4871 Knottingham Cir
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CITY OF EAGAN Remarks
Addition BRTTTANY f#th ADI1N Loc S Rlk 2 Parcel 10 15007 05() 02
Owner 5treet 4871 Knottingham Cr. State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 (? 12.23 1 rjU
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA /e' / 53 , QQ 3 S• ?I, 1
STORM SEW TRK ?Q 0 19 942.00 2•$0 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 280.00 54000 7J25/85
WATER CONN. it 11
BUILDING PEF. 10653
so,c 525 . 00
PARK
0 CASH RECEIPT ?
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
Reearven
FROM I
AMOUNT $
. r
8 DOLLARS
+oo
? CASH FlCHECK
FOR_
. .?-r'?• ? -
FUND CODE A`MOUNT
% . r
Thank You
-
B Y ? 1
? : . .. .
i `.' L
'
?
?
2
tN
hite-Payers Copy
Yellow-Posting Copy
Pink-Fila Copy
Receipt
Date 2. Installation Cost
3. Job Address
I +
-Tract ?
?
4. Owner
?hone
5. Contractor _
fiC?lKE!i;i. . ?? i:u343
6. Address
7. City State ZiP
8. Building Type: Residential a Commercial O Institutional ?
9. Work Description: New Q Add ? Alter O Repair 0
10. Describe
11_
Na. Fixtures
Water Closet No. Fixtures
CesspooUDrainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink `
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: ..: - - - for'
Rough Final
Inspections: Date Insp. Date Insp.
PLUMBING PERMIT Parmit No.
CITY OF EAGAN
Fea
Fill in numbeied spaces S/C
Type or Print /egib/y Tot
.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
,? .
CASH RECEIPT
GITY OF EAGAN ?
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 ?.
. _ ,
aecelveo i .
fADM x .
aMOUNT s .. - , J .
J
8 OOLLARS
?m
? CASN 5j CHECK
) r' ^?? ? i? !-'_?•1 ' _
cGn , . i . . i
f_
BY
? Yvl?ite-Payert Copy ,??T,c?
?j YeliowrPosting Copy ???
Pink-Fih C',opy
Thank You
SEWER & WATER PERMIT
CITY OF Ei4GAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE tiAR 4. 1992
OFFICE USE ONLY
METER # PERMIT DATE 03/05J92
CHIP #
METER SIZE PERMIT # 12590
B.P. RECEIPT #'-- '.•' 1 lJt.- ? J`?
ISSUE DATE B.P. RECEIPT DATE 03 05 92
X PRV - BOOSTER PUMP
? SITE ADDRESS 4737 WES3'MINSTEx CIR
LOT 5 BLOCK 1 SEC/SUB BRITTANY IOTH
APPLICANT:
ADDRESS: _
CITY, STATE
PHONE: -
ZIP
PLUMBER: RICHI$S PLHG
ADDRESS: 7676 JASMINE AVE S
CITY, STATE COTTAGE GROVE MN ZIP 55016
PHONE: 454-0 5C3b
OWNER: ARLINGTON BUILDING COgP
ADDRESS: 13774 PBINCETON CT
CITY, STATE SAVAGE MN ZIP 55378
PHONE: 432-9725
PERMtT RECaUESTEO
x SEWER _L WATER - TAPS
- COMMiWD ._X- RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Instailed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be give51or Deduct Met I AGREE TO MPLY WITH GITY OF a
EAGAN ORD, ANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STURM
SEWER PERMITS, CONTACT ENGINEERtNG DEPT.
dU1LDING PERMIT
t.L.....afll? `.,
10553
Receivt #
ING H.e'+,M L. .l l`. L ,
Site Addreu. .
Lot Block ?/Sub. FT ' '3' , l
Parcel Na.
Mame
W
? Address
City Phone 4 5?- n' 1 Erect '{J
Remodel ?
Repair ?
Addition ?
Move ?
Demolish ?
Int Impr. ?
Install ? QCCUpMiC}I .
2oning
Type of Contt.
No. Storiea
Length
Depth r, ]
Sq. Ft.
Aporovals Foti
Name
uu Address Asseument Permit ?• '? t. ?(;
City Phone Woter & Sew. Surcharge t: .- 5 C
poliu Plan Review
?W NamB Fire SAC - ?J ?a
G Addresa
Mu z
Enp.
Water Conn
cW City Phone ptonner Water Meter
Council Road Unit
1 hercby acknowledqe tFwt 1 haw rcod rhis applicotan ond state thnt gldy, pff, 7 /1 6 Tr. PL
ths iniwmotion is corcect ond ogree to comply with oll opplicobie
Stote of Minnesota Srotutas and City of Eoflan Ordinanps. A? Pa?
,
Ver. Oate 7 !?h_?? J
SlqnoFuro of PermittN
'"
?
?,-'i? ?' S
A Buildiny Pem?if Is iuwd to: iV
•
, 5
Total 2
on fh? expmu condit{on 1F,at
dl work sholl be dorn in otao?danu with ali oppliaoble Stofs of Minnesota Stotutn ond Cfty of Eopon OrdirontOs.
Buildinp OffiNol
?
CITY OF EAGAN
3830 PUot Knob Rosd, P.O. Boz 21-199, Esgan, MN 55121
PHON E: 454-8100
? Permit No. Pwmk Holdw Doa TsNphorn i?
Plumbil+Y
H.VA.C.
EWitfle c?(?3 i ?' , ? so
8~or
Inweetion Oate Insp. Oth4r
Footings I ? =41-) ?,?--
Foatinys 11
Foundation
Framiny
Roofing
Rouyh Plbp.
Rough Htg.
Insul.
?
Flroplace
Final Hty. a ,.
Final Plbg.
Z4L
12
Flnal
Cort/Occ.
Watsr ??ibe Location:
WNI
Sower
Pr. Disp.
Reoeipt ? PLUMBING PERMIT Pe?mit No.
CITY OF EAGAN
FN
?• .
Fill in numbered;qaces S/C
Type or Print legibly Tot. . .
1. Date 2. Installation Cost
3. Job Address Lot 81k. Tract
4. Owner ? -
5. Contractor -' .• i ;/ /?"y •} > - _ Phone
6. Address
7. City State r Zip
8. Building Type: Residentidl Ea- Commercial ? Institutional ?
9. Wark Description: New 0 Add ? Alter O Repair O
I 10. Describe
I 11.
No.
" Fixtures
Water Closet Na. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
L- Shower Well
? Kitchen Sink
Urinal/Bidet Other '
' Laundry Tray
? Floor Drains
Drinking Ftn.
Slop Sink
? Gas Piping Outtets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
?- for , ._
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
Receipt MECHANICAL PERM17 Pemnit No. CITY OF EAGAN Fee
? fll/ in numbened spaces S/C _ •
Type or Print /eylbly Tot.
1. Date 2. Installation Cost '`l'L- , ?-• ?-
?/33•?I
3. Job Address Lox - B Ik. ?- Tract ?`--
_-----?'
4. Owner
5. Contractor - - ? - ??..•.., ? Phone `? I ? Z - i i -?%•?i
6. Addre:s .' ???S? ••?.?. /?;?I <"' . ".??'• /
7. City ? ? •-' _ , • ? _ _ Stete i Zip '
8. Building Type: Residential 0` Commercial ? Institutional ?
9. Work Description: New Aa Add O Alter ? Repair ?
10. Describe Fuel Type/??'
11.
No•
- Eauioment 9TU • M. Es.
Forced Air No. EquiDment CFM
Air Handling:
Mfg.
Boilers
Mfq. Mech. Exhauat
?
Unit Heater
Mfg. Other
Alr Cond.
Mfy.
Gac, Pipiny Outlets
12. I hereby certify that tfie above informetion is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Oate Insp. Date Insp.
This is your parmit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN - 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date ,19
Site Address
Lot Block Sec/Sub. " -
Parcel No.
a Name
; Address
° City ' Phone '
Q
=o
Ua
¢
?
Name
City
Name
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.
Signature of Permittee _
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.
Building Official__ - -
OFF ICE USE ONLY
On Ske Sewage
stem
MWCC S Occupancy
Zonin
y
On Site Well g
(Actual) Conat
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprlnt S.F.
APPROVALS FEES
Engr./Assess. Permit
.
? 14. 00
Planner Surcharge • 50
Council Plan Review
Bldg. OH. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
a 1?
TOTAL,
Permit No. Psrmit Holder DaM TNephone #
Plumbing
H.V.AC.
Electric
Softener
Inspection oate Insp. Commenta
Footings I
Footings 11
Foundation
Framing
? ? t " C [r
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Disp,
M
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199. Eafgan, MN 55121
PHONE: 681-4675
BUILDING PERMIT Receipt #
To be used for FIREPIACE Est. Value Date FEB
Site Address 48741KI+b01TtNGHAM CIR
Lot 5 Block 2 Sec/Sub. BRITTANX $Tt!
Parcel No.
Name .lANBt CHRISTOPHB&SON
W ?? 4871 KAIOTYII9?AM Clit
City EAGAN HN ZP
0 Phone 452-3229
-
, Name HEAT-N-GLO
,
0
f,-
q?res, 3850 W HWY 13
cdy ac,R14M '.U MN zp 35337
1 Phone $90'0758
v LIC2f1S6 # 0002%0
I hereby acknowiege 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 Ciry of Eagan Ordinances.
L20147
_ r
OFFICE USE ONLY
Oaupancy
Zoning
(Actual) Cons1
(awwable)
I or stories
Length
Deptn
S.F. Total
S.F. Footprints
On Site Sewaga
on sice weu
MWCC System
City Wa1er
PRV Eequired
Booster Pump
APPROVALS
Planner
CounCil
Bldg. Of(.
Variance
Bldg. Perrtrt
5lucharge
Plan Revievr
1942
FEES
25.00
• 5Q
SAC, City
SAC,MCWCC
Water Conn
water Me?er
Accl. Deposit
$/W Permit
S/VY Surcharge
Treatment PI
Road Unit
Park ped.
Copies
TOTAL
7Ti_SA
HEAT-N-GiA I
A Building Permit is issued lo:
on the express condition that alI work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Buildir?g Official -
Permit No. Permit Holder Date Telephone #
e
PLUMBING
FIVAC
ELECTRIC
ELECTRIC
Inspectlon Da1e Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Fnal Pipg, Pibg. Inspector - Nolify Plumber
Const. Meter
EngrJPlan
Bidg. Final
Dedc Ftg.
Oeck Final
Welf
Pc Disp.
CITY OF EAGAN ?O SByICE PERM
3830 Pilot Krab Rwd
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoni?p: No. of Unifs:
Arner:
Address: -
Site Addre-: i:3t t 1:Z;,, ,
Plumber. - -
-• :, -
1o/eN te 8eopt-? wllM eM Clhr oi gqpm C.orxnctlon Chorpe: _
OrdhwmoM. Aooour+t Deposit:
Fhnrht Fee:
Surclarye:
By Misc. Cha?p.s:
Date of Irnp.: Totoi:
Irop.: DaM Pafd:
CITY OF EAGAN
3830 Pilot Knob Road
P. 0. Box 21199 . ?
Eagan, MN 55121
ZO/1i1'1D:
Owner:
Addro»:
Sib lldd?ess: ' ` % ' ? -1 _+_•" -
Pltxriber.
Meter No..
SlzQ:
Reoder No.:
1 arm !o aomply VrN61V Cthr of bww
OeriMmam
ey
Dote of I nsp.:
CITY OF EAGAN
3830 Pilot Krwb Road
P. O. Box 21199. .
Eagan, MN 55121
.?':.
Zoning:
Ownar,
Addrou-
Sitr /lddreu: _ , - ,;•;
Plun+ber: ._' fe 071
Meter No.: y§W-JW
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
COflI'IBCfiOn CF1Grgl:
posit:
/laamt
?
Po
. tS?. J .
$uKha
? rgec
AMK.
Total:
Dat+ Poid:
WATER SERVICE PERMIT
PERMIT NO.: DATE: `
No. of Units:
?2!' r 4
Reod.W No.: Pe?mit Fee: 777
I Nme to eowply wilb !Iw Ckr of Beggs Surchorye:
On/iNser. Mlat. Chorpes:
Total: -
Ci?>
By ZkA. Dote Paid:
? ? Insp.: Insp.:
f ) g ?
? CASH RECEIPT •
CIl'Y OF EAGAN
PHCHIVm
P. 0. BOX 21•199
EAGAN, MINNESrA 55721
?j
, DATE 19 _
uN7 " I'$ ?76 I6(-
FV ND COO TAO N
D/ 121
D
?G
A),
?` g8
90
4.
Thank You " _3 j o 6-0
BY
N_ 54764
White-Peyers Copy
• Vellow-POSting Copy
Pink-File Copy
& OOLLARS
?oo
? CASH q CK
CITY OF EAGAN
3630 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT Receipt
Te M awd fer SF DWG/GAR Est_ yalue 123,000 Dete __ .?.
SiMAddrr _ 4871 KNOTTINGHAM CIRCLF.
Lot Slxk Sac/Sub.
Parcel No.
Narrme TOLLEFSON BLDRS
Address 1655 NORWOOD DRIVE
City EAGAN phone 454-6873
SAA1E
F Name
?
? Addrees
City Phone
?uW Name
Address
<w Clty Phone
N_ /10653
L?iL"aov
erect X] occupanav R-3
Remodel ? 2oning R-1
Repair ? TypeofConat. V
Addition ? No. Storias
Move ? Length 64-
Demolish ? Depth 61
Int Impr. ? Sq. Ft.
Instell ?
Aporovala het
Assessmmt
Woter 6 Sew.
Police
Firo
Enp.
Plonner
Council 7? ?/ R S
Permit q 7 V . 7%
Surcharge 61.5(
PlanReview 245.2'
y,C 525.0(
WeterConn. 500 ? 0(
Water Meter 63. 0(
RoedUnit 280.01
I hereby ackmwfedga thof I have road this opplicaHon ond state thot Bldg. Off. 7/16 /8 5 Tr. PI. 132 - Q(
tM inlormntion is corren and ogree to wmply with all avDlicoble APC Perks
Stata of Minnesota Stotuh and Ciry of Eagan Ordi
SIQnWUrc of Pemuttea Var. Dete 7?--,-?-8 -1 CoPies
Y/LM ?
-
A Building Permit is issued ro: TOLLEFSON BLDRS m *e e1e 2
oll work shall be dona in acf?oaneqj with qFnapplimbla Stote of Minnesota Srotutes ond City a7 Eoqan Ordironcea
Buildirq Officiol
CITY OF EAGAN P?tl2,0147
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 681-4675
BUILDING PERMIT Receipt u ?
To be used for FIREPLACE Est. value Date FEB 25 , 1922
Site Address 4871 ;KNOTTINGNAM CIR
Lot 5- Block -2 Sec/Sub. BRITTANY 8TH OFFICE USE ONLY
FEES
Parcel No. oauPancy -
Z
25.00
Bldg. Permit
oning _
N2lOB JANET CHRISTOPHERSON (nduaqConst - Sncheige .50
m
LLi
Address 4871 KNOTTINGHAM CIR
(Allowable)
? R?,H
M ol5tories _
Cjty EAGAN MN ZIP Len
th ??
0 g -
Phone 452-3229 Deplh - SAQ City
? Name HEAT-N-GLO S.P.ToWI - SAC,MCWCC
0 S F Fooiprinls
AddfESS 3850 W HZ'n' 13 On Sit
Sewa
e Water Conn
C,jry BURNSVILLE MN ZjP 55337 g
e
On Site Well _
Water Meter
? Phone 890-07$8 MWCCSystem =
qatDeposit
c?
Ljcense q 0002960 Ciry water
PRV Required
_ S/VJ Permit
I herety acknowlege thal I have read ihis application and stale that the eooster Pump - SiW Surcharge
information is correct and gree
to comply wdl II applicahle St te ot
t a
Minnesota StaNtes antl d gan inan es. ??
APPNOVALS Treatment PI
SgnaNre ot Permilee ? Road Unil
A Buildmg Permit is issued m: HEAT-N-GLO Planner - Park Ded
on fhe express condition that all work shall be done in accordance with all Cwmcil -
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. OIL _ Copies
BuildingOlficial AvAlJILLJ Variance - TOTAL 25.50
C
CITY OF EAGAN (v2 14 618
8830 Pilat Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
Q
BUILDING PERMIT PHONE:454-8100 Receipt # !J 1.35-/
To be used for FIREPLACE INST. ?st. Value $1,000 Date ,19_p?
c??._
Site Address 4871 KNOTTINGHAM
Lot 5 Block Z 5ec/Sub. BRITTANY STH
Parcel No
e Name JERRY CHRISTOPHERSON
? Address 4871 KNOTTINGHAM
o City EAGAN phone 452-3229
olName HEAT-N-GLO-FIREPLACE
oa Address 3850 W. HIGHWAY 13
r City BURNSVILLEphone 55337
W w Name
?
ig Addre
aW CitY_
I hereby acknowletlge that I have read [his application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee - A Bwlding Permit is issued ta
ontheezpressconditionthata orkshallbedoneinaccortlanc ithall
applicable State of Mi nesota Statutes and Ciry of Eagan Ordi nces
,
OFFICE USE ONLY
On Site Sewage _ OcCUpancy
MWCCSystem _ Zoning
OnSiteWell _ (ActuapConst
Ciry Water _ (Allowable)
PRV Fequired - # of Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit . z?+.00
Planner Surchar9e •?Q
Council Plan Review
Bldg. OH. SAC, City -
Variance SAC,MWCC
water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL $ 24.50
Building Offi ?:1e /? _
aal
DATE: MAR 5, 1992
RE: 4737 WESTMINSTER CIR (ARLINGTON BUILDING CORP)
-XL Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. 8E SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
_ Your Sewer 8 Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
REQUEST FOR ELECTRICAL INSPECTION ea-ooooi -oa
' See instructions for complehng lhis form on back ot vellaw capV.
Oo fl h' M 7 ? ' 'X" Be/ow Wtxk Cnvered by This Request
Nqw Ad ReO. Type of 9uiltlfng APOliantas Wired Equipme.t Wved
Home Range ' Temporary Service
Duplex Water Heater LiyhTiny Fixtures
Apt. Bwiding Dryer Electnc HeaLn
Commercial Bidg. furnace Silo Unloader
Industnal Bldg. Air Conditioner Buik Milk Tenk
Farm Other .peu v Other (spemty)
t er Suomfy Other Other
Comnute Inspection Fee 8elaw
p Fee ServiceEntranceSixe k Fee Feeders/5ubteeders M Fee Circwcs
-. 0 to 200 Am s 3 ?2 10 30 qm ?s
1 0 to 30 Am >s
Above 200 qmps 1
3to 100 qmps 31 to 100 A s
Swimming Pool Above 700_Amps Above 100_Amps
Transiormer5 Irrigation Booms ?a Partial/Other_Fee
Signs Special Inspection
TOTAL F E
flerrui r ks '
1 d .?1
Roueh-in ?` ` , i? Electncal
? / ? Inspecloq hgreby
? certdy that tMa aboae
Final '?j: / ? spection has been
lrr3.o ne.
This reovast vma iB monihs irom
s renuesl voitl
900,063475 hs From ? af/ ? O
V9 sd
RenVest Date
[
? Fire No. Houph-m I ection
Re u reA7
o?
pec-
ify Ins R
?d ?ReatlyNow?W? r ll N Wh
? ? N.
es n
e
eady
iglicensed EIecVical Con[rxcior 1 hereby requast inspectwn ot ebove
? Owner elecVical work installed aT
Street AdAr ss, Box or Pout N
'71
Orr-/,+? •v?
121-9 Cicy
? G9ti/
ect?on o.
1
Township Name or No.
Ranye o.
Cwnty
Occgg#?IPRINT?
?-?- Phqne No.
P r Supuher Address
Elei rical Conttactor ICompany Nnmel Contrar,tnr's License No.
?
Ma' n AdJress (COnuacmr or Owner Makinp Instai )
A ed Sienature (CmnVacmr O MakinB ?ns[ latm Phonx Number,?
?
MINNESOTq STATE BOAflD OF EIECTNICITY THIS INSPECTION REQUEST WILICNOT
Griggs•Midway BIdB. - poom N-191 BE ACCEPTED BY THE STATE BOARD
7827 University Ave., St Paul. MN 55104 UNLESS PflOPEfl INSPECTION FEE IS
Phone (e12) 297-2111 ENCLOSED.
?
2007 RESIDENTIAL MECHANiCAL rERMiT arrLicaTioN 00,60
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. singte family dwellings & townhomns/condos when pevnils aze required for each unit
nate V / / o / 07
Site Address y8 7 i AO ?`7"'//jG /[ ?(', C-' /.GC?c Unit #
PropertyOwner ys j-C. Telephone#( G-5? ) y52 ^ 3 Z G9
i
Contractor
12253 Nicollet Avenue 5outh ;
city
Street Address
stete Telephone: 952-Z?4?-5200 ? Telephone #
. - 6`5 02
Bood #: U s-J% 073 Ezpires: Z.u o
The Applicant is _ Owner ? Contractor _ Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
? furnace _Additional ?Replacement _ New
air exchanger
air conditioner
? heat pump
other L/ Z
??
-
aPR
State Surcharge $ .50
Total $ S-U•vo
1 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 Printed Name Applicantvs Signature
je-? PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 4 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pemuts are required for each unit
f3p_sZ?
Date -2 9 / (f:2-3
Site Address ?'k9l11v701V il /?j/ ,;9 Unit #
Property Owner ,? ' . „ <<p Telephone # ( (Qy-f ) z /5.2. - 3-2 Z 7
Coutractor __-
Address 12 n11 n rTC1 L City
?T
State Sf! cJl.c C f /Y?/j/ Zip Telephone #( lzl- 7G' 0 U
The Applicant is _ Owner ? Contractor _ Other
Septic 5ystem New Refurbished Submit 2 sets of plans and MPC license $ 100.00
InGudes County fee. Additlonal consultant fees may appty.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter'rf needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
L Lasyn irrigatioc syslem
A C /c ?/ow e i-,i/ vr A " ..Su
?
_ Water softener _ Water heater rl $ 15.00
additional
re
lacement
p
_
?
$ .50
State Surcharge
30 5 ?
Total $
I hereby apply for a Residential Plumbing Peanit and aclrnowledge that the informarion is complete and accurate; mat me worx wm
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start witlwut a pernnt; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
C Ft2 L IVILti-e/
Applicant's Printed Name Applicant's Signature
. A? RESIDENTIAL
BUILDING PERMIT APPLICATION
340 ? S CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construction Renuirements
. 1:egistered sde surveys showing sq. ft of'oL sq ft of house, and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of alan showing beam 3NmECw ;rzes; poured found desgn, etc )
• 1 set of Energy Calculanons
. 3 copies of Tree Preservation Ptan d lot rlatted after 7/1193
• Rim Joist DeWil Opoons selec6on sheet (bidgs wiU 3 or less unils)
DATE
RemodellReoair Reauirements
. 2 copies of plan
• 1 set of Energy Calculatlons for heated aAdilions
• 1 sde survey for exterior additions 8 decks
. Iridiwte d home served by septic system tor addihons
VALUATIONCi`1'?CJ' ? ti
S? Ep?A?DD 4911 flvla?'tinoACtYn C?Y'cCe
TYP?2?FlANRK /?r?o? .?SQS •
MULTI-FAMILY BLDG _Y V"N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT
STREETADDRESS 1.2?,97 CITY?urnsJ,'1/e STATE/"I1NZIP'?'
TELEPHONE # C1520711+• 6959 CELI PHONE # FAX #S 45"dA RD8'-
PROPERTYOWNER Jiv&Ys54,/Janet arl:S'f'eRke?'smn TELEPHONE# (651) '/5a-3a-29
----------------------------------------- ------------ --......... -..............................
COMPIETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ \1IN,NI:SO"I':1 RULES 7670 C.\"CEGORY 1 ?
(J submission rype) • Residential Ventila[ion Category t Worksheet Submitted •
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Contractor:
Mccli>uiic>il sc?tcm includcs
Sewer/Water Contractor:
-- .1ir Condilioniitg
F[cat Rccoccn' Svstcm
Phone #
Phone #
d0 5 2rkshee 002t 5U
r
Fee $90.00
Fcc: 570.00
-----------°-------------------------------°--°----------------°------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ord_ inanceCLS
(?.?.. ?
SlgnatureofApplicant
OFFICE USE ONLY
_ Water Softener
_ Water Heater
No. of Baths
_ Phone #
L.awn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 3/02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Nliscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 40" WindowsJDoors
0 34 Replacement `Oemolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED IN SPECTIONS
_ Footmgs (new bldg) FinaL'C.O.
_ Footings(deck) Final/No C 0.
_ Foonngs(addinon) _ Plumbing
_ Founda[ion HVAC
_ Drain Tile O[her
Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ AiriGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Firzplace _ R.I. _Air Test _ Final _ Windows(new`replacement)
_ Insulation _ Retaining W'all
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
/
, 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SE'PS OF PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENENGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: ?Valua? n:?L??" " Date:
Site Address OFFICE USE
p
Lot '6 Block a" ,?Fh,
t.
Parcel/Sub
Owner
Address
City/Zip Code
Phone
Contractor ,(L_PGl.7
Address -XIJ W,
City/Zip Cod2
Phone Pm
Arch./Engr. _
Address
City/Zip Code
Phone ll
On site sewage_ Occupancy
MWCC system Zoning
On site well Actual Const
City water _ Allowable
PRV required Ik of stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit
Planner Surcharge ?
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn
Water Meter
Road Unit
I Treatment P1
Parks
Copies
i TOTAL ?
,
1991 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COTRIERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
YENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ?dt"', Valuation: ZN 7B Date:
Site Address 4) Z/'/})/M,?/,?yt ??/f7'f l//Z•
?i
Lot ? Block ?
Parcel
Owner
Addres
City/Z
Phone
Contra
Address A5-0
r ?
City/Zip Code
Phone 01 U ? /; ! ??
Arch./Engr.
Address
City/Zip Code
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUSTOTAL
Penalty
Lot Change
TOTAL
Phone #
( agrees that all work shall be done in accordance with
(Signature Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
. e
9'
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACT08S MUST BE LICENSED 4IITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCUL ATIONS
To Be Used For: fam Valuation: ?z-??• ? Date: r1Ly Y z.IqP?
Site Address: J6XpnWpqkj4_?LeCLC OFFICE USE OHLY
Lot: r Block Z Sect/Sub JkEop N V? Erect ?C Occupancy ?-3
Remodel Zoning ?-1
Parcel p Repair i Type of Cons t Y
Addition 11 of Stories
Owner r-._ ??=W Move ? Length cnq-
Demolish _ Depth (D?
Address Int.Impr. ? Sq Ft
Install
City/Zip Code ?
---------------
--°-°------
-------
Phone APPROVALS FEES
Contractor
TO?.1.?t$
QA? A)I f)F? Assessments
g
Permit
?j0.?
Water/Sewer Surcharge C?I• -
Address ?,56 ?pQ, police
Wpp? pkr. Plan Review Z4S.25
_ _
? Fire SAC 525. °°
City/Zip Code G612Z Engr Water Conn SoD.
Planner Water Meter (03
Phone Council 1- g Road Unit ?gp.
Bldg Off eatment Pl
=
137
Arch./Engr. APC Parks
Variance 7 Copies
Address TOTAL
City/Zip Code
Phone /1
2??.? .52 = 145cD x s4 " 1Sc?z4-
" E-`F ° ES32 'i
.
2 X l?1 ? ?4- x 19 3(,
? ZxZ4- ?? ??8 ? < < ^ ?44a
I o x ? o= I ov
3Co 0
x
4? `
54?1?0
20 ?? 5= 3c? c? x 4 c ? I 2 30?
?22?00
Certificate Por:
Tollefeon Buildere Bk: 89/72 & 73
1655 Norwood Drive
Eagan, Mn. 55123
DELMAR H. SCHWANZ
tANDAIIRVEVOFS iNC
RPO,.IPrfU UnOM IYMI OI Thf GIlIIP M MInMSo111
1?750 sOUTN ROOERT TRAII ROUYOUNT. WNMEbOTA ¢508!
?D
BUqVlYOR'S CERTIFI TE
0?1
q?M1 ?? ?.
MIbNE 612 473-1789
aT .
3CALEs 1 inch - 40 feet
Elevatione ehown are existing
SUB 6D. Denotes eubgrade elev. ?q Ati ^° ?? a?? ? q 9R p
?s?6 k b
Proposed g?? ? Ploor • ?q.Ny?tr ?-..? q?q f? ? Ro +I? ?\?
G/
a tik •'' , ";.4
93y.?
Z V \
a
?
?
?
?
.
?t .
7 2u 5'•
-J r
?bV,?o 9t ? i / °'yyB
DralpaB• 6
%''utility easement
? o?
3.
np
q?` 94t. a?
/ ` ?f NN 8
? ?
? ? a?
? ?
? ?"
v ?
?
? k
I hersby csrtify that this is • brue and correat repreaentation of
Lot 5, Bloak 2, BRITTANY 8M ADDITION, according to the recorded
plat thereof, Dakota County, Minneeota.
Also shoMing the looation of • proposed house aa staked thereon.
Dateds July 100 1985
MINNESOTA REOISTRATION NO, 8625
--watL sECTIpH--
Determd.ning 110H valuea at Roof, Wallg' Rim, and Conc. Block
ROOF/CEILTNQ
1.) Interior Air e'ilm
2.) 5/811 ayP. sd.
3.) Ineulatioa
4.)
50 Exterior. Air Film
(STILL)
R VALUE
0.61
.56
44. 00
.61
nUi? ¢ 1/R= i'OTAL (R)= 4$.79
?-
WALL
6.) Interior Air Film
7.) }t' ayp. sa.
8.) Tnsulation
9.) is4Z,i XvK:r R'/rit
:-'
10.) _
Masonite Siding
11.) Exterior Fir Film
(R) VALUE
0.68
.115
19. ov
Z• o¢
07
.17
uU" = 1/R= .O¢3 TOTAL (R)=z3.01
._--
?
RIM •
12.) Interior Air N11m
13.) insulation,
ty.) 211 Fir Rim Joiet
15•) Z5/3z" Rwa-r-9ir5-
160 Maoonite Siding
17.) Exterior Air Film
(R) VALUE
0.68
19,ov
1.88
Z•o4
.67
.17
upu ?. i/R= ,?i4p TOTAL (R)=zt?„ l
FOUNAATION
18.) Interlor Air Film
19.)
20.)
21.) 12" Conarete Block
22.) P&Ib 1N5,0L•
23.) Exterior Air Filro
(R) VAI,UE
0.68
1.28
$ •00
.17
uUu c 1/R= . O`t$ TOTAL (R)= 10.I3
?-
.lllllJ fi?.ii.?
?J
CITY OF BUILDIN(3 llEPARTi•IENT
EXTERIOR EIZVFIOPE AVERA(#E IOll IO C04SPUTATION
' (To be submitted tivith building permit application)
One or Tsvo Family Dwelling Owner
All Other 6fte Addrese
Contractor T-?10 ? Date Phone
LIPaEAL FEPT OF
EYF'OSED FIALL ,5Gr )119t-
. 4GL-?T'1/ ft. above grade = 2i7 7 ol?? ?
TOTIIL EXPOSED WALL AREA SQ. FT.
OPAQUE 1VALL COA'STRUCTION: "U° Value x Area
Detail aa17 _ npn . C7-1 *3 x SQ.
TeFeT'ence -- /rnt,70_. °U° ,(,7Q?z X S4Z,
from Elefi ."pu . P4-C) x SQ.
ifUll x S@.
attached uUu x S?.
sheets
IIUII g SQ
WITdD04YS: "II" Value x Area
FT. ' 6?ZU. v3:'rb (U) (A)
FT. 7J(n,'LZ- ?1..14,(U) (A)
FT. LZy,? _ << (U) (A)
FT. _ (U) (A)
FT. _ (U)(A)
FT. - (U)(A)
Plake & TyPe ldr-P L, Lr5.r77IT 1eUii ? QO x SQ. FT, 103; 'U= 7,3,?z (U) (A)
n n nUll x SQ. FT. - (U)(A)
nUn xSQ. FT. _ (U)(A)
"U" x S@. FT. _ (ll)(A)
DOORS: "Ull Value x Area
tda'ce & TyPe ?a2• lA-'6t'L., nUn .?? x SQ.
?? ,? YRri ??pu ??7 x SR.
n n nuv
x 3q,
n _ nUn x sQ
TOTALS Z.`i90.1? SQ.
AVERAQE "U"
DIVIDLD BY TOTAL }lpLL AREA z9a,/?j -
AVERA(3L ??Ul (,115?br leas for i&Z family dwellinge
ROOF/CEILIN(i: ?
TOTAI, AREA: ?
FT. 5(c),0(7 = '?j} _(U)(A)
FT, vp = S?,YZ (U)(A)
FT. _ (U) (A)
FT. _ (U) (A)
F'T. 1(nIelv& (U) (A)
Detail reference
from
attached sheete.
Describe onenings
in roof. ?lUit 0 UZ?? x
?fUll • x
IIUI' x
IIUII x
flUff x SQ. FT. fjC?_ _ .3?'i
SQ. FT. :
SQ. FT. -
SG?. FT. _
SQ. FT. - (U) (A)
(U)(A)
(U)(A)
(U)(A)
(U)(A)
TOTAL (U) (A) VALUES DIVIDED BY Z7r 3n 3iq.f( l7? 39 CU??
TOTAL ROOF/C AF2EA /,3p9- a UZr
AVERpGE ?? ,OZS for ?entilflted roofe. _
TOTAI, (0)(A) VALUES
1&1. (03
° .0?3
?
i! 4L- T rl
???1 Q&I!gz? . t?KL
S,.S?X ?41+q1+-?2t¢z) _. 14?5.??
= 8?,7s
-(o7x (¢21-?:Zt41)
7cx? X Is _ /0.?•G?
c a ?? ?D 13 ?
?er
??7x??z+?z+4rt41) = 1l/. zo
7 on x 15 - vp
2f?, zz 4-
.g?????+-»?) ? ?Z?.9? ?-
Wt4Cokts
S,o X Z -= /O,.oa
'l9 x 3 c?? = Cn, c? x 3= 1 S, vo
'l?? x4f> = lv,7 X ? - s3,lvo
;lox foa = S.q• k 3= zS,Zo
14x4-f3 - £3,n X Co = 98,ao
!z 4,o x L= t3,oo I
3ro'A tvv = Is,n JSrop
t L'X 7 z. - ?, o X ) ? !v, cr;
1?1 ,. /B.??gc, 4
zK _,
3° 5iU W/2 S,C, = 3?,vo
l ? ?IL 5?.? = Z!. pp
? ?'' PiF71U - 00
PATio -9? Z = n '
- l?s c?4- ;
u,tOV,, Cc??-cc. 2,990.13
4GV;, C.'cw?e: Li?,Zz
?i ,e?.r?? Lz?l•`?l a?'
ir WAWS /03o$o
" ?'e'? l7s?on
Zf ?j,t?". Zp ?
,
-, . ;.
. ?nv r
??xqo = 9za
?5 x /q- =. Zi v
7 X lD = 70
1,3?,? ?-
i
2/84
CITY OF EAGAN
APPLICATION FOR PERMIT
-' SELdER AND/OR WATER CONNECTIO.d
(PLEdSE P9IHT)
1) P.u()= ! Ap?R°_SS: _ 'z zS / I ?O 1 ! W7
rrr_=,t, DESCRI?TTCN: teLlJCJ? --z'
(Lot/Block/Subdtvisicn or Ta{ parcel I. . ,;u-,:5er;
,ST^.:L:CT :c: , DA?:.' 0: CRT_Gi.:'1L `iili :i:G -- S':'
( PR=---L . UJL: ? 1 S1`?ir?l: Ca17.-_..TY
' LI ??-2 CLT= (?S;O ":"NITS)
? R-3 ?Y7vliifICLiSE (T'= + GNITS) ( (7?;7^g)
? R-4 [-1D.PEYr*TM°."•/C=Ci-L:IL:l ( L11ZT3i
? ca.T?mERcz-w,^.?razLr'oFvTcy
? I2mCSTRTa7•
? PiSTITTTIC.I'AI,/CG?'?'-c_?Z,=:^
2) AFPLIC?7P (PLEASc PAI;ii)
aoDREss: ?1!?'AJo???n
CzT,', STATE, zrP:
PF.0%E:
NA?'?IE :
3, P???? GEN'?R??NRiO ""H FOr? CITY USE OYLY
AD o?ss_
TKAI'L
?
4745 S0, RO'ERT
PLUMBERS LX'E SE:
'
czTr, sTaTE, zIP:
,
ROSEMOUNT: MN ? I
ct
e
pired
PHOiVE:
PLIIMBER LICENSE N t oi Flecord
4) OCCLT?'VT/C!.T`I? lrLca?c rHini)
NAf?:
ADDRESS:
CITY, STATE, ZIP:
PHO.IG:
5) INDIG,TE Sv'HICH PEP,h1I ZS BEI?:G REQL'EST?:
CC:?IEC,ION 'It7 CITY SE?•IER
C:I.'PZG.I 'It7 CITY Svt?TEI2
? Cfi'fR.•1'2 (PLFASE C G RIBE)
6) L`DLC<','=- C:.c,:
YPLE "` E F :OLD APPT.?Wp pg2;•tIT FOR PICi:-L'P BY ONE CF A&T?'E
aSE JAIL APPRM*cD PU2:-LiT 'it7 1, 2,30 4 F1Ed'lE
-? z _ _ (Circle one)
7) SIGda'IL3E: DATE:
--7-
MO ww:w4MM,_ioinaON M,M=rra sss:a.M su: .
?7«atr e
Q
PERMIT °- ISSUED
?-?
C I T Y U S E 0 N L Y
F°rs : $ /l! 5 o ?
$
?U•?U
$
S
$
$ ???J
S lS ?U
$
$
$ •
$ ..
WATER PET,2t1IT (INCLUDE SURCHARGE)
WATER METEP./COPPERHORN/OUTSI^E REAGc3
WAT°3 T.lP ( I.ICi.GDE CO4?CRAi:O:I STC? )
SE;dE3 :'AP
ACCOUNT GEPOSZT - SE::ER
ACCOUNT DEPOSIT - WATE4
wac
SHC
T?2U:7i: WATER ASSESSi-I:NT
TRliNK Sc;vER ASSESSi•lENT
LATEP.AL SENEFIT/TBU.IK SE:•:ER
LATERAL BE\EFTT/T. :Vn i+]ATz'R
OTHER ??
$ TOTAL
$ ??(pGG A290U:IT PAID/RECEIPT ; S`!76
y
DOES UTILIT'1 CONNECTION REQUIRE EXCP.VATION IN PUBLIC RZGHT OF WAY?
C YES IF YF..S, THEN A"FERMIT FOR WORK SJITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
0 NO ENGINEERIr1G DIVISION. LIST AS A CONDZ-
TION.
SUIIJECT TO THE FOLi067IDIG CONDITIONS:
APPROVED BY:
TITLE:
DATE:
?a f?s w?+ rr ?? ar? .c? +e fr? w?.? w? w s? wf+ ?sa? wcr w? r ??aa a? ?? sf ar? w?? ?t ? re w r? w?
FABYANSKE, $VOBODA AND WESTRA
A PROFESSiONAL ASSOCIATION
M.i.rAev^r+SKC 1000 MINNESOTA MUTUAL LIFE CENTER
GERALD L, SvOeOCn 400 NORTH ROBERT STREET
MARn W.wESTwq SAINT PAUL,MINNESOTA 55101
RiCMRRD O.NOLFER
MARN C PETEFSON
HOBERT L OnviS
JEREMIf.H J 1tERRNEY TELEPMONE
RO6EPT J. MUBER 612-228-0I IS
JAME$ F CMRISTOPFEL
$COTiL.ANDER50N TELECOPIEA
CMRISTOPMER P.ELLIOTT 6 R-22H-073<
May 16, 1986
Mr. and Mrs. Gerald Christopherson
4871 Knottingham Circle
Eagan, Minnesota 55122
Re: Lot 5, Block 2, Brittany 8th
Dear Mr.and Mrs. Christopherson:
MRRY M. BIE(iNAMP
GAHV A.BRYANT-WOLF
DE/.N B. TMOMSON
VINCEHT W. RtNG
AOBB L.OLSON
NYIE E.MAFT
Gf.RY F.ALBRECHT
D4VIO D.NAMMARGNEN
JONN R. MLOONALO
TqX COUNSEL,
BRUCE 0. ECNMOLM
The purpose of this letter is to notify you of the
satisfaction of the Mechanic's Lien filed on your property on
February 25, 1986.
This law firm represents Erickson Construction, Inc.,
the contractor which installed sewer, water and storm sewer for
the referenced property. The Satisfaction of Mechanic's Lien
was signed by Donald Erickson of Erickson Contruction, Inc. and
was given to Carl Tollefson of Tollefson Builders, Inc. to be
filed. A copy of the unsigned lien satisfaction is attached.
(Carl Tollefson is in possession of the signed copy.)
Should you have any questions, please do not hesitate
to call.
Vezy truly yours,
?
Mark C. Peterson
MCP:MAA:dlh
Enclosure
cc: Donald G. Erickson
Carl Tollefson
City of Eagan
Cities Digital Qualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
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R'v0NVALL BF TH ESE PRESET TS. That a certain ASechanic'E Lien nox owned by the underFirned.
b corpnratior, under thf )aN•F of thf Statk of T:ir.nesotz
th( cerifiec' Ftatemer.t bnd claim for xhic}, hearE oate thf 25t}; day of Februan• .
FSF'-iCET1+ 0r ?t; 2}1 cor.
5,•?,??c' i ?? _
Y.fa:!1?. YF,?:• r t-. T ' F 71 Lrr. 2']C N'r'_T m BIONP -.
snc v. eE fiied for record in thr uffice of thr County Rerorder ir, and for thF Counn of
•-?s and S:ate of A7inneFOta. un the 25th dav of Fear.}' ,
;4P£ snd recordrd ir. Boo1: -- , of -- •
pFapE -- aS I)nCULnFn: NG. 7, '26L -is fuli? satisfiec rrieased snc discharged. the deb: se; ured therFbY having been paid in full. And the
Count? Recorder o' Eaid County iF herFbc author.zed ane directeo u, d:scharge the same upon thF rrcord
t},FTFor, accordm€ to the Etatutes in such casr provided
? IN TE' STIN40NY R'HEP.EUF. Tne saic Co:y.'ratx'r }:a?- cau??' v,es?
preSf'PL9 L(` DF EaPCI:l.PC 7D ]If rorporalr ribm<- h\ 7LP
Pre=soe.^.: anc it=
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2004 RESIDENTIAL BIIILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
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Ner+ConsWCtion Reauiremenis RemodellReoair Reauiremenfs OfficeUSe Oa'
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3 registered sRe surveys showing sq, tl, of IoL sq• ft of house; and all roofed areas 2 coples of plan
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(20% maximum lot coverage albwed) ons
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2 mpies of plan showing beam & window s'2es; poured found desgn, etc. i site survey for additions & decks
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3 mpies of Tree Preservation Ptan d lot platted after 111193
Rim Joisl Defail Options selection sheet (bidgs with 3 ar less units
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Date
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-?? 7 )
Construction Cost ?
_
S te Address
? /i ue/--/1 v9 .C a^^'? ` ? ? . Unit/Ste #
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Description ot Work ?c.?'?- o?? ?? Cl?--? L
Multi-Fami?y Bldg _ Y? N Fireplace(s) _ 0_ 1 ? 2
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O 04; STO 445^^ Telephone #(6 5 1) ySa ??d 7
wner
r„ r
Property
Contractor
Address CitY
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy CAde Category . Residential VenWation Cate9ory 1 Worksheet • New Energy Code Worksheet
(4 submission type) Su6mitted Submitted
. Energy Envalope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee appiies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone
- '_ L 'J L? .
me #( J
?N J,QN C 5 LU04
I hereby apply for a Residential Building Permit and aclrnowledge that the Informatio r.o?m?nlete? and accurate;
that the work will be in conformance with the ordinances and codes of the City of Bagan 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
pertnit; that the work will be in accordance with the approved pW in the case of work which requires a review and
approval of plans.
?lo?,vtQs T ?jLCyssc
ApplicanYs Printed Name
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling 0 08 06-plex . ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ?7Q25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
,X 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt
Valuation ? Occupancy MCES System -
Census Code Zoning City Water ?-
SAC Units - Stories "- Booster Pump ?
# of Units - Sq. Ft. PRV
# of Bidgs - Length ' Fire Sprinklered ?
Type of Const ? Width "
REQUIRED INSPECTIONS
Footings (new bldg) FinallC.O.
_
_ Footings (deck) ? FinallNo C.O.
_ Footings (addition) Plumbing
_ Foundarion ? HVAC
Drain Tile Other
Ftgs _ Air/Gas Tests
Roof
Ice & Water
Final
Pool Final
_
_
? Framing _
_
_ Siding _ Stucco _ Stone _ Br ick
Fireplace
R.I.
Air Test Windows
Final
_
_
_
?F Insulauon _
Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building inspector
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40> City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
.... :. - . Phone: (651) 675-5675
Fax: (651) 675-5694
------------------
? FoYOfflce?Use ?
I
? Permit 931 I
? Permit Fee: 0
?
? Date Received: ?
I StafF^,_.?....?.?
i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION .
Date: '?z - 3 / - 0 'K Site Address:
Tenant:
Suite #:
RESIDENT / OWNER Name: S{, Phone: ,
Address / City / Zip:
Applicant is: _ Owner V- Contracror
TYPE OF WORK Description of work: TCS '-? C"?
Construction Cost: y ?c D Multi-Family Building: (Yes No?)
CONTRACTOR ?
Name: : License a: 3z)3 r'l 13' 3/ S
Address: C n i'4? I
k State:?Zip:
?
?-_Ke tc..(
City: ??,-w-
Phone: Contact Person: /"fart- D tJc.hc? na..L1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • Fesidential Ventilation Category 1 Worksheet • New Energy Code Workshee[
Category Su6mitted Submitled
(4 Subnlisslon type) • Energy Envelope Calculations Submitted
In the lasi 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 Confrector: Phone:
Sewer & Water Contrector: Phone:
NOTE: Plans and supporting documents that you su6mit are considered: to be public inforrnation: Portions of
"
the information'may be cfassitfed a's'non-puti!!c if'you provide;specffic ieasons that wou/d. permit the City ro
` conclude that the are trade,secrefs.
I here6y acknowledge that this inFOrmation is complete and accurale; that the work will be in conformance with the ordinances and codes of the City of
Eagan; Ihat I understand Ihis is not a permit, but only an application for a permi[, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case oi work which requires a review and approval of plans. , n n
x / «2N- hoG hGLn"
ApplicanYs Printed Name Appllcan s Signature
Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4871 Knottingham Cir
Lot: 5 Block: 2 Addition: Brittany 08th
PID:10- 15007- 050 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
Owner:
Janet L Christopherson
4871 Knottingham Cir
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA090924
08/31/2009
ePermit