Loading...
3437 Highlander Dr Jun. 8. 2011 2:45PM SELA ROOFING No.6530 P. 17 Use BLUE or SLACK ink ~ ' j Permit A V j t~ of Ea an I l Permit Fee: e I 3830 Pilot Knob Road r I Date Received: l Eagan MN 55122 ~ u `a~3lp f Phone: (651) 676-5675 Fax: (651) 675-5694 l stafI 1 1 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 02te: . Site Address: 6~7 ~ J4 rT 1 U : y ~ Name: ' Phone: 16:91- 60 Ola~yJ _71n haxl_~q OWNER Address t City x4 q-~400 ~ Applicant is_ Owner Contractor TYPE OF WORK Description of wark: L&L U, Construction Cost: - Multi-Family Building: (Yes / No ___J Company Contact: lfiblv_uyze CONTRACTOR Address: _ 166 { t_gts-,L U1 Q V City:- Louycs Stater Zip: 5541 Phone; License* OZD Lead Certificate 9 td~ 1 77A 50 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 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 supportihwdocumehts. M.at you submit are, considered to be public information.. Porl'iolts of the information may be classified as non-public if you provide specific reasoi7s that would permit the .City to conclude that the 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of that the work wlll be in Eagan; that I understand this is not a permit, but only an application for a permit, and work is n=La-4~1 accordance with the approved plan in 4the/cae of work which requires a review and approval x a VAIQV ICf ~~L_,5 x 1/1 Applicant's Printed Name want's Signature Page 1 of 3 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN. MINNESOTA 55122 DATE RECEIVED 19 AMOUNT $ I & DOLLARS +oo ? CASH ? CHECK ?. /3k!l surrc -? ;Idts 4 1,- - FUND COGE pMpUNT J r r ? v B Y NUMERICAL FILE COPY CITY OF EAGAN Remarks • Addition SiiRRRY 14FIr,H19 6th Lot 6 Blk 4 Parcel 10 73005 060 04 owner - ? street 3437 Highlander Drive State Eagan, MIIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1970 S ll Cl T OI'1 1 8 narc 6l * SEWER LATERAL WATERMA I N * WATER LATERAL 1975 WATER AREA STORM SEW M[ 975 STORM 5EW LAT CURB & GUTTER SIDEWALK STREET LIGHT t WATER CONN. 2,50.UO - - 9UILDING PER. -T4-693 9299 3-IU-16 sAC 500.00 9299 - - PARK CITY OF EAGAN Remarks AdditionSL18BEY HF.IGHTS 6th Lot ? eik 4 Parcel 10 73005 030 04 Owner St?eec 3439 Highlander Drive state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1970 assessed der origina ar G'1 * SEWERLATERAL 1975 1845.02 369.00 5 738.01 A004083 5-19-77 WATERMAIN * WATERLATERAL 1975 WATERAREA 1973 assessed der OTl 1l11 ar el * STORM SEW =et 1975 STORM SEW LAT CUFB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 250.00 3-1U-78 BUILDING PER. #4694 s,ac 500.00 9299 3-10-78 PARK CITY OF EAGAN Remarks Owner I. ?+'-'•??? ? Street Blk _t{ Parcel 10 73005 Oln 04 ve ?„*p Eagan, NW 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 5AN SEW TRUNK 1970 I,* SEWER LATERAL WATERMAIN * WATER LATERAL WATER AREA 973 ssessed der Orl 1I18 ar 1 * STORM SEW 975 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. 250.00 9299 3-10-78 BUILDING PER. 4695 sAC 500.00 9299 3-10-75 PARK CITY OF EAGAN Remarks Addition Si1RRRY HF.TGHTS f ith Lot Z Blk 4 Parcel 10 73005 020 04 owne?= - screet 3443 Hi ghlander Drive state Eagan, NBV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN 5EW TRUNK * SEWERLATERAL 1975 845O2 369 00 5 738.01 004083 5-19-77 r WATERMAI N * WATERLATERAL 1975 WATER AREA 1973 a sessed d r OI'1 111 1 3 BZ * STORMSEW = 975 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. Z$O. 00 9299 -10-78 BUILDING PER. #4696 sac 500.00 9299 -10-78 PARK CITY OF EAGAN Remarks Addit;on SORREY HEIGHTS' 6th Lot 5 Bik -4 Parcel 10 73MS AA#?g" Owner ' Street State ?? C-)q (GARAGE) 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. #4693 9299" 3-10-78 SAC PARK CITY OF EAGAN Remarks Addition SURREY HEIGHTS 6th Lot 4 Rik 4 Parcel 10 73005 040 04 Owner _ Street tate rr_nnerF? ? V; 7 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 SIOEWALK STREET LIGHT WATER CONN. SUILDING PER. #4694 9299 SAC PARK CITY OF EAGAN Remarks Addition SURREY HEIGHTS 6th Owner Street Ik 'S Parcel In 71005 02.0 03 bAxAUL 3 Y:? `? n P? 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, 4696 9299 - - CITY OF EAGAN 3795 Pilot Knob Roed , Eagan, Minnesofa 55122 Phons: 454-8100 qLAfiIN! . _ pERMIT Dote: September 13, 1979 Site Address: 3441 Highlander I3L'iVe Lot 3 Block ?F Sub/Sec. _ 'H Hth No. y 284 39 Receipt No.: Single Residential Multi Res., Comm./Ind.l unit tnhie Name new New/Alter. /Repair . ; Address Cost ot Instailation O ' ^oRiI1gt?Jr1 '? •o r?!?, City Phorre: Permit Fee . *3?_.ider s Son 2:rce N me Surchorge ? Q. ° Address'?C r. Til 1tl'?r A-ve. 0 V . `;C ? r'!} City ` Phone: Totol ' This Permit is issued on the express condition that oil work shall be done in occordance with oll applicable State of Minnesnto Statutes and City ot Eogan Ordinances. Official CITY OF EAGAN 3745 Pilot Kaob Road + • " ? Eagaw, Minnesota 55122 Phoire: 454-8100 PLUMBI:?u _ pERMIT Date: "1j 14j78 Site Address: Lot 3441 Highlander Dr. a4ock ? Sub/Sec. SH 6 Uoia ;,?.edaJ.i:.on Corp Name ? (Db(7 :?00,,t^ , ;tc: Lff Flaza 3 Address - a C,ry , -)1 S. Phorre: o%:' Nome ya'o j eCt rl:l;abing . , t !'cJ i:UcitjQlCit "1V°. .r. ? f1ddfE55 C O V aao GitY Phone: This Permit is issued on the express condition that all work shall be Minnesota 5tatutes nnd City of Eogon Ordinances. No. 11L:- Receipt No.: 1085; Sin91e I Residential Mulii Res., Comm./lnd. 1 nrv; New/Alter. /Repair Cost of Instollotion Permit Fee Surcharge ? Tota I done in occordance with all nppliceble State of Building Officiai CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4695 , PHONE: 454-8100 BUILDING PERMIT .'r 3 3, 0'.:; . Receipt # 9299 Tounhouse M3T• 10 1078 Site Address J"l nll t Lot Block Sec/Sub. po„cel # 10 73005 011 oe Nome "ol2 ?leuaaaivn wrp z Address 650 Southgate Off_Plaze 0? Name _ 0 ?U Address Name Address I hereby acknowledge that I have read this application ond state that the informotion is correct and ngree to comply wirh ail opplicabie State of Minnesoto Statutes and City of Eogan Ordinances. Signoture of Permittee A Building Permit is issued to: nll work sholl be done in acco Building Officlal Erect ?x Occupancy ? Alter ? Zoning Repcir ? Fire Zone 3 -, Enlarge ? Type of Const. V ?• Move ? # Stories Demolish p Front ft. Grode ? Depth ft. Approvals Fees Assessment Woter & Sew. Pol ice Fire Eng. Planner Council Bldg. Off. APC Permit • , ,;" Surchorge ' ? • -'?' Plan check SAC Water Conn. Water Meter Total -' 4, 50 Lva, w? on the express condition thot e State of Minnesota Statutes and City of Eagan Ordinances. pe?nM # OeM Iwwd hrwMfN Plumbin9 y 7-iY-7Y - '^ • Mechanical 4_ y' ff INSPECTIONS DATE INSP• RouqMln find Footings Dote Irup. Data Irup. Foundation Plumbing , Frome/ins. Mechonicol ! -2 Final ir. i i Remarks: CITY OF EAGAN ? • 8795 Pilot Ksab Road Eugan, Minwesola 95122 P6one: 454-8100 -A`y'T A(; _ PERMIT `'F Date: SLpt Site Address: 3443 13, 1978 lander Drive Lot Block "- Sub/5ec. _ ` '? Name P. . 3 Address O City - nipcm{ggton Phone: Name ?. 94-.Acilgr- s: G.nt3 TTiC . ? ? AddreSS ? 'n ?. ?l?t?• ,- - ??, 0 V City ,-' S, T.3Phone: This Perm' is issued on the express condition that all work shall be Minn Stoiutes ond City of Eagan Ordirwnces. No. 12.85 11639 Receipt No.: Single I Residentlol Multi Res., Comm.flnd.' L;^1t-- {Vew/Alter./Repair ile? Cosf of Installation Permit Fee 20.00 Surchorge • S?-,?? z,?'? Totol ? done in acoordence with oll cpplicable State of Building Officiai CITY OF EAGAN a•- '. 8795 Pilof Knob Roed Eoyas, Minnesota 55122 Phona: 454-8100 Dote: PLUMF3IIJv pERMIT 7/14/78 ,-.. ::ighlander :jl-ive Site /lddress: Lot _ 4 IName = Block Sub/Sec. - ..._?' .::edAl; .. t-arp. ? Address Ciry _ 650 5outhgate Off Plaza pl s. ?H6th Phone: '.3J-7262 No. ia63 Receipt No.: Single Residential Multi Res., Comm./Ind. nevr New/Alter. /Repair Cost of Instullotion Permit Fee Nome _ "Oj@Ct PZl1mbitiQ .? ? 5urthorge Address 743 Hu:;tboldt nve. .. . ? '? e 0 u City y.• :,. `? phone: Totol ~•; p.•. This Permit is issued on the express condition thet oll work shall be done in accordonce with all applicoble State of Minnesota Stotutes ond City of Eogon Ordinonces. i Building Official ? CITY OF EAGAN - 3795 Pilof Knob Road Eagan, MN 55122 N2 4696 . ' PHONE: 4548100 BUILDING PERMIT ReceiPt # 9299 T- L- -J L-- l (,4JtZrOUSC c_. v-i.... 1'1,.F.. "l$r• 10! 10 70 Site Address )"-> i , Lot ` Block 4 Sec/5ub. Parcei # io 73005 Q?'O g Name vvau n?eaaaxivn wrp i Address 650 Southgate Off Plaza 3 o o Name LLit GusL&?soi= aam2 ?? Address f rr... oL___ Name _ Address I hereby acknowledge thot I hove read this application and state that the information is correct ond ogree to comply with all applicoble State of Minnesota Statutes and City of Eagan Ordinonces. Erect ? X Occupancy j Alter ? Zoning R4 Repair ? ? Fire Zone - Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Aoaro vols Fees Assessment Water & Sew. Police Fire Eng. Plunner Council Bldg. Off. APC Permit i = = +' _ ? Surcharge -i Plan check SAC Q r Water Conn. Water Meter _ Totol ') 54. 50 Signature of Permittee I ;": • " ? A Building Permit is issued to: on the express condition that oll work shall be done in accordonce with all appliwble Stote of Minnesoto Statutes and City of Eagon Ordinances. Building Official , PennM # pofe larad POsitN" Plumbing //th 3 7?+ ??,? • r.? • Mechanicol INSPECTIONS DATE INSP. Rouph-I n Find Footings - 3? 7f Date Inap. Dote Insp. Foundation Plumbing ? . 7 00 Frome/ins. Mechanical - - ? Final Remorks: r- M" 7 / rs e4, ( . , ; CITY OF EAGAN 3795 Pilot Kwob Road fa9as, µinweseto 55124 Pbone: 454-8100 PERMIT Dute: September 13, 1978 Site Address: 3439 Highlandex Drive Lot ? Block `' Sub/Sec. _ SS' Gth No. 1283 Receipf No.: 5ingle I Residential Multl Res., Comm./Ind. Name I H. Gustzisor, new New/Alter./Repair. 3 Address Cost of Instollation O City lcamington Phone: Permit Fee Name j?• fiinder & 5on In^. •?? ., Surchorge ? Address '20 E. Butler Ave. e 0 ? City Pest St. T'au ] "r ? ]_8 Phone: Total 'n..r^ This Permit is issued on the express condition thot all work shall be done in accordance with all applicable State of Minnesoto Statutes and City of Ecgan Ordinances. -1/ Buildin9 Official CITY OF EAGAN 3795 Pilot Kwob Road Ea9en, Minnesota 55122 Phone: 4544100 - .. , - PERMIT - ;o Dote: ? Site Address: Lot 3439 Hgihlander Dr. 4 Block 5ub/5ec. SH *ft :a? ld r;edallfon Corp Name ? Address rjbC Southgare Off Plaza ? ; ?? .,. :3?--•?f 2 City Phone: s'roject Flumbiriq Name ? ? Address e ? .> City Phone: This Permit is issued on the express condition that all work shall be Minnesota Stotutes ond City of Eagan Ordinonces. No. Receipt No.: Single I X Residential Multi Res., Comm./ir?d. I ,..,.. New//11ter. / Repair Cost of Instnllution _ Gf,.(iC Permit Fee 5urchorpe • v . Tota I done in accordance with all opplicuble State of Building Official ? CITY OF EAGAN . 3795 Pilot Knob Rood Eogan, MN 55122 N2 4694 PfiONE; 4548100 BUILDING PERMIT ReceiPr # Ta be used for "'??n`?n??Se Est. Volue Date ?g . 5ite Address 3439 fiighZander. U'x. Erect ? x Occuponcy Surrey Hghts ?'th 4 Lot B[ock 5ec/Sub. Aiter ? Zoning Parce! # ' 0 73005 030 04 Repair ? Fire Zone Eniorge ? Type of Const. W Name Cold ?F4edallion C02'?; Move ? #k Stories 3 Address 650 SOtt thgatP i.,f f '' ?=? == Demolish ? Front ft. ? Cih, - Phone Grade Depth ft. °c Nome _ 0 ?Q Address ? Assessment _ Water & Sew. Pol ice uix Name FW Fire uu Address Eng. - aW Citv Phone Planner _ Cauncil _ I hereby acknowledge that I have read this opplicotion and state that gldg. Off. the informotion is correct and agree to cornply wifh all opplicoble APC - State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: Gol ;(edaIlion oll work shall be done in eccordance with all appficable Stute of Minnes Building Official - - Fees Surcharge Plan check SAC ° Woter Conn. Woter Meter Totai on the express condition thot Statutes and City of Eagan Ordinances. vemk # care ln„ea rwnMro. Plumbing _Mechanical ?- !NS?ECT10N5 DATE INSP. RauQh-!n Finol Footings s j-?,f Date Insp. Dcte Irup. Foundotion Plumbing ? Frome/ins. Mectwnicol Finol -a-?-? I Remarics: / J? _.1? -, $ ?,??„ ???CC? • I Control No. 1246 INSPECTION RECURD ; CITY OF EAGAN PERMIT TYPE: AUZ L 0 J NG ? 3830 Pilot Knob Road Permit Number: *r> > 11 j Eagan, Minnesota 55123 Date lssued: 14 I2g/ 9 2 I (612) 681-4675 SITE ADDRESS: 1.011 6 BLacK j4 APPLICANT: 34'17 NI4HtAMDER OR A b 3 MASbMRY I SURpFY HE I6NT!3 fsi'H (612) 489-2066 -i PERMIT SUBTYPE: TYPE OF WORK: S r (N 1 yr. REPaIR . Qt'il.RIPYxOp AAltAA!' dIACK wALI Peimn tro. Ferms Holaw oats Ta.phone s S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspectton Date Inap. Commerrts Footi^gs I '/o/q Foundatfon Framing Rooflng I R"gh Pfb9• Rough Htg. I lsul, Fireplaee I Final Fftg- Orset Test Fnel Plbg. Pibg. InspeCtor - Notlly F+Iumber Conet. Meter Eng?JPlan a?dg. Fmal Deck Ftg. Ao? beok Finel WeU Pr. Dlep. INSPE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ,.1 ',11Rf;F Y il? ! tiFl'1 `.. f• I FI :CORD PERMIT TYPE: Permit Number: Date Issued: n 111 u ?i 4PPUCANT: ( t, i • ', -6? 1 iiWts s 1MLU[1 ?'; {N.310 (l(1T :3) {441 SI()t 1) :i443 Ciiil' ?) V 1 f ', ((+ I 1 t' f F 0 t i pl V> 1 R MI 1 #.' H n c• I ( 1 (17 : t, Fa L. R 1, `: 1.1 F7 ft I 13uit 1) 1 NCi a;e4r0 A.; /'I t iy;.9 ' PERMIT SUBTYPE: TYPE OF WORK: ;t PA[k ? ? •I: 1 i i 11I? (:M -- 'S11)ENfi Permit No. Permk Holder Dste 7elephone # SAAI PLUMBING HVAC ELECTRIC ELECTRIC Inapectlon Date Insp. Commanta Footings I Foundation Framing Roofing Fough Plbg. Rough Htg. Isul. Fireplece Final Htg. Orsat Test Fnel Plbg. Plbg. Inspector - Noti(y Plumber COrtst. Meter Engr./Plan Bidg. Final ( Dedc Ftg. Oeck Final Well Pr. Disp. CITY OF EAGAN . 3795 Pilot Knob Road - Eogen, Minnesota 55122 Phona: 454-8100 PLUMBING PERMIT No. 116G 7 i 14/'78, 10857 Dote: ' Receipt No.: I Single Site Address: Residential ? ? Lot Block Sub/Sec. Multf Res., Comm./Ind. _. ? _. . LG'...1..:.. ..C: '- Ncme New/Alter air / Re . p Address Uf1? 'r'laZz Cost of Instullation ? ' '1v• ? City ` Phone: Permit Fee :' i?? GL. r fl ? iW1:1?3 Name : J.: Surcharge . i ' P 43 l umboldt Ave.„ Address y' e 0 . `_f . .. : .. ..r _ V ?? J ?. .. ? C+ty ? Phone: Total This Permit is issued on the express condition that oll work shall be done in accordonce with all applicable State of Minnesota Statutes and City of Eagon Ordinances. Building Officiol ? CITY OF EAGAN 3795 Pilot Knob Road ? Ea9an, Minnasote 55122 ? Phone: 454.e100 H'•TTING - PERMIT No. ' 282 pate: September 13, 1-' . Recelpt No.: Single Site Addre . ?`'= 37 Ri^. i:lullcter ? . Residentiul Lot ` Block _ 5ub/Sec. SH 6th Name ? Address City ''::Lnqton Phone: Na,,,e . t-lir,der & Son Inc. . ? ? Address ':r Av-. a S City ' Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes ond City of Eagan Ordinonces. Multi Res., Comm./Ind. ? .. .. I?;,•? New/Alter./ Repaf r Cost of instollation Permit Fee 20.00 ^50 c ...?,,,... ,. , Total ` done in accordonce with all applicoble 5tute of Building Official BUILDING PERMIT ,-w;fluse Site Address Lot Parcel # - W Name 3 Addre: 0 dt , o Name _u I R4 3 V - ft. h. ? Fecs pu ?dr? Assessment Permit ' ? • ' ` •' _ ug Ci Ph Water &$ew. Surcharge lb. 50 one F cl? Police Plan check FZ Name Fire SAC • '? xE5 Address Eng. Water Conn. - '? aW Ci Phone Planner WaterMeter Council I hereby acknowledge that I have read this application ond state that Bldg. Off. the informotion is corred and agree to comply with all applicable APC Total _•?` ° State of Minnesota Stotutes ond City of Eagan Ordinonces. Signoture of Permittee "edal_1.ioZ (.orp A Building Permit is issued to: on the express condition that ctrr oF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 Receipt # y _.' _. • Block ' Sec/Sub. N4 4-693 ? Erect ? Occuponcy - .S 6t" Alter ? Zoning ,d-,4 Repair ? Fire Zone - ? E l e t T f C n arge . p yp . o ons Move ? $k Stories - Demolish ? Front Grade ? Depth oll work sholl be done in accordonce with all applicoble State of Minnesota Stotutes and City of Eogon Ordinances Buifding Officinl r.mi+ # oere ima.e r.anr« Plumbing Mechonical /.3 _ 7 y . INSPECTIONS OATE INSP. Rou9h-In Final Footings .3 - j-TS Date Insp. Dcta Inw. Foundation Plumbing .,? -?- Frume/ins. Mechoniccl Final Remarks: ? . , . . . . GAS. WORK ORDER 1082 Payne Ave. STANDARD St651/772-2449101 6HIEATING09 & AIR CONDITIONING 410 W. Lake St. Minneapolis, MN 55408 6121824-2656 A Blue Dor Service (-o. EQUIPMENT INFORMATION LAST FIRST TYPE I ADDRESS ` MAKE " r ?I CITY ?MAA) ZIP MODEL ??rq-vO 6 0(0 HM PH L/? ??7 qr? WK PH SERIAL p - TECH DATE ' - a -? / INPUT ? '?-? ORSAT TEST RECORD , ;'' C02 ' % METERED INPUT ' vCfh CHIMNEY TYPE 02 % UMIT SETTING ,Qv ° FLUE SI2E Yin.? CO 11dot % PILOT oUTAGE sec CONNECTOR SIZE in. NET STACK TEMP G O 0 TOTAL CHIMNEY INPUT btuh }c` ; ? D. i, INC. 5001 W. 78TH STREET. BLOOMINGTOV. MINNESOTA 55437 NUMBER? VENDOR NAME SUB•COMPANY NAME CHECKOATE CHECKNO. MEMO INFORMATION INVOICE IDENTIFICATION INVOICE DATE INVOICE AMOUNT TERMS DISCOUNT AMOVNT PAID Building Pe Block 4 and its for _ lock 1 ?t • Jll _ v ??? ? 1 Surrey Sixth Addition j• `• •? ? $7, 576. 00 -?i? = ti?=+?i- ? - -? i i ? !1=-t?? = t?1?u? ? i ? ? ?niwi ? ? ? ? ??t , ? ? , ? -Ill'-'Ill'°'11l'=-- ?,:...:?is'_??f?'.__'!??' ? , , _ ?+? ? ???=- il• =•li! =•t??•= ?lJ. _',i?'_',r?' :,i??- ?i? -? --•???- ;,' ? ?i,- ? jll•---Ilt-: --:i,•-. ;,? ? _ •??1- - -- CITY OF EAGAN SEWER SERVICE PERMIT 3795 Filot Knob Rood PERMIT NO.: Eagon, MN 55122 DATE: Zoning: No. of Units: Owrter: Address: V Site Address: Plumber: I a9ree to comply with the City of Eagan Ordinances. BY - Date of Insp.: No.; to eomPlr with the City of Eogon Connection Chorge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: Total: _ Dote Poid WATER SERVICE PERMIT PERMIT NO.: DATE: - No, of Units: _ Connection Charge: - Account Deposit: _ Permit Fee: Surcharge: Misc. Chorges: Torol: Dote Paid: - CITY OF EAGAN WATER SERVIC E P 3795 Pilot Kno6 Road ERMI Tl Eagan, MN 55122 PERMIT NO.: _ Zoning: _ ?ATE: Owr.er: No. of Units: ' Address: - Site Address: Piumber: - Meter No.: Size: Cannection Chorge: Reader No.: Account Deposit: 1 ogree to eom Ph with Fhe CiEy of Eogan Permit Fee: ---- ardinances. Surchorge: Misc. Chorges: BY Torol; Date of Ins p.: ?e POid' Insn_r CiTY OF EA6AN WATER SERVICE PERMIT 3745 Pilot Knob Rood PERMI7 NO.: Fagan, MN 55122 DATE: Zoning: No. of Units: Qwner: Address: 5ite Address: Plumber: Meter No.: _ Ci7o• Reader No.: 1 agree to wmply with fhe Cityr of Eagan Ordinances. R., Dote of Insp, Connettion Chorge: ACCOUIIS DCpOSIT: Permit Fee: Surcharge: Misc. Charges: Totol: Dote Poid: - I nSp.: CIT`: OF EAGAN SEYVER SERVICE PERMIT 3745 Pilot Knob Rood PERMIT NO.: Eogan, MN 55122 DATE: Zoning: No. of Units: Owner . ? Address: -- Site Address: Pl ber: - um I egree to oomply with the City of Eagan Connection Charge: Ordinaeces. Account Deposit: Permit Fee: Surcharge: gy Misc. Charges: Dote of Insp.: Totol: Insp.: . Date Paid: WATER SERVICE PERMIT CITY OF EAGiAN I 3795 Pilat Knob Road PERMIT NO.: Eagon, MN 55122 DATE: Zoning: _ No. of Units: Owner: Address: Site Address: - Plumber: -- Meter No.: - Connection Charge: Size: _ Account Deposit: Reoder No.: Permit Fee: - 1 agree M Comply with fhe City of Eagan Surcharge: Ordin4nces. Misc. Chorges: Total: By Date Paid: Date of I nsp.: - I nsp.: Y OF EAGAN 9 Pilot Knob Road PERMIT NO.: ?n, MN 55142 DATE: n9' No, of Units: 3r: ess: Address ? - ,'_.*r_ Plumber. --?._ ? 1 neree to comply with the City of Eagan Connection Churge: Ordinances. Account De posit: _ Permit Fee: B Surcharge: y Misc. Cl?arges: _ Dote of Insp.: Totaf: Insp.: Date Paid: CIT` QF EAGAN 3795 Pilot Knob Rood PERMIT NO.; Eagce, MN 55122 DATE: Zoning: No. of Units: - Qwner. Address: -- 5(te Address _ Plumber: I agree to eomply with Ordinanoes. By DaYe of lnsp.: Insp.: __ Connection Charge; Account Deposit: Permit Fee: Surchorge: Misc. Gwrges: Total: Date Poid: - 100.9 u,Dv--i?cv(J s request void 18 months from P 87Q08 Date of this Request_ 6-16-1978 I, asAX Licensed Electrical Contractor ? Owner, do hereby request inspection of the ahove electri- cal wiring installed at: ?-?? Street Address or Route No. 3441 Hi?;hlander Drive City Eagaaa Section Township Range County Dakota Whilh is occupied by D H Guetaf son (Name of Occupant) Is a roughin inspec[ion required on [his job? No ? Yes EIK Ready Now ? Will Call Oc Power Supplier Dakota CtY. Address Farmington Electrical Contractor O.B. Thomneon Electric Co. Contractor's L9cense NoA33735 (Company Name) Mailing Address 12201 E2tka Alvcii. Mtk,41, 5V43 Authorized Signature Phone No. 933•2521 ' (Electrlcal Contractor or Owner Making Thiz Installatlon) This inspection request will nai 6e accepted 6y the C{ (? State Baard unless proper inspection fee is enclased. Mmnesota 5tate tsoard ot tiectncrty 1954 University Ave., St. Paul, Minn. 55104-Phone 645•7703 ' FiErQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQliEST P 87809 Tylte of BuJBing New Add. Aep. Check Appliances W'ved For Check Fquipment Wired Foi Humt, 7E El ? Range ? Temporary Wiring ? Duplex. Apt. Bldg. ? ? ? ? ? ? Water eater ? Dryex Lighting Fintures Electric Heating ? ? Cpmmercial Bldg. ? ? ? Fumac ? ? ? Silo Unloader ? lndustrial Bldg. ? ? ? A'v Co n `??? Bulk Mtlk Tank ? Patm ? ? ? List List Other ? El El Iltheis) ? Disp.D19h. ere ? Others? Here ) CdAPUTE INSPECTION FEE BELOW Service Entrance Size: it Fee Fceders&Subfeeders: # Fee Cirwits: # Fee 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres Ol to 200 Ampsl 31 to 100 Am eres 31 to 100 Am eres Abeve 200 Amps. Above 100 Amps. Above 100 Amps. Transfotmecs RemoteControlCiic. Partialorothetfee • Signs Special lnspection Minimum fee Remarks E11T1Ch TOTAL F WQ. 40 40. 50 I, the Electrical Inspector, hereby certif?j?jt the a ov inspection has been a? Z (YLough-in) Date (Final) Date, This request void 18 months from v..?.7--i?ty?o s request void 18 months from . / 0.5'W,=3 Date of this Request 6-16-1978 P 8780 7 I, as JaLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: : , Street Address or Route No. 344 3 Highlander Dj?ive Cit,,Eagart Section Township Range County Dakota Wtiich is occupied by D.H. Guata£eon (Name oi Occupant) Is a roughin inspection required on this job? No ? Yes:M Ready Now ? Will Call 19: PSwer Supplier Dakota Ct.Y. Address Faraington Electrical Contractor O.B. Thomosoxi Electric Co. Contractor's License No 33735 (COmpany Name) Mailing Address Authorized vd.. Mtka (Electvltal Contr2cl8r or Phone No. 933-2521 (??j /?? r;a u 5?? p o?y???- ???? This inspectian request will not be accepted 6y the ?? ?1 Stete Board unless proper inspection fee is endosed. Minnesota State 8oartl ot tlec[ncity University Ave., St. Paui, Minn. 55104-Phone 645-7703 `? ; REQUEST FOR ELECTRiCAL INSPECTION P 87806 CH€CK ELOW WQRK COVERED BY TH1S REQUEST Type ot BuAding New Add. Rep. Check Appliances Wired For Check Equipment Wired For yome 7a ? ? Range ? Temporary W"ving ? Duplex ? ? ? Water Hea:er ? Lighting Fixtures fa]C Apt. Bldg. ? ? ? Dryei Elecuic Heating 0 Commercial Bldg. ? ? ? Fuma IW% Silo UNoadec ? Industrial Bldg. ? ? ? Av Co ition A 8ulk Milk Tank ? Farm List List Othei ? ? ? p Heie S p Heiers? COMPUTE INSPECTION FEE BELOW Seevice Entiance Size: # Fee Feeders&Subfeede[s: # Fee C'vcuits: # Fee 0 to 100 Am s. 0[0 30 Am xes 0 to 30 Am eres 101 to 200 Ampsl II 31 to 100 Amperes 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above 300 Amps. Transfocmers Remote Control Circ. Partialoio[herfee .50 S" ns Speciallns ection Minimum fee Remarks E1?iC7 TOTALF ?d.d?/ 0.50 1, the Electrical Inspector, herc ftif v spection has been ma (Rough-in) ? Date (Finai) Ct7??;o? Date IY - aJ' This request void 18 months from Minnesota State Board of Electricity 1954 !Jniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 ? . ReQUEST FOR ELECTRICAL INSPECTION CHEC°-BELOW WOJtIC COVERED BY THIS REQUEST ? OS"?13 P 87807 Type f Building New Add. Rep. Check Appliances W'ved For Check Fquipment Wired Fo[ Hume ? ? ? Rxnge ? Temporary Wiring ? Du,plez ? ? ? Water Heater ? Lighting Fixtuces Ym1C Apt. Bldg. ? ? ? Dry Electric Hea[ing ? Commetcial Bldg. ? ? ? Fur ?? P ? Silo Unloader ? .ndustria] Hldg. ? ? ? A'v , dit" Bulk Milk Tank ? Farm ? ? ? List List ) Other ? ? ? p Heheis? 18P. 13 • Heherst ) COMPUTE INSPECTION FEE BELOW Service Entcance Size: # Fce FeedersBcSubfeeders: # Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Am ies 0 to 30 Am tes (Ol to 200 Amps. i OjJ 31 to 100 Amperes 31 to 100 Am eres `Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers 1 1 RemoteControlCirc. Partialorotherfee Signs Speciaf Ins ection Minimum !ee $ Remarks Ih11T1C?1 TOTALP (r6,6 0.5Q I, the Electncal Inspector, hereby ce at t ve /nspection has been m (Rough-in) Date (Final) Date This request void 18 months from ?'hi4? 9L?e? voiN618 months from Y P ? 87806 Date of this Request 6-16-1978 I, as EcLicensed Elec[rical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: ?? 13 6 G y.? ? 6/ ?" ? Street Address or Route No. 3439 HiFhl'ti"y? ari er Drive Cit)k'a.gan Section Township Range County Da.kota 1Yhich is occupied by D.H. Gustafsoxi (Name of Occupant) Is a roughin inspection required on [his job? No ? Yes42 Ready Now ? Will Call $ Power Supplier Da.kota Cty. Address _ Farmington Electrical Contractor O.B. Thompsar: Plectric Co. Contractor'sLicenseNdl35 (COmpany Name) MailingAddress 12201 14?tka Bled., I4Ttka 5..5h43 Authorized Signature sThN B0ARD COPY Phone No. 933-252I This inspectian request will not 6e accepted by the State Board unless praper inspectiontee is enclased. 4V.?U-- geu rD This request void 18 montNs from y . / o.s-1,43 P 87805 _ Date of this Request 6-ill I, asiff Licensed Electrical Contractor Owner, do hereby request inspection of the above electri- eal wiring installed at: , J&??? y C? t?r,.:. ?? O< ? Street Address or Route No. 3437 Iiit?'hlander Driae City E2ean Section Township Range County Dakota Which is occupied by D.H. Gustafson (Name of OctuOant) Is a roughin inspection required on this job? No ? Yes OK Ready Now ? Will Call Ox Power Supplier Dakota Cty. Address Parmington Electrical Contractor O.B. Thompaon Electric Co. Contractor's License No. A33a3; (COmpany Name) Mailing Address 12201 1'itka Ba,ad bitlca 55U3 Authorized Signature 5Z;) Z,-`x? Phone No. 933-2521 (Electrical Contrectar or Owner Making This Installatlon) This inspectian request will not he accepted by Uhe tl 0 State Board unless proper insp¢ction fee is enclosed. Minnesota State eoartl ot tiectricity -Phone 645•7703 qw-hrQniversUEST'FOR ity Ave., St. Paul, Minn. 55104 N ELECTRICAL INSPECTION CNF.CK RF.i f1W W(SiFK CnVF.RED BY THIS REOUEST P 87805 Type of Building New Add. Rep. Check Appliances Wired Foi Check Fquipment Wired For Home 7tb5C ? ? Ran ? Temporary W'ving ? Duplex Apt. dldg. ? ? ? ? ? ? Wat H ec/// ///??''''? ??1??1 ?? Dry / / \ ` ? ? Lighting Fixtures .? Electric Heating ? Commercial Bldg. Industrial Bldg. Farrti ? ? ?? ? ? ? ? ? Fu ? ce ? " ? ` Air Condit? n r 1'S Lis[ 71i a r? hi ch vwv Silo Unloader ? BWk Milk Tank ? Lis[ 1 Othei ? ? ? Heiels? p } Hehersf CnMPi ITF. fNSPF.CTiON FF.F. BGLOW Secvice Entcance Size: u Fee Feeders&.Subfeeders: # Fee C'¢cuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eies 101 to 200 Ampsl 5 0UG 31 to 100 Am eres 31 to 100 Am exes Abeve 200 Amps. Above ]00 Amps. Above 100 Amps. Transfoimers RemoteControlCi[c. Partialor o[herfee Signs Special [ns eclion Minimum fee Remarks Ellrich TOTALF ELf6,0?/ 0.50 I, the Electrical Inspector, hereby c tha e bofe ection has been (Rough•in) Date (Final) Date -a3 -? This request void 18 months fro ' This requeti void 18 months from b_41- /-2, R 5 2 7 0 Date of this Request I, as O Licensed Electrical Contractor wner, do hereby request inspection of the above electri- cal wiring installed at: „ Street Address or Route Section 1Vhich is occupied Is a roughin inspection required on this job? No ? Yes Cd Ready Now ? Will Power SuppK?.-s?.???? J -? --?? Address Electrical Contractnr ° Contractor's License No. . (COmpany Ngne) Mailing Address Elec rical Co t?cto r Qw e? Making This In5ta11ation?f ??aC - Authorized Signature ?." Phone No!&O.R c?7-23 ( ectrl 1 nt ctor or Owner Making Install lon) C(OpU This ins ection re uest wil not be acce ted 6 the ?t?G;l ll? Q? ?, a J-? r, ? A State Board unless proper inspection fee is enclosed. , -' . Minnesota State Board of Electricity 19541Jniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 , REQUEST FOR ELECTRICAL INSPECTION CHECK I3ELOW WORK COVERED BY THIS REQUEST / '--7 oZ /eZ R 5270 Type of BuOding New Add. Rep. Check Apptiances Wiced For Check Fquipment W'ved For Home ? ? Renge ? Tempoiary W'ving 0 Duplex ? ? ? Watec Heater El Lighting Fintuces ? Apl. Bldg. ? ? ? Dryer ? Elec[ric Heating ? Commercial Bldg. ? ? ? Fumace ? Silo Unloadex ? Industrial Bldg. ? ? ? Ait Conditionei ? Bulk Milk Tank ? Farm Lis[ L ist Other ? ? ? p Heh p Heeis re? ) COMPUTE INSPECTION FEE BEL Service Entrsnce Size: # Fce Fceders $ ee Cixcuits: # Fce 0 ro 100 Am s. 0 to 30 Am res 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers RemoteControlCirc. Partial or other fee CJ Signs Speciatins ection Minimum fee $5.00 Remazks f TOTAL FEE 1, the Electrical Inspector,? cer?p?J?Z inspection has been ma (Rough-in) V `?' Date ? ?f (Finat) " vate -1- This request void 18 months m crrr oF eacaN ? , . . 3795 %lot Knob Road Eagan, MN 55142 No 4696 PNONE: 4548700 $43 000 9299 BUILDING PERMIT APPLICATION Receipt # - Townhouse Mar. 10, 1q78 To be used for Est. Value Date _ Sire Address 3443 HiRhlander Di. Erect ?X Occupancy I Lot Z elock 4 Sec/Sub.Surrey Hghts 6th qlter ? Zoning R4 . Parcel # ? Repair ? Pire Zone _.3 Enlarge ? Type of Const. V rc Name Gold Medallion Colp µpve ? # Staries z Address 650 Southgate Off Plaza pe,od;sh ? Front - ft. Ci MPls Phone R35-7262 Gmde ? Depth ft. p Nome T, R G' af 69•• c^••,? PV o< - . , Address Assessment_ r Water & Sew. Ci Phone ? Police - 0 idw Name Fi FW re ?? Address Eng. <Ci Phone Planner _ Council - I hereby acknowledge that I have read this opplicotion ond state that gldg. Off. _ the informotion is correct and agree to comply with all applicable Sfote of Minnesoto Statutes ond City of Eagan Ordinantes. APC Signature of Pertnittee rovale Feas A Pem,it 1[3.uu Surchar9e 21.50 Plan check SAC 500.00 Woter Conn. 2 50, 00 Water Meter 60.00 ? 7orul 954.50 A Buildinq Permit is issued to: Gold Medallion Corp on the expreu condition that all work shall be done in accor ce ith oll ppli oble State of Minnesota Statutes and City of Eogon Ordinonces. Building Officiol BUILDING PERMIT APPLICATION ._ ,_ ,__ Townhouse , $33,000. Receipt # Mar. LO 1978 Site Address 3441 Ni hbander Dr. 6 Lor 1 Block 4 Sec/Sub. Surre Nght th parcel # 10 73005 OLO 04 --Lln ? Name Gold Medallion Corp ; Addre 650 Southgate Off Plaza o s,pTTs --8J.') - T2b Z y Ncme U CI IiUSL9I50II JBItIH p Z O?u Address Name I hereby acknowledge thot I have read this opplication ond state thot tha informotion is mrrect and agree to comply with all applicable Smte of Minnewta Statutes and City of Eagan Ordinonces. Signature of Permittee A Building Pertnit is issued to: GOld all work shcll be done in actordo 94 with t Building Official cin oF Fr,raN 3795 Pilof Knob Rood Eagon, MN 35722 PHONE: 4546100 Erect E]X Occuponcy ? Alter ? Zoning R4 3 Repair ? Fire Zone Enlarge ? Type of Const. V Move ? # Stories Demolish E] Front fr. Grade ? Depth ft. Approvah Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit 70.VV Surcharge 16.50 Plon check SAC 500. 00_ Woter Conn. 25().$o Woter Meter 60. 00 Toral 924.50 110n COTp _ on the express wndition that iA State of Minnesoto Statutes and Ciry of Eagan Ordinances. N? 4695 9299 CITY OF EAGAN ' 3795 Pila Kno6 Roed Eagen, MN 55722 .. . . PHONE: 4548100 BUILDING PERMIT APPLICATION $43,000. Receipt # Townhouse ?_? „_, _ „_,_ Mar. 10 Site nddress 3439 Highlander Dr. Lor 3 Block 4 Sec/Sub. Surrey Hg Parcel ;p 10 73005 030 0? c Name Gold Medallion Corp z 650 Southgate Off Plaza ? Addre p 5 ^ 83-J-/ZbZ Name _ Zp u ?Q Address s Name I hereby ackrrowledge that I have read this opplication and state that the information is wrrect and ogree to comply with oll applicoble State of Minnesota Statutes and City of Eogon Ordinances. Signature of Permittee A Building Permit is issued to: Gold Med8111on CO all work shnll be done in acco2t w???t?fi ali vppli 461e S+?e, oG? Building Official -r ? NR 4694 9299 .,, 78 Erect ? X Occuponcy I Alter ? Zoning R4 Repair ? Fire Zone 3 Enlorge ? TYPe of Const. V Move ? #"$tories Demolish ? Front ft. Grade ? Depth fr. Aoorovnls Fees Assessment - Water & Sew. Police - Fire Eng. Planner ? Council - Bldg. Off. APC Permit 1[3.Vu 21.50 Surchorge Plan theck SAC 500.00 Woter Conn• 250.00 Water Meter 60.00 Torol 954.50 on the express mndition that Statutes and City o4 Eagan Ordinances. ciTr oF eaG,sN ? - .. 3795 Pilot Knob Road Eogan, MN $5122 N4 _ 4693 ? PHONF: 454-8100 BUILDING PERMIT APPLICATION 4 000 3 Receipt # 9299 3 . , Te be used fer TownhoUSe Est Value Date Mar . 10 . _, Site Address 3437 HiChlander Dr. Erect pX Occuponcy i Lot 6 Block4 Sec/Sub. SUrTey HghtS 6th qlter ? Zoning R4 1 0 73005 Repair ? Fire Zone 3 . 060 04 Parcel # Enlorge ? Type of Const. V rc Name Gold Medallion CoLp Move ? # Stories 3 Addrea 650 Southgate Off Plaza pe,,,olish ? Fronr - ft. ? 835-7262 MPls Grade ? Depth _ ft. Ci Phone D H Gustafson Same Avwo.nb Feea Z G u°a f Name I hereby acknowledge thot I have read this application and state that the infortnotion is correct and ogree to comply with all applicable Stace of Minnesota Statutes and City of Eagan Ordinonces. $ignature of Permittee _ A Building Permit is issued to: oll work shall be done in accd Assessment - Water & Sew. Police - Fire Eng. Planner _ Council - Bldg. Off. _ APC Permit yt1. VU surchorge 16.50 Plan check S,qC 500.00 Water Conn. 250,00 Water MeMr 60.00 roral 924.50 Gold Medallion Corp on the express mrdition rhor with all-a))pliwble State of Minnesoto Stotutes and City of Eagan Ordinonces. Building Officiol 娷潯‷䕒䥓䕄呎䅉⁌䱐䵕䥂䝎倠剅業⁔偡啐慃楔乯਍䥃奔传⁆䅅䅇ൎ㌊㌸‰䥐佌⁔之䉏删䅏ⱄ䔠䝁乁䴠⁎㔵㈱ല㘊ㄵ㘭㔷㔭㜶വ倊敬獡⁥潣灭敬整映牯洠摯晩捩瑡潩獮琠硥獩楴杮爠獥摩湥楴污搠敷汬湩獧മ䐊瑡⁥‵‱⁚‡㽢਍楓整匠牴敥⁴摁牤獥⁳″⁹‴‿ⴿ㽩楴⼠湁⁁敥传⁲湕瑩⌠਍牐灯牥祴传湷牥吠㐠牲卥椪吠汥灥潨敮⌠
ഩ㔊㼿㼿氠✿䱉‿畉㽞㼿㔿张吠汥灥潨敮ണ愊਍潴൲琊਍ൃ弊਍湯਍൲挊਍絳㔠⸿″⵻⸿㼠⁕楃祴䌠䅉䨴䬠瑓瑡䅥䄴⁲楚⁰晓‷㼯ധ䤊⁉‱⁅㐵ㄱ਍മ䄊摤敲獳਍਍桔⁥灁汰捩湡⁴獩› 睏敮⁲⁖潃瑮慲瑣牯张瑏敨൲匊灥楴⁣祓瑳浥张丠睥张删晥牵楢桳摥匠扵業⁴′敳獴漠⁦汰湡⁳湡⁤偍⁃楬散獮⁥湉汣摵␠ㄠ潃湵祴〠⸰‰敦൥倊牥愠⵳畢汩⁴․〱〮ര䘊物⁥敒慰物⠠敲楰捡⁥畢湲摥漠瑵映硩畴敲ⱳ攠捴⤮␉㤠⸰〰਍␉㔠⸰〰਍汁整敲楴湯⁳潴攠楸瑳湩⁧睤汥楬杮ഉ䄊摤瀠畬扭湩⁧楦瑸牵獥‮桔獩映敥椠据畬敤⁳湩瑳污慬楴湯漠⁦⁡慷整⁲潳瑦湥牥愠摮潬⁲慷整ॲ਍敨瑡牥愠⁴桴⁥慳敭琠浩⹥℠⁦潹⁵牡⁥湩瑳污楦杮漠汮⁶⁡慷整⁲潳瑦湥牥愠摮漯⁲慷整൲栊慥整Ⱳ搠潮⁴潣灭敬整琠楨⁳敳楤湯※潭敶琠桴⁥敮㼠政㼿㼠政呣㬿椠㽐ത㼊ഉⰊ⁉䥉਍灡汰慩据⡥⥳礠畯愠敲椠獮慴汦湩⹧ഉഊ䴊奡漠挠൲弊敓瑰捩匠獹整扁湡潤浮湥ॴ਍慗整⁲畔湲牡畯摮⠠摡⁤ㄤ㘳〮‰晩愠㔠㠯•敭整⁲獩爠煥極敲⥤ഉ伊桴牥ऺ਍␉ㄠ⸵〰਍਍⁘慗整⁲效瑡牥਍慗整⁲潓瑅湥牥ഉ渊睥㼠爠灥慬散敭瑮ഉ琊睡牉楲慧楴湯张偒⁚偟䉖张敮⁷牟灥楡⁲牟扥極摬ഉ␊㌠⸰〰਍␉⸠〵਍瑓瑡⁥畓捲慨杲॥਍䤉൓ऊത吊瑯污张ഉ䤊栠牥扥⁹灡汰⁹潦⁲⁡敒楳敤瑮慩汐浵楢杮倠牥業⁴湡⁤捡湫睯敬杤⁥桴瑡琠敨椠普牯慭楴湯椠⁳潣灭敬整愠摮愠捣牵瑡㭥洠捡挠敮਍潷歲眠汩敢椠潣普牯慭据⁥楷桴琠敨漠摲湩湡散⁳湡⁤潣敤⁳景琠敨䌠瑩⁹景䔠条湡愠摮琠敨瀠畬扭湩⁧潣敤㭳琠慨⁴൉甊摮牥瑳湡⁤桴獩椠⁳潮⁴⁡数浲瑩‬畢⁴湯祬愠灡汰捩瑡潩潦⁲⁡数浲瑩‬潷歲椠⁳潮⁴潴猠慴瑲眠瑩潨瑵愠瀠牥業⁴湡⁤潷歲眠汩敢椠൮愊捣牯慤据⁥楷桴琠敨愠灰潲敶⁤汰湡椠桴⁥癥湥⁴⁡汰湡椠⁳敲畱物摥琠敢爠癥敩敷愠摮愠灰潲敶⹤਍灁汰捩湡獙倠楲瑮摥丠浡⁥灁汰捩湡獙匠杩慮畴敲 00 ?. 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telep6one # 651-675-5675 ' L:. Please complete for: single family dwellings & townhomes/condos when pertniu are requ'ved for each unit Date __4_._ / i?t) jc= Site Address 3yA"1 ?????1 a..fl(ftev -Dr ' Unit k Property Owner 1 , ? CSG?. ??QO+?? Telephone # (u7=)i Cantractor Dan Wohlers Southside Htg. & A/C 6950 W. 146' St., #106 StreetAddress Apple Valley, MN 55124 - City State _ (952) 431-7099 Telephone # ( ) Bond #: T2,?- -?- 35 4 "-7 QI FS -7 Ezpires: The Applicant is _ Owner x Contractor _ Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 ? fumace _Additional ?Replacement _ New air exchanger air conditioner heat pump otlier r-? - - State Surcharge ? $ .50 APR 1 6 200? T l ota I hereby appty for a Residential Mechanical Permit and acknowledge that the information is comple[e 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 pertnit, 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. Cbad ?.?-`_c_>hte.rS ( ?a?? ApplicanPs Frinted Name Applicant's Signature ? 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION - City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 -1 `--j o U () New Construclan Reauiremenis RemodeVReroir Reouiremenis OFficet7seDniV 3 registered sile surveys shaxing sq. H. of lot, sq. ft, of house; and all roofed areas 2 copies of plan Cer4 oFSurvey:ReGd Y N (20°6 mazimum lot coverage allowed) 1 set of Energy Calalations for heated addifions TCeAPr6Pl? Recd _ N. 2 capia of plan shaxing beam & window sizes; poured found design, etc. . 1 site survey for addilions & decks res A11es Required 1 set of Energy Cakulations Add'dron - indicafe 'rf on-sife septic system 9ASit83gpYiC?sl6R1 3 copies of Tree Preservation Plan if loi platted afler 7/1/93 Rim Joist Detail Options selection sheei (bldgs with 3 or less units Date ia l;L jW l ['_Y Site Address 3 vv t ConstructionCost ?1'6g e, UnitlSte # Description of Work Fro l ,E f r?[ f Multi-FamilyBldg r Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner Gus ra C? Telephone #( 9r.? ) 9.11 - s's 7s Contractor wz.,{e 13 jjui Address 13 State Y1?' 35-ye Y y Ae A/• City I'/y.... f? > Zip ffTelephone#(G)2) aio- 6rSv COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catezorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber 4'?7vp?, 1t ? Telephone # ( ?`"? ? 9 a 2GOA MechanicalConhactor `I,' U? Telephone#( Sewer/Water Conhactor Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. /pr/I SIC rfvM Applicant's Printed Name ?J ? (ivt ff Applicant's Signature OFFICE USE ONLY Sub Types ' ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF ? 04 02-plex 0 10 DS-plex ;13? 18 Deck ? 23 Porch (screen/gazebo) ? 38 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Levei ? 24 Stortn Damage ? 06 04-plex ? 12 12-pleac Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demalish Interior ? 44 Siding ? 32 Add'Rion ? 36 Move Building 0 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors )zr- 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 0,_-9"0 Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const +Lkq Width Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Dcain Tile Roof Ice & Water Final _ Framing _ Fireplace _ RI. _ Air Test _ Final _ Insulation Approved By: REQUIRED INSPEC'I'IONS FinallC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Utility Connection Charge S&W Pertnit 8, Surcharge Treatment Plant License Search Copies Other ToWI ol7/?C 1"Al-15i fi,m- ?l ?t-e-0 Vol ????? MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits aze required for each unit &3o.s-b Date /d 3 Site Address Unit # ProperTy Owner Telephone # (? ) Contractor Street Address 410 WEST LAKE STREET City State ?12-R9n-2(RB? ZiP Telephone # ( ) The Applieant is _ Owner A Conuactor _ Other Add-on, modi5cation or alteration to existing dwelling unit $ 30.00 furnace replacement air exchanger ? air conditioner other State Surcharge $ •< `? ? $ Jd '? Tota ? I hereby apply for a Residential Mechanical Permit and acowledge that the information is wmp: be in conformance with the ord' s and codes of the City of Eagan and with the Mechanic pe ' but only an applica ' or a p mut, and work is ?ot to start o ermit that e v ap o ed plan in the Faye o ork whic requires a review ?nd approv of p ? . ) ApplicanYs Printed Name App?eYs ignatur, acwrate; that the work will iat I understand tlus is not a 1bg in accordance with the A MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) The Applicant is _ Owner _ Contractor _ Other Work Type Newconstruction UndergroundTank _Install _Remove interior Improvement Call for inspection du ring installation/removal of tank Processed Piping Nature of Work: Permit Fee $50.50 Minimum Fee (incWdes S1ate Surcharge) ConhactVaiue $ x 1`/0 = $ YermitFee • If permit fee is $1,000 or less, add $.50 => $ State Surcharge If pemut fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial Mechanical Pemut and aclmowledge 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 pertnit, but only an appiication for a pemut, 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. ApplicanPs Printed Name ApplicanPs Signature Approved By: , Inspector Date: INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ana; i-i[oria ot? rrn?rt?o sT??iira? PERMIT SUBTYPE: il1I5('f Ll_i1Pl i:'J!J TYPE OF WORK: 1) i:SCRIf'T70N ? E;tiri.o.rN r, c; ? 4s ? ; ?,+ REPAIR itF - STf)TPIG L f'iF14A fih;S : LI`llUf)I4 :54 (?.0?::?1 ?q'?}l (LC)l" 1j Fi'i?l :;; (L.67 1-EP3 ci7Li(_CTE o OiV f'Ef2h111 It?C? 467 (LOT „ aLl< J, ?URRtY HT1- q TH} PERMIT <5 i?t -l >( CITY'OF EAGAN Z?l? 3830 Pilot Knob Road PERMIT TYPE: u u T. ? o z n! r Eagan, Minnesota 55123 Permit Number: 70 (612) 681-4675 Date Issued: t? 3 1_1 .L / 4 3 SITE ADDRESS: LOT: b C;LOCS.= /I :;I1(?I>.FY il? I l6HT`.; Cilii P.I-aN.: ;?d-73t99ti-4? 6P?-G)4 DESCRIPTION: RE-FIDCi?F ? ni?il?iag ?rr;nil. I;^;??: P71.;???=llr^I?Lt1lJ3 ' f?>i;.!diriq Work fype ItE:PAlr2. UF3C Clceupancy k -% REMARKS: r.Ni_unr5 3 4 : ;s ( 1 n, ra'? t ( inr ) =nIIs rt c? _1 z; FF F?; rn<<[rrrn nu p=?m n tr>,qr?1 rtnr "iIc i ;U P r<r- v Far"a orH? FEE SUMMARY: CONTRACTOR: rapu 1 11 c,:? n; i; r 1-1 .r,OWNER: NETRCI SIDI:NG 15h/1.fl4BPI 00e1/1:461 ^n!1HRcY IiTS 70 WN fiOUSF ASSOC 7I? ;+1[ u ;+?R q c}VE Pi. iIJ Gii? 11"!01=17 DR PlYPi0U7h MIV ?I'!; Lfi?3ldh( 'I?P! [ hsr?6y oulF•dija i_hL 7 h'i 4e ro.;cJ l`.hi; a p plfcatio n nd ir,forinei'.i.oo is. r.ox -? c,: ?nc aorec Co comnly wr'_hi „11 3 p pl.i.c.1Vil.?> ';r,st w ni ?In ;T.atu'?o, o.nd Cit:y of Eaq,an Urd.innnr:=_?. L q - APPLICANT/PERMITEE SIGNATURE ISSUED.Py: SIGNATURE I REACTIVATE _ PERMIT IF ' "filth CITY 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 93 Valuation of work SCE fEAMiT foK 3409 Site Address: 343-7 NIGNLANOEElz De. 6NGUJ4-L"'S 3431, 3?F41.3443 STREET SUITE M Tenant Name: (commercial only) T & BIACK 4 SIIBD. Sup-eEY 4EIlsNTS P.I.D. N 10 ?300S ?o d4 I 3 I 2 Co ? Descri tion of work: Res ?O The applicant is: ? Owner ?1 Contractor ? Other (Descrfbe) Name S0r« 0 N r-,c gsSoc Phone Property LAST FIRST Owner qddress SiREET STE M City State Zip Company'cti2AYO S,s-3 i.r? Z NC Phone s57-109 Contractor Address Na yy a 3- g s'e No License #:' i?6 / Exp. j 3/ 93 City &Md?4 State ZiP ,JrSrf'/7 Company Phone Archttect/ Engineer Name Registration # Address City 5tate Zip Sewer & water licensed plumber . Processing time for sewer 8 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 ? El 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 02 Sf Dwg. ? 07 4-Plex )< 12 Multi. Misc. ? 03 SF Addition ? OS S-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations El 35 Tenant Finish O 32 Addition A34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REGIUIRED INSPECTIONS 11 Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Yariance ? Footing ? Final ? E314ment F?'nish Ct 17 3wim"Pool 0 IS Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Cade SAC Code Assessments 0 Framing ? Insulation 0 Draintile ? fireplace Permit Fee Surcharge Plan Review License MWCC SAC tity SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: vatuetim: $ F'? ccxcE-creo 6? Fbf- -3+o'? Ni?r-r??o?z PERm r # De. SAC % SAC Units _ yq?3 DpTEPdarch 8, 1978 BUILDING PERMIT APPLICATION Znclude 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. 1b be used for site Addresc .-.Z`cr = valuation 313000 3437 f1- a ,4 /d A A A 3439, 3441, 3443, 3445, 3447, 3449,3451 Highlander lq ^l Lot Block See ub, T- Prelim'inary Platted as Surrey He owner Gold Medallion CorA. address 650 Southgate Off. Plaza I1pls., Minn. Dr. Parcel Number / D 7A4O5 D 6 D ights Sixth Addition Te2ephone 835-7262 , i Inc.Telephone 835-7I/62 Contractor D.H. Gustafson & Assoc., Address 650 Southaate Office PLaza Mols., Minn. Arch./Enq. Robert G. Maanev, A.I.A address 11408 Oak Ridae Lane Minnetonka, Minn. Telephone 544-9219 OFFICG USE Erect X Alter Repaiz LYilarge Nbve Demolish Grade OFFZCE USE Taate of Approval & Initial Asaessment 121. ? /?78' ^ Water/Sewer Police Fire Eng. Planner Gbuncil Aldg. Off. A.P.C. Occupancy Zoning Fire Zone Type of Const. _ # of Stories Front Depth FEES Permit - Surcharge Plan Check snc lH I=' '52 n . ao t?ater Conn. 67ater Meter .?KG+• G O bn . G>O U TOTAT, ?/1.0 v pnTEPdarch 8, 1978 BUILDING PERMIT APPLICATION 76? Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. ' To be used for e Valuation Site Address: 3437 3439, 3441, 3443, 3445, 3447, 3449,3451 Highlander ot Block Sec. S, Parcel Number ?? 005 030 p li i y l d re m nar P atte as Surrey Height s Sixth Addition Oamer Gold Medallion CorQ. Te2ephone 835-7262 Address 650 Southaate Off. Plaza Mols., Minn. Contractor D.H. Gustafson & Assoc.. Inc.Telephone 835-7262 Address 650 Southaate Office PLaza Mpls., Minn. Arch./Eng. Robert G. Macrnev, A.I.A. Telephone 544-9219 Address 11408 Oak Ridqe Lane Minnetonka, Minn. OFFICP USE Erect X Alter Repair L•lilarge - Nbve Demolish Grade OFFICE USE Date of Approval & Initial Assessment Water/Sewer Police Fire Eng. Planner Council Rldg. Off. A.P.C. Occupancy ? Dr. 0?/ 7.oning A" Fire Zone Type of Const. #1 of Stories Front Depth FEES a? PeYmit Surcharge Plan Check SAC Si70 . n/> Water C.onn. F,ti-QTj Sdater Meter TOTAL ,?qt'95- BUILDING PERMIT APPLICATION npTEMarch 8, 1978 Include 2 sets of plans, 1 site plan w/elevations and 1 set of enezgy calculations. 'L?. <. O'c; 1b be used for Valuation 3 •jCd C% Site 3Wdress; 3437, 3439, 3441 3443, 3445, 3447, 3449,3451 Aighlander Dr. Lot Block Sec. Sub. / Parcel Number p/ D O? % .3 Preliminary Platted as Surrey Heights Sixth Addition owner Gold Medallion Corp. Telephone 835-7262 Address 650 Southcxate Off. Plaza Pdpls., Minn. Contxactor D.H. Gustafson & Assoc., Addreas 650 Southcrate Office PLaza Mols., Minn. InC.Telephone 835-7262 Arch./Enq. Robert G. Maqnev, A.I.A. Aadress 11408 Oak Ridae Lane Minnetonka, Minn. Erect x Alter Repair Enlarqe Move nemolish Crdde Telephone 544-9219 Occupancy OFFZCH USE Zoning Fire 7one Type of Const. H of Stories Front Depth 0£FICE USE 1?ate of Approval 6 Initial Assessment Plater/Sewer? Police Fire E7ig. _ Planner Council Bldg. Off. A.P.C. FF..ES c? ?rt Pezmit --- ---- -_ -. ? Surcharge 16 ` Plan Check SAC 5122 Da Water Conn. 4S0 . c'YO S°Jater Meter / n. na SU TOTAL ? _ • ??o ?0 npmgP4arch S, 1978 BUILDING PERMIT APPTIC2ITION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To he used Por ? Valuation site T.ddress; 3437, 3439, 3441, 3443 3445, 3447, 3449,3451 Highlander Dr. p y ?.?j?"6 Lot Block Sec. ub. Parcel Number 71P05 ?Preliminary Platted as Surrey Heights Sixth Addition owner Gold Medallion Corp. Telephone 835-7262 address 650 Southaate Off. Plaza HIpls., Minn. Contractor D.H. Gustafson & Assoc.. Address 650 Southqate Office PLaza Mpls.. Minn. Inc.Telephone 835-7262 Arch./Eng. Robert G. Maanev, A.I.A. Address 11408 Oak Ridqe Lane Minnetonka, Minn. Telephone 544-9219 OFFICE CTSE Erect X Alter Repair L•ttilarge - Nbve nemolish Grade Occupancy ? Zoning Fire 7•one Type of Const. N of Stories Front Depth OFFZCE USE Date of A r val & Initial -?, Assessment water/Sewer Police Fire Png. Planner Council Rldg. Off. A.P,C. FEES Permit Surcharge Plan Check SAC S"no . n?) Water Conn. 4r6 t-later Meter .-". TOTAL ! ? J INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 6 BLOCK: 4 3437 HTGHLANDER DR B& J MASONRY SURREY HET.GHTS 6TH (612) 489-2056 F- Control No. 1246 BU7:1_t]ING 001717 10129J92 -7 ? PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) I2EPAIR . [7FSCRIPTION GARAGE BLOCK WALI. PERMIT CITY OF EAGAN 3830'Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 Control No. 1246 PERMIT TYPE: Permit Number: Date Issued: f3UILDING Cnd1717 10/29/92 SITE ADDRESS: 3A37 IITGHI.RNCIER pR LOTe 6 BLOCKa 4 SURF2EY HEI6HTS G'1-4i DESCRIPTION: -" GAftAGE t3LOCK WALL .. ? B u i..1 cli'.xa,q P e r m i t 7 y p e S F°tM7-,'C"? t0 , Bui.letirlrj:'?Work Type REPAIR U8C f7ccuparre..,y hl-1 , 7 : F ? 1t1 '4 y ? y?_'I 't ? 1 ? t{ r 1 E vi ' J ? ?a x ..£ ,. .. ? - . ..?.? L ...._[? °.?.... 1.....„. REMARKS: Gt '? FEE SUMMARY: VALUAT;I:ON $1,690 Base Fee $37.0 0 CUPY 5@ :;urcharge ..„.._.,_._?....._____. $1Totai Fee $38.50 Subtotal $35.00 CONTRACTOR: - Ataplicant - OWNER: B&.] MASOMRY 14$92056 EiRILEY ENTERPRISES 434 HAl'L"H AVE WABASHlh ST PHUL MN 55117 57 PRUL MN (612) 489-2056 I hersby ackndwledge that i Have read Chis applicrata.4n and st,ate tVrat GFi2 ittformation is correcC antl agree to eornply wath aJ,l appiicable State bt Mrr. L s and C' y bf Eagan Ordinances. J ?v?nl m?rl APPLICANT/P TEESIGNATURE ISSU D IGNATRE ? PERMIT N REACTIYA3E CITY OF EAGAN 1892 BUILDING PERMIT 681-4675 APPLICATION ? ?f SINGLE 8 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 when typing of permit is requested, but not picked up by last working day of month in whi h t c re ues is made or lot chan e is re uested once ermit is issued. D n CrIV Date (0 / 2" Yaluation of work Cr Site Address: S Li 3 r] `Cr4 STREET SUITE N Tenant Name: (commercial only) LOT ? SLOCR SUBD. ??}- I ?Tt£.? r??l/??? lr ?? P.I.D. 0 Descri tion of work:--T'_ ?a?. t..l?.?? d- ?ce?? c.?` ??e- 2??0d The applicant is: ? Owner ractor O Other (Oeseribe) Name ?/ Phone ?aY-S `i?-- Property , LA:T FIRST Owner pddress 4?0- S7REET STE N City State Zip Company Phone CO?tf8Ct0r Address ? f 3Lt '?P License # Exp. City State ZiP Company Phone Architect/ Engit1BBr Name Registration N Address City State Zip Sewer 6 water licensed plumber Processing time for sewer & water permits is two days once area has been approve . I hereby acknowledge that I have read this application and state that the information is correct and agree Lo comply ith all appiicable 5t te of Minnesota 5tatutes and City of Eagan Ordinances. Signature of Applicant: . U ` ?""-- ? BUILDING PERMIT TYPE D 01 Foundation ? 02 SF Dwg. ? 03 SF Addltion O 04 SF Porch ? 05 SF Misc, WORK TYPE OFFICE USE ONLY ? 06 Duplex El 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 i Ir 44 ? 11 Apt./Lodgintf ? 12 Multi. Misc. ?13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 31 New ? 33 Alterations ? 32 Addition A 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 35 Tenant Finish ? 36 Mave Basement sq. ft. lst F1. sq. ft. ? 2nd F1. sq. ft. 5q. Ft. total Footprint 5q. ft. On-site well On-site sewage ? lb`Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS RC1PA?oL C.Ayq AGE t3toC-14, t,vAC,?_, ? Site ?footing ? Framing ? Insulation ? Nallbaard Final ? Draintile ? Fireplace Permit Fee 410 Surcharge Plan Review License MWCC SAC City SAC Nater Conn. Nater Meter Acct. Deposit 5/W Permit S/W 5urcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: ?g,9?g0 v.tuecfon: S I 6!Q O SAC % SAC Units a STATE RESIDENTIAL CONTRACI'OR/REMODELER LICENSING INFORMATION PERMIT # 1. I have made application for license to the Department of Commerce. Date of Application _ Residential Building ContraMor _ Remodeler " Signature Date 2. I am exempt because I am a Qpg specialty remodeler. lT Signature Date 3. < I am exempt because my annual gross receipts aze less than $15,000. Signature Date 4. I am exempt because contracts oa individual projects in aggregate do not exceed $2,500. . Signature Date Questions regazding the licensing law should be directed to the Department of Commerce, 133 East Seventh Street, St. Paul, Minnesota 55101, (612) 296-6319 Licensing Information, (612) 296-2594 (Enforcement). CITY USE ONLY ? I PERMIT #: RECEIPT DATE: C? ? US1DEN71AL 14IECRi4NICAL PEitMIT APPIICATION crnt oF gnsAx 3830 Paor xxos en raeax auQ ssi EE 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: ? ('9 SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: ?- TELEPHONE #: (AREA CODE) TELEPHONE#: (AREA CODE) STATE: Place a check mark next to the oermit work tvoe ZIP: New residential dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on, modification or alteration to existinq dwelling unit $ 50.00 • furnace replacement • air exchanger ? • air conditioner • other Nature of work: fleSI) (0 C.Q/ (Q? State Surchar e $ .50 Total Reminder: Call for inspections. i MAR 1 5 2001 Updared 1/Ol CITY USE ONLY PERMIT #: RECEIPT DATE: APPROVED BY: , INSPECTOR COMbIEftCLAL MECIIANICAI. PEfiMIT APPLICATION CtfY oF EA6m 3$30 PILOT KNOB RD £RHAN. MN 551EE 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit i)ATE: SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLI): PHONE #: - (AREA CODE) WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: ZIP: WORK TPPE: New conshvction _ Intenor Improvement _ Processed Piping Specify Nature _ Install U.G. Tank _ Remove U.G. Tank When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimnm fee Contract price: $ x 1°/a = $ State surcharge TOTAL $ (Base Fee) calculate at $.50 for each $1,000 Base Fee SIGNATURE OF PERMITTEE Updated 1/Ol