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3841 Heather Dr s7'5 BUILDING PERMIT 4 PLEX ? EAGAN ?? ? I Eagen, MN 55122 ,:. ? v 4S4.E100 J?-- Receipt Sire Address jOa{1 Iie'ACp@r lirive l.or 21 Block I I Sec/Sub. Briar Hill 4th Parce, # 10 14993 210 Ol cc Nome Tollefaon Builders, Inc. 3 llddross 1655 tioruTood Drive b Cj Eagan 55122 ph,, 454-6873 °C Name (wner Zo Address F' I`tw, n?--- 1 hereby otknowledge tFwt I have read this upplicotion and state that the informotion is torrect ond agree to comply with oll applicoble 5fute of Minnesofa Srotutes and City of Eogon Ordinonces. Sipnuture of PeRniftce /1 Building Pertnif is issued to: oll work sholl be done in occo Bulldinp Officiol Ercd XX Occupnncy _ Alter p Zoning Repoir ? Fire Zone _ Enlarye ? Type oF Const. Move ? # Stories - Demolish p Length 44 Grade ? Depth 32 /lssessment Water 8 Sew. Police Fire Enp. Plonner Councii Bldg. Off. APC Ft. Permit cJi . -) v Surcharge 21.50 Pion check 125. 75 sAC 525.00 Woter Conn.'?? ? ? • ?d Woter Meter 6 0• 00 Rood Unit 250.00 T,ta, 11683.75 on ffie express tondition Ihar Statutes nnd City af Eapon Ordinances. Permit No. Vermit Hoidsr Misc. Permit No. Holder Plumbing H.V.A.C. w.u w?a. Diap. Sewer electrrc uJO73 i f'IQs4tr'efC P3 Inspection Date Insp. Other Footinys $3 &R, Foundstion Freminq Rough Plbg. ,?-743 td .s'-17-93 .1 Rough HVAC , .?j uf 4 Inwlation Final Plbq. 4 Final HVAC -? .iy - Final -.2/0W Water Oeseribe Location: Vlfell Sewsr ? Pr. Disp. 379! BUIL ?NGPERMIT F EAGAN 1 Eogoe, MN 55122 454-8100 Slte Address 3643 Heattier Drive Lot 22 Black _1 $ec/Sub, Briar Hill 4th Partol # 1 n 14493 22f1 01 m Nome 1011eisa12 Su11dera ? ,?d?? 1655 t+iorwood Drive r;, E-agan 5512-2 a,,,,__ 454-6$73 Nome _ llddress Nome _ Address I hereby acknowledge thot I have reod this upplication ond state that fhe informotion is correct and ogree to comply with all applicable Stote of Minnesote Statutes and Ciry of Eogon Ordirwnces. SiQnoturo of Pertnittee ULLIIUGLD? /1 Building Pertnit is issued to: iVi1G1M{,l11 ' all work shall be done in accordonce with ofl op{alicable, 5tate of -- Buildinp Officiol ? l - ?U / 85U Receipt # Erect ? Occupancy R-1 Alter ? Zoning (PD) R-3 Repoir 0 Fire Zone NA Enlar9e O YYRe of Const. v Move ? # Stories Demolish ? Length4.4i Grode ? Depth 32 Sq. Ft. Apprarala Fees Assessment Permit 95.1 Sn_ Water & Sew. Surchnrge 21 _ Sfl Police Plan check 1 2 5_ 7 5 Fire SAC 52 5_ nfl Eng. Woter Conn/ 5n T Planner Water Meter .?QC) Council Rood Unit 25().,..A,()_ Bidg. Off. APC Total 31 6 83.75 on the express condition that Statutes and City of EaQan Ordinonces. Permit No. Permit Holder Misc. Permit No. Holdar Plumbing '3qa ?VIZ-? S-?? ? cL.) H.V.A.C. a?D 03 w.n te. we Disp. Sewer Electric ?0731 SS`? ?'L?.S?Er?'?Et'• 4-f 7'?? Inspection Date Insp. Other Footings 3-ZI$ p }2-_ Foundation Framing 1??3 Rouqh Plbq. _ 2. ?) K ? Rouph HVAC <?.? Inwlation Final Pibg. Final HVAC id Final Water r DesG'ibe LoCetion: YYeil • Sewer '4 Pr. Disp. i I I BUILDIN?S'PERMIT v? ¦ vr c?+vw?? =795 PileF Keoi Rood Eoyon, MN 55112 7860 -i?, ? PHONE: 454-8100 Receipt Site Addrcss ' 3845 Heatner I?rive Erect U Occupancy R-3 Lot 23 el«k 1 Sec/SbBr.iar H111 4 th Alter p Zonin9 (PD) R-3 parcel # 10 14993 230 OI Repair ? Flre 2one NA Enlarye ? Type of Const. v w Nar„e Tollef son Buildare, Inc. W Move p ?t Stories Z Addross 1655 Norwood Drive ? l De,mii,i, p Lenqth 44 riN EaAan 55122 oti,,,„. 454-6873 Grade ? Depth 32 S4. Ft. ? No me e ?- /lddre; ? ?:... I hereby atknowledge that I have read this opplicotion ond stote that the informotion is correct and ogree to comply with oll appliccble Stote of Minnesota 5totutes and City of Ea9on Ordinances. Sipnoture of Permittea A Building Pertnit IS issued to: TOllef80i1 oll work shall be done in xcordarxe with qll ai Bulldinq Offlcinl Assessment Woter 8 Sew. Police Fire Eny. Plonnar Caunci I 81dg. Off. APC Plan check ??? . ! :) sAC 525.00 Water Conn_450. 00 Woter Metar 60. 00 Road Unit i 5n _ Qj1 T,tal $1683.75 on the expross eondition thas Statutes end Ciy of Eapon Or4inonces. der Plumbing &A Well Mer g R Disp. Ekictric Foundation H Rough HVAC insulation Final Plbp. _' Final HVAC - ? Final Waur Dftcribe Location: VYell 5wer ? Pr. Disp. cInr oF E?GAN 3795 'ilot Kno6 Ropd Eogan, MN 55142 ' , , c? ??5? +-. PHONEs 454-8100 BUlLDING RERMIT Receipt } To 6e wed fog' 1 of 4 PLEX Est. Value $43,000 Date 14a rch 23 , 1 gaL! Site Address ? 3$47 Hesther Drive Erect ? Occupanc R_3 24 1 Rriar fiill Gth Lot Block Sec/Sub. Altar ? ?°D) R-3 Zoning ,. Parcel # 10 14993 240 01 Repoir ? Fire 2one NA Enlarge ? Type of Const. V a Nome Tollefson Bu1ldEre, It1C. W Move Q # Stories 3 Address 1655 Norwood Drive Demof;sh ? Length 44 b Ci Eagan 55122 Phone 454--6873 Grode p Depth 12 Sq. Ft. ? p Nume d?er Approvals Fees ~ Nddress Assessment Permit 251.50 ~ Cit Phone Water & Sew. 5urchorge 21.50 Police Plan check 125 .75 Nome ? Fire SAC 525.00 Z Y? /lddress Erp, WoYer Conn45n fl.CL- [ W C phone Planner Woter Meter 60 - n6 Council Rood Unit 250_0n I hereby acknowledge thot I hove read this npplitation ond stete that Bldg. pff. the,informotion is eorrect ond agree to comply with nll npplicable Sfote of Minnesota Sfatutes and City of Eagon Ordinonces. APC Total $1?83•?? Siqnoture of Permittee TollefEOn Builders.y, inc. /1 Building Permit ts issued to; ' on the express condition thnr oll work sholl be done in eccordance with ol1 apblicoble StotR' oqa Buildinq Officiol sata Statutes ond Ciry of Eoflen Ordirwnces. Permit No. Permit Holder Misc. Permit No. Holder Plumbing ??q 44 1 H.V.A.C. Well Watar Disp. Sewer Electric tve-13(g,k /14QS4.ret,Fe 4o`(q-8.3 Inspection Date Insp. Other Footinga -? 1 b Foundation Framinq Rouph Plbg. Rough HVAC ls?wlatSon Final Plbg. Final HVAC Final Watar Descrite Location: Well . . Sowe? Pr. D'np. ? CASH RECEIPT CITY 4F EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECSIVED , FROM AMOUNT $ ? ? & DOLLAR5 ?oo ? CASH ? CHECK row - ! :. PuND CODE qMOUNT Thank You ? ?- B Y YVhite-Payers Copy Yellow-Postinq Copy Pink-File Copy ? --- 1 Receipt 7 PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fil/ in numbered spaces S/C Type or Print legib/y Tot. ; 1. Date 2. Installation Cosj c21 , . 3. Job Address Lot =++- Bik. ! Tract 4. Owner : /> ,?` •?! .,',f ' - 5. Contractor C// Phone 6. Address 7. City State Zip ` 8. Building Type: Residential=-CI Commercial O Institutional El 9. Work Description: New &_ Add ? Alter ? Repair ? 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 Outleu 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN - Fee ? Fil/ in numbered spaces S/C Type or Print legibly Tot. _r. 1. Date' -?5 2. Installation Cost IS l'6 ?3. Job Address Lot.-?_Blk. Tract 4. Owner ?c>>1 /F 'f?Su,? ` '4L'X S 5. Contractor Phone ?1 6. Address l ,-; 7. City State r? Zip ?SG?•G 8. Building Type: Residential Commercial ? Institutional 0 9. Work Description: New ?2 Add El Alter ? Repair ? 10. Describe 11. No. ? ' Fixtures Water Closet No. - Fixtures Cesspool/Drainfield r Bath tubs Septic Tank ? Lavatory Sflftner Shower Wel I ? Kitchen Sink Urinal/Bidet Other ? Laundry Tray ` ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : - ?- - . for ? Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 --.?--- ? Receipt PLUMBING PERMIT Permit No. 39 e? CITY OF EAGAN ; Fee -°'U - , Fill in numbered spaces S/C - Type or Print legibly - ,, Tot. - c' 1. Date 2. Installation Cost - ? ? ,-??? ; /%f?;,•.?. i_.. ?. ,, , 3. Job Address Lot?Blk. / Tracti 4. Owner 5. Cantractor Al:? ?fl r ?sv Phone ? 3 ' / / `F ?z 6. Address 7. City 6 State 4)1L Zip 8. Building Type: Residential gQ- Commercial ? Institutional ? 9. Work Description: Newj,-?- Add ? Alter 0 Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank ? Lavatory Softner Shower Well , / Kitchen Sink Urinal/Bidet Other / Laundry Tray •/`- 1 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. i. Signed : for .•" ? ?? /ii? Rough Final Inspections: Oate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN . Fee ? Fill in num6ered spaces S/C Type or Prinf /egib/y Tot. -- r? - 1. Date -G .? 2. Installation Cost / .2 , 3. Job Address Lot.:9V Blk. ? Tract !!, !! 4. Owner // F' t.?? Zi.` 1=! i_ ii ? 5. Contractor L Phone 6. Address 7. City ?,??, 11 nc11N I State _T 1 !Ll - Zip ' _ -_:_ ?• t? 8. Building Type: Residentialt,12'- Commercial ? Institutional ? 9. Work Description: New 43'- Add ? Alter El Repair ? 10. Describe 11. No, ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank ? Lavatory $pftner Shower Well Kitchen Sink Urinal/Bidet Other _L Laundry Tray ?c i Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for ,:;;n_/ Rough Final - Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt.s%t_ ' ? _- ,• ?. ? Permit No. Fee c S/C Tot . MECHANICAL PERMIT CITY OF EAGAN Fi!l in numbered spaces Type or Prini /egib/y 1. Date .'? _-r 2. Inst?llat(ion Cost 3. Job Address ^ i"i' • Lot Blk. ? Tract 4, Owner .' 5. Contractor :__ ,?? • • Phone --- ? - _ ?'> -- 6. Address - • - f ' ' ? 7. CILy SteL@ ZIp. . 8. Building Type: Residential ? Commercial ? Institutional C3 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. Type No. Eauipment 8TU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. •, r ng: an 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 454-6100 Receipt.? ?-' MECHANICAL PERMIT Parmit No. - ` CITY OF EAGAN ? Fee fill in numbered spaces S/C Type or Prinr /egibly T t - o 1. Date-? 2. Installation Cost - 3. Job Address Lot Blk. / i Tract • 4. Owner _ ? (: - 5. Contractor- Phone 6. Address 7. City State Zip = - ? 8. Building Type: Residential 0 Commercial ? Institutional ? ? 9. Work Description: New ff Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Eauioment BTU - M. Ea. Forced Air - No. Equipment CFM Air Handlin : Mf9. g 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. Signed:` for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt ?1:?% MECHANICAL PERMIT Permit No. CITY OF EAGAN - ?, Fee ' ? Fill in numbered spaces S/C ` Type or Print legibty ;, - Tot. ? - 1. Date 2. Installation Cost 3. Job Address, Lot Z 3 Blk. Tract 4. Owner - , .? Phone ? 6. Address 7. City State . . Zip - ? 9. Work Description: New Cl Add ? Alter ? Repair 0 10. Describe Fuel Type 11. No. Fquioment STU - M. Ea. Forced Air Na. Equipment CFM Ai dli H Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances dnd codes governing this type of work. Signed : • ? for Rough Final Inspections: Date Insp. Qate Insp. This is your permit when numbered and approved. Approved GITY OF EAGAN 454-8100 G 8. Building Type: Residential Cl Commercial ? Institutional O Receipt ? MECHANICAL PERMIT Permit No. •_?` CITY OF EAGAN Fee - ? fi/I in numbered spaces S/C Type or Print /egib/y Tot. 1. Date .? ??-?' 3 2. Installation Cost 3. Job Address. Lot Z ' Blk. ? Tract ?4 4. Owner ? ?: ' ??? ,?,,?^ • ,:? -i' ? r" ,l? + „ `' { ?? 5. Contractdrr- ,-i.L1:` - ,? ? ! :' ?• !'- Phone ? 6. Address 7. City State Zip -8, Building Type: Residential O" Commercial ? Institutional ? 9. Work Description: New ?J Add ? Alter ? Repair ? I 10. Describe Fuel Type 1 11• No. ?' €puioment 9TU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. ?- Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed :+ ' - ' for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 ?. ?.? ? I CITY OF EAGAN Remarks i4ddition BRIAR HILL 4TH ADDN Lot 21 Rlk 1 Parcel 10-14993-210-01 Owner street 3841 HEATHER DRIVE stace EAGAN NIN 55122 Improvement Date mo unt Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. l j &4?3?&}i?li?C Street 1984 27.78 245.56 5 982.23 A 013766 4-19-84 **Sewer Lateral Z 1984 2136.20 427.24 5 1708.96 A 013766 4-19-84 SAN SEW TFUNK 12.94 A 013766 4-19-84 SEWERLATERAL TRK 26 1983 237.37 23.74 0 1$9.91 ti * 9.74 **WATERMAIN 1984 5 *WATER LATERAL 1971 20 WATEF AREA 27.67 **Stubs 1984 5 STORM SEW TRK g3 1984 [323.50 64.70 5 258.80 *STORM SEW LAT 1971 ZO **Storm 5ew Lat 1984 5 CURB & GUTTER SIDEWALK STREETi?HM4T 1009 1986 153.70 15.37 10 ROAD UNIT 2 0.00 34932 3-23-83 WATER CONN. 450.00 It BUILDING PER. 7858 5AC 525-00 PARK I CITY OF EAGAN Remarks Addition BRIAR HILL 4TH ADDN Lot 22 Rlk 1 Parcel 10-14993-220-01 Owner Street 3843 HEATHER DRIVE State EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1971 Paid UIlCl I' OT1 inal rcel STREET RESTOR. 1975 70.69 7.07 10 JRXRM Street g 1984 1227.78 245.56 5 982,23 A013443 1-11-84 **Sewer Lateral c 1984 2136.20 427.24 S 1708.96 " " SAN SEW TRUNK 1968 29.60 .99 30 12.94 " " SEWER LATERAL TRK 72 1983 237.37 23.74 10 189.91 *SEwer Lateral 0 1971 32.42 1.52 20 9.74 *'? WATERMAIN 1984 5 *WATER LATERAL 19?1 ZO WATER AREA 1977 59.19 3.95 is **Stubs 1984 5 STORMSEW TRK $ 31 1984 323.50 64.70 S 258.80 A013443 1-11-84 *STORM SEW LAT 1971 ZO * torm Sew at CURB & GUTTER SIDEWALK STREEF-L49H1"f 1009 1986 153.70 15.37 10 1-53. 0 -/0 0'/0- 5 ROAD UNIT 250.00 34932 -2 -8 WATER CONN. 450.00 8UILDING PER. 8 SAC n tr PARK CITY OF EAGAN Remarks Addition BRIAR HILL 4TH ADDN Lot 23 B1k 1 Parcel 10-14993-230-01 Owner Street 3845 HEATI-ER DRIVE State EAGAN MIlV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 0 Z. 1971 aid und r OY'1 inal rcel STREET RESTOR. 19']S L70.69 ']. 07 10 7.lrj A412680 8-31-$3 l??IR}?C STreet D 1984 227.78 245.56 5 1777 78 ' 198 2136.20 1 427.24 . il it SAN SEW TRUNK 1968 29.60 .99 30 13.92 . A012680 831-83 SEWERLATERAL TRK 1983 237.37 23.74 10 213.64 " " *SEwer Lateral 1971 32.42 1,62 20 11.36 **WATERMAIN 1984 $ *WATERLATERAL 1971 ZO WATER AREA 1977 59.19 3.95 15 31.61 A012680 8-31-83 **Stubs 1984 S STORM SEW TRK I 1984 323.50 64.70 5 86 06 __ *STORM SEW LAT 1971 20 **Storm Sew Lat 1984 S CURB & GUTTER SIDEWALK STREET-.-401FF 1009 1986 153.70 15.37 10 ROAD UNIT 250.00 34932 3-23-83 WATER CONN. 450.00 11 13UILOING PER. 86 SAC PARK CITY OF EAGAN Addition BRIAR HILL 4TH ADDN I Qwner Remarks 24 ?k 1 Parcel 10-14993-240-01 Lot B streec 3847 HEATHER DRIVE state EAGAN MN 55122 Improvement D Amount Annual Years Payment Receipt Date STREET SURF, STREETRESTOR. 21 70.b9 7 07 10 7.1$ AOl2563 8-4-a3 I?RhPR?'?C Street 1227.78 245.56 S **Sewer Lat ral 5 1984 2136.20 427.24 5 if to 5AN SEW TRU[VK 40 1968 29.60 .99 30 13.92 A012563 8-4-83 SEWER LATERAL TRK ?25 1983 237.37 23.74 213.64 it to *SEWER LATERAL 101 1971 32.42 1.62 20 11.36 " " ** WATERMAIN 1984 5 *WATER LATERAL 1971 2 WATER AREA 977 59.19 31.61 A01 563 8-4-83 **STu 1984 5 STORM SEW TRK 1984 323.50 64.70 5 10-11-8-3 *STORM SEW LAT 1971 20 **Storm Sew Lat 1984 S CURB & GUTTER SIDEWALK STREET-tmrRY 1049 1986 153.70 15.37 10 ROAD UNIT 250.00 34932 -2 -8 WATER CONN. 450.00 BUILDING PER. 'j$ 1 sAC 525.00 PARK GTIr OF EAGAN 3795 Pilot Knob Road Eayaa, MN 55122 Zoning: Owner. '?'o ]. le f.^ on ^ u i?? Address: 5iM Address: ' Plumber: 'Neter No.: iize: 2ecder No.: I oqreS M comply wif6 the City of Eagan WATJR SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Chorge: Aceount Deposit: _ Permit Fee: Surcharge: Mfsc. Ct?orpes: - Total: Dote Poid: urr oF E?GaN WATER SERVICE PERMIT 9795 Pilot Knob Rood PERMIT NO.: Edgon, MN 55122 DATE: , '. r <.' . .. . . Zoning; No. of Units: L01.L?_'r!?C: ?..--° - - tiss: Address: 11PAfhP2' DriVN 1,74 'Z ] cader No.: agroe M comply with t6e Citr of Eagon of I nsp.: Connectfon Chorge: ?? 5 L) . Q 0 -0: Account Deposit: Permit Fee: Surcharge: Mist. Charges: Total: Date Paid: ,/. 1 sone to oomplr witfi the Citp of Eagan 1 nsp.. SEWER SERVICE PERMIT PERMIT NO.: DATE: ' _ No. of Units: - 4 Connection Chorge: Account Deposit: _ Permlt Fee: Surcharge: Misc. Charpes: - Totol: 100.00 pd SEWER SERVICE PERMIT CITY CF EAGAN 9795 Pilat Knob Road PERMIT NO.: Eag9n, MN 55122 DATE: , Zoninp: ? No. of Units: 1 Oweier: To 1 ] : Address: SifB Addre?: •, ?• (t ? '' ?, °, ' :". l.l . r'I j.V E? i , r ? ' Y ? z Plumber: . ": ? , • 1ograa to oomPly with the Ciry of Fagan Connedion Charge: •`?` ' ? Ordinanea. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Gate of Insp.: Total: Insp : Data Pald: . C JTlf. 7F EAGAN SEWER SERVICE PERMIT 3745 Wlot Knob Roed PERMIT NO.: Eyyen, MN 35122 DATE: Zoning: No, of Units: Ownsr: /?ddross: Slte Address: ' '_ip 'Ltae rr ? •, , , I Plumber. 1ayrM ta aompig with tha Gty of Eaean Connection Chorye: OrdinoNees. OF EAGAN Account Deposit: Permtt Fee: 5urchorge; Misc, Chorges: Totni: Date Pcid Pilot Knob Road PERMIT NO.: '74 -, , MN 55122 DATE: No. of Units: Address: riar Connection Charge: Account Deposit: _ Permit Fee: Surchorge: Mtsc. Charyes: _ Total: Date Paid: No.. No.: to wmpip with lhe Cley of Eagan F EAGAN WATER SERVICE PERMIT Ilot Knob Road PERMIT NO.: MN 55122 DATE: - No. of Units: _ , ... 1 ? , . Address; ` No.: M wmply with t6a Cily of Eaqon of Insp.: Connection Char9e: Account Deposit: _ Permit Fee: Surcharge: Mlsc. Charges: _ Total: Dote Poid: SEWER SERVICE PERMIT 1 ogree to eomplp with the Citp of Eogan Connection Charge: _???•? i Q r-, O?dihpnew. Acwunt Qeposit: Permit Fee: Surcharge: By Misc. Charges: Dote of Insp.: Total: Insp.: Dote Pald: 6TY OF EAGAN WATER SERVICE PERMIT 3795 Pilor Knob Road PERMIT NO.: 4673 Fagan, MN 55722 DATE: Zoning: RIV No. of Unirs: 1 unit tnhse Owner: Tollefsan Builders Address: ? te Address: 3841 Heather Dr L21 B1 Briar Hill mber: G2i1Z R3yR Me er No.: 33 '7?/I /Z l O Connection Charge: 450.00 pd $ize: ?T ' /i?,L"e-F. Account Deposit: Reader No.: / a R S"D Q7 6- permit Fee: 10 _ 00 pd 1 agros ro eompy Wth !ha Ciry ef Eagan Surchorge: - 50 pd Ordinancu. Misa Cfwrges: 60.00 pd met? Totol: 8Y . . ? Dote Paid: Dote of Insp.: _- C Insp.: Th;s renuest vo,d 3-( p 18 months irom W061438 tai k 31 1 gh•a?N,?? q+`'! 3c{`7Zy /a,oo Raquesc ate ? C. ? 3 Fire No. Rouph-in InsVection Required? Reatlv NuwQ WiII Notify. Insaec- ? to W i C]Yes ?NO r henf eady ? nsed Elecirical Convactor 1 hareby request ins0ection of ebove Owner electrical wark inatelled at Sireet Address, Box or Foute No. - City acllon o. Townshio Name or No, anBe o. Coun1 OccupantlPRINT ? Phone No. Pawer $upplier C?t' k/1 ?i Adtlress Etactricel ConVactor ICOmpany Namel Contractor's License No. E ? a r ? r<e C15 MailinB /+dJress (COntractor or Ownar Making Instailationl CGLY S. 5eL4; Authorized Sipneture Contrector Ownar Making Installatio Phona Number MIN?SOTA STATE BOARD OF ELE?XICITY TNIS INSPECTION NEUUEST WILL NOT GriB9e-Midway Bltlg. - floom N•191 BE ACCEPTED BY TNE STp'fE BOAXD 1821 Univaraity Ave., St. Peul, MN 66104 UNLESS PflOPEB INSPECTION FEE IS --- 1a111 oav»" ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ' Sae inatructions for completin9 this form on beck o7 Yellow coPV. ; Xm' Be/ow Work Covered by 7his Request . EB-00001-04 w: 3q 7zq e%j Add l fleo. TyOe of 9uiltling Applionces Wired Equipmenl,Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Pumace Silo Unloader Industrial 81dg. Air CorWitioner Bulk Milk Tenk Fe7 thar peci v ther (5necify) I 9f GCCI(y Qt Of O1hUf Compute nspection fee Below p Fee ServiceEntrenta5iza k Fee Peetlers/5ubleeders p Fea Circuita U to 200 qm s 0 to 30 qm s 0 to 30 Am s Ahove 2 0 qm y, 31 ro 100 Amps 31 to 100 Affp, Swimmin Pool A6ove 100_Am s Above 100_Am • Transtormers irrigation Booms Partia6' r Fee Signs Special Inspection Remarks L FEE i? ae Houph-in Date I, ectricel r Inaoactor, hereby cerlify thet the ebova Final Drvt inspection hes been meda. ' 3 Ttila reaueel voltl 18 months from Thisne4unstvoid ???q Z-at-zy 13' ? ?r?? 18 mmNs irom -}W 073189 a (0 q 0 3 1'70, bo Request Date p ?j• Ffre Na. RouGh-in Inspuminn Royuired? E]Ready No ill NotifY Inspec- lor When ReatlY icensetl Electncal Contraclor ? I heraby rapuest inspection ai ebove Owner elactrical work insuelletl et: Streei AtlC ess, Box or Route No. $'/?/- -'13-Jf5 - 7 ff O 6 Ciry E r. . ea r a a n ecvon o. Township Name or No. Ranpe No. County OccupnntlPqlNT/I ? O l/f tSdrl lj lal r ` Phone No. Power $upplier Atldross t EfP t 36 d C . rm in q Electrical ConVactor IComp ny Namel ? Contrector's License No. - /rC ?zr 3 MailinB Address (COntmctor or Owner Makine Instailationl 553 ? m? ? r `a 7 00?, ?a Au(horiz SiB?Tture (COMractor/Owner Making Installationl Phone Number L` `-?. Miry/VESOTA STATE BOAPD OF ELECTflICITY ? THIS INSPEGTION pEQUEST WILL NOT Griggs-Mitlwey Bldg. - Room N•191 BE ACCEPTEO BV THE STATE BOARD 1821 Univarsity Ave., St. Paul. MN 55104 UNIESS PPOPEN INSPECTION FEE IS -- __ ,e." - -- ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION , Sea inetructions tot completing this form on beck of yellow copy. "1(" Be7'ow ork Co?ered 6y This Request E8-0OWl-O4 u: ?(??o -a Niax AAtl Neo. TYpe af Builtlinq Applinncns Wimd Equipment Wired Home Ranye Temporary Service Duplez Water Heater Lightiny Fixtures Apt. 8uilding Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm iher oe=i v otf,er Isnontfv? .r SpcuFy Other Oih.., . Compute lnspectron Fee Below N Fee ServiceEntranceSiza p Fee Faaders/Sabixxders # Fen Circvits to 200 qm s 0 to 30 Am s 0 to 30 Am s t-VO bove 200 qi»py 31 ta 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 700_Amps Transiormers hrigation Booms ? Q Partial,'Other Fee Signs Special Inspection S ? T Hemnrks I ;7D OTA 7Q . flough-in Final <<Y D: te _/ Inspectoq hereby ?erlity lhet the above inspaction has Aeen aea. Tnis reuuest voitl 18 monitre Iro. 0 .rr#ifirtt#r nf Orrupanry Citp of eagan Er}rbrimeni nf Building 3naprrtimi Tbit Cntr ficate iccurd pHrtuant m the ngui+emtnu o( Seuion 306 0( the Uni forrrs Building Cadt rtrtiNng that at the time of ifruanrt tbir rtrurtun wut in complianct witb the vanout ordinannt of the Gty feguluting building ronnrrution or rur. For the foltoroing: uwck.fiem 1 of 4 PLEX &,& ftt N. 7859 o?warrrw R3 'tywc.?? v R..Z NA z«uswm? (PD) R3 a,?dftfldmTollefson Builders ,aa,n, 1655 Norwood Dr., Eagan 3843 Heather Drive . __T.ot 22_Slock 1.Bliai Hill Br: 4th aW November 16, 1983 ?° - (gprtiftrtttP nf (Oxrupttnry Citp of (Eagan Erpttrfmrnf nf iguilbing 3nsprriian 7bir CMifitau itrued purauant to the rrqui+emenu oJ Sectian 306 o f tbe U»i/orm Building Codr rcrtif}rng that at the eime of itruarae tbit rtrruturc war rn corrsplianre wrth the vanous ordinanra o f the City regulating buildiag raxrlrurtion or ute. For the follmuing: V. ?Avnm 1 of 4 PLEX Bia& ftmt N. 7861 O-wmirr. R3 *rpcm,?n<.o v F.z. NA z?.ew.u (PD) R3 o,W,?Dw?e Tollefson Builders ?aa.1655 Norwood Dr., Eagan a.m,? '4847 Noathar n,- L?,YLot 24,Block 1,Briar Hill AO °'': J? &„,,,;?affi„ ?„`' a?a July 29, 1983 4th .a.. ,. . ?..,??o,,. ...?. cirr oF ??caN TTo 7858 979i Pllet Rnob Road Eagon? MN SSI32 PHONFs 454•8100 ?, ?,?? BUILDING PERMIT Receipt # I?' _ 7o M iied fer 1 of 4 PLEX ?,ya?„? $43,000 pme March 23 , iq 83 S?ro Address 3841 Heather Drive Erecr ? Occupancy R-3 Lot Zl Blxk 1 Set/Sub. BYiar Hill 4th qiter ? Zoning ?PD) R-3 pa?? # 10 14993 210 Ol Repufr ? Fire Zone NA V Enlorga ? Type of Const. Name .Tollefson Builders, Inc. w Move ? # Srories ? Addreu 1655 Norwood Drive pemolish ? Length 44 ?; Ea gan 55122 p?,o? 454-6873 Grade ? Depth 32 Sq. Ft.- rc lhmar Apvrovals Fee? ? Nome _ ?? Address I- r:•.. Name _ Address I hereby ackrwwledge that I hove reod this opplicotion and stote that the intormotion is correct ond ogree fo comply wifh oll opplicable State of Minnesota $tatutes a?d City of Eogan Ordinontes. Assessment _ Woter 8 Sew. Police - Firo Enp. Planner _ Council _ Bldg. Off. _ APC Permif °?i•?u Surcharge 21.5? Plan check 125.75 SAC 525.00 Woter Conn450.00 WaterMeter 60.00 Rood Unit 250.00 Torol 51683.75 Signoturc of Permittee ? o e son u ers A Building Permif Is issued to: ? ' on the express conditlon thm ali work zholl be done in uccordance? itqh oll op ti bl afCOf innesota Statutea nnd Ciry of Eagnn Ordinonces. Buildinp Official '? ?vC-?? CITY OF EAGAN N? 7859 3795 PIIM Knob Rood Eegan, MN 5S1'21' PHONE: 454-8100 BUILDING PERMIT Receipt Te bs uud fer 1 of 4 PLEX Est.yalue $43,000 pafe March 23 _ 1 y 83 Sire Address 3843 Heather Drive Lot 22 Blxk 1 Sec/Sub. Briar Hill 4th Al? ? ?""P0"`Y R-3 ? Zoning LPD) R-3 parcel #10 14993 220 Ol Repnir ? Fire Zom NA ? IN.m. Tollefson Builders ? Aadreu 1655 Norwood Drive ,-:.. EaQan 55122 _ 454-6873 `- Name _ Address Name Eniar9a ? Type of Const. V Move ? .?.` Stories Demolish ? Length 44 Grade ? Depth 32 Sq. Ft.- Avvrovals Feas Assessment _ Water 8 Sew. Police - Fire Eng. <W ? Citv phone Planner _ Council _ I hereby ocknowledge thot I hove read this opplicolion ond stote that Bldg. Off. _ fhe informotion is correct ond ogree fo comDlY with oll opplicoble Stote of Minrcewto Stotutes and City of Eagan Ordinunces. APC Sipnoture of PertniMee Pertnit - Surchorge ci.Ju Plan check 125.75 SAC 525.00 ware. conn.4 sn _ nn WarerMeter 60_llfl Road Unit 2S -(1 nn Toral $1683.75 A 8uilding Permil Is issued to: ?"y"` %" "11 °' ?"" • on the express condition fhnt all work shall be dona in acwrdarxe w/it?h/ o ica fate of nnesofa Stotutes ond City of Eapan Ordinances. Buildlnp Officiol CITY OF EAGAN ND ?J86O 9795 WIM Knob Raed Eeyen, MN S3172 • VHONEs 454-8100 BUILDING PERMIT Receipt jj Te ba ytiad fer 1 of 4 PLEX Esr. Volue $43,000 pam March 23 _ 19 83 9te Address 3845 Heather Drive Erea XC Occupancy R-3 Lot 23 Blotk 1 $et/Sub.Briar Hill 4th Alter ? Zoning ?PD) R-3 parcel # 10 14993 230 Ol Repoir ? Fire Zone NA Enlorge ? Type of Const. V aWC Nome Tollefson Builders. Inc. Move ? # Srories ? Address 1655 Norwood Drive Demolish ? Lengih 44 C; EaQan 55122 pha„ 454-6873 Grade p Depth 32 Sq. Ft._ O °u? ? Nnme _ Address Nome _ Address I hereby ocknowledge that I hove read this opDlicotion and stote that Ihe inlormotion is wrrect ond ogree to comply with oll opplicoble Stote of Minnesoto Statutes and Cify of Eagan Ordirwnces. Sipnoture of Permiftee A Building Pertnif is issued to: TO. oll work shall be done in otcordante ADProrab Fees Assessment Permif 251.50 Woter 8 Sew. Surcharge 21.50 Palice Plan check 1Z•75 Fire SAC 525.00 Enp. Wafer Conn.450. o0 Plonner Water Meter 60.00 Council Road Unit 250-17)(7) Bldg. Off. APC Torol $1683.75 on the express Conditlon thnt ioro Smtutes and City of Eagan Ordinances. Buildinfl Offlciol CITY OF EAGAN N? ?gs1 9795 Pllet Kno6 Road Eagan, MN 55122 PNONE: 454-8100 BUILDING PERMIT Receipr # V To be und foe 1 of 4 PLEX Est, yalue $43,000 Dote March 23 1983 51te Address 3847 Heather Drive Erect $x Occuponc R-3 tor 24 8lock 1 Sec/Sub. Briar Hill 4th Alter p Zon;ny ?PD) R-3 Porcel .{p 10 14993 240 Ol Repoir ? Fire Zone NA V Enlarge ? Type of Const. Name Tollefson Builders, Inc. Address 1655 Norwood Drive 55122 454-6873 o Nome Uwtte: g - u Addreu ? Cif ?Z Name _,, Addren Move ? # Srories Demolish ? Length 44 Grode ? Depth 32 Sq. Ft.- Approrals Fees Assessment _ Water 8 Sew. Police - Firo Erp. <"' I Ciry Phone Planner - Council - I hereby acknowledge that I hove read rhis opvlication and stare thot Bldg. Off. _ the intormation Is correct ond ogree to comply with oll applicoble Stote of Minmsoto Statutas and City of Eagon Ordinonces. APC Sipmfure of Permittea Permit Z71.7V Surctarge 21.50 Plon check 125.75 SAC 525.00 Water Conn4 50 . 00 Warer Meter 60 . nn Road Unit 750-(lfl 1otal $1683.75 uYlder inc . A Building Permit is issued to: loiieTSOn 15 on the express condition thai oll work sholl be done ia accordance with al 0{?11 obla S of emto ?tatutes and Ciry of Eagon Ordinances. Buildinq Officfol XQ O ? ? i.,C 'tollefson 8utldexa Inc, JACKSON - SIJRVEYORS - : llr2tnase oro> Exiat!ng Elev. XFa1fT[N!D UNOHR LAWS OI fTNT[ OR MIMNffOTA 3816 EAST 55th STREET, MINNI burbcpoc• ? 41,1 . 69. nQ -- I '4?? ? M J o 30' ? ?wppp M?? ? PRI `,??\ .,, ??_ ?l• _ T 1 M6RlBY C[HTIFV TMAT TMt ABOV[ 16 A TRYE AN D CORN6 ?PG OF A SURV[Y OF Lote 21,22,23 end 24,Elock l,brisr Htll 4th. Additinn, Dakata County,Minneeata. - - - ? Or, , 1 1334 lts3-/3A sc??=??"'4`D l?" Y Pr3P;iaed 6arage Floor Elev. 101.5 PriP3Sed Piret Flior Flev. lpl.+sl ? lOth. March 1983 l Af {UPV[YiD BV M[ TMIB-_ _ _--DAY OF_--A.D. F. C. i .Ld-1_ No. 9600 2004 RESIDENTIAL BUILDING PERMIT APPLICATION . • • City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ?`-7 ??- (a ca a-?v-j Telephone # 651-675-5675 FAX # 651-675-5694 t Naw Construc(ron Reauiremenis RemodeVReoair Reauiremenls 6L Useatdc' ? 3 regisfered site surveys showing sq. fl. of lol, sq. fl, of house; and all roofed areas 2 copies of plan . Y N (20% maximum lot coverage allaxo 1 set of Energy Calculations for heated addtions iECePres PWtlkiectt ;Y 2 copies of plan shaving beam 8 w(indow sizes; poured found design, ek. . i site survry for addtions & decks TreC iselofEnergyCalculations Addition - iridicaferfon-sdesepficsysfem Oh-stleSRpt?G:?ySleni <Y _I3 3 copies ot Tree Preservation Plan if lot platted after 171193 Rim ,bisl Detail Options selection sheet (bldgs with 3 or less units Date / 206q ? ' Construction Cost i 6Ga SiteAddress 3uy3 (-16A-a-1LIQ DP. UniUSte # DescriptianofWark 4PLAL6 ?7)04 nECk ADD)rr?11 Multi-Family Bldg X Y_ N Ftireplace(s) _ 0_ 1 _ 2 Property Owner -31\NCI \C LC1 ??`? Telephone # (? ContraMOr D?? ?jC7`tQlGY' MflIN'IL UAAf-x Address ? 0K w a()t~ ST city M)N Nf AIt:y State In'N Zip Telephone #(al ) 322- lic16°I ?nT It?- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeoiv 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Conhactor Telephone #( Telephone # ( Telephone # ( N If so, 25% plan review ?5- I hereby apply for a Residential Building Permit and acknowledge that the informatioh-is-eo" - te; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. IM r kv- eunr-1 "'le 106" App i ncal t'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 Ext. Alt - Multi ? 03 01of_plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt-SF ? 04 02-plex ? 10 08-plex X 18 Deck ? 23 Porch (screen/gazebo) ? 36 MuIU Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbg-Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demoiish Building` ? 43 Reroof ? 46 WindowslDoors x 34 Replacement 'Denoiition (Entire Bldg) • Give PCA handout to applicant Valuation t) Occupancy MCES System Census Code r - Zoning City Water SAC UnKs Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinkiered Type of Const _ri Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundarion Dcain Tlle X Roof _ Ice& Water _ Final Framing _ Fireplace _ R.I. _ AirTest _ Final _ Insulation REQUIItED INSPECTIONS FinallC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Smcco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Pertnit & Suroharge Treatment Plant License Search Copies Other Total . 2f Li?_ 1:1 7?e lc ??D[?.?dt? ?GtiIJ 1? S ? ? ???" 4 " ' , _i, ? { F[ J ntaF^t ?'.ir;V. JACKSON - SURVEYORS REGtSTEREO UHOER LAWB OF STATE OF MINNESOTA 3676 EAST 55th STREET, MINNEAPOLIS, MN 55417 727-3484 ?41 6uchepor'g ?ertiti, fDs531 p / _ ? ? . s o 6'i N? J y . /. G??1? ,r^ •N oy..Jr `.- ?Y4..c; L'_:"`..""" \? Vl ?j ??D/ ?V ! . U ????.I ... ' ..:.._.._ i? ?? .. 3.0 : .. ? G2 ?????p ? ?I : ,,?, • ? , ;, , g? ; .' ?, '?- _ ? F ? -? d ? T.. I !"- I HEREBY CERTIFY THAT THE ABOVE IS A TROE ANO CORRECTYUT OF A SURVEY OF ?.Utt ;1,22,23 flrd 24,Btack Z,Hriaz Hil.t 4Lh. :S:idic=rn. L?sk;st2, .ount; ,Mknnes?ta,, Gxra3e Eioc., ki:1.5 Pt.r€:[ F1'5:+r -ieJ. 101 .i;7 l(}Cit. [^,accFi AS SURVEVEO HY ME THIS.-___. --- ..__DnY OF_.__.__----n.D.- .p._. Iq ??? . 'lb Be uow ? FUr F '17- l sste naarea8 3 $ ?.?z??, BUIIDING YrPMIT APPLiCATION valuation b?7v , Ivt,o??>> ? ? ?lodC _L SeC./Sub. &2t-iu." ; rasnel ' QipBtt 11dCisrB68: Cit]//Z1p ocie: ^ ? ' P11one 4: adClress: J/n atY/Z:cP OOd[3: I't1Ck1e # . -17 71rd1./F.71g.: _ Atlrixes: • Include 2 seYs of plana, 1 site plan w/elevaticna I? 1 set of ersergy caLcviationa. . Date ?31f ( ( 0 _? ? CPPicE asr arrLSr Erec:t ? OcaVarx,y AI.'CBY TARLIYj _ Pt-?air Fire 7,one ? EYaar.ge _ Type of Const. Move # Stnries Deniolish Fmnt ve/ ft. Grade C?eptt? 3 2- ft. ? Water/5ewet sr? / S ? ? PbLioe ? -? P1 aCl p k 1:ie?TT ? '-Yz?? ,'n ?y,r ?? 53?J O-F'ire _ SAC `-° EnJ. Watet Conn. Pizuutel' (7ouuicil Watet Mete[ / t IiDacl Unit 5YJ ?- Hldg. Off. ? AFC «tY/zip Cada: Phaw Y: TarAL ) (p 'R'? ? ?7 ?5 3 9'? 36 ? ? . , crrfY cr, rnGAa B[71TAING PE17htLT APPLICATION D 1b Ha LIeW Flor "/`- ??X-?? valuation ??rO(? sito 38'?--3 a?til? r t--'i7V ? Iota?'r'??" ?lac"?Sec./sub. i parml 0 : ?o ?U9 ?f 3 zzt:) c, I ? ' Q+ner: addneaa: ; CYtY/Zip Wc1e• . Ptnos i: ? ? ; I i I i i J1dd[+esa: 1(,/-- City/Zip Ox3e: Pt1nn6 i: -11' Arch./Lnj, s Mar+ess: • city/zip ooaB: Phona 1: . ? ? Include 2 sets of plans, 1 site plan w/elevations i 1 aet of energy calwlatirns. _ Date -311/ ( Q ?) 4• OFFICE USF. QJL.Y Er'eCt Occ? xltex 7.oning /T$- PV T 1i?-?xair Fire Zorye E?].ar.9e _ Zype of Const. 1?bv? N 5tnriea Demlish Front , Gracle pwth 1;?- ft. Water/Searer Surdw-ge - PoLice Plan Cy'?r'.k- ?"ire - SAC ' Enl • war.es conr?, - Plaau? Water MetPs (buicil Aoad Unit - 91c19, Uff. , - APC mrAr. $3-ZS ' . ? ? ? ? crTr c.V r•ncnN inciucle zsets of plane, 1 site plan w/elevations G HUIIDING PE1741'I' APPLICATION 1 set Gf Frre[gy Calculatipna, . 'ib Ha [lead Ebr Valuation (06C5 Date ' Site Arklreea ?'F'ICE USE CNLY , ?locit ??Esect X, OcCapancy ? i. raral a: o ? a 3 ??b o I ni ter ZA?ning _ ? Repair Fire 2aie ? OwneL=i ' Elilaiye _ Type of Cbnst. Addresa; Move M Staries Dennlish T"mnt y ft ' atY/Z1P ?: Gracie - pepth ??-'-ft. . ? ' Phone 1: APPAC7?P,IS ?r ' QY1trJI1Cb0.C: 9 . - . -¢! 115805me1tH PPLIRIt 14ddrese: Water/Sewer Surdkzrge ? , iblice plan CY?k ; citYNzIP ooas: sAc - i Ptbone 1: Eni. wacer corn, so ? Pl,uzrer Water Meter ?O ; 1?rdt./E7g. s Council li?id Unit a.s7l? I Bldq, Off.' a ? Adde+ess t ? ApC ? ?t'°neZ?p Coae, Tornr.? ? ? CITY Q[` rA[',AN iralude 2 sets of plans, site pl.an w/elevations G HfJIID1IG - ? ? PEAMIT APPLICATION 1 set of enengy calc,vlatiCne. ? ?, [low' For val,atio, Date Site Address 3 g 71 EakV1?x- UrCV? parml f: _io I(Ulq°[3 ZyD oI OYirlert llddre88: at7f/Z1P Ooda: Pttona ! : k]dXe8s: Cih'/Z1p (Yode: O- Fh4te f: 11rt#1./Erq. : Matese: 0 City/Zip Cale: Phona i: . ? ? ? / • F.Yect ? Lwr-rtE osr•, an.Y O=VancY Altek' TAnirg faepai[ Fire ?,om Elilarge T 7ype of (bnst. ? Move Y Stories Danolish I`xvnt y {t, Grac3e Dcpt}? ft. t4ater/SeAFeX, SurChasc' - I?71ice - Plan Clteck or-Fire _ SP,C ' ? En9. water c.oruz, - Pluriner Wates Metrs Cauticil Aa3d Unit - B1dg. Uff,' , - APC 'iOPAC. A I U/ je3,7S ? , ? I 0 Cities ity Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. .. . ? ._---- ?.. . : . ... . ..:.? ' a 'r? •:??+~?. ?? ? ';; ?'- v: ati • ? , ? / ; , ; ?? - ?. ,• ' ? ' . ... Pi 411 L'[TFIC M ' o.,z;r?t - . t:r.nnr?,s • ? . - TT - 9? T ? z ? nr*f ADnlil£QTl • LDJ_._..9 ` T..?TB C. 9J° CO:.r?Ts::':ZC3 : ? ; .. : _ LI^_`1L Y'z? 0? InPoom- i1n,?,T, i3`i-??' - . QT ^r? C+r I;-?. 4 J : • . ' .r .?• .' .. * 1? . . < "%VTAL uf^'.(?• I?e .(F"1 L!F±R,.nj ? (`I?R . .?..? ? : ? . : J . ? - . . . L ? _S. . , . . ? .. . . . • . - . . ' . . . -?'I''.10 ?? 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L??R, i' 5ntiq 9 PLUMBING (RESIDEN'I'IAL) Permit Applicatiou City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit 415. sa Da[e I / 2-1 / UJ Sit Add i # 3 8 y 5 N eGthQr bn U e ress n t Property Owner s(xnf -?t ?l I Yl.?, Telephone #(Ip51 )(DOO Contractor `'(^' 1 t' 1'? ? ? ?AMb I h(I Address 2q I Uq 1?4i ahv i e. w ??e • City ak-e?? State M i n n eS o-f-a Z;P 5l?'5bl-4q_ Telephone #954 -4(09-(0-1 9 l The Applicant is _ Owner ? Contractor _ Other Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00 IncludesCounty fee. AdditionalconsulWntfeesmayapply. Alterations To Esisting Dwelling Unit, Including $ 50.00 _ Adding fxtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter'rf needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system s ^'. ,L II ? I?.I?, I D _ Water softener ? Water heater - I I 00 $ 15 ,/ I JRR 2 3 2003 ?X replacement additional ? V . _ 7? I?1J I?3y $ .50 Stste Surcharge Total $ ' 6• t5o I hereby apply for a Residential Plumbing Pernut and aclrnowledge that the information is complete and accurate; that the work will be in confoanance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pennit, but only an applicafion for a pernut, 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 wluch requires a review and approval of plans. M i3SA AQiEFF-t_ Applicant's Printed Name Appli ant's Si tk= Use BLUE or BLACK Ink For I Office Use , j +w I Fa ' T-- ; Pem ft MY ~a 4- of Batin, 3830 Pilot Knob Road I Eagan MN 55122 Date Recxived: t' l I Phone: 6755675 I Staff _ l Fax: (6511) 1) 67 675-5694 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /0-9-/3 Site Addrees: VY / 3 F'q3 3 Sr1/s 38'/7 114~f7"~l,R U.. Unit Name: /4-4 . '4 & E /tit L A-) i Phone: 74.1 - S'9 3 - 917 0 1v q e 7- R t/ Address / City / Zip: VSO kN F- C r4 'r-v Q AV A3 A n goa SN Applicant is: Owner Contractor r., Description of work: T £.4~2 ©F'~= a 2 E - R-YoF Type. W : Construction Cost: / Do • 00 Multi-Family Building: (Yes No Company: 6jE i E>-reAloR 6aContact tAvld iZR 5 Address: -"/O -S- City: /h PG S . Ccar ° ' State: /VAJ Zip: Z yi 9 Phone: 10 z - g6 &.2 ~(3 Ucense Lead Cergficate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 91-6&S LzEar- ROJLT Pos.- l 97 £T 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: NO(TIE. ie/BriE>.iaiiple>rr~n6. t~/Q • `JI/i® i/iIQ.7~7 F • ";9• ' a4 L . .yy. ype l CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 4540002 for protection against underground utility damage. Call 48 hams before you intend to dig to receive locates of underground ublitim, www.aooherstateonecall.or4 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 wait will be in accordance with me approved plan in the case of wore which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Build! Code must be completed within 180 days of permit issuance. x ~Av~tJ g~22is x Applicant's Printed Name Applicants Signature Page 1 of 3 Use BLUE or BLACK Ink I For Office 1 I 1 ;x 2~ l l Permit aty of Wan I I Permit Fee: 3830 Pilot Knob Road Eagan MN 66122 1 Oahe Received: ; Phone: (651) 675.5675 I Staff //y/ L I Fax: (651) STS-5694 I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 3 YVI, 3 Yy-7, 3 y y s', '3 -:l''f 7 &.4'7-,V,5A Q k. Units: Nerve: -/0 Ai C / 4 r4 4, £ he z a i .s:..1 C. Phone: 76 3 - S'Jr 3 - 9 7 p ReWderrv Owner Address / City I zip: , 85'0 A Z c 14 ru 2 Av. A), A C 414 h ZA~ 11944S Y Sr ~x 7 Applicant is: Owner Contractor TYPE of: llOrk, Description of work: RZ- o tr a, R S P L +1-t.1: 5. & ,J to b F ;mac r a Al j v-8 L Construction Cost lA,► • Mind-Family Building: (Yes / No Company: E ~,r r y o /Z /Viii,)"f . 10,2A. Contact N ✓ f eJ 1Q-J2A,0S Coft.actor Address- 4/p- CJ lopes City: M PG :S State: /r1 A~ Zip: 5'5-V19 Phone: 4P/-t- 40 2 4!-3 License M. fr 2 Y/ / 7 / Lead Certificate If the project is exempt from lead certiflcatlon, please explain why: (see Page 3 for additional information) au/L-2- PoS Jy'7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i In the last 12 months. has the city of Fagan 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; IAechanloal Contractor: Phone; Sewer & Water Contractor: Phone: 14. Oirj NOTE. Afalts arrip►"n9^' py~I'F•; 1$:•~c ~h~r►»atiort~r~y~,~ c/ae~ll~e~f,~ , ~ Ji~ ~~A~'°. ~ el:._ • '~Y ' town. CALL BEFORE YQU DIG, Call Gopher Siabo One Call at (661) 46 4002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates Of underground utilities, pm" „gpheretateonecau.om I hereby acknowledge that this Infametion is oomplete and accurate; that the work will be in conformance YA the ordinances and owes of the City of Eagan; that 1 understand We is not a permit, but only an application for a permit, and work is not to stun without a permit: that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans, Exterior work authorized by* building permit issued In accordance with the Minnesota State 8ulldl Code ns)Stb9 compl$W w•i"n 180 days of permit issuance. x t~4v, 4 19,a-2is x Applicant's Prirrted Name Appiicant's Signature Page 1 of $ Z0/Z0 3!DVd 1NIVW 1X3 139 L9Z9T983T9 ct, :ST ETOZ/8T/TT