3478 Greenwood Ct S
PERMIT
City of Eagan Permit Type: Plumbing
Eagan. Permit Number: EA092931
Date Issued: 03/01/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 3478 Greenwood Ct S
Lot: 4 Block: 09 Addition: Surrev Heights Ist
PID:10-73000-040-09
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Kris Oien
3670 Dodd Rd
Eagan, mn 55123
Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: - Applicant - Owner:
Champion Plumbing Stephanie Tumer
3670 Dodd Rd., =100 3478 Greenwood Ct S
Eagan NIN 55123 Eagan MN 55122
(651) 365-1340
I hereby acknowledge 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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
CITY OF EAGAN Remarks
Addition Surrey HEights.lst Lot 4 sik 9 Parcel IO 73000 040 09
Owner ,t'?'f? `l Ly2" Street 3478 S. Greenwood Ct. State Eagan, MN 55122
Improvement Date Amount Annual Years Payrrrent Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER I.ATERAL 1973 3
WATERMAIN
• WATERLATERAL 1473 3
• WATER AREA & Stllb 1473 3
• STORM SEW M6 1973 $801.00 $267. OO 3 PAID
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $110. QQ ?13$ 1-29-?2
BUILDING PER.
sac $240.00 7138 -29-72
PARK
CITY OF EAGAN Remarks
10 73000 030 09
Addition Surrey Heights lst Loc 3 sik 9 Paroel
Owner Street 3480 S Gree*+wood rr - State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
? SEWER LATERAL 1971 3
WATERMAIN
* WATER LATERAL 3
* WATER AREA
* STORMSEW 1973 801.00 267.00 3 PAID
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $110. 00 7138 12-29-72
BUILDING PER.
sAC 240.00 7138 12-29-72
PARK
CITY OF EAGAN Remarks
Addition Surrey Heights lst Lot 1 Bik 9 Parcel 10 73000 010 09
Owner Street 34-82 43- rrPPnraond C:t _ State Eagan, MN 55122
?
.
Improvement Da e Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 9 3
WATERMAIN
WATER LATERAL
* WATER AREA & Stub 1973
* STORM SEW nN 1473 801. 00 267 . 0Q 3 PAID
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $110.00 7138 12-29-72
BUILDING PER.
sac 240.00 7138 12-29-72
PARK
CITY OF EAGAN Remarks
Addition Surrey Heights lst Lot 2 Bik 9 Parcel 10 73000 020 09 ?
Owner af n C? :&: e/ /n Street 3484 S. Greenwood Ct. State Ea an MN 55122
1sa09 -? zl . x' 11
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEINER LATERAL
WATERMAW
WATER LATERAL
WATER AREA
* STORM 5EW D
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 110.00 7138 12-29-72
BUILDING PEFi.
5AC 12-2 -72 I
PARK
^ EAGAN TOWNSHIP
BUILDING PERMIT N° 2721
Ownar .. .? :................... Eagan Township
............. --------------------- ......................
Addrese (pzesenS) .................................... ./ --I? ) ?
..... .................. .
- .Town Hall
? Buildar .... 4J'..:..P.:... /_`Z.`..`'s?.?'?.? ............................... S - a .
Dsle 7
---°-----°y .......... .i,
Addrea .............................................................................................. .. ?---....
DESCAIPTiON
$losiet To Be Ucad Fos
? y_ •?,?*-_..-c ,?. ?? Fron!
??- Dsplh Heigh! Esl. Cos! Pe:ml! Fee
a?g e
I G°?8so Rsmarlu
?3
? / G •Jc
I CI r? .?.,.,._.?e?H-a-?-?,-.._=5
•:
----'-' .............----'-' ? - ....? _-......°---... Per _...._._._............... .........._ll? ................................
Chaizman of Tnwn Bo,grd ? Huildinq InapacSOs
dS
This permit does not euthorise the uca of slreets, roads, elleps or sidewelb aor does it glve the ownsr oe his egen!
!he righ! !o creale anp aifuafion whie6 is a nuiseaea or which presents a hasard io the healfh, safefy, eoaveeianee and
geaeral melfare !o anyoae in the cammunitp.
THIS PERMIT MUST B KEPT ON THE PREMISE WHILE THE WORK IS IN PAOgR? S - ------
This 1s to eerliip, tha! ...............?!.^.:`.:?-':'ee^-.-.-J ,--.........has parmiseion !o erect a....f.
the ebove describad premise subject io the provisions of the Building Ordinanee for $agan Township ndoplad ysil 11.
1855.
IG 73UOG a?d a ?/
.SG?.? ldLPi? ???
TO[N OP EAGAN
3795 Pilot Knob i.ond
Eagan, Minnesoea 55121
P$RMIT N0. 236
The Soard of SuQervisors hereby grants to Pu17.eY Heating & Bir
conattiansue co. of 233 strese I,aaie, AWe vauey, rN 55e6$
a H T??? Permit for: (4wner) ?'eY H?
3D7 ?- 2 4 50. Grearm?ood Ct., -- a eenwo ., - 98-35?
at o_ 6reexiwood Ct.0 3L79-$1-83-85 30., pursuant to application dated
Ap cireenxooa ct., 1522-24-26-28 No. Grearnrooa Ct.
- anm,? at 92? 1972
I'ee Paid: $?lpp.Op Dated this 22nd day o£ August , 19 72.
10.00 s/c
BuilJang Inspector
/f
,
TOFJN OF EAGAN
3795 Pilot Kaob RoaB
Eagan, Minnesota 55122
i ca -7 30 ao d'10 09
/V& V4
4
PERMIT N0, - 22 ?
The Board of Supervisors hereby grants to 0cwolid${,ad
Pkumbing Co. of 1500 Clif'Y Road, Burnsville 51331. -
a PLMING Permit for: (Owner) SIU're,y H ishts
at 4 - 4 ittl3tB , pursuant to application dated
6/5Lq2
Fee Paid: $$p,qQ Dated this 5th_ day of 197,2,,.
2.00 s o
?
Building Inspector
3
:
S,;7
3?S ??rs
??S$S,3
?, °"l ?, ?v
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 ?
New Constmdion Reauiremen(s RemodeVReoair Reauirements Office Use Onlv
3 regblered site surveys showing sq. k. of l06 sq. ft, of house; and II roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20% ma)imum lot coverage allowed) 7 set of Energy Calculations for heated additbns Tree P2s Plan Recd _Y _ N.
2 copies af plan showing beam & wiMow sizes; poured found desgn, etc. 1 sile survey for addRlans 8 decks Tree P2s Required Y _N
lsetofEnergyCalculations Addifion•indicateNonsitesep6'csystem OnatteSeptlcSystem _Y _N
3 copies of Tree Preservatbn Plan if lol platted after 711193
Rim Jo'st Detail Options selecGan shcet (bu0dings vrith 3 orless units)
Date d 5 Gke ef)\,Xj o 0 Construction Cost ? ? . 0,7)' (fo
Site Address 3 C,/ 7F ???? ? • UnitlSte #
t?e Jy0/?t • ?i.C3 ?-rdm fSrL
bUl f ??? -?`
}1??-?? @? -
s?g<?
Description of Work ?
`
Multi-Family Bldg ?Y _ N Fireplace(s) c,-K _ 1 _ 2
P
t
O
J 6one # (9SL ) 57Z "
< «" "` el? "`0"4ele
wner
roper
y p
Contrector 5 ?SSpN
p .?'n^'f -/ -?
Address ??7? n
/5lJs? LISke- 'a-0 City . C
State mA, Zip S,!?VTc( Telephone #(* )?,'i 3??5 SY
COMPLETE TFIIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category . Residential Venfilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 roved plan in the case of work which; reqc?ires; a-review'and
approval of plans. ?' ' ?
rL4 ,?I?'y1 ? bPR ? 9 2005
??'
Applicant's Printe Name Applicant' ignatureI --?
?
1
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex A, 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_vor _N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior O 44
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ;tC 45
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46
? 34 Replacement 'Demolitlon (Entlre Bldg) - G ive PCA handout to applicant
Valuation Occupancy [.f . MCES System _
Census Code Zoning City Water _
SAC Units Stories Booster Pump _
# of Units Sq. Ft. PRV _
# of Bldgs Length Fire Sprinklered _
Type of Const v ? Width
Y Footings (new bldg)
Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
? 30 Accessory Bldg
? 37 Ext. Alt- Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
REQUIRED INSPECTIONS
Final/C.O.
Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Smcco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: _T'?.. , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
y
w,0490
3`f 78' ble?eti. ?L&O C'U?,(+ .
?
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F?
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?h/L.?e i rA ?1-aAa??-
TY
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Cf4?WuCD &J'JA 5"4`-
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,
RESIDENTIALBUILDING
.. ' • Permit Application
Clty Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construction Reauiremenls
3 regislered site surveys shaxing sq. ft of lot sq. N. of house, and all roofed areas
(20% manimum kt mverege allowed)
2 capies ot plan showing beam & window sizes; poured fourd design, etc.
1 set o( Energy CalculaGons
3 copies of Tree Preservafion Plan i( lot plaUed after 711193
Rim Joisl Detail OpGons selection sheet (bldgs wiN 3 or leu uni6
Remodel+Reoair ReauiremenLs
2 copies at plan
1 set of Energy Calwlatlons for heated additians
1 site survey for additions & dedcs
Add'N'on - indicate ilon-sife seAfic system
a,
"I ), 5 °? 3 . ---)- y
Offwe Use OnIY
_ Cert of Survey Reoi
_ Tree Pres Plan Recd
_Tree Pres NotReqd
_ On-sile Septic System
Date Construction Cost S`?
/?
SiteAddress ?O/ePti wOcy9 C G7ij4" 50 UniUSte #
Description of Work
Multi-Family Bldg '?<Y _ N
Fireplace(s) _ 0_ 1 _ .??se t-?4.•,? ?5
2
Property Owner 4A"4 MI^-'r aSS.Cf2 h-,- Telephone #(?? ) FZ Z- SS 7?
600F59y
Z
Contractor .
Address 6?5tA t-GJLt p-o City E ?J) r-^-?
State M?ktveS dl/1- Zip S??135 Telephone #(/`?2 ) Sz z- SS 7
-- ??
THIS AREA ONLY IF
- Minnesota Rules 7670 Catecorv 1
Energy Code CategOry . Residential Vendlation Category 1 Worksheet
(J submission lype) Submitted
• Energy Envelope Calculations Submilted
Licensed Plumber
Mechanical Contractor
Sewer/Water Coniractor
Telephone #(
LDI
Code Worksheet
L ,I I
k f E Ei 2003 'U
I hereby apply for a Residential Building Permit and acknowledge that the informati s comp and accu ate;
that the work will be in conformance with the ordinances and codes of the City oF -and-
Statutes; 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 itkrthe'approved-plan in the case of work which requires a review and
approval of plans. ? , ?`_1„ ) j -,"
1 R. - fl tvl w.
ApplicanYs Printed Name
Telephone #(
Telephone # (
'N?_
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
O, 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of [?plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex p 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo)
? 05 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex plbg_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
Valuation ? Ol?U
Census Code ?
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const vA/
„'.
,
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Int Improvement ? 38 Demolish (Interior) p 44 Siding
Move Bldg. ? 42 Demolish (Foundation) X 45 Fire Repair
Demoiish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applieant
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
_ Footings (new bldg)
_ Footings(deck)
_ Footings (addition)
Foundaaon
Drain Tile
_X Roof _ Ice & Water _ Final
Framing
Fireplace _ R.I. Air Test Final
7y Insulation
MC/ES System
City W ater
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
FinaUC.O.
? FinaVNo C.O.
Plum6ing
' HVAC
? Other ? f7n em?,.(?_? ? Y
_ Pool ' Ftgs Air/Gas Tests _ Final
Siding Stucco Stone
? Windows (new p acement
_ Retaining Wall Approved By Tz , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
----
D7
_ oO?L?'1(?
( (7 ?-? 1,(!?.?-?`l'S
? Z/ ° ? ??u ?1?t/. ? ?vU?Q ?? ???
I 511i
?? 0-0v
SURREY HEIGHTS 1ST 73000
, '.
PERNIIT
DATE &
7'YPF, i.nT Bj, Ai1nRF,Cfi
PAGE 1 OF 2
5i72 4-PLEX 010 02 1543/ GREENWOOD CT N
020 02 1539/
030 02 1541/
040 02 1545
5i72 a-rLEx 010 03 1537/ GREENWOOD CT N
040 03 1535/
050 03 1531/
060 03 GARAGE
070 03 GARAGE
080 03 1533
snz 4-PLEX 020 04 1527/ GREENWOOD CT N
040 04 1523/
060 04 1525/
080 04 1529
5n2 4-PLEX 010 06 3466/ GREENWOOD CT S
020 06 3462/
030 06 3464/
040 06 3468
snz 4PLEX 040 07 3476/ GREENWOOD CT S
050 07 3472/
070 07 3474/
nQn m 2a7n
' snz a-Pt,sx 010 09 3482/ GREENWOOD CT S
020 09 3484/
030 09 3480/
040 09 3478
5n2 a-r[.ax 050 10 3490/ GREENWOOD CT S
060 10 3486/
070 10 3488/
080 10 3492
36
CITY USE ONLY
LOT I BL ? PERMIT k:
SUBD.f)LICYPa4 1 IIPnabNYS RECEIPT It: I3q? s?
J ? RECEIPTDATE: -7-
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PZLOT FQN0B RD
? EAGAN IRd 55122
1 651-681-4675
Date• I
Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
constrvction and not owner/occuoied.
• HVAC: 0.100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
.50
$
Complete this section onlv if you aze remodeline, adding to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New )?Alteration _ Repair _ Other
_ Fumace 4 Air conditioning
Air exchanger _ Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Reminder: Call for inspections
' ?
SI7
E ADDRESS:
OWNERNAME: Ccinni-Q PHONE k:
AREA C DE
INSTALLERNAME: (
)
PHONE#:
(AREA CODE)
STREET ADDRESS:
CITY:
, i. ..
CITY USE ONLY 2 G?
L ? BL ? ? RECEIPT #:
SUBD. RECEIPT DATE: v' 7
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwallings
? townhomes and condos when permits are requir ed for each unit
? backflow preventer for underground sprinkler system
-----------------°---------------------------------
FIXTURES ---------------
EACH ---------_
#
TOTAL
Shawer 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry -ray 3.00 x =
3.00 x =
ef Heater 3.00 x =
Floor ram 3.00 x =
G2s Piping OUtlet ' minimum - t 3.00 x =
Rough Openings 1.50 x =
Water Softener `for dwellings under construdion 5.00 x =
Water Softener `forexisting dwelling 20.00 x =
U.G. Spfinkler ' for dwelling under const. 3.00 =
U.G. Sprinklet ' for existing dwelling 20.00 = ?
AlterdilOnS ' to existing residenca 20.00
Water Turn Around 20.00 =.
Private Disposal System ` MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal System5'abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE 0
5
5
d
?v
TOTAL
- ---- --- ----
I hereby acknowledge that I have read this application, state thet the inforrnation is correct, and agree to comply with ell spplicable City of Eagan ordinances.
It is the applicanYs responsibility to notdy the property owner that the City of Eagan assumes no Iiabiliry for any damages caused by the City during its
normal operational and maintenance activities to the hacilities construded under this permit within Ciry properry/right-of-wayleasement.
SITEADDRESS: CT S
OWNERNAME: 11/'7 WAn1GGU,''IMOcJ PHONE#: y?c-? ??c 3
iNSTALLERNAME: GuMMow PHONE#: STREET ADDRESS: SA''*= AS ADo?E
CITY: C? A V Fl^J STATE: Aj Z1P: SS/ a 1
SIG RE OF PERMITTEE
JS/FORMS BLDlMECH PERMIT (RES) • 1998
, . ?IA nkL?'
' EAGAN TOWNSHIP
3795 Pi1ot Krtob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR S&7ER SERVICE CONNECTION
DATE: JUL;x JulY 2b? ,>r•- NUMBER 1066
Iq
L476OWNER•?rrey Heights Bldg. #4 Addresa`80-82-84 So. Greerswood Court
PLUMBER TYPE OF PIPE Heavy Cast Iron
DESCRIPTION OF BUITA ING
Industriail Commerciall Residential ` Multiple Dwelling I No, of units
Location of Connections:
X!C 1 4
Connection Charge$96?O j?
Permit Fee 10.00
.50 c
Street Repairs
Total
Inspected by:
Date
Remarks•
By
Chief Inspeceor
In consideration of the issue and delivery to me of the above pezmit, I
hereby agree to do the proposed work in accordance with the rules and
regulationa of Eagan Toc•inship, Dakota County, Minneaota
By
Please notify when readq for inepection and connection and before any portion
of the work is covered.
?
q-1
RAGtN tOKnob l
3795 Pilo Road
St. Paul, Minnesota 55111
Telephone 454-5242
PER44ET FOR WATER SERVICE CONNECTION
Date: July 28, 1972 Number: 904
Billing Name: Sux'z'ey Heights Bldg, 4 Site Address: 478;80-82-84 So, Greenwood Court
Owaer: Gustafson & Associates
Plumber:
Billing Addreas
LVl:tlL1Vll Vl UV11{ICl.L1V11 11C6CL ]14Q' vu??. ..r?rr ..u?.' - - - vpw,=
Meter No. Permit Fe 10000 P?? r?7a
y,
31+78 - 22136804 5325850
3480 - 22136805 5325851 Meter Readiag Meter Dep.
3482 - 22136806 s325852
Yes
r S
aled
M
t c?p272 00 S? by Consoli
4 ZMM Chg
t
3484 - 22136807 5325853 :
e
e
e
- . .
da
ed
7/28/72
NO 1bta1 Chg.
Inspected by
Date
Building is a: Remarks:
Residence
t3ultiple XX Ao. Units4
Commercial
Industrial
Other
$25.00 RE•INSPECTION FEE fOF.
IMPROPERLY iPlSTALLED METER,.
B9:
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regnlations of Bagan Towaship, Dakota County, Minnesota.
sy:
Please notify the above office when ready for inEpection and connection.
?
MASTER CARD
?2/ .?Y?'•/
/?C'j // 35? 9t?,, -3?
IOCATION /9! t ? T _
pqQ - Cq
STRUCTURf AND
/,7.,_3.(4b M
?-
Permit I I
No. ? Issued Issued To
Coniractor , Owner
BUILDING
PWMBING
CESSPOOL - SEPTIC TANK
V,'ELl
--=-
?-
ELECTRICAL •'
GAS STMLlIt3?G
SANITARV SEWER
OTHER I -
OTHER II I I
?
Items i
I Approved
(Initial)
Date
Remark5
Distance Frem Well
-_
-__- -
FGOTING
FOUNDATION 7;- SEPTIC
CESSPOOL
FRAMING ?? - "?• TILE FIEID FT
FINAL
ELECTRICAL I
HEATING
I
I DEPTH
OF WELI _
_
GAS INSTALIATION ?
SEPTIC TANK
CESSPOOI I
DRAINFIELD ?
PLUMBING
WELI /-7
I
_
SANITARY SEWER
Violations Noted
on Back
COMMENTS
PERMIT #
SI ?F 3 ?
? RECEIPTDATE:
l.. .
2002 RESID£N'flAL i'LUMBINfi PE#tMIT APPWCA'I10N
CI7'Y OP £AfiAN
S$SO PILOT KNOB RD
FAfiAN, MN 55122
651-6$1-4675
Please complete for:
SITE ADDRESS:
OWNER NAME: :
single family dwellings, townhomes and condos when permits are required for each unit,
6ackflow preventer for irrigation system
lt b'U .--? w
C?Sr? 7 Ott, / / /V S?S I ZZ
O? TELEPHONE#: ?S'/ ? b
(AREA CODE)
INSTALLERNAME: TELEPHONE#:
(AREA CODE)
STREET ADDRESS:
CIN:
STATE:
ZIP:
SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
RPZ: new installation/repairlrebuild =$ 30.
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge L .50
I $ U
rotal
?
I hereby acknowledge that I have read this application, statethatthe information is correct, and egreeto complywith ah'applipble City of Eagan ordinances. It
is the applicanPs responsibilityto notify the property owner that the City of Eagan assumes no Iiabllity for any damages caused by the City during its normal
operational and maintenance activities to the kcilities construded under this permit vithin City property/right-of-way/ease .
?-
SIGNATURE OF PERMITTEE 1102
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constructbn ReauhameMa
. 3 replstered si[s surveys showmg sq. tt. of bt, sq. fl. of house; end II rooled areas
(20% mvtlmum bt coverage albwed)
• 2 capias af plan showing beam & window sizes; poure0 found design, atc.)
. 1 set of Energy Celculatbns
• 3 copies of Tree PreseNatbn Plan'rf bt platled after 7l1/93
. Rhn Joist Oelail Optbns seleclion sheet (bklgs wAh 3 or less units)
DATE 0 S' 17 1'A22
Z-q. --I 1l;:'
RemotlaVReoeh BeaukemeMe
. 2 copies of plen
. 7 set of Energy Cakulatbns lor heated addilions\-O
. 1 srte suney for exterbr addRbns & decks
. Indicate tl home served by septk system tor additbns
?-1c7
VALUATION
SITE ADDRESS 3??0 (?"GOF'"'vv°( MULTI-FAMILY BLDG _Y ON
NPE O?F/ WORK a roo.. r-f 64-Oa/e42CJ?0'/ •IC .?P.Q.' FIREPLACE(S) 1_ 2
!'('"'"L t` `y" ?? ``" j "`Y ?' ? ?-f ?"°" •'?
6 /
APPLICANT ?KR S?/C? '?i ??.
STREET ADDRESS ?YdO ??h w o-o+? e'?/ CIN a-STATEMZIP SS` /n
TELEPHONE #`V 0"jPS CELL PHONE #e1I TQI A( PAX #
PROPERNOWNER
?
TELEPHONE #
----------------- --------------------------- ----------------- --------------- ---------°-----°-
COMPLETE THIS SECTION FOR ANEW11 RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7692
(J aubmission type) • Residential Ventilation Cetegory 1 Worksheet Submitted • New Energy Code Worksheal 5i omitted
• Eneryy Envelope Calculatlons Submitted
Piumbing Conhacfor:
Plumbing system includes:
Mechanical Conhactor:
Mechanicalsystem includes:
Sewer/Wafer Conhactor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
----------°----------------------------------------------------- ?
I hereby acknowledge that I have read this application, state that the information is c ee?e plY
with all applicable State of Minnesota Statutes and Cfty of Eagan Ordinances. ?
Signafure of Applicant
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
uPaacea aroz
OFFICE USE ONLY
0 01 Foundation 13 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AR- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Poroh/Addn. (4sea.) ? 33 Ext. Aft - SF
? 04 02-plex ? 10 D&plax ? 8 Deck ? 23 Poroh (screened) ? 36 Multi
? 05 03plex ? 11 10-plex 9 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex ?Plbg_Yor_ N `?' 25 Miscellaneous Gf'?""/f??ihiQ?.Q(fv?
/?
0 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)" ? 43 Reroof ? 46 Wlndows/Doors
O 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applican!
Valuation ?
Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs 1
T Length Fire Sprinklefed
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck)
? FinaVNo C.O.
_ Footings (addition) Plumbing
_ Foundation HVAC
_ Drain Tile 7 Other
Roof Ice & Water Final Pool Ftgs
Air/Gas Tests Final
? }•raming _ _
Siding Stucw Stone _
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Tlr Insulation _ Re}Ajna
?O Wall
Approved By T?2, , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S8W Permit & Suroharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Cop,es
Other
Total
(S3g?S
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Pleasc complete for. Single Family Dweilings
Townhomes and Condos when permits are required for each unit
,3-o 'A
Date ? / y? 1 03_
Site Address a?AR 0 -? .n k)nn.l Cp . 1-' ? . Unit #
Property Owner Telephone # ( )
Contractor \ 1 Z '
Street Address 1L{ q??A lsc.r 1?? CitY cN.; ru -
State CY1{-?t Zip SSt?Iclq Telephone# ('??j) 1 Rj- 4S?l5
The Applicant is _ Owner X Contracror _ Other
Add-on, modificaGon or alteration to existing dwelling unit $ 30.00
_ furnace replacement
_ airexchanger
?
? ?
2003 ?
X airconditioner t`
'
? other
C'J1?? o?!l.Yhasc.? • , -' - -- -- - ._?_
State Surc6arge $ .50
T
l $
ota
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pemut, but only an application for a perntit, and work is not to start without a pe t the work will be in accordance with the
approvedykg" the case of wo which requires review and approval of plans. '
ApplicanYs Printed ?ame Applica`nt's Sigtatu
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 4 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
t5D' SD
vate 0a,_
Site Address ??t-1 Ah ? ,.i ,na C,vi ?- V Unit #
Property Owner Telephone # ( )
Contractor
Address \ N 1 1 °I ?1 a 1-.cu.? l,?r City
State Mt") Zip SS4N9 Telephone# ('11,;3)
1a?- k4/5
The Applicant is _ Owner ? Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ - 100.00
InGudes County fee. Additional consultant fees may appty.
i ,
'
M P;
?? I{
i
Alterations To Existing Dwelling Unit, Including
1? ?I -
$ 5
_ Adding fiutures to lower levels or room additions, excluding water softener and water hea(er? ?
1
_ Abandonment of septic system '8y-
"
'.---
Water turnaround (+ 5/8
meter ?f needed -$121 :00)
? Other: ? d )
r'
6kAtm )
da ma?
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
$ .50
State Surcharge
T
t
l $ ?
o
a
I hereby apply for a Residential Plumbing Permit and aclatowledge that the information is comple[e and accurate; mat [he worx ww
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to star[ without a per '; that the w r.k ivill be in accordance with the
approved plan in the case of work which requues a review and approval of plans
C?r
ApplicanYs Print d Name Applicant's Sa e
PLiJMBING (RESIDENTIAL)
Permit Application
City Of Eagau
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are requued for each unit
Date
SiteAddress ?fZ? 1?/-j?et°/?%(?/9DGY ? S Uuit#
Property Owner Telephone #
Contractor ?
?
,
Address City
'e
-
State Zip ?tj3?- Telephone #(pj???- X H!f V L??
The Applicant is _ Owner X Contractor _ Other
Septic System New _ Refurbish2d Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter if needed -$121.00)
Other.
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
? Water softener _ Water heater $ 15.00
? replacement _ additional
5 r
?
DEC 12 20 3 .50
StateSurcharge
Total By ?-- -$-
I hereby apply for a Residential Plumbing Pernut and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pemrit, but only an application for a pemut, and work is not to start without a permit; that the work will be in acwrdance with the
approvS4 plan in the case of work wlilch requires a review and approval of plans.1 , n n I
ApplicanYs Pridted Name Applicant's S
RESIDENTIAL MECHANICAL S O ?
(.(,/ ? ?Sb Permit Application ?
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings & Townhomes and Condos when pemuts are required for each unit
Date Qa/ 16 / G 3
Site Address S?W?. CA- Unit #
^ G-- -? I'?ti1 66lZ2-t-330
Property Owner 'b(z N `0r, Telephone # ( (o5'() 22_2 -.3 yZ C-
ContrBCror 1
%?
7 L ? ?? ?J?h S"li' W Cit
o(p
Street Address y
State I 1 V v Zipc. 5U'01 SS Telephone# (?oSO 32_2-Pi?2-4
Bond #: Expires:
The Applicant is _ Owner X Contractor _ Other
Add-on, modification or alteratiou to existing dwelling unit $ 30.00
? furnace replacement
_ air exchanger
i
diti
cement
N
R
l
rcon
oner
a ew
ep
a
_
other
r? n MR
State Surcharge g[p 2 3 2003 $ 50
Total
I hereby apply for a Residential Mechanical Pernut and acknowledge that the inFormation is complete and accurate; that the work will
be in conformance witb the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
peraut, 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 plau in the case of work which requires a review and approval of plans.
(V \" t tv-, 41?? C'ti L` a t?. ?9--?YY?H
Applicant's Printed Name ApplicanYs Signature
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
6,4 Telephone # 651-675-5675
Plcase complete for: single family dwellings & townhomes/condos when permits are requued for each unit
Date Oq / 0 L
Site Address C} JPaAm 1?d0 ? ?k E?C? C-r\ Unit #
Property Owner ?dC\rC? Telep6one # ( 3y Z?
?
Contractor v??%,'s"
-21
r"
? Ci
StreetAddress
o
II Ty
State rr*) Zip _S,506b Telephone# (COS( ) 3Z7--892 Y
Bond #: Eapires:
T6e Applicant is _ Owner YContractor _ Othei
Add-on or alteration to ezisNng dwelling unit $ 30.00
fumace _Additional _Replacement
air exchanger
?R
l
t
i
diti
N
2?
ew
ep
acemen
a
rcon
oner _
.
other
State Surc6arge $ .50
MAY
l v
l
LL
To[a -
_
ey
I hereby apply for a Residential Mechanical Permit and acknowledge that
be in conformance with the ordinances and codes of the City of Eagan ar
pemvt, ut only an applicarion for a permit, and work is not to start wit
ap ro d plan in the caoyk whic]} re uu s a review and approval o
?Y1 f`?;P_ 1('(1
ation is complete and accurate; that the work will
Mechanical Codes; that I understand this is not a
nit: that the werk will be in acgordance with the
.ApplicanYs Printed Name' Applicant's
? ? ? ,?,-I-
2oos RESIDENTIAL PLUMBING PeRnniT aPPUCaTtoN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dweliings.
4>1s .s0
042306
1
Date
Site Street Address SKRIPNIKOV, SVETLANA
U?It #
. 3480 GREENWOOD COURT MOR#}
' EAGAN, MN 55122 S
(612)716-9106
Property Owner Telephone # ( )
Contractor Ndr bl oyn I`'U.mb( nQ Telephone #((nIZ) g2'7'1-10' '?L
Address ZqDS Cjar-fjjd f+v. 5p. cicy YYtDts StateM ? Zipl?-940g
/
Contractor _Other
The Applicant is: _ Owner V
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license includes County fee
$ 100.00
Per as-buiit ' $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener andlor water
heater at the same time. !f you are /nstalling on! a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are instafiing.
_Septic System Abandonment MAY O 2 700S
_Water Turnaround (add $130.00 if a 5I8" meter is required)
Other:
/Water Heater
Water Softener $ 15.00
/
_ new 1! replacement
Lawn Irrigation _RPZ _P48 _new _repair _rebuild $ 30.00
State Surcharge $ 50
? 5 50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information Is compiete ana accurete; mat tne
work will be in conformance with the ordinances and codes of the City' o# Eagan and the plumbing codes; that I
understand this is not a permit, hut only an application for a permit, work,is not start ithout a permit and work will be in
accordance with the approved plan in the event a plan is required be r view and proved.
Applicant's Prin d Name Appli Ys Signature
i
Aug 1 2012 12:36PM Sela Accounting No 1661 P. 4
Use BLUE or BLACK Ink
For office Wey
j Permit*:
City of Eak-an I
I Permit Fee: C l I
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: j
I
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff.
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I /12- Site Address: 99 79, N90, 3N$L, 348y 6rcen tA.)bb C+. S UnIt#s
Name: 5-uwYr J~-iakci45 u..tir,~kowye (U0 G Phone;
RESIDENT/ (Y)\N ~
OWNER Address/ Cfty/Zip: V
Applicant is: Owner Contractor
TYPE OF WORK Description of work: rN rb()
Construction Cost: ~ vU Multi-Famlly Bulldling: (Yes / No
Company: G c' cI _ 2C,U -~7 n t; k &_,m a-c-1 t ~q Contact: 1`Ct r-~ i~
Address: L1 tCU 6xc0 st o r G w I City: 5t Lot,ll5 Pa r(<_
CONTRACTOR
State: ~M\ zip: 5 5111 l> phone: LI L
License __CL9 )_Q) 0 5 0 Lead Certificate AIA r c>Z 5 U 3 t.r -
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 4e hours
before you Intend to dig to receive locates of underground utllltles. www.gooherstaleonecall.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
Sagan: that I understand We 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 ofwork 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 he completed within 180
days of permit Issuance.
\ G1_9-
x ~ r h G t r Al_\ 'e- r x U1~l,v`
Applicant's printed Name Applicant's Signature
Page 1of3