4576 Maple Leaf CirCITY OF EAGAN
.,e-?
Lot 23 Blk
stace Eagan. MN 55122 ?
4576 Manle Leaf Circle
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1982 1 11.0 262.21 1 11.0 COO 18O -2 -81
STREET RESTOR.
GRADING
SAN SEW TRUNK 224.00 co07180 7-27-81
* SEWER LATERAL 2716.1 (,`QQ ],8Q 7-27-$1
WATERMAIN
* WATER LATERAL
WATER AREA 22l4.OO C007I80 7-21-81
STaRM 5EW TRK 280.00 (,'QQ71$Q 7-27-8I
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
oa nit 185.00 24569 5-7-81
WATERCONN, 335.00 24569 5-7-81
BUILOING PER. 64$
s,ac 525.00 24569 5-7-81
PARK
CITY OF EAGAN Remarks ¢
Addtion CHF.S MAR EAST FIRST ADDN. ?ot 2?+ elk 2 Parcel 10 17150 2j 02
owner " ?7 i, f. Street 4580 Maple Leaf Circle State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ( 1982 1411-07 262.21 5 1 11.0 COO 16 -2O-8I
STREET RESTOR.
GRADING
SANSEWTRUNK .o0 C00-71 767
*SEWER LATERAL C 2 ? ( -
WATEfiMAIN
*WATER LATERAL lQszl
WATER AREA ZZ?• l70 O7I 7Z7 '
STORM SEW TRK
*STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER. fAA0
SAC
PARK
? . CASH RECEIPT ?
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
rescfi?vEo
FROM
AMOUNT
& Dpi..LqRS
too
? CASH f-I CHECK
FpR
Thank You
B y
White-Payera Copy
Yellow-Posting Copy
Pink-File Gopy
? CASH RECEIPT •
. .
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
•
DATE 19
RECGiVED
AMOUNT $ I
& DOLLARS
1 oo
? CASH ? CHECK
- ?=x
FUND CoUE AMOUNT
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
I ?? - -- -•. ' ' (? S ? ? ? PERMIT # U y d-'-
? MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN •? , / q
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICf: PHONE: 454-8100 For Office Use Onty:
Site Address ' ' BLpG. TYPE ?' WORK DESCRIPTION
Lot ' Block Sec/Sqb Res. New
? Name ? Mult Add-on
°_' Comm. Repair
?o Address
c City Phone aher
11
Name
?
c Address
p City Phone
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE
S/C:
TOTAL•
FEES ?
RES. HVAC 0-140 M BTU -$24.00
ADDITIDNAL 50 M 8TU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - i PER PERMIT) - 1.50 EA
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SI?,W?J R EE
FOR: CITY OF EAGAN
t • CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 6649
PHONE: 4548100
BUILDIN6 PERMIT Receipt # -_
To be used for Est
Value Date 19
.
, - ,
Site Address Erect 13 Occupancy
t Bl
k
L /Sub
S Alter ? Zoning
oc
o ec
.
Repoir ? Fire Zone
Pnrcel #
Enl
r e of Const
T
ge ?
a .
yp
o
C Name I iff,r r Ctaz1t.'±-,1.of'. Move ? # Stories
W
? Address Demolish ? Front ff.
O
Ci .
Phone Grade ? Depth ft.
?
o Name Approvols
• Fees
Zu
U?
?
Name _
Address
I hereby acknowledge that I have reod this application and state that
the information is correct ond ogree to comply with oll opplicable
State of Minnesota Statutes ond City of Eagan Ordinonces.
Woter & Sew.
Police
Fire
Eng.
Plonner
Council
Bidg. Off. -
APC
Permit
Surcharge
Plon check
SAC
Water Conn.
Wuter Meter
Rood Unit
Total ?
Slgnoture of Permittee I
A 6uilding Permit is issued to: on sfie express condition tfiat
all work shall be done in acrnrdance with nll opplicoble Stcte of Minnesota 5tatutes and City of Eogan Ordinances.
Building Official
a'
Plumbin9 PannM # peM lamad
(p"vk- PereMh"
Mechonicol
INSPECT ONS DATE INSP. Rough-In Finol
Footings Dote Insp. Oote Iruu.
Foundation
rame /
- !
/_`l? ?/ Plumbing
Mechanical
Final 7-f (o -
Remarks:
/
Recaipt MECHANICAL PERMIT Permit No.
CITY QF EAGAN
Fee
Fil1 in numbesed spaces S/C
Type or Print legib/y
Tot.
1. Date 2. Installation Cost
3. Job Address
Lot
2-'-( Blk
? ch.f ? l
Tra
t
.
, c
I 4. Owner
5. Contractor Phone
6. Address
rci-)
7. City ? State Zip
8. Building Type: Residential Q Commercial ? Institutional O
9. Work Description: New 13 Add ? Alter ? Repair ?
10. Describe Fuel Type '
No. Equi ment B TU - M. Ea.
Forced Air No. Equipment CFM
Mfg. Air Handling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. O
Air Cond. ther
Mfg.
Gas, Piping Outlets
j 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
.4nspections: Date Insp. Date Insp.
? 7his is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
I ?
Receipt PLUMBING PERMIT Parmit No.
CITY OF EAGAN
Fee
fi/l in numberoed spaces S/C
Type or Prini legibly
T
ot
1. Date '• -' 1 2. Installation Cost
3. Job Address ?-17 :?.le Cot Blk, Tract
t; r c c
4. Owner l1I'fUru Cc,7'St.
5. Contractor "'om Ryan Plumbii
Phone ? - ?
6. Address Reac?
7. City State '.`.i; Zip •i'"? ?'' '
8. Building Type: Residential Commercial ? Institutional ?
I 9. Work Description: New ? Add O Alter ? Repair O
I 10. Describe
I 11.
No. Fixtures
Water Closet No. Fixtures
Ces
l/D
i
fi
ld
Bath tubs spoo
ra
e
n
Se
ti
T
k
Lavatory p
c
an
$
ftner
5hower o
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.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
(grrtif traft uf Mrrupttnry
Citp of (tagan
Dppttrtment nf Butlbing lntippr#irnt
This Ccrtifrcatc issucd pur.raant ra thc sequiremrntr of Section 306 of the Uniform Building
Code crrti f ying that at thc timc o f iJ.creana tbir ttrwure wal in tom pltance with the variaut
ordinunccs o f tht Ciay regulating building conttruction or ulr. For the f ollouang:
vK cht-Aft"dan 1/2 DUPLEX siea. eerrnit Mo. 6649
0-Pa-7 TyP? ?3 TyPpCoOfWCU011 v FimZone ZDningDi9tf1c7 ?I
Ownerofmd„e Burford Const. Add,m P.O. Box 21218, Eaean
BufldingAddmas ••••J••j••.• Locality""v -Ml ui...vsa a.lvaa--.-?caa
? ? Circle
?July 15, 1981
ama;neofs.t Qjt-- v.te:
? Conditional on Final plumbing air test by Tam Ryan.
rvr iw w coHSricuouD ?ucc
. + • `'
. `?
cIrY oF EAG+N
3795 Pllot Knob Rood Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT
Site Address ` ll
Lot Block Sec/Sub. ` r Purcel ?t
oc Ncme , .
W
? A(][7ress '
,... .? _
o Name
?
8u Addre:
r:...
Name _
Add ress
I hereby acknowledge that i have read this opplicotion ond state thot
Yhe information is correct and agree to tomply with ull applicable
Stote of Minnesoto Statutes and City of Eugan Ordinances.
Receipt #
N? 6648
Erect ? Occupancy
Alter p Zoning
Repair ? Firo Zone
Enlorge ? Type of Const.
Move ? # Stories
Demolish ? Front rt.
Grode p Depth ft.
Approvois Faes
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. _
APC
Permit
Surchorge
Plan check
SAC
Woter Conn.
Woter Meter
Road Unit
Totol
5ignature of Permittee ?
A Building Permit is issued to: on the escpress condition that
oll work shalt be done in utcordance with oll opplicable State of Minnesota Statutes and City of Eagun Ordinances
Building Offitial
'. {` .
1 .
r..mk # uete l..ma p«,.+n..
Plumbing Iyq 0 3' 9-7 7-o ?. Yi I
Mechonicol ;2 SS ?..
.r??g - - 0-(
,5 / - l
INSPECTIONS DATE INSP• Rotph-In Finol
Footings Date Insp. Dote Insp.
Foundation - -? ? Plumbing
Frame/ins. Mechanicol
Final
Y/
Remarks: ? ( &?
/
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Flll in numher?d spaces S/C
Type o? Print legib/y ` .
Tot.
1. Date 2. Installation Cost •°''"'
cke S Jt/lA.r
3. Job Address Lot Bik. Tract F-k
4. Owner ? _ " j
5. Contractor ?
6. Address
7. City
1 8. Building Type: Residential 0
State , j Zip
Commercial ? Institutional ?
9. Work Description: New Add ? Alter ? Repair ?
10. Describe , Fuel Type
i11,
No. Eauioment 8TU - M. Ea.
Forced Air No. Evuipment CFM
Mfg. Air Handling:
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mfg.
Air Cond. Other
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinance; and codes governing this type of work.
Signed : for
Rough Final
? Inspections: Date Insp. Dete Insp.
, This is your permit when numbered and approved.
,• AppFOVed CITY OF EAGAN 454-8100
Phone
-•- ' c ? • r' ?
. Reaeipt PLUMBING PERMIT Permit No.
CITY OF EAGAN Fee
Fil1 in numbered spaces S/C
Type or Prini /egib/y Tot. ,
1. Date -' -' 1- 2. Installation Cost
3. Job Address {'
'• Lot Blk. Tract
c L'E C'
4. Owner ('onst.
5. Contractor i'or.i Ryan Plumbirl, j Phone ?')0-8"Z1j
6. Address 1354 ?tc-rry P.oSd
7. City State Zip '
8. Building Type: Residential O
9. Work Description: New 0
I 10. Describe
11.
Commercial O Institutional O
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
51op Sink
Gas Piping Outlets
12. I hereby;certify that the above information is true and correct, and I agree to
comply with 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 454-6100
r-
C?rdifirtttr nf (Orrupanry
Citp of (Eagan
Drpttrhuat nf Building 3nii.prrfum
Tbis Ccrtif'uate is.rued pur.ruant to tha rcquircment.r of Section 306 of the U»i form Building
Codt ctrti f ying that at thc tirree o f issuarue this structure wus rn com pliance wrtb the various
ordinanu.t of the City rrgulating building construction nr ulc. For the follauvng:
uw cInaauco 1/2 DUPLEX
oxuwnKr TYa R 3 Type Coeshucuon v F;m zao
0„,,ofm,,,, Burford Const. ,,ea,m.
suidi"Aaa.a. 4576 Maple Leaf Ci:E,h,,;y.
e,,: -
s? -
euaaLn om+cw oue:
? Conditional on final ?lwnbin
MfT 1 A GONf?1CUd
Bldg. Permit No. 6648
z«W,g Discn« Rl
P.O. Box 21218. Eagan
Lot 23, Block 2, Ches ?Uar E.
July 15, 1981
g air test by Tom Hyan.
t RACE
?B1
Receipt MECHANICAL PERMIT Permit No.
CiTY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly
7ot.
1. Date 2. Instailation Cost
3. Job Address Lot Blk. Tract
4. Owner 1 -%UI 1
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add O Alter O Repair ?
l 10. Qescribe
I 11.
l'ype
No, Equipment B TU - M. Ea.
Forced Air No. Equiament CFM
Ai
H
dli
:
Mfg, r
an
ng
Boilers
Mfg.
Unit Heater Mech. Exhaust
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with afl ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp. ?
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
681-4675
? SITE ADDRESS:
r??:± tf nt i rii
? III •. aA?i F i??, I I??. i
ON REC4RD
PERMIT TYPE:
Permit Number:
Date Issued:
s ~ f3 i o, , APPLICANT:
;'iir Ali, icl, ;l
( r.I;•) t,qt, Hle.N
A-.jj I is
PERIIAIT SUBTYPE: TYPE OF WORK:
., . , ; 1,air+
??? ,? 7- 1 ?? il?Fl •AtiHF`S)
Permit No. Permit Holder Date Telephone *
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Dsts Inap. CommeMs
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Flreplace
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspec.KOr - Noti(y Plumber
Const. Meter ? !f
Engr./Plan
Bldg. Flnal ?
?
Deck Ftg.
DeCk Final
Well
Pr. Disp.
WATER SERVICE PERMIT
CITY OF EAGAN
3795 Pila Knob Road PERMIT NO.:
Eagan, MN 55112 DATE:
No. of Units: -
Zoning:
O -
wner:
Address: ?? ?- ? j•:?;, ":i?t w?
Site Address. --
PI umber:
Connection Chorge:
Meter No.:
Account Deposit:
Size: Permit Fee:
Reader No.:
I a9ne bcomply with Nhe C'ity of Eagon Surcharge:
Misc. Charges:
Ordinanaes.
Totol:
Date Poid:
By
Date of I nsp.: I nsp.:
CITY 7F EAGAN
3795 Pilot M.eob Rond PERMIT NO.:
Eagan. MN 55122 DATE:
?oning: No. of Units:
.
Owner.
Nddress: _ - '
Site Address: -
Pl umber:
I ayree to comply with fhs Ci" of Eagan Connedion Chorge:
Ordinenoes. Account Deposit:
Permit Fee:
Surcharge:
BY Misc. Chorges:
Date of Insp.: Total:
Insp.: Date Paid:
SEWER SERVICE PERMIT
CITY OP EAGAN
3795 Pilot Knob Road
Eogan, MN 55722
Zoning:
Owner:
Address:
5ite Address:
Plumber:
OF EAGAN
Pilot Knob Rood
. MN 55122
No.: Connection Chorge:
Account Deposit:
:r No.: Permit Fee:
• M eomplp with the Cify of Eagon Surcharge:
enus. Misc. Chorges:
Total:
Date Poid:
of Insp
: Insp
:
. .
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: '
?lY
r !-s /r. . n 0 n
1 agree to eomplp with thar City of Eagan
Ordlnonces.
Bv
Dote of tnsp.:
Insn.c-
SEWER SERVICE PERMIT
PERMIT NO.:
narF•
_ No, of Units:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. CMrges: -
Total:
Dcte Poid:
mmnesoca aWce uoara or nec[nci[y
Griggs Midway Bldg. - Room N791 ? EB•00001-02
o niversiry Ave., St. Paul, Minn. 65104 - Phone 297-2111 (p 0 ELFi
CHECK ELOW WORK COV R DTBY'TH S EQ EST INSPECTION a? S 94136
T) e of Building New Add. Rep. Chmk ppptiynces Wued For Check Equipmeat Wired Fm
Hpme ? Range Tempoiary Wiring ? '
Duplex ? ? Watex Heater ? Lighting Fiutures ??
Apt. Bldg. ? ? ? Dryet ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace 5 < Silo Unloader ?
lndustrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Fazm List List
Other ? ? ? p
Hehe g? Q
Hehers?
COMPUTE INSPECTION FEE BF.LOW
Smice Enhance Size: # Fee Feedecs&Subfeedus: n Fce C'vcuits: # Fx
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am ces ?j 18 Clb
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres , o
Above 200_Amps. Above 100 Amps. Above 100 Am s.
Transform Remote Contxol Cixc. Paztial o? othei fee
S' ns Special Ins ection Minimum fee $5.00
Rematks \
r ?I
TOTAL FEE ?
p'
I, the Electncal`InspebloQl?e chat&)l e insp ion has been n?de.??
(Rough-in)
(Final) Date_ ?- to
This request void
18 months from
This reyuest void
18 months from
? 30?0
Date of is Request Fire No. 0 ?14 I J"
I, 44,icensed Electdcal ConUactor ? Owner, do hereby request inspection of the above electri-
cal'wiring installed at: ,y5-7'1' Street Address or Route No:4t.Z.3 clles.».aK GSNS t /s7` r?,nh City?+?"_'
i
Section Township ?y Range County /1..4204?1-4
WhichisoccupiedbyV61j.r /,34C? [Ee- p '
(Name oi occupant)
Is a roughin inspection required on this job? No ? Ye?..? Ready Now ? Will Calt&L-
Power Supplier .014 41?4- ?? e f/li t Address gdagzwe?-a'1?a n ti
Electrical Contractor??? Contractor's Lic6ns?N??
(COmpany Nama)
Mailing Address
Authorized
1V
or
Phone No.
?}? AV? E??nD ?('0??? Thisinspectionrequestwillnotheacceptedhythe
11?3 \S L( State Board unlrss proper inspection fee is endosed.
minnesoia an[e ooara or eiecviaXy
` Griygs Midway Bldg. - Room N191 r EB-00001-02
4821 Universiry Ave., St. Paul, Minn. 55104 - Phons 297-2111 & ;' ?
REQUEST FOR ELECTRICAL INSPECTION ?.? S CHECK BELOW WORK COVERED BY THIS REQUEST 94135
Type of BuOding New Add. Rep. Check Appliances Wired For Check Equipmrnt Wired Foi
Home ? Range ? Temporaty W'ving
Uuplex ? ? ? Water Heater ? Lighting Fixtures ?
Rpt. B(dg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo UNoader ?
Industrial Bldg. ? ? ? Au Condinoner ? Bulk Milk Tank ?
Faun List L
ist
Other ? ? ? p
Heietsl p
Heiers ?
COMPUTE INSPECTION FEE BELOW
Servtce Enhance Size: # Fce FeedeisBSubfeeders: # Fee Citcuits: # Fce
0 to 100 Am . Sn 0 to 30 Am res 0 to 30 Am eres L, w
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am res 40
Above 200_Amps.
1 Above 100 Amps.
1 Above lOQ_Amps.
Transformers 1
Remo[e Control Cvc.
1
Partial or other fee
Si ns 1 1 Special Ins ection Minimum fee 55.00
Remazks
I, the Elec[rical In or
/T _L _l
ee (? ? TOTALFEE
1 ?,?
??ify?!at t?he above i spection has been made.
??// / /J (
?nuu?i-u?j - - - va
te
(Final) • ate
This request void
18 months from
ThiI * reguest void
18 months fr im S 94135
Date of tfii Re?quest Fire No.
I, as ?censed Electrical Contractor OOwne% r, do hereb request inspection of the above electri-
cal wiring installed at: Y/,sd0
Street Address or Route NoL?f .2-`f "/_???r<.w noe E? I lsr Ho» CityAft2t?-
Seclion Township Range County-42.4-?
Which is occupied by?TB t 1]
(Name of O<cu0ant)
Is a roughin inspection required on this job? No ? Yas? Ready No? WillCall?
Power Supplier Address
Electrical Contractor 4ci.?ci fd Contractor's License No?7
(COmpany Name)
Mailing Address _Z-,01"7 A?04L?
? ,(Electriwl ContraUOr or Ownar Making his InitallatloN l-
Authorized
Phone No.
s ? n?? ?n ???1 ?D ?Op? This inspection request will not be accepted hy ffie
?? ??/ «'? State Board unless proper inspection fee is enclosed.
mmrresoca s[ate noara ot tiectnaty
Griggs Midway Bldg. - Room N197 ?- EB-00001-02
-1827 18ryversity Ave.. St. Paul, Minn. 55704 - Phone 297-2171 (p
REQUEST FOR-ELECIRICAL INSPECTION S g??37?
CHECK BELOW WORK COVERED BY THIS REQUEST
- ype of Building New Add. Rep. Check Appliances W'ved For . Check Fquipment Wired Foi
Home
19-
?
?
Range
Temporary W'ving
?
Duplex ? ? ? Water Heatei ? Lighting Fixtuies -zw
Apt. Bldg. ? ? ? Dryex ? Electric Heatiag ?
Commeccial Bldg. ? ? ? Fumace K Silo Onloader ?
Industrial Bldg. ? ? ? Au Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List List
Other ? ? ? p
Hehe13? p
Heiels? '
COMPUTEINSPECTION FEE BELOW
Seavice Enhance Size: # Fee Feedeis@SubPeeders: # Fee Ckcuits: " # Fee
0 to 100 Amps. 0 to 30 Am res 0 to 30 Am eres g-es
101 ta 200 Amps. 31 to 100 Ampexes 31 to 100 Am res / y
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformecs RemoteControlC'uc. Paztialoro[hetfee .So
Signs Special Ins ec[ion Minimum fee $5.0
Remarks
i TOTAL E 0, 00
I, the ElectWcal rft ify ? bove ' ection has been made. ?
(Rough•in) ' Date
(Final) _ _ ` 7f ,. tLt Date
This request void
18 months from
This requegt void
1•8.months from
?W 1, ;L ?-
V
?tl
L?o °
OA 1 D$te of t s Request 5'-/Ss/? / Fire No. ??
1, as` censed Electrical Contractor O Ow rne od he;eby inspection of the above electri-
cal wiring installed at:
Street Address or Route No r' Z-Y r/!t z,X. Eitsj' 1 sT ?d---Cit
7
Section Township Range County n,r/4sty
Which is occupied byZ/>w _ 13 N R(:?v 2,)
(Name oi Occupant)
Is a roughin inspection required on this job? No ? Ye$!K Ready Now ? Will Call_?K
Power Supplier [/sfl??? ? re3?K./r Address ,25?-e?l%N77?iv
?7
Electrical Contractor e Contractor's LicenseNo. _
(COmpany Name)
Mailiitg Address oZ,pj7 ? r3`/Ger- A6,o95Eo
( eCVRaI Con [o! O! Owner Mdk10g TI115 InstillatlOn)
Authorized Signature ? Phone No. (J? 3 - 3?fS7
r c tr ctor or OVa wnir Makinq 7hls Installatlon)
su??? p C?p ?D QOp? This impection request wiil not he accepted by the
State Baard unless proper inapeetion fee is endosed.
?-
? 15137
Requast Defe ? Fire No. Rough- InspeCtqn
Reqmredl
? Vea ? No
? Refltly Now ? WII Notdy Inspectot
When Reatly4
I/9+-NLgnsed coniractor ? owner hereby request inspedion of above electrical work at:
,bb Addre (SVeeS Boz or Roule No CM
Section N. 1 Trnmship Name or No. Range No. County
Occup!!PRINn /? ? I
l/l_/ ?Ly ? ? Phone No -
Power Supplier Pdtlress
Eleclrcai Coofrector (COmpeny Name) Contr or5 icense No.
Maibng r ? a lon)
14540 PEN
A Lgd3lure_ jCryil?ec}or{l??gr M ki Ins a a
JJ v ril.,l,r r, 55124 Phone Number
NINNESOTA STATE BOARO OF ELEC7AICfiY THIS INSPEGTION REOUEST WILL NOT
Grlggs-Midway Bidg. - Raom S-173 BE NCCEPTED BY THE STATE BOAHD
1821 UnhrcBtty Ave., St. Paul, MN 65704 UNLESS PROPER INSPECTION FEE IS
pMnp (612) 602-0800 ENCLOSED.
IF 15137
REQUEST FOR ELECTRICAL INSPECTION
? See rtlAhuc1ions for mmplehrg IhiSlorm On back af yelbw Copy
X' Below Work Covered by This Request
^ 7 EB-00001-07
~ (?
49-1-(?, 3-
NIe% Milli ep. Type of Building AppliancesWired EquipmeMWired
x Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Building Dryer Other (Specify)
Comm./Induslrial Furnace
Farm Air Conditioner
Olher(spetdy) ConVaclork Rem s'
Compute lnspection Fee Below: ?
# Other Fee # S rvicaEntrenceSize Fee # Ciauds/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above200_Amps Above700_Amps
Signs lnapecmr9 use onN.
Irrigation Booms
Special Inspection sr
Alarm/Communication (
Other Fee
I, the Electrical Inspector, hereby R°"9n-m oate
certity that the above inspection has
been made. Fe,ai ,? ? oa?e
OFFlCE USE ONLY
This request voitl 18 rtwnMS hom
CITY OF EAGAN
3795 Pilot Kneb Rood Eagan, MN 55722
PHONE: 454-8100
BUILDING PERMIT APPLICATION
Site Address .Yic . u?
Lor 24 ei«k z Sec/Sub. CheS MdY E39t 1
Porcel #
w Name 3rfo d CYmetnm-l-i on
; Address P. O. Box 21218
° r:... Ea9an ok....e 454-3237
p Name _
z?
OU Address
Name _
Address
I hereby acknowledge that I hove read this application and stote that
the informotion is crorrect and agree to comply with oli opplicoble
State of Minnesota Statutes and City of Eagon Ordinonces.
N8 6649
Receipt # X
Ered $$ Octuponty R3
Alter ? Zoning Rl
Repair ? Fire Zone
Enlurge ? Type of Const. V
Move ? .fk Srories
Demolish ? . Front 46 ft.
Grode p Depth 26 ft.
Aoororals Fen
Water 8, Sew.
Police -
Flre
Eng.
Planner _
Council _
Bldg. Off. -
APC
Permit 140 .UU
Surchorge 22-50
Plun check 64.00
5qC 525_00
Water Conn. 1 -45 - 00
WaterMeter 60_00
Road Unit 1 RS _ 00
Totol 1p Rl Q_ F()
Si9nofure of Permittee I
A Building Permit is issued to: BUrfOTCl COT13'tYL1Ct1011 on the express condition thot
all work sholl be done in occordance/lvith qll applicAble-§wte of Minnesota Statutes end CiTy of Eagan Ordirances.
Buildfng Official
{{r ?^IX q CITY OF EAGAN Include 2 sets of plans,
( ^ lJ? ? 1 site plan w/elevations &
? ?? BUILDING PEFdLTT APPLICATION 1 set of energy calculations.
Th se usea ror S?/r filn-r-ec/ Valuation ??-,nou Dare
site Fddress L,?¢/zCt°/Z
Int a-[ Block ? Sec./Sub. ChE5 h?ar ? ?SkErect
Parcel # : Alter
gepair
Owner: I? 1-7( 50 -E?`? o c) G- Ehlarge
Acldress:
City/Zip Code:
Phone #:
Contractor: ryu Kf?6 xp
AddreSS: P0 13c, x a 1??6
City/Zip Code: ?'t?,?6L[(R)
Phone # :
Arch./Ehg.:
Adclress:
City/Zip Code:
Phone #:
Move
Demolish
Grade
OFFICE USE ONLY
occupancy ?Fs
Zoning T2 /
Fire Zone
'lype of Const. v
# Stories 7-.
Front yG ft.
pepth ft.
APPROVAIS FEES
Assessnents Perntit >28; o 0
?4ater/Swer Surcharge 72so
Poliae Plan Check •,? y, o0
Fire SAC sz.f. a A
Eng. Wdter Conn. .3eS.ao
Planner Water Meter /D.aO
Council Road Unit / FS, a o
Bldg. Off.
APC
TO'PAL
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERI.IT APPLICATION 1 set of energy calculations.
Zb Be Used Fbr S/Af- L f 471&--ff Valuation ? ?p0 Date
Site Pddress Jn?- ?( ? Ci /Z
Iot ?3 Bloc]c ?-- Sec./Sub.
Parcel # : C 145 4n9e- (;?A67
Ovmer: 10 (-I l S v ?30 0 o'L
Address:
City/Zip Code:
OFFICE USE ONLY
Ez'ect OccuPancy
Alter Zoning
Repair Fire Zone
IIhlarge 'iype of Const. ?
Nbve # Stories ?
Dennlish Front y( ft.
Grade Depth Ae ft.
Phone #:
Contractor: ?aJZ<?.?e7 ?p-K ??L?;C?P4l
Pddress: pU (?d K ??/,? ?
City/Zip Code: '`Gov°/W . Ol.O
Phone # : f4fL- 3
I1'rch. /Eng. .
Address:
City/Zip Code:
Phone #:
APPROVALS FM
AS52SS1i12.T1t5 P22Slllt 121, 66
?4ater/Sewer Surcharge 2 A, So
Police Plan Check `y, 66
Fire SAC 325. aa
Eng. Water Conn. Ma 0
Planner Water Meter
'6& o e
Council _
Road unit ig3, eo
Bldg. Off.
APC
'ICYt'AL /j l J• S d
'BUILDING PERMIT APPLICATION
Site Address ?Ulo rlaple a.,eai i..ir _
Lot 23 elock 2 Sec/Sub.Che$ Mar E. 1
Parcel #
w Ncme Sirfnrrl (Ymetnirtion
3 Address ' P O BoX 21218
? „--_ „1454-3237
o Name
-
u? Addre,
t- t't..,
Nume _
Addreu
I hereby acknowledge that I have read this opplication ond state that
the information ts Correct and agree to [omply with all appiicable
Stote of Minnesota Statutes and City of Eagan Ordirwnces.
N2 6648
ReCeipt # °2 W1 (n/
Erect M Octupancy r-3
Alter ? Zoning Rl
Repair ? fire Zone
Enlarge ? Type of Const. V
Move ? # SMries
Demolish ? Front 46 ft.
Gwde ? Depth 26 ft.
Approvala ieei
AssessrtA?* 4-9-81
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit 128.00
Surcharge 22-50
Plun check 64.00
SAC 525.00
Water Conn, 3? S. 00
Water Meter 60.00
Road Unit 185.00
Total 1 P'l19 _ 50
Signature of Pertnittee I
A Bufiding Permit is issued to: BLIrfOZ'CZ COI1S'tY'l1CtlOri on the express condition that
all work shall be done in accordonce yWth all applicable State of Minnesota Statutes ond City of Eagcn Ordinances.
CITY OF EAGAN
3795 Pilot Knob Reod Eagan, MN 55122
PHONE: 4548100
Building Official
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when perntits are required for each unit
natc -2 °3
Site Address SLAUGHTER, JOYCE Unit #
4576 MAPLE LEAF CIRCLE
EAGAN, MN 55122
(651)686-4807
Property Owner _ Teleplione # ( )
Contractor NORBLOM PLtlAABtNt3 CO.
(612) 827-4033
Address 29 City
•
ip Teleplione # ( )
State
The Appficant is _ Owner ? Contractor _ Other
Sep[ic System New. = Refurbished Submit 2 se45 of plans and MPC Ilcense $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ X' new installation _ repair ?? i d
? 1
$ 30.00
1 Lawn irrigation system bc.Cki' 6J VY*.V W1 ??
i
_ Water softener Water heater ? $ 15
00
.
_ replacement _ additional
State Surcharge $ .50
. 30.50
,
otsl $
I hereby apply for a Residential Plumbing Pemut and aclmowledge that [he information is complete and accurate; that the work will
be in conformance witL the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pemvt, but only an applica[ion for a permit, and work is not to start without a peruut; that the work will be in accordance wrth the
approved plan in the case of work whicl, requires a review and approval of plans.
Jl?-? l?orblUVv\
ApplicanYs Printed Name A s Signature
Certificate For: W.O, 51-93
Burford Const,
P.O. Box 21218
Eagan Minnesota -
55122 DELMAR H. SCHWANZ
LANOSVRVEVOR
Reqisteretl UnOer Laws of The S[aU of Minnesota
2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESO7A 55088 PHONE 812423-1789
SURVEVOR'S CERTIFICATE
m R_(?'pZ,33 K 1 RKW00q DR?VE ?
7-9,91 4-2°5o'a" s3.3z
30 kAT%l.1TY EASEMENT Q 1
10 I--- ?I ---- - ?`?/
? I ZZ 12 I
` s 4 p V Y?? ?
I J ? ?
A ? I o
o
? ? ?? 3.21 GI (T i Q
r a
\. 6flST 0 J , ? - -
?.jp2TH uNE o? S Ur1 ? Q ? ?
N $ 23.0o gecT ? N O
Sc°IQI- Iw 1
1 ?nGI) 20?
? - 113.21 EAST
d e ?4 s
?t
3- I
?0D ? 2L Q ?1 , ? y( Y
Q 19 30 O ?? I a
i L
S
,o ?? - - -f - - - - -J 1
-?3.? u?
I hereby certiPy that ` B?g,? EasT
this is a true and correct
representation of
PARCEL A: I.ot 23, Block 2, CH MAR EAST FIRST ADDITION, according
to the recorded plat thereof, Dakota County, Minnesota, except the
south 23.00 feet thereof.
t 23, Block
to O the e recorded plat
?AR CHFS B MAR ? EAST 4Ft IRST t ADDITION, t according 23.00
thereof, Dakota County, Minnesota.
Also showing the location of a proposed butlding thereon.
Dated: April 2, 1981
MINNESOTA HEGISTRATION NO 8625
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuiLoiNG
3830 Pilot Knob RoBd Permit Number: 021657
Eagan, Minnesota 55123 Date Issued: 08 / 04 / 93
(612) 681-4675
SITEADDRESS: l.oT: 23 BLOCK: Z APPLICANT:
4576 MAPLE LEAF CIR TWIN CITY S70RM SASH CO
CHES MAR EAS7 iST (612) 546-6160
?
PERMIT SUBTYPE: TYPE OF WORK: REPaxR
DE3CRIPTION (SASHES)
'Ire CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.M.: 10-17150-231-02
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4576 MAPLE LEAF CIR
LOT: 23 BIOCK: 2
CHES MAR EAST 1ST
BUILDING
021657
08/04J93
DESCRIPTION:
REMARKS:
UL (7?r-
-,,- -,-_
, ?- (SA5HES)
Bullding.Permit Type SF (MISC.)
Building Work Type REPAIR
; ?
?-
/ •
-?
/
:
i
,
i
?•
FEE SUMMARY:
VALUATION $1,600
Base Fee $37.00
Surcharge $.$0
Total Fee $37.80
CONTRACTOR: - Applicant - ST. IIC. OWNER:
TWIN CITY STORM SASH CO 15468160 0903090 JACOBS DUANE
10825 GREENBRIER Rp 4576 MAPLE LEAF CIR
MINNETONKA MN 55305 EAGAN MN
(612) 546-8160 (612)454-3193
Z hereby ecknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and Ciky of Eagan 9rdinances.
L
APPLICANT/PERMITEE SIGNATURE
an ?isA.rl.l ?J
ISSUED B 51 ATUREr
?
REACTIVATE
PERhII? ?
.2'1-491
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLICATIO 3 2 ?v
SINGLE,& MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 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 changed or 3) lot change is requested once permit
is issued.
Date 7 Valuation of work 4LOO
Site Address: ' p
STREET SUITE 0
?
Tenant Name: (commercial only) !
LOT BIACK ? ?±, I
'f'
SUBD. ? P.I.D. k
j
?M
G ?l
Descri tion of work: z?l a
The applicant is: ? Owner aContractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE ?
City State ZiP
Company TWIN CITY STORM SASH, INC. Phone
10825 GREENBRI
55345
#D Ex
i
Contractor p.
cense
L
Address MINNETONKA. MN
s?2-sa ,
, Ciry J State _ ZiP
Company Phone
ArchitecU
Name Registration #
Engineer
Address
City State ZiP
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
f
correct and agree to comply with all applicable State of Minnesota Statutes and City o
Eagan Ordinances.
Signature of Applicant:` ?' -;'Vt "0?t p-? ?k'a
o??? CTTY OF EAGAN
I.or?r MECHANICAL PERMIT
SUBD. (612) 681-4675
RESIDENT'IAI.
xEECEirr # C D ? iy9,P7
DA1'E ia/3o/9?
PLEASE COMPLETE UppIIt pORTION ONLY FOR SINGLE FAMII.Y DR'ELLINGS. ALSO, COMPI,ETE FOR
TOWNAOMFS/CONDOS WHEN SEPARATE pERM11'g ARE REQIIIggp FOR EACH DWELLING iTNIT.
OWNER: J'' ?S FEES
STTE ADDRESS•
O /,? r
Z (? (_° C- ADD ON/REMODII, (FJCISTING
CONSTRUCfION ONM S 15.00
INSTALLER: GENZ-RYAN HEATING ? HVAC: 0-100 M BTU 24.00
PHONE #: 423-1144 ADDTI'IONAL 50 M BTU 6.00
ADDRESS: 14745 South Robert Trail GAS oUTLETS . MIlVIMiTM i@ S3 FA.
C11'Y: Rosemoimt ZIP: 55068 sURCHAItGE: $ ,So
SIGNATURE: TpTA,; $
coMWMcrai, y a,4
r
PLEASE COMPLEI'E THIS PORTION FOR ALL COMMERCWJINDUSTRIAL BUILDINGS. AISO COMPLEI'E FOR
APAR1'MENT BUILDINGS OR OTHER MULTI•FAMILY BUIId3TiVGS R'fIEN SEPARATE PERMTfS ARE NOT REQUIRED FOR
EACA DWELLING UNTf.
WORK DESCRIPTION: CONTRACf PRICE FEFS
196 OF CONTRACT FEE.
STATE SURCFIARGE L5 $SO FOR EACH
$1,000 OF PERMTf FEE. $
PROCFS5ED PIPING - $25.00
A4IIVIDIUM FEE - S25.00
S
SIGNATURE:
? ? yG3
??,?? CITY USE ONLY aC?
? a?r i o2. r? RECEIPT #: _?QD Cp 0/
? 1
SUBD. ? Riy7 RECEIPT DATE: 144 1998 PLLJt+MING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGP,N, N4N 55122
(612) 681-4675
Please complete for D single family dwellings
? townhomes and condos when permits are required for each unit
? backflow prevenier for underg round sprinkler system
-- -----°-----
FIXTURES ---------
EACH
# TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath T;;S 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener `for dwellings under construction 5.00 X =
Water Softener " for existing dwelling 20.00 x =
U.G. Spfinklef ' for dwelling under const. 3 00 =
U.G. Sprinkler ' forexisting dwelling 20.00 =
Alterations * to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System • MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems " Aeandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
TOTAL A'a ? 5 `?
-- ----
------------------- ----- ----- --- ----- ----------------- -•- --- ---- --- --- ------------------------------ -------- --------------- ------- -
I hereby acknowledge that I have read this appliwtion, state thal the infortnation is cortecf, and agree to comply wRh all applicable City of Eagan ordinances.
it is the applicanYs responsibility to notity the property owner that the City of Eagan assumes no liability for any damages caused Dy the Ciry during @s
normal operational and meintenance activdies to the facilities constructed under this pertnit within City property/right-of-way/easement.
SITEADDRESS: ?j.PELz
OWNER NAME: Gjd9/n?f
INSTALLERNAME: /77eQ 4f9DT? ?iii?i-?G SELEPHONE#:Z3-1- O'JJJ''
STREETADDRESS: ?5?6 L'A-MrG-r DQ ??r `/o
CITY: ??/inetir?t/ STATE:
TURE
ZIP:
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
Z3?
zY?'pz
oV lc C7
C
Council Minutes
May 19, 1981
listed be scheduled for June 16, 1981 at the City Hall at 7:00 p.a. Pro,ject
Nos. 254R, 255, 265, 272, 287, 310, 312, 199, 285, 233, 235, and 275.
Upon motion by Egan, seconded by Smith, all voting in favor except
Parranto who abstained, itea 12 of the Consent Agenda vas approved. Upon
motion o: Wachter, seconded Saith, all members voting in favor, the balance of
the Consent Agenda items we^e approved as recommended by staff.
YACAiION OF EICHARD LANB AHD Sggtg Bppl,gydRD
Mayor Bea Blomqvlst convened the public hearing regarding the petition to
vacate a portion oF Richard Lane and Erik's Boulevard in Txin Vieu Manor
Addition. Several property owners were preser.t Dut there were no objections
to th= vacation proceedings. Tom Colbert explained the proposal and Smith
moved, Parraato seconded the motion to close the hearing, to approve the
vacation of the streets as designated in the Petition and that the Mayor and
Cierk be authori2ed to execute the appropriate Resolution. All voted yes.
R 81-29
1SICAAEL QtFSSER - I.R. FIAAHCING
C.
The next public hearing convened by the Mayor concerned the application
of Mr, and Krs. Yichael Gresser for industrial revenue financing in the aaount
of $1,620,000 to acquire and improve property on Lot 11, Hlock 1, Sibley
Terminal InCustrial Park. The industrial revenue financing rrould include a
tuo-phase project covering new construction of an industrial building and
remodeling of an existing building that Gresser, Inc. taould move frcm its
present location at 1971 Seneca Road to the new location at the intersection
of Yar.kee Doodle Road and Terminal Drive. Mr. Hedges reviewed the proposal
and explained t!:at the plans for uaiver of plat had been revieved by the City
Council at a sp?cial meeting. Mr. Colt of Juran and Moody was preseat ar.d
anscrer?d questions on behalP of the applicant. It was further explained that
land was not included in the industrial revenue fir.ancing. Parranto moved to
close the hearing and to grant preliminary approval oP the application cover-
ing $1,620,000 xith the understanding that tk:e land and building acquisitioa
x111 be eliminated from the final approval, further, subject to coopliance
vith all City and State industrial revenue financing requirements. Egan
secor.ded the motion and all voted in favor.
JEFFREZ R. BLOON - VAIYER OF PLAS
The application of Jeffrey R. Hloom for xaiver ot plat in order to split
? Lot 10, Hlock 3, Clearvieu Addition xas, upon motion by Soith, seconded
Parranto,, continued to the r,ext regular meeting at the request of the appli-
cant. All voted in tavor.
CSFS MAR EAS2 15t IDDTfION YAI9ER OF PLAi
The application of Hurford Construction Company for waiver of plat to
adjust the center line betueen Gots 23 and 24, Block 2, Ches Mar East lst
Addition was next considered. Mr. Hurford sras present and ansuered ques*ions
?- from tte Cour.cil. The APC recom9ended approval subject to certain conditions.
iTachter moved, Parranto seconded the motion to approve the application for
. . .. ..,,?
3 _. . _. . : . ... -. ..:
-. . • - ..... ?
c.M?
d'
DAK 544
7; ????
????IVED ? . ?
ZON2NG - NOTIFICATION OF INTENT
Foster Fam31y Homes
Dsy Care Homes
?
G
FROM: Dakota County Social Servicea
357 9th Avenue North
So. St. Paul. MN 55075
APPLiCANT
(Cit (State)
Number of Natural Children uader 18 ia home: 0V2 3 4 Sf'
(circie number)
Number of Foster Childrea iacluded in license:))1 2 3 4 5 6 7
(circle number)
Number of Natnral Preschool Children in Homa: 1 2 3 4 5
circ2e number)
Num6er of Day Care Cttildrea included in 13cease: 0 1 2 3 4?5 6 7 8 9 10
(circle number)
L.
DA2E OF NOTIFICATION: ? ?n -1 1 -<?Z-
2006 RESIDENTIAL BUILDING rExNnT arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWClion Reauiremenis
3 registered sile surveys showing sq il of lot, sq fl of house, and all roofed areas
(20% mazimum lot coverage allowed)
2 copies of plan showing 6eam &window sizes, poured found design, etc.
1 set of Energy Cakulations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joisf DeUil Options selection sheet (buildings wifh 3 or less uniLs)
Minnegasco mechanical ventilation form
RemodellReoeir Reouirements
2 copies of plan showing footings, 6eams, joists
1 set of Energy Cakulatlons for heated additions
1 site survey for addifrons & dedcs
Addition - indkate if onsde septic system
Ww OD
ORca Use OnN
Cert o(SurveyRecd - , _Y _N
Tree Pres Plao Recd _Y _ N,
TreaPresRequired Y N
On4teSeptic5ystem _Y _N
Date
Site Address Construction Cost C? -? , bd d c`
Unit/Ste #
Description of Work `V1 (a
Multi-Family Bldg XY _ N Fireplace(s) _ 0K 1 _ 2
Proper[y Owner vC1 ? ?(%?j ? 1l ?? Telephone # ( (:0
Contractor
Address
State CiTy
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
(J submission type) • ResideMial Ventilation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheat
Submiried
In the last 12 monThs, has the City of Eagan issued a permit for a similar plan based on a masTer planZ
_ Y _ N If yes, date and address of master plan:
Licensed Piumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name
Use BLUE or BLACK Ink
For Office Use^
Permit 70
City of Eats 1 1
I Permit Fee: I
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 1
Fax: (651) 675-5694 1 Staff:
L -----------------1
2009 MECHANICAL PERMIT APPLICATION
Date: Site Address: - J' C d~G Z z0s
Tenant: S Suite
RESIDENT / OWNER Nam 'Phone: - tz
Address/ City /Zip: tj~-ZL
CONTRACTOR Name. Z ( License
Address: Cl cSi ~L'P LN4: 1 i J
City: State:
Phone. - Contact Person: t f`k
TYPE OF WORK New replacement Additional Alteration Demolition
Description of work: /
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
_ Air Exchanger Gas Exterior HVAC Unit
Heat Pump _ Under / Above ground Tank l- Install / _ Remove)
" When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ S 2 TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
~
50.50 Minimum (includes State Surcharge)
= $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection ag inst under round utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall. r
I hereby acknowledge that this information is complete and accurate; that the work will be in of rm wit th rdinances and codes of the City of
Eagan; that j understand this is not a permit, but only an application for a permit, and work i n to a out it; that the work will be in accordance
with the ap oved plan in th work which requires a review and approval of plans.
x x
Applicant's Printed Name Ap ant's ig re
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground Rough In -Air Test -Gas Service Test -in-floor Heat -Final
Exterior HVAC Screening Inspection
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114667
Date Issued:09/17/2013
Permit Category:ePermit
Site Address: 4576 Maple Leaf Cir
Lot:231 Block: 02 Addition: Ches Mar East 1st
PID:10-17150-02-231
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Cyndie Southcotte
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Joyce A Slaughter
4576 Maple Leaf Cir
Eagan MN 55123
(651) 686-4807
Zwk Exteriors Llc
2801 265th Street East
Randolph MN 55033
(651) 587-7554
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA131740
Date Issued:07/06/2015
Permit Category:ePermit
Site Address: 4576 Maple Leaf Cir
Lot:231 Block: 02 Addition: Ches Mar East 1st
PID:10-17150-02-231
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Joyce A Slaughter
4576 Maple Leaf Cir
Eagan MN 55123
(651) 686-4807
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature