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4000 Limonite Lane. ... . . _ . , . . . . . . . . . ,. . _ . .. .. . . -r"vw?ww?w? .. CITY OF EAGAN • ;., ^; *, -, 3850 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# To be used for ` Est. Value Date `"'4L 1 7 ,19` ? SiteAddress_`000 LIHOWITE Lot 81ock Parcel No. Sec/Sub. `-'ELAR GROVE 7 a Name W 3 Address ° City Phone 152- ¢ Name , _ . ':?.?_sa Cu*?Si ,o oQ Address ' U? City , Phone Name City 1 hereby acknowledge that I have read this application and state I that the information is correct and agree tocomplywith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee '° } } • . `C 1NST OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type oi Const City Water _ (ACtual) (Alloweble) # of Stories Length Depth - S.F. Total Footprint S.F. APPROVALS FEES Assessments _ Permit Water/Sewer _ Surcharge ? . ?. Police _ Plan Review Fire _ SAC, City Engc _ SAC, MWCC Planner _ WaterConn. Council _ Water Meter Bldg. Off. Road Unit APC Trealment P1 Variance _ Parks CopieS TOTAL A Bwlding Permit is issued to: - on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances Building Official Permit No. Psrmlt Moldsr pata Telsphone! Plumbing FiC ? ? H.V.A.C. ? / Electric i?? li Softener Inapectlon Date Insp. Commsnts Footings I Footings II Foundation Framing ?Q Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final ?= O S C@rt OCG Temp, lP beck Ftg. Deck Frmg. Well Pr. Disp. Y ?n ii. '. ? v . . . - . . . i°.-.' . . . . .. . , • PERMIT H MECHANICItL PERMIT ' RECEIPT # IJ y rI y7 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site Address ? Name ? Address c City' Phone Name _ c Address o City - TYPE OF WORK Forced Air Boiler Unit Heater. Air Cond. Vent Gas Piping Outlets # Other ? M BTU M BTU M BTU M BTU CFM FEE S/C ' ? - ? TOTAL• BLDG. TYPE WORK DESCRIPTION Res. `New Mult Add-on Comm. Repair omer FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 19'o OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ? i- SIGNATURE OF FOR: CITY OF EAGAN s ^ s r . _ .. .'. ' . . . .l . .. . _ . -. .. • M1 . ' PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT # _ , --. 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454•8100 Site Address Lot Bloc ? Name co Address c City m c 3 O Name _ Address City _ Phone \ Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMi1M - RESIDENTIAL FEE MINIMUM - COMM/IND FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE CiOES BEYOND $1,000.00) ? SIGNATURE - $10.00 - 20.00 - .50 FOR: CITY OF EAGAN ---5s BLDG. TYPE WORK DESCRIPTION Res. ' New Mult Add-on ' Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 L- Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 ?Floor Drains - $1.50 _Water Heater - $1.50 Whirlpool - $3.00 Gas Piping OuUets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL• Receipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print /egibly 1. Date 2. Installation Cost 3. Job Address-' t? ? T i' C)i11t:E Id1Lot Blk. Tract C, G- 4. Owner Ca1J::n ?T 5. Contractor "7.1hEEL't c'r), Phone 6. Address 1001 "1a1"i 7. City ;'O. Ct. ?aul State - Zip I i 8. Building Type: Residentiai 0 9. Work Description: New 0 I 10. Describe I 11. Commercial ? Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspoof/Dreinfield _ Bath tubs $eptic Tank Lavatory Softner _ Shower Well _ Kitchen Sink _ Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify ihat the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Permit No. Fee ? S/C Tot. CITY OF EAGAN Remarks Addition Lot 17 Rlk 1 Parcel 1 O 1670Fi l 7tl O], Owner?.?? Street 4000 Limonlte 7,ane State_Ea9aI1. MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GFiADING SAN SEW TRUNK ? 1970 $8.18 2.08 28 Paid * SEWERLATERAL 1971 20 WATERMAIN * WATER LATERAL 1971 1,615.00 80.7$ ZU Paid WATER AREA I * STORM SEW TRK ? 1971 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 280.00 3982 8-23-71 BUILDING PER. sAC 240.00 IqR2 PARK ` CITY OF EAGAN N! 13793 j' ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 .--ILI--. J? BUILDING PERMIT PHONE:454-8100 Receipt # -1 To be used for FAMILY RM Est. Value $10, 000 Date JliNE 17 1987 Site Address 4000 LIMONITE Lot 17 Bbck 1 Sec/Sub. CEDAR GROVE 7 Parcel No c, Name LORRAINE CARTER = Address SAME ° City Phone 452-1584 ,o Name RICHGELS BROS CONST ?Q Address 1310 KENDON LN . P City MENDOTA HTSphone 452-1616 Name _ Address City _ OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Const City Water _ (ACtual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments _ Permit Water/Sewer _ Surcharge Police _ Plan Review Fire _ SAC, Ciry Engr. _ SAC, MWCC Planner _ WaterConn. Council Water Meter $93.50 5 .!1!1 I hereby acknowledge that I have read this application and state I Bldg. Off. _ Road Unit thatthelnformationiscorcectandagreetocomplywlthallapplicable APC _ TreatmentPl State of Minnesota Statutes and City of Ordin ce . Variance _ Parks Copies Signature of Permittee 7oTAl ? A Building Permit is issued to: RICHGEL BROS CONST on the express condition that all work shall be done in accordance with all apWable State of Wymegota Sjatutes and City of Eagan Ordinances. Building Official ?, EAGAI? TOWNSHIP BUILDING PERMIT ?? 254'7 Owne: ...?i....??c?.-._?:-e:.---- e?.°?! ..............._- Eagan Township Address (pzeseni) ?:•:---?-----.???c°?-:..------_ ................... Town Hall Builder ............................................°--._...°--°- ------.....-----°----.......... / Daie ..............f .7?...•••••_--••-......••.. " ? ?/ - - Address ........--••••........•••••• .......................................°.•-••••••..........----° DESCRIPTION 5tories To Se Used For Fron! Dep3h Heigh! Est. Cost Permi! Fee Aemarks 8 ?'t`,. I I G i? °'-?' I '3??"?? C._ /?v ,??-r ??- , LOCATION ? ! S' ? ?d? •=b ? 07f? ?,r--.?F.._? I a a / U ' , ?his pe:mi! oe ao! au?oriTse !he uae of slsee , roads, alleys or ?ero7alkc nor does i! gtve !he ownes or his agan! !he right !o crea3e any situa3ion which is a nuisa?ce or which preseals a hssard !o the health, safely, eonvenience and geaeral welfa:e !o anpoae in !he community. . THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRES . ??. This ia !o cerlifp. ihal--..LD.1-?:'.??...-??'`.":'-?-?e-?•-----..haspermission !o ereci a_._.e?.._ _..--a •.:?Y'_.P'?'.°`-----•--?upon the above deseribed premise subjecY 3o the pxovisiona of !he Building Ordinance for Eagan ownship adopled April 11. 1955. ?.??e? ?< ? ? _ ...1`?'?""'""". ...•••••-•°-°. •-•--•••• ........... .................. .. • - • - •-°..••••. . ?? ????y J Per - ................._............-••_•••-•••• ••. .. _... ..:......._............••--- Chai an of T?wn Soard `? . p ? Huild?n Ina ecior Slree3, Road os o3her DescripYion of Location Lot ock Addition os Trae! - s ? ??..,?,?.??--?--- /3 d/+*-Ps-??n ? ;??? l4?9 ,n-? /79/ t,?a? C?ocg ???? -3?,?/'-? ? ?_,z„? ??°?-?-? 7 ? ? dL Y 5` C.r??w?.r.L+-?J d a-+'-D 6 . , " p- .-? l?--/-7 t'.?. TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT Nd. ?51 The Board of Supervisors hereby grants to Cedar Grove Construction Co. of 1343 ConcoYd 81vd GSo St Paul Minn. 55075 $ HLi!TING permit for: (Owner) Cedar Grove Construction Co. 4t 5-109 29-'.9 1II-99 17-:9 23-5 at , 7_r AZ , pursuant to application dated 9/?7/7' Fee Paid: _$160.0Q Dated this 20th day of _September , 197 '. 4.00 s/c r - Building Inspector -' a . -. ,., ? . ? TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMZT N0, 167 The Board of Supervisors hereby grants to Cedar Groae ConQtruc ion -o, of 7343 C,oncord r?.vd, E,, So. 5L. PauL 55075 a piUMBING Permit for: (Owner) Cedax Grove Gonstruction Co. 4r-4f 5-70V 29-19 9-GV 1.8-9 ?7-1? S? at ?A_Sr ?_,?1 ?,? ';? , pursuant to application dated 9/14/7) Fee Paid• $1E0??O 4,00 s/c Dated this 2Oth day of Segtember , 197 1. Building Inspector / This request void?e?G,(?'? 18 months from D 13 4 9 4?1118"2 ? ?`i? ? az.. KenucsrUale ? Fi e No. Rough-inI nspection June 24 1487 Re uired? oReady Nuw ? Will Notify Inspeo- , ves prvo ? tor When R agv Q Licensed Elec[rical Contractor ? Ownpr 1 hergby raquest ins pectio oT ebove ? elecirical work inst alled Street Address, Box or Route No. City ?.? 4000 Limol ite Lane Eagan ecLOn o. Township Name or No. qange No. Counly Dakota Occupant IPRINTI Phone No, L. Carter 452-1589 Power Supplier Address Electrical Contrac[or (Comvany Name) actor's License No. Corrigan Eleetric Company 7034549 8 Mailinp AdJress (Contractor or Owner Making Instailationl .0. Box 475# Rosemount, MN 55068 Au ho ized SienaW e ont ctor/Owner Making Installation) Phone Number ? 423-1131 MIRINESOTq STATE1196qRD OF ELECTRICI THIS INSPECTION NEQUEST WILL NOT Grie9s-Midwey Bldg. - poom N.191 BE ACCEPTED BY THE STATE BOARD 7821 University Ave.. St. Paul. MN 5510 UNLESS PROPEN INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTlON ea-oooot-os JVMX .. Ill, See instruclions for completing this iorm on 6ack ot yellow copy. 7 SD ?.?- D`1? 4 9(? "X" Below Work Covered by This Requesf Add Hep. Typg?-p? Bq??dipg Appliance! WirOd Equiumenl Wired Home Fange Temporary Service -?uplex Water Heater Liyh[iny Fixtures Apt. Building Dryer . Electrii: Heatin Commercial Bldy. Fumace Si!o Unloader Industrial Bldg. Air Conditioner Hulk Mf Ik Tenk Farm oine? SPec?ry O?he? is?>edfyl t er Sueci(y Other Othur Compute lnspection Fee Below M Pea Service EntranceSize H Fee Feadersf5ubfeeders # Fee Circuits 0 to 20OV Am s 0 to 30 Am s /40.00 0 to 30 Am s Above 200 Amps? 31 to 700 Amps 31 to 100 Am s Swimming Pool Above 100_Am s Above 100_Amps Transformer$ Irrigation Boorns .'C Partial-"Other Fee Si gns Specia l I nspection $ ?? l?- TOTA Hems?rks ?? ? /.bJ L / FJ ?? / _L<T a, RouBh-in . e ' I h ? , t ecsri aE 1 Inspector, hera6y til Ih t th h Final De7l?j cer y a e s ove inspection has been ? (r!'O`fa • ( made. (hiarepuestvofdtBmonttisfrom ?? ?Q RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN j 3830 PILOT KNOB RD, EAGAN MN 55122 ?? o< 5 C) 651-6814675 New Coneuuctbn HeauiremeMe RemodeVRenalr ReoulremeMs • 3 registered site surveys showing sq. R, of lot, sq. ft. of house; and ?II rooted areas • 2 copies of plan (20% maxttnum lot coverage allowed) • 1 set of Energy Calculations for heated addhions • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) • 1 site survey lor exterior addieons & decks • 1 set of Energy Calculations • Indicate tt home served by septic system for addttbns • 3 copies ot Tree Preservation Plan if lot piatted afler 711193 • Rim JobM Detall Options seledion sheet (bidgs with 3 or less units) DATE VALUATION SITE ADDRESS 41000 4c-2?npa6'tv MULTI-FAMILY BLDG _ Y rA1V TYPE OF WORK Sc? ??-io FIREPLACE(S) _ 0 _ 1_ 2 ? APPLICANT STREET ADDRESS /a,2 4 7- Al? co //e Y4 ..Qve- S. CIN&jrn s ve /le STATE iyIV 21P L'IE -:?3 TELEPHONE #057-9 ?07-4959CELL PHONE # FAX # (9so'?.)S1E'Fs"WV'-1,6 PROPERTYOWNER Cc'rfQ??'?-e ? ?"te-'l TELEPHONE# ?? s ?)`4!2 COMPLETE THIS SECTION FOR „NEW?- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RiJLES 7670 CATEGORY 1 MINNESOTA RULES 7672 submission type) • Residential Ventilation Category 1 Worksheet Submltted • Naw Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor: _ Water Softener _ _ Water Heater _ No. of Baths _ Air Conditioning _ Heat Recovery System Phone # Lawn Sprinkler No. of R.I. Baths Phone # Phone # !:Fee: $90.00 ? . -Fee:- $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all appliCable State of Minnesota Statutes and City of Eagan rdinances. 5lgnafure of Applicant 0_6/?IAR?t LI/ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 s .? 1987 BIIILDING PERMIT APPLICATION - CITY OF SAGAN ? 6 ? SINGLE FAMILY DWELLINGS ? IHCLIIDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SDRVEIC, 1 SET OF ENERGY CALCQLATIOBS NOTE: 9DDRESSES FOR CORNER LOTS - COHTRACTOR/HOMEOANEE MIIST DESIGHATE HHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT I5 ISSIIED. M[TLTIPLE DWELLZNGS - RESIDENTI6L RSNTAL IIBITS FOR SALE DNiYS INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SIIRVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONIMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $29000 LANDSCAPE BOND To Be Used Fors)??.c: ?, Valuat .r-?- ion: Date: _. ? Site Address OFFICS DSE NLY Lot ? Block On Site Sewage Oecupancy ? ? ^ MWCC System Zoning Parcel/Sub !?'W •? On Site Well Type of Const City Water _ (Aetual) Owner (Allowable) # of Stories Addressl,/dpa f?? Length _ Depth City/Zip Code S.F. Total Footprint S.F. Phone IPPROVALS FE&S Contractor ? Assessments Permit So Water/5ewer Surcharge ? Address??/?' Police Plan Review Fire SAC, City City/Zip Code?'??pp?? Engr SAC9 MWCC Planner Water Conn Phone Council Water Meter Bldg Off Road Unit Areh./Engr. APC Treatment Pl Varianee Parks Address Copies TOTAI. ? City/Zip Code Phone # 1999 BUILDING PERMIT APPLfCATION (RESIDENTIAL) CITY OF EAGAN 2! t' ? 3830 PILOT KNOB RD - 55122 651-681-4675 ? ?- L-( - New Construction Reauiremenis Remodel/Repair Reau(rements ? 3 registered sNe surveys showing sq. ff. ol lot, sq. N, of house 2 copies of plan and ail roofed areas (20% maxlmum Iot coveraae allowed) 7 set of energy calculatlons for heated addNions > 2 copies oF plans (show beam & window sizes; poured fnd. desfgn; e1c.) 1 site survey for exterfor addffions 3 decks ? 7 set of energy calculations ? 3 copies of tree presenation plan if lot platted aHer I/1 J93 DATE: ?.P ?+-7 11 QQ CONSTRUCTION COST: 5113,45 DESCRIPTION OF WORK: ?c?tr ? , STREET ADDRESS: "f Vi)V LOT: _17-1 BLOCK: SUBD,/P.I.D. #:,_ 1/ U V??j 1 PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: 4Y'< <- V1 Wyya` V\P_1 Phone #: Last First 5treet Address:4wo City i?mm state: zip: Company:??, ???1k?r Phone #: I. ? ?L? (area code) Street Address:?W? License # U1.¢Exp. City State: rr n Zip: P-r,3 ?? Company: Telephone #: area code ( Street Address: City Name: Registrat(on #: ^ State: Zip: Sewer 8 water Iicensed plumber (reauired }or new construction onlv): PenaHy applies when address change and lot change is requested once permff is Issued. I hereby acknowledge that I have read this applicafion, state that the information Is correct, and agree to comply wlth all appiicable 5tate of Minnesota Statutes and City of Eagan Ordinances. , Signature of Applicant: )g,nv\,/V- OFFICE USE ONLY RECEIVE D Certificates of Survey Received _ Yes _ No JUN 2 3 1999 ? ? Tree Preservation Plan Received _ Yes _.No _ Not Required BY. CLAIM VOUCHER - REFIJND REQUEST CITY OF EAGAN CLAIMANT GENZ-RYAN ADDRE55 '14745 S0. ROBERT TRAIL ROSEMOUNT. MN 55068 Location . 4000 LIMONITE DRIVE • -L l,Z, B(, CEDAR GROVE 7TH Receipt I3o./Date 74797 - 6/18/87 Reason for Refund OVERPAYMENT Type of Refund Electrical Permit 01-3211 $ Plumbing Permit 01-3212 $ Mechanical Permit 01-3213 $ 10.00 Surcharge 01-2155 $ ?. ' Water Connection Permit 20-3713 $ ' Sewer ConnecCion Permit 20-3743 $ f Account Deposit , 20-2252 Utility Account Over-payment , 20-2250 $ Other: $ $ TOTAL $ 10.00 I declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. 6/z1s7 ignature Date ? r ? ? EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECT"tON Date: AuQUSt 20. 127, Billing Name: Cedar Grove S,gg„str cion Site Address; 4nnn T.imnnil-c 77-1-7 Owner: same Plttmber; Stein Inc tion of Connection ' Meter Size 280..00.0 8/30/71 Meter No. Permit Fee 10.00 pd 8/30/71 Meter Reading iMeter Dep. .50 j)d 8/30/71 s/c Meter Sealed: Yes lAdd'1 Chg. NO 1 Total Chg. Inspected by Building is a: Resi.dence XXxx Multiple Ho. Units Commercial Industrial Other Date Remarks: Number• 700 Billing Address 7243 ('.oncord R1vA_ F_ ???.1!,.1 I,M: t?t?.,li_.??`:J?? ? L'? 1'?''?!i? V ? -?, , ??`?{ J ?i , ry 1?? i..,. Sy: Chief Inspector In consideration of Che issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Tocanship, Dakota County, Minnesota. gy;Cedar Grove Construction Company Please aotify the above office when ready for inspection and connecCioa. i EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454•5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: August 20, 1971 OWNER: Cedar Grove Construction PLIJMBER Stein Plumbing NUMSER $61 .,. Address 4000 Limonite Laneijbd7,x 17-1-7 TYPE OF PIPE Cast Iron DESCRIPTION OF BUIIDING Industriali Coumerciall Residentisl I Multiple Dwelling I No, of units x)atx Location of Connectfons: Conaection Charge24n_on,Fd R/30/71 Permit Fee 10.00 pd 8/30/71 . 71 s/c SCreet Repairs Total Inspected bq: Date Remarks• By. Chief Inspector In consideration of the issue atyd delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Tcn-mship, DakoCa County, Minnesota $}? Ceda (:rncte CnnS,rristj nn. Cnm?nny Please aoCify when ready for.inspection and coanection and before any portion of the work is covered. MASTER CARD 1* LOCATfON • ? OWNER G 'e!:26o41S r STRUCTURE AND LAND USED AS ?? Permif No. ? Issued Issued To ConTractor Owner - BUILDING ? i PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING ? GAS INSTALLING - - ' I -- SANITARY SEWER I OTHER ? ' O O ? I OTHER I Items Approved (Initial) Date Remarks Distance From Well FGOTING FOUNDATION ? SEPTIC CESSPOOL FRAMING TILE f1ElD FT. FtNAL ELECTRICAL HEAiING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL ? SANITARY SEWER d -? Mll9 Violations Noted on Back COMMENTS: Use BLUE or BLACK Ink r----------------"'� I For Office Use � � � � I Clt of �� �� ; Permit#: j Y � � C� � � Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /^ /���� Site Address: ��� �-�'n,.u•�;;� �,n . Unit#: , � L1 Name� c9✓`�y�C C�rfi�,r- Phone:�DS/- �/J 2 - /SBy a+�sid'er��f ,�i �yy��� ��'u�� Address/City/Zip: �((X9� L.r;,,,�,,.��t �n, Applicant is: Owner �Contractor ' Description of work: �Ov t►i'�c� '�F- S►G�N�c, =T�t�@ Qf'1Ii�oCk � '' Construction Cost:__�90�=° Multi-Family Building: (Yes !No� :� �, � Company{�(lS�v►1�ea�nvw� �c�e.��e .Zv►G. Contact: �aso�. ��u � � � �� � A a �� : Address: �321 ,4�.�Id,,,.r Bl�el. NC ��/Z City: /�dV1-/` �. .��Un��'�i��OP , . � ������h��`�` � State:�Zip: 6'�"3t�5� Phone: 7G3��/�//-s'�d� Email: �usw.�CGleowlme.u5 , ,- '�� License#: ��S8lo28� �� 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: N(?TE:Plans anal�upp�r�ing dq�vi»�r��s:����;�au s��irr�rt ar�.��rrsid�red tc�#�e publr�d�rt'pr�rt�tion. Porticsrr�t�t th�ir�fi�rmafi�ir�r��y��i��l�s:s�f��c���7�,'�q►����blic{��Yci�t`Ar'��r�d��A�,���������sr�����tat°�vc�ulat�errn��`-�1��'�`ity ta � , �� , ,� �� ��� � �t'#he �rei��t� ��ec� ������ � . ,��� ��� o� _����or��lu�� ei�.' � � a�� 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.aopherstateonecall.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. 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. x�CkS w� Q v�A S Applicant's Printed Name Ap icanYs Signature Page 1 of 3  !" #$%&'()'*+*, -./$%'"&0-1 -23*,$2*4 -./$%'56/7-.189:;<=; ?*%-'!@@6-A1>9B9CB=>9D -./$%'#*%-+(.&1--./$% E$%-'8AA.-@@1'';>>>''M$/(,$%-'M*,-''  !V#$%& ''!())**+ ''Q0)3-'\\-/0'V. 567 !89!XV8X98!9!V8' ;40 ?-@2.$0%$(,1 <=>'?@A0 B04*)0+*3$ C-&'?@A0 B0A$3%0 704%-*A*+ D=-+3%0'Z'(*-'Q+)**+0- E=04*+4'-0F3-)*+F'0$0%-*%3$'A0-G*'-0H=*-0G0+4'4.=$)'>0')*-0%0)''<30'I$0%-*%3$'6+4A0%-J'23-&'(+)0-4+'3'KL:"M' #(//-,%@1 NN:9"ON8P Q3->+'G+R*)0')00%-4'3-0'-0H=*-0)'1*.*+'!8'S00'S'3$$'4$00A*+F'-G'A0+*+F4'*+'-04*)0+*3$'.G04'K2*++043'<30' 2I'9'50-G*'D00'KB0A$3%0G0+4MT:LP88'8O8!PN8OO G--'E6//*.&1 <=-%.3-F09D*R0)T!P88'L88!P"!L: "(%*41HD>I>>' #(,%.*2%(.1JK,-.1 9''(AA$*%3+''9 #=-+4/*$$0'W03*+F'Z'(*-'Q+)**+*+FW*0+'^3+'?3+F YN:!'C04'#=-+4/*$$0'53-&13@J'<0P'!"8N888'*G+*0'3+0 #=-+4/*$$0'2,''::YYVI3F3+'2,''::!"" KL:"M'OLN9888: 6'.0-0>@'3%&+1$0)F0'.3'6'.3/0'-03)'.*4'3AA$*%3*+'3+)'430'.3'.0'*+S-G3*+'*4'%--0%'3+)'3F-00''%GA$@'1*.'3$$'3AA$*%3>$0'<30' S'2*++043'<3=04'3+)'Q*@'S'I3F3+'U-)*+3+%04P (AA$*%3+\[50-G*00 '<*F+3=-0644=0)'#@ '<*F+3=-0 4,Ib° City of Eaiall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use s �C Permit #: 3O 0 Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: 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.qopherstateonecall.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. 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. x Applicant's Printe Name al X Vlr� Applicant's Si n ture Page 1 of 3 Name: ---A9 n Phone: C tom`- — --04- Oo .C\ Address / City / Zip: l OiQ 4 / pi k_) 1d2 Applicant is: Owner Contractor Type of Wor x v Description of work: (,Q 4-6/\(\-01,6--; – 'f4Y V 6 t 2 ()Pe/it S Construction Cost: Multi -Family Building: (Yes / No ) , , v Company: Contact: Address: City: State: Zip:Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING In the last 12 months, has the City of Eagan issued a permit for a similar Yes No If yes, date and address of master plan: A NEW BUILDING plan based on a master plan? Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NATE, Plans a d , ��ents hat you submit dere' �blocir;i ri _ •n ma $ d @ ` $ n R . u Y P ® � , ciE �` � • �, fhat r ;, . s ude that they a- a �` � • f 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.qopherstateonecall.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. 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. x Applicant's Printe Name al X Vlr� Applicant's Si n ture Page 1 of 3 pity of bop 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: / 2-56 Permit Fee: Date Received: Staff: 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION ,c( - Date: Site Address: Tenant: Suite #: . en Own Name:'""�"'-1Lin Phone: _ — �' `- ♦ ca I n i Address / City / Zip: 0 0 O ,� t i1A l7 w--0.__ - - j �^ .�)t,- kJ J Name: License #: Address: City: State: Zip: Phone: Contact: Email: Ty�� of �,m k ;,r New /Replacement Repair Rebuild Modify Space Work in R.O.W. — — — Description of work: — P mttT RESIDENTIAL Water Heater Irrigation (— RPZ / PVB) \/ Water Softener Plumbing Fixtures ( Main / Lower Level) Lawn Add Septic — System New Water Turnaround — Abandonment RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $115.00 Septic System Water Softener, (includes State Fixtures, Septic or Water Heater and Softener (includes Turnaround* State Surcharge) (includes State Surcharge) TOTAL FEES $ Surcharge) System Abandonment, Water (add $280.00 New (includes if a 3/4" meter is required) County fee and State Surcharge) 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.ciopherstateonecall.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. x � I�.n �a r Applican 's Printed Name FOR OFFIC E 2eq fred In ections: Meter Relate =Items: Applicant's Signatu eter;f� & w Radio Read AJ<'