3837 Gibraltar TrCITY OF EAGAN Remarks Di `j ' "` )'' '
Addition LEXINGTON SQUARE Lot 14 Bik 1 Parcel 1t
owner Street 3837 Gihral tar Trail stace_ Eagan, MN 55123
' Improvement Date Amount Arnual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK q3l 1985 254.53 16.97 15 254.53 C009687 10-12-84
EWERLATERAL 1]3.(5 C010031 1-28-$5
WATERMAIN
1986
68.33
4,56
15
68.33
C010031
1-28-85
WATER LATERAL
WATER AREA 1986 286.4
1 286.43 C010031 1-28-85
STORM SEW TRK 1986 501.29 33.42 1 501.29 C010031 1-28-85
STaFMSEWLAT ?NK 1986 513.81 34.25 15 513.81
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
. r
"
? CITY OF EAGAN
11716
•
1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
B PHONE: 454-8100 '
'
UILDING PERMIT Rece ipt#
Tobeusedfo? -'3r' U6dG/GA}2 Estvalue ,84,000 pgte AP I<IL 1 19
Site Address 3837 G 7 BRALTAR TR Erect 61 Occupancy R 3
Lot 14 Block 1 secisub LEXINGTOri SQ Remodel ? Zoning K1
Parcel No. . Repair
Additi ?
? Type of Const iJ
St
i
N
r?Li
z2O CZI$1'aM on
HDI'!lE$ Move
? o.
or
es
Length 50
W Name .
Demolish
? r,7
Depth
3
o Address P- O. $rX 1049 Int. Impr. ? Sq. F}
citv BUE ZNSVi"ifi, 45 4-9383 Install ?
o Name SAME
Z
0 Q Address
~ Citv Phone
F cW Name
? z
Address
< W City Phone
I hereby acknowledge that I have read this apptieation and state that the
information is correct and agree to comply wlth all applicable State oi
Minnesota Statutes and City of ?Agan O,rdinnces.
/
Signature of Permittee
`--" RO CUSTaM HOKE
A Building Permit is issued to:
all work shall be done in accordance with all applicable State of Minnesc
?
Buitding Official "
Assessment I Permit
Water & Sew. Surcharge _
Police Plan Revilew
Fire SAC
Eng. Water Conn. Jvv. qJu
Planner Water Meter 63.50
Council Road Unit 290.00
81dg. Off. 3 31/86 Tr. PI. 156.00
APC Parks
Var. Date Copies
Total • • ? u
on the express condition that
Statutes and City of Eagan Ordinances.
1 .? I w?mn No. I Pormn Haa.. I oal. I T~w» • I
Final
oCC.
Ftp.
Disp.
c .
' , • PERMIT # D?J'
% Q ?
• MECHANICAL PERMIT RECEIPT # 0-25
CITY OF EAGAH
3630 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: y "L S ?
CONTRACT PRICE: PHONE: 454-8100
Site Ac?dress h' 1' BLDG. TYPE WORK DESCRIPTION
Lot ? L Block Sec/Sub ?
Fies. -7/- New ?
? Name Muit Add-on
Addr
Comm. Repair
c Ciiy Phone pther
Name FEES
, c Address /1 `Z RES. HVAC 0-100 M BTU -$24.00
? p City??!'? IL?? ?? "e_ Phone ;2W/ ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK
. ?l ADDITIONAL 6 M 8TU
GAS OUTLETS - 6.00
- 1.50 EA.
Forced Air M BTU ? COMMlIND FEE - 194 OF CONTRACT FEE
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets # M BTU
M BTU
M BTU
CFM
? MINIMUM - RESIDENTIAL FEE
MINIMUM - COMM/IND FEE
STATE SURCHARGE PER PERMIT
(ADD $50 S/C IF PERMIT PRIGE GOES
BEYONO $1,000.00) - 10,00
- 20.00
- .50
Other
FEE ?
RE OF PERMITTEE
S
G
T
S/C: I
NA
U
TOTAL:
? FOR: CITY OF EAGAN
.•
SiteAddf s
Lot 11" Block ? Sec/Sub
Name
? Addre
c CiiyL(
? Name /I/? 7i?u r G,
c Address 112- 1 ^' IC L
0 Cjty N-ilJ
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF EAGAN
PLUMBING PERMtT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
PERMIT # 7U??
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. ? New ?
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
_?L_Water Closet - $3.00 t
I Bath Tubs - $3.00
=Lavatory - $3.00 f Shower - $3.00
/ Kitchen Sink - $3.00
Urinal/Bidet - $3.00
? Laundry Tray - $3.00
?Floor Drains - $1.50
-L--Water Heater - $1.50
Whirlpool - $3.00
I Gas Piping OuUets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50
FEE - "
STATE S/C: `
GRAND TOTAL: ?? ? ?- `
CITY OF EAGAN ?m SEy " ppmR
3830 Pilot Knob Road
P
O
Gox 2
.99 PERMIT NO.:
,
.
.
Eagan, MN 55121 DATE:
Zoninp: No. of Units:
Owrwr
.
/lddross: -
Site Addross: L: cs
PlIJfl'Iblf: - r r 1Ea•, r- , i i• ?- `?.
1 NrN b eewplp wNU !w CMp of Lww Connettlon Charps: `! ?'• r' 7S?
4e11Meow. AccoLx+t Depodt:
Permit Fes:
F
S - . ?
- .ij
By wrpr
unc
Mise. Charoas: -
Dote of Insp.: Total:
Insp.: Doh Pdd:
,. ?.w -,?---- a,».-??- .-,?.. . - -- --- - .
CITY OF EAGAN
3830 Pilot Knob Rosd 1NATER SERVICE PER MR
P. O. Eox 7 119 PERMIT N4.:
Esgan, MN 56121 D/1TE: -
Zonieg: r" No. of Units: '
OWtNr: "4=`rn ••-ti m
Sit! Addflff: V417 f' ;tiTa 2 f ..
Pl
um6er.
Mebr No.: Connaction CFwrge:
Size: AcoouM Daposit: - a.,
Reodrr No.: Parmit Fee:
1 ym /e omrlp wilh IM Qhr oi iw¦ Surcharpe:
Orll?war. AAtsc. Gwrym
Total: - - ,
g Doft Paid: ?
y
Date of Insp.: lneR'
CITY OF EAGAN WATlR SERVICE PERMIT
3830 Pibt Knob Road
?. O. 3ox 21199 PERMIT NO.:
Eayan, MN 55121 DATE: ' r
Zonirq: No. of Units: i
OwMr .c ? ro t;u R t:.5 '' prle 6
?» A?? '?:37 GibraltaZ Trai'
Plumber. ?`atehew nani -,
Metsr No.: on ?rge: '
«---?,fv.,a?,,.,Y - -?ft.?Ll! .,?a•• _ . i!11-,,..
Reoder No.:
1?Mw !e as.* wNh ?w c . 5(1 D d
,TV Odlw?.oN. u R?? `?+ti .lwroes? 156. ?)Dpd TT
p?
? ...,?"'lQ? ? Totol: 63. `UpcI met a
gy Paid:
Date of Insp.: Insp.:
,?-g?
CITY OF EAGAN N 0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 /
BUILDING PERMIT
Receipt #
11116
7obeusedfor SF DWG/GAR Est.Value $$4,000 Date APRIL 1 19 $6
3837 GIBRALTAR TR b R3
SiteAddress Erect Occupancy
Lot 14 Block 1 Sec/Sub. LEXINGTON SQ Remodel ? Zoning Rl
Parcel No Repair ? Type of Const. V
. Addition ? No. Stories
a Name METRO CUSTOM HOMES nnove ? Length 50
; Address P.O. BOX 1049 Demolish
I ?
? Depth 52
s
Ft
°
BURNSVI??e 454-9383
CiTy mpr
nt.
Ins?
?
q.
.
o Name SAME Approvals
i
? a Address ASSeSSment
?
? City Phone
Water & Sew.
? a Police
_ i Name Fire
Address Eng.
? W Ciry phone Planner
Council
Iherebyacknowledgethatlhavereadthisapplicationantlstatethatthe gldg.off.3/31/86
information is correct and aqree to comply with all applicable State of
Minnesota Statutes and Ciy of an ?d nces. APC
? Var. Date
Signature of Permitte ?
Fees
Permit -'"-' • ""
Surcharge 42.00
Plan Review 192.50
SAC 575.00
Water Conn. 5 0 0. 0 0
Water Meter 63. 50
Road Unit 290.00
rr. PI. 156.00
I Copies?? Q
Total
A Building Permit is issued toon the express condition that
all work shall be done in accordance with all applic I State of i neso SiatuteAs and Ciry of Eagan Ordinances
Bwlding Otfiaal /.fA - Y// 6
1'?a °°
2007 RESIDENTIAL BITILDING rE?IT nPPLICATioN a/31
1 City Of Eagan SS
3830 Pilot Knob Road, Eagan NIN 55122 4, f/w
Telephone # 651-675-5675 FAX # 651-675-5694
RemotldlReoair Reauirements Otfice Use Onlv
New Construction Reauirements
3 registered stle surveys showing sq. R of lof, sq. il of house; and all roofed areas 2 copies d plan shoxinq toofings, beams, lois5 Cel_of Suivey Reod __ _-_ Y_N
(20%maximumlotcoverageallowed) lselofEnergyCalculafionsforheatedaddiGons SoilsReport,,:.,,-Y=N
1 Soils Report if proposed building is M be placed on disturbed soil 1 sAe survry for addifions & decks Ttee Pres Plap Recfl :: ,=X ?_ N,
2copiesofplanshowingbeam&windowsizes;pouredfounddesgn,etc. Addltion-inMCatei(on-sdesepficsysfem Tfb'e'P,resRequiied
1 set of Eneryy Cakulations On-sll85egtic Sy'sjem _-.- -_Y. _?
3 copies ot Tree Preservatlon Plan H lo[ platted atter 711/93
Pom Joist Delail ODtions selection sheet (huildings vnth 3 ar less units)
Minneqasco mechanical ventilation form
.
Date 7- _ I 7,? lo 7 oc
Construction Cost
SiteAddress "37-34' UnitlSte #
383-7
,5
Description of Work n i
Multi-Family Bidg _ Y X N Fireplace(s) ? 0 Z
PropertyOwner ? Nnu-" R' I? k? L J?ru?? Telephone#( )
i/
Contractor y 11?
?-
? •"c?""`
Ci
Address /ff73S? ??•-?/ ty
'
? Zip Telephone#(GSJ
State ?
!
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Ca[eeorv 1 _ Minnesota Rules 7672
Energy Code Categofy . ResidenGal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submittetl Submitted
. Energy Envelope Calculations Submitted
In The lasi 12 monihs, has ihe City of Eagan issued a permii for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #(
Mechanical Contractor Telephone #(
Sewer/Water Contractor Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
ignature
Applicant's Printed Name Ap ?cant's S
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 73 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 ? 77 Garage ? 22 Porch/Addn (4-sea.) O 33 6ct Alt - SF
? 04 02-plex ? 10 08-plex ? 16 Deck ? 23 Porch (screenlgazebo/pergola ) ? 36 Multi Misc
? 05 03-plex ? 11 10-plex " 19 Lower Level ? 24 Storm Damage
?
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
/
Wo rkTvoes /
?j??•Jn(?th'?' /' ? ?7'?1 ?¢rti G?.??'G7LJ
/" '
V
? 31 New ? ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
x 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WndowslDoors
? 34 Replacement 'Demolidon (Entire Bidg) • Give PCA handout to appliwnt
D@SCfiqtfOfl: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review ? 100% or_ 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const 1[6_ Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIItED INSPECTIONS
_ Sheetrock
FinaVC.O.
? Final/No C.O.
HVAC
Other
Pool Ftgs AidGas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Approved By: V-'L-' , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?# po v
Cu?;q6Y cA?c.cs. cx-( pl-AH
; . -.
117)6
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAH
NOTE: ALL CONTRACTORS IiUST BE LICENSED IiITH THE CITY OF EAGdN
COl41ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCT'URAL PLANS, 1 SET OF
SPECIFICATIONS AND 1'SET OF
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
Siny/e ra„j
y
To Be Used For: ap.t,, 'Wf? y?
Site Address 3V37
Lot ) q- Block I_
Parcel/Sub
Owner /il ?i ) b 5 I?m ?,y?1 e 5
Address
City/Zip Code
Phone
Contractor ?jne--
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
SINGLE FAlIILY DMELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
'
OFFICE (1SE ONLY
Erect ? Occupancy R 3
Remodel ? 2oning
Repair
'- Type of Const
Addition I! of Stories
Move T Length 5
Demolish ? Depth 52
Int.Impr. Sq Ft
T
Install 1
-- - ---- - - -
---------
APPROVALS FEES
Assessments Permit ?7gJ?
Water/Seuer T Surcharge 2.
Police Plan Review )5 y.?
Fire SAC 7 S,
Engr Water Conn 5C0.
Planner Water Meter 103.
Council Road Unit p,
Bldg Off Treatment P1 5(0,
APC T ? Parks
Variance Copies
TOTAL O
Date: ?
??????.
?'jq-?ODd
Valuation•
Phone !1
ak.38 d'y.4Z
g/aoae
cOHSUlTIN6 ENO1NEfAS
PLANNE85 ond lAHO bRVEYO!!S
ENGINEEftING
COMPI?NY, INC.
1000 EA57 1461h STREET, BUANSYfLLE, YIHNESOTA 55337 pH 432-3000
Cer?ZAZ ccLz?,? St??Ye [f
?qatQ%tc7"to22Cti: LOT 14, BLOCK LEX/N6TON SQUARE,
, DAKOTA COUNTY, M 1NNESOTA
?891•5J DENOTES EX1571N6 ELEVATlON
(894S) DENOTES GRoPoSED E(.EVAT/oR!
- 1NDICA7E5 D/RECTIOeV OF SURFACE DRAINA6E
892•5 = FW/SHED GARAGE FLOOR ELEVATIOA/
NORTH
SCALE - iV'= 30'
7 1?a9
N lS9
%3 M
O
O a`
io?
,-7r-
? i
oRAIn/qGE AnlD
f1TItITY fASEMEAIT-
(89z.2)
CB?i.--J
- - - o ?a'ca?vr (g'72,7) .
/33.96
S 89° oo' oa" E
L_l?
zs'
r 9,q?
?888; 65?
Ul -
10
W ? •
A J =
a ?
. M ...
?
I
Q '
?
?
Cv?
?88? 85?
I her*by csMify 2hat thia in a t:ue and correct representation ot a tract of
l+nd as ahown'and deacribed hereon.• As prapared by me on this 2s -g day of
INa*"
! -` Ir ? ?-
L _lJ I / ?:
r~ s 89° 00,00
"' E
/62.76
30' FRoAJT BUILDIN6
5Er8,4Ck LIn1E
t11
a 30
33
(89 Z. wer I ! ??.
?? .
?
l?P
?
` CS92,2.j y? N 0
I GA2ACsc N N
J
? N o-
?J(89LS) PROP?SED
HOUSE L_ /633
I z r C84?.B _
` LoT 14
(89i,6
??,1 Hinn. Rea. ?to. 166s5'
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
r******f##**?*?*?#***k#*!***#f##*#x
*R7P5: PAYMBNI' OF FkE AT TIME pg
APPLICAMON mES NOr CUSISTITUTE
APPROVAL OF PFRNIIT.
nassencizorr oF sEPM Arm/Ot vu=
Tuernr.raTrONS WIIS, NOT BE SQIhD-
ut.ID vNVn. nERMIT tAs BM
ArPROVID.
P ease Print)
? 1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: "
. Lot Block Subdivision or Tax Parcel ID )
IF EXISTING STRCC.'iURE, DATE OF ORZGINAL BUILDING PERMIT ISSL'ANCE: '
PRFSENf 7ANING/PROPOSID CSE: (Mon Year
0 COPg1EE2CIAL/REI'AIL/OFFICE ? R-1 SINGLE FAMILY
Q IDIDCSTRZAL r7 R-2 DL'PLEX (74,a Onits)
? INSTI2L'TIONAL/G0VERIZ= ? R-3 7aWNHOL?SE (Three + Units) ( Onits)
? R-4 APAR2T=/CONIDC73MINIL'M ( Units)
2) ?
rAME:
ADDRESS: z iZvv ? . ..
CITY, STATE, ZIP:
PHONE:
3) • u ?: ?• For City Use .
NAw: /'?19777?eJ ?ff•?/iLi S .1n1c, Pluabers License:
ADDRFSS: 15Active
L? ?FNZo'uSiL ? ? ESspis'ed
CITY, STATE, ZIP:_ Not recorded
PHONE: V,23 -,`373 c? MASTEF2 LICELQSE# ,369`lSt-?tlal
4) •am• ? 8
NAME: ,7.
ADDRESS: '
CITY, STATE, ZIP:
PHONE: •
?
-5) ? v ? i r: • ?• : au • a? - ??
? CONNECrION TO CITSC SEWII2 ? CON[Qf7C.TION Tl7 CITY WATEEt ? OTHER ' .
6) '' .'•?. Q PLF.RSE HOLD APPROVID PERMIT FOR PICK-OP BY ONE OF ABOVE ---- -
I?l PLF115E MAIL APPROVID PERMIT TD 1, 2.63 4. ABOVE .
? (Circle one)
7) r n u• . L.c,?? ? ?/?/3 'O
r.. . 4.
FOR CITY USE ONLY
PERMIT # ISSCED
? l0 5? ?l
Pd w/Bldg. Permit FEES:
$ $ %G •5 G SEWER PERMIT (INCLUDE SC'RCHARGE)
$ $ WATER PERMIT (INCLUDE SCRCHARGE) ..
$ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ G' a ACCOONT DEPOSIT - WATER
$ J`?D O rJ $ WAC
$_ ?S7 -S-, O-? $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BEN°FIT/TRL'NK WATER
$ - ??,4/ `Q b $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S ?? % 7''S G S S? G O
TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK SVITHIN PL'BLIC
Q
NO ROADWAY" MUST BE
DIVISION ISSLED BY THE ENGINEERING
. LIST AS A CONDITION.
SUBJECT TO THE FOL LOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE : ?/Z /??
RIGHT OF ENTRY
CITY OF EAGAN
IMPROVEMENT PROJECT N0. 527
THIS AGREEMENT, dated
by and between the CITY
called Owners;
61HERE4S, the City of
impruvements over land ow
this 6 day of e , 19g8
OF EAGAN called Ea a? and ErrL G_ ??aEuk q
. 9 73c..u9, A. Gtati?
Eag3n has undertaken to install certain
ied by Owners described as follows:
Lot elock Lexington Square.
The nature of the improvements is as follows: Storm sewer. In
order to install such improvements, temporary access is required
from the property owners to allow the prompt installation of storm
sewer lines within existing easzments;
NOW THEREFORE, for and in consideration of the mutual covenants
herein contained the parties agree as follows:
1. The Owners agree to grant Eagan and its contractor consent
to enter upon the above described lands (See attached Exhibit for
specific area) owned by Owners for the purpose of installing the
DIU\`n':i.'[1C: Sp??;ifl?,j
2. Eagan agrees to restore the area to as near an equal
condition as existed prior to the commencement of construction.
3. It is understood that the grant by Owner of the Right of
Entry herein shall in no way preclude Owner fcom being compensated
for damages to pcoperty outside of the existing essement area which
the City cannot oc will not restore pursuant to paragraph 2 herein.
%
!
?
?•C
Witness our hands and seals on the date hereinabove written.
ATTEST:
CITY COUNCIL
CTTY OF EAGAN
BY :
Its Mayor
F,?.L C-. C'?-?-AF ?
'-?-Y5ZW RESIDENTIAL BUILDING
Permit Applicatlon
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX ik 651-675-5674
,1a S8_-Ts
New CanstrucEan Reauiremenb RifnadeURenair Rmuiremenb , ONka Use OnN
3 regsrered site surveys showirg sq. R of bt sq. ft of house; ana II roofed ar?s 2 oopies of plan Cert of Survey Red
(20% maximum lot coverage albred) 7 aet of Eneigy Cakulatlons la heated addi0ais _Tree Pres Plan Read
2 coDies of plan showing beem 8 window sizes: Vuured tand deisign. etc. 1 srte suveY fu addiGore 8 dedca _Tree Pras NW Reqd
tsetafFrreiyycaxulatlon., amton-iodicatar7wwiesapucsysmm _anaicaSeptlcSyrsbn
3 mpies oiTree Presenatlon PEan i! bt pgtEed aRer 711193
Rim Joat Oefail Optlais selxtlon yheet (bldga wilh 3 or lesa wils Dstc ! ? 1 'o ? /'? Constrnctio6 Cost / '7 ? 5v D •
Site Address _ 19 3"7 loi?aA-L-? ?AA-1?- UnitlSte 1F
DescripNon of Work - ' ? /?? !
1 L=A-2 tTt't" ? R-L S, Oe , TYVE4 ?5
Multi-FsmayBldg _ Y)c N -v - Fireplace(s) _ 0 _ 1_ Z
Property Owner ("C-7cr_ y\.} Q NM??1 t V vA-b N--Yz- Telephone #(?'S?
consractor NoO
- star Home ImprovemeM inc.
-
Address -•s?ympjy.Ulu-.m,
4972 L:....,.iA n.ive City
State MpIS.. MN 55436 Zip Telephone #( )
I (952) 929-1888
COMPLETE TNIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cate?orv ]
• ResidenBal VentiWtion Categary 1 Wakahaet
(J submission type) Su6mined
. Energy Envelope CalwWtlans SubmiW "v
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code WoAcsheet
Submit[ed
#(
#( )
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pettnit, but only an apptication 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.
AA i?j L-11 LSAt?-
Applicant's rinted Name Applicant's 5ignahf
e?,(r3o ??? REQUEST FOH ELECTRICAL INSPECTION EB-00001.04
1 See inslrvc/ions lor completing th15 form on back ot vellow copy. ????/???
? 8802 "'X" 8elow Wak Covered by This Reques!
?
Add jt)G? TYpa oi Builtling APDliamce6 Wired Equipment Wiretl
Home Range 7emporary Service
Duplex Water Heater Lightin, Fixtures
Apt. Bmlding Dryei Electnc Heatin
Commercial 81dg. Furnace Silo Unloader
Industrial BIAg, Au Conditioner Bulk Milk Tank
Farm in?i ueci v mor isna,,rvi
t gr Noc.fy Other Other
ompute lnspec[ion Fee Below
p Fee Serv,ceEntmnca5¢e u Fae Fexders/Subfeeders N Fee Circuits
r 0 to200qm s 0 co30Am s w 0 m30Am s
Above 200 pmpy 31 to 100 qmps 31 to 100 A s
Swinvning Pool Above 100-Am s Ahove 100_Amps
Transiormers Irri tion Boorr6 ? Partial•"Other Fee
Signs Specialinspection -
S
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flaugh-in ? I, tha Elac
Inspeelor, he,oby
M certify that the .?bova
Final D hea been
inspection
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Riis repueat voltl 18 monihs fro.
This requast voidV"? j? -?i
18
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Re(luest DatF-
? Fire No. Ho Phed?l er,tion
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Licensed Electncal Canrector 1 hereby re0uest inavaction of ebove
? Owner eleclricel work instelled eC
Sveet Address, Box r Roure Na. Cirv
?3 ,br?t/ 2
ecuon o. Townsh, Name or No. Renge No. Co nty
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OccypantlPRINT)
M /'Yl ?f0!'hP.S Phmie Ne.
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Po er SuDV?ier
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Electncal ConVactor ?Company Namel
Mrdtand ?ie-Fr-I ? ConUxr,tor's License No.
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Maildng AdJress IConhactor or Owner Making Installanmnl
Ad
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MINNESOTA STATE BOAPO Oi E TRICITV TMIS INSPECTION REQUEST Wlll NOT
G,iB9s-Mitlwey 91dg. - Noom N•191 gE ACCEPTEO BY THE STATE BOARD
1821 Univarsity Ave., SL Paul, MN 55704 UNLESS PNOPEfl INSPECTION FEE IS
pA??e Iqlli yq? ??111 ENCLOSED.
This request vmd ?
iempnthsfrom
G"r23 8 8
ReqvesWt[) te Fire No. Raugh-in InsV r,t,on
fleq ired? nspec-
f4? y Nuw QWill Noufy. I
r
-3 Yas pNo r
tor When NBatly
? Dcansetl ElecVical Con[ractor 1 hereby repuest mspec<ion ol ebava
Ownee electrical work mstallad at
Streel Address, Box or Routa No. City
383 , 6 ra l a. E?t ?tn
ecLOn o. Township Name or No. Range No. Counly
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OcAntIPRINTI
e-f eUZ6-1am rnrs Phone No.
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Pow¢r Supplier
?Ct?!D?GL 61eC?/?'ic°? Add e s
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EI¢ctncal ConVactor IComp ny Namel
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, Conhaclor's License No.
01dland &
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ec?riG /6/0 - a
Mailmg Address (COntractor or Owner Making Insteilation)
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Author etl S,gnature on ractor/Owne akinB Ins[alla ioni Pho
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Number
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MINNESOTA STpTE BOAPD OF EIECTflICITV THIS INSVECTION pEOUEST WILI NOT
Gripgs•Midwey 91dg. - Room N•191 gE ACCEPTEU 9Y THE STATE BOAHD
UNLESS PNOGEP INSPECTION FEE IS
1821 Univar¢itv Ave., St. Vaul, MN 55704
ENC?OSED.
Pn..n. 16121297.2111
q/7/ 1 ? J-7 JW/ REQUEST FOR ELECTRICAL INSPECTION fli ee-outwi-oa
?
(?/ w , Sea inslruclions lor comOlating ihis iwm on beck of Vallow roOY.
?' .? 3 88 "'X" Below Work Covered by 7his Request w: ( /
O1? s7
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Add Nap. De of Bwltling
e
Duplex APpLantea Wired
Range
Water Heater Eqmument WireA
Temporery Service
LighLn, Fixtures
Apt. Building Dryei Electnc Heatui
Commercial Bldg. Furnace Silo Unloader
Industrial 81Ag. Air Condmoner Bulk Milk Tank
Farm ihr.r peo Y OIher 15neufyl
1 5r SVeufy ther OtheT
nmpute (nspectron Fee Below
p Fee ServiceEntrenwSixe k Fee Fexders/Subteedera M Fex Circutts
0 to 200 qm s 0 to.30 Am s 0 to 30 An+
Above 200 qmps 31 to 100 Amps 31 to 100 q S
Swmvning Pool Above 100_Am s Above 100_Am s
Transformers Im auon Booms Partial.'Other Fee
Signs Specialinspection 5
Z
TO
A
Hema.ks S T
L f?
Rouph-m Date the Elacu
Inapector, hereby
certily Ihat the abpva
Final ' Q)?^? inspectian has baen
I7 / maea.
TMa ropueat void 18 montlu trom
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For Office Use I
„.fe.--- osv07 I
.# i y ° # Permit#: /...21 1
%,:k. ..0°..,0 E AG A N
....,,,
Permit Fee: / �-' '
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(a7cityofeagan.cam L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: Pere. d `� CUfl ,fl�l e vt9� Phone:
Resident/ # 3 ' 7 l7 ���''� �1 �� (11 cciZ3
OWnef � Address/City/Zip: 6 ,11
E i ,/
' Applicant is: Owner • Contractor
I
1.4,,,,,,Type of WolkDescription of work: r� - Tt'0 g- ii 'gf /1i L
Construction Cost: I 0�" Multi-Family Building: (Yes /No Ar) j
..........
Company: f I E/S � f i- Le/ _14G, Contact: c✓I 1/fl
Address: birs �y
Contractor 2ZS' y !�� city: ���
_ 2, c� (� (,� tea,,,,,, /� /�,,
State: U- IV Zip: S s� l I Phone: ,/ �� Y IEr�iail: (TCA, t11"UCSi /Ct-ttl b41,7
.._ License#: Gl`7LjO ' ( Lead Certificate#:
If the project is exempt from lead certification, please explain why: I
4/l A(5LCII 14.1 c-i4(-e4 1 ec
I
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information.µPortions of the information maybe
classified as non-=ubiic if ou=rovide s ecific reasons that would®ermit the Cit-to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeauan.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.gopherstateonecall.orq
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 r ns.
x r76,,, 0i 5 x / . ....„,.....7,----------_________
- ....
Applicant's Printed Name Applicant Signature