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3430 Highlander Dr
Jun, 2011 2:45PM SELA ROOFING No,6530 P. 14 Use BLUE or BLACK Ink j Pennit#: ~ j *Qy of Eap I Permit Fee: 38,30 Pilot l 1 Knob Road Date Received; 1 Eagan MN 55122 d / Phoned: (651) 6755675 I start: . _ l Fax: (651) 675-5684 l I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION el(43(vj + Date: Site Address: Name: D hane:`/~~YJ~f c RESIDENT 1 OWNER Address I City 1 Zip: . . Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: d-a Multi-Family Building: (Yes / No Company:_,S6A 116' 6 Contact: A- VAW1UQJe CONTRACTOR Address; City:s LALZ,<~ State, Zip: 4564LO Phone; License 1 e_ Lead Certificate 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 fora 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 supportikq,documents:that you submit are considered to lie public information. Portions of the irtfonltation maybe classified as non-public ff you provide specift reasons.that,.would permit the..:Chy.to conclude that the are trade secrets. CARL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.aoPheCa_tqteonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the iap'proved plan in the case of work which requires a review and approval plans. X *'L/-n'' V /V Li LE X i Applicant's Printed Name Applicant's Signa re Page 1 of 3 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 REC EI V ED FROM AMOUNT ? I ???& a.? _ & DOLLARS .3urr?y 1ts.? ??? ? CASH ? CHECK 7 > ? BY NUMERICAL FILE COPY CITY OF Addiflon_ Owner u ik 3 Parcel 10 73004 020 D3 ? Improvement I Date I Amount I Annual I Years I Payment I Receipt I Date R ESTOR. SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK CURB & GUTTE SIDEWALK STREET LIGHT WATER CONN. BUILbING PER. CITY OF EAGAN Remarks Addifion SURREY HEIGHTS 5th Lot 1 Blk 1 Parcel 10 73004 010 01 Owner ??LL -' -J r Street State Eagan, MN 55122 Garage 3y34 Improvement Date Amount Annual Years Payment Receipt Date SAN SEW TRUNK WATERMAIN WATER LATERAL WATER AREA STORM 5EW TRK STORM SEW I.AT CURB & GUTTER SIDEWALK PAR CITY OF EqGAN AdditionSIfRRFY HRTTHTS 5th Lot 1 Blk 3 Parcel 1[L79QQ4 010 03 Owner??1. ? f'_ ?,? a' ? '?• Screet State Eagan, NW 55122 I Improvement I Date I Amount I Annual I Years I Payment I Receipt I Date STREET RESTOR GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LRTERAI WATER AREA STORM SEW IM STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC CITY OF EAGAN Remarks _Blk 5 Parcel 10 73002 OFO 05 Drive state Eagan, MN 55122 Improvement I Date I Amount I Annual I Years I Payment I Receipt I Date GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK CITY OF SURREY HEIGHTS 5th Remarks 2 1 10 73004 020 01 Addition Lot Blk Parcel Owner Street State Gaxage 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 PAR K CITY OF EAGAN Remarks Addition_SIIRREY I-EIGHTS / STh Lot 4 Bik 2 Parcel 10 73004 040 02 Ownar=J,'"?%.y:'."/ street3430 HighlanrlPr i1r13Ze StateF.agani MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAI. WATERMAIN * WATER LATERAL WATER AREA • STORM SEW TiE1[Ae STORM SEW LAT CUF6 & GUTTER SIDEWALK STREET LIGHT WATER CONN. . - - BUILDING PER. sac 475.00 8445 - 12-15-77 PARK 40.00 7735 4-9-7G CITY OF EAGAN Remarks Addition Si1RRF.Y HF.IGHTS Sth Lot i eik 2 Parcel 10 73004 010 02 Owner!?'i; Street_3432 HiaahlandPr flrivP State F3gan, MIIN. 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR, GRADING 5AN SEW 7RUNK J']Q SSeSSed der the OY'1 inal arcel * SEWERLATERAL 975 1845.02 369.00 5 738,01 8 5- -7 WATERMAIN WATER LATERAL 975 WATER AREA 973 SSeSS@d u der Orl 1113 ar r * STORM 5EW ,?' .,(p'f' 975 STORM SEW LAT CURB & GUTTER SIDEWALK ' STREET LIGHT , WATERCONN. 230.00 8445 2-I5-77 BUILDING PER. sac 45 12-15-77 PARK 40.00 7735 4-9-73 CITY OF EAGAN Remarks Addition SURREY HEITHTS 5th tot 3 Blk 2 Parcel 10 73004 030 02 owne? ?<<: -`? -, r iI rIad+ 11 f-. Ulei -= Street 3434 Highlander Drive state Eagan, NIN 55122 Improvement Date Amount Anaual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUPVK * SEWER LATERAL 1 WATERMAIN * WATER LATERAL 975 WATER AREA +k STORM SEW7M l.,r/'f 9 75 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. 230.00 8445 12-15-77 BUILDING PER. #4609 5AC PARK 40.00 7735 4-9-73 CITY OF EAGAN Remarks ,4ddition SLIRREY HEITHTS Si'h l.ot 2 alk 2 Parcel 10 73004 020 02 Owner f2 )LI1Z4 Street343b Highlan r nrlVP StateFagan? NW 55122 Improvement Date Amouni Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL WATERMAIN 2 * WATER LATERAL WATER AREA 197 3 nqgeQzed I iie-r n-rigina l par -el - * STORM SEW Ti= STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. • 12-15-77 BUILDING PER. SAC 475.00 8445 ' - PARK 40.00 7735 4-9-73 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill rn numbered spaCes S/C Type or Print legib/y T t • o . 1. Date " 2. (nstallation Cost 3. Job Address Lot ' BYk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City ' 8. Building Type: Residential O 9. Work Description: New 0 State Zip Commercial ? Institutional ? Add ? Alter ? Repair O 10. Describe Fuel Type 11 No. Equinment STU - M. Ea. Forced Air No. Euuiament CFM Ai dli H Mfg. ? (EC ?T-" C r an ng: . Boilers $? b ? 7 w Z Mfg. Mech. Exhaust UnitHeater £aS Z Mfg. Othe Air Cond. r Mfg. Gas, P'iping Outlets 12. 1 hereby certify that the abave information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. 5igned : for Rough Fin I Inspections: Date Insp. Dat??,/i?? Insp.? This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 CITY 8F EAGAN 3795 Pi1or Knob Road Eagan, MienesoM 55122 Phone: 454-8100 PLUMBING PERMIT Date: December 21, 1977 Site Address: t Lot Block Sub/Sec. _ sca?'_? ... Name °I ; Add a g e 0 U ress City r,loonington Phone: Name7`rclect Plumbing Co. Address /43 "u mk'o I d t Ave.: Receipt No.: Single Residentiol No ?.ownnous? Multi Res., Comm.llnd. New/Alter. / Repair Cost of Instaliotion _- PermiT Fee ^ Surcharge City ' Phone: Totol , '- '1 ' This Permit is issued on the express condition thot all work shall be done in occordonce with oll opplicable State of Minnesota Statutes and City of Eogon Ordinances. E ? Building Official I ? le CITY OF EAGAN s ? 3795 Pilot Keob Read Eayae, Mlnnesata 55122 Phow: 454-8100 ' . " "., I r: G _ PERMIT Dote: ec_ril}er 21. 1977 - Site llddress• 3436 Hiqhlander Dr. Lot Block Sub/Sec. No. } 044 Receipt No.: n fs S 12 Single Residentiol Multf Res., Comm./Ind. TOwnhoulse , .? ? - ; --, n?t•: Na^'e New//\Iter./Repair ? ? Address Cost of Instollotion }:l 'Iq tOTI 2,'1, fl!'' City Phone: Permit Fee A. Binder & Son Inc. .50 Nome Su?? ? Address 12 C E. Butter. :?ve. eQ V ..r _ 1.. 4 City . Phone: Totai . This Permit is issued on the express condition that all work shall be done in accordonce wlth ull appliooble State of Minne ta Statutes and City of Eogan Ordinances. Building Official CITY OF EAGAN ' 3795 Pilot Knob Road Eogon, MN 55122 N2 46 10 PHONE: 454-8100 BUILDING PERl1AIT Rece?pt 443,000. To be usad for ?'- Date ?!? , 19 Site Address '•? " ? `• Erect p Occuponcy Lot 52\ Block 62 Sec/5ub. -z44?e S? Alter ? Zoning 'f Parcel # _ Repoir ? Fire Zone -i _ E l e of Const T n orge ? yp . ce Name ' Move ? # Stories W Z o Address 65`; `-e - Demolish ? Front ft, r:... :AhiaRt:- 1 5-7362 Grode fl Depth ft. ` Name _ Z0 oV ? Address u ? r:... Nome _ Address i hereby acknowledge thot I have reod this applicoticn and state that the informotion is correct ond agree to comply with all opplicable State of Minnewta Statutes ond City of Eogan Ord:nances, Assessment _ Water & Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Fees Permit _ Surchcrge Plan check SAC - Water Conn. Water Meter Total 909 _ 5n Signature of Permittee - I A Building Permit is issued to: on the express condition that oll work sholl be done in occordonce with all applicoble State of Minnesota Statutes and City of Eagan Ordinancas. Building Official PwmM # Dota laoad PennNfN Plumbing Mechonicol e.r,lgL INSPECTIONS I DATE INSP. Rough-In Final Footings Dota Insp. Oats Irup. Foundation plumbing Frame/ins. _ -) Mechanlcal Final CITY OF EAGAN = 3795 Pilot Knob Road Eogan. Mleeesofa 35122 ? Phone: 454-8100 PERMIT No. Dete: necember 21, 1977 Receipt No.: 08348 Single Site Address: 3434 H 1 g h 1an ri e r D r i v e _ Residentiol Lot Block Sub/Sec, townhOuse NamD. H. Gustafson new New/Alter./Repoi? . ; Address Cost of Installation O City - Phone: Permit Fee Name -r' ' ' 111 ni i, i n v r o. Surcharye . S? ? 'g ? Address r+ ; 1111 n? c? n•,e- e 0 V City Phone: Tofal This Permit is issued on the express condition that ail work sholl be done in accordance with all appliwble State of Mi sota Statutes and City of Eagon Ordinances. Building Official CITY OF EAGAN ? 3795 Pilot Kwob Road 1 ' Eogan, Miwnesota 55122 s Phone: 454-8100 EiEATING _ PERMIT Date: T'ecember 21, 1977 1 Site Address: 3434 Fi i g h 1 a n d e r Dr. _ I Lot Blak Sub/Sec. No. ' r-; 4 5 Receipt No.: 08512 Single Residentipl TOWriY1QS .. Multi Res., Comm./lnd. Name new New//11ter./Repair. ? Address Cost of Instollotion ?>loomin ton ?• Ciry g Phone: Pertnit Fee Name - Birid@r & SP?) r r ? Surcharge ? Address 120 E. Butler ??ity s t S t. '•.:! :, i Phone: Total ? n? r r This P rmit is issued on the express condition that all work sholl be done in accordance with oll appliooble State of Min sota Statutes and City of Eogan Ordinonces. 8uilding Official Lot Ar, BK :x - r µ9? ~ n ?- e. sCITY OF EAGAN ? 3795 Pilot Knob Raad Eagan, MN 56122 N2 4609 PHONE: 454-8100 ' BUILDING PERMIT `? ' ^ • Receipt #k To be used for Date •?°' s , 19 Site Address -76rect ? Occupancy Lot Alter ? Zoning Parcel # f Repoir E] Fire Zone Enlarge 0 Type of Const. W Name - Move ? # Stories Z Address 65? Of I _ Demolish ? Front ft. ? r.... '• -j= ; Lo" o?.,..... `; 35-71• Grade ? Depth k. '0 Name u?r Address ? r:.., ati,,..a Ncme _ Address Assessment _ Water & Sew. Police Fire Eng. Plunner Feea Permit _ Surchorge Plan check SAC qt} Water Conn: 30• Water Meter t. 11) •'J? Council I hereby acknowledge thqt 1 hove reod this opplication ond state that Bldg. Off. the information is rnrrect and agree to comply with all ppplicable Stote of Minnesoto Statutes ond City of Eagan Ordinonces. P+PC Totol 5ignoture of Permittee . A Building Permit is issue to: •?.1 i lUTi :.q 1? n on the express condition thot oli work sholl be done in atsQr¢Qnce with all applicable State of Minn=sota Statutes ond City of Eacan Ordinonces. Building Officiol `, ----- PonnM # DaN Iau*A hnmMfM Plumbing -ai- ? 7 __;,,z`,? j Mechanicoi / O ----?i?? 42, INSPECTIONS ? DATE INSP. Rauqh-In Finol Footings Dote Irap. Dote Irop. Foundation _ Plumbing Frome/ins. ? y- jff Mechonlcal Final Remarks: ? ' CITY OF EAGAN ` 3795 Pilot Knob Rood Eogon, MN 55124 PHONE: 454-8100 BUILDING PERMIT Receipt # .,_._ uoc-c. 15 Site Address -`'+-}Z .'igtibaili Lot ? Block ?._ Sec/Sub. -qL Parcel # w Nome VOld Kldgl 3 Address . 650 $ou a _ '? ! oorainQton _ 77 Ered p, Occuponcy Alter ? Zoning Repoir ? Fire Zone Enlorge p Type of Const. Move ? # Stories Demolish ? Front ft. lx O Name ApDrovaIs ou U< Address Assessment ~ ? Water & Sew. Cit-y Phone Uw N Pol ice WW ? ame Fire u? Address Eng. aW Ci Phone Plonner Council Permit lL 3.UV -- Surcharge 21.50 Plon check sAC ??75.oo Water Conn. 230'. 0ff Water Meter 60• 00 I hereby acknowledge that I have reod this applicotion and state that Bldg. Off. the information is correct ond ogree to comply with oll applicable APC Totol 909.50 State of Minnesota Stotutes ond City of Eagan Ordinonces. Signature of Permittee :?. 'SEda ll3.Ott (:tlrn A Building Permit is issued to: _ on the express condition that ull work shall be done in accordance with ail opplicable State of Minnesoto Statutes and City of Eagan Ordinoncss. Building Official N2 4608 PureM # Dato lauod Pwwklw K Plumbing 7 --p 7r Mechanical INSPECTIONS DT INSP. I Rouph-In Find Footings Date Inap. Dats Irup. Fou?datian PlumbinA Frome/ins. Mechanical •? Final -? Remorks: ? i ' . ` CITY OF EAGAN 8795 Pilot Knob Rood Eagen, MinnewFa 55122 PhoM: 454-81 QQ HEATING PERMIT No. 1046 Deeember 21, 1977 Date: Sire Address: 3432 Highlander Drive Lot Block Sub/Sec. Name r'• H. Gustafson i 3 Address O CitY rloomington phone: Name A. Binder ? Son . ? Address e 0 V City Phone: This ermit is issued on the express condition that all work shall be M' nesota Statutes ond City of Eagan Ordinances. n8512 Receipt No.: Single Residentiol Multi Res., Comm./Ind. Townhoulsn new New/Alter./Repoir Cost of Installation 20.00 Permit Fee Surcharfle .50 r? Total " done in occordonce with all applicable State of Building Official • ' CITY OF EAGAN 3795 Pllor Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 PLUMBING _ PERMIT Date: `?PCem-her 21. 1977 Site Address: 3432 EiQrlander Dr. LoT Block 5ub/5ec. Name Ga•, ; t z f s o n ? ? Address Cjty T-: In n m i nqt-n n Phone: Nume Er v lAddress 9743 Humboldt Ave. So. QC V C. Phone: . T is Permit is issued on the express condition that innesoto Stotutes ond Ciry of Eagun Ordinonces. No. 987 Receipt No.: 08348 Single I Residential Multi Res., Comm. /Ind. t- '' w n h o u s el New/Alter./Repair npw Cost of Instailation Permit Fee 2 0• 0 0 Surchorge ' 5 n ? <- . 7 r) Total all work shall be dorre in accordonce with all appliwble Stnte of Building Official INSPECTION RECORD ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date issued: 4i '• !???`' s (612) 681-4675 SITE ADDRESS: I „ 1 . 4 is I ,,, I APPLICANT: II 1 i, I ll ilP;l1 f I' 1,! I i) i tJ , .III : I ill I fill 1 'i '• I li g,ff I:ti PERMIT SUBTYPE: TYPE OF WORK: ,, ? . . 1.4 PraJ r< I;11'I II1N h! -`il{)fNl"s 7 ...r RFFFARKS: INI UiIFS 'iq 3;' ( ! ffT 1 ) 3414 ( I 4) i :i ? :S43f. ( 1 0 1 :' ) Ff"E`, t'nl t f c; rf !i tiN I'FitMT 1 #.104011 ( 1O7 z, C;1 K 1. '.IFNOF'Y HT : qTN) Psrmk No. Permit Holder Qabe Te{spl?ons • SNV PLUMBING HVAC ELECTRIC ELECTRIC Insp9ctlai Date Insp. Comments Footings I Foundatbn Framing Roofing Rough PIb9• Rough Htg. Isul. Fireplace Fnal Hlg. Orsat Test Flnal Plbg. Plbg. Inspecfir - Notify Plumber Const. Meter Engr./Plan ElIde. Fina? slale: . ? Deck Ftg. Deck Final Well Pr. Disp. Receipt MECHANICAL PERMIT Permit No. CiTY QF EAGAN Fee Frll in numbered spaces S/C ' Type or Print legib/y Tot. li 1. Qate 2. 4nstaNation Cost • I 3. Job Address Lot Blk. Tract i 4. Owner - 5, Contractor Phone .? . 6, Address • 7. City State Zip $. 6uilding Type: Residential E7 Commercial 0, Institutional ? 8. Work Description: New ? Add Alter ? Repair ? 10. Describe ` Fuel Type 11. No. Equjpment BTU - M. Ea. Forced Air No. Enuiament CFM Ai H dli Mfg. _ r ng: an Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. 5gned : for Rough F' ? inspections: Date lnsp. _ Date?? nsp. This is your permit when numbered and approved. Approved CITY QF EAGAN 464,8100 CITY OF EAGAN 9795 Pliot Knob Road Eogcn. Minnesota 65122 Phone: 454-8100 _ PERMIT Date; December 21, 1977 Site Address: 3430 Highlander Dr. Lot Block Sub/Sec. Name - - ? . ? Address c;ty I3lnominaton Phone: Name A. Ainder & Sot_ . ? g Address ? e V City _ Phone: Th' ermit is issued on the express condition thot uil work shali be nnesota Statutes and City of Eagon Ordinonces. No. Receipt No.: Single I Residential Multl Res., Comm./Ind. New/Alter./Repoir. ' Cost of Instollotion Permit Fee f". r' n Surcharye Total done in occordance with alI appiicable State of Offlciol cirY oF EAGAN 3795 Pilot Knob Road Eagun, Minnesota 55122 Phewe: 454-8100 fi T. r? M„g 'r bl r _ PERMIT Date: ''ecember 21, 1977 Site Addreu: 3430 Hiqhlander Dr. Lof Block Sub/5ec. No. Q'F Receipt No.: 0 8 3 4 8 Single Residential Multi Res., Comm./Ind. 'owilhous I Name New/Alter./Repoir. P . ? Addreu Cost of Installation City '?? m i n g t o n Phone: Permit Fee 2?•? r v ject Plumbin?7 Co. Name Surcharge . g A#ress `'743 Humboldt Ave. 50. ? V ' - City ' 19. S 5 4 31 Phone: Total This Permit is issued on the express condition thot ell work shall be done in accordance with oll applicable State of Minnesota Statutes and City of Eagon Ordinances. Building Official •- CITY OF EAGAN 3795 Pilot Knob Rood Eogon, MN 33122 Na 4607 PHONE: 454-8100 BUILDING PERMIT Receipt #k To be wed for 'i ;¦ ttt `t cr u.s c? .? r?J J• Date 19 ?@? Site Address Erect p Occuponcy Loti= Block Sec/Sub. 0,? Alter ? Zoning "4 Parcel ?# Repair ? Fire Zone - 3 _ Enlarge ? Type of Const. L w Name '?c) 1 i`'•'f-d u12.i?n t.hYi? Move ? .# 5tories z Address Demolish ? Froni ft. Cit r t+n Phone 13 S- 7 262 Grode ? Depth ft. ? Nome Approvals Fees 0 ~ ?Q Address Assessment - F Cit Phone Water & Sew. F-,? Police FW Name Fire ?? Address Eng. Cit Phone Plonner Council 1 hereby acknowledge that V have read this application and state thot gldg. Off. the information is correct and agree to comply with oll opplicable $tote of Minnesoto Stotut=s ond City of Eagan Ordinances. APC Signature of Permittee Permit ^ ?•?:`' - Surcharge ? ? • ?' ` Plan check SAC 5,00 Water Conn. 2 Woter Meter 70 Toral 909.50 A Building Permit is issued to: (;!-, d - .?:d811iq11 C4[p on the express condition that all work sholl be done in occordance with ail applicable 5ta#e of Minnesqta Statutes and City of Eason Ordinonces. Building Official PemM # Date Isaued PormllfN Plumbing l?- Mechanicol 7 1 .2 7 7 INSPECTIONS DATE INSP. Rough-In Firwl Footings Date Insp. Dote Irnp. Foundafion Pfumbing -o? . Frnme/ins. Mechonical Final Remarks: ? I D. H. ?'aUSTAFSON & ASSOCIATES, INC. 5001 W. 78TH STREET, BLOOMINGTON, MINNESOTA 55437 ' veNOOH ? NUMBER VENDOR NAME SUB-COMPANY NAME CHECK DATE CHECKNO. ? 27 00 21210 MEMO INFORMATION INVOICE IDENTIFICATION INVOICE DATE INVOICE AMOUNT TERMS DISCOUNT AMOUNT PAID 11•--_ !I! - ?Ir ? ?1?'?i p!a 7-7 ?1- _ _•???•=•i Surrey Heights , Eagan, Minnesota Building Permits 3422 $909.50 3432 909.5 ? '•?? ? 3424 909.50 3434 909.5 3426 879.50 3436 909.5 ;?•: _??,•f!?•???•?- $7,216.00 I 3428 879.50 ? 3430 909.50 'I J ci7- UF EAGAN WATER SERVICE PERMIT 3795 Pilo! Knob Road PERMIT NO.: Eagon, MN 55122 DATE: Zoning: No, of Units: Owner, ? Address: / -5?4?z '- BK 2 S i ? r ?,r?? 7c S7=`' Site Address: ? - Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the Citp of Eagan Surcharge: Ordinances. Misc. Charges: Totol: By Dqte Poid: Date of Insp.: _ Insp.: Gi fY OF EAGAN SEYVER SERVICE PERMIT 3795 Miiot Knob Road PERMIT N0.: Ehgpn, MN 55122 DATE: Zontng: No. of Units ? Owner: Address: Site Address: - Ptumber: - i cgree fo eomply with fhe City of Fagan Connection Charge: Ordinances. Account Deposit: 8y Dote of Insp.: Permit Fee: 5urcharge: Misc. Charges: 7otal: C!.TY OF EAGAN WATER SERVICE PEltMIT 3795 "ot Knab Road PERMIT NO.: Eagan, MN 55122 DATE: Zon;ng: No, of Units: , - - ner O . w Address: 407'" '2?. 1 Sttrn ?l/ ?*s S? Site Address: Plumber: - - - Meter No.: Connection Chor9e: ' - Size: Account Deposit: Reoder No.: Permit Fee: I agree to eomply with the City of Eagon 5urcharge: prdinonees. Misc. Chorges: Total: gy Dote Paid: ? Date of I nsp.: I nsp.: f:ITY OF EAGAN 3745 Pilof Knob Road Eagan. MN 55122 Zoning: 4wner: Address: 5ite Address ` Plumber: SEINER SERVICE PERMIT PERMIT NO.: DATE: No, of Units: 100.00 p( I agree to eomply with the City of Eugan Connection Charge 3795 Pilot Knob Rood Eagan, MN 55122 Zoning: _ Owner: Address: AR?'yf?k ? S/?lr s1?? S?`a 5ite Address Plumber: Meter No.; 5ixe: _ Permit Fee: Surchorge: Ordi?ITY OFnunces. EAGAN Account Deposit: By - Misc. Charges: _ Date of Insp.: _ Totol: Insp.: ? Date Paid: Reader No.: I ngree !o ramply wifh fhe City of Eagan Ordinances. ev Date of Insp.: - .CITX t?F EAGAN 3795 Pilat Knob Road Eagan, MN 55722 Zoning: Owner: Address: Site Address: Plumber: l :i.?. i??J gree to eompl?r with the Gity of Eagan dinances. BY -- Date af Insp.: I nsp..-_- WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Chnrge: Actount Deposit: Permit Fee: Surcharge: Misc. Chorges: Totol: Date Paid: I nsp.. SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: ? Connection Charge Account Deposit: . Permit Fee: _ Surcharge: Misc. Chorges: - Totuf : Date Poid: WATER SERVICE PERMIT C11'Y OP EAGAN 3745 Pllot Knob Rood PERMIT NO.: Eogan, MN 55122 DATE: Zoning: ----- No, of Units: Owner. S ^ ? )Lrr?J ?ef? S A Address: .- 5ite Address: Alumber: Connection Churge: Meter IVo.: - Account DeWsit: Size: Reader No.: Permit Fee: 1 agree 4o eomply with the City of Eagan Surcharge: Misc. CFtarges: Ordinances. Total: Dote Paid: BY Date of I nsp.: 1 nsp.: CITY Of EAGAN SEWER SERVICE PERMIT 3745 Pilot Knob Rood PERMIT NO.: Eayun, h1N 55122 bATE: Zoning: - No. of Units: to eomply with the City of Eagan Connection Chorge: ? Account Deposit: Permit Fee: , 5urcharge: Misc. Charges: Total: Date Paid: ?qo-?n 310a request vad 7 months from f ,.? ,? /, / 9 Mte of this Request 12-23_77 P 4 8 013 1, as OlcLicensed Electrical Contractor O Owner, do hereby request inspection of the above electri- cal wiring installed at: >o? e _-.2 ?..?? S Street Address or Route Na. 3436 Highlander Drive City??gan Section Township Range County Dakota Which is occupied by D.H. Gustafeon (Nama of Occupant) Is a roughin inspection required on this job? No ? Yes:U Ready Now ? Will Call a Pc?ier Suppiier Dakota Cty. Address Farminston ?lectrical Contractor O.B. ThomPSOn ElectriC Co. Contractor's License No.B,33.7; ' (COmpany Name) Mailittg Address 12201 ffitka Blvd. t Mtka 55343 (Electrical Contractor or Ownar Making This lastallatlon) Authorized Signature Phone (Electrical Contractor or Ownsr MakVng ThIS Inslallatlon) Minnesota State Board of Electricity = l19$4 University Ave., St. Paul, Minn. 55104-Phone 645-7703 1 REQUEST FOR ELECTRICAL INSPECTION C}JECK BELOW WORK COVERED BY THIS REQUEST n S' G " Y p 48013 'fype of Building New Add. Rep. Check Applien ces Wired For Check Fquipment W'ved Foc Home :U ? ? Range IM Temporary Wuing ? Duplex ? ? ? Water Heater ? Lighting Fixtures 7wC Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Cordmeicial Bldg. ? ? ? Fumace 7m Silo Unloader ? Industrial Bldg. ? ? ? Au Conditionei ? Bulk Milk Tank ? Fazm ? List ) Pytp Lis[ Other ? ? ? o y Heiei5l 18F1• 18 • Eeheis I COMPUTE INSPECTION FEE BELOW Setvice Entiance Size: # Fee Feedero&Subfceder uits: # Fce 0 to 100 Am s. 0 to 30 Am eres 30 m eres 101 to 200 Am 31 to 100 Am eres Am eres A ve 200 Amps. A6ove 100 Amp ove 00 Am s. Txansformers 1 1 RemoteConVOlCirc. Partialoiotherfee ,5' s 1 1 S ecial lns ection Minunum fee $5.00 IEemazks Ellrich TOTAL FE , oO [}0• 50 I,the Electricaltnspector,hereby (Final) _ This request been made. 7 e y-? 7 -??a,alqo 32 3o( 90. ro,oo Requeat Uate 1 Fire No. RaoqBPetl?[ns,?Ue,/ctinn e?tly Nuw QWill Nntify Insvec- ? ' ?yas ?NO Ior Wh¢n ReadY I icensetl Electrical Con[ractor_ I hereby raquest insoection of ebove ? Owner eleclrical work instelled et: S[reat Address. Boa or Ro te No. CitY ? 3 a ecLOn o. TOwnship N e or No. anBe No. C ?V . O.!cu PPINTI Phone No. ? Power SuDVlier Adtlress Elect' onva or IComDan I ' Contrar,mr's Liconse No. Maili Atlaress (COn tor or Owner M king Instailati nl . ^ ?f S3J 2 ? O - . . Author' e Siena u Con(?6?;tor Own r aking Installation) Phone Number / ! tli) i? -? ? MINNESOTA STATE BOAPD OF ELECTNICITY THIS INSPECTION REQUEST WILL NOT GriBea•Midwey Bltlg. - Room N-191 BE ACCEPTED 6V THE STATE BOARD 1821 UniversityAVa., St. Paul, MN65106 UNLE55 PROPER INSPECTION FEE 15 Phonw 18121297-2111 ENCLOSED. REQUEST fOR ELECTRICAL INSPECTION EB-00001-03 ?j?Q (? ,?. G ? q?#tJ 0 See insM1UCtions lor completing this torm on beck Ti ot yxllaw copy. ' '"X'" B&, /ow Work Covered by 7his Request ?jZ 30 are Atld Rep. Type of Builtlin0 - ApplinnCes Wired Equlpment Wlretl. Home Range Temporery Seroice Duplex Water Heater Lightin Fixture5 Apt. BuilAing er Electric Heatin - Commercial 81dg. Furnace Silo Unloader Indusirial 81dg. Air Conditioner Bulk Milk Tank F2rm the.r peci v ther (SUar.ify) t e pec?fY thor Othar . Compute inspection Fee Below - k' Fee Service EntrenceSize k Fea eders N Fee Circuics 0 to 700 qm s ' 0 co 30 Am s 101 to 200 qmps 1 00Amps s 37. to 100 Above 200 Amps = Am?s Transior mers l Circ. Sic?ns ction S? ? ? Remarks a TOTAL F .i ?. -r s w?•• flouph-in Oate . . 1, the Elechicel InsOec[oq hereby Final certily thei the ebove ?paelieTTs been ? r.? made. Thig request vaitl 18-months fmm' minnesota State Board of Eleciricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645•7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REOUEST P 48011 Type ot Building New Add. ReQ. Ch¢ck Appliances Wired For Check Fquipment Wired Foi Home OC ? ? Range 19C Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures $ Api. Bldg. ? ? ? Dryei ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? Silo Onloader ? Indus[rial Bldg. ? ? ? A"v Conditloner ? Bulk Milk Tank ? Faim ? ? ? List J)tmP ?? List t Other ? ? O Reie13? 7?ep.Dis h.7oIXS ?ieie 'f COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fce Feeders&SubCeedeis: # Fee Chcuita: # Fce 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres ]Ol to 200 Am s Above200 Amps. 'Q 1 to 100 Am res bw . O?qmps. 31 to 100 Am eres Above ]OQ_Amps. Transformers Cu ol Ciic. Paxtial or other fee S' ns InslWionfiftl Minimum fee $5.00 Remarks TOTALF ?p 40•50 I, the Electrical Inspector, hereby?? r?ify tCt , ection has been mtde. ? (Roughdn) Date (Final) Date This request void 18 months from _- 1 ? i 042 I'his reqqest void 18 months from a s-e,- / 9 Date of this Request , z_22_„ P 48011 I, as EkL,icensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: oy03 _?? --- Street Address or Route No. 3z43¢ Highlander Drive CityEaZas+ Section Township Range County Dakota Which is occupied by D. H. Gusta£son (Name of OccuOany Is a roughin inspection required on this job? No ? Yes tt Ready Now ? Will Call PC Power Supplier Dakota Cty. Address F'arming'ton Electrical Contractor O.B. T11omUSOn ElectricCo. Contractor's License NoA=5 (COmpany Name) Mailing Address _ 12201 Bdtka Hlvd. * Mtka 55343 (Electrical Contractor or Owner Making TNS Inrtallatlon) Authorized Signature Phone No. (Electrical Contractor or Owner Making This Installetlon) 5TATE B ARD COPY U u0u--131u4U 's request void 18 monffis from ? ,Date of this Request 12922^77 P 48010 I, as 91 Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- ca wiring installed at: _ D/, V .O a _S c'7= Street Address or Route No. 3432 xighlander Drive CitykLaa Section Township Range County Dakota Which is occupied by D.A. Guatafaon (Name ot OccuDant) Is a roughin inspection required on this job? No 0 Yes a Ready Now ? Will Call ME Power Supplier Dakota Cty. Address Fermi.ngton Electrical Contractor O.B. Thompaon Electric Co. Contractor's License NoA33735 (COmpany Name) Mailing Address 12201 Mtka Blva. , Mtxa 55343 (Electrical Contractor or Owner rnaking Tnis InstaUatlon) Authorized Signature Phone No. (Electrical Contractor or Owner Making This Installatlon) STATE OAR COPY Minnesota State Board of Electricity {4 d5449niversity Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION C1iECK BELOW WORK COVERED BY THIS REOUEST °8? / 7 P 48010 Type oP Budding New Add. Rep. Check Appliances Wixed For Check Fquipment Wirod Fa¢ Home xi ? ? Range - 7E Temporary Wi[ing ? Duplex ? ? ? Water Heatex 791 Lighting Fixtures ? Apt. Bldg. ? ? 0 Dxyer ? Electric Heating ? Commercial Bldg. ? ? 0 Fumace 391 Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? List J List Othe ? ? ? p y Heielsf p Heiers? COMPUTE INSPECTION FEE BELOW Smice Entmce Size: # Fce FeedttsBSubfeeders: # Fee Cacuits: # Fee 0 to ] 00 Am . 0 to 30 Am res 0 to 30 Am res 101 to 200 Am 0 G 31 t Amperes 31 to 100 Am ies Above 200 Amps. Ab ps. Above 100 Amps. Transformers R teCo u Partialocotherfee Signs S cial l Minimum fee $5.00 Remazks E"llriV TOTAL F 0.50 4 I, the Elec[rical Inspector, hereby certif 'that the above inspection has been made. (Rough-in) P Date 1,;7- (Final) , ' Date y- 6- ? This request void 18 months from ' ' f' 4' ?.50--?1o11 s requ voi 18 months from ,?Y P/P i9 ' P 48012 Date of this Request 12-23-77 I, apa Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 3430 Highlander Drino CityEagan Section Township Range County Dakote Which is occupied by D H Guatafaon (Nama oT Occupant) Is a roughin inspection required on this job? No ? YegEc Ready Now ? Will CaltOc Power Supplier Dakota Cty. Address F's.rming'ton Electrical Contractor O.B. Thomnaon EleetricCo. Contractor's License NoAl'a35 (COmpany Name) Mailing Address 122eM Mtka Blvd. p E;tlsa 55343 (Elettrical Contractor or Owner Makln9 This Installatlan) Authorized Signature Phone No. (Electrical Contractar or Owner Makln9 This Installatlon) S?'AVE BOARD COPY - Minnesota State 8oard of Electricity r195?niversity Ave., St. Paul, Minn. 55104-Phone 645-7703 ?? REQUEST FOR.ELECTRICALINSPECTION CHECK BELOW WORK COVERED BY TH[S REQUEST d S"' !o p 48012 Type oi Buildieg New Add. Rep. Chmk pppliances Wired For Check uipment Wired For Home E; ? ? Range 19 Temporazy Wiring ? Duplex ? ? ? Watei Heatec 7112 Lighting Fixtuies 30 Apt. Bldg. ? ? 11 Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Fumace ? Silo Unloader ? Indusvial Bldg. ? ? ? A'v Conditionei ? Bulk Milk Tank 0 List ?,?" ? _ ? ist ) L Other ? ? ? p ? + ? - Heie13f - ? a ? p } He eIsl COMPUTE INSPECTION FEE BELOW Service Enhance Size: # Fee FeedersdSubfceders: Circuits: Fee 0 to 100 Am s. 0 to 30 Am eres 30 Am eres ]Ol to 2Q0 Amps. 31 to 100 Amperes 31tolOOAmperes Above 200 Amps. Above ] 4 e lOAmps. Transformers Signs RemoteContr i? Special lns ect' lorotherfee um fee 55.00 Remazks pL FE 099 40•5 I,the Electricallnspector,hereby (Final) This request void 18 months from thelv in+ection has been ma`e' Date 7- , , , _ . ??te - 7 ZY / HOUSE HEATING TEST RECORD ADDRE55 / //9/2 e//?,r /Tj ,?Z APT._FLOOR CIY. ?BURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. "?? SOLD BY -&?Ar" N?"iE"d S4-1- R.2 La f 30 INSTALLED BY Elecfricol.Work By ?