4707 Markham PtCITY OF EAGAN
3795 Pilof Knob Rood Eogan, MN 55122 N? 6 4 Z 9
' PHONE: 451-8100
BUILDIirG PERMIT
Te ba und for Est. Value
Site Address ?
Lot Blxk Sec/Sub.
Parcei #
z Name
; Address
b Ci Phone
? Nome
?o
?? Address
oti....e
Name _
Address
I hereby ackrrowledge thot I hme reod this appliwtion and state that
the informotion is correct and agree to comply with all applicable
State of Minnewta Statutes and City of Eagan Ordinunces.
Receipt # -
Ered ? Octupancy
A 3
Alter p Zoning
Repcir ? Fire Zone 3
Enlarge ? Type of Const.
Move
Demolish
Grade ?
?
? # Stories
Front Z ('0
Depth 2
ft.
(-4 ft.
Anorovals Feas
Assessment _
Water & Sew.
Police
Fire
Eng.
Plonner _
Council _
Bldg. Off. -
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
WaterMeter
Road Unit
Total
Signoture of Permittee I
A Building Permit is issued to: " on the express condition that
alI work sholl be done in accordante with all opplicoble State of Minnesota Statutes and City of Eagan Ordinonces.
Building Officiol
Pamk DaN Iwnad MhktN .
Plumbin9 ''r/
Mechonical
r .?? os9 s- _
INSPECTIONS DATE INSP. RaiQh-In I Final
FoOtings Date Inso. Date Insp.
Foundation Plumbing - ?
rum /ins. Mechanical g-
Final -??
Remarks:
CITY OF EAGAN
3795 Pibt Knob Road Eagan, MN 55722
• „ PHONE: 454-8100
N4 6428
PERMIT Receipt #
To be used for ^i' 4 UleY.
Site Address
Lot Block ^ Sec/Sub.
Parcel #
40.000
W Nome "-?n «r,'!uso7l .'pr?e.s
; Address ? oT>>:i'_,:S ,. rd. . ?,..,.,.
b
p Nome
Address
DL.....e
Name _
Address
I hereby acknowledge that I hcve reod this application and stcte that
the information is correct ond agree to rnmply with all applicable
State of Minnesota Stotutes and City of Eagon Ordinances.
Erect [] Occupancy
Alter 0 Zoning _
Repoir ? Fire Zone -
Enla?ge ? Type of Const,
Move ? .# Stories
Demolish ? FroM ? ft.
Grade ? Depth ft.
Approrah Foea
Assessment _
Water & Sew
Police
Fire
Eng.
Planner _
Courxil _
Bldg. Off. _
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total r
Signoture of Permittee ?
A Building Permit is issued to: on the express wndition that
all work sholl be done in accordance with all oppliwbie State of Minnesota Statutes and City of Eagon Ordinances.
Building Official .
v.rmn # oea iw..a v.r.nr«
Plumbing
Mechanical
INSPECTIONS DATE INSP.
RoupMln
firal
Footings Dote Insp. Oate Inap.
on
Foun
daU
Plumbing
Frame/i
- -
Mechonical ?
?
mal q'y-IF/
Remarks:
CITY OF EAGAN
r
? 3795 PiIM Knob Road Eagan, MN 55122 N? 6 4 3 ?
? - PHONE: 454-8700
BUILDING PERMIT ReceiPt # --
To M ared fw Est. Value Date , 19-
Site Address Erect ? Occuponcy
Lot Block Sec/Sub. Alter ? Zoning
parcel # Repair ? Fire Zone
Enlarge ? Type of Const.
Name Move ? # Stories
W
3
0 Address Demolish ? Front ft.
Ci
Phone Grade ? Depth k.
Aocroralt Fces
p Name
?
?? Address
f r'7w, ol.....e
Name _
Address
I hereby ocknowledge that I have read this opplication and state thot
the informMion is wrrect and agree to comply with oll applicable
State of Minnesota Stotutes and City of Eagon Ordinonces.
Assessment
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bldg. Off.
APC
Permit
Surcharge
Plon check
SAC
Water Conn.
Water Meter
Road Unit
Total
Siqnature of Permittee ?
A Building Permit is issued to: on the express condition that
oll work shall be done in accordonce with all appliccble State of Minnesota Statutes and City of Eagan Ordirwnces.
Building Official
P?nnk # paN IwW PrmMt"
Plumbing -?- / %-. / ?„ •
Mechanical ly-
INSPECTIONS DATE INSP.
Rough-In
Finol
FOOtingS Date (nap. Date Insp.
Foun t' Plumbing ?
Frcme/ins Mechanical
, ?n --Y-B /
I
Remarks:
BUILDING PERMIT
To be und for
Site Address
Lot ?
Porcel # -
W Nome
Z Addre
9
, p Name _
?
?? Address
Ci
?'W Name _
Address
Receipt #
N° 6431
Erect ?j Occuponcy
Alter ? Zoning
Repair ? Fire Zone =
Enlarge ? Type of Const.
Move ? # SMries
Demolish ? Front ft.
Grode ? Depth ft.
Aowovals Faea
Assessment -
Water & Sew.
Police
Fire
Eng.
Plonner _
Council _
Permit
Surcharge '
Plan check SAC
l
Woter Conn.
Woter Meter
Rood Unit _
I hereby ockrwwledge that I have read this application and state thot Bldg. Off.
the information is correct and agree to comply with all applicable ,.- $tate of Minnesota Stututes and City of Eagon Ordinantes. APC Total
Signature of Permittee
A Building Permit is issued ta on tha express condition that
all work shall be done in accordance with all applicable Stote of Minnesota Statutes and City of Eagon Ordinances.
Building Official
CITY OF EAGAN
3795 Pilot Knob Raad Eagan, MN 55122
PMONE: 454-8100
LC
Block $ec/Sub. ?id?*ecliffe 5
PMnM xj pate Iwwd hrsltM
Plumbing
Mechanicol
?? r 31.0(p9
INSPECTIONS DATE INSP.
Rouph-In
Finol
Footings Date Insp. Dme Insv.
Foundation Plumbing
Frome/ins. Mechanicol
Final -v ?
Remarks:
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prini /egib/y Tot.
1. Date - 2. Installation Cost 3. JobAddress:J-ot Blk. ' Tract "
4. Owner '
. . , .,
5. Contractor Phone E=$-r::
6. Address
7. City State i;. Zip
8. Building Type: Residential t- Commercial ? Institutional ?
9. Work Description: New CI Add ? Alter ? Repair ?
I io. Describe ='=5tal1 forced a1T he; tiilLOFuel Type
I 11,
No. Equi ent 9TU - M. Ea.
Forced Air 57y06C ' ?u No. Equiament CFM
Ai
H
dli
:
Mfg. an
ng
r
Boilers
-
Mfg. - Mech. Exhaust
Unit Heater
_ Mfg. Other
Air Cond. 1'?Oi:;)
Mfg.
Gas, Piping Outleu
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.
fhis is your permit when numbered and approved.
,Approved CITY OF EAGAN 464-8700
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print /egib/y Tot.
1. Date ' 2. Installation Cost '
3. Job Address Lot Blk. Tract
I 4. Owner
I 5. Contractor
Phone-?5-6867
6. Address
7. City - '' State • Zip
8. Building Type: Residential E?- Commercial ? Institutional ?
9. Work Description: New -? Add ? Alter ? Repair ?
I 70. Describe-?•:'4',.aL1 fo2'Ced sii• heat:,.it Fuel Type :dat G.
I 11.
No.
i Eauioment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
Handlin
:
Mfg. r
g
Boilers
-
Mfg. - Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outleu
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: _ 0 for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prini/egib/y
Tot.
1, Date - 2. Installation Cost
3. Job Address C2 1'%. Lot Blk. Tract _
4. Owner ? ? .
5. Contractor Phone -i
6. Address
7. CitY State : . Zip r
8. Building Type: Residential 11
9. Work Description: New ?
Commercial ? Institutional ?
Add ? Alter ? Repair ?
I 10. Describw-?',-U-"'1 ?,oZ'Ced &7.Y i FuelType
1 11.
No,
? Eauioment STU - M. Ea.
Forced Air No. Equipment CFM
Air Handlin
:
Mfg. g
_ Boilers
Mfg. _ Mech. Exhausi
Unit Heater
Mfg. Other
' Air Cond. 1.; :1'Lu
Mfg.
1 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.
SignQd: for
Rough Final
Inspectiong: Date Insp. Date Insp.
This is your permit when numbered and approved.
R,pproved CITY OF EAGAN 454-8700
CONTRACT PRICE?
? Site Address y?
PERMIT # --ef!2
MECHANICAL PERMIT RECEIPT # _
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PNONE: 454-8100
m
m
c rvame -
Address
City • ^- ?- ?; ?-.?
Phone _
L Name igr
c Address y ?
p City Phone_
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
j Vent CFM
Gas Piping Outlets #
Other
;
BLDG
TYPE
OR
D
.
W
K
ESCRIPTION
Res. - New
Mult Add-on =-
.l Comm. Repair
- ._. .:, Other
FEES ?
HVAC 0-100 M BTU -$24
RES
00 -
• .
.
ADDITIONAL 50 M BTU - 6.00
DES A/C ON NEW
C
ONSTRUCTION)
GAS OUTLETS
MINIMUM
7 PER PEkiNI'
1
50 EA
-
(
n -
.
.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON & a
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHAR?'.,E PER PERMIT - .50
(ADD $
50 S/C IF PERMIT PRICE GOES
.
BEYOND $1,000)
FEE: _
S/C: _
TOTAL• ' ?"'
N F?E OP PERMI7TE
?
R: CITY OF EAGAN
y/,y/fr' 0 9?aw '
r J (..` ) ??
Receipt MECHANICAL PERMIT Permit No. ?
CITY OP EAGAN
Fee ?
. ?'
' FiU in numbered spaces S/C `??
Type or Print/egibly
Tot.
1. Date 2. Installation Cost 1100.0!` '
3. JobAddress4-7n7 ','rkh`tIIl ?'t.Lot BIk.," Tract
4. Owner I"OLII',IC
5. Contractori, Y''T• WELTL.R HE.•"•TI;'(i Phone F0$-6867
6. Address 4E37 ChiLlago Ave. 70,
7. CitY .?,'ln • State Zip
8. Building Type: Residential 91 Commercial ? Institutional ?
9. Work Description: New El Add ? Alter ? Repair ?
10. Describe Til.t<11 c.ir c-,naitior.in FuelType !-°ctriC
11.
1
No. Eauioment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
d
i
Mfg. r
an
l
ng:
_ Boilers
Mfg. _ Mech. Exhaust
Unit Heater
Mfg, Other
_
1 Air Cond. 18s000
Mfg.
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 : x
for
Rou h Final
Inspections: Date`? fa -dY Insp. LA). 8 Date 5/i/yn /f(Insp. ? ?
r--7-,
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
Receipt
1. Date
MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly
T
t
o
.
2. Installation Cost I 3. Jab Address Loi Blk. ; Tract :
' 4. Owner
I
? 5. Contractor -- - Phone -
6. Addreu LE?,?7 CILiC-.f'o . vi:, .'o.
7. City State ' - • Zip
8. Building Type: Residential CI. Commercial ? Institutional ?
9. Work Description: NeHr p; Add ? Alter 0 flepair ?
10. Describe=.'t311 forced Ei12 -FuelType_ A F:.
11.
No,
? EqyjRment BTU - M. Ea.
Forced Air No. Equipment CFM
Air Handling:
Mfg,
- Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Oiher
1 Air Cond.
Mfg.
+ Gas, Piping Outlett
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: 11 for
Fough Final
4nspections: Date , Insp.__ Date Insp.
7his is your permit when numbered and approved.
App'roved CITY OF EAGAN 454-8100
• CITY OF EAGAN
" 3795 Pilet Knob Resd
No. "?eea, MlnnewM 55122
Phona: 454-8100
PERMIT
Dofe: . ?
Site Address: ` . 17 " '
l.ot Block ? Sub/Sec. -
iNSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residentiol
Multi Res., Comm./Ind. I
?'T'171 `I?ZQ*fl ' L-s ...
Name New/Alter./Repotr
? Address Cost of Instollation
City Phone: Permit fee Nome r.? .? .. 1? .-..
? Surcharge
?
? Address
City ' Phone: ToMI
This Permit is issued on the express condition thot oll work shall be done in occordance with all applicable State of
Minnesota Statutes and City of Eagon Ordinances.
Building Officiol
Receipt " PLUMBING PERMIT Permit Na '
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prinf legib/y Tot. i
1. Date 2. Installation Cost '
,
3. Job Address Lot?Blk. Tract,- - I
4. Owner
5. Contractor Phone ?
6. Address i
7. City ^ State Zip
8. Building Type: Residential ?I Commercial ? Institutional ?
8. Work Description: New 0 Add ? Alter ? Repair O
10. Describe
11
No, Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfieid
_
_ Bath tubs
Lavatory
` p
$eptic Tank
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.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt " PLUMBING PERMIT Permit No.
CITY OF EAGAN -
pee
Fill in numbered spaces S/C
Type or Print/egibly
Tot.
1. Date 2. Installation Cost
3. Jo6 Address Lot ! Blk. , Tract
4. Owner ?
5. Contractor ? i'Phone
6. Address
7. City State Zip
8. Building Type: Residential L'7 Commercial El Institutional ?
9. Work Description: New ? Add ? Alter ?
1 10. Describe
1 11•
Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspoot/Drainfield
_ Bathtubs SepticTank
_ 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 wiih 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 454-8700
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prini /egibly
Tot.
i
1. Date ' 2. Installation Cost
_ ( 7
3. Job Address Lot Blk. Tract
4. Owner '
5. Contractor
6. Address
7. City ' State
11?r? Zip - - I
8. Building Type: Residential El Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
1 10. Describe
1 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
_ Bath tubs $eptic Tank
Lavatory Softner
Shower Well
Kitchen 5ink
_ Urinal/Bidet
Laundry Tray Other
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 F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
.
Phone
?' ???....
No. ,.,,5
CITY OF EAGAN
3793 Pilot Knob Read
Eogan, Minneaofa 55122
vtione: 454-8100
PERMIT
Dote: 3-•19- ,
Lot ? Block ? Sub/Sec. ,-INSPECTOR NOTIFICATION
^')J,',
Site Address: '
REQUIRED BY LAW
FOR ALL INSPECTIONS
,. ,
Receipt No.: 2 3
Single (
Residential
Multi Res., Comm./Ind. I
Nome ( 'Y? nimpimm f'(y ? N
/Alt
r
/R
i
.
ew
e
epa
r.
•
3
Address ? ?
17.`'
f I
C
t
mll
ti
os
o
ns
o
on
O
City
Phone: I; _'??-• ;
P
it F
.
erm
ee
Name _ ..
Surtharge
g?
L •
g
Address . . , , , :.?..
e
Q
V
City
.
Phone:
Total
This Permit is issued on the express condition that oll work shall be done in accordance with oll applicable Stote of
Minnesoto Stotutes ond City of Eagan Ordinances.
Building Official
No. '.`.14
cinr oF EAc,AN
3795 Pilot Kno6 Read
Eagan, Minnerofa 55122
Phone: 454-8100
PERMIT
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Date: I Receipt No.:
I $ingle I
Sita Address: Residential
Lot Block Sub/Sec. Multi Res., Comm./Ind. I
Name "1I1 Tl?[pSori Is[Ti;:;
New/ Alter. / Repai r
3 Address 1712 ? f .,. _ ,. - ,,..,... •
Cost of Installation
O
City Phone: Permit Fee
Nome "-,
? Surchcrge
?
g Address ' - ?
?
City ` Phone: Totol
This Permir is issued on the express condition that all work shall be done in accordance with oll upplicable State of
Minnesoto Statutes and City of Eogon Ordinances.
Building Officiol
No. . 2303
CITY OF EAGAN
3795 Pilot Knob Read
Eagan, Minnetota 55122
Phene: 451-8100
`r ' PERMIT
Date: ? .. J
Site Address; ,^7 ' inrklkn
La Block " Sub/Sec.
Ria?eclif l:-. `:
Name Orrih Thcrvaer `? le!
.
;
Address
17 2 ('-.rt,
O
City
Phone: •-
Name r1m2
.
?
?
Address
, ?.._C,,.., ,.,?.
i,_ 7 Y
a
? City Phone:
20.50
This Permit is issued on rhe express condition that all work shall be done in accordance with all applicable Stcte of
Minnesoto Statutes and City of Eagon Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residential
Multi Res., Comm./Ind. I
New/Alter./Repoir. Cost of Instollation
Permit Fee
Surcharge
Toral
.10.00
Building Official
CITY OF EAGAN Remarks
ndditio,, =• Rldgecliffe 5th Addn. Lot 2 Blk 12 Parcel 10 63984 020 12
pwner l1?1t gtreet 4707 MaTkh3m Point State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 'I ^ 1982 98.12 $
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 19$2 98.12
Services 1982 637.75 5
STORM SEW TRK 1982 259.49 5 259.49 C007616
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
185.00 22189 12 3 80
WATER CONN. 305.00 22189 12/3/80
BUILDING PEFi.
SAC
PARK
?EAGAN Remarks
Addition xidgecli ffe 5th Addn Loc 3 sik 12 Parcel 10 63984 030 12
OwnerL'Ny', street 4709 Markham Point State Eagan, MN 55122
i
Improvement Date Amount Annual Years Payment Receipt Date
, STREETSURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK - 19$2 98.12 5 98.12 C007616 19-23-81
i
SEWERLATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1982 98.12 5 98.12 C007616 1-2 - 1
Services 1982 637.75 5 637.75 C007616 12-23- 1
STORMSEW TRK 1982 259.49 5 259.49 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
R
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition ??idgecl i ffe Sth Addn _ Lot I Bik 17 Parcel 10 63984 Ol fl 12
i
owneri" st,eet 4708 Thrush Point state Ea¢an, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STR EET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK ? 19$2 98.12 5 98.12
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1982 98.12 --
Services 1982 637.75 5 637 12-9-S-81
TRK 1982 259.49 5 259.49 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit
WATER CONN.
BUILDING PER.
SAC 1913480
PAR K
CITY OF EAGAN Remarks
Additfon ?Ridgecliffe 5th Addn. Lot 4 Blk 12 Parcel 10 63384 040 12
own'erbh.?,-? F;tr-"^st,eet 4710 Thrush Point scate Eagan . MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SANSEW TRUNK - r 1982 98.12
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
Services 1982 63
STORMSEW TRK 1982 2$9.49 5 259.49 17007616 12-2.1-81
STOFM SEW LAT '
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 22189 12 3 80
WATER CONN. 30$.00 221$9 12/3/$0
BUILDING PER. G4 31 221
SAC
PARK
" WATER SERVICE PERMIT
c, rr o'
EAGAN
3795 PiIM Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No
of Units:
- ,
Owner,
Address:
Site Address: ?
Plumber:
Meter No
: Connection Charge:
.
Size: Account Deposit: _
Reader No.: Permit Fee:
1 agree to eomply wit6 4he City of Eagan Surtharge:
Ordinaneea. Misc. Chorges:
By
Date of Insp.:
Total:
Date Paid:
Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT O
3795 Piloe Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No, of Units:
Owner:
Address: -
Site Address:
Plumber: __-
1 agree fo aomply wifh the City of Eogan
Ordinances.
By
Date of Insp.:
Insp.:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Chorges:
Total:
Date Paid:
CITY OF EAGAN WATER SERVICE PERMIi
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE
Zoning: No, of Units:
C-ner: _
Address:
Site Addresr.
Plumber: '
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agrea to eomply with the Cify of Eagan Surcharge:
Ordinaneea. Misc Charges:
By
Date of Insp.:
Total:
Dote Pnid:
I nsp.:
'
WATER SERVICE PERMIT
ca rr o' EAGAN
3795 Pilof Knob Rood PERMIT NO.:
Eaiun, MN 55122 DATE:
Zoning: No. of Units:
Ownec
-
Address:
Site Address: ?
Plumber:
Meter No.: Connection Charge:
$ize: Account Deposit:
Reader No.: Permit Fee:
I agree to wmply wit6 fhe City of Eagan Surcharge:
Ordinences. Misc. Charges:
Total:
By Date Paid:
Dote of Insp.: Insp.:
CITY OF [AGAN SEVHER SERVICE PERMIT
o
9795 RIM Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 agree to comply with tha City of Eagan Connection Charge:
Ordinanees. Acwunt Deposit:
Pertnit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.:
Insp.: Totol:
Date Paid:
?
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilof Keob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: - No, of Units: ••
C°•ner: _
Address:
Site Address:
Plumber. •
Meter No.: Connection Charge:
Size: Acwunt Deposit; _
Reader No.: Permit Fee:
I agree to eomply wif6 !ha Cily of Eagan $urcharge:
Ordinanees. Misc. Charges:
Tota I:
BY Dote Poid:
Date of I
CITY OF EAGAN
9795 P11ot Knob Read
Eagan, MN 55122
Zoning:
C?-.-ier:
Address:
Site Address:
Plumber:
1 agree to eompty wifh tha Ciy of Eagan
Ordinances.
Connedion Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Total:
m
I
CITY OF @AGAN WATER SERVICE PERMIT
3795 Pilcf Knob Road PERMIT NO.:
Eagon, MN 55124 DATE:
Zoning: - No. of Units:
Owner: _
Address:
Site Address:
Plumber:
Meter No.: Connedion Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
I ag?ee M eomply wifh fhe Cify of Eagoe Surcharge:
Ordinaeees. Misc. Charges:
Total:
By Date Paid:
Dote of Insp.: Insp.:
CITY OF FAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 53122 DATE:
Zoning: No. of Unitr.
Owner:
Address:
Site Address: `Plumber:
1 agree fo canplr wlth Hro Ciry oF Eagan
Ordinanees. •
By
Date of Insp.: _
I nsp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
- No, of Units:
Connection Chorge:
Account Deposit: _
Permit Fee: _
Surchorge:
Misc. Charges: -
Total:
Dote Pa1d:
GTY Or EAGAN
3795 PiIM Knob Road
Eagan, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
Meter No.:
ci9
WATER SERVICE PERMIT
PERMIT NO.: i
DATE: ?
No. of Units:
Reader No.:
1 agree to eomply with t6e City of Eagan
Ordinances.
By
Date of Insp.:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Poid:
Insp.:
CITY O: EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 • DATE:
Zoning; No. of Units:
n.,
aa-
Site Address:
Plumber:
1 ayree to wmply witfi the Cify of Eagan
Ordinances.
R.?
Date of Insp.:
I nsp.:
Connedion Chorge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Totol:
Date Paid:
4? 5 ry
RESIDENTIAL __
I-
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ? II? o!
651-681-4875 u
NewConstruction Reauirements
• 3 registered slte surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20°h maximum lot coverage allowed)
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
• 1 set of Energy Galculations
• 3 copies of Tree Preservalion Plan if lot platled after 7/1193
. Rim Joist Detail Options seleclion sheet (bldgs with 3 or less units)
DATE I?-? ?fl -Ol
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW
PROPERTY OWNER
i"tfPE OF WORK CjqajaU_
APPLICANT
ADDRESS ?? 02MI1
PAGER #
Y
N ITS?
§4;k" Scol
2I n
FiREPI<iCE(S) _ 0 _ 1 _ 2
PHONE#
CELL PHONE #
ZIP CODE
FAX #
NEW RESIDENTIAL BUILDING ONLY - FIL? OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor.
Air Conditioning
? Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is corr t, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or ' nces.
Signature of Applican
MINNESOTA RULES
- Residential Ventilation 1
- Energy Envelope Calcu
CATEGORY 1
v 1 Worksheet Submitted
MINNESOTA RULES 767?
- New Energy Code Worksheet Submitted
Phone #:
Water Softener Laj Sprinkler
Water Heater No. of R.I. Baths
No. of Baths (
RemodellRepairReauirements
• 2 copies oi plan ? - -
• 1 set of Energy Calculations for heated additions
. t site survey tor exterior additions 8 decks
• Indicate if home served by septic system for additions
VALUATION
% Maek6a.m P
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1l01
RESIDENTIAL
BUILDING PERMIT APPLICATION ;? 1D?
CITY CF EAGAN
3830 PILCT KNOB RD - 55122
651-681-4675
New Construction Reauirements RemodeUReuair Reauirements (-
. 3 registered site surveys shawing sq. R of bl sq. fl of house; and au roofed areas • 2 copies ot plan ? p rrn ` T"?
(20°b maximum bt coverage allowed) . 7 set of Energy Calculations tor heated additions
• 2 copies ot plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & deGcs
• 1 se1 of Energy Cafa:ations
?
• 3 copies of Tree Preservatlon Plan i( bt plaaed after 711193
• Rim Joist Detail Optians selecfion sheet (bldgs with 3 or less unils)
DATE VALUATION (EXCLUDING LAND)
.,JB SITE ADQRE55 <l ) D J- 17-X j L /0
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWN
!
TYPE OF WORK /J ? n?t/•r-7?/`0 ?1 FIREPLACE(S) r- ?0___1 _2 _3
APPLICANT PHONE # '3 r a - `10 J_ -J-/YF
ADDRESS AO; 1S4fx ql y ,Q c,r.f-d u-,7/_ s-t,,,t . Z{P CODE -fS33 7
PAGER# CELL PHONE# 61_') -e G--S ?a <:? FAX# Qi5_?2 -oP S-r '-f-CS y
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
MINNESOTA RULES 7670 CATEGORY 1
- Residentiai Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations 5ubmitted
MINNESOTA RULES 7672
Plumbing Contractor: _
Plumbing S}-stem Indudes:
Mechanical Contractor: _
Nlechanical System Includes:
Sewer/Wafier Controctor.
Air Conditioning
Heat Recovery System
Fee: $90.00
Phone #
F
Phone #
All above information must be submitted prior to processing of application.
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 Ordinances.
Signature of Applicant? ??
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
New Energy Code Worksheet Submitted
Phone #:
VVater Softener ? Lawn Sprinkler
Water Hea[er _ N0. of R.I. Baths
No. of Baths
Updated 1/01
RESIDENTIAL
BUILDING PERMIT APPLICATION
--t U Q CITY OF EACAN
? J 3830 PILOT KNOB RD - 55122
651-681-4675 6 ?
NewConstrudionReauiremenls RemodeUReoairReauirements -
• 3 registered site surveys showing sq. ft oi l04 sq, tl ot house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam 8 window s¢es; poured found design, etc.) . 1 site survey tor exterior addi6ons & decks
• 1 set of Energy Cala:auons
• 3 copies of Tree Preservatlon Plan'rf lot platted after 711193
• Rim Joisl Detail Op6ons seiection sheet (bldgs with 3 w less units)
DATE VALUATION (EXCLUDING LAND) rto&-'-
.;JB SITE ADDRESS S/ 9 %/% N4 r? ? ??.
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ?l
?
PROPERTY OW
TYPE Of WORK
APPLICANT 6-
ADDRESS .?,
PAGER #
?-
, ?
,•/'? 2G:t ?-a?? f r
,J Lj ` 4XEPLACE(S) '!0 _1 _2 _3
r_j _1?f t- • PHONE# 9rd - S'..3S- c-;/YL
q /y !?? f /.sJ 0, '/ 1'h .J ZIP CODE SJfV 3 7
CELL PHONE # 4G)2 - 3 4? '?2,94 1 FAX #V62 'OP-S s'oaf S y
NEN' RESIDENTIAL BUILDING ONLY - Flll OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone #:
Plumbing System Includes: _Water Softener _ I.awn Sprinkler
Water Heater N0. oE R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
iNlechanical System Includes: _ Air Conditioning
Heat Recovery System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is
all applicabie State of Minnesota Statutes and City of Eagan Ordinances.
Fee: $90.00
Fee: $70.00
and agree to
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received '_ Not Required
Updated 1101
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55722 ?q? a?
651-681-4675
New Construetion Reauirements RemodeUReoair Reauirements ? - 'l??I-?} ?
• 3 registered site suneys showirg sq. iL of bt, sq. ft of house; and all rooizd areas • 2 capies of plan
(20% maximum bt coverage allowed) . 7 set of Energy Caiculations for heated addilions
• 2 copies of plan showirg beam 8 window sizes; poured (ound design, etc.} . 1 site survey ior exterior addi6ons & decks
• 1 sel of Energy Cala;atlons
• 3 copies oi Tree Preservation Plan it lot platted after 711193
• Rim Joist Detail Op6ons selection sheet (bldgs witli 3 or less units)
DATE .?/ S16 / VALUATION (EXCLUDING LAND? ?{ L3 Ov---
.;JB SITE ADDRESS 41 ) d
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ?
PROPERTY OWN
TYPE OF WORK ?//' ?. ?.? t°,.J?d /' ?. f •' o •-J FIREPLACE(S) _2 _3
APPLICANT 1-16 PHONE # ? f 0 'Y:Z,5`' ad ?=.-
ADDRESS ?!) ? o r n7 l C/ ?5. c s--.? J[J; //L- ZIPCODE-f_,t_30 ?
PAGER # CELL PHONE #4 /,? - ?36 L- s"? a c? PAX # g Sa' IF SS- -Orl e S j
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing S}'stem Includes:
Mechanical Contractor:
blechanical System Includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing of application.
Phone #
Phone #
I hereby acknowledge that i have read this application, state that the information is
ail applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appltcant
Certificates of Survey Received _ Tree Preservation Plan Received _
_ `Vater Softener _
? Water Heater _
_ No. of Baths
Phone #:
L.avvn Sprinkler
No. of R.I. Baths
Fee: $90.00
Fee: $70.00
DI?? II?
?
and agree to
,Z-N-94 ?
Not. Required _
Updated 1lOt
, ; . CITY OF EAGAN
• 3795 Pilof Knob Rood Eagan, MN 55722 N2 6431
PHONE: 454-B100
BUILDING PERMIT APPLICATION Receipt # 6
To be usa• for 1 of Q plex Est. Volue 40 g 000 Date 12-3 , 1sgo_
Site Address 4710 ThT'ush Pt (Mod 83) Ered 4 Occupancy R3
Lot ''* Block 12 Sec/Sub. RidgeCliffe 5 Alter ? Zonin9 PD
Parcel # Repair ? Fire Zone 3=
Enlarge ? Type of Const. 11
z Name Orrin Thompson Homes Move ? # srories
; Address 1712 Hopkins Crsrd. Demoust, ? FroM 26 rr.
o Ci Minnetonka, %one 544-7333 Grade ? Depth 26 ft.
?
Nome n-,--. Approvals i Fees
o
?? Address
f e-;..,
Name _
Address
I hereby acknowledge that I hove read this opplication ond stote that
the information is correct and agree to tompiy with oll applicable
State of Minnesota Statutes and City of Eagon Ordinances.
Signcture of Permittee
Assessment Permit 11J.JV
Woter & Sew. Surcharge 20.00
Police 'Plon check 57.75
F(re SAC -525.00
Eng. Woter Conr305•00
Planrier Woter Meter 60. 00
Council Road Unit 185.00
Bidg
Off.
.
APC Totcl 1, 268.25
A Building Perrnit is issued to: Oz'rin Thnmpenn HppeS on the express condition that
oll work sholi be done in accordanceryiith oll appijpaple jitate of Minnesota Statutes and City of Eagon Ordinnnces.
Building Official
..?
BUILDING PERMIT APPLICATION
To be_used fer 1 of LF plex E
Site Address
Lot 1
Parcel # -
a: Nome Orrin Thompson Homes
3 Address 1712 Hopkins Crsrd.
? --• - -- _.. ?---
p Name --
F
Sanle
Address
F l?:a.. 19L??_
Nome _
Address
1 hereby ucknowledge that I have reod this application and stote thct
the information is correct and agree to comply with all oppliwble
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
-3 l
Erect h Occupency R'3
Alter 4 Zoning PD
Repair ? Fire Zone 3
Enlarge p Type of Const. V
Move ? # Stories
Demolish ? Front _ 26 ft.
Grade p Depth 26 ft.
Annrovols ees
Assessment Pertnit 115.50
Water & Sew. Surcharge 20.00
Police Plan check 57.75
Fire _ SAC 525.00
Eng. Water Conn. 305.00
Plonner Water Meter 60 . 00
Council _ Road Unit 185.00
Bidg
Off
.
.
APC
Total 1,
268.25
A Building Permit is issued ro; Orrin Thompson Homes on the express condition that
oll work shall be done in accorda e with oll a icabl Stote of Min esota Stotutes and City of Eagan,Ordinances.
Building Offidol ?r ???" ?
4708 Thrush Pt,
Block 1 2 Sec/Sub.
Ridgecliffe 5
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55722
PHONE: 454-8700
N! 6428
Receipt #
.T
CITY OF EAGAN
3795 Pilof Knob Road Eogan, MN 35122
PHONE: 454-8 t 00
BUILDIFIG PERMIT APPLICATION
N2 6429
Receipt # - ?/ ?j
Ta be used for 1 of 4 plex Est. Value ?0,000 Date 12-3 , 19?iQ-
Site Address 4707 NQ3rkham _ (Model 5.3) Erect ? Occupancy
Lot 2 Block 12 Sec/Sub. Ridgecliffe 5 Alter ? Zoning
Parcel #k
m Nome Orrin Thomxson Homes
W
3 Address 1712 Hopkins Crsrd.
° cih, Minnetonka, 41hone 5/+4-7333
o Name smTu-
??
? Address
Name _
Address
I hereby acknowledge that I have read rhis application and stote that
the information is correct ond agree to comply with oll applicable
State of Minnesoto Statutes und City of Ecgan Ordinonces.
Repair ? Fire Zone
Enlarge ? Type of Const. _
Move ? # Stories
Demolish ? Front __ ft.
Grade ? Depth ft.
Apprnrals Feea
Assessment -
Water & Sew.
Police
Fire
Eng.
Planner _
Countil _
Bldg. Off. _
APC
peR,,;t 115.50
Surcharge 20.00
Plan check 57.75
5AC 525.00
Water Conn. 305.00
Woter Meter 60.00
Road Unit 185.00
Toral -1026 8.25
Signnture of Permittee I
A Building Permit is issued to: Qrrin Th,jmpgpn HomPS on the express condition thot
all work shall be done in acwrdance wikh allAaDPlicoble Stqte of Minnesota Stctutes and City of Eogan Ordinances.
Building Offictol
CITY OF EAGAN
3795 Pi1M Knob Road Eagan, MN 55122 N? 6 4 3 ?
PHONE: 454-8100
BUILDING PERMIT APPLICATION ReceiPt #k
To 6e used far 1 Of ZE% Est. Volue 40,000 Date 12-3 19?4-
Site Address +709 Markham Pt. Model 3 Erect ? Occupanty R3
-
Lot 3 Block 12 Sec/Sub. Ridgecliffe 5 Alter ? Zoning ?
parr-el # Repair ? Fire Zone
E
l T
f C
n
t
jr
n
arge ? ype o
o
s
.
s Name Orri n Thomn on Nom Move ? # Stories
3 Address 1712 Hopkins Crsrd. Demolish ? Front 26 ft.
?. C. Minnetonka, Un
544-7333 Grade ? Depth 26 ft.
Phone
?
o Name _ Approvals Fees
•
?
?' Address
?" riMr
Nome
Assessment _
Water & Sew
Police
Fire --
?? ?Address Eng. _
< City Phone Plonner _
W
Councii _
I hereby acknow4edge that l have read this opplicotion ond state that gldg. Off.
the information is correct and agree to comply with all applicable
State of Minnesota Statutes ond City of Eagan Ordinonces. APC -
permit 115.50
Surcharge 20•00
Plon check 57.75
SAC 525.00
Water Conn. 305.00
Weter Meter 60.00
Rood Unit 185_00
Torol, 1 T768-25
Signcture of Permittee I
A Building Permit is issued to: OTT'lIl Thompson HOri18S on the express condition thot
oll work shall be done in accordancZwith oll apDI!egble $fete of Minriesotq Statutes ond City of Eagan Ordinonces.
Building Official
-
Zb Be Used Fo
Site Address:
I C_;;:-' ?'w_;:: : iude 2 ses ci
1 si te pl an w/e1 c???ati:r,-'s b
IIUILdINC; PETMIT APPLICATION 1 set of energy calcvlations.
?? -
r?Es_1D?N?E Valuation.4 Bate Nort•fj- 1980
Ll.-7 ( O -IHQjn3 i4 PC• ?MoDEti 83? OfFICE USE ONLY
Lot Lt Blocx tZ sec./sub. B.?"Ecj.?FFs
Parcel # : F %FT%
Q.mer:
AddT2SS' a Division of U, S. Home C^r ..- '?v
1/12 u KIttS CROSSP,pAD
C1ty/Z1P CDCle: NINNETONKA A^I^JA? 55?,2
Phone #: 5`t`t-1333
Contractor: Q IN TI-iflnnpcnni unMES
AddT2SS• • a Division of U, S. Home Corporation
1 13P UCJ C JItU
City/Zip Code: MINNETONKA, MINN. 55343
Phone #
Arch./Eng- -
Pddress:
City/Zip Code:
Phone #:
Erec-t Occupancy
Alter Zoning
Renair Fire Zone ?
Enlarge 'Iype of Const.
rbve # Stories
Dernlish Front ?E ft.
Grade Depth ft.
?z ?2GA'
APP1mVAIS F'EES _
Assessrnents Permit
Water/Sewer Surcharge 4e p `°=
Police Plan Check 95)
Fire SAC '5'-"2u S `` -
gnq, Water Conn. 3U6'
Planner Water Meter a ?
-
-
CounCil Road Unit ??
s-
?
Bldg. Off.
APC
'IOTAL
C: :"i O:'
IIUIIDIT3C', PEF:NII'I' A3'PLICATION
In:l:::ie 2 ccs of p
1 sitc p?an w/elevaticns b
1 set of encrgy calculatio:ts.
? Q tt-e-o
To Be Used For Valuation . Date 19 80
Site Address: 4Z01a -c-t{e'kts 14 OFFICE USE ONII.Y
Iot l slock \Z sx./sub. g?4??L EFS Erxt /?
? occuP??Y
FtFTH Alter
r 2oning /?Ad
Pamel #:
Repair Fire zone 3
Enlar9e `Iype of Const. t?
Oaner: Nb # Stories
ve
Address: a Division o! U. S. Horne Cnr ?. ' Demlish FrOnt ft.
/ i ttvPKIt?S CROSSROAD Grade Depth ?G ft.
C1ty/ZlP COCie: MINNETONKQ h'I'JN `5343 0
Phone #: 5`I 4- 1 3 3 3 APPROVALS ?
Contractor_ ORpiN TNnnnpcnni
AddT2SS' a Division of U, S. Home Corporation
r.,fMN nO nu.,
C1ty/Z1F7 COCle: MINNc70NKA, h11NN. 55343
Phone #
Arch./Eng- :
Pddress:
City/Zip Code:
Phone #:
Assessments Peimit
Water/Sewer Surcharge r?Q ?
Police Plan Check "5 7' -40
Fire SAC c5-V
Eng. 4v'dtPS COI1T1. j d 3'
-
Planner Water.Meter 4:;;4 ?
-
-
Council Ftoad unit /
g13-
Bldg. Off.
APC
Include 2 sets o£ pi: ns,
1 site plan w/elevaucrs s
BUIIDINC", PEFMI'P APPLICIITICN 1 set of eneryy calculatir_r.is_
Zb Be Used For jt ELAp MN c F Valuation Date N o?l ?I9 8 0
site pddress: 't10"1 NVh0.1?H A-m, (Mo9K 83) OFf'ICE USE ONLY
Int ;t-- slocx 1 Z sec./5ut,- g\py,EgLjFrU
Parcel #: F?FTN
Oaner:
AddLe55 • a Division Of U. S. Home ('nr - ^
1/12 vP'r.lus CROSSROAD
C1ty/ZlP COC3e: MINNETONK.A A•I•J?? s53Ag
Erect ? Occupancy 3
Alter Zorung
Repair Fire Zone
Enlarge 'Iype of Const. t,I
Nbve # Stories
Derolish Front 5? a ft.
Grade Deoth _ a 6 ft.
Phone # : 5 `{ i -13 3 3 APPROVAI-S
Contsactor: ORRIN-??OM--?p?,L!Or^E-
Ac3dre55• a Division oi U, S. Home Corporation
.3iNo n i u
City/Zlp COd2: MINNETONKP,, MINN. 55343
Phone t:
Arch. /f.l-ig . :
Pc3dress:
City/Zip Ca3e:
Phone 0:
Assessments
water/Sewer
POllce
Fire
Eng -
Planner
Council
Bldg. Off.
APC
FEES
Pennit 7/5 w2
Surcharge 6 ?-
Plan Chec3c (SSS ?
SAC
Wates Conn.
Water Meter j a AR:1-
Road onit / srs -90
=AL
e? q 30
CT_:i O"r`E-:.;?:
IIUIIDINC; PERMIT AF'PLICATICAV
SL'?$ Of
1 site p1?_1n w/e]evatians 5
1 set of eneryy calculatio:ts-
Tb Be Useci For 1D Valuation'? 0?o Date Novl•IR., 1980
Site Address: ?-7Ot, Uall, ?j. ?IhoDEt $3) OF'f'ICE USE OhILY
Lot 3 sloc)c _X-j__ sec./5ub. (Z1DGF?,?FFs
Parcel # : F ? ?k
Ormer:
AddT'25S • a Div'ision of U. S. Home G,? r?- f'
1112 KINS CROSSP,OAD
Clty/ZlP C.Od2: MINNETONKA MI',N S_.y?;,3
Phone #: 544-1333
Contractor: 9RRIN ?T9A4-P N u R?L?-
Addr25S• • a Division of U. S. Hame Corporation
1712 hvnvo Cn nUn
C1LY/ZlP CAC12: MINNETONKA, P.11NN. 55343
Phone r:
Arch./Eng.:
Pddress:
City/Zip Cocle:
Phone #:
Erect _K_ Occupancy
Alter Zoning
Repair Fire Zone ?
Enlarge Type of Gonst. i/ _
Nbve # Stories
Dennlish Front ? E ft.
Grade Depth ? b ft.
APPROVP.IS f'EES -
Assessments
Wster/Sewer
Police
Fire
En9 -
Planner
Council
Bldg. Off.
APC
Pernut
Surcharge
Plan Check
sAC h as
w'ater Conn. '?o S ? -
Water.Meter ? es
Road iJnit ? '49'v
Tt7PAL
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING J08 NO ?6 ?< 7
6910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDRE55 Y-"CL?r?-?.LL!^?t p ? CITY G.QICG',4'J SVJ'-I LZ?
OCCUPANT /,?f le? - nWNER .? ?' v? ?'
SOLD BY d / "44"N INSTALLED BY 1,/CL
MAKE ti?y MODEL " c)
SERIAL NO. ? o/ INPUT ? ( ? d tl
THERMOSTAT- /WJ V , 3 #P-
VALVE rI 0 y't _ 4,"^`11
LIMIT r t tT
160
LIMIT SETTING
FAN SETTING
PILOTTYPE
?
IGNITION MODEL
PILOT TIMING
PRESSURE
v(f' /
3 ? 'f PERCENT CO? ?
INPUTCFH 4? e pERCENTOz.
STACK TEMP. -3U 9 PERCENT CO
FORM 235 IREV. 11189)
b
L`..?
VENT SIZE
TYPE OF LINER ? V ~
LINER SIZE ?
FILTERS: SIZE 2 a?- 2 sXI NUMBER
WIRING v
?
TEST TAG
LIGHTING INST.
DATE TESTED _ 2 r
COMPANY TESTING "' --e j E,c ~ ?
NAME OF TESTER oi± h k-U ? ? ??
FORM DISTRIBUTION: WHITE COPY - JOB FILE VELLOW COPY - CITY
?`??/?REQUEST FOR ELECTRICAL INSPECTION « ee-00001-0
?
? See insiructions for completiqe this lorm9n back ot yellow copy.
?899 42 'X" Below Work Covered by Thrs Request
ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apf. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm ' X Air Conditioner
Other (specily) ConVadors Remarks:
Compufe Inspection Fee Below: C 2Ii t r d 1 a i r - j o b # 2 015 0
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps 4.00
Transformers Above200_Amps A6ove=t00=Amps
Si911S Inspedork Use Only: TOTAL
Irrigation eooms /l 5. 50
Special Inspection
Alarm/Communication
Other Fee 1 .50
I, the Electrical Inspector, hereby
c
tif
th
t th
b
i Rough-in oate
er
y
a
e a
ove
nspection has
been made. Final
?•^") P Date
'? ? 7?
OFFICE USE ONLY
This requesl wid 18 months from '??
/"'
?/
? !
V 11Z:.
Y
J L
?
J
Request Date Fire No. R -in In Vion
equired? ?
xl Ready Now ? WII Notify Inspector
3/ 8/ 8 9 ? Yes ?7 No When Ready?
IN licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atldress (Street, Box ar Route No.) Ciy
4708 Thrush Point Eagan
Section No. Township Name or No.
Range No.
CouMy
I Dakota
Occupant (PFiINT) Phone No.
Greg Roisland 456-9459
Power Supplier Address
Electrical Comrador (Company Name) Contfactor5 License No.
Hilite le ri c 040445
Malling Address (Contrector or Owner Meking InsNallation) Rd,
awn
Auth?gnjture (Contr
g M kin Ins)ellation) Phone Num6er
MINML'SM 5{?Al? &AF"EWECTRICRp THIS MSPECTION REQUEST WILL NOT
Grigga-MWwey Bldg. - poom 5173 BE ACCEPTED BY THE STA7E BOARD
1821 UnNersiTy Ave., St. Paul, MN 55104 UNLESS PROPEfl INSPECTION FEE IS
Phone (612) 642-0800 ENCLASED.
mnuIeavan aiaLtl ou41u ul aIwnm]Ly
. . Griggs Midway Bldg. - Room N191 EH-00001-02
• 1821 University Ave., St. Paul, Minn. 55104 - Phona 297-2111
REOUEST FOR EtECTRICAL INSPECTION "? 36068
CHECK;BELOW WORK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Chc?k ppp??ces Wired For Check Equipment Wired For
Home ? ? Range ? Temporary Wiring
Duplex ?? Water Heater ? Lighting Fixtures
t. Bldg. ? ?, ? Dryer Electric Heating ?
mercial Bldg. ? ? ? Purnace Silo Unloader ?
ndustrial Bldg. ? ?? Air Conditioner Bulk Milk Tank ?
Fatm ? ? ? )
List List )
Other
?
? ? }
p
Hehersl }
Heiers)
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders&Suhfeeders: # Fee CSrcuits: # Fee
0 to 100 Amps_ , J 0 to 30 Am eres 0 to 30 Am eres '
101 [0 200 Amps. 31 to ] 00 Amperes 31 to 100 Am res -
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers RemoteControlCirc. Partial or other fee ?
Si ns Special lnspection Minimum fee $5.
Rem .,arlcs.? ^ n ? ?-
? ? ? ? TOTAL FE
I, th Upe t?I sr, : eby certify e a s been Zte. /
(Ro -in ate ??
(Final) ?.?ate
This request void ?
18 months from
tiThis request void ?'Z" L't'litV 104?O
18 months from p7 ?`1 '7"S' , 5
this Request Fire No. T 36068
Dat V
I, aLicensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal n
g installed at:
Street Address or Route No. 1 6 og 7, tll` JSk ?t City ?bAo
*on Township Range County Dw?
Which is occupied by C) N`"?I)
"""rc - -u7"'
Is a roughin inspection required on this job? No ? Ye(;6-, Ready Now ? Will C49-
PowerSupplier Address 10m (AY1&J
Electrical Contractor BEU- ??-- Contractor's License Nok 76
(comrpa,nyp ?vame)
MailingAddress I'{?? ?. u-?m- k,
(Ele " al ontractor or Owner Making This Installation)
Authorized Signature ° Phone No.
(Electrfcal Co tractor or Owner Making 7his Installation)
?y??? g?? ??? ????f This inspection request will not he accepted by the
l? ?l State Board unless proper inspection fee is enclosed.
This request void,"?/
] 8 months from
P.rte o this Request 30 1?Z? 1 Fire No. 136069
I, asicensed Electrical Con'tractor El Owner, do hereby request inspection of the above electri-
,cal wiring installed at:
Street Address or Route No. 14-111b 1??A f`?WT City ?"
•ion ' Township Range County VFM-?T?_
WhicMis occupied by oNIAPA '140 MeS !D/J 4DP'kV;
(Name of Occupant)
Is a roughin inspection required on this job? No ?
Power Supplier A-%-A
Ye? Ready Now ? Will Call16r,
ress
Electrical Contractor ?6u" ?LJ6C1r"(- Contractor's License NA,Z 1E2/
(Company Name)
Mailing Address
-`'? - - - l?' _ -?.7iai-6-e!'-c??.e? 5_?i ,J ?? 1
Authorized Signature ? 1::-c; ?
Phone NoQ 9(Electrical Contractor or Owner Making This Installatlon)
?? ????? This inspection request will not 6e accepted by ffie
(C???
?,1 State Board unless proper inspection fee is.enclosed.
minnesoca acace aoara or eieccricicy ??
Griggs Midway Bidg. - Room N191
1827 University Ave., St. Paul, Minn. 55104 - Phone 297-2117
#iEQUEST FOR ELECTRICAL INSPECTION ?
CHECK BELOW WOEtK COVEREB BY THIS REOUEST
E B-OOGO1-02
36?1?9
t'iype of Building Ne Add. ReP., eheck Appliances Wir For Check Equipment Wired Fo:
Home ? ? Range Temporary Wiring 4
Duplex ? ? Water Heater Vtl Lighting Fixtutes ????
v?
t. Bld
p g. ? ? ? Dr er
y ? Electric Heating ?
mmercial Bldg. ? ? ? Furnace Silo Unloader ?
dusttjal Bldg. ? ? ? Air Conditioner Bulk Milk Tank ?
List List
Other ? ? ? p
HeheIS? p
Hehe75?
COMPUTE INSPECTION FEE BELOW
Secvice Enhance Size: # Fee Feeders& Subteedets: # Fee Ciccuits: # Fee
0 to 100 Am s. p 0 to 30 Am eres 0 to 30 Am eres .
101 to 200 Amps. 31 to 100 Am res 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Contiol Circ. Partial or other fee '
Signs Special Inspection Minimum fee $5.00
Remarks ?''`?
n 4 f ?'\ 11 ? TOTAL FE a ;.,? 0,
(Final) u
This request void
18 months from
has been maZte-?
Lte
Date 9- a?.,'
minnesuLa a[ace ooaraot ciecmci[y ? H
?L
Griggs Midway Bldg. - Room N791 ?
1827 University Ave., St. Paul, Minn. 55104 - Phone 297•2111
FtEQUEST FOF3 ELECTRICAL WSPECTION a? ?
CHECK BELOW WP1A]C?COVEREB BY THIS REOUEST
EB-OOG01.02
??n rn n
Type of Building New Add. Rep. Check Appliances Wved For Check Equipment Wired For
Home ? ? Range fC7 Temporazy Wiring
Duplex
?
?
El
Water Heatec
Lighting Fixtures ?
t. Bldg. ? ? ? Dryer
? Electtic Heating ?
mmercial Bldg. ? ? ? Fumace Q Silo Unloader ?
Iqdustrial Bldg. ? 0 0 Air Conditionet Bulk Milk Tank
?
Fazm List List
O t ei
h ? ? ? p
Fjehets? o
HereIS?
COMPUTE 1NSPECTION FEE BELOW
Secvice Entrance Size: # Fee Feeders& Subfeedets: # Fee Circuits: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres I
'
/Alf
10 1 to 200 Am s. 31 to 100 Am res 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee 5 "
Signs Special lns ection Minimum fee $5.00
Re
? ! ? ?
1
n , ? =
TOTAL
F E ? ?
O ?
1,
(Final)
This request void
18 months from
certify t S?.tU$ ab6t*¢F?OMW been`tnad?
f Date --?? ?
U'c , e , ??..
This request void °2, ??/// ?!5D
18 months from
Date o this Request Fire No. ?36060
I, aLicensed Electrical Contractor O Ownea, do hereby request inspection of the above electri-
cal i g installed at:
e et Address or Route No. !? Qt 1 IA?ti? `r - City ??
?tion Township Range County
Which is occupied by Oo`I"ltJ ?FooMPS? ?po
(Name of Occupant)
Is a roughin anspection required on this job? No ? YespL Ready Now O Will Call'
PowerSupplier F-16% Address
Electrical Contractor ?? aq-u? C' Contractor's License Nd:'35 5 Z'S
(Company Namee) n
Mailing Address l.?y -I (l ? •
I Con actor or Owner Makloq This tnstallaHon)
Authorized Signature ? Phone No. 99%06
(Electrical Contractor or Owner Making Thls Installatlon)
This inspection request will not 6e accepted by the
SUM B` A[? (?D Q W State Baard unless proper inspection fee is enclosed.
This reQuest wid is`?°?'?5
T,._ 5115N5.
_ ? ?, ..c..... y,.....?.v..??...,..
rrea??.ea. (lxeaay No.?, Q Will Notify Insper
?•" ? ? _ ? ? ? Yes wNo X mr YYhen Neadv
? Licensed Electri?i Contrac[or 1 hera6?r request i?pecfian of ahove
Ownef eleetrical work incfalled af:
Street Address. Boa or lbute No. City
4707 MaA FzGcam Pt. E an
ecUOn . o. Tow`iship Hame p No. Range o_ County
Occupant (PRINn Rwne No.
e atih
Power upplia Address
Electrical Contracto. (Canpanv Name) CmtracWr s License No,
Mailinq Address (Coniractor or Owmer Makinp Imta;lafion)
Authorized Sig?amre (COntrac[or Owner ?ng Fili b la2ionl
Phm?e Nund1er
s
? I
?
MINNESOTA BTqTE Bpplm OF ELECTRICITY THIS INSPECTION pEO.UEST wlLl NOT
Griggs-Midway Bldg_ - Ropn N-791 BE ACCEPIEO.BY iHE STATE 90ARD
1821 Universily Ave_, SL Paul, YN 55106 UNlESS PROPER INSPECTION FEE IS
Phom (6121 2972771 ENGLOSEp.
REQUEST FOR ELECTRICAL INSPECTION Ee-oooo»a
, See ins[ruclions Tor conPlatio9 this sarm an bact oi Yellar coPr.
5 "X" Se%w WOlkrCOV°eled by ThiS Request
Add P- Type oi Bui Wing Applian[es Mirod EOUiPU,,nt Mired
? Home Range T?rary Service
Duplex Water Heater ` Lightinq Fixtures
I I I I Indusvial Blda_ IY I Air Conditioner Bulk Mflk Tank ?
M Fee ServiceEmraMeSize # Fee Feeders/Su6feeders 9 Fee Circuits
0 m200 Anps 0 to30A 0 to30Am
Above 200 An4)s 37 to 700 Amps 31 to 100
Swimmi Pool Above 700_ Above 100_Amps
Transfwmers Inigation Boorr.c Partial:'Other Fee,
Sigr4s Special Inspection S ? \ '\
} O. S O TOY/1 F?F J
flemarks ? 'f?/'j.? ?
! ?? /
ROUgh-in . Date
1. the Ete Ical
t - Pectar. hw9hp
Ot? ?ertiir Ma* the above
Final
9101:j G?
insDectim has been
.. .
? ? QL .O ?s made.
Tlds raquest raid 18 moNlevom
munInawa aaaao ovaru ul cIecancILy
Griggs Midway 81dg. - Hoom N191 EH-00001-02
"921 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 p
?' REQUEST FOR ELECTRICAL MVSPECTION 4"?9
CHECK BE'LOW WOItK COVERED BY'fHIS REQUEST 9 36059
Type of Building New Add. Rep.
, Check Appliances Wired For . Check Equipment Wned For
Home ? ? Range Temporaty Wicing
Duplex
??
Watei Heater
Lighting Fixtuies ?
Bldg. , ? ? ? Dryer Electric Heating
mercial Bldg.
a ? ?? Fumace SIlo Unloader ?
Industrial Bldg. ? ?? Air Conditioner Bulk Milk Tank ?
Farm ? ? ? List List
Other ? 0 ' ? p
Hehers? Hehers?
COMPUTE INSPECTION FEE BELOW
Service Entcance Size: # Fee Fcedus&Subfeeders: # Fee Circuits: # Fee
0 tu 100 Am s.
0 to 30 Am eres
0 to 30 Am eres -7 1/
101 to 200 Amps. 31 to 100 Amperes 31 to ]00 Am res -
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformeis Remote Contiol Circ. Partial or other fee
Signs _ Special Inspection Minimum fee $5.09-
Remazks TOTAL FE A ?(p U0
(, theE??f??. certifjlpf? the?(o} ' s ect' has been ma
Rou? ??c% `.•v/ Date
(Final) Date - a? `
This request void '
18 months from
This request void 14 /,? , /'? ?
18 months from .
i zs~ ?
Date of this Request 313 Jji+' Fire No. T3v o5`°'
I, as OkLicensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal wiring installed at:
SLicet Address or Route No. ?7 0 + 1``I'-?" KIh ? ? r City
on Township Range County NKW&
Which is occupied by ??f-tlJ itompS ?hl
(Na
Is a roughin inspection required on this job? No ?
Yekt;! ?, Ready Now ? Will Ca}CK
Power Supplier _ (LeAr Address ???f-i &TD/"
Electrical Contracior WaA? &6cvP'{c_- Contractor's License NkJ'?
. (Company Name)
Mailing Address
O'l
. (eie t ica ontra tor or owner rotauing 7nis instanation)
d? ?
Authorized Signature Phone No. o'0??`'>
(Elec rical- ontractor or Owner Making This InstallaNon)
?TLITZ BOARD COP?k'f This inspection request will not be accepted hy the
?' State Baard unless proper inspection fee is enclosed.
r
(Err#ifiratr of (Orrupttnrg
Citp of eagan
13epttr2mrnt nf +uOittg Jnspertintt
Thit Certificate issued punuant to tlx rcquirementa of Section 306 o f the Uni form Building
Codt ccrti f yin8 tbat at tha timc o f ittuatrce thit ttnstture wat itt rom pliuncc with tht nrtriour
ordinancer o f tbe City rrgulati»g buiWing ronnructian or ule. For the followinb:
Uee Claecfica[im 1 0£ 4 PLER 81dg. Permit Nu. 6428
.
zoNng ontaot
occuwnrTra R3 7rae?wc? v ec2z? 3 PD
o,,,,,et,orB„fl,N,e Orrin Thompson „aa,c„ 1712 Hopldns Crsrd., Mtka.
HuadingAddrcs 4708 1hrush Point Loca(ity T'Ot 1IB1 ock 12 Ridaecliffe
5th
By
Buddineajil g,e, September 8, 1981
f ;.
(?rrtif ira#r nf (Orrupanry
Citv of Cagan
Depttrfmrttt nf +?uilbinu 34 noperTicm
Tbis Certifitatt itsued purruans to tFx i-eqttirementt oJ Seuion 306 of the Uiziform Building
Code catifying that at thr timt af irsuana tbit sirurture war in cmrapliancr with tbe variout
ordinunrer o f tbe City rrgulating building ronrtrurtion or ute. For the f ollo-wing:
1 of /, PI,EX gldg. Permit No. 6429
ux ci.mrK.em.
R3 7y'PCmswcdaa v Fi(eTon 3 za?? o?,In« PD
??WMY TYP?
o.,M,oreuuaina Orrin Thompson Ad,,m 1712 Hopkins Crsrd., Mtka.
4707 Markham Point ,,,;,y Lot 2,Block 12,Ridgecliff
5th
?
- ??go? ?« September B, 1981
p1T ?y ? Cp16?1CVWi RI.GF
? . . •
y.
(Err#ifiratr uf (Orru,pttttrlj
Citp of (tagart
Urpttrtmeni nf luilDing Jnsprrfinn
Tbit Cntificute ircutd pursnant to the rzyuiiemcnu of 5ectron 306 of 1he Urjiform Building
Code crrtifying tbat at the time of itsranct thic ururturc wai rn campliunce witb the variouc
ordinanra of the City rrguGuing buiGling rottrtruction or utt. For the f ollourng:
„3e C,,gifiatl„ 1 0£ k PLEX 8,dg. Permi, No. 6431
Occu}snryTYpe TypCaatwctim V FirtZon 3 ZoningDistncl PD
a„mr oreufldin6 Orrin Thompson ,,aa" 1712 Hopkins Crsrd., Mtka.
B,a„ft A,,,d, 4710 Thrush Point,,a,,;,,. Lot 4.Hlock 12,Ridgecliffe
5th
BY:
BuildineofFxW g«, September 8, 1981
? 1. A COM6RCVWf ?G[
000[3 .BI LITMO'N J.S.G.
C?.ertif irtt#r vf (Orrupttnry
Cltp of eagan
33pttrtmriif nf +uilding 3naprriicm
Thi.r Ccrti ficate iuued pursuunt to the nguiremrnts of Section 306 of the Urtiform Buildrng
Code ccrtifying that at thr timt ot ittuamt this atruttuse wat in compliunct with the various
ordinunar of the City rrgulating building tonmurtion or ure. For tht follwing:
ux ClamdL"tim 1 of 4 PLEX fildg. Permil No. 6430
Or-wa7TYPe R'3 1Ywcva,,,uctim v Fim7an- 3 zoningDum<i PD
OwMr afMdi.8 Orrin Thompson ,,,dnn 1712 Hopkins Crsrd., Mtka.
Buddi.gA,dmn 4709 Markham Point,,.W;,Y Lot 3.Block 12,Ridgecliffe
By„ 5th
B,W,;,,ga,fibu,, p„w 5eptember 8, 1981
tO?T IM A CCMiMCUWf R?C[
O40[5 ?BI ` ?. ? . _? ? ? •. ? .
LITMOIN ?1.5.L.
L 8E ? 2 CITY USE ONLY
?
SUBD. ?
J
RECEIPT #: ?? ??a ZY1/ 15
RECEIPT DATE:
PERMIT # 42
1999 PLUMBING P£RMIT (RESID£DITIAL)
crrY oF EAraAtv
S$SO PILOT KNO$ RD
£AfiRN, MN 55l EE
(651)6$7-4675
Please complete for: ? single family dwellings
9 townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
?ath i;b $ 3 G T? ----,-- . g --?
Floor drain 3.00 x = $
Gas I in outlet ' minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ .50
Total --> --> ----> ----> $ -
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------•------------------------ ----------- --------------------------•------------------
I hereby acknowledge that I have read this application, state tha[ the information is corcect, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanYs responsihility to notify the property owner that the City of Eagan assumes no Iiability Tor any damages caused by the City during its
normal operational andl" CROFT, JENNIFER der this permit within City property/right-of-way/easement.
SITE ADDRESS: 4709 MaRKHAM POINT
- EAGAN, MN 55122
OWNER NAME: : , (651) 452-2091 TELEPHONE #:
' (AREA CODE)
INSTALLER NAME: TELEPHONE
, (AREA CODE)
STREET ADDRESS: (612) $27-403$
c?u5 c.ARF1ELD AVE. Sd.
CITY: MIN(yEAPOLIS;-MN-$6^?---
STATE:
ZIP:
S RE OF PERMITTEE
? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
851-681-4675 ? 3 (d -D)
New ConafiueMon Reauiremenls
? 3 reyistered 9te wrveys altowing 9q. M. of lof, sq. H. ol house
and gH rooled areaa (2096 maxlmum lof coveraae allowedl
> 2 coplea of plana (show beam & window sizes; poured fnd. design; etc.)
a 1 Eet of energy calculatlons
> 3 coples of hee preaervaMon plan H lof platted alter 7/U93
DATE: 3o bn
2 copies o1 plan
1 set W energy cdculations tor heafed addiflom
t sife wney lor exfedor addinons & decka
CONSTRUCTION COST:
DESCRIPTION Of WORK: EV,TF-VQ Dr2 P` i Qr?-lS - S t[D I t?-tb
STREET ADDRESS: U -?L)a Tk-k el.lS i? PD , t-LT"
LOT: I BLOCK: I a- SUBD./P.I.D. #:
Name: Phone
PROPERTY Last First
OWNER '
Sheet Address:
ciy
State:
Zip:
. Ccmpany: 1'zL)fzC-u4S ? j NIL.'l Phone #: Lv 1r7- i-{ 3S - a 1 Lk 9'
(area code)
COMRACTOR
SheetAddress: 4;?4s? pC) r:!?-014 91 ?l Llcenseq 30a14 Exp.
Ci1y bua-&-IS?ku-e State: u4a( Zip: 5533?
ARCHITECT/
ENGINEER Company: Name:
Telephone #: (
Street Address: ReglshaBon #:
City
State:
Zip:
Sewer/water licensed piumber (ff Installina sewerlwaterl: Phone #: (_J
I hereby acknowledge that I have read thls appiicaNon, state that the tnfortnafion is cortect, and agree io comply wiih a0 appAcable State
of Minnesota Statutes and City of Eagan Ordinances.
Signafure of ApplicanY. ?
OFFICE USE ONLY
Certificates of Survey Received _
Tree Preservation Plan Received _
Yes _ No
Yes - No - Not Required
41yy .
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
-IDg-1 (p City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos wfien pQmits are required for each unit
?W ?0
Date I_ / ') k /,::?
0
'
-
/
?- Unit #
Site Address "`f
MT
Property Owner T( Telephone # (/as/
,
Contractor SEDGWICK HEATING R Air( rONDRlOP.ING LLC'
89 10 ;,, h .G .
StreetAddress Minneap?t.... A 55420 City
• _ .._ . ._______ .
State ' Zip Telephone # ( )
Bond #: Expires:
The AppGcant is _ Owner _zContractor _ Other
Add-on or alteration to eusting dwelling unit $ 30.00
t,?UV
C[`????Ot??U
? furnac
Additi
l R
l ?
?
e _
ona
ep
acemen
air exchanger
air conditioner _New _Replacement
other
State Surcharge $ .50
T
l
t a?15
$ G
a
o .
I hereby apply for a Residential Mechanical Permit and acknowledge that the informarion is complete and accurate; that the work will
be in conformance with the ordinazices and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an appGcation for a permit, and work is not to start without a permit; Ihat the work will be in accordance with ihe
approved plan in the case of work which requires a review and approval of plans.
9ED%M P?1T6. 4L 4R NW. Mr?
Applicant's Printed Name
Applicant's Signature
ei
nnti ? ?-
?.
?
L . ?.
'L
c 2006 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan '
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauirements
3 registered site suNeys showing sq. ff. 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, etc.
1 set of Energy Calculaiions
3 copies of Tree Preservation Plan H lot platted afler 711193
Rim Joist Detail Options selecfion sheet (build'mgs wiUi 3 or less uniLs)
Minnegasco mechaniral venGlation fortn
RemodellRepair Reauirements
2 copies of plan showing footings, beams, joisls
1 set of Energy Calculations for heafed additions
1 site survey for additions & decks
Addition - indicate H on-sfte septic system
Date ConsEruction Cost
Site Address ?l 7 a&- N7 / U T? ,l' u f y tO7- UniUSte #
1-1 -7? 9 - `I-7 o _? n4 A-f k N 4-?K /''% ? t.,. A-t?
Description of Work R P
Multi-Family Bldg ? Y_ N Fireplace(s) _ 0
Property Owner F.?` 14S S Uc: Telephone #((? ?/// 3
Contractor b J>4 V?J fr/C u%"S c nl
Address / 3L/5 (0 1? ??? +ri r/0,g 7- 14 CiTy S
State jM. ? zip z; 5G 3 3 Telephone #((,F ) 2) qf 7- 911;3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
Office Use Oniv
Cert of Suryey Recd ° _ YN
Tree Pres'Plan Recd - : _ Y N.
TresPresReqmred _Y _N
On-site!SepticSystem'`. _Y _N
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 appiication 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.
6 vA n:t L. V[4 A-Y?'1.CvScAJ
Applicant's Printed Name
Applicant's Si atu e
C.R. WINDEN & ASSOCIATES, IMC.
LAND SURVEYORS TeI. 615 -3646
1381 EUSTIS ST., ST. PAUI, MINN. 55108
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Buildings shown are proposed. ?{f2'I f U'V
As of this date Ridgecliffe
Fifth Addition has not been
recoXded. ? v
Lots 1 through 4 inclusive, Block 12,
Ridgecliffe Fifth Addition, Dakota_
c;ounty, Minnesota.
WE HEREBY CERTIFY THAT TNIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND
ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY,
FROM OR ON SAID LAND.
Dated this 04day of n(ov. A.D. 19_?30
CERTIFICATE OF SURVEY
For:
U. S. HOME CORPORATION
C. R. WINDEN & ASSOCIATES, INC.
by
Surveyor, Minnesota Registration No. % J,,?G
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Scale: 1" == 20'
O Denotes Iron
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