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3237 Evergreen Dr PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA098233 Date Issued: 03/14/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3237 Evergreen Dr Lot: 23 Block: 01 Addition: Coachman Hiahlands PID: 10-18075-230-01 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to concealin,. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 5.600.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Heath and Home Technologies Lawrence R Wolf 2700 N. Fairview Ave 3237 Evergreen Dr Roseville MN 55113 Eagan MN 55122 (61)633-261 I hereby aeknowledae that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Citv of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature REQUEST FOR ELECTRICAL iNSPECTtON Ea-ooooi-os ' See instruc?ions tor completin9 this torm on back of yeilow copy. ,U "X" Be/ow Work Covered by This Request 3 $'7&$' ? ? ? F, Adtl Hep. Type of 8uilding ApPliancxs Wiretl -" Equipment WireA X. Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bidg. Fumace Silo Unloader InduStrial BIAg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Specify)- t er ISVecity Other Other ompute Jnspectian Fee Belnw k Fee ServiceEnirencaSiie k Fee Feeders/Subfeeders # Fee Circuits 1 2. 00 0 to 200 Am s 0 to 30 qm s 0 to 30 Am s A6ove 200 qinps 31 to 100 Amps 31 to 100 A s • Swimminy Pool Above 100-Am s Above 100_Amps Transiormers Irrigation 6ooms Partial%Other Fee Signs Special Inspection 1 TOT Aemarks 50.00 F IE A_ r79 luwciuuuse rro ecc 61 9 - - Robah-in ?ate . 7 I, ch ? /'??Inspactor, hereby certify [hxt the abave Final Date {nspection has been , ?? ?i made. fhis reouest void 18 monNS irom This reques[ void ct -z3 18 months from -A 1 nr,.q r, (.•?3? t31 ? Co"w.n_n 3 S Nc B" 40?v ?nndS YY , Sa Request Date Fire No. Roouh-in Inspection Requ retl7 ?Heady Now ? Will Nu1ifY. InsUec- 9-21-83 ?NO ?orWhenReatly 0 Licensed ElecUical Contraclor I hereby request insOaction of above ? Owner eleclrical work ingtalled at: SVeet Address, Box or Route No. City 3237 Evergreen Drive Ea an ecLOn o. Townshlp Name or No. HanBe No. County Dakota Occupaqt IPflINTI Phone No. Brutger Companies 612-252-6262 FPOwer SuDPlier Address NSP Elechical Con[ractor ICOmpany Nemel Convactor's License No. Tim's Electric, Inc. Mailing Address IContractor or Owner Makinp Instailationl 432 S. Wabasha, St. Paul, MN 55107 orized Signature (Contractor Owner Making Installa[ion) Phone Nuniber ,l? 224-8293 MINNESOTA STATE BOABD OF ELECTPICITY THIS INSPECTION NEQUEST WILL NOT G?i89s-MidwaV Bldg. -YHoom N-191 BE ACCEPTED BV THE STATE BOARD 1821 UniversitY Ave., St. Paul. MN 55106 UNLESS PROPEX INSPECTION FEE IS Phone (8121 2972111 ENCLOSED. Use BLUE or BLACK Ink I For Office Use I Permit q 40 3 City of EI d I Permit Fee: 9a M 2- I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: - I I 1 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: S- /y Site Address: ~0 3 I l tJ i ~ DR. 2ut(.i) rAJG F Tenant: '5'D-4Z 324luite RESIDENT/OWNER Name: C~E(~t-~t~) `Yl~~sf(tl~~DS't•✓ty{~Jt~SPhone: Address / City / Zip: r L 11- tc lE Applicant is: Owner Contractor TYPE OF WORK Description of work: /mar l2o®i Construction Cost: b , i-on Multi-Family Building: (Yes X / No ) CONTRACTOR Name: A :~pT -c Jz~4 T,.,c. License#: a?,01 `7c l 5-3 Address: S75-CS- Q C4l 40~ 11J City: S7' State: P/,-j Zip: S~~ 7 Phone: 76 3 ~ d 1/ V(/ Contact: Email: k-&v~ 1~'© oC- C-o `fin ^ Cosh 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.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. .5c.,I / X ~ Appant's Printed Name Applicant's Signature Page 1 of 2 PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA081467 Eagan, MN 55122 . Date Issued: 12/14/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3237 Evergreen Dr Lot: 23 Block: 01 Addition: Coachman Highlands PID 10-18075-230-01 Use Description: Sub Type: e - Fixtures Work Type: Replacement Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Jason LaBelle 700 Prior Ave N St Paul, Mn 55104 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Home Depot Plumbing Contractor - Jason LaBelle Lawrence R Wolf 40805 Forest Blvd. 3237 Evergreen Dr North Branch MN 55056 Eagan MN 55122 (651) 645-5040 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature B7? A-5 CITY OF EAGAN ?`"`y? ?? .?'+• , 9795 PIIM Knob Rmd ` Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT ' 2eceipt Te 6a uwd for 1 of 6 PLEX Est. Value $69 ,000 pate August 1 _ 1q 83 Sire Address 3247 Cvergreen Drive Loe • 18 elock 1 Sec/SubCoaclunan Hiphlands Purcel # /O - /g0 7 S- m/8O- O( rc IName uiu?rci wauyuuiaaI tu?. Z Addreu OAe SunWOOd DT., P.O. SoX 399 cioua _ 2sz-e2 z V? ?- Name _ Addreu Nome 1 hereby ocknowledge thot I hove read this opplitotion und slote thot the inlormation is conect and ogree to comply with oll upplicoble Stote of Minnewto Stotutes ond City of Eogon Ordinonces. Sipnoture of Pertnittee A Building Permif is issued to: oll work shuli be done in xcordorxe with all opplicable Sta1e of Mii Building Official Erect }i( OccuponcY _ R-9 ?? Alter ? Zoning Repolr ? Fire Zone N Enlorge ? Type of Const. _?.._ Mave ? Jk Staries DemolisFi ? Length_ Grade ? Depth Sq. Ft.- Aoororals Fees Assessment Permit -- Woter & $ew. Surchorge Police Plon check Fire SAC 450.00 Eng. Woter Conn. 60.00 Plonner Wnter Meter 250•00 Council Raad Unit Bldg. Off. APC Total $1829.50 _ on tM express condition 1hat ond City of Eoyan Ordinance:. Permit No. Permit HoldBr Misc. Permit No. Halder Plumbin9 H.V.A.C. 3q ?lf/ ILL?mAr a'27 43 Well Water Dizp. 5nver Electric InspecTion Dete Insp• Other FOatings Foundati t Fremin Raugh PI69. ' ?' -P3 Rwgh HVAC InwlMion ? ? C? Final Plbg. ,2; A ' - Final HVAC . ' Finel ? Weter Dascribe Location: ' wan sam. Q QA Pr. Disp. rL` (°'° . . . -r---??--,- ..-,--F---,. CITY OF EAGAN 8?118 $l•`'R• k`5 3795 Pilaf Knob Rood Eoqon, MN 55122 PHONE: 454-8100 BUILDING PERMIT Recelpt # T. e..." s.,. 1 of 6 PLL•':{ fi69,000 n,,.e t.uguat 1 ,a83 Site Address -'-`*1 liVCLZ?lCCII urtvC Lot' 18 Block 1 Sec/SubCoacliman Highlands Parcel # - / 0 + «d 7 S - m/ Pd- O .4 W Name DruLgar ?vmFanies, Lnc. = Addr ss ?e Sum+tOOd DZ., P. 0. Box 399 ? _. S?t. C'loud 25 p Name _ uU Address F- r:... hlome _ Address I hereby acknowledge that I heve read this appiication ond stote that the informotion is correct and ogree to comply with oll applicuble Stute of Minnesota Statutes and City of Eagan Ordinances. Siqnafure of Pertnittee ? /1 Bullding Permit is issued to: oll work shall be done in accordance BuildinQ Offfcioi Erect )a Occupancy " ? Alter ? 2oning Repoir ? Fire Zone ' Enlarge ? Type of Const. Move ? # $tories Demolish ? Length Grode ? Depth Sq. Ft. Water 8 Sew. Police Fire Enp. Plonner Cauntii Bldg. Off. APC Permit J`T V. V V . Surchorge 4 Plan check ?? SAC Water Conn. 450.00 Woter Merer 60• 00 Road Unit 250 . O0 Torol $1829.50 on tha cxpress tondition that ond City of Eognn Ordinances. Parmit No. Permit Holder Misa Permit Np. Holdar P %U' l p fQ. ? V1 S 8'--8"^?'? - ?? fp ?,?,r G?-Z7 ? A" /OSSI !M`$ 6teC, ate Inapection D Insp. Other Footingg Foundsti r ' ? Framin Rouph HVAC InsulBtion Final Plbg. . . ? Final HVAC Final Water ???ibe Location: ?- ?- weu ' d- ? ? ?? Sewer • ? ???/ e3 -? r . Pr. Disp. `Bldg.-. A-5 cirir oF E?cAN 3795 Pilet Knob Raod Eeyen, MN 5512= PHONEs 454-8100 BUILDING PERMIT Tw " ....a m,.. lof 6 PLEY, Sit! /,ddflSS '??'?a a+voa?c,LCCU aiLyYa Lot 21 elxk 1 Sec/SubCoachman Highlaz Porcel # /0 "i80 75 - a 2- /0- O / oc Name ? Addro! G Nome _ u? Address F f'irv Nome _ Address 1 hereby acknowledfle that I hove read this oppiication ond state that thB inlormation is COrrect nnd ogree to tomply wifh all applicoble State of Minnesota Statutes ond City of Eo9an Ordinonces. Slqnature of Pertnittee rutP ger Compa*iiies, A 8ullding Permif Is issued to: oll work sholl be done in occordonce with oll opplioobla Stote ? Buildinq Offltiol ?`?YE-? 8335 Receipt # ? ^ Erect Occupor?cy R-3 Alter p Zoning R-3 Repair ? Fire Zone P7A Enlorpe p Type of Const. Move p # Stories 2 Demolish Q Length Grade p Depth Sq. Ft. Appro vals Fees Assessment Water & Sew. Pol ice Firo Enfl. Plunner Council Bldp. Off. APC Permit ?7[..uu $urcharge 26-50 Plan check 146.04 SAC 525.00 ware. con?,.450 - 0) Woter Meter F:fl _ f10 Rood Unit 4' 72 • ?i Totol $1749.50 on the ezpress tondition thni and City of Eapan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing 0 H.V.A.C. 3173 ?.l {?l/l?C1r L '27'0 w.u wace? Disp. Sevwr E??,? 55q -t?•?,?s ?1?. ?-z3-? Inspsction Data Insp. Other Footingr Foundstion Fnminq . Roud? Plbp. i -S3 L Rouph HVA Inwlation ? Final Piby. Final HVAC Final Wour Dsscribe Location: YYell Sowrr Pr. Disp. • Biag. A-s , cirir oF EAGAN i; €3?34 3795 Pllof Knob Rood Eagon, MN 55123 , . PHONE: 454-8100 BJILDING PERMIT Recelpr # Ta 6s used fer 1 O f UPT.iX Fd VnL? $.53.000 n.,to t:1 -ui I" 1 10 ?' ?3 Si4e Mdress .,.. , .. .8?«:... .,«.` l.oi 22 Black 1 Sec/Sub.`'oachman Highlai Parcel #/a -/ft 7,7 -& 2 ZD- O/ W Npme ?? ? u??ca vvwyouaco ? iu?.. Z Address One Sunwood Dr., P. 0. Box 399 9 _.. st. ciou -626 at 0 Ou u? F- Name _ Address Nome Address Erect M Occuponcy r:-3 R-3 Alter ? Zoning Repoir ? Fire Zone 'TA Enlarpe ? Type of Const. v Move ? # Stories 2 Demolish ? Length Grode ? Depth 5q. Ft. Aonrovols Fees Assessment _ Water & Sew. Police Fire Eny. Plonner Council ( hereby acknowledge that I have read this opplicotion ond stote thut ?f. _ gldg the inlormotion is correct ond agree to comply with oll opplicable APC Stote of Minnesota Stotures and City of Eoyan Ordinonces. 5tqnature of Permittee . eumparites , ILt c. A Building Pe?mit Is iuued to: oll wark sholl be done in atcordnnce with oll opplicable Stnte of Mincw Buildirp Officiol Permit ?' - - - - Surcho rge 2 . Plon check SAC ' Woter Conn. 4 5 0. () 0 Woter Meter 60• 00 Road Unit `J??' ?}n Total $1749.50 on the express condition thnt ond Ciry of Ea9cn Ordinances. Permit No. Permit Holder Miac. Permit No. Holder Plumbinq 3?? Q? ?,9 ?_?•.$3 H.V.A.C. i„L VI&Qf' ? -2 Well w.t.. Disp. Sovrsr Elactric f}-? Inupection Data Insp. Other Footinqs Foundation Framiny Rouph Plbp. _TS- d Rouph HVA ? Insulation ? Flnal Plbp. ar Final HVAC ? Final ?2? Tfg Vel yv?? Descri6e Location: VYall Sewer - Pr, Di?p. . . .. , CITY OF EI?GAN 8?33 3795 Pilot Knob Reod Eegan, MN 55121 PHC!!E: 454-8100 _ BUlLDING PERMIT Site Addreu l.ot Parcel # 1 Recelpt # Erect ;43 Alter ? Repair ? Enlarye ? Move ? Demolish ? o Name _ ?? Address ? ri.., NorrH _ Address I hereby ockrawledge thot I have reod this application ond state that the inlormotion {s correct ond agree torwmply with all applicable State of Minnesoto Stotutes ond City of Eagon Ordinonces. Sipnature of Permittee TA 8uilding Permit fa issued to: oll work sholl be done in occo?donce with all eppllcable State of Mir Octupancy ?' .. ? Zonirq -? Firo Zone Type oF Const. `-+ Assessment Woter & Sew. Potice Firo Enp. Plcnner Council Bldg. Off. APC Permit Surchorgs Plan check ?-' SAC -' Wcter Conn. 4 Woter Meter Rond Unit Totol r 1 ' on the express conditlon thrn Statutes ond City of Eeqan Ordinances. ct Norrte r?L?;er 'LUmJ)anies, inc. # Stories ' I Address g Suawoo(' ?)r. P.O. Bax 399 Length ,... ' t. ".loud .,? __ _ 252-6262 Grode rl Depth Sp. Ft. Permit No. Permit Holder Misc. Permit No. Halder Piumbing WlK QA 1 ? p H.V.A.C. 3?,-I l Q-Z7 -r3 Wall Water Disp. Sawer Electric ? ?5 S(o T'i+e ?S ? ?EG q -Z3-? Inapection Date Insp. Other Footing. 9- - 3 Foundetion Framin9 Rouph Plbp. Rouph HVAC °f `lr Inwlation Finel Plb¢ ~ Final HVAC Firul yyater D*wibe Loeation: . Wel I Sewer Pr. Dfsp. . ' •. , 3793 Pilot Keob?Road EagonNMN 65122 N,? 8R3rb ? 1? ? • ?''" ? PHONE: 454-8100 BUILDING PERMIT Receipt Tw i,. ....A s.,. lof 6 PI.E'r'. FN v.,I,,. $53,000 n„*e August 1 19 83 $ite Addreu 3145 Eve1CQleen Urlve . Erecc (;'t Occuponcy R-3 I.ot ' 19 BI«k 1 Sec/Sub. Coachman Highlan ds Alt,r 0 Za,;,,y R-3 Porcel # /? ?/oc'C 76' - 9! C/d- O? Repoir ? Flre Zane NA Enlar" p Type of Const. v ' a Nnme BI'utgel' Cor;panies, InC. Move 0 # Stories 2 ? (hze Sunwood Dr., P.O. Box 399 Address Demolish p Length ,.,_. St. Cloud 252-6762 Grode n Deoth Sa. Ft. o Name ? i? Addre Name _ Address Woter 8 Sew. Pol ice Fira Eng. Planner Council Bldg. Off. APC Plon check 146 . UU snc _ 525.04 Water Conn. 450, 00 Water Meter 60• 0Q Road Unit 2?2Q.a0() I hereby acknowledge that I have read fhis opplicetion and state that the infarmation is Correct and agree to compiy with all applicable Stote of Minnesoto Stotutes and City oF Eogan Ordinances. Sipnature of Permittee Drutger Co*i»anies, In A Building Permit is issued to: all work shall be done in accordance with all applicable Stotg-6f Mir BuildinQ Officiol Torol ?1749.50 on the express condition that and City of Engon ardinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing ? o ? H.v.A.c. 3? `7. S ,?c.t wta r R-z7 S'3 weu Water Disp. Sewer e1e?•?? A-/o552 i/?v 15 EIFCL Inspection Date Insp. Other Footings Foundatian Framing F Rouph Plbg. RouqM HVAC Inwlation D Final Plba I-Ar-46 k, F{nal HVAC Final Water Describe Location: . , Well Sevuer . ` Pr. D'np. . ' Bldg. A-S BUILDING PERMIT CITY OF EAGAN 3795 Pilot Knob Roed Ee9en, MN 55122 PHONEi 454-8100 PLEX Site /lddreu _ `-. ... ". b....... "` ?." Lot' 20 Bi«k 1 Sec/Sub Coachman Highlai Parcel # /0 '/8'O7?6_ -6r2oQQ--O/ K NOmB uau.bca vvuat.aua?o? aasa.. Z ^ddreu One Sunwoad Dr., P.O. Box 399 9 ,,._ -?t. cloua ? 252-6262 ? Name ,o Receipt # ?,?r8 13Co i 7e- {/ 1 .83 Erect )ff Occuponcy j`^ 3 Alter ? Zoning o_ Repoir ? Fire Zone Np' EnIarye p Type of Const. V -? Move Q # Stories 2 Demolish p Length Grode Q Depth Sq. Ft. Approvols Fees Su Addreu Nssessment - ~ Cit Pho e Water & Sew. n t? Nome Police ? W fire ?? Address Enp. i'z Ci Phone Plonner 1 hereby acknowiedge thot I hove read this uppiitotion and state thot Councfl 81dp. Off. _ the informotion is correct and agree to tomply with all applicoble State of Minnesoto Statufes and City of Eogon Ordinances. ^PC 5ipnoturc of Permittee BraegeT , • A Building Permit Is issued to: all work shall be done in accordance with afl aoolicable Statt of Minr Permit .] Surchorpe ? Plon check ?.?.0_ 5AC , j Woter Conn. ?r Water Mecer Rood Unit 50 Totol ??1749 ' on tha express condition 1Fat Stotutes and City of Eoflon Ordinances. Buildinp Officlal Permit No. Permit Holder Misc. Permit No. Holder Plumbiny 3j ?? ? _gS E H.V.A.C. w.u w?.? . DhP• S?vre? ENctNc 4055.3 -T,'rN'S ??• ?-73-g3 Infpection Date Insp. Other Footinyt - 3 ' Foundation Freminq Rough Plbp. Rou¢+ HVA inwlation ?5 Final Pltp. ? Finel HVAC Final ? Water Wseriba Location: YWII , Sewer Pr. Disp. • ' C . Receipt -? ` MECHANICAL PERMIT Permit No. CITY OF EAGAN • Fee Fill in numbered spaces S/C Type or Print /egibly Tot. 1. Date '•''I ' ti 2. Installation Cost 1 3. JobAddress .CILot Bik. Tract ;?- ? 4. Owner &=/T 5. Contractor Phone - 6. Address 7. City State 2ip ' 8. Building Type: Residential Q? Commercial ? Institutional ? I 9. Work Description: New ? Add ? Alter ? Repair ? 10. 11 ? ' , Describe - ' '/ 1 I I f ? ? L Fuel Type i ' No. EaJpment BTU - M. Ea. Forced Air No. Equiament CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other T 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 governing this type of work. Signed : " for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee _ Fill in numbered spaces S/C " Type or Prim legibly Tot. , 1. Date - 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor `t- /?''? ? ?. ., 6. Address 7. City State 2ip ?- 8. Building Type: Residential f? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. oescriee I?. ?"f`fLGIP X/c, Fuei Tvae 11. No, 'L' Equioment 8TU - M. Ea. Forced Air No. Equipment CFM Air H dli Mfg. an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other '/ Air Cond. Z r Mfg, Gas, Piping Outlets I 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN • ?; Fee ' Fill in numbered spaces S/C Type or Print le+yib/y Tot. 1. Date 2. Installation Cost ? • 3. Job Address Lot u Blk. Tract 4. Owner 7-C. r-/L i ,, f f} i. J?= S 5. Contractor ?hone ` i 6. Address 7. Cityl_' 1L =v State J; Zip 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New ? Add ? Alter ? Repair ? 10. Descriheill? Jrt?-by, Fuel TYPe 11. No. Eauioment 8TU - M. Ea. Forced Air No. EQUiament CFM Ai H li Mfg. r and ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Air Cond. Other Mfg. ? Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date lnsp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN ' • Fee Fill in numbered spaces S/C • Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Bik. Tract 4. Owner 5. Contractor Phone 6. Address ' • 7. City State Zip 8. Building Type: Residential YJ' Commercial O Institutional O 9. Work Description: New d Add 0 Alter ? Repair ? 10. Describe ?!-FuelType 11. No, 1 EQuinment 8TU - M. Ea. Forced Air No. EQUiament CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mf9• Other Air Cond, %r ? M Mfg. Gas, Piping autleu ! 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 i na I Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN • Fee ' Fill in numbered spaces S/C Type or Prin[ legibly Tot 1. Date - ?? 2. Installation Cost " 3. JobAddress Lot Blk. -' `Tract 4. Owner 5. Contractor Phone ' ? - 6. Address ? ? ? ? • ?r ? 7. City ; State Zip 8. Building Type: Residential 11% Commercial O Institutional ? 9. Work Description: New 13 Add ? Alter ? Repair ? 10. Describe ?/: trL i Fuel Type 11. No. Eauioment BTU - M. Ea. Forced Air No. Equiament CFM Ai dli H Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. r Mfg. Gas, Piping Outlets ? 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464$100 Receipt ` MECHANICAL PERMIT Permit No. CITY OF EAGAN ' . Fee Fill in numbered spaces S/C Type or Print /egibly . Tot. 1. Date • 2. Installation Cost 3. Job Address Lot ? Blk. Tract 4. Owner 5. Contractor ? Phone ' 6. Address 7. City =•/17? 11 State Zip 8. Building Type: Residential 9(- Commercial O Institutional ? 9. Work Description: New)5 Add ? Alter O Repair ? 10. DesCribe'' r' '/ - =f' Fuel Type ' r' . 11. No. Eauioment 8TU - M. Ea. Forced Air No. Equipment CFM Ai H ndli Mfg. r a 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 to comply with all ordinances and codes governing this type of work. Signed : _ for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt ?L PLUMBING PERMI7 Permit No. CITY OF EAGAN • Fee Fill in numbered speces 5/C ' 7 V Type or Print legib/y Tot. 1. Date 2. Installation Cost 14? ? ? ?r ? ai? .'f'Pi1 [?. r"( 3. Job Address Lot 2-caIk. Tract 4. Owner /- 5. Contractor 6. Address _ 7. City 45'T Phone / Z ( - ? ? 7 j ' State -11124. Zip 5--) CJ ? Z- I S. Building Type: Residential V Commercial ? Institutional ? 9. Work Qescription: New N Add ? Alter ? Repair ? 1 10. Descri be 1 11. No. -7 L Fixtures Water Closet No. Fixtures Cesspool/Drainfield Z Bath tubs Septic Tank Z Lavatory Softner Shower Well ? Kitchen Sink _L Urinal/Bidet Laundry Tray Other Floor Orains Drinking Ftn. 51op Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply wit II ordinances a d codes governing this type of work. : ' Signed for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 Receipt 7 i":, 7PLUMBING PERMIT CITY OF EAGAN t Fill in numbered spaces Type or Print legi6/y Date 2. Installation Cost ? .. ,? 3. Job Address 4. Owner 5. Contractor _ [ 6. Address 7. City State sI 2iP ?-- 8. Building Type: Residential 1?1: Commercial ? Institutional ? 9. Work Description: New ;9 Add ? Alter ? Repair ? 1 10. Describe { 11. No, z Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank Lavatory Softner - Shower We?l T 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 wit II ordin nces and co es governing this type of work. Signed : for -7 Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 Permit No. • Fee ZL' ' C% U S/C ' ?,(-j Tot. ?' ? U Receipt_-3-7j,? -70 PLUMBING PERMIT Permit No.,-3!- CITY OF EAGAN • - , v Fee - U Fill in numbered spaces S/C Type or Print legibty - - f-. Tot. 1. Date S/A' /,'.,3 2. Installation Co t I* ?? r' (/9 !' 3. Job Address ?? 3 7 Lot.2 Blk. _L Tract ;''4': _? •'? ? 4. Owner 5. Contractor r?"F)L?f/? ??L y-l„i ; n i Phone J.3 6. Address `/% Gv If?SGci e l -.,5(?!E /y a. 7. City S ??7Cc? ;:;c jJr State "/1/N Zip S S 8. Building Type: Residential El Commercial 0 Institutional ? 9. Work Description: New fJ Add O Alter ? Repair ? 1 10. Describe 1 11. No. Z- Fixtures Water Closet No. Fixtures Cesypool/Drainfield ?- Bath tubs Se tic Tank ? Lavatory p Softner 5hower Well ? Kitchen Sink Urinal/Bidet Other / Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply witt) all ordinances ani codes 99veming this type of work. Signed for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved _ -•< CITY OF EAGAN 454$100 °,? Receipt 7 PLUMBING PERMIT Permit Na. CITY OF EAGAN Fee • -,,-- ? Fill in numbered spaces S/C Type or Print leyibly Tot. -D 1. Date 2. Installation Cost ? 3. Job Addres?P??` `U< Lot ZZ Blk. ? Tract - {' 1 j? 4. Owner ??(.1\i 0C f 5. Contractor ? q Phone ?. 6. Address 7. City State 1 "I lVi Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter 0 Repair O 10. Describe `4 t 11. No. Fixtures Water Closet No. Fixtures Cess aol/Drainfield ? gath tubs p 5e tic Tank aZ l.avatory p Softner Shower Wel l Kitchen Sink Urinal/Bidet Other ? Laundry Tray Floor Qrains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : < ? ?- for Rough , Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved - CITY OF EAGAN 454-8700 ?:.?- Receipt ?-7 C' PLUMBING PERMIT Permit No. .3 U. CITY OF EAGAN Fee :;7"' Fill in numbered spaces 5/C Type or Print /egibly Tot 1. Date 2. Installation Cost A ", ?,1C'L 3. Job Address 3;?q t V'c Lot?_Bik. Tract 4. Owner k'l - '-? 5. Cnntractor Phone (i i 6. Address LN c 7. Citv -_ +_ ?:t 1 t r State /Vf /t," Zip > -,c 8. Building Type: Residential I? Commercial ? Institutional ? 9. Work Description: New L? Add ? Alter ? Repair ? 10. Describe 11. No. " Fixtures Water Closet No. Fixtures Cesspool/Drainfield .2 Bath tubs Septic Tank 2 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 and codes governing this type of work. Signed : for Rough , Final Inspections: Date Insp. Date Insp. This is yourpermit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? '? Receipt " PLUMBING PERMIT Permit No,r-.?? = (j / CITY OF EAGAN - Fee O ? Fill in numbered spaces S/C Type or Print legibly TOt. n? ? ' _U . 1. Date ?? ???--' 2. Installation Cost !a - ? , ???/y/'? ?• ? ??1, ?f ?c , , ?", l : ?? 3. Job Address -3 Zq 7 % Lot??Blk. ? Tract i' 14 f, 6 S? . ? ? F4, Qwner 5. Contractor A 6. Address ` 7 Phone 7 =' - 7. City _l ?Ti 5tate ' f /) Zip S. Suilding Type: Residential ;H 9. Work Description: New U 1 10. Describe 1 11. Commercial ? Institutional ? Add ? Alter O Repair ? No. Z Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs 5eptic Tank ? Lavatory Softner Shower yvell Kitchen Sink Urinal/Bidet Other _L 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 ordi,nancgs and_codes gqverning this type of work. ?. Signed i; r 4/ for / Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? . ? Receipt PLUMBING PERMIT Permit No. . ' , CITY OF EAGAN Fee Fill in »umbgred spaces 5/C ° TYpe or Print legib/y Tat Lf r 1. Date ?/?!??/,? 2. Installation Cost 3. Job Address?-- Lot z? =61k. Tract 4. Owner / - > - - - ., 5. Contractor 'Phone `Y f , 6. Addresv/fcr;V 7. City ._ State ZiP ' i 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New 1,;:L Add O Alter O pepair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tark Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains ' Drinking Ftn. Slop Sink I Gas Piping Outlets ? 12. 1 hereby certifiy that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 INSPECT'ION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: I (651) 681-4675 ? SITE ADDRESS: ' ' 110 i : •t t? ,??i ? r.? .:?. PERMIT SUBTYPE: APPLICANT: rtr a?.•;r F. ?,?.? Mi.?i??.a f TYPE OF WORK: fi1 1-t'R1F'X I+M V t- ty A r tt ja( 1•rr10 t ; r, I11 1 I INSPECTION „ , ,. i 1 fIf3F'n . :4 i'39„ 324 1 "Ih , A Nt -1 I ?.?. Permft Holder Date Telephone # SEWER/ WATER • PLUMBING HVAC Inspection Uete Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGN HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCnvirr resr HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF, EAGAN Remarks Nv'{' =1 Z I 1I; Addition COACtMAN HIGHLANDS Lot 21 131k 1 Parcel 14-18075-210-01 OwRer Street 3241 EYERGREEN DRIVE state EAGAN MN 55221 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 'L70 1975 p arcel 10 2750 Q10-03 STREET RESTOR. jg 1974 1f 1f ' GRADiNG 1007 1986 354.14 35.41 10 c?-/S 8S SAN SEW TRUNK 440 196$ Paid und r aTCel 10 275Q 010-03 SEWER LATERAL 1984 n li * WATERMAIN 1 7 1972 P$id Wld T 8rC01 10 Z750( -010-03 WATER LATERAL 2 1975 • WATER AREA 1972 n ?t WER TERAL 7-9 1975 ?' " STORM SEW TRK g 1975 it ' STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT 2SO.00 37651 8-2-83 WATER CONN. 00.00 BUILDING PER. RAXIS SAC ?e 11 PARK CITY OF, EAGAN Remarks N.}/' ?" ' Addition ?OAC}KAN HIGHIANDS - LQt 22 Bik 1 Parcel 10-18075-210-01 owaer screet 3239 EVERG1tEEN DRIVE State EAt'iAN MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 2']D 1975 Paid und arcel 10 2750 010-03 STREET RESTOR. 1974 to 1t GRADING 1007 1986 354.14 35.41 10 /07 7 7 U-/5--8 SAN SEW TRUNK LIO SEWER LATERAL 1984 A WATERMAIN ? WATER LATERAL r1 It • WATER AREA 1977 2 If 11 STORM SEW TRK Z$ 1975 t1 t? STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT 250,00 37651 8-2-83 WATER CONN. 450. QQ 9UILDING PER. SAC PARK CITY UF.EAGAN Remarks V1U ?'? ` I Addition COACt?+IAN HTGHLANDS Lot 23 Blk 1 Parcel 10-1$075-230-0 ? owAer screet 3237 EVERGREEN DRIVE stace EAGAN Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 270 197S Paid U1l r 8!C!1 10 Z750 -Q14-03 STREET RESTOR. S 1974 it I I GRADING 1007 1986 354.14 35.41 10 /O- 645- SAN SEW TRUNK p 1968 P a i d un r arcel 10 2750 -010-03 SEWER LATERAL I984 t WATERMAIN 1972 Piid LA 8rC01 10 Z7SO -OlO-O3 WATER LATERAL 1975 it « ,RWATER AREA 1972 it to 1975 " " STORM SEW TRK Z 1975 STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT 37651 8-2-83 WATER CONN. 450.00 is to BUILDING PER. 9339 SAC f1 11 PARK ? CITY OF.EAGAN Remarks Addition ????M HIGHUNDS Lot 20 Rlk 1 Parcel 10-18075-200-01 owrier Street 3243 EYERGREEN DRIVE state EAGAN MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1975 Paid und r 8TC@1 10 2750 010-03 STREET RESTOR. ? 1974 of 01 GRADING 1007 1986 354.14 35.41 10 3516, 4 /G-/S- SAN SEW TRUNK O 1 SEWER LATERAL of ol w WATERMAIN f -It L91 2L P WATER LATERAL Z -- 1? u • WATEF AREA L 11 ft STORM SEW TRK u ?t STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT 250.00 37 51 8-2-83 WATER CONN. 4SO. 00 BUILDING PER. SAC 1t n PARK CITY OF EAGAN Remarks LI 1) Addition COACHMAN HIGHLANDS Lot 19 Rlk 1 Parcel 10-18075-190-01 OwFler street 3245 EVERGREEN DRIVE State EAGAN MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 4 ?,O 1975 P" r 1 10 2 ?-03 STREET RESTOR. /15 1974 11 if I' GRADING 1007 1986 354.14 35.41 10 3,5 ,14 C'- / 0- 15 SAN SEW TRUNK 1968 Paid un r arcel 10 2750 -010-03 SEWER LATERAL 1984 it *WATERMAIN 171 1972 Paid un r arcel 10 2750 -O10-Q3 WATER LATERAL 1975 tt ri i? *WATER AREA 1972 1975 ?r ii n I STORM SEW TRK 1975 n n n I STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT 250.00 37651 8-2-83 WATER CONN. 4SO.00 to It BUILDING PER. SAC Flic nn ?? 11 PARK - CITY OF.EAGAN Remarks NU Addition COACHMAN HIGHLANDS Owner c..oo. 3247 18 EVERGREEN DRIVE EAGAN NIN 551 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1975 Paid Uil r arcel 10 2750 -010-03 STREET RESTOR, 1974 rt +1 GRADING 1007 1986 354.14 35.41 10 ,/z/ -/Q j /O- /-? SAN SEW TRUNK 1968 Paid un r axcel 10 2750 -010-03 SEWER LATERAL 1984 11 11 t? *WATERMAIN 1972 Paid un r parcel 10 2750 -010-03 WATER LATERAL ?. 1975 * WATER AREA 1972 WATER LATERAL 1975 STORM SEW TRK ? 1975 S70RM SEW LAT CURB & GUTTER ' SIDEWAIK STREET LIGHT 2 37651 8- -83 WATER CONN. 454.00 tt ?t BUILDING PER. SAC 525.00 PARK CITY OF EAGAN 3830 Pilot Kno6 Road WATER SERVICE PERMIT r? ?; f, r i PERMIT NO : P. O. Box 21199 . ? MN 55127 an E DATE: , ag i Z of Units: No on rg; . Ownar; Urutger Co Address: 3241 EvergrQan Dr L:.1 lil Coachnan :iighlands sib Aedreas: -- Hayes .on rac ars Plumber: 00 pd 450 Meter No.: Connection Charge: . Si AcCOUnt Deposit: ze: 00 10 Reader No.: Permit Fee: . ? ' n 1 aqne te oomphr wilh !IN City of E,oyan Surchorge: ' OrdinancM. Miac. Charges: 6 0. 00 pu Ti^ t el' Total: g Dats Paid: y Dote of (nsp : (nsP•: . CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 6-04 j P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 pq''E; R-3?` 3 Zonirg: , No. of Units: Owner. b.rutger CO Address: Site Addi Plumbec 1 ayroe ta osmply with !he City of Esgen Connettlon Chanpe: 42S.00 I1c1 OrdinAnem AccOUnt Deposit: Perrnit Fae: 10, 00 pd Surcha?oe: .50 12d gy Misc. Chorpes: Date of Insp.: Total: I nsp.: Daft Pafd: PERMIT NO.: DATE: No. of Units: Connection Chcrge: Account Deposit: _ Permit Fee: Surcharge: Misc. Chorges: - Total: Dote Poid: No.. h aaaply wilh 1w Cihr sf Eeqes OF EAGAN Pilot Knob Road Box 21199 i, MN 55121 U SEVNER SERVICE PERMIT to eaaply wlth ehe Chy of EogoA Connectlon Charpe: Account Deposit: _ Permit Fee: Surdwrpe: Misc. Chorper. , Totcl: Doto Paid: No.: to compip with IIN Cifp oi Eayan Address: to emnphr w1lh ehe Ciyr of Eagoe of Insp.: Connection Cherye: Actourrt Deposit: _ Permit Fee: Surcharge: Misc. Choroes: - Total: Qots Raid: ConnscHon Charpe: Account Depesit: _ Permit Fee: Surchorpe: Misc. Ciwrges: ? Totcl: Dots Pcid: 425.00 pd 0. Box 27789 iaan. MN 55121 T.,.,:.. _ pr,,,,er; 111rutt7er Co Address: Site Addreas• ?245 rveT-TC.ct: f. Plumber: Meter No.: Size: Reader No.: 1 esm h ooesply whh !la Cltr ef Eaqan Ordlnontw WATER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: _ Connectlon Charge: 450.00 Pd _ Atcount Depostt: _ Permit Fee: SurCharge: . ??(? ?}•`i - MisG. Clwryes: T t I• oa. gy pcrre Paid: Date of Insp.: InsD•: ici -1 lf OF EAGAN SEWER SERVICE PERMtT 3830 Pilot Knob Road 98 PERMIT NO.: ;P. O. Box 277 MN 55121 DATE: fagan, No. of Units: :51 tltit 82' CO ;O ner . w Address: ' 3245 L'vergreen Dr L19 [31 Coac;v*a n iiig}ilanc .c site ,4ddress: s .on ra ors mF?r: PI u t., ? ? >? 00. 00 pd - . ' 1 e9ree to oomPly wilb ths Ci1y oi Ea9on Connectlon Charge: 425,00 jkl , Ordln6eem AccouM Deposit: ?? Permit Fea: Surcharpa: g Misc. Charoes: y Qcte of Insp.: Total: , i.,e„ • pots Paid: CITY OF EAGAN SEWER SERVICE PERMIT 3830 PiiQt Knob Road 0044 P. O. Sox :1199 PERMIT NO.: Eagan, MN 55121 DATE: ? ? •'- ? _ Zoninp: No. of Units: CITY OF EAGAN 3830 Pflot Knob Road P. 0. Box 21199 Eagan, MN 55121 Zoninp: Owner. BTUt ¢ Addmss: Sfte Nddress: ? Pluxnb4r: nyeS Metar No.: No.. h omvly whh tiN CM7r of Eown WATER SERVICE PERMIT PERMIT NO.: DATE: ' . No. of Units: Connection Charge: Acoount Oeposit: _ Permit Fee: Surcharye: Misc. CJaryes: - Total: Dcte Paid: of Insp.. OFEAGAN Pilot Knob Road Box 21199 i, MN 55121 SEVVER SERVICE PERMIT PERMIT NO.: 6046 DATE: No. of Units: Address: M eomply wilh !IM Cihr of Bapn of Insp.: 42-5. 00 jxi Connactlon Charge: AccouM Deposif: Permk Fas: 10.00 pd Surcharpe: .50 Pd Misc. Chorpes: A/ • Total: WATER SERVICE PERMIT - - 4 JE? Jo.: Connedion Charge: Account Deposit: No.: Permit Fae: • , 1'c: to een?ply with tlw CilY of EaYon Surcfiarge: ?, ? ? mE ? tr Misc. Chorfles: TDtQl: Dote Peid: CITY OF fAGAN SEWER SERVICE PERMIT 3830 PilAt IChob Road P. O. Box 21'189 PERMIT NO.: Eagan, MN 55121 DATE: ?ing; No. of Units: ?r Esrut ^ ez Co Add mpm h ean* with the City of Engen of Insp.: TY UF EAGAN l30 Pilot Knob Road 0. Box 21199 kaen. MN 55121 Conrnctton Charge: 4[.).uu pa Acmunt P Fee: ?t: 10. oo pa Surcharne: . 5 0 1)d Misc. Choroes: Total: IL BY CITY OF EAGAN N° 8333 Bldg. El'-S 3795 Pilof Knob Roed Eogan, MN 53171' PHONE: 454-8100 BUILDING PERMIT 2eceipt Te 6e umd fer 1 of 6 PLEX Esy, yalue $69.000 pate August 1 _ 19 83 $ite Address "'J/ Lor 23 Bt«k 1 Erect )m Occupancy R-3 Alter ? Zoning R-$ Repoir ? Fire Zone NA Enlarge Q Type of Const. v Mave ? # Stories 2 Demolish ? Length_ Grade ? Depth Sq. Ft.- Approvab Faet Parcel # C $ec/Sub.oachman Highlands rc Nome BrutQer Companies, Inc. Z ? Address One Sunwood Dr., P.O. Box 399 . cr 11_? Orn GOCO a Name Owner , R Addreu r ru., oL..__ Ncme _ Address I hereby acknowledge thct I hove reod this apDlication ond state that fhe inlormntion is correct and ogree to fAmply with oll upplicoble State of Minnewta Sfotutes and City of Eagan Ordinonces. Sipnofure of Permittee Brutgei A Building Permit Is issued to: oll work :holl be done in occordance with ull Assessment Permit 340.00 Woter 8 $ew. SurcFwrge 34.50 Police Plon check 170.00 Fire SAC 525.00 Enp. Water Conn.450. 00 Plonner Water Meter 60.00 Counc7l Road Unit 250.00 Bldg Off . . avC 7otal $1829.50 on t he express condifion thnt zwa,5tatutes ond City of Eogan Ordinonces. 8uilding Officiol Bldg. A-§ BUILDING PERMIT N° 8334 Receipt # Ts be wed br 1 of 6 PLEX Est. Value $53,000 Dote A ugust 1 , 1g-0- Site Address 3239 Evergreen Drive Erect ? OccuPancy R-3 Lot 22 Bi«k 1 Sec/SubCoachman Highlands Airer ? Zonin9 R-3 Parcel # Repuir ? Flre Zone NA E l T t C t V n arge ? ype o ons . w Nome Brutaer Comnanies. Inc. Move O # Srories Z z? Addreu One Sunwood Dr., P.O. Box 399 Demolish ? Length_ Ci St. Cloud Pham 252-6262 Grode ? Depth Sq. Ft.- ?p Noma Owner AOVrorals Fees ?U Address Assessment _ ~ Woter & Sew. Cit Phone G Police w Nome r Fire = 0 Addreas Enp. ? Z" Ci Phone Planner _ Council _ I hereby acknowledge that I have read fhis oppiicofion and state that gldg. Off. _ the inlormation is correct and a9ree to comply with oll applicoble State of Minnetota Stotutes and City of Eagan Ordironces. AP? Permit ?2?6"v SurcFwrge 26.50 Plon theck 146.00 SAC 525.00 Warer Conn. 450. 00 Water Meter 60.00 Rood Unit 250.00 Tofol $17?.49•50 Signoture of PertniMee I rutger Companies, Inc. A 8uilding Permit Is issued to: on the express condition ihni oll work sholl be dorx in accordante with ol ppliwble of Minnesota Statutes and Cify of Eagon Ordinancea. Buildirp Officiol 4n A., asaig _/?- CITY OF EAGAN 9795 PIIM Knob Rood Ea9an, MN 55142 PNONE: 431-8100 l • Bldg. A-5 BUILDING PERMIT T. ? oe,a ?, lof 6 PLEX Site Addres Lot 21 Parcel # - CITY OF EAGAN 9795 Pilot Knob Rmd Eogen, MN 53122 PHONEs 434-6100 Drive $53,000 Btxk 1 Sec/SubCoachman Highlands c Name Brutger Companies, Inc. ? Addreu One Sunwood Dr., P.O. Box 399 ?-;.,$C• ClOlld 252-6262 p Name OWneY ??? Address t- Name Address I hereby ackrwwledge thot I hova read this application ond state thot the inbrmation is correcf ond agree to comply wifh oll opplicable Stafe of Minnemta $tatutes and City of Eagan Ordinnnces. $ipnofure of Pertnittee rutger Companies A Buildinq Permit Is issued to: oll work sholl be done in accordance with oll oppli ble Stme Building Offlciol A?OAI ?p 1 Erect )C$ Occupancy R-3 Alter ? Zoning R-3 Repoir ? Fire Zone NA Enlurge ? Type of Consf. V Move ? # Stories Z Demoliah ? Length_ Grode ? Depth Sq. Ft.- Aoorornb Faes Assessment _ Water 8 Sew. Police _ Firo Eng. Plonner _ Council _ Bldg. Off. _ APC Permit Lyz•VV Surcharge 26.50 Plan check 146.00 SAC 52$.00 Water Conn.450.00 Woter Meter 60.00 Road Unit 250.00 roral $1749.50 N° 8335 Receipf i}` 276-5-1 _ on the exryress condition Ihm ond City of Eagan Ordirwnces. cirr oF Er?cAN N° 8336 Bldg. ?1-$ 9793 Pilo! Knob Rmd Eagan, MN 55721 ' PNONEs 4548100 BUILDING FERMIT Receipt # To be vaed 1or 1 of 6 PLEX Est. Vaiue $53,000 pate Aupust 1 , 1983 Sire Address 1 3243 EverQreen ?rive Erecr gg Occuponcy R-3 Lor 20 B lock 1 Sec/Su6Coachman HiQhlands qlrer ? Zoning R-3 Repoir ? Fire Zone NA Parcel # E l T f C V n arge ? ype o onsL c Name Brutger Companies, Inc. Move ? # Srories 2 I ; Address One Sunwood Dr., P.O. Box 399 DemoHsh ? Length_ ° ci St. Cloud phone 252-6262 Grade ? Depth Sq. Ft.- ? Name OWner Approvala Fees o0 u V? Address Name _ Address 1 hereby atknowledge that I hove read this opplicotion ond stote that the informotion Is wrrect ond agree to comply with nll op0licuble Stofe of Minnesota Stotutes and City of Eogan Ordinonces. Signoture of Pertnilfee ru ger ompanies, nc. A Bullding Pertnit Is issued to: oll work shall be done in accordonce with oll oooNmble Sta f Mlni Assessment _ Water & $ew. Police _ Fi.e Erp. Plonner _ Council _ Bidg. Off. - APC - Permit °J°•"? Surchorge 26.50 Plon check 146.00 SAC 525.00 Water Conn. 450.00 Water Meter 60.00 Rood Unit 250.00 1oral $1749.50 on the express conditlon Ihnt $totutes end City of Eogan Ordirwnces. Buildinq Officiol CITY OF EAGAN N° 8337 9795 i11M Knob Raod Eagan, MN 55123 Bldg. A-5 PHONE:45M8100 BUILDING PERMIT ReceiPr # 37 GS1 T. be wad fer lof 6 PLEX Est. Volue $53,000 pate August 1 19 83 Site Addreu 3245 EverQreen Drive Erect IR Occu anc R-3 p y Lor 19 el«k 1 Sec/Sub. Coachman Highlands qiter ? zontnp R-3 pamel # Repalr ? Fire Zone NA Enlarge ? TYPe of Consf. V W Name _ Brutger Companies , Inc. Move ? # Stories 2 ; Address One Sunwood Dr., P.O. Box 399 pemolish ? Length_ b Ci St. Cloud phone 252-6362 Grode ? Depth Sq. Ft.- z N OW[ler Avvrora4 Fees o ame _ ? ?u Addreu r r:... Name _ Address I hereby acknowledge thot 1 hove read this apDlicotion ond state that the information is correcf ond ogree to comply with oll opplicoble State of Minnesoto Statutes and City of Eagon Ordirwnces. Assessment _ Water & Sew. Police - Fire Eng. Planner - Council _ Bidg. Off. _ APC Permit LyG.VV Surcharge 26.50 Plan check 146.00 SnC 525.00 Water Conn. 450.00 WorerMerer 60.00 Road Unit 250.00 TaQi $1749.50 Signoture of Pertnittee I A Building Permit Is issued to: BTUtg2T COm anie I on fhe express conditlon thal all work skall be done in ocmrdonce with oll licobl 5 t f M" esota Statutes ond City of Eogan Ordinonces. Buildirg Officiol U(9`zl?g l CITY OF EAGAN N? 8338 ;.3g.'A-5 3795 V11ot Knob Rood Eogan, MN 55121 ' PHOHE: 4S4-8I00 BUILDING PERMIT Receipt # T. ba'uaed fe, 1 of 6 PLEX Est. Value $69,000 pate Au QUSt 1 I q 83 Site Address 3247 EverQreen Drive Erect }(g Occuponcy R-3 Lot 1$ Block1Sec/SubCo achman Hi ghlands Alter ? Zoning R-3 Parcel .{k Repair ? Fire Zone NA E l T f C V n arge ? ype o anst. c Nam, Brutger Companies , Inc. Move ? # Srories Z i Address One Sunwood Dr., P.O. Box 399 pe,,,oiish ? Length_ ? ,_ St. Cloud ,,, _ 252-6262 Grode ? Depth Sq Ft rc Z0 °uu ? ? Name Aporarols feea Address Assessment _ ,,.. _. Water 8 Sew. Name Police - Fire Eng. Ciry Phone Planner - Councll _ I hereby acknowledge thot I hove read this aDPlication ond state that BId9• Off. _ ihe informotion is corretT and ogree to wmply with oll opplicoble APC Stote of Minnezota Statutes and Cify of Eogan Ordirwnces, SiDnoture of PermiMee ru ger ompan es, nc. A Building Permit is issued to: all work sholi be done in accordance wifh all-App{icable State pfwi Permit ''- "•"" Surcharge 34.50 Plon check 170•00 SqC 525.00 Water Conn. 450. 00 Water Meter 60.00 Road Unit 250.00 TOtpl $1829.$0 _ on the ezpren cordition thnl and City oF Eagan Ordinonces. Bulldirq Otiiciol ?s & 44 g333 'ib•Be Used For 1 of 6 Plex CITY OF EACFIN , Inclucle 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. 3 93et R _ _ Valuation $55c,-aaO- 6? d„ a Date July 13 . 1983 Site Pddress 3237 Evergreen Drive IAt 23 BloCk 1 SeC./Sub. Coachman PaTCel #: Highlands OWrier: Brutqer Companies, Inc. AddY'ess: One Sunwood Drive, P.O. Box 399 City/Zip COCle: :st. cloud, MN 56302 Phone #: (612) 252-6262 CoritraCtor: Brutger Companies, Inc. Pddr2SS: One Sunwood Drive, P.O. Box 399 City/Zip Code: St. Cloud, MN 56302 Phoi72 #: (612) 252-6262 AZ'Ch./Eng.: Blumentals Architecture, Inc AddT25S: 6100 Summit Drive North Ciiy/Z7.p CodO: Brooklyn Center, MN 55430 PhOT1E #: (612) 571-5550 OFFICE USE ONLY Erect ? Oc=cuPancy .? Alter Zoning ? Repair Fire Zone 7'j?y Ehlarge 'iype of Cons . , A'bve # Stories 2 Derolish Fmnt ft. Grade Depth ft. APPROVAIS FEES AssessRrients Pesmit 3 yo ?4ater/Sewer Surcharge '??- Police Plan Check /20 Fire SAC %5-zLT- F]icj. Water Conn. Planner Water Meter 6 0 Council Road Unit ara Bldg. Off. AF'C l SG( ? S? 'iCYPAL t CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BIJILDING PERMIT APPLICATION 1 set of energy calculations. 2 4b•Be Used FOr 1 of 6 Plex Valuation 13:5:j? t75-,g 00o Date July 13, 1983 Sit2 PLldress 3239 Evergreen Drive Lot 22 Block _ 1 Sec./Sub. Coachman -Parcel #: Highlands Oan2t: Brutqer Companies, Inc. AdiY'ess: One Sunwood Drive, P.O. Box 399 City/Zip Cocle: st. Cloud, rs7 56302 PhOR2 #: (612) 252-6262 COntsaCtOr: Brutqer Companies, Inc. PddT25s: One Sunwood Drive, P.O. Box 399 City/Zip COde: St. Cloud, MN 56302 PhoT1E #: (612) 252-6262 ArC1'1./Er1q.: Blumentals Architecture, Inc. Address: 6100 Summit Drive North City/Zip Code: Brooklyn Center, MN 55430 Phone #: (612) 571-5S50 OFFICE USE ONLY Erect Occupancy 3 Alter Zoning ? Repair Fire Zone Enlarge 7ype of Const. '? Move # Stories y Derolish Front ft. Grade Depth ft. APPFtOVAIS FEES Assessments Permit 2 q > [aater/Sewer Surcharge Z - Police Plan Check Fire SAC ?A5-- Eng. Water Conn. „ Planner Water Meter , Council Road Unit z5,T-p Bldg. Off, AE? =AI, _-? 1-7 q R 1 s-o ^????? CITY OF EAGAN , Include 2 sets of plans, 1 site plan w/elevations & ?fBUILDING PERMIT APPLICATION 1 set of energy calculations. 2 i,3aQ • Zb-B2 Used P'Or 1 of 6 Plex ValUatlOn ?.488 ? 3 Qao Ddt2 July 13, 1983 0 S].te Adciz'2SS 3241. Evergreen Drive IAt 21_ B1oC.k 1 SeC_/SUb. Coachman -Parcel #: Highlands Own2T- Brutqer Companies, Inc. Add*'Pss: One Sunwood Drive, P.O. Box 399 Clty/Zip COde: St. Cloud, MN 56302 Phon2 #: (612) 252-6262 CORtrdCtor: Brutqer Companies, Inc. Addre55: One Sunwood Drive, P.O. Box 399 City/Zip Gode: St. Cloud, h]N 56302 Phone #: (612) 252-6262 Arc'1i./Eng.: $lumentals Architecture, Inc. AddresS: 6100 Summit Drive North C1'ty/ZlP COdC': _ Brooklyn Center, MN 55430 Ph011e #: (612) 571-5550 OFFICE USE.ONLY Erect ? Occupancy e? Alter Zoning Repair Fire Zone Enlarge _ Type of Const Nbve # Stories y Demolish Front ft. Grade Depth ft. APPROVALS FEES Assessrients Permit a=Zx= ?aater/Sewer Surcharge ,',U-- Police Plan Check /4(6 Fire SAC 16-ox.f Ehg. Water Conn. cL1-2 _ Planner Water Meter *6 0 Council Road Unit 3,r-O Bldg. Off. APC 'IC)7`AL ? ? Q I ?? CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevatians & BUILDING PERMIT APPLICATION 1 set of energy calculations. To•Be Used For 1 of 6 Plex Valuation 00 0 Date July 13, 1983 Site PddYOSS 3243 Evergreen Drive IAt 2 0_ Block 1 SeC./Stah. Coachman PaYCel #: Highlands OWl'1P-Y: Brutqer Companies, Inc. Addr255: One Sunwood Drive, P.O. Box 399 City/Zip Code: St. Cloud, P7N 56302 Phone #: (612) 252-6262 CAntYdCtAL: Brutqer Companies, Inc_ Address: One Sunwood Drive, P.O. Box 399 City/Zip Code: St. Cloud, Mta7 56302 Phone #: (612) 252-6262 AZ'Ch./E'lg-: Blumentals Architecture, Inc. Address: 6100 Summit Drive North City/Zip Cocle: Brooklyn Center, MN 55430 Phone #: (512) 571-555o OFEICE USE ONLY ? Erect . OccuPancY Alter Zoning ? Repair Fire Zone 4 Enlarge Type of Const Move # Stories y Dsmlish Front ft. Grade Depth ft. APPEtOVAIS FEES Assessnients Permit y yZ ?Vater/Sciaer Surcharge Z 6 - Police Plan Check IS/6 Fire SIC Sas- Fhq. Water Conn. ? Planner Water Meter 6a Council Road Unit y s-o Bldg. Off. APC ?C7PAL ? ? 1 ? So 2 72 Zb }3e USed FOr 1 of 6 Ple: 1 CITY OF FAGi1N _ Include 2 sets of plans, 1 site plan w/elevations & BUILDiNG PERMIT APPLICATION 1 set of energy calculations. 2 Valuation S? ?3 .aoa Date July 13, 1983 _? Slt2 PddtPSS 3245 Everqreen Drive IAt 19 BlOCk 1 Sec./SUb. Coachman .Parcel #: Highlands Owi12r: Brutqer Companies Inc. AdClreSS: One Sunwood Drive. P.O. Box 399 City/Zip Cod2: St. Cloud, MN 56302 Phone #: (612) 252-6262 ContraCtOr: srutqer Companies, Inc. Addi'ess: One Sunwood Drive, P.O. Box 399 City/Zip Code: St. Cloud, MN 56302 Phon2 #: (612) 252-6262 Atch•/E7'iq.: Blumentals Architecture, Inc. AddZ'255: 6100 Summit Drive North City/Zip COde: Brooklyn Center, MN 55430 PhOne #: (612) 571-55 0 OFFICE USE ONLY ,/? Erect / ?. Cccupancy ?.3 Alter Zoning Itepair Fire Zone yj,;,, ? Enlarge Type of Const. TL h'bve # Stories y Delrolish Front ft, Grade _ Depth ft. APPROVAI.?'i FEES Assessments Permit 2 ?aater/Sewer Surcharge ?? NM Police Plan Check 1:?e6 Fire SAC Eng. Water Conn. l?So Planner Water Meter /a Council Rc»ad Unit z? Bldg. Off. APC 'iCYrAL 1T CITY OF EAGAN Include 2 sets of plans, BL7ILDING PE1'LiT APPLICATION 1 sete of l energy l calculations. 7b.Be Used For 1 of 6 Plex Valuation $35-,980 6 c? oee Date July 13, 1983 Site Ptidress 3247 Everqreen Drive OE'FICE USE. ONLY Lot 18 Block 1 Sec./Sub. Coachman Erect x Occupancy R3 -Parcel #: Highlands Alter Zoning /?,-tv O^IR2r: Brutcrer Companies, Inc. AddseSS: One Sunwood Drive, P.O. Box 399 CityjZip Cod2: St. Cloud, MN 56302 Phorie #: (612) 252-6262 COntrdCtOl: Brutqer Companies, Inc. Pddr255: One Sunwood Drive, P.O. Box 399 City/Zip Code: St. Cloud, Mii 56302 PhOre #: (612) 252-6262 Arch./Ehg.: Blumentals Architecture, Inc. Addr25s: 6100 Summit Drive North Clty/Zip Cod2: BrooY.lyn Center, MN 55430 Phone #: (612) 571-5550 Repair Fire Zone -) Ey,?. Enlarge Type of Const. ? _ Move # Stories ? Demlish Front ft. Grade Depth ft. APPRDUAIS FEES Assessments Pennit _z </o Wdt2T/SEWP-Y' SIlYCt13LCJ2 ?y?L-- Police Plan Check / 70 Eire SAC -5zi_ Eng. Water Conn. y?a Planner Water Meter 60 Council Road Unit Bldg. Off. APC TCn'AL T I F?a t SO REQUEST FOR ELECTRICAL INSPECTION ' ee-oouoi-oa , See instructions for complecinB this torm on back oi yellow copy, ?4?1 ?? '"X'" Below Work Covered by This Request 7j $'7 (p g Nee AAd flBp. TVPe of Building APOliunces Wiretl EquipmBnt Wiretl 7{ Home Range Temporary Service Duplex Water Heater Lighiiny Fixhures Building Dryer Hectnc Heatin erCial Bidg. Furnace Silo Unloader trial Bldg. I Air Condi[ioner Bulk Milk Tank Otner pen y iner sneclfyl r tSUecify Other Otner ComUUte lnspectiai Fee Below M Fee * Service EntranceSiza fl Fee Faxders/SUbfaeders N Fee Cirouits - 1 2. 0 to 200 Am s 3 13 z 0 to 30 qm s 0 to 30 Am s Above 200 qm??s 1 5. 0 37 to 100 Amps 31 to 700 Am s ' Swimming Pool Above 100_Am s Above 100_Amps Tranytormers Irrigation Booms • Part ial%Other Fee Signs Special Inspec[ion - S? ` ' Re rks . j 0 . 00 TA FEE ?. /?? .?I'7 , 1VWL11IVUJG 11'V GI.L -Vi V- Rough-in ? Dnte L AI nsPector, herabv ? certity thet the above Final d D:te - p nspection has been ?da. Thls noue6t voiC 18 montOS from This repuest void Q -Z5 18 rtqnffis fmm A 1 n„a LROi S(i Coa"nlan 3 g7(10 g 14%1kland3 q4 . So HFxques[ Date ' Fire No. Rough-in Inspec[ion ReQOired? [NReadY Now Q Will Notily InsPec- 9-? 1 -83 ?]?es ?Na ?ur When Reatly 9 Licensed Elec[rical Contrac[or I haraby reauest insvection ot above^ Owner elechicel work installed eY 5[reet Atldress. Boz or Route No. Ciry 3243 Evergreen Drive Eagan ectian o. Township Name or No. RanAr, No. County Dakota OccvpantlPRINTI Phone No. , Brutger Companies 612-252-6262 Power Suuulier Address . NSP Electrical ConVactor (Company Name) Coniroclor"s Licen?e No. Tim's Electric, Inc. Mailing AdJress IConvactor or Owner Making Instailationl . ` 432 S. Wabasha, St. Paul, MN 55107 horized Sienature ICOnvactor Owner Makinp Installalionl Phone Number ? 224-8293 MINNESOTp STATE AFD OF ELECTRICITY TNIS INSPECTION qEQUEST WILL NOT Griggs•Mitlwav 01dg. Poom N491 BE ACCEPTED BV THE STATE BOARD 7821 University Ave., $t. Paul, MN 56104 UNLESS PNOPEN INSPECTION FEE IS Phone 1812) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL iNSPECTtON Ea-ooooi-os ' See instruc?ions tor completin9 this torm on back of yeilow copy. ,U "X" Be/ow Work Covered by This Request 3 $'7&$' ? ? ? F, Adtl Hep. Type of 8uilding ApPliancxs Wiretl -" Equipment WireA X. Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bidg. Fumace Silo Unloader InduStrial BIAg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Specify)- t er ISVecity Other Other ompute Jnspectian Fee Belnw k Fee ServiceEnirencaSiie k Fee Feeders/Subfeeders # Fee Circuits 1 2. 00 0 to 200 Am s 0 to 30 qm s 0 to 30 Am s A6ove 200 qinps 31 to 100 Amps 31 to 100 A s • Swimminy Pool Above 100-Am s Above 100_Amps Transiormers Irrigation 6ooms Partial%Other Fee Signs Special Inspection 1 TOT Aemarks 50.00 F IE A_ r79 luwciuuuse rro ecc 61 9 - - Robah-in ?ate . 7 I, ch ? /'??Inspactor, hereby certify [hxt the abave Final Date {nspection has been , ?? ?i made. fhis reouest void 18 monNS irom This reques[ void ct -z3 18 months from -A 1 nr,.q r, (.•?3? t31 ? Co"w.n_n 3 S Nc B" 40?v ?nndS YY , Sa Request Date Fire No. Roouh-in Inspection Requ retl7 ?Heady Now ? Will Nu1ifY. InsUec- 9-21-83 ?NO ?orWhenReatly 0 Licensed ElecUical Contraclor I hereby request insOaction of above ? Owner eleclrical work ingtalled at: SVeet Address, Box or Route No. City 3237 Evergreen Drive Ea an ecLOn o. Townshlp Name or No. HanBe No. County Dakota Occupaqt IPflINTI Phone No. Brutger Companies 612-252-6262 FPOwer SuDPlier Address NSP Elechical Con[ractor ICOmpany Nemel Convactor's License No. Tim's Electric, Inc. Mailing Address IContractor or Owner Makinp Instailationl 432 S. Wabasha, St. Paul, MN 55107 orized Signature (Contractor Owner Making Installa[ion) Phone Nuniber ,l? 224-8293 MINNESOTA STATE BOABD OF ELECTPICITY THIS INSPECTION NEQUEST WILL NOT G?i89s-MidwaV Bldg. -YHoom N-191 BE ACCEPTED BV THE STATE BOARD 1821 UniversitY Ave., St. Paul. MN 55106 UNLESS PROPEX INSPECTION FEE IS Phone (8121 2972111 ENCLOSED. ' REQUEST FOR ELECTRICAL INSPECTION Ea-ooooi-oa ' Sae insiructions for completing this form on back of yellow copy. ,i t,Z r? ""1(" " Below Work Cnvered 6y 7his Request ?j $?(p g' AAtl Re0• Type of 6uilAing AoCliancea Wbed EquiOment Wirad Home Range Temporary Service"" Dupiex Water Heater Ligh[ing Fixtures Apt. Buiiding Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Cnnditioner Bulk Milk Tenk Fafln Other penfy Other (SUecify} ther Suoci y Ot er . Oihor Compute lnspec2ian fee 8e/ow # Fea ServireEntrenceSize tt Fee Fexdersl5ubleeders N Fee Circvits -I I z. u 0 0 to 200 qm s ? 3 2, rj 0 to 30 Am 5 0 tn 30 Am s Above 200 qmps 31 to 100 Amps 31 to 100 Am '. Swimmin Poal have 100-Amps A Above 700_AmPs Transiormers rrigation Booms I . Q Pdrtiai-"Other Fee Signs Speciallnspection $ T Rem3rks 50 .00 ? ? Lrl Yl 1 Wfl1V 'l. / Pough-In ; Date ? ?jp?JJy26I! 7? . I(ISpectOr. hBrBby I certify thal Ne abave i Final ? i?r??? , spactiai has baen i 1hi6 roquasl void 18 montha from This request voiA 4 -23 78 rtpn[hs fiom A ') rc;`iri ?za , B 1? CoacG.w?av\ 3$7 lo Y {J-etInl&A A, S qQ Sa Rxques[ Date ``- I Fire No. I Rouyh-in Inspection flequiredt He2tly Nuw Will Notifv I.sPec- 9-21 -83 ?]ves ?No cor when peadv []CLicensed Electrical Conlractor 1 hereby request inspection ot above' ? Owner elaclrical work instelled at: Streel Address, eox or Houte No. Giry 3239 Evergreen Drive Ea an ecUOn o. Township Nnme or No. ftange No. County ? akota Or.cuoantIPRINT) Phone No. Brutgee Companies 612-252-6262 Pawer SuoP11e1 Address NSP EI¢Ctrical Contractor (COmpanY Name) Comraclor's License No. Tim's Electric Inc , . Mailing Atldress (Contractor or Owner Makinq Instailationl 32 S. Wabasha, St. Paul, MN 55107 Ayl?orized SiBnature (COnNactor Owner Making InstallatioN L Phone Number ? 224-8293 MINNESOTA STqTE BO?qD OF ELECTRICITY TMIS INSPECTION pEQUEST WILL NOT Griees-Midway Blde. -7foom N•797 BE ACCEPTEO BY THE STATE eOAND 1821 University Ave., St. Paul. MN 55700 UNLESS PflOPEN INSPECTION FEE IS Phone (812) 297-2111 ENCIOSED. ?REQUEST FOR ELECTRICAL INSPECTION ' See instructions for completine this form on back ot yellow copy. A" :in ?I "X'" Below Work Covered by This Request Es-oooor-oa ' 7 7(09' Afid Rap. " i?yoq_ of euilding Appliances WireA Equipment WireA ? X? Home Range 7emporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial 81dg. Air Conditioner 8ulk Milk Tank Farm 02her Soec y OtherlSOecitvl ther SueciFY Other Other (,'ompute lnspection Fee 8elaw p Fee Service EntrenceSize h Fee feeders/5ubfaeder5 ? Fee Cir vits ' 1 72,00 0 ta200qms to30Ams Oto 30Ams Above 200 Amps' Vj . 0 1 to 1U0 Amps 31 to 700 q y Swimming Poal Above 100_Am s Above 100_AmPs TransformerS Irrigation Booms Partiai:'Other Fee Signs Special Inspection S 50 0 O OTAL Rerrerks . FEE , ut To wnhouse Proje flough-in ? - ? Dnte ? /-??7 ? ec ectriwelby ns P Itor, hel certily thxt the abova Final ?`? c specfion has Oeen matle. Thie repuesf voitl 18 monNS fmm ihis request vaid 18 months trom ( A 1 fl r,';d 1,21i 81t Coachw?°ih 4Vtklaa ds 3 8''I (c S' -t14' , sn Reques[ Daie Fire No. F equi Rough- ed in tnspeci?on r? Fea dy Now Q W ' N l l I nsp oHfy 9-21-Q3 ?Yes ?NO [or Whe nFe adv E] Lic2nsetl ElecViwl Contrac[or I hereby request inspection of abovg ? Owner electrical work installed at Sveet Address, Box or Houty No. C ity 3241 Evergreen Drive Eagan ecLgn o Township Name or No. Range No. County ? Dakota Occupertt (PqINT) Phone Np, Brutger Companies 612-252-6262 Power Supplier Address NSP Eiectrical CoMractor (COmpany Name) Contractor's License No. Tim's Electric, Inc. Mailing Address (ConVactor or Owner MakinP Instailation) 432 S. Wabasha St. Paul MN 55107 p.?jhprvzed Signamre (COntractodOwner Making Installationl / Phone Number 2 24-8293 MINNESOTA STqTE eOAN F ELECTflICITY THIS INSPECTION pEdUEST WILI NOT C+riBgs-Midway Bltlg. - Po N-191 gE ACGEPTED 8V THE STATE BOARD 1827 Univarsity Ave., 51. Paul, MN 55704 UNLESS PROPER 1ltlSPECiION FEE IS Phone 16121 297-2111 ENCLOSED. This repuest void Q -Z5 18 rtqnffis fmm A 1 n„a LROi S(i Coa"nlan 3 g7(10 g 14%1kland3 q4 . So HFxques[ Date ' Fire No. Rough-in Inspec[ion ReQOired? [NReadY Now Q Will Notily InsPec- 9-? 1 -83 ?]?es ?Na ?ur When Reatly 9 Licensed Elec[rical Contrac[or I haraby reauest insvection ot above^ Owner elechicel work installed eY 5[reet Atldress. Boz or Route No. Ciry 3243 Evergreen Drive Eagan ectian o. Township Name or No. RanAr, No. County Dakota OccvpantlPRINTI Phone No. , Brutger Companies 612-252-6262 Power Suuulier Address . NSP Electrical ConVactor (Company Name) Coniroclor"s Licen?e No. Tim's Electric, Inc. Mailing AdJress IConvactor or Owner Making Instailationl . ` 432 S. Wabasha, St. Paul, MN 55107 horized Sienature ICOnvactor Owner Makinp Installalionl Phone Number ? 224-8293 MINNESOTp STATE AFD OF ELECTRICITY TNIS INSPECTION qEQUEST WILL NOT Griggs•Mitlwav 01dg. Poom N491 BE ACCEPTED BV THE STATE BOARD 7821 University Ave., $t. Paul, MN 56104 UNLESS PNOPEN INSPECTION FEE IS Phone 1812) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL iNSPECTtON Ea-ooooi-os ' See instruc?ions tor completin9 this torm on back of yeilow copy. ,U "X" Be/ow Work Covered by This Request 3 $'7&$' ? ? ? F, Adtl Hep. Type of 8uilding ApPliancxs Wiretl -" Equipment WireA X. Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bidg. Fumace Silo Unloader InduStrial BIAg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Specify)- t er ISVecity Other Other ompute Jnspectian Fee Belnw k Fee ServiceEnirencaSiie k Fee Feeders/Subfeeders # Fee Circuits 1 2. 00 0 to 200 Am s 0 to 30 qm s 0 to 30 Am s A6ove 200 qinps 31 to 100 Amps 31 to 100 A s • Swimminy Pool Above 100-Am s Above 100_Amps Transiormers Irrigation 6ooms Partial%Other Fee Signs Special Inspection 1 TOT Aemarks 50.00 F IE A_ r79 luwciuuuse rro ecc 61 9 - - Robah-in ?ate . 7 I, ch ? /'??Inspactor, hereby certify [hxt the abave Final Date {nspection has been , ?? ?i made. fhis reouest void 18 monNS irom This reques[ void ct -z3 18 months from -A 1 nr,.q r, (.•?3? t31 ? Co"w.n_n 3 S Nc B" 40?v ?nndS YY , Sa Request Date Fire No. Roouh-in Inspection Requ retl7 ?Heady Now ? Will Nu1ifY. InsUec- 9-21-83 ?NO ?orWhenReatly 0 Licensed ElecUical Contraclor I hereby request insOaction of above ? Owner eleclrical work ingtalled at: SVeet Address, Box or Route No. City 3237 Evergreen Drive Ea an ecLOn o. Townshlp Name or No. HanBe No. County Dakota Occupaqt IPflINTI Phone No. Brutger Companies 612-252-6262 FPOwer SuDPlier Address NSP Elechical Con[ractor ICOmpany Nemel Convactor's License No. Tim's Electric, Inc. Mailing Address IContractor or Owner Makinp Instailationl 432 S. Wabasha, St. Paul, MN 55107 orized Signature (Contractor Owner Making Installa[ion) Phone Nuniber ,l? 224-8293 MINNESOTA STATE BOABD OF ELECTPICITY THIS INSPECTION NEQUEST WILL NOT G?i89s-MidwaV Bldg. -YHoom N-191 BE ACCEPTED BV THE STATE BOARD 1821 UniversitY Ave., St. Paul. MN 55106 UNLESS PROPEX INSPECTION FEE IS Phone (8121 2972111 ENCLOSED. ' REQUEST FOR ELECTRICAL INSPECTION Ea-ooooi-oa ' Sae insiructions for completing this form on back of yellow copy. ,i t,Z r? ""1(" " Below Work Cnvered 6y 7his Request ?j $?(p g' AAtl Re0• Type of 6uilAing AoCliancea Wbed EquiOment Wirad Home Range Temporary Service"" Dupiex Water Heater Ligh[ing Fixtures Apt. Buiiding Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Cnnditioner Bulk Milk Tenk Fafln Other penfy Other (SUecify} ther Suoci y Ot er . Oihor Compute lnspec2ian fee 8e/ow # Fea ServireEntrenceSize tt Fee Fexdersl5ubleeders N Fee Circvits -I I z. u 0 0 to 200 qm s ? 3 2, rj 0 to 30 Am 5 0 tn 30 Am s Above 200 qmps 31 to 100 Amps 31 to 100 Am '. Swimmin Poal have 100-Amps A Above 700_AmPs Transiormers rrigation Booms I . Q Pdrtiai-"Other Fee Signs Speciallnspection $ T Rem3rks 50 .00 ? ? Lrl Yl 1 Wfl1V 'l. / Pough-In ; Date ? ?jp?JJy26I! 7? . I(ISpectOr. hBrBby I certify thal Ne abave i Final ? i?r??? , spactiai has baen i 1hi6 roquasl void 18 montha from This request voiA 4 -23 78 rtpn[hs fiom A ') rc;`iri ?za , B 1? CoacG.w?av\ 3$7 lo Y {J-etInl&A A, S qQ Sa Rxques[ Date ``- I Fire No. I Rouyh-in Inspection flequiredt He2tly Nuw Will Notifv I.sPec- 9-21 -83 ?]ves ?No cor when peadv []CLicensed Electrical Conlractor 1 hereby request inspection ot above' ? Owner elaclrical work instelled at: Streel Address, eox or Houte No. Giry 3239 Evergreen Drive Ea an ecUOn o. Township Nnme or No. ftange No. County ? akota Or.cuoantIPRINT) Phone No. Brutgee Companies 612-252-6262 Pawer SuoP11e1 Address NSP EI¢Ctrical Contractor (COmpanY Name) Comraclor's License No. Tim's Electric Inc , . Mailing Atldress (Contractor or Owner Makinq Instailationl 32 S. Wabasha, St. Paul, MN 55107 Ayl?orized SiBnature (COnNactor Owner Making InstallatioN L Phone Number ? 224-8293 MINNESOTA STqTE BO?qD OF ELECTRICITY TMIS INSPECTION pEQUEST WILL NOT Griees-Midway Blde. -7foom N•797 BE ACCEPTEO BY THE STATE eOAND 1821 University Ave., St. Paul. MN 55700 UNLESS PflOPEN INSPECTION FEE IS Phone (812) 297-2111 ENCIOSED. ?REQUEST FOR ELECTRICAL INSPECTION ' See instructions for completine this form on back ot yellow copy. A" :in ?I "X'" Below Work Covered by This Request Es-oooor-oa ' 7 7(09' Afid Rap. " i?yoq_ of euilding Appliances WireA Equipment WireA ? X? Home Range 7emporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial 81dg. Air Conditioner 8ulk Milk Tank Farm 02her Soec y OtherlSOecitvl ther SueciFY Other Other (,'ompute lnspection Fee 8elaw p Fee Service EntrenceSize h Fee feeders/5ubfaeder5 ? Fee Cir vits ' 1 72,00 0 ta200qms to30Ams Oto 30Ams Above 200 Amps' Vj . 0 1 to 1U0 Amps 31 to 700 q y Swimming Poal Above 100_Am s Above 100_AmPs TransformerS Irrigation Booms Partiai:'Other Fee Signs Special Inspection S 50 0 O OTAL Rerrerks . FEE , ut To wnhouse Proje flough-in ? - ? Dnte ? /-??7 ? ec ectriwelby ns P Itor, hel certily thxt the abova Final ?`? c specfion has Oeen matle. Thie repuesf voitl 18 monNS fmm ihis request vaid 18 months trom ( A 1 fl r,';d 1,21i 81t Coachw?°ih 4Vtklaa ds 3 8''I (c S' -t14' , sn Reques[ Daie Fire No. F equi Rough- ed in tnspeci?on r? Fea dy Now Q W ' N l l I nsp oHfy 9-21-Q3 ?Yes ?NO [or Whe nFe adv E] Lic2nsetl ElecViwl Contrac[or I hereby request inspection of abovg ? Owner electrical work installed at Sveet Address, Box or Houty No. C ity 3241 Evergreen Drive Eagan ecLgn o Township Name or No. Range No. County ? Dakota Occupertt (PqINT) Phone Np, Brutger Companies 612-252-6262 Power Supplier Address NSP Eiectrical CoMractor (COmpany Name) Contractor's License No. Tim's Electric, Inc. Mailing Address (ConVactor or Owner MakinP Instailation) 432 S. Wabasha St. Paul MN 55107 p.?jhprvzed Signamre (COntractodOwner Making Installationl / Phone Number 2 24-8293 MINNESOTA STqTE eOAN F ELECTflICITY THIS INSPECTION pEdUEST WILI NOT C+riBgs-Midway Bltlg. - Po N-191 gE ACGEPTED 8V THE STATE BOARD 1827 Univarsity Ave., 51. Paul, MN 55704 UNLESS PROPER 1ltlSPECiION FEE IS Phone 16121 297-2111 ENCLOSED. ` REQUEST FOR ELECTRICAL INSPECTION ee-ooom_oa ilift ' Sea insbuctions for completing this torm on back ot Vellow copY. ? . t 4?: tr-y ? "X" Below Wark Covered bY This Request '1(p y PJm AAtl Bep. TypB of8uilding AppliencBB Wiretl Equipmenl Wired g Home Range Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo IJnloader Industrial Bidg. Air Condltioner Bulk Milk Tank Farm otner pecifv 1her Isuecifyl thor Speclfy Other Other Compute lnspection Fee Below k Fee ServiceEntrancaSiza # Fee Fenders/SUbfeeders k Fee Circuits 0 tu200qm s 0 to30Am s ?tn30Am s Above 200 Amps 31 to 100 qmps 31 to 700 A s ' Swimming Pool Above 100_Amps Above 100_Am s Transtormers Irrigation Booms Par[ial-'Other Fee Signs Specialinspection $ TA F Remarks 50 . Q l E . tJ?_ rL]` .. • - NouBh-in Date (n ih nwl ??ZG nspectoq heraby canety that the above Findl DA? ection has been _?? u7C? `?nade.. Tnie reauest void 18 montlre irom This request voiA - ?` pi' l/?OQC\. A?&r\ 3$"74P'r 18 mronths from ? ? Z? /' l? ? ?? I A 1 n??g 4qk la,n d s Y 4, Sd Repuest D81e' Fire No. Fouph-in Insuer,tion flequired? OFeaAy Now []Will Notify, Insaec- -2 1-$,3 [kyes ?NO ' tor Whyn Reatly D Licensed Electrical Convactor I hereby request inspection oi ebove ? Owner electricel work instelled ac SVee[ AdAress, Bos or Houte No. Citv 3*245 Ever reen Drive Ea an ecuon o. Township Name or No. Range No. County Dakota Occupanb(PqWT) Phone No. Brutger Companies 612-252-6262 Power Svpplier Atltlress NSP Electrical Condactor (COmpany Name) Contractor's License No. Tim's Electric, Inc. A-41194 Mailing AtlJress IContractor or Owner Makinp Installationl 432 S. Wabasha, St, Paul, MN 55107 orized SiBnamre IConVactor/Owner Making Installationl Phone Numb er r 224-82 MINNESOTA STATE 9(WNO OF ELECTRICITY . THIS INSPECTION pEQUEST WILL NOT Griggs•Midway Bldg. - Noom N-797 BE ACCEVTED BV THE STATE 80APD 1821 University Ave., St. Paul, MN 55704 UNLESS PNOVEN INSPECTION FEE IS Phone 16121 297_2117 ENCLOSED. 3 REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oe ? See ms ucLans for rompleling Ihis fortn on back of yellow copy. lev'JvL.9.7 741 f 4 ?V "X° 8elow Work Covered by This Request ew Add Rep. Typeof8uilding Applianceswired EquipmentWired - tiome Ranqe Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) I Comm./Industrial Furnace I Farm Aii Conditioner omer ?syecity) Connaoterk aemerks?L ` ? • ? `e ` ?? /?C? ?NfTA H CF? Compute lnspection Fee 8elow: p/U '47e # Oiher Fee # ServiceEntrence5ize Fee # Circuits/Feetlers Fee Swimming Pool 010 200 Amps D t0 100 Amps Transformers Above20D_Amps Above100_Amps Signs Inspeclor§ use anly: TOTAL Irrigation Booms ?f ?'1 ??j S? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD OISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Roh9n-m oate / certify ihat the above inspection has been made. F;nai i, ate OFFICE IISE DNLY ? \ / Thls reqoesl voitl 18 moNhs imm ' CTTy OFr EAG;f-tN .:3 :, TI:_4;:t1:CNAI... NCIo 749 PAl1=:,; 1.:t!1E3/78 T:CPfEt 001;33 ?D,; ;.1!}V! E1'f.-.:7'..`.3SEI... N:CNIlpl+l f4. ::iIi.::i:fdG 2155 9007. 45.75 320 9001 1589 ^ft.T.PlnRO;' .i.t 13705 ::300 900t. if:,{:iC) f.Sr.i:)WI I..AI;E 137„25 . 32'Ji 9001 -?',q 1.:?.?. qA?r?:?.:.? ,c ,i ._F:I.. . •.,?. ,,.. .'_J . i....:' .. ;:',ri:.) 900;t J.`.'i)Cl 13P!C.11^Il l i-ll'E r.,9.25 3210 9001 3'r.'.=S`:) EV!=.:RGF;E;:E:P1 137•215 "7??if ..?.....? 900i ';F`:fi 1=VEi.fif'p;'_r ! r,.:r 1.37'..c'S 32I U 900i 3228 EVEIC1GF\i".i'.N J.37. G:J -?? __?? ? 900i ,?• ,_:? <;?_?., i-?J : tI.::R;_:::?iJ _ Fc_ ? ?_ 137.25 e.? :.(7 3?.. 001 ';'?: ....:...?.r', Lt?;?Fi(-.. ;:,,c?cra • __. n- 9.37.c..r rRi]99500 C'JN7:':MII7 Uf,f'R 7'.I?„ tdANt;Y _r,r.iNT,.NtJ,_ W??<3kyFyF"s?;y,<'l,<$t;n?k'F$.>X>k:t.Y,'??::;;:::;r?::i,.r.{t:{i,:rmi . `Y>kv,iCii$?^.YR?'d:':'46 •M?:.X?S:+F?Y.a;ti::F?'?`Xk;m;im?X;? ., : g:K4fs.?yt:S' k":", . Cf)NT'):P.lI;[ r ir.- ? C..r . Y C f`.fif'At.; C1`:F1:!'I'_Fia S Cr,'tf:[Nf-tl... i,'G, 7':;.9 r,. --:, _.. ,???)k:.,, i.:l.%is3.-`3s3 ;.Li'J-c 00040 IAi;: Nfii?`:f_'; I;E.:CS:rEI.. rlT>,FDGW £: rIL!?Nl; 300 900: 320 f.:.11ERGf'tL:EN L;ii .i°5 3c?1.0 9001 1620 RAIt+lDR.O-; i37.E35 300 9091 4(:6(I'S fiA:CN'i.?pipi' 137,.25 TL'I:al 1'ti+:?C`.e?:I.;:?i; '1:rit7ilTSl;;; 'iq614.75 cRo 99._,n0 !_?SER In: nAn!c;,,, ? CITY'OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: PERMIT PERMITTYPE: Bu2?ozrvr Permit Number. 03 q 0 3 ft Date Issued: :L 1117/ 9 8 3237 EVER6RPEN DR L07; 23 [tLOL;K: 1 COACHMAN HIGHI_NNDS P.I.N.: 10-18075-230-01 DESCRIPTION: REROOF/ 6 Pt..Ex Buildinq-Permi.t Type IqUI_TI. (1+1TSC.) Quilding Work,,Type REPAIR 'CenSUS Code 434 AL1". RESIDENI'IFlL r ? REMARKS: zNCLuoes: FEE SUMMARY: ?a . ' ?. . y . .!_. . . - ? 3239, 3241. 3293, 3245, 'rIND 3297. VALUATION Base Fee 5urcharge Total Fee $137.25 ?141.25 CONTRACTOR: - qpplicant - OWNER: F3EISSEL W;[NDUW & STDING 24616535 COACHMAN HIGMLANDS ASSCIC. 3213 EVERGREEN OR 3237 EVERLiREEN DR EAGflN MN 55121 EAGAN MN 55172 (612) 451-6835 $8,0GJ0 I hereby acknowledge that Z have read this application and state that the inforination is correcY and aqree ta comply wi.th al.l applicable StaL-e of Mn. Statutes and City of Eayan Ordinances. ? APPLICAN7lPERMITEE SIGNATURE «SSUEDBY. ATUR? I 1998 BUILDING PERNIIT APPLICATION (COMMERCIAL) CITY OF EAGAN 3y o3g 681-4675 S - - - ------- -- _:. I I - I-1 - 9 9-' UuirnL iunuwiny LU aiu?an6 1 Y p. Foundation Only .....,. New Construction . Interior Improvement structural plans (2 sets) arohitecturel plans (2 sets) archRectural plans (2 sets) "' civil plans (2 sels) structural plans (2 sets) code analysis t (1) (1 set) code anarysis (t) " civil plans (2 sets) specs projec soils repoR (1) ecs (1) t landswping plans codeanalysis (2 sels) (1) " Key Plan energycalculations (1)notalways ° sp projec Special Inspections & Testing Schedule " soils report (1) Electric Power & Lighting Fortn (1) not always " SAC determination letter from MGWS - SAC determination letter from MCMIS - SAC determination letter from MC/V1lS - call 602-1000 cali 602-1000 call 602-1000 Special Inspectlons 8 Testing Schedule (1) project specs (1) energy calculations (1) " Electric Power & Lighting Form (1) ° " Gontact 6uuaing inspections ror sampie Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. DATE: II -/V ' Fr DESCRIPTION OF WORK: CONSTRUCTION COST: ? UU C) TENANT SITE ADDRESS: LOT a? BLOCK I WORK TYPE: _ NEW C-'REMODEL Gv41 C? /1-' e e/ti ?v Ii 3a39 `4 ? SUBD. P.I.D.4 Name:__ Phone #: _ PROPERTY Last First OWNER Strcet Address:_ -- City _ Statc: ---------- LiP' ----- -------- Companyxe[$SP /M erUt? S J ?cd /M ?. Phone N: _VSz - l° ??S _ CONTRACI'O / R StreetAddress:L"rJ?? 140 56W License# !?, City Sri11-r1_L_?-? ' Sta[e: Mn / Zip: ARCHITECT/ ENGINEER Company:_____ Phone #: - ___-------- Registreuon #: . N:une:------- ------- - Strcct Address:____ -- Cily Slate: --------- L1N' - - Sewer & water licensed plumber (only if installing.sewer & water): 1 hereby acknowledge that I have read this application and state that the information ' orte d agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. Signature of Applicaz?y ? OFFICE USE ONLY SUITE #: BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility WORK TYPE ? 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual) _ (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq. ft, sq. ft. Footprint sq. ft. Planning Building Permit Fee 13=1 . Surcharge U C> Plan Review MCNVS SAC City SAC Water Conn. SIW Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies rotai: 1 C4 I . Dt5, % SAC SAC Units Meter Size Engineering Valuation: $ ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolition MC/WS System City Water Fire Sprinklered Census Code SAC Code Census Bldg. Census Unit Variance L.?? -,5 B` j CITY USE ONLY RECEIPT #: t?--1 --1' ,l SUBD. ( C) a RECEIPTDATE: :)-o u v PERMIT # 1999 PLUM$1Nfi PE{iMiT (ftESID£NTIAL) cm'oF $neAN 3830 Paor KNos fn f.Askrr, atN55t aE (ssi ) 681-4675 Please complete for: D single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL --, Eath tub -------- a 3.G0 --..._ x _ _.. --- _ = $ _ __ Floor drain 3.00 x = $ G95 i in Outl6t " minimum - 1 3.00 x - $ Hot tubls a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavator 3.00 z = $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ "?, , O Water softener If dwellin under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Waterturnaround 30.00 x --- _ $ State Surchar e .50 --> ----> ---> $ .50 Total --> --> ----> --°> $ a.s-v Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc, ------------••-----------------•-•-----------•------------------------------- I hereby aeknowledge that 1 have read this applintion, state that the infomiation is cortect, and agree to mmpty with ali applirable City of Eagan ordinances. It is the applicanYS responsibility to notify the property owner thal the City of Eagan assumes no tiabifiry for any damages eaused by the City during its nortnal operational and maintenance activities to the facilities wnsWCted under this permit within City property/right-of-way/easemenl. SITE ADDRESS: ? WOLF, MARLYSS OWNER NAME: : 3237 EVERGREEN DRIVE EAGAN, MN 55121 (651) 456-0860 INSTALLER NAME: _ STREET ADDRESS: ? cirv: ' TELEPHONE #: ; (AREA CODE) TELEPHONE #: ; . (AREA COOE) NORBIOM PLllMBlhltfi C*. Lr A VENTCO/APPUANCE IP33 t l ?ai« a?e-aoaa ZgpS C?sAFtFItLD AVE. :;Ol.'' MINNEAPOLIS. STATE: ZIP: SIGNA R & PERMITTEE CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 rmBI"?Aw FOR CITY USE ONLY PERMIT # RECEIPT # 7OUL DATE: /YJ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _ ADD ON _ REPAIR _ OWNER NAME: ?A41,2 A J ?r-rl17- SITE ADDRESS: -A/- vE<GRE?N LOT :0-?/ BLOCK J SUSD. C,O4nvt.2-s: INSTALLER: ADDRESS: ??'?/ ??"4?? A?? CITY: ZIP: PHO/p? E #: ?C r?Z?J / / LL. SIGNATURE OF DWELLINGS 5 ---------- -------------------- COMPLETE THE FOLLOWING: N0. FIRTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 WATER CIASET 3.00 BATH TUB 3.00 _ LAVATORY 3.00 _ KITCHEN SINK 3.00 LAtINDRY TRAY 3.00 _ HOT TUB/SPA 3.00 _ WATER HEATER 3.00 _ FLOOR DRAIN 3.00 GAS PIPING OUT. _ (MINIMUM - 1) 3.00 _ ROUGH OPENINGS 1.50 OTHER ? Y WATER SOFTENER 5.00 ?C PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL S 6 ? V ST. SURCHARGE .50 TOTAL: -,-- CtiMMERCZALJINDUSTRIAL'; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDZNGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 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: ( S I GNAT[TRE ) $ $ CITY OF EAGAN 6011? MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for. Single Family Dwellings . / Townhomes and Condos when pemvts aze required for each unit ./? ???l T? Date Site Address Unit # P t O roper y wner Telephone # ( ) Contractor Street Address City State Zip Telephone # pi ? / The Applicant is _ Owner _Z? _Contractor _ Other Add-on, modification or alteration to eaisting dwelting unit $ 30.00 ? furnace replacement air exchanger ? air conditioner other State Surc6arge $ 50 Total I • . !i $ j i 'i I hereby apply for a Residenual Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinauces and codes of the City of Eagan and with thIvlechanical-.Codes;-tha4-I=understand this is not a pernvt, but only an application for a pertnit, and work is not to start without a p ttie work will be in accordance with the appr ved P60 in the case of work which requires a review and approval of p s 64, - a ApplicanYs P•inte Name pplic Ys r ature ? 2006 RESIDENTIAL BUILDING rExMIT arrLicnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenls 3 registered sRe surveys showing sq. ft. of lot, sq. R of house; and all roofed areas (20% maximum bf wverage allowed) 2 copies of plan showing beam & window sizes; poured fouM desgn, etc. t set of Energy Calculafions 3 wpies of Tree PreservaGOn Plan if lot pla8ed aker 711193 Rim Joist Dehail Options selection sheet (buildings with 3 or less unifs) MinnegasCO mechanical ventllaGon form RemodeVReoair Reouirements 2 copies at plan showing footi(gs, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - inro"kate i(an-58e septic sysfem *331.zs Ck.m.s7-q; OfficeUse9nN Cert ofSurveyRecd - _Y -?_N Tree P2s Plan ReCd _ Y_ N. TreePresRequired _Y _N OnsHe Septic System '..-_Y -_ N Date Construction Cost Site Address 3 2 33-1 3 23q, 32'/ UniUSte # Description of Work ?qIc(C.ei'Y1p n{ WI?'1?6u7S - Multi-Family Bldg j/ Y_ N Fireplace(s) _ 0 2 PropertyOwner COY-i-?li?A'J Ai C??IWnL? ltrwnhOmtS Telephone# ) ?rl AP - - 20(Ifi A 606 et iqA1S:qY1te i Contractor Address 135) LIalcWOOOQ ?y? ? 130 City O?ovt State Zip 5S31o6? Telephane # ( -P3 ) IC?' DSV? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In ihe last 12 months, has ihe 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 pemut, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. C/ui? 24aTTf/i?j4t? Applicant's Printed Name Applicant's Signature 'I 2007 RESIDENTIAL MECHANICAL rExMiT arrLicaTioN City Of Eagan 3530 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete foc single family dwellings & townhomes/condos when pcrtnits are rcquired for each unit Date Site Address 30-3 9 ?(J ? I??"/? ??, c/ J? Unit # PropeHyOwner ?AY/STii /!/lJ(Jv C_ Telephone#(C?s( Contractor BURNSVILLE HEATING & NC, INC. Street Address $UISB 120 City umsvi e; Statc Zip Telephone #(%.1 Bond #: Q.S YS ???j Expires: 7-de`U7 The Applicant is Owner ?Conlractor O[her Fire repair (replace burned out appliances, duc[work, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or altera[ion to existing dwelling unit $ 50.00 ?furnace _Additional 4We-placement _ New air exchanger ? air conditioner heat pump other [E o w E State Surcharge $ .50 APR 2 g 2007 Totai $ 5? I hereby apply for a Residential Mechanical Permit and acknowledge tha[ the inf'ormation is wmplete and accurate; that the work will he in confotmance with [he ordinances and codes of the City of Eagan and with the Mechanical Codes; that 1 understand this is not a permit, but only an applica[ion for a permit, and work is not to start without a per the work be in accordance with the approved plan in the case of work which requires a review and approval of plans. ) 5'?5?? SQb? i ?? ?P ApplicanYs Printed Name Applicant's Signature 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55722 ? 651-675-5675 Please complete for modifications to existing residential dwellings. Date0 V ! ,Z .3_1 e -/ Site Street Address h J'?d4ZI Unit # r ? PropertyOwner Telephone# (?dJ)?? i Contractor „c?7.L.Ml-? alLA-d-) Telephone # Address City State )7/1 Zips_?51A3 The Applicant is: _ Owner v Contractor _ Other ? Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Tumaround (add $121.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ef? replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total $ J! ?? 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 will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. 1?'m ?,? ? ?f?? eh5 ApplicanYs Printed Name nYs7gnature ? ? MAY 0 6 2004 D r . �3� , 3� 3�, �3� �� 3� �3; 3aUS; �� `� l Use BLUE or BLACK ink .------------------ � For Office Use � I ',� l.�'� ��G I I Cit of �� a� ; P�,�#: � � ; � � i Permit Fee: � �S � 3830 Pilot Knob Road � � l�� I Eagan MN 55122 � Date Received: � Phone:(651)675-5675 � � Fax:(651)675-5694 i Staff: � V_��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � I�� Site Address: �� 4�-b'�� V�-�`-l>1w�.� �J�—�V�— Unit#:�7' �.�� Name: Phone: Resident! +�wner Add�e�i c��y i zp:��.37—3��1 �U"t�� 1�1,11�. Applicant is: Owner � Contra�tor Description of work: �� ` �"� Type of wor� ,� Construction Cost: � 15�� Multi-Famity Building:(Yes /No� Company: �W� �• �� • �1'��.. Contact:��y P�1�1�1G Cantra�tor 1� Address:'J.�� (.�.�'✓� 1 w� f�i� City: �� l��. State:l�� Zip: S� Phone:��"�'�7��13� Email:(t1�� P1C.Qr��^�Y►'�tt �s� License#: � 6�� Lead Certiflcate#: 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 moMhs,has the City of Eagan issued a pertnit for a similar plan based on a master plan? Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanicat Contractor: Phone: Sewer 8�Water Corrtractor: Phone: NOTE:Plans and suppordng documerrts',#ha#you�ubm�t are consider+ed to be pubftc irrt'o►ma#ivn. Parl�or��of ' t�e information may be cJa�sifi�d as»anyaubiic if you provf�r sRecitic reasons t�at would pennit#�e Gity#� ; conc�ude that the` are trsde se.�rets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protedion against underground utility damage. Call 48 hours before you intend to dig to rec:eive loptes of underground utili6es. www.aopherstateonecall.orq I hereby adcnowledge that this iMormation is complete a►id acxurate;thffi 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 onty an application for a permit, and v�rk is not to start without a pertnit; that the work will be in accordance with the approved plan in the case of wo�ic which requires a review and approval of plans. Exterior work authorized by a building permit issued in accoMance with the Minn State Building Code must be completed within 180 days of permit issuance. X �R�-�� X Applicant's 'nted Name Applicant's ignature Page 1 of 3 Use BLUE or BLACK Ink 4111111"CitY For Office Use of EaPermit#: 16-1. 17 Permit Fee: q ' 3830 Pilot Knob Road Eagan MN 55122Date Received: Phone:(651)675-5675 " x buildintiinsoectionsttcityofeagan.com Staff: SEP 192017 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: - ((�+ A ICS i st C t: �l 4v",Z-v\ Z t'rt�?�<1 z--, f'\i5 c:,i��1%TC;'1 .14----;)-5"3 _' 3''S. •ke Name: Rhone: `i Resident/ Owner Address/City/Trp: 3 ' v-i2-v-e -e r; y =.v }moi �� Sri f 3 Applicant is: Owner k Contractor -ia Type of Work Description of work tv`''"'-'\ - ` "- Construction Cost Multi-Family Building:(Yes ) /No ) Company:5A,,?-x. ,._>(�.�n-, s•ac�*74r-fl, ,rte. Contact t`ct`.\G:a. S'a‘O:a Contractor Address: 7-.'i c 4.r.;11 fir City: State:i' Zip: `��f' Phone: t - :'"1:1•3 Email: 5-2\11-2.rtu-'1=.4.fi.. t\--,e krts. . License#: e)C__t 3 1`t Lead Certificate#: If the project is exempt from lead certification,please explain {lain why: ...,5-"'�'" i,�..a`�-^,-> C:a l T i-.,:t C'�S-� `� f 'Y�f4 t t fJ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE Plans and supporting documents that you submit tre considered to be publicintormatlon. Portions of the information maybe.;classified as nou-public firm provide specific teats that would the City to conchlstthey arae tradesecrets.. 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.citvofeagan.comlsubscribe. 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.00pherstateonecall.oru 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. Applicanrs Printed Name A$ppiicanrs Signatur Page 1 of 3 Pi,. 3.P 7 . [J6--14,456-"t• OT WRITE BELOW THIS LINE /446-0/ 7 SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi X 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 Q Occupancy 3 MCES System Plan Review Code Edition / tr,a "%ir / SAC Units (25%y 100% ) Zoning A ` , City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length _ Fire Suppression Required Type of Construction 6 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 Base Fee f / C . ' Surcharge )16 r3/4/Pc-14' Plan Review MCES SAC City SAC Utility Connection Charge jr � f S&W Permit&Surcharge veil " Treatment Plant Copies ifrit(G? 2 0 C'''2 / TOTAL Page 2 of 3