4342 Golden Meadow CtCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: j; i
14 MI AUOI•J 1
•.IItJ',r ( i?;4t
PERMIT SUBTYPE:
; ?? .1., , i , , , ,.y
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
? APPLICANT:
f t, i.' 1 A!, +> 4 • q
TYPE OF WORK:
fiil I I t! I Nri
0;?c,t>a4
Il- fIfNV
r11?U I i 1 O+a
7
Permit No. PertnR Holdw Date Telephone #
S/IN
PLUMBING
HVAC
ELECTRIC ?Q y f' O°
ELECTRIC
Inspwtion Deft k"p. Commwtts
Footings 1
Foundatbn
Framing
Rooflng
il/ y s ?
ilrr.
B°ugr' Pl''9-
Bwo Hig.
is,l.
Fireplace
Flnal Hig.
Orsal Test
Flnal Plbg. Plbg. Inspector - NotifY Plumber
Const. Meter
En9?•/Plan
B{dg. Final
Dedc Ftg.
Deck Flnal
Well
Pr. Dlsp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
0 ,1t A I iiI W $. T
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
; APPLICANT:
i ?. ? ,• i ,a,.?, ?, ? ;??
?i}t I I 1?'[?!{9
!1 A ?
It 1 1 L1tY
PERMIT SUBTYPE: TYPE OF WORK: M,DIrIoa -
i: ?,. i r I I 4'r-11 aiJiVAHF
s
Psrntit No. PermR Fbldsr Dete Tebphone •
S/W
PLUMBING
HVAC
ELECTRIC
ELECTfiIC
Inapoctlon Date Inap. Commerft
Footings I 0"1 3
?.
Foundation
Framing
Roofin9
Rcwgh Plbg.
Rough Fttg.
Isul.
Rreplace
Final Htg.
Orsat Test
Fnal Ptbg. Plbg. inspector - NotilY Plumber
Const. Mete?
EngrJPlan
Bldg. Final
Deck Ftg.
DeCk Flnal
Well
Pr. Disp.
.
CASH RECEIPT
C1fiY OF EAGAN
P: O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19 R6CEIVCD FROM .
AMOUNT $ I
/
DOLLARS
E]CASH F] CHECK
r ,._ •
FOR
FUND COOE AMOUNT
Thank You r'
BY. White-Payers Copy
Yellow-POSting Copy
Pink-File Copy
r
CASH RECEIPT
CITY OF EAGAN ?
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DA7E ' 19
RICC CI V CD FROM
AMOUNT $ I
[]CASH []CHECK
DOLLARS
1 oo
?.FOR • •'.? ?1 .. ?
FUND CODE AtdOUNT
Tha ou
. g y
White-Payers CopY
Yellow-Posting Copy
Pink-File Copy
Site Address .
Lot 3
Parcel No. _
Erect ft Occupancy R-3
Remodel ? Zoning -
Repair ? Type of Conat. V
Enlarge ? No. Stories
Move ? Length 3 9_
Oemalish ? Depth 4 6_
Grade ? Sq. Ft.
W Neme JOSEPH MILLER CONST.
? Address 18133 CEDAR AVE SO.
City FARMINGTOhone 431-2001
A Name ='AME
gv
Addreu
I
I.- Citv Phone
Name _
Addres!
City _
Phone
1 hereby acknowledfle thot 1 have reod this opplicotion and state that
the informotion Is correct and ogree to comply with ull opplicoble
State of Minnesoto Stotutes and Ciry of Eagan Ordirwnces.
Sipnoturc of Permiftee
Assessment
Wnter 8 Sew.
Police
F+re
Er+0•
Plonner
councii
Bldg. Off. 12 1 L
APC
Var. Date
PeT11t J 1 O. V V
0
Surchorpa 30.5
Plon check 156.00
sAc _ 525.00
Wcter Conn. 4 7 0_ 0 0
Water Meter 6 3_ 0 0
Rood Unit 2fin_ n n
Parks
rotal 1,820.50
A Buildlny Pennit Is Issued ta: JOSLPH PITLI,F.R CONST. on the express caditlon thot
all work shall be done in acwrdonce with oll oppliaoble Stote of Mfnnesoto Stotutes and Ciry of Eogon Ordlnonces.
Buildinq Officiol
. ' CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUiLDING PERMIT aeceiat
#
Pormit No. Pormit Holdsr Data
Plum6ing A` V3r-)
H.va.c. r, +n,
Ebctric ?? c????, c? ? ??, ?-l_f_ ???)? j 4'
Softerwr
Inspection Date Insp. Othar
Footinys
Foundation
Praming
R uph Plbq.
- Z• S'
Rouyh HVAC ._?
Inwlation j
Final Plbg.
Final HVAC ?
Final ?
Grt/Oec.
Water ???ibe Location:
V11t11
Sewer
Pr. Diep.
Receipt MECHANICAL PERMIT Permit No. G--? T
CITY OF EAGAN
Fee
fill in numbered spaces S/C
Type or Print /egibiy Ta.
1. Date 2. Installation Cost
?. ?
3. Job Addressl^` 3 Gld ?' i Lot Bik. Trac 4 -.??
? Y
4. Owner ? O 1?-'
? C7( }? 1 l Phone ??n a tr*o ?-) ?
5. Contracto ?
,
f
8. Address
7. City State )?` I I ?'? 1 Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New 14-- Add O Alter O Repair O
10. Describe Fuel Type
1 11
No.
T Eauinment 8TU - M. Ea.
Forced Air ? C U i No. Equipment CFM
Air Handlin
:
Mfg. t> (? ? C g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby oertify that the above information is true and correct, and I agree to
comply with a11(ordinances and cades governing this type of work.
4
Signed for
Rough Final
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
Fae
Fill in numbered spaces S/C
Type or Print legibly Tot
1. Date ? u' 2. Installation Cost
?
3. Job Address Lot Blk. Tract t?
4. Owner '
5. Contractor Phone
6. Address
7. City
State
Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New El Add ? Alter ? Repair ?
I 10. Describe
I 11.
No. Fixtures
Water Closet ' No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory
Softner
Shower • ? • Well
Kitchen Sink
Urinal/Bidet Other
?-
Laundry Tray
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 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
BUILDING PERMIT
Receipt #
To M wad for Est. Value 11' '' Dote , 14
Site Address ' r ? `' ' ' '+• EreCt ? Occupancy
Lot Block Sec/Sub, _ Remodel ? Zoning
Repair ? Type of Const.
Parcel No. Addition ? No. Stories
Move ? Length
W Name Demolish ? Depth
; Address Int Impr. ?
Sq. Ft.
b
City Phone Install C]
? N ApProvoh Fees
OU ame Assessmenf Permit
Address
u§
'-
CitY
Phone
Water & Sew.
Surcharge
t
PLU ?
Name Poli<e
Fire Plan Revlew
SAC
iZ Address Eny. ? Water Conn
City
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
Phone
Plonner
Counci I
Water Meter
? Road Unit _
1 hereby ocknowladge rhat I have read rhis opplicotion ond store thar gldg. Off, Tr. PL
the informction is correct ond agree to comply with all applicable APC
Stote of Minnesoto Statutes ond City of Eogan Ordinonces. Parks
Var. Date
Sipnoturo of Permittee Copies
Total
A Bulldiny Permit Is issued To: on tM express Condifbn tlwo
oll work shcll 6e done in accordonce with oll applicable Stote of Minnesoto Statutes and City o4 Eoqon prdinonces.
' Buildinp Official
114o
?
Pwmit No. Permit Holder Dats Telephone ?k
Plumblep
H.VA.C.
ENatric
Soitsnsr
Inspedion Date Insp. Other
Footings 1
Footlnys 11
Foundatlon
Framiny
Roofing
Rouyh Piby.
Rouyh Htg.
Insul.
Flreplace
Flnal Hty.
Final Plbp.
Final 7s y f
Cwt/Occ.
Water Doseribe Location:
WNI
Srwsr
P?. Dlsp.
CITY OF EAGAN Remarks
Addition Sunset Third _ Lot 3 Bik 1 Parcel 10 72987 030 01
Own0,/ ?J• i L 5treet_ 4342 Gold'en Aleadaw .n„rr Scate Eagan, MN 55123
Improvement Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. I
GRAOING
SAN SEW TRUNK S7s 1981 dSS25Se Ori ZOt 7 b OCiC. I
SEWER LATEFAL
WATERMAIN
WATER LATERAI.
WATER AREA r74 19$1 8.SS2SS2C1 Ori ZOt 7 bl CIC 1
S70RM SEW TRK qO'} 19$5 assessed OTi ZOt 7 bl C1C. 1
S70RM SEW LAT
CURB & GUTTER I
SIDEYVALK
STREET LIGHT
Road Unit 260.00 #48294 12-12-84
WATER CONN. 470.00
eUiLOtIVG PER. 9789
SAC 925.00
rt
is
PARK
CITY OF EAGAN
3830 Pilot Knob Rosd
P. O. Box 21199
Eagan, MIU 55121
Zoni?q: 11
Owner: .7 o e
/lddross:
Site Addreu: 4342
Plumber: Ply--o
12- 12 -44 4 ,i?n w
1 Mm to eaPy wIM ehe C1ly oi Epo•
Odin nea.
Bv
SEWER SERVICE PERMIT
PERMIT NO.. ' "
DAl'E: ;
_ No. of Unih:
Court
Corrnsction Chorpe:
Accourn Oeposit: -
Permit Fas:
SurtFw?pe:
Mlsc. Chorpm -
Totoi:
DaN Poid:
100.
Dote of Insp,:
i I rop.:
I
CITY OF EAGAN
3830 Pilot Knob Road 1NATER SERVICE PEIZINIT
P. O. Box 21199
Esgsn, MN "5591 PERMIT NO.:
---------------
Zoniny: DATE:
'
. oe 3 er
Owner.
No. of Units:
/lddnm:
Sit. Addross: -`_ ?o uen eac
,oW .our unse
Plumbsr
Mater No.:
Size; Connedion Chorye: + • p?
Reoder No.: Aceourrt Depostt: • P
fo aenlf wuh 60 Ghr at a Pe?mit Fec: ". -
)
'
mpo SurzFwrys; •_
T
-
Mfsc. Chorpas: 7'• F? m?' e r
By Totol:
Dufe of Insp.: Doft Paid:
Insp.:
CITY OF EAGAN WATFR SERVICE PERMIT
3830 Pilot Knob Road
P. Q. Box 21199 PERMIT NO.: ?
Eagan, MN 55121 D/1TE: ' -=- `
ZO^i^D' No. of Units:
Ownar,
Addron: - ?} -
1X
Site /lddreas• '-'.' '-.'c?' `'?e?Cc »,•
i'?,f?; ? I, i T" SLnset 3
Plumber.
??1Aetar No.: ???_? ?
? Connedion Chorfle: ? 70 . 0 l>:
Size: , ? a?-'
' ? ? °
- ?+oonunf`rbepxilt: 15.0r)
Reod.r N
0 9?- ?? ?'% Pen„Ir Fee: 1} .
1"M !o eeNPlp WIA 11e Ci1y oi Eysn Surdharpe: ..
OrdiMeaM. M1fG. C10fgli: ' • r?'? . _ i, ?.
Total:
By DoM Poid:
Date of Insp.: Imp.:
CITY OF EAGAN N°_ 1 1 14 0
3830 Pilot Kno6 Road, P.O. Box 21•799, Eagan, MN 55121
PHONE. 454-8100
"5&L5?
BUILDING PERMIT 2eceipr # ?
Te M wed fer F'IREPLACE Esr. Value $1,500 Da1e OCTOBER 17 1985
SiteAddress 4342 GOLDEN MEADOW CT Erect ? occuPancy
Lot3-Block 1 Sec/5ub SUNSET 3RD Remodel ? Zoning
Parcel No. .
Repalr ?
Type of Const.
Addition ? No. Stories
Name THOMAS HOMER btove ? Len9th
? S?E Demolish ? Depth
Address Int Impi. ? S9. Ft.
City Phone 452-5856 Install $7
? ApProrals Feas
0
u
Name SAME
Address
Name _
Address
City -
Phone
I hereby ocknowledge thot I hare reod this ap0licarion and state
the inbrmation is Corcect and ogree Po comply with oll o lii
Srota of Minnesota $tatules?n?ty o Eogan Ordiranc ,
/ ?' ,
Slgnoturo of Permittm G?
A Building Permir Is issued to: THOM 5 HOME
oll work sholl be done in accordonce with oll liwble Sfaf oBuildinp Offlcial
Phone
Atsessment
Water 8 $ew.
Police
Fira
Enp.
Planner
Council
Bldg. Off. 10 /1$ /?
APC
Var. Daie
Permit Jc7. V V
Swcharge 1.00
Plan Review
SAC
Water Cona.
Water Meter
Roed Unit _
Tr. PI._
Parks _
Copies ?
I 7otal
on the express conditlon Ihat
Statutes cnd Ciry ol Eaqan Ordinances.
? . .
ALL CONTkACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE Q SETS OF PLANS,
CERTIFICATES OF SURVEY
SET OF ENERGY CALCULATTC
o Be Used For: Va tion:? Date:
Site Address •' • •
Lot *_q_ B1ock:_kSect/Sub: &X1n,a,(f 3'-tq greci.: X Occupancg: ?-3
Parcel #:
Owner:
Address:
City/Zip Code:
Phone #:
Contractor: ? d.
Address: l?? 3 (:Ld? • ?-
City/Zip Code:
Phone #:
Arch./Eng:
Address:
City/2ip Code:
Phnna$-
Remodel:
Repair: Zoning. ?-I
Type Of Const: ?
Enlarge: # Stories:
Move: Length: 39
Demolish: Depth: q?,
Grade: Ft.:
Sq
.
/4 -?,.e J
/
?.a"? l',?oi.•l/???u??.,
f
,
Assessments:
Water/Sewer:
Police:
Fire:
Engr.:
Planner:
Council:
Bldg. Off.:
APC:
Variance:
Permit : 31(,?. ?
Surcharge: -Y) ?
Plan Rev. :
SAC : 525 °
Water Conn: ?o.°-
Water Meter (D3•O
Road Unit:
z y Parks:
? // izo. SD
CITY OP EAGAN N? 9789
` 3830 PiIM Knob Road, P.O. Box 21-199, Eagan, MN 55 121
PHONE: 454-8100 ,
BUILDING PERMIT 2eceipt # ?
Te M uwd fer SF DWG/GAR Est. Vulue 61,000 Dote DF . _F.MBF.]2 1 , 1q_aA
SiteAddrass 4342 GOLDEN MEADOW COURT Erect ff Occupancy R-3
-
Lot 3 Block 1 Sec/Sub. SUNSET 3RD Remodel ? Zoninq T
Parcel No. Repair ? Type of Const. V
Enlarge ? No. Stories
? N,rn, SOSEPH MILLER CONST. Move ? Lenyth-1cL
I
= Address 18133 CEDAR AVE SO. Demolish ? Oepth A 6_
9 City FARMINGTOI#hone 431-2001 Grade ? Sq. Ft.
g
Vl
1-
Name SAME
Address
Phone
Name _
Address
City _
Approvolf Fees
Assessment _
Water 8 Sew.
Police
Fire
Eng.
Planmr _
Council -
I hereby ackrwwledge fhu[ I hove reod this opplicorion and state ihat gldg. Off. 12 /1? /R
the information iscorrett and ogree to comply wifh oll applicable AP?
$fate of Minnesota Statutes and City of Eagon Ordinances.
., ..?. „ n _ Var. Date SipnaWre of 'Permittee
Parks
Total
Q
Permit 316.0
SurcFarpe 10_14
Plan check 156-00
snc ?9 r, -(10
warer conn. 470_ n n
Water Meter F3 nn
Rood Unit 26n nn
A Building Permif fs issued to: TOSFPH MT .R CONST - on tha exprcss condiNOn Ihat
all work sholl be dong,in accordarxe w,4h oll oppliwble Stote of Minnesota Smtutes ond Ciry of Eoyan Ordinances.
9uildin9 OfHcial
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Datelssued:
?,.i . ?
PERMIT SUBTYPE:
r.r•,rtncr;?,,?? :;??t•,
F
APPLICANT:
TYPE OF WORK:
?r?. .,.
? , i'Y
r.: i n i r t r, :".
?
CITY (yFEAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT y y 5 f3
PERMIT TYPE: ': u1 n I " s;
Permit Number. 01) i, ^ ^,
Date Issued:
SITE ADDRESS:
C -.
C I :s ._ t1 i. ?.: - 1
. . . G7 . . . ,, ? ?
DESCRIPTION:
;)LdG I!reu}??+ncy? ..
. i I. . C.? l-? i• i i.
E
P ?
REMARKS:
FEE SUMMARY:
, ?.., ._. ..r•? ..? ? ..
. I, i.? .. ,. ?•?
63
ly?
CONTRACTOR: OWNER:
Gul.Wi?! :j l i1oo6.; i 1
? ) .
i ' . ? . ?, i . ' i . ? . ' , ' f: ?? . ? ? ? 1 'Fi I , 1 ' ?. . ... ? i U . .
?.. ' . ' ... r ? ?Y ,. I .? .. ? .. . . . . ..
? ^? (N?fi ? ?
j PPLICANT/PERMITEE SIGNATURE I-SSUED B: S NATURE
/
AEACVVATE _
PERMIT # .
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLIC
???ENED
APR 0 5 1993
SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, -e -of-e --
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot thange is requested once permit
is issued.
Date d / S / 3 Yaluation of work
L
/
?
,,.' 1!
LdC l.Ao d! Q•7 /v(ea
SttE pddre
. STREET SU17E N
Tenant Name: (commercial only)
IAT 3 BIACK ? SIIBD. D
-7 P.I.D. N
Descri tion of work: Gp,-4 0- A?d;?: ?n
The applicant is: 0 Owner ? Con*.s^actow C7 '::-)er coes«tbe>
Phone S -S?3y
Name ' w2L ? ,34+cZ2?
_-- a •
?
FIRST
Property LAST /
O
a
wner
oj
?
( ?
lJ
R
Z
?
'
'
,o
.
e-,
Address 1
7
SiREET . STE M
City &? State /!l N Zip SSf Z3
Company Phone
Contractor Address License # Exp.
City State ZiP
Company Phone
Architect/
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is twa days once area has been approved.
I hereby acknowledge that I have re this ap lication and state that the information is
correct and agree to ply i h all pplicab State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
N\1J °%I \,_./
, OFFICE USE ONLY
BUILDING PERM(T TYPE ' ..
? 01 Foundation ? Ob Duplex ? 11 Apt./Lodging
13 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ?13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex 'O 14 Fireplace
13 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck
WORK TYPE
., - •f
'Y)
°M'ffi Base"ient Finish
? 17 Swim Pool
O 18 Comn./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Fatility
021 Miscellaneous
? 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish
I,t 32 Addition
/ ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCL System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy M-i 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
N of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code 3fd
Depth 2y• On-site sewage SAC Code
c?,, yw, T
APPROVALS ce-tl,t2 ,.e;
Planning Bullding Assessments
Engineering Variance
REDUIRED IN SPECTIONS `
? Site ? Footing ? Framing ? Insulation
? Wallboard ? fi nal O Draintile ? Fireplace
Permit Fee ao ww.c;o,: '-
Surcharge j, 5-V
Plan Review
License
12
?22= 2E?? ?
2d
7
? Z
MWCC SAC
City SAC
4later Conn.
C-,G?? /DOo Fow,.c??14? /
(I C?oo)
Water Meter ?
'Q
?'
{
Acct. Deposit
S/w Permit ??
- 32?y
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC units
S3 S_?) S? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New Construction Reauirements
• 3 registered site surveys showing sq. R. of lot, sq. fl. ol house; and all roofed areas
(20%marimum lot wverage allowed)
• 2 copies of plan showing beam 8 window sizes; poured found desgn, eta)
• 7 sel of Enerqy Calculations
• 3 copies of Tree Preservation Plan if lot platted aRer 711193
• Rim Joist Detaii Options selection sheet (61dgs with 3 or less uniGS)
DATE 7 ' ZZ 'c)Z-.
? I -?).-? S-
RemodellReoair Reouiremenb
. 2 copies of plan
• 1 set of Energy CalcWations for healed additions
• 1 site survey for exterior addilions & decks
• Indiw[e if home served by septic system for additions
VALUATION
SITE ADDRESS 43?f Z- C ZDEN ?(,?A,?ll ftJ ?T • MULTI-FAMILY BLDG Y ?
TYPE Of WORK_ ?OMF -RFMOW A'LL L A?Ie?S FIREPLACE(S) _ 0 /1 _ 2
APPLICANT 1V UT G4'1 A>U /U 4D2oS ?0•?1S'TkUC?.TJCln)
STREET ADDRESS _? 30 ?Il?-ST ?CITY ' TE??I/ZIP sS!(z
TELEPHONE #4iSI 0 (2,9 j CELL PHONE # 6SI?.3S'.3174 FAX # 7?'J Z? ??j?
PROPERTYOWNER S? ff K?'f ? /?V/U L-1J11ft) TELEPHONE#
------------------------------ ---------------------------------- --------°---------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIV V 1;50'1'A RULI•:S 7670 CATEGORY 1 YIINNLSO"1':1 RGLI•:S 7672
(V submission type)
Plumbing Contractor:
Plumbing systcm includes:
• Residential Ventilation Calegory 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Phonc #
. New Energy Code Worksheet Submitted
Wa[cr SoClcncr Iawn Sprinl:lcr
Watcr Hcater No. of R.I. liadis
No. of Baths
Mechanical Contractor:
Mccli.uiical st-stcni iiicltidcs:
Sewer/Water Confractor:
Air Condilioning
Hcat Rccovcry Systcm
Phone #
Phone #
Pce: $90.00
r«: 57r
?
-----------------------
I hereby acknowledge that I have read this application, state that the information is co !?t, a_d 29?p1y
with all applicable State of Minnesota Statutes and City of Eagan Ordinanc
Signature of App ??n ?4 h?
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
?
?
t:•:;u.'; ?.
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PERMIT SUBTYPE: TYPE OF WORK:
Aonr? Tor?
:?? ,?ri-??•. ??ori ,??,?=?,c?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
. . I . . . 1 6' . , . . IE 9 . .. .
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
/7?.._
DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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CONTRACTOR: OWNER: r ''l
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?I-,'I-' [.i]Lllt IV i'^.? n11U?J ( I
F1 ".
PG ,.;].) ..f3 11, 1) ? :.co li "Pi a I l • i? i I`I'I
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? .0&n ?oil.? I APPLI ANT/PERMITEE SIGNATURE ISSUED V: IGNAT?IR-
PEtUtIT f- ' 1993 BUILDiN [A KO C H
.. i
681-467 K
`
OCH REFINING COMPANY
JEFF LUNO
SINGLE 6 NULTI-FAMILY 2 sets of plans, 3 reg SENIOR MAWTENANCE ENGINEER
`
calcs.
P.O. Bex 64586 • Sdn[ Psul, Mlnneaeb 68789
COMMERCIAL 2 sets of architectura 612/437'0780 • FAl( 6711/437-0940
specifications, 1 copy --_---- -- -_ _- `
Penalty appties: 1) r+hen permit is typed, but not picked up by last working day of month•
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 11 Vatuation of work
Site Address• 37? C?o Q?! .,
. STREET . lUITE Y
Tenant Name: (commercial only)
IAT ? BIAC& I_ SIIBD. / Y.I.D. N
Descri tion of work: GQCa t 0/Jp pN FLnemir QNt
The applicant is: (9 Owner ? Contractor O:>Ner (o.serrw)
Name ,., 2L S? e? Phone -S 3y
Property
Owner uST iIRST
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Add
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R
ress
8T0.EET . iTE 0
Lity State /YiN Zip SS/Z..3
Company Phone
C011tr8CtOf Address License i Exp.
City 5tate Zip
Company Phone
ArchitecU
Engtneer Name Registration /
Address
City State Zip
Sewer 8 water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have re ?this ap lication and state that the information is
correct and agree to ply h all pplicab State of'Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
jirO1 Foundation
[3 02 SF Dwg.
O 03 Sf Addition
E3 04 SF Porch
E3 05 SF Misc.
WORK TYPE
13 31 New
?1132 Addition
? 06 Duplex
? 07 4-Plex
O 08 S-Plex
O 09 12-P1ex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 6arage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Fioish
? 36 Move
Lonst. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBC Occupancy M_1 2nd F1. sq. ft.
Ioning Sq. Ft. total
1' of Stories Footprint Sq. ft.
Length i - On-site we11
Depth 22, On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS GARA&F, Fouiuok7ti07J '
O Site IXfooting O Framing _
O Wallboard Ptfinal ? Draintile
?
'%?,'?
? 16 Basement Finish
O 17 Swim Pool
? 18 Comm./Ind.
13 19 Comm./Ind. Misc.
O 20 Public facitity
O 21 Miscellaneous
O 37 Demolish
MWCC 5ystem
City Nater
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
t?Sws bld?
G?...s? u^^??
Assessments
3m
._-
0
r
? Insulation
? Fireplace
Permit Fee 5,00 wa.c;on:
Surcharge , So
Dlan Review
license
MWLC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
g/00 U
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zvicES _S 1 T E PI.pN
Minnssota 55121
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I hereby certify that fhis survey, plan -
or repoft was prepared by me or under
my direct supervision and thot i am a
duly Regisiared Land Surveyor under ihe
Laws of the State of Minnesota.
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LEGP? DiSGRt?z?av : LO'T 3 Sik 1, SunrstT
THIRA ADO.
PRoPo5E0 GARAGE FLOOII EIEv 131•SO
PROPOSED lST Fl.OOR EIEV. 4133100
ItaQIeY nsoo Mn. Req No. 15235
Date;
y TRSUR?EI?ING'
SERVICES _S ( T E PL NN
Eaqan, Minnesota 55121 _
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I hereby certify ihat This survey, plon
or report was prepared by me or undar
my direcf supervision and ihat 1 am a
duly Registered Land Surveyor under the
Laws of ihe State of Minnesota.
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TNIRD AOD.
PRODOSf D GPRA6f FI.DDII ELEV WSO
PRoPOSeD tsT FLooR ELfv• 931,,0e
B rod ley nson Mn. Req No. 15235
Date:
?Q? 2
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.
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED IiITH THE CITY OF EAGAN
COlQfERCIAL SINGLE FAMILY DNELLINGS
INCLUDE 2 SETS OE ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCllLATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE 80ND
To Be Used For: Valuation: t 15-UD Date:
Site Address 4342 "? rlQA4du% C`
Erect
Remodel
Repair ^
Addition
Move ,
Demolish
Int.Impr.
ONLY
,ot 3 Block
Parcel/Sub
Owner -T64h0,5 antL4'
Address EP'oUf" HV06 Cfty/Zip Code E?(qA? 1?S17?3
_?
Phone 4S'2- - as-4-
contractor pl??
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Occupancy
Zoning
Type of Const
!I of Stories
Length
Depth
Sq Ft
Install y-
APPROVALS
FEES
Assessments Permit
Water/Sewer Surcharge
Police ' Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TOT6L
Phone !!
.? ...
!?! Ail?lfoJO i? n? f? l?gy at fa r.wassr?r a? s s rFS?a:ra ?nt !at#.f?ya f? +? flslsactar a
' F O R C I T Y U S E O N;, Y ..PER^1IT " ISSUED
F°ES : $
$
$
S
S
$
/?--?-o
$
$
$
S
$
S
$
$ .
SE:^iER nER^?IT (I`ICL:;DE SU.°.C?i?RGE)
WATER PERN1ZT (INCL'JDE SliRCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (ZNCLUDE CORPORATION STOP)
SE:IEF TAP
ACCOUNT DFPpSIT - FIAT°R
WAC
SP.C
TRUNK WATER ASSESSMENT
TRti:]K SEWER ASSESS6IENT
LATE?tAL BENEFIT/TRUNK SE:dER
LATE?2AL BENEFIT/TRU:IK WATER
OTAER '
S
TOTAL
AASOUNT PAID/RECEI?T
DOES t1TILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR `r]ORK WITHZN
PUBLIC ROADWAY" MUST SE ISSUED BY THE
NO ENGINEERING DIVISION. LZST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE: .?9 le ?? .
DAT° : C`/ -- tl ?
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-..: .. ,.._ :.,. .. . __ .,
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.
2/84
CITY Or EAGAN
APPLICATION. FOR PERMIT
Ill
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.•a' ?j:N? ^k'?:...ve-w=-
• SEWER AND/OR WATER CONNECTI0
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4
. _ .-.._., ??..?,..«.»:.-...,...
(PIEASE PHINT) - ' - . .
- •,?
1) PROPECITY ADDRESS: q3Y'.2 VelOw lwer4cau.I _
LEG-AL DESCEtZPTICN: 3 / --?..? y7? ??
(LotBlock/Subclivision or Tax_Parcel.,.I.D.._NLmber)
! .T'r' x"iIS':=:G S'!'RCCPME, DATE OF ORIGiIAL rAi2LDr:G P=-11T_ISS??tiC?.:... '
PPESr-`.:?' --•••IIPr'/*pVoPOSF.D C'S: R-1 SI:1,74GI.E rPMILY
? R-2 DUPL...t'`{- ('IWl7 TJNITS)
? R-3 1av1iII-ICi1SE (TY?=- + L^IITS) ( U.IITS)
? R-4 rlPt1R2"SE:?IT/CC:SKd•L`]IU:i ( Wi ITS)
? CCi`1&NIERCIAL/RETAIL,/OFFICE-
? INMliSTRIlI, ,
Q INSTTTCPIO:]AL/GGVE,RMPiIE?:1,'T
2) APPLIG?.DiT (PLEASE PRINT)
NAME: .?ec /Y/,!/cF. _ , . ..
ADDRESS: /8/ 33 CeoP.eh Ac S,
CITY, STAT'::, ZIP:
0
PxoiNE: 1- 100
3) PLamER PLEASE PRlNT) '
NAME FOR CITY USE 04LY
: MNOU'fd. P/kinA llw a
r?DREss: ira
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2 4n
12 a3J PLUMBERS UCENSE:
`
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c, Active
CZTY, STATE, 2IP; M?/ s?l,yyI L- E{pi/r/ed
PHONE: 3LJ ?PIUMBER LILENSE ka&(,5-/yj3 " ?e ?d
TE-a FF-rn-i
4) OCC[JpANP/(7,'INEE2 NIN4E: IPLtASE PRlNf)
ADDRESS:
CITY, STA'I'E, ZIP: 51?Mc Y}? (A)
PHONE: - .,. . . ".
5) INDICATE Shc-IZCH PERMIT IS SEING RfX2UE5TI:D: .. _.._ .:- _? CONNECPION TO CITY SEWER
? coNrrECriov TO ciTSt waTea . .
? U"il!ER (PLL•'ASE DESCf2IBE)
? PLEaSE fiOID APPROV'rD PER+IIT FOR PICF:-UP'BY ONE OF A&NE ;
? PIFASE pTAIL APPROVID PFR?tIT M 1, 2. 3. 4 ABOVE. '
' (Circle one) ,
..« .. .. , .... . . . . .....
7) siCIAzv-RE: W?,..¢?? .,DaTE:
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?Jl NOTICE
CITY OF EAGAN
.?
NOTICE IS I3EREBY GIVEN that the City of Eaean, Dakota
County, Minnesota, has completed the proceedings for vacation of
certain utility easements and a portion of Yorktown Place lying
over and across the following described property:
All that part of Lots 1, 2 and 3, Block 3, and all that part
of Yorktown Place in SUNSET EOURTH ADDITION, Dakota County,
Minnesota, according to the recorded plat thereof lying
Southeasterly, Southerly, and Southwesterly of an arc, con-
cave to the South, having a radius of 60 feet, and a central
angle of 121 degrees 01 minute 33 seconds a:_d Northerly of
the following described line:
Commencing at the Northwest corner of 5ection 25, Township
27, Range 23; thence South 00 degrees 01 minute 45 seconds
East, along the West line of the Northwest @uarter of said
Section 25, assuming that said west line of the Northwest
Quarter havirig a bearing of South 00 degrees 01 minute 45
seconds East, a distance of 599.89 feet to the 5outhwest
corner of said Lot 1; thence Easterly along the Southerly
line of said Lot 1 along a nontangential curve concave to
the South, having a central angle of 1 degree 38 minutes 59
seconds, a radius of 2084.30 feet and chord bearin8 of North
87 degrees 11 minutes 51 seconds East, a distance of 60.02
feet to the point of beginning of the line to be.described,
said point being the angle point in the Southerly line of
said Lot 1; thence North 89 degrees 15 minutes 09 seconds
East 104.46 feet to the angle point in the Southerly line on
the South line of Lot 3, Block 3, of said Sunset Fourth Ad-
dition and said line there terminating.
The radius point of said arc is described as follows= Com-
mencing at the Northwest corner of Section 25, Township 27,
Range 23, thence South alon8 said WEst line of the Northwest
9uarter of Section 25 South 00 degrees 01 minutes 45 seconds
East 599.89 feet to the Southuest corner of said Lot 1;
thence EasterlY along the Southerly line o3 said Lot 1 along
a nontangential curve concave to the South, having a central
anele of 1 degree 38 minutes 59 seconds, a radius of 2084.30
Peet, and a chord bearing of North 87 degrees 11 minutes 51
seconds East, a distance of 60.02 feet to the angle point in
the 5outherly line of said Lot 1; thence South 61 degrees 15
minutes 37 seconds East a distance of 60 feet to the radius
point for the above said arc and there terminatin8.
That said proceedinga were taken and completed by the City
of Eagan, Dakota County, Minnesota, on July 16, 1985; and that
the descsiption of the real estate and land affected by the vaca-
?,,,,.,,,N....:....x-._,.._.. .
NON, iHEREFORE, upon mocion by Councilman Smith, eeconded by Couneilman
Thomae, ell membera voting yee, i[ vaa RESOLVED that thoee certain utility
easementa lying over ena acroea the folloving deacribea proper[y are hereby
vacacea:
All that part of SUNSET FOURTH ADDITION, Dakoca County, h4i according to
the recorded plat thereof . lying Southeaeterly, Southerly, and
Southwestecly of an arc, concave to the South, having a radiua of 70 feet,
and a cen[ral angle of 121° 01 minu[es 33 aeconds and Northerly of the
following aescribed line:
Beginning at the Northveat corner of Section 25, Township 27, Range 23;
thence South 00° 01 minutea 45 eeconas East, along the Heet line of the
Northvest Quarter of said Section 25, assuming that said weat line of the
Northweat Quarter having a bearing of South 00° 01 minutes 45 eeconas
East, a discance of 599.89 feet; thence Easterly along a nontangential
curve concave to the South, having a central angle of 1° 38 minu[es 59
seconds, a radius of 2084.30 feet ana chord bearing of North 87° 11
minutes 51 seconda Eaat, a distance of 60.02 feet to the point of
beginning of the line to be described; [hence North 89° 15 minu[ee 09
aeconas Eaet 104.46 feet to a point on the South line of Lot 3, Slock 3,
of said Sunset Fourth Auaition ana said line there terminating.
The raaiue point of eaid 70 foot arc is described ae beginning at the
following point: Beginniag at the Nor[hvest corner of Section 25,
Townehip 27, Range 23, thence South along said Weat line of the Northvest
Quarter of Section 25 South 00° 01 minutes 45 seconas East 599.89 feet;
[hence Easterly along a nontangential curve concave to the South, having a
central angle of 1° 38 minutes 59 seconda, a radius of 2084.30 fee[, and a
chord bearing of North 87° 11 minutes 51 aeconas East, a diatance of 60.02
feet; thence South 61° 15 minutes 37 aeconas East a ais[ance of 60 feet to
the point of beginning of the radiua point for the above saia 70 foot arc
and there terminating.
DATED: July 16, 1985
ATTEST:
By: /s/ E. J. Van Overbeke
E. J. Van Overbeke, City Clerk
CITY COUNCIL - CITY OF EAGAN
By: /s/ Heat[a Blomcuist
Bea[[a Blomquist, Mayor
EREtiPT FRON STATE DEED TA%
THIS INSTBUMENT DRAFTED SY:
Hauge, Smith 3 Eiae, P.A.
3908 Sibley Memorial Highway
Eagan, t4i 55122
(612) 454-4224
, , . ..._ _
_.. .,.
R E 5 O L U T I O N
LTHEREAS, a regular meeting of the City Council of the Ci[y of Eegan,
Dakoca County, Minneeota, vas held on the 16th day of July, 1985, at 7:00
o°clock p.m. at the City Aall loca[ed at 3830 Pilot Knob Roatl, Eagan, MN; a11
a
membere being present; and
WHEREAS, pursuan[ to M.S.A.412.851, the Mayor convenea the public hearing [o conaiaer the proposed vacation af certaia u[ility easements lying over and
acrosa part of SUNSET 4TH A?DITION, Dako[a County, Minnesoca; and
WHEREAS, the Council at a regular mee[ing on the 18th aay of June, 1985,
accepced a petition co vacate saiu utility easements pursuanc to a petition of
the lanaowner and echeduled a public hearing on the vacatio? for the 16th day
ot July, 1985, at 7:00 o°clock p.m. at the City Hall; and .
WHEREAS, an Affiaavit of Publication of notice of hearing in the Dakota
County Tribune, dated June 27, 1985 and July 3, 1985, relacive to the propoeea
vacation was aubmi[[ed; and
WHEREAS, said Notice of Aearing wae posted at the City Hall on the 27th
day of June, 1985; and
WHEREAS, there appearing no objectione to said vaca[ion ana the Council
aeeiring [o vacate saia utili[y easemente; and,
WHEREAS, it having been aetermined that other than petitioner, there are
no other partiee, including public utility companiea, having an interest in
said utility easemente ana it appearing that it ie in the public intereat to
vacate such easemente, ana chere being no objectiona;
EXHIBIT "A"
??.
.
_ .... ?... ?..,.??.r...--?-?.
That said proceedinga vere taken and completed by Che Cicy of Eagan, Dakota
County, Hinneeota, on July 16, 1985; and that the ueecripcion of Che real
escate and lana affected by the vacatian of saia utility easemence is
concained in the Resolution vacating eaid easemenca oE which a copy is
0
a[tachea hereto and made a part hereof and marked as Exhibit "A".
DATED: Suly 16, 1985
ATTEST:
Hy: /s/ E. J. Van Qverbeke
E. S. Van Overbeke, City Clerk
CITY COONCIL - CITY OF EAGAN
gy; /s/ Beatta Blomquist
Beatta Blomquist, Mayor
2
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?1 t?( REQUEST FOR ELECTRICAL INSPECTION ee-oocwi-oa
?, ' See instmetions Tor completieg [his form en back oT Vellow. eopY. ,-)'a _?Ly
A fIQAF;q? '"X" Be/ow Wark Covered by This Request J
WewdAddl Hep.] , Tyoe of Builtlina I Av[+liaqn;i,s WireA I Equipmenl Wired I
ex
ce
M iee ServiceEntrenea3ixe q Fee Fenders/Subfeeders % Fee Cirouita
/ 0 to 200 qm s- 0 to 30 qm s .Z d. S 0 to 30 Am s
Above 2 0 qmps 31 to 100 Amps 37 to 100 A
Swimming Pool Above 100_Am s Above 100_Am s
Tran5lormers Irrigation Boorr,s ,jb Partial-"Other Fee
I ? j Signs I I ISpecial Inspection I$?3 ?
TOTA FEE
liemarks
?oZ
flouBn-in
Tha Ele r
1 InSPecbr, herBby
• '? ariity thet the above
Final ^V nte F? inaoection has been
Thlarepuestvoidt8monlnslrom ?
?? . . i .
I nis repuest voia
16 rtnnihs !wm q
A_094595 L3? I.?._?r
...- .._. ..,.??..?..
eq rt ? oAeady Nuw ?Ii No?ity InsDec-
y _ ?No tor When Ready
i sed Electncal Con[ractor here4y roquest inspection oi ebove
ner eleciricai work installetl a[:
5 r t Adtlress, Box o Route No. Git
56 clwn u. Tow ip Name or No. an9e o?.
W
Occupant IPRINTI P o No.?
` - m •? ?
er uppl' d ess
Elec ' ont actor ICO pa amel
"
( C n a t r's Licensg No,
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?f?
Mailin0 A ss Contrec or or Ow r MaMng In ailatio
l
Au hor' ed SiB.at (Conva or wner aking sta ation Ph ne Number
-.56 ?
MINNESpTq STATE BOARD OF ELECTRICITY THIS INSPECTION flEQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STA'fE BOAflD
7827 Univeraitv Ava., 5t. Paul, MN 56100 UNIESS PPOFEfl INSPECTION FEE IS
Phorre f8121 29J-2111 ENCLOSED.
??'? ?'/? REQUEST FOR ELECTRICAL INSPECTION
?
V45069 See inslrucMions 1or ar':n8 this form on Oeck of yellow copy. 'X" Below Work Cavered by This Request ?.?:•
ew Utl :, Typeof8uilding AppliancesWired EquipmentWired
Home Range 7emporary Service
Duplex Waler Heater Electric Heating
Apt Building Dryer Other-(Specify)
Comm.lindusirial Furnace
Farm Air Conditioner
O[he, isyeafy; Contractor§ Re rks: t
araqe_ s rnooF 5?-?; ? ?
Compute Inspection Fee 8e/ow:
# Other Fee # ServiceEniranceSize Fee k Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
TranSformers Above 200 _ AmpS Above 100 _ Amps
Signs Inspxmrs U. Only. I TOTAL
?
' Irrigation Booms ? O
Special Inspection
AIarMCommunication THIS INSTAlLAT10N MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M HS.
I, the Electrical Inspectoc hereby
if Rough-in oate a?a
cerl
y that the above inspection has
been made. Finai oa?.
OFFICE USE ONLY ' Tnis request voitl 18 moMbs Imm
K 4 5 6 9 yV-61s
Request Da[e ?
7 Fire No. Rough-in Inspection
Vegtl?
? ReatlY Now
ill No6(y Inspeciw
Wh
R
?
r No en
eeOy
I::1 licensed contractor Awner hereby request inspection of above electrical work at:
JtlbAtltless IStrept? v or R )
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Senion No. Townsnip Neme or No. Range No. Counry
Occuoam (PRINT)
? Pfione No.
. un
.9
P werSupplier Mdress
Elec4ic ConVactor ICompany Nama) Conlracior5 Lkense No.
v wner
Ntl s
Mailing ?Contraqor or Owner Making Installation)
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Amnoriz i nawre (COmrectorrOwnar Meking Installation) Phone Number
MINNESbTA SiATE BOARO OF ELECTRICITY ?? ?'? ____ __ THIS INSPEQION REOUEST WILL NOT
GrIggs-MlAwey Bldg. - Room S173 BE ACCEPTED BYTHE STATE BOAFD
1821 Univaniry Ave.. SL Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(6i2)60Y-0800 ENGLOSED.
Use BLUE or BLACK Ink
For Office Use I
Permit L~
City of Eakan 1
Permit Fee:
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3830 Pilot Knob Road 1
Eagan MN 55122=w;: ' v Date Received: I
Phone: (651) 675-5675 1
1 Staff:
JUL 16 j
Fax: (651) 675-5694 1 ~1Z L -
-1 2012 RESIDENTIAL PLUM ING PERMIT APPLICATION
Date: l /Q: Site Address: 4 ~ 3
Tenant: Suite
RESIDENT/ OWNER Name: ::iffm +W.t GInc.,i er Phone: L'
Address / City / Zip:
Name: ._04 C116K WNW U-MAYr License
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CONTRACTOR Address: zqc CRY.- `4 /5.1! 1t,Jf i
State: Phone: C LTA/ ~L(/ l
Contact:5 ~ ~~I UJ Email
TYPE OF WORK - New Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work Vl VA
RESIDENTIAL
Water Heater
X
Lawn Irrigation RPZ / _ PVB) Water Softener
PERMIT TYPE
Septic System Add Plumbing Fbdures L- Main Lower Level)
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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 infonnation 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
, 7" " X ' '/V
x ~1 l l If 1 ~l x
Applicant's Printed Name Appfic is Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test _Gas Test Final
s
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA151146
Date Issued:08/10/2018
Permit Category:ePermit
Site Address: 4342 Golden Meadow Ct
Lot:3 Block: 1 Addition: Sunset 3rd
PID:10-72987-01-030
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 -
John Matthew Builders Llc
4342 Golden Meadow Ct
Eagan MN 55123
(262) 422-3521
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161414
Date Issued:05/22/2020
Permit Category:ePermit
Site Address: 4342 Golden Meadow Ct
Lot:3 Block: 1 Addition: Sunset 3rd
PID:10-72987-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Andrew Jensen
4342 Golden Meadow Ct
Eagan MN 55123
(262) 422-3521
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178859
Date Issued:09/07/2022
Permit Category:ePermit
Site Address: 4342 Golden Meadow Ct
Lot:3 Block: 1 Addition: Sunset 3rd
PID:10-72987-01-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Joana Dimeglio Sicoli
4342 Golden Meadow Ct
Eagan MN 55123
Exteriors Plus Llc
12481 Rhode Island Avenue
Savage MN 55378
(952) 345-3408
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179229
Date Issued:09/26/2022
Permit Category:ePermit
Site Address: 4342 Golden Meadow Ct
Lot:3 Block: 1 Addition: Sunset 3rd
PID:10-72987-01-030
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Joana Dimeglio Sicoli
4342 Golden Meadow Ct
Eagan MN 55123
Exteriors Plus Llc
12481 Rhode Island Avenue
Savage MN 55378
(952) 345-3408
Applicant/Permitee: Signature Issued By: Signature