`? Gos Liaa By TYPEOF HEAT GA=FA--?,<_HW _STEAM SPACE HTR. -UNIT HTR. _OTHER MAKE_: - ? Model 4 U Model Smial ? Max. BTU Rating - INPUT ? MAKE OF FURNACE Model °- ONTROLS ^ ? THERMOSTA T Hear Plug Vent Size ? Valva KIND OF L ? ? ? INER y? BflE Limit IC C ? Drah Hood u??TY?O Re Limit Sexing Filters Size 9 Fan $etting Chi L er mney ocation Insida Outside Pilot Type . Chimney Cqns}ruc}ion Pilot Mokn Pilot Model $make Bom6 Wiring x Pilot Timing D f ? '? ra T Test Tag - L.W. Cuf Off P ?' L ? Door Pressure ?- Lighting Inst. ressure PercentCO Date Tested InputCFH Percent OZ? '?-- Campany Test'no 1N?. ?J71 ? ???`t ? Stoc k Temp. j Percent CQ _.L(/?? Name of Testar A&I -SY ?1 Ii tONVERSION Form 235 • cIrv oF eacaN ' . 3795 Pilot Knob Rwd Eagan, MN 55722 N? 46 ? ? PHONE: 454-8100 BUILDING PERMIT APPLICATION $43,000. Receipt # 8445 T, ye ,,,ed fo. Townhouse Dare D ec 15, , 19L Site Address 3.436 Hj.oh&nnder ilr Erect [7F Occupancy Rec_ Lot-? Block-2-_ Sec/Sub.,/d 23?DaS?Q-7Q01 ? Iter ? Zoning R4 Partel .fk Zd 73005K d30 09, - SU?Repoir ? Fire Zone 3 _ E l V T f C t n arge ? ype o ons . m w Name Gnl d Madnl l inn Cnrn Move ? #{' Srories Z O Address 650 SouthRate Office P1828 Demolish ? Front ft. Cit Blooihington phone 835-7262 Grade ? Depth ft. ? Name _ APProvals Feea ? 0 Vy r Address Name _ Address I hereby ackrrowledge that I have reod this opplication ond state thot the infortnation is wrrect and ogree to comply with all opplicable Stote of Minnesota Stotutes and City of Eagan Ordinances. Signoture of Permittee _ A Building Permit is issued oli work shall be done in c Assessment _ Water 8 Sew. Police - Fire Eng. Planner - Council - Bldg. Off. _ APC pemit Surchorge 21 _ 50 Plan check SAC 475.00 Water Conn. -Z 30 _ 00 WaterMeter 60"00 Total 909 50 n tuorp on the express condition that of Minnesoto Statutes and City of Eogan Ordinances. Building Of4icial CITY OF EAGAN 3795 Pilot Knob Roed Eagan, MN 55742 N2 4609 PHONE: 4448100 BUILDING PERMIT APPLICATION $43,000. Receipt # 8445 - 7o be uaea For Townhouse pate Dec. 15, , 1 g 77 Sfte Address 3434 Highla`n?dar Dr-_'/ Erect [}c Occupancy Res Lot ? Block _? Sec/Sub.?1'S?" Alter ? Zoning R4 Parcel .# /O z30pje DgO 'P1 Repeir ? Fire Zone 3 _ Enlorge ? Type of Const. V w Name Gold Medallion Corn Move ? # Stories ; Add.ess 650 SouthQate Office Plaza Demolish p F.onc rr. o c. Bloomington phone 835-7262 Grade ? oePrh tt. w Name _ Approvals Fees 0 Address F r:... Name _ Addres! I hereby acknowledge that 1 hove read this application ond state that the in4ormation is torrect and ugree to comply with all applicable Stote of Minnewta Statutes and City of Eogan Ordinonces. Signature of Permittee _ A Building Permit is issued all work sholl be done in c Assessment _ Water & Sew. Police - Fire Eng. Planner - Council _ Bldg. Off. _ APC Permit 123.00 _ Surcharge 21.50 Plan check sAC 475.00 Water Conn730.00 Water Meter 60.00 Torol 909.50 ld MedElliOn CoYp on the exprew condition that ppliwble State of Minnesota Statutes and City of Eogan Ordinances. Bullding Officiol • ' cITr oF eaGaN 3795 Pilot Knob Rood Eagan, MN 55722 NO. 4608 . . , PHONE: 454-8700 BUILDING PERMIT APPLICATION $43 000 Receipt # 8445 . , To 6e uud for Tnwnhnnca pote Dec. 15, 19 77 Site Address 3432 Hiehiander DT. Erect ? Occupancy Res ? Lot-I Blotk-?_ Sec/Sub. -surne?? Alter ? Zoning R4 ? /O 73 Repair ? Fire Zone III oe?0/O .? n- Parcel # _ E l of Con t V T n arge ? . ype s w N.rn. Gold Medallion COI'p Move ? # Stories I Z Addrew 650 South$8te Office Pla2a pemolish ? Front fr. ? 835-7262 B1oOmingtOII Grade ? Depth ft. phone Cit . Approvals Fees 0 Z °u ? ? Name _ Address Name _ Address I hereby acknowledge thot I have read this application ond state that the information is correct and ogree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee _ A Building Permit is issued oll work sholl be done /in/?e Building Official _?p??[ Assessment - Water & Sew. Police - Fire Eng. Planner - Council - Bidg. Off. _ APC Permit 1L3.VU _ Surcharge 21.50 Plan check snc 475.00 Water Conn.. 230.00 Water Meter 60.00 Torol 909.50 Gold Medallion Coi[1 on the express condition thot roance,aryh all oppliwble $tate of Minnesoto Stotutes and City of Eagan Ordinances. cIrr oF EacnN 9795 Pilot Knob Rood Eagan, MN 55124 N2 4607 ' .. PHONE: 4548700 BUILDING PERMIT APPLICATION Receipt # R445 _ Townhouse $43?000. To be uted ior Date 11or. _ 15. , 19-77_ 343D'Hig an er r. Site Address .{. Ered ? Occupancy R2S Lot ? Block.?_._ Sec/Sub. SlLtt.t,Ldq.[Si 5 T~. Alter ? Zoning R4 Porcel # & t300f? gyO a9_ Repoir ? Fire Zone 3 _ E?lorge ? Type of Const. V z Name Gold Medallion COTp Move ? .fk Stories W 3 Address GSn c rh t pff+ Plaza Demolish ? Front fr. 0 Cit Phone 835-7262 Grade ? Depih ft. p Nome ADProvols Fees z ?E Address Name _ Addrew I hereby acknowledge thot I have read this application and state that the informotion is carrect ond ogree to comply with all opplicable Stote of Minnesota Stotutes and City of Eagon Ordinancet. Sigrroture of Permittee - A Building Pertnit is issued to: all work shall be done in occo Buildtng Official i Assessment - Water & Sew. Police - Fire Eng. Planner - Council _ Bldg. Off. _ APC Permit Ltj,vv Surchorge 21.50 Plan check snC 475.00 Woter Conn. 230.00 Water Meter 60.00 Torol 909.50 91110n ?..oTP on the express condition that icable Stotg qfMinnewta $tatutes and City of Eogan Ordinances. ' 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan lY 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for. single family dwellings & townhomes/condos when permits are required for each unit Date ? ffi ???? Lr'- i # Site Address el/? Un t Property Owner N( LOIt°.i ?1 l Telephone#(Cg Contractor Di 410 WEST LAKE STREET Street Addr?N?A??I????? City 9 612-824-2656 State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner =\ Contractor _ Other Add-on or alteratiou to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger ? airconditioner _New ?Replacement other State Surcharge $ .50 Total I hereby appty 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• nderstand this is not a permit, but only an application for a permit, and De is notto start without a ERrt' ; at the work wi in ccordance with the approv d plan in the cas of ich requires ew and approval of pl s. SuC ' ?jA ll.rAvif? Applicant's Printed Name ApplicanPs Signature ? ?a ? ? ?f '? ( ?j juL 2 2 zoos y- 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings . multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenanf Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City. State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove **see befow fnterior Improvement _ Install Piping _ Processed _Gas Nature of Work: **When insfalling/removing underground tank, call for inspecfion by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installatioNremoval . $50.50 Minrmum (includes State Surcharge) or ContractValue $ x 1% _ $ PermitFee • If pe rmit fee is $1,000 or less, add $.50 => $ State Surchazge If pe rmit fee is over $1,000, add $.50 for every $1,000 oe rmit fee $ Total Fee I hereby 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 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 staR 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 Applicant's Signature Approved By: ,Inspector ? C9TY"OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: n.:i?.i?i?: i??-?:3oa?-e?;:?-?nz DESCRIPTION: PERMIT ???r!:a¢? H?r?;,y?r'?hdU"F?t ?u?r ? n?ocn: SUf'i.i^v.fC'.''! Nf"Ifi!i 1 `, .? i'??i h?-SIUTidU B?1Jdi;-tq Fermit Ivpe 8uildirsg'?JGrk ?fypi? UFlC. Occi_e?aric? 0 ? C, -ZC? L ? j:1----?? 3 PERMIT TYPE: e u r? n?r nt r., Permit Number try ,? ?^, ?S ;; ; Date Issued: U 3 i 11 l??; n !? MTSC£:LlflME0U5 NLPP?:Cfi ?i - ., ? . -?f ,; ,. , ?? ?l' ?'? , i? _. ? , _. ?_ ? . ..1 ? ? ?, ??? REMARKS: inn.uo, 3??:.; ??ar ? ? ?-;?s? ?i..ar ???; ?i?:?s ;?oi z) F1=F`i f'(1. I 1=f1TF`Il C1iJ "?t?l'T N'?N-1f?1 ' fll' ?:I h 9 '?';Iln^'":F'Y' IIT;' ?9TtJ1 FEE SUMMARY: CONTRACTOR: h7E"I`RD S?.[O.l?!G :IR??Fq ..;f%6 r;VF_ N F?I_"?110U'I'hi IiN (o'12j '??!1 --144id HWp1.;canr. ? .?. ?_ 1";lCNrq?R 4,r?47?98 ,,??I4? `,UNI?i?Y I-Il ?. i 1.16.1PlI-I(?U?;C I1560C ':i76H1 (,I?!01_R J,2 FfYSAPJ P4f'.? ` `. ' liere6y qcknowlrtlg? thzit_ T hnve r3.?d 1_>i?? a??plicetl.on .?id ??t, t3 +_F.?? ?',I,° inPprin.,>tiur ?•; ?;;a°r-cr? M,nd «?qr?c? ?.o s.:nmp?y? w?'-}i f-e' .?+?rpJic,ht,, .,...,tr? c? r;r.. ?t?_tu're? and Cit.y oY E,???an Grdrnr°nces_ ? ? ? ? ??- APPLICANT/PERMITEE SIGNATURE -? r??x1'?1'j a? r? I Yh? ?f ISSUED Y: SIGNATU?E REACTIYATE _ rEruM,zT # n4cf cirr oF EAGaN 1993 BUILDING PERMIT APPLICATION 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 sE?:- P--Wti'r fbR s401 Site Address: 34' (444laaoER Dk, C'o./G(_uOLS 3432,3-434, 3436 STREET SUITE 0 Tenant Name: (commercial only) IAT BIACK Z' SC122Ey f-IClG/fT5 SOBD P I D * f0 73004 040 07- ? . S 714 Descri tion of work: es ?d The applicant is: ? Owner I,$I Contractor ? Other (oeB«ibe) Name -5 oY r{.y e i -, TOW Nka w?e 4's5.6c. Phone Property LAs, FIRST Owner Address STREET STE 9 City State Zip Company Yr\e T rc, S10 lNf:? ]. N C Phone 55 7_496? Contractor Address I 23"A AUP License # 06/ Exp. 3 9 City /77 00 ? State M//VN ZiP Company Phone Architect/ Engineer Name Registration # Address City State Zip 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. Signature of Applicant: ? ? ? . OFFICE USE ONLY BUILDING PERMIT TYPE N O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging A, 0 02 SF Dwg. O 07 4-Plex )RL2 Multi. Misc. ? 03 SF Addition ? 08 S-Plex ? 13 Garage/Accessory ? 04 5F Porch ? 09 12-Plex ? 14 Fireplace ? 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition Pk4 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Plann9ng Engineering REQUIRED INSPECTIONS Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Site ? Footing ? Wallboard ? Final r ? ? . ,? ?16?6a?emeOfinish O 11 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public facility ? 21 Miscellaneous ? 31 Demolish MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? Framing ? Insulation ? Draintile ? Fireplace Permit Fee vatuas;d,: g Surcharge Plan Review License MWCC SAC CpLLez_T?_p C)hr City SAC Water Conn. f4(GE(LA?DEEP- Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: PbzM 1 7- :6: DR, SAC % SAC Units /D 7-400`l oya oa- . ?I Date: ti6(J. Z t3 77 BUILDIT!G P: P.i•iZi P.PPT.ICATIOII ar / .,? 5' nnn?^.ioc eu• I PAFlCIiL & S2'.CTIOi•] l]UL:IIER IF tJYdPi.ATTCD flDDRF.S3 OF FILZCEL K i i 70ivTi• G ? y OVlT•1•I?CIl.?IiL yl.E??GCI???//L L'SE ESTI-N1A'I'GD C03T 0?•£i3ER (ppt.% /'hEG'/-?c[.n? t'iJ, E/? TEL:PEONE i?O. ?,'5-77_L•? _ a*)DREss los-V corrrRAcroR O I?, (o usI A?su,u k , %Js-Vx- ivC . TcxErxcM ;TO. A= ; - 'zc z ADDRESS 41SO So?"(r??F?' D?Pt -/°i_rf'i? .??si •J&+S?h /3 ?? Note- Inc1uRe site plan, builAing plans, anfl energy calculations oiith this application Signed e OPFICE USE ? v_arUnTiota ``/3cD67 c-) . sAc WaTE;t.co,r?t?cTioET . W9TE:R !'lETER BUILDING PEAIdIT FEE SURCHP.ItGE I'LG PLhtt CE:ECK FEB PAf2K DEDICATIOid FEE OTHEIt 4'OTAL# t M ? ?. y7ti ' (?D•? _ ? APPROVALS: ILSSVSSAE'T CLERK BUILDI24G DEPT. POLICE DEPT. Y)A;ER'& SL•'47GR DEPT. FIItTi DEPT. PIlRK DEPT. . . Gq /0 730o y o/o 0.0- ' j): Date: iU6t1. 2 33 /-777 IIUILD23?G Pl's1,11i E,PP.T.ICP.TYOId ?i! .Ls?tY ?s * 1,DDSiIOPI PARCPL & SECTIOII I•]IJP-:II: R IF Ut]Pi.ATTED AOnRF.53 QE F11fZCEL j?79??? • ?? ? (?. FI L'i-. J? - ?1 ? J' zoianac oCC-Unacacx vss • d?, - j,4,? Sg_-_ ESTZ"JA:'ED C03T OS•r.:ER t"p,&? TEI.EPF;QNE n0. ATJDRESS 9SA ?OUal7?lo?'? ?fZ°?'L? ??'G,/9? ?ii7Tr?.c•y,jL?•? /?h• ?it COIYPRACTOR v IL6'usr?9r1d,u 4. ,•??:?c . /?'C . TELEI'H02?' :TO. ? s"a - 'Lk Z AUDRESS 6S0 SPVTr7 461}'TE C>FFlCE /"•?s('?? L?wsi.? °?u+ T?'n? /??.•? ? Notec Incltde site plan, builcling plans, and energy calculations viith this application Signed ¢i^- varaJnTio?a 'y3 OC?c? sac i•raTM co,r?r?cTzUVI iJATER METER OFFICE USE BUILDING PERI•lIT FEE SURCHAItGE I'EE PLAtl CE:PfiK FEB t1 PARK DEDICATZOIa FBE N OTHER e1 I? , { r TOTAL* ??n • ? /V-3 ?- ?f APPROVIfLS: TSSi:SS;4E;^P CLERK BUILDII4G DEPT. POLICE llEPT. Y7F.:ER & SEV7ER DEPT. PIRE DEPT. PIIRK DEPT ??? /0 7300f? 03 o O a- sN ?s Date: /V6d. m B /97? BUILDIT?G P.^'.R•SIi P.P^T_iICATIOId ADDIiIOiV ??i,? ??'? ' ;?/'?,.? l %?,1x_i if ??ri/ii ?!'. ' PARCPL E SECTIOI4 t•IUf:DcR IF UYdPi,AT"a?`ED A/d }iDTJRF,S3 QF FlL2CEL f?1/2Z >`?? 3?'Pr ?'??? >?2? "`Y's _ ???-`y-`L /fi,//<'??'t _y,_ ?? Y.O1v2IdG ? y 0.^..^'.'J°Ai''CY LSE •%/JU,,' 1h-,SG _ E£iT11Mi'ED C03T 01MI:ER (pce i% TEI.EPEOfdE iV0 . AT,D?.E$$ lQSV r C017TRACTOR (,7 /f 6?5Mr-d@ N iAJC. Txr.Enxcrrv rto. e j - 7LkZ ADDRESS lcSO $ o VTrl 41416' 11 FFrGL ewf 'i? L? ? ^ i •?:?' fAr J ? ? ? T ? Note- InclGde site plan, builcling plans, and energy calculations viith this application -------?? Signed OFFICE USE vr,raJnTaoia °C' sAC r»rs. co:McTaorr oe WaTEa FWIEx ? BUILDING PF•RI3IT FEE SURCHIiRGE FEE PLAt7 CF:ECK FES ? ? . PARIC DEDICATIOId FCE OTFIEIt TOTAL* APPROVALS: ASSi:S3;4E;1T CLERKI BUILDIIJG DEPT. POLICC llEPT. fTA:ER & SCYIGR DEPT. FZI2E DEPT. ° PnIlIC DEYT. i BUILD23?G PwRMIi P,PP.*,ICATl'OII Aa 744031 o?o a:L- nate: dJdd. 2- t3 l97? ADDIT20i`I ?adrtTift ? Caq-a ? ° P?CPL & S?CTIOP] S1Uh;S3iR IF US1Pi,AT gD ti!4. AnnxF;ss eE __/3 . . ., .1 a ?i - .e61'-7f UivT, 2 7A11Ti1G K.y Q.^•CU°AC1CY &j.&"aZ,& G USE •%y'"µ'^'d-hw?SC - E,r,TLMATED C03T (7.11IER 6GUa Y?i?ti`?c1rDw1 E"fjTGLEPY.ONE NO. '2?6 >?.?-J7_!vZ AMa.ESS ioso soaTrJfo41C CON`PRACTOR (ZIL6 ?5rtqr?j6i.l ? ,*,Vt : /A-+e . TELEPHCLM TTO. $ s g - 7zw Z ADDRESS &SO S Okfiri '6F+TF eFFtGE /,1+'f 'i? . l.:x ? i •JL+ Sl7Y f'3 _ ?? r ? Notet Inclede site plan, builcling plans, and energy calculations with this application Signed ? f OFPICE USS VALU2ITIOII y _7 ? Or) sac Y nM'l COiTV?CTIOT] ?1 ? p• D?' LIITER F7P:T8R Io ? . oe SUILDING PERI4I'T FEE SURCHARGE FEE . PLA21 CF:ECK FES PARK DEDICATIOId FEE ? OR7iER ` ? r,?• } V TO'YAL* r ?--- ?,?? . APPR(ATALS: ASJLSSi7E.7 CLERK j. . BUZLDIATG DEPT. POLTCE llEPT PTATER & SL•'47ER DEPT. FIItE- DEPT. PnI2K DEYT. ??p,rv PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA120517 Date Issued:02/18/2014 Permit Category:ePermit Site Address: 3430 Highlander Dr Lot:4 Block: 02 Addition: Surrey Heights 5th PID:10-73004-02-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Janel Behrends 122 West 3rd S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Randy A Mccullum 3430 Highlander Dr Eagan MN 55122 Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature Date: City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAR 0 4 2016 Use BLUE or BLACK Ink \� I I For Office Use Permit #: A /5 -q7 -5 - Cr ,( Permit Fee: 1 % Date Received: ' l Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Resident/ Owner Type of Work Name: wo\;gram , Oo.V td , Saco- Phone: 012.o -2(0g-294 Address/City/Zip: 3 43O t'.0h\ cLer tor , Q,r1 Applicant is: Owner ✓Contractor Description of work: e Construction Cost: 1175 -try (26 rei 6t, \1 \ *2,.2-004= Multi -Family Building: (Yes / No ✓) Company: SV.pec Cor CO11s4 Serut(es Address: 9102. $SiQ Awe_ 1.10 11 Contact: SherT% e. SarNICI City: M.av e° avdp./a. Q rM;kersa�d State:VM Zip: SS3Lo1 Phone:143 .424A43YEmail: l sAA„ perter _ 40.Co License #: C. 0012-3 I Lead Certificate #: t- R .Kis V r , t S- OO ‘I 4 to If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Phone: Fire Suppression Contractor: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x „'}1 of sc- k SaV-Nd Applicant's Printed Name Applicant's Signature Page 1 of 3 N1 3L/36, 17DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace 7C Single Family Garage ( Multi Deck 01 of _ Plex Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool WORK TYPES _ New _ Interior Improvement Addition _ Move Building 7 Alteration_ Fire Repair Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review gcoa (25% 100%' ) Census Code /' # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water Final Framing Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Occupancy Code Edition Zoning Stories Square Feet Length Width Reviewed By: Siding Reroof Windows Egress Window 135`/5 Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required 4 Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick X Windows P ty�„ Retaining all: _Footings _Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 11111 C!tyofEaQali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: / 2 g Permit Fee: Date Received: Staff: i Li -6-2016 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: 3 6130 � (� /`� ) Q ra e, ^ b Tenant: Suite #: ti Name: Phone: Address / City / Zip: Name: M Olt P(` pr© 121 V lJ License #: 065-S464/ 313 uv,'Iw00J Tat;1prY DrAddress: dCity: 1-gkC 3 State: IM Zip: Si'3'7d, Phone: 6 /01- d- 90 L/6s / Contact: `>'�'� V 2 �- PD � r6 �i —1„ Email: 3'b La�11 ? 1 _('D w New placement Repair Rebuild Modify Space Work in R.O.W. _ _ — _ Description of work: 1-2e / We f u 1 bath Tub - Pcp/afe 1'C-1 6,e, c& 1 r'h 1- rue hype°_ RESIDENTIAL Water Heater Water Softener Lawn Irrigation (_ RPZ / PVB) Add Plumbing Fixtures ( Main / Lower Level) _ Septic System _ Water Tumaround —New Abandonment RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $115.00 Septic System Water Softener, or Water Heater and Softener (includes State Surcharge) Turnaround* (includes State Surcharge) TOTAL FEES $ (includes State Surcharge) Fixtures, Septic System Abandonment, Water (add $280.00 if a 3/4" meter is required) New (includes County fee and State Surcharge) CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit' 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA150795 Date Issued:07/24/2018 Permit Category:ePermit Site Address: 3430 Highlander Dr Lot:4 Block: 02 Addition: Surrey Heights 5th PID:10-73004-02-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - David M Wolfgram 3430 Highlander Dr Eagan MN 55122 (920) 475-9512 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature