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3454 Highlander Dr Jun. 2011 2,49PM SELA ROOFING No, 6530 P. 32 Use BLUE or BLACK Ink F erMiOtfi~,U~ 1 j t *04 of Eap Permit Fee: 3830 Pilot Knob Road l7 Eagan MN 55722 j Date Received: j Phone: (657) 675-5675 1(4 1 Fax: (659) 675-5694 1 Staff; r-------------W-.-_J 20'1'1 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Name: 1? Phone; RESIDENT 1 `]`j OWNER Address J City 1 zip: 0 rL J G~~. Applicant is., Owner _y_ Contractor TYPE OF WORK Description of work Au a A &Ad -"a Construction Cost: 1 ( Multi-Family Building; (Yes! No Company: Safi 12wrl 06r Contact: C k y4sN lak-Le CONTRACTOR Address: 4100 ~_~41 VA_ City: . L'J wl _ -PA State; Zip: Phone: License t 060 Lead Certificate r td A"~Q T " I 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 Fagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor Phone: Sewer & Water Contractor. Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide speck reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (659) 454-0002 for protection against underground utility damage. Can 45 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.oro 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 permif, and work is not to start without a permit; that the work will be in laps. accordance with the approved plan in the case of work which requires a review and Z"Z-~Q Applicant's Printed Name App ieant's Signature Page 1 of 3 CITrY OF EAGAN Remarks Addition SURREY HEIGHTS 7TH ADDN. Lot 3 Blk 7 Parcel 10 73006 030 07 owner__ ' screet 3454 Highlander Drive State Eagan, MW 55122 GARAGE Improvement I Date I Amount Annual -] Years I Payment ? Receipt I Date 5AN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER 51DEWALK CI i Y OF EAGAN Remarks Addition SURREY HEIGHTS 7TH ADDN. ?ot 4 Rik 7 Parcel 10 73006 040 07 Owner- Street 3456 Highlander Drive state Eagan, MN 55122 l GARAGE Improvement Date Amount Annual Years Payment Receipt Date STREET SUFiF. STR EET RESTOR. GRADING SEWER LATERAL WATERMAIN WATER LATERAL STORM SEW TRK STORM SEW LAT SIDEWALK SAC PARK CITY OF EAGAN Remarks Addition SURREY HEIGHTS 7TH ADDN Lot 2 elk g Parcel ln 73006 090 08 Owner street 3458 Highlander Drive state Eagan, NW 55122 A GARAGE Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 5AN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOING PER. SAC PARK CITY OF CAGAN Remarks Addition SURREY HEIGHTS 7TH ADDN. Lot 1 Rlk 8 Parcel 10 73006 01 fl [1R Ownerl, i _ street 3460 Highlander Drive state Eagan, NIN 55122 ? GARAGE Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWERLATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 9UILOING PER. SAC CITY OF EAGAN Additior. SURREY HEIGHTS 7TH ADDN. Lot 2 Blk 7 Owner ' Street 3454 Highlander Drive MN 55122' Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRAOING SAN SEW TRUNK * SEWERLATERAL 5-19-77 WATERMAIN WATER LATERAL WATER AREA 973 Assessed der Orl 1118 ar el * STORM SEW 1975 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 250.00 11$21 9-27-7$ BUILDING PER. #4982 sa,c 500.00 11821 9-27-78 PARK 40.00 7 -73 CITY OF EAGAN Remarks Addition SURREY HEIGHTS 7TH ADDN, Lot 5 Rik Owner(l^ street 3456 Highlander Drive ? 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET 5UR F. STREET RESTOR. GRAOING SAN SEW TRUNK * SEWER LATERAL WATERMAIN * WATER LATERAL WATER AREA 1 • STaRM SEW STORM SEW LAT CURB & GUTTER I SIDEWALK STREET LIGHT WATER CONN. 250.00 11820 9-27-78 8UILDING PER. SAC PARK - - CITY OF EAGAN Addition-SURREY HEIGHTS 7TH ADDN. Loc_.1 Blk 7 Parcel 10 73006 mn Q7 Owner Street 3458 Highlander Drive 5tate Eagan, MN 55122 UNIT Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWERLATERAL 1975 738.01 147.60 738.01 A004083 5-19-77 WATERMAIN ,r WATER LATERRL 1975 WATER AREA * STORM SEWAW STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. 250.00 IISIH 9-27-78 SUILDING PER. #4979 SAC PARK 4000 7735 4-9-73 CITY OF EAGAN Ownerfl?Q;Ct? a1'? Street Blk 7 Parcel 10 73006 060 f17. Drive stete Eagan, 14Ai 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWERLATERAL 738.01 A004083 5-19-77 WATERMAIN * WATER LATERAL 1975 WATER AREA 1973 Assessed der 02'1 1111 3.T el * STORMSEW 1975 STORM SEW LAT CUFi6 & GUTTER ? SIDEWALK STREET LIGHT I WATER CONN. Z$O.OO IZ$ Q 9-27-78 BUIIDING PER. #4981 SAC PARK CITY OF EAGAN 3795 Pilof Knob Roed Ea9en, Minnesofa 55122 P6one: 454-8100 iEATING Dote: 9-28-?8 PERMIT S;te Addreu: 460 Highlander Drive ? Lor Block Sub/Sec SH 7th Nome ??• Fl• CUStSfso-' ? Address SOOi N. 80th St:eet City m 1 S. Phone: Name ". L` iT'u.12 i fr Sr?? . jrAddress 120 E. Butier Ave. S IA. _ y . t . P8U1 . Phone: This Permit is issued on the express condition thot all work sholl be Minnesota Statutes and City of Eugun prdinances. Combustion Air Required No1 ;03 . Reteipt No.: Single ( Residential t.n,., ( X Multi Res., Comm./Ind. New/Alter./Repoir Cost of Instcllation _ Permit Fee 2 t? . 0 0 - r, Surchorge done in accordonce wlth all opplicable Stete of Building Officiol - CITY OF EAGAN 3795 Pilaf Kwob Raod Eagaw, Mlnneaata 55122 Phone: 454-8100 - PERMIT Date: 9- Z 9- 7 S it:ighla;l ? -? rriv( Site Addreu: Lot ' Block ? Sub/Sec. _- ?t Name • • ? Address }(11 . City Phone: ame ` .7UJBCC PIlll:ll) ; I ` I ?3 Fltiinboldt .?ve j ? Address ` o V -. ?..y. - CitY Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes ond City of Eogon Ordinonces. No. -!:?l 2 24 Receipt No.: 1 ? Single Residentiol Multi Res., Comm./Ind. x New/Alter. / Repair Cost of Installotion Permit Fee y Surcho?ge Tota I done in accordonce with oll appliwble State of SH 7th Building Official 00 0 ? ? . CITY OF EAGAN 8795 Pilot Knob Road Eogan, MN as» N°_ 4980 PHOMEs 454-8100 BUILDING PERMIT ReceiPt .# Ts 6? u?ed fer •' ) Unit Of 4's'F?'?+??/?I„P n.,*.. ??•'t• ? 1 19 7`i Site Addf@SS - e :- ':! .thi endC'ir--Dr. Lot BIoCI?? i SeC/Sub. 1:+1rrgy? ilahta ? Pcrcel # oc Name _ 3 Address 0 " Name ,o ?? Addre ?- r?.., Address I hereby acknowledge that i hove reod this opplication cnd stote that the informotion is correct ond agree to comply with all opplicoble State of Minnewta 5tatutes and Ciry of Eagan Ordinonces. Siynature of Permittee /1 Building Permit is issued to: all work sholl be done in accordonce with all oppli Building Official Erect ? X Occupancy Alter Q Zoning '' 4 Repair ? Fire Zone 3 Enlarge ? Type of Const. w Move ? ¢# Stories Demolish ? Front Grade fl Denth ft. Assessment - Water & Sew. Police Firo Eng. Planner Council Bldg. Off. _ APC Permit _ Surchorge ' Plon check SAC Water Conn. Woter Meter "")• 40 Totai 925.00 I Gcz) d i'?ri :, ? ; .., on the expreu condition thot Stote of Minnesoto Stotutes ond City of Eogan Ordinances. PerAM # oafe Imred ?aIffM Plumbing "I ? rL C?'+- Mechanicol ( •30 j - 1 ? -7 INSPECTIONS DATE INSP. Rouph-In Find Footings Date Insp. Dote Innp. Foundotion Plumbing j ;J) l6 Frame/ins. Methanicnl ? Final Remorks: ? - CITY OF EAGAN ?I C)-73795 Pilot Knob Rood Eagan, MN Sb122 N! 4979 PHONEs 454-8I00 BUILDING PERMIT T_ o f 4 Site W Name. ? Addres ?,- 7 ?p Nome = ?V ? Addross F- r:-. oL___ Nome _ Address I hereby acknowledge that I have read this application ond state that tfie informetion is correct ond ogree to comply with all applicable State of Minnesota Stotutes and City of Eaflon Ordinances. r Receipt Erect ff Alter ? Repalr p Enlaroe O Move ? Demolish ? Assessment - Water & Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Occupancy ? Zoning ? Fire Zone - Type of Const. # Stories Front ft. Depth :4 ft. Fees Permit $urchorge Plan check SAC 00 Woter Conn. •-50.00 Water Meter 60• 00 I Toral 425.00 Slgnature of Permittee I ol d : :ec?al i iori ?;c?r? A Building Permit is issued to: C on the express condition thot all work shall be done in accordance wiih all opplicoble State of Minnesota 5tatutes and City of Eogan Ordirwnces. Buildiny Officiol POnelt # Deh lauad PumMfw Plumbing 3 -ITL Mechanical aCT? _ INSPECTIONS DATE INSP. RapF-ln Fi?ai FoOtings Date Inip. Date Inwp. Foundatia+ Plumbing c/-aOx ,Frome/ins. Mechanical Fir! a) Remarks: CrITY OF GAWAN . ' 3795 Pilot Knob Rood Eoyon, Minnesofa 55122 Phene: 434-8100 HEATING PERMIT No. 1302 Dote: 9 - ` Site Address: ?3 Highlander urive_ Lot 1 Blxk - Sub/Sec. SFi 7th Name • H. Custafson ; Address "101 'V. SOth St. O Ciry hip 1 s. Phone: N me 1• $inder Fj Son . g qddress !2() F. 3ut:e-r ",ve. e ? City Phone: :q ,_ . •. , This Permit is issued on the express condition that oll work sholl be Minnesota Statutes and City of Eagan prdinonces. Receipt No.: - Single Residentiol Multi Res., Comm./Md. ! ?}tL I x New/Alter./Repoir. Cost of Insfollation _ Permit Fee 20. BO Surcharge ^n Totol - ' done in accordunce with all opplicable Stote of Building Official CIT1f Of EAGAN :? ?•' 3796 Pilot Knob Road - Eagon, MienesoM 56122 Phone: 454-8100 _ PERMIT Dute: Site Address: ., ? . ., ._ ? Lot Block Sub/Sec. Name , H. ,Gustafsct,-; 's 5k-261 ',.. 90tP1 St _ 3 Address O City " Phone: "35-72(.;' I'O] CCC P? Elllli)1P.b Na ? ? Address e 0 V City ? . . . ' , Phone: This Permit is issued on the express condition that oll work shall be Minnesoto Statutes and City of Eagan Ordinances. No 1223 t' Receipt No.: - Single I Residentiol Multi Res., Comm./Ind. New/Alter.fRepair. ` Cost af Installation ?'; ,!r!1 Permit Fee Surcha rge Tota I done in accordnnce with all applicuble State of Building Official CITY OF EAGAN . ? r 3796 Pilat Kwob Read ' r :,l`t-in11 ;\i?' RequiTe l Eagen, Minnesola 55124 Phone: 454-8100 PERMIT No. l .; G l Dete: Receipt No.: Single I Site Address• f f; 6 Residential Lot ? " Block Sub/Sec. '? t?' Multi Res., Comm.llnd. '?? I Name ,? . . ?;uSir.is::. +ssoe. / Re New/Alter ai r p . Address 5001 h?. 81"th q- . Co t of Installotion ? s City ? ?? S' Phone: > 0. 00 P rmit F e ee 016me ' 3inder & Son $urcharge . g Addreu - o E. 3ut 1 er Ati•e. e 0 V . City . . Phone: Total This Permit i s issued on the express condition that all work shall be done in accordance with oll applicable State of Minnesoto Stotutes ond City of Eagon O?dinances. Building Offlciol CITY OF EAGAN • - • ` 3795 Pilot Knob Road Eagsn, Minnesoh 55122 PhaM: 454-8100 PERMIT Date: Sire Address: ''45f' Highlander Drive No.222 . Receipt No.: Single Residential Lot Block - Sub/Sec. _ 'Ft 7* "• Multi Res., Comm.llnd. ' I Y., Nome New/Altec/Repoir. ; Address W. 80th St. Cost of instollotion O City Phone: 2 6 Permit Fee No • t. PltlmbiTl!? Surchorge " . Address 743 }{umboldt Ave. ". . S CitY ' Phone: Total This Permit is issued on the express condition thot all work shall be done in occordance with all appliceble Stcte of Minnesota Statutes and City of Eogon Ordinonces. Buildtnp Officiol ? ?'l cirr oF ??c??N 3795 Pilot Knob Raed Eoqee, MN 65124 N° 4981 PNON[s 454-6100 BUILDING PERMIT Receipt # , To be used for ? - Est. Volue` Date • ?' 19 ' J $ite Address Erect Qj f ti + Qccuponty Lot Block. ? Sec/Sub. ' gi, L:: -,Alter ? Zoning Paroel # Repair ? Fire Zone Enlarge ? TYpe of Const. ' Nome '1?Urp Move ? # Stories W Z - ?, •, ? q?mn Demolish ? Front ft. .-.._ .*1i k? S_ 7 1) 1. ; Grode rl Decth ft. 2? Nome 0 ?? Addroe ? r;r,. Nome _ Address I hercby acknowledge that i have read tfiis opplicotion and stote that the Information is correct ond agree to comply with all applicable Stnte of Minnesotn Stotutes ond City of Eogan Ordinances. Signature of Permittee Assessment Water & Sew. Police Fire Eng. Plonner Council Bldy. Off. APC Permit _ Surchorge Plon check SAC Water Conn. Water Meter Totci A Building Permit is issued M: ? on the express condition thct oll work shall be done in cccordonce with all cpplicable State of Minnesota Stctutes and City of Eagan Ordinences. Building Offitlal ' Penek # OeH MNd paMiltN Plumbing /Ia.=?L, Cl, -?L&-7E C - ( bei • Mechanical INSPECTIONS I DATE INSP• Rouph-In Finol Footings '7 Date Insp. Date 1?up. Foundation Plum- binif' /?/- 7S Frame/ins. - ? MecFbniool x2c -)r Finol C/ - - I Remarks: ?? ? ? ? INSPECTIDN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: f;, ,,, f APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: O1. '.I:It 11- f ? I+N ftI! i i ko 1 H1i W.'0q3 i 0:t/t 1 /9;s kk E, A I Il kk '; f fi 1 f4ii -1 Rk MAR1 '• ? t NI IlilI ?. 3V,1> ( I iqblt ( fOI 1? s460 ( t 0 1 F, ) 1 i t-F `; ? i?l I r f(f II rIN Fl FFrMI f# :1 0 0 P.1 { I n i ;. F+l 1; 1„ ?cUP Rt' Y If fS 4 111 Psm,n No. Pe.ry,n How.. Dab Telephone 1i siw PLUMBING HVAC ELECTRIC ELECTRIC Inspactlon Date Insp. Comments Footirgs I Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Finel Plbg. Plbg. Inspecta - Notify Plum6er Const. Meter EngrJPlan &dg. Flnal ? I d S ?l?l Deck Ftg. Dedc Final Well Pr. Disp. ' • * CITY OF EAGAN 3796 Pilot Knob Road Eogen, Minnasota 55122 Phone: 454-8100 I HFATTNG _ PERMIT No. 1300 Date: 9-28-7$ Receipt No.: Single I Site Addreu: Highlander BTlve Residentiol ,. Lot Block " Sub/Sec. Multi Res., Comm./Ind. >I ; Re s . Comm. Name G:iS't Zs,,,? ir /Ait N /R ':':t, er. epo ew "101 W. sOrh St. ; Address ti t f l t tl C o os o ns a a on NfiP1 s . City Phone: tt F P erm ee A. Binder & Son .50 '^e SurcFwr e ? g Address City - Phone: Total This Permit is issued on the express condition thut all work shoil be done in accordance wlth all opplicable Stnte of Minnesota Statutes ond City of Eogon Ordinances. Buildir?g Officiol i 'P PLUMBING CITY OF EAGAN 3795 Pilot Knob ReaA Eagan, Minnesato 55122 Phone: 454-8100 PERMIT No. 1221 9-2$-7" 1 i6nc, date: Receipt No.: ? Single I Site Address: Residential Lot - Block ? Sub/Sec. ?'= ^`'•1 Multi Res., Comm./Ind. k ' Na,T,e . H. Gustafson ????a New/Alter./ Repol r 3/lddress ')01 W• 80th St. Coyt of Instollation O City 'T' S Phone: Permit Fee nn /ame ProJect Plujibin 7 Surcharpe Address "743 Iiumboldt Ave. So. c 0 V - - Cit , t c .. , . . ? Y , . '?v ? ,; ; 7 Phone: Total This Permit is issued on the express condition that oll work sholl be done in accordance with all applicable Stote of Minnesoto Stututes and City of Eagan Ordinonces. Building Official CITY OF EAGAN olzv ? 3795 P11ot Keob Rooa Easaa, MN 55122 N2 4982 PHONE: 454-8100 BUILDING PERMIT . ReceiPt ,. Un i t 4 P 1 ex t. 21 10 ?B t' 5ite Addrgss ? 1 ` Parcsl # 19 Name z Address ?- F?• Guatafson Ci Phone ,. a Nome ??? Address IP- rt.., Pti,,.,e Name Address t hereby ocknowledge that I have read this applicotion and state thot the informotion is correct and cgree to comply with oll oppiiccble $tate of Minnesota Statutes ond City of Eagon Ordincnces. Sipnature of Permittee o . d .deda3. i foti A Building Permit ts issued to: ' all work shall be done in occordance with"'olt cppRcaWe-state of Mirn ? ,---J Building Official ` - ' ? - Erett 13X Alter Q Repair p Enlarpe ? Move ? Demolish p Assessment _ Water & Sew. Polite Fire Eng. Planner Council Bldg. Off. - APC Permit `,.,. _. .. . - v Surcharge Plan check SAC ; '3t?.Od Water Conn. 250.00 WaterMeter 60•00 Total 93,6• 50 on the express condition that Statutes ond City of Eagan Ordinonces. Occupa.ncy j Zoning P, 4 Fire zone 3 Type of Const. V # Stories Front ft. Depth ft. Fees Psnnit # Daft lawad PawlffM Plumbing ,-:)-QLI c'1 -.2-S f I Sf VLbo, ' Mechaniccl f 30C Clrtd INSPECTIONS DATE INSP. Rough-In Pinal Footings Date Insp. Dote Insp. Foundation Piumb ? j 9 Frome/ins. Mechanicol Final ? I ? Remarks: ? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 , PHONE: 454-8100 BUILDING PERMIT Receipt # _ To be used for SCREEIED PORCA Est. Value =3 ,000 Date Apit 2 s Site Address 3"0 tliGNt.AMEN DR Lot 6_ Block _L SeGSub. SUR1tLY l1TS 2TN OFFICE USE ONLY PSfCeI NO. Occupancy FEE S Zoning W ? Name ELISE YEN Address 3460 l1IGHI.AIDBR D1l (Adual) Const - (lulowable) Bldg. Permit 14?-OD o C? ?? ty Phone 454-7329 - # of scwie5 _ Surcharge Pl R i Length an ev ew _? Name t?RRY-?E NONE RLlAIR Depth - SAC, ciry ?¢ Address -- g?1.gt08 tVD S.F. Total _ ? City 3? IDUIS tI(Phone 927..7755 S.F. Footprints _ SAC, Mcwcc ?¢ On Site Sewage _ Water Conn ? W Name On Site Well - Water Meter oi, <W Address Cit Ph Mwcc syscem _ Cit Wat Aect• DePosit y one er _ y PRV Required _ S/W Permit I hereby acknowlege that I have read this application and state that the t i Booscer Pump - gryN Surcharge n ormation is correcl and agree to comply with all applicable State of Minnesota Stalutes and City of Eagan Ordinances. Treatment PI Signature of Permitee • ''""^ i APPROVALS Road Unit A Building Permil is issued to: wmn-?m sm SOAZR Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. gld9 pff. _ Copies Building Ofticial ? Variance - TOTAL gs' ? r Permit No. Permit Holder Date Tekphone N WATER SEW=F PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundalion Framing Roofing Rough PIb9• 4,10 QlLG` 4 ?. L•!?G -12 Rough Hlg. D rt1G".'' ,./Lt ISUI. .- Fireplace Final Htg. Orstat Tesl Final Plbg. Plbg.lnspector - NotifyPlumber m CITY OF EAGAN 3795 Pilot Knob RoaA Eagon, MN 55122 Zoning: -- - f Owner: - Address: --.-- Site Address: Plumber. - -- - ?1 ogree to eanPly with Nhe Cify of Eagan Ordinanees. By Date of insp.: I nsp..- SEWER SERVICE PERMIT PERMIT NO.: - - DATE: No. of Units: Connection Charge: ? Account Deposit: Permit Fee: Surcharge: Misc. Chnrges: Total: WATER SERVICE PERMIT cirY oF EnraN 3795 Pilof Knob Rood PERMIT NO.: Eogan, MN 55122 DATE: Zoning: No. of Units: Owner: - Address: . ? Site Address: - ?- Plumber: . . Connection Chorge: Meter No.: Size: Account Deposit: Reaaer No.: Permit Fee: 1 agree to oon+PlY wifh the City of Eagan Surcharge: prdinances. Misc. Charges: Total: gY Date Paid: Date of Insp.: Insp.: I CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: °:ogan, MN 55122 DATE: No. of Units: Zoning: Owner: Address: `??z?'.lan??Pr ? "r Site Address: Plumber. Connection Char9e: Meter No.: Account Deposit: Size: Permit Fee: -- Reader No.: 1 agroe to oomPlY with th° Ca1' °f Eagan Surcharge: . ' , Misc. Charges: Ordinances. Total: Date Paid: BY Dote of Insp.: Insp.: cinr oF Fr?GAN WATER SERViCE PERMIT 3796 Pllot Knob Rood PERMIT NO.: F.sgan, MN 55122 DATE: ? Zoning: No. of Units: ? Owner: Address: Site Address: Plumber: _ Meter No.: Connection Charge: Size: Account Deposit: Reader No.: _ Permit Fee: 1 agrea to eompip with the Ciry of Eagon Surcharge: O?dinances. Misc. Charges: - " Total: By - Date of I nsp.: Qate Paid: I nsp.: cirY ckF E,e,aaN SEWER SERVIC E PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: _ No. of Units: Owner: Address: Site Address: - _ Plumber: I egree to eompir with the City of Eagan Connection Charge: -' • n(' Ordinanees. Account DeposiY: Permit Fee: 5urchorge: BY - Misc. CFarges: Dote of Insp.: Insp.: Total: Dote Poid: Of EAGAN SEWER SERVICE PERMIT Pllot Knob Road PERMIT NO.: MN 55122 DATE: ' No. of Units: ?- r Address: 145C 1;12.ni., ber: ee to complp with the City of Eagon Connection Charge: ?ancos. Account Deposit: Permit Fee: Surcharge: _ Misc. Chorges: of Insp.: Total: cin oF E,e,GAN WATER SERVICE PERMIT 8795 Piiot Knob Rood PERMIT NO.: ,Eosan, MN 55122 OATE: 'Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: _ Connection Chorge: Sixe: Actount Deposit: _ Reader No.: Permit Fee: ' 1 agree to oomply with ths City of Eagan Surcharge: Ordinoncaa• Misc. Charges: Total: BY - Dote Paid: Dnte of Insp.: Ins : p. OF EAGAN SEWER SERVICE PERMIT Pilot Knob Road PERMIT NO.: _ , MN 55122 DATF• No. of Units: Address: 'Id : to eomplq with the City of Eagan of Insp.: Connedion Chorge Account Deposit: . Permit Fee: Surcharge: Misc. Charges: _ Total: Oate Poid: 100. 00 pd nnn nn ?a P.7V--1Sla ?h est va 8 monffis from (,p- 7 0,s, 7 p L,d D i ' y- nl 4583 Date of [his Request ?..1 j']8 . ? ]?Vj I, as ?Licensed Electrical Contractor ? Owner, do hereby request in ection of the above electri- cal wuing installed at: Street Address or Route No. 3460 Fiim1'1lander City Eaaan Section Township Range County nalrnta Which is occupied by n.H. l:v8},g f8nn . (Name of Ot<upant) Is a roughin inspection required on this job? No ? YesXXX Ready Now ? Will Call Cix Power Supplier Dwkota Cty. Address EA?ingto++ Electncal Contractor O.B. Thompeon Eleotric Co. Contractor's License No AMS (COmpany Name) Mailing Address 12201 #tka Blvd. Mtka 5 (Ele< cal ontractor_ Ow e akingThlslnstallatlon) Authorized Signature Phone No. 933-2521 (Electrical Cont r or Owner Making This Instal4tlon) (? VA?j(? ?Gpy This inspection request will not be accepted 6y the ? ?J ? t? State Board unless proper inspection fee is endosed. . Minnesota State Board of Electricity -?6A University Ave.. St. Paul, Minn. 55704-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECKrBELOW WO[iK COVERED BY THIS REQUEST // 7° `? R 4583 Type of Buitding New Add. Rep. Check Appliances W'ved For Check Fquipment Wired For Home 30 ? ? Range 99 Temporary Wiring ? Dufrlex ? ? ? WaterHeater ? LightingFixtures 19 Apt. Bldg. ? ? ? Dryei ? Electric Heating ? Commercial Btdg. ? ? ? Fumace ki Silo Unloadei ? Industrial Bidg. ? ? ? A'v Conditioner ? Bulk Milk Tank ? Farm ? ? ? L ist Lis[ 1 Othea ? ? ? p HeieT p y HeherSl COMPUTE INSPECTION FEE BELOW , 1: Se[vice Entcance Size: it F s& Fee Circuits: # Fee " 0 to 100 Am s. oA 0 to 30 Am eres 101 to 200 Amps1 II 300 peres 31 to 100 Am res Abovc 200 Amps. ;] Ab 10 _Amps. -Above lOQ_Amps. Transformers Remote Control Circ. Paztialorotherfee Signs Ins ection Special Minimum fee $5.00 Remazks EZLT3.Ckl TOTAL F E y0, 09SQ I, the Electrical Inspector, hereby (Final) This request void 18 months from has been ade. Date ?- Date ?.. ? - 7cy u. ?-- I ?cozc 's :?ques4 void 18 months from r i- 7 0+%- 7,0 / 4587 Date of [his Request_IVOM 9-7-1978 " I, asU Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Koute No. 3458 HiahlandeT City AMan Section Township Range County Dakota Which is occupied by D.H. Guetafson (Name of Ocwpanq Is a roughin inspection required on this job? No ? Yesd Ready Now ? Will CalDU Power Supplier DakOte, Cty Address Farmiraton Electrical Contractor O.D. Thompaon Eleetrio Co. Contractor's License NoA?'25 (COmpany Name) Mailing Address 12201 Mtka Blvd. f Mtka 55343 Authorized Signature ?%?. ._ • i,'%-;' 1. ? --"' Phone No. ?. `? ?` ? ? (Electrical Contlactor or Ownel Making Thls Installati0n) s?(' /1 7?2 :?p O? p? ? ?0?? This inspection reqPesPwill nPt be accepted 6y the u r?a u ??? O State Board unless ro er ins ection fee is enclosed. -?'- Minnesota State Board of Electricity 53?34 University Ave., St. Paul, Minn. 55104-Phone 645•7703 ` ? REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST // 7?T R 4587 Type of Budding New Add. Rep. Check Appliances W'ved Foc Check Equipment Wiied For Home $ ? ? Rangc ? Temporary Witing ? Dupley ? ? ? Wa[et Heatei ? -Lighting FixWres 3CC Apt. Bldg. ? ? ? Dryer ? Elec[ric Hea[ing ? Commeicial Bldg. ? ? ? Fumace 30 Silo Unloader ? Industrial Bldg. ? ? ? A'v Conditioner ? Bulk Milk Tank ? Fazm ? ? ? Lis[ List Othet ? ? ? HererS? ? Hehe15? COMAUTE INSPECTION FEE BELOW _ ?, 11 Service Entrance Size: ;a Fee Feeders&Su ' e Xee Circuits: # Fce 0 to 100 Am s. - 0 m 0 to 30 Am eres 101 to 200 Amps. b 11 4 31rAi'res 31 [0 100 Am eres Above 200_Amps. Abov 0_mps. Above 100 Amps, Transformecs Remot ontrol Circ. Partul or other fee Signs Special lns ection Minimum Fee ES. Remazks E1 rioh TOTALF EyO? OV p- 5. 4 I, the Electrical Inspector, hereby c f that?ovt inspection has been made. (Rough-in) ? Date (?'R - 7 .* (Final) 7 k ?? Date i? - 4- 7 `j This request void 18 months from " This request voitl 18 months /rom . C. 44336 4 01(-. __o_ Reqoiretl? ?Neady Nuw QWill Notity, Inspec- ? ? ?Yes ?NO Io' When HeaOv o? C^ ? ficensetl Elec[ncal ConVactor I hereby request inspection ol ebove JKOwner electrical work irwlelled et $tteet Address, Bax or Route No. f .q /: f? I QL_ City ° ?3 f') ecv n o. Township Name or No. anBe No. County on K6 T44 Occupant (PPINT) zcH F/FS?E? Phone No. 456?-?14?3 ower Supplier O,q KoTtl ? Address Electrical ConVactor ICompanv Name) . Conlraztor's License No. Mailing Atldress (Contractor or Owner Making Instailation) Authotized Signature IConvactor/Owner Making Installationl Phone Number MINNESOTA STATE BOARD OF ELECTNICITY TNIS INSPECTION REQUEST WILL NOT Grie9s-Mitlwey Bldg. - Noom N-791 BE ACCEPTEO BY THE STATE 80AND UNLESS PXOPEN INSPECTION FEE IS 1821 UniveraitY Ave., St. Paul. MN 55104 on..... fet41 2972111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION " ee•00001.04 iGlao/s? 0 See instrac=ions for comDletinq this form on back ol yellow copy. j/O "'X"' Below Work Covered by 7his Request - 44336 - ` b-I HAtl ReO. TVPe ot Building APPliancea WiuO Equipment Wired Home Fiange Temporary Service f,7uplex Water HeaYer Lightiny Fixnrces Apt. Building Dryer Electric Heaun Commercial Bldy. Fumace Silo Unloader Intlustrial BIAg. Air Condi[ioner Bulk Milk Tank farm the, Deu y Qther ISper.?lyl 1 .i VCCify th8r 0111Ur oihpute Inspection fee 8e1ow N Fee ServiceEnVencaSiie H Fee Faeders/Subfeeders # iee Circuits b to 200 qm 5 0 to 30 Am s 0 co 30 An! s "O Abo -Amps 37 to 100 qmps 31 t o 700 q 5 ; k img l Above 100_AmpS Above 100_ in ti nme Irrigation Booms Pdr[ial.'Oer e VPI Sign SVecial Inspection 5 ? fl?nark?? . 1 r. r? n..., ?n /O,? TOTAL FEE O aiv i v Rough-in Dn[e 1, the Electrical ? Inspoctoq hereby certifV thet Ne abova Final %!?e i inspeccion has bean T-u moda. Mit reQUasl volA 18 monlhe fmm = Q.yUw1S'Lb"Ll T s request void 18 months from OsO-0^ ( ?- ? cS1? 771h11 l / '7O / R 45?6 Date of this Request 9-7-1978 I, asla• Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri- cal wiring installed at: StreeY Address or Route No. 3456 Hi&hlandeT ?ity 'Eagan Section Townsltip Range County Dakot4 Which is occupied by D.H. Guetafaon (Name oi OccuOant) Is a roughin inspection requiced on this job? No ? Yesig Ready Now ? Will Call Pgx Power Supplier Dekota Cty. Coop Address Farmington Electrical Contractor 0 B. Thomneon Flectric Co. Contractor's License NoAMS (COmoany Name) Mailing Address ? ?PM M+kn A7 vd_ . Mtka ? 553d3 Authorized Signature (Eixtri<al Contractor or tdo. 933-2521 S?'j'f J(? .?„ ?L {? o???D ???? This inspection request wiil nat be accepted by ffie ? State Board uniess proper inspaction fee is enclosed. Minnesota State Board of Electricity 195& University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION Crf ECK BELOW WOAK COVERED BY THIS REQUEST // 17O4 'R 4586 Type of Budding New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home 30 ? ? Rangc ?C 7'emporary Wiring ? Duplex ? ? ? Water Heater ? Lighiing Fixtu[es ? Apt. Bldg. ? El ? Dryei ? Electric Heating ? Comtnercial Bldg. ? ? ? Furnace ?C Silo Unloader ? Industrial Bldg. ? ? ? A" itio Bulk Milk Tank 0 Farm ? ? ? pLi ' t ? p ? pList is? ei Other ? ? ? H ft e COMPUTE INSPECTTON FEE BELMW ServiceEntnnce Size: # Fee Feedeis&Subfeeders: # Fee C'ucuits: it Fee 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres 101 ro 200 Ampl. G 31 to 100 Amperes 31 to 100 Am etes Above 200 Amps. Above 100 Amps. A6ave 100 Amps. Trxnsformers RemoteContcolC"uc. Partialor othetfee .50 S? ns Special Ins ection Minimum fe Remarks ElAr*Gh ia ? r TOTAL EEqU, 0J 40•50 A?ec ' has been?} aZc e I; the Electrical Inspector, hereby cert"t th6tc/ (Rough-in) Date 7 , A' (Final) Date L 7 , 47?- 7J' This iequest void 18 months from S ?.7u--oi T' request void 1 months from -1 // 7d / R 4588 Da`te of this Request j..7.-1978 I, as39 Licensed Electrical Contractor 130wner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 3454 Mighkander City F ae'an Section Township Range County Dekota Which is occupied by D.H. Gue tsfeon (Name of Occuoant) Is a roughin inspection required on this job? No ? YesXl Ready Now ? Will Callfi Power Supplier Dekota CtV Address Farmi.ngton Electrical Contractor 0•13• `j'hompsOn Electric Co• Contractor's License No. A33735 (COmpany Name) Mailing Address 12201 Mtka Blvd. i Mtlcil )55343 Authorized Phone No933•2521 (Electrlcal contractor or owner maKing rnis Installatlon) (????? ?? /,? (pj? ?j'??'" U ??!/ This inspection request will not 6e accepted 6y the ?j W k{? ?, State Board unless proper inspection fee is enclosed. ' Minnesota State Board of Electricity t$54 University Ave., St. Paul, Minn. 55104-Phone 645-7703 --? REQUEST FOR ELECTRICAL INSPECTION CBE'CK BELOW WORK COVEitED BY THIS REQUEST // 7 o -?z R 4588 Type of Building New Add. Rep. Check Appliances Wixed Fm Check Equipment Wired For Home AM ? ? Range n Temporary Wiiing ? Duplex ? ? ? Water Hea[er ? Lighting Fixtures $ Apt. Bidg. ? ? ? ? Electric Heating ? Commercial Bldg. ? ? ? 'e Silo Unloadei ? Industrial Bldg. ? ? ? n o Bulk Milk Tank ? Fatm ? ? ? t ?s .:. i Lpist eiers? Othe: ? ? ? c e H COMPUTE INSPECTION FEE BELOW Service Entrmce Size: # Fce Fceders&.Subieedels: # Fee Cirwits: # Fee 0 to 100 Am s. - 0 to 30 Am eres 0 to 30 Am eres B 101 [0 200 Amps. ? 15-0 1 31 [0 100 Am ies 31 [0 100 Am eres A6ove 200_Amps. 1 1 Above 100 Amps. Above I00 Amps. Tranaformers RemoteControlCire. Partialo[othertee • Si ns Special Ins ection Minimum f Remazks F1].ZT].Ch TOTAL EEy/V,00 40•50 I, the Electrical Inspector, hereby certi t the?xJo?aJ oy? ir?spection has been .3 (Rough•in) / c- ? l4? /Il Date (Final) f ? t Date / l- a 7- 2 This request void 18 months from CITY OF EAGAN No 18963 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # Li? Xl?S? To be used for SCREENED PORCH Est. Value $3, 000 Date APR 25 ,?g 91 Site Address 3460 HI H AHDER DR Lot 6_ Block 7- Sec/Sub. S iRR Y HT 7TH OFFICE USE ONLY Parcel No. occuPency R-3 FEES 2oning _ m Name ELISE YEN (Actual) Consi Permit 54.0 0 Bldg w 3 ? Address 3460 HIGHLANDER DR (auowaeie) _ . surcnarye 1.50 City EAGAN Phone 454-7329 a«otsrories _ Plan R view Length e _ F Name WORRY-FREE HOME REPAIR oepm snGCi } - ry $? Address EXCEL4IOR BLVD s.F.rotal _ Cit ST LOllT PARK Y?_ Phone- 927-7755 S.F.FOOtprims SAC, MCWCC _ W ? 622-0656 On Sile Sewage ater Conn W Name on sae wen ?w - WalerMeter ?? AddleSS MWCCSystem _ a W City PhOne City Water _ Accl. Deposit PRV Required _ S/W Permil I hereby acknowlege that I have read this application and state lhat the Booster Pump - SNJ Surcharge infortnation is correct antl a e to comply with all applicable State of Minnesota StaWtes an CitEagan Ordina e s. Trealment PI Signature of Permitee - ; APPHOVALS Roatl Unit ? WORRY-FREE HOME REPAIR A Building Permil i5 is 6dto:- Planner - Park D ed. on the express condition that all work shall be done in accordance with all Council _. applicable State ot MinnJe?sota Sta tutes and Ciry of Eagan Ordinances. Bmg. ott. _ Copies p I 11Sf A Il Yt, 1, Building ONicial ?? 1IIJI Variance - 7pTqL 55.50 CITY OF EAGAN t ? U?y? 3795 Pibt Knob Rmd Eagan, MN 55122 N2 4980 PHONE: 4548700 BUILDING PERMIT APPLICATION $33,000. Receipt # -------?Cf?sA'/ Te ba uue for (i ) Unit of 4 P&mdi. Dafe Sept. 21 _ 19 78 SiM Address Erect ? X Occupancy I Lot? Blo£k2_._ Set(Sub.?rfes 7 Alter ? Zoning 3 R4 G8Tg... 1 S1K 1 parc,l #. Repair ? Fire Zone Enlarge ? Type of Const. V-- c Name D. H GustBfson Move ? # Stories ? Address Gold Medallioa Cerp Den+olish ? Front 4 Plex h. ? Ci Mpls Phone 835- 7262 Grade p Depth - ft. ? Neme APMovab Fees -- - ?a ? Address Name I hereby acknowledge thot I have reod this applicotion ond state that the informafion is correct and ogree ro comply with all appiicable State of Minnewta Smtutes and City of Eagon Ordinances. Signacure of Permittee _ A Building Pertnit is issued oll work shall be done in a Building Offtdal Assessment _ Wuter 8 Sew. Police _- Fire Eng. Planner _ Council - Bldg. Off. _ APC Permit ?o.Jv Surchorge 16.50 Plan check SnC 500.00 Water Conn. 250.00 Wcter MMer 60.00 Torci 925.00 D. H Gustafson Gold Medallion qRF&e exPress wndition that with olk?Qppliccbie State of Minnesoto Statutes and City of Eagan Ordinances. ? cIrr oF EncaN f 'o 3794 Pi1et Kne6 Roed j Fagan, MN 55122 N2 4979 • C? `? PHONE: 4546100 BUiILDING PERMIT APPLICATION Receipt # $33,000, Te ba used for (1) Unit Of 4 PleNt Value pme Sept 21 _ 7978 Site Address 3458 Niehlander Dr, Erect 0 Occupancy I Lot 1 Block2 Sec/Sub. Surrey Hghts 7 qlter ? Zoning R4 Pa 3?r?g# L2 Blk 1 Repoir ? Fire Zone 3 E l f Co T t - v n arge ? ype o ns . w Ncme D. H Gustefson Move ? # Stories o Address 6 eld pgPdg}li??? Demolish ? Front _ ff. CI Phone R35-7969 Gmde ? Depth 4 Plex h. & 0 Name AoWo.a4 Feoa :jr ? Address Name _ Address I hereby acknowledge that I have reod this application ond stote that the information is correct and agree to mmply with ell applicable $mM of Minnesota Statutes and City of Eagan Ordinances. Signoture of PertniMee - A Building Permit is issued to: all work shcll be done in a Bullding Officlal Assessment Water 8 Sew. Police Fire Eng. Planner Council Bidg. Off. APG Permit 7tl.7U _ Surchar9e 16.50 Plon check snc 500.00 Water Conn. 250.00 Water Meter 60.00 Toral 925.00 Gold Med811 ion Corp on the express condition that ?h aJl y?plimble State qf Minnesota Stotutes and Ciry of Eagun Ordirwnces. r ? CITY OF EAGAN 3795 Pilot Knob Road Eagun, MN 55123 N2 4981 PHONE: 4548100 BUILDING PERMIT APPLICATION $37,000, Receipt # ie be useu for (4f) Unit of 4 Pk8.YVajUe ooreSept, 21 _ ?q78 Site Address Erect Occupancy I W?4B???_ Sec/Sub.ur+ey-ushts 7AIter ? Zoning R4 Portel .i{' Repair ? fire Zone 3 Enlarge ? Type of Const. V 9 Name Gold Med811ionCOrp Move ? # Stories 3 Address D. H. Gustafson pemciish ? Front ?Pi.._.-N. ° Ci Mp15 Grade Oe th ft. Phone R'i5_7962 ? P ? Name ApDfovals Fees f Address f ('ib Name _ Addreu I hereby ackrrowiedge that 1 have reod this cpplication and state that the information is correct and agree to comply with all upplicable SMte of Minrresoto SMtutes ond Ciry af Eagon Ordinances. Sfgnoture of Permittee A Building Permit is issu oII work shall be done ir Building Officiai lw Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit 1V6.uu _ Surcharge 18.50 Plan check SAC 500.00 Water Cw+n. 250.00 Woter Meter 60.00 Tatai 936.50 D. H. Gustafson Gold Medallion Cor? *e express conditton rhat w' liwble State of Minnesoto Stotutes ond City of Eagan Ordinances. 0 ciTr oF Er?"N 3795 Pilet Knob Rend Eagae, MN 55122 N2 4982 PHONE• 4548700 BUILDING PERMI T APPLICATION $37,000. 2eceipt # To be uaed for (1) UIIit 4 P1exEst. Value pete Se pt. 21 1 q 78 Sita Address 3454 HiQhlander Dr. Erecr px Occupancy I t 2 Bock ? ? 2 Sec/Sub. Surrey Hghts - 7 qlter ? Zoning R4 arg: L 8T c Parcel # ?T Repoir ? 3 Fire Zare Enlarge ? Type of Const. V w Name Gold Medallion Corp Move ? # Stories ; Address D. H. Gu5t8f3oII Demolish ? Front ? r:... Mnls o?..,_., Grade ? Depth ft. p Nome ot< u Add, F f ?w. Name _ Address I hereby acknowledge thot I have read this application and sb the informatfon is correct and agree ro wmply with all ap State of Minnesota SMtutes and City of Eagan Ordinances. MeN-V?- L' Counci ? ? . e Fees Permit 108 00 Surchorge ?lan check SAC 500.00 Water Conn. 250.00 Woter Meter 60.00 roral 936.50 Signature of Permitt ee - 1 A Buildfng Permit is issued to: ' ?ld ME!d OII COTp on the expreu condttion that ail work sholl be done in acco a witI ap ' e-Stat?o-f'Mi esoto Statutes and City of Eagan Ordinancea. Butlding Offtcial ?+' ? ?? ?. Asseument Woter 8 Se W 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION 3 p_ City Of Eagan - 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single Farnily dwellings & townhomes/condos when permits are required for each unit Date Q6 Site Address?_??-H tY-' Unit # Property Owner ? l ? .L]rf'-?? Telephone # -?j Uk Contraetor r-- Wotilers Southside Htg. & Air, Inc. l Street Address l 6950 W. 146?' St., #106 ! Apple Valley, MN 55124 I 5tate I (952) 431-7099 CitY Tetepnone # ( ) Bondk:RLZ?C?, es: ? The Appticant is _ Owner >(Contractor _ Other Add-on ar alteration to existing dwelling unit furnace _Additional /\ Replacement $ 30.00 ' air exchanger airconditioner _New V2:1- Replacement ? other State Surcharge $ .50 Total SU I hereby apply for a Residentia] 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 o? ? G9? ?1?1c-? rS 4_bi v ? ApplicanYs Printed Name ApplicanYs Signature W RESIDENTIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings & Townhomcs and Condos when permits aze required for each unit aV Date 1v u / C)_?, Si[eAddress,3 "iGO Unit# Property Owner Telephone # Contractor Wohlers Southside Htg. & Air, Inc. 6950 W. 146' St., 9106 Street Address Apple Valley, N1N 55124 Ci?, (952) 431-7099 State Telephone # ( ) Bond #: ?Z 6cJL4 -I G d Eapires: The Applicant is _ Owner ? Contractor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 ? furnace replacement air exchanger air conditioner _ New _ Replacement ? other C'(3 1 ' i- C 1 r!? P °- State Surcharge $ .50 z ?? I j I L ? , 3?.?J o _ ? $ ? ,,,,--- - 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 codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pernut, but only an application for a pernut, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work wluch requires a review and approval of plans. Applicant's Printed Name ApplicanYs Si ature RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirementa . 3 registereA site surveys showirg sq. ft. of l06 sa. R. of house: and all mofed areas (20°4 mazimum Iot coverage allowed) • 2 coDies of plan showing heam 8 win0ow sizes; poured found desgn, etcJ • 1 set of Eneryy Calculations • 3 w0ies of Tree Preservalion Plan if lot planed after 711193 . Rim Joist Detail Optbns selecfion sheet (bldgs with 3 or less wits) DATE _ ??C?T? I j? ZOO ?- SITE ADDRESS 3 LA TYPE OF WORK WOO FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT LA? C Morl.k Gnj o2.GA- STREET ADDRESS I 3q7 H i y?v?P? 13 CITY/nep± 01'q STATEMrj ZIP 'S TELEPHONE #6l /YSYf ZZ? CELL PHONE #?v I'L 7 ?/ y'73a FAX # 6? I 2g 7R--?Ik PROPERTYOWNER ?70k-, 96\LAMdG? TELEPHONE# COMPLETE POR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNi:50'1':1 RCI.1:S 7670 CA'CEGORI' 1 ivfINNESOT.\ RCLFS 7672 (v submission type) • Residential Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted ' - - Plumbing Contractor: Plumbing syslcm includcs: Mechanicai Contractor: Mcch:unic.il svstciii iiidu(lcs: Sewer/Water Contraetor: AlI" COII(jlllOlllllg Hcat Rccoven• sys<«ti Phone # Phone # C'T - Fee: J90.00 I ' Fcc: S70A0 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Stafutes and City of Eagan Ordina es. SfgnafureofApplican} OFFICE USE ONLY _ Water Softener _ Wa[er Heater _ No. of Baths _ Phonc # Lawn Sprinkler vo: oe R.I. s1d,s -q '-7 0 .00 L? RamodeOReoair Renuiremenh • 2 copies of plan • 1 set ot Energy CalculaUOns for heateE addifions • 1 site survey for avterior additions 8 decks . Indicale if home served by septic system !or additiore VALUATION 3 ooo. r)" MULTI-FAMILY BLDG--t-Y 'X-N CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? Ot FoundaGon 0 07 OS-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 06-plex O 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex 13 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex p 10 08-plex 4W 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Starm Damage ? 06 04•plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteratlon ? 37 Demolish (BIdg)• ? 43 Reroof ? 46 Windows/Doors 0 34 Replacement ' 'Demoiltion (Entire Bldg only) - Give PCA handout to applicant Valuatfon DOD Occupancy IZ 3 MClES System Census Code Dq Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Vil W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. ? Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Warer _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final -MEt!!?g _ Siding Stucco Stone _ Firepiace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By ;<' "/ , Building inspector Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit license Search Copies Other Total Dakota County Real Estate Inquiry Dakota County Real Estate Inquiry oaca uPaacad 10/4/02. Page 1 of 1 ? I,egend Real,Estate Parcals M Params 8 Common,Ownarship MW ater MRIUN. Easement ?Dedca[ed RldU Standard +`! 10-73006-031-07 III-otal-Acm-aw 2001 TaxableValu?PavaE ss?'3458 HIGHLANDER DR Pay?ble 20D2 Tax: $660.06 EAGAN, MN 55122 0.05 i nis apqicanon was aevelopetl Dy tne oaKOte Coi in cooperation with Aeses.sing 3ervices, Treasurer_P.4djtor and Y N T Y Choose a search method, eMer critena, and click Go or hit enter key. House #:?? ? Address:?? PINI $125,70 )2): $97 Departrnenfs http://207.171.98.200/scripts/esrimap.dll?Name--webq I &Left=49662224I &Bottorn--997... 10/15/2002 ? Select option and click map Zoom In7 wholeCoumy ?? ; ,Refresh;Map. ..? INSPECTION KECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 ' SITE ADDRESS: APPLICANT: 3 1t,1 H. 1, "1 1+?11 N oP? a op NE rao sroTi"s ::Ultf'EY fil6l'lt: }`rll fG72) c'G7 ?NN£'; PERMIT SUBTYPE: TYPE OF WORK: !+ISrELt.AP:E0I.IS rrsr^iPiI ota C,u'ri o rN c NEPA"f.R Rf:-..?fUlN C acmaak:s. i nL,ioes ? 15 e ; I -;r s y 3:;e ( i o r 1) aa?>(D ( i oI 6) r F r_^ c0 L i:; rFo 0 N. P EP mrr j?, weiri ?1 or , F:1 i< i, ?uR R??Y Hr5 i L. ? ? CITY OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P er.n!.: i r r:s,A,? 0 ?0 - v; PERMIT PERMIT TYPE: Permif M1tumber: Date Issued: ?1.??cK .?L z f?, r? ? > /?- --'-7- 'vl 3 j I. " j 4 5) DESCRIPTION: ta11[il'l;.ts 8 U1Ci4J...1?)1..?.; I-v,)N " {1HC ULS?a Y`IGI" REMARKS: ii?sl.uc?L t (1 aT . , ,, . ;t?nr ?t.) •?dr;f9 ,l,lr s3 f i : ?1 T 7? k= (A I r; 1 i I (l "( .i L'C 1 S U I4 s- Y 9 T i-I 1 FEE SUMMARY: CONTRACTOR: OW NER: PiFI"f) S?Ii)]?1.i: Ili2 ?i..Y'rqOU'Fi'. I4P1 ,f?9?d7 A GAbI P4P,1 T herRby oekntrw7,ti..uq-9 t'hat I ttava -r+ad' Y.hi,. applicatl.nn ...wnd F,taC+; t:hr.;IP: tP3r, in f crr^ma t'i.nr3.i,^; co t°; e r.c a nd. a qr - ° t:o c c r.ip 7!y w1301 .,<7.1 t5^rti?].c• T I Y.u r,9 fRn. ?e,4; tEttP _S <<tc, Ci.t;/ Q f F 0 atzri Urcfina riae.. APPLICANTlPERMITEE SIGNA7URE ?yr ISSUED BY SIGNATUR?.?- I REACTIVATE PERMIT # "Wil-I 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 Valuation of work 34loo Site Address: ?454 h-1t6h1LAratfJ?C2. ?°. ClAjCcuOt=°`5 34S42>,34S$ r STREET Sl1ITE / Tenant Name: (commercial only) LOT 2 BLOC& 7 !5LJ1ERE?1 "Ef4F!-TS SUBD P.I.D. 73c&'(? bL4 17 5 !0 . 7 714 Descri tion of work: Re S, a The applicant is: ? Owner f$' Contractor ? Other (Descri6e) Name 5, v tt e??, ?4 S 16w4?ewes AfSac Phone Property LAST FIRST Owner pddress STREET STE N City State ZiP Company P1f? r o 1 N c. Phone 5_S7 - U$ Contractor Address Iyd Vy a3 ? R'P NO License #M61 Exp.-7/3/ 9L/ City ? l?2OU?? State 1'n/N7? Zip 3"3 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 here6y acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ?- `7 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. O 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 WORK TYPE ? 31 New 0 32 Addition ? 33 Alterations * 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning i of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ?. ' ?? ? 11 Apt./Lodging ?? I5 1?d5inish 12 Multi. Misc. '1:r17 Swim Pool ? 13 Garage/Accessory ? 18 Comm./Ind. ? 14 Fireplace 0.19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 36 Move Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Yariance ? Site ? Footing ? Wallboard ? Final ? 37 Demolish MWCC 5ystem City Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments O Framing ? Insulation ? Draintile ? Firepiace Permi t Fee veiusc;oo: g Surcharge Plan Review License MWCC SAC a,,t City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W 5urcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Ftpm I T "#' Dp. sac % SAC Units ? ??;; ?.? ??'?/??,? DATE ? ? ? BUILDING PF.RMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of enezgy calculaiions. i To be used for 9A X il/t// //.,? ? valuation J7POD /? Site Addresc; ,3.?el5?1 Lot Block See. Sub. ?. 3 a f Okmer Address Contractor Addresa Arch./Eng. Address Erect Alter Repair Enlarge Nbva necua2ish Grade _ Parcel Number Telephone Telephone Telephone OFFSCE U5E Occupancy Zoning ?P- Fire Zone ? Type of Const. # of Stories Front .r / Depth OFFSCE USE Date of Approval & Initial Assessment water/Sewer Police Fire Eng. Planrier Oouncil Sldq. OfP. A.P.C. FEES a Permit Surcharqe Plan Check Sr.c o0 +? N7atez Mnn. 2 SO?_ Water Meter L.D TOTAL ?2- I ??? _ BUILDING PERMIT APPLICATION DATE Include 2 seta of plans, 1 site plan w/elevations and 1 set of energy calculations. Rb be used foz 7? ??s'??lCJ ? Valuation ?.?70?D Site AddresE; 3 `/,S(n Lot Block See. Sub. ? 5`-- ??z„ fi .rl ) '? a n h Owmer Address Parcel Number Telephone Contractor Address _ Arch./Eng. Address Erect Alter Fepair Enlarge Nove Demolish Grade OFFZCE U5E Occupancy J?- Zoning Fire Zone Type of Const. # of Stories £ront Depth OFFICE USE llate of Approval & Initial Asaessment Water/Sewer Police Fire Eng. Planner Cbuncil Aldg. Off. A.P.C. FEES rezmtt Surcharqe ?/41t ? 27:an Check SAC 1-cD taater conn. ?SO_.y,p,_. 47ater Meter ? TOTAL Telephone Telephone ?g7y nAxs SUILDZNG PERP2IT APPLICATION tnclude 2 sete of plans, 1 siie plan w/elevations and 1 set of enerqy calculations. To be used for - C +%[??r at- Valuation site AddresE; ,3 y5 cY L oak Sl See. Sub. ? oumer Address Contractor Address Parcel Number Telephone Telephone Arch./Eng. Address Erect v Alte= Repair En2arge Nbve Demolish Grdde OFFICE USE Date of Approval 6 Initial Assessment Water/Sewer Police Fire Eng. Plantner Oouncil Aldg. Off. A.P.C. -- Telephone OFFICE USE Occupancy 2oning Fire Zone ? Type of (:onst. ? # o£ Stories FrOnt / DePth FEES ? SO Permit ? Surcharge Bian Check sAC OD ? d Wkiter Conn• c°latex Meter ,A,0 1'OTAI, ? t DATE BUILDING PRRMIT APPLICATION Include 2 ssts of plans, 1 site plan w/elevations and 1 seC of energy calculations. To be used £or Valuation aJ??,W _'0 Site Address:.3yG O Lpt Block See. Sub.- -v a ? 'd4mer Address Parcel Idumbgr Telephone Contractor Address Arch./Eng. Address Erect v Alter Pepair Enlarge Nbve Demolish Grade Telephone Telephone OFFICE USE Occnpancy T, 2oning Fire Zone 7ype of Oonst. j/ #1 of Stories Front Depth ?7p- /C OFFICE USE Date of Approval & Initial Assessment Water/Sewer Police Fire Eng. Planner Council Aldq. Off. A.P.C. FEES Pezmit ?g J surcharse ?h P1,an Check SAC t-?ater conn. J crater Meter 6 O ? TOTAI, . t , ,. 1991 BUILDING P%OICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS IiULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTUAAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH SLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRES5ES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLAWE? ONCE BUILDING PERMIT IS IS5UED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: ScrZeorl+ V/a?luation1? De Site Address ? y40 ??'f?`??n'de OFFICE T Lot 4 Block Q Parcel/Sub j U Owner r,(NSC -ICC? Address 3 q d b /-((r/n /4^?r dc I`?c City/Zip Code 62yUh (11J' cS,J /.2C_ Phone f! ?75L "? 3,6'aq Contractor _ i„jo f('y -C'rc'e kawc' Address SyLPI?o/ Q(uU City/Zip Code 4'f4ovl's Phone 9`. 7- 7?5-5 O( n) Arch./Engr. (?Z2- C) E''tG Pa?ph Address City/Zip Code Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S. 12-3 F. On site sewage_ On site well MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off. Variance APR " „ 1991 FHES Bldg. Permit 51160 Surcharge s$?o Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct, Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL ? Phone # \ J ?q5g /,,1l?cn rse{cJy t?ry ?ussdr'?ns ,/j?J Cv/?' co?ncc{oJ ?j ; m. ?z-7- oGSyri'^?o7' . agrees that all work shall be done in accordance with (Signature of ontractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ?r`7?ba5 ?-?s -k J-P-V:Z?--9 C03MERML BUII.DING a- o v? Permit Apptication City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 41q4•a5 6ai.I.LA-cI 11 2- 9 103 Foundation Onl New Buildin Interior Im rovement • Structural Plans (2) sets • Architectural Plans (2) sefs • Architectural Plans (2) sets . Civil Plans (2) . Struclural Plans (2) • Code Analysis (1) • CertificataofSurvey (t) . CivilPlans (2) . ProjectSpecs (1) • Code Analysis (1) " . Wndscaping Plans (2) • Key Plan (1) • ProjectSpecs (1) . CodeAnalysis (1)" • Master Exit Plan (1) . Spec. Insp. & Testing Schetlule " . Certificate of Survey (1) • Energy Calculations (1) not always*" • Soils Raport (1) . Spec. Insp. & TesGng Schedule (1) " • Elec. Power & Lighting Form (t) not always" • Meter size must be established . Meter size must be esHablished • Meter size must be established-if applicable 1 . ProjectSpeCS (1) 1 . Energy Calculafions (t) d • Electric Power & LighGng Form (1) '• 1 1 . Master Exit Plan (1) 1 d • Emergency Response Site Plan (1) "* b 1 • Soils Report (1) 1 • SAC detertnination - call 651-602-1000 • SAC deterrnination - call 651-602-1000 SAC detertnination - call 651-602-1000 Call M;v Dept of Heaith at 651-215-0700 for details regarding faod & beverage or lodging facilities. " Contact Building Inspections for sample and if required when it states "not always". **• Permit for new building or addition will not be processed without Emergency Response Site Plan. Date ? 3 ?l Construction Cost ?0 ??O" ? Site Address /ai !)h/ande?c DiL UniUSte # N/,g- Tenant Name Sog . ?A0ewv alz-e? Former Tenant Name ifIIA- Description of Work PropertyOwner ifm Telephone#(,4/ Contractor (/ey / /3 C?'(57?jGKGT?/JY/ r.$ Address ?{l00 s? d4" City State Zip SS v 3'3 Telephone #(Grv )?rpl; -D// o Arch/Engr Registration # Address State Zip eph one r ? 1. Licensed plumber installing new sewer/water service: ) I hereby apply for a Commercial 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 ofplans. Applicant's Printed Name _ /-7 Applican 's ignature OFFICE USE ONLY Sub Types ? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (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 •Demolitlon (Entire Bldg only) - Give PCA handout to applieant Valuation Census Code L SAC Units Nbr. of Units Nbr. of Bldgs Type of Const Vh_,1 REQUIRED INSPECTIONS _ Footings (new bldg) _ Footings(deck) _ Footings (addition) Foundation Drain Tile ? Roof _ Ice & Water _ Final Framing Fueplace _ R.I. _ Air Test _ Final 1( Insulation 7 Occupancy MGES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth FinaUC.O. ? Final/No C.O. _ Plumbing HVAC Other _ Pool Ftgs Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (newireplacement) _ Retaining W all Approved By T Z, Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total / vf 1 Building Inspector rl?,tSC z`Gd"/?717i.1 443 Lafayette Road N. MINNESOTA DEPARTMENT OF (651) 284-5005 St. Paul Minnesota 56165 1-800-DIAL DLI www.dii.mn.gov LABOR ~ INDU *"TRY TTY: (651) 297-4198 Adlk 10/11/2011 APPROVED FOR USE James Culbreath 3454 Highlander Dr EAGAN, MN RE: -FtES STAIR CHAIR LIFT Elevator ID# ELV-1004875 Site: James Culbreath 3454 Highlander Dr EAGAN, MN 55122 Dear Sir/ a art Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry, Construction Codes & Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section y recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. ALL ELEVATOR RELATED EQUIPMENT IS SUBJECT TO ANNUAL RENEWAL OF THE OPERATING PERMIT: It is the owner's responsibility to maintain and keep current with all tests in accordance with the ASME A17.1 and the ASME All 7.3. Frequencies for the required tests can be found in Chapter 1307 of the Minnesota State Building Code. Failure to maintain and perform the required tests may result in revocation of the annual operating permit. Operation of an elevator related device without a valid operating permit may result in an issuance of a "stop order" from the department and possible penalty of up to $10,000. For more information see our website at: http://ww-v.,.dii.mn.gov/CCLD/Elevaior.asp Sincerely, CONSTRUCTION CODES & LICENSING Tim Warren State Elevator Inspector c: ABILITY SOLUTIONS Dale Schoeppner, City of Eagan Building Official ElFormCE2 This information can be provided to you in alternative formats (Braille, large print or audio). An Equal Opportunity Employer PERMIT City of Eagan Permit Type:Building Permit Number:EA150181 Date Issued:06/25/2018 Permit Category:ePermit Site Address: 3454 Highlander Dr Lot:2 Block: 07 Addition: Surrey Heights 7th PID:10-73006-07-020 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Daniel J Hespenheide 3454 Highlander Dr Eagan MN 55122 Master Gas Fitters 2240 Shawnee Dr St. Paul MN 55109 (651) 748-8277 Applicant/Permitee: Signature Issued By: Signature