3853 Gibraltar TrCITY OF EAGAN Remarks ?1 13 ''- j, -` ?', `°= _
Addition LEXINGTON SQUARE Lot 12 Rlk 1 Parcel 10 45075 120 01
owner Street 3853 Gibraltar Trai 1 State Eatsan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 85 254.53 16.97 1 254.53 C009685 10-12-84
SEWERLATERAL ben trk 1986 173.6 11.58 15 173.65 C010029 1-28-85
WATERMAIN 1986 68 68.33 C010029 1-28-85
WATER LATERAL
WATER AREA 286.43 C010029 1-28-85
STORM SEW TRK 1986 501.2 33.42 15 501.29 C010029 1-28-85
STdRMSEWLAT 1986 513.8 34.25 15 513.81
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
500.00
SUILDING PER.
SAC
PARK
CITY OF EAGAN
3830 Pitot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
PHONE: 454-8100 BUILDING PERMIT Receipt #
To be used tor 5F 'UZWGAR Est Value $ 61 ' 00 Q Date-
Assessrnent
Water & Sew.
Police
Fire
Eng.
Planner
3$53 G1BRAi.``AR TR
Site Addres
LF.XINCTON
1?
I
Erect
SQ R
odel
?
? R3
Dccupancy
R1
Zonin
Lot
Block
Sec/Sub. em g
Parcel No. Repair
i ?
? Type of Const V
i
S
on
Addit tor
es
No.
a METRO CUSTOM HflPAFfi INC Move ? Length dd
x Name
P.(? . I30X 1 049
Address -- - Demolish
- I
I ?
? Depth
Ft
S
Q city DURiNSVFlh?dkii 454-9383 mpc
nt.
?nstau ? q.
= o Name SAA?IE
0 a Address
? rtti, oti......
F W Name-
? ? Address
z
i W CrtY -
1 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 Ordinancge.
--
Signature of Permittee ---
' MFVRO CtJSTQf•9 HOMFS
A Building Permit is issued to:
Building Official Bldg.
all work shall be done in accordance with all applica?e State of Minnesotz
Var. Date
IB ,,, ES
Permit 31-6• "u
Surcharge ' 50
Plan Review-13T' 0 0
SAC 5-2y• Oa
Water Conn. 500.00
Water Meter - ST' 00
Road Unit ?2B-T' Oa
5r. DI 1J6 ? 0 0
Parks
Copie
5$2,Oufi. so
- on the express condition that
Eagan Qrdinances.
PermR No. PemNt Nolder DeN TNephone M
PlumWnq
?
,
H.V.A.C. C
----
$ofte,er
InspecUon Data Insp. Commenb
Footingsl YI7p
Footinys II
Foundatlon
Framing
Rootinp ? -10 Lt?[3
Rouyh Piby. ?D"?, ? ? - ?? J/'/S!!*!L, vcG,B?rc.?U ?• ?.
Rough Hty.
Insul.
Fireplace
Ffnal Hty.
Flnal Plbg. Z -7-?
Bidy. Final d - .Z
c.rt. Occ. 4
i3
Deck Fty.
Deck Frmq.
Wep Deserihe Locatbn:
Pr. Dhp.
?
Rooaipt MECHANICA4 PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered specas S/C
Type ar Print legibly Tot
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor ^ . . , PAone
. f
B. Address ?` - r `
7. City State 2ip
r
8. Buiiding Type: Residential ?
9. Work Description: New ?
10. Deacrihe
11.
Commercial ? Institutional ?
Add ? Alier ? Repair ?
TYPe
No. Fpuioment 9TU - M. Ea.
Forced Air No. EQUiament CFM
Air Handlin
:
Mfg. ' g
Boilers
Mfg. Mech. Exh,aust
- , ? • .,. ,,_
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
camply with all ordinances and codes governing this type of work.
Siyned :
Rouyh
Inspections: Date Insp.
for
Final
Date lnsp.
Th9s is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No. :
CITY OF EAGAN
, Fee
? Fil1 in numbered spaces S/C
Type or Print legi6ly Tot.
1. Date ' 2. Installation Cost
1
3. Job Address ? -
Lot Blk. TraCt
4. Owner
5. Contractor Phone
6. Address
7. City - State • ' Zip
8. Building Type: Residential Commercial ? Institutional O
8. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
? Kitchen 5ink
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
Hough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
., . , I i:a.h i i As?
PERMIT SUBTYPE:
ii( i f ! IUI+•,
. ....?,?...?,?. _ _...?_.; ?.?. ?
[NSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued: ?•' ? ? ? • :` ? ?
APPLICANT:
I f i ftp, .(I rj .. Ai.,ilf+l :>uN f{ljiji ra
k,., 1.' ) 441 J1' 4}')
i?
TYPE OF 1NORK:
t 1 tJlE!
?,?`
Nrii
Permit No. Permlt Holder Dete Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notiiy Plumber
Const. Meter
Engr.lPfan
Bidg. Final
Deck Ftg. AA
Deck Final
weu
Pr. Disp.
CITY OF EAGAN SEWER SiRY1CE PERMIT '
3830 Pilc.t Knob Road p??T NO.:
P. O. Box 21199 Eagan, MN 55121 DAT?:
Zordng: No. of Units:
Owrnr: ' "
AddfESS: t?r•:1 r.- 'i r y,i? ? ? ? i.:l'-i?y,? rJt; -
S{tQ ?1?fQii: 1953
-
InlNmiblC _ r?:„
_J i
I Mm to oeaVi! M/h It !W C1y of alOA COr1MOlOf1 C}f01'0e:
?IIOM? ACOOYItt DOpodf:
P'ffR'1ft Fee:
St11'ChOf'Q0:
By AmfC. CF10rom
Date of Imp.: Totol:
Insp.: Om Poid:
?
WATER 5ERVICE PERMIT
30 Pilo Krab Road pFRM1T NO.:
0. Bflx 21199
igsn, MN 55121 D/?TE:
ninp: _ No. of Units:
ldress:
re Address: _
N1urrber. - •• `'
Meter No.: ConnecNon CFw?pe:
Accourit Deposit:
Size:
Pem+it Fee:
??r ?.:
I Mno N m?r/*I wO Ilr Cih ef EMPI Surchorpe:
Miac. CMroes: _=i L c: r
Totol:
poft Pofd:
By
Date of insp.: i.sp.:
7EAGAN ?.? jc) WATHt SERVICE PERMR
.ot Knob Road
sox 21199 pERMIT NQ.:
an, MN 55127 DATE:
Zonirq: _ No. of Units:
:'et.ro Custo-. Momes
O'"'^°r' - - -.. ? w
'?" 5 . c ?b r
uryl?r ?•` ?'-
No.:
rr
rNo/D?_
ofm to aewsply wNb MM Ciry of !MPN
M110m
+
Data of Insp.:
pblln6eerors vwro.? ? li}<
rmit ee:
, •! ;,?
Surcharpe:
13
Misc. Choroes: 6 2.00
3.00pd me t er
Total:
Date Pald:
Insp.:
o1 ?7 - O' t0
?
??
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5512, N2 11306
PHONE: 454-8100
BUILDING PERMIT ReceiptN 6
<
To be usetl tor SF DWG/GAR Est. Value $ 61. 000 Date NOVEMBER 18 19 85
SiteAddress 3853 GIBRALTAR TR Erect IN Occupancy R3
Lot 12 Block 1 Sec/SubLEXINGTON SQ Remodel ? Zoning R1
.
Parcel No. Repair ? Type oi Const y
Addition ? No. Stories
Name METRO CUSTOM HOMES INC Move ? Length dd
z P.O. flOX 1049 Demolish ? DepM5T
o Address Int Impr. ? Sq. Ft
City BURNSVT4" 454-9383 instan ?
i o Name SAME Approvals Fees
$¢ Address Assessment.
Ciry Phone Water & Sew
1- m
? W
Name
?a Address
i w City Phone
I hereby acknowledge that I have read this application and stale thatthe
information is correct and agree to comply with all applica6le State of
Mmnesota Statutes and City of gan Ordinan es.
i
Signature of Permittee l ,.
? OCUSTOM HOMES
A BUilding Permit is issue M R
d to:
all work shall be done in accordance with all agpljcoa State of Minne c
Police
Fire
Eng.
Planner-
Permit 316: UU
Surcharge 30. SC
Plan Review 158.0C
SAC 525.OC
Water Conn. 500 . 0 C
waterMeter 63.OC
Council Road Unit 280.0(
BIdg.Oft. 11/18/8 Tr.PI. 132.0C
Parks
Var.Date
I Copies $2, 004.5 C
Total
on the express condiLOn that
City of Eagan Ordinances.
Building
?
City of Eapn
February 8, 2007
Mike Maguire
Mavon
Paul Bakken
Peggy Carison
Cyndee Fields
Meg Tilley
COIINCIL MEMBEHS
Thomas Hedges
CITY AOMINISTPATOR
MUNICIPAL CENTEP
3830 Pilot Kno6 Road
Eagan, MN 55122-1810
651.675.5000 phane
651.675.5012fax
651.454.8535 TDD
MAIMEN/1NCE FACILRY
3501 Coachman Point
Eagan, MN 55722
651.675.5300 phone
651.675.5360fau
651.454.8535 TDD
www.cityofeagan.com
THE LONE OAK TflEE
The symbol of
strengih and grow[h
in our community.
SELA ROOFING
KATHY DEUTCHMAN
3400 48TH AVE N
BROOKLYN CENTER MN 55429
Dear Kathy:
?.
In response to your request dated February 8, 2007, please be advised that building permit
#71697 issued in December 2005 has expired; therefore, a refund will not be issued.
If you have any questions, do not hesitate to contact me at 651-675-5671.
Sincerely,
Sanlce D. Severson
Office Supervisor
?
Feb., 8. 2!07 11:13AM
Main # 952-929-9128
Fax # 783-537-6376
3400 4e Ave. N.
Brooklyn Center, MN 55429
?
No.4425 P. 1
Tw Building Inspector F.om: Kaft 0 sOIa cutWr Cawm'o"
pwc (851)675-5694
Wqnee (851) 675-5675
Pago= 3?
ootm ?l8Y2007
RG CoMirrnafton of work canPWWd CC:
? Urgeet 0 im Rowisw ? Ohas. Com?nant ? Pleasg 1teplY (3 Pleaae RecYcle
• ComnmiAs:
A permit wss issuecl on '1 zrotros ror 3853 Gibranar r.aa, but u,e custa?er canoelea 1F,e iob so me vvak
as nerver done. I am faxirg You ?? P?? and a?PY ?? canoellatian I? fran tlie custamar so Yw ?n
w
dose the file.
We woWd aPPreciate lf the $70.00 perrnft fee would be refunded to:
Sela Gutter Conrecto^
Thank you so much.
340p 48°i Avenue NoAh
gcoo{dyn Center, MN 55429
Kathy De,utrl4man
GlTCl'ER
CONNEC'[70N
Somnkss 6=vw"
Feb, 8. ?007 11:13AM No.4425 P. 3
Mrs_ Amanda Nurmcm
3909 Robdnwood Terrace
Minnetonka. MN
55305
January 17. 2006
Mr. Gury Webh
Se1a Sales
Sela (`runer Connectiwi
3400 4e Avemue NorYh
Brooklyn Center, MN-
ssazv
pem- Sela and Mr. Webb.
I arr+ writing tlus tetter in order to discontimue !he window replaceMeni ctmfraci,
effecYively immediately, at 3853 Gibraltm Trail, Eagcm. MR? 55123. Please retur'n tbe
initial down payn+ent io Mrs. Amanda Normarr at the aforernentivned riddresS. Ifyou
have any yuestions, please pho»a me ar 952-201-321 U.
RECENED JAN 1 9 ZM
7yrank yau.
?-
4?L
Mrs. Amanda Norman
OP
kD°
?
-? I b I1i-
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Koob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
_?k -?-p . e-o
New Conslrudion Reauirements RemodeURenair Reauirements Office Use Onlv
3 registe2d site surveys showirg sq. ft of lot, sq. ft. of house; and all roofed a2as 2 wpies of plan CeR of Survey Recd _ Y _ N
(20%maximum lot coverage allowed) 1 set of Eneryy CalculaCans for heated add'Nons Tree Pres Plan Recd _ Y _ N_
2 copies o( plan showing beam 8 windaw s¢es; paured found design, etc. 1 site survey for addNOns 8 decks Tree Pres Required Y N
lsetotEneigyCalculalions Addition - indkafer/on-sifeseptresystam On-sHeSepticSystem _Y _N
3 copies of 7ree Preservation Plan if lot pladed a8er 711193
Rim Joist Detsil Optbns seleGion sheel (6uildings with 3 or lass unils)
Date -ti- / ?/ / _4;,5
Site Address ? D J ??tl bra 14ar ?/+ Constructian Cost
YQ J, UoidSte #
Description of Work
Multi-Family Bldg _ Y_ N : irepiace(s) _ 0 _ 1 _ 2
Property Owner Q Y
)dS VO
Telephone #(%fe') q G&-
45 g S'
Contractor
5PIA
?/
Address fYpU p ve?
State
Zip SS01
City. .,?.
Telephone #(gSaj 9a4
9i? g
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minneso[a Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code WorCSheet
(Jsubmissiontype) Suhmittad Submitted
• Energy Envelope Calculations Submitted
Have you previously construcied a building in Eagan with a similar plan2 _ Y _ N
fee applies.
Licensed Plumber Telephone #(
Mechanical Contractor iL / J Telephone #(
Sewer/Water Contractor - Telephone # (
If so, 25% plan review
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 plin in the c.4xlfft?rk which requires a review and
appr val of plans.
n U) tt
Applicant's Printed Name
CITY OF PERMIT G? s?g3? g -??
? ?AGAN
3830 Pi1o: Knob oad PERMIT TYPE: e u r Lo z rv G
Eagan, Minnesota 55723 Permit Number: g Z q 41 q
(612) 681-4675 Date Issued: g g/2 Z/g q
SITE ADDRESS:
3853 fiIBRALTAR TR
LOT: 12 BLOCK: 1
LEXINGTON SQUARE
P.I.N.: 10-45075-120-01
DESCRIPTION:
REMARKS:
._-
?''?C i ?
???EF?
B'M:iXdiny'-.Permit Type DECK
Duflding Wo't-k Type NEW
`. _
t ?
?
?
.? ?•?
FEE SUMMARY:
Base Fee
Surcharge
l.ic. Search
Total Fee
$30.00
$.56
Fee $5.00
$35.50
CONTRACTOR: - Applicant - 5T. I.IC. OWNER:
JOHNSpN 5 JpWNSON BLDG CO 14471205 0001294 SCHIR00 JERRY
14750 W BURNSVILL£ PKWY 33 3853 GTBRALTAR TR
BURNSVILLE MN 55306 EAGAN MN 55123
(612) 447-1205
T hereby acknowledge that T have rea•d thi5
information is correct and agree to comply
Statutes end City of Eagan tlydinances.
L
APPLICANT MITEE SIGNA7URE
application and St&tE that ths
w3th all $Rp3.icable State nf Mn.
-1
.-hm W.1 r?
ISSUED 6 SIG URE r
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: LoT: 12 gLOCK:
3653 GIBRALTAR TR
LEXINGTON SQUARE
PERMIT SUBTYPE:
qECK
PERMITTYPE: suzLaxNG
Permit Number: 024414
Date Issued: g g/22/g q
1 APPLICANT:
JOHNStlN & JOHNSQN BLDG Cp
(612) 447-1205
TYPE OF WORK:
NEW
INSPECTION .. . „
FOOTINGS FINAL
r-
L
n, . ? ? . ? ? ..? -. . . .
i •l ? . . ?? , ? '
. ? ' .J
?
?
14414
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION $ .?< ol
681-4675
{ , n ?•
'e'' l',f; •;-1.?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site urveys, copy of nergy
calcs. 7 1?y?
COMMERCIAL ?lans,_1 set of
2 sets of architectural & structura
_
specifications, 1 copy of energy ca
?
nalty applies: 1) when permit is typed, but not picked up by last working day of month
F
which request is made, 2) address is changed or •3} lot change is requested once permit
s
issued.
Oate Z_ / ? / ? Valuation af work
Site Address: S Us-3 G i b l??9?
STREEi SUITE #
Tenant Name: (commercial only)
LOT J L_ BLOGK ? SUBD. P,I.D. #
?
JIFi
Descri tion of work: -I f1 5_?P D [--t-- K
7he applicant is: ? Owner gContractor ? Other (Describe)
Name Sc St OE!f,`-/ Phone
Property LAST FIRST
Owner Te
A 11 ?'-
C
-
Address 3
S 7
SiREET STE #
?? /als
?/9- ?fl?
City
State Zip
CompanY ?r? n So.ti °r ?'Lsc>-?- ?31d• Co, Z^?hone `7'L7'7 aGS
Contractor Address 19'750 w'/-? ioc f"k?y#33 License #0001aN Exp.
City ? r(?? VLF- State M /-L- Zip SS??b ?a
Company Cd Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this ap lication and state that the information is
correct and agree to comply with all applicab Sta of Minnesota Statutes and City of
Eagan Ordinances. '
?
Signature of Applicant: ?
&pC 33 FhGE 7G
WWaOKE
ENGINEERING CONSUl7IN6 EH61HEf11S
pIFLNNEliS and LAND fURVEY0115
COMPANY, INC,
? 1000 [AST 1461h STREET, BURNSVILLE, FIINNESOTA 55337 PH 432-3000
CerzzAcuzg q? 641.7-Ye c
?Qat J2r:s?7"?2Zan-- L07 12, BLOCK I! LEXINUTON SQUqRE,
DAKOTA Cou""v; Miti1ME50TA
DEN/J7t'5 EX157-/A!6 E_EVAT/Dit!
DEtiloTES PROPDSEG ELEVf1T/CIJ
'?-- /ND/CATES O/RECT/Ce? OF Sv2FZ1CS ORqINAGE
NoRT+ f
SCAtE :/" = 308'?2,?cp = Fl,l//SNED ?AKq6? FLOOFZ F_ LEVAT/ON
O/2lJ1n/4E,- i1.uA 3c' FRO1.1T BUILDiNG
uT/LITY 6?A?JW QT SET8A CK C /AlE
?ql, l? ? --I
5 89° oa' ao"
E
?8L'?_3?
??ly i32.66 ?
5 ? ?gqz.z] N 99z.w? '?,? o'
r?_
?c
N 3t.,e
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;
m
Q
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N I
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N r ' 92,L I O ?
p ? \-' ? ?5 o
'EJ3a O
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i GsR.bE ? N ?/ r'-. Q
< Q
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tO ?
/,,?i ` ? rtv ? ?? '?
89° DD' cb" E
? __
1 ?8?l.0)
I ; i
; }
Q? /5 =!D'r
I hereby certify that this ie a true and correct repreeentation of a??4ent o£
land as Shovn'and described hereon.• 11a prepared by me on thia 14r,? d{x of
.U??es sre?? , 19 a5 ,
? }finn. Roa. d?o. /GoBs~
• i ? • ? • ? • i • • • i?• • u ?. • ?.
•?• s •a? •?? ? • •• ? ?? ? ?? ? • •
CITY OF EAGAN
APPLICATION F'OR PERMIT SEWER ADID/OR WATF?2 CONN}??LTION
(Please Print
1) PROPERTY ADDRFSS:
LFlGF1L DESCRIPTION:
IF EXISTING STRCCTLRE, DATE OF ORIGINAL B[)ILDING PERNIIT ISSC'ANCE:
(Mon Year)
PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY
R-2 DLPLEX ('Itao L'nits)
R-3 TOWNII30L'SE (Three + L'nits ) ( Lnits )
IR-4 APARTMENT/COAIDOMINIL'M ( Dnits)
COb4HEE2C IAL/RETAI L/OFFICE
INIDL?STftIAL
INSTI'IUTIONAL/GOVERN,']ENT
NAME:
ADDRESS: pgTNG?z TD,-,j T7?_'
CITY, STATE, ZIP: FoQ'C4A1"j
PHONE:
3) • r?• /? ^y-? For City Ose
NAME: ?l47T/?Fi,J ./?.viE_LS Plinnbers Licens(
ADDRESS: lC/k?- C'*"ou54.cJ 6(.)¢Y ('?.?/" Ac ? e
CITY, STATE, ZIP: ired
PHONE: c.?z 3-?? '7"Tj C MASTIIt LICENSE # 3099 t Recori
St ltial
ruArE: S? a?- ?.
P,DDRFSS:
CITY, STATE, ZIP:
PHONE:
i? ?• : • s• ?s
5)
? CONN ECTION '1C) CITY SEWER CONNECTIO[V TO CITY 4?1TEEt
Q OTHER (Please Describe) ?
6) ? •
? PLEASE HOLD APPROVID PM2NffT FOR PICK-[!P BY ONE OF AEOVE
C? PLEASE MAIL APPROVID PERMZT TO 1, 2, 30 4, ABOVE
? (Circle one)
7)
F O R C I T Y
PE'1:?MIT °- ISSUED
S E O N L Y
F°ES: $ fQ'S-U
$ 4P SU
$
$
S
$ ?S- uv
$
$
$ SaC:?o
S
. $
S
$
.$
?J
SEi'iLD T_?FcRl71'i' (INCLUL: .iUACcl?P.GG)
WATER PEZU4IT (INCL'JDE SliRC::ARGn')
WATER METER/COPPERHORN/OUTS= READER
WATER TAP (INCLUDE CORPORATIO:I STOP)
SE:dEB TAP
_r??'i:::_ ?...?C•Si: - a_..??2
ACC:OUNT DFPnSIT - WATER
wac
SP.C
TRli'NK WATER ASSESS:?E:1T
TRli:JK SE:vER ASSESS.IE:iT
LATERaL BENEFIT/TRUNK SE:•iEB
LATERAL BENEFIT/TRU.IK (QAT°R
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
Ab10U\T PAID/RECEI?T i?
DOES UTILZTY CONNECTZO[V REQUIRE EXCAVATION IN PUSLZC RIGiIT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
Q NO ENGINEERING DIVISIOIV, LIST AS A CONDI-
TION.
SUEJECT TO THE FOI•LOWING CONDITIONS:
APPROVED BY:
TITLE:
DAT°:
/A_
plp? 3 ??a y
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t CITY USE ONLY
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RECEIPT#: /D ZOSS
RECEIPT DATE: 2S 1c
: -; -" T999 PLUM$INfl PERMIT (MIDENI7AL)
crrY oF Ensax
3830 PaoTtc[roeitu
; E4fikN, MN 551E2
(651) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH _#_
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/S a 3.00 x =
ater Heat 3.00 x Z =
F oor ram 3.00 x =
Gas Piping Outlet " minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ` for dwellin9s under construction 5.00 X =
Water Softener ' for existing dwelling 30.00 x =
U.G. Spflnklef ` for dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 30.00 =
Alterations ' to existing residenee 30.00 =
Water Turn Around 30.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ' Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE
Reminder: Call 681-4675 for inspections of water heaters,
water softeners, alteretions, etc.
TOTAL
.50
?
3.? s-
_._.
"""""""'_""""""_"""""""""_ ""' _' _"""_""""""' _ _ _ _""' _ _ _""
I hereby adcnowledge that I have read this appliption, state that the intormahon is cortec[. and agree to comply wifh all applicable City of Eagan ordinances.
It is Ne appiipnt's responsibiliry to notiry the property owner that the City of Eagan assumes no lia6ility for any damages pused by the City during iis normal
operatlonal and maintenance ac6vities to the facilities cons6vcted under this pertnit within City propeRylrightof-way/easement.
SITE ADDRESS: 3?5? ?/??P?AGTf? Ti9lL
OWNER NAME: e?w'e?e ?L'?/?aPO D
INSTALLER NAME: ?? DT46T? ?•Lt?moi.?G TELEPHONE #:
STREETADDRESS: ??IJG C'/dm?u? O.Q ??/T? ?6
cirr: STATE: ??-? ZIP:
OF
CO/PERMIT FORMSlRPLBG PERMIT (RES) - 1999
t
i4
1506
1985 BUILDING PERMIT APPLICATIOH - CITY OF EAGAN
NOTE: ALL CONTRACTORS FNST BE LICENSED IiITH THE CITY OF EAGAN
COl4fERCIAL
SINGLE FAMILY IriiELLINGS
' ?.
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATZONS
$2,000 LANDSCAPE BOND
(?, Co1,LL"X' / ?j
To Be Used For : Si h G' ah,i `4 Valuation f-??vvc? - Date :
"T
Site Address 39,3 j 64rQljL
Lot /?- Block ?
Parcel/Sub Llj7-d
Otmer
Address P0.A;'PC1oyq
City/Zip Code _/3lJrhS1iiL/e'
Phone 93s2
Contractor S4Z-7-?
Address
City/Zip Code
Phone
Arch./Engr,
Address
City/Zip Code
OFFICE USE ONLY
Erect X Occupancy
Remodel ? Zoning I
Repair
'- Type of Const
Addition
r ll of Stories
Move ' Length
Demolish ? Depth S3
Int.Impr. ? Sq Ft
Install ?
-----------
-------------
------
APPROVALS FEES
Assessments Permit 31(0.
Water/Sewer ? Surcharge 5°
Police T Plan Review 158.
Fire SAC 525.
Engr Water Conn ycb.
Planner Water Meter (03,
Council Road Unit 7-80.
Bldg Off lL/9-B5 Treatment P1 132.
APC Parks
Variance Copies
TOTAL ' D o .
5()
Phone #
.
)ROSE ?. 33 fAV-E 7Co
ENGINEERING COMSUITINO EH31NEE115
PLANNEAS and LAHD k11AVEY0115
S 6,
COMPRNY, INt.
1000 EAST 146M STRFET, BURNSYILLE, LIINHESO7A 55337 PH 432-3000
Z.+?9aI Crt-022oZL: LO7 12, SLOCK I. LEXINGTON SQUARE,
DAKOTA cou?J-Y, MiNrvESOTA
DENOTES EXlST/i(!b EI.E(/qT/Dit/
(?Ao.o) DENOTES PROPDStD E4EVf1TlCN
'?'-- /A/D/CATES D/l2ECT/Gd1 OF 5vRFAC6' ORA/NA6E
NoRTH
SCALE :/" = 30' 892,-50= FrN/SHED GRRqG6 FLOOfZ ELEVA77101L1
PRA/A1A4595 A.UD 30' FRD?JT BU1LDlNG
uTIL/TY 6ASE:NE1./T 5ET6ACK L /NE
1 _?
L'-? ; ..: 25 ?
?--i
89°DD'oo"E (ge931
5 ? - - - a.-
/$qt,.Z? ?n 94t?'1? ?D i0
?
, ?' r ? '•? c?' ° pp-OADSED
? - -
N ' ? ? N n 9i.z I o ?
p ? I ?'' 1 N b" 'fJ3e.o PO
? ? __? O ?;? .•N ' ?'? N ?- ?I'? z ?
y \ ???) li.e d LLe ?
?0_7 to
i qp?g.
Gd
5 89• oo' av°E <ET'Z (00 S?
L_i _, ?- i i (841.0)
?= I I
I hersby ceMify that thia ie a trac and carrect ftpresentation of a 4racL•of
land as aho+m'and daacribed hereon.• Ae preparad by me on this /4rwl day of
.Uo?MrBEe- , 19 ss. .
? 1linn. ]teg. Mo. /GO8'S-
. -
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) q.
CITY OF EAGAN
3S ?g ri 3830 PILOT KNOB RD - 55122
U 651-681-4675 ?
Naw Construdion Reauirements
? 3 registered site surveys showing sq. fL of/o4 s4• fL ofhouse
aiW all roofed areas (20°h maximum lot coveraae allowed)
? 2 wpies of plans (show beam S window sizes; poured tnd. tlasign; etc.)
? 1 set of energy calculations
i 3 copies of tree preservation plan it lot datted aNer 717/93
DATE: _ ? Hl? - ` \
DESCRIPTION OF W
STREET ADDRESS:
LOT: I ?- BLOCK:
RemoEel/ReoairReauirements ^?
? 2 eopies of pWn
? 1 set of energy Calcula6ons tor heated additions
• 7 site survey for eMerior additions & decks
CONSTRUCTION COST:
lcs?M
Name: ':?-? RP"'?r Phone fi:
PROPERTY L?t Fmt
owrrEtt 7j? ?
Saeet Address
city state: ?N Z;P, SS 1 ?3
CONTRACL'OR
ARCHITECT/
ENGINEER
Company: RIGHT-WAY ROOFING
1200 E.79th Street
StreUAddress: .,I ___ - --.__ .A .I ? .,?
CiTy
Street
City
S;aze.
Sewer & water licertsed plumber (reauired for new construction on{vl:
Penaky applies when address change and lot change is requested once permit is issued.
Zap:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy with ail applicable
State of Minnesota Statutes and City of Eagan Ordinances.
SignatureofApplicant ??? -
OFFICE USE ONLY
CeRificates of Survey Received _ Yes
Phone tl:
_ I.icense tYC,?_Ezp.
-[ l[ ) 4 y State: _ Zip:
Phone
ReAstration R:
_ No
? \
1 ? ?
rt?? MAY z o 1s?s i
r All III
Tree Preservat(on Plan Received - Yes - No - Not Required
_ I SUBD./PJ.D. #: ?`{?Y,-l v-,, o ?TJv-,, Sq &Ox n ,
a reques[ vmC ?? -) 9 /, / ?
18 rtwnths trom W ?-?
o 081751 Ll aZ
/! -.?-? - CS -,qq
c b-z ? -
Rxquest Date Fve.NO. Rou'h-in I s ecvon
Weq?Aretl,
[]ReaAV Now Wili Nobfy Inspec-
?
• es ?NO mr When ReatlY
icensed Elec[ncal ConVxctor 1 hereby request msoecLOn ot above
Owner eleUrical work installed ar
SVeu[ Address, Box nr Route No.
? Gt
?
r -
- i I
ecnon o. TownshiD Name or No. R.inga No. nly
Oc u ant IPftINTI
+r Lws?-jnjii-k ha es Phm? o.
?s?f -9383
P r $upph .r Atltlress
]
t /O/V
El llllC3l?C0 ICIO! (COrtpany 1Q) ?
(a l('CI(11?LICC)jSE=O.
? 1 U
Mailin Adress IConVaccor or wner abng InstailaYoN
.4 Non d Signa[vre IC t odOwner M, inp 4istallatiowl Pho e umber
Z z
MINNESOTA STATE BOAND OFELEC CITY
Gr,ggs-Midway Bidg. - Raom N•791
1621 University Ave.. St, Pxul, MN 55104
THIS INSPECTION HEQUEST WILL NOT
HE ACCEPTED BY THE STATE BOAND
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
P) )`C (G O REQUEST FOR ELECTRICAL INSPECTION EB-00007-04
W:
' See instmchons for coMO:aunS-?his form oa beck o/ yellow copv.
? ??? ?5 ? "X" Below Work Covered by This Request J
Adtl 0.ep. Type ot Bwldmg AoPboncea Wired Equipmenl Wired
Home Fanye Temporary Seroice
Duplez Water Heater Liyhtiny Fixtures
Apt. Building Dryer Electric HeaUn
Commeraal Bldg. Furnace Silo Unloader
Industrial 81Ag. Air Condmoner Bulk Milk Tani<
Farm o!nr.r pe0lv Otner ISnacilVl
t ar Vecily O[ er Oth,
Compute lnspection Fee 8elaw
N Fae ServiceEnhence5¢e A Fae Fentlors/SubleeAers # FFlO Cimwte
0 to200Am 5 0 to30qm s 0 to30Am 5
Above 200 Amps 31 to 100 Ainps 31 to 700 Am s
Swmmung Pool Above 100 _Amps A4ove 100_Am s
Tranyiormers Irrigation Buoms Partial/Other Fee
Signs SUeciai Inspection
S ?-?
T
Hemarks /?, S OTAL?FEE
/ n_uU
Frnal
I, ene Etecv.w91
Inspectoq heroby
ylMty that the above
j,nspec4ml has been
This reQUest voitl
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160774
Date Issued:04/13/2020
Permit Category:ePermit
Site Address: 3853 Gibraltar Tr
Lot:12 Block: 1 Addition: Lexington Square
PID:10-45075-01-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Robert M Eidsvoog
3853 Gibraltar Tr
Eagan MN 55123
American Independent Remodelers Llc
13055 Riverdale Dr NW, Suite 500
Coon Rapids MN 55448
(763) 753-0732
Applicant/Permitee: Signature Issued By: Signature