4076 Limonite Lane3830 Pilot Knob
:iTY OF EAGAN
id, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
,L1kTTt3ki 4iF
To be used for ;;sy(}p ;} Est. Value +I i1Q0
SiteAddress t-i;=r T ;l" L't
Lot Y? Block ? Sec/Sub.
Parcel No.
¢ Name
W
3 Address
0
City Phone 'w 54- 5?.. t 's
o Name _
=U
Address
Phone
?
uW' Name
? ; Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building 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 ot Eagan Ordinances.
Building Official
Receipt #
Date 19? r
OFFICE USE ONLY
Occupancy - FEES
Zoning
(Actual) Const - BIdg.Permil xfl„
(Allowable) - Surcharga
# ol Stones -
Length _ Plan Review
Depth - SAC, City
S.F. Total - SAC, MCWCC
S.F. Footprinls -
On Site Sewage - Water Conn
On Site Well - Water Meter
MWCC System -
Accl. Deposil
City Water _
PRV Required _ S!W Permit
Boosler Pump - S'W Surcharge
Treatment PI
APPROVALS Road Unit
Planner
C
il - park Ded.
ounc
BIdg.Off. -
_ Copies
a '
Variance - TOTAL
Permk No. PermR Nolder Date Telephone #
WATER
SEWER ?
PLUMBING
H.V.A.C.
ELECTRIC
Inapection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. -
Isul.
Fireplace
Final Hlg.
Final Plbg.
Const. Meter Pibg. Inspector - Notify Plumber
Engr./Plan
Bidg. Final
Deck Ftg.
Deck Final
Wall
Pr. Disp. ,S ,t
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ,
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Mr•CK Est. Value $1 0(m) Date =AY k4 . 19'3?
SiteAddress 4076 L1Ht_l;'iiL Lf+
Lot 0 Block S Sec/Sub. CF?AR G+.C;VE 7Ti. OFFICE USE ONLY
PflfCBI N0. Occupancy - FEES
Zoning -
W Name ??.:+:iX}?, .?f ?`SC:l?,?S;AJL (AcluaqConst - BIdg.Permif Z6+?
Addf@s5 `'M.6 (Allowable) - • ?
o Surcharge
City gA".AK' Phone A54-5tJ14 #ofstories
Plan Review
Lenglh _
o Name 5AME
Depth
- SAC
City
Z ,
o¢ Address S.F. Total -
SAC, MCWCC
r Ci[y PhOf18 S.F. footprints
Water Conn
On Site Sewage -
F W NBme On Site Well - Water Meter
_? Address Mwcc system -
Q= Acct. Deposit
aW City PhOnB CiryWater
1W P
i
5
PRV Required erm
,
t
-
I hereby acknowlege that I have read this application and state that the Booster Pump S,MI Surcharge
information is correct and agree to comply with ali applicable State of
Minnesota StaWtes and Ciry of Eagan Ordinances. Treatment PI
Signature of Permitee _ ,":!:^' APPROVALS Road Unit
A Building Permit is issued to: ^G.i1.fID?
?• i Planner
- Park Ded.
on the express condition that all work shall be done in accordance with all Council -
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg. pry. Copies
Building Official
i
Variance
- TOTAL
211
PermN No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection ate nsp. Comments
Foofings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
Addition CEDAR GR
0v;?er?_
Lot l() Blk 5 Parcel 10 16706 100 05
4076 Limonite Lane State Edqanr MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 61 1970 58.18 2.08 ZB Paid
* SEWERLATERAL 1971 20
WATERMAIN
* WATER LATERAL jj?L 1971 1,615.00 80.75 20 Pd1d
WATER AREA
* STORM SEW TRK 131 1971 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 300.00 6347 8-29-72
BUILDING PER.
sac 260.00 6347 8-29-72
PARK
I
?
?
I
?
-,
EQGAN TOWNSHIP
BUILDING PERMIT
Ownec
- -
- °- - - . ....................-
.l''_
Address (PresenY) --??-- ? - - ..... ............ ?......................
Builder .....
Address .... ..
DESCRIPTION
Atto 283'7
Eagan Township
Town Hell
Daie .. ??.-. .? ?..
- -°-°- ------- ..............
Stories l To Be Used For FronS Dep2h Heighl Est. Cos3 Permii Fee Remarka
r ?,t,r--y •l. -'_ ?_ .-
Y ? / - J L S G
LOCATION A z
!?-. -
•---•------...--•°--.... Per - .... - ..._._--° ...._......_"e----..+,7..................
- ..........................
-..
airman of Tnwn Board Suilding Inspecfor ?
?
This permit does not auihoriae the use of sLreeis, roads, alleys or sidewalks nor does it give the owner or hia agent
the righi !o create any siivaYion which is s nuisanca or which p:esents a hazard !o the healYh, safety, convenience and
general welfare !o anyone in the communi2p.
THIS P£RMIT MUST BE KEPT ON THE PREMI?SEWHI.?LE THE WORK IS IN PROGRESS.
Y• thai - ? ?1 C .
This is !o cersif -- as permission fo erect a.---? /--?. :'. . :C.:..;.`_
?'`-='r=,?=`:-...r ...................•--._....... _??_". ..........._upon
the above described premise subjec! !0 the provisions o! the Building Ordinance for Eagan T? nship efdopled April 11.
1955.
CITY OF EAGAN N? 16303
3830 Pilot Knob Road
Eagan
MN 55121
P.O. Box 21-199
,
,
,
PHONE:454-8100
BUILDING PERMIT Receipt # CJ O
INSTALLATION OF
100
$1
,
To be used for TIO D OR Est. Value Date , 19
Site Address 4076 LIMONITE LN
Lot ? Block 5 Sec/Sub. CEDAR GROVE 7TH OFFICE USE ONLY
P8YC81 NO. Occupancy - FEES
Zoning -
¢ Name GORDON R SCHMIDT (Actual) Const - Bldg. Permit 28 • 00
w
3
Address 4076 LIMONITE LN
(Allowable)
- S
h
1.00
? City EAGAN
Phone 454-5014
u ot Stories urc
arge
-
Plan Review
Lengih _
Name SA? Deplh - SAC
City
_?
?? Addfe55 S.F. Total ,
-
?
Clty Phone
S.F. Footprints SAC, MCWCC
-
Water Conn
On Site Sewage _
?w Name On Site Well - Water Meter
_? Addf2SS MWCC System -
c+u
a W
City PhOne
Ciry Water Acct. Deposil
-
SIW Permil
PRV Required -
I hereby acknowlege that I have read this application and state that ihe Booster Pump SMI Surcharge
information is correct and agr to comply with all pplicable S o
Minnesota Statutes and Cit agan dinances. Treatment PI
Signature of Permitee APPROVALS Road Unil
GORDON R SCHMIDT
A Building Permit is issued to:
Planner
- park Ded.
on the express condition that all work shall be done in accordance with all Council -
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Ofl. _ Copies
Building Otficial 11.[,?SlC? 1\J 1! d' i i 1?
? Varianca - TOTAL 29.00
i
$UILDING PERMIT
To be used for DECK
Est. Value $1,000
N? 1651'7
Receipt # ` -
Date MAY 24 1989
Sile Address 4076 LIMONITE LN
Lot 12 Block 5 SeclSub. CEDAR GROVE 7TH
Parcel No.
¢IName GORDON R SCHM7DT
o Address 4076 T.TMON7TF. T.N
City F.AC:AN Phone 454-5014
=o Name SAME
g? Address
? City Phone
?¢
?w W Name
Address
aw City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State of
M9 nesota Statutes and?y of nces. _,
//
Si nature of Permitee %C ?
A 8ulding Permit is issued to: U N 1C N'HM 1"I'
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 OHicial
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
i PHONE: 454-8700
Occupancy
Zaning
(Actual) Const
(Allowable)
# of stories
Length
Depth
S.F. Total
SF. Footprints
On Site Sewage
On Site Well
MWCC Syslem
Ciry Water
PRV Required
Booster Pump
APPHOVALS
Planner
Council
Bidg. ON.
Variance
OFFICE USE ONLY
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAG MCWCC
Water Conn
Water Meter
Acct. Deposit
S/VJ Permit
SNJ Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
26.00
.50
"lb. SO
/C - 5 - '7
G , (?;'
?0
TOWN OF EAGAN
3795 Pilot Knob P.oad
Eagan, P4innesota 55121
PEaIIT N0. 2111
The Board oE Supervisors hereby grants to Cedw Cr++Ctve CGTisti'uCtion COe
of 73lL3 ConCOrd B1Vd. Ea-st. 3mth Str. Pmt7. 55D75
a HPAT7NG Permit, for: (Owner) Cedar Gr+VA r0nr)tr»rticm Co..
4076. i.im0atte<10-5-7,,.)3941 -idverton 1-6-8, 1709 Montioello 2••6-83 aad
at 1271, M nW_]ln 10.?8..8 , pursuant to application dated
Fee PAid: T,An_[m Dated this 22th day of A3ijVigt? , 1??•
2eOD 8/0
Building Inspector
-3
-,,
TOWN aF EAGAN
3795 Pilot Knob P.oad
Eagan, riinnesota 55121
PEMIT N0. 255 _
The Board of Supervisors hereby grants to ?. Cd,
of ?.,t 3 .,.r__---i „-,__a -,. _a. n__..,r.i. na ne,i rrG?r
a Permit for: (Owner)
_ .
`,!?a?6 7,1ffite 3 0•5- ,`_? 39?' ?. vertou 1-ci-8 1709 p.ontiO o 2-?b•8
at 4T.????$?? ??, ,? ? , purSuant to appl cation dafe?
Fee Paid: $An ?nr? Dated this ? day of , 194.2-.
2.f30 c%
Buii.ding Inspector
ff-
REQUEST FOR ELECTRICAL INSPECTION
? See instmctions for completing this form on back of yellow copy.
0 95926 'X" aefow Work Covered by This Request
M- es-00001-07
u c1 ?'l 8?3-
e - ep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)"
Comm./Industrial Furnace
Farm ' Air Conditioner
Olher (speaty) ConirectorS Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # CircuiislFeeders Fee
Swimming Pool ? 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspedor5 Use Only: " TOTAL S
Irrigation Booms
Special Inspection
Alarm/Communication
Other Fee
i, the Electrical Inspector, hereby
certit
th
t th
6
i
i Rough-in eJ
y
a
e a
ove
nspect
on has
been made. Final Pa?e ?
- ""
OFFlCE USE ONLY
This request void 18 monihs from --
??-
C? 5926
Request Date -
I Fre Na. Rough-in Inspec[ion
I Required? y,,??
? Ready Now idwill Notify Inspector
es ? No ???hen Ready?
10 licensed contractor )(owner hereby request inspection'of above electrical work at:
.bb Address (Street, Boz or RoNe No.) Ciry
O-7 llmD.veTE L.)er C A4
Sectbn No. 7ownship Name or No. Range No. Counry
--?.'q Lo!/T
Occupa QRItJn
°oaDonJ ? ??Nn•? i Q ? Phone No.
9'?5_51°- S"c'3lY
Power Supplier Address
AAfo; c--c.6eT,2fc
Elecvical Contractor (Company Name) Contrador§ License No.
Meiling Adtlress (Contrador or Owner Making Installazion)
• o7 G Yk&/ 651z.Z
Authorizetl S" ur oniract er Maki stal on) Phone Number
MINNEDC'fGSTATE BOARO OF ELECTpICITY THIS INSPECTION HEQUEST WILL NOT
Grig9s•Mltlway 61dg. - Room5773 BE AGCEPTED BY THE STATE BOARD
1821 UNversiry Ave., St. Pauy MN 55104 - UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED. -
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT
651-68/ 551?2
46 5
/
New ConsirucHon Reaulremenh
D 3 registered sHe surveys showing sq. R. of lof, sq. N. of house
and QII roofed areas L20% maximum lot eoveraae allowed)
D 2 copies ot plans (show beam 3 window sizes; poured fnd. design; etc.)
D 1 sef of energy calculaNons
> 3 copies of hee preservaNon plan 61ot piaMed aRer 7/1/93
DATE: ? - t) -qq
Remodel/Reoair Reaulrements
2 coples of plan
1 sef ot energy caleulaNons tor heated addiHOns
1 siFe survey for exterior addiHons t decks
CONSTRUCTION COST:
40
DESCRIPTION Of WORK: t?wGV?'. r??RlnI(lxk_p
STREETADDRESS: °?Jm ? bn'10??4? Ltd
LOT: 10. BLOCK: S? SUBD./P.I.D. #: ? G Yv V?
Name:_???IZCj YYI16-aej Phone#:
PROPERTY Lon Flrst
OWNER ` • I
Street Address: tI0T LL-P4' Li i'-)d 4Q, LI?
City State: Iip: 6 51 7_ 2
?IZC' - lOLl Phone #: LQ
Company:
(area code)
CONTRACTOR
SheetAddress: ( o C??J? License #2A22E5 Exp?-51"ZOCC)
City ?_.L.vJ'Q ICVcJ QS?,-4 State: !y'J 1U Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
City State: Zip:
Sewer 3 wafer Ilcensed plumber (reauired for new consfrucHon onlv):
PenalFy applies when address change and lot change Is requested once permff is issued.
I hereby acknowtedge that I have read thls appllcation, state that the intormatton Is correct, and agree to comply wNh all appllcabl
State of Mtnnesota Statutes and Cffy of Eagan Ordinances.
Signature of Appltcan?-?L"`-a? a&z`
OFFICE USE ONLY
Certificates of Survey Received _
Tree Preservation Plan Received
Yes _ No
Yes _ No - Not Required
RECEIVED
MAY 0 5 1999
BY:
N
,..
?Y
.
1989 BUILDIRG PERMIT APPLICATION
CITY OF EAGAN
14511
SINGLE FAMILY DWELLINGS
2 3$TS OF FLANS
3 AEGISTERED SITS SORFEFS
1 SET OF EAERGY C6I.CS.
MIDLTIPLS DiIELLINGS
2 SM OF FLA,NS
flEGISTfiRED 3I'!6 SDR9E23 -
(CEECg WITH BLDG DIV.)
1 3ET OF BNER6Y CALCS.
COMMERCIAL
2 SETS OF AACHIlECTURAL
6 STBOCTIJRAL PLANS
1 3E! OF BPECIFICATIONS
1 3Ei OF EMRGI CALCS.
lNLTIPLB DNELLINGS AENTAL IINZTS FOR SALE DNITS f OF UNITS
BOTEs ADDRES3ES FOH CORNEE LOTS - CONTRACTOR/HOMEOWNER !lQST DESIGNATE iiHICH iDDAESS
IS DESIRED. HO CHANGES WILL BE ALLOVED ONCE BUILDING PERMIT I3 I33IIED..
SEWE& 3 iIATER PERrSIT FEES AND ACCOUNT DEPOSIT FfiFS liIC.L 8E INCLtJDED iIITH THE BUILDINa
? PERMTF FEE. PSOCF.4SING TIM FOA SEWER AAD 1i9TEA PERrII?S IS TiiO DAYS ONCE A PERMIT HAS
BEEN COP'1PLE'!ED INI1ICgTIRG A LICENSED PLUMBEA. _
PENALTY APPLIES WFIENt PERMIT IS NOT PAYD FOR YN SAP9E A90E1TH IT 15 REQUEST6ll.
LOT CAANGE IS REQOESTED ONCE .P.EitlSIT" YS' ISSDED. MAY 24 *86
To Be Used Far: , L C /< Valuation: Dates S- Z3-0/
Site Address 'y!16//'I?O+t1 /T? ,Gf?oC? OFFICE OSS ONLY
Ic.
Lot jiiW Block _J? Occupancy FEF.S
Pareel/Sub GI*AA 612tuG r?7H Zoning
Actual Const
Bldg. Permit
Z(o,
? Allowable Sureharge ,SO
OWner 00i2DUn1 ;Z) c5lf /qfYliDT # of stories Plan Review
Length SAC, City
Address 'yd 76 Ll-/mUN/rE 6AAJL Depth ? SAC, MNCC
S.F. Total Hater Conn
City/2ip Code Ei9G)AA3 15J'r / Zz- Footprint S.F. Water Meter
Acet. Deposit
Phone On site sewage S/ii Permit
/?
P
0
e
5 On site vell S/ii Sureharge
Contractor LTD .,
Gti1 J
-
C H/1?140T
c MWCC Sqstem _ Treatment Pl.
,/
Address 7O24o L!/yl0&J/7-C- LflAle Citp vater
FR11 required Aoac! Unit
Park Ded.
City/Zip Code Z,Z _
BOaster Pumgs i Copies
3QBTOTAL
lPPAOVAY,S Penalty
Phone Planner tOTAL I 1.7)
Council
Arch./Engr. Bldg. Off. ?5?L4
variance
Address
City/Zip Code
Phone A
.%?
1989 BIIILDING PEHNIIT 9PPLICATION - CITY OF EAGAN
SIAGLE FAMILY DiIELLING3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
AOTEs ADDEESSES FOE CORNES LOTS - COATRACTOA/$OMEOiiNEH 2ltT.ST DE.SIGNATE WHICH 9DDR&SS
IS DESIRED. NO CHANGFS iiTII.L BE 9LLOYSD OD1CE HIIILDING PBAMIT IS I33IIED.
KQI.TIPLE DWELLINGS EE19T9L DNITS FOH SILE OBITS f OF IIHIT3
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SIIRYEY - CHECg iIITH BLDG. DEP?., 1 SET OF ENERGY
CALCIILATIONS
CONIlMERCIAL it/ ? ?04;
INCLUDE 2 SETS OF ARCHITECTURAL & STR()CTURAL PL9NS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
T??s?r qcl
To Be Used For: {',q-7-1 o 1c?9&S Valuation: A?/????r'? (go Date:
- ,-.
Site Address
Lot _LO Bloek _.rL?
Pareel/Sub CEI:>,kk GooUe- `7TH
Owner L7'0P-Do'l) Address VeJ76 L1yylay17F (.'iQAIE
City/Zip Code (6404AJ /VI,
Phone
Contractor CvPQpc%&) P 5CNMrD7-
Address 'y0 `J/ 61/1fOst&M-: 41-A,'IJ L.
City/Zip Code CAQ 4Au 5 51 Z?
Phone 1/-S73I 5-0 /X
Arch./Engr.
Address
City/Zip Code
Phone #
OFF'ICE USE OM.Y
Occupaney FEE.4
Zoning
Actual Const Bldg. Permit 2$,00
Allowable Sureharge 1,04
# of stories Plan Review
Length SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acet. Deposit
On site sewage S/W Permit
On site well S/W Sureharge
_
MWCC System _ Treatment P1.
City water _ Road Unit
PRV required _ Park Ded.
Booster Pump _ Copies
TOTAL a ob
APPR011ALS
Planner
Couneil
Bldg. Off.
Variance
NOTE: Sexer & water Permit fees and account deposit Pees xill be ineluded in the building
permit fee. Proceasing time for aewer and rtater permits is two days once a liceased
plumber has applied for a permit at City Hall.
.1 ?i ja-5-7
EAGAid 1C)WNSHIP
3795 Pilot ltnob Road
St. Paul, Minnesota 55111
Telephone 454-5242
Date
PERMIT FOR WATER SERVICE COPTNECTTON
s
. g L-!? Billing Name
Owner:aej
Plumber: ` s
Residence Xx
Multiple Ho. Units
Cammercial
Industrial
Uther
NO }Total Chg.
Building is a:
d
Number: 963
.? . ,?-
Site Address. O-/7o L( {'YY?)tli, IE'
Billing Address ! 3 UJ (1j L-
<??c S-r. cL u I J ht?50-I"S-,
Meter No. iMeter Permit Fee 10.00 pd 8/29/72
Meter Readiag Dep. :rs pci 8/29/72
Meter Sealed: Yes lAdd'1 Chg.
Inspected by
Date
Remarks:
By:
Chief inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordaace with the rules and
regulations of Eagan Township, Dakota County, Minnes ta.
gy; -Y
Please aotify the above office when ready for inspection and connection.
'A -%
lO-S-7
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454•5242
PERMIT FOR SEWER SERVICE CONNFCTION
DATE: 54;D 6 NUMBER 7121
?
OWNER. YAddreae h
PLUMBER ?? ?1 QIu }Yj I nci 1'ypE OF PIPE \ QC?_?I?O
!
DESCRIPTION OF BUILUING
Industrial' Commerciall Residentiai I Multiple Dwelling I No. of units
Location of Connections:
Permit Fee 10.00 d 8429472
.Opd 2972sc
Street"Repairs
ToCal
Inspected bq:
Date
Remarks•
Connection Charge 260.00 pd 8129/72
By
Chief Inspector
In consideration of the issue attd delivery to me of the above permit, I
hereby agree eo do the proposed work in accordance with the rules aad
regulations of Eagan Tonnship, Dakota County, Minaes
By ,ao Please notify when ready for inspection and conaection and before any portioa
of the work is covexed.
MASTER CARD
LOCATION
OWNER
STRUCTURE AND
LAND USED AS
Permit
BUILDING
I No.
I?07
Issued
?- Issued To
Contractor Owner
PLUMBING zss
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING ? y I
GAS INSTALLING ?
SANITARY SEWER 'Z
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING -?y- ? SEPTIC
FOUNDATION o ^ 10 ? CESSPOOL
FRAMING TILE FIELD FT.
FINAI
ELECTRICAL
HE,4TING
O^?D` DEP7H
OF WELL -
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING v
WELL
SANITARY SEWER (S tA)
? r
&L,' Violations Noted
on Back
COMMENTS:
. ?
?--- ! -- 2a Z . 4 2 -?--
/
/
LaTe /O
TAk'??:L e ?c?EiZ ?i.CO?E 9?
?cel.vc.? 1 G^okOON } JAAlEL SCNMIL:T
4bLKe55: 11696 L/Monii76 LIINt
EAgAN MN. ?51 Z Z
1)f1TE ? 5 - 23-gD
I
-c'ALt ? / /NCN = /O FcET
' - ?-_
I
1 zft?l
O
?
n
?
I I
For Office Use 1so I -qo-,
~ Permit l`~
City of Eata ll~' I Permit Fee: O I
3830 Pilot Knob Road
I Date Received:
Eagan MN 55122 1
Phone: (651) 675-5675 I
I Staff: 1
Fax: (651) 675-5694 I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 40-7(o one-
Tenant: Suite
Phone: 41
RESIDENT I OWNER Name:
Address / City / Zip: TV 7 I YIP-
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: ' J?R, Multi-Family Building: (Yes No
CONTRACTOR Name: 6~h On jcense
Address:
tl ;
te: UAN"Zip: 5S'T
City:
Phone: 1 ontact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) Energy Envelope Calculations Submitted
in the, last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a pe ; that the work will be in
accordance with the approved plan in the case of work which requires a review and approv la s.
Aemq Applicant's Pr ted Name Ap a 7!)12
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City of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
1v(
Permit #:
Permit Fee:
Date Received:
Staff:
7
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ?).—/V"-/ J Site Address: Unit #:
Resident/
Owner
Name: 7--fr/t,9,..30 ✓,..- ./ // Phone: 442? "7e, IJVCZ
,° /�
Address / City / Zip: �® ,4' 2, rr zr�-•.--../ e- ./.srr
Applicant is: Owner Contractor
Type of Work
- ,-z,►
Description of work: ' ,�,
4-6 ,,---e, �
_
Construction Cost: Multi -Family Building: (Yes / No>" )
Contractor
Company: / r✓' -- - f ; raZ1,4 contact:vl- 74Se',
Address: y® 8'C �`�i.e- �s• — City: 1V/
State: /.4r/ Zip: .��®_2":" Phone:
License #: 2rZ / 77' 5/ Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
4,0>— 73�, Al/ Xi -v6)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
NOTE: Plans and
the information
Phone:
Phone:
Phone:
supporting documents that you submit are considered to be public information. Portions of
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.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 Sta
days of permit issuance.
• 7, 74: 7eft.,*/ re
A p icant's Printed Name Applicant's Signature
ode must be completed within 180
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