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3606 Lakeview Tr Use BLUE or BLACK Ink For Office Use Permit City of Ea ~ J E Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I l Fax: (651) 675-5694 i Staff: t~ 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 31 B 111 Site Address: i e to / e a,, / Tenant: Suite RESIDENT / OWNER Name: Bn~ /V Wly)an Phone: 6 5'1 ( 44S41' L Q & U)!W Address/ City/Zip: 431' n G Applicant is: Owner Contractor / TYPE OF WORK Description of work: 3 W / 4 alo w 4P 1,00 MJ/? Construction Cost: a L 1 L Multi-Family Building: (Yes / No ) 1HD At- Home Services, Inc. CONTRACTOR Name: 2690 Cumberland Pkwy, Ste 300 _ License Cumberland Office Park Address: _ Atlanta, GA 30339-3913 City: State: Lic# 20268257 Ph. 763/ 542-8826 S;t 13y5 • C 6 V7 Contact: Email: OlI/ Q 1 l V s, top? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall'.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xv Applicant's Printed Name l A plicant's Signature Page 1 of 2 Elder-Jones Building. Permit Service, Inc. March 2, 2011 City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 To: Building Department I am requesting a cancellation of building permit #EA098028, issued 02/17/2011. The homeowner cancelled the window replacement installation. The permit was for replacing windows at the residence of: Kaluza 4514 Slater Road Eagan, MN 55122 Enclosed is a copy of permit. Since no refund is possible, please swap permit numbers for the enclosed permit application. If you have any questions or need more information, please call me at 952-345-6047. Thank You, Jodi Sletten Permit Service Elder-Jones Building Permit Service, Inc. 1120 East 80th Street • Bloomington, Minnesota 55420-1498 952-854-2854* FAX: 952-854-4909 CASH RECEIPT , • CITY OF EAGAN , . 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? -;I 11 ? OATE 19 ! L aecervFO ? ? . FAOM?. AMOUNT a 8 DOLLARS O CASH CHECK ? w? i . . . _'l • aY ?', 14115 W^ila--Pe,m Copy ? Ya??ny cow Pink--File (',opy Thank You . C SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. I Eagan, MN 55122-1897 ." DATE ? .IUR 21, 1991 I r`? OFFICE USE ONLY METER # CHIP # METER SIZE ISSUE DATE - PRV PERMITDATE PERMIT # 12090 B.P. RECEIPT # C14115 B.P. RECEIPT DATE 6/24 !91 BOOSTER PUMP V SITE ADDRES6 5o0f, °t.Ak£V'.EW Th LOT ? BLOCK i SEC/SUB POTr' i P11: APPLICANT: ADDRESS:_ CITY, STATE PHONE: - R NEW X RESIDENTIAL EXISTING Lawn Sprinkler Meters are to be Installed PLUMBER: K4TTHEW DANIELS :[%C Ahead of Domestic Meters on Vyater Line. ADDRESS: 15185 CARUUSEL WA: Credit WILL NOT be given for Dgduct Meters. CITY, STATE PCSBidOI`NT AT ZIP `J50i:-3 1 PHONE: 423-3730 1 AGREE TO COMPLY WITH CITY OF j OWNER: 7`HE xiIlNDiIOI?D CG iNC EAGAN ORDINANCES j ADDRESS: f' 0 BOX 143:' 9 •? CITY,STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED ? PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM PERMIT REQUESTED - SEWER "- WATER _ TAPS COMM/IND ZIP SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE •fUm 21, 1991 OFFICE USE ONLY METER#1/uyYs7 PERMITDATE 6/25/91 CHIP # 01 ?'uT? PERMIT # 12090 METER SIZE sE'41su s B.P. RECEIPT # C14115 ISSUEDATE u l9'9l B.P.RECEIPTDATE 6/24/91 SITE ADDRESS L" '''- TR LOT 2 BLOCK ? SECISUB STONEY POIN'[ : APPLICANT: ADDRESS:_ CITY, STATE PHONE: - ZIP PRV - BOOSTER PUMP PERMIT REQUESTED X SEWER -_ WATER -TAPS - COMM/IND - RESIDENTIAL X NEW - EXISTING MATTHEw' DA[JIEL ? INC Lawn Sprinkler Meters are to be Installed PLUMBER: Ahead of Domestic MeEers on Water Line. ADDRESS: 151 0'5 CARUUSEL rry:.Y Credit WILL NOT be given for DoHuct Meters. CITY,STATE L;-OStit30LT?1T LfN ZIP 55V?';E , ; r•?"?_ 423-3i30 ? - PHONE: I AGREE TO COMPLY WITH CITY OF OWNER: T=iZ kIND"WOOD CD EAGAN ORD?NANCE$ ADDRESS: r 0 BOA 14329 CITY, STATE r•?F'LF: VALLEY :'N Zip 551'[4 PHONE: 'IQI-4005 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. . y . :`?•' M G&xtffiratr of CO.fr1tpariXn Citp of eagan JqrmrwU,w of ?uild'mg ?tcs?xrninrc This Cerlifrcate usued pursuant w the requiremertts ojSection 306ojthe Urrijorm Buildrng Code cerlilYu+S thatat the tbne ojissuance lhissduclure was in rnmpliance with 1he various ordinancer of de City regufat* bu?7ding rnnsYrudion ar use Forlhe jollowing. uxaenro.ev, sF nrrr./r_nu wAt. F?;,r,,. Mn7 pmW.,cyiya R-3 M-1 7a.i?g pke,;o R-1 rracw V-N O?,rmTHF. TJTNn4Tnnn [:n Ad&= P[1 RnX 94399 BwUqAdd= 4606 t.AKRVTR41 TR L,,dih 1.9, R1. STONF.V POTNT 9ND Duc POST IN A CONSPICUOUS PUCE 7 R?lR &5g1713/92 CITY OF EAGAN tims?p?, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 4 PHONE: 454-8100 BUILDING PERMIT Receipt # 1 i i+ TobeusedtorSF (Jilr'/CAA Est.Value ;881000 Date , l9-9JL-_ Site AdSress ' 3606 LAIClVIaTi TQ I , l / ? tirl Lot 2_ Block I- Sec/Sub S1bMIY pOINY 2Nb 1 v' U'?' ? &FiCE U SE oNLY . Parcel No. occuPancy _-it= 3-i-J FEE5 Zoning w Name THfi LRlidi?Alf CO I (Actuap Const V? Bld Permit SBb-OO ; Address p eSAx 2A429 (alowable) V-N g. ? o _ City .PPjY V- ,-P7 Phone A01-66eS r ot saries _ I Surcharge Pl R i .? 381.00 k Name SA?M Length Depth -41 AV an ev ew SAC Ci 1oo•00 f U < Address S.F. Tolal ry . ¢ - SAC, MCWCC 650•00 ? Clly Phone S.F. foolprints - 6? ? e On Site Sewage On Site Well _ Water Conn • 9S ? ? water Meter • Ya -z J Address MWCCSystem x , Ph w crc t X Acct. Deposit ??? one y a er 3 PRV Required - S!W Permit 06 ? I hereby acknowlege that I have read this application and state that the inlormation is correct and a ree t l i h l Booster Pump S/W Surcharge •? g o comp y w t al applicaSlate of Minnesota Statutes and City of Eagan Ordinances. f Treatment PI Z76.00 Signature of Permitee APPROVALS Road Unil 370•00 A Building Permit is issued to: ??NDWOOD CO ItiC Planner - park Ded. on the express condition that all work shall be done in accordance with all Council _ applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. - gldg, pry, _ Copies Building Official ? Variance - TOTAL 3o222•50 Permit No. Permit Holder Date Talephone # MJATER ? Q? lJ z 1-4 SEWER PLUMBING ?y a?- -e 30 H.V.A.C. 7I% 7I ?3- 7 ELECTRIC Jr `J1 ? K'a Inapection Date Insp. CommeMs Footings I ?a - Z s7 ?S Foundation 7/_31q? Framing f y Roofing Rough Plbg. Rough Htg. ? Isul. Fireplace _ p / Final Htg. Orstat Test K ? Final Plbg. Plbg. Inspector- Notiry Plumber Const. Meter Engr./Plan Bldg. Final ?VA -w llJ Deck Ftg. j- Dedc Finai Well Pr. Disp. ? JUNE 25. 1991 DATE: RF,rf' 3606 LAKEVIEW TRA1L, L21 B1, STONEY PO1NT 2ND XXr Your §ewer & Water Permit for the above property has been completed. It will be held at the Publt ,0 Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO tiCkCL PUBLIC WORKS (454-5220) FOR VOUR PERMANENT WATER TURN ON. _ Your Sewer & Water Permit for the above property cannot be completed for the following reasons: - Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DlGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ,Addr:es-s: 3606 LAKEVIEW TR Lot 2 Blk 1 Sec/Sub STONEY POINT 2ND These items were/were not complete at the time of the final inspection. Uate: AUG 22 1991 Yes No $inal grade (6" from siding) Permanent steps - garage ? Permanent steps - main entry Permanent driveway i? Permanent gas Sod/seeded grass ? Trail/curb damage Porch V/ Basement finish V/ Deck Please verify with the builder the removal of roof test caps from tha plumbing system and the shut-off of water supply to the outside lawn faucet befora freeze potential exists. ? PECYCLFDMRN White - City copy Yellow - Resident copy Pink - Contractor copy CITY OF EAGAN N2 19309 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # e- I44 1 15 To be used tor SF DWG/GAR Est. Value $88, 000 Date JUN 21 1 g 91 Site Add'ress 3606 LAKEVIEW TR Lot 2 Block 1 Sec/Sub. STONEY POINT 2ND Parcel No. wlName THE WINDWOOD CO INC ? Address P 0 BOX 24329 City APPLE VALLEY phone 891-4605 Z? Name S? I g? Address ~ City Phone ? yVj W Name ? ; Address a W City Phone ' I hereby acknowlege that I ha ad this applicatio and st e that the information is correct and a ee t comply wit applic le fate of Minnesota Stalutes and Cily f Eag? Ordin s. Signature of Permitee A Building Permit is issued to: THE DWOOD CO INC on the express condition that all work sh II done in accordance with all applicable S[ate of Minnesota Statules a ity of Eagan Ordinances. Building Otticial OFFICE USE ONLY Occupancy R-3 M-1 FE ES Zoning R-1 (ACtual) Const V-N Bld9. Permit 586.0 0 (Allowable) V-N Surcharge 44.0? # of Slories 381 00 Length 45 Plan Review . Depth 48 ' SAC, City 100.0 0 S.F. Total - SAC, MCWCC 650.00 S.F. Footprints _ 660 00 On Sile Sewage _ Water Conn . On Site well - water Meter 95.00 MWCC System X X Acct. Deposit 30.00 City Waler PRV Required - S/W Permil 0 30.0 Booster Pump - S/W Surcharge 0 .5 7reatment PI 0 276.0 APPROVALS RoadUnit 370.0? Planner - park Ded. Council BIdg.O(t _ Copies Variance - TOTAL ? 