3438 Highlander Dr
Jun. 8. 2011 2:46PM SELA ROOFING No. 6530 P. 20
Use BLUE or BLACK Ink
-
Fo - O-ffi--u
.
ty of Eap I Permit j
1 I
fi
q
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 V 1 I
Fax: (651) 675-5694 1 staff; ;
1 ~
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date, C) G Site Address: b C14 •~n~t teo
Name:9 ICJ Ine:cJlJt- 1 s
RESIDENT ! yk~ 1121W112()
OWNER Address / City I Zip: Fri
Applicant is: Owner -Z- Contractor
TYPE OF WORK Description of work:`
Construction Cost: Mufti-Family Building: N- 1 No
Company: CS F l ~ tJ Contacxf5-A1 `G VA V V W
CONTRACTOR Address-406 1L-- J city; LC1U4_~ 2&4Z
State: Zip: Phone: G~ L V
License* CJI JCwobo lead Certificate l Vf C G 1 l lC~
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 supporting.docutnerits. that you submit are considered to be public information. Portions of
the information may be.classifed as nonpublic if you provide specific reasms that would permit the C41o
conclude that the are trade secrets.
GALL 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.oopherstateonecall.ona
I hereby acknowledge that this information is complete and accurate; that the work wi II 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 rt without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approv of plans.
r
cj=_,&~
tfi 64u& x G VAAIV 1 L2
Applicant's Printed Name Applicant's Signature
Page 1 of 3
I
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD Zo _o3
EAGAN, MINNESOTA 55122 O
DATE
wacKivm
19
AMOUNT $ I
DOLLARS
too
? CASH 0 CHECK
FOR
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
I CITY OF EQGAN Remarks-? ZZL3n? "//??
? addition SURREY HEIGHTS 7TH ADDN. Lot 2 R,k 3 Parcel 10 73006 n2n 03
? owner? screet 3438 Highlander Drive state Eagan, MN 55122
(UNIT)
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 975 738
WATERMAIN
* WATER LATERRL 1975
WATER AREA 1973
* STORM SEW ?- 1975
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. . 9-Z/-18
BUII.DING PER.
sAC 500.00 iisi 9-27-78
PARK 40.00 7735 4- -73
r
cHIiAN Remarks 7Z
AdditionSURREY HEIGHTS 7TH ADDN Lot 3 Blk 3 Parcel 10 73006 030 03 ,
owr,er??'_ st??i 3440 Highlander Drive Eagan, NIN 55122
5tate
UNIT
Improvement Date Amount Annual Years Payment Receipt Date i
STREET SUR F. ?
STREET RESTOR. I
GRADING
SAN SEW TRUNK
* SEWERLATERAL 1975 738.01 147.60 5 738.01 A004083 5-19-77
WATERMAIN
* WATERLATERAL 1975
WATER AREA 1973 Assessed der th@ or' inal arcel
* STORM SEW 1975
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, 250.00 11828 4-27-7$
SUILDING PER. #4 989
SAC
' 11998 9-27-78
PARK 98:88 7735 4-9-73
CITY OF EAGAN Remarks
Addition, SURREY HEIGHTS 7TH ADDN. Lot 1 Blk 3 Parcel 10 73006 010 03
Owner Street 3442 Highlander Drive State Eagan, MW 55122
rUnit)
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWERLATERAL 1975 738.01 147.60 5 738.01 A004083 5-19-77
WATERMRIN
* WATER LATERAL 1975
WATER AREA 1973 assessed der the OTl inal arcel
* STORM SEW M 1975
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 250.00 11827 9-27-78
BUILDING PER. -gT9-88-
SAC 500.00 11827 9-27-78
PARK . - -
/
CITY OF EAGAN Remarks
Addition SURREY HEIGHTS 7TH nnrr. Lot 4 131k_3 Parcei 10 73006 040 03
Ownerf? Street 3444 Highlander Drive siate Eagan, MN 85122
UNIT
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1975
WATER AREA
STORM SEW AIL&&- 1975
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 9-27-78
BUILDING PER. #49$7
sac 500.00 11826 9-27-78
-
PARK . -T-73
4
i? cinr oF ??c,??N
(??f'? ? , 9795 Pilo! Knob Road Eagan, MN 55122 N2 4987
PHONE: 454-9100
BUILDING PERMIT $33,000. Rece;pr #
Site Address 3444 H 4,2h,J,ander pr. Erect [Qc Occupancy i /?
t 1 Block 4
?"?_j ?? Sec/Sub. ??urrey H,Qts 7 Alter
R
i p Zoning ?
n
Fi
Z
3
Porcel
# r
epa p re
o
e
E
l T
f C
n
t
J
n
arge ? ype o
o
s
.
aWc Name _nrn Move ? ,? Stories
Z3 Address 1)• H. Gus taf son Demolish ? Front 4F1em- ft•
b Ci ctp ls Phone 835-7262 Grade p Depth ft.
oc Name
0
?
Address
Assessment -
?
?' Ci Phone Woter & $ew.
F,
d Pol ice
Name i
?W F
re
u? /lddress Eng
.
<W Ci Phone Plcnner
I hereby acknowledge thot I have read this applitation and stute thot Counci I
gldg. Off. _
the informction is correct and ogree to comply with oll applicoble
5tute of Minnesota Statutes and City of Eaqon Ordinances. APC
Si9nature of Permittee
A Building Permit is issued to: Golij
all work shall be done in accordance with ol}-applicable
Building Officicl ?
Fees
Permit > o''
Surchcrge ?
Plan check
SAC 5OC)• O""
Water Conn. ' 4 50• DO
Woter Meter 60.00
Toral 925.00
on the express conditian that
Stotutes and City of Eogan Ordinances.
PomIf * Dah lasuad ? IftN
Plumbing S-31-95
Mechanicol - / 6, - 7 ,j ? - • (l? ,? ?
.5.?8?v 3 -13--? •
INSPECTIONS DATE INSP.
Rouqh-I n
Finol
Footings _ ..? Date Ir+sp. Date Irup.
Foundation Plumbing
Frome/ins. Mechanicol
Final
?
Remarks:
cirr oF EA"N
0 33795 Pilot Kweb Road Ea9an, MN 55122
PHONEs 4544100
N° 4988
BUILDING PERMIT Receipt #k
To be uaed foFl ) UnLt 4 Plex Esr. Volue pate So-Pt a 1978
Stte Address 3?+4 Z H igCt I o, d e;• DT, Erect Occuponcy I
? 4 SuYrey Ngts Alter Zoni
Lot BlQcfc Sec/Sub. ? ? ^9
ParcW? r,,,?. L Z S?C 6 Repair ? F(re Zone 3
?F ?
., Nome u"old Medallian Corp
t z Address.. . D. H. Gystafson ^-- ----
°C Name
?0
? Addross ; z-ta
?- rsr.. D6-
Enlarge p Type of Const. ?
Move ? #k Stories
Demolish ? Front 4 PZ ex ft.
Grade ? Depth ft.
Aonroveb Fees
Assessment -
Water & Sew.
Pol ice
Name Fire
/lddress Eng.
Planner
Council
Permit 700.)V
SurCharge t U • 50
Plan check
SAC ???0. UO
Water Conn. ' 50• 0?
Wnter Meter 60.00
I hereby acknowledge that I have read this applicotion and state thot gldg pff.
the informotion is correct ond ogree to comply with oll opplicable APC Total 925.00
State of Minnesota Statutes ond City of Ea9on Ordinonus.
Signature of Permittee
A Building Permit is issued to: Cold Medal l i.on CoiP on the express condition thet
ell work shall be done in occordance with oll,:poicabie State of Minnesota Stotutes and City of Eogon Ordinances.
Building Official
Paemit # paM Hwad hreilt«
Plumbing 7 S - 3i ,79
Mechonical -7 / - / (o_ 7 I A : yL, E-k -v
?-? SS 3 ? 3 - `3 6,
INSPECTIONS UATE INSP. Rouph-In Find
Footings Dete Imp. Oate Inap.
Foundotion Plumbing
Frame/ins. - -7y' yC MecF?anicol
FinCl d-
Remarks:
cinr oF EAGaN
' 3795 Pilot Knob Resd
No. Eu9aw, Minnesefa 55122
Pkone: 454-8100
PERMiT
_ >r
Date:
Site Address:
?
Lot ? Block ? Sub/Sec.
INSPECTOR NOTIFICATION
REQUIRED BY LANI
FOR ALL INSPECTIONS
Receipt No.:
5ingle I
Residentiol
Multi Res., Comm./Ind. I
Name naT,y BOTc+ -
New/Alter
/Re
air
.
p
.
. 3 Address
Cost of Installation
O
City Phone:
Permit Fee
Name (%OI?T1Ex'0 SOft WQtCT' Surchorge ,
.
g Address
e
0
i.l • -, i ? ?
City Phone: Total
This Permit is issued on the express condition thot all work shall be done in acwrdance with all applicable State of
Minnesoto 5totufes ond City of Eagon Ordinonces.
Official
v -03 ctrY oF ???n?N
.. . ? 3 3795 Pilar Kwob Rosd Eaqoe, MN 55122 N" 4989
PHONE: 454-8100
BUILDING PERAAIT ' -? • Receipt #
Te be used for ' Est. Value Dote , 19 Site Address ii{rl a.,.ier !ar Erect ?'• Occupancy Lot b Block 4 Sec/Sub. Sur=°Y 'ights 7 Alter ? Zoning
pareel.•# • •- ? ? `? ?' Repair ? Fire Zone
Enlcrge ? Type of Const.
W Name ;1 1 i?,*+ Mave ? # Stories
I /lddresa ?=• r?• GuSta f SoTs Demolish Q Front "+ox k.
r;.,, t" p I:- a,_ 8 35- 7 2 1?: Grade ? Depth ft.
0? Nome
Zo
o"
dre:
Vl M
F r:...
Nome
I hereby acknowledge that I have read this application and stote that
the information is correct and agree to comply with oll applicable
Stote of Minnesota Statutes end City of Eagon Ordinances.
Assessment
Wafer & Sew.
Pol ice
Fire
Eng.
Plonner
Council
Bldg. Off.
APC
Fees
Permit -=, 00
Surcharge `r}
Plan check
SAC
Water Conn.
Water Meter
Totol Q 36- 50
5ignoture of Permittee I
Coi e a on orp
A Building Permit is issued to: on the express rnndition thot
all work shall be done in uccordnnce with o[I.cpplieobFe State of Minnesota Statutes ond City of Eagan Ordinances.
Buifding Officiol
Peemk # Doft Imad p
Plumbing 3 s ",31 95
Mechonicol ? 3 R ? / -/C- -- q
INSPECTIONS DATE INSP,
RougF-ln
Flnd
Footings G' -;/ 1- =7 Dote I Insp. Date Map.
Foundation Plumbing
Frame/in5. 7- Mechaniwl y-9-7? r?
Final
Remarks:
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE: I t [' I Nu +
3830 Pilot Knob Road
?
Permit Number. 6_i •' ?l A 71
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
f i' T t tIM J,; , lfi.[N41
• 5 - ?
fi FMAfiKiNl U1117''. 3440 f I rf'! :i ) 73 44 ? ( t sll I) 1444 ( 1 0 1' 4)
t[=f:S cuiiV C rr1) UN F'NkM[1 :•AAc•1 (tt) f °1 . tsiK 1. ', UhRF Y N(`, 4 1H,1
Permft No. Permit Holder Date TelepFwne #
S/VY
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Dete Insp. Commenta
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Flig.
Isul.
Fireplace
Fnal Htg.
O?set Test
Final Plbg. Plbg. In.gpector - Notifyr Plumber
Const. Meter
Engr./Plan
Bldg. Final
L
Deck Ftg.
Deck Final
wai
Pr. Disp.
NSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: I -N-: APPLICANT:
t OT: Ft 1[i r. ;
PERMIT SUBTYPE: TYPE OF WORK:
i?, ,,, i. ??, „ : ??•,? r? i :ir?i ?
INSPECTION .A • ,,
I ttNRrSa c;HtMNFY/Flut Mt.i?:T Rt' rNr;Pr i irn ??i rsior, VOMr.t A! 10
? ?
Permk Holdsr Date Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
CiYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
cor?oucnvirr
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?
. • . , ??1 cinr oF EAcaN
3795 Pqot Knob Raod Eagae, MN bS12Z
PHONE: 454-8100
BUILDING PERIMIT , ReceiPt To be wed fo? Est. Volue Dote
-
N2 4978
2i , 19 ?
Site Address Erect ?j Occupancy I
Lot Blotk Sec/Sub. Alter ? Zoning
3
parcel # Repoir ? Fire Zone
Enlarge Q Type of Const. '
ae Name '-o1 dMedal l. ion Corp
W
?Ye ?
# Srories
Z ? Addmss !i Demolish Front ft.
Ci phone :3 35 - 7 2 62 Grode ? Depth ft. •.
Approvets Fees
o Name c?a
?? Address Assessment Permit _
~ Ci ph Water & Sew. 5urchorge
p?
? N Polica Plon check
ome
F Z
Fi re
SAC
?o Addreu Eng. Woter Conn.
<W ci phone Planner Water Meter
COUnGiI
I hereby acknowledge thot I hove read this opplication and state thot gldg. Off.
the information is correct ond agree to comply with oll applicoble APC Totol
, Stote of Minnesota Stotutes and City of Eagan Ordinances.
Siflnnture of Permittee
A Buildinfl Permit is issued to: ?c on the express condition thet
all work shall be done In accordance with all opplicable State of Minnescto 5tetutes and Ciry of Eogan Ordinances.
I Building Officiol ,
PermM # Dafe Inuwd ?wmIMM
Plumbing
Mechaniwl ? 3 5 ^/ L-- -74
??Q.?-c? ?S8 Y3 3 -? 9 j
INSPECTIONS DATE INSP. Rouglfln Ftnol
Footings • Date Inap. Date Insp.
Foundotion Plumbing -?- 7
Frame/ins. -s? ) Mechanicol -?
Final -'xsz X
Remarks:
CASH RECEIPT
CITY 6F EAGAN
3795 PILOT KNOB ROAD O?
EAGAN, MINNESOTA 55122 046
'
DATE 19
RCCtIVtD
AMOUNT ? I
E] CASH R CHECK
OOLLARS
?oo
Thank You
B Y
,?' v? •
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT
CITY QF EA?GAN
3795 PILOT KNOB ROAD U?
EAGAN, MINNESOTA 55122 C9?a ?
DATE
IK C!I V 6D
19
AMOUNT $ I
& DOLLARS
t oo
? cASH ? cNecrc
FOR
Jharik You
?I. B Y
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT
CITY 6F EAGAN
3795 PILOT KNOB ROAD C) 30 EAGAN. MINNESOTA 55122
DATE
-za-?rrr.i
19
AMOUNT $ I
Q DOLLARS
' eo
[]CASH FlCHECK
roR
You
B Y
?? /
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
SEWER SERVICE PERMIT
CITY OF EAGAN
3745 PiloF Knob Road PERMIT NO.:
MN 55122
E DATE: ?'! •
ogon,
Zo
i No
of Units:
n
ng: .
Owner•
Address:
_
Site Address:
Plumber: ---
...
1 agree to eomplq with the Cilp of Eagan Connection Charge: ;•?-,=?_.
O
di Account Deposit:
r
nances.
Permit Fee:
Surcharge:
By Misc. Charges:
f I
D Total:
nsp.:
ate o
I nsp.: Date Paid:
CIl'Y OF EAGAN WATER SERVI'.:E PERMIT
3795 Pilot Knob Rood PERMIT rf0.:
MN 55122 DATE:
Eagan,
Zoning• No. of Units:
Owner: -
Address:
Site Address:
Plumber. ' . . -
Meter No.:
Size:
Reuder No.: -
1 ogree to eomply with the City of Eagoe
Ordinances.
R..
_ Connection Charge:
_ Account Deposit: ? .,
_ Permit Fee: ?
Surchorge: ?
Misc. Charges: f ??' • ;
Totol:
Date Paid:
Date of Insp.: I nSP•-
WATER SERVICE PERMIT
CITY OF EAGAN
3795 Pilot Knob Road • PERMIT NO.:
Eogon, MN 55122 DATE:
Z of Units:
No
oning: .
?'- 14
?`
Owner -
.
-
Address:
5ite Address:
Plumber: - -, .r • ' ?
_ --
Meter No.: Connection Charge:
Size: ? Account Deposit: - -
N
R
d Permit Fee:
er
o.:
eo
1 agree to eomply with fhe City of Ea9on Surcharge:
Ordinances. Misc. Charges: ?
Total:
Date Paid:
gy
Date of I nsp.: I nsp.:
SEWER SERVICE PERMIT
CITY Of EAGAN pERMIT NO.:
8795 Pilot Knob Road
Eogan, MN 55122 DATE:
_ No. of U nits: _ . , .: .. -.. . ?
Zoning: -
ldress: ;
? to Camply witfi the City of Eagan Connection Charge: .---r--
Actount Deposit:
nees.
Permit Fee:
Surcharge:
Misc. Charges:
of Insp.: ---- Total:
Dote Paid:
CI7: OF EAGAN
3795 Pifot Knob Road
Eagan, MN 55124
Zoning:
Jwner . ?u81
Address: '443 Highiafid8x
?ber:
r No.: ?
er No.:
ae to eomply with the City of Eagan
Misc. Clwrges: 64
Totol:
Date Paid: -
of Insp.:
PERMIT NO.:
DATE:
No. of Units:
12f Z 7./7?,
tlTlj.t t7iiiG0
Connection Charge
Account Deposit: _
Permit Fee: 1C
Surcharge:
CITY GF EAGAN
3795 Pilot Knob Rood
Eagan, MN 55122
Zoning:
Owner. _
Address:
SEYVER SERVICE PERMIT
PERMIT NO.: _
DATE:
No. of Units: - -
Site Address:
Plumber: ?
I agree to eompFy with the City of Eogon
Ordinonaea.
gy -
Date of Insp.:
Connection Chorge:
Account Deposit: ?
Permit Fee:
Surcharge:
Misc. Chorges:
Total:
Date Paid: -
cIrY 07: EAGAN SEWER SERVlCE PERMIT
3795 Pilot Itnob Road PERMIT NO.:
Eagon, MN 55122 DATE;
Zoning: No. of Units: -- ?tt' •?
Owner:
Address:
ite Address: '••a"?? Wic'111." _ ')
lumber:
! ;' . •,,_
agree to eomply with tha Citr of Eogan Connettion Charge:
rdinonces. Account Deposit:
Permit Fee:
Surchorge:
Y - Misc. Chorges:
ate of Insp,: Total;
,sp.:- Dote Paid:
No.:
to oemply with the Citr of Eogon
WATER SERYICE PERMIT
Connection Charge:
Accour?t Deposit: _
Permit Fee:
Surchorge:
Misc. Charges: -
Tota I:
Dote Paid:
` CITY OF EAGAN
3796 Pilot Knob Road
? Eogan, Minneaota 55122
I Phone: 454-8100
PERMIT
Date:
Z 16-79
Site Address• ? `•","?'.?!_???:t`r- ,it'1?•!:
Lot Block Sub/Sec. -'I!= ?',?.0hrS 7 _'
CQ'iD =17 ATR Mounum
No. 1 'jn „
'??<
Receipt No,: ]_'
$ingle
Residentiol
Multi Res., Comm./Ind. - '.' P`f
Nome New/Alter./Repair. .
3 Address ?r`fi'- ?T'?• Cost of Instollotion
O
City Phone: Permit Fee
Na e `?z-'? ¢=?` f- J<vi Surcharge
.
? Addreu
e
0
u . ,
City _ Phone: Total
This Permit is issued on the express condition thot QII work sholl be done in accordance with all applicable State of
Minnesoto Stotutes and City of Eagan Ordinances.
Building Officiol
CITY OF EAGAN
3795 Pilot Knob Road
Eogan, MinnesoM 55122
Phone: 454-8100
.. VI"PTTV,
Sy-- 31-- 7q
Date:
' 44 t; = cz}l, ? •- , ? ? ?,
Site Address:
Lor i
?
Block _
Sub/Sec. ?? FleicihtC "
No. '?i4
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. ` t ' r' . `. ?'•'.? `£C:!
Name New/ Alter./ Repoir
3 Address Cost of Instolfotion
O
?.-
J .Y., . .. • . .
City Phone: Permit Fee
Aome - Surchorge
?
?, Address
e
0
City Phone: Totol
This Permit is issued on the express condition thot oll work shall be dorte in occordunce with all applicoble Stafe of
Minnesota Stotutes ond City of Eagan Ordinonces.
PERMIT
Building Official
CITY OF EAGAN
3795 Pilot Kno6 Rood
Eagan, Minnesota 55122
Phone: 454-8100
HEA'I?lr,
Date:
1-16-79
PERMIT
Site Address: ,?42 HighlarICiex DL1Vp-
Lot Block ? Sub/Sec..l???
Name ^?• ?I• f?]?'`'ifSC1P. . ?
°e Address Medall-ior
3 i
O i
City Phone: i
N e ? . L-1ZXdF---- & ,M j
.
i . -,.ttLPy'
a
1: Address
s
0
City .. Phone:
This Permit is issued on the express condition that all work shali be
Minnesota Statutes and City of Eagan Ordinonces.
CUMBLb'!ZCN AIR Fd%XJIFU)
No. 1387
Receipt No.:
Single
Residentiol
Multi Res., Comm./Ind.
,
New/Alter. /Repair
Cost of Installotion
?,) . 0l^
Permit Fee
Surchorge
Tota I
done in occordance with all applicable State of
Building Officiol
CITY OF EAGAN
3795 Pilot Knob Road
Eagon, Minneaota 55122
Phone: 454-8100
?.k?3IAXz
Dote:
Site Address:
Lot
PERMIT
3442 HiC¢'tl,alder IriVe
Block Sub/Sec.
No. 1i'73
Receipt No.:
Single I
Residentiol
Multi Res., Comm./Ind. ' • " ??=?'
Name - U. rkmtafscm. New/Alter.JRepoir
; Address
Cost of Instaliotion
O
t??? r : -?r?_ ?;; ? '?f'i ('?r
City ' Phone: ?Pertnit Fee
Nam rhlrd)-L'c Surcharge ,
.
ddress • <'i41 AV@. (-',0.
e
0
u City Phone: Total
This Permit is issued on the express condition that oll work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eogan Ordinonces.
Building Officiol
C)Jo -03
i,i"i?.n.
?. ScMn?V :
„ ,.. 7(
Date: - -
Site 34?4. ?3.lUj't1c3ll(?
Addreu:
Lo
CITY CF EAGAN
3795 Pilot Knob Road
Eagan, Minnesote 55122
P6one: 454-8140
PERMIT
t Block Sub/Sec.
Nome
!1
Address ? City ,..tcfar, Phone: ?Q?)?-??5?`3
rev?
`
Y
C
?
No,
279
1 1156 n
Receipt No.:
Single I
Residentiol
Multi Res., Comm./Ind.
New/Alter./Repair
Cost of Installntion
Permit Fee
Name - .. _. . ?.. . . 50
? Surcharge
? Address 7
?
e
0
V ,, •? ,?
Ciry - - - Phone: Total
This Permit is issued on the express condition thot all work shall be done in accordance wifh all applicable Stote of
Minnesota Statutes and City of Eogon Ordinances.
5. CKl
Officiol
CITY OF EAGAN
• • 3795 Pilot Keob Road
Eagae, Minneaota 55124
Phone: 454-8100
?-
PERMIT
:r31-T9
Date:
3440 ui.rft?r DriVe
Site Address: _
;!
Lot 0 Block Sub/Sec. c_?`?? js F??'?'?
Nome
e Address
3
O
ity
' •
1.35-'7Z62
Phone:
.
?
Address
0
V
City
. ,. - .
Phone:
This Permit i s issued on the express condition thot all work shall be
Minnesota Stotutes and City of Eagan Ordinonces.
No.
1372
.?!Cq^
r_
Receipt No.:
Single I
Residentiol
Multi Res., Comm./Ind.
New/Alter./Repoir. Cost of Installation
Permit Fee 20.10
Totol
done in accordonce with all applicoble Stote of
Building Officiol
CITY OF EAGAN
, • ' 3795 Pilot Knob Rood
Eagon, Minnesota 55122
Phone: 454-8100
PERIMIT
Date: 1'16-79
Site Address:
Lot 6
3440 Highlwjcler
Block 4 5ub/Sec. ???? Ets' 7
L?• FI• C'?].4t?1t`Sa'i
Nome
e Address ??l Mada1L1m aC--p'
3
O
City Phone: P-35-7262
Narn A. BiT1Cle2' & SCr1
.
E ? - -
Address
e
0
City ' Phone:
This Permit is issued on the express tondition that all work sholl be
Minnesota Stotutes and City of Eagan Ordinances.
tXZ'?T AIR FEW
No. 1386
Receipt No.: 1"3046
Single
Residentiol
Multi Res., Comm./Ind.l of 4 Pi? X
New/Alter./Repoir
Cost of Installution
210 . 00
Permit Fee
Surcharge - . 50
Tota I
done in accordante with oll applicoble State of
Building Offitial
, CITY OF EAGAN
3795 Pilot Knob Road (7r,,t.T T rl» t
Eagon, Minnasota 55122 ? ?`i?`Y?t _??.,?ln a.?
Phone: 454-8100
PERMIT
No. 13E5
Dote: -16-79 Receipt No.: ? 3 ? l
--- Single I
`?'?''71C?`?? ' .-.
Site Address: ?!r' 3$ Tli -?VlC'' Residential
a ??" -: l?
Lof Block ' Sub/Sec. AU-rL-V Multi Res., Comm./Ind. '"Cs.,-tk1gXt-- }t
Nome r)IStafB8111
- New/Alter./Repoir. 3 Addreu ??? ???cgi Oo'?'?-'° Cost of Installation
O
City ??'' ? '• Phone: . . Permit Fee
N me 5urcharge '
?
? Address
City ' . . Phone: l _ Totol ?
This Permit is issued on the express condition thot all work sholl be done in accordonce with all appficoble State of
Minnesota Stotutes and City of Eagon Ordinonces.
Building Official
cinr oF EaGaN
3795 Pilot Knob Rood
Eagon, Minnesota 55122
Phone: 454-8100
?Y'??IM PERMIT
Dnte: M 5131;/79
Site Address:
Lot _
3a3R F3cILLyvier Drf.w
Block t Sub/Sec.
_ Stiz7re-Y Neights ? -
??.
U. rAntafs",
Name
e Address ' -
?
City
Phone: - - T-'F-
Name T ?'10(•'? ??13?L1r
.
?
ddress
0
V
City
•
-' Phone:
This Permit is issued on the express condition thot all work sholl be
Minnesoto 5totutes and City of Eagon Ordinances.
No.
?Ac--•:?
Receipt No.: `
Single ?
Residential
Multi Res., Comm./Ind: d
New/Alter./Repair. Cost of Installation
-.? - ?
Permit Fee
Surthorge
Total '
done in accordance with oll opplicable Stote of
Building Official
Minnesota State Board of Electricity
`?1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR; ELECTRICAL iNSPECTION
•EHECK BELOW WORK COVERED BY THIS REQUEST
R 55840
Type of Building New Add. Rep. Check Appliances Wi[ed For Check Equipment Wired Fm
Home • 13X ? ? Range , 00 Temporary Wving ?
Duplex ? ? ? ? Water Hea[e[ ? Lighting Fistures 7E]
Apt. Bldg. ? ? 0 Dryet . ? Elect[ic Hea[ing ?
Commereial Bldg. ? ? ? Fumace , -k?l ? Silo UnloadeT ?
Industrial Bldg. ? ? ? Au Conditioner ? 8ulk Milk Tank ?
Faxm ? ? ? List ) List
Other ? ? ? p
}
Hehelsf r p
Aerels?
)
COMPUTE INSPECTION FEE BELOW
ServiceEptcance Size: # Fee F Subfcedets: # Fee : # Fce
0 to 100 Am s. A es eres
101 to200 Amp$. IIG 3 0- e eres
Above 200_Amps.
A ve
ps.
RAbove10Q_Arnps.
'Iransformexs RemoteCont[o v rfee
Signs S c
ial lnspection
$5.00
Remarks
E?PiC$
y , O
J • S
l,the Electrical Inspector, hereby
(Final) -
This request
has been ma
Date
Date
4Q•5o°133646
TFiis fequest void 18 months from
id,57'-G 4/
- ? R 55840
Date of this Request 2-28-1979
I, as IN Licensed Electrical Contractoi OOwnec, do hereby request inspection of the above electri-
calw'vingtinstalledat: L(i (7?? ?? '7
T ?
Street Address or Route No. 3444 HiKhlander 1}rive City Eagan
SecUon Township
Range County Dakota
Which is occupied by
- (Name oi Occupant)
Is a roughin inspection required on this job? No ? Yes Cgx Ready Now O Will Call Ox
r
Power Supplier Dakota Ct.v. Address b'arm7.ng'ton
Electrical Cantractor O.B. Thompson Electric Co. Contractor's License NA.36835
Com any N
12201 Idt?ca ?lvd. ? ?tka 55343
Mailing Address ame
Authorized Signature ??'?/-?.?f >G /_Phone No. 933-2521
(Electrical Gontractbror Owner Making ThIs Installatlon)
??? (?? ?Q??? ???? This iirspection request will not be accepted hy ffie
?? State Board unless proper inspection fee is endosed.
40.50°133647
This request void 18 months from p--U ?
'R 55847.
Date of this Request 2-29-1979
I, as W4,icensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at: Pt?-T/) 7
Street AUdress or Route No. 3442 Hi$hlander Drive City ?Lgarx
Section Township
Range County De,kota
Which is occupied by D H Gustafeon
(Nama of Oc<uPan[)
Is a roughip inspection required on this job? No ? Yes Oc Ready Now ? Will Call ggx
Power Supplier nakota Cty. Address FaTmirie,'ton
Electrical Contractor-Q.B. Thomneon Electric Co. Contractor's License NoAIL80
(ComDany rvame)
Mailing Address 12201 Mtka Rl vd __ Mtka. 55343
Authorized Signature /.iPhone No. 933-2521
(Electrlcal Contract orr Owner 1.?laking ThIS Installatlon)
?? L?? ????? Q??? This inspection request will not be aecepted 6y the
State Board unleu proper inspection fee is enclosed.
- Minnesota Staie Board of Electricity
. i954 University Ave., St. Paul, Minn. 55104-Phone 645•7703
'REQUEST FOR ELECTRICAL INSPECTION
QHECK BELOW WORK COVERED 8Y THIS REQUEST
??S4yc
R 55841
Type of Building New Add. Rep. Check Appliances W'ved Foi Check Equipment Wieed Fot
Home 7QZ ? ? Range ? 'Iemporary Wiring ?
Duptex ? El ? Water Heater ? Lighting Fixtures ?
Apt. dldg. ? ? ? Dryer ? Elecnic Heating O
Commetcia] Bldg. ? ? ? Fumace ?C? ? Silo Unloader
[ndustrial Bldg. ? ? ? A'u Condilioner ? Bulk Milk Tank ?
Fum ? ? ? List ) List
Other ? ? 0 Ethers}
ere )
IVF O[hexs?
Here >
COMPUTEINSPECTION FEE BELOW
Seffice Entrance Size: # Fee F ers&Subfeedecs: :v Fee Cawits: # ee
0[o lOQ Am s. t 0 exe 0 to 30 Am eres
101 to 200 Amps. - 0 e 31 to 100 Am eres
Above 200 Amps.
Transfo ers
Signs ? ove
Remoi-el?ondffi r.
Special Inspection Above 100 Amps.
Partial or othei fee
Minimum fee $5.00
•
Remazks
E111'1Ch
TOiAL FE ?
, . • 50
I, the Electrical Inspector, hereby cert' a[ t ab vepnspection has been made g
(Rough-in) Date /? -?2
(Final) T ??i^ Q) Date ,S':7Y-7y
This request void 18 months from
•/?? ??l ?? OFFICE USE ONLY lfiis requast voio 18 monlVu (rom wlidafion doM prinkd in this
r '7?20
Ill?lllllllllllillllllllllllllllllllllllll L-ia3- ???
J
r
?
* 0 4 1 6 1 9 5 ?a * l
?
-
.,'J
pLEASE PRINT OR TYPE li+40
?16? ?OR Raogh:n inspecnon requiredd Ves N. Inspecnon OMer Tlnn RougMn: ? Ready N. Will Call
?Yau ustcoli?he inspeciarwhen ready) ' Dale Reudy:
I, ? licensed conhactor (Tbwner hereby requesl inspecfion of ihe above elechicnl work at:
Jo6 Pddreu (Skeet, Boz, w Rwia No ) Ciy Zip Cade
31ii+a ???G?u+a??.? bawti I?a&Aa nq,? s5 11310
Seaion No. I??ship Name or No. Range No. Fi re No. amy
DAr.o ?A
moeeNw..
2J5?
P. Su,oplier Addreas
DAr.oi,g 4L£eiz,e.
Ekrniml Convxo
r (Compmry Name) C?« ucen:a t?o. nM?. i?c t,w. IPbm EI c+ a?M
`
l.t/?4?
Mailirg Address (COnrvocror a Owner Pehaeming Irublloiion)
ANh Signamre (Contratlar or Owner Periormiig In Ihrion
?
i Phone No.
?srs-2as?
--
.
.,
? ---
EB00007A-11 8/96 STATE 80AHD COPV`- SEE INSTNOCTONS ON BGCK OF YELLOW LOPY
74/i&/?; -7
41.6-195
El RFQUEST FOR ELECTRICAL INSPECTION rO2
Minnesota State Board ot Electncity
1827 University Ave., Rm. 5-128, St. Paul, MN 55104
Phone (612j,642-0800
Home Du lex Apt. Bld . Other: New Addn
Commerciol Indusfr
ial
Form
Remod
Re ir
Ai
r Cond. Htg. Equi . Water Hfr. Load Mgmt. Other:
Dryer
Range
Elec. Heat
Temp. Service ?
"X' obore the work covered by this request. Enfer remorks in this space and on Ihe bock of the while copy only.
Calculote lnspection Fee - This Inspecfion Request will no/ be accepted wiihouf the correcl ke:
Other Fee A Service Entrence Size Fee N Circuits/Feeders Fee
Mobile Home Park Smll 0 l0 200 Amps 0 to 100 Amps
Sheet Ltg./Traffic Sig. Above 200_Am s Above 100_Amps
Transformer/Generator INSGECTOfl'S USE ONLY TOTAL
Sign/Oudine ltg. Xfmr. Q
ZX, A107Y fi? ??/ 7/'? o.
Alarm/Remofe Conhol 1
I
ua? 64^.?' {u+Yh-?-
Swimming Pool OC:. 4,5 I hereceni thot 1 ins xied ?he elecvical inslallmion desr ibed herein on dhe daks swbd
Irrigotion Boom Rooghln oe?
Speciol Inspeclion
Invesfigafive Fee Dale
Fin
THIS INSTALLATION MAY BE ORDERE[7 ISCONNEGTE0.IF-NQT COMPLETED WITHIN 1 M NTHS.
7' Minnesota State Board of Electricity
54_University Ave., St. Paul, Minn. 55104-Phone 645-7703
-- ?`REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
/ r3S4.,o
R 55Rd9
Type of Building New Add. Rep. Check Apylisnces Wired For Check Equipment W¢ed For
Home - 7M ? D Range oC Temporary Wuing ?
Duplex ? ? ? Water Heatet ? Ligh[ing Fistures ?
Apt. Bidg. ? ? ? Dryet ? l]? Electric Heating ?
CommeLCiai Bldg. ? ? ? Pumace ?Q?g •J Silo Unloader ?
Industrial Bidg. ? ? ? Air Conditioner El Bulk Milk'Iank ?
Fazm ? ? ? List List
Other ? ? ? ?eiets? Dieh ? RE1ers#
COMPUTE INSPECTION FEE BELOW
Service Entranre Size: # Fee F e[s$Subfeedecs: # Fee Ci[cuits: # Fee
0 to 100 Am s. 0 s 0 to 30 Am eies
101 to 200 Amps.1 QjJ 31 es 31 to 100 Am eres
Above 200 Amps. A e]0 .' Above 100 Amps.
Transformers Remote .ontrol Partialoiotheifee
S' ns Special Inspection Minimum fee
Remazks h
Ellr'c TOTAL FE 3? ?7 ? 5?
I, the Electrical Inspector, hereby cert' b! at t ?in?spec??n has been made.
(Rough-in) Date 3 =??
(Final) ? Date ?
Ttus request void 18 months from
$ ?p,gp-13g64g ?
T is raquest void ?8 months from r-3S 4
Date of this Request 2-28-1979 '` 5 5 8 4 2
I, as3d LiCensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal winng installed at: lol? -7
?a /fildm'f? l
Street Address or Route No. 3440 High2e,nder Drive 3 y 3 City Eagan
Section Township Range County Dakota
Which is occupied 6y D.H. Gustafeon
(Name af Occupant)
Is a roughin lnspection required on this job? No ? YessEZ Ready Now ? Will Calllg
Power Supplier _ Dakota Gtv. Address 1''emingtan
Electrical Contractor O.B. Thompaon Electric Co. Contractor's License No 36835
?COmpany Name)
Ma;ungaaaress 12201 Mtka siva., Iatxa 55343
(Electrical Contra<tor or Owner Making This Installaqon)
Authorized Signature :;- "o
Phone No. A33-2521
(Elactrical Cortrac,tor'or'OwnewMSkiu9 ThIS laitall8tlon)
4_„•
?? /,'?(?j?? ????? ??}?? This inspection request will not he accepted by the
?(0 State Board unless proper inspectian fee is enelosed.
Minnesota State Board of Electricity
''Q54 Uqiversity Ave., St. Paul, Minn. 55104-Phone 645-7703
QUEST FOR ELEGTRICAL INSPEC710N
? BELOW WOBK COVERED BY THIS REQUEST
J3SG yL
R 55843
Type of Building New Add. Rep. Check Appliances Wiced F Check Equipment Wired Fm
Home %I ? ? Rangc -V9 p Temporaty Witing ?
Duplex ? ? ? Water Heetex ? Lighting Fix[ures EK
Apt. Bidg. ? ? ? Dryer ? Electric Heating ?
Commcccial Bldg. ? ? ? Fumace ?, Tj SIlo Unloadci ?
Industrial Bidg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm ? 0 ? List y List
Other ? ? ? Hehe`s? Disp .Dia . Heiels?
COMPUTE INSPECTION FEE BELOW
ServiceEntrance Size:
0 to 100 Am s.
lOl to 200 Amp$ a #
j7. Fee F &Subfeeders: #
0 m s
31 s Fee Cucui[s:
0 to 30 Am eres
31 [0 100 Am eres # Fee
Above 200 Amps. Ab ? 10 ..?
p - A6ove 100 Am s.
Ttansfoimecs RemoteContxol ?r ' Partialorotheifee
Signs Special lnspection Minimum fee
Remarks E T1C$ 70TAL F 3/1 O
I, the Electrical Inspector, herefy t akfove ins ection has been ma e. c,
(Rough-in) b i Date
(Final) „ Date
This request void 18 months from
Q50-- 133649
.tequest void 18 months ftom `/4
0ZU R 55843
Date of this Request 2-28-1979
I, a0#3 Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
?r?•- ---? /
Street Address or Route No. 3438 Highlander Ilrive a' City Fagan
Section Township Range Coun[y D2k0ta
Which is occupied by D.H. Guatafson
Is a roughin inspection required on this job? No ? Yesgg Ready Now ? Will Call-U
Power Supplier naxota Cty. Address T'armir?,'ton
Electrical Contractor O.B. Tklompson ElectricCo. Contractor's L,icense No 36e35
(COmpany Name)
Mailing Address 12201 MtkaBlvd., Mtka 55343
AllC}IOCIZOd
(EleGtl?'l}c?al Contl?ac1tofbl O?wpnef
?,]f? ?.]
? Y Gf"Y?L? SC37tiltlUD '?D?? W
Thls lnstallatlon)
933-2521
Phone No.
NIO9 I fllf IfISLdIIiStOflf
This inspec5on request will not 6e aeeepted by the
State Board unless proper inspection fee is endosad.
- ? cirr oF eaGAN
`?
,--0`?'V 9795 Pi1M Kneb Rood Eagan, MN 53122 No 4987
PHONE: 4548100
000
BUILDING PERMIT APPLICATION $33 keceipt #
,
.
Te be uud for (1) Uni t 4 Pl Ex Est. Value Dote Se^ *?L • 19-7,4-
Site Address 314144 114.shl-&T1d2F 8F. Erect [jC Occupancy i
ot 1 Block 4 Sec/Sub. Ir ey Hots Z Alter O Zoning
a?r ? # L 1 Blk 5 Repair p Fire Zone 3
E
l
e ? e of Const
V
T
n
org .
yp
s Name r?i ci Med 8l I 1G1A C6Fp^ Move ? # Stories
Z
3 Address D. H. Gustafson Demolish p Front ?_-k.
? Ci Mp1S phone 835-7262 Gmde ? Depth - ft.
rmah
A ee°•
pp
o Name
i? Address Assessment _
Water & Sew.
~ Ci Phone
Police -
Name Fire
14
?? Address Eng.
Ci Phone Pianner -
Council -
I hereby acknowledge that I hove read this appiication and state that gldg. Off. -
the informotion is correct ond agree ta comply with oil opplicable
APC
Stata of Minnesota Statutes ond City of Eogon Ordinances.
Sfgnature of Permittee
A Building Permit is issued to: G
all work shall be done in acm ce -with\o le State of
Building Officiol
Permit y0• V
SurcFwrge 16110
Plen check
SAC 500.00
Water Conn. 250.00
Water Meter 60.40
Torol 925.00
on the express conditfon that
Stofutes and City of Eagun Ordirwnces.
? cirr oF ea"N
Q(C)?? ? 3793 Pilet Knob Road Eagaa, MN 55722 N? 4988
PHONE: 454-8100
DING PERMIT APPLICATION
BUr1 Receipt
.
$33,000.
To be uaed foGl) Unit 4 Plex Est. Value oateSept a -, 19 L8
Site Addrea 3442 Highlunder Dr_ Erect [§ Occupancy I
Lot Z Block 4 Sec/Sub. Suirey Hgts ? Alter ? Zoning R4
PQ,CG L 2 Blk 6 Repoir ? Fire Zom 3
Enl
r
e ? e of Const
V
T
g
a .
YO
Name Gold Medallion CorR Move ? #'Stories
; Addreas D. H. Gustafson Demolish ? Front 4 Plex ft.
b
Ci
Phone R'{S.7?f
2
Grade ?
Depth - fr.
Approvab Fees
w N
p ome _
2E?
? Address
Name
I hereby acknowledge that I have read this application and state that
the information is correcf and ogree ro wmply with oll applicable
State of Minnesota Stotutes ond City of Eagan Ordinances.
Signoture of Permittee _
A Building Permit is issued to:
oll work shnll be done in acco
Asseument -
Water & Sew.
Police _
Fire
Eng.
Planner -
Council _
Bldg. Off. _
APC
Permit 98_50_
Surcharge 16.50
Plan check
SAC 500.00
Water Cona 950-0.Q
Water Meter 60.00
Total 9 9 5_ 00
arP on the express condttion that
Minnewtc Statutes and City of Eagon Ordinances.
Bufldin9 Offfcial <_
crrY oF eac,AN
9795 Pilot Knob Road Eagan, MN $5722 N2 4989
, PHONl: 431-8100
BUILDING PERMIT APPLICATION $37,000, ReceiDt # -- -
(1) Unit 4 Pl?x Sept 21 78
To be usad fer t. Value Date 19--
Sita Address 34G0 ?Ui.ghlanaa?Dr, Erect ?x Occuponcy T
Lot6_ Block_4 See/Sub. Snrrey Hghtc 7 Alter ? Zoning RI?
P&$.# L2 Blk 5 Repoir ? Flre Zone _.'A
Enlarge ? Type of Const V
w Name GQ]a h+?.a-l7ion_q..r-P Mwe ? #$tories
Z Address D. H. Gustafcon Demolish ? Front -_[F Plear ft.
0
cih, Mpls phone 835-7262 Gmde ? Depth ft.
° Name -wr•-•?•?
o?
?e
Address
Assessment -
WoMr & $ew.
Cit Phone
?
w
Name Police -
Fire
Address Eng.
<w Ci Phone Planner _
Council _
I hereby ackrrowledge thot I hove reod this application and state that gldg. Off. _
the information is correct and ogree to comply with all applicable
SMte of Minnesota Smtutes and City of Eagan Ordirances. APC
Feea
Permit 3.?02 nn .,o4_
Surchorge l.Sn
Pian check
SAC 500 00-
Water Conn. 25g.(g0
Water Meter 6Q QA
Total -93on0
Signature of Pertnittee 1
Gold Medal lion Corp the ex condition that
A Building Permit is issued to: on Press
oll work shall be done in rdance wit Stote f Minnesoto Stotutes and City of Eagan Ordirronces.
Building Officiol
Cj2? _cJ?.
BUILDING PERMIT
Ta be umd for (1),r,o f
CITY OF EAGAN
3795 Pilof Knob Rood Eugao, MN 55132
_ PHONE: 454-8100
t
$37,000. Receipi #
Sae Address 3438 Highlander Dr.
Lor 3 elock 4 Sec/Sub. Surrey Hghts 7
GPr
,g*e#L 1 Blk 6
w I Name Gold Medallion Corp
; Address B F}._(?mst.d.f98n - - - - - - -
b
W0 Name _
?6 Address
Name _
Address
I herehy acknowledge that I have read this application and state that
the infortnation is correct and ogree to Comply with oN"applicable
State of MinnesoM Statutes and City of Eagan Ordinances.
Signoture bf Pennittee
A Building Permit Is issued to: Gold &llion
all work shall be done in accordan hh e-State-of_Mii
Buildin9 Officiul ?.?.C.- .._R-?F-a--?
N? 4978
llK7
t 21
Erect [jL Occupancy i
Alter ? Zoning R4.
Repoir ? Fire Zone 3
Enlarge ? Type of Const. V
Move ? # Srories
Demolish ? Front ------- ?? ft.
Grade ? Depth ft.
Apq.arala Feea
Assessment
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bldg.;Off.
APC °
Permit 1v0.Vv_
Surcharge 18.50
Plan check
SAC 500.00
Wmer Conn. 250.00
0
Water Meter 60.0
Toral 936.50
an the express condition that
StWutes and City of Eagnn Ordinances.
I FonOfFirz-t?se - .?-1--- -
? Permit #:
? Permit Fee:
? Date Received: '
I Staff:
1
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 3`T'4t-( prvZ
Tenant: ??SS? ?2a@?y
Suite #:
RESIDENT / OWNER Name: Phone:
1 20 tra p._I N?
Address ! City/ Zip: 7zZS ?t7,5vi!? ?j o.
.
Applicant is: _ Owner __?,Contrac[or
TYPE OF WORK Description ofwork:
Construction Cost: Multi-Family Building: (Yes _/ No °?-)
CONTRACTOR Name7?", License#:
Address:
City: State: tktll Zip: SM31'7
Phone: 9Sz-,-(V -61 Z( Contact Person: \JCNN %3??S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilatioa Category 1 Worksheet • New Energy Code Worksheet
CatOgory Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
in the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTEr P/ans and supporting, documenfs`that you submit are considered to be.public informafion; Portions of ;
the information, may be classified asnon-public'if you provide specific reasons that would permit the City to
`conclude tfiat fhe' are trade secrets.
I hereby acknowledge that this intormation 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 permd, but only an application for a permit, antl 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 pla
X `d ?i1u1 ?S ? ?L kkg_V7- X
ApplicanYS Printed Name ApplicanYs Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? E#. Alt. - SF
? 02-Plex ? 08-plex ? Deck . ? Porch (screeNgaze6o/pergola) ? Multi Misc.
El 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building`
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
?
Re lacement
j G P
?
Egress Window
?
Water Damage
' DemolRion (entire building) - give PCA handout to applirant
DESCRIPTION:
Valuation GYJ?! Occupancy AIG-1 MCES System ?
Plan Review Code Edition SAC Units `
(25%_ 100% ? Zoning -3 City Water '
Census Code 4/3 q Stories - Booster Pump -
# of Units Square Feet 7c PRV ?
it of Buildings Length g? Fire Sprinklers
?
Type of Const. ? ? Width ?p11
REQUIRED INSPECTIONS
Footings (new bldg) SheeVock
? Footings (deck) FinallC.O.
_ Footings (addition) ? Final/No C.O.
Foundation HVAC
Drain Tile Other:
Roof: _Ice & Water _Final Pool: _Footings _Air/Gas Tests _Final
Freming Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _AirTest _Final Windows
Insulation ReWining Wall
Reviewed By: Building Inspector
-------------
?
----------
----------------------------------
RESIDENTIAL FcES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
Copies
+
bo
Total
Page 2 of 3
4r- g21B 71f
5-N of
Tom Miklya
From: Denny [fishercorp@qwestoffice.net]
Sent: Thursday, May 08, 2008 1023 AM
To: Mike McKenna; Tom Miklya
Subject: Re: Highlander decks letter
Thank you...
----- Original Message -----
From: Mike McKenna
To: TMiklya_@-c4ofeagan.c_om
Cc: fishercorp@pwestoffice.net
Sent: Thursday, May OS, 2008 9:34 AM
Subject: FW: Highlander decks letter
Page 1 of 1
Forwarding letter requested from Surrey Heights Board President, Richard Neufeld...
Regards,
Mike
Mike McKenna, CMCA
Gassen Company
7275 Bush Lake Road
Edina, Minnesota 55439
Direct: 952-253-4920 * mmckenna@gass_en.com
Office: 952-922-5575 * Fax: 952-922-2004
To learn more about 'hlanagement dane right'; visit our website at www.gassen.com.
From: Rick - SHHA (mailto:rick-shha@comcast.net]
Sent: Tuesday, May 06, 2008 7:59 PM
To: Mike McKenna
Subject: Highlander decks letter
Tom Miklya
Building Inspector
City of Eagan,Mn.
Dear Mr. Mikiya,
I, Richard Neufeld, Board President of Surrey Heights Town Homes, do hereby approve of the
one foot six inch encroachment onto common area by the replacement of the original
construction decks of the town homes at 3444 and 3450 Highlander, Eagan, Mn. The original
decks were rotted and not up to code. The replacement decks will be constructed in the exact
footprint of the original and will meet existing codes of the City of Eagan.
Thank You,
Richard Neufeld
OS/08/2008
Cities Digi
ity Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
.?YR:{w•».?;:Y+' $,..w...?. } . . +':y?':;?^} }.:l,.::':d'..?
?? r'('- .. _ <11?4
.??:p:. . . . . . .
fC
'
J01
_ ..t.<
c:a..
r,;,., .;? •
!= -"'• !?' :^i,:
38N?
1999 BUILDING AERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
851-681-4675
NewComWCtion Rwuireme?As
? 3 regkterad eka suneys showing sq. %oT lof, aq. u! M house
and all roofed areas (20% mazimum lot covenae allowed)
D 2 wples of plans (show beam & window s¢as; poured fid. design; ek.)
D lsetoFenerpywiculatbns
D 3 wplas of Vee praservatlon pqn H bt plaGed after 717193
DATE: /-/` ZZ _?'"/ 5'
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: ? BLOCK: 3 SUBDJP.I.D. #:
PROPERTY
owNeR
CONTRACTOR
ARCHRECTI
ENGINEER
RemodellReoaU ReoulremeMs
2 eopia oT plan
1 sat M energy nlculadons tor heated addidons
1 sile survay for extedor addlUons b decks
CONSTRUCTION COST:
Name:
Last first
' &Z ?o DM? ?us71r-sse?
Phone #: 6E-4- &/ Z' 9'78 - 7/0&S
StreetAddress: ?J ? ZI Z #/?lfL/{-NOLN, (_)2, a
city swce: M N zip: 55 I Z Z-
Company: ? LT'f SS Lz"L Phone #: (015'/ L/?/ 6P 35
(area code)
Street Address: I53 lef?. /74tx?+OSo,v &e4f License # _
City lJ.' . csT . P? L gtate: _,f/? Zip:
Company:_
Talephone #: (
Strest Address
Cky
Stata:
Zip:
Sewer 8 water Iicensed plumher fnew eonstruction onNl: Telephone R:
Penalty appliea when address change and lot ehange Is requested once peimit is isaued.
' I hereby aclmowledge tliet 1 have rwd this applicatbn, slate that fhe infomiadon is corred, and agree t comp wBh all applk State of Minnesota StaWtes and tSt
of Eapan Ordinances.
SlgnaWre of AppllcaiH:
OFFICE US ONLY
Name:
Ragistration #:
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No ^ Not Required
OFFIGE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex , ? 16 Fireplace ? 21 Porch (3-sea.)
?D02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex X 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 S-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 AReration ? 37 Demolish Bldg.* ? 41 Wood 5tove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code Ani
(Aliowable) S, nl Main level sq. ft. SAC Code ?
UBC Occupancy -?3 3 sq. ft. No. of UnRs _L
Zoning sq. ft. No. of Bldgs „
# of Stories sq. ft. MC/ES 5ystem
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building
Permft Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
CIZU6 Engineering Variance
-
Valuation: $???f>-?
I
SAC Units
% SAC
• 6514510531
NOV-18-1999 09:35 BEISSEL
? BEISSEL
? WINDOW 1 SIDING
133 Eaat Thompson, West St. Paul, Minnaota SSl IB-3261
AI] V-'j
3 W ti-? %A
Q \ qh ?S l o.,.: .
6514510531 P.03
ae',,,t
?
3wy a
`YN
CAGAM
.?Al ?
.- -....??,.:?_..
g ?
Pax:
451-6ffi5
1SU'-----
g`
?
$%') 1
, ? 'c
& Operated Since 1950
6514510531
I N0?-18-1999 15:49 BE155EL
, . , August 3, 1999
Surrey Heights Townhouse
Association $oard
Re: 3442 Highlander Driva
Deck
6514510531 P.03
• Pmmission was granted ver:balIy to Richard & 8arba6 Ateufeld to:
I. Build a deck and install. patio doors in place of., two windows onto
rhe north facing sicie of 4it ai 3442 Highlande'r Drive pending the
receipt of this letter 5tating rhac: ;
A. Home-ownprs a5sume full responsibility for cost,
maintenance anil repair of above men'tiotted deck and
patio doors. (widi the understanding tlw when all new
windows ace ipgtalled in the unit by t6e restoration fund,
the home-awner will receive reitnbutsement at the
window replacelrnent rate). '
B. And that any sale of unit at 3442 Hi?ander Drive will
include paperwork stating that hom owner is
responsibl? for cost, maintenance anA repair of above
mentioned clezk and pati'a doors. ?
C. The tree adjace*t ta the location of proposed deck at
3442 High2ander Drive is not close e?ough to the site of
the dtck to.be in any danger of bein? damaged.
!
The undetsigned request a written confirmation of the ?oard of Directors
Barbara A. Neufeld Datc:
TOTAL P.03
ag}eememi to the above.
REACTrIVA i E' _
PERPIIT #
C1TY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
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: 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 SEM' PM20117' Pbf- 3409
Site Address: 3438 tt16NLAK0E2 I.f-• 6NG4.uoE5 34-40R 3442, 3444
STREET SUITE y
Tenant Name: (commerciat only)
LOT
Z.
BLOCK 3
SUBD. ??^T HEiGhiTS
P.I.D. At ll? 73?o c72o 03
3 r
Descri tion of work: 'R e SI c:>
The applicant is: ? Owner Contractor ? Other (Descri6e)
Name S V t T ct, V'Ne%:,HS 10W nIoI-e J3s5 ac . Phone
Property LAST FIRST J
Owner
Address
STREET STE M
, . .?
City State ZiP
Company MeTro 5,o-PNC Phone SS7 /o90
Contractor Address iya yy ?3 ? l?VP ND License # y? Exp.?/?? 4?
City P& T)')dtJlh State MlNl" Zip $S?
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: i"`- -
OFFICE USE ONLY
BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex P(12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
0 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. 0 10 Multi. Add'l. ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
O 32 Addition Y 34 Repair ? 36 Have
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBC Occupancy 2nd F1. sq. ft:
Zoning Sq. Ft. total
# of Stories Footprint Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? final
r.. ... ?
` ? . °?. ?'1?
iWa1easemea?fFinish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
Permi t Fee v.Lmc;m: g
Surcharge
Plan Review
License
MWCC SAC
0(4 P92Mf7-
CitY SAC
Water Conn.
Water Meter rI
? E40( I?(Gl,1C-Ag0Q2 D12-
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
3AC Units
INSPECTION RECORD
. .jF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: L 0 (• , APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
I,lESCF;:if'7Ii}P?.l
s?.i
n
rir -arp
R E .,1C;Tivi;
£2F MFt7?CS, H LUOE'; ..,4Lg ,(77 Si) -; a;?F' (Lii( 7.! ?;? tet f 2i
FLr£? i:i;! r?.rF fJ ?ra PER M I f 2o ziFi. ? li?2NCY hl":? q?tti}
7
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Num6er:
Date Issued:
]
'rtl.fi'i.:.,.1.? ,1li
c ,,?,_?, ,
DESCRIPTION:
r"iJ, 'S ceti_A?.?[:ouS
.? 8 u:t.}diii g1ar 4; i"yp'n RFPATtY
' IJBj: 7'C^L!pizC?C.;;' i?-:i
JL` 5v?
?u .??,, o t r,! .r,
o 7. ! .<.a :;
REMARKS:
3i1;, r1 0 7 a! =','a t?rYT ?;
?rFS i r- Cif n rN I-;,Ni i rv
FEE SUMMARY:
s
CONTRACTOR: ?poli?a??t: - sT- I I_'pWNER:
i i'S4'ri pi/!f3 t 3UW.f".Y !i IS (Dl,1P'J.MUU.Sc
5.4?nq 3'2S? 1: ?:
PL`iMOWTH i`lil, : L5l197 ?.A GAp! P1f4
I
I Y,e reby zal, kri crwl:,•d ge= tl-iai: t tio .r r& ud rfsi?; p p li.ca Czon anrl sta i.<: tV7ut Utre
z.n'iorma t Lr}n. ,., r;e,rr a;tic; o <;re•,m s;s. c;nf'i,?:.,.. ?xp ptis'?z++;c-?;?;xs5:e rt.
5t`r_i:F.:tLs arxei City oi Eaaq'?n orJir ."r<es.
/ cj
e?-
APPLICANUPERMITEE SIGNATURE
? ;ii?
-?5'SUED Y: IGNA UR
DATe 4-1$-79.
BUILDING PERMIT APPLICATION
znclude 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
I A1 ey. D-velf ?ri ?? -7 ,o
To be used for ? Valuation
-y fb. A a A A
Site ]lddress: 3y38 3yqai 341S+2, 3y?/4 3yYG? 3`+!YB? 35!SO, 3"/S2? 35? ?ms?
3yS8lo 3ybD HiGHL?vdE,Q DR, .? fo f}-uN?fs ,!0 8-??,rTr
Lot Block See. Sub..? ,?-'Y Parcel Number
SuRR,E`? l?fiTs. Tawa t-!'ovaES ? (O #7
Oa.mer (oeL. p ?MEDAt-ctea e421 Telephone 83$^72le'Z
r.ddress MPLS.
.
Contractor Q.1{. ?utTA'FS? '? Assd1=' /?sc-
Address Wl/LS, Arch./Eng. 4kG14 /1'laaxs„. AlA
Address
Telephone 83Sr0,124'r-
Telaphone sy4- gSr 9
OFFICE USE
Erect ) /
Alter
Repair
Enlarge
Move
Demolish
Grade
OFFICE USE
Date of npproval & Initial
Assessment
water/Sewer
Police
Fire
Eng.
Plannei
Council
P2dg. Off.
A.P.C. _
Occupancy /
Zoning R'y
Fire Zone
Type of Const.
# of Stories
FYont il
Depth 7 f I
FEES
- sA
Permit /D r
Surcharge
pian Check
sr.c ? ee
i67ater 4bnn. O
Water Meter
?
TOTA7;
G? 3 '
? 07-?-?
/-
DATE
Include 2 sets of plans,
4 Re x
xo be usea for Atl! ?Je,T
r
Site Address: 3-S/-'10
Lot Block See. Sub.
6 A? /Y?
Owmer
Address
Contractor
address
Arch./Eng.
Addrese
Erect
Alter
Repair
Enlarge
Nbve
T7emolish
Grade
OFFICE USE
Date of Approval & Initial
Asaessment
water/Sewer
Police
Valuation J700a•v' ?
Parcel Number
/ Telephone _
Telephone
Telephone
OFFICE USE
Fire
E;ng.
Planner
Oouncil
Bldq. Off.
A.P.C.
BUILDING PERMIT APPLICATION
1 site plan w/elevations and 1 set of enerqy calculations.
Ocoupancy
Zoning 7,4
Fire Zone 3
Type of Const. Y
q of Stories
Front
Depth
FEES
•s
Permit /D?l ^
Surcharqe /?' ?-
'Y3an Check
sAC SDO
t9ater Conn.- _
W$ter.Meter. G
TOTAL
BUILDING PERMIT APPLICATION
PATE
include 2 sets of plans, 1 site plan w/elevations and 1 set of enez'qy calculationa.
1b be used for 9 i'kr
Site Address; 3 'Y `/9
Valuation 3300D?d U
Lot Block See. Sub
;L
? Okmer
Parcel Number
Telephone
Address
Contractor
Address
Arch./Eng.
Address
Erect V/
Alter
Repair
Enlarge
Nove
Demolish
Grade
Telephone
Telephone
OEFICr USE
Occupancy ?
Zoning
Fire Zone .3'
Type of Const.
q of Stories
£ront
DePth
OFPICE USE
Aate of Approval & Initial
Assessment
Water/Sewer
Police
Fire
Eng.
Plantler
G+ouncil
Rldg. Off.
A.P.C.
FEES
Permit
Surcharge ?
P3an Check
SAC 4'D D
Plater Conn. 2 5G ?
4Tater Mete ?
TOTAI,
?
. . ?? _ 0:2
o c:.
DATE ?7
BUILDING PF•RMIT APPLICATION
Snclude 2 sets o£ plans, 1 site plan w/elevations and 1 set of energy calculations.
1b be used for ?e X ,n/P??,(/r? ??
sice aaaresE:
Valuation )5
Lot Block See. Sub.
7
Ohmer ? 4
Address
Contractor
Address
Arch. /FS1q.
Address
?
Erect
Alter
Repair
Enlarge
rrova
Ilemolish
Grade
Parcel Nwnber
Telephone
Telephone
Telephone
OFFICC USE
Occupancy ?
Zoning IC• 4
Fire Zone .?
Type of Const. ?# of Stories
Front
Uepth
OFFICE USE
Date of Approval & Znitial
Assessment
-water/sewer
Police
Fire
Eng.
Planner
Oouncil
Rldg. Off.
A.P.C. _ --
FEES
?d .
Pezmit 9g
Surcharqe -
pian Check
SAC DD
ulater Conn. 2 50 --° _?l
ma*e,- nserAr. 1) / ..?1
>;Mik'FfX:ti:m:v'::{i>:•.?W:F.1FSt9;"i:$<:?%'r::fi:;;t7:1: rtg;:?km:;: a:Mg;n:g;;,r.>,<.y,:>$ -:
C;:fTY OF
'?F,:ilHlrSt^ g iL'RM:f.NA{... 402 749
Dp.,.?... _'!!i3/`:ic '3 7.I'.? .:
: :. u'::: 1..,1.r5037
IV!
fdF;l`;E;I i TIiF_=.i.i.YfG:. i;[il^'Ni_Fi
300 9001 3438 F;:[r1;FH..ANr't4:1; 50.00
2155 :d(:;Cli. 3438 4iT(:;I-il...t1*:ilP:f? 0..50
T'ai:::i7. Re,,:,=a,p{. Afeqtii'rQ' 50.50
rRr73943:";
!_iSER :cr,, ranNCY
?. CITY OF EAGAN PERMIT
3q0 Pr:ct-Knob Road
Eagan, Minnesota 55122-1897
(657) 681-4675
PERMIT TYPE:
Permit Number: BUS L D T N f,
034059
Date Issued: 11 ! 1 S/ 9 8
SITE ADDRESS:
34:36 HTGIiL.ANUER
101.a 2 fiLQCK: 3
SURREY NE;CGH1"5 7TF{
P.z.iv.: 1e-73006-020-03
Dft
DESCRIPTION:
C3A5 1'NSEF2T ONLY
BuileJirrg-Rermit Type FItEPI.ACE
Build.in.q Wo'r-k,. Type ALTERAl°IOIV
.' CensusCode? 434 AI_r. RESIDEIVTIAi._
?_ .
,.
- , .
REMARKS:
CH7MNEY(FLUE hIIJST SE IySPECTED BFFOi'tE C(7NCGALIN6,
FEE SUMMARY:
Base r-ee $ se.ma
iUYCh3Y'qE ta5q
T o t a 1 Fe e
CONTRACTOR: -- Applirant - s1`. 1.-IC. OWNER.
Fl:RESIDE COftNER INC 16331.042 26090911 COSS SIJE
?2700 N MflIRVTEW SdVE 3438 HIGHLANDER DR
ROSEVTLLE MN 55113 EPQAN MN 55122
,(612) 633-104"' (651)452-0471
.
I hareby acknow.lPd4e thaC S have read thi.s applicatian attd state thaC the
ini'orffiation is corr-ect and agree to camplu with a11 applicable State af Mn.
L Statutes ancl City of Eaqan Ordinariees. J
APPLICANTiPERMITEE SIGNATURE ISSUED BY: SI NATURE
-?) y U:?? I
0 ,.
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
1998 FIREPLACE PERNIIT APPLICATION
681-4675
DATE: _AJm vy 13" 79
DESCRIPT'ION OF WORK: _ Construct new fireplace
? Install eas insert oolv
Other
JOBADDRESS: 3q3(F 11(`dk1uh
LOT: ?)- BLOCK:
APPLICANT (cucle one only):
C)? SUBDMSION/P.I.D. #: 5 i,,YY-e. ?., "-F l ??S,1,4N
OWNER CO TRACTOR
I hereby acknowledge that I have read this application and state that the information is coaect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan
Ordinances.
Name: L o)SS 361 'e Phone#: `1So7"'d
PROPERTY Last First
OWNER
Street Address: S y 3? tft 14 /q {y tj Pv ol/^ J
City Ea 6Y I'1 State: !nq
!' ?' (v• Zip: ??s/°?°?
comPany: e9arv, er J A/A?f4?,?e4-9a: ??s -9
FIREPLACE /? r n
INSTALLER Sigiature:P,?/ 7 ?
Street Address: Y(`z?/ry/Qryy icense #
City ?,C( U Cl f'? Stau: ZU&, Zip:
V
GAS Company: ? Phone ii:
LINE
INSTALLER Sipnature:
Street
l(- Ig -`'S`'
PERMIT FEE: $50.50
_ Alterations to existing
_ Install eas llne onlv
.- ?
UFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fueplace
WORK TYPE
O 31 New ? 33 Alterations
? 32 Addition O 34 Repair
GENERALINFORMATION
Census Code. 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
?{''# Y/6 _/95
?L
/ SUBD.
V
CITY USE ONLY H
RECEIPT#:
RECEIPT DATE:
q/1o1s 7
?o2v
? BL ?
L.fJO -W$- ? 1997 PLUMBING PERMIT (RESIDENTIAL)
CITYOFEAGAN
/uur.ouwt, ?? •-? "" " ? 3830 PILOT KNOB RD
EAGAN, MN 55122
(612)6814675
Piease complete for: . single family dwellings
. townhomes and condos when permits are required for each unit
. backflow preventer for underground sprinkier system
FIXTURES EAQH 1?. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - t • 3.00 x =
Rough Openings 1.50 x =
Water Softener `for dwellings under construGion 5.00 x =
WaterSoftener `terexfstingdwelfing 70.00 x
U.G. Sprinkler ' for dwelling under canst. 3.00 =
U.G.Sprinkler `forexistingdwelling 20.00 =
Alterations ' to ezisting residence 20.00
Water Tum Around 20.00 =
Private Disposal System ' oak cty uc. 75.00 =
(new and refurbished systems)
Private Disposal Systems'nbandonment 20.00 =
STATE SURCHARGE .50
TOTAL aD. hr)
I hereby adcnowledge thet I have read this appliceticn, state Mat the inPortnation is eorred, and egree to compty wRh ail epplicable City
of Eagen ordinances. It is the applipnPs responsibility to notHy the praperty owner that the Cily of Eagan assumes no liebility for any
demages causad by the City during its nortnal operational end maintenance adNlfks to the tadlities consWCted underthis.pertnit within
City property/right-of-weyleasement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME: TELEPHONE #:
STREET ADDRESS:
CITY: STATE:
ZIP:
SIGNATURE OF PERMITTEE
' ' U
CITY USE ONLY
LOT ? 6L ? pERMIT #:
RECEIPT N:
ti4 Y "
RECEIPT DATE:
HVAC in a single
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOH RD
EAGAN PN 55122
Date• I L/ C) 651-681-4675
(
?
Complete this section onlv if you aze
construction and not owner/occupied.
• HVAC:
• Gas outlets
@ $3.00 ea.)
State Surchazge
Total
or condo under
$ 30.00
6.00
s-3c.5 U
Complete this section onlv if you are remodeline, adding to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New Alteration
X Furnace
_ Air exchanger
Reminder: Call for inspections
SITE ADDRESS:
Repair _ Other
12-?I y- oa
Air conditioning
Other
Fee
State Surcharge
Total
$ 30.00
30.50
OWNER NAME: PHONE #: ?_- gp, - ?
INSTALLER NAME: t,p moLo..p PHONE #: ??3 5 - 3qbO
STREET ADDRESS: 7- I\n n J 14 'rJ ? S t- W (?'4 CODE)
CITY: STA1'E:' ' 1',\-J
0-100MBTU
ADDITIONAL 50
OF
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MEC9ANICAL PERMIT (COPMRCIAL)
CITY OF EAGAN
3930 PILOT IINOB RD
EAGAN, MN 55122
651-681-4675
Please complete for. all commerciaVindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New constntction Install U.G. Taolc
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When insta!lieg/removing undergroand tank, call 651-681-4675 for inspection by fue marshal and
plumbing inspector.
Description of work:
Fees: 1% af contract price OR $30.00 mioimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contractprice: $ x 1%=$
State surcharge
TOTAL S
SITE ADDRE.SS:
(Base Fee)
ca(culate at 5.50 for each $1,000 Base Fee
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN TH[S SPACE? Y N. NAfv1E:
INSTALLER:
ADDRESS:
CI'fY:
CITY USE ONLY
PHONE#: -
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERMITTEE
7 SS 3s
2006 RF SIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Yilot Knob Road, Eagan b4N 55122
Telephone # 651-675-5675
Please complete Cur single fxmily dwel lings & townhomes/condos when permics are required for each unit
Date C d ( ? ? / ?? -- -
Site Address
?? (
L ? U
i
#
__ ,
! n
t
Property Owner
Telephone #
Contractor STANDARD HEATING &AIR CONDITIONING
T
I
410 E -
Street Address MINNEAPOLIS, MN 55408
- -fr12-824-i69i
City _
State Zip 'fclcphmne# ( )
Bond #• F,xpires:
Thc Applicant is _ Ownet ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional /\Replacement _ New
_ air exchanger
an conditioner
E C ? ? \? ?
_ heat pump
other__ ? N(?V 0 9 U06'
-
?
S[ate Surcharge
o ? C?f?fJ?'!7 $ ,gp
Total Nov n 9
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work wili
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes• I understand this is not a
permit but only an application for a permit, and work is not to sWrt without a permit; that the wor ill 'n accordance with the
appAsp-LIE-?_ d plan in the case of hich requires a review and approval of p
?,Mq',?
Applicant's Printed Name Applicant's S' t e
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147503
Date Issued:01/12/2018
Permit Category:ePermit
Site Address: 3438 Highlander Dr
Lot:2 Block: 03 Addition: Surrey Heights 7th
PID:10-73006-03-020
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
James Eich
3438 Highlander Dr
Eagan MN 55122
(651) 365-1348
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177124
Date Issued:06/16/2022
Permit Category:ePermit
Site Address: 3438 Highlander Dr
Lot:2 Block: 03 Addition: Surrey Heights 7th
PID:10-73006-03-020
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
James Eich
3438 Highland Dr
Eagan MN 55122
One Hour Heating & Air
15191 Boulder Ct
Rosemount MN 55068
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature