3818 Laurel Ct• CITY OF EAGAN
3795 Pilot Kno6 Road Eagan, MN 55142 N2 5808
PHONE: 454-8100
BUILDING. PERMIT
Receipt #
Te be ated fa Est. Value Dnte , 19_
?
Site Address
Erect
?
Occupancy
Lot Block Sec/Sub. Alter ? Zoning
P
l # Repair ? Fire Zone
arce
Enlorge ? Type of Const.
W Ncme Move
?
# Stories
Z Address Demolish ? Front ft.
? r.w, _ M .._., I -, Gmde fl Death ft.
? Name ApProvals Fees
o
va
Address
Assessment
Permit -
F Woter 8 Sew. Surcharge
Ci Phone
Police
Plan theck
F
Uw Nome
SAC
FZ Fire -
?o Address Eng. Water Conn.
QW Ci p?ne Pianner WaterMeter
Council Road Unit
I hereby ocknowledge that I hove read this application and state that gld9 O{p
the informotion is mrred and agree to comply with all applicable
State of Minnesota Stotutes and CitY of Eagan Ordinances APC Total -
•
Signature of Permittee
A Building Permit is issued ro: ? on the express condition that
all work sholl be done in accordance with oll applicable State of Minnesota Statutes ond City of Eagan Ordirwnces.
Building Official
Penek # Dah Iwred Pwskfw
Plumbing ? /(r _1/ -
Mechanicol 3 :E - r/-?/
:,?Ez < ? T //-ie
INSPECTIONS DATE INSP.
Rough-In
Finol
Footings I
? Date Insp. Da Insp.
Fo Plumbing
e/ins.
F - ?
-
Mechanicol
/
ina ?
Remarks:
? ?
? ? (/ ^?
000SN
' . arr oF E?"N
• 3795 Pilot Knob Read
Na Eugen, Minnefota 55122
Phens: 454-8100
PERMIT
Date: ?
Site Address:
Lot Block Sub/Sec.
Name ;'-'•-?-'gsm B1dL'8.
; Address
O
City Phone:
Name 'Y ', ,-; ,_, ? i - •
.
? Address
e
0
Y I
icity , PFrone:
This Permit is issued on the express condition that all work shall be
Minnewta Stotutes ond City of Eagan Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single ` I
Residentiol
Multi Res., Comm./Ind.
New/Alter./Repair
Cost of Insfallotion
Permit Fee
,
Surchorae
Total
done in accordance with all applicable State of
Building Official
No.
Date:
CITY OF EAGAN
3795 Pilo! Knob Roed
Eo9an, Minnewro 55122
Phone: 454-8100
PERMIT
Site Address: 'urPl Ct.
Lot BI«k Sub/Sec.
Bris^hill
Name "
e Address '
?
City Phone: . .
Name
r
?
g Address
e
? City - - ' Phone:
This Permit is issued on the express condition that oll work shall be
Minnewta Stotutes ond City of Eagan Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residentiai
Muiti Res., Comm./Ind. I
New/Alter./Repoir.
Cost of Instollation
Permit Fee
Surcharge
Tota I
done in occordance with all opplicoble Stote of
Buildinq Officiol
CITY OF EAGAN ? 802?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ,
?• PHONE:454-8100 r=-
BUILDINRMIT Receipt #
? mm
;1 0000 90
JUNE 14
To be usart fQ
Esl Value Date , 19
Site Address ?20 ?UL ?
Lot 10 Block Sec/Sub. ?i? IiILL OFFICE USE ONLY
PdfC81 N0. Occupancy - FEES
ARM LOM Zoning Ts,?
? Name (ACtual) Const =
Bldg. Permit
W
; AddfCSS (Allowable) • ?
0 Surcharge
? City Phone # or stories IV
P?an Review
¢ PHIL S88ELSY Lengtn Z.?
Name oepm - snc
ciry
}o LIN ,
Oi #
Address S.F. Total -
IAMILLE SAC, MCWCC
? City
Phone S.F. Footprints -
Water Conn
I On Site Sewage _
, U¢
W
Name
On Site Well
- W
t
r M
t
r
a
e
e
e
j ?= Address MWCC System -
<?+ City PhOnB Ciy Waler
Acct. Deposil
_
i
S
W
PRV Required Perm
/
t
-
I hereby acknowlege thal I have read this application and state that the
' Boosler Pump - S/W Surcharge
intormation is correct and agree to compy with a{f
applicable State ot
Minnesola Statutes and City q( Eap?ryOrdinonces/
?
? Treatment PI
•` "
j I
r
Signature of Permitee ?? ?Lc- ?
.
,
APPROVALS
Road Unit
PHIL S?$UY ..?
A Building Permit is issued to: Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Co+ncil
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bidg. Oft. _ Copies _
26
30
Building Oflicial ? Variance .
- TOTAL
Permk No. Permit Holder Uete Telephone #
WATER ?
SEWER
PLUMBING
H.V.A.C.
ELECTRIC ?749
Inspeetion Date Insp. Comments
Footings I
Fourdatlon
Framirg
Hoofirg
Rough Plbg. .
Rou9h Htg.
Isul.
Freplace
Fnal Htg.
Fnal Plbg.
Cons1. Meter Plbg. Inspector - Notify Plumber
Ergr./Plan
Bklg. Final
oeO Fcs. G/.? D u/e
Deck Final ?
Well
Pc Disp.
??. .. ?
?
CONTRACT PRICE:
Site Address `
; Lot Block
m Name Address
c City
,
Phone
c
p Name
Address
City ?
Phone ?
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE
S/C:
TOTAL:
PERMIT q
MECHANICAL PERMIT RECEIPT # y r-~ ?
CITY OF EAGAN DATE:
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100 For Office Use Only:
BLDG. TYPE WORK DESCRIPTION
ec/Sub Res. New
Mult Add-on ?
Comm. Repair
„ Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCIUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA :
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C If PERMIT PRICE GOES
BEYOND $1,000)
+
SI N?`'TUREP F PE ITTE
. ???
' FOR: CrIAyOF EAGAN
_:!'t ' .:ji.' . "• ' .. . .. -. . _ , . . , . . . . . . .. , .
CITY OF EAGAN ? 0
?` 18151
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 `
PHONE:454-8100
' C 8878
BUILDING R
MIT Receipt #
=1'000
DECK JULY 13 90
To be used far
Est. Value Date 119
SBZ? LAUREL CT
Site Ad0 ss
BRIAR ?
OFFICE USE ONLY
Lot Block SeclSub.
P8fC01 NO. Occupancy - FEFS
???? ??? Zoning 25.00
s Name (Actual) Const - Bldg. Permil
w
;
AddfBSS
-
(Allowabie)
-
rchar
e
S 50
.
0 City EAGAN Phone 454-4739- x ot stories --W, g
u
Plan Review
$?E Length -at
o Name Depth - SAC. City
i
0004 Address S.F. Total - SAC
MCWCC
¢ City Phone S.P. Foolprints - ,
H'ater Conn
On Site Sewage _
?
W
Name
On Si1e Well
-
Water Meter
W
?z AddreSS
- MWCCSystem -
,
Ci
Water ? DeSi1
?
<W City PhO?@ ry - SNV Permit
PRV Required _
I hereby acknowlege thai I have read this application and state that lhe Booster Pump - SM' Surcharge
information is correct and agree b comply with all applicable Slate of
Minnesota Stalutes and Ciry of Eagan Ordinrces. • r_
Treatment PI
Signature of Permitee ""''"'?. ` t , ;.il -1. i. ?.Q- APPROVALS Road Unii
RATMOND L r LE
A Buiiding Permit is issued to: Plannar
-
Park Ded.
on Ihe express condition that all work shall be done in accordance with all Council 1.50
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. gb9, pff. _ Copies ?
Buiiding Official ? ' - Variance - TOTAL
PermH No. Permk Holder Date Telephone
WATEH
SEWER
PLUM8ING
H.VA.C.
ELECTHIC
Inspeetion Date Insp. CommeMs
Footings I
FourWation '
Framing
Roofing
Rough Plbg.
fiough Ntg.
Isul.
Freplace
Final Htg.
Fnal Plbg.
Const. Meter Plbg. Inspector - NoGty Plumber
Ergr./Plan
Bldg. Final
Deck Ft9.
Deck Fjnal
Well
Pc Disp.
?
BUILDING PEFiMIT
To be used tcr `t( DBClC
.
_ ;..?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
Est. value $16000 Date JULI
Site Ad ess 6 ?V?L (?JH'I
lot ?? Block Sec/Sub. lAR lRLL 8
, Parcel No.
w Name
0 ? Address
City Phone
o Name
O¢ Address
? City Phone
1-
yVj W Name
? ; Address
<W City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree lo co/nply with I applicable State of
Minnesota Statutes and City of ga Ordin fice
p'? :; ?'° )
Signature of Permitee ? t j?
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota'*tutes and City ot EaganQ rdinances.
Sr ?-t.?.1/f L! !.
Dcilding Official ?fC
18173 ?
?
19 90
OFFICE USE ONLY
Occupanq -
Zoning -
(AClual) Const -
(Allowable) -
# o, Stohes Tr s
Length
Depth _
S.F. Total -
S.F. Footprints _
On Site Sewage -
Ofl $dB WBll _
MWCC System _
Ciy Water _
PRV Fequired -
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
$:s.oo
Bldg. Permit
.
Surcharge
Plan Review
SAC, City
SAC,MCWCC
Water Conn
Water Meter
AccL Deposit
S1W Permit
S/W Surcharge
Trealmenl PI
Road Unil
Park Ded. _ hoo
...
Copies $26•50
TOTAL
PermR No. Permit Holder Dale Telephone N
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
F
Inspeetion Date Insp. Comments
Foaings I
Foundation
Fremirlg
Rooling
Rough Plbg.
Ra+9h Ht9.
Isul.
Freplace
Final Hig.
Fnal Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
EngrJPlan Bldg. Final
Deck Ftg.
Dedc Fnal 1/ }
Well
Pr. Disp.
BUILDING PERMIT
CITY OF EAGAN
3795 Pilot Knob Road Ecgan, MN 55122
PHONE: 454-8100
Receipt #
SiM Address i,aurc .ii-'.
Lot Block $ec/Sub.
Parcel #
rc Name
W
3
Address
0
Ci Phone
p Name
f
??
Address
~ Cit Phone
tW Name
F
iA
Address
I hereby acknowledge thot I have read this application ond state that
the information is rnrrect and agree to comply with all appiicoble
State of Minnesota Statutes end City of Eagan Ordinances.
Signoture of Permittee
N4 5810
in
Erect ? Occupancy
Alter p Zoning
Repair ? Fire Zone _
Enlorge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode ? Depth ft.
Aovrovols Pcea
Assessment
Woter & Sew.
Police
APC Permit
Fire
Eng.
Planner
Council
Bldg. Off.
Surcharge
Plon check
SAC
Woter Conn.
Water Meter
Road Unit
Total
A Building Permit is issued to: on the express condition that
oll work sholl be done in accordance with ell applicable State of Minnesota Statutes ond City of Eagan Ordinances.
Building Official
Pennit # DaM Iwaad hrmMM
Plumbing ? - ,3 • 1?Q
Mechonical
• .ui S ?a?c3v ?-?9- J'o
I I
INSPECTIONS I DATE INSP. I
Rough-In
Final
Footings I Date Insp. Dote Inap.
Foundation Plumbing ?
Frame/ins. - 7- Mechonical
Final
Remorks:
No. ?
Dote:
cirY oF EAcaN
3795 PiIM Knob Raed
Eagae, Minnesofa 55124
Phone: 454-8100
PERMIT
Site Address:
? ^ t u2`tilil l
Lot Block Sub/Sec.
::711G:30P_ Builders
Name
-
Address 13815 HolVikP 1ai.
?
Valley, 1!r. 454-6?:7;
City Phone:
Nome ^redrickaon ? -,+. z7
r
ii:r .. ' ' •F.
g Address
? :_1.??i1?1 ? . • . . _ Jr i
City Phone:
This Permit is issued on rhe express condition that all work shall be
Minnewto Stotutes and City of Eogan Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residential
Multi Res., Comm./Ind. I
New/Alter./Repair
Cost of Installution
Permit Fee
Si ,rehnrnn
Total
done in accordance with all appliwble State of
Building Officiol
No.
.
-' " PERMIT
Dote:
i' .? Ix?llT'^l
Site Hddress: Z. CC'.1Tt
I 7T'; Fr'?''_1
Lot Block Sub/Sec.
Nome ' °'-lefeori Bu31de?-s _
New/Alter./Repair
; Address 13816 fTolyoke LTl.
O cost of Instonarfon
Gry EjjT%le V811ey, fLin Phone: :54_6 o73
Permit Fee
Name rre7` 7'y8'
. Surchorge
? Address 14745 S. Ro i?':_ ^t TT.
Ciry Phone: Total
This Permit is issued on rhe express condirion that oll work sholl be done in occordance with all applicable State of
Minnewta Stotutes and City of Eagon Ordinonces.
CITY OF EAGAN
3795 Pilot Kno6 Road
Eagan, Minnetota 5512$
Ptione: 454-e100
2073p
Receipt No.:
Single ? Or 4. plr:](
Buildinq Official
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
C?rrfiftrtttt u# (Orrixpttnrij
Citp of (f agan
igrpttrtmrn# nf Builhing Ansperiiuti
Tbir Ccrtificate iJSUed purruqnt to tbe rrquinmcntr o f Section 306 of tbe Uni form Burlding
Code tcrtif ying that at the time of irsuarue thrs structun wa.r in cmnpliance with the variores
ardinanas of the City rrgulating building connruction or ure. For tfic foUouring:
un cloakaum 1 Of Q Plex B,dB.eerrn;,No. 5809
O-puxyTYPe R3 'n'PCamWCtion V FircZooe 3 taningDistrict R3
a,.mr ofBxdl,o,e Tolle£son BuildersAaa.13816 Hol,pok a,??ple
, H„o„ng ,,,,ma 3822 Laurel Ct. ;,, Lot 11, Bloek 1, Briarhill
u,--& ?_ ?
e?otne.? 6 n,t,: Jtllle 29. 19$1
?O{T IM A CONS?iCU01.5 PLnCE
?B!
LITXOIN J.S.F.
CITY OF EAGAN
^• • 3795 Pilot Kno6 Road Eagan, MN 55122 N2 5809
PHONE: 454-87 00
PERMIT
To !e uted for Est. Vclue
Site Address
?.._
Lot Block Sec/Sub. `
Pa?cei # 10 I o e I
W Name -1
Z Address -yor e ":%1"e
u? 7 ?
p Nome
?? Address
f r-:... s?---
Name _
Address
I hereby acknowledge that I have read this appliwtion and state that
the information is correct and agree to comply with alI applicable
State of Minnewta Statutes and City of Eogan Ordinances.
Receipt #
Erect ? Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front - ft.
Grade ? Depth ft.
Approvols Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total
Signature of Permittee ?
A Building Permit is issued to: ° on the express condition that
all work sholl be done in acrnrdance with all applicoble State of Minnesota Stotutes and City of Eagan Ordinonces.
Building Officiul
i
i
Porwit # DeN laned PxmiMoe
Plumbing WO c2? /0 - lv ' fD
Mechonicul 2 3 ? _77-
? _
if -aq f4) ao
INSPECTIONS DATE INSP.
Rough-In
Final
Footings -9 Date ? Insp. Date Insp.
Foundation Plumbing ?/O
Frame/ins. -/d ? Mechanical r ?
Finol _.Z - I
I
Remorks:
No.
CITY OF EAGAN
3795 Pilot Knob Roed
Eagan, Minnesofa 55722
Phone: 454-8100
PERMIT
Dote:
Site Address: "
Lot ' Block Sub/Sec.
Name R'ollefsori Bldrs.
? Address
i?
.
City Valley Phone: 9-6°71
Name
? Address )^^ F3i=' 3U D' P.UE' .
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
'I Receipt No.:
Single I
Residential
Multi Res., Comm./Ind, I
New/Alter./Repair. Cost of Installation
Permit Fee
Surcharge
Y City 0 - I
Phone:
This Permit is issued on the express condition that all work shall be
Minnewto Statutes and City of Eogan Ordinonces.
Total
done in accordance with all appliwble State of
Buildinq Official
No.
Date:
Site Address:
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Mienesota $5124
Pbone: 154-8100
PERMIT
3822 Leurel Gt.
Lot -" Block " Sub/Sec.
Briarhill
Name To?.lefeon 3uilcers
Address 13816 I:Ol\'Oke Ln.
?
,".n'?1C 7r8 I 7 nv
Ciry - ° Phone:
Nome r`E'nZ TfP
r
Address
e
e
v City Phone: ' - - ? :
This Permit is issued on the express condition that ail work shall be
MinneSOto $tatutes and City of Eagon Ordinantes.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. I
New/Alter./Repair
Cost of Installotion
Permit Fee
S..rrMrne
Totol
done in acwrdance with all applicable State of
Building Officiol
I
cirir oF eaGAN
• , 3795 Pilot Knob Raad Eagan, MN 55122
PHONE: 454-87 00
BUILDING PERMIT
w- ?- ---. :__ YleX_
$ite Address
"?:•` r .
Lot Blxk 1 Sec/Sub.
Porcel # ,o' recor ic
0: Name 'ollefs< °s Irc .
W 'n ' i
; Address - '"
Ci Phone
,o Name
Z
?u ? Address
Nome _
Address
N° 5807
ReceipT #
Dote
, 19
Erect ? Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlcrge ? Type af Const.
Move ? # Stories
Demolish ? Front ft.
Gmde p Depth ff.
Aoorovols Fees
AS5e55ment -)I= WU V
Water & Sew.
Polita
Fire
Eng.
Plunner
Council
Permit
SurcFwrge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
1 hereby acknowledge that I have read this application ond stete that gldg. Off. ?
the informotion is correct ond ogree to comply with all opplicable APC Totol
State of Minnesota Statutes end City of Eagan Ordinonces.
$ignature of Permittee
A Building Permit is issued ta on the express condition thot
all work shall be done in accordonce with oll opplicable State of Minnesota Stotutes and City of Eagon Ordinances.
Building Officiol
?
t1
Panek # paN IMrad Pannittw
Plumbing aU?
Mechanical
E< ? -
j ', -f/
- / - i; - ?'C•
/ /".-a
??v?-<-?., .
?-
INSPECTIONS DATE INSP.
RougMln
Finol
Footing5
Foundation
Frome/ins.
Final -?
_
Plumbing
Mechanical Date InsD. Date Inap.
Remarks: J G ' a 9 - D / ?, f) ?- _ ?AU.d' +??? X'° '"'? '?'?`?'?OKl.?r.G?
' CITY OF EAGAN
• 3795 Pilet Knob Read
No. Eayan, Mlnnesote 55112 INSPECTOR NOTIFICATION
Phone: 454-8100 R
PERMIT
Date: Site Address:
Lot Bixk ? Sub/Sec. '?'''Yi?li
.r
INome "
. ? .-
n Address
CitY Y ' Phone:
Nome
p.
? Address I
u I City Phone:
EQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single . .. I
Residential `
Multi Res., Comm./Ind. I
New/Alter./Repair
Gost of Installation
Permit Fee
20.00
Surcharge
rorol
20. r;'?
This Permit is issued on the express condirion thot oll work shall be done in accordance with all applicable Stcte of
Minnesoto Stotutes and City of Eogan Ordinances.
.50
Buitding Officiul
No.
CITY OF EAGAN
3795 Pilof Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT
Date:
Site Address: Yl'" Lat3T'el , ..
Lot Block ' Sub/Sec.
..y.jcirl.i ,
Nome
V City ?tROUSTt, ;1. Phone: INSPECTOR NOTIFICATION
e° Address 1-E nol,yo?;e
?
?
City @V , 1.u , Phone: . . . ..
.'Name Rya-'
.
Address 11,745 e4
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single _ . . . I
Residentiol
Multi Res., Comm./Ind.. I
New/Alter./Repair
Cost of Installation
Permit Fee
Surcharge
Toral
20.50
This Permit is issued on the express condition that oll work shall be done in accordance with all appliwble State of
Minnesota Statutes and City of Eo9on Ordinances.
20.00
.50
Building Official
.
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RECEIVEO
FROM
19
AMOUNT $ I
& DOLLARS
I ee
? CASH EICHECK
FOR R / 0 P-? ac- k c?l (
Thank You
BY
??
???
White-Payers Copy
Vellow-Postinp Copy
Pink-File Copy
CASH RECElPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
wECEIvEo
DATE
19
AMOUNT $ I
<,
& ooLLwres
1 oo
FICASH FICHECK
FOR ' /0 / AR"a.ck<1
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You ?
iQ- 1? BY
C>r v
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55722
DATE
RECEI V EO
19
AMOUNT $ I
& DOLLARS
1 oo
? CASH [:] CHECK
FOF
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You ?
8Y
C.?
CASH RECEfPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEIVED
AMOUNT $
& DOLLARS
1 oo
? CASH [] CHECK
FOF
Thank You
1I B Y
?
White-Payers Copy
Vellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks
Addicion. Rriar Hi11 A ditien ?ot 9 p?k ? Parcel #10 14990 090 Ol
Owner CD; r'I *t? ('; j I' Gil { street 3818 LauTel Cou2't State Ea1Lan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR. Z
11-16-91
GRADING 0<7 J 1982 123.0 24.61 12 .04 COO C) 0-2-
Street Surf. (p(pp 1982 600.76 120.15 5 6
SAN SEW TRUNK IILA 9 1
** SEWER LATERAL
** wat r
WATERMAIN
* WATERLATERAL 11.30 11-16-81
WATER AREA $
*** S/W Lat Stm L S' 1982 1431.44 286.29 5 1431.44 coo--M lo-pi-81
STORMSEW TRK 197 251.34 12-57 20 100.62 A016746
* STORM SEW LAT 1971 20
Storm Sew Trk iQ5'1 1982 402.73 80.55 402.73 CO 6 10- -81
CURB & GUTTER
SIDEWALK
STREEl?tfBFl'r 1009 1986 153.70 15.37 10 , L' m// O ??- - s
ad Unit 185.00 18847 5/7/80
WATER CONN. 30$.00 18847 5
6UILDING PER. $807 18847 5 7 80
sac 525-00 8847 5 7/80
PARK
CITY OF EAGAflI Remarks -
Addition Briar fttll Addition Lot 1a Rlk 1 Parcel #10 14990 100 07
Ownerljn li `., ` . Fr4pi street 3820 L8uTe1 COUTt state Eag1n, MN 55122
, i
Improvement Date Amount Annual Years Payment Raceipt Date
STREETSURF.
STREET RESTOR. 62
GRADING (?5 c 1982 123.04 24.61 5 123.04 C007241 -1 - 1
e S rf 0 1982 600.76 120.15 5 600.76 C007241 9-14-81
SANSEW TRUNK JIA 1968 34.49 1.15 30
** SEWERLATERAL 1970 97, 8 4.87 5 20 81
** water lat stm trk 1970 20
' WATERMAIN
# WATER LATERAL 1971 ZH ZZ 1.41 2
WATER AREA
*** m C" 1982 1431.44 286.29 5 1431.44 C007241 -1 41
STORMSEW TRK IP5 1971 2$1.34 lz $7 ZQ
* STORM SEW LAT 1971 ZO
(0 ? 1982 402:13 80.55 5 402.73 C007241 9-14-81
CURB & GUTTER
SIDEWALK
STREET? 1009 1986 153.70 15.37 10
18846 517180
WATER CONN. 305.00 18846 $ 7 HO
BUILDING PER.
SAC
PARK 2$O.OO 185 9
CITY OF EAGAN Remarks
Addition Br3ar FTill Add3tion Lot 11 n1 k 1 Parcel 10 14990 110 01
Owner,:: . Z, %/. ` LDtLi ?.?*1r_ streec 3822 LauTel CouTt state Eagan, MW 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. LL 1971 Paid de 12arcel 1
STREETfiESTOR. ?7
/ 1975 61.62 6.16 10 18. 0 A010 8 -21-81
7
GRADING (? ? 1982 123.04 24.61 5 123. C --
S reet Surf (000 1982 600.76 120.15 5
.76
6 C007245
--
SANSEW TRUNK 1968 34.49 1.15 30 18.53 Aoio 88 -21-81
** SEWERLATERAL 1970 97.38 4$7 20 C) --S
** water lat & stm trk 1970 20
WATERMAIN
* WATERLATERAL /07 I971 28.22 1.41 ZO 12, 8 -Z -S
WATER AREA 1977 52.14 3.48 1$ 11. -8
*** S W Lat Stm L'S 1982 1431.44 286.29 S 1431.44 C 0 --
5TORMSEW TRK 5 1971 251.34 12.57 20 113•18 A010 8 -21-81
* STORM SEW LAT 1971 20
Storm Sew Trk 'c 1982 402.73 80.55 -'
CURB & GUTTER
SIDEWALK
STREEF-tlQflF 1009 1986 153.70 15.37 10
Road Unit 185.00 18845 517190
WATER CONN. 305.00 -
6UILDING PER.
SAC
PARK
CITY OF EAGAN. Remarks -
Addition Briar Fiill Addition Lat 12 Blk 1 P ce? #10 14990 120 01
Owner - 3824 LSUTel COUTt tagan,
? Street State
Improvement Date Amount Annual Years Payment Receip[ Date
STFEETSURF. 1971 Paid und arcel 10 2000 010 25
' sTaeer aesTOR. 1975 61.62 6.16 10 18.50 A009871 1 27 81
GRADING r 1982 123.04 24.61 5 .0 G 9-14-81
Surf 1982 600.76 120.15 5 600. C007236
--
SANSEW TRUNK 1968 34.49 1.15 30 18.53 A009871 1 27 81
** SEWEqLATERAL 1970 97.38 4.87 20 39.06 A009871 1 27 81
'** water lat stm trk 1970 20
WATEfiMA1N
* WATERLATERAL e 1971 28.22 1.41 ZO I2,71 A009871 1 Z? HZ
WATER AREA 1977 52.14 3.48 15 34.79 A009871 1 27 8
*** 5/W Lat Stm L q 1982 1431.44 286.29 5 1431.44 C007236
--
STORMSEW TRK 1971 251.34 12.57 20 113 18 A009871 1 27 81
STORM SEW LAT 1971
-
-
- 20
Storm Sew Trk y7 Tg
87 402.73 . --
CURB & GUTTER
SIDEWALK
STREEREi6HF- 1009 1986 153.70 15.37 10
15.3,70
-??0388'
/o- - 5
WATER CONN.
BUILDING PER.
SAC
PARK Z$O OO ' gq_'
CITY OF EAGAN
3795 PiIM Knob Road
Eagan, MN 55722
Zoning: -
Owner:
Address:
Site Address:
Plumber:
Meter No.:
PERMIT NO.:
DATE:
No. of Units:
Connection Chorge:
Account Deposit: _
Permit Fee: -
$urcharge:
Misa Charges: -
Total :
Dute Paid:
Reader No.:
! agreo to wmply wifh the City of Ea9ue
Ordinances.
By
Date of Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner: --
Address: -
Site Address:
Plumber. - -
i ageea to wmplr with tho City.of Eagan
Ocdinonces.
By
Dote of Insp.:
I nsp.:
aF EAGAN
? Pilot Knob Road
Eagan, MN 55122
Zoning: _
Owner:
Address:
Site Address:
Plumber:
%vleter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
I agreo to eomply with the City oF Eagan Surcharge:
Ordinances. Misc. Chorges:
Total:
By Date Paid:
Date of Insp.: Insp
:
.
Connection Charge: -
Acwunt Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Dote Paid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units
CITv DF EAGAN
3795 Pilot Kneb Road
Eagan, MN 55122
Zoning:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE: -
No. of Units:
Owner. -
Address:
Site Address:
i
Plumber: -
1 ugree fo eomPly with the City of Eugan
Ordinances.
By
Date of Insp.:
Insp.:
aTY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO::
Eagan, MN 55122 DATE:
Zoning: - No. of Units:
Owne r, -
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size:
Reader No.:
1 agree to comply with the Ciry oF Eagan
Ordinances.
By
Date of Insp.:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Totol:
Date Paid:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid: _
w - OF EAGAN SEWER SERVICE PERMIT
, Pilot Knob Rood PERMIT NO.:
Eagan, MN 55722 DATE:
Zoning: No. of Units:
Owner:
Address: -
Site Address: ,
PI umber:
1 agree to wmply wifh the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee;
Surchorge:
gy Misc. Charges:
Date of Insp.: ' Total:
Insp
: Date Paid:
.
cir- oF EncaN ' SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 agree ro wmply with the Cify of Eagan Connection Chorge:
Ordinances. Account Deposit:
Permit Fee:
R?
Date of Insp.:
Surcharge: -
Misc. Charges:
Total:
Date Paid: -
CITY O!' 2AGAN WATER SERVICE PERMIT
3795 Pilw Knob Road PERMIT NO.:
Eugan, MN 5512? DATE:
Zoning:
No. of Units:
Owner, -
Address: -
Site Address:
Plumber:
Meter No.: Cannection Charge:
Size: Account De
posit:
Reader No.: Permit Fee:
I agrea !o eomply with !ha Cify of Eagan Surcharge:
Ordinancos. Misc. Charges: •a
Tota I:
BY Dote Paid:
Date of Insp.: _
I nsp.:
?,. . CITY OF EAGAN N0 1$ 173
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt #
To be used for DECK Est. Value $1, 000 Date JULY 19, 1990
Site Address 3824 LAUREL COURT
LOt 12 BIOCk ISeC/SUb. BRT? HTT i. 1 ST OFFICE USE ONLY
PflfC21 N0. Occupancy - FEFS
W
Name ?RK MENKE Zoning
(ACtuaq Const
-
Bldg. Permit
. 00
$25
3 Address SAME (Allowa6le) -
S
h •5?
?
City Phone 688-6249
x ot stode5
- urc
arge
]
]
5 Plan Review
Length ,.
,
Name SAME Depth ?. SAC
City
ZR
?Q Address s.F.Total - ,
SAC, MCWCC
? Clty Phone S.F. Footprints -
Water Conn
On Site Sewage _
r
ww
Name
On Site Well
-
Water Meter
~=
?
Address MWCC S sfem
Y -
Z
<W
City Phone
cirywater
- Acct. Deposit
S/W Permit
PRV Required _
I hereby acknowlege that I have read this application and state that Ihe Booster Pump - S/W Surcharge
informalion is correct and agree to comply with aU applicable State of
Minnesota Statutes and City of ga rdi ces? Treatment PI
Signature o( Permilee ' APPROVALS Road Unit
A Building Permit is issu to: ? Planner - Park Ded.
on the ezpress condition that all work shall be done in accordance with all Council 1.00
applicable State of Minnesota Sqtes and City o Eaga?iOrdinances. Bldg. Ott _ Copies
$26.50
Building Official Variance - TOTAL
S
minnasota State t3oard oT Electricity
„ Griggs Midway Bldg. - Room N191 EB-00001_02
782??N4iiversity Ave., St. Paul, Minn. 55104 - Phone 297-2777
'01 -- , REQUEST FOR ELECTRICAL iNSPECTION S' a2O3O
CHECK BELOW WOFtK COVEREB BY THIS RF.ni 1F.ST
Type of Building New Add. Rep. Check Appliances Wued For Check Equipment Wired For
Home Mc ? ? Range 10*4•0 Tempo:aryWiring
fAiplex
?
?
?
Watet Heater
?
Lighiing Fixtuies ?
Apt. dldg. ? ? ? Dryec ? Electric Heating ?
Commezcial Bldg. ? ? ? Fumace 442 r*'Unloadec ?
inylustrial Bidg. ? ? ? Air Condition ' Bu Milk Tank ?
Facm ? ? ? List c? L'
Other ? ? ? Hehels? erers?
COMPUTE INSPECTION FEE BELOW
Service Entcance Size: # Fee Feedexs&Subfeedeis: # Fee Cirwits: # Fee
0 tu ] 00 Am , 50 0 to 30 Am ares 0 to 30 Am eres 10 20,00
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am res
Above 200 Amps. A6ove 100 Amps. Above 100 Amps.
Transforme:s RemoteContiolCiic. Partialorotherfee
Signs Special lnspection Minimum fee $SAO
Remazks Jeff D.
I, the Electrical Inspector, hereby certifVE?the 0?ve?l:ispectigr TOTAL F ? 3$.O
i,has been made.
(Rough-in) • ;`-• .," -r' "O"Date 7 %o^a v
(Final) Date1rgo ^,F/
This request void
18 months from
This requesi void ir/ --) 9
18 nnr.lis from
Date of this Request_ 8-28-1 j80 Fire No. S
? o
I, as:t2 Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
ca0 wiring installed at:
Street Address or Route No. _3824 Laurel Court City Eag'an
w
Section Township
Range County Dakota
Which is occupied by Tollef son
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yes 50c Ready Now ? Will Call Cx3[
Power Supplier Dakota Ct.y. Address FaTmington
Electrical Contractor_Q.$- Thom,9nn Flpctrie?:o. Contractor's License Noe z?
( ompany Name)
Mailing Address 12201 Mtka Blvd., Mtka 55343
(Ele?ct?rrical Gontractoror O? er, aking Thislnstallatlon) AuthorizedSignature_ ?//'?&^ /PhoneNo. Q q ?-?;:^
(Electrical Contractor or Owner Making This Installatlon)
?g??? p???D QO?? This inspectian request wiil not 6e accepted 6y the
State Board unless proper inspection fee is enclosed.
Minnesota State 6oartl ot Electricity ?
Griggs Midway 61dg. - Room N791 ? J EB-00001-02
, 1 Universiry Ave., St. Paul, Minn• 55104 - Phone 297-2177
_ Fj,EQUEST FOR ELECTRICAL IIVSPECTION 8 2 0 4 3
CHECK BELOW WORK COVEREU BY THIS REOUEST
Type of Building New Add. Rep. Check Appliances WireQ For Check Equipment Wired Foi
Home 1R ? ? Range ]M*00 Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures EC
Apt Bldg. ? ? ? Drye: ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace A112•00 Silo Unloader ?
Industrial B1dg. ? ? ? Ait Conditionei ? Bulk Milk Tank ?
Wazm ? ? ? List List
Other 0 0 ? o
Hefets?33:3PsBi
) BIYs3B6?s8? Oehets?
\Iir
COMPUTE INSPECTION FEE BELOW ,? YA ?\ 1?
Service Entrance Size: # Fee Feeders.@Su ets ; Cucuits: # Fee
0 to 100 Am 0 to 30 A ez
! 0 to 30 Am eies
101 to 200 Amps. 31 to 100 A res if 31 to 100 Am res
Above 200_Amps. Above 100 mps. Above 100 Amps.
Transfoimeis Remote Control Circ. Partial or other fee
Signs S ecia( Ins ection Minunum fee
Remarks Jeff D. ? a P TOTALF ,3 ,, 36•00
I, the Electrical Inspector, hereby certify thabo e t?p been js?ade. SC
Y ? D -
(Rou?-in) ate /
(Final) -alg /.?z /(d - 9-0
This request void
18 months from
Thisrequest void
18-nonth :from ? 82043
Date of this Request 8-29^1984 Fire No.
I, as:U Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 3822 Laurel Court City ?a ?'?'
Section Township Range County Dakota
Which is occupied by Tollefson
• (Name of Occupant)
Is a roughin inspection required on this job? No ? Yes'C Ready Now O Will Ca1M
Power Supplier Dakota Ct.y. Address FaTmirlgton
Electrical Contractor O.R. Thompsnn F,]pri:ri r. (`n. Contractor's License NA.37q62
(Company Name)
Mailing Address 12201 Mtka Bltvd. ? Mtka ?5,?43
(Electrlial C3ntractor or'Owrter king This Installation)
Authorized Signature Phone No. ?33-2SP5'
(ElectNcal Contractor or Owner Making Thls Installatlon)
????? ?O p Q??? This inspection request will not be accepted by the
State Board unless proper inspection fee is enclosed.
? ? 60
Thi:°s4ye?t void ? /6 d??f G'yk.?w??-?-t-QJ ? ' La ? ? _
1 ?months from 2 '
Date of this Request 11"4^1980 Fire No. T 3741
I, asX3 Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- .
cal wiring installed at:
Street Address or Route No. 3820 Latzrel Gourt City ??an
Section Township Range County Dakot a
Which is occupied by Tolle£son
(Name ot Occupant)
Is a roughin inspection required on this job? No ? YesXXx Ready Now ? Will Call:Ux
Power Supplier Da.kota Cty, Address Farmington
Electrical Contractor O.B. Thompson Electric Co. Contractor's License NA40602
(Company Name)
Mailing Address 12201 111tka Blvd., Mtka 55343
(Electri I Contr ctor or Owner Making This Installatlon)
Authorized Signature ?', Phone No.
(Electrical Contractor oI'O Making Thls Installation)
S?I ??? ?? /??? ???1? This inspection request will not 6e accepted by the
f] L?.1 E?' State Board unless proper inspection fee is enclosed.
minnesoia ata[e aoara or eieccnciry Griggs Midway Bldg. - Room N791 ?I ???
_?']$211Jniversity Ave., St. Paul; Minn. 55104 - Phone 297-2171
REQUEST FOR ELECTRICAL INSPEGTIUN
CHECK BELOW WORK COVERED BY THIS REOUEST
EB-00001-02
1741 ?/
'Type of Building New Add. Rep. Check Applian ces Wired Fo[ Check Equipment Wired Fo[
Home idC ? ? Range ]a 4. 0 Temporary Wiring ?
Duplex ? ? ? Water Hexter ? Lighting Fixtures (EX
Apt. Bldg. ? ? ? Dryei ? Electric Heating ?
Comme:cial Bldg. ? ? ? Furnace 12 2. O Silo Unloadet ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm ? ? ? Lis[ Q List l
Other ? ? ? p
Hehels?ie?7
':u
)?3
S9? -
4Hehers}
l
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders& Subfceders: # Fee Circuits: # Fee
0 to 100 Am 0 UG 0 0 to 30 Am eres 0 to 30 Am etes
101 to 200 Amps. 31 to 100 Ampetes 31 to 100 Am eres '
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Conisol Circ. Partial or other fee 0
Signs Speciat [nspection Minimum fee $5.00
RemarksV \ I I JeYf D.
' L1 LUJ TOTAL FE
38.0
I, the Ekctrical Inspector, hereby certify that the ab'ove
(Rough-in)
(Final)
has been made.
natE .1e r/ - lEr-?'?
-/
This request void
18 months from
7/5V
@ 49050 p 1
1f '
IJ4 & v8s/'?X
?'/ze
Request Date
- Fire No, Rough-in Inspedion
Requiretl4
? Yes Fj\No
Reatly Now
? Will Notify Inspector
When Ready?
Iicensed contractor 0 owner hereby request inspection of above electrical work at:
Job Adtlress (Street. Box or Route No,)
a Ciry
Section No. Township Name or o. Range No- Counry
Occupant (PRINT) Phone No.
Power Supplier A ress
Elxirical Contractor (Company Name) Conirecror!s License No.
M ng Addre Contractor or Owner Making
/ G C,+_! Installationl `
J ?
AWhoriz Si ature (Conlrector;Owner Making Instal tion)
C???.? Phone N m6er
MINNESUTA STATE BOARD OF ELECTRIqTY THIS INSPECTION REQUEST WILL NOT
Griggs-Mltlway Bidg. - Room 5-173 BE ACCEPTED 8V THE STATE BOARD
1821 Unirersky Ave., SI. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
?/? ? /G+Q REQUESTAoALECTRICAL INSPECTION
? See instmctions for complefing this iorm on back of yellow copy.
?(049 0 5 0 ")C" Below Work Covered by This Request
ea-00'001/-07
ew AJd Rep. .. TypeoBuiltling AppliancesWired EquipmentWired
Home Range Temporary Service ?
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify) '
Comm./Industrial Furnace •
Farm Air Conditioner
Other (specityl Contrector5 Remarks: `s `
b 1t?PS
?b?/Q(C I k?R, L r1 5',C?-ti2 y?
Compute Inspection Fee Below: ??
# Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers A6ove 200 _ Amps bev._,100 _ Amps
SigOS Inspecror's Use Oniy? TOTAL .
Irrigation Booms I J? t
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT `
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if
h
h Rough-in Date
y t
cert
at t
e above inspection has
been made. Finai Date
`
OFFICE USE ONLV
Thi& request witl 18 monms Irom
n..vavLa uaaao wWu ul cIncun.ny .
Griggs Midway Bldg. - Room N191 ro
1821 Uriversity Ave.. St. Paul, Minn. 55104,- Phone 297-2111
? REQUEST FOR ELECTRICAL INSPECTION
CHECeBELOW WORK COVERED BY THIS REOUEST
EB-00001_02
3740?
Type of Building New Add. Rep. Ch¢ck Appliances Wired For Check Equipment Wired For .
Home M ? ? Range M4. 00 Temporary W'ving ?
lluplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ?
00
2 Electiic Heating ?
Commeicia! Bldg. ? ? ? Fumace EF
' Silo Unloader ?
[ndustrial Bldg. ? ? ? Air Conditionet ? Bulk Milk Tank ?
Farm ? ? ? L
ist List
Other ? ? ? p
Hehels? 15p. 18 .• Hehers?
)
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: .# Fee 11 Feeders&Sub[eeders: # Fee Circuits: # Fee
0 to 100 Am .0 UG • 0 0 to 30 Am eres -
0 to 30 Am eres 707 20
+
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200_A Above 100 Amps. Above 100 Amps.
Transformers .I ? I e
d[e Conttol Circ. Partial or othet fee •
Signs e
p ' l lns ection Minimum fee $5.00
Remazks
Jeff D•
TOTAL FEE )1
)8.00
l, the Electrical Inspectot, hereby ceriify that the
(Rough-in) ?
(Final) 7
been made-:'
ac.z)) //- /K- R'd
-/ j -k'
This request void
18 months from
This request void 1,51
? IY 1Fv
18 fhonths tiom
Date of this Request 11-4-1980 Fire No. 3740
I, astgLicensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 3818 Laurel Court City ?gan
Section Township
Range County Da$ota
Which is occupied by moll Pfson
(Name of Occupant)
Is a roughin inspection required on this job? No ? YesJ2 Ready Now ? Will Call EX
Power Supplier Dakota County Address Farmingten
Electrical Contractor O.B. Thomnson Electrie Go. Contractor's License Nc{.40602
(COmpany Name)
Mailing Address 12201 Mtka Blvd., Mtka 55343
?,,(AElec cal C ntractor or Owner Making This Installatlon)
Authorized Signature _ '/i' .? Phone No. ,97,9
(Electricat Contractor or w r Making This installation)
C(Opy This inspecHan request will not he accepted by the
?j Stete Board unless praper inspeetion fee is enclosed.
C?rrtifirtttr nf (Orrupttnry
Citp of ifagan
iBP}tEtYtlltPitf IIf BUtlbtltg 3IIS.pPI'ttIIlt
Tbif CMifitate ittued purtuaru to the requitemtntt of Section 3U6 of the Uni form Building
Gode cntifying that at the timc of i.rsuanu tbis ttrutture wat in tompliancc with the variou.r
ordinancu oi thc City rrguluting building conrtruction or ule. For the following:
Up Choafta,,, 1 of 4 plex B„&p,m,;,No. 5808
OctuPaY TYK R3 7YPe CaoswcWO V Pim Zoa• 3 ZoviM Dirtrict R3
?a?M?` Tollefs? Bldrs. A,?,13816 Holyoke Ln,Apple V?
38 0 Laure Ct 0,B , Bri --
111xJ k
2-27-81
Jf?
?
?
.d. ?r ? mnsncuau? 'uc?
? (Irrfifirttfr of Orrupttnry
- Citp of (fagan .
IDppttrtmPttf uf Buiibing Ins,prrtimt _
Tbit Ccrtificatt itsutd pursuant to the rtquistmtntt of Sertion 306 of the Uniform Building
Codc cati fying that at the timt of itstrance thit structure wat in cmnpliantc with the variou.r
o?dinancu of the City ngulating bxilding conrt+xttion or ufi. For tix following:
u.cUS"C.tkod 1 of 4 plex wa& ?m_t NO 5810 -
omvan.r 7Yw R3-Tvr const=non V Fin Zaue 3 zooft M??t T? 14
o,,,Q,f Duff. Tollefson Bldrs. ,,,,? 13816 Holyoke, P.pple Valle
OMQM,-g3824 Laurel Ct L12,B1, Briarhill -
sr: ` _. . _ _ .
e?aewo? wu: 1-13-81 ... .
,.
. , . , . ?ar ?M w ww?nwdn nwa . . . •. . .
•a
. urnoin us...
f
(??rfitftrttte uf C?rrix?ttnr?
Citp of (Eagan
iBrpttrtmrat nf 41uiiding Jns.pertimt
Tbir Certifitatc ir.cued puxcuant to the requirementr of 5ec<ion 306 af the Ur»fonn Building
Code rcrtif ying that at the time o f irtuance this ttructure wu.c in compliance with thc variout
ordrnances o f tht City rcgalatrng building connruction or ure: For the f ollowing:
uxclassir<,non 1 OF I{ PLEn gldg.PermiWo. 5807
OccuP+ttYTYPe R3 'n'P^C?stcaclion v Fi,eZone 3- ZonineDisMct R3
O,,,e,of 8,,,,d;,,g Tollefson Bldrs. A,,. 13816 Holyoke La., Apple V
B,?a?Aaa, 3g18 Laurel Court L.,,;,Y Lot 9.Block 1.Briarhill ls
Sa? - By
8,,;,n;,,eo,fk;,, 10P, p„.: October 29, 1981
a?,?,,? - -- ?- - _- -- --= ?- --
_?r?„? ?.? >.
CITY OF EAGAN
? 3795 Pilof Knob Road Eogan, MN 55122 N0- 5807
PHONE: 454-8100 /r%`/ ?
BUILDING PERMIT APPLICATION Receipt # l?`S
To be ,ueed' for 1 of 4-Plex Est. Value 52,000.00 Date May 7 19 80
Site Address 3818 Laurel Court Erecr ? Occuponcy ?? -
Lot 9 Block 1 Sec/Sub. Briarhill Alter ? Zoning R9
parcei # not recorded
? Nome Tollefson Builders Inc.
Z Add.ess 13816 Aolyoke Lane
Apple Valley, ,.V?rni _ 54-6873
I Nome Same
A Address
Nume _
Address
1 hereby acknowledge that I have read this applicotion and state that
the information is correct ond agree to comply with all applicable
Stote of Minnesoto Stotutes and City of E an Ordinances.
Signature of Permittee ?B-?'?-??? '?'? """'?
A Building Permit is issued to: Tollerg
oll work sholl be done in nccordance wVFLaII applic le atepf,AA[r
Repair ? Fire Zone TTT
Enlarge ? Type of Const. - `1
Move ? # Stories
Demolish ? Front 44 ft.
Grade ? Depth 24 ft.
Approvals Feea
Assessment 3L2o8o
Water & Sew.
Police
Fire
Eng.
Plonner
council
BIdg.Off. -3120180
APC
Permit 14-i.7U
Surcharge 26 . 00
Plan check 71 • 7,S
SAC 52 _nn
Woter Conn345 • On
Water Meter ?60 • 00
Road Unit i 85 _ nn
Total I '*Rl 6. P5
on the express condition thot
ond City of Eagan Ordinances.
Building Official
CITY OF EAGAN Irclude 2 sets of plans,
1 site plan w/el.evations &
BUILDING PERMIT APPLICATION 1 set of ene.rgy calculations.
Zb Be Used For l "JO, Valuation .,!Sz.,n-n Date 3 1`f 0
.
lte Aaaress : .,p? !te?? or?zcE u? ?u.Y
?io /i-/a -
rAt ? slocx ? sec./sub. &P,ARh,'r/ Erect _7A- °ccupan`y Z3
Parcel # : 1 ..,. ..., ?...?, Alter Zoning ?
Re 'r Fi re Zor? 3
Owner: ?s o n? ?C3/di2s ..2".0 e.
Address: 13dJ6 /?v??0 /K1 ,CN ,
City/zip c,ode:
Phone # : j4S??6 ? 7-3
Contractor: s
Address:
City/Zip Code:
Phcane # :
Arch./Eng.: --
.tlcldress :
City/Zip Code:
Phone #:
pai
Enlarqe Type of Const. ?
Move # Stories
Demolish Front ft.
Grade , Depth 2y ft.
APPRC7VAIS FEFS
??? 4a? ? P?t Ly3 =°
Water/Sewer 5urcharge a( O°
Police Plan Check ?v
Fire SAC v?dS ?
Eng. Water Conn. 3 oS`r'
Planner Water Meter yo
- Council -Road Unit ? g6 4:11.
Bldg. Off.
P,PC
? . . CITY OF EAGAN
' 3795 Pilot Knob Road Eagon, MN 55722
PHONE: 454-8100
BUILDING,PERMIT APPLICATIdN
be uaaed for 1
Site Address ?`V ?""L "
10 1 Briarhill
Lot Block Sec/Sub.
Parcel # not recorded
a Name Tollefson Builders
? Address 13816 Holyoke Ln.
o , Apple Va11ey,Nk___ 54-6873
? Name _
0? Address
Name _
Address
I hereby acknowledge that I have reod this applicotion and state that
the informotion is correct and agree to comply with all opplicable
State of Minnesota Statu'es and City o?,Eagan Ordinances.
Signoture of Permittee L ?
A Building Permit is issued to: 7'Ollefsori S.
all work shall be done in accordance wi aonlic
Receipt #
Dote
N9 5808
?k??
Erect N Occuponcy R?
Alter E] Zoning R3 _
Repair ? Fire Zone 1II
Enlarge 0 Type of Const. V _-
Move ? #k Stories
Demolish ? Front 44 ft.
Grode ? Depth 24 ft.
Approvals Pees
Assessment 11eu / o V
Woter & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. 3./2918.0
APC
Permit 14S..7U
Surchorge 26.On
Plon check 71.75
SAC S2 -00
Water Conn.iQ.S . 00
Woter Meter 60 " b0
Road Unit 185-00
Totol I, 3l H_ 95
on the express condition that
and City of Eagan Ordinances.
Building Official
Site Address •
Lot 4?Z Block Sec./Sub. ?da'
Parcel #: ?41,,t",1Lc-?-? eo? •
CITY OF EAGAN Include 2 sets of plans,
1 site p1an w/elevations &
BUILDING PERMIT P.PPLICATION 1 set of energy calculations.
To Be Used For IW-4 Valuation ?4!i° Date
Owner:
Address:
City/Zip Gode:
Phone #:
Contractor:
Address:
City/Zip Code:
Phone #:
Arch./Khg.:
Address:
City/Zip Cocle:
Phone
OFFICE USE ONLY
Erect Occupancy I? 3
Alter Zoning
Repair Fire.Zone.
Enlarge Type of Const.
Nbve # Stories
Demolish Front ?{y ft.
Grade Depth ?y ft.
APPROVAIS FEFS
Assessrents ?JL Permit / Y3'?'
Water/Sewer Surcharge a ? _'d
Police Plan Check 7
Fire SAC
Eng. Water Conn. 3 os ?
Planner Water Meter . 6"p?
COL1T1C1.l R03Ca. UT11t - !?
Bldg. Off.
APC
TOTAL
CITY OF EAGAN
? 3795 Pilot Knob Road Eagan, MN 55122 N2 5809
PHONE: 454-8100 ?J
BUILDIN+6 PERMIT APPLICATION Receipt #
To be used for l pf 4-D1 ex Est. Value 52 .000.00 Dote D&Q •r 7
Site Address 3822 Laurel Court
Erect
Occupancy R3
Lot 11 Block 1 Sec/Sub. Briarhill
` Atter
? Zoning _ R3
parcyl- # not rP_eorded Repair ? Fire Zone III _
E
l t
T
f C V
n
arge ? ons
.
ype o -
? Name To11efSOri B1drS. Move ? # Stories
3 Address 13816 Hol.yoke Lane Demolish ? Fronr fr.
o Ci AppleValley
I?
454-6873 ' Grade ? Depth 2' ft.
hone
i
p Nome S&STIe APProvafs Fees
?f
? Address
I- ro...
Ncme _
Address
I hereby acknowledge thot I have read this application and stnte that
the information is correct and agree to comply with oll applicable
State of Minnesota Statutes and City of Eogon Ordinances.
Signoture of Permittee .?
A Building Permit is issued to: / TO11efS, ri B1dTS.
oll work shall be done in accordanc it apD(iSeble,State-a£,Mii
Assessment
Woter & Sew.
Police
Fire
Eng.
Planner
Council 3 20 0
Bldg. Off.
APC
Permit '`?'' • ?"
26.0-0
Surcharge
Plan check 71•75
sAC 525.00
Water Conn. 305. 00
?
Water Meter
1 5-00
Road Unit
Total 1 e 31 . 25
an the exprest condition that
Stotutes ond City of Eagan Ordinances.
Building Official
CITY OF EAGAIV Include 2 sets of plans,
1 site plan w/elevations &
? BUILDING PERMIT APPLICATION 1 set of energy calculations.
To Be Used For Valuation Date 3 ad - EC)
J °
Site Address: ,? -;?-
Lot _/?_ Block _,L_ Sec./Sub.
PaTCel #: in w-74' . n 1? , s..,/. _0 r
Owner:
Address:
City/Zip Code:
Phone #:
Contractor: _
Address:
City/Zip Code:
Phone • # : .
Arch./Eng.:
Address:
City/Zip Code;
Phone #:
OFFICE USE ONLY
Erect
OccuPancY A1?3
X
_,
Alter _
Zoning 3
Repair Fire 2one 3
Enlarge Type of Const.
Nbve # Stories
Desnolish Front y?ft.
Grade Depth g'y ft.
APPROVAIS FEF.S
Assessments ? ?o Pennit
Water/Sewer Surcharge
Police P1an Check
Fire SAC So?S? ?°`?
Eng. Water Conn. 05' °-°
Planner Water.Meter
CounCil Road Unit `yrS
Bldg. Off. '
APC
TOTAL / 3 f ?p • ??
.•- • CITY OF EAGAN
?
3795 Pilot Knob Road Eagan, MN 55122 N2 5810
PHONE: 454-8100
U /?&
4z
BUILDIN6
RMIT APPLICATION Receipt #
- ,
-
To be used fer 1 Of 4-pleX Est.Volue 52?000.00 paYe May 7 19 80
SiTe Address 3821+ Laurel Court Erect 0 Occupancy R3
Lot 12 Blxk 1 Sec/Sub. Briarhill Alter ? Zoning R3
no?corded
Porcel j?
Repair ?
Fire Zone III
Enlorge ? Type of Const. V
lx Name TollefSOri Bu11deY'S Move ? # Stories
3 Address 1381 Holyoke Lane Demolish ? Fmnt 44 ft.
? Appl e Va11ey,MN
454-6873 Grade ? Depth 24 ft.
Ci
phone
ce
o Name S2me Approvals Fees
- - -
i
Addreu Assessment 3 20100
?
~ Ci Phone Water & Sew.
ua? Police
Fw Name Fire
Address Eng.
aW Cf Phone Planner
Council
I hereby acknowledge thot 1 have read this application and stote that gld9, pff. 3120150
the information is mrrect ond agree to aomply with ail applicoble
City ?f Eagan Ordinances.
State of Minnesota Stat
ut
e
s a
nd APC
?
.
?,
?
,?
Signoture of Permittee ?/'i1?', ?, (?'6?
Permit 1'+). fV
Surchorge 26.00
Plan check 71• 75
sac 525.00
Water Conn.305 . 00
Water Meter ? ' ?
Road Unit 185.00
Toral 1, A.25
A Building Permit Is issued to: TOlle a ri Builders on the express condition that
cll work shall be done in accor wi icable State of Minnesota Statutes and City of Eagan Ordinonces.
Building Official ? ?
?. ? ?0 CI'I'Y OF EAG?N Include 2 sets of plans,
? ? 1 site plan w/el.evations &
BUILDING PEPMT APPLICATION l set of energy calculations.
7.b Be Used For Valuation Date 3--242 -'F a
Site Address: OFFICE USE ONLY
Lot /?__ Block Sec./Sub. Erect OccuPanc1'
Parcel # : ?1?. Alter Zoning
RePair Fire zone
Owner:
Address:
City/Zip Code:
Phone #:
Contractor:
Address:
City/Zip Code:
Phone #:
Arch./Eng..
Address•
City/Zip Code:
Phone #:
Enlarge Type of Const.
Move # Stories
Dennlish Front ft.
Grade Depth ?z ft.
APPROVALS FEES
1
aD,
3
?
Assessments ga Permit 1 Yd
.
/
'
Water/Sewer Surcharge .1 ?
-J?`-
Police Plan Check >/ -
Fire SAC e5-??6- °.°
Fhg. Water Conn. 3 o S?
Planner Water Meter
Council Rpad Unit ? gs
Bldg. Off.
APC
=AL i31&-a5
?
_.-• CITY OF EAGAN NO 18151
3830 Pilot Knob Road, P.O. Box 2 1-199, Eagan, MN 55121
fy " PHONE:454-8100
BUILDING PERMIT
. Receipt # C R878
To be used br DECK Est. Value $1 , 000 Date JUL.Y 13 , ? 99Q_
Site Address 3822 LAUREL CT
Lot 11 Block 1 Sec/Sub. BRIAR HILL OFFICE USE ONLY
PafCel N0. Dccupancy _ FEES
Zoning _
? Name RAYMOND LYTLE (ActuaqConst - BIdg.Permit 25.00
W
o
AddreSS 3822 LAUREL CT
(Allowable) -
h
S
.50
City EAGAN Phone 454-475A ? or sio??es - arge
uro
?? Plan Review
Len th
9
p Name SAME Depth 12? Ciry
SAC
,
?Q AddfeSS S.F.TO?a? - ,
SAC, MCWCC
? City Phone S.F. Footprints -
Water Conn
On Site Sewage _
?
W w
Name
On Site Well -
Water Meter
?Z Add?BSS MWCC System -
<W
City Phone
C?rywaier - p?ct. Deposit
S/W P
it
PRV Required _ erm
I hereby acknowlege thal I have read this application and state that the Booster Pump - S/W Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ci of Eagan OrdinaJaces. Treatment PI
Signature of Permitee ? h? .?? APPROVALS Road Uni1
??OND L LE
A Building Permit is issued P?anner
-
Park Ded.
on the express condition that all work shall be done in accordance with all Council __
i
C
1. 50
a licable State of Minnesota Statutes and Cit of Ea an Ordinances.
PP
Y 9 BIdg.Oit. _ op
es
p
???/? ?` ? 'rn ?
Building Official-?._?_?E? Variance - TOTAL 2?.00
BUILDING,RfRMIT
To be usp.d for DECK
Est. Value $1,000
Receipt #
19 90
Site Address 3820 LAUREL CT
Lot 10_ Block 1 SeclSub. BRIAR HILL
Parcel No.
w Name ?EN LOVEN
o Address 3820 LAUREL CT
City EAGAN Phone 454-9700
o Name PHIL SHEELEY
?Q Address 16045 JOPLIN AVE, #3
? City LAKEVILLE Phone 898-1050
?w Name
? ; Address
`w City Phone
I hereby acknowlege that I nave read this application and state that the
information is correct a?n?da9 ree to comply wthapplicable State o(
Minnesota Statutes an?% i? pf Ea Ordina
Signatureof Permit.ed ??yl?? •,???d?°") '
A Building Permit is issued to: ° rni1, innni
on the ezpress condition that all work shall be done in accor ance wi
applicable State of Minnesota Statutes and City of Eagan Ordinances
Building Official ??O A 41 V, 1 4
a CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Occupancy
Zaning
(Aduaq Const
(Allowable)
# ol Stories
Length
Oeplh
S.F. Total
S.P. Footprints
On Site Sewage
On Site Well
MWCC Syslem
City Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Olf.
Variance
Na 18028
C?qLt ?
OFFICE USE ONIY
121
121
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MCWCC
Water Conn
Waler Meter
Acct Deposit
S/W Permil
S/W Surcharge
Treatment PI
Road Unil
Park Ded.
copies
TOTAL
25.00
.50
1.00
26.50
KOEHNLEIN
LIGaiTOWLER
JOHNSON
1 N C O 11 P O P A T E O
ARCMITECTS
ENGINEERS
12700 NICOLLEr AVENUE SOUTN
" PHONE (612) 890-1272
BURNSVILLE. MINNESOTA 55337 `
FARGO,NORTH DAKOTA
MORRIS, MINNESOTA
PHOENIX, ARIZONA
CCR'1'II7ICATI: OF SURVEY for CARL TOLLEFSON
I.otti 9, 10, 11 eind 12, B7ock 1- BRIAR HILL
Dakota •County, Dlinnesota
? SC?CE /?? 50
---` ??- 7 LI
4LL
.
?
N
¢, ,?
v ^r"' Q s `. =j,7 ?
a
a• ? , ._? - ?.:?
?
?
- ? jyl
N. _----???/ ??•MqJ ;?l.'7
n. ?
?
o
K?
Lin Ur- t:,? CouF,r
I hereby ccrtify that jhi8 survey, plan or
cepert was prepared by me or under my direcc
supervision and that I am a duly Registered
Land Surveyor undct the laws of the State
of Minncsota.
Date Reg. No?
• '• ??
1990 BUZLDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WFIEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQIIESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: tk ,C?t'q?GPMP•Z? Valuation: 47?L&- Date: 317 XrQ
Site Address g?fw q 4QUr¢ ? C-T-
Lot P? Block _I
Parcel/Sub ,?j?/"'?l L
Oi,mer /lw/?/k /P/E'//jx-E'
Address .SLfa y,4uf- e l CT_
City/Zip Code 646¢d1/ NIN.
,
Phone
Contractor S?e
Address SQ Wl -v-,
City/Zip Code St-tm -P
Phone J q 6,11 p
Arch,/Engr.
Address
City/Zip Code
Phone #
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories i!
Length 1172-
Depth 12
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. 7ea
Variance
COMMERCIAL
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
Sb
, O o
?i
f
hA?
,- ? To- ? G4
Lo.rr
\?
Ap,
FOK I?GViif C) ?
i--.•? i I ? ? ? '(RN?? ' 70f• ? ??l
i ?
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v?
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n
tc
.A oM
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SO
IF
La?
? --
;?
- lll. . .'?q.5 I 1
?
,
. ^ In
cITV Or- EnGAN
rASHIr:Rs as rEhMTNAi_ Na. 748
llA'1E:: 08l04/99 '1'It1Ln 0:303£3
IL+ -.
iNAi'fE? M:L'KC MiJI-IS C[1NS71;UCT7:C]N CU
?
3210 900'1 3840 HEtl'i'hl(WFi DR iE,i.c''.5
205 9001 3840 hal: AThiEf; DR 4.50
3210 9{:)01 3849 1-fEA7Fif::f; DR 0705
205 9001 3849 HEATFiEFt DI'; 4,',:'r0
32ta 9001 3857 wr.AT-iEr; DR 07.25
WJa 9001 3857 HEnTHER DR 4.50
320 9001 380 i_aUr.:Ei._ cr 167.25
2i.55 9001 380 L_AL)hEt_ r1' 4.50
300 9001 3864 I-{C:A'1'HER TtF< i.E,i .2`i
205 9000 3664 firATi•iGR Li(; 4.50
1'n'h,:]:! . RF3Cei(?i: 1mS]{.1Y11: : 85$.75
cr: W4 .844.
UsE?: a:zi: JAN
? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)tpf-j
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
Lykw-Con-s1ruGfioaRequlrements RemodeVReoair ReauhemeMs
? 3 registered sHe surveys showing sq. R. of lot, sq. ft. of house 2 coples of plan
and A roofed areas (20% maximum lot coveraae ollowed) 1 sef of energy calculations for heated addfftons
? 2 copies of plans (show beam a window sizes; poured Ind. destgn; ete.) 1 sife survey for exterior addNions 3 decks
D 1 set of energy calculations
? 3 eoples ot hee preservation plan N lot platfed affer 7/1 /93
DATE: 3 CONSTRUCTION COST:
DESCRIPTION OF WORK: l e42 O?T /c c 40T
STREETADDRESS: C? T I8 ? Z c? , LZ,1 Z-5L
/ LOi: BLOCK: ? SUBD./P.I.D. #: 17fLvi... ZL " . `? ?
Name: A.IZ c.G'i'4 fil`f ! / Phone #:
PROPERTY Last Fia?
OWNER
Street Address:
City State: Zip:
(? / Z
Compqny:_ _/ ? ? ? ?? ?? l.d?i??? ( caPhone #: ° 7
(area code)
CONTRACTOR !/ _/
Street Address? 7` 1// 7` 2??l! ? License # `??!? Exp.
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Streefi Address: Registration #:
City State: Zip:
Sewer d. water Iicensed plumber (reauired for new construction onlv):
Penalty applies when address change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this applicatfon, state that the inform is correct, and agree to comply with all appllcabl
State of Minnesota Statutes and City of Eagan Ordinances.
?
S(gnature of Applicant: v
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex 17 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
0 31 New ? 35 Tenant Impr 13 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition 13 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Width Footprint sq. ft.
APPROVALS
Planning Building
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S1W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Valuation: $
r
SAC Units
% SAC
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
jU? 14 RfCD
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WEiICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For
Site Address
C4. A cijly( Valuation
393,o t.aIAAS.f n;-, ,-
Lot 10_ Block _I_
Parcel/Sub o, l,Q,
Owner
Address 3%O-ZO ,(v'(Q cj--
City/Zip Code -
Phone 16-+q?Gt?D
Contractor ?,?.1 1 l? Q1 .ll
Address m? ?
City/Zip Code La We S'rjQ"(?
Phone -iq$ ? ? osl)
Arch./Engr.
Address
City/Zip Code
Date:
OFFICE USE ONLY
FEES
Occupancy
Zoning
Actual Const Bldg. Permit o75,o ?
Allowable Surcharge 15v
# of stories Plan Review
i Length 11"L SAC, City
IDepth ?2- SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well S/W Surcharge
MWCC System Treatment P1.
City water _ Road Unit
PRV Park Ded.
Booster Pump _ Copies ?
SUBTOTAL
APPROVALS Penalty
Planner TOTAL i? n
Council
i
Bldg. Off. i
i-its
Variance
Phone #
" Q4-
?-
'- 1-07 J7 - ?J
7
?. \
FoR iiEv 14E 0 r-
?-'°?-
,
Cc/Zq
f
.._. .. .. • • `
i? . E'AIS7 ilECk- )oX?LC,;L.
enL:l.o-
._.---- " - ,
- • E?vsp X?Z ? _J ,?
. ?__ - ^ ?° ? o ` ' - ? p
? X z
2
,
- 32; i .2q
, ? -- ; - - - / - -- ?? ?
i , ? ? ?? ` ?\.. / / / ? ? `• \? \ ? ?
•a.
* o
'47,
S?
. ?oq- G0U
Lp,UR?I?
160
43
'
SINGLE FAMILY DWELLINGS
4 i31s1
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WI-IICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL SE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: 2'ck Valuation: rP-J Date: Z4,3Z 5 C)
Site Address J 92 L. ,(,a u e- P J C J
Lot 11 Block I
Parcel/Sub
-7-
Owner kA- i? Jk o .N Fa ?J ? L.? '`'tC;
Address ,3r 2 Z 1,n4 re ( C?
City/Zip Code ??A C,;q,?, ??d ,f/
Phone ,lSy t/JSg
Contractor SR >" e
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
OFFICE USE ONLY
FEES
Occupancy
Zoning
Actual Const Bldg. Permit ,,2s" Q°
Allowable Surcharge i5Z,-
# of stories Plan Review
Length 10 SAC, City
Depth VL. SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well _ S/W Surcharge
MWCC System _ Treatment P1.
City water _ Road Unit
PRV Park Ded.
Booster Pump _ Copies 1.5-0
I SUBTOTAL
APPROVALS
I Penalty
Planner TOTAL oD
Council
Bldg. Off.
Variance
.
LOT
S L.;M G E
Ac ieEvlSEo ?
. ?
.. ,?. ; • ,- -
, r-
(
__. - -- ------- _
_
-- --?_ ?; ? ? , ? ,., ?z
._------ ? --
------ - -- _N<Z?• Dct? `°r'^? ` 3? .
?+t+ ?(L \?\\\
- ? ~ _
.. ?__-
? ? ? I ? r '_ 1 ?CC/-
? X/ Z
2q
J ,
? - 21
? 31, l3D I ? '
/ i??... . ?. -- -
•
I
a
4
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?, ?
?' I
R GO?J 2T '?
2'
- - ?--- --? ?. /a i
CITY USE ONLY
L BL ? RECEIPT #:
SUBD. DATE:
Please complete for: ? single family dweilings
? townhomes and condos when permits are required for each unit
FIXTURES EACy. TOTAL
Shower 3.00 x 1Naf?r Closef 3.00 x = _ . _ . . .. .
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitohen Sink 3.00 x =
Laundry Tray 3.00 x
Ho 3.00 x =
a er -Heater 3.00 x
3.00 x = •
Gas Piping Outlet " minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 50.00 =
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
1996 PLUMBING PERMIT (RESIDENTIAL)
CIT1( OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
TOTAL
. ,
- Ff1Ut . ;
SITE
OWNER NAME:_
INSTALLER NAM
STREET
3824 LRUREL f:dURT???
EAGRN f 55H 680-9133 W 405'4331
NORBLOM PLUMBING CO.
AVE. SO.
. .. . :: ?-.
.?
Ct1Y: STATE: ZIP:
PHONE #: ( )
Go t (K L
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date (Q // 03
Site Address
[Jnit #
Property Owner ?? ? }`UVl/? ? C ? ? LCl-? ?1 Telephone # /R97
Contractor Burnsville Heating & AIC, Inc.
Street Address SaVage, MN 55378-1122
State
Zip
City
Telephone #(
The Applicant is _ Owner _6-Contractor _ Other
Add-on, modification or alteration to existiug dwelling unit _ $ 30.00
_ furnace replacement
?
l1Lr
_ ayexchanger
l air conditioner
other
State Surcharge $ •So
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the otdinances and codes of the Ciry of Eagan and with the Mechanical Codes; khat I understand this is not a
pernut, but only an application for a pernut, 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 pl s. /? ( ?
?<'
? ) WA, ? ? , ??1c-o ?
Applicant's Printed Name plicant's Signa
Jq44q
RESIDENTIALBUILDINGo
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction ReauiremeMs
3 registered site surveys showing sq. ft, of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies oi plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711l93
Rim Joist Detail Op6ons selecfion sheet (buildings witti 3 or less unds)
Minnegasco mechanical ventilation form
RemodeUReoair Renuirements
2 copies of plan showing foo6ngs, beams, joisfs
1 set o( Energy CalculaHons for heated additions
1 site survey for addilions & decks
Add'rtion - indicate ilon-site septic system
Office Use Onlr
Cert of Survey Recd - =Y _N
Tree Pres Plan Recd Y° <N
Tree Pres Required _Y _N
Onsde Septic System Y_ N
Date 2 / 21 / eo 7
Site Address 30ZZ. LAI,[
CC)Lt 2.. Construction Cost
T FA4_,/411I UnitlSte #
Description of Work RE/lUi/r' A- Nn Q rPLKFCF n"t7.1C A- MD i?A-(LI Nf,-S
Multi-Family Bldg ? y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner yv AS.`.pC:. `l I/AyGlAG
7022 A-sr r,sq G4KE MGMt
RoRa *AAc.E Telephone#f( _&3 27a`7
G2o?e- S53u
Contractor ?? I ?: x T1= 2 t Oe A4 A-1 NT cc)l2 dJ
' Address qUS
State M lN N W15S7- 6o
ESrGT_FE m StTx iFF
Zip c;ty 14ilJjxjLtS
Telephone # ( (f) ) g(o/ - 625I3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Catesorv 1 _ Minnesota Rules 7672
(J submission type) • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
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 master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
CNi2a s ,4ivoE'72svn/ ?j.G?
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE _ .,
Sub Types
? 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage 13 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex MP 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 37 New ? 35 Int improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Buiiding ? 42 Demolish Foundation ? 45 Fire Repair
0 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
34 Replacement
( "Demolition (Entire Bidg) - Give PCA handout to applicant
DBSCrIptlon: Water Damage _ Yes
Valuation ?e 'D c4D •- Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length /0 Fire Sprinklered
Type of Const Width Zc>
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
k? Footings (deck) _ FinaUC.O.
Footings (addition) /0 FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation Retaining Wall
I? -
Approved B?: Building Inspector
------
Base Fee '
Surcharge ? R C Zcc 4:D
Plan Review
MClES SAC
City 5AC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
L'4 ad rz & 1 ("o? I -,z: -L..
KOEHNLEIN
l.1GHTOWLER
JOHNSON
1 N C O 11 P O ? A T! C
ARCNITECTS
ENGINEERS
72700 NICOLLE7 AVENUf SOUTH
" FNONE (612) 8W1272
BURNSVILLE, MINNESOTA 55337 ?
FAqCO, NORTH DAKOTA
NORRIS, MINNE50TA
PMOENI%, ApIZONA
CIiR'CIF.ICAT'E OD SURVEY for CARI, TOLLEFSON
I.ots 9, 10, 11 ind 12, I3lock 1- BRIAR EIILL
Dakota.County, Minnesota
=-?zzv
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rc
- L-Au ?Ej_ Cou r: r.____ .
5 ¢? ZS
- 7u?1P1 '. ? ?L Ale
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?
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O INOItA7?s _ ,T.?PD/y
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J??o? 30?-
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-- ?'m u uVG?'I? CjV?j 60
I hereby certify that jhis sutvey, plan or ??
report was prepared by me or undec my direct
supervlsion and that t am a duly Registera!
Land Surveyor under,,the laws of the Scute
of 14finncsota.
Date Reg.
- _ _ _ _ _ _ _ ' _ _ ' _ _ _ _ _ -
? FoE Offce Use ?
? Permit
I J
? PermitFee:
I I
i
? Date Received: - / ?
I ? ? I
I Staff:
I I
2008 RESIDE
BUILDING PERMIT APPLICATION
Date: 'V Site Address: _ 41z, y 2 t L i o S
Tenant:
Suite #:
RESIDENT/OWNER Name:?/o ASSoc;a-," Arl.sN„-Ei„L•„%phone: ''7&7°YSv- 37z7
Address / City / Zip: 3V 16 Z,4 v? t L e r.
Applicant is: _ Owner X Contractor
TYPE OF WORK Description of work: R£- +'S
Construction Cost: Multi-Family Building: (Yes X/ No ..
CONTRACTOR Name: g£/ E'x -z2, 02 ??%,.? %• L`?.2 A License #: ,2 C; 1
Address: JAc s' 4,1 ? fo c t? s; ,
City: /n PL S, State: Zip: S'S4/r S
Phone: 62y=5 ContactPerson: ?O(i'L 4t,lf2iS
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
Categor
Submitted
y
Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit 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 Contrector: Phone:
-NOTEi P.,lans, a"nd supporting documents';thatyou submit?are considered to be public info`rmation., Portiorts°of .
` tfie information may be`classified as non=pu6lic if you provide apecific reaso`ns'that would permit the City to.
? ?. . conclude,that the are:tratle:s'ecretsr
i nereoy acKnovnedge 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 pertnit, and wo is not to sta out a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approv of ans.
z 1?01 L) i L) 113r;o?LS2 I 5 x
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
, SUB TYPES
? Foundation ? OS-plex ? 16-plex ? Accessory Buitding ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Ait. - Multi
? 01 of _ Plex ? 07-plex ? Garege ? Porch (4-season) ? Ext. Ait. - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Stortn Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building"
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
` Demolition (entire build ing) - give PCA handout to applicant
DESCRIPTION:
Valuation Occupancy MCES System
Plan Review Code Edition Z?a -7 SAC Units
(25%_ 100% Zoning City Water
Census Code q3q Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
_ Footings (new bidg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace:_R.I. _AirTest _Final
_ Insulation A /
Reviewed By:
RESIDENTlAL FEES:
Base Fee
Surcharge
Plan Review
MClES SAC
ciry SAC
Utility Connection Charge
S8W Permit 8 Surcharge
Treatment Plant
Copies
Total
Sheetrock
Final/C.O.
JO Final/No C.O.
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Building Inspector
Page 2 of 3
KOEHNLEIN
LIGHTOWLER
JOHNSON
1 N C O ? P O N A T E O
ARCHITECTS
ENGINEENS
12700 NICOIIET AVENUE SOI.ITN
' PNONE (612) 890-1272
BURNSYILLE, MINNESO7A 55337 ?
FARGO. NORTN DAKOTA
MORRIS, MINNESOTA
PHOENIX. AR120NA
CLR1'I1zICATIi OI SURVGY for CARL TOLLEFSON
Lots 9, 10, ll and 12, I31ock 1- BRIAR HILL
Dakota,County, D7innesota
.
02 g ? - (?/
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rr0
3
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ap II^, L
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y ?? . cl I
4 M
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o-?
0
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h. ?
? i?• aJ ;'.
.qx
. /
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,
--
I hereby cettify that xhis survey, plan or
repcrt was prepated by ne or under my direct
supervision and that I nm a duly Regis*_ered
Laad Surveqor under the laws vf the State
of Nfimusota.
c'2 1 `
f?/? Jr
?g -
'
?
0n?.
q•??,?, _,...L,
L
..?. ?-.?
G?
?-=_?--
--
t
Date Reg. No.---e.
? ...
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651)675-5675
Fax: (651) 675-5694
, . . .
?______-_______-_-
? ?r:4?lce._Use ?
? Permft #: 1
? Permit Fee:
? Date Received:
I
? Staff: ?
I I
----------------
2U08 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -V 3 d? Site Address:
Tenant:
9 R r?v 2 /j/ L (, i v v./ //? d-. L S
Suite #:
RESIDENT/OWNER Name:Elo /17A.ilAGLiNCN7- Phone: -74z-f5 V-3 7z7
Address / City / zip: ?$ Z Y L a ? 2If [.
Applicant is: _ Owner X Contractor
TYPE OF WORK Description of work: R£- fb:? ? 4L1) £c?2
Construction Cost: v? V v Multi-Family Building: (Yes X/ No
CONTRACTOR Name: G3 £/ £"x >-ZSt102 Zu2 P. License #: 1<%)_y// 3 1
Address: iI° -s- [..% • !c C !? S,-,
City: In PL S. State: M.? Zip: SS'/i g
Phone: 4,IA-92 413 ContactPerson: b"41?`L 4u2j2iS
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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 in er ?Ian:
Licensed Plumber. ? Lg Phone:
Mechanical contractor: APR Q 3 ?008 Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporfing'doc"uments, fhat you "submifare 'considered to be public informa
fion. Potions of
,
the information'may be classifieai as`non-pubiic if you'provide specifi"c rea,sons that would permit the City:fo
`
conclude that#hs are frade secrets..
I hereby acknowledge [hat 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 wo is not to sta ' out a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approv of ans.
X bri J1 D G?iv?ZsziS X
ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
' .
. DO NOT WRITE BELOW THIS L{NE
SUB TYPES
?
• Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3season) ? Ext Alt - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex F Deck ? Porch (screeNgazebo/pergola) ? Multi Misc.
? 03-Piex ? 10-plez ? Lower Level ? Storm Damage
? 04-Plex ? 72-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building`
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
to Replacement ? Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation 3??? • ` Occupancy S%-z G MCES System
Plan Review Code Edition Z-?01 SAC Units
(25% _ 100% _) Zoning 2 City Water
Census Code ? 3 y Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace:_R.1. _AirTest _Final
Insulation
Sheetrock
Final/C.O.
W FinallNo C.O.
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Reviewed By: _ (nLw? _, Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
Copies
Total
,Z5- t- ieo?) py
Page 2 of 3
- ` ?
KOEHIVi-E I N
LIGHTOWLER
JOHNSON
1 N C O 11 P O R? T E 0
ARCHITECTS
ENGINEERS
12700 NIWLLET AVENUE SOUTN
' PHONE (612) 8967272
BURNSVILLE, MINNESOTA 55337 '
FARGO, NORTH DAKOTA
MORRIS, MINNESOTA
PHOENI%, AR120NA
I.ots 9, 10, 11 and 12, 137ock 1- BRIAR IIILL
Dahota •County, T7innesota
.
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C1:f21'IFICATI: OP SURVEY for CARL TOLLL"-FSON
?r
oz
?
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?
Z -?
? SC?1?? ?•? 50
• „_
,?7
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?
I hereby ceitify that this aurvey, plan or
reFcrt was prepated by ne or undet my direct
svpervision an1 that I am a duly Regis*_ered
Lcad Sutveyor under the laws of the State
of Ivfinncsota. .
Date Reg. No.--------
3 `D Zt? ^1? L???e e-) C %
7, 4
10006 7~
Use BLUE or BLACK Ink
I For Office Use I
Cof Eajan I Permit
Permit Fee.
l
:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 1 Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: _'I Z2 /o Site Address: MIL M-6 - 3,?2Z- 3ZY Gflue>2 (fpz,)XE
Tenant:
cc Suite
RESIDENT I OWNER Name: /0 WS506• F.~•4~e /IJ~ (AMT Phone:
Address/City /Zip: 7ZD(1 F, FISV & (FD M4PLE G&vF MN S5311
Applicant is: Owner Contractor
TYPE OF WORK Description of work: cw oyE ANU lznpc-f►GE /coves'
Construction Cost: Multi-Family Building: (Yes X / No )
CONTRACTOR Name: License d0,? '41119/
Address: 'Y--s- A, ~0R cCity: _ /~1 <NIV~E{r~6LlS
State: V~ Zip: s5y 19 Phone: 96 1
Contact: /,)AV i'~ Email: 1f1 tD bent M . (,om
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes -No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan ' the case of work which requires a review and approval of plans.
x C!-fi?~t S ~N~EZ~ ~
/ O x/ /~Z~-~
Applicant's Printed Name Applicant's Signature
Page 1 of 2
Use BLUE or BLACK Ink
For Office Use
j Permit *
City of Eajan a5
Per,t,rt l-~e: a l
3830 Pilot Knob Road
Eagan MN 56122 j Date Received: j
Phone: (661) 675.6675 I l
Staff
Fax: (661) 6754684
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 3 813, 1 ft o, 3 7.l A., 19x ~j ~i9 u.2Z G Unit
Name: d o R C 7'~ /yl ~q ,J G /►1 E U i 'X' C Phone: 7403 - Jr 3 9 7 7 0
R05 MOW
, /
0W11B1' Address /City /Zip: . $S1a E c r4 AV ,J i9 4oi.Yf E..1 ViKLL*j
Applicant is: -Owner X-Contractor
Typ~..,pF Woof ~r Deatxiption of work: '7'.15.44 O, (Z E - ~xroT
Construction Cost 'f 9 4)0. on Mutd-Family Building: (Yes No
Company: ~E 1 ~a~'~e2•a.e /ylti..i Ce,2,P Contact btAvi TS-1 1 S
C 4' C >k' Address: ~0_y I',J t`aDrt" S~ . City: /h PG S ,
state: /ylK1 tip: S'S'y/ 9 Phone: IFIb i - & x'/.I
Cleanse t C .f y l 3/ Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
~~aroS QE,AE. IJ_ r PC _S 4 97 F
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW JIUILOING
In the last 12 months, has the City of Fagan 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:
ACT
CAU. BEFORE YOU Dig, Call Gopher sUft One Call at (661) 45"002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. W W W.60pherstateon®eall.Om
I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances and oodes 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 pran in the case of work mien requires a # Wow and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Bulldin Code must be completed within 180
days of permit Issuance.
Y,.3Av~~ u2Rrs X.
7~7
Applicants Printed Name Applicant's Signature
Page 1 of 3
£0/£0 39'~d iNIVW 1X3 139 LH9T98ZT9 TT:bT £TOZ/90/T1
*City ot8apn
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAR 257014
Use BLUE or BLACK Ink
L
For Office Use
Permit*: C 71 1 I
Permit Fee: t t)207..619
Date Received: -3 -
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
V Site Address: - a?/ 1 *v12 •L
Unit 0;
• ' '(
Resident!
` ..OUllil, ,f'.;.' ,'.: ;
;,.
Name: eh/ A G 7- ,M4 ..> 14 to 4 at z ,,_)'- _1-..) C Phone: 7 &I - S-9.3- 9 7?
0
.
Address / City / Zip: s'.5-0 bg- CA-rt./2A'. Ai I � >R e,04-, ✓ b r-• 4.4. 1,14
sS V X 7
Applicant is: Owner it Contractor
work
Description of work: T4'4i2 %oL.,.1 RE ak.,iG4 t Lail..Ty
Construction Cost: 9,, VW or Multi -Family Building: (Yes k- / No
)
4.
a 11
CQntn•
>. M:';
°` tY "
Company: a, Li £•(7-L2✓e /4 4f.4,AJ ; . C.'R P. Contact: )..1 v4 4,...,2.4> S
Address: 441,s- L.) G` O'J • City: /Y1,PL
State: /7'1 a Zip: S-- L// C/ Phone: 6 /-I - Y6 t - "Li3
License #: 'g L R' , i Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information)
kI L N 63 S. Z „ , `; Po sr i S 7
In the last 12 months,
_Yes _No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor.
Phone:
Phone:
Phone:
e.. -
T4:,..PIRPr ;a'#,•s P
. y ... Vii, . . y
000. r"�,� ,:�3^ip S:I�i
. .:.. -. . , -!‘.'..r,'.; a�h.tf."ifes iaNMA�"pr..n.� j�140
l
.
c
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 4544002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www.aooher$lateone all,ora
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 Mlnneso to Bull. 1 de must be completed within 180
days of permit Issuance. �
x ., Cll. v i .R -i
Applicant's Printed Name
90/T0 39vd
Applicant's Signature
Page 1 of 3
1NItW lX3 I35 L9Z9T98ZT9 6Z:ST t'TOZ/bZ/E0
SUB TYPES
Foundation
Single Family
Multi
01 of _ Flex
WORK TYPES
New
Addition
Alteration
7C Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
I 1 e
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
4 Deck
Lower Level
Porch (3 -Season)
Porch (4 Season)
_ Porch (Screen/Gazebo/Pergola)
Pool
_ Interior Improvement
Move Building
_ Fire Repair
_ Repair
1,001
(25%_ 100% )
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
4 Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water Final
Framing
Fireplace: Rough In Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Reviewed By:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
"Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final ! C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests _Final
Drain The
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
Other:
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
90/x0 39Cd
1NI�W 1X3 I3S
L9Z9198Z19 6Z:ST t'TOZ/bZ/EO
•
KOEHNLEIN
LIGHTOWLER
JOHNSON
I N C O 11 P O h A Y f D
ARCN ITECTS
ENGINEERS
12700 NICOLLET AVENUE SOUTH
" PHONE (512) 590-1272
BURNSVILLE, MINNESOTA 55337
LARGO. NORTH DAKOTA
MORRIS. MINNESOTA
PHOENIX, ARIZONA
�3s � Le(dre ( e
CERTIFICATE OP SURVEY for CARL TOLLEFSON
Lots 9, 10, 11 and 12, Block 1 - BRIAR HILL
Dakota•County, Minnesota
F
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-1
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I hereby certify that this survey, plan or
report was prepared by me or under my direct
supervision and that I an a duly Registered
Land Surveyor under the laws of the State
of Minnesota.
Date- - Reg. No
La
90/V0 39 d
INICW 1X3 I3S
L9Z9T98Z19 6Z:5T VTOZ/bZ/E0
Use BLUE or BLACK Ink
For Offl-M Use---------
of Ealan - I Permit Fee:
My
41
3830 Pilot Knob Road , f I
~
Eagan MN 55122 Date Received: I
Phone: (651) 675-5675 I I
Fax: (651)675-5694
a.-------- --------J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date; J1- ' J y Site Address: I V F', 0 X 0, 3 x R, S t y `A~2 £ L ~Y; unit
Name: C/a t✓ Vh^~3 b f H< E -j i w c- Phone: 76 3- 9',f 3- g 7 7 0
Resident!
Qwnw Address /City /Zip: $'SO Q £ C 14r v 2 y A) 604 Di~:-:~ V*a-f )1 /n•)
Ss ~.t. 7
Applicant is: Owner Contractor
: Description of work: (ZS,,c 1 f- a, f~£ PL &C-f- d d 1CAYs~-r A !yl ~>~3 L
TYO -O#. Work,
Construction Cost: Y CO• UED Multi-Family Building: (Yes y,_ / No
Company: £ 1 r ✓ p 2 I~~6-i .~'T . Ca RP Contact: DA ✓ ► 14
Address: L-3 400 S~ . City: n'I PL S
C4043ftotor
State: I h/~ Zip: Phone: Z - ly b 1- Zo Z Z/3
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
ILIStoS - VS v/e,Y Pos-J /1"-I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Fagan 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 8r Water Contractor: Phone:
NOTE Plans anal
y std1llttA119oltsitileol.ito~Cca1^ ohs of ; .
-Sglp
thoJIRMrrnatFod Y c/as ealas Ilc 7 sparir c' i dp i► t:C y►>>o
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4544002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq
I hereby acknowledge that fhis 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Builds code mast be completed within 180
days of permit issuance.
x t~ 4✓, t, 12"2/Lif
x
Applicants Printed Name Applicant's Signature
7 Page 1 of 3
I—
For Office Use /,n
I i • Permit#: / �`//
Sam• E AG AN
•mss/ Permit Fee: / / - o
`J� <
flECEIVE / 9
Date Received:� : �_�
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 !�
(651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 MAY 1 o S C13 Staff: 4Pd—
buildinainspectionsCcD_citvofeacaan.com
BY:
2019 RESIDENTIAL BUILDING PERM PPLICATION
Date: /-?—/;c9-6.)iY Site Address: "34% Lcc(-r' I C -- 6-4041 ,SIN;C;"--0-- Unit#:
Name: f i Ctr't'1;/(5 `4'(0Vt4 C c)ii-t-S /650C ia 4/0 f) Phone: q - 6/S6- GSI/
Resident! 3g 1 cwt' C� , ���� MA)
Owner Address/City/Zip:
Applicant is: Owner X Contractor
Type of Work Description of work: Con c.t''e--- S±cic ' (2-e ' T
Construction Cost:_tc,, 00 0 - op Multi-Family Building: (Yes x /No )
Company: I f V Se G'( 7VV7 f,C Contact: Aldf t n It 0v
Contractor Address: 1I D-41 'c(1 061(e y 13 (v A City: P C9 4
State:/4'U Zipf O 7-;- Phone:1'52-615-'1 l Email:K/,j or-4 LA 0-,0.77-0 sec-4 N't i ,C
License#: 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 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 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.citvofeaaan.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 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.00pherstateonecall.orq
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.
x vritt'itV x
Applicant's Printed Name Applica;'�'- Signat
DO NOT WRITE BELOW THIS LINE gi l ( Cf` / 65''71' 7
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
— Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of q Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition — Move Building _ Reroof _ Demolish Interior
IQ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 4 S c oo-- Occupancy ...J.42 G —3 MCES System
Plan Review Code Edition "in Loi,S' SAC Units
(25%_100% )5 ) Zoning P D City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 1VWidth
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) >a Final/No C.O. Required
p Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:__Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 1° #41%IC-1 7/9- , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3