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3801 Heather Dr4,11`City otbin 3830 Pilot Knob Road Eagan MN 66122 Phone: (651) 6755675 Fax: (651) 676.8694 Use BLUE or BLACK Ink For Office Permit e: permit Fee: l _0' Date ReceNed: _Lt S'ta1C: l 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Oat: 44" 9--/ `f' Site Address: 3 S c % l ye'3 7,J /Z b Unit#: ReiidenU Owner Name: e% sew MAf4 4el/44E47- _Phone:763- rp-3-- 9770 Address / City / Zip: RS -C___2_, E C i4 "rt./ 2 4 t/. 1/ 4E Applicant is: Owner X'ContraCtor *WO of:Work, Description of work: R f_PL A C MOLT/ Pa L Construction COM: Multi -Family Building: (Yes / No. ) Contrat for Company: a E 1 £. r Lei a 2 /X *i Contact DA ✓' fl i3 /2 I2 S Address: r/P cJ 120'1' _fr. City: State: OAS Zip: sry� 9 Phone: IP/ Z ` 6/' Gr z y3 License*: ' �- 2 Y/ / % Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) t,Lt. 42S_ Post' )77 ' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW QUILDING 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. CALL BEFOR€1(QU DIG. Call Gopher State One Call at (651) 456-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www-g4ohharptateonecaU.orq 1 hereby acknowledge that this information is complete and accurate: that the work will be in conformance with the ordinances and tildes of the City of Eagan: this 1 understand this is nota permit, but only an application for a permit, and work is not to alert without a permit: that the work will be in accordance wet the approved plan In the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota Stats Build' Code must be completed within 180 days of permit Issuance. otv'f Applicant's Printed Name EZ/ST 39vd x Applicant's Signature Page 1os 1NIGW 1X3 I3S L9Z9t98Zt9 LZ:bt bIlK/tt/b0 CASH RECEIPT CITY QF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESQTA 55122 DATE 19 RECEIVED AMpUNT $ I ? CASH Fl CHECK DOLLARS FOR 1 ? FUNq CODE AMpUNT 1 1. T an?k You ? v BY White-Payers Cppy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition BRIAR HILL 4TH ADDN Lot 4 131k 1 Parcel 10-14993-040-01 owner 5treet 3807 HEATHER DRIVE State EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. QZ STREET RESTOR. 7.15 A012013 -8 HARM Street 1984 1227.78 245.56 5 **Sewer Lateral ? 1984 2136.20 427.24 5 +t of SAN SEW TRUNK 0 1969 29-60 .99 30 1. 2 A01201 -1 -8 SEWER LATERAL TRK 7-5 1983 237.37 23.74 10 213,64 " * 11.36 **WATERMAIN 1984 5 *WATER LATERAL 1971 20 WATER AREA 3 31.61 A012013 3-17-81 **Stubs 1984 S STORM SEW TRK $ 1984 323.50 64 . 70 5 *STORM SEW LAT 1971 ZO **Storm Sew Lat 1984 5 CURB & GUTTER SIDEWALK STREETeb4641fi 1009 1986 153.70 15.37 10 240.00 31793 -10-82 WATER CONN. 420.00 BUILDING PER, SAC n ti PARK CITY OF EAGAN Remarks Addition BRIAR HILL 4TH ADDN Lot 3 Blk 1 parcel 10-14993-030-01 3805 HEATHER DRIVE _ Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. E]TREET RESTOR. Z 0 69 7.07 10 7. 15 A0?-2327 6-?-0-83 ?R Street '5?O 1984 1227.78 245.56 5 **Sewer a r Z 1984 2136.20 427.24 S 2116-20 « It SANSEWTRUNK 1968 29.60 99 30 13.92 A012327 6-10-83 SEWER LATERAL TRK 25 1983 237.37 23.74 10 213.64 " 11 *Sewer Lateral 1971 32.42 1 2 11.36 **WATERMAIN 1984 $ *WA7ER LATERAL 1971 20 WATERAREA ?j 3Z.61, pi012327 5-10-83 "Stubs 1984 5 STORM SEW TRK ?j 1984 323.50 64.70 5 *STORMSEW LAT 1971 20 **Storm Sew Lat 1984 5 CURB & GUTTER SiDEWALK STREET.L-46liT' 1009 1986 153.70 15.37 10 ROAD UNIT 240.00 31793 -10-82 WATER CONN. 420.00 11 ?t BUILDING PER. 7508 SAC 71 PARK ? CITY OF EAGAN Remarks Addition, BRFAR HILL 4TH ADDN Lot 2 Rik 1 Parcel 10-14993-020-01 owner street 3803 HEATHER DRIVE state EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 10 Z jQ'Jj Paid LUld OY'1 inal T 1 STREET RESTOR. Z. 1975 70.69 7.07 jQ .l A012196 5-16-83 SURnG S r ? 1984 1227.78 245.56 5 ** Z-9 1984 2136.20 427.24 5 +v of SAN SEW TRUNK 4/0 1968 29.60 .99 30 13.92 A012196 -16-83 SEWER LATERAL TRK -125 1983 237.37 23.74 10 213.64 it *Sewer Lateral 1971 32.42 1.62 20 11.36 **WATERMAIN 1984 1984 5 * WATER LATERAL 1971 20 WATERAREA 3 .59 1977 59.19 3.95 15 31.61 A012196 5-16-83 *"Stubs 1984 S STORMSEW TRK 1984 323.50 64.70 S * STORM 5EW LAT 1971 20 ** rm S w at 1984 5 CURB & GUTTER SIDEWALK STREETk1?MT 1009 1986 153.70 15.37 10 1,53. - G - -1 /0 -15-4257 RO IT 240.00 31793 -10-82 WATER CONN. 420.00 BUILDING PER. 7507 SAC 525.00 PARK CiTY OF EAGAN Remarks Addition, BR?AR HILL 4TH ADDN Lot 1 R1k 1 Owner Street 3801 HEATHER DRIVE EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date 5TR EET SUR F. STREET RESTOR. 1 • 71. 0 7.1O 10 7.13 A812772 9-8-83 RIPRM r 30 "'1984 1227.78 245.56 5 1227.78 6 **Sewer Lateral ' 1984 2136.20 427.24 - 5 2136-20 SANSEW TRUNK 29.3? ,$ 30 13.83 A012722 9-8-83 SEWERLATERAL TRK 983 237.37 23.74 10 213.64 " " * 0 2 .bl 11.32 " " **WRTERMAIN 1984 S * WATER LATERAL 1971 WATER AREA j}S t97 31.77 A012722 9-8-83 **Stubs 1984 5 STORM SEW TRK 13 1984 323.50 64.70 5 * STORM SEW LAT 1971 20 **Storm Scw Lat 1984 5 CURB & GUTTER SIDEWALK Stree-t- 1009 1986 153.70 15.37 10 R 240.00 31723 9-10-82 WATER CONN. 420.00 BUILDING PER. 7506 SAC 525.00 n n PARK Reoeipt PLUMBING PERMIT Permit No. CITY OF EAGAN cm Fill in numbered spaces S/C Type or Prinr /egibly Tot. 1. Date ' 2. Installation Cosi 3. Job Address - r?- Lot Bik. • Tract 4. Owner 5. Contractor Phone 6. Address ? ?` y -' • ? 7. City State - ?z? -??y??-i ?• ? 2iP 8. Building Type: Residential Commercial O 9. Work Description: New ? Add ? Alter ? 10. Describe 11. Institutional O Repair ? No. Fixtures Water Closet No, Fixtures C l/D i fi ld ? eath tubs esspoo ra n e ti T k S Lavatory ep c an Softner ? Shower W ll r Kitchen Sink e Urinal/Bidet O h ? Laundry Tray er t 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 vyork. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-5700 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 J b Add e 3 t 1 Blk L T . o r ss o . ract 4. Owner 5. Contractor Phone 6 Address . 7. City State Zip 8. Building Type: Residential ? Commercial ? institutional ? 9. Work Description: New O Add ? Alter ? Repair ? 10. Describe 11. Type No. EquiQment STU - M. Ea. Forced Air No. Equiament CFM Ai H i Mfg. r andl 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 454-8100 CITY OF EAGAN ? 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 N? 91-20 ' PHONE: 454-8100 BUILDIN4 -PERMIT Recefpt # -l717 To 6e wid for "' PLAC ;,' Est. Volue $15 0 0 Date i-lAY 31. , 19 SiteAddresa "`"'". .""'j,•'•" "`• Erect ? Occupancy n'' Lot 4 Blce 1 SeclSub. BR I AR F! I LL 4 93-040-01 ,,Iter ? Z0n"g Parcel No. Repafr ? N/A Fire Zone DAVID .TOHNS0?1 E"l°rye p Type of Const. oc Name SAh?E Move ? # Stories = Address Demolish p Length t City Phone 4 5 4- G 3 9 2 Grode fl Depth Sa. Ft. , p Name ?? Addreas 1- City Phone F W Neme i? Address ?W City Phone 1 hereby ocknowiedge that I hove read this opplicotion and stote thaf the informotion is torrect ond agree to comply with oll opplicable State of Minnesota Stotutes and City of Eaqan prdinonces. Assessment _ Woter & Sew. Police Firo Enp. Planner Counti I Bldg. Off. _ APC Faas Pe?mit • ? Surtharpe ' o Plon check SAC Water Conn. Woter Meter Road Unir Total .0 Sipnafure of Pertnittee I A Building Permit Is issued to: DAVID .70FiN SON on the express condition thnr oll work sholl be done in accordpf" wifh oll oppliceble Stote of Minnesota Statutes and City of Eoflan Ordinances. . Buildinp OffiNal Parmit Na Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. w.u wne. Disp. Sewer Elactric Inspection Date IntP. Other Footings Foundation Framinq Rough Plbp. Rouph HVA Inwlation Final Plbg. Final HVAC F.inal Water Doscribe Location: Wsll ai 4*4 Se". f, ? Pr. DisP. i L PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _ Site Address -9 QU? 1 ?-" Lot 4- Block ?/ m Name _ ? Address c City _ Name c Addre O CnY = TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlats # Other M BTU M BTU M BTU Z f'` M BTU CFM FEE S/C: TOTAL• ?L?TYPE WOF Res. New Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 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) i SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. i 1. Date 2. Installation Cost , y 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New 0 Add O Alter O Repair ? 10. Describe Fuel Type 11. No. E.quipment BTU - M. Ea. Forced Air No. Equipment CFM Ai H Mfg. r andling: 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 454-8100 Raceipt PLUM8ING PERMIT ? ?-- Permit No. ' CITY OF EAGAN Fea Fill in numbered spaces S/C Type or Print /epibly T ot. 1. Date 2. Installation Cost , s /%??%ii?: ?. & r,?.;.?? ? 3. Job Address Lot Blk. 7ract N 4. Owner T?- // c" f Jvi? ..? LIL I , 5. Contractor c /L,' Phone ,---? " ? -' ?? • % 6. Address 71, 7. City J'v',)C State /` 1 N Zip ? J 8. Building Type: Residential UY Commercial O Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Goset No. Fixtures l/D i fi ld Ce ? Bath tubs sspoa ra n e Se T ti k . Lavatory p c an S ft e / Shower o r n W ll Kitchen Sink e Urinal/Bidet Oth Laundry Tray er Floor Drains -- Drinking Ftn. t :... r_. f. 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 464$100 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ? 11; ,? i PERMIT SUBTYPE: I , , , - I I Ne, N RECORD PERMIT TYPE: ?" ? r?? i r?+ Permit Number: • Date Issued: ''' i, fi APPLICANT: 1 c, ?, i '1°•,' 61 I! t) TYPE QF WORK: ! I tJ A 1 ?I I sI i t I I' PJ Permit Na. Permit Fioltler Date Telephone # SJW PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Pibg. Pibg. Inspector - Notity Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. 5V2443 P Deck Final u F _ l Well Pr. Disp. 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 - ?l Lot - Blk. + Tract 4. Owner ' 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential O Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 1 11. No, F,quioment 8TU - M. Ea. Forced Air No. Equipment CFM Mfg. Air Handling: 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 F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 i Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN iFee Fill in numbered speces S/C Type or Prin[ legibly Tot. 1. Date 2. Installation Cost 3. Job Address ?;f , Lot Blk. Tract f/ ;4. Owner 7 3 vi? 5. Contractor 4i ? ?/ly??•'?' Phone 6. Address ??/?</ ? • j, .c-?? ?.j 7/ 7. City 1)), State A/'\ V 2ip 8. Building Type: Residential 9Y"' Commercial O Institutional O 9. Work Description: New Add ? Alter O Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures C l/D i fi l ? Bath tubs esspoo ra n e d Se tic T k Lavatory p an Softner ? Shower Well ? Kitchen Sink Urinal/Bidet Othe ? Laundry Tray r ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and oorrect, and 1 agree to comply with all ordinances and codes governing this type of work. 5igned : for - ? Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: , Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: I " ° 1 0- 1 4'' s A 1 " 4' ' APPLICANT: it)i; I rilnrF A l l l' i' l i i. .. PERIVIIT SUBTYPE: TYPE OF WORIC: , . ? J PermR Holder Dete Tibphone # SEWER/ WATER PLUMBING HVAC Inapectlon Dste Inap. Comments FOOTINGS FOUND FRAMING ROOFING A?j? ! ? ROUGH PLUMBINQ PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBO FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONaUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print legib/y Tot. 1. Date 2. Installation Cost 3. Job Address Lot ? Blk. ? Tract -?- ? i 4. Owner I I 5. Contractor • Phone 6. Address 7. City ? State Zip ' - _ 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New 11 Add ? Alter O Repair ? I 10. Describe I 11. Fuel Type No. Equinment 8TU - M. Ea. Forced Air No. Equipment CFM Ai H Mfg. r andling: Boilers Mfg, Mech. Exhaust Unit Heater Mfg, pther 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 lnsp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 , - Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee FII! In numbered spaces S/C Type or Prini le;qibly Tot. 1. Date 2. ?nstallation Cost 3. Job Addresa Lot / Blk. ? Tract 4. Owner r' t?c*4,, 5. Contractor Phone 6. Address 7. City State ?1 / i? Zip 8. Building Type: Residential W-l"Commercial ? Institutional ? 9. Work Description: New Add 0 Alter O Repair O 10, Describe 11. No. -^Z• Fixtures Water Closet No. Fixtures Ces l/D fi i ld / Bath tubs spoo ra n e Se ti Tank =-'`- Lavatory p c Soft e Shower r n W l I Kitchen Sink e 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 : ' I for / - .. , Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 cirr oF EAca N , ` 3795 PIof Kwob Road Eeyun, MN 53122 + BUILDING PERMI-T PHONEs 454.810 0 Receipt # To be used ior Est. Vatue Dcte , 19 Site Addrcss Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoning , Porcel # Repotr ? -A Fire Zone N Enlorpe ? Type of Const. ae ome W Move ? # Stories ; Address "•; ivt: Derrwiish p Length ?,,,,,e 4 ?i?i -ti, 73 Grode fl Depth SQ. Ft. ?o Name ? ?? Address 1- ri*,, o?....,_ Name _ Address I hereby acknowledge that I hove read this applicotion and stote that ihe intormotion is correct ond ogree to tompiy with oll opplicable Stote of Minnesoto Statutes and City of Eogan Ordinonces. Siflnature of Permittee /1 Buiiding Per?nit is issued to: r ? , ... . oll work sholl be done in accordorxe with oll opplimble Stote of M'u Building Officicl Assessment Water & Sew. Police Fire Eny. Plunner Council Bldg. Off, APC Permit . $urchorge Plan check SAC Water Conn. Wpter Meter Rood Unit Totol _ on the express coculition Ihnt City oF Eapan Ordinances. Permit No. Permit Holder Miac. Permit No. Holder mbing [ N. V.A.C. ?jZ 3 Well er Disp. Sewer Electric wz. f35 /?'lQ°?}{? 6'Z?-82 Inapection Date Insp. Other Footinps q -4 $2 D ?- Foundation Framin9 Rough Plbg. Rouyh HVA Insulation ? Final Pibq. ,,r 2 - 67. Final HVAC Final Water Doscribe Location: , YVsll Sewer Pr. Diap. BUILDING crnr oF EAGAN 3795 Pllet Knob Rood Eegon, MN 55122 PHONE: 454-8100 10 7508 IIT Receipt # 'v i ...'. Fer v„1. ?. , n...e e.' i o ',. Slte /lddress - ': iic: az L. . : ? ,';rive l.ot " Block 5ec/Sub. L'r.iar.:,i! ; Parcel # ?j oe Nome [3u1! W ; Address ?- L? _ , - Ci Pfione p Nome ?( Address ? Cit Phona ?w Nume ?L-, Addrcss 1 hereby otknowledge thot I hove read this opplicotion and state that the inlormotion is corrett ond ogree to Comply wifh oll opplicoblQ State of Minnesota Statutes and City of Eagan Ordinances. Siflnature of Permittee A Building Permif Is issued to: oll work sholl be done in occordonce with ell opplicoble Stote of Min Buildiny Officioi Erect Occuponcy 111ter ? Zoniny Repair ? Fire Zone Enlaroe O TYPt of Const. lNore ? # Stories , Demolish p Length Grode ? Depth Sq. Ft. Assessmenr Permit Water 8 Sew. Surcharge Police Plan check Firo SAC Eny. Water Conn. Planner Water Meter Council Rood Unit Bidg. Off. APC Total - on the express condition that sota Statutes and City of Eagon Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbiny H.V.A.C. Woll Water Disp. Sevvar - Electric W 3 (oS Z y /tijaA-er ? f ec , f,J213?( !a'ZQ-? Inspection Date Insp. Other Pootin9s Foundation Framinq Rouyh Pibq. - L ? Rouyh HVAC Inwlation Final Plbg. Z_Z 4? u} e ? Final HVAC Finai P43 ! water Oescri6e Location: YYell . ' Sewer Pr. Disp. ? svILniNG To M uaed,foe L of 4 PL' . Est. Value , 000 Site Address ' i - - - ?P Lot Black - Sec/Sub. Parcel .# oc Name W z Addreas r:a, a?l. o?.,.__ . ;•'i_f,';?? im MomQ S" Z,O ou AddreSS u ?- el:... nAL--- Nome _ Address I here6y ocknowledge thot I have read this opplication and state thet the informotion is correct ond qgree to comply with ull applicoble $tore of Minnesata Srurutes and City of Eagon Ordirwnces. :J9 ?5 Recelpt * Erect Q Occupancy Alter ? Zoning Repoir ? Fire Zone Enlorge ? Type of Const. Move 0 # Stories Demolish ? Length Grode Q Depth Sq. Ft. Approvols Fees Assessment Woter & Sew. Police Firo Enq. Planner Councl I Bldg. Off. APC Permit Surcharge Plon check SAC Wuter Conn. Water Meter Rood Unit Totol Sipnoture of PeRnittee ? /1 Buiiding Permit is issued to: on the express condiHon ihai all wark shall be done in accordence with all oppliwble Stote of MinnesDta Statutes nnd Ciry of Eogan Ordinances. Buildinp afflciol . ? ?. ? . . C14Y OF EAGAN 3796 Pitof Knob Reod Eegon, MN 55122 PHONE: 454.8100 Parmit No. Parmit Holder Misc. Permit No. Hoider Plumbing ?Q j H.V.A.C. 3t'? &di`oC?O/1 ?D-ZO"' ?2 wau w?ce. Disp. Sewer Electric I.() ? 13?? ? '29 - 87? Inapection Date 1nsp. Other Footings Foundatian Framing Rough Plbg. Rough HVAC ? Insulation Final Pldg, Final HVAC L•Z z_g c? ? i I Final 3? ? I water Desrxibe Location: Well ' e .. Sewer Pr. D'ap. ? 3795 Pilef BUILDING PERMIT PLrY. EAGAN Eaoon, MN ss122 Receipt # [J I Site Addrcu Erect Q Occuponcy Lot Bixk Sec/Sub. Alter ? Zoning Porcel # Repoir ? Fire Zone E T nlorpe ? ype of Const. W Na? Move ? # Stories ; Address " Demoliah ? Length ? riw, M,,.,. , Grode fl Depth Sa. Ft. Name t$? ? Address I hereby acknowledfle that I have reod this application ond state that fhe intormation is torrect and cgree to tomply with all applicuble Stote of Minnesoto Stotutes ond City of Ecgon Ordinonces. Slpnoture of Permittee A Building Pem+it Is issued to: all work sholl be done in accordance with oll opplicoble Buildinp Officiol Assessment Wctbr E? Sew. Pol ice Flre Erq. Plonner Council Bldg. Off. APC Permit Surchorfle Pion check SAC Water Conn. Water Meter Rood Unit Totol on the axpress conditlon 1Fu,t Statutes ond City of Eoyan Ordinonces. Parmit No. Permit Holder Misc. Permit No. Holder Plumbing 30l ? H.V.A.C. 3a t/D f`? el r? ?0 ??-$ wan w.n. D'ap. S?wer Ekctric W ! ?I S 35 ?QS !? Wz(35' 14 Inspeetion Dats Incp. Other Footinps f-9 D? Fo undatlon Framin9 F Rouph PI6q. ? Rouph HVA Inalation ? Final Plb¢ ? Finsl HVAC Find AC ` Wour Describe Locatfon: , 1Me11 SevAr ` . Pr. D'ap. CIT1/ OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eogan, MN 55122 DATE: ZOning' No. of Units: ' - r •]?' cr OWflBfL r r. Address: Site Address: T. 1._.. Plumber. ^'•,-t) in- I ayrea to wmvh wiffi the CIt y of Ea 9on Connectlon Charge• '^? ??z• ;.??. Ordinanees. Acwunt De posit: , Permit Fee: ' Surcharge: By Misc. Chorges: Date of Insp.: T t l a o : Insp.: Date Poid: CITY OF EAGAN SEVUER SERVICE PERMIT ? 3795 PJlot Knob Rosd PERMIT Na.: Eagon, MN 55132 DATE: ZO^i^9: ?._ No, of Units: OYYnCr: Address: Site Address: _ ?hpr i - - Plumber: I egres M oompfp with Mhe C,itp of Eogan Connection Charge: _ 4rdinanees. Account Deposit: Permit Fee: Surcharge: _ • , BY Misc. Charges: Dcte of Insp.: Total: aTt OF EAGAN WATER SERVICE PERMIT 3795 P?' * Knob Rood PERMIT NO.: 63gon, MN 55122 DATE: Zoning: .. ? No. of Units: . Owner, eader No.: a9roo to eomply with fha City of Eagan Connection Charge: Account Deposit: _ Permit Fee: Surchorge: Misc. Charges: - Totol: Dote Paid: CITY OF EAGAN SEWER SERVIG E PERMIT 3795 Pliet Knob Reed PERMIT NO : Eagan, MN 55122 . DATE: Zoning: No. of Units: -_ '- ..z't t: `^??• Owner. - ? llddress: Site Address: 11 T" Plumber: , ,,.. . . n?? ?•, • . 1 agros fo aanplr wifh Ka Ciryr ef Eagan Connection Chorge: ordisoeee.. Accounr Deposrt: Perrrilt Fee: Surcharge: By Miu. Charges: Dote of 1 n sp" Totol: ! Insp.: Dote Pnld: . CITY OF EAGAN WATER SERVlC E PERMIT 3795 Pilof Keob Road PERMIT NO.: Eogon, MN 55122 DATE: ZOr'ing' No. of Units: - ' 1-1 1 t t' Owner; ? l I e t Address: $ite Addreu: • - . ; ? ? Lr i T v Piumber: . Meter No.: Connection Cher 9e: Size: Accaunt Deposit: Reader No.: Permit Fee: 1 egrne to ooaply wif4 !Iw City ef E?pen $urchorge: Ordinanqs, Misc. Chorges: -,' - - Total: BY Date Pald: Dote of I nsp.: Insp.: ? ciTr oF u"N 3795 Pilot Knob Road WATER SERVICE PERMIT NO.: PERMIT - Eagne, MN 55122 DATE: Zorting: No. of Units: Owner: AddreSS: Site Address: _ -' i:e? ?? z' ,-- ?. ' - •+- ' li + `' Piumber: Meter No.: Connection Chcr9e: -- Size: Actpunt DepOStt; Reader No.: Permit Fee: ' I egme to eompy wilh the Citp of Eagan Surcharge: ` Ordinanus. Misc. Charges: Total: BY Dote Paid: Date of Insp.: ?nsp,; CITY OF EAGAN WATER SERVIC E PERMIT 3795 Pilot KnEb Rood PERMIT NO.: Eagan, MN 55122 DATE: Zoninj: No. of Units: Owner: - . , - , . - Add°ess: Slte Address: -1' i Ptumber. AAeter No.: Connection Charye: Size: Account Deposit: Reoder No.: Permit Fee: 1 agroe M wMply wkh tLe Ciep of Eo9an Surcharge: Ordinanea Misc. Charges: . . . Total: By Date Paid: Date of Irnp.: Insp.: CITIf pF EAGAN 3795 ?ilot Knob Roed Eosoll, MN 59122 Zoning: Owner. Tcl' l4ddress: Site Address: Plumber: I agree to complp wfth tM City of Ea9on Orsinoneet. By Dote of Insp.: I nsp.: PERMIT NO.: DATE: No. of Units: Connection Cha?9e: Account Deposit: _ Permit Fee: Surchorge: Misc. Charges: - Total: .-- REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 ' See inslractions lor completing this form on beck of yelbw copv. VD6 5 24 ? "X" 8 .alb?v Work Covered byThis Request ? 3 2 L? Z? N Add flep. Type of Building Aovliances Wired Equipment Wired ..om4,+ Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy.. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Fsrm Other uenty Other ISVecifyl t er Sueci y Ot er Other Compute Inspectian Fee Below ? k fea ServiceEntrenceSixe # Fee Fexders/SUbteeders # Fee ' Circui[s 0 to 100 Am s 0 to 30 qm is 4 to 30 Am 101 to 200 Amps 31 to 7 00 qmps 31 to 1 DO Am Above 200 Amps Above 700_Am s A6ove 100_Am?s Transiormers Remote Conirol Circ. Partia!%Other Fee Signs . Special Inspection $ 7 T Remarks ? OT EE l O C?' O. ? I flouph-in Final Date {, the Elxchicel liispector, nerebV certify that t?e ?bove ctionhasbaen This request vaid V ? 18 mon[hs hom ' ' This re0uest vold /2 / 2 {? I 2 ? 18 rtrorrth,,?s (mm o'I ? (..- J ( J I 1 ?'?ICIQ` 1111 wJ52q ?'t . q+- 'Reques't ate c^ Fire No. qouqh-In Inspe,tion Reqmre.d? ?ReaAy Now ? WiII No[ify InsOec- I ? Qo2 ?VOS No «or When Ready Licensed Electrical Commctor I hnreby requesl inspection ol abo?e ?Owner elechical work instslled aL Street Address, Box or Rou[e No. ?. . City ecuon o. TownshiV Name or No. Range No. Count,y? ?/? Occu u t(PR T) ? fl Phone Nc. ? Power?upP?ier & AAdress - e Elecvical Con rac?or (Com any amel Cnnhactor's License No. 6 G7 --3 Mailing Atldress IConVacmr or Ownar Mekinp Instailationl ? 5 - - ' l;-e Authoriz d Signanre Conlrac[or Owner MnkinB InstallaYOnl Phone Number z 89D-3.555 MI ESOTA STATE BOA D OF ECTPICITV THgEISACICEPTEDNSPEGTIOBYN THE BEQUEST STpTE WILL NOT 80ARD Gr gs-Midwav eldg. - Boom -191 7821 Universiry Ave., St. Paul, MN 66104 UNLESS PNOPEN INSPECTION FEE IS Phone (812) 297-2111 ENCLOSED. - REQUEST FOR ELECTRICAL INSPECTION ,r-; ee-ooooi.oa w:- . 2?3 . / Seo ins<ructions tor compleling this torm on beck ol Vellow copy. ??Y "X" BeTow Work Covered by This Request 3a7a3 e Adtl flaZ'. Type af Builtlin9 Appliancas Wiretl Equipinent WireA Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader industrial Bldg. Air Conditioncr Bulk Milk Tanl< Farm Other aecifv othcrlsper,ifvl t:r Spea:i y ther Other .- BCJOW N Fee Service Enbance5ize p Fee Fneders/5ubleeAers A Fea Circuits Oto100Am s 0to30qm s Oto30Am 701 to 200 Amos 31 to 100 Amos 4n 31 to 100 Amus 1, th9`E1et'M-ce1 Inspector, hereby certily thet the above ,inspection hes leen This reques[ void 18 rtqnmr, from This ?edues[ void rC/'Zq 18 rtqn[hs fmm s?7 K359 ?o?s 3 a-7o 3 t70,06 Hequest ??e, ! ' Fire No. RouBh-in InsVer.timi R qoired? ?Headv Nuw Will Nolify, Inspeo Yes ?NO ?or When Ready Licansetl Electrical Con4flcior I hereby request insoection of above Owner electrical work installed aY Street Atldress, Box or Route No. ? 35r6J-03'65"d7 Citv - ER aaion o. • Township Namn or No. Rnnge o. Count a ?sa ??. Occuo nt (Pq1NT) Phone No. ? et5a ?f-6?3 Power Sup lier ' AAdress , Elec rical Contractor (COmpany Neme) ' Con[rac[or'S License No. d?fD71IB-3 Mailinp Adtlress Convaclor or Owner MakinB Instailationl '? 3? d S s Aut orized SignaW ( oniractor/Owner akinB Irist lationl Phone Number ?C 8 D-35 ? MINN-OTA STATE BOAFO OF ECTRICITY THIS INSPECTION PEQUEST WILL NOT Gri Mitlway Bldg. - Poom N-1 1 .. gE ACCEPTEO 6Y THE STATE BOAflD 1821 Univeraity Ave.. St Peul, MN 55104 - UNLESS PROPEfl'INSPECTION FEE IS Phon.. 16121 297-2111 E N C LOSED. Thns reqvest voitl q/! 3 16 n;on[hs from . W*1 C5?S L/ i Sl i 317-77 to, oc, Hi,fn,? st 21e ? Fire No. ftouAhin Inspection Req uired? C]NOatly Now ? Will Nntify Inspec- I? $ ?YCS ?Nu [or When Ready Tensed Elec[rical Contncmr I heroby requast inspection uf above ? O t wner r sri elachical work instellad at D-? Street AA ress, eox or Route No. City ectron o. Townshry Neme or No. RAnge No. Coun 1 R?iJ J e-`' OccuOantlPqlN 1 l G ll Phone No. esan i s Po cr apulier c- /edr I c Atldress aA mwn r Elet ical Co vactor ( V?nY Nrmel Cnnhactnr'S Liconse No. as ?? r' ?? C r'rC 9', 3 I'lld Mailinu AAJress ICOnVacmr or Owner Making Instailationl l?/(oy BoonP . v? mq?n N1N 553 Ai hor'.ed Sign tur IConvactodOwnar MnkinN Installa i 1 Phnne Number Z ^ ??U ? MI NESOTq STqTE 80 HD ELECTRICITV THIS INSPECTION HEQUEST WILL NOT Griggs-Midwey Bid9. - Roam N-191 BE ACCEPTEO BV THE STqTE BOAHD 1821 Universitv Ava., St. Paul, MN 55106 UNLESS PNOPEfl INSPECTION FEE IS Phone 1612) 297.2111 ENCLOSED. REQUEST FOR ELECTRICAL WSPECTION ea-ooooi-o3 ?? w. ;? .5 3 5 ' Sec inehuctions tur completing [his form on back of yellow cupy. "'X're nw Work Covered by This Request 3 1?? 7 New q.;a ' Rep. Type ot Builaing nooli ancas Wired Equipmanl Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy. Fumace Sib Unloader Industrial Bldy. Air Conditioner Bulk Milk Tanl< Farm O?nP, ooc?t? othur (spe,ttv) r r Succity Oihar Dther Compute lnspectroii Fee Below N Fee Service Entrance5ize !t Fee Feeders/SuMaetlnrs # Fee Circuits 0 to 100 Am ?s 0 to 30 Am s 0 to 30 Am s 101 to 200 qmps 31 to 100 qmps 31 to 100 Am s Ahove 200 qm s Above 100_Am s Above 700_Amps Transiormers Remote Control Circ. Partial?'Other Fee Signs Special Inspection $ C T T d Remarks ' O AL E? A ? ..°°" ... "?., 1 the EI tri I ? Inspectaq herohy ca::i?y that thn ebovo Fin?,l inspection has been ? m is request vc mont s fiom Trrfifiratt nf (Orrttpttnq Citp of (fagan Oepttrtmrnt of Builbing 3nsprtfiun Tbir CMificate irlued purttaint to tlx nqui+emants of Sution 306 of the Uniform Builditog Codc artifyiag that at tbr timt of isurantt tbit tnurturr was in romplianrr untb tbe varimu ordinanra o f t& City ragu/oting bai(dieg mnnnutron or ure. Fo+ tix follaving: Uwcwdfi,,, 1 of 4 PLEX 9ldb? Na 7509 aw? TYw R3 '4e.c?? V wnz NA z,,,;na? (PD) R3 o,,,,,doadft Tollefson Buiders Am,m 1655 Norwood Dr., Eagan oon7 v,...«t,...- n....,o T.nr G_Rlnrk t_Rriar Hill 4 By February 25, 1983 . ,. . ...K.. -. Y 9.A. ,. ' W.erfifirtt#r nf (Orrupttnry ?Citp of (Eagan Or}rttrimruf uf Builhing Jns}rrrlimt Tbit Crrti ficate ittuu! Qurcuant to the rtqrurrnuntt of Sertion 306 af tix Uni form Bnilding Codr rnti f yrng tbat at the lime of iJtaaare tbii rtsadurt wdt in tomplianct with tht varrout ordinanca of thrCity regulating buiJding canasuttion m ure. Fw thr following: V. chds?m 1 of 4 PLEX 7508 Bld`. hmrit No. O-wrnw B3 hPC? v nnza?. NA zo?ea.m?MT-73- o,,.wB„am,6Tollefson Builders AaaRa1655 Norwood Dr., Eagan B„e,ft, 3805 Heather Drive L?.?y Lot 3,Elock 1,Briar Hi t BY OIWdtMOffkW May 27, 1983 ,...o,. ?.?... ? Trxtifirtttr nf Orrupttnry Citp of (Eagan 39rpttrtmrttt nf +?uilring 3naperlimi Tbir Crrtifirate irrard purmant to tbe srquiremrnu of Section 306 of the Unifonrs Building Cade tMif ying that at thr timt of ittuana thlt ttrutturt war in tamQlianct witb tbe variout ordinanter o f the City rrgxlruing building tomnruttion m ure. For the f ollowing: U. cbdfitlm 1 of 4 PLEX 91dFhrmitNo. 7507 0wrcr7Yve R3 TYPC?? V F:n? NA . z?vwmn(PD) R3 a? aBU94„6 Tollefson Builders Am1e, 1655 Norwood Dr., Eagan Buidft? 3803 Heather Drive Lo."YLot 2,B1-ock 1,Briar Hill p_ b, ?..? lXT? i? er- B?o?m.? ?_ D,t.: March 3, 1983 4th . I.. .. .... Cgrrtifirtttp nf (?rru?ttnry Citp of Cagan igrpbrtmrtcf ixf iguilding 3nnprrtimt Tbis Crrtificate isrurd purrnant to the requirnrernu of Settion 306 0( 1he Uniform Building Code mtifying that at tlx timc o` itcuana tbit ttrudure wat in cmnpliana wiih the variour ordinanca of thc City regulating buildrng ronn+uttion ar ura For the following: U" C?om 1 of 4 PLEX MabPermut No 7506 0-1war'hw R3 Tvrcoo,?+:on V F?zoo. NA zoo?,m..?a (PD) R3 Tollefson Blders. ?da.1655 Norwood Dr., Eagan Hufting AM" 3801 Heather Drive ?.ryLot 1,Block 1,Briar Hill 4 ,,L f27h7Q.07? °y` e?aa?ort? . ?^ p,w August 26, 1983 ??? CITY pF EAGAN Include 2 sets of plans, 1 Gertificate of Survey & • BUILDING PERMIT APPLICATION 1 set cf_ energy calculations. 7b Be Used For Valuation SGO"Date S- 28^g ( Site Pddress?77-?era+?4zl7 D?- ?q a OFFICE USE ONLY Lot ? Block ?_ sec./sub. ? Erect }( OccuPancY ?- 3 Parcel #: Alter zoning R- I Repair Fire Zone Owner: 'i?t9V fb{Ij?N Ehlarge Type of Const. >Z Address:c -3?§"J -2- Nbve # Stories Demolish Front ft. City/Zip Code: Ef?'yfjV Grade Depth ft. Phone #: 1-f S?-/? :3q 2 APPROVALS FEES Contractor: r?,rjy. .p Assessments Pernut 25, °- ?aater/Seaer Surcharge Address: Police Plan Check City/Zip Code: Fire SAC Phox?e #: ?• Water Conn. - Planner Water Meter ??'?g" Council Road Unit Bldg. Off. Address: P.PC City/Zip Cocle: ? Phone #: TO1'AL a ?O • ?111.??V?P I A15??L?T/0? 64PCL`(1URz fl0.wd 6tv r, ? I1 000 x r,5 = 1500 CITY OF EAGAN ?7 ? ? 9120 3830 Pilot Knob Road, P.O. Box 21-799 , Eagan, MN 55 121 1 1 - PHONE: 454-8100 ?/ BUILDING PERMIT Receipt # ?i? T Te M m'sd fer FIREPLACE Est. Value $1500 pate MAY 31 , 1 q 84 SiteA ddess 3807 HEATHER DR Efect ? OCGUpanCy R3 ? Lot Block 1 Sec/Sub BRIAR HILL 4 . Alter ? Zoning R1 Parcel No. 10-14993-040-01 Repoir ? Fire Zone N/A Enlorga ? Type of Const. V w Name DAVID JOHNSON Move ? # Srories Z Address SAME Demolish ? Length_ ? city vhone 454-0392 Grade ? Depth Sq. Ft.- ? SAME ADprovals Faes Z0 °u u? 1- Name City Name _ Address City - Phone I hereby acknowledge thof I have read this ap0lication ond state fhat the intormation is correcl ond agree fo comply wifh all epplicoble State of Minnesoto Stotutes ond Ci1y of Eogan Ordirances. Sipnolure of Permittee - A 8uilding Permit Is issued to: ull work shall be done in acco 8uildinp Official Phone Assessment _ Woter 8 Sew. Police _ Fire Erq. Planner _ Council _ Bldg. Off. _ APC - Permit 25. 0 $urchorge 1 • ? 0 Plun check SAC Water Conn. Warer Meter Road Unit - ? - 2 6- .00 Tora I INSON on tha express conditlon Ihnt State of Minnesoto Stntutes ond City of Eogan Ordirwnces. CITY OF EAGAN , 1795 Pilet Kno6 Road Eayan, MN 55742 NO 7509 . BUILDING PHONE: 431-8100 PERMIT - R i t s ece V # - . Te M und Fer '. 1 of 4 PI,SX Est Value $48, 000 Dote -Se plAmber 1D _, 19AZ Stte Address 3807 xeather Drine Erect [I Occupancy R'3 Lot 4 Block 1 $ec/Sub. Br'iarhill $C}l Aiter ? Zoning (PD) R-3 Parcel # 10 14943 040 Ol Repoir ? Ptre Zone NA l E of Const V T n ar9e 0 . vPe W Name 701lefsOn $11125@L'8 Mova ? # Srories z qddress 1655 Noswood Dlive Derrroush ? Length 44 q Eag an 55122 phane 454-6873 Gmde ? Depth 22 Sq. Ft.- ° 0 Name awner Avvro.aos F.es ??? Addres5 r .-?... Nome _ Address I hereby ocknowledge thot I heve read this apDlicatian and sfate thot the inlormolion is correct and ogree to wmply with oll applicoble 5tote of Minnesota Statutes and City of Eagon Ordirwnces. Signoture of PermiMea A Bullding Pertnit is issued Po: TO11@1 all work sholl be done in accordunce with all Assessment _ Woter 8 Sew. Police Fire Eng. Clanner _ Councll - Bldg. Off. _ APC Permit eiw.vv $urchorge 24•00 Plon check 237.00 snc 525.00 Warer Conn. 420.09 WoterMeter 60•00 Road Unit 240.00 Toroi S1680.00 _ on fha e.press condiMon ihnr City of Eogon Ordinonces. Building Officiol CITY OF EAGAN . 3795 Pllet Nno6 Rood Eagan, MN 55723 N? 7508 . PNONE: 454-8 f 00 ? ?,, BUILDING PERMIT ReceiPt g ?, . /?U? To b! YNA IOr 1 Of 4 PLEX Est Value $48,000 Date S eMteAlbeL I O , 19-,67, Site Addreu 3805 Hflather U,cive Erect ? Occupancy R-3 Lot 3 BI«k 1 Sec/Sub. ?'38Ih311 4th Alter ? Zoning ??3 ??3 Porcel # 10 14993 030 Ol Repoir ? Fire Zone ? E V nlorge ?. Type of Consf. rc Noma Tollefaon Builders Move ? # Srories Z Addrou 16$5 NOS'Vi00d DT1V@ Demolish ? Length 44 ? ci E8 Q8t1, 55122 phone ¢54-6873 Grade ? Depth ZZ Sq. Ft.- p Name OWner ADDrovala Fees ? 0 u?S f Addres: Nome _ Address I hereby ackrqwledge thaf I have read this applicntion ond stote that the intormation is correcl ond ogree to comply with oll opplicoble State of Minnesoto Statutes ond City of Eogon Ordinances. Signoture of Permittee A Building Permit is issued to: TOSZEL$t))Ii Bi1ild@I8 ull work sholl be done in accordarxe wifh all uppliwbla Stofe of Mir Buildinp Offlciol < Assessment - Wnter & Sew. Police - Fire Eno. Planner - Council _ BId9• Off. - APC Permit °?vff•Vw Surcharge 24.00 Plan check 137.00 SAC $25.00 Water Conn.4ao.oo Woter Meter 60.00 Rood Unit 240.00 Total S1680.00. the express ConAiHOn thnr :Ea9on Ord{nances. CITY OF UGAN , 9793 Pllof Knob Raad Eagen, MN bS142 NO 7506 PNONF= 431-BI00 ' - BUILPINCt PERMIT Receipt . To M uiad he 1 Of 4 PLEX Fst Volue $48,000 Date SeAtember 10 , 1 982 Stte Address 3801 Hesthflx Ds1ve Erect cl Occuponcy R-3 Lot 1 Bixk 1 Sec/Sub. Briarhill 4th Alter ? 2oning ?PD) R-3 Parcel # 10 14993 010 Ol Repotr ? Fire Zone NA E l t - T f C V n orpe ? . ype o ons m Nome 'ibllefe0n BtiildB='8 Move p # Stories ? Addrem 1655 NoiMOOd 1]rive pe??ish p Lenyih 44 Ci Eaci sn 55122 phone 454-6873 6rode ? Depth Za Sq. Ft. - p Name ADOrovals Feas i? Address r ?:... Nome _ Addreu Asussmenf - Woter 8 Sew. Police - Fire Eng. Planner _ Council _ Permif L14.UU Surcharge 24.00 Plan check137.00 SAC 525.00 Water Conr420.00 Water Meter 60.00 Road Unit 240.00 I hereby ackm wledge thot I have read this ap0licotion ond stote that Bldp. Of4. the intormotion is torrett ond agree to tomply with oll opplicoble AP? _ Stata of Minnetota Statutes and City of Ea9an Ordirwnces. $fpnafure of Pertnittea A Building Permit Is issued to: T all work shall be done in acwrdance with Bulldinp pffidal .11? . Totol 81680.00 _ on the express conditlon thm ond City of Eagon Ordinames. CITY OF EAGAN , 3795 Pibf Knob Read Eagan, MN 55I22 N9 7507 . PHDNE: 454-8100 - BUILDING PERAAIT Receipt ,.. Te M wedrur 1 of 4 PLEX Est.Volue $48,000 pate S@FtembBr 10 -, 1982 Site Address 3803 Hedthex D¢'iVB Erect (I Occupa.xy R'3 Lot 2 Block 1 Sec/Sub. Bri8rhi11 4th Alter ? Zoning (PL1) R-3 Parcet # 10 14993 020 Ol Repoir ? Fire Zone NA Enlarge ? Type of Const. v m Name 1b11Ef80II Hilild@TB Move p # Stories ; Addreu 1655 NOYWOOd DY1Ve Demolish ? Length 94 b Ci Eagan 55122 phom 454-6873 Grade ? Depth az Sq. Ft., ? Nome ?IBY Approrals Feas 0 tu Address Assessment ~ Clf Phone Water 8 Sew. F Police Fw Name Fire ? ?, -? Addreu Eng. <W Ci Phone ? Ptonner . Council I hereby ackrwwledge thot I hove read this opplicntion ond stote that gldg. Off. fhe inlormation is correct and ogree to comply with all ppplicable Stafe of Minnesota Statutes ond City of Eogan Ordinances. APC $ignoture of Pertnittee. A Building Permit Is issued to: TTOll@f80A Bpi1dB S _ on oll work sholl be done in acwrdance with nll opplicable S' f Minne t a e ity ? 8uilding Official Permit Ai`i•uv $urcharge 24•00 Plon check 137.00 SAC 525.00 . Water Conn. 420•00 Woter Meter 60.00 Rood Unit 240.00 Torol 81680.00. express condifion fhnt ocn Ordinames. -:?-( 0 9 3- 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION Cify Qf 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 unit _P?3a So Date k3 Site Address J° eCJ?, 3-AFY1-tA-*_tY' br • Unit # Praperty Owner KCL?._ '_A-)C_Lr(yy] , Telep6one#(UP& )(DE?k Contractor Wohlers Southside Htg. & Air, Inc. 6950 W. 146h St., #106 Street Address ? Apple Valley, NN 55124 I City (952) 431-7099 1 State 1 ? Telephone # ( ) ? Band ?s4 r] GExpires: TheApplicant-is ? Owner _ Contractor _ Other Add-on or alteration to existing dwelling unit 30.00 ? furnace _Additional ? Replacement ' air exchanger ? ? ? airconditioner _New epiacement other State Surc6arge $ .50 T otal I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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. _ Chnd LocberS Applicant's Printed Name Applicant's Signature ?---? ?-? „I r1' I ? 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commerciaUindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit Da[e Site Street Address Unit # Tenant Name (if appiicable) Previous Tenant Name Property Owner Telephone # ( ) Contractar Street Address City State Zip Telephone k ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ install _Remove **see below fnterior Improvement _ Install Piping _ Processed _Gas Nature of Work: "When installinq/removing underground tank, call for inspection 6y Fire Marshal and Plumbing lnspector p¢I'I1111 FOeS: $70.50 lJnderground tank installation/removal - - $50.50 Miirimum (includes State SurcLarge) or ContractValue $ x I% _ $ PermitFee • If pe rmit fee is $1,000 or less, add $.50 State Surcharge If ep rmit fee is over S1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that 1 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. Applicant's Printed Name ApplicanYs Signature Approved By: , Inspector Date: ? . -r 3656 EAS755th STREET, MINNEAPOLIS,MN 55477 - 727-3484 --------- q4 ? ? ?urhrpac'g -?crtfficati -?` -- / _a .F ;.si)'de° ?" 2J D•a:??a?c E _- ,? ? ? P" O:? _J ?? - K,-1 y . i ? f?. ? ?F 'li,? ? 3vJ'y 1 ,-- r10,4( ? ?y . ? - r$•oa '_ . . .. ? .. .. . ._ .. ' A ? i ?. ; , . ? U ? L ?.? / ? . . ` . fp ?? ? ? . . ` 1. QTSt C%' F1AGMq Include 2 sets of plans, 1 site plan w/elevatians 6 •?? ^,?r " ? HUIIDING PEPMIT APPLICATIODi 1 set af energy calculations. •? " '!b He UeedrFbr valuation 0-z9'o Date y1Y11:z ' Site Address 3$O CFFICE USE ONI.Y B1ocx / sec./Sub. rALTM- L Occupar,cy ; paroal t: i 0 77 q 3 o Z o o? w.ter zonim i Aepair Fire Zone-? .41 ' Owner: Enlarge _ iYPe of Oonst. Addrem: hSove N Stories Demlish Fmnt ' atY/ZiP Oor]e. Grade Deptlz ft. ? Phane #: ' OontracbDr: ? 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N0; L;ATE: L ? :I.I.' /a?2 ' i°1'.l, ?"P_r, ?.1, lP;.5J.? ;% NAMl_a M:tiI;E: FfCl:lS l:f.iNf>7"i:;i.),r, T.T.CN OC: :[h!(; +=01; 900]. 27.0I7 320 aoci i 3809 F;Frrr HEr; Dr 20.25 3210 900:!. 383'r? F.il_<1TH;ii:Cti fll;: 212:,25 320 9001 3826 !_At.)ft[:1.. r'1' 199,.75 3210 9(]01 3801 'rliiCflY!-I[i:f: rIR L.`a`.:?. i`S .}'..) ,,.w.:?i ;?;f:?r?.i.?i?) Rliiui.... ?r?ii;i! 351.00 ,.... r,Rrl39537 USf:-!t :[D. f:?ANCy PERMIT ClTY flF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55722-1897 (651) 681-4675 PERMITTYPE: aurL oxNr Permit Number: 0 3 907 5 Date Issued: 11 ! 18 ! 9 8 SITE ADDRESS: 3801 fiEFlTHER D{x LOT: 1, t3lOCK: 1 BRTflI't FITI..L 4'iFi P.I.N.: 10-14993-010--01 DESCRIPTION: T.Q. & f2ER00F t3rtzldinq-Per?mit 'fyS?e MUL,7I. (MI5C.) 6u31ding Woc,k Tyoe REPAIR ;'Ccnsut Code 434 ALT. RESZIJENTZAL t? . ? ? ?3. a€ F < ???( <- REMARKS: TIVC4.UOESe 3803. 3805. AND 3807e FEE SUMMARY: VALUA1'SOIV $13.000 Base Fee $199.75 5 u r c ha r 9 e __..?.._.?.? 6•._? 0_ Total Fee $206.25 CONTRACTOR: - Applicanr. - sr. Ltc. OWNER: M?KE MOHS GONSTRUCTION CO 17211107 5456 BRIAft HILI. RSSOCI7aTTON 31119 SNELLING AVC 5 3£301 HEA'THER DI? MINNEflPOLI5 MN 55406 EAGAN MN 65123 (C12) 721-7.107 I hereby acknpwledge that I haue read this appticatian and staCa thdt the informatinn is correct and aqree to coniply with dll epplieaale State ofi Afn. atatutes and City o'f Eaqan 0rdinances. ??. ? APPLICANT/PERMITEE SIGNATURE I ED BV: SIGNATUFE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4675 New Construction Reauirements ? 3 registereG site surveys ? 2 copies of plans (inGutle beam 8 window sizes; poured fid. design; etc.) ? 1 energy calculations ? 3 eopiea of tree preservation plan 'rf lot platted after 711/93 required: _ Ves _ No DATE: DESCRIPTION OF WORK: ?e? k D 7"-I- RemodeUReoair Reauirements ? 2 copies oT Plan ? 2 site suneys (exterior addkions 8 decks) ? 7 enargy calwlations for heated add@ions CONSTRUCTION COST; (T STREET ADDRESS: -ZeO I - 0 3 - d 17 - 425 eu f{j a2 ?,4 LOT: t BLOCK: i_ SUBD./P.I.D. #: ?? \ k Name: 2- /( i/l Phone #: PROPERTY Lazt First OWNER Street Address: City State: Zip: Company: Phone #: CONTRACTOR ? ' Street Address: ?///?? S/UC' 1/4 License # City ?dJl S State: ?/I?Jfv Zip: ?s/Q 6 ARCHITECT/ ENGINEER Company: Phone Name: Registration #: Street City Sute: Zip: Sewer 8 water licensed plumber (new construction ony): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all apprca61 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: / OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _ plex WORK TYPE ? 31 New ? 33 Atterations O 32 Addition O 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee 5urcharge Plan Review License MC/W5 SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ? 11 Apt./Lodging ? ? 12 Muki RepaiNRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq, ft. sq. ft. sq. ft. Footprint sq. ft. Building l °t - -7 ? Engineering Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire 5prinklered PRV Booster Pump Census Code. SAC Code Census Bidg Census Unit Variance CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 687-4675 SITE ADDRESS: Lo r: 3803 HEATHER OR BRIAR HILL 4TH PERMIT SUBTYPE: DECK 1- ? INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: 2 BLOCK: 1 APPLICANT: GULIICKSON (612) 452-0114 TYPE OF WORK: BUILDING 020988 05/20/93 GERALD AODITION _. ? ? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: SITE ADDRESS: P.I.N.: 10-14993-020-01 3803 HEA7HER DR L07: 2 BLOCK: 1 BRIAR HIIL qTH DESCRIPTION: Bu"ilding^?Permit Type DECK Building Wb,rk Type ADDITION f'Building Len4•th 20 j Building Width10 / z ?? ?UO? ;a H REMARKS FEE SUMMARY Base Fee $25.00 COPY Surcharge $.50 Total Fee 3ubtotal $25.50 CONTRACTOR: euxLorN? 020988 05J20/93 $26.00 OWNER: - Applicant - 6ULLICKSON GERALD 3603 HEATHER OR EAGAN MN 55122 (612)452-0114 I hereby acknowledge that I have read thie application and state that Che information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. _ J ?lA1o('i* ? APPLICANT/PERMITEE SIGNATURE I$$l1ED8 : SI R'n?? I E?? KtAl.I1YAIt _ ????? VI I T \JP CN%71IilY PcRMIT #? 1993 BUILDING PERMITAPPLICATION tZ4.?O 1 8 1993 681-4675 - - -------- STNGLE & MULTI-FAMILV -- 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last workinq day af month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date / v_ Y luation of work Site Address: J d U3 r?s?dx?eti- STREET Q SUITE N Tenant Name: (commercial only) IAT BLOCK SUBD. ,?q?`/?jj?? ,(( 11 P.I.D. k Descri tion of work: The applicant is: I$J Owner 0 Contractor ? Other coK«tbe> Name d uQQ.u??ly= r,j Phone?r- Property LAST FIRST Owner 3Sb 3 qddress STREET STE M - City Ck.Pa Cwv State rrVu1-N_j Zip ? Company 9F Phone Contractor Address ticense # Exp. City State Zip Company Phone Architect/ Engineer Name Re9istration N Address City State Zip Sewer & water licensed plumber Processing time for sewer 8 water permits is two days once area has been approved. I hereby acknowledge that I have read th9s appli?.ation and state that the infarmation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature af Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation [3 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch 0 05 SF Misc. WORK TYPE 0 31 New ? 32 Addition O 06 Duplex O 07 4-Plex IJ 08 S-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair n a 4:" ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace x 15 Deck ? 35 Tenant Finish ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth 1{L APPROVALS Basement sq. ft. 15t.F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Planning Building Engineering Variance REQUiRED IiVSPEGTIONSCRFPLqCr /D'x/o DczK ? Site ? Footing ? Framing ? Wallboard ?Q Final 0 Draintile ? Insulation ? Fireplace Permit Fee Art 00 v.iuacim: S Surcharge ? Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit . S/W Permit SJW Surcharge ' Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units ? 16 Basement Finish ? 17 Swim Pool 13,18 Comn./Ind. 13 19 Comm./Ind. Misc. ? 20 Public Facitity ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code sAawAg 6G.aG? 6+15w Assessments ? 0 F i4 DD /O,K /O ) » s???Pf ?'? ?o JACKSON - SUPVEYCIRS e? ?reK .. . Mmrlirtwte UNp[R LAqYJ or iTA1'[ oF WIwiffoTA ?. - • ? ' . ' + 9816 EAST SSth STREEY, MiNIdEAPOUS, MN 55Y77 ' 727-3484 N q.^ QG° ' -- - ???/ ? . ?urhtpnr'!? -CtttfHutlr- ?_ ?? X^?? f y 1 ..F_. ? ' , , /o9.it 75.ee Za o?o:?,nyc ? ii . ? , 411 p ZZ . '7i5 . t . l i ? : . . . ? D `# ?? • c ? ; ?? r; ? . O a 2'2- ? :Li ? C t-42 y ......... . . .... e j ?'' - , g L y ! ? ?j /G?Jo?1. nYL?C ? , O¦ 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 5 512 2-1 897 PHONE: (614) 454-8100 FAX:(612)a5a-8363 June II, 1990 DAVID JOHNSON 3807 HEATHER DR EAGAN, MN 55122 Dear Mr. Johnsoi:: THOAMSEGAN Nayot DAVID K. GUSTAFSON PAMEV+MCCREP. TIM DAWlEN1Y THEODORE WACHiER Couricil Members THONJS HEDGES Crty Administraror EUGFNE VAN OVERBEKE Ciry Clerk Regarding our phone conversation on May 24, you stated that the plumbing vent test caps on the roof of your home were not removed and as a result of the jet rodding in the sewer mains by the City, a trap in one of your plumbing firtures was blown out causing same damages. The test caps should have been removed by the plumbing contractor after the plumbing final test to allow for complete circulation of air in the plumbing system and to allow the trap seals to funcrion properly. If the test caps had been removed, tke high pressure caused by the jet rodding would have been expelled through the plumbing system to the roof terminal and then to the outside air. This would have eliminated the blown trap. Chapter 4715.2510 "Protection Of Trap Seals" from the Minnesota Plumbing Code states: "The protection of trap seals from siphonage or back pressure shall be accomplished by the appropriate use of soil or waste stacks or vents, installed in accordance with requirements of this chapter, so that at no rime the trap shall be subjected to a pressure differential of more than one inch of water." Sincerely, ???1 ?? Dirk House Plumbing Inspector DH/js THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROVJfH IN OUR COMMUNIN Equal Opportunity/AffirmaTive Action Employer City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 675-5694 ,„ D Arn 1 6 20GS -- ----------- ? For office.use ? ? . Pertnit #: I Permit Fee: ? Date Received: Z/ -41 ? j Staff: I ------------------ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Tenant: Suite #: RESIDENT/OWNER Name: e/E As5?c1 ,a-,o? fNr9Jci.1 L phone: YS v- 3 7 t7 Address ! City / Zip: 3 ?c)/ Applicant is: _ Owner X Contractor TYPE OF WORK Description of work: Construction Cost: GI ? d o• U? Multi-Family Building: (Yes X/ No CONTRACTOR Name:GiEi Z,,2G'. License#: zc 1 Address: 1/12S L,'? &c l?c s; , City: M PL 5, State: /n.? Zip: 5S qi S Phone: 6JA-6.2113 ContactPerson: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cate clory 1 Minnesota Rules 7672 , Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted SubmiHed (4 submission type) • Energy Envelope Calculations Submitted 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: 5ewer & Water Contractor: Phone: = NOTE: Plans and supporting documents that y`ou,submit are considered to be public information. Portions of the information may be classFfred as non-public: if you provide specifiq reas'ons thaf woufd permif the City3o `. conalude, that the _are tradesecrefs. t. I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permil, and worl is not to Ftaout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review andapprov _X ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 Site Address: 41z, .y 2 !?Ii t L To ?.? ,,; ;?os,s c S DO NOT WRITE BELOW THIS LINE sue rvPes ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) O Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt - SF ? 02-Plex - ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-piex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building` ? Addition ? Move Bu ilding ? Reroof ? Demolish Interior ? Alteretion ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window O Water Damage ` Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation Occupancy _??..Re - I MCES System Plan Review Code Edition Z OO'7 SAC Units (25%_ 100% Zoning City Water ? Census Code Stories 8ooster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Conat. Width / a REQUIRED INSPECTIONS Footings (new bidg) Sheetrock Footings (deck) FinallC.O. _ Footings (addition) FinaUNo C.O. Foundation HVAC Drain Tile Other: Roof: Ice & Water _Final Pool: _Footings _Air/Gas Tests Final Freming _ Siding: Stucco Lath Stone Lath Brick Fireplace:_R,I. _AirTest _ _ _ _Final Windows _ Insulation Retaining Wall' Reviewed By: 6Wt' ? , Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total ZS 4 Page 2 of 3 `'T?liefevi? H?tildara inc_ Or.i1324 -1 . , EAGAN 183-.73 d?CKSON = 5URVE 711 VQE J U o ? ,L /_o n ./ / ^' • , '- ' - ?..? .?.: . 7 ,-_ , AF61fT[R60 UNDCII LAWi OP 1T.?T[ g?lOTA ??/./.A? - r.Lq OJ=??..?. ? G OMi LO?'9 IWcmow . + 3616 EAST 55ffi STHEET, MINNEAPOL15, MN $5417 727•3884 g"C!? k I' -----` aurhrpoc'g -Ctrt{fitatt , ? i j ' •-F'--? _ Y I -r--- iI ti ;,? ._ - ?• y ?-- i - ? ' ?-:?• ^? :`1 v4 ?`' ? . taj ;j ?ax• _y.? 2,'t 2z• ..{ ? ? ?: ??? , ? . ? 9" ?-- l , V ,? ?I?-_ 7•-c , T T .. L' ,? ? . ? ° I \ ? I / :\ ? I `. . . R_?.? - ? /? JJ( I k ?Y"7 y? C W? y I _ a' 4, Qq? ? ? -. . ' ?. ? . i -4_ ? r _ ?w? ? ? APR 1 6 2008 -- __-_-_____i ? ForOffee'USe ? , . . ? ? Permit#: U.Ljj 1 7? I 1 I permit Fee: ? I ? ? Date Received: ? I ? Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Tenant: Site Address: 13 iz' q 2 !-/iL L i o?.? S Suite #: RESIDENT/OWNER Name: 4/0 ASS. c, aT,. N F.N„ae"j ` irl.sNn?ci?r.,- phone: ; v- 3 7 z Address 1 Cily I Zip: 32i'o S // L.¢TH E 2 Applicant is: _ Owner X Contractor TYPE OF WORK Description of work: k £- fS ? ?e N [) £ t? Construction Cost: `?l 49 0 • n(D Multi-Family Building: (Yes X I No --) CONTRACTOR Name: GS E/ E'x r c2i o2 Z-2 P. License #: 2- c X 6'// 3 i Address: ilP -S' L?' ? I?c f( S: . City: /71 P L S, State: m.? Zip: SS Phone: G-?R-8t, / ' 62V3 ContactPerson: n`4 1'£ 4 u22iS COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Enefgy COde . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, 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: Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: '-. NOTE: Plans and supporting;documenis-thaf you su6mit are'considered to be`p'ublic information. Portions of t6e information may, be classrfied as non-public if yob p'rovrde specific reasons that'would permit the City : to " , co`nclude fhat the are'tratle secrets.: . ? ? 1 hereby acknowledge that this information is complete and accurete; that the work wilt be in confortnance with lhe ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and worl is not to sta out a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv of ans. x QAJ/ D Su2,zr S X. ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. -SF ? 02-Plex ? 08-plex .& Deck ? Porch (screenlgazebo/pergola) ? Multi Misc. 0 03-Plex ? 10-plex ? LowerLevel ? Stortn Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building* ? Addition ? Move Bui lding ? Reroof ? Demoiish interior ? Alteration ? Fire Repair ? Windows ? Demolish Faundation IF Repiacement ? Egress Window ? Water Damage ' DemolRion (entire building) - give PCA handout to applicant DESCRIPTION: Valuation ?31 Occupancy S MCES System Plan Review Code Edidon SAC Units (25%_ 100% _? Zoning City Water Census Code ?? L Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const Width Footings (new bldg) yC Footings (deck) Footings (addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace:_R.I. _AirTest Final Insulation QI nn?/Jl/ Reviewed By: _ RESlDENTIAL FEES: Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Sheetrock FinalfC.O. _)10 Final/No C.O. HVAC Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall' Building Inspector ? Page 2 of 3 , "?oliefenp Buildare Inc. Dz:31324 -1 ` ' ??7F?g?°lfp??i?gl 183 73 F?11? s??,?a; JACKSON - 5URVEYDR #io1fT[R[O UND[R LAWi OI fTAT[ Of MpIyMf2iEfpTA W 1 la. D BUILOIf?G IfVSPECYOON$ fd'?ly11s??R1 + 3616 EAST 552h STREET, MINNEAPOl7S. MN 55417 - 727-3464 ?- ?t' o , c? 1 v e c). :_; ? AV(, 2e P.a'..•-09c I ? ? ?? p . ?? ai • i 1°x• ?.ti 2+? ? 2Z ? z.m• I ' 7 ? r - ?. r? , N?? 2? 7? ?.,?? ? . • - '- ? T ? ` _ C•C? `?I. .?S k f' _ t} ? ' ... ? .' v ? a2• ? ? i ?' ?=. l , ? j c l_I ? \ . ?. {- -1??8/ . . ! . . ? ' ? ? . ? 1 . { ? ? ? *City of Eatall 3830 Pilot Knob Road Eagan MN 55122 Phone: (851) 875.5575 Fax: (851) 875.5694 Use BLUE or BLACK Ink For Office Use Pemiit#: gC), Permit Fee: i ®, a 5 Date Received: Staff: /3 2013 RESIDENTIAL BUILDING PERMIT APPLICATION g,2/.I2 iv /L 4- W,..)I%o/HY.s Date: '/' �/� /3 Site Address: 3,51°1, 37°j 3 v‘.; , s V 0 7 /712-4rr, A / - Unit # Name: e/° ASS+�c,.lr/aJ FiJ.t,c/.rL /4.0A.J irN::�r Phone:7 -HF</-3727 Address / City /Zip: .7e1 L r4 /C z R e . PP[ G Ro L/ L Applicant is: Owner X Contractor Description of work: -7—‘9- 2 - b FF AZ -4,00.4" Construction Cost: //, 2 0 a- u a Multi -Family Building: (Yes / No Company: a Ina,,,T, La AP. Address: 4 S L.)- it 041 S%. Contact: A VE, State: Mn) Zip: .r -S- 41) Phone: City: m �4. s- 417- 80- R'/3 Ucense #_ ge R °/ / / 3/ 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 issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: v.o \o"\O Licensed Plumber: Phone: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: CALL BEFORE YOU pl% Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Can 48 hours before you intend to dig to receive Iogtes of underground utilities. mbtov.poQherstateonecap.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be In accordance Wlth the approved plan In the case of wont which requires a review and approval of plans. Exterior worts authorized by a building permit Issued in accordance with the Minnesota = Bu11dIn J ode must be completed within 180 days of permit Issuance. x Applicant's Printed Name x Applicants Signature Page 1 of 3 £0/T0 39 d 1NIvW lX3 I3a L9Z9T98ZT9 0E:TT £T0Z/V0/t'0 Use BLUE or BLACK ink • - I Fat Office UN { of Eap 9890 Pilot Knob Road I I Eapan MN $5122 i Dame Reoeivod: f I Phone: (651)675.5675 j Fax: (661) 6753 511% S I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10 °/6 -1'3 . Sloe Addras: 326 F03-:3 5'oS, 3 707 AAC47 Ir'4Z 6 P. Unit iv, f0: G o A C 7' r4 ^3 A 6L M Z.&.> T C Phone; 7G3 J p Address /City 123p; pa N .~Tyt 7 Applicant is; Owner _ C9ntrsclcr . ..rIRe 'J--Cm-A DPW a~ QE - ~g • ,1~f Descriptionof wprk: C, • Con9mruction Cost 9CI0 . o~ Muni-Family Bullding: (Yes / No Company 6bE / E~ 7rgA,,o.t Aftia7 &ZP _ Cone Z AVA %`Ja-->Zt 1 S CRY: 090hp AD %1'1PG5. ~ State: Zip: • *S'Vi 9 Phone: ~°'z - 6 - !o x y3 Uoenso#: Q Z yJ! 3 / Lead Certilioate If the ProJcd is exempt from lead cartiftation, please explain why: (see Page 3 for additkuml information) Rams [J~~~' ~3~~~r Pos, 9 ti S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 month% has the CRY of Eagpn Issued a pen ft lbr a similar plan based on a master plan? Yes _No If yes, date and address of meslar plan: Lloensed Plumber- Phone: Mechanical Contractor; Phone: 80wer S Water Contr+aeear. Phone: t%Ili CALL. BEM Y 1112.0a 601*w $60 One CAW at (651)164-000210r pMWChon a9WW Ur1delground Wily damage. Cd 48 hours be(M you tntrn io dly to receiNp locates of aiderpround ut➢ttlaew www. ameagealm i hereby ~ that this ftmwfan a co TOO and a=w te; that ft wodt will be in conformance with the or~inanoee and codes of fhe of tea"' #W I understand this is not a parmk but an won for a pwmlit, and wo* is not to start without a oarmit: %at the watt w tbfaee e 8ooatlanw wBr, Mo aaar~~ plw► in uw caw of we,k .eQuno. o ,sr(~w ono o~prvwM of pwns, - dap of Pena b=WCL by a bulldlrg permit bsr~d in sceaeMnce wAnr the Mlwretod Ststo Build Code must to goa d within 180 • ~Av~A ~ut2ltrJc . Appitranft Printed Nawnre AppffcWe ftnahire Pale 10(3 ZO/T0 39tid 1NIaW 1X3 139 L9Z9T98ZT9 6E:ZT ETOZ/9T/0T 12/06/2013 08:28 7635193932 PAGE 02/02 Gity of Eke 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675.5694 Use BLUE or BLACK Ink For Office Use Permit#: I jq 51 5 45'O. �WQ Date Received; 4 1 `�'/In/ L/ Permit Fee: Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: J •J- /3 Site Address: 3801 lie,r-Z1 r Ar Tenant: Resident/Owner Contractor Type of Work J Suite #: Name; _ Q,D P(e4 her Phone: fa 5/ 415 a • 6 O 7 Address/ City / Zip: 3 ?o ftec -4- hey, b r Fad ►,_ Mkt s5�.�,� Name: "R6-1-0 " 1Z4:104€ ✓ License #: _ Q 533 V/P41 Address: i` �o- a 1+h Pt t,.) -Q - City: Lt.. • State: mI) Zip: 55 Vir7 Phone: •7 63 5/-32�Y • Contact Pace- I Email: _ New k Replacement Repair _ Rebuild Modify Space _ Work* R.O.W. Description of work: ......,..,_,.,...�,w._,...,.�.,�,.._,_._� RESIDENTIAL __..........__,...._,.._ ._.,...__... ± Water Heater Lawn Irrigation (_ RPZ / _ PV5) Septic System New _ Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (Includes $5,00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures Septic SystemAbandonment, Water Turnaround" (includes $5.00 State Surcharge) "Water Turnaround (add $200,00 if a 5/8" meter Is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and 55.00 State Surcharge) TOTAL FEES $ (00,00 Permit Type Water Softener Add Plumbing Fixtures ( Main /_ Lower Level) Water Turnaround CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www.Qonherstateonecall.orq 1 hereby acknowlodge that this Information Is complete and accurate; 'hat 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 wont 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 0 pians. 624:0L1: x 121 00 -1- LD 'xnct. VnYn Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground _Rough -In ,,_„Air Test __Gas Test ___,Final Use BLUE or BLACK Ink W ForOM*sUse Ealao j Permit T 7 j My of I Permit sae: 073-63 3830 Pilot Knob Road Eagan MN 55122 1 Date Received: Phone: (661) 6756675 1 I Fax: (651) 675-6684 1 Staff. _ I 1 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address. Unit 0: Riesldeht! Name: ek &i 14*^1' 4 64 A F .c3 C. Phone: 7/0 3 - ~ 5 3 - 9 7 7 o Omer Address /City !Zip: _8SC Ct9 ru 2 Ay, GoGI, £ t/Ad.C~ Y /WA • Applicant is: _ owner ,Contractor SS- 4117 Description of work: R£•--o E R E Pc rtr-i- S~ A KJ !o b F'4-1 e- a /4 £ 7--,4 L Type' "ork. Construction Cost . V CJ27 • cro Multi-Family Building: (Yes / No Company: Q ex r Ce/ ° 2 IVid y .JT . G>, RP Contact b4 ti 119,,j A-al -S C1311tt'ac.tor Address: '4/0S' w GD*' S-. City: /V P/- 5 State: Zip: S5"y/ rj Phone; &/.Z - / - Lo 2 V3 License J / bead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) t~c.9loS. II~u/t r PCs- /77, 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 brassd on a master plan? Yes --No If yes, date and address of master plan: Licensed Plumber, Phone: Mechanical Contractor: Phone: Sewer 1t Wilber Contractor: Phone: Nom, P1408 and d Yi~Jgr s~btidt 009 ~ Min GALL BEFORE YOU DIG, C9116opherState on• Call at (651) 464-0002 for protection against underground utility damage. CaN 46 hours beforc you kttend to dig to receive locates of underground utilities. o he eonecall.o I hereby acknowledge that this Information Is complete and atxurete; that the work will be in conformance with the ordinances and codes of the City of Eapan• that 1 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 iris case of work which requires a review and approval or plans. EK10601 work authorized by a building permit Issued in accordance with the MirnasotA 3 to Bulldl Coda must be days of permit issuance. within 180 x 'Q 4 I~ l~ 2JL! S Applicant's Printed Name Applicant's Signature Page 1 of 3 b0/Z0 39Vd 1NIVW 1X3 I3H L9Z9T98ZT9 0Z:t7T tV10Z/£T/Z0 ��_�. _.� Use BLUE or BLACK Ink �--------- --------, � For Office Use, � ' ' ��-Sv i � Clt of Ea a� � Permit#: � Y � f-� � ; � � o.� � ��F, ` � Permit Fee: �✓ 1 3830 Pilot Knob Road � � Eagan MN 55122 c;�;? +�I � ��k� I Date Received: � Phone: (651) 675-5675 y�� I Fax: (651)675-5694 � Staff: -----------------� 2015 RESIDENTIAL PL BING PERMIT APPLICATION ,.-� l� �. Date: Site Address: Tenant: � Suite#: II ,fl�� Name: 4'V-1 � Phond,�� "`�-�Jlli � �� .�Residen�/Q� tte: . _ `�� „��.��r, � ;n�, ��, �� , �/j,�� (�' �� ? , �'�� Address/City/Zip: b G � U�i"'� '�/ � � �� t,�.. � � Milbert Co�pan Inc dba Culli an Water WC6413 76 � �� : Name. Y . g License#: �� - _ �� ' Aad�ess: �18O1 S0�' St East ��tY. Inver Grove Hgts., �,Contracto:� '�� ' S50�7 � 651-451-224r� � � ��'� �� State: � Zip: Phone: �� := William R Milbert "��`� .,�* i Contact: EmaiL� � � � � ��a f `k�.,, . . .. . � . � . � 4+ ` � � New Replacement _Repair _Rebuild _Modify Space Wodc in R.O.W. '�� p,e o�wW. ,or — — — � �,:, �.� Description of work: `�� `�� '�,� �� , RESIDENTIAL � a,;� �� Water Heater � ° # Lawn Irrigation(_RPZ/_PVB) �'v—Water Softener � x�Per-mi�T�, a � "�� p� Septic System Add Plumbing Fi�ures�Main/_Lower Level) :�� .§ ,:a '°� New Water Turnaround ; — � �„�,�� '��, Abandonment RESIDENTIAL FEES: . $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes$5.00 State Sur�.,harge) *Water Tumaround(add$200.00 if a 5/8"meter is required) $115.00 Septic Svstem New($10.00 per as 6uilt)(includes County fee and$5.00 State Surcharge) � O O TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against undergroun�utility damage. Call 48 hours before you intend to dig to receiVe locates of underground utilities. vwvw.aopherstateonecall.or4 , 1 hereby acknowledge th8t this information is complete and accurate;that the work witl be in confortnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, buf only an application for a perrnit, and work is not to start without a permlt;thet the work wili be in ' accordance with the approved plan in.the case of work which reguires a review and approval of plans. , � x �lr � X�� AppHcan s Printed Name ApplicanYs Sign ture : ,, -.. . m .__ � . .u. _ , _.� . _, ,,_ �F0 F��11. ; �� , q �,f e - _ ,<� �Re uirec! .ns�e�fa.o��.s. ,- '� :� ��,� "� m �.-; . .. . � � &,, � i � . �„.. ,. �� , �- � . �� e � �Me�e�r R�el�tec� I, � �� r.. ,.,, . , Y:a, it� , , . , � . ,gira� m