4700 Lenore LaneCITY OF EAGAN Remarks
Addition Rid ecliffe 4t Addn Lot 3 Bik 14 parcel 10 63983030 14
Owner ?,c,f L S2reet 470ALenore Lane State Eagan, MN 55122
H
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFF.
STREET RESTOR.
GFADING
SAN SEW TRUNK
SEWER LATERAL Pr 1982
WATERMAIN
WATEFLATERAL 19$2 630.40 12-23-81
WATER AfiEA
Services 1982 637.75 5 637-75 17,007616 - -91
STORMSEW TRK 1982 346.09 5 12-23-81
SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
F.oad Unit 185.00 26296 8-14-81
WATER CONN. 335.00 tv
6UILDING PER. 1
SAC
00
PARK
CITY OF EAGAN
Remarks
Addition R;dgPCl;ffe dth Ariin Lot - 4 alk 14 percel 10 63983 040 14
p„u„e,-1; "• •4(0 , K,,;,;- sireet 470j#Lenore Lane state Eagan, IrW 55122
Improvement - Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOfi.
GRADING
SAN SEW TRUNK 2144 1980 110.69 7.38 15 95.95 C00710 3 27 81
SEWEFLATERAL o 1982 652.71 5 652.71 C007616 12-23-81
WATERMAIN
WATERLATERAL 1982 630.40 5 630.40 C007616 12-23-81
WATER AREA 1980 110.69 7.38 15
Services 1982 637.75 5 637.75 C007616 12-23-81
STORM SEW TRK 1982 346.09 5 246.09 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road unit 185.00 26296 8-14-81
WATERCONN, 335,00 n r
BUILDING PER. 6814
SAC n n
PARK
CITY OF EAGAN Remarks
Addition Rideecliffe 4th Addn Loc 2 eik 14 Parcel 10 63983 020 14
Owner?,??!6e..I?)?r; ";.: 1111 i- " st,eet 4702 Lenore Lane state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Dete
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 110.69 7.38 15 95.95 C007109 3 27 81
SEWERLATERAL ? 1982 652.71 5 652.71 C007616 12-23-81
WATERMAIN
WATERLATERAL 1982 630.40 5 630.40 C007616 12-23-81
WATER AREA 1980 110.69 7.38 1$
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 LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 26296 8-14-81
WATER CONN. 335.00 it n
BUILDING PER, 6813
SAC n n
PARK
CITY OF EAGAN
Addition Ridgecliffe 4th Addn Lot 1 aik 14 Parcel 10 6398? ntn id
Owner • Street 4700 LerioTe Lane State Eagan, hW 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 4/24 1980 110.69 7.38 15 95.95 C007109 3 27 81
SEWERLATERAL '! 2 1982 652.71 5 652.71 C007616 12-23-81
WATERMAIN
WATERLATERAL 9 630.40 5 630.40 C007616 12-23-81
WATER AREA j980 110.69 7.3$ 15
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.
n
n
SUILDINGPER. 6812
sAC 525.00
PARK
Receipt PLUMBINGPERMIT Permit No. -
CITY OF EAGAN
Fee
Fi!l in numb@red speces S/C
Type or Print legib/y Tot.
1. Date ?/ - 2. Installation Cost '
3. Job Address Lot ? Blk. ? f Tract
4. Owner
5. Contractor h' Phone ? - , 1
6. Address
7. City State
?v
c
Zip . .
8. Building Type: Residential ? Commercial ? Insiitutional O
9. Work Description: New ?
10. Describe
11.
Add ? Alter O Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool /D rai nf ield
Bath tubs Septic Tank
_ Lavatory Softner
_
_ Shower Well
Kitchen Sink
_ Urinal/8idet 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 Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt "
PLUMBIN6 PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C ?
Type or Print legib/y T
1. Date
?
2. Installation Cost ot.
'
3. Job Address LotBlk. Tract I
4. Owner
5. Contractor Phone
6. Address `
?
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional 0
9. Work Description: New 0 Add ? Alter IJ Repair ?
1 10. Describe
1 11•
No. Fixtures
Water Closet No. Fixtures
oot/Drainfield
Cess
_
_ Bath tubs
Lavatory p
Septic Tank
Softner
Shower Well
Kiichen 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: tor
Rough Final
Inspections: Date Insp.__ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt
PWMBING PERMIT Permit No. .
CITY OF EAGAN
Fee
fill in numbered spaces S/C • ?
Type or Print legib/y Tot. - 1. Date 2. Installation Cost
3. Job Address Lot ? Blk. Tract {
4. Owner
i
5. Contractor Phone
6. Address
7. City
8. Building Type: Residential C]
9. Work Description: New ?
10. Describe
11.
State Zip
Commercial ? Institutional ?
Add ? Alter ? Repair ?
No, Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
_ Bath tubs p
SepticTank
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.
454-8100
This is your permit when numbered and approved.
Approved CITY Of EAGAN
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEIVEO
FROM
AMOUNT ,$ I
4 DOLLARS
1 oo
[]CASH E]CHECK
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
?? BY V
/
Receipt - ': ` /
i
-? ?
PLUMBING PERMIT
CITY OF EAGAN
( )/
Fee Of- % ?_
FiII in numbered spaces S/C
Type oi Print /egibly Tot. - " 1. Date 2, installation CostA
3. Job Address Lot Bik. ' i Tract
,-
4. Owner
5. Contractor ? 1/7-- 41,'l ? Phone``r_'?5 -
-- -- ,
%
6. Address
7. City -- ---- - State v ; Zip - -r
8. Building Type: Residentiaj?'Q, Commercial ? Institutional ?
9. Work Description: New? Add O Alter ? Repair ?
10. Describe ;rL?..?t? `Y 4=>
11
No.
? Fixtures
Water Closet No. Fixtures
Cess
ool /Drai nf ield
?
4_
Bath tubs - p
$e
tic Tank
-
_ Lavatory p
Softner
Shower Well
Kitchen Sink
Urinal/Bidet
-
-
Other-
r=-?
Y
_L Laundry Tray _
.
v
_
Floor Drains X`
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.
454-8100
This is your permit when numbered and approved.
Approved CITY OF EAGAN
Permit No.'`_ ?? 12?
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN Fee
Fill in numbered spaces S/C •%?
Type or Print /egibly Tot. `' • 1. Date 2. Installation Cost ???'"•?'?
3. Job Address,*T'' ''?'??'I`? ' • Lot 1 Blk. Tract `
4. Owner ) '.RIN TNl)MPSON
5. Contractor - - - ` ^ ' Rhone 54,"(7
6. Address '='i `i c' v::.
7. City State . Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New M Add ? Alter ? Repair ?
I 10. Describe =-'1= t_.11 £orced ttiT he• ,.. :;puel Type ?
I 11.
No.
i E.quioment BTU • M. Ea.
Forced Air No. Equiament CFM
Air Handlin
:
Mfg. g
Boilers
_
Mfg. _ Mech. Exhaust
Unit Heater
Mfg. Other
1 Air Cond. ' - r OC") ;tu
Mfg c
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
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
BYJILDING PER.liA1T ' •
T. 6. ....d &...
Receipt #
r
•,:?, ? 1 n...e :.7ll8t
)
Site Address
Lot Block Sec/Sub.
Parcel #
rc Name
Z Address i
? t':... ? oti.._. . . .. . . - .
?p Name
?
?? /Wdress
F" Cit Phone
?W Name
F
Address
I hereby ackrwwledge that I have read this appliwtion ond state that
the intormation is correct and ogree to comply with all applicable
Stote of MinnesoTa Statutes and City of Eogon Ordinances.
Ercct ? Occupancy
Alter ? Zoninp
Repolr ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Length
Grode ? Depth Sq. Ft.-
Aovrorals Faes
Assessment _
Water 8 $ew.
Police
Fin
Erq.
Plonner _
Courxil _
Bldg. Off. _
APC
prg!
check
r Conn.
r Meter
Unit
Signefure of Permittee ?
A Building Permit is issued ta on the expreu conditlon tMt
oll work shall be done in occordonce with all applimble Stote of Minnesoto Statutes and City of Eoflon Ordinances.
Buildinfl OfHcial I?
arr oF EAGAN
3795 ?iIM Knob Raed Eayan, MN 55123
PHONE: 154-8100
Permit No. Permit Holdar Mise. Permit No. Holder
Plumbing
H.V.A.C. ? 7 2Z7 W E? l? Y? tb -2I ?
Well
WMer
Disp.
Sewer
ENctric gc(S gt1l e(t-C- Ir-i3-6"1
InspeMion DaM Insp- Other
Footings
Foundatton
Framinp _b?
Rouqh Plbp. ?_ ?6.. ?
Rouah HVAC ?? .
Inwlation
Final Plbp.
Finel HVAC f ?
Final
Water Descri6a Locrtion:
VYall ,
Srvwr
Pr. Disp. .
Raceipt - PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee .
Fill in numbered spaces S/C ?
Type or Print /egibly Tot. - • II
1. Date 2. Installation Cost
-? -
3. Job Address Lot : Blk. ' Tract
I
4, Owner
5. Contractor Phone ?6. Address
7. City ? • State Zip
8. BuildingType: Residential`.? Commercial ? Institutional 0
9. Work Description: New\J3 Add ? Alter ? Repair ?
10. Describe
11,
No, Fixtures
Water Closet No. Fixtures
Cess
o
l/Dr
infield
_ Bath tubs p
o
a
Septic Tank
_ Lavatory Softner
_ Shower Well
Kitchen Sink
-
_
UrinaU6idet
Laundry Tray >
Other,__'-
- --
,
_ Floor Drains ,_
Drinking Ftn.
'
Slop Sink
Gas Piping Outlets
12. I hereby certify that the abova-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.
454-8100
This is your permit when numbered and approved.
Approved CITY OF EAGAN
-.
- ?. " . i
MECHANICAL PERMIT
Receipt Permit No.
CITY OF EAGAN
Fee .
Fi!l in numbered speces
I S/C • ?` '
Type or PrJnr /egib/y
Ta.
?.? • c?'
1. Date 2. Installation Cost -?r?? %• ?'-
''''i1U''` t
Blk
J ' T
ot
.
3.
ob Address ract
4. Owner ::iIN TfI014P?011 H '. ?. ..
5. Contractor ' Y N. WELTER HTG. C. Phone "25'6867
6. Address Zi 6j7 Gh1C::?;? . ve. ?
7. City i(PIs. State ''- Zip 55407
8. Building Type: Residential 13 Commercial ? Institutional ?
9. Work Description: New 1@ Add ? Alter ? Repair ?
.; r ':ie ..?.r.
10. Describe Ruel Type
I 11.
No.
? Eauioment BTU - M. Ea.
Forcetl Air ``0001-'u No. Equipment CFM
Air Handlin
:
Mfg. g
Boilers
_
Mfg.
Unit Heater _ Mech, Exhaust
1 Mfg.
Air Cond. l?;c'•;?'= C Other
Mfg.
1 Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
wmply 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
I
CITY OF EAGAN
3795 Pilef Kaob Reed Eeyen, MN 55122
PNONE: 454-8100
B(71LDING PERMIT ' Te be wed for
Site Address
, .,.,
Lot Block Sec/Sub.
Parcel .#
W Name
; 1lddross
b
p I Nome
F-
?U /?1ddfQfS
? ?.... .?
Name _
Address
I hereby ocknowledge that 1 have reod this opplication ond stote thot
the inlormotion Is rnrrect and agree to tomply with all applicuble
State of Minnesoto Statutes and City of Eaqan Ordinonces.
Slynoture of Permittee
A Building Pertnil is issued to:
Receipt #
Ered 0 Occupanty
Alter ? Zoning
Repair ? Fire Zone
Enlarya ? Type of Const.
Move Q # Stories
Demolish ? Length
Grode ? Depth d Sq. Ft.-
Appr orok Fees
Water S
Police -
Firo -
Enp. _
Plunner.
Councll _
Bldg. Ofi
APC -
oll work shall be done in atcordante with all oppliwble State of Minnesota
Buildinp Official
Permit
Surcharge
Plon chetk
$AC
Water Conn.
Water Meter
Road Unit
Taol
on the express condition thcst
ond City of Ea9on Ordinances.
Parmit No. Permit Holdar Miu. Parmit No. Holdar
Plumbiny -2S?2r`2 GEy?z-F
H.V.A.C. ,2 -7.2I WP-f
Well
Watar
Disp.
S?wer
E???? -7 7SzICO &ll ? i?c.
Impection , Dab Insp. Other
Footingg
Foundetion
Fnminp IqQ_
Rouqh Plbp. O•21- ?/,il
RouQh HVAC
Inwlation
Find Plbg • ! ?
Finsl HVAC . .g? Ci
Final
Wowr Dsaeribs Loeation:
YYall .
SevNr
Pr. D'np. '
Receipt ' PLUMBING PERMIT Permit No. CITY OF EAGAN t f
Fee
Fill in numbered spaces S/C ?
Type or Prini /egibty
Tot.
1. Date 2. Installation Cost
?
. ?:
/ ?= L?^'Gx? E;t `,'?'•? .?:?r i
3. JotiAddress Lot .:LBlk. Tract
.. ) , -
4. Owner --S'c?/'2i?? /,?C-;.+ =" G?^/
5. Contractor Phone .-•'.f
6. Address
a
7. City . State ;' ?"?i'1/ ?? ' _Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Orainfiefd
Bath tubs Septic Tank
_ Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidei Other '
C'
_ 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 F inal
Inspections: Date Insp. Date Insp.
This is your permii when numbered and approved.
Approved CITY OF EAGAN 454-8700
' BUILDING PEAMIT
CITY OF EAGAN
3793 PIbt Knob Rw1 Eayan, MN 55122
7HONl: 454-8100
Reteipt #
Te !e uspd fw of 4 PI.1 Est.value `12000
$ite Addrcss
?
Lot ? ` Block Sec/Sub.
Parcel #
m Name
W
; Addrcss
b
Ci Phor?e
o e
Name
ip
Address
I' Cit Phone
GW Name
9i? Addrcss
1 hereby acknowledge thot I hove read this application and stote that
the inlormotion is correct ond ogree to comply with all opplicoble
State of Minnesota Statutes and Gity of Eogan Ordinances.
Sipnoture of Pertnittee
A Building Pennit is issued to:
all work sholl be done in xcordante with all oppliwble State of Mii
Buildirq Officiol
Erect [J Occupanc
Alter ? Zoning -
Repolr ? Fire Zone
Enlarya p Type of C
Mwe Q * Stories
Demolish ? Length_
Grode fl Depth -
Assessment
Water 8 $ew.
Police
Fira
Enp.
Planner
Council
Bidg. Off.
APC
Statute: ond
Ft.-
Permit
Surcharge
Plan check
SAC
Wnter Conn.
Water Meter
Rood Unit
Totol
n ths express corditlon thnl
of Ecyan Ordinoncea.
x
Permit No. Pormit Holdsr Miac. Psrmit No. Holder
Plumbiny
H.V.A.C. ?-J
Well
Watsr
Disp.
Sewer
Electric T71 8y-7 ?!I ?'?fc• /[J--13-$'
Inspeetion Date tnsp. pther
Footingt
Foundetion
Framinq ? . ?
Rouph PIlq.
Rouyh HVA
Inwlstion &J
Finsl Plbp. / •9 g w
Final HVAC
Final
Water Dperibs location:
Nkll
Sawer '
Pr. D'itp.
Receipt
f= 1
MECHANICAL PERMIT
CITY OF EAGAN
I fill in numbered spaces
Type or Print legib/y
1
Permit No.
Fee _
S/C
Tot
1, Date 1 2. Installation Cost •t"D
?
i
3. Job Address Lot Blk. Tract
4. Owner ''MN THOMl'SOP! HOMES,
5. Contractor y N. WELTBft HGATI Phone 825-6867
6. Address
7. City State ' Zip
8. Building Type: Residential Q Commercial ? Institutional ?
9. Work Description: New B Add ? Alter ? Repair ?
I 10. Describe 1-:3ti'.11 forced t1]S' he::+ :.: Fuel Type 1 -
? 11,
No.
' Epuipment 8TU - M. Ea.
Forced Air 1--j",` No. Equipment CFM
Air H
dlin
:
Mfg. g
an
Boilars
_
Mfg. _ Mech. Exhaust
Unit Heater
Mfg. Other
7 Air Cond. i8)On()
Mfg.
? Gas, Piping Outlets
rApproved ereby certify that the above information is true and correct, and I agree to
mply with all ordinances and codes governing this type of work.
ned: for
Rough Fiaal
pections: Date Insp. Date Insp.
s is your permit when numbered and approved.
CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN Fee
I I Fill in numbered spaces S/C
Type or Print /egibly
Tot. "'r`
1. Date 2. Installation Cost 3. Job Address Lot : Blk. ?r Tract
_ ?-- , -^- ?
4. Owner
5. Contractor ?. Phone
?
8. Address-._/ .?_ ` 1. ,` ? . - _ ? -- .?
>
r ? --- r/ _
7. City State/`?,i'r 2ip
1 8.: Building Type: Residential El Commercial ? Institutional ?
9. Work Description: New Cl 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
OLF18f'
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 Finai
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
_ CITY OF EAGAN
3795 Pilst Knob Rood Eoyan, MN 55122
. , PHONE: 134-8100
BUILDING PEETMIT
Site Address
I.ot Block Sec/Sub.
Parcel #
rc Name
W
; Address
-• r
..??-.,.??,
?o Name
?
?u Address
? r.._. .,?---
Nome
I hereby ackrwwledga that I hove read this npplication and state that
The intormotion is torrect and ogree to comply with all appliceble
State of Minnewta Statutes and City of Eogon Ordirwnces.
Receipt #
Erect ? Occupancy
Alter ? Zoning
Repolr ? Fire Zone
Enlarge ? Type of Const.
Move ? ,$ Stories
Demolish p Length
Grade ? Depth Sq. Ft.-
Approvals Fees
Assessment
Water & Sew.
Police
fire
Eng.
Plonner
Council
Bldg. Off.
APC
Permit
Surcfiorgo
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total
Signoture of Permittee I
A Building Pertnit is issued to: ` on 1
nll work sholl be done in atcordante with ull opplicable Stote of Minnesoto Stotutes ond City of
Buifding Ofticial
ezpress condition that
3an Ordinances.
Permit No. Permit Holder Mise. Permit No. Holder
Plumbing 25 aq 17?h2- K h ?"Z5-?
H.v.A.c. 7a3
weu
Watar
Disp.
Sewer
elecc.ic ?-7 -1S Bf/l c k
Inapection DaM Insp. Other
Footings
Foundation
Framing -j,,
Rouph P16g.
Rough HVAC ?
Insulation '-5
Final Plbg. - 9-a C•,) G .
Final HVAC
Final
Water Describe Location:
Well
Sewer
Pr. Disp.
Receipt MECHANICAL PERMIT
CITY OF EAGAN
FiII in numbeied spaces
Type or Print legib/y
_ -?----?--
'_?
Permit No.
Fee '(-_ '•_ ?''?? ,_
S/C
Tot. jr
1. Date 2. Installation Cost , "-Ir?•Of .
3. Job Address LryC)' Lot Y Blk. Tract ? 4. Owner 1N THOMPSOV HOt+M
5. Contractor IU?.Y Phone
6. Address CnlCago .:ye. "u.
7. City ? 1''• State
MAi.
2ip `,!•i 'i'
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
I 10. Describe 1=ta11 forced air heat,l r"iFuel Type P`nt gus
I >>•
No.
_ Fquipmen? 9TU - M. Ea.
Forced Air No. Epuiament CFM
Air Handling:
Mfg.
Boilers
-
Mfg, Mech. Exhaust
Unit Heater
Mfg, Other
AirCond. 1iVGC
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.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
,..,.,.,,.,„? . .-.,- , .. _ ...
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
DATE:
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE: PHONE: 454-e100 For Office Use Only:
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub New
R
es.
? Name ' Mult Add-on
°-'
?
Address Comm. Repair
c
City Phone Other
?
Name FEES
RES. HVAC 0-100 M BTU
- $24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (R?• HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
1 PER PERMIn
GAS OUTLETS
MINIMUM
- 1
50 EA
-
( .
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTFiACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. FiATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMtT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE
S/C: S E F ?
TOTAL• FOR: CITY OF EAGAN
SEWER SERVICE PERMIT
ciTr oF EAcaN
8795 Pilot Kne6 Road PERMIT NO.:
Eagan, MN 33122 DATE:
Z,Jning: No. of Units:
Owner:
Address:
/ ?, 1 ?
Site Address: i ' -
Plumber:
i '
1 agree M eomplr wlth the City oF Eagan Connection Charge:
Ordinanees. Account Deposit:
Permit Fee:
Surcharge:
By Misc. CFwrges:
Dote of Insp.: Totol:
Insp.:_ Dote Paid:
crrr oF encaN WATER SERVICE PERMIT
3795 PiIM Knob Road PERMIT NO.:
Ea9an, MN 55122 DATE:
Zoning: No, of Units: `
?._ ,
Owner:
Address:
Site Address• -• - ?' L3 B14 Rzct7e cliffe I"
Plumber:
Meter No.: Connection Charge:
Size: AccouM Deposit:
Reader No.: Permit Fee:
1 agree to comply with fhe City of Eagan Surcharge:
O?dinanees. Misc. Chorges:
Total:
By Dme Poid:
Date of Insp.: Insp.:
GTY 41F EAGAN --?a
WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eopan, MN 55722 DATE:
Zoning: - No. of Units: i Ltn:r ' -?
Owner C;xc'in
Address:
Site Address: Lenorc ::a r 14 314 Ridge Cliffc
Plumber.
Meter No.: Connedion Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to eomplr wiM t6e City of Eagan Surchorge:
Ordinancaa. Misc. CFwrges:
Total:
BY Date Poid:
Date of Insp.: Insp.:
SEVNER SERVICE PERMIT
CITY OF FJ+GAN
3795 Pilot Keob Road PERMIT NO.:
Eagsn, MN 55122 DATE: _
.....
i': .
Zoning: No. of Units:
_
'>:,-7..; .....-.. ....?
QWR2f: n:. '..'..-=;:.:
..
Address:
Site Add reu:
Plumber:
1 agrea to eomyly wlth the Ciryr of Eagon Connection Charge:
Ordinaneos. Atcount Deposit:
'
Permit Fee:
Surcharge:
gy Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
SEWER SERVICE PERMIT
CITY OF EAGAN
3795 Pilat Knob Rosd PERMIT NO.:
Eagan, MN 53122 DATE:
Zoning: No. of Units: ;
? ill "hor- n?x•i
Owner FT r* e ',
.
Address:
Site Address: Ti o r, 7.,? :? T
Plumber:
1 ayme to eomply wiM fhe City of Eagaa Connectlon Charge:
Ordinaneea. Account Deposit:
Permit Fce:
Surcharga:
B Charges:
Misc
y .
of In
:
D
t Total:
sp.
a
e
Inse.: Date Paid:
WATER SERVICE PERMIT
CITY OF EAGAN
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55124 DATE:
Zoning: No. of Units:
Owner
Address:
Site Address:
l
umber:
P
Meter No.: Connedion Charge:
nt De
osit:
A
Size: p
ccou
Reader No.: Permit Fee:
I agree M eomplY wilh Nhe Ciry of Eagan Surcharge:
Ordinanees. Misc. CFwrges:
t
l
T
a
:
o
id
P
D
t
BY a
:
a
e
Date of Insp.: I^sp•:
CITY GF EAGAN SEVNER SERVICE PERMIT
8795 Plloe Kneb Rosd PERMIT NO.:
Eagan, MN 55122 OATE:
Zoning: No. of Units: ,
Owner: • rir r , cnIi '
Address:
Site Address: "'?, T<nnr., ..i .
Plumber:
1 agres to eompy FNfi fha Ciryr ef Eagan Connectlon Charge:
Ordinaneea. AcwuM Deposit:
Permlt Fee:
Surcharge:
BY Misc. Charpes:
Date of Insp.: Total:
Insp.: Date Paid:
CITY -0F EAGAN I WATER SERVICE PERMIT
3793 Pilot Knob Road
6ogan, MN 55122
Zoning: _
Owner:
Address:
Site Address: ? t • -
Plumber:
Meter No.:
Size:
Reader No.:
I agreo to wmply with !hs Ciry of Eagon
Ordinaneoa.
ey
Date of Insp.:
PERMIT NO.:
DATE:
_ No. of Units: ?
O uE'S
_ 1.] EI4P .1 e, g PCT+f
_ Connection Charge:
_ Account Deposit:
_ Permit Fee:
Surcharge:
Misc. Charges:
Total:
_ Date Paid:
_ Insp.:
REQUEST FOR ELECTRICAL INSPECTIQN „•-a ee- ooooi_oa
See instructions fur completing this form on hack of yellow copy.
_1 '_..•r ? ? 4 $ ? ..
" X- Beltiw Work Covered by 7his Request 2-7-7(p S
Ne
Add
Rep. .
Type uf Building
Appliances Wired
Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatfn
Commercial 81dg. 4 Fumace Silo Unloader
Industriai Bldg. Air Conditioner Bulk Milk Tanl<
Farm Othar Snecifv) 75f1her (Svecify)
Ot er SVer.ify Other Other
(:ompure inspectron hee tielow
q Fee Service Entrance5ize tt Fee Feeders/Su6feeders N Fen Circuits
0 to 100 0 to 30 Am ps 0 to 30 qm s.
10?-?0 2,0 %aipps 31 to 100 Amps 31 to 100 Am s
r'." .., bb,Ve-200';', Above 100_Am s Above 100_Am s
iTransformer5 Remote Control Circ. . ? Partial-'Other Fee
'c" SiTs Special Inspection 1
Rernarks , 3300
s TOTAL F E 7?:J?
Rough-in Date 1 the Electrical
Inspector, her¢by
tiT
h
Final t
D- cer
y t
at the n6ove
i ion has been
42 v made.
This request void (/C`/i W/?'?d?..?./J
18 months fiom
This requesl void lt//:?
18 months (rom r
T :,77E4`8
C3? C? q 3???G
a-7 -7 (cs
Ruest D2te Fire No. Rough-in Inspectinn
Fery .ired?
es [:] NO
I
?fleady Nu Wili Nntity_ Inypec-
t.
When ReadY
Licensed Eleclncal Contractor 1 hereby request inspection ot above
?Owner - electncal work installed at -?t Addres/s?, ?Boz or Route ?N?o.° City/?
eblionNo. Township Name or Na. Rang? No. Co vgy??
Occupant(PRIN?)
be-h+,iii
1 HuP1P[0-nti 16MA5 Phune No.
Power S Plier
?? Address `p eI
?n tl? lY
Electrica?l wCo,ntcacmr (Compa?Y Name)
G, {a/VC?d?? Con ractor-s Llcense No.
Mailin 'Address (Contractorry or Owner Making Installetion)
,?
Authori edSignat r (Co ractor/OwnerMaking Installation) Phone Number '
S9o- 95?5
THIS iNSPEGTION R€QUEST WILL NOT
MVNNfSOTA STA7E BOAND OF ELECTRICITY
Griggs-Midway BId9• - Aaam N-191 . gE ACCEPTED 8Y THE STqTE eOARD
1821 University Ave., St. Paul, MN 55104, -UNLESS PROPER INSPECTION FEE IS
Io7 1111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-0oooi/a
tek Sec instructions tor compleling this form nn back of yellow cnpy.
Covered by This Requesr ,C''?-7 `J (p S
Ne Add Rep. Typp of Building ADPliancas Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater
jj?
Fixtures
71
Apt. Building ryer Electric Heatin
Commercial Bidy. Fumace Silo Unloader
lijdustrial Bldc?. Air Conditioner Bufl< Milk Tanlc
FBfm Uther 5ueci y Other(SUecify;
ther ISGacffy Other 01her
(.onrDute Insoection hee Below
# Fee Service Entrence Size N Fee Peeders/5ubfeeders !I Fee Circuits
jQ- 0 to 100 Am s- 0 to 30 Am s 0 ZS" 0 r, 30 Am>s
101 ,t 20 A`rn,s \ 31 to 100 Amps 31 to 100 Am s
? 'A, bo've\2?00L,?_tA?in? i Above 100_Amps Above 100_Amps
Transtorrtiers?`1_' Remote Control Cira Partial;'Other Fee
Sign? Speciallnspection .\
$
r
TO
Remarks L= 35y
,7V TAL F 3? iQio
Rough-in UaLZ I, the Electrical '
I
L59 -? nsVectpr, here6y
lit
th
h
cer
at t
e above
Y
insp tion has baen
t/f' de.
ThiE request void
18 mnnths Ran
st vo,d ? t 3
s from
d " 78 47 ?
Ly, la'w, 3 J, b?
?7 _Z co s
ReqMist Date
? Fire No. RouPh-in InsUection
Re4 ?red? ,,-,?t
?HeadY NoWill Notify, Inspec-
?
I? -??
1 yey d
?[or When Readv
Licensed Electrical Cnntractor . I herebv request fnspection of above
Owner electrical wurk installed at: t Address,-Bax or Route No. City
47 V L?s1?+V^"?' EA17M
ection u. Tuwnship Name or No. Range No. Cou?nty^
Occup t (PqINT)
6R`Aw ?i1`ahPs?r? Nbn'`S Phone No,
Power Supplier Address
Eiec ?cal Contractor ompany Name)
Ew- ?641EJTRu- Coirtractur's License No.
Maili g Address (Contractor or Owner Making Instailation) ?`l
k P-0
(
•
Authoriied Sign [5re ICo . ractor/Ownci Making Installulion) Phone Number
MINNESOTq STqTEBOARD OF EIECTRICITY ' THIS INSPECTION flEQUEST WILL NOT
Griggs-Midway BIdB. - Room N-191 BE ACCEPTED 8V THE STqTE BOARD
UNLESS PROPER INSPECTION FEE IS
1827 University Ave., St. Paul, MN 55104
vo? oIII ENCLOSED.
18 mun[hs from 1 17 7r77-846
Request tiata Ffre No. HouUh-in Inspec2ion
, R uired? ?Ready N. Will Notifv. I0 spec-
11 -y ` f
% Ycs ? No [or When Ready
LiCensed Electticpl Conlractor i here6y requestinspection o1 a6ove
yTowner ' eleclricalwork installed a[:
t Address, Bux or Routc-No.
1-IOZ- 'LEOW L?1J? City
a6wl
ertion o. Township Name or No. Ran53e No. Co iry
?AIe-o-CAr
Occu nt (PpINT)
?KP-+14 Ti-?ohPso`j Phone Nn.
Power /5?u/pp_lier - Address
(06V
E'leg,lt.?(ic-a(l?Co-ntra?clor. (Company Namc)
V?'_ _ 1.? Qti.r'1 v- Contrector"5 Lice?n7se Na.
k?7Z?Z
Mailing1A+dJress (Contractor or Owner Makfne lnstailation) ?mr- ??
Authorized Signflt i e (C rracto /Owner Making Installatiun) Phone Nu[m?ber r C
?-1? '?TO7
THIS-INSPECTION REQUEST WILL NOT .
MINNESOTA STATE BOARD OP ELECTRICITV Griggs-Midway Bldg: - Room N-191 BE ACCEPTED BY THE STA7E BOAND
4827 University Ave., St. Paul, MN 55104 : UNLESS PROPEN INSPECTION FEE IS
o-_ ?aiol oo71111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-03
?.;.
??46' See instruCtions fur completing this form on beck o1 yellow capy.
`elgw Worf Covered by 7his Request p?'Z -7(
pS
Ne Add Rep. Type o( Building Appliancas Wired Equipmant Wired
Home rA . Range Temp(irary Service
Di+plex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
In ustrial Bldg. Air Conditioner Bulk Milk Tank
Farm Otnur ueci v Other.iSpecity)
t er SVacI(yl Ot ar pth(ir
Compute /nspectron Fee Below
X Fee ServiceEntrance5iz # Fee Feaders/Subfeeders N Fee Circuits
l? -r 0 to 100 .Am s ? 0 to 30 Am ps Za '? 0 to 30 Am ps
101 io 200 Amps } 31 to 100 Amps 31 tu 100 Am s
?Aboye 2,00 ,_. Amps Above 100 -Amps Above 1 00_Anips
Transrormers - Remote Control Circ. „50 Partial,'Other Fee
;\ Sigo's Special Inspection S T
Remarks ` OTAL F (VO,p
Roue??-i?? t Date
I, the Electrical
Inspe ctor, hereby
c
til
th
h
Final
/3
Y
P er
y
a[ t
e above
' svection has been
' mude.
This. request void "W.'o
18 months fiom
' REQUEST FOR ELECTRICAL INSPECTION ee-ooooi_oa
?a .
7,&4 511, See inshuctions for compl¢ting this form on hack oT yellow copy.
X" 8elow Wor','rt Covered by Thrs Request Z'Z `7 (!1 ?
N Add rep. Type of Bullding ApplianCes Wifed Equlpment Wlred
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatfn
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bull< Milk Tanl<
FBfltl Other Spem(y OUher (Specffy)
thur Suecify Other Othcr
COIAUUIB lASpPCtIOR I-@B LiEIOW
4 Fee ServiceEntraneeSize # Fee Feeders/Su6fueders tl Fee Circuits
0 to 100 Am s 0 to 30 Amps 10 2. 0 to 30 Am s
107 to 200-Anf ",, 37 to 100 Amps 31 to 100 Arn 5
?Abov,g`?2D0 ^I qm>s Above 100_Amps Abuve 100_Amps
Trangtbrine?? ?' Remute Control Circ. Partial-;'Other Fee
Si ?vU ? Special lnspection
5
??
R
emarks 7, TOTAL F
Rough-in
/p Q Date
I, the Electricel
Itispector, hereby
tif
th
t
Final
i ,.
DatP cer
y
a
the a6uve
in?o has Aeen
made.
Ihis requesl voitl
18 monlhs from
This requesl void'+ c???1
78 months from ? ??-
7 .7 7u4..?? ;Z -7 -7 LoS
Re.quesl DCte
? Fire No. Rouyih-in InsPection
ReQred?
?ReadyNow0 WillNotif4.In5Pec-
_t
?
'? "'
"?
Yes ?No
tor When Readv
Licensed Electrical Contractor I hereby raquestinspection of 86ove
Owner elecirical work installed at:
(a[ AdAress, eoz or Rnute No.
lnm "L*le- lANc, City -
MGM
ecliori No• Township Name ur No. Range No. Counly
TIj
Or.cu anc (PRINT)
?R?? J I?oMps ?r? At+??5 Phone No.
Power Ser Address
AJ 6rD/4
Elec rical Contractor (ComUany Neme)
?u SLECT(kI.C-- Contra??t^r's License Nn.
I??SZS -L
Mailinq-Address (CoMractor or Owner Makine Iristailation)
`- kNo
CL?f
Authonzed Sti ure ( ontrador/Owner Makinp Installation)
4? Phone Number
.
5qO SS0S
MINNESOTp STATE BOARO OF ELECTRICITY . THIS INSPECTION REQUEST WILL NOT
Giiggs-Midway Bldg. - Aoom N-191 BE ACCEPTEO BY THE STATE BOARD
UNLESS PFOPER INSPECTION FEE IS
1821 University Ave., St. Paul, MN 55104
pA __ oRill Iy71111 , ENCLOSED.
? CASH RECEIPT ?
CITY OF EAGAN -°3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 `
z/
narE
?
RECEIVED '
FROM'
_ "
??
?_... ...._
'
. . , $ , . . ?
AMOUNT ;.
. _
.j
r
& DOLLARS
CdSH ? CHECK ?ao
, _ ..
, d r . .C? ?, w.Y-1 r,i+?_r _ •z???,..44",?,.
4 S rS
?
FUNO AIAOUNT
i 1 : l •-]
• f Y._J
f?/I t.'.. .rf LI... ....
/Y 3 6.1 C
Thank You
?f?y-?? r 1
+'? ? ? 6-? ?3 Whita-Pavers Copv
Yellow-Posting Copy
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MI!NNESOTA 55122
. ? DATE
RECEIVED_
FROMr
?... . _ . (? / ...
- - AMOUNT - $ y?, r
Q OOLLARS
/ feo
CASH ? CHECKT. ..
?2 yi .• . '" ,J ?-'?%, ''? ??G.i': j..r
? i
FOR??.•pcS I,f + f.: C ?_ . ;
lI? / ' I •? ! ?{ /'.'.? I?'?J ..c.'l_?::....?n.
4
?
.a ?,. /? , .. ?..,. .
FUNO tCODE'. "?'C-' AIAOUNT
i
ti
J7/ ?- ? t?r:' '
/ l::. `
Thank You?
, »("l
7j
l? •? %
? e fJ6 o -€a ?`9 White-Payers Copy
. Yellow-Posting CopY
CASH RECEIPT
CITY OF EAGAN "
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 /
D.ATE
?? REC PROM
F
' AMOUNT ` . $
-? ?'71 ? ?%' •I -f'.i
a
& DOLLARS
.
100
? CASH ? CHECKu_.
f? i . ? ? . ?., ?.r???_ ,a ? `? ?' .?-.. . p
7
FUND AfAOUNT
_ !?i•"7
?(/ y J
/
_-
'? ' / / •? : c;_ ci
Thank You
61 ? I, r /
N? 26P6, ? White-PaYen CoPY
. Yellow-Posting Copy
CITY OF EACsAN _
3795 Pilet Nnob Rond Eogen, MN 55123 NO 6812
PHONH: 454-8100
BUILbING a ERMIi'
Site Addreu 4700 Lenore Iane C p1arx [e6
./5„i,, Ridbecliffe 4th
Lor 1 ai«k 14 g,c
Pa,cei # 10 63983 010 14
1 of Q PLEX
Receipt # "°G4
000 Dote AL1g113t 14 _. 1 q gl
Ered M Occuponcy R-3
Alter ? Zoning PD
Repoir ? Fire 2one MA
Enlarge ? Type of Const. V
Move p * Stories
Demolish p Length 29
Grade ? Depth IP Sq. Ft.-
Approvals Foes
a Name Orrin Thompson Homes
? Address 1712 Hopldns Crossroad
_ 1141., ea-5i 13 cii neee
0
ot
ul
1-
Nome Ovgner
Addresa
City _
Nome _
Address
1 hereby acknowledge that I hove reud this applicotion ond stote that
the intormotion is torrect ond ogree to comply wfth all opplitable
State of Minnesota Statutes and City of Eogon Ordirwnces.
Signoture of Permittee
A 8uilding Pertnif Is iuued to:
all work sholl be done in acco
Assessment _
Water 8 Sew
Police
Fire
Eng.
Planner ?
Council _
Bldg. Off. _
APC
Permit F»0 .0 v
Surcharge 19.50
Plan check 116.75
snc 525.00
Water Conn.335,00
Water Meter 60600
Road Unit 185.00
Torol $1L7-LF.75
rn tiomes on the express condition thm
State of Min!jewta Statutes ond City of Eagan Ordinonces.
Bullding Officiol
CITY aF EAC'AA1 Include 2 sets of plans,
0 ? .._ _ , 1 site plan w/elevations s
BUILDIN(; PERMIT APPLICATION 1 set of energy calculations.
r '. J
'Ib Be Used For REsjDvL jijrp?' Valuation
?a??0 ?? R-1Z-$1
si? paaress: _1170o Le?NOR.,? La, (o) OFFICE USE ODII,Y
I,ot sioclc ? sec./sub. R?ocE"?FFS Erect OccuPanCY
Parcel #:(C (c?3`T f 3 O(c Fo%.•aTN Alter Zoning ? -
Repair Fire Zone AIZ
Owner:
pddre,eg; a Division of U, S. Home Cornorltion
1/12 PKINS CROSSROqD
City/Zlp Code: MINNETONKA. MINN r534g
E7il.arge 'Iype of Const.
Nbve # Stories
Derolish Front 0? 91 ft.
Grade _ Depth 36 ft.
Phorie # : $ `} 4- 1333 APPRDVALS
Contractor: g R R l N THOM PS9 P2-H9? ^ ??-?--
A[jdT'eSS • a Division of U. S. Home Corporation
Cliy/Zlp COd2: MINNETONKA, MINN. 55343
Phone #:
Arch./Eng.-
Pddress:
City/2ip Code:
Phone #-
Assessments
Waber/Sewer
POL1C2
Fire
PerRtit ;
Surcharge _
Plan ChecJc ?
SAC
Water Conn.
Water Meter
Road Unit %
zclo
Eng-
Planner
Council
Bldg. Off.
APC
ToTAL ? C ` ?-?
CITY OF EAGAN
3795 Pilet Knob Road Eagan, MN 55122 N? 6815
. PHONE: 454.8100
BUILDING PERMIT Receipt
Te ba uaed For 1 Of [F PLEX Est. Value $39.000 oore -A11gt1E3t_ 1-4._ 19m-
Slte Addreu 471Jb I+E.'n0P@ L3ri8 C.P10.7%
(OQ)-
Lor A:' 3 siock 14 sec/sub.Ridgecliffe 4tt
Parcel # 10 63984 040 16
W N,,,,e Orrin ThMson Homes
Z Addreu 1712 Hogkins Grossroad
9 c;w Mtka• 55343 a,,,ti 544-7333
o Name vWFMi-
?? ? Addreu
~ Ci Phane
f-
WW Nome
F
_? Address
Erect ? Occuponcy R 3
Alter ? Zoning PD
Repnir ? Fire Zone NA
Enlarge ? Type of Const. v
Move ? # Stories
Demolish ? Length_29_
Grode ? Depth--3-0Sq. Ft._
Approvals Fees
1 hereby ackrwwledge that 1 huve read this opplicotion und state thot
ihe intormotion is correct and agree to comply with oll applicoble
State of Minnesota Stotutes and City of Eogan Ordinarxes.
Sipnofure of PermiMee ____
A 8uilding Permil is issued to:
oll work sholl be done in acco
Assessment _
Water & Sew.
Police
Fire
Eng.
Plunner _
Council _
Bldg. Off. -
APC
Permit L»• ;Iu
Surcharqe 19.50
Plon check 116.75
o
sAC 525.0
Woter Conn. 335.00
Water Meter 6o.00
Rood Unit 1$5.0(]
Totol 474 _ 75
on the express condition that
Statutes ond City of Eagan Ordinances.
Buildlnp Official
/ CITY OF EAGAN
BUILDINV, PERMiT APPLICATION
Zb Be Used For V?aluation?
siu?ess : 4L'ip (c, L. F.) otLE L,... ( iow?X4 .
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date A-1a-81
OFFICE USE ONLY
t? 1 c sec. /sub. R1DGECa. jFF 6 Erect Oco-iPancY Ar?
0 Fou?«"
3`? S-
?
'
(
Alter
Zoning
Parcel #• 1 P
(
3 v
o
Repair Fire Zone
` Enlar4e TyPe of Const.
Oaner: # Stories
Nbve
Address: a Division ot U, S. Home C ; Derolish Front ? j ft.
1112 KIt?S CFOSSROAD Grade Depth 30 ft.
C?ty/Zip Code. MINNETONKA. MINN 5534?
Phone #: 54y- 13 3 3 APPROVALS
Contractor: ORpini'runnnocnni
Addr25S • a Division of U. S. Home Corporation
? . N ., 17
City/Zip Code: MINNETONKA, MINN. 55343
Phone #
Arch. /Eng. :
Address:
City/Zip Code:
Phone #:
Assessments
water/Sewer
Police
Fire
En9 -
Planner
Council
Bldg. Off.
APC
Permit 91? 3
Surcharge
Plan Check
SAC
Water Conn. 3 3 S
water Meter
Road Unit
=AL I q -I 'l c -7
5i4E- }?10.n cvt?+K Lc-?- (1 ?,1? ? )y,
i
?
C.R. WiNDE:N & ASSOCIATS-S, INC.
LAND SURVEYORS Tel. 645 - 3646
1381 EUSTiS ST., ST. PAUI, :+AINN. 55108
CERTIFICATE OF SURVEY
For:
U. S. HOME CORPORATION
Note: Baildings shown are proposed.
Scale: 1" = 20'
O Denotes Iron
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Lots 1 through 4 inclusive, IIlock 14,
Ridgecliffe I'ourth Addition, Dakota
County, Mi.nnesota. ?S
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WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE.BOUNDARIES OF THE LAND
ABOVE DESCR7.BED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, TNEREON, AND ALL VISIBLE ENCRaACHMENTS, IF ANY,
FROM OR UN .AID LAND.
„ Dated this <;fl) day of j.1;/1.i A.D. 195'i C. R. WINDEN & ASSOCIATES, INC.
-
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by
Surveyor, Minnesota Registration No.7/?C,
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2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements
3 registered site surveys showing sq. ft. ol lot, sq. fl. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist DetaU Options selection sheet (buildings with 3 or less unNs)
7 ?
RemodellReoalr Requirements Office Use Onlv
2 copies of plan Cert of Survey Recd _Y _ N
1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N
i site survey for additions & decks Tree Pres Required . _ Y_ N
Add'rtion - indicate ff on-site septic system On-site Seplic Syslein _ Y_ N
/
Date q/?( Construction Cost ??g f?e_
lod
Site Address N$ Db 'a ? oL, L, 7 aq q?vli `. E irlor.4 LAwy' UnidSte #
Description of Work ? 0?? 04
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Lcl p P d/,,F r 4-.S5 C. Telephone #(6 d s 2 L
Contractor ? I)f}^-1 X-1 a'Y1C-?so.?
Address u?? ?4-?Y, ??Fl
State )'4 N ? Zip SSB?? City
Telephone # ( (o 12) S 1! ?
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
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. /'N i /
p 1.ZA2_-j
Applicant's Printed Name Appiicant's Si e
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Mufti Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entlre Bld g) - Gfve PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
2004 RESIDENTIAL MECHAIVICAL 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 aze required for each unit
Date _a l _a 7 l 2:!?
Site Address Unit #
Property Owner ???A z ze& Telephone # (2al ),??r/ 3?
Contractor ? ?-
Street Address er ?Jl/??j City
State Zip Telephone #
Bond #: Expires:
The Applicant is _ Owner ?Contractor _ Other
Add-on or alteration to ezisting dwelling unit $ 30.00
?- furnace _Additional _Replacement
air exchanger
air conditioner _New ?eplacement
other
State Surcharge $ .50
Total ? S s ? $ a0 . S?
ocT 2 a zoo4
I hereby apply for a Residential Mechanical Permit and acknowledge that the info ?that ; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the ec anical Codes; 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.
? ya` M rl? ?
Appli i?t's Printed Name App i Ys Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-famity buildings when separate permits are not required for each dwelling unit
Date //-)/
Site Street Address 2'ew d et?!, ?so Unit 4
D
Tenant Name (if applicable) Previous Tenant Name
Property Owner
67 -ow
Telephone # (
Contractor
Sfreet Address City
State Zip Telephone #
Sond #: Expires: l
The Applicant is _ Owner 211-?Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove *'see be/ow
_ Interior Improvement _ Instail Piping _ Processed _Gas
?
Nature of Work: f - - ? ?
**When installing/removing underground tank, ca!! for inspection 6y Fire Marshal and Plumbing lnspector
P01'IYlit FOeS: $70.50 Underground tank installa[ion/removal
$50.50 Minimum (includes State Surcharge)
OY
Contract Value $ x 1% _ $ Pernut Fee
• If uerxnit fee is $1,000 or less, add $.50 => $ State Surcharge
If vemut fee is over $1,000, add $.50 for
every $1,000 pennit fee $ Total Fee
I hereby apply for a Couunercial Mechanical Pernut and acknowledge that the inYorxnafion is complete and accurate; tnat tne worx
will be in conformance with the ardinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a pernut, but only an application for a perniit, 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. ,.
Applicaqfs Printed NamS?' ApplWnt's Signature
Approved By: , Inspector Date:
i9
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
651 zOZf2/
? y3 qbz PILOT 55122
J J
New Conshuctbn Reaulre menla Remodel/Repalr ReaWremenls
D 3 regbtered sNe wrveys ahowing zq. ff. of bf, aq. lt. of house 2 copies of plan
and gff roofed areas c20% maxlmum lot coveraoo allowed) 1 set ot energy calculaHOns tor heated additlons
? 2 coplea of plmu (show beom & wlndow sizea; poured fnd dealgn; etc.) 1 site wrvey tor extedor addltlons 8 decks
> i set of energy calculatlona
> S copiea of hee preaervaflon plan It lot plaMed after 7/1193
DATE: t'?' ao 0o CONSTRUCTION C05T: , b?Q •?l
DESCRIPTION OF WORK: L4 -71? OO '-I-+ oa c-? cA a-o L-r-- " oe_.
STREET ADDRESS: E,4 T(F-e- ? D t2- t0k( TV i2K-1T1 l'a-1 S - L} LN
LOT: J,kpAnk BLOCK: tLl_ SUBD./P.I.D. /: L0-'-"?
Name: Phone #:
PROPERTY t,ast Flrsf
OWNER
Sheet Address:
City
State:
Z(p:
. Company: 6 a ???u,4s-r? ? ?? Np"j--S? v"C? Phone #: L ta L+ 3 S- 2- IL4$
(area code)
CONTRACTOR
Sheet Address. P. d6 X 914 License #?2c> ay Exp.
City ??1s c) ? L" State: Zip: 55-3 3-4-
ARCHITECT/
ENGINEER Compcny..
Telephone #: ( )
Name:
Sheet Address: Regtstraflon #:
City
State:
Zlp:
SeweNwater licensed plumber iN installina sewer/water): Phone #: (
I hereby acknowledge that I have read this application, stafe thaf the infomnafion is cortect, and agree to comply wHh a0 appGcable Sfate
ot Minnesota Sfatu}es and City o} Eagan Ordinances.
Signalure ot Applicant ?
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
OFFICE USE ONLY
_ No
- No - Not Required
N N 9 T ? dm DEC 11 2000
?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-piex ? 13 16-plex ? 27 Porch (3-sea.)
? 02 SF Dwelling ? OS 06-plex O 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Y or _ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
? 31 Ext. Ak - Multi
O 33 Ext. AR - SF
? 36 Multi
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)* O 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 WindowslDoors
* Give PCA handout to appl icant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Gnits Length S4• ft•
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? StuccolStone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
• Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SJW Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
PERMIT # RECEIPT DATE: a
MIDENTUL PLUbi$INfi PFJI1T AfTLiCATION
crrY og EMM
3930 PILOT KAOB diD
gASRA, MA 5518E
651-6$1-4675
Please complete for: ? singie family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
MANGEL, ROBIN
SITE ADDRESS: _ 4706 LervoRe LaNe
EAGAN, MN 55122
OWNER NAME: : . (651) 683-0146 _ TELEPHONE
(AREA CODE)
INSTALLER NAME: TELEPHONE #:
DBp? VENTCO/APPLIANCE IN$TALI.Epg (AREA CooE)
wmolmLi GO. STREET ADDRESS:
11642111
2905 QARFI lD AVE. 80UTH
CITY: MINNEAPOLI8. MN 6xana STATE: ZIP:
Plaee a check mark neYt te the eermit work tvne
New residential dweiling unit under construction and not ownerloccupied $ 90.00
? Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
. lawn irrigation system
• water tumaround
Nature of work: ao
Septic System, new/refurbished - $ 225.00
• includes County & Consulting !nspector fees
• requires MPC license
State Surcharge r ?.50
t ?
AU G I
10$01 f ?
rotal
Reminder. Be sure to schedule inspections of alterations, i.e. water heater?s, water softeners,_etc;
L°_,_------.
I hereby acknowledge that I have read fhis application, state that the informaUon is correct, and agree to comply with all applfcable Cityaf Eagan ordinances. It
is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during Its normal
operetlonal and maintenance activities to the facilities consWcted under this pertnit within City properly/right-0f-w /eas e.
SIGNATU E ERMITTEE
Updated 1/01
PERMIT #
RECEIPT DATE: ' ? ? )L
USIDENTIAL f'LUIHBINfi PER14IIT "PLICATION
crrY oF EAsm
3830 PaoT Kxos ftn
EAsM,Mv 55122
651-681-4675
Please complete for:
SITE ADDRESS:
OWNER NAME:
> single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
+70 I,CnoY?l ( 0,f'&
TELEPHONE #:
? (AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
1"/??i J /?V
CODE)
CITY: =,vIIlCJ STATE: ki Iv ZIP: ?
Place a check mark next to the oermit work tvoe
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonrrtent of sepYic system
• new installation/repairlrebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work:
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge F ? ?,!? Ir ? 2 n[?I ?
I! 1'? ? ? $ .50
MAY 0 2001 -?
su
Totai $
,
Reminder: Be sure to schedule inspections of alterations, i. water heaters, wate? teners, etc.
Y ---N
I hereby acknowledge that I have read this application, state ihat the informaUOn is correct, and agree ro plywith all applicable Ciryof Eagan ordinances. tt
is the applicanCs responsibility to notify the property owner that the Ciry of Eagan assumes no liabilit r any damages caused by t City during its normal
operaUonal and maintenance activities to the facilities constructed under this permit within City pr Right-ofyf?y/easemenk
SIGNATURE OF PERPBCITT
Updated 1/01
L CITY USE ONLY
?. BL ?
SUBD. 6
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
RECEIPT #: ?501,9
DATE: '94
ff3ZI
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTt1RES EACH NQ. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
La'vaiUry 3:00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot a 3.00 x =
a er Heat 3.00 x =
rain 3.00 x =
Gas Piping Outlet " minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 50.00 =
(new and refurbished systems)
U.G. Sprinkler ` home under const. 3.00 =
Alterations * to existing 20.00
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
GERRTTS U i CK I
SITE ADDRESS: 4702 LENORE LRNE
EFiGRN , 55122
OWNER NAME: H 685-06$2 W
INSTALLER
STREET ADI
CIIY:
ez'n•- 5'?-)
PHONE #: (
STATE: ZIP:
OFFICE USE ONLY
L BL RECEIPT #:
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciallindustrial buildings.
? mu4ti-family buildings wfien separate permits are = required for each dwelling
unit.
DATE:
WGRii iYFE: ivtvY t:;0 ivS i ccuC'; ivN
DESCRIPTION OF WORK:
CONTRACT PRICE:
nL'v viv REF''AfR
15 WATER METER REQUIRED? _ YES '_ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 7% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of pffmI fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
STE. #
INSTALLER: •"' ?" •F?, ?? ^?..?
. ? 1 r;.?`? AF!!?
ADDRESS:
i
CITY: STATE: ZI P:
PHONE #: SIGNATURE:
OFFICE USE ONLY
APPLICANT
METER 51ZE: 11 DATE: INSPECTOR:
e 2006 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 required for each unit
Date C)
O ? 1 `v Y? ? Unit #
L
?
Site Address
l
V
Pro
erty Owner Telephone #(?5(?)
p
?
Contractor 4W-Z-
Addre
I ? Cit
t
St
2 ? (JU ? • 4?J?
( r{? SViI 1 ?
?
? i
y ?
,
ss
ree
A
( / I
State KA Zip 33? Telephone # ( ? ) 7 a-l' ?
Bond1 Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to eacisting dwelling unit $ 30.00
`T furnace _Additional ?Replacement _ New-
air exchanger
? air conditioner -
,
?
_ heat pump '
i
other '
1
,
State Surcharge $ .50
?D
Toral
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; 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 pjan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Sigriatur
,
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenls
3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservafion Plan if lot pfatted after 711193
Rim Joist DeWil Options selectlon sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodellRepair Requirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate if on-sde septic sysfem
,t_?o 00
Offce Use Onlv
CeRoFSurveyRecd _Y.;_N
Tree Pres Pian Recd Y:_ N,
Tree Pres Required _Y _N
On-site Sep6c System . Y _N
Date C) &
SiteAddress C](' 0?
Construction Cost ?UUU
Unit/5te #
Description of Work 3 $4
Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone #
Contractor k_V' eze-04
Address
State ar,u?
Zip 5-S7/ F City
Telephone # (/-l)
51
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rutes 7670 Cafeeorv 1 Minnesota Rules 7672
Ene?gy Code Category . Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(q submission type) Submitted Submitted
• Energy Envelope Calculations Submitled
In the lasf 12 monfhs, has the Cify of Eagan issued a perrnit for a similar plan based on a master plan?
_ Y? _ N If yes, date and address of master plan:
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; thaf the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. ?
?
D
Appticant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
5ub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pooi ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-piex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-ptex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 72-piex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Founda'tion ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolitian (Entire Bldg) - G ive PCA handout to applicant
DBSCrIptlOfl: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review 100°la or 25°Jo
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire 5prinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ FinaUC.O.
_ Footings (addition) _ Final/No C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Fina] Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES 5AC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PtLOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
' /,6-; sO
Date ! or,
Site Street Address 4
Unit #
PropertyOwner??6t.-? Telephone# ( )
Contractor q;r G.aGC.e, Pt" :" . Telephone# (?Z) Q?'7Y
Address Z29bS l?4?-? City State 1k? Zip S S`o
The Applicant is: _ Owner Contra _Other
Septic System ; New _ Refurbished Submit 2 sets of plans and MPC (icense fncludes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. Th is fee includes installation of a water softener and/or water
heater at the same time. If you are installing onlv a water soffener and/or water
heater, do not complete this section; move to fhe next section and check the
appliance(s) you are install ing.
_Septic System Abandonment
_Water Turnaround (add $130. 00 if a 5/8" meter is required)
Other:
_?SWater 5oftener Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
? ) ' > O
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to reviewed and approved.
?? /vvs
ApplicanYs Printed Name ic nYs Signature
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CITY OF EAGAN
3795 Pllof Knob Rood Eagan, MN 5:122 Ng 6 813
iHONE: 454-8100 -
BUILDING PERMIT Receipt #
ro e._u.ea ro. 1 of 4 PLEX en. vaiue 039,000 oate August 14 . is_81
Sita Address 4f vc benvre 1,aIIe %- t'lar? ioet)
Lor z eiock 14 secis„b. Ridgealiffe 4th
Parcel # 10 63983 020 14
W Name QP1'iII ThOpPBOA $OID28
Z Addreu 1712 Hopkins Crosaroad
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Nome _
Address
Phone
1 hereby acknowledge that I hove reed this application ond state that
the inlormotion is Correct and egree to tomply with all opplicoble
State of Minnewta Statutes and City of Eogon Ordinances.
Signafure of Pertnittee -
A Building Pertnil is issued to:
atl work shall be done in acco
Building Officiol
Erect al Ottupancy jm-3
Aiter 0 Zoning
Repoir p Fire Zone
Enlarge ? Type of Const.
Move ? # $tories
Demolish ? Length-29_
Grade ? Depth-30--Sq. Ft.-
Approvols Faes
Assessment _
Woter & Sew.
Police
Fire
Eng.
Plonner -
Council _
Bldg. Off. -
APC
Permit 4)307V
Surcharqe 19.50
Plan check 116.75
snc 525.00
Water Conn.335.00
Water Meter 60.00
Rood Unit 185-0
Q
Torul 51474175
mi HOIIIEB on the express conditlon thnl
State of Minneaota Statutes ond City of Eagan Ordinances.
CITY 0F £.AGAN Include 2 sets of plans.
?.G_ C , 1 site plan w/elevations &
BUILDINC; PIIRNiTT APPLICATION 1 set of energy calculations.
'Ib Be Used For R ?D u Pf/ Valuation?" Date ?- l'a- -? ?
Site Address: /1'1 O 2 1,ENnIZE L4,j ( jo?) OFFiCE USE ODII.,Y
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Lot BloCk
L Sec./Sub. (Z?4GEr_L.lFF
6 ?? V
OccuPancl' PJ?
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Parcel #: l(? (p?`? c?C? 1y Fou.SLj-? Alter ' Zoning -
Regair Fire Zone _ A/ _
owner: Enlar9e 'Iype of Const.
Nbve # Stories
Addr2SS: a Division of U, S. Home Corpnrntinn Deimlish Front 9 ft.
1112 KINS CROSSROAD
C1ty/ZlP COC3e: MINNETONKA
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- GrdC3E D2Pt11 3ry ft.
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INN 55
443
Phone #: 544-1333 APPROVALS FEES
_
Contsactor: CAR-I ?,.;THOMPSON HOPpr'cl
AdC7Y'255: a Division of U. S. Home Corporation
1712 •+ CROSSROAL)
C1ty/Zl.p CAC12: MINNETONKA, MINN. 55343
Phone #:
Arch./Fhg.-
Address:
City/Zip Code:
Phone #:
Assessmnts
W3t2Y/S2w2r
Police
Fire
Erig-
Planner
Council
Bldg. Off.
APC
Pennit p7.33 4-0
Surcharge l 9 '5
Plan Chec}c
SAC ?? S GO
water Conn. 3 3
Water Meter / a' -?
Road Unit
TOrAL ) y" ? `-(? Z5-
BUILDING PERMIT
CITY OF EAGAN
3795 Pllof Keob Rced Eagae, MN 55121
PHYE: 454-8100
Site Address 4704 I.eIllDTe IBrie CP\4^ loa)
Lor 81ock 14 kcis„b. Ridgecliffe 4th
Pa,cei # 10 63983 030 U,
a Name "'a J.aa icaviuyovia iwinurs
; Address 1712 Hopklne Crossroad
b c; Mtka. 55343 Phone 544-7333
? Nome Ow11er
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?? Addreu
~ Cit Phone
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WW Name
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_? Address
1 hereby acknowledge that I have reod this applicotion and state that
the information is correct and ogree to comply with oll applicable
Stote of Minnesoto Stotutes and City of Eagan Ordinances.
Sipnoture of Permittee
A Building Permif Is issued to: ()T
oll work shall be done in accordonce
N° 6814
Receipt # 126, "Z4"061
Erect 91 Occupancy R-3
Alter ? Zoning PI)
Repair ? Fire Zone NA
Enlorge ? Type of Const. v
Move 0 ?.` Stories
Demolish ? Length?9
Grade ? Depth-3Q-Sq. Ft.-
Approvuls Feas
Assessment -
Woter & Sew.
Police
?Fire
.Eng.
Planner -
Council _
Bldg. Off. _
APC
Permit L 3 3. 7V
Surcharge 19.50
Plon check 116.75
snC 525.00
Water Conn. 335_00
Water Meter 60_nn
Road Unit M-w
Total $1 G7L _ 75
on the express condition tlar
Minnesota StaTUtes cnd City of Eagon Ordinances.
Building Official
? CITY aF EAGAN
BiJZLD7t?'c?PERMiT APPLICATION
?5 ? . )4- / " e- t ?f u` L}
'Ib Be Used For ' Valuation Include 2 sets of plans, site
1 se ofl energy lcalculations.
Date $-l:t
S' ss: OFFICE USE ObII,Y
t Bi odC1??ec./Sub. R?ocEu.IFfs Erect Occupancy
P
l # Alter Zoning
arce
: Repair Fire Zone `,/ ?
-
O Enlarge 'Iy1?e of Const. `?
wner: S
i
Nbve tor
es
#
Address: a Division ot u, S. Home Corponatinn DeJrolish Front ft.
O KINS CROSSROAD
Clty/21p C'ACle: MINNE70NKA. MI"JN 55343 Grade Depth 36 ft.
Pnone #: 544- 1333 APPROVALs
Contractor: 9RRIN TH9MPSON-M9PF7L_T-
AddT255' a Division of U. S. Home Corporation
? , N CRUSSINUAL)
C.it]7,jZip COde: MINNETONKA, MINN. 55343
Phorie # :
Arch. /Eh9 - :
Address:
City/Zip Code:
Phone #:
?4-
Assessments
Water/Sewer
Polioe
Fire
EnJ -
Planner
Council
Bldg. Off.
APC
Per[nit
Surcharge _
Plan Check
SAC
Water Conn.
Water A7eter
Road Unit
?
'ICJTAL (u -? L{ c -7 S
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA169224
Date Issued:05/19/2021
Permit Category:ePermit
Site Address: 4700 Lenore Lane
Lot:1 Block: 14 Addition: Ridgecliffe 4th
PID:10-63983-14-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Robert E Nelson
4700 Lenore Ln
Saint Paul MN 55122--361
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature