3856 Heather DrCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEf VHD
FROM
AMOUNT $ I
& DOLLARS
?oa
E]CASH F?CHECK
FOR
D FVY
FUND CODE AfAOUNT
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Receipt
Z
MECHANICAL PERMIT
CITY OF EAGAN
Permit No.
Fee
Fill in numbered spaces S/C
Type or Prini /egibly Tot. ?
1. Date 2. Instaliption Cost
3. Job Address Lat ? Blk. ! Tract ' +
4
4. Owner ?'` '! r" ?_ •? ? .- ? .
5.
6. Address ? r
7. City % "
8. Building Type: Residential Ei'
9. Work Description: New H
10. Describe
11.
Phone :
I
State Zip ?
Commercial O Institutional O
Add ? Alter O Repair O
Fuel Type
No. Eauiument 8TU - 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 r for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved . CITY OF EAGAN 454-8100
??;
Receipt _ - - -J
. .
i
PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legibly
1. Date 2, installation Cost
?' "'-? ,- •r
?7
?? .
3. Job Addreas?' r?LotBlk. ? Tract Ilitl
`? JK
4. Owner L- ! -!t-
5. Contractor Phone '/ f
- i,
6. Address . e;
-' ?.-_?/ _
7. City ?t .-'?( State f l ? i tJ Zip-=
8. Building Type: Residential ?L Commercial O Institutional ?
9. Work Description: Newj0' Add ? Alter O Repair ?
10. Describe
11.
No. -Fixtures
Water Closet No. Fixtures
Cess
i
field
ool/Dr
: Bath tulu p
n
a
Septic Tank
Lavatory $oftner
Shower Well
/ Kitchen Sink
Urinal/Bidet Other `
? Laundry Tray
Floor Drains -t ,-
Drinking Ftn.
Slop Sink
? Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : " for "
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
MECHANICAL PERMIT DATE: 5/28/91
RECEIPT: 101568
SITE ADDFIESS 3856 HEATHER DRTVE Unit # permit# 13054
I'010 p.e
L 43 g 1 Sect./Sub. BRIAR HILL 4TH
WOHLER - qOTTTHSIDE-431-7099
INSPECTION DATE IN$PECTDR OTHEB
FRAMIN6
RDU6H PLB6.
AOUBH fiT6.
INSUL
HREPLACE
FINAL HT6.
RNAL PLB6.
UNIT HNIIL
CERT/OCC
(PJad• gfiff oa
/"
INSPECTIUN DATE INSPECTOR COMMENTS
7I1E
?-, ---
Raceipt -Z+ ? PLUMBING PERMIT Permit No.
CITY QF EAGAN
Fee
Fill in numbered spaces S/C.
Type or Prini /egibly
Tot.
?- - -
1. Date 2. Installation Cost
' •.- • /1 , i /i !L ?; ?'? • , , ?)i•.
3. Job Address ' Lot `i _ _? Blk. / Tract
4. Owner
5. Contractor Phone
6. Address 4
7. City State !! ,? Zip - ,
8. Building Type: Residential Q Commercial ? Institutional O
9. Work Description: New bl- Add ? Alter O Repair O
10. Describe
11.
No.
- Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
? Bath tubs p
Septic Tank
l.avatory Softne r
? Shower Well
Kitchen Sink
Urinal/Bidet Othe
Laundry Tray r
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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EA(3AN 464-8100
:
- --7
Receipt
?
PLUMBING PERMIT
CITY OF EAGAN '
Fill in numbered spaces
Type or Print /egib/y
1. Date r _='2. Installation Cost
;- r
3. Job Address Lot ?
?
? ?/_s - i? ? ??/i •'r
4. Owner
- i;
o.
?
c
?w
.,?, . _ .
Tract ?, -i
.?T JI
5. Contractor ? G=/Y Phone K y
6.
7. City
..
State Zip -?, _ -)C f ?
Institutional O
?
9. Work Description: New F1- 'Add ? Alter ? Repair O
10. Descri be
11.
No. Fixtures
Water Closet No. Fixtures
Cess
l/Drainfield
Bath tubs poo
Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Othe
_L
Laundry Tray
` • r
`
? 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
8. Building Type: Residential 0- Commercial ?
P;
Re
ei
t
PLUMBING PERMIT
P
c
p ermit No.
' I CITY OF EAGAN Fee
' fill in numbered spaces S/C
Type or Prini legiMy Tot.
1. Date •? ??f - G ? 2. Installation Cost
I-
3. Job Address "; -
'
Lot '1 G Blk. - % , /,%,
i-
Tract
4. Owner
5. Contractor Phonelf
.
6. Address/ fr
:
7. City State ? f - i Zip
8. Building Type: Residential Commercial ? Institutionat ?
? 9. Work Description: New n'-- Add ? Alter ? Repair O
?
4 10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cess
fi
o
l/D
i
ld
Bath tubs p
e
o
ra
n
SepticTank
Lavatory ft
e
S
"
Shower o
n
r
Well
%
? Kitchen Sink
T 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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee '
.y
' Fill in numGered spaces S/C
Type or Prini /egibly
Tot.
1. Date 2. Installation Cost
r
3. Job Address Lot Blk. ? Tract
+ ?-
4. Owner , -
5. Contractor Phone
6. Address
7. City -' State Zip
8. Building Type: Residential ? Commercial ? Institutional O
9. Work Description: New ? Add O Alter O Repair ?
10. Describe
11.
Type
No, Equi ent STU - 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 C{TY OF EAGAN 454-8100
PERMIT #
MECHANICAL PERMIT qECEIPT # 3 6,11
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
PHONE: 454-8100
Site Addr
Lot 8 Block
? Name
m Addre
c City f
Name r_%' ?t n C, G e/z ?, j
c Address
3
p City ??y Phone
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUets #
Other
FEE
S/C:
TOTAL•
M BTU
M BTU
M BTU
?L- M BTU
CFM
/; II
BLDG. TYPE WORK DESCRIPTION
Res. x New
Mult Add-on _ G
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00 +
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/INO FEE - 1a/o OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
TURE OF
/J.1z 11
FOR: CITY aF EAGAN
MECHAIUICAL PERMIT
CITY OF EAGAN
Permit No. '
Fea
Fill in numbered spaces S/C
Type or Print legib/y Tot
1. Date ? 2. Installation Cost
1 , l • I-, ! .
3. Job Address ' Lot Blk. l Tract
4. Owner 5. Contractor Phone
6. Address - ` ° -
7. City State Zip
8. Building Type: Residential 11 Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter 0 Repair ?
10. Describe Fuel Type
11.
No. Eau'inment BTU - M. Ea.
Forced Air ' - No. EQUiament 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 anB codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved QITY OF EAGAN 464-8100
Receipt ' MECHANICAL PERMIT Permit No.
CITY OF EAGAN `
Fea
? Fill in numbered spaces S/C
Ty,Qe or Print legib/y Tot. -'
1. Oate 2. installation Cost i
3. Job Address LotBlk. ? Tract '
4. Owner
5. Contractoir- Phone
6. Address
7. City ? State " Zip
8. Building Type: Residential 11- Commercial O Institutional O
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Equioment 8TU - M. Ea.
:,
Forced Air No. Equipment CFM
Ai
H
Mfg. r
andling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
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
CITY OF EAGAN Remarks
Addition BRIAR HILL 4TH ADDN Lot 43 eIk 1 Parcel 10-14993-430-01
Owner Street 3856 HEATHER DRIVE State EAGAN NW 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, VZ
STREET RESTOR. Z/ 1975 9 7.07 lO
RRRRk`}Fx Street 1984 1227.78 245.56 5
** 2136.20 427.24 5 2136.20
"
"
SAN 5EW TRUNK 1968 29.60 99 30 12.94 A013083 10-24-83
SEWERLATERAL TRK z 1983 237.37 23.74 10 189.91 " "
* EW R LA ERAL 1971 32.42 1.62 20 9.74 " "
**WATERMAIN 1984 S
*WATERLATERAL 1971 ZO
WATER AREA 1977 59.19 3.95 1 27 67 A013083 10-24-83
"Stubs 1984 5
STORM SEW TRK 1984 323.50 64.70 S 323.50 086 in-19-9
SEW LAT 1971 20
**Storm Sew Lat 1984 5
CURB & GUTTER
SIDEWALK
STREET tfflfff 1009 1986 153.70 15.37 10
ROAD T 250.00 37307 7-20-83
WATER CONN. 450.00
BUILDING PER. 8263
SAC
525,00
PARK
CITY OF EAGAN Remarks
Additio. BRIAR HILL 4TH ADDN Lot 44 Rlk 1 Parcel 10-14993-440-01
Owner Street 3858 HEATHER DRIVE State EAGAN hIIV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1)]1 Paid und r OT1 inal aTC
STREET RESTOR. Z/ 1975 70.69 7.07 ld
982.23 A013802 5-1-84
** 1708.96 A013802 5-1-84
SANSEW TRUNK 1968 29.60 ,99 30 12.94 A013802 5-1-84
SEWERLATERAL TRK L 1983 237.37 23.74 10
* SEWER LATERAL 107 1971 32.42 1.62 20 9.74 A013802 5-1-84
**WATERMAIN 1984 5
*WATER LATERAL 1971 20
WATERAREA 1977 59.19 3.95 15 27.67 A013802 5-1-84
**
STORMSEW TRK $ 1984 70 25$.$0 A-13802 5-1-84
*STORM SEW LAT 1971 20
**
CURB & GUTTER
SIDEWALK
STREET??6MT 1009 1986 153.70 15.37 10
r
WATER CONN. 450.00 't r?
BUILOING PER. 8264
SAC n n
PARK
CITY OF EAGAN Remarks
Addition BRIAR HILL 4TH ADDN Lot 41 glk 1 parcel 10-14993-410-01
Owner Street 3860 HEATHER DRIVE State EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 10Z.
STREET RESTOR. 2,11 1975 70.69 7.0 10
4?RRRM STreet 1984 1227.78 245.56 5
**Sewer Lateral Z' 1984 2136.20 427.24 5
SAN SEW TRUNK 1968 29.60 .99 30
SEWERLATERAL TRK 1983 237.37 23.74 10
* SEWER LATERAL ( -1971 32.42 1.62 20
**WATERMAIN 1984 5
* WATER LATERAL 1971 20
WATER AREA 1977 59.19 3.95 15
**STubs 1984 5
STORMSEW TRK 1984 323.50 64.70 5
*STORM SEW LAT jJ'Jj ZO
**Storm Sew Lat 1984 5
CURB & GUTTER
SIDEWALK
STREETtFBItT 1009 1986 153.70 15.37 10
ROAD IT 250.00 37307 7-20-83
WATER CONN. 450.00
BUILDING PER. 9265
SAC n n
PARK
CITY OF EAGAN
,,,,,,:.;,,., BRIAR HILL 4TH ADDN
Owner
Remarks
Lot 42 Bik 1 Parcel 10-14993-420-01
Street 3862 HEATHER DRIVE State EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. Z 1971 Paid und r Orl inal rcel.
STREET RESTOR. Z?f 1975 ?0.69 7.07 10
RMMR}t`? Street z 1984 1227. 78 245.56 5 736 .? ?0 /l0 3S ?`o /i? ?s-
**Sewer Lateral 1984 2136.20 427,24 5 f?g •?. ?70 163 /o
SAN SEW TRUNK Q 19b8 29, 6Q .99 30
I O/ 3S?$ fa >/8
SEWERLATERAL TRK7z
1983 -77-
23 .3
. 4
23
/
,/00
6
?D163S?
7/8s'
* SEWER LATERAL Ip 1971 32.42 1.62 20 A / /?0 /(0 3 S8 /O /7 i-
**WATERMAIN 1984 5
*WATER LATERAL jQ'Jj 20
WASER AREA 1977 59.19 3. 95 15 43, 7.3 O l0 3 S io / S
**Stubs 1984 5
S70RM SEW TRK B y 1984 323.50 64.74 5
*S70RMSEWLAT 1971 20
**Storm Sew Lat 1984 5
CURB & GUTTER
SIDEWALK
STREET-6? 1009 1986 153.70 15.37 10 ;D 3, d '/0890
O-/ -
ROAD UNIT 250.00 37307 7-20-83
WATER CONN. 450. OO
BUILDING PER. 8266
SAC 525.00
tr
ti
PARK
• cirr OF EAGaN .
=7!! Pllot Knob Rood Eo9aw, MN 55122 - PHONE: 454-8100
BUILDING PERMff Receipt # -,'». -:57
Sire Addrou ?RSfi Neather Drive
Lot _4.3_ Bt«k 3Sec/Sub. Briar Hill 4Ch
parcel # 10 14993 430 Ql
I hereby acknowledge thot 1 have read this opplication ond stote thot
the intormation is Correct ond ogree to comply with all opplicuble
Stote of Minnesota Statutes and Ciry of Eagan Ordinances.
Sipnoturo of Permittee
Tollef;son Buildees, It
A Building Pennit Is issued to:
oJl wo?k sholl be done in occordonte with oll oppliwble State of Mfr
Buildinq Officiol --"?
Erect Occuponq R-3
^Iter ? Zoning (PD) R-3
Repoir ? Fire Zone °A
Enlarpe [3 Type of Const. v
Move ? # Stories
Demolish p Length44
Grode Q Depth L2 Sq. Ft.
Approvals Fees
Water 8 Sew.
Police
Fire
Er?p.
Plonner
Council
Bidfl. Off.
APC
Permit 29 2 _ n(]
Surcharpe 176 _ Sfl
Plan check I 4; _ nn
$AC 52, 5 _ 0(1
Woter Conn. .4 $0.00
Woter Meter
Rood Unif '
Totol ?,1749.50
on the express conditian 1Fai
Statutes and City of Eo9en Ordinonces.
Permit No. Permit Holdsr Misc. Permit No. Holder
7j Sq 1 GF A 2-f?/? ?-7CI ? C'? Se? W,
Q? ?rFdrt?cK,o,?. q-z-B'3
w
Disp.
Sewer
Ekctri
c
WOQIti`l
fE??•
$^Z?-115
Inspection Date Insp. Other
Footings bpE
Foundation
Framing
Rouph PIHp.
Rough HVAC
Insulation
Final Plbg. .? _ Ffo f'r PGi f?
Finsl HVAC , ?. 3*y
?
?i S ?, PQ , o a , ??
•- f
Final d w
Water Dacri6e Locstion: .
VYell
Sevwr
Pr. Disp.
.
BUILDING PERMIT,
To be Wed fo? :?.f /, 17i '{; X
$it! /1ddrESS-_ 185e u-,._..t_ n ?
Lot L4_ Block I._ Sec/gub, _$Y
Parcal # - 113 I44191 L&A nl
ZI Name Tj}l]-o
,f°og 8uilders., Iuc?
9 Address _ 1655 Norwood Dr{vp
°C Name _Q4tBt=
0
?? Address
?- rir., o?..,.._
1 hereby ocknowledge thot 1 heve read this applicotion ond state that
the intormotion Is correct ond ogree to wmply with oll opplicoble
State of Minnesota Statutes and City of Eogon Ordinnnces.
Sipnature of Permittee
A Building Perrnit is issued to: Tollefi
all work shall be done in acordonce with all
Bu7ldinq Official
MN 55122
8264
Receipt
Erett 9
Alfer ? Zoning (PQ R-1
Repoir ? Fire Zone .y„I
Enlarps ? Type of Const, ZT
Move Q # $tories
Demolish ? Length_!+.4_
Grade f 1 Depth 3? Sa. Ft.
nsarssmenr
Water & Sew.
Police
Fire
Erp.
Plcnner
Councif
Bldg. Off.
APC
Plon check 14b . UU
SAC 525.00
Water Conn.450 .00
Woter Meter 60,00
Rood Unit 250. nn
rotai $1749. sn
xess tondition Ihat
?
Psrmit No. Permit Holdar Misc. Permit No. Holder
Plumbing ?J-5q $' fA2- l1
g3
71-Z0
Cf S?W
H.V.A.C. 3-l Q5
Wate Weil
r
Disp.
S?war
Eacc?ic wcAt1Y17 ?ta? r61s.?e. $-24 3
Inspection Date Insp. Other
Footings - I 3 -B
Foundstion
Framing
Rouph Plbg.
Rouph HVAC
Inwlation r
Finsl Plbg. •2 f ?
Final HVAC
Final
Water Detaibe Location:
VYell
Sewer
Pr. Disp.
CITY 4F EAGAN
3795 Pllot Knob Roed Ea9on, MN 56122
a PHONEs 454-8100
BUILDING PERMIT Receipt # 44=7_
Site Address 3tt6U Heather Drive Erect g? Occuponcy R-3
Lot 41 elack 1 $ec/Sub.Briar H111 4th Alter ? Zoning (PD) R-3
Porcel # 10 14493 410 01 Repair ? Fire Zone NA
V
Enlarge ? Type oF Const.
49 W Nor„e Tollefsoa Builders. Inc. ?1e p # Stories
2 IWdrcss 1655 Norwood Drive pemolish p Length 44
? W.
a Nome OWrlei' Approvoss Fees
t
Address
Assessment 2
Permit
~
Ci
Water & Sew. 26
Surcharge
, t p??? 146
Police Plnn check
Nome 525
-
? Firo SAC
4
'
J
z Address En 5
J
Water Conn
y. .
Ci phone Plnnner WaterMeter 60
j Council Road Unit 250
; I hereby acknowledge thot I have read fhis opplication and state that gldg. Off.
the information Is correct and agree to comply with oll applicable $2749.;
Stare of Minnesotq Stotutes and Ciry of Eegon Ordinances. APC Totol
Sigrwture of Permittee
To e Bon Bu ers Inc
A 8uilding Permif it issued to: I ' ? on the expreu condltion thnt
oll work sholl be done in occordonce with oll pppiiw e St e of ' aStatutes ond City of Eo9an Ordinonces.
8uildinp Otficiol '•r ??? ??
f ? , -.• ?
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing ?j51 a nZ `T`- /1 CE 5 ?LW
H. V.A.C.
weu
w?ce.
Diap.
Sevrar
elactric woqlgl`1 M(k ?? 1 . 731 a3
Inspection Date Insp. Other
Fvotings 7q343 bg-
Foundation
Freminp V
Rough Plhg.
Rough HVA
Insulation
Final Plbg.
Final HVAC p ?
Final
60
Water Describe Location:
VYell ?
Sewer
Pr. Diap.
CiTY OF EAGAN
• 3795 Mlof Knob Raed Ee9on, MN 55122 s' t• .' `. ^'
PHOMEi 454-8100
BUILDING PE%W;T , R?ipt #
Site Address 1862 Neathar Drlva
Lot_ 4,9 BIoCk,I_ Sec/$ub.Rr{g r u?ll Gth
paroel # _ 10 13500 420 01
W hlcrr,e Tolle een Bii ] ders - Inc.
= Address 1655 Norwood Drive
? - -- --- -- - -
E?ect JR] Occupancy 'R-.3
/?Iter ? Zoning (PD) R-3
Repair ? Fire Zone NA
Enlarpe ? Type of Const. ?
Move Q * Stories
DemoHah ? Length_44_
Grode ? Depth 32_Sq. Ft.
Approvols Fees
Name
Address
1 hereby acknowledge thot 1 have reod this appiication and stcte thot
the intormotion is correct and ogree to comply with oll applicable
State of Minnesota Srotutes and City of Eoqon Ordinonces.
Assessment
Water 8 Sew.
Police
Fire
Er,9.
Plonner
Council
Bldg. Off.
APC
Sipnoture of Permittee -
A Building Permit Is issued to: 2olletaon Buildere, Inc.
oll work shall be done in occordance with oll applicable $tote of Minre,toi
?.?._?---
8ultdin4 Officiol
Permit 292•00
Surcharge 26.5D
Plan check 146.00
SAC 5 25 _ (l0
Wnter Conn. 4 S(1 _ (1O
Water Meter 60 _ nn
Rood Unit 7 sn , nn
Totol $1749.50
on tM express condltion tFot
Stotutes ond City of Eapon Ordinances.
Permit No. Pwmit HottMr Misc. Permit No. Holder
Plumbing
H.V.A.C. :SCl C)`? l`C
w.n
w.ee.
Disp.
Sawar
elect?ic t,o
Inpeetion Date Insp. Othe?
Footinps
Foundation
Frominq
Rouph Plby. 1
Rough HVA
Inwlstion
Final Plbg.
Finsl HVAC
Final
Wate? Describe Location: ,
VYell •
Sawer
Pr. Disp.
CITY OF EAGAN
3830 R:.at Knob Road Wp? SERyIC E pERM
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121
D/1TE: _
? y
Zoninp: ' No. of Units: 1 un:! t tr
pwrwr. :ollefson 3ui1t'.f-rs
Address:
Sita Address: ?=eather Drive ) 4,? t11 i:S:Cl.
Plurribar r;Ot:z Rvhn F lurb i n.
Meter No Connection ChOrge :
..
Size: ^coount Deposit:
Reoder No.: Permit Fee:
1 ym h aswplr wi1h !w C.iep ai Esww Surcharge: -
GdineaoM. Mlsc. Charpes:
Totol:
By Date Paid:
Dote of Irup
: Ir?sp
:
. .
CITY OF EAGAN SEWER ieKvn.M Fsw""
3830 Pilst Knob Road pERMIT NO.:
P. O. Box 21189 20 =S
Eagar?, MN 55121 s. ?`TE' un t tn Zse
F•I . No. of Units:
z??' T..1lofnnn $ut_1!jeTi3
A1ddi
• te M?rlp wllr tv pft of IllaNa Conrnction o+a'pr
? Aoo,unt aposir:
Parmit FN: 10 Q C r? ?'- .
Surcharqs:
Misc C1+orga:
of tnsp.: Totai:
Doft Pald:
MVH1Y WATER SERVICE PERMIT
Cnob Rosd
1199 PERMIT NO.:
55121
DATE:
FtIV. ? _-- • Na.ofUnltr. ? t:rii.t trii??c
/lddrcss:
No..
No.:
te amoly whh fM Cihr ef 6eqsa
Connection Charfle: -`; .?U• W P d
/lccount Depostt:
Permit Fee: 10.40 '?o
SurthOrge: . r)n pd
Mrsc. Chorpes: _ 50.00 pd meti
Total:
Dote Pcid: -
C1TY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knoh Road PERMIT NO.: ?? ?10
P. O. Box 21198 7/20/63
Eagan, MN 55121 DATE:
Z?ing: I.'.I`V` No. of Units: 1ifnit
Ow11er: TOlle f ?wi! bu j.1c E rS
`%Uuff?• ?"i? l4Pgri,or n iv?, L43 '' 11iriar t?ill I?'
Stte Addreas: ?
P{umber: rv- ^
Connectlon Chorpe: 450.00 Ud
Motar No.:
Slu:
Reodsr No.:
I som bNss* Nfth 60 Cky of loge¦
OraI
By
nc" of insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
, 3830 Pilot Knob Road - P. O. Box 21199 PERMIT NO.: . Eagan, MN 55121 DATE: Zaninp: !.: No. of Units: un?? C tzih3e
0wrwr, lbllefson Bui lcaer::
Addross:
Sih Addi
Plumber:
l pree to oenpfy wilh !I» CRr of Bega•
Ordiwences.
By
Dote oF Insp.;
Connectlon Chorp: 42 5-Q0 j3d
Atcount Deposit:
Ptrttdt FN: nr:
Surct+arpr 5r)
Misc. Chorpss:
Totol:
DoN Pcid:
CITY OF EAGAN SEWER SERVICE PERMR
3830 Pilot Knob !ioad
P. O. Box 21189 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoninp: No. of Units: ? tin i L L n. . s_. .,
Ownor.
Addross:
Slte Add
Plurnb?r:
^ceount DePosir: 1.g.w ro e.n?p1y? wtlh er. Clhr ei hga¦
Permit Fee: 10 QD r-}? OrdiNaea.
SURF10?Q!: r n
Mlsc. Charyas: ?0 Q2_n?e!
Total:
pcta Pold:
insp.:
By _
Date
of I nsp.:
Conrnction Chowge: 42 S. 0(`
/lcoourK DepoWt:
PtR11tt Fe!: - .,•? ..
Surdhorfle:
AAttc. Cj+onpm
Totol:
aor. vaie:
NATER SERVICE PERMIT
'ERMIT NO.:
PATE: ' --
No. of Units: I u_nit tnhQe
rA
ciTY oF EACaN WATER SERVICE PERMIT
3830 Pilot Knob'rload
P. O. Box 21199 PERMIT NO.: n,
z- 0
Eagx:r, MN 55121 DATE:
Zdtirg: *.-'T)' No. of Units: 1 tn-;+ rT.' _?.
pwrwr; 7'o1lefqon Builderg
Mdress: -
Sih Addrcss:
lumber: -
St • g "
Reoder No.:
1 mgew lo aa
o.awoo...
By
Oate of Insp.:
IV
Connedion Charge: 45
_ Acr,ount Depostt:
_ Permit Fee: IX 1? . ?? `"?
a??. Sl Choroes: 60 O t
I.C.
996
3830 P"at Knob Raad pERMIT NO.: 5
P. C Box 21199 ;
Eay-an, MN 55121 , ?ATE:
Zoninp: No. of Units: 1 unit trf? _'c•
.
p„„ner Tollefsan 3ui P 4
Addroas:
oQ(,? Heatrer I?riv?? r? nl ;t1{.ar
Site /Wdress:
Plumber CfMz RLFqn
7129/.'3 373n7 10r',nn rrt
I NrM to eose* wNii !I» Gh ef !olew Connection Charpe:
OriiMNea. Acaount DePosit:
Pennit Fee: ? 61- Surchorpe:
g Misc. Chorpes:
y
DoM of Insp.:
Inap.: Total:
DaM Pald: -
iTY QF F
.*.aGAN W/KTER SERVICE PERMIT
30 F nob Road -
. O. E< 21799 PERMIT NO.:
agsri; MN 55121 DATE:
ng; ? IV No. of Units: 1 unit tnh? e
r. ?ollefaon Buil('.crrs
ross:
?rc?. "?rr)-'Ieather Drive ?.41 nl Briar HT11 I??
umber. c - ?n Plumbini
r No.: 02 Connection CF+arge: 450.00 psL_
r/ Accrount Deposit:
?M t Fee:
lteo No.:
? , , ? •. 1 1?1r
? .or« h w!t!? M.1ra . S,u?¢t4?se: SC. thaIR&,"igg
.,
• .?, ?? ??'Y `?. Po a
?U
'' w
;Cote of I nsp:: i^aP.: RFC
This repuesI void 7`"1
18 mpnths from
W01 3215
P,wQr ??ll
q
3? T8- q
lD' oo
Hepuest
f te Fire No. Rouph-in Inspect?an
FeqwreA?
?Yes ?No
?ReaEy Now ? W?II Notify InsOec-
lor When Ready
?EglicenseclElecVical Conlractor
? I hereby requast inspection o1 abuve
? Owner electncel work inafelled et !.. , tL(a_ ???
54ee[ A<td,ess, 8ox nr Foute No. CitV
ecLon o. Tpwnship Naine or No. Range No. Coun[y
OccuUent IPRINTI
7i: /A Phone No.
4- S'73
Pawe SupP b?er _ Addresrs
?
/
f
Q Jt?C1 1mZu2
rG/ f3-1
-1
EIe ' a ConVactor (COmpany Nsme) _ Contractor
's
lice
nse No.
p
?
f
Mailing Address ICOntrac[or or Owne
la y -7 A' r Makine lnstailationl
saJ c
ir s
a
a o ,? e
.
ve
Au[horized ignature ( onh 'to Owner Making Ins allation)
ce Phone Numher
'29 0 ? 3 546
MIN OTA STATE BOAXD OF kECTflI ITV THIS INSPECTION NEQUEST WILL NOT
Griggs-Midway eldg. - Room N•191 BE ACCEPTEO BV THE STATE eOAHD
1821 Univereity Ava., 51. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
e?___ -11 -.n, ".. ENCLOSEO.
? REQUEST FOR ELECTRICAL INSPECTION } EB-00001.04
„s
' See instrue[ions tor comOleting lhip form on back ot yellow copn
? D73'2 1 5
"X" Below Work Covered by This Request 3lD U??
AA' Hap: `Type of Builtlinq Apptiances Wired Equiua+ent Wiretl
Home Range r, ?Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tank
Farm tne• oe,:i v Othc,., (sncri(v)
[ er uccify Othor Other
Compute lnspection Fee Below
# Fee ServiceEntrenceSixe k Fee Feetlers/Subieetlers tt Fee Circuits
200qms 0 to30qms Oio 30Am
Above
200 qmps 31 to 10U Amps
+ mming Pool Above 700Amps
sformers Irrigation Booms
s SUeciallnspection
/ J C'
S
Tp?
Aemarks (,?
Rouah-in Date
I, tha Elect?icpl
Inspectaq heraby
Final ///? r D•[E/I!r Inspaction,hes been
i . /I J•?-? i! Z ?n84B. n I
Tliis reouest voia 18 manihs Imm
REQUEST FOR ELECTRICAL INSPECTION
See insvuctions lor eomoletine this form on back ot yellow copy.
IX" Be ow . ?jor i7
overed by Thrs Request
Eg-00001-04
j4M y,
;'-
New Atld flao. TVpe of Builtling Apole ncns Wiretl Equiument Wired
Home Range Temporary Selvice
Duplez Water Heater Lightiny Fixrures
Apt. Building Dryer Electric Heatin
Commercial 81dy. Furnace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk TaN<
Farm Othxr SpenN Oihnr ISUCr,ifvl
thnr uu,ify thur Oihor
Comjiute lnspection Fee Below --
t! Pee SorviceEnhenceSize p Fee Fneders/Subfeednrs # Fee Circults
0 to 200 qm s 0 to 30 Am ps 0 in 30 Am os
Ahove 200_qm ?y 31 ta 100 Amps ' 37 to 700 qm s
Swimming Pool Above 100_Amps A6ove 100_P.m s
Transtnrmers Irrigation Booms -?'j 0 Partial- Other Fee
Signs Special Inspection $ J? ?
Remarks ? EE
?
O.
Rough-in D t
-'r? , me a
'
C, ??
F
eY
il Inspoctor, hereby
Final
-
v??"?f
.
k certily Nat the nbove
spection has baen
o
? ? jll mede.
This repuest void 18 months irom
This reanest voiA
J8 months from
W 091817 ??pek1i
3g3oa
i ?'7o - ao
Request ete
? Fire No. Rouph-edIn?Inspectlon
FeGu'
?peaAy Now 'll Notily, InsPec-
tur Wh
n R
d
?es ?NO e
ea
y
icensed Electncal ConVacmr I hereby request inspection of above
Owner elecVical wnrk installed at: ?
Sireet Address. 9om or Route No.
Y56 S9?IvO-? Cit
?q
ection o. Township N;ime or No. flange No. County
?q ?? //i? -
Or,cupant IPflI TI •
I
B
?d Phone No.
6
esDn
/
ers
Powe.r$upulie,
l
fiE? AAAress 1 ? ?.?1 J
` J`
ec
r,0,
a Cr/?tlvl 7da'I
Ele tncal Contrvc[or IomOanY NTmel Cuntracmr's I.icense No.
E o o 749-3
Mailiny AdJress (Convactor or Dwner Making Instxil:?tion) ?? 5? 3 7?
?
???
Dvvr? v a
(v
Ao orized Sipnature ICoMractodOwner Makinp Ins[alla[ion) Phone Numbor
99;?0-3-515-ls
MINNESOTA`$TATE 90AP0 Oi ELECTRICITY TMIS INSPECTION ftEQUEST WILL NOT
Grig9s-Midway Blde. - Room N•191 BE ACCEPTED BY THE STqTE BDAFD
1821 Vniversity Ave., St. Paul, MN 55104 UNLESS PHOPEN INSPECTION FEE IS
pti??e 'Aill 147_711, ENCLOSED.
°/ o 0 7
?/rr/ 9;/
? ?
p 210 0 6,?.?,? /S
Requesl Oate Fire No.
. ??.
? ough-in InspecLOn
Required?
eatly Now C Will Notily InSpector
?
qr =Yes C WnenReady?
IPcensed contractor D owner hereby request inspection of a6ove electrical work at:
Job Atldress (SVeet 8ox ute No j
? L?P? Cily
Section No. Township Name or No. Range No- County /-
???d r?
Occu I iPRMT? Phone No
A)
Power Suppiier Atltlress
ElBChical GOlIractor (GOmpdny NamBi ConbaCtOf§ Licen6e No.
Mettler Electric 042252
Mailrt.g Aotlress (Conlracbr or Ownar MaWng Installellon)
1240 - 46th Ave. N.E.
AWhonze0 SiqoaWre COnsaponOwneT Making InsWllanoni Phone Number
Michael L. Mettler _574-9744
MINNESOTA STATE BOAPD OF ELECTpIGTV Ir THIS INSPEGTION REOLIEST WILL NOT
Grigge-MiEway BIAg. - Room 5-173 BE PCGEPTED 6Y THE STATE BOARD
1821 University Ave.. SL Paul. MN 55104 UNLESS PROPER INSPEGTION FEE IS
Phone(61P) 602-0800 ENGLOSEO.
REQUEST FOR ELECTRICAL INSPECTION es-00001-0e
?
0, See inslmc' - mpleting this torm on oack oi yellow copy,
1 21 nnR "X" Selow Work Covered by This Request
e Add Rep' 7ypeofBuiltling AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Elechic Heating
Apt. Building Dryer Other (Specify)
Comm./Intlustrial F ace
Farm Air Contlitioner
Otnerlsueotfyi Contrector's Remarks:
Compute lnspection Fee Below:
# Other Fee # ServiceEnirance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trans?ormers Above 200 _ AmpS Above 100 Amps
inspxtors us e oniy: O7A?
ion8ooms
a ?
al Inspection
Speci
AlarmiCommunication THIS INSTALLATION MAY BE ORDER ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, [he Elecirical Inspector, hereby Ro°qh-'" oate
certify Ihat the above inspection has
been made. F;,,ai . oa?a
OFFICE IISE ONLY v4bow
This raquast voitl 18 months imm
-? REQUEST FOR ELECTRICAL INSPECTION ee-ooom.a
p See instruc[ions lor completing this fwm on back olow copy.
'"X"" Below Work Covered by This Request ?j 7
C,
AAd Rep. TyOe at Builtling APOiiancee Wired EQUiument WireJ
Home Range Temporary Service
? Duplex Water Heater Lightiny Pixtures
Apt. Building Dryer Electric Heatin
Commercial Bldy. Fumace Si!o Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other peci y ther (SUer.ity)
-t r Suem y Oihor 01hur
Comnute lnspeciion Fee Below
# Fee ServlceEntrenceSiza g Fee Fenders/Subfeeders N Fee Circuits
0 to200qm s 0 to30Am s Oto 30Am s
Ahove 200 qinps. 31 to 100 Amps 37 [0 700 A s
Swimming Pool Above 100_Amps Above 700_Amps
Transformers rrigy?ion Booms Partial;'Other Fee
Signs Speciai inspection $ TO
/
?
ne?rkz ?{ L_ /? fl .-_ n // _` T?L
EE
/ i.? ell )
r u • i/G c?'
Ro'eh-in Oatc
Inspector, hereby
Final "rtify that the above
( ?:rte
Oection hes been
/ a de.
Thie recuest voltl 18 monlRS trom
This requast void /_ ? [I n ? 3C[G ?y
?090657 7 ( L-Ky 1g ? a H 1 ODu ?1<_' ?
Fequest Date Pire No. Rnugh-in InsoecUon
Repurted?
?Reatly Naw Q Will Nolify Inspec-
- ?Ves No lor Whyp Reatly
Licensed Electrical Contractnr I hereby requast inspection oi above .
Owner electrical work inslalied at:
Street Address, Box or Rout No. Ciry
.
eclron o. Townshi0 Name ur No. Range No. Cnunty
• /`L// /f'
Oc
ntIPRINTI Phone No.
r
?s ?sa - 0
Powpr Suppliei Adtlress
EI vical Contracmr Comoany Namel Convactm'sL
icense No.
it,
!n .
Mailin ddr s(COnhactor or Owner MakinB Instailation)
Aut ized Sipna[ure (Conu or Owner Makine Ins Ilation) Phne N nber
o
35--V
MINNESOTA STATE BOAND OF ELECIAICITV THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey BItlB. - Aoom N•197 BE ACCEPTED BV THE STATE BOAND
1821 University Ave.. St. Paul, MN 56104 . 11NLESS PHOPEfl INSPECTION FEE IS
Phone (612) 2974111 ENCLOSED.
CITY OF EAGAN ?T
9795 Pllof Knob Roed Eogen, MN 55122 lr ? 8263
PHON[: 454•8100
BUILDING PERMI? Recelpt # u
Te 6s wad ioe ,1 of 4 PLEX Est.Value $53,000 Dote July 20 _ 19 83
Stte Address 3856 Heather Drive Erect M Occupancy R-3
Lot43- Blotk 1 Sec/Sub. BYiar Hill 4th Alter ? Zoninp (PD) R-3
parcel # 10 14993 430 Ol Repair ? Fire Zone NA
Enlarge ? Type of Const. V
W Name Tollefson Builders, Inc. Mova ? # Srories
z Addrou 1655 Norwood Drive oemolish ? Length_44 .
Ci EaQan 55122 pF,one 454-6873 Grode ? Depth 32 Sq, Ft.-
p Nome OwneY ApProrals Fees
u? Address Assessment Permif 292.00
Ci Phone Water 8 Sew. Surcfrorge 26.50
f? Police Plon check 146.00
Vw Nome
Fw
Fire 525.00
SAC
Z
1
-v, Address Enp. WaterConn. 450.00
iW CI Pha?e Plonmr WaterMeter 60•00
Council Road Unit 250.00
1 hereby ocknowledge that I huve rend thit apDlicotion and sfote that gldg. Off.
the inlormotion is correct and ogree to comply witholl opplica6le APC l $1749
50
T
Stote of Minrrosoto Statutes and Ciry of Eogon Ordinonus. .
oto
Sipnoturo of Pertnittea
Tollefson Buildees IIIC
' .
A Building Permit Is issued to: xpress condiMOn Ihnt
on tM e
oll work sholl 6e done in occordonte with All applica StoM of Minnetoto atutes and City o4 Eapon Ordirwntes.
Buildinp Official ,{D.ot-
CITY OF EAGAN
9795 PIIW Kneb Raod Eagen, MN 55122 ?7
l?l ?
8264
VHONE: 454•8100
BUILDING PERMIT * Receipt # 41li
?
Te 6s aud !er 1 of 4 PLEX Est. Volue $53,000 Date J ulv 20 $3
19
_ ,
_
_
Site Address 3858 Hg ather Drive Erect IM Occupancy R-3
Lor 44 BI«k 1 Sec/Sub. Briar Hill 4th qite, C] Zon;,,y (PD) R-3
parCel # 10 14993 440 Ol Repoir ? Fire Zorce NA
V
Enlarge ? Type of Const.
W Nome Tollefson Builders, Inc. Move p # Stories
z? Addresa 1655 Norwood Drive
Demolish ?
Length 44
Ci Eag an 55122 phO1e 454-6873 Grode ? Depth 32Sq. Ft.-
?
0 Nome Owaer Approvola Fees
?6 Addren Assessment Permit '
Woter & Sew. Surcharge 26.50
C?t Vhone
Police 146.00
Plon check
WW Name Ffre SAC 525.00
~z
?? Addreu
Erp. 450.00
Water Conn.
i W CI Phone Plonner Water Meter 60.00
Council Road Unit 250.00
I hereby ocknowledge that I hove read this aODlicotion ond state thaT gldg. Off.
the informotion is wrrect and ogree to wmply with oll opplicable AP l $1749. $0
T
Stofe of MinnesoM Statutes ond Cify of Eogon Ordinonces. C ota
Siflnnture of Permittee
Tollefson Builder Inc.
A Building Pertnit Is issued to: on the express wndition thnl
oll work sholl be done in accordance wifh oll op ' ble 51 ? ta $to tes and City of Eagen Ordinances.
8uilding Officiol •- ????C/ j?,
CITY OF EAGAN
9795 Pilot Knob Road fagan, MN 55I22
PHONE: 454-6100
N° 8265
BUILDING PERMIT Receipt #
To M wed Ie. 1 of 4 PLEX Est. Value $53,000
5ire Aeeress 3860 Heather Drive
Lor 41 BI«k 1 Sec/5ub Briar Hill 4th
Porcel # 10 14993 410 Ol
W IName Tollefson Builders. Inc.
9 z Address 1655'Norwood Drive ' ^'^
o Nome Owner
us Address
? Cit Phone
Gp Name
?w
=Z Address -
I hereby acknowledge that I hnve read this opDlicution ond state that
the inlormolion is corre[t and ogree to comply with ali opplicoble
$tote of Minnewto $tafutez and City of Eagan Ordirwnces.
Sipnature of Permittee
-? To3 T'
A Building Permit Is issued ro:
oll work sholl 6e done in accordarxe with all
i
Buildinp pfficial
20 ,'0 83
Erect 0 Omupancy R-3
Alter p Zoning (PD) R-3
Repoir ? Flre Zone NA
Enlarge ? Type of Const. V
Move ? .# Stories
Demolish ? Length 44
Grade ? Depth 32 Sq. Ft.-
Approrah Foas
Assessment _
warer S sew.
Police
Hre Eng.
Vlonner -
Council _
Bldg. Off. -
APC
Permit G7G.VV
surcha.ye 26.50
Plon check 146.00
SnC 525.00
Water Conn. 450.00
Warer Meter 60.00
Rood Unit 2$0.00
Total $1749.50
, Inc.
_ on the express wnditlon tl,ni
and City af Eoqon Ordinances.
CITY OF EAGAN 8266
3795 Pite! Knob Roed Eegon, MN 53142 ?7 1?I .?
PHONF: 454-8100 -
BUILDING PERM{.T tieceipt #
1 of 4 PL
000
Site Address :iu62 Heather urive
Lor 42- 81«k I_ $ec/5u6. Briar Hill 4th
Porcel # 10 13500 420 Ol
W I Noma
; Addre.
b
p Name
0
Addre,
Inc
1655 Norwood Drive
Nome _
Addrou
I hereby acknowledge thot I hove read this opDlicotion and state that
fhe 7ntormofion Is corrett ond ogree fo comply w11h atl opplicoble
State of Minnesoto Statutes and City of Eogon Ordirwnces.
Erect M Occupancy R-3
Alter ? Zonirg (PD) R-3
Repoir ? Fire Zone NA
Enlarga ? Type of Const. V
Move ? # Stories
Demolish ? Length 44
Grade p Depth 32 Sq. Ft.-
Approrata Fees
Assessment _
Water 8 Sew.
Police -
Ftre
Enp.
Planner -
Council _
Bidg. Off. _
APC
Sipnoture of Permiftea -
o e son ui ers, Inc.
A Bullding Pemiil Is iuued to: 19
all work sholl be done in occordonce wifh II ppliwbl a?e of we?o1
Buildinp Officinl QO ,S1Ar.... ? /
Permit L7c.VV
Surcharge 26.50
Plan check 146.00
snc 525.00
Water Conn. 450.00
Water Meter 60.00
Rood Unit 250.00
Tmal 1749.50
on tha ezpress Condition thni
Statutes and City of Eagon Ordinances.
Tallefean Bteilders Iae.
JACKSON - SURVEYCJRS -?
.
R[61iT[p[G UMD[R LAW{ OF STATt OF 111 TA t
?P
3616 EAST 65th STREET, MINNEAPOL}s,'fMN 55417 727-3464
?
Sclla: 1"° 40' `
0 Denotes iron
/? Drsinage
_ Exis[ing Elev.
i
.'?LL ?? ICCCh6[@It .,,
43
H L A7 r ?_K
L.aIvE
q?? ° QL
5 ? i 6
%
lcc t? .'i, ?
d
N
ti
/
i.
?
1 r
9c.55
Or. 11440
i83-19
?
44 \
.\ I[Lt
?
?
I X[R[tY G[NTI/Y TNAT TM[ A@OY[ lt A TRU[ AND CORR[CT PLAT OF /t SVRV[Y Oi
Lote 41, 42, 43, 44, 61ock 1, 6riar Hill 4th Additlon,
Dakat¦ County, Ninnesota
Propoaed Garaga Fleor Elev. 102.0
Prspoaed Eaaemeot Floor E1ov. 102.36
Prepoaed First Floor Hlev. 109.37
Aa wavcvco Br ri rnis 7th ?r cw July ?.o. 1983
swHa
F. C. JAClCiON. MIMN"
¦. No. ASOO
p. CI'fSt CP FAGAN include 2 sets of plans,
1 site plan w/elevations &
ILDING PEFa+IIT APPLICATION 1 set of energy calcui.atirns.
p - 1
Zb Be Osed For L? Vqa rL Valuation S3io° ? Date Site Address 1-31991.0;3228 ?glno,3?(a? DriV?.; OFFICE USE oNLY
1?\ !?
I.ot?+}?Block ? r Sec.J/?suh.6rat- W%-1l gsect J? oc?
Paroei #: I d I? 4 Q? Y? 01 n.lter zonirg i? 3?-
? \ Repair Fire Zone
Owner: Enl.azge Zype of Const. ?
Addxess: hbve ? # Stnries
Danolish Pront ft.
Grade Depth 3.)- ft.
City/Zip Cade:
Ptnrie N :
?,- -' - APPf,DVALS t F:Fti
Contractor: Assessrents Pesmit
Water/Sewer Surdiar9e o7G ?
Addiess: Police P1an Check
City/Zip Qode: Fire SAC
Phone N: Eng ' Wat,er Conn.
?-
Plaruier ` Water Meter
Council Road Unit ? a o
??'.??.: Bldg. Off. ?' - ' -
Pddxess: APC
City/Zip Code:
Phone #:
?A?L l ]SD
y ?f?J
s?u6°
CITY OF FAC',AN
t?
QF BUILDING PEFMTT APPLICATION
4b Be Used For valuation 6 C)
Site Address 38?tn?3$s$',3$l00?381oaIN£a4lt@r DriUE.,I
Iat ;locle'.0 /sec./sub;8racl-??ll
Paroel #: ib rq44 .s q4o at
Owner:
Addzess:
City/2ip Code:
Phore #:
I
Erect X
Alter
Fepair
Enlarge
Nbve
Darolish
GraAP
Include 2 sets of plans,
1 site plan w/elevatians E.
1 set of enen3y calcvlations.
DatE '-\ I
CJFFICE OSE ONLY
Occupancy
ZordM n
Fire Zone AVI '
'Iype of Const. ?
# Stories
Pmnt ft.
Depth a ft.
' APPiIDVAL6 " F'fES
Contractor:. Assessnents Permit 0?? 9a
' water/sewer surcharge ,2 ?v
Addtess:;- ?loS 5 '(? (9 c ?v cs?? k)r :
City/Zip Code: - S Fb?ece Plan Check
SAC ?a S-
?g. ` Water Conn. y.s-p ?a-
Phorie N: ???- lp ?l'3 Planner ' Water Metex (oo ?'
Arch./Eng.: Council Fnad Unit
Bldq. Off.
Address: APC ?
City/Zip Code:
Phcele # : Rt7TAL ? ? Lq2)
? CITY OF FJ+CAPI Include 2 sets of plans,
1 site plan w/elevatioas 6
?? U? ??F BUILDING PERMiT APPLICATIDN 1 set of esieryy calcvlatirns.
To Be osea For Valuation ?'530 6 0 Date
Site Address 3Sd(o?3Ss$;3$lDOri39&a J1-}faAl,tQr Dr"?,?? CFFICE UsE orr[x
Iot `'??Io?3? ? / Sec./Sub..bsiac W? +_N Erect
Nbve
Paroel r?44 3 41 O Ot Alter
O.rner: EnlarIe
Prdsess:
City/Zip Code:
Phone $:
X Occupancy ?.2
zo?? .? -?
Fire Zone 4ype of Const. l?
# Stories
Darnlish Front / ft.
Grade Depth 302 ft.
T- ` \ APPF?7tIAiS E'EFS
ContFactor: Perndt ?2 92
Water/Saaer Surc3targe
Address: ?`05 ??> no? Police Plan Check 1--V6
City/2ip Qx3e: Fire zs-
Phone k:??? -`o ?1 3 ?• watex Conn. S/6 o r?
Plarvier Water Meter ?
Arch./IYq.: Council Fdo?d Unit ? sz9 _
BZdg. Off. -
j{ddrpCs: APC s ? /..
City/Zip Code-
Phane # : 'IOTAL A ( 7 ` s c?
CITY OF FAG71N Inclurle 2 sets of plans,
1 site plan w/elevations &
BITILDING PERMIT APPLICATION 1 set of enen7Y calcvlatirns.
2b Be Used For l?- ?q-y .4 Valuation ?-.? ?J d d Date
site adaress 3.??'(n,3?s??38lno;38laa {??a1kQr_Drcv2 'CFF.ICe osE aNt.Y
sec.isu?.&T,av N;ii -Erect X ?
Parce1 ?: ?a r?144 ? yao b? A1ter Zoning P?b
Fepair _
O+mer: Enlan7e
Address: MOve
Danolish
City/Zip Co1e: Grade
Phone N: -
Fire Zone
'iype of Const.
# Stories
Front ft.
DeFth ft.
T APPFeDVAL.S ' F'EFS
Contsactor:._ ssrnnts Perniit ?V?? 4?
[9ater/Seaer Surcharge ?-
Arkiiess: .?1n5 S? Fblice Plan Check ?
City/Zip Oocie: Fire _? -'- 57C
Phone N: ?• ? Water Conn.
Plaruier ' Water Meter
Arch./E]xJ.. . Council Rox1 Unit
Bldg, Off;7-
Pr3dress: APC
City/Zip Code:
Pnone a: TarnL
Cities Diizital Oualitv Control
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_ # ` ' .. f r ? , l,??, r ?,r ? .;. ?.i?'?.? :? i. '.? i. ? Y f , ..i.Y1?? ??•ii??y?i?? j_ ;.
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r. . ?
CTTY USE ONLY
PERMIT #: L-1 5-71-1? ? RECEIPT DATE:
MIDERTIAL MECR4AICAI. PM1T APPLIClkTiOA
crrYoF gasAx
saso Paor Kxos su
$E?HAA 3uY 55188
651-6$1-9675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: d? IT l
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
Place a check mark next to the nermit work tvne
b
STATE: /v?V? ZIP: SSC)Cn --CJ
M I\ 1
New residential dwelling unit under constructionand not ownedoccupied $ 70.00
Add-on odifcation or alteration to existinq dwelling unit $ 50.00
• fumace replacement
• air e F---_?
/+ air canamoner ?
-
• other
Nature of work:
State Surchar e .50
rotal AUG 2 8?jG1
Reminder: Call jor inspections.
L°y
I?
?
Updated I/01
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
CObIMEftCIAI. MECH4A1CAL PERbI1T lkPPLiCATiOft
CITY OF EAHAN
3930 PILOT KNOB iiD
K4HAN, MR 551 E8
651-681-4675
Please complete for: all commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONL1):
PHONE #:
(AREA CODE)
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE#: -
(AREA CODE)
STATE: ZIP:
WORK T'YPE: New consGUCtion
_ Interior Improvement
_ Processed Piping
_ Install U.G. Tank
_ Remove U.G. Tank
SpecifyNature of Work:
R'leen tnstallinghemoving underground tank call 651-681-4675 for inspection by Fire Marshal and
Plumbing Iinspector.
Fees: 1% of contract price OR $50.00 minimum fee, wlrichever is greater.
Underground tank removaUinstaltation = minimm fee
Contract price: $ x I % _ $
State surchazge
TOTAL
$
(Base Fee)
calculate at $.50 for each $1,000 Base Fee
SIGNATURE OF PERMITTEE
Updated 1/Ol
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN MN 55122
PifONF,: (612) 454-8100
MCCkIANi GAL I':?RMGT
pqy r^ ,.,
RESIDENTTAT..PLEASE COMPLETE UPPER PORTION DNLY FOR SINGLE FAMILY DWELLINGS &
--TOWNHOMES/CONDOS WHEN PER?tITS ARE REQUIRED FOR EACH UNIT.
----------------------
----------- --^--------------------------°--
WORK DESCRIPT-ION ----- T FEES
NEW CONST
ADD ON ?
REPAIR _
OkTNGR NAME: IY1RRT STDNr-
SITE ADDRESS: S361P T??A"TFFtI? ?"??G
LOT: BLOGK -j SU13D. 4&? T-
INSTALLER: f??OHLEP-S Sbl(7}}SIAE
A?DRESS: I0,b J`tSt` S-W-6e r _
_
CITY: A'f'YLE Vfl'LLt ? 7IP: f 5SI*44
PHONE ik: "T,SI- -7D9/
ADD-ON MINIMUM
HVAC 0-100 M $TU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL: .
STATB SURCHARGEt '
$15.00
24.00
6.00
3.00
"_
s16"
.50
/ ??
TOTAL: SJs?
qLs.&n-c.vc?
SIGNA RE F PERMITTEE
COMMERCIAL/INDUSTRIAL:: PLF_ASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDVSTRIAL BUILDIP:GS,
---- ' ----- APARTMENT SUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS AAE
NOT REQUIRED FOR LACH DWELLING UNIT.
GOR'TE2ACT PRIGE
Ol1NER NAAtE:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
GITY: ZIP:
PHONE #:
FOR:
FOR CITY USE ONLY
PERMIT # 1-3 0-5
RECEIPT # O !O
DATE: S S
FEES
1% OF CONTRACT FEE:
STATE SURGEW2GE,- ,$..50 FOR ,
EACH $1,000 OF PEI2MIT FEE:
PROGESSED PiPING - $25.00 -$25,00 MINIMIJM FEE.
CONTRACT PRICE x 18. $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
? ( v?
*****************?****?******?****?****
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 719
DATE: 08/09/00 TIME: 13:50:18
ID:
NAME: SCOTT MOHS
3210 9001 3860 HEATHER DR 181.25
2155 9001 3860 HEATHER DR 5.00
Total Receipt Amount: 186.25
CR135608
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF 614GAN
3830 PILOT KNOB RD - 55122
651-881-4875
New CanafiueXOn ReaWremenh Remodel/Reoalr Reaulremenh
D 3 refllafereA Yte wneya alwwlny sq. H, of bt, aq. R. ol houae
and gp roofed areaa (20,% maWmum lot covemae adlowedl
> 2 coples of Plane (show beam 8 wlndow alzea; Paretl hW. design: efcJ
> 1 sef o1 energy CalCtilaMOnE
> 3 coplee ol hee preaervatlon plan It IW plaltetl aHer 7/1/93
DATE:
2
DESCRIPTION OF WORK: ¢ 4
2
3,8? L 0
STREET ADDRESS:
Sheet Address:
LOT: ? BLOCK: ? SUBDJP.I.D. B:
Name: 62.1w2 /'<< I( Phone #:
PROPERTY l.ast Flrsr
OWNER
City
State:
LP:
Company. ?r r? ?[]w5 ( 69iu S4 (?A Phone #: / 2 2Z
(area code)
Q /loa ?,
2 coples of ptan
1 set of energy cdculatlons lor heafed addtlons
t site survey r« extedor addlnona ! decw
CONSiRUCTION COST: S&-o
_ Al ea f/ -c-
CONTRACTOR
Sfreet Address:?? g///9 x v& So ucense u?Ezp. TL!2 /
CNy Stafe: 44ILi Lp: S S?C? b
ARCHITECT/
ENGINEER Company: Name:
Telephone #: (
Sheet Address: ReglshaHon q:
Ciy,
State:
Lp:
Sewer/water licensed plumber (ff installina sawerMraterl: Phone lk (?
hereby xknowledge that I have read this applkatbn, alafe that the WortnaHon is cortect, and agree to compty wilh an appllcabla State
of Minneaofa SMtufes and Cify of Eagan Ordinances
Sigrwlure of ApplieanY Ud P.
OFFICE USE ONLY
Certiflcates of Survey Received _ Yes _ No Tree Preservation Plan Recelved _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-piex O 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex O 18 Deck ? 23 Porch (screened)
? 04 02-piex ? 10 08-plex O 19 Lower Level ? 24 Storm Damage
? OS 03-plex ? 11 10-plex Plbg _YOr_N O 25 Miscellaneous
? 06 04-piex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration . ? 38 Demolish (Inte(or) ? 45 Fire Repair
O 34 Repair ? 42 Demolish (FoundaGon) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building
Engineering
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
;r
? 31 ExL Alt - MuRi
? 33 Ext. Aft - SF
? 36 Mufti
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
SAC Units
% SAC
,..
BRIAR AILL 4TH
PERMIT
DATE &
USE
5/83 4-PLEX
5/83 4-PLEX
6/83 4-PLEX
7/83 4-PLEX
9/83 4-PLEX
10/83 4-PLEX
4/84 4-PLEX
LOT BL
290 01
300 01
310 01
320 01
330 01
340 01
350 01
360 01
370 O1
380 01
390 01
400 01
410 01
420 01
430 01
440 01
450 01
460 01
470 01
480 O1
490 01
500 O1
510 01
520 01
530 01
540 01
550 01
560 01
14993
ADDRESS
3857/ HEATHER DR
3859/
3861/
3863
3865/ HEATHER DR
3867/
3869/
3871
3868/ HEATHER DR
3870/
3864/
3866
38 0/ HEATHER DR
3862
3856/
3858
3852 EATHER DR
3854/
3848/
3850
3844/ HEATHER DR
3846/
3840/
3842
3836/ HEATHER DR
3838/
3832/
3834
PAGE 2 OF 3
6
? BL I
CITY USE ONLY
sueo. ri
RECEIPT #: ? I (,;, o a' ?
RECEIPT DATE: 9-9 -I 9
PERMIT#
1999 PLUM$IHC POiMIT MSIDENTIAL)
C[1'Y Of gA@AN
3830 Pu.oT xxoa Rn
E46AN, MN 55122
(651)6$1-4675
Please complete for: ? single family dwellings
> townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath iuo
-- ------._._----
? ? 3.00 i x.
Floor drain 3.00 x = $
Gas i in outlet ' minimum - 7 3.00 X = $
Hot tu6/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
? Private Dis osal S stem new/refurbished ` re uires MPC iic. 75.00 x = $
I Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x - $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ 50
7otdl --> --? ----? ----> $ 50
RP.R7f7G'EI: C,.:: f?s l:sspeu`ians nf a!'?.-GtiO:iG, !.-i's. W8}FrISPgi:FfG, :vR7C1' g4ft2inar.s; P.fC.
__here6y acknowl"'____" edgetha_"t I have "'___ re"ad "'this ___" app"li' _tat"e " that the ""infort"nation """is"____'to_______comply_ "with" "all"'__"'ry_.of._Eagan_ _____'_'.
I cation ,s correct,and""agree" applicable"" " Ci ordinances_ "" .
It is the applicanPS responsibility to notify the property owner that the City of Eagan assumes no liability for any damages causetl by the Ciry during its
normal operalional and maintenance activities to the tacilities constructed under this pertnit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: :
LANCASTER,SHERYL
3860 HEATHER DRIVE
EAGAN, MN 55122
(ssi ) 456-0963
INSTALLER NAMt:
STREET ADDRESS:
CITY:
TELEPHONE #:
(AREA CODE)
TELEPHONE #:
(AREA CODE)
- 1 STATE: ZIP:
(612) 827-4033 . i
2905 GARFIELD AVE. SQ.
M9???POL'Sa ?? ,SWO. SIGNATUR OF PERMITTEE
?M-
3830 PILOT KNOB ROAD. P.O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE: (672) 454-8100
January 30, 1986
CHARELYN SWANSON
3856 HEATHER DR
EAGAN, MN 55122
Dear Charelyn:
BEA BI.OM9UI5T
Mayor
THOMASEGAN
JAMES A SMITH
JERRY THOMAS
THEODORE WACHTER
Councll Members
THOMAS HEDGES
Gry Atlmin'shabr
. El1GENE VAN OVERBEKE
CHy Clerk
?
l? ??G
Your complaint of frost heaving recurring in the garage at 3856 Heather Drive*.
was investigated on January 8, 1986 and found to be correct.' The Department
of Inspections was of the opinion that the extensive corrections taken by
Tollefson Builders in August 7985 would have solved the problem. I would
suggest that you contaet Tollefson Builders or your insurance carrier with
this recurring problem.
Sincerely,
9?
?C?G et,7/"L?
Dale Peterson
Chief Building Official
?P/js
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIiY
CItV OF
3830 PILOi KNOB ROAD. P.O. BOX 21199
EAGAN. MINNESOTA 55121
PHONE: (612) 454-8100
September 11, 1985
CHARLENE M SWANSON
3856 HEATHER
EAGAN, MN 55122
Dear Charlene:
' BEA BIOMQUIST
- Moyor
iHOMASEGAN
??f JAMES A. SMITH
JERRV THOMAS
V? THEODORE WACH7ER
Cauncll Mambera
?AJ
\ v? THOMAS HEDGES
CiN Atlministrata
' EUGENE VAN OVERBEKE
,
y ClryClerk
r
1,?? V?
The prob2ems you had at the above address with frost expansion at the garage
door opening and the separating wall between the dwelling and garage have been
corrected and repaired by the builder. I was informed by Tallefson Builders
that Twin City Testing evaluated the prablem and recommended the corrections
that were taken. Doug Reid, Eagan Assistant Building Inspector, and I
inspected the repairs prior to placing of the concrete.
If you have further questions that we might help yau with, please call.
Sincerely,
1,,zl?e
Dale Peterson
Chief Building Official
DP/js
THE LONE OAK TREE...iHE SYMBOL OF SiRENGTH AND GROWTH IN OUR COMMUNItt
p ?
70J ¦
3830 PILOT KNOB ROAD, P.O. BOX 27199
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8100
February 21, 1985
CHARLENE M. SWANSON
3856 HEATHER_; ? ? -
EAGAN, MN 55122
Dear Ms. Swanson:
G
BEA 6LOM9UISi
Mayor
7HOMASEGAN
JAMES A. SMITH
JERRV THOMAS
THEODORE WACHTER
Council Members
THOMAS HEDGES
City Atlminisfrator
EUGENE VAN OVERBEKE
Gity Clerk
On Wednesday, February 13, 19$5 Building Inspector, Doug Reid, Tollefson
Builders representative, Robert Latzke, and I met with Mr. Bonin to determine
the reason walls were moving in the dwellings.
The dwellings are four-plex type townhouses separated by garages with a slab
on grade type of construction. The on-site inspection revealed that frost had
penetrated below the slab and was raising it from the foundation. I believe
the reason for the frost heave to be excessive moisture trapped beneath the
slab combined with the north exposure of the garage doors.
Please feel free to contact me if you have any further questions I might be
able to answer,
Sincerely,
CD1/XC?:(?',%/YV'
Dale Peterson
Chief Building Official
DP/js
CC: Carl Tollefson
Tollefson Builders
1655 Norwood Drive
Eagan, MN 55122
THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
OF
3830 PILOT KNOB ROAD, P.O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE: (672) 454-8100
February 21, 1985
t
MR CARL TOLLEFSON
TOLLEFSON BLDRS
1655 NORWOOD DR
EAGAN, MN 55122
RE: D{dELLINGS AT 3856 ? 3858 HEATHER`,
Dear Carl:
BEA BLOM9UIST
Mayw
iHOMASEGAN
JAMES A. SMITH
JERRV THOMAS
iHEODORE WACHiER
Council Membars
THOMAS HEDGES
Cily Atlministrator
EUGENE VAN OVERBEKE
City Clerk
On February 13, 1985, several of my department personnel met with Mr. Allen
Bonin and Robert Latzke on problems being created by frost getting under the
slabs and raising them off the foundations. I believe the frost heave is
being caused by excessive moisture under the slab combined with the northern
exposure of the garage doors.
Please keep me informed as to what corrective measures are being taken and
their progress.
Sincerely,
C` ;?,'•,?GLGf/??
?ale Peterson
Chief Building Official
DP/js
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN
I o??-??
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
zq C90-
New Construction Reauirements RemodellReoair ReaWrements ORce Use Onlv
3 registered site surveys showing sq. fl. of IoL sq. R of house; and alf rpofed areas 2 copies of plan Cert of Suroey Real _ Y_ N
(20%maximum lot coverage allowed) 1 set of Energy Calculatiuns forheated addUions Tree PresPlan Recd _Y _ N,
2 copias of plan showing heam 8 wiiMow saes; poured found design, etc, 1 sile survey for addNons & decks Tree P2s Requlred Y_ N
7 sel of Energy CelculaGons Addifion - iridicafe i/on-site sepNc system On-sfte Sepfic System _ Y_ N
3 copies of Tree Preservatan Plan if lot plaHed aher 711193
Rim Joist Detail OptionS selection sheet (buildiigs w(ith 3 or less units)
nate 4 / a?
SiteAddress 33lo
/ (?5
n N20.?-1'1Q ov
Constructioo Cost k?oo
V' P nnn n UniUSte #
Description of Work re nT ?[& ,-Ei Q Ao0r (Tnc1 b 7 ? E)
Multi-Family Bldg Y Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwoer 71 ehk? M(AAA fl n Telephone #(1,05 I)?gS ? 1 S S?
Contractar prlJ ave?
dOY 1C- hu
Address
State ? City
Zip Telephone # ( }
COMPLETE THIS AREA ONlY IF CONSTRUCTING A HlEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilafion Category 1 Worksheel • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has The City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # ( )
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurafe;
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
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.
t?? ? ? i 1 M,GI G?C? P Vl ? ?LX.,1G WI Y?f'?
Applic Ys Printed Name Applican s ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Di of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Att - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 08 04-plex ? 12 12-plex Plhg_Y or _ N ? 25 MiSCellane0u5
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 Demolish Building• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demolition (Entire Bid g) - Give PCA handout W appliwnt
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _
_ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test ._ Pinal _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
-;) s?/0
1S.so
zoos RESIDENTIAL PLUMBING PERnniT aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifcations to existing residential dwellings.
; Date I I ! ? ! dm(o
I1,.,,, \
Site S[reet Address .?L?? t?f'(.'l 1>r Unit #
?Y
?
n
?Y1
I Property Owner
Telephone #( ?
H.P. PIPEWC)RKS
?
C
t
t
on
rac
or Q67A BABB ROAkI Telephone #( )
i
Address EAGAN MN 55123 City State Zip
The Applicant is: _ Owner -)?Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
? Per as-built $ 10.00
?Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener andlor water
Fieater at the same time. lf you are installing onlv a water softener and/or water
heaier, do not complete this section; move to the next section and check the
' appliance(s) you are installing.
_Septic System Abandonment
i _Water Tumaround (add $130.00 if a 5/8" meter is required)
Otner:
-
Water Softener L Water Heater $ 15.00
_ new X replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ /S So
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is re Dic tobe re i d an roved.
?`:v? ? ??K-s ` Applicant's Printed Name anYs Signa ure
/ s. 5=1fto
-----------------,
? Fir:pffic@'?,'?se I
? I
? Permit #: ?
? Permit Fee: V V•?? ?
? I
? Daie Received: 1-3/
?
I Staff:
-----------------
2008 MECHANICAL PERMIT APPLICATION
Date: Site Address: h,
Tenant: 1.oV1?Suite #:
RESIDENT / OWNER Name: j2f,g.__A4?iLex,( Phone:
Address / City / Zip: C Wf. ?-
CONTRACTOR Name: I7D7.w License x: tar-i;-g ? 4/6 ?-
Address: I /Q L7 V PNjA&(.,11,l S'7
City: yzubfiL.lO State: L{. Zip: S90 3 ?S
Phone: 6 177- `'?.? '7- y/ '] ? Contact Person:
-"
TYPE OF WORK Replacement _Additional Alteration Demolition
-New V
>
Description of work: ? /tL L'?.. SaLt1 ?,L'
NOTE: Both roof mounted and ground mounted mechanica/ equipment 1§'re4uJred, to
be screened by City Code. Please co»tact the Mechanical Inspecfor or one of the
Rfanners foriMormation on ermitted:screenin methods:.`.
RESIDENTIAL COMMERCIAL
PERMIT TYPE Furnace
?,-/ _ New Construction _ Interior Improvement
?
"? Air Conditioner _ Install Piping _ Processed
Air Exchanger _ Gas _ Exterior HVAC Unit
'
_ HVAC units must be screened
_ Heat Pump Under / Above ground Tank (_ Install /_ Remove)
Other " W hen installinglremoving tank(s), call for inspection by Fire
Marshal and Plum6in Ins eclor
RESIDENTlAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharg
$90.50 FIr@ f0p8if (replace burned out appliances, ductwork, eic.) (includeS $.50 StatC Surch ge)
$ OTAL FEE
COMMERClAL FEES: -'
$70.50 Underground tank installation/removal OR Contract Value $ x 7%
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Pennit Fee is >$1,000, surcharge increases by $.50 for each =$ StBt@ SUrCharge
$1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge).
$ TOTALFEE
1 nereoy acnn0wl9age tna[ lnls Iniorma[lon Is complete antl accurate; tnat tne work PoII b8 In contormance wl[n tne ortllnaOCes antl c
I unders[antl [his is not a permit, bdt only an application for a permi[, and work Is not to start vnthout a permit; [ha[ [he work will be in
plan in case of vrork whi h r 4pires a review and approval of plans.
X x
Appl( nYs Pri ed ame ApplicanYs Sig ture
FOR
Requiredlnspections: Under
N' i i"
Test _Irnfloo{ Heat
?
ghZP°"T ? I n
N 3 0 2008 U
05/22/2009 11:05 6128616267 BEI EXTERIOR MAINT PAGE 04
9d~ys4
If
Permit:.
City of Ea au 1 Permit Fee: /
3830 Pilot Knob Road 9 -
Date MN 55122 ate received:
Phone: (651) 675-5675
Fax. (651) 675-5694 staff_----
t
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Cate: f //9 /0 5 Site Address: 2 56 3968"- 3%0 3 6~ ht /L V
Tenant: Suite
RESIDENT I OWNER Name ,¢SSDC~T1Un1 r cnry,•vu.4~G~l'7 Phone: 7G 3- 4+~~_ 37'7
Address / City I Zip: 70 Z 2 - X = + ' ~ S t F i S r+ ~./~I &$D 64LOVE N 575'31/
Applicant is: Owner X Contractor
TYPE OF WORK Description of work: /?E rlay~ A/1l4 ,t°_ 'G A' "
Construction Cost,# 466 J boo Multi-Family Building: (Yes / No
Zoo
f WU4)A /17'14'Nr era License 00 /338
CONTRACTOR Name: 81c'V05__
Address:
City: !NM DU. State: if Zip:
Phone: /.~/2 • _ y Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 CategOrv 1 _ Minnesota .Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(q submission type) - Energy Envelope Calculations Submitted
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: P140c and upiporttng docrr+rl ants'haf r r subif '?I<t, lr ` l i rd epf toti be pub/le >hfafriidfion. Portions . of.
the information may be classified as P90"-puiblitx f yov v{d~ sp r i? 00 3 at would permit .Che City to
cniiic,r~?de"fat the ire-lte.:keorm~t,i,.,
I hereby acknowledge that this information is complete and accurate: that the work will tae in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit: that the work will be in
accordance with the approved pia the case of work which requires a review and approval of I ns
X
Applicant's Printed Name Applicants Signature •
Page 1 of 3
Li ' copy
Use BLUE or BLACK Ink
I for 0111" use
Pertnrt 1811
41~ 'L 3
Of Eapn
; herrna-oa X73.'
3630 PUot Knob Road 1 00 Rea":
E88an MN 38122 1 1
I
Phons: (661) 6754W6
Fax: (681) 6768884 I
2013 RESIDENTIAL BWLOING PERMIT APPLICATION
pR
Data: ~o~~ / 3 Gips AddrEEa: 3>rs~ 317!?, 3 S~ o s Irby /Y4 TN Unitd:.~......_„..
1e; Flo A G r N M L phone: 74.1-err 3 Q 7 7o
Rte' ,
' Address r City / Zip: 8 s~ G ~a ~-v Q Av ,t~ Goc,1~ E
M A.t S.T'y~t 7
Applicant IS: Owner Z. Cp &aMr
Typ~aIV+c bescription of w«k
f' Construction Cost /y Muld-Family Building: (Yes
4 Company: ~oE) ~aC rx.2~oR N47 Contwt J~Awrd Zv RR t S
, Address yD S 60 S~ . City /~9 PG S ,
Sta . 1rI04 np: S-S~Vi 9 Phone: 40 f A - V?b 1 & x -
LJosnw C A q,l /3 / t.ead Cortiticato :
N the pr00d is exempt from lud cerd on, please explain why: (see Page 3 fbr additional in(ormabon)
t~4.~l03 laE2>~'~/L7' POS.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A
In the lest 12 months, has On Chy of Eagan Iwusd a permit for a slmltsr plan based on a mortar plan?
Yes Na If yes, dab and addross of madw plan:
licensed Plumber. Phone:
Mechankal Corrbat:3+or. Phone:
80"ra Mier Contractor. Phone:
CALL !gEQU
2, can bm'm of ~ One Can at (Eat) 4844= for Protedw agog* underground uWV damage. Call 48 han -
betae ~wu rs~nd to YW 01
to rooeTib
tXrdetOlptM UM N, www 022W,sdl..~ nemuA
""Y adatowtedee 00 this it*Mwbett 4 wnplota and =UM 111A the work will be in pprtfonnanoe with the wdinenm and codes of Oto
Eagan; ft l tat he aoup~r,o,~.e nd wnd is n 6 a panNt, but oNy an City/m
acmdarwe wld> the app6cayon for a permit, and work is no to stets without a vamdt that Ere work VA be in
pwn in vie ow. a ww7c wgyph nquraa a revlow and approval or pions
drp of Pworkernrlt " by a buUdirtQ permit tssastl In accordance wph *4 Minetosoto Stab Bmwldi Code must be eonwl* d wle t 1s0
dm'
• x l1JIvrA 'w{2.2rs •
-vvueanrs rattled Name x 7 9
Appucanft slonatum
Papa 1 of 3
b0/TO 39Vd 1NIVW 1X3 DE L9Z9198ZT9 ZO:PT ETOZ/90/TT
*City ofBatu
3830 pilot Knob Road
Eagan MN 55122
Phone; (551) 675-5675
Fax: (651) 675.5694
RECEIVED
MAR 2 0 2014
r
Use SLUE or BLACK Ink
For Office Nae ++ �L
1 3 4 J '
Permit e:
Permit Fee: LY I ()°
Date Received:
Staff:
31(If
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
d
Date; 3 -11?-/V Site Address: VIS -4', 31r , 31x6,0. 3 86x- rl �'r4Ti>/�/L 62.. Unit #:
Rtildent/
Owner
Name: ek Ale i ft)l.S 4 6 E Na Z A+ mss: •.+ C. Phone; 70- S-,- 3- 9 7 7 0
Address / City / Zip: S-0 6 E CA -7-1.) 2 AV, A) , ,t A Coot b s'. 14444€ Y ft, A)
Ss'it 7
Applicant is: Owner Contractor
'
Type'ot:Work,
Description of work: R Ewa E. a, REP 1, 4-c- it I, g / .J 6 a F-0-5'4,14 Aix rA L
—
Construction Cost / /' Yd- • CFO Multi -Family Building: (Yes )C / No __)
Contractor
Company: a £ I Ex- r £.F'✓ 0 /2 iMod-,-`f . Co 2P. Contact DA ✓ n r 6 a d /[ A.' S
Address: lig"-3- LJ 100 ST, City: /17 PL S
State: /ild"- Zip: SS -4', 9 Phone: &/ •Z - 8 % /- Lc► Z'/ 3
License #: q E 24/1/ '3/ Lead Certificate #:
If the project is exempt
ill -U..5-
from lead certification, please explain why: (see Page 3 for additional information)
f$.,/Ly- Pcsr /77Y
In the last 12 months,
_Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan Issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor
Sewer & Water Contractor:
Phone;
Phone:
NOTE: PlOns ii.000 11.00.. �i�s „'T`i:*:;v y J c
- •. • - Ofa:4:Y,�..
u
CALL BEFORE YOU DIG. Call Gopher State One Cab at (851)4544)002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.00aherotateonacall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this Is not a permit, but only an application for a permit, and work is not to start without a permit: that the Nark will be in
Accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State BuldinjCode must be completed within 160
days of permit issuance.
x ��✓' D �d�2�.15
Applicant's Printed Name
b0/EO 39Cd
Applicant's Signature
-75%
Page 1 of 3
1NIVW lX3 I3E L9Z9198Z19 00:60 bTOZ/8Z/E0