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4692 Lenore LaneGAS WORK ORDER 1082 Payne Ave. STANDARD 410 W. Lake St. St. Paul, MN 55101 9 Minneapolis, MN 55408 651 /772-2449 b H EAT 1 NG O 612/824-2656 & AIR CONDITIONING A Blue Dot. Service Co. EQUIPMENT INFORMATION LAST FIRST TYPE ADDRESS MAKE ??r•0 ,?,? CITY fZIP - S I Z Z MODEL HM PH (/5 (- 45 Q- 275 ? WK PH SERIAL TECH .? rvt 1? DATE 001 INPUT - ORSAT TEST RECORD C02 °16 METERED INPUT 4 00 GCfh CHIMNEY TYPE 02 , % LIMIT SETTING d ° FLUE SIZE 111. CO V % PILOT OUTAGE " ^0 S@C CONNECTOR SIZE III. NET STACK TEMP ° TOTAL CHIMNEY INPUT Qo? btUh m CITY OF EAGAN Remarks Addition RidgeCliffe 4th,Addn. Lot 1 aIk 13 Parcel 10 63983 010 13 owner l42- street 4692 Lenore Lane State Eagan, MN 55122 Improvement Dete Amount Annual Years Peyment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 4/24 1980 110.69 7.38 15 SEWERLATERAL ? 1982 652.71 5 652.71 C007616 12-23- 1 WATERMAIN WATERLATERAL 1982 630.40 5 630.40 C007616 12-23-81 WATER AREA 1980 110.69 7.38 1$ Services 1982 637.75 5 637.75 C007616 12-23-81 STORM SEW TRK 1982 346.09 5 346.09 C007616 12-23-81 STORM SEW tAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit WATER CONN. 335-00 23867 9UILDING PER. 6SSS SAC PARK CITY OF EAGAN Remarks Addition Rl Lot 2 Blk 11 Parcel 10 63983 (12(1 7-1 owner ` ? sveet 4694 Lenore Lane State Eagan, WIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 0 110.69 95.95 C007109 3 27 81 SEWER LATERAL 1982 652,71 5 652.71 WATERMAIN WATERLATERAL 1982 630.40 5 630.40 ? WATER AREA Services 1982 637.75 5 637.75 STORMSEW TRK 1982 346.09 5 346.09 C00 616 12- 3- 1 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 23867 3-24-81 WATER CONN. 335.00 23867 3-24-81 BUILDING PER. 6559 SAC PARK , Receipt - PLUMBING PERMIT CITY OF EAGAN I FiII in numbered spaces Type ar Print /egib/y 1. Date r ? 2. Installation Cost 3. Job Address Lot ? Bik. 4. Owner -? , Permit No. ? Fee S/C ? Tot. I Tract 5. Contractor ' 4hone 6. Address ' ./-. ? 7. City State ! ?K'1 Zip ? f 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 1 10. Describe 1 11. No. Fixtures Water Closet No. Fixtures ool /Dra i nf ield Cess Bath tubs p $e tic Tank _ Lavatory p Softner _ Shower Well _ Kitchen Sink Urinal/Bidet Other _ Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Additio?R,Lg?li_ffe 4th Addn. Lot 4 elk 13 Parcel 10 6399S 040 13 Owner E"':.,J,f. -.:!. Il'. ?.. st,eet 4696 Lenore Lane State Eagan, iJIlV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SUFF. STREET RESTOR. GRADING ' snN sew TRUruK 1980 110.69 7.38 15 95.95 C007109 3 27 1 SEWER LATEFAL jd2 1982 WATERMAIN WATERLATERAL 1982 630.40 WATER AREA 1980 110.69 7.38 15 Services 1982 637.75 STORM SEW TRK 1982 346.09 5 346.09 STORM SEW LAT CURB & GUTTER SIDEWALK 5TREET LIGHT WATER CONN. BUILDING PER. SAC 73867 3-24-83 PARK CITY OF EAGAN Addition R,idgecliffe 4th Addn. Loi 3 Qik t3 Parce110 63981 030 13 ownerlf)(11??ln sifeei 4698 Lenore Lane staie EaQan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING ? SAN SEW TRUNK 1980 110.69 7.38 1$ SEWERLATERAL lp(p 1982 652.71 5 652.71 C007 Lfi 2-2 - 1 WATERMAIN WATERLATERAL 1982 630.40 S 630.40 C007616 12-23-81 WATER AflEA 19$0 110.69 7.3$ 1$ Services 1982 637.75 5 637.75 C007616 12-23-81 STORM SEW TRK 1982 346.09 5 346.09 C007616 12-23-81 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. ' BUILDING PER. SAC PARK • _. CITY OF EAGAN . , 3795 Pilot Knob Raud Eagan, MN 55122 N? 6 5 6 0 ' PHONE: 454-8100 BUILDING PERMIT Receipt .# To be wad for Est. Value Dote - Site Address ' Ered Lot Block Sec/Sub. Alter ? Parcel # Repair ? Enlarge ? W Name Move ? Z Address _ 1712 IICpIC]11.5 Cx'Srr, , Demolish ? o w Name ^PPrvVa.a u? Address Assessment ''^?" `Z ~ Cit Ph Water & Sew. one u? Police ?„W Name ? Fire 11 Address Eng. aW Ci Phone Planner Council Feea Permit 50 Surcharge ? t? • ?? Plan check SAC Water Conn. 'ry^ • ' ? Water Meter Road Unit I hereby acknowledge that I hove read this application and state that gldg. Off. the informution is correct und agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagon Ordirwnces. Signature of Permittee A Building Permit is issued to: '-" '`' on the express condition that oll work shall be done in accordance with all applicable Stete of Minnesota Statutes and City of Eagan Ordinances. Building Official , 19 Fire Zone Type of Const. # Stories Front ft. Depth ft. ' .-1w Penslfi # Dafa luaed ParmiKee P{umbin9 0Z 3 JY 7-,Q'/ Mechanical 53 'g- ?0 -7 -ls-$ INSPECTIONS DATE INSP. Rough-ln Firro! Footings -3?5'S? Date Insp. Date Insp. Foundat' Plumbing ? Q ) - 64T Fram /ins. Mechaniwl ?. 2 q• ??? Final ? Remarks: Receipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Printlegibly 1. Date 2. Installation Cost Permit No. Fee S/C Tot. 3. JobAddress Lot Blk. 7 ' Tract'""(-"t'1.,`?f 4. Owner `11Yx'rSo1 Iion-'. 5. Contractor Eyan Phone 23-2 1 ^ " 6. Address . 7 45 <?''. ' x 7. City Y?sE1101ult State _ZjP 55066 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? I 10. Describe I 11 No. Fixtures Water Closet No. Fixtures _ Bath tubs Cesspool/Drainfield Lavatory Septic Tank _ Shower Softner _ Kitchen Sink Well Urinal/Bidet _ Laundry Tray Other Floor Drains Drinking Ftn. Sl Si k op n Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This it your permit when numbered and approved. 10i Approved CITY OF EAGAN 464-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces SJC Type or Print /egibly Tot. 1. Date 2. Installation Cost 3. Job Address ?z ?- Lot Blk. Tract 4. Owner . A 5. Contractor Phone 6. Address -,'.,7 Chica1^o ".% 7. City ? - State " Zip 8. Building Type: Residential L] Commercial ? Institutional O 9. Work Description: New Cl Add ? Alter ? Repair ? 10. Describe _ : . . ' ' r..', fuel Type 1 11. No. Eauinment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g _ Boilers Mfg. _ Mech. Exhaust Unit Heater Mfg. Other ' Air Cond. Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes goveming 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 L- ?., ,. BUILDING PERMIT N2 6561 Receipt # ----- To 6a wed fer Est. Volue Dote , 19 Site Address . '' Erect :0 Occupnncy Lot Block Sec/Sub. Alter ? Zoning Porcel # Repair ? Fire Zone E l f C t T n orge ? ype o ons . oc W Nome '-rin ?'!?-`m ?rve-5 Move ? # Stories Addres l iti-?•y? s Demolish ? front ft. Ci Phone Grade ? Depth ft. ? Approvals Foes Name o OU Address _ Assessrn'enY _ Water & Sew ~ Ci Phone F Police N°"'?e F FW ire Address Eng . L G Phone Plonner _ I hereby acknowledge that I have read this application and state that Council - Bldg. Oft. _ the information is correct ond agree to comply with all applicable State of Minnesota Stotutes and City of Eogon Ordinances. A? Permit ? Surcharge - ,? Plan check SAC ? Water Conn. ,- Water Meter Road Unit Total ? • ? ? Signoture of Permittee I A Building Permit is issued to: ` on the express condition that oll work sholl be done in accardance with oll applicable State of Minnewto Statutes ond City of Eagcn Ordinances. CITY OF EAGAN 3795 Pilof Knob Raad Eogan, MN 55125 PHONE: 454-6100 8uilding Official PorwM # Dah Iruad Parmktee Plumbing Mechanicol aS[3 -Fr( _l FIFF ? T54?8?3 `? ??1S-8-t ?( INSPECTIONS DATE INSP. ? Rough-In Final Footings Date Insp . - Dote ?Insp. - Foundati Plumbing ? p Fra /ins. ? Mechanical Finol ^?S ? Remarks: Receipt PLUMBING PERMIT CITY OF EAGAN FiII in numbered spaces Type or Print legib/y 1. Date 2. Installation Cost Permit No. Fee ` S/C Tot. 3. Job Address ?"?r:1'e Lot Blk. =' Tractr`C?r(='-' 4. Owner - :c1ri _:-x: ,";C17t 5. Contractor ^:? Phone 123-114,' 6. Address 147?,r: ,?>'•,?,-t 7. CitY ,r r- State Zip -c, 8. Building Type: Residential CD Commercial ? Institutional ? 9. Work Description: New C] Add ? I 10. Describe I 11 Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Bath tubs Cesspool/Drainfield _ Lavatory Septic Tank _ Shower Softner _ Kitchen Sink Well _ Urinal/Bidet Laundry Tray Other Floor Dreins Drinking Ftn. Sl Si k op n Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Hough Final .' Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. , Approved CITY OF EAGAN 454-6100 Receipt MECHANICAL PERMIT Permit No. CiTY OF EAGAN fee Fi!l in numbered spaces S/C Type or Print legib/y Tot. I 1. Date ' 2. Installation Cost I 3. Job Address Lot Blk. Tract 4. Owner aiOia)0VC:. 5. Contractor " -i_ : Phone 6. Address ?-'? -Vs' • 7. City State -? Zip t 8. Buitding Type: Residential C7 Commercial ? Institutional ? 9. Work Description: New CI Add ? Alter ? Repair ? 10. Describe L' PuelType 1 71 No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers _ Mfg. _ Mech, Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances antl codes governing this type of work. 'i Signed: for ' Rough ? Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. ' ? Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print /egib/y 1. Date y, Installation Cost Permit No. Fee S/C Tot. ' 3. JobAddress 1" I-al?oZ'e 1 11 Lot 1' Blk. Tract T'c-tC1ff 4? 4. Owner C1Y'11_?? '._':?7r??;?;o•, i fF-,?a" 5. Contrector "`?Phone 6. Address 1l"'.7 .5 7. CItY 5._,...,,i`._.,. $tBLO ZI(J 8. BuildingType: Residential ? Commercial ? Institutional ? 9. Work Description: New n 1 10. Describe I 11. :r Add ? Alter 0 Repair ? No, _ Fixtures Water Closet No. Fixtures Cess pool/Drainfield Bath tubs $ i T k _ Lavatory ept c an $ f _ Shower o tner W ll _ Kitchen Sink B _ Urinal/Bidet Oth ' Laundry Tray er Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that ihe 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 454,8700 Receipt MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print /egibly 1. Date 2. Installation Cost ? 3. Job Address Lot Blk. Permit No. Fee S/C ' Tot. Tract 4. Owner 5. Contractor Phone 6. Address .''• 1 7. City - - • ? State I•zi Zip 8. Building Type: Residential d Commercial ? Institutional ? 9. Work Description: New Q Add ? Alter ? Repair ? I 10. Describa :. ta11 foTCed air fiea. t_-.: : Fuel Type , 1- 1 11• No. Equinment 8TU • M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg, g _ Boilers Mfg. _ Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough . Final ' Inspections: Date Insp. Date Insp. T.his is your permit when numbered and approved. • Approved CITY OF EAGAN 464-6100 CITY OF EAGAN 3795 Pilot Knob Raad Eagan, MN 55122 N2 6559 ' PNONE: 454-8100 BUILDING PERMIT To be used for Est. Value '7 Site Address -i?-'• A, Lot Block Sec/Sub. ` Parcel 15'1 z Nome OZY'.1.27 `I'hCIiTxSCn 150 ; Address 1-71-2 l?x?}':111S f?'2ri. o ,,.. ?;netc7nka - 544-733:5 p Nome ? - ? ?< Addrea ? rvti, oti....e Name _ Address I hereby acknowledge that I have read this application and state thnt the information is correct and agree to comply with all applicoble $tote of Minnesota Stotutes and City of Ecgan Ordinonces. Receipt # ---- Erett [] Occuponcy Alter ? Zoning Repair p Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Gmde ? Depth ft. Approvala Fees Water 8 Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit SurcFwrge Plan check SAC Water Conn. Water Meter Rood Unit Total 1. ? z,03. 7 ? Signature of Permittee I A Building Permit is issued to: on the express condition that oll work shall be done in accordance with all opplicable State of Minnesoto Statutes ond City of Eagan Ordinances. Building Official :s-Ijowab - - lDUij -b ? jD?jIIOt?33?A( - SUI WOJj , 2, 6uiqwnid uoilopunoj •wul aloa •asu? a4o4 /$-Ce-E s6u1400d jouij ul'46noa 'dSNI 31V4 SNOLL73dSNl l? L -S3?S°JSL ' ?a13 IoDiuoyDayy ? = l ` 6uiqwnld NiNM"d P+naI ?WO # aluuod - CASH RECEIPT -CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN. MINNESOTA 55122 DATE 19 RECEIVED AMOUNT $ I & DOLLARS 1 oo E] CASH ? CHECK FOR ? FUNU CODE qIAOUNT t'- ThankYou ? V/-1 BY • CITY OF EAGAN ' 3795 Vilot Knob Road Eogen, MN 55122 N2 6558 PHON E: 454-8100 BUILDING PERMIT ReceiPt # - Te be ared for Est. Volue Date , 19- Sife Address j'eeT'nz(. Lot Blxk Set/Sub. Porcel # - 1 i-'' ) ' W Nome 777_71 '?'.103 n?stin I`c??es Z - Address - ° r.... "tGnkc1 04.,..._ 544-7333 ?o Name z?. ?? Address 1- r.., a.....e Name _ Address I hereby ocknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnewto Statutes and City of Eagon Ordinances. Ered ? Occupancy Alter p Zoning Repair ? Fire 2one Enlarge ? Type of Const. Move ? ,# Stories Demolish ? Front ft. Grode ? Depth ft. Approvals Feos Water & Sew. Police Fire Eng. Planner _ Council _ Bldg. Off. _ APC Permit Surcharge _ Plan check SAC Woter Conn. Water Meter Road Unit l /^1f:I . ? ? TOYOI Signature of Permittee ? A Building Permit is issued to: on the express condition that all work shall be done in accordance with oll oppliwble Stote of Minnesota Statutes and City of Eagan Ordinances. Building Official r.nix # naft ioe.e r«Mm« Plumbing ? 3 7' Mechanicol ,;- LEC-, 'TSl_ $37 -/5-53- Fl( E ? I INSAECTIONS DATE INSP. Rough-In final Footings Date Inso. Date Insp. Foundation Plumbing Fra i' - d? j'' Mechanical 7- 2 Final T- ? ? Remarks: Receipt ? PLUMBING 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 402 Icwrc- "1 Lot ' Blk. 7-- Tract ','` 4. Owner 07Y'ir. "::cs^>; x??: t e.ca 0!-: 5. Contractor Phone ? 6. Address ' Y 7. City ^pSCr'X7L7,- t State 8. Building Type: Fiesidential 0 9. Work Description: New fl 10. Describe 11. Zip -. ., Commercial ? Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Ces l/Dr infield _ Bath tubs spoo a $e tic Tank _ Lavatory p Softner Shower Well _ Kitchen Sink Urinal/Bidet Other _ Laundry Tray Ploor Dreins 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: Oate Insp. Date Insp. -i his is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt MECHANICAL PERMIT Parmit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print /egibly Tot. 7. Date 2. Installation Cost 3. JobAddress Lot Blk. Tract 4. Owner ?:, itiU'•;.7.;Cii; 5. Contractor Phone _ 6. Address . i' . 7. City State 2ip 8. Building Type: Residential fl Commercial ? Institutional ? 9. Work Description: New GI Add ? Alter ? Repair ? 70. Describe.;.:. . L .. Fuel TYPe ? ... .,. I 11. No, Eauioment 8TU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg, r an ng: Boi lers - Mfg. - Mech. Exhaust Unit Heater _ Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinanges and codes governing this type of work. Signed: • for Rough - Final Inspections: Date Insp. Date Insp. i. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 ?,-----. Receipt PLUMBING PERMIT Permit No. --- ? CITY OF EAGAN pee s. FiH in numbered spaces S/C Type or Print legibly T ot. 1. Date 2. Instaliation Cost 3. Job Address i l+ rLot?Blk. ? Tract ' .•/, 4 O ., / ? i wner . .` 5. Contractor '?',;; Phone l- 6. Address 7. City State Zip 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 1 10. Describe 1 11, No. Fixtures Water Closet No. Fixtures Ces l/Dr i field _ Bath tubs spoo a n $e tic T nk _ Lavatory p a Softner Shower Well _ Kitchen Sink Urinal/Bidet Othe _ Laundry Tray r 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 PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN DATE: ? 3830 PILO T KNOB ROAO, EAGAN, MN 55122 CONTRACT PRICE: PHOME: 454-8700 For Office Use Only: Site Address gLpG. TYPE WORK DESCRIPTION Lot Blxk ' SeGSub Res. New Mult Add-on ? Name r ? ? Comm. Repair ? m Address -^• _ ? .i Other S City Phone FEES ? Name 1. RES HVAC 0-100 M BTU -$24 00 c . . Address ADDITIONAL 50 M BTU - 6.00 p City -' Phone (RES. HVAC INCLUDES A/C ON NEW - CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. ' TYPE OP WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU T MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. , CFM (AOD $.50 S/C IF PERMIT PRICE GOES ? Gas Piping Outlets # BEYOND $1,000) ? Other ? FEE: SI ?T MI EE S/C: TOTAL: FOR: CITY OF EAGAN Receipt PLUMBING PERMIT CITY OF EAGAN Permit No. Fee Fill in numbered spaces S/C ' Type or Prini /egib/y , Tot. 1. Date 2. Installation Cost i 3. Job Address J LotBlk. % Tract ' - ' 4. Owner 5. Contractor x Phone " 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? I 10. Describe 1 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Se tic Tank _ Lavatory p Saftner _ 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 1 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 464-8100 CITY OF EAQAN WATER SER VICE PERMIT 3M Fi1ot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site P;ddress: Plumber: Meter No.: Connection Charge: Size: Account Depos it: Reoder No.: Permit Fee: 1 agree to eomply with 4he City of Eagun Surcharge: Ordinancss. Misc. Charges: Total: BY Date Paid: ? Dofe of Insp.: CITY OF RAGAN 379! Pilot Kno6 Road Eagon, MN 55122 Zoninq: Owner. to eomply wifh the City of Eugan of Insp.: Insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: - No. of Units: Address: Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Poid: CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: Eagun, MN 55122 DATE: ._ Zoning: No. of Units: ^v..,..e.. agreo ro eomply wifh the City of Eagan Connection Chorge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: _ Total: BY Date Paid: Dote of Insp.: Insp.: CITY Of eAGAN 3795 Pilac Knob Road Eogan, MN 55122 Zoning: SEWER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: Owner: Address7 Site Address: Plumber: I agree t4 eompiy with 4ha Cify of Eagan Ordinanoes. By Date of Insp.: I nsp.: Connection Charge: " Acmunt, Deposit: Pertnit Fee: Surcharge: Misc. Charges: Total: Date Poid: CITY OF EAGAN SEVNER SERVICE PERMIT 3795 Fdot Knob Road PERMIT NO.: Eogan, MN 55122 DATE: Zoning: No. of Units Owner: _ Address: Site Address: Plumber: I a9ree b eomplr wifh fhe Cify of Eogan Connection Charge: Ordinaneea. Account Deposit• Bv _ Date of Insp.: I nsp.: Permit Fee: Surcharge: Misc. Charges: - Totol: Dote Paid: CITY OF EAGAN 3795 Pila Knob Roud Engan, MN 55122 WATER SERVICE PERMIT PERMIT NO.: DATE: Zoning: No. of Units: Owner; . Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Reader No.: I agrea to eomply wit6 the City of Eagan Ordinances. Actount Deposit: _ Permit Fee: - Surcharge: Misc. Charges: - I An Total: gy Date Paid: Date of Insp.: Insp.: CITY OF EAGAN 3795 Pilof Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owne r: Address: Site Address: Plumber: 1 cgree to eompiy with fhe City of Eagan Ordinances. Bv Date of Insp.: I nsp.: CITY UF EACaAN WATER SERVICE PERMIT .:795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner. Address: _ Site Address: Plumber: Meter No.: _ Connection Charge: Size: Account Depasit: Reader No.: Permit Fee: Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc Charges: Totol: Dote Paid: m 1 agree to eomply wieh the Cicy of Eagan Surcharge: _ Ordinances. Misc. Charges: Total: 7 .y 7/ nis request void L" ? ?! i J ?? ? . ? eC 7S-d 18n=6? ? 7 540. ?- ` ° Fectst-Uate, ' .. t S Fire No. Rouph-in Inspection Required? '? E]ReadV'Now?Wiil Notify InSPec- t Wh `-' Yes ?Nu or en Ready . ?L?ensed Elec[rical Co??tractor I hereby request inspection of above . Owner etectrica6work installed at: Street Address,Box or Route No.. - City i?on o. Township Name or No. . Range No. . -Cnun ???v, ry .Occ?upnnt (PRINT) Ot?rs T?MPs3r? t?s Fhone. No. ' . Powcr Sup lier .. p, Address • ' ?,? vIIYV i VI - Ele ?tric"a6 Contractor ICompany Namel• . . ? ,.Co tractor's 6icense No. ? 15?. (.t_ S. ?(?-? `? t ) LS "Mai????ddress-(Contractor.or Ownei Making Installatinn) -. (uFfi- P-o Au?ntract rlOwtinr.Making Installa[ion) . Phone Number' • '-.MINNESOTi15TATE BOAHD_Of7ELECT111CITY"TH.IS.INSPECTION REQl/ESTMILL NOT--' -.Griggs-Midway'$Idg. r Noam N-191 - . , BEACCEPTED BY, THE,STqTB BOA11D ? 1827. University-Ave.; St. Paul; MN 55104 .UNLESS PpOVER'1NSPECTION FEE IS , .. -_ah....o IR7.z1]97_71tt . ' .. . , ENCLOSED. .. . -, REQUEST FOR ELECTRICAL INSPECTION ?? EB-00001-03 v?/?,(? ?_ 0 ? y? p? 4o' See instructions !or comDleting this form on back of ynllow copy. " ??"X"JBelow Work Covered by This Request -)- 5 -747 ? N F,idd Rep. 7ype ol Building Appliances Wired Equipment Wired - Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unluader ' Industrfal Bldg. Air Condi[ioner 8ulk Milk Tank ` Farnl Olhe:r Uecifv ther'lSpc.:ifyl O1 er SVeci y Olher Other (,bmpute lnspeciron Fee Below # • Fee ServiceEntrance5ize # . Fee Feeders/Subteaders N Fee Circuits - 0 to 100 qm s 0 to 30 Am s ]. 0 to 30 Am bs 101 to 200 Arryp 31 to 100 Amps 31 to 100 Am s Above 200 . Above100_Amps Above-100_Amps Transform Remote Control Cira l/ Partial%'0 Sigrts ? ? Special Inypection $ TOT ?? Remarks /4. _ ?? ? AL EF n Rough-in - ( . Dafe I,lhe Electricel In t h b or, spec ere y ce tit tb t th 6 Final 5 r y a e a uve inspection has been ' 1 made. Tf11S rCqUPSi VOI(I 18 monlhs froni REQUEST FOR ELECTRICAL INSPECTION E8-00001-03 ' See instruciions for Complefin9 [his form on back of yollow copy. ? '5) 68 39 ?.. `X' "-.Below Work Covered by Thls Request Y Ne Add Rep. Type uf Building Appliancos Wired Equinment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Buildiny Dryer Eleciric Heatin ? Commercial Bldg. Fumace Silo Unloader Industrial 81dg. Air Conditioner Bulk Milk Tank Farm Other peafv Othr.r fSpaciPV1 thr.rf5peufY. Other Other Compute Inspection Fee Below # Fee Service EntranceSize? .# Fee Fonders/Su6feeders i! Fee Circuits 0 to 100Am s Oto30qm 5 9. 0' 0 to 30Am s 101 to 200 Amps 31 to 700 Amps Z In A3 31 to 100 Amua CmarkS ? TOTAL Rouph-iiJ Date ? ?J'? the EleCtrical I t h ? i nspet or, ereby Final Da certity that the above , r ? inspection hes been ? made. This request void78 months from Thls?cq ?I void 18 n(onths from 7 56839 Lq I 8 (3( JZCCL 1-( ?35,nCD -';5 s7b C,,, RequeSS Ua'[t " ?-?? Fire No. Rough-in InsVection Re uired? a Q ReadYNow Will Notify, InspeC- n Wh R N(' YP5 r en eady Litcensed Elec[rical Contractor I hereby requxstinspection of above - GNn er . . eiectrical work installed at: .. Street Address, 8ox br Route{ No. . ^'' 1?? . ?1! 1? 1??.?N4lF CitY (? - IJ`?vla'„ tiun o.. ? Township,:Name or No. - flange No. .. Comny - ? OccuunntlPRlNlI . . . ORA-+ri '7t40MP5%* *oM?.`S Phone Nn. .POwer Sn??pV/lier ' - 1 4? ' AddressA ' -1-? iN Ele r!ical Cont?rac,m/r (Company Name) . jyC? 1:-?(.l?i `L C.- Contractor's Lricense No. Mailing Address IContractor or Owner Making Instailationi " 11) ?I (IY' r f) Au?? n[ractorLOwner M2king Instaliation) - Phone Numtier ?qo -55 ? - MINNESOTA STATE BOARO OF ECECTRICITY.-. THIS INSPECLpN 'REQU€STWIIL NOF BE,ACCEPTEO BY THE.STATE?BOAND - Grigps=MidwaµBldg:-- IfoomHA91 "- UNLESS PROP.EH INSPECTION FEE IS?. - 1821 University Avei7 St. Paul,'MN- 55104 i. ' . ENCLOSEO. . Ph....e IR171 9Q'l_9111 ' .. . . . . re9uest void 'L'21 t5 1-3! P_ l CL -1 V ?,?j0 r 00 ?8 froM 8 a5 7CP lo RP.qU95t Lrate . ' ' . ?`G ? - Fire No. . Rough-in InspecNon ' He Ired? ' ? - ,.,?( ' OReady Nom/yL? Will Notify Inspec- V [ Wh { 1 Yes ? Na or en ReadY LiCensed ElecVical Cqntractor_ .. - .I hereby request inspection of ahove Owner electrical Work installed at: -Street AAdress,.BOx or Route No. ' 4(0°i`I LENo P-e I?AN? Citv ??op'P4 ?ono. . Townshlp Name or No. ?ange No. - CowLy ? - A ? D Occupan4(PRINT) O(z4LiN ?Ti?rPs? ? H?Cs Phone No. Bower uPPlicr Address .Elr.ctrical Contractor-(CompanyrName) -Contructor'sLir.ense No. . 6+a- EL&Crjt,'__ - Mafli?n(e Address IContracror or Owner Making-Instailationl I F YY ? C, 11 Ni . AU[hoiized Signa u e (C xractor/OwnerMaking.lnstallation) ' Phone Number - I ?-5 69 MINNE50TA-STA7E`ZOARD:ORELECTRICITY TNIS INSPEET.ION REQLEST.WILL NOT. 'Griggs BE ACCEPTED BY.TNE STATE {OA11D - -Midway Bldg. - Ibcm-N-T?1 ' ? 1827•-UnivarsityAve:,.Sf. PauI;MN-55109 UNLESS PNOPEH 1NSPEGTION FEE IS ah-:IR771 797_9114 ENCLOSEj2. ' . REQUEST FOR ELECTRICAL INSPECTIQN ea-00001-03 See instructions for completing Ihis iorm on back of yelluW copy. T, 56838? /n "X"!;eelo:v'Work Covered by 7his Request e Add Rep. Typ¢ of Building Appliancas Wired Equipment Wired Home Range Temporary Service • Duplex Water Heater Li,yhtiny Fixtures Apt. Building Dryer Electric Heatin Commercial 61dy. Fumace Silo Unioader Industrial Bldy. Air Conditioner Bulk Miik Tank FBrm Other peG y otheriSuecifyl OI Cf $GECIfY QLf1Cf Otfl(=,f Compute Inspection Fee 8elow . d Fee Service Entrence5ize N' Fee Fr.eders/Subfeeders It Pee ? Circufis 10.00 0 to 100 Am s 0 to 30 Am s 0 to 30 Am s 101 to 200 p, 31 to 100 qmps S.av 31 to 100 Am 5 Above h)is A6ove 700_Amps . Above 100_Amps Tr n#on J Remote Control Circ. t, Partia4-`Other Fee Special Inspection g ` TO ? Re marks 30.J0 TAL FEE r ? ? Rough-in D? e ? /?? I, tFe Electrical I t h b ? nspec or, ere y certif th t th 6 Fin21 .( ' ?'jy?P F y a e a ova inspection has 66en ..-.. .__• ? / !o? ?D/ mado. Tf115 fC'Ql1P.Jt VOtt1 18 monlhs from REQUEST FOR ELECTRICAL INSPECTIaN ?--„, EB-00001-03 :'-«? p.? ?{ "?J ??+ V d f1 a .70 See instructions for comDleting this form on back of yellow copy. 2C? /I ?n J "X" Selow Work Covered by This Reyuest Ne Add Jtep_ .. 'Fype of Buildiny Applianc95 Wired ' Equipment Wired Home Ranye Temporary Service Duplex Water Heater ' Li,yhting Fixtures Apt. Buildiny Dryer Electric Heatin - Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Fafnt Otherl pecify Other (Specify) OtherlSper.ily Other Othc, Compute lnspection Fee Below b Fee ServiCe EntranceSize k Fee Fee.ders/Su6feeders Fee Circuits , Q 0 to 100 qrn )s 0 to 30 Am s a 0 to 30 Am s 101 to 200 Amps ' 31 to 100 qmps ,QJ 31 to 100 Am 5 Above 200 Amp5 Above 100_Amps Above 100_Arnps Trans(ormer - Remote Control Circ. C.. Partial/'Otherit& Sign Special Inspection ?/y? $ T " Remarks r\ . . ._ 33 .?J.J OTAL F ? / Roug • n Ua[e 1, lhe Electrical Inspector,herehy tit H t th b Final _ C ??? ? 4 cer y re e a ove inspection has been made. This re4uest vnid 18 months hOm 7 iS fG'[?IIP.SI VOId ? `? ? . ' ( ? ' ' i y `/ 18 mqpths trom 56837 67 Request Oale ?? r Fire No. Rnuph-inInspeclion i?ed? E? ,?.J) ' Ready Nuw(n(dWill Notify, Inspec- Wh ' ???t R Yps Q No or en eady . LicenseA Electrical Contrar.tor .. _- , I hereby request inspaction of above ` Owner . . . , elactricel workinstalied at::. .. . . Street Address, Box or Route No.. . °iZ LENt?p?- ?rs?- City ??Ar? tion. , o. 'Township Namebr No. . . Range No.. (;.oui - ' . . t Occupant IPRiNT1 "-. . 4RziPi ? M s?a ?or?s Phone No. - ' ' Power,Supplier V*? A Address ' Electr.ical Contrector ICompany Name1 .. • Contr ctor?s Lir.ense No. ? .,Mai6ingpA)d?dress;(Contractor.or-0wner/.?M?ak^inginsta.ilation) ''? 1 I • T l 41`?P Authocized5igna e 1 ntrector Owncr Makirtg Installationl Phone NumUer . . MINNESOTq ?? STA7E BOARO OF, ELEC711IClTY" .:THIS INSPECTION REQUEST WIl4 NOT ..' '"' "'... Gri99s-MidwaY Bld9.,- IIootn N.791: gE ACCEPTED BY THE STATE BOAIID . . . . . . . . . _ 1821 -Univer.sity A4e..?Sf. Paul', MN 55704 "` UNLESS-RROPEfl.lNSPECiION FEE IST. .o? _..., ta191 oa71111. . . . . . . ENCLOSED'.- _ , CA3H RECEIPT 4 J "tITY OF EAGAN J 3795 PILOT KN08 ROAD EAGAN, MINNESOTA 55122 V/ DATE???? ? 19 weceiveo / FROM • (_?,?.._!I G 7J?? ? AMOUNT $ 3I?GI?C i ! I ?? I ? h DOLLAR$ ? ? CASH I FUNG COOE se T .3' o • 6 /wIr L ? .?.?/0. T h a n k fio'u'33? BY NO 23867 White-Payers Copy Vellow-Posting Copy Pink-File CoDY C??rt'tfirate af of (Eagan BP}iFII'frilPltt t1f BltllhtTt13 3ti8pP1'flttit _ . _ • _ . _ , ' ? .. _ This Cerri ficatc itsutd Pursuant to tlx rzyuiremtnu o f Sedion 306 o f the Uniform BuiJding Code arti f ying tbat at tix timc o f itrxancc tbis ttrut[urc wat rn com pliancr with tbe va+iou.r ordrnaruu o f tlx City rtgulating building ron.ctrrution o? urr. For the folloudng: n.. Cbmanfic.om 1 of 4 PLEX ' Wae Rrrni, No . . . 6560 ?- CkeuwarTVroR3 TYpc.uuniun V Fiaz-=- KA zww* m.,t PD o,,,w ,f B„o„y,e Orrin Thompson ? Ad, 1712 Hopkins Crsrd., MtkM-. B„dd;,sAam= 4698 Lenore Lane Lot 3,Block 13,Ridgecliff b " 4th &Rmmgowxw ? D.,e: September 25, 1961 .. . ,. ,. ? . _ . . ? ?0?1 IM 1 CONtMCYOV? MC[ •. " • •• '? IITXOIN U.S.A. CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE??Q) 19 ?j ReceIveo PRO4? I . - 1?'?r-as-;2,eLc•?.__ 22/ AMOUNT E::-s d ? 8 DOLLARB ? ? CASH ! I "GW ? p?/rQ ?J /J ? ! I /7 /ls ' . rJli Y" / /? vu*NOCOO- e 41 Thank f(o'u._ BY N•° 2386'T _m(t7- White-Payera Copy Vellow-Posting Cppy Pink-File Copy Tertifirtttt af (Orrupttnry . :Citp of eagan Depur#mrnt uf Builbing 3naprrtiou , , - . . .,..., ..,. -- .. Tbis Cc+tificatc is.rucd purtuant to tht nquirnnrnu of Section 306 of tbc Unifo+m Building Code a?tifying that at tbe timc of i.rtuatut tbis structarc uias in compliana with tbe vurious ordinances o f thr Cuy rrgulaang building conn+uction or uie. Foi tbr f olloudng: ` - 1 of /, PLEX 6561 Un n,..inc,am . PD oa„p.,n•Tra R? Iy,P^caa,wcaan v pimzwi. ? zoninsrn+uin Mtlis. ?m,a m?„gOrrin Thompson ,?„ 1712 Hopkins Crsrd., l.696 Lenore I.ane =,uh I+ot 4 Block 1'i Rid9ecliffe M,;,`A,d„ ,, By: 4th . ,?? ,.: September 25, 1981 Bwmmg ore" a ?1 IM A COMGANOY? R?C? or--? urnoiae.a.A. oawa4Y CASH RECEIPT iJ . CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE????? R6C 61 V 6D FROM AMOUNT $ ! a DOLLAR9 I, / I +oo I E] CASH j ?VNO cooE '__.- AffMaLR ? ? o• ? ?L?fO• ., . 3.?60 7?v. v-d Thank lio'u•- BY NOi 23867 4Vhite-Payers CopV Yellow-Posting CoPV Pink-File CoOY ' . ?t.ertifirttte uf (Orxupttnry , ?. . ? ? Citp of Cagan , llrvttrfmpni nf Builbing 3nsprrtimt -? .. ? Tbu Ccrti firute isrued purruant to the nquiremrntc `of Sertion 306 of the Uni form Bailding Code tnti f ying that at the time o f i.urrance tbit itriutun ruaf in com pliana with the varionJ ordinancrs o f the City rrgulaang building construction or un. For the f ollouang: - -- : u,e clawfic.noo I oP 4 PLEX Femdt No 6559 . OmPaocY T7'R R3 Typ ComUUCtim v Fim Zane RA Zonine D'utria PD . . a„m ,f B,,,,,„,g Orrin Thompsan ,i,nn 1712 Hopkins Crsrd., Mtka. By" 4th w,: September 25, 1981 1. w LRMOIN U.S.A. 2- l v-;, ? C, p- ' COR ECTION NOTDCE DATE: Address - -? ? ?- ? Site Name Owner/Agent Telephone Owner/Agent Address of? ? ,? Ordinance Nos. and Correcti ons - Correct By 7 N c 4 e ?? 13,6 ? v G' L ? ? For reinspection Eagan Dept. of Inspection InSpBCtOf: ?- - = 3795 Pilot Knob Rd. Eagan, Minnesota 55122 2 to z 454-8100 Dept.: ;e ?z - - 4 . t ? . grrtifira#t uf C?rru?ttnr? ' , - .? ":.. ; ? . (tftp of eagan : - ? .. . BP}1M1'tIltPtit Df illtilbtttg lt18}1Ptltittt This Crrti fiCRLI 1JJJlCII PurJUant to the requiremrntt o f Sation 306 o f the Uniform BHrlding Cede arti fying that at the timc of irsuancc thir nrurturc war in comQliance with the varioua ordinauccr of the City ngulvting building connruction ar use: For the falloudng: y y? . . . . . 1 O f 4 PI.? Bidg Rmtit No. . ... 6558 as?_wo Ue n• o=war Tya R3 rrw c?.w« V ?;m z? NA z=% g.tnd a„erafe„a,m, Orrin Thompson Aaa..l'nz HopMns Crsrd., Mtka. BufldioyAddrm4SiQ2 ranr,re ane ,,,.;y Lot 1,Block 13,Ridgecliffe , 4th By: D,,,: September 25, 1961 ? IM . LOM??ICYOY/ ?GL +? ?? LITXaINt1.5.A. CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION N° 6558 Receipt $F' ?? 9?? 7 To be used for 1 Of 4 p12X Est. Value 37, 345 Dete 3-24 , 19_81- Site Address 4692 Lenore Lri. Erect )ff Occupancy R3 - Lot 1 Block 13 Sec/Sub. Ridg@Cllffe 4 Alter ? Zoning PD Pcrcel # 10 639R3 010 11 Repair ? Pire Zone _ Enlorge ? Type of Const. U lx Name Orrin niamSOri HCllTIeS Move ? .#' Stories 3 Address 1712 Hopkins CYSY'Cl. _ Demolish ? Front 24 ft. ° Minnetonka Ci Phone 544-7333 Grade ? Depth 24- ft. lx APProvcls Fees Zp Name Sc-ITl2 - ?? Address r;.., oti...,e Name _ Address 0 I hereby acknawledge thot I have read this applicotion and state that the informotion is correct ond agree to comply with all applicable State of Minnesota Stotures and City of Eagon Ordinances. Water & Sew Police Fire Eng. Pionner - Council - Bldg. Off. - APC Pertnit 11V.7V Surcharge 19.00 Plan check 55.25 SAC 525_00 Water Conn. 335. 00 Water Meter 60.00 Road Unit 185.00 Total 1 F289.75 Signoture of Permittee 1 A Building Permit is issued to: OYY'lri ThCRT1pSOri HOIC1e5 on the express condition that ull work shall be done in accordance withAll aDDlicabl"tatg of Minnesota Stotutes and City of Eagcn Ordinances. Building Official CM OF FtVY'\N Include 2 sets of plans, 1 site plan w/elevations & BUIIDINC; PERMIT APPLICATION 1 set of energy calculatforLs. Zb Be Used For , RS,p?WrP Valuation *'?--., Date NoV. 1180 5ite Address: L?ji:' 1 L LG'Cloi'?'; I-t1. (MoAEL Q?2-) OFFICE USE ONLY • ? IQt slock sec./sub. Rwr?t,tFFS Erect Occupanc.y ?,3 A F*P"-y'7y-P.lter zoning Parcel #: Repair Fire Zone Enlar9e 'IyPe of Gonst. Owmer: Nbve # Stories Address • a Division of U. S. Hom= CoronrAtmrin DeIrolish Front ft. City/Zip COCi2: tcins cFOSSROAD Grade MINNETONKA A71N 95 Depth ft. . N ,342 Phone #: 5`t y- l33 3 APPROVAIS ? Contractor: ......... - ,,.,,. I ....I,I `., Add.reSS • a Division of U, S. Home Corporation 1712 . a nu City/Zip Code: MINNETONKA, M1NN. 55343 Phone #: Arch. /Fng. . Adc3ress: City/Zip Cocie: Phone #: Assessments %?81 Pennit 6 -6 Water/Sewer Surcharge Polioe Plan Check Fire SAC gnq, Water Conn. 3-3 s ? Planner water Meter [ o ? Council Road Unit oi"ra' ''D Bldg. Off. APC UOT? /,2 el 2, 7 _S CITY OF EAGAN 3795 Pilot Knob RMd Eagan, MN 55122 PHONE: 654-8700 BUILDING PERMIT APPLICATION N4 6559 Receipt .# To be uaed for 1 Of 4 21eX Est. Volue 37,353 Date 1-24 , 19$L Site Address 4694 Lenore Lt1. Erect ? Occu R3 ??cy Lot 2 Block 13 Sec/Sub. RidgeCllffe 4 Alter ? PD Zoning Parcel # 10 63983 020 13 Repair ? Fire Zone E l V T f C . n arge ? onst. ype o cc Nome Q?"?"?t? 2xmaar1 Hm?S Move ? .# Stories Z Address 1712 HOpkiY1S CY'5rd. Demolish ? Front 24 - fr. 9 Ci Minnetarlka ?one 544-7333 Grade ? Depth 24 ft. ? Name Approvals Feea oa ? - Address Asse?nt3-23-81 permit 110.50 V? Water & Sew. Surcharge ?-9• 00 Cit Phone Police Plan check 55.25 ? FW Name Fire SAC 525.00 ?? Address Eng. Water Conn. 33 5. 00 aW Ci Phone Planner WaterMeter 60•00 Council Road Unit 185 QQ I hereby acknowledge that I have read this application and state that gldg. Off. the infnrmation is correct ond ogree to comply with all applicable APC '?7? T t l State of Minnewta Stotutes and City of Eagan Ordinonces. o a f $ignature of Permittee A Building Permit is issued to: 01"r'lri Thompson Harnes on the express condition that all work shall be done in accordance wy}}i all 9pplicab1e.,State,of Minnesoto Statutes and City of Eagon Ordinances. Buildirg Official CITY UF FAC'Y'1N Include 2 sets of plans, i? ?- 1 site plan w/elevations b BUIIDINC; PEFMIT APPLICATION 1 set of energy calculations. 7 To se vsed For 3 , 3?3 ?r_s p?C P Valuation ? 3S,-?p • 00 _ Date NOV• 1180 , Site Address: Ut, (MoAe?- 02.) OFFICE USE dNI.Y Lot ? Block j;5 Sec./Sub. R1Dc:EgI.IFF6 Erect X Occupanc7' ?+-3 - Pazcel #: 1/J rl DAD l::,;, T-W?P* //"' Alter Zoning Repair Fire Zone Oaner: Enlar'9e T}'Pe of Oonst. ?./ Nbve # Stories pddrpSS• - a Division of U. S. Homs Corporannn Demolish Front ft. a ft. 1/ 12 KINS CROSSROAD Grade Depth C]ty/Zlp CAd2: MINNETONKq. A11NN 54341 Phone # : $ `{ A- 133 3 P,PPROUALS Contractor: ORpiN i-Nnnnpcnni lnnr`S AddresS• a Division of U. S. Home Corporation ? MOPKiN I 1712 City/Zip C_odec MINNETONKA, MINN. 55343 Phone #: Arch./fng. - Address: City/Zip Code: Phorie # : Assesgnents /°` Peintit 4x Water/Sewer Surcharge Polioe Plan Check :5-5 ? Fire SF1C Enq, Water Conn. 3 3+s Planner Water Meter ; Council Road Unit ? y5- ? Bldg. Off. P.PC mrpL / 12 /J- /? 5? CITY OF EAGAN 3795 Pilot Knob Road Eagon, MN 55122 N2 6561 PHONE: 454-8100 , BUILDING PERMIT APPLICATION Receipt # ?:3 To 6e used for 1 of 4 Alex Est. Value 371,353 oace 3-24 , ?9_$L Site Address 4696 Lenore Ln. -- Ered }g Occupancy R3 Lot 4 Block 13 secisub. Ridqecliffe 4 Alter ? Zoning PD 10 63983 040 13 Repoir ? Fire Zone - Parcel # l E t T f C v n arge ? ons ype o . Name Orrin Thc?lmSOn Hc?tlea Move ? # Stories W 3 AddreSS 1712 HOpkiris CSSY'd. Demolish ? Front 24 ft. b Ci Miriri2tOrikd Phone 544-7333 Grade ? Depth 24 ft. ? p Name Approvols Peea 'r ?u Address t- r.«.. Name _ Address 1 hereby acknowledge thot I have reod this cpplicotion and state that the information is correct and agree to comply with ull applicable SMte of Minnesota Statutes ond City of Ecgan Ordinances. Signcture of Permittee Water & Sew Poiice Fire Eng. Planner _ Council - Bldg. Off. - APC permir 11V.JV Surcharge 19.00 Plon check 55.25 sAC 525.00 Water Conn. 335. 00 Water Meter 60.00 Road Unit 185.00 roral l, 289 . 75 A Building Pertnit is issued to: Orrin Tharp5on HcBnes on tha express condition that oll work shall be done in occrordunce with?loll applicable__5tate. of Minnesotn Statutes and City of Eagon Ordinances. Building Official •r%? I CITY QF F1Cr1N Include 2 sets of plans, ?7 1 site plan w/elevations & g(3ILDINr, pEF2NIIT APPLICATIdN 1 set of energy calculations. 3?. ? 5 3 Zb Be Used For R_s IDrLuce Valuation'?_3?;-? -.ssm Date NoV•(q 19$ O Site Address: A(pq((,? ?,.GM(7u LT'\, (MoDEt,. S%Z) OFFICE USE ONLY Lot ? slock t3 sec./sub. R?o??,?FFS Erect .?`. occupaLncy 1f?.3 Parcel Atter zoning ? Repair Fire Zone Owmer: En1-ar9e Zy!'e of Const. L/ NY)ve # Stories pddre,5g • a Division of U. 5. Home Corporation Den11S}1 FrOnt ?_ft. • KINS CFOSSROAD GZadE ^ DE'pttl ft. City/2ip Code: MINNETONKq MINN FF-4ni Phore #: 5i4- 133 3 APPROVALS Contractor: ORRI??MPSON_HO?,,,pe,_ AddIe55• a Division of U, S_ Home Corporation 1712 ? Mm City/Zip COd2: MINNETONKA, MINN. 55343 Phorye # : Arch./Ehg.. Address: City/Zip Code: Phone #: Assessments V-8 , , Pesmit Water/Sewer Surcharge Polioe Plan CherJc / .9? ?- J-5" C?-S- Fire gnq, pjannar SAC Water Conn. WateL' Meter ?3 .r" -? 64 ? Council Road Unit Bldg. Off . P.PC 70PAL /.? ,P? 7 3? CITY OF EAGAN 3795 Pilot Knob Road EagcRn, MN 65122 PHONE: 454-8100 - BUILDING PERMIT APPLICATIOtd N4 6560 Receiot # To be uaed for 1 of 4 plex Est. Value 37,353 Date 3-24 , 19_$1- Site Addreu 4698 Lenore Ln. ? -- Erect ? Occupancy Lot 3 Block 13 secisub. Ridgecliffe 4 Alter ? Zoning _ PD Porcel # 10 63983 030 13 c! Name O-rr'i n Thcmm_snn Henps Z Address 1712 HOpk]-riS Cx'SYd. ° ,... Minnetonka 544-7333 o Nome ? u? Address Ci Phone ? Wa W Name FW ?? Address a W Citv Phone I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all applitable State of Minnesota Statutes and City of Eogen Ordinances. Signoture of Permittee Repair ? Fire Zone _ Enlcrge ? Type of Const. U Move ? # Stories Demolish ? Front 24 ft. Grode ? Depth 24 ft. Aoorovals Fees Assessm?'tr 3-23-81 Woter & Sew. _ Police Fire Eng. Plonner Council Bld9. Off. APC PermiT t1U.7V Surcharge 19.00 Plan check -?r" 5 _ 2F SAC 525_00 Water Conn. T35, 0 Woter Meter 60_ 00 Rood Unit i RS _ nn Total - _1 r984_=7? A Building Permit is issued to: OYYlIl `IhOII'?JSOri HCHiI@S on the express condition that oll work sholl be done in acmrdance witip all ppplicaJate,,Stnte of Minnesota Statutes and City of Eagon Ordinances. Building Offictal CITY OF FJ1Cy'kN BUZIDINC; PF32MIT APPLICATICRJ 37f ? Tb Be Used For jZ c?D N Valuation A 0. O _ Include 2 sets of plans, 1 site plan w/elevations b 1 set of energy calculations. Date NoV. 19 8 0 Site Address: d?bc(& L-.(;;np« U\. (.MoAEL B2.) OFFI(E USE OfII.,Y • Lot 3 siocx 13 sec./s,.b. g?QGS Erect Oco-ipancy 11?3 Parcel # : /Q D_ *w? Owner: pddrpSg • a Division o( U. S. Home C r v KI?'S CFOSSROAD City/Zip Code: MINNETONKA A;INN s53113 Phone # : 5 `t'A - 133 3 Contsactor: ORpIN TunnnpcnN un rr Address: a Division of U. S. Home Corporation . K City/Zip C'Ade: MINNE70NKA, MINN. 55343 Phone #: Arch.fEng.. Address: City/Zip Code: Phone #: Alter Zoning l?O Repair Fire Zorye fnlarge 7ype of Const. J? Nbve # Stories Derrolish Front ? -/ft. Grade Depth a ? ft. APPR7VAIS FEES Assessments Water/Sewer Polioe Fire EnJ • Plannes Council Bldg. Off. P,PC Permit f/6 ? 5urcharge / 5'r -°-?? Plan ChecJc SAC Water Conn. S" ffi Water Nfeter (;,o -?=z Road Unit ! 9?` a*-- - TOTAL 4? y f- ? 5 (-e ?? S?_o 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 R1A 7-?' New Construction Reauirements RemodeVReoair Reauirements Ofice Use-0nlu 3 registered site surveys showing sq. ft of l04 sq. ft. of house; and II roofed areas 2 copies ai plan Cert of Survey Recd _ Y_N (20% maximum bt coverage allowed) 1 set of Energy Calculations for heated addi6ons Tree Pres Plan Recd Y N; 2 copies oi plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _ N 1 set of Energy Calculations Add'rfion - irtdicafe if on-sife sepHc system 9n-sde Septic System,, ,_„Y _ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options seledion sheet (bufldings with 3 or less units) w Date L/ Construction Cost ?9?46 ? Site Address L/ /X_ ,vo,r! L/?•-- / Unit/Ste # Description of Work C)5 T Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ('? ?f-F A-S 5 e. Telephone #( Io 12) b' / 2-?(S2 ?. Contractor DL; Av-x M )41 rk ?S ^^' Address 13 Y S- State A) ?•( AY-L' 6f1T/) Zip 5.S03 3 City N/?-S7.1?r9 J' Telephone #((o/L) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category • Residential Venfilation Category 1 Worksheet • New Energy Code Worksheet (?1 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a buiiding in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( ) Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 17 ? ?1 n?/ (/V? g-? 1C v ?? Applicant's Printed Name Applicant's Si a ? C.R. WINDEN & ASSOCIATES, INC. LAND SURVEYORS Tt1.645-3646 1381 EUSTIS ST., 5T. PAUI, MINN. 55108 Note: Buildings shown are proposed. Scale: 1" = 20' (> Denotes Iron (LENORE- )_ANE PR 1 VATE tj-? ? ? ? 'V J " C ? N -J ? iV ?I ? 9g?? 9.9. S 7 CERTIFICATE OF SURVEY For: U. S. HOME CORPORATION O DraI'y,?..J? ? U?- I . . _, '------ i ,-. - ?-- ? ?-- ?-; ,• , N ` ?a ? ,- .-•? c_ vr f o --? 6 ?--- - - ! . 9/00_ N N o ? ? I o 6',2.pp ---?4 _ QI) zo ' / l ?' I J V ?` ? Jl r , PR ( L??a,eE ?4 T? LqN4F Lots 1 through 4 inclusive, Block 13, Ridqecliffe Fourth Addition, Dakota County, Minnesota. v zo ? .? -r- ' . I ' { 6 Q? ` 62. ?9 0 Fok ? WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF TNE LOCATION OF ALL BUILDINGS, IF ANY. TH@REON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Dated this I8t' day of 11Q"<<7 A.D. 1981 C. R. WINDEN & ASSOCIATES, iNC. r, i ? • F ` /? ,r? by ' Surveyor, Minnesota Registration No. 772S G2.14 FoRQ R )V E L ADD?FES,?? i? 2400 BUILDING PERMIT APPLICATION (RESIDENTIAL) ' CITY OF EACAN 3830 PILOT KNOB RD - 55122 3 U2_? y U 651-681-4675 , New Cansfiuctlon ReaWremenls Remodel/Reuair Reaufrementa ? 3 reglstered site wrveys showing aq. H. ot bt, sq. fl• of house 2 coples of pimn and gU roofed areas (20% maodmum lof coveraae allowed) 1 set of energy calculaNau for heated adcfiHOns ? 2 coptes of plam (ahow beam & wlndow aites; poured fnd. design; etc.) 1 aNe survey tor exfedor addiflona 3 decks > 1 set ot energy calculaNOns * 3 copfee o/ hee preaervatlon plan ff loi plalfed aHer 7/1/93 ? DATE: l.e CONSTRUCTION COST: oo QESCRIPTlONOfWC1RK: L1Lo9a-0 4coqy, L4Leq8, yt?qc.' L.?u1oe-c- STREET ADDRESS: LOT: 14 4440 BLOCK: 43 SUBD./P.I.D. #: V2-1QcaV-;CU?FC. y'±' Name: Phone PROPERTY Lost flfst OWNER Sheet Address: Cfty State: Zfp: Company: ?OEZ-Y-16,11 tAL--, Phone #: t? ? ? tA5S -a+ W?, (area code) • COMRACTOR Sheet Address: k=? k a?,-? ^ •? •?R;e? Ca e>&t °1i 4 Ltcense # ;?P? Exp. CHy C'u .v% L1--F- Stpte: Zip: SS 53-4 ARCHITECT/ ENGINEER Company:, Telephone #: ( ) Name: Shest Address: Regishation #: Cify Stafe: Zip: SewerJwater licensed piumber (H installina sawerlwater): Phone ?(----? I hereby ecknowledge Ihat I have read fhis applicafion, stafe that ihe informaNon is cortect, and agree to complY with aq apppcable Sfate of Minnesota Sfafutes ond Cify of Eagon Ordinances. SignalureotApptlcanh Certiflcates of Survey Received Yes Tree Preservation Plan Received _ Yes OFFICE USE ONLY ? v 15 ?'J - N° DEC 1 1 2000 i - No _ Not Requi , RIDGECLIFFE 4TH 63983 PAGE 2 OF 2 PERMIT DATE & TYPE LOT BL ADDRESS 3/81 010 10 1807 KARIS (4-PLEX) 020 10 ?i-865 Wf1Y- ? / 030 10 4-LENOItE LAN-E 040 4672 LENORE LANE / 3i81 010 11 4676 LENO ? (4-PLEX) 020 11 467 . LANE _? ? / 030 il 682 LENORE LANE. 040 1 4680 LENORE LANE 3i8t 010 12 4684 LE ANE (4-PLEX) 020 12 -??fORE'LANE n 030 NORE LANE Iv 0 12 4688 LENORE LANE sisi 010 13 4692 LENOR (4-PLEX) _ 4694_L, ` LANE `? ? t---Q20 13 --030- 13----469 - NORE LUANE 040 13 696 LENORE LANE ? sia 1 14 4700 LENORE (4-PLEX) 020 14 4702 LE LANE 030 14 47 NORE LANE 040 14 704 LENORE LANE 7/81 „010 15 4708 LENORE (4-PLEX) ,020 15 LANE 3 4 LENORE LANE v r-6'40 4712 LENORE LANE 8I8 t ,,010 16 4.7-1.6-L- - LANE (4-PLEX) 6 LENORE LANE / ?030 1 4754 FLORA DRNE ??? 16 4752 FLORE DRNE 13 1 ? RII2GECLiFFE 4TA PERMIT DATE & TYPE LOT BL ioiso ] 0/80 i oiso 1oiso ioiso ] 0/80 010 02 020 02 030 02 040 02 v010 03 ?620 03 vb30 03? ,040 03 G 010 04 020 04 030 04 040 04 010 OS 020 OS 030 OS 040 OS 010 06 020 06 030 06 040 06 010 07 020 07 030 07 040 07 i o/so ioiso 010 08 020 08 030 08 040 08 010 09 020 09 030 09 040 09 63983 PAGE 1 OF 2 ADDRESS REPLATTED TO RIDGECLIFFE 7TH 4676 TRAVER OINT (4-PLEX) 67q-S - , L?OINT ?C2Z2SORRELPIOINT 3 ? 4678 TRAVERSE POINT 4670 TRAVERSE T (4-PLEX) 4671=S G ^' jNT L POINT Z7fTRAVE ?" RSE E POINT 46 70 MAR POINT (a-PLEx) 4671 T ERSE POIN'I' 467 RAVERSE%POINT 72-M ..4Rf1UIS POINT ?--? 4676 MARQUIS (4=PLEx) 464TRA ?? 46ERSE-POIIVT 4 UIS POINT 4676 JACKSTONE POINT (4-PLEX) 4677 MARQLTIS POINT 4679 Mt1RQiTIS POINT ? 4678 JACKSTONE POINT 4670 JACKSTONE POINT (4-PLEX) 4671 MARQUIS POINT 4673 MARQUIS POINT 4672 JACKSTONE POINT 4670 SALEM POINT (a-PLEx) 4671 JACKSTONE POINT 4673 JACKSTONE POINT ?? ? 4672 SALEM POINT 4676 SALEM POINT (4-PLEX) 4677 JACKSTONE POINT ?? ? 4679 JACKSTONE POINT r, a° 4678 SALEM POINT 12 . RIINGECLIFFE STH 63984 PAGE 1 OF 2 PERMIT DATE & TYPE LOT BL ADDRESS i iiso 010 01 4708 OSAGE PO? (4-PLEX) 020 01 4707 HOME POINT 030 01 4709 HO EAD POINT I 040 Ol AGE POINT_ __ J... ?- >>iso 010 02 4702 87?GEP0? (a-pLex) 020 02 ?IOMES POINT 030 02 7U3 H4?STEAD POINT. ? 040 02 4704-OSAGE POINT liiso 010 03 4702 SNO ELL-POINT (4-PLEX) 020 03 ?4701 OIIVT 030 03 OSAGE POINT '-? 040 93 4704 SNOWBELL POINT 11i80 010 04 4708 SNOWBF,LxpO INT (4-PLEX) 020 04 4707 OS POINT z 030 -c8A? =476? z?GE_POINT J 040 04 ?? 10 SNOWBELL POINT t uso 010 OS 4708 HIDDEN P (4-PLEX) 020 OS 4707 SNO LL POINT ? 030 OS 4709 ELL POINT 040 OS ?DEN POINT - 11/80 010 06 4702 HIDDEN PO (4-PLEX) 020 06 4701 SNOWB ?-'OIN?' 030 06 4703 SN-0 ELL POINT ? 040 06 470 - DEN POINT ? tvao 010 07 ? 4702 GREN OINT (4-PLEX) 020 07 4701 POINT ? 030 07 47 DEN POINT 040 004 GRENADA POINT 14 . RJL-GECLIFFE STH 63984 PAGE 20F 2 PERMIT DATE & TYPE LOT BL ADDRESS iz/so 010 08 4708 GRE POINT (a-rLEx) 020 08 4707 ? EN POINT ? 030 08 = IDDEN POINT ? 040 ? 710 GRENADA POINT 12i80 v410 /09 4708 MARKIIAM.P- -p ,=' (a-rLEx) v620 09 4707 .POINT``? ? ?? ? ?630 09 4a ?- 1VADA POINT ?p40 7I'0 MARKHAM POINT -? 12/80 ?61 0 10 4702 QINT? (4-PLEX) „620 10 4701 ? t??OINT ?30 10 470 ADA POINT %,K40 10 4 MARIIAM POINT 12/80 V 01 o 11 4702 THRUS '(4-PLEX) ,/020 11 4701 POINT LF?30 11 47Q3 POINT i,040 11 ? THRUSH POINT 12i80 v010 12 4708 THRUS II?TT?? (a-rLEx) 120 12 4707 IATvI POINT vP130 12 470,9- '_??- AMPOINT UV. i.040 12 _ THRUSH POINT ?....010 13 17$6 CQVjj?l "'j,L?N$ (4-PLEX) 020 13 4709 H POINT b ? 030 13 47 USH POINT ?? 040 13 - 84 COVINGTON LANE - ? 9/81 ?O10 14 1794 COV LANE (4-PLEX) v020 14 1790•CO?V?NG,TON LANE ?030 14 ,., - '178.,8-??7??7GTON LANE ? v640 14 17 -?OVINGTON LANE ? 9i81 ?.010 15 1802 COVINGT `? ANE (a-PLEx) ,.020 15 1798 COV LANE V030 15 1796 C II?J ','ON LANE ?? ? `"640 15 18N COVMTON LANE 15 ,?21r YW4;, ;?- cInr use oNLv L ? BL ? RECEIPT #: SUDD. ? DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KMOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? singie family dweliings ? townhomes and condos when permits are required for each unit New construction Add-on furnace ? Add-cn air coriditioning ilaci-on air excnanger, i.e. i/anee sysiem, etc. Date: ,;2 -?- ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 1 TOTAL r;V, 46-2 SITE ADDRESS: 0'z "Z? OWNER NAME: _111?v& PHONE #: yp" INSTALLER NAME: ??- STREET ADDRESS: cin: PHONE #: ( ) ±'-O;?' At?? `??a? CITY USE ONLY PERMIT #: RECEIPT DATE: 10 ?` ? ?? T RUIBENTIAL MEGH"CAI. PERIVIIT APPLICATION crrY oF EAsm 3$30 PII.OT KAOB {iD &46AA 1NN 55188 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit l 6 Date: b d / SITE ADDRESS: C OWNER NAME: r TELEPHONE #: &,,e-_?l (AREA CODE) INSTALLER NAME: STANDARD HEATING & AiR GONQIfiIONINO 00. TELEPHONE #: 101MEST ! AKE STREET MINNEAPQLIS, MN 55408-2998 STREET ADDRESS: 612-824-2656 CITY: STATE: ZIP: Piace a check ma'rk nexfto tHe oermit work tvne New residential dweliing unit under constructionand not owner/occupied $ 70.00 ? Add-on, modification or alteration to existin dweliing unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: ?? ?xJ U r cc-,, State 5urchar e $ .50 T t l o a Reminder: Cal! for inspections. SIGNATURE (AREA CODE) Updated 1/Ol 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION ? City Of Eagan 2? ?\? 3830 Pilot Knob Road, Eagan MN 55122 ?`? Telephone # 651-675-5675 Please complete for: single family dwellings & townhomeslcondos when permits are required for each unit Date ? CD ?-- dd 16 Le1'10) r ° -7 U i # ' 5ite A ress t n t / - 1 Property Owner Telephone Contractor Street Address ;l"ANDARD HEATING 8 AIR CONDITIONING 41.0 WFSUAK.G CTC]FFT CitY MINNEAPOLIS, MN 55408 State 612-824-2656 Zip Telephone # ( ) Bond #• Expires: The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Repiacement ' air exchanger X, air conditi oner 2&,,New _Replacement other State Surcharge $ .50 T l ota I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; thd I understand this is not a permit, but only an application for a permit, and work is not to start with p it; that the wor w' be 'n accordance with the approd plan in the case o k which requires a review and approval plan . 5A ?(?rna Applicant's Printe Name Applicant's Si e.--- --,-; -- ?; `" 77u - ?I ----- PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA152294 Date Issued:10/09/2018 Permit Category:ePermit Site Address: 4692 Lenore Lane Lot:1 Block: 13 Addition: Ridgecliffe 4th PID:10-63983-13-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Chad Stene 4692 Lenore Lane Eagan MN 55122 (651) 261-6905 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature