4723 Lund Pt
Use BLUE or BLACK Ink
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I
City of 1I Permit
Permit Fee: I
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
I
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694 _ _ _ - - - -
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 10 " ZB J0 Site Address: 47 2-3 LUKd PC t tfe7 5512 Z
Tenant: 7Bv- QH i ZSuite M
RESIDENT/OWNER Name: 'Brq a t IC- ~ Phone: 5 ( Zr0 4 3 a 00
Address/City/Zip: 472-5 Lvtid?oi tit a~ 55[ZZ
CONTRACTOR Name: YQivtlr~ Lj'I License O (p0(o f 3 ~M
Address: Rbl - w . City: LAI' Py t l t 2
State: M Zip: 5 0 4 Phone: Ot 4-ca q 4 4 Q
Contact or V,Y Email: 421 U"419e.,r4 c(o (9 Lu 5 Lt . co w
TYPE OF WORK -New )!LReplacement _Repair -Rebuild - Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation C_ RPZ PVB) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
"Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $ ~
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x DGbpval, C Qcr.Soto '111--~
Applicant's Printed Name cant's Signat e
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
, • 4 CASH RECEIPT
CITY •OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
wecfirveo
FROM
AMOUNT $
& OOLLARS
1 oa
? CASH ? CHECK
FOR
FUNO I CODE I AMOUNT
Thank You
By
White-Payers Copy
Yellow-Pocting Copy
Pink-File Copy
C11'Y OF EAGAN
3795 Pilo! Kaob Road Eagan, MN 55122
PHONE: 454-8100
N4 5961
BUILDING PERMIT ReceiPt #
To 6a wed fer Est. Value Date , 19-
Site Address "-? ',?'-•'-'; ; Erect Q Occupancy
Lot Block Sec/Sub. !;,"Clit-C 2'?<: qlter ? Zoning
Porcel # Repair p Fire Zone
Enlarge ? Type of Const.
rc Name Move ? # Stories
3 Address Demolish ? Front ft.
0
Ci ' Phone
Grade ?
Depth
ft.
w Nome Approvala Fees
o
OU Address Assessment
Woter & Sew.
~ Ci phpne
F Police
uw Name
F W
Fire
?? Address Eng.
i'Z" Ci Phone Planner
Council
I hereby ocknowledge that I hove read this applicotion and state that gldg. Off. `
the information is correct and agree to comply with all applicable
State of Minnesota Stotutes ond City of Eagan Ordinances. •
APC
Permit
Surcharge
Plon check
SAC
Water Conn.
Water Meter
Road Unit
Total
SignMure of Permittee I
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with oll applicoble Stute of Minnesota Statutes and City of Eagan Ordinonces.
Building Officiol
+? I -
- Pannit # Dete IfnW VavakfM
Plumbin9 ??(1.
Mechonicol
INSPECTIONS DATE INSP.
Rough-In
Finol
Footings [j" Date Insp. Date Irup.
Foundation Plumbing
Frame/ins. g) -? - Mechanical
Final /?-A?
Remorks: ? ? 9- (r,?156
CITY OF EAGAN
3795 Pllot Kno6 Roud Eagan, MN 55122 N2 5962
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be osed for Est. Value ` Dote „ 19
Site Address ? Erect p Occuponcy
Lot Bfock Sec/Sub. :d ='=:= % LZO :'tti' Alter ? Zoning
Parcel .fk Repair ? FireZone
E
l f Con
T
t
n
arge ? ype o
.
s
z
W Name Irrin T},or,.,,:n i Move ? # Stories
3 Address Demolish ? Front fr.
° r;,,, tonka,'." p,,,,,,e 544-7:i33 Grade ? Depth ft.
?
0
Zu
°u?
?
Name _
Address
Name _
Address
I hereby acknowledge that I have read this application ond state that
the information is correct and agree to comply with all applicable
State of Minnesota Statutes ond City of Eagan Ordinances.
Approvals Feee
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit
Surcharge i
Plan check
SAC ?
Water Conn. ?
Water Meter
Road Unit
Total
Signature of Permittee (
A Building PermiT is issued to: on the express condition that
all work sholl be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Offitial
Pannk #
- DaM Imed PaoilfM
Plumbing &- - 4?
Mechanical O
INSPECTIONS DATE INSP.
Rough-In
Final
FOOtings 0 Date Insp. Dete Inso.
Foundation Plumbing J- "
Frame/ins. Jz-e?9-8r Mecfianiwl '
Finol ? $O
Remorks:
ciTr oF EAGAN
' 3795 Pilef Knob Road Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
N4 5960
Te be wed fer Est. Value Date , 19-
Site Addreu Erect 0 Occu
onc
p
y
Lot Block Sec/Sub. Alter ? Zoning
parcel # ' 1<,:T^-CJri1FC` Repair ? Fire Zona
l
E t
T
f C
orge ?
n ons
.
ype o
cc Name ri 11 Move ? # Stories
W
3
Address
c.=
Demolish ?
Front
ft.
0 Ci Phone _ ?-'> Gmde ? Depth ft.
p
Name ADDrova Is
, Feea
Assessment
v? Address
~ Ci Phone Water 8 Sew.
W Name
ull Police
Fire
F
Address Eng.
2L Ci Phone Planner
I hereby acknowledge thaT I hove read this application and state that Countil
gldg. Off.
the infortnation is crorrect and ogree to comply with all applicabla
State of Minnesota Stotutes and City of Eagon Ordinances. APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Totol
Signature of Permittee ?
A Building Permit is issued to: on the express condition thot
nll work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagon Ordinonces.
Building Official
ti
hnnM # Oafe la??d Pffwktw
Plumbin9
Mechonicoi ,x0 oZ -o? -,?D L(/
!. Lcc_ -??'9??_3
,
INSPECTIONS DATE INSP.
Rou9h-In
Firwl
Footings Dote Insp. Dafe Insp.
Foundation Plumbing r' ?
Frame/ins. Mechonical
Firwl
?
Remarks:
? ?
CITY OF EAGAN
3795 Pi1M Kno6 Raad Eogan, MN $5122
PHONE: 45I-8100
BUILDING PERMIT
To be uud for Aex
37,100.(
N° 5959
Receipt # -
,,
Date + , . 19-
Site Address 4722 TaTt:: E'*
Lor Bixk R Sec/Sub. 1 i (lkeci i ffe 2nd
Porcel # '.?:; cc;•",'^c:
W Name ')rrin T?,or.?, son Eioanes
3 Address 1712 Ho-?k ins Crossroad
:n ?tan?ca, ?£. M--- 544-7333
p Name _
Ob Address
f r:...
Name _
Address
I hereby acknowledge that I have reod this application and state that
the information is correct and agree to mmply with oll opplicable
State of Minnesota Statutes and City of Eagan Ordinances.
Erect Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const. +
Move ? $k Stories
Demolish ? Front
Grade ? Depth ft.
Assessment I / N/ Y0
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. 7/2L' ?'
APC
Fees
Permit 110_S:1
Surcharge In - .1()
Plan check ??`• ??
SAC
Water Conn.
Water Meter
Road Unit
Total 1
Signuture of Permittee ?
A Building Permit is issued to; on the express condition that
oll work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Officiol
Pannk # Daft lewd PxmIffM
Plumbing • ? 6 -,Po
_
Mechanicol '
?
. i. G C1 oG ?
5
INSPECTIONS DATE INSP.
Rough-In
Final
Footings ? Date Inso. Dete Inso.
_
Foundation Plumbing se,{. .
Frame/ins. lo Mechanical
Final ?
I
Remorks: ?v 7`-?6 ?
? ? v
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 Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address I
7. Citv
Mpls.
State ° Zip
8. Building Type: Residential 0 Commercial O Institutional O
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Equipment BTU - M. Ea.
Forced Air No. Ectuipment CFM
Mfg. _ Air Handling:
Boilers
_
Mfg.
Unit Heater _ Mech. Exhaust
_ Mfg. Oth
Air Cond. er
Mfg,
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 Fina ?
Inspections: Date Insp. Date '7A?3 InsP. ?"j??
This is your permit when numbered and approved. 7'
Approved CITY OF EAGAN 454-8100
? CITY OF EAGAN
3795 Pilot Knob Road
Na Eagon, Minnesora 55122 INSPECTOR NOTIFICATION
Phone: 454.8100 REQUIRED BY LAW
pERMIT FOR ALL INSPECTIONS
Dote: Receipt No
: . '
.
Site Address:
i Single I
Residential -
Lot Biock Sub/Sec. Multi Res., Comm./Ind.
Name '.;'Trl.n Th.nmp8021 hOr.ri1S : r..
/Al
N
R
i
f ew
te r. /
r
epa
.
°e
Address
1,712
f I
C
? ost o
nstallution
City Phone: Permit Fee
Name •ti_Y ..'CZtEP :`.v---,.; h
S
` urc
arge
g Address ?'3?37 r=1fC0.:;:.• ; "
e
? City
, Phone:
Total "
This Permit is issued on the express condition thot oll work shall be
Minnesoto Statutes and City of Eagan Ordinonces. done in accordance with all applicable State of
No. '.^26
CIT1f OF EAGAN
3795 Pilot Knob Read
Eagan, Minnesofa 55122
Phone: 454-8100
PERMIT
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Dote: - Receipt No.:
Single
Site Address: ` ? Residentiol
Lot Block Sub/Sec. ??'j€,PClirfe ?) I Multi
Nome ''riIl ThcmpS021
I Address 1112 Flonkins
?
City SriTF?tOI'i}:fl , ,. L.t Phone:
Nome I'Ley S'Jelter t`ent'r -
p.
y Addreu
? ?ity , ?? r_?. _ , . •
?13 Phone: 7
?
olQ
of 4 plex
New /Alter. / Repair
cost of Instollorion
Permit Fee
Surcharge
Totol
This Permit is issued on the express condition that oll work shall be done in accordance with all applicable $tate of
Minnetoto Statutes ond City of Eagan Ordinances.
Building Official
No.
CITY OF EAGAN
3795 Pilof Knob Road
Eagan, Minnaseta 55122
Phone: 154-8100
PERMIT
Date:
iro? ti ??LL
Site Addreu:
Lot Blxk Sub/Sec. -
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single , I
Residential
Multi Res., Comm./Ind.
Name OTTi2l `T'h041p80¢1 New/Alter./Repair
; Address 1'%1? ?10;`?;<,', U Cost of Instollation
O
? - ?
Cit
y ? PhO^e: Permit Fee
.7 .inl ?E?:, - •3FJ--,7.... i._
Name =T.6
g? Surcharge
L ',,, ?'7 „•...- . ? r
? Address C.; 'r
CitY Phone: Total
This Permit is issued on the express condition ihot oll work sholl be done in accordance
Minnewta Stotutes and City of Eogan Ordinances.
oll applicable State of
No.
CITY OF EAGAN
3795 PiIM Knob Road
Eagan, Minnesofa 55122
Yhone: 454-8100
PE0.MIT
1 Of I !
Date: ' Receipt No.:
Single
Residential
Site Address:
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Lot ' Block - Sub/Sec. PidgCCllfFe 2Slii I Multi
N,,,x =.'in Thompson IIomes
r
g Address .? 2 HdPkiIi=:
?
Clty .i'fAIlkB , 'tI?. Phone: 5"-7? 33
Name ..:I1Z & Ryffi'i rx . ?
.
$
Address 147/f5 S. pnor-?
•, ?
City " Phone:
This Permit is issued on the express condition thor all work sholl be
Minnesota Statutes and City of Eagan Ordinances.
New/Alter. / Repair
Cost of InstallMion
Permit Fee
Surcharge '
Total
done in accordance with cll applicable State of
Na. 1.1- F
PTi,
Dote:
Site Address:
Lot
IName -
.
c
a
CITY OF EAGAN
3795 Pilof Knob Rood
Easan, Minnesota 55122 INSPECTOR NOTIFICATION
Phone: 454-8100 REQUIRED BY LAW
PERMIT
472
?
Black Sub/Sec.
Orrin i'iiompson Hanes
Address 1712 HOpkinB Cr3r',
' f': netonka, ltn. 544-7333
City Phone:
RVrasl P
FOR ALL 1NSPECTIONS
Receipt No.:
Sinqle
Residential
Multi Res., Comm./Ind. I
New / Alter. / Repoir
Cost of Installation
Permit Fee
Nome Surcharge
.
g Address `45 u• ??C??'_'`i, r?^
T
O
City ` Phone: I Total
This Permit is issued on the express condition thar cll work shall be done in accordance with
Minnesoto Stotutes ond City of Ea9on Ordinonces.
50
! applicable Srote of
Buiiding Official
No. = J25
Date:
CITY OF EAGAN
3795 Pilot Knob Road
Ea9an, Minnesota 55122
Phone: 454-8100
PERMIT
' •? ^,, - .
Site Address: C.'.'
Lot Block Sub/Sec.
IName
Name ?ay 'lelter '-eati. INSPECTOR NOTIFICATION
171?_ Honkins Crsrci.
Address
.'_ :1intOZk£t , ? `Sl . City Phone:
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residential ''?'"'{
Multi Res., Comm./Ind.
New/Alter./Repair
Cost of Instollation
Permit Fee
20.^n
50
10 g Addreu ? ?r1 C;_;_
e
e
V
City ' Phone: Total
This Permit is issued on the express condition thot all work sholl be done in accordance with all applicable State of
Minnesoto Stotutes and City of Eagan Ordinonces.
Buildirg Official '
- ? - CfTY OF EAGAN
3795 Pilot Knob Read
No. Eayan, Minnesota 55122 INSPECTOR NOTIFICATION
Phene: 454-9100 REQUIRED BY LAW
FOR ALL INSPECTIONS
PERMIT
Dote:
a-zb-ao
Site Addreu:
4724 Tana Pt.
Lae Biock subisec. T=iclgecliffe 2nd
Receipt No.:
Residential ], of 4 plex
Mulci
Name Orrin Thompson IiOltf@8 New/Alter./Repair '1-
? Address '-712 1I0pY,i'11 (-T'31'!Z,
Cost of Installation
City :iRe lOriSfll "I). phone: 5r'1*-733% permit Fee '
Nome ??f-ri2 PjflP F F` ` Surchnrge
?
? Address ` '?745 S , r.Ot el't '""
e
e
u City Phone: Totoi
This Permit is issued on the express condition that all work shall be done in accordance with all applicoble State of
Minnesoto Stotutes and City of Eogon Ordinances.
Building OffiGial
CITY OF EAGAN
3795 Pilot Knob Read
_ Eayun, Minnesota 55122 INSPECTOR NOTIFICATION
Na Phone: 454-8100 REQUIRED BY LAW
PERMiT FOR ALL WSPECTIONS
Date: '
Site Address: ?^?`'?j' :1•` • : ?•
Lot Block Sub/Sec. - -
Name jrrin T-h07'(J)8021 iii04bB8
°e Address 1712 Hapkir.s
?
City Phone:
Nome
.
,g Address
e
0
? City Phone: '
.;;.? ??
Receipt No.: " ,'
Sin91e
Residential r Ar 4 p1B
Multi Res., Comm./lnd. I
New/Alter./Repair
Cost of Instollotion
Permit Fee
Surcharge
Tora I
20.5C
This Permit is issued on the express condition that all work sholl be done in occordance with all cpplimble State of
Minnewto Statutes and CiYy af Eaqon Ordinonces.
CITY OF EAGAN
3795 Pilof Knob Road
No. Easan, Minneioto 55122 INSPECTOR NOTIFICATION
Phona: 451-8100
iERMIT
Dote:
Site Address:
? Z
Lot _ ¢' Block Sub/Sec.
Neme
g Address
O
City Phone:
Name
L
g Address
e
? City - Phone:
This Permit is issued on the express condition thot all work shall be
Minnesoto Statutes and City of Eagan Ordinonces.
Receipt No.:
Single
Residentiol
New/Alter. / Repair
Cost of Installation
Permit Fee
Surcharge
Tota I
done in accordonce with oll applicable State of
REQUMED BY LAW
FOR ALL INSPECTIONS
„- .
Buildin9 Official
INSPECTION RECORD
? CITY OF EAGAN PERMIT TYPE: ,>>
I 3830 Pilot Knob Road Permit Number. „,. I• ?, 4? ?•
I Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
Hi ; . ;..:?. I
1
PERMIT SUBTYPE: TYPE OF WORK: ?
,
?a
M? >- °:
Permit No. Permlt Holder Date Telephone #
S!W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg. `
Oreat Test
Fnal Plbg. Plbg. Inspector - No[iTy Plumber
Const. Meier
Engr./Plan
Bldg. Final
Deck Rg.
Deck Final
Well
Pr. Disp.
I??/ ?" d
INSPECTION RECORD
I CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
I Eagan, Minnesota 55122-1897 Date Issued:
I (612) 681-4675
I SITE ADDRESS: APPLICANT:
1?? I i KI ni F
?? { ????? ?? t ?, I .•H?? ???ci i r, ??. .??. r 1
PERMIT SUBTYPE:
0 1;1 , , r;, I )
TYPE OF WORK:
ii?. , , ?. I tiiN
t{littV iNE,
N?r;7A7
N'a f.! 7 /UK
Ir r PAIR
rlrf!i(lr zNn)
a7<'s iunlu ?'? ??n? :) n iuHU ?' r (IO1 s?
?
--- ---- -- ----- --- -------
[ RFMflRK'i - ?HI:LUUFS 4 i.'4 1(tWr1 1'! (le1 l 1 1
Permit No. Permit Holder Date Telephone R
ELECTRIC
PLUMBING
HVAC
Inapectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST •
BLDG FINAL
BSMT R.I
BSMT FINAL
DECK FTG
DF_CK FINAL I I I
CI-Y OF EAGAN
3795 Pilot Kno6 Road
Eagon, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
I agree to eomply with fhe Cify of Eagon Connedion Charge:
Ordieances. Account Deposit:
Permit Fee:
Surcharge:
BY Misc. Charges:
Date of Insp.: _ Total:
Insp.: Date Paid: _
WATER SERVICE PERMIT
CIT' OF EAGAN
3795 Pilot Knob Roud PERMIT NO.:
Eogan, MN 55122 DATE:
Zoning: No, of Units:
Owner; _
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree ro aomply wirh the Cifr of Eagan Surchorge:
Ordinaneec. Misc. Charges:
By
Date of Insp.:
_iTY OF EAGAN
3795 PiIM Knob Road
Eagam, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
Meter No.:
Size.
Reader No.:
1 agree ro eomply M•ith the City of Eagan
Ordinanees.
By
Dote of Insp.:
Total:
Date Poid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Charge:
Account Deposit: _
Permit Fee: _
Surcharge: •
Misc. CFrorges: -
Total:
Date Paid:
I nsp.:
.,iTY OF EAGAN SEWER SERVICE PERMIT
3795 Pilof Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner; -
Address:
Site Address:
Plumber: -
1 agree to eomplr wilh the City of Eagan Connedion Charge:
Ordinanees. Account Deposit: a.
Permit Fee: 4
Surcharge: ?
By Misc. Charges:
Dote of Insp.: Total:
1 nsp.:
CtT'Y Of EAGAN
3795 Pilot Knob Road
Eogan, MN 55722
Zoning:
Owner:
Address:
Site Address:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree ro eomplr wMh the City of Eagan Surcharge:
h
`
Ordinanees. Misc. Charges:
Total:
B Dcte Paid:
y
Date of !nsp.: Insp.:
CSTY OF EAGAN
3795 Pilot Knob Road
Eagan, MN 55122
Zoning:
Owner:
Address:
Site Address:
Piumber:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
1 agree M comply wlth fhe City oF Eugan Connection Chorge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
BY Misc. Charges:
DaTe of Insp.: Total:
Insp
CITY O; EncaN SEVUER SERVICE PERMIT
37?-5 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoi.;ng: No. of Units:
Owner:
Address:
$ite Address:
Plumber: --
1 agree to aomply wi(h the City of Eagan
O?dinaneas.
By
Dote of Insp.:
I nsp.:
Connection Charge:
Acrnunt Deposit: _
Permit Fee: -
Surcharge:
Misc. Charges: -
Total:
Date Paid:
ciTr o: EAGAN
37S5 Pilot Knob Road WATER SERVICE
PERMIT NO.: PERMIT
Eayan, MN 55722 DATE:
Zc ing: No. of Units:
Owner; _
Ad'iress:
Site Address:
Plumber:
Meter No.: Connedion Charge:
Size: Acrnunt Deposit:
Reader No.: Permit Fee:
I agree to eomply witfi tfie City of Eagan Surcharge:
Ordinanees. Misc. Charges:
Total:
BY Date Paid:
Date of Insp.: Insp.:
1 n i1
CITY OF EAGAN Remarks
Addition ' Ri gecl i ffe nd Addi i on Lot 3 Rik H Parcel #10 63981 030 08
Owner street 4725 Lund Point state Eagan, hW 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRl1NK
SEWERLATERAL ' 19$2 $$.40 5 85.40
WATERMAIN
WATER LATERAL
WATER AREA 19$2 85.40 $
STORM SEW TRK 1982 258.26 5 258.26 C007616 12-23-81
STORM SEW LAT
Services 1982 637.75 5 637.75 C007616 12- - 1
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
305 (4)
r?
6UILDING PER. 5961
SAC
PARK ?
,
CITY OF EAGAN Remarks
Addition=CcNgeciiffe 2nd Addition Loc 4 Blk R Parcel #10 63981 040 08
Owner `' "' Street 4724 Tana Point State Eagan, MIN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ? 1982 85.40 5 85.40 C007616 12-23-81
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATEA AREA 1982 85.40 5 85.40 C007616 12-23-81
STORM SEW TRK 1982 258.26 5 258.26 C007616 12-23-81
STORM SEW LAT
Services 1982 637.75 5 637.75 C007616 12-23-81
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDING PER.
SAC n n
PARK
CITY OF EAGAN Remarks
aaaition _xidgecliffe 2nd Addition Lot 2 eik $ Parcel #10 63981 020 08
IiML'i Street 4723 Lund Point Scate Eagan. MN 55122
Improvement Date Amount Annual Vears Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK , 1982 85.40 5 85.40 C007616 12-23-81
SEWER LATERAL
WATERMAIN
WATER LATERAL
' wnreR aReA 1982 85.40 5 85.40 C007616 12-2 -81
STORMSEW TRK 1982 258.26 5 258.26 C007616 12-23-81
STORM SEW LAT
Services 1982 637.75 5 637.75 C007616 12-23-81
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
n
n
BUILDING PER. 5960
SAC 525.00
n
n
PARK
CITY OF EAGAN Remarks
Additioa-i-RZ dEecliffe 2nd Addition
Owner i `i _ r . Street 4722
8 Parcei #10 63981 010 08
State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ' o 1982 85.40 5 85.40 C007616 12-23-81
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1982 85.40 5 85.40 C007616 12-23-81
STORM SEW TRK 1982 258.26 5 258.26 C007616 12-23-81
STOFM SEW LAT
Services 1982 637.75 5 637.75 C007616 12-23-81
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit
WATER CONN. .00
n
n
BUILDING PER. 5959
sac 525.00
PARK
Tana Point
CITY OF EAGAN
. 3795 PilM Knob Raad Eagan, MN 55722 ?? 5959
PHONE: 454-8100
BUILDING PERMIT APPLICATION ReceiPt #
To be used for I of 4plex Est. Value 372100.00 Date July 16, _ iq 80
Site Address 4722 Tana Pt Erect X[X] Occuponcy R-3
Lot 1 Bixk 8 Sec/sub. Ridgecliffe 2rid Alter ? Zoning R3
Parcel # unrecorded Repoir ? Fire Zone TTT
W Name OrTin Thomnson HnmPq
3 Address 1712 Hopkins Crossroad
0 ,,.. Minnetonka, MN 544-7333
o Name _
?
Address
r...,
Nome _
Address
I hereby acknowledge that 1 have read this application and state that
the information is correct and agree to comply with all applicable
State of Minnesofo Statutes and City of Eagan Ordinonces.
Signature of Permittee
A Building Permit is issued to: _
all work shoil be done In accordance
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front 94 ft.
Grade ? Depth 24 ft.
Approvals Fees
Assessment-7/R?/Rn_
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off, 7/l, Q; R0
APC
Permit 1ll1 ?!1
Surcharge 70 nn
Plan check ss ?S
SAC
Water Conn. --30-S-QQ
Water Meter -60_,_04
Road Unit _1?951-nn
Totoi i? 2?5
n9mes on the express condition that
of MinnesoTa Statutes and City of Eagan Ordinances.
Building Official
. s,
C. OF EAGAN
.
BUILDING PfRNII'P ApPLICATION
Tb Be Used For ?????F.MCE valuation
Znclude 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
I oo.vo Date S%461 8,Iq8o
site Aaaress: y1 a.Z. -raN 6 Pr,• orFzcE UsE oru,Y
Lot slock g sec./sub. Frect x oc
?
Parcel #: T?co A Alter zoni
_ Repair Fire Zone 3
Oaner: ??qe ?pe of Const.
Move # Stories
Address: a Division ot U, S. Home Coror1ratinn DPJrolish Front ft.
City/Zip Code
• i PKINS CROSSROAO
MINN Grade Depth g2` ft.
•
EroN?ca MInrN s342
Phone S 44-'1333
contractor: -- A-R R IN-THAM°SOF! Hn ti?, r?
AddreSS: a Division of U. S. Home Corporation
Clty/Zlp (?AC12: MINNETONKA, MINN. 55343
Phone #:
Arch./E.ng- :
Address:
City/Zip Caie:
Phone #:
T,-
Assessments
Wat,er/Sewer
Police
Fire
En4 -
Planner
Council
Bldg. Off. ;yi.
APC
FEES
Permit //6 ?
Surcharge ? q ?
-
Plan Check ? s ?
SAC
Water Conn. 3 o
Water Meter 60
Rnad Unit
TO'PAL /o??,
CITY OF EAGAN
3795 Pi1M Knob Rocd Eagan, MN 55122 ° 5960
PHONE: 454-8100
BUILDING PERMIT APPLICATION
Receipt #
To be uwd for 1 of 4-Ulex Est. Value 37, 100.00 Dote July 16 , 19___BQ
Site Address 4723 Lwid Pt. Erect Occupancy R3
Lor Z siock $ Sec/Sub. RidgeCli e 2nd Alter [3 Zonin9 R3
Parcel # unrecorded
W I Name Q?'?'??} Tl,nm„cr, f-tllmcc
3 Address 1712 Hopkins .roctroad
°
r.w.Minnetonka. [1 0I.,...e 544-7333
o Name ----- -
?
?Q Address
0 Cit Phone
uW Name Same
WW
F
_? Address
1 hereby acknowledge thot I have read this opplication and state thai
the information is mrrect and agree to comply with all opplicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: QT?'171
oll work shall be done in accordonce with all
Repair ? Fire Zone III _
Enlarge ? Type of Const. V
Move ? # Stories -
Demolish ? Front 24 ft.
Grade ? Depth 24 ft.
Approrala Feea
Assessment -7,L8f80_
Woter & Sew.
Police
Fire
Eng.
Plonner
Council
Bldg. Off. 719 JR0
APC
Pertnit iio.50
Surcharge 19- on
Plan check $S - 25
SAC 525 _ f1f1
Water Conn. 3n-r+- nU
WaterMeter 6171-00
Road Unit 185 Ll.[l
Total 1-??.9SQ- 7S
_ on the express condition thar
City of Eagan Ordinances.
Building Officiol
CITY OF F.AGAN
? Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERNMT :4PPLICATION 1 set of energy calculations.
Tb Be Used For . REi-1D 5-?CF valuation ?'1. 1 00. O o Date 8 }1 q 8 0
Site Address: y'1 I3 LvIND ?T OFFICE USE ONLY
Lot slodc b sec./siab. Erect
?- occ-upanc.y le3
Parcel # : ECo A1ter Zoni
??
Repair Fire Zone
Raner: En7-ar9e 7ype of Const.
U
. ORR! Nbve # Stories
Addres5: a.Division of U, S. Home CorQQ[atjnrj DemDlish FTOrit ?el ft.
City/Zip Code: i PKINSCROSSROAD
MINNETONKa nvnini «,... GTad2 D2pth ft.
Pr,one #: s`ty-?s3s
Contractor: -?RRIN THOM°SOAd-HO-F"r
Addr255: a Division of U, S. Home Corporation
City/Zip ('AdL: MINNETONKA, MINN. 55343
Phone #
Arch./Eng. -
Address:
City/Zip Code:
Phone #:
APPROVALS f'EE5
?g
4M
Assessrrents 8 Fermit
Water/Sewer Surcharge 9M-
Polioe Plan Check ;SS FA-
Fire SAC
Eng. Water Conn. 30S01
Planner ; Water Meter 66 °°
Council Road Unit / r'5-26-
Bldg. Off.
APC ?
qDTAL / 1j S 5. 7 S
CITY OF EAGAN
° 3795 Pilot Knob Road Eagan, MN 53122 - 5 9 6 2
+ PHONE: 454-8100 /
BUILDING PERMIT APPLICATION .. _ „ Receipt #p
To 6e wed for $ 1 of 4-plex Est. Volue 37,100.00 pOYe July 16 lq 80
. _
Site Address
Lot _4 Btock _$__ Sec/Sub. Ri gecl i ffe 2nd
Parcel # imrecorded
W I Name Qrrin 'f'{+nn+*+cn„
3 Address 1712 Hopkinc Grossroad'
°
r«., Minnetonka,MN o6,,..e 544-7333
C? Name Same
??O
Address
F ?:...
Nnme _
Address
I hereby acknowledge that I hove read this application and state that
the information is correct and agree to wmply with all applicoble
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: ?S)T
all work shall be done in accordance with
Building Official ?
Erect Occupancy tt.)
Alter ? Zoning _ R3
Repair ? Fire Zone III _
Enlarge ? Type of Const. v
Move ? # Srories
Demolish ? Front 24 ft.
Grade ? Depth 24 ft.
Approvals Fees
Assessment f / a/ ai
Water & Sew.
Police -
Fire
Eng.
Planner
Council
Bidg. Off. 7/9/80
APC
Permit 11V.Z) u
Surcharge 19.00
Plon check 55.25
SAC 525.00
Water Conn. 305. 00
Water Meter 60.00
Road Unit 185.00
Torol 1,259. 75
on the express condition that
y of Eagnn Ordinances.
CITY QF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PEi2NI1'P APPLICATION 1 set of er,ergy calculations.
To se osea For _AE,"0-E4tcE Valuation 37. 100 . oo Date xu,.I 8? iq 8 0 Site Address: 4:ja,?4 ?rftN A ? OFFICE USE ONLY
Lot Lk Blodc _g sec./sub. RitsKLIEFF, Erect ? occupancy _ i4?3
Parcel #: ECo Alter Zoning
. Repair F' Zo
Qaner: Enlar9e
ORR!
,
Move
AddreSS: a Division of U, S. Home Cornoratinn D2rm115h
C1ty/Zip COd2: _ MINNETONKASMIOSSRO?p Gr3de _
Fhone # : S 4' j -'1333 APpROVALs
Contractor: - nRR-1-PlTH#9P", "
AdC1te5S: a Division oF U, S. Home Corporation
City/Zlp COdB: MINNETONKA, MINN. 55343
Phone #
Arch./IIng..
Address:
City/Zip Code:
Phone #:
ire ne 3
'Iype of Const. ?-
# Stories
Front ? y ft.
DePth 2 y ft.
?-. 'Paxaa,
/ -n
Assessnents PPStrtit
G
water/Sewer Surcharge
Police Plan Check
Fire SAC
Eng. Water Conn. 3 0i--
Planner Water Meter D
councii Road unit ? g,?--
Bldg. Off.
APC „
TOTAL
/??? ??
CITY OF EAGAN
' 3795 Pilof Knob Road Eagan, MN 55122 NO 5961
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt # ,?Y 15l _
To be used For 1 of 4-plex Est. Value 37,100.00 Date July 16, 19 80
Site Address 4725 Ltlitd Pt. Erect .? Occuponcy R3
Loc 3 Block 8 Sec/sub. Ridgecliffe 2nd Alter ? zoniny R3
Parcel # unrecorded Repoir ? Fire Zone III _
q? Nome Orrin Thompson HOmes
3 Address 1712 Hopkins Crossroad
o ,,.. Minnetonka, hIId _. 544-7333
p Name _
?
u? Address
Name _
Address
1 hereby ackrwwledge that I have read this applicotion ond state that
the information is correct and agree to comply with all applicoble
Scate of Minnesoto Statutes ond City of Eagnn Ordinances.
Signature of Permittee
A Building Permit is issued to: _
oll work shall be done iri occordonce
Enlcrge ? Type of Const. V
Move ? # Stories _
Demolish ? Front 24 ft.
Grade ? Depth 24 ft.
Approvals Feea
Assessment 74.$1$0
Water & Sew.
Police
Fire
Eng.
Plonner
Council
BIdg.Off. ,? ?/-9,/_00-
APC
Permit l 1 fl S(1
Surchorge 7 O nn
Plon check 5 7C
SAC - ?.o?-?,-gQ
Water Conn. _-30-SN
Water Meter --60.00
Q
Road Unit
Total 1,259.75
on the express condition that
ond City of Eagan Ordirwnces.
Building Officicl
-ff ?55??l
CITY OF EAGAN
BUILDING PERNIIT -APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of eresgy calculations.
Zb Be Used F o r REi 1D ErICE valuation 37. 100. oo Date Z't4?.y Iq 8 0
Site Address: ???? Lwwp P'T1. OFFI(E USE OALY
I,ot 3 slocx g sec./sub. Rlufi iFFC Erect OccupancY
Parcel #: i. . SECcMD Alter Zoning 3
Repair Fire Zone 3
Oaner: En7-arge Type of Const.
Nbve # Stories
Address: a Division ot U, S. Hom, Cor ? • Denblish FLUnt ft.
171 PKINS CROSSROAD Grade Deptt'1 ?ft.
Cl
ty/Zip Code: MINNETONKA MIN I S5343
Phone #: . 544-'1333
Contractor: A-RRl N-7H OM,°dON ?HE)F ^ r?
AdC1T2SS: a Division of U. S. Home Corporation
1712 PKM-S
City/Zip Code: MINNETONKA, MINN. 55343
Phone #
Arch./En9-: _
Pddress:
City/Zip Code:
Phone #:
?,tn sou a z.
APPROVAL.S FgS
Assessments
water/Sewer
Police
Fire
Enc! -
Plannex
Council
Bldg. Off.
APC f"
Pexniit
Surcharge j 9
Plan Check ? S-
SAC ??oz s =-
water Conn. 3 a S?
Water Meter ??-
Road Unit
TOTAL /,-? 5 9- ?.s
~ CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.T.N.: 10-63981-010-0$
DESCRIPTION:
PERMIT
PERMIT TYPE: B U I L D I N G
Permit Number: 028747
Date Issued: 0 9/ 11 / 9 6
4722 TANA PT
LOT: 1 BLOCK: 8
RIDGECLIFFE 2ND
(ROOFZNG)
ermit Type
,:sk Type
o_j
MuLrr. (MZSC.)
REPAIR
434 ALT. RESIDENTIAL
?
y ?
v
yi4 Ya a
* m? m>
p
4
+
s
r.. eY
REMARKS:
INCLUDES 4724 TANA PT (L07 4)
4723 LUND PT (LOT 2) 4725 LUNp PT (LOT 3)
FEE SUMMARY:
VALUATION $3,000
Base Fee $74.75
Surcharge 1.50
Total Fee $76.25
CONTRACTOR: - Applicant - ST. LIC.OWNER:
G& G RODFIN6 16452531 0009369 RIDGECLIFFE flS50CIATZON
11677 HALL AVE LUND PT
NORTHFIELD MN 55057 EAGAN MN
(507) 645-2531
? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 - - - • . .
New Comlmdion Reauirements {...?/q? p _yf emodelBeoair Rea ? wrements , ?y. ey;.:.. . • FF •.:?ei ? '?!M
, ;. ?? .:.. . .. '?° . ? .r?.'f ?y??
.. i .. :? ? ... ,'.. ??'Y.. + .. '¢ .".: . . ,
? 3 registered ake surveys 2 copies ot plan {
? 2 copies of plans (indude beam 8 window sizes; poured ind. design; etc.) ? 2 site surveys (exterior additions 8 decks) ? 1 energy calculations ? 1 energy caieulations for healed addilions
? 3 eopies of tree preservatbn plan if lot platted afier 7l1I93 • ' -
requhed: _ Yes No ° • DATE: 4(44 CONSTRUCTION COST:.
? n ... . .
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT I l ? BLOCK
f`l(. ?-L'b`
4 4 ? ;t, 4
'-? SUBD./P.I.D.
. . J ?, C ? . .. _
: _.
is'. ?. G. '".??..rE?.. . . r ?: ? ' _..:ti?let? ?'??, ?"?dA•'ij i,;,'
..?_........ i.??' f y •n. ,.? . . . ' . ?,.:.. ? -' .
. . . . '1 `j{d,..j. ., w. • ?._ .asa . ??L^.i'? . , 7b 'I.Y aC??^??" ,_« ....."' . .. ? ' '
.? ,r• ?.
PROPERTY Phone,#
OWNER.. . . __ . ` V:;•?; ?, .M.. ? ..
? .. _ _ _.. .... ..
? -? - Street?Addr'ess• ? " -
? . . . _ Ci?,_ State: Zip: _
CONTRACTOR'. Company ??OU?I,? . Phone
J -1?o.
t; Street Address ?a Vc . License #• _
? ; .. , ,...,? .t .. ._ ? _.
?._.,..?...,:.-._._........,.,....,..._. _ ._ ... !''..?'?r,. ,_ r,.?.La..a....'? A.
- -'- `--- rr r-',:.- e.c_. ? ..,? .._...?..,......_...?...._. ... .
. . .. ?'J' .'_ . __ - . .s? . . ... ,
. . . ._ . _ .. +.-. r...^e-+.. ' . .
- . K?}...a..T ??... .
A
RCHtTECTI Company: , one
ENGINEER , ' . ,,?.... >
,.,.,_„ ' ?.t.•, , r.'?..??.
.
Name . , Registration #• _
_ . ..,__....._ ??? ?
' Street A
ddress`
.
. . ' . . . . .....,.. , ,..«... .... ,?'la'..?. ?'?3atl4{-
City: State: - Zip:"`}''
i'. `.. r-
blr ?`.li r?.:!
w.......
.
.
Sewer & water licensed piumber. ..e.
.-.
Penaltyapplies when eddress change and !ot
change are requested once permit is issued ---------?-<- t ?•-:: ? ,: :*?"
.
` • . -. . ti__. ,..._..?. t`.t;., u ??
tion is :coRect..and _agree to'?comply vvO ai
a
i hereby acknowledge that I have read this application and state that the
m
applicable State of Minnesota Statutes and City of Eagan Ordinances. p
Signature of Applicant:
. . _ . .. . ._ -. . _ . _ . . . . . . •:?`{
y'
OFFICE USE ONLY
Certificates of Survey Received Yes
No
_
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
y1
. . . n ?• ?yyl
--- --'----- -- ---- ---- ?_- - =- • _ : __ - . _, ??' .?''? ?''.
BUILDING PERMIT TYPE • . ? .
M? <•
a; 01g4Foundafion _,?0
Apf.1Lodgmg
0 02 SF Dwelling o? 07 4-plez o" 12 ' Multi Repatr/Rem. '?' 17 Sv?nm l?ool
8-plex '? 13
? 03 SF Addition ? 08 . Garage/Accessory o -20 Public Facility:
,
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous.
? 05 SF Misc. ? 10 = plex ? 15 Deck •-
.
?-. -1. w. ._ ; . .,_. .
_..._..?_.
..
o.., ...
? ?
_.___._ . .
___.. _..__?,.
. .
?
?
,
?
•
Ir
:,_s, . , ; ' ?
? ;J ??
::
,
.
,
..
.. . _
_
.
.
. .
RK
TYPE
WO
?
_. .
_ ..,- -• -, _.?._._ _
.. ._.
- .._.. _ _.__.._ _ ___._.._ _--.-- ----?- --- . ,.. ...... _.. _
µ ' ? ?, • , , -i _ ,., :,? : ,, .
__ . ? .. ._ - - .. . . . . . :,; :,. .. . .
? 31 New a 33 Alterations o 36 Move -
? - 32 Addition -- - -- o 34. . Repair n__.37 _ r Demotition _ _ ._„ -• ?
_ _...___. ..? _. .._ a _ .. . ._ ?. - .
GENERAL INFORMATION _._:_..__----._.__
Const. (Actual) Basement sq., ft? ? _.. . ?..? ..+_..... ? MC%WS?System
(Allowable) Main level sq: ft. City Water -
UBG Occupancy sq..ft.?.? Fire Sprinkleced
.- _.?
Zoning sq. ft. PRV ;
# of-Stodes._.._.__._ -Booster,Pump
Length sq. ft. -'Census Code. ,
Footprint sq?rftw?
Depth?.. SAC Code„
_,_ Census Bldg
. .
Gensus Urnt
, `a ..: ,-, , -.- ? ti .?,?a c •?•'? , ? ? ,,,?'? . ? ? . . --?.,
t?`?b
?
?t7???+r ?..? ;
i ? •
' tl`t??
?
?
?
?
- ??
?
r ? ? :?
?"-:
?'
?'
.
?..,.,...
.
:?
?,..
,
,
.
ROVALS
APP
-
.
.l
.
,
.
,
.
,
f, r
.
? ?
.
yn jr
?. . . ?. . ? ? ?
Planning Engineecin???#v'anaFlCe r
. . . . ..? .
• ... . .
?? ...-.?
.•
' ..
r..
-'-? ?? .?...? ...,n
.
Y.r ... v ?Lb?ll' ?4+etieSe •a?wa.fa.sYY ?W4 'MV??? +r? W{?..LL+yl'?? A??? ?. .... . ..
' Permit Fee 7 y 7 S , Valuation:
,.. . . ,
,Sr?rchar9e?--___.
-
?,?.
6r?rc?i;.?,
., Plan Review
'?
;
-°-;? License,: Vk
.
.
:??
. _ .?..,.,.._.,,?.,..._?
MCNVS SAC ,--?_...,........;?..`......,??..,.„,_,..,
`..City.8AC-
,:, - ?..
.. . .......? >:?
Watec Conn. . , ? . . . . ?
Water Meter ,?
-------.._.. .
Acct. Deposit _
S/W Permit
SNY Surcharge- -? •?.
' -.. _
.....- -_
?_
._.. ?..
..
Treatment PI. ?
.
. ._ _ _ _ A..
Road Unit.
"
? 4Park,Ded ,' ?npj, ?,?r. ? y?,-?? •??;,,,
£7 v u' .x,? ' r
6
> rl?slr;c?> pzry
?
Trails Ded. 6?1?7"*Z 1,. 0?3 ?.,r::? ? ? :r•? ., ,, :_ ? , ;fi t?a ,.:tnk? n„?.. a??, 4 ..
Other
. .- -- Copies- ?.... _ . ?,. a.n_ _. . _. . ?._. .. ? ,, c ? .
`a 5
Total: / rA
• . ; _
'
% SAC. ` ;; .. ; :: ?<< , •._ _ _ ::
. _
SAC Units . •., : -- _•- ; ?: ?' . ._..... .:??; ?. -{, .??s;'.? j? ??+ ?s'?r ?
. :?
-:'?. -, r ' • _ ... .. ,
r?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 691-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
???--
_.?
? 1'??lY
BuILn Irvc
022905
a1/s1/94
SITE ADDRESS:
4722 TANA P7
LOT: 1 BLOCIf: 8
RIOGECLTFFE 2ND
P.I.N.e 10-63981-010-08
DESCRIPTION:
G A S }
uilding'-ryPermit Type
uildi.ng W?rk Type
'U? .
t?? ? ? r. ?P--•
REMARKS:
FIREPLACE
NEW
r
Q3 Lf - L.?;
FEE SUMMARY
Base Fee $25.00
5urcharge ? __._$
7ota1 Fee $25,50
CONTRACTOR: - R p p 1 i c a n t- s t. L1 C. OWNER:
FIRESI[JE CORNEft TNC 16331042 0001068 MOGRN KRTWY
2700 N FflIRVIEW 4722 TANfl PT
FZOSEVILLE MN 55113 EAGAN P1N 55122
(612) 633-1042
? I
T. Marehy aGknow.).edge that I have reaci this appiicaCion and staLe that tha
i.nfarmation is ccirrect arrd agr•es tn campl,y witYr a3.l applicab:Le State of Mn>
? Statutes and Gity af Eagan Ordxnances.
-?oc,n R.ai r rn?11
APPLICANT/PERMITEE SIGNATURE ?SSUEDMY: SI NA UFiIE
?-
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
L(lTa
47?_2 TANA PT
RTDGECLIFFE 2ND
PERMIT SUBTYPE:
FSREPLACE
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
I BIOCKe 8
FSRESIDE CORNER ING
(612) 633-1042
TYPE OF WORK:
DESCRZPTTON
NEW
(GA5)
8 uz1_rarN r
A2:905
mi/:31/sa
?
I
?
REACTIYAli _
PERMIT / 2-740-Jf
cirr.OF EAGAN
19W BUILDING PERMIT APPLICATION ? ? .'? ?
14 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, l set of
specifications. l copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is thanged or 3) lot change is requested once permit
is issued.
Date / - _ Valuation of work
77
Site Address: 4u- 4(. /?>0-IiYlZ
STREEi iUtTE 0
Tenant Name: (commercial o nly)
LOT BLOCK ? SUBD, P.I.D. N
Descri tion of work: S - 26L - GI
The applicant is: ? wner ? Contractor ` Other ccea«it*>
Name eAjk? Phone
Property lAST , FlRST
Owner
pddress
STREET LTE N
F
? ?1 ? Zi
t
, u
City
o p
e
/y Sta
Company ,; - v Phone
Contractor Address 1?i O ?(.I/'lll 13 license # Exp.
City '?-B State ?rU Zip 5??3
Company Phone
Architectl
Englneer Name Registration #
Address
Lity State Zip
Sewer & water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
1 hereby acknowledge that I have read this application and state that the information is
correct and agree to com ly with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. }
I
Signature of Applicant: ?
?
DFFICkU5E oNLY
BUILDING PERMIT TYPE
O 01 Foundation
O 02 SF Dwg.
? 03 SF Addition
? 04 Sf Porch
D 05 Sf Misc.
? 06 Duplex
O 07 4-Plex
O 08 8-Plex
O 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
r
?
-:
? ll ..
Apt./Lodging
1". ? a6z0,aseme t?F'i'nish
O 12 Multi. Misc. '0'r17 SwiA- Poo1v•
0 13 Garage /Acce s sory ? 18 Ccmn./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
D 15 Deck CI 20 Public Facility
? 21 Niscellaneous
0 31 New O 33 Alterations O 35 Tenant Finish ? 37 Oemolish
? 32 Addition ? 34 Repair [336 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. Tt. !!k'CC System
(Allowable) lst F1. sq. ft. City Hater
UBC Occupancy 2nd Fl. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Yariance
REQUtRED INSPE CTIONS
O 5ite ? Footing ? Framing ? Insulation
0 Wallboard ? f inal ? Draintile O Fireplace
Permit Fee v.imci«,: S
Surcharge
Plan Review
Lic2nse •
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
SAC 96 I '
SAC Units
PtRMIT #
RECEIPT DATE:
iiESID£NTUL PLUMBINC PEiiM1T APPLICATION
CITY OF EA6M
3$30 PII.OT KAOB RD
EA6M,1NP 551 SE
651-6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: 14-7 22_-?-C+,.-? ?R -?-
OWNER NAME: : TELEPHONE #: (qS I IB 2-9 L3
(AREA CODE)
WSTALLER NAME: TELEPHONE #:
STREET ADDRESS: I_A_j (AREA COOE)
GITY: ??^O O STATE: ? ZIP:
Place a check mark next to the oermit work tvue
-
New residential dwelling unit under construction and not owner/occupied
$ 90.00
Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repairlrebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work:
4_,?v,
.
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge J r
?? .50
?r ' IIII!
APR 2 5 2001 ?? ?• ?
Total
?
Reminder. Be sure to schedule inspections of alterations, i.e. wat? K eaters, water-soften s, etc.
I hereby acknowledge that I have read this application, state that the information is correc[, and agree to complywith all applicable City of Eagan ordinances. It
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to ihe facilities constructed
Updated 1101
1-?
CITY OF EAGAN
EARLY UTILITY CONNECTIOh PERMIT
Ct/ ?
/+?iQ ? ?l•al?T??'
Address Subdivision/Parcel
I hereby request permission from the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way. I
understand that the City has not yet completed, inspected and/or accepted_
the sewer and/or water lateral. I.agree not to use, test, or connect these
individual services to any interior plumbing and understand the require-,
ment to cap the sewer service to prevent any unauthorized use.
In accepting this permit, it is agreed that I will hold the City and its
agents harmless from.any damage that may occur due to this early connection.
It is understood that no Occupancy Perniit will beissued or water allowed
to be turned on until the City utility system h? been declared operational
by the City Engineer.
Signed by - Plumber:1?e
Owner:
Developer:_
Builder:
Dated: ~50
1
CITY OF EAGA.`
EARLY UTILITY CONNECTIOtv PERMIT
14 AAQ 2-`w
Address Siibdivision/Parcel
I hereby request permission from the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way. I
understand that the City has not yet completed, inspected and/or accepted
the sewer and/or water lateral. I.agree not [o use, test, or connect these
individual services to any interior plumbing and understand the require-
ment to cap the sewer service to prevent any unauthorized use.
In accepting this permit, it is agreed that I will hold the City and its
agents harmless from.any damage that may occur due to this early connection.
It is understood that no Occupancy Perniit will be/ / issued or water allowed
to be turned on until the City utility system
by the City Engineer.
Signed by - Plumber:
Owner:
Developer:
Dated:
Builder:
been declared dperational
?
CITY OF EAGAS .
EARLY UTILITY CO[dNECTION PERMIT
Address Siibdivision/Parcel
I hereby request permission from•the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way. I
understand that the City has not yet completed, inspected and/or accepted-
the sewer and/or water lateral. I agree.not to use, test, or connect these
individual services to any interior plumbing and understand the require-
ment to cap the sewer service to prevent any.unauthorized use.
In accepting this permit, it is agreed that I will hold the City and its
agents harmless from any damage that may occur due to this early connection.
It is understood that no Occupancy Permit will be issued or water allowed
to be turned on until the City utqity system has been declared operational
by the City Engineer.
Signed by - Plumber:_
Owner:
Developer•
Builder: /
y?? (
Dated: U
CITY OF EACAIN
EARLY UTILITY CONNECTION PERMIT
,7z5 &,so R?-- ,c?c??E? ?..??s
Address Subdivision/Parcel
I hereby request permission from•the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way. I -
understand that the City has not yet completed, inspected and/or accepted-
the sewer and/or water lateral. I agree not to use, test, or connect these
individual services to any interior plumbing and understand the require-
ment to cap the sewer service to prevent any.unauthorized use.
In accepting this permit, it is agreed that I will hold the City and its
agents harmless from.any damage that may occur due to this early connection.
It is understood that no Occupancy Permit will be issued or water allowed
to be turned on until the City utqity system has been declared operational
by the City Engineer.
Signed by - Plumber: -
Owner:
Developer:
Builder:
Dated• U -Z&-CJv
BEA 8LOMpU15T
MAYOfl
THOMASEGAN
JAMES A. SMITH
JERRYTHOMAS
THEODORE WACMTER
COUNGL MEM17PEP.5
October 26, 1982
Mr. Mark Rodde
4723 Lund Point
Eagan, lvEV 55122
Re
Dear Mark:
/z, e- pe;y?
e
CITY OF EAGAN
r- .
?. 3795 PILOT KNOB ROAD "
, P.O. BOX 21199
. ` EAGAN, MINNESOTA j '
ssiu
' . PNONE 454-8100~
.. _ ??.°-.. ...?%` . . . - ,.? .. ns
\MLLl
...,.. ??....._
Curb Stop
THOMASMEDGES
CIiY qOMINISTPAfOR
EUGENEVAN OVERBEKE
CITV CLERK
To confirm our telephone conversation regarding your curb stop, that
was covered up by your patio. The City will locate and raise the curb box
for a.fee of $50.00. The sewer clean out can remain covered as entrance
to the sewer can be made from inside the home. If at a later date the
patio is removed or repaired then the sewer clean out can be raised at
that time.
Please make check payable to the City of Eagan.
Sinc ely,
/.o onnolly
Superintendent iJtilities
City of Eagan
JC:bp
THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY.
2004 RESIDENTIAL BUILDING PERMIT APPLICATIDN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 O - l?-?
? Telephone # 651-675-5675 FAX # 651-675-5694
New ConsVUCtion Reauiremenis
3 registered site surveys showing sq. fl. of lot, sq. ft. of house; antl all roo#ed areas
(20% maximum lot coverage allowed)
2 copies of plan 5howing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711l93
Rim Jo'st Defail pptions selecfion sheet (bldgs with 3 or less units
RemodeURepair Requirements a v Office Use Onlv
2 copies of plan Cert of Survey Recd _ Y_ N
1 set of Energy Galcula6ons for heated additions Tree Pres Plan Recd _ Y_ N_
1 site survey for additions & decks Tiee Pres Required Y _N
Addition - indicate i( on-site septic system On-site Septic System _ Y-N
Date
Site Address
'4 -1 Co1-nstruction Cost
v,-C2. Unit/Ste #
1-- a VL ?
Description of Work
??.?1]x?'- ? C
lN?'
1
Multi-Family Bldg _ Y_ N FSreplace(s) _ 0 _ 1 _ 2
Property Owner 0?SSc) C-?1 6,95`plWtophone #(°J?-)
Contractor
Address
State 12-24-"1 ry\? C R?Y ti?? ?U-e
Zip ? City ? Ltiv' VvS ?J ? u--?
Telephone #(q ?(?°r
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
(4 submissiontype) 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!#(, J
I hereby apply for a Residential Building Permit and acknowledge that the infofm?tion is complete?d accurate;
that the work will be in conformance with the ardinances and codes of the Cit?+=o an 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
appro va1 of plans.
G LG
Applic t's Printed Name Appli ant's Signature
C.E. WINDEN A ASSOCIATES, INC.
IAND SURVEYORS Te1.645-3646
1381 EUSTIS ST., ST. PAUI, MINN. 55108
FOR:
U. S. HOME CORPORATION
F-
I fUtUre
CfRT/f/CATE Of SURVEY
I Qa?Qoe I
O
a
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\ 4
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1
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O
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I
- - ¢y --
C O V/NG TON
Note: Buildings shown are proposed.
As vf this date Ridgecliffe
Second Addition has not been
recorded.
-- gr--
L ANE
?
1 Q'
1
1
' Q O
?
,
?° Q v
?
?
Lots 1 through 4 inclusive, Block 8,
Ridgecliffe Second Addition, Dakota
County, Minnesota.
N
t
SCAL£ : /"- 2O'
0 DE'NDT£S /RON
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE I.AND
ABOVE DESCRIBED AND OF T}iE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF
ANY, FROM OR ON SAID LAND.
Dated this 3r? aay of ?1'a ?••{ . A.D, 19t';(j C. R, WINDEN & ASSOCIATES, INC,
gy
Surveyor, Minnesota Registration No. 'i'17(sr
,
i
f ?
i0
PERMIT
City of Eagan Permit Type: Mechanical
Permit Number: EA105096
Date Issued: 0612612012
itj of 0n Permit Category: ePermit
R
Site Address: 4723 Lund Pt
Lot: 2 Block: 08 Addition: Ridgecliffe 2nd
PID: 10-63981-08-020
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840
Heather Brockman
21210 Eaton Ave
Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Controlled Air Bryan J Rieffer
21210 Eaton Ave 4723 Lund Pt
Farmington NIN 55024 Eagan NIN 55122
(651) 460-6022 X253
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
Permit Type: Mechanical
City of Eagan
Permit Number: EA105096
Date Issued: 06/26/2012
Permit Category: ePermit
Site Address: 4723 Lund Pt
Lot: 2 Block: 08 Addition: Ridgecliffe 2nd
PID: 10-63981-08-020
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
Comments:
952-445-2840
Heather Brockman
21210 Eaton Ave
ME - Permit Fee (Replacements) $55.00 0801.4088
Fee Summary:
Surcharge-Fixed $5.00 9001.2195
Total:
$60.00
Contractor: Owner:
- Applicant -
Controlled Air Bryan J Rieffer
21210 Eaton Ave 4723 Lund Pt
Farmington MN 55024 Eagan MN 55122
(651) 460-6022 X253
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.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
I For Office Use
PermitM
4111k non
City of EaRd I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 4 722 - Y7 j y Unit
Name: I6~ -rile ~/s r Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Y Contractor
Type of Work Description of work: d
Construction Cost: Multi-Family Building: (Yes / No )
~~lh~'~ ~1'eYf
Company: oA12-ejx t Oilve 9,';,,
Contractor Address: 3,-2-&5- S 1 PFi°Nz-,O 64- City: ~JLs.~ir 1 l
State: All, Zip: Phone:
License 903*® 6` 6 / Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets. I
CALL BEFORE YOU DIG. Call Gopher State One Call at.(651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x D6~ r . {~~'t' scy7 x
Applicant's Printed Name Appli s Signa ure
Page 1 of 3