3857 Heather Dr*City
3830 Pilot Knob Road
Eagan MN 66122
Phone: (651) 675.5675
Fax: (651) 8754594
Use BLUE or BLACK Ink
For Office Uea
vaciag
Permit #t
Permit Fee:
Date 1 : ,,,,,,(((ttt1 i LI 1 I
Staff:
J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: y- 9 / 4/ Site Address: 3's 7 H�/17"/a%2 bA. Unite:
Resident/
Owner
Name: e/o 46 024,3 Ab£/+t .J -7.7r c. Phone: 763 -S'S3— 97y
Address/City/Zip:-:SO Q Gv)7 U2 4v, )3, .ZA 6046£.i V*tLSY /QA)
Applicant is: Owner Contractor
TYpeorWork,
Description of work: [U PEAC G , /v(..) L7/ PL � Lib-) c 1..1S
Construction Cost _ Multi -Family Building: (Yes / No
Contactor
Company: Q El r se/ D 2 /y%1 aT . &I2! Contact NI) r 3 and 12 Ai S
Address: loo* Jr
Stag: /'►9Al Zip: S-5-1/4
City: rn PL S
Phone: /p/ 2 • '(oI ,2V3
License ft: 4.3 G Z 4'! / / Lead CertMcate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information)
110/L.7- poste /57r'
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: Phoria:
Sewer & Water Contractor: Phone:
NOTE: Ff1Ri+ilf ariit/;
.. >�iirldi>►foi7`.fl
CALL BEFORE WU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utlIty damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www,sopherptate0necell.orcL
I hereby adarov1edge that this infomtation Is complete and accurate; that the work will be in conformance with the ordinances and code* of the City of
Eagan; that 1 underhand this is not a permit, but only an application for a permit. and work is not to sten without a oenntt; mai the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plana
Exterior work authorized by a building permit Issued In accordance with the Minnpota State Building Code must bo complwtad within 100
days of permit issuance.
X �4✓� a4,2Q,S
Applicants Printed Name Applicants Signature
EZ/80 39Vd
Page 1 of 3
1NI'W 1X3 I3E L9Z9T98ZT9 LZ:Vt VTOZ/TT/V0
1oao79y
Use BLUE or BLACK Ink
Fpr Oftice U
j Permit j
City of Eap I I Permit Fee. . 6
1
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 i Staff:
Fax: (651) 675-5694 1 I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 3 8S7 -39S-3, 3,? 6/ 4 3863 I F~AT~f~~ Dei V,5-
Tenant: Suite
RESIDENT / OWNER Name: 5~6 A-5sorw-47701/ Fiy.¢~c-ter ~G "WAuT Phone: 76 3 -413~V - 3 7_2 7
Address / City / Zip: 70 ~2a A5 r- FISH L,4t/~,E X-o#D 69,941-4-
Applicant is: Owner X Contractor
TYPE OF WORK Description of work: R-E_MayE f/ND ~EPc ~pdF
0
Construction Cost: J'() 0 Multi-Family Building: (Yes No )
CONTRACTOR Name: 8E/ &1C7-ER.idR 1,;iv11v7!f o el License a0a 441131
Address: /O.s- Gy 41,41' City: V 41-f
State: 0/✓ Zip: 5-S-V19 Phone: V//-2 -A / -6a 513
Contact: 1)AV40 13, Email: E n o L 9,5771_,11-601n
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 (661) 464-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.goi)herstateonecall.oro
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x x
Applicant's Printed Name Applicant's Signature
Page 1 of 2
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
AMOUNT $ I
ac DOLLARS
too
0 CASH E] CHECK
FOR ' -
? 30 3/3?
White-Payers Copy
Yellow-Posting CopV
? Pink-File Copy
i p You
BY
Receipt PLUMBING PERMIT Permit No.
CITY*OF EAGAN
Fse - •..
Fi/l in numbered spaces S/C ?
Type or Print legib/y .
Ta.
1. Date - •='?! -- ? 2. Installation Cost -y r r ;
•; i? ?c -- ? ? ? • . ?•r.
3. Job Address Lot !T? Blk. ? Tract
(
4. Owner
5. Contractor Phone ?! L •3 - / ? L/ ?r
6. Address
7. City State i r? Zip
T
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New G}' Add ? Alter O Repair 0
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
i Bath tubs Septic Tank
Z Lavatory Softner
_L Shower Well
Kitchen Sink
Urinal/Bidet
Other
? Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : "`- for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-5100
Receipt PLUM G PERMIT
? Permit No.
CITY
F EAGAN
Fee
Fill in numbered spaces S/C
Type or Print /egibly = -
Tot. • ?_ __ ?
1. Date ? 2. Installation Cost ^• ', 27
3. Job Address'. Lot.5 Q Blk. / Tract
4. Owner "-
5. Contractor C fi Phone
/` -- /
6. Address / 4? ??1.? J?? • >c l?r i( i ! X i?, ?
7. City ` r State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New Ci--- Add O Alter ? Repair ?
10. Describe
11.
No.
i Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
/ Bath tubs Septic Tank
_ Lavatory Softner
% Shower Well
% Kitchen Sink
Urinal/Bidet Other
?
? Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this tVPe of work.
Si gned
Inspections: Date
Rough
_ Insp. Date
for
Final
Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt 7"?
MECHANICAL PERMIT
CITY OF EAGAN
-7 --, - ( -
Permit No.
Fes
/ .? Fi!l in numbered speces S/C
Type or Prrnt /egibly Tot
1. Date 2. Instal ation Cost
3. Job Address^ -?Lot? Blk. ?
1 Tract L<<
4. Owner r -? L
--
5. Contractor - Phone • l
6. Address
7. City State Zip
8. Building Type: Residential O Commercial ? Institutional O
9. Work Description: New ? Add ? Alter ? Repair ?
I 10. Describe Fuet Type,
1 11.
No. Equipment 8TU - 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 and codes governing this type of work.
5igned : for
Rough F Inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt ?C{ -7 PLUMBING PERMIT Permit No.
? CITY OF EAGAN ,.. ,
Fee ?. :. _
fi!l in numbered spaces S/C ."?
Type or Print /egibly
. Tat.
?
1. Date 2. Installation Cost
1
3
J"-44d
+ 1 4
t 3(
?BIk
L ? T
.
ce55.
. .
o
-
. ract
a. owrt"
5
C T ? ?n,n?R,1'?p,!^n??rtR+
6'" J••"'d?
Ph
.
ontractor _c9 tn 0
762 ExCE???JT
6. Address 55343
Cit
7 g38-i SBO
S
2
.
y tate ip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ?
? Add ? Alter ?
Repair ?
f 10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory $oftner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ' for
Rough , Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
Receipt - PLUMBa NG PERMIT Permit No.. ?
CITYDF EAGAN
Fee
4. Owner / i : / c •? ! IJil ? I
5. CoMractor-' Phone
,
6. Address r
k r
7. CitY State r l t :\ i Zip
8. Building Type: Residential ?Q Commercial 0 Institutional O
9. Work Description: New`Q Add ? Alter ? Repair ?
1 10. Describe
1 11.
Frll ?n numbered spaces S/C -- -
Type or Prini /egib/y
Tot ? D - ?
1. Date j 2. Installation Cqst _° ^ U U
3. Job Address Lot Blk. ? Tract ;-
-,-^-?-
< <+ 1-
No.
? Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
? Bath tubs p
Septic Tank
- Lavatory Softner
% Shower Well
l Kitchen Sink
Urinal/Bidet Other
' Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
E
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
• . for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CtTY OF EAGAN 454-6100
Receipt w PLUMBING PERMIT Permit No. '
CITY'bF EAGAN Fee
Fill in numhered spaces S/C
Type or Print /egib/y Tot. 1. Date 2. Installation Cost
3. Job Address Lot ? Blk. Tract 4.
; -
!'?-?•r /
4. Owner ! L Ui-' ?-
5. Contractor ? - Phone
6. Address
?
7. City Siate + f-AZip _
8. Building Type: Residential 13 Commercial ? Institutional ?
9. Work Description: New E3-' Add O Alter O Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
Floor Drains
? Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify ihat the above information is true and correct, and I agree to
comply with all ordinances and codes gaverning this type of work.
5igned : • " ? r?,= C- for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
Recsipt "? - MECHANICAL PERMIT Permit No. --) / J
CITY OF EAGAN
Fee
r` Fill in numbered spaces S/C
Type or Prini legibty Tat. 1. Date ? "-?- 2. Installation Cost
; .? r 4 , ,-
3. Job Address Lot?LBlk. /_ Tract . ;
4. Owner ~
5. Contractor Phone
6. Address
7. City State Zip ..
8. Building Type: Residential O Commercial 0 Institutional ?
9. Work Description: New.0 Add ? Alter ? Repair ?
10. Describe
11.
Fuel Type
No. Eauinment BTU - M. Ea.
Forced Air ? No. EQUipment CFM
ndli
:
Ai
H
Mfg. r
a
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 Ffnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved. -
Approved CITY OF EAGAN 454-8100
?
Receipt ?3-1 MECHANICAL PERMIT Permit No.
, CITY OF EAGAN
- Fee I
;
FiII in numbered spaces S/C ?
Type or Print /egibly
Tot.
1. Dats,-- -?---------?: Installation Cost ?
3. Job Address Lot ?=` ?• Btk. ? Tract 1- 4. Owner "-
5.
_ Phone i
6. Addreu
7. City State Zip
8. Building Type: Residential O Commercial O Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. EQuinment 8TU • M. Ea.
Forced Air No. EQUiament CFM
Air Handli
:
Mfg. 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 qodes governing this type of work.
Signed : for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN
454-6100
Receipt MECHANICAL PERMIT
CITY OF EAGAN
Permit No. ?
Fee
? ? -
fill in numbsred spaces S/C
Type or Print /egib/y Tot.
1. Date 2. Installation Cost
??? ?' • ?
3. Job Address Lot S,;2 Blk. ? Tract ?-
/ /
?;
4. Owner , -
5.
6. Address
7. City State Zip _
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Equjpment 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 CITY OF EAGAN 454-8100
INS
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: .
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION .. . D.
fPI 14AFtK5i. PI.AN Itt 'I?f-GaFfi HY MfKF" HAt2ri
¢ L- [
f
S.?f?`? ??
. ?1 .
..t? 7, ?°'??'y'a.?.?.
- °-
-- - - - - - - - --- - - - - -
UN RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
i h!_' 1 l? tt 34 -.' / 4f H
Permit No. Permft Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectfon Date Insp. Comments
FOOTINGS
FOUND
FRAMINQ
ROOFING
ROUGH
PLUMBINO
PLB(3
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
Alii TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
l
D
DECK FINAL i ?
CITY OF EAGAN Remarks
r4ddition BRIAR HILL 4TH ADDN Lot 29 Rlk 1 Parcel 10-14993-290-01
, Owner street 3857 HEATHER DRIVE state EAGAN MN 55122
improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, 1971 Paid und r OI'1 inal rcel
STREET RESTOR. 1975 70.69 7.07 10 pAlp
FR]PPM Street 1984 1227.78 245.56 S 982.23 A014341 8-1-84
'**Sewer Lateral ? 1984 2136.20 427.24 5 1708.96 A014341 8-1-84
5AN SEW TRUNK 1968 29.60 .99 30 12.94 8- -
SEWERLATERAL TRK Z 1983 237.37 23.74 10
* SEWER LATERAL 1971 32.42 1.62 20
I **WATERMAIN 1984 $
*WATERLATERAL ].J]j 20
WATER AREA 1977 59.19 3.95 15
' **STubs 1984 S
STORMSEW TRK ? 1984 323.50 64.70 5 258.80 A014341 8-1-84
*STORM SEW LAT 1971 20
i**Storm Sew Lat 1984 5
CURB & GUTTER
SIDEWALK
STREET't'1@hhf 1009 1986 153.70 153.7 10
RoaD vRT 250.00 84
' WATER CONN. 450.00
BUILDING PER. 025
SA C n ft
PARK
CITY OF EAGAN
Addition BRIAR HILL 4TH ADDN
30
Street 3859 HEATHER DRIVE
10-14993-300-0
EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. pZ
STREET RESTOR.
2,11
1J75
70.69
7.07
10
7.15
A012783
9-19-83
R?PV'7? Street ? 1984 1227.78 245.56 5 1227.78 C008610 10-11-83
**Sewer Lateral 1984 2136.20 427.24 5 2136.20 " "
SANSEW TRUNK 1968 29.60 ,99 30 13.42 A012783 9-19-83
SEWERI.ATERAL TRK S 1983 237-37 23.74 10 213.64 " "
*SEWER LATERAL 1971 32.42 1.62 20 11.36 +' tr
** WATERMAIN 1984 5
*WATER LATERAL 1971 ZO
WATER AREA 1977 59.19 3.95 15 31.61 A012783 9-19-83
**Stubs 1984 5
STORMSEW TRK ? 1984 323.50 64.70 5 323.50 C008610 10-11-83
*STORM 5EW LAT 1971 20
**Storm Sew Lat 1984 5
CURB & GUTTER
51DEWAlK
STREETti@}TT 1009 1986 153.70 15.37 10 3. O - 09'a2 G --,P
ROAD LRiIT 250.00 35841 -164
WATER CONN. 450 .00 „ n
BUILDING PER. 02
SAC 00 n it
PAR K
CITY OF EAGAN Remarks
,4ddition BRIAR HILL 4TH ADDN Lot 31 Rik 1 Parcel 10-14993-310-01
Owner Street 3861 HEATHER DRIVE 5tate EAGAN MW 55122
Improvement pate Amount Annual Years Payment Receipt Date
STREET SURF. 107,
STREETRESTOR. 2-7 1975 70,69 7.0 ZO
MPM Street <6 1984 1227.78 245.56 5 982.23 A 014269 7 18 84
**Sewer Lateral `6Z 1984 2136.20 427.24 5 1.708.96 014269 "
5AN SEW TRUNK 1968 29.60 .99 30 12.94 A 014269 "
SEWERLATERAL TRK
Z5 983 237.37 23.74 0 1
* SEWER LATERAL
107 1971 32.42 1.62 20 9.74 A 014269
"
** WATERMAIN 1984 S
*WATER LATERAL 1971 20
WATERAREA 339 1977 59.19 3.95 15 27.67 A 014269 "
' **STubs 1984 5
STORMSEW TRK 1984 323.50 64.70 S 258.80 A 014269 "
*STORM SEW LAT 1971 ?O
**Storm Sew Lat 1984 5
CURB & GUTTER
SIDEWALK
STREET-k4@'FIT 1009 1986 153.70 15.37 10
RoAn vuiT 250.00 35841 -16-83
' WATER CONN. 450.00
BUILDING PER. 8d?
SA C 525.00 n n
PARK
CITY OF EAGAN Remarks
Addition BRIAR HILL 4TH ADDN Lot 32 Rlk 1 Parcel 10-14993-320-01
Owner street 3863 HEATHER DRIVE State EAGAN hW 55122
Improvement Date Amount Annual Years Payment Receipt Oate
STREET SURF. 102-
STREET RESTOR. 2,71 1975 70.69 7.0 10 7.15 A013051 10-17-83
MRM Street 1984 1227.78 245.56 5 12
**Sewer Lateral gZq 1984 2136.20 427.24 S 1-16-20 it to
SAN SEW TRUNK 1968 29.60 .99 30 13.92 A013051 10-17-83
SEWER LATERAL TRK 1983 237.37 23.74 10 213.64
* SEWER LATERAL lbl 1971 32.42 1.62 20 11.36
**WATERMAIN 1984 5
*WATERLATERAL 1971 ZO
WATER AREA 9 31.61 A013051 10-17-83
**Stubs 1984 S
STORM SEW TRK 1984 323.50 64.70 5 3
*STORM SEW LAT 1971 ZO
**Storm Sew Lat 1984 S
CURB & GUTTER
SIDEWALK
STREET-k46"T 1009 1986 153.70 15.37 10 .?3. D C- /O ? i0 -/s -8s
ROAD UNIT 250.00 35841 16-83
WATER CONN. 450.00
n
n
BUILDING PER. $028
SAC
PARK
?. CITY flF EAGAN
=795 Pqof Kook Rxd E4gan, MN 55122
c-,
PHOMEs 454-8100
BUILDING PERMIT Receipt
Site Address Jo-ili r.eaLner urive
Lot 29 Blak 1 Sec/Sub. Briar Hill 4th
parcel # 10 14993 290 Ul
ce Name Tollefson Builders, Inc.
? Address l(55 Norwood Drive
_ r.,.,.,., r :1 1) Ij i. cA _GQ?11
Eroct ? Occupancy R-3
^Iter [] Zoning Qll) R-3
Repoit ? Fire Zone ?4A
Enlarya ? Type of Const. v
MOVe ? # Stories
Demolish p Length44
? pK NORM ??waacL wpprvvoo rOBs
'F
u? Address
~ Ci
Ph
Assessment
Woter & Sew. 278.5
Permit
Surchorpe 14 • 50
one Police Plon check 13g . 23
N0^'1°
Flre 525.00
SAC
?c? ?re? Erq.
Wcter Conn50. 00
1+
<W Ci Phons ,
Planner Woter Meter 60 • DO
Countil Road Unit 250.00
1 hereby acknowledge that I hava reod this applicotion ond state that 81dg. Off.
the inlormotion is torrect a
State of Minnesoto $tatutes nd cgree to comply wifh oll applicoble
and City of Eoyan Ordinonces.
APC $1727.25
Total
Sipnoture of Pertnittee
A Butldirg Pe.?r,ir ts issued to : Tollefaon Builders. I nc. on the exprou condition Ihat
all work shall be dona in oct ordance wirh all appliooble Stote of Minne toto Stotutes ond City of
- Eopon 6rdinances.
9uildinq Officiol ' - _------
Permit No. Permit Holdsr Misc. Permit No. Holder
Plumbing
H.V.A.C. 37ss rtdr??son -???3.
wf??
Waar
Disp.
Snwr
Electric W p$?g jl/j?r ? -j-ZV43
Inspeetion Data Insp. Other
Footio9s ?-n?
Foundation
Framing ,.?.?
Rouph Plbq. ?
Rouqh HVA -1_ ,?r
i?????a,
Final Plbq. 0
Final HVAC
Final
Water Deseribe Location:
YVell '
Sewar
Pr. Disp.
BUILDING PER,'MIT
cirr oF EaG,?N
3795 Ptlef Kwob Rood Eogon, MN 55123
PHONEs 454-9100
Site Add,eu 3tS79 H.eather llriVe
Lot 30 glak 1 Sec/5ub Briar Sill 4th
pa,cel # IU 16993 300 Ol
oe Nome 10118LSOA tSt111C1eY8, lAC.
; Address 1655 Plorwood Drive
b e-:... Eajzan 55122 n?___ 454-6873
oc
O
ZV
o?
V
?
Nome _
Address
I hereby acknowledge thot I hove reod this application ond stote thot
the informotion Is correct ond agree to wmply with all applicable
State of Minnesoto Statutes ond City of Eogun Ordinances.
Receipt # J `
Erect Occupancy R-3
PD x'3
rRlter ? Zoning
Repalr ? Fire 2one ``iA
Enlorge ? Type of Const. v
Move ? * Storie
?
Demolish p 4
Length
Grode p Depth 22 Sq. Ft.
Approvals Feas
Assessment
Woter & Sew.
Police
Fire
Erg.
Planner
Coundl
Bldg. Off.
/?PC
Permit 1-10.Jv
Surchoroe 24.50
Plon check 139.25
SAC 525.00
Water Conn.450 • Q0
Woter Meter 6 0. 00
Road Unit 250•00
Torol $172; .25
Slynoturo of Permittee I
Tol e:fson Buildera, Itic.
A Building Permit fs Issued to: an tha express corbdition Ihnt
otl woric sholl be done in acoordonce with all opplicable State of Minnesota Statutes and City of Eo9an Ordinonces.
Buildinq Offlciol
Permit Na Permit Holder Misc. Psrmit No. Holder
Plumbiny (0' ?j--?
H.V.A.C. ?7??0 i'Qd(?l'C?5[?1 `f-????'
Woll
Watar
Disp.
Sner
Eleehic WO t'32 q4krt-(&a `ZD-S?3
Inspection Date I.P. Other
Footingi
Foundation [
Framing /-
ti
Rough P'bs •I -? ? ?i
I
Rouph HVA
Inwistion GQ4
Final Plbp.
Final HVAC
Final
Wetsr Dsso?ibs Locstion:
YYall
Sewer
Pr. DifP.
•
cirY oF EAGAN
. . 3793 Pliot Knob Raod, lapae , MN 55122 -?'A
? PHONEt 454-8100
BUILDINd PEItMIT
Receipt
?
To be wed fsK' of 4 PLI:X Est. Vclue $44,000 Da te "-"•a y 16 _ 19 83
Site Address 3?fi1 He.ather Drive
Erect
?
Occuparwy R-3
31 - 1 Briar Hill 4th
Lot Blotk $ec/$ub. Aiter p Zoning PD R-3
parcel # 10 14993 310 Ol Repolr p Fire Zone I`TA
N
.
lollefson Builders
Inc. Enlarpe ? Tvpe of Const. V
a,,
,e
,
,t Move Q # Stories
? 1655 :?orwood Drive
Address
Demolfah
p
Length
Ciw r-agan 55122 pk? 454-6873 Grode ? Depth 22 Sa. Ft.
?o Nome
z?-
u? /lddre:
?- r:...
1 hereby acknowledge thot I have reod this opplicotion ond sfate thot
the information is torrect and ngree to comply with oll opplicoble
State of Minnesota Stotutes ond City of Eoqon Ordinonces.
Sipnaturo of Permittee
Tollfif son Bu e s,
A Building Permit Is issued to: '
oll work sholl be done in occo?donce with all oppliTbk Sfatd of Min
Bullding OffiNal , ?
Assessment
Water & Sew.
Pol ice
Firo
Eny.
Plonner
Council
Bldg. Off.
APC
Inc.
Pertnit L/i3..7U
Su?charpe 24 . >0
Plon check 139.25
5qC 525.00
Water Conn:+5 0 • 0U
Water Meter 6 Q(,
Rood Unit QG
Totol '
on the expross cor?dition that
Statutes or?d City of Eaqon Ordinonces.
Permit No. Permit Holder Misc. Psrmit No. Holder
m
I 7 dt`Cc ?-18'-fr3
pisp.
Sewer
Elect
ric
-ki' ekC
7-,0'63
Inapection Date Inap. Other
Footings S .•! _Ft
Foundation
I
Framing F/43
Rough Plbg.
Rouyh HVA
tnwlation
Flnal Plbg.
Final HVAC
Final
v
Watar
popxibe Location:
YVall .
5ewer
Pr. Diep.
?
CITY OF EAGAN
? 3745 Nld Raob Read Eegan, MN S5122 ??+' ? ? • _ ? v
?. ? PHONEs 454-8100
BUILDING PERMIT-r
Receipr
Te be aad for I of 4 PLF?i Est.Volue $49,000 pflre * tay 16 , 1983
Site Address 3863 Heather Jrive Erea )a Occuponcy R' 3
Lot 32 elack I Sec/s„bBriar Hill 4tii AIter ? Zoning (pD) R'3
parcel # 10 14993 320 01 Repair p Fire Zone RA
Na? Tollefson Bailders, Inc. Enlarye ? TYpe of Const. V
W Move ? # Stories
?
Addmss 1655 Vorwood Drive pe,f,ol;aF, p Length 44
Ci Ea srt 55122 phone 454-6873 Grode ? Depth 22 Sq. Ft.
? Nom Owner Approvals Faes
?? Address Assessment Permit 278.50
1- Cit p?? Water & Sew. Surcharpe 24 . 50
Police Plun check 139 . 25
GW N°"'? Firo 5,?C 525.00
Address Enp. Woter Conr450 • Qfl
<W Ci phone Plonner Woter Meter 60 •00
Council Rood Unit 250. QO
1 hereby ocknowledge that I hove reod this applicotion and stote that Bldg. Off.
the information is torrect ond ogree to comply wifh oll applicoble $1727
25
State of Minnesota $fatutes and City of Eogan Ordinances. ^PC •
Total
Sipncture of Pertnittee
A Building Permif is issued to: Tolle son Builders, Inc
- . on ffie express tondifion fhnt
ell work sholl be done in occordance with ell opplicable State of Minn esota S utes end City of Eogon Ordinances.
Buildinp Officio)
PKmit No. PKmit Holder Mim Parmit No. Halder
Ei
3 ?
?qZ
?3 $3
s$ ?rtc?.r?"? - ?
Disp.
S?nrsr
Ekctric
In"aetion Date Insp. Other
Footinqg
Foundation
Fnming ?
Rough Plbo. 7-7/-s2?1 w
Rouph HVA _ .?-3
Inwlation f - ?3
Final Plba _ O-
Finsl NVAC ?. kf
Finsl a • 1-D? ?,?J
Wour D"eribe Loeation:
YYell •
$ower
Pr. ?isp.
SEWER SERVICE PERMIT
CITY OF EAGAN
379'? Pilot Knob Raad PERMIT NO.:
Eogen, MN 55122 DATE:
Zafling: No, of Units: ?
_
Owner:
^ddress:
Site Address:
Plumber:
1 "rN to comply with t6e Cily of Eagen Connection Char+pe:
Ordinanasi. Account Deposit:
Permit Fee: - -
Surcharpe:
By Misc. Charges:
pate of Insp.: Totol:
,,,,e„ . Date Pnid:
CITy Of EAGAN SEWER SERVICE PERMIT
3745 P!lot Knob Rood PERMIT NO.:
Eogon, MN 55122 DATE:
No. of Units:
Zoning:
dwner.
Address:
Site Address:
Plurnber: ,
t ogree to comply with the Ci17r of Ea9°° Cannection Char9e.
Account Deposit:
noa.
Ordiee
Permit Fee:
Surchorge: -
Misc. Char9es:
B
y
Totol:
Dote of Insp.:
lnsp.
: Dota Pcid:
WATER SERVICE PERMIT
CITY OF EAGAN
3795.• Pilot Knob Road PERMIT NO.:
Eegoe, MN 55122 DATE:
Zoning: No. of Units:
Ov ner. • •; c,?- ,
Address:
_ ,
Site Address: ' c tt t' .
Piumber:
MeTer No
: Connection Charge:
.
Size: Account Deposit: _
Reader No.: Permit Fee:
1 a9m to comply with the Ciry of Eogan Surcharge:
Ordiaonces. Mlsc. Charges:
Totoi:
gy Dote Paid:
Dcte of I nsp.: I nsp.:
WATER SERVICE PERMIT
CITY OF EAGAN PERMIT NO
:
3795 Pilot Knob Road . ,
Eogon, MN 55122 DATE:
Zoning: ? No. of Units:
?
c
wner.;
/lddress: • .
, .
;
Site Address:
Pl
b
um
er:
Meter No.: Connection Charge:
it:
t t>
A
Size: epos
ccoun
Rbader No
: Permit Fee:
. hur
e:
S
1 egne to comply with the Ciey oF Eagen g
urc
Ordipances. Mist. Charges:
Total:
B Dote Pafd:
y
Date of Insp.: I^sp•'
WATER SERVICE PERMIT
PERMIT NO.:
__aan, MN 5 1132 DATE:
Zanir+0: No. of Units:
OwffEf: r ? • r _
n-- o...
/,QdfQS3:
Site AddfE55:
P bef:
, J
Me No.: ? 6 Connection Char9e:
S?ze. ? " Account Deposit:
Reode No.: -3 L- Permit Fee:
1agree fo wit? ity of Eogan ,,•?i?urchorge: ,
Ordieanqs. ,lM?
lx. Chorpes:
,
Yotal:
BY .
?e Paid:
? 4
Date of Ins?:?. ? -. 1nsp.:
ClTlf OF EAGAN SEWER SERVICE PERMIT
374: Plfot Knob Road PERMIT NO.:
Eat n, MN 55122. DATE:
Zoninp: No. of Units:
Owner:
Address;
Slte Address:
Plum6er:
1 agree to comPy wit6 fhe Citr ef Eogon
Ordinanees.
Connection Cherye:
Account DSposit:
Permit Fee:
Surchorge:
Misc. Charges:
Total:
Qate Poid:
Bv -
Dote af I nsp.:
V EAGAN
"a' Knob Roed • ck SERVICE PERMIT
-
MN 55122 PEF.MIT NO.:
bqTE: .
No. of Units:
:i':. -? , . .• . . .. . . ? .
I?ESS: 3
Size: ' '•
Connection Chorye: ?
14
Reoder No.: 3 S ? Account DePusli:
1wyre? 1+o w wi Permit Fee;
Orrlnqnces, Surcharge;
a e Sj3t. CFwryes:
8y ' E t_? ,7otcl:
Dcte of Ins??:?' ':dcte Paid:
, ° ? ` - •Ar _ `}?yry7..
CITY OF EA6AM
3795 Pilot Knob Roed WATER SERVICE pERMIT
Eaeon, MN 55122 PERMIT NO.:
Zor;ing: _ DATE:
Owner: No. of UNts: ' i- +.. . r.
Address: _
Slte Addressi
Plumber:
Meter No.:
Size: Connect(on CFierye;
Reoder No.: Account Deposlt:
I °o"°e tO comPly wlth the City of Eagon Permit Fee:
S
Ordinanea. urcharge:
Mtsc. Charger.
~
B
Y Total:
Dote of Ins
p.: ?Ote P°'d:
Insp.: -
DF EAGAN
'Pilof Knob Road
, MN 55122
Na.:
to complr wkb lha Cify of Eogan
WATER SERVICE PERMtT
PERMIT NO.:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcfiorge:
Misc. Charges: -
Total:
Dcte Puid:
CITY OF EAGAN SEWER SERVICE PERMIT
8795 PNot Kno6 Road PERMIT NO.:
Eogan, MN 55122 DATE:
Zoning: - i'No. of Units: ?
Owrrer:
s ??-----
iJ.e AddreSS:
lumber: _ . , , _ •
egree to eamPlp wifh the Cily oF Eagoa Connection Charge:
.
rdinaeees. T
Accourrt beppsit:
Permit Fee: '
Surchorpe:
y Mi
Ch
sc.
arges:
ote of Insp.: Total:
'sp•' Dote Paid:
' REQUEST FOR EIECTRICAL INSPECTION „ ea-ooooi-oa
, See inatruetions br comuleting this form on back ot Vel low coOV•
? red by This Request
Ne% AAtl Rep. TypB OI Building APpIiOnCB9 Wiretl EquiUmBnt.Wired
Home Range Temporary Service ? •
Duplex Water Healer Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Cominercial Bldg. Fumace Silo Unluader
Industrial Bldg. Air Conditioner Bulk Milk Tanl<
Fyrm Offiei peci y Dthor ISpaclfyl
U, er Syecity Other Other
Compute Inspection Fee Be/ow
p F e Service Enhance5ize k Fee Fxxtlers/Subieedars # Circuils
U to 200 qm s 0 to 30 qm s to 30 Am
Above 200 qinps 37 to 100 Amps t 31 to 100 Am s
Swinvning Poal Above 100-Am 6ove 100_AmVs
Transtormers IrrigationBooms Partial,'Qthpr Fee
Signs - Special Inspectiun g
C
-
Rertwrks %
7d TOT
n _o
1 Houeh-in r te?i ?, tn
saeecE?ecvicel
l
? n?? Intor, he.aby
r certify that ?he ebova
Finel Ontte y 'nspeetion has been
/P ?7/? % eda. _
TNa reaueat vo1018 montOa irom
1T8 his moreqnthuest void 7-aD
s fmm
W089252
L2qt3D,31/ 3?i ia
6 1\ i'ar g(-(? q +?
37310
170, bo
'Request te Fire No. pnugh-in Inspeclion
P tl?
[:]Ready Nu Will Notify, InsOec-
? IONS ?No tor When Ready
icensed ElecUical ConVactor 1 hereby requast inspection of ebove
? Owner al
hi
k i
t
t ?
l
ll
d
ac
ca
wor
na
e
a
e
Street Address, Bax or Route No. City
ectmn o. Township Name or No. Range No. Count
Oc?Vn/ICT???? PhoneN? 7-3
i ?
Pow Supplier
/e
?
f
/ Addres
?
-
cy
?.
so
.
a t
m
Elect i I Conv(a?ct_or (C mpa/oY Nam I Con !ar/to?r's ?JLice ?sye No.2
?
?
?+l.S / ?i ! ? r ? d
Z? <
M)ina AdJress IConha lor or Owner Meking Instailati )
a?? 7 ?06? ?s Q .? ?•uti?s?-7s'
Au orized Signa?u ICo rector?Owner Making Installationl
?c= Pho Number
9D-?ss
MI4ESOTq STATE BOANOI'OF ELEyTflICITY ? THIS INSPECTION FEQUEST WIIL NOT
Grig9s•Midway Bldg. - floom N•t91 BE ACCEPTEO BV THE STATE 90ARD
1827 University Ava., St. Peul, MN 55104 UNLESS PNOPER INSPECTION FEE IS
pil,,,,,e tpill ?q7_11,11 ENCLOSED.
This request void S-(p
18 mnnths irom
W 069 375
LL ??
?
asloT'o
/a, o a
Ht:quesf Dat Fire No. Rouph-in Inspectim
Pe uireA7
?ROatly Nuw ? WiII Notify Inspec-
3 Wh
l
es ?No or
en Ready
icensed EleeMcal Contractor 1 hareby reQuast inaDection of above
Owner - electrical work inslelleA et:
Sveet Address Bax or Route No. `
g6 /
l? City
E
Qa
r? a 6eg rz
ecbnn o. Townshio Name or No. Ranye No.
?r? Coumy
l'aAla {zt..
Occuuant (PqWTy,
l1e1-sen l? ld?r? Phone Nu.
?YS? ?873
Power Suppller / _
C/ Atld ess
F^,m ;
Eloctrical Contractm ICOmpany Name) ConVactor's Li?ciense No.
Mailinp AdJress ICOmractor or Owner Making Insmilafionl
5a,,
?'I1 -11'l ? 537?
Authorizetl Sig^ature (Contra tor Owner MakinB Installation) Phone Nvmber
MINNES&A STATE BDAPD OF ELECT116TY THIS INSPECTION REQUEST WILL NOT
GrigOSrMidwaV Bidg. - Noom N•191 UNL ACCEPTED THE FEERS
1821 University Ave., Sc. Paul. MN 55104 FNCI OSGO.
REQUEST FOR ELEC7RICAL INSPECTION
' See instruc[ions (or comoleting this form on back of yellaw copy.
? 06?3?5
8elow ork avered by This Request
o.% Ee-oocai.na
u:
a S (a FSU
HAJ Rep. Type o! BuiltlinB APOlm.cas Wi,ed EquiUment Wired
Home Range em{wrary Service
Duplex Water Heater Lightiny Fixtures
Apt. Builtling Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloeder
Industrial Bldg. Air Conditioner Buik Milk Tank
Fann Oiher pec7 y rher Itiper.ifyl
t er uoci y OI ee Other
Compute Inspection Fee Below M Fee ServiceEntrancaSixe p Fee Feeders/5ubfeaders # Fee Circulfs
U to 200 Am s 0 to 30 qm s 4 in 30 Am s
Above 200 qm ? 31 to 100 Amps 31 to 700 q s
Swimmiin Pool qbove 100_Am s Above 100_Amps
Transformers Irrigation Booms Pzrtial:'Other Fee
Signs Speciallnspection $
Remxrks ? FEE \
/w w 7
1v '
Hough-in ? D, °t?e I, tne Electrlcal
Inspactor, hereby
cerlify that the above
Final p?t inspeetion has been
made.
ThiereauestveidlBmonthvimm -- ' ?
?ertiftrttte of (Drrupttnrg
Citp of eagan
IDrvttrtmettt of Builbing 3inn;terfirrn
Tbir Certi firute iJrucd purtuant to tbe vequiremrnu of Section 306 of the Uni'Olfl! Bptl[Itllg
CoQc urtifying that at thr timc of isruarut thir rnrirtun wai in cmnpliuna with the vurraur
ordivianttr of the City reguluting building ronttraction or ule. For the follou-ing:
1 of 4 PLEX 8028
U. c?r,ue. sm, e.., vo.
a?,?wwrTra R3 TYRC?wc? V F.azo. NA zamreunm(PD) R3
a,z,ofMeme Tollefson BiiildersAaa,.a1655 Norwood Dr. Eagan
?, X?, BY
-?_ pw October 17, 1983
Li.-r_iin i S r..
` (Irr#ifirtt#r uf (Orruvttnry
(cftp of (Eagan
Drpttrtmricf af Buililing 3ttsvertion
Thu Catifrrate inued pusruant to tbe requiremrntt of Sectiox 306 af the Uniform Building
Code urtiJying that at tbe timr o/ itsuanct tbir rtruaurr waf in romPliancr wirh the variaur
ordinancea of thr City regulatrng building ronrnuaion w ute. For tbr falloud»x:
U. a.mruu. 1 of 4 PLEX gl46.Permil NO. $026
O.warTra R3 Tymcm.w« V F;RZ„ NA zam?u;n?« (PD) R3
o.,r„rew,a?„ Tollefson Builders eaa2,.1655 Norwood Dr., Eagan
e.ua,.mR..3859 Heather Drive ,a,,,yLot 30,Block 1,Bri3r Hill
1 _ ?i) ---I? _ d_ 4th
"'. ? I a1e September 9, 1983
'?-
.o., ?. . ?o«..????. ....<.
cirr oF E+c,AN 8027
3795 Pilsf Knob Roed Eogon, MN SSI!t rT? .
PHONE= 454.8100
BUILDING PEkMIT Receipt
Te M amA fq? 1 of 4 PLEX Est,yalm $49,000 pate May 16 19 83
Site Address 3861 Heather Drive Erecr gg Occuponcy R-3
Lot 31 Biock 1 Sec/Sub. Briar Hill 4th qirer ? Zonin9 (PD) R-3
Por«I # 10 14993 310 Ol Repotr ? Fire Zone NA
V
Enlarge ? Type of Consf.
Name Tollefson Builders, Inc. µo„e ? # Staries
? Addreu 1655 Norwood Drive Demoiish ? Length_44_
ci Eagan 55122 Phom 454-6873 Grade ? Depth-2.2 Sq. Ft.-
m
0 Nome Owner APVravals Fees
uf ? Address
1' Citv _
r
w W Name _
r
zZ Address
Assessment _
Water 8 Sew.
Police -
Fira
Eng.
Vlanner _
Council _
1 hereby ocknowledge that I hove read this opplicofion ond stote that Bldg. Off.
the informotion is correct and agree to comply wiih oll opplicabla
Stofe of Minnewto Statutes ond Ciry of Eagan Ordirwnces. APC _
Sipnoture of PermiMee
A Bullding Pertnif I5 issued to: -
ull work sholl be done in ocmrdonce
Buildinp Officlol
Pertnit Z/iS.-1)U
SurcFarge 24.50
Plon check 139.25
SAC 525.00
Water Conn450.00
Water Meter 60 .O0
Rood Unit S
Torol $1727.25
i, IRC.
on tha express conditlon thni
MinnesaM Statutes ond Ciry oi Eagon Ordinonces.
CITY OF EAGAN 8028
3795 Pllet Knob Reod Eegan, MN 55122 ?T l?l .?
PHONE: 430.B100
BUILDING PERMIT ' Receipf #
Te be wad 1er f of 4 PLEX Est. Value $49,000 pate May 16 1 q 83
Site Addreu 3863 Heather Drive Erecr R-3
?' Octupancy
Lot 32 Block 1 Sec/Sub.Briar Hill 4th Afrer ? Zoninq lPD) R-3
Porcel # 10 14993 320 Ol Repair p Fire Zone NA
m Name Tollefson Builders, Inc.
? Address 1655 Norwood Drive
c; Ea ean 55122 pha,e 454-6873
o Name Ownei
,
f
?U
Address
~ Cit Phone
Name
FW
i?
Address
Enlo.ge ? Tyce of Const. V
Move ? # Stories
Demolish ? Length 44
6rade ? Depth ZZ Sq. FL-
ADOrorab Faea _
Assessment _
Woter & $ew.
Police -
Fire
Eng.
Planner _
Council -
I hereby acknowledga thaf I have read this applicotion and stote that Bldg. Off.
the inlormotion is torrect und ogree to wmDly with oll applicoble APC _
Stafe of Minnewto Statutes and City of Eogon Ordirwnces.
Sipnature of Permitteo
A Building Permit Is issued fo: 10112ISOR ISll11QEY6,
all work sholl be done in ocwrdonte with all p licable Stote o
Building Offlciot
Permit ?10..3V
Surcharge 24.50
Plan check.).39.25
SAC 525.00
Water Conn 450. 00
Woter Meter 60.00
Road Unit 250.00
Total $1727.25
_ on the express eondition ihm
ond Ciry of Eogan Ordlnonces.
BUILDING PER,MIT
CITY OF EAGAN
3793 Pilaf Kno6 Raad Eogon, MN 55122
PHOHEi 454-8100
of 4 PLEX
Sife Address
Lor 29
Parcel #
:iii-J/ Heather llxive
el«k 1 Sec/Sub. Briar Hill
10 14993 290 01
$49,000
z IN,m, 'LO11eYson Builders, Inc.
i
? Address 1655 Norwood Drive
? p Nama _
N° 8025
Receipt
-T
Mav 16 ,e 83
Erect ? Occuponq x-j
Alter ? Zoning (PD) R-3
Repoir ? Fire Zone NA
Enlurqe ? Type of Const. V
Move ? # Stories -
Demollsh ? Length44
Grade ? Depth 22 Sq. Ft._
Approrals Foes
?? Address Assessment -
i' Cit Phone Water 8 Sew.
w
? Police _
Name
fZ Fire
?O Address Eng,
i W Ci pFwna Planner -
Councll _
I hereby ucknowledge that I hove read ihis applicotion and stote thot Bldg. Off. _
the inlormotion is correct and agree to wmply with all opplicuble
,
Sfate of Minrrosoto Statufes ard City of Eo9an Ordinonces. APC
SfBnoture of PertniMea
A 8uilding Permil is issued ro: Tollefson Builders,
all work shall be done in accordorxe with cll a li ble of i
Bulldinp Officiol PP ? g,?Stare?
Permit G/bJU
SurcFarga 24.50
Plan check 139.25
sAC 525.00
Water Conn450. 00
Warer Meter 60.00
Rood Unit 250.00
Totol $1727.25
on the express conditlon Ihat
Stntutes and City of Eagan Ordirances.
CITY OF EAGAN
9795 Pilsf Kno6 Reed Eagon,
MN 551I2 AT
1?I? 8026
' PHONEa 454-8100
BUILDING PERMIT Receipt
To M umd ior 1 of 4 PLEX Est. Value $49,000 Dote Ma Y 16 1 q 83
Sire Address 3859 Heather Drive Erect
? R-3
Occupanty
L,t 30 el«k 1 Sec/5u6. Briar Hill 4th qirer ? Zonir,9 PD R-3
porcel # 10 15993 300 Ol Repotr ? Fire Zone NA
V
Enlorge ? Type of Const.
4: Nome Tollefson Builders, Inc. Move ? # 5tories
Z
? Address 1655 Norwood Drive pe,,,ol;sh ? Length 44
ci Eag an 55122 Phne 454-6873 Grade ? Depth 22 Sq. Ft.-
p Name OWiler Avvrorali Fee.
?? Address Assessment Permit 27$•50
Cit p??e Woter & Sew. SurcFwrga 24.50
fl Polica Plan check 139.25
Name 525
00
Fire .
SAC
Address Erq Water Conn450.00
u • -
<"' Ci Phona Plonner _
Countil _
I hereby acknowledge fhot I hove read this opplicofion ond stote thaf gldq. Off.
fhe informotion is correct and ogree to wmply with oll npplicoble APC -
State of Minnewta Statutes and Ciry of Eagan Ordinances.
SiBncture of Pertnittee
Tollefson B ild I
Woter Meter 60.00
Road Unit 250.00
TMaI $1727.25
A Building Permit Is issued to: u s, nc. on fha exprea conditian thm
cll work sholi be done in occordonce wlih ol /op/plic ble of M(nnesota Statutea ond City ot Eoyan Ordirwnces.
Bullding.Officiol ?l?iY ? P?/1Ca
L")
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
i
U ;----- ? - - - - - - - - - ,
JAN 2 7 2009 j P?ermit#:z7??;/,o(
- ? Permit Fee? I
I ?
? Date Received: ?
I ?
i
? Staff:
L -----_ I
----------
2009 MECHANICAL PERMIT APPLICATION
Date: I- t ?-+-?-?1 Site Address: L3??? l 1-1F?V`?? ?I -
Suite #:
RESIDENTlOWNER Name:
Address / City / Zip:3C_) (C)
RL= OS'-) "7 q 8`]
CONTRACTOR Dan Wohlers Southside Htg. & A/C License u:
6950 W. 146m St., #106
Apple Valley, MN 55124 State: Zip:
(952) 431-7099 ,
1
Person: 5
ul ZP
TYPEOFWORK -New Y- Replacement _Additional _Alteration _Demolition
?escriptbnot.riork: ? l? C -7 U h
' NOT Both ?oat mounied and ground mounYed"mecRr?mca!e? u'iprttenf Is?gqu! f0 `,
f?e screen'ed?by`GJty iC:otle Plea`s+9'Cdnfact?fidaeharile?l'J?sp?c?' ar ofie arl thex? ;.
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rrer? ftirafvimaflta orr nr+
RESIDENTIAL COMMERCIAL
PERMIT TYPE ? New Construction _ Interior Improvement
_,_Fumace
_ _
Install Piping _ Processed
Air Conditioner _
Air Ezchanger _ Gas _ 6cterior HVAC Unit
Under / Above ground Tank (_ Install J_ Remove)
_ Heat Pump _
" When installing/removing tank(s), call for inspection 6y Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Flfe r@palf (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
SO TOTAL FEE
SD
$
•
COMMERCIAL FEES:
$70.50 Underground tank installationiremoval OR Contrect Value $ x i%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- Ii Permit Fee is Iss than $1,000, surcharge is $.50.
$ State Surcharge
fl Perrnit Feg, is > $7,000, surcharge increases by $.50 for e8ch =
$7,000 Permit Fee (i.e. a$1,D01-$2,000 Permit Fee requires a$7.00 surcharge).
$ TOTALFEE
Tenanh
I hereby acknowledge that this intormation is complete antl accurate; that lhe work will be in conformance with the ordinances and cotles of the City of Eagan, [hat
I understantl ihis is rwt a permit, but only an application for a permit, and work is not to start withou[ a permiC that the work wlll be in accordance wi[h the appmved
plan in Ihe case of work vfiich requires a review and approval of plan3. ?
XChacL t?c?hi?r5 ?-?. .o `
ApplicanYs Printed Name plicant's Signature
Tallef.;,rt 3uil.dezs 1rc.
I
JACKSON - SURVEYORS
RB61GT[RBD UNDBR LAWS OF tTl1T[ O/ YINN[lpTp
3616 EAST 55th STREET, MINNEAPOIIS, MN 55417 7273484
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I MEREYY C[RTIW TMAT TXE ABOV! IS A TRUL AMD CORR[CT PLAT OI A SU11V[Y OF I 1Q' 1
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Af SURVEVED eY M[ TM15 i•C r-_-OAY OF_pi'Y1.I
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SIGNED---?
F. C. JACKSON, MtNn[oor R9aI6T1ewTlow. No. 3600
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
? •` 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruclion Reouirements RemodeUReoair Reauiremenis
3 regislered site surveys showing sq. ft, of lol, sq. fl. oF house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated addfions
2 capies of plan showing beam & window sizes; poured found design, etc. . 1 site survey for adrLtions 6 decks
1 set of Energy Calculalions AddiNon - indicafa A onsife sepfic system
3 copies of Tree Reservation Plan rf bt pladed afler 711193
Rim Joist DeWil Options seleciion sheet (bldgs with 3 or less uniis
IS `7 b. a5 "
? UseLMtVY v ? ? p?
GeiSofS?avey:Recd „X ^N.
ICe9YfejPfg(IRfl8dE _Y _I?
T2ePresi?eqytrced 1+
DnsdeSepl.ic:a`?siem _Y _N:
Date 20Oq ConstructionCost `jOGOQC-
Site Address 46IWEK PR, UniUSte #
Description of Work ettL/cE )OX(G Dcck ADA ij?w
Mulri-Family Bldg ? Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner 1 Ja,V i? J(-,tjt- Telephone #(-7G3 ) LF2S- 463'
Contractor ?I DQf-ekK MAiM-LuMXr
Address ?1 ?. (?(}?N S'1 1A
City YI i k lotfi!'GLI/
State H'N Zip Telephone #(CSI ) 322-4y0E)?r IG?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NE1N BUILDING
Minnesota Rules 7670 CateQOiv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25%a plan review
fee applies. _ in ?n
Licensed Plumber
Mechanical Confractor
Sewer/Water Confractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
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.
M,k? bu
Applicant's Printed Name
, 05'1/? , /;? 4
Applicant's Signature
OFFICE USE ONLY
Sub Types
. ,, ;
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt-Multi
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex Yi 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 36 Demalish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
?33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
,
34 ReplaCement 'Demolition (Entire Bidg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code ? Zoning City Water
SAC Units Stories Booster Pump
# of Unfts Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIItED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ZC FinaUNo C.O.
_ Footings (addition) _ Plutnbing
Foundaflon HVAC
Drain Tile Other
Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Cms Tests Final
_ Framing _
_ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ RI. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: Building inspector
------------------------ ------------------------ -----------------
Base Fee
Surcharge
Plan Review
MC/ESSAC
City SAC D?v
Utility Connection Charge S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
T:+? Ref::-z Buildera Tnc.
JACKSON - SURVEYORS
.
REGIBTERED UHD[R LAWB OF BTnTE OF NINNl90TA
! t
3616 EAST 55th STREET, MIMNEAPOLIS, MN 55417
J C. ; *urbcpoc'8 ?cr 'ficah
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7273484
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I HEREBY CERTIFY TMAT THE ABOVE IS A TRl1E AND CORRECT PLAT OF A SURVEY OF
i.ats 29,30 '1 i.nJ 3: Blnca i,Br(ar HilI 'vrir. .`.,;d
a "? Iur.t 'l:ancs atti. ?
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i.f.:A Eh?.3ir ?,.c.•:. ?? ,'y^?y, 1`?' 1
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P.;,n:.vd =tig{ rlnni' E?ti'v. Lf) 4-
tii
AS SURVEYED BY ME THIS-.--. -- --DAY OF_--
t
SIGNED-__?_ , ? -
F. C. JACKSON. MIHN[BOTS`'Rl615TRnT1oN. No. 3600
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
? . 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruction Reauiremenis Remodel/F2ePair Reouiremenis
3 registered site suNeys showing sq. ft. ot lot, sq. ft. oF house; and all roofed areas 2 copies of plan
(20% mauimum lot cwmge allowed) 1 sel of Energy Caiculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. , t site surve/ for additions & decks
t set of Energy Calculalions Addition - indicafa 'rf onsite sepfic system
3 copies of Tree Preservation Plan if lot pletted afler 711193
Rim doisi Delail Cptwns selection sheet (bldgs with 3 w less units
Telephone #(
Date
SiteAddress ?ai5S7 (J ?
ConstructionCost_
?)EAlAQ D72, Unit/Ste #
Description of Work &P LAtC )OX ?U &-N-V A*4t*
MuIH-Family Bldg X Y_ N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner aA N?? c- -- Telephone#(7-3
Contractor r9411 A11 rWAN6
Address 4[1s
State AVl V) r/'? ???" S)
Zip S-S 41 °1 City M+autvw
Telephone # ((:;5I ) -32 2 - o te, w ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 ? Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Wwksheet • New Energy Code Worksheet
(J submission Type) Submitted Submilted
• Energy Envelope Calculations Submitted
Have you previously consiructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
?eusa0niu
itz?PresPI?i.Recd ._;Y ?N.
Fr?ePresRer?uired ,m:Y•„v,P1
SJo-sileSeA???ysfem _Y _N.
N If so, 25% plan review
Telephone # ( II D
I hereby apply for a Residential Building Permit and acknowledge that the informalift is c d&C urate;
that the work will be in conformance with the ordinances and codes of the City o y?xMan and the ate f NIN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not fo-"15a wi out 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.
? I kE evDH "20 z?' 4,
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
?
01
Foundation
?
07
05-plex
?
13
16-plex
?
20
Pool
? .
30 _
Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 08-plex A 18 Deck ? 23 Porch (screen/gazebo) ? 36 Mutti Misc.
? 05 03-plex ? 11 10-ptex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_ror_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' O 43 ,Reroof ? 46 WindowslDoors
/lk 34 Replacement "
'Demoiition (Ehtire Bldg) -Give OCR handout to applicant
Valuation 01) Occupancy MCES System
Census Code I.' ST Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Lf Width
REQUIItED INSPECTIONS
_ FooUngs (new bldg) FinaUC.O.
_ Foodngs(deck) ?C FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drein Tile Other
Roof
Ice& Water Final Pool _ Ftgs _ Air/Gas T ests Final
_
_
_ Framing _
_ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Tes[ i Final _ Windows
_ Insulation _ Retaining Wall
Approved By: ? Z , 8uilding Inspector
Base Fee
Surcharge
Ptao Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W PeRnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
.a?
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1'??-rst.f?YtF?
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BiJ:).SSP1'R `i:C.
. 1° 399
i83^7`S
JACKSON - SURVEYORS
. . .
REGIBTERED 'JHDER lAW6 OF 9TATE OR MINNFSOT0.
' • 3616 EAST 55th STREE7, MINNEAPOLIS, MN 55417
'"'_
*uthtpoi g QCcr?tficate
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I HEREHY CERTIFY TNAT THE ABOVE IS PTRUE ANO GORRECT PLAT OF A SURVEY OF
?
?,:?ic 20 ?C; ?? ?:ru± 32 PI."e'x i,$rLar kW E •.-_. -=.d6.
:)8Kn!?t r,^,I:riLv?"!;t1Te?.?',FR.
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I.S SURVEYEO BY ME THIS DAY OF
?
SIGNEO--_
J. -
F. C. JACKSON, MINNfsoTq( R[a15TrtaT1oN. No. 3600
PERMIT
CITY USE ONLY
_ RECEIPT DATE:
2008 MIDEPTtAL MECRAAIClkI. PERMTf lEPPLICATION
crrY or $wsniv
3830 Pu.or xxos Rn _
EAHAF bIIY 55122
651-681-4e75
Please complete for. ? single family dwellings
townhomes and condos when permits are required for each unit
Date:
SITEADDRESS: ??SCI ?P-C-Cf?--?- ?•
OWNER NAME: TELEPHONE #: Co "rJ )-'-I5-'? " 33? ?]
INSTALLER NAME:
STREET ADDRESS:
CITY:
Place a check mark next to the permit work type
? Add-on, modification or alteration to existina dwelling unit $ 30.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: -p"'-pbs, "i `L_CrlGL' L') f
7rrnCA-0A : iu?_C=q , r??\SaC?-.?
a-?-br, 'P-'LuUA
State Surchar e $ •50
Total $ SIGNATURE OF PERMITTEE
' Wohlers Southside Htg. & Air., Inc.
6950 W. 146' St., 4106
. Apple Valley, MN 55124 _
(952) 431-7099
?- -JIAIE: - -- - ZIP:
lioz
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
8008 COMbIERCIlEL M3.'CHANIC!!I. PEiIYIIT AP-PLiCATION
CITY Oi' EAL6Aft
S$SO PILOT KAOB fiD
E46AN, MN 55122
651-6$1-4675
Please complete for: all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP:
WORK TYPE: New consWctlon Install U.G. Tank
_ InteriorImprovement Remove U.G.Tank
_ Processed Piping
SpecifyNature of Work:
When installing/removing underground tunk, call 651-681-4675 for inspection by Fire Marshal and
Plumbixg inspector.
Fees: 1% of contract price OR $50.00 minimum fee, wlrichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATi7RE OF PERMIT"fEE
Updated 1/02
? ? /q/ ? CSTY CF` L•'AC.T?N
( o ' BUIIDING PEPMIT APPLICATSON
'lb 8e Ured 6br 6c.z,-' Valuati,orn ?' cpo-o
&itye Addrds? ?.? 3Q 3PG/, 3?'? ? I?FFa?
Lot 30 ?/ Block ? sac./Sub.6"
!o jU99' ? aR? a 1
?
orner:
liddsesa:
; atrrzip mae:
' Pdoae 1:
?
?
J1ddme: 4f ?;
CitY/Z1P [bde:
Phnw i: ?S
]?rch./FYg, s
AWIE88: •
City/Zip Uocie:
Phane #:
?
? TO? ?
Include 2 sets of plans,
1 site plan w/elevations i
1 set of enea,3y calwlatinns,
_ Date
? / ?? N/
C1L'E'SCE U5E CNLY
Ex'eCt ? 00cutlanC7 .3
Alter 7,onirtiq ,3 `
A4Sais Fire Zone
En.large _ 'lype o£ donst.
Move M stories
Darolish Fmnt ft,
Grade ? Deptli 77 ft.
Water/Sewer Surdiar9e
1'olice _
Plan Clteclc
Fi.re SAC . '
Eri9. Watpx Ccxv1,
Planrrx Water Metwr
Cbuncil Iioad Unit
Bldg, Off. 5 -
APC
Z)rnr.
i
a
To Be Used For
crzy nr• r•nciw
D? BUILDING PER41T APPLICATION
Valuation 6mb
Peroel t: !o l?fQ4 3 3 on c? l ?-
owner:
Addc+ees:
atY/ZiP Llocle:
? rt?ar,?a r :
AddiweH: //.?
CitY/Zip Ltxie: ?
F'hane #: 1/_S-7/-
Ardi./Elxj. s -
Addreee: ?
City/2ip Cbde:
Phaie #:
?
?
Include 2 sets of plane,
1 site plan w/elevarions G
1 eet of eneryy cslcuLatj.me.
Date 5--y-53 ?' '??s Y' , _-/ ?ice ose ?s
? % _0=4wlcv_ 3
Alter zoni.nq -
1ie(ktiir Fire 2one
E?il.aige _ lype of Oonst.
Hbve N Stories
Deiroliah Front ft.
crade Depth
Water/Sauet Surchar9e'
Po:Liae Plan C7ieck
Fire SpC. '
Enl • Water Ccxu1,
Plartrtier Water Meter
Oourrcil IAoad Unit
Bl.dg. Off.l 3 - -
Atac
'IOTAL ? 1-7,,22`7, o2S
-?
CI IY C][' FAGM
&71TDING PEf2hLI'P AppLICATZON
7tb 8e UeW FUr. ?valuation ?`? 9i 66 0
Lot °3e,i % Bla?cyc !_/ rSec./Sub/?i ? ??
Parael 1: ( b I y 4?__3 V0 b
Owrtters
Addz+ese:
? atY/ZiP Oode•
Phow 1:
? OontxaCtO4/?
?
? AddL+B89: - ?
? .
i City/Zi.p ODC3e:
i Phoria
?
: 11rc?./EYiq, s
Addree8: • '
City/Zip Cbde:
rhone
-7
Irrclude 2 sets of plans, 'd16
1 site plan w/elevatirns 4
1 set of errexW calculatj.ans,
. Date
0, OrF'ICE USF. ONLY
EreCt X OccupancY
Alter Zonirr3 .3 -
Aepa.ix Fire Zone
Ehlaige _ Type of Cbnst.
1`bve N Stories
Dernlish Pmnt ft.
Grade - Depth ? ft.
Water/Sewer Surchazge
Pouce Plan Chack
Fire SAC. rg
Frvg. Water Crnn. r' ?S-jz?
Pl.anner water Metes D
Couuucil .? Aoad Unit
B1d9. Off, 7 ?.4 -S!=
?
pPC 7 t?
TOrnr. -7 ?7
' .
CITY 1Y' rAL',Atd Include 2 sets of pl.ane,
1 site plan w/elevations t
HUILDING PEAMIT APPLICATION 1 aet of ene.rgy calailat3ons.
70 Be Ueed Ebr ";`- Valuation
?
Sitye nddre!,V5 3S? 3?G'/,3J'?.? - ?4
?03/ ?
Lot , ,??r-?i•
? BiodcLL.,? Sec./Sub:
Patoel a U CD ?
Owrnx:
Addrees:
Date 'g - /- p 3
arFicE usF orrtx
? ?
? T?
?
AePai.r Fire Zone
E.hLange
? Ty
pe of Clonst.
Move # Stories a
Derolish _ Front ft.
Ci.tY/Z1P Oode:
Yhoae i:
I llddsBSe: // . '
i City/ZiP Wcle:
Ihcf18
11rCh./FYg.:
Addresa: • ---
City/Zip Code:
P'hOna 1:
Q
?
ft.
Water/Sewer surdiarge!2q
Polioe Plan Check- ) 91 4"
Fire SAC.
Eng• WdtEi Cofl1'Ie
Pl.aruer Watps Meter /„
Ckwrocil Iioad Unit g5b
Bldg. Off.
AVC
'lOTAL L -7,;2?I ` a S
ities Di ig tal Quality Control
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?- ChTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT ?
PERMIT TYPE:
Permit Number:
Date Issued:
COPIES
Total Fee
SITE ADDRESS:
3857 HEATWER DR
LOTs 29 BLOCK: 1
BRIAR HILL 4TH
P.I.N.: 10-14993-290-01
DESCRIPTION:
ermit Type DECK
?rk Type NEW
??%b 434 ALT. RESIDENTIAL
A`
REMARKS:
PLAN REVIEWED BY MIKE BARCK
FEE SUMMARY:
Bese Fee $50.00
Surcharge $.50
Subtotal $50.50
.
CONTRACTOR:
I M&w.EEiy?raGkif
a
.s
t$tVCffde 4i7di.
,. ?
iE
y?.mp? ?C.: ? 0%
? ?t *JBH Y?o
BUILDING
@31882
04(28/98
$51.25
OWNER: - appiicant -
GREEN PEGGY
3867 HEATHER DR
ENGAN MN 55122
(612)688-2208
nM o,? PY. R?GN?.I m?_
3101, 998 BUILDING PERMIT APPLICATION (RE3IDENTIAL) L5
cirsr oF Enaax
3830 PII.OT IQN0B RD - 65122
681-4675
New ConsWCtion Reauirements
? 3 registered site surveys
? 2 copies of plans (inGUde 6eam & window saes; poured ind, design; etc.)
? 7 energy calwlations
• 3 eopies oi tree preservetion plan M lot plalted after 711/93
required: _ Yes _ No
DATE: Y -,-)o -?'-t ?
DESCRIPTION OF WORK:
KIIA- t'o 4,204
STREET ADDRESS:
8 S7
S"l 2-r
LOT: Iq_ BLOCK: SUBD./P.I.D. #: h in f?. ?# ?{t
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: afl-¢Q!,d ? G C\? Phone #:
Last Firot ?-
Street Address: Jh-J ,Q4,T-ka4= Og?
City t6l-5 Ct,? Stau: Zip:
RemodeVReoair Reauirements
? 2 copies oT plan
? 2 afle surveys (exterior adAdions 8 tledcs)
• 7 energy ealwlations for heated additions
CONSTRUCTION COST;
Phone #:
Street Address: License #
City
State:
Zip:
Company: Phone #:
Registration #:
Street Address:
Ciry State: Zip:
Sewer & water licensed plumber (new wnstruction ony): . Penatty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that i have read this appiication and state that the infortnation is cortect and agree to comply with all applica6l
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
O 03 SF Addition 0 08 8-plex
O 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
0, 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
? 36 Move
? 37 Demolition
,: ? ??
?' ?.?M i'.?. ?L •'-,.+.v
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq, ft.
UBC Occupancy sq. ft.
2oning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Depth Footprint sq. ft.
APPROVALS
Planning
Building AV3
MClWS System ?
City Water /
Fire Sprinklered
PRV
Booster Pump
Census Code. ?13N
SAC Code o r
Census Bldg eL
Census Unit d
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W 5urcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
O 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
,lir 15 Deck
Valuation: $
°k SAC'
SAC Units
,? __ --
N 3616 EAST 65M STREET, MINNEAPOLIS, MN 55017 7273480
ScAL-E- I" = 40`
-: -• DE N O?'E S I Rp ?.J S1?LIKpOC?f G[8tt
- - = ,.Qt U
00060 15TIh1G t-L..
pp
Y- DRAI NA GE
02THcR'U ^?^?
A'fl1iZAL GAS C DP14,INqGE qNG
tASEMENT ' uT"+rv ?asern?w?'
1 H[REtY C[RTIA' THAT TN[ ABOV[ 18 A TRUt AND CORR[CT PL11T OR A SU11V[Y OF
Lote 29,30 31 and 32 Block I,Briar Hill 4th, Add.
Dekota County,Hinnesota.
/.s suavcvco mr M[ TM16 llth. ._oAr or April A 0 1983
i:
-?
. i
?.
•}
I.
?
`
I]fL1?E ?1
i
? i
Propoeed Gerage Floor Elev. 102.0
Proposed Baaemeat F1oor-Blcv. 102.36
Prapoeed Firet Floor Elev, 109.37
i
- l
.. 1
C. .
?. . .
.. ?r. ...r ::J
?
r ?
CI'fY OF I:"AGAN
CFlSHII_.I'te JS TF.RMINAL PFCla 748
DATE: 00/04/519 'iINiF; 13:31;56
i
WEa MSf;r_ nrnas coNslfiucTtnra co
:aE:tn 9001 3840 i-iEFlri•ir:r; Dr 1c;7,25
205 9001 3040 HEATF•IER Lili 4.50
321{) 9001 ::3849 HL.A'T'hIFFC DI; 167.25
205 9001 31949 MIEFtI'HLFi DI"i 4.5(]
320 9001 3C357 1-IE:ATHE:F: DR 07.25
2S
15 9UJf
1 3f'`i i'
3 'F?71°IF..:I;
i-IF'_ Dli 4.EU
`i
320 9001 3M ^
I?T ?L?Jf?n?
LJ
205 9001 380 LA:.lF,FI_ Cl' 4.50
300 .`:)OOf. 1864 I-iE.AT'HI=R Aft 167.25
205 9001 3064 hIE:(tTHER DR 4.50
To+,a:l. finc. Gypt Amouni: e 858.75
CFi9.i.4 844
UaL:R IDe ,7AN
1 l?? 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ?
? CITY OF EAGAN J 7! , 7?
?
3830 PILOT KNOB RD - 55122
651-681•4675
New Conshuction ReaulremeMs Remodel/Reoair ReauiremeMs
? 3 regislered sRe surveys showing sq. R. of bt, sq. ft. of house
and all rooted areas (20% maximum loi eoveraae allowed)
? 2 coples of plans (show beam 3 window sizes; poured fnd. tlesign; efc.)
D 1 set of energy calculatlona
? 1 copies of hee preservation plan H IM platFed aHer 7/1/93
DATE: ?- ? `?
DESCRIPTION OF WORK: <<-' Q R U?r}- /Lc? /
STREET ADDRESS:
LOT: ?
BLOCK:
Name: /?J 2 C Cr 2!q;(/ Phone #:
PROPERTY ?cs1 First
OWNER
Street Address:
City
2 coples of ptan
1 sef ot energy calculaNOns tor heafed addMiona
7 sHe survey for exterior addMions 3 decks
9 4?/ S'C' 6'c-'
COST:
State:
Zip:
Company: l,ON4`-o Phone #: 6! Z 7 z- / -// b 7
(area code) q 4
CONTRACTOR /n
Street Address: ?? ?N e/ZiN y' /`?11v:- 'j License # Exp. ?
?
ARCHITECT/
ENGINEER
14
City State: Zip: `t'" 66.
Company:
Telephone #: area code (
Name:
Street Address: RegistraNon #:
City
Sewer 8 wafer Iicensed plumber (reaulred for new conshucHOn onN):
State:
PenaHy applies when address change and lot ehange Is requested once permR fs issued.
Zip:
I hereby acknowledge that 1 have read fhis apptlcaTion, afate that the Ini on Is correct, and agree to comply wRh all applieabl
Siate of Minnesota Statutes and CNy of Eagan Ord(nances. ?? ??? °t"?
Signature of Applicant _-
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
0 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bidgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies
Total:
Valuation: $
?
SAC Units
% SAC
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
, 3830 Pilot Knob Road, Eagan MN 55122
-aJ Telephone # 651-675-5675 FAX # 651-675-5694
`% '-1 0 U ()
New ConsWClion Reauiremenis Remodel7Repair Reauiremenls OYice U§e^?it?
3 registered site suneys showing sq. tt. of lot, sq. R. of house; and all roofed areas 2 copies of plan ?`a s°%. 11"1pl
(20%mazimumlotcoverageallowed) 15etofEnergyCalalalionstorheatedadditions
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey tor addi6ons & decks r?
isetofEnergyCalcuFations Addition - indicafeif on•sftesepG'csystem p?eS?lnf"?„„ ,?,
3 copies of Tree Preservation Plan if lot platted afler 711193
Rim Joist Detail Opfions selection sheet (bldgs with 3 or less unils
Date l. / /7 /? ConstructionCost ?7a)
Site Address UniUSte #
L%Flvq.?
Description of Work
?
?1,t- L
6/1 ?
Multi-Faroily Bldg _ Y_ N FSreplace(s) _ 0-01 _ 2
Property Owner Telephone # (65) ) &646 '2ZGe
Contractor n ?
4)(?'
Address L.), City 3? ???Lr
State ^? Zip 6?"}3 ) Telephone # ( 9iZ) 010- 67 ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee appiies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
N If so, 25% plan review
Telephone #( ) .
Telephone #(?'?
II I; ?
Telephone #??
I hereby apply for a Residential Building Permit and acknowledge that the inform'shon_is-cemmplgte-?-aCcurate;
_ _
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a 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 s of work which requires a review and
approval ofpl %?O
ApplicanYs Printed Name Appli t's Signahxre
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Potch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 72-plex Plhg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demalish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement *Demolition (Entire Bldg) - Glve PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQiTIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T esu Final
_ Fraxning Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _
_ Final _ 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
2904 RESIDER7TIAL PLl1MBING PERMIT APPLlC.43'9Ofd
CITY OF EAC3AN
3830 PILt3T KFJOB 120AD, EAGAN MRl 55122
3 7 3? 651-675-5675
Please complete for modifiications to existing residential dwellings.
Date ? 1 ? I 94
Site Street Address ?Unit #
Property Owner Telephone # ( 145n
Contractor// Telephone # ( ??) 4rt3-16Y`Y ?1
QlC?C?C035 CI'?! ? $?4!2??_ ?LIP -!.G!?1L
The Applicant is: _ Owraer /`-COntractor _Other
Alterations to existing dweliing $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Tumaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
x replacement _ additional
Lawn 3rrigation System RPZ_ new _ repaie _rebuild $ 30.00
State Surcharge $ 50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that 4he work will be in conformance with the ordinancss and codes of the City of
Eagan and the plumbing codes; thai 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 ihe approved plan in
the event a plan is required to be reviewed and approved.
ohv?1?h
ppiicant's Frinted Name ApplicanYs Signature - ?
V APR 0 5 2004 L,
Y
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5644
A? ,0 OU
New Constructian ReauiremeM.s RemadeVReoair ReauiremeMS Office Use Onlv
3 regislered site surveys showing sq. ft. of lot, sq, ft. of house; and all roafed areas 2 copies of plan CeA of Survey Recd - _ Y_ N
(20% maxunum lot coverage allowed) 7 set af Energy Calculations for hea[ed additbns Tree Pres Plen Recd Y N
2 copies of pWn showing beam 8 window sizes; poured founW design, etc. 7 site survey for addR'ans & decks Tree Pres Required Y _N
1 set ot Emryy CalcWations Addition - indicate if onsrte sep6c system On-stte Septic System _Y _N
3 capies of Tree Preservation Plan'rf lot plaped after 711193
Rim Joist Defail Options selection sheet (buildings with 3 or less units)
Date J? 130 10) Construction Cost
Site Address 3$ 57 1tq #M /V• Unit/Ste #
C-2
Description of Work (^?5%i}LC? CjJ) 5 Ee,"61`66' ??/ ?I7??
Multi-Family Bldg Y_ N Fireplace(s) _ 0 X-1 _ 2
Property Owner f'L(>(i Telephone#(ro?) 6d0'22-6b
?
,
?S/ ? £?
Cootractor / /?
/? 6
°?
nddress Ciry 5,4?.7%d
State /y"___/ Zip -!?3 76 Telephone # ( F1W) */- 1 ?0'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilafion Cafegory 1 Worksheef • New Energy Code Worksheet
submissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
ln ihe 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
Mechanicol Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that tkte information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a 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 inAe case pi
approval of plans.
? 0 i-I.?
ApplicanYs Printed Name
which requires a review and
»
OFFICE USE ONLY ?
Sub Types
? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Exl. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-piex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 RepleCement 'Demolftion (Entlre Bltlg) - Give PCA handout ta applicant
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
REQUIREA INSPECTIONS
_ Footings(new bldg) _ FinallC.O.
_ Footings(deck) _ FinaVNo 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 _ Final _ Windows
Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
y ,
IX:S :rtlNf ISfA[tlf0 A10(OYIIOLL[Ot! IXE[?GIYI[d616
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City of Eapn 9
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651)675-5675
Fax: (651) 675-5694
I Far,C3fficel7se --------- -
b PertnitI I
APR 1 6 2006 I PermitFee: J3C7 I
I I
? Date Received:
? Staff: C?
------------------ I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 41' / S - O 9
7enant:
Suite #:
RESIDENT/OWNER Name: e/o Ass. ec „r F,f.oae„qL irl„Nr?cF»c?7- phone: '7& 1 ' YS s'- 37R7
Address/City/Zip: {YPA rNE2 62.
Applicant is: _ Owner x Contractor
TYPE OF WORK Description of work: R£- A U ? cJ\ n E G 11
Construction Cost: LI l d C)dC) Multi-Family Building: (Yes X! No ?
CONTRACTOR Name: G3 £/ £'x rc2r o2 /9?is i,j r. L?26; License #: 10 Z 3 i
Address: (c c Fk s; ,
City: /7'I PL 5, State: /r1w Zip: SS.V/ ?j
Phone: 6%l2' 9 ?J' 62 V3 Contact Person: ?A V L 4 u 2 R i-S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
Cat¢gOfy Submitted Submitted
(l? submi55ion 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• Plans and sbpporting documents thaf you,submit
re considered fo be Aublic rnformation. PoRions of
,
?
'
a?„
the information ma'y be classif
a
red'as,non public if you pro
vide specific reas'ons that ivould per'mif'the City io r
conclu'de fhatYhe ar'e &ade sec`rets.,a .`-
I hereby acknowledge that this information is complete and accurate; that the work will be in contormance with the ordinances and codes ot the Ci[y of
t the work will be in
Eagan; that I understand this is not a permit, but only an application for a permit, ttw=
a
ccordance wdh the approved plan in the case of work which requires a review andapx ?? ?I ? V?Y?IL62i5 X
ApplicanYs Printed Name ApplicanYs Signature ,
Site Address: ad n_, .q 2 l-I't L
Page 1 of 3
1
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? OS-plex ? 76-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Firepiace ? Porch (3-season) ? 6ct. Alt. - Multi
? 07 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex W Deck O Porch (screenlgazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Stortn Damage
? 04-Plex . ? 72-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building"
? Addition ? Move Building ? Reroof O Demolish Interior
? Alteretion ? Fire Repair ? Windows ? Demolish Foundation
PZ) Replacement ? Egress Window ? Water Damage
' Demoldion (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation 31 Do-D. Occupancy LRC' t MCES System
Plan Review Code Edition ?°a Z SAC Units
(25%_ 100% Zoning City Water
?
Census Code 9.3
f Stories Booster Pump
# of Units Square Feet PRV
# of Buildin s
9
Length D ?
Fire Sprinklers
Type of Const. Width 1
REQUIRED INSPECTIONS
Footings (new bldg)
)0 Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace:_R.I, _AirTest _Final
Insulation
Reviewed By:
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
Copies
Total
Sheetrock
Final/C.O.
Final/No C.O.
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Walf
Building Inspector
Page 2 of 3
?
JACKSON - SURVEYORS
RE616TEREO [lNDER LRW6 OF 6TATE OF MINNESOTA
3676 EAST 55th STFEET, MINNEAFOLIS, MN 55417 727-3484
iburhepor's Cerifecate
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I NEREBY CERTIFY THAT TNE ABOVE IS A TRUE AHD CDRRECT PLAT OF p SURVEV OF
..'c.KC•?:S .hIE..P.i'.'?fli:9..-•Yfi.
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DAl('E._?V/ 7
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AS SURVEYEp BY ME TMIS
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StGNEO--_-_.?
F. C. JAGKSON, MwNESOrp`REGISrnatioN. No. 3600
?? s? 386,3 ee.rr?lelz- a/R
r
Clty of Eapn
J?7I?
? 6 20DF
? ---u5---------- -
? Perrnit #: (j2? ?
? Permit Fee: ?, ?(7 I
? Date Received:
I ?? I
? StaH:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: L/- ,' s' - o V
Tenant:
Suite #:
RESIDENT/OWNER Name:!/_0 )9 ss- e,wT.F.?.vilCi.qL ir14 .?n61r„c.,- phone: 7 & 19 V 37.7 7
Address / City / Zip: 3 g(n 3 H£ y ry E. /L b 2.
Applicant is: _ Owner x Contractor
TYPE OF WORK Description of work: S2 t- 4b ? i c;\ D£ c?
Construction Cost: d 0•49 G Multi-Family Building: (Yes No
CONTRACTOR Name: f? £/ G,2 R License #: Z c X yJ/ 3 I
Address: i/4S' (.,.s. 6c??L f;,
City: MP L S, Stafe; Zip: SS'/i S
Phone: 6,12- E L, /- G, 2'/3 Contad Person: b'"E ? UI2.2i 5
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 7 Worksheet . New Energy Code Worksheet
CHtegOry Sub
itt
d
m
e
Submitted
(4 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 8 Water Contractor: Phone:
NOTE: Plans and supporting t/ocuments thaf you su6mit are considered fo be public information. Portions_ of
Fthe information rriay be cfassiFed as.non-public if you provide specific reasons fhat would permif the City to
'
`
'• `- " °
" ? `conclude tfiat.the ar`e trade'se'c'rets
I nereby 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 wor s not to sta out a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review andapprov of plans.
x *C?p') ) D 4cn?Ls2 iS X.
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
Site Adtlress: 412, q 2 f-IJe L Tc w,,;, C S
DO NOT WRITE BELOW THIS LINE
r
sua TvPes
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Eut. Alt - SF
? 02-Plex ? OS-plex Vf Deck ? Porch (screenlgazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Stortn Damage
d 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interiorlmprovement ? Siding ? DemolishBuilding*
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows O Demolish Foundation
? Replacement ? Egress Window ? Water Damage
* Demoldion (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation OOD r Occupancy j2 C- + MCES System
Plan Review Code Edition Z°o SAC Units
(25%_ 100°/o ? Zoning City Water
Census Code K 3 Y Stories Booster Pump
# of Units Square Feet PRV
iF of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg)
? Footings (deck)
? Footings (addition)
? Foundation
Drain Tile
Roof: Ice & Water Final
Freming
Fireplace:`R.I. _AirTest Final
_ Insulation ! 1/7
Reviewed By:
RESJDFNTIAL FEES,-
Base Fee
Surcharge
Plan Review
MC1ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
Copies
Totai
Sheetrock
FinaUC.O.
)p FinallNo C.O.
HVAC
Other;
Pool: _Footings _Air/Gas Tests Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
ReWining WaIP
Building Inspector
Page 2 of 3
Ta:le. n B'.:tlde;?. rnc.
JACKSON - SURVEYORS
rtEGi6TERED UNDER LAW6 OG 6TaTE OF MINHESOTq
/
/
? k?3656 EAST 55ch STREET, MINNEAPOLIS, MN 55477 7273484
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epULhCpGi?g C-[5lft£8[B
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I ViEREeY CERTIFY TNAT THE ABOYE IS A TRUE ANO CORRECT PLAT OFA SURYEY OF
?i
[E6".iC.P.: rtr'?R';..7r.z.
,pd`l31{'VUC7
RCVBEWED
BuoLDoNG iNsPECTIoNs DoVoem
FS SURVEVEO BY kE THIS- ._- DAY OF- A D
?
SIGNED----_
F. C. JACKSOht, MtKnESOTriREGhsTRJl,TioK. No. 3600
3? S? 3? 63 ,ye07 1-1-hferL pg
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act lcrwi~ road l~le f 13
~ MIN a:►1x~ l l
Phone: (651) $T5wW5 _
' Feat' (681) 8754M4
2013 RESIDENTIAL BUIL.DINO PERMIT APPLICATION
sioetAddr.aa: ~aS . xei says H4if7'1-1-ttL DR, unit#:~--_...
Q57o
C1o Ac r ~1r1~a6~,+t~v~- xaC ph.. 743
Address I Oily 120, 75 0 a ~ G 4 -"'v a All p
bM~retr . p,-,~s .sryz ~
Applkant t9: owner Z, Cw*amr
Tyre,# c Dewdptlon of work `7r-.C,+A OPF a. Q~ - P.~~=
` Wstru on Cost; 9G"~ Multi-Family BuldmT (Yes / No
w
Company OZ) CW*wt,tAV/4 %,~Vruk-l S
Miress. dos ba7~ S7. cigr /y1OG 5.
Slyd3 J- Zip: SSS'/ 9 Phone. .
ucense # 0 G A W., 3 / toad Cer eala
fE the pmjed is exempt from lead cGOICatdon, please explain why: (see Paige 3 for s0krianal imbmaton)
. - ~ g~a~s ~eF.- Q~~dr Pos- 197 ~
COMIPLETE THIS AREA ONLY IF CONSTRUCTING A NBN BUILDING
In the last 12 morrupe, hss tare char of Eagan Issued a pomp for a similar plan based on a mamr plan?
Yes No If yes, data sW *Oran of meSW plan:
L ic4ased Plumber. Phol
Meehan" Comfte br: Phow.
Sewer. &vuabr cQnbaotork Phone:
DWwc:
9ALL BEFORE ING,. Cm e QOryi u orw j cam at (68 i)16e 0 for Promotion a0*0 ►a~dorWPWW Uft damage. Call 48 haxs
Dethke yon ~n t4 to fee" b tOCal0i Of ktldO~koUnw egg
t hW*by dd~ that dfis infornredott is oxnple0e and aoarr * that the work w1U be in confonnanoe with dw aditm me and oodea of tiro CiW d
EaM Brat 1 undwaLpnd tl1I8 is not 8 penNt, but orry an aWppG"drcatle.rt . for a ~w DennfL and and awravworkW of i Ps-no
not m start without a MYMt gotta work wilt bs in
aoto~dmno. wit. M.s a~rw.e plpA to a.. . 0/ week wan
ExWJorwarkmillwrind
d, b!► s bnUding pararit issues In aeoobsneo wl~ t!M Yinrweota Sys Bulldi Code awd be eontplabd width lap
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APP11eanCs PNnOid Nem• Appaloanft 81gemftre
Pape 4 Of s
b0/Z0 39tid iNICW 1X3 I3H L9Z9T98ZT9 ZO:bT 8TOZ/90/TT
40111
CityofEaaafl
3830 Pilot Knob Road
Eagan MN 65122
Phone: (661) 675-5675
Fax: (651) 6764694 .
Use BLUE or BLACK Ink
For Office Use
Permit 0:
Permit Fee:
Date Received:
Staff.
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 -9--/q
Site Address: 285-", 3>Ps9,3ti, tito-S nr;A'Th/G2 d12.. Unit#:
Resident/
Owner
Typeofwork
Name: e//D ,e r "6,3 46ErKF�t-� .�:•� c. Phone: 74 - F3 - 9770
Address / City alp: 'SO E C14-7-1-, 2 tiles, A Coot &E, 1/441.2 Y /VA)_
Sr V2 7
Applicant is: Owner Contractor
Description of work: RE•".o a. RE PL.4-cf_ Ji P'at'1Ga a' /4 47-4 L
Construction Cost: / Multi -Family Building: (Yes / No _...J
Color
Company: Q E 1 C D 2 fk 4-i a -r . Cn 42k Contac: DA ✓ r 0 Qo2Qi S
Address: 11°SS LJ 100 ' y
City: m PL S
State: /'tIAS Zip: S.S'S// y Phone: 47/1, -' (o /- to 2 y3
License #: '� L Z Y/ / 3 / Lad Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Il - (ps_ Po$:' /777
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the Iset 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:
NOV Pte ,, a404.c ****00 : ..
rho,ir ks*Ei�t100.'r ayr� saai egiss #pt ac' a #004, ' I a. .: S•
cor+cl►alfail`rlRatlb '' :' ,...;;?;',
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utirdy damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www_oopherstateonecail.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances end codes of the City of
Eagan; that I understand this Is not a permit, but only an application for a permit. and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of piens.
Exterior work authorized by a building permit issued In accordance with the Minnesota State Build' Code must be completed within 180
days of permit issuance.
x r4 ✓' 240/2-#2,/
x.
Applicants Printed Name Applicant's Signature
90/Z0 3SVd
Page 1 of 3
y 9:5
1NIvW lX3 I3S L939t98Zt9 SS:tt btOZ/bZ/E0
411"City orEta
3330 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
cCGti`J cD
OR15X014
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
j tVI 3
Date Received;
Staff:
L
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 -1 `/- �% Site Address: 3 575 i hoz .4 r/i t4 R
Unit #:
~' '' O'
•.
Name: cA /9C 7 MgAsA-61 114 1,.) T —774.4 c_- Phone: 7G 3 - -5-7 3 - 997 70
Address/Cit /ZI W'Sy .ti Ec4-7-u2 4✓ ,3 R19 zpt t o 1,3 AuEs-' .N144.k
Applicant is: Owner X.' Contractor
T ofW0 "
Ype: �4 '
Description of work: 'T£.42 b o w.J ir- Rt- Butz- l ( Lc k -
Construction Cost: 8 ( 0 • tto Multi -Family Building: (Yes )e. / No )
CO
Company: 12,L 1 Ler CA/ &A rupi- / Ali; Co2P contact: b A v 1 au,, i S
Address: h� C S LAI6 v t` S Y" City: X71 Pz. S
State; /7/Ai Zip: .53-4/ / 9 Phone: ZS. - 8'421 -is R 4/ 3
License #: air ,Z 4-/// 3 / Lead Certificate #:
If the project is exempt
6 L1,t✓os_
from lead certification, please explain why: (see Page 3 for additional information)
fdu1Li p�1s -- /S78 (1,<\
In the last 12 months,
Yes 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:
_No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
�Mf r
NOTE Plans.::and� n do tayo t,. n; :.:'.
-.. ...... : ,-.,..: � , ., ...... a^!�+�"'r' i� .„•��;L'�� ���.�. fix' :” ,;7;
the.•info oa::. ; cls •llc>1.f' i1 '01
.;-.%�.l+1,.�!'�'Ta...�.'a`�a!�lq.•'+�t�rt��:;".., 7..�,�'*`,.�::T'i+��?� -i a,,,..; T�!'n�eT 17'':'`%,.•,
..... .; ;!:.:.;rC411��9 t.fI:7y:'�9d'i4�'�i'.�I.e.�svf�/:97f�y:..?I:..:....: �,'�iil: ,... tRs,A:'v:`'-in:.':`::. ... .. .. ...
CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours
before you intend to dig to receive locates of underground utilities. www.egohergoteonecalt.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this Is not a permit. but only an application for a permit, and work is not to start without a permit: that the work will be in
accordance with the approved plan 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 tate Build ode must be completed within 180
days of permit issuance.
x u av6LR./� x
Applicant's Signature
Applicant's Printed Name
90/T0 39Vd
Page 1 of 3
1NItW 1X3 I3S L9Z9T98ZI9 bE:ST OTOZ/bZ/E0
SUB TYPES
Foundation
Single Family
.__ . Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
qe„-.11(e, 0
DO NOT WRITE BELOW THIS LINE
_ Fireplace
Garage
Deck
Lower Level
Porch (3 -Season) _
Porch (4 -Season)
_ Porch (Screen/Gazebo/Pergola)
Interior Improvement
Move Building
Fire Repair
_ Repair
(25%_ 100%"(
Census Code
# of Units
# of Buildings
Type of Construction
V
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water Final
Framing
Fireplace: Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Reviewed By:
IZ
Siding
Reroof
Windows
T Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building`
_ Demolish Interior
Demolish Foundation
Water Damage
`demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
y City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final ! No C.O. Required
HVAC _ Gas Service Test Gas Line Alr Test
Pool: Footings Air/Gas Tests ,^Final
Drain Tile
Siding: _Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: Footings Backfill _ Final
Radon Control
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
90/Z0 39Vd
n(Uc My,�
rzic(eP
1NIVW 1X3 I3S
-2/(0'9')
L9Z9t98ZT9
Page 2 of 3
VE :ST 17TOZ/bZ/E0
03/24/2014 15:34 6128616267
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(—For Office Use
aaaII i • # Permit 8:. E AGA N
a•_o I•.•• Permit Fee: / q-7`. 0 0
^ �� Date Received: 77 ! /
3830 PILOT KNOB ROAD EAGAN,MN 55122-1810 ec "�^
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-56 Staff:
buiidinoinsDections(acitvofeaoan.com lm, Y 10 .h,,.1
2019 RESIDENTIAL BUIL R APPLICATION
Date: / "q"-/2o/`l Site Address:aJgC-1 '4{1 -: /RN Unit#:
Name: lC[ -H//15 Howie ie OwnvlS 74-56 :6-1-`0-\ Phone:erg- y'5c - 6571
Resident/
Owner Address/City/Zip: 3T't 'feet -e/ nr,`vC / 't�� I 44.4/
Applicant is: Owner Contractor
Type of Work Description of work: Cvn(Yr-4-e_ Seo) Pep ; r'
Construction Cost: ff c--,cw0 Multi-Family Building:(Yes X /No
Company: FL ems+;( 401 er i Cw Contact X57 k_ cc)11.
city:
Contractor € Address: I I)-R- k-L Uce((eA, B 119ck.. r)v - CStN�e.-tte<<
State:/14A1 Zip: Phone: er`57)-- �"Email: Ac-747:_ r-,114.... ct .C
Ucense#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor. Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.000herstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x ({..- ( 11.���c- -- , x Air - �-
Applicant's Printed Name A• • ="nY
DO NOT WRITE BELOW THIS LINE g6 q 14 41,1E b/2. / SSS//.
SUB TYPES
— Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
7° 01 of Plex _ Lower Level _ Pool — Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition — Move Building _ Reroof _ Demolish Interior
/to Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace — Repair _ Egress Window Water Damage
_ Retaining Wall *Demolition of entire building–give PCA handout to applicant
DESCRIPTION
Valuation 415i DOV •-- Occupancy IRC. '" 3 MCES System
Plan Review Code Edition IYl n Zo iS SAC Units
(25% 100%.2_1") Zoning P J7 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction v 3 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings(Addition) )C Final/No C.O.Required
Foundation Foundation Before Backfill HVACi Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding:_Stucco Lath _`Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
—
Reviewed By: ¶ N9 41 :X11, ,Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
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