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3848 Heather Dr
Use BLUE or BLACK Ink ForOfCeUSe I j /V/ I City of EaEdn I Permit I I I I Permit Fee: 1 3830 Pilot Knob Road I I Eagan MN 55122 R I: C E I V E D I Date Received: Phone: (651) 675-5675 I Staff: I Fax: (651) 675-5694 OCT 3 2010 1----------------1 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 3!?'/* ~ l✓~ L4 / AI S S! P ~2 Tenant: 77~ 7-V 4) Suite RESIDENT / OWNER Name: Di ' 1-74 Phone: Address/ City/ Zip: 3f4/ 5~'1LG,f-771bot y2 ~V /l'lA/ S S/ o`~o~ Applicant is: Owner _K Contractor TYPE OF WORK Description of work: hl'ooc 0 '00 Construction Cost: S Multi-Family Building: (Yes No CONTRACTOR Name: WfLa yGIV A f/v c n/Q04dS License Address: 3E~lrtO ipf~lC RD City: t C State: _ Zip: 55V,(,PZ Phonekf!- 933 -G-3 f~C Contact:[tU610 S72i5A~ Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.oM 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 worts is n 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 . X k -r-fv,fry 5- Applicant's Printed Name licant's Signature Page 1 of 2 CITY C^ EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zonlnp; :'tJ?) Owner: Io 1 I ? f; Address: Site Addi sgfN M wmpq wR11 tlN (.'*Y Of EO40n of Insp,; CITY OF EAGAN 3530 F iot Knob Road SEWER SERVICE PERMR PERMIT NO.: D/\TE: - - No. of units: Iy c -? 7 ex ca?n.ala, ao": _ 4 zs. ?_ A««,nr neposrt: Permlt Fes: Surcharpe: 31.; Misc. Chorpes: Totcl: Dote Poid: P. O. Box 21799 PERMIT NO.: SQBG ? Eagan, MN 55121 DATE: C)-?2-R3 zontnp: FiM No. of unirs: 1 of 4 v1Ex pwn,r; 7 ol lefsvn Bldrs :lddress: Site Address: 3854 Heither Dr L 46 B1 Bri r ltill dth Plumber. _ "'en? Bvan Meter No.: Connedion Chorye: 450•0r !'d 57ze: ? Account Deposit: Reeder No.: Permit Fee: 10-00 1ogm to oompFy wilb 11N C'i!p of Emysn Surchcrge: . 50 LNi 1 ordi¦enas. M,x. charges: 60. 00 vd aeter' Totol: BY Date Paid: Dote of Insp.: Insp.: N %GAN • WATER SERVICE PERMIT 3t _.. . ntrt nnob Road P. O. Box 211991 PERMl7 NO.: Eagan, MN 55121 DATE: `? - 2 ? - ? -> Zm+ir+9: PUD No. of Units: 1 of 4nlex owr,er: T 1 efson Bidrs Adclress: Sih Address: 3t348 lieather Dr i:47 B1 Lriar idll 4tti Ptumber. _ C?enz Rvan ?leter No.: D$ -z1_ Connection Charye: 450. ?if! r Siw: " Account Depostt: Reader No.:r, Permit Fee: I prew to oaapkwhl? lINJ71y of Eagon Surcharge: ey _ Date of ciTY oF EaGati W/kTER SERVIC E PERMIT 383fl Piie.Xnob Roa d P. 0. Box 21199 PERMIT NO.; Eegan, MN 55127 DATE: •`'- ? ?? - ? ' Zo„ing; t'li D No. of Units: 1 of 4p l ex pw„er; Tol'l ef5071 :'s1?rS Address: SfteAddresr.' 350 E-leather iJr I:?lu :31 i•-riar Fi ll Plumber: G z R a; k ?Meter No.: Cj Connection Char9e: 4 Jli j .l Account Deposit: Rsader No.: 4[) ,.-21 (o _, ?., , parmit Fee: I Nno LD UY ull(IrleS? Mist. Chorpes: GAS Etfornl: LA-1ADote Paid: 3:1TY OF EAGAN 3830 Pilot Knob Road P. 0. Box 21199i Eagan, MN 55121 Zaning: ??i"J pN,ner. Sol3efsort Bldts Address: Sita /ltldross: 3849 iieat;leT DT Plumber. Meter No.. S1x.: Rcader No.: Isome to cmoly wi1h tM Ciyr of Eagen Ordinoaoa. By Oate of Insp.: WATER SERVICE PERMIT PERMiT NO.: - ' D/1TE: `+ - 2 No. of Units: 1 Q 4p 2ex L Connection Charge: Accourrt Deposit: _ Pennit Fee: Surcharge: Misc. Gwroes: _ Total: Dote Paid: ey l ? -7 - - Dote of i nsp.: (j (:iTY OE' EAGAN SEYVER SERYICE PFRMIT 3830 Pilot Knob Road (l;, P. 0. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Q' 2 Z-$ 3 Zaninp: No. af Units: 1 o 41)1 ex Owner, i'ollt;fSOn 151dTs /lddres&: Sfte Addi Plumber: 1 pne to aanPly w{tb !he Cifr of Eagan Ordieenees. Av Dote of 1 nsp.: GAS LwL: "arge: Miac. Charpes: _ LAW: Dote Roid: ConnecHon Cherge: 4.2 5 , fl(i `ul Account Deposit: Permit Fae: ' , Surcharna: Misc, Chorges: Totai: Date Paid: WATER SERVICE PERMIT P. O. Box 21199 Eagan, MN' 5512 16 2oning: Owner: ' 1Of!''„rc /lddrcas: Site /Wdreu: 4¢50 1{eather Dr Plumber. t??r+? '.yan Metor No.: Size: Raoder No.. 1aom to eemPly wkh !M Gtr of Eoqon Ordinaaae. ClT 1' (7F EAGAN 3R2n ? WATER SERVICE PERMIT ., _ ., rot Knob Road ,'. O. Box 21199 PERMIT ND.: ? «-? - Eagan, MN 55 721 DATE; `? -22-83 1 ZOrtl?1g: rr"?.) _ _. NO. of Units: 1 of 4 r`e•Y Owner; _ ?',0l1eLSOri 61dT5 /tiddress: _ Site /lddress: X3S'Z fIe.lthCT DT i. 45 $1 $Tiaz' :iill 4th Plumber: _ t, t'il _C-X3n AAeter No.: Connection Charge: U 450._00 t::! Slze: Accaunt Deposit: Reader No.: Permit Fee: - 1+7, u'Q t) el I a9rM W eomplp wltli !he City of Eagan Surcharge: • S tl pd Oedlnan?q. Mlac. Cha rger. G 0. ?? `•' :?: i?_' ? 4 L l' Total: 9y Darte Paid: Qcte of Insp.: Insp : . PERMIT NO.: DATE: No. of Units: Connection Charge: Acwunt Deposit: _ Permit Fee: Surcharge: Misc, Charges: - Totol: Date Paid: (;1TY OF EAGAN SEVVER SEAVICE PERMIZ .,..30 Piiot Knob Road P. O. Box 21199 PERMIT Nd.: "? ? 1 , Eagan, MN 55121 DATE: g?"` tl"'y .,Iex ? Zoninp: t?'iD No. of Units: oL ., "' ' pN,ner; Tollefson BldlS /lddress: Site Add Plumber: 1agroe to oemplr wifh fUe Cify of Eagan Connectra, O+crQe: ?325- 00 pd ? Oraieonces. Account Deposit: Permit Fea: Susthcroa: By Misc. Charges: Dote of Insp.: Total: Insp.: Dote Pcid: c' 'Y QF EAGAN SEWER SERVICE PERMIT 3830 PiFut Kno6 Road P. O. Box 21199 PERMIT NO.: E17 Eagan, MN 55 DATE: 3' Zonlnp: WD No. of Unita: O })CX pwner; _ Tollefson Eldrs _ Address: Site Address: r?r T A ? •_i r i i r " Plumber: 9-21-33 337:54 I qM to eomohr with Ha CitY of 9090e OrJiuenees. By Dots of Insp.: 100.00 pd Connectlon Char+ae: d?-r. -SI.Q.,pd._..,_ Accourrt Depoait: Permit Fee: Surcharpe: ` Misc. Charges: Total: Date Paid: Reoeipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prini /egibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 'C!' a! ? .• •. ? 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New O Add O Alter ? Repair ? 1 10. Describe 11. TYpe No. Eaui ment 9TU • M. Ea. Forced Air No. EQUipment CFM Ai H dli Mfg. ng: r 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 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 Receipt MECHANICAL PERMIT Parmit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Prinf /egib/y Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. 6. Address 7. City r Phone 8. Building Type: Residential O 9. Work Description: New ? I 10. Describe 1 11. State Zip Commercial ? Institutional 0 Add O Alter O Repair ? Fuel Type No. Eeuioment 8TU - M. Ea. Forced Air No. Equipment CFM Ai dli H Mfg. an ng: r Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fae Fill rn numbered spaees S/C Type or Prini !eglb/y Tot 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone - - 6. Address 7. City State Zip 8. Building Type: Residential O Commercial ? Institutional 0 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equioment 8TU - M. Ea. Forced Air No. Equipment 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 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 Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? Receipt MECHANICAL PERMIT CITY OF EAGAN Permit No. Fee Fill in numbered speces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner l 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential O 9. Work Description: New Cl 10. Describe 11, Type No, Epui menr STU - M. Ea. Forced Air No. Equipment CFM H Ai dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Dutlets 12. I hereby certify that the above information is true and correct, and 1 agree to oomply with all ordinances and codes governing this type of work. 5igned: for Rougn Ffnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Commercial ? Institutional ? Add ? Alter O Repair O Receipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Prini /egibly 1. Date 2. Insiallation C? st 3. JobAddressY-s/f Lot BIk. 4. Owner 5. Contractorj--:?;? a,, Phone Fee ? S/C _ Tot?e , i /ii, Traci F! ; ? 6. Addressi /f Zy T [),/1 ,?jk,' L r T:?61 " 7. City StaLe ? vS .?, ]• 2ip c=. L 8. Building Type: Residential B" Commercial O Institutional ? 9. Work Description: New AG 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 _4_ --&.Btwfjfy.?,sy r i •i,? ,. ? ;. r -t_ --- 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 withall ordinances and odes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY QF EAGAN 454-8100 . T??i. . . . . .. ..-. . . . . . . . .. PERMIT # PLUMBING PEliMIT RECEIPT # CITY OF EAGAN { - 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? CONTRACT PAICE: PHONE: 454-8100 Lot "- ? /Block S?c/Sub Name 1 . r ? = (D ?o Address c Ciry Phone '- '' " Name , c Address 3 O City ? Phone FEES /IND FEE -1% OF CONTRACT FEE .DGS - COMM RATE APPLIES iOUSE 8 CONDO - RES. RATE APPLIES JM - RESIDENTIAL FEE - $12.OU JM - COMM/IND FEE - $20.00 SURCHARGE PER PERMIT - .50 50 S/C IF PERMIT PRICE GOES OF OF EAGAN BLDG. PE WORK DESCRIPTION Res. New T- Mult. Add-on ?..- Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3 00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Ki?chen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1 50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 ? (MINIMUM - 1 PER PERMI'n Softener - $5.00 Well - $t0.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: I GRAMD TOTAL• Receipt l i 1 r PLUMBING PERMIT Perynit No. CITY OF EAGAN Fee Fi!l in numbered spaces _,, >,• S/C Type or Prini /egib/y ?Tot. . 1. Date 2. Instaliation/rost LFR' J , ? 3. Job Addresc f1 Jjic r;. Lot,?Blk. f Tract ??• . . . 4. Owner , 5. Contractor,;?- p, Phone ty, 1-- i i;r ? 6. Address l?1 -2,1 7. City, State eq v1 nu' Zip S. Building Type: Residential Q- Commercial ? Institutional D 9. Work Description: New Ei' Add ? Alter ? Repair O 10. Describe 11 No. Fixtures Water Closet No. Fixtures Cesspool/Drainfietd Bath tubs Septic Tank 1 Lavatory Sottner Sh0wer Wetl Kitchen Sink Urinal/Bidet Other ? , Laund"-.T-iw • , ? Floor Orains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to camply 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 PLUMBING PERMIT Permit No, CITY OF EAGAN (.- ; Fee Fill in numbered speces S/C Type or Prinr /egib/y =-? 7ot. ? -'/l • sv 1. Date `/- /? •? 3 2. Instal lation Cqst =,,, _2?7 S.c+ra y ?f 3. Job Address rc Lot Blk. ; Tract, i-441( i CT+ ?'1 4. Owner :C_- %/ f/: f)w/ =L. i"%sc S 5. Contractor Phone'Yt- 3--i/? ? 6. Addre55 / y7V C- SC. XCL/iC. ? i 7. City ;' j;v j`., 1 State 2ip S ?'• ?= 8. Building Type: Residential ?Ea-- Commercial ? Institutional ? 9. Work Description: NewA3-- Add ? Alter O Repair O 10. Describe 11. No. r Fixtures Water Closet No. Fixtures Cess pol/Drainfield r Bath tubs p Septic Tank ? Lavatory Softner Sh0wer Well ' Kitchen Sink Urinal/Bidet Other ? LauRdPj-T4aV=° / 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 454-8100 Receipt • '? ? PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Prini legib/y 1. Date 2. Installation F30s ? 3. Job Address.:"''' iLot Blk. !?.. • 4. t No. Fee . S/C ToL ' Tract 5. Contractor? 'v Zr9 ,? Phone .? 6. Address ? y 7t1 Z7 /'.' i ./_: 7. City State Zip 8. Building Type: Residential ? Commercial ? Instittttional ? 9. Work Description: New #e" Add ? Alter ? Repair O 10. Describe 11. No. ? Fixtures Water Closet No. Fixtures ool/Drainfield Cess Bath tubs p 5eptic Tank Lavatory Softner Shovuer Well ! Kitchen Sink Urinal/Bidet Other ; a.aupA,y-Trey ? Floor Drains Drinking Ftn. Stop Sink Gas Piping Outleu 12. I hereby certify that the above information is true and correct, and I agree io comply with all ordinances and codes governing this type of work. Signed : ' for , , ; ?" . i'`/% / ' - 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 47 Rlk 1 Parcei 10-14993-470-01 Owner Street 3848 HEATHER DRIVE State EAGAN MN 55122 Improvement Date Annual Years Payment Receipt Date STREET SURF. 0Z 1971 ']. inal arce STREET RESTOR. 19']$ W70.69 7.07 10 ald 7?k?'Rk?Fk Street 0 1984 245.56 5 982.23 A014570 9-14-84 **S r Lat ral 1 84 427 24 1708.96 A014570 - 4-84 SAN SEW TRUNK 1968 29.60 .99 30 12.94 A014570 9-14-84 SEWERLATERAL TRK L5 1983 237.37 23.74 10 -14-84 * SEWER LATERAL Q 1971 32.42 1.62 20 9.74 01 70 9-14-84 ** WATERMAIN 1984 5 *WATER LATERAL 1971 20 WATER AREA 339 1977 59.19 3.95 15 27.67 1 0 9-14-84 **STubs 1984 5 STORMSEW TRK 1984 323.50 64.70 5 258.80 A014570 9-14-84 *STORM SEW LAT 1971 20 **Storm Sew Lat 1984 5 CURB & GUTTER SIOEWALK STREETAJ6FFT 1009 1986 153.70 15.37 10 • U C-?0,?8 /o- WATER CONN, 450.00 BUILDING PER. 8487 SAC S25.00 PARK CITY OF EAGAN Remarks Addition BRIAR HILL 4TH ADDN Lot 48 Rik 1 pefcel 10-14993-480-01 Owner Street 3$50 HEATHER DRIVE State EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 10Z 1971 Paid LlTld Z OTl inal ar e STREET RESTOR. `L? 1975 70.69 7.07 10 -MRM STreet -30 1984 1227.78 245.56 5 982.23 A014003 6-7-84 **S wer Lateral ' 1984 2136.20 427.24 5 1708.96 " " SAN SEW TRUNK 1/0 1968 29.60 .99 30 12.94 " " SEWERLATERAL TRK 2 1983 237.37 23.74 10 189.41 " " * SEWER LATERAL 101 1971 32.42 1.62 20 9,74 **WATERMAIN 1984 S iWUATER LATERAL 1971 ZO WATER AREA 3 1977 59.19 3.95 15 27.67 **Stubs 1984 5 STORM SEW TRK t3 1984 323.50 64.70 5 258.80 'ASTORM SEW LAT 1971 20 **Storm Sew Lat 1984 5 CURB & GUTTER SIDEWALK STREETt?ePT 1009 1986 153.70 15.37 10 3• o C'-/ So o-/S- IT 250.00 38734 9-21-83 WATER CDNN. 450.00 SUILDING PER. SAC PARK CITY OF EAGAN Remarks " Addition BRIAR HILL 4TH ADDN Lot 45 Rik 1 Parcel 10-14993-450-01 Owner Street 3852 HEATf-iER DRIVE State EAGAN NW 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. Z STREET RESTOR. Z 1975 70.69 7.07 10 ???`?M Street 1984 1227.78 245.56 5 982.23 A013820 5-3-84 **Sewer La eral $ 1984 2136.20 427.24 5 1708.96 A013820 5-3-84 SAN SEW TRUNK 1968 . 0 .99 30 12.94 A013820 5-3-84 ATERAL Y' Z 1983 237.37 23.74 0 ].$9.91 A013820 5-3-84 TERAL 19 32.4 1.62 20 9,74 A013820 5-3-84 AIN I 198t? 5 ATERAL AREA 9 7 59.19 3.95 15 27.67 A013820 5-3-84 **Stubs 1984 5 STORMSEW TRK 1 1984 323.50 64.70 5 258.80 A013820 5-3-84 STORM SEW LAT 20 **Storm Sew Lat 1984 5 CURB & GUTTER SIDEWALK STREET.4@111"T 1009 1986 153.70 15.37 10 13 250.00 38734 9-21-83 WATER CONN. 450.00 n t? BUILDING PER. 948 SAC 5 PARK CITY OF EAGAN Remarks /addition BRIAR HILL 4TH ADDN Lot 46 Blk 1 Parcel 10-14993-460-01 Owner Street 3854 HEATHER DRIVE state EAGAN MW 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, (pZ STREET RESTOR. 7-111 70-69 7.07 10 245.56 S 982.23 A013974 6-1-84 ** 427.24 5 1708.96 1 SAN SEW TRUNK -1968 29-60 -99 30 12.94 SEWERLATERAL TRK 1983 237.37 23.74 10 189.91 " * 9.74 ** WATERMAIN 1984 5 *4UATER LATERAL 20 WATER AREA 27,(] "Stubs 1 5 STORM 5EW TRK ISM 1984 323.50 64.70 5 258.80 *STORM SEW LAT 1971 ZO **S a 1984 5 CURB & GUTTER SIDEWALK STREET 177?1009 1986 153.70 15.37 10 250.00 38734 9-21-83 WATER CONN. 450. QO BUILDING PER, SAC p p PARK ? CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ' f 19 wece?v?o ' wnoM '? AMOUNT $ I 4 OOLLARS , 1eo ?,?/? ? CASH EC,K :y ,? . . `? ?41; . Th, , ou J ? BY I YVhite-Payers Copy Yellow-Posting Copy Pink-File Copy ? cirr oF EAGAN 3795 'ikt Knob Roed Eeoen, MN 55132 PHONE: 454-8100 BUILDING PENtMiT T. L. „..A ti;. i of 4 PLEY 57te Addrou ucawWi J Lot 46 81«k 1 Sec/Sub. Pomal # 1 ; -14993-460-O1 W Name ; Addre: b F Ci °C Nome io ?? Addre; ~ Ci °CW Nome $44 I herrby acknowiedge thot I hove reod this opplication cnd stote that the informafion IS correct and agree fo comply with pll applicable State of Minnesoto Statutes ond City of Eogcn Ordinances. Sipnoture of Permittee o e A Building Permit is issued to: all wo?k sholl be done in occordorKe with oll Buildinq Officiol IAT : 8400 Reaipt Erect XQ Occupanq R-' 3 Alter ? Zonirq (PD) R-3 Repoir ? Fire Zone NA Enlarpe Q Type of Cor?st. V Move ? # $tories Demolish p Length 32 6rode ? Depth 44 Sq. Ft. Appr ovols Fees Assessment Woter 8 Sew. Police Firo Eny. Plonner Council Bldp. Off. APC Permit Lj°•vIJ Surcharye 22.00 Plon check 12$.00 5AC 525.00 Water Conn. Woter Meter 60.00 Rood Unit 250.00 Totol $1691.00 on the express condition thni ond City of Eoqan Ordinances. Permit No. Permit HoltMr Misc. Permit No. Holder Plumbing ? 1 G'f?Z vr /`- H.V.A.C. a 3 Well Weter 9 Disp. Sewer Electric Inspection Data Insp. Other Footinps Foundation Framinq RouYh Pibp. . e • !?l /o- 7 • V Rou¢i HVA Insulation Final Pibq. Final HVAC Final Weter Deseribe Location: YYell ? Ssvwr Pr. Ditp. cirir oF E?GaN 3745 PileF Knor Rood Eeyen, MN 33122 '- PHONE: 454-8100 BUILDING PERMlT' RecAipt # ` 'J • Ts ee us" sm 1 o.f.'4 PLEX r.# V-1- $44,000 ?e September 21 1e83 SitE ??SS ' _3` -'____'__ ___•_ r Hill EfQC1 tti a LC-J OCCUpO Lor r a qlter p Zoniny Parcel U1 # Repoir p Fire Zone o e son u er s, nc. Enlorge ? Type of Const. W Naffm MoYe ? # Srories Z 6 1 5 orwoo r ve Addrcss Demolish ? Length_44 riw Eagan 55122 454-6873 Grode ("1 Depth Sa. Ft. $` Nome ? /lddrr Nssessment - Woter 8 Sew. Pol ice Fire ?? Address Eng, i'? Clty Phone Pfanner Council 1 hereby ocknowledge that I have read this opplicotion and stote thot Bldy. Off. the information is correct ond ogree to tomply with ell opplicoble ^? State of Minnesota Stotutes and City of Eo9an Ordinonces. Permit -'" - - - - 22.00 Surchorge Plon check SAC 3 'O Water Conn. 4S•,?? Water Meter Road Unit Totol Sipnature of Permittee - Tol}.?,,f Befk p,e#?ders, nc. I A 9uilding Permit is issued to: on the express condition oll work shall be done in occordonce with oll opplitoble 5tote of Minnesoto 5latt?tes and-Cifji of Eoyan 0?dinoncea. Buildirq Official tFxol Pe?mit No. Permit Holder Misa Permit No. Holder Plumbin9 377S H.V.A.C. Wsll Wster Disp. Se"r Eketric y i Inapection Date Insp. Other Footinps Foundation Framing Rouph Plbq. ei' /O• Rouph HVA Inwlatian ? Final Plbq. a3 $' A-J Finsl HVAC Final Wa"r Describe Loeation: VYell .. Sewer ' Pr. Dfsp. CITY OF EAGAN 9795 Pild Keob Roed Eegon, MN SS122 PHONE: 454-8100 4._ BUILDING PERMIT , _..__. 1, of 4 PLP.X Site Address _ LM =F 7 Parcel # - oWc Nasne _ Z Address ? Ci ; a ? Nama _ 0 u? llddress F r:•.. ? W I Nome _ FW IZ AddrESS $44,000 Bldck 1 SeclSub 1()-14993-?7U-O1 ? I ' I hereby ackrawledge thot I have reod this epplicotion and state that , ihe information is correct ond ogree to compiy with oll applitable State of -Minnesota Stotutes and City of Eogon Ordinonces. Sipnature of Pertnitfee o e san u Prs, A Building Permit Is issued to: all work shall be done in accordarxe with all applicable 5tate of Min Buildinfl Officiol Receipt # Erect a 21 ,_ 83 Alter 0 Zoning Repoir ? Fire Zarte Enlarge ? Type of Const. Mova Q # Stories Demolish ? Length Assessment Water & Sew. Police --- Fire Enfl. Plcnner Council Bidg. Off. APC Fees Permit - : J FJU + 5urcha rge Plan check 128.00 5nC 525. IDO Woter Conn. 450 ' 0 Woter Meter 711: ?C Rood Unit ? Totol tr -) 0 on the express conditian thnt r of Eogen Ordinances. I Permit iVo. t Permit Ffotder r INist• Permit No. I Holder I I Plumbin9 I37-7Y I ' H.V.A.C. I Electric 1Az32:191 MRS T tR-11)631JN I I I Inapsction Oate I Insp. 11 Other I Framing Inwlation Final rwater Vlfell Sewer Pr. Disp. CITV OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 5085 'P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 9-22'$3 zoniny: PU) No. ot untrs: 1 of 4 plex o„„xr; Tollefson Bldrs Address: Si ' Add umber: r N SI : ? R dar P 1 agroe b ooroylr wMh !ha Ciry of &gan Ordinenees. ) ? .. gy Date of Insp.: connecrion ao.ge: U 450. 00 vd Aceount Deposft: Permit Fee: 10. 00 Pd Surcharge: .50 Ad Mlu. Cfarpes: 60.00 IDete Totol: Dota Paid: Insp.: CITY OF EAGAN WpTER SERVICE PERMIT 3830 Pilot Kno6 Road P. O, Boz 21199 PERMIT NO.: - 5086 Eagan, MN 55121 DATE: 9-22-83 ioN„9: PUD _ Na. of unir:: _ 1 of a Plex :owner: . TOllefson B1drS Add. ?ta Address: 3854 HeatheT DT L46 Bl BriaT Hill 4th Plulnber: renZ RYan ' Meter No.; 2 .'i /' l??' 4r'jQ 00 v-1 Size: . Z ,? P,v ? - Reader a.:Z 9,A?/n ? I agme to cwoplY wMh the Ciry of Eagsn Ordieanw. By , i Date of Insp.: - O - nnettion Chorge: . Account Deposit: Permit Fee: - 10.00 Pa Surcharge: - Sf1 j1d , -- Misc. Charges: 60.00 pd met@T Total: oore aoid: This request void bo1 T/? O' v v 4'? ?{ ? 18 monihs imm ? 2'1?7q lul.y8 eJS. (31.'$Ihak N!kt- qTA Request///pppat Fire No. /? l?[ Rouph- in Inspnc[ion C]Ready NowI Nnlifiy, Insuec- A. iretl? Wh R d ? ? en ea y Yes Licensed Elec[rical Contractor ^ I hereby reqoest inspection ol abave Owner electricei work installeA et SVeet AAdress, Box or Route No. 3 9 -// ? 'S0 - 5; ' S? A ` City -? 4 ,L ecUOn o. 7ownship Name or No. Range No. Cow'ty ?::, Occu?nt IPpINT ( 6 Phol.,G No. Power 5 noli r Atldress Electncal onVactor (Compan Na 1 . Comractor's liu;nse No. ? o ?- a? Mailing Address Kontracto,2r or Owner Ma mny Instailation) S 7 [? b C1ilJQ Auth ized SiBna ure (ConV ctodOwner Making Installation) ber T";d-3557-5 hone um MINNESOTA STATE BOARD OF ELECTflICITV THIS INSFECTION HEQUEST WILL NOT Griggs•Midway Bldy. - Roam N-191 0E ACCEPTED BY THE STqTE BOARD 1621 UnivarsitY Ave., St. Pe.l, MN 55109 UNLESS PROPER INSPECTION FEE IS Phone (812) 297-2111 ENCIOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi.oa ' See instructions tor comvletine this form on beck ol yellow copy. A2327q "X" Below Work Covered by 7his Request Nav4 Addj Pep. r TVpn ol Builtling Appliances WireC Eqidument Wited ome Range Temporary Service Duplex Water Heater Lightiny Fixtures ApL Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Afr Conditioner Bulk Milk Tenk Othei pea v Other ISpedfyl ther Other Campute InspecLOn Fee Below p Fee ServiceEntranceSiie d Fex Fentlers/SuhfeaAers N ce Circuitg Lti 0 to 200 qm ps 0 to 30 Am s 0 tn 30 Am o Above 200 Am ps 31 to 100 Amps U 31 to 100 Am s Swimming Pool Above 100-Amps Above 100_P.m s Transtormers Irrigation Booms 50 Partial-'Other Fee Signs Speciallnspection a 5 7- TOT Hemarks 7D 1 FEE ? .?'1 _ RouBh-in Date ?[ ; the ctr' ? ?j?7? Inspectoq heraby certify that the ahpve Final ?? insoection has been ?. l' Z r fU ? ?aa. Thie requeat void 18 months trom CITY OF EAfaAN 9795 Pilef Knob Reod Eagen, MN 55123 PHONE: 450.6100 BUILDING PERMIT Receivt # Te be owd 1e. 1 of 4 PLEX Est yalue $44,000 par,September 21 Site Address Lor 47 Porcel # - W 9 oQ " u ? Drive Blxk 1 Sec/Sub. Briar Hill 4th 10-14993-470-01 Name Tollefson Builders, Inc. Address 1655 Norwood Drive Nome O{"'neT Addreu Nome _ Addrcss I hereby acknowledge thnt I hove read this opplication and state that 1he information Is correct and agree fo comply wilh oll opplicable State of Minnesota Stotutes and Ciry of Eagan Ordirwnces. Sipnafure of Pertnittee Tollef A Building Permit Is issued to: all work sholl be done in accordance with oll N° 8487 .?,??.?y Erect XX Occupancy R-3 Alter ? Zoning (PD) R-3 Repoir ? Fire Zone NA Enlorge ? Tyce of Const. V Move ? # Stories - Demolish ? Length 32 Grode p Depth 44 Sq. Ft.- AvVrovals Feas Assessment - Water & Sew. Police - Fire Eng. Ptanner _ Council _ Bldg. Off. _ APC Permit L70.UU Surcharge 22•00 Plan check 128.00 sAC 525.m0 Water Conn. 450.00 Woter Meter 60.00 Road Unit 250.00 Toeal $1691.00 T_/ on the express condition thnl ond fsTty of Eogan Ordinances. Building Offlciat CITY OF EAGAN No 8488 1795 Pibt Knob Read Eegan, MN 55IS2 PHONE: 454-8100 BUILDING'PERMIT Receipt Te 6e r,sed hr 1 of 4 PLEX Est. Volue $44,000 Dare September 21 _ jq 83 Site Address 3850 Heather Drive Erea 7(x Occupancy R-3 Lor 48 BI«k 1 Sec/Sub. Briar Hill 4th qlter p Zoning (PD) R-3 Parcel # 10-14993-480-01 Repolr ? Fire Zone NA V Enlorge ? Type of Const. W Name Tollefsnn Builders, Inc. Mo„e p # Srories z Address 1655 Norwood Drive Demoush ? Length32 c; Ea gan 55122 p,or„ 454-6873 Grade ? Depth44 Sq. Ft.- s Owner ApOrorab Feem p Name _ Address r:.., Name _ Address I hereby ackrwwledge that I have reod this ap0lication ond state thot the in4ormation is correct and ogree to camply with oll applicoble Stote of Minnewto Stotutes and Cify of Eogon Ordinontes. Siynoture of Permittee OI2 SO' A Buitding Vermit Is issued to: oll work sholl ba done in occordante with cll Assessment Permit 256.00 Water 8 $ew. $urcharge 22 • 00 Police Plcn check 12$.00 Flre SAC 525.00 Eng. Wafer Conn. 4$0.00 Planner Water Meter 66 Council Rood Unit Bldg Off . . APC Total 51691.00 ? on t he express condiflon ihnt ne,{ofo Sty4+tsoend Sily of Eayon Ordirwnces. Building Officlol CITY OF EAGAN N? 84g9 3795 Pilaf Keob Raad Eogon, MN SSl'?' PHONE: 434-8100 BUILDING YERMIT Receipt # , !??Y7 ??? Te 6s uwd fer 1 of 4 PLEX Esr.Volue $44,000 Dore September 21_ 19 83 Site Address 3852 Heather Drive E t p R-3 rec ? ccuponcy Lot 45 el«k 1 Sec/Sub. Briar Hill 4th Airer ? Zoniny `PD) R-3 Parcel # 10-14 9 9 3-4 50-O1 Repoir ? Fire Zona NA E V nlar9e ? TvPe of Const. W Nome Tollefson Builders Inc. Move ? # Srories z Addreu 1655 Norwood Drive pe,rwl;sh C] Length 32 Ci Eag an 55122 phone 454-6873 Grode ? Depth 44 Sq. Ft.- p Name OWri2r Approvela Fees i? Address Assessment Permit 256.0? ~ CI phom Water&Sew. Surcharge 22-00 Police Plon check 128.00 Fw Name Fira SAC 525_00 . ?? Addrcu Enp. Water Conn. ?+5(1 _ f1(1 iW Ci Phone Plonner WarerMeter 60.00 Council Rood Unit 250.00 I here6y acknowledge that I hove reod this opplicofion ond state tliof gldg. Oft. the inlormotion is correct ond ogree to comply with all opplicable $1691 00 State of Minnewto $tatutes and City of Eagan Ordirwnces. APC . Total Sipnnture of Pertnittee o e son ui ers,, nc. 2 A Building Permif is issued to: 4 on the express cordition thm oll work shall be done in acwrdon[e with all opplicoble Sfye Mi w t' ?agon Ordinances. Buildirp Ofilcial ? ??- . CITY OF EAGAN NO g49O 3795 Pilat Knob Raad Eegen, MN SSl]! VHONE: 454-B100 BUILDING PEkMIT Receipt # ?J ? Te M wad (e. 1 of 4 PLEX Est. Value $44,000 pote September2l 1 q 83 51fe qddmm 3854 Heather Drive Erect 7[g Occupancy R-3 Lat 46 BI«k 1 Sec/Sub. Briar Hill 4th Airer ? Zonin9 (PD) R-3 Porcet # 10-14993-460-01 Repair ? Flre Zona NA V Enlarge ? TYpe of Conat. ? Nome Toll?fson Builders, Inc. Move O # Stories Z 9 Addreu 1655 Norwood Dr3ve Demolish ? Length 32 r.,.EaQan 55122 0k,,... 454-6873 Grade n Deoth 44 Sa. Ft.- p Nome O?`'ner F ?u Addreu Nome _ Address 1 hereby ackrwwledge thot I have rend rhis applicurion and stote thof the inlormotion is correct ond ogree to comply with oll applicoble Stote of Minnewto Statutes and City of Eogan Ordirances. Faes Assessment Warer & Sew. Police Fire Erq. Vlonnar Council Bldg. Otf. APC $ignuture of PermiHea A Building Permit is issued fo: Tolle alI work sholl be done in accordonce with all Building Officiol Pertnit $urcharge 22•00 Plan check 128.00 SAC 525.00 Water Conn. Water Meter • 00 Road Unit 250.00 Torol 1691. 00 _ on the express condition thn+ and City of Eagan Ordinonces. :Tpliafssa 8uitders ioc. _ .JACKSON - SURVEYORS Ri6lR[It[O YMO[R utI{ Or Rw?t p? MIMNi/OrA R'ilfi EAS7 55th STREET, MIqNEAPOLIS, MN 55417 Ousbcpnr's gtrtf6cait jo r ? ' 'oO q •>q `O ra 1 ? P , ,e _ '' 4 7 r a' f, ys? ?o ?2 c o o ,9 6R'y ?? fl1. A\ ,e i ? y 45 , Ex a 5, > N ? '4jr Q ? ?_ 46 rn-3aaa °ttr. 11462 1113-79 SCALE: 10' LO' eoo.o 0 DEROTES T%ON EXLSTFNG HL. DRAINAGE .. 98 Prepsesed Gsrage Flaor Ek. /v,; ?. ? Prrpaeed First £loar S1. 1/ 6,6 Propaged Sasement FIi?r E1.14.1? s ' [16.83 ' 114. I H[REir C[RTIFY TXAS TN[ ABCVF li A TRUE AND COitR[GT rLAT OF A EURV[Y OF D Late 45,46,47,48, Block 1, Briar ttill 4t;3 Additisn, I3pkats L'ausEty, Hinpeaa[a As wRVCrio Br rs TMI"Sl1._-wr wSepteaher.,p. 1983 ` s?aM¦o_-_- ?' P. C. JACKlON. Me. s600 4- `i?' £? cITY GAN ,• `???"?? $USLDING PER42T APPLICATION 7b He Used Fbr valuation site aaaress3`6'?4? Ioty-j 91ocJc ?_ sec./sub??;q.? grect ? Parae # G'? P.lter Owner : ? e Q Address: City/Zip Cbde: Phone Contractar: Address: \,,,+5 F?, \'o o -? ?v ?) n A V??' r citY/ziP coae: %:-c, s ti? r ?\a ? Phore M: Arch./Eng.. Address: City/Zip Code: Phone #: ?14 7 - / y_ P ?,? Irrlude 2 sets of plans, 1 site plan w/elevations & 1 set of energy calciil.atirns • DatE M CFFICE USE ONLY occuPan-7' X?.3 Zoning ?P3 -/6?0 Repair Fire Zone AQ9 EYtlazye = 'lYpe of Const. mbve # Stbries ' Demnlish Front ft. Grade Depth ft. APP u FEES Assessrcents Pezmit ?S? ?"-' t4ater/Seaer Surcharge ?- fblice Plan Check _ J z g= Fire ?- SAC SA S- ? g-1q, ?- water Conn.yso °y - Plarutier ' Water MetYS (o? Council Pnad Unit BZdg. Off. `7 /rJ- 5/' ? APC . , RC7PAL ??, ` OCD ???? C?? CITY OF FI+G?'w tnciuae 1 sets or plans, 1 site plan w/elevations & BUILDIW, PEFMIT APPLICATION 1 set of erergy calculatlms. Tb se vsea Fbr valuarion 0 ?te M Site Pddress'3???i'r'??SRi E;'pFFICE USE ONLY I,otiy';slocx ? sec.lsub??•,,? '?aAErect ? Ocrpancy ? Paroel a: 1 0- Nq ?i -,?, -?{ `6-6 O- c?t aater zaung 3 -A,6 ?Owner: ? e ? ?eVR Address • City/Zip C.ode: _ Pktone N : CoI1trdCtOr: O`???V o\eCS??C PddL'055: L,nc C. ??(l-(`??lt1 City/Zip Code: Phone Y: ?A51? Arch. /E7ig. . Address: City/Zip Cale: Ptone # : FL-pair Fire Zone Ehlan3e _ 'Iype of Cnnst. Mbve # Stories Dariolish Fznnt ,3'a ft. Gracle Depth A/y ft. APPId7VALS FEES Assessnents Pernut ,?,t/, Water/SEwer Surcharge 411, Fblice PIan Check /;2? Fire I S?'C Fng. Water Conn. .fjso Planryer ` Wa:er Meter !: Cauncil Rnad Ctnit r,?„-0 Bldg. Off. AiIC 'ICYPAL ? I (o Q ` C0 p?.?,PtK??- CI'I'Y OF PI+GFaN 1ncluae 1 sers ot ptans, ? /?,? Tt' b1 site plan w/elevatians & r%'? BUILDZNG PEFd417 APPLICATSON 1 set of erex+gy calc.ulations. ? ? Used For _N-? -?\ e ?c Valuation -?Iyooa Date 1?\\ Site Address3?'!? `??Snf3'?Sa 0uE UFF'zCE USE ONLY Io't y?',yQ sloclc sec./sub?'S,;,, 1laaprect ?ti ??Y / ?/ ??' Parcel Z ? ?( ?l ''i - `f ` C) - C,)( A1 ter Zoning /f 3 OWi]L'r: ? ¢ o ?jC-e ArYlness: a.tl'/2ip Code: Ptnre ContraCtDr: AddTess: City/Zip dode: PhOre N: 1? S?-\ Arch. /IIrg. . PddieSS: C1ty/21P COdE?: Phcne #: Repair Fire Zone // Ehlarge , 7ype of Const. Y- Move # Stories Dariolish Front ft. Grade Depth yy ft. APPRLJVALS FEFS Assessnesits Permit ,Z$'G S--0 Water/Seaer Surchaige _?7,2 -W ? fblice Plan Chec}c ?g Fire I SAC S2s Eng. ' water Conn. y,s-a ?- Plaruner Wa:er Meter /_? ffi Council Emad Unit a d"o ? B1dg. Off. C) T}y? ? LY L mrrjr. I Co a t? 0? czTr oF EAGAN LDIW, PEFd4TT APPLICATION 'Ib Be Used Fbr --? -' ? e X Feoair Fhiarge Nbve site naaress Int S'y???-qL slocx sec./sua?`J13?,?? ,\\???AJaprect n Parcel N: 10 -Nc( C>( Alter Owner: Ad3ness: C7h'/2ip Code: Phone N: Cof1tY8CCOT: Pddress: ?- City/Zip Code: ?- - Ptwre N: ySL\ -Ln`?t?r1Z Arch. /Etx,7. . ' P,ddress: City/2ip Co3e= Phone #: Valuation 60 Date 1nclwe 1 sets ot ptans, 1 site plan w/elevations & 1 set of ener9y caleulaticns. C7F'FICE USE ONLY occupancv 11,?T zonirxg 11'3-1Jv Fire Zone f4 Zype of Cnnst. # Stories Datnlish Front ft. Grade Depth ft. FiPPI47VALS EMS Assessnents Peimit a,s l ? 19ater/Se.aer Surcharge? Fblice Plan Check J?,y es - Fire ? SAC 3 ?76 - - Eng, water Conn.y5-O ? Plar'uner ' Water Metes /?p Council Fnad Unit ?S-D 8R Bldg, Off. APC `PC/PAL I ? tfJ Q I , 00 Cities DiQital Qualitv 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. 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J ?.r???.l_?:K-.?s.?.s:_:?- dr.81R,.??.t?`,?7!?,?r.`??..,>:?.?..,?.?3?St?.a':4l?.w?.(,y'?-??'•.'???? ? .t CITY USE ONLY I.OT BL t_ RECEIPT #: SUBD. ?V11).? rnIl 'ltr" RECEIPT DATE: • MECHAIJICAL PERMIT # 1999 MEcHAvicAL PERurr MEsinErrrIAw crrr oF Ea?snx 3$30 PILOT KNOB RD EAfil4N MN 551 EE 1C? -5 -1?9 (651) 681-4675 Date: Complete this section anlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occupied. • tIS%t+i:: 0- 100 ivi n T i i ADDTTT.ONAi 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) ? 3 0.n- 0 600 State Surcharge .50 Total $ Complete this section arlv if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New 14 Alteration Repair _ Other Reminder: Calt 681-4675 for inspections. Furnace 7-\ Air condirioning _ A'u exchanger Other S 30.00 State Surcharge Minimum Total SITE ADDRESS: ?39"1 O Yf((,{7p1 DiI' UY. OWNER NAME: Tra w go ras h pxorrE #:1P,5 I - lD8'tp - 55 8' In'n/W1?-,r,1^,,?,Q.E' ? 'II? (AREA CODE) ? INSTALLER NAME: WDY ! J SOVt? ?" JS I(? T77 PHONE #: (?? -!a? ?--7P sTREEr anDxESS: W)3 -;1 PeYI nrx IA1 /,Pi . (AREA CODE) CITI': AW U?L?.,?, I STATE: P1 L) ZIP: 552-V ??? SI NATUFLE OF PERMITTEE CITY USE ONLY L BL RECEIPT#: SUBD. RECEIPT DATE: APPROVED 6Y: , INSPECTOR MECHANICAL PERMIT #: 1999 MECH4NIGAL PEfiMIT (CO14iIriE{iclihL) GITY OF £Afi14hT S$SO PILOT KNOB RD £,4&,4N, MN 55122 (651) 6$1-4675 Please complete for: all commercial/indusVial huildings multi-family buildings when separate permits are nst required for each dwelling unit DAIE: CONfRACT PRICE: WORK TYPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank (Minunum Fee) _ Processed Piping (Minimum Fee) '*NOTE: When installing/removing underground tank, ca11 65 1-681-4675 for inspection by fire marshal and plumbing inspector. DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 m3nimum fee, whichever is greater. CONTRACT PRICE x 1% PERMTT FEE STATESURCHARGE TOTAL ------------------------------- 3ITE ADDRESS: OWNER NAME: TENANT NAME (IIvIPROVEMENTS ONLI): INSTALLER: ADDRESS: CITY: ZIP: ($.50 per $1,000 of em 't fee due on all pemiits.) PHONE #: (AREA CODE) PHOIVE #: - (AREA CODE) STATE: SIGNATURE OF PERMITfEE *****?**?************??***********?**** CITY OF EAGAN CASHIER: JS TERMINAL NO: 719 DATE: 08/09/00 TIME: 13:48:17 ID: NAME: SCOTT MOHS 3210 9001 3852 HEATHER DR 181.25 2155 9001 3852 HEATHER DR 5.00 Total Receipt Amount: 186.25 CR135606 USER ID: JAN *****************:r+x******************* 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 1?.?1 ?3 3830 PILOT KNOB RD - 55122 851•881-4875 ? New Conshuctlon Recwiremenh RertadeVRaoalr Reaulremenri C) -?'? v > 9 registered aite wrveys showing aq. H. of bl, aq. fl. of Fwusa and jg roofetl areas C2076 mmdmum bt covaraae allowecU ? 2 copiea of plans (show beam & wlndow sixes; poured hW. deafgn: etcJ n 1 set of energy calculatlons > J coplea o1 hee preaervatlon Wan If lot plalted afler 7/1 /93 DATE: H-l.L?'i q. 2 o'a V j DESCRIPTION OP WORK: STREET ADDRESS: ? ? LOT: y? BLOCK: ? SUBD./P.I.D. Ncme: ,??/ ?l?-? ax /1" I 6? Phone Y: PROPERTY wsr Flrst OWNER Strset Address: City 2 copiea of plan 1 set of energy caiculaHons tor heated adc811ons 1 aife wrvey Iw exFeilor addiNOns & decks CONSTRUCTION COST: 6!?? State: 21p: . Company: /V, ?2 ?16 e&V54 6-rvcPhoneY: /!07 (area code) COMRACTOR ?(??[? ?12 L?j?C, ?d? ? License? s.S 6 Exp. 200 / SMeef Address: ay stare: zip: SS 4!o (o ARCHITECT/ ENGINEER Company: Name: Telephone #: ( Sheet Address: Regishatlon #: Cilf State: SewerAvater licensed plumber (it installina sewer/waterl: Phone #: Zip: plicable State comply wMh ag op 1 hereby acknowledye ttwt I have read fhis appUcaHon, sfote that fhe fMor7;T7;; ot Minnesofa Statutea and CHy of Eagan Ordinances. Signature of Applicant ? ?J• /?• OFFICE USE ONLY Certificates of Survey ReCeived _ Yes _ No Tree Preservation Plan Received _ Yes _ No ,_ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex O 18 Oeck ? 23 Porch (screened) ? 04 02-plex ? 70 OS-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Misceilaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 ' ACCessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interiar) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Ooors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Aliowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. eooster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance ? 31 EM. Att - M uRi ? 33 Ext. Ak - SF ? 36 MuRf Permit Fee Surcharge Plan Review License MC/ES SAC , City SAC Water Conn. Water Meter Acct. Oeposit S/W Permit S/W Suroharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: c? _U C7 1 S't_. 2? Valuation: ? SAC Units % SAC ft ' -STATIIiIIiT OF SPECIAL 9SS ^?T , Project # 319 The EAGAN CITY COUNCIL meeting on September 17, 1985, approved and adopted special assessments against the I I • . I ROBERT R HANSEN 3854 HEATHER DR EAGAN MN 55122 ,. LOAN CO CODE - NMC : BRIAR HILL 4TH ADDITION I 10-14993-460-01 The dollar amounts (by assessment type) and years of assessment are as £olloaso- AATER 92SODNT H0. YRS. SANTTARY - 9ISOIINT ' H0. YRS. Area Iaterals Service Lateral Ben/ from Trunk STORM , Area Laterals Area Laterals Service Lateral BenJ from Trunk Grading/ Gravel Base Surfacing % S 3, 70 / 0 Res.Equiv. TOTAL $ / 53. 7V Any portion of the total amount of these.special assessments may be paid xithin thirty (30) days, specifically on or before October 17, 1985, without interest at the Eagari.. Nu[fl.cipal Center. Payments an these nex assessments cannot be made at D kota County during 1985. The unpaid balance xil l be collected in annual installments (principal and interest) on your tutiire property tax statements through the Dakota County Auditor's office in Hsstings. Annual installments will include interest at the rate of _LL__% per qear on the unpaid balance. The first year's installment on this balance appearing on the tax statement will include the interest from September 17, 1985, to December 31, 1985, plus interest for all of 1986. If you have any questions concerning this matter, please call Special Assessments at the City of Eagan (454-8100). S_incerely, ? E.11J. VanOverbeke Finance Director/City Clerk City of Eagan 3830 Pilot Knob Road Eagan, Minnesota 55122 FIN2.STMT Rev,9/26/85 ? 4 E Ity OF 3830 PILOT KNOB ROAD, P.O. BOX 21199 EAGAN. MINNESOTA 55127 PHONE: (612) 454-8100 October 4, 1985 MR ROBERT R HAGEN 3854 HEATHER DRIVE EAGAN MN 55122 Dear Mr. Hagen: BEA BLOM9UIST Mayor THOMAS EGAN JAMES A SMITH JERRV THOMAS THEODORE WAGHTER Councll Members THOMAS HEDGES Ciry Atlmmistrafa El1GENE VAN OVERBEKE Cify Clerk Thank you for your recent letter concerning the statement of special assessments for Project #399. Please accept my apology for the typographical error on the mailing label. The assessment is for costs associated with the improvements to Silver Bell Road and the construction of the sidewalk along Silver Bell Road. These improvements were authorized by the City Council at a public hearing held June 19, 1984. This construction has been completed and the assessment does not pertain to any other streets in your neighborhood. The assessment amount on the statement of $153.70 is the total amount. The annual principal amount is therefore $15.37. The total amount ($153.70) or any portion thereof can be paid on or before October 17, 1985, without any interest. The unpaid balance will be collected with your taxes for a period of ten years beginning in 1986. I have enclosed the statement for your records. Please contact me if you have any additional questions. Sincerely, E.. VanOverbeke Finance Director/City Clerk EJV/dk THE LONE OAK TREE. ..THE SYMBOL OF STREN6TH AND GROWfH IN OUR COMMUNIN . //?8s 7?i.Cc?dr o?Lnar?a`C'?? e%?G Easa•?? ?tt/ f?o.??? ? havc ?o i? a w?a ????? Yea ?s o?- 7l7e s?`ee? ir> ??%1 a?Pa .a.-e ??rs aq'o?7? ??i? allCr.f???r ?r?d Gul?er ??liJ iylOhGy i.l 40ir?? /a ?6e c/1ed or ???f c J'-?e ?fs, ??er? 2. ??a??? 3?sy hle?f`ie? ?ay?.?? PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA109397 Date Issued:03/05/2013 Permit Category:ePermit Site Address: 3848 Heather Dr Lot:47 Block: 01 Addition: Briar Hill 4th PID:10-14993-01-470 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. Renae Freinwald 2200 Hwy 13 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Diane L Tilton 3848 Heather Dr Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink for Off," Use • Parot t (D I of latan MY 1 Eapn UN =22 3834 Pilot Knob Road I 1 Opole opib0d: 1 PhOae: Rs (651) 6T6~8T6 I I I Stogy I Fax (661) 676-SN4 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION DM: to-,tN i~ SkeAddnsae:~`~,3s~b~38sz,3B5y pP- vnitk y' 7 Name: 61-0 7- /y1 ~q ~.3 A G r4 Z.U Pho« 7G,3 -S'93 9 70 Address! City Zip: Vs) IS it a s4", -vQ Ay A~ an Coibz-z I/rK~ M-AJ yt 7 Applicant is: Owner Z- Contfamir YYI .N c oecaiotion of work -7-9,1-4 © Aow a2~ - F C4~on Cost cap Mind-t=amiy Building: (Yes x' f No I Company. &S I 4-- ti-CAl'OR 4eaP Conts=.1brAvi h %,12-XIS Address: yes W ba'~ S~ . CRY: /y1 P~ S . State. IWAJ zip: SS--V/ 9 Phone: 1°'z ~b i- G x 5(3 L1ear~e # 'a C A q/ / Lead Oorfflc G If the project is exempt from lead certification, please eViain why: (see Paige 3 for additional irdormation) ~c ads ~ttF. Q.))L> Pas:- ! ! y COMPLETE THIS AREA ONLY IF CONSTRUC'T'ING A NEW BUILDING In lice MW 12 months„ has the Clly of t aoan issued a permit for a similar plan bUO On a mwwr plan? Yes _NO If yes, date and aWMU of master plan: Ucensed Plumber. Phone: Meohankal Centraabor; Phone: Smwer 1A%b Lc-Q- r Phone: CA . fr Y of Cap Goph" Slhs Oft owl at On) 45&M for pmwcdm ' un0erg y „ w" You (Mend to to MkWr" k of ipldeg~puad ut ~ ivurd d"*. Can 46 hOUfS+ prat this inbe11tatiop (s oamplate and aoywale; thin tlw work will be in co* m=w wqh the adlnarm and codes of ft CRyof a ibis is oat a permit, but only an tlen for a permit, and work is oat to sleet wiMout a permit: That ur wok wj bs n eow-o a Wan in u-m ame at,,* rwup~ rsgWms a rovtow end spprovtl or pilots ~t hftilmr(mcl at by a building perndt Issued In i•ccordarrce wi1lt fiw Ylnneadp Stab WADI Code must be cotnpided wllldn 184 )Av ~4 v t2R rS Appilc vs a Pnmw Name Appilm"W8 Slant M Pogm 10(3 50/50 39tld 1NIVW 1X3 139 1-9Z9T98Z19 ES:ST 6TOZ/bZ/0T PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA109397 Date Issued:03/05/2013 Permit Category:ePermit Site Address: 3848 Heather Dr Lot:47 Block: 01 Addition: Briar Hill 4th PID:10-14993-01-470 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. Renae Freinwald 2200 Hwy 13 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Diane L Tilton 3848 Heather Dr Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature *City otEagan 3830 Pilot Knob Road Eagan MN 66122 Phone: (661) 6754675 Fax: (551) 675.6684 Use BLUE or BLACK Ink For Office Use j Permit e: 1 �/ Permit Fee: al k /• Date Received: 3,111 LI - Staff: �'1► 2013 RESIDENTIAL BUILDING PERMIT APPLICATION • 2 - 7/ �� Site Addroas• 3 8 V 3 rs-o 3 S SI 3 Vs" V ligi4•Thie4 L2- Unit it: . Raalldi9tW Owner Name: e4) 4 C / "4.4 R b E IM Z Ali- ..� C. Phone: 74 3 - .S -F1- 9 / i 0 Address / City / Zip: 8SO Q t: C 4 Yu A. A. A) , 1 /; 6.246E.... 144 -LLE y /04 Ss VA 7 Applicant is: Owner )cContractnr ' ' otWork, Description of work: IZ£g-,-c � E a- R.£ Pl. et-c.f.- 1 d / 6 a F"orsL/ a /4 £ •riA L. Construction Cost / y 4'O • t Mufti -Family Building: (Yes., / No __) . contractor • . Company: a £ l e>< >!.2/ ID 2 Midi br'r . Co aP. Contact N ✓ r f old / s Address: _4J r L. loD .17-- City: m PL_ s Stare; /414S Zip: SS -V/ 95 Phone: 4/ Z • Y (o / - Co 2 V3 License #: 4.3 C-• 2 EP / 3 / Lead Certificate #: If the project is exempt ill 4t . from lead certification, please explain why: (see Page 3 for additional information) i3,0/(Y Posy /,77r In the last 12 months, _Yes _No If Licensed Plumber: Mechanical Contractor: Sewer S Water Contractor: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Phone: Phone: _ Phone; NOTE: flips encl. sl wiflnortrO . ' ! , •. � drq,ftrbnrrApan rtyr,Ifa( c/aa v�_lc,,�e��yyyyk�.7l�flmpu�� gper, fir►# � . p�iet?31i, ... • i►iir, dude th t,��, y. .. A',, . . <z-: .. •,:: . ,�i' h, CALL BEFOIg YOU DIG. CaII Gopher State One Call at (631) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities, www.000hargt¢toonecall.orrt 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 t- n; that I understand this i4 nota permit, but only an application for a porri+n, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of worlc which requires a review and approval of plans. Exterior work euthoriz d by a building permit Issued in accordance with the Minnesota State 6uildn Code must be completed within 180 days of permit issuance. x �A✓°� %��.�ZlLif Applicant's Printed Name E0/t0 39 d X Applicant's Signature / 34.0 7P0 Page 1 of 3 1NIdW 1X3 ISS L9Z9t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ity of Eagan Permit Type:Plumbing Permit Number:EA142279 Date Issued:04/24/2017 Permit Category:ePermit Site Address: 3848 Heather Dr Lot:47 Block: 01 Addition: Briar Hill 4th PID:10-14993-01-470 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Diane L Tilton 3848 Heather Dr Eagan MN 55122 (651) 365-0417 Croix Crystal 3440 Yoerg Dr Hudson WI 54016 (715) 386-8667 Applicant/Permitee: Signature Issued By: Signature