4165 Hilltop Pt? . , ?CASH RECEIPT ?
, . CITY . OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
y
DATE 14
Recerveo
FROM A!_i. ,
AMOUNT $ I
? CASH q_.CliECK
DOLLARS
ioo
.oR r
,
FUND CODfi AMOl1NT
1y?/t
Thank You
BY
?
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
?
CITY OF EAGAN
Addition HIL
OF EAGAPI
Lot
? lr street 4-W•61,63,65,67,69%71,73 state -MAN-NIN 55123
; j HILLTOP POZNT ? j; " 1 .
Improvement Oate Amount nnual Years Payment Receipt Date
STREET SURF. 1 80 1645.16 14+6. 2 10 833.60 A013986 6-6-84
STREET RESTOR.
GRADING
Sewer Lateral Trk 198 1587.68 105• 5 15 1481.84 A013986 6-6-84
SAN SEW TRUNK 1973 533.00 26.65 20 213.28
*SEWERLATERAL dly 19$0 2903.44 290•34 10 1451.74
Sewer Lateral kjj 1982 694.27 69.43 10 486.03
WATERMAIN
? WATER LATERAL 19$O 10
WATER AREA 1977 533.20 35 . 55 15 248 • 88
*
* STORM 5EW TRK
ic STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
RCkad it
WATER CONN, 500.00
BUILDING PER.
sac 525.00
PARK
CITY OF E,
• 3830 Pilot Knob Road, P.O. Box
PHON E: 45?
BUILDING PERMIT SL
To M wW fee 1 OF 12 PLEX Est, yalw 94
Site Addreu 4165 HILLTOP PT (UNIT 20
Lot 4 Block 1 Sec/sub. IiILLTOP OF F
Percel No.
? Name
? Addre
City _
, b I Name
?? Addre
(:itv
Name
Phone
?W ' City Phone
I hereby acknowiedfle thot I hore read thi:
the informotion is torcect and ogree to ?
State of Minnewta Sfotutes cnd City of
Siynctu?e of Permittee
A Buildinq Pertnit Is issued to:
oH work sholl be done in accordo7co?vrifh
8uildinp Officiol
of
N 941SF
39, Eagan, MN 55121
,p Receipt
pflfe ALiGUST 24 19 E4
Erect ff Occupancy SEE BP 944`.
4emodel ? Zoning
Repair ? Type of Const.
Enlarge ? No. Stories
Move ? Length
Demolish ? Depth
Grade ? Sq. Ft,
Water & Sew.
Poliu
Fire
Erq.
Planner
Councii
Bldg. Off. $ 17 $ 4
APC
Var. Date
'racm
Fess
Permit S 4 45
Surcharqe
Plon check
SAC
Woter Conn.
Water Meter
Rood Unit
Parks
Total
_ on the exprcu conditbn thoo
City of Eayan Ordinoncet.
Pwmit No. Permit Hoklsr Dste
Plumbing 1
H.VA.C. 1-31 G"
El.ctric af,
5
`
Softernr
In"ction Date (nsp. Other
Footings S G? d `l
Foundation
Framiny
Rouph Plbp.
Rouph HVAC ,
Inwlation
Final Plbp. /.?
Final HVAC
Final
Cert/Oce.
E
Water describe Location:
V11e11
S?w?r
Pr, Disp.
.
Permit No.
i GITY OF EACiAN
Fee .
Fill in numbered spaces S/C
Type or Prrnt /egib/y Tot.
1. Date , 2. Installation Cost ? .
3. Jab Address - Lot ,-? Bik. ,1_
-? -
4. Owner ? -- -•'"? .o
5. Contractor Phone ' 6. Address
7. City ? - State Zip
8. Building Type: Residential L7 Commercial ? Institutional ?
9. Work Description: New U Add ? Alter ? Repair O
1 10. Describe
I 11.
No. Fixtures
Water Closet , No. Fixtures
Cess
ool/Drainfield
? Bath tubs p
Se
tic Tank
Lavatory p
Softner
' Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt
Permit No.
Fil1 in numbered spaces S/C '
--
Type or Print /egibly
Tot
12-
1. Deta - ? 2. Installation Cost
3. Job IWdress `. . Y} Lot ? el Tract
, ` . _?-
4. Owner
5. Contractor Phone
6. Address
7. City State ? ZiP 'r
8. Building Type: ResidentiaL ? Commercial ? Institutional ?
9. Work Description: New D Add ? Alter 0 Repair ?
10. Describe
11.
Fuel Type
No.
? EciujAment BTU - M. Ea.
Forced Air Na. Eauiament CFM
Air Handlinp:
Mfg.
Boilers
Mfg. Mech, Exhaust
Unit Heater
Mfg. Other
.
AIr Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
wmply with all ofdfinanas and codes governing this type of work.
Signed :
fOf
1Roy? Finsl
Inspections: Date •Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Reoeipt MECHANICAL PERMIT Pe?mit No.
CITY OF EAGAN
Fes.
Fill in numbered spaces S/C
Type or Prin[ legibly ToL
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner 1'~
5. Contractor
Phone ?? _ //i- `'? .
S. _
B. Address '
7. City ' ' ' -- State
Zip
8. Building Type: Residential O Commerciat O Institutional ?
9. Work Description: New C3 Add ? Alter O Repair O
10. Describe Fuel Type I
11.
No. Equioment B TU - M. Ea.
Forced Air No. Eauiament CFM
Air Handlin
:
Mfg. g
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mf9• Other
Air Cond.
Mfy.
Gas, P'iping Outlets
12. I hereby oertify that the above information is true and correct, and I a9ree to
comply with al1 ordinancea and codes governing this tYpe of work.
S'igned : . for
Rauyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved ___ CITY OF EAGAN 4644100
7
HONE. 454-8100
BUILDING PERMIT sEr BP Reu;pr
Te _ b? w?d for 1 OF 12 UN IT ?. Va1ue 9445 ?te GU S'I' 24 . 19 84
CITY OF EAGAN Q)??;5
' .3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
P
SiteAddreu 4165 IiILLTQP PT (UNIT 201) ect ? Occupancy SEE BP 944
Lot 4 Block Sec/Sub. 4model ? Zoning
Parcel No. Repair ? Type of Const.
Enlarge ? No. Stories
ix Name DFVELOPERS CONST Move ? Lengtn
Z Add Oemolish ? Depth
res
t s
BUR I Grade ? Sq, Ft.
City hone
Name SAME
Address
I hereby acknowledgs thot I hove reod this oppllcarion and state that
the information is correct ond agree to comply with all opplicable
Stote of Minnewta Stotutes ond City of Eoqcn Ordinonces.
Sipnature of Pertnittee
A Buildin9 Permit is issued to: DEVL-'LOPERS COtVs7
otl work sholl be done in acoordance with all opplicable Stote of Mlr
Buildirq Offidal f,?'? - - -
Water b Sew.
Firo
E?W
Planner
Councfl
sidg. off. 8/17/89
APC
Ver. Date
Permit `"'L:' "`
5urcharpe
Plon check
SAC
Woter Conn.
Water Meter
Rood Unit
Parks
Total
on ths tzpress tonditbn Ihoi
Stotutes and City of Eaycn Ordirantes.
5
Psrmit No. Permit Holdw Date
Plumbinp Ll?
H.VA.C. -314
Eketrie
Softernr
Inspection Date Inap. Other
Footings
Foundation
Framinp
Rouph Plbg.
Rouph HVAC ? ' / SJS-' WA
Inwlation
Final Plbp.
Finai HVAC
Final
Cart/Ooe.
Water ??ibe Location:
YYsll
Sewsr
Pr. Oisp.
----?
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Frll in numbered spaces S/C
Type or Print legibly
• Tot.
1. Date '- 2. Installation Cost "
3. Job Address LotBlk. /Tract
4. Owner - ?
5. Contractor - - Phone
6. Address ? --- - --- ?--- --_- --- --- - -- - --
7. City
State lI Zip
I 8. Building Type: Residential Cl Commercial ? Institutional ?
19. Work Description: New ? Add ? Alter ? Repair ?
1 10. Descri be
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tratir
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
compty with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
pepipt MECHANICAL PERMIT Psrmit No.
CITY OF EAGAN -
Fee
Frll in numbered speces S/C
Type or Print /egibly Tot
1. Date 2. Installation Cost
3. Job Addreu ? lot Bik. Tract
4. Owner _ .. ? . - . , -
5. Contractor ? ' • ? • Phone
6. Addreas 7. City State
8. Building Type: Residential 0 Commercial 0 Institutional ?
9. Work Description: New O Add ? Alter 0 Repair 0
10. Describe Fuel Type
11.
No• Etlujpmeat BTU - M. Ea.
Forced Air No. Ecuiament CFM
Air Handlin
:
Mfg. g
Boilen
Mf9• Mech. Exhaust
Unit Heater
Mfg, Other
Air Cond.
Mfy.
Ges, Piping Outteta
12. I hereby oertify that the above information is true and correct, and I agree to
comply with aN ordinances and codes governing this type of work.
Signed : for
Fiouyh Final
Inspections: Date Insp. Dete Insp.
This is your parmit when numbered and approved.
Approved CITY OF EAGAN 464-8100
CITYOF EAGAN 11454
3830 Pilot Knob Road P.O. Box 21-199 Eagan. MN 55121
. .
PHONE:454-8100
BUILDING PERMIT SEg gp Receipt
T. L. ....a s.. 1 OF 12 UN I T F. vm,.. 9445 r,,,,o AUGUST 24 84
S ite Addreas '2 1 Va n i. a+i+ i vr r a ? v a? .a a ?v-pj
Lot 4 Block ?c/Sub. H L
Parcel No.
? Name
? Address 1101 CLIFF Ril
City BURNSVILLFphone 890-6194
O Name SAME
z
u?u
Address
? Citv Phone
Name -
1 hercby ocknowledpe thot I have reod this applicotion ond statE
the inlormotion is correct ond ogree to comply with all oppli
Stnte of Minnesoto Stotutes and City of Ea9on Ordinonces.
Slqnaturc of Pertnittee
A Building Permit is issued to: ??
oll work sholl be done in occordance with
Buildirp pfficiol ?
Permit y`
Surcharge 9445
Plon check
SHC
Water Conn.
Water AAeter
Road Unit
Parks
Total
on the exproas tordition thot
Smtutes ord City of Eoycn Ordinonus.
Erect EJK
?Wemodel ?
Repair ?
Enlarge ?
Move ?
Oemolish ?
Grade ?
Occupancy
SEE BP 9445
2oning
Type of Const.
No. Stories _
Length
Depth
Sq. Ft.
1lssessment
Woter a Sew.
Police
Firo
Enp.
Plonner
Council
BIdg.Off. 8/17/84
APC
Var. Date
Permit No. Psrmit Hotder Date
PlUR1bi11Q -Ir 10I _o Y' /
H.VA.C.
Electrie
SoRsnsr
Inspeetion Date Insp. Other
Foot?ngs Ae"
9 p
Foundation
Framiny
Rough Plbg.
Rouph HVAC ?
Inwlstion
Final Plbq. ?
Final HVAC
Final
Cert/Ox.
Water Describa Location:
YVell
Sawer
Pr. Disp.
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
; Fill in numbered spaces S/C
; Type or Print /egibly
Tot.
,
1. Date 2. Installation Cost
' , ?-- IJ r f ! ,
3. Joh Address Lot?Blk. Tract
4. Owner ? """'` • ' '
5. Contractor - ? ? - Phone • ' ? `
6. Address 7. City State Zip
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New 0' Add ? Alter O Repair ?
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs 5eptic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry T?ray"
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this tYpe of work.
Signed : for
Rough Final
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt
4L PERMIT Parmit No.
EAGAN Fee {
5ered spaces S/C J ?
nt legiWy Tm ;7 •-' ?. ?
1. Date 2. Installation Cost .. t?
- . , , ._•--..r- -
3. Job Address Lot ,? ` Blk. ' Trac°t
4. Owner ` ' -
5. Contractor Phone ? B. Address
7. CitY State •? ? Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New "D Add 0 Alter ? Repair ?
10. Describe Fuel Type
f 11.
No•
? Fquipment 9TU - M. Ea.
Forced Air No. Equipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg, pther
' Air Cond.
Mfg.
Gas, Piping Outlets
12. I herehy certify thax the above information is true and correct, and I agree to
comply with all ordinanoes and codes governing this type of work.
Sig,ed : for
- •pauyh Finsl
tnspections: Date Insp. Date lnsp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464$100
Rece+pt PLUMBING PERMIT Permit No. ` 1 J U
. ?` ?/ CITY OF EAGAN Fee -
/
.t FiII in numbered spaces S/C
` Type or Print /egibly Tot.
1. Date%'_J `' ? 2. Instaltation Cost
`
Lot?Blk.
3. Job Address ? Tract 1
4. Owner - f • - ``
5. Contractor
6. Address
Phone
7. City ` - State Zip '
8. Building Type: Residential 1.! Commercial O Institutional ?
9. Work Description: New CJ Add O Alter ? Repair 11
1 10. Describe
{ 11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry -Tr8y
? Floor Drains
Drinking Ftn.
' Slop Sink
Gas Piping Outlets
12. I hereby certify that the above inforrhation is true and correct, and I agree to
comply with all ordinances and cades governing this type of work.
Signed : tor
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$900
, CITY OF EAGAN 94r3
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE• 454-8100
BUILDING PERMIT SEE BP Receipt
9 [}C'.?;
To be uud for Est. Volue Dote 19
SiteAddress 4165 HILLTOP PT (UNIT .204) Erect 6 Occupancy SEE BP 944!
Lot 4 elock 1 Sec/Sub. HII.LTOP OF E ANemodel 0 Zoning
Parcel No. Repair ? Type of Const.
Enlerge ? No. Stories
DEVELOPERS CONST Move ? Length
d Neme
= Address 1101 CLIFF RD
? cit. BURNSVILLE phnnQ 890-6194 Demollsh
Grade ?
? Depth
Sq. Ft.
?t Name
u "-----
?l Address
?- City Phone
Neme
Address
City Phone
1 hereby acknowledge that I hove reod thi
the inlormotion is correcf ond ogree to
State of Minrxsoto Stotutes and City of
5lynoture of Permittes
A Buildirp Permit Is issued to: DEV.
nll worlc shall be done in occordonce wifli
Bullding Officiol f
on the exprcss conditiOn ttwt
Statutes ond City of Eopan Ordinances.
1lssessment Permit ar'r
Water a Sew. 5urchorge _
Police Plan check _
Firo SI\C
Eny. Water Cann.
Plonner Woter /Neter
Council
8 17 84 Rood Unit -
BIdg.Off. Parks
APC Total
Var. Date
45
Permit No. Permit Holder Data
PlumbinY
H.V.a,.C.
Eleetric
5oftener
Inapsction Date I nsp. Othtr
Footings G Aci
Foundation
Framiny
Rough Plbg.
Rough HVAC % ¢/
Inwlation
Final Plbg.
Final HVAC
Final
Cert/Oce.
Water Describe Location:
1Ne11 ,
Sewer
Pr. D"up. .
Receipt MECHANICAL PERMIT Pe?mit No.
CITY OF EAGAN FN
Fill in numbered speces S/C
Type or Print legibly Tot
1. Date 2. Installation Cost ?/) 6
??-
3. Job Address ` Lot Blk. Tract
4. Owner _
5. Contrector
B. Addreu
7. City
8. Building Type: Residential C33
9. Work Description: New F-I
Commercial O Institutional ?
Add 0 Alter ? Repair ?
10. Deacribe Fuel TYpe
11.
No• Equipmenc BTU - M. Ea.
Foresd Air No. Eauiament CFM
Air Handling:
Mfg.
Boilers M
E
Mfg. ech.
xhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Pipin9 Outlets
12. I hereby certify that the above information i: true and correct, and I aqree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Inap.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
CITY OF EAGAN 94.?2
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHQN E: 454-81 QO
BUILDING PERMIT SEE BP Receipt
Te 6e wed fe? 1 OF 12 UN I T Est_ Velue 9445 pw,. AUGUST. 24 ? Q 84
Site Addreas
Lot 4
Parcel No. _
? Name
W
; Addre
b CitY -
?o Name
u Addre
u?
City _
I,1W
?? Name
?W
2? Addre
u
we Z. City _
Phone
( hereby ocknowled9e thot I have reod this opplicotion ond stote tfiat
the information is correct ond ogree to comply with oll opplicnble
Stats of Minnesoto Statutea ond City ot Eogan Ordinonces.
Sipnoturc of Permittee
A Buildiny Permir ts issued to: DEVELOPERS CONST
all wo?k shall be done in occordor?ce with oll? ippficoble Stote of Mir
Buildinq Officiol ??'C?'?r? 'I ?I
Erect U" Occupancy SEE ;
?emodel ? Zoning
Repeir ? Type of Const.
Enlarge ? No. Stories
Move ? Length
Demolish ? Depth
Grade ? Sq. Ft.
Approrals Fee@
Assessme nt Permit ''
Water & Sew. Surchorpa -
Police Plan check _
Firo $AC
Enp. Water Conn.
Planner Wnter Meter
Council Rood Unit -
Bidg.Off. 8/17I84 Parks
APC Total
Var. Date
on tha expross condition tha+
ond City of Eapon Ordlnances.
5
Psrmit No. Permit Holder pete
Plumbing U'
H.VA.C.
Electrf c
Sohsner
Intpection Date Insp. Other
Footingc ?? f J F
Foundation
Framing
Rouqh Pibg. - -Y.S P -
Rough HVAC
Inwlstion
Final Pibp. -?
Final HVAC
Final
Csrt/Ox.
YYaar ??ibe Location:
YVell
Sawer
Pr. Disp.
Recei pt
Permit No.
Fee ' , 15V
,I I CITY
, Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address lot- Bik. ? Tract ? !
4. Owner 5. Contractor
6. Address : `
7. City
8. Building Type: Residential'ir
9. Work Description: New El
I 10. Describe
1 11•
Phone • ?
State Zip . .
Commercial ? Institutional O
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
J Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
' Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinanCes and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No. G
CITY OF EAGiAN
f / Fae
Fi// in numbered spaces S/C
Type or Print /egibly
Tot.
1. Date 2. Installation Cost
- 10 ? /?, I I ±r
3. Job Address Lot ? B. -lk. Tract
4. Owner - • - -
5. Contractor
6. Address A`' -?!??
7. City
.`
8. Building Type: Residential
9. Work Description: New El
I 10. Desaibe
1 11.
Phone
State Zip -
Commercial ? Institutional ?
Add ? Alter O Repair ?
No,
' Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
?
Lavatory
Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tmji
? Floor Orains
Drinking Ftn.
----r-
'
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY QF EAGAN _t 9451
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
• ' PHONE:454-8100
BUILDING PERMIT SFE BP Receipt # 1;?C?
T_ "At__ 1 OF 12 UNIT 9445 AUGUST 24 84
SiteAdd ---- ------?- - - •'"_.?" ""' •
r Erect L`t Occupancy .J
Biock 1 Sec/Sub. HILLTOP OF EAGA
Lot I,JRmdeI [I Zonin9
Parcel No. Repair ? Type of Const.
Enlarge ? No. Stories
? N?e DEVELOPERS CONST ?nove ? Length
W
?? RD
A
eN
890-6194
?
Demolish
Grade
?
?
Depth
Sq
Ft
City
Phone .
.
, ? Name SAMI'
?? Address
F- Citv Phnna
Name _
Address
I hereby acknowledge that I have read this applicotion ond sf,
the inlormation is torrect ond egree to tomply with nll ep
Stota of Minnesafo Stotutes and Ciry of Ea9an Ordinances.
Sipnoture of Permittea
A Building Permit is issued to:
all work sholl 6e done in acco
Buildfnp Official
45
Permit "Allj "r
Surchar9e 9445
Plon check
SAC
Water Conn.
Woter Meter
Road Unit
Parks
Total
on the exprcaa condition that
Stotutes ond Ciry of Eaqon Ordlnonces.
Assessment
Woter a Sew.
Police
Firo
Eng.
Plonner
Councii
BIdg.Off. 17 84
APC
Var. Date
Pwmk No. Pwmk Holder Dato
Plumbing
H.VA.C.
Elrctric
Softensr
Irapsction Date Insp. Other
Footinyt
Foundation
Framiny
Ra,gn Plbg. • v -1 ?
Rouph HVAC
Inwistion
Final Plbq. w-q,r 'CA
Final HVAC
Finsl
CM't/OCC.
Wabr Describe Loeation: -
Wall
Sewer '
Pr. Ditp.
MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbened speces
Type or Piinr /egibJy
1. Date ? - 2. Inatallation Co:t
"`? ? ?"'? •? ? .- ? ?--`_ ? • %??l
Fao. > !
S/C •- , - ?
Tot
3. Job Address ? Lot Blk. Tract
,
4. Owner
5. Contractor Phone
- - --s
6. Address
7. City_ State Zip - `
8. BuildingType: Residential?Q - Commercial ? Institutional ?
9. Work Description: New ?E7,, Add O Alter O Repair ?
,?.:.
10. Describe Fuel Type
11.
No•
- Eauioment STU - M.-Ea.
-
Forced Air No. EQUioment CFM
Air Handlin
:
Mfg. g
Boilers E
Mfg. Mech.
xhauat
Unit Heater
Mfg. Other
Air Cond.
Mfy.
Gas, Pipin9 Outlets
12. I hereby certify that the abova infocfhation ia true and correct, and I agree to
comply with all ordinances and cades governiny this type of work.
f
Signed : for
?.. - ? Rou9h Final
Inspections: Daic ? Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
' CITY OF EAGAN C?4 t?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 BUILDf NG PERMIT SEE BP ReceiPt
T. `. ....a #.,. 1 OF 12 PLEX 9445 ,,,,,o AUGUST 24 10 84
Site Addresa 4165 HILLTOP PT (UNIT 106) Erect C?
Lot 4 Block 1 Sec/Sub. HILLTOP OF GAG"emodel ?
Paroel No, Repair ?
Enlarge ?
of Name Move ?
; Address w` _ Demolish ?
b Grade ?
occupency _
Zoning
Type of Const,
No. Stories _
Length
Depth
Sq. Ft.
SEE
Name
City
Phone
I hereby acknowledpe thot I hove read this
the informotion is torrect and agree fo t
State of Minnesota 5totutes and Gty of I
Sipnoturc of Prrtnittee
/1 Building Pertnit Is issued to: DE
011 work shall be dorx in cccordanta with ?
Bulldlnp Official
Assessment
Woter & Sew.
Polite
Firo
Eny.
CaunNl 4
te that Bldg. Off?S
dicoble APC
Var. Date
PeRnif °F-t' ur
Surchorgs 9 4 4 5
Plon check
SAC
Wafer Conn.
Woter Meter
Road Unit
Parks
Total
on the express condition that
ond City of Eoqan Ordinonces.
?
{
PKmit No. Permit Holder Dra
Plumbing L -`, 14 7 Q ? ?
H.VA.C.
Electric
Soitener
Irnpection Date Insp. Other
Footinga
Foundation
Framing /
Rouyh Pibq.
?-
1.7
Rouqh HVAC
Inwlation
Finsl Plbp.
Final HVAC
Final
CKt/Ox.
Water Deseribe Location: •
YYaI l
Sewer ?
Pr. Disp.
Receipt PLUMBlNG PERMIT Permit No.
CITY OF EAGAN
r I 4i oh V : Fee
„ Fill rn numbened spaces S/C
Type or Print l ibly Tot. ?
1. Date w 2. Installation Cost
3. Job Address Lot?Blk. Traci'_''
?
4. Owner --
?
5. Contractor Phone
- ?- .• ? - -
6.
7. City
I 10. Describe
1 11•
i .
State Zip -
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tuls Septic Tank
Lavatory Softner
? Shower
Welt
Kitchen Sink
Urinal/Bidet Other
? LaundFy Tray
Floor Drains
Drinking Ftn.
51op Sink
Gas Piping Outle2s
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinancey'and,codes governing this type of work.
Signed : •"?? for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
8. Building Type: Residential-""d Commercial ? Institutional ?
?
9. Work Description: New ?/ Add ? Alter 0 Repair O
MECHANICAL PERMIT Parmit No. .,
CITY OF EAGAN -
F-
? Fill in numbered spaces S/C
Type oi Print /egiWy
Tot % -?
• ' 1. Date " 2. Installation Cost
,
3. Job Address Lot Blk. Tract
4. Owner ° ' -
5. Contractor ? Phone
6. Address ,
7. r.lty $Ut! ZIp '-?-_
?
8. Building Type: Rasidential O Commercial O Institutional ?
9. Work Desaiption: New Q Add ?,. Alter D Repair ?
10. Describe Fuel Type
11.
No. Equjpmeni 8TU - M. Es.
Forad Air • No. Eauiament CFM
Air Handlin
:
Mfg. g
Boilers
Mfy.
Unit Heater Mech. Exhaust
Mfp. Other
' Afr Cond.
IVIfg.
Ga, Pipinp Outlets
12. I hereby certify that the above information ia true and correct, end I ayree to
oomply with all ordinances and codea governing this type of work.
Sign°d : for
f4b?f¢i Ftnal
Inspections: Date Insp. Date Insp.
This ia your permit whan numbered and approved.
Approved CITY OF EAGAN 454-6100
I Receipt
CITY OF
r bI I C. It 4
, ; .,..,.,
1. Date "
3. Job Address _
4. Owner
5. Contractor
-' ? 2.Installation
T
7 ? c: 1 nr
6. Address
7. City
8. Building Type: Residential ?
9, Work Description: New 'Ei
10. Describe
1 11.
T Permit No.
Fee
ces S/C
y
Tot.
LBIk. Tract ? ?? ? ? 1 ?• ?
; •
State Zip ?- - _ c
Commercial ? Institutional ?
Add ? Alter ? Repair O
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinaf/Bidet Other
Laundry. Tray
Floor Drains
Drinking Ftn.
Slop Sink -
Gas Piping Outlets
?
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
r
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your pErmit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Phone
?
Reaipt MECHANICAL PERMIT Psrmit No.
CITY OF EAGAN
Fee ?
fill in numbered waces S/C
Type or Print /egibly ToL
',- 1. Date ?- 2. Installation Cost
, - • , , ; -
3. Job Address Lot Blk. Tract
,
4. Owner
5. Contractor Phone i ?
B. Address ' ` '• •. - - ?
? .
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional 0
9. Work Description: New Cl Add ? Alter El Repair ?
10. Describe Fuel Type
11.
No. Ennj,pffippL BTU - M, Ea.
Forced Air No. EQUipment CFM
Air Handlin
:
Mfg. q
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that tfie above information ie true and correct, and I agree to
comply with all ordinanaes and codes governing this type of work.
Signed: for
iieuyh F ind
Inspections: Date Insp. Date Inap.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 484,8100
, CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199,
PHONE: 454-8100
BUILDINC, PERMIT SEE BP
T, h,,na fm 1 oF 12 UNZT Est. Value 9445
MN 55121
Receipt #
r,,,.. AUGilS'' 24 „?3 9
Site Addren 4165 HILLTOP PT ( UNLT 105) Erect CI( Occupancy SEE BP
Lot 4 B lock 1 sec/sue. HILLTOP OF EAGA NRemodel ? Zoning
Percel No. Repair ? Type of Const.
Enlerge ? No. Stories
Name DEVELOPERS CONST Move ? Length
W Address
1101 CLIFF RD
Demoiish
?
Depth
? ?:... B URNSVILLEo?...... 890-6194 Grade ? Sq. Ft.
? .?ru•it,
ZO Name
?? Address
Citv Phone
Name _
Address
1 hereby otknowledge thot I have read this applicotion ond stote thoT
the inlormotion is correct and ogree to comply with all applicable
Stots of Minnesota Stotutes and City oF Eagan Ordinonces.
Slpnoture of Permittea
A Building Permit fs issued to: _
oll work sholl be done in accordance with oll
@ufidinp Offitial
a kw.
f. 8/17/84
Pertnit -)`'J.:' uc
Surchorge g 4 4 5
Plon check
SAC
Woter Cwm.
Water Meter
Road Unit
Parks
Tatal
_ on the txpress conditlor? thal
City of Eapan Ordinonces.
Permit No. Pamk Holdw Dste
Plumbing
L I ? .
??? ?? ?
fu 10 (, l.(
M?
H.v.a.c.
Eleatric
Softener
Inspection Date Insp. Other
:
N
Plbg. 3 v'
Rouqh HVAG _ '' t d SLJ ?-
Inwlation
Final Plbp. 17
Finsl HVAC
Final
CWt/Oec.
Wattr Daseribe Location:
YVsll
Sawer
Pr. Dbp.
• CITY OF EAGAN 9445s
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT SEE BP Receipt
To La Me" 6&V 1 OF 12 UNIT 9.0 V.1- 9445 M'_ AUGUST 24 1e 84
Site Addrean 4165 H ILLTOP
Lot 4 Block 1 Sec/Sub.
Parcel No.
?
W
z
t
Z?
ul
f
Name _
Address
Name
Address
City Phone
I hereby ocknowledge that I have read this applic
the inlormotion is torrecf and agree fo comply
State of Minnesota Stotutes ond City of Eaflan
all
Slqnotum of Permittee
A Building Pcrtnit is issued to:
all work sholl be done in ocoo
Buildinp Officiol
Erect Ll' Occupancy """
Nemodel ? Zoning 9445
Repair ? Type of Const.
Enlerge ? No. Stories
Move ? Length
Demolish ? Depth
Grade ? Sq. Ft.
/lssessment
Woter & Sew.
Polite
Firo
Enp.
Plonner
Councit
BIdg.Off. $/17/84
APC
Var. Date
Permit
Surchorye 9445
Plcn check
SAC
Water Conn.
Woter Meter
Road Unit
Parks
Total
on the express condition lhar
Stotutes ond City of Eaflon Ordinonces.
Pwmit No. Pormk Holdw Deb
Plumbiop k?
H. V A.C. r
ENctrie
5oftener
Inspectian Date Insp. Other
Footinys ? G
Foundstion
Framinp
Rou9h Plbp• T. ir l-
Rouph HVAC
Inwletion
Final Plbq. . 7-
Final HVAC
Finat
Cert/OCC.
Water Oescribe Location: ,
Well
Sewer -
Pr. D'qp.
Receipt t?? t Jl ? PLUMBING PERMIT Permit No. I1-r '?
CITY OF EAGAN Fee
c=l
Fill in numbered spaces S/C
Type or Princ /egibly Tot. '
1. Date 2. Installation Cost _
3. Job Address_ Lot- Li_Blk. ? Tract
4. Owne?'._.,? ?-r-
t? .. ,
5. Contractor /.' A-j Phone -
6. Address
7. City ? ? - - State Zip -
8. Building Type: Residential
9. Work Description: New,
I 10. Describe
f 11.
Commercial O Institutional ?
Add 0 Alter ? Repair 0
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
5hower Well
Kitchen Sink
Urinal/Bidet
Laundry Tr`ay Other
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Reaipt MECHANICAL PERMIT Permit Na.,
CITY OF EAGAN Fee
FiII in numbered spaces S/C
Type or Print /egibly Tot • ? '
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor ` ' - Phone • '
6. Addrass
7. City ' State : Zip ^ ?
8. Building Type: Residentia! E1. Commercial 0 Institutional O
9. Work Description: NeNr O Add 0 Alter ? Repair ?
10. Desaibe Fuel Type
11.
No• Equipment 8TU - M. Ea.
Fwcsd Air - ? No. EQUipment CFM
Air Handlin
:
Mfg. g
Boilen
Mfg. Mech. Exhaust
?
Unit Heater
Mfy,
Other
Air Cond.
Mfg.
Gas, P'ip(ng Outlets
12. I hereby certify that the abova information is true and correct, and I ayree to
comply with all ordinances and codas governing this type of work.
Signed' for
AougFt Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 46"100
CITY OF EAGAN 4 47
• 3830 Pilot Knub Rosd, P.O. Box 21-199, Eagan, MN 55721
PHONE: 454-8100
BUILDINd PERMIT SEE BP Receipt
Te eo d..e #,. 1 OF 12 UNIT 9945 n,,.e AUGUST 24, 84
Site Add 4165 HILLTOP PT (uriit 103
reaa )Erect ? ??ncY SEE BP
l.ot 4 Block 1 S./Sub. H I LLTOP nF EAG ANRemodet L7 Zoning 9445
Percel No. Repair ? Type of Conat.
Enlarge ? No. Stories
W Name DEVELOPERS CONST INC Move ? Lenyth
? address 10 CLIFF RD oemalish ? Depth
HURNSVIL
890-6194 Grade ? Sq. Ft.
ne
City
J Name --SAME
?u
Address
Citv _ Phnna
Name _
Address
Phone
I hereby ocknowledfla that I have read this opplicotion ond stote thuf
the information is correct and ogree to comply with oll applicable
State of Minnesoto Statutes and City of Eagon Ordirances.
Siprwture of Permittee
A Bullding Pem+it Is iuued to:
oll work sholl be done in acqo
Buildinp Official
a sew.
Qtf,
Permit °L'u uc
Surchorps 9445
Plon check
5/1C
Water Conn.
Woter Meter
Rood Unit
Parks
Total
on th* exprcss condiHon tha+
Sfatutes and City of Eepon Ordinonces.
Pwmit No. Permit Holder Drte
Plumbing
H.V,A.C.
Elactric
Softerwr
Inspection Date Insp. Other
Footirvp
Foundstion
Framinq
Rouyh Pibg•
Rouyh HVAC
Inwlation
Finsl Plbq.
Final HVAC
Final
CKt/Occ.
Water Dascribe Location:
VWII
Sawer
Pr. D'ap. ?
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN r
Fee
Fill in numberad spaces S/C
Type or Print legib/y
? Tot.
1. Date .' 2. Installation Cost
3. Job Address LotLi_Bik. 7ral?
4. Owner
1
5. Contractor Phone `
6. Address
- " ?
7. City State Zip
8. Building Type: Residential Commercial ? Institutional 0
9. Wark Description: New b Add ? Alter ? Repair ?
1 10. Describe
1 11•
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry 7'ray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinanQes and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Rsoeipt MECHANICAL PERMIT Psrmit No.
CITY OF EAGAN
Fss
fiJl in numbsred spaces .
S/C
Type osr Piint /egibly Tot.
I
i
C
t
2
li
D
nsta
on
os
ate
at
.
1.
- • .? ?
>
3. Job Address Lot Blk. Tract
4. Owner
5. Contrartor
6. Address
7. City / '
8. BuildingType: Residential
9. Work Description: New Q
Phone
1 • •
State Zip .
CommerCial ? Institutional 0
Add Q- Alter O Repair O
10. Describe Fuel Type
11.
No. Equopment BTU - M. Ea.
Forced Air ' No. EQUiament CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
?
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information ia true and correct, and I agree to
comply with all ord(nances and dodes governinq this type of work.
Siyned : _ for
,Rpugh Final
Inspections: Date Insp. Datc Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
. ..11.
?
BUILDING PERMIT
CITY OF EAGAN 9446
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
SEE BP Recefpt
? 12 UNIT F??_ v??,., 9445 n„to AUGUST 24 ,0 84
SiteAddTss
Lot Block Sec/Sub.
Parcel No.
W Name _
? Addr B
City _
A Name _
v? Address
r l:irv
?W Name
U0 Address
? W City Phone
I hereby ocknowledge that I hove read this opplication c
the informotion is correct and agree to comply with ,
Stote of Minnesotc Stotutea ond Ciry of Eogan Ordirr
Sipnoture of Perrnittea
DEVELOPEI
A Building Permit Is issued to:
all work sholl be done in accordor,cb wi h oll opplicobl4
8uildinp Official
?ect
'
E ? Occupancy SEE BP 9445
1
?
T1?model ? Zoning
Repair ? Type of Conat.
Enlerge ? No. Stories
Move ? Length
Demolish ? Depth
Grade ? Sq. Ft.
Assessment Permit 5B
Water b Sew. Surcharye -
? Police Plon check _
- Fire 511C
- Enp. Woter Conn.
- Plonner Water Meter
Council Rood Unit _
ct BId
8 1 8
Off ks
P
.
g.
ble ar
APC Total
Var. Date
on the exprcss candition thaw
Stotutes ond Ciry ofi Eapon Ordinonces.
Permk No. Pwmit Holder Date
Plumbin0
H.VA.C.
Ekctric
Softener
Inspection Date Insp. Othe?
Footinps ? J U
Foundation
Framing
Rouph P?b9- /.1 - ? ` -
Rouph HVAC
Inwlation
FinalPlbq. -j -
Final HVAC
Final
Cart/Ox.
Wster Describe Loeation:
YYell ,
r
DisP.
L
Receipt
MECHANICAL PERMIT
CITY OF EAGAN
Psrmit No.
Fill in numbered spaces S/C .._ .r -
Typs w Prin[ legibly Tot
1. Date 2. Inatallation Cost
3. Job Address - lot Blk. f L? Tract
4. Owner ' '. 2-
5. Conuactor ? y . : ? . .'. Phone
. -- - -- --r'
6. Address - ?_
7. City ' ? ..,
8. Building Type: Residential Q
9. Work Description: New 13,
Stete ? Z(p
Commercial O Institutional ?
Add ? Alier 0 Repair ?
10. Qescribe Fuel Typs
11.
.
No•
. Equjpnmnt 8TU - M. Ea.
Forced Air ` No. Eauiament CFM
Air Handlin
:
Mfg. g
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mf9• Other
Air Cond.
Mfg.
Gac, P'iping Outlets
12. I hereby certify that the above information is truer and oorrect, and I agree to
comply with all ordinances and code's goveming this type of work.
5igned :
for
Ro6ph Final
Inspections: Date Insp. Date Inap.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
Receipt PLUMBWG PERMIT Permit No. 7'? J
' r l CITY OF EAGAN Fee
Frll in numbered spaces S/C
Type or Print legibly
Tot. -
1. Date 2. Installation Cost '
3. Job Address Lot_?- Blk. ? Tract
4, Owner ? • " 5. Contractor Phone
6. Address " ?. ?? -- - - - - -- --- -- - - - - - - -
7. City ? s
i
$. Building Type: Residential .
9. Work Description: New,.q
1 10. Describe
I 11,
State Zip
Commercial O
Institutional O
Add ? Alter ?
Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Orainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet
Laundry T-rey Other
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above'iqformation is true and correct, and I agree to
comply with all ordinanoos and qbdes governfng ihis type of work.
5igned : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
94Q.5
~ - 3830 Pilot Knob Roasi, P.i. .: .. ;?': - i y9, Eagan, MN 55121
PHOIYE: 454-8100
BUILDING PERMIT Receipt ?
To 6e wed for 1 nF 12 UA'I7.' Est. Volue $653, 000 Date AUGUST 24 , 19 84
4165 HILLTOP POINT (UNIT lU1l ? Y Rl
Site Addreas lh?dct ? Occu nc
Lot 4 Block 1 ?/Sub. HILLTOP OF r!.AGA"model ? Zoning
Parcel No. Repair ? Type of Const. V 1 HR
Enlarge ? No. Stori i
W Name DEJELOPERS CONST Move O l.ength
?
ren ilUl r - Demalish ? Depth -80
Sq. Ft.
City UXNbV'LLE Phone Grade ?
? o?r.
?o Name
?? Address
F' Citv Phnno
& Sew.
? W Name Firo
Address Enp,
Z. City Phone Planner
Council
I hereby acknowledfle that I have reod this opplicotion ond store that gldy, p{f. 8/17/89
the inlormation is torrect ond ogree to tomply with oll cpplicable APC
Stote of Minnesoro Statutes and City of Eoqon Ordinances.
Var. Date
Si9nature of Permittee
DEVELOPERS CONS'I'
Permit
Surchorpe 341.50
Plon check 945. 25
5,,C 6,300.00
Water Conn. S,G 4 0. 00
Water Meter
Rood Unit 3t120.00
Parka
Total $18 , 23 - 5
l1 Bufldinfl Permit Is issued to_ ` on ths exprcss oorbdiNon tho+
oll work sholl be done i?t accordante with all applicoble State of Mlnrusoto Statutas and City of Eagon Ordirancea.
Buildlnq Officiol ' ? -
PKmit No. Pwmit Ho1dK Data
Plumbinp
H. V A.C.
Etectric
Softener
Inspeetion Date Insp. Other
Fooeings 9 ?? g a
Foundetion
Framing
F
Rouyh Plbg.
Rouph HVAC 1 /
Inwlation
Final Plb¢ ?_ -
Final HVAC
Final
CKt/Ooc.
Water Dosr-ribe lowtion: .
Vllsll
5?wer '
Pr. D'ap.
V// 6 It CITY OF
?-
1. Date -" 2.Instal
3. Job Address _
Permit No.
Fee
S/C
Tot.
L-11- Blk. ? Tract
, 4. Owner -
5. Contractor r?v Ly ? I Phone Z:
6. Address ` ? - ? -
State • N Zip -
8. Building Type: Residential ? Commercial ? Institutional ?
? 9. Work Description: New 13 Add ? Alter ? Repair ?
' 10. Descri6e
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
5e
tic Tank
Lavatory p
Softner
Shower Well
Kitchen Sink
Urinal/8idet Other
Laundry-Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Rooaipt
?- ??•?
Permit No.
Fae -
S/C
Tot
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner • ' 'r. ?
?
5. Contractor r Phone
8. Addreu
7. City
te • Zip '
8. Building Typs: Residential Ci Commercial ? tnstitutional C3
. ',
9. Work Description: New'.U Add El Alter 0 Repair ?
10. Dasaibe Fuel Type
No• Equipment 9TU - M. Ea.
Forced Air • No. Equiament CFM
Air Handlin
:
Mfg. g
Boilers
AAfg. Mech. Exhaust
Unit Heeter
Mf9• Othar
Air Cond.
Mfg.
Gas, P'iping Outlets
i?
12. 1 hereby cartify that the above information ia true and correct, and I agres to
wmply with all ordinances and codes governing this type of work.
Signed :
for
' 'Rough Finsl
Inapections: DaLe Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
TY OF EAGAN SEWER SERVICE PERMUT
30 Pilot Knob Road 1199
0. Box 27189 PERMIT NO.:
gan, MN 55121 D^TE: 12
-`? I i: No. of Units:
nirg:
::3evelopera Conet
rner:
r 3-2 -8 45676 NO(L-00 P
to ooopy wieh tlw City of Eo9en Cor?rnction Charoe: S L Od .0O pd
Acaourrt DepoaR: _
Permk Fee:
Surd+arye:
Misc. CFarOex -
Total:
Dots Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road pERMIT NO.:
P. O. Box 21199
D/?TE:
Eagan, MN 55121
1 ?
NO. of Units:
ZOf1I(1g.
0 -CY'S 10178t }
OW?er•
. `
/1ddroSS: T!? '' ?. ? l ? 1?. °,:1L j
4165 i?illtop Point ) U f ?: $ 3R
Site /?ddrcss: _
Plumber: 6640.00 ?:s -
Connection CF?arpe:
Meter No.:
Account Deposit:
Size:
Permit Fee: - ' • "? P`-
Reader No.:
I ..? ?._ P
1 eyme h aoMplp wilh !lN Citp of Eaqen Surcharge: . . ' , . ? ,. . . .. , .,
Misc. Choroes:
OrJiMnaa.
Totcl:
Dote Paid:
.By
,Dote of Irtsp.: (nsP.:
cirY oF EaGnN -WATER SERVICE PERMIT ?
3830 Pilot Knob Road pERMIT NO.:
P. O. Box 21199
Eagan, MN 55121 DATE:
Z?ing: No. of Units:
nar:
?f'ESS. t? r07JJ?`+ F3 _I.Z.l:C7" Ui i...:t
/I
Si1Q ddrlSS:_
.
??:1:. °_
?
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l::
\L,
„ , _.
?r
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•
,
.00 p.
:
tnection Chorye:
C.b?
7V{eter No.
?? } 17 ,
1 /lcoount Deposit:
SizQ:
m L" 7?a ` Pertnit Fee:
Reoder No.: ...?...
? IM C? ? ?n $u?chorge:
?
i Mist. Chorges:
Totol:
r 4 Dote Paid:
sp
o
e
3 a ?S 1 I^`'P"
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???Y?µ? ??r ? ./?.?? ?s = ???,?
?tD? ???? CITY OF EAGAN Include 2 sets of plans, ,
1 Certificate of Survey & -
BUILDING PERMIT APPLICATION 1 set of energy cal.culations.
? pq? ?'-"
7b Be Used Fbr ? Valuation .?47 ai?D Date
site Aaaress : 4 I(0 5 f?. //x? /?i r oFFzcE usE oNLY
I.ot ? Block Sec./Sub. Erect X_ Occupancy - ?
Parcel #: C(a 6E{?v Alter Zoning
Repair Fire Zone ?.l
?- Enlarge - Type of Const.
O.mer:
--? Move # Stories
Address: d Denrolish Front £t.
City/Zip Code: Grade Depth g0 ft.
Phone #: APPROUALS FEES
Contractor:
Address:
City/2ip Code:
Phone #:
Arch. /Eng. O V,.-K
1lcldress:
Assessments Perntiit 1590. ?'?
Water/Sewer Surcharge 341. ?
Police Plan Check q q?. 25
Fire SAC 12(P 52 S lD 3OO .LL
Eng. Water Conn.12@ 410 S(04O -
Planner Water Meter', ,
council Road unitt2@ 2tno 3120 ,°-°
Bldg. Off.
P.PC
City/Zip Code:
Prone #:
=AL iP/ a 37, a.S?
CITYOFEAGAN N? 9451
3830 Oilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
?
BUILDING PERMIT SEE BP ReceiPt #
1 OF 12 UNIT 9445 AUGUST 24 84
Te 6a u?ed !o? Est. Value Oote _ 19
SiteAddreas 4165 HILLTOP PT (UNIT t$7-)-1-0Erect 14 occupancy SEE BP 9445
lot 4 stock 1 Sec/Sut. HILLTOP OF EAGANiemodel ? Zoning
Parcel No. Repair ? Type of Const.
Enlarge ? No, Stories
W Name DEVELOPERS CONST Move ? Lenyth
? Address 1101 CLIFF RD Demolish ? Depth
City BURNSVILLE phone 890-6194 Grade ? Sq. Ft.
o Name
u? Addre
? City _
Phone
I UW Name
H Address
u
< City Phone
I Mre6y acknowiedge that I have read this applicotion ond stote thaf
the informotion is correct ond ogree to comply with oll opplicable
'Srote of Mmnewro Statutes ond Ciry af Ec9an Ordirwnces.
$iprroture of Permiftee _
A Building Permit is issued to:
oll work sha11 be done in acm
ADVrovols Fees
Assessment Permit 5t
Water & Sew. Surcharge 9
Police Plan check _
Fire $AC
_
Erg. Water Conn.
Planner Woter Meter
Council Road Unit _
BIdg.Off, $/17/84I parks
APC Total
Var. Date
on the exprea condition thoi
oDVlicable tMe of ineofa StMUfes and City of Eoynn Ordinances.
Building Officiol
CITY OF EAGAN N? 9452
3830 Pilot Kirob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT SEE BP Receipt
Te 6e uted fer 1 OF 12 UNIT Est Value 9445 _ Date AUGUST 24 _ 1q 84
SiteAddress 4165 HILLTOP PT (UNIT Erect C* Occupancy SEE SP 9445
Lot 4 Block 1 Sec/Sub. HILLTOP OF EAGAI`itemodel ? Zoning
Parcel No. Repair ? Type of Const.
Enlarge ? No. Stories
Z N,m, DEVELOPERS CONST Move ? LangtF
I
Z Address 1101 CLIFF RD Demalish ? Depth
? City SURNSVILLEphone 890-6194 Grade ? Sq, pt.
o Name _
1 4 Address
Z
1- City -
SAME
Phone
V- Name
Address
u
<w City _ Phone
I hereby acknowledga that I have reod this apptication ond stote thor
the informofion Is Wrrett and ogree to wmply with oll aDVlicable
State oi Minnewta Statutes and City of Eugan Ordinances.
$IOnature of PermiMee
A Building Permit is issued to: DEVE
oll work sFroll be dorce in accordonca with
Avp•orols Fees
Assessment
Water 8 Sew.
Polite
Flre
Eng.
PIonner
Council
BIdg.Off. 8 17 84
APC
Var. Date
Permit 0?1
Surcharge _
Plan check _
SAC _
Wafer Conn.
Water Meter
Road Unit _
Parks
Total
on the express mndiMon that
Stututes ond Ciry of Eogon Ordinanus.
Buildinp Officiul
CITY OF EAGAN N? 9453
3830 Oilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT SEE BP Receipt #
Te ye ." }a 1 OF 12 PLEX Ese. Value 9445 pate AUGUST 24 _ 19 84
SireAddress 4165 HILLTOP PT (UNIT ?}?b?Erect N Ocwpancy SEE BP 9445
Lot 4 Biock 1 Sec/Sue . HILLTOP OF EAGANqemodel ? Zoning
Parcef No. Repair ? Type ot Const,
Enlarge ? No. Stories
W Name DEVELOPERS CONST nnove ? Length
? 1101 CLIFF
Address RD Demolish ? oepth
city BURNSVILLE pnone $90-6194 Grede ? Sq. ft.
s oe-u-iu
O Name
Address
? City Phone
Name _
Address
City _
I hereby aCknowiedge that I have read this applicotion ond state that
the inlormotion is correct and agree to wmply with nll applicoble
State of Minnawto Statutes and Cify of Eogon Ordmonces.
Sipnoture of PermiMee
A Building Permif Is iszued to: c
oll vrork sholi be done in accordante
8uildirq OHiciol
Avvrovals Fees
Assessment pemit SEE
Water 8 Sew. Surcharge -
Police Plan check_
fire SAC -
Erp. Water Conn.
Plenner Water Meter
Council Road Unit _
BIdg.Off. $/17IH4I parks
APC Total
Var. Date
on the express condition thal
Stotutes and City of Eaqan Ordinonces.
45
CITY OF EAGAN N? 9454
3830 Pilot Knob R d P O B 21 199 E M
oa,.. ox , agan, N 55121
PHONE: 454-8100
BUILDING PERMIT SEE BP Rece'Pt #
Te 6e uued ier 1 OF 12 UNIT Fa v??e 9445 n...e AUGUST ZQ o $Q
SiteAddress 41b7 H1LL'1'Ui
Lot 4 Block 1 Sec/Sub.
Parcel No.
m I Name DEVELOPERS CONST
Z Address 1101 CLIFF RD
9 City BURNSVILLEphone $90-6194
o Name _
u? Address
? Citv -
Phone
uw Name
x? Address
u
?W City Phone
I hereby ackrwwledge that 1 have read this applicatian ond state thaf
the inlormation is correct and agree to wmOly with oll opplicoble
Stota of Minnewto Stotutes and Cify of Eagan Ordirwnces.
Sipnmum of Permittee
A Bullding Permit Is issued ta: _
all work sholi be done in occordonce
Bulldirg Offlcio?
D-?rect (IC occupency SEE BP 9445
A*emodel ? Zoning
Repair ? Type of Const.
Enlarge ? No. Stories
Move ? Length .
Demolish ? Depth
Grade ? Sq. Ft.
ADprovab Feea
Assessmenf
Water & $ew.
Police
Fire
Enq.
Plonner
Council
BIdg.Off. 8 17 $4
APC
Var. oata
Pertnil
Surchurfle 9445
Vlon check
$AC
Wofer Conn.
Woter Meter
Road Unit
Perks
Total
on the express conditlon Ihol
Statutes and Ciry of Eogan Ordinonces.
CITY OF EAGAN N? 9455
3830 ?ilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8700
BUILDING PERMIT . SEE BP 2eceipr
Te M atad 1er 1 OF 12 UNIT Est Value 9445 Dare AUGUST 24 84
- - 19--
SitaAddress -4165 HILLTOP PT (UNITlQ1) erect
? SEE BP 9445
Occupancy
4
Lot 1 HILLTOP OF E
Block Sec/Sub. GA7i?i
emodel ? Zoning
Parcel No. Repair ? Type of Const.
