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4631 Lenore LaneCITY OF EAGAN Addition Ridgerl i ff Fi rst Adrln Loc d eik 1 n Parcel #10 639R0 fldfl 1 fl Owner st,eet 4631 Lenore Lane State Eagan, NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STR E E T S U R F. STREET RESTOR. GRADING SAN SEW TRUNK 1rZ 1980 184.49 12.30 is 147.62 c007695 2-18-82 SEWERLATERAL 204 19$2 1305.42 WATERMAIN WATERLATERAL 1982 1260.79 WATER AREA ?? 147.62 coo7695 2-18-82 STORM SEW TRK 1982 63$.24 2 STORMSEWLAT 1982 955.45 5 955.45 Services 1982 637.75 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 500.00 if BUILDING PER. 65 SAC PARK CITY OF EAGAN 1 i3400 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for "za•° Est. Value ?A•: cm Date '^C4 1 , 19 -_'IJ SiteAddress 46"'1 1XI14`)"IF U? LOt - Block Sec/Sub. OFFICE USE ONLY P8rC21 NO. Occupancy - FEES s Name ?'?# ??A?=a?++A'r+?xf Zoning (Actual) Const - _ Bltlg.Permit 46•00 _ 3 AddfOSS (Allowable) - S h • 5i? 0 City ?AGAil Phone -•t7re-270 #ofstories urc arge - Plan Review Length _ p Name Depth - SAGCity Z ¢ 0 AddfBSS S.F. Total - 0 SAC, MCWCC City Phone S.P. Footprints - Water Conn On Site Sewage _ ? w W Name On Site Weli - Water Meter ?? Address MWCC System - aw City PhOn2 CiryWater qcct. Deposil - S 'W P mi[ PRV Required ? er _ 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 Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: Planner - Park Ded. on the express condition that all work shall be done in accordance with all Council - applicabie State of Minnesota Statutes and City of Eagan Ordinances. B1dg. Off. _ Copies '`?" " Building Official Variance - TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Faotings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Metei Plbg. Inspecbr- Notify Plumber Engr./Plan Bldg. Final DeCk Ftg. c- Deck Final Well Pr. Disp. S7•73-51 CONTRACT PRICE Site Address 46311 e 11 o f¢ Lot!?/__ Block ? ?) (D Name m Addrp. tF c Cit? = Name c Adc?a o ?ity - . . PERMIT # j MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 7a=#924 ?-/ PN[]NP 656_117M1 Z- ?i Phone Phone TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent T CFM Gas Piping Outlets # Other Ins+• k8n.4¢ stoc. rrPe ? v Res. x ? Mult ? FEE S/C: ? TOTAL• 100 ? WORK DESCRIPTION New x Add-on Repair 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 - COMM/IND FEE - 20.00 STATE SURCHAiiGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN ?'.q,,,, ..-.a •. . .. :.. . -ti . . +c? i...» -n . . . . . . . .-.... . - . . _ .... ,. i?- . . . . . _ - . ..:rre . . . .- :f' `. ,.. _ .. CITY OF EAGAN 18373 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 - BUILDING PERMIT Receipt # To be used for Est. Value ;1 ?000 Date SEP 14 19 90 Site Address 4631 LENORE LM Lot 4 Block 10 Sec/Sub. RIDG6CLLfP'E IS' Parcel No. W INarrie ? a' ?YA i1Al1CINCTON 3 Address 4631 LEtdORE LN ° City EAGAN Phone 379-2207 ,o Name sAME zi- g Q Address ? City Phone ww Name P Address a W City Phone I hereby acknowtege that I have read this application and state that the in(ormafion is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ti'Signalure of Permitee ; • ' ! ' • w a 4 -. - A euilding Permit is issued to: ??R MAYA WAUCINC'PON on the express condition that all work shall be done in accordance with all applicable Slate of Minnesota Statutes and City ol Eagan Ordinances. Building Official . •? OFFICE USE ONIY Occupancy - Zoning - (Actual) Consl - (Allowable) - a ol Stories - Lenglh - Deplh - S.F. Total - S.F. Pootprints - On Site Sewage - on site weil - MWCC System _ Cily Water _ PfiV Required - Boosler Pump _ APPROVALS Planner Council Bldg. Olt. Variance Bldg. Permit Surcharge Plan Review SAC, Cily SAC,MCWCC Waler Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL FEF_S 26,00 .SO 2$.SO r Permit No. Permtt Holder Date Telephone # WATER SEWER PLUM8ING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundalion Framing Roofing ROUgh Plbg. CJUS U? RJt Gh`//''?/? ? Rough Htg. [5ul. P6tiE Acn),L Fireplace P ic..E -?27 y2.- Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notity Plumber Engr./Plan Bldg. Final Deck Ftg. Deik Final Well Pr. Disp. PERMIT # CI7Y OF EAGAN i MECHANICAL PERMIT RECEIPT # 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res Comm Inst 2. New ? Add ? 3. Total Bid Price ???U• ? 4. Job Address Lot BlackSec 5. Owner , 6. Contractor 'Ll (Name) (screet) 7. Contractor Phone # ? FEE ----T*--- ?L v^w / ? S/C i 5l:? TOTAL u'. Alter Repair (Ciry) ' (Zip) ? nwivor ? n ? n`En i?rvv - v i-i w,UvU o i U a-?c4.Vv. cacn anunivi iai av,wu D I V s ve nauwi i -yv.vv RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00."£ach additional 6,000 BTU's or fraction -$6.00 MODIF ATIONS/ALTERAT/IONS -$10.00 minimum fee- _ ATING " VENTILATING HO'f WATER STEAM AIR COND. AID PIPING PiiOCESSED PIPING AIR HAND. EQUIP. REFRIG. f RES. CaAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRI PLUS $.50 STATE $URCHARGE FOR EACH $1,000 OF FEE. ?? Si9ned: for Approved is: Date Rough Insp. Date i Final Insp. PERMIT #, REC-.aPT # DATE CITY OF E/kGAN PLUMBING PERMIT 454-8100 MINIMUM RESIDENTIAL FEE -;10.00 + $.50 MINIMUM COMMERCIAL FEE - $20.00 + $•50 FEE ( = (D sic `D U TOTAL ? t) v 1. Bldg. Type: Res 1, Comm Inst 2. New X Add Alter Repair 3. Total Bid Price 4. Job Address 11 L2 I tILf_LL-) Li ? ' Lot Block iSec 5. Owner i- r' ??, i? ?,,:i?? ?. ? s. Contractor ?- ?JJ_? lcLa (Neme) (Street) (Ciry) (Zip) 7. Contractor Phone # NO. FIXTURES '$ Water Closet - $3.00 TBath Tubs - $3.00 ?Lavatory - $3.00 Shower - $3.00 TKitchen Sink - $3.00 -Urinal/Bidet - $3.00 NO. FIXTURES ' Laundry Tray - $3.00 =Floor Drains - $1.50 I Water Heater - $1.50 Whirlpool - $3.00 __TGas Piping Outlets - $1.50 -Softener - $5.00 NO. FIXTURES -Welt - $10.00 Private Disp Syst - $10.00 .t?_Rough Openings w/o Fixtures - $1.50 COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for V T Approved Inspections: Date Rough Insp. Date Final Insp. } . .. @ V BUILDIkG PERMIT To b?used for SF D , Site Address 4631 Lot 4 Block •1() Parcel No. Receipt # i-/ O0 U n.t> .iANUAF,Y 21 Io B6 Erect ?x Occupancy R3 Remodel ? Zoning Rl Repair ? Type of Const V Addition ? No. Stories Move ? Length 40 Demolish ? Depth_? E Int. Impr. ? Sq. Ft. Install ? Approvals Fees W Name O.°.RIN THOMPSON IiOMES 3 Address 1712 fiOPKINS CROSSROAL7S ° Ciry MT'¢A Phone 544-7333 Assessment _ Water & Sew. Police o Name $ Q Address ~ City Phone Name Fire CITY OF EAGAN p, , C, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ??-- 11465 PHONE:454-8100 Phone Iherebyacknowledgethatlhavere d this application and state that the information is correct and agree omply with all applicable State of Minnesota Statutes and Ciry o an Or ' ances. Signature of Permittee Eng. _ Planner Council Bldg. Of Permit ? 316.00 Surcharge 3G.50 Pian Review---$' 00 saC 575.00 Water Conn. 500.00 Water Meter 63 50 Road Unit 260 • UO Tr. PI. 132.00 Parks Var. Date I Copies ? Total `a2.055.00 ORRIN THOMPSON HO S A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicVe State o( Minnesota Statutes and City of Eagan Ordinances. ParmN No. PwmH Holdw Dtle TNophorre k Plumbing M.V.A.C. ElaeMc SONMM ImpseHon Dats Insp. Commenta FooHngsl ?y g a Footings II Foundatlon Froming RooHnq Nouyh Plbq. IO' &7 7 Rouph Hty. Insul. Fireplace Final Mty. '?•?D Final Plbq. 2-2? ffidp. Final •bE6 Cort. OcC. ?•fp't!o CA. L o arxJNfl[ L DIsp- 3830 Pilot Knob F BUILDING PERMIT T? K. BAS6tENT FINZ$H 5i1e Ad$ress LA% Lot Block Sec/Sub. Parcel No. w Name TH? WAI.KINC:i'ON o Address ? LN I City Phone 452-1140 ,o Name s? ?a Address UQ ? City Phone V¢ ww Name ?? Address <W City Phone 1 hereby ackcwwlege that I have read this application and state that the information is correct to coply with?l app' able State of Minnesota Statul ?iry of Eagan O dina ces.- j Signature of Permitee F A Building Permit is issued to: TEIOMAS mur*m on Ihe express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City ol Eagan Ordinances. Building Olficial ' - 5 ? 1853 ? OFFICE USE ONLY Occupancy - FEES ? Zoning - 3r>.00 (ACluaq Const - Bldg. Permit (Allowable) - Surcharge 1.00 # ot Stories - Lenglh _ Plan Review Depth - SAQ City S.F. Total - SAC, MCWCC S.F. Foolprints - On Site Sewage _ Water Conn On Site Well - Water Meter ? MWCC System - Accl. Deposit City Waler _ PRV Required _ S/W Permit Booster Pump - S/W Surcharge Treatment PI APPROYALS Road Unit Planner Council - park Ded. - BIdg.Otf. _ Copies _? ---3-1 - Variance - TOTAL . PermH No. Permk Holder Date Telaphone # WATE'fl SEWER PLUM81NCa H.V.A.C. ELECTRIC bci Inspection Date Insp. Comments footings I Foundation ' Framing Roofing Rough Plhg. Fiough Htg. Isul. Fireplace Final Htg. Fnal Ptbg. Const. Meter Pibg- Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Flg. Deck Final Well Pr. Disp. 3 A??t 1?.? Y Cl'!'Y OF fAQAN WATER SERVICE PERMR 3830 Pilcrt Knob Road P.O.Box711gg PERMIT NO.: Emgan, !%N 55121 DATE: ^ 26_` zeNng: _ No. of Unitz ? Owner; Address: Site ^ddrcss• Le:?ore .ar_e i ge l1 s Plumbea ^c so:? ^ hkhr No.: 6 a 50 . 0Opd StzB: n?? a1 1. 00pd a?ee. No.: o E- , , . ae i ,,n p?? ' 1 ..me ro ??, ,.? ?.. ?p gi? ti? .5o a Adlwe Misc. Charpes: - _ . [. p Total: ?i . . 5:1 DC. E7 Bv DaM Paid: Dote of Insp.: Insp.: CITY OF EAGAN ?y? SERVICE PERMIT 3830 Pilot Knob Road P. U. Box 21199 PERMtT NO.: Eagar MN 55121 DATE: Zonirp: No. of Unih: Ownsr. Addrcss: Site Addi %umber: I Nme h wsply wNh !M Qhr of Eeyen Connaction Charye: OrdiNnam AccourM Deposit: PemNt Fee: Su?churps: By Chorpes: Miac . ; Date of Insp.: Totol: Insp.: Date Paid: CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIr P. O. Box 21199 PERMIT NO : Eagar MN 55121 2o i . Di1TE: n rg: _ No. of Unlts: Owner: Address: Site Address: Plumbee Meter No.: Connection Charge: Sfze: Account Deposit: Reoder No.: Permit Fee: I Mr" to eomplr wilr !w Ckr ef Esynn Su?charge: OnumAcm' Mlse. Charpes: Totoi: B Y DMe Paid: Da1e of Insp.: Insp.: ///5/?O 1 "1'1 ? 0 f) REQUEST FOR ELECTRICAL INSPECTION ? See insimctions lor completing Ihis form on Dack ol yellow copy. i.., rw:,. n..._.- ?me ,?. ?? EB-00001-07 '" J J L ,. .....,.... ..?,,. ...,,...,..., .,? ..,.,, . .,y.....,, ,.,..,,,,,-,::. ew ? p. Peof Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./lndustrial Fumace Farm Air Conditioner Other (specity) Contrector5 Remar Srr,?• ' ni s ? Compute lnspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps 1 0_ Amps Signs Inspecror's Use Onty: TOTAL Irrigation Booms ? ' ?a Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in ? Date ` certify that the above inspection has been made. Final OFFICE USE ONLY This request void 18 months Irom Sl . , ? >c? A/i3/5o (2 33592,c C'//05?G Request Date Fire W. , gh-in InspBCtion equiretl? es ? No ? Reedy Now ? Will Notify Inspector When Ready? I? licensed contractor owner hereby request inspection of above electrical work at: Job Atldress (Street, Box or Route No.) Well L2+nore t, a ^i Ciry Section No. Township Name or No. Range No. Counry 0 f\ A Occupant (PRINT) ?.WWA, A Phone N0. 3?C( ^ ZZO . 5z? ? ?L(? Power up0lier qddres5 Eleclrical Con(raclor (Company Name) V W ??• Contrac?or's License No, Mailing Atltlress iContraclor or pwnerMaking Instaliation) 114 3( Le.'w.- e L a? 5?' ? P. e Signature iCOn actor/Own r Ilation) I .J Phone Number y52 - i l 4J MINNESO7A STATE BOAHD OF ELECTRICIIQ THIS INSPECTION REOUES7 WILL NOT Grigga-Mltlwey BIAg. - Room 5173 BE ACCEPTED BYTHE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)602-0800 ENCLOSED. CASH RECEIPT ? ? CITY fOf EAGAN ? , . . OX 21-199 E AN, MI ESOTA 55121 ?? 1 ? ? / 19 AMOUNTI/ I $ & DOLLARS a ? CASH ? CK FOR PUND COOE /1MOLJNT ? ( ?rR 9 ? 122 J o e-? lo <^-c - - Li Thank You BY N_ 59196 White-PaYers CopY Yellow-Posting Copy Pink-File Copy CITY OF EAGAN N0 18535 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 " P1-10NE:454-8100 BUILOING PERMIT Receipt # To be used for BASEMENT FINISH Est. Value $1, 500 Date NOV 9 , 1990 Site Address 4631 LENORE LN Lot 4 Block 10 Sec/Sub. RIDGECLIFFE 1S7 Parcel No. W Name THOMAS WALKINGTON o Address 4631 LENORE LN City EAGAN Phone 452-] 140 g Name _ OU a Address ? Cliy _ Phone ? WwwName P Address aW City Phone I hereby acknowlege that I have read this application and state that the State of information is correct and $to comply 50; Minnesota Statule ity of Eagan 1 dina Signature of Pe rmitee A euilding Permit is issued to: THOMAS WALKI GTON on the express condition that all work shall 6e done in accordance with all applicable State of Min?nesota Statutes and City of Eagan Ordinances. 6uilding ONicial W Occupancy Zoning (Actual)t Consl (Allowable) # ol Stories Length Depth S.F. Total S,F. Foolprinls On Site Sewage On Site Well MWCC System ciry water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance OFFICE USE ONLY FEES Bldg. Permit SurCharge Plan Review SAQ City SAC,MCWCC Water Conn Water Meter AccL Deposil S/W Permit SNJ Surchatge 7reatment PI Road Unit Park Ded. Copies TOTAL 35.00 1.0 n 1.00 37.00 CITY OF EAGAN NQ 16400 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 hPHONE: 454-8100 0 I -7 3 .-7 BUILDING PERMIT Receipt # - To be used for DECK Est. Value $1, 000 Date MAY 2 , 19 $9 Site Address 4631 LENORE LN Lot 4 Block 10 Sec/Sub. RIDGE CLIFFE 15 OFFICE USE ONLY PBfCBI N0. Occupancy - FEES Zoning - W Name TOM WALKINGTON (ACtual)Const - BIdg.Permit 26.00 Address 4631 LENORE LN (Allowable) - h S 5O . o City- EAGAN Phone 379-2207 aorstode5 - urc arge Plan Review Length _ F NdfT18 _ -S? Depffi - SAQ City t 0 Q AddrBSS S.F. Total - ? ¢ SAC,MCWCC r City Phone S.F. Footprints - Water Conn On Sile Sewage _ r ww Name On Sita Well - Water Meter l= Address MWCC 5 stem y - 00 aw City Phorle CiryWater _ Acct Deposit S/W Permit PRV Required _ 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 Minnesota Statutes and ity of Ea n rdin es. Treatment PI r Signature of Permitee ? APPROVALS Road Unit A Building Permit is issued to: TOM WAL NGTON Planner - park Ded. on the express condition that all work shall 6e done in accordance with all Council - applicable State of Minnesota Statutes and Cit of Eagan Ordinances. gld9. pff. _ Copies Building OffiCial ,' AlH?A-PA,/ ? Variance - TOTAL 26.50 CITY OF EAGAN Np 1 8373 3830 Pilot Knob Road, P,.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 _`1 ? ?ql BUILDING PERMIT Receipt # T / ?X To be used for FIREPLACE Est. Value $1, 000 Date SEP 14 ,1 9 90 Site Address 4631= LENORE LN Lot 4 Block _14 Sec/Sub. RIDGECLIFFE 1ST OFFICE USE ONLY PBfCBI N0. Occupancy - FEFS u ?? 0 Zoning - W Name TOM & MAYA WALKINGTON (ACtual) Const _ Btdg. Permil `21?7D" 3 Address 4631 LENORE LN (qllowable) - .50 0 Surcharge City EAGAN PhOne 379-2207 #o(Stories _ Plan Review Length _ p Name SAME Deplh SAG City Z ? 0 Addf85S S.F.Total - - 0 SAC,MCWCC ? Cilty Phone S.F. Footprints _ Water Conn On Site Sewage _ ? W w Name On Site Well - W wl t t _'a AddfOSS MWCC System er a er e - ?d W City Phone City Water _ Accc Deposit i PRV Required - S/W Perm t I hereby acknowlege that I have read this application and state that the Boosler Pump - SiW Suroharge information is correct and agree to comply with all applicable State o( Minnesota StatutBS and ity ot Ea n Ordin ncfls. A Treatment PI / ?SignaWre of Permitee APPROVALS Road Unit A Building Permit is issued to: TOM OR M W KIN Planner - park Ded. on the express condilion that all work shall be done in accordance with all Council -. applicable State oF Minnesota Statutes and City ol Eagan Ordinances. gldy. pff. _ Copies Building Official R'kA j r,r m.? Variance - TOTAL 26.50 CITY OF EAGAN t?' o 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' V' 11465 PHONE: 454-8100 BUILDING PERMIT p ' Receipt # ?/."' 5/ To be used for SF DWG/GAR Est. Value $ 61 ,0 0 0 Date JANUARY 21 19 8 6 Site Address 4631 LENORE LN Erect Occupancy R3 Lot 4 Block 10 Sec/Sub. RIDGECLIFF 1ST Remodel ? Zoning R1 Parcel No Repair ? Type ot Const. V . Addition ? No. Stories ? ORRIN THOMPSON HOMES Name Move ? Length 40 Z 1712 HOPKINS CROSSROADS Demolish ? Depth- 4( 3 ° Address lnt.lmpr ? S Ft. 9 ciry MTKA phone 544-7333 Install ? = a Name SAME ? Q Address ~ City Phone ?Q ? W Name z ? Z5 Address a W Ciry Phone Ihere6yacknowledgethatlhaver dthisapplicationandstatethatthe comply with all a plicable State of information is correct an2E? Minnesota Statutes and Signature of Permittee Assessment Water 8 Sew. Police Fire Eng. Planner Council Bldg.Off. 4/16/85 Fees Permit $ 316.00 Surcharge 30.50 Plan Review 158.00 sAC 575.00 Water Conn. 500 . 00 Water Meter 63 . 50 Road Unit 280. 00 Tr. PI. 132. 00 Parks Var. Date Copies Total 52.055.00 A Building Permit is issued to: ORRIN THOMPSON HOMES all work shall be done in accordance with ? pli le State of Mi nes Ste Building Official on ihe express condition thai and City of Eagan Ordinances. REQUEST FOR ELECTRICAL INSPECTION „ es-ooooi-oa ?.: ' See instrucTions for completing [his form on 6ack of yellow Copy. ? p. ,? 7$. ""X"" Below Work Covered by 7his Requesf Add Rep. Type of Building ' Appliances Wired Equipment Wired Home ' Ranye Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Fafm OthP.r, PecifY OLher (SUBCify) t er Suecity Other. . Other Compute lnspection Fee Below N Fee Service EntranceSize .M Fee , F ders/Subfaeders #Fee Circuits 0 to200Am s 6to30qm s Oto30Am s Above 200 Amps pp. 31 to 100 Amps , 31 to 100 A n-VPS Swimming Poof . Above 100-Amps Above 100_Am s Transformers Irngation Booms PartiaL'Other Fee SignS Special Inspection S T TA Rerr+?rks ? F Il//lt_.?ir(!A Jldltl/sYL?-('/ Rough-in r 10 Dale 1, the Electrical Inspector, herehy cer it th t ih b •?- y a e a ove ection has baen e. This request void 18 months from This reques[ void 8 months imm ? I -? 1 - J- (-,! 1 ?l? ° "0919 7 8 L L! 13 1 46M Request Uate Fire No. Rouph-in Inspection iie uired? G LYili Nntify InsPec- E]Ready Now X / - y Yes ? No . to( Whr.n Ready aLicensed Elec[rical Contractor I hereby request inspection of above ? Owner elactrical work installed at: Street Address, Box or Route No. . Cit ection o. I Township Name or No. Range No, ount Occupent(PRINT) Phone No. q&" l 3Y'I- ?3 Po er Supplier Address . ?Soo ? . Ele rical Contractor (COmpany Neme) Contraclor.s Lic nse No. .Q=q Mailing Addr s Contrac or or Owner Making Installation) `p ?O $ /V • . ?e. Authorize Signature (Contractor/O er Makinp Instulla ion) Phone Num er ' 144* MI ESOTq STATE BOARD OF ELE CITV , THIS INSPECTION qEQUEST WILL NOT riggs-Midway Bldg. - Noom N-1 gE ACCEPTED BV THE STATE 80AR0 7821 Univarsity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. ? . I / , 114 ?_- _ . 1985 BUILDING PERMIT AP?LICATION - CITY OF EAGAN NOTE: AI.L COtTI'RACTORS HUST E3E LICENSED HITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY Plan: ? SI 1 5ET OF ENERGY CALCULATIONS lDj OOU C '7 ?,? To Be Used Far: Residence Valuation• ?U- Date• / Z- ZJ-(ss Site Address: Lot: ? Block lb Parcel $ . ? . LL VAv s-LE UANke OFFICE USE OHLY IZ ?? hF Cu F?= Sect/Sub Pi¢,ST Erect x Occupancy Owner Address City/Zip Code Remodel Repair Enlarge 1iove Demolish Grade Zoning (Z,I Type of Const _t[_ ll of Staries Length Depth (? Sq Ft Contractor Orrin Thompson Homes APPROVALS - Address 1712 Hopkins Crossroads Assessments Permit _ F7ater/Sewer Surcharge 3p, $° City/Zip Code Minnetonka, Minnesota 55343 Police Plan Revieut 1 Fire 5AC 57 5, Phone ? 544-7333 Engr 19ater Conn S?. Planner Water Meter S-° Arch./Engr Council 4,1685 Road Unit ,? Bldg Off Parks Address APC Treatment P1 132. Variance Phone t TO?AL 1 ?.Ltucn GNC?INY,C;K1NCi C,'VMYANY •'L815 WAYZAI'A S(XJLEVl1RD • M1NNE11YUL1Sr M •%YHUNr;: 374-4740 t CCRTIFICATE OF SURVEY E'OR: . Y ORRIN THOMPSON HONIES A Division of U.S. Home Corporation PROPOSED ELEVATIONS: ; First Floor = 949,10 ft. Outside Grade = 947.6 ft. Garage Slab = 947.94 ft. N 89°45'31"W -- ?29.02-- ---:1 p ',3Z NI? - ` 9$--? ?I. L 0 T N 75, 4rd??a e 04 tI 9 < v f? ?? fy Scale: 1" = 50' o Iron monument found o Wood stake set 9co.a Existing elevation w v? ? , ? ° N ? ' °j Z I Q N??n '¢,,, i ! ? ??? .Q 7 O w? 7 0tcr N v N z ? a°a ? ti z oo r W ? h Q ?.= z' .e3' ?!0 Q GAR O ,/ r•1 ?1 h-? = •?? N 46.33 ??v 251 ? O Vl ,. 347 ?2 ,, _ ``a ? r u? ? ?ro -J f,ds cn z ,1 Lot 4, Block 10, RIDGECLIFFE FIP.ST ADDITON Dakota County, Minnesota REVISIONS: 1-07-86, DB - Changed variance at front setback 1-10-86 Pr7 - Garage l.ocation cnanged to frontage left. 1-15-86 PM - Adc3ed elevations I hereby certify that this is a true and correct representation of a survey of the bound@ries of the land above desccibed and of the location oE all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. I further certify that this survey vas prepared by me or under my direcC supervision and that I am a dul Regist?red Land Sucveyor under the laWS oE the State of Minnesota M Reg• No._L?j , /,K;?Date Proposed House X As-Built House _ Drawn hv PZN 'prniart nn_85104 .?? ??? .. RESIDENTIAL BUILDING PERMIT APPLICATION J? 3O ? CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conshuction Requirements • 3 registered site surveys showing sq. (t. of'ot, sq. ft. of house: and a(I roofed areas (20°'a naximum lol coverage allowed) • ',:ccies of plao showing beam 3 window sizes; poured found desgn, etc.) • t set of Energy Calculations • 3 copies of Tree Preservalion Plan if lot olatted afler 711/93 •.4im Joist Detail Options seiection sheet ;'bidgs with 3 or less units) DATE SITE ADDRESS" TYPE OF WORK i APPLICANT_ STREET ADDRE55 TELEPHONE #(/;L k41P ??l I t PROPERTY OWNERT ,? ?ja I i Ml ^ TELEPHONE #(6? ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY cnergy Code Category _ MIV"VI:SO1'_1 R[`LL.S 7670 C_ATLGOKF 1 -MIti"NLSOT:A RCLL-S 7672 (d submission type) . Residential Ventilation Calegory 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted v Plumbing Contractor: Plumbing system includes: Mechanical Contractor: N[cch;uiical Sv5tcm includes: Sewer/Water Contractor: Water Softener Water Heater No. of Aaths Air Gouditiouin? -- Heae Recovety Systriri RemodeUReuair Reauirements • 2 copies of plan • 1 set of Energy Calculations for heated adddions • 1 site survey for extenor addilions 8 decks • Indicate it home served by septic syslem for additions _ Phone # Larvn Sprinkler No. oF R.I. Baths Phone # z I t, . 7 -S 0 1 2 P'ee: $90.00 Fcc: 5 Phone #,? - • - GV ? I hereby acknowledge that I have read this application, state that the information i correct, and mply with all applicable State of Minnesota Statutes and City of Eag ? ances. g Signature of Applica ---------------------------------- °------------------ -------------------- ------------ -----------°----°---°---------------------------------------•------------ OFFICE [7SE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 MULTI-FAMILY BLDG Y ?N I Q VALUATION ?vO ? / I-S /? 3 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 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 UNZTS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BIIT 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 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 BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: ? Site Address ? ?l ( t P f Gi C' -? Valuation: Lot ? Block 1a- Parcel/Sub i Owner I? Address City/Zip Code ? o a Phone Contractor V-,') ea- Address City/Zip Code Phone Arch./Engr. Address City/Zip Code 9-(V-S0 Date: Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. OFFICE USE ONLY On site sewage On site well MWCC System City water PRV Booster Pump APPROVALS Planner Council Bldg. Off. Variance FEES 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 -? ? Phone # Date: -5-- / SINGLE FAMILY DWELLINGS + ? 400 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY9 1 SET OF ENERGY CALCULATIONS NOTE: ADDRFSSES FOR CORNER LOTS - CONTR9CTORIHOMEOWNER MITST DESIGNATE WAICH 9DDRE55 I3 DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS I3SUED. MULTIPLE DWELLINGS 1989 BIIILDING PERMIT APPLICATION - CITY OF EAG4N RENTN. [JNITS FOR SALE DNITS # OF QNIT3 INCLUDE 2 SETS OF PLAN59 CERTIFICATE OF SURVEY - C$ECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COI+IlMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS 445. Be Used For: Valuation: ! L900 Site Address YQ3 q L-Qhpc?2 (" ? Lot 4 Bloek (0 Pareel/Sub C1Oke' Owner Address /Y?-- City/Zip Code Phone Contraetor n'uuI`E33 City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # OFFICE Occupancy Zoning Actual Const Allowable 4E of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System _ City water _ D4?T r2C1UiTeC?. ? Booster Pump _ APPROVALS Planner Council Bldg. Off. Varianee Council F ? . FEES Bldg. Permit Surcharge 15-0 Plan Review SAC, City SAC, MWCC Water Conn Water Meter Aeet. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Dsr3. Copies TOTAL a ? 4 NOTE: Sewer & Water Permit fees and aeeount deposit Pees xill be ineluded in the building permit fee. Processing time for sewer and rrater permits is two days once a licensed plumber has applied for a permit at City Iiall. ARK ENGINEERING COMPANY • 2815 WAYZATA BOULEVARD • MINNEAPOLIS, M • PHONE: 379-4740 U CERTIFICATE OF SURVEY FOR: ORR1N THOMPSON HOMES A Division of U.S. Home Corporation --? ?R w'E r1 S 1l+1 S a1"4?1i2 ?9 -? v4#yv e ? Ufi%f? Scale: 1" = 50' • Iron monument found Fase?ehl I hereby cer[ify that this is a true and correct representation oE a survey oE the boundacies of the land a6ove described and of the location of all buildin9s, iE any, thereon, and all visible encroachtnents, iE any, from or on said land. I further certify that this survey uas prepared by me or under my direct supervision and that I am a duly PA,?gistered Land Surveyor under the laWS oE the Stake oE Minnesota. • .'. ,.._ Ltcr;11, hIIV Re9. No. 1h27ZLOY Date 1- 7O 'J?W s 89°45'31" E ? , ; I / p L ?z ?o `D ? :o w N ? d' Q ? ? -i _. ab Houae- ps_guilt House 85104 W';t.Drawn by?-'Project no. ? Lot 4, Block 10, RIDGECLIFFE FIRST ADDITON ' Dakota County, Minnesota _ NoTF: i?C??aND?Tl?r? AS-:ZUIL? 4p? - 10 F3-5- 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SIIRVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CAECK 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 WHEN: 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/HOMEOWPIER 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 BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMSER. -F1N ? t #00 mwvr? b^"ftr,*- Rem"e14? bj? d To Be Used For: ? Valuation: Date: t?? Site Address L( ? 3 ( L-z,,'o V"? (-e, ''hQ Lot 4- Block 10_ Parcel/Sub Owne r{'?'?v`?S Address Uo^Nr4, 1) Lti -iA City/Zip Code ? S5( ZZ Phone 3 Contractor ?\,Y'j (f'^'y"? Address LI tI 3( LOki^Ya City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # ' li91a Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. OFFICE USE ONLY On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pwap _ APPROVALS Planner Council Bldg. Off. Variance FEES Bldg. Permit 3$'00 Surcharge -4-09-0 Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies •O"? SUBTOTAL Penalty TOTAL 00 CITY USE ONLY LOT BL ?D RECEIPT #: ? O ?5 O a- q' SUBD._C_ RECEIPT DATE: MECHANICAL PERMIT # 1999 M£CHANICAL PERMIT (RESIpENTIAL) CITY OF Filfii4N S$SO f'ILOT KNOS iiD EAfilkN MN 55122 Date: -3 _ 99 (651) 681-4675 Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occunied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU $ 30.00 6.00 • Gas outlets (minimum of one required @$3.00 ea.) State Surcharge .50. Total $ Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New -Y Alteration _ Repair _ Other Reminder: Ca11681-4675 for inspections. _ Fumace 7x- Air conditioning _ Air exchanger Other $ 30.00 State Surcharge Minimum Total Due 30.5 SITE ADDRESS: ?o -5) L{., 1 1 Drej Ln . OWNER NAME: &YI ec) f I' o?s+L in?.?-- PHONE #: ?1'?u,,,??(AREA CODE) INSTALLER NAME: YVO hIeYS ?I?,?Y 1S IdC 4-? -? PHONE #: caia - 14?J I ` ?0119 ;?7? (AREA CODE) STREETADDRESS: ???-J?jo ,?'t,ViY](?,?G (JQ ? CITY: awe,UL? I(P L/ STATE: ZIP:_-55 Gt-q_ ka',P,i e. Ak&l' SIGNATURE OF PE ITTEE . . 2/84 • CITY OF EAGAN APPLICATION FOR PERMIT 5EWER AND/OR WATER CONNECTION (PIEASE PRINT) 1) PROPIIrI'Y ADDRESS : LEGAL DE.SCRIPTION: I'r' ?r '= • ? S?'RtiC'I't.c*2E, DATE Ox' CrZTGZmL BT?'i.?ING PnmmIT ISS,.??'??.'?'...: t^?:.?'1!'1?3` ) PRESEVT Zs?"1nr,/PFtOPOSETJ USE: 1 SIDTGLE FAt,Y • R-2 DUPLF.!{ (TM UNITS) O R-3 ZCxv1?IIIatISE (THREE + [iNITS) ( LRNITS) O R-4 APAR'Il`=/QOMOMINItJ?iI - ( UNITS) • CCMMERC7AL/REIA.II,/QFFICE p II=TRIAL t7 INSTITUPIONAL/GOVEE2NMEar . -.._, .APPLICAN'P --(PLEASE PRI_NT)- _-- NA . P? - : ? • ADDRESS: ? CITY, STATE, ZIP: M-M !. 3) PLiJMBIIt NAME: - naae r ADDRESS: ? ` CITY, STATE. ZIP: N1fiMCMnL? MN ?5-3?3 . PHC7NE: q? .?5? ?Tt PIUMBER LICENSE f/ 4) OCCfJpANp/aJNER (PLEASE PRINT) . NIF3ME: ADDRESS: ?lf?JMM.1.w CITY, STATE, ZIP: PHONE: FOR C USE UNLY I S UCENSE• Aetire 5) INDICATE WHICH PERMIT IS BEILQG RDQUESTEp: ? C'ONN=ON TO CITY SEPIER ? QONDIDCTION TO CITY WATII2 ? OTFEZ (PLEASE DESCRIBE) 6) INDIGATE ONE: 7) SIGNIATL'RE: ? PLFIISE HOLD APPRaVID PEf2NLtT FOR PICC-UP BY IXVE OF ABOVE m PI.FA.SE MIL APPR(NID PMMiT TO 1, 2, 3, 4 F1BC7S1E n (Circl one) , DATE: • • *!?l?f?i?FJ??3M!l?t?lli?•r.ji{y{ ^ a '' - L . F O R C I T Y U S E O N L Y PERMIT # ISSUED ::1?1 .1 . ? . "i'?..., . .. . _. .. : ?'..: . F' . r. ft. • . _,. .. FEES: ..y.w{ ?'..'.?'`.'a ? ? " ?S?"Tr7ERx-_...,.it'MiT? (I'VCLE;D? SUP,CHARGE) WATER PERMZT (INCLUDE SURCAARGE) , S ?o3.5--c> ' WATER .METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLLJDE CORPORATION STOP $ SEWER TAP ACCOUNT 'DEPOS IT - SEWER . $ ACCOUNT DEP05IT - WATER WAC - _ _ _ --- ---?--- .. . ° ---?--rr ?-? - -SAC .. -- ( -- - --- _ _ . _ ErRUNA IWATER ? A$SES'6MENT $ _ r.,? . . . . .,....» ;. r t'1, W w ` . . ..!? , .. '?.?•,;. ? 1 k ;TRUNK SEWER" AESSMENT AaF`Ai, ,B%NSF'?IT/TFeUNK SEWER S LATERAL $E1VVxT/Z! 11I?C WATE R / v OTHER _ ??c7-.??G?-?Q-? - k ? ?i,:Fl y.;??• •`? ?'t..;.> ; ta_ . `''?; i • ,. • . i . t`.. ?- w . '` -`Z ra ? .?'r'y n, . -ir ] ! t .. . +• +' ! ? J ? ' . • . . ? . 1 . i • l - y 1 • a0 11?, Y $ ? . ? 1 AMdIINT PAID%REC'BZB'F' . , . . •. DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? XF S j# ' SF YES t0R '? ' " , PF.,RMT JFC , THEN A t K W FTITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ?- NO ENGINEERING DIVISION. LIST AS A CONDI-- , TION. SUBJECT TO THE FOLLOWING CONDITIONS: •i . •, APPROVED BY: TITLE: DATE,,:: , , RESIDENT i OWNER Name: .J 2) e C— 4/ e T 2_ Phone: 72 4(k ,r Address City 1 Zip: C- 3/ f- erk/e' C' Applicant s: Owner Contractor TYPE OF WORK Description of work: e is 6 7r f /c 5 L e's Construction Cost: G Multi- Family Building: (Yes No 2< CONTRACTOR Name: MA/ )0fj Pei i tee'r' 4/ '`5 License i C' es 3 Address: 6 z G f' z_ '7' f, /-2 f2'a City: F 7 0 0 I G G LI" 4K State: Zip: C 4 i Z g Phone: cn /Z 1 g Contact Person: E_. N ,Sc -f-/ COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer Water Contractor: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675 -5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: f Site Address: f e Suite Tenant: 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 f understand this is not a permit, but only an application for a permit, and work is not to start wit t 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. x Dc Applicants Printed Name et) 6 id 6L9L 80Z X Applicants Signature Staff: e t17 5 #q For Office Use Permit Permit Fee: Date Received: buijoo elosauu!W 6L8L 8IDE £9L Use BLUE or BLACK Ink if(e4 Page 1 of 3 'C�fl r-, e1.4:60 60 LL de'; ~Lao~00 Jbb#-V9 L1v Use BLUE or BLACK Ink _ _ For Office Use ll I C' of Ea n i Permit ' 1 3830 Pilot Knob Road Permit Fee: G Eagan MN 55122 I l 1 Phone: (651) 675-5675 1 Date Received: a ar Fax: (661)676-5694 1 I l Staff: 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans /with Lo yl all commercial applications. "~f Date: Site Address: `7 ✓ I oy Tenant: Y ~cJ7 4- vouv'r_ V, Suite Name: la rYI eSA+ V,ff,,P 0 V1 CS Phone: V151 Resident/Owner Address / City / Zip: L m rt bla~ Name: ony H(_ y- PfQ_+! _)A_ `d ~d, Y_ License g ZLC ~-d ~ Contractor Address: IC(pq ypym 1 I Ito _ C04- City: 2 State:" t l Zip: 55 Phone: 51 - `-i'31- 9 271 X 3n- Contact: Email: kf_y .(.VYIC C:i 50Y)@- ohepo(}-ifCr_ r. C0M -New Replacement -Additional _Alteration Demolition Type of Work Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL J_ Furnace _ New Construction _ Interior Improvement Permit Type -Air Conditioner _ Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit - Heat Pump Under / Above ground Tank Install / _ Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ l(L~ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) = $ Permit Fee *If the project valuation is over $1 million, please call for Surcharge = $ 5.00 Surcharge* = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work (which requires a review and approval of plans. XYlv ~C~~ VLF Jl~Y 1 X 1✓, A4 -f---- Applicant's Pranted Name Applicants ig ature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Use BLUE or BLACK Ink 3 , For Office Use Permit#: /43 i-f3 d ' City of Eaall JUN 1 Z01 Permit Fee: O ff.° 3830 Pilot Knob Road Eagan MN 55122 Date Received: �e��) " i Phone: (651) 675-5675 Fax: (651 - 94 L Staff: ..J 2017 SIDENTIAL PLUMBING PERMIT APPLICATION Date: 5--11 -1 --i- Site Address: 3 V (11,10 y10 t • �� i Tenant ' 1"°"l'oJ 4` --44/1-- i-ee.,6 Suite#: . ( pp ____ w, OI •Sa3 f. Name: �''�"�� - ..1-€1J Phone: ' 3� i,,��F a?* '� :i"ori' '�1` a Address/City/Zip: ` ' I'y,V c3' 1�, = 0 Name:Mk\ � �P �aA ��License#: E ' ' f tra'-;;;",'•;,,r,2;73-0 ', �. • UI �O / �\ � c(15 y. V\V/I 7(U 11,;,;';'.1!.0• trac ° .i` Address: Cit , q State: iN) Zi Phone: t _ ` , c.:;.:44.1‘17!.., Contact:�, 1• t\��/V� Email: . Q �t, .:1. fit� '.Qy - _New _Replacement _Repair _Rebuild Modify Space _Work in R.O.W. Description of work: j.41 xt'r �'. -; 1 RESIDENTIAL 1,#vvViiP(' 7,4,„, V:4; Water Heater / �� zM gAT-.3` •. 1,:;-€• ,..1,...,..-4:Pt: Water Softener � ' "/1,1",'?,,' ,* Lawn Irrigation( RPZ/_PVB) V Add Plumbing Fixtures( Main I_Lower Level) yt,' , a jS r p, Septic System '�. `` ,i',n *",, 755 _New Water Turnaround t Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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 wit the approved plan' the se of k which re uires a review and approval of lams. c x� ( � ``` x Applicant'§ Printed Name Applicant's Sign ure � #� ty r V @ @ 4 :.g ;a, , .,, s �,�,�;� a s+-. s # #f € K �,'�: T"i. s rt+x m '..--44-.: 10,1':,:. a f €: -e re• •e I nde Grou .. ou° t Ai i "r. � ' A a 5 b' . r ° pC 3 > , s. YC..t ''t ,I 'ltd, ; .# , kt 5 fi�„d;.,t!, f”fcVr4. � '' 1,,,,,,';1::4;411.",74:ti3 1 t is. Mete Rel ted teams t MeterVSize x . Radio Read , IYIa ,t7( L -a � ,t�e;a�Fy� t ��"�� no to ��x*`{� r �' �w�� '�.��3t��ti'„',1..-'-='1.'!-/n,- ¥� PERMIT City of Eagan Permit Type:Building Permit Number:EA143998 Date Issued:07/07/2017 Permit Category:ePermit Site Address: 4631 Lenore Lane Lot:4 Block: 10 Addition: Ridgecliffe 1st PID:10-63980-10-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 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 - Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature