4684 Lenore Lane
Use BLUE or BLACK
i ForOftau e
ll
APR Z= 2010 qq q,~;) PeMA
City of Eajan
1 P Fee. 15s-9 !
3830 Pilot Knob Road
Eagan MN 55122 Date Deceived:. 14 j
Phone: (651) 675-5675 i staff.
Fax: (651) 675-5694 1 1
2010 RESIDENTIAL BUILDING PERMIT APPLICATION ~L~
Date: Site Address: U"Lk K-ibx I..~,.k . C=,wr~~,J , N~~ SSti22
Tenant: Suite
RESIDENT / OWNER Name: _ AT,, t-, Ri~gc = Phone: 412_ - 4i- 3 33
Address / City / Zip: U(,8~ ~ RcG LAN, C- cl~ -,Aa.', SS122
Applicant is: Owner Contractor
TYPE OF WORK Description of work: _RE Pt ALL
i~ CSC~ST ~r.~C-, 17CxJ~J/yfii~rtz5 `lam S~~Jk--S 3Rtr
Construction Cost: 12,Ut Q Multi-Family Build: (Yes Y t No ~
CONTRACTOR Name: License N~a4
Address: City: )0- /.1
State: Zip: Phone:
Contact: Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 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.
x_~D i. 1 1 A ILEL~- x
Applicant's Printed Name Appli an s Signature
Page 1 of 2
DO NOT WME BELOW TM LME qq q
SUB TYPES
Foundation _ Fireplaces _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Aftwation (ShVIe Family)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of &i Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall VemoTrtion of entire building - give PCA tit to appik=4
DESCRIPTION
Valuation Occupancy .7 RG - MCES System -
Plan Review Code Edition aw 7 SAC Units
(25%_ 100%-k/ Zoning R- 3 City Water
Census Code ~k Stories Booster Pump
# of Units / Square Feet PRV
# of Buildings Length - Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final I C.O. Required
Footings (Addition)L Final I No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -ice & Water -Final Pool: Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill , Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES d
Base Fee 7 3 oZ ^ /H ? (lr.GMt. fw!/ ov1 P• -,i P vp ~~Q
Surcharge
A, .A4&1 17A.4 b Jjo
Plan Review Y?
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
• V~
Use BLUE or BLACK Ink
f ~'j ~~IS ~GL
Permit ~ l
City of Eapn < 1 I
I Permit F • 1
3830 Pilot Knob Road
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675 ~ I Staff:
Fax: (651) 675-5694 -/1-C-
RESIDENTIAL BUILDING PERMIT APPLICATION
2010
Date: 6 " IS-2x10 Site Address: u68L f WOR+~ L_,kAG ZAC~ARAJ . M>J SS122
Tenant: A~ IPs A kAh OM 1D AkA I,! Suite
RESIDENT/OWNER Name: &,B- AkAU-- Phone: F~1?_- g4z~5-?i33a2
l-Ar-lu CAL,Ahj / 1 J SS11&
Address/ City /Zip: l l(~:i~Q (.C- rJ0 12C-
Applicant is: Owner Contractor
TYPE OF WORK Description of work: _P4Pcs,L«JL 6-K1ST j J6% 5AT)4 u_#:5 WAU_ W M4
2 ~
Construction Cost:- Mufti-Family Building: (Yes / No j
CONTRACTOR Name: License
Address: City:
State: Zip: Phone:
Contact: Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has th%,City of Eagan issued a permit for a similar plan based on a master plan?
_Yes =No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and `supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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.
x Al>I~ A IC w=- x
Applicant's Printed Name Applicant's Signature
Page 1 of 2
i
t
Use BLUE or BLACK Ink
For Office Use Permit
City of EaEd 416
Permit Fee.
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: _
Phone: (651) 675-5675 i staff:
Fax: (651) 675-5694
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6 " 15-2010 Site Address: (468L Vol ORi=- LAAt ZAC-,.4AJ . M&l 5S122
Tenant: ALA I1-, A Ie-Aus ®M )LL. RIB i _ Suite
RESIDENT / OWNER Name: ~,b AkAtr- Phone: hl? - q~ ~`?i33oZ
Address / City / Zip: uGJL I-C-30126 l_inlC C-A6,- iiJ > / l J X5122.
Applicant is: Owner Contractor
TYPE OF WORK Description of work: bAfj 4L1:~> r.>)^ L_ Wr7r1 2 t-i t FAI%
Construction Cost: Multi-Family Building: (Yes L/' / No
CONTRACTOR Name: J~ License
Address: City:
State: Zip: Phone:
Contact: Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the,.:City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 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.
X A1-> L2~, A x
Applicant's Printed Name Applicant's Signature
Page 1 of 2
CITY OF EAGAN
3795 Pilot Knob Road Eogan, MN 55122 N2 6564
PHONE: 454-8100
BUILDING PERMIT Receipt .#
To be uted for Est. Value Dote , 19-
Site Addrea
Ered
p
Octuponcy
l.ot Block Sec/$u6. Alter ? Zoning
Parcel Repair ? Fire Zone
E
l of Const
T
n
arge ? .
ype
ac
W Name Move p # Stories
; Address Demolish ? Front fT.
b Ciry ...a ?? Grade ? Depth., ft.
p Name Approvah
?? .:
Address _ Assessment -
~ Ci phone Water 8 Sew.
u?
Name Police
W W
t Fire
:
? Addrest Eng
? .
aW Ci phone Planner-
I hereby acknowledge that I hove read this applicotion and stote that Council _
gldg. Off. -
the information is correct and agree to comply with all opplicable APC
State of Minnesoto Statutes and City of Eagan Ordinances.
Fees
Permit
Surcharge
Plon check ^?•7
SAC r,?
Water Conn. ^?l• ?'1
Water Meter
Road Unit
Total ' ^`%R •2:?
Signature of Permittee ?
A Building Permit is issued M: on the express condition that
all work sholl be done in acmrdance with oll applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Pomi! # Dafo Isvad PonnMfw
Plumbing
7-11
Mechonicol ?,53( 'j ^37 6LV-it-e
fcer4r rC qc -ryO-gu 4 4? - rl -s-? BEc Fce< <
INSPECTIONS I DATE INSP.
RapMln
Final
Footings Date Inzv. ? Date Insp---.
--
Foundation % Plumbing ?
??
i
Frame/ins. - j -$/ Meclwnical C?
Final
Remarks:
^
Receipt PLUMBING PERMIT Permit No. '
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type ar Print legibty ?
Tot. •
1. Date 2. Installation Cost
3. JobAddress ^69C) =,MCxT'C Ti-Lot Bik. Tract ns.i(rCf,` .'
4. Owner ?"7"jSl `I't?C1r;>M1 1;cT',c-':
5. Contractor ' -?-nZ I.'yai'1 Phone "? ;-Z.1•""
6. Address 10745 S. Fn'_-mart Tr
7. City ?k3sernomt State
`-;71OFII
Zip
8. Building Type: Residential 13 Commercial ? Institutional ?
9. Work Description: New ED Add ? Alter ? Repair ?
10. Describe
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 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
' Rough Final
,• Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
, Approved CITY OF EAGAN 454$100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legib/y Tot.
i, Date 2. Installation Cost +
3. Job Address -s? -)0 "Ebt Blk.
4. Owner
Tract
5. Contractor - Y N. WEL2::12 phone 5-6'?,67
6. Address "'.uj % ?iiiC c; :.
7. CitY --'° State Zjp 55f,i'7
8. Building Type: Residential [$ Commercial ? Institutional ?
9. Work Description: New El Add ? Alter 0 Repair ?
I 10. Describd '.=ta11 forced e7s heat: ': Fuel Type n.?.t '-9
1 11.
No.
I Eqliipment 8TU - M. Ea.
Forced Air No, Equipment CFM
Air Handling:
Mfg.
_ Boilers
Mfg. _ Mech. Exhaust
Unit Heater
Mfg. Other
+ Air Cond.
Mfg.
1 Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with ap,'ocdinances and codes governing this type of work.
, ;.
Signed
? ? , e ?" for
Rough ' Final
, ,. Inspections: Date Insp. Date Insp.
7his is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
t Y
Receipt PLUMBING PERMIT Permit No. - CITY OF EAGAN
Fee
Fil1 in numbered spaces S/C
Type or Print legibly Tot.
?' . .,
1. Date 2. Installation Cost
3. Joh Address LotBlk. !•`-- Tract
4. Owner
p e,
?
5. Contractor "Phone .. , _
6. Address
7. City State Zip "
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New O Add ?
10. Describe
11.
Alter ? Repair ?
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 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
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 i
SITE ADDRESS: APPLICANT: I
II" I ?1?
I? ?ll,'r41 t 1 tJl?j:i f/iNl
. . , ? , f . . ,
PERMIT SUBTYPE:
ISI Ilt?%. ? .?.. ' .
!??IP!{ I I:1 ', l?nf??t} ( I
TYPE OF WORK:
INSPECTION .. . D•
a71.Ml11'-h', li " 1 1'A 1;N11 S'1 i;Ml I I'. I:i ttllli:l {1 IM, 44N'i 1 lt t:ff, it"(il Iffik t.
Pertnit No. Pertnit Holder Date Telephone M
ELECTRIC /J ? o
PLUMBING
HVAC
InspecNon Date Inep. Commanta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOAflD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FfPfAL
DECK FTG
DECK FINAL
CITY OF EAGAN
, 3795 Pilof Knob Raad Eagen, MN 55722
. PHONE: 454-8100
BUILDING PERMIT ReceiPt #
TO 6a uled fer Est_ Vnllle DMe
Site Addreu
Lot Blxk Sec/Sub. r,... .-.- : ,
Percel # l
W Nome _?
+k7f`)'L*?:?
; Address
? '.1h3
p Name
F
?? Address
Nome _
Address
I hereby acknowledge that I hove reod this application and stote that
the information is corred nnd agree to tomply with all applicable
Stote of Minnewm Statutes ond City of Eagan Ordirwnces.
Ng 6565
/ J N
Erect ? Occupanty
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move 0 # Stories
Demolis h ? Front ft.
Grade ? Depth ft.
Approvals Fees
Water & Sew.
Polite
Fire
Eng.
Plonner -
Countil _
Bidg. Off. -
APC
Permit
Surchorge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total ., `
Signature of Permittee I
A Building Permit is issued to: on the express condition that
oll work sholl be done in accordance wtih oll appliwble State of Minnesota Stotutes and City of Eagon Ordinances.
Building Officiol
r.rmtr # pote l.o.e ierwiffM
Plumbing I
Mechanicai 2$ 3 G'? `3- r'
iiEc c?cal -(L - $Fi F F< <
INSPECTIONS DATE INSP. RouglFln Final
Footings Date Inzp. Date Insp.
Foundation Plumbing
Wc
Frame/ins. iYS'*f Mechanical
Final - -?/
?
Remarks: S-G - 81 c_??`
Receipt PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legibly
1. Date 1. 2. Installation Cost
3. Job Address Lot 81k.
Permit No.
Fee
S/C
Tot.
12 Tract rT39L I
4. Owner , -T'i-`Z =`21crTmn ZI[itPs
5. Contractor A112 FZyc3ri Phone 423-119 4
6. Address 14745 S. T:d722't 7-
7. City 1 [3R?1Dtmt State
Zip `'?."'C;R
8. Building Type: Residential 15 Commercial ? Institutional ?
9. Work Description: New M
I 10. Describe
I 11.
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
(:ess
ool/Drainfield
_ Bath tubs p
Se
tic Tank
Lavatory p
5oftner
_ 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
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot. •'
1. Date 2. Installation Cost '... -
3. Job Address 4688 LencrC. 7 -.,Lot " Blk. Tract
4. Owner
ORRI24 TIVMPSON
5. Contractor ? - ?
Phone
6. Address 11 37 Ch1Cag0 Ave,
7. Clty _L'1. $L8t0 ' il. ZIP
8. Building Type: Residential @ Commercial ? Institutional ?
9. Work Description: New Q Add ? Alter O Repair ?
I 10. Describe ; 1-1 forCeii !aFFuelType n'-?
I 11,
No.
" Epuioment BTU - M. Ea.
Forced Air No. Eauipment CFM
Ai
H
dli
Mfg, r
an
ng:
9oilers
_
Mfg. _ Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
1 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
r
i
• Rougb"%Finel
Irispections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
• CITY OF EAGAN
3795 Pilot Knob Road Eogan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
Site Addreu ?'t '.(> I"KiI-^ ?.
Lot Block 7 ^' $et/$ub. -,,-;,'"°„I lcr„ ;•
Parcel # 1': rr,7 n1? ' ?
rc Nome Yi'3?50*i ? :(Y'i?S
W
Z Address 1712 Jk,)?A:ii?s C'r'SiT1.
c __ -- e.cril?zi ? 544--7333
p Name --,
? .
?U Address
h
Name _
Address
1 hereby ackrawledge tFwt 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.
N4 6563
? ?(-- a
Erect Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth ft.
Anor ovah Fees
Water & Sew.
Police
Fire
Eng.
Planner _
Council _
Bldg. Off. -
APC
Permit
SurcFarge
Plan check "
SAC
Water Conn. '
Water Meter
Road Unit
Total
Signoture of Permittee ?
A Building Permit is issued to: "'( on the express condition that
all work shall be done in accordonce with oll opplicable State of Minnesotc Statutes und City of Eagcn Ordinances.
Building Official
P*nnM # Dah Ipued PxmMfr
Plumbing
Mechanical &JF
?' ?£ c?°ca l -t ?(? 8?10'7 (? - r( - S T3? I l E lE ? ?
INSPECTIONS I DATE INSP.
RapMln
Finol
Footing5 Date Insp. Dote Insp.
Foundation _ Plumbing
Frame/ins. - i $( MecFwnicel ?r
-1-
Final
Remarks: A"''O?`? 6 =`- g /
Receipt PLUMBING PERMIT Permit Nn..
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot. ?-
1. Date 2. Installation Cost
3. Job Address T?'-?r'?> 'Lot Blk. ,` Tract ?=r?c!-f R
4. Owner ? TC'iIl '1tK7r.,
5. Contractor <`fl--]T. Rycl? Phone 1_1 ^A
6. Address '?s?'?,x-`
7. City "()semomt State
8. Building Type: Residential (O
9. Work Description: New rD
10. Describe
71.
Zip
Commercial ? Institutional ?
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cess
i
field
l/D
_ Bath tubs poo
n
ra
Se
ti
k
T
_ Lavatory p
an
c
Soft
e
_
Shower r
n
Well
Kitchen Sink
_ Urinal/Bidet Othe
Laundry Tray r
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 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
. • Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
• ,Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly T
t ?•
o
.
1. Date •- - 2. Installation Cost ? •`
3. Job Address -^ ' • Lot Blk. Tract
4. Owner ?RZta ^tIVAL SON FK1hti'..:i
5. Contractor ? IrL G. ? • Phone %
6. Address 37 -ve. ,.
7. City ' 1 ?• State ??• Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe ?-`nY'Ced ),i2' hetti ' Fuel Type 9' ?
I 11.
No.
? Equipment BTU - M. Ea.
Forced Air No. Eauiament CFM
Air Handlin
:
Mfg. g
Boilers
_
Mfg, _ Mech. Exhaust
Unit Heater
_ Mfg. Other
1 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: F for
Rou9h - Fioal
inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
? A,pproved CITY OF EAGAN 454-8100
, CASH RECEIPT
? . CITY OF EAGAN
3795 PILOT KNOB ROAO
EAGAN, MINNESOTA 55122
DATE 19
RECEIYED
FROM
AMOUNT $
?/ !/ ,- (
& OOLLARS
1 oo
Fl CASH ? CHECK
FOR
i. J ;4
vuNO cooe nenouHr
Thank You
C:?`O".
7 ,'
BY /
White-Payers Copy
Yellow-Posting CopY
Pink-Fila Copy
. cirY oF EAGAN
3795 Pilot Knob Road Eagae, MN 55122
PHOWE: 454-8100
BUILDING PERMIT Receipt #
N? 6562
1 cf 4 nle:; etr_ vaiua 40,00n
Site Address
Lot Block ' Sec/Sub.-? `'MCLFfC ?
Partel # - , -`
W Name
z iia?}?ins iY,n i,
g Addreu
544-7333
mO Name
?
?? Address
?- r;w, rn.....e
I hereby ackrwwledge that I have read this application and state that
the informotion is correct ond ogree to comply with all applicable
State of Minnewta Statutes and City of Eugan Ordinances.
Ered '[( Occupancy
Alter ? Zoning
Repoir ? Fire Zone
Enlarge ? Type of Const. `
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth ft.
Approvab Fees
Water & Sew.
Police
Fire
Eng.
Pianner -
Council -
Bldg. Off. _
APC
Permit
Surcharge
Plan check
SAC
•
Water Conn. ?r.
n;?
Water Meter
Road Unit
Total 1 . " ,
$iynaTUrc of Permittee ?
A Building Permit is issued to: on the express condition that
oll work shall be done in accordance with all applicable State of Minnewta Statutes and City of Eugan Ordinances.
Building Official
f-:
_ Pamk # paM Ism?ad PanaNtw
Plumbing 41- 7 -
Mechanical _S7'?g--
-?k, c« TyaSCo(o (I - 1( $i BEcC F Fc-- c
INSPECTIONS DATE INSP.
Rwgh-In
Finol
Footings y- Date Insp. Date Insp.
Foundotion Plumbing
Frame/ins. Mechaniwl
Final - ??-?
Remorks: ?5 - ic-4
Receipt PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print /egibly
1. Date 2, Installation Cost
3. Job Address 4(A4 !Amore ! Lot i Blk. 1-' Tract r ?
4. Owner OYTlT: ':L?f?Ci-')Zs:e1 - sa (-•S
5. Contractor 7?vaS' Phone
6. Address .1 z1745 S. TkJ.x's'1- '_'Z'
7. City :2;C a,)i rtt State Zip `?''?'
8. Building Type: Residential h? Commercial ? Institutional ?
9. Work Description: New C]
10. Describe
11.
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Se
tic Tank
_ Lavatory p
Softner
_
_ Shower Well
Kitchen Sink
_ Urinal/Bidet Other
Laundry Tray
Floor Orains
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
Rough F inal
jInspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
?lapproved CITY OF EAGAN 454,8700
Permit No.
Fee
S/C
Tot.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
fill in numbered spaces S/C
Type or Print legibly
Tot.
1. Date 2. Installation Cost ? .`
3. Job Address 1:,()uL: LenOTe _Z. Lot ' Blk. Tract
4. Owner -??
5. Contractor Phone
6. Address 41?37 C.'11C,_`.: '.'e. ?).
7. City State Y2. Zip r;,!07
8. Building Type: Residential 9
9. Work Description: New 0
Commercial ? Institutional ?
Add ? Alter O Repair ?
I 10. Describe ''?Aall forced aiT DontiTlg Fuel Type 2'12.t ;
I 71.
No, Equioment 8TU • M. Ea.
Forced Air No. Equipment CFM
Air Handlin
:
Mfg. g
_ 8oilers
Mfg. _ Mech. Exhaust
Unit Heater
Mfg. Other
1 Air Cond.
_ Mfg.
I_ Gas, Piping Outlets
12. I hereby certify th at the above information is true and correct, and I agree to
comply with all o rdinances and codes goyer ning this type of work.
Signed :
for
Rough Final
'• Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
iApproved _' '%' CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition- Ri dgPrl i ff dth Addn Lot 1 Blk 12 Parcel #1 fl 63994 Q10 12
owner 1` st,eet 4684 Lenore Lane state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 95.95 C007109 3/2 7 81
SEWER LATERAL 2
WATERMAIN
WATER LATERAL 19$2 630.40
WATER AREA
Services 1982 637.75 7
STORM SEW TRK 1982 346.09 5 346.09 0
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STAEET LIGHT
Road Unit 185 00 23969 -4-24-91
WATER CONN. 335 Op
9UILDING PER.
sac 525.00 23868 3-24-81
PARK
CITY OF EAGAN
Addition Ri rlgerl i ff dth addn Lot 2 Blk ].2 Parcel #10 63q83 020 12
Owner
st,eet 4686 Lenore Lane State Eagan, MN 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 3/27/81
SEWERLATERAL N 1982 652.71 5 652.71 C007616 12-23-81
WATERMAIN
WATERLATERAL 1982 630.40 5 630.40 C007616 12-23-81
WATER AREA 19$0 110.69 7.3$ 15
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
Road Unit 185.00 23868 3-24-81
WATER CONN. 335.00 23868 3-24-81
BUILDING PER.
s.oc 3-24-81
PARK
CI'fY OF EAGAN Remarks
Addition Rid ec iffe 4th Addn Lat 4 ceik 12 Parcel 10 63983 040 12
owner " st,eet 4688 Lenore Lane stete Eagan, MN 55122
„
?. •
Improvement Date Amount Annual Years Peyment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 95.95 C007109 3 27 81
SEWERLATERAL E?o 19$2 652.71 5
WATERMAIN
WATERLATERAL 1982 630.40 5 630.40 C007616 12-23-81
WATER AREA lgg
Services 1982 637.75 5 637.75 C007616
STORMSEW TRK 1982 346.09 5 346.09 C007616 12-23- 1
STORM SEW LAT
CUR6 & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 23868 3-24-81
WATER CONN. 335,00 23868 3-24-81
BUILDING PER.
SAC
PARK
CI'TY OF EAGAN Remarks
Addition R3dgecliffe 4th Addn_ Lot 3 Bik 12 Parcel 10 63983 030 12
Owner
Street.4-(2-90 Lenore Lane stace Eayan, NRd 55122
Improvement Date Amaunt Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 95.95 C007109 3 27 81
SEWERLATERAL 1982 652.71 5 652.71 CO 616 12-23-81
WATERMAIN
' wAreaLnreRa,L 1982 630.40 5 630.40 C007616 12-23-81
' WATER AREA Z-IL 9 1
Services 1982 637.75 5 637.75 C007616 12-2 -81
STORMSEW TRK 1982 346.09 5 346.09 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185 00 23868 3-24-81
WATER CONN. 335.00 -Z -8
BUILDING PER, 6564
SAC
PARK
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 agree to eomply with fhe City of Eagan Connection Charge:
Ordinaneea. Account Deposit:
Permit Fee:
Surcharge:
BY Misc. Charges:
Dete of Insp.: - Totol:
Insp.: Date Paid:
? CITY GF FAGAN WATER SERVICE PERMIT
3795 Pilof Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Ow-ier.
.4ddress:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account De
posit:
Reader No.: Permit Fee:
I ag?ee to oomply with the Cify of Eagan Surcharge:
Ordinanus. Misc. Charges:
Total:
BY Date Paid:
Date of Insp.: Insp.:
CIFY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO,:
Eagan, MN,55122 DATE:
Zoning: No. of Units:
,(hvner, _
Address:
Site Address:
Plurnber.
Meter No.: _ C6nnection Charge:
$ize: Account Deposit:
Reader No.: Permit Fee:
1 agree fn eomply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
TotaL•
B'/ Dote Paid: '
Date of Insp
SEWER SERVICE PERMIT
trrir oF EAGAN
3795 Pifot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning; No. of Units:
O
wner.
Add
resr.
AJJ__??. . ' .
' ' ..
PI umber:
1 agree M eompiy with t6e City of Eagan
Ordinantas.
By
Date of Insp.:
I nsp.:
CIFY OF EAGAN
3795 PiIM Knob Road
Eagan, MN 55122
Zoning:
:Nvner:
Address:
Site Address:
Plumber:
1 agree to comply with fhe Cify of Eagan Connection Charge:
Ordinances. Account Deposit: _
Permit Fee: -
Surchorge:
gy Misc. Charges: -
Date of Insp.: Totol:
Insp.: Date Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pifot Knob Rood PERMIT NO.:
Eagao, MN 55122 DATE:
Zoning:
No. of Units:
Owner;
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Acwunt De
posit:
Reader No.: Permit Fee:
I agree to eomply wifh fha Cify of Eagan Surcharge:
Ordinaneos. Misc. Charges'
BY Total:
Dote Paid:
Dote of Insp.:
I nsp.:
Connedion Charge:
Acwunt Deposit: _
Permit Fee: -
Surcharge:
Misc. Charges: -
Total:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
- No. of Units:
CIT OF EAGAN JCWCK DCKYI(:C PtNMIF
'795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address: ' •
Plumber:
1 agree to aomply with the City of Eagon
Ordinances.
Bv _
Date of Insp.:
Insp.:
Connection Charge: '
Account Deposit:
Permit Fee: _
Surcharge:
Mix. Charges:
Totol:
Date Paid: r
CITY OF EAQAN WATER SERVICE PERMIT
3755 Pilot Knob Roud • pERMIT NO.: "
iEagan, MN 55122 DATE:
Zoning: ? No. of Units:
Owner:
Address: '
Site Address:
Plumber:
Meter No.: CoAnection Charge:
Size: , Account Deposit: _
Reader No.: Permit Fee:
1 agree fo wmply with tha City of Eagan Surcharge:
Ordinanees. Misc. Charges:
Total:
BY Date Paid:
Date of Insp.: Insp.:
I nnJaauw nmm waru ol cIua;aricjty
Griggs Midway Bldg. - Room N191
*r 1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2711
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERF,D RY THIS RF.ni IF.ST
EB-00001-02
aSO SS
T 42269
Type of Building New Add. Rep. Check Appliances Wired For. Check Equipment Wired For
Home
lex ?
? ?
? Range
Water Hexter Temporary W'ving
Lighting Fixtures ?
. Bldg.
Comme:cial Bldg. ?
? ?
? ?
? Dryer ?
Fumace Electric Heating
Silo Unloader ?
?
lndustrial Bldg. ? ? ? Air Conditioner Bulk Milk Tank ?
Fazm
Other ?
? ?
? ?
?
List
p
Hehers?
List
p
Heiels?
COMPUTE INSPECTION FEE BELOW
Secvice Entrance Size: # Fee Feeders&Subfeedecs: # Fee C'vcuits: # Fee
0 to 100 Am s. CA) 0 to 30 Am eres 0 to 30 Am eres -
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres "'
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformets Remote Control Circ. Paztial or other fee
Signs Special lnspectio Minimum fee $
Remarks[Q `)
r ?
` 4( ( ? ?? I / l ??1 ??? / vT":.
TOTAL FE ,#? JD
Z?G'?
I, the Ele4)rical'Inspector, hpticWi'fy that.thf,-above inspection has been ?(
(Rough-in) ra 1? Q Date "
(Final) Date
This request void v 18 months from
This r?c?uest void L- 3 ( ? «i
] 8 months from
I)ate o this Request W I 3 l? l Fire No.
•I, asLicensed Electrical Contractor D Owner, do hereby request inspection
cal wYnhg installed at:
.a 71 S'C:3
1-5Sv 17sS J
It 42869
of the above electri-
&t Address or Route No. "WO LpI?- City?A?
Section Township Range County U? rb
Which is occupied by CRP-lN ?b?5??? ? +t?h?
(Name of Occupant)
Is a roughin inspection required on this job? No ? Y? Ready Now ? Will CatdNf
Power Supplier 21)r?? Address F4 t%A IJbJ-O/"
Electrical Contractor Contractor's License N???
ct (COmpany Name)
Mailing Address [. A G-bff- (Zfl&Q,
`(E ctric Contractor or Owner Making This Installatlon)
Authorized Signature -q,\Al' Phone No.
(Electrlcal Contractor or Owner Making This Installation)
SUVE ? O/„? (?D ?j'0??1lJ This inspection request will not be accepted hy the
?;5??? ? ?, ? il State Board unless proper inspection fee is enclosed.
7YL
319%95
REQUEST FOR ELECTRICAL INSPECTION
10, See insiructions for completing Ihis form on 6ack af yellow copy.
"X" Below Work Covered by This Request
???
....EB-00001-09
?Xq.lO
'?.a?^• ?j .
Ne Add Rep:,? Type of Building Anpliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other (Specify)
Farm Air Conditioner
i Other (specity) Contractor's Remarks: /'1Oepl?G
l? ._CC 47 J`Ca _Vqq,m- - n
I?
Compute Inspection Fee Below.•
# • Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps to 100 Am s
Transformers Above 200 Amps Ab ve 100 -Am s
SI nS Inspedor's Use Only:
DU TOTAL
Irrigation Booms ? aO?a
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee > p COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
Finel Date
oei ?-??
OFFICE USE ONLV
This request void 18 months trom
?780
R uest Date Fire No. Roug -In Inspecti
'G
(You musl call insp R ired
et or when r dy) Inspection Other Than Rough-In
? Ready Now &Will Notify Inspector
Ves No Date Read
I?icensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Street. Box or Route No.)
"I ?o D L..g-oSDIZE L--? ^?? City
?f{f? ?IJ
SectiQn No. Township Name or No, Range No. County
Octcu?p?antf'T(PRINT) l?
n/?C ?R/kki Phone No.
Zo • 7 ~?
Power Supplier Atltlress -
Elec rical Convactor (Company Neme) Contracror's License No.
2; Rt tA ?J F-e c 00 C,4 e? aa
Meiling Address (Conlrector or Owner Maki stalletlon)
•o ?u ? ?
J?-I?,•
55 a??`
Author Signamre (Conlre /Owner Meking InstallaCqn) Phone Number
A
EE
{ Ilql IIII IIIII?III 111111111111111111111 ENG OS PROPER INSPECTION P p
Ph? ne (fio12) 42A0 0? oP?SMNB 5?04'CITY UNLESS T
? ??
???
rviinnesota 5tate tWara ot Electricity
- ' Griggs Midway Bidg. - Room N197
1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111
, REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
EB-00001-02
??? &!7-
T 42868
Type of Building New Add. Rep. Ch¢ck kppliances Wired Foc Check Equipment Wired Foc
Home ? ? Range Temporary Wiring ?
Duplex ? ? ? Water Heatec ? Lighting Fiactures
. Bldg. ? ? ? Dryer Electtic Heating ?
. mme[cial Bldg. ? ? ? Fumnce Silo Unloader ?
Industrial Bldg. ? 0 ? Au Conditione: Bulk Milk Tank ?
pList
ei
ls? pList
h
ls?
O her ? ? ? H
e He
e
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feedecs& SubFceders: # Fee Cucuits: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am etes
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres ?
Above 200 Amps. *-' Above 100 Amps. Above 100 Amps.
Transformers RemoteControt Circ. Paztial or othe: fee ?
Signs Special lnspection Minimum fee
Remarks TOTAL F ,.j
0.10
l, the Electl?al Inspector, hereby cer ' that t ovF inspection has been r /
(Rough-in) e Date .? " y d`
(Final) ? ,,? C Date
This request void
18 months from
G? f r
This req est void
18.months from
Date o this Request t? l 3la1 Fire No. ? 42868
I, as Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal wirirlg installed at:
et Address or Route No
ion Township.
Which is occupied by _ vK't? ??WPy?44 V%K-3
(Name of Occupant)
Is a roughin inspection required on [his job? No ? Ye#§, Ready Now ? Will Ca1K
Power Supplier IZE ro
Electrical Contractor el_E.Cd fLl. (, Contractor's License Ajt?5??
(COmpany Name)
?Oiv L?N" LA?-
Range County
f404AI I`* Id
Mailing Address 1411
Authorized Signature
or
No. ?
(ElectrlcSl Contractor or Owner Making Thls Installatlon)
j?? p O n?D 0???/ This inspection request will not 6e accepted by the
?? ?
[?=d IJ L=il l5 L( State Board unless proper inspection fee is enclosed.
minnesoia acace noara or tiecrricrty
Griggs Midway Bldg. - Room N797
?- 1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2171
REQUEST FOR ELECTRICAL INSPECTION
CHECK BL-LOW WOi2K COVERED BY THIS REOUEST
EB-00001-02
m2-SCD
T 42867
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired Foi
Home ? ? Range ? Tempoixry Wiring ?
Duplex 13 ? ? Water Heater ? Lighqng Fixtuies ?
" t. Bldg. ? ? ? Dryei Electric Heating ?
mme:cial Bldg. ? ? ? Fumace Silo Unloader ?
dustrial Bldg. ? ? ? Air Conditioner Bulk MIlk Tank ?
Fazm ? ? ? List List
Other
?
?
? Othecs?
Here Othets?
Here
COMPUTE INSPECTION FEE BELOW
Service EMcance Size: # Fee Feeders&Subfeeders: # Fee Cirwits: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres (oy
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres -
Above 200mp'. "? •, Above 100 Amps. Above 100 Amps.
c, Remote Control Circ. Partial or other fee
Special [nspection Minimum Fee $5
Remai&
>
ar->
?
TOTAL FE O
I, the Electrical Inspector, hereby certi??'xfe? theSy?i s?ecti ? has been a2--?
(Rough-in) ???' Date
D
(Final) e -Klate - ? -
This request void ?
18 months from
This req? ? st void L"? 'B /?1 R? C??
] 8 months from
5-0 S S_
Date of this Request 613 k I Fire No. `w42867
I, aLicensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal ?n g installed at:
Street Address or Route No. 4`L7?(p Lto?(LS t-w G City C"M
sion Township Range County ???
Which is occupied by
r? T??MPS???
Is a roughin inspection required on this job? No ? Yeo_ Ready Now ? Will CaltI4_
Power Supplier Address ??`f ? (o
Electrical Contractor Contractor's License No?.? `?Z'?
(COmpany Name)
Mailing Address
ical Contractor or Owner Making This Installation)
Authorized Signature _ ) = ?T'?l.c.J" Phone No. 311(1
(Electrlcal Contractor or Owner Making This Installstion)
?'C ?(,? j?? pO/,??D ?('OnM This inspection request will not be accepted hyffie
? Lr.l ?? il,? ?ti Lr lJ State Board unless proper inspection fee is enclosed.
mn" nvautsl oman ouaru ul Cltn:Ulciay
_ Griggs Midway Bldg. - Room N191
1821 University Ave., St. Paul, Minn. 55104 - phone 297-2111
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
EB-00001-02
T 42866
Type of Building New Add. Rep. Check Applinnces Wired For . Check Equipment Wired For
Home
lp, ? ? Range 11 Temporary Wiring ?
Duplex ? ? Water Henter ? Lighting Fixtures ?
t. Bldg. ? ? ? Dryer ? Electric Heating ?
mercial Bldg. ? ? ? Furnace (?, Silo Unloader ?
ndustrial Bldg. ? ? ? A'u Conditioner ? Bulk Milk Tank ?
Fazm ? ? ? Lis[ List
Othei ? ? ? p Heiels? Herers?
1
COMPUTE INSPECTION FEE BELOW
Service Entcance Size: # Fee Fceders& Su6feeders: # Fee Circuits: # Fee
0 to 100 Am s. " 0 to 30 Am eres 0 to 30 Am eres br
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am res
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Pattial or other fee
Signs Special Inspection Minimum fee
? ..
Remazks
`: ?
' 1_
r?i?v<<.F ?
OTAL F E • JO
t.
?
I, the Elec#nca?JnspebEor; fiereby certify
(Rough-im)
(Final)
has been
This request void
18 months from
Thgs:xequest'void L l
' ? ?"2? ?'C`? ?3 • S?? ?/
18 dionths from
Date of this Request Fire No. ? 42866
I, as 6?Licensed Electrical Contractor El Owner, do hereby request inspection of the above electri-
cal winng installed at:
Street Address or Route No
*on Township _
_q(Q?q U-N0o-e w-t' City 6sC%4
Range County Wrak
Which is occupied by O?Z?fa qwbt5cl? ??
(Name of OccuDant)
Is a roughin inspection required on this job? No ? YesC*- Ready Now ? Will Caqo
Power Supplier ?? Address 9??(wiirj
Electrical Contractor 3EA-`-- Contractor's License NoAW2,57
(COmpany Name)
Mailing Address • CJ-{."?
( ct al Co tractor or Owner MakMg Tbis Installatlon)
Authorized SignaturePhone No.
(Electrical Contractor or Owner Making This Installation)
Ll ? ?OQQD QOp? This inspection request will not be accepted by ffie
?'J?W 0 V SWte Board unless proper inspection fee is enclosed.
? CASH RECEIPT
? CITY OF EAGAN
3795 PILOT KNOB ROAD
?
EAGAN, MINNESOTA 55122,
?
? DATE -'C 19
aeGErvEo
FROId ''\
--- / qc?
AMOUNT
?? •
--- Li ----" DOLLARg
?oo
? CASH FICNECK
FUND
_ COD6
AfAOl1NT
VZZ
• `?',? ' e
,
? ---- l(o .a ? -'ZJ
.3 ?vio Iv:?D ?-v
a n1( ?0 U 3 ??`'`' ??• ?
B'
YN? 2 3 8 6 8 White-PaYen CoPY
Vellow-Posting Copy
Pink-File Copy
?
;
'
%;ktrtifirttte of (Orrupttnxy
? ? . . Cttp of (Cagan
Depttrfineni nf luilhing 3nspertinn
Tbit Cnti ficatc iscucd pur.ruant to tbc requirrmrntr o f Section 306 of tbc Uni f orm Building
Codr eerti f ying that at t{x timc of irsuance tbit ttrutturc was in com plianct wrth the vurioul
ardinanccs of the City rrguluring bxilding conttruttion os urr. For the follouting:
?
UrClaWfuadm 1 of 4 PLEK ' BIdg.PemtitNo. 6564
'
occuwar rra R3 Tvw coo.?uon V FiR zm. ' zogjns wtri« PD
Owavofmd'mg Orrin Thompson ,,,a. 1712 Hopkins Crsrd., Mtka
B„il„na"dr= 4690 Lenore Lane ,y Lot 3.Block 12,Ridgecliffe
?(Jn ? ?, 4th
?`?""
ewuaing oYm.l 69- n..: September 22, 1981
A CoYaMYOU. RAC[
??I ?ITXOIN V.S.P.
? CASH RECEIPT -
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122, C
DATE ? 19
RP.C61VE0
VR(N.1 ? ?^ / /
\Y ?'"71
AMOUNT
- ? ' DOLLARS
tee
? CASH E] CHECK
l !
?
?d',G
. J ??.?.... / ? . ,..
FUNO COOE AMOUNT
. _.... _....'_"".
. ?? ? ? y ?
?? "F1?7 l?c3x -?l
?
'1'han?C`?ou
B -,
.?n 23868 White-PeYen CoPY
Yellow-Postinp Copy
Pink-File Copy
(gtrtifirtttr nf (Orrupttnry
?itp of (Eagan - -. =_
J Er.pttrtmrnt n# Builbing Jnspertinn ? -. -
Tbu Crrti ficate i.rsuul prrrruans to tbt nquiremcnts of Sectron 306 of the Uniform Building
Codc carti fying tbat at tix time of itsuanct tbis structure wa.r in com pliance witb the variout
osdis+aeccs o f tbc City rcgul.uing building connnution or ute. *For thc fo!lowing ?
. .. < : , ?
ctsc7mifiuam 1 Of 4 PLEX ? wae.Pon,otNo. ..,.6565
O-FiKY TYPe RI 7Yp Camwcdan Y fim 7 ? Zamg Duuut PD _
o.,..orMdina Orrin Thoaroson Aaa? 1712 Hopkins Crsrd., Mtka.
4th
?--
nne: September 22, 1981
-
1qIIIT IN A ?ryCVOYa ?C[ . . ?• . • •.
urFOw u.s...
CASH RECEIPT
CITY OF EAGAN
3795 PILaT KNOB ROAD
EAGAN, MINNESQTA 55122
UATE ? 19
FROM
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.° 23868 White-PaYers CoPY
'"' Yellow-Posting Copy
Pin4-File QODV
%:k.erfifirate uf Orrixpttnry
,
of eagan EPpFll'tiktPtit il# gliilhtllJ 3tiHpP!'ttliri -
. . . f .? ` ' 4 X . . . . ...
Tbi.r Ccrtr fitate rc.rued pursurint to the sequiremrntc o/ Seriion 306 of the Uni form Building
Codc urtifying that at the time of iuuuna this rtructure wat in com pliancc with the various
ordrrrancer o f the Cuy rrgulating byilding connruction or ute: Far tbe foUourng:
T
., .„ ,
Y
? M
u.chminuitiom 1 oP 4 PLEX 6463
p ?eg. ??t No. T
??Pa7TYP? n3 '?'pComuuctmn ? Pim7...e •. ? ZoningDisviet PL .
a„K,of BiOdkg Orrin Thompson ll,,,,1712 Hopkins Crsrd., Mtka.
BuiNoyqddeea 4686 Lenore Lane ,,Q,,;ty Lot 2,Block 12.Ridgecliffe
4th
. Buddinao . wm: S Ptemher 22, 1981 ?
?G?T IM A CpN?rIGVOV? ?LhG[ . . .
LITMOIN u.5.w.
Ttrtif irtttp af Orrupttnry '
Citp of (Eagan : .
Bepttrtmrttt nf .+?uilDitcg Ats.perfimc
. _ _ . ,. .
Tbir Ccrti ficatt itautd purtuant to the +cguiremrnu o f Section 306 of the Uniforrrs BuiWing
Code certifyisg that at the timc o f issuanct this nructurr wat in cmn plianct with the varioua
ordinunnJ of the City regulating 6uilding construction or usc. Fm the (ollouvng:
1 of 4 PLEX 6562
Us Clamfiutiw , Bldg Pomtit Na.
O-P-Y71'Pe R3 TyPComwctim V FimZOOa ? zoningDiatri? PD
O? ,rBuddi„8 Orrin ThomQson Aaa,a,3712 HODkin9 ,rs*d , Mtka.
HuldWBpdd= 4684 Lenore Lane ,,a,,,ty Lot1.Block 12,Ridgecliff
By: 4th
,CP?i?.O-r?
?C
Sevtember 22, 1981
?T I. A COMMCYW? R?C[
?M ?
BUILDING PERMIT APPLICATION
Receipt .#
N° 65,§2
g
?3 ?C
To be usad fer 1 of 4 plex Est.Value 40,000 Date 3-24
Site Address 4684 Ienore Lri. Erect ]q Occupancy R3
Lot _I- Block 19_ Sec/SubRicb2C1_1ffE 4 Alter ? Zoning PD
Pcrcel # 10 63983 010 12 Repair ? Fire Zone _
Eniarge ? Type of Const. V
s Name Orrin Thcar?son Hcr nes Move ? # Stories
Z
? Address 1712 Hcpkin'' CT'SY'd. Demolish ? Front 76 ft.
ci Minnetarilsa phone 544-7333
Gmde ?
Depth 26
ft.
?
o
Name @?? Approvals
- Feea
-
?
?? Address
Name _
Address
I hereby ockrawledge that I hove read this application and state thot
the informotion is correct and agree to comply with all opplicoble
State of Minnewta Statutes and City of Eagan Ordinances.
3-23-81
Water & $ew.
Police
Ffre Eng.
Planner _
Council _
Bldg. Off. _
APC
Permit tiJ.7V
$urcharge 20•00
Plan check 57.75
snc 525.00
Water Conn. 335.00
Water Meter 60. 00
Road Unit 185.00
Total I F 29$,25
Signature of Permittee I
A Building Permit is issued to: Orrin ThcnpSOII fICHl1ES on the express condition thot
oll work shall be done in accordanWwith all applicable State of Minnesota Statutes and City of Eagan Ordirwnces.
CITY OF EAGAN
3795 Pilot Knob Raad Eagnn, MN 55722
PHONE: 454-8100
Building Offfcial
? CITY OF E7u'vkN Include 2 sets of pl<vns,
?(p 1 site plan w/elevations 6
?/?„ • , BUIIDINC; PERMiT APPLICATION 1 set of eneryy calculations.
4b Be Used For R S,D ¢ N?P Valuation4al?o Date N oq•19 80 _
Site Address: _Ai_cOA LC--t)ofc Ln CMooc-'? 83) OFFICE USE dNLY ..
Lot Block 11, sec./sub. g=EgkLrjE?; Erect ? Occupancy f? 3
Parcel #: ?? Z? /???? h11L. Alter Zonin9 f d -
? Repair Fire Zone
Owner: Enlar9e TYPe of Gonst. (
Nbve # StAries
Addre55: a Division Of U. S. Home Corunratine, DHi1O115}1 Front -V ft.
1/12 KINSCROSSROAD Grade Depth ft.
Clty/Zlp COC12: MINNE70NKA. MI;dN 55343
Phone # : 5 `t4- l33 3
Contractor: ORRIN THOM rnni HC) ' pA C_C%_
Pddi'255: a Division of U, S. Home Corporation
,?PKIN
City/Zip Code: MINNETONKA, MINN. 55343
Phone #:
Arch. /Eng • :
Pddress:
Gity/Zip Cade:
Phone #=
APPROUAI,S FEES
f ?
Assessments Permit / /k
WatEr/Sewer Surcharge a 6
Police Plan Check
Fire SAC S o? s
Enq, Water Conn. 3 3 S-
Planner Water Meter 4, 6 v
Council Road Unit
Bldg. Off.
APC
nrrAL
CITY OF EAGAN
3795 Pilof Knob 1[ead "tagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT APPLICATION
Receipt .#
To be used fo, 1 of 4 pleX Est. Value 40,000 Dote 3-24 , t 9 81
Site Address 4686 Ienore Ln. Erect -Ig Occuponcy R3
Lot 2 Block 12 Set/Sub. RidQ2Cllff@ 4 Alter ? Zoning ED
Porcel # 10 63983 010 12 Repair ? Fire Zone -
Enlarge ? Type of Const. v
W Name - OLT1ri 21QTR2SOTI HOIt1E5 Move ? # Stories
; Address 1712 Hopkins CYSId. Demolish ? Front 2.6 ft.
° Ci Y dmetzrka Phone 544-7333 Grade ? oepth 9.? h.
?
o Name Approvale Fees
•
?F
?u Address
bd
WW
'" Z
Name
Water & Sew.
Pol ice
Fire
N2 e563
''".aq6
Permit 117.7V
Surcharge 20•00
Plan check 57.75
sAC 525.00
Water Conn. 335. 00
Water Meter 60. 00
Road Unit 185.00
?0 Address Eng. _
iW City Phone Planner _
Council _
I hereby acknowledge that I have read this opplication and state that Bldg. Off.
the information is mrrect and agree to comply with all opplicoble APC -
Stote of Minnesota Statutes cnd City of Eagan Ordinances.
roral 1,298.25
Signoture of Permittee (
A Bullding Permit is issued to: OYT1I1 7710IC?SOT1 HCIieS on the express condition that
alI work shall be done in accordonce„hith ull appljcqble,State of Minnesota Statutes and City of Eagcn Ordinances.
Building Officiol
? CITY OF F.FU',aN Include 2 sets of plms#
?jv
??
BUILDINC; PERMTT AF'PLICATIdN 1 site plan w/elevations b
1 set of energy calculations.
?
Zb Be Used For _?Qp
j?Es iD pycr? Valuation' Date N o?l .fl. 19 80
Site Address: /{ tea(p LG(vnC Ln o9K 833 OFFI(E USE drII.Y •
Lot 2 slock 12 sec./sub. Erect °co-ipancY
J
?
Zoning .?
?
Par?cel #:
D R
air
ep Fire
Zone
Owmer: Enlar9e TyPe of Const.
Nbve # Stories
Address: a Division ot U. S. Home Corporntion DeiTnlish Front ft.
, /Zi
Ci t
' Cod • /12 KINS CROSSROAD GrdaE
M D2pt'1 ? 6 ft.
}
p 2. INNETONKA_ MI;dN 55,342
Phone #: 5`t4-1333
Contractor: gRRIN TH9MP99?'?,?-Q,"?"?-
Address• a Division of U. S. Home Corporation
? ;O
City/Zip Code: MINNETON!(A, MINN. 55343
Phone #:
Arch./flng.-
Address:
City/Zip Code:
Phone #_
APPROVALS FFF'?.S
Assessnents Permit 2f5??
Wat,er/Sewer Surcharge Q
Police Plan Check
Fire SAC
Enq, Water Conn. 3 3 s?
Planner Water Meter 6 d
Council Road IInit / 85
Bldg. Off.
APC
9? ?s
CITY OF EAGAN
. 3795 Pilot Knob Road Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT APPLICATION 1 o ' Receipt #
To be used For 1 Of 4 pleX Est. Volue 40 r000 Dote N2 6?0j 65
••? O
3-24
Site Address 4688 Len ore Lri. Erect )RF Occupanq R3
Lot 4 Block 12 Sec/Sub. RidgeCllff@ 4 Alter ? Zoning PD
Parcel #_ 10 63983 040 12 Repair ? Fire Zone
Enlcrge ? Type of Const. U
Name OYrL Th c»gOri HcaC1eG Move ? # Stories
W
Z
o Address 1712 IiOp k711S CYSTd. Demolish p Front 26 ft.
G Minnetonka Phone 544-7333 Grode ? Depth 26 ft.
Q? Name Approvals Feea
,o
?
Addreu
AssesaGnt 3-23
-81 permit 115.50
'
~ Ci Phone Water & Sew. Surcharge 20 _ 00
Police Plon check 57 _ 75
FW Name Fire SAC ?21i -00
Address Eng. Water Conn. 3.12.00
_
<W G Phone Planrier Water Meter 60 _ 00
Council Road Unit 1R5_00
I hereby acknowledge that I huve rend this application and state that gldg Off
the informotion is rnrrect and agree to comply with all applicuble APC
Stote of Minnesota Statutes and City of Eagan Ordinonces.
Totol 1 , 29R _ 25
Signature of Permittee I
A Building Permit is issued to: OY'Z'171 'I`haTWSOTI HOIilES on the express condition thot
oll work shall be done in accordcncenwith all apDF+yuble State of Winnesoto Statutes ond City of Eogan Ordinances.
Building Officiol
CITY OF EACAN Include 2 sets o f plans,
1 sit,e plan w/el evations &
. BUILDING EM4T AgPLICATION 1 set of energy calculations.
To Be Used For ' J2p-6
REs?DEr.cE Valuation,& ?o
Date N o,l • j% 1
9 8 0 _
site p,ddress: ? (e,0i?, LinnoCe Ln. MoDe%. 83) oFFzcE vsE oNu,Y --
r-ot A siax i 2 sec./sub. Erect _-I( occupancy
Parcel # : /?L/4 / ? ? - ? F
r ir ire Zone
Owner: EnlalJe TY&e of Const. t/
Nbve # Stories
Pddt2s5: a Division of U, S. Home-CornnraNnn Darolish Front ft.
Clty/Z1FJ COCI2: KINS CROSSROAD Grade
MINNETONKA MIVN 55343 Depth 24 ft.
Phone #: 5`t 4- l33 3 APPROVP.L.s F'EE5
Contractor: -1?k?F?INTH9tt4PS61Pd-FlOP''C-
AddZ'eSS' a Division ot U. S. Home Corporation
1712 .Vi
Glty/Zip COdE: MINNETONKA, MINN. 55343
Phone #:
Axch./Eng.-
Pddress:
City/Zip Code:
Phone #:
Assessrents
Wat,er/Sewer
PO11Ce
Fire
Eng-
lanner
CounCil
Bldg. Off.
APC
Peanit IOs-jca
Surcharge '1o ?
PLdIl Q'lE'Ck
sAC
Water Conn. 3 3
Water Meter 0-
-
Roaa unit ? y s-?
TOTAL i1) 9 dl? as
CITY OF EAGAN
,-3Z.99' Pilot Knob Road Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT APPLICATION
Receipt .#
W 6564
To be uaed for 1 of 4 plex Est. Value 40,000 Date 3-24 , 19-81-
Site Address 4690 Lenore Ln. Erect ? Occupancy R3-
Lot 3 Block 12 Sec/Sub. RidQ2Cllffe 4 Alter ? Zoning PD
10 63983 030 12 Repair ? Fire Zone
Parcel #k
E
l nst
T
f C U
arge
n ? .
ype o
o
o
C Nome (lrri n Thrmmcott HrmtPS Move ? #{' Stories
W
3 Address 1712 HoAkins Crsrd. _ Demolish ? Front 26 ft.
? Ci Minnetonka phone 544-7333 Grade ? Depth 26 ft.
? N Approvols Feea
oO
U
u4?
f
ome SMLO
Address
City _
Nome _
Address
Assessmt 3-23-81
Water & Sew.
Police
Fire
Eng.
¢'Z" ? City Phone Planner _
Council _
I hereby ccknowledge that I have read this opplication and state that gldg. Off.
the informotion is correct and agree to comply with all opplicable
State of Minnesota Statutes ond City of Eagan Ordinances. APC -
Signature of Permittee
Permit 117. JU
Surchorge 20.00
Plan check 57.75
5AC 525.00
Water Conn. 335. 00
Woter Meier 60.00
Road Unit 185.00
Total I { 9
A Building Permit is issued to: OYTlri `P11Ct[pSOri HOmS on the express condition that
all work shall be done in accordonce wM cll aovlicabile Stpte of Minnesota Statutes and City of Eagan Ordinances.
Building Official
C?ITY pF EAGAN include 2 sets of plans,
1 site plan w/elevations b
. BUILDING PERNRT APPLICATIdN 1 set of energy calculations.
Zb Be Used For
R Es ?D r- ejcF Valuation gg,?go Date H o.? •? 1480
site Aaaress: L1tocto Lc-noce. Ln. LMooK 83) oFFiCe vsE arLY -
Lot 3 alocx 12 sec. /sub. Erect occupar?cy
Parcel #: Z?1 l5l> Alter _
Repair
Raner: Enlarge
Nbve
p,ddrpss; a Division of U, S. Home CorpnrAtion DeniDlish
PKINS CROSSROAD Grade
City/Zip Code: MINNETONKA. MIrarv izqzn, -
Phone #: 5't 4- l3 3 3 APPROUALS
c;ontractor: gRRIN TH9MPS?-RO{+"C??1'--
AddreSS: a Division of U, S. Home Corption
ora
City/Zip Code: MINNETONKA, MINN. 55343
Phone #:
Arch./Drig. .
Address:
City/Zip Codee
Phone #:
zoning f0?0 -
Fire Zone
Type of Const. v
# StAries
Front ? (Q ft.
Depth ft.
Assessments
water/Sewer
Police
Fire
Eng-
lanrier
Council
Bldg. Off.
APC
Pexmit
Surcharge $? r} =` _
Plan Chec}c S 7 ?
SAC .5-a S` `"?y
water Conn. 3 3 s' -ax
water Meter /o d ?-
Road Unit
ZOTAL S
2007RESIDENTIAL MECHANICAL PExMiT ArPLZCATiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits aze required for each unit
Date b ?/57 C' 7 .
Site Address 5;00'G fO &174?LO e 4t?a.1,c_. Unit #
Property Owner ? a, ? • Telephone # ( 6/ L ) Z VZ - 913 ZA
Contractor
ANGELL AIRE, INC.
Street Address 12253 Ni .nuPt avenue South cicy
Burnsville, MN 55337
State T I?eohone: 952-746-5200p j Telephone# ( )
fax: 952-746-5202
??$
B
d # ,/
d -7
?_
on
:
0 73 Expires: 7
The Applicant is _ Owner Contractor Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit /
/ $ 50.00
_ furnace _Additional Replacement _ New
air exchanger
V air conditioner
heat pump
other
State Surcharge
D tJ V $ .50
Tota? JUN 1 8 2007 $??, 5.-v
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work wi1L
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 o work which requires a review and approval of plans.
Applicant's Printed Name Applic t's Signature
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
-g17o.5
New Construction ReauiremenGs RemodellRepair Reauirements Ofice ue OnN
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ced ofSurvey Recd _ Y_ N
(2096 manimum lot coverege allowed) 1 set of Energy Calculations for heated addilions 7ree Pres PIan Recd ' _ Y_ Nf
2 copies oi plan showing beam 8 window s¢es; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y_ N
1 set of Energy Calculations Addftion -indicate ifonsfte septic system On-site Septic System _ ._Y ,_ N
3 copies of Tree Preservation Plan If lot platted after 711l93
Rim Joist Detail Options selection sheet (buildirgs with 3 or less units)
Date q I?S l? S? cr+
Construction Cost
Site Address J4 z? 4 Y4 -0 14 ln kg? y Lr 96 ?- 'e NUt I LR.-I Unit/Ste #
Description of Work ?CQ Q tl D t
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone #((o i L? ?tZ " pSZ f?
Contractor `n J,Rr.-v/ !'1/1 Ayk-?t U?
Address 1/gyi PAT 14 City ?41!1-SrS l
State M V Zip So 33 Telephone # ( (? / 2) ?'i ,&7 , q113
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(+lsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work wiil 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.
J14 AvA 14 /dr K?rs
Applicant's Printed Name Applicant's i ature
t
a
C.R. WINDEN & ASSOCIATES, INC.
, LAND SURVEYORS To1.645-36d4
- 1381 EUSTIS ST., ST. PAUI, MINN. 55108
CERTIFICATE OF SURVEY
For:
U. S. HOME CORPORATION
N
Note: Buildings shown are proposed.
Scale: 1" = 20'
U Denotes Iron
l LEIo/2E LANE
° D FD 12 PGS TA L /fD p,e ESS)
PR / VA TE
SI.00
DRJVE
ra y1 a D ----?,_ r', 9_ 0 0
LQ ,a ?----
n+
> ?( --- - O
? I ? ? I M
20 /o 'q- 16 ? /6 ?? ' ?
io
m
31
.? zo
? I I
3/. S a
- - l ? ?t
J --
i - _
94 Q? ` - ' zz
6z -
v
?
zD
f' ? i
?
'?J /6 16' 14- 20
? i i . . .1 ? .
% l ..
M
O L,
?_ . _?? 6 n1 M
o - - 6
Q ra
Ea,se?-.?en"?- O
9/.Ov
6 ?. Oa
PRIVATE DRIVE
(LENp?E LANE Fok PosrAL ADG,?FSs
?
Lots 1 through 4 inclusive, Block 12,
Ridgecliffe Fourth Addition, Dakota
County, 24innesota.
0
0
h
WE HEREBY CERTIFY THAT THIS IS A TRUE AND COTtRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND
ABOVE DESCRIiiED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY.
FROM OR ON SAID LAND.
Dated thie /8 J?-A- day of MAlth A.D. 198/ C. R. WINDEN & ASSOCIATES, INC.
,
t Surveyor, Minnesota Registration No. 7726
?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOTs 3 BLOCK: 12
4690 LENORE LANE RONEL RESTORATIONS
RIDGECLIFFE 4TH (612) 432-3444
PERMIT SUBTYPE: TYPE OF WORK:
GARA6E/ACCESSORY
REMARKS: A SEPARATE PERMIT IS REQUTRED FOR ANY ELECTRICAL WORK
NEW
BUILCIING
025222
a3Ji5/s5
_..r _ ..r . ._ . .. , : .-. _ ._ , -. . , _ . _ . _. .. _ . .
,.
.
.. r.
y
. .. . _ , a. " . . - s ss .
? ?..?.. . _.. ,.u . .,.. . . .. r .+ .? ..i.?. ._.,, .,. ? .e _ ? . ? ' ? . . . , m_ . .. ?
CITY OF EAGAN
_ 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
aA150
PERMITTYPE: gUILDTNG
Permit Number: 025222
Date Issued: m 3/ 15 / 9 5
4690 LENORE LANE
LOT: 3 BLOCK: 12
RIDGECLTFFE 4TH
p.I.N.e 10-63983--030-12
DESCRIPTION:
?&, ...?
Building'`"Prermit Type
?Build'ing Wdr* Type
Constru`ction ?'i`yPe
,
?
??.
?
;
w;
?.?
? ?..?Aa?"
S?7 @xk
,?a x? y,?? e» C= a,
+y:
GARAGE/ACCESSORY
NEW
V-N
J
?,t ` 3 t
M? ?
REMARKS:
A SEPARATE PERMIT IS REQUTRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATZON
Base Fee
5urchargs
Total Fes
$99.00
$4.00
$103.0fb
$8,000
CONTRACTOR: _ qPPlicant - ST. Lzc. OWNER:
RONEL RESTORATTONS 14323444 0002158 SCHMIDT NANCY
P 0 BOX 240744
HPPLE VALLEY MN 55124
(612) 432-3444
4690 LENORE LN
EAGAN MN 55122
(612)688-7531
, I he'rebyaekrtowledge that a`v'sreait thiss. appl=i"cation arr, st4?``C'e t,Wat tki's"'
information i correct and agree to comply with all appliCable State p'? Mn °
State?tes and =Cf Eagan Qr^dir?ancesa ?
d
? ;? ° , . . . . . . . _ _.. . a, _ . ?
? ?
_ISSUED? Y: S NATUR??
CITY OF EAGAN
i6m 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Const'uction Reauirements
RemndeUReuair Reauirements
?? ??-,90
,
;: : f ?
?'?' .,; ? .,.; • '
? 3 registered site surveys t 2 copies of plan
? 2 copies of pians (indude beam 8 window sizea; poured fid. dasign; etc.) ? 2 ske surveys (exterwr additions 8 dedcs)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan iF lot platted after 711193
required: _ Yes _ No
DATE: CONSTRUCTION COST: F Q,
DESCRIPTION OF WQRK: ?2?D?r?d r ??P?i2 -,qC=r,4?6m4G'c
STREET ADDRESS: AlN J?l a a
LOT ? BLOCK ? SUBD./P.I.D. #:
Name: ? ?ChvnrqT I N?" Phone#: ???- 7
lAST -P61
Street Address• y6 d tetoi'?? /(/?
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
City: CState: M'`? Zip:
Company: Phone #:
Street Address: Z t/7 y 2 ?i1woc1L A^e License #: C)lW
City: State: AA7? Zip: ?,?
Company:
Name:
Street Address-
City:
5ewer & water licensed plumber:
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infi
applicable State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Certificates of Survey Received
Tree Presenration Plan Received
Signature of Applicant
? Yes , No
_ Yes ^ No
State: Zip:
Penalty applies uvhen address change and lot
Phone #:
Registration #•
correct and agree to comply with ail
ECE?
MAPA q 8 1995
OFFICE USE ONLY
BUILDING PERMIT TYPE
o 01 Foundation ? 06 Duplex
? 02 SF Dwelling o 07 4-plex
? 03 SF Addition ? 08 8-plex
0 04 SF Porch o 09 12-plex
? 05 SF Misc. 0 10 = plex
5
WORK TYPE r 5
ouT t?Gt
? I?L€r'u'5"r` N? 67 R?
31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual) ?--?
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
SIW Surcharge
Treatment PL
Road Unit
Par{c Ded.
Trails Ded.
Other
Copies
Total:
? 11 Apt./Lodging o
? 12 Multi Repair/Rem. ?
X 13 Garage/Accessory ?
? 14 Fireplace o
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
? sq. ft.
sq. ft.
Footprint sq. ft.
?.
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Valuation: $
31f?
?
/
U
v yo ?.>
z 7
20 ,? z = y? ? ,
% SAC
SAC Units
?L o
2000 BUILDINC PERMIT APPLICATION tRESIDENTIALI
CITY OF EAGAN
? rJ ??r ? rn 3830 PIL651-681-4675 55122 ? J
"? 1 I
Re /Reoalr Reauiremenls
n S reglafered sife auneya atwwlnq e% ft of W. sq. fl. of house 2 copies of plan
and gQ roofed areas (20% maximum lof coveroas ollowed) 1 set o/ energy calculaflons for healed adtliflons
? 2 coples of plana (show beam 8 wlnHow altes; poured fnd. deslgn; etc.) 1 sita wrvey ta extedor addiflona 6 decks
> 1 aet of energy calculaMOns
? 3 coplea of hee preaervatlon plan it lot plaffed uRer 7/1 /93 yy??
DAiE: l.o 3 u-e-aE oc? CONSTRUCTION COST: W601
DESCRIPTIONOF WORK: r?kc-T??2a-ri
STREETADDRESS: 14los??? L4???r + EaJo'0-E L-v--\A.ctL
LOT: 1' BLOCK: I;L SUBD./P.I.D. #: V'_ i?D L?-, C c ?-j Fr- C- '--E C?'
Name: Phone #:
PROPERTY Lost R'st
OWNER
Sheet Address:
City
State:
Zlp:
Company. 11.sc.. Phone M: -,?-I 4 F!
(area code)
CONTRACTOR ?
Sheet Address• ..?" ` n epog q Ucense # 30? ExP.
T"-
CNy Ob'? ? ? ?--1E- Stafe: MKA
ARCHITECT/
ENGINEER Company: Name:
' Telephone #: ( )
Street Address: Registration
Cify State:
Sewerhnrater licensed plumber (Ii instalflna sewer/water): Phone #:
Zip: 5533-4-
Zip:
I hereby acknowledge fhat I have read this applicalion, stata Mwt the infomnaiion is correct, and agree ta comply wilh all eppRcable State
of Minnesofa Stafutes and City of Eagan OrcJinances.
Signafure of
OFFICE USE ONLY
Certificates of Survey Received _
Tree Preservetion Plan Received _
Yes _ No
Yes _ No - Not Required
L .3- gL CITY USE ONLY ry
RECEIPT #: / 0Q 5 /
SUSD.?p ? RECEIPT DATE: S/g7
? _
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: ? single family dwellings
? townhomes and condos whe n permits are required for each unit
? backFlow preventer for underground sprinkler system
FIXTURES EACH ? TOTAL
Shower 3.00 x =
Vn+VtAr r.icso+ 3.00 X =
Bath Tub 3.00 x
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
3.00 x
Water Heater 3.00 x
rain 3.00 x =
Gas Piping Outlet * minimum - 1 . 3.00 x =
Rough Openings 1.50 x =
Water Softener `for dwellings under consWction 5.00 x
Water Softener * for existing dwelling 20.00 x _
? U.G. Sprinkler " for dwelling under const 3.00
U.G. Sprinkler " for existing dwelling 20.00
Altef2tions ' to existing residence 20.00
Water Tum Around 20.00 =
Private Disposal 5ystem ' Dak Cty lic. 75.00 =
(new and refurbished systems)
Private Disposai Systems `abaodor,mem 20.00 =
STATE SURCHARGE
TOTAL
.50
?0
1 hereby edcnowledge that I have read this application, state that the information is cortect, and agree to comply with all applicable Ciry
of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the Ciry of Eagan assumes no liability for any
damages caused by the City during its nortnal operetional and maiMenance activities to the faalities consWded under this pertnit within
City propertylright-of-way/74C`'?0 P: C,?y?F; i ??n hi 3?1HfiEL
SITE ADDRESS: LE"01F'F LPi#F
E=lli=th? 5= t!,
OWNER NAME:
INSTALLER
STREET ADDRESS:
CITY:
TELEPHONE #:
TE: ZI P:
/1
SIG E OF PERMITTEE
PERMIT# 4q" ` -7
RECEIPT DATE:
EOOE R£S1DEN1'IAL PLUM$INfi PEtMIT APPLICAT10N
crrY og EAeLart
3830 Pu.oT xivos ftn
R,asM.1ax 551E2
651-681-4675
Please complete for:
SITE ADDRESS:
OWNER NAME: :
single family dwellings, townhomes and condos when permits are required for
backflow oreventer for irripation svstem
OLSON,ANTHONEY
4688 LENORE LANE
EAGAN, MN 55121
(651) 405-8149
? ? .: - -- -?
MAR 1
• ? ,.,
TELEPHONE #:
(AREA CODE)
INSTALLER NAME: TELEPHONE #:
• (AREA CODE)
STREET ADDRESS: -(0,12) 827-4042
Cin: 2905 GARFIELD AVE. SO• STATE: ZIP:
MlNNEAPOLIS, MN 55408
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or rooM additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit (+ 5/8" meter'rf needed -$118)
Other:
_ RPZ: new installationlrepair/rebuild $ 30.00
_ lawn irrigation system
Replacement/additional: _ water softener _Zwater heater $ 15.00
State Surcharge $ .50
? ? 50
Totai $
I hereby acknowledge that I have read this epplication, state that the information is correct, and agree to comply with all applicable Cityot Eagan ordinances. It
is the applicant's responsibility to notify the properly owner that the City of Eagan assumes no 1iabiliry for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this pertnit within City roperty/right-of-way/easement.
?
SIGN ?E OF PERMITTEE 1/02
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are requircd for each unit
Date Y / /,n?_ / /
L?
Si
Add
v U
it #
te
ress
l
v n
Property Owner ajn47!T4C*j j4 ` SB Telephone #(',gS 7' a S'?
Contractor
STANOARD HEATING 8 A1R CO
5treet Address 410 ST LAKE STREET City
MINNEAPOLIS, MN
State 812.A2¢2W Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner AContractor Other
Add-on or alteration to existing dwelling unit $ 30.00
x
f
Additi
l '
R
l
t
-
urnace _
ona
`
acemen
ep
air exchanger
? air conditioner _New \Replacement
other ?
State Surcharge .50
Total ? $ 3?v •S??
I hereby apply for a Residenfial Mechanica] Pemut and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of th City of Eagan and with the Mechanical Codes; that I understand tlus is not a
pernut, but only an application for a pemut, and work is not to start without a • that the work will b' accordance with the
appglsw- d plan in the case of wor ich requires a rev' w and approval of przie/L
L?T' , L. _
ApplicanYs Printed Name ' Applicant's Signa
Use BLUE or BLACK Ink
�-----------------,
� For Office Use I
��� U��� �� I Permit#: .r� c� / I
� � � /� I
3830 Pilot Knob Road
� Permit Fee: (G7L�-��) �
Eagan MN 55122 I �
Phone:(651 j 675-5675 � Date Received: �
Fax:(651)675-5694 � I
� Staff: �
���������������� J
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
�ate: 3-20-15 site Address: 4684 LENORE LANE
Tenant: Suite#:
��,��� Name: Phone:
" � :.; Address/City/Zip:
�����`'� HEATING & COOLING DESIGN INC MB003339
� � Name: License#:
�� ��
� �" Address 10830 ABLE ST ��ty. BLAINE
° � ���
���� ' � state: M N zip: 55434 Pnone: 763-291-8519
��
� , � z35� ANGIE HEATCOOLSHARK@GMAIL.COM
;,, �„�,,,,,,, ,; Contact: Email:
� , New � Replacement Additional Alteration Demolition
....<.... �..� ,
— —
�'������`�� Description of work: FURNACE
. ° �It�T� '������1 a�n�'�����un#�r�i mecha����������+ui���be,��r�: ��� d
: Cod+� �����f��'����t��al Ir�specl+�r'��r`����tion���#'1��s�'�te��t�R.._q
=�" � �. �_
. ...... ....._....�
�z� �� �
RES/DENT/AL COMMERC/AL
�Fumace New Construction _Interior Improvement
�,; � � . , — —
3 ����»�� �' _Air Conditioner Install Piping _Processed
� Air Exchanger Gas Exterior HVAC Unit
��`"��,r R ,�� — — —
��: _Heat Pump Under/Above ground Tank (_Install/_Remove)
' Other
� .� .v.
RES/DENT/AL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) I
$100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE
I
COMMERCIAL FEES Contract Value$ x.07
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge"
*"If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005
*"*If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
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.
/
X SHARKEVICH X
ApplicanYs Printed Name ApplicanYs Signa re
���������lC\ �. h5- . '',. .• �?����J} �� kF' �l
�
�`@f'��{#�'#��Ci����� ��Yl@lk[���#' ' �'�:
(�ET � �� �T�'` ���"7�'+��. , �, i ��v T�� .: � ' g� ia��ms�r...� +�w�y,,.���4�`w��fE'D�
._
:�� ., r �
...:.: �..... ...��.a �«� _.... .......... . ..... R.