4676 Lenore Lane. GAS WORK ORDER .
1082 Payne Ave. C92i ND ARD 410 W. Lake St.
St. Paul, MN 55101 Minneapolis, MN 55408
651/772-2449 EATING 0 612/824-2656
LAST t, 1, ? r? 1-7 FIRST ?)c,,c\
ADDRESS ?0-75 L.enow- 1-r1
CITYf„ ZIP 5 S/ z Z
HM PHtsf- 45fi -(,)C1O lo WK PH
TECH 1 ?- DATE
TYPE
MAKE
MODEL v ?-I C? L, J
SERIAL - ' ^
INPUT i.,oov
Inl tFlJ J v L ""' '", Il
ORSAT TEST RECORD
C02 % METERED INPUT Cfh CHIMNEY TYPE
02 lo % LIMIT SETTING )() ? FLUE SIZE ?111.
CO L % PILOT OUTAGED; I ' sec CONNECTOR SIZE in.
NET STACK TEMP ?0 TOTAL CHIMNEY INPUT c-)c)C> btuh
& AIR CONDITIONING
A Blue Dor. Service Co. EQUIPMENT INFORMATION
fz I
MECHANICAL PERMIT ""? (D L? ?
CI7Y OF EAGAN RECEIPT #,, =y
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE: PHONE: 454-8100
5ite Address "
Lot ? Bl
k
? gLpG, Typ? WORK DESCRIPTION
oc
` S?ec/Sub Res. New
? ?
Name
? Mult Add-on ?
m Address Comm. Repair
c City ? e 2-9?ii Phone Other
Name
- FEES
RES. HVAC 0-100 M BTU -$24.00
3 Address ? ADDITIONAL 50 M BTU - 6.00
p City ?^ -% - Phone z- -l (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTR,4CT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler
M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater ? M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent. CFM STATE SURCHARGE PER PERMIT - 50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE:
S/C: SIGNATURE OF PERMITT
TOTAL: 7 3
FOR: CITY OF EAGAN
CITY OF EAGAN Fiemarks
Additron ' R11ig2CL1£f4'Cll Addn - Lot I aik I } ParceWtlfl 63983 A18 ll
owner screec - 4676 Lenore Lane scaTe Eagan, M 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 110.69 7.38 15 95.95 C007109 3 27 81
SEWERLATERAL 1982 652,71 5 652.71 C007616 12-23-81
WATERMAIN
WATERLATERAL 1982 630.40 5 630,40 C007616 12-23-81
WATER AREA 1980 110.69 7.3$ 1$
Services 1982 637.75 5 637.75 C007616 12-23-81
STORM SEW TRK 1982 346.09 5 346.09 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
' SIDEWALK I
STREET LIGHT
Road Uni
WATER CONN.
BUILDING PER.
SAC
PARK
_.. . vr EAGAN Remarks
Addition Ridgg??Ef 4t.h - A , dd7}, Lot ,2 Blk I I Parcel 410 63083 020 iI -
I owner??` screec 4678 Lenore Lane state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
, GRADING
SAN SEW TRUNK 1980 110.69 7.38 15 95.95 C007109 3 27 81
SEWERLATERAL ^ 1982 652,71 5 652.71
WATERMAIN
WATERLATERAL 1982 630.4b S 630.40 C007616 12-23-81
WATER AREA 19$0 110.69 7.38 $
Services 1982 637.75 5 637.75 C007616 12-23-81
SEW TRK 1982 346.09 5 346.09 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREETLIGHT
Road Unit 185.00 23866 3-24-81
WATER CONN, 335.00 23866 3-24-81
BUILDING PER.
SAC
PARK
GITY OP EAGAN Remarks
Addition Ridgecliff 4th Addn. Lot 4 aik 11 Parcel #10 63983 040 11
owner ' street 4680 Lenore Lane scate Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 95,95 C007109 3 27 81
SEWERLATERAL 1982 652.71 5 652.71
WATERMAIN
WATERLATERAL 1982 630.40 5 630.40 C007616 12-2 -8
WATER AREA 95.95 0 9 3 1
Services 1982 637.75 5 637.75 C007616 12-23-81
STORM SEW TRK 1982 346.09 5 346.09 C007616 12-23-31
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
6UILDING PER.
SAC
PARK
CITY OF EAGAN
Addit,on Ridges.liff?tkh-Adcip- - Lot 74 Qik I I Parcel #10 6398030 1l
Owner Street 4682 TPnnrP T.anp State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 110.69 7.38 15 95.95 3/27/81
SEWERLATERAL 1982 652.71 5 652.71 C007616 12-23-81
WATERMAIN
WATERLATEFAL 8 630. 0 5 630.40 C007616 12-23-81
WATER AREA ilia- 19$0 110.69 7.38 1$
Services 1982 637.75 5 637.75 C007616 12-23-81
STORMSEW TRK 1982 346.09 5 346.09 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
R
WATER CONN,
BUILDING PER. 6556
SAC
PARK
` . CITY OF EAGAN
.. _ ' 3795 Pilot Knob Road Eagon, MN 55122 N2 6556
PHONE: 451-8100
BUILDING PERMIT Receipt #k --
To 6e osed for :=.` Est. Value 3? r' Date , 19_
Site Address ri.• Ered 0 Occupancy --?
LoT Block Set/Sub. Alter ? 2oning F?
pa?l .# ' ?;? G3n 11 Repair ? Fire Zone
z
Z
0
Enlarge 0
Name Move ?
? c.
' l ?.
Addres,s ??) . i... .P
j44--733; Demolish C]
r_....? n
o Name
OU Address
f r..., a.....e
I hereby acknowledge that I have read this application and state that
the information is conect and agree to comply with cll opplicable
Siate of Minnesota Statutes and City of Eagon Ordinances.
Type of Const.
# Stories
Front ff.
Depth ft.
Fees
Assessrhent Permit -J.- '.
Water & Sew. Surcharge 1? • '
Police Plan check
Fire ..„r -
SAC
Eng. Water Conn. ? ?^' •'? '
Planner Water Meter ?? • ? ??'
Council +. r
Road Unit rin
Bldg
Off
.
.
APC
Total
Signature of Permittee ?
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all oppliwble State of Minnesoto Stotutes and City of Eagan Ordinances.
Building Official
FweM # Dafe Iww Permi}fr
Plumbing ? Y -
Mechanicol Z $ 6 j -el ZVE( ?`
T42$CoS S/ Bf( Ec ?
INSPECTIONS DATE INSP. Rough-In Final
Footings - -&/ Date Insp. Date _ Inw•
Foundatipn Plumbing
rame ns. 8' Mechoniwl
Final ?-f
Remarks: y 'Z 9 -F /
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
fill in numbered spaces S/C -
Type or Print legibly Tot.
1. Date j- 7--. ' 2. Installation Cost
3. Job Address ore ); Lot Blk. 1 i Tract '',frr f"'
4. Owner Olx'iri '711cw - . ;c-*' ' ? r ;? =•
5. Contractor rcnZ ??,?-:
? _ Phone :..? _:.1 .-.
6. Address 7?74.5 S r'c;.--r "?-
7. City '???rlt State
8. Building Type: Residential [I
9. Work Description: New ?
10. Describe
71.
zip i5060
Commercial ? Institutional O
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Ce
s
ol/Dr
infield
Bath tubs po
s
a
Se
ti
nk
T
_
_ Lavatory p
c
a
Sottner
Shower Well
_ Kitchen Sink
Urinal/Bidet Other
_ Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
. j Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
. Approved CITY OF EAGAN 454-8100
Receipt
MECHANICAL PERMIT
CITY OF EAGAN
I fill in numbered spaces
Type or Print legibly
Permit No.
Fee
S/C `
Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract '
4. Owner
5. Contractor Phone
? - r-
6. Address
7. CitY State - Zip
.. r
8. Building Type: Residential U Commercial ? institutional ?
9. Work Description: New ? Add ? Alter 0 Repair ?
10. Describe ;' IN',' Fuel Type n,tt,
11.
No. Epuioment BTU - M. Ea.
Forced Air No. Equipment CFM
A
Mfg. ir Handling:
Boilers '
-
Mfg. - Mech. Exhaust
Unit Heater
_ Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12.
I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
I Rough Final
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
CITY OF EAGAN
3795 Pilof Knob Road Eo9an, MN 35122 N2 6557
PHONE: 454-8100
BUILDING PERMIT ReceiPt # ---
To be used for ' Esf. Volue ' Dare , 19_
Site Address r" Erect 'p Occupancy
Lot Blxk $ec/Sub. Alter ? Zoning
Parcel .# Repair ? Fire Zone
E
l T
f C
n
arge ? onst.
ype o
W Name
- Move
?
# Stories -
Z Addreu
; Demolish ? front - ff.
° ?-:«, -_ ?
• r . ' n?..,_,. .- n,q _ 7 ? -? Grode fl Deoth ft.
o Nome -
z
Address
rc
DL.....e
Name _
Addreu
I hereby acknowledge that I hare read this application and state that
the informotion is correct and agree to comply with all applimble
State of Minnesota Statutes ond City of Eagan Ordinances.
Signoture of Permittee
A Building Permit is issued ta
ull work shall be done in accordance with all applicoble
Building Officicl
Fees
Water & Sew.
Police
Fi re Eng.
Plonner -
Council -
Bldg. Off. -
APC
Permit : L • "'
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit - I
Total ;'i ?,'Jr
on the express condition that
Statutes and City of Eagan Ordinonces. ,
r«mu # oare im.a v..mxe.e
Plumbing y- - ?/ c
Mechanical 4)F(
ci'cn.l 7 2/?2S1,q -IC - 13e[ o?: F-c L
INSPECTIONS DATE INSP.
Rough-In
Finul
Footings Date Inso. Date ? lnw•
Foundation Plumbing 4y ?
. m i s MecFwnical
inol
y ??-F?
Remorks:
Recaipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fil1 in numbered spaces S/C
Type or Print /egib/y T
ot.
1. Date -7-'. ' Q, Installation Cost
3. Job Address '"r?) r-?OrC? ?Ta` Lot ? Blk. ? i Tract "
4. Owner ':L'Tj.n 'IY1Q' ?i>cx jir° ::3
5. Contractor r-en' 1`Ya" Phone
6. Address
7. City "Y%SE31?D141t State
8. Building Type: Residential 0
9. Work Description: New ?
10. Describe
11.
zip )5n60
Commercial ? Institutional ?
Add ? Alter O flepair ?
No. Fixtures
Water Closet No. Fixtures
f i
Ce
l /D
i
ld
Bath tubs e
sspoo
ra
n
S
i
T
k
_ Lavatory ept
c
an
f
S
_
Shower tner
o
W
ll
_ Kitchen Sink e
_ Urinal/Bidet Oth
Laundry Tray er
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
. Hough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4545100
Receipt MECHANICAL PERMIT
CITY OF EAGAN
I fill in numbered spaces
Type or Prini legibly
Permit No.
Fee
S/C
Tot.
1. Date 2. Installation Cost
3. Job Address.',u3C lie::C°•c :. Lot ? Blk. ' Tract ?
4. Owner .u:
5. Contractor : - Phone
. , .. . .
6, Address
7. City State Zip '
8. 8uilding Type: Residential 0
9. Work Description: New ?
Commercial ? Institutional ?
Add ? Alter ? Repair ?
I 70. Describe forCEd 1iT uel Type
I 11.
No.
? Enuipment BTU • M. Ea.
Forced Air No. Epuipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
_
Mfg. _ Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
I Signed: , for
Rough Final
, s Inspections: Date Insp.__ Date Insp.
This is your permit when numbered and approved.
14pproved CITY OF EAGAN 464-8100
' CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN 55122 N? 6555
PHONE: 454-8100
BUILDING PERMIT
To M uaad for Est. Value
Site Address
Lot Blxk Sac/Sub.
# , -,
Parcel
a: Nome r1ba:'^c?on I imes
_ :io[?}:1]t_; Ci'SI', 1.
3 Address
' ``-
o _ ,. - ..?.__ ? a. -,-,n-,
p Name
?-, -rr•
?? Address ..? i
Name _
Address
I hereby ocknowledge thct I have read this application and state that
the information is corrxt and agree to comply with all appiicoble
State of Minnesota Statutes and City of Eagan Ordinances.
Receipt #
Ered ? Occupancy
Alter ? Zonirg
Repair p Fire Zone
Enlarge ? Type of Const. -
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth ft.
Aonrovals Feea
Water 8 Sew.
Police
Ffre
Eng.
Planner
Council
Bidg. Off.
APC
Permit
Surcharge
Plan check
SAC `
Water Conn. '
Water Meter
Rood Unit
Total
SignMure of Permittee _ I
?
A Building Permit is issued to: on the express condition that
all work sholl be done in xcordonce with oll applicoble State of Minnesota Statutes ond City of Eogon Ordinances.
Building Official
37,OOQ
PannM # Dafe Iraed iamktos
Plumbing
Mechanicol
? ?C-- Ir L r- ar
INSPECTIONS I DATE INSP. Rough-In Pinal
Footings Date Inap. Date Inap.
Foundation Plumbing - ?-$/
Fra /in ?p'.s'. -$/ -?!,.; r• Mechonical
Finaf ? ?
I
Remarks:
0
g'??' ql
Receipt
1. Date 7"sl
Permit No.
Fee
S/C
Tot. •
3. Job Address , '-?!'C ? u'Lot Blk. Tract ' !r'C' f? ?
4. Owner ;h"r3-n ?`.Cy r-,1-
5. Contractor (-IEM2 RVc?-': Phone
6. Address 14745 S. rt
7. City State Zip
8. Building Type: Residential 12 Commercial ? institutional ?
9. Work Description: New t Add ? Alter ? Repair ?
I 10. Describe
f 11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
8ath tubs $e
tic Tank
_ Lavatory p
Softner
_ Shower Well
_ Kitchen Sink
Urinal/Bidet Other
_ Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
72. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
.Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
TRis is your permit when numbered and approved.
Approved CITY OF EAGAN 4545100
. ?-
PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print /egibly
2. Installation Cost
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legib/y
Tot.
1. Date 2. Installation Cost
i:
3. Job Address Lot < Bik. : Tract '
4. Owner :1:: `LiQI=G::
5. Contractor ;i. Phone
6. Address '
7. City State Zip
8. Building Type: Residential O Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter El Repair ?
10. Describe - , ; ?l ? =????c;.:c; ?•i : _ ? Fuel Type
1 17.
No, Eaumpmenr 8TU - M. Ea.
Forced Air No. Equiament CFM
Ai
H
dli
Mfg, r
an
ng:
- Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
_ Air Cond.
Mfg.
? Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codeygoverning this type of work.
,Signed : _ •? , ? ?i ...??%? ?' / .
?--?= for
' flougn ' Final
I, Inspections: Date Insp.__ Date Insp.
? This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
E4_ . . _
?
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
wecerveo
FROM
AMOUNT $
& DOLLA1a8
?oo
? CASH ? CHECK
POR
i
Thank You
??-- , BY
White-Payera Copy
Yellow-Posting Copy
Pink-File Copy
` • - - CITY OF EAGAN
3795 Pilot Knob Rood Eagen, MN 35124 N2 6554
PHONE: 454-8100
BUILDING PERMIT ReceiPt # ---
To be umd fer Est. Value DaTe , 19
Site Address Ered ? Occuponcy
Lot Block Sec/Sub. Alter ? Zoning
parcel # Repoir ? Fire Zone _
l
E T
f C
t
n
arge ? ype o
ons
.
a
W Name AApve ? # Srories
Z
3 Addres s Demolish ? Front ft.
?
Ci
Phone
Grade ?
Depth
ft.
w
0 Name Approvals Pees
?? ?
Address
? r...,
Name _
Addreu
I hereby acknowledge thct I have read this application and state thnt
the information is corcect and agree to comply with oll applicable
Stote of Minnewta Statutes and City of Eogcn Ordinances.
Signature of Permittee
A Building Permit is issued to:
oll work shall be done in accordance with all appliwble
Building Official
Assessment ,
Water & Sew. Permit
Surcharge
Police
Fire Plan check
SAC
Eng. Water Conn.
Planner Wuter Meter
Council Road Unit
Bldg. Off.
APC Total
on the express condition that
of Minnesota Statutes and City of Eagon Ordinances.
Pwnit # DaN lawG PaoMfM
Plumbing 7
Mechanicol
e-Lt - C',,'c RI `C q =?'?? ' (( -fr- e l L F.(F-C. ?
INSPECTIONS DATE INSP.
Rough-In
Firal
Footings
Foundation
ra /i .
Finol 3-.ZS-0y
.
'rl
'` - 8/ ? Date
Plumbing
MecFwnical Insp. Date
• Insp.
Remarks: zr_? y ;t p-v
Receipt PLUMBING PEflMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print /egib/y
T
ot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. ^ Tract
4. Owner O=in Tbarpsm Fkrw
5. Contractor (:--'lZ I2??a1: Phone 6. Address ' .^745 ` -_.-.:-?:'._ ?',-
7. City State Zip ?•? ,...
8. Building Type: Residential C3 Commercial O Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe
I 11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
_ Bath tubs Septic Tank
_ Lavatory Softner
Shower ^ Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Ouilets
I 12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
I ' A Rough Final
?Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
? Approved CITY OF EAGAN 454-8700
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C Type or Print /egibly
Tot.
1. Date 2, Installation Cost
3. Jo6 Address Lot i Blk. Tract T?
4. Owner
5. Contractor ' Phone
6. Address ';,..
7. City . State Zip '
8. Building Type: Residential 0 Commercial ? institutional ?
9. Work Description: New 0 Add 0 Alter O Repair O
10. Describe_ Fuel TYpe
11,
No.
- Equipment 9TU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dlin
:
Mfg. r
g
an
_ Boilers
Mfg, _ Mech. Exhaust
Unit Heater
_ Mfg. Other
Air Cond.
Mfg,
i
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with aF1 ordinances and aodes governing this type of work.
i
Signed : for
" Rough F inal
' 'inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
• Approved CITY OF EAGAN 454-8100
CITY OF EAOAN
" ^E!M Knob Road
. . „ MN 55122
Zoning:
Owner;
Address:
Site Address:
Plumber:
Meter No.: - Connection Charge:
Size: Acwunt Deposit:
Reader No.: Permit Fee:
1 agree to eemply wfth the City of Eagan Surcharge:
Ordinancas. Misc. Charges:
Total:
gY Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAN
379D ";:or Knob Road PERMIT NO.;
Eegon, MN 55122 DATE: -
Zoning: No. of Units.
...---
Address:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
ro eomply wifh fhe Ciry of Eagan
of Insp.:
Connection Charge:
Account Deposit: _
Permit Fee: _
Surcharge:
Misc. Chorges: -
Total:
Date Paid:
r OF EAGAN WATER SERVICE PERMIT
S Pilof Knob Road PERMIT NO.:
on, MN 55122 DATE:
i^9: No. of Units:
?e r:
ress:
Address:
Size:
Reader No.:
1 egree to comply with !he Cify of Eagan
Ordinances. •
By
Date of Insp.:
Connedion Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges: _
TotaL• j
Dote Paid: ?
Insp.:
V) =
CITY OP EAGAN SEWER SERVICE PERMIT
3795 Pi1M Knob Road PERMIT NO.:
kagan, MN 55122 DATE:
Zonirig: No. of Units:
Owner,
Address:
Site Addresr.
Plumber:
1 agree to eomply wlfh the Ciry of Eagan Connection Charge:
Ordinanees. Account Deposit•
By
Date of Insp.:
Insp.:
' EAGAN
.ot Kno6 Roud
-yon, MN 55122
Zoning;
Owner;
Address:
Site Address:
Plumber:
1 egrbe to eomPh, M•iFh fhe Cily of Eagan
Ordinances.
By
Date of Insp,;
Insp.;
PERMIT
Connection Charge:
Account Depvsit:
Permit Fee:
Surcharge:
Misc. Charges:
Totol;
Dote Poid:
` EAGAN WATER SERVICE PERMIT
dot Knob Road
,..n, MN 55122 PERMIT NO.:
DATE:
Zoning:
No, of Units:
Owner:
Address: -
Site Address:
Pluriber:
Meter No.: Connection Charge:
Size: Account De
posit:
Reader No.: Permit Fee:
1 agree fo eomply wifh fhe Cify of Eugan Surcharge:
Ordinonees. Misa Charges:
B
Y Total:
Date Paid:
Date of Insp.:
Insp.:
Permit Fee:
Surcharge:
Misc. Chorges:
Total:
Date Poid:
SEWER SERVICE
PERMIT NO.:
DATE; ?
No. of Units:
CITY OF EACAN
3795 Pilof Knob Rood
Eag,in, MN 55122
Zoning:
Ow.ier:
Address:
Site Address:
Plumber:
Meter N
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Chorge:
Size: Account Deposit:
ReaJer No.: Permit Fee:
I ag?ee to wmply wif6 fhe Cify of Eagun Surcharge:
Ordinanaes. Misc. Charges:
Total:
BY Dote Paid:
Date of Insp.:
Insp.:
arr oF encaH SEWER SERVICE PERMIT
8195 Pilof Rno6 Road PERMIT NO.:
Eagnn, MN 55722 DATE:
Zoning: No. of Units.
Owner:
Address:
Site Address:
Plumber:
I °9'Oo tO COmVIf' with the Ciry of Eagan
Ord'nanees.
By
Dote of Insp.: _
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Chorges:
Total:
Date Paid:
mmnesota Dtate tSOartl oT tlectnGty
Griggs Midway Bldg. - Room N791
? 21 University Ave., St. Paul, Minn. 55104 - Phone 297-2117
REQUEST FOR ELECTRICAL INSPECTION
CHECK AELOW WORK COVERED BY THIS REOUEST
EB-00001-02
g25'O $'!9-
:T 42865
Type of Building Ne Add. Rep. Cheok Appliances Wited Far Check Equipment Wired For
Home ? 1-1 Range ? Temporazy Wiring
plex
?
?
Water Heater
?
Lighting Fixtures ?
t. Bldg. ? ? ? Dryer Electric Heating ?
ommercial Bldg. ? ? ? Fumace Silo Unloader ?
Industria] Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List List
Other ? ? ? p
HeheZS? Herers?
COMPUTE INSPECTION FEE BELOW
Service Enuance Size: # Fee Feeders&Subfeeders: # Fee Citcuits: # Fee
0 to 100 Am s. ? 0 to 30 Am res 0 to 30 Am eres /°
101 to 200 Amps. 31 to 100 Am e:es 31 to 100 Am eres
Above 200 Amps.
? Above 100 Amps. Above 100 Amps.
Transfo:me:s ..?.. ?A NA
bk Remote Control Circ. Partial or other fee
Signs = ? Special Ins ection Minimum fee
Remarks ?
? : ^ ('`?ei `' „ _ i TOTAL F
• J'O
?{0
I, the Electpcal'T?nspector, hereby cert?bl?t
(Rough-in) ??c'
(Final) a
This request void
18 months from
has been NI?
Date ?? O'
Date
This r qii si void L 3, ? l I,?? ?<<{
18 months from
Date of this Request Fire No. ? 42865
I, asLicensed Electrical Contractor DOwner, do hereby request inspection of the above electri-
cal a ring installed at:
•et Address or Route No.
Section Township _
???vZ I,.?;Np?- C?1•?? c;ty?
Range County yFd? r?"
Which is occupied by
(Name of OccuDant)
Is a roughin (nspection required on this job? No ? YeM Ready Now ? Will Calo?_
Power Supplier RE-k Address %-Lm I N ?-, ty
Electrical Contractor 9C-i'L- EL&CV4- Contractor's License Nd:'5Z?
(COmpany Name)
MailingAddress CL?Tr- e-cpD
(EI rical ontra r or Owner Making Th{s Instailatlon) G?
Authorized SignaturePhone No.
(Electrical Contractor or Owner Making This Installatlon)
O n p nD ?/'OP?/ This inspection request will not be accepted 6y the
?'J Ll G?1 IJ L?=?lt1\? l?? 11 State Board unless proper inspection fee is enclased.
? 416 4 7&3
Request Date Fire o. Rough-i pection
Requir .
VIReatly Now ? Will Notify Inspecror
Ves o When Ready?
IN licensed contractor ] owner hereby request inspection of above electrical work at:
Job Atltlress (Street. Box or Roure No.) City
Section No. Township Name or No.
I
Range No.
Counryj'?
/J 4
OccuDam (PRMT) ?
?QU ??( c/Cfo p'? Phone No.
Power hSupplie
N {f /A l 1 ? ?Q C f .
. Adtlre'ss .,t
? /?" r w't ! i?I / G c/
Elerncal Conirecror iCOmpany Name)
c 4 m ? ontractOr's Gcense No.
<< I D?{o
Mailing Address (Contractor or Owner Making Installation)
Z? sxi?a o
Aulhoriznature fGontractor/Owner viakin Stallationj
C1?J?' - Phone NCuImbe,r
V V V ? YV 4i ? T
MINNESOTA 5TIO BOARD OF ELECTRICITY - THIS INSPECTION REQUEST WILL NOT
Griqgs-Mitlway eltlg. - qoom 5-173. 'BE ACCEPTED eY THE STATE BOAqD -
1821 Universiry Ave., St. Paul. MN 55104 . . ' UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
/ rret:
REQUEST FOR ELECTRICAL lNSPECTIDN /]Ea-oooo,-as
li, See irsj;Vc?ione-'-.rtompleting !his form on back of yellow copy
l?/'/??
? "X" Below Work Covered by This Request ?%,?•<?"
ew Qdd Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./lndustrial Furnace
Farm Air Conditioner
Other Ispecrfyj C mreclor's R?arks:
F
Compute Inspection Fee Be/ow: ?
# Other Fee # Service EntranceSfze Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A 0 Amps
Signs Inspector's Use Onty: TOTAL ?
Irrigation eooms ??
Special Inspeciion
Alarm/Communication TNIS INSTALLATION MAY BE ORDER SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspecror, hereby Rou9n-in Date
certify that the above inspection has
been made. Fi„ai r oate -!
?
OFFICE USE aNLV •
This request void 18 momhs irom
minnasoia aiaie aoara or ciaccncicy
Griggs Midway Bldg. - Room N791
7821 University Ave., St. Paul, Minn. 55704 - Phona 297•2111
. REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
EB-00001-02
?Sd $?
? 42864
Type of Building New Add. Rep. Cheak Appliances W'ved For Check Equipment W'ved For
Home
plex M\E ?
? ?
? Range ?
Watet Heatei Temporary Witing
Lighting Fixtures ?
t. Bldg. ? ? ? Dryer Electric Heating ?
ommercial Bldg. ? ? ? Furnace Silo Unloader ?
Industrial Bldg. ? ? ? Aix Conditionet ? Bulk Milk Tank ?
Fazm
I ? ? ? List List
Other
?
?
? o
Herers?
OHehers?
COMPUTE INSPECTION FEE BELOW
Secvice Entrance S * Fee Feeders&Subfeedeis: Fee Circuits: # Fee
0 to 100 Am s 0 to 30 Am eres 0 to 30 Am tes
101 to 200 Amps 31 to 100 Amperes 31 to 100 Am eres
Above 200 Am P Above 100 Amps. Above 100 Amps.
Transformers RemoteControlCirc. Pariialoxotherfee
Si ns Special lnspection Minimum fee $5
Remat TOTALFEE 1, the ?le?tri?iY`Lnspectoi, hereby certif ? Ythe lfev mspection has be ma
(RougliEln) ? Date
(Final) 4 Date ? -
This request void
18 months from
This reqUt/ oid t
18 months ;toro
as ?o?
aso
Date f this Request 3Fire No. A2864
1, as Licensed Electrical Contractor D Owner, do hereby request inspection of the above electri-
. cal winng installed at:
et Address or Route No. `G?b L?? ?c- City &4401
? J
?ction Township Range County
Which is occupied by OF4-`?'?? -rWo"FSCo ?foKS
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yesp\ Ready Now 0 Will Call
?
Power Supplier P-* Address I%F4AI?orz),"
Electrical Contractor ?Et-`" Contractor's License NoA.
(COmpany Name)
MailingAddress Hl? C. CL4ff- ROND
(E tric Contractor or Owner Making This Installation)
Authorized Signature ? Phone No.
(Electric Contractor or Owner Making This Installatlon)
?`? /1Ln????O nnD ?/'O?? This inspestion request will not be accepted by the
?J L??1LIU L, State Board unless praper inspection fee is enclosed.
m11111nsuaa auian ouaru 01 ciecancILy
' Griggs Midway Bldg. - Room N791
. 1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111
? REQUEST FOR ELECTRICAL INSPECTION
CHECK AF!tOW WOItK COVERED SY THIS REOUEST
EB-00001-02
2S-a?S-
T 42863
Type oi Suilding New Add. Rep_ Ch¢ck Appliances Wired Fot Check Equipment Wiced For
'Home ? ? Range Temporazy Wuing ?
lex ? ? Water Heate[ ? Lighting Fi7ctute5
. Bldg. ? ? ? Dryez ? Electric Heating ?
ommeicial Bldg. ? ? ? Furnace Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner Bulk Milk Tank ?
Farm ? ? ? List List
Othei
?
?
? Others
Here f Otheis
Here
COMPUTE INSPECTION FEE BELOW
Service Entiance Size: # Fee Fceders&Subfeeders: # Fee Circuits: # Fce
0 ro 100 Am s. 0 to 30 Am eres 0 to 30 Am eres -
101 to 200 Am s. 31 to 100 Am eres 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transfot s Remote Control Circ. Partial or other fee c. _
Signs Special lnspection Minimum fe
Remacks a ?'d:
n ??
TOTAL E
(Final)
This request void
18 months from
has be
??te ? ?
?ate ,r ?
c? ? ? ? so
This teque trvoid &°*
!?? t? R a? t
:8 months from
Date of this Request ?p ??S t?S 1 Fire No. ? 42863
I; as V'Licensed Electrical Contractor DOwner, do hereby request inspection of the above electri-
cal winng installed at:
Rection t Address or Route No. qbj? ?K? UN& ity ?bm
Township Range County
Which is occupied by_ O1'-?'ia" 1--oMP5-t?%J oomr,?;
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will CW
Power Supplier f-'-R Address fti w ) 14 (,;-, ahi
Electrical Contractor J?E4-- Contractor's License NY???
(COmpany Name)
MaIling Address 6- • G.-1ff- POO
(EI rica ont tor or Qwner Makin9 Thls Installation)
Authorized Signature ?"a Phone No. R(?'?Osr
(Etectrical Contractor or Owner Making This Installatlon)
o This ins ection r uest will not 6e acce ted 6 the
? ? OD ?,?p? State Board unles proper inspection fee is enciosed.
minnesota state tsoara ot tiectricity
Griggs Midway Bldg. - Room N791
FR821 University Ave., St. Paul, Minn. 55104 - Phone 297-211 }
REQUEST FOR ELECTRICAL INSPECTION
CHECI4 BEiOiW WORK COVERED BY TH1S REOUEST
EB-00001-02
?? ?S--
T 42862
Type of Building New Add. Rep. Check Appliances Wired Foi Check Equipment Wired For
Nome
Duplex ? ?
?
. ?
? Rartge ?
Water Heater ? Temporary Wiring
Lighting Fixtures ?
t. Bldg. ? ? ? Dryer ? Electric Heating ?
mmercial Bldg. ? ? ? Furnace Silo Unloader ?
dustrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Faim ? ? ? List L
ist
Other ? ? ? p
Heiers? p
HeierS?
COMPUTE INSPECTION FEE BELOW
Service Enttance Size: # Fee Feedecs&Subfeeders: # Fee Circuits: ? Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres ?
101 to 200 Amps. 31 to 100 Am eres 31 to 100 Am res / ?
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee L , a
s -- '?; Special Inspection Minimum fee $
?em rks . \ r`? ?
. r.-?
TOTAL FEE ,AJ ; jp
?.C)
+1; the4blectTiba1'In'spector, hereby certifi/YIPd? theft' ecti has been?=d
(Rough-in) Date rs?
(Final) ? ^ r Date G`
This request void '
18 months from
7'his reyuesi void
] 8 months from
Date of this Request (o? 31 ? t Fire No. T
1, asLicensed Electrical Contractor D Owner, do hereby request inspection of the
cal w ring installed at:
? ?S?S?
42662
above electri-
Street Address or Route No. ???0 L°-N0Ft Lw?:- City
loion Township Range County ?AFIC-OTA
Which is occupied by oggv? -nomQ?* W)K's
(Name of Occupant)
Is a roughin lnspection required on this job? No ? Yes§C Ready Now ? Will Call0g,
Power Supplier AL A Address ???ti GT81-4
Electrical Contractor 117??- E-LE-GrT-V-' Contractor's License N????
(COmpany Name)
Mailing Address 0'$?? ? - W ff- F-P.
?/?? niec icai contrector or owner naaking 7nis Instanation)
Authorized Signature __?! " ? Phone No. ?? -?s?S
(Elcal Contractor or Owner Making Thls Installatlon)
((`? n?? p O nW?D ?('On?/ This inspection request will not be accepted by the
?'J LI Ci? l? ?? 11 5tate Board unless proper inspection fee is enclosed.
CASH RECEIPT
?A*r,.,ITY OF EAGAN ` U
3795 PILO7 KNOB ROAD
wecerve ?
FR ?
AMOUNT
a ooLuRs
'ee?
? CASH CHECK
FuNo cooe - ?noutir
10
J
J
y
?
/
? "?
Thank ou
N° 23866 -
White-Payen Copy
. Yellow-POSting Copy
' Pink-File CoPY
EAGAN, MIN ESOTA 55122
D ''7 sL
ira#r af (Wrru?ttnr?J ?
?
,
?itv of eagan
Urvartmptct nf Builaing Jnsprctiim
Thit Ccrti f icatt iscued purtua+u to tlx requifementt o f Section 306 ot tfir Uru f orm Building
Code crrti f ying that at tht timt o f irsuanct thit rtructurc war in comQliana +wth the vuriouc
ordinances o f the City rrguG+ting braldrng connrrution or ufe. For thc follouring:
6556
1 of 4 Pln ein? re?t Ho. PD
ux clams<.uan R? V Fi" zwi - zoni?8 Diacn<t _----?
?Ywc00EW"1O" 2J[tka.
o??Tr? 1712 Ho kins Crsrd.
o.?K.ose,?uaffle ?rrin Thompson _naa?
4thf
682 Lenore Lane c«.uh pt 3 Block 11 RidFe e
Hwldio6 Addlm . ?' •
? ' 19g1
?IJ ?-, n.«:
'yr ?w ? carenc?au• w.c?
???b...:.."" s1M°?,??.?°3!" "...... 'm-'?v:cgi,. -'_,..,' ? '?' _._
? CASF1 RECEIPT
, CITY OF EAGAN
? 3795 PILOT KNOB ROAD
I
EAGAN, MIN ESOTA 55122
.s?
DAT
!
R¢C EI V E Jy7?y/
FR
AMOUNT
g DOLLAR8
r
. E] CASH . CHECK
Thank You
?
NO 23866 White-PaYen CoDY
Vellow-Posting CoPY
- Pink-File CoPY
II
(fl.ertifirtttp nf (Orrupartrij
Citp of cEagan
BeVartmrn# nf +uilbing JniivFrtim
Thit Ccyt: fitatt itsutd purJttant ta the requiremenu of Section 306 of the Uni(orm Building
Coda cntifying tbat at tix timc of i.rsuancc tbis rtrurturc was in compliance with the variouJ
ordrnuncet o f the City rrguGuing 6rulding ronst+uction or urr. Far thc f ollouang:
7, o£ 4 PLEX .. B,de.re?t N655 -_
ua c?r?? ?}
R•J TyR Comtm<tioo V Fim Zan - Zani^B Dutrict
°o"pa"'TyP` 71 C?'
Orrin ''homason_- Aaa.-i Hooki ns srd Mtka.
OwnnofBu9d1n6 r,.+ I Alnrk 11.Rid.Qecliff
46t5U t,envre 1-a1.- Locahtr --- - Qth
pm7dipQ Addim
?
September 11, 1981
rO?i IM ? COMV?CVW? R?C[
il XOIN U.5 .4.
8
(gPrtifirtttP of (Orrupttnry.
Cftp of eagan
Depttrtmrnt nf +uilhing jJns.prrfinn
Thi.r Ctrti ficate it.taed purluant to the rcqHiremtntt o f Sertion 306 of the U»i form Building
Cor1e rrrti f ying that at the timc o f isrrraruc thit rtrruture wal in com pliance uith the variout
ordinancu o f the City rtgulating building can.rt+uction or uce. For the follouing:
u, c,,?fi'.em 1 of Q PLEX . Md,. r?„m, No. 655I+
0-wd.rIYr RI-TYp caosw«VLFin zon. - zo" oucri« PD
An,of ftfl,„,g Orrin Thompson ,,,a. 1712 Hovkins Crsrd., Mtka.
Dw, Sentember 11, 1981
•AT 1x . CdVirKVWf Il/?C[
3795
CITY OF EAGAN
Pilot Knob Raad Eagan, MN 55122
PHONE: 454-8100 ?
BUILDING PERMIT APPLICATION
N°_ 6554
Receipt #
To be used for 1 Of 4 p1EX Est. Value 37,345 Date 3-24 , 19_$1._
Site Address 4676 re mre Li l. Erect )ff Occupanty K
Lot 1 Block 11 Sec/Sub. PddgeCliffe 4 Alter ? Zoning PD
Parcel q# 10 63983 010 11 Repair ? Fire Zone _
E
l t
T
f C V
n
arge ? ons
.
ype o
z Name OYYlri 'I1 1=S017 HC8t1e5 Move ? # Stories
Z
0 Address 1712 Ho PC1115 CY'Srd. Demolish ? Front 24 ft.
Ci M i.nnetonka Phone 544-7333 Grade ? Depth 24 ft.
°C
o Nome Approvals Fees
---
ir
Address
5dine
Cit Phone
WW Nome
F
Address '
a W Ci Phone
I hereby ucknowledge that I have read this application and state thot
the information is correct and agree to comply with all opplicable
State of Minnesota Statutes and City of Eagan Ordinunces.
Signature of Percnittee
A Building Permit is issued to: oY'Y'in Thrmmcnn ur
cll work sholl be done in occardan,ce?? ith oll appli ble tate of Mii
Building Offitial f ? -?-?
AssessmA(" 3^71-81
Water & Sew.
Police
--
Fire
Eng.
Planner
Counci I
Bldg. Off.
APC
Permit ?yv. ?v
Surcharge 19.00
Plan check 55.25
snc 525.00
Water Conn. 335.00
Woter Meter 60.00
Road Unit 185,00
Totai 1, 289 . 75
on the express condition thot
Statutes and City of Eogan Ordinances.
? CITY OF EAGAN Include 2 sets uf plans,
/,?i?j 1 site plan w/elevations &
?'t BUILDING PERNLIT APPLICATIdN 1 set of energy calculatsons.
Y
37,3
Zb Be Used For REsip N E valua tionA rv+?-- eo
Site Address: _ A (pl(f `6TIOfeL, 'L(1 , (MoAEL '62) OFFZCE USE dNLY -
Lot i slocx li sec./sub. Erect ? occupancy
Parcel ,4- Alter zonin9 ,d
. Repair Fire Zone
Owner: ??'4e TYIe of Const.
Nbve # Stories
A$dress: a Diyision of U. S. Home Cornornfl nn Der?oIlSh FZOrit o'2 y ft.
City/ZiP OAdB: KINS CROSSROAD
MINNETONKA
h11NN 1 GI'ad0 Depth
.
;5i,q3
Phone #: 544- 133 3 APPFtOIALS FEESS
Contractor:
-?---.._ ..._..., ...,.??...?
P.ddr25S: a Division of U. S. Home Corporation
HOPKINS CROS?jj
City/Zip Code: MINNETONKA, MINN. 55343
Phone #:
Arch. /?.1ng. :
Address:
City/Zip Code:
Phone #:
Assessnents
Water/Sewer
Police
Fire
En9 •
Planner
Council
Bldg. Off.
APC
Permit
Surcharge
-
Plan Chec)c ?
sAC
Water Conn. Z?
water Meter "1
RDad Unit
T7PAL / "7 r ?• 7 5?
CITY OF EAGAN
3795 P11ot Knob 4oad Eagan, MN 55122
PHONE: 43¢'8100
BUILDING PERMIT APPLICATION
N°_ 6555 '
Receipt # C
d
To be uaed for 1 of 4 plex Est. Value 37,000 Date '1-24 , 19-81__
Site Addreu 4678 Ieriore Lri. Erect [k Occuponcy R3
Lot 2 Block ll Sec/Sub. RidQeCliff@ 4 Alter ? Zoning PD
parcel #. 10 63983 020 11 Repair p Fire Zone
W I Name O'r'r'in ThrnrSnn Hrnrsct
3 Address ?-712 HOp?SlI1S Cl"Si'C?..
o ... . , .. . .
? ? Nome _
?? Address
? r:...
Nome _
Address
I hereby acknowledge thot I have read this applicotion and state that
the informotion is correct and agree to wmply with all applicable
State of Minnesota Statutes and City of Eagcn Ordinantes.
Signature of Permittee
Enlarge ? Type of Const. v
Move . ? # Stories
Demolish ? Front 24 ft.
Grade ? Depth 24 ft.
Approvals Fees
Assessm Permit ' 50
Woter & Sew. Surcharge 19.00
Police Plan check 55.25
Fire SAC 525.00
Eng. Water Conn. 335.00
Planner Water Meter 60.00
Council Road Unit 185.00
Off
Bid
.
g.
qpC
Total 1,
289.75
A Building Permit is issued to: Orrin ThcnpSOri HC8l1ES on the express condition that
all work shail be done in occordance wipb oll applicable $tate of Minnesota Statutes und Cify of Eagan Ordinonces.
Building Official
f
CITY OF E71GAN
Zb He Used For R slp N F valuation ' 3A;-39b?60 Date A/pV. 1180
Site Pddress: LEt10fC Ltl. (MoAEL 9Z) OFFICE USE ONLY _
Lot 2 Bloclc il sec./sub. R?DcEC1.tFFS ?? X OccupancY 13
Parcel #: jflpO" ya-Atter zoning - -PC
Repair Fire Zone
Owner: Enlarge 7.ype of Const. V
Nbve # Stories
p,ddress- a Division ot U. S. Home Cornnrat;nn Demnlish Front 2 y ft.
tciNs cROSSROao Grade Depth 5? y ft.
C1ty/Zlp C.OC32: MINNETONKA. ASINN ?SWJ
phone #: 544- l33 3 APPRDVAIs
Contractor: OR RJ N T H OM PSOP'r-H-9-f?p-E-r,-
AddrE?SS• a Division oi U. S. Home Corporation
? . I. 1
City/Zip Code: MINNETONKA, MINN. 55343
Phone #:
Arch./IIng..
Address-
City/Zip Code:
Phone #:
BUIIDING PERNQ'f APPLICATION 1 set of energy calculatsons.
37
Include 2 sets of plans,
1 site plan w/elevations &
?
Assessments
PeLmit
Water/Sewer Surcharge / q?
Polioe Plan Check
Fire SAC
FY,g, Water Conn. 3 3 S` 441
Plannar WdteL .P'fet2T 6
Council Road Unit i 96'.o
T-?-
Bldg. Off.
APC
TOTAL /--*, F9• 75`
CITY OF EAGAN
3795 PiIM Kno6 Rood Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT APPLICATION
N4 6557
Receipt .# '--;2:?
To be used For 1 of 4 plex Est. Value 37 ,000 Dote 1-74 , 19-81-_
SiTe Address 46821.emre I,n Erect )ff Occuponcy R3
Lot 4 Block 11 Sec/Sub. RidaeCllffe 4 Alter ? Zoning _ PD
10 63983 040 11 Repair ? Fire Zone
Parcel #
E
l t
T
f C V
n
arge p ype o
ons
.
s Name O=in HcgnPG Move ? # Stories
3 Address ?-712 HOpk1riS Crsr d Demolish ? Front 24 ft.
° C? Mi nnetonka Phone 544-7333 Grade ? DePth 24 fr.
? Neme Approvals Fees
0
?? Address
p- Citv -
F
W W Name _
F
i? Address
I hereby ackrrowledge thot I have read this application and state that
the informotian is correct ond agree to comply with all applicuble
State of Minnesota Statutes ond City of Eagan Ordinances.
Signature of Permittee
Assessm?'u_3=24-81
Water & Sew.
Police
Fire
Eng.
Planner
Cauncil
Bidg. Off.
APC
Permit ilU.7u
Surchorge 19• 00
Plan check 55.25
sac 525.00
Water Conn. 335. 00
Water Meter 60.00
Road Unit 185.00
rotal l, 289. 75
A Building Permtt is issued to: OYT1S1 `I'f1aCpSOr1 HCHCl25 on the express condition that
all work shall be done in accordonce witly,pli applicable Stote,of Minnesot4 Statutes end City of Eagan Ordinances.
Building Official
?
CI'I'Y OF £ACAIJ
BUILDINC; PERMTT APPL2CATIdN
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Zb Be Used For Q ES ID LN? P Valuation -t 34s0-. Date NOV •fl I 9 8 D
site Add-ress: A 1P8v Lcnoce Ln ,(r?oflel- $;-4) OFFICE USE ONII.Y
Lot A slocx 1i sec.isub. Erect ?k Occupancy ?.?
te
??
r
ng
Zoni ?
pp
Parcel # : //
? /
`? 9?`? D/?D
R
?
. .
-
r
ai
eP 7,one
Fire
Fnlarge TyPe of Const. 1/
Owner: Nbve # Stories
Addresg: a Division oi U. S. Home C r DemOllsh FrDnt ft.
KINS CFOSSROAD GY'dd2 D2Pth ?-? ft.
C M
it}, /Z Cod lp 2. INNETONKq A'IVN 54343
Pnone #: 544- l 3 3 3
Contsactor:
AddreSS: a Division of U. S. Home Corption
ora
City/Zip Code: MINNETONKA, MINN. 55343
Phone #:
Arch. /Eng . .
Address:
City/Zip Code:
Phone #:
APPR(7VAIB rEES
Assessments Pesmit
Waber/Sewer Surcharge
Police Plan Check g S ?
Fire SAC
En9- Water Conn. 35'
?
Planner Water Meter / Q
Council RDad Unit d7'"r'
Bldg. Off.
APC
'.
TOTAL ?a?9 75
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 6556
PHONE: 454-8100
BUILDING PERMOT APPLICATION Receipt # _-
' To be uced for 1 Of 4 plex Est. Value 37,000 Date 3-24 , t9$1-_
Site':Address 4682 Tan01"c3 Lri. Erect XR Occuponcy R3
Lot 3 Block 11 Sec/Sub. gidqeCllff2 4 Alter ? Zoning PD
Parcal # 10 63983 030 11 Repair ? Fire Zone
Enlarge ? Type of Const. t1
C: Name 0-YY']11 ThOI'[PSOri HCBt1E5 Move ? .# Stories
3 Address 1712 HOp]t1riS Cr'SY'd. Demolish ? Front 24 ft.
? Ci ?"me??a Phone 544-7333 Grade ? Depth 24 ft.
? ame
N Approvals Fees
,
Zu Assessd?nt3-23-8 Permit 110.50
?? Address
Water &$ew.
Surcharge ?-9• 00
~ Ci Phone Police Plan check 55.25
Ww Name
W Fire SAC 525.00
F
x? Address Eng. Water Conn. 35.00
u
<W Ci Phone
Plonner
Water Meter 60. 00
Council Road Unit 185.00
I hereby acknowledge thot I hove read this applicotion and state that Bldg. Oft.
the information is correct and agree to camply with all applicoble APC 289.75
Total ?-
State of Minnesota Statutes and City of Eogan Ordinances. i
Signature of Permittee
A Building Permit i5 issued to: Orr1T1 T1CnpSOT1 HC?C?''S on the express condition that
all work sholl be done in accordance w' h all opplic le ?Sta-te of Minnesota Stctutes and City of Eagan Ordinances.
Building Offfcial
' ?( b
CI'n' OI' EAC'r'{N
BUILDINC; PfRMIT N'PLIC]ATION
Include 2 sets of plans,
1 site plan w/elevatians &
1 set of energy calculations.
4b Be Used For R t? D N p Valuation * 3,0 _Date N0\1 • I 9 8 D
Site Address: A(GPE LetlOCe Lil. (moAEt- 0X) OFFICE USE OrII.Y Lot ?j Blocic 11 sec./Sub. g?Q Erect ? OccuPan-Y A?
Alter Zoning
Parcel # : 11,4 Repair Fire Zone
O+mer: Enlar4e TYIe of Qonst.
Nlove # Stories
Address: a Division oi U. 5. Home Coronrai;nn Demnlish Front ft.
--? ft.
.-
? ?un?s cRossROAD Grade Depth
C1-Cy/21P COCje: MINNETONKA. h'INN 55342
Phone # : 5 `t Li - 133 3
Contractor: pinl TunnnpcnN uOp ro
AddreSS' a Division of U, S. Home Corporation
City/Zip Code: MINNETONKA, MtNN. 55343
Phone #:
Arch. /E-ig. :
Adciress :
City/Zip Code:
Phone #:
APPROVALS FEES
Assessnents Permit
Water/Sewer Surcharge )9 ?
Polioe Plan Check A-?5 ?-
Fire SAC
gg, Water Conn. 3 33` ?"
planner Water Meter / c3
Council Road Unit
Bldg. Off.
APC
TarAt / o? d9- 7 S
? g ?s )?-
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered sile surveys showing sq. ft of lot sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies af plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan ff lot platted afler 7l1193
Rim Joist Defail Options selection sheet (buildings with 3 or less units)
?1 r? r( -?,?,
RemodeVReoair Requiremen4s Office UseAniv
2 copies oi plan CeR of Survey Recd _ Y_ N
1 set of Energy Calculations for heated additlons Tree Pres Plan Rectl Y_N
1 site survey tor additions 8 decks Tree Pres Required _ Y_ N
Adddion - indicate ff on-site sep6c system (3n-site Septic System _ Y_ N
w
Date ?/?/ 6 ? Construction Cost 4?9 OC? ?
Site Address y(p ?f 4e. 14 (P 7&? 9 4?4i Ll by Z L?(10 ?'P L A.?-( Unit/Ste #
Description of Work F-? e 00 4-
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner fL . a9 ! e l,-F-F AJS C Telephone #( &l
Contractor ? u,,%,p vl A-y' K d f a.-./
Address ? 3(45l.
State MN NjIsy yfAi a
Zip .sSd 33 City t4g j T.tif S
Telephone # ( (0/2) 9S'7- q// ,3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Ene?gy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submiried
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _
fee applies.
Licensed Plumber Telephone # (
Mechanical Contractor
Sewer/Water Contractor
N If so, 25% plan review
Telephone # ( )
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
ApplicanYs Printed Name Applicant's ignature
?
C.R. WINDEN 8 ASSCCIATES, INC.
IAND SURVEYORS Tr,i, 645 • 3646
1381 EUSTIS ST., ST. ?AUL, MINN. 55108
Note: Buildings shown are proposed.
CERTIFICATE OF SURVEY
For:
U. S. HOME CORPORATION
Scale: 1" = 20'
O Denotes Iron
?LENn??
?A N?
P?IV,qT?
FoR
FOv ?-AL
^ o y o J? D R) Vz' ADo RE-SS?
L)ra
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91 190
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ry ? N O •?? i ':
vs ?
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D I"a 1n a q? ?
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-°Jf.00 O
G2.00 'l
PR1 V.4Tz- p[? 1 VE-
( L.ENaRE LANE
Fo2 PpSTAL... ADpQ E55?
Lots 1 through 4 inclusive, Block 11,
Ridgecliffe Fourth Addition, Dakota
County, Minnesota.
N
?
16
h
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND
ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, ANll ALL VISIBLE ENCROACHMENTS, IF ANY,
FROM OR ON SAID LAND.
Dated this 18* day of MarGh A.D. 198/ C. R. WINDEN & ASSOCIATES, INC.
.
bY
Surveyor, Minnesota Registration No. 7726
?
? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
?ITY oF EAGAN
3830 PILOT KNOB RD - 55122 ?
651-881-4675
New ConahucNon Reauiremenh
? 3 reglstered alte wrveys showing aq. tt. ol bt, aq. R. of house
and gH rooted areas C20% maWmum lof coveraae allowe?
? 2 coplea of piana (ahow beam & wlndow sizes; poured fnd. design; etc.)
> i aet ol energy cWculatlons
D 3 coples ol hea preservaHon plan if lof platted qRer 7/1/93
36z, )-5
'?????610
2 copies of plan
1 set ol energy cdculaMons for heafed addlNOns
1 sife wrvey for extedor addiNOna & decks
DATE: ?0 CONSTRUCTION COST:
DESCRIPTION OF WORK: L-T I 61J5 - S t CJ1 1Q ln
STREETADDRESS: +-1io`4l_vi ?-Itc?Sf i14wSa, 14?,950 ?Cx._.4b'Za. Uy4t•.1Z-
LOT:? BLOCK: t I SUBD./P.I.D. #: L, +?(wa?C-L? Fr- E `-? `
Name: Phone #:
PROPERTY wat Flrst
OWNER
Street Address:
City Sfate: Zip:
. Company: t ,j e? Phone #: I a Ll35 -a k L1 g
(area code)
COPliRACTOR
Sheet Address: "
o P)ok
° 14 Ucense # 302 `4 Exp.
Cfty - State: 0" Zlp: s5 3??--
ARCHITECT/
ENGINEER Gompany: Name:
' Telephone #: ( )
Sheet Address: Regtstraflon 41:
Cly State: vp:
Sewerhvater licensed plumber (if installina sawerhvaterl: Phone #:
I hereby acknowledqe that I have read this appltcatbn, slafe that the iMortnafion is coRect, and agree to comply wilh aq appacable StatE
of Minnesota Sfaiufes and City of Eagan Ordinances. f
Signalure of Applicanh
OFFICE USE ONLY
Certiflcates of Survey Received _
Tree Preservation Plan Received _
Yes _ No
Yes - No _ Not
PERMIT # 1 ()_47
RECEIPT DATE: M?
RSIDEPTL4I. PLUM$INfi PFItMiT ?PPLICAT[ON
cmtoF RAeM
3830 Pu.ar xxos Rn
Ka?eRx. Mx s5isz
651-6$1-4675
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
_?- backflow preyenter for irrigation system _
LAPLANT, DAN
SITE ADDRESS: 4678 LENORE LANE
- EAGAN, MN 55122
OWNER NAME: ; (sst) aea-soos TELEPHONE #:
NORBLdM PLUMBtN011 C06 (AREA CODE)
INSTALLER NAME: (612) II2740M14 TELEPHONE #:
(AREA CODE)
STREET ADDRESS: 2MGARFIELD? aA.
CITY: M1t*4FNAi)()LJ9@ L4N55" STATE: ZIP:
Place a eheck mark next to tha nermit work tvne
New residential dwelling unit under construction and not ownedoccupied $ 90.00
? Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
. lawn irrigation system
• water turnaround
Nature of work: ?ctr o l,,)?i?' ?Ja cz??
Septic System, new/refurbished - $ 225.00
• includes County & Consuiting Inspector fees
• requires MPC license
State Surcharge $ .50
Total $ "J'rD. -O
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all appliqble Cityof Eagan ordinances. It
is the applicant's responsibility to notiiy the property owner that fhe City of Eagan assumes no liatiility for any damages caused by the City during its nortnal
operational and maintenance adivftles to the faciliNes constructed under this permit within City property/right-of-way/easement.
S RE OF PERMITTEE
Updated 1101
CITY USE ONLY
PERMIT #: 9100? RECEIPT DATE: J' 0-0I
RUID£NTIAL bIECH"CAI. PEtMIT APPLiCATIOP
crrY oF E,a?ssx
3830 Pn.oT xxos Rn
E16Rft MN 581 YE
651-661-4e75
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date:
SITE ADDRESS:
OWNER NAME:
lf????'? .??:?,?'?:a? .
INSTALLER NAME:_ ?? A!`i Gt. ?`1J ^ ? ??^ ^
': 7 U, •-a 4r ?:eC a' . c=
PlllNINEl1PvLl5, IVI?J 55403-2958
STREET ADDRESS: 6•112-824-251; j
C ITY:
STATE:
Plare a r_hPr_k mark nert tn the oermit work tvDe
ZIP:
New residential dwelling unit under constructionand not owner/occupied $ 70.00
? Add-on, modification or alteration to existin dweiling unit $ 50.00
• furnace replacement
. air exchanger
• air conditioner
• other
?
/l
I
?
GJ
? ? ? ??C2r 'TI 44S
Nature of work: ? "YJ l
State Surchar e $ .50
I 'j?`? $-:?D -SZD
Total
? ..,_. .. ?
. : . iU ?
Reminder: Call for inspections. ?
SIGNAT OE PERM[TTEE
Updated 1lOl
TELEPHONE #: 6-is t_ L ? b????o
(AREA CODE)
TELEPHONE #:
(AREA CODE)
. ?
2007 RESIDENTIAI, BUILDING PERMIT APPLICATION
? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements
3 registered site surveys showing sq. fL of lot, sq. R of house; and all roo(ed areas
(20%maximum lot coverage aliowed)
1 Sals Report if proposed building is to be placed on disturbed soil
2 wpies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calcula6ons
3 copies of Tree PresenaUon Plan'rf lot platted after 711193
Rim Joist Detail Options selecUon sheet (huildings with 3 or less units)
Minnegasco mechaniplventilationfatm
RemodellReoair Reauirements
2 copies of plan showing (oolings, beams, jasts
1 set of Energy Calculations for heated addifions
1 site survey (or additions & decks
Addi6on - indicate if oo-s'rfe sepNc system
?0 ?_)
vDate _CQ? Constrn-t,v?i?,;.Gost.._
?
,(?
40 ? NC`P LOL I
Unit/Ste
?---
1
;
tion of Work
Descri i
p i
Multi-Family Bldg _ Y_ N Fireplace(s)
2 I I
?
<ZL
RJ? ? 1lJ V
?
t
O
P
1'elephone # dr?
wner
..
roper
y
? I
Window Concepts of MN, Inc.
coor?actor _ 990 Lone Oak Road Suite 114 I
Address
- Eagan, Minnesota 55121
5tate License # 20163493 C??' ?
Telephone #(4g)
?
?
www.windowconceptsmn
com ?
. i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I ;
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 i
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Workshee
submission type) Submitled Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? j I
Y N If yes, date and address of master plan:
- -
'
d Pl
b
Li Telephone #(
er
cense
um
i
t
t
M
l C
h Telephone #( j 2008 D
rac
or
ec
an
ca
on ?
t
r
/W
t
t
S
C Telephone #(
ewer
er
on
rac
o
a
--- `I'hereby apply for a Residential Building Permit and acknowledge that the inforntation is complete arid accurate;
that the work wiIl be in conformance with the ordinances and codes of the City of Eagan and the S?ate of MN
Statutes; I understand this is not a permit, but oniy an application for a permit, and work is :not to start without a
permit; that the work wili be in accordance with the approved plan in the case of work which requires a!review and
approval of plans. ?
?.
s?*w<e??, ?_-
Applicant's Printed Name ' plicant's Signature " '
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155679
Date Issued:05/29/2019
Permit Category:ePermit
Site Address: 4676 Lenore Lane
Lot:1 Block: 11 Addition: Ridgecliffe 4th
PID:10-63983-11-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Stephen K Williams
4676 Lenore Lane
Eagan MN 55122
(651) 347-7255
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature