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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 AMOUNT DOLLARB . . . _ . . _._ ._._. . ? oa ? CASH E] CHECK A? e_ ?- -? &L ? FUNO ..«...__. COOE AMOVNT ? .... ? ) O? ? ' .??? ? ? ? ?7 <?C3x -.''c1 h ank`?ou???.? . B -, .° 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.