4708 Lenore Lane?EAGAN
Additior} Ric??ecliffe 4th Addn. Loc 1 eik 15 Parcel 10 63983 010 15
owne,'R. street 4708 Lenore Lane stete Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 95.95 C 07109 3 27 81
SEWERLATERAL ^U 1982 652.71 5 652.71 C007616 2-2 -8
WATERMAIN
WATERLATERAL 1982 630.40 5 630.40 C007616 12-23-81
WATEF AREA 95.95 C007109 3 Z7 81
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 25890 7-22-81
WATER CONN, 335.00 ir 11
BUILDING PER. 6769
sAC 525.00 " "
PARK
CITY OF EAGAN
Remarks
Addition i e liffe 4th Addn Lot 2 eik 15 Parcel 10 63983 020 15
Owner s"eec 4710 Lenore Lane State Eagan, MN 55122
?
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 110.69 7.38 15 95.95 C007109 3/27/81
SEWER LATERAL ,'1 j
WATERMAIN
WATER LATERAL 1982 O
WATER AREA 1980 110.69 7.38 15 95,95 C007109 3 27/81
1
STORM SEW TRK 1982 346.09 346.09 C007616
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STiiEET LIGHT
Road Unit 185.00 25890 7-22-81
WATER CONN. 335. 00 IT "
BUILDING PER, 6]]0
SAC 525.00
PARK
vt EAGAN Remarks
Additioih Ridgecliffe 4th Addn. Lot 4 Rik 1S parcel 10 63983 040 15
Owner T`) ' t? ?;?^4712 Lenore Lane Eagan, MN 55122
Street State
Improvement Data Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADtNG
SANSEW TRUNK 95.95 C007109 3 27 81
SEWERLATERAL ? 19$2 652
WATERMAIN
WATER LATERAL 19$2 630,40 $
WATER AREA 95.95 C007109 3 27 81
Services 1982 637.75
STORMSEW TRK 1982 346.09 5 346.0 9
STORM SEW LAT
CURB & GUttER
SIDEWALK
STREET LIGHT
Road Unit 185.00 25890 7-22-81
CONN. 335.00
BUILDING PER. 6771
sAC 525.00
PARK
CITY OF EAGAN
Additio Ki ecliffe 4th A dn Lot 3 eik 15 ve,cei 10 63983 030 15
owner n j.,9L? ?( street 471 Lenore Lane Scate Eagan, MIN 55122
v
Improvement Date Amount Annual Years Payment Receipt Date
STflEET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 110.69 7 95.95 C007109 3 27 81
SEWERLATERAL
WATERMAIN
WATERLATERAL 1982 630.40 5 630.40 C007616 12-23-81
WATER AREA 19$0 110.69 95
Services 1982 637.75 5 637 75 761 12-23-81
STORM SEW TRK 1982 346.09 5 346.09 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
R
WATER CONN,
n
n
BUILDING PER. 6772
sAC 525.00
PARK
Receipt PLUMBING PERMIT
CITY ;!F EAGAN
Fill in numbered spaces
Type or Print legibly
1. Date 2. Installation Cost
3. Job Address LotBlk.
4. Owner ?
Permit No. ?
Fee
S/C
Tot.
5. Contrector Phone
6. Address ' •
7. City State 2ip "
8. Building Type: Residential C`] Commercial ? Institutional ?
9. Work Description: New O Add ? Alter ? Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
8ath tubs Septic Tank
_ Lavatory Softner
_
_ Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes 9overning this type of work.
?
Signed: for
Rough Final
Inspections: Date _Y Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
,. ,
Receipt -
PLUMBING PERMIT
CITY OF EAGAN
-/
Permit No..-
?
Fill in numbered spaces
Type or Piint/egib/y
i.
1. Date 2. Installation Cost Fee
S/C II
I
Tot.
?
3. Job Address
4. Owner Lot ?? Blk. ( Tract `
5. Contractor '?Phone -
6. Address ?•?f' ' ,"u "' ,'I ?
7. City
8. Building Type: Residential C?
9. Work Description: New ?
I 10. Describe
I 11.
State Zip ?
Commercial ? Institutional ?
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Orainfield
Bath tubs Septic Tank
_
_ Lavatory Softner
_ Shower Well
Kitchen Sink
Urinal/Bidet Other
_ Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: far
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
Receipt PLUMBING PERMIT
CITY,OF EAGAN
• Fill in numbeied spaces
Type or Print legibly
1. Date 2. Installation Cost
3. Job Address ` Lot ? Blk.
4, Owner
Permit No.
Fee
S/C
Tot.
5, Contrector 'Phone
6. Address
7. City ^ State Zip 8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
I 10. Describe
I 11.
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bathtubs ` p
ticT
nk
Se
_ Lavatory p
a
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 Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN
454-8100
Receipt - MECHANICAL PERMIT Permit No. l C? .I
CITY OF EAGAN ?
Fee
fi/l in numbered spaces S/C
Type or Print legibly Tot.
7. Date 2. Installation Cost •
3. Job Address Lot ? Blk. Tract ?
4. Owner ?"SIt T:VPTSQl1 fi0Ka
5. Contractor 5' N. iJGLTER 11E,11 . Phone ,5-6867
6. Address -'?Fd37 Chi.C:190 :,vF. --?;.
7. City State _
Zip
8. Building Type: Residential 13 Commercial ? Institutional O
9. Work Description: New 13 Add ? Alter ? Repair ?
-..-•.t?l fnrC9ti alL' hea$i?I -'
10. Describe"°" " Fuel Type
1 11.
No,
1 Eauinment BTU • M. Ea.
PorcedAir No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
- Boilers
Mfg. - Mech. Exhaust
Unit Heater
Mfg. Other
' Air Cond.
Mfg.
Gas, Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed; for
Rough Final
inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-5100
I
---- 7?q
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee -
fill in numbered spaces S/C
Type or Print /egibty Tot.
1. Date ? 1'?-???,/ 2. Instailation Cost --7" ' y
3. Job Address Lot 1-::5 Blk. r Tract °.
4. Owner 1 A(_J,e : ^?
5. Contractor z- -/? Phone
c" i
, ? _. .
6. Address
7. City Stete° .y Zip
8. Building Type: Residential.ltJ Commercial ? Institutional ?
1
9. Work Description: Nevr-4J Add ? Alter ? Repair ?
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
_ Bath tubs $eptic Tank
? Lavatory Softner
Shower Wel I
Kitchen Sink
Urinal/Bidet
Other '
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
- '.
BUILDING PERMIT
Site Address
Lot
Parcel # -
CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN SS
PHONE: 454-8700
3r) , ()nr,
4th
W Name '.'='rin Thomnaon Homes
3 Address 1712 Hcpkins CroRSroad
Nome ' 'S"
?
?p
? Address
Name _
Address
I hereby acknowledge that i have read this application ond state that
the information is correct and agree to comply with oll opplicoble
State of Minnewta Statutes and City of Eagon Ordinonces.
N4 6772
# -
Erect Occupancy -
Alter ? Zoning "-
Repair ? Fire Zone
Enlcrge ? Type of Const
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth ft.
Aocrovals Fees
Woter & Sew.
Police
Fire
Eng.
Planner -
Council
Bldg. Off.
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total W. _ 75
Signoture of Permittee I
A Building Permit is issued to: ' r" on the express condition that
all work sholl be done in acrnrdance with all applicable State of Minnesota Stotutes ond City of Eagan Ordinances.
Building Official _
L' .
PermM # pab hwed . pyeitew
Plumbing
Mechanical _70
;?,.lee c _?, 1 - -sl T$?i ? Ec ?
INSPECTIONS DATE INSP. - RougMln Finol
Footings Dote Insp. DaFe Intp.
Foundation Plumbing A ?
' Frame/ins.
Finol
- Mechonical ?O• ?_
Remarks:
?'
y- zi•,P 6P
;,? u.,v.-( oN=, .11,fi e-? y
CITY OF EAGAN
. 3795 Pilot Knob Road Eagon, MN 55122
PHONE: 454-8100
Site Addreu
Lot Block $ec/Sub. '
Parcel #
K I NCTE
W
3 Address '11-1 -,o-ohino Crossroad
o .. .....,.. _.. ...,.....
p Nome ;'-r
?F
Address
? r:.., oi.....e
Name _
Address
I hereby acknowledge that I have read this applitation and stote that
the information is wnect and agree to comply with all applicoble
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee I
A Building Permit Is issued ta on t
all work shall be done in accordonce with oll applicable State of Minnesota Statutes and Ciry of
Building Official
express condition that
aan Ordinances.
crecr V
Alter p
Repair ?
Enlarge ?
Move ?
Demolish ?
Grode (-I
Assessment -
Water & Sew.
Police
Fire
Eng.
Planner _
Council _
Bldg. Off. -
APC
NP 6771
19-
Occupancy
Zoning
Fire Zone
Type of Const.
# SYOfIBS
Front tt.
Depth ft.
Fees
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
7/._7
BUILDING PERMIT ReceiPt # _ -
PomM # Dab iroad PaesMfw
Plumbing Z.S-$-l 'E'A - Y?
Mechanical o2`ZOG lb-S-?
FIeC t `C'7`1?3"3S - c- s? f3F( F( ? C '
INSPECTION$ DATE INSP. Rough-In Fi
Footings r
^ ^8/ }
Date Insv. Date Insp.
Foundation Plumbing .
?
.S•?, „? (? ?D
Frame/ins.
Mechaniml ?
10- -ts?-- ?
?
Finol ? I
Remorks:
I=1X$/ ?? CJ
?'
af
??, 07
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
? Fee
FiU in numbered spaces S/C '
Type or Print /egib/y '
Tot. -
1. Date 2. Installation Cost
3. JobAddress Lot's -?81k. Tract
4. Owner
5. Contractor
6. Address
? _..
7. City
1
8. Building Type: Residential '
9. Work Description: Newt
70. Describe
11,
Phone
? -
--
State Zip ,
Commercial Ll Institutional ?
Add ? Alter O Repair ?
No.
Z- Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
L - Lavatory Softner
Shower Well
? Kitchen Sink
Urinal/Bidet Other
?
---r-- Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outleu
12. I hereby certify that the abovainformation is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
(nspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN Fee 00
Fill in numbered spaces S/C •-' ?? ?
Type or Print /egibty Tot. ? •
1. Date 2. Installation Cost •
'
3. Job Address Lot `I Bik. - Tract
? 4. Owner %1:FtIT1 TfiOttf SON 1101*:S
I 5. Contractor •
Phone
I 6. Address 4637 Ch1CSf':-, -
? 7. CitY State ZiP 554?' :/
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
I 10. Describe 1113tall forced a.ir fiee!i,-''Fuel Type ?, Gas
I 11.
No.
1 Eauipment 9TU - M. Ea.
Forced Air C;p ;,"?0 No. Equiament CFM
qi
H
dli
Mfg. _ r
an
ng:
_ Boilers
Mfg, _ Mech. Exhaust
Unit Heater
_ Mfg. Other
i Air Cond.
Mfg.
1 Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp.__ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
Receipt PLUMBING PERMIT Permit No. '
CITY OF EAGAN
Fea
Fill in numbered spaces S/C
Type or Print legibly
Tot. , .
1. Date. -' - ?- 2. Installation Cost
3. Job Address Lot L Blk. Tract/* _ -?- ?
4. Ownec
,
5. Contractor ?-
6. Address
7. CitY .r ; : c 'r ,
8. Building Type: ResidentiaLb
9. Work Description: New?
10. Describe
11,
Phone - -
State ?Y'V` Zip
Commercial Q Institutional ?
Add ? Alter ? Repair ?
No.
- Fixtures
Water Closet No. Fixtures
Ces
o
l/Dr
i
fi
ld
Batlitubs sp
o
a
n
e
Se
ti
k
T
_
j` Lavatory p
an
c
$oftner
Shower Wel I
Kitchen Sink
-T Urinal/Bidet
Laundry Tray Other
' 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
CIT1f OF EAGAN
3795 Pi1M Knob Road Eagan, MN 55122
? PHONE: 4548100
BUILDING PERMIT Receipt #
To be ufed fw Est. Volue ` Date -
Site Address 7 anp
Erect
Q
Lot Block Sec/Sub. Alter ?
Pcrcel # Repair ?
Enlarge p
og Name Move ?
; Addre ss Demolish ?
b .,_ ? 55j: ,.,
Grade
?
of
Zo
oU
v
?
Nome _
Address
Name _
Addreu
I hereby acknowledge that I hove reod this application ond state thot
the information is corred and ogree to comply with all appiicable
State of Minnesota Stotutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: r- 'ail work sholl be done in acmrdance with oll al
Building Official
Assessment _
Water & Sew.
Police
Fire
En9.
Planner -
Council _
Bldg. Off. -
APC
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total 1I.r;; -1r
P. ! U':r•', on the express condition that
e of Minnesota Stotutes and City of Eagon Ordinances.
N° 6770
, 19
Occupancy
Zoning
Fire Zone
Type of Const.
# SYOrIES
Front ft.
Depth ft.
Feea
f
PennM # paft Iuow PanNfbs
Plumbin9 •, s I Co -25 $' Gc, E /V :t ? Y\
Mechonical ',?' (p /O -S- ?` E L- i-'
? tic.? -r-c?$34 ll-S-bYI ??il t14c ?
?
INSPECTIONS DATE OP1SP• Rouph-In Finol
Footings • Dote Ins
p. Date Insp.
F on Plumbing }
? "
Frame/in
MecMnical
10,
??
??• .
'^' ?
Final a?-/-
Remarks:
9• ?? -s?? - ?? ,? ?'? ?•U---.--? ?.l ?, .-?f `.j `f
Receipt MECHANICAL PERMIT
CITY OF EAGAN
Parmit No.
Fee
Fill in numbered spaces S/C _ 5L ?i
Type or Print legibty
Tot. ?
1. Date 2, Installation Cost ''-' •?' ,
.;:r?'ir.i.•<,
3. Job Address Lot ^ Blk. Tract i
? 4. Owner ??TMN T:i:1,12SJN H
5. Contractor Phone '5-W,67
I 6. Address = 1 3 7 Ch1C1fn AVe, .,o,
I 7. City 16•
1 8. Building Type: Residential ?
I 9. Work Description: New 129
State , . ZiP
Commercial ? Institutional ?
Add ? Alter ? Repair ?
I 10. Describe forced aiZ' hCC i;. ir Fuel Type "G ? ?3
1 11•
No.
1 Eauioment BTU - M. Ea.
Forced Air No. Equipment CFM
Air H
ndlin
:
Mfg. g
a
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 F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
wecerveo
PROM
AMOUNT $
& DOLLARS
' ?oo
? CASH ? CHECK
FOR
<??a
FUND COOE AMOUNT
?
Thank You - '-'- ,,
Q? B Y
1
White-Payers CopV
Yellow-Posting CopY
Pink-File Copy
? CITY OF EAGAN
3795 Pilot Kno6 Rood Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT ReceiPt #
Te be wed for Est. Value , Date -
Sitc Address Ered ?
_. ,..
LM Block Sec/Sub. Alter ?
Parcel # 1 Repair ?
Enlarge ?
m Name on,es Move p
; Address Demolish ?
0 r..., Grade ?
p Nome _
?
OU Addreu
? ?;...
Name
Assessment _
Water & Sew.
Police
Fire Eng.
Planner -
Council _
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
I hereby acknowledge that I have read this application and state that gld9. Off,
the information is corred and ogree to comply with all opplicoble APC Totai
State of Minnesoto Stututes and City of Eagan Ordirwnces.
Signature of Permittee
A Building Permit is issued to: ' on the exprew condition that
oll work shall be done in occordance with oll applicable State of Minnesota Statutes and City of Eagan Ordinonces.
Building Official
N4 6769
Occupancy
Zoning
Fire Zone
Type of Const.
# $tories
Front ft.
Depth ft.
Faea
Pwmk # pah Iwad PaeMM"
Plumbing oZS?s }3'''ZS-$"? Q/N?,
Mechonical
INSPECTIONS DATE INSP. - Rouph-In Final
Footings ` Date ?
J 1nap. Dofe 1
Fou tion Plumbi 9r
? ??
Frame/ins. ?-a ? Mechanicnl 1v
-T .
Final ? J
Remarks:
7-2/- P?/ ?J D ?/hu-cL.-..?1 •-t.?( /G?..?
Receipt - MECHANICAL PERMIT Permit No.
CITYOFEAGAN Fee 50 ?
Fill in numbered spaces S/C •?' `l ?
Type or Print /egibly
Tot.
1. Date ? - 2, Installation Cost ?
3
J
b Add
'?" L
? Blk T
`
.
.
ress
ot
o ract
4. Owner
5. Contractor Phone
6. Address l4 .(3 7
7. City ?'1 ?; • State rr Y7
Zip
8. BuildingType: Residential El Commercial ? Institutional ?
9. Work Description: New El Add ? Alter O Repair ?
70. Describe'?=Lt IFueI TYPe
I 11.
No.
? Eaumoment 9TU - M. Ea.
Forced Air No. Eauiament CFM
Air H
dli
_
Mfg.
Boilers an
ng:
Mfg. _ Mech. Exhaust
Unit Heater
Mfg. Other
1 Air Cond.
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: 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 Permit No. -
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prinr legib/y Tot. '
1. Date 2. Installation Cost
3. Job Address Lot / Bik. ?y ' Tract
4. Owner '- •?i1/ ?i<,J - =- -_ ?Y"
-i .
5. Contractor Phone
-? ] 1
6. Address ,C). ?-
?
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: Nevu116 Add ? Alier ? Repair ?
10. Describe
11.
No? Fixtures
Water Closet No. Fixtures
Cesspool /Drai nf ield
1 Bath tubs Septic Tank
7- Lavatory Softner
Shower Well
' Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
51op Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with ali 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 SEVYER SERVICE PERMIT
3795 Wlot Knob Reed PERMIT NO.:
Fagan, MN 55122 DATE: ,
Zoning: ? No. of Units:
Owner: Thcazt.;:so.Address:
Site Address:
Plumber.
1 agrea to eomplr wlth !ha Ciry of Eagan
Ordinanees.
R?
Dnte of Insp.:
WATER SERVICE PERMIT
CITY OF EAGAN
b R
d
1'
K PERMIT NO
:
oa
ilot
no
3795 .
MN 55122
E DATE:
agen, "
Zoning: - No. of Units:
O
wner:
Address:
L3 ?'r` Ridgec
liffe Zti
Site Address:
Plumber
.
e:
Char
ti
C
?
Meter No.: g
on
onnec
osit:
couM De
A '
Size: p
c
Read¢r No.: Permit Fee:
1 agrea to eomply wi16 fhe Ciey of Eagan Surchorge:
Ordinances.
Misc. Charges.
Total: j
Date Paid: i
gy
Date of Ins
: Insp.: '
p. CITY EiF EAGAN
3795 Pilot Knob Road
Fagan, MN 55122
ZOnlflg: 7111
Owner: CTTin :'i
Address:
Site Address: c7 n
Plumber:
Meter No.:
Size:
Reader No.:
Connection Charge:
Account Deposit: _
Permit Fee: -
Surcharge:
Misc. CMrges: -
Total:
Date Paid:
WATER SERV'ICE PERMIT
PERMIT NO.:
DATE:
_ No. of Units:
'.'o;
Connection Chorge:
Account Deposit:
Pertnit Fee:
Surcharge:
Misc. Charger.
Totcl:
DMe Paid:
1 agreo [o wmply wiM ffia Cify of Eagan
Ordinanees.
Bv _
Date af Insp.:
a v., . v..
425.00
cirr cF eAcAN SEYVER SERVICE PERMIT ?
3795 Pilo! Keob Roed PERMIT NO.:
Eaigan, MN 55122 OATE:
Zonin9: - i- No. of Units:
Owner• Crr:_ _tiou,p;:on
Address:
Site Address: ", - L _ ,? L
Plumber:
1 agrea to wmPl? wifh fhe Gryr rif Eagae Connection Charge: 00 ^?
Ordinaness. Rccount Deposit:
Pertnit Fee:
Surchar
e:
g
B Charges:
Misc
y .
Date of Insp.: Total:
I Date Paid:
nsp.:
CITY OF EAGAN
3795 Vilot Knob Road
Fc9an, MN 55122
Zoning: "
Dwner:
Addre55:
iite Address:
5lumber.
?Aeter No.:
iize:
teader No.:
a9ms tO eumply with tAa City of Eagan
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
?
Connedion Charge:
Account Deposit:
Permit Fee: ? Surcharge:
Misa Chorger.
Totol:
Dote Paid: _
CITY OF EAGAN SEVVER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Engan, MN 55122 pATE:
Zoning:
No. of Units:
Owner:
Addresr.
Site Address:
Plumber:
•t:_ -
1 agroe to eompy wIM Hw Ciof Ea an
h'
C
.,,
9 onnection Chorge: .
Ordinanees, Account De
posit:
Permit Fee:
Surchorpe:
B
Y Misc. Charges:
Dcte of Insp.: ToMI:
Insp.: Date Paid:
CITY Of EAOAN WATER SERVICE PERMIT
3795 Wlot Kno6 Road PERMIT NO.:
Eapen, MN 55142 DATE:
Zoning: _ No. of Units:
Owner:
Address:
Site Address: __ I L 1 5 1' i',-? - l i-- f e I?
Clumber:
Meter No.: Connection Chorge:
Size: AccourM Deposit:
Reader No.: Permit Fee:
I a9mO to ecmplr wilfi t6e Ciry of Eegen Surcharge:
Ordinanen. Misc. Charges:
Total:
BY Dote Paid:
Dote of Insp.: ;
Ins
p.
OF EAGAN SEWER SERVICE PERMIT
Pilot Kneb Rond PERMIT NO.:
MN 35122 DATE:
• No. of Units: "
ayree M eanPly wi16 tha Ciry of Eugan
Connectton Chorpe:
Acwunt Deposit:
Permit Fee:
Surdwrpe:
Misc. Charges:
Total:
Date Pcid:
>
?
1'hank Youi6--?
BY ' ? . / .
??+?
•? White-Payers CoPY
, . Vellow-Posting Copy
'?- CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
? EAGAN, MINNESOTA 55122 <-_ ; j
/ ?,
? )) ?
DATE i?I`I (? ,
. reecarveo
r" ? ;-, . • ? ?' ?% ??r? ' I
FROM
AMOUNT $
35./f'?y- `-
' h 8 DOLLARS
Ioo
C7.?s+Ece
?--
,
I . %
Fu)yo renouNr
!/i. ?j'lo c?-s
?', ,i i ? ??-•_
7r? 5 2
Thank You.16-
_sv
.??
2White-PaYers CoPY
Yellow-Posting Copy
o'_i. c:i_ ..,_ .
' CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 <
'
-. .? DATE /?% . . ? t9
i - • /
, RECEIV6D '1?1A
FROM /•, ?)_/ . iJ ,?
/C-G3,aMO-U.Nyr $
!e DOLLARS
0 ?c°ws?is ?
p ?r?clc'
' 1-
I I
I
. ,?J. FUND /,1MOVNT
?i55 ?Y, s l?
l I
? I
?
r
?
v
ThankYoa?6-
c;.?BY i2 C,(1
V y White-PaYers CoPY
. Yellow-Posting Copy
Tertifirtttt nf (Orrupttnry
Citp of (EAgan
Uepttr#mpnt nf Builbing 3ns,prrthm
Thit Ctrtificute itsued pur.ruant to !he reguirementt of Section 306 of the Uniform Building
Code catifying that at the time of ir.ruarur thi.r nructure wac in compliann with tbr vurious
ordinanccs o f thr City rtgulating building conttruction or use. For the f oUoudng:
uYcumeuLm I of 4 PI,LY eiag.reffnit No. 6771
_ _._._. _?.
___.... _._....? ._ __. __...__....._ V --._... ___.._..._ r pD.
.
pecupyKyType TypeCOnswclian FircZme ZoningDiftrict
oww ofMnaung Orrin Chompson Aaa,ea 1712 I?opkins cYsrd.. Mtka.
Bw7dingAddrcss Laatity ?.v?. _????v?.,? ???•..?..a?..._..r.....
? PQ ?: 4?
e Saffidd na«: Deec5ember 1. 19s]_
• . . . . '06T IM 1 CONSlILVOUB ?LACF ' .. ' 18J - ? LITM[)IN U.5.11.
O.rdtftrtttt uf (Orrupttnry
Citp of Cagan
Urpttr#mrtct nf But0iitg iJitfi}ieriinn
Thrs Catificatc isrucd purauant to tbt rcquirements of Sertion 306 of the Uniform Building
Code certi f ying tbat at the timc of istuaruc thit .rtrutture wut rn com pliunce with the varioxJ
ordinanctt o f tht City rrgulating buildrng connruction or ure. For the following:
1 of 4 PLF7 677'
Uu Clamfication Bldg. Permit No.
?D
p=parcyType R3 TypeCoaswctba V FircZon• r? ZoningD'utric'
prnerofBuildine Or'rin ni0Wson Add,ea 1712 Fiopkins ?$rC3, P-Stka•
Bwlding
?
?th
L&4f ? 3X:cS'110.1[:l- 1• 1J81
Uficial 2-61 Date:
?T IM A CONf.CUWY .C6
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING ,lOBNO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDRESS I(lo ? G n dvt- t(/i
OCCUPANT d!?'? 141w?
SOLD BY? 4 LV % N?- L??f Af,
MAKE v`
SERIAL NO.
THERMOSTAT
VALVE ???' (-J/ wC /
LIMIT F'J c ?
LIMIT SETTING
FAN SETTING
PILOT TYPE L'? /19 L+ L v i l
IGNITION MODEL L? ee\'/'\- O >e-
PILOT TIMING -
PRESSl1RE C-INPUT CFH 66
STACK TEMP. S L D
0
PERCENT COZ
?
PERCENT OZ ? O
PERCENT CO O
CITY
OWNER
INSTALLED BY
MODEL l' f ?210?'
INPUT 457 " - O1/ (J
VENT SIZE
n
TYPE OF LINER J U??
LINER SIZE
FILTERS: SIZE
WIRING M ? aoX??
" ? ? ° ? NUMBER
?
TEST TAG
LIGHTING INST.
DATE TESTED ?
COMPANY TES TING
NAME OF TEST ER FORM 235 (REV. 11189) FORM DISTRIBUTION: WHITE COPV - J08 FILE YELLOW CAPV - CITV
/?^ J r ,REQUEST FOR ELECTRICAL INSPECTION
77 V y{ {?y See inshuGtions tur comVleting this fnrm on back o( yeliow copy.
V
"X`8elrnG tiVork Cnvered by Thls Reqciest
?.,? EB-00007-03
,,;_
2-7 (4 -:) (ev
NEWviAdd flep. Type of Building Appliances Wired Equipment Wired
Home Ranye Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unloader
industrial Bldg. Air Conditioner Bulk Milk Tanlc
Farm Other Spec, v Other(5peciiy)
, t r.r Specify Other Ofhrr
Compute Insoer.UOn Fee Below
tl Fee Service EntranceSize k Fee Fenders/Subfenders # Fee Circuits
- 0 to 100 Am ------ 0 to 30 Am s ? - 0 to 30 Am s
101 J[o?p0 qrii4is 31 to 100 Amps 31 to 100 Am s
b v 0l q}??? ? Above 100_Amps Above 100_Amps
Tra inrzners ' Remote Control Cira ? Partial,"Other F
Si Speciat Inspection S :
ftema ? ks TOTAL F ?rf
4y
7
Roliph-in Da1e the ElectriCal
insoecto,. herebY
if
h
Final p.?ti,
?i ?? cert
y t
at thaabove
inspection has 6een
?C i:f". /.," ???l.r???J fi18 B.
If11S fC(aUl.'$( VOid
78 mnnths from
REQUEST FOR ELECTRICAL INSPECTION A?, ee-ooooi-oa
?i_'?7 7 R ?G ' $ee instructions for completiny this iorm on hack o/ yellow copy. 1?`
"X"Below V6ar'k Covered by This Request
,2-7& 36::2
Ne A d d Kep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater ?, Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. umace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tanic
Farm oine, Pecify Olhpr IsF,erity)
ther ISpecify Other piher
compute Insnecrion tee Below
# Fee Service EntrenceSize # Fee Feeders/Suhfeeders it Fea Circuits
0 to 100 in s? 0 to 30 Am s 1,47 2' 0 to 30 Ain s
10t\ to AmH's 31 to 100 Amps 31 to 100 Am s
n ' ve 200 A?m s Above 100_Amps Above 700_Amps
-? ,traj?siorme'r Remute Control Circ. OV Pa rtialiOt a
(S. yns`?'? Special Inspection )?
ftemarks + TOTAL FE?7V
Rough-in ?ato .
1, Ihe Electrical
Inspector, hr.rahy
tiT
h
Final
? ?
n;11 c
cer
y t
at the abova
' sper,tion has been
ir
made.
lhls rP.VUest voi(7
18 ftiUf11115 ff0"1
This request void ? f I ?
18 mpn(hs from ?
T t7 7 &,36
G?; t3i 5, ;p i?: ?f
3S, c7 0
?? (-o
Request Date Fire No. Rough- inInSUectfOn
He rted?
?Ready NoWill Nnu}y
Inspec-
'r
??"(Y?'`^?' ?Ies ?No .
V?torWhenReady
?Licensed Elec[ricul Contractor I hereby requnst inspection of above .
Owner electrical work installed et:
t Address. Box or Route No. City
q711 LeNow LA** Eum
eion o. Township Name or No. Range No. Counry
e
-
p
pj
i
TA
OcC ant (PflIN(T)
? ?{Z{I? ?? +y n +W+ ?f v / Phone No.
Power Supplier
Q-?t3 Address '
E ctrical Con?tract?or? {(C-?om?Dany Name)
?-L- ?`_"`G+u1?ZC- Contrar.tocr's I.iconye No,
MailinA Address (Contrar.tor or Owner Making Instaitation) .
144tl E. tJL-?.M to-0a0
Au[horizedS? atur (COntractor/Owner Making Insiallation) Phone Nwnber
`. 4riQ '55705'
MINNESOTA STATE BOAND OF ELEC7RICI7Y . THIS INSPEC710N REQUEST WILL NOTGriggs-Midway Bldg. -Room N•191 BE ACCEPTED BY THE STATE 80ARD
1821 University Ave., St. Paul, MN'55104 UNLE55 PROPER INSPECTION FEE IS
pti- Ip191 Iq79111 ENCLOSED.
This request vuid
?$ months r
2? ?p 3
? J 5 T yJ
1'/?ra/'
eque.sc Date
'?j
R1 Fire No. Rough-in Insuection
Reguired?
?Ready Nou Will Notify.lnsper.-
ti"LJPA' Yes ?No lor When ReadV
icensed. Electrir.al Contractor I herabv request inspection oi above
Owner . e.lectrical work installed at:
?i AAdres I,Z Box or Route No.
J-(^) !L.?WG(? e L'ity
ecLOn o. T)wnship Name or Na. Range No. County
'Occ*L(p) aQnl ?(P?R,W,qT) ?,y?y,?,?,p?,,-( Phune No.
Power Suppller
?A Address ?,? ?
6 ? ?'+ ? ''aNIVI_
Ele?trical Contra ^r.tor (Compuny,Name)
- - -' , r Co??tracmr's) L?\/icense No.
?? ? • J ?
Mailing Address (Contructor or Owner Making InstalWtion)
Nl a- • CL-t rir- Pw
Au[horized?$f ature (Contrector Owner Making Install2tion) Phone Number '
?'iQ .ss3f "
MINNESOTA STATE eOAHD OFfLECTHICiTV. . THIS INSPECTION flEQUEST WILL NOT
Griggs-MidwaV gld9: - poOm N-191 gE ACCEPTED BY THE STqTE 60ARD
1827 University Ave., St. PauL MN 55104 • ' UNLESS.PRQPER INSPECTION FEE IS
ph,,,,e (A»i 7q79111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION „?;, E8-00001-03
:
7, See instructions fur completing this furm on back of yeliow copy.
T34 ?,:
( X"-Beork Covered by This Request z;Z-7 (p 3 (,o
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
bupiex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unloader
Incrtistrial 81d,y. Air Conditioner Bulk Milk Tank
Farm othar specify otl,er(sueciry)
t Pr (${>CCify I1ihCf OihL'f
Compute lnspeciron Fee Below
# Fee Service Enlrance5ize q Fee Feeders/Subteaders N Fee Circuits
la.? o to i oo Amps, o to 30 Am ps a L40 o co so ar» 5
a-N tq2 0`Arl?3 31 to 100 Amps 31 to 100 Am s
n Z Atiove ',0D?-? .ps Above 100_Amps Above 100_Am)s
` J TFa? `Eormer ' Remote Control Cira ? ,? Partial/Oth ee
Special Inspection
0 3V"'4
Ren1rk
5 TOTAL FE
J
RouAh-in ? I Da[E i, the Electrical
Inspector, hereby
ifficertifV that the above
Final / Da
1rye
?, y(+ d_r iun has baen
( ? ? ?`?
This rcauest void
18 manths fiom
This request void lt/S
18 mor,tns rrom t
ir .778?'4
3s,oU
?-7 & 3(,:?
Request Uatc
ry
`?
- ?I
? Fire No. Hough-in InsUecUon
Req ired? -
?Ready No?Will Notity. Inspec-
[or Wh
n R
d
V
Q Yes ? No e
ea
y
V54-Licensed EleCtrical Contractur I hereby ryquest inspection uf abnve
? Owner eleclrical work installed at:
V t Address, Box or Route No. City
iO ' t.(-.NoK ?-P444-
P.ction o. TownshfD Name ur Nn. ftange No. County
Occuj[ ?ynt? ^(PRINT 1 Phune No. .
p?{? ?? ?/?? (
?'i 1 ,•' • ???+{ ?{??
POwef upplier . Addf¢SS
r-clq
ElectrI Contractor Company Name) . Cunt a?ctorI's License No.
- Z
?
-
V
Maflinp Address IContraclur or Owne.r Makinp Instailationl
Aut
trac r/Owner Making Instailatfonl Pfmne Number
9N?y ?gloF
MINNESOTq STA7E BOARD OF ELECTRICITY . THIS INSPECTION REQUEST.WILL NOT
Griggs-Midway Bldg. - Room N491 - BE ACGEPTED BY THE STqTE BOAHD
1821 University Ave., St. Paul. MN 55104 UNLESS PROPER IPISPECTION FEE IS
Phnnw 16121 297-2117 ENCLOSED.
?? O p ? ? ;EQUEST FOR ELECTRICAL INSPECTION
See instructions for completing this form on 6ack of yellow copy.
'"X-Belo•+l }Vork Covered by This Request
?.? EB-00001-03
,2 -7 (a j f4
New Add Qep. „Type ui Building Appliances WireA Equipment Wired
Home Dl? Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bld,y. Furnace Silo Untoader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Oiher Sneclfy OtheriSnecifvl
ther 5pecify Other Other
compute rnspecttan fee eelow
q Fee Service EntranceSize q Fee Feeders/Su6feeAers M Pee Circuits
oto 100 qm s 0 tu 30 Am s p 5 ? () tu 30 Am s
101 to}200.An1gs 31 to 100 Amps 31 to 100 Am s
?Above?OQ !mps Above 100_Amps Above 100_Amps
nstoFmers/ Remote Control Circ. Partial'Other Fee
Special Inspection S ..
0
HEmat, 35,50 TOTAL E.3J'
3
Rough-in n`(iteQ G/ I, the Electrical
Inspeclor, hereby
c ` y U?at the above
Final ???3Q? inspection has bnen
made.
?
This reouest void
Ift nipnths fiom
This request void ?/??
18 ntonths (rom•? 7703
L,,)3S ?!c y
35, 00
.;Z7 lv 3C?
Re.quest q?.te
V!v Ffre No. Rouph-in Insyertimi
fleqwredl
?Ready Now Q Will Notify_ Inspeo-
? ??
?.? ?Ves ?No mr When Readv
Licensed Electrical Cuntnctor I here6y request inspeciion of above
L-J nWner electrical work installed at:
et Address, Box oi Route Na. City
?
S; 4Nok ryWIVIJ
ection u. Tnwnship Nume or Nn. Range No. Cowrty
W-D7A
Occupan7 IPqINT)
C*1L,n? 1 O9Mf?ia4 Phone No.
Pnwer
Su
pplier Atldress
'
^
l 1T1-?1,%Wjr4LTttpJ
Electriwl Conlractor ICompany Name) - Contractor's License No. .
2>6-w-- E+-...?.e,e,(? 3tiS2!? - z
Mailing
AAdress (Contractor or Owner Makinfl Ins[aila[inn)
+
N i f IE . LLff-
Authorized Si ture ntractor/Owner Making Insiallation) Phone Number
U , 590_?03_
MINNESOT4 STATE BOARD OF ELECTRICITY THIS INSPECTION flEQUEST WILL NOT
Grig9s-Midway Bidg. - Room N•191 BE ACCEPTED BY THE STqTE BOARD
1827 University Ave., SL Paul, MN 55109 . UNLESS PROPER INSPECTION PEE IS
on,...e iauk 997_?1 11 .. ENCLOSED.
. ?_ ?•?? ? ?
? CORRECTION NOTSCE
DATE:
Address Site Name
Owner/
Owner/Agent
Ordinance Nos. and Corrections - Correct By
Y
f /? /J v • ?/ '
?
For reinspection //
Eagan Dept. of Inspection (nSpeCtof: _yfCL.
3795 Pilot Knob Ad. Ea . esota 55122
a•8i Dept.:
f-Ce?tiftr?t?r nf (?rr?t?ttnr?
Citp of (Eagan
Erpttr#mnif nf BuilDictg ;Jnriveriimt
'Z'his Certifitatc irsued purauant to the requeremrnt3 oj Sertion 306 of the Uiriform Buildir,g
Code ccrtif ying that at thc time af istrutruc thia ttrHCture wuc in com pliana with tbc variouJ
ordinancrt o f tht City rrgulating building conttrudion ar utr. For t!x f ollawing:
U. Ciamficatlrn 1 of 4 PI.F',X Bldg. Pertnit No. 6,770
Occupancy Type R3 Type Constructlon V Fitt Lon rm 2oning DisMcc pn
o,,.m,ofgu„di„B Orrin '"homson Addma 1712 uopkins cYsrcl P•ltka
Butlding Addrea 4 710 T norP T anF± L,c,l;,y T at 2? R?1 ?? c` If fe
'>&? k 9 th
?,?¢ ??„?Jr? I?cember 1,
auwaineoreew ,- uam: 1991
?pi IN A CONi?IGYW9 IRAC[
o? LIT11011 V.i.
(?.ertiftr?tr nf (Orrupanry
tp of ?agart
?r}?ttrfmrnt n# +?ixiiDing ?tt.??rpr#i?m
Thi.r Certificate usued purruqnt to tbe requirements of Seaion 306 of the Uniform Building
Code ccrti f ying tbat at the time a f it.cuarae ibir rtructure maf in cam pliance witb tbc variour
ordinances of the City regulating btulding conrtruction or ucc. For thc following:
1 of 4 PI EX
6769
Ux Clasldfiratian Bldg. Pemtit No.
_ .. . -r?
. -< --- _. ---..
OccupocyTypc TypeComtrvclion Fire.Zone ZoninglTstrict '
Oww of guflding Orrin '.i'hompson Aaarm 1712 Hopkins Cxsrd. , P2tva.
Waamsnaa? 4708 Ienore I.ane Local;,Y IAt 1 Block 15,Rid.qecliffe
By' 4th
e„aamsorr,eW uu<: ?Loemher l, 1981
?T IM A CON9?ICUOU9 'LAC[
a? LITNOIN U.S.A.
CITY OF EAGAN
3795 Pilot Knob Rmd Eagon, MN SS122
PHONE: 4548100
BUItDING PFIRMIT APPLICATION
F
bB Y!@A f0!
Sre Address 4/Ua Lenore Lane lMDaet tv3 J
Lor 1 elock 15 sec/sub. RidgeeliPfe /ith
Pa«i # ln 63983 alo 115
a Nome Orrin Thompson Homes
3 Addreu 1712 HOPkins Crossroad
- °C Name Owner
0
?? Address "
t" Ci Phone
?
Ww Name
?-_? Addreu
I hereby acknowledge that I have reod this opplication and state thet
the informotion is correct ond agree to comply with all opplicable
State of Minnesota $tatutes und City of Eagan Ordinances.
Signature of Permittee _
A Building Permit is issued to:
all work shull be done in accQ
Building Official
N4 6769
Receipt .# r;?
Erect [$ Occupancy R3
Alter ? Zoning PI)
Repair ? Fire Zone N&
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front 26 ft.
Grade ? Depth 26 ft.
Approvcis Pees
Asussment Permit L33.7U
Water & Sew.
Police
F;re Surcharge 19.50
Plan check116.75
snc 525.00
Eng. Water ConJ35.00
Planner
Council Woter Meter60• 00
Road Unit 185.00
Bldg
Off
.
.
APC
Taai $1474.75
80II HOIDEB on the express rnndition that
le SMte of Minnesoto Statutes and City of Eagan Ordinances.
- i
? CITY OF EAC,AN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMI'P pPPLICATIOIV 1 set of energy calculations.
c t?t ?
Zb Be Used F?or R s?D u valuation /?? Dabe -7-$-0j
5ite Address: _1'70 R Lf'409Zz L.N • ll?00 E?- I o OFFICE USE (Ra,Y
i.?ot 1 slo?x ? sec./sub: fZ?c?F.ca.?FFCD? Ompanr-y 3
Parcel #: !O (O3 l X3 d1(0 /SAPF Alt,er Zonir?g
Repair Fire Zore
awner: ?1?'4e ZYPe of Const. --?? -
Nbve # Stories
AddI'eSS: a Division o( U, S. Home Coron•arin„ D2911011St1 Fr071t ft.
1112 KfNS CROSSROAD Grade Depth ft.
Clt}r /Zlp COd2: MINNETONKA. MINN s,342
Phone #: 5`44-1333
Contractor: ORRIN THAMPSOA!-H?'""?-
AC3Clr255: a Division of U, S. Home Corporation
17112 , Nt CKUSSI<UAU
City/Zip Code: MINNETONKA, MINN. 55343
Phom # :
Arch./E7zg. -
Address:
City/Zip Code:
Phone #:
APPROVAIS FEES
Assessments Permit ?3 ? 0:32
Water/Sewer Surcharge 19
Police Plan Check
Fire SAC
Ehq. Water Conn. '33S
Planner Water Meter ( o ?
Council Road Unit ? Q? =d-
Bldg. Off.
APC
.
7?;
TO',L @L I
`? "
CITY OF EAGAN
' 3795 Pilot Knob Road Eagan, MN 55122 N? 6 ? 7 ?
, RN?NE: 454-8100 •
BUILDING PERMIT APPLICATION Receipt
To be used for 1 of I.'PLER Est. Volue $39poo0 Dcre '7Uly 22 , 19 gl
Site Address -471O IRAOI'e Lane t44o l
Lot 2 Block 15 Sec/Sub. Ridgeel3ffe 4th
Parcel # 10 63983 020 15
nvuica
w I Name vrriu uiwuyaVu
3 Addreu 1712 Fiopkins Crossroad
o .'•- ",.. _ _ . . ..,.....
w
o0
U
u4a
t-
Name _
Address
Name _
Address
I hereby acknowledge thot I have read this applicotion and state that
the information is correct ond ugree to comply with all applicable
Stote of Minnesota Statutes ond Gity of Eagan Ordinances.
Sienoture of Permittee
A Buildin9 Permit is issued to: -Orrin
oll work shall be done in accordance widVoll ODDI
)
Erect ? Occuponcy ?
Alter ? Zonine
Repair ? Fire Zone ? -
Enlarge ? Type of Const.
Move ? # Stories
26
Demolish ? Front ft.
Grade ? Depth 26 ft.
Approvols Fees
Assessment
Water $ $ew.
Police
Fire
Eng.
Plonner
Gouncil
Bldg. Off.
APC
Permit L 35.7V
Surcharge 19.50
Plon check116.75
5AC 525.00
Water Conr335.00
Water Meter6n 00
Rood Unit 185. nn
Total ?1474-75
li0IDE8 on the express condition thot
of Minnesota Statutes and City of Eagan Ordinances.
Building Officinl
Gt.?1'4-k L(, ?3r5? crrx CF EAGAv t„ciuae 2 sets of plans,
TT(; 1 site plan ?w?/y elevations &
(p CJ BiJl11.D pERI?QT APpLICATION 1 set of e calculations.
Zb Be Used For jt ?D N p valuation 4*49 100 • oo Date 7" 8'
Site Address: '`i?l lG LeninR- ". Y}, omC-t 1 b3 _) OFFICE USE OHI.Y -
IAt P- Block .?? Sec./Sub. Erect X Occupancy .? _
Parcel # : UZv * /S Alter Zonin9 ?
Repair Fire Zorye
Ormer: Enlarge .
Nbve
]ddresg; a Division of U. S. Home Coronrar??? Denolish
-I717 HOPKINS CROSSROAD Grdd@
C1ty/Zip '(.Od@: MINNETONKA. MINN 1?-4n1
-
Phone #: S`i 4- l33 3 APPROVAJs
Contractor: ORRIN-THAMPSON HOPPS--
Addre55 • a Division of U. S. Home Corporation
? . N
City/Zlp Cod2: MINNETONKA, MINN. 55343
Phame #:
Arch. /fng. .
Address:
City/Zip Cade:
Phone #:
Assessments
Water/Sewer
Polioe
Fire
Q?
4ype of Const. -L77 -
# Stories
FYont ft.
Depth a ? ft.
En3 -
Planner
Council
Bldg. Off.
APC
Permit ,:5 3 3 -5?0-
Surcharge
Plan Checlc
SAC cs
Water Conn. 3 3 ? 41"'
Water ^7eter
Road vnit s gs
TO'TAL F q -7 C(t
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 Ng 6771
PHONE: 4548100 e ..
BUILDING PERMIT APPLICATION
To be utad for
Site Address 4 IL 1 i,e nore LBI lE LJ'W a.Ya ( U 3
Lot 4 Block 15 sec/sub. Ridgeclif£e /,th ?
Parcel # 10 6 3983 040 15
W IName OTI'iri ''hOIDpSOri HOIDCS
3 Address - 1712 HOPki=18 Crossroad
° -- -- --
p Nome _
?
Address
F r«..
Name _
Address
I hereby acknowledge that I have read this applicotion and state that
the information is torrect and agree to comply with all applicable
Stote of Minnesota $tatutes and City of Eagan Ordirwnces.
Signoture of Permittee
A Building Permit is issued to: Orrin
oll work shall be done in accordonce fh all
Building Officici ??C _
. _ 1? ??`?
??7G
Receipt #
I Date JulY 22 , 19_$]. _
( Erett [X Octuponcy R3
PD
Alter ? Zoning
Repair ? Fire Zone MA
Enlarge ? Type of Const. v
Move ? # Stories
Demolish ? Front 26 ft.
Grade ? Depth 26 ff.
AppI0YClf F60f
Assessment _
Water & Sew.
Police
Fire
Eng.
Plonner -
Council -
Bldg. Off. _
APC
Permit LSSJv
Surchar9e 19.50
Plon check116.75
snc 525.00
Woter ConJ 5•00
Water Meter60 •Q0
Road Unit 1g5.00
Torai $1474.75
HOme3 on the express condition that
ot.e of Minnesota: Statutes and City of Eagan Ordinances.
CITY OF F.AGAN Include 2 sets of plans,
?I• 1 site plan w/elevations &
?
LO L BUILDIN(; PF.itMIT pPPLI;;ATION 1 set of energy calculations.
1b Be Used For R?D Nre valuation''r 4q. ( op.•oo Date 7-8- 81
sir.e Aaaress: zt? I-;,o L??o?? LN. CrMop? ) 03) oFFicE osE cxu.Y
Lot alock ? sec./sub. R?oaECI.?FFG Erect ?X occuPancY
Parcei #: 'l o C? ?va S- 3 a?o 1 1? w.ter zoning
Repair Fire Zone
Owner: En1az9e ?pe of Const. ?-
Nbve # Stories
Addr2SS: a Division of U, S. Home Cornrirntinn D2fi1D115h FZOIIt 52,6 ft.
ws cROSSROAD Grade Depth ft.
City/Zip Code: MINNETpNKA. h11NN 5FJ43
Phone #: 544- l33 3 APPROVAIS Fg5
Contractor: ORRItV THOMPS9N unn-s-
AddL'255: a Division of U, S. Home Corporation
City/Zip COd2: MINNETONKA, MINN. 55343
Phone #:
Arch./Fng.-
Address:
City/Zip Code:
Phone #:
Assessments
water/Sewer
Police
Fire
Eng-
Planner
Council
Bldg. Off.
APC
Permit
Surcharge
Plari Chec?t
sAC ?as ?-
Water Conn.
Water.Meter ?
Road unit
'POTAL l `i -7 q c -7
S
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 6772
? PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt # ?jG
Te
?.ppp ?
Site Address ?leM=e LnP C NW c?t l / 0
Lot 3 ` Block 15 Sec/s„b. R3dgeeliFfe 4th
Parcel # 10 63983 030 15
rc
i
O
Name Orrin Thomoson Homea
nddress 1712 HoT)kins Crossroad _
p Name Owner
ou
Address
~ Ci Phone
v?
WW Nome
r
?z
Address
a'?" Citv Phone
I hereby acknowledge that I have read this application ond state that
the informotion is correct end agree to comply with oll applicoble
State of Minnesoro Statutes and Ciry of Eogan Ordinances.
Signoture of Permittee
A Building Permit is issued to: ?
oll work shall be done in accordance
Building Official
appl
? Erett Occupancy R3
Alter ? Zoning PD
Repair ? Fire Zone NA
Enlarge p Type of Const. V
Move ? # Stories
Demolish ? Front 26 ft.
26
Grode ? Depth ft.
Aoorovuk Fees
Assessment -
Woter 8 Sew.
Police
Fire
Eng.
Planner -
Council -
Bldg. Off. -
APC
Permit G s S. 7U
Surcherge 19.50
Plan check116. 75
SAC 525.00
Water Conr335, 00
Water Meter60_0a
Road Unit 195_(10
Total P1 L?.,'1 -'r5 _
on the express wndition that
and City of Eagan Ordinances.
?l-I ,
, . Ciz?r pF EAGAN Include 2 sets of pl.ans,
? 1 site plan w/elevations &
v-
? BUIIDZNC; PERNII*P APPLICATIdN 1 set of energy calculations.
7b se used For ;tFsjjDrL"eff valuatiori44 -t1 q I DO • 00 Date 7- $'K I
site Adaress: ?V11J-i 0RF- 1.,l - (1'AoDe?lo3) oFFice osE au,Y
Lot 3 sloc]c sec./sub. R?orEcLjFFC Erect OccuPanCY lp3
Parcel #: lo &3,C?S-303 c, LIt?. /<7- alter zoning 1A17c9
ReFaair Fire Zone A/ ,4-
Owner: Enlasge Type of Qonst. 7K?i
Mcyve # Stories
Addres5: a Division of U. S. Home Cornnraflnn DeTIOlish Front ft.
1112 KINS CROSSRQAD Grdd@ Depth ft.
C1ty/Zip COde: MINNETONKA. MINrv 55343
Phone #: 544- 1333 APPROvats F?
Contractor: g? ? I ?J Ta-I A M r r-cl
-
AddL25S: a Division of U, S. Home Corporation
C1t17/Zip CAd2: MINNETONKA, MINN. 55343
Phoie # :
Arch./trig.:
Addresss
City/Zip Code:
Phone #:
Assessments
Water/Seaer
Polioe
Fire
E4 •
Planner
Council
Bldg. Off.
APC
Pennit V.?3 I
Surcharge q
Plan ChecJc
SAC ?S -
Water Conn.
Water Meter
Road Unit i R'S InI
?
Zl7PAL ? q -1 'C t ? ,!S--
& &aq s
2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
4 ? 7/, 7?
New Construction Reauirements RemodeVRenair Repuirements Office Use Onlv
3 registered sRe surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies oi plan Ced of Survey Recd _ Y_ N
(20°k maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Pian Recd _Y _ N,
2 copies of plan showing beam & window s¢es; poured found design, etc. 1 site survey for additions & decks T2e Pres Required _Y _ N
1 sel of Energy Calculations Addifion - indicafe if on-sife septic system On-stte Septic System _ Y_ N
3 copies of Tree Preservalion Plan'rf lot plaried a8er 711193
Rim Joist DetalOptions selecfion sheet (buldings wRh 3 or less units)
J
Date / a.r l 6N? Construction Cost ? gS
Q?
?
Site Address y 7 D ry (.l 7d Dy Gj71 Z?L1 ?/Y L E N c,r,f G.R,-'p UniUSte #
Description of Work Y?[1 /L d fj 4
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner ? ?ry ! C: •1?j ?? ? S S e Telephone #( &/ 2) f'12' $'.s 2 b
Contractor Z) J/-.v/ (M ?q-/'K?J?,.,i
Address r? yyb
State Mr%.l N- I A-?/y,? ,PjS 714
Zip 25?S A3 3 City I-/ 4 S7-.117 5
Telephone #(lo/2) SA ?- S/l 7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building 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.
??
Applicant'sPrintedName i?pplican^gf ture
?
C.R. WINDEN & AS50CIATES, INC.
IAND SURVEYORS Tel.6d5-36d6
1381 EUSTIS ST., 5T. PAUL, M.NN. 55108
CERTIFICATE OF SDRVEY
FOR:
U. S. HOME CORPORATION
Note: P,uildings shown are proposed.
Lots 1 through 4 inclusive, Block 15,
Ridgecliffe Fourth Addition, Dakota
County, Minnesota.
?N E
PR?
?y
V
P°S?PL
Fc)pRy? ?
13
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Q
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1
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a se, r" e. n
G2.79
DR1VjFF
FoP- Pos TA L A DD2Ess)
O
? V
0
?
G6 r o-9t:
p"?1l? J
UIA1?
L.I?f 1
l ?
1 ?
'
Scale: 1" = 20'
o Denotes Iron
??ss?
PQO
?2j9 °
e- ?
?°'se,?
. '
13 ?
J3
U n ? -I- 6'L.O D
?.? vn;?r
--
.?
0
ra i ?l
9L
54 91
PR ) VA TF
( LENoRE LANE
.
WE HEREBY CERTIFY THAT TNIS IS A TRUE AND CORRECT REPRESSNTATION OF A SURVEY OF TNE BOUNDARIES OF THE LAND
ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, TNEREON. AND ALL VISTBLE ENCROACHMENTS, IF ANY.
FROM OR ON SAID LAND.
Dated tAie F4,J) day o£ J, 1 714 A.D. 19M
)01?
C: R. WINAEN 6 ASSQGIATES, INC.
by
Surveyor, Minnesota Registration No. %72 6
C-i
'
1
cy Go-?agP'
r ,
? t
?" • 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 302, ?6
651-681-4875
/
Remodet/ReDaIrRe4ulremeM '?'Ii 'O 0
9 3 registered slte wrveys showing sq. R. of bt, sq. 8. of house 2 copies o1 plan
and gQ rooled areas t20°l6 maxlmum lot coveraae allowed) 1 set of energy calcWaNons for heated addHioru
? 2 coplea of plana (show beam & wlndow slzea; poured fid, design; etc.) 1 site survey tor exiedor addHions & decks
a 1 aet of energy calculaNons
a 3 coples of hee preservaHOn pian it lof platted after 7/1/93
DATE: 5o CONSTRUCTION COST: lb,OQ041?i
DESCRIPTION OF WORK:
STREET ADDRESS: z471C)f-t) t_G-tii pe-F-
IOT: 1 BLOCK: 15 SUBD./P.I.D. #: 12 i?ta C? ?.t ?F ? y? N
Name: Phone
PROPERTY Laat Flrst
OWNER
Street Address:
City
State:
Zip:
. Company. C-VCM-L-ASTiv.1u kQm(F-S?iK-?(- Phone Lo ? a 4?5 - a14 g
(area code) -
CONTRACTOR
Street Address: ,/ p n. ?Snu G 1L4 Ucense #1 3 C>---) Exp.
Clty 6.???.n1s ? 7 i t?. State: "? Zip: SS 33 ?
ARCHITECT/
ENGINEER Company: Name:
Telephone #: ( )
Street Address: Regishation #:
Cify
State:
Zip:
Sewer/water licensed plumber (if installina sewer/water): Phone #: (
I hereby acknowledge that I have read this applkaNon, state that 1he infortnafion is correct, and agree to complY wNh ap appAcable State
of Minnesofa Sfatutes and Cify of Eagan Ordinances. ?,?f
Signaiure of Appiicanh , / ?-
OFFICE USE ONLY
Certificates of Survey Received _ Yes
_ No
? DEC 11 2000 ?
Trae Preservation Plan Received - Yes - No - Not Required
I
SUBD.
15
CITY USE ONLY
BL , L
RECEIPT #: I k
RECEIPT DATE: 7 `I o
PERMIT# G S
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, Nai 55122
651-681-4675
Please complete for: ? single family dweilings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
i7•l-fl
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet * minimum -1 3.00 x = $
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished ' requires MPC lic. 75.00 X = $
SeptiC System abandonment 30.00 x = $
RPZ new instaltation/repair/rebuild 30.00 X = $
Rou h opening 1.50 x = $
Shower 3.00 x = $
Underground Sprlnkler if dweliing is under construction 3.00 x = $
Undergroundsprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x $
5tate Surcharge .50 -> -> --> $ .50
Total -> --> --> ---> $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
.--------------------------------------------------------------------------------- ------------------------------------------------------------
Ih ereby adcnowledge that I have read this application, state that the irNortnation is corted, and agree to compty wfth all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the praperty owner that the City of Eagan assumes no liability for any damages caused by the City during its
nortnal operetional and maintenance activities to the facilities construded under this permit within City propertylright-of-way/easement.
SITE ADDRESS: `7' /!/U ?'f 410AC ??/i ???A? ry'J?' ?I ?'/
OWNER NAME: :,/0112? ??TC.#- TELEPHONE #: ?7 S?Y`O? 3Z
(AREA CODE)
INSTALLER NAME: ?GJ //?le- TELEPHONE #:
?1. _ e,. . ?I ..-s. .? (AREACODE)
STREETADDRESS: G73c-'O 6 bJ771yGt.s !'?l? (t-
CITY: At-'LI/lOr.GTG4- STATE Wll? Z :
SIGNATURE OF PERMI EE
L BL cmr usE oNLY
•J
SUBD.
i ? ?y_
RECEIPT #:
?f 97 D
RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . single famiiy dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES FJ1CH LilO. TOTAL
Shower 3.00 x =
Water Cfoset 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
U'atePHeater 3.00 x
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 x = c
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler 'tordwellingunderconst. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
AlteretlOfls ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System `.Dak Cty lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems"nbandonment 20.00 =
STATE SURCHARGE .50
TOTAL 7-A-20
I hereby adcnowledge thet I have read ihis application, sfate that the information is cortect, and egree to comply with all applicable City
oi Eagan orclinances. It is the applicanYs responsibility to notity the property owner that the City of Eagan assumes no Ifability for any
damages caused by the Ciry during i4s nortnal operetional and maiMenanoe adivdies to the facilities constructed under this permit within
City property/right-of-way/°°°°^^°^'
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
crrY:
TELEPHONE #:
STATE: 1.221'2 ' ZIP:
SIGNATURE OF PERMITfEE
2005 RESIDENTIAL MECH1NiCAL PERMTT APPLICATION
City Of Eagan
J 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 .?93 i Gj
SiteAddress Unit#
Property Owner Z/i c 1711? Telephone #(6,f/)?? ?? C?rl' yt'S
Contractor '?n=rm u?erur A e? GONDRIONING LL61
8910 Wentworth Ave. So.
Street Address Mjpnoannlic MN 55420 Cii7'
(952) 881-9000
State ,
Zip Telephone # ( )
Bond #: Eapires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwclling unit LC
--C?YYI?- X1Ia0 E? .?lo ?7-U '7O 30.00
? fumace _Additional Replacement _ New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
T
t
l $ • ?U
a
o
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 ordiiances 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 pernut, and work is not to start without a permit; that the work wRll be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
? SEDGWICK HEATING 8? AIR CONDlTl^^!J"'3 LLC' a!G??
Applicant's Pra&W?fi?m?ih A'': Applicant's Signature ?
Minneapolis, MN 50- _.,
(952) 881-9000
L
2005 COMMERCIAL MECHANICAL P.E32MIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commerciaUindustrial buildings
multi-family buildings when scpazate permits aze not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
5tate Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove *"see be/ow
Interiorlmprovement _ Install Piping _ Processed _Gas
Nature of Work:
'"`When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
P¢I'Illit FQCS: $70.50 Underground tank inslallation/removal
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1% _
$ Permit Fee
$ State Surcharge
If permit fee is less than $1,000, add $.50
If nertnit fee is more than $1,000, surchazge
is $.50 for every $1,000 owed
$ Total Fee
I hereby apply for a Commercial Mechanical Pemut and acknowledge that the inYormanon is comptete ann accurace; mat me worx
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 12iat I understand this is
not a permit, but only an application for a pernut, and work is not to start without a pernut; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Approved By:
Inspector
Applicant's Signature
Required InspecUons: _ U. G. _ R.I. _ Air Test - Gas Service Test - Infloor Heat - Final
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ! / L/ .5
Unit #
Site Street Address ?A
.
Property Owner _ j?LX.?`1 l Telephone #((4;.?)
Contractor ?? Tele
hone #
p
flddress State 't'YNh Zip`7
The Applicant is: _ Owner '_?ontractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener andlor water heater--complete next
section if installing these appliances).
Septic System Abandonment
Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener Xvater Heater
new replacement $ 15.00
_
Lawn Irrigation _RP2 _PVB _new _repair rebuild $ 30.00
State Surcharge $ .50
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 be reviewed~and approved. ?--?
^ , • . ?, -?, ?
? .r. v
??
Applicant's Printed Name ' Applicant's Signat e
y
-
.-q
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178228
Date Issued:08/08/2022
Permit Category:ePermit
Site Address: 4708 Lenore Lane
Lot:1 Block: 15 Addition: Ridgecliffe 4th
PID:10-63983-15-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Cheryl T Kottke
4708 Lenore Ln
Eagan MN 55122--361
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179006
Date Issued:09/14/2022
Permit Category:ePermit
Site Address: 4708 Lenore Lane
Lot:1 Block: 15 Addition: Ridgecliffe 4th
PID:10-63983-15-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Cheryl T Kottke
4708 Lenore Ln
Eagan MN 55122--361
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature