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3832 Heather Dr4161City ateta]] 3830 Pilot Knob Road Eagan MN 56122 Phone: (851) 675-5676 Fax (651) 875.5894 Use SLUE or BLACK Ink For office Use f( Permit iF: L i l q U Permit Fee: Date Received: Stuff 2013 RESIDENTIAL BUILDING PERMIT APPLICATION address: 3 8 :s hre 4-r Al r_.2 b Unit 6: Reerdetttl Owner Name: Cob 4t'' M4,1 4 b E /x s Al i .s. � Phone: 763 - S-71- 9 7 7 0 _ Address i City /zip: 8So b E c 4 Y'017. 4v, A), A 6 ac D r 1%[a r /»,4) .S 5.4/17 Applicant is: Owner X'Contractor OC)' ililol IC Type' , Description of work: D. 4- PSA C L. /V(L)Lr/PLL _ Lel "3 6 n' S • Construction Cost: _ Multi-FamilyBuilding: .1 No _ J . ContiraOtor Company: e £ 1 E., r g.2/ D 2 MAI *T . Co RP Contact DA 111 41,202i s Address: t/7!rJ 100'6' 1.7- City: /V P� S State: 00'3 Zip: .53-1/4 4 phone: /0i Z .. N f / " La, 2 4/3 Ucenso tit 41 L x Y/ / 3 1 Lead Certificate fl: If the project is exempt tl' p( - from lead certification, please explain why: (see Page 3 for additional information) g u i t_ - poste '!7 r In the last 12 months, If 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: _Yes _No Licensed Plumber: , Mechanical Contractor: Sewer & Water Contractor Phone: Phone: Phone: rr'&adlir f `• -:.:1.,.-..L.......,.. calk BEFORE YOU DIG. Call Gopher Stab One Call at (651) 464.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www.000herstaleonecap.ore 1 hereby acknowledge that this information is complete and accurate; that the work wtll be In confnnnance with the ordinances and codes of the City of Eagan: that 1 .understand this is not a permit, but only an application fora permit. and work is not to start without a permit: that the work will be In accordance wiui the approved pian in the case of work which requires a review and approval of plana. Exterior wort authorized by a building permit issued in accordance with the Minnesota State Solidi npCoda must be completed within 180 days of permit issuance. x '4!,S 22.✓ S Applicant's Printed Name EZ/6T 3Ei d x Applicant's Signature Page 1 of 3 1NICW lX3 I3g L9Z9T98ZT9 LZ:bT tfTOZ/TT/b0 BtlILDING PERINIT ?_?„r,?_ 1 OF CITY OF EAGAN N? 8934 3830 Pilot Knob Road, P.O. Box 21-199, Eegan, MN 55121 PH ON E : 454-8100 Receipt # ( '} J / k.) 4 PLEX Ec, Vni„o * 39,000 ???? aa?usaaau?\ Site Addrees Ll\• Lot 54 elock 1 Se,c/sydr BRIAR HILI, 4 Parcel No. ru-TT71: " ' " 77. G oc Name ?__...._._ _.?.. ........,.. "' b::, 3CN1,:O 7 DR. = Address 9 City L:A N Phone 454-6873 , $ Name ?? AddrE ?- City . ?W Name ? _? Addre u ? W City . Phone I hereby ackrwwledge that I hove reod this opplicotion ond stofe that the inlormation Is correct and ogree to comply with oll upplicable Stote of Minncsoto $tatutes and City of Engon Ordinances. Erect /11ter Repair Enlorpa p ? ? Occuponcy R 3 Zoniny K3 ( PL) Firo Zone H/A Type of Const. V Move ? # Stories Demolish Grnde p ? Length 44 Depth 2 6 Sq. Ft. ADProvals Fee• Assessment - Woter & Sew. Pol ice Fire Erg. Planner Council Bldg. Off. _ NPC Permit zii. 50 Surchorge 19.50 Plan check 116.50 SAC 525.00 Water Conn. 63.00 Woter Meter Rood Unit 4 fi C. 00 Totol ?' r 6 • 50 Siyncture of Permittee rSLr`rl I :' . ex A Buildin9 Permit is issued to: ? ? press tondition thnt oll work sholl be done in acrdorxe with oll opplicobla Stote of Minnesofa Statutes ond City of Eapan Ordinances. Buildinp Offlciol Permit No. Permit Holder Miac. Permit No. Holder Plumbing H.V.A.C. Fy- c j , I ck a-a ? q w.u Water Disp. S?wer Elsctrie aO ?5 KQ,qQ,/ I10gI 49,57b Inspection Date Insp. Other Footinys Foundation Framinp _f•/ Rouyh Plbq. Rouph HVAC ? Insulation J 7 3 -/' r Final Plbp. Final HVAC ' e Final Watsr D"xibe Loeation: Wel l Sewer Pr. Disp. ? CITY OF EAGAN N? 8931 ` . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ` f PHONE:454-8100 , - QUILDlNG PERMIT re b. ...a b. 1 or 4 Site Addresa 3836 FiF11 Lot Block 1 Se Parcel No. 1() -14 9 9 3 W I ? oc O Ou ul f- Name Receipt # ?! .J $39, 000 r,,,«a i'u"R IL 5 ,o 84 '2 J `f V V / J City Phone Name =1?,.•iL. Phone I I hereby acknowledga thot I have read this opplicotion and state that the information is correct and ogree to comply with oll oppliceble Stote of Minnesoto Stotutes and Cify of Eagon Ordinances. Erect ffX Occupancy Alter ? J Zoning ? Repoir ? Firc Zone Enlorfle p Type of Const. Move ? # $tories 44 Demolish p LengthZb. Grode ? Depth Sq, Ft. Assessment - Water 8 Sew. Police Firo Enp. Planncr Countil Bidy. Off. _ APC Slynaturc of Permittee I 'CfLLl.l'SOFJ BLiaR.' . A Bullding Permit Is issu"-- on the expross cadition Ihnt oll work shall be done in ?qcco?rdance with qll gpplitoble State of Minnesota Statutes and City of Eo9cn Ordinonces. Buildiny Oificiol . ;> P it -, • U erm Surcharge j - 50 Plan check ? SAC Water Conn. Woter Meter Road Unit ?? 0 470.00 /- . ? _ . Totcl Permit No. Permit Holder Misc. Permit No. Holder Plumbiny - 6 ? 71 H.V.A.C. Wsll w?c.. Disp. Sewer ENctric (nspection Dsts Insp. Other Footings Foundation Framiny Rough Plbg. 1 .. S Rough HVA Inwletion Finsl Plbq. Final HVAC Final Water Dacribs Location: Well 5ewsr Pr. Disp. CITY OF EAGAN ?p 84.?3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 BUILDtNG PERMIT Receipt To 6? wsd /or 1 OI' 4 P T ;'',X Est. Vnl?,e ?.' 39 , U0 0 Site Addresa l.ot 56 Parcel No. _ W Name 1 Address F?Oi?WOOD DR. 4 5 4 - G E? 1 , Gity P;1?C=Ar1 Phone .? z? ug F Name _ Address City _ Name _ Addresa City _ 1 hereby acknowledge that I have reod this opplicotion ond state that fi?e informofion is correct ond agree to comply with oll opplicable .' State of Minnesoto Stotutes ond City of Eo9on Ordinonces. Slflnoture of Permittee . O.? ,FI'SO1`i T. :.. . Phone Erect Occuponcy ••., Alter p Zonirq ' . Repoir p Fire Zone Enlar9e ? Type of Const. Move ? * Stories Demolish Q ? Length Grode ? Depth Sq. Ft. Asseument Permit Water 8 Sew. Surchurfle 19.50 Polite Plon check 116. 0 Firo SAC 5 r? • U Eny. Water Conn. 470.00 63 00 Planner Woter Meter . 26 0 U ' Countil Rood Unit ' Bldg. Off. , . /1PC Totol A Building Permit is issued to: on the express condition thni all work sholl be done in occor?n?ce with all oppliSablq Stote of Minnesoto Statutes ond City af Eaflan Ordinonces. 8uildirq Official ?? .. , Permit No. Permit Holde? Misc. Permit No. Holder Plum6in9 NZ H.v.ac. H566 ?` Y?' ? V i tk So r• ?-?? ? weil Watar Disp. S?war Ekctric q r+1 a s-t ?1 1` Ky ? a-'5TI Irapaction Dm Insp. Other Footinys Foundation 1 Framinq .4-yv RouYh PIbg. -1 19 /rfLi ' J • ? r/ Rouph HVA Inwlation Final Plbq. ^ ? f Final HVAC , f ? PC Final ? w?? Doscribs LoCation: Well ? S?wer , Pr, Dbp. , '. BUILp1N0' PERMIT PLEX Site AddrSa? . Lot Parcel No. _ 39,000 W Name -- ?, . ..?,.. ..?..?.. . ? Address =- -? NO7?': .`QOI% R . 9 City F'A ' ? Phone 454-6873 ?e 0 OU V? ? Name _ Address Name _ Address City - N° 8932 Receipt # n,..e n.PRIL 5 ,o 84 Erect Alter Q^ ? Occuponcy n.3 Zoning R r n Repair ? Fire Zone r: A Enlarye p Type of Consr. V Move Q # Srories Demolish Grade ? ? ? ? Length Depth 2 6 Sa. Ft. Assessmenf _ Woter & Sew. Police Fire Enp. Plonner Council 1 hereby acknowledge that I hove reod this applicatioA and stote that gldy. Off. - the inlormotion is correct and ogree to Comply with all applicable ^? Stote of Minneaota Statutes ond City of Eagon Ordinonces. Sipnoturo of Pem+ittee J - L'1?T,.j .r' S . ,'„ , A Building Permit Is issued to: ? oll work sholl be done in xcordonce with oll appliwble Stote of Minnesof Buildirg Officiol CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Phone Statutes cnd Ciry Permit `- J J. 50 Surchorge 19 . 5 0 Pton check 116.50 s^C 525.00 Worer Conn. 470.00 Water Meter 63 . 00 Road Unit 260.00 Tatol $ • ? • 5 0 expreu condition thar Psrmit No. Permit Holder Miu. Permit No. Holdar Plumbing ? ? /1J2 ' A n y (o H.V.A.C. qq'?1 9 ?1'd v- cJr Sor? i'3 6-? Wdl Water Disp. Sewer Ekctric IrKpeetion Dete Insp. Other Footings Foundation Fnminp Rouyh Plbp. Rouqh HVA epf Inwlation Final Plbq. , Final HVAC Final 41/ ale- Wetsr De?cribe Location: Well Sawsr , Pr. D'up. % CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE - 19: RECSIVED FROM AMOUNT $ I & DOLLARS ?oo ? CASH ?_CFfeCK FoaaJ" 1 ?% 1 r ? ? FUND CODE AMOUNT y yS ?, ? v .?. . ??. - •, Than ou -- ' ! BY White-Payers Copy Yellow-Posting Copy Pink-File Copy ? CITY OF EAGAN Remarks Addition BRIAR HILL 4TH ADDN l.ot 54 Rlk 1 Parcel 10-14993-540-01 Owner Street 3838 HEATHER DRIVE State EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1j 1971 Paid UIld I' OTl inal arce STREETRESTOR. 1975 70.69 7.07 10 paid 7R*RM STreet 83() 984 1227.78 245.56 5 982.23 A014563 9-14-84 **Sewer Lateral Z 1984 2136.20 427.24 5 1708.96 014 63 9-14-84 SAN SEW TRUNK 1968 29.60 .99 30 12.94 A014563 9-14-84 SEWERLATERAL TRK 25 - 983 237.37 23.74 10 189.91 014 3 9-14-84 *SEWER LATERAL -1971 32.42 1.62 20 9.74 A014563 9-14-84 **WATERMAIN. 1984 5 MATER LATERAL 1971 20 WATER AREA 331 1977 59.19 3.95 15 27.67 A014563 9-14-84 **Stubs 1984 5 STORMSEW TRK ? p984 323.50 64.70 5 258.80 A014563 9-14-84 fSTORM SEW LAT 1971 20 **Storm Sew Lat 1984 5 CURB & GUTTER SIDEWALK STREETtI0FFfi 1009 153.70 15.37 10 I5 .3. U ROAD UNIT 260.00 #42378 4-5-84 WATER CONN. 470.00 i' I I BUILDING PER. $932 r 11 sac 525.00 PAR K INSPECTION RECORD CITY OF EAGAN PERIUIIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS:' 14^ 1'1''' • APPLICANT: ??I. Fl l lfl':N UH ' • ? ?i:•i . ! ; ?;, : I :ir? ? ?> , '?II I "?1} ?, PERMIT SUBTYPE: TYPE OF W4RK: INSPECTION .. , .. ? ? L - - - - - - - - - - - - - - ---- - -- - - -- - --- - - - - - - - - - - - - - - - I Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING G a-S ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITV TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CITY OF EAGAN Remarks Addition BRIAR HILL 4TH ADDN Lot 53 Bik 1 Parcel 10-14993-530-01 i Owner Street 3$36 HEATI-IER DRIVE State EAGAN NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1122- STREET RESTaR. 975 70.69 7 5??R }Q'?.9C S reet 1984 1227 78 245.56 S 82.23 A01448 8-2 -84 ** 2136.20 8 8-29 -8 SAN SEW TRUNK Q 1968 29.60 99 0 12.94 A01448 8-2 -84 SEWERLATERAL TRK 1983 237.37 23.74 10 -8 *SEWER LATERAL IQ 1971 32.42 1.62 20 9.74 A01448 8-2 -84 **WATERMAIN 1984 i4NATER LATERAL 1971 2 WATER AfiEA 5 '] CJ 27.67 48 -2 -84 **Stubs 1984 STORMSEW TRK 1984 323.50 64-70 5 258.80 A014489 8-29-84 +ISTORM SEW LAT 1971 ZO **St rm Sew Lat 1984 S CURB & GUTTER SIDEWALK STREET EM}rT 237 -5- WATER CONN. 470.00 #42378 4-5-84 8UILDING PER. 431 42378 4-5-84 sac 525.00 42378 4-5-84 PARK CITY OF EAGAN Addition BRIAR HILL 4TH ADDN Owner- Street 3834 HEATHER DRIVE 10-14993-560-01 EAGAN MN 55122 Improvement Date Amount Annual Years Paymenr Receipt Date STREET SURF. 1107- STREET RESTOR. Za- 197s 70.69 a'] 1 aid Y c,, 1984 1227.78 245.56 5 982.23 A014562 9-13-84 ** Z 2136.20 24 1708.96 A014562 9-13-84 SANSEW TRUNK 1968 29.60 .99 30 12.94 A014562 9-13-84 SEWERLATERAL TRK L5 1983 237.37 23.74 10 189.91 A014562 9-13-84 *SEWER LATERAL 1971 32.42 1.62 24 9.74 A014562 9-13-84 **WATERMAIN 1984 S * WATERZATERAL 1971 20 WATER AREA 3 1977 59.19 3.95 15 27.67 A014562 9-13-84 **STubs 1984 5 STORMSEW TRK 1984 323.50 64.70 5 258.80 A014562 9-13-84 * STORM SEW LAT 1971 ZO **S rm Se Lat 1984 5 CURB & GUTTER SIDEWALK STREET 6+&1 Ff 1009 1986 153.70 15 . 37 10 53 - 7c) e -l0?fa G- - S ROAD UNIT 260.00 42378 4-5-84 WATER CQNN. 470.00 Tt ii BUILDING PER. 893LF 'T ? sac 525.00 PARK CITY OF EAGAN Remarks Addition BRIAR HILL 4TH ADDN Lot 55 B1k 1 Parcel 10-14993-550-01 Owner Street 3832 HEATHER DRIVE State EAGAN NIN 55122 Improvement Date Amount Annual Years Payment Receipt Oate STREET SURF. STREET RESTOR. 19?5 ']0.69 'j. 07 jQ aid V?3(`R?C STreet 1984 1227.78 245.56 5 982.23 A014620 9-28-84 **Sewer Lateral Z 1984 2136.20 427.24 5 1708.96 A014620 9-28-84 SAN SEW TRUNK 1968 29.60 .99 30 12.94 A014620 4-28-84 SEWER LATERAL T -1983 237.37 23.74 1 189.91, A014620 9-28-84 * SEWER LATERAL 1014 -1971 32.42 1.62 20 9.74 A014620 9-28-84 **WATERMAIN 1984 $ * WATER LATERAL jQ']j 20 WATER AREA '1977 59.19 3.95 15 27.67 A014620 9-28-84 I **Stubs 1984 5 STORMSEW TRK ? 1984 323.50 64.70 5 258.80 A014620 9-28-84 * STORM SEW LAT 1971 ZO **Storm Sew Lat 1984 5 CURB & GUTTER SIDEWALK STREETt+e+T 1009 1986 153.70 15.37 10 153. U -/CegS -/(? - ROAD UNIT 260.00 #42378 4-5-84 WATER CONN. 470.00 11 of BUILDING PER. $933 11 sa,c 525.00 " ' PARK Receipt 7`?" / '--' PLUMBING PERMIT V CITY OF EAGAN Fill in numbered spaces Type or Print legibly 1. Date 2. Installation Cost 3. Job Address Lat ZY Blk. 4. Owner 5. Contractor 6. Address ? Permit No. ' Fee S/C Tot. ? %, /F j t ?! /C' ? Tract i 1/ < < i7 7. City _ State Zip _ / 8. Building Type: Residential Commercial D Institutional ? 9. Work Description: New ES Add ? Alter O Repair ? I 10. Describe 1 11• ? No. ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Wel I Kitchen Sink Urinal/Bidet Laundry Tray Other ? Floor Drains Drinking Ftn. Slap Sink Gas Piping Outlets ? ? 12. I hereby certify that the above information is true and correct, and I agree to comply with all ardinances and codes governing this type of work. Signed : for Rough F inal Inspections: Date i Insp. Date Insp. This is your permtix whefi numbered and approved. Approved ` ? ? CITY OF EAGAN 454-8100 Recei t PLUMBiNG PERMIT P i ~) ?? p er CITY OF EAGAN m t No. r ? ? J Fee J Fill in numbered spaces S/C .? L Type or Print legibly / Tot. -?- v 1, Date-// y' 2. Installation Cost 3. Job Address A.1 %? x,??dh. Blk. Traci" ? , 4. Owner t 5. Contractor g1 GEE WATER rOFF01 y 111M EXC°-Wl:' 702 6. Address 1,• :tl a. i li . J ? • _ - I. y \ 7. City Stat?a n-io"" 2ip 8. Building Type: Residential X 9. Work Description: New'X Commercial ? Institutional ? Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p tic Tank Se Lavatory p $pftne Shower r 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 an correct, and I agree to oomply with all ordinances and codes governing this ype of work. , r Signed : _ i c ?- Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Reoeipt PLUMBINGPERMIT PermitNo. ? CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost . ' . . ; ,? 3. Job Address Lot Blk. ? Tract 4. Owner . . ". _ ._ „ f . 5. Contractor - 6. Address 7. City 8. Building Type: Residential 9. Work Description: New ? 10. Describe I 11. No. ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank 1 Lavatory Softner Shower Well ? Kitchen Sink Urinal/Bidet Laundry Tray Other Floor Qrains 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 454-6100 . ? Phone ` State Zip Commercial ? Institutional ? Add ? Alter ? Repair O Reoeipt ? PLUMBING PERMIT CITY OF EAGAN Permit No. Fee Fill in numbered spaces S/C Type or Prini legib/y Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. ? Tract 4. Owner 5. Contractor Phone - ? ' 6. Address /? " • ` /'r• 7. City State 1• Zip 8. Building Type: Residential L1) Commercial ? Institutional ? ? 9. Work Description: New? 1? Add ? Alter ? Repair O 10. Describe 11. *a-+ No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Wel I ?- Kitchen Sink Urinal/Bidet Laundry Tray Other 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 goverrrtng this tYpe of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permiwh,en rmbered and approved. Approved CITY OF EAGAN 454-8700 ? Receipt PLUMBING PERMIT Permit No. % CITY OF EAGAN Fee Fill in numbered spaces S/C • Type or Print legibly Tot. 1. Date y J?? 2. Installation Cost 3. Job Address ? Lot -J ? Blk. / Tract 4. Owner - ' 5. Contractor •' • ' Phone J` 6. Address 7. City 8. Building Type: Residential 13 9. Work Description: New C7 1 10. Describe 1 11. .j State Zip Commercial ? Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool /Drainf ield Bath tubs $eptic Tank Lavatory Softner Shower We I I Kitchen Sink Urinal/Bidet pther 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. 5igned : for Rough Final Inspections: Date Insp. Date Insp. This is your permit ?hen numbered and approved. Approved I.J/ - CITY OF EAGAN 454-8100 ;? r? Reoeipt ; l!MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C , Type or Print legibly Tot. 1. Date fIla 7 b.`? 2. Installation Cost 3. Job Address ?? 3X '*r ' Lot Bik. ? Tract / r. , 4. Owner (? ' :'.'1?- 5. Contractor ` "' ?`? 6. Address 7. City State Phone '% "`> c ? J `? ?1 < < ? ? k_{?(_ Zip . >?/. _ . 8. Building Type: Residential [D--' Commercial ? 9. Work Description: New LL}-' Add O Alter ? 10. Describe 11. Institutional ? Repair ? Fuel Type No, ? Eauipment 8TU - M. Ea. Forced Air No, Equipment CFM Ai H li Mf9• ng: r and Boilers Mfg. Mech, Exhaust Unit Heater Mfg. Other Air Cond. Mfg. L' 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 Ftnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT CITY OF EAGAN FiII in numbered spaces Type or Print legibly 1. Date 2. Installation Cost 3. Job Address Lot Blk. n Parmit No. Fes S/C Tat. Tract 4. Qwner 5. Contractor Phone 6. Address C ' 7. City State Zip 8. Building Type: Residential S Commercial ? 9. Work Description: New la- Add ? Alter O J -7 7S Institutional ? Repair O 10. Describe Fuel Type 11. No. Epu'inment 8TU - M. Ea. 4 Forced Air No. Equipment CFM Ai H dli Mfg. A1 'l) 61 ?C an r ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. {.; Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for 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 Fil/ in numbered spaces S/C Type or Print Jegib/y , Tot. 1. Date 2. Installation Cost 3. Job Address :n ?' ? t "?' Lot Blk. 1 Tract 4. Owner 5. Contractor 5? 6. Address 7. City ?` - -. - - State 8. Building Type: Residential L'J Commercial ? Institutional ? 9. Work Description: New Ct'- Add ? Alter ? Repair ? I 10. Describe I 11. Type No, Equinment 8TU - M. Ea. Forced Air No.- Equipment CFM Ai H dli : Mfg. r an ng Boilers Mfg. Mech. Exhaust Unit Neater Mfg. Other Air Cond. Mfg. ?-' Gas, Piping Outlets 12. I hereby certify that the a6ove information is true and correct, and I agree to comply with all ordinances and codQS governing this type of work. Signed : J " .t for Rough Pinal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6700 Phone Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prrnt legibty Tot. 1. Date `2. Installation Cost 3. Job Address Lot J Blk. l Tract 4. Owner ' 5. Contractor ' Phone ' 6. Address 7. City State Zip 8. Building Type: Residential 0 Commercial ? Institutipnal ? 9. Work Description: New 0 Add ? Alter 0 Repair ? 10. Describe 11. Fuef Type No, Equinment BTU • M. Ea. Forced Air No. Equipment CFM Mfg. ? x Air Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mf9• Oth Air Cond. er Mfg. , -. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances an8 codes gaverning this type of work. Signed : for Rough Final Inspections: Date lnsp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 No.. to omViv wilk !Iw CMp ef Esge• WATER SERVICE PERMIT Accour,t Deposir: Pertnit Fee: -- Surcharge: Misc. Chor9es: _ Totoi: pete Paid: - CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road p???T NO.: O. Box 21199 P . Eagan, MN 55721 Op`TE' j c. 1_- Zoning: No. of Units: Owne?: Address: i: ; eatiier . , Site Hddress: Piumber: .. , . '•'. 1 yne to emnph witb tlw Chy ef vo"¦ Conneetton Choroe: Ordinanass. Account Depodt: i Permif Fae: Surct?o?pe: ' By Misc. CF+oroex Dote of Insp.: Insp.: Total: Dota Paid: CITY OF EAGAN WATER SERVICE PERIVIIT 3830 Pilot Knab Road P. O. Box 2:199 PERMIT NO.: Eagan, MN 55121 DATE: ' Zoninp: No. of Units: 1 fi F pN,ner. Tc11-a1soai Fldrs Addross: Site Addnm; 3936 I?eataer Drive L53 F±1 Rrair "i_1.: '• t-`? Plumber: C-etlz RyBn AAeter No.: Connection Char9e: l+ 7 0. ''? p :'. Size: Account Deposit: 15.00 fi . ' Reoder No.: Pertnit Fee: . • t 1 egm M canPFp wlf6 eie G!p of Eayen $urchorge: ' ?- OrJin.noa. Misc. Chorpes: '3•00 nd me t er Total: By Dote Pa1d: Date of I nsp.: I rup.: CITY OF EAGAN 3830 Pilot Knob Road SEWER SERVICE PERMIT P. O. Box 2' 199 PERMIT NO.: Eagan. MN 55'I?? DATE: 1.-1 r Zonirp: No. of Units: pwrw,; Tollefson Bldra /lddress: 3K36 I:ea iler Dri ve L53 B1 Briar 1?112 4th 51ta Address: r reYiz jiart Plumb e 4_5_.84 42378 425.00 pd 1 pn? [o eemply wkb tie Cilp ei EeW¦ C.onnection Owrpe: 1. pd OrdIM110q. ACOOUM DEpmIt: ? Permit Faa: p d 5 ? SurcF?orpe: • p gy Misc. Choroes: ? Dote of Ir?sp.: Totol: Insp.: Dob Patd: _ _ ' OF EAGAN WATER SERVICE PERMIT Pilot Knob Road Box 21199 PERMIT NO.: i, MN 557Z1 OATE: g• E:_ roil ?.I_u= No. of Units: ;eoder No.. aonm [o aompFp wMh tiN Ciep ef Eegon Connection Charge: Ateount Depos(t: _ Permit Fee: Surchorge: Mlac. C.horgas: _ Total: Dote Paid: Pilot Kncb Road Box 21199 PERMIT NO.: i, MN 55121 DATE: p: - No. of Units: to eaepy wilh eb. Gtr ef Ealps c«,?,ectia, aa.v@: ? oU.-- /?tcount Deposit: PlRTllt FeQ: 17. 00 SYrChOfQl: .50 111Si9C. Ch0TQQx TOtOl: DGte POW: CITY OF EAGAN 3530 Pilot Knob Road P. O. Box 21199 Eagan, iNN 55121 Zoniny: O1Yr1!?: AddfQSS: Slte Address: Plumber. MeMr Na.. Stza: -- Recder No.: Isowe to oerPip wbb tM City ef Eoyow Gdinesw, By Date of Insp.: WATER SERVICE PERMR PERMIT NO.: Di1TE: r, ... > 4 No. of units: ? af 4F,1Ex Connection Chorge: `I / U. vu pd ACCOUnt DepOSit: ? • j S • i Permit Fee: 10. 00 pd Surchcrge: • SO pd Misc, p,oroes; 63.04 pd mete Tofol: _ Date Paid 1rop.:_ CITY OF EAGAN 3830 Pilot Knob Road SMR SRyIC E pUMIT P. 0. Box 21199 PERMIT NO : Eagan, NiN 55121 . DATE: Zonirg; ' : ?ll f No. of Units: c. pM,rwr; e soc Bldr3 Address: Site Address: 3`?32 HestheT nr3 ve I.?ir 1131 `r?ar Plu?nber nenz Rvar, I .9ne ro aoinpy wiefi li. Cih, ef Ewe c.onnectiw, Charpe: 4 25 . 00 pd OedlMnaa, Acaoixit Deposit: ? • P Permk Fee: • P Surchorps: . . S Y Miec, Chorpm Dcte of Insp.: Totol: Insp.: Date Pcid: ive L55 B1 WArER SERVICE PERMIT PERMIT NO.: _ -' -- Acaamt Deposlt - Permit Fee; _ Surchorge: Misc. Choroes: _ Toioh _ .Ac4mwrt Deposit -- 15.0r) pd Pl'e?nit Fee: 10.00 pd Surcharge; • n P ? C}wrpes: Fi3.717-1, -'. tneter CITY OF EAGAN WATER SERVICE PHtMIT 3830 Pilo; Knob Road ? 7 P. O. Bpx 71199 PERMIT NO.: ; MN 55121 E DATE: aoqn 1 of 4plex Zonirlg: '`4 No. of Units: Owner: To11e ? llddr[sss: . , . R1 Rr.air HiII 4th ita /lddress: ' -- I umber. - r r No. ? - .?; i . : ..Y Size: - ion Chor? Acoount Deposit: 47?).00 pd P .00 `?9 m+it Fee: P uuu ' ' p Reader No.: ' 1 eg ro? to oomoy w?Mh tiN it?r of 9en e Surchorge: . P 00 od riet ?r 63 p??? Misc. Charpes: . l: t T o o g Dote Paid: y Dote of Insp.: Insp.: CITY OF EA6AN 3830 Pilot Knob Rosd P. 0. Box 21199 Eagan, M!d 55721 za,;,p&.' R4 flvner: Toll oa ross: 51 Addrcss: P r. Meterf No.: -, Siu: S Reoder Noz f` 1 agree te eqAVy wuh 11i 8y ?6? Date of I nsp.: WATER SERVICE PERMIT PcRMIT NO.: DI\TE: '" '' --; 4 No. of Units: s of w^] ex t ?i !;':, • u,-.' `?onnectfon Charye. -; ? V . Vu ?r, - , • wcount Deposit: 15. DO a d ??. Permii Fee: 10. oo p a ef n Surchorge: .50 p d Misc. Chorfles: p (l '!'?et2r Totcl: ?- Date Paid: This revuest voitl q(AuQ ,5 ?n.nssrom ?; 05-?g?5 ?5va? p E! iqmp? 4 ). .Sti 'He4uest Date Fire No. Flough-in Insuection N ired? 0Ready Now Will Notify. InsPec- 1'es ?No. [or When Heady C] Licensed Eletfrical Con[rector I hareby request insoection of aEOVe ? Owner electtical work installed eC Street AAdress, 8oz or Route No r . Q Ciry acLOn o. ownship Name r No. Ranee o. County Occupnnt (PRINT) O Phone No. Po r Supplier z Aress O EI ctrical Convactor IComDany Nem I ? C nv kVw r' s Licens No. F'- 3 Mailing Afldress7t7ontra ct r or / Owner Meking Ins2ai ioN Au[horiz SiB^aw (Contr r O er aking Installation) Phone Nu ar MINNESOTA STATE OARD Of ELECTPICITV THIS INSPECTION REQUEST WILL NOT Grigve•Midwey Bldg. - Noom N•791 BE ACCEPTED BY TME STATE BOARD 1827 Univarsity Ave., St. Peul. MN 56104 UNLESS PROPER INSPECTION FEE IS PMnnw 181212972111 ENCLOSED. l(l(?(pa flEQUEST FOR ELECTRICAL INSPECTION " Ee-00001-134 w-- ' See insfructions for comolatina this form on beck o1 vellow eoov. 057825 '"X" Below Wo??-?ed by Thrs Request py AAtl Pep. TYPa of Builtling Applionces Wiretl Equiomenl Wired Home Range - Temporary Service Duplex Water Heater Lightin Fixtures Apt. Building Dryer Electric Heatin Commerci I Bldg. Furnace Silo Unloader Industria ldg. Air Conditioner Buik Milk Tdnk F m ther oeci v Tther 15oer.ifyl 17 ciW 1 er Olhe, Compute Inspe"cfron fee Below p Fae SeeviceEntrenceSize # Fee Fexders/Subteaders p Fee Cirmits U to Z00 Am s? 0 to 30 Am s 0 to 30 Am Above 200 qmps 31 to 100 Amps 37 to 100 A Swimmin Pool Above 100_Am , Above 100_AmFS Transformers Irri ation Booms Partial-'Offier Fee Signs Special Inspection T ? T emarks L FE .'/ _ j Rou9h-in Da[e ? ?he Pecnical ? ???? InsDector, hereby ce ify ffie[ tha above Final DNt? J? r-J i pection hes bean • . ' . /Ide. ?? M4 reauaet vo101B mon1M Irom 4k-{14 O IffQUEST FOR ELECTRICAL INSPECTION FBZODOI-04 See inniruetinns fq eontoleling this tam on hset et Ya11ow cop?. / ?v 1?61k`t A? nq7 R 7A ..x.. ee,ow wock ;: 1,.er-ad er rn,s eeq„est ofBUiNino 1 AwliamssrlirW p Fee ServieeEMreaeSiie p Fee Feeden/SubTeeders k Fee Cimuits 0 to 200 0 to 30 A O tu 30 Airmts Above 200 Am?a 31 to 1 W Amps 31 m 700 ADWS Swimming Pool A6ove 100- Above 100_ Translarmer5 Irrigation Boars Partial-' F¢e Sigts Special Inspection 5 ? T /LL FE ? 7 Xemarks ' ? I01 -1 I , ?? RouBMin Date L'?,ta iel I,/ ImPeebr. he.eh?r ? v onil?r [Inl tlw abpY? Finel i ' poy pNp liqt npuntvoid tB mmlM hom rnis .aauest wie 4(? ?? d 1 • (v ?1 ? ?`6 1 8 montis :rom A 057824 L5-7 81 6r;a,,. ya050 ftequest Dage / 4 Fire No. ugh- n Irepec[ion ?aufretl) QNeadv NoN wGI1 Notih.IRSper ? Wh.° es ? No icensed ElBCtriU! Contractor I?rebY re9?st impaetion M abo?re ? Owner elecvipl wark inuHlled at S[reet Address, Bos or Rovte No. City ecuon ship Name or No. npe o. County / I I 7? Occupant 1H71NT1 / Rwne ? ' / %? ? ? Yo Lt i .? Power upp Adtlress Electrica??/o?ntrectar /CartNSny'R??i?e) C vaytgr;c? ??lO? Y G/ .'i MailinB Address {Confractor Owner Maki Irep11aY n) y? ?? 'q Aufiorized 5naNre (C tracmr ?r Ma g Iretallation) l..Q/ Plwne Nuober MINNESOTA y7pTE BOAPD OF ELECTRICITY - THIS ItiBPECitOM IIMUESi Alll NOi Grippa-NidweY BItlO- - poom N-191 0E ACCEPfEO BP 7lIE STA7E flOARD 7827 University Ave., St. Paul, MN 55104 UNlE85 P90PEA IMSIEC710M ig 6 w...... 10121297111111 EMCLQ4ED. REQUEST FOR ELECTRICAL INSPECTION Ere-ooooi-oa -,? ' See 7nstruetions tor eompletin9 thle fotm on back oi yallow copy. ?1 ? yj 1$ Y A n?j 7?9?1 "X"' Belaw Work,i overed by This Request ? F4.4&dtll Reo.l Typa ot BuilAing 1 Aooliences Wired 1 Equipment Wired I eater p Fae ServlceEntreneeSlza k Fee Feeders/5ubteaders N FeeI&I Cirwits 0 to 200 qm s 0 to 30 Am s 2-a` 0 to 30 Am Above 200 qmps 31 ,to 100 Amps b 31 to 100 A Swimmin Pooi Above 100-Am s Above 100_Am)s Transformers Irnpation Boorcis i Parti Signs ? I ISpecial Inspection ? ?'// ? TA FEE Re?rks $ / ? -7 - 1•? ? I..__'.. ... // the Elacbical I `????Y? Inaoec,or, hereby certifv thet the ebove Final , t:/Zf4r;p(pdpection hes Eean 7Ka llNt repuesl roid 18 .his aa es o;d y y ?? b 78 rtqnths (iqm A., 0-57 823 L 5 b 64 Wts IgY Ua .5 n Nequest Da e ? ? 1 Fire No. RouOh- in Inspection Reqmred? ' fleady Nu iil Notify, Inspec- ? u Wh R ? ? es No r en endy ?[icen etl Electrical Contr»ctor I hereby reqaest inapaction ef ebove ? Owner ' l t i l i l d e ec r ca work nsta la et: Streat Atldress, Boz or Route o. ? CitY -, P A-- ecuon o. Township Name or No. anga No. County k/ p a A Occupnntl NT) Phone N Z PoWAS-PPli?? Adtller?? • ? ? Electrical Contractar 1 ompany N. 1 Conva?r??ense Nq? ? / Atldr s IC rac r or ner Meking I il [ioN n a Mailiae ? J ? ` Authorized Sipnawre (COnvactor/Owner Making Installation) Pho e MINNESOTA STATE BOARD OF €LECTflICITY Grigps-Midwey Bldg• - Room N-191 1821 Univeraity Ave., St. Paul, MN 65104 YMne 18121 997.9111 TMIS INSPECTION REQUEST WILL NOT BE ACCEPTED 0V THE STAiE BOAPD UNLESS PROPEN INSPECTION FEE IS ENCLOSED. l( ?( I.(p'0 REQUEST FOR ELECTRICAL INSPECTION EB-00001-O.dI - - , See inatruceions for comoleYinO t??h+3orm on back af yellow copy. ?I?? I ty A n57RI 7 "'X"' Below Work t:,overed by Thrs Request Nk. Add R.P. Type al Buildin0 /1POliancea Wired EquiUment Wired Home Range Temporary Service Duplex Water Heater Li htiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bidg. Fumace Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk Tank pqr ,.. ther Peci y lher (SUCCi1y) t or Othur Fae 31 f ttouon-in °" ? ?. ma _qj Inspactoq hewby cartily that the above Fimi J pection has baen ? de. TMt npuest void 18 montlu from . rnis rea.45t wie YL(1l0U 18month3ij?om A n57R17 L5s e( (`61`6`/ L-( ) S`U .nyuesc . a nre rvo. ou n-in insuecuon 6 y% {? eQUired? ?NO I ?Reatly NoW ill Notity, InsPec- ? S es 1or When Readv ? Licensed EI¢chical Contractor I hareby request insoection of ebove ? Owner ' eleefrical work inalalled ar Sneei Adtlress?.BO? qoute No. ? r) ? Cit?y+ ecuon o. Townshi0 Name or No. Ranae ri Vt Counly Occu ant I N) D I l S Pho e Na. Power Sup li f / 4 ?6 v'ef f ! . Adtl re ? Electrical Contractor ompany Name) 1 C?o/nnac?lo5r's Licen?sa` No. (/ C/ ?6 iI nB Addre/ss IC.^tr?acto r Owner Mak'ng Ins?ailation? `^ _J C ? ?/???0 Auth=trac dOwner Making Installationl Phone Number YINNESOTA STATE OARO OF ELECTRICITY THIS INSPECTION PEQUEST WILL NOT Grigps-Midway BIlg. - Xoom N•191 BE ACCEPTEU BV THE STATE BOARD 7821 UniversitYAve., SL Peul, MN 55104 UNLESS PROPE0. INSPECTION FEE IS Phone 18121 297.2111 ENCIOSED. rz aaaress CORRECTION NOTOCE 3S?41 -3?O -aS f 4L DATE:-(Q_? r ? Site Name Tel ephoneT- lcz_Q___7-_ Owner/Agent Ordinance Nos. and Corrections - Correct By For reinspection Eagan Dept. of Inspection 3795 Pilot Knoh Rd. Eagan, Minnesota 55122 454-8700 / Inspector: Dept.: - r' T CITY OF EAGAN BUILDING PERAAIT N° 8934 Receipf # qd-2'2 Te M und i'or 1 OF 4 PLEX Et. Volue $ 39, 000 Dote APRIL 5 i 9-8A__ HEATHER DR. R3 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55127 PHONE: 454-8100 Site Atldress Lot 54 eiock 1 sec/sub. BRIAR HILL 4 rarcel No. 10-14993-540-01 0 Z V?u r Name TULL$;r'SON SLDRS. Address 1655 NORWOOD DR. City EAGAN Phone 454-6873 Name Address City Phone Name _ Address City Phone TOLLEFSON BLDRS. Ered fN OcCUpan[y Alrer ? Zoning R3 ( PD ) Repolr ? Fire Zone N/A Enlorge ? Type of Const. V Move ? # Stories DemoGsh ? Length 44 Grade ? Depth Z 6 Sq. Ft.- Approvals Foes Assessment _ Wuter 8 Sew. Police - Fire Eng. Plunner _ Council - I hereby ockrawledge Ihat I ve reod this opplication ond sfate fhat gld9. Off, the information is correct n ogree to wmply with oll apOlicoble AP? - Stote of Minnesota Stat es ond City of ?Eyy 0.0./onO?/rdirwnces. Signoturc of Pertnittee ?S?! ? LLEFSON BLDRS Permit $ 233.50 Surchorge 19 - 50 Plon check 116.50 SAC 525_00 Water Conn. 4 7 fl - Q Q WoterMeter 63.00 Road Unit 260 _ 00 roml 1, 687. 50 A Building Permit Is issued to: on fhe express conditlon Ihnt oll work sholl be dom in oc rdonc wit all pp\ftGCb4p-S-7t?ate? of Minnesoto Statutes ond City of Eogon Ordirwnces. Buildirg Official CITY OF EAGAN BUIL•DENG PERMIT N° 8931 ReceiPt # VAI-2 ?? Ts bs amd for 1 OF 4 PLEX Fst. Value $39,000 pate APRIL 5 19 84 SiteAddreu 3836 HEATHER DRIVE Ered CKX Occupancy R3 Lot 53 elock 1 cec/Sub. BRIAR HILL 4 Alter ? Zoning R3 (PD Parcel No. 10-14993-530-01 R t Fi Z N A epo r ? re o? V TOLLEFSON BLDRS enlo.ge p Trve of Consr. ? Name . Move ? # Stories ; 1655 NORWOOD DR. Address Demoltsh ? Length 44 o City EAGAN pnone 454-6873 G d 26 D h F ra e ? ept Sq. t._ , o Name SAME Approrals Fees ?? Address i- City Phone Name City Phone 1 hereby acknowledge thot I have read this application ond state thot the informatian is correct gno agree to comply wlth oll opplicoble Stote of Minnewta Statu s nd City of E an rdinonces. Siqnoturo of Permittee 'dT LEFSON BLDRS 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Assessment - Woter & Sew. Police - Hre Eng. Planner - Council _ Bldg. Oft. - APC Permit ? 4.3.7 . J V Surcharge 19.50 Plan check 116.50 SAC 525.00 Woter Conn. 4 7 0. 0 0 WoterMeter 63.00 Road Unit 260, 00 ra,l 1,687.50 A Buiiding Permie Is issu on tho express conditlon thai all work sholl be done in o d n?ce pwith pliw-b.le State of Minnewta Statutez and City of Eogan Ordinonces. Buildiny Offfciol µt R 1?J?A!.- CITY OF EAGAN BUILDING PERMIT N° 8933 Receipt # C To M uwd fer 1 OF 4 PLEX Est. Value $ 39,000 pOfe APRIL 5 I q 84 SiteAddress 3834 HEATHER DR. Erect y u Occupancy R3 Lot 56 slock 1 SeclSub. BRIAR HILL 4 qlter ? Zoning R PD Parcel No. 10-14993-560-01 Repuir ? Flre Zone N A ec Name TOLLEFSON BLDRS. Z Address 1655 NORWOOD DR. ? c;tY EAGAN Phone 454-6873 o Name SAME ? ? Address ? r City Phone f M F Name W _? Address u ?W City Phone I hereby nckrowledge that I hove read ihis applicotion and state that the inlormotion is correct n agree to comply with oll opplicoble rd Stule of Minnesota Statut City oi Eoya Or irwnces. . $ipnature of PermiMee ? TO LE SON BL 5 Enlarge ? Type of Const. V Move ? # Stories Demolish ? Length 44 6rode ? Depth Z 6 Sq. Ft.- Avvrarels Fees Assessment Permit +S 133. SU Water 8 Sew. Surchnrge 19.50 Police Plan check 116.50 Fire SAC 525.00 Enp. WaterConn. 470•00 Planner WaterMeter 3 00 Council Road Unit 260 _ 00 Bldg. Off. APC Totol $1,687.S0 A Building Fermii is issue to: on the express [ordition thni all work sholl be done in accor nce) 'th all o p i ble State of Minnewta Statutes ond Ciry of Eopan Ordirwnces. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454•5700 Building Officiol CITY OF EAGAN BUILAING PERMIT N° 8932 Receipt # /?-?/,;? Te 6e wed for 1 OF 4 PLEX Est. Volue $ 39, 000 Date APRIL 5 19 84 SiteAddress 3832 HEATHER DRIVF._ Erect QK Occupancy R3 Lot 55 elock 1 Sec/Sub. BRIAR HILL 4TH qlter ? Zoninq R3 (PD) varcel No. 10-14993-550-01 RePair ? Fire Zone N/A V Enlarge p Type of Const. w Name TOLLEFSON BLDR. Move p # Sto.ies Z fi Address 1655 NORWOOD DR. Demolish ? Length 44 city EAGAN phone 454-6873 Grod De th 26 F S e ? p q. t.- z SAME ApProrala Feea ,o Name t- ?? Address ? City Phone Name _ Address City - Phone Assessment - Water & Sew. Police - Fire Enp. Pianner ? Council _ I hereby acknowledge that I have reod this applicution ond state thot gldg. Off. the informotion is wrrect agree to wmply ;pith all opplicable APC - State of Minnesoto Statu s d City'of Eagan brdinance Sipnofure of Pertnittee /' A Building Permit is tssued to: T=EFSON BLDRS. oll work sholl be done in acmrdarxe all o liwble Sfata`bf Minnesate Sfatu 3830 Pilot Kooh Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 Permit J GJ.J.JV Surcharge 19.50 Plan check 116.50 SAC 525 _ 00 Water Conn. 470.-00 Woter Meler 63.-0 0 Road Unit 2F+n - 00 Taei $1,687 50 _ on the ezpress condition Ihnt City of Eogan Ordirwnces. Building Ofiicial ??OP EAGAN Irbcl;de zsets Of pum. 1 site plan w/elevatiaie i . svnmrNC Pewum nppmcmaa 1 eet of enexW esla"tians. aWse u.aa ? rr?„ation I ?,,?o6 nerr p ri 1 3? IG??- Site Adt1_Ye-Y9 ??CEFICE USE RILY ??5315?I, Sec./Siab. Rri?"v-lkij?/-FY,ect pCcuEUncyr 3 Paroal i: - iq ?7 ?j 3 - 5 3d - b /Alter Zonirg 3 -.R Girnett Fire ??one arge _ lype of COnat, 1lddseia: mbve M Stnries Oode: . Demolist? Fsont, CItY/Z1P . Grade Oepth Phoos !s oonr.ractor: ZI?-?7? liddreeac I.? I?GY6U ('? L?+ri U? C1tY/Z1P LlDdes E-Acam Phona 1: ? - ? ]Itch. jsztg.: Atidtea t ??ip code• ?L- - - ? Water/Sare.r SurrJmrie Police Plan Q?eck? Fire SAC ai4. Water Uotftt, 7d Plannes Watet Fletet 3 Cauicil Poad Unit $? Hldg. Off. ? RPC 4 mrAr. 0 ? e? r ?? ?r ? /o?? ? 6 ? ? - a 3g???? 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements RemodeVReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq• R. af house; and ell raofed areas 2 copies of plan CeR of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N. 2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey foradditions & decks Tree Pres Required _Y _ N isetofEneyyCalculations Addfflon-indicafeHon-sdesepticsystem On-siteSepticSyslem _Y _N 3 copies of Tree Preservation Plan if lot plafled after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less unfls Date ?/?/ C7 y 00 Construction Cost S 3 55 ? Site Address UniUSte # Description of Work a?v?J? X s _ ?-^'?d ? /?'""? t?"^?""?,? . Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ?149r_-r:Q.. z 0--y? Telephone # (6$) ) lfJr6 - g79 y Contractor Address ? /JOi City State -fm Zip 55Y?9 Telephone #(713 ) ' 7`7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventiletion Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licenaed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN 5tatutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt- Multi ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Adddion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicarrt Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories 8ooster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ FooGngs(deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile OtYier Roof _ Ice& Water _ Final _ Pool _ Ftgs _ Air/Cms Tests Final _ Framing _ Siding _ SNcco _ Stone _ Brick _ Fireplace _ R.I. _ Ai r Tes[ _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Pertnit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector ov;?:t?rr•X<v,:;k?r??k>;:w,.:l:n CI7Y .r.}6 E:Ai:;AN CASN:[E6: 9+ Tr.-_r::t47:NAl.. hn;: 7779 Iif-YI'5::;, ±.i./0 j98 "fTh1E:u 1:: ::502r II:i ,: t+!FtMEr, NTF(E I:pHS i:CiNf.>TRUOTZDM (:1C) )_NC 2155 9001 27.00 32i.0 3001 3809 b.lE:A'TI-iF:Fi Ylii i?:I.c?.i'li ::'.•!?:I.Q 9(:)01 AEiS'.3F; . p.lf:6h?rFqli:ri f4ft . > c.. i. £t.??.ic. ?1,:' , 3c!iC 900i. 3826 I...FIIJlilii.%_ CT 199.75 3210 .'?fil:)]. 390C!. F!E ATHic:R !J!i 09.7S t Tflt:.7,t R(:9'plptirrF, ''im.]!.:n$.. 95000 Cfi09953i U'?ii'r.' II'!e N(-SiJCY : -,SY.C?Y:y?Y,CY„?C?o-mY(•iFSftt'.f?...:.?I•4NfX.::)?G:1:Ch40?:..:SNlYf.SXS?I.CX'?IF?:,L)YM PERMIT JCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: PERMIT TYPE: s uILt7 z N e Permit Number: 0 3 4 0 7 3 Date Issued: 11/18/9 g sasz HEaTwEte oa L07: 55 BLOCK: 1 EsRIAR HILL 4TH P.I.N.: 10-14993-550-01 DESCRIPTION: T.O. & REROOF Buildinqf?ermit 'f"ype MULTI. (MISC.j 8uildiny Wo'rk Type REPAIR Census Code 434 AI.7. RESIDENI'TAl REMARKS: TNCLUDES: FEE SUMMARY: ?. , x/ , - ..?-. 3832, 3834. AN17 3838. 4 1/ALUFlI":[ON Basw Fee Surchar ge Total Fee $212.25 $219.25 $14,000 CONTRACTOR: - Flpplicanr. - sT. L7c. OWNER: MIKE hI0H5 CONSTRUCTIDN Cp 17211107 5456 BRZAft HILL ASSOC]:ATION 3914 SNELLING AVE S 3832 HEATHER UR JINNEAPOLIS MN 55496 EAGAi4 MN 55123 (612) 721-110% I hereby acknow.ledqe that I have read tYiis applicaLion and qtate that tMe in'formation is correct and aqree to complV with all applicable State of Mn. L Statutes and City of Eagan Ordi.nances. ? APPLICANT/PERMITEE SIGNATURE SSUED BY: SIGN TURE 1 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) - ' ' CITY OF EAGAN 3 LI ?.? 3830 PII.OT KNOB RD - 55122 C) C 681-4675 New Construdion Reauirements ? 3 registered site suneys • 2 copies of plans (inuude beam 8 window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies af tree Oreservation plan it bt platted after 711193 required: Yes _ No DATE: I / l 2-19,?- ? DESCRIPTION OF WORK: -?- Ci2 d -r r RemodaVReoair Reauirements • 2 copies of plan ? 2 sfte surveys (exterior add'Rions 8 deGcs) ? 1 energy wlculations far Aeated add'Rions CONSTRUCTION COST; l 31775, e"b f STREET ADDRESS: -3C?' 3 2-'.? LOT: S'S_ BLOCK: ? SUBD./P.I.D. V-kl Name: /J/e(?A 4 / ' ' r / Phone #: PROPERTY Lasc Fvst OWNER Street Address: City State: Zip: Company: AIsQ AX5 &IvST Phone k: 7Z l-lld 7 CONTRACTOR _'12/ ?/ ?./ Street Addresr. J(? l S/t/e / l1/v?, N tjC sD License # City M I a C? State: {7/I /v Zip: .SSvO -? ARCHITECT/ ENGINEER Company:, Phone #: Registration #: Street Address: City State: Sewer 8 water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex O 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 &plex ? 04 SF Porch ? 09 12-piex ? 05 SF Misc. ? 10 _ plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition 13 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? 0 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace E3 ? 15 Deck ? 36 Move 0 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq.ft. sq.ft. Footprint sq. ft. Building Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnk S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies ToWI: ti a.as 7-C)C) Engineering Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit °k SAC SAC Units /? ?p , ---- --- crTsr cr• EAGAN ? Imlude 2 sets of piarw, BuILnTNG PE 1 site plan w/sLevatiana i ' tAIIT APPL.ICATION 1 eet of elieaw calaletian. . a? se ueed ?,?? va??ation nate . C??l.{- ' Site Rdc9z,eae .?? _ ? r Q?FICE,? I7SF f?ILy sec./sue. crwt °?°?''.pa"cy' i Punal Aato-r A(?-3 1 _.?.C? Wners ??,?,?11 - Repaii Fire 2one ,,, ?u ; 1lddnease 1YPe of Qp?at. ,N Stortss ; ah'/7.1p Ctxie: ? Gi'?adlelsh "- Front . Atnne 1: De'th ---. ?"? ft. ; Oont,ractors A9sessnenta FEES - Addr'eea: Water/Se,?er Su=rhatc?e a q?- atY/Zip Wde: p7r VC Police Plan CiecJc Fire SAC 5x s ea Piom i : Eh] • Watex Uoru?, -=? 76 • pLwuier WateS MetBt i Arch'/tm• = Ca.Iwil ?'- _._ ibad Unit Add?q: . H?g, Off. - MtY/2ip C+oda: • APC --------------- - Pha?a 1: n , ?? ?' fi ? ? 1Cl2AL ?? ? 7• ? Yollefson 8uiidere Inc. . ? JACKSON - SURVEYORS IIBGIfT[RlD UND[R LAWt OF RAT[ Or Y{NM[WTA 3616 EAST 55th S7REET, MINNEAPOLIS, MN 55677 Scale ; 1"_30` s = Iroo . -J.- _ Draioage - -:Draioage 6 U[ility Easemen[ ooo.o Exieting Elav. ? k Al\ i" `Li ? W q? A 9 0. ? Surbcpoc's a, yq r .?{ ? S 3' ? o??` ,- 23 i Oz.11502-1 D 183-SSA Y / Propased First Yloor Elev. Propoced Baeemea[ Floor B1 fropoasd Garage Floor Elev .?? f(O ? G 2 13 . ? 2?ry _ , 0' ?,j,e-f, 1 ? P?ex fv?r Z3,\ a (??, r e ?b ? ev. ?. • I / ZS I . ? i N[R[tY C[NTIIY'TNAT E ABOV[ If A TRU[ AXD CORR[CT PIAT OF A sVRVtY OF ? Late 53.54,55 and 56,Block L,Briaz Hill 4th. Additioo, Dnkota County,llinceaaCa. ? ? ? I @\? ? ? N ? 0 0 0 ? ?J As suRvRrcc Br rR TMIS-8Cf1. DAY o, lltich . p 1984 8evioad Spril 2ad. 1984 ° .. f1aN[ r F. C. JACKSON. MIMI? • 1ltOMT1u1T10M. NO. SO00 I B,:d' S7g33 Zu 8e tsaed ftL stce Aaareaa ?3,54,5?`r(lo'c?E ? Sec./Sub. parool !v-N°193-Sbo-0/ Jlddaeaaz C1tY/Z1P 03de: . Phone /: Qx?traCturs ?l 1,1 F addreea: .? ?' I-v 4Lty/Zip [bde: Pltior? 1: ? - ; 7 ? J?rct. ju?q. s AddtYSY: • atY/Zip CCCIe: - - 4t Phone,l: ? ,? , ? ---WEMAN 9TY ---- HUIIL= PEAMIT APPLICATION vatuatiw, ?:2906 inci?e s set? o? plam, 1 site plan w/elevatic?se i 1 aet of enerqy csloaatiam. nar? A?vi 14 rCtE4 QFICE^---USE-QM:.Y ...o..6 Oc?anc,'Y - ?3 Alter zoni„q Fire ?.0i1e _ .i ti- = ? _ TYPe of Gw?et. M Stories Derolisl'- i Fmnt • Giade Depth water/Sarer ''-_- ? Aolioe p? / ?k Fise -5? s ? ? ? Watet Ctrn? =7 7 WatP.r hSetet Cakuicil 91d9. Off. Aoad Unit _ APC i = LLL7' S ? ..: r 1 -z/sa CITY OF EAGAN 1 APPLICATION FOR PERMIT ' $EWER AND/OR WATER CONNECTIODT (PLEASE P9IHT) 1) PF.OPEE"PY ADDRFSS: Z??Z /°V?A T7..J?,2 r_FraL DESCIZI°TIC:1: ? p'T ':rs'S ?.C / -e ?1< C ? /v ? . ? t. - (Ijot/13lock/Subdivision or Tax Parcel I.D. NLmber) l? iE{IST_ :C, ST.4L'CTL'RE, DaT:' G? ORIGiidAL r,iiILCL`;G PEF_.IIT ISSU?NC°: ?r••]1•:?;?.-?!)°CSr:L5?: ? R-1 SidGLEE cPyiLY •-- -- -_.?. ? R-2 CUPLEX (`IS%'O L'NITS) ?R-3 TGZvINII-ICUSE (TF_R C + UVITS) ( Wi I?'S) ? R-d tloAR'If.?'`:T/CONDa,,=IU;1 ( [NITSi [] CO.`^1ti4..'?2CLAL/RETAIL,/OFFICE ? LmUS'I'RL=1L ? Ib]STIT[JTIONAL/GCV=-mM'r - Z) ppnLTC!?NT (PLEASE PRI47) N2VIE: TOLLEFSON BUILDERS, INC. ADDREss: 1655 Norwood Drive CrrY, sTATE, zrP: Eaqan, MN 55122 - PHOiNE: (612) 454 - 6873 3) Pu.,IBER PLEASE PR1NT) NAIIE= GENZ-RYAN PLUMBING AND HEATING FOR CITY USE ONLY . ADDRESS: 14745 South Robert Trail PLUNBERS LICEYSE: Active CITv-, STATE, ZIP: Rosemount MN 55068 Expired ??t PhiO`E=(612) 423-1144 PLUMBER LICENSE H 1849M 0 Not.of ecor,d art ini? 4) QL'(,'[,'P?N'j'/(-j,;7i`]ER (YLLASt PNINT) 111'=1E= SAME ADDRESS: AS CITI, STA'I'E, ZIP: ngBUF PHC}.`]E-: 5) IfZIG;TE 6RlICH PEPdVLiT IS BEZ?.'G RDQUESTGD; [X? CQ\TIECI'ION TU CITY SEYlER ? CQ:`.?'?IFCPIC:V Zt7 CITY WATER ? ('lI'f'.II2 (PL,Fl1.,E DESCRIBE) 6) 0:F: ? PI r„SE F:OLD APPROVm PERMIT FOR PIG:-LJP BY OiV'E OF 'tL'UC -- ? ?LFaSE % PRCJVED 'LIT 'IO 1, 2,(3) 4 AB0VE (Circle one) 7) SICZ.. DATE: ?'S ? . 4?l c1:sl:sa?:A i? tol fa ?c ?'?r?a fa cs't ?::sa I? Ur ?ai i r:ss:a is a t a!l.em.r?' rali?ia +? f?..1f ??{ess'eEal s FOR -.C I TY OS E ONLY _ ' PERMIT ° ISSUED . . ?I . _ _. ... . _ _ _ . ` FEES: ? /O w d Sr:':ED DC,D\ITy (I?iC:..:D= J`LIRCHTRCi.'E."..) : . . . .. - - $ /4- Sd WATER PERP4IT (INCLUDE SURCEARGE) $ lo->•??' WATER METER/COPPERHORN/OUTSIDE READER $ WaTER TAP (I:VCLUDE CORPORATSON STOP) $ S: SdEY mp.o ACCQUNT DEPOS IT - SEiIER ACCOUNT DEPOSIT - WATER $ wac s ?aS--9 sAc $ TRUNK WAT°P. ASSESSi•IE;7T - S TRliNK SE:JER ASSESSMENT S LATEP.AL BENEFIT/TRUNK SEL9ER $ LATERAL BENEFIT/TRUNK [4ATER . $ OTHER S TOTAL . AM0UNT PAID/RECEIPT DOES UTILIT't CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUIILIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISIO[V. LIST AS A CONDI- TION. SUIIJECT TO T}lE FOLLO?IING CONDITIONS: APPROVED BY: TZTLE: DaTE: __rL- w a?+ eas? w? i+ .cw ?c ?aa ms:ra at++a mw a-on wrG Ra 0t4 wIPio fOM wi.-w RWse a?i+ R.a rt.wia wr am iz/84 ?r 1 CITY OF EAGAN APPLICATION FOR PERMIT. SEWER AND/OR WATER CONNECTIOD7 (PLEASE P9INT) - 1) PROPEF'cTY ADDRESS: 55-5-? LEGNL DFSCc27D'I'IC;V: ?6- 0D ,J - (Lr?t/Block/Subdtvision or Tax Parcel I.D. NLU-Lber) ir STRUCTURE, DaTEE G^' CRIGii1AL EUILL`I.`;G P-=_ljj'^ ISSC?i;C°: :,.`71:d;/p.-.?C)°CS?, ?S: ? r 1?-1 S11-?;G?Lu LE?_"1LY •_' _" ' _ _- . ? R-2 CUPLE{ (TVCp TiLIITS) >9?R-3 7Uv71?C{JSE ('PIIl2EE + UhiITS) ( Wi ITS) ? R-4 APAR7fE`°P/C^.:io.-qPi1IUM ( LNITS) ? C0-MfME.4C?AL/RETAIL,/OFFICE ? LtibL'STRZ3L Q I:ISTITUTIONAL/GOV1-..-h'MIIVT , 2) AFPLIG»+'I' . . (PLEASE PR1HT) NAh1E: TDLLEFSON BUILDERS, INC. P.DnREss: 1655 Norwood Dri ve Cri^l, STATE, ZIP: Eaqan, MN 55122 PHOLNE: (612) 454 - 6873 PLEASE PRiNi) 3) pa,ffiLn FOR CITY USE ONIY ??• GENZ-RYAN PLUMBING AND HEATIN6 anDRESS: 14745 South Robert Trai 1 P?u ??ERS ?Ieease: ? Attive CIT^l, STAT'E, ZIP: Rosemount MN 55068 0 Expired ?ItH PfiONE:(612) 423-1144 PLUHBER LICENSE ,y 1849M E?:] Not of Record Z i Inltla 7C i , 4/ UCS.Ui'ati"P/GSyiT&R lrLtna[ rn1nlJ IdFME: C 6MF ADORESS: CITY, STATE, ZIP: PHO'.`IG: 5) ID1pIG,TE WHICIJ PEPMIT IS BEING REQ[JF.STID: [R Cbti'VECSION 'M CITY SalEk2 B CO:.?VECTIGN 'R7 CITY WA'PEI{ Q dPf"' (PLFASE DESCRIIIE) o! U:ic:: 7) SIG:'aTT.'RE: ? 10 PL :;SE I'.OI1) r1PPROVID PERKiT FOR PICr-UP BY ONE OF ABMT-E -°LF-L APPRO\/ID pER•LLT ':D 1, 2, (3) 4ABOVE (Circle one) DaTE : -11-l"s -? µ FOR C I T Y i US E ONLY • ?-? ' , . PERMIT '-' ISSUED • . • ?. - ' ? _ ' . ...... FEES: Cr,.;v-R nrnX1TT (IIICLJDL. r^.LP.CHARGL) .. .. . S ?a, S6 SdATER PERf1IT (INCLUDE SURCY.ARGE) - ,_- $- G 3. WpTER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (IDICi,iiDE CO???ORATION STOP) $ S°:?ER TP_P . ACCOUNT BEPOSIT - SE'v:ER S ?_4Y-, ACCOUNT DEPOSIT - WATEB wac sac $ TRU.IK ?VE?T°R ASSESSP9ENT • -- S TRli;IK SE:vER ASSESSMENT S - LATE°.AL BENEFIT/TRUNK SES4ER $ LATERAL BEVEFIT/TRUNK TVATER , $ ' OTHER $ TOTAL $ 6-? AMOUNT PAID/RECEIPT # ??,?9L DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUSLIC RIGi3T OF WAY? C YES ZF YES, THEN A"PERMZT FOR WORK WITHIN ? PUBLIC ROADL9AY" MUST BE ISSUED BY THE NO ENGINEERING DIVISIOIV. LIST AS A CONDI- TION. ' SUBJECT TO TEIE FOLLOWING CONDITIONS: APPROVED BY: ::c°co_p , p-1 TITLE: -4j,67 DAT°: .v -G- F7V xa a.r wsm mwi+ wc? Nt o at .?-w eto l4 Wre W-M oRsa BR-M 8t4 w w ?ft 8904 w.a 0.t o s* WiE Vt+ st MOie w:M M M . 2/84 ; CITY OF EAGAN `? APPLILATION FOR PERMIT. - SEWER AND/OR WATER CONNECTIOTT (PLEASE PRINT) 1) PROPII."I'Y ADDRE55: rFr?I, DFSC'i2I°TIC;I: 4,97- (Lot/Block/Subclivision or Tax Parcel I.D. Nu-rber) iE{Z ;':G SIRUCTLT:2E, Da 7_-- G^ ORIGii1AL aiILDI:`;G F:T',S^ ISS?:?NC.: FPES-=' f _ • . ?/='. ? :?+ US: El R-1 S2iGLW FP?,IILY ?R-2 GUP? (T,?:0 Wi ITS) //q -3 ZCivi?30C?SE (TI-1PEE + [PSIiS) ( Wi ITS) [I R-? ApAR??`:T/C??IDO.'•1L?;I[,til ( [,TLNITS} ? CQ`u..'RCZAI,/RETAI1,/OFFICE ? I?iT>L'ST2AS, Q IIQSTIZL'TI0NAL/GOVE,4i\7N= 2) AFPLICAV'I' (PLEASE PPI41) _ Nk'E: TOLLEFSON BUILDERS, INC. ADDRESS: 1655 Norwood Dri ve CTT:', STaTE, ZIP: Eagan, MN 55122 • PxoNE: (612) 454 - 6873 j) pj,j,mgc-?-? (PLEASE PRINi) NN`TE FOR CITY USE ONLY : GENZ-RYAN PLUMBING AND HEATING - ADORess: 14745 South Robert Trail PLUP.,BERS LICENSE: , Active CZTY, STATE, zIP: Rosemount MN 55068 Q Expired ?) i tY PHQNE:(612) 423-1144 PLUMBER LICENSE N 1849M E= Not o Rec d arr initia 4) IA.LUl'P_\1?(J:J::?„'? kYLCNdL YH1fliJ NAr'IE= CfiMF ADDRESS: CITY, STATE, ZIP: PHC}:IE: 5) INpICATE- WHICIi PER,LIT IS BEIi?1G REQIIESTID: [X? Q= ?IECTION TO CITY SETr]ER CQ"NECPICN 'IO CITY WA'I'ER ? C7I'I"'R (PLEASE DESCRIIIE) ol L.:ull..,::: v::t; F] PL'-,_SE f?OLD rIPPROVm PER,AIT FOR PICi:-[i'P BY O;v'E OF ABC'?i,T ??r-y+?? ?.aZL APPRO\IID PIIC-LiT 'IO 1, 2, (3) 4ABOVE (Circle one) 7) SIG ??L;E: .C'7? D'nT'E. ? ? v/ RiyCli?:?llt?Ja:1???lRRttara?i?! . .. . . -• F O R C I T Y U S E O N L Y ? ? • PERMIT ° ISSUED " - F°ES: $ $ .. S - - /_-2;,_ $ $ s .s? $ $ S _ .saS? S $ $ $ $ ' $ $ 3 a? 7_ s-?) CFT,•.i9 DrD%iTI T"Ci? _ . 1 _..:T.?L ? .?..?1 . CH?R.?rE) . WATER PERP1IT (INCLUDE SURCEARGE) WATER METER/COPPERHORN/OUTSIDE READER WATEP. TAP (INCiUDE CO.°.?ORRTION STOP) SEWER TzD ACCOUNT ^uEPOSIT - SEi4£R ACCOUNT DEPOSIT - WATE4 wac- sac TBUDIK ?VAT°R ASSESSi4ENT - TRliVK SEWER ASSESSMENT LATE°.AL BENEFIT/TRUNK SE1•7ER LATERAL BENEFIT/TRUNK tQATER OTHER TOTAL A:SOUNT PAID/RECEZPT ;ar DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY? ? YES IF YES, THEN A"PERMIT. FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISIOIV. LIST AS A CONDI- TION. SUIIJECT TO TfIE FOLLO:JING CONDITIONS: APPROVED BY: TITLE: DATE: sf- G-?5U MR?r ?Ne E? ma_a w s w??w w? R? ?r? w4or s.m ? -? ; 2/84 l CITY OF EAGAN APPLICATION FOR PER14IT. SEWER AND/OR WATER CONNECTIOrI (PLEASE PRINT O J"°?4TrV???- 1) PROPEF2TY ADDRFSS: ?M 15 / 1.FraI. DFSCF2Ip'I`IC;1: L07? C7 y?? ? - - (Lot/31ock/Subclivlslon or Tax Parcel I.D. Nu-nber) ir STM7CP'2E, Dr1T' G:' ORIGii1AL uiILL`L`;G PEF_,1IT T_SS?:?NG: ? FP.E=-_ Z^`Ii::r,/'r.--:)°CSE:) i5;: ? R-1 Su;GIW rPyIILY 2 GUPL:E{ (74%'0 LNITS) R-3 ZC7.vTIHOL'SE (TI?REE + =-TS) ( L?i]ITS) R-4 ApAR`?S*G'`:T/CCLw-,jiIILtil ( LiNITSi p CC1mNfERCL'-li,/RE,Tr1II,/OFFICE ? I'iMGSTRSyL ? INSTI'IUTIO^'.AI,/G;V??,m= -2) AFPLIGT?NT (PLEASE PRiHi) NAMEc TOLLEFSON BUILDERS, INC. At>DRESS_ 1655 Norwood Drive CTTY, STazE, ZIP: Eaqan, MN 55122 - PHOiNE: _ (612) 454 - 6873 3) pj,L,;.IBEF), PLEASE PRINi) ?`? FOR CITY USE ONLY = GENZ-RYAN PLUMBIN6 AND HEATING ADcRESS_ 14745 South Robert Trail Pili.°.AERS LICE4SE: Active Czz"!, STA'rE, ZIP: Rosemount MN 55068 O Expired ?it.. PHODIE• •(612) 423-1144 PLUHBER LICENSE H 1849M 0 Not of liecord i _ Mrr lni[ia 4) IYICNdC YXlfll) ?''?= SAME ADDRESS: AS CITY, STATE, ZIP: nBBUF PHQ:M: 5) INpICATE WHICH PEFMiT IS BEIb:G RDQUESTID: CC..i7ECPION TO CITY Se.NF',c2 ? CO^1:IEC'tICV 'Ib CITY SaATEIt ? CII'".ER (PI.FASE DESCitIIIE) 6) L','DIC;= 0:?.: / ? PLvSE I:OID r1PP12WEp pEp_•LIT FOI2t PICN-L;P BY O:v'E OF A&7`:E ? PLaSE MAI AFPR0VID PE'?r,.ST / 11 2,(3) 4 P ,BOVE (Circle one) 7) szc,7m;E: ? - ? '? -"? exre: ?i ca c1:Gl:mr u:ro ie Hu ia lm??f? ?s r r+t s.'?a?aaa ? rr ?a r:c::-ar::c.: i? ?? ra ?ta:.tr:lia s mae't ? Ys?j:sa: s:w ou F O R C I T Y U S E O N L Y PER"1IT ° ISSUED F°ES: $ . ? _ S o $ . v .?a _ _.$. S $ $ $ $ .s?r?y o-el ? $ $ S $ $ $ j a 7 ?-d SE::ED oroXJri (I_;CL,:D: SiiRCH2RGP.). , WATER PERP1IT (INCLUDE SURCY.ARGE) ; WAT°R METER/COPPERHORN/OUTSIDE READER WATER TAP ( I.ICiUDE COR'rORATSCN STOP ) 5°:aE4 mpo ACCOIINT DEPOSIT - SEi•:£R ACCOUNT DEPOSIT - WATER wac sac TRUNK WATER. ASSESS.IEAIT .- TRliNK SEi+iER ASSESSASENT - LATE°AL BENEFIT/TRUNK SE:•;ER LATERAL BENEFIT/TRUNK WATER OTHER ' TOTAL A:ti]OUNT PAID/RECEIPT # DOES UTILITY CONNEC^ION REQUIRE EXCAVATION IN PUBLIC RIG:iT OF WAY? ? YES IF YES, THEIV A"PERMIT FOR WORK WITHIN ? PUBLIC ROauivAY" NiUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO TEIE FOLLO:dING CONDITIONS: APPROVED BY: TITLE: ???gp e??J DAT°: aa a-00 w+? .. ? i+ ?cw ?a ?.a E? ?t? w cs w?-ra w? R+o ?t+ w?. i? f s? eia ra ? sa a?r w?o nc? w?r ?. ? I 'i ? 8e I,iegd Eby?y?? stce Addieaa -?- Lla"on sec./suh. pa?'°°1 i:-) n° 1 y 9 93 - S U a ? U 1 1lddze4e: CLtY/Z1P Oocie: - IRlo?ie !: COntraCtor: Addrear s CitY/Z1p 4ide: Plnne 1: ? - L-? ??- 1?rah.%rnI• s 1lddtrea s + at5N2ip Godev PYI18 , ?. CITY (Y` F.W?,pN Inelude 2 sets of plane, site BII UDIW PEfAIIT APPLTCATION 1 ae oflan w/elevations i ' ??y Calollatlani. v? ?39,L?f Date c 4V'iv°t1-'I)'IIle, dFFI USE ONLY FYect Alter AePair Fire?Zor?e TYPe of CanBt. N Stnri.es Darolist?i' Ftnnt Gxade Depth - ?-i ft. Water/Sarer - Surcharg6 -.'-- °"-°?-- Aolice p?s Q1erJc? Fire EIV SAC • planrker Watec Corut, 4/ 7b Water hfetet 3-'- Ca.vrcil H1dg, Off. Auad Unit APC 1 ?: ?. /? 6sr7- sv /000 6 P57 Use BLUE or BLACK Ink For Office Use Permit 1I 1 Clity of Eapn I Permit Fee.C.' 1 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: l 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: y 1-20ZIO Site Address: _3832 3?3 6 - 383E -~~~rh- -z Tenant: Suite # RESIDENT/OWNER Name: /O 175S06• / ,,v.4,VGr A-j- Ml M7- Phone: 74 3 7 Address/City/Zip: 7Z40 F. FIST! Lk C>'D mgPLE G&vF- MN SS311 Applicant is: Owner _ X Contractor TYPE OF WORK Description of work: -1Z6M6VE RAND 1ZE-/0c-,'q6E ~oyF Construction Cost: 0/7, &OC-- Multi-Family Building: (Yes X / No ) CONTRACTOR Name: _JJE/ 4~-iC Teti /02 10,41106 edl? License aCCJ.~ `Yll 9/ Address: %o5- A) ST/Z~z7 City: (1VA1f, ,06r61S State: V~ Zip: Ssq it 9 Phone: 61.2 - 9 6 / - 6 a V,.3 Contact: 13A-t/ lI-) Email: l A f D a F e-w r✓I . UP" 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information' may be classified as non-public if you provide specific reasons that would perrnit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.QODherstateonecall.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 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 ' the case of work which requires a review and approval of plans. X Cl-~iLl s ~NvE z x4i~;')- *ZZZ= Applicanfs Printed Name A pplicant's Signature - Page 1 of 2 Utz BLUE or BLACK ink I . for offab tloa 1 1 Ponmit;l~ 1 I of I*n I taWWA Fav q5 j 1 1 3= Pitt Knob food I Dabs ft*md: 1 Phnom: $754*75 F= (651) 678404 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION PgW: A) aiA !o SlteAddt~eas:~! z ~1'3ySl]6 3tr~s I=r igrHER b)z. -unit Nerve: dfo A C T A) A A3 /4 A L H'1 L AJ T" z;-, C Phone: 7GS - p Go~~.3 I/~Y ' ' ~er,a'~-•~,~ Address /Ciar /Zp: 95r> 03 age /ri ~s sTy~.7 AWimm is; Owner _ Contractor , De MWW of M& r.CA Q Ord a• 2E ' ~ rt1w,1 j 3 7 60 ~ c_(~ Mt~Femigr BWidInQ: (Yes No CotrsbtrcSon cost A Company; P 1 r~a•Q N~ierlwl~ L~~ COnOUC' bAV/d ua MA i 5 SSy/ 9 Phone: log ~b~- ea~y~ Stafe: /11AJ Z-0: e- Lead Car cdo d: If the projed is w wrnpt floor lead cerditad0n, Please eotplain why: (see Palle 3 for aik!(rsionai kftration) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUill M In 00 last 12 months, hr6 the Clq► of Eapa blind a Pwmlt for a almibr plan bow on a mast *n? _Yes No If Yep dam and sddreas of Mager pbn: Lie wW Plumber: phone- Mochanreal Conaaetor; Phone: Sewer & Mlfater Contractor: Phew: Nb. oa ti ime ~-you 01% Cog ecowsuft One W at (d81) s9s-0o92 for prooKdOn agshyt ur M Wft dump. Call 48 hours 1 hereby admowledye go the this is not s not a asi & IS oomtpl9t~ and 8*29 9 Md fife wwk will be in cordarranoe wih ft adrown VW codes d the Cly of plan to was s awmw ft, but olwafewuW, wawroe . rs,A.w rxt oNy an aoDGcetion for a raemdt, and wak ie not to alert s a nenntt: rtad the woek MNI bs In +vaowd or plena 11W of per". bY+ b+sildia@ twnnlt bs+wea N wAa nglr tlw AllnaoOtRa Sti1oOt3411~i Code Ir11r0t tM 60mtPbbd YYlfilim 180 Appueant'a Print flarrw AppikaWs Sigrrshua pap 10(3 b0/b0 39Vd 1NIVW 1X3 139 L9Z9T98ZT9 zo:VT £TOZ/90/TT City of Earl 3830 Pilot Knob Road Eagan MN 66122 Phone: (651) 675.5675 Fax: (651) 676-6694 RECEIVED MAR 2 a 2014 Use BLUE or BLACK Ink For Office Uoe aI j (� Permit a: 1 l3°I `^ 1 Permit Fee: Date Received: 3 Staff. 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Data; 3-X6Site Address; 34732, 383 CI, 3 34,35235 NSAri/412 isQ Unit*: Resident/ Owner Name: eh) 4. /) 4 6 Z Ix E al•j+ C. Phone: 74 3- S-73, •- g 7 7 0 Address / City / Zip: APS -0 b E C 14•ru 2 4v, A), ,till 60e.640. i.44 -as Y ft ) X7Contractor v'z 7 Applicant is: Owner /\ Contractor • . Type.of�INork.. Description of work: RSA o f., (� a £ PL et -f; 4 d / ..J 6 a Fill c. r rd M L' 7-4 L Construction Cost / 4 Yat • crO , Multi -Family Building: (Yes, / No __r_) • COpitla4or Company: a£ l & r I c 2 )2 4 i .i' -r . Ce alt Contact ba Lit e as., /LA, S Address: VP W 4,0*A 17"- City: I)/ PL 5 State: 1.11 Zip: 575'4r// 9 Phone: 10/1- e to / - 62 r/3 License*: 'a C 24/// 3 / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) t.447S- 13,Jrt,.2- Pos.r /F7r 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 Sewer S Water Contractor: Phone; Phone; NOTE: Mails dna.. •j subl+o t,/� oonq�jr�/ : Cf, triemfOrmaflof ,.z: 'w)., •.. ' :, clasogf i too k. fi y> , . CALL, BEFORE YOU DIG. Call Gopher State One CaII 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•g42oherstalconecall.Qrq, I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Gay of Eagan; that 1 understand thla is not a permit, but only en application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved pion in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit iriaued In accordance with the Minnesota State Build' Code massa be completed within 180 days of permit issuance. 4 ✓' 124✓2i2.i Applicant's Printed Name VO/V0 30 d Applicant's Signature 7 �G Page 1 of 3 iNIVW 1X3 I3E LsZ9I983t9 0060 VTOZ/8Z/60