3767 Grey Dove LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3767 Grey Dove Lane
Lot: 1 Block: 19 Addition: Town View 1st
PID:10- 77100 - 010 -19
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437 -0338
Quesetions regarding elec
952- 445 -2840
Larry Leacock
15966 Fennel Ct.
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Permit Type:
Permit Number:
Date Issued:
Permit Category:
cal permit requirements should be directed to Mark Anderson, State Elec
ME - Permit Fee (Replacements)
Surcharge -Fixed
- Applicant -
Owner:
James M Butler
3767 Grey Dove Lane
Eagan MN 55122
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA091463
10/06/2009
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
CITY OF EAGAN Remarks
Addition TOWNVI'LW '1'OWNHOUSES Lot 1 elk 19 Parcel 10 77100 010 19
owner-IEYlC1.Lc?laC.A an (,A4( n5street 3767 = r_ V Dove Tane State_ EaQanr MIId 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 1 SB 1975 141.08 14.11 10 ? A005692 3-14-78
STREET RESTOR,
GRADING
Street 14W 1986 200.75 20.07 10 A00. C-lO 3-z 9-.1 -b'S
SAN SEW TRUNK
* SEWER IATERAI 1-91 1973 1,429.03 476.34 8
WATERMA W `
* WATER LATERAL & St13b8 1973 3
* WATER AREA 1973 3
* STORM 5EW TRK 1973 3
* STORM SEW LAT 1973 3
CUFIB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 110.00 6072 7-10-72
BUILDING PER.
sac 240.00 6072 7-10-72
PARK
CITY OF Ed1GAN Femarks
Addition `I'OWNVIF41 'i'OWNHOUSE$ Lot 2 Blk 19 Parcel 10 77100 020 19
Owner'UnU"s'.? --5 reVY;'Q. Street 3777 f"-+r8y DOVe Lai1e State EaganR MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
71 ?,S`$
1975
141.08
14.11
10
7
?ND
r q`
STREET RESTOR.
GRADING
Street 1009 1986 200.75 20.07 10 0, 75 (1- 6?1 ?
SAN SEW TRUNK
SEWERLATERAL ? 1973 1,429.03 476.34 3 Paid
WATERMAIN
* WATER LATERAL & St11178 1973 3
* WATER AREA 1973 3
?k STORM SEW TRK 1973 3
* STORM SEW LAT 1973 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER COn?N. 110.00 6072 7-10-72
BUILDING PER.
sAC 240.00 6072 7-10-72
PARK
CITY OF EAGAN Remarks Addition '1'OH1NVIEW TOWNMUcuES Lot 3 Blk 19 Parcel 10 77100 030 19
Owner?'+?' V?If- r1 4z, Street 3773 Gr@y D OVC! L2tII@ State Ea4an. MN 55121
T,' n kcr
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ? SB 1975 141.08 14.11 10 Paid
STREET RESTOR.
GRADING
Street 1009 1986 200.75 20.07 10 aGb. 75 C?/ `3 /0-1-85
SAN SEW TRUNK
+t SEWER LATERAL ( 1973 1,429.83 476.34 3
WATERMAIN
* WATER LATERAL Se gtLlbB 1973 3
# WATER AREA 1973 3
* STORM SEW TRK 1973 3
* STORM SEW LAT 1973 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 110.00 6072 7-I0-72
8UILDING PER.
SAC
PARK
CITY OF EAGAN
Additi ? TOWNVZEW TOWNFX]USES Lot 4 Blk 19 Parcel 10 771 On nan 19
owner -F '< r" ;_ L,_f-I C 1 12 -Z street 3777 Grey Dove Lane State Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. j gg 1975 141.08 14.11 10 Pdld
STREET RESTOR.
GRADING
Street 1009 1986 200.75 20.07 10
SAN SEW TRUNK
* SEWERLATERAL i 1973 1,429.03 476.34 3 Paid
WATERMAIN
* WATER LATERAL & gtUbB 1973 3
* WATER AREA 1973 3
?t STORM SEW TRK 1973 3
STOfiM SEW LAT 1973 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 110.00 6072 7-10-72
BUILDING PER.
sac 240.00 6072 7-10-72
PARK
I
CITY QF EAGAN Remarks
Aaditior, T(]WNVrFw ,wi,tFtaUSF-q Loc 5 eik 19 Percel 10 77100 050 19
OwnerLtttt: R. WLiSS Street 37$1 Grev D ove Lane state Ea9an, MJ 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. all SB 1975 141.08 14.11 10 Paid
STREET RESTOR.
GRADING
Street 1009 1986 200.75 20.07 IO
5AM 5EW TRUNK
* SEWER LATERAL ?J 1973 1,429. 03 476.34 3
WATERMAI N
* WATER LATERAL & StLlbB 1973 3
* WATER AREA 1973 3
* STORM SEW TRK 1973 3
* STORM SEW LAT 1973 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 110.00 6072 7-10-72
BUILDING PER.
SAC 940-00 6079 7-10-79
PARK
CITY OF EAGAN Remarks
Addition 'I'O'1NVIEW 'POWN HOUSES Lot 6 Blk 19 Parcel ] 0 777 nA Q6Q 19
Owner j};< 4 t? i'.- •-%Street 3785 Grey Dove Lane State Eagan• MN 55121
fY) u I/ C_u
Improvement te Amount Annual Years Payment Receipt Date
STREET SURF. 4 SH 1975 141. 08 14.11 ZO Paid
STREET RESTOR.
GRADING
Street ACMO? 1986 200.75 20.07 10 pp. ,:5r -1035/ /o-3 - 5
SAN SEW TRUNK
• SEWERLATERAL q 1973 1,429.03 476.34 3 Paid
WATERMAIN
* WATER LATERAL & 8ti3Y)$ 1973 3
• WATER AREA 1973 3
? STORM SEW TRK 1973 3
+k STORM SEW LAT 1973 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CdNN. 110.00 6072 7-10-72
BUILDING PER.
SAC 240.00 6072 7-10-72
PARK
INSPECTION RECURD
Control No.
0326
r CITY OF EAGAN PERMIT TYPE: eurLaiNa
' 3830 Pilot Knob Road Permit Number: •?i 36?1 -` Eagan, Minnesota 55123 Date Issued: 04/26/97
.1
' (612) 681-4675 ? SITE ADDRESS: 9I, flcK_ 19 APPLICANT:
j 3761 AREY DOVE LJ1NE HAUSE tON9T IMC, J e
? TOWM VIEW 1ST
, (612) 439-0189
TYPE OF WORK: REPAIR
I _ .t , , s'r •'.-?: ?'? . ?? _. _ _..?r . T _ .. _ ._ ._ ?
` RFNARK9t KE-RtiOFIN6
! IHCLl1DE3 3171. :1173, 3771. 3181. t 3785 QRL?Y !)OVE LilNIK
Permn No. P.rmn Kower nsc. rei.phone r
SJw
PLUMBING
HVAC
EL.EGTRIC
ELECTRIC
mepecUort oata Msp. commants
FooNga I
Foundetion
Ftamir?g
Rooflng i
SIf 2
Rough Plhg.
Raugh Htg. -
Isut.
FlreplaCe
aral rne.
OrBat Test
Flnal Pbg. P1bg. lnspectOl - NofitY PIum68r
Const. Meter
EngrAlon
Bidp. Rnel
Dedc Ftg.
Deck F(nel
Well
Pr. Dlsp.
INSPECTION RECORD 7ontrol No. 0332
CITY OF EAGAN PERMlT TYPE:
3830 Pilot Knob Raad Permit Number.
Eagan, Minnesota 55123 Date Issued: •? "?ry ??? 4
(612) 681-4675
SITE ADDRESS: !tiZ x 6 H t. r)q. r, 14 APPUCANT:
3766 GREY nOvE tAME MULVEY ?ROkNK
tOilM VIE4! (512) 454--8078
.
PE"IT PS9.BFTYP?: N -
TYPE OF 1NORK: AtteRAr[nN
INSPECTION
I .. . ..
1NKWLAl I+30 FINA1.
F i1?Ff'1 AE°t-
' 10-llAttt;Sc 144.4 ll'i iF
;.kF'ARAti' 1'F.RN1Ts ItEQ01.011' 0 !`Olt t i.LC f. PIHti
_ ? ? a; _ •.t -
.
Permit No. Permtt Holder Dste Telephane
S/W
PLUMBING
HVAC
ELECTRIC
?
ELECTRIC
Inapwtion Date Insp. CommeMs
Footings I
Foundation
Framing ? p
Roofing ?
Rough Plbg.
T
Rough Htg. /
r
[sul.
FireplaCe
Final Htg.
Orsat Test
Final PIb9. Plbg. lnspector - Notity Plumher
Carsst. A4eter
EngrJPlan
Bldg. Finel ,
Dedc Ftg.
Deck Fnal
Well '
Pr. Disp.
?51 /a- ra- /Urooi?
42 37
Feques? Oate Flre No Roug -m Inspecbon
?
G Ready Now KW iil Nofily Inspecior
Wnen Featl
?
Yes ? N. y
ID licensed contractor ? owner hereby request inspection of above electrical work at:
Jab Htltlress (9bcet Box or Raute No )
640Y Ddv? L/u Qty
,Ff?A!''
SecM1on No Township Name or N. Range No Coun[y
Occupanl(PqINT)
F A?Nk t/u. ? x Phone No
- S?
70
Power Supplier Atldress
a J' tl o a p:fA , ,u?roN
Eiecmoai Comracror Comoany Nama7 IC V aoror§ Lioense No.
s.7 ,?..E'cc7,?C0 ?/A/G. ?.. U(- l
Mailing Atltlress (COntrac[or or Owner Makmg Installanan)
NuNOrixgtl S Nre IConlractodOwner Making stallation" 1
.N?--? Lir/.[?h T/^ LAHK. 1 Phone Number
I???"' 9Y7 2?
?
MINNESOTA STATE 60AHD OF ELECTRIpTY THIS INSPECTION REOUEST WILL NOT
Griggs-MlOwey Bltlg. - Foom 5473 6E AGCEPTEO BY THE STATE 90AFD
1821 Univereity Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 862-0800 ENCLOSEO
??? REQUEST FOR ELECTRICAL INSPECTION xt?="-?„ EB-000O1OB
? 42637 ? See mstmcimns br campieting mis torm on back of yellaw capy ?
' 'X" Be/ow Work Covered by This Request
e Add P.ep. - ?ypeoi8mldmg AppliancesWrred EqwpmeniWrted
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Bwltling Dryer Other (Specify)
Comm./Indusirial Fumace
Farm Air Conditioner
Other (syecity) Contractor's Femarks. .
Cav(/"v/.vA. G,QeAr?,s?
Compufe Inspection Fee Below: /all1O ?
8 Other Fee # ServiceEntranceSrze Fee # Crtcuits/Feeders Fea
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 10 _ Amps
Slgns InspeclorS use Only TOTAL sM
Irngation Booms /? ' d
. Special Inspection
niarmiCommunicaUOn THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
• Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certif that the aDOVe ins ection has
Y P
been made. Rough-in
.
Final
7L
Date
OFFICE USE ONLV
TNS request void 18 moMns hom
/d 771U0 DloO /'/
T- I/rF_it/ / Sf/i
TOWN OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT IdO. 912
The Board of Supervisors hereby grants to RW N. Welter Heatllig Co.
of _4367 Chica,ga Aveme MmeaP.4Ln.55LO7
a HEATING Permit fox: (Owner) ASETRAM
at 3767-71-73-77-814? (}rey Dove Larie , pursuant to application dated
6/9/72 -
Fee Paid: $120.00 Dated this 13th day of J7uie
. s c
, 197? .
Building Inspector
S
io ?;voo o&o iy
.T, v,C w / sii
YILLAGE OF EAGAN
3795 Pilot Knob 12oad
Eagan, NLinnesota 55122
PERMIT NO.: 987
The Village o£ Eagan hereby grants to rm„elidntgd 93lu"bl"o Re_
o£ t K00 cli!Y' Rnad- 8&MnL73o M 55997
a_4L.Ln+UjTNB Permit for: (Owner) ToWew
3768-72-74_78-80-84-86-90, & 3767e71-73-77- 1 0rey Dave Lane and?
at;77a_7A.Zg-gn.Aq.R6 raa R in XyWant to app ication dated 14 Yl 314?Ll_.
Fee Paid: dated this d o£ 1
?'i1y00 OQ 1?th $Y xnv?.nha,• ? 922-_.
10.00 8/C
Building Inspector
iliechanical Permits:
Lid Total:
?9
I
a?o ?9
io 77i00
T.
YILI,AGE OF EAGAN
3795 Pilot Knob Road
Eagan, Mixmesota 55122
PERMIT NO.: 987
The 4illage o£ Eagan hereby grants to rnn„o3ida .ad PlUnbjng (!e_
of _1500 ist RDeA. Burnavil7a MIQ 49397
a _PIdAffiLW Permit for: (Owner) 1pwrnview
3768-72-74_78-80-84-86-90, & 370e71-73-77- 1- 5 Grey Dwe Lane aad
at;7U_7A_TR,&)_8 _g6 r•ad Rnbi t4Want to application dated iiMle?e_.
Fee Paid: 4400.QU_ dated this 13th day of Nnvamhwr >1922-.
70.00 s/c
Building Inspector ?
iviachanical Pexmits:
Lia rotal:
,v
/6 »/0 o 0/6 /y
Tv?ezt) isiir
TOWN OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT IdO, 912
The Soard of Supervisors hereby grants to Ray N. We].ter Heating Co.
of 4367 cucaa9_AvemL¢o P4l.naeaRo].?-8 5?1-:07
a HEATING Permit for: (Owner) M&TRA4S
at 270-71-73..77-81-85 arety Dwe Larie , pursuant to application dated
bi9n2
Fee Paid: $120.00 Dated this 13th day of Jtu?e
. ec
1972 .
Building Inspector
5
.
