3446 Highlander Dr
Jun, 2011 2:47PM SELA ROOFING No, 6530 P. 26
Use BLUE or BLACK Ink
n j Permit # j
Uf Wan I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 ( j Date Received: j
Phone: (651) 679-9675 C; [ l
Fax: (651) 675-5694 StafF
~Id20I RESIDENTIAL BUILD
A8~L _ )N
ING PERMIT APPLICATI ~
Date: Site Address: lrC7 c~ 5460~Unit#:
Name: T
RESIDENT I
OWNER Address I City I Zip:-940q-L-4,&61
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost; d 1~~
Multi-Family Building: (Yes _ 1 No
Company: c 2(2b r/ AJ 6 Contact: L j Co l ~ L1T1
CONTRACTOR Address-4/06 ~ t C} ~ City: C~sr t6 bustate: Pui Zip: Phone: tr71 l~ ~ ! ~ g2Z
Ucansa #k: (,M 10 ~ Lead Cartificata IV.47--t 0cr5 ~ -
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 92 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:.ISlans and supportingr.documents that you. submit are considered-to be public information. P. onions of
the fnformad6n maybe ciassiffed as rlon public if you provide specific~rieasons that,would permit the Ciiy.to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage,
Gall 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and Codes of the City of
Eagan; that I understand this is not a permit, but only an application for a perm2pplicant's irk will be in
accordance with the approved plan in the cease of work which requires a review and x w pr Y L1 V (_/fC-~ Applicant's Printed Name Page I of 3
CITY OF EAGAN Remarks ?>'•?1?9'? " --
Addition SURREY HEIGHTS 7TH ADDN. Lot 1 Blk 5 Parcel 10 73006 010 05
Uwner ?' f I'' •"' Street 3448 Highlander Drive state Eagan, MN 55122
'+k GAMGE
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN 5EW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WASEfi CONN.
SUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks -179
Addition SURREY HEIGHTS 7TH ABDN. Lot 2 R,k 4 Parcel 10 73006 n20 aq
qwner E - Street 3450 Highlander Drive 5tate Eajzan, MIN 55122
* GARAGE
Improvement Date Amount Annual Years Payment Receipt Date
S7REET SUF F,
STREET RESTOR.
GRADING
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
S70AM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition StIRRF.Y FT ,HTS 7TH Ani1N Lat 2 Blk S Parcel 10 73006 020 05
'Owner?? ? 5treet 3452 Highlander Drive State Eagan, NIN 55122
I Improvement I Date I Amount I Annual I Years I Payment I Receipt I Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY aF EAGAN
,4ddition S(.jp,R - Ey HEIGHTS 7TH ADDN. Lot 1 slk 6 Parcel 70 73006 010 (lfi
oWner - ' street _3450 Highlander Drive scate Eagan, MN 55122
UNIT
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWERLATERAL
WATERMAIN
* WATER LATERAL 1975
WATER AREA
* STOFM SEW$?l
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. 2$0.00 11823 9-27-78
BUILDING PER.
SAC
PARK 40-00 7735 4 - 9 - 7 1
CITY OF EAGAN Remarks
Addition 91IRRRY NFTCHIS 7TH pnDN Lot4 elk 6 Paresl 10 73006 040 (lFi
Owner -' f?') ? _ %%'+ street 3452 Highla.nder Drive State Eagan, NJIV 55122 _
UNIT
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL
WATERMAIN
* WATEF LATERAL
WATER AREA
* STORM SEW ?
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 7 - '
BUILDING PER. 4983
SAC 500,00 -27-78
PARK 40.00 3• -9-73
CITY OF EAGAN Remarks
Addition SllRREY HEIGHTS 7TH ADDN. Lot 2 elk b Parcel 10 73006 020 06
Owner • ?? ?" Street 3446 Highlander Drive _ state Eagan, MA1 55122
UNIT
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWERLATERAL 'J3$.?1 A004083 S-I9-?7
WATERMAIN
* WATER LATERAL 1975
WATER AREA 1973 sessed lIll @T OY'1 inal B.TC
STORM SEW JW 1975
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 250.00 1182$ 9-2?-78
BUILDING PER. #4986
sAC 5 .00 11825 9-27-78
PARK • 4-9-73
CITY OF EAGAN Remarks
Addition SURREY HEIGHTS 7th ADDN. Lot 3 Bik ? Parcel In 73006 Q„'if] 06 _
Dwner Street 3448 Highlander Drive state Eagan, NW 55122
UN'IT
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 -77
WATERMAIN
• WATER LATERAL 1975
WATER AREA 1973 Assessed Cl@T OY'1 1i11 ar el
* STORM SEW JW 1975
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 250. 00 11824 9-27-78
BUILDING PER.
SAC
PARK 40.00 773 F4- -73
oqo - 0l0 CITY OF EAGAN
_ 4983
3795 Pilor Kneb Road Ea4es, MN 55122 No
PHONEs 454-8100
BUILDING PERMIT
?_ . . , -,t r. 4 Plex
Site /kldress
Lot BInq; 3 Sec/Sub.
. µ _
Parcel '# .
33*000. Receipt # •!?,? , ?-
oe Name •"• ?+us?asava
I Aedress r.nI d MedaLl ion. Cerp
Name _
Address
I hereby acknowledge thot I have read this application and state that
the informotion is correcf ond ngree to comply with oll opplicable
5tate of Minnesota Stotutes ond City of Eagan Ordinonces.
Signature of Permittee
A Building Permit is issued to:
ull work shall be done in ucco
Building Official
Date ept. 21
, 19 '
Erect Octuponcy i
Alter ? Zoning ? • ?
Repair ? Fire Zor?e 3 _
Enlarge 0 Type of Const. v
Move O # Stories
V
Demolish ? ft.
Front
Grode ? Depth ft.
Aonrovah Fess
Assessment
Water & Sew.
Pol ice
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Surcharge 1 0 • D'J
Plan check
SAC 500,t}n
Water Conn. 250.
Water Meter ( -0•00
Total 925•aQ
G,11 ci Tr on the express condiHon that
with all opplicable State of Minnesoto Statutes ond City of Eagan Ordirances.
Po?mk # pa% laued ?-iffr
Plumbing z - - ,
Mechonical - r+ - ? -1 c4L!Q-Q ?.? i
A-rvA
INSPECTIONS DATE INSP. Rouph-In Final
Footings Date Irup. Dote Insp.
Foundation Plumbing
Frume/ins. / -2 ) ? Mechanical •
Final
?
.? . ; .
Remarks: ^ .. . • _ , :
r
_ _,_ 4,
? CITY OF EAGAN
L?9795 Pilef KMeb Raad Eegsw, MN 55122
PHONE: 454-81 oQ
BUILDING PERMIT ReceiPt #
*_ L- ...?A L- ?1 } Unf.t 4 PLexa.
Site Address 3 450 HiQhl atidET Ds'. Erect [}j
Lot 1 BI«k 3 Sec/Sub. Surrey t!oh ts a Alter ?
- .i
Parcel # Repair p
Enlorge ?
W Nome ? v1u Pied:,, ; ioT? `?orp ?? ?
Z Address D. H. GuS t8f SoII Demolfsh ?
:Q a 835 2
Signcture of Pennittee
A Building Permit is issued to:
C oll work shall 6e done in acco
Building Official
..r?.........
p NOY1'1E ?8: ; ?.
?? Address Assessment -
? Water 8 Sew.
G Phone
Pol ice
??
uW Name Fire
Address Eng.
<W Ci Phone Planner
Counci I
I hereby acknowledge tlwt I have reod this application and state thot gldg. Off. _
the information is correct ond agree to comply with ali applicoble APC
Stata of Minnesota Stotutes and Ciry of Eagan Ordinances.
C
N° 4984
-•` ?
Zoninp '
Fire Zone
Type of Const.
# Stories
Front ft.
DeDth ft.
Permit '? `? • ]•:
5urcfiarye
Plon check
SAC
Wnter Conn.
Woter Meter
Torul 925.00
-11 1 on the express condition thot
of Minr+esota Stotutes and City of Eagon Ordinances.
Pomk # pah Inwd hewMhe
Plumbing
Mechanical z- 78 ck-kt.'v4 ?
r o-? ?? ?-x es?--?-
INSPECTIONS DATE INSP. Raqh-In Finol
Footings Dote Irup. Dah Inop.
Foundotion Plumbing f-,j- ld
Frome/ins. /? - 3 J J ??? ,Iq Mechanical ?? •
Finol ,3? 79
Remarks:
. ,
cinr oF EAcAN
3795 Pllot Kwob Read Eagan, MN 55112
PHONEs 454-8100
BUILDING PERMIT $ 37 ,(i0i?. Receipt #
, , ..Y, ?S I )L'ni. t 4 Plex r- .._L._ ,_. Sep t
Site ress 3448 Ff igh 1Esnder Dr.
Lot ?,El, l0 1Al-f Sec/Sub. S1lrrey Hghts 7
Parce I- 5 a?f. 3-(o
oc Name 1,`• H. Gus taf son
z Addross Gold i'!eda' l;:;n CcWp
Cit n10mi t rt Phone 835-7262
°C Nome
,o
?? Address
?
rit., oti,,.,e
Name
Address
I hereby acknowledge thot I have rend this opplication ond state thot
the informction is correct ond cgree to comply with all opplicoble
State of Minnesota 5tatutes and City of Eagon Ordinonces.
Signoture of Permittee
A Building Permit is issued to: GQld Med
all work sholl be done in occordance aAth all nppli-cobli_5
euiidi?,g officiai
Erect Y]
Alter ?
Repair ?
Enlarge ?
Move ?
Demotish ?
N0. 4985
21 , 0 78
Occupancy ,
Zoning "4
Fire Zone 3
Type of Const. v
# Stories
Front ft.
Deoth ft.
Fees
Asseument _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bidg. Off. _
APC
Surcharge 1 0. iv
Plan check
SAC 4GJ•00
Water Conn. 250.4d
WaterMeter 60•00
Total 936. SO
1
on the express condition thot
Statutes and City of Eogan Ordinances.
lffnM # paft Iawd tNwlttN
Plumbing j,??,
Mechanicol 3 _ Z - 1
- L.t'?L?
INSPECTIONS DATE INSP.
RoupMln
finol
FOOtings
Foundarion '
Frome/ins.
Finnl
/- - 2-7
-A --? ?
P?u?g
Mechanical Dot IniP. Date Irqp.
Remarks:
? r
CITY OF EAGAN
3795 Pflot Knob Road Eagan, MN 55122 N2 4986
PHONE: 4548100
BUILDING PERMIT • Receipt .#
e?t
To be uted for Est. Value Date 19
Site Address H4phl. AZX'}Qx }'•Z Erect [Jc Occupancy
Lot ?l Block ? Sec/Sub. •`'urierL'Li?,''tts 7 Aiter ? Zoning =;?=•.
Repair ? Fire Zone ;
Fiifc4• # . ,
Enlarge ? Type of Const. t
aWC Name ?? ti o++ rCprp Move ? # Stories
3 Address z- "= s ot1 Demolish ? Front ft.
City Phone Grode ? Depth ft.
0? Name _
io
Qu Addrew
v<
? ?:...
Name _
Address
I hereby acknowledge that I hove reod this opplication and state that
the information is correct and agree to comply with ull applicable
Stote of Minnesota Statutes and City of Eagan Ordirwnces.
Signature cf Permittee
A Building Permit is issued to:
all work shall be done in occe
Building Offitial
l.
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Fees
5urcharge L;. 50
Plan [h";
SAC
Water Conn. 2 50 - 00.
WaterMeter' .j-00
Total ' -' 3`- _ 50
aa t i 3. Q> : on the express condition that
Statutes and City of Eagan Ordinances.
Pemik # Data Issued PennMtu
Plumbing ?? (oL') -3
.
Mechanicol r 3y-I ? ?- L- 7E 451?ti. 4-
4sa& 3 1 C,-a4-- A
INSPECTIONS DATE INSP. Rouph-In find
FootingS Dote Insp. Date InaP.
Foundotion Plumbin / 7 f ?
Frame/ins. --/3-7 ` Mechonicol
finol ? - ?•z
Remarks: ' ??I / ? / -/9 ` ? C?
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD _?
EAGAN, MINNESOTA 55122dZo
?
DATE
wccMvea
19
AMOUNT $ I
? CASH 0 CHECK
FOR
DOLLARS
1 oa
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
3hank You
BY
J
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD ?
EAGAN, MINNESOTA 55122 a? - C
DATE 19
RLGl1 V 6R)
FROM
AMOUiVT $ I
& DOLLARS
?oa
? CASH ? CHECK
hank You
(1 `B Y
?
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT
CITY OF EAGAN
3795 PI LOT KNOB ROAD
EAGAN, MINNESOTA 55122 Vl 0
DATE
19
wceKrv=
FROM
AMOUNT ? I
& DOLLAR$
+oo
FJCASH M CHECK
FO R
??
hank YOu
?,-
r
BY
White-Payers Copy
Yeliow-Posting CoPY
Pink-File Copy
CASH RECEIPT
? C1TY OF EAGAN
3795 PILOT KNOB ROAD v40 _G(19
EAGAN, MINNESOTA 55122
DATE
eics3veo
19
AMOUNT $ I
DOLLAR6
ioo
? CASH [] CHECK
FOR
haek You
B Y
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
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INSPE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesata 55123
(612) 681-4675
ON REC4RD
PERMIT TYPE:
Permit Number:
Date Issued:
trtr t t tt t NG
i'! ;' t4 q 7 :>
0 3/1t/9 3
SITE ADDRESS: i„ t
11 1 1?,11 l ArJDt ic I 11,,
?010 HFY t{Ff(wNI'; 711i
PERMIT SUBTYPE:
APPLICANT:
bqt l i'?i 1 t1 t
(t,f.'? ?15 i?{(dH
TYPE OF WORK:
ref N'A I k
f31''i!'}?Jt?7 TE'l?i ftF "?ITE)1WI.i
R V aAit KS : I hI «nrs 3 aaN ( t4,r 3 > ! 4 F,0 ( iw) r I ) :;a!-,:+ ( i1) r A)
FE't", tUlif1-itU 0 N PFkP41f $,'0 46 1 !lii l t. RtK 1. S) URKE`r hif'. 4 fN?
Permlt No. Permk Holder Date TNaphone #
S/1N
PLUM8ING
HVAC
ELECTRIC
ELECTRIC
inspection date 1nap. Commerns
Footings I
Foundation
Framing
Raafing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Fnal Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
B4dg. Final g)d
Deck Ftg.
Deck Final
Well
Pr. Disp.
WATER SERVICE PER1VlIT
CITY OF EAGAN
3795 Pilof Knob Road PERMIT NO.:
Eagan, MN 55122 dATE:
Z
i of Units:
No
on
ng: .
Owner: -- -
Address:
Site Address: ' ?'?"•
Plumber:
N Connection Charge: '
o.:
Meter
Size: Account Deposit:
Reader No.: Permit Fee: ? n„ nc1 ^
on
of Ea
m
i
ith the Cit
1
t 5urcharge:
g
p
y
o eo
y w
agree
Qrdinances.
Misc. Charges: r'
Total: i: -. -
g Dote Paid:
y
SEWER SERVICE PERMIT
fITY OF EAGAN
3773 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No, of Units:
Owner:
Address:
Site Address: ' - `
Plumber:
I agree to eomply wrth the City of Eagan Connection Charge: •76..00 '
Ordinanees. Account Deposit:
Permit Fee:
Surchorge:
BY Misc. Charges:
Date of Insp.: Total:
1nsp.: Date Poid:
CITY OF EAGAN VYATER SERVIC E PERMIT
l
K
b R
d :
PERMIT NO
no
oa
..)5 Pi
at .
Eagon, MN 55122 DATE:
Zoning; No. of Units:
r
O
;
wne
Address:
Site AAdress: 2 `? '; •? - `
Plumber: '•T :7T?i!-,zt1c -
Meter No.: Connection Charge:
Size: Account Deposit: _
Reader No.: Permit Fee:
Surcharge:
f E
o
Ci
fi
l
i
h =; 7 •>, ,
ty o
ag
n
e
y w
t
t
1 agree to eomp _
Ordinances. Misc. Chorges:
Total:
Date Paid:
gy
Date of Insp.: Insp.:
arr CPF EAGAN SEVIfER SERVICE PERMIT
3745 Pilnt Knob Rood PERMIT NO,: -4
Eagan, MN 55122 DATE;
Zoning: _ No. of Units:
Owner:
Address:
Site Address: " -
Plumber.
1 agree to wmply wtth t6e City of Eognn Connection Charge:
Ordinances. Accaunt Deposit:
Aermir Fee:
Surcharge:
BY Misc. Charges:
Date of Insp.: Totol:
Insp.: Date Paid:
CITY Gf EAGAN WATER SERVICE PERMI T
?795 Pilat Knob Rocd ` PERMIT NO.:
,Eagon, MN 55122 DATE: -
Zoning: - No. of Units: -
Owner: - -
' Address:
_ /
Site Address: O
Plumber:
Meter No.: Connection Chorge:
Size: Account Deposit:
Reader No.: Permit Fee: - - -
1 agree to oomply wilh the Cify of Eogon Surcharge:
Ordinanees. Misc. Charges:
Total:
gy
Dote of Insp.: Date Pnid:
InsP.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMtT NO.:
Eagan, MN 55122 DATE: -
Zoning: _ No. of Units:
Owner:
_
Address:
--
' Site Address:
Plumber:
,
1 agree to comply with the City of Eagan Connection Charge: ,
Ordinpnces. Account Deposit:
Permit Fee:
Surcharge:
; By - Misc. Charges:
Date of Insp.: Totol:
Insp,: Date Pafd: .
CITY OF EAGAN SEWER SERVICE PERMIT
s795 Pilat Nnob Raad PERMIT tVO.: -
Eagan, N1N 55122 DATE;
Zoning: No. of Units: _
Owner: , ?• ,;
Address: - - --
-. . ,.. _ _ . -
Site Address: - - - - -- - -
Plumhor[ - - ----
I ogree fo eomply with !he City of Ecgan
Ordinanees.
BY - -
Date of Insp.:
I nsp.:
Connection Charge:
Account Deposit:
Perm3t Fee:
5urcharge:
Charges:
Misc
.
Total :
Date Paid:
CITIf OP EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE: '
Zoning: No. of Units:
Owner: -- ?r,4 fsnn _
Address:
- t
Site Address: •'ir?F• - ? o
Plumber: "" - -
Meter No
: Connection Chorge:
.
Size: - Account Deposit:
Reoder No,: Permit Fee: "
1 agree to eoroply wilh fhe City of Eagan Surcharge:
Ordinaneea. Misc. Chorges. `
Totol:
B Date Paid:
y
Dote of Insp.: Insp.:
cirr oF EAGAN
3795 Pilot Knob Roed
Eagaw, Minnesota 55122
Phone: 454-8100
$EAMG PERMIT
1?- 2-78
Date:
Site Address: 3452 !iighlvtndex' OILve
j T? ?
Lor Block Sub/Sec. gurre,° tS. _
Name D. A. GustsfSOn.
'e Address ("o?d Medallion CoTp.
?
City I.lp js Phone: '`35-7262
Name A. Ainder H Son
.
?
Address 5 r1) E. Butler Ave.
e
? P 5-
City a` Phone:
This Permit is issued on the express condition ihat all work shall be
/Ninnesota Stotuies ond City of Eogan Ordinonces.
C0MSTION AIR REQiQIRLD
No.
1344
12246
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. -
New/Alter./Repair. Cost of Installotion
Permit Fee 20.00
Surcharge
Toral
done in occordance with oll applicable State of
Building Official
. . CITY OF EAGAN
3795 Pilot Knob Raad
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT No. 12-63
Dote: 10'-31--73 ReceiPt No.: 12223
$ingle I
Site Address: -'S452 Highlatlder Piive. Residential
Lot ' Block Sub/Sec.`-T?ei;zh-Ys ? Multi Res., Comm./Ind.
Nome
i?. H. C;tISt8f90n _ New/Alter./Repoir. 0 rvld `decialT #.c?n Com.
Address Cost of Instollation
S
?;.
,z:toam3tzgC?:?r . . .., l
City Phone: Perrnit Fee
Na rTo#eCt Plumblr;' Surcharge _ 5,?.
.
? Address itlt_"hol'?t :w.
r
C
O
City Phone: Totai
This Permit is issued on the express condition that oil work shall be done in accordante with all appliwbie State of
Minnesoto Statutes and City of Eagan Ordinonces.
Official
. CITY OF EAGAN
3795 PiloF Knob Roaa
Eogan, Minne:ota 55122 CO!`{Bi1`'TION AIR RLQCIIRM
Phone: 454-8100
P F-ALT?Nr, PERMIT
Na, 1343
,
Date: I`_ 3-7 Receipt No.: 246
I
3450 I?ighlander DrivQ $ingie
Site Address: Residentiol
Lot ? Block ? Sub/Sec. '?'rtfy ':*s 7 Multi Res., Comm./Ind. 1' -)?ea I
'D. H. (:ustafson
Name
? Address r'<)Id Medgllian C;Ot'p.
? p
^'?P7'; J3r?-??E)Z
City Phone:
Name A. Binder & SOii '
.
Address 120 E. Butler Ave.
0
? V. St. "a 31 551!4 427-878;
City Phone:
This Permit is issued on the express condition that oll work shall be
Minnesota Statutes and City of Eagan drdinonces.
New/Alter./Repoir
Cost of Installation
20,00
Permit Fee
Surcharge . 50
?A}.
Tota I
done in occordance with oll applicable State ot
Building Official
• CITY OF EAGAN
3795 Pilof Knob Road
Eogan, Minnesota 55122
Phone: 454-8100
IYLUMTN(` PERMIT
I 'ti_-k;._78
Qate:
411S'}'7a:^."ft--L' '''i'fVe.'
Site Address: _
Lot Block -j Sub/Sec. Surre}• $eighta 7 _
Name P• r'iustaf8on
e Address °ld Medaliiof? .,AS`,,
3
O
City . . s'•'-.e._?7' ..
tfl'J'Li'ifE7?+ _
' e IiF
L )_.
Phone:
Name ".''?'?C':.
Address 4 [
e
0
V , -
City Phone:
This Permit is issued on the express condition thot afl work shall be
Minnesota Statutes and City of Eogan Ordinonces.
Receipt No.:
Single
Residential
No. 1262.
12223
Multi Res., Comm./Ind.
New/Alter./Repair. Cost of Instollation
.. „ ?,.:
Permit Fee ? ? r 1
Surcharge ?
. 7'.
Toto I
done in accordance with all applicable State of
Building Official
cinr oF E?cwN
3795 Pilor Knob Road
Eagae, Minnesoto 55122
Phowe: 464-8100
V? • Al''7r PERMIT
Dare: 1 ! ` 2- 78
' 144$ Highlander Drive
Site /lddress:
Lot ? Block ? Sub/Sec. 7u-r5'PV Ftp . 7
Nome ' Ti' fiuatsf8czn
? Address nld M,de'klloil CO..f'D.
?
'•it>' R "? 5-77F ^
City Phone:
Name t+. Rinder 6 Sor,
? ?n F. Ae2tler Ave.
? Addreu
pe
P?.,?
City Phone:
This Permit is issued on the express condition that all work shall be
lvlinnesoto Statutes and City of Eagon Ordinances.
C(MO{JS'fIt11Q AIR RRMIRED
No.
1342
??_,146
Receipt No.:
Single I
Residentiol
MuIti Res., Comm./Ind. -ry
New /Alter. /Repair
Cost of Instollotion
Permit Fee
Totol done in accordence with ail applicoble State of
Building Offitial
CITY OF EAGAN
3795 Pilot Knob Road
Eogon, Minnesota 55122
4kone: 454-8144
PERMIT
Date:
10-3Z-7g
Site Address:
Lot -*
3448 HigAlander Drive
`:'ur.rey Haights 7
Block Sub/Sec.
i'. N. t'tsBtafs: -
Name ?
e Address ruld Medallion
j
City Phone:
?rOJeCt Plt7mb1r'
Name
r
? '1 fil .? T111Taf3{???'? ?
,?, Address
e
0
c? .., ? -.
City _ Phone:
This Permit is issued on the express condition that all work shall be
Minnesota 5tatutes and City of Eogon Ordinonces.
No. 1261
, •, -s ? •x
,..?._?
Receipt No.:
Single
Residentipl
Multi Res., Comm./lnd.
New/Alter./Repoir
Cost of installation
'?(• ? /)tS
Permit Fee
c r:
Surchorge ?
Tota I
done in atcordonce with all opplicable 5tate of
Official
CITY OF EAGAN
3795 Pilot Knob Read A.; I$ 7F:CT'?1 RLT
Eo9ee. Minnesota 55122
Phona: 464.8100
, ... ,,.-?. T ' f" - PERMIT
No.
Dcte: Receipt No.: 12246
Drive Singie I
Site Address: Residentiol
Lot Block 3 Sub/Sec. Multi Res., Comm./Ind.
Nome ?• E. Gue[afso"
New/Alter./Repair
g Address r?y9 `"Q"al" 12'- Cost of Installation
O
City Phone: " Permit Fee
Nome .. ' inder d :?on
? Surthorge
Address F. Bu[ler. Avenue
cg SN r-?t;' - . _ - - "' i
City " ' _ Phone: Total
This Permit is issued on the express condition that alI work shall be done in accordance with all applicable State of
Minnesoto Stotutes and City of Eagan Ordinonces.
Building Official
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PL1rMNG PERMIT
No.
1260
Date: I O- 3I-78
Site Address: 3446 Highlender DTive `
Lot 2 Block 3 Sub/Sec.
Surrey Heishts 7
??. H. Guatafeon
Nome
Oi '? e?1!? *?fera1.?io?. Co?1•
3 Address _
O
City Phone: 835-7262
Nome prO;ect 1'lurabing
.
? 217a3 Hirmbo?.dt Ave. "n.
Address
e
0
c? ?'ir1G, ;5
City _ Phone:
This Permit is iuued on the express condition that all work shall be
Minnesota Statutes and City of Eogan Ordinances.
Receipt No.: 1,2221
Single I
Residential
'??--3±?.==X I .,
Mufti Res_, Comm./Ind.
New/Alter./Repoir. Cost of Installation
ZO . C;!1
Permit Fee
Surchorge
?n. S^
Totol
done in occordonce with oll opplicable Stote of
Building Official
, ?.7u-w? ?[e+?cs `
t ' ?equest vo?d 18 months fromv
- ?l .J/? ?h. R 2s2s1
p..17?1 ?8
Date of this Request_1
I, as ?[Licensed Electrical Contractor ? Owner, do hereby request inspection of the a6ove electri-
cal wiring installed at:
Street Address or Route No. 3450 IiighLnder City F18?
Section Township
Range County Dekota
Which is occupied by D.H. Guate.fson
(Name of OccuOanq
Is a roughin inspection required on this job? No ? Yes$ Ready Now ? Will Call ?ii'k
Power Supplier Dakota Cty. Address
Farmington
Electncal Comraccor d•B. ThomASOn Eleetric Co. Contractor's License NoA36835
(COmpany Name)
Mailing Address 12201 Mtka Blvd., Mtice, 55343
Authorized Signature
Contfactor oI Owner Making This
xo. 933•2521.
SVA?f('? ?? (,} Q?1 ?j'(ry?. p?? This inspection request will not 6e accepted by ffie
k? L, /;,1 LJ Cti?l?Jtl'' State$aard unless proper inspection fee is enclased.
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
RE.QUEST FOR ELECTRICAL INSPECTION
Cf1?ECK BE?CW NORK COVERED BY THIS REOUEST
/?/ -/ 4
R 2spR1
'Iype o: Building New Add. Rcp. Check Appliances Wved Fm Check Equipment WireJ For
Nome
Duplex IM
? ?
? ?
? Range 19
Water Heater ? Temporary W'ving
Lighting Fixtures ?
30
Apt. Bldg.
Commeccial Bldg, ?
? ?
? ?
? Drye? 13
aah
Fum ' Electric Heating
Silo Unloader ?
?
Industrial Bldg. ? ? ? Air G Bulk Milk Tank ?
Fatm
O[her ?
? ?
? ?
? pList
Hehe pList )
Nerersf 1
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: n Fee 1 1 Feede[s&Subfeedecs: it Fee Circuits: # Fee
0[0 100 Am s. 0 to 30 Am eres 0 tu 30 Am eres
101 [0 200 Am . U 31 to 100 Amperes 31 to 100 Am res
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers RemoteControiCirc. Partialorotherfee
Signs Special lns ction Minimum fee
Remaxks
? E1J,rYc1? TOTAL E?Q,
? 0.50
I, the Electrical Inspector, hereby certify ? thi? Aec?d has been ma `.
?
(Rough-in) v? ? J f Date 7-
(Final) Date / 7, 1j"7
This request void 18 months from
??.5U....1,;e ? r ? /a/ ?G
ceyuest voi 18 months frq{? t jD
LJ T J?s, R 28282
Date of this Request 1 A..1'Z 19a8
I, as ?J Licensed Electrical Contractor c Ownei, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 3452 FIighlender City ??an
Section Township Range Coun[y Dskota
Which is occupied by D.H. Gustafeon
(Name at OccuDant)
Is a roughin inspection required on this job? No ? Yesft Ready Now ? Will Call n
Power Supplier Dakota CtY. Address Farmington
Electrical Contractor O.B. Thompson Electric Co. Contractor's License No.?36835
Mailing Address 12201 Mtfr?,°MVea; -Atxa 55343
(Elec cal ontractor Ow er aking Thls lnstallatlon)
Authorized Signature_ ?? Phone No. 3R-?F?Y_
(Electrical Contr ctbr or Owner Makln9 Tnis Installatlon)
(C 5i /? ?? 9??n Q-O...: ? This insP?tion request will not he accepted by ffie
Jtl E?;l U? D . State Board unleu proper inspection fee is endosed.
Minnesota State Board of Electricity
19,ri4 University Ave., St. Paul, Minn. 55104-Phone 645-7703
^kEQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WOBK COVERED BY THIS REQUEST
ia / A.l4f.
'R 28282
Type of Building. Ne?x Add. Rep. Check Appliances Wired For Check Equipment W'ved For
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Watet Heater ? Lighting Fixtures -49
Apt. Bldg. ? ? ? Dryer ? Electric Hea[ing ?
Cymmeicial Bldg. ? ? ? Furnace 44 Silo Unloader ?
Industrial Bldg. ? 13 ? A'v C'one ? Bulk Milk Tank ?
Fatm ? ? ? Lisi '. List
Other ? ? ? p
ryer p
Hehers?
COMPUTE INSPECTION FEE BELOW .,.
o co
t to
Remarks
Ellrich TOTALF EIlo, ov Q0-S
[, the Electrical tnspector, hereby c thatf?,? ovE inspection has 6een ma?
(Rough-in) ?? WlL?-C?? Date d
(Final) ,,..r Date / --7- ;7''?X
This request void 18 months from/`=?' `???!
-s Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
+ REQUEST FOR ELECTRICAL INSPECTION
CHE£K BELEIW q!pRK COVERED BY THIS REQUEST
?? /,-/ 4
R 28284
Type of 8u ding . ew Add. Rep. Check Appliancea Wved For Check Equ'ryment Wved Fm
Home
Huplex 30
? ?
? ?
? Range 99
Watex Heatei 11 Tempocary Wiring
Lighting Fixtures ?
EC
Apt. Bldg, ? ? ? Dry . ? F,lectiic Heating ?
Commercial Bldg.
Industrial Bidg.
Farm ?
?
? ?
?
?
?
?? .. 'ur mc
' ir ? ?
L
is t Silo Unloader
Bulk Milk Tank
List ?
?
Other ? ? ?
? p
peie sf Disp.Diah.= Heiers?
COMPUTE INSPECTION FEE BELOW
Service Enirance Size: # Fee Feeders$SubPeedeis: # Fee Cucuits: # Fce
0 to 100 Am s. 0 to 30 Am eres 0[a 30 Am eres
101 to 200 Amps. 31 to 100 Ampexes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. A6ove 100 Amps.
Transformers Remote Control Cire. Pactial or o[hex fee •
Signs - Speciai Inspection Minimum fc 0
Remazks
Ellrioh
TOTAL EE4(Q.6
40-50
I, the Electrical Inspector, hereby /' gat?fy t t ove ? ection has been m
(Rough-in) ? „? r Date /6 - ;71
'? r?
(Final) Date ?-a3-?,P
This request void 18 months &om
?svre U-uest+1 vi months from I_$
o^v? 04
3-S b -? R 28284
Date of this Request 1 p_1 7-1 Q7A -?}}?y'
I, as ?Licensed Electrical Contractor ? Owner, do hereby request4npe t? ion of the above electri-
caJ wiring installed at:
Street Address or Route No. 3448 Hi2'hlander City EaAmn
Section Township Range County
Dakota
Which is occupied by D.H. Gustafsott
(Name of Occupant)
Is a roughin inspection mquired on thu job? No ? Yest{ Ready Now ? Will Call JJ
Power Supplier Dakota Cty. Address Farmington
L
Electrical Contractor O.B. Thom.peon Electric Co. Contractor's License NA36 835
t (COmpany Name)
Mailing Address _ 12201 Bdtka BlvdR. t Mtka n 5,?343
(EICELIIcaI!ContYactor Oi OWne?Making TMS Installation)
Authorized Si nature '??'???'?" ?G?..
g _ PhoneNo. .?.:..-,!. ?.
?
' (Electrlcal CoMractor or Owner Making TMS Installatlon)
This impection request will nat 6e accepted 6y the
-State Boerd unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
X954 University Ave., St. Paul, Minn. 55704-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW i§c'CIRK COVERED BY THIS REQUEST
/ai?G
?R 28283
Type of Building New Add. [tep. Check Appliances W'ved For Check Equipment Wired Foi
Home :U ? 0 Range 3R Tempotery Wiring ?
Duplex ? ? ? Wa[ex Heatei ? Lighting Fix[uxes mC
ApL Bldg. ? ? ? Dryet ? Electric Heating Q
Cammercial Bldg. ? ? ? Fumace 43 Silo Unloader ?
Industrial Bldg, ? ? ? Air Co itio9etti_. ? Bulk MIlk Tank ?
Fazm 0 ? ? ; t Lis[
Othef ? ? ? ? e AiAt
e lw,
? ?thers?
ere
COMPUTE INSPECTION FEE j01'6-
[Service Ent?ance Size: # Fce eedecs&Subfeeders: # -Fee Circuits: # Fee
V[o lUU Am s. 0 to 30 Amperes ? ? ?? 0 to 30 Ampeies ? 7 V ? ?
101 to 200 Amps? q T{? 31 to I00 Amoeres 31 to 100 Amoeres ?
Remarks Ellrioh I 7oTn[. F E yO.o? 40.5d
?
l, the Electrical Inspector, hereby certif ? the,g ?`?' s ?ecti has heen made.
(Rough-in) w,???rDate lv,
(Final) Date f - / ! - 7 ;F
This request void 18 months from
?s rs qaest?vb2M months from
"R 28 28 3
Date of this Request 10-1 7G1978
I, as$ Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 3446 Hj,ghlander City EatSen
Section Township
Range County
Dakota
Which is occupied by D.H. 6uetafaon
(Name oi Otcupant)
Is a roughin inspection required on this job? No ? YeM Ready Now ? Will Call39
PowerSupplier Dakota Cty. Address Faxmi^gton
Electrical Contractor Contractor's License NoAIL835
Mailvtg Address 12201
Authorized Signature Phone No.-?w?
(Electrlcal Contractor or Ownel Making Thls Installatlon)
((? (? 5f 12 a?? .? (?'???JJ This inspectian request will not be accepted by ffie
rJ l,-? ll L? Q ?, p? State Board unless proper inspection fee is enelomd.
crrr oF eacaN
o4b 3795 Pilof Knob Road- Eagan, MN 33722 N2 4983
? PHONE; 454-5100
BUILDING PERMIT APPLICATION Re??P? #
$33,000.
Te ba usad ior(1) Unit 4 Plex Est. Va1ue Dote S_?t•_?1 ___, 19 -Z?-
Site Address 3452 HiQhlander Dr. Erecr Qq Occupancv I
t 6 4i lock 3 Sec/Sub.
Parcel Surrey Hghts 7 AlTer 0 Zoninq R4
g,# ?Bl?- Repair ? FireZone 3
Enlarge ? Type of Const. V
D.H. Gustafson
W Name Move ? # Stories e-
3 Addreu fag.Id Modatli••••Ger-p - Demolish [] Front fr.
°
Ci 1 5 Phone Grade ? Depth ft.
? N 7pprovo4 Fees
ame
0
ZV
? Addre:
Nome
I hereby acknowledge thot I have reod this application and state that
the infortnation is correct ond ogree to mmply with all applicoble
State af Minnesota Smtutes and City of Eagan Ordinonces.
Sfgnature of PermiHee _
A Building Permit is issued to:
oll xrork shall be done in atco
with oll
P.sussment _
Water & Sew.
Police -
Fire
Eng.
Planner _
Council -
Bidg. Off. _
APC
Permit 9A_ SD
Surchorge 16.50
Plan check
5qc 500_00
Water Conn. 2530 _ m
Water Meter 60, 00
7otal 925.00
_ on the express condition that
and City of Eagon Ordinances.
Building Official
cirr oF Er+c,sN
3795 Pitet Kno6 Raad- Eegan, MN 55124 N° 4984
PHONE: 454-8100 ?
BUIL81NG PERMIT APPLICATION $33,000. Receipt # -.. ?l 'L?
To be used for (1 ) Unit 4 Ple&t. Value Dote Sept 21 _ 1?8
Sire Address 3450 Highlander Dr. Erect el pccupar+cy I
Lot 1 Block 3 Sec/Su6. SllTYey Hghts 7 Aiter ? Zoning R4
Gwa4 Blk 5 Repoir ? Fire Zone 3
Enlarge ? Type of Const. V
ft? Name GOId Med811iori Coip Move ? # Stories
z D. H. Gustafson oemoltsh ? Front 4 P1ex
o Address M Ls 835 7262
Ci p Phone Grode ? Depth ft.
Q: AOProrals Fees
a Name ,?^
o
AssessmeM
Permit 98.50 _
" Address
uS?
Water & Sew.
Surcharge 16.50
F' C{ Phone
Police ,
Plan check
?w Nom F;m snc 500.00
?w
sz Address
Eng.
Water Conn. 250.00
Qw Ci phony Plonner Water Meter 60.00
Council
I hereby acknowledge thot I huve reud this application and state thot gldg. Off.
the infortnotion is mrrect and ogree to comply with all applicable 00
l 925
T
t
State of Minnesota Statutes and City of Eogon Ordimnces. AP? .
o
a
Sigrwture of Permittee
A Building Permit is issued to: Gold d Lliott Corp on the exPress rnndition thot
y ebte-Slaf€?of Mi
pll work sholl be done in accorda ith a7 esoto Sfatutes and City of Eagon Ordinances.
/
?
???
Building Officiol "
"" - ?
. ? ' ,/, cITr oF eaGAN N., - 4985
9795 Pilot Kno6 RoodEagan, MN 55122
VHONF: 4548100
BUILDING PERMIT APPLICATION $37,000. Receipt #-__
Te be uaed 4 l ) Unit 4 Plex Est. Value 134ept 21 ig 78
Site Address 3448 Highlander Dr. Erect Y7 OccuPancy i
Lot 5 Block 3 Sec/Sub. Surrey Hghts 7 Aiter ? Zoning R4
Pa?B?ld.. L 3 Slk 3 Repoir ? Fire Zone 3
?F
Enlarge ? Type of Const. V
cc Name D. H. Gustafson Move ? Srories
; Addma GOld Medallion Ca?p pemolish ? Fmnt ft.
0Ci Phane R35-7962 Grade ? Depth ft.
p Name _ APPro,rak Feet
z
?? Addres?
Name _
Addrew
I hereby ocknowledge that I have read this application and stote that
the informatlon is correct and agree to comply with all oppiicoble
State of Minrresota Statutes and City of Eagcn Ordinonces.
Signature of Permittee -
A 8ulldirg Pertnit is issued to:
all work shall be done in ecco
Building Officiol
As:essment _
Water & Sew.
Police _
Fire
Eng.
Planner _
Council _
Bldg. Off. -
APG
Permit lUB.UV
Surcharge 18.50
Plan check
SAC 500.00
Water Conn. 250.00
Water Meter 60.00
Toral 936.50
on Lhe express candition that
Statutes and City of Eagnn Ordinences.
CITY OF EAGAN
?? / 3795 Pilat Kno6 Reed Eagee, MN 55122 NO- 4986
J PNONEc 4546700
000
BUILDING PERMIT APPLICATION $37 rteceiPt #
,
,
(1) Unit 4 Plex Sept 21 19 78
To be uaed for
Est. Value Date
Site Addr¢ss - 3446 T14¢gh]gpder DE. Erect [}c OccupancY j
Lot 2_ Blxk 3- Sec/Sub. SnrrP?. HgbtS 7 Alter ? Zoning 94----
'?g* L 4 Blk 4 Repair ? Fire Zone 3
E
l
? e of Const
?
?
T
n
erge .
_.
-
yp
w Nnme VG].?MPdal} }pp?er-p Move ? # Stories
Z et
n
f
H Derrwlish ? h.
FrontQ
jLl
O _
n
enn
_ i
Address -
eit
r:... Mnls a.,,..e 835-7262 Gmde ? Depth ft.
o Name S mn ^rr-•__
Zrj
Address Assessment _
_
Water & Sew.
? Phane
City
G
w
u
Name Police _
Fire
?
w
?
E Mdress Eng.
,
<"_' Ci Phorre Plonner _
Council -
I hereby acknowledge that I have read this applicotion and state that Bldg. Off. _
the information is correct and agree to comply with all appiiwble
State of Minnewta Stotutes end Ciy of Eagan Ordirwnces. AP?
SignMUre of Pertnittee
A Building Permit ts iuued to: H
oll work sholi be done in acmrdo q?jAit??il
Bullding Official /x/
Fees
Permit 108 ?n _
Surcharge 1_e_S!1
Plan ch?5?k?_
SAC ?
Water Conn..150.'.pC)
Water MetebQ.,,00-.
Total -e„1? F?
9a i on on the express condition that
Stmutes and Ciry of Eogon Ordinances.
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (657) 675-5675
Fax:(651)675-5694
- -----------
I ?r OifiCe Use ?j
? Pertnit #: Tl1.?" " ? ?/ I
I Pertnit Fee: ? ? l.`? ?
? Date ReCeived:
I Staff: w ?' 1 I I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 3?(p
Tenant: pz''LN- \13-S Suite #:
M&-'"`zv-
RESIDENTlOWNER Name:
Phone:
Address 1 City / Zip: 7Z7S ]?ksr?'-'?„? ?° • J?0 M V
Applicant is: _ Owner g_ Contractor
TYPE OF WORK Description ofwork:
Construction Cost: 342?00 tz- Multi-Family Building: (Yes _/ No ?
CONTRACTOR Name: ??5 ?-"Z ?"??T • Z'0-S'4- ? u-C License #: 703 / $q6 f
Address:
City: State: i,&fA Zip: WS30
Phone: ContactPerson:?^?S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
. Ener9Y COdB . Residential Ventilation Category 1 Worksheet •New Energy Code Worksheet
Category Submitted Submitled
(4 submission type) • Energy Envelope Calculations Submitted
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 8 Water Contractor: Phone:
NOTE: Plans andsupportingldocuments that you submit are considered to be public informafion; Portions of .
'
< the information may be classified as non-publia if you pro,vide specific reasons that wo
uld permif the City to
_.. ; conclude that the _are`trade`secrets. , - . -
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 pertnit, but only an application for a permit, and work is not to start without a permd; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pla .
xctNU,s x
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-piex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3season) ? Ext Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex X Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 1D-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding 0 Demolish Building"
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteretion ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
` Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation Occupancy MCES System ?
Plan Review _IVA_ Code Edition SAC Units -
(25%_ 100% Zoning City Water ?
Census Code 34 Stories - Booster Pump ?
# of Units Square Feet PRV
# of Buildings Length ? Fire Sprinklers
'
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg)
? Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace:_R.I. _AirTest _Final
Insulation
Sheetrock
FinaUC.O.
,16 FinaUNo C.O.
HVAC
Other:
Pool: _Footings _Air/Gas Tests Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
ReWining Wall
Reviewed By: I., . , Building Inspector
RESIDENTIAL F?ES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
Copies
Total
??042?_
,6()
Page 2 of 3
Tom Miklya
From: Denny [fishercorp@qwestoffice.net]
Sent: Thursday, May 08, 2008 10:23 AM
To: Mike McKenna; Tom Miklya
Subject: Re: Highlander decks letter
Thank you...
----- Original Message -----
From: Mike McKenna
To: TMiklva@cityofea an.com
Cc: fisherCOfDCa?qwestoffice.net
Sent: Thursday, May 08, 2008 9:34 AM
Subject: FW: Highlander decks letter
Page ] of 1
Forwarding letter requested from Surrey Heights Board President, Richard Neufeld...
Regards,
Mrke
Mike McKenna, CMCA
Gassen Company
7275 Bush Lake Road
Edina, Minnesota 55439
Direct: 952-253-4920 * mmckenna(algassen.com
Office: 952-922-5575 * Fax: 952-922-2004
To leam more about "Managementdone right" visit our we6site at www. ag ssen.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. Miklya,
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
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° 2005 RESIDENTIAL BUILllING PERMIT APPLICATION
? City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructan Requirements
3 registered site surveys shwring sq. R. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies oi plan showing beam & window s¢es; poured fouM design, atc.
1 set of Ehergy Calculations
3 copies of Tree Preservation Plan fllot platted after 711193
Rim Joist Detail Options seledion sheat (bulldings with 3 or less unRs)
RemodelAieoair Reauirements
2 copies o( plan
1 set of Energy Calculafions forheated additions
1 sAe survey for additions & decks
Adtlifion - indicate i(on-sRe septic system
d"j
Date ? / /
d Construction Cos[ r ?6' ?
,P
-
SiteAddress ?`?yU ?R-? -/?-?
l0.-H P-f {y?.L
r Unit/Ste #
/?
Description of Work h/?\ R ?"? ? [?L&O ? S( IV ?&An^"-1( ? ? ??L U`I?PS
Multi-Family Bldg E_?'Y _ N Fireplace(s) _ 0 v] _ 2
ProperTy Owner
e, c -- W EnD
/?-?-5 ?n. Telephane #( Sf L") S77' 5rT7 jr
ContraMor OC4-:5,? ewf"
Address ir & K? ?kaC fco City
State 0. Zip Y& 1?3i Telephone#(/`72) sZZ-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Enecgy Cotle Category . Residential Ventilation Catagory 1 Worksheet • New Energy Code Worksheet
submissionrype) Submifted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
Offte use onlv
CeR of Survey Recd _ Y_ N
Tfee Pres Plan Rectl _ Y_ N.
Tree'.PfeSRequired _Y _N
(7thqtte Septic System _ Y _ N
N If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance wj1h-htaved plan in the case of work which requires a review and
approba plans. (
l? r1-7 74
Applicant's Printed Name
OFFICE USE ONLY
Sub Types
0 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 08 04-plex ? 12 12-plex Plbg_Y or,_ N? 25 Miscellaneous
Work Types ( -,F- C, %- r
? 31; New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation p 45 Fire Repair
? 33.Alteration ? 37 Demalish Building* ? 43 Reraof ? 46 WindowslDoors
? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 180idDo Occupancy MCES System
Census Code y3 Y Zoning p-3 City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) ? Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof ? Ice & Water ?10 F inal Pool Ftgs Air/Gas Tests Final
?o Frammg io Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. _ Air Test _ Final ? Windows
)0 Tnsulation _ Retaining Wall
Approved By: --r Y r' , Building Inspector
----------------------------- °------------------------- - --------°-- ----
Base Fee jr 7
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Rermit & Surcharge
Treatment Plant
License Search
Copies Z•?J !g ?°n?%?S
Other
Total
3 la-
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-569
New Construction Reauirements RemodebReoair Reauiremenls _(,Jlficeltse.OnN
3 registered site surveys showing sq. ft. of bt sq. ft of house; and all roofed areas 2 copias of plan Ced af Survey Recd _ Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions T2e Pres Plan Recd Y_ N.
2 copies of plan shaxing 6eam 8 windovr sizes; poured found design, etc. 1 site suney for additians 8 decks Tree Pres Required Y_ N
1 5et of Energy Calcula6ons Addftion - indicate ilon-s@e sepUc system OnaHe Septic System _ Y_ N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joisl Depil Opfions selection sheet (buBdings with 3 or less units)
Date _5? /,2? d? Construction Cost
/J
Site Address 3?y? ??S?i ?/IncC ?? ?' UniUSte #
Description of Work
Multi-Family Bldg Y_ N Fireplace(s) ?_ 1 _ 2
Property Owner S ul??G-? ?75 40`Q 6l4-*' ?- Telephooe #(K2? 70ffi`'-53?'2S?
/'"'"? '
Contractor !a
Address 7??,$J rluSh C'ni* 'd?o City
State M /i/ Zip f5 ?f3`f Telephone # (QJ"z ) ;2S7
'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catecorv 1 Minnesota Rules 7672
Energy Code Cetegory . Residenlial Vantilation Category 1 Worksheet • New Energy Code Worksheet
(dsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with roved Zplanin the case of workkvhich.requires.a-reru-aapp?l of plans. ?'? L
APR 2 9 2005 Applicant' Printed Name AppliSignature '
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
O 02 SF Dwelling ? OS 06-plex ? 18 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex 1% 17 Garage ? 22 PorchlAddn. (4-seaJ
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gaze6o)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ?
? 32 Addition ?
? 33 Atteration ?
lei, 34 Replacement
(-
Valuation o 4P-a
Census Code ?
SAC Units
# of Units
# of Bldgs
Type of Const ij
? Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Occupancy G( ?L MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
FinaVC.O.
Y FinaUNo C.O.
T? Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
?
Approved By: , Building inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 30 AccessoryBldg
? 31 EM. AR - Multi
? 33 Ext. AR - SF
? 36 Multi Misc.
35 Int Improvement ? 38 Demolish Interiar ? 44 Siding
36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
'DemoliGon (Entire Bidg) - Give PCA handout to applicant
?,???
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?
2004 RESIDENT'IAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
? ? ? Telephone # 651-675-5675 FAX # 651-675-5694
-S`-10 .00
New Conslrudion Reavirements Remod=l/Reoair Reouirements i?(fxe?:Fhe CittT4
3 regisfered siie surveys showing sq. fl. of lot, sq. B. of house; and ali roofed areas 2 copies of plan CC?dfiuweqAecd Y h1
(20%maximumlotcoverageallowed) lsetofEnergyCalculationsiorheatedaddNons 7teePresP(8if,;Re?d _Y _N2 copies of plan showing beam & window sizes; poured found design, etc. . 1 site suroEy
fir addilions & decks T?0 Pr¢S 1?eqtii?d Y' W
isefofEnergyCalculaGons AddRion - indlcete'rfon-sitesepticsysfem Dh-A1@S9pfiCSjslem _N'-
3 copies af Tree Preservation Plan if bt platled afler 7/1193
Run Joisl DNail Options selec(bn sheet (bldgs with 3 or less uniis
Date 1 o / d 8 / a y Construction Cost 0 S6 A, od
SiteAddress 3?/r} Y )« P r UniUSte#
Description of Work r d l F? 41 -
Multi-Family Bldg k' Y _ N Fireplace(s) _ 0_ 1 _ 2
Property Owner ? r (n Telephone #( gfX) qat -
Contractor Q/hv/t Zr
Address 13 `/lf 3J/-' /4. /Y/. City_T ?
State Zip S'-fY y/ Telephone #( Gi?-) ol i v- ?Y S`i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Ca[e¢on? 1 Minnesota Rules 7672
Enefgy Code Category , Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(Jsubmissiantype) Submitted Su6mitted
. Energy Envelope Calculatlons Submitted
Have you previously constructed a
fee applies.
Licensed Plumber
Mechonical Contractor
Sewer/Water Conhactor
Y_ N If so, 25% plan review
Telephone #(
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NIN
5tatutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
with a similar plan?
7/1t' lI°? 114m ? ?• ? f -
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 Ot of_plex ? 09 07-plex ? 17 Garege ? 22 PorcNAddn. (4sea.) ? 33 Ect. Alt - SF
? 04 02-plex ? 10 08-plex ?'T 'IB Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-ple7c ? '12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
0 33 Alteretion O 37 Demolish Buiiding` ? 43 Reroof ? 46 WindowslDoors
it 34 Replacement 'Demolition (Entire Bidg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code ?•? Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const 120 Width '
REQUII2ED INSPECTIONS
Footings (new bldg) _ FinallC.O.
k Fooungs(deck) ? FinaUNo C.O.
? Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof Ice& Water Final _ Pool _ Ftgs ? Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ RI. _ AirTest _ Final _ Windows
Insulation _ Retaining Wa11
Approved By: Building Inspector
Base Fee
surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Suroharge
Treatment Plant
License Search
Copies
Oiher
Total
S ti
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when pemvts are required for each unit
3? --'
DateP) / L5 /04
Site AddressJL-tL4( ) Unit #
Property Owner ? .' ' ?v Telephone
Contractor ?
- Wohlers SouthsideHtg. & Air, Inc.
Street Address 6950 W. 14e St., #106
Apple Valley, MN 55124 City
State ' (952) 431-7099 Telephane # ( )
?- - -Q -
Expires:
Sond#: d?7qt )
The Applicant is _ Owner ? Contractor _ Other
Add-on or al[eration to exis[ing dwelling unit $ 30.00
? furnace _Additional )CRepiacement
air exchanger
i
Y?R
l
t
?
diti
N
rcon
ep
acemen
a
oner _
ew _
other
State Surcharge `r? AUG 16 2004
u $ so
By $ ? • ?
Total
I hereby apply for a Residential Mechanical Pemvt and aclmowledge 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 this is not a
permit, but only an application for a pemut, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
i?ar?ic? f?l?rs, ? •??-+ ` ?l -?
ApplicanYs Printed Name Applicant's Signature
r
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date / /
Site Street Address Unit #
Tenant Name (itapplicable) Previous Tenant Name
Property Owner Telephane # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Ezpires:
The Applicant is _ Owner _ Conuactor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove *'see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
""When insfalling/removing underground tank, call for inspecfion by Fire Marshal and Plumbing lnspector
Permit Fees: 57050 Underground ffink inslellation/removal
550.56 MinL=m (includes State Surcherge)
or
Conuact Value $ x 1% = $ Permit Fee
• If en rmit fee is $1,000 or less, add $.50 => $ State Surchazge
If pe rmit fee is over $1,000, add $.50 for
every $ 1,000 oe rmitfee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector
RESIDENTTAL BUILDING
t? 24Y ? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 9 651-675-5674
New Cons4vctlon Reauirements RemodeVReoair Reauiremenfs
3 registered site surveys showing sq, ft of l04 sq. ft of house; and all roofed areas 2 copies of plan
(200k maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
2 copies of plan ghowing bwm & window size3; pouretl tourM design, etc. 15ite survey foi additions & decks
1 sel of Energy Calculations AddAion - indicate ifonstte sepiic system
3 copies of Tree Preservation Plan'rf bt platted after 111193
Rim Joist Defail Op6ons selection sheet (bldgs with 3 or less unifs
?
? ? 6--
Office Use Onlv
Certof Survey Recd
Tree Pres PYan Recd
Tree Pres Not Repd
_ On-site SepUc System
ux" ILJ i?n3
Date aV / 03 ` Constraction Cos[ - j`d
Site Address WL? r' UniUSte #
q R K ssta
Description of Workl _ 1?P4lAC:P ?17u\k'
PropertyOwne? ?Q?rf-e%,, V\P_1q1rN?S `Uti1??VVU?S Telephone#?(gSa,) ?a.a' J J t?
Contracmr American Building Contractors, Inc.
Address 12247 Nicollet Ave South City
State Burnsville, MN 55337 Telephone #( )
(952) 707-6959
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cate2orv 1
• Residential Ventilation Category 1 Worksheet
(J submission type) Su6mitted
• Energy Envelope Calculations Su6mitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone #(
Telephone # (
Teiephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
G? l,Urlti,?
Applicant'srinted Name
kv? L*,?.
Applic Ys Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex O 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace [3 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex p 18 Oeck ? 23 Porch (screenlgazebo)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
?b 34 Replacement
Valuation
Census Code ?- y
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const VA_
Footings(new bldg)
42 Footings(deck)
_ Footings (addition)
Foundarion
Drain Tile
Roof Ice & Water Final
- Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Occupancy 2''? MC(ES System
Zoning CityWater
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
FinaUC.O.
?D FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
. ,
? 30 Accessory Bidg
? 31 Ex[. Alt - Multi
? 33 Ext. Alt - SF
? 36 Mulfi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bidg. O 42 Demolish (FOUndation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
•Demolition (Entire Bldg) - Give PCA handout to applicant
3446 44}iIGHlAhaDER pR
iEL- -SltSAN K
HIGH I7EFOk- ?
1F! Mht - - - 5Fi122 j
????,
DR
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3$30 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: i c? .? a i t? ? n e APPLICANT:
'.l 1!.`? FIT? Hl AMD;:.i? ,E..S?r
PERMIT SUBTYPE:
WI?C:ii1.L.F`,I.1if.ClU`i
TYPE OF WORK:
t.f,! ["'1 i3 i'd
?
o?r n; r;
P,r?PA 7:ft
r ?57i)7Ni;
F?FhlA F"'.S-' T`!LUpc`; _ SS li ij i ?? .r25? ?;1.0f' 1, .;! ;C ll..Ol` =t1
FCt& C`O1 l c 1?rCi iJ" Pzrt,PlT?f k;;.1h1 CL.0"i a', 5LK 1, i U F21ik Ii7L, 1 -fFij
PERMIT '
?r'CIYY? OF EAGAN ?
71
7
,, PERMIT TYPE:
3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number. ci > o, i:'
(612) 681-4675 Date Issued:
% 5=:4
47 2 j 11
SITE ADDRESS:
?;,,;•; ,?;??i? ??,rr< n?,
F' . I. e h! e? L , i?} r, ? 'q .: i<1 'vl L
DESCRIPTION:
?{.iLi1 tFli?{?..J ?. IIJ I ??)!• 111 S]? ? nl? .I'+l?L
f
_I t . . .?._ -. . .. ? ? ? i '•
REMARKS:
r?,I iur, ,<.> :iur
. f CES oPd f?jo4'r;i i! 10T . 3? I< i yUfi?'-F•r N- (s ?11`1?11
FEE SUMMARY:
CONTRACTOfi: ?-OWNER:
;rlfl"IFl1 :::TLli,i?f? I '1r3??E: t`t,taP,?L SiJlt!?cY HTS I0 11i1111111 ;_ h5;1f7C;
l.rll. -hLi S flf?
P l 7 l l?I" I•I i°I Pd %?
L
Ih c<rc3t)y ackn oeofr.alq a t ft;it T;??v e rt<a d tni.z; a Cap.l.i.ca t:Lc?n - rd r, ke t.a t:h rt, 'Ii°t?
l.tlf(}Y''P.dti.C)R ye r.•i3r a'Cf:r ?'2;1Cl ,.,,.C.WYf" E3'::?7 t'c.litp?4 f1 :.wl.? ftf?i:.i:lf', :i{.ia`.E e=f t'. It. .
SLr.'?I:nt?sI ar:ti C3Y:y ,>'C; Eugan G?r•u9ir??r?c.r,..?;. . . ?
i
?el? ?? /-
APPLICANT/PERMITEE SIGNATURE
f ,n Rr? ? ? 771,Jf
ISSUE BY. SIGN' UU-
REACTIVATE _
PERMIT•#
ID4414Z
cirY oF enGaN
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.
3409
Date /93 Yaluation of work sEr FtXrmt7" PbP-
344GP 46NwP4pg2 L? 6njculoe-s 3498, 345O , 34s2?
Site Address:
STREET SUITE #
Tenant Name: (commercial only)
7-
IA BLOC& SUBD. 5?? F'/EY4FlT 5 P.I.D. ?f
3 f
Descri tion of work: 'Re 5 r e
The applicant is: 0 Owner 04 Contractor ? Other (Deccribe)
Name SJI'se? 4i? ? S Towahor?-e 4Sgor Phone
Property UST FIRST
Owner
pddress
STREET STE ?Y
City State ZiP
Company Yh-eA r o S? i? i ni :::4 'I N C Phone 557-1$08
Contractor Address Wr) (IV a 311? 9 uP AI4 • License # 6? Exp.,/3'iy
City !"/lz mo UJ?h _ State Zip S5VV2
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.
a
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMtT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
0 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
? 31 New
? 32 Addition
? 33 Alterations
)8,34 Repair
-.,. ,
? 11
t
/Lod
in
A v ` ?F?
se?men inish
t
.
g
g
p ? l?
? 12 Multi. Misc. ?17 w m
o
ol
? 13 6arage/Accesso ry ? 18 Comm./Ind.
? 14 Fireplace ? 19 Comn./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish
? 36 Move
? 37 Demolish
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
RE(]UIREb INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
5q. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
O Footing
? Final
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
Permit Fee v.woc;m: $
Surcharge
Pian Review
License
MWCC SAC FE?S L061.&e`1.eD bPJ Po2C.srt T-
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
. _ ?.
? V DATE
BUILDING PERMIT APPLICAT20N
Include 2 seta of plans, 1 site plan w/elevations and 1 set of energy calcu2ations.
To be used for ypex cd(„lf ji., 0-t
valuation §3.-7ADOO
Site Addrest ; 3 -4ep
Lot Block See. Sub.
z- 3
?39,? ?,I r t ,
° awner
Acldress
Contractor
Address
Arch./Eng.
Address
?
Erect
Alter
F,epaiz
Lnlarge
Nbve
Demolish
Grade
Paxcel Idumber
Telephone
Telephone
Telephone
OFFICE OSE
OCCUpanaY
2oning 4
Fire Zone ,.3
Type of Const.
# of Stories
Front
Depth
OFFICE USE
Date of Approval & Initial
Assessment
Water/Sewer
Police
Fire
Enq.
Planqer
G'ouncil
Hldg. O£f.
A.P.C. --
FEES
so
Permit 8 l
Surchar4e
P3an Check
SAC Bd
I-later c.bnn• -7°-
Vlater Meter
• ' I Q0
PATE
SUILAIATG PERMIT APPI3CATION
Include 2 sets of plans, 1 site plan w/elevations and 1 eet of energy calculdtiona.
To be used for C// yh?f Valuatian
Site Nddress; 3 V y 5'
Lot Block See. Sub.
Address
Contractor
Address
Arch. /EE7ig.
Address
Erect ?
Alter
Repair
Ertlarge
move
[lemolish
Grade
Parcel Number
Telephone
Telephone
Telephone
OFFICE USE
Occupancy
2oning IP q
Fize zone 3??
Type of Const. _
# of Stozies
Eront w / .
Depth
OFFICE USE
pate of Approval & Initial
Assessment
water/Sewer
Police
Fire
Eng.
PlanneY
Council
Rldg. Off.
A.P.C.
FEES
v
Permit
Surcharqe / ? -
2ian Check
sP.C
t?ater Conn. 4?7
c•7ater tneter D
d
TOTAL
_ _ 0?
OlO
DATE
? -
BUILDING PERMIT AYPLICATIOPI
Include 2 sets of pltns, 1 site plan w/elevations and 1 set of energy calculations.
2b be used for
Y
Valuation ?E -7DO? .?
Site Address; 3
Lot Block See./Sub.? ?
owmer
Address
Parcel Number
Telephone
Contractor
Address
Arch./Eng.
Address
Ereat ?
Alter
Repair
Enlarge
Nlove
nemolish
Grade
Telephone
Telephone
OF'E'ICE USE
.-^
Occupancy -?-
Zoning
Fire Zone
Type of Const.
$ of Stories
Front
-?v -- ..
Depth a?7 ?-
OFPICE USE
pate of Approval & Znitial
Assessment
U7ater/Sewer
Police
Fire
Eng.
Planner
Council
Bldg, Off.
A.P.C.
FEES
Permit ??_..? .
Surcharqe
Ylan Check
SAC
U?ateL Gbnn. 7SD ?
47ater Meter 110 TOTAI,
.. 0'?/
?
nnxE
BUILDING PERMIM APPLICATIOPI
Include 2 sets of plans, 1 site plan w/elevations and 1 set of enerqy calculations.
To be used for -OlCA sji-U
Valuation J-74W m v iff.,
Site Flddress: 3 Lot Block See. Sub, l
:"a 3
4 A< ?
owne=
Address
Parcel Number
Telephone
Contractor
Address
Arch./Eng. M
Address
Telephone
Telephone
OFFICE USE
EreCt
Alter
Repair
Enlarge
move
I7emolish
Grdde
Occupancy
Zoning ,_ 8 9
Fire Zone 3
Type of Coast.
# of Staries
Front
Depth
OFFZCE USE
Date of Approval & Initial
Assessment
Water/Sewer
POlice
Fire
Enq.
P1anAer
counc3l
Aldg. Off.
A.P.C.
FEES
! s?
Permit
Surchar4e
"'Pian Check ? e
SAC rOQ? tl
Ulater Conn. O
water Meter
TOTAT.
PERMIT # 140000 RECEIPT DATE: ?
- umosX-
47?
RESIDEHTIAL PLUM$INfi PERM1T APPIICATION
p crrY oF EAs,"
3$30 PII.OT KNOB RD
EA?GM, bIN 55122
651$$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS:
OWNER NAME: :
? IArv0. F'uruiVq
INSTALLER NAME:
C STREET ADDRESS:
CITY:
'i'tLEPHONE #:
,a" , ? , - , .. U
TELEPHONE #: QS-al- gzk-90k_
(AREA CODE)
Place a check mark next to the oermit work tvee
STATE:
ZIP:
_ New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuiid of RPZ
• lawn irrigation system
• waterturnaround
Nature of work: Rr do(CiCA Wp,
Septic System, new/refurbished - $ 225.00
• indudes County & Gonsuiting Inspecror fees
• requires MPC license
State Surcharge $ .50
TotaI $ ?Q S
ppSfED
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water sotteners, etc.
I hereby acknowledge tnat I have read this applira[ion, state [hat the information is correct, and agree to comply with all applicable Cityof Eagan ordinances. It
is the applicanPs responsibility [o notify the property owner that [he City of Eagan ass?ll?ies no liabilit _Vjes caused by the Cily during its normal
operetional and maintenance activides to the facilities constructed under this permit v?th? City propertyfYighLqf?leasement.
Updated 1101
`;<Zbq 7 MECHANICAL (RESIDENTIAL)
Peraut Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complece for: Single Family Dwellings
Townhomes and Condos when pcmiits aze required for each unit
$'? O-.S0
nate?c G7J
Si[e Address -34 Unit #
Property Owner -T'% A,A 0. ` `T Telephone # ( (4 Lp %QL -45 y-2
Contractor
StreetAddress 2?1p?'J t-J -, r Q•? A( 55 Ci[y
State ? ZipS-041?-fj Telephone# ((p5( ) 32_z-$2 2-?
The Applicant is _ Owner ? Contractor _ Other
Add-on, modiftcation or alteration to existlng dwelling unit $ 30.00
? furnace replacement
air exchanger
air conditioner
other
State Surcharge $ SO
1---------- - -
Totai FEG 1 8 2C
L ?;' ?$i 3G.5U
JI
B
I bereby apply for a Residential Mechanical Pernilt and acknowledge that the information is complete-an?c se???; at tUe work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand tlus is not a
pemut, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
ApplicanYs Printed Name Applicant's Signature
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: commerciaUindusfial buiidings
multi-family buildings when separate pemuts are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Sheet Address City
State Zip Telephone # ( )
The Applicant is _ Owner Contractor Other
Work Type
_ Newconstruction UndergroundTank _Install _Remove
_ Interior Improvement Call for inspection during installationlremoval of tank
Processed Piping
Nature ofWork:
Permit Fee $50.50 Minimum Fee (includes State Surcharge)
Conhact Value $ x.Ol% _$ Pernut Fee
• If permit fee is $1,000 or less, add $.50 => $ State Surcharge
If pemut fee is over $1,000, add $.50 per
$1,000 Permit Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Pernut and acknowledge that the information is complete and accurate; tLat the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a pemrit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with
the approved plan in the case of work wluch requires a review and approval of plans.
ApplicanYs Printed Name
ApplicanPs Signature
RESIDENTIAL BUII,DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWCtion Reouirements RemodeUReuair Reuuiremenis Office Use Onlv
3 registered sde surveys showirg sq. if. of lot, 5q. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additlons Tree Pres Plan Reed
2 coples of plan showing 6eam 8 windovr sizes; poured found cesign, etc. 1 site survey lor addNOns & dedcs Tree Pres Not Reqd
7setofEnergyCalculations Addifion-indicafeifon-sifesepficsystem _OnsiteSeplicSystem
3mpies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail Opfions selection sheet (bldgs wAh 3 or less unils
Date Construction Cost% ??a1
Site Address
?
Description of Work`
UniUSte #
?
Property Owner? C?fof,rQU Telephone
Contractor American Building Contractors, Inc.
nddress 12247 Nicollet Ave South
State Bumsville, MN 55337
(952) 707-6959
City
Telephone # (
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Catesorv 1
• Residentlal Ventilation Category 1 Worksheet
(Jsubmissiontype) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Coniractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worfcsheet
Submitted
Telephone # (
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of wark which requires a review and
appmval of plans. ?
CKV It- C ? ?L-
Applicant s Printed Name Appli t's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex p 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 MiSCellaneOUS
Work Types
? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
=> 34 Replacement •Demolition (Entlre Bldg) - Give PCA handout to applicant
Valuation `Z , ooc?. `
? Occupancy
MC/ES System
Census Code
y 3 y -??
Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
?o Footings (deck) 9::3 FinaUNo C.O.
_ Footings (addition) _ plunibing
_ Foundation HVAC
_ Drain Tile pther
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framing Siding Stucco
Stone
_ Fireplace _ R.I. _ Air Test _
_
_ Final Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By,
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?' ? ,-Y?i ,- ? ?
- nlu509dra
Dit
ti Hi??a?tiER ?o? ',:?
Rk(.IL; hiN SM22•131 Q
I MIGH 'DER CIR
RAUL, MP! S5122-1310
Co`7N1
. 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmdion Reauirements RemodellReoair Reauiremenis
3 registered site surveys showing sq. k. of lot, sq. tt. of house; and all roofed areas 2 copies of plan
(20% maximum bt cnverege allowed) 7 set of Energy Calculatlons far heated addiUons
2 copies of plan showing beam & wintlow sizes; poured found design, etc. i site survey for addNOns & decks
1 sel of Energy Calculaflons Addition - indreate ilonsffe sepfic system
3 copies of Tree Preservatlon Plan If lot platted after 711193
Rim Joisl Depil Options seledion sheet (buildings with 3 orless units)
3 - I lP
OfflceAse?Onlv
Cert ofSurvey-Recd _Y _N
TreePresPlartRecd_Y _N,
Tree Pres Required Y N
Onsite:SepticSystem _Y _N
Ut
Date I / _,,??1%- v 5
Site Address 37q?V
?? L/ n Construction Cost ? ?? 6W6
Cj /1 L/?J2/? ?"?(/ 'l'e/v{, - Unit/Ste #
Description of Work ? f
Multi-Family Bldg ?Y _ N Fireplace(s) _ 0
Property Owner A- Telephone #?'-L ) s2 Z''rj ? S?
Contractor C--
naaress
State ? ? ?° city
Zip S? ? 3f Telephone # ( Fr?
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Eneigy Code Category . Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) 5ubmitled Submitted
. Energy Envelope Calculations Submitted
Hcve ycu previ,cvs!y ccr,structed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an
permit; that the work will be in accordance with
approval of plans.
Applicant's Printed Name
application for a permit, and work is not to start without a
d plan in the case of work which requires a review and
Applicant's
OFFICE U5E ONLY
Sub Types '
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06' 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ?
? 32 Addition ?
? 33Alteration ?
? 34 Replacement
Valuation 3 0, 664)
Census Code q 3 q
SAC Units
# of Units
# of Bidgs
Type of Const
_ Footings (new bldg)
_ FooYings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
p [nsulation
Approved By: , °ailding
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
f?_
??
35 Int Improvement ? 38
36 Move Building ? 42
37 Demolish Building* ? 43
'Demolition (Entire Bldg) - Give PC
Occupancy -_3
Zoning
Demolish Interior ? 44 Siding
Demolish Foundation X 45 Fire Repair
Reroof ? 46 Windows/Doors
A handout to applicant
MCES System
City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
Final/C.O.
>o FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ AidGas Tests Final
>,,2 Siding _ Swcco _ Stone _ Brick
V, Windows
Retaining Wall
1S,o 0
Zv CDeiS.ao
?` a.
-ej.?o
? -i
;
44. 00
ka? ?
M
44.00
6604,6145 '",E
7x:' I'Ir1
.
C" a
6 -7 Ja?
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ?z_ / / 05-
Site Street Address `4 y Unit #
Property Owner Telephone # ( )
Contractor r4t? Telephone #
Address ??? ??12-?\C?. Ld1 City L?.I/-,?- State Zip?
The Applicant is: _ Owner X Contractor _Other
Alterations to existing dwelling $ 50.00
)L Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be, in accordance with the approved plan in
the event a plan is required to be reviewed and approv!. ?
,
So,
ApplicanYs Prin ed Name Applicant's nature - ?
11 ? FEB 14 2005 ? U
, ..,. ??
? 2005 RESIDENTIAL MECI3ANICAL PERMIT APPLICATIONJI!
City Of Eagan FEB 16 2005
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 `
??Y-- ?
,
-- _?--__-
Please complete for. single family dwellings & townhomes/condos when permits aze required for each uni[
Date d
Sit
Add
it k
U
e
ress_
n
Property Owner Telephone # ( )
Contrac1or
e
V\
&k" 1
Stre
t Address
City
_ _
S:
te Zi
#
? T
i
h
a
p
e
ep
one
Band#: 65- 1?_) (5i5q Expires: DS__
The Applicant is _ Owner Contractor _ Other
Add-on or alteration to existing dwelling uni[ $ 30.00
furnace _Additional _Replacement
air exchanger
air con tioner New
Re
pla
cement ?
? ? ?
?
?
other q.f_k_ C?t A,f'? \iw?' vt--6-dL?? I
U
State Surcharge $ .50
Total ? -3), S?
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and wdes of the Ciry of Eagan and with the Mechanical Codes, that I understand this is not a
permit; but only an application for a permit, and work is not to start without a per '; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of pfan ` j
SlaN er n?c (
ApplicanPs Printe Name Applicant' i ature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commercial/industrial buildings
- multi-family buildings when separate pertnits are not required for each dwelling unit
? / -
Date
SiteStreetAddress L?-{ LS v 1??? ??/ Unit#
Tenant Name (itapplicable) /Rfe/vious Tenant Name '
Property Owner Telephane # ( ) _
Contractor ? ? ?Crl ?A Ci
Stree[ Address ?- o-e City
;A GL.{h2.
State ? v Zip `.ZJ-1cp? Te!ephone tS
Bond Expires:
The Applicant is _ Owner Contr tor _ Other
Work Type New Construction i? Undergrou Tank Install Remove "see below
_ Interior Improvement Install Piping Processed _Gas
Nature of Work: c? G? I rf- lo
j
*"When installing/removiMg underground tank, cad for inspectio y Fire Marshal and Plumbing lnspector
/P¢ftti[Y FC¢S: $70.50 UndOrground [enk ins[xllatiun/mmmal
! $50.50 Mikmum (includes State Su(charge)
' or
ContraetValue $ x i% _ $ • OD PemiitFee
• If ep rmit fee is $1,000 or less, add $.50 ? $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,400 ermit fee $ Total Fee
I hereby appty for a Commercial Mechanical Permit and acknowledge that the informal
will be in conformance with the ordinances and codes of the City of Eagan and with the
not a permit, but only an application for a permit, and work is not to start without n
the approved plan in the case of work which requires a review and approval of
Applicant's Printkd Name Apphcant4s Egr
I
is complete and accurate; that the work
chanical Codes; that I understand this is
hat the work will be in acwrdance with
Approved By: , Inspector Date: CX ?v?
?A`° 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4! 651-675-5675 FAX # 651-675-5694
New ConstNCtion Reouiremenb
3 regislered sile surveys showing sq. ft. M lot, sq. f4 of house; and all roofed areas
(20% maximum lot coverage ailowed)
2 copies of plan showing heam 8 window sizes; poured found design, etc.
1 set of Eneyy Calcuialions
3 copies of Tree Preservatbn Plan i( lot platted after 7/1193
Rim Joist Defail Options selection sheet (buidings with 3 or less uniGS)
RemodellReoair Reouirements
2 copfes of plan
1 set of Energy Calculafions forheateA addifions
1 site survey for addifions 8 decks
Addfion • indicafe Non-sRe sepfic system
I 1p °°
Office Use Onlv
Cert of Suney Recd _ Y_ N
Tree Pres Plan Recd _ Y_ N,
Tree Pres Required _ Y_ N
On-site Septic System _Y _ N
tRI(Gk a,a _ ?)kk
Date / 29 / dS A 40
Construction Cost 3, Dp J,-
Site Address _?w° W, y /???-
a Uoit/Ste #
Description of Work ,2c" ?.,<z
Multi-Faroily Bldg X Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?s_01 1.?S /,?j'a?y I M" Telephone # ( )
Contractor A«faq-
Address 73'-`f d^-) ?w +r ? CiTy l3?wk'eyn
State M Zip SSYZB Telephone # ( 6:F;?)
763, Cr z_g!? -$3b-7
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
(J submission type) • Residential Ventilation Category 1 Worksneet
Submitted
• Energy Envelope Calculations Submdted
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheel
Submitted
In The last 12 monThs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work whig??-requirgs ?a teyigvy,and1
approval of plans. . ? • I?
N0'd 9 2005
ApplicanYs Printed Name Applicant's Signature ?
A
`_
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling O OB 06-plex ? 76 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 OS-plex 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New
/'WV2 Addition
? 33 Alteration
)"( 34 Replacement
qu .
? 30 Accessory Bldg
? 31 Ext. Aft - Multi
? 33 6ct. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demalish Building' ? 43 Reroof O 46 Windows/Doors
`Oemol'dion (Entire Bldg) - Give PCA handout to applicant
Valuation o_? ?
Plan ReviewN 100°/a or _ 25%
CensusCode /l3Y
SAC Units -
# of Units
# of 61dgs -
Type of Const 7_2_
Occupancy ? - 3 MCES System `
Zoning /3- 3 City Water r
Stories -- Booster Pump ?
Sq. Ft. PRV -?
Length Fire Sprinklered -
Width
Footings (new bldg)
? Foatings(deck)
_ Footings (addition)
Foundation
Drain Tile
? Roof _ Ice & Water _ Final
Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation ?--
Approved By:
Base Fee I v
Surcharge
Plan Review
MC/ES SAC
CRy SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinallC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs AidGas Tesu Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
?
? ? ? 12-1
?
rr '
40. 00
o W ?•
s ?
-, ?
?
?
? Q5
c?? ?? ,2?, ;': ' ?y',,?"% 9,lC7f f ?
?p?r?y
'fl.f.
48. 00 `80. 00
24,00 24.00
111,2015rW 1V 2 °l51w ?
? 24. 00..1 24.00
N2°15 W
?
?
. ,
+ :: p
r------------
l SOOZ
s
.
t..
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3446 Highlander Dr
Lot: 2 Block: 06 Addition: Surrey Heights 7th
PID:10- 73006 - 020 -06
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Insert
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Permit closed
Contractor:
Automatic Garage Door Fireplaces
8900 109th Ave N #100
Champlin MN 55316
(763) 571 -2525
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
thout required inspection(s). Letter sent to applicant on 2/5/09. (pi)
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Owner:
Susan K Dachel
3446 Highlander Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA080906
11/06/2007
ePermit