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3828 Heather Dr41,1 City of Eel 3830 Pilot Knob Road Eagan MN 56122 Phone: (651) 675-5675 Fax: (651) 6754684 RECEIVED APR 1 1 2014 Use BLUE or BLACK Ink For Office Use I Permit*: 40` 56 I Permit Fee: Date Received: ` i "1 T /1Y - Staff. t f I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: y' 9-/'-/ SIM Address: 3 R z8 kat/1k i)I' . Unit d: ' Resided( Owner Name: Cob / 1 /)7» 4 6£ 0( L ..1-r «. c. Phone: 763 - 5-71— 9 h 7 0 Address/City/Zip: gS0 bzci4,-L) ft. A✓, Aj, 4A 6o4D£sJ 144,1,iY AIA) Applicant is: Owner 'Contractor Type OA�:Wot'IC Description of work: R2 Pi -ACC / C0 /,. ► AQ 43 ' Construction Cost Multi -Family Building: (Yee,, / No Contractor . Company: {io £ 1 ex- r t:.e/ a 2 Mt> .PT . Ce a Contact: LA ✓, 0 a.12tZi S Address: 11P -3-(,J tc'0U. f.7-- City: /ym PL S Stats: /VAS Zip: S'S"y/ 9 Phone:. to/ .t • ar 4/-6, 2 ¥. License #: 4 C-- 21/// U / Lead Certificate: e: If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information) c,NtoS. ii..?it,r Pose /.77r In the last 12 months, _Yes No If Licensed Plumber: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan Issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Phone: Mechanical Contractor. Viewer I Water Contractor: Phone: Phone: NOTE. Ireand"" ii r. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 461.0002 for protection against underground udlity damage. Call 48 hours before you intend to dig to =viva locates of underground utilities. vevw.gooherstategnecall.oro I hereby acknowledge that this information Is complete and accurate: that the work will be in canfomlance with the ordinances and codes of the City of Essen: that I understand this is not a penult, but only an application for a permit and work is not to alert without a permit: that the work will be in "oreance wltlt the approved plan in the can of work which requires a review and approval of plans. Exterior work authorized by a building pemtit Issued in accordance with the Minnesota State Build Code must be completed within 180 days of permit iesuence. x k4✓r4 J2"/2.'2.,f Appiicanft Printod Name ZO/t0 39Cd x. Applicant's Signature Page 1 of 3 INIVW 1X3 I3S L9Z9T98ZT9 9E:VT btOZ/tT/b0 CITY OF EAGAN Remarks Ad-iition BRIAR HILL 4TH ADDN Loc S9 Rik 1 Parcel 10-14993-590-01 Owner Street _ 3828WIVQW=j??he-rj)r• State EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. Z STR E ET R ESTOR. 19?5 70.69 7.?? 10 -- RMIR?Q4€? Street $30 1984 1227.78 245.56 S 736.68 A014917 12-5-84 **Sewer Lateral ?- 1984 2136.20 427.24 5 1281.72 SAN SEW TRUNK 40 1968 29.60 .99 30 11.96 'r " SEWERLATERAL TRK Z 1983 237.37 23.74 10 166.18 " " *SEWER LATERAL 1971 32.42 1.62 20 8.12 **WATERMAIN 1984 5 * WATER LATERAL 1971 ZO WATER AREA 1977 59.19 3.95 15 23.73 A014917 12-5-84 **Stubs 1984 5 STORM SEW TRK 1984 323.50 64.70 5 194.10 A014917 12-5-84 * STORM SEW LAT 1971 ZO **Storm Sew Lat 1984 5 CURB & GUTTER SIDEWALK 3TREET W@= 1009 1986 153.70 15.37 10 - /6-/4 Road Unit 260-00 #44297 6-22-84 WATER CONN. 470.00 11 11 BUILDING PER. I rT SAC 5125 00 1i PARK - CITY OF EAGAN Remarks qddition BRIAR HILL 4TH ADDN Lot 60 Blk 1 Parcel 10-14993-600-01 owner Street 3824 WILI;QI9I_:WAX. .' state EAGAN NW 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. - STREET RESTOR. 1975 70.69 7.07 ???RM STreet 1984 1227.78 245.56 5 ? **S r La ral 1984 2136.20 427.24 5 ? z 5AN SEW TRUNK 1968 29.60 .99 30 ??• `? G SEWERLATERAL TRKjZA? 1983 237.37 23.74 10 *SEWER LATERAL b 1971 32.42 1.62 20 **WATERMAIN 1984 5 *WATERLATERAL j971 20 WATER AREA 1977 59.19 3.95 15 ;4.23 "Stubs 1984 5 STORM SEW TRK 1984 323.50 64.70 5 0 * STORM SEW LAT 1971 20 **Storm Sew Lat 1984 5 CURB & GUTTER SIDEWALK STR EET 6-19-84 WATER CONN. 470.00 " " BUIL,DING PER. 9903 if SAC 525.00 11 PARK CITY OF EAGAN Remarks ,4qdition BRIAR HILL 4TH ADDN LQt 58 gIk 1 Parcel 10-14993-5$0-01 Owner Street 3826 WILLOW WAY State EAGAN NaV 5$122 Improvement Date Amount Annual Years Payment Receipt Date S7REET SURF. Z 1 STREET RESTOA, 71/ 1975 70.69 7.07 10 K?RARKM Street $ O 1984 1227 , 78 245 . 56 5 73?G8 ? f s? io 1i7 d's **SEwer Lateral SZC 1984 2136.20 427.24 5 /a8?7a o I 35 SAN SEW TRUNK 1968 29.60 99 Q !7 6 -3.3 /p 17 ?S SEWER LATERAL TRK?Z 1983 237.37 23.74 10 /(a ?a •/9 v/la3s o i 712s- *SEWER LATERAL lb 1971 32.42 1.62 2 8•iZ o/( -359 /.i **WATERMAIN 1984 5 * WATER LATERAL 1971 20 WATER AREA 1977 59.19 a. ?3 O?lo 3 S **Stubs 1984 5 STORM SEW TRK ?) 1984 323.50 64.70 S / • 10 ?o .3SY to i7 ? * S70RM SEW LAT 1971 20 **Storm Sew Lat 1984 5 CURB & GUTTER SIDEWALK STREETEi811T 1009 1986 153.70 15.37 10 45.3, U WATERCONN. 470,00 BUILDING PER. 9204 ! ? SAC 59500 PARK CITY OF.EAGAN A4ildition BRIAR Owner HILL 4TH ADDN Lot 57 131k 1 Parcel 10-14993-570-01 Street 3830 WT.L11;O11I"WP4Y' ': Stace EAGAN MN 55122 Improvement Date Amount Annual Years l? Payment Receipt Date STREET SURF. 107- 1971 Paid UTld@ OT1 inal rcel STREET RESTOR. 241 1975 70.69 7.07 10 I lGMAR]QM Street -, 1984 1227.78 245.56 5 **Sewer Lateral 1984 2136.20 427.24 5 1281 72 -11 - SAN SEW TRUNK 1968 29.60 9org 30 - if SEWER LATERAL TRK 12 1983 237.37 23.7of3 10 ig it *SEWER LATERAL 1971 32.42 1.62 20 8.12 ? **WATERMAIN 1984 5 WATER LATERAL 1971 20 I WATER AREA 339 1977 59.19 3.9 q 15 23.73 **STubs 1984 5 STORM SEW TRK 1984 323.50 64.70 5 1 .10 STORM SEW LAT 1971 20 torm Sew Lat 1984 CURB & GUTTER SIDEWALK STREET'tfBtfT 1409 1986 153.70 15.37 10 / 5.3. 7o - /Qjna 9-??- Road Unit 260.60 #44297 6,-. - WATER CONN. 470.00 1 13UILDING PER, r? n SAC 595-00 1 1 ? rs PARK r_`' CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RECEIV6D FROM P AMOUNT $ I & DOLLARS ?oo ? CASH ? CHECK FOR • ..+ ` j . (' 1 . ` ? _ - _ - _ - _ _ -- - ,. ? FUNO CODE AMOUNT 4/L? L. ?_7 _.•-.r, l ? 7 f 1^ r -2 ? Than - ? BY White-Payers Copy Yellow-Posting Copy Pink-File Copy v BUICDING PERMIT ? . . , 1 OF CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 N° 9205 - • Receipt * 4 PLEX $56,000 ^-- JUNE 22 $4 ?_. ..---- . .. SiteAddrITS) k?. ._,r Lot Block Sec/Sub. ParceiNo. 10-14993-590-01 TOLLEFSON .3 W Name = Address 155 b ?? ? City , ' Phone 410-667-3 Erect ?- Alter ? Repair p Enlorpe ? Move ? Demolish ? Grade ? --- OCCUpanCy Zoning Fi?e Zone Type of Const. # Stories Length Depth -5? Sq. Ft. cie o Name Approvals Faes . 00 ?± Address Assessment Permit Y 28.00 ? City Phone Water b$ew. Police Surchorge Plon check 150.50 0 525 04 uj W N?1e Firo . SAC ~ ?? Address Erg. .00 Water Conn. - ?W City Phone plan?r WoterMeter ??0 -- - - 2 6 0.00 Council Road Unit I hereby ocknowledge thot I hove reod this opplication ond stote that gld Off. the informotion is corrett ond agree to tomply with all opplic uble !it , J -5 , I Stote of Minnesota Statutes and City of Enyon Ordinonces. ! ApC Tofol Sipnoturc of Permittee 'G EFSOIv E A Building Permit Is issued to: on ths express condition tFu,t oll work sholl be done in accordarxe wi,pk oTl-dpplicoble Stote of Buildin9 Official Minnesoka Statutes ond City of Eopan Ordinances. : >' Permit No. Psrmit Holder Misc. Permit No. Hoider Plumbing H.V.A.C. Well Wster Disp. Sower Electric Inspection Date Insp. Other Footingt b ? 2 ? IL?y ? Foundation Fnminp Rouph Plbp. 7 , Rough HVA Inwlation ?j_ Final Plbg. .1 Final HVAC ? Final ? Watar Describe Location: VYell Sewer s Pr. D'up. Receipt `I ll 3 ? ? . . 1. Date -8 3. Job Address _ ,/ i //,'_ ' i 1 ?/ PLUMBING PERMIT Permit No. ? CITY OF EAGAN --?- Fee Fill in numbered spaces S/C c-</ Type or Print legibly ??`??ot. o v '" '( ,i -ii;" _Blk. ? Tract i /, //S w 4. Owner ?' i. i L?Gi?' ? ? 5. Contractor 1"- •Liv ? i" /l i 1 ti' Phone -? 7 -3 - / / '!`% 6. Address 7. City 1\ 5tate /Y? /J Zip 2- 8. Building Type: Residential Q` Commercial ? Institutional ? 9. Work Description: New E' Add O Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures CesspooUDrainfield I Bath tubs $eptic Tank Lavatory Softner Shower Well ? Kitchen Sink Urinal/Bidet Other i f ; 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 wmply with all ordinances and codes governing this type of work. Signed: i'c.,:` c- . ,?.? for,_ ' ?/? Y// i ? Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-5100 1. Date ) - /I/ , 3. Job Addressl.?L 4. Owner , -4:= ( ! _ 5. Contractor)- -_.., i6, Address (; c ! c, cCHANICAL PERMIT Permit No. `t CITYOFEAGAN Fae ip in numbered spaces S/C ype or Prini /egib/y Tot. ---D ju I nsta I lation ? Bik. I Tra t I - ?? Phone . .1 % % ? 7. City , State Zip / - ,-L 8. Building Type: Residential A Commercial ? lnstitutional ? 9. Work Description: New `i? Add ? Alter O Repair ? 10. Describe 11. Type No. E,quipment STU - M. Ea. Forced Air No. Equipment CFM Air H ndli : Mfg. ng a 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. ? C' ? ? Signed : for ? Rough Final Inspections: Oate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Te be wed for 1 OF 4 PLEX $56, 000 Site Add esa Lot ?0 Blcek 1 SeclSub, BR I.AR }l I LL 4 TH Parcel No. lO 14993--600-01 W Name ` „"a ""'. ? Address 1655 NORWQ City EAGAN phone , b o? uS? ? Phone I hereby ocknowledye that I have reod this opplicotion ond state thaf the inlormofion is Correct nnd agree fo comply wifh oll opplicoble State of Minnesoto $tatutes and City of Engan Ordironces. Sipnoturo of Permittce Buildirg 4fficial - Name _ O. r,r ;ON F,IIi)RI.5 A Bullding Permit is issuad to: oll work sholl be done in xcordonce with.all applicable Stote of Mir Address City _ liT° 9293 Receipt ., . JCiNl: 2 2 .:4 Erect ? Qccupdncy Aiter ? Zoning Repoir ? Fim Zone ?? . Enlo?ye p Type of Const. Move ? # Stories 44 Demolish Q Length ?? Grode 11 Depth Sa. Ft. Assessmenf W t & S .J v i ? V V Permit ?_oo S h o er ew. P li urc orge Pl k h o ce an c ec ?.O 0 Firo SAC - 00 Enp. Planner Water Con Woter Meter -??0 0 Council 0.00 Road Unit Bldfl. Off. T;T SU $ j, . APC Total on the exprcss condition tFxi+ Statutes end Ciry of Eopon Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbiny H.V.A.C. w.n wet.? Disp. Sawar Ekctric Irtspection Date Insp. Other Faotinqs Foundation Framinp Rouph Plkq. ? Rouyh HVAC , .,alfr I115UlaL1011 Final Plb? Final HVAC Final Watsr Describe Location: VWII Sewar Pr. Disp. ` CITY OF EAGAN ' 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 11411 I I?t.l t1R1 ti' I I,51' 1! S i ? 1 I H PE?MIT;?UBT?YPE: I 1lflnf' tNf, !"SPECTION RECORD PERMIT TYPE: Permit Number: , 0; Date Issued: .?.? ?,w•.' ?? ? .. 0 P1 APPUCANT: . f kUl i I ON ; 1,• f /.'1 I IHf TYPE OF WORK: Ii. ! ! ; 1 r! Rh PA I li Rf k()Rh ) HFMAkh. t. ? 1 Ni t lllii ?. 04,1f1 ANU crf {N tJ 1 I I i+! 1 W/f 7 A tJil sH:'t3 14f` A 1 fit 1 hiS f?I 1''?'d i Permft No. Pertnk Holder Date Telephone A ELECTRIC PLUMBING HVAC Inspectton Date Insp. Comments FOOTINGS FOUND FRAMING RDOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAI PLBG FINAL HTG ORSAT TEST BLDG FINAL o, ffV BSMT R.I. r BSMT FINAL DECK FTG DFCK FlNAL Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fi/l in nambered spaces S/C Ty,ve or Print /egib/y Tot, ,; . 1. Date / /? •? 2. Installation Cyst 3. Job Address 3e." Lot C)? Blk. Tract, r? f , Z? 4. Owner 5. Contractor ' • /+A--- Phone 6. Address 7. City State ? Zip / - 8. Building Type: Residential 0 Commerciai ? Institutional O 9. Work Description: New t Add O Alter ? Repair ? 10. Describe 11. TyPe No. ? Equioment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I herehy 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 454-6100 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT T. b, ,,..a F„ 1 OF 4 PLEx F, v,,,,? $56,000 rvame 1655 Addres ? DR City ' Phone ' N° 92!lf Recelpt # y z „_._ JUNE 22 ,,, 84 Erect [] OccupanCy ? Alter ? Zoninq NJ F Repair p I n Fire Zone Eniarpe ? Type of Gonst. Move ? # Stories Demolish Grode Q ? 44 Length De - th T? S Ft p . q. • 00 Assessment W 8 S Permit 28.00 S h oter ew. P li arge urc Pl k h o ce an c ec _??o 0 Firo SAC Eng. Water Conn. 470.00 - 00 0 Plonner ' Woter Meter 260•00 Council Rood Unit Bld4 Off . . S 0 APC . Totot ? 1 hereby ocknowledge that I hove read this opplication and stnte that the intormotion is correct and ogree to comply with oll opplicpble Stute of Minnesota Statutea ond City of Eogan Ordinances. Slflnoturo of Permittee TOLLEFSON BLDRS A Bullding Permit fs issued to: Buildirq Official on ths express condition thnl oll work sholl be done in accordance wifh olf nppliooble Stete of.Mirw Stotutes ond City of Eagan Ordinances. Site Ad?er - -- - -----? •- -•--BRIAR - p Pe cel No. Permit No. Permit Holder Misc. Permit No. Holder Plumbing l'I L`-e,t c? ?/ / H.V.A.C. L V r?JO >- rg ,? 7 Well Water Disp. S?wer EleMric Inapection Date Insp. Other • Footingt ? Z , Y Foundrtion Framinp Rough Plby. Rau? HVA _ .j Inwlation ? •?y Final Plb¢ ?. Final HVAC Final Q Waft,r Dewibe Location: YVell Sewer Pr. Disp. Address 3 0 g ? Owner/Agent Address ( W-_2 J I u 214, Ordinance Nos. and Corrections - Correct By / ?" / . , . C./ ? For reinspection Eagan Dept. of Inspection 3785 Piiot Knoh Rd. Eagan, Minnesota 55122 454-8100 CORRECTION NOTICE f nspector: Dept.: - Sit2 . , , r ? CORRECTION NOTICE DATE: Address `' Site Name Owner/Agent Telephone ? c ? Owner/Agent Address Ordinance Nos. and Corrections - Correct By ? / ; . ? For reinspection . ' Eagan Dept.oflnspection InSpeCtOf: 3795 Pilot Knob Rd. Eagan, Minnesota 55122 454-8100 Dept.: Receipt PLUMBING PERMIT ' Permit No. ' • CITY OF EAGAN - Fee Fill in numbered spaces S/C Type or Print legibly ' _ . N o `? OTot. 1. Date 'i 2. Installation Cost 3. Job Address Lot , 7-Blk. Tract XT ; ? i?r4 4. Owner %?/4!- K? u?? 4 U ti' ,; I 5. Contractor e' /- Iv ?' / - \ -%' i ) i ? Phone -'f 2 ,? 6. Address T ? 7i?? 7. City y I1 ?-rState /tA, 11- Zip :,: $O G'E 8. Building Type: Residential O? Commercial ? Institutional ? 9. Work Description: New Q- Add 0 Alter ? Repair O 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 Laundry TraY [ ???r????' y e;a, / Floor Drains _ y? 4 .4 . ,. ?jrlwu ? ? / 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 : c"7`11'e' ,- for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN N? 92?4 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 1 / BUILDING PERMIT Recelpt # 2y17 Te 6e rad fer 1 OF 4 PLEX EN_ vnl,„ $56, 004 n„*e JUNE 22 19 84 Site Addrgsg - - - - -- ---- --- Erect ? Occupancy kL) 1 Lot 5 ty Block Sec/Su .l /11ter ? Zonin 10-14993-58 - g N/A Percel No. Repotr ? Flre Zone E l T f C V TOLLEFSON BLDRS n orge p ype o onst. ac Name Move ? # Stories NORW04D DR 1655 44 Address Demolish ? Length ? _ City ?"A?'t'S? Phone Grade f-1 Depth --57- SU. Ft. A Ou ul r Name _ Addresi City _ Name _ Address City _ Phone I hereby ocknowledge thot I hove reod this opplicotion and stnte that the inlormotion is correct and agree to comply with oll opplicoble State of Minnesoto Stotutes and City of Eogon Ordinances. Slqnature of Permittee LEFSON BLDRS A Building Pertnit is issued to: all work shell be done in occordance wltb-eH cipplicable State of Mir Build{np Officiol Assessment Permit • 00 Water 8 S 28.00 Sur h r ew. P l qe c o k 250.50 Pl h o ice an c ec 525 00 Fire . SAC Enp. Water Conn. 470.00 Plonner Woter Meter 63.00 Council Road Unit 260.00 Bldg. Off. • 5 0 /1PC Totol ? on the express conAition thni !sofa Stotutes ond City of Eogan Ordinonces. Psrmit No. Permit Holder Misc. Permit No. Holdar Plumbiny H. V.A.C. ck kC Well w?.. Disp. .?VYBf Electrie e Inapactfon Date Insp. Other Footinpt ? zc ?SY R Foundation Framinq Afe Rouyh Plbp. ? . Rough HVAC . „s Inwlation Final Plbg. ` Final HVAC d,. Final 4 Water ??ibe Locstion: Well Sewer Pr. Disp. ?- ITY OF EAGAN WATER SERVICE p?'T 3830 Pilot Knob Road PERMIT NO.: w • P. O. Box 2110.9_ DATE: 1 o P ex Eagan, t"ON 551k.1 No. of Units: -?? ? p,,,rner: Bristh t3i11 4tt1 A,ddress: .3330 Wilpow VaY L57 B1 , Site Address: roII? ?{ye? T. 7) 0 pd Plumber: Connection Chorge: ? Nleter No.: Acoourvt DeP°sit' . P Sixe: Permit Fee: j+ met Reoder No.: ? IM C? ? Eo9on 6u?charge: p es I eg? !o oon?Pb ,c. ChorgeS' t prdina? Total: ? Dote Paid: BY ?^sp" _- , putc of 1 nsp.: - 7 --R 2 Date CiZ'Y OF EAGAN- Permit No: ? gize: '- 3830 Pifot Knob Road Meter No:3 pate: ? P.O. Box 21199 • Reader No: "gan, MN 55121 , . . - L _ t'j Gonn. Chg: ?- ,.?. Acct Dep:--- permit Fee: ?- Surcharge: --- ,-,? Tr. Plant____;; ? t,, Meter. ------ 77--T, wi1h the CNy oi Ea9aa M I SC.:? WATER SERVICE WATER SERVICE PERMIT ;i;ITY OF EAGAN . ? 383p pilot Khob Road ? P. p. Box 21199 Eagan. MN 55121 ;. Zoning: 4 5557 +PERMIT NO.: 6._26_q4 DATE: 1 o f 4. 1,_-: tdo. of llnitsv. ?- OFEAGAN SERVICE PERMIT ? - SEINER . Pilot Knob Road pERMIT NO.: Box 21199 aATE: 1, MN 55TAi1 No, af Units: ?., . --- Site Address: Plumber: 425.00 pd 1 ayrN to oMVIY '" !he CNY of lo9ap Connectlon Chortle: ? Account DePosit: ? Oedinoneu. Permit Fee: ? Surchorqe: _ Misc. Chor4es: QY Toto1: - Date of Insp.: pa}e poid: - 1 nsp.. CITY OF EAGAN WATER SERYICE PL?IT ; 3530 pilot Knnb Road pERMIY NO.: p, p, gox 21199 DATE: 1 of 4ple}: Eagan, MM 55141 No. of Units: ZOf1?" Tollefaon ?ldrs Ownerc ? _ . , . ,. .,, ?? Address: 382 {?`?" Wi_?la" 470 00 nd - piumber. .. . - 4. . _ , L. Cohnecfion Charge: 15.00 pd 'Xnn'tt: r,a. t Depo5it; r 10.00 pd Permlt Fee: ,?0 Ad Reader Na.: 5urch°rget +;eter ? 1'yr." to wmVl1r wmb t'° City ol Eagan Misc. Chor9es: of CITY OF EAGAN 3830 Pilot Knob Road p. O. Box 21199 Eagan, MN 55??1 Zoning: TOlle pwner: ------- Address:8 O Site Address: GeII! Ptumber: .?--- Totnl: pote Paid: i SEWER SERVICE PERNU? 6747 PERMIT NO.: DATE: 1 af 4uleac _ No. of Units: 1 agrea to eampht wilh 16e CN1i of Ea9an prdinasem. 425.00 pd Cor,necttan Ck+arpe* 15 .00 .7d Account DePosit: 10.00 Pd Pem-At Fee: .50 pd Surcharfle: Misc. Chac9es: By - pote of Insp.: ' OF EAGAN SI1NER SERVICE PERMIT i Piiot Knob Raad pERMIT NO.: -,.., , Box 21199 DATE: o ' in, MN 55,???? No. of Units: rk9. o Q son g Bria= aea.Ll -°?.. Adress: pw ay ite Address: gtlZ }t'ari . ?' Number. 425.40 pd ? ? ? ? ??? Connection ChorQet ---1 . P , egrae to oon?vh w Ac=„m peposit: p prdinan?s. Permit Fee: . p Surchor9e: Misc. C1wrGov BY Total: pcte of Insp.: Lmm PoW: I nsp.. CITY Or- EAGAN WATER SERVICE PERM? 383C-Pilo*. Knob Road ? PERMIT NO.: 6_26-84 P. D. Box 21199 pATE: 1 of 4p1?};. Eagan, MN 55121 No. (y{ Un;ts: Zoning: To11ef 6ou -g pr,rner' "t c! Nddross: ,: 1>1 ??riar Hill ., Site /?uddress: 3 8•??r•??` lu Qber: r'` ,v k?. nnection Charge: 4eter No.:, " ' ccaunt DePosit: - /! •x 4 izet , b c,2 (o Permit Fee: :eade C" o} Eagan ?qres to eompllr w11i? ?° Surcha*9e: ?- C4wr9es; - -6'Ulsc kdinanaa. , . Total: -- - - -- Date Paid: - -- ----- --- BY ? InsP Date of Insp.: ,_ _ . CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 2119E' PERMIT NO.: . ? - Eagan, MN 551p ? DATE: o.s Zoning: No. of Units: io e:-son n r p e : w Address: , ow 67ay ? 3r ar ttill 4Ctl 5ite Address: .enz .9an PI mber: u ! t_ • , _ 425.00 pd 1 eg?ae to eomPh whh tha City ef Eagas ConnecNon Chew: P Ordinanees. Actoixit Deposit: • , UT) -:).: Permit Fee: . P Surcharge: gy Misc. Charges: Dote of Insp.: Totol: Insp.: Dote Paid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 271g'a PERMIT NO.: , Eagan, h1N 5511 DATE: - `' ?• Zoning: No. of Units: _ .. f 4 ^.1c:-. QWflEf: -- 1011a[: L AddfBSS: $ftQ Addit55: _3?.?L: f:31.LlUt' 1•i3?7„ ?J' , „T?slr tTll' I'l:}1 Plumber: ';"-c:z ^rail Meter No.: Connection Cherge: - 470.00 Dd Size: Acoount Deposit: 15. 00 pd Readar No.: Permit Fee: 10.00 P' ? I aoees 10 oomply whh ths Cihr of Eoqan Surcharge: . SO pd Ordineetw i,ikisc. C!?crges: - G 3.•'10 pd m e C e r Totol: 61' Date Paid: Date of Insp.: I,,,.,,_, CI7Y OF EAGAN 383,G Pilot.Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: '-' Owner: L p 1:i ILA Address: --ij Site Address: " ?<Plumber: rveCag.: ? WATER SERVICE PfRN11T r •PERMIT NO.: 5 `; 5?: DATE: a-? ,•-, ? a p ex r.- No. of Units: _ eter No.: ;Li? 4 /rall?on Charge: '?F " 470 0 0 pd ze: ? Account Deposit: 1.7 .OU pd Reude No.: 13 4A 36? Permit Fee: 10.00 p? 1Ggrw to eaepir wieh HN Citr of Eayein 5urcharge: .50 pd ' Ordinon?a. ? ? O1V11sc. Ciwrges: _ 63 . G0 ?)d r.iE>r.,: __ -,'r ! = - 1 ' Total: BY I-);, ,, y1 Dote Paid• Date of Insp.. -''J 4 4!?i i! ?-'- ?-?--- Insp., - q (ll, 0') (p WQUEST FOR ELECTRICAL INSPECTION ee-ooooi=oa /'? ^See instruclions for completinB this form on Eeek of vallow copY. 9I? ?? ? A nvy/ /v7qy_S ??X"' Below Work Chvered by This Request `i4AAdI Mp.] Tvoe o7 BuilEing I AoOlianeas Wirotl I EquiVment Wired ? p Fee ServieeEMwnceSize q Fee Faetlers/Subteeders N Fee Circui[s U' 0 o2 00 Am s 0 to 30 qm s Z5 0 ro 30 Am Above Am u 31 to 100 Ainps 2 0` 31 to 100 A s Swiimning Pool Above 100_Am s Above 100-Am 5 Transi?ers Irrigation Booms ' O Partial:'Other Fee Si I Inspection 5 q3 ? the ihat the abov ion has Ceen Tltls reQuent roi0 78 mwithe f rom rnis reauest wie 18 rronihs from 1 Y A 077593 i5 ? &,r- l4-; I l "(6(8? ouHn-?n ? ?sVVCUm? _? ?/?? Bered7 ? ?Heady Nuw?Will Notify, Inspec- es N. lur When fleady L61-icensed Elecvical Contractor 1 M1eraby request inspection of ebova ? O'sner electrical work installad at Sveet Atldress, Boz or Route No. ? City _?&' # ' S, ?w ectmn o. Townghi0 Name or No. ange No. Counry 0 4 k , 0 Occ[ 1 INT) Phone No. ?5 Pow¢r Sup01i Adtlress Elec ical Conttactm ICo pany amel Cnntractor s License No. c <Xef E' O /7/?-3 MailinB Address (Convactor or Owner MakinB Instailationl 6drLV AT--5- 'awaqz Auffiorized S Onature IConnacior O?yner Makine Installationl ? Phone Number -3 3 5 YINNESOTA STATE BOD OF ELECTRICITY THIS INSPECTION PEQUEST WILL NOT Gripya-Midwav eldg. -?oom N-197 BE ACCEPTED BY THE STATE BOARU 1821 Univarsity Ave., St. Peul, MN 55104 UNLESS PqOPEP INSPECTION FEE IS PMm 16121 2972111 1 ENCIOSED. ?,??k, xenuFSr FoR e.ECrnica? u?cnav O!Nk EB°°?,-°• 1 ?s" ;-..,?.;?,? ???? ?.:s,?.a ? ?c. ? ,?,?. ?. q-/$-XY nMQA ""X"" Below Clork aovereed 6y This Request Adtl Xep. Type of Huiltlin0 Appliantes Wirotl Equipment wired Home Range Ternporary Service Ouplex Weter Heater lighting FixMes Apt. Building Dryer Electric Hiaiatf Cortmiercial 81dg. . furnace Sib Unloader Industrial Bldg. Air Conditioner . Butk Milk TaMc Farm o[M. L;Imcifv) Othe.ISVeciM her. Olher ompute Mspectron Fee Below .. p Fee ServiroEmrsneaSize R fea Feed./S.Meetlers N iee Circuits 0 to 200 Aups 0 to 30 AffW 22 0 to 30 Ami A6ove 200 Arry:is 31 to 700 Artqs / 31 to lOQ Aaws Swimming Pool Above 100_ A6ore lOQ_ TransTOrmers Irrigation Boorrr Partial•' Signs Special ln,pection S AL FEE Xemarks 1/ ? a- ? PouBh-in Oate E ?ral ?j oxw.. nereer mNiN tAat Ur abwe Final ? D're t impectim has beev ?.. T1tln reauast +ro1a ta montlm fmm h; . .om-d L( 4 Y iy ia A 077594 t ot t V, . Sv g-ig-8 Neetuest a1e Fire No. . Woupk-in 1'cpaceion ui?ed? oMraM NMi11 NoUtY Inspec- k Yes ?Nu 1 ? IMien fleady C nsed Iectriwl r-? li Contraclor 1 herebY ro4wst irupectian o1 ebmve u Owner ?J' r O?r ebetriul wark im'a1M0 at_ Stroet Atldress, Box or floate No. ti Cib E 3F d ?w 4 A- 1110. o. Township Name p Na ILinge o. CwMy / /? Occupant IWiINJI ' ?ane No. Power $upp iar 41 / ?? % Adtlie?c. ? 4 . LG 2 n f -- Elec i a ontractor lCOmpam Name . Canhacmr's Licare No. S G ?- Mailinp Address IContmctos m Owner W4inp Insb:lationl / J Auth Ontractw Owner Makinq IrttallaGani N.oie NuMcr = S MINNESOTA STpT¢ BOARA Of ElEC7RICflt Gri99s4AitlwaY BId9. - Rbom N-797 1821 UniversitY Ave.. St. Peul. MN 55100 Pho. 16121 297.2711 THLS IfiSAECTION REQVFSr wILL NOT ? ACCEPIED B? 7HE SfAIE BOA? UNLESS PROPEN IMSfECi10N FEE IS ENCLOSED. `I ? T?_ REQUEST FOR ELECTIdCAL IN?ECTIO11 ea-ooooi-w , See ir.struetim?s br cwplaum this funm back of?rallow, oopy. A` (? I 1/ry7 1."1 "Jq I J I ..x.. Be/orr Work CrrverLv'bY This Request . ?+I ?'(J 7 AAC NeO. TYPe of 9ui Wing Appliances RirW Epufpomeot Ni,ad Home RaW Temporary $ervice Ouplex Waier Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furrace Silo Unloader Indusuial Bidg_ Air Corditioner Bulk Milk Tank . Fartli oUhcr cec. the. 44ce6 N1 , n otne. ane. Compute /nspectlon Fee 8elow p Fee Sa,vieeEMnneaSiz* p F. Feedws/SUbteedeo b ke Circuies D ? am200Am Om30 % Om30Am Above 200 A 37 to 100 AnW D- 31 to lOQ Anws Swimnirg Pool A6ove 100- Ahove 100_A - Transfommers I.`igation Boars ? d Partial'Other Fee Signs Special lraipection 5 TO FA E emvrks ? f? ; j7 flou0h-in ? Date bical ? Rp?cepr, heroby 4Kih timt tAe dbove Final p psetim hss been ?4. 10bnpumtvoltll8mantlehdn ' -w ,h;s etlua= rio,e 1-f (#Y1Y 1H mmhs from A. '0 l 7'5 91 1-G0b o/ I Request D[e Fire No. Ibug¢in I?peclian red? Neady Now ?11 No1:ty I?pec- Q ? ? ? es No r Mlben MadY yi ?.icensed Elecirical ConVactor I ?bv ??l im?n? ? eppra J? ? Owner ? J 1? 1 nL? 1 slectrial wark inc*alled aL Svaet Addresa, x w Route No. ? City ecuon o. owns.ip Nmne or o. nge o Cw..ty Da ka f'?. Oant (PRMT cc p ?/?`son gK?7? PHane No. //15 -? 173 Power Supplier ' a ,? 6 ?? E Atldress ,. " ? Electri Convaclm (Cwmvawflame) ? G? Cmtraclor's l:cense No. ? ?2-3 Mailin0 Address ( ontractw w gerner Makinp lic :Iatiml /? ?6 7 S ? Authori SiO?t (COmra tw OwmerMakinphcbllatiml ? J1?o?ber U-355 MINNESOTp gTpTE 4AHD OF EIEGiRICfIT TNIS IIiSPECTION MEQUE4r MILL NOT Grie9s-AlidweV BId9. -Reem N-791 BE ACCEVIED BP 7HE STAIE BOpRD 1827 University Ave.. St. Peul. YN K+761 UNlESS PI[pPEB INSIEC710N FEE IS Phonw 16721 297Q1t1 ENCLOSED. CITYOFEAGAN C?? M 9570 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE:4548100 ' • BUILDING PERMIT keceipt # To 6a wad 40r 1 OF 4 EX Est.Value $56,000 DOte OCTO 15 _ 1 q 84 SiteAddress 3828 WILLOW " Erect "tJ ccupancy R Lot 59_. Block 1 secJSub. B AR HILL 4TH Remodel ? _ Zoning PI) Peroel No. Repair Type of Const. Enlarge No. Stories W Neme TOLLEFSON BLDRS rv?ove ? Lenqth Z Address 1655 NORWOOD DR Dam ish ? Depth 9 City EAGAN . phone 454-6873 G de ? Sy. Ft. w o . qAMP N AoVrovals Fees , ame Vu Address Assessment Permit City Phona Water 8 Sew. Surchorge c P ice Plon check ?Z Name FirO SAC Address Eng. Waler Conn. ?W City Phone Planner WaterMeter Councfl Rood Unit I hereby ackrwwladge ihat 1 hova reod this o lication ond stote thet gldg. Off. Parks the inlormotion is corre[t and ogree fo D?Y w?th all opplicoble $tote of Minnesota $totutes and Cily o Eogon Ordinances. APC Total Var. Data $ignoture of PertniMee A Building Vertnif Is issued to: on the expreu conditlon thot oll work shall be done in atco ante with oll appliooble State of Minnewta Statufes and City of Eaqan Ordinances. Buildinp Official ?? I /'?{I?/ l;? ry? ??/? L!{yAy`? {rlll HUTIDItC PERHQT APPLTCATION * II1CLlld2 2 S2t8 Of pILm, 1 site plan w/elevaiciaid i 1 eet of eneM caloilatians, To B9 UYBd I'bZ' Vdllklt.3071 ccC? ? DdfE stte ?>a -- ? _?, S ; ? ?fcu ror?57? ? eiodk J s /s n ? . ?FI[£ USF CNf.Y - -- W. . u . ErWc ?c occupancy R-1 reroal s xtcer zoni,y p Q "? . ?r Fire 2one hJ /.4 ?rt?ert Eril.acge _ zype of Oorwt. 7SZ Add[eae: mow - N Stnri6s C1tY/T3P Oorie: . DemolieT' _ G d Ftont 44- • ra e Depth 52 ft. Phona #: «incractor= mare.: .11?66_Nr,rWr.t?, ?a?i? CitY/ziP Duda: ?T/l Phau 1: 71rct?./IIn.: Addseras • CitY/ZiP Oodea' ; !1 Ahona ?. warex/seAer Police Fire ? Planries CoLwcil Bldg. Off.' ar ' APC 1 , Permit -1?0 ,.119 28 Plan QherJt G-D ' SAC v WdtES CCttY1. '1p ?° • Water Meter ADad lh?ii Z(oO. -0 7riPAL x t-/ 2?xZ(o= 51?X?f `2451? ?? x 2? = 4cz x_ i ?_ ?b82 Z4-'? Z? ??24 x 4 i= 2558 q- ?-? (a q- ? ? Co, o?ro ? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT , 1 OF 4 PLEX N° 9206 ReceiPt # ??°=?'[7 56.000 pam JUNE 22 1 984 SiteAddress 3830 WILLOW WAY Lot 57 Block 1 ?ec/Sub. BRIAR HILL 4TH Parcel No. 10-14993-570-01 z Name TOLLEFSON BLDRS Z Address 1655 NORWOOD DR 9 city EAGAN phpne 454-6873 o Name _ z 8u Address ? City - Fw Name _ i? Address <W Cliy - Phone I hereby acknowledga that 1 have reod this opDlicotion ond stale fhat fhe in}ormotion ia correct ond ogree fo comply with all opplicable State of Minnewto Statutes ond City of Eagon Ordirances. Signalure of Pertnittee A 8uilding Permil is issued to: _ oll work sholl 6e done in occordante Buildin0 Official Erect p Occupancy R1 Alter ? Zoning PD Rapoir Q Fire Zone N A Enlarge ? Type of Const. V Move ? # Stories Demolish ? Length 44 Grode ? Depth 52 Sq. Ft.- Approvola Fees Assessment Permit +S 301.00 Water &$ew. Surcharge 28.00 Palice Plon clieck 150 .50 Fire SAC 525.00 Eng. Water Conn. 470.00 Planner WaterMeter63:00 Council Road Unit 260.00 Bldg. Off. APC Total $1, 797. 50 on t he expreu cordifion Ihni •sofa $totutes ond Ciry of Eagan Ordinances. , • CITY OF EAGAN N. ? 9205 ? 3630 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 PHONE: 454-8700 ??97 BUI?:DING PERMIT Receipt # 1 OF 4 PLEX $56,000 JUNE 22Z 84 SiteAddrgy? ,"°"" .."""?'.. ..`.? `r vt 1 Lot 7 Block sec/Sub. BRIAR HILL 4TH Parcal No. 10-14993-590-01 ac Name TOLLEFSON BLDRS = Address 6 5 NORWOOD DR 6 city EAGAN phone 454-6873 o Name 8I u Address r City Phone ww Name 1-w _? Address u <,Zu City Phone I hereby ocknowledge thot I hove read this application ond stote fhat the informotion is correcf and agree to comply with oll opplicable State of Minnesom Statutes and City of Eagon Ordinances. $ipnoture of Pertnittee A euilding Permir Is issued to: TOLLEFSON SLDRS oll work shall be done in aecordonee w? plicabla Stote pF7GYy Building Official ? ??--Q Q ,1X? - '- Erect cf. Octuponcy Alfer ? Zoning - - Repair ? Flre Zone _?- Enlarge ? Type of Const. Move ? # Stories - Demolish ? Length 44 Grade ? Depth 52 Sq. Ft.- Anorovals Fees Assessment Water 8 Sew. Police Fire Permit $ 301.U() Surcharge 28 - 00 Plan check 150.50 SAC 525-00 Eng. Plonner Countil WaterConn. 470.00 WaterMeter___63_-0 0 Road Unit 260_00 Bldg Off . . APC Totol 1.797.50 on tha express Condition thnt Statutes ond City of Eagan Ordinancet. BUILDiNG PERMIT CITY OF EAGAN ?7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 lr ? 9204 PHONE: 454-8700 ?` - Receipf # ' T'Ly 7 To bs wed fer 1 OF 4 PLEX Esf. Value $S6 Siteqddress - 3826 WILLOW WAY Lot 5$ Block 1 sec/s.b. BRIAR HILL 4TH parcel No. 10-14993-580-01 ? JN,me TOLLEFSON BLDRS Z Address 1655 NORWOOD DR 9 City EAGAN phone 454-6873 o Name SAME Address r City Phone Fw Name ?? Address <?Z,. City Phone I hereby acknowtedge thot I have read this application ond state that fhe informofion Is correct and cgree to comply with all oppiicable State of Minnesota Statutes and City of Eogan Ordirwnces. $ignofure of Pertnittea A Building Permit is issued to: TOLLEFSON BLDRS oll work sholl be dane in atwrdante wifFjy,l?pppliwnle $foSe'o4, Mii Buflding Official `?c l wCA. (21A Erect [7 Occupancy Rl - Alter ? Zoning ? Repair ? Fire Zone Enlarge ? Type of Const. V Move ? # Stories - Demolish ? Length 44 Grode ? Depth 52 Sq. Ft.- Apvrovals Fee: Assessment Permit $ 301 . 00 Water & Sew. Surchorge 28 - 00 Police Plan check 150.50 Fire SAC 525,00 Eng. Water Conn. 470 00 Planner Woter Meter fi'l._. 00 Council Road Unit 7F+n 00 Bldg Oif . . APC Total $1,797.50 on the expreu condiNOn thni Statutez and City of Eaqan Ordirwnces. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 PHONE: 454-8700 BUILDING PERMIT 1 OF 4 PLEX FN vm.. $56,000 SiteAddress 3824 WILLOW WAY Lot 60 Block 1 sec/sub. BRIAR HILL 4TH Parcel No. 10_14993-600-01 rc Name TOLLEFSON BLDRS Z Address 1655 NORWOOD DR ? Citv EAGAN Phone 454-6873 o Name SAMR ? Address ? City Phone W W Name Z0 Address _ <W City Phone I hereby acknowledge thot 1 have read this application ond state that fhe informafion Is correct and agree to comply with all opplicable Stule of MinnewM Statutes ond Ciry of Eogon Ordinonces. N° 9203 Receipt # JUNE 22 a 84 Erect [1' Occupancy-.P.? Alter ? Zoning Repoir ? Fire Zone N A Enlarga ? Type of Const. V Move ? # Stories Demolish ? Length 44 Grade ? Depth 52 Sq. Ft.- Approvais Fees Assessment _ Water 8 Sew. Police - Fire Eng. Plonner _ Council - Bldg. Off. - APC - Perrrilt 301.00 Surcharge 28 • 00 Plon check 150.50 SAC 525.00 Woter Conn. _ 47Qs0 0 W oter Meter -U'0 0 Road Unit 260-00 Totol 3 750 Sipnoture of Pertnittee I A Buiiding Permit Is issued to: TOLLEFSON BLDRS on the express condition thm nll work sholl be done in accordonte with?aM appliwble Sta1e/6f'Mrtnesoto Statutes ard Ciry of Eagan Ordinances. Buildirg Officiol SEDGWICK HEATING & AIR CONDITIONING CO. HEariNG JOBNO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD ADDRESS OCCUPANT v :>'a P-4i --r-, ? SOLD BY MAKE SERIAL NO. Z ^7 / THPRM(IFTAT V 1 V GOC_ VALVE a h? y w'-.- I I LIMIT ? l :v- Z G LIMIT SE7TING 5- FAN SETTING " 'Z d PILOTTYPE -e ' , C IGNITION MODEL PILOT TIMING PRESSURE PERCENT COz 17 INPUT CFH PERCENT Oz 6 STACK TEMP 33 -) PERCENT CO 0 FORM 235 (REV. t1I89) CITY OWNER T ?L I I IV?'t-n INS7ALLED F1Y MODEL , ` -'-7`-' INPL7T G C) 0 6 L?y VENT SIZE ?j TVPEOFLWER ?> U? L LINER SIZE FILTERS: SIZE NUMBER WIRING Sei U r?q ? TEST TAG LIGHTING INST. ?-~ DATETESTED COMPANYTESTING t NAME OF TESTEF [;_'9 Z FORMDISTRI9UTION'. WHITECOPY - JOBFILE YELLON'COPY - CITY 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e foc single family dwellings & townhomes/condos when permits are required for each unit Date?/io /0,5 322- p j??a V J 4,co / SneArlSa ' v 4V \A/Q 44ieA' Site Address ,,+ , [ i ( - . Unit # ? r. Property Owner aAY'D l 70 hY15O//1 Telephone k(/ig 1 )1156 r 9"?07 Contractor A (GL et Address ?( ( St 5 ?? 'r?" Cit RDS P lti7D L Y ? p p re J . y _ ( l State (P 2f Zip Telephone # Bond Expires: The Applicaot is _ Owner X- ConVactor _ Other Add-on or alteration to existi ng dwelling unit $ 30.00 ? furnace _Additional ?Replacement air exchanger airconditioner _New _Replacement other ? State Surcharge $ .50 Total $ '22 '/J I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand [his 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 appr f s. fJaneJ Seyer.501(1 Applicai t's Printed Name App 'c ' Signature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete foc commercial/industrial buildings multi-family buildings when separate permits are no[ required for each dwelling unit Date Site Stieet Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip TeleQhone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Instail _Remove '*see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: *`When installing/removing underground tank, call for inspection 6y Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground fank installation/removai $50.50 Minimrmi (includes S[a[e Surohfl[ge) or Contract Value $ x 1% _ $ Permit Fee • If ep rmit fee is $1,000 or less, add $50 State Surcharge If pe rmit fee is over $1,000, add $.50 for every $1,000 ep rmit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but onty an application for a permit, and work is not m 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 pians. Applicant's Printed Name Applicant's Signature Approved By: , Inspector PERMIT# ?J 1p 2002 WISIDENT!!kL PLiJM$IN& PEEiMIT APP11CATION RECEIPT DATE: crrY oF EmAv 3830 fILOT KPOB RD 3:AHAF. S11Y SSl SE 651-681-4675 Please complete for: family townhomes and condos when permits are required for each unit, SITE ADDRESS: OWNER NAME: : ALEXANDER,DONNA 3826 WILLOW WAY EAGAN, MN 55122 (651) 688-0771 TELEPHONE #: (AREA CODE) INSTALLER NAME: TELEPHONE #: (AREA CODE) STREET ADDRESS: (8121 SZT'4M CITY: 205 GMF1ELDAYG Wi STATE: ZIP: _ SEPTIC SYSTEM, new/refurbished (requires iwo sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additlons, excluding water softeners and water heaters. $ 50.00 _ Abandonment ot septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener JK water heater $ 15.00 State Surcharge $ .50 Total , . ?- i $ 15.50 ? -_ - I herebyacknowledge that I have read ihis applicafion, state that the information is correct, and agree to comply with all applipble Ciryof Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages raused by the City during its normal operational and maintenance activities to the facilities constructed under this pertnit w' ' " pr perty/ri -of-way/easement. G A E OF PERMITTEE 1102 Tollefson?uilderd Inc. Or.11521 -1 183-80 ' JACKSON - SLJRVEYORS Scale: 1"=30' • Denotes Iron REGI6TFREO UNOLR LAWB OF lTAT! OF MINNl40TA ---?- Utainage 000.0 Exieting Elev. 3618 EAST 55th STREET, MINNEAPOLIS, MN 55417 7273484 ? ? o , ?? ?urbcpor'g iLcrtificstc ? ?'i b ?---- 7s ;------- __ -------- 9 e, p, ?_ ? v c? w? y ?,v !r (? ? N 1 i •? ? \ y?, 2 ? ? 2 / ) ,. :? . \ • \1' ?/ ? ?, ? 'L3 • 23? N I k q'7? I « i ; ? ? , assz? ; ? N ? . N 0'1' ? 23 Z 3 ? 2/?l. / ? ? i v e (ii/ 9'r ?VV ? 0 -- '?? 29.z; ? Q --? b HEREBY ClRTIFY TNAT THL A9OY[ IS A TAU[ AHD COHRRCT PLAT OF A$URV[Y OF b? ?' -- ? Lots 51,58,59 and 60,81ock L,BXiar Nill 4th. Additlon, Dakota County,Minneeota. Proposed Garage Floor Elev. Propoaed Firet Floor Elev. Propoeed Baeement Flonr Elev. Af eURVEYEO ar ME rHis-LSth. onv orAprLl A 0 1 Revieed June 19ch. 1984 Cities Di ig ta1 Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. P L,? Y RJ 1 ? . ?. ? f .... ' / ? ! -. ? . .. • C-i. M,?r?.. t\.'D ?c. r-, ? , , o,. ?,. ,, ,; ' • -; cl 'I? 1A? ?F3fih 7? C?1no??lr. ,. F y ?' ? _ -. ,, . T -F _ _ '?. d1:'ln. ? ,5439 t?hone E73'i-'1Z ,,., .,:,.; . ._ : : • - - , E . ..:. . ? {. . }- : ; .. •: • .? ? . C C?': _ . `. , .:.PIAt11'UtITM.n_. ? .: , . . ?: n.rn^r. TZ ?;?n ? aF Lin 'j L:_ G '!.-0: ^ 6L ?'n':C.^? rUc? C0.lFtls .?IC3 . .. ,. r . ? . .,ZI,.^•_?L r 2 pg r..P01L3lJn.t,*I Gidb S!l. I-ie C?I7 • _ .oT: a, :Q, ?. -o'' , ? r???. r • , ° ? _ .. ?1^I j_"RAOF . . v,. ToT9I. 8f?. I-i. C7 POp.^._`3 ?•f S. C.O • riF:2 f L?'3a i.?oo:? w S- ;• J c+,T:.? S 0?' I= S U L.9TIC? ir UR4 t? 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SI a.?, a ? w?Y.? f .. ?I. .JL ?r• ? .n1 •? ? ' ? ,?_?y? ?? -)F EAGAN ? ,(ot Knob Road an. Minnesota 55122-1897 ? .12)681-4675 SITE ADDRESS: P.I.N.: 16-14993-600-01 DESCRIPTION: h?c'V'tT?-- W 1 L L UW-Wl'TT LOT: 60 BLOCK: 1 BRIAR HILL 4TH REROOF Bv'i.iii'ing Permit Type ;Building"Work Type =Census Code , PERMITTYPE: BuzL°ING Permit Number: 028017 Datelssued: 06/21/96 MULTI. (MISC.) REPAIR 434 ALT. RESIDENTIAL REMA$?P- ?_ ? LUDES: 3626 AND 3830 WILLOW WAY D C38.2.6-H.E.A7HE:R_` L 5 8 L57 ? C,L7$;9, , ==-E SUMMARY: Base Fee Surcharge Total Fee VALUATION $149.75 $4.50 $154.25 e "ONTRACTOR: - Hppllcant - 5 1 • -i UI'0YYW' MIKE MOHS CONS7RUCTION CO 17211107 5456 I 'HILLS ASSOCIATION 3919 SNELLIN? AVE S , WILLOW WAY rINNEflPOLI5 MN 55406 i, EAGAN MN (612) 721-1107 j I hereby acknowledge that I have read this application and state that tfis information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. -- P'ER1'V?IT -j?l i 2i84 k? CITY OF EAGAN , APPLICATION FOR PERMIT - SET4ER AND/OR WATER CONNECTIODJ . (PLEASE PSINT) ' 1) PROPFS"T]' ADDRFSS: ?I LEG.aI, DESC'.cZII?TIC:I: li (Lot/Block/Subdivision or Tax Parcel I.D. Nuriber) i i x"tilS== ?? SI".-2tiCP.,T:ZE, DA'Iv G: ORIGi dAL ::UILL'L`IG P----:•?IT ..?Sw?i;CE: I P?.=?r-`_ _ ?.,?•Ii_:r:/F?G'_°CS? iS: ? R-1 SINGLE FA?+SLY j] R-2 DUPLE.`C (TW0 Wi ITS) j? 3 TGi9?MOL'SE (TFIl2E" +[JNITS) Wi ITS) ? R-4 ApAR'IZ^F'`:T/C::LIDQ•LTNIULI ( WITS) ? Camimff.TtCI.AL/REI'rlIl?OEFICE ? L%MUS'1RTAT• ? INSTITUTIONAL/Ga'?\= 2) APDLIC N,P (PLEASE PRINT) NA[•tE: TOLLEFSON BUILDERS, INC. AoDREssc 1655 Norwood Drive Cr1'Y, STA'rE, ZIP: Eaqan, MN 55122 • . PHOVE: (612) 454 - 6873 _ 3) PL[?'IBER (PLEASE PF1NT) FOR CITY USE OHLY ?`E: GENZ=RYAN PLUMBING AND HEATING - PLUE fR5 LILENSE: ADD1?E55: 14745 South Robert Trail Q] aetive ` CITt, STATE, ZIP: Rosemount MN 55068 Q Ezpired f Record [I N t ?it o o PHOi?IE:( 612) 423-1144 PLUMBER LICENSE JI 1849M ? arr nitia 4) OC.'Cl.?,PnNT,/CF.INER (PLEASE PRINI) NPME: SAME ADDRFSS: CI71', STA'i'E, ZIP: PFIC7`IG: 5) INDICF.T'G WHZCIi PEPMIT IS BEI\C RDQUESTfD: X, CtiA;NECI'ION 'IO CITY SE4TER , • [? CO:INFYTIC.1 TO CITY LdATETi ? C7= (PI,FA.SE DESCRIIIE) 6) D:DIG; -IE C`E: 7} SIG!:ai[.:cE: ? PL° SE F:OID P.PPF20Vm PERtilIT FOR PIG:-UP BY O.'E OF ABGVE ? PIF.15E ;AIL APPRMr"? PII2-lIT TO 1, 2, (D 4 ABCNE (Circle cne) Dr1TE: ?O ? ?- . i F O R C Z T Y U 5 E O N L Y PERti1IT '-` ISSUED FEES: $ /O.Sa Sz':'iED DL`?\1T'y^ {i'IC:.:JDE SU?CHe?RG;:) +S WATER PERP1IT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCiUDE CORPORATION S:OP) $ SE;9E4 TAP $ /? e---O ACCOUNT DEPOSIT - SEiQER $ ACCOUNT DEPOSIT - WA:EB $ wac $ i`-G SAC $ TRU.IK ?VAT°.°. ASSESS:IEDIT $ TRliNK SEWER ASSESSMEVT $ LATE°.AL BENEFIT/TRUNK SE:IER $ LATERAL SE:VEFIT/TRUNK NATER $ ' OTHER , C $ TOTAL $ ??J'? • °`? AD'IOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHZ[V PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISZON. LIST AS A CONDI- TION. SUIIJECT TO TfIE FOLLO:IING CONDITIONS: APPROVED BY: TITLE: DelTE : .? ? 2/84 c CITY OF EAGAN ATION FOR PERiMIT I APPL C . SESQER AND/OR WATER CONNECTION . (PLEASE PRIHT) 1) PROPFStTY ADDRESS: r.FrAI, DESCRI°TIC:I: /?/u-5 (IAt/Block/Subdivision or Tax Parcel I.D. N?r) i=z-== :G SmtiCl?':2E, DaT' G=' ORIGi :AL uiILDLTG =-_'ST ISsU?\C°: Ujr.-: ? R-1 SuiGLE rPNffLY ? ? R-2 DUPLEX (TWO LNIT5) `R-3 ?tiNrIC?'SE (TFfftF"' + U!SiTS) Wi ITS) ? R-4 FLpAR'ITE--?:T/C^..:mQ`1DII[M ( Wi ITS) ? CtQz4..'4CLALjRETAZL?OFFICE ? LMUSTRZ?I. ? INSTITUTIONAL/GOFv?\TMffNP (PLEASE PRIYi) 2) AFPLIG?\T tvANiE: TOLLEFSON BUILDERS, INC. AnnFtESS: 1655 Norwood Drive CITY, STATE, ZI2.. Eaaan MN 55122 - PHO-NE: (612) 454 - 6873 - PLEASE PRLNT). FOR CITY USE ONLY 3) PI't"mER Np,`E= GENZ-RYAN PLUMBING AND HEATING PLU ERS LICENSE: P.DDRE55: 14745 South Robert Trail active CITY, STA'rE, zIP: ` Rosemount MN 55068 Expi ? red af Aecord PHO?= (612) 423-1144 PLUY9ER LICENSE /? 1849M ? arf nltld (PLfASE PRINT) 4) OCCUPANT/aV?t TER NArtE: SAME ADDRE55: - AS CITY, STATG, ZIP: 5) INDICI,'I'E Y1f-IICI3 PEP.*•IIT IS BEING REQUESTID: [X? QO.?T?E(.'PION 'IO CITY Sa1ER ? CO`;:IFXTIG.] 'Ib CITY LJP,TER L] C7I'I'.ER (PI,FASE DESCF2IIIE) 6) 0 PL,-;SE f?OID APPF20VL) PETnti1IT FOR PIGK-UP BY UN'F. OF ABCC'E ? ?LE.aSE tiAIL F1F°RO'M) P??LIT TO 1, 2, (D 4 AE[N[. (Circle cne) T ? ? 2 7) SIC.'a'1.?E: E D _ ?, : a ? F O R C I T Y U S E O N L Y PERMIT ° ISSUED . F°E5: $ > d., -C-,rj $ /o.tv $ S $ $ $ S S $ $ $ • SET.yD DiA\ITL (I`iCL.:T`'^. SU.I.CHi».riL? WATER PERP4IT (INCLUDE SURCHARGz) WATER METER/COPPERHORN/OUTSIDE READER Sti'ATEr^. TA? (I.ICiCiDE CO:??ORATION STOP) SE:JE4 ':Ao ACCOUNT DEPOSIT - SEi•7ER ACCOUNT DE?OSIT - WATER wac sac T'.2UNK ?JAT°.°. ASSESSt•SE:IT TRliNK SESdER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK SOATER OTHER $ TOTAL ADIOUNT PAID/RECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERZ[VG DIVISION. LIST AS A CONDI- TION. SUBJECT TO TEIE FOLLOWING CONDITIONS: APPROVED BY: ? Q TITLE: DaTE' ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55722-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUIlOING 028017 06/21f96 51TE ADDRESS: P.I.N.: 10-14993-600-01 3829 WILLOW WAY LpT: 60 BLOCK: 1 BRTAR HILL 47H DESCRIPTION: ?},°?a zRP= ? °mF. 'v'p'r? P ? AP? ?re zr*a i mai s? vRy "?,a?' ;s: P.xnN'Q ?kib'°PSx?ISd?H tF! u5 6i&M? REMAq?,`SLUDES: 3826 AND 3830 WILLQW WAY AND 3828 WEA7NER pR L58 L57 L59 FEESUMMARY: vALuArxnN $9,000 8ase Fee $149.75 Surcharge $4.50 Tntal Fee $154.25 CONTRACTOR: - nppiicanc - a i. uL .01/NFR MIKE MOHS CONSTRUCTION CO 17211107 5456 6k77?R??HILLS A55QCSA7ION 3414 SNELLING AVE 5 WILLOW WAY MINNEAPOLIS MN 55406 EAGAN MN (612) 721-1107 ? T heralay i n fo-r'ina,tii Statut*s? x L: _ . ..? APPLICANT/PEFMITEE SIGNATURE REROOF Permit Type MULTT. (MISC.) kork Type REPAIR 434 ALT. ftESIDENTIAL .. t . . s , .. ,. r?.. . . _.. _........ ISSUED 'SIGNATURE CR 50 17 3830 PILiOT KNOB RDN 55122 ? S y a 1996 BUILDING PERMIT APPLICATION (RE5IDENTIAL) S 681-4675 New Con truction Reauirements RemodeVReoair ReauiremenL9 ? 3 registered si[e surveys ? 2 copies of plan ? 2 copies ot plans (include beam 8 window sizes; poured fnd. design; elc.) ? 2 sila surveys (exlerior additions & decks) ? 1 energy calcuiatfons ? 1 energy calculations (or healed additions ? 3 eopies ot tree preservatlon pian 'rf lot platted aRer 7/7193 required: _ Yes _ No DATE: .JaMt ffi l?l ?J (o CONSTRUCTION COST: DESCRIPTION OF WORK: ?5 • STREET ADDRESS: ? 2 ?38 v LOT ? BLOCK ? SUBD./P.I.D. PROPERTY owNeR CONTRACTOR Name: 64 ( Gti /Z gf f lS Phone #: uer 1As* Street Address, City: State: Zip: Company: lAb l?ri?5' ?DNS? P?, Phone #: D7 Street Address: ??17?Ne ??iiry lddr'?6 License #: City:?/a?S ' State: RN Zip• s"SS?OC? ARCHITECTI Company: ENGINEER Name: Street City: Sewer 8 water licensed plumber: change are requested once permit is issued. State: Phone Registration #' Zip: Penalty applies when address change and lot I hereby acknowledge that 1 have read this application and state that the i a ion is correct and agree to comply with all applicabte State of Minnesota Statutes and City af Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received Yes No No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 95 Deck WORK TYPE ? 31 New ? 33 Alterations o 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS 5ystem (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of 5tories sq. ft. Booster Pump Length sq, ft. Census Code. Depth Footprint sq. ft. SAC Code Gensus Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee (4? 7S Surcharge Pian Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SIW Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units L 8L CITY USE ONLY O SUBD.?IQV?? ? RECEIPT #: l, 2-1(DU RECEIPT DATE: 1999 PLITM$INfi PERmTP (RESIDw1VTIihL) CITY OE EAfiAN 3830 fILOT KNOB RD K4fii4N, IdN 55] EY (651)6$1-4875 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system --------- ---------- - - -------------- - FIXTURES --------- -____- EACH -------------- # Shower 3.00 x = Water Closet 3.00 x = 6aiii Tuo 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray , ' 3.00 x = Hot h/S? ? 3.00 x 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - t 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construction 5.00 X = Water Softener ? for existing dwelling 30.00 X U.G. Spfinkler ' for dwelling under const 3.00 = U.G. Sprinklef ' for existing dwelling 30.00 = Alteretions ' to existing residence 30.00 = Water Turn Around 30.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems " abandonment 30.00 = RPZ (new installation/repair) 30.00 = TOTAL STATE SURCHARGE .50 Remin er. Call 687 d675 for inspectlons of water heaters, water softeners, alterations, etc. 2 -? FOTAL i?: . - ..,. -----------------••-----------------------•---------- -----------..__...-----....._....._...._....-•----------------------------?--- 1 hereby acknowledge that I have read this app?ication, state that the InformaUon is corred, and agree to comply with all applicable Ciry of Eagan ordinanoes. It is the applipnYS responsibiliry to noGiy the property owner that IheCily of Eagan assumes no Iiability for any damages causad by the Ciry dunng its nofmal operational and maintenance activlties to the facilities constru d under this permif within City property/right-of-way/easement. SITE ADDRESS: UJ, / ) VvL(. OWNER NAME: / / o7 ? 6 ?? 4"; i INSTALLER NAME: TELEPHONE #: GAVIC & SMS LUMBIN STREETAQQRESS: R WATFR SPECfAiTiFS_ INC CITY: COON STATE: ZIP: SIG/KIATURE OF CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1999 ! -? 2006 RESIDENTIAL MECHANICAL rExnuT arPLicnTioN City Of Eagan 3830 Pilot Knab Road, Eagan NIN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomeslcondos when permits are required for each unit J? 3o.sa Date G / ? / V t? Site Address --2:) U Z-1 VU :1, ? O W w Uuit # Property Owner Ti ,rn cA--Y\, ?? S?-k CA--e--1 Telephone #( G, S I) Contractor 5 EUG'ICKHEATIN(i8llptCONCItIONINGILC tiviu 8 ve. StreetAddress Minneapolis,MN 55420 City (952) 881d9000 State Zip Telephone # ( ) Bond #: r0 //" oC Expires: C? ?6 e?L^ The Applicant is _ Owner x Contractor _ Other Add-on or atteration to existing dwelling unit r??1? ld ?6,?67Q $ 30.00 x furnace _Additional ? Replacement _ New air exchanger i diti X' . v/ l/J?-?'?L `?. y a rcon oner y heat pump other Stete Surcharge JUlq 152006 OD $ .50 Tatal $ 30. 5 c) I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; thai the work will 6e in confonnance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a pemvt, but only an application for a permit; and work is no[ 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. \ Applic,ant's Printed Name Applicant's Signature Cj{y? City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3828 Heather Dr Lot: 59 Block: 01 Addition: Briar Hill 4th PID:10- 14993 - 590 -01 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746 -5200 PERMIT City of Eaan Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec 952- 445 -2840 CRAIG ANGELL 12253 NICOLLET AVE. S. ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature - Applicant - Owner: Lee P Nelson 3828 Heather Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA092447 12/30/2009 ePermit cal Inspector, I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State          ÷ú ÿþ ýüü   ûúþûúþ     ùüü ïøúøîìý   äô  ô ó    ýüõ  ýüûúù÷éìõüúù ÷úù÷éìãéìÞùï ùäü õüõôóôðüù òÿ ýñüø ïùîï  ïñüïûïí ëÿééùÿþëëïÿ  ü ùíõëëùëí õûïêñüûéÿëï ïí øçóæçí   íô  ôù  ýü ÿèüçóæçí  í  èüóþ í  óò õ ñð ùù ÷é÷æ  ã  î þÚó óä  ãýí ÿåã áàßß ß  ûéÿ   î ùù  ëïÿïùé ùùûý ëåýüõë ÿðí ùùì üýÿü          íû ý ü û þýý   üÿüú     ùýý ø ú é÷þ ã  ñ   ãã ã ÿþ þýõ  úùø÷öõòêþé þþ ù÷öõ ò ÷öõòêþé þàêéôõ ë þ õñùþ þùþ ìùõ ö ïü úîù í ëõ  ëþë îù þë þ ø ëþèó  üêêõüþû ó ó ëü  ý þõè ó ó þõ ó þ  è  øëç þ  îù øö êþüó ëöëþè  þíå äåèè  ôù  úù  ü þæ ù å äåèãèâã æ ù  ûè  óûò õ ñð õõ  òêò ä øùë  àþ ââ âñ   àúè ùáàãý ü áàââ ßÞ  øö êü    þ õõ  þ  ó ë þ   ü ëõöê  õõ øú  óáþ ú ùþ öóý ü ì  þè õõ é ëúü ù þþùöúü ù  Use BLUE or BLACK Ink I For Office Use I MY Permit # b 7 of Eajan ~,8 Fa. ~ I 577j Permit Fee: 3830 Pilot Knob Road / /3 I I Eagan MN 55122 I Date Received: Q 1 / I Phone: (651) 6755675 I ~n I Fax: (651) 675.5694 I Staff: ~J 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 3ft1/ 38~, & W IL4-0w GRAY Date: Site Address: 3 Ex S' a 3 ii' 3 o HE'A 7-PE& A k Unit 7 O Name: C1o f~ C T IV A -J 4 ~ Z, Al E A-> T .T~J C Phone: ?43 - s"9 3 S *7 ..Or Address / City / Zip: SC> r4 Q AV A3 .2 A 60iS E'•1 Vf4z f'~-J , • Applicant is: Owner "AJ Syr 7 Contractor Ty Description of work: T £,+4e ©f°s<= Q4- MkxoF Construction cost 7 *0' 00 Multi-Family Building: (Yes X' -/No Company: ph £ 1 ~,c r~lt~oR /y17i,.r Contact ~1iAv~~1 t2.R r $ Address: 1/0 S- w YJ S? . City: state: 'WAJ Zip: srv/ 9 Phone: Ucense t YI / 3 / Lead Certificate If the project is exempt from lead certification,. please explain why: (see Page 3 for additional information) Qc.Dlos W~rzi: ~~/Lr Pos"- / 97 ~ 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 S Water Contractor. Phone: jg~ CALL 13EFOR ° : y ' ~ ,y ~a y . YOU DIG. Call Gopher State One Cali at (551) 4544M for protection against underground utility damage. Cal 48 hours ' before you intend to dig to receive loafs of underground utilities. www.;IophemWeonemll.org I hereby acknowledge that this intimation is complete and ecxurate; that the work will be in oonbimance with the ordinances and codes of the City of Eagan: that I understand this is not a permit, aOQO"ds^ce mfth 0- approved but tidy an application for a permit. and work is not to start without a permit: that the wwk will be in pion in the case or vrork wnron requires a review and approval of plans. Exterior work authorized by a building permit issued In accordance with the Minnesota State Builds Code must be completed within 180 days of permit issuance. x ~tlivll, ~v2l2rs Applicant's Printed Name x Applicant's Signature Page 1 of 3 *City oiBap 3830 Pilot Knob Road Eagan MN 68122 Phone: (651) 675.6675 Fax; (651) 6754694 Use BLUE or BLACK Ink For Office use Pent Permit Fee: '7i1 3 Date Received: Staff MIT APPLICATION a%,..3. Date: S " J I/ Si t6 Addre6s: $x V. 3" (0 3 , ?? "3 o a`%i47-1>/42 L Q- unit #: 2013 RESIDENTIAL B Re5idenU Owner Name: e% 4' d M.A.,. 46EimEA.1 i ,A. kJ C. Phone: 761 - S"y'3— 9770 Address / City / Zip: ASO 1) C 4T/.. A✓, A) , 14 604 6g - 1/044 -ti Y /OA) Ss y/. 7 Applicant is: Owner k'Contractor Type of._;11Uorlc, Description of work: Rs.._o., >= a. k E pL d -c- S, Ai b d ,-,�-sL, a M s r,9 L• Construction Cost / 4; Y un • w Multi -Family Building: (Yes is / No _,) cot:Arad:or Company: a£ 1 Ler r ✓ 0 2 /2/4•1 ax -r- . ev a Contact DAL), t 43, 21z, S Address: hJDT L.) !o[> �T, City: /11 PL State: Plik. zip: 57)-1/4 9 Phone: 6P/ z • g 42 / - 6.2 y 3 License* 'a L 21/./1 3 1 Lead Certificate #. If the project is exempt il,c 6,.S. from lead certification, please explain why: (see Page 3 for additional information) 111,.iL2- Pest- is" 1n the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEIN _BUILDING has the City of Basan Issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: _ NOTE: Piens > d � •/!�•.' B eieia '%,}tin rh of ; r, the Aviki menet el es' •fC #, .a7!Ai tDO,: ',' CAU. BEFORE YOU DIG. Call Gopher Stabs 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.000herstateonec6ll.org I hereby acknowledge that this Information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this le 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 Stabs Bulidl days of permit Issuance. Applicants Printed Name Z0/TO 39Vd x. Applicant's Signature Code must be completed within 180 Page 1 of 3 INICW IX3 I3g L9Z9I983T9 St':ST tTOZ/6T/Z0 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA121874 Date Issued:04/17/2014 Permit Category:ePermit Site Address: 3838 Heather Dr Lot:54 Block: 01 Addition: Briar Hill 4th PID:10-14993-01-540 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Craig Angell 12253 Nicollet Ave. S. Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Paul J Sullivan 3838 Heather Dr Eagan MN 55122 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature