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4025 Hosford Hills Rd CASH RECEIPT CITY OF EAGAN 8830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 Re Eo AMOUNT $ ?7 ? CASH CHECK ?i IG hoct1_.? _F f +? BY & DOLLARS loo White--Payers Copy 11T? r Yell-w Oeling Copy Pink-File Copy Thank You } CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEIVED FROM 19 AMOUNT & DOLLARS 100 ? CASH ? CHECK NUMERICAL FILE COPY BY i CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 85122 N2 455C PHONE: 484-8100 BUILDING PERMIT Receipt # Site Addr Lot Block Parcel # Name c xvru z `. ` =h th Ave. So. 3 Address O p Name A t ?: nn fs jnrs Zou Address „ ; ,,• r ' : d . "°` t!- 3400 Name _ Address hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: all work shall be done in accordance with all Building Official Erect ? Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Approvals Fees Assessment - Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit _ Surcharge Plan check SAC Water Conn. Water Meter Total ' z _ on the express condition that State of Minnesota Statutes and City of Eagan Ordinances. Pernik # Deft Issaei PesesNfte Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings /r1-A6- ,> Date Insp. Date Insp. Foundation _ Plumbing Y J-1 Frame/ins. 3 "!s -?f ri Mechanical Final j Z f, Q ,f& j •,t7• 0 i _ ? De?rrosod Remarks: yr -9 fl- .ZDO V r. 7/e CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT Date: anuary 31, 1978 Site Address: ' "270 Deerwood Drive Receipt No.: Single Residential No. Lot Block Sub/Sec. 2 ` _ Multi Res., Comm./Ind. Name T• 'i?;?F?, i New/Alter./Repair. Address Cost of Installation City Phone: Permit Fee x ca;=_.. ,ovator.?3 f-lc Name - Surcharge Address °iS520 Yakima kve. 0 V , City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of M'nne Statutes and City of Eagan Ordinances. Building Official CITY OF EA"N ?... 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 PLUMING n q 1 - PERMIT No. Date: "nuary 26, 197£3 Site Address: 1270 Deerwood Drive Lot Block Sub/Sec.-20 10-0227!kn15-54 Name >sferd Address City Phone: Name Si rma Plund-dng Cn. g Address :.(?O1 Pockstone Lane e 0 City -?-; Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. Receipt No.: Single Residential Multi Res., Comm./Ind. New/Alter./Repair new Cost of Installation 0.001 Permit Fee Surcharge Total done in accordance with all applicable State of Building Official PLUHfH14G PERMIT PERMIT # RECEIPT # CITY OF EAGAN , 38? PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE. 454-8100 Site Address t% = 2' , _ Lot Blo k $e / ? {I I Name ?? „ m ? ? I dress . . c ty Ph ne I N m - 'z 3 A ress O City = C,: one FEES COMM/IND FEE 1% F CONTRACT FEE APT. BLDGS - C M ATE APPLIES TOWNHOUSE & CO O - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN / - BLDG. TYPE WORK DESCRIPTION Res. ? New Mult. Add-on Comm. Repair Other RES. PLOq. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water C et - $3.00 $ Bath Tubs - 3.00 Lavatory - $3.b0 Shower - $3.00 Kitchen Sink - $3.0 , -Urinal /Bidet - 53.00 Laundry Tray - $3.00,- Floor Drains - $1,54 Water Heater A1.50 Ga§-Ring Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 1 , i ` ? FEE: W - A', STATE S/C: S? GRAND TOTAL ides i2ital ity Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. PERMIT # PLUMBING PERMIT RECEIPT # 'f IT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: r? CONTRACT PRICE:' ?),,i,, .. PHONE: 454-8100 Site Addpss y Lot -? Block Sec/Su / • 5 r / Name m Address c City Phone Name C Address p City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20-00 STATE SURCHARGE PER PERMIT - .50 (ADD $-50 SIC IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN //"//V/ X4 BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00, Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1. (MINIMUM - 1 PER P Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: S STATE S/C: -0 ,, GRAND TOTAL: F ,EAGAN Permit No: Date: 10-27- $R lot Knob Road gip No: Date: x 21,199 MN 55121 Address: -4 h1WCC: Pd. Pr.v: a??a_y Zoning, • City Chg: No. of Units: Acct. Dep: • COod 1 ? • OC I agree to comply with the City of Permit Fee: Ordinances. Surcharge: By SEWER SERVICE PERMIT CITY OF E,AGAN Permit No: 10040 Date: 10-27--3' 3830 Pilot Knob Road Meter No:' 4 Size: P.O. Box 21199 Reader No. Date: Eagan, MN 55121 Conn. Chg: 550 OLlgd Acct Dep: 15 , Qppd Permit Fee: Surcharge: qQPA Tr. Plant2Q4 00*d Meter. Zoning: - No. of Units: 1 agree to comply with the City of Ordinances. CITY OF-EAGAN Permit No: 10040 Date: i r: _ - . C' <• 3830 Pilot Knob Road Meter N Ejl/.3 a 9 rl Size: fs'oc P.G. Box 21199 gr No: Date. Eagan, MN 55121 #? Owner. n%r' rerr 130 sfer(: Site Address: 4()25 Aosford 14-1114 rrt TA R1 Trnef^rA A!A- Conn. Chg: 9q11 nnpd Zoning: IR 1 Acct Dep: No. of Units: 1 Permit Fee: In rlp;)j Surcharge: snT„? I agree to comply with the City of Eagan Tr. Plant ??i _npr1; Ord' ea. Meter. Misc.: WATER SERVICE PERMIT SEPTIC CITY OF EAGAN 37" Pilot Kneb Ree l Eagan, Minnesota 55142 Phone: 454-8100 PERMIT MT ? ? L 4. No, 307 Date: Receipt No.: Single Site Address: Residential ?! Lot Block Sub/Sec. 10-02200-015- IMulti Res., Comm./Ind. Name ohn Hos Lord Now/Alter./Repair. . 3 Address - - 4 6 t; i Ave. So. Cost of Installation a City S • Phone: Permit Fee Nome T?ggan ,Xca. for j. Hos ford Surcharge . Address 393 Dodd . e City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota St utes and City of Eagan Ordinances. Building Official f CITY OF EAGAN Lot 015 BIk54 Parcel 10 02217110 015 54 State Eagan, P.N. 55123 Improvement Date Amount L) Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 1520-00 76. QQ 7.0 9 12-8-78 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. Remarks SAC BLDG. PERMIT NO `.-3210 Bldg. Permit X 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL o? A f.? ? 4 CJ 3O ? O 00 d ? 1Z ) nr CITY OF EAGAN 3795 Pifat Knob Road Eagan, MN 55122 NO PHONE. 454-8100 BUILDING PERMIT APPLICATION $52,000. Receipt # 7920 .. .r_ _ _ _ . _ October 28. Site Address Lot Block Sec/Sub. _Sto 2,9 ._ Parcel # 10 02200 015 54 z Name wuLL nuaiuru z 3655 -46th Ave. So. g Addre p Name Pl_.y,>•-,,. nA Alin av Address 5401 E. River Rd. r;ti, Mp1S p,,..,e 560-3400 Name _ Address 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 Statut K'?0ify of F„pggfn Ordinances. / ) Signature of Permittee A Building Permit is issu o: `1 all work shall be done i coo Eonc Building Official 4550 77 Erect 01 Occupancy Alter ? Zoning Agri Repair ? Fire Zone 3 _ Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Approvals Fees Assessment Water & Sew. Police Permit Surcharge Plan check 143.50 26.00 Fire SAC 475.00 Eng. Planner Council Water Conn. Water Meter Bldg Off. . APC Total 644.50 Loru \ an the express condition that State of Minnesota Statutes and City of Eagan Ordinances. request void 18 months from L 3, rJ i, e L Date of this Request 1- P 64507 l, as K Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wrong installed at: Street Address or Route N . Section Townshi# nn^n n Range County Which is occupied by Is a roughin inspection required on this job? No ? Yeses Ready Now 0 Will Call O Power Supplier re Address ??? y? a.e1 y79 Electrical Contractor Contractor's License No. Mailing Address Authorized (jLiee?fticai contractor NAM rte{.' !/oo or 0. 0(fJ I,??/L11RD Ol`Li Ir Owner Making This Installation) Phone No. 277-81A6 king This Installation) This inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. mmnesotI state tsoaro Or riectncity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 i REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST G°' jOCaS( P 64507 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? Range Temporary Wiring ? Duplex ? ? Water Heater Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace IR Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? List x List Other ? ? ? He ers! Herers? COMPUTE INSPECTION FEE BELOX- Service Entrance Size: x Fee F 'e 5 e : u Fee Circuits: x Fee 0 to 100 Amps. es 0 to 30 Amperes 101 to 200 Amps. to 1 r 31 to 100 Amperes Above 200_Amps. Above 0 ' Above 100 Amps. Transformers Remote Control Cite. Partial or other fee Signs 1 1 Special Inspection Minimum fee $5.00 Remarks TOTAL FEES Ho-s"b. T7 f 0 I, the Electrical Inspector, hereby (Final) This request void 18 months from 0A has been ma e. I Date -J /e Pate if./j'? 251-469 ® oICE US ONLY This quest void 18 months !rom volldation dam pdnkd in this b6/s/ R 5 L3 131 PLEASE PRINT OR TYPE Request Dole Rough-m Inspection received2 es ? No Inspection Other Than Rough-In: 0 Ready Now [3 Will Call ryou must ce the inspector when ready) Dare Ready: I, ? licensed contractor ? owner hereby request inspection of the above electrical work at: Job Address Sveet, 8oe, or oote No ?.. 1 1? G(z, Zip Code 3 Section No. Township Name or No. Range Na. Fire No. Crounry C O nt Phone No. Power Su liar Address C Electri Can ctor (Company Nome ammeter License No Master tic No. (Plant Elect Only) Mailing Address,(Contmcer er Peit rm' gInstallation) D Fv6 or n Avlho' gn.W- (Contractor or Owner Performing Insholhocn) _ e Pho a No. _? E - IA-10 6/95 STATE BOARD COPY- SEE INSTRUCTIONS ON BACK OF YELLOW COPY II? I I REQUEST FOR ELECTRICAL INSPECTION J? Minnesota State Board of Electricity 1821 University Ave., - 28, t. Paul, MN 55104 0 T2!41 4 6 9 3 s Phone (612) 642-0800 (p ?(o Home Duplex Apt. Bldg. Other:. New Addn Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmf. Other: Dryer Range Elec. Heat Tem .Service "x' above the work covered by this request. Enter remarks in this space and on the back of the white copy only. J we +? 4 Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Enhance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./fraffic Sig. Above 200 Amps Above 1 Amps Transformer/Generator INSPECTOR'S USE ONLY AT Sign/Outline Ltg. Ximr. Alarm/Remote Control C ontra] `. r ?D 01 Swimming Pool I hemb um 11w11 ins eded the elecficol insrollaiion n ed herein on Me dares ahkd Irrigation Boom Rough- Dare Special Inspection Investigative Fee X2JUM Da THIS INSTALLATION MAY BE OR ED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. L SL CITY USE ONLY RECEIPT #: 55291 SUED. DATE: 6 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace X Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: 4-,o-(A6 M ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 Gas Outlets (minimum of 1 required @ $3.00 each) State Surcharge .50 TOTAL W1.0 SITE ADDRESS' 4015' -4'?rdL " NxC - OWNER NAME: lp?Le W4&M-4CQ- PHONE #. 454 -`lei INSTALLER NAME' BLOOMINGTON HEATING & 650 West 92nd Street STREET ADDRESS: BLOOMINGTON MN 55420 CITY: STATE: ZIP: PHONE #: (0 ) 51 3O -7,v CD /< C:fuuc IYLMOW SIGNATURF- OF PF-RMIT-rF-F- AK/ All CITY USE ONLY L BL SUED. RECEIPT DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681.4675 Please complete for all commercial/industrial buildings. ? multi-family buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ? $25.00 minimum fee lu 1% of contract price, whichever is greater. Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of 2= fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP* SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR LOT BLOCK Date : BUILDING PERMIT APPLICATION ADDITION PARCEL & SECTION NUMBER IF ULIPLATTED LUG: - Z1,,2-27 nF7!'L'E-?5'7?/?-?,S¢ OFTi1?NE?f'Tff- lr.GO rOF 7h`E ADDRESS OF PARCELD)i?? C ?_i pad'l : Tua?srfiQ ;2 %, ??{/ve c -23 7011I UG ESTIMATED COST f-?p?sE ?/f4ae ONL.y ?l/J?pO_00 QU3UdER ?O.H/iJ /- ,JfJ:+?CI/;?t7 TELEPHONE NO. ADDRESS 9A.5"=5 AU?c/'?SCxrTi'f ?/y ?1S' &)/y,,/ CONTRACTOR /?/- ?LUClpA TELEPHONE NO. S i?Q r ADDRESS JV01 G``RS7" !i 17fF.k /CL7 ,??iL.S' f?!/nis? ., -dote- Include site plan, building plans, and energy calculations with this application OFFIC op VALUATION 66 6 SAC U^ATER COi3-SECTI077 UIATER '_YETER BUILDING PER73IT FEE SURCHARGE FEE PLA11 C'MCK FEE PARK DEDICATIO?:U FEE OTHER TOTAL* APPROVALS ASSESS14E?,'T CLERK BUILDING DEF. POLICE DEPT '.-LATER & SEwLR DEPT. FIRE DEPT. PARK DEPT. APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION **.NOTE: PAYMERr OF FEE AT TIME OF ^ APPLICATION DOES NOT CON- ' STITOTE APPROVAL OF PERMIT. + INSPECTION OF SEWER ADD/OR WATER t INSTALLATIONS WILL NOT DE scmuLED .*, *r UNTIL PERMIT HAS BEEN APPROVED. ,*. dtV rr+rrwrrrww+rrw+rrwrw++r++++++www+:+r+ ®F eagan j (PLEASE PRINT 1) PROPERTY ADDRESS: 1 v w ?Q D 12 L J r LEGAL DESCRIPTION' /Cl Q ? 7. ?-) 0 or XIF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month/Year) PRESENT ZONING/PROPOSED USE: Q COMMERCIAL/RETAIL/OFFICE 1=i R-1 SIDLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units) Q INSTITUTIONAL/GOVERNmENP R-3 TOWNHOUSE (Three + Units) ( Units) 0 R-4 APARTMENT/CONDOMINIUM `' { Units) (d 2) NAME: ADDRESS: CITY, STATE, ZIP PHONE: ;J-Otfr/ H-OS Fp2P 1270 Del-XWOOr> D /2, b For City Use 3) NAME: M mf2 PC ry Cr ? (A) Plumhers License: ADDRESS: yt 3- Alb qQ Active ' Expired ? CITY, STATE, ZIP: ?? ? ?o Not recordec PHONE: MASTER LI SE # Staf Initia 4) eel as e.i??: NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) . CONNECTION TO CITY SEWER CONNECTION TO CITY WATER 0 OTHER 6) * THE GOLD COPY OF PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. y * PLEASE ALLOW TWO NG DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE t * ARE ANY PROBLEMS. FOR CITY USE ONLY `Y PERMIT m ISSUED 6 71 <{tJ Pd w/Bldg. Permit FEES- $ /0' 5,?D $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ C b $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ / $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ ( ?a G-U $ ACCOUNT DEPOSIT - WATER $?Ci ?ILR tNlzty? $ WAC $ 5 X71 C Z7 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT /PLANT SURCHARGE, $ $ OTHER: t. a b'?y7? $ $ TOTAL RECEIPT ik RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. - ?? SUBJECT TO THE FOLLOWING CONDITIONS: qio APPROVED BY: TITLE: -- -- DATE: 'RANSACTION ID: 8768 SPECIAL ASSESSMENTS SPECIAL.. ASSESSMENTS ;SEARCH SUMMARY PROPERTY T.. D. TODAY'S DATE: 10/24/88 -.--SPECIAL. FLAGS-------- 1-2 - :3--4-5--6-%._8--9-1 0 10-33600-030-01 ..A.# ASSESSMENT DESCR. Y'R YRS RATE TOTAL ANN.PRIN. PAYOFF COMMENT 01237 SAM SEW LAT P417 86 15 9.00% 465.84 31.06 403.73 01238 WAT LAT P417 86 1 9.00% 375.04 25.04 325.56 01239 WAT TRK P417 86 15 9.00% 1075.20 71.68 931.34 01240 SERV P417 86 15 9.00% 209.65 13.98 181.69 01241 ST 'S'EW LA'T P417 86 15 9.00% 408.63 27.24 354.14 01 242 STREET P417 36 15 9.00% 964.86 64.32 856.2:1. 01749 SSTK W2-72 ' 813 5 9"o i'X 2585.80 517.16 2585. GO SUMMARY OF ACTIVE 6085.62 750.48 5619.97 THIS YEAR'S TOT P&I 527.34 c?-a ? I AddiGOO SECTION 22 , Lot 015 BIk54 Parcel 10 02200 (115 174 ,, ??', Owner I = _Street 1270 Deerwood Drive state Eagan, P?1 55123 "''*' Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ., Z4 2i STREET RESTOR. GRADING r SAN SEW TRUNK 1973 Mom -? 76 on ?n 9 2-R-78 SEWER LATERAL .... WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT -- CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. _ BUILDING PER. SAC 11U-2i3-// 475.00 /92.0 - PARK p (??9[?? ?• ? ?"`fXF `<4 j?,.`i?L, w?, ¢ y ? ?? ?• 1f 21.??{?R3F+-'1t'? ???'? "C F ' ?' c . x y',?• y,f ? ..9r • . % ? y q . 9,. l ji+ 'v TJ?YFY Z .'!G'.^( U- jc?/?+ta r* K ex ?,,.. x V t Y ? % rt ? r 3 ? Y k ?" f ,?,?? '?C.•- *+?"o ? ?+3'??`? ti44??" t ' ? "f ' t _ ?'yrw { f '} N .}.. ei f ?. ?yJzZ??~?l?n?i" ?F'9 a?ty'a' y i " „i" s? Z`^ .r? . , 3 .Y llY i4ry} !3 'M j( AVS hI ?y\i ?v t Y 4xt }`3M a. fi ' Y r ? T ? 4o . f,_... ry b{ f rl I'l.^gryt'y^ i " '{1.eih" ??y! l r ??"? ry T Vb 4 ?; 5 Zw h' ? y? t, a` :?i' l1 E }?? F}we.? Y :?'Y`J,p>'y. ?v??'x y9._ £?. T ' ?'i?n` N n" N.. : F'V I+G`` F*1Y>.h.+ W (( Nt'•hk `'fR y } rvh M ? Y .y. v 1 } ? T ?f 4{ IN T 7I ffr E'!a Mti y'FY Y . L'Y Aye{ y !Y nl `y^J f {F {?. y f! ! + f^ ' yy H "V Ttf j?J? t? fi \? l^. 4?ff?g ?? YY i 4 P W Y T y .? y },r1]Y xl T{?y,M1d?yx F.Y? (F3'M.1? 5 '?A ; d?PI N ?JyY 5: C ??? Y 1??j 5?4 ? A }` Y .. tT ? +n,(3+ `u??fl i r f ? Y ? K y ???sss LD ? ? ?' 6?y .. %) J ???.???F{Jd. ? ??`J? ?. R" ??Y..: Y ?,:? 1??` . ?? .S' ?` . W r Y ! `FY ? tt ? Y ?'i Y 'yy I A A C 4 C ? ??. uC y ?. { ? e ?# J ? f ? ? V Y ? , . M i Y . ? x ?` A. ? , ? ? ? v ?"? ?'L„C? ,? '-. h ' ?wYaa ?,xt ?.+{'S.t? F.!' pF?f r 5 .}iyf `?AR S6CS?R A • 'i.+k>`.ef' ; y J+ f r tt .YV x ?} e F y < G ' t£ 't ,fir ;, ?4° q5? `* (1 3 t 6 T a j, . It; 'r SP f7M'r?rY i 4'«` ?? N A N ? ` ? , a, ,? y r , " E , (p µ' n.?o..d v4 F ., 1 K N 19, e •} }3'r? y v uT F !Z 1 t T '} VS 5`t°`.M "('M?y,.'F^'"i i;lr"k, Ny 4 'v?"'a g YR Y"V dg? x? ??A '. .?' •r ? '?Y41,?{tis{§ '?? ?"L%.a eU y 1 9k ,.?Y??` „?"st? W Y .?f +f? ]?n? ' ?' i ???•4 '? ? ? P . ft ??? / w R p? y ? ?Y C - ? ?pJyr ?i i y .? .K 3. xtil AT'`? sx 4' f) i Sxw r '(.' ?i- P b F Y t?':+r }? i ,,far a. N ?'a? .+?..•'.?31L.: _ CITY OF EAGAN rcg 3795 PILOT KNOB ROAD Qbur s EAGAN, MINNESOTA 55122 ' ? rE•??._? DATE 18 _ 4 ? n 't ?? b Rece'VED . FROM AMOUNT BY - 07920 _, NUMERICAL FILE COPY SEWER CONNECTION CHARGES: SAC 650.00 _ Pd ACCOUNT DEPOSIT 15.00 _ S-0 SEWER PERMIT 10.50 TOTAL FOR SEWER HOOK-UP 675.50 WATER CONNECTION CHARGES: WATER CONNECTION 550.00 METER 67.00 r TREATMENT SURCHARGE 204.00 ACCOUNT DEPOSIT 15.00 A?y, WATER PERMIT 10.50 L PLUMBING PERMIT 12.50 / TOTAL FOR WATER HOOK-UP 859.00 TOTAL FOR SEWER & WATER HOOK-UP $1,534.50 MINIMUM PLUMBING CHARGE FOR COMMERCIALS - 20.50 CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN CLAIMANT MURR PLUMBING ADDRESS 1408 NORTHLAND MENDOTA HEIGHTS, MN 55120 3662 WESCOTT HILLS DRIVE-$40.50 Location 4025 HOSFORD HILLS ROAD -$12.00 LIO, B7, SUNRISE HILLS #:3, BI, HOSFORD 1ST Receipt No./Date 90840-1/31/89 Reason for Refund DUPLICATE PERMITS Type of Refund Electrical Permit 01-3211 $ Plumbing Permit 01-3212 $ 52.50 Mechanical Permit 01-3213 $ Surcharge 01-2155 $ Water Connection Permit 20-3713 $ Sewer Connection Permit 20-3743 $ Account Deposit 20-2252 $ Utility Account Over-Payment 20-2250 $ Other: $ TOTAL $ 52,50 I declare under the penalties of law that this account, claim or demand is just and that no part ,of ?it-thas?been _paid. ' Signature ?13g1iUX-I , 19AQ Date RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan stowing beam & window sizes; poured found design, etc.) 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE CG' /y' JOB SITE IF MULTI-FAMILY BUILDING, PROPERTY OW] TYPE OF WORK APPLICANT ADDRESS PAGER # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor. _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor: Water Softener _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Fee: r $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordin ces. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ updated 1101 Remodel/Repair Require • 2 copies of plan 1 set of Energy Calculations for heated additions 1 site survey for exterior additions & decks • indicate if home served by septic system for additions VALUATION i wgw MANY UNITS? 1114 FIREPLACE(S) _ 0 _ 1 - 2 Horizon Exteriors PHONE# 1333 LarC Industrial Blvd. Burnsville MN 55337 ZIP CODE (612) 890-3900 CELL PHONE # ZZo-7662 FAX # !2STf X> 04'0 _ Phone #: Lawn Sprinkler No. of R.I. Baths Phone # OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 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 Occupancy MC/ES System Census Code Zoning City W ater' SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final Frarrng Fireplace _ R.I. - Air Test - Final Insulation _ Other _ Pool _ Ftgs - Air/Gas Tests - Final Siding _ Stucco _ Stone Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total REQUIRED INSPECTIONS _ Final/C.O. _ Final/No C.O. _ Plumbing HVAC Building Inspector .:.x - m - - _ i _ - _ ~ ~ _ ~ d s_,~-; - _ 5 yJ..~,~ A. a., ry _ r_. .V„ ~..~,~,ri, _ - . . __.~w. ~ _ ~ ~ . ~ ~ ~.~z. r y_ _ - - - , ,rw.~. n r ; ' - ~ r d ~ ~ ~ s ~ _ _ 1, n ~ _ i; _ ~ _ ~ I _ s-- ~ _ _ ~ f: _ _ _ _ _ - - - t r ~ r _ - _ _ - - ~ ~r, _ _ _ a._ ~ . n__. _.m ~ . , _ _ _ _ - _ _ _ _ _ - _ _ r ~ ~ ~ - ~ a ~ _ ~ r - 3. i i i n . _ L'. __.r ~1 ~ r~i tl ~ ~ 'v__. ' 2 ~ j ~ ~ rrrr ~ a J _ _ _ - ~ ~ n s ~ 3 I f, _ ~ _ _.__.w... . - `S ~ i _ - ja. r. ~si - ,i - } i i i 9 B 1 t a GG4 4 l~ .rr..s.. m+,u t ~ j ~y~ P~f t m... ~ . ~..1 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137115 Date Issued:06/16/2016 Permit Category:ePermit Site Address: 4025 Hosford Hills Rd Lot:3 Block: 1 Addition: Hosford 1st PID:10-33600-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William R Wernecke 4025 Hosford Hills Rd Eagan MN 55123 (612) 802-8192 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA141674 Date Issued:03/23/2017 Permit Category:ePermit Site Address: 4025 Hosford Hills Rd Lot:3 Block: 1 Addition: Hosford 1st PID:10-33600-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - William R Wernecke 4025 Hosford Hills Rd Eagan MN 55123 (612) 802-8192 Legacy Restoration Llc 14000 25th Ave N Suite 110 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature