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3422 Highlander Dr Jun, S. 2011 2:43PM SELA ROOFING No.6530 P. $ Use BLUE or BLACK Ink ~ Permit ~ j City of Eap I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 l 1 ' Fax: (651) 675-5694 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION ~ -q- Date: l Site Address. 34 tE' ! Name: rf ~rilc RESIDENT 1 il-t f OWNER Address 1 City I Zip: 21 ~ G42 Applicant is. Owner Contractor TYPE OF WORK description of work: 4-YA.,( 112A dA Q( Construction Cost l Multi-Family wilding: (Yes I No V_1tt.~C Company ( ~t,f~f (J ~/lL Contact: C t4 V A/\ Address:' oo kEeLsi z Bvvaz _ City: L uuS P CONTRACTOR State: r r~ zip: `t`6 Phone: License Lead Certificate 9, A If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 teased on a master plan? Yes _No If yes, date and address of master plan: _ Licensed Plumber: Phone: Mechanical Contractor: Phone: Sower & Water Contractor: Phone: NOTE: Plans and supporlrrig.documerits• Char you submit are corisidlered to be public fnf6rmad6n:. Portions of the information maybe 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. Gall Gopher State One Call at (654) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.AoPbQr~tateonecall.ora t hereby etknowiedge 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 wo 's not to st without a it; that the work will Win accordance with the approved plan in the case of work which requires a review and approv of tons. X 866q Vi4tJ Applicant's Printed Name Applicant's Signature Page I of 3 1072 Payne Ave. St. Paul, MN 55101 651 /772-2449 LAST V e GAS WORK b & AIR CON A Blue DoC: FIRST CITY (7 'A ?g,.? ZIP? HM PH - ?- fa Vb WK PH TECH . S iM,? DATE ov SERIAL 410 W. Lake St. Minneapolis, MN 55408 612/8242656 ,TION ORSAT TEST RECORD C02 , % METERED INPUT i-r 0 ' Cfh CHIMNEY TYPE ?J C 02 % LIMIT SETTING 6 ° FWE SIZE f " in. CO % PILOT OUTAGE n sec GONNECTOR SIZE in. NET STACK TEMP 0 TOTAL CHIMNEY INPUT e-/v" btuh • GAS WORK ORDER _ 1072 Payne Ave. STAf V DARD 410 W. Lake St. St. Paul, MN 55101 9 Minneapolis, MN 55408 651/772-2449 6H EAT I N G 61218242656 & AIR CONDITIONING A Blue Dof. Service Co. EOUIPMENT 1NFORMATION LAST 1 JL?5 Ki n FIRST Q? M r?n ?c ADDRESS_ 3q? ? 0'r4? „ ? -eP Dc' CITY_ r D?, A*( ZIP S5 1 Z2- HM PH 1051- Iq 5?- Q68 WKPH TECH DATE TYPE MAKE MODEL 3 83 ?-,a ,-) U7 -10 5? SERIAL r I NPUT +-I q, ()cx- ORSAT TEST RECaRD C02 % METERED INPUT `r `I f Cfh CHIMNEY TYPE 02 •? % LIMIT SETTING / G 4 ° FLUE SIZE ? in. CO ? °i6 PILOT OUTAGE S/?54--5-SGC CONNECTOR SIZE It1. NET STACK TEMP ° TOTAL CHIMNEY INPUT ? a?G btuh ..? i Y OF EAGAN Remarks adaition SURKEY HEITH'fS 5th Lot Ownerl)(iLr!:'. Street 10 73004 010 04 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK ? STORM SEW LAT I CURB & GUTTER SIDEWALK I CITY OF EAGAN Remarks Addition SURREY HEITHTS 5th Lot 1 Blk 6 Parcel 10 73004 010 06 Owner ' ? ?./' ?i %' Street 5 ate GARAGE .? vT 6 l/A[ ?!/1 D , e7.. Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUIIDING PER. SAC PARK CITY OF EAGAN Remarks ,4ddition SiIRREY HEIGHTS Sth Lot 2 BIk 6 Parcel 10 73004 020 06 nwner '?(Z i iJf '. Cr-r Cr.ro GARAG E 3ya ? 1" o%? ,. Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition _ S11RRF.Y HF.YTHTS 5th Lot 3 Blk S Parcel 10 7301,14 030 05 ? Owner1 l?iL I ; , ' Street_3426 Higbyyl_anjgr DT1V.E StateF-q.,gaIl, MN 55122 -- Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 5AN SEW TRUNK assessed der OT'1 1T13 ar @1 * SEWER LATERAL 1975 1845 WATERMAIN * WATER LATERAL 1975 WATER AREA * STORM SEW TMC401* 1975 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 4 230.00 8445 12-15-77 BUILDING PER. sac 475.00 5445 12-15-77 PARK 40.00 7735 4-9-73 1 CITY OF EAGAN Remarks Addition •GURREY HEIL'iHTS Sth Lot 2 RIk 5 Parcel 10 73004 020 05 Owner ' : [ ,.:; ? Street 3428 Hi gh 1 ander nri ve State Eagan, MIlV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL WATERMAIN x WATER LATERAL WATER AREA * STORM SEW IM 4gff' STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230.00 - - BUILDING PER, SAC 475.00 - - PARK .00 7735 - - CITY OF EAGAN Remarks Addition-SURREY HEIGHTS Sth Lot 1 Blk 5 Parcel 10 73004 Old 05 Owner Street 3424 Hi gh 1 ander nri ve State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL WATERMAIN * WATER LATERAL WATER AREA i * STORM SEW T81f 44'f' STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230.00 8445 12-15-77 BUILDING PER. sAC 475.00 8445 12-15-77 PARK 40.00 7735 1 4-9-73 CITY OF EAGAN Remarks 5 Parce, 10 73004 044 05 State Ea.ga71, MN 55122 Improvement Date Amount Annuai Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL WATERMAIN • WATER LATERAL WATER AREA * STORM SEW SM /.4'T" STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230.00 S - - BUILDING PER. 4603 s,ac 475.00 844? 12-15-77 PARK 40.00 35 4-9-73 CITY OF EAGAN 3795 Pilot Knob Road Eo9an, Mieaesoto 55142 Pbono: 454-8100 PERMIT pate: r.ii 27, 1.97? $ite Address: .)i:CJC'I' 'T'i. ; ' Lot 64ock SublSec. No. 1107 ?779 Receipt No.: Single Residentia l Multi Res., Comm.jind. , unl#_ }1 `+.SP Name 'uS?c?.f`'•:.? T`t=-- air New/Alter /Re , p . ? Address Cost of Instollation ?.min?tor•+ City Phone: Pertnit Fee ' P. " Name rZ'rt?('_C? ?7J.?ii?lTlc- 07 .? Surcharge ? ? Address - - •, e 0 V Gity - , Phone: Totol This Permit is issued on the express condition that oll work shall be done in nccordonce with all appliwble 5tate of Minnesota Stotutes and City of Eagan Ordirronces. ? Building Official . • "' CITY OF EAGAN 3795 Pilot Knob Reed Eogen, Mlnnesofa 55122 Pbwne: 454-81 QO HEATIP•i' _ PERMIT ca ..- r;-No. '. 134 Date: Mc3 Z' ci ; Site Address: - . 28 Highlander Dr. Lot Block Sub/Sec. _ SI' Stl Receipt No.: Single I Residentiai Multi Res., Comm./Ind. , iZrij } +?.n)Zge, -1 nV7 Name New/Alter. / Repair . ; Address Cost of Installotion O ,ominqton ? ?% - 0 ? City Phone: Permit Fee ' c'"Z- & Sc_„1 • - Name ' ' • _ Surchorge . ? 120 1. ? Address ` ? City ' '- • „? Phone: Totcl , - This Permit is issued on the express condition thot all work sholl be done in accordonce with ail opplicable Stcte of Minnesoto Stotutes and City of Eagan Ordinances. ? Building Officiol . . ' CITY OF EAGAN 3795 Pilot Knob Road Eogan, MN 55122 N0. 4606 PHONE: 454-8100 BUILDING PERMIT Receipt 30 To be usad Fee : o*r?itsuuse Dnte .• 19 Site Address %428 iii ehLand er lir. Erect p Occupancy Lot - ? Block Sec/Sub. Alter ? Zoning _ Parcel # _ Repair ? Fire Zone 3 _ t Enlarge ? Type of Con st. ` i. : W Name ??o l d ?anda l ? .• - Move Q # 5tories 3 Address 65{) SUUt:?p;ltt ?;: i1c:e PLAllia Demo!ish ? Front it. r.... oL..,.,,. zS_79&9 Grade ? Depth ft. ? 0 Nome 1' ?? Address _ Assessment - ~ Water 8 Sew. Cit Phone Pol ice ? ? F W Name - Fire ?? Address Eng. Q W Ci Phone Planner Council I hereby acknowledge thot I have read this applicotion ord stote thot gldg. Off. the information is correct and agree to comply with oll opplicoble State of Minnesoto Statutes and City of Eagan Ordinonces. ApC Fees ..' f Permit $urcharge _ Plan check _ SAC ? , 5. -50 Woter Conn. 2 -;0• 00 Woter Meter E0 . '-'n Toral 879.50 Signuture of Permittee I A Building Permit is issued to: GUti! :•fedaLlion CUTp on the express condition that oll work shall be dene in occordance with oll opplicable State of Minnesota Statutes ond City of Eacon Ordinonces. Building Official _ Pumif .# Deh bw" PwtektM _ Plumbing ee p 7 ?? ? 7 • _ Mechonical INSPECTIONS I - DATE INSP. Rouph-in Flnal Footings Date Irap. Dcfe Irap. Foundation _ Plumbing Frame/ins. > y Mechenical Final 4r-f/-.2? Remarks: ' - cirir oF EA"N 8745 Pllot Keob Road Eo9en, Minnesota 59122 Phone: 454-8100 PLUMBING _ pERMIT No. 1106 Dote: NPx'il 27. 1978 sire ^ddress: 3426 Hiqhlander DrivF _ Lot 3 Block r?I Sub/Sec. Receipt No.: ')()7 7 4 Singie I Residential Multl Res., Comm./Ind. Name D. H. Gustafson . ? Aedress E?50 Southqate offa.ce Plaz ?? c;ry _ lcominqton Phone; `Name Project Plumbinq Co. ? ? Address e 0 U City . -, Phone: This Permit is issued on the express condition thot all work shall be Minnesota Stotutes ond City of Eagan Ordinonces. New/AIter./Repair new Cost of Installation Permit Fee 20.00 .50 surchorge Total done in occordance with oll applicoble 5tate of Building Officiol ?. ? •- . . -. CITY OF EAGAN , 3795 Pilot Keo6 RoaA Eogon, Minnesotu $5122 Phone: 454-8100 T I r- 711T 'f. ' l _ PERMIT No. = f Date: March 20, 1978 Site Address '')E z t%2 . ., _ Lot -' Block Sub/Sec Receipt No.: 3 i P, Single Residential Mufti Res., Comm./Ind. J Name New/Alter./Repair nt'.. ? ; Address Cost of Installation O ? Loom' n ton 2? • "`' City ? g Phone: Permit Fee A. Binder & Sc>n • G ? Nome Surcharge . ? Address ? • ' , -- ? . e e v City Phone: Totql ry' ^ This Permit is issued on the express condition thot all work shall be done in occordance with all applicable State of Minn to Stotutes ond City of Eogan Ordinances. Building Offieial • CITY OF EAGAN 3795 Pilot Knob Road Eogun, MN 55122 PHONE: 454-8100 BUILDING PERMIT $3g9pp0 Receipt #k To be used for i'owi2housC 5ite Address H-i ;zh'L Loi -3 Block 6'? Sec/5ub. S Porcel .$k m Name ?:ol.d Medsllfon w 3 Address O City Phone - °C Name Z0 oQv Address V? ~ Ci Pfione - r? WW Nome N2 4605 844 Erect fn Occuponcy K e S Alter ? Zoning _ r4 Repair ? Fire Zone Enlarge ? Type of Const. ? Move ? ?!,' Stories Demolish E] Front ft. Grade ? Depth tt. Approvols Feea Assessment Woter & Sew. Pol ice Fire Eng. Planner Counci I Permit 93-0 Surchurge Plan check SAC v75•afl Wuter Conn. '130 . Water Meter U OU I hereby ocknowledge that I hove read this application and stote thot Bldg. Off, the informution is correct ond agree to comply with o!I opplicable 87g= ??? State of Minnesota Stotutes and City of Eogon Ordinonces. APC Totol Signature of Permittee A Building Permit is issued to: f'c" -° `ccaZ Z ion COI'p on ihe express condition thot all work sholl be done in accordante with all opplicable State of Minnescto Stotutes ond City of Eagan Ordinances. Building Officiol PersM .# Date leswd POMMtN _Plumbing //O G -+T7 - 7 Mechonical INSPECTIONS DATE INSP. R???n Final Footings Dote insp. Dots Irap. Foundation Plumbing ? -J Frame/ins. 3 -- ?g Mechonical - Final ? k? Remarks: CITY OF EAGAN 3795 Pitot Knob Roed Eogae, Minnesoto 55122 Phone: 4544100 PERMIT No. ~ Date: "Ch 20, 1978 Receipt No.: 09379 Singie I Site Address: i l.) t 1 i_t r1 dL-i ?' DT. Residential % Lot ' Block -' Sub/Sec. } 4'- Multi Res., Comm./Ind. ?'?n? t?T''t'' Nome ,3 ??""ciall.i_on Corn . 3 Address a City i:cj tt) n Phone Nome `?• ninder b SOTI . Address E. but]_er e 0 t1 _ City " '{ • - Phone: This Permit is issued on the express condition thot nil work shall be Minne Stotutes and Ciry of Eagon Ordinances. New/Alter./Repair. ? Cost of Instollation Permit Fee 20 Surcharoe .50 Total done in occardance with oll applicoble Stote of Building Officinl CITY OF EAGAN 3795 Pilot Kaob Roed Eayan, Minnesota 55122 Phone: 454-8100 PLtT"?T3INC _ PERMIT DOYe_ Apri 1 27, 1978 _ Receipt No.: 5inglc Site Address: '`4 Z4 Fiic `'..Iander DY'1V(_° j Residentlol Lot 1 Block 5 Sub/Sec. _''H 5 Nan,e ,). H. Gustafson c qddreu `-0 Southgate Office Plaza City :. loominqton phorte; Nome PXOjECt Plurtbing CU. ? ? Address 2743 Humboldt Ave. So. e 0 City ' Phone: Th is Per ' is issued on the express condition thot all work sholl be i nne o Statutes ond City of Eogan Ordinonces. No. ' I.05 09774 New/Alter./Repair. Cost of Installotion Permit Fee 20.00 .?? Surchorge ??. ?(1 Toto I done in accordance with all appiicable State of Building Officiol CITY OF EAGAN 3796 Pilot Knob Road Eagan, MN 35122 N2 4604 ' PHONE: 454-8100 S '4 ,y? BUILDING PERMIT ;?; ReceiPt #? To 6e used for 19" ? Site Address Erect ? Occuponcy Lot ? Block ? Sec/Sub. ?7.? Alter ? Zoning __ x4 Parcel # _ Repoir ? Fire Zone 3 Enlarge ? Type of ConsY. Name :e.f 21.1 in^ r r _ Move ? # SYories W 3 Address Demol ish ? Front ft. o . ' `.,'•' i ' - ,? `' 2 Cit Phone - Grode ? Depth ft. ? Name Approvais Fees O Assessment ?.. - Permit i r_5.00 va Address ? Water & Sew. - Surcharge 21. Ci Phone ~ Police Plan check ?W Name Fire SAC " • ? - 1:0 Address Eng. Water Conn. <W Ci Phone Plonner Water Meter uncil C I hereby acknowledge thot I hove read this applicotion and state that o Bldg. Off. the information is correct ond agree to comply with all opplicable APC Total =- State of Minnesota Statutes ond City of Eogon Ordinances. Signature of Permittee A Building Permit is issued to: ?'nlc3 :•lCu`d11 fUA COt'jl on the express condition thot oll work sholl be done in accordance with all applicable State of Minnssota Statutes and City of Eogon Ordinances. Building Official - PeneM # DeN Iwued POend!!w Plumbing ? %Ap- R 7- 7 Mechonicol o'i - --,.o - ? .s INSPECTIONS DATE INSP. Rough-In Final Footings Data Imp. Dote Intp. Foundation Plumbing 6=107 7b Frome/ins. Mechanical --/a-71 Final ? Remarks: CITY OF EAGAN 3796 Pilot Knob Road Eogan, Minnesota 55122 Phene: 454-8100 I EA'TTNf; _ PERMIT Date: arch 20. 1978 Site Address: 342, IrTqhlanriPr D2^ _ Lot ^ Block '> Sub/Sec. _-c;H j Name' Address City ? lnnm i ng t nn phone; . ? ? s Nome 7-- IIinder & Son Address t )() F_ FIlit.l ar No. 1131 Receipt No.: (M78 Single Residentiol Multt Res., Comm./Ind. 1 L1T11t 4nhse. New/Alter. / Repotr Cost of Installntion Permit Fee Surchorge new 20.00 .S0 ? City +- _ - ' ? t 1 ?,1 1 'Ohone: I Totol This Per 't is issued on the express condition that all work shull be done in accordonce with all applicoble State of Min o Stotutes ond City of Eagan Ordinonces. Building Official CITY OF EAGAN . ` 3795 Pilof Keob Rond " Eogen, Mlnnesora 55122 Plwne: 454-8100 PERMIT Date: Ap1"11 27, 1978 5ire Address: - A22 'Yi9hlander nrive Lot Block Sub/Sec. Nnme '• ]i. l7ustafson ? Address 650 SOUt}lgatf'_ O*`t ic::u _'1a'La Ciry E3loomingtor. Phone; Nome Project "luutbiny Co. . 0 ? Address V - • City Phone: This P it is issued on the express condition thot ol) work sholl be Mi esota Stotutes and City of Eagon Ordinances. W. 1 104 Receipt No.: Single I Residential Multi Res., Comm.llnd. New/Alter./Repair Cost of Instollotion 20.00 Permit Fee Surthcrge -)r). r?n Total done in accordonce with oll opplicable State of Building Officiol CITY OF EAGAN 3795 Pilot Knob Road Eogan, MN 55122 N2 4603 PHONE: 454-8100 BUILDING PERMIT Site Address ' i '- Lat 'y Block Sec/Sub. Parcel # W Name _ Z Address O Ci ? Name _ F ?? Address ? rihi Name _ Address 650 '? ? ? ? ? ? Assessment _ Water & Sew. Police Fire Eng. Planner Council 3 ft. fr. Permit - -• _ Surchcrge A • ?''•? Plon check SAC . ' -' •' Wuter Conn. -r Woter Meter • ? I hereby ocknowledge that I hove read this application and state thot Bldg. Off. the information is correct ond ogree to comply with a!I opplicable AP? Totol '?`'• ?,U Stote of Minnesota Statutes ond City of Eogan Ordinances. Signoture of Permittee - A Building Permit is issued ta a? ? it'[i on Yhe express condition thot oll work shall be done in occordonte with oll opplicoble Stote of Minnesotn Statutes and City of Easan Ordinonces. Building Officiol Receipt # : -? $.:. Occupancy - Zoning Fire Zone - Type of Const # Stories - Front Depth r.rmk # oeeo i.w.e P.nant.. Plumbing i-S,/ - .0 7- 7 p '?.?.T Mechanicoi OJF INSPECTIONS I DATE INSP. Roug"n Final Footings Dafe Insp. Oate Irrp. Foundation Plumbing Frame/ins. - ? ?y Mechaniwl Final ?jL? 3795 Pllot BUILDING PERMIT cirY oF E?GAN Knob RoaA Ee9ee, MN PHONEs 454-8100 56122 .° 743) 8 Receipt # To b+ wud Mr Esf. Volue Dcte , 19 Site Address E?ect Q Occupancy Lot Block Sec/Sub. ' Alter ? Zoninp Parcel # Repoir ? Ffm Zone Enloroe ? Type of Const. W Nome Move Q # Stories ; Address Demolish ? Length ' ? [itv - -- D1,nn. Grade ? Depth Sq. Ft. $` Name Pl? ? l Fdsi- ? u? Address f Assessment _ Wcter & Sew. Pol ice Firo Eng. Plonner Councf I Permit Surchnr9e ' Plan check SAC Water Conn. Water Meter Rood Unit _ I hereby acknowtedge thot I hove read this applicotion ond state ihat gldy. Off. the informution is correct and ogree to compfy with oll opplicoble ^PC Totol State of Minnesota Stotutes and City of Eagan Ordinances. Sipnature of Permittee A Building Pennit Is issued to: on the express condltlon tFoi oll work sholl be done in accordance with all opplicable State of Minnesotc Stotutes and City of Eapcn Ordlnonces. Buildinq Officiol Permit No. Permit Holdar Mise. Parmit No. Holder Plumbing H.V.A.C. w.u wne? Disp. Sower Ebetric Inspeetion Date Insp. Other Footinp Foundation Framing Rouph Plbg. Rouyh HV Inwlation Final Plbp. Final HVAC ? Final . ,,z. Waur Dacribe Location: IfWll Sewar Pr. Dhp. INSPECTION CITY OF EAGAN 3830 Pitot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ? lI r i.4,1 „r1c1F r1 UR '.111?kf 'i !1F I111-4I'. :•Ili ;coRD PERMIT TYPE: Permit Number: Date Issued: 4 Hi ol , APPLICANT: f•1? I i " ' i '?? ( h i.' I ti 0i:i t+11 1 I H 1 Mh A.'N4 c,ti N3/li/43 PERMIT SUBTYPE: TYPE OF 1NORK: Irt PA1?< i?1 ,? ;: i? 1 t??rd Rf ?::ff)[N?i ? Rf'MAFtKS7 INLUUF:y 3474 (1(17 1 ) 341r. (Iof "i) :34..1H I,ll)I 1) FFE.S ('(1LI F'r. TE.0 t1N F'FkMI f M20461 (lOT --A. Et1.k I. ::IJRkt`Y Ni'S 4114) Permit No. Permk Holdsr Date TNephorre # S/IN PLUMBING HVAC ELECTRIC ELECTRIC Inspect{on Date Insp. Commenta Footings I Foundation Framing Roofing Ragh Ptb9• Rough Htg. Isul. Flrepiaoe Fnal Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bidg. Final Deck Ftg. Deck Fnal wen Pr. Disp. CITY 0F EAGAN 3795 Pilot Knob Roud Eagan, MN 55122 Zoning: _ Ov?n@r: Address: Site Address: Plumber: I agree ta comply wit6 t6e City of Eogan Connection Chorge: Ordinances. Account Deposit: _ Permit Fee: Surcharge: g Misc. Charges: - y Date of Insp.: - Total: Insp : Date Paid: . - - ? . F. CITY 05 EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Roud PERMIT NO.: Eogan, MN 55122 DATE: No.: Connection Charge: - Account Deposit: _ 'r I`Na•: - Permit Fee: e to eomply with the Citp of Eogan Surcharge: ??ces• Misc. Churges: - Total: Date Paid: FCirY aF EAcaN SEWER SERVICE PERMIT ' 8795 Pilot Knob Road PERMIT NO.: .. ' Eagan, MN 55122 DATE: Zoning: Na. of Units: Owner: . . .: ' Address: Site Address: _ " .i- ?3 - ' : • t ?' !' .1 Plumber: - ' .. s ? = ; .,: • ?,?? s , , , -, I ograe fo eomply with !he Cety of Eagan Connection Charge: Ordinances. Account Deposit: _ Permit Fee: ' Surchorge: BY Misc. Charges: Dote of Insp.: Total: Insp.: Date Poid: SEWER SERVICE PERMIT PERMIT NO.: DATE: ? No. of Units: , , _ 3795 Pilot Knob Rood PERMIT NO.: Eagon, MN 55122 DATE: Zoning: No. of UniYS: Owner. Address: Site Address: Plumber: No.: to eomply With !he City of Eayan CITY GF EAGAN SEWER SERVICE PERMIT 1 agree to eomply with the City of Eagan Ordinonces. By _ Date of Insp.: ? WATER SERVICE PERMIT PERMIT NO.: DATE: No. of UniYs: _ Connection Charge: Account Deposit: _ Permit Fee: Surtharge: Misc. Chorges: - Totol: Dute Paid: Connection Chorge: ' Account Deposit: Permit Fee: Surchorge: Mist. Chorges: Total: Date Paid: m SERVICE PERMIT No.: ' Connection Charg Account Deposit: No.: Permit Fee: _ to comply with fhe City of Eogon Surcharge: nces. Misc. Charges: _ Totol: Dote Paid: CITY OF EAGAN SEWER SERVICE PERMIT 8795 Pilot Knob Road PERMIT NO.: Kagon, MN 55122 DATE: Zoning: No. of Units: ' Owner. Address: ? ;Site Address: '• '' '' `S .1 Plumber: r ' '1 agree fo eomply wifh !he Cify of Eagan Connettion Charge: ,ardinances. Acwunt Deposit: Permit Fee: ' Surcharge: ?BY Misc. Charges: bote of Insp.: Total: 'Insp.: Date Paid: CITY OF EAGAN 3795 Pilot Knob Road WATER SERVICE PERMIT PERMIT NO.: tagon, MN 55122 DATE: Zoning: _ No. of Units: Owner. Address: Site Address: - Plumber: Meter No.: Connection Charge: ? Size: Account Deposit: Reader hlo.: Permit Fee: G I agree ta comply with the City of Eagan Surchorge: Ordinantes. Misc. Chorges: Total: By ? Date Paid: Date of Insp.: Insp.: CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE /-/eC. IS 192?_ FECEIVED AMOUNT $ a I tQ & DOLLARS ? CASH F-1 CHECK ? o0 POR • B Y V .???? Wofq'! sf?oiaqFf months from this Request 4-20-78 , P 6 9 9 3 8 1, av EIl,icensed Electrical Contractor ? Owner, do hereby, request inspection of the above electri- cal wiring installed at: StreetAddressorRouteNo.^A2'i, 6Highlandnr City Eaaan Section Township Range County Dalcota Cty. Which is occupied by ame of Occupan<) Is a roughin inspection required on this job? No ? Yes a Ready Now ? Will Call a PowerSupplier Dakota Cty. Address Farmingtpn Electrical Contractor O.B. Thompoon Eloctric Co. Contractor's License No.a33735 (COmpany Name) Mailing Address 12201 Paitka Blvd. ?Yitka 55343 Authorized S?'?M P0??? ??FIV Phone No. 933-2521. This iirspection request will not 6e aeeepted by the State Board unless praper inspection fee is enclosed. Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 0 REQUESToFOR ELECTRICAI INSPECTION C}.FCK BELOW WORK COVERED BY THIS REQUEST e:9-:" ? ?J69938 ype of Building New Add. Rep. (heck Appliances Wired Foi Check Fquipment Wired For Home Duplez Apt. Bldg. Comme:cial Bldg. Industrial Bldg. Farm 72 ? ? ? ? ? ? ? [] ? ? ? ? ? ? ? ? ? Range ? Watei pi Dcyer Fum A's C List Temporary Wving LightingFix[ures Electric Heating Silo Unloader Bulk Mdk Tank Lis[ 0 ? ? ? Othet ? 1-1 ? p 1 p.uh.3CC=- Here15 SyS Hehrce[s ? COMPUTE INSPECTION FEE BELOW Service Ent[ance Size: # Fce Feedecs&Subfeedets: it Fce C'vcuits: # Fee 0 to ]00 Am s.1 OU 0 to 30 Am res l0 30 Am eres 1017to 200 Amps. 31 to 100 Amperes to 100 Am eres Above 200_Amps. Above 100 Amps. tAbove 100 Amps. Transfocmers erolCirc tialorother fe S ns $pecial I nimum fee $ Remazks Ellrieh TOTAL FE qd, 20.50. ? I, the Electrical Inspector, here certif h the above inspection has been , 1a •` (Rough-in) Date ? e7 7- 7?~v ? 3 V (Final) ? Date ?! by This request void 18 months f ' Minnesota State tloard oT tlectncity _ 1959 l')nivarsity Ave., St. Paul, Minn. 55104-Phone 645-7703 C'g, 7ye, •' REQUEST FOR ELECTRiCAL INSPECTION ? 66 C F. HCK RELO:V WORK COVERED BY THIS REOUEST Type of Buiiding New Add. Rep. Check Appliances Wired Foc Check Equipment Wiced For Home XM ? ? Rangc ? Temporary Wiring El Duplex ? ? ? Wate ter ? Lighting Fixtures tj7C Apt. Bldg. ? ? ? Drye Electric Heating ? Commexcial Bldg. ? ? ? ? Fum Silo Onloader ? Industrial Bldg. ? ? ? A'¢ 8ulk Milk Tank ? F ? ? ? ??5? List ) azm p e?g p y eie?$ Other ? ? ? l Heh H ) COMPUTE INSPECTION FEE BELOW Service Entlance Size: # Fee Feedecs&Subteeders: # Fee C'vcuits: n Fa 0 to 100 Am s. II 0 to 30 Am res 0 to 30 Am eres 101 ro 200 Amps. 31 to 100 Amperes 31 to 100 Am res Above 200_Amps. Above 100 Amps. Above lOQ_Amps. Transformers 1 1 RemoteConholCirc. Partialorotherfee Signs 1 1 S cial Ins ection Minimum fee Remarks Ellrich 1'OTALFE it(0.0 20•50 I, the Electrical Inspector, hereby thatf? b ow?e mspection has bee -'?; (Rough-in) ce' [.(`???Date "? (Final) _ ?' Date 8•a?-?T This request void 18 months from _.,o,.cyuestvoid 18 months from Date of this Request_4-20-78 p 6 9 9 3 6 I, asM Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: ?3 ?,S- ?S y. Sfh ? Street Address or Route No. 3426 $ighl?,ndor Clty Eagan Section Township Range County Dakota Which is occupied by D. H. Guotafoon Is a roughin inspection required on this job? No ? Yes$ Ready Now ? Will Call Flc Power Supplier Da.kota Ct,y. Eloctric Address Fazmin,qton Electrical Contractor 0_R. mhnm?,r+nn T:? nctr; r. Cn_ Contractor's License No'1?^? (COmpany Name) Mailing Address 12201 D4tka Blvd., Mtica , 5,5343 Authorized Signature xo. 933•2521 (EleCtrical controctor or owner Making Thls Installatlon) SVAUE (????? This inspaztion reques[ will not be accepted hy ffie U SWte Board unless proper inspection fee is encloud. Minnesota State 8oard of Electricity ? 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 1 RE[IEIEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY TH1S REQUEST a97'6 y 069935 Type of Building New Add. Rep. Check Appliances W"ved Foc Check Fquipment W'ved Fot Hume 2M ? ? Range ME Temporary Wiring ? Duplex ? ? ? Wa[er Heater ? Lighling Fixtures Apt.931dg. ? ? ? Dr Elec[ric Hea ting Commereial Bldg. ? ? ? V Silo Unloader lndustcial Bidg. ? ? ? Aii rnd ^ Bulk Milk Tank List List t Othet ? ? ? h. X=x Reiersl g COMPUTE INSPECT[ON FEE BELOW Service Envance Size: x Fee FeedersBSubfeeders: # Fee Circuits: u Fee 0 to 100 Am s 0 to 30 Am eres 0 to 30 Am eres 1 4 101 [0 200 Amps. 31 to 100 Am eres 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Transfocmers Remote Control Circ. Partial ox other fee S Signs 1 1 Special Ins ction Minimum fee $5 Remarks Ellrich TOTALFEE 46.00 00SQ 1, the Electrical Inspector, hereby c that Ifov6inspection has been-?gade (Rough-in) ?fi--? ?/,?/'y{.•?? Date N ?Z (Final) Date ? `?o This request void 18 months &om cv.7V- ' 7! f 77 v/} ?6? This request void ] 8 months from ? bate of this Request 4-20-78 r69935 I, as 9)[Licensed Electrical Contcactor OOwner, do hereby request inspection of the above electri- cal wiring installed at: s' ,?cS /V Street Address or Route No. 3424 Hip-hlandor CityEaBar1 Section Township Range County Da]cota Which is occupied by D.H. Gustafaon Is a roughin inspection required on this job? No ? Yes:U Ready Now ? Will Call EF PowetSupplier Dakota Cty. Address Farmington ElectricalContractor O.B. Thompson ElcctricCo. Contractor'sLicenseNo.??3735 (COmvany rvame) . Mailing Address 12201 t$tke Hlvd. p TvItka 55343 (Electrlcal Contractar or ownerf? a ng 7hls Installatlon) Authorized Signature ? e i _ ./_ Phone No. (ElectricalContr si I'?s aton) ?Gl ??j n?;??? o O{??? ???? This inspection reqpespwill nPt 6e accepted by Me fi t?, State Board unless ra er ins ection fee is enclosed. REQUEST FOR ELECTRICAL INSPECTION ,?-„ ea-ooooi.os Sec rostruc[ians for completing lhis form on bnc T 83972.? k of vellow copy. I X'" Below Work Cavered by 7his FeGuest 3Z(02-' N ttdd iiep. Typg ol Buildinp Ap0liances Wired Equinment WireA Home Range Temporary Service Duplex Water Hcater Lightiny Fixture5 Apt. Building Dryer Electric Heatin Commercial Bidg. Furnace Siio Unluader Industrial Bitlg. Air Conditioner Bulk Milk Tank Farm omF. ueci v omcr Isur,ity) Fhar svocitv ther Othvr Carnpute Inspeciion Fee Below - tl Fee Service EntranceSiia # Fea Feaders/Subfeeders # Fee Circui[5 - 0 to 100 Am 5 0 to 30 qm ps a tn 30 Am s 101 to 200 Amps 31 to 100 Anips 31 to 100 Ain s Above 200 Amps Above 100_Amps Above 100_Amps Transtormers Remote Control Cira ?$YJ Partial-'Othe ,e Signs Speciai liispection S 'S T Reina ?kH ? OT F? lPr Rouph-in Final ? Date Ote ? / ? the mal oeclor, hereby rtity [het the nbove pection has bee n de. ihis repuest voitl 18 nionMg from This request voit1 T1A mont s from 83972 Ly, - 32 taz( lkrh?A s stotoo Requust 0a1e Pire Nn. Relm h-in.irfsuection I Nuw E3N'111 Nntifv InnPer. - / ?Yes ?No Iur When Ready 0 Licnnsed Eloc rical Contrnctor . I hereby requesl insVection oi above ?Owner electricalworkinstalledat:.. Sireet AAdress. Box or Poute Na. CitY ecbon o. Town hiu ame: r No. Bnnga No. Cnunt ' O Occupant (PRWT) ' Phone Ne. G Pawer 5uno?icr AAdres+ ElacGir.al Cnn[rartor IGompany NHmel = ?? ? Coohar.lor's License No. S OUI.c/5E'. PG c 90 Mailing AAd r e ss (Cont ctor o_ryOwner MakinA Installa[ionl ' \ ? / i?'" ?J S S t . KJ / cJ/? ?1GCi y??l . Authorizr.d SiAnatu?{ (Con[ractor Owner Ma iny Installa ion) Phone Number ? /1 _ 1L..a,? /F fLfi?I?? C// 3 WILL NOT MINNESOTq STpTE BOAflD OF ELECTRICITY THACICEPTEDNSPECTIBVON THE flE4UEST STqTE BOAHD Gri99s•Midwey BIdB. - Room N•191 BE IS 1821 UniversitV Ave., St. Paul, MN 55104 . UNLESS PflOPEfl INSPEGTION FEE IS PMnnw 16121 297-2111 ENCLOSED. u'?his request voidyl8 months from p 699?? Date of this RequFest 4-20-78 - I, as EkLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: S Street Address or Route No. _3422 FIiPhlandor CitYEagan Section Township Range County Dakota, Which is occupied by D.H. Gusta£oon (Name of Occupant) Is a roughin inspection required on this job? No ? Yeslg Ready Now ? Will Call 23C Power Supplier Dakota Ctv. Address Farmington Electrical Contractor O.B. ThomAson EloctricCo, Contractor's License NoA33735 (Company Name) Mailing Address 12201 B1tka Blvd. ? Ultka 55343 Authorized Signature Phone No. a2 ?? /?(??? This inspection request will not 6e accepted by the Q State Baard unless proper inspectian fee is endosed. mmneso[a a[a[e noara or nectnciry 1954 University Ave., St. Paul, Minn. 55104-Phone 645•7703 • .-REQL1EST,FOR ELECTRICAL INSPECTION CH6CK BELOW LVORK COVERED BY THIS REQUEST 097 ?'9 /ev a69934 Type o[ Building New Add. Rep. Check Appliances W'ved For Check Equipment Wired Fm Hume ? 0 cl Range ? Tempoiary Wving ? Duplex Apt. Bldg. ? ? ? ? ? ? W eate ? ? Dr [ Lightlng Fixtures Electric Heating ? ? Commercial B g. ? ? ? F? (,? ??. Silo Unloader ? gd Industria] Bid . ? ? ? A' ond' "nei?l Bulk Milk Tank ? Farm ? ? ? List List Other ? ? ? o }Iehets? 1l1p. loA. 7IXX3IX ?ehers? _- COMPUTE INSPECTION FEE BELOW Selvice Entiance Size: # Fce Fcedeis&Subteede[s: # Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am ros i t) 101 to 200 Amps. 1 131 [0 100 Amperes 31 to 100 Am res Above 200_Amps. Above ]00 Amps. Above 100 Amps. Transformers 1 1 RemoteContiol Circ. Partia] oi other fee Si ns S ecial Inspection Minimum fee Remarks E11T1Ch TOTAL F (W19. 00 20;50 I, the Electrical lns pector, herebY ? certi at th b ve ' s ection has bee.ry ma e. -70 p`(Rough-in) J?,.c.LJ) Date ?1-'21?`O ?C) (Final) Date This iequest void 18 months fiom CITY OF EAGAN ? 3795 PiIM Knob Road Eugan, Minnesota 55722 . Phone: 454-8100 r"%TER PERMIT i Date: i:?--i-7r, Sife Address. U213 Tirave La ]' Block S 5ub/Sec. ?wnFy Iit'Ea 5fk! No. 245 Ind. 1?514 Name - New/Alter./Repair. 3 Address ?52?{ i}1?.2J1C13' L1;:i.S:? __ _ - - Cost of Instollation - O .? Ciry ?? __ Phone: 4]2-71S?J - permit Fee 5. -- Nome P_1iYbaX-, Oo.--C.°?s13.:.cri-1 .50 - Surcharge ° Address !DO1 ric' F1waiit?" _ e " crYSrnib,h Sf. F~av! 5510E Phone: 4:1-E3043 Torol 5.50 This Permit is issued on the express condition that all work sholl 6e done in occordance with ali opplicable $tote of Minnesota Statutes and City of Eogon Ordinances. Receipt No.: Single Residential Building Officiol g -4 -1 q ?9- CITY OF EAGAN Inclucle 2 sets of plans, 1 site plan w/elevations & i - s i" 7b Be U BilILD1NG PERMIT APPLICATION 1 set of energy calculations. sed ForRenaocLE( iasFME/t4valuation Date Site Pddress 39ZZ 40AMcLvt ?- 11' %->tk'V f_. OFFICE USE ONLY Iot s1 S Sec./sub'I. 5'?- s'?' Erect occupancy R ? V CYtifJE?) ? ? 30o D?U d S Alter ? zoning PaT.(?.? lf: l v q Repair Fire Zone Qaner: f) 05&- Address: Citl'/Zip Code: rrmne #: ?f.52- 2Gjr/ Conttactor: YSA'A/ pdaress: SJ'fz city/zip cbde: {?fj?il Oar S?. 7? Phone # : Arch./F1zg. . P,dclress: City/Zip Cocle: Phone #: Enlarge _ Type of Const. i?? Move # Stories Derolish Fmnt ft. Grade Depth ft. P.PPROVALS FEE$ Assessments Pexntit ?+Tater/Sewer Surcharge ,Z Police Plan Check Fire SAC ? Planner Council Bldg. Off. .,1 Z - ?i APC Water Conn. Water Meter Itoad Unit TOTAL CITY OF EAGAN 3795 Pllot Knob Raad Eogan, MN 53I32 N? 7438 PHONE: 454-8100 B.UILDING PERMIT Recelpt # Site Address 3422 Hiqhlander Drive Erea ? pccupancy R-3 lot 4 Bixk 5 Sec/Sub. Surrey Heig hts Sth Atrer Xg Zonin9 (PD) R-3 Porcel # 10 73004 040 OS Repnir ? Fire Zone NA Vn enia.ye ? Type of Const. W Nome Dee Sanders Move ? # Stories z Address 3422 $lghldnder Dr. DemoBah ? LengthRA C; Ea qan 55122 phoan 452-2961 Grade ? Depth Xk Sq. Ft.- o ar son _ Name Address 5147 Winnetka AVC. NO. Assessment - ? Cit New Hope 55428 phone 535-3212 Woter 8 Sew. ? Police _ WW Ncme FZ Flre ?? Address Eng i'Z" Ci Phone . Plonnar _ Councll - 1 hereby acknowledge thot 1 hove read this applicotion and stote that gldg. Oft. - . the intormotion is corrett and egree to wmply with oll applicobl e ? APC Slote of Minnewfa Stolutes an ?fy f ogon Ordirwnsaer? Slpnature of PertniMee A Buiiding Permit is issued to: Gi1bCYtSOI1 Oompan all work sholl be done in accordance with oll oppli e State ot Minneso Statutes ? Building Offlcint ADOro+als Fees Cilh t (b % ? Permit 44.7V Surcharge 2.06 Plan check SAC Water Conn. Woter Meter Rood Unit Total $46 _ 50 . on the express condifion Ihm ond Ciry of Eogan Ordinorxes. E Y •'' ` ? 3795 Pilof Kneb Road Eaga N MN 35I22 N2 4606 PHONE: 4548700 BUILDING PERMIT APPLICATION $33,000. Receipt # _ 8445 _ To ye usea fo. Townhouse DOLe DOC. 15, 1 q 77 Site Address 3428 Highlander Dr. Erxt ?j Occuponcy Rei /' Lot? Block._ r Sec/Sub. •wn ? N-& Alter ? Zoning R4 Parce1 # Repair ? Fire Zone 3 _ Enlorge ? Type of Const. v w Name Gold Medallion COip Move ? # Stories ? Address 650 SOUthqAtE 0£fiCe P18g8 Demolish ? Front ft. ? Cit PFrone pI5_7267 Grade ? Depth 4t, o Name Approvals Fees o? Address Assessment - Permit 98 00 _ V? Water & Sew. Surchorge 16.50 Cif Phone Police Plon theck d Name Fire SAC 475.00 Address Eng. Wafer Conn. 230.00 aw Ci Phone Planner_ Council _ I hereby acknowledge thot I hove read this application and state that gldg. Off. _ the information is correct and agree to comply with all applicable $tate of Minnesota Statutes and City of Eagon Ordinonces. APC Sfgnature of Permittee - A Building Permit is issued to: all work shall be done in occo Woter Meter 60.00 Torol $79.50 ""L on the express condition thot of (vlinnesota Statutes and City of Eagan Ordinances. Building Official - • cirr oF Et?GAN } 3795 Pilot Knob Road Eagan, MN 35722 N2 4605 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # 8445 $33,000 ro be u,ed fer Townhouse parteDec. 15, 1977 Site Address 3426 Highjgnder Dr. Erect 29 Occupancy Res Lot3 Block.-19-Sec/Sub..S![t1,t?G_jU,f.-3? Alter ? Zoning R4 . Porcei .# Repair ? Fire Zone 3 _ E l V e of Const T n arge ? . yp ? Name GOld MedalliOn Corp Move ? .# Stories 3 Addrew 650 Southgate Office Plaza Demolish ? Front ft. o . Bloomington $35-7262 Grade ? Depth ft. phone C ? Approvals Fees l 0 u 0 uS? f Name _ Address Name _ Address I hereby acknowledge that I have reod this application and state that the infortnation is correct and agree to comply with oll opplicable State of Minnesota Statutes and City af Eagan Ordinonces. Signature of Permittee _ A Buiiding Permit is issued all work sholl be done in c Assessment - Water & Sew. Police - Fire Eng. Planner _ Council _ Bldg. Off. - APC Permit NS-UU _ Surcharge 16.50 Plan check sAC 475.00 Water Conn. 230: 0-0 Woter Meter 0,00 7otal 879.50 ?old Medallion Coip on the express condition that oll opplicaMe Stote ot Minnesota Statutes ond City of Eagan Ordinances. Building Otficial • - cirr oF EAcaN 8795 Pi1m Knob Road Eagnn, MN 55722 N2 4604 r PHONE: 4548700 $445 BUILDING PERMIT APPLICATION J43,000. Receipt # ro be used fo. Townhouse p,t?ec. 15 , 1977 Site Addrew 3424 Highlander Dr. Erect [3c Occuponcy Red Lot ? Block ? Sec/Sub. Sr[A! nAlter ? ZoninF R4 Parcel # - Repair ? Fire Zone 3 _ Enlarge ? Type of Const. V w Name Gold Medallion Corp Move ? # Stories 3 Address 650 SOLthgBte Office Plaza pemolish ? Front fr. o c, Bloomington phone 835-7262 Grade ? Depth fr. ? Name ApDrorals Feea 0 Address Name _ Address I hereby acknowledge that I have read this appli<ation and state that the informotion is correct ond agree to comply with all applicoble $tate of Minnesoto $tatutes and City of Eagon Ordinances. Signoture of Permittee A Building Permit is i?3?+ed to: GOla all work shall 6e do ?"n accoran witl Buildirg Officiol f15525sment - Woter 8 Sew. Police - Fire Eng. Planner - Council _ Bldg. Otf. _ APC Permit 1LJ,VV _ Surtharge 21.50 Plon check 5nC 475.00 Water Conn.Z30.00 WoterMeter 60.00 rotal 909.50 p _ on the express condition that of Minnesota Statutes and City of Eagan Ordinances. cirr oF EaGAN 5795 Pilor Kne6 Road Eugan, MN $5722 N2 4603 , . - PHONB: 4548700 BUILDING PERMIT APPLICATION Receipt # _ 8445 $43,000. To be ufed for Tno+nhnnen pete Dec. 15 lq Z7 D r_ Site Address 3422 Highlander Erecr xp Occupancy Res ? / Lot? Block r _ Sec/Sub.?!! C4F1at?J ? Alter ? Zoning R4 ? Repair ? Fire Zane 3 _ Parcel # -. E l T f C t V n orge ? ype o o . ns w Name Gold Medallion Corn Move ? # Stories ; 650 Southgete Office Plaza Add Demolish ? Front ft. ress o . Bloomingt? 835-7262 G.a? ? ?prh n. ? one ? N APprovalc Fees ame 0 ?? Address Assessment _ ~ Ci Phone Water & Sew Polica - ? w Name F F ire Address Eng 4'Z" Ci Phone . Plonner - Council - I hereby a[knowiedge thot I have read this applicotion ond state that gldg. Oft. - the information is correct and agree to comply wiih ail applicable State of Minnesota StaTutes ond City of Eogan Ordirwnces. APC _ Signoture a£ Permittee A Building Permit is issu all work sholl be done ir Permit 123.00 _ Surcharge 21.50 Plan chetk SAC 475.00 Water Conn.?30.00 Water Meter 60.00 Toral 909.50 to Gold Medallion COip, on the express condition that :cordQnce ?yif¢ all applicqble Stote of Minnesota $tatutes and City of Eagon Ordinances. Building Officiol _x 2004 RESIDENTIAL BUfi,D1bT6 PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675----FAX # 651-675 5694- - -- - - New Construction Reauirements RemodeVReoair Requirements / 3 registered site surveys showing sq_ ft. of lot sq. ft of house; and ah roofed areas 2 wpies of plan (20°/ mazimum btcoverage allowed) 1 set of Energy Cakulalions for heated additions _ 2 copies of plan shaving beam S window sizes; poured found design, etc. 1 s"de sunrey toi additions & decks t set of Eneyy Cabulafions Addition - indicate if oo-srTe septic systam 3 copies of Tree Preservation Plan if Iot platted after 711 /93 -- Rim Joist Defail Optlons sele,.Nion sheet (61dgs with 3 orless uni4 ?. Date _9/ y / U? ?.Qn• Construction ost ` Site Address 2 UnitlSte # Description of Work I Multi-Family Bldg _ Y-k ]v Fireplace(s) _ 0 _ 1 PropertyOwner 1 WkV\ p Telephone#(L9S?)??2'WC1F1 XMAHUM "N,KVICEJ,INC. Contractor _ Home Depot Installed Sales Address - 3200 Cobb Galleria Pkwy.Ste. 4200 City Atlanta, GA 30339 S??e - 763-542-8826 BC-20268257 ? Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . ResidenGal Ventilation Category 1 Worksheet . New Energy Code Worksheet (J submission rype) Submitted Su6miUad • Energy Ernelope Calculations Submitted Have you previously constructed a building in Eagan with p similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone Telephone 2004 I hereby apply for a Residential Building Permit and acknowledge that the infornUterr??accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Stafutes; I understand this is not a pernut, 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 ofplans. ApplicanYs Printed Name App cant's Signature OFFICE-USE ONLY Su b Types ? Ot Foundation- - - 0- 07 05=plex= - -[3- -13 16=plex- `-- - 11 -20 PooF-------- --- 0- 30- Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? . 31 Ext. AIt- Multi ? 03: 01of_ plex' . ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-seaJ ? 33 Ezt. AIt- SF ?.. 04. 02-plex ? 10 08-plex ? 18 _Deck ? 23 Porch (screen/gaze6o) ? 36 Multi Misc. ? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg v or_ N? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ' Valuation Census Code - t , SAC Units # of Units # of Bldgs Type of Const ? 35 Int Improvement O .38 Demalish Interior. ? 36 Move Building ? 42 Demolish Foundation ? 37 Demolish Building', ?, 43 Reroof 'Demolition (Entire Bldg) - Give PCA handou{ W applicant Occupancy Zoning Stories Sq. Ft. Length Width _ Footings (new bldg) _ Footings (deck) _ Footiugs (addition)_ _ FoundaHon " Drain Tile Roof Ice & Watec Final _ Framing _ Fireplace _ A.I. _ Air Test _ Final _ Insulation MCES System City Water Boaster Pump PRV Fire Sprinklered ? 44 Siding ? 45 Fire Repair ? 46 Windaws/Doors REQUIRED INSPECTIONS _ FinaUC.O. _ FinaUNo C.O. Plgmbing;_ HVAC Other _ Pool _ Ftgs Air/Gas Tests Final ' _ Siding _ Stucco _ Stone _ Brickk` Windows _ Retairiing Wall' Approved By: , Building Inspector Base Fee Surcharge Plan Fteview MGES SAC City SAG Utilify Connection Charge , S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PeI1a Wittdows 8C Donrs - Twin Cities, Iuc`, ? ?o 7une 8, 2002 City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 Bear Jan: . 44d9E:1 .g •unr amil paniaaaa 15300 ZSTH AVB. N. ST&_ #l OQ PLYMOI7TH, MN 55447 763t745-I400 WATS 1-800-462-5359 FAX763/745-1401 Elder 7ones Corporalion is authorized to pull building penmits for Peila Windows & Doors - Ttuin Cities, Inc. Please allow their representative to provide that service for us in Eagan. This authorization slaatI be valid until such Hme as the divisian manager expressly revokes it, in writing to the City, I reqnest that this authorizaUon be accepted expeditiously, so as to not delay the processing of our building permits any further. Please call me if there are any quesrions, I can be conEacted at 763-745-1432. ITour iuunediate attention to this mafter is appreciafed. ' cerely, ---,.,? Bryan . May. Repiaceuient Sales Manager ?EANEfTE W. SANBd i ?meso? ?yoeeedesaau E+?ec?sn.9t. ems cc: Kaza - EIdcr Jones 91An? (.(J?ivL !/?' ? Denna Ksa{iy- Replacement' Sa1es Process Coordinator Windows, Doars, & Skylights 7nn Nt esrrr? urur -Mus sisr ex+ 7-ra vas rr:er rus rn/oninn , ::_, CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT ? ' ?' 727 PERMIT TYPE: Permit Number rd 20 t! o A Date Issued: Ri / 1 2 J 9'i SITE ADDRESS: :A_._ ;. c1u. i? I ,.., f , i. O ?t z q E! !. 0 C h: LSl.! :t.Y 11E T? ii 4'i =`S DESCRIPTION: REMARKS: Rr-.;rP 'f r,r, fype N l CL'I..L.f1 H f=l7US3 Bcaitd,r.q?i,Jork Iy;ae fa[ r%lals= UBC 0 r;tLipar7Z:,r ti-3 , ( ? !l ) ? F;r.« <fiiif-n nN IF R ivrri ??sanrI 'r ? K ? tinR P sv urq 11 ( u7 FEE SUMMARY: CONTRACTOR: METIiIi .?.C?LPJ :1.,1Fi?r? P l.'r C) U'f H $4 3 - P!`:. WNER: SURl?1. HTS 7alW??l!?Iflll_'? rh`:tidC'; c??3:iP? ?'IN ? C hereLiy acknowt.:,!;qe t-h,7t ibew- i°eAati this r.rFip;t.c,?ar..rar and e,C,ste Lhe=t: th_- in'f orm.7l:tQ rt z; c o t°r e cs: ?:rti ti a q r:>.;= .,c rt,mp ly 3.h a l'+ ?p p iI cwh]c S t:wi.e c,f ^1+;. 'iltotute4 Nrtd Cli"...Y t:i Eayan ,,7?.'? cit APPLICANTlPERMITEE SIGNATURE ? ? y.r rl I 12t,? ?ISSUED Y:SIGNA U REACTIVATE _ PERh4IT # CITY OF EAGAN 1993 BUILDING PERMIT APPLICQTION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date /°/-3 Valuation of work Sc.=E" PEgMiT FoA 3409 5ite Address: ?4 ZZ h-fl6,f-{t..ANDErz ?R ?! N GLUOE'S 342.4, 342G i 3428 STREET SUITE / Tenant Name: (commercial only) IAT 4 BIACK S SUBD. sclk',XE`7 f?'14HT5 , 52! P.I.D. M?O z Descri tion of work: eSI D The applicant is: O Owner Contractor ? Other (Describe) Name S v C Y 2 k s Ta W*4lnoT-e s J. phone Property UST ? FIRST Owner Address SiREET STE 1 Lity State Zip Company o -5 \p %r•• ? N cPhone - d8 Contractor Address a 3'? A?e IUO License #Exp.'? 3? 9 City f/k/ !'nvu? 5tate MIN/) Zi p ?Syy? Company Phone Architect/ Engineer Name Registration # Address City State 2ip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. 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. /? ?- / r Signature of Applicant: L? OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition A34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning !I of Stories Length Depth APPROVALS Planning Englneering REGlUiRED INSPECTIONS ? 11 Apt./Lodging ?12 Multi. Misc. [3 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move . . i A ? •? %QM%iEmi?t Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demalish Basement sq. ft. lst fl. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance O Site ? Footing ? Wallboard ? Final MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? Framing ? Insulation ? Draintile ? fireplace Permit Fee v.imc;m: $ Surcharge Plan Review License MWCC SAC City 5AC Water Conn. 34p-? 4i4;4 LA KI aS-P- Water Meter ??- Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: T>Et2rn t 't' De . SAC % 5AC Units / 0 73D0 </ OSO -!25 s?- Date: $ M77 BUIZDEt?G PP:R:1 i RPPLYCAT10Id iy07i.,:jr j- ? 0?- 3 ? ?ii???, # F AoDITzo.a t rr4'/.?ZY° oa? PAFtCPL & S«CTIOid tdUPiIIiR IF U't3P;.AT"a'ED FDARF.SS OE F11RCE ??"S,.'4?7?°?1.+? 7,Oir'I1dG OC?^'.'J°AN1CY z1!-j???'? L'SE •%1?%A'?' s/'?d?Jd'G _ EuTLMA.i'ED CO3^1 0110ER &Gil' A"a? E?i'?LS_anru C"u?f? TEI,iPHONE iVO. i?S-7Z4,Z ADDP.ESS &-?T? ?1 l '7 ?i - CONTRACTORL?y I?. 6, Vi/74rdi?AJ ?,'?F-?'.K . /uL. TELEPHCtM ;TO. A -r5'-%ziZ ADDREuS &SG' !?OV'(rd e;(M I7/T7Cr 1--41121,)? Idote: Inclede site glan, building plans, and enerqy calculations with this application Signed ?! ? ?- ___1i? ? OF£ICE USE ? VALiJtTZOId '?` 30C70 e¢ sAc tr,?TFz co.rvEcTzoca S;IATL',R M TER BUILDSNG PERt•iIT FEE SUHCFiARGE FEE i PIM1 CF:ECK FEE pARK DEDIC73TIOiT FEE OTKER TOTAL* t I o °? rc /g3 APPROVALS: /, ASSiSS;IE,IFi CLERK // „?. BUILDITQG DEPT. POLICE DEPT. PJA.ER & SEF7ER DEPT. FIR13 DEPT. PPRK DEYT. aio os M, s7' Date: ti6d. E 6 /q77 IIUILDZ3?G P.^'.Ri,IT_T P.PPLICF1Tl'QII 11DDITZOC7 PARCrL &'ECTIOI•1 IUSiII: R IF iTOP;,ATiSD nonxsss OE F21RCEL ?'?Z? ? y;?F???i??r`> 'y?Z? ???f? 5?,--'e` ?'1:'? 'S?_ i?f/ihv'?ja.'! r?- ..'_'?7 « 4•...7 70nII?G C y "? OC..'?J°AA:CY L 'S •%d" ' 1?' C ,?'tii =.??rrf'C E ?+.,,•- ?5 _ ESTL*IA:'E0 COST O?t;IER CPG L.%' t'jQ . TEL;:PY.ONE NO. -i Z, G• Z- ADD?,ESS &SG ?11e??H?P/`?'? Q?lG?-` !'?k/f/azeryc/ar'j'? ??h7, i - v COCSTRACTOR ? I/. ?e ?s/-fJ?Gti 4. ,!?,"rX . //JC . TELE£HCNli 510. ?: i- 7.ZG L ADDREuS &S'Q ?O?TrI(;,+g-e7r'`Ft1:E- ?t-r('?? Ab,.i Notes Inclufte site plan, builcling plans, and energy calculations vyith this application Signed ?1- L??r.? ? OPPICE USE ?- V?.T,nT1o11 y3'n?o sAc t•11TER CO.TCBC:SOi1 WamFx tsEzEx SUILDING PERIdIT FEE svxcxnncE r•rE ? PLA11 CF:ECK FES PAFiK DEDICATZOId FEE OTHER TOTAL*_ t)4.; c o ?? • ?? - l? 3 a % APPROVIA?LL+?S: ?J1iSJ1'lL •CTfV 7 BV ??11IY1tYV y?T??tl? ^ }] Lr'.rcJT ?1 l.a••?•3u? • POLICE DEPT. YIA:ER & SE47ER DEPT. FIRE- DEPT. P11RK DEPT. . v . , . IIUILDIt?G P,^sPZ1Zi P.PPLZCF_Tl'OId ?- ! P?1RCP•.L & SF.CTIOP] 1,1Ut>,DiR IF AnnxFSS QE FIU'tCEL ?-/22 > ja,?O?' /D 7-44of1 D3D oS S/q 5 r=' Date: lt)6[l. ? S lq7? ? ADAITIOii 'i+r"P?:-' %??? /,':s-iit =jriG.i%•'f./ A"J, ? ??i; ? ???t_7 ??`'s,? : >s'i! ?/: ? /?i ?//?/1`?'% •r/ ` C s%: • ;?- .._ . ? n (?. -Fi a.-•• r, ' ?4 a ,_: T_ 70id2t!G OC.J°AP.CY L'SE --- EyTLh1Ai'LD C03T OL:SER (pGti7 C`Dg? TEI,iPT•.ONE NO. {;?c-?7_4•Z ADD?.ESS S o :'C. z &i>Cr / rt: i . 7-'r` COC7TRACTOR O,,I/.gYSl-/??3unJ k. ,!?f SUc. //?!. TELEPHCN::S 110. ADDRESS 6S0 So?Tr16/??''Ff?E /'°<+•('.?T ?"xt? -)r pny4 /-n,.? - Notes Include site plan, builQing plans, and energy calculations t•iith this application Signed ? ?? u? ?.l _ OPFICE USE c+-e VALrJnTlo;s on() ? sAC tNATLsn Co.nEc:^aoit i9r'1TER t1ETER SUILDING PERI•iIT FEE SURCHAF2GE PEE PLAtI CFUCK FES PAftIC DEAICAT201a FGE ? M OTHER TOTAL* ?? • - ? ? JG ?' . APPROVALS: ?j 71SSi:SS;+fE::T CLERK??. Y1 , BUILDIIQG DSPT. POLICE lltiPT. Y1F.:ER & SL'[dER DEPT. FIM- DEPT. PARK DEYT._ /d 7?oD 5? daO os' i ate: ti1?J. ? f3 /?7? IIUILDIi?G P: RiiT_T P.PPLICATION 11DDITIOc7 PARCliL & SECT1011 Il(JSiDnR IF UGTPI1ATTt-?D (G?II TlQnRF.S3 GF F11r2CEL 5?'V2Z 3-/3o °-_-`z`?'L ?fs'? .r'??r ?fi?i,H%'?1h'! ?-7.-`_ a rf il T' ?1 7OLti?IV ? ? OVV,??[L.?L3 Y?LyfdLll`?/I//4. UVIJ ESTIldATEA C03T 0?'AlER &G LO /)iE Y'!r?1 n??/? TEL,sPEON£ i0. ? j>"`T7 (-, z a!)DPESS &SD 674,14 9 ?ivr?itir.Tt"` F ?, 7-1 - coI,rrRAcrox oj IL!c uslfl?se,v TELEnxctM :TO. Za" -'z ?i ? ADDRESS &SD S0V7'r4QiF'ftF 17FrrLE /°?+}'i?? Apsi ,•JGv Ti;,i ? F'l.•?.?. Notet Inc1LRe site plan, building plans, and energy aalculations Y7ith this application Signed v ?s -?3 C, c>n. -' orFicE us$ VNLUATIOid stAc tl»rkr..z co:rvEc:2oer i']ATFR !SETER SUILDING PF.RIdIT FEE SURCI3P.RGE FrE PL7+27 CF:ECK PEB ? PARK DEDICATIOIT FEE OTHM Taraz* 47, 3' °fl 0--3c. pz' ?5- ? •? $29 `??-' 11PPROVTILS: 7155iiSS;+lE: 1 CLERK BUILDIIQG DEPT. POLICE DEPT. Ylp^.ER & SL'4iER DEPT. FIRr DEPT. PARK DEPT. L 1A BL J ` SUBD. ? l,l_ff l CITY USE ONLY J ) PERMIT tk RECEIPT#:'. 1 ?- 1 U RECEIPT DATE; ? a? U? ( g 1999 PLUM$INfl PERMTT (F.ESIDENTIAL) crrYoF eneAN 3930 Pu.or xPOS Rn EAfiRN, MN 557 E8 (651) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinklersystem FIXTURES EACH /! TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ G85 i ift Outlet ' minimum -1 3.00 X = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refur6ished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Waterheater 3.00 x = $ (7.C) Water softener If dwelling under consVUCtion 5.00 X = $ Water softener if existin dwe{lin 30.00 x = $ Water turnaround 30.00 x = $ State Surchar e ,50 --> --=-> ----> $ .50 Tot81 -? --? ----> _.a $ 3 C3. _ Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. -----------------•----- ---•-•-------------- ------------- --•--------••-------•------ --•--•----- ------------------ -- -------ce-.. I hereby adcnowiedge that i-have read Mis applicatlon, state that the infortnation Is corteU, and agree to oomply with all applicable City ot Eagan ordinans. It is the applicanCS responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during ifs nortnal operational and maintenance activities to the facili6es wnstructed under tlhis permit within City property/nght-of-way/easement. SITE ADDRESS: OWNER NAME: : 4 INSTALLER NAME: !`?"!?1 STREETADDRESS: CITY: TELEPHONE #: 4-d &6? (AREAI?CODE) TELEPHONE #: 17-1 (AREA CODE) _ STATE: ZIP: ? SIGtJATL1RE OF PERMITTEE CITY USE ONLY LOT I BL 6 PERMIT#; ?100I0 03 SUBD. 5urrN t1CnWG4y RECEIPT #: l? ,r7C? J? RECEIPT DATE: 2000 MECHANICAL PERMIT (RE3IDENTIAL) cixx os Fa,cax 3830 PIIAT PINOB RD 31 ?? ? EAGAN 2?i 55122 651-681-4675 Date: Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occuoied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) $ 30.00 6.00 State Surchazge .50 Total $ Complete this section onlv if you aze remodeline, addine to, or re airin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New _ Alteration ?j Repair _ Other ? Fumace X, A'v conditioning _ Air exchanger Other Fee State Surcharge Total Reminder: CaII for inspections SI7'E ADDRESS: OWNERNAME: 1NSTALLER NAME: STREET ADDRESS: $ 30.00 50? $ _ 30.50 -- - ? r PHONE #:?? (AkEn Cooe) PHONE #: (AREA CODE) CI'CY: STATE: SIGNA L 8L SUBD. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECBANICAI, PERMIT (COhMRCIAL) CITY OF EAGAN 3830 PILOT RNOB RD EAGAN, MN 55122 651-681-4675 Please compiete for, all commerciaUndustrial buildings mulU-family builtlings when separate permits are not required for each dwelling unit DATE: WORK 1'YPE: New canstructioo Install U.G. Tank _ lnterior Improvemeni _ Remove U.G. Tank _ Processed Piping Whex ixslalling/removing underground tank, call 651-68I-4675 for inspection by fre marshal and plumbing inspector. Description of work: Fees: 1% of coutract price OR $30.00 minimum fee, whicbever is greater. Underground tank removallinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $50 far each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IlvIPROVEMENTS ONL1): WAS THERE A pREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CIT'Y: T?ONE #: - (AREA ODDE) STATE: 221P: cirr use oNLv SIGNATURE OF PERMITTEE PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WI-EN PERMTfS ARE REQUIRED FOR EACH UNIT. NO. ? SITE OU'NEk INST FAM TOTAL SHOWER W.ATER CLOSET BATH TUB LAVATORY KTTCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • mNimum ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • o,Lay, vc. U.G. SPRINKLER • eome unaer mmt. ALTERATIONS • to aosung WATER TURN AROUND STATE SURCHARGE TOTAL: 3.(10 _ 3.00 3.00 3.00 3.00 3.00 3.00 3.00 ? 3.00 3.00 1.50 5.00 15.00 3.00 15.00 15.00 av?'50 uGkrYI, ?• YYI.b CTT'Y: OT`V_? STATE: I F r 1- PHONE #: ? IGNATURE F PERMT l Y T h? zIP con?. J c 1993 PLUMBING PEIZMrr (xralDr:iriuu.) CI1Y OF FAGAN 3830 PIIAT KVOB RD EAGAN MN 55122 O (612) 681-4675 ( ?' o ? ? PLUMBING (RESIDENTIAL) ?-?? Peruut Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Fanvly Dwellings Townhomes and Condos when permits aze required for each unit $ IS -1 -r.1 D Date ? / ?/ ? I /? Si[e Address '/ Unit # Property Owner ? ?Do Telephone # (?1) Contractor Address 3670 DODD ROAD City MMUAN, 123 (651) 365 1 04u St t a e Zip Tetephone #( ) The Applicant is _ Owner 40 Contractor _ Other Septlc System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Addltional wnsultant fees may apply. Alterations To Eaisting Dwelling Unit, Including $ 50.00 ? _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system ? I _ Water tumaround (+ 518" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener ?Q Water 6eater $ 15.00 )0 replacement _ additional State Surcharge ? r ? ??? ? $ .50 I 12 15 Total I R SEf 0 2 7Z3 $ I hereby apply For a Residential Plumbing Permit and acknowledge that the Einformafion is c be in conformance with the ordinances and codes of the City of Eagan and with-t6e Elumb pemut, but only an application for a permit, and work is not to start without a permit that approve plan in the c. e of work which requires a review and approval of plans. Apphcant s'nted N e Applic 's igr andiaccurate; that the work will t th'at I understand tlus is not a will be in accordance with the &tn?.. J,?30 .oc? 7-'-?0 -?9 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWC6on Reouirements 3 registered site surveys showing sq. ft. of lot, sq. ft of hase; and all roofed areas (20%maximum lot coverage allaved) i Soils Reparl A proposed building is to be placed on disNrbed sdl 2 wpies of plan shovAng beam 8 vnndow sizes; poured found design, etc. 1 ut of Energy Calculafions 3 copies of 7ree Preservatlon Plan if lot platted after 711193 Rim Jois! Detail Opuons selecfion sheet (builAiigswilh 3 a less um5) Mnnegasco mechanical ven6labon form RemodellReoair ReauiremenGs 2 copies of plan showing toofings, beams, joists 7 set of Eneigy Calalations for heatetl atldibons 1 site survey for additions 8 decks Addifion - indicafe d on-site sepfic system t3flife{ise'Onlv GeI€otSurvey"Re"cd N SaKRepoA _Y..` A TreaPres Plan Recd X,N 3ree,, ces Requlced`? bir•siMBeP??''?m__.<.. Plans are considered public information unless vou state thev are trade s- ecret and th3er/eason. Date -7 / ZS/ 07 Site Address ...7 yz y Construction Cost ?/4noo ` UniUSte # Description of Work Z)eclt Mulfi-Family Bldg ? Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owoer A/ee TOdb e c 4 ?- Telephone #(6S1)170S- 306-*? Contractor 4?SSP7z C_?O.liepky?, ? Address 7775 State 14oe6j Zip City CZ1?./U-4 Telephone# -(r'jSz) ZS-3-??SS COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateaorv 1 • Resitlen6al Ventila6on Category t Worksheet (J submission type) Submitted . Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 . New Errergy Cotle Worksheet Submitted In the last 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, daTe and address of master plan: Licensed Plumber ? Mechanical Contractor ?LZ Sewer/Water Contractor 1 hereby apply for a Residential is complete and accurat e; that the work will be in conformance with the ordinances and codes of the City of EaDan 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. ApplicanYs Printed Name ApplicanPs Signature Telephone #( Telephone #( Telephone #( DO NOT WRITE BELOW THIS LINE Sub Tvoes ? 01 Foundation 0 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Tvpes ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garage # 18 Deck ? 19 Lower Level ? 20 Pool ? ? 21 Porch (3-sea.) ? ? 22 PorchlAddn.(4-sea.) ? ? 23 Porch (screenlgazebNpergola) ? ? 24 Storm Damage ? 25 Miscellaneous 30 Accessory Bldg 31 Ext. Alt - Multi 33 Ext. Alt - SF 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors `Demolltion (Entire Bldg) - Give PCA handout to applicant D05CfIDtlOf1: Water Damage _ Yes Valuation 31 /.?Oo - Occupancy MCES System Plan Review 100% or 25% Census Code 93q Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinkleretl Type of Const Width _ Footings (new bldg) 0.5 f? nc? _ Footings (deck) _ Footiogs(addition) FooT-q Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insula[ion REQUIItED INSPECTIONS _ Sheetrock Final/C.O. ? FinalMo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests _ Siding _ S[ucco Lath _ Stone Lath _ Windows _ Re[aining Wall Approved By: D? , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 OS-plex ? 08 06-plex ? 09 07-ptex ? 10 0&plex ? 11 10-ptex ? 12 12-plex Brick , e ?-- ?? O W a°?m? 2 `.? 4? ? ( I? I I ?? .? ? ? . . ?. .,,, "?;?,?`'? `s• a 'TMq?, . V M? ? , ? ,; ?+,?,? y,y,t??',?y ? ? ?.i , , , ' y?` ? , ?? ? r ?x?,. ? ` .. ?° 9^ ? ?Y?.?? ? ? 1 ? ' . „ ? ,. ?+ l ? !'il??"? ? w ., ? ? W i? ??? •? W ??? ? .? ',.y ?'. `: .. ?e w +w{ ?'0?+??[???? ? W?r,eq??,?, . L h .?.p ' t. ? ? ,nr+•. ??'._.? ?..,l?'.".?.?',??i??? T :,i.Mi !„? n • ? . 'c .??,,y?• L 4`.... . '. ,;???"',?,??, p ??.y?, yy?,,? ? ?'hw??... ?u?' ,, ? . •. , . ?? .. .? ,?? ? *`?i .?ti:c__. a. ? K ?, f. . ? y , v ye... ti,^^ ?? ? Tt ` ?i.'' I , t ,? • .. ,M ??` ? : : !? i ? ` `?? M.'?.1 . ?,1. yy %0 i , ....,.. .. , T?? . w ? ? ?? ? ' ? ....x• e.? r???!?. ?. , ' .., µ a . a ? ..+v w? 77 ? w••` r ;? ??4 w ?; ?. , ? --.,• r. .'? ^k?,w ??" . ??????. ?Y? ' ??'w ?' . a. ?; ,.. ' 4bd y?_ „ ? • .+;,?,?,?'?, ? ? 1?^ ? Y????Y N? .\ ? i ..?4 I\ ±.,?.? .. .? . ?? ' ? y?4?'. +'?' ? • ?• '` ?Y . 1 :""^K" ??. ` ?. ?1.n "• ? ? 1 ^ _3 . • f .? ti ? „ ° "'?,.??? -,b • / ? ? ? '.. .%' '?° •_?i A '+.,'. ? Ar ti?'^t .. ? a5?? ? ^ ? .i ? ?, ? ? • ? . ,? ? ?Y? ??y?„, `.` ?Y ?y? 'ti . v?,??? P •..? ./.t?.t ? ' . . f? ' w ??'. ? .. - 5^ ??? ? , ? .4 ,? M V" is + Y?NS'd ? , . . , 0 25 50 100 Feet Photo obtained from Pictometry Int. Intended for reference use only. This is not a legal survey, and should not be used as one. Dakota County Real Estate Inquiry Dakota County Real Estate Inquiry Data Updated 7/1912007. N_eed Help? WhaYs New? Map navigation lim Select option and click on map: oZoom In Zoom Out _ Pan _Identify Lilf-I Show Full County Map Small Map Details Tax Stub Statement Plat Comp Sales Neighborhood Birds Eye 10-73004-010-05 _.,.,, -. . u,..,, ,, ,.,..,,,,. -.,.,,. w ..,.., ..... :r: ALEKSANDR PODBERETSKIY 2006 Taxable Value (Payable 2007): $157,1 ess: 3424 HIGHLANDER DR Payable 2007 Tax; $1,113.60 EAGAN, MN 55122 Total Acreage: 0.03 Year Built: 1978 PLEASE READ DISCLAIh4ER This application was developed by the Dakota County OHice o( GIS in cooperation with AssessingServices. Treasurer - Au_ditor and Property Records Departments c o u n T r Click on the Dakota Counry Logo above to retum to the home page 2ti2? cit5 S?? Page 1 of 1 Legem Real.Estate Parc El Parcels 0 Common.Owr IR W a[er ER RNU. Ease met 0 Dedicated RN oi Tax Parce Market Vz Recent S, Year Built ! Air Photo Torrens Refresh f1 Choose ONE searc enter criteria, and click Gc key. House OR PIN: Go http://207.171.98.200/scripts/esrimap.dll?Name=webq 1 &Left=536425.267625617&Botto... 7/25/2007