3445 Highlander Dr
Jun, S. 2011 2:47PM SELR ROOFING No. 6530 P. 23
Use BLUE or BLACK Ink
F'®r 0(fire,.0.
Permit # I
CIS of Eap I
I I
Permit Fee:
3830 Pilot Knob Road I I
Eagan NIN 55122 Date Received:
~ t
ii I
Phone: 659 6755675 t
I Staff: I
Fax: (651) 675-5694
I 1
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
-4-
~ Date: Site Address: ~ 0V't3'n1 t
fI~•i'7t~'I
Name; hone: i~09
RESIDENT l
OWNER Address ! Ciry /Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work;
Construction Cost: kql Mulfi-Pamiiy Building: (Yes I No___)
64-4A !7I V lJ r(C&_
ComPanY: LLA &Z4P7/ A J67 Contact:
I
CONTRACTOR Address: • City. CSF L6k
State: M-Ai Zip: 1 Phona;
License P LY)10 6D Ll Lead Certificate 1P.
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, data and address of master plan:
Licensed Plumber: Phone,
Mechanical Contractor: Phone:
Sewer & Water Contractor. Phone:
NOTE: Plans and supportfhg.docurriehts that'you: submit are considered to be pub11c"1hforrnadbn: Portions of
the information: may he. cias.sifled as nonpublic # you providle specific r'eason5 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 protacWn against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.ooaherstateone~,,.all.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
2ccord2nce with the approved plan In the case of work which requires a review and approval plans.
X Yt I /A,
Applicant's Printed Name Applicants Signature
Page t of 3
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNE50TA 55122
DATE
19
AMOUNT $ I
ee DOLLARS
iao
? CASH Q GHECK
4u ??t G r=' ?o?
?
NUMERICAL FILE COPY
? ? ' sY
CITY OF EAGAN Remarks
Addition SURREY HEIGHT5 6th Lot 2 Bik 2 -Parcei 10 7lnns Q?(Lp_Z
Owner Street State Ea an A'W 55122
GARAGE 3 N y r ? lo n_ , .
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. 699 9300 - 5-10-78
SAC
PARK
CITY OF EAGAN Remarks
Addition SURREY HEIGHTS 6th
Owner Street
2 Parcel 10 7300s 010 n2
State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER L.ATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT ?
CURB & GUTTER
SIDEWALK
STREET LIGHT .
WATER CONN.
BUILDING PER. 3-IU-78
CITY OF EAGAN Remarks
Addition SURREY HEIGHTS 6th Lot 3 gik 1 Parcel 10 73005 030 01
Owner Street Sjate Eagan, 1?IId 55122
^.?Ilc i Zl, „ ?_
Improvement
Date L,HKHt,r
Amount v
Annual -e ir r
Years ui?vr r
Payment
Receipt
Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW ?
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT •
WATER CONN.
8UILDING PER. #4700 9300 3-1 -
SAC
PARK
CITY OF EAGAN
Additinn SUPREI' HEICHTS fith Lot S Blk 1 Parcel 10 7300s O5Q 01
Owner Street 3445 Highlander Drive state Eagan, NBV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL
WATERMAIN
• WATER LATERAL
WATER AREA
,t STORM SEW ?L
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT .
WATER CONN, 250.00 9300 3-10-7$
BUILDING PER. #4697
sac 3-1 -78
PARK
CITY OF EAGAN
Additinn SURREY HEIGHTS 6th Lot ? BIk 1 Parcel Ifl 73005 020 01 '
Owner Street A447 Highlander DY'iVe State
1i,,, •, „ . _ /.?? 9?- 9,?c%?'
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTO R.
GRADING
SAN SEW TRUNK
* SEWERLATERAL 1845 OZ 369.0 S 738.01 A004083 5-19-77
WATERMAIN
* WATER LATERAL 1975
WATER AREA 1973 assessed nder OZ'1 lII 1 3 eI
* STORMSEW ? 1975
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT .
WATER CONN. 250.00 9300 3-10-7$
BUILDING PER.
sAC 3-10-78
PARK
CITY OF EAGAN
Additi4n SURREY HEIGHTS 6th Lot 6 Blk I Parcel I0 73005 ObQ 01
Owner Street 3449 Highlander Drive state Eagan, NIN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL
WATEAMAIN
t WATER LATERAL
WATER AREA
* STORM SEW
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT -
WATER CONN. 2$0.00 9300 3-10-78
BUILDING PER. #4694
SAC 500.00 9300 3-10-78
PARK
CITY OF EAGAN Remarks ??L --5- Z
Addition SURREY HEIGHTS 6th Lot 1 sik 1 Parcel 10 73005 010 01
Owner ' Street 3451 Hi hlander Drive siate Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWERLATERAL A004083 5-19-77
WATERMAIN
* WATER LATERAL 1975
WATER AREA
* STORM SEW Mg 1975
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT .
WATER CONN, 250.00 9300 3-10-78
BUILOING PER. #
SAC -IO-7S
PARK
? . ? CITY OF EAGAN
3795 Pilot Knob Rood
Ea9en, Minnesata 55122
Phone: 494-8100
PERMIT
paYe: J unP 12, 1978 Receipt No.:
Single
Site Address: Residential
Lot Block
I Sub/Sec SH 6 th
Multi
No. 11 4-1.
10355
1 i1211 t t.hh3@.
Name D. 11• GllS tdfS:>ri ;
New/Alter
/Repoir
.
.
;
Address
Cost of Installation
O
City ? Phone: Permit Fee
Nome _ . " Surcharge •
?
?
? Address
0
?
City ?- ? Phone: Toto I
This Permit is issued on the express tondition that oll work shull be done in attordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
, HEATING
Date: !`ay 11, 1978
crrir oF EAwN
3795 Pilat Knob Rood
Eogon, MinnesoM 55122
Phone: 454-8100
PERMIT
ste Address: 3451 Highlander Drive
Lot 1 Block - Sub/Sec. _ SIi 6th _
INar.,e Gustafson & ??ssuciates
.
?
.
?
?
e
e
Address' ',) Southgate Offiee Plaza
c;t. Bloomington Phone:
Na,Y,eA• Binder & Son Inc .
Address ? 20 E. Butler Ave.
No.
1180
.?• ,i 'l '? ?ti
Receipt No.:
5inqle I
Residential
Multi Res., Comm./Ind.] i' I'] r ? 15 E' .
New/^Iter./Repoir neW
Cost of Instollation
Permit Fee
20.00
.so
Surcha rpe
u ? City
Phone: I Totol ?
This Permit is issued on the express condition that all work shall be done in acmrdance with all opplicable State of
Minnesota Stotutes ond City of Eagan Ordinances.
l/
Building Official
. . CITY OF EAGAN
3795 Pilot Knob Road Eagon, MN 55122 N2 47 0
PHONE: 4548100
BUILDING PERMIT , . Receipt # 9 300
Site Address
Lot BlockSec/Sub. SLrvS,,y Elgh-t-s
Parcel # 10 73005 id' l. i1 0;
o,,,c Name
z
Addre
0:
a
zl-
oQ
Vcc
1-
Name U N Gus[afson Sanp
Address
Nome _
Addreu
I hereby acknowledge thot I hove reod this opplication ond state thot
the information is correct and agree to comply with all applicoble
State of Minnesotu 5tututes and Ciry of Eagan Ordinonces.
Signoture of Permittee
A Building Permit is issued to:
all work shall be done in acco
Building Officiol
Assessment
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bldg. Off.
APC
Permit '
Surcharge °
Plon check
SAC
Water Conn.
Water Meter
Total 0 s1?,' 50_
;3:? 'Li3n Cn-rn on the express condition that
with nll applicable Stote of Mirjoesota Statutes and City of Eogan Ordinances.
- Erect
? ?
Oecupancy `
`-4
b trt Alter ? Zoning
Repoir ? Fire Zone -3
? Enlorge ? Type of Const. V
Move ? #k Stories
a Demolish p Front ff.
Grade ? Depth ft.
Aporovals Feea
Iwoit # DeN lurd heOMfw
Plumbing ?/a
Mechanicol f ' .?
INSPECTIONS OATE INSP. Rouph-1n Final
Footings Dote Irup. Date Irap.
Foundution Plumbing
Frame/ins. Mechonicol
Finol
Remarks:
0&
?
.
4w CITY OF EAGAN
• 3795 Pilot Kaob Road
Ea9oe, Minnesoto 55122
Phone: 454-8100
PLUMBING
Date: June 12, 1978
Site Address:
Lot '
PERMiT
3449 Highlander Drive
Nc
1140
Receipt No.:
Single
Residential
Block '- SubfSec,
Ti. C?i.istafson
Nome '
.
; Address
O
??ty i- laomington phone:
Name Project Plur.ibing C<,.
.
? Address
c
0
City Phone:
This Percnit is issued on the express condition that all work sholl be
Minnesota Statuies and City of Eogan Ordinances.
1 unit tInhse.
new
New/Alter./Repatr. Cost of Instollotion
?p, ??•
Permit Fee
Surcharfle ?
Total done in accordonce with all applicable Stote of
Building Official
}
CITY OF EAGAN
' 3795 Pilof Knob Rood
Eogan, Minnesota 55122
Phone: 454-8100
HliP.TIIvG _ pERMIT
Dote:
;[+rd'? F-il.•:',', :_?.. ?' ?7• ?;,•`:.'v?
Sita AMrocc•
Lot Block ' Sub/Sec.
INome`'. ._. ti'1 ,. . t.C: ;-<: . __. _3ot?_::? ,__??.
.
e
?
.
t
c
0
' Address ' 50 Southgate Office Plaza
c?ty loomington phone:
Name` -- -.,,: - & Son I,::c-
Address ,?? E. IjL:tZE1' AVE.
No. 1179
Receipt No.: ? )92 4
Single
Residential
Multf Res., Comm./Ind.l Ufllt tI1InSE..
new
New/After./Repair
Cost of Installotion
Permlt Fee
Surcharge
20.00
.50
V _ . . ,
I City Phone: I Totai •
This Permit is ' ed on the express condition that oll work shall be done in accordonce with all oppliwble State of
Minnesota tutes and City of Eagan Ordirances.
_.+
?
Building Official
P
,
BUILDING
?i
CITY OF EA6AN
?
3795 Pilot Knob Rood Eagan, MN 55122 N2 4699
PHONE: 454-8100
Receipt # 9300
$43,OOU.
To be used for ownhous8 Est. Value Date 'iar. la 19 78
Site Address 3L49 HSghl9?der Ur_ - Erect Occupancy ?
Lot 6 Block I Sec/Sub. SuY'ie H hts ith Alter ? Zoning R4
Porcel # LO 73045 060 O1 Repar ? Fire Zone 3
Enlarge ? Type of Const. V
aWc Name Cold Mednllien Gnrn Move ? ,+? Stories
Z Address 654 SaUthgat8 Office Plaza
t Dernolish ? Front ft•
Cit Phone Grade ? Depth ft.
o Name il Custafspzi SSiRe Approvals Fees ?
h
?Q Addr Assessment Permit Z Z 3- n0
ess
Q?
~
Water & Sew.
Surcharge 21 _ 50
Cit Phone
Police
Plan check
?
rW W Ncme
Fire
SAC 5(10 _ UO
s? Address Eng. Water Conn. 250
¢W Ci Phone Planner WnterMeter_60-Q0
Coun[il
I hereby ocknowledge that I have read this opplication and state thnt Bldg. Off.
the intormution is correct ond agree to comply with all upplicabfe ApC Total q54_ 50
Stote of Minnesotv Stotutes and City of Eagan Ordinances.
Signnture of Permittee
"o ? e a aon Corp
A Building Permit is issued to: on the express condition that
ull work shall be done in occordance with ald applicabL6 State of Minn
g-- esota Statutes and City of Eagan O?dinonces.
Building Officia) - ?" ?
Peemk # Deb lawed PenaMfN
Plumbing f 6;1
Mechanical
INSPECTIDNS DATE INSP. Roupfi-In Final
Footings *i ? Date Insp. Dute Insp,
Foundation
- Plumbing
Frame/ins. I
? ? Mechanical
Final i .. •
Remarks:
Date:
May 11, 1978
PERMIT
Site Address: '447 Highlander DY'iVe _
Lot Block 1 Sub/5ec.
NameP. I3. Gustafsan & Associates
?
; Address (--50 Southaate Office Plaza
O
City _ 1' loominq,ton phone;
rvameA, Binder & Son Inc.
?
? Address tiVe
e
0
V „
City Phone:
This Permit is issued on the express condition that all work sholl be
Minnesota Statutes ond City of Engan Ordinances.
v
CITY OF EAGAN
8795 Pilof Knob Roed
- • • 6o9sn, Mienesoto 55122
Pbone: 454-8100
HEATING
No.
On n?P,
Recefpt No.:
Singla I
Residential
A+lulti Res., Comm./Ind.' 11I11t tril:`iSe.
New/Alter./Repair. ?? n ;'?
Cost of Instollation
Pertnit Fee 70,00
Total
done in accordance with all applicable Stote of
Building Officiol
CITY OF EAGAN
3795 Pilor Knob Rood
• ' ' ' Eagen, Minnesota 55I22
Phone: 454-8100
? " - PERMIT
Date: Jt1I1e 12 . 1 S 7'1 -1
Site Address: 3447 Hiahlander Drive. y
Lot 0 Block SuliYSec. _ SH 61
No. 7 1 ,
Receipt No.:
Single I
Residentiol
Multi Res., Comm./Ind.
Nome'? < - oir Ticw
New/Alter
/Re
.
p
.
3
Address
Cost of Installation
O
City - ?c OlalI1CI tC` i1 Phone: Permit Fee
r ' ., ?. ?y?.?
Nome ?`zJ,j(=Ct i'Ju:, ..,_._ . '? .
Surchurge
.
?
t Address
e
0
City Phone: Totol
This Permit is issued on the express condition that oll work sholl be done in accordance with all applicable Stote of
Minnesota Statutes ond City of Eagan Ordinances.
Building Official
cirir oF EAGAN
3795 Pilot Knob Rood Eagan, MN 55122
• • PHOME: 4548100
BUILDING PERMIT 930c?
Receipt #
T_ L_ ..Y? &__ To,?mheus e r_. .._1.._ „-_ ?'taa'. 20
Site Address
,
Lot '
Parcel # -
l
cc Name ? nCUgltL10A wrp
3 Address 650 Soefthg8te Off3ee Plaza
o _. -P 9
0? Name
,o
?? Addre:
?
Name
I hereby acknowledge thot I have read this application and state that
the informotion is correct and agree to comply with all npplicable
5tate of Minnesota Statutes and City of Eegan Ordinances.
Signature of Permittee
A Building Permit is issued to: •-U14 i`4ed811iOii CO
oll work shall be done in accordance witFr all opplicdble Stote of Mir
Building Official
N° 4698
78
Erect p= Occupancy I
Alter ? Zoning R4 "
Repair
? ,
Fire Zone
Enlarge ? Type of Const. ?
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth h.
Aporovals Fees
Assessment _
Water & Sew.
Pol ice
Fire
Eng.
Planner
Council
Bldg. Off. -
APC
Permit
Surcharge -
Plan check
SAC
Water Conn. - '?`' • ?}t>
Wate?Meter ???=•'-'??
Total )54.50
on the express rnndition that
Statutes ond City of Eagan Ordinances.
reewk # poh IpMd YuwMlee
Plumbing
Mechanical // 7 1r =/?- 7 i?
INSPECTIONS DATE INSP. RouMln Find
Footings 1 KW Date Ir?. Date Inap.
Foundation I,
.? (p1
?
Plumbing
Frcme/ins. Mechonical
Finol
?
Remarks: -17'?'?' ?-- 'S ? 7 5
- cirir oF E?cwN
3795 Pilot Knwb Rood
Eayan, MlnnesoM 55122
Phone: 454-8100
PLUTIT?I'1G _ PERMIT
Date: June 12, 1978
Site Address: 3445 i'':' i VE
Lot - Block ?Sub/Sec.
3PH 6tr
Name • . --., . , , - .
.
? Address
City .r ?'aingtcr Phone:
Name DT'nl^(`±' PIL:!;_'?i_, , (:O.
.
?
g Address
e
0
City _ Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Stotutes ond City of Eagan Ordinances.
No. 11,?
Receipt No.: ' 03
Single
Residential
Multi Res., Comm./Ind. 1 Un?.
New/Alter./Repair. Cost of Installotion
Permit Fee r) 0
. ? ?.?
SurcFarge
Totol
done in accordonce with all applicable State of
Building Qfficiol
. ? CITY OF EAGAN
? 3795 Pilot Knob Raed
Fagee, Mlanesoto 55I22
Piwne: 454-8100
.ATINir _ PERMIT
Dote: May 11 , 19 7H
sice Address:?445 Highlander Drive
Lot ', Block 1 Sub/Sec. _ Sf: ?th
Name "• 11. Gustafson & Associates
; Address C70 Southgate Office r'laza
O
City t.'. loomington 5542f) phone:
NameA. Binder & Son Tnc.
? Addres`s?0 E. BUt1Gi AVE.
?
City Y?'?•„ _ Ct. '.}?.Ul ?r
11?
Phone:
This Permit is issued on the express condition that oll work shall be
Minnesota_Statutes ond City of Eagan Ordinances.
V
No. 177
09924
Receipt No.:
Single I
Residentiol
Multi Res., Comm./Ind. , '`?ir t?1;?SF'.
I
New /Alter. /Repair
Cost of Instollation
?n,0n
Permit Fee
.50
Surchorfle
2n, -,n
Totol
done in accordonce with all applicable State of
Building Official
. CITY OF EAGAN
3795 P11ot Knob Rood Eegan, MN 55122
PHONE: 4548 T 00
BUILDING PERMIT ', 4 3, 0.). ReceiPt #
Te 6e used fn, Tp5"ZlhQiISC' Fet Vnlijn I7nrnf4$r•
Site Address J`+yi riignianaer ur.
l.ot 5
Parcel # alxk 1 Sec/Sub. Surreo tighta 6t1
10 7 `?`` " L ???
a: Name Cald ?4ede111on Corp
3 Address 650 Sotlthgete OffiCe Pleza
o
Ci Hp S -
Phone
o Nome U u('_?. ? t o f a, ? S?-
,
?
??
Address
~ Cit Phone
?
?
W
Name
,
„
?- ?? Address
<'" Ci Phone
I hereby acknowledge thot I have read this application ond stote thot
the information is correct and agree to comply with all applicabie
State of Minnesoto Stotutes ond City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: C:nl t! MpAe1 1 Snn
all work sholl be done in accordante with all app(icoble Stote of Mir
Building Official -- -
Erect
Alter ?
Repair ?
Eniurge ?
Move ?
Demolish ?
Assessment _
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bfdg. Off. _
APC
Permit i `-`• ' ' -
Surcharge 21.50
Plan theck
SAC 500.00
Water Conn. _250s00
Water Meter ---4A6-N
Total 954.50
on the express Condition that
Statutes and City of Eagan Ordinances.
. J
N° 4697
9 300
$
Ocwponcy `
Zoning R4
Fire Zone 3
Type of Const. V
# Stories
Front ff.
Depth ff.
Fees
Permk # Dab loaad /nwIftM
Piumbing
Mechanical
INSPECTIONS DATE INSP. Rouph-In Finot
Footings Dote Irnp. Dofe Irup.
Foundation j?
? Plumbing
•/%?
77 ?
Frome/ins. Mechonical ?
Final • 7
r??
Remorks:
`j -5 N
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
•.11l0d Y t?t 1i,H r, i ti
Ift ',.( P, 1 I'T 10 N
Rti l 1 0 I N(i
0 ?i34F,y
0:3 ! 1 i. /q:i
REPAt1i
RF- Sity'fNfi
ft.qf e?j :9451 (lOF }.)
?tlK 1s ';iff7faY NfS 4114)
?
?
INSPECTION
WoRv
PERMIT TYPE:
Permit Number:
Date Issued:
k i H „ I APPLICANT:
Oft rt; : „ ; fii,
4 t, l.' jA ! E2 oE;
TYPE OF WORK:
PERMIT SUBTYPE:
„i1 . ; 1 ! ...W ,IJ.
,.
Permft No. Permft Holder Date Telephone •
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Insp. Comments
Foofings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Flreplace
Flnal Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Ptumber
Const. Meter
EngrlPlan
Bldg. Final IO7(5,11
Deck Ftg.
Deck Final
Well
Pr. Disp.
OF EAGAN 5EWER SERVICE PERMIT
Pilot Knob Road PERMIT NO.: -
, N,N 55122 DATE:
I: No. of Units: -
Address:
to comply with the City of Eogae
of Insp.:
T,:
Connection Chorge:
Account Deposit:
Permit Fee:
Surcharge: _
Misc. Charges:
Tota I:
Date Poid:
m
;ITY OF EAGAN WATEF SERYICE PERMIT
795 pilot Knob Rood PERMIT NO.:
;agon, MN 55122 DATE:
:oning; No. of Units: ?
hvner;
ddress:
ite Address:
lumber: _
4eter No.: Connection Charge: '
ize: Account Deposit:
euder .'da.: Permit Fee:
agree to eompir with the Cify of Eagan 5urcharge:
?edinonces. Misc. Charges: `
Total:
y k
Date Paid:
of Insp.:
OF EAGAN WATER SERVICE PERMiT
Pilot Knob Road PERMIT NO.:
, MN 55122 DATE:
g: No. of Units:
•ess:
Address:
No..
eader No.:
dgree to eamply with 4he Cilry of Eagan
Connection Charge:
Account Deposit; ,
Permit Fee:
Surcharge:
Misc. Charges:
Totnl:
Date Paid:
CITY OF EAGAN SEWER SERVICE PERMIT
2775 Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber: . ,
. ?
e to tomply with the City of Eagan
snces.
of Insp.:
f OF EAGAN
F 'rilot ICno6 Rood
.,, MN 55122
ng:
; r:
ress:
Address:
iber. _
?r No.:
ler No.:
ee to eomply wilh the City of Eagan
Connection Charge.
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Totol:
Dote Paid:
WATER SERVICE PERMIT
PERMlT NO.:
DATE: -
- No. of Units:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Chorges:
7otal:
Date Paid:
ote of 1 nsp.: I nsp.: ?
SEWER SERVICE PER IVIIT
ciTY oF E,a"N
?795 Pilot 1(nob Road PERMIT NO.:
Eogon, MN 55122 DATE:
Zoning: No. of Units: - E-'
Owner - ----
. , -
Address: -
Site Address: -
Pl umber: -
I ogree to eomply with 4he City of Eagan Connection Charge: -
Ordinances. Account Deposit:
Perrnit Fee:
Surcharge:
By Misc. Charges:
Date of lnsp.: - Total:
Insp.: Date Poid:
CITY pF EAGAN
3745 Pilot Knob Rood
E09an, MN 55122
zon;.,9:
Owner;
Address•
Site Address:
Plumber;
Meter No.:
Sire: _
:eader No.: -y--
a9ree to comPlY wlth the Ci
rdinen..e. tY of Eagan
WATER SERVICE PERNIIT
PERMIT NO.:
DATE:
No, of Units:
ConnecYion Chqr9e:
Account Deposit:
Permit Fee: -~
Surchorge;
Misc. Chorges:
ToYOI:
Date Paid: _
CIT7 OF EA6AN SEWER SERVICE PERMIT ?
`3795 Pi(ot Knob Road PERMIT NO.:
Fagan, MN 55122
'Zoning: DATE:
Owner. No, of Units:
.
A -
ddrest:
'Site Address: -
Plumber.
1 agree to eomply with the City of Eo
gan
Ordinanees. Connection ChQrge: .
Account De
posir:
PermiY Fee:
B
y Surchorge:
Dote of Insp.: Misc. Charges:
I Total:
nsp.: DaYe Paid: _
"7ffir€o?oe`st vold Ii Lonths from i6 73 c'o ?5- d O D
Date of this Request 5-10-1978 P70 021
I, asAR Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 3451 I{ia,hlander City E=92xI
Section Township
Range County Dalcota
Which is occupied by D.H. Guate.£oon
(Name of Occupanq
Is a roughin inspection required on this job? No ? Ye9O Ready Now ? Will CaM
PowerSupplier Daknta Cta*_ Address Farmirkton
Electrical Contractor O.B. Thonnnon Electric Cc. Contractor's License NoA3735
(COmpany Name)
Mailing Address 1_2_2_01 MtLa Blvd., T+4tka 55$43
Authorized
NQ lJ E WARD CalT ff
xo. 933•2521
This inrspection request will not ba accepted hy the
State Board unless proper inspectianfee is enclored.
minnesota State tloard ot tlectricity
, 19?4 University Ave., St. Paul, Minn. 55104-Phone 645-7703 /c cr o d
REQUEST FOR ELECTRICAL INSPECTION P 70021
CHECK BELOW WOKK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Appliances W'ved Fo: Check Equipment Wired For
Humc = ? ? Range 39 TemporaryWiring ?
Duplex ? ? ? Wate[ Heater ? Lighting Pixtures CDC
Ap1,Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? El Fu Silo Unloader ?
Industria] Bidg. ? ? ? Air ' io Bulk Milk Tank ?
Faxm ? ? ? List Lis[ )
Other
?
?
? p
Heie 1 • p
}
Here?g)
CQMPUTE INSPECTION FEE BELOW
SericeEntranceSize: # Fce Feeders&Subfeedeis: k Fce C'ucuits: # Fee
. 0 ro 100 Am s. to 30 Am eres 0 l0 30 Am etes
.101 to 200 Amps.1 Qp to 100 Amperes 31 to 100 Am eres
Above 200 Amps. 4 100 Amps.
Above Above ]00 Amps.
Tcansformers moteControlC'uc. Paztialoiothertee
Si ns ecial Ins ection Minimum f
Remazks
E11TiCI1
TOTAL E .Oo
40, 5
I, the Electrical inspector, hereb tify ?t?ie? ???bo?ve? inspection has been made-?
(Rough-in) ? ???"r"?„'?y?? Date
(Final) 09, 4) Date k -L/?Alr
This request void 18 months from
v.7u-- '1 ? ?+ 0 ? G c? tJ
his request voi 18 months from 730'0-S rl-
%
P 70022
Daie of this Request 5-10-1970
I, asfi Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electd-
cal wiring installed at:
Street Address or Route No. 3444 Highlander City Eaaan
Sec6on Township Range County Dakota
Which is occupied by D.A. Guatafaon
(Name of Occupant) '
Is a roughin inspection required on this job? No ? Yes 01 Ready Now ? Will Ca1M
Power Supplier Dakota Ctv, Address Farningtun
Electrical Contractor tContractor's License NoA??5
( ompany Name)
Mailing Address 12201 rt - -
(Elect?iwl' oMracto? o?,Owne?,, a. in9 This Installatlon)
Authorized
(ElectHCal Contrector or owner
OWE 0 MW Q3ply .
933-252 Y
king This Installation)
This inspectian request will not he accepted by the
SUte Board unless proper inapection fee.is endosed.
Minnesota State Hoartl oT tlectncity
7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
iREQUEST fOR EtECTRICAL INSPECTION
CHWR BELOW WORK COVERED BY THIS REQUEST
/ e p !J C?
P 70022
Type of Building New Add. Rep. Check Appliances Wired For Check Fquipment Wired Fm
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Wat Heater ? Lighting Fixtuces
Apt. Bldg.
Commercial Bldg. ?
? 0
? ?
? Dr ID
F.
t Electric Heating
Silo Unloader ?
?
Industrial Bldg. ? ? ? Aisi
ndi ' Bulk Milk Tank ?
Farm
?
?
? ?
Li
L
ist
p
eh
rs
? p
ehef3?
Other ? ? ? H
e
l H
COMPUTEINSPECTION FEE BELOW
Service Enhance Size: # Fee Feeders8Su6feeders: # Fee Cucuits: # Fee
0 to 100 Am s. 0 to. 30 Am exes 0 to 30 Am eres
101 to 200 Am s, l OjJ 31 to 100 Amperes 31 to 100 Am ies
Above 200 Amps. Above 100 Amps. Above 100 Amps.
T[ansfo[mers Remo[eCon[tolCirc. Partialorotherfee •
S' ns 1 1 S ecullnspection Minimum
Remarks EZ1TlC$ TOTAL EFy/.00 40•5
I, the Electrical Inspector, hereby cer ' hatrTh aIh(?,vefinspection has been?ihad. (Rough-in) //?Ol...? /Il Date -?! ? °??
(Final) . ,.. Date
This request void 18 months from '
?Yfus*2quest ?oi2 A months from /el
Da{e of this Request 5-10-1978 ? 70023
I, as MxLicensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Strcet Address or Route No. 3447 HiRhiander City ragan
Section Township
Range County Dakota
Which is occupied by D.H. GuatafFOn
(Name ot Occupant)
Is a roughin inspection required on this job? No ? Yes kc Ready Now ? Will Call Ftt
Power Supplier Dakota Cty. Address Farninaton
Electrical Contractor O.B. Thompron Electric Co. Contractor's License NolL33735
(COmpany Name)
Mailing Address 12201 Mtka Blvd. r 2uTtka 55343
(Electdcal Controctor or Qwner,Makinu This Installatlonl
Authorized
SUN BOA041D 00PU
Phone No. A33-2521
This inspection request will not 6e accepted by the
State Board unless proper inspection fee is enclosed.
minnesota State tSOartl ot tlectricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 / o 0 o d
` REQUEST'FOR ELECTRICAL INSPECTION ? 70023
CH$CK BELOW WOAK COVERED BY THIS REQUEST
TyQe of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired Fo:
Home 12 ? ? Range MC Tempocary Wiring ?
Duplex ? ? ? WaterHeater ? LighlingPuctures 7cf}
ApL Bldg. ? ? ? Drye Electric Heating ?
Commemial Bldg. ? ? [] Fum Silo Unloader ?
Industrial Bldg. ? ? ? ditio
Air 8u]k Milk'Iank ?
Farm ? ? ? List List )
Other
?
?
? p
Herels? lAY• ' }
HeheIgf
COMPUTE INSPECTION FEE BELOW
Servire EntranCe Size: # Fee Feedera&Subfeedeis: # Fee Circuits: Ot Fee
0[0 100 Am s. 0 to 30 Am eres 0[0 30 Am eres
101 to 200 Amps. o ]00 Amperes 31 to ]00 Am exes
Above 200_Amps. 7 H ve 100 Amps.
j Above 100 Amps.
Transformers ote ConttolCirc.
Rem Partial or othex fee
Si ns ial lns ec[ion Minimum fee . 0
Remazks E],1T1C71 TOTALFE 6
i 40 - 50
I, the Electrical Inspector, hereb?c,F?ffy `^? t?j t? bove i ection has been
(Rough-in) (/?•% ?- Date j
(Final) i Date
This request void 18 months 66riT-
?-
+7 ?V.•7v--i ira
tus request o,? 1 months from l0 ) jG0 $" oSO. /
??
- ;
P 70024
Date'of this Request 5-10-1970
I, asAN Licensed Electrical Contrac[or ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 34d5 Hiqhlander CityEaBan
Section Township Range County Dakota
Which is occupied by_ D.H. Guatafeon
(Name of OccuGant)
Is a roughin inspection required on this job? No ? Yes Oc Ready Now ? Will Call I@x
Power Supplier Dakota Cty.
Farsaington
Electrical Contractor O.B. Thompoon Electric Co. Contractor's License NoA33735
(COmpany Name)
Mailing Address 12201 ithtka_ Blvd. , I+Itka ,`)5043
Authorized Signature
tuacmcai wmractor or ow
NQ M BOQRD QOpIV
No. Q37?9 _
This inspection request will not 6e aceepted hy the
Stete Boerd unless proper inspection fee is enclosed.
mmnesota state tsoara or eiectncity
1954 "niversity Ave., St. Paul, Minn. 55104-Phone 645-7703
- AQUESTfOR FLECTRICAL INSPECTION
ChacK BELOW WOKK COVERED BY THIS REQUEST
/v41 c7o
P 7oa2a
Type of Buitding New Add. Rep. Check App(iances W'ved For Check Fquipment Wued For
Home IM ? ? Itange OX Temporary Wixing ?
Duplex ? ? ? Water Heater ? Lighting Fixtuies u
Apt. dldg. ? 0 ? Dry Electric Heating ?
Commercial Bldg. ? ? ? Fu Silo Unloader ?
Industrial Bldg. ? ? ? Ai? ndiC 8ulk Milk Tank ?
Farm ? ? ? Lis List
Other ? ? ? 2ehers1 ? ? XXXX Oehers?
ft
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feedexs@Subfcedecs: it Fee Cl'rcuits: # Fee
D to 100 Am s. 0 to 30 Am tes m eres
]Ol to 200 Amps. 31 to 100 Amperes Am eres
Above 200 Amps. Above 100 Amps. W Amps.
Above
Transformexs Remote Contro l Circ. ther fee
Signs Special lns ction Cee
Remazks E11r1C1'1 TOTALF 6,W 40•50
I, the Electrical Inspector, hereby
(Final)
This request void 18 months from
L
has been
Date ?` ` 10•- 7(Y
,pate - 10-2b'
cInr oF EAcaN
„ ' 3795 Pilo! Kno6 Read Eegan, MN 55722 N! 4700
PHONl: 454-8100
BUILDING PERMIT APPLICATION $43,000. Receipt # ___9300
To be used for TOWRhOll52 Ert. Value Date Mar 7!1 _, 19_78_
Stre Addreu 3451 Highlander Dr, Erect (5 Occupancy I
Lot?- Bl ockI._ Sec/Sub. Snroay Hg?te bth Alter p Zaning R4
Parcel # 10 73005 010 OL Repair ? Fire Zone T
Eniar9e ? Type of Const. p
w Nome Gold Medallion Corp Move ? # $tories
?
Address
out gate 0 fice Plaza
Demolish
?
Front ft.
Ci phone 835-7262 Grude ? Depth - ft.
? N D H Gustafson Same Approvala Fees
p ome
h
?? Address
~ CiN Phone
Name _
Address
I hereby acknowledge that I have read this oppllcation and state that
the informotion is correct ond agree to comply with ali opplicable
Stete of Minnesota Statutes and City of Eagan Ordinances.
Sfgnoture of Permittee _
A Building Permit is issued to:
oil work shall be done in occo
Bulldin9 Officiol
Assessment -
Water 8 Sew.
Police -
Fire
Eng.
Planner ?
CAUncil _
BId9. Off. _
APC
Permit ` "' "" _
Surcherge 21.50
Plan check
SAC 500.00
Woter Conn. _250.00
WoMr Meter _§Q..QO
Totai os_
on the expres condition that
with =plicoble ote of Minnesota Statutes and City ot Eagan Ordinances.
cirr oF encaN
8795 Pilot Knob Roed Eagan, MN 55722 N9- _ 4699
• PXONE: 434-8700
BUILDING PERMIT APPLICATION Receipt # 9300
$43,000.
To 6e uaed For TOWRhOUSe Est. Value Date MBi. 10 _ 1978
Site Address "1449 H{ghl AnAnr nr_ Erect [jt Occuponcy I
Lot 6 Block 1 Sec/Sub. Surie H hts 6th Alter ? Zoning R4
Porce1 # 10 73005 060 Ol . ? Repair ? Fire Zone 3
E
l V
e of Const
T
n
arge [3 .
yp
w Name Gnl d MPBAl I i nn Cnrn pqove C] # Stories
; Addreas 650 Southgate Office Plaza Demolish ? Fronr n.
?
Ci _
Phone 1135-72-1
Grode ?
Depth ft.
w No
n,e
H Gustafson Same
Avprwoh
Fees
i?o
o? Addfe55
u
Fr:... nL"'
Nome _
Address
I hereby acknowledge that I hove reod this opPlication and state that
the information is correct and agree to mmply with aIl opplicable
Stote of Minnesoto $tatutes and City of Eogon Ordinances.
ASSessmeM _
Woter & Sew.
Police _-
Fire
Eng.
Planner _
Council -
Bidg. Off. _
APC
Permit 173_nn _
Surtharge 71 -50
Plan check
SAC 500_00
Water Conn. 950-00
Water Meter an, nn
Total 954_ SO
Signoture of Permittee I
o e a on Corp
A Building Permit is issued to: on the express rnnditlon that
oll xrork shall be done in acmrd ce with al appFim e State of Minnesota Stotutes and City of Eagan Ordinances.
Buildirg Officiol
ciTr oF encaN
' 3795 P11oe Knob Road Eagan, MN 35122 N4 4698
PHONE: 4548100
BUILDING PERMIT APPLICATION $43
000 Receipt # 9300
.
,
To be uoed for TOWnhoUSe Est. Value paty t'1dT. 10 _ 19 78
Stee Address 3447 HWBander Dr. Erecr ?g Occuponcy i
Lot 2 elxk ui-rey H
ghts 6th
1 Sec/Sub.- S A1Yef 0 Zonin9 R4
porcel # 10 ?
-
73005 020 OL G?/d/ Repair ? FireZone 3
Enlarge ? Type o{ Const V
rc Nome Gold Med811iOn Cotp Move ? #Stories
z
Address 650 South ate Office Plaza
g
-
Demolish ?
Front ft.
° p
Ci Phone - Grade ? Depth ft.
? UstB son 8mE Approvnb Fees
p Name _
r
?Q Address
rc
Name _
Address
1 hereby acknowledge that I have read this applicotion and state that
the informution is correct and cgree to comply with oll applicable
Smte of Minnewto Statutes ond City of Eagan Ordinances.
Signoture of Permittee
A Building Permit is issued to: GOld MEa811i0II
all work shall be done in acco e wit all a li abl@" \State of
Building Official
Assessment -
Woter & $ew.
Police -
Fire
Eng.
Planner -
Council _
Bldg. Off. _
APG
Permit
Surchorge ??-
Plan check
SAC 500.00
Water Conn. 260-40
Q
Water Meter 60.0
Total 954_ SO
on the expreu condition that
Statutes and City ot Eagan Ordinonces.
cIrr oF EncaN
' 3795 Pilot Knob Rmd Eagan, MN 55722 N? 4697
, PHONE: 4548100
BUILDING PERMIT APPLICATION
$43
000
ReceiPt }k 9300
,
TdWRhouSE
? Mar' 10, 138
Te be used f or
Est. Value Date
Site Address 3445 Hit?hlander Dr.
Erect ' I
Occupancy
Lot 5 Block 1 Sec/Sub. Sui'teo Hghts 6th Alter ? Zoning R4
Porcel # L Repuir ? Fire Zone 3
Enlarge ? Type of Const. V
n
Name Gold Medallion Corp
Move ?
# Stories
3 Address 650 Southgate Office Plaza De„pi;sh p Front n.
O
Ci j1
S Phone - 6
Grade ?
Depth ft.
? wl,....,, n U Avvromh Feea
0
QV
u?
r-
Address
Name _
Address
I hereby acknowledge that I have read this application and stote that
the information is correct and agree to comply with all opplicable
StaM of Minnesotu Statutes and City of Eogan Ordinonces.
Signature of Permittee
A Building Permif is issued to: Mc.l..l
oll wark sholl be done in occorda e wit ol ap I c ble State
Bullding Officiol . -,? _ -
Assessment -
Water & Sew.
Police -
Fire
Eng.
Planner -
Council _
Bldg. Off. _
APC
Permit ic.i.vv _
Surcharge lb1.50
Pion check
SAC 500.00
Water Conn. 259. 0
Water MeMr _60-.00
Toral 954.50
on the express condition that
Statutes and City of Eagan Ordinances.
S
MECHANICAL (RESIDENTIAL)
? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Singlc Family Dwellings
Townhomes and Condos when pem»ts are required for each unit
??,z
nare 3 , r-I i o&-
Site Address 3qq^7 hl e-t" ?r' Unit #
Property Owner Tc? ? ? ? C_l.l'?v SC1'llJ,.,l e(' Telephoue # ( (_y5) ) -,4T ?-
Contractor ?t?lohlers Southside Htg. & Air, Inc.
6950 W. 146?" St., 4106
Street Address ,?pple Valley, ? 55124 City.
I (952) 431-7099
State elephone # ( )
The Applicant is _ Owner <Contractor _ Other
Add-on, modtfication or altera6on to esisting dwelling unit $ 30.00
? furnace replacem ent
air exchanger
? air conditioner
other ?I I` 0 '
I ` ,
1l? MAr, ? 82013
?-
State Surcharge $ .50
30i?D
Total $
I hereby apply for a Residential Mechanical Pemvt and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlus is not a
pemut, but only an applicarion for a permit, and work is not to start without a percnit; that the work cvill be in accordance with the
approved plan in the case of work which requires a teview and approval of plans.
ApplicanYs Printed Name Applicant's Signature
IN5PECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612)6814675
SITE ADDRESS: APPLICANT:
,
..1=56 H10 tai 1idUcR c R P4LIirO 31010,
"UIPif-.Y i R 1G111'. .i-I"H (S12 1 4 41 -, 1 8 0 EI
PERMIT SUBTYPE:
tw7:Sr.Et i.AraeaM?
TYPE OF WORK:
qi='3i. Hi PTl:qf!l
8t 1 7" I. Q r NO
G3?G)4>l'l
r>i::Pr-ltiiz
°„-_51].uT.iai;
R F M ;Pr:.=n 7N I L!IiE3 +11 :% t'L ni ?') 3 1 15 (l.0 T C'i .. .i ( I_0 I" 1 )
r. ?. , , f? . .1 '?{ " ;J'i" 3, ?._, t.(Ji.r, f?' (?rd PE`??+ ,2ti ???? .. ? i.! B_P1 1, .U'.R1'_'Y HT'7 4Tfi}
PERMIT ?,
? ?+ITYOF EAGAN
830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number. G^7 0 1<69
(612) 687-4675 Date Issued: 67 3 J 11 (<.?.;
SITE ADDRESS:
•.?n'1'r.'r? I.151;11li',ii)¢??j fli2
i?r 5 t'i_CiCi•:.: 1
Poi,Pl?a
DESCRIPTION:
?8 t,].J.d iI' - rrniC e [rii ?.?:'!..l_?lr1?n?.l
UuwidLny?jin i-I "fyp:= kCF l' A?N
llsC {7ct:tlpaiicy
,
? ?,: '? .. .c .... ..i' . .. ',c _! ? ,., ...... ,.r
REMARKS:
trdi_uu r,i_r) r ?f) r si ??!x ,i??r a1
f-r rr?l I '`-f) 111`J ' I i? :1' I fYt' =.I v 9 rIIF' F` ?.;,- 1-1-H1
FEE SUMMARY;
CONTRACTOR• - appt t-rspWNER:
i'7LTRil `.-;:C17.CiU.Ci ^ a?F7t? ta A(„ ti-; ? 3lli?it,F. { HTS I 0 ydf?11r.1!°F AOi?
?In.:7qq .23(,:0 1i'.i I(!F^. D^.
n1_oM ou-rf?I N N F ;;6 h H M
I tierchy- oc4crnowisdq.> t1,.st t 6iave rwcici th5.t4 app2"L rzai"inil zInc{ s i:aLs Ch;?C ths
s`n'i'orm.aYi.urt is co raP. c 'C: .an0 aq +-ee: 'c.o ?r,iply U.t qtii a ]J r;,prrlit,>b lr '?T.:? te of h.;r.
^,ta CUk.Wa ,irtd Citv taF ca:;an i?rd ir{d
?
APPLICANT/PEFMITEE SIGNATURE
? i
f , ,Y::RSIGN ATU E
ISSUE?B
REACTIVATE _
PERMIT 8
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 -3 / 8 / ?13 Valuation of work SEE +IEMrT I'or- 3409
Site Address: 3445 f41&14L4M0r=.e De CuGLUOcaS 3447, 3449, 314si
STREET SUITE *
Tenant Name: (commercial only)
IA 5 BLOCK ?
1 SUBD. sUR?C'1 H?te'?TS
P.I.D. it 10 -73005 b5c? C7l .
2 , to 1 (o TM
Descri ti on of work: P S, ch e-
The applicant is: El Owner 14 Contractor ? Other (Deseribe)
Name S V r C e!j ?4 t71nAy Ta W rAQ».e A53ocPhane
Property LAST FIRST
Owner
pddress
STREET STE M
City State Zip
Company TnQArb S iO%AJ 1-NC Phone -5S74809
Contractor Address ltlc) Y 3-09 JVO License # yCJ 6l Exp.9/3
City lY i''7UJT A State m//"N Z i p Ssyy7
Company Phone
Architect/
Engineer Name Registration #
Address
City 3tate 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
carrect and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. .
?
a
Signature of Applicant:
?^-
.
? 4W
npmgr4arch 8, 1978
BUILDITdG PFRMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
1b be used for
,? ?j-r C??•C??Gf b' ? ? ?-c?
Valuation
Site Address; 3437, 3439, 3441,
3443, 3445, 3447, 3449,3451 Highlandex
Dr.
Lot Block
--k
Preliminary Platted
owner Gold Medallion
Address 650 Southaate
Mpls., Minn.
Se'c vS b, !?6 Parcel Number /Q 7-800S DSO D/
as Surrey Heights Sixth Addition
?orp. Telephone 835-7262
Off. Plaza
Contractor D,H. Gustafson & Assoc..
Address 650 Southqate Office PLaza
Mnls.. Minn.
Arch./Eng. Robert G. MaaneV, A.I.A
Address 11408 Oak Ridcte Lane
Minnetonka, Minn.
Inc.Telephone 835-7262
Telephone 544-9219
OFFICE USE
Erect X
Altez
Repair
En2arge -
Nbve
Tiemoli sh 1
Grade
OFFICE USE
Date oP npproval & Initial
Assessment
W.ater/Sewer
Police
Fire
Eng.
Planner
Council
Rldg. Off.
A.P.C.
Occupancy
Zoning 4'.4
Fire 7one
Type of Const.
N of Stories
Front
Depth
FFES
?.
Permit I o?3
Surcharge S;k
Plan Check
511C ? 1?I1 " n 1?
t^?atex Conn. Do_
67ater Meter
--?-
TOTAL
nAmEP4arch 8, 1978
SUILDZNG PF.RMIT APPLZCATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
6x
7b be used for Valuation
Site nddress; 3437, 3439, 3441, 3443, 3445, 3447, 3444,3451 Highlander Dr.
Lot Block Parcel Number 1,4 7-?DOS Qa D Oi
? yPreliminary Platted as Surrey Heights Sixth Addition
owner Gold Medallion Corp. Telephone 835-7262
nddress 650 SouthQate Off. Plaza
Mpls.. Minn.
contractor D.x. Gustafson & Assoc., Inc.Telephone 835-7262
Address 650 Southcrate Office PLaza
Mpls. Minn.
rsch./Eng. Robert G. Maqney, A.I.A
address 11408 Oak Ridqe Lane
Minnetonka, Minn.
Erect X
Alter
Repair
Fnlarge
Move
Demolish
Grade
Telephone 544-9219
OFFICE CTSE
Occupancy
Zoning A' ^
Fire 7one
Type of Gbnst.
$ of Stories
Fzont
Depth
O£FICE USE
L)ate of Approval & Initial
Assessment
Water/Sewer
Police
Fire
Eng.
Planner
Council
Rldg. Off.
A.P.C.
FEE.S
Permit
Surcharge o? l ?'
Plan Check
SnC 5na .?
t^]ater Conn. K
Sdater Meter ?
. ?
TOTAT,
-
? 7
pA-EPlarch 8, 1978
BUILDING PF.RMIT APPLiCATION
?
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
To be used for
c?¢.??CJ?Gf ff?yo-2• t c
-? Valnation
3445, 3447, 3449 3451 Highlander Dr.
Site nddress: 3437, 3439, 3441, 3443,
Lot Elock Sec. Sub, y
T 51-
Parcel Number /D 78D05 0/p p/
Preliminary Platted as Surrey Heights Sixth Addition
owner Gold Medallion Corp. Telephone 835-7262
nddress 650 Southaate Off. Plaza
mo15., Minn.
Contractor D.H. Gustafson & Assoc., Inc.Telephone 835-7262
Addresa 650 Southaate Office PLaza
Mpls.. Minn.
Arch./Eng. Robert G. Maqney, A.I.A
Address 11408 Oak RidcLe Lane
Minnetonka, Minn.
Telephone 544-9219
OFFICE L1SE
8rect X
Alter
xepair
Fnlsirge
Move '
llemol i sh
Grade
OFFICE USE
Date of Approval & Initial
Assessment
Water/Sewer
Police
Fire
Eng.
Planner
Council
Rldg. Off.
A.P.C.
Occupancy
Zoning
Fire Zone
Type of Const.
H of Stories
Front
Depth
FEES
c?
permit l ?3
Surcharge
Plan Check
SAC
[7ater Conn. Sn Dll
tdater P2eter
u
TOTAI,
? .. _ ..z
• nnmgMarch 8, 1978
AUILDING FERMIT APPLIC}1TION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
1b be used foz valuation 6OC?
Site Address: 3437, 3439, 3441, 3443, 34J5, 3447, 3449, 3451 Aighlander Dr.
t
?
Lo
Bl ck Sec. Sub.
- Parcel Number ? pJ j I 0 01
?
7
A Preliminary Platted as Surrey Height s Sixth Addition
owner Gold Medallion CorA. Telephone $35-7262
address 650 Southaate Off. Plaza
Mpls.. Minn.
Contractor D.H. Gustafson & Assoc., Inc.Telephone 835-7262
Address 650 Southqate Office PLaza
Mnls., Minn.
Arch./Eng. Robert G. Macrnev. A.I.A. Telephone 544-9219
Address 11408 Oak Ridqe Lane
Minnetonka, Minn.
OFFICE USE
Erect X Occupancy
Altei ZOning ?
Repair Fire Zone
Enlarge Type of Const. ,
Moye f1 of Stories
Demolish Front
Grade Depth
OFFICE USE
Date of Approval & Initial FEES
V °"
Asaesemeat ?-12.
7R' Permit /?73
Water/Sewer Surcharge GtJ ?
Police Plan Check
Fire SAC
Eng. G?ater (bnn.
Planner 47ater Meter (op . 6'?
Council ?
Rldg. Off.
A.P.C. TOTAL
a ?
Eagan Township
Dskota Coun2y, Minx¢so2a
? y Application for Building Peranit
?.
Type of bvilding or wozk coafempla3ed. Cirale eorrect desczin2ion3.
PERMIT NO.
March 8, 1978
Da3e ..........._.........__........_._
Residential Commereial Indusixial Olher.............................................. :...................•••-•_••_••-_..__•_-•-•._••-••_••...••_..._••-
EuIId Enlargs Alter Repair Iastail . Movo Wzeek OSSer ...................... _..... ^.........................................
Dimensiaas..._50•--X 50 ...... Cosl .:..............
1 .... townho-u.se •••
_bldg ..
.4--°uni-
......_,....• --.cons-i..sti-••
-ng ..... of ....
. t-s -.. _._ _._...----•--...--• -.._ ....... _--............_...... ..--
Delails oz xemarks.....-°---_....--•-..•• ...........
-
-
Locatioa Surrey Heights 6th Addition as preliminary platted
Nnmbez SYzee! Befween whai cross slreeis Sizo Esf. Valuafion
3437, 34 39, 3441, & 3443 Highlander I
. Dr. I
Lo! Blaelc Addii?on Rearrangement or Trac2
I
owaer Gold Medallion Corp.
Consractor Gustafson & Assoc. Inc.
Address 650 Southgate Office Plaza, Mpls,
............................................................... ._._........................
Address 650.__Southgate _Office _Plaza,_..,L'I?ls,.,
-• ...............
The undexsigned hereby mekes apolica2ion tor a permit !o
a - do wock as herein specif?ed, agreeing 2o do all worlc in siriax
. .......... . ^
To2a1 fee collected. secordance wikh ihe building ordinance adopied April 11, 1955
by the/fEagan Township Boaxd of Supesvisors. Permit fees are ao2 ?
refundable.
`----._ ......--•--...-----•---•-----........---•---•'------------r :................•°------
uigned _
Eagan Township
Dakofa County, MinnesoSa
Application fo: BniIding Petmit
Tqpe of 6uilding or work confemplaled. Circle correcf deserin2ions.
Aesideniial Commereial Industrial Oiher................................................ .......................
8uild Enlasg^ Aliex Repsiz Insiall Move Wreck Ot:ier__..................
Dimensions..._ 5 -- 0 --' ... X ...... 5 ... 0 ........................ Cos!-'---.......°-'--'---..........
Detaiis or remarks...l.._townhouse consisting of 4 units
................................................ --- -- ---- -------
Loca:ioa Surrey Heights &th Addition as Preliminary Platted
PERMIT NO.
Date rlarch _8...... 1978
--------
SSumber Sireei Belween whai cross s2seeis Sizo Esf. Valuation
3445, 3 447, 3449, & 3451 Highlande ? Dr. I I
Loi Blocti Addii:on Rearrangemeni or Trac!
owner Gold .._ _ M.edallion"
.
.
.
:.
.thg_ -- " te' Offi _
. .Corp. ................................. Address 65.0 ... Sou.
. c . e ._. P - la - z - a ........ r1 . Al "
.. s _.
"
........."'•"" ... ..........."_ a----"----.."'....... ---- ----...-. .
D.H. Gustafson & Assoc. Inc. 650 Southgate Office Plaza, Mpls.
Coniractor _ ...............°°------......._-----.....------..........°---...-°°•---..... Address ....................................... .--..... '-.............. ------- -----------
-----
The undersigned here6y makes apnlicalion for a permif So
y do work as herein spocif?ed, agreeing io do all worlc in siric!
To3a1 fee colleefed. aecozdance wi2h !he building ordiaance adopled April 11, 1955
by fhe Eagast Township Board of Suporvisors.
PermiY tees ase not `?a (/ 4L! '?? l? ? Q/Y[?(/S?/?-?°'+> ° ??vr, `
refundable. ..................... -----......._°'-'----°-.._............. '? •
5iQned
CITY USE ONLY
L ? BL / RECEIPT #: n `"t 9 (, (, '1"
SUBD. L(/1-1q RECEIPTDATE: "-ak4 -`I ?
1998 PLZJNIDING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAG7+N, bAt 55122
(612) 661-4675
Please complele for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
------ ? ????--------
FIXTURES ---------??
EACH
# 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 TublSpa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
GasPipingOutlet `minimum-1 3.00 x =
Rough Openings 1.50 x =
Water Softener ` for dwellings under construction 5.00 X
Water Softener ' for ezisting dwelling 20.00 x _L =
U.G. Sprinkler " for dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Alterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System * MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal System5 * Mandonment 20.00
=
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50 ,?
TOTAL ???
-----------------------------------------•----------- ------ - ----------------------------------------------------
I hereby atknowledge that I have read this appiication, state that the infortnstion is cortect, and agree to comply with all applicabfe City of Eagan ordinances.
It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activkies to the facilities wnstructed under this pertnk wRhin Ciry propertylright-of-way/easement.
SITE ADDRESS:
?Z?
OWNER NAME ?Af-v-` G(\A S??_Glz? "
INSTALLERNAME: (W?k WW (0? TELEPHONE#:25 3 2?rY
STREET ADDRESS:
CITY: STATE: ZIP: ?
SIGNATURE OF
CD/PERMIT FORMSlRPLBG PERMIT (RES) - 1998
PERMIT # T GS (a C
RECEIPT DATE: O - ? - C? 1
M1D$NTIlkL PLiJM$IAfi PERM1T "PLICATIOft
crrYoF EAs,nx
3830 Paor [txos atn
gwsM, eur asizs
667-681-4675
Please complete for. ? single family dweilings
D townhomes and condos when pertnits are required for each unit
D backflow preventer for irrigation system
SITEADDRESS: MCBRIDE,ANDREW
- 3445 HIGHLANDER DRIVE
EAGAN, MN 55122
OWNERNAME:: (651) sos-sais _ TELEPHONE#:
(AREA CODE)
INSTALLER NAME: TELEPHONE #:
pgA ? LOM PLUMBINp (AREA CODE)
STREET ADDRESS: ?CO/ C
CITY: ?MBNUp?ee2?LD AVE MCIAL ?s STATE: ZIP:
Place a check mark next to the nermit work tvpe
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repaidrebuild of RPZ
. lawn irrigation system
• water tumaround r
Nature of work: ? E'?i?CC? ?pla(',e.&?
Septic System, new/refurbished - $ 225.00
• includes County & Consulting !nspector fees
• requires MPC license
State Surcharge $ .50
il ? ` ? -- - ?
i? ? AUG 6 2001
Total ? 'I •I, ^
$ ?•
I
Reminder. Be sure to schedule inspeeUons of atterations, i.e. water heaters, water softeners, etc.
I herebyacknowledge ihat I have read thls appliption, state that tha Informatian ia cortect, a'nd agree to comptywitli all applipble Cityaf Eagan oMinances. It
is the applicanPs responaibllity to notlty the property owner that the City of Eagan assumes no Ilability for any damages caused by the City during its nortnal
operatlonal and maintenance activitles to the fadlities consWcted under this pertnit within City propertylriphEOf -Nayleas
SIGNATUFiR18F PERMITTEE
Updated 1/01
L a
SUBD.
CITY USE ONLY
BL
RECEIPT #: 1 -D- ' IR -'?-
RECEIPT DATE: U C)
PERMIT #
1999 PLUM$INH PEtMTP (RESIDENTtAL)
crzY oF Eksnx
3830 Pu.oT xaos ctn
EAsAN. Mv 5512E
(651)6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH N
TOTAL
Rafhnth ----°.----------..._.__ R -300 ? Y --- - $
Floor drain 3.00 x = $
Gas i in outlet ' minimum - 1 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alteretions to existin dwellin 30.00 x = $
Private Dis osal S stem newlrefurbished * re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $ 0C
Water softener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ---> $ .50
7otal --> --> ----> ---->
..5c?
$
Reminder: Call for inspections of alteretions, i.e. water heaters, water softeners, etc.
-----------------------------------------------•----------------------------------....----------------•--•-------••-----------------------
I hereby acknowledge that I have read this appliption, state that the infortnatlon is cortect, and agree to comply with all applicable City of Eagan ordinances.
It is Ne applicanYs responsihility to noUfy the property owner that the City of Eagan assumes no lia6iliry for any damages caused by the City during its
normal operational and mai?=nrP ar.tivitias tn.the tacilifies.constructed_under Nis pertnit within City property/right-of-way/easement.
SITE ADDRESS: J
OWNER NAME: :
I
INSTALLER NAME:
SCHULER, PATRICIA
3447 HIGHLANDER DRIVE
EAGAN, MN 55122
(657) 405-1352
STREET ADDRESS:
TELEPHONE #:
(AREA CODE) ,
l
TELEPHONE #:
(AREA CODE)
CITY: STATE: ZIP:
NORBLOM PLUMBING CO.
G2A VEPIT'CO/APPLIAiJCE IPJSTALLEf::;
2905 ?RpI-IELD 7AVE 50iIT?i
MINNEqPOLIS, MN 5540ES SIG OF PERMITTEE
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA074372
Eagan, MN 55122 . Date Issued: 07/20/2006
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 3445 Highlander Dr
Lot: 005 Block: 001 Addition: Surrey Heights 6th
PID 10-73005-050-01
Use
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952-445-2840. Cindy Lilienthal 2 1210 Eaton Ave Farmington, mn 55024 651-344-4253 cilienthal@controlledai r.net
Fee Summary: Surcharge-Fixed $0.50 9001.2195
ME - Permit Fee (Replacements) $30.00 0801.4088
Total: 530.50
Contractor: -Applicant - Owner:
Controlled Air Andrew Mcbride
21210 Eaton Ave 3445 Highlander Dr
Farmington MN 55024 Eagan MN 55122
(651) 460-6022 X253
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.
Applicant/Permitee: Signature Issued By: Signature