3869 Gold Pt. '
BUfLDING PERMIT
CITY OF ?I1Gi
»n ru?r Knob : ?a ? Ent
PHdNEt 45+4•814
c.. v,.i,.. MN s5122
Receipt # _
n.....
M< 1r. I
Site Addreu ' Erect
0
0??upancY
Lot Block
- Sec/Sub. 111ter p Zoniny
p
Parcel C) Repoir p Firc Zone
E T
nlo?ye p ype of Const.
e; Nan'+e Move 0 # Stories
I Address Demolish p Length
r:.., ok,,.,_ Grode I-i Depth So. Ft.
p pC Name ^YPrvTao* roe•
ut ???? llssessment Permit
~ Woter 6 Sew. Surthorga
Cit p??
r Police Plnn check
°C Nome
?Z Fin SAC
?? Address Enp. Water Conn.
c W G phone Planner Woter Meter
Council Road Unit
1 hereby ocknowledge thut I have reod this application and stote that gldy. Off.
the intormotion is correct and agree to comply with oll opplicable
State of Minnesotc Stotutes ond City of Ecyon Ordinances. APC Totol
Slynoturo of Pennittee
/1 Bullding Permlt is issued to: on tha ezproas coriditlon Ihm
oll work sholl be done in otcordonCe with oll oppliooble 5tote of Minnesoto Statutes ond Gty of Ec9an Ordinonces.
Buildinq pffitiol
Permit No. Permit Holder Misc. Permit No. Holder
Plumbin9 aga ?E k ? r? S-I q
H.V.A.C. QZ? Wg 1 1'' Ip-7-?
V
w.u
W?ter
? D"?sp.
Swwr
ENctric 3? 0? z AK s?fn b-z?-fsz
Irqpection Date Inap. Other
Footingt
q-3o-fiz eSP
Foundstion
FrsminQ
a+'C? ?-tR -?Z - ??
Rouoh PIb9.
Rouqh HVA
Inwlation ? r
Final Plbg.
Final HVAC
.
Final
Water D"eribs Location:
Nhll r
5over
Pr. Dbp.
,. , cirY oF EAw?N
37!! PIlet Ksob Rodd Eaysn, MN 55122
PHONE: 454-6100
BUILDING PERMIT Receipt #
T.. L. u..A i... I? .& GA c... v..?... " '' n.....
N .° 731t2
June
Slte Addrcu Erect ?
Lot Block
Sec/Sub. - • ; ? ? ; Alter ?
+
Paroel # l1? 35Q . j(60 CD? Repai r 0
Enlcrye Q
oWc Name Move p
Z Address Demolish p
?
r[... oL- Grade fl
°C Nome _
,o
?? /lddress
? rir.,
'ln[er
Assessment _
Water & Sew.
Police
Fire
Enp.
Planner
Council
Bldg. Off. -
APC
UF Name W W
uo Address , .
5W PS-
I hereby acknowledge that I hove read this opplicotion end stote that
fhe information is correct and ngree to comply with oll applicable
$tote of Minnewto $tatutes and City of Eogon Ordinonces.
82
Ottupancy
Zoniny
Fire Zone
Type of Cor?st.
# Stories
Length
Depth Sq. Ft.
Fees
Permit
Surchorfle
Plon check
.7l'1y
Water Conn.
Woter Meter
Road Unit
Total
Sipnnture of Permittee ?
/? Building Permit is iuued to: on the express conditfon 1Fxii
oll work shall be done in accordance wlth all opplicable State of Minnesota Statutes ond City of Eeqan Ordinances.
Buildirq Officiol
Permit No. Mrmit Holder Misc. Permit No. Holder
Plumbiny t?
L-C,,
57-4y4 z
H.V.A.C. bjE G'7
Woll
Water
Dbp.
S?vrer
E Isetrie 3 qb c4Z Q SS E/1
E ?c
Irapsetion Dets Other
1
y--? -S
Z 5?>
n
;
Framing
_ $-dt
? - I- LN U?Ska t u.+l ? Vb u?
Rouyh HVAC
Inwlstion
Fiaal Plbg. -? q
Find HVAC ?l ? a
Final -ZD ? -
Water Ofteri6e Lotation: •
YWII
Sewer
Pr. Dbp.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN ,
Fae
Fi!l rn numbered spaces S/C '
Type or Prini /egib/y Tot.
1, Date 2. Installation Cost
i .
3, .lob Address Lot Blk. Tract
4. Owner
5. Contractor 7 N. Wi:LT?R M:.TII! phone 25-6867
6. Address
7. City
637 chic,, .
intie : . ,o <. i. .
' State
Zip
8. Building Type: Residential 0 Commercial El Institutional ?
9. Work Description: New El Add ? Alter ? Repair ?
10. Describe i-• h ' Fuel Type
11.
No,
? Equinment 8TU - M. Ea.
Forced Air No. EQUipment CFM
Ai
dli
H
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
? Air Cond.
Mfg. - a • , .
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
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prlnt /egibly
T
t
-
o
. --,:--
1. Date 2. Installation Cost ?'r •
3. Job Address, Lot Blk. -, Tract ?
4. Owner
5. Contractor 'r N. 'dELT'-R HE:,TM phone `'25"6867
6. Address 4637
7. City .. .`• State ' Zip
8. Building Type: Residential 0 Commercial ? Insiitutional ?
9. Work Description: New 13 Add ? Alter O Repair ?
10. Describe Fuel Type
I 11.
t
No.
? EQuiQment BTU - M. Ea.
Forced Air '0'C''U`' No.
- Equipment CFM
H
Ai
Mfg. r
andling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
' Air Cond. -v?;• ?' "' `
Mfg.
! 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
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt - PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee ?
? Fill in numbered spaces S/C
Type or Print /egibly Tot.
1. Date 2. Installation Cost
3. Job Address -5g 71 Blk.
IM! ` ?_
` Tract
4. Owner
5
t
t
C
; ; C
Ph
' f
? FC ~//7
,
. rac
or / I
?..? ,
on /
•
, i
on e
C
6. ?
Address 4l
7. ?
City State /I ? h Zip
8. Building Type: Residential a Commercial ? Institutional ?
9. Work Description: New U- Add ? Alter ? Repair O
I 10. Descri be
I 11.
No.
? Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
? Bath tubs p
Septic Tank
? Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
r Floor Drains
Drinking Ftn.
E Slop Sink
Gas Piping Qutlets
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
Rough Final
Inspqctions: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved - ' CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No. .-
CITY OF EAGAN
Faa '
Fill in numbered waces S/C
Type or Print /egFbly Tot. ?
1. Date. ?-- 2. Installation Cost
3. Job Address ' ? ,LotBlk. ? Tract
• ;L
4. Owner
5. Contraetor L 4J . :7 " i, rc Phone
6. Address r/,- f' n 11 .l A( pr. (.
7. City State f/ f.?,... Zip -.'.
8. Building Type: Residential 64
9. Work Description: New?11
10. Describe
11.
Commercial ? Institutional ?
Add ? Alter ? Repair O
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Orainfield
? Bath tubs Septic Tank
/ Lavatory Softner
Shower Wel I
Kitchen Sink
Urinal/Bidet
Other
Laundry Tray
_L Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing thia type of work.
Signed : ? / % - - for
Rough Flnsl
Inspections: Oate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt ?PLUMBING PERMIT Permit No.
CITY OF EAGAN Fee $5 , 00
FNI rn numbered spaces S/C .50
Type or Prini /egib/y Tot$ 5. 5 0
.
--r--
1. Date 3-2' 84 2. Installation Cost '
3R69 COLnPOTNT
3. Job Address Lot Blk. i_ Tract
4. Owner
5. Contractor TW I iv C I TY L I ND S AY phone 5 4 6- 3 7 2 9
6. Address 11181 r^F.FtiRRIER ROAD
7. City "IN*:ETONKA State Y '-?" Zip 55343
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
1 11•
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Se
tic Tank
Lavatory 1 p
Softner
Shouver Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
I
Slop Sink
Gas Piping Outlets I
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.
Slgned: Jr.. ' . for/ L .
Rough Final
Inspections: Date Insp. Date Insp.
7his is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
PLUMBING PERMIT PermitNo. /( '
CITY OF EAGAN Fee S 5. 00
Fill in numbered spaces S/C • S-0
TypE or Print legibly Tat$ 5. 5 0
.
1. Date 3- 2- 84 2. Installation Cost.
3. JobAddressf?? ^nLnT0 I?'Tlot Blk. ? Tract
4. Owner
5. Contractor TW I ti C I TY L I.1DS AY
Phone 546-3729
6. Address 11181 CREEr:BRIER ROAD
7. City '-tINtiF.TONKA State *rt1 Zip 55343
8. Building Type: Residential 6 Commercial ? Institutional ?
9: Work Description:
10. Describe
1 11.
?
?
3
?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory 1 Softner
5hower Well
Kitchen Sink
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 opdes governing this type of work.
Signed : _ 1 7": for lr, ??. ? ? i' • ? ?' ,? .' - ?
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?
New O Add ? Alter O Repair ?
CITY OF EAGAN Remarks
Addition COUNTRYSIDE VILLA
Owne?;" Street 3871
.1J lije,4 It11,i4#:lSln4. akl r ('nndn l i
C;araae 17
55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 3,11 1976 Paid unde Ox'1 inal TC81
STREET RESTOR.
GRADING
SAN SEW TRUNK q0 1968
* SEWER LATERAL y 1982 tr
* WATERMAIN 19$2
WATER LATERAL
WATER AREA 1977
* STORM SEW TRK 1982 ?? ?r tt
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 240.00 #30278 6-1-82
WATER CONN. 420.00
BUILDING PER. 7302
SAC
525.00
PARK
CITY OF EAGAN Remarks
Additipn COUNTRYSIDE VILLA Lot 131k Parce?d-18350-117-U
OwnerX ?-? Street 3869 GOLD POINT Scace EAGAN AIN 55122
7'-!?` Condo 18 Garage 18
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ?? 1976 Paid unde original p rcel
STREET RESTOR.
GRADING
SAN 5EW TRUNK alb 96
* SEWER LATERAL y 1952 ?+ r+ rr
* WATERMAIN 19$2
WATER LATERAL
WATER AREA ].J77
* STORM 5EW TRK j9$Z +r
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 240.00 #30275 6-1-82
WATER CONN. 420. OO
SUILDING PER, 7301
sAC 525.00
PARK
WATER SERVICE PFRMIT
CITY OF EAGAN
379.5 !'il¢• Knob Road PERMIT NO.: _
Eagan, MkA 55122 DATE:
Zoning: --- No. of Units:
Qwner:
Address:
Site Address: 1-
Piumber:
Meter No.: r?
Connection Charge:
$ize: AttouM Deposit:
Reader No.: Permit Fee:
r 1 agrea eo wmpgr with the City of Eagon Surchorge:
Ordinaneas. Misc. Chorges:
TotaL•
gy Dote Paid:
Dute of Insp.: Irisp•: i
SEWER SERVICE PERMIT
CITY OF EAGAN
3795 P1&6. Kno6 Road PERMIT NO.:
M?I S5722 DATE:
Eagon, _
Zoninp: ? - No. of Units:
Owner: _
Address:
: ( ? <?' c? "t I_!
r ?
"' f'et:
Address:
Site
Plumber:
,; . -. - I . . ,..
109filY t0 COIIIply Wfth fhe C.ft Of EQ$QR Connection Chcrpe: i . ?
Ordiaaneea. Account DepoSit;
.
Permit Fee:
Surcharge:
gy Misc. Chorges:
Dete of Insp.: Total:
Incn - DQte POid:
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, MN 55122
Zoning:
Uvner; - -
Address:
Site a r :ddress:
Plumber: '
Meter No.;
Size:
Reader No.:
t a9ree to eomply with tha CiFr sf Eegaa
Ordinanees.
n.,
Date of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE: '
?. No. of Units: -
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Charges:
Mist ' "'. `lx
.
Total:
Dote Paid:
¦?
cirr oF EAGaN
SEVYER SERVICE .?
PERMIT ,
3745 Pila Kno6 Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zonir.g: L - No. of Units:
",ountrYSi:'e
n
O
w
er:
AddreSS:
Site Address' j? C.c:lc' ;'ci T? ?;1 +'Oi!=iti.'•, s we?e V11:l.tt
Plumber:
/u.^ , i,ti?,00 »d
1 agree M eomply with ehe City of Eagon Connection Chorge: ??" ' •,
Ordinances. Account Ueposit:
Permit Fee: `
Surchcrge:
Char
es:
Mi
gy g
sc.
D
f I Total:
ate o
nsp.:
Insp.: Dote Paid:
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showmg sq. fl. of lot, sq. ft of house, and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showmg 6eam & wmdow s2e5; poured found design, etc )
• 1 set of Energy Calculations
• 3 copies o( Tree PreservaGOn Pian rf lot piatted afler 711193
• Rim Joist Detail Oplions selection sheet (bldgs with 3 or less untls)
DATE 2) ' ? d '"'O (
JOB SITE ADDRESS %1,1?oI '3 Q" '
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER ??UJ3aT?? St`oIG V
!?5 ) --I I - ri '?-
3--D,1-0 (
RemodellReuair RepuiremeMs
. 2 copies af pWn
• 1 set of Energy Calculations forheated addiUons
• 15itesurveyforeztenoraddiUOns&decks
VALUATION (EXCIUDING LAND)
? G o I e( Pa I•h-t-
TYPE OF WORK _J Car r o? X e foo FIREPLACE(S) _0 _1 _2 _3
APPLICANT 52 1 Ct IICPQ-Pih ! PHONE # 4s.l - Tla.1- 9'0V16
ADDRESS '1100 CXeC/Sror Wvat ZIPCODE 3X411F
PAGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - flLl OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing Syslem Includes:
Mechanical Contractor:
Nlcchanical Svstcm Includes:
Sewer/W ater Contractor:
Water SoFtener
Water Hea[er
No. of Badts
Air Coiidiuoning
Hcat Recovery Systcm
Phone #:
I.awn Sprinkler
No. of R.I. Baths
Phone #
Phone #
P'ee: $90.00
P'cc: $70.00
All above information must 6e submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is
all applicabie State of Minnesota Statutes and City of Eagon Ordinances., ,
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Pfan Received _
i ligr? fo
(1u_0-
Required _
Updated 1l01
CITY OF EAGAN
3795 PUof Knob Road Eagsn, MN
v PHONEs 434-8100
BUILDIN P IT
& GAR
000
Sih Address 3871 Gp1d POiilt
Lor -I eiak-? socisub. ?m?ide Villa
Parcel # f 0 (1$ ; Sb j ((0 O
W I Name 02IIIIiTVS1dE BtTL1dPXS, ITIC.
; Addreu 1500 E. 79Y?'1 $t..
b Q'7,.,..„i«?.... QC/._/?771
o Name _
?
OU Addren
H r....
?w I Name ipci2il Pmtner'ShiD
4? Address 7-5 $. ??1 $t. ,
5uZi ri.. MDl3. ok..__ 338-8889
I hereby acknowledge that I have read ihis npplicotion and state thot
the in(ormotion is correcc ond ogree fo wmply with all applicable
$fote of Minnemta Stafutes ond Ciry of Eagon Ordirwnces.
Signoture of PermiMee
ssi:s N° 721G
Receipt # dy 9;;,
e r ?
o
u 3
AI er p
? cc
y
Zo ' ?
Re re Zone NA
Enlarge ? Type of Const. V
Move ? # Stories
Demollsh ? Length NA
Grade ? Depth NA, Sq. Ft.-
Approrab Faes
Woter & Sew.
Police -
Fire
Eng.
Planner _
Council -
Bldg. Off. _
AVC
Permit 1/U_7U
Surchorge 12.50 .
Plon check 91.21. .
sac 525_no
Water Conn. 420.,.00
Water Meter 6n 00
Rood Unit? ??n nn
T,t,i 15 .25
A Building Permif Is issued to: LomL 1Qe 1RIllCl22'S on the express torditlon Ihat
all work sholl be done in accordnnce with oll applimbla Sta/f? Minneso tat fs ond of Eagan Ordinonoes.
Buildirq Officiol //-?O ?
9S_cirr oF enncaN N° 7215
/?- PIlot Kneb Raed Eogan, MN 55112
VHON[s 454-8100
BUILD NG PER IT ReceiPt
GAR
000
sire nddreu 3869 Gold Pbint
Lor 1 Block 1 secis,n. i27LFitrYside Villa
rarmi # S v 1 T-7--0T-
W Name _
; Addrenitt
b
o Name _
?? Address
F? r:...
Nnme _
Addresa
AI r ? nirg
R ir Fire Zone -
-
Enlarp ? P
Type of Const.
Move ? # Stories
_
Dem?sh-d ?
Length
Gmde fl Depth Sa. Ft-
I hereby ncknowledga thot I have read this opplicotion and stote thal
the informolion is correct and agree to wmply with oll opplicable
Sfote of M,nnesoto Statutes and City of Eogan Ordirwnces.
Sipnature of Pertnittee
A Building Permit is iaued to: cc
all work shall be done in accordance wifh cll
Building Officiol
Assessment _
Woter 8 Sew.
Police -
Fira
Eny.
Vlonner _
Council _
Bldg. Off. _
APC _
Permif
Surchurge 12.5?
Plan check 85.25
snc 525.00
Woter Conn. 420 _(l?
Water Meter 60-0
?
Rood Unit 9,40-0
n
Totol $151
_ on the expreu cordiNon ihnl
and Ciy of Eaqan Ordinances.
+t CITY OF EAGAN N° 7 3 01
3795 Pibt Knob Rxd Eoyan, MN 54141' -
PHONE• 454 BI00
BUILDING PERMIT? • Recelpt # 7?i
Te M awd foe 1/2 DUPLEX & GAREst. Value $25, 000 pate June 1 , 1982
Site Address 3869 Gold Point ea ?, 0 upancy R-3
Lot 1 Blotk J1p See/$ub. ?untrysld Vill qlter ? oning PD
Parcel # -I o l a S S O )1 Fire Zone NA
Enlarge ? Type of Const. ?1
,? Name ?untryside Builders, Inc. Mb„e ? # Sto.ies
z Address 1500 E. 79th St., Demoliah ? Length?B
ci BlOOmington pho,b 854-4721 6mde ? DepthMA_Sq. Ft.-
? Name _ Od^Pr AOProvals Fees
0
ou Addreu
Nome T-gisiqn Paztnershio
Addreu 15 C Fi f h^+ '
..«. tlnls. 01-___ 338-8889
1 hereby ocknowledge that I hove read this application and stote that
the inlormotion is correct ond ogree to comply with oll opplicable
Stote ot Minnewto $tafutes and City of Eogan Ordirwnces.
Sipnoture of Permittea
A 8uilding Permit is issued ta: l'n in rvsidP
oll work sholl be done in accordance wifh all opplicable
Bulidirq Official
Assessment
Woter 8 $ew.
Police
Fire
Eng.
Plonner
Council
Bldg. Off.
APC
Permit 11v.ZPu
Surchorge 12.50
Plan check 85.25
SAC 525.00
Woter Conn.420.00
Water Meter 60.0
Road Unit 240.00
Tmol 51513.25
on tha express conditlon thnl
y of Eagan Ordirwnces.
? CITY OP EAGAN ^'_ .. N? - 7302
- --
• 3795 Pibf ICno! Road Eegan, MN 55142 -
• iHONF: 454-8100 ./?
BUILDING PERMIT? Recelpt #
Te M uwd fer 1/2 DUBLEX & GAR Fo
Volue $25,000 pate June 1 ?q 82
, ,
Site Address 3871 Gold Poi.nt Ered l Occupancy R-3
Lot 1 Bixk 1 $ec/$ub. CoUtitT SidO Villd Iter / Zoning PD
Flre Zone NA
E
l
? e of Conat
T V
n
aroe .
vP
w Name counttvside Builders Inc Move ? # Stories
Z Address 1500 E. 79th St.. Demolish ? Length NA
? C; Bl oominaton phone 854-4721 Grode ? Depth M Sq. Ft.-
? e)?e1„ ppprmalt Faes
o Nama _
?
ug Address
C ?:...
Name Be?sgn Partnershig
Addresa ? S S Fi f*h S*
I hereby acknowledge thot 1 have read this application and state that
the inlormarion is Correct and Ggree to wmvlY with all opplicnble
Stote ot Minnewta Statutes and City of Eo9an Ordinonces.
Assessment Permit 170-50
Water & Sew. Surchorge 19-Sn
Poiice Plan check RS _ 2S
Fire SAC -525-.Q0-
Erq. Water Conr470 nA
Vlanner WoterMeter6n ^O
Council Road Unit 149-.DO-
Off
Bld
.
g.
APC Totol S1513.25
Slpnoture of Permittee I
A Bufldirg Pemit is issued to: Countr'YSide Builders, InC. a a expresa conditlon thni
all work shall be done in acmrdonce with oll oppliwble Stote of Minnewt afutes and Cii ?Eaga Ordina es.
Bufldinp Oificiol ?"""'" `""y,
V-0 ?-?
• J ? ? ? /?I
BUILDI
' ????
7b Be Used For ?!! ___ ValL
Site Address
Include 2 sets of plans,,
1 site plan w/elevations &
1 set of energy calculations.
Date u/ = .3 £ 2-
T ?C ? OFFICE USE ONLY
Lot slock Sec./Sub- FFx t Occu ancy
3
Parcel #: v , t 01- Alter Zoning T
e Repair Fire Zone
Owner: Enlarge 7.ype of Const.
Address: /6 60 ,-- ] j' # Stories
Demolish Fxnnt ,// ft.
City/Zip Code: Gxade Depth /v "v--ft.
Phone # : _!-?? ?- 4'12 /
Contractor:
Address:
City/Zip Code:
Phore #:
Arch./Eng.. ?
Address:
City/Zip Code:
Phone #:
hkh?
CITY OF EAGAN
PERMIT
APPROVALS FEES
Assessmelts Permit / 7p
T4ater/Sewer Surcharge
Police Plan Check
Fire SAC
Eng. water Conn.
Planner Water Meter 60 =i0
Council Road Unit a 5/6+ ?
Bldg. Off.
APC
TCTAL t 1 s1.3, zs
?_3a _Fa
VB ? 4-73° z
A?:?, CITY OF EAGAN Include 2 sets of plars ,.
0 1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
Be Used For ?IJ?n Vaiuatiggi ?T o O Date j=3 -?2
site Address OFFICE USE ONLY
Lot ? Block l Sec./sub. co?ti? vd l?
Erect Occupancy
Parcel #:
Ovmer: -??,??
Address: 1660 E. 7
City/Zip Code:
Phone #: g
Contractor:
Address:
City/Zip Code:
Phone #:
Arch./Eng.:
Address:
City/Zip Code:
Phone #:
Alter Zoning
Repair Fire Zone
Enlarge 7ype of Const.
Nkove # Stories
Demolish Front
Grade Depth 717 /-T ft.
APPROVALS FEES
Assessments Permit
?aater/Sewer Surcharge ix
Police Plan Check $S .?=
Fire SAC
Eng. Water Conn. p
Planner Water Meter
Council Rpad Unit
Bldg. Off.
APC
TOTAL
`f,30-ga ?`
C?,,,,?? fire department
CRAIG JENSEN
:ity oF eagan Bc"°°°^`"'e'
3795 PILOT KNOB RnAD
EAGAN. MINNESOTA 55122-1318
PHONE: (612) 681-4770
TDD: (612) 454-5535
FAX: (672) 687 •4777
July 8, 1994
Jules Casper
3869 Gold Point
Eagan, MN 55122
Re: Egress Window
Dear Mr. Casper:
THOMAS EGAN
Mayor
PATRICIA AWADA
SHAWN HUNTER
SANDRA A. MASIN
THEODORE WACHiER
Couned Membets
THOMAS HEDGES
Ciry Admminsirator
EUGENE VAN OVERBEKE
CIN Cierk
Per our telephone conversation of the week of June 27, 1994, you are required to put
an egress window in the basement of your unit if you are going to be renting it out.
If you have questions, please feel free to contact me.
Sincerely,
David Childers
Fire Inspector
DC/tp
FI\LCasper.OC
THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND 6ROWTH IN OUR COMMUNITY
DALE NELSON
cnie+
DAVE DIIOIA
BOfIOmOn Chlel
Equal Opportunity/Afflrmative Actlon Employer
L I? { CITY USE ONLY
gL RECEIPT #:
SUBO RECEIPT DATE: L; '1 `4
PERMIT# ?>582--b
1939 PLUM$IftC PERMTI' (RESIDENTIAL)
crry oe £neAN
3$30 P[LOT KNOB RD
f.AfiAN, Mfl 551 22
(651) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow prevenfer for underground sprinkler system
FIXTURES
EACH # TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3 00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal 5 stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $ '
Under raund s rinkler if dwellin is under construction 3.00 x = $ I
Under round s rinkler if existin dwellin 30.00 x = $
WaWs4laset 3.00 x = $
Water heate 100 x = $
Wa er softener IS dwelling under consVuction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ 50
Total --> --> ----> -?-> $ 3,0, s?
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------------------------------------._....-•-•-----...--•--•---. _...----------------------------------------..
I hereby acknavledge that I have read this appliption, state that Ne infomiation is corcect, and agree to comply wiih all applicable Ciry of Eagan ordinances.
lt is the applicanCs responsibility to notify the property owner lhat lhe City of Eagan assumes no Ilability for any damages caused by the City durinq its
normal operational and maintenance actiw6es to the facilities constructed under this permit within City property/right-of•wayleasemenl.
SITE ADDRESS:
OWNER NAME: TELEPHONE #: 6f-rl G?? fJ/?D
(AREA CODE)
lNSTALLER NAME: iZz,,rfie 2?aTELEPHONE #: 411,Z-
A?D (AREA CODE)
STREETADORESS: 0??6` !'??n?CSS oer
C17Y: 111k? STATE: .0?n ZIP:
-° /i
-7 / ES 2007RESIDENTIAL SUILDING rExMrr nrrLicaTiorr /-30 .00
• City OfEagan' /?]rqi(?(? ?-9
3830 Pilot Knob Road, Eagan MN 55122 ?-
Telephone # 651-675-5675 FAX # 651-675-5694
New Construclion Reauirements RemodeViteoair Reuuiremenis OKce Use OnN
3 registered site surveys showing sq. ft. of lot, sq. R of house; and all roofed areas 2 copies of plan showing fooUngs, beams, joisls CeA of Survey Recd _ Y_ N
(20°h maximum lot coverage allowed) 1 set of Energy Caiculations for healed addiUOns Soils Report , _Y _ N
7 Soils RepoA'rf proposed building is to 6e placed on disturbed soil 1 site survey far additlons & decks Tree Pres PI2n Recd _ Y_ N,
2 copies of plan showing beam & window saes; poured foufM design, etc Adddion - irMicate Aon-sife sep6c system Tree Pres Requ'ved - _ Y_ N 1 set of Eneigy Calculalions On-sAe Saptic
System _Y _ N
3 copies of Tree PreservaUon Plan if lot platted aRer7/1l93
Rim Joist Detail Op6ons selec4on shcet (buildings with 3 or less units)
Minnegasco mechanipl ventilation form
D(?nc nrc rnncirlcYPrl n?ihli(_ infnrmatinn innlPSS vou state thev are trade secret and the reason.
Date=?/ Constru ?on Cost
Site Address 7(r??C-ZV ??j -Pd l ? UniUSte #
Description of Work /2-p ?u 1 i
? C(
<-'
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( . . ) '
Contractor c?r /1-
Address City
State ? Zip Telephone # 0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masier.,plan?
Y N If yes, date and address of master plan:
Licensed Plumber TeIAOM?ne #( )
Mechanical Contractor
Sewer/Water Contractor
Teiephone # (
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 p ans. •
?Xw
Applicant's Printed Name
.
C?Applicant`s Signature
DO NOT WRITE BELOW THIS LINE
,
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? OS 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 OS-plex e 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Muiti Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement "Demolition (EnGre Bldg) - Giva PCA handout to applicant
DBSCrIptl011: Water Damage _ Yes
Valuation ?, dO?• ^ Occupancy MCES System
Plan Review 100%or 25% Code Edition ?? 2oeo
?
y
Census Code
3 Zoning City Water
SAC Units ?+ -- - Stories Booster Pump
#ofUnits "'• •:=x'. Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) _ Sheeuock
? Footings(deck) FinaVC.O.
_ Footings (addition) ?0 Final/No C.O.
Foundation HVAC
llrain Tile Other
Roof _ Ice & Water _ Pool Ftgs Air/G
Fwal as Tests Final
? Framing _
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Au Test _ Final _ Windows
_ Insulation Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
?/voes Jzoftv
?
o ?
589
?
? Q
A00\ ?/.
?00
2? 2\ ?
9
U
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b?
a.
\
,33.P,8
\
NESTERLY EXTENNON OF `. I
A NpRTH LINE pF gLOCK 1-?
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0
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to
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4
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_'l n ?•, ' _' 'r_'? l? ?-""
500.58
-11
\ (V 89°39'3?r?? E ?
NNF CORiJER OF LOT R,
ELOCK I, EALLANTFtqE IcT ADCiTION I
\ I
i
40E.76 --
, A NORTH LWE !
OF BLOC K I
- I f
?,
Thisrequestvoid?(2g 6? . 3OZZ.Sr'
18monthsf?om Ul qce, Ob
Date oPthis Reques[ ?jCg
??",,._ Z.Z t Ct ?( Z Fire No. f39042
1, as13)Licensed E?ectrical Contractor ? Owner, do hereby request inspection of the above electri-
cal widng installed at:
Sireet Address or Route No. ?Av\ 3;n? 19?
Section Township Range County ?'r,` rT
Wttich is occupied by
Is a roughin inspection required on this job? No ? Yes 0 Ready Now ? Will Call a
PowerSupplier ", O Address7??rw.,?... ?o
n, G , ' ?? yllC)5'{
Electrical Contractor ?3'? ra-0 4_C? Contractor's Lice?se No.
(Company rvame)
MailingAddress????(? ??.,L, tie.ss? ?e,j-S?j_-?
criica Con ?ac[or pr Owner Making This Installatioal
Authorized
Phone
-*?i con[ratror or Vwner m4kln9 rnis Instapatlon) -
SI? /? ?'( E o OARD COp? This inspection request will not 6e accepted by ffie
?J [ia lJ State Baard unless proper inspection fee is enclased.
immnesota atace ooara or neccncuy
Griggs Midway Bldg. - Room N791
` JR27 University Ave., St. Paul, Minn. 55104 - Phone 297•2111
REQUEST FOR ELECTRICAL INSPECTION
CHECK EELOX WORK COVERED BY THIS REQUEST
EB-00001-02
307? B"
T 39042
Type o Building New Add. Rep, Check Appliances W'ved Fot Check Fquipment W'ved For
Home ? ?
? ? Range Tempoiary Wiring ?
Duplex ? ? Water Heater ? Lighting FixWres ?
Apt Bidg. ? ? ? Dryer ? Electric Heating ?
Commereial Bldg. ? ? ? Fumace 12 Silo Unloader ?
Industria] Bidg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Faxm List List
Other ? ? ? 2ehets?
7 Ot?reersj
R
COMPUTEINSPECTION FEE BELOW
ServiceEnlranceSize: it Fee Feeders@Sub(eedeis: # Fee C'vcuits: # Fa
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am exes
101 to 200 Amps. 31 to ] 00 Amperes S ? 31 to 100 Am eres
Above 200_Amps. ,Abo, e 100 Amps. A6ove 100 Amps.
Transforme[s - Aemote Control Cire. Partial or o[her fee
Signs . !Spedai Ins ection Mimmum fee $5.00
Remarks
. ., ... .. .??. _1
t ?'? "'
??'': ..? ...-,_ . _ e .
TOTALFEE
S
(Final)
This request void
18 months from
has been made 17? F ?.O
IDate ? ?
Date ?`?..•6 D!-
Use BLUE or BLACK Ink
r--------------
For Office Use
Permit j
City of Ea
cl E I Permit Fee: -7
7
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff: I
- - - - - - - - - - - - - - - -
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /)0/0 Site Address: '340 l 20 I I L~J t
Tenant: S~~ Vti~ Y 1('A' i lflZ~ - Suite
RESIDENT/OWNER Name:'S6\ YV_ 1\n Phone: (D)-Qf 0) l I
Address / City /Zip: ~c6 &0) O t~l
Applicant is: Owner \k Contractor
TYPE OF WORK Description of work: S t %~Vlacampam-t, I Re_P)O~J-qml
Construction Cost: 0 Multi-Family Building: (Yes X / No
CONTRACTOR Name: Sun S2 r~Dns')fuC~tr L01) Vicense
Address: s'/ 0 ,J
f t,/ TO O
' Z
Cit : kmAffikQW / !J State: /'L Zi
p
Phon~wl e e 0 Contact Person: 0/2' 904 63 4-~,
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 8: 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
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 appfevatvi plzrns.
x S-c\je Peck X
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Sewer & Water Contractor:
E AG A I*ECEIvW
JUL 15 2020
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
buildinainsoectionsacitvofeaaan.com
For Office Use G /
PePermit*102 "//�� 151D
Permit Fee: •O • SO
Date Received:
Staff:
•
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: % ~ 2 G Site Address: 31 tot d 1 1 E eo„ 14 S % 122 Unit #:
Name: 'SUt..d% . Moi r Es
Address/City/Zip: Stfe Cole =lrerrl Sej44. MiJ. 5St2.2
Sir Le
Phone: C. t2 -? ea 1 - "abl
Applicant is: Owner $ Contractor
Description of work: ¢ 44464e4 Wre.e! S 1 Peer ei lby^A&pen s
Construction Cost: 1'//gOO Multi -Family Building: (Yes
/ No )
Company: (3er3 iota ferPor'S Contact: ?0h", 2ttaie
Address: 'Tiler Tn.twS+r?cf Steele:+ Swi4c 1 City: Mae (4 P1a� ti
State: i'%1J Zip: SS'3S6j Phone:7f03-Zfiv-317Email: 3OKAs Q e ttutorti.e:o
License #: a C.3214 2.11 Lead Certificate #:
If the project is exempt from lead certification, please explain why:
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:
Phone:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public Information. Portlons of tine information may be
classified as non -pubic If you provide specific reasons that would permit the City to conclude that they 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.cltvofeagan.com/subscribe.
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 CaII at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you
intend to dig to receive locates of underground utilities. www.aoaherstateonecall.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 1 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.
x JoLV` aAz)e Cc
Applicant's Printed Name A
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA169253
Date Issued:05/19/2021
Permit Category:ePermit
Site Address: 3869 Gold Pt
Lot:117 Block: 01 Addition: Countryside Villa
PID:10-18350-01-117
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Shane M Martin
527 Newton Ave N
Minneapolis MN 55405
Metro Heating & Cooling
1220 Cope Ave E
St. Paul MN 55109
(651) 294-7798
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169254
Date Issued:05/19/2021
Permit Category:ePermit
Site Address: 3869 Gold Pt
Lot:117 Block: 01 Addition: Countryside Villa
PID:10-18350-01-117
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace - Includes ductwork
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Shane M Martin
527 Newton Ave N
Minneapolis MN 55405
Metro Heating & Cooling
1220 Cope Ave E
St. Paul MN 55109
(651) 294-7798
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172093
Date Issued:09/14/2021
Permit Category:ePermit
Site Address: 3869 Gold Pt B
Lot:117 Block: 01 Addition: Countryside Villa
PID:10-18350-01-117
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Michael & Sheri Koos
3869 Gold Pt Unit 18
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature