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
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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[??
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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
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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