra-4b?1 MINNESOTA STATE BOAXD OF E ECTflICITY THIS INSPECTION flEQUEST WILL NOT Griggs-Midway Bldg. - Noom N- 97 BE ACGEPTED BY THE STATE BOAXO 1827 UniversilV p.va., St. Paul, MN 56704 UNLESS PROPER INSPECTION FEE IS Pl.nn. IBt 21 297.2111 E NC LOSE D. REQUEST FOR ELECTRICAL INSPECTION Ee-oooo?-oo , See iostructiens for camoletine <his iorm ortback o1 vellow copy. A„4 7 9' "X" 8elow Work Covered by 7his Hequest Navy FAd Ne' Tvoe oi 9uiltling Apol.aocea Wired Equiument WireA Home Range Temporary Service Duplex Water Heater Lighiiny Fixtures Apt. Building Dryer Electric Heatiii Commercial Bldy. Fumace Siio Unloader Indusirial Bldg. qir Conditioner Bulk Milk Tank Farm +nef Pe(:tfv ine.(sno,bi t er uoci y Othar Other Compute Inspection Fee 8elow N Fee ServiceEntranceSi¢e B Fee iexders/SUCleeders p Fea Circuits 0 to 200 Am s 0 to 30 Am s 0 tn 30 An? s Above 200 qmpy 31 to 100 Amps 31 to 700 qm n Swimming Pool Above 700-Am s Above 100_Amlri Transiormers Irri ation Hooms PartiaL'Other Fee Signs Special Inspection g TOTA F - ' Rema.ts L EE ? .G' / Nough-in Date 1, the ElecVic? ? ??{:?(/LR!!?'" '3 InaPector. M1erebY cerlily that the ebove Final L L?einsDeetion hes been c? Z }' maaa. Thb reauest voltl 18 monlha Irom h; e4 e o,dia-ay-S4 I /- 3 .?i,C? ? "p''a? 18 mpnths (rom . C 443 79. flequest Date Ffre . qouPh- innsVeGion Requrtetl? . ?Aeadv Nuw ? Will Noviy, InsPer ?yes ?NO ior When Featly ? Licensed Electn al Convactor I hereby requast insoeetion of above .kOwner 7(? aleclrical work installed et: v Streat Atldress, Baz or Route No. City ectmn o. Township Name or No. RanBe No. County Occu antlPqlNTI Phone No. 6 Power. Supo I i er ?yJ (' Atltlress O Q ('( /+/L.G/ i l? V-A4 - E eclrical Contraclor (COmuany Name) 4, Cnn[recmrs License No. Mailin0 Address IContrector or Owner Making Insteilationl Authorized Sipnature (COntractod0 ner Making Installation) /PhoQne? Number (?- Y MINNESOTA qTE BOARD OF ELECTpICITY THIS INSPECTION PEQUEST WILL NOT Grig9s•Midwey Blde. - Aoom N•197 BE ACCEPTED BY THE STATE 9pqqD 1827 Univarsity Ave., St. Paul. MN 56104 UNLESS PROPEH INSPECTION FEE IS Phnno 16121297.2111 ENCLOSEO. PERMIT City of Eagan Permit Type:Building Permit Number:EA159546 Date Issued:12/30/2019 Permit Category:ePermit Site Address: 782 Golden Meadow Rd Lot:3 Block: 1 Addition: Tem PID:10-74950-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Teressa Pivec 782 Golden Meadow Rd Eagan MN 55123 (612) 722-5343 J Carver Construction Inc 1345 Schletti St St. Paul MN 55117 (651) 645-5488 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166208 Date Issued:12/21/2020 Permit Category:ePermit Site Address: 782 Golden Meadow Rd Lot:3 Block: 1 Addition: Tem PID:10-74950-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Teressa Pivec 782 Golden Meadow Rd Eagan MN 55123 (612) 722-5343 J Carver Construction Inc 1345 Schletti St St. Paul MN 55117 (651) 645-5488 Applicant/Permitee: Signature Issued By: Signature