3833 Heather Dr411' City
3830 Pilot Knob Road
Eagan NN 55122
Phone: (661) 675.5675
Fax: (651) 6754694
Use BLUE or BLACK Ink
For Mee deo
Permit".
Permit Fee:
Date Received: (411q(1`(
Staff: 1>
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
J
Date: y- q_ / `1 Site Address: .3 8 3 /./44 `7"1-) DR. - Unit#:
Phone:763 - S-71- 9 7 70
Residents'
Owner
Name: E%G 46 i Mit,3 4 6E N( 2 N .mow c -
Address / City / Zip: 8S0 tC ‘47-u It 4v, )3, 14
Sr 717
Applicant is: Owner Contractor
Tyle of..W**,
Description of work: (. -Pu9 G L
114 vLT/e - 4, 00" /Jot..)S
Construction Cost Multi -Family Building: (Yes / No
Contractor
Company: cl£ I e e r 44 o 2 Mei a - . Co nib Contact NM), S
Address: �/c.s- LLS lab
City: n'1 S
State: /VAS Zip. 55-'5// 5' Phone: 4 / z - / - r� z ys
License #: 4-4 C- 2d/1/ 3 / Lead CertKicate s:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
i�L�loS_
11.d(L.7' POs: J77'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A,New BUILDING
In the last 12 months, has the City of Eagan Issued s permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber.
Mechanical Contractor: Phone:
Sewer & Water Contractor. Phone:
Phone: _
CALL BEFORE '(DU DIG. Call Gopher State One Call at M51)464-0002 for protection against underground utility damage. Call 48 hours
before you Inland to dig to receive locates of underground utitdies. www.aopherstaleonecail.orq
I hereby acknowledge that this information is complete and acuate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is nota pemrh. but only an opptication for a porno, and work is not to stent without a permit: that the wont will be in
accoreanoe wtm the approved plan In the case of work wttich requires a review and approval of plans.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State BuildiCode must be completed within 180
days of permit issuance.
x ✓
Applicants Printed Name
EZ/0T 39t1d
x
Applicants Signature
Page 1 of 3
1NItiW lX3 I3E L9Z9198Z19 LZ:bT bTOZ/TT/b0
W?
i 4
qTY OF EAGAN
SEWER SERVICE
PERMIT .,,
3793 Pllot Keeb Road PERMIT NO.:
Ea'es, MN 55122 DATE:
twin0: T T_
No. of Units: f_,•
? ?
Owrwr:
llddress:
Site Address: 'oqq 71arr.1her ^* 1ve I'. Tl r-Z'?:? T '' i21
Plumber:
100.00
1 MeM !e esmply wleh tln Cihr of laqae
Connection Charge: i n .
r pn
OrdiMeas. llcwunt Deposit:
BY -
Dcte
of Insp.:
Permit Fee:
Surcharge:
Mtsc. Cha?ges:
Total:
Insp.: Date Poid:
? GTY OF EAGAN
3795 ^Ilot Knob Road
Illapn, MN 55122
Zoninp: . .
SEWER SERVICE PERMIT
PERMIT NO.:
DATE: ?
No. of Units: -
Own.r. lders
Address:
. . r
Site Address:
Plumber:
• • ?
1g'rN M wmpy wi11i e6e Ciryr of tagan Connaction Charpe: •
ormoomm /lctount Deposit:
Perrr?it Fee:
Surcharge:
By
Dote of Insp.:
Misc. Charges:
Totnl:
Dote Paid: -
CITY pF EASAN
8796 Pilot Knob Road
!logsn, MN 55122
j0?1ir19: . amOwner, To 1
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
- NO. Of Uf11tS: Address:
Site Address: TivF I,'210 .P,1 Bzin1r 1?i11 •"t'
Plumber. =
Meter No.: Connectlon Chorge:
Size:
Reader No.:
I aft e. ro aompy wifh elo cihr of Eeqee
drlinenpw.
Hccount Deposit:
Permit Fee:
Surcharge:
Mtsc. Charpes:
Totai:
cirY oF u?"N WATER SERVICE PERMiT
379J! pilaf Knob Raad PERMIT NO.:
6eooa, MN 55122 DATE:
Zoning: No, of Units:
Owner. -1
Address:
Site Address• ?` "7 "'c.?tt?cr -.t '? 1 ' - ?r.t- ' '.l ?•
Plumber: _
Meter No.:
No.:
pree to aomPy wbh Hhe Gry of Eagen
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Chorges: ? ? • Total:
Dote Paid:
I
No.:
to eomplr with the City of Eaqan
CITY OF EA
'?74b Pilot
WATER SERVICE PERMIT
PERMIT NO.:
DATE: : i
_ Nn ni t I.,t?.. 1 ...
Connectlon Charpe:
Account Deposit: _
Permit Fee:
Surchorge:
Misc. Chorges: _
Totol:
Date Poid:
aAN WATER SERVICE PERMIT
Knob Rood PERMIT NO.:
' 9ae, MN 56123 DATE:
Zoning:
OWnQf No. of Unlts:
:
itiddress:
Site Address: , ,ea.', .. .'r?I-•r r?r .il
Plumber. "
Mettr No.: Connection Chorge:
5ize: Account Deposlt;
Reader No.: Permit Fee: ?
1 e4rN M coniPly with NN Citr of Eoyon Surchorge: r
Ordinaness. Misz. Chorges:
Totol:
BY Date Paid:
Date of Insp.: Insp.:
Cl,rr OF EA6AN SEVNER SERVICE PERMIT
374 Plto! Knob Road PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: No. of Units:
Owrnr.
Address:
Site Address:
Plumber:
I ym to eomPfr wNh 1be Cirp ef [agon Connectlon Charpe:
Ordieane". Account I)eposit:
Permit Fee:
Surchorps:
By Mtsc. Chwryes:
Date of Insp.: Total:
Irnp.: Date Pald:
CITY OF EAGAN SEWER SERVICE PERMIT
=7,8 Pllor Knob Roed PERMIT NO.: '
Eogew, MN 55122 DATE:
Zonlnp: No. of Units: ? t'• ,??
Owrwr. I'a_'_Ic:aon reae4,',_'k:
Address:
Site Address: .'.irr T`rive _ T ' 1 -'r iar 1'T1 1%
Plumber: ? - ,
, ,. . ,.. ..., . 1C0.00 ;1d
1 agrea fo compfy wlth the Citp of Eaqaa Connection Chorge: ?+')Q
Ordinances, Account De sit•
Bv
Date of Insp.:
Po -
Permit Feo:
Surtharge:
Misc. Charpes:
Total:
Qate Pcid:
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122
DATE 19
RCCEI V ED
FROM
AMOUNT $ I
8 DOLLARS
?oo
? CASH ? CHECK
FOR
FUND I - CODE I AMOUNT
Thank You
' B Y
White-Payers Copy
Yellow-Posting Cor
Pink-File Copy
'CTIONR-E(;UKD
CITY OF EAGAN PERMIT TYPE:
-,----T8-30 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
`.ilUfNt; IN4
' it 1 u363
PERMIT SUBTYPE:
TYPE OF WORK:
Iif=Cr(TPTI Ctli
Rf F'AlK
R(!' i. A f, f" 411 N C? t1 W
INSPECTION . • '
• „ • , ? i ?1? .
tttl0.AttK`:; Ri:pIACFMtNI ?.IINI{ItW'.,.
?
L
?
\ ?
Permit Holder Date Telephone &
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
fIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
NYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EACAN
37!! Nlot Knob Raad Eeyaw, MN 55122
PHOIdl: 451-8100
BUILDING PERMIT
Slie Address
of 4 PLEX
Est. Vulue
V3
'iri.??? I'il: -;t;
Lot Block " Sec/Sub.
Parcel # }- 1 1
rc Nome :o 11 e:r s on Ut;
W
? Address 1(?S 5 Nov?v _; ? ?i ?'e
_ , ., -.1 co7
°C Nome _
z°
BI u Address
IP- rsr..
I hereby acknowledge that I hnve read this application ond state thet
the iniormotion is correct and ogree to wmply wifh oll applicable
State of Minnesoto Stotutes ond City of Eogon Ordinonces.
SiQnnturc of Permittee
A Building Permit is issued to: oll work sholt be done in accordance with oll opplicable
Buildinp Officiol
,. .
17
Receipt #
ErecT ? Occupancy
/11ter ? Zoniny
Repoir 0 Fire Zone
Enlaroe O TYpe of Const.
lNove ? # Stories
Oemolish ? Length
Grade ? Depth Sq. Ft.
Assessment
Woter 3 Sew.
Police
Fire
Enp.
Plonner
Council
Bidg. Off.
APC
PermiT
Surcharye
Plon check
SAC
Woter Conn.
Woter Meter
Rood Unit
Total
on ths exprcss condition thn?
Minnesoto Statutes ond Ciry of Eoflon Ordinnnces.
Pormit No. Permit Holder Mise. Permit No. Holder
Plumbinp 6k n z - 3-7 ??
H.V.A.C.
w.e.. w°n
Disp.
S?wer
e?•?? W a Io4 3q4 /Lfa 5*£ r4?it.
InWection Date Insp. Other
Footinyt f•2o-$m F-1..-)
Foundetion
Framiny
Rouyh Plbp. 2
Houph HVA .?g.P
Inwlation
Final Plbp, p
Final HVAC ?j
Final /
Wour Waxibe LocKion:
Well
Sewer
Pr. Dkp.
BUILDfNG PERMIT
cirY of FAcAN
=795 Pikf Kwob Road Ee4aw, MM 55122
PHONE: I54-8100
1.
Te be wed fer Est. Volue
Site /lddress
Lot Block Sec/Sub.
Parcel #
oe Nome
; Address
b C? Phone
°C Nome
?F
uu Address
~ Cit Phone
GW I Nome
W...
1 hereby ocknowledge thot I hove read this application ond state that
the intormation is correct ond ogree to comply with oil applicoble
Stote of Minrxsota Stotutes and City of Eoflon Ordinances.
Receipt # ?
E.ecr Q
Alter ?
Repolr ?
Enlorps D
lVlove ?
Demolish Q
Grade [-I
Occupanq .
Zoniny
Fim Zone
Type of Consf.
# Stories
? ,._...?
Assessment
Water & Sew.
Police
Fire
Enp.
Plonner
Council
Bldg. Off.
/1PC
Sq. Ft.
Feas
Permit
Surtharge
Plan check
SAC
Woter Conn.
Water Meter
Rood Unit
Totol Sipnature of Permittee I
A Building Permit Is issued to: on ryha ex
preas tondition Ihat
oll work sholl be done in occordonoe wlth all opplioable State of Minnesote Stotutea ond City of Eoflen Ordinnnces.
Buildlnp Officiol
Permit No. Permit Holder Mise. Permit No. Holde?
Plumbing "'l LA -7-8-3
H.V.A.C. ??J) D {'? lr Yi q-S4:3
WeII
Weter
Disp.
Sewer
Elsetrie W o(04 3q `t Mcistt I' 451Er , $-3
Inspeetion Dm ns Other
Footings I-Z0?$3
Foundation ]
Froming
Rouyh Pibp. -L;l
Rouyh HVA
Inwlation c'jp
Finsi Pibp.
Finai HVAC
V
Final ?Ip-jy ?y??
W?? -b,n:
YYell
5?vwr
Pr. Disp. '
.
BUILDING PERhlIT Receipr #
Te be wid far Est.Volue ?Date 19
Sits /lddrcss •' - r '-r :_L'; -
4:- y Erect 0 Qccupanq \
Lot Block ? Set/Sub. Alter ? Zoninfl l l.? i
Pnrtel Repair ? Fire Zone
`r
EnlOrge 0 TYPe of Const.
W NO^? Move ? # Stories
Z Address =C;55 ;,c,,.,•oo'. ;"'ive Derrwltsh ? Length .'•'?
? r?h, I?apan 55172 M ?? -?54-ti?,73 Grade n Death ?- Sa. Fi.
9 Nane
?? Addre
?- ri...
1 hereby ocknowledge that I have reod this application and stote that
the intormotion is correct ond agree fo comply with all applicable
State of Minrxsoto Statutes ond City of Ea9on Ordinonces.
Slynoture of Permittee
?OIICr50;? 1it]i1CiCY'? .,
A Bullding Permit Is issued to: _
all work sholl be done in occordonce with oll opplioobla State of Mlr
Buildinp Officfol
cirr oF EA"N
3795 Nlef Knob Rood Ee4ee, MN S5122
PHONE: 464-8100
Assessment _
Water & Sew.
Police
Firo
Erq.
Pianner
Counci I
Bidg. Off. _
/?PC
Permit
Surchorpe
Plan check
SAC .
Water Conn.
Woter Meter
Rood Unit
Total
on the exprcss tonditlon that
Statutes ond City of Eoyon Ordinances.
Permit No. Permit Hoider Miac. Permit No. Holder
ib-?nz-tW 3-7-93
- 4-`5 "g
1
Lt MAg44Cr El Ec
Inspaction Date Insp. Other
Footinqs
Foundstion
Freminq
Rouph Plby. 'Z Q3 uJ
Rouqh HVA
Inaulstfon - ?3 4,0
Finsl Plbq. -77-g3 Q(,J
Final HVAC
Final
.
Waftr Dacribe Locatfon:
YVell ?
Sevw?
Pr. D'ap. y
cirr oF E?Gn?N
=795 PNef Kwob Reod Eeyon, MN SS1!! .7773
• ?' PFtONE: 454-8100
BUILDING PERMIT Receipt #
Te be YNA M/ 1 J? 4 I'LL.. Est_ Value n,,.P JanuarY 't ?o ?a
Sife Addrcss 1.11'0
Lot .. Blak 1 Sec/S„b. 'Bri ar f I? 11 "I t1,
Parcel ?qk 10 149"1:i : - ^1
or Name 1U11C1.`j[)J1 L111?:CiS
^ddross I6:75 N02'1+r0!7,1 )I1VP,
? ....__ •- .?
p Name
?? llddre;
6- r:..,
Nome _
Address
I hereby ocknowledge thot I have read this opplicotion ond stote that
the intormotion Is correct and agree to comply with e!I applicable
Stote of Minnesota Stotutes and City of Eogon Ordinonces.
Sipnofure of Permittee
: U_ ('.: Sriil ,1;.; 1 7'T'S ,
A Bullding Perr»if Is Issued to:
oll work sholl be done in accordonce wlth all opplimble State of MIr
Erect [j Qctuponcy ' '
Alter ? Zoning n
Repair ? Firo Zone
Enlarye O TYpe of Const.
Move ? * Stories
Demolish p Length?_
6rode ? Depth Sq. Ft.
Approrals Fees
Assessment
Water & Sew.
Police
Fin
Erp.
Plcnner
Councf I
Bldp. Off,
APC
Permit ? , •r . 1; .:
$urchorge 24• 00
Plan check 137.,M
SAC
Water Conn.
Woter Meter
Rood Unit ?
Totol ` . 0 !?
on the express condition that
ond City of Eaflon Ordinances.
Buildin9 Off{ciol
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing A b /l A 3 -7
H.V.A.C. AJ
We11
Water
Disp.
Sawar
ei.M?ic w o?q 3?Iq ? ctEc . c( - ? y? 83
Irapection Date Insp. Other
Footings I-Zp-$3 RW
Foundation
Fnminp ?
Rouph Plbp.
Rouph HVAC 1*1
Inwlation
Final Plby, •? &? ?Gc?
Final HVAC
Final 5A
wabr Dauxibs Location:
YYell
5ewer
Pr. Disp. +
. CITY OF EAGAN
3830 Pilot Knob poad, P.O. Box 21-199, Eagan, MN 55121
' - PHONE: 454•8100
BUIL.DING PgRMIT Receipt #
To be used for Est. Value Date
}<.??% t?:.: n.U
Site Address
Lot ' Block I Sec/Sub. rPlARH1LL 41H
Parcel No
m Name ' 1ARTIN & JAN K.gAt+L
z Address 1,437 '?F-AT'-+FR U4
° City '-Ai,A N Phone 452-0b3u 121-5031
. o Name
z
0` Address '
? City Phone
? W Name
WW
_ g Address
V2
Q W City Phone
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.
Signature of Permittee
t•.?i;? C.
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On 51te 5ewage Occupancy
MWCC System Zoning
On 51te Well (Actual) Const
City Water (Allowable)
PRV Required * af Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS . FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Revi@w
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Z0•OQ
.SO
24.-,:
-
Permit No. Permit Holder Date Tel*phono *
Plumbing .
H.Y.A.
Electric
Softener
Inspsction Date Insp. Comments
Footings I w $
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul. .
Fireplace
Finai Htg.
Final Pibg.
Bldg. Final
Cert. OcC.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN ?t???'j
? 3830 Pilot Knob Rosd, P.O. Box 21-199, E
agan, MN 55121 ?
PHONE: 454-8100 /7
SUIL?bING, PERMIT /
T. .. ...-. s... FIREPLACE
$600
SiteAddresn '-?' ""?._.•`?. `?•`
BHIAH Lot 20 Block ? Sec/Sub. __
Parcel No.
? Name
W
= Address 6 AM E 4521248
9 City Phone -
oc
ZVO
o
u?
r
Name _
Address
Name _
Address
CitY -
Phone
I hereby ocknowledge that I have reod this applicotion ar?d stota that
the information Is corrett and ogree to tomply with oll opplicable
Stote of Minnesota Statutes and City of Eagan Ordinances.
Sipnctum of Permiftee
A Building Permit Is issued to:
oll work shall be done in xco
Buildlnp Officfel
Phone
Receipt # ?? ? 3?
Erect ? ? Occupancy x.3
Remodel ? 2oning
Repair ? Type of Consc.
Enlerge ? No. Stories
Move ? Length
Demolish ? Depth
Grade ? Sq. Ft.
Aporo voh F•as
Asseument
Water & Sew.
Police
Fire
Enp.
Planner
Council
Bidg. Off.
APC
Var. Date
Stotutes ond
Permit '" +'` • '"'
Surchorqo • 50
Plon check
$AC
Water Conn.
Water Meter
Rood Unit
Parks
Totai
on the express condition thot
V of Eapan Ordinances.
Permit Na Permit Holder Date
Plumb{np
H.V.A.C.
EIecMc
Sofcaner
Inspaction Date insp. Other
Footinpt
Foundation
Framing
Rough Plbq.
Rough HVAC
Inwlation
Finsl Plbg.
Final HVAC
Final ?l
Cort/Ooc.
Watar Descxibe Location:
YYell ?
Sowar .
Pr. Disp.
T r Receipt PLUMBING PERMIT Permit No. ? {?
?
1.
3.
4,
5.
6.
7.
. CITY OF EAGAN
Fee
Fi11 in numbered spaces S/C -
Type or Print legibly Tot
?
. -
? -
Date ?-
2. Installation
Job Address Lot4%W Blk. Tract 1'-11(
Owner
C.ontractor Phone
T
Address c, flr"•?` ? ! ? i 1 • 1 _
CitY State 2iP
8. Building Type: Residential LI-`- Commercial ?
9. Work Description: New d5'? Add ? Alter ?
10. Describe
11.
Institutional ?
Repair 0
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs ` Septic Tank
Lavatory Softner
'
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 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
Rou9h Final '
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITV OF EAGAN 454-8100
-3 --?
Z PLUMBING PERMIT
CITY OF EAGAN
1. Date
?. ?
G L-
3. Job Address
Fee
S/C s "
Tot.
4. Owner ?L nzz 5 I
5. ContractoK?t? Phone
r •
6. Address/ 1/ 7?f
7. City eYar,.? rx -`i State Zip -:)-IL
$. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New4tr--1'- Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory z Softner
Shower ? Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
FiII in numbered spaces
Type or Prinr legibly
Receipt .?'?s r?? z PLUMBING PERMIT Permit No. ???' ?
CITY OF EAGAN
- i Fee
Fil/ in numbered spaces S/C
Type or Print /egib/y Tat.
1. Date _ Z? 2. Installation S:ecg??
3. Job Address` Lot?Blk. Tract tfr? ? ?
4. Owner !? %/t f?at? t-'L fjil S` [/ ?1,
5. Contractor??-1?' Phone
-'F -.
6. Address / `f
7. City .1_./ State Zip <!
8. Building Type: Residential d-' Commercial ? Institutional O
9. Work Description: NewLQ' Add ? Alter ? Repair ? - j
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
? - Lavatory Softner
/ Shower Well
/ Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed : ? . for -• •'' " , ????%/7??(?
Raugh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt !.r' PLUMBING PEHMIT Permit No. .-1:2 -] ,''
CITY OF EAGAN
_ Fee
? Fill in numbered spaces S/C
Type or Print /egib/y
Tot.
1. Date c . ? 2. installation C9st-T<- ?? ? <? • ? -
J -1 ?.??c???
3. Job Address ?Lot?Blk. I Tract
4. Owner
5. Contractor Phone??-.?-
6. Address "ol _\L, b r- ir / f? ? 1• f
7. City,; _- c-01r e-?rZ State V Zip ?'SC.'r-• ?
8. Building Type: Residential Q? Commercial O Institutional ?
8. Work Description: New44a- Add ? Alter ? Repair ?
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Draintield
Bath tubs Septic Tank
Lavatory -- Softner
Shovuer '-?
Well
Kitchen Sink `
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
E
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
c! ?? Fee
' Fill i» numbered spaces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Addren.'??!-?' -,f: ? Lot/ZBlk. ? Tract s-.
4.
5. Coniractor
Phone
6. Address - •?. ` :
7. City State Zip
8. Building Type: Residential El Commercial D Institutional O
9. Work Description: New ? Add O Alter 0 Repair ?
10. Describe Fuel Type
11.
No. Equipment 8TU - M. Ea.
Forced Air - ? ^ l No. EQUiament CFM
Ai
H
li
Mfg. r
and
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby ceriify that the above information is true and correct, and I agree to
comply with all ordinances'and codes governing this type of work.
Signed : ' for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt ._`-"? MECHANICAL PERMIT Permit No. ?---' 1 ?
CITY OF EAGAN
Fn -
? Fil1 in numbered spaces ?
S/C .
Type or Print /egib/y Tot. • -
1. Date " ?"' 2. Installation Cost
3. Job Address__ Lot Bik. Tract
4. Owner
5. Contractot Phone - - I
6. Address
7. City State Zip `-- ?
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New fl Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No, Equinment BTU - M. Ea.
?.
Forced Air No. Equiament CFM
Mfg. Air Handling:
Boilers
.
Mfg Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mtg.
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 Finat
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4548100
°-^-L
Receipt.1?--
v
1. Date j
3. Job Address .
4.
5.
6. Address
MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee '
Fill in numbened spaces S/C
Type or Prini /egib/y
, • . C?=
T
t
o
.
2. Installation Cost
T
? i • r
(?
"
I - '
?
Lot
i Blk. Tract
Phone
7. City ? State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add O Atter 0 Repair O
10. Descrihe Fuel Type
1 11
No, Enuipment BTU - M. Ea.
Forced Air No. Ectuipment CFM
Ai
H
d
Mfg. r
en
ling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 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. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
f,
?v'
Raceipt MECHANICAL PERMIT Parmit No. ?-=
CITY OF EAGAN
- Fee
` Fill in numbered spaces S/C
Type or Print /egibl y Tat. "
1. Date 2. Installation Cost
? -
3. Job Address Lot 1-1 - Blk. ? Tract 4. Owner _
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11.
Type
No• Eauinment BTU - M. Ea.
Forced Air " No. Equipment CFM
Ai
H
Mfg. r
andling:
Boilers
Mfg. Mech, Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
--- - - - ?
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition BRIAR HILL 4TH ADDN Lot 17 Rlk 1 Parcel 10-14993-170-01
Owner
screet 3833 I-EATHER DRIVE State EAGAN MN 55122
improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 107-
STREET RESTOR. Z? 1975 70.69 7. 0 10
WRM Street $30 1984 1227.78 245.56 5 982.23 A014090 6-18-84
'**Sewer lateral 2 1984 2136.20 427.24 5 1708.96 " "
SAN SEW TRUNK 1968 29.60 .99 30 12.94 " "
? sEweR LarER,aL TRK 25 1983 237.37 23.74 10 189.91 " "
*SEwer Lateral 1971 32.42 1.62 20 74 " "
**WATERMAIN 1984 5
* WATER LATERAL 1971 20
WATER AREA g 1977 59.19 3.95 15 27.67
**Stubs 1984 5
STOFiM SEW TRK -S5 1984 323.50 64.70 5 259180
* STORM SEW LAT 1971 ZO
**Storm Sew Lat 1984 5
CURB & GUTTER
SIDEWALK
STREET'td9#I9" 1009 1986 153.70 15.37 10
Road Unit 4
WATER CONN. 420.00 ir n
9UILOING PER. 7770
SAC
nc)
PARK
I
CITY OF EAGAN Remarks
Addition BRIAR HILL 4TH ADDN Lot 18 aik 1
Owner Street 3835 HEATHER DRIVE
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREETRESTOR. Z1 1 1975
[ 7-07 10 7.15 A012395 6-29-83
IG18AlQlAU Street b 1984 1227.78 245.56 5 -
1227.78 C008600 10-11-83
'**Sewer Lateral Z 1984 2136.20 427.24 5 2136.20
, SAN SEW TRUNK p 1968 29.60 .99 13.92 A012395 6-29-83
SEWER LATERAL TRK Z5 1983 237.37 23.74 10 213 . 64 " "
* 11.36 91 of
"WATERMAI N 1984 5
* WATER LATERAL 1971 20
WATER AREA 31.61 A012395 6-29-83
**Stubs 1984 S
STORM SEW TRK 1984 323.50 64.70 5 323.50 C008600 10-11-83
* STORM SEW LAT 1971 20
'
Torm ew at 1984-
CURB & GUTTER
SIDEWALK I
STREET ki@MT 1009 1986 153 . 70 15.37 10
Road Unit 240.00 34097 1-24-83
WATER CONN. 420.00 it "
BUILDING PER. 'T'r 1
SAC 525-00 n n
PAR K -
CITY OF EAGAN Remarks
,4ddition BRIAR HILL 4TH ADDN Lot 19 Rlk 1 Parcel 10-14993-190-01
Owner street 3837 HEATHER DRIVE State EAGAN NW 55122
Improvement Date Amount Annuai Years Payment Receipt Date
STREETSURF. 02-
STREET RESTOR. 2 7.15 A012453 7-13-83
9H S r 1984 1227.78 245.56 5 1227.78 10
08601 10-11-83
** Z 2136.20 427.24 5 2136.20 "
- "
SAN SEW TRUNK D 1968 29.60 13.92 A012453 7-13-83 I
SEWERLATERAL TKR Z 1983 237.37 23.74 10 213.64 " " ?
*Sewer a 9 1 32.42 1-62 20 11.36 " f'
**WATERMAIN 1984 S
*WATER LATERAL 1971 20
WATER AREA 31.61 A012453 7-13-83
** 1984 5
STpRM SEW TRK 151 1984 323.50 64.70 S 323.50 C008601 10-11-83
*STORM SEW LAT 1971 ZO
** t S t 1984 S
CURB & GUTTER
SIDEWALK
STREETRTGRI"' 1009 1986 153.70 15.37 10
Road Unit 240.00 34o97 -24-$
WATER CONN. 420.00 if it
9UILDING PER. 7772
SAC
PARK
CITY OF EAGAN Remarks
Addition BRIAR HILL 4TH ADDN Lot 20 slk 1 Parcel 10-14993-200-01
Owner Street 3839 HEATHER DRIVE State EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 0
STREET RESTOR. 2-? 7.15 A012489 7-19-53
J?&RD?M Street b 1984 1227.78 245.56 5
**Sewer Lateral 1984 2136.20 427.24 5 of
SAN SEW TRUNK 46 29-60 .99 30 13.92 A012489 7-19-83
SEWERLATERAL TRK 2. 1983 237.37 23.74 10 213.64 " "
* 11.36 it It
"WATERMAIN 1984 5
*WATER LATERAL 1971 20
WATERAREA 31.61 A012489 7-19-$3
**Stubs 1984 5
STORM SEW TRK ? 1984 323.50 64.70 5
*STORM SEW LAT 1971 20
**Storm Sew Lat 1984 5
CURB & GUTTER
SIDEWALK
STREET ti61-W 1009 1986 153 . 70 15.37 10 3.70 C-10297 /p - ? -?'
P4-R3
WATER CONN.
420.00
BUILDING PER. 7773
SAC - 5515
00 tt n
PARK - -
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilor K"b Roed PERMIT NO.: 4677
Eagan, M!1 $5144 DATE: 4/78/83
Zoning: RZV No. af Units: 1 tinit tnhco
Owner: Tollefson Builders
Address:
Sire Address: 3833 Heather Dr L17 B1 Briar Hill 4th
ye?; (`pn? Rvan
er No.: ??L? ? ? ? Connectian Charge: 420.00 ?d - -
Siu: _ +??0' Account Deposit;
Reader No.: ?2 4 42 ? /Zf Parmit Fee: 10.00 pd
1 agrea to mmply wilh tha Cty of Eagnn Surcharge: .50 pd
Ordinancn. Misc. CFarpes: 60.00 pd met0-.
Totol:
gy K Date Poid:
Dute of Insp.: Insp.:
. . .
• ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
? INCLUDE Ig SETS OF PLANS,
3 ? Q CERTIFICATES OF SURVEY
Q SET OF ENERGY CALCULATIONS
To Be Used Fo : rirP Valuation: (p00.22 Date:
Site Address: ,? 15 f-/?e; 71Pk'2`-.
Lot.-:-41-0-Block: - 1 Sect/S/ u?? k(..rA.P Erect: x
-
Parcel #: \(4, Remodel:
Owner: /'/.4Yv4in
Address:
City/Zip Code: &q Qmi hA_ . S S-/ZZ
Phone #: ? `f'd lt-w
Contractor: eAMC
Address:
City/Zip Code:
Phone #:
Arch./Eng:
Address:
City/Zip Code:
Phone#:
Repair:
Enlarge:
Move:
Demolish:
Grade:
OFFICE USE ONLY
Occupancy: jZ-3
Zoning: ?-?
Type Of Const: ?
# Stories:
Length:
Depth:
Sq. Ft.:
APPROVALS
Assessments:
Water/Sewer:
Police:
Fire:
Engr.:
Planner:
Council:
Bldg. Off.:
APC:
Variance:
Permit:
Surcharge:
Plan Rev.:
SAC:
water Conn:
Water Meter
Road Unit:
Parks:
??r---r-
!TOTAL
I I. ?o
.5?
CfTY OF EAGAN
3795 PIIM Knob Raed Eagan, MN 55147 No
7(70
PHONls 4548100 BUILDlNCa PERMIT Receipt #
Te ya wad fer 1 of 4 PLEX Est. volue $48, 000 Dore J anuarv 21 19_u-
Site Addreu 3833 Heather Drive Erecr N pccuponcy R-3
Lor 17 Bt«k 1 Sec/Sub. Briar Hill 4th qicer ? zoni n9 PD
porcel # 10 14993 170 01 Repair ? Fire Zone NA
V
Enlarge ? Type of Const.
W Name TO11efSOR BUilders Move ? # Stories
z Address 1655 Norwood Drive pe,,,oi;s, ? Lengch 44
c. Eagan $$122 Pham 454-6873 Grade ? Depth 22 Sq. Ft.-
s Owner Aporovala Fees
? Neme _
Addreu
r r:...
Nome _
Addreu
I hereby acknowledge that I hove read this applicotion ond stote that
the inlormotion is correct ond agree to comply with oll applicobie
$tote of Minnewto $tafutes and City of Eogan Ordinonces.
Sipnoture of Pertnittee
A Building Pertnit is issued fo: TOZ].EfSOri
all work shall be done in accordonce wit / all opplia
? J
Buildinp pfficiol
Asseument Permit G /4 • UU
Water 8 Sew. Surcharge 24 • 00
Police Plan check 137.00
Fire SAC 525.00
Eng. Water Conn.4.2.Q..RO_
Planner Water Meter 60.00
Council Raad Unit 240.00
Bldg. Off.
APC Taal $1680.00
' InC. on the express conditlon thao
linnesoto $taJotes ond City of Eagan Ordirwnces.
CITY OF EAGAN
3795 Pilof Knob Reod Eayen, MN 55142
PHDN[: 454-8100
BUILDING FERMIT keceipt #
To ba uwd fo. 1 of 4 PLEX Fn v.,i... $48.000 n...e J
5tte Address siSSS neatner urive
Lot 18 el«k 1 Sec/Sub. Briar Hill 4th
po,cei # 10 14993 180 Ol
W IN.m. Tollefson BuNlders
? nedress 1655 Norwood Drive
r,:?. Faaan SS197 _._ dCd_FR7Z
A Ncme _
?Y Addrest
r r:.,.
Nome _
Addren
I hereby acknowledge thot 1 heve read this opplication and stote that
fhe inlotmolion is corrett ond ogree fo wmply with all opPlicoble
Stote of Minnetota Slotutes and City of Eogan Ordinonces.
oll work sholl ba done in accordance with N? 7771
Signoture of PermiMee
A Bullding Permif Is issued to: TOlle
Erect IM Occuponcy R-3
?
D
Atter 0 Zoning
Repulr ? Fire Zone NA
Enlarge ? Type of Const. V
Mova ? # Stories
Demolish ? Length 44
Grode ? Depth 22 Sq. Ft.-
AODrmals Fees
Assessment Permit Z/`i • UU
Water 8 Sew. Surchorge 24.00
Police Plon check 137.00
Fira SAC 525.00
Enp. Water Conn.420. 00
Plonner Water Meter 60.00
Council Road Unit 240. 0(1
Bldg. Off.
APC Total $1680.00
on tha express condifion thm
wta Statutes and Ciry of Eogon Ordinonces.
Bulldin0 Officiol
CITY OF EAGAN
9793 Pllot Kno6 Reod Eogan, MN 55122 N9 7772
PHONEi 4548100
BUILDING PERI ?
?
4IT ReceiPr # v
> Z
7e 6s wee fe.. 1 of 4 PLEX Est, yQi„e $48,000 pofe January 21 jy 83
Site Addreu 3837 Heather Drive Erecr ? occupancy R-3
Loe 19 Biock 1 Sec/Sub. Briar Hill 4th Airer ? Zootny (PD)
Porcel # 10 14993 190 Ol Repoir ? Fire Zone NA
V
Name Tollefson Builders Enlaroe ? Type of Const.
W
Move
? # Stories
? Address 1655 Norwood DRiVe Denwlist, ? Length 44
C; Eagan 55122 phom 454-6873 Grade p Depth 22 Sq. Ft.-
p
o Name Owner
_- Approvob Fees
- _
?
?? Addreu
r:...
Name _
Addrest
I hereby ocknowledge that I have read this applicorion cnd stote fhat
the information Is correcf ond ogree to comply with oll opplicoble
Sfate oi Minnewta Statutes and City of Eagan Ordirwnces.
Signnture of Pertnittee
A Building Permit is iuuea.to: Tollefson
oll work shall 6e done in accordance with ali opplit
Buildiny Ofticial ?
Builders
Assessment _
Water & Sew.
Palice
Fire
Enq.
Plonner ?
Council _
Bldg. Off. _
APC
Permit 4 i`+•vu
Surcharge 24.00
Plnn check 137.00
SAC 525.00
Water Conn. 420. 00
Water Meter 60.00
Road Unit 240.00
Total $1680.00
C. on the express condition thnt
?we Statutss ond Ciy of Eogon Ordirwnces.,
iD9.??
CITY OF EAGAN
3795 Pilet Kneb Raad Eayen, MN S5123 N? 7773
PHONE: 434-8100 -
BUILDING PERMiT Receipt ?`f1? ?/
?
,
7
Te be umd M.- 1 of 4 PLEX Ezt. Volue $48,000 pme January 21 1 983
Site Addreu 3839 Heather Drive Erecr g? OccuPOr,cy
R-3
Lot 20 B lock 1 Sec/Sub. BriaT Hill 4th Alter ? Zoning PD
Parcel # 10 14993 200 Ol Repoir ? Fire Zone NA
Tollefson Builders Eniar9a ? Type ot Const. v _
W Nome Move ? # Stories
; Addrou 1655 Norwood Drive pemolish ? Length 44
b C; EaQ an 55122 phane 454-6873 Grade ? Depth ZZ Sq. Ft.-
p Name OWReP Avvrorob Faea
0
Address
Assessment
I Permit
274.00
uS?
f
Nome _
Address
I here6y ocknowledge thot I hove read this opplicotion and state that
the inlormation is correcf ond ogree to comply with all applicoble
Stafe of Minnewtu Statutes and Ciry of Eogon Ordirances.
Signafure of Permittee
olle son Buil ers,
A Building Permif Is issued to:
oll work sholl be done in occordonce wlth oll oPligo'9bble Sta1 of MIP
Building Officlul ??/7• _P
Water 8 $ew,
Police
Fire
Enp.
Planner
Council
Bldg. Off.
APC
Surcharge 24.00
Plan check 137.00
5qC 525.00
Water Conn.420 • 00
Woter Meter 60,00
Road Unit 240_0!1
7otal 1680. 00
_ on the express condition Ihnt-
ond City of Eogon Ordinances.
CITY OF EAGAN N_ 1517 3
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE: 454•8100 ?? ???
BUILDING PERMIT Receiptn
Tobeusedfor DECK Est.Value $1,000 Date JUNE 10 ,1988
SiteAddress 3837 HEATHER DR
Lot 19 elock 1 Sec/Sub. $RIARHILL 4TH
Parcel No.
m Name MARTIN & JAN KEANE
3 nddress 3837 HEATHER DR
0 City EAGAN Phone 452-0636 721-5031
0a I Name SAME
?Q Address
? City Phone
r?
W w Name
z g Address
UI
a W Ciry phone
I hereby acknowledge that I have read ihis applicali n and state that the
information is correct and a ompty with I applicable Sta[e of
Minnesota Statutes and Ci of Eaga Ordin
SignaNre of Permittee
A Building Permit is issued to: TIN OR JAN KEANE
on the express COndition thal all work shall be done in aCCOrdance with all
applicable State of Minnesota Statutes antl City of Eagan Ordinances.
Building Official??lm'!.
OFFICE USE ONLY
On Si[e Sewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ (ACtuaq Const
CiTy Water _ (Allowable)
PRV Required _ # of Stwies
Booster Pump _ Length
Depih
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit 24.00
Planner Surcharge .50
Council Plan Review
BIdg.Off. SAC, City
Variance SAC,MWCC
Wafer Conn.
Water Meter
Road Unit
Treatment P1
Parks
z4.50
TOTAL
?
BUI66tNG- PERMIT
CITY OF EAGAN N? 9436
3630 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55721
PHONE: 454-8100
Receipf * ?? '7d J Vatue $600
SitaAddress 3839 HEATHER DR
Lot2 S!_Block 1 Sec/Sub. BRIAR HILL TH
Parcel No.
Name RTIN CHODOUNSKY
W I ?
; Address SAME
S City Phone SZ 7248
SAME
o Name
i
? nddre:s
? City Phane
w Name
?? Address
Z
.
Z City Phone
I hereby acknowledge thar I hava read this opplication and stote tFwt
the inlormotion is correct and agree to comply with oll applicable
Stote of Minnewto Statutes and City of Eagan Ordirwnces.
Siynoture of PermiNee _
A Building Permil Is issued to:
all vrork sholl 6e done in acco
Buildinp Officlal
MARTIN
Erect ? X Occupancy R_
Remodel ? Zoning
Repair ? Type ot Const.
Enlarge ? No. Stories
Move ? Length
Demolish ? Depth
Grade ? Sq. Ft.
Approrab Faes
Assessment
Water & Sew.
Police
Fire
En9.
Planner
Council
Bldg. Off.
APC
Var. Date
Petmil ?11 . 7 V
Surchurge • 50
Plon check
SAC
Woter Conn.
Water Meter
Road Unit
Parks
Total
?i???s on tho express condiTlon that
of,f?A nesgtg5tatutes and Citx o4 Eoyan Ordinancea.
(grr#ifirttte nf Mrru,pttnry
Citp of (Eagan
Oepttr2mrnt of Builbing 3nsprriiun
Tbu Catificau inued pHrtuant to tbc requinrrsenu o f Satian 306 o f tht Uniform Building
Codr ratr f ying that at !he time of iuxaarr ehit rtrurturr waf in comPlianrr with tht va+iayt
ordinarurt o( the City rrgwl.uing briilding conmiettion or urt. Fa thr folloevrng:
1 of 4 PLEX ,,,. o__.,,_ 7771
O?? 'fYP-R3-7YPCamwcuonV_Pin7am NA z,wsnn„m, PD
ow.„aewd„.Tollefson Builders ?4,„,1655 Norwood Dr., Eagan
9„9d],,Add? 3835 Heather Drive ,_,,,,,,Lot 18,Block 1,Briar Hill
eY: -
pw June 20, 1983
.a., ?. . ?..???a,. ...?.
? 3.<.
' wrr#tfirtt#r vf (Orruvttnrii
Citp of (Eagan
191ppurfinenf nrf Bui1D'mg Jnsprrtiun
Tbis CMi ficau irtued purrnant to the rryuinmaru o f Sertion 306 o f the Uniform BniWing
Codt cati f )ing that et tix time af ittuatue thit ttttuture wai in com pliance with tbt varioar
ordiuanns o f rfie City rrgalairng building conrrruaion or u u.- Fos rhr f ollowinK:
U.cb?fi?m 1 of 4 PLEX , k .'- Wd&N? N. 7773
. p?,wd.r'ryv? '`R3 'hwcm.w?um V-'?P??i? NA zowswm« PD .
o„v,fDwd„eTollefson Builders Aad,,,1655 Norwood Dr., EaQan
MdbBAad? 3839 Heather DriveL..;ryLot 20,Block 1,Btiar Hill
June 27, 1983 4th
.. s?coflmd ? wi.: . . .
w?c? . .. . '
.. . . ? .wr iN . eo..mcuw.
, ?` C?rrtifirtt#? `o?f (?rru?ttrir? '
,
Citp of (Eagan . , ._
3?r.pttrfmrt?f ?# t?uil?ing .?Inaprdimt
. . . °. i h ., ? .? . ? . .
Tbit Certi ficate i rtutd purruqnt to tbc ieqruiemina of Satron 306 0( tix Uniform Building
Codc nrti f ying that ru t& lime o f ircuarua tbi c xrurture waf in iorn plianrr wirb thr variour
ardinaruet of the City regNlating 6uilding ronttrudion or utr: Forlbefollowing:
?cb.&u? 1 of 4 PLEX 7772
Ma4P,?iNo
o.warTya R3 *rv.c?um V rinZ NA z, w,? PD
o.?Md?, Tollefson Builders ?dd,,,1655 Norwood Dr., EaQan
3837 Heather Drive ... i.nr 19_Rlock 1_Ariar Hill
(? ? 4th
? i0 June 27, 1983
.. Build4q0fBd.1 . `Au:
This request void `[ -('j
18 manths imm
` 1N 069349
(`70, 00
Repuest ate
I Fire No.
I Rouph-in Inspeccion
ey I.d?
[DpeaAy Now ill Notiiv I.spec-
h
? ? es ? N. ior W
en Ready
icenseA Elcchical CoNractor I harebY nepuast inspaction ot above
wner electrical work installad nt
SVeet Address, Bax or Roure No.
? <=itv
38 r
2
.e?
7 u
ectmn Township ame or No. Ran e No. County
?.
Oc.u nt IP NT Phone N..
?
Po r $u uli AddreSS
.?-
Elecerical Con ac[or ICOmOany Nnmel icense No.
CunVactor's
L
- f
?
Mailina Address ICOniracror or Owner Mnkinfl lnstailationl
r
553 ?P'
? n. a?r .u
5 5,5;tva ti _
Authorized Signature ( onVactor Ownei Makin9 Installatio Phone Number
/ a -?.zs
?
MINf'1E50TA STATE BOAfllS OF EIECTpICITY ` / gE'ACCEPTEDIBY MEE STqTE 90ANDT
Griggs-Midwek Bltlg. - Noom N-191 UNLESS PBOPEN INSPECTION PEE IS
1821 Universi , Ave.. SL Paui, MN 55104
„?___ ,,,,I.,?... ENCLOSED.
REQUEST POR ELECTRICAL INSPECTION s-.
y:
, See insM1UClions for completing this torm on back of yalluw copµ "
X. Be ow nr ?J. a#?
" overed by This Request ? S Z7 IR
HA Nep. Type ol Building ApPlioncns WireA Eqvipmant Wirad
Home Fange Temporary Service
Duplex Water Heaier Liyhiiny Fixtures
Apt. Building Dryer Electric HeaLn
Commerci2l Bldg. Furnace Silo Unloader
Industriai Bldy. Air Conditioner Bulk Milk Tank
F rm Otnrsr peei v Othe?r Isneeifyl
??xl VECiW Ot er _ Other
Compufe lnspec(ion Fee Below - Fee Service EntrenceSize k Fee Feeders/SuCfeeders k ?e Circuits
0 to 200 qm 5 0 to 30 Am s a to 30 Am s
Above 200_q???py. 31 to 100 Amps 31 to 700 Am s
Swimminq Pool Above 700_Amps Above 100_Am s
Transiormers Irrigation Boorr?s Partial%Other Fee
Signs SUeclal InsPection .
$ ? T
Nemarks ?
AL FEE
[ •v- _
RouBh-in
Inspectoq hereby
certify that the abova
Final inspaction has been
made.
Thlsreaueslvaidl9montM/rom ? 6 a/
L 77R1 fl , ._ /7. 1.7 • , /.,. ./rke ¢ _
.I"
ReQU st Dale Fia No. ough?in nspecGOn
Requiretl?
Aadtly Now ? WIII No?iry Inspector
S
? Yes o ? When Raetly.
Iericensed contractor Downer hereby request inspection of above electrical work at:
Jab Atleress (Sireet Box or R.W. No.) Ciry
"
Senion No. Townsnip Name or No. q¢nge No. Counry
?
Occupant(PRINT) . Phone No,
(/C Bfi S?i?/
P er Suppber Atltlress
Electncal Convaclor cOmpany Name, Comrector§ License No.
ody??
y
Mai ng AaCress i nvactor or Owner Making Instailalioni
a
Avt Sgnawre , vaqp rOw er Ma
ationl P?one NumOar
MINNESOTA STATE 90AflD SF ELECTf?1TV THIS INSPECiION REOUEST WILL NOT
Griggs-Midway Bitlg, - Room 5413 9E ACCEPTED BY TNE STATE BOARD
1831 University Ave.. SL Poul. MN 55104 UNLESS PROPER INSPECTION FEE I$
Phone(61Y?6dI-OBpp ENCLOSED.
spic-7 ss°
d •276:14
REOUEST FOR ELECTRICAL INSPECTION
0. See instmctions lor campleting ihi5 f0/m on OecN oi yellow wpy.
"X" Belqw Wark, Covered by This Request
?
ew Add Rep. TypeofBuilding AppliencesWired EquipmentWired
Home Range Temporary Service
! Duplex Water Heater Electric Heating
Apt. Building Dryer Other_(Specify)
Comm./Industrial Furnace
Farm ? Air Conditioner
Otner (ryecify) Comracmr3 Remarks:
Compute Inspection Fee Below:
# Other Fee # SarviceEntranceSiza Fee # Circuits/Feeders Fae
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformars Above 200 _ Amps Above i00 _ Amps
Signs u-spector's use Only. TOTAL
Irrigation Booms ,rjJ O
? Speciallnspection -
Alarm!Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
L the Electrical InspeCtor, hereby Rouqndn r oata
certify that the above inspection has
been made. F;nei
' • oate
) ?ls'Q3
OFfICE USE ONLY
This request voitl 18 months irom
BDX-7 . V111
RESIDENTIALBUILDINGm
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Ntw CqnsWctian Reauiremenls Remc
3 regisiered site surveys showing sa. ft. af l04 sq. it of house;
(20%mazimumlotcoverageallaved)
2 copies of plan showing beam & window sizes; powed found e n, elc. 1 sile
lsetofEnergyCakulations SEP 2?p'?'
3 oopies of 7ree Preservation Plan if lot plattetl aPoer 7/1193
Rim Joist Oetail Opflons selection sheet (buildi?gs wiN 3 or less uniLs)
Minnegasco merhanical ventilation form
i shovAng footirgs, beams, joisls
Calculatlons far heated additions
r additions & decks
de H on-site sepfic sysfem
? C 30 ? a!?-
12? co y )
Office UseAnlv
Cert ofSurveyRevJ _Y _N
Tree Pres Plan Reoi - Y N
T2e Pres Requiied Y _-N
On-sdeSepticSystem-..:_Y _N
Date y l ZD
SiteAddress :38 l 20LO 7
37) HEAntER Construction Cost
G72 \ V E Unit/Ste #
Description of Work RENIfiUF /a-tJD R FPLACE PEGk A/V' D R !k 1 L l NCT'S
Multi-Family Bldg Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner 5p /lssoc. m.4111¢6,?7ME7VT Telephone#( ?63 )446'/- 37,17
7022- <ASr F/:5/-/ ?-/+KE KoP,U i1ffFPGE G?'--UVE ,L(N 353ii
Contractor $E1 EXT RII) r1A MtT Cf3 P
Address 40s:
State MINNF Kcsr G0rw
Sl3TA E-L-T City MINNaPOUS
Zip 564(1 Telephone#(611 ) 80- 67-43
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
(d submission type) • Residential Ventilation Category t Worksheet
Submitted
• Energy Envelope Calculations Submilted
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
In ihe last 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and aclaiowledge 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
$tatutes; 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 nfnlanc
Applicant's Printed Name Applicant's Signature
uvi?va rrauaa?ua.uvr• aiuvv?.?a.
/ /-
Sub Tvnes
? 01 Foundation ? 07 OSplex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03plex ? 11 10-plex
? 06 04-plex ? 72 12-plex
Work TVqes
P?D
? 13 16-plex
? 16 Fireplace
? 17 Garege
M 18 Deck
? 19 Lower Level
? 30 Accessory Bidg
? 31 Ext. Alt • Multi
? 33 Eut. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
\?b 34 Replacement •Uemolitlon (Entire Bldg) - Give PCA hantlout to applicant
D@SCriptiOn: Water Damage _ Yes
Valuation ° dO c'r-
Plan Review 100% or 25%
CensusCode L13q
SAC Units
# of Units
# of Bldgs
Type of Const v )3
Occupancy I RG I
Zoning
Stories
Sq. Ft.
Length
Width
Footings (new bldg)
1p Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof lce & Water Final
_ Framing
_ Fireplace _ R.I. _ A'v Test _ Final
Insulation
Approved
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 20 Pool
O 21 Porch (3sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gaze6o)
? 24 Storm Damage
? 25 Miscellaneous
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
b FinaVNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Finat
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Inspector
)-' ?,t(T Fe -e-
, Z5
193-7 3n
J,4CfG5ON ° SURVEYORS
? NGT_5 i fZ,?,V . _ ?
FEGI2TERE0 UNUEk LAWi 0I iT4Ti .?£ Y11iM[YOTA
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L 3616 EAST SSth S'fREET, MINNEAPOIIS, MN 55417 7273484
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I NERfBY CCRTIPY TMAT TNE A00Y[ U A TRUi A%D CORR[CT PU1T DF A SURV[V OF -... ?
/7 -3,g-33
Lots 17,18 19 and 20,61ack 1,8riar Hill 4th, Additton,
Dakata Cxcnty,Hir.nca:)ta.
G°?EV?EWF-D
--
DG?4?e
PrDpased Garage Plaac'Elev. 102:9
fropasad Easement Ploor Elee, 102.37
Propased Firat Floor E1ev. 109,37 "
At oUFV[vCD OV ML Tni¦ 12Sh__DAY Oi Jan. A.o. 1483 ' . . . . ? / / ?.F?9'_'Y""- .
i
Siaw[
v
- F. C. JACKSON. MtnK R[6rUTRwnOr. No. 3600
,?......._.. ........ .? ..,... uz_ai?i? /
. 183-13A??'
?.. SCALE !~_ ?a' .? JAClCSDN - SURVEYORS
•. ?' ' ! ? ? ' ? .? ?11[61tT[R[D UND6R LAWS 0/ lfAT[ OW WNM980TA ? ? . . .
" ?. 3616 EAST SSth STHEET, MINNEAPOUS, MN 55017 727•3484 -
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( NEII[YY C[RiI/Y THAT TNE ABOV[ U A TqU[ AND CORq[R rLAT OF A gYRV[T OI . ... ? '
Lots 17,18 19 and 20,51ack l,Briar Hill 4th, AJdition,.
Uakota Coua[y,Mir.neaatA. ~
As sUPV[v[O W Ml TNU LGLh.
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Proyafied Garhge F3 oor 'Elev. 102 ;0
Proposed P.aserneat f'loor Elar. 102.37
Psopased Firat Flaoz Slev, 109,37
-owr w-Jan. - A 0 1583 ?
SION[^
f. C. JAGKSON.
III1 R[OILTRATION. NO. S400 '
2004 RESIDENTIAL BUILDING PERMIT APPLICATION `7O a?
City Of Eagan
3830 Pilot Knab Road, Eagan NIN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Construdion Requirements RemodeUReoair Reauirements t3fficB ?hea[?F1
3 regislered sife surveys showing sq. fl. of iot, sq. it, of house; and all roofed areas 2 copies ol plan Ceitidg?"Re? --y: _-N
(20%maximumlolcoverageallowed) lsetofEnergyCalculationsforheatedaddifions Ice€P[OSPt?ti.'f{?Ct4
2 copies of plan shaxing beam & window sizes; poured found design, efc. , 1 sile survey for additions 8 decks ?tse f?'es fiequv? N
isetofEnergyCalcWalions Addifion - indicateifonsitesepticsystem D.tt-?t168sphc?y910m ..,,;:Y _N?:
3 copies of Tree Preservatron Plan if lot platted afler 711/93
Rim Joist Detail Options selection sheet (bldgs wAh 3 or less units
Date OCI_
Site Address '77q'17q Construction Cost L'910, L50
Unit/Ste #
Description of Work ?Q
Multi-FamilyBldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner 7AKIF L LA R:S CN Telephone #( )
Contractor
Address 177??L
State ?
Zip )' 1? r'
City ±t/? IIft-7
Telephone # V6 n33 S'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ umesota Rules 7672
- Minnesota Rules 7670 Cateaorv 1 M
Energy Code Category
• Residential Ventilation Category i Worksheet . New Energy Code Worksheet
(J submisslon type) Submitted Su6mitted
• Energy Envelope Calculations Submitted
Have you previousiy constructed a building in Eagan with a similar plan? _ Y _ N
fee applies.
Licensed Plumber - Telephone #(
Mechanical Contractor IS ? ? ? T T Telephone # (
Sewer/WaterContractor SEP 0 7 2004 Telephone #(
If so, 25% plan review
I hereby apply for a Residential Buil V' ermit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pernut, 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.
Zf X Atzz44?L1
ApplicanYs Printed Name
1
pplic t s ignature
OF'FICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 af _ plex
? 04 02-plex
? OS D3-plex
? 06 04-plex
Work Types
? 31 New
? 32 AddRion
? 33 AlYeration
? 34 Replacement
Valuation
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
_ Footings (new bldg)
_ Footings(deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Frazning -
_ Fireplace _ RI. _ AirTest _ Final
_ Insulation
Width
REQUIliED INSPECTIONS
FutallC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Suroharge
Treatment Plant
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex ? 20 Pool
? OB 06-plex ? 16 Fireplace ? 27 Porch (3sea.)
? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.)
? 10 08-plex ? 18 Deck ? 23 Parch (screen/gazebo)
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 30 Accessory 81dg
? 31 Ext. Alt- Multi
? 33 Ext. Alt - SF
? 36 Mutti Misc.
? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
.. .. . . . 1 . .
/Yy i` ` CITY OF EAGAN Include 2 sets of plans,
???
1b He Us?r'? ?? ?.
1 site plan w/elevatians &
HUZLDING PEFMST APPLICATION 1 set of energy calculations.
_valuationQoO Date
i71 ig - - - - -
Lotis. ao Block / ? Sec./Sub. 1C8..
Parcei #: , 10. 1LI92 -a t-16
Add.ress: 411z2 wl _?
City/Zip Code: J CZ?„
Phone A:
Contractor:
Address: Zk?
City/Zip Cbde:
Phone #: --eZ
Arch./E7xJ. :
P,cldress:
City/Zip Code:
PhOne #:
.??
OFFICE USE ONI,Y
Erect ? OcCUpancy
ntter zoning ? ,O
Repair Fire Zone
Ehlarge _ 7ype of Const. _
Move # Stories
Darnlish Fnont ? ft:
Grade Depth ft.
Water/Sewer Surcharge _
Police Plan Check
Fire t SAC
IIng. Water Conn.
Planner WatEr Meter
Council FDad Unit
Bldg. Off. 7-/$= 9 :5
APC
'RYI'AL v 0 ? O
>..
?
Site Addsess3/95: is
i7, i8/
Iotis.ap Block /•'?
Parcel #: D
O+n'xer:
Address: -z -?iz
City/zip Code:?
Phone #: ?-
Oontractor: t?2
Adclress: v
City/Zip Code:
Phone #: _.ez
Arch. /ESxJ. :
Address:
City/2ip Code:
Phone #:
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
_ Date /
a« OFFICE USE ONLY
?
Esect Occupancy x.?
A1ter Zoning
-iw
Fepair Fire Zone -
Enlarge 'lype of Const. •
hbve # Stories
Darolish Front ft:
Grade Depth ft. "PI APPI20t7NS FEES
Pssessments Perntit
Water/Sewer Surchan7e a4/ --:V-
Police Plan Check
Fire i SPC 52
66
Eng. Water Conn. y a
Planrier Water Meter (yU
Council Road Unit y0
Bldg. Off.
APC
'DOTAL ? 0 .
/??? l a? BUILDINGPE1+IIT APPLICATION
Rb Be use'c? For valuation,-q
?, OD C7
, . :
.. ,? ,
?1 -7 Z
2b He Usk" Y'? ?1
Site Address31,5'5
/?,/, r8 .
Iot?iS: av Block r/ l
Parcel
City/Z
?i?/1C-£i u-(J J pFFICE USE ONLY
c/ EYeet r,-,I, Occupancy 11(5?3
Alter Zoning ? PQ
Repair Fire Zone
ESnlazge 'lype of Const.
_
Abve # Stories
Darolish Front ft.
Gracle Depth ft.
Phone
Oontractc
Address:
City/Zip
Phone #:
Addx?essy?..
City/Zip Code:
Phone #:
APPImVALS F'EES
Assessmnts Perntit 9
Water/Sewer Surcharge;?7-
Police Plan Check / 3 7ffl"
Fire . i SPG S-aS 15-r'
Fng. Water Conn. ?,4t-
p ?
Planner ' -?
Water Meter (/ ?
Council Road Unit
s
Bldg. Off. ? Y --
APC
1OfAL ? ? ??
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a T ?
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'ib Be Us?t4"r
('ITY OF EAGAN
BUILDING PEIdNIT APPLICATION
Valuation ? 'C g^l ? oc--,
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date / 11511ZU
site Aaaress?i,5:5 -P,'r3 OFF'ICE USE ONLY
IOtjS.'aD 7Block ? S2c./Sub. ILA?iC?? -Zr-4ESect/ r, Occupancy .?
Parcel #: lqq ? ?ZDb Cj t Alter Zoning
?
Owner: ?Q ???, Repair
Ehlarge Fire Zone '
7ype of Const.
Address: _
Nbve # SWries
/
Darolish ft.
Front 17
City/Zip Code:? Q?,?1L?, Grade Depth ??- ft.
Ptione #: ?-
CbntractA
Pdcizess:
City/2ip
Phone #:
Arch. /E7x3. .
Addness:
[9ater/Sewer Surchazc3e ?-2e? 1^'
Police Plan Check ./317
Fire ? SAC 1Sa S
-
IIvg. Water Conn.
Planner ' ?
Water Meter Cr?
Council Road Unit
Bldg. Off.
APC
City/Zip Code:
Phone #: TOTAL (PR)
' 6?7
r.rrv oF i_nGAN
CA?"rHl:EC'_ S TI":kMSNAI._ N(:le 697
DA7Er. 04J09/93 7ThiC:r 14r,52e,38
1r? .
NAnE- chec,•r., T. LuhnzN
'_?21Q 9001 38:39 F1f-:ATFIER LRi 60„I10
205 9001 3839 F11=F§TFfl-fs Afi E7.50
3210 90(]1 3835 I-IF:f1ThII::R Dli 60.60
205 9001 :3835 HFA'itdEF' DR 0,50
?n ta:l. Rnr..F,ipt Ainntant r 121.00
CRi.OF,2nr.
U^aFF :iD: NFiNCV
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
r• ?? (_j I 3830 PII.OT KNOB RD 55122 /' ?/ - 60 (
? (651) 681-4675
Vew Construction Reauirements
t
? 3 reglstared site surveys
? 2 copies of plans (inGude beam & winAow sizes; paured fnd. design; etc.)
• 1 energy calculatians
1 3 copies of tree preservation plan if lot platted aRer 711/93
required: _ Yes _ No
DATE: 41,411
DESCRIPTION OF INORK: /ZoP/ k
RemodeVReoair Reauirements
? 2 wpies of plan o . ?
? t site surveys (exteriar add'Rians 8 decks) C?,
? 1 energ{ calculaBOns tor heated additions `t- + (
CONSTRUCTION COST: 356,o <sr;,e/vcG:
or.?t,t _`°',?
ST'REETADDRESS: 3 $2r'7 /f-? cL,zl -ga ? D!2
LOT: 'cXO SLOCK: :4- Sl!BD./P.i.D.#: l3v.jcx..- I-{s l( Artl. ?/a-1t99z-aas-of
r -
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
State: Zip:
Phone #:
Registra2i: a 9:
State:
Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address
?hange and lot change is requested once permit is issued.
hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
6tate of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ?-- L'-) ..a.?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
` 6s ?? 6- oooa
Name: W-qm? BY? Ti p LJ 6 Vi Phone #:
Last Fi[st '
Street Address:-701
City L!Lh?cti? State: -/-'J. ? Nn Zip:
Company: !?P// 1 Phone #:
Sueet Address: License # Exp.
City
Company:_
Name:
Street Address:
City .
OFFICE USE ONLY
3UILDING PERMIT TYPE
-1 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
1 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem.
7 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory
7 04 SF Porch ? 09 12-plex ? 14 Fireplace
7 05 SF Misc. ? 10 _-plex j,'15 Deck
NORK TYPE
i31 New ? 33 Alterations 0 36 Move
7 32 Addition ? 34 Repair ? 37 Demolition
3ENERAL INFORMATION
.onst. (Actual)
(Allowable)
JBC Occupancy
Loning
# of Stories
'_ength
JVidth
APPROVALS
?lanning
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq.ft.
sq.ft.
Footprint sq. ft.
Building v? Engineering .
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Totai:
valuation: $ / Za'
ol s '
:
? 16 Basement Finish
? 17 Swim Pool
? 20 Public Facility
? 21 Miscellaneous
Census Code
SAC Code
Census Units
Census Bldg
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
% SAC
SAC Units
• Rpry09 99 10:28a
,Tan. 12, 1999
Ms. Tilton
651 603 1551
BRIFn HOLEMRn
?
651-603-1551
I am very sorry we have failed to get this letter to you as I had
promised at an earlier date.
Your request for permission to rebuild your deck has been approved
by the Board of DicectoYS oP the BriazHill fiomeowners Association.
This building,will be done at 3835 Heather Dr. Eagan, MInn.
What we do require is who ever doas the rebuilding do so according
to the building code requirments of the City of Eagan.
t Re rds
d--
Ro ert D_ qnderson
President Briar Hill Home
Owners Association
,p.3
?zvrd
?
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
.. ?
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNEA MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
M[JLTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COFPERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Aaluation:??_
Site Address -?03 7 OFFII
Lot /Z Bloek 1
Parcel/Sub ?/ff?tQ?/(? ??/ ,?/T/C?l?
/
Owner
Address ?37 Il6+ri'?
City/Zip Code 5?1LL
Phone -6L-6?3? !!J•72-1 -?03/ k
Contractor
Address -
City/Zip Code -
Phone
Arch./Engr.
Address -
City/Zip Code
On site sewage_
MWCC system _
On site well ,
City water _
PRV required _
Booster Pump ,
APPROVALS
Engr/Assess
Planner
Caunci2
Bldg. Off.
Variance
Date: v' -dO? &
Occupancy
Zoning
Actual Const
Allowable
ri of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit '°
Surcharge , 5-6
?lan Review.
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
Phone ll ?
54-
ALqJ ?Jl GCf/T. Ku7 7t:>
6E B?MOYCD 4A4
A42/ R.VT
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` I?y BL ? CITY USE ONLY
? RECEIPT #:
sUeo. Brinr Ril' 41'1 RECEIPTOATE: Uc)
PERMIT k
2000 PLUM$INfi PEiMiT (fiUIDENTIAL)
crrrof eAsnx
3$30 PU.OT KNOB iiD
£k6AA, bSN 551 EE
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backFlow preventer for underground sprinkler system
.,I?
FerN
#
TOTAL
rini??cw
Alterations to existing dwelling - minimum fee
Describe: - -
$ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum -1 3.00 x =
= $
$
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x - $
Laund tra 3.00 x = $ ?
Lavato 3.00 x = $
Se tic S stem newlrefurbishad `requtres MPC lic. 75.00 x
Se tiC S Stem abandonment 30.00 X =
= $
$ ?
?
RpZ new insWllation/re airlrebuild 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dweffin is under conswuion 3.00 x - $
Under round s rinkler if exisun dwellin 30.00 x = $ ?
W ater closet 3.00 x -
Waterheater 3.00 X =
W ater softener if dwemn under conserue9on 5.00 x
W ater softener If existin dwewn9 30.00 x = M
Watertumaround 30.00 x > ->
State Surchar e
.50
->
---
>
---
> 30
Total __> _> ---- ---- J
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- -------••---••-------•----------••---•--••-----------------------••-- • -------- --- ------••---•---
-pliptlon, state that the information is correct, an agd ree to wmply with all appiicable City of Eagan ordinances.
---------•-----••-------------
-I-have-read-this-ap-
I-hereby-acknovAedge-thal-
It is the applicanCs rasponsibiliry to nofify Ihe property owner lhat the City of Eagan assumes no Iiahility for any damages caused 6y the Ciry during ifs nortnal
operational and maintenaqac?.-bvdlee loAhP.facilities.ronstryctad nder th's oermi? iNin Ciry propertyinghbof-wayleasement.
SITE ADDRESS:
OWNER NAME: :
HEPP,JUDY
3835 HEATHER DRIVE
EAGAN, MN 55122
(651) 687-0657
TELEPHONE #:
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE #:
(AREA CODE)
`. .. TAT : 2
SOUTH ?P:
CITY: 2905 dARFI L6 AVE. S
, SIG A E OF PERMITTEE
CSTY 0F E.AGAN
CAiHIEFi: S TERMINAI. N0: 809
PFlTE: 07/21/38 TIME: 15:1E:04
ID:
NAMEe RYAN WINLiOWS & SIDING INC,
3210 3001 3835 HEATHCfi DR 99.75
2155 9001. 3835 HEATFIEf; DR 2.50
Total heceip+, Amajnt; 102.25
CR035121
l.1SFR IIl: NANCY
kc?k*?cXcX?Xc?Y?C ?C#%cX?Xc?#X??XX???##?k?k%?%??k?k??%?k?XX?Xc#?kX??X#
. i FERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
EagBn, MinneSOta 55122-1897 Permit Number: 0 3 2 5 9 3
(612) 681-4675 Date Issued: 0 7/ 21 / 9 8
SITE ADDRESS:
P.I.N.: 10-14993-180-01
3835 HEATHER DR
LOT: 18 BLOCK: 1
BRIAR HILL 4TH
DESCRIPTION:
REPLACE WINDOWS
Bu?ildi'n`g_ Permit Type SF (MISC. )
?ui.lding 'Work Type REPA2R
Census Cpde 434 ALT. RESIDENTIAL
i;
6„ r
?`
REMARKS:
REPLACEMENT WINDOWS.
FEE SUMMARY:
VALUA7ION
Base Fee $99.75
Surcharge $2.50
Total Fee $102.25
$5,000
CONTRACTOR: - Applicant - sT. Lzc OWNER:
RYAN WINDOWS & SIDING INC 12516363 0008077 TILTON APRIL
P 0 BOX 5937 3835 HEATNER DR
ROCHESTER MN 55903 EAGAN MN 55122
612) 281-6363 (651)686-7613
?
I hereby acknowledge that I have read this application and state that the
i.nfarmation- is correcC and agree to comply with a'l1 applicable State af Mn
Statutes and City af Eagan Ordinances.
APP ICFN PERMITEE IGNATURE
ISSUED BY: SIGNATURE
I
93
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT IQNOB RD - 55122
681-4675
C -! -1-t - ? g
New Construdion Reouirements RamodeVReoair Reauirements
? 3 registered site surveys ? 2 oopies of plan
• 2 copies of pWns (inGude beam 8 window saes; poured fnC. design; etc.) ? 2 ske surveys (exterior add'Rions & deeks)
? 7 energy calculations ? 1 energy wlculations for heated addkions
• 3 copies M tree preservation plan 'rf lot plattetl after 711/93
Yes Na
?/ </ QU
DAT CONSTRUCTION COST; ` 197 ?
DESCRIPTION OF WORK: ReIQC2Y"Yl I' W kAQouQS
STREET ADDRESS: 3$ 3S- I7e--Q1 Te'f- bl(?a v'<-
LOT: I ? BLOCK: I SUBD./P.I.D. #: ? ?? a r I I
Name: -I-i l iely-? ' `P 1:1 Phone#:
PROPERTY Lwt First
OWNER p ,I- I( n
Sheet Address: 3 0 3? '7?GYkqr L/?- IV`c-
City ?-` 0.2l(\Yti State: Yh P4 Zip: Z?-
Company: ?yG1 v\ W, hjU cao Phone #: 5-67" 2 ??I`lP 3673
CONTRACTOR ,/? ??
StreetAddress: o?""? ?N r0' p+?(Jx ?? 3 7 License#
City ?06,""esie-c State: M ?-)
ARCHITECT/
ENGINEER Company: Phone
Street Address:
City
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Ooo 90 ?
Zip:
5-5'q o 3
Registration #: _
State: Zip:
I hereby acknowledge that I have read this applip6on and state that the infortnation is
State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Penalty applies when address chang
and agree to comply with all applicabl
Tree Preservation Plan Received - Yes - No - Not Required
i.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging
? 02 SF Dweliing ? 07 4-plex ? 12 Multi Repair/Rem.
O 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory
4 SF Porch ? 09 12-plex ? 14 Fireplace
Y5 SF Misc. ? 10 = plex O 15 Deck
WORK TYPE
? 31 New 3 Alterations ? 36 Move
? 32 Addition Y 34 Repair ? 37 Demolition
'13 ? 4 FS t?
GENERAL INFORMATION
Canst. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Basement sq, ft.
Main level sq. ft.
sq.ft.
sq.ft.
sq. ft.
sq. ft.
Footprint sq. ft.
? 16 Basement Finish
? 17 .Swim Pooi
? 20 Public Facility
? 21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Valuation: $
T
°k SAC
SAC Units
cT7v oF r_ArnN
r.nSi-,.r.Er.: S 1.1 :.r:nlNAi._ Nn"? br,;?
IJAY'E.? 04l09/93 T.CME' 14:52:50
ILi e
NAMFe Gf;EGG T. I._UNDIN
32iL7 :JOQi 3E339 I-lFtl'iHER OR 60.00
2155 9001 3839 HG'ATI-lL:R DR 0.50
";'c^:.:I.O 9001 3835 FIE.AThif:h Dh L-U„tJU
1155 9004 303; FIE'Ail-IEEi Df' 0.50
'I'n+,a7. Rrr•t?:.ipi: 1mounti 1Ri,,00
fF:9.Ohi?p4
!.1SI::fi I!1: NANL'Y
Y?PFX;X?yF??NXt%tyFX?k.t*?, 'M:?n?kR,:?k?kX: '?'.?'nYd?%t?k';?%k?%k9nh? 'Mfk?X3X1Y
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT
651-?046 RD - 55122 S(o Q S?
9?
?E
New ConsWCtion Reauirements Remodel/Reoair Reauirements
? 3 registered site surveys showing sq. !t oll04 sq. ft ofhouse
and all roofed areas (20X maximum lot covereae allowedl
? 2 topies of plans (show beam & window sizes; poured fid. design; etc.)
? 1 set of energy plalations
? 3 copies of Vee preservation plan if lot plalted after 7J1193
DATE: // 6/11
DESCRIPTION OF WORK:
? 2 copies of plan
? 1 set of energy calculations for heated additions
? 1 site survey for exterior addidons 8 decks
CONSTRUCTIONCOST: -3SwD rne«z? "
J L 7-
STREETADDRESS: Sk`3S z2e1v--,1
LOT: BLOCK: SUBD./P.I.D. #:
Name: ' I-?' • 11 __?? l? r/ Phone q: D, I' ?; ?Xv' ??GSL3
PROPERTY L?t
UWIVER StreetAddress: , Zi? ,?G__????,?? -
City G!r L' Sta[e: ?) YV Zip:
?
Coinpany:?----------- Phone R: -
CONTRACTOR
Street
Ciry
ARCHITECT/
ENGINEER Connp?
I\.vne:
S[reet,
City _
License N Exp.
_ State: ZIP' ---
---- Phone 1t: --- ---
RCgl5II.1[IOII #:
Sta[e: ZiP: ----
Sewer & water licensed plumber (required for new construction onlv):
i
Penalty applies when address change and lot change is requested once permit is issued.
` I hereby acknowledge that I have read this application, state that the information is correct, and a r t'comply with all applicable
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
Y {
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porcn (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PordUAddn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex )30 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? OS 3-piex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New 0 35 Tenant Impr ? 39 Gas Line Only ? 43 5iding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert 0 44 Windows/Doors
? 33 Alteration 0 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
? 34 F2epair ? 38 Cemclish (intarior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq. ft.
sq.ft.
Footprint sq. ft.
Building v? Engineering
Census Cade
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies
Total:
SAC Units
Valuation: $ / Zd:::> <::-?
?
% SAC
ppr U9 99 10:28a
Jan. 12, 1999
Ms. Tilton
651 603 1551
BRIHn HOLEMRn
651-603-1551
I am very sorry we have failed to get this letter to you as I had
promised at an earlier date.
Your request for permission to rebuild your deck has been approved
by the Board of Directors of the BrlarHill Homeowners Association.
This buildinq will be done at 3835 Heather Dr. Eagan, MInn.
What we do require is who ever does the rebuilding do so according
to the building code requirments of Lhe City of Eagan.
Req,3rds
," '
Ro ert D. nderson
President Briar Hill Home
Owners Association
?b,,r•? 611?,\J,dLV4^°,
?
p.3
?C, - IJ..LO '/4 I (
? k
June 29 1986
Mr. Carl Tollefson
1655 Norviood Drive
Eagan, Minnesota 55122
Mr. Carl Tollefson:
We reside at 3833 Heather Drive and have lived here since April
1p 1984. During this time we have registered a rumber of complai.nts
regarding faulty ti•;crkmanship - ir,ferior n!aterials - incompletion of
certain work plus a considerable amount of inental anguish we endured
as a result of the aforementioned. Add to this the number of false
promises made to us by your representatives and you have quite a 1i,t.
After a wait of two years I intend that you attend to these matters
at once and tFat there be no misunderstandi.ng, I will be specific ar.d
itemize the complaints below:
Faulty workmanship -
1. Front cement steps (entry) falling away from foundation.
Bottom riser failed to meet level of driveway, replaced
with a make shift asphalt step.
Remedy - replace steps
2. Front two 6"x6" square pillars out of plwrih. Aj+ty at the
base was ycur solution. Not satisfactory.
Remedy - remove pillars and notch deeper at the top.
3. Landscapir.g in f.ront of entry i-jas satisfactory at time we moved
in. A feva months later it was all tprn up in search of a pipe.
We endured this condition for a period of approximately three
months. After complaint after complaint, a slipshod effort vaas
made to restore the torn up landscape and sod was laid on top
of this mess. The condition today is suclt tnat it is almost
impossible to properly mow the grass. As for the cosmetic
effect , it is an abortion.
Remedy - regrade and properly lay on sod.
4. Dryer vent on outside of structure improperly installed?
left permanently open.
Remedy - replace
Mr. Carl Tollefson
June 2? 1986
Fage 2
Incompletion of certain work -
Painting - Five months ago, two paintc-rs camn to the house and
spent a few hours staining patches of the extericr that had 6een
missed initially. They did not finish the job and assured me they
would be back the next day. That was 5 months ago and we are still
waiting.
Remedy - do itp complete the job you ,tarted.
Fireplace - The brick above the mantel to the ceiling was never
installedp_ Hoarever, the model we looked at did include this feature,
it also included wood bull nose edge cap on tvio sides of the entry hall.
In place of this, 2 pieces of a.luminum vrere useci. This last iteM Was
mentioned to Sam Wunderlich on three different ocassions and despite
this, metal edging was used.
According to a Legislator friend of mine, totvnheuses coma under the
6iinnesota Uniform Condominiurn Act, which sites the follotiving: Chapter
515A-re.f 515A94-11 "Express 4Varranties"
(2)ANY h90DEL OR DESCRIPTION OF 'IHE PHYSiCAL
CHARACTERISCICS OF THE CONDCNv1IAlIUP.t, INCLUDING
PLANS A\D SPECIFICAIONS OF UR FOR IL'iPROVEidENIS?
CREATES AN EXPRESS PvARRAIJTY THAT THE CONDQfv1INIUb1
WILL CO\F02e1 TO THr MODEL OR DESCRIFl'10N.
Inferior materials -
Front hall entry - The front entry hall in the model displayed a wood
bull nose edge around the floor. When we moved into our unitt a metal
edging took the place of the wood edgir.g. I had rr.ade a point of inentioning
this to Sam Wunderlich because I had previously insisted on the wood bull
nose being used. I did not agree to any substitue material being used.
Living roon and bedroom windows. We have two windows in the living room,
where the seals leak. This leads to vrindow fog9ing and frostin% as well as
a heat loss. The master bedroom has a screen that does not fit, allowing
insects to get into the house.
I will expect a reply concernin9 this letter within the next 7 working
days.
Sin yi
Pierre G. Verite
cc: Eagan City Attorney
Pdayorp City of Ea9an
' 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
(o (o ``? C? 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
ZOI
New ConsWClion ReouiremenLS RemodeUReoair Reauiremenls Offce Use OnN
3 registered site surveys showirg sq. ft. of bt, sq. R of house; and all roofed areas 2 copies of plan CeA of Survey Recd _ Y_ N
(20%maximum lotcoverage allowed) 1 set o( Energy Calculallons for heated additions Tree Pres Plan Recd . _Y _ N_
2 copies of plan showing beam & window sizes; poured found design, etc. 1 sile survey for addifions & decks Tree Pres Required _Y _ N
lsetofEnergyCalculations AddRbn-indicefeifon-sdesepticsystem On-siteSepticSystem _Y _N3 copies of Tree Presenation Plan if lol plaried after 7/1193
Rim Joist Detail Options selectlon sheet (bldgs wAh 3 or less units
Date _- / & / C7 ?'/?/
Site Address J?? _i
Construction Cost
UniUSte #
Description of Work (jll / (ASLv l
Multi-Family Bldg w Y _ N Fireplace(s) _ 0 -k 1 _ 2
Property Owner (?v-? /,5(?, /"
? 1 ?, ??? ? /
Telephone # ( p" -)-q) iti Z -Zv 33
Contractor
Address
State 0
Zip `7?? 7 City
Telephone #(y)2 ) fJ' ?jJ -? 7 1 Cj
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Caiculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
N If so, 25% plan review
Telephone#(
Telephone #(
I hereby apply for a Residential Building Permit and aclrnowledge that the informaUon is com?lete andaccurate;
that the wark will be in conformance with the ordinances and codes of the City of-Eagari and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the ase of work which requires a review and
approval ofplans.
ApplicanYs Printe ame Applic s Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation.
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
§AC Units
# of Units
# of Bldgs
Type of Const
_ Footings (new bldg)
_ Foo[ings(deck)
_ Footings(addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 OS-plex ? 13 16-plex ? 20 Pool
? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.)
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 70 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex Plbg_Yor_ N ? 25, MiSCellaneouS
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
_ Final/C.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Bnck
_ Windows
_ Retaining Wall
Building Inspector
`735T_1?1
soos RESIDENTIAL PLUMBING PeRMiT aPPUCATioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
-A?o !5c'
Date !/ "?r I ? I vV Site Street Address AL Unit #
PropertyOwnerGi) )(,?? /v/????QJCJV Telephone# If )
Contractor ? ,??P ? ????./?' /?Lk/? t?
Teiephone # J )
?
Address ? Z_1 City ?50I/??p.S State,? Zip d3
The Applicant is: _ Owner _ Contractor _Other
Septic System _ New
Refurbished Submit 2 sets of plans and MPC license tncltades County fee
_ $ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are instalfing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ ?PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the ty of gan a the plumbing codes; that I
understand this is not a permit, but only an application for a permit is not sta i ut a permit and work wiii be in
accordance with the approved plan in the event a plan is requi t e revi ed and ap oved.
? l
ApplicanYs Printed Name Appli? nt's Signature
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Use BLUE or BLACK Ink
r-----------------
For office Use ekr 9c' ; Permit it 1 1A i ;
Cat of Eajan ~ /0 5~-3
Permit Fee. I
3830 Pilot Knob Road i If 3 i
Eagan MN 55122 I Date Received:
Phone: (651)675-5675 i SWff'
Fax: (651) 675-5684
~•---------.-.------d
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: D - 5 1-3 Site Address: .3 3 93 s'. 3? 3 3 S 39 /4f 774ER JD A.. Unit
Name: ~~c l9 C T /V r4 ^J r4 o L M 8 AJ T . X A C Phone: 7lv3 - S`fi 3- 8 7 7 0
Resi
ref Address / City / Zip: VS-o J~ E. e-,4 'r-L,,e 4,1 A3 'at' '111 gg az.~ V&[ U-f
s". IN-A,3
Applicant is: Owner 2C_Contractor
Ie W Description of work: T"-CA-4 0., QE - IF6 ,P:
TY~c;Construction Cost: , 9 co Multi-Family Building: (Yes X' ! No
iAv i d ~ ~ R-R ► S
Company: -1 ~2 i o i2 /~d i..tT • &aP Contact: 43
Address: //0 5- L~ 6 D ~ ST City: ~ PG S
State: /yl~ zip; SS"~// 9 Phone: 41-2'V -1
License C A w" 3 I Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Q>L~los t~F- 2E. 4V/Lr Pos. / 97 'V
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 8r Water Contractor: Phone:
1 ,A
CALL BEFORE YOU DIG. Cali Gopher Stabe One all at (651) 454.0002 for protection against underground utility damage. Cali 48 tours
before you intend to dig to receive locates of underground utilities. www.aooherstateonecali.ora
i hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 understand this is not a permit, but only an application for a permit. and work is not to start without a permit: that the wmrk vAli be in
acwrdarx a %eAth the approved pman in the case or moor* whimtm requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State suildi code must be completed within 180
days of permit Issuance.
x bAvih, %ur2-arS
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Applicant's Printed Name Applicant's Signature
Page 1 of 3
41I`City atboll
3830 Pilot Knob Road
Eagan MN 66122
Phone: (651) 6756675
Fax: (651) 678.6694
Use BLUE or BLACK Ink
For Office Use
ia
Permit*: i 31
Permit Fee:
1 5 LP
Date Received: 14111 I it
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4/` 7 - V Site Address: 3 330 is' 3.. 3 ?/ 3 7, 3 b'3 7 //i tri./44 t Q- Unit#:
Resident!
Ovlmer
Name: eh:, 46 i M4.) 4b£.l+tE.0 a .�...; c. Phone: 743 - S-7 - 9770
Address/ City / Zip: 8S0 6 E C r4 7'u R. RV, 13, A Cool D £w 1/44..L. Y /VA)
Applicant is; Owner SS-S/.� 7
Contractor
•
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4 .
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Description of work: rZ£'.o..I- a- P -i pt.evc>;. Sidd-/
Construction Cost: / 41; 'O • cu Multi -Family Building: (Yes / No �)
..
Cot�tlracttyr
.
Company: CS E) e,,- r tr2/ o /L Mt—, *17 . Cv RP Contact: b4' t] a.)/2-.2, S
Address: 4/12-r L3 (oO * i� . City: m PL S
State: !'►ia Zip: S-5- // 5 Phone: fp/ 2. 8 (o /- 61 2 4'S
License #: 4.3 C- 241// 3 / Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
got -4405- 11,0/4.r Pos- J "'
In the laet 12 months,
_Yes _No 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:
licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone;
itloTE: F lis 8/3dSl 1p dipi7!R10n ,SAO / Sgbl '.A�Ml: O/L9 iQ 1b4.
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CALL BEFoRsipu DIG. Call Gopher Statin 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.gopherstateonera►I.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in Conformance with the ordinances and codes of the City of
Eagan: that 1 understand this is not 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 dm* which requires a review and approval of plans.
Exterior work audwriz d by a building permit issued In accordance with the Minnesota State Build' Code must be completed within 180
days of permit issuance.
•
x 4 %2r✓22.,S
Applicanrs Printed Name
£0/Z0 3JCd
x
Applicant's Signature
Page 1 of 3
1NIvW 1X3 Iia L9Z9t98Zt9 90:60 btOZ/LO/b0
Use BLUE or BLACK Ink
r -
For Office UseCity of EaIan
:::
P�1(�5 Q.' . CJ CY
il-1I
3830 Pilot Knob Roada ;, ,V i�D
Eagan MN 55122 ,Date Received: /r
Phone: (651)675-5675 JUL 3 1 1017 !7
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �(2-12
'/ 0-Site Address: E -It 2 c ✓► „f4A) Unit#:
I I Name: 16i``ur +Wit S -F(f yrue.- c.Q..s✓4e r'S A-Soo.po:-a.-h`aq Phone: a-(151. - (531
I Resident/
Owner 1 Address/City/Zip: 3 833 -144€4:'41-e./- Qr`. Eu k h , MA)
t Applicant is: Owner ?C Contractor
Type of Work Description of work: Cot4tre-f- . 5tv cw r-
Construction Cost: ISI S,'"4-9 5 'br•op Multi-Family Building:(Yes /No )
Company: —reo S 74444-eP Contact: Kyle.....- M let.osi
Contractor Address: /0:+2 �Zi'vi.� Ocr,Ctey c l�dL City: �,�,• Grove_,f{z�•c h-t-S
State:AU Zip:9S7:77-3- Phone: qS3- S...-1/1/' Email: k 'rvt.br w,&'7nsecr.G¢ erica,,,ca..,
License#:TR.act(0/Y Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
1 In the last 12 months,has the City of Eagan issued a permit fora 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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they 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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of
permit issuance.
x OMk&ow x /
Applica is Printed Name Appl fit s Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE A /Vser55y
SUB TYPES 3J-33 , 3 r 3`S_ 6,- 5I'3 7 ti een-ti,eri- i J e..._
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
—
Single Family _ Garage — Porch(4-Season) _ Exterior Alteration (Multi)
— Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex — Lower Level _ Pool _ Accessory Building
WORK TYPES
New — Interior Improvement _ Siding _ Demolish Building*
Addition — Move Building _ Reroof _ Demolish interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
p Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation i 2 e - Occupancy :J1-72 L •3 MCES System
Plan Review Code Edition /7'A 2L`J5 SAC Units
(25% 100% ) Zoning ? /7 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction \5 Width
REQUIRED INSPECTIONS .
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) _ j(1 Final/No C.O. Required
?" Foundation HVAC_Gas Service Test Gas Line Air Test
Roof: Ice&Water Final Pool:_Footings Air/Gas Tests _Final
— Framing Drain Tile
Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath Brick
_ Insulation Windows
Sheathing Retaining Wall: Footings Backfill_Final
_ Sheetrock Radon Control
_ Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Other:
2eviewed By: fA amt in:/./'7 , Building Inspector
tESIDENTIAL FEES
Base Fee
Surcharge
Plan Review 1
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA155685
Date Issued:05/29/2019
Permit Category:ePermit
Site Address: 3833 Heather Dr
Lot:17 Block: 01 Addition: Briar Hill 4th
PID:10-14993-01-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Pierre G Verite
3833 Heather Dr
Eagan MN 55122
(612) 805-8645
Heating & Cooling Consultants Llc
46001 Hardeggers Ln
Cleveland MN 56017
(952) 461-5100
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176536
Date Issued:05/20/2022
Permit Category:ePermit
Site Address: 3833 Heather Dr
Lot:17 Block: 01 Addition: Briar Hill 4th
PID:10-14993-01-170
Use:
Description:
Sub Type:Fixtures
Work Type:Replace
Description:Multiple
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ctw Group Incorporated
4820 Minnetonka Blvd Fl 3
Saint Louis Park MN 55416
(952) 457-0033
Top Choice Plumbing Llc
1892 Boulder Way
Carver MN 55315
(952) 457-0033
Applicant/Permitee: Signature Issued By: Signature