FARMERS AND MECHANICS
SAVINGS BANK OF MINNEAPOIJS
Sivih and Marquatte.Minneapolia.Minnesota 55402
Eagan Township Date: January 29, 1973
3795 Pilot Knob Road Re: Loan No. 116706
Eagan, Minnesota 55122 Frank L. Mulvey
3785 Grey Dove Lane
4 Jys"-
Gentlemen:
Enclosed is our draft for $955.69, payable to your order, as payment
in full for special assessments on the following described property:
Lot 6, Block 19, Town View First Addition, in DAKOTA County, Minnesota.
Please send us your receipt for payment, using the self-addressed,
stamped envelope.
Sincerely,
C f
` MOETGAGE CLOSING IV ON c?
Encl.
6-716
I
! •;
.,-z ..
EAGAN TOWNSHIP
=1¦1101•7rZ[????[lui
Owns: ..-. ?..-------•------....... ......
Address (Precenl) u----.:? .......
Builder ..........
Addreu ........
N° 2567
Eagan Township
Town Hell
aate ...1._°.2Yl?1 .......................
Storiea To Be Used Fos Fson! Deplh Haigh! Eel. Cos! Permi! Fae Remarks
'? 3r j?+^.•t
?•_-;z.._. .?./ / Y3n,
A 9?' ?? -?
S/t. v /i e-
Tbis permit daes not aufLorise the d5e oi stxsels, raads, alleps or a"de'v6lks noi does iY giva the owner or his agen!
!ha righ2 !o ereaie anp sifuafion which is a nuisance os which presenis a hazard !o the heallh, safelp, coavenienea and
ganeral welfare fo enpons in the eommunily.
THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGRESS.)l ''
Thfs is !o cerfify, tha!................................................................ has Parmiasion Yo exeei a....?.?---•?'-;y.+?:..^?_T?:t4.:?.!r/.°..^.:: pon
the above descsibed premise subjec! !o the provitioni of the Building Ordinanee for Eagan Tljwaship adopied April 11.
1958.
.....'_"-........_...._. ...._?.:... .... ............... Per .-"---......---.._:V"°-x: `..._.....!l..?w?
- - .....-"........................
, ? Chairman of Tnwn Board ? Auildiny Inapsotor
?? .
??- '7 ?7???
n 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruc6on ReauiremenGs
3 registered sde surveys shaxing sq k. of lot, sq ft of house; and 211 roofed areas 2 copies of plan showing footings, beams, joists
(20% mazimumlotcoverageallowed) 1 set of Energy Galculalions for heated additions
2 copies of plan showing beam & window sizes; poured tound design, etc 1 site survey for additions & decks
1 set of Energy Calculahons Addition - mtlicafe d on-site saptic system
3 copies of Tree Preservation Plan if lot platted after 717193
Rim Joist Detail Ophons selection sheet (6uildings with 3 or less unils)
Minnegasco mcchanical vcntilalion lonn
•
Date ? / I ?
Site Address ?? Z.Q? C--i r?u DUV2.
3 ?
Construction Cost `r?, , ('7O(? ?,
L Unit/Ste #
N -
Description of Work _??'? r??? (1? a /l(?? 1(?P ?(? Y' }? •
Multi-Family Bldg ? Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ? YU1(?1 ' 7J? l)V 0 ? Telephone # (?(O? °)1
Con[ractor
Address
State m 1 t ?? (Q?
Zip ?j?0 City ?Q?M , n?C7^
0 ! • i
TelepLone ?1((l?5? y(QC) ?(? I
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv I
• Residential Ventilation Category 1 Worksheet
(d submission type) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In ihe last 12 monihs, has the Ci1y of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
Gertof SurveyRecd,-' Y?? N
Trce Pres Plen Recd ?-_ Y y N
Tree ?'res Required ? Y N
On-site Sepifn System°'' N
I hcreby 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 wark 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.
1N'eo ?- QQ? •
Applicant's Prmted Name Applicant's S' nature
RemodeVReoair Reauiremen5 O fA se U s e 6n l q
,j ao2-
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
-4/s.sa
Date w/* / 4/_ / ? .?
Site Street Address Unit #
0:-??- ot D 7- 'f 96/
Property Owner ? Telephone #
Contractor k4T? Telephone # (9? )99Y -E3L?
Address /_-;?C'i[I.P? Z,;P City, j/.1R1,S/I/L Zv State_2?,7j;_ Zip, ?"'C
The Applicant is: _ Owner Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water he? r--complete next
section if installing these appliances). !, ,
? Ia ln
_Septic System Abandonment
_ Water Turnaround (add $125.00 if a 5/8" meter is required)
.
Other:
_
'??Water Softener _ Water Heater $ 15.00
_ new -lk replacement
Lawn Irri9ation -RPZ -PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is re ired to be reviewed and approved..
a
Applicant's Printed Name A plicant's na re
&GDSq Akhi 74,.od
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConshuctionReaurcemenLS RemodeVReoairReauiremenis ? ;'s?-?
? $,-1`.?..,_ _..... u.
_Y.t=._ N
3 registered site surveys showing sq. ft o( lot, sq. tl of house; and all roofed areas 2 wp?es of plan Ce? uNey?,'"
(20%mazimum bt cover?7e allowed) 1 aet of Energy Calculations for heated addlions Wre?"rSY?ish„62?e??'R
2 co ies of pWn showin beam 8 windax sizes; P ? oured found des n, etc. t site surve for edditions & decks
t setof Energy Cakulatlons Add'dion -irMkate tlon-site septic system
3 capies of Tree P2serv h'o after 711/93
Rim Joist D ons selection sheet (bl ' 3 or less unBs
t
i
C
9?e 90
Date os
Construct
on
'
iUSt
#
Lb? U
r DDU
ite Address
------------- n
e
4=-
Description of Work i Q(?,Q I? .Ci? P??41 o
Multi-Family Bldg _ Y_,A Fireplace(s) _ 0 2
O
P rj-t> Jur'J'--'h Telephone # (?? -5/xg
wner
roperty
QOA65?-'
Contractor c
Address ' YR) CitY p ?Q''(
#?r'J? V l JCJ`1"
T
l
h
'
State one
e
ep
p
' c ? 1364
n?lny
""' I U
COMPLETE THI9jkR&R-Q6G;zTNLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672
Enefgy Cod2 Category . Residentiai Ventilation Category t Worksheet • New Energy Code Worksheet
(J submission lype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a buiiding in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # (
N If so, 25% plan review
I hereby apply for a Residential Building Pertnit and aclrnowledge that the information is complete and accurate;
that the work will be in confortnance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pernut, 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.
.??d l?tl?l.-??5
ApplicanYs Printed Name ApplicanYs Signature
6-Ugg .?3o.so
MECHANICAL (RESIDENTIAL)
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complcte for. Singie Family Dwellings
Townhomes and Condos when permits aze required for each unit
49
Date
?` U 1 C
Add
Si Unit #
,
te
ress
Di" nQ
P
t
O hone # ( / )
T
l
roper
y
wner e
ep
Contractor Bumsville Heating & AlC, Inc.
12461 oesa .
,
Street Address Sa'1g8o+ MN 56378•1122
City
Zi
St
t hone # ( ??Z
Tele
p
a
e p
The Applicant is _ Owner ? Contractor _ Other
Add-on, modification or al[eration to existing dwelling unit $ 30.00
? furnace replacement
air exchanger
air conditioner
other
- - --'- ,.? I
StateSurcharge ? ?tr? •''.l'.?1?? ,. 5
50
?L---.-_ ----?
30"
Sa
Total $
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that t6e 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 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.
??u.ut A. 3WoE)S6? a .
ApplicanYs Printed Name icanYs Sign e
MASTER CAftD , I` 19
OWNER %oy?w???a/ C ,h,? ra? ?n
STRUCTURE AND
LAND USED AS Ttl Hse ? ? A ?•
Issued To
Permit No Issued Contracior Owner
BUILDING ?,T6 7
PLUMBING
z 8 ? -
CESSPOOL - SEPTIC TANK
WEII
ELECTRICAI •
HEATING
GAS INSTALLING
SANI7ARY SEWER ? I
OTHER I
OTHER I •
Approved
Items (Initial) Date Remarks Distante From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL I
DRAINFIELD
PLUMBING
WELL
SANI7ARY SEWER
sr
. . •
_ r /?•l/' ?
Violations Noted
on Back
COMMENTS
MASTER CARD
TION G?L* y,De ?e 3 72/
OWNER
STRUCTURE AND
LAND USED AS
Permit
No.
Issued
- -
Issued To
Coniractor Owner
BUILDING
S7
PLUMBING ?
?
CESSPOOL - $EPTIC TANK
VVELL
ELECTRICAL
HEATING 1310
GAS INSTALLING
SANITARY SEWER
OTHER
?
OTHER I
liems Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING ? SEPTIC
FOUNDATION ,?a CESSPOOL
FRAMING ?.
I TILE FIELD FT.
FINAL
ELECTRICAL
HEATING
GAS •INSTALIATION DEPTH
OF WELL
SEPTIC TANK I
CESSPOOL I
DRAINFlELD I
PLUMBING ?-- ?
WELL
SANITARY SEWER
?,//• ? 7/
Violations Noted
on 8atk
COMMENTS:
MASTER CARD
LOCATI ON
7.3 ?? - 111, j aL.utiJ 1&L,
. ?
OWNER
STRUCTURE AND ?? ?f1 ?f Y CA ?
LAND USED AS
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING ?
CESSPOOL - SEPTIC TANK
V'JEIL
ELECTRICAL
HEATING ?f I 2
#J
?
GAS INSTALLING
SANITARY SEWER
OTHER --
-
ar
I I
OTHER I I
Items Approved
(Initial)
Dafe
Remarks
Distante From Well
FGOTING 7 S--? SEPTIC
FOUNDATION F
7_ 23? Z? CESSPOOL
FRAMING TILE FIELD PT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK i
CESSPOOL
DRAINFIELD
PLUM8ING -•?-.? ?/ l' 3?'-7?'
WELL
SANITARY SEWER
Violations Nofed
on Back
COMMENTS
e
MASTER CARD
?F(,1
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Coniractor ? Owner
BUILDING
PLUMBING
?
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING ?
GAS INSTALLING
SANITARY SEWER ?
OTHER
OTHER I
Items Approved
(Initial)
Date
Remarks
Disfence From, Well
FOOTING SEPTIC
FOUNDATION 2, CESSPOOI
FRAMING ? TILE FIELD FT.
FINAL
ELECTRICAL
HEATWG , DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PWMBING -J
WELL
SANITARY SEWER
Violations Noted
on Batk
COMMENTS.
MA5TER CARD
aill"
5- Iq i o?vti,v???w
OWNER
STRUCTURE AND
LAND USED AS ?&Mh(j4:
Permit I
No.
Issued Issued To
Coniracfor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
Q ?7
- f•r_ I-
WELL
ELECTRICAL
HEATING ?
GAS INSTALLING
SANITARY SEWER I
OTHER I
OTHER I I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION ? Y3 CESSPOOL
FRAMING -Z? TILE FIELD FT.
FINAL
ELECTRICAL
HEATING
?i 'jy ;7 DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
{
SANITARY SEWER .' 00,
Violations Noted
on Back
COMMENTS
MASTER CARD `
r=,v I 4Q
OWNER
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Contractor Owner
BUILDING 6
PLUM8ING ?
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
2 ?
-f-?--
[
I
Items Approved
(Initial)
Date
Remarks
Disiance From Well
FOOTING y. Z,s• f SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GA$ INSTALLATION
SEPTIC TANK
CESSPOOL
DRAWFIELD
PLUMBING ^ J-7 ?
WEII
SANITARY SEWER •
Violations Noted
on 8ack
COMMENTS.
INSPECTION RECORD I Control No. 0332
CITYOF EAGAN PERMITTYPE: auiLoiNG
3830 Pilot Knob Road Permit Number: 000380
Eagan. M innesota 55123 Date Issued: 0 4/ 2 9/ 9 2
(612) 681-4675
SITEADDRESS: Lor: 6 sLoCK: 19 APPLICANT:
3785 GREY DOVE LANE MULVEY FRANK
TOWN VIEW (612) 454-8878
PERMIT SUBTYPE:
MULTI-FAM. T.H.
TYPE OF WORK:
AITERATION
INSPECTION
FOOTINQ .. .
FRAMING DA
INSULATION FINAL
FIREPLACE
REMARK3: RECEIPT q SEPARATE PERMITS REQUIRED POR ELEC & PLBG -_.
40 lzo?7
? -
CITY OF'EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
q
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
3785 GREY DOVE LANE
LOT: 6 BLOCK: 19
TOWN VIEW
BUILOING
000380
04/29/92
DESCRIPTION:
Bu"ilding Permit Type
8uilding Llo,rk Type
. 2oning ?
?
-
- t
?
REMARKS:
RECEIPT k co1Ca,iTOJ?/
C.0
?
MUITI-FAM. T.H.
ALTERATION
R-3 .
f
SEPARATE PERMITS REQUIRED FOR ELEC & PLBG
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$10,000
VALUATION
$117.00
$5.00
$122.00
CONTRACTOR:
?
OWNER: - Applicant -
MULVEY FRANK
3785 GREY DOVE IANE
EAGAN MN
(612)454-8878
I hereby acknowledge that I have read th3s applicatipn and state that the
3nformation is correct and agree to comply with all applicable State of Mn.
Statutee and City of Eagan ordinances.
APaPLC ?/PERMIT?ATURE
???? "
k-? ISSUED B-! SIGNATURE
Control No. 0332
PERMIT N .
,3 8 D
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
,tv? .? - Gxz?
-?/
APR 2 ?l R 7,kC4
ECp
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of epergy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date nz ril /27_ / 1992 Yaluation of work 98 000
Site Address: 3785 Grey Dove Lane, Eagan, hIIQ 55122 -
STREET sTE #
Tenant Name: F'rank & Pearl Mulvey
LOT 060 BLOCK 19 SUBD. 'MMLit3
U ? i.t.D. i' 77I00
Descri tion of work• Convert half of existing garage to living area.
The applicant is: ID Owner ? Contractor ? OtI1EP (Deseribe)
Name MulveY Frank & Pearl Phone 612 454-8878
Property LAST FIRST
Owner Address 3785 Grey Dove Lana
STREET ' $TE #
City Eag?, MN State MJ-nnesota jjP 55122
Company Phone
Contractor Address License # Exp.
City State ZiP
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City af
Eagan Ordinances.
Signature of Applicant: ?-
v• vr vVV VI\V?
BUILDING PERMIT TYPE
? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish
R. 02 SF Dwg. 13 06 Garage/Accessory ? 10 5wim Pool
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch
A 04 Multi-fam. T.H. . p OS Deck ? 12 Comn./Ind.
? 13 Public Fac.
0 14 Agricultural
? 15 Miscellaneous
.
WORK TYPE
? 31 New
? 32 Addition
1%33 Alterations
0 34 Repair
? 35 Tenant Flnish
? 36 Move
? 37 Demolish
O 99 Undefined
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC•System
(A1Towable) lst F1. sq. ft. City Water
UBC Occupancy R-3 2nd F1. sq. ft., PRV Required
Zoning 3q. Ft. total Booster Pump
#' of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code ?
APPROVALS
Planning Building ? s U-L`; jy Assessments
Engineering Variance
REQUIRED INSPECTIONS CONut?T PART GAI?46?E TU L/ VNVG SI0Ae,;;;
? Site 51 Footing IR Framing ?H Insulation
? Wallboard 19 Final ? Oraintile O Fireplace
Permit Fee OD vaiwc;a,: s r0 Or? J
Surcharge ,5.00 ?-
Plan Review
License
MWCC SAC l2 x22 =.26 ?l x(53 °/L)= 9? 6 g
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
IN5PECTION RECORD C°n ° "° 0326
CITY OF EAGAN PERMITTYPE: BuiLoiHG
3830 Pilot Knob Road Permit Number 800364
Eagan, M innesota 55123 Date Issued: 0 4/ 2 8/ 9 2
(612) 681-4675
SITEADDRESS: L07: i BLOCK: 19 APPLICANT:
3767 GREY DOVE LANE HAUSE CONST INC, J G
TOWN VIEW 1ST (612) 439-0189
PERMIT SUBTYPE:
MISCELLANEOUS
TYPE OF WORK:
REPAIR
REMARKS: RE-ROOFING
INCLUDES 3771, 3773, 3777, 3781, & 3785 GREY DOVE LANE
PERMIT
GITY`OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
3767 GREY DOVE LANE
10T: 1 BLOCK: 19
TOWN VIEW 1ST
DESCRIPTION:
euilding Permit Type
8uilding Work Type
U8C Occupancy.
A
Control No 0326
PERMITTYPE: euiLoiNG
Permit Number: 000364
Date Issued: 0 4/ 2 8/ 9 2
PIISCELLANEOUS
REPAIR
R-3
T?J
??. . ' ? ?/ ?_ iLf L??.?1?1? ?; ??t:.,.? .?
. ?. _. ?.,' ?.
REMARKS:
RE-ROOFING
INCLUDES 3771 3773 3777 3781 & 3785 GREY DOVE LANE
FEE SUMMARY:
Base Fee $90.00
Surcharge $.50
Total Fee $90.50
CONTRACTOR: - APPlicant - ST. LIC. OWNER:
HAUSE CON3T INC, J G 24390189 0005350 TOWN VIEW ASSOC
1034 EAGIE RIDGE CIR 1771 FLAMINGO DR
STILLWATER MN 55082 EAGAN PIN 55122
(612) 439-0189 (612)688-6247
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply wiCh all applicable State af Mn.
Statutes and City ofi Eagan Urdinances.
?
APPLICANTIPERMITEE SIGNATURE ?SU BSIGNA?UF ?
- - - ---- ? ?? a?
PERMP''t CITY OF EAGAN ?- 9
? ? 1992 BUILDING PERMIT APPUCATION
? 681-4675
SINGLE 3 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 5 structural plans, 1 set of .
specifications, 1 copy of eriergy calcs.
Penalty applies when typing of permit is requested, but not picked up by.last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date na / Q61 Valuation of work '
Site Address: 32 G7 .6a??'-
?STREET . 8TE !
Tenant Name:
Lor ?,_ eLaK ? sueo.TOWNVIEW 15T P.I.o. s
A'DD1 T t D
Descri tion of work: REQooF
The applicant is: ? Owner ?.Contractor ? Other (o..«ibe)
Phone ??? ?? a y1
G GC
T
.•
? V\ l.?t 1 i ? ?SI
Name
Property uST FIRST
Owner Address S`? ? I ?14M 1 tiran
STREET ' STE 1
State M ?Zip ?s I aa.
C
ity
Company? q?? SNGPhone L???1 ` b 11°1
COntr8Ct0r Address .?L4?- js!?? Rc ?cti4license Exp:?T
Ci ty ?wjsj?j? State Zi
Company Phone
ArchitecU
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber . Processing time for
sewer 8 water permits is two days once area has een approved.
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 City of
Eagan Ordinances.
Signature of Applicant: C?g
vrr?vt arac v1,16r
BUILDING PERMIT TYPE
0 Oi Foundation ? 05 Apt. Bldg 0 09 Basement Finish
O 02 SF Dwg. ? 06 6arage/Accessory O 10 Swim Pool
O 03 Two family ? 07 Fireplace 13 il Res. Add./Porch
0 04 Multi-fam. T.H. ? 08 Deck -'O 12 Comm./Ind.
WORK TYPE
O 31 New J934 Repair ? 37 Demolish
? 32 Addition ? 35 Tenant Finish p 99 Undefined
O 33 Alterations E3 36 Move _
GENERAL INFORMQTION
.
.. ? ?
? 13 Public Fac.
0`14 Agricultural
? 15 Miscellaneous
.. .. .. ,, _ ?
Const. (Actual Basement sq. ft. MWCC System
(A1lowable? lst F1. sq. ft. City Water
UBC Occupancy (Z= 3 2nd F1. sq. ft.. PRV Required
Zoning Sq. Ft. total Booster Pump
i of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REOUIRED INSPECTIONS RF?'1?RKS: REROOp)N4
? Site ? footing ? Framing O Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee IS.QO
Surcharge -
Plan Review
License
MWCC SAC
City SAC
Nater Conn.
Mater Meter
Acct. Deposit
S/M Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
! Trails Ded.
Copies
Other
Total : 15.5
0
Wlutian: f
SAC %
SAC Units
CITY OF EAGAN
L__?_ B/ MECHANICAL PIItMIT
SUBD. (612) 681-4675
RESIDENTTAL
RECEIPT # 7(o
DATE 9 9A-
PLEASE COMPILTE UPPER PORTION ONLY FOR SINGLE FAMII Y DWELLINGS. ALSO, COMPLEfE FOR
TOWNHOMES/CONDOS R'HEN SEPARATE PERMIIS ARE REQUIRID FOR EACH DR'EIS ING UNTf.
OWNER. Frank & Pearl Mulve FEES
SPfE ADDRFSS: 3785 Grey Dove Lane
Eagan, NIN 55122 ADD ON/REMODII, (EXISTING
CONS1'RUCfION ONLS) $ 15.00
uHSTALLER. Self AVAC: 0.100 M BTU 24.00
PHONE #: 612 454-8878 ADDITIONAL 50 M BTU 6.00
ADDRESS: 3785 Grey Dove Lane GAS OiTTLEfS - MIINIMUM 1@ $3 EA.
CTP1': Eagatl, NN ZIP: 55122 SURCHARGE: $ .50
SIGNATURE: TOTAL: $ 5 50
u
COMMERCIAL
PLEASE COMPLE,1`E THIS PORTION FOR ALL COMMERCIAIJIINDUSTRIAL BUILDINGS. AISO COMPLEfE FOR
APARTMENT BUILDIlHGS OR OTHER MULTI-FAhiILY BUILDINGS WHEN SEPARATE PERMTI'S AAE NOT REQUIRED FOR
EACH DWELLING IINTT.
R'ORK DESCRIPTTON: CONTRACT PRICE
196 OF CONTRAGT FEF- FEFS
STATE SURCAARGE IS $.50 FOR EACH
$1,000 OF PERMTT FEE.
$
PROCFSSED PIPING • $25.00
MINIMUM FEE - $25.00
$
OWNER: TOTAL: $
SITE ADDRFSS:
TENANT:
SUITE #:
INSTAI,I,ER:
ADDRESS:
CTIT: ZIP:
PHONE #. CTl'Y 5IGNATURE:
SIGNATURF.
L ? 8L CITY OF EAGAN
PLUMBING PERMIT
SUBD. e4?_&lYIe ?w??? (612) 681-4675
RESIDBNTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
CITY USE ONLY _
RECEIPT # L? I a ?
DATE ?
ALSD, FOR TOWNHOMES AND CONDOS
WORK DESCRIPTION
NEW CONST _
ADD ON
REPAIR _
OWNER NAME:
SITE ADDRESS:
INSTALLER: V/4yAeCx-rl I( YJ 6i
ADDRES S : \l`R ",
CITY: ZIP: - - -
PHONE #
? o
(0
COMMERCIAL
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
7 SHOWER 3.00 f_
? WATER CIASET 3.00
BATH TUB 3.00
f IAVATORY 3.00 .3
KITCHEN SINK 3.00
f LAUNDRY TRAY 3.00 ?
_ HOT TUB/SPA 3.00
_ WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPIN6 OUT.
_ (MINIMUM - 1) 3.00
ROU6H OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
TURNAROUND
W. 15.00
- . ?--?^
STATE SURCHARGE .50
e;?
TOTAL: S
PLEASE COMPLETE TFIIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME: _
SITE ADDRESS: _
TENANT NAME: _
SUITE f:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
r? CITY USE ONLY / /?
L L- BL ? /- RECEIPT #: lO7C0 oZO
SUBD. 2O1k?i V Ur/1/ I? RECEIPT DATE: 5??
PERMIT#
1999 PLUM$INC PEiMtT (RESID£NTIAL)
crrY of E?flAv
ssso f'u.or KNoa Rn
EaeAx, r,uv ssiEQ
(651) 681-4675
Please complete for: > single family dwellings
Y townhomes and condos when permils are required for each unit
> backflow preventer for underground sprinkler syslem
FIXTURES
EACH #
TOTAL
? Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in OUtlet * minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavato 3.00 x = S
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished * re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
? Kou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
et 3.00 x = $
Water heater 3.00 x $
W8 Gf So enef If dwelling under construchon 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ 50
Total --> --> ----> ...-> $ ?O. Sv
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------• ----------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this applicatlon, state thal the inforcnation is cortect, and agree to wmply with all applicable City ot Eagan ordinances.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City during its
normal operational and maintenance activities to the facilities consVUCted under this permit within Ciry property/right-of-way/easement.
SITE ADDRESS: J 771 (9AwY L. A)
OWNER NAME: : l?b?GL'/17%it/ff ??QdJ? TELEPHONE #: ?,15_1s
` (AREA CODE)
INSTALLER NAME: /??w TELEPHONE #: D.5-r3
STREETADDRESS: (AREA CODE)
??'OD ?f/?t'U1 ?G1 ?51d
CITY: ?e/incuT.? STATE:
ZIP:
OF PERMITTEE
EAGF.Id TOWNSHIP
3795 PiloC Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PEREUT FOR WATER SERVICE CONNECTTON
Date: November 13, 1972
Billing Name: Townvlew
Owner:
Plumber: Consolidated Plumbing Co,
Location of Connection
a ? 7?S 7
Building ia a;
Residence
I3ultiple xc No,
Commercial
Industrial
Other
Alumber:
Site Ad
Billin€
? ( °? ??? G`,?
7/10/72
Meter No. 1 Permit Fee 10.00 pd 1?1/1$/72
17'13/72 s/c
Meter Reading Meter Dep.
Meter Sealed: Yes_ Add'1 Chg. _ '
NO I1bta1 Chg.
Inspected by
Date
Remarks:
yZJ.OU RL'!p?C'?=?TiufJ fEE FOR
2 o?nousivt?ROPEfii.Y INSI-Al! ED METERS.
Sy:
Chief Iaspector
In consideration of the isaue and delivery to me oE the above permit, I
hereby agree to do tte proposed work in accordaace with the rules and
regulations of Sagan Township, Dakota County, Minnesota.
By:
Consolidated Plumbing Co.
Please notify the above office whea ready for inspection and connection.
?
EAGtiN TOZ,INSHIP
3795 Pilot Knob Road
St, Paul, Minne3ota 55111
Telephone 454-5242
PERMIT FOR S&IER SERVICE CONNECTION
npTE• November 13, 1972
NUMBER 1209
OWNER: Townvi.ew
Address A3 & 77Y Grey Dove Lane
pLIMBgRConeolidated Plianbing Co.
TYPB OF PIPE heavy cast iron
OF BUIIDING
Induatrial' Commerciall Reeidential I Muleiple Dwelling I No. of units
? ? I xx 1 2 townhouses
Location of Connections:
conneceton Charge 480.0o Pa 7/10/72
Permit Fee 10.00 pd 11/13/72
. p s c
SYreet Repairs
Total
Inepected by:
Date
Remarks:
Sy.
Consolidated Plumbing Co.
Pleaee notifq when ready for inspection and connection and before any poreion
of the work is covered.
r '
??. .
s
By.
Chief Inspector
In consideration of the issue acnd delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Bagaa Toc•inship, Dalwta County, Minneaota
SAGAN 2+DWNSHIP
3795 Pilot Kttob Road J I
St. Paul, Minnesota 55111
Telephone 454•5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: November 13, 1972 NUMBER 1208
1-Iq `I TowNJ?':i:?w
OWNER: Townview Addresa3767 & 77, Grey Dove Lane
PLUMBERConsolidated Plumbing Co. TypE OF PIPE heavar cast iron
DESCRIPTION OF BUIIAING
Induetriall Commerciall Reaidential I Muitiple Dweiliag I No, of units
{ I 1 xx 1 2 townhouses
Location of Connecttona;
Connection Charge 1+80.00 pd 7/10/72
Permit Fee 10.00 d 11/1/3/72
-7 pd 3 2 s c
Street Repairs
Total
Inspected by:
Date
Remarks•
,
By
Chief Iaspector
In consideration of the iesue atd deliverq to me of the above pe:mit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Sagan Township, Dakota County, Minneaota
8y
Pleaee notify when ready for inapection and connection and before any portioa
of the work is covered.
?
EAGF.N TOWNSHIP
3795 Pilot Knob Road
St. Paul, iSianesota 55111
Telephone 454-5242
PERPaT FOR WATER SGRVICE CONNECTION
Date: November 13, 1972
Billing Name:Townview
Owner:
Plumber: Consolidated Plumbing Co,
Inspected by
Location of Connection Meter Size Conaection Chg. 7/10/72
Ass'n- 22478031 - 38141
3767 -
22478034
-381406
Meter
No, 10.00 pd 11/13/72
Permit Fee
3771 -
22478033
-3811?09 ??3/7?
Meter Reading Meter Dep.
Meter Sealed: Yea Add' 1 Chg. >-
NO ' Total Chg.
Building is a:
P.esidence
IIultiple xnc No, Units?
Commercial
Industrial
Other
Date
Remarks;
Number: 1043
,z_) 9
Tow?UL,'lt W
Site Address• 3767 ? 377!)Grey Dove Lane
Billing A.ddress
i., . ,.? ..
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 accordance with the rules and
regulations of Eagan Toomship, Dakota Cqsanty, Minaesota.
By:
[;onsolidated Plumbing Co
Plea:,e notify the abwe office when ready for inspection and connection.
?
EAGP.N TOWNSHIP TOu/ivVlEK?
3795 Pilot Knob Road
St. Pau1, Mianesota 55111
Telephone 454-5242
PERt7IT POR WATER SL+RVICE CONPiECTION
Date: November 13, 1972 Number: 1043
Billing Name:To?view Site Address• 3767 & 3771 Grey Dove Lane
?- C?--d-?
awner: Billing Addresa
?
?
?
Plumber: Consolidated Plumbing Co.
[ion of Connection
Ass'n- 22478031 - 3814
3767 - 22478034 -381406
3771 - 22478033 -381409
Meter Size
7/10/72
Meter No. ?Permit Fee 10.00 pd 11/13/72 .50 p 13/72
Meter Reading IMeter Dep.
Meter Seaied: Yea_ Add' 1 Chg. ? a"
NO , Total Chg.
Buildiag is a:
Residence
i4ultiple xc No, Units?
Commercfal
Iffiustrial
Other
Inspected by
Date
Rgmarkg:
1
i
25.00 RE-"NSf'ECT10N FEE FOR
>?nouSe??PRQPtR! Y INSTALLtD N3ETERS.
By:
Chiet Inspector
Zn consideration of the issue and delivery to me af the above permit, I
hereby agree to do tte proposed work in accordaace with the rules and
regulations of Fagan TovJUShip, Dakota C , Minnesota.
onsolidated Plumbing Co.
PLea3e notify the above office when ready for inepection and connection.
?
EAGAN TOWNSHIP "I? J ? Wd
3795 Yilot Knob Road
St. Paul, Minnesota 55111 ?
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: November 13, 1972 NUMBER 1208
i; ' a-'IowNJi?.c.v
OWNER: Townview Addresa 767 & 3771 Grey ?ove Lane
PLUMBERConsolidated Plumbing Co. Typg OF PIPE heavy cast iron
AESCRIPTION OF BUIIUING
Industrial Commercfal Residential Multiple Dwelling No. of units
-tx 2 townhouses
Location of Connections:
Conaection Charge 480.00 pd 7/10/72
Permit Pee 10,00 pd 11/1/3/72
. pd 111131'(2
Street Repairs
ToYal
Inspected by:
Date
Remarks•
By. Chief Inspector
Ia consideratioa of the issue and delivery to me of the above pexmit, I
hereby agree to do the proposed work in accordance with the rules and
regulationa of Sagan 1bwmship, Dalcota County, Minaeaota
By.
Conaolid .d P1mb'ne Co.
Please notify mhea ready for.inapection and connectioa and before aay portioa
of the work is covered.
\
EAGFN TOWNSHIP
3795 Pilot Knob Rosd
St. Paul, Minnesota 55111
Telephoae 454-5242
PERNIIT FOR WATER SCRVICE CONNECTYON
Date: November 13, 1972 Number: 1
Billing Name: Townview Site Address: I
Owner: Billing Addrea ,
Plumber: Consolidated Plumbing Co.
Location of Connectioa MeCer Size Connection Chg. 3.00 pd 7/10/72
Meter No. Permit Fee 10.00 pd ,1 /1g/?2
-- ? -'--r13/72 s/c
^
8uilding is a:
Residence
t4ultiple xc go
Commercial
Iuduatrial
OCher
Meter Reading Meter Dep.
Meter Sealed: Yes_ Add'1 Chg.
NO I Total Chg.
Inspected by
Date
Remarks;
2 ownhousc0.s?;.
Hy: '
Chief inspector
In consideration of the isaue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of IIagan Township, Dakota Couaty, Minnesota,
BS* :
Consolidated Plumbing Co.
Plea3e notify the above office when ready for inepection and connection.
?
EAGlaN TOt,1NSHIP CL'
3795 Pilot Knob Road 7
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
nATE; November 13, 1972 ?ggg 1209
?-(I ? ou?lJ1?.?,?
OWNER: Townv:iew Address 73 )& 3777 Grey Dove Lane
PLUMBERConsolidated Plinnbing Co. qypE OF PIPE heavy cast iron
DESCRIPTION OF BUILDTNG
industrial Commerciall Reaidential MulCiple Dwelling I3o, of unita
XK - -- - 2 townhouses
Location of Connections: Connection Charge480.00 pd 7/10/72
Permit Fee 10.00 pd 11/13/72
p s c
.50 Street Repairs
Total
Inspected by:
Date
Remarks•
By
Chief InspecCOr
In consideration of the issue and delivery to me of the above pexmit, I
hereby agree Co do the proposed work in accordance with the rules and
regulations of Eagan Towctship, Dakota CounCy, Minnesota
By.
Consolidated Plumbing Co.
Please notify when ready for inspection and connection and before any porCion
of the work is covered.
.?
_. ?
r'
' i
VILLAGE OF EAGAN
\ 3196 PiLOT KfIOB ROAD
EAGAN. MINNEBOTA
\ ssiaa
? January 30, 1973
Mr, Carl Onisc6uk
County Auditor
Dakota County Court House
Hastings, Minnesota 55033
Dear Sir:
PHONE 454.8106
1
We have received in our Eagan Office a check for unpaid assessments for
Lo[ 6 Blk 19 Townview lst Addition, 3785 Grey Dove Lane, d 3404 in
the amount of $957.69. Received check fram Fareers S Mechaaics, Mplsr,
dated I/25/73.
Please post your records accordingly.
Thank you.
Very truly yours
Carolyn Krech
Assessments
>
?
I
?
a _
TOwNVILA
EAGt1N TOWNSHIP
3795 Pilot Knob Rosd
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SLTRVICE CONNECTION
Date: Novenber 13, 1972 Number:, 1045
Billing Name: Townview Site Addresa: 8 r ove T,a??e
Owner:
Plumber: Consolidated Plumbine Co.
` ? ?-----`?? ?'9?8? ?
3 r 3?7?
v
Buildiag fs a:
Residence
tiultiple No, Units,
Commercial
Iadustrial
Other
Billing Address
/10/72
Meter No. Permit Fee 10.00 pd 11/13/72
.50 pd 1173/72
Meter Readinpt_ Meter Dep.d:L??
Meter Sealed: Yea_ Add'1 Clig: r?
NO [Total Chg.
Inspected by
Date
Remarks:
?25.00 RE-IPJSPECS'ION FEE FOR
'.WNPERIY INSIALLED METERS.
By:
Chief Inspector
In conaideration of the isaue and delivery to me of the above permit, I
hereby agree to do the propoaed work in accordance with the rules and
regulations of Sagan Township, DakoCa County, Minnesota.
By:
Consolid ated Plwnbing Co.
Please notify the abave office when ready for itwpection and connection.
J
?ets , Bk /q
EAGHN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE• Novenber 13, 1972
OWNEF.• Townview
PLUMBERConsolidated Pliunbing Co.
NUMBER 127Q
Addr ss 378?; 3785 Grey Dove ane
TYPE OF PIPE heavy cast iron
DESCRIPTION OF BUIIAING
Industriall Commerciall Reaidentiel I Multiple Dwelling I No, of units
xc 1 2 tormhouses
Location of Connectione:
Connection Charge 480.00 pd 7/10/72
Permit Fee 10,00 d 11/13/72
.50 pd 11 3 2 s c
Street Repaira
Total
Inspected by:
DaCe
Remarks:
By. Chief Inspector
In consideratioa of the issue attd delivery to me of the above pexmit, I
hereby agree Co do the proposed work in accordance with the rules aad
reguletions of Eagan Totmship, Dakota CounCy, Minaesota
By.
Consolidated Plumbing Co.
Pleaee notifq when ready for inspection and connection and before any portion
of the worlc is covered.
PLUMBING (RESIDENTIAL)
I n ( -Oi l ? Permit Application ?
lX
City Of Eagan
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 required for each unit
Date -L- / D / o -?
5iteAddress 377 KbUG /a/) ? Unit# _
Telephone #(?4)
NP
!'2
O
DPQ
wner
,
r
Property
„4,n
Contractor kotd%/7
City
Address
/(117 Zip SSOy Telephone t€
St
t
e
a
The Applican[ is _ Owner __jztiontractor _ Other
Septic System New _ RefUrbished ? Submit 2 sels of plans and MPC license $ 100.00
Includes County fee. Additional consulWnt fees ri5ay apply.
Altcrations To Existing Dwelling Uniy Iocluding $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
/
[
ener _L,?Water heater
Water sof $ 15.00
? l
_ replacement _ additional
$ 50
State Surcharge '
lB%-
-
?
Total
. . . . n .. _ __ ? _ . a_. .?_. ?L.. ......L ...ill
I hereby apply for a Residential Plumhing Permit and acknowledge tnat tne mtormaiwn is compie. ?e anu accwaLc, L114L Ul? w?l m •, I,I
be in conformance with the ordinances and codes of the City of Eagan and with [he Plumbing Codes; that I understand this is not a
permit, 6ut 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.
C1 --????
Applicant's Printed Name Ap ant's Signature
L23?
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3530 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsW cdon Reauirements RemodeVReoair ReauiremenGs
3 registered site surveys shaxing sq. tt. of lot, sq. h ol house; and all roofed areas 2 copies of plan showing foo6ngs, beams, joists
(20°h maximum lot cavxaqe albwed) i set of Energy Calculatlans for heahd addPoons
2 copies N plan showin9 beam 8 wintlow sizes; poured found tlesign, etc 1 site sumey lor additlom & decks
1 set of Energy Calcula4ons AddiAon -mdicafe if on-sife sepfic system
3 apies N Tree Preserva6on Plan if lot plattetl aher 7/1193
Rim Joist Detail OpUons selection sheet (buildings wdh 3 or less umts)
Minnegasco mechanical ventilation form
?
Da[e q /
OU0 C
i
C
.
- onstruct
on
ost
Site Address AZ?
' UniUSte #
Description of Work ?Q?l?? C??, _? ,? ?y • p n"p1(x ?i`?''? ,
Multi-Family Bldg ? Y_ N Fireplace(s) _ 01u _ 2
Property Owner 'Celephooe ) c ?__
Contractor
Address City
S[ate OOK) Zip • Telephone # 6) .
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Ca[eeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilalion Category t Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submiried Submittetl
• Energy Envelope Calculations Submiried
In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
3,5?- 3 6 ,?
O(fic¢1Jse`On14
CedOfSurvejlRecd' Y...?'N
TreePresPlanRecd _Y ?N,
TreePtBSReqwreq- =.._Y,,,?N
Oo-sfte Septlc;System,_'? _Y'-=N
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 approved plan in the case of work which requires a review and
approval of plans.
ilA2 mffir,in -
ApplicanPs Printed Name
? J
Ap licant's Signature
3~ c~~ 3~~ ► , 3~~ 3 , 3~ ? 3 t 3~ Ss G" Wive- L,aA
Use BLUE or BLACK Ink
1----
I For Office Use 1
I
Permit#: VO 3b2
City of Ea I Permit Fee: I
1
3830 Pilot Knob Road I t
Eagan MN 55122 i Date Received: 'D 2p I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 ! Staff
# 9 L - - - - - - - - - -
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
E r c%, C)OVt CJm`^AJ
Date: w '1- l3 Site Address: 37i~7 3 71 , 3>73y 3777 7 21 Unit
Name: Phone:
r
s Resident/
( Owner Address f City / Zip'
Applicant is: Owner Contractor
I
Description of work
Type of Work
1 r
Construction Cost! J oLU+O p Multi-Family Building: (Yes f No
.,.....~..w... _ Company: Conte
I I nnt- tsnlC a.
{Address: e-cL, r , City:
Contractor
State: (y),AJ Zip: _-)'5343 Phone: 1 52 3-/ ~2 - 220-0
License # 4~ ; ~y `1 Lead Certificate ~OooC
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 pen-nit 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 maybe 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.
I hereby acknowledge that this information is complete and accurate that the worse 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.
Applicant's Printed Name Applicant's Signature
Page 1r of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA142873
Date Issued:05/22/2017
Permit Category:ePermit
Site Address: 3767 Grey Dove Lane
Lot:1 Block: 19 Addition: Town View 1st
PID:10-77100-19-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
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 City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James M Butler
3767 Grey Dove Lane
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature