Loading...
3825 Lodestone Lane Use BLUE or BLACK Ink For Use I 1 C I t Permit 411OF City of EaEd~ I Permit Fee: 1 3830 Pilot Knob Road I Eagan MN 55122 i Date Received: Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 ! 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: r?© L Tenant: 1 w Suite RESIDENT / OWNER Name: Phone: t 1 S°/ Address/ City/ Zip: l Vz t? CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email TYPE OF WORK _ New Replacement _ Repair _ Rebuild - Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ PVB) Add Plumbing Fixtures L Main / Lower Level) System Water Tumaround Septic n New N r2 Abandonment LtUr- RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turaround* (includes $5.00 State Surcharge) 'Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x LA-,5 Vie-(5 x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By Date: Required Inspections: ' Under Ground Rough-In _Air Test Gas Test Final Use BLUE or BLACK Ink For Ott Use -7 ; j Permit / > Gnt of Eajan Permit Fee. 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: ; Phone: (651) 675-5675 I t Fax: (651) 675-5694 Staff: 1 2010 RESIDENTIAL BUILDING PERMIT APPLICATION l Date: v~ . _ l 0 Site Address: I oAtS 6 i+ - L y\ Tenant: Suite RESIDENT / OWNER Name: Phone: Address/ City /Zip: 949q \,J~Ni k n e-n, l' &jlu G~ I 1 t A 44..)j 551) q Applicant is: 4L Owner Contractor TYPE OF WORK Description of work: rQ&l c~e5 Construction Cost:( L C7 Multi-Family Building: (Yes No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Email: 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 diaf 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. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454402 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goopherstateonecall.orcl I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x S l' C ~CoC x Applicant's Printed Name Appli is Signature Page 1 of 3 Use BLUE or BLACK Ink -----------------i L For Office Use 1 I I Permit _l I City of Eata~ Permit Fee: 1 3830 Pilot Knob Road I I Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 1 - - -a 1 Staff: I Fax: (651) 675-5694 ------J 2010 RESIDENTIAL ~PLUMBING PERMIT APPLICATION Date: V Site Address: c2. J, Ln Tenant: Suite RESIDENT/OWNER Name. C PhoZ -7- Address / City / Zip: ~ 4 CONTRACTOR Name: P License Addres ) City: Stater Zip J Phon ContactL / ~C Email: TYPE OF WORK - New X:31ep cement Repair Rebuild Modify Space Work in R.O.W. Description of work: n CC), 4b =LQI~ ~)u t PERMIT TYPE RESIDENTIAL later Heater Water Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures l_ Main Lower Level) Septic System Water Turnaround _ New _ Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment; Water Turnaround` (includes $5.00. State Surcharge) "Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES 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 go,ph,,.erstateanecaEi.or I hereby acknowledge that this information is complete and accurate; that the work will be in conformance ' he' dinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and vp*lris not to s rt without permit; that the work will be in accordance with the approved plan in the case of work which requires a review and of ans. x~ a),* 1~; V ,-,Pk Applicant's Printed Name A lica s Sign ure FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - For Office Use j Permit I City of Evan 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 I I Date Received: I Phone: (651) 675-5675 , Fax: (651) 675-5694 Staff: - - - - - - - - - - - - J 2010 MECHANICAL PERMIT APPLICATION s~ Date: 10 Site Addres 10d21.Y-.0. ( ,,n Tenant: Suite M RESIDENT /OWNER Name:1~ f~ Phone(V j 2- ~"f C~✓ Address /City / ZipJ 1 CONTRACTOR Name t License Address: t1~Qi(1 City State U ~J_ Zip ~ Phonel 6 1 L~ f Lk Contact: Email: TYPE OF WORK New 7~Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace New Construction Interior Improvement - _ Air Conditioner _ Install Piping _ Processed - Air Exchanger Gas _ Exterior HVAC Unit - Heat Pump _ Under / Above ground Tank Install / _ Remove) Other When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) rrYY > $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ `-N---IfOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - $ Permit Fee - If the Permit Fee 'is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE 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,oooherstateonecall oro 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, an of start witho a rmit; that the work will be in accordance x h the approv plan in the case of work which require a review and approval o tans. SU/P '~Tj x Applicant's Printed Name icant's Sign e FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test In-floor Heat -Final - Exterior HVAC Screening Inspection Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - For Office Use ~J Permit / j City of Ea Ed n I s J Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L~Site Address: i3 ~ f b~JE ~S7 F A E Tenant: Suite RESIDENT / OWNER Name: yreAs % f F/itS Phone: Address / City / Zip: ~-0iJ S Y7i ~g~ Applicant is: t/ Owner Contractor TYPE OF WORK Description of work: `/zzAzd_ Construction Cost: LZI, Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: 3 fl 2 5 )_0 Vf S ~~o~~ l ~E City: jaGA®1/ State: X~y Zip: Phone: eCj-:~- Contact: Ac*'9` Zt6A7(rc Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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 the are trade secrets. I 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.goi)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not 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 pl X X Applicant's Printed Name Applicant's Signature Page 1 of 3 \ Use BLUE or BLACK Ink ;w r_________________ \ I For Office Use Permit#: City of Ea . 1 J 1 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C ^ I Q Site Address: j LudeSs6 k'_c Z-r) A) / a Tenant: Suite RESIDENT / OWNER Name: Phone: & / - )1')- 3 ) S ``l a Address/City/Zip: v_)kr e ti 3 r Applicant is: Owner Contractor TYPE OF WORK Description ofwork: Y`C) u~ Construction Cost: f C r Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: 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 the 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start with t a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x L~~~1~ 4f rx Applicant's Printed Name Applicant's Signature Page 1 of 3 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 R6CEI V ED FROM AMOUNT $ I & DOLLARS 1 oo F-I CASN [?] CHECK FOF ?7 L3 \?C?I I oea-j BY White-Payers Copy Vellow-Posting Copy Pink-File CoPY Thank You ?7. CITY OF EAGAN Remarks Addition Cedar Grove #11 Loc 14 eik 3 Parcel Owner 4;;uC L ibCd-hy,j,tsireet 3 2 Lodestone Lane state Eagan,MlQ 55122 i 11LJ1J e!.S i!.i Improvement Date Amount Annual Years Payment Receipt Date . STREET SURF. /-' ? 97? 2 ?, 5 2.1 10 STREET RESTOR. f 97T T2 .31 Q GRADING o'creeic , , SAN SEW TRUNK ,f;"() J O. . ., • SEWER LATERA -.a 1975 , , WATERMAIN WATEA LATE AL W WATER AFEAi # tr lat area 1975 STORM SEW T K rJCi 1 1 33.56 1,67 20 STORM SEW LAiT ?. 1971 22, 7 1.11 20 11-1-77 # Strm sew 1976 268.59 .$ CURB & GUTTER ? SIDEWALK 3 95 1978 187.52 18.7$ 10 STREET LIGHT ?. , . , oa Unit 185.00 24643 5-13-81 WATER CONN. 335.00 24643 5-13-81 BUILDING PER. 66$3 r SAC 'h 525.00 24643 - - PARK ? - ' ClTY OF EAGAN 3795 PiW Kno6 Road Eegan, MN 55122 N2 6653 PHONE: 454-8700 BUILDING PERMIT Receipt ---- To ba amd for Est. Value Date , 19 Site Address Erect ? Occupancy Lot Parcel # Block Sec/Sub. ` - ('rove 1' W Name ; Address w Name 0 OL) Address Ww Nome r _? Address I hereby acknowledge that I have read this application and state thnt the information is correct and agree to comply with all applicabie State of Minnewta Statutes and City of Eagan Ordinances. Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Gmde ? Depih fr. Aoero vab Fees Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total Signature of Permittee I A Building Permit is issued to: on the express condition that oll work shall be done in accordance with all oppliwble State of Minnesoto Statutes and City of Eagan Ordinances. Building Officiol ParnHF # DaM 1oom/ PwIeMlN Plumbin9 ? - ?j ? 8' ?'? ?? ?' ??l•,L , Mechonical 2 5 (? - ? - `S F ??Z ? ? ?,'lF.C_ i' a-k Tq0 =-7 (o - 8' -$( C?'c F e C r INSPECTIONS DATE INSP. Rou9h4n Final Footings Date Insp. Date Irnp. Foundation p?umbing f- ra /ins. 1? 4?Kl A Methonical ? Final G?- k? Remarks: ?"x-?'S f?-? o?e?LJ ?!?/?/ .,!) -?`/ 4 Receipt PLUMBING PERMIT CITY OF EAGAN I Fill in numbered spaces Type or Print legibly Permit No. Fee S/C Tot. 1. Date ' c, 2. Installation Cost 3. Job Address y- " Lot Blk. Tract 4. Owner ; 5. Contractor t Phone 6. Address _1 7. CitY 1A, ?r - State Zip 8. Building Type: Residential M 9. Work Description: New M 1 10. Describe 1 11• Commercial ? Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Closei No. Fixtures _ Bath tubs Cesspool/Drainfield Se ti T k = Lavatory p c an f Shower So tner _ Kitchen Sink Well _ Urinal/Bidet Laundry Tray Other Floor Drains Drinking Ftn. Sl Si op nk Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply wit h all ordinances and codes governing this type of work. Signed: _`.• ? , for ' Rough Final ' Inspections: Date Insp. Date Insp. This is your p ermit when numbered and approved. APProved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN FeB Fill in numbered spaces S/C Type or Print /egibty T ot. 1. Date ? 2. Installation Cost 3. Job Address ""' Lot Blk. Tract lt= 4. Owner u-CoII 5. Contractor ?-nzttl 14eChBniCa1 Phone 4 5'.-1?( 5 6. Address '-"1 ":?7ui?,.'.c•c i?2' ? v? 7. CitY State Zip 8. Building Type: Residential Cj Commercial ? Institutional ? I 9. Work Description: New 14 10. Describe ?-??,tt,ll Ht?*. 1 17. Add O Alter ? Repair ? Fuel Type NBt. No, Eauipment 8TU - M. Ea. forced Air No. Equipment CFM Ai H dli : Mfg. r an ng Boilers _ Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to I comply with all ordinances and codes governing this type of work. Signed: for Fough Final -?Inspections: Date Insp. Date Insp. ` This is your permit when numbered and approved. ti Rpproved CITY OF EAGAN 454-8100 , Receipt PLUMBINGPERMIT PermitNo. CITY OF EAGAN Fea FIII /n numbered spaces S/C Type or Prin[ legibly Tot. 1. Date ? 2. Installation Cost 3. Job Address?`? Lot_a_,?-Blk. Tract •C-?-?'???- ? 4. Owner 5. ContractorJl? ' Phone 6. Address c , ? -- - _ 7. CitY State Zip 8. Building Type: Residential G? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter 11 Repair ? 10. Describe ??. ",; ? '1 • ? ? • -- 11. No, Fixiures Water Closet No. Fixtures Cesspooi/Drainfield Bathtubs Se ticTank _ _ Lavatory ? S p oftner _ Shower Well Kitchen Sink _ Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : Rough Inspections: Date Insp. for Final Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 3795 Pllot Knob Road Eoyee, MN S5122 PHONEs 454-8100 BUILDING PERMIT Recefpt # To 6e wad fer Est. Value Date 19 Site Addrcss Erect [] Occuponq Lot Block Sec/Sub. Alter Q Zoning parcel # Repoir ? Firc Zone l E T f C n orye ? ype o onst. W Nome Move ? # Stories ? Address Demolish p Length Ci phone Grode ? Depth Sq. Ft.- m 0 au u? r Name _ Address Name _ Address I hereby acknowledge that I have read this applicotion and state that the inlormotion is correct ond o9ree to tomply with oll opplicoble $tote of Minnesoto $tatutes ond City of Eogon Ordinances. Siqrroture of Permittee A Building Pertnit is issued to: all work shall be done in occordonce with oll opplicable Assessment _ Water & Sew. Police Fire Enp. Plcnner _ Councfl _ Bldfl. Off. _ APG Permit Surcharpe Plan check SAC Water Conn. Woter Meter Road Unit Totol on the exprou condition thcn Statutes ond City of Eapon Ordinances. Buildinq Officiol Permit No. momommom Permit Holder Misc. Pormit No. Holder Plumbing N.V.A.C. Well Water Disp. Sewer Electric Inapeetion DaM Insp. ' Other Footings . , Foundation Framinp Rough Plbg. Rough HVA Inwlatian Final Plbg, Final HVAC Final Water Wssrihe Loeation: Well Sawar Pr. Disp. ilot Knob Road MN 55722 71^C WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Reader No.: I ogree Yo eompiy with the City of Ecgon Ordinanaes. By Date of Insp.: Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: OF EAGAN SEWER SERVICE PERMIT 3795 Pilof Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: DL.-l,ur 1 agree to comply wifh fhe City oF Eagan Ordinanoes. By Date of Insp.: I nsp.: Connection Charge: Account Deposit: PermiY Fee: Surcharge: Misc. Charges: Total: Date Paid: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 6653 , PHONE: 454-8100 rXr BUILDING PERMIT APPLICATION Receipt # To be ased for SF DW/C'AR Est. Value 38i000 pate 5-13 1981 Site Address 3825 Lodestone Erect ? Occupancy R3 Lot 14 Block 3 Sec/Sub. Cedaz' Gr'UVe 11 Alter ? Zonin9 Rl Parcel # 10 16711 140 03 Repair ? Fire Zone NA Enlarge ? Type of Const. V Name ?a e & W?1'1 ?EC?QI124n Move ? # Stories Z Address 1740 Yankee Dood_le Rd Demolish ? Front 52 ft. ? Ci Phone 452-2306 Grode ? Depth 24 ft. p Nome RuSWn HOITI2S IriC. Approvals Feea 7630 W. 145th St. o? Assess?nt5-13-81 Permit 113.00 Address App e V ey 432-1433 Woter & Sew. Surcharge 19.50 C? phone Police Plan check 56.50 Ww Name ?'?• M. Naael Fire SAC 525_00 ?? Address Rus ?n Eng. Woter Conn.335.00 aW Ci pho,e Planner WaterMeter 60.00 Council Road Unit 185_On I hereby ocknowledge thot I have read this opplication and state that gldg. Off. $ACI]ed- 75.00 the intormotion is mrrecT and a9ree to comply with all applicable APC 369_00 Totol 1 $tate of Minnesota $tatutes and City of Eagan Ordinances. ? Signoture of Permittee A Building Permit is issued to: RusODn HcrmS on the express condition that e of Minnesota? Statutes and City of all work shall be done iri accordance w'th QII applica Stat Eagan Ordinances. ? Building Officicl - tI j czTr oF EAcAN BUILDING PERNffT APPLICATION Zb Be Used For Sh ?e Valuation site Address: 3y-z S Lot /Z _ Slock --? Sec./Sub. Cedac, Cy-o",?/. Parcel #: Owner: Address : / ??O ,L/2,e ?oc"l.e ,? City/Zip Code: ?? x s1. Phone #: a- o23al Contractor: R ?yL D/i1PS ?32GV- Adaress: /efF z!Q City/zip Code: ,c?pD? /?a ll . i'yl n.?la i( Phone # : , 3 Arch. /Eng. : ?°.e?l - /J? • Gp J? r? Address: IYS?- Gity/Zip Code: Phone # : `?1?- - ? Include 2 sets of plans, 1 site plan w/elevaticns & 1 set of energy calculations. Date ' OFFICE USE OI?Y Erect Occupancy ^ 3 Alter Zoning f Repair Fire Zone Enlarge Type of Const. Move # Stories Derolish Front ft. Grade Depth ?y ft. APPROVAIS FEES Assessments S?? Pezmit `3? Water/Sewer Surcharge ? Police Plan Check S? Fire SAC ? d2s -r° gng, Water Conn. 33S •°? Planner Water Meeter 6"O °-? Council . Ro Unit / Bldg. Off. ?. ' S =°% P,PC Tar? / 3 ? j. 0o CITY OF EAGAN 8795 Pilof Knob Raad Eagan, MN S5131 NO 7400 • PHONE: 454-8100 "BUILDING PERMIT ' Recelpt # To ba wed fer PATIO -' DECK Est. Value $700.00 Date Ju1Y 23 19_82_ Site Address 3825 IA deBtAhe L8[?@ Erect M Occupancy R-3 Lot 14 Blatk 3 Set/Sub. Cedat Grove 11 Aiter ? Zoning R-1 Porcel # 10 16711 140 03 Repoir ? Fire Zone NA E l t T F C V n arge ? . ype o ons rc W Name Wa3lne He CklReln Move p # Srories z Address 825 Ln d ton TAII Demolish ? Length 16 c; Eagan 55122 pho„e 452-2306 G.ade ? Depth _36 Sq. Ft.- °C 0 Nome OwneY APVrovals Fees o? Address Assessment Permit 13.00 u? ~ Cit Phone Water 8 Sew. Surchorge .50 G Police Plan check W Nome Fire SAC Address Eng. Water Conn. <W Ci Phooe Plonner Woter Meter Council Road Unit I hereby acknowledge thot 1 have read rhis application and state that Bldg. Off, the information is correct and agree to tomply with all applicable APC ?_5A Totol $1 $tofe of Minnewta Statutes and City of Eagan Ordinances. Sipncture of Permitfeo l1 Building Permif is issued to: W2l A8 Beckman on the express wnditlon tha+ aIl work sholl be done in accordance with oll'app'cable re, Mi a Sra tes and City of Eagan Ordinances. Buildinp Officiol XV ?Bo / ??i v1 ?! ?-7q00 CITy pF FAGAN Include 2 sets of plans, + 1 site plan w/el.evations & BUILDING PFRMTT APPLICATION 1 set of energy calculations. Date ? 7.b Be Used For Valuatian ftgga? #`? 7?0 - o OFFICE USE OALY Site Address: ja,Q Lot I q Block 7_2j Sec./Sub. C??•?Erect ;K, Occupancy Parcel #: l,a 3-Alter zoning - Repair Fire Zone Oumer: Enlarcle TYi?e of Const. Move # Stories Address: /. ds2Q_ Demlish Front /6 ft. City/Zip Code: Grade Depth /( ft. rhone # : Ai'PROVALS FEEs Contractor: _ i-LSSessnents Permit Address: ??13ter/.Sewer Sw:charge ? - - Police Plan Check City/Zip Code: Fire SAC Phone #: Eng• Water Conn. Plannex Water Meter Council Road Unit ? ??' ?g" -- Bldg. Off. Acidress: APC City/Zip Code: Phone #: ? TOT;GL, .?cuc ?? - ? rn.A ef? / 41 31? mmnesota state noard ot tiecuicity Griggs Midway Bldg. - Room N791 1821 University Ave., St. Paul, Minn. 55104 - phone 297-2711 REQUEST FOR ELECTRICAL INSPECTION CI'fECK b'ELOW WORK CnVFREI)'RY THiS RF.f1f iFCT EB-00001-02 .+z.SO d CJ iT 40579'' Type of Building New Add. Rep. Ch¢ck Appliances W'ved For Check Equipment Wited Fot ' Home ? ? Range ? Tempoiary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures Apt. Bldg. ? ? ? Dryer ? Electric Hea[ing ? Commercial Bldg. ? ? ? Fumace Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk MIIk Tank ? Fazm ? ? ? List List Othet ? _ ? ? p He els( He ers? COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feedezs&Subfeeders: # Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres ]Ol to 200 Amps. 31 to 100 Am eres 31 to 100 Am eies Above 200_Amps. Above 100 Amps. Above 100 Amps. Transformers 1 Remote Control Circ. Partial or other fee Si ns $ eci Inspection Minimum fee $5.00 Remazks 1 TOTAL FEE l,the Electricalinspector,hereby (Final) This request void 18 months from the t' as bee -umrd- ? S-v C Date Date"P *4 (clg [.IY H3, G ?. ,r ,?soc?o This request void e/ y ? Q 18 months from Date of t is Request ff/Fire No. T 40579 I, as Ml-icensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri- cal wiring installed at: 5treet Address or Route No. City? Section Township Range County -' Which is occupied by ls a roughin inspection required on thi job? No ? Yes 0--' Ready Now ? Will Call 5?-- Power Supplier Address Electrical Contractor ?ND?'1Ci? E?ECTRIC A38° rac?Li? srfe9Vo. 1434-C'PENNOC Mailing Address _ R 7_1T4 T: r n T r^V 'Ni7Y+T q;1 94 Authorized Signature ?,?AY KF:IiTIC?RIC;K 432-5036phone No. (Electrical Contractor or Owner Making This Installation) ? j? n?? p O nLnl?D ?('O(??f This inspection request will not be accepted by the LI /ril ?i Lr t) State Board unless proper inspection fee is enclosed. • ,. s . ?. CERTIFICATE? ee Z ? . ,? ?o ??. 1 . ?, a , 01• 41% v 94•8 ?Q . ? . ^losaS;:_ona C;zrnm aro 9 r?x3 s ?:Pse.o:; va^.d 3rc .s?u:^d ??c?-•, 95•5 a? ?O v SI" e..bY L.'rtil+y tyv:b. t.}:17 1s a G'7_?T'-'v? 2'::?`-"-.?'71:?`.. t•. 7° .. :?)i^`i. .. Lot 14, Plook 3, Cc3:.?r G?-avc P?co It., Da'-iha rj,^q.3, t 4; ' ?o o pl.t tt: :r,-?o" on ^i1e 2?•: a.*" r.:car'.. Fi.,d +hat I sr? ?i dal, r,,,',at-rr.d lar^ .-v??y?r ?. tl.iE 7tr ;r ?LW? .:;:z.: . . .L'c:?_. , ?• - _ ? '" BY P.B. SCALE - I'? = 30' DENOTES IRON MON. BEARINGS ARE ASSUMED DATUM " JACOBSON SURVEYORS -r???_: •-?;;t;. ? . ; _ LAKEVILLE, MINN. 55044 ,,i ...?.?.: , . ., " PHONE 469-4328 OF SURVEY L L v ??n l?r STAR PLUMBING & EXCAVATING 1018 MOUND SPRINGS TERRACE BLOOMINGTON, MINN. 55420 ' 8&4-4149 June '), 1981 Ruscon Flomes 7630 West 145th Street Apple Valley, MN. To whom it mcy concern; Job site::3825 Loadstome Lane = Eagan, MN. I, Joe Kack of Star Plumbing Company, assume any and all responsibility with the wqter line connection installed under the floor at the residence of 3825 Loadstone Lane Eagan, MN. should anything occur. Sincerely yours, (/ Joe Kack Stnr Plumbing &Excavating \ ? qa 0V Clty of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 gz),q---II ; ____ .--_________ ; ? Permit Fee: el-r n t) ? ? Date Received: j I ? i stan: i L _ I J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: U Uz5- ?a&nv k/ / Tenant: Suite #: RESIDENT ! OWNER Name: Phone: Address / City / Zip: Applicant is: _ Owner ? Contractor TYPE OF WORK Description of work: ?ect Construction Cost: a Multi-Family Building: (Yes_/ No CONTRACTOR Name: Q ? License #: )0019?)Lt(aq Address: 5G 1' mem(J('iCil.A TCVC" N - city: state: WIN_ Zip: S6080 Phone:l06 1'LIAI•?3,?lJ ContactPerson: K[Xren COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residen[ial Ven[ilation Category t Worksheet • New Energy Code Woiksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan Issued a permil for a Simflar plan based on a master plan? _Yes _No if yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contrector: Phone: Sewer & Water Contractor: Phone: RT PaleS?„ ` o-.c.?5'?' t ???:Arm?r??mQ C.'`Kr[; . ..a:r.¢' c ? . x-:?.`?`? .{"?'??a?;,UV1?i«sei,sar???,?F?x.??aa' I hereby acknowledge that this fnfortnation is complete antl accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; tha[ I understand this (s not a pertnit, but only an applicaGon Sor a permit, and work is not to start without a pertnit; that the work will be in accordance with the approved plan in the case of work which requlres a review and approval of plans. 1? we x--- Ivp,i App icl ant's Prin ed Nq ApplicanYs Signat Page 1 of 3 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use I I I~C~1 _ City of Evan , Permit I I Permit Fee: a I 3830 Pilot Knob Road 1 I Eagan MN 55122 Date Received: -k c o Phone: (651) 675-5675 1 Fax: (651) 675-5694 1 Staff: 1 V j 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: e- Unit Name: A (,l ( S Phone: Resident/ ' L, je- s t oh e vice Owner Address / City / Zip: J Applicant is: Owner 4- Contractor Type of Work Description of work: U X ~Op~ AeAf61,e 01V S74 es pt-If c~ Construction Cost: ~6 s Multi-Family Building: (Yes /No Company: -5.6'e-4 Z,/- Contact: C Contractor Address: ( GAS Cr City: ~irv ~c SLl C State: /`l/V Zip: Phone: License g G 3 1fo , Lead Certificate Al A-T l I S ~D S-1 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 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. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. - X_ ~0 x Applicant's Printed Name Applicant's Signature Page 1 of 3