Enlarge ? No. Stories
of N... DEVELOPERS CONST nnove ? Lenyth
I
? Address 1101 CLIFF RD Demolish ? Depth
City BURNSVILLFyhone 890-6194 Grade ? sq. Ft.
O Name _
?< Address
? City -
Phone
Fw Name
?
x,
-? Address
?< W City Phone
I hereby ocknowledge ihot 1 have read this applicotion ond sfate that
the inlormation Is correct and ogree fo comply with all opplicuble
State of Minnewta $tatufes and City of Eagan Ordirwnce:.
Sipnoture of Permittee -
A Building Permit Is issued fo:
all work sholl be done in atca
AvVrorols Fee.
Assessment Permit $E
Woter & Sew. $urchnrge -
Police Plan check_
Fire $AC
-
Enp. Water Conn,
Plonner Woter Meter
Council Road Unit -
Bldg. Off. 8 ].7 $4I Parks
APC Total
Var. Date
vni,v?o on the express condiHOn that
oll pppli le ote of Minnesota Statutes ond Gity of Eogan Ordimnces.
Buildinp Olficlal
, CITY OF EAGAN N? 9456
3830 Oilar Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 4548100 ??6
BUILDING PERMIT SEE BP Receiur #
Te M und fer 1 OF 12 PLEX Est. Volue 9445 pate AUGUST 24 _ 1 q 84
SixeAddress 4165 HILLTOP PT (UNITU 2) Erect C? Occupancy SEE BP 9445
Lot 4 Block I ¢eclSub. HILLTOP OF EAGA41emodel ? Zoniny
Pamel Plo. Repair ? Type of Conat.
Enlarge ? No. Stories
rc nlame DEVELOPERS CONST Move ? Len¢th
= Address 1101 CLIFF RD Oemolish ? Depth
? City BURNSVILLE phone 90-6194 Grade ? 5q. Ft.
0 Name SAMF.
?i Address
1- City Phone
Gw
?uW Name
Zc Address
?uZi City Phone
( hereby acknowledge thof I have read fhis opplication and stote ihat
fhe inbrmotion is mrrect and ogree to comply wirh oll opphcable
$tote of Minnesota $totutes and Ciry of Eogan Ordinonces.
$ignature of Permittee
C`C
A Buiiding Permit Is issued M: DEVELOPPRS
pll work sholl be done in i on ith all applieab{p St te of Mir
`Building Oificial
Aoorwols Faea
Assessmenf permif SEF
Water 8 $ew. Surchorge _
Palice Plan check _
Fire SAC
_
Enp. Water Conn.
Plonner Woter Meter
Council Rood Unir _
BIdg.Off. 8 17 $4 Parks
APC Total
Var. Date
on tha express Conditfon Ihai
Statutes ond City of Eagan Ordinonces.
. ... ,
? CITY OF EAGAN M 9445
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT aeceipr #
Te ba wed Wr 1 OF 12 UNIT Est.Value $683,000 pate AUGUST 24 19 84
Site,4ddreu 4165 HILLTOP POINT (UNIT 101,?c2 29 Occupancy Rl
lot 4 Block 1 sec/Sub. HILLTOP OF EAGAAbmodel ? Zoning R3
Percel No. Repair ? Type of Const. V 1$jj
Enlerge ? No. Stories
w Name DEVELOPERS CONST Move ? Length 1D-
z Atldress 1101 CLIFF RD oemolish O Depth 80
?
? City BURNSVILLE Phane 890-6194 Grade Sq. Ft.
O Name SAME MDOrovala Feea
ur AddrmS Assessment
?
Woter & $ew
City Phone .
Police
F?
Name Fire
Address En0•
<W City Phone Plonner
Council
1 hereby acknowledga that I have read this opvlication and ztate thot gldg. Off. $ 17 $4
the inlormotion is carrect ond ogree to wmply with oll opplicobta
State of Minnesota Statutes ord City of Eogan Ordinonces. AP?
Var. Dete
Sipnoture of Permittee _
A Buildfng Permit is issued
oli wark sholl be done iry!
Buildiny Official `
Permit $ 1,890.50
Surcharge 341.50
Plon check 945.25
snC 6.300.00
Woter Conn. 5 , 6 4 0 00
Water Meter
Road Unit ? 19111 00
Parks
Total ?T2 5
on the express corditlon that
Minnewm Statutes ond City of Eogan Ordirances.
CITY OF EAGAN M 9446
3830 pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55 121
PHONE: 454-8100
BU ILDING PERMIT SEE BP Receipt #
/
Te ba uwd }er 1 OF 12 UNIT Est. Volue 9445 pate AUGUST 24
, 1 q 84
SiteAddress 4165 HILLTOP POINT (UNIT 1020rect N occuPancy SEE BP 9445
Lot 4 elock 1 Sec/Su6. HILLTOP OF EAGA?lemodel ? Zoninq
Parcel No. Repair ? Type of Const.
Enlarge ? No. Stories
? Name DEVELOPERS CONST Move ? Length
? Address 1101 CLIFF RD Demolish ? Depth
City BURNSVILLE phone $90-6194 Grade ? Sq. pt.
? Name SAME Avvrorals Feea
o,
u Addres5 Assessment Permit $EE BP
? City Phone Water & Sew. Surchorpe 9445
G
p Police Plon check
,
W„ Name Fire $AC
Uo Address Enp. Water Conn.
ww City Phone Flonner Woter Meter
1 hereby acknowfedge thct I huve reod this cpplication ond stote thot
the informofion is corretf and egree fo Comply with all applicoble
Stafe of Minnesofo Stotutes and Cify o! Eagon Ordinonces.
Countil
BIdg.Off. $/17/$
APC
Var. Date
Road Unit
Parks
Total
Sipnaturo o4 PermiMee I
A Building Permif is issued fo: DEVELOPERS CONST on tho express condition thot
oll work zhall be done in accorda w? h oppiimble S f Minrresota Stotutes and City of Eogan Ordinances.
Buildln0 Officiol 0"4CC
CITY OF EAGAN M 9447
3830 pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ?-
BUILDING PERMIT SEE BP Receivt #
Te M wad 1er 1 OF 12 UNIT Est. Volue 9445 Dote AUGUST 24, jq 84
SiteAddress 4165 HILLTOP PT (unit 103)Erect 99 occuPancy SEE BP
Lot 4 Block 1 Sec/Sub. HILLTOP OF EAGANRemodel ? Zoning ?-
Percel No. Repair ? Type of Canst.
Enlarge ? No. Stories
m Name DEVELOPERS CONST INC Move ? Lenyth
Z Address 1101 CLIFF RD Demolish ? Depth
? ctty BURNSVILI4me ' 890-6194 Grade ? sq. Ft.
? Anererolz Fe..
?o Name _
?§ Address
F' CitY _
Phone
? W Name
o [Addms
u
i City _ Phone
1 hereby ackmwledge thot I have read this apDfication ond stare that
the inlormation is correct and egree to comply with nll applicoble
State of Mannewto Statutes ond City of Eogan Orduwnces.
Assessment
Water 8 Sew.
Palice
Fire
Eng.
Planner
Council
BIdg.Off. $/17/84
APC
Var. Date
Permit ? nr
Surchurge 9445
Plan check
SAC
Water Conn,
Water Meter
Rood Unit
Parks
Total
Sipnoture of Pertnittee I
A Building Pertnit Is issued to: 11EVF.T.(1PF.RR C'IINST TNC on the express condition that
oll work sholl be dorce in ac anc wi oll pplicc}ISfe-$t?te of Minnesota $tatutea ond Ciry of Eagon Ordinances.
Buildinp Offlclal o----'?)
CITY OF EAGAN N9 9448
3830'Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT SEE BP Receipt {p 77
Te M utad /er 1 OF 12 UNIT Est. Volue 9445 Date AUGUST 24 _ 19 84
SiteAddress 4165 HILLTOP POINT (UNIT 1046ct D'? Occupancy SEE BP
Lot 4 slock 1 SeclSu6. HILLTOP OF EAGAihemodel ? Zoning 9445-
Parcel No. Repair ? Type of Const,
Enlarge ? No. Stories
? Name DEVELOPERS CONST Move ? Length
Z Address 1101 FF RD Demalish ? Depth
9 City BU VII'' EPhone Grade ? Sq. Ft.
o Name _
v? Address
? City -
Phone
FW I Name
x? Address
0°Z City Phane
Avvrorols Feea
Assessment _
Wuter 8 Sew.
Police _
Firo
Erq.
Planner -
Council _
I hereby acknowledge fhat I hove read this opplication ond state that gldg. Off. $ 17 84
the intormotion is correct and oqree fo comply with oll opplicoble AP?
$tote of Minnewfo Statutes ond City of Eagan Ordinonces.
Var. Date
Sfqnafurc of PertniRee
A 8uilding Permit Is issued to:
nll xrork shall be done in acco
Permit Sr-i
SurcMrge _
Plon check _
SAC _
Water Conn.
Water Meter
Road Unit-
Parks
Total
nl- on fhe express cadiNOn tho+
all applicab St e of MI^^esota $tatutes nnd City of Eagon Ordincnces.
Buildinp Official
CITY OF EAGAN N? 9449
3830 P'I K b
i ot no Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100 i
BUILDING PERMIT SEE BP. Receipf #
T. be wsd Mr 1 OF 12 UNIT Est. Value 9445 pote AUGUST 24 _ 1 y 84
SiteAddress 4165 HILLTOP PT (UNIT 105) Erect CN Occupancy SE_
lot 4 Block 1 ceclSub. HILLTOP OF EAGAN Remodel ? Zoning 9445
Percel No. Repair ? Type of Const.
Enlarge ? No. Stories
? Name DEVELOPERS CONST Move ? Length
; Address 1101 CLIFF RD Demalish ? Depth
b City BURNSVILLEphone 890-6194 Grade ? Sq.Ft.
o I Name SAME
U§ Address
1- r;.,,
Name
Address
CitY Phone
I hereby acknowtedge that I hove read this appiication ond state that
the informotion is wrrect and ogree to comply with oll opplicable
Stote of Minnesota Statutes and City of Eogon Ordirwnces.
SiOnature of Permitteo
A Butiding Permif I: issued to:
ull work sholl be done in accordance with all
Apprevola Fees
Assessment _
Woter 8 $ew.
Police _
Fire
Erp.
Plonner
Councfl
BIdg.Off. $ 17 $4
APC
Var. Date
Permit ?
Surchorge ? I
Plan thetk _
SAC -
Water Conn.
Woter Meter
Road Unit _
Parks
Toul
_ on the express conditlon thot
City of Eogan Ordinances.
Buildinp Officiot
CITY OF EAGAN N? 9450
3830 Filot Knob Road, P.O. 8ox 21-199. Eauan, MN 55121
PHONE: 454-8700
BUILDIN6 PERMIT Receipt # Z) 1?2W
SEE BP
Te M twed for 1 OF 12 PLEX Est. Value 9445 pate AUGUST 24 _ 1 y 84
SiteAddress -4165 HILLTOP PT (UNtT 106) Erect LXJ Occupancy SEE SP 9445
Lot 4 Block 1 Sec/Sue. HILLTOP OF EAGANRemodel ? 2oninq
Parcel No. Repeir ? Type of Const.
Enlarge ? No.Stories
DEVELOPERS CONST Move ? Lenyth
W Name Oemolish ? Depth
? Address
-
890-619
BUR 4 Grede ? Sq. Ft.
City one
o Name _
?? Address
1- City _
Phone
Name _
Address
City Phone
6 here,by ackrwwledge ihat I heve read this applicohon ond smie thot
the informotion is correct and agree to comply with oll oppLcable
$tote of Minnesolo Statutes and City of Eogan Ordinonces.
$ipnoture of Permiftee
A Building Permif is issued to: _
oll work sholl be done in accordance
Buildirq Ofllcial
Apvrorab Faes
Assessment pertnit SEE BP
Woter 8 Sew. SurcMrge 944 S
Police Plon check
Fire SAC
Enp. Woter Conn.
Plonner Worer Meter
CAUncil Rood Unit
$ 177841
BIdg.Off. Parks
APC Total
Var. Date
_ on the express conditlon thot
end City of Ea9an Ordinances.
(,(q7(p 6 fEQUEST FOR FLECTRICfLL IWECT1O1i Ea-00001-0e
, S. ;...?.:? ?. ?l..,.g .h:a .?a m mck o. ,ekb,. GW.. ?(a5?85
17424 "'x" Be/ow Wnrk C;fted'by This Request
KWdAdtll MD-I Type ot BuilAia, I Aooliawces MirW I EquiDmeni Wired I
$ElVICC
• AFBB # F.. FeeEersBubteeder5 I? Fee Ciecuits
Oto20D Anips Oto30 A Oto30Am
Above 200 Am L 31 to 100 Amps 31 to 100 Amp,
$wimmirg Pool Ahove 100_Anyis Above tOQ_A
Transiormers Imgation Boorrs PartiaL'Other Fee ' I - - . I Sigm, iSpecial Inspection JS
TOT/SL FEE /0
Ifliwfirrui ?
qouph-in Datr 1. the Elac rical
Inspaeeou. he,eby
cgst'fy that the above
Finzil ( D,"te /?? ?
(
? i?irsoeclion hes Eaen
mede
? .
TO"s mmmt vai018 noM6 fmm
18 - oxxuawt wid y-( / (O 0 -5/95
B174G4 L 6? A ll ',of rv.crv
Nepuest le5 Re Fire No. Ro A- Ycs ? ? 'ipu?redin Imcection y?
?2?G ?"? No ? ReadY Now pdWoill Noti(v Y
r WAen Reaa
Licensed Electrical Comrac[or f ryaeepy roy.? i.pecbon ot aDove
? Owner electrical rmk imtalled at:
Sveet AtlAr¢ss. 9oa or No_ ,
te
?/65 f?i/?
7`' CiIY
E
'
o
a? r7 a c
i K
Towm-hip N or No. 1lango Na. Counly
1
/
'
l 0 7 Q+
G
occuoan. ?m Nn ri,om No.
???1a
Powcv Su Ii
va t? ?led Adtlmss
?,,n -
Elec iral Contracto. (COnpa.vy Name)
g Convactor's L'cense No.
aNa -7
Mailinp,Addres (CaMraclororOwner?4kinpinsTailatfonl
/a G `? Iv-e s S?aug
Au " ed Siemume ICon c[ar Owner Maki..p Iredllation) Phone N?vMer
?90 ?3555
YINN60TA STp gpqim pf ElEC7RIC17Y THIS INSPECiION BEQ VEST 1AlIlL NOT
Grigps-YiAVaY Bldp. - Ibom N-191 BE ACCEPIED BY TNE S7ATE HOARD
7821 Universiry Ava_, St Peul, YN 557M UNLESS PROPER /NSPECTION FEE IS
Phww f6121 297.2711 ENCLOSEU_
REQUEST FOR ELECTRICAL INSPECTION
' See insiruetions for completirig ihiahiorm on back o/ yellow copy.
A "X" Be/ow Work Coveied by This Request
E8-00001-W
NW4 Addj RBp. TVpB o} 9mldfng ApplienCee WirBA EpuipmBnl Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electnc Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm OMer peci v ther ISUecifyl
t er Veci y t er Other
Compute Inspecuon fee Below eiaf _ e-
q Fee erviceEntreneaSiia p Fea FeeOws/Sub(eeders ku- FFee24 01- Gwuits
0 to200Am s 0 to30Am s Oto30Am
y A?? 2 Am s 37 to 700 qmps 31 to 100 ArvWs
Swinvning Pool Above 100_Am Above 100_Am -
Transformers Irrigation Booms t Partial,'Oth r Fee
SignS Special Inspectwn
emarks ,? i4qt AL FIEE, i
L/
yj
flough-in Da[e ?, the ElectP
??? Insoecior, heroby
certity thet 1ha above
Final ( Dni e
s-?? ?de.ction hes bean
This roGUest role 18 montM Irom
This request void { GQ `
t$ .qnths (rom (? d' d a'
A`` 098153 L
f-? (`3Oy`El?v D-F?...4- Y59.06
flequest Dat ?/
/1
j /D,/
/
j? Fre No. RouBh- inI nspe tion
red?
Req
?Rea y Now W?il Nutify InsDec-
lor When flead
?/ Yes ?No y
jmiGr.nsed Electncal Contractor lr\ I hereby request inspaction of aEOVe
? Owner electrical work imtalled at
Street AOd,.ss, Box or,M5
0 .
5 ? City.
A
+ (0
4 -
?
bon o.
/d/-i Townshio Nam or No.
6, ?6 i ao ? Ranye No. Coon
?
Occu ant IPRI T)
j?t?? sfr? 6,11-- Phm e No.
Power SuPP,?ej Adds?
Elec i Contracmr ICOmVany Namel Contr?cto Lice??o.
?y
MaJinB Address IContracior or wner Mebne Inswilationl
1-"Z 5ol?
Authori SiB?ature ontractor ner Making Installa[ion)
I
P e Number
8` D-3 55
MINNESOTA STATE epRNU OF ELECTRICITY THIS INSPECTION flEUl1E5T WIIL NOT
Griggy-Midwey Bltlg. - Noom N•191 gE ACCEPTED BV THE STATE BOAND
1ffi1 University Ave., St. Paul, MN 551 O9 UNLESS PROPEF INSPECTION FEE IS
PAnnw 16121 287-2111 t ENCLOSEO.
?'/ 3 23
2007 COMMERCIAL MECHANICAL rERMiT nrrLicnTioN
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for. commerciul/industrial buildings
multi-family buildin s when se arate rmits arc not reuired for each dwellin unit
Date / -"" / 7 / 0 -2
Site Street Address Y??, Uni[ #
Tenan[ Name (if appiicable) cD2f&I Previous Tenant Name
Property Owner VUb(.tiY. JU VLLtqrz-t- Telephone #((y S 1) ? ??a ' 8 2? r?
?Uz-4, .U1?
Contractor n-? I '/ 0 1 'L-IA S n?
Street Address (°t oN Ve/l ;a?l 64-7, S f City 6LshLfe/:2
State ?/VA? Zip ??6-33 Telephone # ( (0,g7) 4` 3 r`ti /7 -7
Bond #: l L--Ac 5??4? a' Expires: % G% s- IL :
The Applicant is _ Owner Contractor _ Other
WorkType ? ?yNZy? ("L(i'b'V flV1V Uln.?
New Construction _Interior Improvemen[ _Install Piping _ Processed _Gas Exterior HVAC Unit**
**HVAC units must be screened
UndedAbove ground Tank Install Remove
When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector ,
NamreofWork: 49it- lL (?,07iJ,(Ac-W&L.lC? r?Z? J
PerOlit Fees $70.50 Underground lank installahon/removal
$50.50 Minimum (mcludes SIa[e Surcharge)
or
Contract Value $ x 1%
_ $ Permit Fee
$ State Suroharge
To calculate surcharge
If Permit Fee is Iess than S1,000, surcharge is 50 cents.
Tf Pennit Fee is > SI,ODD, surcharge increases by 5.50
for it Pee (i.e. a$ I,00142,000 Permit
ee requires a$ 1.00 su harge).
? U? S U Total Fee
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ortlmances anq
codes of the Ciry ofEagan and with the Mechanical Codes; that i understand this is not a permit, but onty an application for a permit,
and work is not to start without a permit [hat the work wilf be in accordance with the approved plan in the case
requires a review and approval of plans. rn1? n
ApplicanPs Printed Name ApplicanPs Signature .- -VLUUI ?
------------------- •°- --- -------°°------------------------------- - - -------------------•--------------------? ?---------- ---------------°,
Approved By: ?oez , Inspector Date: n
---?--?-
Required Inspections. _ U.G. _ R.I. _ Air Tes[ _ Gas Service Test _ Infloor Heat 4(Vinal
? c?31
2005 COMMERCIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
44 1 oq 3-?E
• StruGurel Plans (2) sets
• Ciwl PIanS (2)
• Certificate of Survey (1)
. CodeAnalysis (1) "
• Project Specs (1)
• Spec. Insp. & Testing Schedule
• Soils Report (1)
• Meter size must be established
1
1
d
1
L
1
• SAC determination - call 651•602-1 000
Call MN Deot of Health a[
or
. CodaAnalysis (1) °
• Project5pecs (1)
• Key Plan (1)
• Master Exit Plan (1)
• Energy Calculations (1) not always"
. Elec. Power & Lighting Fortn (1) not ahvays*"
• Meter size must be established-d applicable
1
d
1
!
i
• SACdetermination-ca11 6 51-602-1 000
facilities.
*• Contact Building Inspections for sample and if required
'"** Permit for new building or addition will not be processed without Emergency Response Site Plan.
Date Construction Cost D d c? -
Site Address y l6 ? ?-? /
'(/ %o !? f" o .._1 f e UniUSte k/o v
Tenant Naroe 4Lyo. ',,, R L'o op Former Tenant Name
?
Description of Work -,P 4-E_? rN CO w J' 5q
Property Owner 4 n P L .1 C Telephone # ? S! ) Ya G -/-3
Contractor 9!n) Z -? L
Address /'- C? /go, City r 11 [/c
State Zip5`S 33 ? Telephone#(°rr.7)
Arch/Engr Registrafion #
Address City
State Zip Telephone # ( )
Licensed plumber instaliing new sewer/water service: Phone #: L?
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 of plans.
0 c ..r ? G''L ot?« „)
• Architecturel Plans (2) sels
• Structurel Plans (2)
• Civil Plans (2)
. Landscaping Plans (2)
• CodeAnarysis (1) "
• Certificate of Survey (1)
• Spec. Insp. & Testing Schedule (1) "
• Meter size must be established
• ProjectSpecs (1)
• EnergyCalculations (1) °
• Eledric Power & Lighting Form (1)
• Master Exit Plan (1)
• Emetgency Response Sila Plan (1)
. Soils Report (1)
• SAC detertnination - call 651-602-1 000
Applicant's Printed Name Applicant's ??_ Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation
0 14 Apartments
? 15 Lodging
? 25 Miscellaneous
? 26 Public Facility
? 27 CommerciaUlndustrial
? 28 Greenhouse
? 29 Antennae
D 30 Accessory Building
? 32 Ext Alt-Apartments
? 34 Ext Alt-Commercial
? 35 Ext Alt-Public Facility
? 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 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Type of Const Width
Plan Rev 100%_ 25% _ Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories 8ooster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Required Inspections
_ Footings (new bldg) Insulation
_ Footings(deck) FinaUC.O.
_ Footings (addition) Final/No C.O.
_ Foundation Other
Drain Tile
_ Roof Ice Pr _ Decking _ Insul _ Final _ Pool _ Ftgs _ Air/Gas Tests
Final
_ Framing Siding
Smcco _
Stone
_ Fireplace _ R.I. _ Air Test _ Final _
_
_
_ Windows
Approved By:
Base Fee
Surcharge
Plan Review
SAC-MCES
SAGCity
SIW Pertnit
SIW Surcharge
Treatment Plant
Treatment Plant (Irriga6on)
Park Dedication
Trail Dedication
Water Quality
Water Supply & Storage (WAC)
Planning
Building Inspector
Financial Guarantee
Storm Sewer Trunk
Sewer Lateral
Street
Water Lateral
Other
Total
Sewer Trunk
Water Trunk
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pemtits are required for each unit
3()
V3
`
1
Date
/
TOLLEFSON,JAN
Site Address 4165 HILLTOP POINT #105 Unit #
EAGAN, MN 55123
(651) 406-8311
Property Owner _ Telephone # ( )
Contractor NORBLOM RI.UMBINO CO,p
(812)827-4033
Address City
•
State
ip Telephone p ( )
The Applicant is _ Owner Y- Contractor _ Other
Septic System New Refurbished Submil 2 sets of plans and MPC license $ 100.00
Includes County fee. Addltional consultant fees may apply.
Alterations To Existing Dwelling Uni[, Including $ 50.00
_ Adding fi?ures to lower levels or room additions, excluding water softener and water heater
_ Ahandonment of septic system
_ Water turnaround (+ 5!8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener Water heater $ 15.00
X replacement _ additional
State Surcharge WA $ .50
'? ? ?l1P? `? ? IS. 50
Total
I hereby apply for a Residenrial Plumbing Pernut and acknowledge that the information is complete.aTI(foaccurate; tnat me worK wlu
be in conformauce with the ordinances and codes of the City of Eagan and with th°e,??Iumbing Codes; that I understand this is not a
pemvt, but only an application for a permit, and work is not to start without a peimit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
Je-X No1-6avv\
Applicant's Printed Name Ap t's Signature
, COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
?Z L a.?I 651-681-4675
? -1
5ap.8?
Foundation Onl New Construction Interior Im rovement
• StrucWral Plans (2) sets • Architectural Plans (2) sets • Archilectural Plans (2) sets
• Civil Plans (2) • Structural Plans (2) • Code Malysis (1) "
• CertificateofSurvey (1) • CivilPlans (2) • ProjectSpecs (1)
• CodeMalysis (1)" • LandscapingPlans (2) • KeyPlan (t)
. ProjeGSpecs (1) . CodeMalysis (1) " • Master Exit Plan (1)
• Spec. Insp. 8 Testing Schedule " • CeniFlcate of Survey (1) • Energy Calculations (t) not always"
• SoilsReport (t) • Spec.Insp.BTesting5chedule (1)" • EIec.POwer&LightingForm (1)notalways"
• Meter size must be established . Meter size must be established • Meter size must be established - if applipble
• ProjectSpecs (t)
1 • EnergyCalculations (1) " 1
1 • Electric Power & Lighting Form (1) ° 1
1 • Master Exit Plan (1) !
1 • Emergeney Response Site Plan (1) 1
1 • Soils Report (1) l
• MGES SAC detarminaUOn letter • MGES SAC determmation letter • MGES SAC determination letter
call 651-602-1000 call 651-602-7000 cail 651-602-1000
Food & beverage or lodging facilities - submit plan to MN Departmen[ of Health. Call 651-215-0700 for details.
" Contact Building Inspections for sample.
Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
DATE: W ORK TYPE: _ NEW _ REMODEL C NSTRUCT,tQN COST: ?
SITEADDRESS: 4I&6 N?\ 14 a POSv? ji't 1-?l,
TENANTNAME: IMQ:v-C- (f)llU-;- SUITE#:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK I'C.FyU'0 ?'KX(904'
Name: ('f)V lr? Phone#:L?
PROPERTY Last ? First
OWMER
City:
Stare:
Zip:
Company: R\.\5?k(i1r C?,OflS 1Phone#: (7763j.?i
CONTRACTOR (? ? v 1? I 1? ? 1? ?
StreetAddress: b 144Q, NU'
Ciry: Is '?. State: 4/yl/\ Zip:
ARCHITECT!
ENGINEER Company:
Phone #:
Name:
Street Address:
City:
Registration
State:
Licen5ed plum6er installing new sewer/water service: Phone #:
AUG 0 6 2002
I hereby acknowledge that I have read this application, state that the information is correct, and agre to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Updated 7102
OFFICE USE ONLY
,-
SUBTYPE
1 01 Foundation ? 26 Public Faciliry = 30 Accessory Bldg.
i 14 Apartments ? 27 CommerciaUindustrial C 32 Ext Alt - Apts.
. 15 Lodging . ? 28 Greenhouse ? 34 Ext Alt - Comm.
1 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
1 31 New 0 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors '
..7 32 Addirion 0 36 Move Bldg ? 43 Reroof ? 47 Repair
7 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
- 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning sq. ft,
SAC Code # of Stories sq. ft.
Vo. of Units Length sq. ft.
Vo. of Bldgs. Width sq. ft.
Const. (Acrual) Basement sq. ft. MC/ES System
(Allowable) First Floor sq. ft. Ciry Water
UBC Occupancy sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Building
? Insularion
Engineering
4 Plumbing ? Stucco/Stone
Variance
?ermit Fee
Surcharge
Plan Review
MC/ES SAC
:.ity SAC
Water Supply & Storage
S/VN Pertnit
S/W Surcharge
Treatrnent Plant
°ark Dedication
Trails Dedication
Water Quality
Other
Copies
VALUATION $
% SAC
SAC Units
Meter Size
Total
33050 HILLTOP OF EAGAN
HILLTOP POINT
4165 ? 10 33050 041 01 (12-unit condo)
4183/ 10 33050 10101
4185/ 10201
4187/ 10301
4189/ 10401
4191/ 10501
4193/ 10601
4195/ 10701
4197 10801
Units
10-33050-101-04
10-33050-102-04
I0-33050-103-04
1033050-104-04
10-33050-105-04
10-33050-106-04
10-33050-201-04
10-33050-202-04
1033050-203-04
10-33050-204-04
10-33050-205-04
1033050-206-04
(8-unit condo)
29
411?dtV oF eegan
PATRICIA E. AWADA
Mayor
I'AUL BAKKEN
PEGGY CARLSON
CYNDEE FIELDS
MEG T[LLEY
Council Members
THOMAS HEDCES
Ciry Adrttinistiaror
Municipal Cen[er.
3830 Piloc Knob Road
Eagan, MN 55122-1897
Phone: 651.681.4600
Fas:G5L6814G12
"I"DD: 65I.454.8535
Maintcnance Pacility:
3501 Coachman Poinc
Eagan, MN 55122
Phone: 651.681.4300
Faz: 651.681.4360
'CDD: 651.454.8535
www.cityofeegan.cam
THE LONE OAK"CREE
The.rymbol ofstrenbrth
and growch in uur
wmmuntry
September 10, 2002
MR JOHN JOHNSON
ALPNE COURT COOP ASSOCIATION INC
4165 HILLTOP POINT #100
EAGAN MN 55123
RE: UNSAFE DECKS
4170 HILLTOP LANE
4165 HILLTOP POINT
Dear Mr. Johnson:
During a recent unrelated inspection, the City became aware of several decks at the
aforementioned buildings that are in serious disrepair.
In the interest of safety, we are requesting that you advise your residents ta refrain
from using these decks until they are repaired, replaced, or cer[itied to be safe by an
approved independent agency.
Please call me at 681-4680 within 10 business days to discuss your plans to repair/replace
these decks so they are no longer dangerous to use. Your anticipated cooperation is
greatly appreciated.
Sincerely,
Jeff Wheeler
Building Inspector
JW/js
cc Dale Schoeppner, Chief Building Official
RESIDENT RESIDENT
4165 H[LLTOP POINT UNIT #i101 4165 AILLTOP POINT
EAGAN MN 55123 EAGAN MN 55123
RESIDENT RESIDENT
4165 HILLTOP POINT UNIT #104 4165 HILLTOP POINT
EAGAN MN 55123 EAGAN MN 55123
RESIDENT RESIDENT
4165 HILLTOP POINT LINIT #201 4165 HILLTOP PO1NT
EAGAN MN 55123 EAGAN MN 55123
RESIDENT RESIDENT
4165 HILLTOP PO1NT UNIT #204 4165 HILLTOP POINT
EAGAN MN 55123 EAGAN MN 55123
RESIDENT
4170 HILLTOP LANE #102
EAGAN MN 55123
RESIDENT
4170 HILLTOP LANE #202
EAGAN MN 55123
RESIDENT
4170 HILLTOP LANE #301
EAGAN MN 55123
RESIDENT
4170 HILLTOP LANE #304
EAGAN MN 55123
RESIDENT
4170 HILLTOP LANE #403
EAGAN MN 55123
RESIDENT
LJNIT #102 4165 HII,LTOP POINT UNIT #103
EAGAN MN 55123
RESIDENT
IINIT #105 4165 HILLTOP POINT LJNIT #106
EAGAN MN 55123
RESIDENT
UNIT #202 4165 HILLTOP POINT UNIT #203
EAGAN MN 55123
RESIDENT
UNIT #205 4165 HILLTOP POINT UNIT #206
EAGAN MN 55123
RESIDENT
4170 HILLTOP LANE #103
EAGAN MN 55123
RESIDENT
4170 HILLTOP LANE #203
EAGAN MN 55123
RESIDENT
4170 HILLTOP LANE N302
EAGAN MN 55123
RESIDENT
4170 HILLTOP LANE #401
EAGAN MN 55123
RESIDENT
4170 HILLTOP LANE #404
EAGAN MN 55123
RESIDENT
4170 HILLTOP LANE #201
EAGAN MN 55123
RESIDENT
4170 HILLTOP LANE #204
EAGAN MN 55123
RESIDENT
4170 HILLTOP LANE #303
EAGAN MN 55123
RESIDENT
4170 HILLTOP LANE #402
EAGAN MN 55123
i .
2/84
?
CITY Or EAGAN
APPLICATION FOR PERMZT
SEWER AND/OR WATER CONNECTIODI
(PLEASE PRINT)
1) PROPEFrI'Y ADDRESS: s,l 9?p vc' Qy?"
T.Frsr• D°.SC.4IPTIC:I:
(Lot/Block/Subciivision or Tax Parc I.D. Niuiitier)
I I'r' E,'{IS':'=v 5'?TL'CI',;;2E, DATE OP ORiGiIAL ruILDL:G PFF_-:1: ISS'?;??:C.:
PRESL:^ z. 'IPX:/P??OPOSc'?. L'S: ? R-1 S'i,1',GL ;£PMSLY .
? R-2 DUP7?:..'Y (Tto iJMIT5)
? R-3 TCt9DII-?Ci?-1zE (Tf?p= + L':]ITS) ( UNITS)
lg R-4 APA.R'!-"=/CC?MU'?IPIIUM ( ??7NITJ)
p CGLtiME.C1AI,/F2ETIIIL,/OFF1CZ _
? I?iUL'STZIAL
? I`ISTITLTIC:IAL/GG=IMCE:\'T
2) AppISCAW. (PLEASE PRiNT)
NAh1E 4 2.,.s (:? a
ADnRESS: _ Z `e
CTPY, STAT';', ZIP:
PxoiNE: 89a-e??9sz
3) PLUmffiER - PLEASE PRINT) FOA CITY I15E OHLY
NAPIEl?-i° ?
ADDRESS: ? PlU ERS LICEYSE:
?
Active
CITY, STATE, ZIP_ Expired
PHOiNE: ?aicn
PLIIMBEN LILENSE # Q Not a e ord
a nicia
4) OC[.'CPp,iyT/Q,QiIER (PLEASE PRINT)
NR1ME:
ADDRESS:
CI'I"l, STATE, ZIP:
PfiONE:
5) INpIG*,TE WtlICH PF1Zh1IT IS BEING RD'JUESTM;
? CO?AIECPION 2CJ CITY 5E^7ER
? CONNDCrION TO CITY ti9ATER
? 0-1EEt (PLEASE DE„CRIBE)
b) 1P:DiG?= C.`lE:
7) SICZa'ItiRE:
DAT'E: 4 ?
? PLEaSE f?OID APPROVED Pg?,+1IT FOR PICf:-UP BY ONE OF ABOVE
? PLERSE ;*AIL APPRWEp PFRMIT ZYJ 1. 2. 3, 4 ABOVE
(Circle one)
?WA+L+q?rl M?M? ? r+r?ca?s:a?a a? ? ??ss:a:r a?e ?a??!syr? a f.omiW?scssr s
FOR C I T Y IISE ONi,Y ,? ' ••
PERMIT '-` ISSUED
F°ES : $ /O. S D
$
$
ore??4_ ?-d
S
S
S
S
$ -?Zd_ ej
$ jy.--
S
S
S
$
$ .
$
$
$ a7? ?
SE%1'ER PERt1rT (I`ICLGD: SU°C?i?RGE)
WATER PEIU4IT (INCL'JDE SIIRCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUD£ CORPORATION STOP)
SE:dER TA?
:
ACCOUNT DvPOSIT - PIAT°R
WAC
SP.C
TRUNK L4ATER ASSESSPQE:7T
TRliNK SETJER ASSESS1fEP7T
LATERAL BENEFIT/TRUDIK SE;4ER
LATERAL BENEFIT/TRCINK WAT°R
WATER TREATMENT PLANT SURQ3ARGE
OTHER:
TOTAL
AMOL':vT PAID/RECEIPT # ?-o -Il6 9
DOES UTZLITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGiiT OF WAY?
? YES IF YES, THEN A"PERMIT FOR 'rIORK WITHIN
? PUBLIC ROADWAY" MUST BE ISSi1ED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLO[4ING CONDITIONS:
APPROVED
TI:LE:?J,?
DATE : '59 -a ? - Q' 6-
+ i.A MfE f4 w!d !" !M E owon !:= R M!! W:m a4" a1.m 8F40 1! wton W1N mw/ oF w l! wio Ri /kno !l i" / m
I ? a24 - '*c15 s0
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Piease complete for modifications to existing residential dwellings.
Date12- / 1-7 1 057-
Site Street Address la? 1
P
Unit #
Property Owner `I nr/yl ?'Td 1/17_?d`1 Telephone #( )
H.P. PIPEWORKS
Contractor 3670 DODD ROAD Telephone #{ )
Address (('y1)' S 13e0 City State Zip
The Applicant is: _ Owner *Contractor _Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes putting in a water softener andlor water
heater at the same time. If You are installina onlv a water sofrener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
Water Turnaround (add $125.00 if a 5l8" meter is required)
Other:
Water Softener '?/Water Heater $ 15.00
_ new '?ereplacement
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 approved. / I j,
ApplicanYOrinted Name A15KVft Si?nAture
4 1 s•g 1.6
-7 2g2G
zoos RESIDENTIAL PLUMBING PeRnniT aPPUCa,rioN
C1TY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
P12ase ccmplete for modifications to existing residential dwellings.
"A-is- s0
?!0
i Date
?r
?
I?1hp P4- Unit# 10?
Site Street Address l?7
-??
-
j? Property Owner v bhh U??V150 ?'1 Telephone# (4?61 )L40-S 3
,' Contractor Telephone# (?5 I) 7JC?S- ?3?( ? i
? A d d res s 5b9? boG+d C i t y F-Ag ow-1 State rH ? Zi p S 03
iir--- --
The Applicant is _ Owner ? Contractor _Other = _ I
Refurbished Su6mit 2 sets of plans and MPC license
New
Septic System Includes County fee ?
_
_
I? $ 100.00
Per as-built
- -
- $ 10 00 !
I = - ---
=
i? Alterations co existing dwelling $ 50.00 I,
Add olumbing fixtures. This fee includes installation of a water softener and/or water
neater at the same time. If you are installing onI a water softener and/or wafer
heater, do not complete this section, move to the next section and check the
appliance(s) you are installing.
?
Sepuc System Abandonment
I
?i _Water Turnaround (add $130 00 if a 5/8" meter is required)
I
Ocher I
_ ?
- -
E- -
il
?WaterHeater
?I WaterSoftener $ 15.00
?
n2w replacement
I
?
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 II
;? -
- - - - -'?
I-
State Suroharge
l
, $ 50 '
- -
I
r? -- - - )
?•
I 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 avill be m
acccrdance with che approved plan in the event a plan is required to z v? a?d ap? .
VrIaI eh U
;,pplicanc's Printed Name ApplicanPs Signature
rssa
?
s sv
'llo'City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651)675-5675
Fax: (651) 675-5694
-?
/-k
---------------,
i F6i.Qili?OaUs I
? I
? Permit #: 7 I
? Permit Fee• I
i ?
? Date Received: ?
I ?
? Staff:
-----------------J
2008 MECHANICAL PERMIT APPLICATION
Date: Site Address: f LhrN7`
Tenant:
Suite #:
RESIDENT/OWNER Name:1??XlYC?T,1M/ist's?'?9<LI&VT Phone:ls;2'Ay7'Z1?od
Address/City/Zip: A?2,6 ox Ae/o ?? 5-?5--?37Z
CONTRACTOR
.U ' 2 `/?sFT N?i _£' /2 License #. {?L-T S SSLi6Z
Name: C.' ?}
? /?
p
?
E
'
I
/L!/L4QOV .?T
Address:
/Dy v
?
City: </-:?>T?i??s State:l?oU zip:S???33
Phone. 65'_1_";LW77 Contact Person:
TYPE OF WORK - New _)(Replacement _ Additional _ Alteration _ Demolition
99,
Description of work: ?P l C,? rrlF? an?/ ?G iiN
NOTE,--Bothropf mounted and ground mounted mechanical:eqWpment !s requtred:to ,
be soreened by City Gode. Please contact the Mechanica!'fnspector or one of the
Planners for iniormafiomom ermitted screenTn methods.
RESIDENTIAL COMMERClAL
PERMITTYPE Inte(or ImprovemeM
New Construction
Fumace _
_
Air Conditioner - Install Piping _ Processed
Air Exchanger _ Gas _ EMerior HVAC Unit
'
_ HVAC unRS musl be screened
_ Heat Pump Under / Above ground Tank Install / Remove)
Other " When Installing/removing lank(s), call for inspection by Fire
Marshal and Plumbin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 FifO r6palf (replace bumed out appliances, duchvork, etc.) (includes $.50 State Surcharge)
$ TOTALFEE
COMMERCIAL FEES:
A7G.5044PdGKjxQjund tank installation/removal OR Contrect Value $ "/$cU x i%
$50.50 Minimum ' cludes State Surcharge)
_ $ a? Permit Fee
& is less ihan $1,000, surcharge is $.50.
- If Permlt Fp
SO
State SurCharge
- If Permit Fgl is >$1,000, surcharge increases by $.50 for each =$ . i
$7,000 Permit Fee (i.e. a$7,007-$2,000 Permit Fee requires a$7.00 surcharge). `
$ JD,S0TOTALFEE
I hereby acknowletlge [hat this information is complete antl accurate; [hat ihe work wlll be m contormance wnn tne oroinances ana cooes oi me ury oi tagan; mac
I understantl ihis is not a permit, but only an apphcation for a permrt, and work is nat ro stan without a permip Ihat the work will be m accoMance with the approved
plan in the case ot work which requires a review and approval of plans.
x ? • A &'Z-f'
Applicant's Printed Name ApplicanYs Signature
FOR OFFICE U$E Reqiewed-By: Date: -C3
Reguired°Inspections: •_Under Ground Rough In _Air Test Gas Service Test In-floor Heat \6"?F'Inal
443 Lafayette Road N.
St. Paul, Minnesota 55155
www.doll.state.mn.us
February 26, 2009
? MINNESOTA DEPARTMENT OF
LABOR & INDUSTRY
?
(651) 284-5005
1-800-OIAL-DLI
TTY: (651) 297-4198
APPROVED FOR USE
Alpine Court Cooperative
4765 Hiiltop Point ___.- --
Eagan MN-55129
pt: Hydraulic Passenger - Elevator
Site: Alpine Court Cooperative Car 1
4165 Hilltop Point /
Eagan 55123
16450AL08-01
Minnesota Statutes Chapter 16B 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. M Inspector from the Elevator Safety Section 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 W ith Disabilities Act of
1990.
SHORT $50.03 - CALLED JEREMY MUSIL ON 8I15108. SENT CHECK FOR $50.03. THIS
AOC{7A\/AI ADDI IFC Tf1 f1A(10 GFCTRIl:TfIDC AIIA PNf1A1F II9=TFl:Tf1O Gllf]FC R IfFVFII CTAP
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 A17.3. 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:/lwww.doli.state.mn.us/bc_elevators.html
Sincerely,
CONSTRUCTI S & LICENSING
Tim D. Warren
State Elevator Inspector
tdw/rsg (CE-2)
c Schoeppner, Dale R., BO, City of Eagan
Kone,lnc.
ElFormCE2
This information can be provided to you in altemabve formats (Braille, large print or audio).
An Equal Opportunity Employer
COMMERCIAL BUILDING
? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Foundation Onl New Buildin Interior Im rovement
• Slructural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) • Struc[ural Plans (2) • Code Analysis (1)
• Certificate of Survey (1) • Civil Plans (2) • Project Specs (1)
• Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1)
• ProjedSpacs (1) • CodeAnalysis (1) " • Master Exit Plan (1)
• Spea Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculalions (1) not always"'
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always"
• Meter size must be established • Meter size musl be established • Meter size must 6e established-if applicable
1 • ProjectSpecs (1) ,
y • Energy Calculations (1) " y
l • Electric Power 8 Lighting Form (1) " l .
y . Master Exit Plan (1) 1
1 • Emergency Responsa Site Plan (1) 1
! • Soils Report (1) L
• SAC detertnination - call 651-602-1000 • SAC detertnination - call 651-602-1000 SAC detertninalion - call 651-602-1000
Call MN Dept of Health at 651-215-0700 tor de[afls regardmg tood & beverage or ioagmg facwnes.
Contact Building Inspections for sample and if required when it sta[es "not always". Pertnit for new building or addition will not be processed without Emergency Response Site Plan.
?j
Date / 2?{ / 2Co3
, Q?o 11-o
ConstructionCast * l n
l
1
Site Address `IIGC HIur( r1r iol 1G214 !Li_ QT, 207, 2G2?2?i ZG4f 2?'S 2c6 UniUSte #
Tenant Name Former Tenant Name
Descrip[ion of Work !V, E PLA CE 1J DjC*'S
Property Owner 6 AfF?ti Cc.* PRrJY-- 309 M<pcNaW Telephone#(`t51 )g22-557S
Contractor kk5`f LE E K ib2IctT
Address L46 s WEST 6Glu S'T City M rNNEAPuK
State y4? I NNiS&?A Zip 55N1,9 Telephonek (V 1 ) 322 -4y(,9 6?1103
Arch/En?
? ??" I
? Registration #
Cit
-
I
Adil y
St?[ SCp 2 Zip Telephane #( )
? ?.
Licensed plumberinstaHingqewsewer/water service: Phone #:
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 of plans.
M i CHAEL RVCAt
Applicant's Printed Name
??!??%G??G //!' ?
ApplicanYs Signature
OFFICE USE ONLY
Sub Types
..,
? 01 Foundation ? 26 Public FaciliTy ? 30 Accessory Bldg.
?J 14 Apartments ? 27 Commercial/Industrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse X 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae C 35 Ext Alt - PF
? ? 37 Nail Salon
m
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement 'Demolidon (Entire Bldg only) • Gfve PCA handout to applicant
Valuation 34,660f* Occupancy R' 1 MC1ES System ?-
Census Code 43'7 Zoning Q' q> City Water
SAC Units r ? 1 Stories 3 Booster Pump
Nbr. of Units Sq. Ft. PRV `?-
Nbr. of Bldgs ? Length Fire Sprinklered ^^'-
Type of Const V• Width
REQUIRED INSPECTIONS
Footings(new bldg) FinaVC.O.
? Footings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
/ Roof Ice & Water Fi nal 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
Water Supply & Storage
SM! Permit
SM/ Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Copies
Other
Total
HILLTOP OF EAGAN 33050 APPROVED 11/82
• PERMIT
DATE &
TYPE LOT BL ADDRESS
(TOR INDIVIDUAL 1'.I.D. #'S, SEE "MULTIPLE P.I.D.'S" FOLDER)
6i84 031 01 4170 HII.LTOP LN (14-PCEx)
aisa 041 Ol 4165 HILLTOP LN (1z-rr.ex)
051 Ol 4150-4164 HILLTOP LN (vo Btoc)
071 01 4151-4157HILLTOPPT (STATE OF MN -TAX FORFEITURE)
sisz 101 Ol 4183/ HIL,LTOP PT (s-rLex)
102 01 4185/
103 Ol 4187/
104 01 4189/
105 01 4191/
106 01 4193/
107 01 4195/
108 01 4197
6i82 201 Ol 4186/ HILLTOP LN (a-PLeX)
202 01 4188/
203 01 4190/-
204 01 4192/
205 01 4194/
206 01 4196/
207 01 41981
208 01 4200
38
*City olEapu
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Us
Permit #:
Permit Fee:
Date Received:
Staff:
2013 MECHANICAL PERMIT APPLICATION
Q Please submit two (2) sets of plans with !x/'all
l commercial applications.
Date: //43 Site Address: //6 3 ' ,-�' 2 , E . ` &
Tenant: C3 fa/14d , z 4$4
Name: /I M
Address / City / Zip:
Suite #: /o y
Phone: 63/'6 3„ c�.SS
Y
Name: 4f' / 2?a 5�
Address: fi? cn 5:5-e
n /
A�C�'lavt 5 City/ .S�
State: jr� �S3
Zip: 'o / 5 Phone: (OS/ . / y�J S--a5a
License #:
Email:
New
„-eplacement Additional Alteration Demolition R�
Description of work: 1 i',r1ckfe- f ,*2
J
RESIDENTIAL
!1Fumace
XRTr Conditioner
Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction _ Interior Improvement
_ Install Piping _ Processed
Gas Exterior HVAC Unit
Under / Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ 67' NOTAL FEE
COMMERCIAL FEES:
$70.00 Underground tank installation/removal
$65.00 Minimum
*If the project valuation is over $1 million, please call for Surcharge
Contract Value $ x 1%
_ $ Permit Fee
= $ 5.00 Surcharge”
= $ TOTAL FEE
CALL BEFORE YOU DIG. Cali Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before
you intend to dig to receive locates of underground utilities. www.aooherstateonecaliorq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
icant's Signature
Use BLUE or BLACK Ink
Affillillh- I For Office Use I
City of Ea afl PermitI
I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 j Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: /T/~% /mot r'~1 Phone: [6'lZ,
Resident/
Owner Address /City /Zip:
Applicant is: Owner Contractor
Type of Work Description of wor
Construction Cost: -7-7 Multi-Family Building: (Yes No )
Company: 45" Contact: - elf S~- ~ -olz
Contractor Address:576:~ l'Iyedl. pig Z35 City: ~~(PIAP
State:
Zip: Phone:
License 13Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
vd
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gol)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code m be completed within 180
days of permit issuance.
x I1
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA109488
Date Issued:03/14/2013
Permit Category:ePermit
Site Address: 4165 Hilltop Pt 106
Lot:106 Block: 04 Addition: Hilltop Of Eagan
PID:10-33050-04-106
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Brian Kuhn
15731 Hallmark Path
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Alpine Court Coop Assoc Inc
4165 Hilltop Pt #100
Eagan MN 55123
(651) 406-8311
Air Rite Heating & AC Inc
15731 Hallmark Path
Apple Valley MN 55124
(952) 250-5913
Applicant/Permitee: Signature Issued By: Signature
C!ty of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
P
I6/1s
RECEIVED
JAN 21 2014
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: /5-°C)
Date Received: 1 24
i y
Staff:
2014 COMMERCIAL FIRE ALARM PERMIT APPLICATION*
Date: 0,90114 Site Address: 416.0 14;11 filo Cwrk
Tenant:
1p: -
Suite #:
J
Name: CO/1111w." PrlptiAt fl- ,wt— Phone:
Address / City / Zip:
Applicant is:
Owner Contractor
Description of work: iCerNo.4.. 4rJ rei0)6,44- f=;re. (J-ic -n 5$6.4e r. i
Construction Cost: 7 0
Estimated Completion Date:
Name: Z (ec.1-c�.c. F;ft + 5QL.vr141) I\
Address: q9.›.% d ock.
License #:
City: -714
State: MN Zip: M-7-7 Phone: GSI ' N Sa -03Sa
Contact: Email: (3 r; e - G F -.SON) .C-orr•
New
Addition
Alterations
2...Remodel
Other:
DESCRIPTION OF WORK:
FEES
Commercial _ Residential _ Educational
$55.00 Permit Fee Minimum
*If contract value is LESS than $10,010, Surcharge = $5.00
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge
Contract Value $
700o." x.01
= $ -70. 4° Permit Fee
w
_ $ S, Surcharge*
= $ %S. 00 TOTAL FEE
*Requirements: 2 complete sets of drawings and specifications, cut sheets on materials and components to be used
I hereby apply for a Fire Alarm 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 Minnesota Building/Fire 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.
w,
Applicant's Printed -Name
Applicant's Si at