3825 Heather Dritio
CllyofEaall
3830 Pilot Knob Road
Eagan MN 65122
Phone: (651) 675-5675
Fax: (651)675.6694
Date: 11- 5?" /11
Use BLUE or BLACK Ink
For office use
s�
iLfity-
Permit*
Permit Fee:
Date Received:
staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: 3 8 2. S' Hi69 "774 t bA 6
Resident/
Owner
Unit is
Name: e/o 7 %Jl h"1 4 6 t Nt.� ;a C. Phone: 741 - S-71- 97 7
Address t City / Zip: 8Sn D Z. We() 2 A✓, A), JA 6401 6g,-.> t/gpas Y /)7.J
Ss y� 7
Applicant is: Owner KContractor
Typeof.Work,
Description of wort: R P LA- L L.
Constriction Cost
/ L.)1,1 w
Multi -Family Building: (Yes )C / No
Contactor
Company: E, 1 enc r Lei c 2
Address. IPS- L 40c" J-
�� _ Ccak Contact ice✓, 0 s> „242,s
mP'-S
State: /MAN Zip: 5-5-0 �1
License #: '� I~ 2%'f i 3
Phone:_Co/2' i"7 (o/- o2V3
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information)
Poe:' is7r
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 end address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor. Phone:
Sewer & Water Contractor: Phone: ,,,,
CALL BEFORE YOU DIG. Call Gopher Striae one Call at (651) 451-0002 for protection against underground utility damage. CaII 48 hours
before you intend to dip to receive locates of underground utilities. www-000hervdteonecall.orq
hereby adcnowledge that this inklnuation is complete and accurate; that the work will be in conformance with the ordiinances and codes of the City of
Eagan: that I understand this is not a permit, but Only an aoptiratien for a permit. and work is not to start without a emelt that the work will be in
accordance with the approved plan In the case dm* which requires a review and approval of plana.
Exterior work authorized by a building permit issued In accordance with the Minnesota State Suilding_Code must be completed within 180
days of permit Issuance.
x �4✓� 4 �✓✓t2,/S
Applicant's Printed lame
EZ/TT 3JCd
Applicants Signature
Page 1of3
INItiW lX3 I3g L9Z9T98Zt9 LZ:Vt 17IOZ/tt/170
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA098531
Date Issued: 04/08/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 3825 Heather Dr
Lot: 13 Block: 01 Addition: Briar Hill 4th
PID: 10-14993-01-130
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Window Concepts NIN Lacer R Steiner
990 Lone Oak Rd =114 382 Heather Dr
Eagan NIN 55121 Eagan NIN 55122
(651)905-010
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
CASH RECEIPT
CITY QF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
0?
19
RHCEIVED
FROM
AMOUNT $ I
& DOLLARg
?oo
? CASH ? CHECK
FOR , •
/
Y
FUND CODE qmOUNT
Thank You BY
VYhite-Payers Copy
Yeliow-Postinp Copy
Pink-File Copy
CITY OF EAGAN
Addition BRIAR HILL 4TH ADDN
3829
elk 1 Parcel 10-14993-150-01
DRIVE EAGAN MN 55122
Improvement Date mount Annual Years Payment Receipt Date
STREETSURF. 'L 1971 id Y'i 1 31 1
STREET RESTOR. 7111 1975 F70.69 7. 07 10 •1 A0120 0 ?i-8-83
D?4?A&}IYi?C Street 1984 27.78 245.56 5 1227.78 C00$593 1-11-83
**Sewer Lateral 1984 36.20 427.24 5 2136.20 " "
SAN SEW TRUNK 14p 1968 29.60 .99 30 13.92 A0120 0 4-8-8
SEWERLATERAL TRK 5 1983 237.37 23.74 10 213.64 " "
*SEwer Lateral 101 1971 32.42 1.62 20 11.36
°
M
? **WATERMAIN 1984 $
* WATER LATERAL 1971 20
WATER AREA
I 1977 59.19 3.95 15 1.61 A0120 0 4-8-83
I **Stubs 1984 5
STORMSEW TRK 3 1984 323.50 64.70 5 323.50 C008593 10-11-83
* STORM SEW LAT 1971 20
**Storm Sew Lat 1984 5
CURB & GUTTER
SIDEWALK
STREE7`ttSFFf- 1009 1986 153.70 15.37 10
WATER CONN. 420.00
BUILDING PER. g
SAC - 525
00
PARK -
CITY OF EAGAN
Addition -BRIAR HILL 4TH ADDN
Owner
Remarks
Lot 16 eik 1 Parcel 10-14993-160-01
screet 3831 HEATHER DRIVE state EAGAN P'W 55122
Improvement Date Annual Years Payment Receipt Date
STREET SURF. Z
STREET RESTOR. 1975 t 7. ?? 10 .1 A012170 5-5-83
NRl(&11?C Street f 1984 245.56 5 1227.78 C408599 10-11-83
**Sewer Lateral ?Z. 1984 2136.20 427.24 5 213G 20 "
SAN 5EW TRUNK 1968 . .99 30 13. 2 A012170 5-5-83
SEWERLATERAL TRK Z5 1983 237.37 23.74 10 213.64 "
*SEwer Lateral 1971 32.42 1.62 20 11.36 " "
**WATERMAIN 1984 S
* WATER LATERAL 1971 20
WATER AREA 1977 59.19 3.95 15 31.61 A012170 5-5-83
i **Stubs 1984 5
STOFiMSEW TRK 3 1984 323.50 64.70 5 323.50 C008599 10-11-83
*STORM SEW LAT 1971 ZO
**Storm Sew Lat 98
CURB & GUTTER
SIDEWALK
STREET i46FIT 1009 1986 153 . 70 15.37 10 ?
Road Unit 2 0.00 33224 11-24-82 '
WATER CONN. 420.00
SUILDING PER.
SAC n n
PARK
CITY OF EAGAN Remarks
addition BR'IAR HILL 4TH ADDN Lot 14 Rlk 1 Parcel 10-14993-140-01
Owner Streec 3827 HEATHER DRIVE State EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. jJ'J1 Paid Wld@ OT'1 inal rcel
STREET RESTOR. Z1 1975 ?0. 69 7.07 10 7.15 A012407 7-6-83
245.56 1227.78 8 04 10-11-83
1984 2135.20 427.24 5 2136
.20 it of
SANSEW TRUNK 1968 29.60 .99 30 13.92 A012407 7-6-83
SEWERLATERAL TRK 7 Z5 1983 237.37 23.74 10 213.64 " "
*SEwer Lateral 101 1971 32.42 1.62 20 11.36 of to
"WATERMAIN 1984 5
* WATER LATERAL 1971 20
WATER AREA 1977 59.19 3.95 Dlv 15 31.61 A012407 7-6-83
? **Stubs 1984 5
STORMSEW TRK $ 1984 323.50 64.70 b 5 323.50 C008604 10-11-83
* STORM SEW LAT 1971 20
**Storm ew Tr 98
CURB & GUTTER
SIDEWALK
STREET-rtll" 1 1009 1986 153.70 15.37 10
WATER CONN. ?
BUILOING PER.
SAC ?? ??
PARK ?
CITY OF EAGAN Remarks
Addition BFIAR HILL 4TH ADDN Lot 13 B1k 1
Owner Street 3825 HEATI$R DRIVE
10-14993-130-01
EAGAN NIIV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. Z 1971 Paid Ullde OT1 inal rcel
STREET RESTOR. 7-11 1975 70.69 7.07 10 .l A01208 4-$-8
HARM Street 19 1984 1227.78 245.56 S 1227.78 C008592 10-11-83
**Sewer Lateral M 1984 2136.20 427.24 5 2136.20 " "
SANSEWTRUNK 140 1968 29,60 .99 30 13.92 A01208 4-8-83
SEWER LATERAL TRK 725 1983 237.37 23.74 10 213.64
*SEwer Lateral IDI 1971 32.42 1.62 20 11.36
**WATERMAIN 1984 5
* WATER LATERAL 1971 ZO
WATER AREA 1977 59.19 3.95 15 31.61 A01208 4-8-8
*Stubs 1984 5
STORMSEW TRK 3 1984 323.50 64.70 5 323.50 C008592 10-11-83
* STORM SEW LAT jJ'Jj ZO
**Storm Sew Lat 98
CURB & GUTTER
SIDEWALK
STREET LO6F;r- 1009 . ,
WATER CONN. 420.00 y
BUILDING PER.
SAC 5225
00
PARK .
1
Raoeipt ?->>y MECHANICAL PERMIT Permit No. -
CITY OF EAGAN
Fee
FiJf in numbered spaces S/C
Type or Print /egib/y
Tot.
1. Date 2. Installation Cost
3. Job Address '. Lot i? Blk. ? Tract
4. Owner • x ?' , i' - -
5. Contractor
fi. Address
7. City "
8. Building Type: Residential CO
9. Work Description: New 0
10. Describe
1 11.
State Zip ' 26 ?
Commercial ? Institutional ?
Add ? Alter ? Repair ?
Type
No. Epuioment STU - M. Ea.
Forced Air No. EQUipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CIT'1( OF EAGAN 454-8100
Phone
.? ' i.
,^7i ,
PERMIT#
MECHANICAL PERMIT
RECEIPT #
C CITY O F EAGAN
3830 PILOT KNOB ROAa, EAGAN, MN 55122 DATE: `
CT
ITRA
PRICE: PHONE : 454-8100
Address -' : G,?.
BLDG. TYPE WORK DESCRIPTION
' ? - Block Sec/Suq ?
Res. New
J
Name Muft. Add-on k ,1
Address'
` Comm. Repair .?
City
Phone Other ?
Name FEES
00
RES
HVAC 0-100 M BTU -$24
.
.
Address ADDITIONAL 50 M BTU - 6.00
City Phone 7'-?' ?' ` DES A/C ON NEW
CONSTAU? ON)
50 EA
1 PER PEFiMM - 1
GAS OUTLETS
MIMIMUM
.
.
-
(
E OF WORI( CdMM/IND FEE - 1% OF CONTRAGT FEE
ed Air M BTU APT BLDGS. - CaMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
!r M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Heater M BTU REMODEIS - 12.00
:ond. M BTU $% =-- - MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
. CFM $ (ADD $.50 5/C IF PERMIT PRICE GOES '
Piping Outlets # BEYOND $1,000)
FEE ,,..=?. __? ;• • ? ?'„/': ..--?
,
S/C: > r" PGN RE OF P
TOTAL: 1 2" l ? ?
FOR: CITY OF EAGAN
.._ ...__..._ __._.. _ __ _,_ ?.._.., . .._... .,.?,_.,?_,, _ ._.._ ...._?.,?.
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prin[ legib/y T
t
o
.
1. Date = 2. Installation Cost
3. Job Address ?Lot Blk. Tract
. ?
--
4. Owner
5. Contractor ? ?' ,?/t ? /?i? Phone
6. Address
7. City jState Zip
8. Building 7ype: Residential Q_ Commercial ? Institutional O
9. Work Description: New ? Add ? Alter ? Repair 11
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs., SepticTank
LavUory r 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
Receipt
?J .
PLUMBING PERMIT Permit No. ^
CITY OF EAGAN
Fae
FI!l in numbered spaces S/C
Type or Prini legib/y Tot.
1. Date 2. Installation Cost
3. Job Address Lot Bik. ? Tract
4. Owner
5. Contractor e? 2±:/4 z Phone
Add
e
6
.
r
ss
7. City 7 State ?L??? • Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New O Add ? Alter O Repair O
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
Cesspppl/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. 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 ?' i /i ..
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print /egib/y T
ot.
?
1. Date ` 2. Installation Cost
?'r.
382p
J
b Add
??+r%F
3
f L
? - Blk . , .
T
_
ress
.
o
ot ;
.
l ract
4
Owner
.
5. Contractor Phone
6. Address
7. City State 2ip
8. Building Type: Residential 15 Commercial O Institutional ?
9. Work Description: New ? Add "W Alter O Repair ?
10. aescribe Fuel Type
11.
No. Eauinment BTU - M. Ea.
Forced Air No. EQUiament CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Fi?a
-Inspections: Date? - ?3 Insp.? Date ?? U Lnsp. 12-61
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
71
Receipt -% J MECHANICAL PERMIT Permit Na _-- ?
CITY OF EAGAN
Fee
fill in numbered spaces S/C
Type or Prinr legibly Tot.
t. Date ? 2. Installation Cost
3. Job Address- Lot ?-% Bik. ? Tract
4. Owner
5. Contrac•
6. Address
7. City _
Zip
I
Phone I
State '
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ?
I 10. Describe
I 11.
Type
No. E.quinment BTU - M. Ea.
Forced Air ? No. EQUipment CFM
Ai
dli
H
Mfg. r
an
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
oomply 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 45448100
Alter ? Repair 11
?
m rvame _
-ia Address
c City _
- Name
c Address '
p City
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
PERMIT # ?,fl .
MECHANICAL AERMIT ? RECEiPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100 For Office Use Only:
BLQG. TYPE WORK DESCRIPTION
Seclub Res. " New
?
Muit Atld-on - ?
Comm. Repair
hone Other
Phone
M BTU
M BTU
M BTU
"M BTU
CFM
FEE:
SlC:
TOTAL:
FEES I
RES. HVAC 0-104 M BTU -$24.00 ?
ADDITIONAL 50 M BTU - 6.00 j
(RES. HVAC 1NCLUDES A/C ON NEW A
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMM - 1.50 EA. ?
GOMM/IND FEE - 1% OF CONTRACT FEE ;
APT. BLDGS. - COMM. RATE APPUES +
70WNHOUSE 8 CONDOS - RES. RATE APPLJES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00 ?
MINIMUM COMMERCIAL FEE - 20.00 ?
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000) ?
, ?. . ,. ?..
SIGNATURE OF PERMITTEE
? ' " FOR: CITY OF EAGAN
- ;
Raceipt ' PLUMBING PERMIT ,
Permit No.
CITY OF EAGAN
Fee
FiII in numbered spaces S/C
Type or Print /egib/y
Tot.
1. Date ?'- 2. Installation Cost
?
3. Job Address • ?? Lot Blk. ,.
/ Tract '- ?/ -
4. Owner
5. Contractor ;4j,t/" Phone :%' 1
6. Address kf
r
7. City State l, l? Zip
8. Building Type: Residential Cl- Commercial O Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cessppal/Drainfield
? Bath tubs Septic Tank
LavatOry Softner
snower wen
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 464-8100
Receipt
MECHANICAL PERMIT
CITY OF EAGAN
Fi/l in numbered spaces
Type or Print legibly
Permit No. -
Fee
S/C
Tot. ~
1. Date 2. Installation Cost
1. . ? "
3. Job Address. ` ? ~?r • Lot Blk. ? Tract
L; • '
4. Owner . •
i
5. Contracta& Phone
6. Address
7. City ' State Zip
8. Building Type: Residential El Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe
11.
16
Fuel Type
No, E,puinment 8TU - M. Ea.
Forced Air No. Enuipment CFM
Ai
H
i
Mfg. r
andl
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : - ' fot
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
Receipt ?- - MECHANICAL PERMIT Permit No. -
CITY OF EAGAN
; - Fee ?
Fill in numbered spaces S/C
Type or Print legibly Tot
1. Date 2, Installation Cost
;: -
3. JobAddress" -;' •?•??+ Lot Blk. ! Tract
4. Owner 5. Contractar Phone
6. Address
l
? ? _ ..
7. City State Zip -
$. Building Type: Resideniial C7
9. Work Description: New ?
10. Describe
1 11.
Commercial ? Institutional ?
Add ? Alter ? Repair ?
Type
No. €quioment BTU - M. Ea.
Forced Air - No. Equipment CFM
Ai
li
H
Mfg. and
ng:
r
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. t hereby certify that the above informat+on is true and correci, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : I for
Rough Final
Inspections: Date Insp. Date Insp.
7his is your permit when numbered and approved.
Approved CITY OF EAGAM 454-8100
i
i
R ,
P
M
P
P
ece
pt ermit No.
LU
BING
ERMIT
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly T
ot
1. Date Installation Cost
J
b A
3 /LoL? B
T
.
o
ddress lk.
ract 44k/
4. Owner
?
5. Contractor Phone
6. Address /z? oh]Pv:?? 4 i , /
j4,
i
7. City 4_-,.?
f fL % State Zip
I
8. Building Type: Residential P-' Commercial ? Institutional ?
9. Work Description: New O Add O Alter ? Repair O
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
/ Bath tub6 Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
i
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
Rouyh Final ?
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
k' --
cirY oF E?cAN
? 3795 Hlot Kneb RooJ Eayen, MN 55122 . .. PHONEs 454-8100 ?i
BUILDING PERMIT Rece1pt #
Te be wad 1or E
t V
s
olue Dcte 19
Slte Addreu
Erect Q
Occupa^cY
Lot Block Sec/Sub. Alter ? Zoninfl
Parcel $t Repoir ? Firo Zone
Nome Eniorps ? Type of Const.
W Move
?
# Stories
; Address
b Demolish ? Length
Ci phone Grode p Depth Sq. Ft.
Q Na? Approvals Fte•
r
u? Address
/?ssessment
Permit
~ Cft p?ra Water 8 Sew. Surchorye
oc
N
0 Police Plan check
1
Z
ome Fire SAC
Address
?
I
Enp.
Water Conn
z
<,"
ci phone
Plonner .
Woter Mefer
Council Road Unit
I hereby ocknowledge that I hove reod this applicotion ond state thot Bidfl
Off
the intormation is torrect ond ogree to comply with oll epplicoble .
.
'
Sfnte of Minnesoto Stetutes and City of Eogan Ordinances. ^PC TMaI
Sipnoture of Permittee
A Buiiding Permit is issued to: . . on the exprcss condition thnt
oll work sholl be done in accordonce with all oppliceble Stote of Mlnr? esoto Statutes ond City of Eapan Ordimnces.
Buildinp Official
Psrmit Na Permit Holder Misc. Permit No. Hoider
??? ?
W
Disp.
Sewer
Electrie
Inspection Date Insp. Othar
Footinyt 1'2?j-$2 b
Foundstion
Freminp a ?
Rouyh Plbp.
Rouph HVA
Inwlation
Final Plbg. -Z?•?J !r'
Final HVAC GJaf
Final ?S f
weter Desaibe Location: ?
Well
$eVY6f x
Pr. D'ap.
CITY OF EAGAN
=793 Pilet Kwo` Rood Eoyan, MN 55122 ,-
PHON[: 4644100
.
BUILDING PERMIT Recelpt #
Te " "d F. _ •.. '?.l : Est. Volue , i? n„?e ' ' T , i c
Sfte Address
Lot Block
Sec/Sub.
Porcel #
ac Nome _
W
; ^ddress
? ?-:-. ... , 54-6
cc
0
Ov
V?
?
Name _
Address
Name
Address
I hereby acknowledge that I have read this opplication ond state thot
the intormotion is corred ond ogree to comply with oll opplicable
Stote of Minnesota Stotutes ond Gty of Eogon Ordinonces. .
Erect ? pccuponcy
Alter ? Zoning
Repoir ? Fire Zone
Enlorye p Type of Const.
Move D # Stories
Demotish p Length
Grode ? Depth Sq. Ft.
Approvols F.e.
Assessment _
WOTer & SBW.
Polite
Fire
Enq.
Planner
Council
Bldfl. Off. _
APC
Permit `
Surcharye _
Plon check
SAC
Woter Conn.
Water Meter
Rood Unit
Totol
Sipnature of Pem+ittee I
A 8ullding Pertnif Is Issued ta on the express tondltbn thn+
all work sholl be done in accordorxe with all oppliooble State of Minneaotu Stmutes ond City of Eaqen Ordinances.
Buildinp Officicl ?
Psrmit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C. ? ?QOZ
??(r,'?s
T-C
1-l 3-$3
w.n
w?e..
DisP•
Swwr
e?setrie eVo(olLl-75
s?£ r???•
Z-z?`$'3
Intpaetion Date Insp. Other
Footinyt
Foundetion
Framinp
Rouyh Plbq.
Roud+ HVA
Inwiation
Final Plba .?3 E,?j
Final HVAC
Final ?
Wa"r Dhaibe Location:
YWII ?
Sewer
Pr. Dbp.
BUILDING PERMIT
cirY oF E?C?N
3793 Nlof Knob Rood Eo9an, MN 55122
PHONEs 464-8100
1 af 4 PI.f"?t
:
S4ck
#
57te %lddrcu `
Lot Bixk $ec/Sub.
. ,
Porcel #
,,.
W Name Y '
?
Addrcss
Ci pha,e
Erect
Alter
Repoir
Enlorye
Move
Demolish
Grode
Q
p
?
p
?
?
?
OccuPancY
Zoniny
Firc Zone
Type of Const.
Stories
Length
Depth Sq. Ft.
? p Name APPro vals Fees
z~
?? Addf@u ssessmen
1l t Permit
~ Clt Phone Water d, Sew, Surcharge
?
Nome
a
Police
Plan check
? W
dd Firo SAC
? Z A
ress
Enp.
Water Conn.
<W Ci p}?p1e Plonner Woter Meter
Councfl Rood Unit
I hereby ackrawledge thot I have read this opplication and stote thot Bldg. Off.
rhe information is correct and ogree to comply with oll applicable
Stote of Minrxsoto $tatutes ond City of Ea9on Ordinances. ^PC Total
Sipnaturc of Permittee
A Building Permit Is iuued to: - ,." -• on ths exprest condition thnt
oll work sholl be done in occordonce with oll opplicable State of Minnesota Statutes ond City of Eopan Ordinances.
Buildinq piffcial
m
v .
0
2
d
Z
m
s
a ?
PA
E
$
o
?
-
/? ?
•
•"
E ? zr N +h.
?
C y d OC
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g
o
e ?
c
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L
?
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N
LL LL LL ? ? LL { LL
d
ClTY 0F EAGAN
3795 Pilof Knob Rood EagnR, MM 55122
? PHONE: 454-8100
BUILDING PERMIT
Te 6e wnd for ? i, L.:
Receipt #
$44, 000 . n.,.p ,
?.4 , „ '
$ite Address r J.ve
Esect
?
Octuponcy
Lot ? -
Block Sec/Sub. r i,, -
AIFer
p
Zoning
Parcel # Repoir ? Firo 2one
N , Enlargs ? Type of Const.
W 0'^e Move
?
# Stories
Z
9 Address Demo{iafi ? Length
_ _ City phone Grade p Depth Sq. Ft.
? Name
,o
?? Addre:
F- r:...
Nome
1 hereby acknowfedge that 1 hove read this opplication ond stote that
the information is torrect and agree to comply with oll applicoble
Stote of Minrresoto Stotutes ond City of Eogon Ordinonces.
$ipnaturc of Permittee
A Building Permit Is issued to:
oll work shnll be done in nccordasxe witfi aN
Bulldiny Official
Assessment
Water & Sew.
Politt
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit
Surchorge
Plan check
sac
Woter Conn.
Water Merer
Rood Unit
Total
on tfio express conditton thnr
y of Eapon Ordinances.
Permit f11o. Permit Holder Miac. Permit Na Holder
Plumbing ?'. ? qD (?E yl Z pvojA m Z.?
H.V.A.C. 3 f}(? ?{•? I-
w.u
war??
D'?ap.
Sewer
Electric -? -744q? PAs4-r E (ec 1-7 -r3 4£/?t
w o(cly-7s << ?? z.-zY-?3
Inspection Date Insp. Other
Footings ii-z?,-gz bS
Fou»dation
Framin9 f?
Rough Plbp. _ .8+3 W
Rough HVAC
Insulation 4 ?J
Final Plbg. q j
Final HVAC
Final -?S• c?
Water Deacribe Location:
4YVaI1
Sewer
Pr. Diap. ?
fo eomplp wilh !ha City of Eagon
SEVNER SIERYICE PERMIT
PERMfT NQ -
Connettion (harge:
Account Qeposit: _
Permit Fee:
Surcharge:
-,-p-??
Misc. C:farges:
Totcl: .
Dota Pcid:
CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, MN 65122
Zoning:
Owner:
Address:
S1te AddrESS: :_'c? ! 1' ;? 4
Plumber:
h'4eter No.:
Sixe: Connectian Churge: Reader No.: Account Deposit:
Permit Fee: -
1 egroa M eomPlY wiifi Nha City ef Ea9ae 5urchorge:
adiwenam.
Misc. Chorges: <?'? . - = r
Totnl:
By Date Paid:
Dote of Insp.;
f nsp.;
CITY OF EA6AN WATER SERVICE PERMIT
3795 'ilot Knob Rood PERMIT NO.:
Eogok, MN 55122 DATE:
Zoni;ig: No. of Units;
Owner,
/alddress:
Site Address: -? 1? r
Plumber:
Meter No.: Connection Chorge:
S1Ze: Account De
osit
p
:
Reoder No.: Permit Fee: ?
I n9ree to compip wlth the Ciiy of Eagan Su?charge:
Grdinanw, Misc. Charges: -
Totol:
BY Rate Puid:
Date of Insp.: l„sn_._
WATER SERYICE PERMIT
PERMIT NO.:
DATE:
No. of Units: c
SEWER SERVIGE PERMIT
PERMIT NO.:
? . , .
DATE: ,
ng: No. of Units: • ?" j * _ , _,?,
er.
Address: er Lr L 14 r t 7 r?? t 11. 1 4 t i
f.n.• • , - r___- rTi-11
... -
11/24/82 332:
1 ayres to oomply whb tM City eF Eogon
Oedlneneu.
.. ?r,
' OF EAGAN
Pifof Knob Roed PERMIT NO.:
r MN 35122 DATE: ,
i9: No. of Units: '-'- -
i
r. .
Site Address: ^ 9 77i2a r} e rr 1.11 4r h
Plumber. - - -
T'i;'.
1 agree M eempfy wtlh Hro Ciry of Eogan ConneCtion Charge: L°'
Ordieanem Atcount Deposit:
Permit Fee:
Surcharge: -
BY Misc. Charges:
Dcte of Insp.: Totol:
Connection ChorgB:
Account Depostt:
Permit Fee: '
B 5urchorge:
Y Misc. Chcirges:
Date of Insp.: Totnl:
CITY OF EAGAN SEWER SERVICE PERMIT
8795 Pilot Knob Reaa PERMIT NO.:
Eugor:, MN 55122 DATE:
Zoninp: No. of Units:
O1Nt18r: ?
Address:
. - - ?•?.ti:12Y' ::1' _ ' -
Site Address:
Plumber: 1 agrea fo ewnply with the City of Eaeon Connectton Chor'ge: -
Ordinencee. Account Deposit: _.--
Permit Fee:
Surcharge: -
By Misc. Charges:
Dote of Insp.: Total:
Insp.: Dote Poid: -
WATER SERVICE PERMIT
CITY OF. EAGAN
3795 Pilot Knob Road PERMIT NO.:
Eogvn, MN 55122 . DATE: , .
No. of Units:
Zoning: --
Qwner:
. - . .._ ? ' - . . . .
AddfeSS: T'?..'.rt:PT ?I' T,17
Site Address:
. 7>? e..... _
Plumber: ?• :' ??' . 'l
Meter No.: Connection Charge:
Size: Acwunt Deposit:
permit Fee:
Reader No.:
1 egree to eomP?Y with tl?s Gt?r of Eagan Surcharge:
????. Misc. Chorges:
Total:
Date Paid:
BY ?--- •
SEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOL15, MN 55420 •(952) 881-9000
ADDRESS CIN
OCCUPANT/1
SOLD BV
r
MAKE -PfY11 ?V ("
SERIAL NO. S?i.1 dL'??
FAN SETTING
PILOT TYPE
IGNITION MODEL
PIIOTTIMING
PRESSURE
PERCENT COz
-76
INPUT CFH I U vI
STACK TEMP. ?
GOFM 235 (PEV 11/99)
PERCEN7 Oz
OWNER
INSTALLED 8V
MODEL
HEATING dpg NO. (n I I R Z
TEST RECORD
INPUT `e w 1. 6001?L11*
VENT 5¢E
TYPE OP LWER?? `? ?? '
? (
F
LINER SIZE )
NUMBER 1
FILTERS: ZE
WIHMG n
I J ?0 AY.IYI 0 (ZtDjG
TESTTAG
LIGHl
DATE
COMF
PERCENTCO ? NAME
FORM DISTRIBl1TI0N: WHITE COPV - JOB FILE VELLOW GOPY - CITY
W/REQUEST FOR ELECTRICAL INSPECTlON . Gee-oooo'i/-os
Ii, SBB instructions for Campleting [his larm on Oack ol VBllow copy.
? CJ 'ZPo25?o?
E 44037-8 "X" Belnw Work Covered 6y 7his Fequest
Neviv AdA Reo. Type ol BuilCing Aoaiianroa WireA Enuiumenk Wired
Home Range Temporary Scrvice
Duplex Water Heater Lightiny Fiztures
Apt. BuilAing Dryer Etectric Heatui
Commercial Bldg. Fumace Silo Unloader
• InAustrial BIAg. Air Conditioner Butk Milk Tank
Farm tner oeci v Othtv (SOOdtvl
t er ucclly Other Olhw
Compu[e lnsaection Fee 8elow
M + Pee ServieeEnbanmSize Y Fea Faadms/5u0eeders M Foe Circuits
U to 200 qm 5 0 to 30 qm is 0 m 30 Anms
Above 200 q?nps. 31 to 100 qmps 31 to 100 qm
• Swimming Pool A6ove 100_Amps Above 1(10_AmP:+
TransPormers Irrigation &oorcis 6 Partial,' ee
Signs Special InsUection S1aSb
TOT
emerks ?.Q
Rouph-in Oate I,tha
Insoec+or, nereey
cerlily lhat tM1e above
Fi
nal Date
insoection has been
rreda.
min repuast voi018 montln Irom
This requesl void g/?/ffj?
18 nnnths fwm
E 4.0 3 7?$ .c i?, 8/,/-?,?;n 12112-1 o?
Hequest Da ?
^ ?y
? Fire No. PouPh-in InsVec[ion
Reqwretl?
atly Nuw ? Will Nnlity Inspec-
Wh
t
7
/'? p p ?Yes 1o or
en Ready
r
?icenseA Elec[rical Contractor I hemby repuast insOaction of ebave
? O'vrner elactrieal work installed at:
Sveet Atldress. Box ol Boute No. City
?3i31 rt?.?+nr€,? t??it',? ?l L- ,i
ecuon o. Township Name or No. Ranye No. CouLn^ry
OicuVant (PflINT) Phone No.
Power SuOPlier Atldress
Electrical Contractor fCompanY Nnmel Contrar.tor's License No.
C9'4tAEiC Cc?c.hC?C //L?t?. (??; .2E1`
Mailin0 p.ddress (ConVactor or O ner Making InstailatioN
q 3.3 NDe c dw& _n. ???wt?. ??'i•.? s? ?a.z
Awhoriz 5' nature IContr dtodOwner Makiny Installa?ionl
?
` Phone Numbnr
a
?.c.?
MINNESOTA STATE BOAXD OF ELECTNICITY THIS INSPECTION HEGUEST WILL NOT
BE AC
Griggs-Midwav Bidg. - Noom N•t91 GEPTED BY THE STATE BOARD
UNLESS PROPEfl INSPECTION FEE IS
1821 Universitv Ava.. SL Paul, MN 56104
Phonel6121692-0800 ENCLOSED.
?la? 1?g REQUEST FOR ELECTRICAL INSPECTION
/ See instrvcHuns br comDleting this form on back of Vellow copy
E_1 396 g - -'"X" Below Work Covered by This Request
GEB-00001-06
J' ? S&'?e
:.'17 r1 Tyoe ol8uiltling ApOliancee Wired Equipment Wired
Home Range Temporary Scrvice
Duplex Water Heater Li{7htfnp Fiatures
ApL BuilAing Dryer Electnc Heatrn
Commercial 81dy. Furnaw Silo Unloeder
Industrial BIAg. Air Conditioner Bulk Milk Tnnk
Farm oln«, oeci v ome. iSn???:HVI
[ ¢ SVeci y iner Othm
ompute lnspection Fee Below
# Fee ServicaEntrenceSiie tt Fen Fentlers/5ubfeaders b Fue Circuits
U t0 200 Amps 0 to 30 qm s 0 tn 30 Am>s
Aove 200 qmps 37 to 100 Amps 31 to 100 Am s
imming Pool Above 100-Amps Above 100_P.MPS
Transinrmers Irrigation Eiooms e 50 PartiaLbther Fee
Signs Speciallnspection
TOTA E
Nemarks ?/,'_ an
aouan-in , o:,cz
i, rne v
Inspactor, hemby
/ y.(.-
Final r- V'?? /'wnspection has heen^ I
??b mede.
This repuesl vold 18 monlhs Iro.
This reques[ void 'a YY ?` (:
I8 nlpnl?IS tfOT ? ? Vu
E13969 ?006
uNU.i >VUCUUu
?/"? ? ? Fe ireA1 ? Beatly Now ? Will NoUfy Inspec-
4 y Yes No ? tor When Ready
? Licensed Elec[rical ConVactor 1 hereby requast inspection oi above
Xbwner electrical work inslalled at:
Streei Address, eoz or Houte No.
3 9c2 /4 e r--
b City
ection o. TownshiD Name ov No. Ran9e No. Cour
0. ko
Occupant (PFINT)
11 o h -
v. ??r?a Pho1xne -No.
?'? c?-^ J?
Power SapDlier
.J/Ql\?-dt , 4?5iZ°L`.\T` n Address
Electrical Convactor (COmp2ny Name) C,antractm's License No.
Mailin0.4dAress IContractor or Owner Making Insteilationl
r
Auffior' ' namre ICOnhaclodOwner Makinu Insulla[ionl Phone Number
C--l '_
J O?
MIN4ESOTA STATE BOAPD OP ELECTRIGTY ~ THIS INbPECTION REQVEST WFYtdOT
Griggs-Midway eltlg. - Room N-191 BE ACCEPTED eY THE STATE BOAND
1821 Universitv Ave.. St. Pxul. MN 55104 UNLESS PftOFER INSPEGTION FEE IS
Phona(612) 6420800 ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION
` ' See instructions for completing this form on back of yellow copV.
N'? ??
' X" Be ow ar o ered by This Request
EB-OOOD7-04
.3yst`1
A Nep. Type af Builtling Appliancns Wired Equipment Wired
f-? - e Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloade.r
Industrial Bldg. Air ConAitioner Bulk Miik Tanl<
Farm Ome" oea v ihe. 15necltyl
t 5r Suecity ther Other
Compute lnspec[ion Fee Below
Fee •ServiceEmwnceSize H Fea faxders/Subiexders d Fee p F% Circuits
0 to 200 qm s 0 to 30 Am s 0 to 30 Am
Above 200 qin y. 31 to 100 Ainps ' 31 to 700 q y
Swimming Pool Above 100_Am s Above 100_Amps
TransPOrmers IrrigationBoorns Partial,'Other Fee
Signs Special Inspeciion S
Remarks _? . / . 7 q? FEE?
/ ? 1 _ ?Q
Rough-in De?e ? •
1,011
- ,2 ?1S-? ?, me eia. r.?Cfli
? 7_b-3 ?"?aeCm., na.onv
certify thet the above
Final I Dme inspec[ion nas been
-/ 57?? made.
Tnin reeuest vold 18 monMS irom
hi a4 a o,d.?P-ay cc4-s 3, lyt is -?- t(v,BioC-)-- t, .3ya [7
ie,,Wnins e,om
W 061475 Bis-t, ac- 4L « q4? ?7s ?oo
RHques[ D te
?
? / ?? Fire No. poagh-in Inspection
p nwred?
? ?NO
Ready Nowyn? ?II Notify InsPec-
? / ? When Ready
eesed Electri al Contnctor I hereby raquest insoection of above
Q O ner elecVical work installed at
$freet Address, Bou or Raute No.
- 3i H?kV?„AY City
?'?ce,
eaion o.
Township Name or No.
RanBe No.
County
I I y t-/ Ct.
Occupunt IPqINTj - Phoi?e Nn.
Power $up0lier
?
5- ie
I'
19
1 Atltlress
,
f
1
e-
Electrical ConVactor (Companv Namel 01 Cunhar.mr's License No.
?'/?
?
Gl
c GI& 1AK ;
f
s r
,
re
ri
Mailinq Address ICJonVactor or Owner /t?7yking Instaila[ion) ,
I
. {? / L4._ P'>( ?: / ???. A,2,?l.
/•
Auffiorizpd Signa ure ( onvactodOwner Makine Ins[allation)
C? Phone Number
9IJ--?'SSS
MINNESOTA STATE BOAffD OF {ILECTRICITV -_ ? THIS INSPECTION XEaUEST WILL NOT
Gria9e•Midwav Bltlg. - floom N•197 BE ACCEPTED BV THE STATE BOAXD
7827 University A,oe., St. Peul. MN 56104 UNIESS PROFER iNSPECTION FEE IS
191 o t 1471111 E NC LOSED.
,=,,?tst yoid 1--1 L 13r 731? ?PC'at? µP(I q-1? 33S 3?{
nwnths Imm
w 79947 io.ao
flenuesl D, te. Pire No. Houuh-in InsU?'-r,tion
/ ? fleQ i?ed7 QReLAY Nnw QN`sII Notify,!nspec-
3 ?y?,; [nr When Readv
LicenseA Elecvicvl Contracwr .
I hereby requnst inspection oiabave
? 0`^'^t`r elemnicel wp(k instnllad at
SVeet Address', Box or Route Nn. P ?j tr -c,ty
eciion o. Township NamF. r No. Range No. Cow??y? .
\ \.. t?.. Y tr.
I.JtiJ??w' w
Occ entIPHIN
7o??r?a.5 Phone No,
5? G?973
Powg? up lier ? ?
N Address Vq l.
?,
Ele ical Cnn actor ICOmpany Na el (;m vacmr's Lici= No.
U 7?f c 3
Mairinq AdJress CoMracmr or Owner
?
1,6 Ma inp Instailati?
4utho ? ure ontractor Ownei Making Ins[allatior I
Cc? Phune Number ?
Qo-3ss'
4 STATE BOAiPD OF EaCTqICITV TNIS INSPECTION PEnUEST WILL NOT
y Bldg. - qoom N.T91 BE ACCEPTED BY THE STATE BpqqD
Ave:, St. Pa.l, MN 55104 UNLESS PFOPER INSPECTION FEE IS
•111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ,C ea-ooooi-oa
pp .,.
7 q q/? ? See instnictlons br complating this lorm on back of yellow cnpV. ? ?
X " B?aw Wr?k Covered by This Request `? 7j g,?j'y
Atltl Rep. Type ot Builtlinp Applinnces Wired EnuiVman[ WTred
Htime ftange Temlxrary Service
Duplez Water Heater Lightiny Fixtures
Apt. Buildiny Dryer Electric Heatin
Commercial Bldg Fumace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tank
Farm O[ner 5neuty Olhe' (5ucr.ltyl
thur ?SUCCi?Y U1her Othor
Co/npute Inspection Fee Below
Fee ServicaEntrenceSize p Fae Feetlors/SuMeedens N Poe Circuits
0 ro 100 Am s 0 to 30 Am>s 0 to 30 Am s
101 to 200 qmps 31 to 100 Amps 31 to 100 Am s
Above 200 qmps Above 100_Amps Ahove 700_AnrrPS
Translormers Remote Control Circ. Partial%Other Fee
Signs Special Inspection
Re:m.?rks OT? ?
l M?
) r
Rough-in Dnie
I, the Electrical
Inspector, hnreby
certify tha[ the above
Final D/ate x - spxction has bean
This requast void
itl monNS frnm
Tex#ifirtt#r o# (Orr?panry
Citp of eagan
3hpartmrnf of iguilding 3nsprrticm
Tbit CrrtiftC[{ll J33#[lI PJN7flNi71 i0 tIX 1[lIYHMKn7J of Strtion 306 of the Uniform Building
Code urti f ying that at thc time of iJSUarur tbit ttrrutura wat irs romPliance witb tbe va+ioar
ordiwrua o/ thr City regHlating building connrunioa w ure. For the fnllowing:
wchwo1 of 4 PLEX BId6. ft^^?t No. 7691
??m
o-w?TYro R3 TYV. coo?uon V FlnZan NA zoNOtu?wd PD
a„worwud„g Tollefson Builders Ad? 1655 Norwood Dr. Eagan
3831 Heather Drive L..bryLot 16 Block 1.Briar Aill
?iQO IL??D ? 4th
April 29 1983
YL
.o.. ,. . .,.. ..,-
?_ .?r. ,?. .? r.,?.?. 'r _ - ?•:,?.,,s.,.
(grx#tfirtt#r nf (Orrupttnry
Citp of Cagan
Orpttrfmrnf nf Builhing jJnsprrtinn
Tbit CerJificate iraued puriauni to the reguirrnatnu nf Section 306 of the Uniform Burlding
Code enti fyrng that at the time of irruanrt tbir rtrrrrturr wat in tom pliana witb the variuur
ordinanra of the City regulating building connrurtron ar urr. For the follmuing:
Un chdr.,m 1 of 4 PLEX bia` Pe,,,,;t N. 7689
0=?'hve R3 TYwc?n. V F;,.z?. T'A z?q wma PD
a,waMm,a Tollefson BuildersAda.1655 Norwood Drive, Eagan
?o?, .. _. .. . _ . ., _. . - - • -- --
(?tx#ifirttte of (Orrupttnry
titp uf (Eagan
Drpttrfmrttf nf i.?uilhing 3nsprriimi
Tbii CMifirate irsued partnasnt to tbe nquircmrnu of Srrtion 906 of thr Uniform Building
Coda catifying that at tlx time of inuatut tbit ttruitsie wat in corrspliante wrtb the variour
o'dinanru a f thr Cuy rrgaluting building ronttrrution ar ure. For the following:
uHC?r.nm 1 of 4 PLEX
7688
Omwarryp R3 rywc?um v FiRuo. NA z?,wmn PD
a...fya"` Tollefson Builders ?aa,a1655 Norwood Dr. , EaQan
H„Dd,,?3825 Heather Drive L?trLot 13,Block 1,Briar Hill
4th
March 25, 1983
.o. ?. . ?..??„a. ..,?.
-_
CIT' OF EAGAN
9793 Pllof Kne6 Rmd Ea9an. MN 55122 NO 7688
PHONEs I54-8100 -
BUILDING PERMIT Recelpf #
To M u*d hr_ 1 of 4 FLER Est. Volue $44, 000 pate Novembex 24 1982
Site Address 38 5 H a hrilrive E R-3
rect x] Octuponcy _
Lot 13 glak 1 Sec/Sub. $x'1sT H11Z 4th Alter ? Zoning PD
porcel .# 10 14993 130 Ol Repoir ? Fire Zore NA
Enlarge ? Type of Const. V
W Name To11ef80n Builders Move ? # Stories
;
b Addreu 1655 Norwood Drive Demolish ? Length._44_ ,
p Ea gan 55122
Phone 454-6873
Grade
?
Depth__32_Sq.
Ft.-
p Nome OwI10I Avvroral$ . .. ... . Feea
i? Address
r- ?:...
Nome _
Address
Assessment _
Woter 8 Sew.
Police
Fire
Erp.
Plonner _
Council _
I hereby ocknowledge thot I hove read this opplicotion ond state that gldg. Off.
the inlormotion is correct ond ogree to camply with oll opplicoble
Sfate of Minnewta 5lotutes ond City of Ea9an Ordinonces. APC -
Signoture of Permittee
pemit 2:)O.VV
$urcMrge 22.00
Plan check 128.00
SAC 525.00
Woter Conn 420. DO
Water Merer 60.00
Road Unif 240.00
Torol $1651.00
A Building Permit is issued to: TOI4Cf90II Elli TS on the express wnditlon Ihnr
oll work shall be done. in accordonce with oll oble al of Minnesota Statutes end City of Eogan Ordinances.
Bullding OfHciol
CITY OF EAGAN
, - 3793 Plle! Knob Reod Eagan, MN 55I23 N9 7689
BUILDING PNONE: 431-8100
PERMIT -
Receipt
te ba wea w. 1 of 4 PLEX esr vciue $44,000 p,te November 24 1y 82
Sire Address 3827 Heather Drive
E
R-3
rect a,] Octupancy
Lor 14_ Btock _L_ Sec/Sub. BYiat Hill 4th qlter p Zonirq PD
parcel # 10 14993 140 Ol Repa+r ? Flre Zone NA
rc Name follefson Buildeia Enlarge ? Type ot Consr. V
Move ? # Stories
;
b Addres 1655 Norwood DTive Demolish ? Length44_
G pr,o,k _ 454-6873 Groda
?
Depth._32_Sq. Ft.-
p Nume Ow1er Approrala Foes
F
i
-0
256
U Address Assessment .
Permit
~ CI PFwne
Woter 8 Sew. ZZ.OQ
SurcFwrpe
G Police plan check 128.00
?Z Nome Fire SAC 525.00
Z
Address
'iu
Eng.
Water Conn420 .OQ
?
Ci Phono Plonner Wafer Meter 60.00
Council Rood Unit 240.00
1 hereby ackrrowledge that I have read this application and stote thot Bldg. Off.
the inlormotion is correcf and n9ree fo comply with all opplicoble 1651
00
State of Minnetoto Stotutes and City of Eogan Ordirwnces. APC .
Totol
Slgnoture of Pertnittea
A Building Permif Is issued ra: Tollefson Builders on tha express corditlon thnt
oll work shall be done in occordonce with al? appli le 5 M f Minnesofa Statutes and City of Eogan Ordinances.
Building Off7cfol " p??„_, .,, ,.
CITY OF EAGAN _
, 3795 Pllet Knob Rwd Eogon, MN 55I12 N9 7690
PHONE; 454.8100 -
BUILDING PERMIT ReceiPt # 33.f:A,`L
To 4 und fer 7 nf 4 PLEX Est. Volue 544,000 Oate NovembeL 24
82
19
Site Address 3829 Hea ther DIiVe E R-3
rect Occupancy
Lot 15 Block 1 See/Sub.Briai Hill 4th Alter ? Zoning PD
Porcel # 10 14493 150 Ol Repotr ? Fire Zone NA
V
Name Tollef9on Builder8 Enlorge ? Type of Const.
W Ivbve ? # Stories
; Address 1655 Nort?ood Dzive Demolish ? Length-?
? ci EBgaII 55122 phon, 454-6873 Grade ? Depth---V-Sq. Ft.-
? O Name ?leL Approvals Faes
?u Addrea Assessment Permit Z •
~ Cit Phone Woter & Sew. Surcharge 22.00
Police Plon check 128.00
?Z Nome $2$
00
Fire SAC •
?Z Address Eng . W t ? 420.00
<W CI Phone Plonner-
Council _
I hereby ocknowledge fhot 1 hove reod this opplicotion ond stote that Bldg
Off
fhe intormotion is correct and ogree fo wmply with all applicable .
. _
Stofe of MinnesoM $tatutes and City of Eogan Ordinonces. APC
SiOnnture of Permittee
A Building Permit Is issued to: _
oll work zholl be done in occordonce
Bulidinp pfficiol
o er nn.
WoterMeter 60•00
Road Unit 240.00
Tm,i $1651.00
caavu uu ucia on the express Condition Ihnt
oll op{?lica e tore of Minnewto Sratutes ord City of Eagan Ordinancea.
CITY OF EAGAN
, 9793 Pilef Knob Road Eagan, MN 53121 N? 7?'j 91
PHONE: 454-8100 -
BUILDING PERMjT Receipt
Te M wed ler,l of 4 PLEIC Est.Value $44.060 pafe November 24 19 82
5ire nedress 3831 Heather Drive R-3
Erett X( Octupancy
Lot 16 81«k 1 Sec/Su6. BtiBi Iiill 4th Alrer ? Zoning PD
Parcel # 10 14993 160 Ol Repolr ? Flre Zone NA
rc Nome To12e ders Eniorga p rYce ar cann. v
; Address 1655 Norwood Drive
b
C; Eagan 55122 phone 454-6873
o Name OWner
?
?? Address
Nome _
Address
I here6y ackrwwledge that I have rend rhis opplicution ond state tFwf
Ihe information is correct ond agree fo wmply wifh oll opplicoble
Stafe of Minnesoto Statutes and Ciry of Eogan Ordirwnces.
Sienoture of Permittee
A Buliding Permit Is issued to: TOllej
all work shall be done in accordonce with all
Building Officlol L
Move ? # Stories _
Demolish ? Length44-
Grode ? Depth-32_Sq. Ft.-
Apprerals Feos
Assessment Pertnit '
Wafer & Sew. SurcFarge 22-00
Police Plan check 12 A - 00
Firc SAC 5?S_00
Eng. WaterConn.470_Ofl
Clonner WaterMeter fin_nn
Council Road Unit 740 l1f1
Bldg. Off.
nrc roroi $1651.00
on t ha express conditlon Ihm
iewta Stututes ond City of Eogan Ordinances.
Tallefeon Euildere Inc. ' Or.11359
183-73
h .
` JACKSON - SURVEYORS
i
Y.
RE61ST[REO UNO[N LAWi OF STATE OF MINN[OpT11
II 3616 EAST 55th STREET, MINNEAPOLIS, MN 55417 727-3484 ILP r
? 44 iburbepor's iCcrtificate
D R 1 `
% ?- .. a .\ ?? _•' ^ T •\ ` ,,,•'
- - -- ? x is T/,v, nL
? `% ? ??Sr ? ' ,? ??, kG • a ??? ?'SS ? ?
_ ? t, : 1r(.•?... ?r? p??/n ? c. 'I.-? ? ? ? !?';l?? ` ' q ? 'l F r?? F--`_.-- ? ? . ? ? l ? ? ?
IN
/ ? ; r•J i+
• ?D v' i`<-,
?
?- ; -
'.?
``;)
Propoead Gaeage F2oor Blev; 96.0
Pzopaaed baseman[ Floor Elev. 96.37
Propased Pitat Floar Elev. 103.37
I NEREBY C[RTIIY THAT TXL ABOV[ Ip A TNUF AND COHR[C? ?T OF A SURVLY OF '
Loca 73,14.15,16, Block 1, 6riar Hiil Addieton,
Dakota Countq, Minnea3ta
Af BURVEYEp !Y ME TMIB_._ 8ch_.DAY OF?_N?V
1982
?
SIGHEO
F. C. UGKSON. t:SOA R[OIiTMT10N, No. 3600
&5-1 88
2004 RESIDENTIAL PLUMBING PERMtT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
l5 . S U
Date Y'_ I 5 1 6 Z
Site Street Address Unit #
Property Owner ?S?L9Le9-E? oC-"? Telephone #(?5f
Contractor W ?eTefephone #&5(
Address ?3/0 70 lQ,';4L& V,60. City State_?W4 Zip,1561A-3
The Applicant is: _ Owner _?Contractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other: $ 50.00
_ Water So ener '-Water Heatar
_ replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Total $ /S.5d
I hereby apply for a Residential Plumbing Permit and acknowiedge that the information is compiete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start wifhout a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
I Y l 4 . T \
ApplicanYs Pri ted Nam ;
l1?? Q'J?? ? 11004 1_
,(?,.?i ./ .?CS ILo n M
Ap icanYs Sig ture
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CITY (]T' r.4C',AN Include 2 sets of plans,
1 site plan w/elevationa i
HUIIDTNG PEFAflT APPLICATION 1 set af eJtecgy calculatj.mg,
Valuationr Date //-
CO&ICE USF. ONLY
1.ot ?!'? $lOdc „? Sec./Stab. wapulcy ?
raroel ?: 1S? 1q? q ??.. Ia? ?? /- zon;,,g ?
Aexils Fire Zone
Owner: Enlarge _ 7ype o£ Oonst.
Jlddreaa: Move N Stories ._`
(Yt](/Zip Qode: --- lish _ Front
Grcide Depth 3 ? ft.
PhDne i: _
Ca[1trOCb0Ii `/
11dds+eeYi lb'
atY/ZiP 07ds:
PArna f : -
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Maress: a
City/Zip Ctx]e:
Yhcme 1:
?T Watex/Sewer SutChaxge ?? > ob
l;olice Plan Che,ck
5"J°7aa.Fire SAC
Eng. Water Conn,
PlaruZr Watex Metes /?) ?
C?ouncil I?oad Unit
Blc3g. Off. ?..??
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COMMERCIAL
BUII.DING PERNIIT APPLICATION
' CITY OF EAGAN
651-681-4675
Foundation Onl New Construction Interior Im rovement
• SWCWreIPlans (2) sets . ArchitecturalPlans (2)sets • ArchiteciuralPlans (2)seis
-
• CivilPlans (2) • SWCturalPlans (2) • CodeMalysis' (1) •'
• Certificale of Survey (1) • Civil Plans (2) • Project Specs (1)
• Cade Malysis (1) " • Landscaping Plans (2) • Key Plan (t)
• Projec[ Specs (1) • Code Malysis (7) " • Master Ecit Plan (1)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy CalculaGons (1) notaiways"
• Soils Report (1) • Spec. Insp. 8 Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always"
. Meter size must be esWblished . Meter size must be esWblished • Meter size must be establishe^ - i' applicable
• ProjectSpecs (1)
! • EnergyCalculations (1)
1 . ElecMe Power & Lighting Fortn (1) •• 1
! . Master Exit Plan (1) 1
1 . Flre Protectlon Plan (1)" 1
1 • Sails Report (1) 1
• MC/ES SAC determination letter . MClES SAC detertninatlon letter • MClE5 SAC determination letter
ca11651•602-1000 p11651-602-1000 call 651-602-7000
" Contact Buiiding Inspections for sampie
Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota Departmen[ of Health - call 651-215-0700 for clet9js.
DATE (04 -d? WORK TYPE _ NEW ? REMODEL CONSTRUCTION COS?
SITEADDRESS ??CZS 1 3Sa1J 3ga.-°li I ['1Coclk}' DY
TENANT NAME hd" 10.y' COYIdO SUITE #
FORMER TENANT NAME
DESCRIPTION OF WORK R3ky64
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Nazne:T?Y" ? fylg?b1Q@-(7l Phone#:(?SI -7- 9oZ?C3
Last First
Sueet Address ? g0(1 Yf ?Il?'?,Q Y bJ' I
City ?R State v'n Yl Zip 'C 's 1 a'2
Company Y ' \ 1 tt ft'Ok r(m, . co- Phone # J( la ) 7 .), J - ) J L-7
Sueet
U
` C ?C?b.6
City ? ? `S J State m n Zip ?
i
Company _
Name
Street Address
City Licensed plumber installing new sewer/water service: Phone #:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant
Updated 1!f
(P?
Phone # (_
Registration #
State
OFFICE USE ONLY
SUBTYPE
? 01 Foundation
? 14 Apartments
? 15 Lodging
? 25 Misceilaneous
WORK TYPE
0 31 New ?
0 32 Addition ?
? 33 Aiterations ?
? 34 Replacement ?
? 26 Public Facility ? 30 Accessory Bldg.
? 27 Commercial/lndustrial ? 32 Ext Alt - Apts.
? 28 Greenhouse ? 34 Ext Alt - Comm.
? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
35 Tenant Impr ? 42 Demolish (Found) ? 46 Windows/Doors
36 Move Bldg ? 43 Reroof u 47 Repair
37 Demolish (Bidg) ? 44 Siding ? 48 Authorization
38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code
SAC Code
No. of Units
No. of 81dgs.
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floor sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Building
sq.ft.
sq. ft.
sq. ft.
sq. ft.
MC/ES System
City Water
Fire Sprinklered
? Insulation ? Plumbing ? Stucco/Stone
Engineering Variance
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
VALUATION $
% SAC
SAC Units
Meter Size
Total
? ivw zv °7 sz 2-3 (a
? .? TRAIL EASEMENT
TRES INDENTURE made and enterec into thia ? aay of APRIL ,
19?6, by and between JON J. ANDERSON, a single person , ae Grantor ,
and the CITY OF EAGAN, Dakota County, Minneaota, as Grantee.
47ITNESSETH WHEREAS, saia Grantor is74119 the owner of the tracts of Land
in [he City of Eagan, Dakota Countq, Minnesata, Legally aescribea ae foLlows:
Proposed trailway easement over that part of Lot 16, Block l, BRIAR HILL 4TH ADDITION,
Dakota County, MN, lying southeasterly of the following described line:
Beginning at a point on the westerly line of said Lot 16, distant 44.61 feet, north-
westerly from the most southwest corner of said Lot.16; thence running northeasterly
to a point on the northeasterly line of said Lot 16, distant 40.69 feet, northwesterly
from the most southeasterly corner of said Lot 16, and said line there terminating.
NOW THEREFORE, the saitl Granior in consiAeratioa of One ($1.00) Dollar
ana other gooa ana valuabte cooaiaeration to liim paia by G_an[ee,
receipt whereof is hereby acknowLeaged, hereby conveys, warrants and deaicates
to saia Grantee, i[s heirs and assigns, for trail purposea, together with the
unrestricten right to improve the same, free ana clear of all encumbrances,
the aDOVe describeG trac[s of lana.
The Grantor , for himself , his heics, execucors,
aAministratora and assigns, aoes covenant never to cut, oamage, destroy or
removz any Cree or shrub or o[her natural growth upon the hereinbefore
aescribea premises for the continuance of this easement, and aoes hereby grant
ana convey to the saia City of Eagan a11 grasses, shrubs, treea and natural
growth now eais[ing on saia lanas or that may be hereafter plantea or grown
thereon.
The Grantor_, for himself ? his heira, executors,
aaminiatrators and asaigns do, hereby release the saia City oE Eagan,
its succeasors ana assigns, from all ciaims for any and all damagea
resulting to the lanas through and acroas which the parcel of lana hereby
conveyea is locatea ey reason of the location, grading, construction,
maintenance, and use of a public trail over and upon the premisea hereby
conveyea ana from the usea inciaent thereto, and the saia City of Eagan shatL
have the right to use and remove all earth and other materials Lqing within
the parcel of Lana hereby conveyea and che right to construct ana maintain,
upoe tt:e !aaas aa,7oia±ne the garce! hereby conveyea, such portabte snov Fences
during auch months as weather conaitions make neceasary.
All stumpa and other tlebris resulting from the clearing of the right-of-
way will be aisposea of by Grantee by burning or otherwise, accoraing to Law.
The Grantee shall have the
trait as are aeemee necessary
loca[e them for public uae.
IN WITNESS WHEREOP, said
aeal_ the aay and year firat a
right to poet auch eigna and postera along said
and auitable to aefine the above lanas and
Grantor has hereunto ae[ h15 hana and
love written.
C ?. ? 4l?flV
Jo /,I, Anderson
V
r
hy
STATE OF MINNESOTA)
) sa.
COUNTY OF ?AKOTA )
On thia I
i ? aay of APRIL , 19 86
within and for saia County, personally appeared J0
known to De the person(s) aeacribeu
inscrument ana acknowieagea that he
and aeeu.
(5 EAL)
THIS DOCIIMENT DRAFfE? BY:
Hauge, Eiae a Ke11er, P.A.
Suite 303, Water View Office Tower
1200 Yankee Dooaie Roaa
Eagan, MN 55123
(612) 456-9000
befdre?me a Notary PubLic
.I
1 ? to me personally
in antl who execu ed the foregoing
_ e cucea Che same as his free act
/
I-7
o ry Public
AAnn?/?AnMAAAAAntihAAAv,aAAA?
CAR2!E E. SYBRA';T
NOTARY NI]PUl, MI"?;rSOTp ?
? PA?OTq CO'I?dfY
EYPI4E5 5-23-91
?
V G'V"G`v'V ?V'v `J''?VG`?V V?7C"`J' G7?'?G?
EXEMPT FROM STATE DEED TA% STAMPS
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THIS INDBNTUBE made ana enterea ineo chis ?21 aay of --L11AY .
6 , by and between .TOHN S. COUCHMAN, a sinqTeperson , as Gran[or-,
1
ana the CITY OF EAGM , Dakota Couoty, Minneeota, as Crantee.
WITNESSETH WHEQEAS, eaia Crantor is/Ririt the ovner oF the tracts of lana
ie the City of Eagan, Dakoca County, Ninneaoca, Legalty aeeccibae ae folLowa:
That part of Lot 15, Block 1, BRIAR HILL 4TH ADDITION, Dakota County, MN, lying 1 2.50
feet southeasterly of and parallel with the following descritied 1ine: Beginning at a
point on the southwesterly line of said Lot 15, distant 40.69 feet northwesterly from
the most southerly corner of said Lot 15; thenc6 running northeasterly to a point on
the northeasterly line oP said Lot 15, distant 29.64 feet northwesterly from the most
easterly corner of said Lot 15, and said line there terminating. Above trailway ease-
ment depicts the bla kto dri wa as laid out a d i s1??.Dotlar
a[or in conai°der??l?ti # ?e
iG
R
RE
T
r
, t
e a
NOIJ THE
6FO
ana o[her gooa and valuaDie consiaera[ian co fi 1m paia by Gran[ee,
receip[ vhereof is hereby acknovLeagee, herebq conveye, warranta and aeaicacee
to said Gtantee, ita heira ana aesigns, for trail purposea, [ogether wi[h [he
unreatrictea right co improve the same, free and clear of all eacumbrancea,
[he above CescribeG CracCS of Lana.
The Grantor , for himself , fiis heirs, executors,
aaministra[ors and asaigns, aces covenant never to cut, aamage, aea[roy or
rzmove any [ree or shrub or other na[ural growth upon the hereinbefore
aescribea premises for the continuance of this easement, and a%LhereCy grant
ana convey [o the saia City of Eagan all grasaes, ahrubs, tceee and na[ural
growth nov eaisting on saiC Laaae or that may be hereafter plantea or grown
thereon.
The Grantor , for fiimsel4 , his heirs, eaecutore,
aGministratars and aseigna ao es hereby releaee the saiA City of Eagan,
its euccessore aan aesigna, froa a11 claime for any ana all aamagea
reaulting to the lanas [hrough and acroas which the parcel of lana hereby
conveyea is locatea by reason of the locacion, graaing, construction,
maintenance, and use of a puDlic trail over anu upon the premiaea hereby
conveyea ana from the uses inciaent thereto, and the saia City of Eagan ehalt
have the right to uae and remove ail ear[h an4,other materials lyiag vithia
the parcei of lane hereby conveyea and the right ta construct ana maintain,
upon the lanas aejoining the parcel hereby conveyeC, auch portable anat fences
auring such monthe ae weacher conaitions make aecessary.
A11 atumps and o[her aebria reaulting from the clearing of the right-of-
vay vill be aispoaea of by Grantee Dy Durning or atherviee, accoraing [o tav.
The Gran[ee ahall have the right to poet auch aigna and poetere along saia
trail ae are ueemeu neceseary ana auitable to define the above lanas and
locate them for puDlic use. '
IN WITNESS WHERBOF, eaid Grantor hae hereunto aet his hana_ and
seal the oay and year firat above vritteo.
John S. CoucFunan
!
.l .
STATE OP MINNESOTA)
) 9B.
COUNTY OF DAKOTA )
On [his -
P I aay of
within and for saiq County
person
known to be the person(s)
inecrument ana acknowleagea
ana ceee.
19 86 Defore me a Notary Pubtic
, persanallq appearea SOHN S. COUCHMAN, a sinele
to me pereonally
aeecriDed in ana who executea the faregoing
[hat -he- executea the same as h is free act
(S E A L )
N ry Publi
..............+..
THIS DOCUMENT DRAETED BY: JOHN J. NIEHAUS
Hauge, Eiae e ReLier, P.A. NOTARYPU6LIC-MINNEEO?A
Sui[e 303, tJater View Office Tower MENNEPINCOUNTY
1200 Yankee DooaLe Roaa MYCOMMiliIOM[IPlApAPR. ). 1991
Eagan, MIIi 55123
(612) 456-9000
EREMPT FROM STATE DEED TS% STAMPS
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cyanacye.
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f4e bvowc "e and noved in,;Ady. 1. 7 986 wad nia. 5#eeie iWe 2epeaf?
vri everunq,a uiod mePJtenal,o dvne tir.e above mer+.fioned
9?pvke ,tn TcucwlC Fn.i.ed.Cey muL )vn flndezjon o? l9Air4h.i,LL Nvmeo+wte-z4 _
As.avciu.t,ivn anet ti+.e?
y ne4'ezn.el Ae tn the Ci,? °i ?°`lan. a4.the? aa<d i?t ?e.e r
to Fir.e ci,?y o? yys.i to Eulze cate vf vivL?n.o o? code arad fn enpace #heqe
lau?e .
INe fuope wu aaa ae.ov?zve_fltia_plzo6Lem Qnd #uiun vuie n.ei.yhGon/wod in.to
a_Nerzcand t?uLet ae.oiden.tia,L a2ea.. -
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0 3827 /lea#h.ek.112.,
I?rirvieoo#a 55122
-456=0(Y26--- - - --
- I
Use BLUE or BLACK Ink
_
For OfficeUae----__`-
Cit of Eap ; Permit#: V j
I Permit Fee: 7, 2~; I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 676.5675 i Staff:
Fax: (651) 675-5694 1 I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9- ,2 7 - Jt Site Address: 3826. 7. A 9 "3 1 1l Z4 rN G2 R Unit
Name: 'o ~9 SSoC„1 -gJ01 at MA&7-. ~TwA)1, SOCtPhone: 3-Yf~/-37z?
Q Itl11 Address/City/Zip: 70-1 R e- FS/y Ati . 02AP4L 6P_ovL,
Applicant is: Owner ~C Contractor
Description of work: ~v /1 L- a
TYPE OF:1AlPkK::' -
Construction Cost: Multi-Family Building: (Yes , / No )
Company 13£i ~X7.42,10/2 r►'JA,aT. ~o.2A, Contact: t4wvs
. „ Address: V0 S L+.f fyo ,c~ -5 City: /r1 P` 5
C4N'[F4~1~r~'aR
State, .t~ Zip: 14 Phone:
License 't 40 / -3 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor., Phone:
Sewer & Water Contractor: Phone:
NQTE 0011 n ,a + !RIBA SIR w t +1:,AaWw' ar nsi?t d fit? ifi 1fw~? Qr?nat1 iR' I~tion t
the ~gfadrJlRipni 11!~rfx~MJDufli Pf,y! stride; ~qwe ►~sos' GhatIE!~;JR tbl Clo
ctiaiacJude.fJ!Tatthe , 8J<e'; recta ect-ets":,'
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.oooherstateonecall.orit
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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit Issued In accordance with the Minnesota S to Buildln Code must be completed within 180
days of permit Issuance.
x ~A✓i~ ~u2.2J„s x C -
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Z0 3Jyd 1NIVW ZIOIdEliX3 I3S L9Z9Z98ZZ9 Z£:9Z ZZOZ/LZ/60
*tor
3830 Peet Knob Road
Eagan MN $1122
Phone: (161) 816.6671
NCIC (061) 67640114
Use BLUE or BLACK Ink
. For Mho Use
Permit R
Permit Feu
Chloe Recent
atet
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
She Address: 'MC, ax,, 38).9x,383/ 17144 rw z R. DR- unite
•Name: D A C7- /f1,1 A.14 6 t u % .7� phpn0: 74
Address / City /Zip:
i5be. r� LU Q / x� p Pi4E4 ('4KU-41
Applicant is: Owner Contractor
:.,.,•• : a �
.,* t)OscripHon otwatc -7-sr*2 0,-F.j L -
` Construction Cost 19, A OIL set) Multi -Family Building: (Yes / No
YEW
Company: tE ! Eft7-fJZ/oee ft1d, . 64th contact. Zvi s %%0 t
more= Vol' (.3 64,11 77.
//'/x4 Zgp: .S.S'v/ 9 Phone: tp/z - r ' (a.2 X'
License*: ,et .4!//3 / Lead Certificate #:
If the project is exempt from lead certification, please captain why: (see Page 3 for additional Information)
Ur-blipsL3 LIU: Q ) r 4 r Post- / 9 9 t'
MPLS.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In th. test 12 months, Irea ttte Ctty antigen keened a permit for 1r similar plan based on a master plan?
Yes _No If yes, dile and address of master plan:
Licensed Plumber. Phone:
Mechanical Contractor: Phone:
Sower & Water Contractor: Pho
1101
•
t,�a ► r k.. _ - at �yy}r j� r ° - a
�_'N'f �Q f•• r'%. ,-11�VM�2�'ct/�' �g��'_ �, _... ,';
before you Call Gopher Ikets One Cell at (461)48‘0002 for protection ageing underground utllib de rope. 0,41 48 buss
rrso0i n locates of underground talities. wrimeeloomtuumm12111
i hereby c *
8 dedph> that tie information is complete and azure* Shit the work wall be in confonnanos wqh the ordinances and outs all* Ow of
Ea an ern roe undendand 6s a nMut but onIY en application for a yam* and work is not to start without a west awl the worts w�Nl bo fir
plan h ma ewe dweek wniCti Aware. a s 4.w gond appaiw d Plano.
drill of pone" lesuence
Exterior work ardierined
A building permit WNW In accordance welt the Minnesota State Code must be completed within 180
•
APpNCaM'a ptin0ir! Nana's ✓
Applleaara Signature
•
t'0/TO 3Etd
Pagel d8
1NIVW lX3 I3S L9Z9198ZT9 9E:TT ETOZ/LZ/TT
411° City of itan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (851) 675-5675
Fax; (651) 6756694
Use BLUE or BLACK Ink
For Office Use
Permit#: 1 a I
Permit Fee: 0-I
1,
Date Received_ —1 j 1 ilkf
Staft
J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - ! / Site Address: 3 5'x s , 381'7, 3 2 Z. 9 , 3 el 1 HeAl Th/XA- 62. units:
Rettiident/
Owner
.
J Name: Cie '4 ' "8,1 4 (2z tx L 4-7-- ,2- .; Cr one; Ire 3 - $771— 9 7 70
Address / City / Zip: 8SO D E est U 2 Ay, A), ,1 A 61)46S.a 1/4441 r ttA)
SS' V.I.7
Applicant is: _ Owner Contractor
T 6f:Work hock
yp'
'
Description of work: R f.� a L a- {Z.E Pc. rtc f.. SC J / 4) Lb P",d9 C. 4 /4 % r4 L
Construction Cost: / YOD, OlD Multi -Family Building: (Yes .,1 No
.
Contactor
.
Company: a £ 1 &' r Lei R 2 in*, •J7 . Co aP. Contact nA ✓, a ad 2R0 S
Address: sV° LTJ 4,6/4.1.Jr- City: m P. �
State: 1"20 Bp: 5i // 9 Phone: lg./ z ' ' !a / - ea 2 V3
License #: 'S C- Z Y/ / 3 i Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
ill- toS_ 11ul4,•Y Po5J' Js7r
In the last 12 months,
_Yes __No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUIL i ING
has the City of Eagan Issued a permit fora similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
ani , 'o�G` ifro t*
> NOTE; Pitt i !: Yec/asglao!>,
• ..:.. lk'lRra+ap.aP� d,
..; tiltet:(lY:
ALL BEFORE YOU DIG. can Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 tours
before you Intend to dig to receive locates of underground utilities, www:nooherstateonecall.oro
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 1 understand elle is not a ponnit• but only an application fora 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 Buttdtn Code must be completed within 1a0
days of permit issuance.
x 14• ✓'
Applicant's Printed Name
C0/T0 39 c1
x
Applicants Signature
Page 1 of 3
INICW lX3 I3a L9Z9T98ZT9 90.60 ItOZ/L0/00