3,222.5 ?/??i p 17701 ,2 Request Dat Fire No 0 Rough-in Inspection ? Requ d? ? Ready Now ill Notity Inspector i?`'es ?No When Ready? I icensed contractor ? owner hereby request inspection of above electrical work at Job Atltlress IStreeL Box or qou i 3 0 ?• City Se ' n Nc. ownshi a or No. Range No. Counry Occupant(P.q? T) ? W D O W S 6- Phone . / Power Suppller Atldre95 Electric C vaclor iCompanY Name) ; Conirector's icense No. ^ ? D ? Mai ing A ress (Contractor or O r Making Installation) 5 • g t Authori i re i oNr r,pwn r Making Insallation? . _. ,_ /? 5 5 /? hone umber MINNESOTA STAfE BOARD OF ELECTRICITY , THIS INSPECTION REQUEST WILL NOT Griggg-MiAway Bltlg. - Room 5-173 - ' BE ACCEPTED BV THE STATE BOARE) 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED . r9 REQUEST FOR ELECTRICAL lNSPECTION ??/ / ? See instmc[ions br comoleting this form on back of yellow copy. ? ??Y ? i 1 77 7 n_7 "X" Below Work Covered by This Request E6-000 01-08 ?Ht. . ew d Rep. Type of Building AppliancesWired EquipmentWired Home Aange Temporary Service Duplex Water Heater Electric Heating Apt. 8uilding Dr r Other (Specify) Comm.!Industrial urnace Farm Air Conditioner O?her ispecifyj Conlractor's Remarks: Compute /nspection Fee Below: ?r Other Fee # ServiceEntrance Size Fee # Circuiis/Feeders Fee Swimming Pool f'l oto 200 Amps / 0 to 100 Amps .? Transformers Above 200 Amps e 700 Amps Q Slgns inspector's Use oniy: v., TOT L Irrigation Booms ? '00 ? / Special Inspection Alarm/Communicatlon TNIS INSTALLATION MAY BE OR ED DISC NNECTED IF NOT Other Fee COMPLETED WITHIN 18 I, the Electrical Inspector, hereby Rouqn-in f,,, I certify that the above inspection has been made. F;,,ai oaie ? t OFFICE USE ONLY 7nis request void 18 months irom ;1 4:? 9• a.s" 2005 RESIDENTIAL BUILDING PERMIT APPLICATION . City Of Eagan /? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reauirements RemodeUReoair Reauirements 6ffiee:Use 0ni? 3 registered sde surveys showing sq. ft. of bt, sq. ft. of house; and all rooied areas 2 copies ot plan Ged csrSurvey Rectl =y _N (20°h mauimum lot coverege allowed) 1 set of Energy Calculations for heated additions Tree Pres Plao Rectl _??N; 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks ?ree Pres RBquirad ,. _,:Y N 1 set of Energy Calculations Addifion - indicate ilons'rfe septic sysfem On=site'SgpGC Syr 4em Y 3 copies of Tree Preservation Plan if lot platled aRer 711l93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date Construction Cost Uf S?Crc'tp Site Address Unit/Ste # ? Description of Work Multi-Family Bldg _ YN Fireplace(s) 0 _ 1 _ 2 Property Owner ' Telephone # (6?rjl) t ContraCtor Address City ?G?dlLw? ' State Zip s5%7? Telephone #((?S% ) ??S`-/(,df COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Resldential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Su6mitted • Energy Envelope Calculations Submitted Have you previousfy constructed a bui!ding in Eagan with a similar p!an? _ Y _ N If so, 25% plar, review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( 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 r _ equires a review and approval of plans. n ?? UrxIZ-?2m ApplicanYs Prin dNa e A p plicanYs Si g n re j5 J I ?? OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck X 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 '¢? 32 Addition ? 36 i? ? 33 Alteration ? 37 ,? . . ? ? 34 Replacemerit ?" ' ` • Valuation ou l7 Census Code ? SAC Units # of Units # of Bldgs Type of Const ? ..? ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Int Improvement ? 38 Demolish Interior ? 44 Siding Move Building O 42 Demolish Foundation ? 45 Fire Repair Demolish Building* ? 43 Reroof ? 46 WindowslDoors *Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy /Z.3 MCES System Zoning •.City Water. . Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS FinaVC.O. ?r FinaVNo C.O. _ Plumbing ' HVAC Other _ Pool _ Ftgs _ Aijr/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windaws _ Retaining Wall Approved By: T?, , Suilding?inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total i2aj ooR'a . e , b?in/DWOOD L?oMES R o a ? 7 ?354/. O/ ? PlflN?flEt?IS n doLAfVD ??UflYEYURS BK iS8 ?IVGI?l6@R1NG ? -9 , CornpflNy, irvc. L IUUU EA91' 148Ib BiflEE7, BURN6VILLE, MINf1E807A 40331 PN 1112'31JUU Cer#ificate of Survey Legul DescC11lL1Ull: L07 2, BfACK i, STONE% P01,V7 2/VD ADD/7/ON, DAKO7A COUN7Y, M1n1NE5o7A. NORTH "- SCAIE : 1' = 30' 30' FRONT 9U1LD1N6 55TB4CK UNE (0150) DE40TE5 EXIS77NG ELEVATION UENOTES PflOPOScD ELEYATION INOICATES DIRECTIOH OP SOAFACZ DqAINAG'c A8o' 33 = FlNISHE7 GaRAGE FLOOR ELEVATION 87Z_62 = BASc!AENT FLOOR ELE /ATION _66 = TOP OF 9LOCK ELEVATiON LAKEV/EW TRA/L 878.-a9? (a?8.u Tc. y' 06" ;-v 75.00 ? _ ?7B Si ! O (,97B.55 5I 4 H (? a ^ \) ?` V ? ORA/N46E A,ti'D UT/UTY EASEMENT O , Ln?„?? ? ?87-?. I zzoo r- lO. ?(X. 0 00 N _ , ?-- vi 5.cn -- o PRopo?E[? ?iR.j - ? I o ??USE m M.en ? go,o 8 ? ? I !87z.?.' WAU?o?? 7?8J3,l? ? Cfl74 3? ? I ?874, 3? i I I X x" ? LOT S ? I ? N ? ?J i ? 50°5Z"56"dV I hereby oeilily llial lhis fs a liua und conecl tepiesenlatiun of a lincl ot (and ns shown and deaeribed heron, Ae piepmeJ by ma on Ilds ,14"doy ol Iv1AY ,19`.?1 , rnU1111, nPU. rt,,. I boB? - ,? . j; LOT Z, BLOCK / STONEy Po/NT 2N0 ADD/ TfON, DAKO7A COU/VTr', M/NA/ESoTA. ?878. as, w rl78. 5 / " ?b76•55 ' Screere? ?ncloSUrG ? ? ?,R ? t-i 80,0 0.0 /? BL gp N I ?(( IX V? Qc. nt_? j 1Y I ? I 4 4; I ? r'V/EW 7XA/L 878 s 0° ii' ob 75.00 ? O ` O ? ?B78.6ti 6 i ? ?g78 0 ? tt uu o I ? ?a.not ?-- %;, -- ,- -- (? o r? ? ? ? M ? ? \ ? ? ?_ 2005 RESIDENTIAL SUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New ConsWdion Reauirements RemodeUReoair Reouirements fi#fica Usc+Onlv 3 registered site surveys showing sq. ft. of bt, sq. ft of house; and all rooied areas 2 copies of plan 66rtaf Survey Reaf . Y:' N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated add'Aions Eree pres PlM Read -` _ Y_N, 2 copies of plan showing beam & window sizes; poured found design, elc. 1 site survey for additions & decks 7res Pras RequiFed Y _N 1 set of Energy Calculations Add'rtion - ind'?cate Nonsife septic system L1ri sife SsptiC'System _ _Y_ N'. 3 copies of Tree Preservation Plan if lot platted aker 711193 Rim Joist Detail Options selecGon sheel (buildings with 3 or less units) Date 10 /dGJ Constructian Cost -+iQm - Site Address '3(20(p ja?lU 'lq.,W °T{p':\\ UniUSte # Description of Work j?w?p.Cp, ?j W? hd p WS l Q "c A4n C w l;Y?r aX i S:?)ntA Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 ?-G : 0 In Ace" PropertyOwner u Telephone #((p$1 ) 9 O S- I (c a I Renewal By ?dersen Contractor 1920 County Rd. "C" West Address _ Roseville, MN 55113 stace 651-264-4777 License #20130983 City Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitled • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( 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 reva approval of plans. 6L-) Gt. A P, lAY 1 3 2005 rrA ? CA -er?SOr , Appiicant's Printed Name Applicant's Signature vvlvd.SV'.t tuV db.JV rno. (od a!1 g48U t(t?F:tl`hL 1#L??lYUtStC?tfP[ - re . Tuna 7, Zt?oy - - . • i_ - City Qf Eapa. 3836 PiIat &tob goad - Eagan. MN 55222 . T° Whom u May ccnmm: . Elder Jones is atzthorized to ptcII TauiIdiu .Fldar ]oncs to Pmovidc this b P?ts forReitewal {?y AttdcrseL ptease sttlow . date bcyond 6161OZ: keii•zcc for ?ta in Eagan. lTtia muhoti2ation is vatid for any to theCtry wa? a?`anewa! by .qa?n ? ?lY c?evokes !t in wiic?ng - I rcqnest this autIiadMtian b ourbaild c accept?-expedidously, aS ta naE deEa m the vo ...' 'zg Pcm?its aay fuztfi?cr. Plcaac caII mc If thcxc arc y ??ri8 af r ntactai. at'f63 502-?47UG_ .. anY quuwlona.. I caa tie YoIIr imms'.diatc aftntion to ggs maficr is 9 - ' arsd. . Sinoetaly, • ' . OIId-?.. -Pgm ustallation Managcr Rcnowal by Andcrscn CorPorati.vn V .. ('.c.: Ksrrn-FTder T?ne? . i ax a ? ? ? _ • - _. . _ . . _ _ _?an+oayonEkyg?t,yyn Z? uUU Received Ti-e Ja?. 1. 111PM- PERMIT # 1-4 `A <l C? (R- RECEIPT DATE: _Lt - (? =0 ( RESIDENTIAL f'LUM$INfi PERMIT APPLICA110N CITY 0F EAfiA1V S$SO PII.OT KNOB ltD E4Hl4N, blFi $51 Q£ 651-6$1-4675 Please complete for: ? single family dwellings > townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: O1N^:ER ^L4P.1E: : VA6b yA BYaGf 1'n`; Kl TELEPniNE 4: 4IOS- J?Z.j (AREA CODE) INSTALLER NAME: NAfI€36AAA-R6bMBIN6 60. STREET ADDRESS: ? VENT?R??NqNSTALLERS 290S IdARF1ELD AVE. 80UTH CITY: MIPIAIEAPOLI8, MN 55408 Place a check mark next to the permit work type TELEPHONE #: STATE: ZIP: _ New residential dwelling unit under construction and not ownerloccupied $ 90.00 ? .. Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround [t-e- ? N t f m-w 44r? v ' k a ure o wor q : VV Septic System, new/refurbished - $ 225.00 • includes County & Consuiting inspector fees • requires MPC license State Surcharge .50 ? Tota I APR 0 6 IUU] e)j SOSb Reminder: Be sure to schedule inspections of alterations; i.e. wa ftbe?ater=sv?rs, etc: I hereby acknowledge that I have read this application, state that the intormatlon is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to noti(y the property owner that the City of Eagan assumes no liability For any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City pr pert /right-of-way/eas ment. SIGNATLKW PERMITTEE (AREA CODE) Updated 1101 ?'6?X??'7f ?tM?X:§'t'MYt%?'?X?)fXti?«?t•7k?? 9r%`CM?;!Y,:'Mx??X'"%FXS:S.;,F7$M'a?.t?.?t C7:TV r_3F !":ra(aA?N Cai:;H:r.r.R: is Tr:RM:i:NF,i_ NO: 935 Dr-?rr:-c 08;27,99 }..IME- i.Co00?45 zt? -, NIAre:;, AP(;-r•ERh:r.7S 300 5001 3606 I...h1•;EV7:[:hl ?' :l;i,';.r`i 205 9001 ;irtaf)b LA"E.V.T.N:.I'.1 1 4XC) 3210 9001 4064 t,FlGNL_Tf'i" P 97wr J 055 9001 4004 MAr:ar.E..r.tr P 2.00 'rt]t:,:Y.l. fiuce:ip'F, i'1m[Ytdrltw ;":it.r., 50 CR:1.1600'.-, LISL::i; :I:I1;, JAN 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? 851-6814675 New Conshuction ReauiremeMs # 43m ? 3 regisiered site surveys showing sq. R. of iot, sq. ff. of house and all roofed areas (20% maxlmum lot coveroae allowed) ? 2 eopies of plans (show beam 3 window sizes; povred fnd. design; efc.) ? 1 set oi energy calculatlons ? 3 coptes of hee preservafion plan R lof platted aiter 7/1/93 DATE: l5' 2-I' 9 / DESCRIPTION OF WORK: l?P,/2fd]Jp//C2/J/Cl,C??P _IZLJ1` - o STREET ADDRESS: !o U ??i?CP /cw / - ?G LOT: ?-- BLOCK: -?- SUBD./P.I.D. #: i vx ?. ? Name: ZV/U& , i ('/uj Phone #: PROPERTY Las? First OWNER ? / ,- Street Address: 0 ?E'?lJ? L"-) l? City !5iA442`r State: Zip: Company: ?149c Phone #: fo IZ 767? ? p? (area code) y7 , l?G,_,Q?? CONTRACTOR 2Z StreetAddress: ? /" P?? Ye ° License# 16?3?3 Exp, City R?ptSU?f? State: /?;o Zip: ARCHITECT/ ENGINEER Telephone #: area code ( Streefi City Sewer 8 water licensed plumber (reaufred for new constructlon onlv): Name: Registration #: _ State: Zip: Penalty applies when address change and lot change is requested once permff is issued. - I hereby acknowledge that I have read this appltcation, state that the intormatlon is correct, and agree to comply with all applicabl 4tate of M(nnesota Statutes and City ot Eagan Ordinances. Signature of Appllcant: , OFFICE USE ONLY Remodel/Reoair ReaulremeMs 2 copies of plan 1 sei o} energy calculaNons for heated addRions 1 sNe survey for exferior addkions 3 decks Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required r . . . ? i c 1991 BDILDIN P I AP ICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL / 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY ' OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT I5 ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Single Fdmily Valuation: #@:;= Date: Site Address 3606 Lakeview Trail OFFZCE USE ONLY Lot 2 Block 1 Occupancy Zoning R -1 Parcel/Sub Stoney Point 2nd Actual Const V-N Allowable V-N _ Owner The Windwood Canz>anv. Inc. # of stories Length 17ff -, Address _ pp gox 24329 Depth 48 S.F. Total City/Zip Code L"lP Va11ey, MN 55124 Footprint S.F. Phone 891-4605 On site sewage_ On site well Contractor The Windwood Comnanv, in .MWCC System ? City water ? Address p0 Box 24329 PRV Booster Pump City/Zip Code Apple Valley, M 55124 _ APPROVALS Phone 891-4605 Planner Council Arch./Engr. Bldg. Off.? .?? Variance Address City/Zip Code FEES Bldg. Permit 586.00 Surcharge Z/ , Oo Plan Review 3 8 , UO SAC, City 0010 t? SAC, MWCC A-go i0? Water Conn. bo O water Meter 9 ,vv Acct. Deposit 30,00 S/w Permit 30,0v S/W Surcharge ,Sv Treatment P1. (,,Do Road Unit 3 7j2,.0o Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL Phone # agrees that all work shall be done in accordance with (Signat re of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. V'A LtdAT (?ARAGC zzxzZ= y8yx15--?Z6o ?lcyb ? fUWe 13X I Z-?I S? / Zo2 x 14= / 6 S2? ?iDuS? ??-- - ??'v17: I 202 ?t +53 = 6 3? ? .?. , ? ? . • , . Wi,1,9wooo yaMEs , ?.?54/ . CI?VC@fl1?YG T C PLANEflS a ?dULANP SiURV6YORS BK ?SS CornpAN?r iNC. ? 37 , ..IUUU EAST IABih BTREET, BUflN6VILLE, MINNEBDTA 46331 PN ha?-?JUUD UD Certificate of Survey Leyal Desca'lp L1011 : LOT Z, BLOCK /$TONEY PO/NT ZND A00/7/ON, OAKD'TA COUNTY, M/A/NE507A• - !?eos;??- LAK5V/EW TIZA/L ;8?8.3?> - ._.?---- , - -- NORTL7?? SCALE : 1" f ? 75.00 / - - -. ? ? p ?878.55 ? ? k I30F?NT ? $ETB4CK G INE a, ao ?3' ?? ?? N ? ? io.ool ? 5,ao - L--- ??- } $ PROpoSED 8 8,7 j ? HouSE Bo,o ? I m S ..' L?O.ab N ? l( y? I I !aZz_?? wau?o,?-/8?3,T, Cs-74, 3 , \J DENOTES EXSSTING ELEYATtON ?? ? CENOTES PROPOS'D ELEYATION J?1 INDICATES DIAEC710N OF SURFACE ORAlNAGc ' g?o•33 a p3NlSHED GARAGe FL00R ELEVATION 877,6'[ a BASF.MEM FLOOR EiVAT10N = TOP OF BLOCX ELEYATiON I C-" 5 Of?A/N,46E AND UTiL r ry E45E142?NT 15 o ? ? N 1(iereby cerlily lhat this is o Uue and coirect tepiesenlalioii of a tracl of land ns sliown and des?cribed hetoii, Ag piepated by me on lllis ,147' dey ol MAY ,1991 , CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # - ' PHONE: (612) 454-8100 RECEIPT # DATE : `/" 7 5P/ ;P?:;? PLEASE COMPLETE DPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & ,. . . TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------t ------------------------------------------------------- WORK DESCRIPTION I FEES NEW CONST ADD ON REPAIR ,.? a OWNER NAME: '?_Awdlg7? l`l 0? L SITE ADDRESS:, A? J LOT: at BLOCK SUBD. TNSTALLERaL( Al?alw ADDRESS: CITY: PHONE # : _ 'JX?,.1" ZIP: . PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, -,.., .._.......... APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ----------------------------------------------------- --------------------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: IAT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT FEES 1$ OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 1$ $ STATE SURCHARGE $ TOTAL: ( S IGNATl1RE ) $ +---? .50 CITY OF EAGAN SUBTOTAL: STATE SURCHARGE PERMIT ' REACTIVATE ? 1 bv 1 CITY OF EAGAN 1992 BUlLDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys., 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy cal,cs. Penalty applies when typing of permit is requested, but not picked up by-last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date C;L& Z Valuation of work Site Address: 3L010 l_.,4KE09;'-) . STREET SUfiE 0 Tenant Name: (commercial only) LOT ? BIACK ? SUBD. P . I . D . o T Descri tion of work: ' The applicant is: R"Owner ? Cantractor ? Other (oesortbe) Name 'RD-_2_r?jdE MrC,jJ Et_.,. Phone Property LAST FIRST Owner qddress ( _AK?? ? 0LAD 'j?.,4 ! L- STREET STE M City State ?0 Zip 2 z- Cortrpany Phone / Contractor Address 5?4 lm% l:icense # Exp. City 5tate Zip Company Phone Architect/ N Engineer ame 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 Chat I have read this application and state tfiat the inforination is correct and agree to comply with all applicable 5tate o Minnesota 5tatutes and City of Eagan Ordinances. . Signature of Applicant-?t?'-r" - BUtLDING PERMIT TYPE ? 01 Foundation O 02 5F Dwg. ? 03 SF Addition O 04 SF Porch ? 05 SF Misc. WORK TYPE 441 New 32 Addition OFFICE USE ONLY ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. O 33 Alterations ? 34 Repair GENF-RAI- INFORM4TlnN a ?. O 11 Apt./Lodging ? 12 Multi. Misc. O 13 Garage/Accessory O 14 Fireplace ?15 Deck ? 35 Tenant Finish ? 36 Move . ; ? 16 Basement Finish 0 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. D 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC 6ccupancy 1z__ 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length ?.(o On-site well Census Code ? Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS ? Site qd-Footing ? Framing . ? Insulation ? Nallboard Final ? Draintile O Fireplace Permi t Fee ? veLtme;«,: g 5urcharge --? rlaA nZYlevi License MWCC SAC City 5AC Water Conn. ilater Meter . Acct. Deposit 5/W Permit SJW Surcharge Treatment P1. Road Unit Park Oed. Trails Ded. ies er M Total: SAC % SAC Units - " Gy/NOWOOD ?y : ?OSE T ?354/.O/ ? ALHN?NEf+1S onJ?LAf1U S+?RVfYUIIf gK ?58 ''` ?tVG1tYE8flitVG ? 37 CornPONY , iNC. L IUUU EA9P 148Th 8Tfl6ET, 0URN6YILLF: MINNEBOiA 5635( PM 4 0 Z•3UUU ? Certificate of Survey Legul Desci'lj)LlUll: LOT 2, BLOGK / STONEY PO/NT 2ND AOD/T/ON, pAKOTf) 60UN7Y, M1Nn/E507A. NORTH scnLE : r = aa, 30 ' FRONT BU/LO/NG 5ETB4CK L/NE ---? ZI P, DENOTES E)C1S7'1NG ELEVA710N (BJ30") OEHOTES PHOPOSED ELEVATION ?-- WDICaTES DIRE:.ION OF SUfiFAC£ DFiAINAGE 880• 3j = RNISHED G.WAGe FLDOq ELEVATION 872?_62 ? BASclAENT FLOOH EL£lAT10N = TOP OF 9LOC% FlEVAT10N LAK?ViEbt/ 7R411- - r - ? ? g o° w ?S.oo 4 H ^ •p, b ? ORA//J.96E ANO v7iLr rY ?SEn???vT N ? /3.mN L6 ? N ?0.00 ?tj /?.OOI Q N SGO c? PKOf'o`-?EU g78lj ? I N?uJE go,o N I ` 4li. 00 ? J I T/g73.i' I I L' I ?s7 ?8?4,3? ? 1 I 1 n 5I I-V? ? '/ j I 1 (? ??l? ?l / 1? N I ? ?Sns I IN ? ?. , ? O ?J i 75.00 5o?sz'.s6 w I 4ereLy cerllly llial Iliis la 4 Luu and couect eepiusenlaliun o( u lsiicl ol I+iud us shown . and deocrfbuJ hatun, As piopmed by me on lhla 14-'? Jay ol N_A1' ,19 91 . ` ? ?T LARRYS.SEVERSON• JAMES F. SHELDON J. PATRIC% WILCOX' TERENCE P. DURffiN MICHAEL G. DOUGHERTY MICHAEL E. MOLENDA" 'ALSO LICENSED IN IOWA ••ALSO LICENSED IN WISCONSIN ••+A1.50 LICENSED IN NEBRASKA September 11, 1989 Mr. Gene VanOverbeke Eagan City Clerk 3830 Pilot Knob Road P.O. Box 21199 Eagan, NIN 55121 A PROFESSIONAL ASSOCIATION ATTORNEYS AT LAW 7300 WEST 147TH STREET P.O. BOX 24329 APPLE VALLEY, MINNESOTA 55129 7'ELEFAX NUMBER 432-3780 (612) 432-3136 PAULJ. STIER KENNETH R.HALL "•SCOTT D. JO}IN57'ON JOSEPH P. EARLEY MARYL. GOLIKE LOREN M.SOLFEST RE: Stoney Point 2nd Addition Pressure Reducing Valve Agreement Our File No.: 206-6035 (OOE) Dear Gene: In connection with the above matter, I enclose original recorded Pressure Reducing Valve Agreement - Document Number 901734 for the official City records. If you should have a question, please feel free to contact me. Thank you for your consideration and cooperation in this matter. Ver uly yours, SEVERSO , WILCOX & ? ?F- a--r---Y--? Roxann Duffy Legal Assistant RSD/djk SEVERSON, WILCOX & SHELDON, P.A. SHELDON, P.A. OFCOUNSEL: JOHN E. WKFI.ICH Enclosure 9 i3 i73' .. ?i STONEY POINT 2Nb ADDITION PRESSORE REDUCING VALVE AGREEMENT THIS AGREEMENT, made and entered into the /?7 day of 1988, by and between the CITY OF EAGAN, a Municipality of the State of Minnesota, (hereinafter called the CITY, and the Owner and the Developer identified herein. The terms "Develope=° and "Owner" as used herein refer to MERITOR DEVELOPMENT CORP. whose address is 605 West Travelers Trail, Burnsville, Minnesota 55337. WHEREAS, the Developer has applied to the City for approval of the plat or subdivision known as STONEY POINT 2ND ADDITION, located within the City; and WHEREAS, the Owner and Developer agree to notify the proposed potential buyers of all lots within STONEY POINT 2ND ADDITION that STONEY POINT 2ND ADDITION is in a high water pressure zone and a pressure reducing valve shall be installed in each home below the elevation of 875 feet. All costs shall be the responsibility of the Buyer and shall be installed to prevent damage due to high water pressure. NOW, THEREFORE, the City, Owner and Developer agree as follows: 1. Recordinq. This agreement shall be recorded with the Dakota County Recorder so as to provide notice to the owners of Lots 1-8, Block 1; Lots 1-19, Block 2; and Lots 1-11, Block 3. The Owner shall provide and execute any and all documents necessary to implement the recording of this agreement. 2. Notice. The recording of this document shall constitute notice to all owners and future owners of property in the STONEY POINT 2ND ADDITION subdivision that Lots 1-8, Block 1; Lots 1-19, Block 2; and Lots 1-11, Block 3 are in a high water pressure zone and that a pressure reducing valve shall be installed in each home below r 3 , the elevation of 875 feet. All costs shall be the responsibility of the Buyer and shall be installed to prevent damage due to high water pressure. 3. Validitv. if any portion, section, subsection, sentence, clause, paragraph or phrase of this agreement is f or any reason held to be invalid, such decision shall not affect the validity of the remaining portion of this Contract. 4. Hinding Aareement. The parties mutually recognize and agree that all terms and conditions of this recordable agreement shall run with the land herein described and shall be binding upon the heirs, successors, administrators and assigns of the owners and developers referenced in this Contract. IN WITNESS WHEREOF# we have hereunto set our hands. CITY OF EAGAN (Date: 13+ L: By : L'/14--ft ?-- Its Ma ? Attest: Its C trk STATE OF MINNESOTA) ) ss. COUNTY OF OA4,1111TA ) OWNER AND DEVELOPER MERITOR DEVELOPMENT CORP. / By : G 7NW-,5 I t s : 06* /Lpr? On this G'V64 day of ?. 1988, before me a Notary Public within and for said County, personally appeared VICTOR L. ELLISON and E. J. VanOVERBEKE to me personally known, who being each by me duly sworn, each did say that they are respectively the Mayor and Clerk of the City of Eagan, the municipality named in the foregoing instrument, and that the seal affixed in behalf of said municipality by authority of its City Council and said Mayor and Clerk acknowledged said instrument to be the free act and deed of said municipality. ----------------------------------- -?, MAAIIVM L WUCNEAPfEMAIG NOTARY ?UBllt - MINNESOTA j ? ? otar ;/Public ? DAKOTA COUNTY Lly Commiss+on ExD Fe6 8, t993 ? . -2- On this day of XouerAW , 1988, before me a Notary Public w thin?a,nd for said County,, personally appeared 4.1 `?mnm -aad- to me perso all.y known, who being-eae by me duly sworn, eae dic7 say that '- ___r_=t=___1 the and - of the Corporation name in the fo going instrument, ? and that said instrument was signed --a ^°a'e' in behalf of said corporation by authority of its Board of Directors and said ?M ' and acknowledged sai instriun t to be the free act and deec3 of the corporation. STATE OF MINNESOTA) ) ss. COUNTY OF J- ZC0A0., ) 4dk' Notar Public THIS INSTROMENT WAS DRAFTED BY: McMENOMY & SEVERSON, P.A. 7300 West 147th Street P.O. Box 24329 Apple Valley, MN 55124 (612) 432-3136 MGD -3- - .,.,,?,n?n.,nnn ¦ %?<,'=?•, fAY ELIF,SON `'- '? NDT„RV PU3lIL-I!;,!'CL50TA HEPC`!EF!N t;UJ4IY Mq Commissica Expires fizy 26 1593 x .rWrvWV+/v x v PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA149663 Date Issued:06/04/2018 Permit Category:ePermit Site Address: 3606 Lakeview Tr Lot:2 Block: 1 Addition: Stoney Point 2nd PID:10-72601-01-020 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - RPZ/PVB/Lawn Irrigation $59.00 0801.4087 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 - Robert D Newman 3606 Lakeview Tr Eagan MN 55122 Jay's Plumbing 25 South Sutton Lake Blvd. Jordan MN 55352 (612) 868-4102 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150040 Date Issued:06/19/2018 Permit Category:ePermit Site Address: 3606 Lakeview Tr Lot:2 Block: 1 Addition: Stoney Point 2nd PID:10-72601-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Robert D Newman 3606 Lakeview Tr Eagan MN 55122 (651) 454-8994 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature