3225 Evergreen Dr-, . ;>,c-.•.:,F,?,s. ?, --77
CITY OF EAGAN ?
• 3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55721 AT l? 00 9 157
PHONE: 454-8100 ?
BUILDING PERMIT ` Receirst #
Site Address _
Lot E
Parcel No. -
0? Name _
z Address
City -
=F Name _
?? Address
F- City _
tw W Name _
_ Phone
?
. : ,
' Erect
?i;l.T; I:IGHLAI ? Occupnricy
•y
t p Zoning
Repoir ? FlreZone
Enlorge
I:VC ? Type of Gonat.
3 .? BOX •399 _ Move
Demolish ?
? # 5tories ?
Length `?' 'y
?' ? ? Z Grode ? Depth 3767 Sa. Ft.
I hereby atknowledge thot I have read this applicution and state that
the information !s correct arid ogree to comply with oll cpplicoble
State of Minnesata Stotutes and Ciry of Eogon Ordinonces.
Signnture of Permittee
Permii 1) • 0 0
Surcharge ' V • 0 01
Plon check?? ?
sAC 5 12 s . a o
e,7.oo
Water Conn.
Wafer Meter .00
Road Unit co
Total
A 8uilding Permit is issued ta: on the express tondition ihcr+
pll work sholl be done in occordonte wifh oll applicable Stote oi Mlnnesotn Statutes ond City of Eoflon Ordirwnces.
Buildinp Officlol , -
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
E )''? 6
H.V.A.C.
w.u
Water
Disp.
Sevwe?
Electric J
Inspection Date Insp. Other
Foot?ngs 'I
Foundation V/6 r
Framing
we?
Rouyh Plbp. a•13 "? ? ' - ?? ? ?
Roueh HVAC
Insulation
Final Plbq.
Final HVAC
Finai
Water Dese?ibe Location:
Well
Sewer '
Pr. Disp.
CASH RECEIPT
C1TY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
.
. . ( .
DATE 19
RE EI EO
OM
AMOUNT $ I?
OOLLARS
J A .I 32 , 00
/? GASH tZCHEGK
i . ,? Ly L
FOR
. . . . . ? . . 1 ..? . . ? . . ?
FUND CODE AMOUNT
) J
-714
I
Thank You'"
4 F `,-,3 t,
'7". .5'o
?
z7.y?
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
Fol offlce Use I
Permit to
City of Eaoa~
e1 b I Permit Fee: _ ct5 I
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Il I
Fax: (651) 675-5694 I Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: } l
Site Address: S- ®p. 1J 01/- ~ /Nb
Tenant:
-2- Suite
RESIDENT /OWNER Name: ~01-11f4 4W 11A)t~5' t WNqS.Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: ~r 12oei►
Construction Cost:
- oo Multi-Family Building: (Yes X / No )
~14
CONTRACTOR Name: Rcor (20 Z ~A .ANC. License 0201 ']a 15-3
Address: Au~ IV-E City: ST
State: /4/AJ Zip: S_'S_s 7/ Phone: 76 3 _ S+S_~ _ 0 y ~/y
Contact: 2 (Z'7 Email: • V'" ~ b~ 0 \rO OT' Ce1 011 e Co r;
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 may be 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.oM
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.
I
X-1 S X-
Applicant's Printed Name Applicant's Signature
Page 1 of 2
CITY OF EAGAN Remarks I V'
Addition ' COACMAN NIGHI.ANDS Lot 24 Rlk 1 Parcel 10-18075
o'vuner screet 3235 EVERGREEN DRIVB stace EWAN MN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ZV 1975 Paid und r arcel 10 750 010-03
STREET RESTOR. 1-9 1974 to it
GRADiNG 1007 1986 354.14 35.41 10
SAN SEW TRUNK G4 0 196$ Paid und arcel 10 2750 0i0-03
SEWER LATERAL 1984 11 <i
• WATERMAIN 1972 Paid und r arcel 10 2750 010-03
WATER LATERRL ZgZ 1975 of
+? WATER AREA 1472 it
1VATER LATBRAL 28 1975 " " "
STORM SEW TRK ? 197g +f is it
STORM SEW LAT
CURB & GUTTER
SIDEWALK
5TFEET LIGHT
ROAD UNIT $260.00 #44005 6-12-84
WATER CONN. 470.00 If
BUILDING PER. #9197 ir
sAC 525.00
PARK
CITY OF EAGAN Remarks biv' 41 1r, < < f-,
Addition COACHW HlGliI.ANDS Lot 25 Blk 1 Parcel I0-18075-250-01
owner Street 3233 fiVERGREEN DRIYE state EACAN MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. Z10 1975 Psid und aTCO1 ZD 2750 Q10-03
STREET RESTOR. ' 1974 11 to of
GRADING 1007 1986 354.14 35.41 10 C'- 16O /4-/S-XS
SAN SEW TRUNK 1968 Paid und r aresl 10 2750 -010-03
SEWER LATERAL 1984
? WATERMAIN 1972 Psid und arcal 10 Z750 010-03
WATER LATERAL 2S?Z 1975 of
* WATER AREA 1972 01
MATEit LATERAL Z- 1975 " " "
STORM SEW TRK ?g 1975
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 44005 6-12-8
WATER CONN. LF]Q.QQ
BUILDING PER. #915 n of
SAC
PARK
CITY OF EAGAN Remarks
Addition * COA?CH IAN HIGHI.ANDS Lot 29 eik Parcel 10-1$075-290-01
Owner streec 3225 BVERGRBEId DRIVE state HAGAN MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1-70 1975 paid und T 8TcO1 lO Z7SO OlO-O3
STREET RESTOR. 1974 tl n n
GRADING 1007 1986 354.14 35.41 10 3.5 0-1672-1 /0-4- S
SAN SEW TRUNK 4 196$ Paid und r dtCel 10 27rJO 010-03
SEWER LATERAL 1984 N n tf
• WATERMAIN 1-11 1972 Paid 1111d r arcel 10 2750 -01a03
WATER LATERAL ZSZ- 1975 11 It to
* WATER AREA 1972 It to if
IYATER I.ATERAL Z97, 1975 " " "
STORM SEW TRK ? 1975 11 to
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 #44005 6-12-84
WATER CaNN. 470.00 n u
BUILDING PER, n n
SAC 525.00
PARK
? CITY OF EAGAN Remarks ' ? ?? I ? I Gf < < _
Addition COACH?1AN HIGHI.ANDS Lot 26 Bik 1 Parcel 10-18875-260-01
I owner street 3231 EVERGRF.P.N DRIVE state FAM MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 2"70 1975 p r - 1- 3
STREET RESTOR. 1974 n n
GRADING 1007 1986 354.14 35.41 10
SAN SEW TRUNK IfO 1968 Fiad u11d r il"CQZ 10 Z7rJOd -01d-03
SEWER LATERAL 1994 t? t1 tt
* WATERMAIN ? 1972 Paid WLd u'CfJl lO 27SO -OlO-Q3
WATER LATERAL SIZ- 1975 81 of
• WATER AREA 1972 of is
MATSR LATBRIIL 2 1975 " " ro
STORM SEW TRK ?$ 1975
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 4005 6-12-84
WATER CONN. 470.00
BUILDING PER. #9159 'r 11
SAC 525.00
PARK
CITY OF EAGAN Remarks
Addition CQAC!NlN HIGHI.AND3 Loc- 27 Rik i Parcel 10-18075-270-01
owner street 3229 EYERGREEN DRIVE state EAGAN MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 2
STREET RESTOR. $ - 1974 to
GRADING 1007 1986 354.14 35.41 10 -J?S
SAN SEW TRUNK
SEWER I.ATERAL 1984 t' of
-
1e WATERMAIN ? t
WATER LATERAL 7 1975 n n H
t WATER AREA 1972 11 to of
NATER LATERAI, ?!Kz 1975 1? tl 11
STORM SEW TRK N n n
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 44005 6-12-84
WATER CONN. 470.00
BUILDING PER. k n n
sac 525.00
PaRK
CITY OF EAGAN Fiemarks ?,
Addition C???N ??? Lot 28 Rlk Parcel
ow-er street 3Z27 BVERGREEN DRIVB State EAGAN M 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 7,10 1975 pa d und Ol 10 7500 010-03
STREET RESTOR. 1974 n n tI
GRAOING 1007 1986 354.14 35.41 10 -/67 20 - /S -?s
SAN SEW TRUNK 1968 Paid und alCel 1 7504 010-03
SEWEF LATERAL 1984 11
f WATERMAIN / 1972 Paid und arcel 10 275 010-03
WATER LATERAL 1975 u if
* WATER AREA 1972 *t rt n
11 t1 11
STORM SEW TRK 226 1975
ie
?I
11
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 4005 6-12-84
WATER CONN. 470.00 "
BUILDING PER.
SAC 525-.00
PARK
CASH RECEIPT
C1TY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
.
. . ( .
DATE 19
RE EI EO
OM
AMOUNT $ I?
OOLLARS
J A .I 32 , 00
/? GASH tZCHEGK
i . ,? Ly L
FOR
. . . . . ? . . 1 ..? . . ? . . ?
FUND CODE AMOUNT
) J
-714
I
Thank You'"
4 F `,-,3 t,
'7". .5'o
?
z7.y?
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT
? ?.
CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
r DATE 19
wac e?v eo-.._- • ?
?+4e??
/ I
AMOUNT
& DOLLARS
?ao
? CASH ? CHECK? - -:,-
/
FOR
FUND CODE AMOUNT
Thank You
; .? 40
B Y `15c? , J?
L?? ?-
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN ?J? 9162
- 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121
• PHONE: 454-8100
BUILDING PERMIT Receipt
T• rm w.a sa. 1 OF 6 PI.Ex ce. v..i,.. $72.000 ,ti,.e JUNE 11 84
Site Ad Ze
Lot
Parcel No.
? Neme
Z Addre
? City _
Ernect r] Occuponty i`1
?if? p zoninp R
Repoir ? Firo Zone N
Enlarye Q Type of Const. V
Move
Demolish ?
? # Stories
Length a ? ` '
Grade ? Depth ? ?> Sa. Ft.
o Name
?? Addre
r City _
Nane ?+a.?v?aua?aaauu aLL?\r?l?iLi?.lVf?iJ ;a?\
,
Addrg? ` ` . 571-5550
City ts Phone
I hereby acknowledge fhat I have read this applicution and state that
the information is wrrect ond ogree to comply with oll opplicable
Stote of Minnesoto Stotutes ond Ciry of Eogon Ordinonces.
Assessment _
Woter 8 Sew.
Police
Flre
Enp.
Plunner
Council
Bldg. Off. _
APC
Permit • 60
Surchorye 36.00
Plon check 174.50
snC 525.00
Water Conn. 470.00
Water Meter 63.00
Rood Unit 260. 00
Totcl $ , • 5 ?
Sipnature of Permittee I
A Bullding Permit is issued to: BHUT(;Er< COMPAPvIES I.NC on the expreu condifion thnt
all work sholl be done in occordonce with oll )ooble State, of Minnesoto Stotutes ond City of Eayan Ordinances.
Bufldinp Official 'r%
,
Psrmit No. Permit Holder Misc. Permit No. Holder
Plumbiny ?f •? ? ? ? ? / ?
H.V.A.C.
Wall
Watsr '
D'esp.
Sewer
elec.ic
Irapection Date Inap. Other
Footinpt g ? B
Foundation '?/; 03 ,?'?t
Framioq 6
Rouph PIb9• ? ,j• ? ^? - yB?
Rouph HVA ' 1/1
?? -f aAC o N y P G4ys*S ?Q
Inwlation
Final Plbp. -
Final HVAC
Final
Wa"r Describa location: •
YVell
Sewer
Pr. Disp.
CITY OF EAGAN ?.? 9is1
, 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 .
PHONE: 454-8100
BUILDING PERMIT Receipt # 5 l
I To be amd /or 1 OF 6 PLEX Et, ya,,, 558, 000 Date JUNE 11 19 34
SiteAddrese 3233 EVERGREEN DR R1
Erect
? Occuponcy
i] c
1 . 7l COACHMFtN l? tGtILAN Rer Zoning
25 Sec/Sub
0
Lot Block DI/A
Percel No. 10-18075-250-01 Repoir ? Ffre Zone
SF;UTGER COMPAN I FS I NC Enlarpe p Type of Const.
oc Name Move Q # Stories
; Address '' • • P.O. OX 95
Demolish p Length i `
b City Phone Grode ? Depth -3y 'erlSa. Ft.
Name Jt?? npprovou
g
?? q?reBS Assessment
?- City Phone Water & Sew.
toc E3LU1ALNTA7.S ARCHI`!'ECTUi2E INC Police
P
,,,W Name
S t?`jIT DR NO Fire
z
?? Addres
' S 5 0 En
0•
W. W City hone Plonrwr
I hereby acknowiedge thaf I hove read fhis opplicotion and stote that Council
gldg. Off.
the inlormntion is correct ond ogree to comply with oll appiicuble
Stute of Minnesote Stotutea ond City of Engon Ordinonces. ^PC
Siprtature of Permittee
/1 Building Pemiit Is Issued to:
oll work shall be done in octo
Buildinq Officiol
Permit $ 307 . 00
su?cha?ge 29.00
Plon check 153.50
sAC 525.G0
Water Conn. 470.00
Water Meter 6 ± • c 0
Road Unit 2 L,-k- U
Totol !f'bO7 . 50
INC on the express Gwdition thnt
Statutes end City of Ewan prdinonces.
Permit No. Permit Holder Misc. Pe?mit No. Holder
Plumbinq L
H.V.A.C. Lq 21
Well
Water
Disp.
S?wer
ehW.ic 3 9517 !?Q onsr '? t? qo . e v
Irnpection Date Insp. Other
Footings 7
Foundetion
Framinq c r
Rouph PIbY.
Rouyh HVA o1
Inwlation
Final Plbg. ?
Final HVAC
Final
Water Dewxibe Location: .
VYell
Sswer `
Pr. Dbp.
CITY OF EAGAN n
•+ 3830 Pilot Knob Road. P.O. Box 21-199, Eagan, MN 55121 ?p? 1\ ? 9161}
• PHONE: 454-8100
BUILDING PERMIT Receipt
T. bs au?d fer 1 OF 6 PLEX FM v„?,,. $58, 000 n„.e JUNE ].l oii4
Site Address ?"_'" `. . ""•" ""`• "y` Erect Ef' Occuponcy A'%.L
Lot 26 Block 1 Sec/Sub.COACHMAN HIGHLANLk%er ? Zonin9
Parcel No, 10-18075-260-0I
Re
oir ? Fire Z
,
p one
Enlarge
BRUTGEZ COMPAPaIF',S INC ? Type of Const.
rc
= Name Move
WOOD 13R ., P. O. BOX 3 9 9 p # Stori7?
?
? Addre
City %
Demolfsh
LOU Phone 2_`i 2 - 6 z f) ? Grade 0
n Length
Oeoth,?% `-- Gr, Ft
Phone
Assessment
Woter 8 Sew.
, Police
' Fire
Erp.
Planner
Council
Bldg. Off.
APC
Permit Y `j v i. v v
Surcharge 29.00
Plan check o 0
SAC
Water Conn. ' o o
Water Meter 0
Rood Unif ` F t) . 00
NaTIB "'rva-.ua?arLU.? c?I?t.ai.laL?.1u:.[r:? ilv
Addr SUMI"9IT bR NO
? , Cr' •,
City ' Phone -
I he?eby acknowledge that I have read this opplication and state that
the informafion Is correct ond ugree to comply with oll opplicabla
Stote of Minnesoto Stctutes and City of Eogan Ordinonces.
5lgnoture of Permittee
A Building Permit is issued to: Br'UTGER COMPANSE
all work shall be done in accordonce witfi oH opplicable State of Mii
Building Offitiol
Torol IT . 5 0
INC on the express condition that
ota Stntutes cnd City of Eogan Ordinancea.
Permit No. Permit Holder Misc. Permit No. Holder
Plum6in9
H.V.A.C. y? ? f?. ? ?a? Ja
weu
Water
Disp.
Sawer -
Electric vQ • v?
Inapection Date Insp. Other
Footings ?
Foundation
Framing
Rouph Plbg. ..6' y
Rouph HVAC ?
Insulation
Final Plbg.
Fioal HVAC ? ca
Final $
Deswihe Location:
E
-
r
m
p.
. '
BUILDING PERMIT
Site Address
Lot 27
Parcel No. _
58
cir un Eroct lb
COACHMAN HIGHLAI" 0
-01 Repoir ?
ANIES ID1C Enlorye p
••a,Q ve
SUNWnOD DR., P.O BOX 399 Mo p,
Address pernolish D
C ity c T CLOUD phone 2 5 - 6 2 6 C,rude ?'
Addreas
City Phone
rvame
Addre?
City Phone 571-5550
ocknowledge that I hcve read this application ond state that
motion is correct ond ogree to comply with oll oppliceble
Minnesota Stofutes and City of Eogon Ordinarxes.
OccuponCy ••y
Zoning R
Flre Zone N A
Type of Const. V
# Storie}
Length ? r^
fl......?
Fees
Pertnit $ -70 7 • 0 0
su.cha?9e 29.00
Plon check 153.50
5AC 525.00
Water Conn, 470.00
Woter Meter 63.00
Rood Unii 260.00
Totol • • 5 0
Assessment
Water 8 Sew.
Police
Fire
Enp.
Plonner
Council
Bldg. Off,
APC
Sipncruro of Permittea
BRUTGER ES
A Bulldiny Pertnit Is issued to:
oll work shall be done in oooordonce with olI oppliooble Stote of Minnef
Bufldinp Officiol _ v!l -/ A j '
CITY OF EAGAN N. ? 9i59
3830 Pilot Krab Road, P.O. Box 27-199, Eagan, MN 55121
PHONE: 454-8100
Receipt
6 PLEX
INC
on the express conditlon ehni
and City of Eopon Ordirwnces.
Permit No. Permit Holdsr Misc. Permlt No. Holder
ff .?6? J1 S
y C _ &n k,._- I '1) 9 . z
Wall
Disp.
ESewer
Ekctric !~ i f?{ YO • Q t?
Irqpeetion Deto insp. Other
Footinyc 7 7
Foundation
Framinq
Rouph Pibq.
Rouph HVA
Inwlation
Final Plbq. /?jf a ?,(J
Finsl HVAC l
Finel
water Describe Location:
VYell
Sewer
Pr. Disp.
CITY OF EAGAN
. ,, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDiNCs PERMIT
Te be wad fer 1 OF 6 PLEX E? ya?1e $58, 000
N° 9158
Receipf #
DntP JUNE 11 l0 84
SiteAddreaa 3227 EVFRGREEN DR Erect
? K1
a?u??ty
Lot , ?- 8 Block 1 ?/Sub, COACHI'+IAN H IG
? ?•
}1Lr,"l?, F 3
?
1
Percel No. 0-18075-28U-01 Re?fr 0 F? e
? N A
Enlarfla p Type ot Const. V
oc Name HRUTGFR COMPAIVIES IItiC Move ? # Stories
Z
g Address 1 SUNWOOD DR., P.O. LOX 399
?"?liah
p
Length?Zy
City ST CY,OUD Phone 252-6262 Grode p Depth,31'E " Sq. Ft.
?` Name SAI'.E
?? Addresa
r City Phone
Name yLVI'iLiLI is'liJJ M\.1111Li1.1 Vl\Ii iLT
Address SUMMIT DR NO
City BRKLYI4 CTR Phone 571-5550
I hereby ocknowledge that I hove read this opplicotion and stote that
the information is correct and ogree to comply with oll opplicoble
State of Minnesoto Statutes and City of Eagon Ordincnces.
Sipnature of Permittea
/1 Building Permit Is issued to: BRUTGER GOtr1PAN I E,
Assessment
Water 8 5ew.
Police
Firo
Enp.
Plonner
Council
Bldy. Off,
APC
otl work sholl be done in occordance witli All appliooble 5tote of Minnesoto
Buildinp Official
? -r
Permit " -' %j r. v v
Surcharye 29.00
Pian check 153.50
sAC 525.00
Water Conn. 4 7 0 • 0 0
WnterMeter 63.00
Road Unit 2 6 0. U 0
Total , • SO
on the express tondiTion thni
and City of Eoqon Ordincnces.
Permit No. Parmit Holder Misc. Permit No. Holder
Plumbinp
K l{
H.V.A.C.
Well
Water
Disp.
Ssvwr
Electric ? 9
Inspection Date Inap. Other
Footings 7
Foundetion )
Framing
Rouyh Plby.
Rough HVAC ?
Inwiation
Final P16g.
Final HVAC S
Final
Water Daeribe Location: _
YYeli
Sewer -
Pr. Disp.
- CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILD?VG PERMIT Receipt # ?
Tnhc ucce1 fnr IPjREPLOM
$if00
? ?.0 16542
m 13
Site Ad ss JZT9 ?BN DR
Lot ?? Block Sec/Sub. C?C?N OFFICE USE ONLY
PSfC@I N0. Occupancy - FEES
mAaT{ nmm1.L Zoning - 25•00
W Name (Actuaq Const Bldg. Permit
.
? AddfeSS (Albwable) e .50
- S
cha
rg
ur
City Phone # ot Stories -
Plan Review
?p, Length _
F 1{+.AT-?'-C+r?
Name
Depth
- SAC, ciri
=
Address S.F. Total -
SAC, MCWCC
? City Phone S.F. Footprints - .,
water Conn
?
On Site Sewage
_
F W Name On Site Well - Water Meter
=
Address
MwCC System T
<W CIt/ PhOf18 Ciry Water _ Acct. Deposit
S/W P
rmit
PRV Required e
-
I hereby acknowlege that I have read this application and state that the Booster Pump - gM/ Surcharge
information is correct and agree to comply with all appiicable State of
Minnesota Statutes and Cityof Eagan Ordinanc
7reatment PI
Signature of Permitee ? APPROVALS Road Unit
NEAT-N-C1.0
A Building Permit is issued to: Planner
- Park Ded.
on the express condilion thal all work shall be done in accordance with all Council -
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pry. _ Coples
25
5
Building Olficial 1'
Vanance .
0
- TOTAL
Permn No. Per,,,n Hade. wte Telephone #
WATER
SEWE'.i
PLUAABING
H_VA.C.
EIECTRIC
Inspectlon Date Insp. Commer+ts
Foolings I
Foundation
Ftaming
Roofing
Rough Plbg.
HoucJh Ht9.
Isul.
FvepLace
Final Htg.
Final Plbg.
Consl. Meter Plbg. Inspector - Notify Plum6er
EngrJPlan
Bklg. Final
NDisp.
-, . ;>,c-.•.:,F,?,s. ?, --77
CITY OF EAGAN ?
• 3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55721 AT l? 00 9 157
PHONE: 454-8100 ?
BUILDING PERMIT ` Receirst #
Site Address _
Lot E
Parcel No. -
0? Name _
z Address
City -
=F Name _
?? Address
F- City _
tw W Name _
_ Phone
?
. : ,
' Erect
?i;l.T; I:IGHLAI ? Occupnricy
•y
t p Zoning
Repoir ? FlreZone
Enlorge
I:VC ? Type of Gonat.
3 .? BOX •399 _ Move
Demolish ?
? # 5tories ?
Length `?' 'y
?' ? ? Z Grode ? Depth 3767 Sa. Ft.
I hereby atknowledge thot I have read this applicution and state that
the information !s correct arid ogree to comply with oll cpplicoble
State of Minnesata Stotutes and Ciry of Eogon Ordinonces.
Signnture of Permittee
Permii 1) • 0 0
Surcharge ' V • 0 01
Plon check?? ?
sAC 5 12 s . a o
e,7.oo
Water Conn.
Wafer Meter .00
Road Unit co
Total
A 8uilding Permit is issued ta: on the express tondition ihcr+
pll work sholl be done in occordonte wifh oll applicable Stote oi Mlnnesotn Statutes ond City of Eoflon Ordirwnces.
Buildinp Officlol , -
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
E )''? 6
H.V.A.C.
w.u
Water
Disp.
Sevwe?
Electric J
Inspection Date Insp. Other
Foot?ngs 'I
Foundation V/6 r
Framing
we?
Rouyh Plbp. a•13 "? ? ' - ?? ? ?
Roueh HVAC
Insulation
Final Plbq.
Final HVAC
Finai
Water Dese?ibe Location:
Well
Sewer '
Pr. Disp.
t-)g-g4
< e
Fee
S/C
Tot. 1 ? ?s C
i '? y
1. Date 22. nstallation
Cost
;? .
3. Job Address 3 1 3?- 4 Lot L Bik. (Wat?A-
4. Owner
p 11 v
5. Contractor Phone
6. Address
7. City State
2ip
8. Building Type: Residential ? Eommercial O Institutional O
9. Work Descriptian: New 0' Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No,
? Epuioment 8TU - M. Ea.
Forced Air No. Equiament CFM
Air Handlin
:
Mfg. ? g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
? Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes gogorn his type of work.
Signed: ?. ?rr.?/? -'-• ?r
?
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
PERMIT Pernait No.
Receipt L'1 MECHANlCAL PERMIt Permit No. ? t,? r}.
CITY OF EAGAN Fee
fill in numbered spaces S/C
Type or Print /egibly Tot.
1. Date 2. Installation Cost
. ,`l't=" ( ( .d C ?1. ? ?. ?
3. Job Addreu 3 Z 3 3 '" Lot?Blk. ? Tract ?
4. Owner
5. Contractor Phone -t
6. Address
7. City
State
Zip
8. Building Type: Residential ET" Commercial ? Institutional ?
9. Work Description: New Cfi Add ? Alter ? Repair ?
10. Descri6e
11.
Type
Na.
' Equinment STU - M. Ea.
Forced Air i L No. Equipment CFM
Ha
Ai
dli
Mfg. . r
n
ng:
Boilers
Mtg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Z Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances andcodes governin this type of work.
?
Signed : 4=--_ for
? Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
MECHANICAL PERMIT
RECEIPT #
CITY OF EAGAN ,
3e30 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Addr ess ? F ?. r
' BLDG. TYRE WORK DESCRIPTION
? Lot?
Bloek S /Sub
? Res. ?- New
Mult Add-on
' Name
°-
I .g
Address
' Comm. Repair
c City ( i" Phone r - ??
s
? Name e P C
'Y
'
'
y FEES
RES. HVAC 0-100 M BTU -$24.00
c AddreSp. ?-
<< ?
r' ? {• ADDITIONAL 50 M BTU - 6.00
O CitY Phone ?-? ? C?UDES A/C ON NEW
N
C
?
-
ONSTRUC
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. .?
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE .?
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler
BT TOWNHOUSE & CONDOS - RES. RATE APPUES
M
U MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00 f
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES '
Gas Piping Outiets # ? BEYOND $1,000)
Other
FEE
S/C: SIGNA P ? -
TOTAL•
FOR: CI O EAGAN
FiII in numbered spaces
Type ar Prini /egibly
Fee 1"'
S/C
Tot. > r
1
1. Date 2. Installation Cost
3. Job Address ? ;a -z S ? ??^v ot ? Blk.
4. Owner
5. Contractor Phone
6, Address
7. City
State
Zip
8. Building Type: Residential e Commercial ? Institutional ?
9. Work Description: New'ff Add ? Alter ? Repair O
10. Describe Fuel Type
11,
No, Eauipment BTU - M. Ea.
Forced Air y G' No. Equipment CFM
Ai
H
dii
:
Mfg. an
r
ng
Boilers '
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
' Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree ta
oomply with all ordinances and codes gqvemin this type of work.
?
Signed:
Rough Final
Inspections: Uate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Permit No.
c _';? t _0
JICAI. PERMIT
OF EAGAN
Permit No.
Fee ?'c> c c
SIC
Tot L? 3 -G
1. Date 2. Installation Cost
3. Job Addreu 32 ?.? ot -? (? Bik. ?
4. Owner
State
5. Contractor Phone ?% Z 3 - •' ' `? ?1
6. Address
7. City
8. Building Type: Residential ?
9. Work Description: New f:f
I 10. Describe
11.
Tract
Zip
Commercial El Institutional ?
Add 0 Alter O Repair ?
Type
No. Eauioment 8TU - M. Ea.
Forced Air No. Equiament CFM
Ai
H
dli
:
Mfg. r
an
ng
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
` Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes gov rnm this tYpe of work.
Signed :
7 -"or
" Rough Final
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt
g -?j- t`f
111CAL PERMIT
OFEAGAN
Permit No.
Fes j r• C f
s/c
Tot. z-,r, . 1!J
1. Date 2. Installation Cost
3. Job Address 3 2, 7 LB kTrecJ
4. Owner
5. Contractor Phone
6, Address
7. City
State
8. Building Type: Residential Q"' Commercial ? Institutionai O
9. Work Description: New PI Add O
10. Describe
11.
Fuel Type
No.
? Equioment 8TU - M. Ea.
Forced Air No. EquiPment CFM
Air H
ndli
Mfg. a
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
? Gas, Piping Outlets
12. I hereby oertify that the above information is true and correct, and I agree to
comply with all ordinances and codes gover ng this type of work.
- j?
Signed : ?or
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Alter O Repair O
MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
fill in numbered spaces S/C
Type or Prini legibly Tot. t-z= S•" u
1. Date 2. Installation Cost
3. Job Address 3 '1 Z -7 Bik. T?act
4. Owner
5. Contractor Phone `/ L
,
U
6. Address
7. City
State
Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
11,
No. Eouioment BTU - M. Ea.
Forced Air y G No. Equipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes goueaing this type of work.
Signed : ?72? !? for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 454,8100
y,-
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
< <? Fee
Fill in numbered spaces S/C 'TypB orPrint /egib/y Tot.
1. Date 2. Instaliation Cost ?
3. Job Address f7--=4LotBlk. Tract --
?-
4. Owner
5. Contractor Phone
6. Address J i . -o
7. City ?-L' State Zip ' ? '• . `-e?
?=---?
8. Building Type: Residentiay0- Commercial ? Institutional ?
9. Work Description: New--ffr Add ? Alter El Repair ?
I 10. Describe
I 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
? Shower Well
_L Kitchen 5ink
Urinal/Bidet
Other
Laundry Tray
L Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
-171 Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numhered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERRAIT • Permit No. CITY OF EAGAN
, Fes
' Frll in numbered spaces S/C •
Type or Print /egib/y Tot.
1. Date `f2. Installation Cost ? I
, 3. Job Address i.Lot Blk. ? Tract
4. Owner r ?
Phone
5. Contractor ,i. r,
6. Address ?
7. CitY r- ? State y:r . Zip
8. Building Type: ResidentiaJ,.E?" Commercial O Institutional O
9. Work Description: Nevti,42'- Add ? Alter ? Repair ?
I 10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
4_ Shower Well
' Kitchen Sink
,
Urinal/Bidet
Laundry Tray
Other
? Floor Drains
Drinking Ftn.
-- - -- - ------
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : `'for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when num6ered and approved.
Approved _ CITY OF EAGAN 454,6100
Receipt
U
PLUMBING PERMIT.
CITY OF EAGAN
? Fill in numbered spaces
Type or Print /egib/y
1. Date 2. Installation Cost
Parmit No. ? -
Fee
S/C '
Tot. - ? ?
'? .
3. Job Address i' I Y? Lot ? Blk. ? Tract
,?-
4. Owner
5. Contractor I Phone ' .?
6. Address i' i :"?r • ; , , ?;. ' ? C ; ?.
7. City State .1 )'?k ) 2ip
8. Building Type: Residential ,13" Commercial ? Institutional ?
9. Work Oescription: Nevy.f!l? Add ? Alter ? Repair ?
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
? Lavatory Softner
?L_ Shower Well
?
i Kitchen Sink
? Urinal/Bidet
Laundry Tray Other
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
camply with all ordinances and codes governing this type of work.
Signed . for
Rough ? f inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8700
Reoeipt PLUMBING PERMIT • Permit No.
V CITY OF EAGAN
Fee
Fill in numbered spaces S/C ?
Type or Print /egib/y Tot.
1. Date ? 2. Installation Cost
3. Job Address -: - ?-IT=•Lot Blk. Tract
_x
4. Owner ?
5. Contractor ?•' ? Phone
?
fi. Address ? ? - . i• ._
7. City State ?iI!Zip '`, .-
8. Building Type: Residential Z3'' Commercial D Institutional ?
9. Work Description: New,Ef Add ? Alter ? Repair ?
I 10. Describe
I 11.
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $eptic Tank
i Lavatory Softner
Shower Well
? Kitchen Sink
Urinal/Bidet Other
Laundry Tray
? Floor Drains
Drinking Ftn.
---
Slop Sink
Gas Piping Outlets '
12. I hereby certify that the above information is true and correct, and I agree to
comply with all-ordinances arld codes governing this tYpe of work.
Signed : 'c f Z ' for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
. _' f`/
Receipt PLUMBING PERMIT. • Permit No. ! `? ? ?
CITY OF EAGAN
Fee .
Fill in numbered spaces S/C
Type or Print legib/y Tot -
.
1. Date 2. Installation Cost '
r .
3. .lob Address f; r t r? +Lot Blk. ? Tract I?
IrT
4. Qwner
5. Contractor Phone
6. Address
7. City ! 1 ?? ? t??"C? ? State Zip
8. Building Type: Residential,0' Commercial ? Institutional ?
9. Work Description: New-Ef Add ? Alter ? Repair ?
1 10. Describe
I 11•
No,
; Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
/ Lavatory Softner
Shower Well
? Kitchen Sink
Urinal/Bidet
Laundry Tray Other
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Slgned . ' fOt
• Rough ' Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Raceipt ? PLUMBING PERMIT • Permit No. ? -' ?•f '
CITY OF EAGAN Fee
Fill in numbered spaces S/C
TypP or Print legibty
Tot x) ?
1. Date 2. Installation Cost
-,
3. Job Address ?-%! ' • ? Lot Bik. Tract '
t;?l
4. Owner •. , { .-,rt-, ; + ?
5. Contractor C L ± Phone
6. Address
7. City , State t ° Zip i_
8. Building Type: ResidentiaLC'1? Commercial 0 Institutional ?
9. Work Description: New.rB'- Add ? Alter O Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $eptic Tank
/
T Lavatory Softner
/ Shower Well
?
? Kitchen Sink
Urinal/Bidet
Laundry Tray
Other
?
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this tYpe of work.
Signed for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Site Address
Lot Block o? See/Sub
Name
, Addres5??G ?t` ?'- ?
y Phone
? Name
3 Addr 3 ? ,??' -,F,?
p City Phone
FEES
COMM/IND FEE - 19'o OF CONTR AG7 FEE
MIMlMiJM - RESlDE1VTIAL FEF - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMI7TEE
FOR: CITY OF EAGAN
PERMIT #
PLUMBING PERMIT AECElP7 # 0 e
CIT1f OF EAGAN / , a ?, _ , `
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
PHONE: 454-8100
v ?`?•?J `'BLDG. TYPE WORK DESCRIPTION
NBw
Mult Add-on
Comm. Repair
Other
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 - $9.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Soitener - $5.00
Well - $10.00
Private Disp. - $10.00
Raugh Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL• S^ S d
.. GAS WORK ORDER
1082 Payne Ave. STAN DARD
St. Paul, MN 55101
651/772-2449 46HEATING09
& AIR CONDITIONING
A Blue of' Service Co. EQUIPN
LAST L vNh??a?? FIRST TYPE
CITY ?a-e-,4,.) ZIP
HM PH ?&?'/ 6A /-?o S3 WK PH
TECH Z'41.r-, r- Y DATE_
410 W. Lake St.
Minneapolis, MN 55408
612/824-2656
ORSAT TEST RECORD
C02 % METERED INPUT Cfh CHIMNEY TYRE
02 % LIMIT SETTING app ° FLUE SIZE
CO % PILOT OUTAGE CONNECTOR?SIZE S?- in.
NET STACK TEMP -e- I4 0 TOTAL CHIMNEY INPUT btuh _
' CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS: ' - 14 ' 10 1?'07S-- -"9H - 01
llii• .'<) filn('K -
I F-
Y
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
i21:i _ llfdl
-1
J
?
'3,".'."'?:• t Vi:Frtil?FFN (lR fifl''llc.lEI. lJIN(7tlb! rv tiil)iW13
PERIIAIT SUBTYPE: TYPE OF WORK:
PermR Haldsr Qate Tehphone M
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Commants
FOOTINOS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBINO
PLBQ
AIR TEST
ROUGH
HEATING
GA5 SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBQ
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCriviTv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
P. O. Box 21199
Eagan, MN 55121
Zoning: PU
13r
Addrcss:
B
t
_?" ? • .,r .00 nd
?ter No.: ? ?ion Charge:
Account Deposit: 15 . Oa p?l
Stze: 10.00 pd
Reod•r No • D ?? ? .3 Permit Fee:
I aqne to comPlp wbb flN Cifp of Eagen Surchcrge: • 5O nd
Ordinanea. Misc. Chorpes:
6L-?41- Totol:
BY Date Paid:
Date of Insp.: I^sR•:
3830 Pilot Knob Road
P. O. Box 21195
Eagan, MN 55121
Zorinp: PUD
Owner: Btutj
/?ddress:
Stte Add
Plumber:
WATER SERVICE PERMIT
PERMiT NO.:
DATE: 7
-
No. of Units: 1 Of 0
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: 1 of 6
I sgree to eanplr with !6o Cif1 ef Eagon
Ordinenees.
By
Date of Insp.:
Connection Charge: 425.00 pcl
Account Deposih S . 00 ??I
Pem,it Fee: 10.00 pd
Surcharge: 0 p?
Misc. Charpes: - -
Totol:
Date Poid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Kncb.Rosd
P. O. Box 21199 PERMIT NO.: .?'' •? '
Eagan, MN 55127 DATE: 7-`
?iry9: No. of Units: 1 ()4 F
r: '' o • l,
Address; "`
ixSlte Addrcss:? ?
?{j
{
e???-???
?,?r?.1l?lii.^,9 "naChman 'i'
?
plumber: ? ,rs•Ir • '?1?? ?-?'
Meter No.. ?
? Char e:
.
jq?
f t
Size: ?
1?tC.uh? Deposit4
? ? 0')
Reoder No.: ?- g Permit Fee: 10.00 PLi
1 egrae to wn+Ply with Ma Ciryr of Eogon Surcharge: •51" pd
0?dinaneu. Misc. Chorges:
Total:
By Date Poid:
Date of Insp.: 44 Ins
:
p.
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilo' Knob Road
P. O. Bcx 21195 PERMIT NO.:
DATE:
Eagan, MN 55121
' }
?
`• ' '
Zoning:
No. of Unlts:
r
O
:
wne
Address:
;?7?3
Site Address:
7? C;ea
-
??.i, t_?.i 17 1
`? 'z ? n'+ ' ? ?' ? i
b
Pl
er:
um
,?r ,.170 pd
?.. 1 ?-84 G?,•_ I''? 5. OO0pd
1 eyros to eomPy wM6 Na Cky of Eason Connettion Charpe: 15 . 00 p(?
Atcount Deposit:
Ordinonas. 10.00 nd
Pem,it Fee:
Surchorge: .50 pd
g Misc. Charpes:
y
Date of Ins
: Total:
p.
i„t„ • Date Pc1d:
I
OF EAGAN
PilotKoob i;oad
Box 21199
i, MN 5572i
,!', ..
WATER SERVICE PERMIT
PERMIT NO.:
DATE: - ; l. > , .•,.
No. of Units:
Slze: ..y`.
uM D
it
15.
Reade? No.: 1J /?/? f74 /?i epos
:
Permif Fee: _ 10 . QO pd
1Oaref to eomply wieb the Citr of Eagan Surcharge: • 54 Pd
O.riaawor. Mtsc. Cho rges: `? 3. U 0 p d m e t e r
Total:
BY Date Paid:
Dote of Insp.: Insp,;
?:.?
CITY OF EA¢AN --- _-
S
3830 i'ilot Knob Road ?ER SERVICE PERMR
P. O. Sox 21.99 PERMIT NO.: `' g?` 7
Eagan, MN 551;1 pqTE; 4
Zoninp: No. of Untts: ?" '
O,,,,,?,, r rutp,er
Addi
of Insp.,
Connectlon Charpe: 425.00 pd
Account Deposit: _ 15.00 pd
PeRnit Fae: - I0.00 pd
Surcharpe: ,-
Misc. Chorpes:
Totol:
Dote Patd:
CiTY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 2179$ PERMIT NO.: =-?
Eagan, MN 55121 DATE:
Zoninp: No. of Units: 1 ?
O/w-n.er. ? r-
?Wdress:
tIfB Address: - ornr?an 111^iv.R. 7 ?S _t?-_C[Ta: .Itl:t,,
ter No.: b ;,?'-:• ? "'v - ?: "ldrinktion Chorge: A7(} _ (] 0
T--.
?^ ?lytcodr?i Deposit: l 5_ f3? n i
der o.: ? bermit Fee: l t! -()!? r[Z?
irN to wmolyr wilh 1ho Citr of Eagan Surcharge:
inaneti. Mlsc. Chorpes:
Totol:
C??Lti Date Paid:
Box 21799 PERMIT NO.:
-
i, MI4 557%D DATE: 131-84
D: No. of Units:
Address:
a
to eomply wilh MN Cify ef Eagan
of Insp.:
Connectron Chorpe: 425. 00 2d
/kcount Depastt; 15. 00 pd
Pa?mit Fee:
Surchorpe:
Misc. Charges:
Totnl:
Dato Paid: -
te eanplp wilh t1M Gry of Eagan
CITY OF EAGAN WATER SERVICE PERMIT CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road 3$30 Pilot Knob P'id
P. O. Box 21139 ' PERMiT NO.: P.O. Sox 211-39 PERMIT NO.: 5613
Eagan, MN 55121 D/?TE: Eagan, MN 55721 DATE:
Zoniny: L L; No. of Units: Zoninp: No. of Units:
.Owner. DP. a n n
yz: 1 - { -a??i???
ress:
Site Address: 4%6?F6aftjp?5? s rn;??hmari '? - te Address: ffd)1&'?ik?l1????4?RItL29 El Coactuna.n I[i ill;,.,,;,.
` lumber: E ? • ' ? Piumber: f .> FP ?
ete? No.: 'C ion Chorge: 470.00 pd ter r?unt ection Deposit: Charge: 470.00
.. r? ,. ?.: ?? 15 0 r) Fd
Sixe:
? i ? M Deposlt: ? ' ? 13.00 , Size:'??
?-?-s
Reader No.: /b ? ? Permit Fee: lf). 00 pd Reo r No.: o l L l_n ?O/8 Permit Fee: 10.00 ;?
.d
1egne !o oawPy wilh tIN City ef Eeoaw Surchorge: 1ayew to aomolp wilh Me Clty ef layaw Surchorge: .-, l'-
:3. ?.i;r ?.,
O.dinanps. Misc. Charpes: Ordinane?s. Mlsc. Chorpes:
BY -
Date
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road -,
P. O. Box 21199 PERMIT NO.: .
Eagan, MN 551
?'?: D. DATE:
o .,
Zoninp: No. of Unin:
Xu ?{er
Owner:
Address:
Fve ,,iTC:er? r ve _:. .5 coa cruman iilpLilan c.s
Site Add?ess:
Ralph'a i'lb
Plumber
- -
?
.
_ ? 100.00
425.00 pd
1 pru to aanoly wM lhe Chy of Ee4en Connectlon Charpe:
13
O?aiwenew. /lcoouM Deposlt: . P
1J
00
Permit Fee: .
p
Surcharye: p
By Misc. Clwrpes:
of Insp.:
Totol:
1R'°'?lrt?
SEWER SERVICE PERMIT
CITY OF EAGAN
` N0. 18542
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5121
PHONE: 454-8100
I?
w
BUILDTNG PERMIT Receipt # w
Tobeusedfor FIREPLACE Est.Value $1,000 Date NOV 13 , 7gyQ_
Site Address 3229 EVERGREEN DR
LOt 27 BIOCk 1 SedSUb. COACHMAN OFFICE USE ONLY
Parcel N0. HIGHLANDS Occupancy _ FEES
Zoning
W Name MARK FERRELL (nauap Const - sidg. Permit 25.00
Address 3229 EVERGREEN DR (qnowabie) - S
h 9
a City EAGAN Phone 894-8888 +' oBtories _ urc
arge .
Plan Review
Lenglh _
o Name HEAT-N-GLO Depth - SAQ Ciry
?a Address 3850 W HWY 13 S.F. Tolal -
m SAC, MCWCC
City BURNSVILLE phone 890-0758 S.f.FOOtprinl5 -
Water Conn
On Site Sewage _
f
W w
Name
On Site Wall -
Water Meter
z? Address Mwccsysiam -
?s Acct. Deposil
i W City PhOne City watar -
S/W Permit
PRV Required _
I hareby acknowlege that I have read this application and slate that ihe 8ooster Pump - Sfyy Surcharge
information is correct and agree to comply with all applicable S1ate of
:
Minnesota Slatutes antl C
i?
q f Eagan Ordinanc
j 7reatment PI
{/
(
/
/?
Signalure ofPermitee `n.?"'O'?" ? APPROVALS RoatlUnit
HEAT-N-GLO
A Buildinq Permit is issued to:
Planner -
park0ed.
on the express condition that all work shall be done in accordance with all Councii -
applicable State of Minnesota StaWtes and City of Eagan Ordinances. BIdg.Olt. _ Copies
Builtling Official
.(?/.?-Q1?A!
r Vananca - TOTAL 25.50
• CITY OF EAGAIV N. ? 9isi
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8100 , /!
BUILDING PERMIT Receipt # `7`r00 ?
Te be und for 1 OF 6 PLEX Est.Value $58,000 DO1e JUNE 11 1 y 84
3233 EVERGREEN DR
Site Address Erect ? R1
Occupancy
-
Lot 25 slock 1 sec/sub. COACHMAN HIGHLANA& ? Zoning? R3
ParcelNo. 10-I8075-250-0I Repoir ? ??
FlreZone ??/?
Enlorge ? Type of Const. V
BRUTGER COMPANIES INC
rc Name
Move ? # Storie
SUNWOOD DR., P.O. BOX 399
Z ?? ??
Address
Demolish ? Length
? UD 52-6262
City Phone Grade ? 3 ? ?
Depth Sq. Ft.-
c SAME AvVrovala Faes
o Name
?u Address Assessment Pertnit $ 307 _ QQ
l- City Phone Wufer 8 Sew. Surchorge 29 - 00
Police -50
Plan check 12
Gw Name BLUMENTALS ARCHITECTURE INC
Fire SAC 525 _ 00
tz 6100 SUMMIT DR NO
¢0 Address Enq.
Water Conn. 470 . 00
pW City BRKLYN CTF?ha?e 571-5550
Pl
6-4
00
W
t
M
t
?
anner -
a
er
e
er
Council Road Unit 7rf1 00
I hereby acknowledge that I have read this apDlication and store thot gidg. Off.
the in(ormation Is wrrect and ogree to comply with all opplicable rjQ
AP?
$tate of Minnewta Statutes and City of Eogan Ordinnnces. T?a
Sipnoture of Permittee
A Building Pertnit is issued to: BRUT?'iER COMPANIES INC on the express condition tha+
all work tholl be done in occordonc with ol ppli bl taM
'nnesofo Stotutes ond City of Eapen Ordinonces.
-
Building Officiol
'- • ? CITY OF EAGAN
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 AT
l?l ? 9157
PHONE: 454-8100 . `
BUILDING PERMIT Receipt # `/OO!r
To 6a umd fee 1 OF 6 PLEX Esf. Value $72, 000 Date JUNE 1 1 , iq__8Q
3225 EVERGREEN DR
Site Addresa }[
Erect ?
Occuponcy R1
Lot 29 Block 1 sec/sub, COACHMAN HIGHLAIXP§ ? Zoni? R3
Percel No. 10-18075-290-01 Repolr ? Flre Zone N A
Enlarqe ? Type of Const. V
ec Name BRUTGER COMPANIES INC
? qdd,fts 1 SUNWOOD DR., P.O. BOX 399
City ST CLOUD phone 252-6262
o Name "?••.
?? Address
i- City Phone
?w I Name BLUMENTALS ARCHITECTURE INC
x?E-, Address 6100 SUMMIT DR NO
?W City BRKLYN CTRphone 571-5550
Move ? # Stories
Demolish ? Length a/ "I"
6rade ? Depth 34 'Sq. Ft.-
Aoororals Fees
Assessment _
Water & Sew.
Police _
Fire Enp.
Planner -
Council _
Pe,r„it $ 142.00
Surcharge 36.00
Plan check 174.50
SAC 525.00
Water Conn. 470.00
W ater Meter 63.00
Road Unit 260 _ 00
I hereby acknowledge thot 1 heve read this application ond state that Bldg. Off.
the information is correct and ogree to wmply with all opplicable APC -
State of Minnesota Statutes and Ci1y of Eogan Ordinances.
Toto' 50
Sipnofure of PermiMee I
A Building Pertnit Is issued to: BRUTGER COMPANIES IN(,' on the express condiNon thm
all work shall be done in accordanc th all a pli Warenesot'Y?a Starutes ond City of Eagan Ordinances.
8uildirg Official '?'1"`-^o'a-v-?
CITY OF EAGAN
BUILDING PERMIT
N° 9158
Re[eipt # -?
Te be uwd 4er 1 OF 6 PLEX Est.Volue $58,000 pOfe JUNE 11 19 84
5itenddress 3227 EVERGREEN DR Erect px Occuponcy Rl
Lot z$ slock 1 cec/Sub. COACHMAN HIGHLAI??,?, ? Zoni? R3
ParcelNO. 10-I8075-280-0I Repair ? FireZone N/A '
E V
nlaroe p Type of Const.
? Name BRUTGER COMPANIES INC Move ? # Srories
Z Addre ss 1 SUNWOOD DR., P.O. S OX 399 Demolish ? Length`E°
? City ST CLOUD phone 252-6262 Gmde ? DepthslI?g?? Sq. Ft.-
rc
0
OV
u?
f
Name SAME
Address
City
Phane
Approvala Foea
Assessment _
Water 8 Sew.
BLUMENTALS ARCHITECTURE INC Police -
Name Fire _
Address 6100 SUMMIT DR NO
City BRKLYN CTRpnone 571-5550 E?'-
Plonner _
I here6y acknowledge thot I have read this opplication ond state that
the information is correct and agree to comply wifh all applicabla
State of Minnesota Stafutes and Cify of Eagan Ordirwnces.
SiBnature of Permittro
3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121
PHONE: 454-8100
Council _
Bldg. Off
APC -
Permit $ 307.00
Surcharge 29.00
Plan check 153.50
gqC 525.00
Water Conn. 470-00
Wafer Meter 63 00
Roud Unit 260-00
Total $1,807.50
A Building Permit Iz issued to: B TGER COMPANIES IN on tha express corditlon tf,at
all work sholl be done in occordance wit II appli4e5fe Stote of Minnesota Statutes and City of Eagon Ordinances.
Building Official ? '??o??r+-??.
BUILDING PERMIT
N° 9159
Receipt #
To 6a osod for 1 OF 6 PLEX Est. Velue $58,000 Dute JUNE 11 , I q 84
SiteAddress 3229 EVERGREEN DR Erect [yj Occupancy Rl
Lot 27 elock 1 ?ec/S.b. COACHMAN H IGHLAI?? 0 Zon"?9 R3
Percel No. 10-18075-270-01 Repoir ? Fire Zone N/A
Enlorge ? Type of Const. V
rc Name BRUTGER COMPANIES INC Move p # Stories
= Address 1 SUNWOOD DR., P.O BOX 399
Demalish
? it?A
Length??
? Ctty ST CLOUD phone 252-6262 Grode
?
Depth?S
Ft
q.
.-
S?E Approvah Fees
,o Name
zi-
?? Address
1- CitV Phone
?,cl riLUMENTALS ARCHITECTURE INC
?uw Name
Addresi
sW City ? Phone 571-5550
Assessment _
Water 8 Sew.
Poiice -
Fire
Eng.
Plonner _
Council _
I here6y ackrwwledge thot I have read this opplicotion ond state fhat qldg. Off.
the information is correct and ogree to comply with oll applicoble A? -
Stote of Minnesoto Stotures and City of Eagnn Ordinances.
Signature of Permittee
A Buiidiny Permit Is issued to: BRUTGER COMPANIES INC
oll work sholl be done in accordance with all opplicoble St 9 MinnesqM'$tptu
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454•8100
Permit $ 307 _ QQ
Surchorge gq 00
Plon check.153.50
5AC 525.00
Warer Conn, 470.00
Woter Meter 63..00
Road Unit 960-00
To:ol +51,807.50
_ on fhe express condition Ihnt
ond City of Eagan Ordinantes.
Building Officiol
BUILDiNG PERMIT
N° 9160
Receipf # ( ?U?
Te 6e uted h, 1 OF 6 PLEX Eo, yelue $ 5 8, 000 Dare JUNE 11 , lq 84
Sitenddress 3231 EVERGREEN DR Erecr ?X Occupancy Rl
Lot 26 elock 1 Sec/Sub. COACHMAN H IGHLANIAfier 0 Zani?A R3
ParcelNO, 10-I8075-2E0-0I Repofr 0 FlreZorre N A
Enlarge ? Type ot Canst. V
? Name BRUTGER COMPANIES INC Move ? # Stories
= Address 1 SUNWOOD DR., P.O. BOX 399 pemoliah ? Len
th 17
9 City ST (,'LOUD Phone 252-6262 Grode
? g
?Q N
Depth ?`Sq. Ft.-
o Name V ?...
Address
? City Phone
Apororels Fees
Assessment _
Woter & Sew.
?a BLUMENTALS ARCHITECTURE INC Pouce -
FZ Name 6100 SUMMIT DR NO F?re _
x? Address Eng, _
??Z., City BRKLYN CTRphone 571-5550
pionner _
Council _
I hereby ocknowledge rhat I hove read this applicnrion and state that gldg. Off.
the inlormotion is wrrect ond agree to comply with all opplicoble APC -
$tote of Minnewto Stotutez and City of Eogon Ordinnnces.
Sipnature of PermiHee _
A Building Permll is issued to:
oll work shall be done in acw
Building Officiol
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Permit $ 307 • 00
Surchorge 29 00
Plon check 153.50
snc 525.00
Water Conn. 470.00
WaterMeter 63.00
Road Unit?60..,00
Total +S`1,807.50
COMPANIES INC on the express condition thnr
>, Sta of Minnesota Statutes ond City of Eaqon Ordinonces.
BUILDING PERMIT
$72,000
N° 9162
Receipt #
Dare JUNE 11 19 84
StteAddress 3235 EVERGREEN DR Erect 6 Occupancy Rl
Lot 24 elock 1 Sec/Sub. COACHMAN HIGHLAIQ,? 0 Zonin9 R3
rercei No. 10-18075-240-01 Repoir ? Fire Zone N A
E T
V
nlarge ? ype of Const.
W nlame BRUTGER COMPANIES INC µove ? # Stories
Z Address 1 SUNWOOD DR., P.O. SOX 399 pemolish ? Length
City ST CLOUD Phone 252-6262 Grade ? Depth3
Ft
&
L
S
-
-
-
q.
.-
rc SAME Avvrovols Feot
o Name _
?? Address
r Citv -
CITY OF EAGAN
"3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 4548700
1 OF 6 PLEX
Phane
r'W Name BI'UMENTALS ARCHITECTURE INC
?z
Address 6100 SUMMIT DR NO
x?
?3 City BRKLN CTR phane 571-5550
<
I hereby acknowledge that I have read this opplication ond stote thal
the informotion is correct and ogree to wmply wiih oll applicable
State of Minnewta Stafutes und City of Eogan Ordirwnces.
Assessment -
Woter 8 Sew.
Police -
Flre
Eng.
Planner _
Council _
81dg. Off. _
APC
Permit $ 349.00
Surcharge 36.00
Plon check 174.50
SAC 525.00
Worer Conn. 470.00
WaterMerer 63.00
Rood Unit 260.00
roral $1,877.50
Sipnoture of Permittee I
A Bullding Permif Is issued to: BRUTGER COMPANIES INC on tha express cordition thm
oll work ahall be done in accordance with o?ll ooh/?cab?lei S?fnte ?Tinnewtn Stotutes and Ciry of Eaqan Ordinances.
Buildinp Officfol `??e?1?CVi.?f'a'+^?
? ? &) /V3? y?l
I OF, C?
Zb Be Used Fbr Townhouse
CITY OF EAGAN
BUILDING PERMIT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Valuation ?35 ? 900 ?5? ? °O Date
Site PddYess '6235 Ever reen Drive
Int 25 Block 1 Sec./Sub. Coachman
P3L'Cel #: _ /0 - (y0 7S _;,Z -,, Hi3?lands
Oal'Ier: Brutqer Companies Inc
Adds25S: One Sunwood Drive, P.O. Box 399
C.ity/Zlp Cpde: _ St. C1oud, MN 56302
Phone #: (612) 252-6262
COIltr'aCtpT: Brutqer Companies Inc.
Address: One Sunwood Drive, P.O. Box 399
City/Zip (:pde: St. C1oud, MN 56302
Phone #: (612) 252-6262
Azch-/E71q•: Blumer.tals Architecture, Inc.
AdG1TeSS: 6100 Summit Drive North
Clty/Zlp COdO: _ Brooklyn Center MN 55430
Phone #: (612) 571-555o
May 24, 1984
OFFICE USE ONLY
Erect X occupancy (Z-I
Alter 2oning
Repair Fire Zone N ?
Enlaxc3e _ Type of Const. -?
Move # Stories
DeTrolish Front £t.
Grade Depth ft.
APPROVAT.S EEE,g
Assessmcnts PexTut ?-? 00
Water/Sewer Surcharge
Police Plan Check ? r?3
So
Fire ,
SAC _^
E-n4• Water Conn. 4'7p
Planner Water Meter (Q 3. -
council RDad unit 2/,o ?o-
Bldg. Off.
AL?c
ZDTAL / , &G? ?• S C?
?CSILi?IN a? A? CITY OF EAGAN Include 2 sets of plans,
vV?? ??l ? 7
oF 1 site plan w/elevations &
BUILDING PERMIT APPLZCATION 1 Set of energy calculations.
7b Be Used F'or Townhouse
Site Prldress 3225 Ever reen Drive
IAt 29 BlOCk 1 S2c./Sub. Coachman
PdrC21 #: / 0 - g'U ? J - Xclo _ ?iqhlands
r
Valuation L35y4eo1?12,CX7O,°-° Date May 24, 1984
Qi71'1P-T: Brutqer Companies Inc.
Adc1L'ess: One Sunwood Drive, P.O. Box 399
City/Zlp COde: St. Cloud, MN 56302
Phone #: (612) 252-6262
COIItrdCtAZ': Brutqer Companies, Inc.
PddTOSS: One Sunwood Drive, P.O. Box 399
Clty/Zip COde: St. Cloud, MN 56302
Ph071C' #: (612) 252-6262
A'CCh•/ER9.: Slumer.tals Architecture, Inc.
AddL'eSS: 6100 Summit Drive North
C.].iy/Zip COdE: _ Brooklyn Center, MN 55430
PhCne #: (612) 571-555n
OF'FICE USE ONLY
Esect ^X Occupancy
Alter zoning R•3
Repair Fire Zone k3 p,
Enlarge _ Type of Const. EL
t"bve # Stories
Dermlish Fivnt ft,
Grade Depth ft.
APPROVALS FEES
Assessments Permit
t4ater/Sewer Surcharge
Police Plan Check \-14, so
Fire SAC ?5. I-V
Fng. Water Conn. Q =Dtl
Planner Water Meter ??>' e
Council Road Unit 2.60, =
Bldg. Off.
AEC
TOTAL ?4 E7 7. S b
?-u I L. D I ?j (- A- 3
1 ?r (c:), 0
CITY OF I•'1:GAN
BUILDING PERhLiT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of er.erTy calculations.
7b Be Used For Townhouse Valuation $?6 a°- Date May 24, 1984
Site Acldress:322,77 &""'""''"" ^ ? ?-VEI26I2?N J:?Z, OFFICE USE ONLY
Lot 28 Block 1 SeC./Sub. Coachman Eiect x Occupancy ?-?
xi hlands
`? Alter Zoning R-3
Parcel #: - u
Repair Fire Zone E.I A
Enlarge Type of Const. ?
Oaner: srutger Comoanies, znc. _ i
# St
Nbve or
es
Pddress: One Sunwood Drive, P.O. Box 399 Demlish Front ft.
City/Zip Code: st. Cloud, MN 56302 Grade Depth ft.
Phone #: (612) 252-6262 gpPR0UAI6 F'EFS
CAntYdctor: Brutger Companies, Inc.
AC1dre55: One Sunwood Drive, P.O. Box 399
City/Zip Code: St. Cloud, MN 56302
Phone #: (612) 252-6262
Areh./f.1ng.: Blumentals Architecture, Inc
P13dreSS: 6100 Summit Drive North
City/Zip Code: Brooklyn Center, MN 55430
Phone #: (612) 571-5550
Assessments ?
Pernut
Water/SCrrer ?.:Surcharge 2q.?
Police Plan Check
Fire SAC 57 C5 -to
IIzg. Water Conn. Q-lQ,°o
Planner Water .Meter Cn3,°.?
Council Road Unit 2(aD, °=
Bldg. Off.
APC
`IC)TAL ? / C7 ' S-D
gU I L D I N S7 CITY OF EAGAN Include 2 sets of plans,
vbl
? pF? ? 1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
Zb Be Used For Townhouse
Site AddYess ?322q Ever reen Drive
Lot 27 BlOCk 1 Sec./Sub. Coachman
PdZ'C21 #: II) - /p'O ),?--a )D _OHighlands
Valuation S?S.,.aee?-F?,? Ql? Date May 24, 1984
OWner: Srutaer Companies Inc.
Addr2SS: One Sunwood Drive, P.O. Box 399
C1ty/Zlp COdE: St. Cloud, MN 56302
Phone #: (612) 252-6262
CoritraCtAl: Brutqer Companies Inc.
AddY2s5: One Sunwood Drive, P.O. Box 399
City/Zip Code: St. Cloud, MN 56302
PhOi12 #: (612) 252-6262
Arch-/ES1cJ.: Blumer.tals Architecture, Inc.
AddT25S: 6100 Summit Drive North
C.lty/Zlp COC12: Brooklyn Center MN 55430
Phone #: _(612) 571-555n
' OFFICE USE ONLY
Erect x . Occupancy k7-1
111ter Zoning R-3
Repair Fire Zone N {?
Enlarge _ Type of Const. ?
Nbve # Stories
Demolish Front ft.
Grade Depth ft.
APPROVAT,S FEE,g
Pssessments Permit
[9ater/Serer Surcharge
Police Plan Check
Fire SAC
En4• Water Conn.
P
l
anner Wa
ter
Meter
/
?,
?,
WLInCll .?
? }
T] tWdd URLt
Bldg. Off. -
APC
6=
MrAt /l F5 7. S 0
5u oN(-? A-? 3 a
? Or CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERNIIT APPLICATION .l set of er.exgy cal.culations.
'Ib Be Used For Townhouse Valuation 2,1 Date May 24, 1984
site Address: 3231 SA9wf"k9 Dri--. GvagliRE-eu pv-. oFFzcE usE orLY
rAt 26 siax 1 Sec. /Sub. Coachman ELec r X occupancy R- 1
Parcel #: /0 ")Yp -,'_? xaighlands Alter Zoning K?5-
S 60- ( ge ir Fire Zone N/R
OW110L': Brutger Comoanies, Inc.
Address: One Sunwood Drive, P.O. Box 399
City/Zip COd2: St. C1oud, MN 56302
Enlarqe _ Zype of Const. ?
Mbve # Stories
Demolish Front ft.
Grade Depth ft.
PhoIle #: (612) 252-6202 APPROVALS F'EES
CbRtY'dCtAT1 -^•'_^_eT - --nanies, Inc.
Address: O^e 5u-.woc3 ]rive, P.O. Box 399
City/Zip Code: S*_. clond, MN 56302
PhOri2 #: (612) 252-6262
A'[Ch./E'lg.: Blumentals Architecture, Inc.
Address: 6100 Summit Drive North
City/Zip Code: Brooklyn Center, MN 55430
Phone #: (612) 571-5550
Assess[[ients Pertnit
Water/Seaer Surcharqe 29 • =°
Police Plan Check l?3, 5O
Fire SAC 525, U-
Eng. Water Conn. q ?p.°°
Planner Water .Meter (P3, =
council Road vnit 260.
Bldg. Off.
APC
'IOTAL ?1 ? ? ? • J? CJ
SUILpINCs 3 /
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/ei.evations &
BUILDING PERMIT APPLICATION 1 set o` er.ergy calculations.
'Ib Be Used For Townhouse Valuation S?,-eee V?,Coo ,= Date May 24, 1984 _
Site PLidress: ?Z35 aaQ F'a'-- ^ EuE(1Up?F?J O?. OFFICE USE ONLY
Lot 24 Blodc 1 Sec./Sub. coachman Eiect
Y, Occupancy ?-?
/
-
S H?ghlands _
p,lter Zoning ?-
Parcel #: /O o _
-Q 5
2
-/kB ,
Repair Fire Zone
Enlarge 'I'ype of Const. y
Oaner: Brutger Comnanies, Inc. _ # Stori
s
Move e
AddZ'ess: One Su nwood Drive, P.O. Sox 399 Deirolish Front ft.
Grade Depth ft.
City/Zip Code: st. Cloud, MN 56302
Phoile #: (612) 252-6262 APPROVALS FEES
CAntYaCtAT: Brutger Companies, Inc.
Addr'e55: One Sunwood Drive, P.O. Box 399
City/Zip Code: St. Cloud, MN 56302
Phone #: (612) 252-6262
AYCh./EricJ.: Blumentals Architecture, Inc.
AdC1Z'255: 6100 Summit Drive North City/2ip Code: Brooklyn Center, MN 55430
Phone $: (612) 571-5550
Assessments
eo
Permi.t 349
Water/Savaer %: Surcharge 3?v. p0
Police " Plan Check
Fire SAC r72 5?
Eng, water conn.
Planner Water Meter ("3'°=
Council Road Unit o, es!-
Bldg. Off.
APC
TOraL / , ? 7 7 • 5
? GIT;f` OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55722-1897
(651) 681-4675
SITE ADDRESS:
PERMIT
PERMITTYPE: Bu1LosNr
Permit Number: 03y 005
Date Issued: 11 l 1 7/9£3
3225 EVG:.ReRt_Uu nit
LOT: 29 Bt.OCKa 1
COACHMAN N1G1-II.ANDS
P,I.N.: 1.8-18075--290-01
DESCRIPTION:
ftEROar-/ 6 F>IEx
REMARKS:
IracLuoEs:
Bui.tdina Perm3Y. Type MULTI, (MISC,)
quz-Sding Woe.k. 7ype REPA]:R
Census Gode - 434 AL.7a W",ES:CDEN't"7AL
?
z
t r
32z7, 3229, 3231, s2:33, nwo 3235.
FEE SUMMARY:
b'RLIJATTfJN
Fiase Fee
Surcharge
7otal Fee
1; 8 .() 0 0
`1137. 25
$1A1.)5
CONTRACTOR: - Applicant -OWNER: '
6EISSEL WTNOOW & STI]tNG 2457.E835 COflGHMfliV H:I.GHLANDa ASSQC.
3213 EVERGP,EEN pR 3:15 EVEIZGlREcN IJR
EA13qN MN 5512:L Ef) GFiN MI'd 55122
(612) 451-6836
a
?
Z hareby aa4cnowledge thati I have reaci This applicataon aricf state that the
in'Farmar_ion is correcr_ and aqree Co camPly with a:ll appli.cahLe 5Cat2 ot' Mn.
SGatutes and City of Eaqan Orclanances>
APPLICANT/PERMITEE SIGNATURE
?,JIsueo er: siGNniuaE C
?
,.
? ?.a.. , A-_I:;r:% 10.r3,.•.:.
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I'' IS./.??... M_.. :i..i.r'C..
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k9:$:?;' l
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.. ,::i ? ...?.:J._ 'i? • ?.:I
210Mi
... ? :'..... . ? •.'I:',.I I _ :, i I.'"-?i:.'
.25
....:i 9001 _ 1620 II /... ...i ... 2r1
.. ..i .a
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............ . i.D.. NAN%..._.i
l
1998 BUILDING PERMIT APPLICATION (COMMERCIAL)
3 40 L) ? CITY OF EAGAN
681-4675 s
. .. . . _ ?.- - ------?a-
uom¢ roiwwmy w wwni iIoCwl y N
Foundation Onl ?......
New Construction
. Interior Improvement
structural plans (2 sets) architectural plans (2 sets) architectural plans
i
l (2 sets)
(1) ?
civil plans (2 sets) structural plans (2 sets) s
code ana
ys (1 geU
code analysis (1) " civil plans (2 sets) project specs
soils report (1)
1 landscaping plans
codeanalysis (2 sets)
(1) ° Key Plan
energywlculaGons
(1)notalways"
)
projectspecs (
Special Inspections & Testing Schedule " soils report (1) Electric Power & Lighting Form (1) not always °
SAC determination letter from MC/WS - SAC determination letter from MCM/S - SAC detertnination letter from MCMlS -
ca11 6 02-1 00 0 call 602-1000 call 602-1000
Special Inspections & Testing Schedule (1) "
projed specs (1)
energy calculations (1)
Electric Power & Lighting Fortn (1) "
Contad Builuing inspecuons Tor sampie
Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details.
nnTF?I- ?C??cl ? WORK TYPE: _ NEW REMODEL
DESCRIPTION OF WORK:
CONSTRUCTION COST:
TENANT NAME: C^ ° d // -" ai? / ^f OS f>7" l
SITE ADDRESS: SUITE #:
LOT Dc1 BLOCK SUBD. OC, CJ\-VV\ o< <-s ???•1.D. #
a.9,3?3I???a33
,
Phonc ft:,
PROPERTY last
OWNER
Street
City
State:
Zip:
/ ? /
Company:_ 2 SSe L_W i/?rdQw ?g Phone #:
CONTRACfO ?j?J? ?/
R Street Address: J`^ ? /'?L9 i'7 t?S on/ ?cense k ?P `f 5 -3 -
City -------- ----- State: ZiP: _
ARCHITECT/
ENGINEER Compaziy:_ _____ Phone k:
Name: __ __ Registration N:
Slrcet Address: ___ -----
City --- -- Statc: _ -- - Zip' - -
Sewer & water licensed plumber (only if installing sewer & water):
I hereby acknowledge that I have read this application and state that the informatio r d agree to comply with all applicable State o
Minnesota Statutes and City of Eagan Ordinances.
Signature of Appli ? ? -
OFFICE USE ONL
First
BUILDING PERMIT TYPE
? 01 Foundation
? 18 Comm./Ind.
WORK TYPE
? 31 New
? 32 Addition
GENERAL INFORMATION
Const. (Actual) _
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 19 Comm./Ind. Misc.
? 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.
Planning Building
Engineering
? 21 Miscellaneous
? 35 Tenant Finish
? 37 Demolitian
MC/WS System
City Water
Fire Sprinklered
Census Cade
SAC Code
Census Bldg.
Census Unit
Variance
Permit Fee
Surcharge '-f0
Plan Review
MCNVS SAC
City SAC
Water Conn.
SIW Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Water Qual.
Other
Copies
Total:
% SAC
5AC Units
Meter Size
Valuation: $
CITY USE ONLY
LOT $ BL I
sUSD. CdA6fth 111JkjAJS
PERMIT N:
41230
RECEIPT #: , C?j 3 I 1"17
AECEIPT DATE: Ip? R I UV
2000 MECHANICAL PERMIT (RESIDENTIAL)
Date: W - -1 - ?!
Complete tktis section onlv if you are installing HVAC in a single 2amily dwelling, townhome or condo under
construction and not owner/occuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas out(ets (minimum of one required Q$3.00 ea.)
$ 30.00
6.00
State Surcharge .50
Total $
Complete this section onlv if you aze remodelina, adding to, or reoairing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New X,- Alteration
_ Furnace
_ Air exchanger
Reminder.• Call for inspections
SITE ADDRESS: :-? 2
_ Repair _ Other
? Air conditioning
_ Other
Fee
State Surchazge
Total
$ 30.00
.50
30.50
OWNERNAME: l(Jm SI-eba-1- PHONE#:
INSTALLER NAME: !?V DblJ.'?/.S CJ???SJ??i ?f?I • PHONE #:
STREET ADDRESS:
CIT'Y:
CITY OF EAGAN
3830 PILOT KNOH RD
EAGAN I+III 55122
651-681-4675
STATE: IWA)_ ZIP: 551211
cvsr - yos-ogyy
``"RE-?31- 70°r?i
SI ATURE OF PERMITTEE
CIIY USE ONLY
L °Z ? BL ? RECEIPT #: Ot!V
SUBD. DATE: ? If
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NQ TOTAL
5hower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x =
Gas Piping Outlet * minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal " DakoW Cty. license 50.00 =
(new and refurbished systems)
U.G. 5prinkler " home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL 201%?-
SITE ADDRESS: ??z [
OWNER NAME: ?>L R
INSTALLER NAME:
STREET
CITY: ?N FMA-u-- STATE: tu..,Q ZIP: 5 5`Fz?
PHONE #: ( ) 53?-`C?S7
?
1??461
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (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 AYPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER 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 PEBMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
"1l -
To Se Used For: ) Valuation
Site Address
Lot ? B1ock
Parcel/Sub
Owner .
Addres
City/Z
Phone
Contra
Address
City/Zip Cod f(?'L?" ,J?j??
Phone
Arch./Engr.
Address
City/Zip Code
0'20 Date: 1I Zg
USE ONLY
FEES
Occupancy
Zoning
Actual Const Bldg. Permit
Allowable Surcharge
# of stories Plan Review
Length SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well _ S/W Surcharge
MWCC System _ Treatment P1.
City water _ Road Unit
PRV _ Park Ded.
Booster Pump _ Copies
SUSTOTAL
APPROVALS Penalty
Planner TOTAL
Council
Bldg. Off
Variance
Phone #
i
?I
2/84
A
?
APPLICATION FORPERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPEIYPY ADDRESS: 2? eCCxr
? '(Jc
%
r Frar, DFSCRiPTION: p;?cJ o7?i /,?-?? ?,?? Q) G It'1 -3
(Lot/Block/SuYx3ivision or Tax arcel I.D. NuTber
I'r' STRUCT[JRE, Dt?TE 0° ORIGlN a'"CJILDLr1G Pu,:?ffT ISSIIr?NIC.:
Wtcr. -??i`. ear)
P?2ESE:^i': ZC`,`II1,3:/PROPOSED L'SE: ? k-1 ST1tiGIZ r^F`•aIyT`
r
2 DUPL?..`{ (''4tiTMJuiVITS)
V
-3 TOLVNHOUSE (TI;REE + UNITS) ( LJNITS)
? R-4 APAlYIIMENT/CO?,'DOMINIUM ( UNITS)
? COMM'1EE2CIAL/F2EI'AII/OFFICE
? INDUSTRIl1L
Q INSTITUTIONAL/GOVERN[=
2) AppLICANT (PLEASE PRINT)
NaME:
ADDRESS: 1- S l a1Jte?nc?, ?1J(`? U P
CITY, STATE, ZIP: a?C-\?45
PHONE:
3} p1,jJ[ygEj ('? PIEASE PRINTJ FOR CITY IISE ONLY
n
?: $?k UmLlit
, PIUMBERS LICENSE:
ADDRESS: C{q[a.) u X e.\L M Attive
CITY, STATE, 2IP: (AYq?
.es ??1, ??[?82 [] Expired
?
?STFR
PHONE N(kt yf Necord
: pLUMBER LICENSE 1J c?G
a ni ia
q) O=pNr/aqNER NI1D4E: (PLEASE PRINT) ,
ADDRESS:
CITY, STATE, ZIP: ?
PHONE: ;
?
5) IIVDICATE WHICH PERMIT IS BEINC; REQUESTID:
E-COrINECPION TO CTTY SErIER
'ff-CONNECTION 'Ib CITY WATER
0 OrHM (PLEASE DESCRIBE)
?
6) INDIG'?TE ONE:
? PLEASE HOLD APPROVID PEPNIT FOR PICK-UP BY ONE QF ABC7VE
[] PI,F.A.SE b1AIL APPROVID PER;ti1IT `IO 1, 2,0 4 ABCAIE
(Circle one)
7) SIG'Vi AZURE: ?2- ?-fa-e?4 - (1" DATE:
??w.?e?r?;??.,? Ma..t???r.;re rit?.li?,??rrwa+i i?k i.f??M+?*? irk ?!+E+?r!r41ar??w ?!+l;yp?k?+t?!.?a ?
F O R C I T Y U S E O N L Y
PERMIT 0 ISSUED
?
FEES : $ z o , -5-o
$
$ G?--el .
S
$
$
$ ? S• ----r?
$ ?7 ? • ?`d
$
$
$
$
$
$
$
+S /?S 9
,
SEWER PERMrT (INCLi,'DE SUP,CHARGE)
WATER PERPRIT (INCLUDE SIJRCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT.DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRiINK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER
TOTAL
AMOUNT PAID/RECEIPT #
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
? PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TIONo
SUBJECT TO THE I'OLLOWING CONDITIONS:
APPROVED BY: QY? ?
TITLE:??/?
'
DATE: 7i-?-r-,56
i
C , 2/84
CITY OF EAGAN
/
APPLICATSON FOR PERPqIT
- SEWER AND/OR WATER CONNECTIODI
(PLEASE P4IHT)
PROP= ADDRF-SS: 3a?
c ?2rq r?P w,
? i)opo
ryr.AT• DESCaztirzcx: 28' r9? ? ? ? 1 1 R -?
(LOt/Block/Sub(livision or Taa??Parcel I.D. Nmber)
ir M{IS':': :G STRUCP^:tE, DaT?. G° ORIGIIZAI, ciiILDL"IG PZF'?ST ISS?:I?NG:
-.`Y --- --` ,
? PRESu :' ?:`II`:?:jF.-?C,1°CS? ?5?: ? R-1 SLNGLE r^kmr?.y
Cl ?R-2 CUPL,EX (ZAO Wi ITS )
?'R-3 'IC7N'I,IIi0U5E (TH2E" + LPNITS) ( UNITS)
? R-4 ApAFt'R`^.E."':T/C..NIDC1?LLVIC,ni ( LNITS)
? COM111Q2CIAL/RETAI]',/OFFICE
?
Z?.i'I7USTRIAL
Q INSTITUTIONAL/GGVEFL?IM=
z) j1ppL2CF?V-T
NANLF' ?
' (PLEASE PRINT)
?
?
i
-
ADDRESS: u
QP
C
-?
pi`-
CITY, STATE, ZI?: .
PHOiNE:
3) pLumffiER. P1LEASE PRINT) FOR CIiY USE OHLY
??= n? n?AS 1 OVh n? UG
ADDRESS: PLUMBEPS LICENSE:
= Active
CZTY, STATE, ZIP: Expired
PHONE:
'Yo?'1' I°I33 PLUMBER LICENSE Not of Recard
GEO?y?
S?atTnitialT
4) (JC,'LUYAMP/Cf,ViQER lrLenacrninl)
D1FaME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) INDICATE WHZCH PERMIT IS BEIIv'G RDQUESI'Ep:
Ef ,
?/C0.IVECPION 'IO CITY S?TER
U/C0.^.'NECPION 'Iq CITY SJATEFt
? (7PfER (PL,FASE DESCRIBE)
? PIZ7?SE F?OLD APPROVID PERtiIIT FOR PICi:-UP BY ONE OF 11BOVE
?°LEASE ,TAIL APPROVID PFR%tIT TO 1, 2? 4ABOVE
(Circle one)
7) siGNATC-RE: oaTE:
, .
?4/FR:?I:a?l}?./Oi?li!!!?:=???f?lsY.t . . . .. . _ .. . .. ,_- _ ? •
. . . . ??Si?i?i ? R i?:is:i ilr ? 1t ?f.?:f??'_?! f?lti?l?g:tg,jC•tm
F 0 R C
PERMIT °- ISSUED
T Y U S E 0 N L Y
FErS: $ io ,so
$
S
$
$
$
$
$
S
$
$
$
$E'i^lt.:: nrAtlTi 0iJDC?-?2?ns?)
WATER PERr4IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WAT£P, TAP (ZNCL`JDE CORPORATIO:I STCP)
SE:4E4 T*.n
ACCOUNT DEPOSIT - SE:^7ER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNh ?VAT°R ASSFSSME:IT
TRliNK SEWER ASSES5MENT .
LATERAL BENEFIT/TRUNK SES4ER
LATERAI. BENEFIT(TRUNiC WATER
OTHER "
$ TOTAL
$ AfAOUNT PAID/RECEIPT $ ?S
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"'PERMIT FOR WORK WITHIN
? PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUSJECT TO TFIE FOLL0:0ING CONDITIONS:
APPROVED BY: ?` Gp
T I T L E : •-Gf? ?
DATE: /-,!?r i-8Lt5
ma W"m
wes ??if ?i+ uc? ?e ?tr? ?c? ?? w+af? w?+ w.+? ?t? w? r! ?? w.? +t ? i? s?s w?a ?t? ra fr w?
i
-' I
2/84
CITY OF EAGAN
?
, APPLICATION FOR PERiMIT
SEWER AND/OR WATER CONNECTIO.T
(PLEASE PRINT)
PROPERIY ADDRESS: 3 ? ?
LEC11L DESCRI°TIC:I: -+L- . ? -
(Int/Elock/Subclivision or Tax arcel I.D. Ninnber)
l: E{=^_'1:G ST'.-iUCI?iRE, DA'IE 0^ ORIGi dAI, ;LiIi,DL`IG P=,ST
? P:LSr.?.' ? R-1 SINGLE r^ayr.L:.y
-2 DUPLE{ (TN%p UINITS)
V
-3 TCriQN3C{?SE (THRF"' + (TNITS) ( Wi ITS)
? R-4 ApAF27P!?-:T/COiIDQ`,LNIU:I ( LNITS)
? CCMr,=CIAL/RETAII,/OFFICE
D L%MUSTRIAL
[j INSTITUTIONAL/G0VE,RN1=
?J AppLic.21,?V^t (PLEASE PRIHT)
NII1ME.
II?ME •
rtT,.a ? C-
C ?
ADDRESS: c
I ?' ?,\LL) eY+wv? .?Q?l9P
CITY, STATE, ZIP:
PHONE:
3} pj],7;qgg PLEASE PRINi) FOR CITY USE ONIY
NPB?IE: ?
ADDRE$$:
gqo? PLUMBERS IICENSE:
ACtive
CITY, STATE, ZIP: Expired
PHOiQE: ?t' L? Not af Record
PLUMBER LICENSE li
a? nitia
4) NA1,1E- lYLL0.?tYH1N1f
ADDFESS:
CITY, STATE, ZIP:
PHOPIE:
5) INDICATE WHICH PEP,MIT IS BEING RDQUEST'ID:
EI'MNTIECPION 'I17 CITY SE7r7ER
v COAi'QEC.TICN TO CITY 69ATER
? ('JI'fI..R (PLEASE DES('RIBE)
6) INDIG, 1E C:E:
? PZ,E`,SE F:OID APPROVEp PER+1IT FOR PICi:-UP BY O[VE OF P,6WE
?°LE'1SE %fAIL APPROVEp PER^1IT TO 1, 2,30 4 11B0VE
. (Circle one)
7) szGNAzt-RE: 7??. DaTe:
, ,
....
FOEt C I T Y U S E ONLY
PER*9IT ."- ISSUED
FEES: $
$ io . Z; d
$
$
$ ! S- -?-o
$
$
$
$
$
$
$
$ .
Sli:'.CH?RGE)
WATER PERP1IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE REAGER
WATE? TAP (INCLJDE CORPORATTON S:CP)
SE:VER ':`an
ACCOUNT DEPOSIT - SEidER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNI; ?4ATER ASSESSME:IT
TRliNK SEWER ASSESSMENT
LATE°.AL BENEFIT/TRUNK SEWTER
'LATERAL BENEFIT/TRUNn WATER
OTHER
$ TOTAL ;
$ - AMOUNT PAID jRECEIPT
DOES UTILITY CONNE CTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
C? YES IF YES, THEN A"'PERMIT FOR WORK SJITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGINEERZNG DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TIIE FOLLOWING CONDITIONS:
APPROVED SY: c7ly
T I T L E:
DATE: 7----;? / -5 V--
? ?J? Rf? ?l ? iA ?Ff? ?k? rl !J? ? ?F ? l4 FJ? ?lf? R? wk? 14 ?J! if? R# 14 ? f! ?i? Ri /k? ?4 ?J? ? ?
i
i
2/84
i CITY OF EAGAN
,
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINT)
1) PF.OPEIYrY ADDRESS: (Dal )'? it'PP 1 ????12
r.FrAi, DESQZT_DI'IC:I: 4(o el ? QS?U
(Lot/Block/Sutxtivision or Tax arcel I.D. NuNer) 4 9-3
u EtI:='= :G STRL'CPTRE, DA'Ii, G=' ORIGi 7AL ; iiIiCDIG FE:7;?!IT Icw?:iC°:
'•:'
? P.'LSr?`_ ?' ::^21I`r,/FRC)°OSr.?? U5E: ? R-1 SIUNGLE r^P`n.I:,Y .cr-__-_? ,
V 2 DUPLE{ (?Sti0 W ITS )
-3 TcumC{JSE (TfIRE" + LP.VITS) ( UNITS)
? R-4 APARZPffE?:T/CvDIDCMLVILnl ( LNITS)
? CCNIMERC7AI,/REI'AII,/OFFICE
? LMUSTR7AL
Q INSTITG"i`IONAL/GG?/'??IMIIV'T
2) gppj,jC-m'T (PLEASE PRINT)
NAME:
ADnREss:
crrY, srATE, zrP: a?+. c1?,??1 ?mu
PHOiNE:
3) pI.U,BER PLEASF PRINT)
DIFU'IE: FOR CITY USE ONLY
L
, anoREss: q9a? T? ? ta i G1p? Pll1MBERS LICENSE:
F71 Active
CITY, STATE. ZIP: mu. .7 L] Expired
,-
PHONE: pLpMBER LICENSE N Not af Record
a?t niti?
4) O=j{jy'I'/Or,,Z= N71ME: (NLtAStPF1NT)
ADDRESS:
CITY, STATE, ZIP:
PHO:Qfi:
5) INpICATE WHICH PEPNLLT IS BEIie'G RDOUESTID:
aCO.'z1E'.CPION 'Io CITY Sa7ER
Ef'CO1"?=IOV To CITY 64ATER
? Cn'IliE2 (PLF115E DESCRIBE)
? PL.;`,SE F?OLD APPR(7VID PERAiT FOR PICi:-UP BY ONE OF 71B(TJE
?°IZ'1SE :17LiL APPROVr'D PIIZMIT 'LU 1. 2,?3 4 r'1HWE
. ?? (Circle one)
7) DATE: 0?1-,30
7/ y
. . .. .. .. . : e
F O
PERMIT °- ISSUED
I T Y U 5 E 0 N L Y
FEES: $ / ? ,Se
$
$
$
$
$
$
$
$
$
$
$
$ .
SrW=
WATER PERP1IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSZDE READER
WATE'_2 TAF (INCLliDE CORPORATICV STOP)
SEWER ?`ao
ACCOUNT DEPOSIT - SE6VER
ACCOUNT DE°OSIT - WATER
WAC
SAC
TRUNK WATE.°. ASSFSSMEDIT
TRUNK SE64ER ASSESSMENT
LATERAL BENEFIT/TRUNK SEZIER
LATERAL'EENEFIT/TRUNK WATER
OTHER
$ TOTAL
$ qpg.Sd AM0UNT PAID/RECEIPT $ ..r,Cg-o 3,f
DOES UTILITY CQNNECTION REQUZRE EXCAVATION IN PUBLIC RIGcIT OF WAY?
? YES , IF YES, THEN A"PERMIT FOR WORK WITHIN
? PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOFIING CONDITIONS:
APPROVED BY:
TITLE: ?L1,fe 12_l..E/
DATE: 7 =- ,f Sp
?a fs? ? w? in ?v ?t? ?a ?tr? w? ?e ??e s? w?+ Ra R+ ia s? ?? wt? w? ? se ?? w?+ nt ??a w? w?
_ -i
. I
C= I 2/84
' CZTY OF EAGAN
A PPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINT)
1) PROPERT"I ADDRESS : _ 3? 3? t 1' G C` F' P Zv%'. l9 *'
r,FrAr• D S I°TICAI: e l
i
(LOt/Block/SUbClivision or TaX arcei I.D. Ntunber) c
a
2
li ._r'..{I:^_'^_:G S'IRIICPTRE, D;%T' 0_' QRIGii:AL EuIi.DI.`;G F? :Sm IcS,:?NC°:
? PRES: :' Z:^„II`X:/F.-wG1DCSE7.? U5E: ? R-1 SLNGLE r^Pm.I:.Y
? R-2 DUPLEX (2Wp Wi ITS)
Q'R-3 `IC4v"NrIajSE (THRE" + LPUITS) ( UNZTS)
? R-4 APAR`R'AEXT/CJDIDCk?=ILry1 ( I7iPIITS}
? CONfi1ETtCIAL/FtE,TAiI,/OFFICE
? LML'STRIAL
? INSTITUTIONAL/GGVE.4NME[v'T
2) AppI,2G'= (PLEASE PRINT)
NAh?_ C'
ADDRESS: ?- SU (?_
`?
s??R)t?bd? ?
QP
CITY, STATE, ZZP: ?C 1??A mk) _
PH=i:
3) pj,j,^ijggt C PRINT) FOR CITY USE OHLY
NAME_ ? ??bG
, ?
ADDFtESS: ?'[][?
? ? PLUMBERS IICENSE:
Cl 9iC
TQ, Q Active
CITY, STATE. ZIP: Expired
PIE:
PHOq aLY - I
-
?
? Not af Record
_
7 l PLU
MBER LICENSE N
arr nitia
4) (-?C:UYAMl'/O,•zIER NAME lrLLnac-rnirvi)
:
ADDRESS:
CITY, STATE, ZIP:
PHCE^IE:
5) IIVpICATE WHICH PEPMIT IS BEIiv'G REQUESTID:
?Cb.,iVECI'IDN 'ib CITY SET9ER
?CO:?'NECTION Tp CITY WATER
? dPEEt (PLF'-71.SE DESCRIBE)
6) INDIG= C:a:
? PLF;SE HOID APPR(JtIID PERtiLLT FOR PICi:-UP BY ONE OF 11BOVE
?°LEF'SE tiTAIL APPROVED PER11IT Tp 1. 2, 3 4 ABOVE
(Circle one)
7) :-? 2 DATE: ? ?
1
F O R C I T Y U S E O N L Y •
PERMIT °- ISSUED
FEES: $ a
/O •? S.?'..i•.,-L-D nEppirm (r, r.-?-- o
i 1 ?il(7
$ WATER PERf1IT ( I1?,TCLUDE SURCHARGr, )
$ lo J f--l/ WATER METER/COPPERHORN/OUTSI?E REr1DER
$ WATEf'. TAP (INCiODE CORPORATION STOP)
$ SE:4ER TAn
$ ACCOUNT DEPOSIT - SE:4ER
$ /?• °-O ACCOUNT DEPOSIT - WAT°R
$ .,/ 7o. ?--a wac
$ sAc
$ TRUDTK [4ATER ASSFSSAIENT
$ TRliNK SEWER ASSES$MENT
$ LATE°,AL BENEFIT/TRUNK SES4ER
$ LATE:tAL BENE'FIT/TRUNK WATER
$ OTHER
$ TOTAL
to O . a--O ?Q
? ,? ? J O
AM0UNT PAID/RECEIPT # 3 5'
DOES UTILITY CONN ECTION REQUIRE E XCAVATION IN PUSLIC RIGiiT OF WAY?
? YES . IF YES, THEN A"PERMIT FOR WORK WITHIN
PUSLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGINEERING DIVISZON. LIST AS A CONDI-
TION.
SUBJECT TO TFIE FOLiO;4ING CONDITIONS:
APPROVED BY:
TITLE:
DATE: _7
_I
J ' I
2/84
t CITY OF EAGAN
i APPLICATION FOR PER1`4IT
-' SEWER AND/OR WATER CONNECTIODT
' (PLEASE PRINi)
1) PROPII2TY ADDRESS:
r.Frar• DESCRIPTICN: c9 4
(Lot/Block/Subcttvision or Tax Parcel I_D. Nimber)
ir E{I;='=`:G STRliCP^:2E, DA_r. Oz' ORIGii:AL .=:iiIIZ`L"G P.=?:,IIT ISSU?NC`_':
J P:2=5r?_ -l U=_: O r2-1 SI?;GI.P. r^PNSLY
? R-2 DUPLE.`{ ('IT%0 U1iIIT5)
Gd'R-3 M^ZII3CUSE (THI2EE + UNITS) ( iTNI'SS)
? R-4 APAR`I?=/CO?2LCI?LTNIL^1 ( Wi ITS)
? CON?ME..'2CIAL/RETAII/OFFICE
? INJUS7RIAL
Q INSTITUTIONAL/GCVER???,=
2) APPI.ICA?,T (PLEASE PRI4T)
N)blE= 1
? Cu,t4?f'r? C
ADDRESS:
CIT`l, STATE, ZIP: ?}. C???? ? V ?IJ. .
PHOiNE:
j) p=ffiER (PLEASE PRINT) FOR CSTY I1SE ONLY
NAME: ?,
?.}?
h'S In4
ADDRESS
_ T
?
? PlUMBERS LICENSE:
?
SsQ)
r Q Active
CITY, STATE, ZIP: Skltl.irn Py, Expired
PHO?= 4 ?ic?
ay-17?3°3 PLIIMBER Q Not of Record
LICENSE N
arr nitia
4) OC,'CUPANP/C7'T-jIER
NPl"IE,':
ADDF2ESS:
CITY, STATE, ZIP:
Pf IONE :
5) INDICAT'E WHZCH PERNLIT IS SEIiv'G RMUESTED:
? CCA;NECL'ION 'IO CITY SF.TrlER
?CONIQECtION TO CITY 6JATER
? rJI'fER (PLFIISE DESCRIBE)
(YLtAStYN1Ni)
o) l:lllllf?:i ;:; U::t:
?
?
PLF.A.;E I?OID APPROVEp pER,titIT FOR PICiC-UP BY ONE OF ABOVE
°I.EASE RTAIL APPROV'cM PER:%lIT TO 1, 2. 0, 4 AEOVE
? (circle one)
7) SI=7[.'RE: ? .4426?? Z74 DATE
MRw i1ffm;ii:i??iYKl?:?1l•?:??'??
F O R C I T Y U S E O N L Y
PERMIT °- ZSSUED
I
FEES: $ SE:^iE? oEoMrT (I`IC:.:;DE SliRCH?;'?G?)
$ WATEP. PERf1ZT (INCLUDE SURCHARGE)
$ oWATER METER/COPPERHORN/OUTSIDE READER
$ WATEP, TAP (INCiiiD: CCRPORATICN STCP)
$ SE,dER TFo
$ ACCOUNT DEPOSIT - SEiqER
$ iS_? ACCOUNT DEPOSIT - WATER
$ ..sl7 c _ e-o WAC
$ SAC
$ TRliNK WATE.°. ASSESSi'-1E:IT
$ TRliNK SESJER ASSESSMENT
$ LATERAL SENEFIT/TRUNK SEL9ER
$ LATERAL BENEFIT/TRUNK WATER
$ ' OTHER '
$ TOTAL
$ 5" 8 9•-9 ° A:`10UNT PAID/RECEIPT $ s4Sc 3' S
DOES UTILITY CONNECTI ON REQUZRE EXCAVATION IN PUBLIC RIGHT OF WAY?
0 YES IF YES, THEN A"PERMIT FOR WORK WITHIN
,
Cr?
NO PUBLIC ROADWAY" MUST BE ISSUED SY THE
ENGINEERZNG DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TFIE FOLL0:4ING CONDITIONS:
APPROVED BY: at'?p
TITLE:
DATE: 7 ---y
??i+w?w?s?? E??e? ?:+?w?iaa?w}+Rawt?w?l??? w.art?seww?t?frt??tw? w?
/? ^? l b CITY USE ONLY m
PERMI"C #: ? ?/ RECEIPT DATE: / </?
f;£SIDENTIAL MECHANICAL PERMIT APPLICihTION
crrY of EAsm
3830 Pu.o'r KNOS [tD ,
' 'f.A6A1PbfN551YE,
ssi-sgi-?s?s
Please complete for: D single family dwellings
townhomes and condos when permits are required for each unit
Date: Lo
SITE ADDRESS: _?)
OWNER NAME:
TELEPHONE#: ?7S 1 (o J ?S3
(AREA CODE)
INSTALLER NAME: TELEPHONE #:
I AI i l 74 """11 ' (AREA COOE)
410 INE$l l.AKESTREET
STREET ADDRESS: MINNEAPOLiS, fViN 66408•2998
612-824-2656
STATE: ZIP:
--
o??..:?-a..6.,-..L?..;.?.L._ ..o...,i#...n.L+...:o.._._..__. .... ___ ._._...._ . _.__ _. _..
e4i'i- 11:u
New residential dwelling unit under constructionand not owner/oceupied - $ 70.00
i? Add-on, modification or alteration to existina dwelling unit $ 50.00
' • furnace replacement
? • airexchanger
• air conditioner
• other ! ^
Nature of work:
U°
State Surchar e $ 50
? ?
?5?
Total -
Remii:der: Cal! for tnspectians.
upaamu iivi
Z PLUMBING (RESIDENTIAL)
J14S Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date_R_/_q
/
_
Sit
Add
it #
U
e
ress
n
PropertyOwner Telephone
.. ?
?
'(
?
Contractor
?
?
Address City
State ' Zip J?elephone #
The Applicant is _ Owuer _ Contractor _ Other
Septic System New _ Refurhished Submit 2 sefs of pians and MPC license $ 100.00
Indudes County fee. Additional consultant fees may apply.
Alterations To EzisGng Dwetling Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 518" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawu irrigation system
_ Water softener ip Water heater $ 15.00
? rgplacement _ additlonal
$ .50
State Surcharge
Total
I 6ereby apply for a Residenrial Plumbing Pernut and acknowledge that the information is complete and accurate; that the work will
be in confoimance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an applicarion for a pemut, and work is not to start without a pernut that the work will 6e in accordance with the
appro ed plau in the case of ?ork which requires a review and approval of plans. /
ky ?
ApplicanYs Prited NariVe' Applicants Si
?e<; .
1'n/q
RESIDEN'I'IAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete £or: Single Family Dwellings & Townhomes and Condos when permits aze required for each uni[
S 30.?
1 II
Da??? / x!? / 63.
SiteAddress_,3,?k--,sc? Unit#
PropertyOwner (T(`h(1 Telephone#(LSI )A1'C650
Contractor 1
Wohlers Southside Htg. & Air, Inc.
Street Address 6950 W. 146b St., 34106 City
Apple Valley, MN 55124
State (952) 431-7099 Telephone # ( )
Bond #• Expires: Q?I a ? y
Rl-1. 054 7C48
The Applicant is _ Owner - -x Contractor _ Other
Add-on, modi£cation or alteration to eaisting dwelling unit $ 30.00
J? fumace replacement
air exchanger
air conditioner _ New _ Replacement
other
State Surcharge $ .50
?5?
Total 7 Z003
NOV 7 $
?
I hereby apply for a Residenfial Mechanical Pemut and aclmowladge that the 1BY is comp ete an accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and witb the Mechanical Codes; that I understand Uns is not a
pernut, but only an applicafion 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.
r,)aC,1e_ 1 -R1 - CC-?-Z l.C XTu"-?
ApplicanYs Printed Name ApplicanYs Signature
(n`JS 4 7 30 ?SZ?
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single famity dwellings & townhomes/condos when pemvts are required for each unit
Date / _?? / 0'?__
Site Address -M,5J Lvc,)jI {? ?T)r _ Unit #
Property Owner m h n \Jpu m Telephone #( j(6()
Contractor Wohifts ,?U- FhC??P? -d' -?/?? ?i?c-?•
Street Address &I City ?!/i
??
???_ac?
hone# q;J'-?V ? l
l
i
-A T
S1
s
State S?JIIV e
ep
p
Z
-
C
Bond ? L
Expires:
The Appticant is _ Owner ? Contractor _ Other
Add-on or alteraGon to existing dwelling unit $ 30.00
furnace _Addition al _Replacement
air exchanger
? airconditioner _New ?Replacement
other
State Surcharge $ .50
$ !3D•
Total
JUL 2 3 2004
I hereby appIy for a Residential Mechanical Permit and aclrnowledge that tbe info tion is complete and acc? ; that the work wili
he in conformance with the ordinances and codes of the City of Eagan and with the ? understand tlris is nof a
pernrit, but only an application for a perxnit, and work is not to start without a pernut that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
I?inle I ?. y??hl°rs
Applicant's Pnnted Name App icant's Signat,ure
-?Zg6S 2006 RESIDENTIAL BUILDING rExnuT arrLrcATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construcfion Reauirements
3 re9isfered sde surveys showing sq. ft of lot, sq. ft of house; and all roofed areas
(20°k maximum bt wverege allowed)
2 copies of plan showing beam 8 window sizes; poured found desgn, etc.
1 set of Energy Calcuia6ons
3 copies of Tree Presarvation Plan A lot platted atter 711193
Rim Joist Defail Optiws selection sheet (buildings wAh 3 or less units)
Minnegasm mechanini ventilation form
RemodellReoair Reauirements
2 wpies of plan stawing too6ngs, 6eams, joists
1 set of Eneqy CakxAations for heated addNOns
1 site survey for additions & decks
Adddion - indicafe i(an-sRe seAfic sysfem
A 33? zs
Ck. --?- s1-4 3
Office Use'AnN
CeAofSuivey?Recd _Y _N
TreePres'PlaoRecd ?-_Y _N.
TreePres.Requ'ved ._Y _N
OnsiteSepticSystem Y _N
Date ?-J / ? % 0 b Construction Cost 4'Z0 m
SiteAddress 3Z-ZSy3Z-Z?- 32Z.9 13 231? 3233
, 3Z3S i? UniUSte #
1
Description of Work ? Iei Cl' tTy ni ! I hQ '6+6
Multi-Family Bldg ? Y_ N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner _C64c.H mAI) A?A /G4 74?n h omt 5 Telephone #( D?
Contractor -t rA 0
Address ?35) rl ? ?[?lloo? Ly
?
13C? ?p
City /?'Iqnk k'OVt
--
State MIv
Zip 7531?? r
Telephone#(-V3) 1 0` DSL"
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv l Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculafions Submitted
In the last 12 months, has the CiTy of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
SewerlWater 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.
( ?ui ? ?iZU77lh?4<? Z/1'
Applicant's Printed Name Applicant's Signature
200? RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for eacH wit
??""5-6
Date
Site Address ty .
, Uni[ #
PropertyOwner 6??6 ??/ ??'? Telephone#(
I Contractor Ron's Mechanical, Inc.
streetnddress 12010 Old Brick Yard Road c;ty Shakopee
State MN Zip 55379 Telephene#( 952) 445-8585
BondRLI 561164 Expires: 8-13-07
The Applicant is. _ pwner Contractor Uther
Fire repair (replace buroed out appliaoces, ductwork, etc.) $ 90.00
This fee applies when eutensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling uoit - $ 50.00
_ fumace _Additional -ZReplacement _ New
/ air exchanger
?
air conditioner
heat pump
other
I
State Surchaege $ .50
Total sEDEO_
I hereby apply for a Residential Mechanical Peanit and acknowledge that the information is'complete and aceurate; that the work willbe :i conformance with the ordinances and codes of
the City of Eagan and with the Mechanical Codes; th
permit, but only an application for a pertnit, and work is not to start without a permit; that the work will i r
appro , lan in the case of work which requires a review and approval of plans.
Oda. UG 0 9 2007
App 'cant's Printed Name Applicant's Sign ure :
?.,
. �, 3 ��`� 3 � �%� 3���, :�c�3S
3�� ��� �3� ��]. �
Use BLUE or BLACK ink
�------------------
� For Office Use �
l
a 1
• j Permit#: � 1��°'�� I
Clt� of E���� � � ��,a '
� Permit Fee: �
3830 Pilot Knob Road j �- � �
Eagan MN 55122 � Date Received: l �
Phone:(651)675-5675 I I
Fax:(651)675-5694 ( Staff: �
�.����������������J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date• (� �lJ' Site Address� ��J ��� ��`-�"+�C� �`"''V�-- Unit#: 3�5��3 J�
Name: Phone:
i�esictentt �,��. 3�!�c'J �v��� �i1J�. .
�p�r Address/City/Zip:
Applicant is: Owner � Contractor
Description of work: � ���
Type af Work �,
' Construction Cost:� �a�� Multi-Family Building:(Yes�/No��
Company:��� �. �. F�, l �,• Contac�:~�"t�c�F�� ���f(�
.�51�� C���v�- r��. n!�.. �,ry: �t• �.�c���L
COf1tf�CtOC Address�
' State:�Zip:�Z�� Phone:�4��'b v��� Email:�GK1�GC��lA.L✓�G�- ��►'�� L,C.0
License#: 4 �� Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan lssued 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:
N4TE:Plans ar►tl suppvr�ing dacum�artts t�#you�submet are cunsider�al to:be pubtic ir►#armatic�n. Pur��s r�#
t�re enfQrmaiic�n may be cfass�fieal as nort�aublic if yoet prouide sp++�cific r�easorts tha#w�tttld p�mit the City t+a
concfe�ale#tat tlte are U�de secr�sets.
CALL BEFORE YOU DIG. Call Gopher SYate 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.aopherstateonecall.orQ
I hereby adcnowledge that this information is complete and accurate;that the worlc will be in conformance with the orciinances and codes of the City of
Eagan;that I understand this is not a pertnit, but only an application for a pertnit, ar�virork is not to start without a pertnit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plar�s.
E�ctsrior work authorized by a building permit issued in accordance with the nnesota i�te B 'Iding Code must be completed withln 180
days of permit issuance.
x�� ���� X ��!"�—
Applicant's Printed Name Applicant' ig ure
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
�j
Pernik it /4/606 606 7
Citi 01 9-.? I'
Perms Fee:
3830 Pilot Knob Road
Eagan MN 55122 [` , ' z Date Received:
Phone:(651)675-5675
buiidinidnspectionstikcKyofeagan.com SEP 1 9 2017 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: y Unit fk
Name: Phone: `i S ^�.ci 33 �
Resident/
Owner Address/City l bp: 3 aa5 z-)1
Applicant is: Owner 'X Contractor
.Wow Description of work `°-' `'
Type of
Construction Cost �> Multi-Family Balding:(Yes i No )
Company: a �{ l. :'rt=3 5.Lc. ,%,rte. Contact IA)`• `;.abs
Contractor
Address: 2.'13;0 > city: lt.a2..04�'t-.v'
State:i"i',,,, Trp: 5S« Phone:ti t --353-c)33.3 Email: .2\cr -.o<-'s4'. ‘----ce ` . f -�
License#: €'(:.--1:3 3 1 1`'t Lead Certificate* t I Pr
If the project is exempt from lead certification,please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTA Plans and supportingdocuments that you mare considered to be public In*nmatlon. POrtionsofthePortions
information may be classified-is nonpublic.it you provide specific masons thatwouldpennit the Cftytaconcludelhat they
are+trade secrets
You may subscribe to receive an electronic notification from the City of proposed ordinances by sigrdng up for an email update on
the City's website at www.citvofeagan.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Mirrresota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DiG. Call Gopher State One Call at(851)454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utililies. www.00pherstateonecail.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 orty 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 pians.
X rz . \ X " o« 'L,.✓s.J''
Applicant`s Printed Name pplicant's Signatu
Page 1 of 3
U ga QREDO NOT BELOW THIS LINE `7 �� l
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi)
Multi le Deck _ 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 0 6 0 Occupancy 3 MCES System
Plan Review Code Edition /1 ,, , SAC Units
(25%y. 100% ) Zoning I City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
)" 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
A as,
Base Fee 9
Surcharge fit
Plan Review
.
MCES SAC
City SAC
Utility Connection Charge /
S&W Permit&Surcharge V
d-PNI
Treatment Plant L
2/ 0 e2
Copies `` '""`
TOTAL
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