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,
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'' Construction Cost:__�90�=° Multi-Family Building: (Yes !No�
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� Company{�(lS�v►1�ea�nvw� �c�e.��e .Zv►G. Contact: �aso�.
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� ������h��`�` � State:�Zip: 6'�"3t�5� Phone: 7G3��/�//-s'�d� Email: �usw.�CGleowlme.u5 ,
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'�� 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
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������ � . ,��� ��� 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.
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Applicant's Printed Name Ap icanYs Signature
Page 1 of 3
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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
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