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4248 Limestone DrI CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS• INSPECTION RECORD? PERMIT TYPE: Permit Number: Date Issued: I • t ?? ? ? ? ? ; ri! , t nNl 1?1 ? 7 I•;, :.i. ?, 'N1? I PERMIT SUBTYPE: iTYPE OF WORK: 1I 1 I ,I I: I 1' 1 1 ufJ I I I 1 1 14 1: „ :,- I! d. A I 1 tIN IiI HI N; 1 IViMG RMI ? INSPECTION DA • D• ? I nIM1!N?,. ,.t;, . , ? ?. . iii!i;!I t tl I i": '0 {'F11iAl( I"1 I?:iRI 1'' Aliilii tlll$ APPLICANT: . .. r ?. ?I' •I '?i?'tl.? il u{; 1'I ItMHINi# WI)F:F il i Permit No. PermR Holder Date Telephone M S/W PLUM8ING HVAC ELECTRIC 4 Q ? 0? Sa ELECTRI InspeCtlon Date Inap. CommeMs Footings I Foundation Framing /77 Roofing Rough Plbg. Rough Htg. ISUL Fireplece Finel Htg. Orsat Test Finel Pibg. Plbg. Inspector - Notity Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final VE TG T?fG` E OF- 5 (5/l.f1n1 I Well 00- T77V SV lSLPC? , / l?w- /h13 . Pr. Disp. CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: •,, , ? ,,, ,?, , APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D- • D• ? .. Permit Holder Date 7elephone # PLUMBING HVAC Inspeetion Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ?.CT ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLD6 FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVIN TEST HVDROSTATIC TEST . BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Cedar Ur'OVe KCgtLiSitiOri Addition Cedar Grove #2 Loc 32 sik 5 Parcel 10 16701 320 05 oWner_1vti? screet 4248 Limestond Dr. state Eagan,rmr 55122 :J Improvement Date Amount Annual Years Payment Receipt Date STREETSUflF. aS 1985 1266.95 84.46 15 STREET RESTOF. GRADING SAN SEW TRUNK SEWER LATERAL 1972 13 .00 52.16 2 Paid WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CUfi6 & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC ? PAR K a EAGAN TOWN S H I P BUILDING PERMIT owna: ---------- -- - ............... ---••• --....-?----- ------ ---- --••--°--------•---°- p - Address (Preseni) ...7.'?'_.`?.9........... -_-------------°-.......------------. Builder ............ ..-....2f=-. Address DESCAIPTION N° 280'7 Eagan Township Town Hall l 72- Date ..-.C---1_............................. 5toxies To Be Used For Froni Depth I Heigh! Est. Cos! Permi! Fee Remarka LOCATION 3treet, Road or ofher Desc:iption of Location ? Lo! Block Addition oz Trac! I 3 .?- 5 ? -?`--?--? z- This permit does nof aulhorise the use of stree3s, roads. alleys or sidewalks no: does it give the owner or his agen! the right io ereate any situation whieh is a nuisance or which presen2s a hasard !o the healfh, safely, conveaieace and geaeral welfare !o anyone in the communitp. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certifp, thal----- ----------- •• • •---°--°-------. . . _ ------- --has permissioa !o erec3 a... ?Z* --..y? ..-•••••••• ................... upoa • _--_ the above described pre ise subject !o !he pr visioas of the Building Ordinance for Eagan ownsT hidpted April 11, 1955. ...---•••......_...°-••••••,??!?••`......... go-4-- . ............... Pez ---°--.°°-......__l...^.'.`.'.`.:_.°v':-.-.....R-----,:......••----.:....••••••-••.......••-- Chaumen of Tnwn 8oerd Building Iaspec,48 .9 EAGAN TOWNSHIP Addreds (P=esent;?f-?/ ."??.t.. $il11fI0Z ------------------- •------- - Address - -I - - ----- - - - -- ILDING PERMIT ilF.Rf'AiDTTl1N . ? N° -5-ap, Eagan Township Town Hall '/?? - / • --?? : . Da3e ???? Siories To Be Used For Froni DepYh Heigh! Est, Cos! : Permit Fee Remaxka i, /// LOCATION `_ Sireef. Ro_W or oiher Description of Location ? I Lo! I Eloek IAddiYion or Traci 147 <.-A„7A6W% ? ThApefmit dces nof aufhorize the use of sfreeis, roads, alleys ar sidewalks nor does it give the owaer os his ageni iYl right 3o creaie any situation which is a nuisance or which presen3s a hazard !o the health, safeiy, convenience and general welfare to anyone in the community. THIS PERMIT MUST B PT N P EXI WHILE THE WORK IS IN PRO RES,4. /This is io ceriify,, tha3.. .:: _... . l? ...,...:?i".:?.------------ has permission 2o ereci,? __..-?? `•?' ? upon - - - - - ............ .- - - the above descxibed premise subjec! !0 the provisions of the Building dinance f Tow hip-°adop2ed April 11, 1955. - --' _ _ _-- - - - --- --- - -- r . . ? .._.. / -- / - - ... . - - - - Chaieman of Town Board ia mg Inspector , ? , O?.J 4 qZO 3 REQUEST FOR ELECTRICAL INSPECTION ? See instrucHons for completiry this fomf on back oi yelbw copy. "X" Be/ow Work Covered by This Request . o?,J ?? W Ne lfad ep: v Type of Building Appliavices:Aared Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heatin Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Othar (speciiy) ConiractoYS Remarks: Compute Mspection Fee 8elow: cl) vC # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee SSrimmin Pool I 0 to 200 Amps to 100^Am s d TransTormers Above 200 Amps j Above 100 -?,-Amps SI !IS InspeCtors Use Only: ? r YOTAL r) Irrigation Booms Q Special Inspection A l a r m/ C o m m u n i c a t i o n THIS INSTALLATION AAk BE ORDEREQ DIS"CNNECTED IF NOT Other Fee _ COMPLETED WITHIN 18 ?jH*?-( I, the Electrical Inspector, hereby certif th t th b i i h Rough-in oete O g, y a e a ove nspect on as been made. Final oate OFFICE USE ONLY This reque5t void 18 monihs from ?0??4/3y?0 3 s2 Request Date Fre No. Rough-In Inspection Required (YOU musl ?711 inspgF` rw n reatly) Inspection Othar Than R ugh-In ? Reatly Nw, lotity Inspector ? Yes . Date Raad I%Fw?nsed contractor ?owner hereby request inspection of above electrical work at: Jo6 A tlress taeW, Box or Route No.) CiTy . ?en 6 5 "l/Z 6AII?a Section No. Township Name or No. Range No. Counry ` '?? ? [ ?I ! 1 Occupant (PRINT) PhonsNo. - ? Power u plier 6 Adtlress ST ITJ ( EI Mral Contractor (COmpany Name) Gontrector's license No. C D?o-2 /V Ma i ss ( oniractor or Owner Making Instellation) e_46-k L C4A Authori d Signature (Contractor/ r Making Installation) Pho,n/e Number `?? ! ?? ??VV MINNESO7A S ,YATE BOARD OF ELEC7RICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway BId9. - fioam 3-128 8E ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55704 - UNLESS PflOPER INSPECTION FEE IS Phone (612) 842-0800 ^ ENCLOSED, Q"1?'?O'',S ,3 j REQUEST FOR ELECTRICAL INSPECTION 4/? „/^ ? See instmctions tor completidg this form on back of yellow copy. sj Y'? r "X" Below Work Covered by This Request ? ? kz Ne Rep. Type of Building AppliancP, 'JVired Equipment Wired Home Range -? Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner , Other (specify) ontractor's Remarks, Compute Inspection Fee Belaw: # Other Fee #. Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transiormers Above 200 Amps Above 100 _Amps S19f1S Inspeclofs Use Only: TOTAL Irrigation 8ooms ? ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD D ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby tif th t th b i i h Rough-in oace cer y a e a ove nspect on as been made. Final Dat ",2O j OFFlCE USE ONLY This reques[ void 18 months from OI =537 ?; ? ? 391y M 4 r S Request Date ^- Fire No. Rough-In Inspection Required (Vou must call inspector wh n ready) e InspfqjpR Olher Than Rough-In eady Now ? Will Notiy Ins eG?pr? ?, ? ? .?.Yes ?vo Date Read 16 ? I icensed contractor ? owner hereby request inspection of above electrical work at: l i Job dress (S ee[, Box or Roule No.) Ci Seclian No. Township Name or Na Range No. Coun k rk o& OcC ot (PqINT) PhOnNg.. n Power Supplier . Address Elec 'cal CoMractor (Company Name) Conlractor's License No.?Jr - c li T Mailing Adtlr ss (ConVac[or r1Owner aking Installation) ` ? Authoriz i ature (Contrad Own Making Inst tio ) Ph e Number ?14 - NESO7A STATE AR O ELE ICITY THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bltlg - Room 5728 III I I III ?II II I ??II II ( I III II ?I I?II II I I I III BE ACCEPTED BY THE STATE 80ARD 1621 University Ave., St. Paul, M 5704 UNLESS PROPER WSPEC710N FEE IS Phone16121642-0800 FNCLOSFn & U 0?2?4 6?EQUEST FOR ELECTRICAL INSPECTION See InsiruMlarA or complell`ng this form nn back of yellow copy 1.. "X" Below Work Covered by This Request EB-0000 1-09 ? W?l Ne Add R. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Du lex Water Heater Electric Heatin Apt. Building D Load Management Comm./Industrial urnace Other (Specify) Farm Air Conditioner Olher (spedfy) CantraCtor's Remarks: Compute lnspection Fee Below: # Other Fee # Service Entrance Size Fee # Ciroults/Feeders Fee Swimmin Pool 0 to 200 Amps 0 to 100 Am s Trensformers Above 200 Am s e SI rls Inspector's Use Only: TOTAL Irrigation Booms UU S ecial Ins ection Alarm/Communication THIS INSTALLATION MAY 8E ORD CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON7H5. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in ? Finai oate ac /? OFFICE USE ONLY This raquest voitl 18 months irom ii ?o q 3.37'/z 02 646 3?? f ? ? o°? Request Date Fira No. Rough-In Inspeclion Required (YOU must cell inspeclor,.whe? ady) Inspecll Other Than Rough-In eady No Will N i J??pector ? a ? , ? ? Yes ?'fJO Date Read ? 7 ' ?/ iicensed contractor ?owner hereby request inspection of above electrical work et: Job Atltlress (Street, Boz or Route No.) ? City ^ ? 4 /? / Section No. Township Name or No. Renge No Counly Occupem (PRINT) ' Phone No ? Power Supplier Ko r ? Address `? ° 7 W It-IA l: Electrical Contrector (Company Name) CoMraclor's License No. ailing Address (Contractor or Ow er Ma ing Installation) J'?r? ? / C" J . ? IQ (?l? /?IAL u-?J 7 Authorizetl ' re (Contractod ner king Installation) U Phone Number ?MI SOTA yTAT9R0 6P E?CECTRI V ? THIS INSPECTION REQUEST WILL NOT ' riggs-Midwe Bltl . oom 5-148 BE ACCEPTED BY 7HE STATE BOARD 7827 Unlverelty Ava St. Peul, MN 55 UNLESS PROPER INSPECTION FEE IS Phone (612) 892-0800 ENCLOSED. iC2/«?f L/ M,64643 REQUEST FOR ELECTRICAL INSPECTION ? See instructions lol completing this form on back of ye0ow copy. "R" Below Work Covered by This Request B me EB-00001-08 ? ?'trayye:? ew AeW aep., ._ TypeofBUilding AppliancesWired EquipmentWired Home Range - Temporary Service Duplex Wa Electric Heating Apt. 8 uilding Dry ff Load Management Comm.llndustrial ff Fur fi Other (Specily) Farm Air Othe? (specfly) Contractor's RemarksA ! ?? J'•?Y l Compute lnspection Fee Below: {-??[? ? ?- # Other Fee # Service Entrance Size Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers AbOVe 200 _ Amps Above 100 _ Amps SIgnS Inspectork Use Only: . TOTA Iffigdti0nB00fnS Oct)' ( /D Special Inspection . . L Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Jnspector, hereby if h h Rough-in 7 cert y t at t e above inspection has been made. Finai ?.-- OFFICE USE ONLV ? IThis request voitl 18 monlhs from 6 4 4,? Request Oate !f No: l Hough-In Inpsedion Requiretl (VOU mu all inspeclor when ready) Ves ? NO Ins edion Other 7h ough-In ? Reatly Now -Yill Notily Mspeclor Oate Ready 10 licensed contractor 4owner hereby request inspection of above electrical work at : Job Address (Str oa or Ro e No.) o?h? Im n be-, ve-- Ciy Section No. TownshipName or No. Range No. Counry Oct nt (PRINT) ^ / 1 V k4 1 PhOnB N0. Pawer Suppiie Address Eiectrical Contractor (Company Name) , ?wa wn p.v- - GonlrectorS License No. Mading Atltlress ICo L•actor or Owner Makmg Installation) OJ Autnoriz nature I n acior/O a g 1 stallation? _ Phone Numher ?r- g? MINNESyin 5 TE BOArry OF ELECT4I TV THIS INSPECTION REOUEST WILL NOT Grlgpe?I.Ltl y Bltlg. - Rob11Y 5473 BE ACCEP7ED BY THE STATE BOARD 1821 Univ Ity Ave.. 5t. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ? PERMIT --?-CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-16701-320-05 4248 LrMEsrnNE nR LOT: 32 BLQCK: 5 CEDAR GROVE 2ND PERMIT TYPE: Permit Number: Date Issued: BUILDING ? 024915 12J02/94 DESCRIPTION: r----,_ (KITCHEN/LIVING RM) ulidiYrq;, Permit Type SF (MISC. ) uilding Wo.,rk Type ALTERA7ION f i ^ , r 1 ? `' ? R <G?1 1 ?Z ?C?-?;?i ? ? r . ?j .? . ? REMARKS: SEPARA7E PERMI7S ARE REQUTRED FOR ANY ELECTRICAL OR PLUMBING WORK FEE SUMMARY: VALUATION Base Fee 5urcharge Tota1 Fee $72.09 ?2.50 $74.50 $5,000 CONTRACTOR• - Appricant - S1'. LIC. OWNER: JOSEPH CONST, J 14545002 0006020 EMERY CHRIS 4380 MALMO CIR 4248 LIMES70NE DR EAGAN MN 55123 EAGAN MN 55122 (612) 454-5002 (612)454-2931 I hereby acknowledge that T have read this applicatian and state that the infprmation is correet and agree to comp].y with all applicable State af-Mn. Statutes and Gity nf Eagan Ordinances. A ? APPLICANT/PERMITEE SI TURE ISSUED : SI ATUF -1 4 14Q I.Wf** CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION fi81-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sit s o energy calcs. ? ? Z ? COMMERCIAL 2 sets of architectural & structu al plans, 1 set of specifications, 1 copy of energy --"'----- 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 change is requested once permit is issued. Date _AJC' 7, 1" l Valuation of work c Site Address: L2 7r ?-s?-?E r1X, STREET SUITE # Tenant Name: (commercial only) LOT j L_ BLOCK ? SUBD. P , I . D . # Descri tion of work: The applicant is: ? Owner Contractor ? Other (Describe) Name C N?'?' Phone 46r!K- ZW Property LAST F, T Owner Address 2 ? Z,?' ?<D?eb4J F-7 STREET STE # City ?GA--/ State A>-? Zip Company os6:;PA1 • n^?r" Phone Contractor Address 3t) /%aC,-ra Cex- License # /oVZO Exp._3/5a>- City 5tate /76 Z i p .S.yi'z3 Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply icable State of M' .esota Statutes and City of 1 ap Eagan Ordinances. • Signature of Applicant: IL_ a_:: ir . OFFICE USE ONLY •?.,? ? ?; ' .? ? BUILDING PERM IT TYPE ? 01 Foundation O 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish O 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition O 08 8-Plex O 13 Garage/Accessory ? 18 Comm./Ind. LJ 04 SF Porch ? 09 12-Plex 0 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Mist. O 10 Multi. Add'1. O 15 Deck ? 20 Public Facility rn.Va k,relvcK W491t. O 21 Mi scel l aneous 6 ° zKm 12.f,244L S'PRcr- WORK TYPE -7b SufRQt,e_ i4„uet,v I7 31 New t3C33 Alterations ? 35 Tenant Finis h ? 37 Demolish ? 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION Const. (Actua7) Basement sq. ft. MWCC System (Allowable) ist F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. tota l Booster Pump # of Stories Footprint Sq . ft. Fire Sprinkler Length On-site well Census Code ZL;K Depth On-site sewa ge - - SAC Code cV Census Bldg APPROVALS Census unit o Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS O.Site D Wallboard cB?Footing &T Final CS'-'Framing ? Draintile ER.'Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Oed. Copies Other Total: vatust;on: g Sao 0 SAC 96 SAG Units PERMIT CRY-OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: a u zLo z NG Permit Number: 033162 Date Issued: 09/04/ 9 8 SITE ADDRESS: P.T.N.: 10-16701-320-05 DESCRIPTION: REMARKS: " gi; -zF"`0 ist El"s ?P .i;g d.m y? 6 itg ? ? V? ?•? ?tv a S'I `SE W A i '?, e li 4ffk .nrt L ^Ik 1 1? [i.N Rt ?i?-'M ?A1 Sv.{ FEE SUMMARY: FER?T?q?T?R: - Applicant - 5T. LICo OWNER: OM CARE & REPAIR5 14543492 0002715 EMERY CARtIL 2017 FLTNT LN 4248 LTMESTQNE DR EAGAN , MM 55122 EAGAN MN 55122 (612) 454-3402 (651)454-2991 ? 4248 LIMESTONE DR L07< 32 $LOCKa 5 GEdAR GROVE #2 F2ERQqFJSTORM DAMAGE Permit 7ype STORM CIAhIAGE 40xk 7ype F?EPAIR 434 RLT. FiESTDENTTAL APPLICANT/PERMITEE SIGNATl1RE 1998 BUILDING PERMIT APPLICATIOlri (RESIDENTIAL) 3830 PILO1' KN? B RD 55122 C? New Construdion Reauirements RemodeVReoair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies oi plans (inGude beam & window sixes; poured fid. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calcWations ? 7 energy calculations for heated add'Rions ? 3 copies of tree preservation plan if bt plattetl after 711193 ? required: _ Yes ? No DATE: ?- 5?`- g? CONSTRUCTION COST; ?,;O? DESCRIP iON OF WORK: D/9w'/A?,?5 STREET ADDRESS: LOT: ''J? BLOCK: ? SUBDJPJ.D. ?v ? ?-- Name: Phone PROPERTY Last ' First OWNER Street Address: Ciry ?•?1cSA? State: Zip: Company:C??/?? 54,-g Phone#: g5,5'1- CONTRACTOR Street Address: ?&77 2-0'ye,? License # c?;17/--5- ?fl?iAn/ City ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street City State: mAI/ Zig State: Zip: Sewer 8 water licensed plumber (new construction ony): . Penalty applies when address chang and tot change is requested once permit is issued. I hereby acknowledge that I have read this appliption and state that the information is correct and agr to comply with ali applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant: l?-- OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex D 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch 0 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? O 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft, sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Valuation: $ Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? . . :. 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance % SAC SAC Units PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C _>< ADD-ON FURNACE FIFcEPI.ACE INSr;FcT DATEI I - 0,3-4-4 FEES HVAC: 0-100 M BTU • $ 24,00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (Exis'rING CoNS'r'1zuC'I'iort) 2 .00 STATE SURCHARGE .50 TOTAL p2Q, L(D SITE ADDRESS: 424?,,, OWNER INST. TELEPHONE #: 41-04 -2q 59 _ 4 Zla CI''Y: STATE: W(\ ZIP CODE: 5? ?U TELEPHONE #: _ R014 ' (m E:--) r - z-i3-?S SIGNA?Y' RE OF PE 1994 MECHAIVICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF .#„?gnl?;..;? FEE $ PROCESSED PIPING; $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ..? . . ADDRESS: ,. CITY TELEPHONE #: STATE: ZIP CODE: , . . SIGNATURE OF PERMITTEE CITY INSPEGTOR 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 LOk BL S CITY USE ONLY krCEIPT #: SUBD. (.P,kd.tt, ':Va DATE: & / M#,W65517 41631?5 1995 MECHANICAL PERMIT (RESIDEIVTIAL) ' CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Ptease complete for: ? singte famiiy dwellings ? townhomes and condos when permits are required for each unit New construction A6d-on furnace Add-on air conditioning Fireplace conversion (to existing fireplace) Date: ?)- 11_ Irb FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL Jb' ? SITE ADDRESS: A?A& OWNER NAME: ?yrIS 1? ?I PHONE INSTALLER NAME: - no ci-1?1C' . STREETADDRESS:1LA\0 _A2J'1G Q CITY: STATE: ZIP: PHONE #: (l!?'Iti ) ~ - UFMATURE OF PE 7TEE I ? ? ? 4 -?? ----- - -- -- -- - 1 I ? . ? ? ; ?r P ? I i ? 20 ? I ' i ? - i ---- ---. . _ .- . - - - - - ? `?--%S --- --- -- - ? a I 3 a- 6U? .. 0 0 0 ? ? MASTER CARD CG Loc,ariorv 8 32-r- z OWNER A M IFS ?L STRUCTURE AND / LAND USED AS Zg xis-s- /grr Permit I No. Issued Issued To Contractor Owner BUILDING PLUMBING Z 8Q7 ¢' ???I s? )?? C/ CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER I OTHER I OTHER I i Items Approved (Initial) Date Remarks Distance From Welf FOOTING FOUNDATION CESSPOOL FRAMING tro TILE fIELD FT. FINAL ELECTFICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL I DRAINFIELD PLUMBING WELL SANITARY SEWER s? m 43- 4, Violations Noted on Back COMMENTS: Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use Permit I' 15a Vc j City of Evan I Permit Fee: as 3830 Pilot Knob Road I g l I Eagan MN 55122 Date Received: Ll Phone: (651) 675-5675 I /~1nn I Fax: (651) 675-5694 I Staff: ~--N~ I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4 - I S Site Address: ' 4 00 Mp_ S~o a4 Unit Name: Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Description of work: Q - Type of Work Construction Cost: ~(Vo, tTOO Multi-Family Building: (Yes / No ) Company: ..3 e T z - f Contact: n 5.1A CV, -5\ Pte( Contractor Address: 'DYI?- Zoo city: ~`r_ tD s liar State: Zip: !51'5 LIck 14:1 Phone: Y~ Z (c: > L~c4 License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be comp eted within 180 days of permit issuance. X U5-~4 , x Applicant's Printed Name A cant's Signature Page 1 of 3