4431 Lynx Ct,,r _cinr oF eaGaH ^ z;3 117? 1
?_4er1?.;., urv j'!': ?30 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 "-PHONE: 454-8100
BUILDIN('a PERMIT Receipt # ?
Tobeuaetllor 1/2 Di.1P 8 GA&tvalue 578i000 Date APRIL 7 ??36
site Address 4433 L 5
Lot S Block 1
W Name_
; Address
o ,
CALVIN CONST
_ Erect C? Occupancy R3
ZNJRemodel ? Zoning DU
Repair ? Type ot Const u
? Addition ? No. Stories
Move ? Length ? 2
- Demolish ? Depth4 'J
- Int Impr. ? Sq. Ft
.T Install ?
o Name 5'AYl;
? Q Address
~ City Phone
?Q
F W Name
? z
a Address
i W City Phone
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?8lty of EagaryOrcJinapces. ,? //
Signature of Permi ee-
A Building Permit is issued to:
all work shall be done in accc
Building Official
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
BIdg.Off. 4/2 t36
APC
Var. Date
Permit S 367 . UO ?
Surcharge 39.00
Plan Review 183.50
SAC 575.00
Water Conn. 500.00
Water Meter U3.50
Road Unit 2 9 0) • u k2.
Tr. PI. 1:?
Parks
Copies
u 0
`'
Total 4 '
CALVZN COIVJT I
on the express condition that
pplicable State of Minnesota Statutes and City of Eagan Ordinances.
I ' I PermN No. I ParmN Moldx I Da" I Talephone 8 I
Plbq.
Htq.
Pibp.
Flnal
FIQ.
Frmp.
Dbp.
•''???'? ?, i' ?;1 3830 Pilot Knob Road! P.O. Bo 2G-?199, Eagan, MN 55121 11740
BUILDINf'a PERMIT PHONE: 454-8100 Receipt #
DUP
78
SiteAddress 4431 LYW?: l:T Erect IN Occupancy R3
5 Block 1 Sec/Sub. U.AlCiJOOiD HT
Lot S 2I4IRemodel ? Zoning
Parcel No Repair ? Type of Const. j?
. Addition ? No. Stories
i•1t1,2.K (:t\i.Vl:l CONST Move ? Length a?
e
.O
=
?U
<
?
a
F W Name_
? ? Address
z
a W Ciry -
3700 94Tli S7' $ Demolish ? Depth-47
ft457-3700 Int. Impr. ? Sq. Ft
• Phone Install ?
aAl .l: Approvals Faea
Phone
IE: LI??GE
Phone
I hereby acknowledgethat I have read this application and statethatthe
information is correct an?gree to comply with all a plicable State of
Minnesota Statutes a ity ?Eagryn O d' Hty?e +
a i
Signature of Perm ee ?? ? .?!z- -'U-`"?(/zrx-1.y •
"9ARR CALVIN CONST
Assessment I Permit
Water & Sew. I Surcharge
Police
Fire _
Planner
Council
BIdg.Off. 4 3 8(i
357.00
39.00
Plan Review 183. 50
SAC 5'75.00
Water Conn. 500. 00
Water Meter 63.50
RoadUnit 290.OU
Tr. Pl. 1`_i Ei . U 0
Parks
Var. Date Copie
Total ?0 G
A Building Permit is issued to: ? on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
1 I w.mn No. I wrmn Hdd.. 1 oaa 1 rOI.PnO. x I
Ilnauectlon Dite I InaP. II Comments I
Rouyh Plbq.
zz?
Rouyh Mty. Ala l? rFG J. Zl. '^ ,d?
Miq.
Oee.
Frmp.
DNp.
, . PERMIT M ? 7 )
MECHANICAL PERMIT RECEIPT # ? a aa ?
CI7Y OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT ORICE PHONE: 454-8100
Site Address TYPE WORK DESCRIPTION
BLDG
Lot?Block
Sec/Su ?
' to" .
?
Res.
New
? Name Mult Add-on
m Address ? Comm. Repair
c City Phone
Other
? Name '
f FEES
c Addr J VC RES. HVAC 0-100 M BTU -$24.00
p City ? V ?hone ADDITIONAL 50 M BTU - 6.00
A/h ? ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
Forced Air
M BTU GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 14'o OF CONTRACT FEE
Boiler M BTU MINIMU(vl - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
r o BEYOND $1,000.00)
Gas Piping Outlets #
Other
C/
FEE r?• ? ?il/Y ?
S/C: s? SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
PERMIT # ?? -
MECHANICAL PERMIT RECEIPT # ?o a a
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
SiteAd ss -iH_c
Lot c Block
? I Name _
m Address .
M
.S Ciry h
? Name _
c Address
o C'h' =
OF WORK
Fo rced Ai
i
Boiler
Gas Piping OuUets #
Other
Phone
BLDCs. TYPE
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New Jk_
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAI FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
1500 C? M BTU
M BTU
M BTU
? M BTU
CFM
?
FEE ? /p/G??A? I!
S/C' ? SIGNATURE O MITTEE I
TOTAI: ' II
FOR: CITY OF EAGAN
?
J
PERMIT # ??•l?-
PWMBING PERMIT RECEIPT # ' 9
' CITY OF EAC,AN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
' CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. IYPE WORK DESCRIPTION
Lot Block ? Sec/Sub
- Res. New
Name Mult Add-on
S Address Comm. Repair
c Ciry Phone Other
NO. FIXTURES TOTAL
? Name _Water Closet - $3.00 $
; Address _Bath Tubs - $3.00
O City Phone -Lavatory - $3.00
Shower - $3.00
FEES Kitchen Sink - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE
pp
MINIMUM - RESIDENTIAL FEE _ g1p Urinal/Bidet -$3.00
Laundry Tray -$3.00
. -Floor Drains -$1.50
MINIMUM - COMM/IND FEE _ 20.00 -Water Heater -$1.50
STATE SURCHARGE PER PERMIT _ .50 _Whiripool - $3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10
00
.
-
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C: ?
FOR: CITY OF EAGAN GRAND TOTAL• ?_ ',
f' .
Site Address
Lot `- , ??' Mock ?
? I Name
Y Addre
c City _
Name -
c Address _
p City
PLUMBING PERMR
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55721
PHONE: 454-8100
FEES
COMM/IND FEE - 146 OF CONTRACT FEE
MINtMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF
RECEIPT fk
DATE:
BLDG. TVPE WORK DESCRIPTION
Res. New
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
1Nater Closet - $3.00 S
_Bath Tubs - $3.00
_Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
_Urinal/Bidet - $3.00
Water Heater - $1.50
_Whiripool - $3.00
Gas Piping OuUets - $1.50
-Softener - $5.00
_Well - $10.00
_Private Disp. - $10.00
_Rough Openings - $1.50
FEE
II STATE S/C:
FOR CITY OF EAGAN GRAND TOTAL: ,
I
CITY OF EAGAN Remarks
Addition OAKWM MTs 2ND ADDN
Owner
S
streec 4431-33 LYNX ODURT
10-53801-050-01
EAGMI A?V 55123
Improvement Date Amount Annual Years l ayment Receipt Date
STREETSURF, g 7f
STREET RESTOR.
GRADING Is"871
1981
49.62
3.3D
15
SEWER TERAL 577 1981 34.31
SANSEW TRUNK 19$1 213.irJ 10.65 20 /
SEWER LATERAL 5 I!V 1981 24.45 1.22 ZO
WATERMAIN
WATER LATERAL .51.3 1981 45.43 2.27 20 /.
' wATER AREA 1981 213.15 10.6l1 20 ,
WATER LATBML 1981 28.72 1. ,
STORM SEW TRK 853 ' 19S4 717.20 47.81 is
STORM SEW LAT
1984 353.58 35.36 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knqb Road
P. O. 3ox 2'89 PERMIT NO.:
Eagan, MN 55121 DATE -
Zonirg: No. of Units: ; ? " - -?
?
Ownar: ?
Addmss: ?
' Stte /lddress: `•4=;1 T.wax C'surt
Plumber:
AAeter No.: Connection Chorye:
Site: Atcount Deposit:
Reuder No.: Permit Fee: 71
1 prw h-- -yl?r wieh IM Gh of R+yes Surchorge:
O?/iwewar. Misc. Charyes:
TOtaL•
By Dats Poid:
Oate of Insp.: Irup.:
CITY OF EAGAN SEWER SERVICE PERMR
3830 Pilot Keob Road
P. O. 3ox 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zo^inG: - 7?2 No. of Units:
Owner: '`ark 1v n Cu^St. ^
Address:
Site Mdress: fi1,31 I.vnx <".ourt t.4 ?'-
Plumber.
_ _? _ ., . • ,
1 prN M esmoy wiM tlr Ciryr ef Espn Connaction Cha?pe: 47S O?diwaseN. AccouM Depoaih s ` Permit Fee:
Surcharps:
BY Misc. Chcr9es:
Date of Insp.: Totol:
Insp.: Dab Pold:
OF EAGAN I, 7?} 70 WATER SERVICE PERMIT
P?tut Kn-ib Road
Box 21199 PERM4r NO.:
i, MN 55121 DATE:
IZ No. of Unirs: u?teti
.. ,1ark C31C17i t;0i1::`.
/lddrcss:
.,ne ro mmpl, wkfi a»
Dote of Insp.Ci'- "v ? Totol: '.5i'p3 neLe.r
_ Date Poid:
- Insp.•
CITY OF FAGAN SEINER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan
MN 55721 DATE:
,
Zonirg: No. of Units:
OWr1lr: 'r!• _ ?
AddR55: -
Site Address: t vVy C'11'.?3 '- -
Plumber. p}..?.h?r
4-7-:;6 ?:??`!r,
t yr« te aa.oy wMh Nu C11y ef !No¦ Connection oarpe: .
Ordinanqs. ActouM Depoait:
Permk Fee:
Surcharoe:
B Charoex
Miac
r .
Date of Insp.: Total:
Iruo.: Oota Pald:
CITY OF F4GAN WATER SERVICE PERMff
3830 Pilot Knob Road'
P. O. BQx 27199 PERMIT NO.:
Eagan, MN 55121 DATE
Zoninp: ' No. of Units: `
Owner:
Address:
Sih ^ddrcss• "433 T:aTtx r.UtiY° Lr C'a1.>:.>o --
Plumber.
Meter No.: Connectian Charpe:
Size: ACtouM Deposif:
-
Reader No.: Permit Fee: i. i7 , i'•?'t+'
1Gyiw 1e eswpyr MN6 tlw Ciry ef Lowa Surcharge:
•
onsN?.
AM5C. ChqIQRS: : 3, i^,
rS ,100
Taal: 0
i. `=:r•:zt ,, ; _
B Date Poid:
y
? Date of Insp.: Insp.:
CITY OF 'AGAN
3833 Pil
K
b R
d f yyATER SERVICE PERMIT
no
of
oa
?
P. Qs Box 2;199
PERMIT NO.:
Eagan, MN 55121 DATE:
Zoniny: -
;;x•:?;.
No. of Units:
Owner: ..:•t?;, t:2iViLl
Addmss:
SIM /lddrcss:
?
I
?
_ " D?I.II^n i l
Plumber.
Meesr No.: 3 70 /8/ r,e nnp?
size: sl,r-, Ros-/t Befnre dig6wdld? ti? •'''""'?
Reade? No.•?/ 5 8 6<{ T?FI FF N@*iiE?ij?
I prw le aanoyr w11U 1M Cky ef Kth?S?q?a? 5!}r.?' -
?
??lr
V? ??
O
di
r
eenar. .
.
Total: `
By Dats Poid:
Date of Inap.. Insp.:
• CASH RECEIPT
CITY OF EAGAN ?
3795 PILOT KNOB ROAD
DATE 19 aecerve ?e??
FRO ?/?J ?
AMOUNT $ I ?U
?
/.1?a ?. ?/De ? `?Sl?? `?5??-? ?? ?
& DOLLARB
? CASH CK
_ PUNO
CODE
oof?
ppqp
Q
?v
? 7?
Thank You No- -61906
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
EAGAN, MINNESOTA 55122
RENTAL UNITS CITY OF EAGAN
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
? BUILDING PERMIT
Receipt #
N2 11741
Tobeusedtor 1/2 DUP & GA]ggt.Value $78r000 Date APRIL 7 106
4433 LYNX CT
Site Address Erect C? Occupancy R3
Lot 5 Block 1 Sec/Sub. OAKWOOD HTS 2ND Remodel ? Zoning Pp
Parcel No Repair ? Type of Const. V
. Addition ? No. Stories
¢ MARK CALVIN CONST Move ? Length 42
Name Demolish ? Depth d']
3 Address 3700 94TH ST E Int.Impr. ? Sq.Ft.
° City I. G.H. Phone 457-3700 e Install ?
o SAME
Name
=
ou
-c
Address
~ City Phone
F W Name
z
?
a Address
z
a W City Phone
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner-
Council
Permit $ 367.00
Surcharge 39.00
Plan Review 183 . 50
SAC 575.00
Water Conn. 500.00
Water Meter 63 . 50
Road Unit 290.00
' Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bld .Ott. 4/2/86 Tr.PI. 156.00
information is correct and to comply with all applicable State ot 9
Minnesota Statutes an i of g r#h efF?s. APC Parks
Var. Date Copies
Signature of Perm' ee T06, 0 0
A Building Permit is issued to: K CALV IN CONST on the express condition that
all.work shall be done in accord ity ap IicaC innesota Statutes and City of Eagan Ordinances.
Building Ofticial-
_ ?-,
RENTAL UNITS CITY OF EAGAN
11740
N
. 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, M - .
N 55121
PHONE: 454-8100
BUILDINCi PERMIT
Receipt#
Tobeusedtor 1/2 DUP & GAkst.Value $78,000 Date APRT . 7 ,?g$(
Site Address 4431 LYNX CT Erect ?l Occupancy R3
Lot 5 Block 1 Sec/Sub. OAKWOOD HTS 2DTIlRemodel ? Zoning Pp
Parcel No. Repair ? Type of Const. 1.7
Addition ? No. Stories
W Name MARK CALVIN CONST Move O Length 42
z 3700 94TH ST E Demolish ? Depth4T_
3 Address
mpr.
Int
0
I.G
H
457-3700
Sq. Ft.
.
City
. Phone
I
ns a
O
o N SAME Approvals Feea
ame
0¢ Address
~ City _ Phone
?a
Name GENE LANGE
F W
x ? Address
i W Ciry Phone
? I, herebyacknowledgethatlhavereadthisapplicationandstatethatthe
information is correct and o comply with all plicable Siate oi
Minnesota StaWtes i of E c
SignatureofPer ttev ,
A:BUilding'Permit is issued to: MARK CALVIN CONST
aU work shall be done in accordance with *(#pplicatale P. of MJnnesc
Assessment
Water 8 Sew.
Police
Fire
Eng.
Planner
Council
Bidg. ott. 4/3/86
APC
Var. Date
Permit 367.00
Surcharge 39.00
-
Plan Review 50
?T.
sAC 575.00
Water Conn. 5 0 0. 0 0
water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies
Total $2 .174.00
on the express condition that
Statutes and City of Eagan Ordinances.
Building OHicial
HOUSE HEATING TEST RECORD 'L"' S1 16
4-l¢5
ADDRE55 4433 Lynx Ct. ??
APT.-FLOOR CITY SUBURB EdQdf1
OCCUPANT none OWNER Calvin C011St. ?
HEAT LOSS DATE HTG. INST.
SOLD BY Metro Bros, HTG R A/C INSTALLED BY Shcfl2
Elechieal Work By others Gas Line By same
TYPE OF HEAT GA FA XX HW STEAM SPACE HTR. UNIT HTR. OTHER
? GAS DESIGN
MAKE Whirlpoal MAKE OF BURNER_
Model NUGI 075AGo1 Model
SmiaI H60482005 Max. BTU Rating-
INPUT 75000 MAKE OF FURNACE
Modal
CONTROLS
THERMOSTAT I87 Heat Plug Vent Siza
yalve H0I1P_yWP11 KIND OF LINER SIZE NONE
Limit Honeywall DrohHood VPY`t7Ca1 RegularormdX1tY'0l 325
Limit Setting 200 F Filfers Size Number
Fan Satting 11n F Ch{mney Location Inside XX Outside
Pilot Typa Spark Chimnay Conatruction R-1Ce llt
Pilot Make Honeywel l
Pilot Model S86F Smoke Bomb Wiring others
Pilot Timing Inst Draft Test Tag
L.W. Cut Off Door Pmssure Lighting Inst.,;/Pq
Pressure 3.311 WC PercentCO Dote Tested9-Z3-H6
Input CFH 75000 Percent OZ Company Testing Metro Bros. H't4 & A/C
STack Tamp. 250F R@t, Percent CO Nome of Tester L. Ri ven
CONVERSION
Form 235
?
REQUEST FOR ELECTRICAL INSPECTION
If See instructions lor completing this farm on beck of yellow copv.
?"X" Below Work Covered by 7his Request
Add Rep. Type of BuflAinO AvPliancea Wired Equiument Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial 81dg. Furnace Silo Unloader,
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm the? peci Y Olher(SPar.ify)
...,
......
,. /..,. t ar Suecify
.._....__ r_. .. . Iher
/is
77 Fee SarVice EntrenCe Si2e b Fee Feeders/Subteed'ers p Fee Cireuits
0 to200Am s. 0 to30Am s , 0 tn30Am
Above 200 qmps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_AmpS
Transiormers
Signs Irrigation Boorcis
Special hispection Partiat.'Other Fee
-
Rerr?rks
rP,P
? TOTAVAEE
--?,
/ r/ ?,/-) )
flough-in - - ' -
Data L (?
?(-
d J?
I, tha ect cri?"a?l/
? J Insoecbr, here6y
Fi
nal a
De certify that the above
?"l? ins0ection has 6een
?w?.. ......._....._u . e ""`''_" ol(?
V made.
7ry'i's reQUest void ?/)
7o nwnths from ?' /? `-' "? ?
?C ? 2 1 3 4
Request Date Fire No. Houph-in Inspection fl q ired? ?Neady NuwWill Notify. Inspec-
or Wh
F
Yes ?No en
eady
Licensed Electncal Contractor I hereby request inspection of above
? Owner elecirical work inslalled at:
Street?dd. s, Box or Route No. -T City
ection o. Towns ip Name or No. Range No. County
OccuVant (PRINT) Phone No,
Power Sup lier ?
?' ,f??
oA ? Addre
s
?,,4V/;V?TW
Electrical Cont or Company Name?), ?- ?
d,?f?i?QSd?i/ Contractor's License No.
Mailing AdJress (Contractor or Owne a n0 Instailation)
?
? ''
?r
X3
.,
.
zli V Jr
Authorized Signatuce (Contractor/Owner Making Installation) Phone Number
' v
MINNESOTq S7ATE BOAflD OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
Griggs-MidwaV 8ldg. - floom N-191 BE ACCEPTED BY 7HE STqTE BOARD
1821 UniversitY ?+ve., St. Paul, MN 55104 l1NLESS PHOPEN INSPECTION FEE IS
Phona 1612) 297-2111 ENCLOSED.
C,???/?o
V "-??
? 5 5 5 &1
'
RequesE Oate Fire No. Rough-in Inspeciio
R
'
ector
t
?fleadyNow OW?
Pebruary
26, 1990 pyy?
?'No eadyP
hen
y.
10 licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Sireet, Box or Route Na.) CiTy
4433 Lynx Court Eagan
Section No.
Township Name or No.
Range No.
Counly
I I Dakota
Occupant (PRINT) Phone No.
Clyde Hess 687-9606
Power Supplier Address
Electrical Contractor (Company Name) Contractor5 Licerise No.
Corrigan Elatric Company 039549 8
Mailing Address (Conlractor or Owner PAaking Installation)
P. . Box 475 Rosemount MN 55068
Autho' Signature (Conira orlOwn Making Installation) Phone Number
423-1131
MINNESOTA STATE BOpq?u uF ELECTRICITY / I 7HIS INSPEC710N REQUEST WILL NOT
Grigga-Midway Bldg. - boom 5773 ( I BE ACCEPTED BYTHE STATE BOARD
7821 University Ave., SL Paul, MN 55104 I! UNLE55 PROPER INSPECTION FEE IS
Phone (612) 642-0800 V ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
S 10, 6pe instrUCtions for completing ihis form on back of yelloW copy.
(p . 5 5.9 9 1 `X° Below Work Covered by This Request
9'• es-00001-07
" °lp/-?'r2
ew Aft(L Rap. ?. Type of Building AppliancesWired EquipmeniWired
' Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building g Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air Conditioner
01her (specify) Canirector5 Remarks: .
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps ??.Amps
Signs A
lnspector5 Use Ony: ' ? TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
th
tif
h
i Rough-in Date
cer
y
at t
e above
nspection has
been made. Final Date
j4C)
OFFICE USE ONLY
This request void 18 monihs irom
This request void ?. r3 3.? J
"
18 months from
C 12165 ,
Request-zDate °
S^ r J
?
- fire No. RouPh-in Inspeclion
R quired?
?Readv Nuw?Will Nolifv. inspec-
?? tar Wh
n R
d
O
J Yes ? No e
ea
y
L?censed Electrical Contractor- I bere6y request inspection ot above
? Owner electrical work ins talled et: .
Street Address, BOZ or Rout No. ??
? Gty
3
ecuon o.
Township Name or No.
1 7-
RanNe No.
Counry
Occupant(PRINT) 6
CA ZJI// ` Phone No. .
Power up li r Address
,d oT r? ' o:?
Electrical Con r ctor (ompan Name) n ` Contrac.tor"s license No.
?J
Mailin /AdJress (Contractor or OJ?wner M,/a?kinO InstailatioN .
"? V`?`°N 'Ja
Authorized Signature IConiracior/Owner Making Installatiqn) Phone,.N.um6ec_
MINNESOTp STATE BOAHD OF ELECTflICITY - THIS INSPECTION XEQUEST WILL NOT
Grie9s-Midway Bldg. - floom N-197 BE ACCEP7ED BY THE STATE BOARD
UNLESS PROPEN INSPECTION FEE IS
1821 University Ave., St. Paul, MN 55104
Phone (812) 297-2111 ENCIOSED.
? ?._? ncuut?i rUM tLtGTRICAL INSPECTION ? EB-??001-U4
`.. -,.. , See instructions for complelinB this form on back of yellow copy. 12165 "X" Below Work Covered by This Request 77:ia
ev, AAd p. Type o1 BuilEing ApplinnCes Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unloader,
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm Othei Soeci v other?snenitv)
# Fee Service EntrBnCeSize q Fee Feeders/Su6feeders H Pee CirCUits
0 to 200 qm s 0 to 30 qm s 0 to 30 Am
Above 200 Amps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transrormers Irrigation Booms Partial•'Other Fee
a'9Fiy S ecial Insp ti n
Rerrurks S 6850 TOTAL FEE
Rough-in
Date ?
I, the Ele cal
nspec[or, hereby
Final certify that the ahove
D:?te/` inspection hes baen
made.
Tnro requesc voio in momrre rrom
`
_ ? ? ?!E_?c
2006 RESIDENTIAL MECHANICAL pERMIT ArrLicATiorr
? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date
Site Address r Unit #
Property Owner elephone # :Z- !7?
Contractor gEpGyyIGK HEATING A sil roNOirl0i.xo ci I.i.t;
8910 Weniwurth Ave.
Street Address _ Ml,,,,eepe?is
UN 55420 City
,
State (952) 881 -`10 ?p Telephone# ( )
Bond ? ? 4 Z) 0 ? Ll 16, Expires: 6 o U '4)6
The Applicant is Owner V' Contractor Other
Add-on or alteration to existing dwelting unit $ 30.00
-iz' furnace _Additional ?Replacement _ New
air exchanger
air conditioner
heat pump
other
State Surcharge I y $ .50
Total $
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans. , ?
?
Applicant s rmt? ' `'?'` ntvvorth Ave Applicant's Signature
.
Mlnneapalis, MN 55420
(952) 881-9000
c ?s 4?2a-3o Ly"x G,-
PF.RlQT APPLICATIOp - CITY OF SAGAN
NOTE: ALL CONTRACTORS MQST BE LICENSED iiITH THE CITY OF EAGgN
SINGLE FAMIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVEY, 1 SET OF ENERGY CALCULATIONS
M[TLTIPLE DWELLINGS - RFSIDENTIAL RENTAI. IINITS 2- FOR SALS DNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK WITH BLDG. DSPT.,
1 SET OF ENERGY CALCULATIONS
CONRlERCIgI:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OE SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
?Z T-?.lihl 1?,?tJ
To Be Used For: 4-4 Valuation: .
Site Address OFFICE U?
Lot --'!5?' Block I
o.*t?S .Z ?a? ?•
Parcel/Sub ?'•GU. %? 5-6a,
Owner -zVA? 0,jto4Uw
00 - 9Y??s7`•?•
Address 37
City/Zip Code A„[: W//?j?s
Phone oW7 3;bo
Contractor &Aff41 ?
Address ???Q - ????,?•
City/Zip Code
Phone 4{S 7- 32o a
Meh./Engr.
Address
City/Zip Code
Phone #
nate: 3-2w- gG
Ereet X Oecupancy 12 3
Remodel Zoning P ?
Repair ? Type of Const
Addition # of Stories
?
Move
Length _
42
Demolish _ Depth
Int.Impr. _ Sq Ft
Install
APPROYALS [tEES
Assessments Permit
Water/5ewer Surcharge
Police Plan Review 10 3.s- '
Fire 5AC -75
Engr Water Conn 500
Planner Water Meter co3-S° ?
Couneil Road Unit
Bldg Off _? Treatment P1 IS(a.
APC Parks
Variance Copies
TOTAI, ?
NOTE: ADDRESSES FOR CORNER LOTS - CUNTRACTOR/HOHIEOiiNER MIIST DSSIGNATE NHICH ADDRESS
IS DESIRED. NO CHANGES iiILL BB ALLOWED ONCE BOILDING PERMIT IS ISSUED.
23x 42 "?c?c? ? s? -
13 o
Z2 x '7-4-- SZg x l2 '
S(o 0 2(5
I S08r)
Co 336
44-
,_, ?
-.,
?- .
.?
?h1?2GY Cac.?5. ?,?r?? ?5 442?,•3c? (?7?rx C77,
.
? /
1986 BIIILDING PERNQT APPLICATION - CITY OF EAGAN
NOTE: ALL COPTRACTOHS H[TST BS LICENSED iiITH THE CITY OF EAG9N
SINGLE F9MIILY DTdELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DWELLINGS - RFSIDENTIAL RENTAL DNITS -.-7 FOR SALE DNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRYEY - CHECB [iITH BLDG. DSPT.,
1 SET OF ENERGY CALCULATIONS
C02MBCIAI:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2p000 LANDSCAPE BaND
'/2 TWrN
To Be Used For: gexJ? Valua
Site Address 'f"`L 33 Lot ? Bl.oek J_
ORt I-f?. 1' ? cl ?? •
Parcel/Sub W ?e.,
Owner eC!:?Vlptv
9ddress ?7 /vC5 /'T ?"? ':IV ?.
City/Zip Code,_
Phone 3 70 0
Contraetor
Address S700 AF
City/Zip Code ?f1JF? ??Oe ??
Phone /I?7
Arch./Engr.
Address
? 8,ocso
tion: ? Date:
Ereet X Oceupancy
Remodel Zoning P1?
Repair _ Type of Const
Addition # of Stories
Move ' Length 4z-
_
Demolish Depth 41
_
Int.Impr. Sq Ft
Install
APPROYALS E'EES
Aasessments Permit 3&-7
Water/Sewer Surcharge
Police Plan Review I P? 3$O
Fire SAC 5'IS
Engr Water Conn 500.
Planner Water Meter (93.?°
Couneil Road Unit 2qo.
Bldg Off A? Treatment Pl I 5 Co •
APC ?? 7? Parks
Variance Copies
TOTAL ?
City/Zip Code
Phone #
NOTE: ADDRESSES FOR CORNER LUTS - CONTRACTOR/HOHEOWNER HUST DESIGNATS iIHICH ADDRESS
IS DESIRED. NO CHANGES iiILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSDED.
23x 4-2 ???6? x 5? = s?o2s
I 3 x? = 2?o x s&I
Z2 X 2-4-` l2 ` CQ 33(o
?.. ?
.
1 -7 4¢ 4--
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN /?/
3830 PILOT KNOB RD - 55122 x?
651-681-4675
Reaulrements
? 2copiesotplan
p
DATE: COIYSTRUCTtON COST: RulN? -Cr?wv"?` 5?
([ ?Cae
DESCRIPTION OF WORK; `v?.?Lv rIf muMl-tamlly bid1g., how many un?? -?
\ h 1Ullfci' kC/X'o'v:;n wa?,
IPfDICATE THE FOLLOWIIVG EQUIPMEfNT YO BE REPLACED AIdD BY bVHOAA:
_ Plumbing _ Homeowner gg Contractor Name
_ Mechanical _ Homeowner M Contractor Name
*`NOte: If somebody other than the homeowner is pertorming plumbing or mechaniCal work, they must apply for appropriate
permit. Only licensed plumbing contractor or homeowner may complete plumbing work.
STREETADDRESS: tAq?5 WnX ??•? ?_L?,wjAW.? Mn. ?S1L3
LOT: ? BLOCK: ? SUBD./P.I.D. #: Zk
Name: /s I A Phone #:
PROPERTY Last Ptrst ?{-
OWNER
Street Address:
City State: P'1 n. Zip; :5- SI Zt)
Company: Phone #:
(area code)
CONTRACTOR
Strest
City
State:
Zip:
D ?? ?7 p T ? -
? DEC 19 2000 p
I hereby acknowledge that I have read this applicafion, state that the information is correct, and gree to compiy wilff-ciMpleabie State
of Minnesota Staiutes and City of Eagan Ordinances.
?
Signoiure ot Applicant:
Llcense # Exp.
RESIDENTIAL
Z BUILDINC PERMIT APPLtCAT10N (??J
6
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Coastruction Reauirements
• 3 registered site suneys showing sq. 8. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, elc.)
• 1 set of Energy Calculations
• 3 copies ot Tree Preserva6on Plan if lot platted after 711193
• Rim Joist Detail Options seledion slceet (bldgs with 3 or less units)
DATE Co -a 7- D ?--
SITE ADDRESS
TYPE OF WOR
APPLICANT _
STREET ADDRESS
SELA ROOFING & REMODELING, INC.
ST.
TELEPHONE # 60-8;)-9-
E#
FAX #
r
PROPERTYOWNER? hk, SLYIe PPS? pL) I'?? TELEPHONE#
------------ ---------------------------- ---..................... -------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 MINNTSOTA RIILES 7672
(4 submission type) . Residentiai Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor. ___
Plumbing system inctudes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
_ 4Vater Softener
? Water Heater
_ No. of Baths
Air Conditioning
Heat Recovery System
?UITI-PAMILY BLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
STATE ZIP
Phone #
Phone #
Fee: $90.00
Fee: $70.00
................. ---------------------------------------------------------------------------------------- -----------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree tg comply
with all applicable State of Minnesota Stafutes and City of Eagan Ord+nan es r, MF? nI
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _
Tree Preservation Plan Received _
RemodeliReoair Requirements
• 2 wpies of plan
• 1 set of Energy Calculations for heated addifions
• 1 site survey for exterior additions & decks
• Indirate if home sened by septic system for additions
VALUATION CD a c? 19
_ Phone #
Lawn Sprinl:ler
No. oF R.I. Baths
JUN
Not Required _
Updated 4102
RESIDENTIAL
?
? BUILDING PERMIT APPLICATION
156 CITY OF EAGAN ? 2$
3830 PILOT KNOS RD, EACAN MN 55122
651-681-4675
New Construction Reauirements RemodeUReuair Reauirements
• 3 regislered site surveys showing sq. ft. of lol, sq. ft, of house; and all roofed areas • 2 copies of plan
(20% mauimum IM coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window s¢es; poured found design, etc.) . 1 site survey for exterior addilions & decks
• 1 sel of Energy Calculalions . Indicate if home served by septic system for additions
• 3 copies of Tree Preservalion Plan if bt plaUed after 7/1193
• Rim Joist Detail Options seleclion sheet (bldgs wilh 3 or less units)
DATE Cg-A?- Q'?'
SITE ADDRESS 1' 3 L v 'in X__ _ G+ TYPE OF
_ Water Softener
? Water Heater
No. of Baths
APPLICANT SELA ROOFiNG?& REMODELING, INC.
4199
STREET ADDRESS ST. LOUIS PARK, MN 55416 CITY STATE ZIP
TELEPHONE # 612-923-WiLCELL PHONE # FAX #
PROPERTY OWNER V I I?1 ?l Ir 614 ? TELEPHONE #a5 Y+CClfo ?
----------------------------------- ------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATF.GORY 1 MINNESOTA RIJLES 7672
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor. ___
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
? zoaZ D
Phone # _ ?_ JUN 2
-----------------------------------------------------------------------------------------------. ----------------
I hereby acknowledge that I have read this application, state that the information is corr??? -ct?dgr6"e1o comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicanf
- .. OFFICE USE ONLY
VALUATION S
MULTI-FAMILY BLDG _Y _N
_ FIREPLACE(S) _ 0 _ 1 _ 2
_ Phone # .
Lawn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 4/02
- CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER ANDlOR WATER CONNECTION
1) PROPERTY ADDRESSc
LEGAL DESCRIpTION:
ase
RRF- ??xxwwx?A'
F
bR7.['w,: PPiYMENT Ot'' k'EE AT TIMF'+ QF *
APPLICATION DOFS NOT CONSTI1utE x*,
APPROVAL OF PERMIIT. . ?
?
INSPDGTION OF SLWR ADID/($2 %lhTER ?
n,S+rnr.ramrONS WIIS, 1VOT BE S(HED- *
?
ULID UNPII, PERMIT HAS BF.FN *
APPROVFD.
?
*
*
*
. lLOCiulocx/subaivis}on or '
IF EXISTING STRL'CILTRE, DATE OF ORIGINAL BUILDING p?T ISSI
PRESENP TANING/PF20POSID LSE: i
[] C0fi''.E2CIAL/RETAIL/OFFICE
[ j 2DIDL?STRIAL
Q INSTIZUTIONAI,/GOVII2AlME[VT
(Mon Year ...
? R-1 SINGLE FAMILY •
`R-2 DC'PIEX (?,v Units) , . _
R-3 MWtNkIOLSE (Three + Units) ( t?ni,ts)
? R-4 APAR'IIKIIVT/COmC??NIINZC'M I Units)
? Z) -? NAM= vt) ADDxEss: LU ?- ..-
CITY.` S'FATE. ZIP: ,
) .- .. . --. ?,
PHdNE: -70l:.J
3) !STATEr ?ME. For City Use Plums License:
ADDRESS: . A,ctive CITY. ZIF: NoExpired
t recorded
- MASTER LIC?NSE# .
St Inltxa3
?') aaau .? o i,ia?: ` : NAME=_,..? ? PC? ?z "A-712--- . .
= ADDRESS: . .
, GI'1'Yr , STATE. ZIP: -
- - , PH0NE: .
s
•5) _ ? ? v i ? a: • ?• : ? • ?• ??
_. _???ND1EC.'TION TO CI`'Y SEWEEt CONNECi'ION TO CITY WATER ? OTFm
6) 10-•?- [3 PLF.ASE HOLD APPROVID PERNIIT EC)R PICK-UP BY ONE OF P,BpVE
. . PLEASE MAIL APPROVID PERMIT TO 1, 2. 3. 4. AB0
t one ? • .. .-. .
?) Cir, /?
,. . •. _ . .., . .,..^. , .? .x,. . " _,?.._. . . . . . ' . "
_ .. . . .. .,. . . .. ._. . .. . .
. ...._. ... ..?__. . , ,
? . ..
, ..FOR -CITY USE,? ONLY
PERMIT # ISSbED
$ • $ WATER TAP (INCLt'DE CORPORATION STOP)
.
.. . ,
° ???,
r-rTr=?".r?.?+ ?k'
;? . + ?, •t?
"
$
, . t
r
SEWER TAP
,. :
:.._. ..,. ;.,
ACCOUNT DEPOSIT SEWER s?.
?
_:
ACCOLNT DEPOSIT -- WATER _.-
wAC _ , .
' ' . ' .. ._.'
.
. .. ' [ .
. . .
SAC , ... i i"::.i ..Cy....
' .......
$ $ TRUNK WATER ASSESSMENT
, ,. . . .,
C'
$ - TRUNK SEWER ASSESSMENT .
$ $ - LATERAL BENEFIT/TRCNK SEWER _
LATERAL BENEFIT/TRCNK WATER _
6??U' WATER TREATMENT PLANT SL RCHARGE
$ OTHER e _ - =- • - -
$.. t..?2- /' .. .
$.. . . . .
.
.
TOTAL Y .)
" '
.
.
,. ,r _.
_
x ..__RECEIPT .:.:.:
s,_ . RECEIPT
.
..
DOES LTILITY.CONNECTION REQUIRE EXCAVATION IN PLBLIC RIGHT OF WAY? . , .... .
----- __ --_ ,
Q YES - -
'IF YES, THEN A"
PERMIT FOR WORK 64ITHIN PUBLIC
:..
- • ROADWAY" MLST BE ISSUED BY THE ENGINEERING
? . NO DIVISION. LIST AS A CONDITION. ?
SUBJECT TO THE FOLLOWING CbNDITIONS: -
APPROVED BY: ? ..-t?LL,,•./ ,?? t? 4?-'71-'?
TITLE:
DATE J6
?I Z ?I
: /
C I T Y F E A G A i1? **'0T? ? PA?rr oF ?Ax ? oF ?
. _ ? APPLrcATIoN DoFS Nor C10+sTT= ?
. ? APPRovAr. oF PERMrr. ?
?
APPLICATION FOR PERMIT *
* INSPE7CrION OF WM PNID/OR tir4ATIIt *
, r.ramrpNS WIIL AIOT BE Sam- *
SEWER AND/OR WATER CONNECTION ?ULID UNM PEMIT BAs DEM
. . • . ? APPRWID.
* *
- - • ***?**?**?**??*,r*,r*+t,t?t*t:?r#***?ra,t,r*
, (Please Print)
~:1) PI20PERTY ADDRESS : I\ l I/1 v l 11,1-
LEGAL DESCRIPTTON:
Lot Block Subdivis on or Tax
IF E}QSTING S3RCCItJRE. DATE OF ORIGINAL BCtILDING PaIIT IS
PRFSELVr 7ANING/PROPOSID LSE: ,
CA'+?tCIALfRE'PAIL/OFFICE ? R-1 SIN= FAMILY
_. (rbn Year1 -
....:.... __....?..?... . .?.. .....?:a.?.? ' k...
Q IND75TRIAL R-2 DL?PLEX (Ztao LTnits)
._....,__. .. _ r_ . .
. ? INSTITUTIONAI;/GCJ'VERNNMT ? R-3 RnWNFiOIISE (Three + Uruts) I Lfiits)
p R-4 APARTNR3+JT/CONDOMI1VILM ( Units)
2).?
1VAt+E: .
_ _ ..,:..
. ADDRESS: .
CITYi.STATEr ZIP:
: - - • - PHONE: _
3) - U r. ?• NAP,IEc )ri?
ADDRESS: J} 1/1 A
, -CT'P7C, 5'TATE, ZIP:?C??{/il?'/,?;Yi`?/'? , ?'n1 ???iL?? - •
PHONE: 6I?? MASTEE2 LICENSE#
. .",) aa.aa?a :?.? •.i.i?: ? ¢ . . .
NIA,MES--?L? ??c? `?"?`? ?
_ , . . ADDRE,SS: •
CITY. STATE. ZIP: -
- rur t,tt.y Use .
Pltucibers License:
ACtive
ExPi.red ,
•Not recorded
Staff =1a1
'PHONE:
s '
•5) _ ? :? v - ? a: • ?• : ? • ?• - ??
? CON[+IDCTION 70 CITY SEWF12 ? CONNF7C.TI0N TO CIT'Y WATER Q C/i'FER
6) ??? m• ?• r (? PLF.ME HOLD APPROVID PERMIT FOR PICK-CtP BY ONE OF AB(}Vg
?PLEI?SE MAIL APPROVED PERMIT 2i0 2, 2, ?¢, App? . . '
?b (Circle one) ,
:-FOR -CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
?.
$ $ fG • S70 SEWER PERMIT (INCLUDE SURCAARGE)
$ $ WATER PERMIT (INCLUDE St?RCIiARGE ) _
$ WATER METER/COPPERHORN/OCTSIDE READER
$ • $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCC7UNT DEPOSYT - SEWER '
t`Z ACCOLN T DEPOSIT - WATER. ^
$ 5 ? ?• C•r- $ WAC ,
$ ?,577 S-. &Cl $ SAC .
$ $ TRLTNK WATER ASSESSMENT
$ ? $ '- TRL'NK SEWER ASSESSMENT
`$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFITjTRtiNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$. -- -......; . " . _... : - - - $ OTHER : -
$ J-6 $ TOTAL
?7
/
R ECEIPT R ECEIPT
DOES LTILITY_CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES 'IF YES, THEN A"PERMIT FOR WORK WITHIIV PC?BLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
u NO DIVISION. LIST AS A CONDITION.
SLBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
17-?
TITLE:
DATE: T/ ZP /r
LC7
.
.
ti \
?
0
.
,o
?
Scale: 1 inch = 30 feet
O Denotes iron monument
? Denotes setback iron
?41.3 Denotes existing elevation
Denotes proposed elevation
b
`? oP ?q
s'??
?
I hereby certify that this is a true and correct representation of LoC 5,
Block 1, OAl(1i6W HEIGHmS 2ND AWTTI011, aCCOrding to the recorded plat thereof,
Dakota County, Minnesota.
Also showinq the location of a proposed house as staked thereon.
Dated: March 28, 1986.
.01
?PC016
,i
?
\
.\
s i?
iiii
r For Office Useik ,l -(1-'
��..* � '
,� I, Permit#: /- 1401(./.7—
. ., E AGA N
l
....
Permit Fee:
.....—„.
fiE C E I V E Date Received.3830 PILOT KNOB ROAD EAGAN, MN 55122-1810I
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 1. E JUL 1 0 2019 Staff: 1
buiidinginspectionsCaacityofeagan.com L
2019 RESIDENTIAL BUILDIWO-PERTfirT APPLICATION
Date: Site Address: Unit#:
Name: g( /4-4-- ike#.'74'�-- •
Phone:
Resident/ �� ��A.-.)< Gv��
Owner Address/City/Zip:
--pApplicant is: Owner Contractor O4KIiCtc( fI-E I
Type of Work Description of work: , fc)`•' 7" 60.1 't-t't
YP c
Construction Cost: / , 7'1— ._,
Multi-Family Building: (Yes /No )
Company: Di,j7 �v/c-J i7J L Contact: 4 ern') /'7Cf)1 /
Contractor
Address: (2-1k 4--/6!l P-)0‘14City: C
Stater 'Zip:SY0 )5 Phone:6 /^2-O d—L'¢G mail: 4Pfr'kL 141 trc e -'-P4/4,-G 44
License#:ieG 40O2 7 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 1m s,has the City of Eagan issued a permit fora 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:
Fire Suppression Contractor: Phone:
Ai'D'Tiig.Plhi o�rlth c do 'eft t °+eona ahrefi fo be . *'*n 1aibn ora of the l ation may be
c a.-' ff +na a ri+ o,,s t ws ar ,t#.:« to- bade sem.
You may subscribe to receivern electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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.
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.aooherstateonecall.orq
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 '
xl �C/V'/' x Ap ant's Printed Name APpliicast- ignature
DO NOT WRITE BELOW THIS LINE LIL13L_L/,IX C -1--
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
Single Family -7Garage Porch (4-Season) Exter or Alteration(Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Misc Ilaneous
01 of_Plex Lower Level Pool Acce sory Building
WORK TYPES
New Interior Improvement _ Siding Demolish Building*
Addition Move Building _ Reroof Demolish Interior
Alteration Fire Repair — Windows Demolish Foundation
Replace Repair _ Egress Window Water Damage
—
Retaining Wall *Demolition of entire building-give PdA handout to applicant
DESCRIPTION
Valuation J /3,7 615' Occupancy �2 L.- 'Z MCES Systenh
Plan Review Code Edition An 2.015-- SAC Units
(25% 100% ) Zoning ?7) City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction v b Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) X Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof: Ice &Water Final Pool: Footings Air/Gas Tuts Final
p Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
Insulation T--- Windows 2195 e DCI°P-
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By:. D /0 iii/ /7'4 , Building Inspector
i
RESIDENTIAL FEES L e-P t S r`1 tf,qzH& eZ ecBase FeeC
Surcharge . I d' Q L , g,9 cL
Plan Review
MCES SAC Z>oaR
City SAC 5.-;444)Pe.
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies d , 2 S"
TOTAL
Page 2 of 3
1
1
Sewer & Water Contractor:
EAGA
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-
bu ildinoinspections[aacityofeaoan. com
EGEJV
JUL 2 7 2020
r
For Office Use
Q
Permit* /4 V I I
Permit Fee:
Date Received: cD?--)
Staff:
BY.
2020 RESIDENTIAL BM -URIC -PERMIT APPLICATION
Date: 07/27/2020 Site Address: 4431 Lynx Ct
Unit*:
Name: Julia & Blake Lemcke Phone: 847-764-976
Address / City / Zip: 4431 Lynx Ct, Eagan 55123
Applicant is: Owner 1 Contractor
Description of work: Bathroom Remodel
Construction Cost: 6,000
L6-4,,,Alkictiik
Multi -Family Building: (Yes / No ��
Company: Great Lakes Window &Siding Cone: Derek
Address: 14690 Galaxie Ave city: Apple Valley
State: MN Zip: 55124 Phone: 952-891-34% Email: derek.glwsco@gmail.com
License #: BC060427 Lead Certificate #: NAT-23297-3
If the project is exempt from lead certification, please explain why:
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:
Phone:
Phone:
Fire Suppression Contractor.
NOTE, Plans and supporting a
lion -pub If
informatfan. ' Portions of me inform
co tctudo t iat.they era -
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cltvofeaaan.com/subscribe.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must ho completed within 480
days of permit Issuance.
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.aooherstateonecall.orq
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 Derek Brouillet
Applicant's Printed Name Applicant's Signe u
41,
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation , Fireplace
_ Garage
Deck
Lower Level
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
_ Replace
_ Retaining Wall
Ll6/1 L ynx of
_ Porch (3-Season) _ Exterior Alteration (Single Family)
Porch (4-Season) _ Exterior Alteration (Multi)
_ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
_ Pool _ Accessory Building
Interior Improvement
Move Building
_ Fire Repair
_ Repair
DESCRIPTION
Valuation • 00
Plan Review
(25%_ 100%_)
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: __Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By: %'‘P
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
Egress Window
Demolish Building*
Demolish Interior
_ Demolish Foundation
_ Water Damage
*Demolition of entire building — give PCA handout to applicant
Lfb
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
SSW Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA163601
Date Issued:09/08/2020
Permit Category:ePermit
Site Address: 4431 Lynx Ct
Lot:051 Block: 01 Addition: Oakwood Heights 2nd
PID:10-53801-01-051
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Blake M Lemcke
4431 Lynx Ct
Eagan MN 55123
Roelson Plumbing Services Inc
10924 Pioneer Drive
Burnsville MN 55337
(952) 288-1486
Applicant/Permitee: Signature Issued By: Signature