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3810 Heather DrCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEiV ED 19 AMOUNT $ I & DOLLARS 1 oo ? CASH . ? CHECK P'OR j. FUND CODE AMOUNT Thank You ?'?- - BY White-Payers Copy Yellow-Pasting Copy Pink-File Copy CITY OF EAGAN Remarks Addition BRIAR HILL 4TH ADDN Lot 5 Rlk 2 Parcel 10-14993-050-02 Owner Street 3810 HEATHER DRIVE State EAGAN NIIV 55122 Improvemeni Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. L 1975 70.69 7.07 10 .1 A01202 -22-8 MMIRM STreet $..:'0 1984 1227.78 245.56 5 1227.78 C008590 10-11-83 **Sewer Lateral Z 1984 2136.20 427,24 5 2136.20 " " SAN SEW TRUNK 1968 29.60 .99 30 1 1. 2 a01202 -22-8 SEWERLATERAL RK 1 3 237.37 23.74 10 2.64 t? n *SEW R A RA 1 32.42 1.62 20 11.36 ** WATERMAIN 1984 5 *WATERLATERAL 1971 20 WATERAREA 1.6 A012027 3-22-83 **STubs 1984 5 STORMSEW TRK Q -630 1984 323.50 64.70 5 323.50 C008590 10-11-83 *STOFiM SEW LAT 1971 20 **Storm Sew Lat 1984 5 CURB & GUTTER SIDEWALK STREET 6=0K- 1009 1986 153.70 15.37 10 ROAD UNIT 24a.oo 31850 -i -82 WATER CONN. 420.00 BUILDING PER. 7518 SAC PARK .,.. r Vt EAGAN Remarks I Addition BRIAR HILL 4TH ADDN Lot- 6 Rik 2 Parcel 10-14993-060-02 ?i owner screet 3812 HEATHER DRIVE state EAGAN NW 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1971 Paid UI1d x' OT'1 inal arcel STREET RESTOR, jQ']S 70.69 7.07 10 7.15 A011868 1-28-83 J?RIZRM Street <ab 1984 1227.78 245.56 5 1227.78 8587 10-11-83 **SE r Lateral 1984 2136.20 427.24 5 2136.20 " " SANSEW TRUNK 1968 29.60 .99 30 13.92 A011868 1-28-83 SEWERIATERAL TRK 98 23.74 10 213.64 11 *SEWER LATERAL 101 1971 32.42 1.62 20 11.36 " " * * WATERMAIN 1984 5 *WATERLATERAL 1971 20 WATER AREA 1977 59.19 3.95 15 31.61 A011868 1-28-83 **Stubs 1984 S STORMSEW TRK 1984 323.50 64.70 5 323.50 C008587 10-11-83 *S70RM SEW LAT 1971 20 **Storm Sew Lat 1984 5 , CURB & GUTTER SIDEWALK STREET tf@tf'F 1009 1986 153.70 15.37 10 24O.OQ 18 0 -1 -82 WATER CONN. 420.00 SUILDING PEFi. 7519 SAC n ti PARK CITY OF EAGAN Remarks Addition BRIAR HILL 4TH AI?DN Lot 7 Rik 2 Parcel 10-14993-070-02 Owner street 3814 HEATHER DRIVE State EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt date STREET SURF, ? STREET RESTOR. 1975 70.69 7.07 10 .1 A01201 -18-8 WAP??Tk4( Street 830 1984 1227.78 245.56 5 **Sewer Lateral ao 1984 2136.20 427.24 5 of 11 SAN SEW TRUNK 1968 29.60 .99 30 13.92 a01201 -18-8 ' SEWER LATERAL TRK 1983 237.37 23.74 10 213.64 it it *SEWER LATERAL 1971 32.42 1.62 20 11.36 " " **WATERMAIN 1984 $ *WATERLATERAL 1971 ZO WATERAREA 1977 59.19 3.95 iS 1.61 A01201 -ZS-H **Stubs 1984 S STORM SEW TRK -63 1984 323.50 64.70 5 *STORM SEW LAT 1971 ZO **Storm Sew Lat 1984 S CURB & GUTTER SIDEWALK STREETL46'MT 1009 1986 153.70 15.37 10 240.00 18 0 -1 -82 WATER CONN. 420. OO BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition BRIAR HILL 4TH ADDN Lot 8 Rik 2 Parcel 10-14993-080-02 Owner Street 3816 HEATHER DRIVE state EAGAN MW 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, Z 1971 Paid und r OY'1 inal arC STREET RESTOR. 1975 70.69 7.07 10 .l A012 4- 8-$ MRk^R9C -Street B 1984 1227.78 245.56 5 **Sewer Lateral ? cf 1984 2136.20 427.24 5 ?T of SANSEW TRUNK 1968 29.60 .99 30 13.92 A012 4-18-8 SEWERLATERAL TRK 1983 237.37 23.74 10 64 *SEWER LATERAL 1971 32.42 1.62 20 11,36 **WATERMAIN 1984 5 *WATER LATERAL 1971 20 WATER AREA 1977 59.19 3.95 15 31.61 0 4-18-83 **Stubs 1984 5 STORM 5EW TRK 003 1984 323.50 64.70 S *STORM SEW LAT 1971 20 **Storm Sew Lat 1984 5 CURB & GUTTER SIDEWALK STREETt10FM*- 1009 1986 153.70 15.37 10 -. O ?'-- o-! - 24o.oo 8 WATER CONN. 420.00 11 BUILOING PER. 75911 SAC n tt PAR K ? -? Reaeipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fae Fill in numbered spaces S/C Type or Print /egibly Tot 1. Date 2. Installation Cost , ?; •?= • S _ ?? ? . , : t- 3. Job Address Lot ',-- Blk. - Tract 4. Owner 5. Contractor Phone 6. Address D 7. Citv ` - ? + • ?7 State Zip 'L; :"L'-C C' 8. Building Type: Residential 19 Commercial O Institutional ? 9. Work Description: New O Add O Alter O Repair ? 10. Describe 11. No. ? Fixtures Water Closet No. Fixtures pal/Dr infield Cess ? Bath tubs p a Septic Tank 1 Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other ' Laundry Tray ; Floor Orains t- Drinking Ftn. Stop 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 cades governing this type of work. Signed : ' for Rough F inel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 f,,,kL_ Receipt MECHANICAL PERMIT Permit Na. CI7Y OF EAGAN Fee Fi1/ in numbered spaces S/C Type or Print /egibly Tot. 1. Date -' - 2. lnstallation Cost 3. Job Address • Lot - Bik. - Tract a. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. Type No, Enuiomant BTU - M. Ea. Forced Air No. EQUipment CFM Ai dli H Mfg. r an ng: Bailers Mfg. Mech. Exhaust Unit Heater Mf9• Other Air Gond. 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 Z-ioz- Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print /egib/y Tot. r. 1. Date 2. lnstattation Cgst 3. Job Address ' t Lot Blk. ?- Tract : 4. Owner / U//eP'r-J;6i7/ 42L DR 5. Contractor ' -c Phone i 6. Address / y 7 7. City 'f C Stete li Zjp 8. Building Type: Residential O Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Ce i fi l/D ld Bath tubs n e sspoo ra Se tic T k ' Lavatory p an Softner Shower WeN / Kitchen Sink Urinal/Bidet Other Laundry Tray / , ?; . ,,,:- f • : . Floor Drains , ? ; Drinking Ftn. ? $lop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and oorrect, and I agree ta 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. i CITY qF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. InstaNation Cost ? 3. Job Address Lot Blk. - Tract 4. Owner 5_ Cnntraetnr Phnna - 6. Address 7. City State Zip 8. Building Type: Resideniial ? Commercial ? Institutional ? 9. Work Description: New O 10. Describe 11. Add ? Alter ? Repair ? Type No. Equinment 8TU - M. Ea. Forced Air No. Ectuipment CFM Ai dli : H Mfg. ng r an 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 QF EAGAPI 454-8100 ele Raceipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee P1 " Fill in numbared spaces S/C TypC Or pnnt lBglblY 1. Date 2. Installation Cost 3. Job Address ..)jo, v? Lot ? Blk. ?- Tract ?r 4. Owner 5. Contractor A ZfcPhone ? s. nadress / 1Y 7Y S 7. City "` c, y 1 "D j/ir % State /? I /ij - Zip 8. Building Type: Residential Pd'? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter O Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures oal/Drainfield Cess Bath tubs p 5eptic Tank % 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 : ,,?i ? { . for j 'VXft? ' Rough Ffnal 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 /egibly T t o . 1. Date 2. Installation Cost 3. Job Address Lot Blk. ?- Tract 4. Owner Contractor Phone " 5 . 6. Address - 7. City State Zip 8. Building Type: Residential ? 9. Work Description: New O Commercial ? Institutional ? Add ? Alter O Repair O 10. Describe Fuel Type 11. No, Equipment 9TU - M. Ea. Forced Air No. Equipment CFM dli : Ai H Mfg. r an ng 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 Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt i ! 6 PLUMBING PERMI7 CITY OF EAGAN Permit No. ? ? Fee S/C Tot. ? I 1. Date 2. Installation Cost `-. ' - 3. Job Address r?!. •- • Lot ? Blk. ?>J Tract 4. Owner 5. Cortractor T_ Phone - - ' ' ' 6. Address 7. City State ZiP 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New e Add ? AlterX Repair 0 10. Describe ' '- ' ? 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory ? Softner Shower 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 witF1aU-ordinances and codes governing this type of work. Signed: for Rough ? Flnal 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 numbered spaces S/C ' Type or Print /egib/y ToiL 1. Date i? Z- 2. Installation Cost - ' 3. Job Address Lot ? Bik. - Tract 4. Owner i/ : r' e--.tJ 5. Phone 6. Address 7. CitY 5cate Zip 8. Building Type: Residential Commercial O Institutional ? 9. Work Description: New ? Add ? Alter O Repair ? 10. Describe / 11. No. ? Fixtures Water Closet No. Fixtures Cess i field ool/D ' Bath tubs p ra n Se tic Tank ? Lavatory p Soft e Shower n r Wel I ? 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 ot work. Signed : for , r-' Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 i? ? Receipt MECHANICAL PERMIT Permit No. - ? CITY OF EAGAN Fee Fill in numbered spaces 5/C Type or Prini legib/y Tot. 1. Date 2. Installation Cost 3. Job Address Lot J Bik. 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 11, No, Equinment BTU - M. Ea. Forced Air No. Equiament CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 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 WJILDING PERMIT Ta Le um" ier _ CITY OF EAGAN 3795 Pilef Ksob Roed Ea9on, MN 55122 PHONE: 454.8100 ? ?,- - Reuipt # ?sc 1' $43,000 Site /lddreu ' Erect 0 Occuponq Lot Blatk See/Sub. ? Alfer ? Zonin9 parcel # Repotr ? Firo Zone Enlarpa O TYpe of Const. W Na^e Move Q # Storfes ; Address Dcmolish ? Length Grode ? Depth Sq. Ft. ? Nome ',-r ??p?ovals ul /Wdreu 1- Clt phone Assessment Water 8 Sew. ?W NO^1° Police F1 ro Ad dress Enp. Phw?e e L CI Plonner 1 hereby ocknowledge thot I have read this opplication and store That Council gldg. Off. the inlormation is torrect and ogree to comply with oll applicable Stote of Minncsota Stotutea and City of Eogon Ordinonces. ^? Sipnoture of Permittee - /1 Buiiding Pertnit is issued to: all work sholl be done in occo 'Ibllefson Buflders Permit Surcha rge Plan check SAC Wafer Conn. Woter Meter Rood Unir Total an the express condiHon thai Stotutes ond City of Eoyan Ordinances. 8uildlny Officiol mit No. PKmit Noldsr Mise. Permit No. Holder Plumbing q0 f ? n z-g n (a H.V.A.C. q Z7 II -4 - S~L W?II Wat?r Disp. S?vwr . er.a.?? Zc3'7b Q S?.r F? tc . ? Irapection Dan ' Insp. Othe? Foo:?ngs q-i Foundation - Fnming , Rouph Plbp. Rouqh HVA t' aj{r ? Inwlation _> r=. Fioal Plbo. -29- cJC/ Finsl HVAC /y,• `? ?i?/ -c. .? ?c : - . . ... c- t ? r' Final ,;y rr, Wmr Docribe Locetion: YWII - i So wrr • ` Pr. D'ap. BUILDlNG PERMIT tITY OF EAGAN 3795 PNet Kwob Reod Eooon, MN 55122 PHO!![: 454-6100 1 0! 4 PLE) ReceiPt , Date ••?...,? - 1 ' 19 Site Address i vP Erecf Octuponcy Lot Block ` Set/Sub. r' 3-- f: i 11 ?' th Alter 0 Zoninq Parcel # - Repoir ? Fim Zone Enlorye p Type of Const. W Name ' ` - Mcve C] Stories Address Demolish ? Length f.iw :?an 5512Z M- Grode ? Depth Sq. Ft. Nome ApProvals ~ ? v Address Assessment _ ~ Water 8 Sew. Ci pharte t ? W Nome Pol ice ? Fire V? ^??ES3 ? Ci Phone . Plonnor . I hereby acknowledge tFwt I have read this opplication and stote that fF?e information is correct end ogree to tomply with oll opplicable Stete of Minnesota Stofutes and City of Eopon Ordinonces. Council gldg. Off. _ APC Sipnuture of Permittee '1'J?.?E•r5t:.' '.'i .. A Buiiding Permit is issued to: -• . oll work shall be done in accordonce with all oppliwble State of Mli Permit $urchorge Plon check SAC Water Conn. Wnter Meter Road Unir Totol on the axpreu tondiflon Ihat ond City of Eopan Ordinonces. Buildinp pfficlal Parmit No. Permit Holder Misa Permit No. Holder Plumbing ?? l G Y_l1 Z'? Q?1 (p-S H.V.A.C. 3? e F r£?n'C w.u Water D?p. S?wer Electrlc Wz137 Irapection Daa Insp. Other Footinpt zy Foundation Framin Q -8? I Rouph Plbg. I S?1Z LCl Rouph HVA ? ?.?? _ w , Inwlation Finsl Plbp. w Final HVAC ? Final ? 7 Wmr Dawibs Location: YYell . Sswar Pr. Dhp. • a 3796 Pilof Knob Roed Eagan, MN 65122 " 7 5? 9 _ ' - PHONE:4S4-8100 s E ? BUILDING PERMIT ReceiPt # To be uoed fer i o:' ,-' Est. Va I ue Date Site Address icar'vr Ere ct p Occuponcy Lot Block ' Sec/Sub. , Li: ..1i. I 1. , /11ter ? Zoning Paroel .# Repoir ? Fire Zone E l f C T n orQe ? onst. ype a W Name Move ? # Stories Z Addross ive pemolish Q Length Grcde fl Depth Sa. Ft. *? Nome _ ?0 ? /lddress ? ?:... I hereby acknowledge that I hcve reod this applitotion ond state thar Bldg. Off. the inlormotion Is correct ond ogree to wmply with all applicuble AP? _ State of W?innesota Statutes ond Ciry of Eogan Ordinances. Signature of Permittee A Building Pertnit Is issued to: all work sholl be done in occordorxa with all 8ufldinp Offitiol Assessment Woter & Sew. Palice Fire Enp. _ Plonner Council Permit 1 • " Surcharge " Pion check -' SAC Woter Conn. 0 . „r Woter Meter Road Unit To[ol ' . 75 on the enpress condition tln, ond Ciry of Ea9on Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing 303 D C,?Gl -fc?aA ?"j-S '$' H.V.A.C. So /1-4 -SZ Well Water Disp. Sawer ? Elect?ic 2f 3710 A4-k-t' k(EC. JI -17 - Inapection Date Insp. Other Footings 4-19,$2 Foundation Framinp Rouyh Plbp. C-L Rouyh HVAC az)) ? Inwlation Final Plbp, Final HVAC j?- I?. ( ,C Final Water Drscribe Location: w.n ? Sewe. ? Pr. Disp. r ? ' 3795 BUILDING PERMIT Te be wud fer "X Cnok itoed Ee9en, AAN 55122 PHONEs 454-8100 Receipt Value :: 3 s ? Dete 19 Site /Iddfess 'r.iar ;?- Lot Black Sec/Sub. - ` Porcel # c Name W ; Addmu p Name ? ?? Addrou Name Addross 1 Fxreby ocknowledge that 1 hove read this opplication and stote that the intormotion is eorrect and ogree to comply with oll epplicable Sfate of Minnesoro 5totutes and City oF Eogon Ordinances. Sipnoturo of Pertr?ittea A Building Permit Is issued to: oll work shall be done in occordarxe wlth all opplicable Stote 8ufldinp Offitiol Erect Occuponcy ^Iter ? Zoniny Repoir ? Firc Zone Enlcrye p Type of Const. Move ? # Stories Demolish ? Length Gmde ? Depth Sq. Ft. Assessment Woter & Sew. Pol ice Firo Enp. Plonner Council Bldy. Off. APC Permit Surchorye Plan check SAC Water Conn. Woter Meter Road Unit Total on the express condition thnl Stotutes and Giry of Eapan Ordinances. ? Parmit No. Permit Holder Misc. Permit No. Holder Ptumbing 30'?j-7 &Az- n D -S $Z H.V.A.C. 2 7(0 FrEd,Ctti r? I l-?. °S2 weu w?.. Disp. Sew?r Elactric w t l3 7(o I?to.S /` E?Et i 1- t? $Z Inspsetion Date Insp. Other Faotinyt Foundation Framinp 7 Rouph Plbp. Rou9h HVA 1,?1,2.? Inwlstion Final Plbg. p c-d Final HVAC Final P W?r ".ibetion: YVell 5ewer ' Pr. Dbp. a WATER SERVICE PERMIT ? ?Y OF EAGAN S Pt:st Keob Road PERMIT NO.: ` % MN $5122 DATE: ' No. of Units: . ig: - ter. wdreu: Site Address: Plumber. Connection Charge: Meter No.: 5ize: - Account Deposit: Reader No.: Permit Fee: 1 ogrer to comptr with t!re City of Eagan Surcharge: Misc. Charges: Oedinanees. Total: Dote Paid: BY Date of Insp,: Insp" ' N T, 7_ -,-°; .y .. . . .. ' EWER SERVICE PERMIT CITY OF EAGAN S 37.95 Pilot Knob Rooa PERMIT NO.: Eagna, MN 55122 DATE: Zoning: No. of Units: 1 `'r' - ? UHner. Address: Site Address: Lt'. -?r? ?:t t? T i ?•: , , ? Plumber: ? ' 1 agree *o oomplp with fLa City of Eogon Ordinanees. By Date of Insp.: Connection Chorge: `5.00 pd Account Deposit: Permit Fee: Surchnrge: Misc. Charges: SEWER SERVIGE pERMIT PERMIT NO.: DATE: ------------- Site Address: c, ,,• ' - : - .. . ., 1 Plumber: , - _ . . - r -?r r- 1 •. } • ? e9ree M ComPly wifh fhe Citr of Eagon Connectton Chorge: ???•?+3 n;? Ordinancei, Account Deppsit: Pe?mit Fee: • .. gY Surcharge: Dote of 1 Miu. Charges: ?? ? Totol: ' Insp,: Dote Poid ? CITY OF EAGAN 37 95 Pilot Knob Roed Eagon, MN 55122 Zoning: . ?' - t. i. Owner: Address: Site Address: Plumber. Meter No.: Reader No.: 1 agreo to eomplr with fhe City of Eagan Otdinaness. n.. Dote of Insp.: Pilot I(nob Roed PERMIT NO.: "'ollefsoz Const=:.'-- iI nsp.: MN 55122 DATE: i. ` No: of Units: DF EAGAN WATER SERVICE PERMIT Address: .eader No.: ugree to camply wiN+ the City of Eagan of Insp.: Connection Charge: qccount Deposit: _ Permit Fee: Surcharge: Mtsc. Chorges: _ Total: Dote Paid: - CITY OF EAGAN SEVVER SERVICE PERMIT 3795 Pi:oe Knob Road PERMIT NO.: Eagan, MN 55122 DATE: -z- 1 utt tn},SQ Zoning: No. of Units: Owner. - - - ` ' Address: . ?•? a.1Z •''Li 1- )7t rTivC 1.1 .- Site Address: a - Plumber: f:?f.,., 9/15/i2 31650 I00.00 I agree to eoe+plp with the Ciiq of Eagan Oedinanees. By Date of 1 nsp.: WATER SERVICE PERMIT PERMIT NO.: , DATE: ? No. of Llnits: Connection Chorge: " Account Deposit: Permit Fee: Surcharge: Misc. Clwrges: Totai: Dote Paid: Connection Charge: (' ?. ?1 f1 3, ? Account Deposit: Permit Fae: - Surcharge: Misc. Charges: Totol: ? Dote Paid: ;.. I' F s? - SEWER SERVICE PERMIT PERMIT tYO.: DATE: No. of Units r Hill 4t Connection Charge: Accounc Deposit: _ Permit Fee: Surchorge: BY Misc. Chorges: _ Date of Insp.: Total: Insp.: Dote Poid: C'TY OF EAGAN 3793 pilo! Knob Road Eogan, MM 55122 Zoning: 04Y1'iBr: ? ^.L I P f cOTI Bul Address: Site Address: r Plumber: i 1 agrea w eomplr with Hhe Ciryr of Eogaa ? Ordinonees. --? WATER SERVICE PERMIT PERMIT NO.: , - DATE: t? t t•. ?t? ? _ No. of Units: Connection Chnrge: - Account Deposit: , Permit Fee: Surchorge: • Misc. Chorges: Total: Date Paid: By Date of Ins Insp.: p,: CITY QF FAGAN 3795 Pilot Kno6 Road I?. Eagon, MN 55122 - Zoning: ? ?u`' Owner. Address: : Site Address: • Plumber: Meter No.: 5i:e: . Reader No.: I agres fo wmply w11h the City of Eegan ' prdiaancas. SEDGWICK HEATING & AIR CONDITIONING CO. HEaTiNG 6910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 887-9000 TEST RECORD J08 NO.? ADORESS -; k / O f-t, 6 ? .// I CITY '? G?2? v? OCCUPANT SOLD BY (/?- OWNER KarelA- INSTALLED BY MAKE " v?- L2 C MODEL ?// SERIALNO 1 IVT] . ?S ?X.J INPUT ?v?OQ? - THERMOSTp7` ?" p ?`1ClO<-' VALVE " LIMIT CJ LIMIT SETiING FAN SETTING I ? V"` C_ PILOT TVPE IGNITION MODE? ? PILOTTIMING PRESSURE •?' ? PERCENTW2 INPUTCFH bS? PERCEN70z !?"l yU ? ? STACK TEMP. ? PERCENT CO V FORM 235 (FEV. 11/89) VENT SIZE I TYPE OF LINER LINER SIZE FILTERS: SIZE rjoc? NUMBER ? D INST ? . fED C t y WIRING - TEST TAG LIGHTING DATE TES" COMPANYTESTING e?lll?a- NAME OF TESTE FOflM DISTFIBUTI . RE COP ? JOB FI VELLOW COPY - CITV C-I IfIo ? E77467 ' • Re9ueM Da= /?' ? ? Flre No. n Inspec0on Ro?'B hqeadY N. ? wINolR d?ecim SC es ea licensed contraclor ? owner hereby requesl inspection of above electrical work at: Job Atldress (Street. Box or Poute .) 3 CYI ?P p P.-, Cdy ? ' A A? $eclion No. Tovmship Name ar No. Renge No. County ? L??K?? Occupant (PRINT) ?/ -so w / h sc? % e?Cav one No. Power Supplier Atldre9s Electri I Contrector (Company Name) 7` ? ?I - CoriUad`or? Licenae No . ? a ?. ? ?c . o 7 Maling Addrese (COntraclor o mer MaMng Installation T G s . ?r- .(. AWhon gneNre (COntre er Meki Ins1alWlion) Phone Numbe ° ? MINNESOTA ATE BOAPO OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT Grlgp?Mld 'ey BIEg. - Room S773 8E ACCEPTED BV THE STATE BOAFD 1821 UnlvMlty Ava., St Paul, MN 55700 UNLESS PROPER INSPECTION FEE IS Vhane (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION r ee-ooooi o7 •? ?$ry insttuctiq,ps for complefing this brtn on back of yeilow copy. wc,I/,33 E %- 7 7 4 6 7 X" Below Work Covered by This Request e Add Rep. Typeoieuilding AppliancesWiretl EquipmenlWired Home Range Temporary Service Duplez Water Heater Elecfric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Fumace Farm ' Air Conditioner Other (specify) CoMrector5 Remarks: p?CJ? e/ Compute Inspection Fee Below: 1 c.N "'? C_Cr--'U N, ?? a w S?Y # Other Fee # ServiceEMranceSize Fee # Cirouits/Feedars Fee Swimming Paol 0 W 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps A6ove 700 - Amps $IJf13 In9pectar9 Use Only: TOTAL Irrigation Booms i ? ? Special Inspedion / -Jr 1 ( J AlarrtVCOmmunication Other Fee I, the Electrical Inspector, hereby Aouqn-in owa certiTy that the above inspection has been made. F;,,al r oil oat -? ? OFFICE USE ONLV ? This request void 18 monMs from ee/.Il 97 4 150=46 7 ? REQUEST FOR ELECTRICAL INSPECTION 71/6 Minnesota State Board of Electricity 1821 Universiry Ave., Rm. S-128, St. Paul, MN 55104 Phone (612) 642-0800 Home Duplex Apt. Bidg. Other: New Addn Commerciol Indushial Form Remod Re oir , Air Cond. Htg. Equi . Water Hh. Lood Mgmt. Other: 7 Try D er Range Elec. Heat Tem . Service "X" above the work covered by this requesf. Enter remorks in this spoce and on the back of the whife copy only. p, CalculaFe Inspeciion Fee - This Inspecfion Reques/ will not be accepfed without the mrrect ke: Other Fee S Service Enirance Size Fee R Circuifs/Feeders Fee Mobile Nome Park Stall 0 ro 200 Amps 0 to 100 Amps Street L1g./Troffic Sig. Above 200_Am s -Amps Tmnsformer/Genemtor INSPECTOR'S USE ONLY TOTAL S O Sign/Oudina Ltg. Ximr. ? Alartn/Remole Conhol ? Swimming Pool i I here cMl thot I in eleckiml i ion dettnbed herein on the do2s slakd Irrigotion Boom RaugMn Date $peciallnspeclion 4 Investigative Fea THIS INSTALLATION M AY BE O Final Dare RDERED DI CTED WPWOTOCDBgLkrTED WRHIN 1 MONTHS. 4p ?? a? OFFlCE USE ONLY Thie reqoest voio 18 monihs hom wlidalion dale prinled in ?his boz. 7 sy ,i?. / 5& ".47 ? rll?l?llllllllilllll?llllllll ? IIIIIIIIIIkS,?,? ??? * O 4 L 5 4 6 7 0 X PLEASE PRINT OR TYPE R?185? ? `?'7 Roughin inspeclion req?ired8 ? Yes ? ? No Y ll h h d Inspecfon 01her Than RougMn_ ? Reody Now VJill Coll D R d / ? w must m I e inspenor w an rea y) are ea y: licensed conhactor ? owner hereby requesl inspectian of rhe a6ove elechical work at b6 Address (Sheel, or Roo o.)h 3?10 ?iz ph?^?- Ci ?a ap Zip Coda Seclion No. Township Noma a? No. Range Na Fre No. only J ? C"/! Phona No. -?? 7 o Power S?pQli " ) ,(, Addren ?G K ? ? ? v G ?. FkL d7^LC Eleclriml Conhoclor (Company Nome) 1 Conhada License No. A1ortx lic. No. (PIan1 EIM. OnlA Nwiling Addre ?Con cla «Owner PeAorming InsmOation? . X 5 ld 60 ?C , : , Au 4zed Signalure iConvocmr ar Owner PeAorm' Immllafion) Phore No. r? c.iwi t a?yo 57pTE BOARU COPY - SEE INSTROGTONS ON BACK OF VELLOW COPY This request void 16 monffis Irom Y7 Lb ?s S,, lpf"1 I n 213 7 6 B ?, ?• ?- l?; ? 1 V? 17n. oc? quest ate ? Fire No. ough-in Inspection '? ' ?HeadY Now ill NotItY.InsOec- ? /I f SJy?.. ?Ni? es lar When peady Licensed Eleclrical ContrTCtor I heraby requesf insoection of ebove ? Owner elachical work installed »t Straet A d tlress. Boz or Route No. . City ? f ? V V.Z / Jj(O ection o. Townsh' Name or . anAe No. County O p- t(PflINT) . Ppune No. / ower SupVlier Adtlress ^ . EI cvical Con ractor ICOmp ny Na o) , Convacior's License No. r E MailinB.4ddress IConvacmr or Owner Makine Inst211atioN S, AuN ize Sipnat re IC nv ctor Ownei Makinq Instellationl Phone Number ??_ - 9- 5 MINCESOTA STATE BOARD OF EQ'ECTXICITY - THIS INSPECTION REQUEST WILL NOT Grigpg-Midway 81dg. - Noom N•191 BE ACCEPTED BY THE STATE BOAPD 7821 UnivereitY Ave., SL Vaul, MN 55106 LLNLESS PROPEfl INSPECTION FEE IS ' Phone (612) 287-2171 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION ,?., EB-000o7.03 ? Sae instructions br completing this form on back of yellow copy. Z721376 Below Wark Covered by This Request 3?jd?,I N Irtltl R.P. Type oi 8uilding Appliences Wiretl Equipmenl Wiretl Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer - Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk T2nk Farm Ot nr .pau v Oiher (SUecityl t er 1 ther . Oiher Compute (nspectron fee Be1ow Fea Service EnhenceSiEa d Fee Featlers/5ubfenders # Fee Circuitg () tol00qms 0 to30qms 0 to30Ams 101 to 200 Amps - 31 to 100 Amps g 31 to 100 Am Above 200 qmps Above 100-Am s Above 100_<vn s Transiormers RemoteCOntrol Circ. tc t Partial%Other Fee Signs Special Inspection - S T Reinarks 17D ;?F^E ? • • v Houph-in i . . 6 p? /??7-J I. [ E pl InsVector, heroby ? cartlty [ha[ the ebova Final ? r7? ? L . ?.?,o "nspection.has been avada_ . ; This request void (E.er#ifirtt#r nf (Orcupttnry Citp of (Eagan 19rpartatpnt nf f?uildtng 3nsprriimc Tbit Catificatt ittutd PurJtrant to the requiremtntf of Staion 3U6 of the Uniform Building Codt terti f ying that at rht timt of ittuanca tbif nrrutarr war in rom ptianre witb the variour ordinaruu of the City ngHJotrag brulding ronnruaion or un. For the follmvinK: 1 of 4 PLEX 7521 up ck°fi? BIde.PemntNO. u-wxr+Ya }23 'hwc?noo V F;wz? NA z??ya.m??(PD) R3 o„"Sofifte Tollefson Bldrs. ,m,,o 1655 Norwood Dr., Eagan 3816 Heather Drive ?lYLot 8,Block 2,Briar Hill ?oY.k R=n_ °?'° 4th ?? au, January 19, 1983 .d.. ?. . ???. ...?. (gtr#ifirtt#r o# (Orrupttnrlj I Citp uf (Eagan Urpttrtment uf Builbing 3ns}terticm Tbit Cntifiraie irtutd parrnj++Raru to tbe srquirtmrntt of Sertion 30G of the Uniform Building Codr nrti f ying that at thc time o f iuuantr tbit nrurtuyr wdt in romPlia+rn with t!x varioat ordinanm of tlx Crty regulating building ranrt+uaion or ure. For tix fo!loruing: uxch:fi,,tlm 1 of 4 PLEX ?d&?,N. 7520 ?war'4ro R3 *rwc?nW V eiRz NA z?nw?.CPD) R3 Tollefson Builders „daa, 1655 Norwood Dr., Eagan o.wormamo HwmftAd? 3814 Heather Drive Lot 7;Block 2, Briar Hill 4th January 28, 1983 Q?Fr-- w.: . IN . CCNMWW. RL. (grr#ifirtttr vf Orrupttriry Citp of (Eagan Orpnrimrttt nf Builbing Jnsprrtiim Tbit Ce.titiralt irtutd purtttant to Jbt rtyriirtrritntt of Setlion 306 0( tix Uni form Building Code tatifying that at the trme of it:uana tbir ttrraturr, wat in tompliana with the varioar ordinanar of tht City rcgulatin8 bwlding rortttrtutian or un. For the follmuing: W,d„n=m 1 of 4 PLEX 7519 BI04 Pomtlt No. o4„P-7TYp, R3 TYe.c?? V F. z.. NA z?ou? (PD) R3 o,.„?baft, Tollefson Bui.ldersA,,. 1655 Noxc,ood Dr., Eaqan e„a,,,,,,,&„ 3812 Heather Drive ,a,,;ryLOt 6.Block 2.Briar Hill Y? r,^a'? W 4t] e. ?oflkW p,,,: January 10, 1983 Mt 111 ? CpM?FWW? .V.R O.oea .a. Tpxtifirtttr nf (Orrupttnry Citp of Cagan lorpttrimrttf af Build'mg 3nsprrti,im Tbit CMificau iuued purrnaxr to the nquirememr of Sertion 306 0( the Unifo+m Building Codt ratifying that at the timt of itsuatut tbit ttrutture was in tompliance with the vatioaa ordinanrtr o( t7x City rrgulnang building conn+rution or use. For the f ollmuing: 1 of 4 PLEX Bae.N? No. 7518 u.ac?mnr,? Np P( D) R3 om,won,T?,v, Ft3 ryp,c?aoo v Finz ,..-? ,. z°"reo?una S.Block 2,Briar Hill fteal,Add? ""I" U? o 4th By January 28, 1983 Dw: CITY Oi EAGAN _ 3795 Vllot Knob Rmd Eegan, MN SSt]! No 7521 PHONE: 434-8100 ? F+UILDING PERMIT Receipt # Site Address jaio neucner urive Lot $ Block 2 Sec/5ih,8riar Hill 4th Porcel # 10 14993 080 02 W Name 'Pollefsoa Builders ? Addreu 1655.NOY'MOOd DTiV@'. o Nome OWner ? Hddress ? 06..... Nome _ Mdreu I hereby ackrrowledga that I hove read this apDlicotion and state tFwt the inlormofian Is correct ond agree fo comply wifh all opplicnble Stofe of Minnewto Statutes ond City of Eagon Ordinonces. $ignofure of Pertnittea A Bullding Permif is issued ta: Tiollej all work shall be done in ocwrdo wit all Building Offlciol E.ect ? Occupancy R-3 Alter ? Zoning TPD) R-3 RepGir ? Flre Zone NA Enlarpe ? Type of Const. V Move ? # Stories Demolish ? Length 44 Gmda ? Depth 32 Sq. Ft.- AOOrovals Fees Assessment Permit 251.50 Water & Sew. Surchorye 21.50 Police Plon check 125.75 Fire SAC 525.00 Erq. WoterConn.420_00 Plonner WaterMetet 60_00 Council Rood Unit 740_00 Bldg Off . . APC 7otal $1643.75 on fhe expres7 condition Iha+ Statutes ond City o4 Eapan Ordinonces. CITY OF EAGAN • 9793 Pllst Nnob Rasd Ea9en, MN SS121 0 7520 PHDNFi 454-8100 BUILDING PERMIT 2eceipt # to 6e uwd foe 1 Of 4 PLEX Esr. Value $43, 000 Date Sep'tP-mber 14 , 1 q--U_ Site Addreu 3814 Heather Drine Ered 0 Occupanq R-3 Lor 7 Block 2 Sec/Sub. Br18T Hfll 4th qlter ? Zonirg (PD) R-3 P l 10 14993 070 02 Repoir ? Fire Zone NA arce # E l T f C ?7 n crge ? onsr. rce o m Name '?11BgsOf! SUildeTe Move O # Stories ; Address 1655 Diozwood Drive Demolish ? Length44_ b Ci 8a g8ri 55122 phane 454-6873 Grade p Depth32._Sq. Ft.- ? Name Ovnwr avorovols Faes ? _ ?u Address f- n... Nome _ Addrea I hereby acknowledge fhat I hove read this apDlicotion ond sfate that the inlormafion is correct and ogree to comply with all opplicabla $tate of Minnesoto Slotutes ond City of Eagan Ordinonces. Signoture o4 PertniMee A Building Permif Is issued fa: T011e: oll work sholl be, done in eccordonce with all Buildinp pfficiol Assessment - Water 8 Sew. Police _ Fire Eng. Planner - Council - Bldg. Off. - APC Permit 251.50 Surcharge 21.50 Plon check 125.75 SAC 525_00 Water Conn.420.00 WoterMeter 60_00 Rood Unit 940_00 Totol -$11154-4-75 _ on ihe express condltion thm Ciry of Eoqan Ordinances. CITY OF EAGAN , 3793 Pilot Knob Reod Eagan, MN 55122 NO 7519 - VHONEi 434•8100 BUILDING PERMIT Receipt To M uwd for 1 Of d P7.E% Esr. Volue $43,000 Dote S Dteffib2Z 14 - 19_$2- Site Addreu 3812 Heathel DriVe Ered n Occupancy R-3 Lot 6 Block 2 Sec/Sub. BridX H311 4t11 Alter ? Zonirg (pD) R-3 Parcel # 10 14993 060 02 Repoir ? Fire Zone NA Enlarge ? Type of Const. V w Name TO1b@faon Suildere Move ? ./k Stories Z Addreu 1655 Nos'w0od DriVe pemolish ? Length 44 ? ci E8q8II 55122 phom 454-6873 Grode ? Depth 32 Sq. Ft.- g Nam er AvvrovoH iees ti Address ?- .?.... Nome _ Address 1 here6y acknowledge thof I have read this apPlication ond store ihat the inlormution is correct and egree to camply with oll opDlicoble State of Minnesota Stotutes and City of Eogan Ordinonces. Sipnalure of Permittea A Building Permit is issued to: TO] oll work shall be done in occordarxe with oll Building Official 4 A55essmenf - Wafer & Sew. Police _ Fire Eng. Plonner - Council _ Bldg. Off. - APC Permit °"?•"" SurcFwrge 21•50 Plon check 125.7$ SAC 525.00 Water Conn.420.00 Water Meter 60.00 Road 11nit 240.00 rorol 81643.75 - on the express condiMon ihnt and City of Eagon Ordinonces. CI1Y OF EAGAN , 9795 Pilot Knob Raad Eagon, MN S5113 No 7518 ' PHONE: 431-8700 / - BUILDING PERMIT ReceiM # Te 6e umd fer 1 of 4 PI.&X E:e. Val.e $43r000 Dote SeDtember 14 , 19$2- Site Address Lot 5 Block 2 Sec/Sub. Bridr Hill 4th Porcel # 10 14993 050 02 W Name Tbllefson Bulldess t Z Address 1655 Noxwood DriVe r:., Esaan 55122 0?..... 454-6873 Erect (m Alter ? Repair ? Enlarge ? Mwe ? Demolish ? Givde fl Occupanq R-3 Zoning (PD) R-3 Fire Zone Nh Type of Const. V # Stories Length 44 Depth 32 Sq. Ft.- Foes r Name_ ?? Addreu Name _ Addres! I hereby acknowledge thot 1 hove read this application ond stote thaf fhe information is correct and ugree to wmply with oll applicoble $tate of Minnewta $tatutes and City o( Eogan Ordirwnces. Assessment _ Woter & $ew. Police - fire Erq. Plonner - Councll - Bldg. Off. - APC - Pennit °"s•"" Surcharga 21.50 Plan check 125.75 S,qC 525.00 Water Conn.420. 00 Worer Merer 60.00 Road Unif 240.00 7otal $1643.25 Sipneture of PermiMee 1 A Building Permif Is is:ued ro: 'i'ollefson U18leT8 on the express mrditlon Ihnl oll work shall be done in occordance wirh oll opy}"ble State o ' neso tatytes o Ciry of Eegan Ordirwnces. Bulldin9 Officlal ?? . ? MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete foc Single Family Dwellings Townhomes and Condos when permits are required for each unit ? -??6 V,? Date E, / (?D') / Site Address Unit # Yroperty Owner P-\J -2,t' C,(rj }( Telephone # ( (?? ? ) y y- ? ? 6(-, Contractor Street Address ?)IQIo Eo_4-Gt'1 NU-e_r1lAP, City 17(1 trm l ClCr1hr'1 State Zip .`r??-D z'e?ephone # ( tc 51 > '-? fob - ?a `c? The Applicant is _ Owner 4 Contractor ` Other Add-on, modification or alteration to existing dwelling unit $ 30.00 ? furnace replacement air exchanger J air conditioner other State Surcharge $ .50 Total l? ??? ? ?? ?? IL? $'?b. .-'JfJ du?M°? ? i? Il I hereby apply for a Residential Mechanical Permit and acknowledge that the infl?? tion is complete and acciuate; that the work will be in conformance with the ordinances and codes of the City of Eagan and withlfHE-Meehanical Codes; that L 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'wi'Il"be in accordance with the approved plan in the case of work wluch requires a review and approval of plans. ` eApplicanYs Printed Name App icanYs Signature MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 4 651-675-5674 Please complete for: commerciai/indus[rial buildings multi-family buildings when separa[e permits aze not required For each dwelling unit Date Site Address Unit # Tenant Name (if applicable) Prevlous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) The Applicant is _ Owner _ Contractor _ Other Work Type Newconstruction UndergroundTank _Install _Remove Interior Improvement Call for inspection during installation/removal of tank Processed Piping Nature of Work: Permit Fee $50.50 Miximum Fee (indudes State Surcharge) Contract Value $ x .Ol°/a = $ Pemut Fee • If pemut fee is $1,000 or leas, add $.50 ? $ State Surcharge If pernut fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial Mechanical Pemut and aclnowledge that the information is complete and accurate; that tLe work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tkris is not a pernnt, but only an applicarion for a permit, and work is not to stazt 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. ApplicanPs Printed Name Signahue Approved By: , Inspector Date: J ?+qg ? PLiTMBING (RESIDENTIAL) ? Permit Application City Of Eagan 3830 Pilot Kuob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 4 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when pernvts are required for each unit Date s / 0 "7 / a 3 Site Address _ IA 14 (4 E --i A l.1 ¢„ r )?1 { ? v Q-- Unit # Property Owner t? Ra Q-d ^k Telephone # to5 rulces, nc. Hessian Plumbing Se ?? Contractor 2 -- T.B?OJCZLTT Address Eagan, MN 55122-0172 City State Zip Telephone #Ib'JI ) b 0 1-Q ?S c? The Applicant is _ Owner ? Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fiMures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ new installa6on _ repair _ rebuild $ 30.00 _ Lawn irrigation systero Water softener ? Water heater ( I _ , ? $ 15.00 ? replacement _ additional lBy- - - -I State Surcharge $ .50 Total $ IS • SU I hereby apply for a Residential Plumbing Pernvt and aclaiowledge that the inforxnation is complete and accurate; that the work will be in confonnance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand Nus is not a permit, but only an application for a permit, and work is not to start without a pemiit; that the work wil] be in accordance with the approved plan in the case of work which requires a review and approval of plans. , n, y?. 3 " 1. i 1 dz Zzf,? ---, ApplicanYs Printed Name ApplicanYs Signature e i , ..? 1.. ? - :31 ' CITSt CH' FAf',AfI Include 2 sets of plans, 1 site plan w/elevations 6 ' BUIIDING PEMIT APPLICATION 1 set of enexgy calail.atj.rns. zu sB u?a Fox --- vaiuariwn ?31()-6? nAr,e Bl«k Erect ? ? Paroel °So o Z Altex ' Wner: Enlange Add[e68: hbve , Demlish CLtY/Zip Ooc1e: Grade ? Phone #: _ C&FICE USF. ONLS 0ccLPVIcY ? zoning 3 Fire Zone Zype of Const. N Stories Front <./y ft. Depth ?rI2-- ft. Addtese:??? Water/SewPS SurchaYge Police Plan Check City/Zip Oale: L-/a,)_Fire SPC Phona f: 5 EnI- Water Conn. Planner Water MetPs ??./Eng.: Qouvicil Iioad Unit _ Bldg. Off. ? Addsess: • APC CitiY/LiP Oode: Ptlo[1e #: TOTAL ? IA x ? .' ''---- ?`? 0 e ? ?-A Cities ity Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. . , _ . . . . ., . . . , .. /J7.. - , i . ':°Ftn ` R .:Cwrmj . ? I9I7 L'[kiPT"* ti E rr,n2r^3 nHoT-.E -; . r??1r_TlzForcT? n- i ' ' n?Eo Ee-i Al 3. ? PAM , . {? ?. . . : .. ki . .. ? l i.?.l'?4 LTLd T;`lJJLlLi:.^:???C?J G`']l :S . . V!i^Ll%"S t' .., M1 ? 1L 4. ? Qn ??????,? 11h.Y,T? 3 L'ill_T? .^?.^e t=?s On T`,- y?,' ;C"l ` Ii'i'c iQ:L:TD 1?'t" 7 . : ? • ? ,ct Una> - •:. ?? ???° TOi3L Soo I'-aP C'? Z'00^g TYF^ woa!> wf <rc,T:.?? • PI; 0^'I: 3U!:AT3Q"?. rT , ril?r V!I?TJw' 3' . : C?.TL?iJLS•i?i?7 r ??y 7SL'U?•i '?.r J? ? ., a?,t?I, C, EL:3L??+^<7 C'`i T1 _irpCr,n . . . . ni;?.y tr;?z,"'u .,CJ'rt7A("? mJca vdxmc 07 L'ZF?sr^ !'P.,i,d!1 d!10F}, C??li!^ TIs"JZ _J:J C7 e9. F{};.R Ct^^ ? _,... -,+r? nrA•? i AP? ) S[ 3?1 i?^ ?qt i'J C.! p27 ho!2 1YS, C`1*i'1 ,. .. „ .. . . _ . r . -, -. : . . .... ?:.. . ::-. ? ? r r ? S ? ? Tq i T y ;?? ? , r rr 3? i ?f ?. e I•. . ?. .. ._ . . ? .(. .?.._ ?-2 . r. .....e4.?.a???=. 1 r..... ,,?. ..,.. . _ . ,,.a . _ t?,,.?.... .,.?_?.Y,n??..?,.e,?-.?_??.„?::?..;._.__.?.m.?.?._?.a,r:..?_?_..;??.._ __-?_____w.?._?:?.?.?...,?:-?..M:.._?: -.-4--.-?---- ,?? =,.;, rt?. ,'?i(,t ?+?Ptik'? 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reaui2menls 3 registered site surveys showing sq. ft. of lot, sq, ft, of house; and all roofed areas (20% maximum lot coverage allowed) 2 wpies oi plan showing beam 8 window s¢es; poured found design, etc. 1 se[ of Energy Calculations 3 copies of Tree Preservalion PWn if lot platted after 711f93 Rim Joist Detail Options selectbn sheet (buildings with 3 or less units) Minnegasco mechanical ven[ilauon form RemodellRepair ReauiremenGs 2 copies of plan showing footings, beams,joisls 1 set of EneMy Calculations for heated additions 1sitesurveyforadditions&decks Add'dion - indicate il on-sde sepfic sysfem 10 5 . y5 ? 271 Offce Use Onlv - A /? CeR of 6urvep,Recd . _Y IJ Tree Pres.Plan ReW -_ Y_ N. T2ePres.RequireA. _X;_W On-site Sepfic System _Y =W Date 0!a- / -K::D Construction Cost 3 ? ? 7 ? ' Site Address ?? kCC? ?? ?? ? -l`4V'V ,?" tSL,l? X) ` t \,-ye UniUSte # ? ?aa De ription fWork , . , l 1r 'ex IS?t o . t ? ' 1 b cc?,- r, 3? /a X 5 q a(3? ms 59 '/a?`? 5oj r ? I'j ; .-J r... Multi-Family Bldg A_\ Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 1N1 Telephone # &5p -tp 0 ?O ' a?? / Contracror Address ? ? ? V1?P 0 CL : 'tg ? ? City ? ? State (r ? V I , ?? j? ? ?j -T ` /'^ Zip ? `1 Telephone 9 (6p57) J- ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate_orv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheef • New Energy Code Worksheet (J submission rype) Submitted Submitted . 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 plan2 _ 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 Ciry of Eagan and the State of _MIN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which require; a review and approval of plans. /? i ??e?`f t/? 14 S2`?i ? Applicant's Printed Name A li t's Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3810 Heather Dr Lot: 5 Block: 02 Addition: Briar Hill 4th PID:10- 14993 - 050 -02 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Quesetions regarding elec 952- 445 -2840 Crystal Gemuenden 8910 Wentworth Ave S Total: Applicant/Permitee: Signature PERMIT City of Eaan Permit Type: Permit Number: Date Issued: Permit Category: cal permit requirements should be directed to Mark Anderson, State Elec ME - Permit Fee (Replacements) Surcharge -Fixed - Applicant - Owner: Karen M Imbery 3810 Heather Dr Eagan MN 55122 $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA082225 03/14/2008 ePermit cal Inspector, I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108267 Date Issued:11/28/2012 Permit Category:ePermit Site Address: 3810 Heather Dr Lot:5 Block: 02 Addition: Briar Hill 4th PID:10-14993-02-050 Use: Description: Sub Type:e - Water Softener Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: 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. Contractor:Owner:- Applicant - Karen M Imbery 3810 Heather Dr Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature 40, Qtyof 3880 Pliot Knob woad MN55122 Phone: (651) 6754676 Fax: (851) 8754494 Use BLUE or BLACK Ink . For Mae Permit pelmet Few low Date Received: StaIM 2013 RESIDENTIAL BUILDING PERMIT APPLICATION mu: Si Addmes: 3e/0 3SVA, 3804; 31/4 li£47-H6R. pRUnit IP: .4 Name: 4 A C 7' "4 A34 G L I'N E T ",-) C phone:741 3-9 Address / City i Z p: 5p a 4'1nv ` i A Goax4 r/+K /row .53-v 7 • •Applicant is: Owner 2C Contractor r;gfAl,c Description of work: `7"'0•42 OFA • Coria on Cost /9. A up I aT Mu ti-Fandiy Building: (Yes %C / No Company: iE J £x pit/y%ia r . QP coleact.11114vdi 14� R.iL r 5 Address: YDS- bet' 17.. • city: M PL S . Phone: 10'1 - rb/- 4/3 Stara: zip .5-S-41/ 9 _4 C 4/,) 3 / Load Certificate 4.. If the Project is exempt from lead certification, please explain why. (see Page 3 for additional information) liastos t,J i:Qt.` l30) cr Pos. / 9 i T COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW 13U41dG In the iset 12 months, has the City of Eagan bawd a permit for a similar plan based on a master pian? Yes ,r, -No If yes, dale and addresa of master plan: Licensed Plumber. Phone: Phone: Mechanical Contractor Sewer & Water Contactor: NOM • j' .` rgNnrr►.. cam.-c.tt":�vr.- ._ A - --- n .+gin s�pn^. 4. � - C-.••�r+t+s ':,i tri' .�.7'. eta' ^4. -c�.?�a� �i O Cis Mora Ons 4Y at (061) 4844002 for protection against underground I4II . Coll 48 hours Wore you 0 ream bootee of underground wilds& gemembswersealters tEagan; hereby that 1 p Is complete and moats: teethe vat sell be in conformance with the crdint ness and codes dtha Apr d * „m worn undentInd Mut Out �b 80 application for a permit. and work is net to sten w4 hcut a 'ppro "° pian In .n. arm Owen( which erq(anp s ,WAII.w+ne'pila & of pions. plonk that the Werk wile be in °Minor work abler( ed by a permit issued ut seem nee with the Minnesota/Mate Midi Code must be completed within 150 dayadpermitie , �AVr� �bt7Rl2is Pplcant Punted Name b0/U0 39Vd x Applicants Signature Peso 1of3 1NIVW lX3 I3S L9Z9198Z19 SETT £ToZ/LZ/TT '11011`City otFaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5676 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit # •t '� l 53� Permit Fee: Date Received: ` ( Staff:a� J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Data: "'/-7-l/ Site Address: 3'3/0, 39'2. 3 'i 3$l(,. NlAtTia82 N2- Unit ft: Resident! Owner . Name: % 4e % /y7, 4e£MEAli ..c.7 C. Phone: 762 - r, - 9770 Address / City / Zip: !3 O b C C47 -L' R. 09v, /3, .Z A 60461-> 1/41.11. Y /OA) Applicant is: Owner Contractor S'S- V/ 7 , TyP®:Of WOti5 Description of work: (ZZd-L.0.• t_ 4- a.z Pi.:1-c.L. S .D ' "i 6 a P-41.4-1 4 !h 4 7-4 L Construction Cost: / trii YC'Z • Cry Multi -Family Building: (Yes2/ No Contractor ' • Company: Cil £) ex- 7- Er& 0 2 /i% a -T . & QP, Contact 64 v r f, IQd2..ai s Addrosa: 4/vs-& b 1-1 S.. city: n7 PL State: /VAS Zip: 55'4/1 9 Phone: /p/ 2 - F b /- fo 2 4/3 License*: L 2 Y/ / 3 / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) (I,Lb, %s_ iiuC.T Pose 15'7? In the last 12 months, .__Yes No !ryes, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor Phone: _ Phone: TE; 'Plaits tr/QrraClo!f9 dei» `�qwv, subrrtlt mvnsldellbo Jam; •, �yf , �IwJL�VI,�u •�� ... CO:/C1adi9 pre{ lhe ' - • .h�... .,: ��14.1- t crt�KC YUU DIG. Call Gopher Stats One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www.gopherstateonerall•orq I hereby acknowledge that this information is complete and accurate; that the work will be in confomtanee with the ordinances and codes of the City of Eagan: that 1 understand this is not a perm$, but only an application for a permit, and work is not to start without a pemtit: that the work will bs in aecontlance with the approved plan in the case of work watch requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Bulidtn Code must be completed within 180 days of permit issuance. x 4v, 0 124,44.../5 Applicant's Printed Name E0/E0 39Cd x Applicant's Signature Page 1 of 3 1NIGW 1X3 I39 L9Z9T98ZI9 90:60 VZOZ/L0/b0 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143939 Date Issued:07/05/2017 Permit Category:ePermit Site Address: 3810 Heather Dr Lot:5 Block: 02 Addition: Briar Hill 4th PID:10-14993-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: 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. Contractor:Owner:- Applicant - Karen M Imbery 3810 Heather Dr Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature