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3817 Heather DrIt'll`" a1yofEall 3830 Pilot Knob Road Eagan MN 58122 Phone: (651) 675.5675 Fax: (651) 5755694 Use BLUE or BLACK Ink For Otnoa Istera Fermi �� Permit Fee: Date Received: Staff: i05, Ds 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: y" 9 "P74 Site Address: 3 / % H rAI £-2 Dlz. Resident/ Owner Tot -Work, CO J Unit #f: Name: eft � e / "4.A1 4 b ENt E � � �: •,; c, , Phone: 7413 -S 9 3 -- 9 7 7 0 Address/ City /ZIp: 8S0 ja z Gr4'7'u 2 Av, o/.bS.J 1�Qdr .l1 Y /0,0 s r 4/z' Applicant is: Owner Contractor Description of work: ft c. O JL. T / P c L. La.) L..9.S Construction Cost Multi -Family Building: (Yes / No „J Company: £ 1 &,e• r £6e' c 2 Mil aY - Cv>2A Contact b4ii, `J Q�2Ar S Address: 1° L 40/1 .15-- city: m Pt s State: 14,3 Zip: S ryi c/ Phone: !o/ Z ` W-4'2 413 Llcenee #: 4 C 2 Y/ / / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 1�c.t,LpS. QjvtLr' Pas' )Y7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 menthe, 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: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: CALLBEFQRE YOU DIG,. Call Gopher State One Call at (861) 4644002 for protedlon against underground utility damage- Can 48 hove before you intend to dig to receive locates of underground utilities. www,gootheretateanarau.ont I hereby acknowledge that this Information is complete and accurate; that the Mk will be in conformance with the ordinances and codes of the City of Escort: that I understand this is not permit, but only an appaptior for a permit, and work is not to start without a portrait: that the work will be in accordance with the approved plan in the case of work which requires a review and approval of Plans. Exterior work authorized by a building permit issued in accordance Wet the Minnesota State Build' Code must be completed within 180 days of permit issuance. x N ri ✓' 4 %�cr � S Applicant's Printed Name EZ/ZT 39VcI Applicant's Signature Page 1 of 3 1NIVW 1X3 I3g L9Z9198Zt9 LZ:bT 12TH/II/120 CITY OF EAGAN Remarks A4dition ' BRIAR HI LL 4TH ADDN Lot 9 sik 1 Parcel 10- - Owner street 3817 HEATI-IER DRIVE scate EAGAN hIlV 55122- Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 07- 1 O i 1II31 rcel STREETRESTOR, 1975 70.69 7.07 10 7.15 A012278 6-1-83 9M S reet t56 1984 1227.78 245.56 5 1227.78 C008594 10-11-83 **SFwe-r a $' 1984 2136.20 427.24 5 2136.20 " " SAN SEW TRUNK 1968 29.60 .99 30 13 . 92 A012278 6-1-83 SEWER LATERAL TR b5 1983 237.37 23.74 10 213.6 ? * /0l 1971 32,42 1.62 20 11.36 **WATERMAIN 1984 S *WATERLATERAL 1971 20 WATER AREA 1977 59.19 3.95 15 31.61 A61-2278 6-1-83 1984 5 STORMSEW TRK ? 1984 323.50 64,70 5 32330 C408594 10-11-83 *STORM SEW LAT 1971 ZO **STorm Sew Lat 1984 S CURB & GUTTER SIDEWALK STREET b}8i}T 1009 1986 153.70 15.37 10 Road Unit 240.00 33223 11-21+-82 WATER CONN. 420.00 8UILDING PER. 684 SAC 525.00 n n PARK CITY UF EAGAN ,4ddition " BRIAR HILL 4TH Owner Remarks ADDN Lot 10 Rlk 1 Parcel 10-14393-100-01 street 3819 HEATHER DRIVE State EAGAN NW 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. 2 1975 70.69 '] 0'] 10 ---- RI??R}?9C Street 1984 1227.78 245.56 5 982.23 A013251 12-7-83 **Sewer Lateral 1984 2136.20 427.24 5 1708.96 " " 5AN SEW TRUNK LJO 1968 29.60 .99 30 12.94 SEWERLATERAL TRK?ZS 1983 237.37 23.74 10 189.91 *SEwer Lateral -ULI 1971 32.42 1.62 20 9.74 **WATERMAIN 1984 S *WATER LATERAL 1971 20 WATER AREA 32 1977 59.19 3.95 15 27.67 A 3251 12-7-83 **Stu s 1984 5 STORM SEW TRK ? 1984 323.50 64.70 5 258. 80 A013251 12-7-83 i *STORM SEW LAT 1971 20 **Storm Sew Trk 1984 5 ' CURB & GUTTER SIOEWALK STREET`DUNqPP 1009 1986 153.70 15.37 10 Llf, 3 3 Road Unit 240.00 33223 11-24-82 WATER CONN. 420.00 it It SUILDING PER. 68 SAC ii n PARK CITY OF EAGAN Remarks ,4Odition ? BRIAR HILL 4TH ADDN Lot 11 Rik 1 Owner Street 3821 HEATHER DRIVE 10-14993-110-01 EAGAN NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. Z STREET RESTOR. ZI .l ADl 78 -u-83 . f? Stree 1984 1227.78 245.56 5 1227.78 5 1 10-11-83 r a ra 1984 2136.20 427.24 5 2136.20 SAN SEW TRUNK 1.2 Q0121 8 -11-83 SEWER LATERAL TRK ZS 1983 237.37 23.74 10 213.64 it * l0 11.36 **WATERMAIN 1984 5 *iMATER LATERAL 1971 20 WATER AREA 31.61 A0121 8 -11-83 **Stubs 1984 5 STORMSEW TRK 1984 323.50 64.70 5 323.50 C008591 10-11-83 *STORM SEW LAT 1971 20 **Storm Sew Lat 1984 S CURB & GUTTER SIDEWALK STAEET°649h?T 1009 1986 153.70 15.37 10 Road Unit 240.00 3 223 11-21+-82 WATER CONN. 420.00 BUILDING PER. 686 5AC 929-00 PARK CITY OF EAGAN Remarks Aildition ' BRIAR HILL 4TH ADDN Lot 12 elk 1 Parcel 10-14993-120-01 Owner street 3823 HEATHER DRIVE state EAGAN kM 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 107, STREET RESTOR. Z 11 1975 70.69 7.0 10 .1 A012212 5-1 -83 HARM Street 1984 1227.78 245.56 5 1227.78 008588 10-11-83 **Sewer Lateral 1984 2136.20 427.24 5 if of SAN SEW TRUNK 140' 1968 29.60 .99 30 13-92 A012212 -1 -$3 SEWERLATERAL TRK Z 1983 237.37 23.74 10 1.64 " " *SEwer Lateral 101 1971 32.42 1,62 20 11.36 **WATERMAIN 1984 S *WATER LATERAL 1971 20 WATER AREA 1977 59.19 3.95 1$ 1.61 A012212 -1 -8 **STubs 1984 5 STORM SEW TRK -63 1984 323.50 64.70 5 323.50 C008588 10-11-83 *STORM SEW LAT 1971 ZO **Storm Sew Lat 1984 5 CURB & GUTTER SIDEWALK STREETtAN 6T- 1009 1986 153.70 15.37 10 Rodd it 240 0 3 3221 - 11-24-82 WATER CONN. 420.00 BUILDING PER. 7687 SAC n ? PARK CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 REC61V6D FROM AMOUNT ? I - de DOLLARS ?oo ? CASH [] CHECK FOR /3-- ?- FUND COnE pfAOUNT Thank You ?z; . B Y White-Payers Copy Yellow-Posting Copy Pink-File Copy ?- Receipt ? - Permit 1110. Fee S/C --s- Tot. MECHANICAL CITY OF EA Fill in 1. Date , " - 2. Instal 3. Job Address 4. Owner -----? - r,? , A At.? ? Z Blk. ? Tract 5. Contractor Phone 6. Address " ? • " • 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Descrihe 11. Fuel Type No. Equinment 8TU - M. Ea. Forced Air No. Equiament CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 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 Ffnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt ..:? L???% f PLUMBING PERMIT Permit No.:?2L CITY OF EAGAN Fee , Frll in numbered spaces S/C I Type or Print legibly Tot. 1. Date ' - 2 2. Installation Cost ? .? _ ?1.•iii?:? i, r r 3. Job Address Lot?l--?7 Blk. ? Tract 4. Owner • ; - ? ? ,? - - 5. Contractor Phonec,c'_ :'j 6. Addressi '! - / 7. City ?- n?c?)?v I State r'-k A/ Zip - $. Building Type: Residential Commercial ? Institutional El 9. Work Description: New El Add ? Alter ? Repair ? 10. Describe 11. No, Fixtures Water Ctoset No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank _ Lavatory Softner Shower 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 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 Rqceipt -- PLUMBING PERMIT p. CITY OF EAGAN Permit Na Fee Fill in numbered spaces S/C - Type or Print legibly Tot. - f. Date 2. Installation Cost ?ffR ll9(? i 4- ?1- 3. Job Address m,l,. Lat Bik. ? Tract 'y-ARda?• 1 I /0-/Yy93-i/v^o/ 4. Owner j Y i S Tpt n1 Ube-,- t 5. Contractor M r? Iul r+ ( GPhone 9 6. Address /CC' ? MAr i ,- P c? . r 7. City 5o State %f.?bl Zip .5-?5C 75- 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Descripiion: New ? Add Ly' Alter ? Repair O 10. Describe yjQC 1t4I(C-' 7°ITfeLr e r4e /il@y- 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory ( Softner 5hower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the abave information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : Rough for Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Reoeipt MECHANICAL PERMIT I Permit No. -'-? CITY OF EAGAN ; Fee - Fill in numbered spaces S/C Type or Prinr legibly ToL 1. Date ' 2. Installation Cost 3. Job Address Lot i ? Blk. 1 k.? . l. 1 Tract 4. Owner - 5. Contractor" ' Phone -' ? 6. Address I 7. City State ZiEr" - 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Descripiion: New ? Add ? Alter ? Repair 11 10. Describe Fuel Type I 11 No. Eguinment BTU - M. Ea. Forced Air No. EQUipment CFM Ai H ndli : Mfg. r a ng Boiters 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 arid codes governing this type of work. Signed : for Fiough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT PermitNo. 'CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prinr legibiy Tot. 1. Date 2. Installation Cost . ..- . - , 3. Job Address Lot Blk. i Tract 4. Owner ;- 5. Contractor Phone `1 6. Address 7. City Staie • ? .,i Zip _ 8. Building Type: Residential ?a' Commercial ? Institutional ? 9. Work Description: New O Add O Alter O Repair 0 10. Describe 11. No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Wel I Kitchen Sink Urinal/Bidet Other r Laundry Tray ! Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Ffnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Raceipt MECHANICAL PERMIT Permit No.. CITY OF EAGAN _ Fee Fill in numbered spaces S/C • Type or Print legibly Tot. ?. 1. Date 2. Installation Cost , t 3. Job Address- ' !? Lat Blk. ? Tract ?H,r ' ?4. Owner ' • ? ' , . 5. Contractdr Phone - • - - .v 6. Address 7. City State Zip 8. Building Type: Residential EI Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. ? Eguipment 8TU - M. Ea. ^' ? . . Forced Air ` No. Equipment CFM Ai H dli Mfg. ` an r ng: Boilers Mfg. Mech. Exhaust - Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : . ' for Raugh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 k--:- Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee i 1 Fill in numbered spaces S/C Type or Print legibty Toti , 1. Date 2. Installation Cost 4_.- 3. JobAddress r, !k, ' Lot i: Blk. / Tract 4. Owner 5. Contractor Phone ;- , 6. Address /?y - %'r "i Z. - 7. City State Zip - 8. Building Type: Residential I]' Commercial ? Institutional ? 9. Work Description: New O Add ? Alter ? Repair O 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 Fioor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify tYiat the above information is true and correct, 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 CtTY OF EAGAN 454-8100 INSPEC ON RECORD I CITY OF EAGAN PERMIT TYPE: ':`" I "' NQ 3830 Pilot Knob Road Permit Number: ? i 1 i14q Ea an, Minnesota 55122-1897 ' 1?', "?F+ 9 Date Issued: ( (612) 681-4675 I SITE ADDRESS: APPLICANT: , ?• ;? I?f< ;???;; i ?i?y?;r(r?ri. I 1C?N +.tl ?1!!I ?;? i.'r .'i 11F>1 PERMIT SUBTYPE: TYPE OF WORK: RF.pA I t [i} ?,rk/P1 [ON RFfrnt11 ft0??I I Nl; 'I ? '?_ Partnit No. Pertnit Holder Data TNephone M ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Receipt--= PLUMBING PERMIT Permit No. ^' I CITY OF EAGAN ` j Fee Fill in numbered spaces S/C Type or Prrnt /egiWy Tot. 1. Date - - 2. Installation Cost _ ?, ; • ?%' 3. Job Address LotBlk. .' Tract 4. Owner 5. CoMractor ,-"?-r_ .? Phone 6. Address 7. City - State Zip 8. Building Type: Residential LC1- Commercial O Institutional O 9. Work Description: New O Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs tic Tank Se Lavatory p Sottner ShOwef W e l l 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 1 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- ? CITY Permit No, Fee s/c ? Tot. 1. Date/1'd `f -.1F 1- 2. Installation Cost 3. JobAddreu"•?'?i Lot Blk. ? Tract 1,4_ 4. Owner 5. ContractolK-?, . . - ,• ? , r Phone 6. Address" 7. CitY State Zip ' ? -- - 8. Building Type: Residential 'b Commercial O Institutional ? 9. Work Description: New O Add O Alter ? Repair ? 10. Describe Fuel7ype 11. No. Equinment BTU - M. Ea. Forced Air ? A No. Equipment CFM Mfg. Air Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. h O Air Cond. , er t 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 ?-- ? , .. ..,,?.. .._..:,. • ? CtTY? 60 EAGAN . ?_ 3793 I" Knob Reod Eagan, MN 55122 PHON[: 454-8100 BUILDING PERMIT Receipt # Te 6e rad f or Est Volue Dote 0'- 19 Site Addrcu' * E rect ? Octuponty l.ot Blotk Sec/Sub. ---- - Alter ? Zoninp Parcel # Repoir ? Flre Zone Enla?ye p Type of Const. e M ove Q # Stories j T Address Demoliah ? Length City p?? _ Grnde p Depth Sq. Ft. . Ncnw - ?? Address ? r:.., ?--- 1 hereby ocknowledge that I heve read this applicotion ond stote that the iniormation is correct ond agree to tomply with oll epplicoble Stote of Minnesoto Stotutes ond City of Eagen Ordinonces. Signatum of Permittee A Building Permit is issued to: i'' - oll work shall be done in uccordance with oll opplicable State Buildinp Official Approvals Fees 1lssessment Permit - Woter b Sew. Surchorge Police Plan check Firo S/1C - Enp. Water Conn. Plonner Water Meter Councll Road Unif Bidy. Off. APC Totol on the express condition fhnt Statutes and City of Eopon Ordinonces. Permit No. Permit Ho1tM? Misc. Permit No. Holder Plumbing -3 Zo? H.V.A.C. Well Water Disp. Sevrar Electrie ?„? o(?I?(-1D ?(nS`I-E.r FlE4 z-3-fs3 Inspection Date Insp. Other Footin9s / ?. / `? ? ? _ •L. , , ? Foundstion Framinp . Z 3 RouYh Pib9- Rough HVA Inwlation . ? ? Final Plb¢ 4-9L Finsl HVAC Final Water Desuibo Lotation: YYall ? Sevrer Pr. D'qp. ? CITY OF EAGAN f = ' 3795 Pilaf Knob Reed Eayon, MN 55122 I MlON[: 454.8100 BUILDING PERMIT To b, _ wd for Receipt # Date . 14 Site Address - r iv,• -- Lot Black Sec/Sub. _ ia • Parcel # at Nome W ? ^Wress . ? - ' . r«. ... . , . °C Nome Zo o'j Addre; u? ?- rj.., I hereby ocknowledge that I have read this opplicotion ond state that the inlormotion is correct and ugree to comply with a!I opplicoble Stote of Minrvesota Storutes ond City of Eogon Ordinonces. Sipnoture of Permittee A Building Permit is tssued to: ' oll work sholl 6e done in occordance with oll opplicable $tote of Mir Buildiny Officiol Eroct p Occupancy /11ter ? Zoniny Repoir ? Fire Zone Enlorye ? Type of Const. Move p * Stories Demolish p Length C,rade p Depth Sq. Ft. Approvah F?es Assessment Water b Sew. Police Firo Eny. Plcnner Council Bldp. Off. APC Permif Surchorge Plon check SAC Water Conn. Water Mefer Rood Unit Total on tha express Condition fhai Statutes and City of Eoqan Ordinances. Psrmit No. Permit Holdsr Misc. Permit No. Holder Plumbing 3z? 3 GF,nz- /-t7-Y?3 H.V.A.C. f -ZS-? Wall Watar Disp. S?vuer Ekctric WpVlt{7D fmS?E-r0Et? Z-3-?3 ' ? I Infpsction Date Insp. Other I Footinas i Foundation I I Frtming Rouph Plbp. ?-t,3 4d Rough HVA Inwlation Final PI6p. 'c.J Final HVAC ?/ p3 w Final J ? Woor Dacribe Location: ' YMell Sawer ' Pr. Dhp. BUILDING PERMIT To be w" isr 3795 'ilof Knob Rasd Eegaa, MN 55122 PHONE: 454-8100 . Receipt # LF.Est. value n...e ,n Site Addrcu -- Ered [] O Lot Block Sec/Sub. Alter ? ccuponcY Zoninp Porcel # Repair ? Firc Zone N Enlarpe ? Type of Corkst. ame z Add Move O # Stories ? ress Demolish ? Length _ Gty pho?,e Gmde ? Depth So. Ft. I hereby acknowledge thot I hove reod this application ond stote thot the informafion is correct ond ogree to comply with all applicable Stote of Minnesoto Statutes und City of Eogon Ordinonces. Assessment _ Woter 8 Sew. Police Firo Enp. Plonr?er Council Bldfl. Off. _ APC Permit Surchorge Plan check S^C Water Conn. Water Mefer Rocd Unit Total Sipnoturo of Permittee I A Building Permit is issued ta on fhe expreu condition 1Fxil oll work shall be done in otcordance with all appliccble State of Minnesota Statutes and City of Eayan Ordinonces. Buildinfl Officiol Permit No. Permit Holdar Misc. Permit No. Holder Plumbiny 3 H.V.A.C. ? ?? r?d?icKson t-z5-?3 VWII Wa"r I Disp. Sewer Eteetric L?} O(ol ??ID 44.t'6CEG Z- 3-8'3 InWectfon Dats Insp. Other Footino Foundation Fromfnq Rouah Plbp. .? uJ Rou¢h HVA Inwlation ? Find Plbp, /f Finsl HVAC Finai watar Dhaibe Lacstion: NNII I Sevrer . ; I Pr. Dhp. CITY OF EAGAN 3795 Mlet Knob Rood Eeyaw, MN SS123 , . PHONE: 454-8100 • BUILDING PERMIT Receipt # Te be rwd for Eat. Volue Dote 19 ? Site Address Eroct ? Occupancy j Lot Block Sec/Sub. Alter 0 Zoniny j Parcef # Repalr ? Flre Zone Enla?qe O W Ncme ' • Move Q ; Address Demolish p b o Nwm " Approyah u? Add?ess Assessrt+ent _ ? Cit phone Water E? Sew. Police GW Nome FW Fire ?? /lddress E ?, <W Ci Phone Plonner I hereby ackrrowledge thot I have reod this opplication ond stote that Council gldg. Off. _ fhe iniormation is correct and agree to tomply with all opplitable Stote of Minnesoto 5tatutes and Cify of Eogon Ordinonces. APC Si9nafure of Permittee Type of Const. # Stories Length Fees Permit $urchorge Plan check SAC Water Conn. Water Meter Rood Unir Total /1 Building Pertnit fs Issued ta: on the express conditlon thni oll work shoil be done in occordorxe with oil oppliwbls State of Minnesoto Stotutes ond City of Enflan Ordinonces. Buildinq OffiNol ' Permit No. Permit Holder Misc. Psrmit No. Holder Plumbing ??C? ` Cnf ?i L- ? h 1-77$3 H.V.A.C. W ater Well 1 Disp. Sawer Electric 10 o(1! y70 MM.s)Er E ?f- c? z-3 ?33 Iropection Date Insp. Other Footinat , , ? . / ? r-d Foundation Frominp Rouph Plbp. • 17- GJ Rouqh HVA . ' Inauletion Final Plbp. Final HVAC Finat WMBf awlb! LOCOtIOfI: 77/71 I WBll Sewsr , . Pr. Disp. OF 4.GAN SEWER SERVI CE PERMIT Pilot Knob Rood PERMIT NO.: MN 55122 DATE: c No. of Units: I un ,"t `tn 11L=.fRO.i ^ , (' ": - ^ r .r ., ,.' ; 11 4 '1ddress: +=:21 ilp-afisar i`r 1.11 )er: •rer. a M eaaplr wieh !IN Ciep of Eagan Connectton Chorpe: ._4 ? onas. AccouM Deposlt: i Pertnit Fee: SurcFwrge: ' Misc. Charqes: of Insp,: Total: CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Roed PERMIT NO.: Eagon, Mti 55122 DATE: Zwing: ? No. of Units: ?i .', ?uc. F}f? . Owner: • - ? ? ? , , , . Address: _ Site Address: ? • •, n.n t h£r ^r 1 1 ^ ' ' ,• ? . , i t. Piumber. Meter No.: Connection Chorfle: - Size: Aooount De o it p s : Reader No.: Permit Fee: I es?a to eomPly wkh the CIry of Eagan Surcharge: Ordinonoq. Mise. Charges: ' Totol: BY Date Paid: CITY OF EAGAN 3745 Pflaf Knob Rogd Eogen, MN 55122 Z, ng: ./wner. -.?'. ----- A,ldress: Site Address: Plumber: SEWER SEItVICE PERMIT PERMIT Np.: DATE: No. of Units: I agrre to aomplp wilfi IIN Cihr oE Eagan Ordieaneos. Bv Date of Insp.: Connection Chorpe: P'- Attount Deposit: Pertnk Fee: : Surcharge: Mlsc. Chorges: Totol: CItY OF EAGAN WATER SERVICE PERMlT 3795 Pilot Knob Roed PERMIT NO.: Eayan, MN 55122 DATE: ? Zoning: No. of Units: dwner: - A,ddress: Site Address: Plumber ' . Meter No.: Connection Chorge: ' S;ze; Acoount Deposit: Reader No.: Permit Fee: I ogreo to aomplp with !he City of Eagan 5urchorge: Ordinenon. Misc. Chorges: Totul: gy Dote Paid: If OF EAGAN ••?"-•• ----' "-- " _'____ 5 Pilot Kno6 Roed PERMIT NO.: ;n, MN 35122 DATE: Inp; No. of Units: ? Address: to eomoiy whh Ho Citr of Eagan of I rup.: Conr»ct(on Charge: ? Account Deposit: Permit Fee: Surcharpe: Misc. Charges: Totul: C,'TY OE f/?GAIi 3795 Pilot Keob Road Eoyoe, MN 55122 Zoning: Owner: C) Address: Sit Address: Plumber: , - AAeter No.; Size: Reoder No.: _ WATER SERVICE PERMIT PERMIT 1+I0.: DATE: . No. af Units: Connection Chorge: Account Deposlt: Pertnit Fee: Surcharge: Misc. Charyes: ' Totul: Dote Poid: I nsp.: 1 agrsw to aomply wuh tiN Ciry ef Eaqan Ordinoncat. Bv Date of Insp.: ?- . -- CITl CF 3795 Pilat EAGAN Kwob Road PERMIT NO.: Eayon, MN 55122 DATE: No. of Units: Zo?ing: Owner. Address: T n n , ' Site Address: - T Plumber. , . ' 1 eoree to eomPlp wllhtrs Citr of Eagan Connection Char'fle: Account Deposit: Ordinanees. Permit Fee: Surcharge: Misc. Charges: By Totat: pote of Insp.: Dote Poid: Insp.: T F EAGAN flot Knob Roed PERMIT NO.: - MN 55122 DATE: No. of Units: 4ddress: iite Address: Plumber: ?f Nleter No.: Connectia+ C}+orge: /l Size: ccount Deposit: Permit Fee: Render No.: 1 eAroa to eomPh? with !ha City of Eayan Surchorge: By inoncss. Mlac. Charyes. Totol: Date Paid: REQUEST FOR ELECTRICAL INSPECTION ' See instmctions lor completing this form on back of Vellow copy. &70 ' J3e/o r vered by This Reques! EB-OOU01-04 ?:` 3q z`7 Z dd Hep. Type o1 BuilCi Appliancns Wired EquiOmant Wired Home " Range Temporary Service Duplex Water Heater ' Lightiny Fixtures Apt. Builtling Dryer Electric Heatin Commerciai Bidg. Pumace Silo Unloader Indus[rial Bldg. Air Conditioner Bulk Milk Tank Farm oine, per.' v n'e, Ispnciiy7 t ar Suecify O! er Other Compute lnspection Fee Below - #. Fee ServiceEMranceSize q Fee Fexders/5ubfeedars ? Fee Girwits U to 200 Am>s 0 to 30 Am s 0 to 30 Am e Above 200 q????y 31 to 100 Amps 31 to 700 Am s Swimminq Pool Above 100_Am s Above 700_Amps Transiormers Irrigation Booms ? Partial-'Other Fee Signs Speciallnspection S a J Remarks (J OT EE L?7.-* Rough-in ? ?fe3-?J ?. ?pe ?cal . ?y ? Inspe.tor, heraby certify the- the above 'Final insuection has been eda. 'na Thlareauest voiGlBmontMfrom " Th,s re4„e=t yo,d z- 3 Lo-?-s ?1 ro , z? 18monthstrom ?IDCY W 0 6 1_470 ?1 T3 f-i(l r 9 L'L q? ' ?- S4 Lt? 1-70,06 APn??e t Da ? Fire No. Roueh-in Inspection Required7 ?ReadY Wiil Notify, Inspec- / y ?Na ur When Ready censetl Elec[riCal COnttaclOf I hereby raqaest inSPection oh BbovB Owner electrical work installad aY Sbeet Address, Boa or Route No. Ciry ecvon . o nshiv liflone or No. Range No. ount / R Kd ?°L OccuuantlPAINT all &/?d? Phone No. ?l-69'7 P. Supplier e e // /e-ey, A?idress Elechical ConVaclor ICompany Namel ? / ?r< . Conttactor's Ccensa No. F1'y09?/8' Mailing Address Contractor or Owner Makine Instailationi f AN ? ? 7 yt?v 5 Aut rizetl Signacur ICO ac r/Owner Ma ine lnstallatio Phone Nu mber ? n l ^ ? MIN ESOTA STATE BOARD OF ELECT CITV THIS INSPECTION pEQUEST WIIL NOT Grig9s•Midwey Bldg. - Hoom N.191 BE ACCEPTED BV THE STATE BOARD UNLE55 PPOPER INSPECTION FEE IS 1921 Universitp Ave., St Peul, MN 55104 ENCLOSED. 'Vrk.er#ifirtt#r of (Orrupttnril Citp of Cagan Erpttrlmrnt nf Build'mg 3nsprriion Tbit Ctrtihcatt iuued Purtuaru to the nquirrmentt af Scction 306 af the Uniform Bui(diag Codt certifying that at the time o/ inuame thic rtrrutaye war rn complicnce witb the varioar ordinaruet of r/x City rrgulatieg building connsartion or ux. For the f ollawing: U. cl...Pwfibd 1 of 4 PLEX &arh?No 7687 ?nwm« o??iyo• R3 *rwc?nm V F?.zw NA PD Q,?,Tollefson Builders ?ea.? 1655 Norwood Dr., Eagan Biedd?md. 3823 Heather Drive L?,YLot 12;Block 1,Briar Hill By: 1?6 ?? 4th April 21> 1983 .v, ,. . ?a. .. (Iprftfirtt#e nf Orrixpttury. Citp of Cagan igr.pmfmrnf nf Builbing Inapertiun Tbit CMi fitatt irtutd purrnant ta tbt rtqrurtmnur of Srrtion 306 o f t!x Uni f orm Building Gode tntiJying that at tlx tims of iJtaaua thit nrurture war rn ranPGaruc witb thr variaut ordinanta of t& City ngulatittg bui(ding tonttrnttion w ucr. For tbe f ollowing: up cbm? 1 of 4 PLEX ' Bid, P?, N. 7686 o-P-7 Tyoe R3 Tnc?uoo V sin NA z? wnna PD ??m?.Tollefson Builders Ad?.1655 Norwood Dr., Eagan B„Baft,wm?„ 3821 Heather Drive L--;tyLot 11,Block 1,Briar Hill ? p9 4th B" - ?m? j? am tlpril 27, 1983 .a., 1. , ... ...<. ?ler#i#irtt?t vf (?rrix?ttnr? ,- ?itp of (Eagan llr,pbrltttenf u# iguilditcg lnsprrtiun Thit Cnti fitatG tl3#UI PtlTJ#qpt t0 tlJt f[I(H7I[M[i!!f Of Sertion 306 of tix Unitorm Buikling Code carif ying tbat at !fx time o j iJsuancr tbit ttruttrnt wat in tamPlianrr witb the variout ordinancn o f tix City ngulatin8 building tmutrurtion or ure. For tht followrng: u..a.ma?na, 1 of 4 Plex eiae.r.??No. 7685 0.war'ha R3 TYwc?n? V Fin7ai. NA umMnmMt PD Heatlher Dr. ._,:... L10. Bl. Briar e?wa?ort? , ` p,?,: 8-15-83 ro.. ?. . ??a,. ...? 'Trrtif irtt#.e of (orrupttnrij Citp uf, (eagan Drpttrfmrnt of Wuilbing lnsprrtum .,?. Tbif Crrti firate itruul purfuant ro tbe rrquirrmrntJ of Sertion 306 o f tin Uni)orm &eilding Cada rntifying tbat at tix timr o/ iuuance thir ttn+ctarc tidt in rorrs pliana witb tbe variaut ordirwruet of t!x City rrguloting bnilding connrration or ufr. 'For tlx (o!lowing: 1 of 4 PLEX . IheCL?fiuYm • BIdFPe?,No 7684 o-vm,,r'Am R3 TYrc?am V e? zm. ' NA i?owkt PD o„eOfwa;,s Tollefson SuildersA"„1655 Norwood Dr., Eaean oy May 23, 1983 - "m?aomaa !r{y :, nn.: . . _•? CITY OF EAGAN _ 9795 Pllet Knob Raed Fagan, MN $5122 NO 7684 • ' VHONEs 454-6100 - BUILDING PERMIT Receipt T. ea wed fe. 1 of 4 PLEX Fst,vulue $49,000 pate November 24 _ 1982 Sira Address 3817 Heather Drive erecr occuponcy R-3 Lm 9 Blxk 1 Sec/Sub. Briar Hill 4th qlter p Zoninq PD parcel # 10 14993 090 Ol Repatr ? Rre Zone NA Enlarge ? Type o{ Const. V W Nome Tollefson Builders Move ? # Stories ; Address 1655 NoLWOOd DTiVe Demolish ? Leng[h 44 ?' Ct Seean 55122 phone 454-6873 Gmde ? Depth22 Sq. Ft._ p Nome a1llEr AvOrovals Feea H ?u Addresi ?- r;.., oL,.-' Nnme _ Address I hereby acknowledge thot I have read this op0licotion ond state that fhe information is wrrect and ogree to wmply with oll opplicable Stote of Minnewta $tatufes ond City of Eagon Ordinonces. Signoture of PertniMee A Building Permil is issued to: TOl oll work shall be done in acwrdance Assessment _ Water & Sew. Police - Fire Enq. Planner _ Councll _ Bldg. Off. _ APC pe,,,,;t Lia.uu Surcharge 24.50 Plan check 139.40 3AC 525.00 Watgr Conn420.00 Woter Meter 60.00 Road Unit 4_?n-?1n Total S76R6_50. on the express condition thai Minnewfo Stofujes und Ciry of Eagon Ordinonces. Buildinp Officiol CITT OF EAGAN ' , 3795 VpM Kno6 Raed Eagen, MN $5122 _ NO 7G8CJ BUILDING PERMIT PHONEs 454-8100 - ?°? ReceiD? # To bs wee h. 1 of 4 PLER En, ydi„e $49,000 pO}e November 24 jq 82 Sue Address 3819 Hea ther Drive E R-3 rect $M occupancy Lot 10 Block 1 5ec/sub. Briar flill 4th Alter ? Zonin9 pD Parcel # 10 14993 00 0 Repoir ? Firc Zone NA V Name Tollefson Builders Eniarge ? Typa of Const. w Move ? # Stories ? A?fen 1655 Nor+aood Drive pe,,,oiiah p Lenyth44_ ci Ea¢ an 55122 pho„e 454-6873 Grode ? Depth22 Sq, Ft.- p. Nnme OwIlCL ApOrorab Fees f ?? Address Assessment _ ~. Cit Phone Woter 8 Sew. f Police _ FW Nome Fire _Z Address En Ci phone g. Pbnner _ CounNl _ I hereby atkrwwledge fhat I have rend fhis applicotion ond state that Bldg. Off. _ the inlormation is wrrect ond ogree to comply with oll opplicoble Stote of Minnesoro $tatutes and Ciry o4 Eogon Ordirwnces. APC SlOnature of Permittee A Building Permit Is issued fo: _ all work shall be done in accordonce Buildinp Official Permit Z/6.VV Surchorqe 24.$0 Plan check 139.00 SAC 525.00 Woter Conn420.00 Water Meter 6o _ nn Road Unit 260 _ 00 _ rorol $1686.50 +' on the express condiNon thm of Minnewta Statutes ond Ciry of Eagun Ordinances. CITY OF EAGAN _ 9795 Pilot Knob Rwd Eogan, MN SSlll NO 7686 ' PNONEs 454-8100 . - BUILDING PERMIT Receipt ro ee o..d fo. 1 of 4 PLEX en.voiue 549,000 Dafe November 24 jq 82 S+ta Address I 3821 Heather Di'ive Erect tx Occuponcy R-3 Lot 11 el«k 1 Sc/Sub. $rist Hiil 4th Alter ? Zoninq pD Porcel # 10 14993 110 Ol Repoir ? Fire Zone NA V Enlo.9e ? Type of Const. c ui Name Tollefeon Builders Move ? # Stories ? Address 1655 Norwood Drive Demolish ? Length 44 ci Eagan 55122 phone 454-6873 Grode ? Depth-22- Sq. Ft.- M N Owner Approvob F.e. 0 o? u? f ame _ Address Name _ Address I hereby acknowledge thot I have read this opplicotion and state that the inlormofion Is correct and agree to comply with all opplicoble State o4 Minnewto Statutes and City of Eogon Ordirances. Sipnuture of Permittee A 8uilding Permit Is issued to: TOll all work shall be done in cccordonce with Buildinp Official C Assessment Permit Z/tS.UU Water & Sew. Surchorge 24.50 Police Plan check 139.00 Fire 5AC 525.00 Erg. WoterConn.420•00 Plonner WaterMeter ba.on Council Road Unit 740 _ O(1 Bldg. Off. APC rorol $1686.50 $ on the express condition thnr of Minnesoea Statutes ond Ciry of Eagan Ordirwnces. CITY OF EAGAN 7795 Plld Knob Raod Eoyen, MN 55122 PHONE: 431-8100 BUILDING PERMIT To be wae fo. 1` of 4 PLER est. value $49.000 Sita Addreu" JULJ heacner urlve Lor 12_ Bi«k I_ Sec/5„bBriar Hill 4th Porcel # 10 14993 120 Ol W INa,. Tollefaon Builders 9 z qddrcss 1655 Nonrood Drive citi Eagan 55122 454-6873 oO t u4? ? Nome _ Address Name _ Address I hereby ackrwwledge thot I have reod rhis opplicotion and stote thot fhe information is corrett and ogree to comply with all applicable $tate of Minnesota Statutes and Ciry of Eogan Ordirances. SiBnuture of Permittee A Buildinq Fermit Is issued to: TOl], oll work shcll be done in cccordonce with oll Buildirg Officlol N° 7687 Receipt # ':?? Erect Q[ Occuvancy R-3 Alre. ? Zoninp PD Repoir ? Fire Zone NA Enlarge ? Type of Const. V Move ? # Stories Demoliah p Leng[h_.-44F. Grade ? Depth _.99_Sq. Ft. - Approvals Faes Assessmenf Permi[ 'L7tl.Oi1 Woter & Sew. Surchorge 24.50 Police Plan check 139 . 00 Fire SAC 525.00 Eng. Water Conn. 420.00 Plonner Water Meter 60.00 Councfl Road Unir 240.00 Bidg. Off. APC Totol $1686.50 on t ha express condition thnt ta Statutes ond City of Euqnn Ordinonces. -N ?. ? Ta2lefaon Builders Inc. v JACKSON - SURVEYOR5 R[61ST[REO UNDiP LAWS OR BTAT[ Oi MINN6SOTA 3616 EAST 55th STREET, MINNEAPOLIS, MN 55417 727-3489 Oarhepoc'jg iCcctificatx ? I ? • v.? - JcT.? Esb7J, D??i??/11/A Li? Z . L QV '- 2 c r I ? ?o < G ? q r? ,? o i i Or.11358 183-73 3? 1?,, ?11 ? ?a y 1 w+ , s\ ? ? Propoaed Gerege Ploor ELev:94.0i Propoeed basement Floor Elev. 94.37 Proposed Firet Floor Flev. 101.37, I HEREBY ClNTIW THAT TN[ ABOVH IS A TRUE AXD CDRN[CT PLAT OF A SURV[Y OF Lflta 9,10,11 and 12, Block 1, Eriair Htll Addition, Dakota County, Minneaota 8th. Nov. 1982 Af BURVEVQO CY MF THI6-_ DAY OF A.D. SIONEO F. C. JACK50N. MiH / No. J60D _CITY CY' I3AGAtd Include 2 sets of plane, ? 1 site plan w/elevatians i i ? ? zn se Umea F16-rl ssw-naaress%,40 , 1,/D,7/ Lot " /-?Z Block parcel #: -L 0_ ( Owrort AddcEYB: CitY/7.ip Oode: rhom r: Cont1' OCtoti ?/,?u Addrm$: C1tyjZip Ooc3es ? Ifiot18 1: 1?rrh./EYg. s wauleea: • City/Zip Cade: 1Phom 4: Sec./Sub. ? Md BUIIDTNG PEI441T APPLICATION 1 Ret Of errrgy Ca1Wldtian8. _ Valuatio,o, Date Y? CFFICE USE ONLY Erect X^ ocx.'Lvan?,Y A'3 ? nlter wn;.ng 4? Fdepaix Fire Zone 64 D.l.arge , Zype of Cvnst. 10 Fbve I 5tnries Umnlish E'x+nnt ? y ft, Gr'ade Depth ? -.2- ft. Water/.^iewer Surd?ange Pblice - Pldn CheCk Fire S1C alI3. Water Ccanr?, PldilIlL?Y Wdt2L' MQ17PS Casu?cil ,FI°bad U7tit Bldg. Off."? - APC 'IOTAL ? I (P 810.50 ? t Y- ? . ; ? ?x Z-/ ??,?'?° ?? ? ? ? ,y??y? .? ? ? l\ / ? '?? 'i'?ltefs?u?ui;?;exn I.:c. • . Gr.f.i358 t- p ? ifl?-i3 Y_.'~ a JACKSCIN - SURVEYCIRS I ' RFGIiTERED l1MDER LAW6 OF BTATE OF MINNESOTA 1 3616 EAS7 55th STREET, MINNEAPOLIS, MN 55417 7273484 fpurhrpor'g Ccrtificate ??- ' ? j ? ? _ -- --G 1 X '79' ? . 'i ... _ ? ? ?\ _. I?.. .. I ,.?_-•'.? „ ? t-, _ : r«? " _. y : 10- - ? ? -... ? ?. ? ? ; , •_ ` . ` Fra;:used f.aiede FL,?-?r Llev.94.0 ;r3p-)se.d Bwsemxnt. F1csor Elev. 94,3' -..._,. Prrypssed Firnt. Fl?,ur Elsv. I HEwEBY GERTIFY TNAT TNE ABOVE 19 A TRl1E AND CORRECT PIJ1T OF A SURVEY OF Lsts 9,10,11 rrnd 12, $lnek l, Brieir Hill JeddieLon, Jakota Caunty, Mliznesotee 3tit. Nav. 1982 AS SUqVEYEO BY ME TMI6--_._.---..---DAY OF ._..___...-A.D.--- EA?? pM G?C? V U C WED aV; _ _ !:?2^ pan- _ Y?/-? /a e (SWOLOAO uNSPEC4tOi?? DME@CI -- `` /np F. C.JACKSON, 91 al`i ?zl ?Z ez 3?, 3 , 3 ,, 3 3?e?n?t ,_ b.. .1.1.._...?. ._. i.?... . No. 3600 Cities Di ital uali The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. . . . ' . .. ' . L"a,.._tl.i.l l t:?:?j.'Z:'J!i ?y?'?'j1??J 1: C? ?frv? • ? ' ?. ' . . b ? .. LI"'ilG riz-2 07 ^04d?, ?!;o Ir?a QP L?'3C';?2 ?Ul.? C! ??O ?O .(lTJ C e ? .. ... .C?j ?....?1al.nQF . ' . ' . j';y . . . . r,?_ T?.i9I. S(?a T-i e 4'_' I= MIRTSC,7 ? t"., i""..i n TT 3 1;, rs g'liICf. T-IFv C'7 4MTJL_7AvL7 FP CL3"4(?e Yai.cu,ro i' l.. j . . . rZn ?`fAUU'+ L i._ ? . .. . ? . . . °a ! Toe, . 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'.S 1 ? ?? ? r?!? ::.,; ::. ? , ' ,. . ... s - ? ',?;:; >: ?,> ,k . , P ..,°? ? " .. ,? . ?-.?T ??. A?:Yl.:tis*&: v'*>'G 'MYriT1B<Xtk 'M1i':ONi:k;$tY,t4d)!qr?%*:4:>BA:W.*%k4SY,:k:i,4* r.,zrv O!= r:.nr.,AN r.n<.:,E!IrF,:: i; rr::Rr,.r.NN.. r!o: 69/1. DA'iFr,: 05i05/98 7T.PSI-s !.`..7:,'.ay1.F3 ilS raAME- nzi;c ruOi..is .r,r:,NS1r;Ur:T-IraN r..;, zn!c 3210 9001 3e0 H;=r37Hr_r; rr,? 137.85 2155 9001 3817 Fi4".AiFifi'F: Fili 4,00 T1-it;a1. REtrt:?:lpi; t4mou^';i: :14:1.,,i:25 CF,I.)'):LO?d. USI: R I;!:: JAN PERMIT `r1 CITY OF EAGAN \ 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 031949 (612) 681-4675 Date Issued: 0 5 J 0 5 J 9 8 SITE ADDRESS: 3817 HEATHER DR LOT: 9 BLOCK: 1 BRIAR HILL 4TH P.I.N.: 10-14993-090-01 DESCRIPTION: REROOF 5uilding°,permit Type MULTI. (MISC.) jxB(4;[,lding W'q,r?k Type REPAIR " Census Gode 434 AL7. RESIDENTIAI r ' ?akAl?ar.. at REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $137.25 $4.00 $141.25 $e.eee CONTRACTOR: - Applicant - ST. LIC OWNER: MIKE MOHS CONSTRUCTION CO 17211107 5456 BRIAR HILL T.H. ASSOC. '3414 SNELLING AVE S 3817 HEATHER OR MINNEAPOLIS MN 55406 EAGAN MN ,(612) 721-1107 I ? Z here=by acknowled'ge ttrat I tiave read tiKi5 appl3ca?i4n arrid stat:e that:;=the " information is co.rrect and agree to comp3y.with all appli;eable 5tate,ot_Mn. Statutes and Cityvt Eagan Qrdinances. ; APPLICANT/PERMITEE SIGNATURE ISSUED B: IGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?I ? CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4675 New Construdion Reauirements ? 3 registered site surveys ? 2 wpies of plans (inWude beam 8 window s¢es; poured fid. design; etc.) ? 1 energy wlalations • 3 wpies of tree preservation plan H lot platted after 7/1193 required: _ Yes _ No DATE: i I RemodeUReoaii Requirements ? 2 wpies of plan ? 2 ske surveys (eMerior additians & decks) ? 1 anergy wlculations kr heated add'Rions CONSTRUCTION COST; -7`t ?? • ? DESCRIPTION OF WORK: /?grc 90,4 N ?3 . STREETADDRESS: LOT BLOCK: ? L z 9 SUBD./P.I.D. Name: /J /C t Ci.2 9A I !b""o 4y"`e s Phone #: PROPERII' Lut First OWNER Street City State: Zip: Company: /" I i kA- I °W ?I S (2o?A&-. 6) Tj C Phone #• 7 Z- / ^' / / 0 ? CONTRACTOR 3? I?{ S?ue l/.NF g131N Wr 5L/576 StreetAddress: License# _ City State: ?A.) Zip: -5--h`D ? ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Penalry applies when address chang I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all applica 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 O 03 SF Addition ? OS 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning O 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Firepiace ? ? 15 Deck O 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit % SAC SAC Units *dtV oF eagan THOMASEGAN Moyor PAIRICIA AWADA SHAWN HUMER SANDRA A. MASIN JUly 28 1994 THEODORE WACHTER , CounCil Members THOMAS HEDGES City Adminishatoi PAT MILLER E. J. vaN oveRaEKE City Clerk 3819 HEATHER DR EAGAN MN 55122 Re: 3819 Heather Drive Lot 10, Block 1, Briar Hill 4th Dear Ms. Miller: At your request, an inspection was made of the front steps for the above property on July 20, 1994. The bottom step has a rise of about 12 inches. This rise should be oniy 8 inches and uniform with the rest of the steps. Sincerely, William Bruestle Building Inspector WB/mg MVNIqPAI CENTER 3830 PIIOT KNOB ROAD EAGAN. MINNESOTA 55122Iq97 PHONE: (612) 681-4600 FAX:(612)6B1-Q512 IDD' (612) 454-8535 ' THELONEOAKiREE THE SYMBOL OF STRENGiH AND GROWTH IN OURCOMMUNITY Equal Opportunity/Aflirmatlve Acflon Employer MAINTENANCE FACILITY 3501 COACHMAN POIPoi EAGAN. MINNESOlA 55122 PHONE: (612) 681-4300 FAX'(612)681-4W IDD;(612) 454-0535 PERMIT 4 '4" ? 1 RECEIPT DATE: f0? 4,1`?- r1 RES1DHNTIJ4L PL[JM$]ft6 PERMiT !EPPLICATION crrY oF EAsm 3$30 flLOT NNOB RD ER&AN.MN551EY 651-6$1,4675 Please complete for: : single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for iMgation system SITEADDRESS: 3`61-1 V\?a OWNER NAME: : C,Tyv?wtC, TELEPHONE #: 1^c1 '-ICS - 91 CS- (AREA CODE) INSTALLER NAME: STREET ADDRESS: CITY: Place a check mark next to the permit work tvoe New residential dwelling unit under construction and not ownerloccupied $ 90.00 I' ? Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repairlrebuild of RPZ . lawn irrigation system • waterturnaround Natureofwork: ?? 0C?OQ1 U?Ol?-¢( ?P? Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total SQt7fo" j 5. SO Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have reatl this applica6on, sWte that Ihe infortnation is correct, antl a9ree to complywith all applicable Cityof Eagan ordinances. Il is the applicanCs responsibility to noGfy the property owner that the Ciry of Eagan ?assumes no liability for any damages caused by the City dunng its normal operetional and maintenance activities to lhe facilities conscruc[ed under this per?nic?ithin Ciry prop , eK_ yingh f-way/easement. -i`k+ TELEPHONE #: q5a Q-kj - ci (o? ?O 14":,C;JME & SON3 caREA cooe> HGi%<;lis, Niy 55343 STATE: ZIP: Updated 1/Ot RESIDENTIAL BUILDING Permit Application City Of Eagan ??(0 3 r( p? 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?? New ConsWction Reauirements RemodeUReoair ReauiremenGS Office Use Onlv 3 registered site surveys showirg sq. ft of lof, sq. R of house; and all roofyE areas 2 capies of plan Cert of Survey Recd (20% maximum lot coveraga allowetl) 1 set of Energy Calculatlons for heated additlons Tree Pres Plan Recd 2 copies of plan showmg beam 8 window sizes; poured found desgn, etc. 1 site survey for additions & decks Tree Pres Not Reqd 1 set of Energy Calculations Add'rtion -indicafe i/arsife sepfic sysfem _ On•site Septic System 3copies of Tree P2servation Plan i( lot platted afler 711193 Rim Joist Defail OpBons selectlon sheet (bldgs wiN 3 or less units Date _-5 0_3 Construction Cost Z /i Site Address ?EAp? UnitlSte, # D i s f W k eser pf n e or Multi-Family Bldg ? Y _ N Fireplace(s) _ U 1 _ 2 lT Property Owner Telephone # ( ) ContracYor c. J3,/V_;j5 Address -Fp >c 3 3'f'-i City Sta[e 14-11/ Zip Telephone#((?/) 495? (x? n_4 yt. Zr COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residen6al Ventilation Category 1 Waksheet (d submission type) Submitted • Energy Envel?ope.l elculations?Submifted? ???; 1'`: t`' ? i?? Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #( Telephone #( J Teiephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, buT only an applicarion for a pemut, and work is not to start without a permit; that the work will be in accordance with the approved plan ?the case of work which requires a review and approval of plans. %?" c ApplicanYs Printed Name A licant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? ? 02 SF Dwelling ? 08 06-plex ? ? 03 01 of _ plex ? 09 07-plex ? ? 04 02-plex ? 10 OS-plex ? ? 05 03-plex ? 11 10-plex ? ? 06 04-plex ? 72 12-plex Work Types ? 31 New x 35 ? 32 Addition O 36 ? 33 Alteration ? 37 ? 34 Replacement Valuation Census Code N 3 y SAC Units Nbr. of Units Nbr. of Bldgs Type of Const v 0_ 13 16-plex ? '20 Pool 18 Fireplace ? 21 Porch (3-sea.) 17 Garage ? 22 Porch/Addn. (4-sea.) 18 Deck ? 23 Porch (screen/gazebo) 19 Lower Level ? 24 Storm Damage ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. AIt - SF ? 36 MWti Misc. Plbg_YOr_N "p? 25 Miscellaneous ? p1?? a' Y? f?r9.J.C' ? ` rI ?j??V?. f.Le.p Int Improvement ? 38 Demolish (Interior) ? 44 Siding Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair Demolish (Bldg)" ? 43 Reroof ? 46 Windows/DOOrs 'Demolition (Entire Bidg) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & W ater Final ? Framing Fireplace _ R.I. _ Au Test _ Final Insularion REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. _ Plumbing IiVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retanvng Wall Approved By T2 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Tota I V/- Lt7r ??t44- )j a4,2Q P City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 6755694 -- ----------- ? D? G Pe?,.?it??,?,Co ?????? ? ?? I Permit Fee: 130 I AP?4 1 6 '? ? Date Received: I n `? I I Staff: l I I -------- ---- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Ll- l $- O 9 Tenant Suite #: RESfDENT10WNER Name:s6' Phone: '7&z-YSV-37,?,7 Address / City / Zip: 3$/ 7 I7'4.4 YW £ 2 6 R. Applicant is: _ Owner X Contractor TYPE OF WORK Description of work: f2 £- 4,:1? D£ G.? Construction Cost ??J b?? • u O Multi-Family Building: (Yes X/ No CONTRACTOR Name:g£/ E'x;-c21o/Z L?26e License#: .?.<%XY //31 Address: ,Vc S 1..,,s ,(c c fk S: . City: /VPL S, State: mn Zip: SS'Vr 9 Phone: 6;/R-96)-4,;ZY3 ContadPerson: 4c,22iS COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet Category Submitted Submittetl (4 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 & Water Contractor: Phone: ; NOTE: Plans and supportirig"o?ocuments that you;submit are considered to be public information., Portions'bf , , the informatron r8ay:be classifietl a`s non pub6c if you provide spec?c reason`s thaY rvoufd penriit?the City,to ? conclude thaf the are 2rade°'secrets ,.? , : ? i hereby acknowledge that this infortnation is complete and accurate; that the work will be in wnformance 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, tt ot to sta ? out a pe?d; that the work will be in accordance with the approved plan in the case of work which requires a review andaps. x L?l Uj D u?a?ZsziSx ApplicanYs Printed Name Applicant's Signature Address: 4 iz. y 2 !'/i / L : n? ,,; :-&s,, E S Page 1 of 3 ? . DO NOT WRITE BELOW THIS LINE sue TvPes ? 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. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvemertt CJ Siding ? Demolish Building* ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation 19 Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handoul to applicant DESCRIPTION: Valuation t99P._ Occupancy MCES System Plan Review Code Edition 2001 SAC lJnits (25°/a_ 100% Zoning City Water Census Code 43 y Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width /I) REQUIRED INSPECTIONS Footings (new bldg) Sheetrock ? Footings (deck) Final/C.O. Footings (atldition) ? ? i Final/No C.O. Foundation HVAC Drain Tile ? Other: Roof: _Ice & Water _Final Pool: Footings Air/Gas Tests Final Framing _ Siding: _Stucco Lath Stone Lath Brick Fireplace:,R.l. _AirTest _ _ _Final Windows ` Insulation , Retaining Wall Reviewed By: Building Inspector RESlDENTIAL FEES: Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 I?'6 ?S'3f_i?i'f"S k?::C. • ' . i12.1_i.??ii c.. }iX , (?(? aEI'9lC !!?171WfV?£a-;::i-e ?r tbS-73 y IE CKS - SURVEYORS hhhI ???//(/ ?,B\?e ^ ••?/D? nea?aTtrteo?o?Bt.Yf LAW6 OF BTATE OF MINNE90Tq ? BtllLLWDDIRfG IFISPECYIO?S ?VNESEOV? 3816 EAST 55th STREET, MINNEAPOLIS, MN 55417 7273484 . i ? ?eurbepnr'? ?ertificate ? ?? t I 'i ? ? ? - ? _ ?.. ? ? - , , .,. 1,4 ? ---?? . ? ,?, ;j , ? ?/?.?"" ,. _ ia ? ?_?. ? Pra} ssed i.•Ycage P!:,or F,Ieu.94.0 ?irapostd Savesner?¢-. Plcrnr El.e:v, 94.3' i?PInpasu6 Filr:tt Plc?oa' Elr:v. 10} 3;, 1 MEFlEBY CEflTIFY THAT THE ABOVE IS A TRUE AND COPRECT PLAT OF A$UPVEY Or I.?ts 4,10,11 and 12, Blnek I, Hbiair kiil! Acfdieion, Ualc,ta Goun[y, Minnesota Stn_ IJ:rv. 1982 AS SVRVEYED BY ME DAV OF.- . _ -. . / ?/ . SIGNFD_..--_- . v . . ?j?\ F. C. JACK60N, MItir+Ki6Ta f /A 5 \/ 39171 19 zi? 3 ?B 7-3 hle?17te;z?I . No. 3600 411? Clty of Eapn I AP' 1 6 200p ? -- ----------- ? ?or?o,fffce?rse ? ? Pertnit I I I i Pertnit Fee: ? Date Receivetl: /(,?7 ? ? Staff: ? _______-- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 41 - / S- o ? Tenant: Suite #: RESIDENT/OWNER Name:4110 A3:svc1 4?11 „,f,NwOc144phone:7e,z-y9v-3 7x7 Address / City / Zip: 312,I IhAYN C/L b!i Applicant is: _ Owner x Contractor TYPE OF WORK Description of work: {2 £- A u j t .\ b E t1? Construction Cost: q/ oD. vo Multi-Family Building: (Yes X/ No ? CONTRACTOR Name: rA E/ £x > i2) o 2 r9i4 i,4 %'. C?2 6>. License #: zc .t y I/ 3 1 Address: 1V4 S L,s (o c City: /?'I.nL S. State: M,? Zip: SS'-/i Phone: ContadPersorr AV2/2iS COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet Category Submitted Submitted (4 SUbmission type) • Energy Envelope Calculations Su6mitted 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, tlate and address of master plan: Licensed Plumber: Phone: Mechanical Contrector: Phone: Sewer & Water Contractor: Phone: NOTE: Plaits,an'd suppoiting`documents; that-you s'ubmit are co'nsidered to be,public information. Portions'of ` °'fhe informetion may be classified'asy»on-pubfic,if you pro4ide specific reasons tNat wou/d permit='the Cify fo conclude `thaf fbe areitrade sec`r'ets I hereby acknowledge that this information is complete and accurate; that the work will 6e in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a pertnit, but only an application for a permit, and wo 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 andapprov of ans. xL9 J! D ?ia2a1lSX- ApplicanYs Printed Name - ApplicanYs Signature Page 1 of 3 Address: 41"y 2 1-111L 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 Ait - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Eut. Alt - SF ? 02-Plex ? 08-plex 10 Deck El Porch (screen/gaze6o/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Bui lding ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation Replacement ? Egress Window ? Water Damage * DemolRion (entire huilding) - give PCA handout to applicant DESCRIPTION: Valuation lj'?OO .` Occupancy MCES 5ystem Plan Review Code Edition 2. oo '7 SAC Units (25%_ 100% ? Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings . Length f? Fire Sprinklers Type of Consf. Width REQUIRED INSPECTIONS Footings (new bldg) O Footings (deck) Footings (addition) i Foundation Drain Tile Roof: _Ice& Water Final Framing Fireplace:_R.I. iAir Test _Final _ Insulation , 1 Reviewed By: Sheetrock Final/C.O. ? FinaUNo C.O. - HVAC Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining WallBuilding Inspector RESIDENTlAL FEES: Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total •ZS Page 2 of 3 11/04/2011 07:51 6128616267 BEI EXTERIORIMAINT PAGE 03 pleget Ca// WffJf G411oJ7~Z a Kd bit wr/l iwAl d".0 a tkeck. Ty Use BLUE or BLACK Ink o i 7 3 - F61010ce' ba aly of E1 Permhlri: I j I Permit Few: A I 3830 Pilot Knob Road I I Eagan MN 66122 j Date Rebel l Phone: (661) 6755675 I I Fax: (661) 675.5694 j 5talf I I 2010 RESIDENTIAL, BUILDING PERMIT APPLICATION Date: JI /3 i i Site Address: 38 7, 3B/ 9, SS.2 FS'R 3 A47ft7L D.4., y6" Tenant: suite 0: RESIDENTIOWNER Name:so .45.%& ./►»O.✓ Phone: 763 -y9y- 3 ra 7 Address / City / Zip: 70a.2 4 Ois v 44we .eag4 .?f r e6400w /r!-v Applicant is: Owner K- Contractor TYPE OF WORK Description of work: 1P9-at0aE .4N o I7z70erKE` hFvoi~ Construction Cost: d Mul i-Family Building: (Yes / No CONTRACTOR Name: 8E~ E.ir~,¢iu,2 A~AayT ez -License A 0970011.71 Address: s 4 A0171, .6e-z-T _city: State: MW Zip: s-5-0 9 Phone: 412 - P4 6 a y3 Contact v_.y Email: _j,).G cn7. c~pr~-t ,-a hai COMPLETE THIS AREA ONIwY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes -No If yes, date and address of master plan: Licensed Plumber Phone: Mechanical Contractor- Phone: Sewer & Water Contractor, Phone: =OTIE ns and supportl n9 docwnewts that YOU submit arC conWdemed tit be public laftmWon. Pot~dions tat etion may be classified as non-pupiic !f you provide 8paalfic mesons the would permit the City to . COntlude 1Nat the ale trade secrets. CAL BEFORE Y U 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.gopberatateaneoell orQ I hereby roknovdedge that this Inrormatlon is complete and accurate; that the work will be in contormanee with the ordinances and codes of the City or Eagan; that I understand this is not a permit, but only an application for a permit, and worK is not to start without a ponnR; that the work will be in accordance with the approved plan in th ease of work which requires a review and approval o x eW~ s .4.voc-z: Applicant's Printed Name Applicant's Slgnatura Page 1 of 2 3830 Pilot Knob Road Eagan UN 55122 Phone: (661) 6754676 Fac (651) 6754684 Use BWE or BLACK Ink Parma us* Perms a Penni! Fes:2�, Date Reooi ed: Stet 2013 RESIDENTIAL BUILDING PERMIT APPLICATION SitoAddress: 3f/7, 3gf9, 3g2 )•, -3$,13 1-,e4r/eiZ biz, unit S: Name: 4 A Cr /yl r4 wl4 6 m t r .X C phone: 763 -5'93 -g'7 7,�,�,, Address / City / Zip: VS) is6 '>'—u Q Ar/ N 7 to Aasree7 Applicant is: Owner ,2C Contractor Desaipbon of work: -rt,+2 oF-- a. Qt. (esaOF 1. CiOnSInIc0oncost 1l 9 �- cO Multi -Family Suiting: s XL/ (Ye / No Companyr. i £',. ti-eit. o .e contact ..t) v Z." 2252 r s 9os W bt S1.. city: mPG s . stabs: /r9I! Z : 41."41/ 9 Phone: lo•x - /- 4.a 41.3 License* ' _ S/i_ 3 / Land Corticate #: if the project is exempt from lead certification. please explain why: (see Page 3 for additional information) k R`a(PS i S.2,E. Q01dr Post- 19, r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the Int 12 nye has the City of Eagan issued a permit for a Unita, plan used on a master plan? Yes ._,,,No If yes, date and address of mestar plan: Licensed Plumber: Phone: Mechanical Contactor: Phone: Sewer & Misr Contractor: „ Phone: - il .. CAS 5YOU O1(, Cali Gopher State Ono CSW at (061) 484.e002 tr protection against undetgrw,M utility damage. Cal 48 hoursbeton you to dig to reosive toed= of underground rd6 a. `emicoakeroelpatama oq 1 h eby armder a that thdiariot b scants: that the work wit be in conformance with the canon= and codes of the oval secorde set writ, ego mamma awe in ale .� but w are 00.00v application for a psm and work is not to !dart witlfol3 a wet a the work we be (n days Fedor work aulberteed bye builds g permit issue in accongehce with the Amu* Stets BoUdi Code oust be completed artgm61180 aofpe maleauenoe. F Applicant's Printed Marne t'O/Z0 39Cd AVOuoanfa Signature gy Pape 1 ofs INI*W IX3 I3S L9Z9I98Zt9 SE:TT ETOZ/LZ/TT *CityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 675-5675 Fax: (651) 6754694 Use BLUE or BLACK Ink For office Use Permlt:C: 1 aq c Permit Feil: 1 1 ( Date Received: .1 1'34111 Staff - 2013 RESIDENTIAL BUILDING PERMIT I APPLICATION Date: 3 ' � - / L/ Site Address: 3 7'/ 7, 3 F / S, 3 8,21, .S/7 X3 r/ t i47-,/ n 2. Unit*: Resident/ Owner Name: ek rbc`% P/4,..1 4 6C /rtE.u—' Jw C, Phone: 7/3 - S S3— 9770 Address / City / Zip: 8So pECuI-ro2 civ, ,), . A 604.( Er.. 141.2.2Y /VA) XS" 6/A7 Applicant is: Owner Contractor Typeot;Work, Description of work: 1£,ft-o v £. a. ftz PC, A -e -L. J' d' a 6 o Fes(, 4 M E 7-4 L" Construction Cost / y 4/ tIO • CTO Multi -Family Building: (Yes / No Coetiractor Company: ECA/ 0 2 ),—i-.. Co RA_ Contact 6411, /2 Q, S Address: VP -r W 4,58- Jr - State: /..)/) Zip: 5S'4" 5 City: MPLS Phone: g4/-4.2'/.3 License #: - 24//i 7 / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 1.04(1,S_ Pos7' /S7� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor. Phone: NO7E; the infi ematIon nwTbs cffi9 da9' CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. ww .grO hat$tateonecall.ora 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 Fagan: that I understand this la not a permit, but only an application for a permit, and work is not to start without a permit; that the wort( will be In accordance with the approved plan in the cane of work which requires a review and approval of plans. Exterior work authorized by a building permit Issued In accordance with the Minnesota State BulldlnLCode must be completed within 180 days of permit issuance. x t4✓0 %ltd a.2.,S Applicant's Printed Name 90/T0 39 d Applicants Signature g`/ Page 1 of 3 1NItlW 1X3 I3S L9Z9T98ZT9 SS:TT PtOZ/VZ/80 Use BLUE or BLACK Ink r For Office Use j f� Permit#: /"'r 75, b City ofEakall Fee: 1 . �► Permit � `�,, 3830 Pilot Knob Road1 -g Eagan MN 55122 RECEIVED Date Received: J i-/ c'I Phone:(651)675-5675 Fax: (651)675-5694 JUL 3 12017 Staff: I 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (Ol 2`l Site Address: 7 117116e-ig" C' '✓t "P1 it) Unit#: Name: tbr;I - fti t(S 14mv.e.. c •vt /l b.po:-ats`csI Phone:q -tic - 6 511 t Resident/ i Owner ± Address/City/Zip: 3 ?51 a' tit1i-tr Drli�, el-to 4...4 , /1A./k-) i. Applicant is: Owner X" Contractor Description of work: ovvtre.fe - , orf AOC"�. ' Type of Work Construction Cost: t 1:c94'.2 t 51-1,..f Multi-Family Building:(Yes )C /No ) Company: S mak.( 4444-et/c-... Contact: Kyk.. oM lac v4 } F Contractor Address: 1irr 2eci(n Uctitty (6i vii..... True .� .. City: ,- ,. Cv-o , 1(e.e hMS State:/VGN Zip:Ste}} Phone: 5:2'PC'1777- Email: .ornbe.avk 0'T{vacwGer.c c,..co.., License# 6,9,x'01 1 V Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i 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: x Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of (permit issuance. x / ‘ le..i e. Ory\ko M'1 x Applica is Printed Name Apply''s Signature Page 1 of 3 DO NOT WRITE BELOW�T�HIIS�LpINE ( ./ -4 /41,5" c SUB TYPES '5O I C�'+�- '( J� 'Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) 1a Miscellaneous 01 of_Plex Lower Level _ Pool _ Accessory Building WORK TYPES _ New — Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation 20 Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation G$ 31 a5b . 41.---. Occupancy dC MCES System Plan Review Code Edition OM 20f 5- SAC Units (25% I 100% ) Zoning PP City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction it,F Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required _ Footings (Addition) _ ?0 Final/No C.O. Required pd Foundation HVAC_Gas Service Test Gas Line Air Test — Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final _ Framing Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick _ Insulation Windows Sheathing Retaining Wall:_Footings—Backfill_Final — Sheetrock Radon Control — _ Fire Walls Fire Suppression:_Rough In_Final — _ Braced Walls Erosion Control — Other: eviewed By: ( 0 fit - It , Building Inspector ESIDENTIAL FEES r^ Base Fee J-4 ��,6 5 64421) )4147. Surcharge Plan Review i a ' / I MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3