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3775 Elrene Rd, CITY OF EAGAN .• 3795 Pilot Knob Road Eagon, MH1 55124 N2 4324 PHONE: 454-8100 BUILDING PERMIT . . s .: : - . Receipt # To be used for Date i : ? , 1 g i Z Site Address Erect p Occupancy - Lot B!ock Sec/Sub. ? ?'' • ? ? ' ? ? ':' ?_ Alter ? Zoning - ? . Porcel # Repoir ? Fire Zone Enlorge ? Type of Const. W Name Move ? # Stories z Address Demolish ? Front -? ft. O City Phone Grade ? Depth ? ft. F F Kn C'eno t ++1 N Approvols ees . pn - ame o O'j Address b 31 S t[vk er ^.%-, Assessment - Permit s? a !„? 0 ~ Woter & Sew. Surchorge Ci Phone ? Police Plan check 7 3 j U - Nome uW„ F, Fire . r i) SAC _? Address - Eng. Woter Conn. 2 30•00 ? n ? Q W Ci Phone Plpnner Water Meter - '- ' +! - Councii ' D4[1 12ti.00 I hereby acknowledge thot I have read this application and state that Bldg. Off. the information is correct and agree to comply with oll applicable j r??? ??? State of Minnesota Statutes and City of Eogan Ordinances. APC ? Total Signature of Permittee A Building Permit is issued to: ?' ;• - on the express condition that oll work shall be done in accordance with a!I opplicable State of Minnesc.ta $totutes ond City of EaSan Ordinances. Building Officiul - - , ? hewM # Deb IMw/ pro"Ve Plumbing 7 7 Mechonicol =-Z L - > a:- INSPECTIONS ? DATE INSP. Rwph-In Firal Footings Date Inap. Dote Irup. Foundation Plumbing ?-? Frome/ins. MecFwnltol - ?- ? Final /• Remorks: -t410"7 v CITYOFEAGAN Remarksm?n? 6L)d-h dj'4t W65GO'}? I?G?•??-r?p, (p Addition sotrrH HIT.rs I St Lot 3 sik 2 Parcel ln 70790 090 02 Owner-';'? i. l) ` IiiL " LUJa4,f1! street_3775 Elrene RDad State EaQan? MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. II52.48 A004168 6-8-77 STREET RESTOR. IBCB 1975 1,646.40 164.64 10 GRADING 1973 581.88 58.19 10 • A004168 6-8-77 SAN SEW TRUNK l 1971 146.46 7.32 20 95.22 A004168 -8- 7 SEWERLATERAL 1975 2,295.31 153.02 15 1836.25 WATERMAIN * WATER LATERAL 1975 15 WATER AREA 1972 239.22 11.96 20 • 6-8-77 STORM SEW TRK ? STORM 5EW LAT 15 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC ? PARK Receipt MECHANICAL PERMiT Permit No. CITY OF EAGAN Fee FiII in numbered spaces S/C Type or Prinr /egib/y Tot. 1. Date 2. Installation Cost 3. Job Address ? Lot Blk. Tract 4. Owner 5. Contractor ? Phone 6. Address 7. City State Zip 8. Building Type: Residential 0 Commercial ? Institutional O 9. Work Description: New O Add ? Alter ? Repair ? 10. Describe , Fuel Type I 11. No. Egu6pment STU - M. Ea. Forced Air No. Euuiament CFM Ai dli H Mfg. an ng: r Boilers Mfg. Mech. Exhaust Unit Heater 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 all ordinances and codes governing this type of work. Signed : for Rough Finel Inspections: Oate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ?/y????? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: t I 1<t fJk t? Ii ,?I I il fl 1 l!'.1', 1 PERMIT SUBTYPE: . ,J:, I , 101 ? ', it i Ni, 0s'N!'Sl?:i ???IHf?/gs TYPE OF WORK: ?;; ?•?; ? ?: t .: i ,. I s i I t 1 rr i. t?J nt, I Fcuut I N t+ INSPECTION WORD PERMIT TYPE: Permit Number: Date Issued: H! t) C k> APPLICANT: Psrmk No. PermR Holder Date Telephone SJ1N PLUMBING HVAC EIECTRiC ELECTRIC Inspsctlon Data Insp. CommaMa Footings 1 Foundatbn Framing Roofing aB / / /T Hough Flbg. Ra9h Ftt9- Isul. Freplace Fnel Htg. Orsat Test Fnal Plbg. PI6g. Inspecta- Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Fnal Well Pr. Disp. CITY OF EAGAN 3795 Ptlot Knob Road Eogan, MN 55122 PHONE: 45"100 BUILDING PERMIT Receipt 4 N2 5635 Te be uad for Est. Value Dote , 19 5ite Address Erect ? Occupancy Lot Block Sec/Sub. Alter p Zoninp parcel # Repair jy] Fire Zone Enlnrye ? Type of Const. Name Move ? # Stories W ? Address Demolish ? Front ft. ? -:... W--- Grode fl Devth ft. p Name 'le2'tS@D COAIpe71y wpproroi: ? z? , , ? ;:: ; •-, .-• t'. ? r'1v ? . "n . Assessment ? Address _ ? ?.. Water & Sew. r Ci Pho ne V W Nome t` . Polite F y j1 ?- ire ? /lddress Eng. ? <W Ci Phone Plenner Counti I Permit _ Surchcrge Plan chetk SAC Water Conn. Woter Meter I hereby ocknowledge that I have read tfiis application and stote that gldg. Off. the information is correct and agree to comply with all applicable ?- ? -. State of Minnesota Stotutes and City of Eogon Ordinonces. APC Total Signuture of Permittee A Building Permit is iswed to: on the express condition that all work shall be done in acwrdance with uii applicoble State of Mjnnesota Statutes ond City of Eagan Ordinances. Building Official Pwmft # pafe hrad PwmktM Plumbing Mechanical INSPECTIONS DATE INSP. Rouph-In Final Footing5 Date Intp. Dote lrap. Foundation Plumbing g0 Frame/ins. - Q Mechanlcal Final ? - $ Remarks: --::;F>-) ? \ . ? ? CiTY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT 26. la Date: .%775 flrene 1?aad Site Address: lot Block ` Sub/Sec No. ()()5 rl i, ] f, i Recelpt No.: 5ingle I . Residential Muiti Res., Comm./Ind. I Name ? - New/Alter.lRepalr. ? . ? Address -- Cost of Installotion Ciry Phone: Permit Fee ` Name . Binder & Son, Inc. Surchorge ? Address 120 F. Butler St. "?, F?„zl Phone: Total "lf?,Si! Acity ,{: c This Permit is issued on the express condition that all work shatl be done in accordance with all applicable State of Minnesota Stotutes and Ciry of Eagan Ordinonces. Building Offlciol CITY OF EAGAN 3795 Pilor Knob Rood Eagan, Minnesofa 55122 Phone: 454-8100 _ PERMIT No. ?., Date: °i Receipt No.: Single I Site Address: Residential Lot Block Sub/Sec. =lo Hills lst I Multi Res., Comm./Ind. -•?; Name ''`''• LY'='? ;'-"? New/Alter./Repair . 3 Address Cost of Installation O CitY st. Paul Phone: Permit Fee 20•r" me 'kota Plumbing Co. 5urcharge •`'0 A Na Address 4030 Beau d' Rue Dri•re 0 V City ''an Phone: Total `r)• Sr) This Permit is issued on the express condition that all work sholl be done in occordonce with all applicable Stote of Minnesota Stotutes and City of Eagan Ordinances. Building Qfficia) This request void 18 months from .909;?7_1??? /7 7.241 Date of his Request 44368 I, asLicensed Electrical Contractor 11 Owner, do hereby request inspection of the above elecid- cal winng installed at: A ? Street Address or Route No. Section Which is occupied by ///U,LL6? S/, (Name of Otc Is a roughin inspection required.on this job? No Yes ? _ Range County i? Power Supplier -A Electrical Contractor Mailing Address Authori zed Siena re Ready No? . Will Call ? Licens&??V_% Phone No. /.223Y ????? o O??D ?? -. _.??/? This impection reqP pwill nPt 6e accepted by the U G u Stete Board unlen ro er ins ection fee is endosed. Minnesota State Board of' Electricity ?)"N 7954 Uwiversity Ave., St. Paul, Minn. 55104-Phone 645-7703 /7-7 a S[ KCLLUCJI YVFf CLCGIFfII:HL IIVJYCGIIVIV - ? ECKtELOW WORK COVERED BY THIS REQUEST s 44 368 Type oPBuOding New Add. R. Check Appliances Wired Fm Checlc Equipment Wired Fot Home ? ? Range ? Temporary W'ving ? Duplex ? ? ? Water Heatei ? I,igh[i¢g Fixtums ? Apt. Bldg. ? ? ? Dryex ? Elec[ric Healing ? Commercial Bldg. ? ? ? Fumace ? Silo Unloader ? Indus[rial Bldg. ? ? ? Air Conditionec ? ? Bulk M0k Tank ? Farm ? ? ? List ) ' List 1 Other ? ? ? p y Bere s) p } 9ehe131 COMPUTE INSPECTION FEE BELOW Service Enttance Size: n Fce Feedeis@Subfeedexs: n Fee C'vwits: # Fce 0 to 100 Am . 0 to 30 Am eres 0 ro 30 Am eres 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am ces Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Pactial or other fee Signs Special lns ection Minimum fee $5.00 Remazks 'fOTALF 1, the Electrica! Inspector, hereby certify that the above inspection has been . (Rough-in) Date (Final) % /[1 Date This request void 18 months from a cirr oF E,sc.sN 9795 Pllof Keo6 Raad Eagan, MN 55122 PXONE: 454-8100BUILDING PERMIT APPLICATION NS 5636 Receipt # Te ee us.d fer Fire Repairs Est. Vaiue 70,000.00 Dure 3/_.11/ .19 g0- 3775 Elrene Road Sife Address Erxc ? occupaocy 83 Lot-2- Block_2.Sec/Sub. Go Hi115 lst Alter ? Zoning RI POf°? # ?e ?e?se--es? e? Repair M Fire Zone III Enlarga ? Type of Const. V w O lri OBll Name Mcve ? .# Stories ; Address Same Demolish ? Front fr. a Ci Phone Grode ? Depth ft. o Name Giertsen CO7pp3I1y Avar"als Feea o6 Address 5147 Winnetka Ave. No, w?ssmenr_ 535-3212 New HoE % Wurerasew. ang ci .4 Police - w? Name S NA Fire H Address Eng. aW Ci Phone Planner_ ?(? I hereby ocknowledge that have rea his app o o d t te trya?( Council _ gl? pff. - the information is correct agree om w h all iicaqlq APC State of Minnewto Statutes f ikan es., .1 I Stgnoture of Permittee _ A Building Permit is issued olt work shall 6e done in c Building Official Permit loy. 3v _ Surcharye 35.00 Plnn check na SAC na Warer Conn. na Woter Meter na Toral 204.50 on the expreu condition that Stotutes und City of Eagan Ordinonces. cirr oF Fnc,AN ? 3795 Pilot Knob Road Eagan, MN 55122 N2 4324 PHONE• 444 8100 BUILDING PERMIT APPLICATION $49v000. Receipt # -t-, Ta be una fo. Sing. Fam. GarQ, DateM8V I 9 ,19-77- Site Address 3775 glregg.. Rd. Erect [g Occupancy Reg Lot 9 Block-2Sec/Sub. SAllth Hiuq lgt Alter ? Zoning R} . Parcel ¢{' w Name $yerjney Ragd z g Address . s......., tci._i.ii.o p iName Wm. F_ RepP Cpnct. Address 631 Stryker Ave. r r.:... St. Pauls =,,_„ 224-4725 Name_ Addres: I hemby acknowledge that I have read this application and state thot the informotion is correct and agree to comply with all applicoble State of Minnewto Statutes an y of Eo>gan Ordinan s. -? ? . ?e ?i? Signoture of Permijteek - A Building Permit is issued to: M ?'- / ?i r-wr all work sholl be done in?btcor nce?h all oop icabl Stme of Mii Repair ? Fire Zone _ Enlarge ? Type of Const. Move ? # Stories Demolish ? Front -fil ft. Gmde ? Depth 43 ft. Aoorevels Feff Assessment Permit 135.00 _ Warer & Sew. -- Surcharge 24.50 Police Plan check Fira snc 475.00 Eng. Water Conn. 230.00 Planner WaterMeter 60•00 Council Park Don 120.00 Bldg Off . . APC Total 1047.50 on the express condition that $totutes and City o4 Eagan Ordinances. Building Official This request void 18 months fcom ,t;-' a Z" b - • , Date cE#ds Request b' '' , P 7440 I, as icensed Electric Co tractor O Owner, do her by request inspection of the above electri- cai ng inst led ?te 3treet Address ro Route No. ?-7 75 C-r U'-? City 6?ti Section Township Range County Which is occupied by ? O/?A/ C?tl'7LO????i - f - (Name of Occupant) Is a roughin inspection required on this job? No O Yes"-- eady Now ? Will Call ? Power Supplier (s?l u'fq L-r(??? Address /'/dizol i NG o i? e e ?;070 4- Electrical Contractor • Contractor s License `(C/ompa Name) (? / Mailing Address N - N c,60 r c S.J % - /9?'l C..? (EI itri Contracto r Ow 7ak q This InStallatlon) Authorized Signature Phone No. eiectrka contrector or ownar f.1 ny This Inztallatlon) SURVE BOARD COPY Minnesota State Board of Electricity 7954 Univenity Ave., St. Paul, Minn. 55104-Phone 645-7703 -' REQUEST FOR ELECTRICAL INSPECTION 7440 'cH'tCK BtI.OW WOItK COVEItED BY THIS REQUEST P Type of Building New Add. Rep. Check Appliances Wired Fox eck Equipment WUed Faa Home ? Range D Tempocary Wiring ? Duplex ? ? Wa[er Heatet ? Lighting Fixtuces ? Apt. Bldg. ? El ? Dryer ? Electric Heating ? 'Commercial Bidg. ? ? ? Fumace ? Silo Onloader ? Industrial Bldg. ? ? ? A'v Conditioner ? Buffi Milk Tank ? Farm ? ? ? List ) List Other ? ? ? y Hehee1S1 p Heiers? COMPUTE INSPECTION FEE BELOW Service EnUSnce Size: # Fee Feeders&84bfeede[s:: #i Fae uits: # Fce 0 to 100 Am s. 5.t ? 30 Am`? ere's}, ?i L. !.` 0 tm ?es _?? . 101-m 200 Amps. 31 tAm eces Above 200?Amps. .4ve 1p mps. Abo0 Amps. j CdO?? Transformexs RoteConttolCirc. Partothe?fee [ Si ns Spe Minifee $5. ? Remarks V- TOT I, the Electrical Inspector, here ,_ jtify? bove ection has eee.G ?? i (RouBh-in) ? .an ?? SL? Da nate l?-a (Fioal) This request void 18 months from This requitst void 18 months from,::5CL7'l-4- `1'¢ /6 lzy 5622 Date qffiis Request_?/?- g2 I, as icensed Electrical Contractor 0 Ownec, do hereby request inspection of the above electri- cal wirg installed at: Street Address or Route NoSO /7 a"°" Section' Township Which is occupied by c?? " n Is a roughin inspection required on this job? No ? Power Supplier 6?-?? ?3t%?'? Electrical Coniractor < (CO ? ny Na?pe) Mailing Address .? - ? le Ical CoMractor c Authorized SignatKr ??<< jeiecincai conuactor or own R UE OWD QOp3? Range County Yes? Ready Now ? Will Call?" i ? ress 1 'j7f?"a ? Contractor's License No. o;)4 This inspection request will not be accepted 6y tha State Board unless proper inspeetion fee is endosad. Minnesota State Board of Electricity 1954.University Ave., St. Paul, Minn. 55104-Phone 645-7703 - 'REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST ? 25622 Type ot BuAding New Add. Rep. Check Appliances W rted For Check Equipment Wirod Fo: Home ? ? Range ? tempocary Wiring ? Duplex ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryei ? Elecvic Heating ? Commercial Bldg. ? ? ? Fumace ? Silo Unloadet ? Industrjal Bldg. ? 0 1:1 A'v Condilioner ? Bulk Milk Tank ? List List Other ? 0 ? p Heiersj p Hehe=$? COMPUTE INSPECT[ON FEE BELOW • Seivice Entrance Size: # Fae FeedersBSubfeedecs: # Fee Cti=cuits: # Fee 0 to 100 Am s. 0 to 30 A es 0 to 30 Am eres G+ O 101 to 200 Amps. 31 to 100 es A all 31 to l0U Am eres Above 200 Amps. Above IO - m bove 100 Amps. Tcansformers RemoteC trol artialorotherfee Signs S cial lnspection inimum fee Remarks i _ TOTAL FE 3 A I, the glecocal Inspector, he 'rtifyae 5, bove?ipspection has been mad?T? ? (Rough-in) ? . C,I U?'?J Date (Final) 'PIr Date 7 /.P,/-Jc- ??? This request void 18 months?fp?ffi, CITY OF EAGAN nclude 2 sets of plans, 1 site plan w/elevations & BUILDING PERP'lIT APPLICATZON 1 set of energy calculations. Zb Be Used Fora l N 6??'-?4?tit Valuation 7 FQ Date Z- Z?{ -P) C7 - site Pddress: 31?5 1:_=LA2?tpC ?s"?F*?i7. / _ oFFICE usE OII,Y slorac _ sec./sub. -Erect OccupancY Parcel #: /O - 70 790 o 9'0 0Q, Al' Zoning Repair Fire Zone ; Owner: JE?l??.? ?? O ETLL Enlarge -TYPe of Const. v Nbve # Stories Pddress: t?- A-; /H20 .1 Demlish Fmnt ft. City/Zip Code: SS1Z_? ??e ?? ft. Phoxie # : Contractor: Cv Address: S l ?-ul W1rjNex-?f.A A4z, ? City/Zip Code: NJL5i,v f-6Pe- Phone #: 5 3 S- 32 k -2-- Arch./Eng.. Address: City/Zip Code: Phone #: APPROUALS F'EES ? Assessments Permit /tlOY Water/Sewer Surcharge 3S Police Plan Check Fire 5AC g7q, Water Conn. Planner Water Metzr Council Road Unit Bldg. Off. APC -- s]s? 'IC7PAL (V ? O y 0 o?? 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephoue # 651-675-5675 FAX # 651-675-5694 it New ConsWction Reouiremenls RemodeUReoair Reauirements Olfice Use Onlv 3 registered site surveys showirg sq. R of Wt sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Reod Y_ N (20%mazimum lotcoverage allowed) 1 set o( Energy Cakulatbns for heated addNOns Tree Pres Plan Recd _Y _N. 2 copies of pWn sfwwing beam & window sizes; poured found desgn, etc. 1 site survey for addi6ons 8 decks Trce P25 Required _ Y_ N tseto(EnergyCalcula6ons Addifion - indicateAan-siteseptksystem OnsiteSepticSystem _Y _N 3 wpies of Tree Preservation Plan if lot plaried ailer 711193 Rim Joist DeWil Options selection sheet (bldgs wtlh 3 or less units Date // l / r l 0 5Z ? onstruction Cost -S % O O C SiteAddress / v? 77S T=1j-?.? UniUSte # Description of Work -e y-= o ?'? ry ? Multi-Family Bldg _ Y L/fV Ftireplace(s) _ 0 ?1 _ 2 Property Owner Telephone #( ) Contractor ,/7C''?? ?4/Ne ?N_rar?+c?"c-h Address ?/ ?3 ? SOfs?fi?r e G7l C /?r ?/ /Z City State / Zip I'r/ Z`r Telephone #?1z ) s-?s? - y9? ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . ResidenGal Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Su6mittad Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( 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. C.4 G 4 /lWau ApplicanYs P Med Name ApplicanYs Signature - ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMITTYPE: eurLorrvs Permit Number: 020853 Date Issued: 0 6 j 0 5/ 9 3 SITE ADDRESS: P.I.N.: 10-70790-090-02 DESCRIPTION: 3775 EI.RENE RD LOT: 9 BLOCK: 2 SOUTM HILLS 1ST REPLACE ROQFING Bu'i2dirrg, permit Type SF (MISC. ) Building Work Type REPAIR UBC pccupancy R-3 , , ? _r_ .j REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge Tntal Fee $63.00 $2.@9 $65.00 $4,000 CONTRACTOR: - Applicant - sT. Lzc. OWNER: SUPERZOR RpQFZNG INC 17298375 0006194 CHOI WON 2717 E 32N0 ST 3775 ELRENE Rp MINN£APOLIS MN 55406 EAGAN MN 55123 (612) 729--8375 (612)683-9304 I hereby acknowledge Chat I have read this application and state that the informatgon is correct and agree to camply wrtN a1i applicable State of Mn. ? Statuxes and City af Eagan Ordinances. J ARIn &n? r,l I 1h.? ? APPLICANT/PERMITEE SIGNATURE ISSUED B: GNATU E. REALTIVATE _ PERMLT N - L3 CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 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) tot change is requested once permit is issued. Date -,!;' / 5 / ? Yaluation of work Site Address: 37 7s- 9 LfrC,t-e fl'o.2 oT STREET SUITE K Tenant Name: (commercial only) IAT ? BIACK _ SUBD. P.I.D. M Descri tion of work: /?e t-u v The applicant is: ? Owner E1 Contractor ? Other (Deceribe) Name Ch o 1 Phone 4-F3 -%3c> y Property LAST FIRST Owner 3 7 75" Address STREET STE M City State ? N Zip°5S/'Z3 Company 51???'J421-t°'- tfooi_p: Phone 7??-O 7! 7 Contractor Address o? 7/ 7 License # Exp. City ?CtitiQzl?°'`?I State Zip SSYd ? Company Phone Architect/ Engineer Name Registration M 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 9nformation is correct and agree to comply with all applicable tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation .Jd2 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE ? 06 Duplex 0 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace 0 15 Deck "% ? 0-1hasemerrt-frni sh ? 17 Swim Pool O 18 Comn./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition VL 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City.Water UBC bccupancy e.3 2nd F1. sq. ft. PRV Required Zoniny Sq. Ft. total Booster Pump d of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS I Planning Buildin9 Assessments Engineering Variance REQUIRED lNSPECTIONS lZERooFIMIG. O Site ? Footing ? Framing O Insulation ? Wallboard ;KFinal O Draintile ? Firepiace Permit Fee Surcharge Plan Review License MWCC 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Urit Park Ded. Trails Ded. Copies Other Total: .e o v.tuat;on: s 4Iao z.oe SAC % SAC Units , BUILDIe?G PER"?IT P.PPLICATI0:1 Date e I.OT q BI,OCK ? Fu7DITI0;`J ,eC) (9 7`// Z-ZJ 1 _.GL.0.6 ;":^.ET, & 3PCTIOL•7 'cJUi1DER IF UiIPLATTED Gr i::',: rEL 7 7-?Y . ;T1= ? ,tf?OCCUPAATCY/Z?./'/? . (f ? ? {/3 ? Jr'Meic r TELEPHONE iQO. -'vlSy?, .,__.._...,.. , P 4 TELEPHOtm T70. --> '4 L E %7' e•;utes Include sita plan, building plans, and energy calculations cri.th i'hd.^ application Signed " ...?i- W.._..._._. t5r OFFICE USE 17 QC/ 0 1ALUITSO7 3;. :.- ir:;3 t:.`•2?:3EC°_'IO'iT ?rJrr4DrrdG PEItI1IT FEE 7i7RCH. P.F?GE FEF, PLt1PT CKFCK FE,°. PPftlt DEDICATIO7:4 FEE OT :r^.R ?? 90 _ ? _ 00 ???? ... ? 3 S ?--- ? ? 1-2d ? ;Oq 7, s? ai•^oq9T,T,S: 5:SSiI1r,;dT CLERiC , BUILDIiJG DEPT. POLICE DFPT. S+sF3ER Dr^_,Pi. FIILE DrPT. PARK DSPT. L /S gL n ? CITY USE ONLY RECEIPT #: SUBD. ? RECEIPT DATE: D "?! 1998 PLUMSING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGP.N, b41 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = INetet Hester 3.00 x _L = Floor Drain 3.00 x = Gas Piping Outlet " minimum -1 3.00 z = Rough Openings 1.50 x = Water Softener ` for dwellings under construction 5.00 X = Water Softener ' for ezisting dwelling 20.00 x = U.G. Spfinkler ' For dwelling under const. 3.00 = U.G. Sprinkler ' forexisting dwelling 20.00 = Alteration5 " to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System " MPC iic. 75.00 = (new and refurbished systems) Private DiSpOSaI Systems * Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE TOTAL TOTAL .50 -----•--------------------------•----- --------e i----- ------------- ------ ------------------------------------ 1 hereby acknowledge that I have read Mis applicstion, state that thnfortnatio-----n is- -co- -rr-ect, - and agree to comply with all applicable City of Eagan ordinances. It is the applicenPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities construded under this pertnit within City property/right-of-way/easement. SITE ADDRESS: 377-5' EG.ee?/-f dT,Ji OWNER NAME: i INSTALLER NAME: ?lv Gf"OarEw TELEPHONE #: STREETADDRESS: ?040r G'4-s'r;?J o2 T.f CITY: //1`?"nicUnJ STATE: SIGNATUREOF PERMIyTEE h. . CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 - / CITY USE ONLY LOT / BL SUBD'? RECEIPT #: 19 7 9 g 9 RECEIPT DATE: 1491"4-/R ?/ 1998 M£CHANICAL PEfiMIT (RESIDENTIAL) CITY OE EAfiAP 3850 PILOT KNOB RD EASAN 11iN 55122 p q Date: (61E) 6$1-4675 Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under construction and not owner /occupied ' • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) • State Surchazge: .50 • TOTAL: Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: ? Install furnace _ Install air conditioning _ Install air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surchazge Total: $ 20.50 SITE ADDRESS: 3?--)S E1 rti'' e- OWNERNAME: Wdn Choi PHONE #: &g 3 -9,3o`j' INSTALLER NAME: W0V1 I-e,1'? PHONE #: +31- -70qI STREET ADDRESS: I4'1 3z?- Pe1'l Y11X=K ?? - CITY: A??1u, VQ `?l A I _ STATE: d? ZIP: rJ o ?? ba4-uV g • w-D4? SIGNANRE OF PERMITTEE JS/FORMS BLD/MECH PERMIT (RES) • 1998 w -, -5 i ' O8]•YOUi-? I x i z ! ` , ! } I I ? ',I ? "? ? 3 Iv r? 7 Y?H ? rJ1u. ? .? ? ? ? , _ ? •^ ? d ; y ? ? ?s ? ay. M t . _••_? ? i . f ; r ? p ? ?. . -.. _.l ! .? ,.?'?.. _? _ l & 1 14 .?.al x y_..?v:-p .. y?:... -? !:...?., r y.. 7,... '?..' 1 .-.'?. 1 . ?... 1 • :, t ? Q ? l " i 4 f .r ? .?pp? f 4 + I ; . r r._ ..; ?r `I, Tj r.: i .. iv. .il. ' ?; . ? i `: [i? ? 1`in , no. Lakes, Mn `5501 I ? +?.tL jiAa PhOR9.(612) 786-776 ,x PREChSTCONCRETE PRODUC'1'? -? FKMS=4AGGRE6AdE+NAI ? < + f r He:.icoRe , . CCJPING ANp SILL? l I l . ? J.?. RAPRINBGUt{ ? b n I 1 1 i'?. ? t P ? 1 ? f ?' 6? Mn d' Ii?{? i, y e ?r , ,. I 4 4 2 lr, I L{ ' ' • r?. -' ? y, ' - ry} ?? ... 'A } ? ?, { ?7 xf,. •x .. .. „ . ;." .?, .. '. :.; ; . .. : - t i ? ' if 4 p I a _ ? i . 5„' ?-?•. ? ?: ? . j i . , . r . Y •Rr? « s?, .' ? ? ..-t ? : t ? qJ ,.? ?' ??.? Y i •?M'C. i ' F? rj G ? ti ?'t y P ( t ? 1 p?Y 1 ?? 1 • 1 ? ? 4 ? x x 4 a ? SEWER SERVICE PERMIT CITY OF EAGAN s795 Pilot Knob Road PERMIT NO.• _ - —— - - -- Eagan, MN 55122 DATE: -- - -- - Zoning: -- - -- - - - -- No. of Units: _— - - -- Owner: - Address: _ — Site Address: _ — - -- — ----------- - - - - -- Plumber: - -- -- agree to comply with the City of Eagan Connection Charge: _ Ordinances. Account Deposit: Permit Fee: - -- — Surcharge: _ Misc. Charges: - By - - - - - -- - - - -- - - - - - -_ Total: - Date of Insp.• - -- - - — ----- - - - -- - -_ _ i nsp.: Date Paid: - -- CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot 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: agree to comply with the City of Eagan Surcharge: - -_ Ordinances. Misc. Charges: _ Total: By Date Paid: Date of Insp.: Ins Use BLUE or BLACK Ink For Office Use Permit#: City of Eaali Permit Fee: /0-5-2 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 buildinginspectionst cityofeagan.com Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: Rt C k U0.-t . �-tt Phone: /"80,e—a.-G -3S-?° Resident/ OwnerOWetefer. Address/City/Zip: 3 7 71 EL v„, Applicant is: Owner y Contractor Type of Work` Description of work: - ils Construction Cost: Multi-Family Building:(Yes /No ) Company:Y� lc/� 'rr- /145')7'f, 1- C Contact: '76?- � .. p 6©'1/ I NE �'. Address: 'yl S ` City: J Contractor � ccE13 State: (1'[�,l Zip: Phone: Email License#: 1 IZ' 679Y.`3 Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are i be p bilic inf`orma 'on. Portions of the information maybe class�hed e#non plublic if you providespecificreasons' that would permit the Cit r to cop t at they :. arerade secretsrk.. A You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plan x x Applicant's Printed Name Applica s Signature Page 1 of 3