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4721 Lenore LaneCITY OF EAGAN Remarks Addition Ridgecliff First Addn Loc 4 eik 9 Parcel #1 n 63980 040 09 owner Street 4721 Lenore Lane scate Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STR EET SUR F. STR EET R ESTOR. GRADING SAN SEW TRUNK 1982 298.08 5 298.08 C007616 12-23-81 " SEWERLATERAL 1982 1305.42 5 1305.42 C007616 12-23-81 WATERMAIN WATERLATERAL 1982 1260.79 5 1260.79 C007616 12-23-81 WATER AREA 1982 298.08 5 298.08 C007616 12-23-81 STORM SEW TRK 1982 638.24 5 638.24 C007616 12-23-81 STORM SEW LAT 1982 955.45 S 955.45 C007616 12-23-81 Services 1982 637.75 5 637.75 C007616 12-23-81 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK . . . ? . CITY OF EAGAN , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?<• .1 <- J.'? PHONE: 454-8100 BUILDING PERMIT Receipt # Tobeusedtor SF pWG/GAR Est.Value $63i000 Date t"3AFirfi 4 19 "'6 SiteAddress 4721 LENORE LiV Erect ? Occupancy Rj Lot 4 elock y secisub. RZDGEC LIFFE 1S96model ? zoning nl Parcel No. Repair ? Type ot Const. Addition ? No. Stories W O?RIr' THOMPSON f?Or4ES N Move ? Length $? = ame rIT HC1 KINS RG SR D Demolish ? Depth d? o Address ? "3TKA 544-7333 Ci Int. Impr. Sq. Ft ry phone Install ? o Name r+ AI°1F. 0 0 a Address ~ Ciry Phone ?Q F W Name -z ? a Address < W City Phone Fees Assessment Permit - Water & Sew. Surcharge Police Plan Revie Fire SAC- Eng. Water Conn. Planner Water Meter .00, .50 .00 .00 .OQ ,SO .00 .OG Council Road Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gld .off. 3/4/86 Tr.PI. in(ormation is correct and agree to comply with all applicable State of 9 Minnesota Statutes and City of Eagan Ordinances. APC Parks Signature of Permittee A euilding Permit is issued to: ORRIN TH01tilPSUN HOMES alLwork shall be done in accordance with Building State Var. Date I Copies Total $2r099.vU on the express condition that and City of Eagan Ordinances. . WrmN No. Permit Holder Dale Telephone N ritmwno '?0 S 3 3 8? H.V.A.C. IQQ L? ? ?' (p El.ctft Sollenar Inspsc8on Dala Insp. Commsnb Footlnysl FooNngsll Foundatlon Frsming ? 8 RooNnp Rouqh Plbp. 9'9?4 C - L Rouyh Htp. Insul. Flraplac? Final Hty. a (,? Flnal Plbq. n Bldp. FMaI cer?. o«. s/ !.!J Y Deek Fty. Deck Frmp. WNI Pr. Dbp. PERMIT # 7 RECEIPT # `?" ? ? ? ? DATE 23' 1-74 CITY OF EAGAN MECHANICAL PERMIT 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $•50 MINIMUM COMMERCIAL FEE - $20.00 + $.50 FEE S/C TOTAL 1. Bldg. Type: Res V Comm Inst 2. New kfpooe Add Alter Repair 3. Total Bid Price _ Lot-f- Block 6. Contractor 7. Contractor Phone # k9_?. 4. Job Address ???? RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFI IONS/ALTERATIOj?IS -$10.00 minimum fee s? HEATING ? VENTILATING HOT WATER STEAM AIR COND. ?Fi PIPING PROCESSED PIPING AIR HAND. EQUIP. RrFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER COMM./IND. RATE - 1% OFJTOTAL BID PRIf',E PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE. ? ` , ;? • for Approved Inspections: Date Rough Insp. Date Final Insp. ?-- , . PERMIT# CITY OF E/tGAN FEE ?-;--\ ? PLUMBING PERMIT RECEIPT # 454-8100 S/C MINIMUM RESIDENTIAL FEE - $10.00 + $•50 DATE --?'?-1C: TOTAL -?? ! MINIMUM COMMERCIAL FEE - $20.00 + $•50 ? 1. Bldg. Type: Res ? Comm Inst 2. New Add Alter Repair 3. Total Bid Price ?Iob Address ` , Lot? Block Sec 5. Owner f s. c,dntractor ?' l{ 1L?) . rFf-G I i. ?I tC i"i (Name) (Street) (Cily) (Zip) 7r'Contractor Phone # FIXTURES % Bath Tubs - $3.00 =Lavatory - $3.00 Shower - $3.00 f Kitchen Sink - $3.00 -Urinal/Bidet - $3.00 NO. FIXTURES = -- % Laundry Tray - $3.00 __TFloor Drains - $1.50 7Water Heater - $1.50 Whirlpool - $3.00 =Gas Piping Outlets - $1.50 -Softener - $5.00 NO. FIXTURES -Well - $10.00 -Private Disp Syst - $10.00 ?Rough Openings w/o Fixtures - $1.50 COMM./IND. RATE - 1% OF TATAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. . CITYOFEAGAN -2J( O(J ? - 3830 P;to+ Knob Road yypTER SERVICE PERMIT P. o' Box 21199 eagw, MN 55121 PERMIT NO.: Zanirq; n?j DATE: ,,. Owner: 7?10T?sca li?mes No. of Unirs: Addma: SHs Addrcsa: i i 21 Lencre s ;c ..4• F-! PlIN11blC Msw No.:'U ? o Size: "XocK ? Chor9e: Reodar No : ? ? S0 ?t: ? .,,; • . -' ft iO??Ip M?MII 16Ot T7- ' , O?iM { ? / .}; i n;• RE U RED , ' ??;, :-? ?p!s By TotoL• ?•.it?r,i1 r. -:: Date of Insp.: Date Poid: Insp.: CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. O. Bpx 21199 PERMIT NO.: Eagan, MN 55121 pATE; 2anirp: No. of Untts: Owrnr: Address: Slte Addrcss: Plumber. 7 AAaNr No.: Connection Charpe: Size: AccouM Deposif: Readsr No•: Permit Fee: I a!m to eoyh wMw N» Ciy of EpPO Surchorpe: OrJlMner. Mlse. Gharflss: TotoL• BY Date Roid: Dote of Insp.: Ir np.: CITY OF EAGAN SEWER SERV6CE PERMR 3830 Pilot Kno6 Rwd P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DA7E: Zonirq: _ No. of Untts: Owrar. Addrcu: - Sih Addreu: Plumber. 1 MmN wwIl/ wilh!M CMf 0f 4lea ConrncNon Charpe: OrJimeeN. Atcount DepOSlf: Permit tis: Surdwrps: By Mt.e. d,aross: Dote of Irup.: Tatal: Insp.: DoN Pald: This request void Z_ C ?Si I /? 6 c? a 3?- 78 rtpnths trom ? 091972 <</,?y, ?- ?' ?S?n•c? Rg.ques} D? e Fire No. RouPh-in Inspection Required? ,,' ?Ready Now M1?6a - ves ?No tor W6en Ready LiCensed Electrical CoRutractor lD I hereby retluest inspection oi above t ?j ?Owner 4/Ip ? efectrical work installed at: ?7 (p ev Street Address, Box or Route No. 131n , City 7ai 4 s . ? ecuon o. Township Name or NO. Range No. -?+ Cou y ' ? o Occupnnt (PRINT) Ph on No. e ? [ J ?•7`' 7' . ?JJ . Power Supplier Address EI trical Con[ractor ICompany Namel Contractor's License o. 9 1 6 3= 73G / ?'lailing Addr ss (Contra or or Owner Makinp Instailation) ?q ? Q ? ? ,? ? / . s-Q- /'-'? / / -?? Author"zed Signature (CoMractor/Owner Making Installalion) Phone Number Z `? 4INNESOTA STATE BOAflD OF • CTNICITV THIS INSPECTION HEQUEST WILL NOT Griggs-Midway Bldg. - Room 791 BE ACCEPTED BY THE STATE BOARD 1821 UniversitV Ave., St. Peul, MN 65104 UNLESS PROPEN INSPECTION FEE IS Phone (612) 297-2711 ? ENCLOSED. _-o FOR ELECTRICAL INSPECTION ea•ooooi-os w: See instructions 1or compleling thig iwm on back of yellOw copY• ? O?? ? ? U919 7 --X" Below Work Covered by This Request Add Rep. TypB 01'BuilCing ApplianCes Wifed Equipment Wired Home Range Temporary Service Duplex Water Heater . Lfghtin,y Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace 14 Silo Unloader Industrial Bldg. Air Conditioner Bulk Miik Tank Farm otnr.. veci y iher (suecirv) t er Sperify Other Othar ?ompute inspection Fee Below 1t FeB Se?vice EntrBnCeSi2e 0 Fee Fenders/Suhfeedwrs. H FanCircuits 1/. 1/n_1Tr) I u to zuu Amps Un M:nn -I 0 to 30 mmns 1 I 1 0 rn 30 mmn? I to 100 nspection Rough-in / 1, the EiNi5t :.. /? ? ?•' Inspector, hereby Final certify that the above r inspection has been mede. fhisrequestvoiClBmonthsfrom ???? CITY OF EAGAN t?' 3830 Pilot Knob ?toad, P.O. Box %1-199, Eagan, MN 55121 'v 2 BUILDING PERMIT PHONE: 454-8100 Receipt q ?10 '10 To be used tor SF DWG/GAR Est. Value $ 6 3, 0 0 0 Date MARCH 4 11568 k 19 8 6 4721 LENORE LN ? R3 SiteAddress Erect C Occupancy Lot 4 elock 9 Sec/Sub. RIDGECLIFFE 1STemodel ? Zoning R1 Parcel No. Repair ? Type of Const. V Addition ? No. StOries ¢ ORRIN THOMPSON HOMES Move ? Length 40 i Name Demolish ? Depth 46 o Address Int. Impr. ? Sq. Ft City MTKA phone 544-7333 Install ? o Name SAME Approvals Fees ?°,?a ' Address Assessment Permit $ 322.00 ? ? ciry Pnone Water & Sew . Surcharge 31. 50 ?Q Police PlanReview 161.00 WW Name Fire SAC 575. 00 _; Address E w t C 500.00 u= a W City Phone I hereby acknowledge that I have read th is application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee-?'?? ORRIN THOMPSON OML ng. Planner Council Bldg.On. 3/4/86 APC Var. Date a er onn. Water Meter 63 . 50 Road Unit 290 _ 00 Tr. PI. 156 . 00 Parks Copies TM., $2, 099.00 A Building Permit is issued to: " on the express condition that all work shall be done in accordance w' II licable State f Mi n ot tatutes and Ciry oT Eagan Ordinances. Building Official 0!t?- -? 1985 BUILDING PERMIT APPLICATIOH - CITY OF EAGAH NOTE: ALL COH1'RACTORS MUST BE LICENSED KITH THE CITY OF EAGAH INCLUDE 2 SETS OF PLANS ? 3 CERTIFICATES OF SURVEY Plan: g? I 1 SET OF ENERGY CALCULATIONS To Be Used For: Residence Valuation: ?L03 OOQ Date: Site Address: ?7Z ? L??lT2? (Jh•?? OFFICE USE ONLY Lot: ? Block ? Sect/Sub e? 11•C??L?? Erect ? Occupancy (Z ?j F7491T Remodel Zoning (Z.? Parcel O Repair _ Type of Const "ST- Enlarge # of Stories Owner Move _ Length Demolish Depth ? Address Grade _ Sq Ft City/Zip Code --------------------------------- Contractor Orrin Thomoson Homes APPROVALS - Address 1712 Hopkins Crossroads Assessments Permit ?-22 , Water/5ewer Surcharge 31. g' City/Zip Code Minnetonka, Minnesota 55343 Police Plan Reviex (o?, Fire SAC 5?S, Phone # 544-7333 Engr 67ater Conn (Dc-). Planner Water Meter SD Arch./Engr Council Road Unit Lf? O, Bldg Off3-9- Parks Address APC Treatment P1 IS(o. Variance Phone 0 TOIAL ? o c- rT'fiY LIF EAt;:^.N. LA,i'II4,R': .7, ? L?A > , . ... ., ? .. t.: ' t h ; . ORtO ?5% n.M i._INCR- ;_O 21,25 ' .W'.' ? . ? T . . . .. . . u . . .. -Yr %SiJii!K;K`;!Y??C:?k('?•':??'%K?1? ?;wl?"`''?lC?';?'A -?'i:?6%??.Y r YYS;}S'?t?#?I'?::.: y.: ' . . .. ' . 1999 BUILDING PERMIT APPLICATION (RESit]ENTIAL) CITY OF EACAN 3?? L{ {P 3830 PILOT KNCB RD - 55122 651-681-4675 l New Conshucifon ReaufremerMs D S regiatered sNe surveys showing sq. k. of lot, sq. ft. ot house and all rooted areas (2096 maximum tot eoveraae allowed) D 2 eopiea o} plans (show beam 3 window shes; poured fnd. design; efc.) ? 1 set of energy calculafions D 3 copiea oi hee preservaNon plan B bt plaMed afler 711/93 DATE: Remodel/Reoair Reauiremenh _? CJ 1-IC'- -'I c? 2 copiez of plan 1 set of energy calculaNOns for heated addHiorn 1 sHe survey for exterbr addHiona 3 decks CONSTRUCTION COST: ???• L'1? DESCRIPTION OF WORK: rcrr? F STREET ADDRESS: '?7 ? o?Z I /? E??JDE?e h.11 ?a-g? n LOT: BLOCK: 9 SUBD./P.I.D. #: ??Q ?' PROPERTY OWNER NameEh IC?) 1c) ry n (11 ? Phone #: I-toO`7'OI 5(o Lasf First Street Address• q-731 1---C(1(;l,'Q ?-n City l? A?Q'n _ State: rYl A? Zip: ?Ij Company:? 9Ql.,1.l:fa 1 ES ?CFT1S'? 1A61 0 Phone #: (area code) CONTRACTOR Sheet Address: License # cD12n36xP3 •31-Ov Ciy -?-nvu C7cGv-p- State: MI.,/ Zip: O50 ARCHITECT/ ENGINEER Company:. Telephone #: area code ( ) Stree't Address:^ City Sewer 3 wafer Iicensed plumber (reauired for new consirucflon on : Name: Registration #: _ State: Zip: Penalty applies when address change and lot change is reqijested once permH Is issued. I hereby acknowledge that 1 hove read this applfcaHon, stote thaf fhe Into ati n is coaect, a d agree to comply with all oppllcabl StaFe of Minnesota Statutes and Cffy of Eagan Ordincnces. J? Signature of Applicant: / OFFICE USE'ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Pian Received _ Yes _ No = Not Required ' • I "• ? ? 1 ?' 0 ? ?I• • '?I' ! • ? •?? • ? •^ ? ? 1 li e• W CITY OF EAGAN APPLICATION FOR PERMIT SEWER ANID/OR WATER CONPIEC:TION 1) PROPERTY ADDRFSS: r,EGAr• DESCRIP'PION: (L)t lock Subdivision or Tax Parcel I.D. Nunber) IF EXISTING STRL'CT[..?RE, DATE OF ORIGINAL BUILDING PERP'BT ISSL'ANCE: (l?nth Year) PRESENT ZONING/PROPOSID USE: R-1 SII?LE FAMILY R-2 DL'PLEX ('Iwo t?nits ) R-3 TOWNHOL'SE (Three + LTnits) ( Units) R-4 APARZ'MENT/CONIDOMINIT-iM ( Units ) COMN]EE2CIAI,/RETAIL/OFFICE TDIDUSTRIAL INSTITCJTIOD]AL/GOVERNMEN'P Z) ... , NAME: ADDRFSS: CITY, STATE, ZIP: PHONE: 3) NAME: A17DRES5: CITY, STATE, ZIP: PHONE: #ZZ? . . ? For City Lse P1LU[ibers License: L= Active G7 Expired C7 Not Recorde Staff Initial q) ff8 .. ? NAME: ADDRESS : CIZ`Y, STATE, ZIP: PHONE: 5) o . . ?. • D ? COiQNECTION TO CITY SEWER )?(CONNECTION TO CITY WATER (] OTHEE2 (Please Describe) 6) . ' v o . ? PLEASE HOLD APPROVID PE?2NffT FOR PICK-L'P BY ONE OF ABOVE ? PLEASE MAIL APPROVED PERN1iT TO 1, 2,30 4, ABOVE ? - (Circle one) 7} F O R C I T Y U S E O N L Y PERMIT " ISSUED FEES : $ AO - Se s jp ? ?o $ k S S S /S -?7J $ ?1J? • D-z> $ $ $ $ $ $ $ SEi^:Ep PiRNMTT (I`1CLUiE SU°CF?.RGc) WATER PEM4IT (INCL'u'DE SliRCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SE;dER TAP .l.r^n ;•7+ ?.r.'..C.1_ .._.:.? . . v l. _ ..._. - ACCOUNT DFPOSIT - F7ATER u1AC SP_C TRGNK WATER ASSESSiIE\iT TRli.QK SEWER ASSESStiIENT LATE:tAL BENEFIT/TRUNK SE:VER LATERAL BENEFIT/TRIINK WAT°R WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL $ A.MOL'NT PAID/RECEIPT i XDES IJTILITY CONNECTIOPI F2£QUId2E £XCAVATION iN P{3BI,3C I2iGi3'P flF tiS1A-n YE5 IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED 8Y THE ? NO ENGINEERING DIVISION. LIST AS A CONDI- TICN. SUBJECT TO THE FOLL054ING CONDITIONS: APPROVED BY: TITLE: DAT_° : ? ?o G ., Tn: r.pRNA oLSON, vrzzzz^r LzLLzrlc cLrRY `F- q?? ( DAI.E PLTERSON, Q3ILT BUILDINt; OF'FICIAL BILL BRANC23, SUPERIN`IED7DIIVT OF PUBLIC WOFtKS .° . FR(XM: THOi`1A5 A. COI.BERT, DIRECT'OR OF PUBLIC WOF2KS DATE: NOV07BER 17, 1981 F2E: RIMECLIFFE ]ST ADDITION - SE[I7ER AND UATER CONDIECTIONS -- On September 10, 1981, a mp-mo was distributed listing several lots in the Ridgecliffe lst Addition which would not be issued sewer and water perntits imtil sanitazy sewer seivice had been made available. Because it is not anticipated that gravity sanitary sewer will be available to provide seivice to the affected lots until July/P.ugust of 1982, Orrin Thorrpson Homs has agreed to install a temporazy lift station from Man- hole No. 37 to the 4" service line for Ipt 8, Block 9, Ridcecliffe lst Addition. Attached to this r.p? is a copy of the letter we received from Orrin Thompson Homes whereby the_y indicate that they will perform the installation, iTaintenance and liability of this tem:)Orary lift sta- tion/force main sanitaiy sewer until such tirre gravity sanitary sewer can be extended across the future I-35E during the spring o£ 1982. There- fore, with this temporary system being installed and maintaineci bv Orrin Thor.?son Horms, the ter7xorary hold on sewer and water pennits and occu- pancy for the following lots has now been lifted: Lots 1-9, Block 7 Lots 1-6, Block 8 Lots 1-7, Block 9 Lots 18-23, Block 9 Lots 10-16, Block 10 Lots 1-10, Block 5 Lots 1-4, Block 6 Lots 1-6, Block 12 Lots 1-17, Block 13 This tcniporary sanitary force main ivill sti11 not nrovide service to the following lots: Lot 1, Block 8 Lots 1& 2, Block 9 Iots 18-23, Block 9 Lots 11-17, Block 10 Therefore, the restrictions as referenced in my previous mesro will still apply to these lots. These lots are referenced on the attached map for your infonnation. If any problems arise pertaining to sanitary sewer availability, back-ups, etc., please refer those ca11s directly to Orrin Thorpson Homes for the proper resolution. Tf you have any cluestions to this release of the re- striction on the building and scwer/water permits, please mntact me. Please insure that all personnel in your c:epartment are aware of these restrictions. TAC/jach cc - Bcb Carlson, Orrin Thcupson Homes . T0: LORNA OISON, UPILITY BILLING CLIIRK DALE PETERSnN; CHIEE' BTJIIDING OFFICIAL BILL BRANCH, SUPERIN=IIVT OF PUBLIC WDRKS FRC)M: THOMAS A. COLBF.F7P, DIF2ECTOR OF PLTBLIC WORKS 4*1--/ DATE : NO=II2 18, 19 81 RE: RIDGECLIF'FE 1ST ADDITION - SEt+JER AND WATER CaNNECTION RESTRICTIONS -? On November 17, 1981, an-ero was fonaarded listing several lots within the Ridgecliffe lst Adclition that had restrictions placed on the issuanoe of any sewer, water or occuoancy peimni.ts due to the unavailability of sanitary sewer. There appeared to have been a duplication of lots that were refer- enced for future restrictions as conpared to those whose restrictions had been listed. Please be aware that the follaaing lots only will have re- strictions placed on the issuance of sewer, water or occupancy permits: Lot 1, Block 8 Iots 1& 2, Block 9 Lots 18-23, Block 9 Lots 11-17, Block 10 Please insure that these referenoed lots are not granted any permits that would allaa their occupancy or use of the sanitary sewer system. Please insure that all personnel are made'aware of this correction as statecl in this meiro. TAC/jach cc - Bob Carlson, Orrin Thrnpson Hones LYc ?39l P-C-1 TD: IlJINP. C.SW, UPILITY IIZZd.L'QG CLERR BUIIDING INSPECTICN DEPAHI.^9fNT BILL BRANQH, SUPERDYPMIDENf CF PUBLSC WORKS E'fbcM: ZHQlAS A. CtiLBERT, DIRECMR QF PLBLIC WiORKS DATE: SEPTF1BER 10, 1981 . ' _ . RE' RIDG'c'..= LST ADDITICN -, ? Because the following list of lots in Ridgecliffe lst Addition does not have gravity sewer outlet at this tit?ie, the followi.ng prooe- dures will be initiated tmtil further notioe: [TrILITY BILLING No water turn-ms will be allaaed prior tn 8-1-82 or until sewes is available in these areas. " . BUIIDING LVSPEL'PIcN Building permits can be issued for these lots, but the builder should be infornied at titre of peLmit issuanoe (perhaps stanping the building gezmit with "NO COC,LTA.vCY PRIOR TD 8-1-62 OP. [NTIL SE`.4ER IS AVAiImZE") the restrictions m sewer availability. 1'?ANCE LIEPAM11M See both utility billing and buildirx- inspection above. The lots with these restrictions are as follavs: LMS 1-9, BIiOQC 7 - LUIS 1-61 BIfJQS 8 - LClIS 1-7 BIlJC.RC 9 - Lc7i5 18-23 BL,OCfC 9 LdPS 10-16 BLXK 10 IC7TS 1-10 BLtJC1< 5 . LC1I5 1-4 BZOCSC 6 . LC7I5 1-6 BICCK 12 • LO'I5 1-17 BLOCK 13 and are also indicated on the attached maps• - jac Abba- City of EaEdnon 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?__________-_____- Offic4 ?Ise J I ? Permit #: r?I 77 0 J I I PermitFee: I ? ? Date Received: I Staff: Q?9 I I I ------------------ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION , Date: L• " ? g Site Address: tdiri'-e i1 C ?PGt G? Tenant: Suite #: RESIDENT / OWNER Name: A??42 i S ?2?y7;'?'-7-/7? `4 rL0 S Phone: Address / City / Zip: Applicant is: _ Owner _ Contractor TYPE OF WORK Description of work: d , ?-S 1 r Construction Cost: 5?? co Multi-Family Bu.ilding: (Yes No 0?3-_ CONTRACTOR Name: License #: Address: City: ?G7 e State: Zip: Phone: k3z/"?? Contact Person: _ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventila[ion Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plum6er: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documenfs that you submifare considered fo Be pu61ic +nformation. Portions" of ' fhe'information may be classified as non-public if you provide specific reasons thaf would permit the City to " conclutle fhat the? are tade secfets, I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a pertnit, but only an application for a permit, and work s 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 o plans. /`- x A c? ApplicanYs Printed Name Appli anYs Signature Page 1 of 3