810 Golden Meadow Rd? CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ' -? 19
RECEIVQD •
FROM
AMOUNT $ I
[:] CASH [] CHECK
RS
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You !
6Y
BLDG. PERMI'f NO . . ??%'.j ?•
?
. t
/ _
01
3
' S' /" ..r ??1 C,
r
i ? ..1 Y' _ ,?• L; + ';; ,
210
- Bldg. Perm
t
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. -= --' i
20-3868 'Water Trmt.
20-3716 Water Aieter ?
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. -
11-3855 Park Ded.
TOTAL I -; -/ c
' CASH RECEIPT Y CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
REC EI V ED
FROM /?
AMOUNT $ I
DOLLARS
[]CASH ? CHECK
FOR ?
FUND COOE AMOUNT
1-
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File CopY
GOLD COPY PERMIT RELEASE FORM
PERMIT # ??W , I
ADDRESS
PICKED UP BY e76;Z'J"%
? R
L
J
?1
C -
1
? G
O
3
T
BLD
. TYPE W
RK DE
CRIP
I ON
Res. New
Mult Add-on
Comm. Repair
Other
FEES
RES
HVAC 0-100 M BTU
-$24
00
.
ADDITIONAL 50 M BTU .
- 6.00
(RES. HVAC INCWDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PERMIT)
50 EA
1
(
-
COMM/IND FEE - 146 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLJES .
-
.
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
fiEMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20,00
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES -- -
- .50
? Site Addre,ss
? Lot Block -- Sec/Sub
? Name
m Address
c City Phone _
?
I ? Name c Address
p City
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
FEE: -
SI F PE MITTEE
S/C: ? ?
TOTAL• FOR: CITY OF EAGAN
?
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN ?r
3830 PILOT KNOB ROAD, EAGAN, MN 55122 pATE
PHONE: 454-8100 For Office Use Only:
Phone
M BTU
M BTU
M BTU
M BTU
CFM
???r???' ??r/???
PLUMBING PERMIT pERMIT# Z
RECEIPT #
' CITY aF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address
Lot ' Block ? Sec/Sub _
? Name U GE DATES COtIDITIONIN
m
?
Address 102 Excelsior Avc. E.
5343
c City MoDkins. MIt*p% 5
- 9's8-1880
? Name
3 Address
p City Phone I l ?
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
?; i?' • ;
SIG TtJRE OF P RMITTEE
FOR: CITY OF
BLDG. TYPE WORK DESCRIPTION
Res. ? New
Muit. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 4
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaliBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - 51.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
-L-Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C: •-?
GRAND TOTAI: - -
PERMIT #
; Site Address
? Lot Block
Name
Name
z --
PLUMBING PERMIT RECEIPT # 711L2
CITY OF EAGAN /
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
Phone
FEES
I COMM/IND FEE - 146 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
' MINIMUM - RESIDENTIAL FEE - $12.00
' t MItdIMUM - COMM/IND FEE - $20.00
i STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
j FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on i
Comm. Repair ?
Other 1
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOT?_
_?Water Closet - $3.00 $
/ Bath Tubs - $3.00 `
Lavalory - $3.00
ShoweP - $3.00 L '
?Kitchen Sink - $3.00 "
Urinal/Bidet - $3.00 .
? Laundry Tray - $3.00 % -
? Floor Orains - $1.50
? Water Heater - $1.50 '
-Whirlpool - $300
I_Gas Piping Outlets - $1.50 - 5 = (MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
,
STATE S/C:
GRAND TOTAL: "
. • PERMIT #
, • - MECHANI CAL PERMIT RECEIPT #
CITY OF EAGAN
8830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: PHONE : 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub ' ' '
R
N
.
m
Name es.
ew
Mult Add-on
? Address
c
City
Phone Comm. Repair
Other
? Name FEES
3 Address - RES. HVAC 0-100 M BTU -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
_ GAS OUTLETS 1.50 EA
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1
,OQ0.00)
Gas Piping Outlets #
Other $
'
FEE
S/0. SIGNATUFiE OF PERMITTEE '
TOTAL•
FOR: CITY OF EAGAN
3830 Pibt A
13139
K
b R d! P
O
B
M
G
no
.
.
199, Eagan,
o 2
- N 55121
PHONE:454-8100
BUILDING PERMIT Receipt#
To ba used tor SF D14G/G Ak Est. Value $77,000 Date J P.NUARY 23, , 1g 87
Site,4ddress 310 GOLDEN MEADOW RD Erect Yi) Occupancy R 3
Lot3 Block I
SeC/Sub SUNSET 9TIi Remodel ? Zoning
-
.
Parcel No. Repair ? Type of Const.
Addition ? No. Stories
¢ Name 30SEPH MILLE R CONST Move ? Length 60
=
18133 CEDAR
Add Demolish ?
AVE SO Depth 50
;
° ress
City FA;2NIINGRQ;; Int Impr. ?
892-1014 Instau ? Sq. Ft.
o Name S A`%E
? i Address
a
'' Ciry Phone
0- ¢
F W Name-
_z
? ?y Address
W. Wz City -
I hereby acknowledge that I have read this application and state that the
information is correct end agree to comply with all applicable State ot
Water & Sew. Surcharge
Police Plan Revie
Fire SAC
Planner
Council
Bldg. Of
Var.
A Building Permit is issued to: "
all work shall be done in accordance
Building Official
MILLER CONST
Water Conn. J• v v
Water Meter 67.00
RoadUnit 305.00
Tr. PI. 1$0.00
Parks
Copies
Total ' ?on the express conditian that
all applicable State of Minnesota Statutes and City ot Eagan Ordinances.
I I Permk Na I Permk Holder I D.te I TNephone M I
Plbg.
Hty.
Diap.
'• : -- t CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
` PHONE:454-8100
BUILDING PERMIT ? '"' Receipt #
To be used tor -3-5????RCH Est. Value $6r000 narP' HA
Site Address 810 COLDPN !l6ADOV 1tD
Lot 3 Block 1 Sec/Sub. $?m 9TH
Parcel No. _
W Name 0Grs vuanaaa?s
o Address 810 ??? MAM ?
City RAGAN Phone
,o Name S?
V q Address
z
1- City Phone
W W Name
Address
<W City Phone
I hereby acknowlege Ihat I have read this application and state that the
information is oorrect and agree to comply with all applicable State oi
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: Jg" GUENTM
on ihe express condition that all work shall be done m accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official _
tia
17797
? ; ..'
OFFICE USE ONLY
Occupancy
Zoning
(ACtual) Const
(Allowable)
k o1 stories
Length
Deplh
S.F. Total
S F. Footprints
On Site 5ewage
On Site We11
MWCC System
City water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. ON.
Variance
Bldg. Permi!
Surcharge
Plan Review
SAC, City
SAC,MCWCC
Water Conn
Waler Meter
Acct. Deposit
S/W Permil
Srw Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
FEFS
81.00 ?
3.00 ?
Permit No. Permit Holder Date Telephone #
VMATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footirgs I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Firepiace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notity Plumber
Engr.lPlan
Bidg. Final
Deck Ftg.
Deck Final
We11
Pr. Dfsp.
- . .,z+p.,;-.;,- . . , _ . . , . , . i.. - . e. r' ?y :,s . .u. , . _ . . . . . . . . . , . .
> CITY OF EAGAN Ag 17292
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ?-:
BUILDING PERMIT ' Receipt #
To be used for FOMATION Est. Value Date im 13 19 89
e$$ ??v w?r??. a?vw aY
Site Ad
?
Lot Block Sec/Sub. OFFICE USE ONLY
PdfCBI N0. Occupancy - FEES
W
Name JEFFRBY D GUEI?1$R Zoning
(Actual) Const
- Bldg. Permit 15.00
? 810 OOI.aEN NEADO?iI RD
ddress
Al
?
'
?? Phone 626-1974
C
y #
ol Sto
ne
s Surcharge
-
Plan Review
Length _
? Name g?? Depth - SAG Ciry
Z
o°
?Q AddresS S.F. Total -
SAC, MGWCC
? City Phone S.F. Footprints -
Water Conn
On Site Sewage _
?
F W
Name
On Site Well
- Water Meter
=z Address Mwccsystem _.
Uc
Q W ,
City Phone
Ciry Water Acct. Deposit
-
it
SiW P
PRV Required erm
_
I hereby acknowlege ihat I have read this applica[ion and state that the Booster Pump - SNV Surcharge
inlormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature ot Permitee APPROVALS Road Unit
JEFFREY D GUF.NTflER Planner
A Bufiding Permit is issued ta - Park Ded.
on the express condilion that all work shall be done in accordance with all Council
applicable State oi Minnesota Statutes and City of Eagan Ordinances. gidg. Off. _ Copies
15
?
BuildingOfticial -
Variance
- TOTAL
•
Permit No. Permit Hoider Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Mspection Oate Insp_ Comments
// -
Footings I
Foundation
Framirg
Rooling
Hough Pibg.
Rough Htg.
Isul.
Firepiace
Fnal Htg.
Fnal Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bidg. Finai
Deck Ftg.
Deck Final
Well
Pr. Oisp.
?
,. CITY OF EAGAN
3830 Pllot Knoh Road
- P.O. Box 21199
Eagan, MN 55121
Zoning: "l
Owner. `TOe ''ii
Address:
Site Address: F' P Co
k. Plumber. Tom f+e
I sqrse to comply wNh the Cttp of Eapn
Ordinancea.
BY
Date oi Insp :
Insp.:
PERMIT NO.: f- 571
Connection Charge:
Account Deposit: _
Permit Fee:
Misc. Charges: -
Total:
x.21199 • PERMIT NO.:
MN 55121 DATE:
r1 No. of Units: .
No.:
No.:
to comply wNh the Cily of Eagan
Connection Charge:
Account Deposit: -
Permit Fee:
Sureharge:
Misa Charges: -
Totel:
Date Paid:
cinr oF E?caN WATER SERYICE PERMIT
3630 Pibt K. 7b Road
P O Bo ? -
. x'21199 PERMIT NO..
Eayan, MN 55121 DATE:
Zoning: i No. of Units: .
'ce 1 er Const
Owner.
I Address:
SlteAddess: `?I" ('^lden 14eadow R(-' L3 R]. Stinset S]
Plumber: T man
MeterNo.:.?F 7
n ' ??harge:
Size: ? ?? ? _ A:..,.i? &a???: 15 . ???1
I Reader n'? ??S?tl ?'0 9 .,,. ? ct ?,1?n 10.00
I agree to comply with taw o?? ?"a?? •50
O?dM . RF?,?D ?Char- ges: Z?/1,(10 tp
TO1Rl: 6 7. n;l T7'?Pt n?-
BY Date Paid:
Date oi Insp.: Insp.:
----
cmr oF Er?Grw SEWER SERVICE PERMIT
3830 Pllot iC:ioE>Jicpd ?) :,' 1
P.O. Bok 11199 - PERMIT NO,:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
' Owner. 7fle Miller Const
, Address: ,
r?
: SiteAddress: 1 Stinset
1 egras ta cl
?,v?v 411?
jE.I?PH
,ttUwr
?6a'c `l?
?Sg %ar9e: S2S nc? _
?; +?t
i??Cj?jount It: 1' 'ir'
D ??'it 0 ?)
rcharge: 7'n
Mlsa Charges:
RESIDENTIAL
BUILDING PERMfT APPLICATION
??f bb.? CITY OF EAGAN
3830 PILOT KNOB RD • 55122
657-681-4675
Naw ConsW ction Reauirements RemodeVReoairReauirements
• 3 registered sKe surveys showing sq. fl o} bt, sq. ft W house; erugll roofed a2as . 2 oopies of plan
(20%maximum btcoverage abwed) . 7 setof Eneyy Cetalations (orheated addiUons
. 2 copies of plan showing beam 8 rhxbr shes; poured 1paiQ design, Mi . . 1 sile survey lar exterbr addi6ons 8 dedcs
. 1 set of Eneigy Cakulations . Indicate il Mme served py sepfic system for addiGOns
• 3 coples of T2e Preservation Plan if IM platted after 711193
• Rim Joist Detail Qpfions selectlon sheet (61dgs whh 3 a less unils)
DATE ':i? l a O I
JOB SITE ADDRESS '6I C) YY_\?
VALUXION 4S00- OO
w l?cQ . rP 0_4zr°,'e-,
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
°R.^.PERTY ?W.R':P,??f? r?-1 ?lJ?•?-•?c-/
TYPE OF WORK-ttQ-(' 15(? ? fr- 6'L5j?_ fIREPLACE(S) _ 0_ 1_ 2
APPLICANT?G!LS?mF?NL, iv{c" tQx_ PHONE#105I L?33 (?o395
ADDRESSN?> C`-?0Z:-lG1r-0l AV-f Sc KLfWaz;;G* . ZIPCODEfSSI1a
PAGER # CELL PHONE # FAX # ? El ?a33 ?4 'i I
NE1V RE5IDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Confractor. _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Conhactor:
Phone #
All above informaUOn must be submitted prior to processing of applfcation.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
SlgnofureofApplicanF, '??'
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
. . . . '?'. Updated 1101
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Su6mitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Su6mitted
Phone #:
Water Softener _ Iawn Sprinkler Fee: $90.00
Wa±er Heater 140. af R.I. BaYhs
No. of Baths ^
Phone #
Air Conditioning Fee: $70.00
Heat Recovery Sys[em
???
cinr oF E?GaN A'
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 13139
PHONE• 454 8100
BUILDING PERMIT Receiptu 7L> C7'7
7o be used for S_^ DWG/GAR Est. value $77,000 Date JANUARY 23, 1g 8 7
SiteAddress $10 GOLDEN MEADOW RD Erect ID Occupancy R3
Lot 3 Block 1 Sec/Sub. SUNSET 9TH Remodel ? Zoning RI
Parcel No Repair ? Type of Const. v
. Addition ? No. Stories
a Name JOSEPH MILLER CONST Move ? Lengm
z 18133 CEDAR A VE SO Demolish ? Depth
o Address . Int Impr. ? Sq. R
City FARNING'PPA 892-1010 Install ?
a Name SAME APProvals
i ?
? 4 Address Assessment
? Ciry Phone Water & Sew.
Police
? W Name Fire
Address Eng.
a W City Phone Planner
Council
lherebyacknowledgethat havereadthisapplicationandstatethatthe gldg.Off.
information is correct a agree to comply with all applicable State of
Minnesota Statutes a Ciry gaROrdi c S? APC
Var. Date 10 17/8 6
Signature of Permitte
e ,
Fees
Permit $ 423.00
Surcharge 38.50
Plan Review 211.50
SnC 625.00
Water Conn. 5 2 5. 0 0
Water Meter 67.00
RoadUnit 305 00
rr. PI. 180. 00
Parks
Copies.00
T-1nl I
" JOS?EPH PAILLER CONST
A Building Permit is issu d to: on the ezpress condition that
all work shall be done in accordance ith all applicable te o Minnesota Stayt?ute_ s and City of Eagan Ordinances.
Building OHicial ? Sta Q'4+?( ?F-ti'-??
CITY OF EAGAN N0 17797
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454- 8100
BUILDING PERMIT Receipt # L ?gd
To he used for 3-SEASON PORCH Est. value $6,000 Date MA] 2 192-Q--
Site Address 810 GOLDEN MEADOW RD
Lot 3 Block 1 Sec/Sub. SUNSET 9TH OFFlCE USE ONLv
Parcel No. occupancy - Fees
x Name JEFF GUENTHER zoning
(ACtuap Const
?
Bldg. Permil 81.0
W
o AddreSS 810 GOLDEN MEA?OW RD (Allowable) - 3
00
.
Surcharge
City EAGAN phone 626-1974 ;voisiories _
Plan Review
Lenglh _
o Name SAME Depth SAQCi1
i
00¢
AddfeSS -
S.P.7ota1 - y
SAC, MCWCC
? CIlY Phone S.F. FOOtprints -
l
r Conn
W
On Site Sewage a
e
?w Name On Site Well W
M
ti -
ater
eter
x- Addf2SS MWCCSyslem
? AccL Deposit
i Qliy PhOnB City Walar _
PRV Pequiretl _ SNJ Permil
I hereby acknowlege [hal I have read this application and state that the Boosier Pump - SiW Swcharge
inlormation is corcect and agree to comply with all applicable Slate of
Minnesota Statutes and Cily of Eaqan Ordi a es. Treatment PI
SignaNre of Permitee Q'A APPROVALS Road Unit
A euilding Permit is issued to: ' FF GUENTHER Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesola Statutes an
ity
d
C
of Eagan Ortlinances. gld9 pry Copies
?
y
y
?
Building Oflitial ;b 1 ? Dl (?? ?? 111 Varianca - TO7AL 84.00
CITY OF EAGAN NO 17292
3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
l
BUILDING PERMIT
To be used for FOUNDATION Est. Vaiue
Site Address 810 GOLDEN MEADOW RD
Lot 3 Block 1 Sec/Sub. SUNSET 9TH
Parcel No. _
W Name JEFFREY D C ENTHER
o Address 810 GOLDEN MEADOW RD
City EAGAN Phone 626-1974
to Name SAt1E I
$¢ Address
? City Phone
?w Name
SE? Address
aW City Phone
I hereby acknowlege that I have reatl Ihis application and state that ihe
information is correct and agree to comply with all applicable Slate of
Minnesota Stamtes and City of Eagan Ordinances.
Signalure of
Receipt #
Date cz)=
NOV 13 , 1989
OFFICE USE ONLV
Occupancy _ FEES
Zoning -
(AClual) Const _ Bldg. Permit 15.00
(Allowable) - Suaharge
F ofStories -
Lengih _ Plan Review
Depih - SAQ City
S.P.Total -
SAC,MCWCC
S.F. Footprints -
On Site Sewa9e _ Water Conn
On Site Well - Waler Mater
MWCC Syslem _
Acct Deposit
City Waler _
PRV Required - S/W Permit
Boosler Pump - Sryy Surcharge
Trestment PI
APPHOYALS Road Unil
A Building Permit is issued to: JEFFREY D GUENTHER Plannar - Park Ded.
on ihe express condition thal all work shall be done in accortlance with all Council
applicable State of M.(in?nesota SptaWtes and City of Eagan Ordinances. gldg pry, Copies
BuilGing Otficial Variance - TOTAL 15.00
I lllfl(1 I\JUf ???
U
. : . .3/..?
1986 BOILDING PSRlIIT AF'PLICA?ION - CITY OF E9GAN
D10TB: ALL CONTRACfORS NN3T HE LICSNS6D WITH THS CITY 'OF EAGAN
SINGLS FAPffLY Di1EL.LIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DWELLINGS - RESIDENTIAL xENTAL 11HIT3 FOR 3ALS ONITS
INCLUDE 2 SETS OF PLANS, CBRTIFICATS OF Si1RV8Y - CHLC% iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMAfEHr'rei:
INCLUDE 2 SE'fS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
-7 7, 000 To Be IIsed For: -np[/ f1 Valuation: Date:
Site Address at(),&1d0/Yl lhQd/4t.l)'
Lot 3 Block I ?u
Parcel/Sub -dum&?-t
Owner
Address
City/Zip Code
Phone
Contractor?
Address Ml %
City/Zip Code ??,(mC,'yyfy? ls?w`l
.. Phone - Q ` " Q ?-7
Arch./Engr.
Address
City/Zip Code
Phone S
Erect ? Oecupaney R??>
Remodel Zoning 2-1
Repair ? Type of Const ?
Addition # of Stories
_
Move Length ?a
_
Demolish .
Depth Sa
Int.Impr. Sq Ft
Install
APPROVALS FEES
Assessments Permit ¢2-3•
Water/Sewer Surcharge 56=2
Police Plan Review 2 Il,s9
Fire SAC GZS'
Engr Water Conn L 72sl
Planner Water Meter (.'7,
Council Road Unit 305,
Bldg Off Treatment P1 lao.
APC Parks
Variance jO 78(o Copies
TOT9L ?2 7 IC"
NOTE: ADDHESSES FOR CORNES LOTS - CONTRACTOR/HOMSOWNER MOST DESIGNATE WHICH ADDRHSS
IS DESIRSD. NO CHANGES WILL HE ALLOWfiD OHCE BOILDING PERMIT IS ISSIIED.
TRl-LAND C0.
SURVEYf NG
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA
GSITE PLAN F4R:
JOSEPH MILLER
`
3
?\ 33\f
7?Qo ?
o,
. ~?
DETAIL
;ALE:I"=30'
LEGEND
o pENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= R.9
o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION =
DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR =$YYr.Z_
ELEVATION ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION NOTE. VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I Mre6y csctify thof this survey,plan or
reporf was prspored by me or under my
dirscf supervision and thal 1 am a duly
Rapistsrsd Land Survlyor unAsr tM
Lows of the Sfote of Mienesota.
nNLfi, u t91,.o.»a.n.??
8rodlsy J. SICASM, Mn. Req. No.13235
Date - ?/??lEt
55122
DAKOTA Courdy, Minnesma
..' _-" a urnnnuu •'U" UUI4YU'1'l11l1U11
? . (To be su6mibted rvittt builditig permib applicationj
One or xivo Eamily Uwelling
All Otlier
contrac kor JC?CPV4 im
LiIIEAL FECT OF
EX['o5EU YlALL
f t.
OPAaUE WALL
betail
reCorence
from
artRciioa
611 aata
V1I11 W;VS 1
Il?ilco & Type
u
n n
n n
oaner
Gf.te Addrese
Date Ptione
above grade = ??s'1L4
TvTAL EXPVSEll WALL AREA sq. T,
COtlS'PRUC'TIUH 1 ??U?? Va1ue x Area
_?vnE it„it
GoNc, $lull X Stj.
iiUu??-x s2.
upnX SQ.
Ilull----x sq.
uUn?-?---x sq.
x $B•
"U° Yalue X Aroa
?
fluff I x
u
uu
fip n X
npn X
Wolis: 11 pfl yalue x nrea
.-
FT. (U)(n)
FT . Il ) ( A )
- ??)(?t)
FT. _ (U)(1l)
FT. = (u)(n)
SR. FT. Z_Ti7S=(A)
eR. FT.
_ (?)(n)
?q. FT. =
s4. (u)(n)
f'T. _ (u)(n)
blalce & 1'ype oQS $iull
I
?i ii --.?14- x S
If „ s?. FT.
D= ?°) ( n)
?? „ ??? --- (u)(n)
_ npi? K SR. FT. - (U) (A)
x Bq
, FT. - ( U) (A)
TOTAL9 ?J-I?"J. ? ?j (U) (A)
1'oTrli, U AVE lI Ac1E olfjii 7
( ) ( n) Vnc,u?s n
llIVIUt;U ?Y 9'UTAI, 17/IJ,L AliEA Z?7-rj ?? ?
nv????UL' u+ ? r leos ior
? i&2 tamily dvellinge
R00 F/C F;I I,11la t
TOTl11, AIIEAf 2Xi7? . .
Uotail reterettca -
uuu ?
from nU n '?-z--x S@. J?--G1L(U)(A)
uttached sheote. `---"n--? --__.a 82. FT.
lleucribe opeuitiGo ?-" ?u ? (U)(A)
iu roof. n?n-"'_-------x 8Q. FT.(U)(A)
__,`_nU n------ ?x 9R. FT. (U)(A)
.1U,1.AL ? x sq. FIr. -?u) tn)
(n) VALUE3 UiYIllliD $Y -z ,r? 7 I 7°r-?L5 -1 LL4y?--. Z _____l
'tol'AL 1t0oF/CBZLINU NiEA ` 2-=-° ?? ?p,
nvE?tnc?c nUn .025 for ventllqted zTl1?j
roo t ?,
??
.
8,o X l?; -? 14) =- 4 7 Z
?1434 X ? 2q,-t 2-9 Z4-
t?'o Z 37 S. Z¢ ?
X 1s(p
, X z?;48 ?-
u?s
4o;, _ I'DiL5 X I= 13,5
I( 2-z?-X4g = Zz??X ?_ ???s
1-Z4x4e?) = ll, wx
? 24 ° o?T, uJPW =2?,c)X(=b ,o
¢-to X jUo -44,o XI= 44 io
/( ZoXlvO - !I ? 2 = Z2l o
l ?v X?o - Z40SX 1= 04 175
Il 2- I,y }c?-Io z i,o)
o{'X?(o "?? 7S X 2= r!1 r S ? ??«E? E?A9Ls
/ 2-z4X2z,-(a = 17 ??X I= ??
?
wf ?t? ?tQa?p 75
(?S? ??vL, lo¢?SZ
?` RI Wt. ? Z`t ?S
Zg
73z 49
l9 Pfl-Tlfl ?- , _ ?f?_
`°
I•5X II = I???
f21'5 .
I Z z4, 7s ?
°- !IlWL JYA1'1'lUC--
Determining "Ull valuee at Roof, {Aall, Rimg and Coac. Block
RoOF/CEZLINa R VALUE
1.) Interior Air r'ilm 0.61
z.r 5/811 ayp. Ha. .55
3.) Inaulation 44oo
4.J
50 Exterior Air Film .61
(BTILL)
utio = 1/R= .02.1 ibTAL (R)= K-7g
WALL R VALDE
6.) Interior Air Film 0,68
7.1 1" oyp. Bd. .45
8.) Insulation 19,pp
9. ) burL-r-P-IrE Z.OQ-
10,) Masonite Siding .67
17.) Exterior Air Film ,17
upn = 1/R= . 04?a TOTAL (R)= 2.3.01
RZM R VALUE
12.) Interior Air Film 0.68
13.) Ineulation 19•00
14.) 2" Fir Rim Joiet 1.88
15.? gvlLr-I?tTG 2,04
16.) Meeonite Siding .67
i?:) Exterior Air Film .17
rrUll a 1/R= ,C'Xtp TOTAL (R)=
FOUNDATION ?- R VALU
18.) Interior Air Film 0,68
19.)
zo. ) R'-?J y Tk1Pi?D N, c?
21.) 12" Concrete Block 1.28
z2.)
23.) Exterior Air Film .17
npu = 1/R= .07(O TOTAL (R)= )3.rzi
?-
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
?'. NOTS: PAYMENt' OF k'EE AT 1SME pF
F APP.1CATION DOE$ NOr CONMZM
F APPROVAL OF PERIYII'P.
h
F INSPDGTION OF SEWE2 ArID/OR Yp1'1FR
F a 77ATTON$ WILL NCYP BE $Cm-
F MID [IKPII, PII2NIIT HAS
i APPRUVID
trlease rint)
1) PROPERTY ADDRESS :
LEGAL DESCRIPTZON: ••-
3 ? ?L- ?-
, Lot Block Subdivisi/9on or Tax Parce ID )
ZF E7QSTING S1RL'Cl[.'RE, DATE OF ORIGINAL &L'ILDING PERMIT ISSL'ANCE:
;
..
PRFSENf 7ANING/pROPOSID [!SE: (Nbn Year
q COit'IINEEtC7AL/RETAII,/OFFICE R-1 SINGLE FAMILY '
Q IIIDL*STRIAL ? R-2 DL'PLEX (TWo Units)
? INSTI7L'TIONAL/GpVERIZ= ? R-3 TOWNH005E (Three + Units) ( t?nits)
. d x-a aPAuxrENT/corroorurnUm ( onits)
2) ?
NI1h1E:
ADDRFSS:
CITY. SPp.TE. ZIP:
PHONE:
3) ? u c?• d?
NAPE:
ADDRFSS:
i CITY. STATE. ZIP:_?? ? .-
PHONE:
LICENSE #
? Expired
Not recorded
Sta Initial
, 4) •• ? ?-y
NAPE: Ni?' . \_?j?• ? ,
/r
_ ADDRFSS: ?
CITY, SPATEr ZIP: .
PAONE:_
i
-5) ? u ?• ? ? ' : • ?• : a • ?? - ??
6NPII7CTION TO CITY SEWIIt ?ION M CITY WATII2 ? OTHm '. .
6) '? ' •?' E$OLD APPROVID PERMIT PY1R PICK-C?P BY ONE OF AHOVE `.--- _.-
C3 PLFILSE L APPROVID P T SO 1. 2, 3, 4, ABO?IE .
? (Circle one)
7) n r• . `? ? ^ -
-? ?:zs ,,, f ?'?i
FOR CITY USE ONLY
PERMIT # ISSDED
Pd w/Bldg. Permit FEES:
$ $ /6' S? SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /0 5 L WATER PERMIT (INCLUDE SL'RCHARGE )
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ S / S• C'>(---) ACCOUNT DEPOSIT - WATER
$ J?>: $ WAC
$ I%?S, Z>U $ SAC
$ $ ?TRUNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRC'NK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ / S'-o. nZ% $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ /:J lzUCJ $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC
ROADWAY" MUST BE ISSUED BY THE ENGI[VEERING
Q
NO- DIVISION. LIST AS A CONDITZON.
SUBJECT TO THE FOLL OWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE: ? --%, -I??
1989 HIIILDIPG PEAMIT 9PPLICATION
CITY OF EAGAN
SINGLE F9MILY DWELLINGS
? ??4 al
MULTIPLE DWELLINGS
2 SETS OF PLANS 2 3ETS OF PLANS
3 HEGISTERED STTE SURVEYS REGI3TERED SITE SIIRVEY3 -
1 SET OF ENERGY CALCS. (CHECg WIT'H BLDG DIV.)
1 SEP OF ENERGY C9LCS.
M[TLTIPLE DWELLINGS RENTAL IINITS FOR 59LE DNTTS
CAI+II4ERCIAL
2 SETS OF ARCHIiECTURAL
8 3TEIICTQRAL PLANS
1 3Sf OF 5PECIFICATIONS
1 SET UF SNERGY C6LCS.
# OF WTTTS
HOTEs ADDRESSES FOE CDRNER LOTS - CONTRACTOR/HOMEOWNER MOST DFSIGNA'fE WHICH ADDRFSS
IS DFSIRED. NO CHANGES WILL HE ALLOWED ONCE BOILDING PERMIT I3 ISSDED..
SEWER 6 AATER PERMIT FEES SND ACCOUNT DEPOSIT P'ECsS iIILL BE INCLIIDED WITH THE HUILDING
PEAMIT FEE. PROCS53ING TIME FOR SEWER 9ND WATEA PERMITS IS TWO DAYS ONCE A PERMIT H95
BEEN COt+lPLETED INDICATING 6 LICEN3ED PLOhIDER.
PENALTY APPLIES WHEN: PERMIT IS HOT PAID FOR IN SAME MONTH IT IS REQDESTED.
LOT CHANGE'IS REQOESTED ONCE PERMIT IS IS50ED.
-----
T1.?'6S
To Be Used For: C 3 S£ aN °iutValuation:
51te Address D0 ?dzly:??ffkl.ic9/lo?i?
?
Date: ?c"m. , . "/ v
Lot _ Bloek -- Oecupaney '
Parcel/Sub 5Ld7V`.jfT
Owner Ei=F& 3? ?
U ?vE..N7'If£P,
Address q?() (?'?`/}?",v Am„^tJ eCZ?
City/2ip Code
Phoneht --3/// . L-!o --i`??1(
Contraetor S'E'(.,.r
9ddress j Ame?
City/Zip Code 6A)PYLCd
Phone '5;A2/V-"
9rch./Engt-, 5ci-1- /STE'vc #N5r:.ti /'.EV;fw
Address /'iTYdF f;.?,?J
City/Zip Code
Phone #
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage
On site well ?
MWCC System _
City water _
PRV required _
Booster Pump _
APPROVALS
Planner _
Couneil
iB1diL. Off.
Hldg. Permit /S rp
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Aect. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
3QBTOT$L
Penalty
TOTAL
-TRl-LAND C0.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
cok oEN
/ ,o_
I
I `
D
ir
/
M`\o0W
$0
??OA0
?
? 30
GAK/;C7'c ?g
? 44 t ?Y 1
i9 ... .y
.s
? ?
/
Y
EAgEMENT S I
`-? q3?.
DETAIL
SCALE : I"=30'
3-??
/I dZ
N
SCALE:I"=100
, PROPERTY DESCRIPTION
LOT.3-, BLOCK-L-,
` SUNSET 9th ADDN
oeeordna to tM ?ee"d plol tmnoi
DAKOTA Canry, Minmsota
y
s73o
%-?? 33'QQN_
LEGEOR
o DENOTES IRON ONUMENT PROPOSED OARAGE FLOOR ELEVATION•?
• pENpTES IMOOD M?IB SET PROPOSED FIQlST FLOOR ELEVATION •
OENOTES EXISTINO SPOT PROP09EDOA8EYENT fL00R •
0.EVATION ELE VAT) OM
OENOTES PROPOSED SPOT
ELEVATION ?g•' yER1FY ALL FI.OOR MEKiHT$ WITH
f DENOTES DRAINAQE DIR6CTION ? FOAL HOUiE rLANf
I h?r?bp o?rtffy tAOt thli wrwy,Plon a
r?port ??oPanA by am or undw my
dlrect wpwMim md 1Ad 1 om o duly
RpislNod Land 8wv"a widw tiw
Lws of tM Sta1e of MMnesota
ndll7.. i..v..?nw....-
B?od1eI? J. ON4 IM. ROG. Ma =36
Datit : .de%oc
SITE PI.AN FOR:
J4SEPH MII.LER
??
/ -
1990 BUILDING PERMST APPLICATION
CITY OF EAGAN
SZNGLE FAMILY DWELLINGS
MLTLTIPLE DWELLINGS
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. iotal
Footprint S.F
2 SETS OF PLANS 2 SETS OF PLANS 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 APPLZES WFIEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MCNTH I*I k'Y.IC9 P.EQUEST. IS Mt;DE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH 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 SEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
3 seaso- pmi'eti
To Be Used For:c?
Valuation: 00 C)
Site Address g/0
Lot 3 Block l
Parcel/Sub Si1/JSP/ ivi?! 4
Owner jey"'j` l=Jq Pi?G% PI-
Address b(L?C7/7??Py//(f?w /Lou?
City/Zip Code 3
Phone
Contractor
Address
City/Zip Code So-^"e-
Phone
Arch. /Engr.
Address
City/Zip Code
COMMERCIAL
-apR 2 ?' RECo
Date: I-'/ a717??,??D
OFFICE USE ONLY
FEES
Dn site sewage_
On site well _
MWCC System _
City water _
PRV
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. ?Q?3o
Variance
Bldg. Permit
Surcharge
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
G l
3,
-a-W
Phone #
- - - - - - - - - - - - - - - - -
i
i
? Permit #: I
? PermitFee: ?/• ?+?
V?? I
? Date Received: ?
I ?
I Staff: ?
L - - - - - - - - - - - - - - - - -I
2009 MECHANICAL PERMIT APPLICATION
Date: 2?JaR-"7/Oy' SiteAddress: 61'0 6;/c,#e,f, IV,
Tenant:
Suite #:
RESIDENT/OWNER Name:Gti-anR?er- Phone:
Address / City 1 Zip: ??0 ?ra?tk^ /K???*? ?' .v _ /23
CONTRACTOR Name: /le?{7ir ?t-Cen%i:? License #:
Address: *10 A44 .E'it.Id 4'
City: 4; State: Zip:
Phone: 6SI? `dD.f 3bSjj Contad Person: &V
TYPE OF WORK _ New _ Replacement _ Additional _ Alteration _ Demolition
Description of work`i
NO.TE: Both roof mounted and ground mourited mechanical eguipmenf is requfred fo
be screened by City " Code. P/ease contact the Mechanical Inspector or one of Che =
?Piann'ers for Information `on ermittetl screenin ":meEF`iods'^
RESIDENTlAL COMMERClAL
PERMIT TYPE X Furnace _ New Construction _ Interior Improvement
56 Air Conditioner _ Install Piping _ Processed
Air Exchanger _ Gas _ Exterior HVAC Unit
Heat Pump _ Under / Above ground Tank L_ Install /_ Remove)
"
_ When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Flfe f2p81f (replace bumed out appliances, duchvork, etc.) (indudes $.50 State Surcharge)
$ TOTALFEE
COMMERClAL FEES:
$70.50 Underground tank installatioNremoval OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is >$7,000, surcharge increases by $.50 for each =$ State Surcharge
$1,000 Permd Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge).
$ TOTALFEE
i nereoy acKnowieage mai irns imormanon is compiete and accurate; that the work wnt be m cornortnance wnn tne oramances ana coaes or me ury or tagan; mat
I understand this is not a pefmit, bui oNy an application for a permit, and work is not lo sfart without a pertnit Ihat ihe work will be in accordance wilh the approved
plan in the case of work which requires a review and approval of plans.
x /'Lli?? //7 /in.?, X
ApplicanYs Printed Name ApplicanYs Signature '
r FOR OFFICE USE
RBVi¢W2d By: ,Ga1E: '
?Required Inspections: ?- Under Ground'-'- ?Rough In .:_Air Test .Gas Service Te"st ???-: In-flotir Heat ?'. Fnal 5
P
Eztenor HUAC Screemng Inspection ? ?
F F 15079
REDUEST FOR ELECTRICAL INSPECTION
p,. See i?rslructpns Iw mmpletlng ihis lorm on oack ol yeWw mpy.
"X" Below Work Covered by This Request
EB-W Wt-07
y? 9a3a40`
e AaA R p. TypeofBuildirg AppliancesWireC EquipmantWiretl
Home• Range Temporery Servica
Duplex Water Heater ElecMc HeaLrg
Apt. Building Dryer O[her (Specify)
Comm./lndustrial Furnace '
Farm Air Conditioner
ouier (wecaty) Comracior5 Remenro:
Compute Inspection Fea 8efow: ? .
# Other Fee # ServicaEntranceSize FedV # Clrouits/Faetlers Fee
Swimming Pool 0 to 200 Amps a 1o 10o Amps
Transformere Above 200 _ Amps Above 700 _ Amps
Sigm inspectw5 Use onN: TOTAL
Irrigation Booms ?
Special Inspection
Alartn/Communication
Othar Fee
I, the Electrical Inspec[or, hereby RO1'"
certity that the above inspection has
been made. F„al oaie
oFMee use onLr
mis roques[ witl 18 mamha irom
F 15079
R as10 te - Fre W.
?.??
.
Rougtrin Inspection
Repui o
re0.
Q Y? 0 No
eeGy Now ? NAII Notiy Inapector
?
Nfien Reatly7
IgHlEnsed conVactor ? owner hereby request inspection of above electrical work at:
Job es/1$Irep?OOx a NoJ
? Ciry
Sectlon Na. Tawnehip Neme w No. AeMe ?. c?x"b'
Oca (PRINT)
- Plai» a.
?
Powm Ap?Fr Ad&M ?
FJw,inm Contracmr (Comoem Nama) Ca 4 No.
A1eYln9 Atltlee% ( .. ?^)
14540 P.
V+ ? ?pn 124
1 ? Plqne NumOar ,
MINNESOTA STATE BOARG OF ELEC7i11CfT'/ THIS INSPECTION REQUEST WILL NOl
firigpe-MWrry BM¢ - Room S173 BE ACCEPTED BY iHE STATE BOAtiD
18P7 UnNMHy Aw.. SL Poul. GN 55106 UNLESS PROPEH INSPECTION FEE IS
PMans1612181YdB00 '."_" ENGLOSED.
.?11'219?
P 15079
REQUEST FOR ELECTRICAL INSPECTION
10 See insirudbns tor tompleting this brm on back oi yelbw copy.
'7C" Below Work Covered by This Request
^ EB-00001-07
'" 9293a(:;0
e Add Rgp. TypeotBuilding AppliancesWired EquipmentWired
Home• Range Temporary Service •
Duplex Water Heater Electnc Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace -
Farm Air Conditioner
Other (speciy) Coniredor§ qemerka:
Compute lnspection Fee Below: al"n
# Other Fee # ServiceEniranceSize Fe # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Transformers Above200_Amps -100_Amps
SiyOS Inspector5 Use Only: /. 7OTAL So
Ivigation Booms
Special Inspection
Alarm/COmmunication
O[her Fee
I, the Electrical Inspector, hereby
tif
h
h flOOgn-m oa?e
y t
cer
at t
e above inspec[ion has
been made. F;,,,i oa?e
Jt?
OFFlCE USE ONLY
This raQUest voi0 18 moMhs Iram
f? 15 0 7 9 ? ?Y ..J 9/*
Requea?te ' Flre No.
• Rough-in Inepeclion
RBquireE?
? Yes ? No
G Re9tly Now
? Will Nolity Inspector
When ReadyT
I[yeensed contractor ? owner hereby request inspection of above eledrical work at :
Job A ($ireg? Box w NoJ
?U Ciry ?
SeGion No. Township Name or No.- Renge No. CouMy
Occu (PRINn Zrre o.
PowerSupp r AtlGress ?
Elechitel Contractor (Company Name) Ca aS e e No.
Mailing Atldress+( n 7?y? ?jr . le n) OrK 14J40 S.C.IVAY
A?t i ?u9lVw??qr,Makjng,l?stalldtion
G
?
Y? 1,93
61/
24
Plwice Number
MINNESOTA STATE BOAPD OF ELECTflICITY THIS INSPECTION qEQUEST WILL NOT
Grtgge-Midway Bitlg. - poom 5173 BE ACCEPTED 8V THE STATE BOARD
1821 Unlveniry Ave., St. Paul, MN 55700 " UNLESS PROPER INSPECTION iEE IS
Plqm (612) 842-0800 '" ENCLOSED.
7 REQUEST FOR ELECTRiCAL JNSPECTION ee-ooooi-ope?
/. ? I, See ins<ructions far campletine this form on back oi yellow copy. ?G?ra
si n Q n n "x" seroW Work Covered by lhis Request
14104 Add Ifie.g.1 TYOe nl Builtlin9 ApPliOnCee Wi'ed Equiument.WireO
Home Range 7emporary Service
Ouplex Water Heater Lightin Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader'
Industrial Bida. Air Conditioner Bulk Milk Tenk
Farm
p fee ServieeEntreneeSiza N Fae Fexders/SUCleaders p Fee Cimuits
0 to200Am 0 to30Ams Otn30Ams
Abave 200 qm s - 31 to 100 Amps 31 to d00 Am -
Swimmin Pool Above 100-Am s A6ove 100_Am s
Transiormers rrigation Boorris Partial-'Other Fee
LI _J si9ns I I ISpecial Inspec[ion ?
perrerks So„50 TOTAL F
. " l
I, Poa Elecv
Inspector, heraby
cartily thet tha above
inapec[ion has been
maee.
requeat
This rupuest void
18 monihs fwm
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Phone16121862-0800 ENCLOSED.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136627
Date Issued:05/24/2016
Permit Category:ePermit
Site Address: 810 Golden Meadow Rd
Lot:3 Block: 1 Addition: Sunset 9th
PID:10-72994-01-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Jeffrey D Guenther
810 Golden Meadow Rd
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152084
Date Issued:09/27/2018
Permit Category:ePermit
Site Address: 810 Golden Meadow Rd
Lot:3 Block: 1 Addition: Sunset 9th
PID:10-72994-01-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Jeffrey D Guenther
810 Golden Meadow Rd
Eagan MN 55123
(651) 270-2960
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature