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
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MASTER CARD
CG
Loc,ariorv 8 32-r- z
OWNER A M IFS
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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