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3760 Golden Hill Ter' YNSPECTIUN RECURD CITY OF EAGAN PERMIT TYPE: i 3830 Pilot Knob Road Permit Number: , Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: LaTs t aLocK: s =17tio QdLDEN HIIL TtR r()Wa vtFu Isr PEPHTt???rT+?P??; Cantral No. 0314 oi 1 I. t. p 1 fi Fi 000363 04/28/9x APPLICANT: FiAriqU CONST tNC. J A (612) 439-f189 TYPE OF WORK: itRPAfR 77 -- -- _ P _ ? e itFMRttKSs itr-ROUFIN6 tact.uaEs 3762, 3764, 3766, 376$y & $77g (it1#.C1EN 14rLl TER PermR No. Permk Holder Date Tslephone # SNV PLUMBtNG HVAC ELECTRIC ELECTRIC Inspsctlon Date Insp. CammeMs Footings I Foundation Framirtg Roofing Rough Plbg. Rough HfO. Isul. Fireplace Final Htg. Orsat Test Fnal Plbg. Plbg. Inspector - Notiiy Plumber Const. Meter EngrJPlan Bidg. Final Deck Ftg. Deds Final wen Pr. Qisp. CITY OF EAGAN Remarks Addition TOWNVIEW `iOWIdHOUSES Lot 6 Rlk S Parcel 10 77100 060 08 Owner n. 1 Ct: L5(IZF r 5treet 3770 Golden Hill Terrace State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. SB 197$ 141.08 14.11 ZO STREET RESTOR. GRADING Street 1009 1986 200.75 20.07 10 SAN 5EW TRUNK * SEWER LATERAL o1 1973 1 4Z9. 03 476.34 3 Ci.1 WATERMAIN * WATER LATERAL & StLlb$ 1973 3 * WATER AfiEA 1973 3 * STORM SEVIF TRK 1973 3 ?F STORM SEW LAT 1973 3 CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. 240.00 9764 12-31-73 9UILDING PER, sAC 260.00 9764 12-31-73 PARK CITY OF EAGAN Remarks Addition WADMEW TOWNHOUSES Lot 1 Bik 8 Parcel 10 77100 0I0 08 Ownerb)oYli;l 1(mg. -1)q-1 Street 3760 Golden Hill Terrace State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 't SB 1975 141.08 14.11 10 STREET RESTOR. GRADING Street 1009 1986 200.75 20.07 10 SAN SEW TRUNK *SEWERLATERAI 1611 1973 1,429.03 476.34 3 WATERMAIN * WATER LATERAL * WATER AREA 1973 3 * STORM SEYY. TRK ? 1973 3 +rF STORM SEW LAT 1973 3 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 240.00 9764 12-31-73 BUILDING PER. sac 260.00 9764 12-31-73 PARK CITY OF EAGAN Remarks Addition 1'lWNVIEW 'lOWNHOUSES Lot 2 Blk 8 Parcel 10 77100 020 08 Owner (fC:tl bXk5Di) FOS+LG T? screet 3762 Golden Hill Terrace Stace Eagan, mN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1 SB 1975 141.08 14.11 10 STREET RESTOR. GRADING Street 1009 1986 200.75 20.07 10 a00, SAN SEW TRUNK * SEWER LATERAL lgi 1973 1,429.03 476.34 3 WATERMAIN * WATER LATERAL & gtubg 1973 * WATER AREA 1973 *STORM SEW K 1973 3 ?F STORM SEW LAT 1973 3 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 240.00 9764 12-31-73 BUILDING PER. s,ac 260.00 9764 2-31- 3 PAR K CITY OF EAGAN Remarks Addition TOWNVIEw TO4'1NHQU$ES Lot 3_ Blk 8_ Parcel 10 77100 030 0$ OwnerLl?' TaUeP" street 3764 GOlde11 Hill Terrace State Eag?, mN 55123 li ?Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. %Ij SB 1975 141.08 14.11 10 02 STREET RESTOR. GRADING Street 1009 1986 200.75 20.07 10 SAN SEW TRUNK *SEWERLATERAL 11 1973 1,429.03 476.34 3 WATERMAIN * WATER LATERAL & Stt1US 1973 3 * WATER AREA 1973 3 *STORM SEW; TRK 1973 3 ?t STORM SEW LAT Y 1973 3 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 240.00 9764 2- - BUILDING PER. sAC 260.00 9764 2- - PAR K CITY OF EAGAN Remarks Addition TOWNVIEW TOWNHOUSES Lot 4 Blk 8 Parcel 10 77100 040 08 owner t'" , i" Street 3766 Golden Hill Terz'ace State Eag? , MN 55123 v i) 1?I ' Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. A.11 SB 1975 141.08 14.1?. LD ? STREET RESTOR. GRADING Street 1009 1986 200.75 20.07 10 SAN SEW TRUNK *SEWERLATERAL 1973 1,429.03 476.34 3 WATERMAIN *WATERLATERAL & 3tUb3 1973 3 *WATER AFIEA 1973 3 , *STaRM SEIN",j'RK 1973 3 * STORM SEW LAT 1973 3 CURB & GUTTER SIDEWALK STREET LIGHT ' WATER CONN. 240.00 9764 12- - 3 BUILDING PER. sac 260,00 9764 12-31-73 PAR K CITY OF EAGAN Remarks Addition ''OWNVIEi'd ''OWDIHOUSES Lot 5 Rlk $ Parcel 10 77100 050 08 LOwner Street 3768 Golden Hill Terrace State Eagan, 11 55123 ?+?- " a•?` 4--- , Improvement Date Amount Annual Years Payment Receipt date STREET SURF, A.1 SB 1975 141.08 14.11 10 STREET RESTOR. GRADING Street 1009 1986 200.75 20.07 10 SAN SEW TRUNK *SEWER LATERAL - 1973 1,429.03 476.34 3 WATERMAIN *WATER LATERAL 3 *WATER AREA 3 *STORM SEVI` rjRK 1973 3 it STORM SEW LAT 1 3 3 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 240.00 ' 9764 12-31-73 BUILDING PER. s,ac 260.00 9764 12-31-73 PARK I VILLAOE OF EAOAN 3795 filot Knob Rood Eagan, MN 55122 %oning: R'-4 (7wner: ITRWR Address Site Adi Plumbe SEWER SERVICE PERMIT PERMIT NO.: 1426 DATE: 12/29/72 No. of Units: 2 taWrihOUS85 I4oqne ro eomply with tM Villoqa ef Eogon Connection Charge: firdinoncss ity: ? Dare.of Insp.: 1«sp: Account Depoeic: Permit Fee: 1 0.00 pd 12 29 72 Surchazge: =50 1d 12 29 72 Misc. Charges: Total: - Date Paid: VILLAGE OF EAGAN WATER SERVICE PERMIT 3395 8ilot Knob Road PEHMIT NO.: 1373 eagan,MN 55122 DA'PE: _ 12/11/73__ Zoning: R'4 No. of Units: Z ToWnh0118@8 l'wner: ?nlt .. 4ddress: - ?? ? 9 ?760-376 Golden Hill Terrace 3ite Ad dres : :lumbec DOnaldaon-McCormlck Me[er No.: Connection Charge: yze: Accuunt Deposit :teader No.: 10.00 pd Permit Fee: - ?O ? I agree to comply witl? the Villoga o4 Eogon Surcharge: 3rdinancas, Misc Charges: ? TotaL Ity Uate Paid: . )a[q of Insp.: Insp.: WATER SERVICE PERMIT vILL4GE OF EAGAN 3795 Fflot Knob Road PERhIIT NO.: 1373 _.___.__ iagan,MN 55122 UA'I?1•:: . 12/11/73 .- LuninK: R- 4 No. ol' Uuits: 2 7bVRf10U8@8 ----- Manito _ _ ? )...ncr: _ ? -- GoldeHil 760-3762 3 l Terzace _ -:i1e Addre? s. _ . . ------ - :'lumbec --- ; Ivicr No.: - - Cunnection CharRe: .:in•: --- ------ Aecuimt DeWxit:10.00-pd-- - No.: Pcrmit F ec --- .50 jXl I ogree ro comply with rha Village oI Eogon Furchcarke: - ].dinoncef. Misc. Charges: TotaL _ i4y -_-- U:ite Pxid: ---? - rnle ol' Insp.: . _ Insp.: - YILLAOE OF EAOAN 3795 Pilot Knob Road Eogen, MN 55122 7.oninB: Ownet: ?RNR; SEWER SERVICE PERMIT PERMIT NO.: 1926--- _-. DATF.: 12I29/72 -- No. of Units: 2 tOW[1hOll585 .1ddress: Sd?2' s?ce qdaress: _. Golden H- ill Terrace '-`ih ------ - vlumber: XnXx DonalBson=MCCOimic:: t ogrN fo coinply wif6 IM Villaye of Eaqan Connection Charge: Ordinancm Isy I late of Insp.: ?nsP.: _ Acwunt Deposit: Permlt Fee: 10.00 pd 12 ?y/r'•? Surcharge: 0 1?d 12 2';? ?_; 2 Misc. Charges: Total: - Date Paid; VILLAGE OF EAOAN WATER SERVICE PERMIT 3795 Pilot.Kdob Road PERMIT NO.: 1371 fagan,MN 55134 DATE: 12/11/73 Zoning: R7-4 No. of Units: Z ToWI1hoU8e8 Owner: 1 Address: Sice nddrecs: 3764-3'78'6 Golden Hill Terrace Plumbcr. Dona1dSOII-MCCOZ'miCk Meter No.: Size: _ Readcr Na. Connection Charge: Account Depo?it. ?0 pd Permit Fee: Sopd--_ 1 agree to complr wi}h fhe Villoqa ol Eagan Surcharge: Ordinoncas. By Date of Insp.: Misc. Charges: Total: Date Paid: - lnsp.: VIlLAOE 0F EAOAN SEWER SERVICE PERMIT 3705 PilotKnobRoad PERMITNO.: 1424 Eagan, MN 55122 DATE; 12/29/72 R-4 rvo. of unics: 2 townhouses Zoning: _ Owner: Address Site Add Plum6e I ogrse ro cemply whh Me Vlllags of Eagan Connec[ion Charge: Ordinoncn. Account Deposit: Permit Fee: 10.00 pd 12 29 72 Surcharge: .50 pd 121291 72 gy; Misa Chazgea: Date of lnsp.: Total: Insp.: Date Paid: VILLAGE OF SAGAN WATER SERVICE PERMIT 3705 V47ot Knob Rood PERMIT NO.: _ 1372 Eagan,MN 55122 DATE: 12/11/73 Zoning: R-4 No. of Units: Z 7bwnhouses Gwner: Man1t0 Addtess: lv-- ? c ??( YL1l P./?J Sice Address: -3268!!!_77 Golde+j__xiU Terrace Piumber. -Donaldson McCOrmick Meter No.: , Connection Charge: ?'? Size: Account Deposit: _ Reader No.: Permit Fee: 10.00 pd 1 ogrce to comply with fha Villoga of Eaqan Surcharge: .$0 pd Ordinances. Misc Charges: Total: By Date Paid: Date of Insp.: Insp.: YILLAOE OVEAOAN , 3795 'liloe Knob Rood Eagan, MN 55122 Zoning. Owner: Address Site Ad( Plumhe. SEWER SERVICE PERMIT PERMIT NO.: 1425 DATE: 12/29I72 tvo. oe units: 2 townhouses 1 aprn to eomply with tM Villaye of Eaqen Connection Charge: Ordleances. gY. ))ate of Insp.: ]nep.: - Account Depoait; Permft Fee: 10,00 pd 12/29/72 Surchazge: •50 Pd 12/29/72 Misc. Chazges: Total: Date Paid: • - ' EAGAN TOWNSHIP BUILDING PERMIT owno: A, 7e.; TA &I ........ Axop.... ?!Q,............ ? - -... Address (present) ---.:Fj .??C?....._.F4.......?'.?I.D.._.drD Builder .......... ....................... ......_---- Address .............................................................................. ..............-- DESCAIPTION N° 2933 L-? Eagnn Towmhip Yown Hall Date ..7?.. . ............. Stories To Be Used Fos Front 'T ?o c? Dapih 4? Heigh Es p Cos! Permif F e ? Rsmssks S? ? S? y`I ? Ys?./ n ?o n? R1 ?? t?? ? LOCA O Street. Road or ofher Desaripiion _ai _Localion _ I Lo! B o k AddiSioa or Tree! UAl//-)/-) ,J,LI / I 4;?1'5CA d II577 This permit does nof auihori:e the use of slxeels, roads, alleps or aidewalks nor does it give !he owner oi hls a9ent the righf to create eay situation which ie a nuisenee or which presanls a 6esard !o the healih, safely, eoevenlean and general welfara to aayoae in the communifp. . THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGAE / This is So cerlifp, ihel..lkl.e.Tf.:..a.M..... .P. KoW -------- Co......... has parmission !o axec! -?..??.??QilLl?el ...............__upoa the a6ove descri6ed pzemise aubjec! !o the provisiona of the Suilding Osdiaance tor Eagae Townahip adopled Aprtl 11. 1955?./ ? (?? -/- A-1. ............................... Per . ....................................... Chairman of Tnwn Baard Huildiay Inspeelor- Z/iz 6,P- HOUSE HEATING TEST RECORD ADDRESS ? ?? L/ ?-0 XdeN / // ? 1?4CJSpT. FLOOR - CITY . , l? OG'CUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD ev HOME ENERGY CENTER INSTALLED BY HOME ENERGY CENTER Electrical Work By HARRISON ELECTRIC Gas Line ey TYPE OF HEAT GA -FA X HW- STEAM - SPACE HTR. UNIT HTR. OTHER Model Serial THERMOSTAT Heat Plug _ Valve ( J 1l Limit Limit Setting ?., i Fan Seriing Pllot Type ox,.. r.n.,?,. Pilot Model PilotTiming L.W. Cut OH Pressure T17 Percent COZ Input CFH 1"ti Percent OZ_ Stack Temp. ;Z2 Percent CO , MAKE OF BURNER _ Model Max. 8TU Rating _ MAKE OF FURNACE Model Vent Size KIND OF LINER_ DraR Hood Filters Size _ Chimney Location Chimney Construction Smake Bomb _ Draft Door Pressure- Date Tested_ Company Testing Name of Tester_ _ SIZE NONE Regulator Number Inside Outside Wiring _ Test Tag Lighting Fortn 235 HOUSE HEATING TEST RECORD ADDRESS 3 / 10°2 ?JnA? ? . qpT. - FLOOR CITY oE "a?yl?? OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY HOME ENERGY CENTER iNSTALLED BY HOME ENERGY CENTER Electrical Work By HARRISON ELECTRIC Gas Line By TYPE OF HEAT GA FA X HW- STEAM - SPACE HTR. UNIT HTR. OTHER X Madel Serial Heat Plug Valve Limit ?-- Limit Setting Fan Setting Pilot Type SL .?' ?'?-- Pilot Make ?- Pilot Model Pilot Timing ? ..? t . L.W. Cut Off Pressure 5- Percent COz InputCfH ?'?D PerceM Oz_ Stack Temp. 3'?'D Percent CO. C_> MAKE OF BURNER _ Model Max. BTU Rating _ MAKE OFFURNACE Model Vent Size ? KIND OF LINER )Q SIZE S NONE Draft Hood Regulator Filters Size AoXeU-X ? Number Chimney Location Inside ? Ouiside Chimney Construction?--•?-?-?"' Smoke Bomb Wiring Draft ? - TestTag .- Door Pressure Lighting Inst. Date Tested Company Testin E R ENTER Name of Tester - -- - . ,? Form 235 MANITO - D2MENSION CONSTRUCTION CO Golden Hill Terrace 3760 3770 3776 3784 3786 Flamingo Drive - 1726 1738 1792 1737 1747 Bluebill Drive - 1724 1740 1742- Total -----'---------- NEATING.PERMITS 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 $256.50 /- ?-? 7U C,c! CITY OF EAG:sN 3795 Pilot ISnob Road Eagan, Piinnesota 55122 PE?utiIIT NO.: 990 The City of Ea,gan hereby grants to Dinensbn Construction Co. of _ 1710 Flaminao Drive, °aaan, 55122 a vri,Trn.r: Permit for: (Owner)_Manito 2'own'.:ouses at - eoe attache8 1 tar , pursuant to application dated 4/74 Fee Paid: corn_nn dated this 17th day of April ? 19 74 6.50 s/c Building Inspector vzr,r xcIE e?? 19?crN 3795 Pilot Kncb ttoad Eagan, iviinnesota 55122 Pr'3??iAIT iVO. 412 The Village o£ Eagan hereby grants to *.bnaldson-rtaCOrmick Co. - Pltmtbing & Heatin,? pf 7\,7e. So., Mpls. 55414 a PLt1MS3I:iG permit for: (ooner) hlanito Townhouses 1750-56, 1737-47, 1736-38-42 1726-28-30-32 F1agingp Dri e nd 3760-66-70 »-.c ?o ?n •n ?r ?v+to app11C3tion ?ate? l?7?T3 I I'ee Paid: g380.00 dated this 11th day o£ December , 19 73 • 9.50 s/c Building Irispector hechanical Permits: Bid Total: CITY of EAGAN " BUILDING PERMIT oWn.= --.. ??-E..? ......--.... ..-.e ... . .:.. ..... ....°.-d-..'..A?! --....................... .?? ?w . Addreu (P:ecenS) ...s?.?.?..°......1.:'.`..:..........`?...(.i.....---...°-°.. Buildex Addrese M iv N4 3515 3795 Pilai Knob Road Eagen, Minaesofa 55122 454-8100 / - ?, Dala ._°Z............................................. oriea To B Used For e Fron! Deplh Heigh! I Ea2. Coei pssmi l F ae Aemsrks A= ? ? ~ ? ? '. ?p? • o. ....---- ................_?...r.----....Y._?:r......---.....---... Per ....._..._......°-.......P".`:..."L?.:..••O--•------..........__'.......................... Ma or SuUdiny Im? !oe This pesmit does aoi authorize the usa of sfreels, roada, a]leya or sidewalks nos does it give the ownst oe hit ngsa! the righ!!o ereale any siluation whleh is a nuisenca or which prasenSc a ha:ard fo the 6ea1lh, eafelp, coaveaieap and geaesal welfare !o anpone in !he eommunilp. THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGRE88. Th[s ia 2o cerlSfp. Shal..-0.6_=--.. c....................... hes pezmission !o e:ee! a.t.!:?.^..''.?::?`.?..??'.".`.'.`..'....:....:.`.?..._npon the above deseribed premise subjec! !o the provisions of all applicable Ordinanaes for the Cily of Eagen CITY of EAGAN BUILDING PERMIT OWAeS ?I/- • ?'iL'--: ? _ l .. ................./...?..?.......................... Address (Praeeat) ... Buildar .............. :.i . ...................................................................... Address .............................................................................................. . ;. N2 3514 3795 Pi]oY Kao6 Road Eagam Minnesota 55122 954-8100 Dete ............................. Btories To Ba Used For F:on! Depih Heigh! Eel. Coa! Permi! Fsa Rema:?? 6 T6k permit doas not auShori:e the use of sireels, zoads, alleys or sidewalks nos does !t give the owaes os hU agen! Y" "'-••"-•'---""""-'.. Per ....._............ ?.?..._'??? ................................ ................ _...._.... .......-'Mayo? ..--. ........................................... BuSldin?mpactor the righ! !o creale any situation which is a nuisanea or whiah presenla a hezard !o the heallh, safely, coaveaieaca aed geaeral welfare !o anyone in the eommunifp. THIS PERMIT MUST BE KEPTPN THE PR£MISE WHILE THE WORK IS IN PROGRESS. Th[s te to aerlifp. 2hat.._.dm_.r.`.?!c`.`.'^J".:.°.:?'.??.._ .............. haspermiasion !o arec! d.??.:...?.h.".?`.:'.."'.`...'.::?upon the above descri6ed premise subjecf fo the psovisions of all applicable Ordinanees for the Cilp of Eagm. J FJef?b•f 18r. 2008 1:21PM Crest Exteriors No, 8400 BC?. Y~I g/ ! 6 I ZOp( RESIDENTIAL BUYL+DING PERMIT APPLICA"170N Ciry Of Eagan 3830 Pilot Knob Roaa. Eaga° MN $5122 Telephone # 651-675-5675 FAX # 651-675-5694 ?_ ?_..?.,,?;enRaoulromsnn ? 2mWaddenshovA?AwatlnAs,b?s,1°1? 3repiStUld6ds51PVeY+6hv+AnAg7•a.oElOLa40.dhWx:2MlII?? taEtafEnEfgyCaktdutlmlmheeFedadZans (20%madmum lot covere9e albwedl 1 slla suNaY fa' additlae b dacks 2??fp?enchaxin9ceam6va?s?D???aurddea+D?.e?• ?.y,?darnsuasepacsY?" 1 s¢I d ERErAY csialaUOns 3woesa Tree PreseMtlon Pimi11o1 Welmd aW711M3 RfmJalslDelailOptiomeebetlonSM1eet lbUM^95wdh3 alescunds) Minnegsew mecbe^ical venlilation fmm P. 2 ,2a -7 ??. cafA Tiee;ResP4rtAecd': ?Y.-N. Til9PrCrRequpeA? p(+elpe.?.yy?nm..', _Y: -N BUI4DIN COMPL?TE TMIS AREp ON Y iF O! STI? 11CT?N? A?1 1l?M C ..r:....e....a unlea 7672 ?? , M:M•?rta ull 7 t J . Naw EnGr6Y Gada WorkeheN £nergy Code Category . FtayWential VeTV15110Lon Catepory 1 Workaneet SubmiHed (J wbmisslon IYPa) . ??i?,??Pe Ca1culatlOns 5??? ln the lasi 12 rr+onlns, hNS T If Yes, d te and addres ?of perrnd md Te?p anim?r pbn bOSeQ on p moster pkan$ Y ? ? Telephone # ( 1 - Licensed Plumber MechoniCpl Controctor Telephone #( Sewer/Waier Contractor Telephone # ( I hereby apply for a Residential Building Peanit at?d acknowledge that the iaformacion is complete and accurate; thatut the 5' Io iU1d Isk3nd thissfn tma P'"t'it but only,an appl'icationfor a pe1rmCl?d worka s ot o start withouNt a stat , permit; that the work will be in accordance with the approved plan in the case of woCk which requires a rcview and approvai of plans. pplic t's Signature ??? ppr xt's Printed Name -7>>a/ zod9 RESIDENTIAL PLUMB6NG PERtAsa APPLiCATtON G[TY OF EAGAN 3830 PILOT KNOB ftOAD, EAfaA51 MfV 55122 651-675-5675 Please complete for modifications tc existing residentiai dweliings. Date 3 I 3z?l / 0 7 ?Q? Unit # ' Site Street Address a4u??? , ? , Property Owner _ Te4ephone # Contractor 2mklPI?? Telephone# ? , d y ?€? ?_ ? p 4 ?l Zfi ? P..? , ?.-- "?§`?:._ P Address ? ii?"?„ ?*^' State? ` .? a:?`F C?tv The Applicant is: _ Owner XCon"ractor _Other Septic System _ New _ Refuraished Submit 2 sets of pians and tutE'C license inciudes County #ee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes instaliation of a water soffener anci/ar water heater at the same time. ff yora are fnstallirag anly a wafer softener andlor water heater; da not complete this sectian; move to the next sec'.ion and check the appliance(s) ycu are installing, _Septic System Abandonment _ Water Turr.around (add $130.00 if a 5/8°' ;neter is req,uire6) ? Other: l - - ? _ V17ater Softener b9Fster Heater i $ 15.00 _ new _X replacemeni I _ I ?I , _ Lawn Irrigation _RAZ _P4'5 -roew _repair _rebu€@d $ 34.00 State Swcharge $ 50 i Totaf $/S . _ I hereb a ly for a Resident' i PI b' ?'r - y pp ?a um mg Pe? mi. and acknowledge tha' the ?nformaaor. Es compiete and accurate; that the work wili be in conformance with the ordinanees and codes of khe City o; Eagan and the plum6ing codes; that I understand this is not a permit, but only an app!icaticn for a p2rmit, wcrk is noF to start vvithout a permi't and work will be in accordanc th the approve n in the event a pEan is sequired to' ev wed and ap ve,. Appli an Printed Name Ap ica ?s Signa ure 56) ak`5 RESIDENTIAL BUII.DING - Permit ApplicaNon City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Canstructlon Reauirementi RemodeReoa'vReauirements Olfice Use Oniv 3 regiemred sile wrveys ahmirp sq. R o1 bt sq. R of house; and p j raoled arm 2 apiea of plen Cert of Survey Red (20%mazimumlotooveraqeallowed) lsetotEneryyCakulatlaniarhea0edadditlm _TreePresPtanRead 2 copies ot ptan showirg 6eam & wuqow smes; Wured (ound design, etm 7 si08 wrvey for addi6'oire & deds _ Trae Pres Not Reqd 7 set of Eneryy Cakulatlana AddTbn • indicate i/msife sepk aystern _ Onade Septic SysOem 3 caPies M Tree Preservatlwi Plan if bt plemaA aftar 7H193 - Rlm Joist Demil OPGms 9elacUm aheet (btdge viitli 3 a leae wiib ? Da[e Constructlon Cost ? 9' ? qS? ?? Site Address ?7(?U c4/p I,l? e/J ?(f Unit/Ste # ? ( p'.-? DescripHon of Work ? E/9'a- ? 1??i?; ??-e.? iOe 1 N ?1 i N 1 ??p J` +? '+Y^? L ' Multi-Famtly Bldg _ Y D N F'veplace(s) _ 0 _ 1_ 2 Property Owner w??? /?YJi?AD Telephone # (16,571 Contractor _ Northst8r HOff1B Improvement kIC. naaress "SlmPlY the Best' cjq. Siste 4972 n Unve Zip Telephone #( ) I (9521929-188Q COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cateeary 1 _ Minnesota Rules 7672 • Residential Ventilatlan Category 1 Workshcet • New Energy Catle Wwksheet (Jsub""O^type) Su6miCed Submitted • Energy Envebpe Calalatlons Submitled Licensed Plumber Mechanical Conhactor Sewer/Water Contractor I hereby apply for a Residential Buildingq that the work will be in conformance wid Statutes; I understand this is not a permit, permit; that the work will be in accordance approval of plans. Applican Printed Name Telephone #( Telephone # ( Telephone # ( mFanaLack'nowleag?that the information is complete and accurate; ; ordinances and c of the City of Eagan and the State of MN only an app;:tiw*?r a permit, and work is not to start without a ?*406-ved plan in the case of work which requires a review and A licant's Signa 04 ? MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Pleasc complete for: Single Family Dwellings Towcihomes and Condos when permits are required for each unit Date Q k / ;?CA / Ci 7? Site Address Unit # o.i'?? 2 Z- 1( 2-l Property Owner Telephone # ( (y?j ? ) Lt 51( - 4_!?rJ 9 Contractor t? N street ndaress d2.?1,o S J?S?'? 5?- t.? •, ? C? -'&X ?SS City OSQ4??0ltir??- State Zip 5;5D(&'G(55Telephone # ( ?prj' I ) .3ZZ-?i92S? The Appticant is _ Owner __VContractor _ Other Add-on, madification or alteration to esis[ing dwelling unit $ 30.00 furnace replacement air exchanger air conditioner other State Surcharge $ .50 li'' I Total FEE3 1 8 20( 3 1? ?ey I hereby apply for a Residential Mechanical Pemut and acknowledge that the informatio »comple e an accurate; that ffie work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tYus is not a permit, but only an applicarion for a pemvt, and work is not to start without a perrnit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ?-?- - \: L2 V-- . f a \ • ? ??? ?P ti ApplicanYs Printed Name Applicant's Signahue PERMIT #: (° CITY USE ONLY RECEIPT DATE: 2002 RESIDEBI'fIa?EEI[. MECHA1VICaokL PERM1T APP1 ICATION crrY oF raeatN 3$30 PILOT KNOB RD P.pisAN EiN 5512E 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when pertnits are required for each unit Date: -) I (b O'2'/ SITE ADDRESS: -7-1D OWNER NAME'V &4Cpv a INSTALLER NAME:TANOARD HEATING & AIR CQNDITIONING C0. MINNEAPOLIS, MN 55408-2998 . STREET ADDRESS: 612-824-2656 CITY: STATE: Place a check mark next to the pemvt work type ZIP: J\ Add-on, modification or alteration to existin dwelling unit $ 30.00 lil • furnace repfacement • air exchanger n ? ??i? ? ? I, t • air conditioner . other J U I 1 9 2001 ( L Nature of work: f-'4n e, CFi 4Z(( i By State Surchar e $ 50 Total $ 3 ? S ? SIGNAT? ERMITTEE uoz TELEPHONE #: TELEPHONE #: Ov MASTER CARD Gl ? LOCATION ? OWNER STRUCTURE AN? IAND USED AS Permii ? No. Issued - Issued To Contractor Owner BUILDING PLUMB W G 7L?d x• /. CESSPOOL - SEPTIC TANK WELL - ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Ifems Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDAtION CESSPOOL FRAMING PINAL ELECTRICAL ?---??-- ? TILE FIELD FT. HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD i I PLUMBING WELL SANITARY SEWER Violations Nofed on Back COMMENTS: MASTER CAR,D P OWNER STRUCTURE AND LAND USED AS I' 4? ? 010-0 itb Permit No. Issued Issued To Contractor Owner BUILDWG PLUMBING 75 st / G CESSPOOL - SEPTIC TANK V?ELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER I Items Approved (initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATI ON CESSPOOL FFiAMING TILE FIELD FT. fINAL ELECTRICAL HEljTING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL I DRAINFIELD I PLUMBING WEIL SANITARY SEWER ?t. b. Violations Nofed on Back COMMENTS: L INSPECTION RECORD I Control No. 0314 CITYOFEAGAN PERMITTYPE: suiLotNG 3830 Pilot Knob Road Permit Number: 000353 Eagan, Minnesota 55123 Date Issued: 04 /28 /92 (612) 681-4675 SITEADDRESS: LoT: 1 eLocK: e APPLICANT: 3760 GOLDEN HILL TER HAUSE CONST INC, J G TOWN VIEW 1ST (612) 439-0189 PERMIT SUBTYPE: MISCELLANEOUS TYPE OF WORK: REPAIR 1- -1 I REMARKS: RE-ROOFING INCLUDES 3762, 3764, 3766, 3768. & 3770 GOLOEN HILL TER PERMIT CITY•OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: DESCRIPTION: PERMIT TYPE: Permit Numher: Datelssued: 3760 OOLDEN HIII TER LOT: 1 BLOCK: 8 TOWN VIEW 1ST Building Permit Type MISCELlANEOUS 8ui.lding Work Type REPAIR UBC Occupancy, R-3 ; ?>- ? 5 Q? iii,?i,' ?j REMARKS: BUILDING 000353 84/28/92 RE-ROOFING INCLUDES 3762 3764 3766 3768 & 3770 GOLDEN HIII TER FEE SUMMARY: Base Fee $90.00 Surcharge $.50 Total Fee $90.50 CONTRACTOR: HAUSE CONST INC, 1034 EAGLE STILLWATER (612) 439-0189 - Applicant - ST. LIC J G 24396189 0005350 RIpOE CIR PIN 55082 ? OWNER: TOWN VIEW ASSOC 1771 FLAMIN00 DR EAGAN MN 55122 (612)688-6247 I hereby acknowledge that I have read this application and sCate that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan prdinances. APPLICANT/PERMITEE SIGNATURE flnr,n ??: ?? 1?? Control No. 0314 ? PERMIT t CITY OF EAGAN ? 1992 BUILDING PERMIT APPLICATION ?? • 681-4675 SIN6LE & MULTI-fAMILY 2 sets of ptans, 3 registered site surveys. 1 copy of energy calcs. COMMERCIAL 2 sets of architectural E structural plans. 1 set of . specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by.last working day of month in which re uest is made r lot chan e is re uested once ermit is issued. Date OLk / Qq Yaluation of ??ork Site Address:2S1(a6 SiREET . STE / Tenant Name: LOT BLOCK C)<? SUBD.TOWHVIEW IST P.I.D. s A'DDt T 10 Descri tion of work: REQooF The applicant is: ? Owner J?.Contractor O Other co.sertbe) Pho e 1 i _T n t ) ? ?? ? ? . Name c)L11. Property LAST FIRST - Owner ( ? ? * Y(k . 14M i ?Jan 7, Address S ? 1 MREET iTE A City State l? NZip {s 1 aa? Company S.-NGPhooe ? '?)CI ? b 1?6°I COntf8Cto1' Address \C\-?A q.jj" R?JZ6 2,?Oticense #Exp:jjL1A City 1[015.?1 State M,rj_ ZipCS6Va- Lompany Phone Architectl Engineer Name Registration N Address Lity • State Zip Sewer 8 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 application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: vrr??.t u?c BUILDING PERMIT TYPE ? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish 0 02 SF Dwg. ? 06 6arage/Accessory ? 10 Swim Pool ? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch O 04 Multi-fam. T.H. ? OB Deck ?"D 12 Comn./Ind. WORK TYPE ? 31 New ? 34 Repair ? 37 Demolish O 32 Additlon ? 35 Tenant Finish 0 99 Undefined ? 33 Alterations D 36 Move - GENERAL INFORMATION Const. (Actual " ; Basement sq. ft. (A1 iowable _ _ lst F1. sq. ft. UBC Occupancy P 1_ ?K 2nd F1. sq. ft. Zoning Sq. Ft. total t of Stories footprint Sq. ft. Length On-site well Depth On-site sewage APPROVALS Planning Building Engineering Yariance ?, . R 13 Public Fac. O 14 Agricultural ? 13 Miscellaneous MWCC System City Water PRV Required Boaster Pump Fire Sprinkler Census Code SAC Code Assessments REGIUIRED INSPECTIONS RF-MARY.S. RT_-PoOFJ NG ? Site ? Footing ? Framing 0 Yallboard ? Fi'nal ? Draintile ? Insulation O Fireplace Permit fee 15.00 Surcharge Plan Rev9ew License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Tota1: I S. 50 Ydutfm: f 5AC % SAC Units LOT ?- BL 5 CITY USE ONLY suan. TAwn VieW ISt PERMIT #: 425,!i-b RECEIPT !i: RECEIPT DATE: 2000 MECHANICAL PERMIT (RESIDENTIAL) Date: 0 -? /-o C? Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not ownedoccuoied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) $ 30.00 6.00 State Surcharge .50 Total $ Complete this section onlv if you are remodeline. addina to, or re airin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration ? Furnace _ Air exchanger Reminder: Call for inspections _ Repair ?'Other ?•??? k,? A'v conditioning _ Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 SITE ADDRESS: A/ / l!S /'-c? v?CL G 2 i /? r OWNERNAME: ?1:' lDY tG ? PHONE #: ?DS/ - 1P?? `a? 7D (AREA CODE) INSTALLER NAME: PHONE #: 7 (p 3 -? Jl?-19 W C) (AREA CODE) STREET ADDRESS: HOME ENERQY CENTER PLYMOU PI?ftV5Q7T `! t' __ ' CITY: STATE: Z P: HUIi ?, t, (i;U i 1 ( ? BY: ' -' S PERMITTE cirx os Eacnx 3830 PII.OT IQ708 RD EAGAN hIIi 55122 651-681-4675 CITY USE ONLY LOT BL PERMIT #: ZW sUBn. 7nrrr, View 1S? RECEIPT#: I 3I $?) RECEIPT DATE: o' 13 , GG 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN NAI 55122 Date: <O/ 651-681-4675 o ? Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) State Surcharge .50 Total $ Complete this section oxlv if you aze remodeline, addin¢ to, or re airin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New V Furnace _ Air exchanger Alteration _ Repair _zother ? Air conditioning Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: Call for inspections SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CIT'Y: $ 30.00 6.00 PHONE #: 6 S / (AREA CODE) PHONE #: `J (O 3 - 9 76 ! -ni 4 O (AREA CODE) STATE: Z1P: ? SIGNATU OFPE„ TTE ? 77/,?) 0 6 db ?' ? 7f ?i; . . ? CITY OF EAGa.Sd 379: Pilct tCnob Road Eac;::i, I'?:innecota 55122 YEFPS^i A;(,, : 437 ihe Ci+y of Ea,?an }lerehy f;i°z*its to Summit plmbinq & xeatinq Co., Inc. ef 712 No. '-?;lling Avenue, St. ?'--.c: 5;104 a PLtiMBi J ; Perr,!it i'ore (Owner) *7,11 2 g'. - . ? -. --. 24 Perr.iiCs ,;"r '\TTAc'= % • ? pursuant to application dated P<e :aid: $13';. ;:.7 dated this "cay of ? 19 74 12.00 s/c - Building Instec-or i)?ec?Zenical Permi.ts: ?.q; :, To-h.n.l : SCiMM2f- PLUMBItdC CO. - PI,LIMB7PiG PF.RPdITS Bluebill Drive - 1726 1728 1730 1717. 1734 F'lamingo Drive - 1740 1739 1747. 1743 1745 1752 1754 1751 17;3 1755 1757 1760 ]J62 7.76d 176F, !;olden Hill Terrace 37E?, 3764 376R 37E2 Total ------- 70.50 20.Sq 20.50 20.50 20.50 2o.sn 20.50 2n,5n 20.50 20.50 20.5 0 20.50 20.50 7_n.50 20. O 20.50 2f1.50 2o.sn zn.sn ,'.n. 50 20.50 20.50 20.50 20.50 ------ ° ° --- $4a2,00 L/I l L . ?, I ?r L / / ct'o cJrlvi ?eu> !sT CITY OF EAGaN 3795 Pilot Knob Road Eagan, D'Iinnesota 55122 PERP,ZT NO.: 489 . The City of Eagan hereby grants t?, +' Son Inc - .. . Of ii' F at` _ "ct Paul 551?B - Permit for: (Owner) --- ^r SPG -- a ?,:?Axatr, _ yt ? aI• *i g ? pursuant to application dated 4/4/74 Fee Paid: ?c-r,gnypn dated thisl7th,_day of Aoril ? 19 7e 18.50 s/c Building Inspector ? BINDER SHEET METAL - -HEATING PERMITS 1753 1755 1757 1759 1760 1762 1769 1766 Golden Hill Terrace . 3762 3764 3766 111376 3778 3780 3782 Bluebill Drive - 1726 1728 1730 1732 1734 1738 1744 ? LV.DV 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 20.50 TOTAL ----------------------------------------°-- 5758.50 Flamingo Drive - 1728 20.50 1730 20.50 1732 20.50 1736 20.50 - 1740 . 20.50 1? ?? 7c?Nvl? ?/ YILLAO[ OF EAOAN SEWER SERVICE PERMIT 3795 Pibe K"b aood PERMIT NO.: 1424 Eoqon, MN 35142 DAY'E: 12/29/72 ----__ Zoning: ._---... R'4----_----. No. of UNtt: 2 t'OWt'1hOll9E6 Owner. iQ18tXJftlf M{?Ix1t0 ,_ Addrese: Sfte Addn Plumber: 1 ayrM ro comylr wiM eM vqMyo d lp" Comnectba CharQe'.?r?n OrdMencN. Atcounl Dtpodt: Permtt Fee: 10.00 pd 12 29 72 6urcharae: .50 Pd 12 29 72 By: MLc. Charan: Date of Inap.: Tmal: Inap.: _ Date Pald: .... lof v, I3k? ,, - - ocunv?eu? r VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilnr Knob Noad 111F;HM17 \U.. 1371 -___- _ __ . .... _. ??73 lZ?l . ' Eogan.MN55122 .---- '___ fF.: UA %nniiia? R-4 fM1U. o( Unita: 2 1bWnhouaeS u„m-r: Manito - ---- -- --------- --- ------- -- lddirss?, . __. _ _ . . _.. . .__..._.. . --'-- . .. _-. --- tiilr qddre.. 3764 3766 lden Hill Terrace pi,,,,,1,,,,., Donaldso - cCormick --- ? ?ouneition (.has?t? o A,co„„nt DkpoV5:00 --- ? pd?_ ?. Hcadcr Nr,.' - ? Pcrmit Fcc: '..._ _ _ __... . 50-Pd-- - I og.ee eo comoiY wi*M rhe village oi Eagan SurcharL'c'. --_ --.... ..._._..-, _--. Ordinonces. 17iss?. Char?es: --- 1'otah Itc DatePaidi_..._---__.._.__-. Umr uf IusP.' _.__- ...__.....___' I \ ?I/,?rN iJ/ YILLAGE OF EAGON WATFR SERVICE DERMIT 3795 Pilot 1(nob Rood V'rcH»rr vo.:._ 1372 Eaqan,MN 55147 12/11/73 _- /.onine'. R-4 'vn. c,f Unils. 2._T?wilhOU568 clwucr: Manito - sit( nndrc..: 76 377o_Golden.Hi11 Tenace_..--------- -- Plumhwr: Dona son. McCormick..__ ._..------------?-./--- - -- ?1CUT ?0.: . .. ._ . ._._ _ C o1:pPtUnI1 Arcuunt Deq?sil: . . ..._ _ __' Ne:id,: N,.. 1'rrmit Fee: .. 10 0 0 QCl -- --- - - ----- -- 1 agree ro comply .iith 1ht Village ol Eogm Surrhari.;c: . 5? Pd .. ..... __' _ Ordinan<es. Mi.r. Ch:u'%r, 9?nl n 13v . _'_ . _ _' " '_ _ I):ii?• Pnid: _ _""'__'____.__._ _. _.._. U"trnl ln.p.: __'__'_ ? ??? 8? Gt. °?'".__.-----------------------?------ ' ? 0?? ? ? ' aa y?8963 ?/ 'Ir a7?? ? ?-?- , ?, . ?. ? Y67 4 ?pu,vv?Exi VILLAGE OF EAGAN WATER SERVICE PERMIT itai iI' tv().: _ 1373 . ;?95 P?lo? Kno6 Rnad 12/11/73 ? . ? . Eogan,MN 55127 Il1T}?'. ... - "- . ? - x-4 ? . _ tic „s umn 2 7b?rnhouaes .. Zu??int,: -. -? - --- - -- . f)wner: Manito Addn s: 3762 Golden Hill Terrace A Donaldson-McCormick - Pl?unbrc _ . -° '- _ Mcter Nu : lonnrcuuu ( harYe ., . . . _ ___ ..... . size: ccoun[ Ik?pusit: 10.0 - 4 0 pd . R?=:ider No.: _.._.__._.. ? .: -- Permit Fue: .50 pd?--?- ?--- ? 1 uqree to comply wkh the Villo9e o4 Eo9an StircharKt: ? Ordinances. Misc. C:harKes- ? TotaL uate rAia: :._------ --_---- ---- ------ - ----- ? l 3? i, 3 bb, 31 to a, 37 c~ 4, 3 b co 3~ f~ $ l 3~~ a (210 d6 QM Wlkk -T-OX Use BLUE or BLACK Ink Far Office Use l I I g 353 ' Permit#: City of Ea~UR l Permit Fee: 1 3830 Pilot Knob Road t Date Received: d sq I Eagan MN 55122 Phone: (651) 675-5675 I Fax: (651) 675-5694 1fi 1 I L tW 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 6;6tdN TCrrQiG~ Date: ko r_Z`l" 13 Site Address: 3760 7 37U°~ 7GrG 37Vg 37>O UnitM Name: Phone: Resident/ t i Owner Address / City / Zip; f Applicant is: Owner Contractor Description of work: ® Type of Work ° Multi-Family Building: (Yes / No Construction Cost: 71 5 1. Q ©O Company: 't- ~tcltvt~r¢c.4J ~~R ns~Vcriv^•- --Contact: t &0 City: (r + + ~ i+ne lka~,l~m- E Address: Contractor i State: 01 A) zip: ~3`43 Phone: I # License f#:L Lead Certificate !MT' If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) S - ~ . t_cJ A- - /A w-4 ~Je- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issueda 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.^Pottions 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. r _ 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. 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Cade must be completed within 180 days of permit issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA133199 Date Issued:09/28/2015 Permit Category:ePermit Site Address: 3760 Golden Hill Ter Lot:1 Block: 08 Addition: Town View 1st PID:10-77100-08-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Wallace L Hafstad 2065 Park Center Dr Apt 304 Eagan MN 55122 (651) 238-8617 AOS Construction Inc 900 Kaymar Lane Busnville MN 55306 (651) 245-5105 Applicant/Permitee: Signature Issued By: Signature Date: C!ty of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use/G� )y( Permit* 4 " o` Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDIN�G� PERMIT APPLICATION ,31 Site Address: Le, i3 6��cne,, \-\ 1\\ Unit#: Name: c e-- y Phone: 6 4') —7)3 $ �� f 7 Address / City / Zip: n O VAR K'� C W `-' 1 4 s s e Applicant is: 75 Owner Contractor Description of work Com S 0000,S tAT49 Lo e40 LOW Construction Cost:` !�4-770 Multi -Family Building: (Yes )( / No ) Company: ;- Amo ' 8 A) Address: Contact: City: State: Zip: Phone: 1)^5-3 License #: f3e gat° q1 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: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documentsthat you submit are considered to be public information. portions of he 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. 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. VA /-1114"fh‘P Applicant's Printed Name r Applicant's S gnature Page 1 of 3 1 IX,