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3216 Evergreen Dr Use BLUE or BLACK Ink y. I I Fair Office Use Permit -`L L0 City of EaI d b I Permit Fee: + L2-' 2J I 3830 Pilot Knob Road I ~1 I an MN 55122 Date Received: JZ Eag Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~U Site Address: 3P_161 ~U0 4z C-,F z r:_7 g 4j bP• & (LQ fN(, Tenant: j (l1CA. 3V32-2-b t ILLZ ~Z24 ,t 52ZPite RESIDENT/OWNER Name: eOA-e-141"AO A&H LIDS' bJ')I (A 15.Phone: Address / City / Zip: - S/ )0C.J Applicant is: Owner Contractor F_ Roof TYPE OF WORK Description of work: Construction Cost: wl4 S ©0 Multi-Family Building: (Yes X / No ) CONTRACTOR Name: ZoTr /)A ,0N. License 0201 P]c2 / 5- 3 Address: ~UAl4 40f /VF City: ST IMiL' N,q. L State: P/J Zip: Phone: / l 6 3 ~ d V V Contact: P~ 2 (2- y Email: /Q. 01('0 Of- C-4' AlA Cott 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: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Z' O D f1 r` 7W X Applicant's Printed Name Applicant's Signature Page 1 of 2 e _. , . . . . . ,. M. . «, j', .;.S•,r,. } ? .. .. . . , , .. --? CITY OF EAGAN { Y' ? ? ? ? J ?3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - f BUILDINCPERMIT PHONE: 454-8100 Receipt # ' - To be used for BA3BMM F11113$ Est. Value. $I , S00 Date = ZZ , 19 g? Pdf W NO. Occupancy - FEE$ ¢ Name ? 1L BTiE!lSEN Z?i? (Actual) Const 3500 Permit • Bldg „l - . ; ° Address 3222 Djt (Albwable) - Surcnarge 1-QO City RAGN Phone 454-3987 # of Stories _ Plan Review Lenglh _ p Name SAMW Deplh SAG Cit = - y ? (OJ Ot Addf@SS ? S.F. Total - SAC MCWCC City Phone S.F. Footprints - , t W C On Site Sewage er onn a WU¢ w Name on sice weli - Water Meter x? Address • Mwcc sy5teFn - < W City Phone ciry water , - Aect. oeposit PRV Required _ S/W Permit I hereby acknowlege that I f ve read this application and state that the Booster Pump - S/yy Surcharge in ormation is correct and lid rep to c mp with all applicable State of Minnesota Statutes and City gan d ces. t Treatment PI Signature of Permitee APPROYALS Road Unit A Building Permit is issued to: STVRp KSWMZN Planner park Ded. an ihe express condition that all work shall be done in accordance with all Council ? applicable State of Minnesota Statutes and City ot Eagan Ordinances. g?, pH. _ ?P?s 0 Building Otfici8l Variance - TOTAL ?? ? PermN No. ' Permft Holder Date Telephone # WATER SEWER PLuMeiNc QQ .r1.nr?r? 00V 1-15 f•38% H.VAC. eLecrRic Inspection Date Insp. Comments Footings I Foundation w A' Framing Roofing Rough Pibg. IAXI fiough Htg. Z o Isul. ?rs C f G?' i?- c Y i ? Fireplace Final Htg. ?' - Orstat Test /- Final Plbg. ? Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final ` Dedc Ftg. Dedc Fnal 2 S ? /Ya Wel1 Pr. Disp- / ?111 ' CITY OF EAGAN " i? 11 ? r 2 3830 Pilot Knob Road P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 -7 BUILDING PERMIT Receipt# To be uaed tor 1 OF 6 PLF:X Est. value $77,000 Date p"PR I I' 22 , 19 86 SiteAddress 3226 EVERGRFS-Y Uz2 Erect L? Otcupancy H3 Lot54 Block 1 Sec/Sub. 77A HAIAN iiT :H .AiQjWdel ? Zoning ud Parcel No. Repair ? Type of Const-T Addition ? No. Stories a Name BRUTGER C011PeAiJ IES I NC Move ? Length , = 1 SLJiti`WOOD llR .? P. O. BQX 3 y 9 Demolish ? Depth o Address Int. Impr. ? Sq. Fr 32 city ST CLUWone 612/252-6262 Install O = o Name SAi?!£ AI 0 ¢ Address Assessn city Pnone Water & W W tvame B??UMFNTALS ARCHITECTS Police _ ? W . . .... ........_... _.. _._ Fire - information is correct and agree tv c pfy with Minnesota Statutes and City of.Fap n QFdinano Signature of A Building Permit is issued to: all work shall be done in accordance with all applicable Planner Bldg. APC. Permit $ 364.00 Surcharge 38.50 Plan Review 132 • ,` o ' sAC 575.00 Water Conn. 500. UO Water Meter 63 . 50 Road Unit 230. 00 Tr. Pi. 156.00 rVar. Date I Copies , 16y-. oo I I'7C TOtal on the express condition that ota Statutes,and City of Eagan Ordinances I I wrn+N Na - I Pwmlt Hoia.. I Dm. I rN.pnon• s I '4 CommenU Plbg• Final Oce. Dhp. CITY OF EAGAN 118 41 .' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ??? W, • - PHONE• 54 8100 BUILDING PERMIT 4 Receipt # I Z ;7 -) 7 To be used ror 1 UF 6 PLEX Est value $75, 000 Date r1PRIL 22 , 19 -0-CL SiteAddress 3224 EVERGREEN DIt Erect EIK Occupancy R3 Lot.5 8 Block 1 Sec/Sub. COA _HMAN H T.FiIgJel ? Zoning `+d Parcel No. Repair ? Type of Const Addition ? No. Stories It Name BiZ[3TGER CUMPANIES Move ? Length W 1 SUNY?IOOD DR.? P. O. H{?X 3 9gDemolish ? Oepth 21 o Address Int. Impr. ? Sq. Ft 32 City ST CLO99ne 612/252-6262 Install ? = o Name SAME ? Q Address ~ City Phone F W Name i. I FNT i-- R_HIT . TS INC Ux Z a Address 6100 FUMhIIT DR aW ?;fi, RRC)n;'".oi;d.,CYa rm -%ssn information is correct and Minnesota Statutes and C. Signature of ' M..-.7 A Building Permit is issued to: ti'? U 1?."?`•` all work shall be done in accordance with all aoo of State of Water & Sew. Police Fire Eng. Ptanner Council ' Bldg. Off. 4/22/8 Permit S 358.00 Surcharge 37, `i0 Plan Review179,00 SAC 575.00 Water Conn. 500,?0 Water Meter63,50 Road Unit 290. 00 Tr. PI. 156.00 Var. Date I Copies Total $Z+159.OD on the express condition that Statutes and City of Eagan Ordinances. PwmR No.- Pwmit HWd*r Dah TMaphonw Ik PlumWny joco H.Y.A.C. 6-0 q "o) C?- - EtscMe 3 !? soltsn.. Inspoctlon Date Insp. Commwnts Faotlnps I f I? 3tC ?C': ? Footinys 11 Foundatbn Framiny Rooflny Rouph Plbp. Rou9h Htp• Insul. ?p Fireplacs FYnal Htq. ?G Flnal Plbp. Bldy. Flnal ' Grt.Oce. Deck Fty. Deck Frmy. Well Pr. Dbp. CITY OF EAGAN 19 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 ? PHONE:454-8100 --? BUILDING PERMIT Receipt# l J! Tobeusedfor x OI' 6 PI,":X EstValue $62,000 Date HPRIL 22 19 36 SiteAddress 3222 i.VEr2GREEN DR Erect 12f Occupancy R3 Lot 57 elock 1 Sec/Sub. C()ACHIViA,.\ i3IGHLAai'filf3el ? Zoning RA Parcel No. Repair ? Type of Const V Addition ? No. Stories W Name IIRUTGER COCIPANIES INC nnove ? Length 1 SUNWOOD DR., P. O. AUX 3 9 9 Demolish ? Depth o Address Int. Impr. ? Sq. Ft. ? 2 City :i T ? .t?+,?one _ - - - - - - - - - - - - - nstali ? a Name S?? Approvab Fees 0 i Address Assessment Permit ? 319 . 40 m Ciry Phone Water & Sew. Surcharge 31. UO I ? • Police Plan Review 159.50 i F W Name BLi3idEf2TALS ARCtiITECTS iNC Fire SAC 575.1010 ??z-, Address 61UU SU:9i?1IT DK i?JO Eng. WaterConn. 500.00 ? ? W c;ry BROOKL4#j6,CTR 571-5550 planner ? Water Meter 63 . 50 Council Road Unit 290.U0 ' I hereby acknowledge that I have read t plication anfil'state that the" Bldg. Off. 4/22 /8 Tr. PI. 1? 5•`? information is correct and agree to co y with ail a Jc?ria,$ta Minnesota Statutes and City?ot Ea? _ rdinance APC Parks I Var. Date Copies Signature of Permittee ' Total ? ''? " HUT GE? COMPAIW I ? S" I tdC A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable?ate of Minnesota Statutes artd City of Eagan Ordinances. BuilAinn ()ffir.ial MmnN No.- PwNt Holde? DMe TN*phone M Plumbinp H.V.A.C. ElecMc -- SORWW Insp*cqon Daq Irap. Commob FooNnys I FooHnys 11 Foundadon Framiny 1 7016 ? po'- Rooliny Rouyh Plbp. ??•-gL -!r'2 Rouph Hty. InsW. ? Finplac* FMaI Hty. - ? FInN Plbp. , 7 Bldy. FInM CNi. Oea /Y Dock Fty. Dock Frmp. Wsll Pr. Disp. CITY OF EAGAN N2 11 Sig v-- -A 3830 POot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # 7obausedlor 1 OF S PLEX Est.value $62,000 Date APRIL 22 19 86 Site Address 3220 EVERGREEN i]R Erect 0( Occupancy R3 Lot, 56 Block 1 Sec/Sub. COHC:XAN riIGEaLAHOO&ei ? zoning 8e Parcel No. Repair ? Type of Const. •? Addition ? No. Stories W Name dRUTGER COMPANIES IiVC Move ? Length Z 1 StJ f?'rq00D DR.? E' . O. HD:i 3 9 9 Demolish ? Depm o Address Int Impr. ? Sq. Ft. 32 City st c1094one 612/252-6262 mstaii ? = o Name 5?E ? ? Address Name AItCHITECTS iNC I herebyacknowledgethatl information is correct and d Minnesota Statutes and Ci1 Signature A Building Permit is issued to: "nV 1`' all work shall be done in accordance with all Assessment Permit ? a 1.7 . u v , Water & Sew. Surcharge 31.00 Police Plan Review 159 . 50 Fire SAC 575.00 Eng. Water Conn. 5 0U. 00 I Planner Water Meter 63.50 Cquncil Road Unit 29U .00 Bldq. Off. 4/22/86 Tr. PI. ? 156.00 Date Copies 1 j Total 42,094.00 on the express condition that ? tes and City of Eagan Ordinances. l I - I w?mn No.- I P*rMt Holder I Dsts I TNOphoeO k I Plbp. Hty. CITY OF EAGAN ?. ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ``-' PHONE: 454-8100 BUILDING PERMIT Receipt # To be used tor 1 OI' 6 PLE:K Est value $ 75 ,000 Date APKIL 22 Site Address 3218 EVERGREF.N DR Erect JC Occupancy 'Z3 Lot-55 Block 1_Sec/Sub. COACIiMAN HiGti10*48S1 ? Zoning A 4 Parcel No. Repair ? Type of Const j/ Addition ? No. Stories BR(J'CGI:R CUi•:PANYES INC Move ? Length 21 5 Name = SUNWOOD L1R., P. O. BOX 3Spfmolish ? Depth o Address Int Impr. ? Sq. Ft 32 city 5T CLU?ne 61'1/252-6262 Install ? = o Name- SA? Approvals Pees ? ¢ Address r .?:.. Phone I hereby acknowledge th information is correct ai Minnesota Statutes and Signature A Building Permit is issued to: all work shall be done in accordance with all Assessment Permit $ 356.00 1 Water 8 Sew. Surcharge 37.50J Police Plan Review179• 00 I Fire SAC 575.001 Eng. Water Conn.500.00 Planner Water Meter63. 50 ,Council Road Unit 290.00 Bldg. Off. 4f ZZI8 Tr. PI. .156.00 Var. Date Copies 2159.00 t ..,1 i Total '' ' I on the express condition that an Ordinances. ..,.,,,.,,.y v...v.... I _ IPwmn No. I P..mn M~ I DEa I TO.p"N « 1 Date Vlbq. M9• P"• Final Occ. CITY OF EAGAN n ? n ?- • 3830 Pilot Knob Raad, P.Q. Box 21-199, Eagan, MN 55121 118.? ? 7 - PHONE:454-81Q0 BUILDING PERMIT Receipt # Tobewedtw j O"s' b PLi:X Est.value 471?000 Date 42 ig Site Address 3216 c:VLRGt2El:;N DR Erect ?A Occupancy Lot L" BloCk 1 /Sub. COACiiAAN :3 i".-2tiLi-Ri"el 0 Zoning R4 -? Sec Parcel No. Repair ? Type of Const 'LL Addition ? No. Stories 2. a f3':U'!'GER C:G?iPAii I i;5 i:NI[; Move ? Length = Name Demolish ? Depth 3 Address 1 SUNWC)OU DR.y P.O. BOX 399 Int Impr. ? Sq. Ft. 32 a ?rr+r nrIn Gi 7/-fc•f-c-?c?f ? o Name SAME Approvals Z $ i Address Assessment a City Phone Water & Sew. Police ? a W ?d`t'ALS A Name `? '` ' •?'• RCf1TTi:CT:, Fir F ? a Address `)10 C) : iUMMIT UR NO e En g. <W Ciry F'?;or4ejR 571-5550 Planner I hereby acknowledge that I have read th ' ilcation a tht t Council Q? 2 2?fi E? information is correct and agree to F6 with all ap Bldg. Off. Minnesota Statutes and City of Fay4O rdinancesrl tt APC i? i/ -Var. Date A Bu ilding Permit is issued to: tit( li'i all work shall be done in accordance with all INC of Permit a '20y- Vv Surcharge 38.50 Plan Review 182.00 SAC 575.00 Water Conn. ? 500.00 63 50 r Water M? . I Road Unit Tr.PI. 156.00 Parks Copies Total Y 1, i59 . 00 on the express condltion that and City of Eagan Ordinances. Building I . ` Ipornh No. • I PKiNt HoldK I Date I TNophom # I Dah Plbq. Hfg. Plby. Final Occ. Dbp. ' 3830 Pilot Knob R d! P.O. Box?ZG-A1 9, Eagan, MN 55121 11779 PHONE: 454-8100 ? BUILDING PERMIT Receipt # FOUiJDN'1'I ON r-.. nfl}e A?PR iL 14 ,o 66 Parcel No. Repair Addition W Name BtIUTGER COI?lP1,NIES DeMove molish 3 Address 1 SUNWQOD DR., SOX 399 a Int Impr. City ST CLOPP6ne 252-6262 Instau Z o Name 5AME ? ? Address City Phone Address Phone ? I hereby acknowledge that I have repd ?plication information is correct and agree t6 ' mply with all al Minnesota Statutes and Ciry o6fa " n Ordinar?Ces. ` ,?. Signature of Permittee BRUTGER C A Building Permit is issued to: all work shall be done in accordance with all applicable Occupancy Zonina Type of Const No. Stories Length Depth Sq. Ft Assessment _ Water & Sew. Police Fire Planner of Bldg. of Permit ?1=' • ?'? Surcharge Plan Review SAC Water Conn. Water Meter Road Unit Tr. PI. Parks Copie . [he express condition that . PwmR No. PNmN Holdw Dsb TMephone N lumWny [ . H.V,A.C. iecbic Ir3l ??g ?? softef"W InspeeHon Dsts Insp. Commenh Footlnys I Foodnys ii ' Foundatbn FrarMnp RooHnQ Rouyh Plbp. Rouph Htp. IrouL Fireplaee Ffnsl MIQ. Finel Plby. &dy. Finsl Cert. Occ. Dock Fty. Deck Frmp. Wdl Pr. Dbp. PERMIT # CITY OF EAGAN FEE 2---4 • MECHANICAL PERMIT -,, RECEIPT # 454-8100 S/C ? MINIMUM RESIDENTIAL FEE - $10.00 + 5.50 TOTAL DATE !^`'?? ~ MINIMUM COMMERCIAL FEE - $20.00 + $•50 1. Bldg. Type: Res L Comm Inst 2. 3. Total Bid Price ' ? 4. Job Address :J Z Lot -J' BIoCk ? SeC LQ 6. Contractor )L (Name) (Streetf 7. Contractor Phone # ? Add Alter Repair Owner RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.OU. Each additional 6,000 BTU's or fraction -$6.00 MODIFJCATIONS/ALTERATIONS -$10.00 minimum tee Y HEATING UENTILATING - HOT WATER STEAM AIR COND. aIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS -,$1.50 TANKS: LP. UNDERGROUND OTHER COMM./IND 4RATE s-1d% O 3JTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. ?? `- ?.,,,? .lEC.- - '? "F'I?' ? ?Vsv? Signed: for Approved - r ! Inspections: Date Rough Insp. Date Final Insp. MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 7I 2,$I P. 7 CT PRlCE: $1300.00 PHONE: 454-8100 ? Name WENZEL MEC] w Address 3600 Kennet c City Ear;a•; BLDG. TYPE WORK DESCRIPTION Res. 7X New --YY-- Mult. Add-on Comm. Repair Other FEES _ Name Mik e Leben RES. HVAC 0-100 M BTU c Address s ADDITIONAL 50 M BTU O ??tY Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM PER PE ( - 1 RMIT) TYPE OF WORK COMM/IND FEE - 1°rb OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TQWNHOUSE & CONDOS - RES. RATE APPLIES - Boiler M BTU MiNIMUM-RESIQENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS Air Cond. 24,000 M BTU 12.5 MINIMUM COMMERCIAL FEE Vent CFM . STATE SURCHARGE PER PERMIT . (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # $ BEYOND $1,000) a • $24.00 - 6.00 • 1.50 EA. ? - 12.00 ? - 20.00 - .50 FEE S/C: SIG RM EE TOTAL 1? . 5 ? 7a ) ? FOR: CITY OF EAGAN r-------, ? . . ? PERMIT # CITY OF EAGAN MECHANICAL PERMIT RECEIPT # 454-8100 MINIMUM RESIDENTIAI FEE - $10.00 + $.50 DATE MINIMUM COMMERCIAI FEE - s20-00 + $•50 1. Bldg. Type: Res ? Comm Inst 2. New ? Add - 3. Total Bid Price 4. Job Address -?•L? FEE S /C TOTAL "Alter Repair Loh- Block _1- S c ? +'c%n! b.' OwnerL 6. Contractor ?`' L: y (Name) ` 7 ? (Street) (City) (Zip) . Contractor Phone # $., RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction - $6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee ? - HEATING VENTILATING HOT WATER STEAM AIR COND. eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS' = $1.50 TANKS: L.P. UNDERGROUND OTHER ,COMM./IND.-RATE -1%„OF_T?O ? / TAL BID P*CE PLUS $.50 STATE SURCHARGE,?FOR EACH $1,000 OF FEE. ? Signed: ? for ?-. Approved Inspections: Date Rough Insp. Date Final Insp. w PERMIT # ? J RECEIPT # ? c -4 (0 DATE . / j? CITY OF EAGAN MECHANICAL PERMIT 454-8100 MINIMUM RESIDENTIAL FEE • $10.00 + $•50 MINIMUM COMMERCIAL FEE - $20.00 + $.50 ?,. 1. Bldg. Type: Res Comm Inst 2. New -- V'- Add _ 3. Total Bid Price 1`?JJ 4. Job . ? Lot, =-- L?; Block _I Sgc 6. Contractor `-- -4-. (Name) 7. Contractor Phone # T FEE ' s/c - ? TOTAL ??'j • '? Alter Repair ? --2 - -? tG?S 45. Owne !/'u.J"?:?`'-?' ..; ?„ ? _ •_-f !`-J, ?4 (Street) (City) (Zip) RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.UU RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee " HEATING VENTILATING HOT WATER STEAM AIR COND. eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER COMM./IND. RATE - F TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. ?-- ; ? S19r16d: fOf Approved Inspections: Date Rough Insp. Date Final Insp PEfRMIT # ? S CITY OF EAGAN FEE ?•? MECHANICAL PERMIT RECEIPT # 454-8100 S/G MINIMUM RESIDENTIAL FEE - $10.00 +;.50 TOTAL DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bidg. Type: Res Comm Inst 2. New ?' Add Alter_, Repair -9 ..?J "^? ' 2y2 ti?_c:.r?c??2?-z"'Y `?r,+L. 3. Totsl Bid Price ?--? 4. Job Address " ? Lot7 Block SeC :%??? .'w? ?`?? .`.'L.a.,,? 5. Owne?-.t-{?'? '-:3 • 6. Contractor r (Name) _ ? (Sfreet) (City) (Zip) 7. Contractor Phone # t z -- RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or haction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODjFICATIONS/ALTERATIONS -$10.00 minimum fee HEATING VENTILATING HOT WATER STEAM AIR COND. eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS - $1.50 TANKS: L.P. UNdERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL B PRICE PLUS $.50 STATE SURCHARQE FOR EACH $1,900 OF FEE. C ? Signed: for ' -^? ?_--- ? ??,c ? •.i?•---_ Approved Inspections: Date Rough Insp. Date Finai Insp. I •_------- ?' • ? r ?C PERMIT # r CITY OF EAGAN MECHANICAL PERMIT RECEIPT # 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 DATE ???? MINIMUM COMMERCIAL FEE - $20.00 + $•50 . ? ; 1. Bldg. Type: Res ? Comm Inst 2. New V Add - 3. Total Bid Pricet j'? ' 4. Job Address .? Lot I' 2 Block ? Sec? ??? ?'?-?^-•` ? ?•J /6. Contractor (Name) c' . 7. Contractor Phone # (Street) FEE S/C TOTAL -1 ? ? • . ?''J Alter Repair .? ? (CiH) Riv1 RESIDENTIAL HEATING - 01-100,000 BTU's -$24.OU. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee ? HEATING VENTILATING HOT WATER STEAM AIR COND. nIR PIPING PRaC PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS - a1.50 ,- TANKS: L.P. UNDERGROUND OTHER ? .._. COMM./IND. RATE - 194-OF TPTIIL 04D PRICE P?U§ $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: • ._ •,..?._ ?''•_ __--•-.'''? for Approved Inspections: Date Rough Insp. Date Final Insp. PERMIT # CITY OF EAGAN MECHANICAL PERMIT RECEIPT # 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 DATE ? t_ z ? a'? ? MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res VZ Comm Inst 2. New ? Add - 3. Total Bid Price 4. Job Address Lot Block ? Sec ? ?J? ?-i'???1 T ) 6. Contractor (Name) 7. Contractor Phone # ?- FEE ?? • sic ? TOTAI Alter Repair r, . 4"c'4,'va--fOwner ' `. v . ;?1-4??, `.? ?•-c'r?fl-?. _ ...?,.. T ? (Street) , (Cfty) (Zip) RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or iraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee V HEATING VENTILATING HOT WATER STEAM AIR COND. eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND, RATE - 49jF TOTAL BID,PRICE PLUS S.SO STATE SURCHARGE FOR EA ? CH $1,000 OF FEE. _/ ?r.::- y Z ? ? ` ` /,?,r/ `;'T,`?. Signed: for ? Approved Inspections: Date Rough Insp. Date Final Insp _ . . / , ? • PERMIT 9 CITY OF E/tGAN FEE 32-00 # PLUMBING PERMIT ? RECEIPT # ?v 454-8100 5/C ' MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL DATE L? MINIMUM COMMERCIAL FEE - $20.00 + $•50 1. Bidg. Type: Fies ? Comm Inst 2. New ? Add Alter Repair 3. Total Bid Price UL U• vv 4. Job Addre Lot Block? Sed -5. OwnerT 6. Contractor (Name) y?/ (Street) (City) (ZIP) 7. Contractor Phone # NO. FIXTURES NO. FIXTURES NO. FIXTURES -SWater Closet - $3.00 / Laundry Tray - $3.00 -Well - $10.00 __7ath Tubs - $3.00 -7Floor Drains - $1.50 Private Disp Syst - $10.00 "Lavatory - $3.00 -J-Water Heater - $1.50 ::3Rough Openings w/o Shower - $3.00 Whirlpool - $3.00 Fixtures - $1.50 E?Kitchen Sink 0 ?7Gas Piping Outtets - $1.50 -Urinal/Biyiet - $3 0 -Softener - $5.00 COMM./IN4. ATE ! 79?OF T4 /,F. Bld PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: ??L' -------??- for Approved Inspections: Date Rough Insp. Date Final Insp. PERMIT #. oo CITY OF E/IGAN FEE 3 ," 0 PLUMBING PERMIT 9 454-8100 SiC RECEIPT # ,/ -ngllL J?/ MINIMUM RESIDENTIAL FEE - =10.00 + $.50 TOTAL 3i-sy DATE ?J MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res ? Comm Inst 2. New I-Ile- Add Alter ?TRe? palr 3. Total Bid Price 4. Job AddrQss ?4IC7 / Lot? Block / Sec'??'i?n?`?•? 5. Owner 6. Contractbr ?????? (Name) Contractor Phone # NO. FIXTURES NO. FIXTURES NO. FIXTURES ?.Water Closet - $3.00 Laundry Tray - $3.00 - Well - $10.00 -Bath Tubs - $3.00 $ 0 -'' Floor Drains - $1.50 t 1 = ? 0 Private Disp Syst - $10.00 nin w/ R h O 3.0 Lavatory - ?Shower - $3.00 Water Hea .5 er - $ ?Whirlpool - $3.00 gs oug pe o Fixtures - $1.50 _Kitchen Sink - $ LGas Piping Outlsts - $1.50 -Urinal/Bidet?$3. -SoWer - $5.00 COMM./IND. AT - 1% OF B P?ICE PLUS $.50 STATE SURCHAR CiE FOR EACH $1,000 OF FEE. Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. PERMIT # CITY OF EIkGAN FEE ?' 'C90 PLUMBING PERMIT siC ?-e RECEIPT # 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL DATE MINIMUM COMMERCiAL FEE - $20.00 + $.50 1. Bidg. Type: Res ? Comm Inst 2. New ? Add Alter Repair 3. Total Bid Price ?•U?• ??4. JobAddress 3??? Lot Block Owner 6. Contracto - /! A5ef? A/Z (Name) (Street) 7. Contractor Phone # NO. FIXTURES NO. FIXTURES NO. FIXTURES ?Water Closet - $3.00 / Laundry Tray - $3.00 __ -Well - $10.00 Bath Tubs -$3.00 = TFloor Drains -$1.50 7- Private Disp Syst -$10.00 __7 Lavatory - $3.00 Water Heater - $1.50 Rough Openings w/o Shower - $3.00 = Whirlpool - $3.00 _7 Fixtures - $1.50 Kitchen Sink - $3.00 Gas Piping Outlets - $1.50 -Urinal/Bidet ; -Softener - $5.00 COMM./IND. It?,TE - OF T BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: -?r '- for Approved Inspections: Date Rough Insp. Date Final Insp. . • PE14MIT #0ci- CITY OF EAGAN FEE PLUMBING PERMIT ?- RECEIPT # 454-8100 S/C ? MINIMUM RHSIDENTIAL FEE - $10.00 + $.50 TOTAL DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res ? Comm Inst 2. New Add Alter 3. Total Bid Price ?,? ??- ? 4. Job Address Lot- Block 6. Contractor ?--?V-? (Name) 7. Contractor Phone # NO. FIXTURES ? Water Closet - $3.00 ?Bath Tubs - $3.00 =Lavatory - $3.00 Shower - $3.00 __LKitchen SinkJ 3.ap l IrinalJRirioA _ t-q tlh Signed: Approved NO. FIXTURES _Laundry Tray - $3.00 Floor Drains - $1.50 =Water Heater - $1.50 Whirlpool - $3.00 =Gas Piping Outlets - $1.50 -Softener - $5.00 Repair NO. FIXTURES -Well - $10.00 Private Disp Syst - $10.00 3Rough Openings w/o Fixtures - $1.50 (D'E PLUS =.50 STATE SURCHARGE FOR EACH S1,000 OF FEE. 1- for Inspections: Date Rough Insp. Date Final Insp. ? M . ? PERMIT # ? RECEIPT # ? U DATE CITY OF EAGAN PLUMBING PERMIT 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + S.SO MINIMUM COMMERCIAL FEE - $20.00 + $.50 FEE ' 6'7D s/c TOTAL 1. Bldg. Type: Res ?Comm Inst 2. New _Az-'Add Alter Repair 3. Total Bid Price 4. Job Address Lot ?L Block Sed 5. Owner 6. Contractor (Name) 7. Contractor Phone # (Stree? NO. FIXTURES NO. FIXTURES NO. FIXTURES ? s Water Closet - $3.00 Laundry Tray - $3.00 -Well - $10.00 TLavatory Bath Tubs - $3.00 ?Floor Drains - $1.50 _,Private Disp Syst - $1Q.00 - $3.00 ?Water Heater - $1.50 -Rough Openings w/o TShower - $3.00 Whirlpool - $3.00 Fixtures - $1.50 ZKitchen Sink - $3.00 =Gas Piping Outlets - $1.50 -Urinal/Bide 00 -Softener - $5.00 COMM./IT -1°l6 O?'?T ' PRICE PWS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: ??' / for Approved Inspections: Date Rough Insp. Date Final Insp. . . a . ?Si ' . . . ? . ? PERMIT #. CITY QF E/kGAN FEE PLUMBING PERMIT r?a RECEIPT # 454-8100 S/C MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL DATE `-? -?MINIMUM COMMERCIAL FEE - $20.00 + $•50 1. Bldg. Type: Res ?Comm G f? 3. Total Bid Price l 4. Lot -:?? Block Sec 6. Contractor C.-^'G (Name) 7. Contractor Phone # _ NO. FIXTURES ? Water Closet - $3.00 _7?13ath Tubs - $3.00 ?Lavatory - $3.00 :?Shower - $3.00 Kitchen Sinkf $3.00 Inst 2. New ? Add Alter Repair Job Address 5. Owner (Stree? (CiH) NO. FIXTURES ? Laundry Tray - $3.00 ? Floor Drains - $1.50 ./-Water Heater - $1.50 Whirlpool - $3.00 ?Gas Piping Outlets - $1.50 -Softener - $5.00 NO. FIXTURES -Well - $10.00 --,.-,Pfirate Disp Syst - $10.00 -Rough Openings w/o Fixtures - $1.50 $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAQ, EAGAN, MN 55122 Site Address Lot-? f Z m Name /j m Address ? ciry ? Name 3 Addre: 0 C'ty - PERMIT q ?Z RECEIPT # 7 7 // ? OATE: 51111 7 f ! - FEES COMM/IND FEE - 195 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES, RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.d0 MINIMUM - COMMlIND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOILOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whfrlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - i PER PERMIn % Softener - $5.00 `5- ? well - $10.00 Private disp. - $10.00 Rough Openings - $1.50 FEE 1. STATE S/C: .? GRAND TOTAL: INSPECTION RECORD ,r-GITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ., , (651) 681-4675 SITE ADDRESS: r . N . : 10 1 fiO I `' - `` 4 0 " APPLICANT: Lo1-: !.A fSictr,r 1'r?At'flr?A rd ;! i PERMIT SUBTYPE: TYPE OF WORK: 14H i 1 1 INSPECTION i N' DATE INSPTR. INSPECTION TYPE DA I .e1re? ? F -1 I Permk Holder Date Telephone # SEWERI WATER PLUM8ING HVAC Inspection Dats Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FiNAL HTQ ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCrmrv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL ITY OF EAGAN WATER SERVICE PERMIT F'rc?t Knob Road 7387 a. Box z„0s PERMIT NO.: . agen, MN 55121 DATE: 4-2c? -fi? np: ? No. of Units: 61- -1'e-. rutger .ompany r: - - I Addrma: 3._ Evergreen rrivE ',. .? +?1. ? ??: Plumber: Ge,1z-Ryan Meter No.: -?-? o i j P l 15. p 31u: ? oc -- - ? - ^ Raoddr No.: ( ).1 /ti' c• -7 1642 rG1 E 1+NUtllr •011AUilRiVe 1 prw fo aw-pyr whb tM ? p?mno? Ordieemas. ` TotaL• _ Bv Dota Poid: Dwft of Insp.: ? Irap.: y ^ 7- Xr,, CITY OF EAGAN SEWER SERVECE PERMIT 3830 Pilot Knob Rosd P. 0. Box 21199 PERMIT Nd.: Eagan, MN 55112?1 DATE: Zoninp: No. of Units: Owner: /lddross: Site Address: Plumber: 1o'rw fo cenphr wUU /iw Ciyr of gysw Ordiwnaon. conneccron aeM.: A«ount Devosir: P•nnit Fee: 5urdhorpe: c•;;; , Misc. CFarges: Total: Dnta Pcid: By Date of Ir?sp.: CITY .f EAGAN WATER SERVICE^ PERMIT ?•9M P1ot Knob Road pERMIT NO.: P. o. Box 21199 - ?. - Eagan, MN 55121? DATE: _p eX " No. of Units: Zonlrq: ;?r C?er Cor:?p?nv pwner: Add?ass: ; , A B1 coac iman Hi? sn s Sita Address: 1 '=V?r„reen Cen? -Fpan Plumber. ?- er No.: (o 7 5-67 DGIVMu?b6' ' '" ou woriv ff%?° 15 . U p iu: „ J. 0 p r No.: d N Pam+it F P Tp Misc. CF+aroes: Total: 63 . S1')pd niet "r oY . Date Paid: pote of I nsp.: f- 7 ' -! - ?Y CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road pERµlT NO.• P. O. Box 21189 • Eagan, MN 55121 D^TE: Zaninp: _ 71 No. of Units: _ - pwnsr: . Address: Site Addresx: ' - ' Plumber. 1 yrN h emplfi'wM6 !Iw CIlr of Eyew Connect(an Ghorypa: Oeiiweas. Aarount Deposit: ; - Pertnk Fee: - - Surrharps: . By Misc. CFtonOes: . Dote of Irup.: Totol: Inap.: Dote Pafd: , )F EAGAN Owrer. /1ddress ilot Knob Road -------- ?-----7389 ----^- ok 21199 PERMIT N4.: MN 551 ??, D^TE: `? " ? -p et No. of Units: :rut€;er „ornpan, : ' 1772 S?? ???. .verorepn _ r ve R ,oac man fi o an ; Plumber: Metar No.: 3 ? 7 ? 5i2Q; '? ac x Reader No.: 0 / Al / 1 M.w ft eanatp wh6 CITY OF EAGAN WATER SERVICE PERMIT 3''30:'°'bt Knob Rosd P. O. 6ox 21199 F'ERMIT NO.: _., Eagan, MN 55121? DATE: u r,-?? e:Y No. of Units: Brutfier .ompany .,...,o.: Address: - -?; rvergreen Jr ,oac n iQ? a? r> Site Address: f:enz-?.va?? P1uxr+ber. Meter No.: I„p , Size: </99,42 c M , _ , , " "Pririi«• [C[v??+?0?•? . n i ..... to Owlvrr wuh the c*K4" I Rbghc" J- l. . .,., k.? Misc. Gw?qes: ? p OdIM Total: .. ?? ?`' Dote Pold: Dore of I??sp•. I^sp.: J -7'4r&z r?Pr Compa'n'.r Address: 3222 Sv?rzr;,PT, ,•?i?F. ?_,•i? ?1 (;asLh:nan .i; k:.`?' ? • E? ? ? I ym f0 a0111i* Wilobthe City Of g040i Gd1?'f4Gtld1 QIOrge: OrdiMwas. Acoount Deposit: Plmlit Fel: SUfCh0/'Q0: - - ;; . } _--? - By Misc. Charflss: Date of Irrsp.: Total: CITY OF EAGAN SEWER SERVKE PERMIT 3830 Pilot Knob Road p??T NO.: P. O. Sox 21199 . Eagan, MN 55121 DATE: - Zoninp: F3 No. of Units: Own0r: ti,-uig@X` Address: Site AMrass: Plumber: I ym t0 oomwly M!bb dw C7 of 5000A "Nwoa. By Dote of Insp.: CAf1f10CtiOT1 Q1CIg0: 4 7 5 • W eC M,couM Deposit: Permit Foe: Surohorne: mIfC. a10fQei: - Totoi: DoN Paid: x• ;. CITY OF EAGAN SEWER SERVICE PERMIT ' 3830 Pilot iCnob Road p???T NO.: ' P. O. Box 21199 _ Eagan, MN 55721 DATE: Zanino: - ='w No. of Unlts: ?: .- OF EAGAN Pilot Knob Raad ISOSC 21199 m, MN 55121 WATER SERVICE PERMIT , .r.,. PERMIT NQ.: DATE: ? No, of unirs: CIT't ur ciaGAN WATER SERVICE PERMfT 3830 Pilot Kno6 Road P. O. Box 21199 • ' PEKMIT NO.: Eagan, MN 55121 DATE: ' '- Zaninp: F-1 No, of Units: r , Owror, rsrutper Company _ r .,MFUM Sits /lddress. 3:24 '•rverKreen ^T i,?rc :;oachmrur r?'s No.. R?ad?r Na.: Ui iv t, 2 i i ) 1 NrN Fo oanply wh6 tM Cihr On/IN?ar. TY OF EAGAN 30 Pilot Kno6 Road 0. Box 21199 igan, MN 55121 minp: r va;: r .. to 40901114Y vAlb H» Cihr ef 10920 Imp.: SEWER SERVICE PERMIT Coi,nectton Q?osye: ACCquM bepoait: _ Parmit Fm: Surcharye: Misc. d+orpea: - Totol: Qoh Paid: Iteoder No.: 4? ?7?? ??PHl1N? #???y';. r?.?c r? io. oar . I .er.. b oomvh? ??. ckrRMUIR? . ? 50 nn. 156 ?ct ,,l O??M110M. , . TotoL• ?i J. nt' Pofd: , Date of Insp.: Imp.: .? SEWER SERVICE PERMII' ,b Road C gg PERMIT NO.: ? `''ep nl+? 55121 G1/1TE: p Zoninp; - No. of Units: - 4 wner: Addrcss: - 5tte Addrou: 1? 2 Plumber: fi-2 :1 _ I ..m w oa..h? .vNh tiw eH, of E.go. conneceion aarge: OrdiMeeaa Nccourrt Deposit: Ponnit Fes: 5urcharpe: g MtK. Choroes: y Date of Irnp.: Tatal: InN ' Dot! Paid7 -6 - ? IF6 CITY OF EAGAN emarks R Addition ' COACMM HIGHUUMS Lot SS Blk 1 Parcel 10-18075-550-01 owner Street 3218 EVBRGREEN DRIVE scace BAGJIN MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. A STREET RESTOR, p iI p GRADING 1007 1986 354.14 35.41 10 ,/5l [j- /6-l5- SAN SEW TRUNK p ' SEWER LATERAL 1094 if • WATERMAIN 1972 p WATER LATERAL HM H t1 tt * WATER AREA 1072 t It 1/ STORM SEW TRK 1975 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition ' CQA(HMAN HIGHLANDS Lot 56 Blk 1 Parcel 10-I8075-560-01 Owner streec 3220 LVERGRBBN DRIVE state BAGAN IrQ+I 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. p id 1 10 2750 1- 3 STREET RESTOR. 1974 ?t tf to GRADING 1007 1986 354.14 35.41 10 Ao-/S- 8? SAN SEW TRUNK 1968 Paid und r rcel 10 2750 020-03 SEWER LATERAL 1984 * WATERMAIN ) 1972 Paid undo yr ¢ei 10 275 010-03 WATER LATERAL 1975 to to • WATER AREA 1972 It if WATBR LATFRAL 1975 r' 'o i' STORM SEW TRK 1975 n 1? 11 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILDING PER. SAC PARK I CITY OF EAGAN Remarks bI V•g I 1 f L I Addition '`+OAf+MAN HIQHLANDS Lot 57 Blk 1 Parcel 10-18075-570-01 owner streec 3222 EYERGREEN BRIYE State EAGAN MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. l ]S Paid und r rcal 10 2750 -DiQ-03 STREET RESTaR. 1974 if if GRADING 1007 1986 354.14 35.41 10 S, c - /00-/3 l0 - - S SAN SEW TRUNK 1968 , pa;d und cei 10 2750 DiQ-01 SEWER LATERAL 1984 ?t eo rt * WATERMAIN ? 1972 Paid und r STCel 10 2750 -010-03 WATER LATERAL 1975 to to • WATER AREA 1972 of it WATER LATEM 1975 STORM SEW TRK 1975 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER COMN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks-?-L'Ij' '" i" i_ ? `(.) Y, -,, Addition CQII(HMIW HIGli1rANN6S Lot 58 slk ; Parcel 10-1$075-580-01 owner street-3224 $VBRGREEN DRIVE 5tate EAGAN MHri 55121 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, d 1975 Pafd und r rcel 10 2750 -010-03 STREET RESTOR. 1'5 1974 of of GRADING 1007 1986 354.14 35.41 10 saN sEw TRUNK 1968 Paid w?d Parcel 10 2750 -030-03 SEWER LATERAL 1984 11 n n f WATERMAIN 1972 Paid 111]d 8PC91 10 27rJ0 -01a03 WATER LATERAL Ac? 1975 It to * WATER AREA 1972 IMATER LATERAL 1975 STORM 5EW TRK 1975 STORM SEW LAT CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks ? ' / • ' ? ?'i. !-' Addition - COACfMAN HIGHLANDS Lot 59 slk 1 Parcel 10-18075-590-01 Owner screec 3226 EYER6'RBIIV DRIVE state BA?('?AN MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ?d 197$ Pgid U ! aTCA1 lO Z7SQ -OlO-OS STREET RESTOR. $ 1974 " 11 It GRADING 1007 1986 354.14 35.41 10 ,3,5y ry 0 - -? SAN SEW TRUNK 1968 P8i(1 uQld r PCle 10 Z7rJ0 -010-03 SEWER LATERAL 1984 f WATERMAIN ? 1972 Paid und r rcel 10 275 -010-03 WATER LATERAL 1975 Ir fitl u * WATER AREA ?? tr rt S fl 11 If STORM SEW TRK 1975 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILDING PEFi. SAC PARK CITY OF EAGAN Remarks ` i? ?• i I'711 2 ' AdditionGOAr+MN HIGtQ.ANDS Lot Sa A 1 owner street 3216 EVCRGRBEN DRIVE EAGAN MN 55121 ' Improvement De Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. a ?? to p GRADING 1007 354.14 35.41 10 3-54,14 Qy/U 10-15-J5 ; SAN SEW TRUNK pA d ur?d r parcel 10 7500 0?.0-03 SEWER LATERAL 1994 ?? 1f WATERMAIN Paid und r eel 1 750 010-03 WATER LATERAL 1 H ir t? • WATER AREA 1972 ?t tt t? , a 197 STORM SEW TRK ? 58 , 1 75 1? H 1t STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN N 0- 11837 fplL 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT Receiptn ? Tobeueedbr 1 OF 6 PLEX est.Value $77.000 Date APRIL 22 ?y 86 SiteAd s 3216 EVERGREEN DR Erect C? R3 occupancy Block 1 Sec/Sub. COACHMAN HIGHLA??del Lot 54 ? R4 Zoning Parcel No Repair ? Type of Const V . Addition ? No. Stories Z g Name BRUTGER COMPANIES INC n4ove ? _ Length 24: ? z 3 i Address 1 SUNWOOD DR. ? P.O. BOX 399 Demolish ? ? Depth?r F ° cityST CLOUPhone 612/252-6262 Int. ImPr Install ? Sq. t. o Name SAMF ? ¢ Address ? City Phone ` Name BLUMENTALS ARCHITECTS F W s? Address 6100 SUMMIT DR NO aw rih,BROOKLYBih„CCR 571-5550 ' Iherebyacknowledgethatihaveread icati? ? information is correct and a r o with all ' Minnesota Statutes and Col O in c. - Signature of Permitte ABuilding Permit is issued to: - all work shall be done in accordance Building Official BRUTGER Assessment . Water & Sew Police - Fire Eng. Planner Council BIdg.Off.4 22 86 Var. Date INC ? Fees Permit '' ?"? . "" I Surcharge 38.50 Plan Review 182 . 00 SAC 575.00 Water Conn. 500.00 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies 2 169 . 00 Total , on the ezpress condition that and Ciry of Eagan Oidinances. CITY OF EAGAN N 0 117 7 9 3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121 PHONE: 454-8100 BUILDING*PERMIT Receiptp ? Tobeusedfor FOUNDATION EstValue Date APRIL 14 86 19 3216-3226 EVERGREEN DR Site Address Erect ? Occupancy Lot 54-S9ock 1 Sec/Sub. COACHMAN HIGHL ?NVigel ? 2oning Parcel No Repair ? Type of Const . Addition ? Na. Stories ? BRUTGER COMPANIES Neme Move ? Length i 1 SUNWOOD DR., BOX 399 7 ; Addre Demolish 0 Depth ss ° Ci?, ST CLOt?j 252-6262 Int.lmpr. ? ? S FL 9. one Ins?ll o Name SAME Approvals Feee a $15.00 Address $ Assessment Permit m ? Ciry Phone Water R Sew. Surcharge UQ Police Plan Review w W Name P i Fire SAC za Address Eng. Water Conn. `a 6 Ciry Phone Planner Water Meter Council Road Unit Iherebyacknowledgethatlhaver ac ' applicaionan?tat atthe Bldg.Off. 4 /14/86 Tr.PI. information is correct and agre mply with 11 app c e te of Minnesota Statutes and Ci n Ordin c APC Parks Var. Date Copies? SignatureofPerminee Total '?17?OO BRUTGER COMPANIES A BuildingPermit is issued to: Ci? on the express condition that all.work shall be done in accordance with all applicable Stat f Minn ota 5 a 'ty of Eagan Ordinances. Building Otticial CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Assessment water & Sew. Police Fire Eng. Planner Council 6 BIdg.Off. 4 2278 Re( ceipt # 7obeuaedtor 1 OF 6 PLEX Est.value $75,000 Date APRIL 22 ,1986 SiteAddress 3218 EVERGREEN DR Erect IN Occupancy R3 Lot 55 Block 1 Sec/Sub. COACHMAN HIGHL AdMel O Zonin9 R4 Parcel No Repair ? Type of Conffi. V . Addition ? No. Stories 2 a BRUTGER COMPANIES INC Move ? Length-21_ Name ? SUNWOOD DR., P.O. BOX 1)emolish ? Depth -?? o Address ST cit CLOC? 612/252-6262 Inl Impr. ? ? Sq. Ft y one Instau a SAME Name 0 u i Address a ? City Phone Ww Name BLUMENTALS ARCHITECTS INC l? Address 6100 SUMMIT DR NO `W Ciry BROOKLlfNorQTR 571-5550 Iherebyacknowledgetha#1averea plicatii information is correct anly with all Minnesota Statutes and rdinance 'Signature of Permitte 49RUT( A Building Permit is issu d to: all work shall be done in accordance with all 6uilding ONicial N2 11838 6,17 ?'? Permi 358.00 Surcharge 37.50 Plan Review 179.00 SAC 575.00 Water Conn. 500 . 00 Water Meter 63.50 Aoad Unit 290.00 Tr. PI. 156 . 00 Var.Date I Copies?00 Total 'INC of and -on the express condition that Ea9an Ordinances. „ CITY OF EAGAN NO 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ?i/ 7 3 ? BUILDING PERMIT ` p Receiptq Tobeusedfor 1 OF 6 PLEX Est.Value $62,000 Date APRIL 22 11839 986 SiteAddress 3220 EVERGREEN DR Erect 121 Occupancy R3 Lot 56 elock 1 Sec/Sub. COACHMAN HIGHLANiDrOdel ? Zoning R4 Parcel No Repair ? Type of Const ir - . Addition ? No. Staries ? Name BRUTGER COMPANIES INC Move ? Length-rr_ z o Addr 1 SUNWOOD DR., P.O. BOX 399 Demolish ? Int lm r ? Depth FL?2 S St Cit . p . CIOUa -6262 612/252 Ph ? q. y one Insfall o Name SAM Approvala Fces $Q Address Assessment Permit $ 319.00 ? City Phone Water & Sew. Surcharge 31 . 00 159 50 ?W W W f V? :w a BLUMENTALS ARCHITECTS INC Police Name Fire _ ,,,,,,.,,_„ 6100 SUMMIT DR NO _ BROOKL Ihereby acknowledge that I have information is correct and agrSp Minnesota StaWtes and Cip,461F Signature ot ? BRUTGER A Building Permit is issued to: all work shall be done in accordance with?4-qpp State of Planner S',auncii Bida.Orr. 4/22/86 NC Date Plan Rewew ' 00 575 SAC . Water Conn. 500.00 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156 . 00 Copies Total $2.094.00 on the express condition that and Ciry of Eagan Ordinances. Building Oflicial y _ 3830 Pllol Knob R di P.O. Box 2G-n1 9, Eagan, MN 55121 N;' ? 840 PHONE: 454-8100 BUILDING PERMIT Receiptx ?7 Tobeusedtor 1 OF 6 PLEX Est.Value $62•000 Date APRIL 22 19 86 SiteAddress 3222 EVERGREEN DR Erect E7 Occupancy R3 Lot 57 Block 1 Sec/Sub. COACHMAN HIGHLAIBDSdel ? Zoning R4 ParCel No Repair O Type of Const. IT . Addition ? No. Stories 2 a BRUTGER COMPANIES INC nnove ? Lengtn-?7- ? Name SUNWOOD DR., P.O. BO Demolish ? Depih -?? o Addres Int.lmpr. ? Sq.Ft City ST CLORne 612/252 -6262 Install ? i I Name SAME ? a I Address '' CiN Phone FwlName BLUMENTALS ARCHITECTS INC a Address 6100 SUMMIT DR NO a W Cirv BROOKLY?aQTR 571-5550 Ihere6yacknowledgethatlhaveread pplicatii information is correct and agree to ly with all Minnesota Statutes and rtlinanc Signature of Permitte A Building Permit is issued to: t3KUTuk aIP work shall 6e done in accordance with all Builtling OHicial INC Assessment water & Sew. Police Fire Eng. Planner @ouncil BIdg.Off.4/22/86 Permit " '-" "" 31.00 Surcharge Plan Review 159.50 SAC 575.00 Water Conn. 500.00 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156 . 00 Copies--,-.0 0 Total on the express canditian that City o(,Eagan Ordinances. • CASH RECEIPT • CITY OF EAGAN _ 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 Itf DATE AMO Grv co ' pM ?r ?o S - -------------- oG -7o ?. U . ?y > Thank You ??- . '3"?3 f?_ 61978 B" ? ` White-Payers Copy Yeilow-Posting CoPY Pink-File Copy ? CITY OF EAGAN (y 0 118 41 3530 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-8700 ` BUILDING PERMIT rteceiptp Tobeusedfor 1 OF 6 PLEX Est Value $75,000 Date APRIL 22 1986 SiteAddress 3224 EVERGREEN DR Erect L? Occupancy R3 Lot 58 Blockl Sec/Sub. COACHMAN HIG HLAI@H&del Parcel No. Repair Addition ? Name BRUTGER COMPANIES Move 3 1 SUNWOOD DR. , P.O. SOX 399 Demolish ? Address ST CLOCP 612/252-6262 mpr. ?ity o.e Insta O Name_ $p Address f (iN e i u W Phone ? Zoning R4 ? Type of Const V ? No. Stories ? Length -?r ? Depth ? sq. Ft. 32 ? Assessment_ Water & Sew. Police _ Name R. 1M .NTAT. R HIT T TN Fire Address 6100 SIiMMTT DR Eng. Iherebyacknowledgethatlhave information is correct and a9r Minnesota Statutes and Cdly'9f'E $i9nature ot with ABuildingPermitisissuedta: BRUTGER COMPANIES all work shall be done in accordance with all/ li / le State of M r Building Official ?-? Planner 7 Council of BIdg.Of Fees Permit $ 358.00 Surcharge 37.50 Pian Review 179.00 SAC 575.00 Water Conn. 5 0 0. 0 0 watertvieter 63.50 RoadUnit 290.00 Tr. PI. 156.00 APC I Parks Var. Date Copie rotal 2. 15 9. 0 0 on ihe express condition that ? Statutes and Ciry oi Eagan Ordinances. CITY OF EAGAN N 0 118 4 2 ' • 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 BUI PHONE: 454-8100 Receipt# 61417 '?DING`PERMIT '7abeusedfor 1 OF 6 PLEX Est.Value $77•000 Date APRIL 22 1Q86 SiteAddress 3226 EVERGREEN DR Erect ? Occupancy R3 Lot-.59 8bck 1_Sec/Sub. COACHMAN HIGHLANIDSodel ? Zoning R4 Parcel No. Repair ? Type of Const. V Addition ? No. Storie5 ? Name BRUTGER COMPANIES INC Move ? Length_2r ; Address 1 SUNWOOD DR., P.O. BOX 399 Demolish ? Depth--JInt. r 0. ci?, ST CLOUAone 612/252-6262 InstallPr. ?? Sq.Ft o Name SP'ME i 0, Q Address `- City Phone G=INa 'me BLUMENTALS ARCHITECTS _W ¢i Address 6100 SUMMIT DR NO a W City BROOKLYAaFTR 571-5550 ' Iherebyacknowledgethatlhave ! intormation is correct and agree ;Minneso[a Statutes and Ciry,dfiE Signature of A 8uilding Permit is issued to: all.work shall be done in accordance with all Building Official of Assessment _ Water 8 Sew. Police Fire Eng. Planner- Council plicati ands eth ?BIdg.Off. 4/22/86 with a [? of BRUTGER INC Date Fees Permit $ 364.00 Surcharge 38.50 Plan Review 182 . 00 SAC 575.00 Water Conn. 500.00 water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156.00 Copies--s,- '. 0 0 Total on the express condition that Ciry of Eagan Ordinances. ? CITY OF EAGAN N2 9 g 105 • 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 B G PHONE:454-8100 ' ? I ? ?-1 2 UILDIN PERMIT Receipt # -- To be used for BASEMENT FINISH Est. Value $1, 500 Date Mt1Y 22 , 19 91 Site Address 3222 EVERGREEN DR Lot 57 Block 1 SeG5uhCOACHMAN HIGHLAND OFFICE USE ONLY P8fC8l NO. Occupancy - FEES Zoning _ w Name STEVEN K SWENSEN (ACiual) Const Bldg. Permi[ 35.00 3 Address 3222 EVERGREEN DR (Ailowable) _ _ 00 1 0 Surcharge . City EAGAN Phone 454-3987 M of Stories _ Plan Review Length _ o Name SAME Depih SAq Cit 8 - y 0 4 Address S.F. 7ma1 - , SAC, MCWCC ? City PhOY1B S.F. Footprints - Water Conn On Sile Sewage _ r Fw Name OnSileWell W t M t ?? AddreSS MWCCSystem - - er er a a ?z aW City Phone cuywater - AccL Deposit PRV Required - S/YY Permil 1 hereby acknowlege that 1 pve read this application and s[ate that the Boosler Pump - S/W Surcharge information is correct and ?ree lo c all applicable State of p Minnesola Statutes and City ¢ gan . &d c Trea7men t PI Signature o1 Pefmit60 APPflOVALS Road Unit A Buildinq Permit is issued to : STEVEN K SWENSEN Planner - park Ded. on the ezpress condition that all work shall be done in accordance with all Council 50 applicable State ol Minnesota StaWtes and C ity of Eagan Ordinances. Bmg. Oft _ Copies . BuildingOilicial ?? y ? u r???ull l Variance - TO7AL 36.50 REQUEST FOR ELECTRICAL'INSPECTION ee-ooooi_na ? •fp5 n ??q kq SAee instruetions for comolelin9 this inrm on back of Vellow capy. & '"X" Be/ow Work Covered by This Request o 0 Mw4 Kdd1 Peo.l Tvoe ot BuilCina 1 Aovliences Wired 1 Equipment Wired I eX I I Wdtef Air C otner w c 0 p Fee ServicaEntrenceSiza k Fee Feedars/Subfendars k Fee Circuits ? 0 to 200 qm s 0 to 30 Am s .UQ 0 to 30 Am s ove 200 qmpsi 31 io 700 qinps ? ,p(i 31 to 700 Am A imming Pool Above 100_Amps Above 100_Amps Transiormers rrigation Booms PartiaL'Other Fee Signs ?Special Inspection ?5?? ??._. ?? U4f(saector, ne.eev ?s ceriify that theabove te inspection has been repueat This request voitl / _ ? 78 monffis fmm ?? 9 M 0 9 6 3 23 LS -? 13 /On--,-4&l,O..,,At 5`7 - Remnesi Q.te `f Fire No. RouBh-in Insoecifon Re?uired? ' oFleady Nuw [g'R'ili No?ity, Insoeo 1or Wh F !( 0 9-1 es ?NO ¢n eatly D Licensed ElecVical ConVactor 1 hereby request inspactian of above Q Owner electrical work installed a[: - Street Address, Box or Route No. 222 ?-?t I?en DY?? ? C?tY ?d ecuon o. I Township N2me ? ' No. . Range No. Covnty??- y?]? T?,? alil.t ? V ' `-'I Occupxnt IPFINTI Ccociiiman 10110l5 Phone No. Paw r 3upDl- r Address . ? f. /117 E. ect ical ConVactor ICom amel C CunhacYn 's License No. ailinB ddress (ConVacto or Owne f ak!ing Instat{i9^ /L Ul. Uf /? U /?//, Au h n na r IC ntrac Ow r ak' is allation) Ph e Numbo???? MINNESOTA STATE BOAflD OF ELECTflIGITV? THIS INSPECTION REQVEST WILL NOT Griggs-Midwey Bldg. - Room N-791 gE ACCEPTED eY THE STATE BOAPD 1821 Univeniry Ave., SL Paul, MN 65104 UNLESS PflOPER INSPEC710N FEE IS Phone 16121297-2111 ENCLOSED. ee REQUEST FOR EIECTRICAL INSPECTION „ -ooom-cu w ? Sae ins<ructions (or completing this fwm on back of yellow wpy. o 096325 "X'* Below Work Covered by This Request AAd Bap. Type ot 8uiltlin9 Applipnces Wired EQUiument Wired Bulk Milk M iea SarviceEntrenceSize p Fee Fanders/Subieedere N Fen Circaits Z? (1 to 200 Am s 0t0 30 qm s 0 to 30 Am s Above 200 qmps 31 to 700 Amps p 31 to 100 An s Swimming Pool Above 700-Am s A6ove 100_Am s Trensiormers hrigation Booms Pertia6'Other Fee Signs Speciallnspec[ion r/Z/? flemarks J224 $/•N TOTAL `G7 I, the ElecITFCSf ?OSDacbq hereby cerlily thet ihe above insDection hes Dae. C /.SS/ 8' m 8444 ?-?°° RByuasi Date r Frte Na. Rouqh-in In9pacli6n Recuired? ? ? ReaCY Now I ?or R Wh ? Vas C No en eeM f 1,0 licensed contrac[or owner hereby request inspection of above electricat work at: bE Atltlress (Street, Boz or ftoute N0.) Ciry $ection No. Township Nama or No. Range No. Couny{?(? l? ? `?fIV?V 1 ' Y Occupdnt (PAINT) Phoria No. PowerSapplier ?, ` p 1v:y 1 Atltlress ElBttmal Cpnh3Ctor (COmpdny Name) CAnh8tIM4 LiCBflae NO. ' MBiling AWress (COntrector or Ownar Making Iretatlation) Aullwnze0 SgnaWre (ConV ner ry'n tallatlon) Phorw Number ?sy ,7- MINNESOTR STRTE BOppD OF ELECTRICITY TMIS INSPECTION REOUEST WILL NOT Grlypii-MWway BWp. - Hoom S173 - BE NCCEPTED BY THE STATE BOARD 1871 UnHnNty Ave., SI. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS Vlana (812) W24800 ENCLOSED. s/?ofgi a_38444 REQUEST FOR ELECTRICAL INSPECTION ?$ea instmqions tor completing 1hi5 form on beck of yellaw copy. 'X" Balaw Work Covered by This Request nEa.OODO,-06 Add Rep. TypeolBuilding AppllancesWired EquipmentWired Home Range Temporary Service Duplex Water Hearer Electric Heatinq ' Apt Building Dryer Other (Speciy) Comm.llntlustrial ' Fumace ?' JjC V.l j ?.J Fafm Air Conditioner Olher ?specj(y)u? CpnVactwk Remerks: ?wh?ra Compute Mspection Fee Below: N Other Fee # ServiceEntrenceSize Fee # Circui15/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps ve Amps Slgns Inspeclor§ use onry: O? TOTAL Z-0 Irrigation Booms X' p?Q Special InSpection Alarm/COmmunication THIS INSTALLATION MAY BE ORD DISCONNECTED If NOT Other Fee COMPLETED WITHIN 18 M 7915. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in OFFlCE IISE UNIY This requegl wi0 18 months hom Yhis requesl voitl 8 nwnths (rom DO.-O 9 6 3 2 2 ?---5 (c rS Hequest Daie Fire No, qouph-in InsVection ` 1 ? ? ^ ? ? 1 f /? (?? Re,yeSd? ?NO I I ?Reatly Now ?ill NotitY. Insoec- J C' ??OrO r? ? tor When Ready ? Licensed Elecvical Convactor . I hereby reqaest inspection of ebove Q Owner elecVical work instelletl et Street Atldress, eox or floute No. . Ci[y 2 Yi i'? F/anan ecbon o. ? Township Name r No, qange No. ' C ounty rl'q KaRA O cupnnt (PflINT) ndinhMdn i h lunds Phone No. o er Su lier J Address ?{,? [/J /J(' i / % //• lect 'cal Contractor (COmpany N me) icensa No. Cnntracmr's L l C a?linB ress IConvaclor or Owner MakinA 1?s ailationl ? U7 ti ? ° r EQS/ '/ L ' f . Au[h z d Sugnature IC nnact Ownor Making Installationl I Ph e?ber __? L,J MINNESOTA STATE BOAXD OF ELECTXICITY ? THIS INSPECTION REQUEST WILL NOT Grie9%-Mitlwav aldg. - Noom N-187 BE ACCEPTED BV TME STqTE BOARD 1827 University Ave., St Paul. MN 65100 UNLESS PPOPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. jD ?, REQUEST FOR ELECTRICAL INSPECTION 9 ? 3 2?See instrwtions lor comDlalin9 Mis /orm Sn back o/ ? Ilow copy. ""X" Below Work Covered b? This Re uest es-ooooi:oa - vew? AAd Rep. Tvoe of Buildina Aooliunces Wired Equ ? iV.,en[ Wired 1 xtures ce I I I I lndustrial Bld9. 'I I Air Conditioner I I Bulk Milk Tank I N Fea Service EnbenceSize fl Fae Feetlers/5ubfeeders N Fee Circuits 0 to200Ams 0 to30Ams •? 0 to30Ams A6ove 200 qm)y 31 to 700 Amps (/ 31 to 700 qm s Swimming Pool Above 100_Amps Abave 700_P.mps Transiormer5 Irrigation f3oorris Partial-'Other Fee Signs Speciallnspection ,. _ . . _ $d'1 CA TOTAL f i, ma Eieclrrai herebY ce,tily ihet the above Final ?. g[/,?te inspection has been metle. This repuest wid/ON/ '1 ? \-_ 55 ? ??1 G, „'ONO.,.. y[]lteaAY Now Mi I f ec WhenBeady r I J!?Licensed Elec[ncal Conhacfor 1 hereby repues[ insi tion of above [A Owner electriral work imialled at: Street Addrass, Box or RouM No. ? CitV '3 2 14S ?v?RGR??N ,tJR ira G/+r/ ct?on Toxmship Name or No. 1 11.inge No. Coonly `Occupant (RtINT) Phore No. ?_RurGGrZ os ?g?-G?-Gv Fower Supplier Atldreu Electrical Comractor ICompany Namel Con:ractofs License No. L'HLo?iJ&R Mailinp AdJ,rss (COntracror or Owner Makirg Iasrailation) 2-g;?? ??fJdi ?IZ A;go 'T ?OC//? , hG3o? AuM Sig mre IConva ar oer king i?e:talla onl PM1One Ninriber J . 6 17 ' ?' !J 3 YINpESOTA S7p7E gpppp OP EIECTIIICITY TMIS INSPECTION pEQUEST WILL NOT Griqqs-Yidwey 91dg. - Rooni N-191 BE ACCEPTEO BV THE STAIE 80ARD 7827 Universiry Ave., St. Paul, YN 55101 UMlESS PROPER INSPEGTION FEE IS Wnna (6121 297-2111 ENCLOSED. ?GI?`I I S? fiEQUEST FOR ELECTRICAL INSPECTION EB'°°°°i'°° 036214 , See iBtruclims fa completin9 this fam an baek oi yallovr caOY. ?, 7 LI f? "%" Below Work Covered by This Request Gw4Addl Rep. TrPe oi euileiw AooIWnces iimd Epuiament Wired Silo Unloader &dk Milk Tank M Fee ServiceErrtra?eSize # Fae Faetlers/Sv4feeders k Fee Circuits 0 to 200 Amps 0 to 30 Affg:is 0 tn 30 Am 5 Above 200 Ampn 31 to 700 Amps 31 to 100 Am - Swimmin Pool Above 100_I1mps Above 100_Amps Transio,mers Irtigation Booirtc Partial.'Other Fee L-L- - -JSigis I I 'Specialinspection ?S?61m?TOTAL Ne?mrks fn the Elecvupdj ILpecbr, heireby ca"iTr that the above inspection has been made. "This request void /^ - 1C ?3 ??? 18? d-9 6 3 21 L 5`c:? C') N,???? ? '-l -7- =fleq st Daie Fire No. Pough-in InsDection ? Repuired? ?Reatly Nuw [?Will Notify. InSPec- ?or Wh R d _ ElYes ?NO en ea y C) Licensed Elechical Contrac[or I hereby requast inepection of above - ? Owner electrical work installed eL S[reet Atldress, Bon or Rouie No. / N Ci(1y? Vpr illecii L ( U ' 1 V V ecbon o. Township N e or No. ftanpe No. C unly l.n O uoHnll INTI pill 1/1 Phone No. Power $up lier Address n * ? N 1 ' E ect ical Convacto, Comoany Name) C ?? • Contr mr's License No. Mailing 4fldre.s or Owner MakinB Instailationl I ?y A horized Sienature (CoMr ctor Ow r akinB Ins[allation) Phone Number _2513 MINNESOTA STqTE BOARD OF ELECTRICITY Q THIS IIVSPEGTION PEQVEST WIIL NOT Griggs•MidwaV Bltlg. - Noom N•181 BE ACCEPTED BV THE STATE BOARD 1821 Univereity Ava., Si. Paul, MN 66104 UfVLESS PNOPEP INSPECTION FEE IS Phone 1812) 297.2711 ENCLOSED. ' CI ? REQUEST FON ELECTRICAL INSPECTION EB-o°°°':°° ? S ee instrvctions for rompleting this form on 6aek ot yellow copV "X" Below Work Covered by This Request -?a ? 34 hkne HAd BeO. TvGa ot euilding AOPliances WireA Equipment Wired Home Range Temporary Service Duplex Water Heater Ligh[ing Fixtures Apt. Buildinc? Dryer Electric Heatin Commercial Bldg, Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tdnk F8frt1 Othe, Pem Y ther (5por,ify) t er SuoOfy Ot er Other Qomuute lnspection Fee Be/ow # Fee ServiceEntrance5iza # Fee eders # Fee Cirtuita 0 to 200 qmps O• 0 tn 30 Am Above 200 Am psl ps 31 to 100 A s Swinmin Pool Amps =00- Above 100_AmVs Transiormers ms Partial!Other Fee Signs ction S ?Jo TOTAL Remarks' ?I {-? IICII?L e -/ IG/Q / `7 (? flouBh-in inal 17 p i Daie lha E cvic Inspector, eby cerlity tAai The above insoection has been TOia request voia 18 monihs irom This requast void / q ( /! -:' 18 monlhs fmm .fq. narzign ? ?3?s '_:? y 7 - 1/f Q? flepwred? ?Reatly Now [LNVill Nolity InsPec- ?p ??ro ?Yes ?No torWhenReadY ? Lfcensed Elec[rical ConVactor I hereby requeat insDection ot above . . ? Owner • electrical work inetalled aL Sveet Address, Box or Poute No. - ?-?.t? reeh Dri re CitV E4 ?? ecvon o. 7owrehip?Name or No. Range No. County&o Z3oant IPPINilymn m Phone Ne. Po r Su9?lier s..J " AAdress le rical Contractor ICOmO ny ame) t?o C mVacfor's License No. Mailin ddress onlrac[or or wnar Makinp InstailatioN ih ??/? ? ` f>. SS3S? Author-.e Siqnature C nhactor wner aking Imtallationl Phonmber ??? .? z MINNESOTA STATE BOARD OF ELECTNICITV THIS INSPECTION NEQUEST WILL NOT Grig9s-Mitlwey Bldg. - Noom N-191 BE AGCEPTED BV THE STAiE 9pAflD 1821 Univareicy Ave.. St. Paul, MN 56104 UNLESS PROPER INSPECTION FEE IS Phona Ie12) 297-2117 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION #Vk ea-ooooi w ' See inatroc[ions tor completing this form on Deck o1 yellow copy. ? -0.9-E 3 ? n - 'X" Be/ow Work Coverea' by This Request ? New Add Rep. Type af Building Applinnees Wired Equipmen[ Wired Ho1he Range Temporary Service Duplex Water Heater Lightin Fixtures Apt. Building Dryer Electrlc He2tin Commercial Bldg. Furnace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk-Tank Farm Olhxr oeci v tl1er ISl?acitvl t er uecliy Ot er Other otnpute lnspectlon fee Below k - Fee ServiceEntrenceSize tr Fae Feedens/SUbfeeders # Fan + Circwts t 1 12. 0 to 200 qm s 0 to 30 qm s ?V.OU 0 to 30 Am s Above 200 qmps? 31 to 100 Amps / ;QU 31 to 700 Am Swimming Pool Above 100_Am 5 Above 100_Amps Transiormers Irrigation Boorr?s Partial.'Other Fee Signs Special Inspection g/j7 C/1 TOT - Re?.k= # T 7Ci E p0 3z l b n i t L-? 7' flough-in ( Final ' r 0 [e '7 ??'( ?j????/1 ??, V t Ele - Inspector, heraby cnrtify that the abova inspection has eean mpde. This repuesl VoiC 18 maniM fmm ,rnis ?aa.est „oia C-1 096324 Ls? 6 C,- 3??-a- ;? ? Ci7 - fle uest Date ' f ?? e Fire No. Rough- inInspection Repu'retl? ?Ready Now Cn-VVilI Nntity Inspec- lor Wh H _ j ?kes ?Nn en eatly 0 Licensetl Electrical ConVactor . I hereby request ins0ection ot above ? Owner electrical work inslalled et: Slreet Atldrass, Box or Rwte No. Dri re City z24 rcc,n . q ecuon , Township Name or o. Range No. rt Cnutl 1 ? ? ? \? Q /?.i? Or, upanc (PpINT) p wrhman / ry VI dd Phone No. Power Supp ier Atldress ^1 c.! ?r EI ct'cal o a Co pany am I ConVncmr's License No. V / ailinB dre?COntra tor or Qa+ne Making Inst I tionl ? uthon Sig a e(CO hact O ner akin ,Instnllationl Phon6/0 e Number W MINNESOTA STATE BOARD OF ELECTPICITY U THIS INSPECTION REQUEST WILL NOT Griggs-Midwev Bltle. - Aoom N•191 BE ACCEPTED BV THE STATE BOAND 1821 Vniversitv Ave., St. Paul, MN 55104 UNLESS PflOPEX INSPECTION FEE IS Phone 16721 297-2111 ENCLOSED. / REQUEST FOR ELECTRICAL INSPECTION ? ee-ooooi.oa ? '?,p5 n r? ? t QA q / See instrvecions for eomoletinB this form on beek of Yellow copv. _ "'R" 8elow Work Covered by 7his Request MawlAtltll Aeu.l Tvoe of Builtlina . 1 Aooliantes Wired 1 Equioment Wired ? Heater al ic :tt Fae ServiceEntraneeSize # Fee Feaders/6u1ofeetlars k: Fee Circuits 12. U to 200 qm s 0 to 30 qm s 0 to 30 Am s A6ove 200 qmps 31 to 100 qmps 1 ,5,00 31 to 700 A y Swimnin Pool Above 700-Am s Above 100_AmUs Transformers Irrigation Booms Partial-'Other fee Sfgns SVecial Inspec[ion e/1 / CU TOTAL ? Remarks l J I I?I11I L^-/ /!/f^#322p T l.J -ff7 ° J Xough-1n ' /n U'16'7L1theElecVical L ? nspectoq herebY arti/y4hxt the above Final ' ?n /.2 r ?a -,s7 'ngpection hes been W 7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS lIUST BE LICENSED NITH THE CITY OF EAGAN G I-? 512' INGLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS 1 l, a?o . To Be Used For: TownhOUSe Valuation: $3?;$68;-89- Date: 4/8/86 site address: 3226 Everqreen Drive Coachman Lot: 59 Bloek 1 Sect/Sub Hiqhldnds Parcel 0 owner Brutper Comaanies, Inc. Address One Sunwood Dr.. P.O. Box 399 City/Zip Code 5t. Cloud, MN 56302 OFFICE USE ONLY Erect _ Oceupancy Remodel Zoning Repair Type of Const . Enlarge S of Stories Move Length ZI Demolish Depth 3 Z Grade Sq Ft Phone 612/252-6262 APPROVALS Contractor Brutger Companies, Inc. Address One Sunwood Dr:, P.O. Box 399 City/Zip Code S.t. Cloud, MN 56302 Phone 612/252-6262 Areh./Engr. Blumentals Architects, Inc Address 6100 Summit Drive North City/Zip Code Brooklyn Center, MN 55430 Assessments Permit 304. Water/Sewer Surcharge ' 38?0 Police Plan Review 1gZ' Fire SAC 515 Engr Water Conn 500. Planner Water Meter Council Road Unit 29D. Bldg Off Parks APC Treatment P1 1S6 Variance TOTAL 0)?? Phone 0 612/571-5550 ? 1985 BUILDING PERNZT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LZCENSED NITH THE CITY OF EAGAN C-I -L1aE. 282, COl4MERCIAL INCLODE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS' $2,000 LANDSCAPE BOND SINGLE FAMILY DiIELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY SET OF ENERGY CALCULATIONS 15 ? cxxD To Be Used For: TOwnhou52 Valuation: $3?;966-6 6 Date: 4/8/86 Site Address 3224 Everqreen Drive Lot 58 Block 1 Parcel/sub Coachman Hiqhlands owner Brut4er Comganies, Inc. Address One Sunwood Dr., P.O. Box 399 City/Zip Code St. Cloud, MN 56302 Phone 612.[252-6262 Contractor Brutqer CompaniesL Inc. Address One Sunwood Dr., P.O. Box 399 City/Zip Code St. Cloud, MN 56302 Phone Q12/252-6262 Arch./Engr, glumenta,ls Ar?bitects. Inc. Address 6100 Summit rive City/Zip Code BrooklYn Center, MN 55430 Phone !I 612/571-5550 Erect ? Occupancy Remodel Zoning Repair _ Type of Const Addition 11 of Stories Move ? Length Demolish ' Depth Int.Impr, Sq Ft Install FEES Assessments Permit 3 58, Water/Sewer ? Surcharge 3"1 Police Plan Review . 1-19 Fire SAC 575. Engr Water Conn 500• Planner Water Meter (03' Council Road Unit ZSo. Bldg Off Treatment Pl ISG. APC Parks Variance Copies i TOTAL ,? / ?' .. . I)rIZ1a ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED HITH THE CITY OF EAGAN GI -za2 COMMERCZAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS $2 000 LANDSCAPE BOND SINGLE FAMILY DSiELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY '1 SET OF ENERGY CALCULATIONS 9 L,ZGknc:? To Be Used For: TOWnhOUSe Valuation:Date: 4/8/86 Site Address 3222 Evergreen Drive Lot 57 Block 1 Parcel/Sub Coachman Highlands Owner Brutger Companies, Inc. Address One Sunwood Dr., P.O. Box 399 City/Zip Code St. Cloud, MN 56302 OFFICE USE ONLY Erect ? Occupancy ? Remodel Zoning Repair , Type of Const ? Addition /1 of Stories Move ' I.ength 71 Demolish , Depth Int.Impr. Sq Ft Install Phone 612/252-6262 contractor Brutger Companies, Inc. Address One Sunwood Dr., P.O. Box 399 City/Zip Code St. Cloud, MN 56302 Phone 612/252-6262 Arch./Engr. Blumentals Architects, Inc. Address 6100 Summit Drive North City/Zip Code Brookl.yn Center, MN 55430 Phone 11612/571-5550 APPROVALS FEES Assessments Permit 31`1• Water/Sewer Surcharge 31. Police ' Plan Review 159• Fire SAC SS, Engr Water Conn ScO Planner Water Meter (03' Council Road Unit Zqa Bldg Off Treatment P1 15(? APC Parks Variance Copies ? TOTAL . L? 5 ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED YIITH THE CITY OF EAGAN COl41ERCIAL SINGLE FAMILY DNELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1'SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND . To Be Used For: :iaif i Site Address off"/6"-J,226 Lotl7 S7 Block / Parcel/Sub Owner Valuation: , 3 4 " Address ? City/Zip Code ? v` ?73L Phone Contractor .? G??Jf -.a, Address City/Zip Code Phone Areh./Engr. ? Address City/Zip Code Date: Erect 1 Occupancy Remodel Zoning Repa3r ? Type of Const Addition 6 of Stories Move , Length Demolish Depth Int.Impr. Sq Ft Install APPROYALS FEES Assessments Permit Water/Sewer ? Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Variance Copies TOTAL Phone U ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED iIITH THE CITY OF EAGAN C- 1 - 3 1?> R. COMHERCIAL SINGLE FAlfILY DWELLINGS c.. ?u 'd INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS u q I E -* INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND 1 07- !o 6?? &q LC To Be Used For: 70wnhouse " Valuation: Date: 4/8/86 Site Address 3216 Evergreen Drive Lot 54 Block 1 Parcel/Sub Coachman Highlands owner Brutger Companies, Inc. AddressOne Sunwood Dr., P.O. Box 399 City/Zip Code St. Cloud, MN 56302 Phone 612/252-6262 Contractor Brut9er Companies, Inc. Address One Sunwood Dr., P.O.-Box 399 City/Zip Code St. Cloud, MN 56302 Phone 612/252-6262 arch./Engr. Blumentals Architects, Inc. Addre'ss 6100 5ummit Drive North City/Zip Code Brooklyn Center, MN 55430 Phone S 612/571-5550 Erect X Oecupancy Remodel ^ Zoning Repair ? Type of Const Addition ? 11 of Stories Move Length Demolish '- Depth Int.Impr. ? Sq Ft Install APPROVALS FEES Assessments Permit Water/Sewer ^ Surcharge Police ? Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment Pl APC Parks Variance Copies TOTAL ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED WITH THE CITY OF EAGAN G I - LCaE. ZB2. COl41ERCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For: Townhouse SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIF'ICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Valuation: $37-,99E1-$6' Date: 4/8/86 Site Address 3218 Evergreen Drive Lot 55 Block 1 Parcel/Sub Coachman Highlands owner Brutger Companies, Inc. Address One Sunwood Dr., P.O. Box 399 City/Zip Code St. Cloud, MN 56302 Phone 612/252-6262 Contractor Brutger Companies, Inc. Address One Sunwood Dr., P.0 Box 399 City/Zip Code St. Cloud, MN 56302 Phone 612/252-6262 Aren./Engr. Blumentals Architects, Inc. Address 6100 Summit Drive North City/Zip Code BrooklXn Center, MN 55430 Phone f! 612/571-5550 Erect , Occupancy Remodel Zoning Repair , Type of Const Addition 11 of Stories Move , Length Demolish Depth Int.Impr. ? Sq Ft Install I APPROYALS FEES Assessments Permit Water/Sewer 1 Surcharge Police Plan RevieW Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Variance Copies TOTAL . - ? . 1985 BUILDZNG PERMIT APPLZCA?ION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED YITH THE CITY OF EAGAN CI -Z?r? COl4MERCI9L INCLUDE 2 SETS OF ARCHZTECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS (oZ, pd0 To Be Used For: TownhoUSe Valuation: $-a7-;6@9-?& Date: 4/8/86 site Address 3220 Everqreen Drive Lot 56 Block 1 Parcel/Sub Coachman Highlands Owner Brutger Companies, Inc. Aadress One Sunwood Dr., P.O. Box 399 City/Zip Code St. Cloud, MN 56302 Phone 612/252-6262 Contractor Brutger Companies, Inc. Address One Sunwood Dr., P.O. Box 399 City/Zip Code St. Cloud, MN 56302 Phone 612/252-6262 Arch./Engr. Blumentals Architects, Inc. Address 6100 Summit Drive North City/Zip Code Brooklvn Cgnter. MN 55430 Phone 11 ?1,gJ571-5550 Erect _ Remodel ? Repair ? Addition Move ' Demolish '- Int,Impr. ? Install APPROVALS Occupancy Zoning Type of Const 0 of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer ? Sureharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Variance Copies TOTAI. ? PERMIT ? CITY P oOF EAGAN PERMIT TYPE: e u rL o z N e Eagan, Minnesota 55122-1897 Permit Number: 0 3 q 0 4 6 (651) 681-4675 Date Issued: 11 / 17 / 9 8 SITE ADDRESS: 3216 EVERGREEN DR LGT: 54 t3LOCK: 1 COACHMAN I-IT(;lil.ANLIS P.S.N.: 1.0-1.8015-540-01 DESCRIPTION: ' REROOF,I' 6 FLEX Bu31d3.nq Perm3t 'iype MUL7I. (MTSC.) Building Work,,l'vpQ F?EPAIR Census Code . 4:34 AI.i'. REB:[DENTIAL REMARKS: INCLUDES: 3218. 3220. 3222. 3224. AND 3226. FEE SUMMARY: VALUA7ION y:8.000 8ase f=ee $137.25 Surcharge 4._e4, Total Fee ? $141.25 CONTRACTOR: - A pp1 i ra„T: - OWNER: BE,LSSEL WINDQW & SIpING 2451.6835 COACHhIRN HZGNt.NNDS ASSOC. 3213 EV['RGREEN DR 3116 EVERGkEEN DR EAGAN MN 551.21 EAGFlN MN 55122 (6q2) 451-6835 I hereby acknowledae that I have read this application and state that the information is correct and agree to c:omply with all applicabla Stata ofi Mn. L 9tatutes and City o'P Eagan Ordirrances> APPIICANT/PEFMITEE SIGNATURE ISS O BY. SIGNATURE? ` J y%4CqY,r:?;°iY.?x°i;(Yy.'?y,°:?cY.r,kXiai>K•I, . :.. i. ?; ,...,.,,,.- ?.?T ? . ? . . ,,....??X, YnSXXtY,: a ;::.?'?:);: i"nc?irc::i..: ':::. ....:r.iP!-•, f.?? r'A?-l .,ri...: ,..,...I .?. 1'i?...,.tlh':1.. i•; i?: 11 i .. tdCd1?k:t:l.il.. i?i.L;Jili11+1 f4 T.'IjtJ ?1''I :: 1,101 `?)?, ? :ji: i''1 Rn:rN;.,I::Fu> ri ]r.? ::,,? ? . . _ . .._.. , ....., . li, 1- ' f .. r25 . . . 1.0 1 .:....i ? ;.: ... ?F;...fl .?t.l f)J _ c. ?. ... I...!.:)?? .. :rr1 - {3Pdl!It; ?..i"-:I;f:. c ,. E,.3.r35 1 l.l :,;ir] l .i..'. r'. c'G . .. ....J f .....:.! f I.:tf.'q . I l.i,::y " I' I:':"r.t ..dI.I._. ._I... .i •.? i >r .... .c..J f ltJ..i?.l.fdUl : . m:;:A:'k; . .,, c-.ra".Y,i;FE? .. ?.'.;C:;?.?' ..lx..;:, _'?i..7?T.?l..lpi. (?:rTtt' i)r r'?..111(^}-1 ? I' a T!.:T;lKfD!,,,i.. A.!D? ;'i f r,tdi-., • F T,.t1.1'I. ? ?:r, .i . r' ..i f:A:fti" (';); .. r . i.''..`. r ?i5 \ t C.;n ._n?F ? , ,._. .._. ?.. A;rn:?ti ? •n; s ??t,. r 3`;agnr.) i V$? s.'v:4'4f ;?*:00 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN 681-4675 ? bt ' ermit i?-i-1 1 9? ubmd following to o ain necessary p Foundation Only New Construction . Interior Improvement stmctural plans (2 sets) architectural plans (2 sets) architectural plans i l (2 sets) (?) ° ciail plans (2 sets) structurel plans (2 sets) ys s wde ana t (1 set) code analysis (1) " civil plans (2 sets) specs projec soils report (1) landscaping plans i l (2 sets) (7) " Key Plan energycalculations (7)notalways ° projectspecs (1) Special Inspections & Testing Schedule " codeana ys s soils report (1) Electric Power & Lighting Form (1) not always SAC determination letter from MC/WS - SAC determination letter from MClWS - SAC determination letter from MCNVS - call 602•1000 call 602-1000 wil 602-1000 Special Inspections & Testing Schedule(1) " . project specs (1) energycaiculations (1) Electric Power 8 Lighting Fortn (1) " ° Gontact ttwiaing mspecnons ror sampie Food 8 Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. DATE: -9e WORK TYPE: _ NEW riREMODEL DESCRIPTION OF WORK: o7? v CONSTRUCTION COST: G , UU ? SITE ADDRESS: 3a1 32 0, 3-2 2-a , LOT ? BLOCK I SUBD. r, r ?t w?2?? PROPERTY Ias[ OWNEIt S7eet City Statc: Phone # Zip: Company: ?'e-\ S?V \ l. )i V?CU6 C 1'4 ?uQ ? n x._ Phone ?S ? ROi ITRAC'I'O Street Address: ??3 ?_?4?? ?•?"?'S 0 h f?V?f._ License _-?- City State: ZiP: ARCHITECT/ ENGINEER Slrecl City Sewer & water licensed plumber (only if installing sewer & water): Phottc #: ___ Regisuation #: _ State: Zip: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. rirst TENANT NAME SUITE 3aa?i ?a-a- ?,e }}t ?? P.I.D. # Signature ot Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./lnd. WORK TYPE ? 31 New ? 32 Addition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 19 Comm./Ind. Misc. 0 20 Public Facility ? 33 Alterations ? 34 Repair Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolition MC/UVS System City Water Fire Sprinklered Census Code SAC Code Census Bldg. Census Unit Variance Permit Fee 1_Y1- ahs' Surcharge LI ? C7 Plan Review MCNVS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: ??I•?s % SAC 5AC Units Meter Size _ Valuation: $ R105 ,. 1991 BUILDING PERHIT APPLICATION 'YAY 2 Q CITY OF EAGAN SINGLE FAMILY DWELLINGS 14ULTIPLE DWELLINGS CDMMERCIAL 2 SETS OF PIANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTORflOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE:'BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MIJST SHOW A LICENSED PLUMBER. To Be Used For V Site Address XT*,q5VG,-rT `r1Nkj-tN Valuation: -G ZZZx ?.`??r1 I ? Lot ?j Block Parcel/Sub ?(}Q,(,?ryttA,t1 i??t?A Owner Address 7;ZZZ City/Zip Code CW\r'+ S s\ z. t Phone q 5 ? ' ,y q Contractor S(FL?-- Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Date: ONLY FEES i zS+D? ? Occupancy Bldg. Perm t J- Zoning Surcharge , D a Actual Const Plan Review Allowable SAC, City u of stories SAC, MWCC Length Water Conn. Depth Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit S/W Surcharge On site sewage_ Treatment P1. On site well _ Road Unit T MWCC System _ Park Ded. City water Trail Ded. _ PRV Copies So c,.., BoosteY Pump _ SUBTOTAL APYROVALS Penalty Planner Lot Change Council TOTAL 91 ,!f0 Bldg. Off. IYS szi_ql Variance agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # / O RECEIPT # 1 3 5 DATE: 5 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ---------ti------------------------------------------- . WORK DESCRIPTION NEW CONST ? ADD ON REPAIR _ OWNER NAME : ?TE4r?? K SW !?j";c-p SITE ADDRESS: E?QEF_UR`1j piekc LOT: BLOCK SUBD. 1.f!?(Alm?f? ? illh_ ?Q? INSTALLER: ADDRESS N0. ? ? DWELLINGS & COMPLETE THE FOLLAWING: FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT T[JB/SPA 3.00 WATER HEATER 3.00 FIAOR DRAIN 3.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL $ ST. SURCHARGE .50 TOTAL: g/ S. S C) CDMlfEBC??AL1!INDTTST&?AL« PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN CITY: ?o Arl ZIP: ?? ) ?>' I 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION GI-1 CITY OF EAGAN _ 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing.residential dwellings. Date 41 / 23 J Q? . ---- -- BERGREN,MATT Site Street Address 3224 EVERGREEN DRIVE Uqlt # EAGAN, MN 55121 (651) 994-1896 _ Property Owner Telephone # ( ) NORBLOM PLUMBING CO . contractor Telephone #( ? Address City State Zip MINNEAPOLIS, M0? The Applicant is: Owner ontra or Other _ Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or wat er heater--complete next section if installing these appliances). _Septic System Abandonment _ . _ Water Turnaround (add $125.D0 if a 54" meter is required) ,. ,, . Other. ; >> 0 L! r'f? . _ Water Softener ? Water Heater s 1Jr $ 15.00 _ new replacement. _ Lawn Irrigation _RPZ _PVB _new _ repair _rebuild $ 30.00 State Surcharge ?? ? $ .50 Tota? ?AN ? 3?0?5 i ?? g IS. 50 ?,,? I hereby apply for a Residential Plumbing Permit and ack w?edge=t?i rmation is complete and accurate; that the work will be, in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is nof a permit, but only an application for a permit, work is not,to start without a permit and work will be in accordance with the approved Qlan in the event a plan is required to be reviewed and approved. Je-(? NUT'WM ApplicanYs Printed Name Appl 's ignature APPLfCATION FOR PERM{T , . . _ . f. .:SEWER AND/OR WATER CONNECTI.bN - • . . . ?trsea ?1) PROPERTY'ADDRESS: ?Ij:?p - A * 1?prrlcluloN uoL-3 N:rr Wisra.z,*r;: APPROVAL OF PERFIIT. INSPDCPION OF SEFM A2ID/Ot WUFR. ? I21S`PAS.,I.ATiONS WLLL NOT BE SCfED-1 * ULID UNTII. PII2MIT HAS BEEN * APPROVID. * ?*+*******??*?:*??+?x#:*****,ts****t, LEGAL DESCRIPTION: Lot B1odk/Subdivision or Tax Parcel_ I?? . ^D J).- . ZF EXISTING SPRCCI[IF2E, DATE OF ORIGINAL BC'IL17IA]G PERMIT ZSSL'ANCEs `.. - - -. .. PRESENT ZpyING/PROPOSID L'SE: , - _ lNnn Year) .. q CO:?CIAL/REPAIL/OFFZCE ^ . ? R-1 SINGLE FAMILY .,. ;.._. _ . F-7 INDCiSTRZAL ".. . ? R-2 DL'PLEX (Ttao L?nits) . InSTI'I[PPIONAL/GOVFRN,+g]Np Wff0**R_3 'IT)WNE30USE (Three + Units) C?nits). , . q R-4 APARTN,IIdT/COfIDOMINIUM Units) • r, v. . . . 2) . AnoREss: W t Q ? . ?ITY. STATE. ZzP: s,- ' PHONE:_ ? S? "?m'Z?- .' • 3) ' a ?. ?• t4FiME: GENZ-RYAN PLUrBIIQG AND HEATING For City Use . Pl b w[? ers License: ADDRFSS: 14745 South Robert Trai1 , Active i CITY, STATE,.ZIP: PHONE: Rosemount, I-+1 55068 • 423-1I44 MASTER LZCEDISE# 1849M . ? Expired Not recorded ' St In1t1a1 " 4) o•b • o i:?• NAME: . _ • . . . ADDRFSS: • . CI'i'Y, STATE, ZIP: PHONE: - ' S) • ?;?t[cn ?•ctu.,..V.1N 1 W.. ,.4.ef,r•.....Oq-1? i .. . . . t ? CONNECTZOiQ TU CITY SE7,•7ER CpN?=rION TU CITY 47A'I'II2 i-1 ? 017iE,R '. • PL°r':SE HOLD ApPROVID PEJU•1IT FbR PICK-L'P IIY ONE Or P.HOVE _- , . ? p?r:c ppPr?OVID P?:•iIT ? 1, 2,3 4, F?S]g • (Circle one) ? 7) ,rr ?i er = ? 16?"q6 J1"•'l0(1,: F 1 :.C 1'yl '1/PR ?CyF11 .C I .LC ? t ?7 --- 7 7T? ?' i 1 C • ? i ? i I I 1' 1 r . (. : ?l`-" r ?.. ---tl...?_ . ?. L 1 1 l ??y _-„?C ?_i????i Fn.7 ?.?_..__ w • - . ?_ . . . .T?__? .7 F01R CITY USE ONLY PERMIT # ISSL'ED 73f 6, Pd w/BZdg. Permit S 5 $ FEES: $ M, 5_D ? $ $ SEWER TAP $ $ ?j : '° ACCOUNT DEPOSIT - SEWER $ ._. . : D ACCO['NT DEPOSIT - WATER WAC_ $ \`rJ7 S-G, U $ SAC..Y.. .'?_ . . $ s , : ? • .. TRCTNK-WA.,,ASSESSMENT $ $ TRC'NK SEWER yASSESSMELVT - $ -- $ • ' LATERAL BENEFIT/TRUNK SEWER $ ...__. •_: `. _ T;ATERAL BENEFIT/TRDNK WATER $ Ij? _ : . .. . _ WATER TREATMENT PLANT ;SORCHARGE ., . , . . _ _... ....... ,._._ .. OTHER • j c -. __? ?. __ ._..._ ?. _ .__ ..._..._.. ..._ _ . TOTAL - . . .,-.Z./?f 7 - . ... ._.. .: .:Cc ???rJ . . . .. __. . . _ . . . ?RECEIPT - _ RECEIPT . .. _ , . . _,.._. DOES LTILITY CO NNECTIOAI-REQU-IRE EXCAVATiON IN Pt?BL'IC'RZGHT OF WAY? .,, YES Q , . . _ ,.,_... .. . "'""" "ZF YES? THEN A"PERMIT FOR_ WORK _.?ITHIN P_U$LIC u NO "-ROADWAY" MUST BE ISSBED BY; THE ENGINEERZNG DZVISION LIST AS ION O 'Y . . A C NDIT , , - - SU BJECT TO THE .. . FOLLOWING CbNDITIONS• _ . . . . . :: _ _. ? .. __ APPROVED BY• . ? . ' . . . :i;r . . . . . TITLE: DATE : ? f Z?, Lp ? SEWER PSRMIT (INCLDDE SURCHARGE) WATER PERMIT (INCLL'DE SURCHARGE) WATER NIETER/COPPERHORN/OL'TSIDE READER WATER TAP (INCLCDE CORPORATION STOP) r APPUCATION FOR PERMIT . ' . . :• , ?' .. SEWER AND/OR WATER CONNECTtON ?1) PROPERTY ADDRESS- n I?I'I'LSC?ITION DOi:S t?l7i CL`%:?'.5"1'IitiPc. ; APPR0VAL OF PERhffT. ? itasPEc-izotu oF sEWM nrro/OR s,u,m. ; iM-LUXATTOrrs wui rxOr' sE saHED-1 ? ULID IJNIIL PII2MIT HAS AF,EN APPROVID. - - -. . : ? y . ? , . r • LEGAL DESCRIPTION: '0 ?L Jy?x ? ?jjiQ•/? I/J?Ar?.?) ?? a+ z?4 ..?? • i?? Lot B1ock7Subdivision or Tax Parcel:ID f) ' ? _....__.. ...: IF E?ISTING STRiCILTF2E, DATE OF ORIGINAL MiILDINv PERMIT ISSC'ANCE: .. ... . (Nbn Year .- PRFSEtVI' Zp,1IM/PROPOSID CSE: - ' . C0'1S•1ERRCIAL/f2E.TAIL/0FFICE'. '- . _ .. . . , - ? . ? R-1 SINGLE FAMILY . ' ? IA'DCSTRIAL -` Q R-2 DL'PLEX (n,p C?nits) n INSTITUITZONAL/GOVERNMEar j?<_3 'IDWNHOUSE (Three + Units) Onits) . Q R-4 APARTbENT/CONIDOA7INILTI Units) 2) • JGIL'• CD i ?s ADDREss: ,c,1 t CIT7, STATE, ZIP: ST - PHOVE: ,P? 3) For City L'se . , . n'AME: GENZ-RYAN PLU10I1G AND HEATING Plumbers I.icense: ADDRFSS:_ 14745 South Robert Trail . Active F?cpired CITY, STATE, ZIP: RosemounE, MN 55068 • Not recorded PHONE: 423-1244 M1LSTII2 LI(ENSE# 1849M StaTf Initlal q' . . .. . . eaau?? NAIMES ADDRFSS: CITY. SfATE, 2IP: P'riCNE: . . 5) C t; Di,• a.- :ieu-i<<:+•i•? ?4?.. -?e,r• y-au--, •, • ?c n lil CON:vTEL'TION 1U CITY Sn;r ?CO-'ZvTxl'ION 'IC) CITY WA'I'ER ? OT'rr]URR ' 6) ?; ""•: `'`_?i ? [? PL:,%SE HOLJ APPRG"JE) PZF21,ffT F0R PICK-UP IIY O:E OF ]BgVE PL.aAS Y'aIL APPt G'JFJ PE-'uAZT TO 1, Z. 3 4, ABOVE ? (Circle one) ?-?...? .`-?':.?r?lrni_ < ?.?iL! ?,_'? y?.. _..?_ c c<,'/'"_ ,'?-t; ic v?./•?•:.(L..?S;?y.? -:? _'? c ? FOR CITY USE ONLY PERMIT # ISSL'ED Pd w/Bldg. Permit FEES: $ $ %G, SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLODE SL'RCHARGE) $ &3 SZ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCL[.'DE CORPORATION STOP) $ $ SEWER TAP $ $ 0-7) ACCOUNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ ,_3-6 a a-o $ ' wAc $ $ sac $ $ TRUNK WATER ASSESSMENT $ $ " TRC'NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRC'NK SEWER $ $ LATERAL BENEFIT/TRQNK WATER $ /.5-z•a-?j $ WATER TREATMENT_PLANT SORCHARGE $ $ OTHER: r' - S_ ?? ? Y - ?? $ ????Z•? TOTAL ?RECEIPT -RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC Q ROADWAY" MUST BE ISSUED SY THE ENGINEERING NO DZVISION. LIST AS A CONDITION. SUBJECT TO THE fiOLLOWING CbNDITIONS: APPROVED BY: ,. - .: - TITLE: DATE: _ Z//Z ?,?? eirYOF EAGaN APPLICATION FOR PERMIT % '•. SEWER AND/OR WATER CONNECTIbN 1) PROPERTY ADDRESS: LEGAL DESCRZPTION: v-1 **TOTS: PAY[?lP OF F.EE AT TIhiE OF * APPISCATION DOES N(7r ODKS'PI1V1E * APPRUVAL OF PERNIIT. * * INSPF]L'TION OF SE4III2 AbID/OR M1FR. * 7TISTAT.TATTojQ$ wnj. j1()'j` . $E $?ED-:. * ULFD UKlM PERNIIT HAS BFEN' •., ? APPROVID. . ? . ' arcet_ IF EXISTING SIRL'CTLME, DATE OF ORIGINAL BC'ILDING PERMIT ISS[.'ANCE: . , (Mon Year - PRESENP 7ANING/pROPOSID L?SE: ? CA+flERCIAL/RErAIL/OFFICE , - Fl IIIDCSTRIFQ, n INSTI'IUTIONAL/GpVII2IZETr 2) ? ? R-1 SINGLE FAMILY L ? R-2 DL?PLEX (7%„p L?nits) (R-3 IOWNHOUSE (Three + Units) ( 6 Oni.ts) R-4 APAR'ITM/CObIDCk1INILTf ( Units) ADDRESS CITY, STATE, ZIP PHONE: oC V- 3) u ?: ?• NAA4E: GENZ-RYAN PLUMBING AND HEP.TING ADDRFSS: 14745 South Robert Trail CITY, STATE, ZIP: RosemounE, rIN 55068 PHONE: 423-1144 MASTII2 LICENSE# 1849M Plumbers License: Active Expired Not recorded Sta Initial 9) ••r • ? i i?• _ . NAME: . ADDRESS: CITY, STATE, ZIP: PHONE: • ? .5) i? a• i•c a• •?• ?oit? f•? p..t?+?o-? M CoNNECPION T6 CITY SE,WER ? CpNNFS.'TION ?U CITY WATER ? p1'HEI '. 6) ?•? a• • o r ? pj,,pSE HOI,D APPROVfD PERI•IIT FOR PICK-UP BY ONE OF ABpVE •- '? PLEAS?'MAIL APPROVID PERMIT TO 1, 2, n 4. AHOVE (Circi''e one) 7] ' r r.s?S' ?? ? _ ? "/ t7 /4 FOR CITY USE ONLY PERMIT # ISSL'ED 73,'s; Pd w/Bldq. Permit $ $ c c $ $ S ?DO, U-t1 s 3- 75, C-D S .. . ? FEES: $ /"GS L' SEWER PERMIT (INCLODE SORCHARGE) WATER PERMIT ( INCLC'DE SURCHARGE) $ WATER METER/COPPERHORN/0[:TSIDE READER $ WATER TAP (INCLL'DE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER S % ACCOC'NT DEPOSIT - WATER WAC sAC . $ TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BEN°FIT/TRLNK WATER $ WATER TREATMENT PLANT SIJRCHARGE $ S OTHER: = .- - $ 42 U G? S I .:. ; • TOTAL . l ` E 7? RfCEIPT?i RE IPT DOES UTILITY CONNE CTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? O YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q ROADWAY" ML?ST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: ' ' ..' ,.. _ .. 16ATE : i v E{ i ?..1 1' te !. U. %'i N * 111'PISCNI'iON WL5 N,?T CU:1132I1Jli . * APPROVAL OF PEEtNffT: +'. APPLICATION FOR PERMiT *i_NSPBCTION oF MaM Arm/Ot MUM ; . ' • ' ` . ?"r%' .' ?a y?. 7IISmAT.T.ATTON$ WIIS, NO'P BE .°iCH@= . ; SEWER AND/OR WATER CONNECTION ? ?ID ?II+ P?M?T ? B? • . * APPROVFD. • ? . . . , . . ,' ? . ' y*, - . . _ . _ ..'; .. , * . . ' . • .:.: ; ;; . .. ? - ..... . ' ***#****+:**??**?***??,r***t*t3:*#**? . ?ca.cooc rllaa?l.)?, ' . . ? 1) PROPERTY. ADDRESS: LEGAL DESCRIPTION: 4QT S•?. , ?/ Jy??/ / , C1'A,Q/??/??? ?)? ?r. Lot lock?jSUbdivision or Tax Parcel,-ID ) IF EXISTING SPRCCIL'RE,v DATE OF ORIGINAI, BI?ILDING PER6IIT ISSL'ANCE: PRESENr 2ANING/PROPOSr.'D USE: (Mon Year) q W24a2CIAL,1ETAIL/0FFICE _ ?. R-1 SINGLE FAMILY . . 0 IN[)CSTRIAL R-2 DPPLEX (Twu C?nits) . .. n INSTIZL"fIONAL/GOVERf.^ENT ' ?-3 TOWNiOC?5E (Three + Units) Dnits). . Q R-4 APARTT?TT/COI?IDOyLiNlUM (.. Units) Zr ADDRESS: CITY, STATE, ZIP: PHO?: oC So7 ? ? ? 3) NADSE: GERTZ-RYAN PLUMBIIdG AND HEATING ADDRESS: 14745 South Robert Trail CITY, STATE, ZIP: RosemounEz IPI 55068 FHONE: 423-1144 MASTER LICENSE$ 1849M • Plumbers License: Active F?cpired Not recorded Sta II11t1c11 q) oee • o , i?+• NAhE: . . . , . . _ P.DDRFSS: • . CI1'Y, STATE. ZIP: ' PHDiNE: • 5) - t,? iu•v?:, •?rc-.?.-? iu?.. •-?r,rr-ecr t4 ? z ? C0?^ ?I?ECi'I0.4 M CITY SEL•1II2 ? CONNECTION 'IU CITY 4;ATER ? 0= '.• • . 6) PL 7-_:%sE HOLD APPROV ED Pt?`'-',IT FOR PICK-L'P IIY 0'IE OF P.3OVE -' -- ._ PLEA,, .•:?IL ApPROVID PE2:1IT 7) 1, 2, 3 4, AEOVE (Circle one) 7) r?:?: k I.l 1 N/ II!__Y C1+/I1, ( I CC A Vl j,; ? D? ?? Ir l;J' I ItfC '.?Q?? ^?'?7 FOR CITY USE ONLY PERMIT # ISSL'Ep Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLDDE SURCHARGE) $ $ /t'' WATER PERMIT (INCLUDE SURCHARGE) $ L%? 5-D $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ S /5 • ?"--c+ ACCOUNT DEPOSIT - SEWER $ $ ?J • ??? ACCOUNT DEPOSIT - WATER S E J d?. OZ3 $ WAC ' sAc $ S TRLNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ S LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ / ??•? ? $ WATER TREATMENT PLANT SURCHARGE .. $ i ' S , 'OTHER: - $ / 4 TOTAL CO??7,5 ,. . --- ?RECEIPT REC$IPT DOES UTILITY COIVNECTION REQLIRE EXCA VATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PU$LIC ? ROADWAY" MOST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITZON. SUBJECT TO THE FOLLOWIN6 CbNDSTIONS: ? A PPROVED BY: ` Jl / -c_?-__. ,< L•:-Z.t17?-?/ - . . . . TITLE: r .. . ?, ; . . . ... . ;DATE: / /'7 li /'7 ,?• z&rLicls21 014 mrs iaDr W, ?sriT Vi,: ArrRO`mr, or rERMIT- ' APPLICATtON FOR PERMIT INSPF?'ION OF SEWER ADID/C&2 WAMR ; ' SEWER AND/OR WATER . CON O T * INSTAL.LATIONS WIIS. NOT HE SCHED-L * ?? U= PEPMT HAS BEEN ; NEC I N • ' • . . * APPROVID ? . . . . . y . . _ _ . _ * . * . ? ? _... - . * . ? ****f##*##*******?*?,r?#***:**33::tt# eas PROPERTY ADDRESS: ?Yle Print) 1) .?71? ?? '0 LEGAL DESCRIPTION: +n.. T 1 i? /T Lot Blockfbubdivision lor Tax Parcel_ ID ) . IF E}QSTING SPRCCIL'RE, DATE OF ORIGINAL BC'ILDIW. PERb1IT ISSL'ANCE: _ (Nnn Yearl - PRFSEWP ZONING/PROPOSID L'SE: COtiNERCIAL/RETAIL/OFFICE '. C3 R-1 SINGLE FAMILY Q Ih'DCSTRIAL R-2 DCPLEX (Tuo Units). 0 INSTI'I[*PIONAL/GOVERAL+? ' ?-3 TUStiTIIiOUSE (Three + Units) ( G C?nits) . ' ? R-4 APARTTaJT/CONUOtiLINILr1 Units) Z) ' f;lV• NAME: ADDRESS: CITY, STATE, ZIP: PHO:]E: oC 507- 6a 6 VL. 3) • e c a• - N11ME: GEN2-RYAN PLUAIBIIQG AND HEATING ADDRFSS: 14745 South Robert Trai1 CITSC, STATE, ZIP: Rosemounf, MN ' 5506$ PHONE: 423-1144 MASTEI2 LI(ENSE# 1849M Q) oaau• ? NAME: ADD.^1FSS: CITY, STATE, ZIP: PHONE: Pltunbers License: Active EJcpired Not recorded Staff Irutial 5) [? ???;??:? •.:<<c,:n? ac.v ?qr' :.m.tr r•.r?aa na :?o-? -- ? CO\?=ION TO CITY SEviM ? CONZ,=ION 'Il7 CITY 4:ATER a O'I4?R • 6) ?: ui?•,??_ ?,: . ? PL.LE l:OI.D kPPROVED Pt.-72t'IT rOB PICK-UP BY O:•.; OF PMVE ?i PI. ?^Sr ?';IL FPPROVcD PM ST a) 1, 2, t 3 4, Ab'OVE . (Circle cne)? n ' 7) -[ ?•_ ? .- . ' -• FOR CITY USE ONLY PF.RMIT # ISSCED Pd w/Bldg. Permit $ c $ ? J J?ZI $ $ $ $ $ ?DD u? $ S 7S- o-z= S S $ $ - $ / .J L C!'-U $ ' $ /Z 9 ?l' J G FEES: S /G 5? SEWER PERMIT (INCLODE SGRCHARGE) $ 5b WATER PERMIT (INCLC'DE SURCHARGE) $ WATER METER/COPPERHORN/OL'TSIDE READER $ WATER TAP (INCLL'DE CORPORATION STOP) $ SEWER TAP S ?5? OZ1 ACCOUNT DEPOSIT - SEWER S lS C?Ii? ACCOL'NT DEPOSIT - WATER $ WAC ' $ sAc $ TRLNK WATER ASSESSMENT $ TRC?NK SEWER ASSESSMEIVT C $ . S $ e2 z?.. LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL ?,??? ?07,fl ! RECEIPT# RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F-I YES IF YES, THEN A"PERMIT FOR WORK WITHIN P[7BLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SC'BJECT TO THE FOLLOWING CbNDITIONS: ? APPROVED BY: TITLE: ?• DATE: --- ? Z ? ZLk r&PLIcArlocs vois N'Dr a;:.3ri 'ivlE ? - • *? APPROVAL OF PIItNIIT. ? APPLfCATION FOR PERMIT ; INSPB=ON oF SBM AM/CR MUM, ; • :.: * ? ? ? _ • , i` .' - ;: * IIISTALLF.TIONS Wi.LL NOT BE S(IiF]D-1 ? SEWER AND/OR WATER CONNECTI.ON * UPID uNrIu+ PER1,51T HAS BEM ' • - . ; i . .- . ? APPI20VEU.' . _.__... '_.. :;••'.'...::': . . . ? * i . . "' • ' ? , * : . , . • . ? _... - *??+?*:*t:x***?***+****,r:*:*:?*:+r,r*t ?1) PROPERTY ADDRESS: ? LEGAL DESCRIPTION: ? e _ kLOLiuiocx/SUAaiv=sion•or Tax Parcel= ID #) IF EXISTING STRC'CIL'RE, DATE OF ORIGINAL BL?ZLDING PF.R14iT ISSL'ANCE: ' PRESENr ZOyZNG/PROPOSID USE: , (Nbn Year COSKMCIAL/RETAIL/OFFICE ', R-1 SINGL,E FAMiLY . Q Ih'D[.'STRIAL R-2 DL'PLEX (2t.o Onits) IrSTI2L"PIONAL%GOVfRf?g= ?-3 7UWNH0LISE (Three + Units) ( 6 Units) R-4 APARTT'fENT/CODIDC)MINIUi+1 Units) 2) r,iu• rDDREss:y N t S L1wwOOp-= '/;? I tl ? CITY. STATE, ZIP: S T• ??- PHO:IE: oz '?- 3) • u i: ?• - NAME: GEhZ-RYAN PLUMBING AND HEATING ADDRFSS:_ 14745 South Robert Trail CITY, STATE, ZIP: RosemounE, MN 55068 • . PHONE: 423-1144 MASTEN LICENSE$ 1849M 9) NIU?: . ADDRESS: CZTY, STATE, ZIP: PHONE: ACt.1V0 . . F?CjJ1T0C1 Not recorded Staff Initial 'S) i:F11V. L- '[[L'I'•'19 14 U Jf- . ? COMN"rZON TO CITY SEWE2 COMIDCTION TO CITY Yi71T+FR ? O'I'fM . . 6) ?, uia: is c: ? PL:1SE HOLJ APPROViD PERNIIT F'OR PICY.-CP IIY O.dE OF Fil37VE 1?IL APPRO'J'rTJ P'?.?I•!IT TO 1. 2,f3 4, Ab'7VE . 'i (Circle one) .i 7> ?7',?--??:-_ ? :`?x _. iL?_ . ?. ;'r,V?:-• ? i ?C' :. .:,:_c t.N. :_r.: < r.i._? "Yr r-•- -?. ?_ . ' . _?,? tt1'1•[7L ' _.?iY?ti,?- ?.u?..i?l.?_. ..? . F'OR CIYY USE ONLY ?- - PERMZT # ISSCED Pd w/Bldg. Permit FEES: $ $ / OJ? SEWER PERMIT (INCLUDE SURCHARGE) $ $ ?D- `?? WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OOTSIDE READER $ ' $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ /,5.(JZ) ACCOUNT DEPOSIT - SEWER $ S f?7./1 C? ACCOONT DEPOSZT - WATER $ WAC $ J?/S? O? $ SAC . $ $ TRONK WATER ASSESSMENT $ $ $ $ , $ -- - $ S /-7 ?-00 $ TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRU[VK SEWER LATERAL BENEFIT/TR[)NK WATER WATER TREATMENT.PLANT SURCHARGE $ . $ •' OTHER:, r.. c: $ J•>? °7 ?? - s d $ 4../ ?7 7d ' Q? TOTAL L_ lRECEIPT -• RECEIPT . _ } ., DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MOST BE ISSDED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. S[)BJECT TO THE FOLLOWIN6 CbNDITIONS: 11PPROVED BY: &-clO? . , . TZTLE: ? DATE: . PERMIT # Y'K 6 _?, RECEIPT DATE: ftESIDENTIAL PLUMBINfi ?Eft6IIT APPLICATION crrY oF EAsAv 3$30 PILOT KNOB RD Ek6AN, MN 55] Es 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backFlow preventer for irrigation system SITEADDRESS I/Y)y 1 '1 L, °?'M I w1 I 4JI . OWNER NAME: : tkJ t TELEPHONE #: U71 ga-I`Io -I y (AREA CODE) INSTALLER NAME: l??{ I I V I I 1' W?'L TELEPHONE #: q_ `l?? I ' (AREA CODE) STREET ADDRESS: CITY: I(I,iOIW STATE: li`Iv ZIP:l'-ft-- Place a check mark next to the oermit work rioe New residential dweiling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existina dwelling unit, including: $ 59:90- • abandonment of septic system I S.o6 • new installation/repair/re6uild of RPZ • lawn irrigation system • waterturnaround ?yc.?. Nature of wo?? ? ?7 //t-?-? Septic System, new/refurbished - $ 225.00 . includes County & Consulting Inspector fees • requires MPC license Water turnaround - existing dwelling unit, including: $ 50.00 • 5/8" meter 115.00 $ 165.00 State Surcharge $ .50 Total S ) S 5 12 Reminder.• Schedule inspections of alterations, i.e. water heaters, water softeners, water turnaround, etc. Iherebyacknowledgefhatlhavereadthisapplicatlon,statelliattheinfortnationiscorrect,an reetocomplywithallapp bleCityofEaganordinances.lt is the applicanl's responsibility to notlly fhe property owner that the City of Eagan assumes abilily for any damages sed by the City during iks normal operational and maintenance activlties to lhe ficilifies constructed under this permit vi[hipproppjty/right-of,wa sement. SIGNATURE OF PERM11qjEE Updated 9l01 '7?Lu -73 zoos RESIDENTIAL PLUMBING PeRnnir aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ? Date!L- /1A i Site Street Address Unit # Property Owne&(cr, U -f Telephone # (N) ? . Contractor )s?` i s Telephone #(h ) __ ?-_?? ,,D Address City !F:a SWte Zip? i The Applicant is: _ Owner k_ Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee ? $ 100.00 Per as-built $ 10.00 ! Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. !f you are installing onlv a water sokener and/or water heafer, do not complete this section; move to the next section and check the appliance(s) you are installing. ? -Septic System Abandonment i ` _Water Turnaround (add $130.00 if a 518" meter is required) Other: _ Water Softener ? Water Heater $ 15.00 _ new -31 replacement i I Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 ? ' State Surcharge $ 50 Total ? I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a.permit and work wi1! be in accordance with the approved plan in the event a plan is re ired to be review 4I and approv:.d. ?r%M?I1P, ?rrC Applicant' Printed Name pplicanY Signature "Q ? S ? 2?Lol 2006 RESIDENTIAL BUILDING rERI?uT arrLicaTroN C ?A 3.S City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsW ction Reauirements RemodeVReoair Reauirements Office?llse'Onlv 3 registered si[e survzys showing sq. ft of lot sq. ft of house; and all roofed areas 2 copies of plan showing foolings, beams, joists CeR of Survey Retd - Y_ N (20% maximum iM coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Reoj _ Y_ N, 2 copies of pian showing beam & window sizes; poured fouM design, etc. i site survey for addNOns & decks Tree Pres Required -_Y _ N 1 setotEnefgyCalculations Addifion - indicafeifon-sdesepticsystem OnsiteSepticSystem _Y _N 3 copies of Tree PreservaGon Plan if lot piatted aRer 711193 Rim Joist Detail Options selection sheet (buildirigs with 3 or Iess unifs) . Minnegasco mechanical ventilation fortn Date 11_ / ?' Construction Cost Site Address 1 G 6,t?? bY . UniUSte # a- VZI S zzzo 3zz2 ?zzy 3zz4 Description of Work ??IqLI'qye14 LV1j 6u1S Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 0011K-0mAA) 46J 411W 1 ??4?&te5 Telephone# a IF ? '? S ? ? ApR JU/ ? ? ?Q??fi Contractor ?AISSqI'1CQ 7? ??()? waaress 235? ,f kluoocll ty, ? 13v city Ak ??ove State M? Zip 75?3LCl, Telephone #(?3 ) f?3' ov-/'/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ventila6on Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 monihs, 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 # ( ) 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. t/l/ui 2 2du ?I`lh ?jqrr? ` Appiicant's Printed Name Applicant's Signature s"o-S,n 2007COMMERCIAL PLUMBING PERMrT arrLrcaTroN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN NZN 55122 651-675-5675 Date14 / l1"T ? Site Address I Unit # ?- Tenant Name Former Tenant Name TelePhone # ( /tiz t? ? LI L l O t . - i wner i i Property i Contractor \Npjq??,ej Ciry ? Address ` Telephone # t6)} State License # Expires: a?JI The Applicant is Ovaier ontractor _ OtUer Modify Space _ Irrigation System** _ Yes No Work in public r-o-w / easement? Work Type New Bldg _ pVB: _ New !Y-Repau/Rebuild _ Replace _ Remove )?B.PZ _ -- Rain sensors are re uired on irri ation s stems . Description of Work To inquire if Pressure Re ucing Valve is required on new service, ca? 651-675-5646 Meters - Call 651-675-5646 to verify that hydrostatic, wnductivity, and bacteria tests passed arior to pickine up meter. ItYigarion Size & Type Avg GPM 2" turbo req'd unless smaller size allowed by Public Works 'Fire Size & Price 3/4" meter $] 74.00 Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No Flushometers Yes No PRV Required _ Yes _ No Permit Ree $50.50 nninimum (includes State Surcharge) Contract Value $ x l% Pemut Fee $ Meter(s) Radio Meter Read Required on all r,ew buildings & boulevard ini ation s tems $ , $ ?.JV State Surcharge If oennit fee is less than $1,000, surcha ve is $.50 If pennit fee is more than $1,000, surcharge is $.50 for each $1,000 oweA. Following fees apply when installing new lawn irrigation system $ Watei Permit . Call [he City's Engineering Department, 651-675-5646, for required fee amoun[s ?-- g Treahnent Plant ^ ? ? ? ? ??7 ? I U D s Water Supply & Storage J U N 1 S 2007 g .? state Surcharge g ?. Jv Total Fee 1 hereby apply for a Commercial Plumbing Pertnit and aclmowledge that the information is cnmplete and accurate; [hatthe work will be in confortnance with the ordinances and codes of the City of Eagan and with [he Plumbing Codu;that i understand this is not a permi[, but ooly an ap lication for a emrit, and work is not to Stait i[hou[ a pemiit; that the work will be in accordanCe wiHt the approved plan in the case o orh whic r@quire ie - d appro 1 of p an a. Applicant's Print d Name App nPs . - - , 3a I (�, �3a1 � 3a�� �aaa, 3a�y� 3�a�, Use BLUE or BLACK Ink .------------------ � For Office Use � • j Pertnit#: ! � 1G��11/V � Clt� of ����Il � Permit Fee: � �� a S � 3830 Pilot Knob Road � Eagan MN 55122 � Date Receiverl: �'�� � i Phone:(651)675,5675 I Staff: � Fax:(651)675-5694 � � a��������� �������J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: !� 6 r7-C�� Si�Address: JO��� - ��� �u�X`u'�'�,�� ���� Unit#: �b°-�b��a Name: Phone: ReSitien#/ �?W11�t' ' Address/City/Zip: ��.«D- 3�.Io �U��,(��� �Q-t�� Applicant is: Owner � Contractor ' Description of work: � ���� Typ�Of Work ,,, Construction Cost:� 5 �b Multi-Family Building:(Yes�/No_� Company: l�'F' G�7.- /V• � _ �1�1G• Contact:'�'��V`�+''� C7A�TI�� � COtl�MGt�t Address: �75�� �U.i�IPV� IA(�'�_ ►V�. City: �' 1°n�����(.. state:�l� Zip: �� Phone:IO��05'b��1 Emai�: f��f�-O✓1,�. c�n.C.� �U��� I.� License#: � �1ci-t�� Lead Certificate#: If the project is exempt from Isad certification, please explain why: (see Page 3 for addi�ional information) 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 8�Water Corrtractor: Phone: �11U�TE:Plans atrd sapport�ng dt�cumerrts tha#you subt»it ar+e consic�►►�r�ed to+be prt16l�'c ittlr�rm��rn. Por��ns of ti►e�r+formatton may be c�assi�c�al as nort-p�btic�f you pro�icie�cifie reas�r�s�af wc�ul�`permft#he C�ty to conclude#hat`#he� are trade se�r� ` CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utiliry damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qo�hers#ateonecali.orq 1 hereby acknowiedge that this infortnation is complete and accurate;that the viro�lc will be in confonnance with the ordinances and codes of the City of Eagan;that 1 understa�this is not a permit, but only an application for a permit, and rnrork is not to start withart a permit; that the work will be in acxordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit iasuance. �, _.. x�E�U �a�R�t �lC� x ApplicanYs rinted Name Applican s ignaturoe Page 1 of 3 Use BLUE or BLACK Ink For Office Use cs Permit is f City /s of Ea Permit Fee: Q-Vi c7 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(851)675-5575 buildinginspectionst citvofeaaan.com Staff SEP1 9 7017 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: - Name: . ti rw.3 SAri ta.e.chs 3-,r;r '' Phone: S .^�:ca Resident/ Owner Address/City/Zip:3'9"--( 'v-a v-ctr-47-0-r, cc-31D., Applicant is: Owner X Contractor Type of Work Description of work: i� r 1 1 a ��{ti 4:1•--)K Construction Cost Multi-Family Building:(Yes 14. /No_) Company:5,4'a te# = =�' �•cul „� %rte, Contact VA S'ak Contrs'tCtOr Address: 7---1 :-;‘`' � -� City: 1s,=)�.ac��l=z.v- State:;' `�„ Zrp: 5S<>sL , Phone:44 t Z-3 3-X31.3 Email -x\D License#: 6 3 3 } Lead Certificate#: P 1 1+ 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 8 Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE Plans and suppdocuments that you submit tarbmit areconsidered to bepublicintbmration. P ionthat they s- tine information maybe classiflerdas°non-puf If you provide specific reasons thatwoukf pen»/ttYre Oily are trade secrets. You may subscribe to receive an electronic notification from City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.comfsubscribe. 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. Cali Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 horse before you intend to dig to receive locates of underground utilities. www.00Dherstaateonecali.ora I hereby acknowledge that this information is complete and accurate;that the work will be in conformance With the ordinances anus 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 perm ,t the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. j�Pr - u, -��:7 Applicant's Printed Name APPlicants Signatu Page 1 of 3 • ./ C-0642‘61:AtTW E BELOW THIS LINE 1`9 �79 ' 'SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi SDeck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level — Pool _ Accessory Building WORK TYPES New — Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 1.1__W Occupancy 3 MCES System Plan Review Code Edition /l/ , „i re SAC Units (25% 100% ) Zoning I '' City Water CensuslCode Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction i Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: X" Footings(Deck) Final/C.O. Required Footings (Addition) X Final/No C.O. Required Foundation Foundation Before Backfill ! HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall: Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee f)to LA " A ill I;Alf Surcharge g Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Pill Thi �ry Treatment Plant ) 62 sd Copies ` `"'f TOTAL Page 2 of 3 r` � r For Office Use , , ..°°'° SEB 2 4 2020 Permit#: /6 D :? Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildi nginspectionse.cityofeagan.com 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2/15/2020 Site Address: 3216 Evergreen Drive Unit#: Name: Steve O'Brien Phone: 651-686-6523 Resident/ 3216 Evergreen Drive, Eagan MN 55121 owner Address/City/zip: g g Applicant is: Owner ✓ Contractor Description of work: Kitchen & Bath Remodel townhome Type of Work Q 7 Construction Cost: $3,500.00 Multi-Family Building: (Yes ._/No • Company: Allrounder Remodeling Inc. Contact: Eric Bader Contractor Address: 6845 Cloman Avenue City. Inver Grove Heights State: MN Zip: 55076 Phone: 651497-771d Email: Eric@AllrounderHomes.com License#: BC689778 Lead Certificate#: If the project is exempt from lead certification, please explain why: built in 1986 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 Piens and suppoteng documents that you submit are considered to be public information. Portions of the information may be dstatilfadae non pubic if you provide specific reasons that would.perm#the City to conclude that they are trade secrets. 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.comisubscribe. 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Eric Bader Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE /‘, £ ' - SUBTYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) T Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi — Deck r Porch(Screen/GazebolPergola) _ Miscellaneous _ 01 of Plex _ Lower Level _ Pool — Accessory Building WORK TYPES New _ Interior Improvement _ Siding — Demolish Building* — Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation — Replace — Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation E±aa_0 Occupancy p y pt & MCES System Plan Review Code Edition tv ( SAC Units (25%_100%J Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 6 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) 7( Final I No C.O. Required _ Foundation Foundation Before Backfill // HVAC Service Test Gas Line Air Test Hood Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final r Framing 30 Minutes 1 Hour Drain Tile Fireplace: "_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: /Vii , Building Inspector RESIDENTIAL FEES Base Fee 6,771i Surcharge Plan Review /11P-}",,, )97 °°42 MCES SAC City SAC (--"fig, Utility Connection Charge S&W Permit&Surcharge Treatment Plant V4,161/1 .1 �P/(p,�,/ /0 Radio Meter Read I `" , .�f Copies TOTAL2 7 Page 2 of 3