3864 Heather DrCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
QATE 19
waceivea
FROM
AMOUNT $ I
& DOLLARS
foe
? CpSH ? CHECK
FOR ? ?-
T
FUND CODE AIAOUNT
: J
Thank You
\Kl? ' B Y
YVhita-Payers CopY
Yellow-Posting Copy
? Pink-File Copy
BUILDING PERMIT
Site Addreu ?Ari4 f+wathar llrjve
Lot 3? Block i' Sec/Sub. Briar Hill 4th
parcel # 10 14993 390 01
Norwood
a Ncme Owner
f-
u? A'ddress
? r:... o?....._
Nome _
Address
I hereby ockrawladge that I have read this application and stote that
the informotion is corcect and egree to comply with oll opplicoble
Sfate of Minnesota Statutes and City of Eagon Ordinences.
Sipnoture of Pem+ittee
A Building Pe?mit Is issued to: Tolle son Buil ers, In
oll work sFwll be done in accordance with,/Al applicoble State of Mis
Building Offlcial
379s
ss1u
Reteipt # ? K / ' _
Erect )a
Alter ?
Repoir ?
Enlorfle ?
Move ?
Demolish ?
Grade ?
Occupar?cy 1.- i
Zoning (pp) R---'-Fire Zone 14-1
Type of Const. 4
# Stories
Len gth _44i
wpprova w
/Issessment
Water & Sew.
Police
Fire
Enp.
Plunner
Councf I
Bidg. Off.
IIPC
C. .
of Eopon Ordinances.
5q. Ft.
Faes
Permit L / tf . ]u
SurcFwrye 24.50
Pian check 7 39 _ 25
SAC 525. QQ
Woter Conn. 4 50 _ hil
Woter AAeter 60 - ()n
Rood Unit ? Sn fln
Total $1727.25
thn+
I
Permit No. Permit Holdsr Misc. Permit No. Holder
Plumbing
H.V.A.C. ?-EArt'r
w.u
Water
Disp.
Sorwr
elactric w eg'ltf3 c?Ec? ?)e.c t-a-4s3
Inspaetion Date Insp. Other
Footinpt -I
Foundstion
Freminy
R ouyh Plbp.
1
ough HVA
,R .,. ?)
Inwlation
Final Plbp. .> , "Jd
Final HVAC
Final y
Wator Desaibe location:
YYell
Sswer
Pr. Dbp.
CORRECTION IVOTICE
DATE: / 1,
Site Name-&,e-r,
I For,reinspection
Eagan Dept. of Inspection Inspec
3795 Pilot Knob Rd.
Eagan, Minnesota 55122
454-8100 Dept.:
.• .
/ -"`
- ' .
BUILDING PERMIT ty
CITY Of EAGAN
3795 PqW Kwob Rood Eogon, MN 55122
PHONEs 454-6100
Receipt #
$139
Site Addross 3866 NAathor Drtv Erect ,a Occuponcy g-3
Lot 40 el«k 1 5ee/S„b. Briar Hill 4th Aiter p Zor,;ng (PL) R-3
pamel # 10 1499, A00 71 Repair 0 FiraZone NA
E V
T
C
nlorpe ? ype of
onst.
Name To llef aon Bt111der . ID.C . Mo # sr
ri
W ve p .
o
es
z
Address 1655 Norwood Drive
Demolish
p
Length_44_
[iwEavan 55199 Dkn.,. 454.-/,R71 Grode ? Depth23 5q. Ft.
°C Nome _
,o
?? Address
F r-:...
this application ond stote thot
to comply with oll applicable
of Ecgon Ordinances.
S19noture of Pem+ittee
A Building Permit Is issued to: TDl
all work sholl be dorm in occordarxe with
Buildfnp 4fficiot
Assessment
Water 8 Sew.
Police
Firo
Erg.
Plonner
Council
Bidg. Off.
APC
Permit l/b.Stl
Su?cherpe 24. S0
Plan check 1_ 39 _ 25
SAC 525 ,nn
Water Conn. 4 5.0 00.
Water Meter.6Q?.Q,Q_
Rood Unit 250 . n0
Totol 51727_25
on the express condition thai
ond City of Eogan Ordinontes.
Pwmit No. Permit HoltMr Mise. Permit No. Holdar
Plumbing 350?r /1L- I'l
H.V.A.C. d ?^ ?^ 7_2?--
Wsll
Water
Disp.
SeWar
EUctrie 2,$
Inspaction Date Insp. Other
Footinys
Foundstion
Framinp ?
Rouph Pibq. ,Jy
RouQh HVAC
Inaulation
Final Pibg. - s
Final HVAC
Final
Watsr Describe Lotation:
Wsll
Sewsr ?
Pr. Disp.
BUIL ?
. •
Site AddreSS 3R68 Hpwtnar i5rivc _
Lot 37_ Blxk L See/Sub. $riar Iiill 4th
Parcel # ti n 1449.3 37n Q1
W ??ame o11e. son B i 1_dere, Inc_
Z llddress 1655 Sorwood Drive
9
°C Name _
o
u? Addreu
F- r»..
Nome
I here6y acknowledge that I have read this application and state that
the information is correct and agree to comply with all opplicable
State of Minnesota Statutes and City of Eagan Ordinances.
Sipnature of Pennittee
A Bullding Permit fs issued to: Ta11E?f
all work shall be done in aaordarite with oll
Buildinfl Officiol
? P .
Erect ? OctupnncY A-3 ---
Alter p Zoning CpY}TD-3
Repair ? Fire Zono N,,;
Enlarge ? Type of Const, jI
Move p ,# Stories
Demolish ? Length t r,
Grade fl DeOth 2? Sq. Ft.
Assessment _
Woter & Sew.
Police
Fire
En9.
Plonner
Counci I
Bldg. Off.
APC
ond City
Permit 978 _ Sd
Surchorge 4 50
Plon check 7 a
SAC u s nn
Water Conn. 450. 99.
Wuter Meter 60.00
Road Unit ?';l,l.ry'1?'J-
Totol S 1 7 ? 7_') ri
tFun
- CITY OF EAGAN
? 795 ?ilof Knob Raod Eoyon, MN 55122 . Q
J 8140
s PHONE: 454-8100
D{NG ?ERM{T. Re ei t # '--''"" "!
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing ? q b
H.V.A.C. ? ? 1(?Fdrl'C? ?LFf $"
w.u
Water
Disp.
Sewer
Electric via $'q2.$'3 MqsA.C EtQ. -2 -2r3
Inapection Oete Insp. Dther
Footingt
Foundation
Framinp
Rough PI6g. ?
Rouph HVAC
Inwlation
Final Plbg.
Finel HVAC
Final 3 98,ti, ??t f?,?
U
Water Describe Location:
Well ?
Sewer
Pr. DiW.
cirr oF E?"N
.. •' 3795 Plle* Keor Reed Ea4aa, MN SS122
' - ' PHONE: 454-e100
( BUILDING PgRMIT ? Receipt
Stte Addrcu 3870 Heatlier Drive Erect 7'
m
Occuponty R-3
Lot 38 elock 1 Sec/gub. Briar }iill 4th Alter ? Zonirq (PD) R-3
parcel # 10 14993 330 Ol Repoir ? Fire Zone NA
Enlorpe ? Type of Const. V
W NOf1e Tollefson Builderr?. Inc. mo1e p # Stories
_ /lddres
t i s 1655 Nonaood Drive Demolish ? Length 44
rit.,Ea2an 55122 a,,,... 454-6973 Grode ? Depth 23 Sa. Ft.
$ Name
z?
VU /,?fl?
l
?-
rih,
Nome
Addreas
1 hereby ocknowledge thot I hove read this opplicotion ond state that
fhe information is correct ond ogree to comply with nll applicoble
Stute of Minnesota Stotutes and City of Eogan Ordirances.
SipnotucC of Permittes
1 o e_son Bu dwrs, nc.
A Building Pertnit is issued to:
otl work shall be done in occordarxe with all opplicabla Stote of Minr
Bulldinq Officiol
Rssessment
Water 8 Sew.
Police
Firo
Eny.
Planner
Council
Bldg. Off.
APC
Percnit L 10 • Du
Surcherge 24.50
Plon check 139.25
sAC 525.00
Wcter Conn. 450. 00
Woter Meter 60 . 00
Rood Unit 250.40
Total $1727.25
on the express condition thnt
ond Gty of Eogan Ordinances.
Permit No. Permit Holdar Misc. Permit No. Holder
Plum6inp -?"j+D kz- 11
H.V.A.C. dn' SQn 7- Z 8?
w.u
Water
Disp.
Sawer
Electric
Inspaction Date Insp. Other
Foot?ngs _g3 b
Foundetion
Fnminp ,1 •
Rouyh Vlbp. /s
Rouph HVAC
Insuletion
Finsl Plbp.
Final HVAC ?
Final ? -
Watar Describe Location:
Well
Sewer , .
?
CITY OF EAGAN 1/
....- !?w Q8?
`6
,,3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
• - PHONE: 454-8100
r_, BUILDING PERM11F.Receipt #
To be used for ',°LDERf Est. Value 41' wo Date MAY 8 19 90
Site Ad 3868 H8ATt1Eit DH
" ily s OFFICE USE ONLY
R` Lot Block Sec;/Sub.
a Name g".W. 40 "°`s°"
? Addre ?
ss $ R
° Citv GAN Phone
to Name
Address
City Phone
Name
Address
Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with tiappl' able S1ale ol
Minnesota Statutes and it ? g??-fjrdiSignature of Permitee
!4l1Rt S lI8ll6L
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable 51ate of Minnesota Statules and City of Eagan Ordinances.
Building Oflicial
Occupancy
Zoning
(Actual) Const
(Allowable)
¥ of Slories
Length
Depth
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
MWCC System
Ciry Water
PRV Required
Bopster Pump
APPROYALS
Ptanner
Council
Bldg. Of1.
Variance
_ FEES
- 35.00
_ Bldg. Permit
- Surcharge 1 . 00
Plan Review
- SAG City
= y .-
- SAC, MCWCC
Water COnn
- Wa1er Meter
- Acct. Deposit
S/W Permit
- SM! Surcharge
Trealment PI
Road Unit - Park Ded.
_ Copies ?
?
- TaTAL
,
Permit No. Permit Holder Date Telephw?a #
WATER
SEWER
PIUMBING ? ? 7 O
H.VAC.
ELECTRIC
Inspectfon Date Insp_ Comments
Footings I
Foundation
F???
Roofirg
Rough Plbg.
Rougn Hug. l?' ?" ?o Ds ar? am,.. d i" .
ls,i.
Faeplace
Rnal Htg.
Final Plbg.
Cons?, Metg? Plbg. Inspector - Notify Plumber
Engr.lPlan
Bldg. Final 3E' S 4c L ?u^'J/' I
Oeck Ftg.
Oeqc Final
Well
Pr. Oisp.
PERMIT #
PLUMBING PERMIT RECEIPT # ,
. CITY OF EAGAN 3830 PILOT KNOB_ROAD_ EAGAN, MN 55122 DATE: _T /yn
Site
m Name
? Addre:
c City
?
? Name
c Addre:
p City ?
Phone
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00) , OF PERMITTEE
CITY OF
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on `
Comm. Repair
Other i: T
RES. PLBG. ONLY - COMPIETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Orains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: ,
STATE S/C:
TOTAL:
Receipt MECHANICAL PERMIT Permit No. r
CITY OF EAGAN
- - Fee
fill in numbered spaces S/C
Type or Prini /egib/y
Tot.
1. Date 2. Installation Cost
r,
3. Job Address Lot -3 0?Blk. ( Tract '
4. Owner
5. Contractor Phone • - _
6. Address
7. Clty
,,• I ! • .. . / ' :
8. Building Type: Residential ?
State
Zip
Commercial O Institutional ?
9. Work Description: New ? Add ?
10. Describe
11.
Type
No. Eqlj,pment 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, PipingOutlets
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
Alter 0 Repair Cl
Receipt ?7 '< J MECHANICAL PERMIT Parmit No.
CITY OF EAGAN
Fae
Fi/l in numbered spaces S/C
Type or Print /egib/y Tot
1. Date •`' 2. Inst?l plaa n Cost
.
3. Job Address • Lot?Blk. ? Tract ?
4. Owner -
5. Contractor Phone
6. Address
7. City State Zip -
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New O Add ? Alter ? Repair D
10. Describe
11.
Ty pe
No. Equi2ment 8TU - M. Ea.
Forced Air No. EQUipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above ihformation 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
fill in numbered spaces S/C
Type or Prini legibly Tot
1. Date 2. Installation Cost
: ,i • . .
3. Job Address Lot .? -7 Blk. ? Tract
?.
4. Owner `
5. Contractor
6. Address
7. City State
Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New CJ Add O Alter O Repair ?
10. Describe
11,
Phone
Type
No. Equjpment 9TU - M. Ea.
Forced Air No. Epuipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Neater
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-$100
r .??
Receipt r >
MECHANICAL PERMIT
CITY OF EAGAN
Permit No.
Fae
? Fill in numbered spaces S/C
Type or Print legibly
Tot.
1, Date 2. Instaliation Cost
t - ? ,1
3. Job Address Lot?Blk. ' Tract . ?
4. Owner
5. Contractor
6. Address
Phone
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add O Alter ? Repair O
10. Describe Fuel Type
11.
No. Eauioment B TU - 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. 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
Inspectians: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 454-8100
Receipt ?7 PLUMBING PERMIT Permit No. j"1?? ?
CITY OF EAGAN
--y pee f L•' ( _-
Fill in numbered spaces S/C '
Type or Print /egib/y ,
Tot.
1. Date '? 2. Installation Cost
p?
3. Job-?4tl?occ ?qt 3(?Blk. __J_Tract
a. ewner n
5. Contractor SURG[ {? A,?? ',?! "?? ?F?
6. Address 702 Exce6siot Ave. E.
CL/
Nop?cins, i'ilinlubuea uuli-ev
7. ciri stW-1880 Z;P
8. Building Type: Residential l? Commercial O Institutional O
9. Work Description: New x Add ? Alter ? Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/6idet 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: i i • ??_ , , -? {,!' l
?fior ?
% Rough Final
Inspections: Date Insp. Date Insp.
This is yourpermit when numbered and approved.
Approved CITY OF EAGAN 464-8100
?
;
PLUMBING PERMIT
CITY OF EAGAN
Permit No.
, - Fee
, .
Fil1 in numbered spaces S/C
Type or Prini /egibty ?ot
1. Date 2. installation Cost
3. Job Address Lot Blk. Tract
.?
4. Owner -
5. Contractor:'? l??
- ?r1• ? / Phone .
6. Address 1J c- I l!,
7. City !\ + r- .n?e)„ i f State ,;: Zip
i
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add 0 Alter O Repair O
10. Describe
11.
No. Fixtures
Water Closet dVo. Fixtures
Cesspool/Drainfield
r 8ath tubs Septic Tank
Lavatory Softner
? Shower Well
/ Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ' / / -
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt --; PLUMBING PERMIT Permit No. 3a 1??
CITY OF EAGAN
Fee
Fill in numbered spaces ? S/C
Type or Prini /egibty Tot. 1. Date 2. Installation Cost Z-)
3. Job Address -Lot4igC Blk, f Tract
?.
4. Owner
5. Contractor (? Phone
6. Address / i, : , ?(S- T ,t
7. City State 2ip
8. Building Type: Residential Q Commercial O Institutional O
9. Work Description: New dc}' Add ? Alter ? Repair ?
10. Describe
1 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.
Stop 5ink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your ?ermit when numbered and approved.
, -,
Approved ,1 %I CITY OF EAGAN 454-8100
yJ?f?
?? .
, -? - ?
Receipt (G' PLUMBING PERMIT Permit No, : - '
CtTY OF EAGAN
- Fee
? Fill in numbered spaces S/C -
TypB or Print legib/y _
` Tot.
1. Date C 2. Installation Cost
3. Job Address Lot _- ' Blk. ? Tract
4. Owner --
5. Contractor Phone ` ?.
6. Address
7. City 1 State Zip _ - ?
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Atter ? Repair ?
10. Describe
11.
No.
- Fixtures
Water Closet No. Fixtures
Cesspool /Drai nf ield
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 454,8100
r
Receipt
PLUMBING PERMIT
Permit No.
CITY OF EAGAN -c-
Fee
Fil1 in numbered spaces S/C
Type or Prinf /egib/y
Tot. r
1. Date 2. Installation Cost
3. Job Address 1--
Lot Blk.
? Tract ,
4. Owner i /,' - ?L4 I t /j/, J
5. Contractor; %- 2 Qvi 7srJ ?? ' Phone !! Z
6. Address
7. City
?
State / l. 1 "/ . Zip . _ ?
8. Building Type: Residential D? Commercial O Institutional F-I
9. Work Description: New Add 0 Alter O Repair O
10. Describe
11.
No,
" Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
Lavatory $ottner
Shower Wetl
i Kitchen Sink
Urinal/Bidet Other
' Laundry Tray
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: ? for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
JCl Fee ..??_
Fill in numbered spaces S/C
Type or Print legibly .
Tot
Date J 2. Installation Cost
3. JotrAdc
4, Owner
6. Address
7. City
8. Building Type: Residential ?
•.?
9. Work Description: New
10. Describe
1 11•
Commercial ? Institutional ?
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cess
infield
ool/Dr
Bath tubs p
a
Se
tic Tank
Lavatory p
$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' ?
? RougFr , Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved- ;??T ;; CITY OF EAGAN 454-8100
??
? Tract&? 1 5
State
5. Contractor Phone
CITY OF EAGAN Remarks
Addition BRIAR HILL 4TH ADDN Lot 39 Blk 1 Parcel 10-14993-390-01
Owner Street 3864 HEATHER DRIVE State EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, bL
STREET RESTOR. 1 1
R STreet S 1984 1227 7 245.56 1227.78 C008582 10-11-83
* * g ir n
SAN SEW TRUNK 13.92 A012888 10-5-83
SEWER LATERAL TRIC 25 1983 237.37 23.74 10 213.64 of I I
* 1 -42-49 1-62 20 11.36 11 It
**WATERMAIN 198 S
iNVATER LATERAL 1971
WATER AREA
**
STORM SEW TRK 13 1984 323.50 64.70 5 323. rJa 0 10-11-83
*STORM SEW LAT 1971 20
**
CURB & GUTTER
SIDEWALK
STREET tF6+fT 1009 1986 5. 70 15 . 37 10
ROAD L1NI'r 250.00 36443 6-15-83
WATER CONN. 450.00
BUILDING PER. 8138
SAC
525.00
PARK
CITY OF EAGAN Remarks
Addition BRIAR HILL 4TH ADDN Lot 40 Bik 1 Parcel 10-14993-400-01
Owner Street 3866 HEATHER DRIVE State EAGAN NAI 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. L 1971 aid l1IlC? I' oI'1 inal arce
STREET RESTOR. L7 1975 [70.69 7. 07 10 7.15 A012782 9-19-83
K?fXQdDt?( Street 1984 227.78 245.56 5 1 7
**Sewer Lateral 1984 136.20 427.24 5 +f
SAN SEW TRUNK 1968 29.60 .99 30
SEWER LATERAL TRK 725 1983 237.37 23.74 10 213.64 of to
* SEWER LATERAL Lp 1971 32.42 1.62 20
11,36
**WATERMAIN 1984 S
''UVATER LATERAL 1971 ZO
WATERAREA 1977 59.19 3.95 15
**STubs 1984 5
STORM SEW TRK t?j 1984 323.50 64.70 5
*STORM SEW LAT 1971 20
**Storm SEw Lat 1984 S
CURB & GUTTER
SIDEWALK
STREET-LMMa 1009 1986 153.70 15.37 10 f53. 4 5-,k
250.00 36443 6-15-83
WATER CONN. 450.00
BUILDING PER. $139
s,ac 525.00
PARK
CITY OF EAGAN Remarks
Addition BRIAR HILL 4TH ADDN Lot 37 131k 1 Parcel 10-14993-370-01
Owner Screet 3868 HEATHER DRIVE Stace EAGAN MN 55122
Improvement ID, Amou nt Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. ) N
V]?' STreet .78 24 5.56 S
**Sewer a al LZ-l 1984 2136.20 427.24 5 1708.96 A014408 8-9-84
TRUNK 1968 29.60 .99 12.94 A014408 8-9-84
SEWERLATERAL TRK 7 ZS 1983 237.37 23.74 10
* SEW R LA RAL 101 1971 32.42 1.62 20 4 44 8 8- -84
** WATERMAIN 1984 S
*WATER LATERAL 1971 2
WATER AREA 2],6] A014408 8-9-84
**Stubs 1984 5
STORMSEW TRK 1984 323.50 64.70 5 258.80 A014408 8- -84
*STORM SEW LAT 1971 20
**Storm Sew Lat 1948 5
CURB & GUTTER
SIDEWALK
STREET Ir1@'MT 1009 1986 153.70 15.37 10
ROAD UNIT 250.00 36443 6-15-83
WATER CONN. 450.00 ° "
BUILDING PER. $140
sac 525.00
PARK
I CITY OF EAGAN Remarks
Addition BRIAR HILL 4TH ADDN Lot 38 Blk I Parcel 10-14993-380-01
j owner Street 3870 HEATHER DRIVE Scate EAGAN NIN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 10 j, 1971 Paid UIld T OTl inal arce
STREET RESTOFi. 1-11 1975 70.69 7.07 10 7.15 A012870 " 10-4-83
nx% S re t 1984 1227.78 245,56 5 1227,78 C008580 10-11-8
**
SAN 5EW TRUNK 1968 29.60 .99 30 13.92 A012870 10-4-83
SEWERLATERAL TRK LS 1983 237.37 23.74 10 1 213.64 " "
* SEWER LATERAL 1971 32.42 1.62 20 11.36
+t* WATERMAIN 1984 S
*UVATER LATERAL 1971 ZO
WATER AREA 79 1977 59.19 3.95 15
**STu s 1984 5
? sTORnn sEw rRK $,3 1984 323.50 64.70 5 323.50 C008580 10-11-83
i`STORM SEW LAT 1971 ZO
**STorm SEw Lat 1984 5
CURB & GUTTER
SIDEWALK
STREET-64@MT 1009 1986 153.70 153.7 10
ROP,D [JNIT
WATER CONN. 4
50. 00
9UILDING PER. 814
SAC
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 34300
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
. , •• i ?+??-
SITE ADDRESS: 1 n a .f 3et 0 t: a ss ?i t++ APPUCANT:
38?0
? ch?.?? sst
PERMIT SUBTYPE: TYPE OF WORK:
1)MN-1 Y/f'I IIF Mtf;T AF fti'JIl ; 11 t3 Hf 1'fi}.1 i 11141 FA1 iblI
IF
7
I L J
????
PermR Holder Date Telephone #
EWERI
WATER
PLUMBING
HVAC
Inspection Oate Insp. Commente
POOTINGS
FOUND
FAAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GA5 SVC
TEST
INSUL
GYP BOARD
FIREPLACE - 6?y
/
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRfi1GATION
METER
FLUSH
MAINS
CONDUCTIVITV
TEST
HVDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
G!TY Or EAGAN SEyVER SERYICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE.
Zoning: fD No. of Units: 1 unit 4-b2ex
pN,t1er; `^?Z1efsQn Bldrs -
Address:
Site Add
Plumber.
1agree M oompllr whh N+e Cihr ef Eegaw
Ordinanees.
By
Date of Insp.:
i
Connection Charpe: 4id?•UU 29
Accoun! Deposit: ,
Permit Fee: 10,00 Di
Surcharge:
Misc. CFwryes:
Total:
Date Paid:
I
P. O. Box 21199 PERMIT NQ.: _ hAaR
Eagan, MN 55121 DATE: _ F-2n_i`;?
Zomng: ?'(TD _ No. of Unlts: 1 un{t 1?_;,7,ax
Owner: i viia°z v o a ?ars
Address:
Stte Address: 38 b Heather Dri ve Ll.) TU ^riar Hil th
plumber. uenz Rpan
Meter No.: Connection Chorge:
Size: A
t D
ccoun
e
posit:
Reoder No.: Permit Fee:
1 a9rw to aomPly wiMe !ha City of Earpn Surcharge: p
•
Ordinaneas. mC t r; t
Mlsc Cha r (' O•
. ges.
Tctol;
By Date Paid:
Date of Insp.: InsP. ?
'Ppk'Av rnui nnvo nvau ?$?6
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: 6'20- 83
Zoning: -°UD No. af Units: I uriit 4-pleX
Ownar: iallzfson Bldr9 _
/tiddresa:
Site /Wdress: 3870 Hp8tner TJ ive L38 B1 nriar Iiill 4th
Plumber: G-enZ Rrfsn _
:
Meter No Connection Charge: 45O.OQ pd
.
51ze: Acwunt Deposit:
Reader No.: Permit Fee: 10.00 pd
! eorM to oanply witk !ha Cily of Eapan Surcharge: .50 i:'d
Oraleaness. Misc. Chorges: 60.4 0 pd meter
Totol:
By Date Paid:
Dote of Insp.: Insp.:
ClTY G. EAGAN SEWER SERVICE PERMIT
' 3$30 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 pATE: 6_20_63
Zo?ing: PUD 1 uait ?
Owner: io No. of Units;
lefso:?lcira
/lddress: - -
Stte /?ddress: 3566 !;esther ;.,rive L40 Bl Briar Hill kth
Plumber. renZ tZVSn -^
? qrsa to oomPy wieh rbo cify of Eagan
Ordineneas,
By
Date of Insp.:
to eanPly wkh tbs Gry of EogaN
i_:V.UU 7Q
cw,?,wion aarge: oo va
Acwunt Deposit:
Permit Fse: 10,00 -id
Surchurpe: 5
Misc. Chorges:
Total:
Dote Pnid:
SEWER SERVICE PERMIT
Connecfion Cho?pe:
Account Deposit: _
Permlt Fee:
Surcharpe;
Misc. Chorgea: _
Total:
W---CR SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Unirs: '- un pl`x
§ite: i ? t r> <"' ' t: 1?4*WFP°sit:
Reuder Na.: Ll 25L- Permit Fee: - 10.00 pci
1 yew wit • Ciry of Baasn Surchorge: .50 pa
Ondlw Misc. Charges: •'?n pd m°t~r
? Tota{:
By Date Poid:
aare of I??s(,.:
. CITY JF EAGAN
3830 Pilot Knob aaad
P. O. Box 27799
Eagan, MN 55121
Zoning: p'r'r. -ail,:fson Hldrg
Addreu:
Site Address: A64 iietttllez' Dr
Plumber. : J= c2ya: -
AAater No.:
srze:
Reoder No.:
I a9m to comoly witk Hu City of Eaqan
Ordiwaaees.
8y
PERMIT NO.:
DATE:
No. of Units:
ve
Connection Char9e:
Account Deposit:
?
Permit Fee: 10.00 n.50 Surchorge: p
p"I me.er
Misc. Chorfles: Total:
Dnte Paid:
CITY OF EAGAN
3$30 Pitot Knvb Road WATER SERVICE PERMIT
P. O. Box 27799 PERMIT NO.: 4825
Eagan, MN 55121 DATE:
Zoning: FUD No. of Units: ' uII peX
Owner;
Mdress:
Stte Address: 3863 Heather Drive L37 BI Briar "i12 th
'Plumber: 'rt.°riZ v8p
AAeter No.: Connection Churge: 450.00 pd
Size: Account Oe
poslt:
Reoder No.: Permit Fee: - 20.00 pd
1 yn? to complp wilk tha Cify of Eagoe 5urchorge: .50 pd
Ordixenop, Mlsc. Chorges: _ 60.00 pd aeter
Total:
BY Dote Paid:
Dote af Insp.: Inap.:
CITY OF EAGAN SEWER SERVICE PERMIT
3$30 Pilot Knob Road
P. O. Bux 21799 PERMIT NO.:
Eagan, MN 55121 D/+TE:
Zoninp: -!D
No. of Units: ut11 -p1Hx
Owner: '>11' f s on E1 cirs
Address:
Site Address: i"64 . Heather Drive LC? 31 !?riar Hill
Plumbsr: ;°>... RY?1
;y3 36:;
?+3 100.OJ pd
1agm to een+ply wMh f6e CifY of lagan Connectian Charpe:
Ordieoeam Account Deposit:
Permit Fea:
5urcharga:
gy Misc. Choroes:
Date ot I nsp.: Total:
I nsp.: Dote Paid:
(?rrfiftrate uf (Orrupttury
Citp of (Eagan
iBrpttrtmrttf a# Builhittg 3noprr#imt
Thu Certi f icatt is.rued purruant to tbe reqraisements o f Section 306 o f tbe Uni f orm Building
Code cati f yrng that at thc timc o f is.cuurue tbit strurture wus rn com pliance urth the variou.r
ordinanaJ o f the City rtgulating building tonstrxttion or uje. For the f ollawing:
u,m ci..anaua, SF DWG/GAR BiaePermit ya. 8140
o-,w-er Trm R 3 Tvw coawcuon V Firc Zooe N/A zo,,;aa n;,tRct R 1
0e,tew o«diiig TOLLEFSON BLDRSAdei,ee 1655 NORWOOD DR., E.
By. -
=
Budaing otflcW Dafe. AUGUST 7, 1984
Iw w cor.sncuous ruca
+ei - - ` urMOie us.a.
This requast void g-Z
18 rrqnlhs from
WiJ 89283
L37-yb,8I I
(?ii`? ar Wt'k t 37(O1 S
q4
l70• 00
flepuest a en
?
?? Firn No. Fnagh-iilnsuec[ion
HequireA?
?Reatly Now?A7?11 Notity InsPec-
?
?
?j cs ?NO f??r When Ready
Licensed Eleclrical ConVac[or I h reby request inspection o1 nbova
? Owner electrical work installeA at:
0
Slreet Address, Bo. or Route Na.
Sb b- 8-
d- G?
: City
E
,
7 9 u?
ection u. Township Name ur N Rnnye No. Cow"ty
0 ?
OccupnntlPRIN '
T' / ? BK?/ Phune No.
Y5? ???3
Power Supplier
EIP
?
?
U
? Adtlress
fa
R ti
?/
C
`c. r/y1lr?
Ele lrical Contractor ICOmpany Nnme) ,
4?G1 lP C Con,t[ ar.lor's Licanse No.
U ?0 ?y8 3
Maili 1A /?ddress IConvaaor or Owner Making Instailationl
S?Q
? `16 7
D
Auth i etl Siyn ure (C trac? /Owner Making Installationl
? Phone Number
?9'D-35S
MINNESOTA STAIG BOAND OF ELECTNICITY THIS INSPECTION NEQUEST WILL NOT
GrigBS-Midwav BldO. - paom N•191 BE ACCEPTED 9Y THE STATE BOA0.D
7821 University Ave., St. Paul, MN 55104 UNLESS PflOPER INSPECTION FEE IS
pti??e iAll$ 'y7_2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
' See instructions tor comoleting this }wm on back of yellow copy.
?Belo0 WoY'k`??e3d byThis Request
Eg-00001-U4
u
37(m! S
AAd Rep. Typ¢ ot 8uilding Appliances Wired EqviUmant Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fiztures
Apt. Building Dryer Nectric He2tui
Commercial Bidy. furnace Silo Unlonder
Industrial Bldg. Air Conditioner Bulk Mllk Tdnk
m Other Peui Y Other ISOeai?yl
oocify pt er 01h,3r
Compute Inspec fon fee 8e/ow
N F#qe Service Entrance5lze d Fee FenJars/Sub(eeders N Fq Circui[s
0 to 200 Am s 0 to 30 Am s 0 tn 30 Anros i
Above 200 qm ps. 31 to 100 Amps 31 to 100 Am ,
Swimming Pool Above 700-Amps Above 100_Arnpsi
Transtormers Irrigation Boorcis ? Partial.'Other Fee
Signs Specialinspection !
S
Remarks O OTAL F
70•
Roueh-in ?
7?76 I,the Electrical
Inspactor, hereby
Final wrYify thei the above
? insoection has bean
f
r
mada.
ThIS rBGUest vo1018 months irom
11
:
5
Ydr/.
?- 9 ? /
't' `?. o0
,
Re uest Oa??
? t Fire No. Pough?in Inspaction
Requ ireG?
? Reatly Now
Mill NotiTy Inspecta
. ] Yas o When fleatly?
I 7, ticensed contrector xwner hereby request inspection of above electrical work aC
Joo Atlarass (Street Box or Route No j Ciry
3e41?G,er ? vE
Seclion No. Township Name or No. Range No. Couny
Occupan?IPRINT) y-? ( Phona No.
ark J"iS?'14?
Powe, si.lPOker naaress
Eie<nsal Contracror (COmpany Name) ConVactor's Licanse No.
Mailing QCOnvactor or pwner Making Installalion)
Autn r etl SI IDre IGOmraclo= tallati ) one Nu ber
MINNESOTA ST/.TE BOARO OF ELECiRICITY ? THIS INSPECTION REOUEST WILL NOT
Grlggs-MiOwey Bltlg. - Foom 5•173 ?BE ACGEPTED BY THE $TATE BOARD
1821 Univenlty Ave_ SL Vaul. MN 55104 ?fj?' UNLESS PROPER MSPECTION FEE IS
Phone(812) 602AB00 ENCLOSEO.
•.,,(r?3q/??, ee
REQUEST FOR ELECT,F?ICAL INSPECTION ????4. .ooom-os
p ? See Ins4uctions lor completinr,?is krm on back oF yellow copy. ?,` ?1 98/5
? L?_19p?O 0 4 X" Be/ow Work Covered by This Request
ew /(dd Rep. Typeofeuilding AppliancesWired EquipmentWired
Home Range Temporery Service
Duplex Water Heater Eledric Heating
ApL Building Dryer Otheo-(Specity)
CommJlndustrial Furnace ,$yN . 4h/t
Farm Air Conditionar
Olner (specily) ConVacmrS Remerks: rt?
VCES1,? 14CeS £?r?ec, ?rmi
Compute Inspecfion Fee Below.? (j J 352,F i5S4fcl 5?7/SD-
# Other Fee # ServiceEntrenceSize Fee # CircuitsiFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
7ransformers Above 200 _ Amps Above 100 _ Amps
SignS Inspector's Use Only: TOTAL 4E!a_
Irrigation Booms L J-
Speciallnspection '
Alarm/Communication TFiIS INSTALLATION MAY BE ORDE ISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MONTHS.
I, the Electrical Inspecror, hereby
certiFy that the above inspaction has
6een made. Rou9n-in
F;,,ai oate
oate7 .??
OFFICE USE ONLV Tnis requesl voi0 18 monihs Irom
,s/7/9o C?'/(o5?-
?0 3 3 5 2 8/,.v;?i=
Repvest Oate Fire No. l Inspeclion
?n ? Required4
?? C
? Reatly Now <l Nmity Inspecior
tl
?
Wh
R
1`?\ .
Q es ? No en
y
ea
I p licensed contracror 'wner hereby request inspection of above electrical work at:
Job Aodress (SVeet. Box or Route Na.)
'3 Ciry
J
? Daru?, 4
Secti? No. TownsM1ip Neme or No. Ran9e No. County
/^ \ .1
&v rA-
Omupand (PRINT) Phone No.
S. ?rS' ?- 5 -?S 21
Pow Svpplier Atldress
s
Elacmcal ConVacror (COmpany Name) ConVadofs License No.
Mailing Atltlres5lConVactor or Owner Making InslallationJ
.3 &O S?i?l V r
Authorize SignaWr ?Contrac lGw
a Ila
lo
) ) Phone NumOer
?
'
? ?n
??-? V7I
MINNLSOTA STATE B04HD OP ELECTflICITY THIS INSPECTION REOUEST WILI NOT
Grlgga-Mitlway BIEg. - Room S-173 BE ACCEPTEO BY THE STATE BOARD
1821 Univerepy Ave., SL Paul. MN 55104 UNIE$5 PROPEF INSPECTION FEE IS
Phone(612)6a2-0800 ENCLOSED.
cJ'?/7/gp REQUEST FOR ELECTRICAL INSPECTION ee-00001 07
? See Insvuctions for wmpieting Nis fortn on back ol yellow copy. e?(?j' ?
?
C?
3 3 5 2 8 ? -?
- x" Befow Work Covered by This Request
??,• -
ew Atld Rep7 TypeofBUilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer her (Specify)
CommJlndustrial Fumace ef
Farm Air Conditioner
? Olher(specily) Conhador's Remarks:
Compute Inspecfion Fee Below:
x Other Fee # Service EntrenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
hansformers Above 200 _ Amps Abov 4 Amps
Sigps InsOactor's Use Only: ?n ?? OTAL
Irrigalion Booms
Special Inspection
AlarmJCommunication THIS INSTALLATION MAY BE ORDER D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN NT I
I, the Electrical Inspector, hereby
tif
th Rough-in
, oate. ??l??
cer
y
at the above inspection has
been made. Finai oa?e-7??p?
OFFICE USE ONLV
This request voitl 18 months (rom
Cfrr#i#irtt#r nf (Orrupttttry
Citp of (EAgan
llr{rttrtment nf Buitding Jnsperfinn
Thi.r Certi f1CULL A3#ffI ptlfJ#AAt l0 1I/C fL['IlflMLOJfJ Of Sertion 306 of the Uniform Building
Cade artr fyrng that at the timr of itruarae tbir strurture war ra compliana wiab tba variour
ordinarstet o f tht City rtgulating building tonthuction m ura. For tht following:
U. Claadfluaw 1 of 4 PLEX BIE6. Pomut No. 8141
a.paorrrw R3 'nwcm,.? V FiRzon NA zood,,?PD) R3
o.morema;oTollefson Builders Ada.1655 Norwood Dr., Eagan
,,,,,;_,,,,_ 3870 Heather Drive.__...Lot 38.Block 1_Briar Nil'.
By
th
pa« September 23, 1983
.o.. ,. . ??..??„e?. ...?.
(?.er#ifirtt#r nf Orru. pttnry
titp of (Eagan
?r}?ttrtmpnt nf f?uilDing .?ns}trriimr
7bii CMifitatt ittued pHrtyuru to the rzquitemrntt of Srnion 306 o f thr Uni form Bnilding
Calt rrrpNng that at the timt af ittuantt tbit thtuture was in compliancr uritb the variour
ordinaruu of tbtCity regrilating btalding torsttrrution or urr. For the fa!laurn6:
??l..IE?m 1 oP 4 PLEX 8139
BldS. hmm No.
?wKryva R3 rywcm.wcuoo V rj,,, NA zo?,w?«(PD) R3
o,,,eamd„s Tollefson Blders. Aed.1655 Norwood Dr. , Eagan
?ap ft - 4th
August 26, 1983 =
, . . BwWL40ii'dJ '
?1j\ Da . 4: . .
rai i? ? cox?ncuan wwc?
C?rr#t#ira#r nf CDrrupttnry
Citp of (f agan
Drpttrttnettf nf BuilDing 3nspedimt
Tbir Ce+ti firau irtued purtuant to the requiremenu o f Sertion 306 o f rhe Uniforrn Building
Code mtrf)ing tbat at the time of ittuurut tbit ttrutture war in tompliutta mith the vanour
ordinanar of the City ngalating building ronttrrutlon or ufr. For the fallowinA:
1 of 4 PLEX 8138
U. CIamllutim BIE, Peimit No.
aNwM.rrra R3 iYwc.w.u. V Finz. NA zmrenumo (PD) R3
ow.aBad?g Tolletson BuildersAad,.1655 Norwood Dr., Eagan
BwtdleBAddem 3864 Heather Drive L.dYLot 39,Block 1,Briar Hill
?`L- 11y September 29, 1983
4q,„ ACe:
?
1; 1-
CITY OF EAGAN
?T
lrO
8138
3793 Wbt Kne6 Rwd Eogan, MN 55121
? PFiONEt 454-8100
BUILDING PERMIT Receipt
7e 6s uwd h. 1 of 4 PLEX En, yal,k $49,000 pate .Tune 14 ?y 83
Sire Addreu 3864 Heather Drive Erect
?
a????? R-3
39 1 Briar Hill 4th
Lot Block Sec/Sub. Alter ? Zoning (PD) R-3
Parcel # 10 14993 390 Ol Repalr p Fire Zone NA
V
Tollefson Builders
nc.
Enlorge ?
Type of Consf.
a
W Name , Move ? # Stories
z? Addrcss 1655 Norwood Drive
Demolish ?
Length 44
c; Ea gan 55122 phone 454-6873 Grode ? Depth 23 Sq. Ft.-
p N Owner Avvrorals Faea
, amo
Zu
?
Name _
Addrcss
I hereby acknowladge thof I hove reod this applicafion and stote thaf
fhe inlormation is correct and ogree fo wmply wifh all opplicoble
Stote of Minnewta Statutes and City of Eagan Ordinances.
Signoture of Permittee
A Building Permif Is issued to: Tc
oll work shall be done in acmrdonte
Buildinq OffiNnl
Assessment _
Water & Sew.
Polite -
Fire Enp.
Planner -
Counc7l -
Blde' Off. _
APC
Permit 4/0•Jv
Surchorge 24.50
Plon check 139.25
SAC 525.00
Woter Conn. 450.00
Woter Meter 60. 00
Road Unit 250.00
Total 1727 . 2
on the azDress Cordition Ihni
Statutes and City of Eogan O.dinonces.
CITY OF EAGAN
N
°
8139
3799 Pik! Knob Rood Eoyoe, MN 55112 •
. PHONEs 454-8100
BUILDING PERMIT Reteivt #
re M wed fer 1 of 4 PLEX Est. Value $49,000 p,te June 14 1983
Site qdd,eu 3866 Heather Drive E
t 3g O R-3
rec ccupen
lot 40 Bi«k 1 Sec/Su6. Briar Hill 4th Aieer ? Zonin9 ?D) R-3
Parcel #_ 10 14993 $00 Ol Repotr ? Fire Zone NA
Enlorye ? TYpe of Const. V
c
W Name Tolkefson Builder, Inc. Move D # Srories
? Address 1655 Norwood Drive pe,,,oi;s, p Length 44
C; Eag an 55122 phoM 454-6873 Grode ? Depth 23 Sq. Ft.-
s (hmcr ApOrovalf faef
o Nome _
?
8u Address
f
Name _
Addresa
I hereby acknowled9e thut I hove read this application ond stote thaf
fhe inlormation is correct ond dgree fo comply with all opplicable
StaM of Minnesota Srotures and City of Eagan Ordirwnces.
SiOnoture of Permittee
A Building Permit Is issued to:
all work sholl be done in accordonce wifh
Assessment _
Water 8 Sew.
Police _
Fire
Erg.
Plonner _
Councll -
Bldg. Otf. -
APC
Permit ?10.jv
SurcFarge 24.50
Plan check 139.25
SAC 525.00
Water Conn. 45n. on
Water Meter 60_ nn
Road Unit 250.00
Totol $1727.25
_ on tha ezpress cordiNon thni
ond Ciry of Eogon Ordirwnces.
Building Offlcial
CITY OF EAGAN Np ? O
, 3793 Pllef Rnob Rwd Eagan, MN $5122
? PHONE: 451-6100
BUILDING PERMIT 2eceipr # T
Te 6a wad 4or 1 of 4 PLEX Est,yalue $49,000 Dote June 14 19 83
Sita Address 3868 Heether Drive E ) O R-3
feCf M cc4poncY
Lot 37 81«k 1 Sec/Sub. Briar Hill 4th AIter ? Zoniny ( PD) R-3
parcel # 10 14993 370 Ol Repair ? Fire Zone NA
V
Enlarge ? Type of Conat.
m Nom Tollefson Builders, Inc. Move p # Srories
z Addreas 1655 Norwood Drive
Demolish
?
Length 44
c; Ea Qan 55122 pho„e 454-6873 Grode ? Depth 23 Sq. Ft.-
p Nama Owner ApOrorals Foes
f
i? Addren
F ?:...
Name
Address
Assessment _
Wafer S Sew.
Police _
Fire
Enp.
Planner _
Councll -
Permit G/b.JV
Surchorge 24.50
Plan check 139.25
5AC 525.00
Woter Conn, 4 50, 00
Wuter Meter 60.00
Rood Unit 250.00
1 hereby ockrwwledge rfiat I have read rhis apvlicarion and stare that gldg. Off.
the informotion is correct and o9ree to wmply wirh all applicoble A? -
Stote of Minnesota Statutes and City of Eagon Ordirronces.
Slgnoture of Permittee
A Bu+idiny vermir is issued ro: Tollefson Builde I
oll work sholl be done in uccordante with oll ooofiwble S t f Mii
Total $1727.25
_ on tha express cordition thnt
ond Ciry of Eogon Ordinancea.
Building Offlciol
BUILD?NG PERMIT
N° 8141
Receipt # ?vLf•5+?"l
To M uwd fer 1 of'4 PLEX Est. Value $49,000 Date .Tune 14 , 1 q-u-
Sire Address 3870 Heather Drive EreCf
?{.
Octuponcy R-3
Lot 38 Block 1 5ec/5uy, Briar Hill 4th qirer ? Zoning (PD) R-3
parcel # 10 14993 380 Ol Repair ? Fire Zone NA
Enlarge (3 Type of Const. V
m Nome Tollefson Builders, Znc. Move O # Stories
z q?mss 1655 Norwood Drive oemolish p Length 44
Ci Ea Qan 55122 phom 454-6873 Grode ? Depth 23 Sq. Ft.-
m Nume 0wneT ADprovals Faes
o? Addreu Assessment Permit 27 •50
Ul
Woter &$ew.
Surcharge 24.50
Ci Phone Police Plon check 139.25
GW Nome Fire SAC 525.00
Addresa
?? Enp. Water Conn. 450.00
<W Ci Phone Planner Water Meter 60.00
Council Road Unit S0.?f1
I hereby acknowledge that I hove read this apDlication ond state thaf Bldg. Off.
the informotion is correct ond ogree to wmply with all applicoble APC Total $1?27.25
Stote of Minnewfo Stofutes and Ciry of Eagan Ordirances.
SlpnotuT of Permittee
o e son Builders In
A Building Pertnil is issued fo: on the exprea condifion thnt
oll work sholl be done in accordance with all oppli e Stote of ewt MK ond City of Ecgnn Ordinances.
8uilding Offlciol
CITY OF EAGAN
9795 illot Knob Read Eagan, MN 55122
iHONE: 454•8100
CITY OF EAGAN Np ? ?826
, 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
BUILDING PERM!,T PHONE:454-8100 Receipt #C ?(?Sa
To be used for BASEMENT Est. Value $1, 500 Date MAY 8 , 19 90
Site Address 3868 HEATHER DR
Lot 37 Block 1 SeGSub. BRIAR HILL 4TH
Parcel No.
Im IName MARK S FISHEL
? Address 3868 HEATHER DR
ciry EAGAN Phone 454-9571
g Name _
g? Address
ary -
Phone
?Hw Name
E,? Address
`a W City Phone
I hereby acknowlege [hal I have read Ihis application and s[ate that Ihe
inlortnation is correct and agree lo COmply with all applicable State of
Minnesota Stalutes and City of agardices.
11
Siqnature ol Permilee ? Y
A 8uilding Permil is issued lo: MARK S FISHEL
on the e:press condition that all work shall be done in accordance with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Olficial
r
OFFICE USE ONLY
Occupancy - FEES
Zoning -
(Actual) Can9t - Bldg. Permit 35.00
(Aliowa6le) - Surcharge 1.00
# ofstones -
Lenglh _ Plan Review
Depih - SAC, Cily
S.F.TOIaI - SAC,MCWCC
S.F. Foolprints -
On Site Sewage _ Waler Conn
on sae weii - water Macer
MWCC Syslem -
AccL Deposil
Ciry Water _
PRV Requiretl _ S/W Permit
Booslar Pump - 5/W Surcharga
Treatment PI
APPpOVALS qoad Unit
Planner - park Oad.
Cauncil
BIdg.Ofl. _ CoPies
Varianca - TOTAL 36.00
(a (034 3
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
l5-SO
q GRAHAM CRESSA
?
O
°y
Date
I
l
' 3864 HEATHER ORIVE
Site Street Address I EAGAN, MN 55122 UnIt #
-? (651) 688-0752 i
Property Owner l
Telephane # (
)
,
Contractor (612) 827-4053 Telephone # ( )
Address 2905 GARFiELD AVE..S, O. City 5tate Zip
avi r
The Applicant is: _ .Owner Y-\ Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water he , ??,? j?
_Septic System Abandonment `
t!??? 2004
5Et' 15
_WaterTurnaround (add $121.00 if a 5/8" meter is required) i?,?
Other.
Water Softener ? Water Heater $ 15.00
X replacement _ additional
_ Lawn Irrigation System RPZ_ new _ repair _rebulld $ 30.00
State Surcharge $ 50
Total $ 15.50
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 required to be reviewed and approved.
J e-? ? a t'blC,,?
ApplicanYs Printed Name s ig ure
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
15. sv
Date ` I ? I? GRAHAM,CRESSA
Site 5treet Address I 3864 HEATHER ?RIVE
? EAGAN, MN 55122
VnIt #
(651) 68&0752
I
Property Owner
l ? Telephone # ( )
.
Contractor (812) 827-4033 7elephone # ( )
Address 2905 ?????AVE. $0• City State 2ip
MINNEOPOLIS,
The Applicant is: _ Owner ? Contractor _Other
Alterations to exYsting dwe117ng ? 5 50.00
_Add fixtures to rooms, excluding water softener and wat aK
.P ?
L
b 15 2004
_Septic System Abandonment
_, Water Turnaround (add $121.00 if a 518" meter is requir ?
Other:
? Water Softener l J Water Heater $ 15.00
? replacement _ additional
Lawn Irrlgation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
T,tai $ l S. 50
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 pian is required to be reviewed and approved.
??
Applicant's Printed Name 's Signature
PERMIT# RECEIPTDATE:
2002 RE.SIDENTIAL PLU141BINfi PERM1T AgP1.,ICAT&(DN
CITY OF £Afii41V
S$SO PILOT HNOB RD
ERSAN, MN 55188
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when pertnits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS:
OWNER NAME:? ?/I 40n TELEPHONE #:1105/ ??iT 'COc? LQI J
(AREA COOE)
IN5TALLER NAMff• .('l]DI /aOZX-LEPHONE#: lS' iT(0
I ? ('1 J 9 T) / (AREA CDDE)
STREET ADDRESS:
CITY: L-A/anL(s/)n L STATE: (,f ) I ZIP: V(
_ SEPTIC SYSTEM, newirefurbished (requires lwo sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant tees may apply
. MODIFICATION/ALTERATION TO EXI5TING DWELLING UNIT, INCLUDWG
_ Adding fixtures to lower levefs or room additions, excluding water soHeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: ? water softener _ water heater ? $ 15.00
,
?
? i
State Surcharge
50
=_-!
Total
I hereby acknowledge that I have read this application, state thatthe information is correct, and agree to complywith ali applicable Ciryof Eagan ordinances. It
is the applicanPS responsibilityto notiry the property owner that the City of Eagan assum no liability fo any damages caused by the City during its normal
operational and maintenance activities to the §cilities constructed under this permit wthi Ciry Qropgrty ,' -pf-wa, y/ea,se,?qent.
? ?? 1?-? ?
SIGNhTURE OF PERMITTEE 1102
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for. commerciat/industrial buildings
. multi-family buildings when sepazate permits are not required for each dwelling unit
Date
5ite Street Address Unit #
Tenanf Name (ifapplicable) Previous Tenant Name
Property Owner Telephorte # ( )
Contractor
Street Address City ? r
1
1F `
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor Other
Work Type
New Construction _ Underground Tank _ Install _ Remove " see below
fnterior Improvement _ Install Piping _Processed _Gas
Nature of Work:
**When ittsta/ling/removing underground tank, cal/ for inspection byFire Marsha/ and Plumbing lnspector
P¢I'mltF¢¢S: $70.50 Underground tank installatioNremoval
$50.50 Minimum (includes Siate Surcharge)
OY
ContraetValue $ x 1% PermitFee
. If ae rmit fee is $1,000 or less, add $.50 => $ State Surcharge
If oe rmit fee is over $1,000, add $.50 for
every $1,000 pe rmit fee $ Total Fee
I here6y apply for a Commercial Mechanical 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 with the Mechanical Codes; 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.
Applicant's Printed Name
ApplicanYs Signature
Approved By: , Inspector Date:
vk 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each uni[
?o
? 90.
CV"'
Aate 6, / ? v ( 0 7
Site Address ? d(Q S 71C &be /L Unit #
Property Owner cng U('f.?,iJ ljj' 11?E LJ?y?ylC Telephone#( (v?l )LaS6
Contractor
NEATING 8 COOLING TWO INC,
Street Address 18550 Couniy Rd. 81 CitY
Maple Grove, MN 55369-9231
State (763) 428-3677 Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _L1 Contractor _ Other
Add-on or alteration tn existing dwelling unit $ 30.00
furnace _Additional _j,,Replacement
air exchanger
V, airconditioner _New ?Replacement
other
State Surcharge ? 50
Totei ' $
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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.
\ \ ----_?- ?{v \\
`Y`c'vti
ApplicanYs Printed Name Applicant?S?n ?ure
/V Tv)teffs:)n nuikders Ynr. Or.11412
183-77
? Sc:,le: 1`? 40'
o= Ir» JACKSON - SURVEYORS
0'Qf?,%Exieting Elev.
j "Drniaage /60. o
. NEOIGTERED UND[R LAWS OF STwT! OF MIMN[SOTA
? 3616 EAST 65th STREET, MINNEAPOLIS, MN 55917 \727-3484 ?? Jv ``T h-i E. R
+I ,
Suclupor'u dertiticate % H EA ? 6.9 L, R I?V E
I Pr?p3sed Garage Flau Elev, ? g v
Frap:oaed FiraC Floor Elev. 9_ Z.
Proposed 9asenaent Fl oor Elee. O T 37 ? I 33 a5
i ?
i
A \
?o c P? . I 1
?°
? y ' 2 p :• 9
. •? : % ? ? ?? '0;.? o
Fo
e
, ;d Np c? 9S, ? - ---
L.? ? 1 ?U rG ~
(X, ?• / DRAINH?` !\',L_
6
0v
•? 2\0 2?7 I? _o tJT?U-f', EA_Ei': N
0
0
9S cy LDT 40 ,LDQ
1 H[R6BV CXPi1FY AT TN[ ABOY ¦ A TpUH ANO COQRiCT PLAT OF A SURYiY OF
? I L,)te 37,38,34 and 40,Black 1
Briar Hill 4th. Addltf3n,
? Daknta Coun[y,Mionesata.
- o?
i
' ? [3 fJ, p
4cn. Mey 19K3
Af 6URVEYEO sY ME TM16__. _ - _DAY OF- __ A.O.
51pNE0-?
F.C.JAGK50
r
i ? R[amTwwnow. No. 9600
+( 4ITY QF Fl+['AN Include 2 sets of plans,
1 site plan w/elevations &
HUILDING PF,PMiT APPLICATION
l o 1 set of ener9Y calculations.
Zn Be used For ?
Valuation""' ///?" 00 a oate
site nadre5i?3?
' UV;????
3?c?s 13L W? •?
OFFICE USE ONLY
?
3
1 3a
LotL3Q Black!-1 7 Sec./Su}%Bs?ar -Erect
?
,p
3
3
Patcel #: ? 4 IqQ Q?. a-? ? O? Alter zoning 4
P,D
-
Repair
Enlar Fire Zone
e of Const
%L
't
Owner: ge _ .
yp
Address: M°ve
Dariolish # Stories
Fmnt ft.
City/2ip Code: Grade Depth ft.
Pr,one #:
0Ontt3CtAr: ('t,t71'L? \ .
?.
? Address:
City/2ip Gode:
Phone #:
Arcfi./Etg. .
Address:
City/Zip Code:
Phone #:
APPIxJVAI.S FEES
AssQSSnents Pernut
Water/Seaer Surcharge 2 v ?-?
Police Plan Check
Fire SAG c< as
-
Fng. water Conn.
yS0 ?
Plaiuier ' Water Meter 6 e)
Couttcil Road Unit
Bldg. Off. . .?' !/rQ'3
F1FC
TOr AL V-1 a'-?• a
Q
?
Ne
??
Q-`2-,? CITY OF F11GAN Include 2 sets of plans,
? 1 site plan w/elevations &
L O? BUILDING pF.PMIT APPLICATION 1 set of energy calc.vlatirns.
4U Be qsed Fbr ?-\ xn Valuation Date
Site Additss OFFICE USE ONLY
Iot3 39?`?O Bloc)C? % Sec./Sub?sect X OccuIancY ?
Paroel #: ) D 1qQQ ?a. 0( Alter .?--.-
Zonin9
Repair
e
E
a
' Fire Zone
e of Const
Zy
_
r
Owner:
az
4 .
p
Address. Nbve
Darolish # Stories
Fmnt ft.
City/Zip Code: Grade Depth ? ft-
Phone #: ?5y - Cn ?".'? Z
Oontractor:
` Pddress:
City/Zip Oode: _
Phone #:
Arch./Erog.. _
Address:
City/Zip Code:
Phone #:
APPROV7IIS FEES
Ass?ssments Pesmit V>
t?iater/Sewer ?
Surcharge
Police Plan Check ?
Fire SAC
gnq. Water Conn. Ay5`U jgv
Planner ' Water Metes ?
Council Fnad Unit ot t5'
Bldg. Off.s! f ^
APC -- -
'POTAL %'? 1-7 Z1 k Z?
CITY OF FAi'AN include 2 sets of plans,
1 sitE plan w/elevations &
BUIIDING PERMIT APPLICATION
; 1 set of energy calculdtians.
'
Zb He Used Fbr n9 &Vv
valuation L3
Date Q-
5ite- s ??y_?531v?,,
3F?1o? OFFICE_ USE ONLY
--
?y_p Block
Ua?t3_??_q r
_11 sec./sub_Bt,n.rA?1l ?(}h /Erect
X OccupancY
?
Parcel 1D 2-70 O? Alter Zoning
Fepair Fire Zone 4
Owryer: 3)1?? Enlar9e _
.
'Iype of Const. 3ZL
Move
" # Stnries
Addx'ess: \ln5 1.ti
?Ycrt???nr?? ?
Da?nlish ft.
Fmnt -/e/
CitY/Zip Cade: Grade DePth 23 ft.
u
Phone #: '`l ?
Contractor: (-? c,o 1A_ & ?'
Address:
City/Zip Qxie:
Phone #:
Arch./E7xf.. _
Pddress:
City/Zip Cade:
Phoaie # :
Water/Seaer Surcharge ?2 5!?'
Police Plan Check , 7 9?
Eire SAC
gxj, Water Conn• d`O
Plaruyer Water Meter a ?
Council Iaox1 Unit a s`a -
B1dg. Off. j'. T? ?
APC
'DOTAL ?1 ? z? ` Z
CITY OF FAC',AN Znclude 2 sets of plans,
1 site plan w/elevations &
l Q^ BUIIDING PF.RMIT APPLZCATION
#- 1 set of energy Calculatlons.
n c?
7b He Used For ?lR ? Valuation,p-r'TZ c166
Date
Sit
Adclcess OFFICE USE ONLY
3?
- - --- --
Lot 39i O Block[? r? Sec./Subjkt?ar lk?ll ?(+h_ ?+?.et X
?
pc?L?ncy
0( Alter
parcel #: 10 ? ? ?{ Q a ? ` 0 Zoninq
? Repair Fire Zone
??_ . Enlarge _
Owner: ?'bC-Qa??_s?? a. 'Iype of Con.t.
3
Address: ht°ve
Deralish # Stories
Fmnt y ft.
City/Zip Code: ?Z?._ Grade Depth o?3 ft.
Phone # : - ?n 'e_, '1 ?
APPFDVAL.S
Qontractor: ?it.0 yLC ? AssessmPnts Pernut 7
? Water/Sewer Surcharqe
Addrnss' Police Plan Chec'.k %
City/Zip Oode: Fire ?
;?_
? ??.
.
Phone #: Planner ` Water Meter v6--aF--
. Council Foad Unit 9,s"-
Arch./F7iq. : Bldg. Off.
Pddress: APC
CitY/Zip Code:
Pt,oa,e # : TWrw I -7 Z? ? ZS
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C7:TY OF E.AGAN
CA'iiII7:G:R: ,1, 1'E.RMTNAf_ P!0. 748
PATEc 0£3/(]4/99 'f'CME:: 13 c:32.i.0
t
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300 9()01 3840 I-ICA1"tI.F..f•: DR W7.25
205 9(]01 3840 Hi=F1TNl=fi DR 4.50
300 3001 3849 I-IEAI'1-IC:F DR 167.25
205 9001 3849 HrArNir.-.:r: DR 4.50
300 9001 3E357 Hic:ATH['1"i DR ibi .i?5
205 9001 3857 I'"IEAfi"Ilck IIII 4e50
32:10 9001 3£;1E3 LA1.11'+:6:!_ C'I 1.6r.25
205 `=)Obl. 38i.8 I_AI.JFiEI.. Ci 4.50
320 9001 3664 FIE.ATNE:R' DR 07.25
2155 9001 3864 FiFariirt, rn, 4.50
rt:,+,a:i. i,E.,c ei.pi; Amoun; N tiJFJ.lJ
CRWESq 4
lit;F.::6: :I:%1;, lAN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN I
f 3830 PILOT KNOB RD - 55122
851-681-4675
New ConahucNOn ReaNremenh
D 3 registered ske surveys showtng iq. H. of lof, sq, ff. of house
antl all roofed areas (20% maxfmum lot eoveraae allowed)
D 2 coples of plans (show beam a window sizes; poured fnd. design; efc.)
9 1 se1 of energy calculWlons
? 3 copies of hee presenation plon H lot platfed affer 7/1/93
4-3 (n
Remodel/Reoair RenuGements
2 copies ot plan
i seT W energy calcula}iont for Aeated addiHons
1 sHe survey fa exterior addMions a decks
DATE: - / CONSTRUCTION COST:
D
DESCRIPTION OF WORK: 2 64--f A i'.- Os,ro 9: -
STREET ADDRESS: -
LOT: / I BLOCK:
(p, 4 3s, a-)
SUBD./P.I.D. lf'?1
Name: 6fi c,-t 2 r( /
Phone #:
PROPERTY Lcmt First
OWNER
Street Address:
City
State:
Zip:
Company:11411 ! ?4.9 eD Ay/(Z? Phone #: b1 2
(area code)
CONTRACTOR Street Address: ? `-[ l ? ? P. l ? / i'?? ? (?? License # S : ? Exp. e5f
City ? C S State: Zip:
ARCHITECTI
ENGINEER Company: Name:
Telephone #: area code (
Streei Address: RegishaFion #:
City State:
Sewer & wafer Ilcensed plumber (reauired for new constructlon onlvl:
Penalty applies when address chnnge and lot change is requested once permff is issued.
Zip:
I hereby acknowledge that I have read thls appllcaNon, state that the iMorm tf?u is conect, and agree to comply wlth all appllcabl
State of Mlnnesota Sta}utes and Cify of Eagan Ordinances. ?
Signature of Applicant: ?
Certificates of Survey Received
Tree Preservation Plan Received
OFFICE USE ONLY
_ Yes _ No
_ 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/SoffitslFascia
Q 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (interior) ? 42 Reroof
" Give PCA handout to appiicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of 5tories
Length
Width
APPROVALS
Planning
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:
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building Engineering Variance
Valuation: $
t
SAC Units
% SAC
19`t`a 44 ?? 9 ?Q89" BIIILDING PfiRMIT APPLICATZ? CTTY (RGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRFSSES FOR CORNER LOTS - COIQTRACTOR/HOMEOi1NER MQST DESIGNATE WAICH 9DDRESS
IS DESIRED. NO CHANGES iiILL BE ALLOWED ONCE BIIILDING PERMIT IS I3SIIED.
MIILTIPLE DWELLINGS RENTAL IINIT3 FOR SALfi iTNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SORVEY - CHECK WITH SLDG. DEPT.t 1 SET OF ENERGY
CALCULATIONS
COl+MERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SS?' OF SPECIFICATIONS P_HD 1 SET OF ENE9r_.y CpLf'IIL9T_7ONS
To Se Used For: (34.5An. ,.;l C''µiy?Valuation:
Site Address 3`6(.-,cn)
Lot _I_L Block Occupaney
Zoning
Parcel/Sub Actual Const
Allowable
Owner MP'RK ?. ?'151-?L Ik of stories
Length
Address 'S'6QP? kATIW-J;?- D27YIF, Depth
S.F. Total
City/Zip Code 1EA6-i4rJ {ti(plJ SSIZZ Footprint S.F.
Phone y rj On site sewage
On site well
Contractor 511-? MWCC System
City water
Address PRV required
? Booster Pump
City/Zip Code
Phone
Arch./Engr. ---
Address -
City/Zip Code -
Phone # --
APPRDVALS
Planner ?
Couneil
Bldg. Off.
Var iance
Council
Date: ?h?4d
?-
FEE3
Sldg. Permit 35,00
Surcharge .°L
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Aect. Deposit
S/W Permit
SIW Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
TOTAL ?
NOTE: 3awer & Water Permit fees and account deposit feea will be ineluded in the building
permit fee. Processing time for sewer and xater permits is two days onee a licenaed
plumber has applied for a permit at City Hall.
C.I.Tv f.tc 1=.AG41fJ
(:A3.{y.ITF:.R:I 'iii P?fJo E];`?
IIl1T=.. 1.c'OMfi 7Ii1E; 0907::24.
M.
NFaME;; Al...l_.7:L:I! ,-7:F.:Ef:;:[Di'-" iPdC
3210 9001. 0E33 id
'•''4'i._L. J '.. S?i .? Ofl
??I.r.J?1 9???1.? .?.:?5.) ,
L..I_.iJ L.l' ?.I...
221.0 9001 3870 !_IE:61'i';;(.i:l;: LA? 50,.00
205 9001 3870 HEATHc;rt n; (?.,:SO
1cJ1;:1.t:1. !,!,ir]r.,].i?t FnmumF,f:; I.':'i QQ
CF%.':.0:!. =
l.l,`'r::l,i M "+:ANf;V
p dfY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: 4 0
Eagan, Minnesota 55122-1897 Permit Number: 03 4 30 m
(651) 681-4675 Date Issued: 12 / 3 N/ 9 3
SITE ADDRESS:
3c, 70 HEATHEF; llfZ
LOT: 38 FL4CKe 1
F,RTflR HTLL 4't"H
P.I.N,a 1.0-1AJ93-38o _..VJ7. DESCRIPTION:
GAs rNsEfeT
5o,r0-r ei I„t.r - ryrF <<sftFnI.AcE
8 y€a:idi nq Wi?r.`k I v ne r,LreRflrrora
,G'ensUs Code 4 31 aI r. ri ?rn;:nvrz;a1.
,
rJ
REM?p
'kC?
rFY/F!_UE 1+1u5i HE 1:h15FECT?I? r;Fi-??R'r: NCL=1aL7NG.
FEE SUMMARY:
Baos Fee $50.00
5urcharge g, 5 0
?----
Tot:al F ee $60.50
CfpNTRACTOR: - ?pr>>.j.ca nt - ``r, ? [ce OWNER:
F J?t?57:0E CCJRNElR INC 16331042 ".'-009037.5. A fJDE R5C7AI ;;NA RpfV
?
27"00
N FASftVIEbJ AVE 3870 I1L"cA'fH17li DR
WO $.[VIL4,E MN 65113 E A G A hl M iV 55122
((?Q2 ) 633-1042 { G51.1 688-ty?t5 0
I Fiereby acknowledqc- that I liave r=ad this apptzeata on anai state that the
informativnS.s car'reet and aqree L.ca eon7...ply witiii 411 aDPli,.-cable State ot iri?n.
5t;atutes and Eitv pfi Lagan ilr•sJtnances,
APPLICANT/PEFMIVESIGNATURE UUED BY. SIAGNATU E
1
CITY OF EAGAN
3830 PIIAT KNOB RD - 55I22
4 1998 FIREPLACE PERMTf APPLICATION
3 3 681-467$
DATE:
DESCRIPTION OF WORK: Construct new fireplace
? Install Sas iesert onW
Other
ja-3o qF?
PERMIT FEE: $50.50
_ Alterations w existing
_ Insffill ¢as line only
JOB ADDRESS: ? ?5 ) [) ?? L'Gl y?' .
LOT: ? BLOCK: I SUBDMSION/Pd.D. #: 1J ? i Q V N? ( l
APPLICANT (circle one only): OWNER CONTRA TC OR
I hereby acknowledge that I have read this application and state that the information is correct
and agree to comply with all applicable State of Minnesota Statates and City of Eagan
Ordinances.
Name: ?7 Lt LLS n//1 56" (7 I/I Phone #:
PROPERTY Last First
OWNER
Signature:
Street Address: S97(/ ? Q q?N pr Or,
City State: ?V . Zip:
Company: I ( ? P d ePhone #:
FIREPLACE ?
INSTALLER Signature:
Street Address: ? License # O '
ctry scau:?zip:
GAS LINE
INSTALLER
Phone #:
Street
,
r
OFFICE USE ONLY
BUILDING PERNIIT TYPE
? 14 Fireptace
WORK TYPE
O 31 New O 33 Aturations
? 32 Addirion ? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected beforc conceating.
L?SL ? CITY USE ONLY RECEIPT#. 7?0? 7
a?
SUBD. n? /U& T& RECEIPT DATE: s/t4r7
1997 PLUMB{NG PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . single Eamily dwelGngs
. townhomes and condos when permits are required for each unit
. backflow preventer for underground sprinkler system
FIXTURES EACH 10. T L
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x
Water Heater 3.00 x
Floor Drain 3.00 x =
Gas Piping Outlet "minimum-t • 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 x =
Water Softener " for existing dwelling 20.00 x =
U.G. Sprinkler 'FOrdwellingunderconst. 3.00 =
U.G. Spr4nklef ' for axisting dweAing 20.00 =
Alterations " to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ' Dak Cty lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' abendonmenc 20:00 =
STATESURCHARGE .50
So
TOTAL
I hareby acknowledge that I have read this application, state that the informatlon Is correct; and agree.to comply with all applicable Ciry
of Eagan urdinances. tt b the appAceM's sesponsibility to notiy the propeAy ownei thet the City of Eagan assumes no Itebility Mr any
demages caused by the Ciry duringHs normai operaqonal arM melMenance aaivitias rothe fadlities constnrcted underthis:pertnit within
City propartyJrightof-way/easement.
SITE ADDRESS: a M%0 1-t"01 ?A --0- ? I-/ y
OWNER NAME: ?Vlo ro n
{NSTALLERNAME: TELEPHONE#:
STREET ApDRESS: ??7 --- ?
crrv:
STATE: ZIP:
SIGNATURE OF PERMITTEE
? ?(
oF
3830 PILOT KNOB ROAD, P.O. 60X 21199
EAGAN, MINNESOTA 55127
PHONE: (612) 454-8100
AUGUST 3, 1984
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
TOLLEFSON BLDRS INC
1655 NORWOOD
EAGAN, MN 55122
Dear Sir:
BEA BLOM9UI5T
Moyw
THOMAS EGAN
JAMES A. SMITH
JERRV iHOMAS
RiEODORE WACH7ER
Councll Mambers
THOMAS HEDGE$
City Atlminisfmfor
EUGENE VAN OVERBEKE
Ciry Clerk
Our records indicate that the dwellings listed below have heen oc-
cupied without a request for a final inspection:
B.P. #8813 - 4846 SHEFFIELD LN
B.P. #8140 - 3868 HEATHER DR
B.P. #9093 - 1569 SHERWOOD CT 8 R??R µ,'«
B.P. #8743 - 1570 SHERWOOD CT j
B.P. #9101 - 1581 SHERWOOD CT -4 Jlv
B.P. #8143 - 4811 SHERWOOD CT
If arrangements are not made within ten (10) days to resolve these
oversights, this list will be presented to the City Council with a
recommendation for suspension or non-renewal of your contractor's
license in the City of Eagan.
Sincerel
???? ,
Dale Peterson
Chief Building Official
DP/js
THE LONE OAK TREE...THE SYMBOL Of STRENGTH AND GROWfH IN OUR COMMUNIiY
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telep6one # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date -'LV / a? /
SiteAddress ??a ?L/ Q lD \}?
?]c???Y? y,Yi •
Unit#
Property Owner VV Telephooe #( lSQ9) ?a ` tS J d?
Contractor HEATING e. COOt ING
7
YVO INS
Street Address -
-
18550 County Rd. 81
Meple Grove MN 55369-9911
(763)428-3677 ° y`
- City ?FJEt,X
' '-L'0
State Zip Telephone t1 ( )
Bond it: Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
V? furnace _Additional ?C Replacement
air exchanger
airconditioner _New _Replacement
other
State Surcharge $ .50
rotei $ g0•.5-0
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work wil]
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes, 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 c se of work which requires a review and approval of plans.
` ` r?-. hv?1 G.o
Applicant' P in la ApplicanYs Signature
? 1-
??
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciallindu ial bui4dings
. multi-family buildi s when separate permits are not required for each dwelling uni[
?
Date Q lD I
S
Add
?410L
U
it #
Site
treet
ress n
Tenant Name (if applicable) Previaus Te nt Name
rt
O
P T
h
#(?
? ) J o°?'r ?-d
7
rope
y
wner ep
one
y
-
Contractor HEATING 8 COOLINO O INC, r` /i Sf±%a7 '';I !?
18550 County Rd. i
Street Address Meple Grove, MN 55369- 231 City
63) 42&367
State Zip Telephone # ( )
Bond #: Expir .
The Applicant is _ Owner ? Contrac[or _ Other
Work Type
rground T nk
New Construction / _ Install _Remove "`see below
fnterior Improvement Piping
Install Processed _Gas
Nature ofWork:
*'When installing/removing undergroun tank, cafl for inspecfio by Fire Marshal and Plumbing Inspector
Pel'1nIG Fees: $70.50 U
ttank ation/removal
$50.50 MSurcharge)
/
ContraetValue x 1% PermitFee
• If ep rmit fee is $1,50 ? State Surchazge
If ermit fee is ovefor
every $1,000 ep rm $ Total Fee
I hereby apply for a Cotnmercial Mechanical Permit and acknowledge that the infor ation is compiete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with e Mechanical Codes; that I understand this is
not a permit, but onty an application for a permit, and work is not to start without a pe mit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector
r------------------
For Office Use
. Permit 1..1 I lJl
City of Ea a~
I Permit Fee: 1
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 I Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Xc-, e % Site Address: 41z, •g /Z G L i a .1 .has E S
Tenant: 9 ~r C/Z LfZ Suite
f ~.4n)t"i L i9~J G,E r wli G;T 37.Z'7
,55vC/✓1 caJ Phone:
7-i irI ~ r ~ y4
RESIDENT / OWNER Name. • 0i
Address/ City /Zip: r >c / Z_ , S KS's
Applicant is: Owner X Contractor
TYPE OF WORK Description of work: RE - A c + G~
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: (A£ / Cx 7-&ala2 Z-.2G? License 2- 0
Address: 4414 s' l n c~ S; .
City: Al) PL S State: M-~ Zip: 5S ~/i g
Phone: !Ii;- 9 6 2 y.3 Contact Person: r' u R ~2i S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted 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 & 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.
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 sta ' out a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approv of ans.
X Al ) 0i L1t b s3aiz 2i5 x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
3E)(C4 ~
DO NOT WRITE BELOW THIS LINE
SUB TYPES
❑ 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) ❑ Ext. Alt. - SF
❑ 02-Plex ❑ 08-plex Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc.
❑ 03-Plex ❑ 10-plex Lower Level ❑ Storm Damage
❑ 04-Plex ❑ 12-plex ❑ Miscellaneous
WORK TYPES
❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building*
❑ Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior
❑ Alteration ❑ Fire Repair ❑ Windows ❑ Demolish Foundation
Replacement ❑ Egress Window ❑ Water Damage
* Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation} Occupancy MCES System
Plan Review Code Edition p SAC Units
(25% 100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings (deck) Final/C.O.
Footings (addition) Final/No C.O.
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water Final Pooh Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace:`R.I. _Air Test ^Final Windows
Insulation x Retaining Wall
Reviewed By: I , Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
Ta.~~~~~n Bailders II1c, ~-7d 0.11412
183-77
o= Ir;.3:, JACKSON - SURVEYORS
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REGISTERED UNDER LAWS OF STATE OF MINNESOTA
3616 EAST 55th STREET, MINNEAPOLIS, MN 55417 ; 727-3484 l ^
l % H E_ AT E
~urbrpor'g ~*crti#itafe 4 6.9 L_R ITV
f~
Proposed Garage Floor Eller. F/
Propised First Floor Elev. `7 Z..
Proposed Basement Floor Elev. )7 33 d5 '
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Ile
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L
I HERESY CERTIFY AT THE ASOV S A TRUE AND CORRECT PLAT OF A SURVEY OFJ
1 , 111
< Briar Hill 4th, Addition,
Dakota County,Minnesota.
_
4tii. May 1983
AS SURVEYED BY ME THIS.---------DAY OF-_. A.D.
7
J
SIGNED- -
F. C. JACKSON, MI NIE A REGISTRATION. NO. 3600
J
Use BLUE or BLACK Ink
For office U"
ty ; Permit S:
of latan Pwmk Fee.
3880 PRpt lCrtOb Road ~
Eagan LIMN 55122 i Dow PAW KW; i
Phone: (651) 8754675
Fax: (661) 6761 i
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
gate: ID " xq' /-3 $11VAddr~eee: 38btil, 34rwb, 38 ,8, 37' Q Ht Tf~E92 p2• Link
NamFlo ACT /~1 A A~ A6Z M Z A> i C Phony "743 '-%93 9 7 70
e:
l~aoi~lE~1 rK~
~Sta a E. e- r3'~ry,Q A/ ~ A
MItM4f : Address !City / Zip.
Applicant is: , Owner X- Contracxor
'y Desrauftn ofwork --FAR Or--F a• QE - Pvw=
Type;ptX±fc •
Construction Coat: ~9o Multi-Family Building: (Yea, / No __j
Company: ~E 1 E•,~ rt~¢ ~oR /T~fii,a ~2>p CorKact:v~ d Qa R.R 5
Addr
5tw e: Zip-. •~S'y~ 9 Phone: ~o ~Z - ~6 ~ - Ga z y 3
License a 49 C A 4!!j 3/ Load Car0cate
ff the project is exempt from bad cwdffCM'on. please explain why: (see Page 3 for additional inf+orme0on)
s 14 7" Post- /
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In " fast 12 mortthf: t tits City of t:apan issusd o penult for a slmNar plan based on a maetrr plan?
Yes No If yes data and address of nm%r plan:
L icerreed Plumber. P te.
Nsahankw Conbt cbr: Phone:
lifQ- Phone.
befon you in6a~i b dip to nr ~Me lo~tesW stab one utRam at lleo.) 460002 lbr prao®cttion ageird undemrou►d uliYb Esmapa• 0811 48 hours
I`WWGby sdrno xlerst W ft is6o not atow oo W only and ao WO; inat the work will to in conlbm~anoe won the adlnmm and codas of the CRY of
~peft: that I understand tf~ia is not a perm!, but an
scoa,donm van, gn aawow.a In a,a ww erg V&Vdn on for a Mow Permit. era vrorkoripls net to awd without a permlt that to W4Wk vA be in
,o s .ex .na ~PP~wr ivn. _
ExhwWwwk
de" of pWG* a buildln9 t~emrit Issued In accordrrrq wnh t1w tWnrresoma State Bul l Codr, moor M wmph~d w tdn 180
x b,Av, 4 g~ 2t2 r~
APplleant'a Prirttrad NycmQ
Applieanl°s Signature
Pop I of 3
50/Z0 39Vd 1NIVW 1X3 139 L9Z9T98ZT9 £5:5T 6T0Z/bZ/0T
4110 tyofEa&all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.6675
Fax: (681) 675-5694
RECEIVED
MAR 2 8 2014
Use BLUE or BLACK Ink
For Office Use 7,(�'�
Permit r i,J-iC
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 ` `' V Site Address:746 3174. G, 7" X. 3 $ 7 v i%i4.Th/r~i2 62.. Unit 0:
Red1d8eU
Otlrner
Name: eio 4c`% /1i4.14bi#ME..i- 4.74 -,4 C- Phone: 761 -a73-- 9'77a
Address / City / Zip: RSo D Z c 04 7-u 2 Av, .3 , 2A 6,oL fl s 1/ S r /')
ss- y17
Applicant is: Owner Contractor
TYPiii.: cff:YYork,
Description of work: rttwo., i a- RE PL'K£. S d/•J b b F-014.ra Al z,--4 L
Constnictlon Cost / 4/ CM • W Multi -Family Building: (Yes., / No _j
•
•
Contractor
Company: Q £ 1 £,r - n /L /Al -1 aT . eo al Contact bA 0,6 j.,1L2, S
Address: 4/°m LJ 100 * -1"- - City: m PL. S
State: P/A1 Zip: S'S -'/i 5 Phone: L / x • ' 4o / - 4o 2 V3
License #: 1.3 C. x VW 3 / Lead Certificate #:
If the project is exempt
ilc•Ntps.
from lead certlflcation, please explain why: (see Page 3 for additional information)
;,.i,.-2- Posr- /77r
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:
Se�w�er 3 Water
Phone:
Phone:
�Contractor: y .� / yp ,y�w,.,[10`��'
d► R d.00' ►!y!a9II aPor •iib 01 , .
��y_(/
ri.: !i
CALL BEFORE YOU DIG. Call Gopher State One Call at (651)450.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gophersr<ateoneCall,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
Eaoen; that 1 undersiand this Irl nota 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 (wilding permit issued in accordance with the Minnesota State Sundt Code must be completed within 180
days of permit Issuance.
x �4✓r 0 /,d,,/2.j2 f
Applicant's Signature
Applicant's Printed Name
00/Z0 39Cd
Page 1 of 3
1NICW lX3 I3a L9Z9t98Zt9 00:60 VTOZ/8Z/s0
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177350
Date Issued:06/27/2022
Permit Category:ePermit
Site Address: 3864 Heather Dr
Lot:39 Block: 01 Addition: Briar Hill 4th
PID:10-14993-01-390
Use:
Description:
Sub Type:Water Heater & Water Softener
Work Type:Replace
Description:Standard Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brett K Anderson
3864 Heather Dr
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature