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3831 Lodestone LaneCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVEo FROM AMOUNT $ I & DOLLARS ioo ? CASH ? CHECK FOR BY ? INSPECTION RECORD LControl No. 0672 CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permii Number: Eagan, Minnesota 55123 Date Issued: 06 ????? z (612) 681-4675 SITE ADDRESS: LpY ; 16 E3LOCK i 3 APPLICANT: 3031 LODrSTqME L.ANE FOSNUW KEM f,E.pAp 6ROVE 11 (frf.?) 454-936: PERMIT SUBTYPE: TYPE OF WORK: sr PoacN aru INSPECTION FO?uilNti .A . FRpMING .A PLNAI Rk'IiARKSe WlCEIPT • SEpARATf FEkNIT REt}UIRED Fi3N EIECTRTCAI ?4F-lir .:fi7 ?R L?l . . ??1,_ . . . . . . ... I` ? Permit No. PermM Holder Dats Talephone M SNV PLUMBING HVAC ELECTRI ? Wl7 cp ELECTRIC Inspection Date Insp. CommeMe Footings I Foundation Framing Rooting Rough PI6g. Rough Htg. lwl. Flreplace Finel Htg. Orset Test Flnal Plbg. Pibg. lnepector- Notify Plumber Const. Meter EngrJPlan '. ' Bldg. Flnal Dedc Ftg. Deck Finel Well Pr. Disp. CITY OF EAGAN 3795 Pilot Knob Road Eugan, Minnesota 55722 Phona: 454-8100 ` - PERMIT Dote: Site Address: Lot Block Sub/Sec No. Receipt No.: Single I Residential Multl Res., Comm./Ind. I Name ,?,th *'OS,•,.?. New/Alter./Repoir . ? Address C;ost of Installotion _ City Phone: Permit Fee Nome - ° Surchorge . P Address - " " e 43 City Phone: Total This Permit is issued on the express mndition that oll work shail be done in accordance with all applicable Stcte of Minnesoto atutes ond City of Eagan Ordirwnces. Building Officiol CITY OF EAGAN Addition uGUa.L' Owner ?? / Remarks Lot 15 Blk 3 Parcel J9-•.? .. street 3831 Lodestone Lane state Eagan,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1971 2 1. 2. 0 78.53 A004040 5-11-77 STREET RESTOR. A004040 GRADING treet . • 1035.45 C003454 7-27-77 SAN SEW TRUNK j ?% J ? 9 O.O . . - - SEWER LATER, i 7 . 96 29 .79 • - - WATERMAIN 1 WATER LATE AL ?,?Ul 2 1973 20 13.3 ? WATEF ARE ? ar a 1975 5 STORM SEW T K 7? 1971 33, ( 1.67 20 STORM SEW L T 1971 22.37 1.11 20 # "/i 1976 268.39 3. CURB & GUTTER SIDEWALK 3 . • 187.52 C003454 7-27-77 STREET LIGHT . WATER CONN. 220.00 #05548 3-30-77 BUILDING PER. sac 475.00 #05548 - - PARK • CITY OF EAGAN 3795 Pila Knob Road Eayan, MN 55122 N2 4247 PHONE: 454-8100 BUILDING PERMIT Receipt # -- To be utad for Date , 19 Site Address Erect ? Occupancy - Lot Block s Sec/Sub. Alter Q Zoning - Parcel # Repair ? Fire Zone Enlarge ? Type of Const. ? Name Move ? #k Stories W 3 Address -- ; C ' " _. Demolish ? Front ft. 0 City Phone - Grade ? - Depth _ ft. ? APProvols --- - - Fees ZF Name ?a Address -- z Name Address I hereby ocknowledge that I hove read this application ond stote that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signoture of Permittee A Building Permit is issued to: _-- all work sholl be done in accordonce with all Building Official Assessment _ Woter & Sew Police Fire Eng. Planner - Council _ Bldg. Off. _ APC Permit Surcharge Plan check _ SAC Water Conn. Water Meter Toral 9 71.50 on the express condition that of Minnes^_ta Statutes and City of Eacon Ordirwnc.s. PrmM # DaM Iared Powllf» Plumbin9 ?? 9 ?r - 3- J'7 f---???+?--? _ Mechonicol INSPECTIONS ? INSP. Roupirin Find Footings ?f.1•?? (00 Date Irup. Date Irop. Foundation ?--Alag Plumbing Frame/ins. A30?-? Mechaniwl -? _ Final Remnrks: , r? s.:. /aZ `/ts??? 4?? -0- ") 9" ---? o?- ?e,? ? , . CITY OF EAGAN 3795 PiIM Knob Road Eagan, Minnesata 55122 Phone: 454-8100 PERMIT No 979 Date: ' =FT 15, 197, Receipt No.: Single I Site Address: Residential Lot Block Sub/Sec. -' ' Multi Res., Comm./Ind. I Name .`'`>i"'`•' New/Alter./Repoir. . 3 Address ' 231 Lodestorte "i?ane Coyt of Instollation O City ?3-Tt Phone: Permit Fee • . ame Surcharge ? ? Address e 0 V ?n .. .":.'. Qty _ Phone: Total This Permit is issued on the express condition that all work shall be done in occordance with all applicable State of Minnesota Statutes and City of Eogan Ordinances. Building Official PL!:>IBT_',y^- ATtQl1St ` 1 r CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesoto 55722 Phone: 4548100 PERMIT I?nto• - - - • -.•. ` - -.. Site Address: r1% Lot Block Sub/Sec. _ Nome . ? I Address Phone: Receipt No.: Single Residential No 9 Multi Res., Comm./Ind. ? New/Altec/Repair. " Cost of Installation Permit Fee Name ? Surcharge ? g Address 0 0 v City _ Phone: Total This Permit is issued on the express condition that all work shall be done in accordonce with all opplicable State of Minnesota $tatutes and City of Eagan Ordinonces. Building Official ? No. P CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phons: 454-8100 PERMIT Date: Site Address: _ Lot ? Block ? Sub/Sec. C--C?"?- Nome . Address ? CitY Phone: I Nome p? y Address ? City Phone: This Permit is issued on the express condition thot all work shall be Minnesota Stotutes and City of Eogon Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residential Multi Res., Comm./Ind. I New/ Alter. / Repai r Cost of Installotion Permit fee Surcharae Total done in occordance with oll applimble State of Building Officiol ( OF EAGAN 3795 Pilot Knob Road Eagon, MN 55122 Zoning: Owner: - Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinanaes. Account Deposit: Permit Fee: - R.. Date of Insp.: Surcharge: Misc. CFwrges: Total: Date Paid: f OF EAGAN WATER SERVICE PERMIT 3795 Pilot Kno6 Road PERMIT NO.: Eagan, MN 55722 DATE: Zoning: No. of Units: Owner. - - Address: Site Address. ? Plumber: Meter No.: Connection Charge: Size: ___- Reader No.: I agree to comply With the City of Eagan Ordinances. SEWER SERVlCE PERMIT PERMIT NO.: DATE: No. af Units: Account Deposit: Permit Fee: I ` _ Surcharge: q-i'. . . . . Misc. Charges: Total: - gy Date Paid: Date of Insp.: - Insp.:- CITY OF EAGAN 3795 Pilof Knob Road Ecgan, MN 55122 N2 4247 • PHONE: 454-5100 BUILDING PERMIT APPLICATION $419900. Receipt # 5548 _ To be uced for Sing. Fam I?wlg, b. Garg. Date Mar, 30, ,1 y 77 Site Address 3R 31 1•OaeSfORP T-II Erect Occupancy I Lot 15 Block 3 Sec/Sub. CGll Alter ? Zoning Rl Parcel # _ Repair ? Fire Zone _ Enlarge ? Type of Const. V a Name MT, d Mrs. KeII FoSnoW Move ? .fk Stories 3 Address 7324 Bryant AVe, So. Demolish ? Front 51 ft. 0 Cit 510 Phone 866-1 Grade ? Depth 28 ft. ? 0 Nome Ken Fosnow Approvals Feea ?U Address 7324 Bryant Ave Sn Assessment_ ? r-;.,, Mols. oti.,.,e 866-1510 Water & Sew. H ww Name _ r r Address Police Fire Eng. aZ Planner _ "' City Phone Council _ I hereby acknowledge that I have reod this application and state that gldg. Off the information is correct and agree to comply with all opplicable APC - Stote of Minnesota Statutes andlCiW of EaqanlCrdinances. Signoture of Permitt A Building Permit is is all work shall be done Permit 120.50 Surtharge 21. 00 Plan check 5AC 475 .00 Water Conn. 220.00 Water Meter 60.00 Park Don 75 0( Toral 971.50 on the express condition that of ' Mthnesota Statutes and City of Eagan Ordinances. Building Official _? cORRECToON NOTICE C-l 5 ?5 '!'? DATE: Address 3 "°3 1 Site Name Owner/ Owner/Agent Add Ordinance Nos. and Corrections - Correct BV ?- -nQ?` .r?L??:n /?-s?. J .? :v'?C ,?Q.?-?.t.:?C.a?..; J ?•? •?1.0-K.. -?H?wO? Iu?! ? t??c l For reinspection Eagan Dept. of Inspection 3795 Pilot Knob Rd. Eagan, Minnesota 55122 454-8100 Inspector: .. ? ? . . _ Dept.: ? ,<vzlz- eG .i' 'd '41, _??? ? ? r? r J •'?%?? ? f??? 7Z7 CITY OF EAGAN 3795 Pilot Knob Road No. y 2053 Ea9an, Minnesota 55142 Phone: 454-8100 Heating pERM1T Date: Site Address: 10-7-80 3831 Zodes-tone Lot c -T- Block a Sub/Sec. C ' G (J( INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS 21257 Receipt No.: Single X Residentiol Multi Res., Comm./Ind. I Nome xen Lasnou remodel New/Alter./Repoir ; Addrets Same Cost of Installation O CitY Phone: Permit Fee 5• 00 ? Nome - FrPdri'rkSOn Hpg ing Surchorge .50 P Address 4-030 Raan 1)! Rup D'C' e 0 G1 City Faornn ? Wy 55122 Phone: Totol 5.50 This Permit is issued on the express condition thut all work shall be done in accordance with all applicable State of Minnesoto Statutes and Cfty of Eagan Ordinances. ? I Building Officiol This request void 18 months from Date of this Request 4- IS - 7 7 Y 416 4 I, as O Licensed Electrical Contractor Owner, do hereby request inspection of the above electri- cal wiring installed at: Street d ss or Route < Sec fi;hi?? / Township // Range County DA"KutA Which is occupied by tN R dJK'R$ IZ E,c! ;PO S'j?o L-J (Name ot Occupant) Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call O ?? Power Supplier ddress Electrical Contractor Contractor's License No. (COmpany rvame) Mailing Address KEA/ t 4='oSaJO UJ ? (Electrical Contractor or owner Making rhis Installation) Authorized Signature )d.-) 47v..w..o Phone No. (Electrical Contractor or Owner Making This Installatlon) mry?{?t?I-??L7 l??' EO?l p??1 'l` ? c? '?71 +??i/ 6---•-?'? ? 7J RD COPY Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn.55104-Phone 645-7703 , •- `REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REOUEST p 4164 Type of Building New Add. Rep. Check Apptiances W'ved Eo: Check Equipment Wired For Home ? ? Range 09 Temporary Wi[ing ? Duplex ? ? ? Water Heatei I Lighting Fixtures 'Q Apt. Bldg. ? ? ? Dryer Electric Heating Q?. Commercia! Bldg. ? ? ? Furnace ? Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Pazm ? ? ? List List Other ? ? ? p Heiers? p Hehe=S? COMPUTE INSPECTION FEE BELOW Service Entcance Size: # Eee Fceders&Subfeedecs: # .. ee Cttcuits: # Fee 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Ampexes 31 to 100 Am eres Above 200 Amps. Above 100 s, Above 100 Amps. Transformers Remote Control Paztial or othei fee Signs Special Inspection`?. Minimum Fee $5.00 Remazks TOTAL FEE I, the Electrical Inspector, herebKcePt f t a ?imection has been ad e.?,dj- 00` (Rough-in) ? Date (Final) U?-?• ???`J?? Date lf r a S-7? This request void 18 months from ,?14 f/REQUEST FOR ELECTRICAL INSPECTION /J es-ooomoa ? / ? ¦ pa ?? ry}; See instmctions lor completirto this form on back oi yellow copy. ? ?., /??a(? C-?C[ ? !R " Y H • "?.?'? . ?Y G 'X" Below Work Covered by This Request ?' ??- / ew Add Rep. ' Type of Building AppliancesWired EquipmentWired X Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial Furnace Farm Air Conditioner Other (specity) Contrector's Remarks: Compute Inspection Fee Below: # '- Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Si9ns Inspector§ Use Only: TOTAL Jrrigation Booms J? ? Special Inspection ?? Alarm/Communication ? THIS INSTALLATION MAY BE ORDER?B"DI CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M9PfT?IS. ( I, [he Electrical Inspector, hereby ti h i h Rough-in ? cer t at t e above ns ection has ? p been made. Final Date OFFICE USE JNLV This request voitl 18 mon(hs hom ? o r c h4 clcl?U'fq fl Request Date ire No. Rough-in Inspection Required? ? Ready Now '6?JAlill Nolify Inspector - - G yeS ? No ??When Reatly? I? licensed contractor Yowner hereby request inspection of above electrical work at: Job Atldress (Sireet, Box or Route No.) Ciry 3831 \es U -0. Sedion No. Township Name or No. Range No. Counry I I ko Occupanl(PFINT) Phone No. - ? uJ ? S LA 3 ?3 Z Power Supplier Atldress QC L Electrical Contractor (Company Name) - Conlractor5 License No. Mailing Atldress (Gontractor or OwnenMaking Inslallalion) Aut etl Signature (CO ctor!Owner ing Installation) Phone Number .s - 3 3 c? 2- MINgiSOTA STATE BOARD OF ELECTRICITY THIS INSPECTION FiEQUEST WILL NOT Gri!Ws-MlEway BIEg. - Room S-173 BE ACCEPTED 8Y THE STATE BOARD 1821 Universiry Ave., 51. Paul, MN 55104 UNLESS PaDPEF INSPECTION FEE IS Phone (612) 662-0800 ENCLOSED. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD Control No. 0672 PERMITTI(PE: .. <autLoz_NG ?,._ Permit Number: 000837 Date Issued: 06 f 19/92 SITEADDRESS: LoT: is BIOCK: s 3831 LODESTONE LANE CEDAR GROVE 11 PERMIT SUBTYPE: SF PORCH APPLICANT: FOSNOW KEN (612) 454-3362 TYPE OF WORK: NEW ? ..REMARKS: REGEIPT N SEPARATE PERMIT REQUIRED FOR EI.ECTRICAL ._,_ ? CITY O'F'EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT ? PERMIT TYPE: Permit Number: Date Issued: BUILDINCa 000837 @6/19/92 SITE ADDRESS: 3831 LODESTONE LANE LOT: 15 BLOCK: 3 CEDAR GROVE 11 DESCRIPTION: ? Bu?.ld`i"n,g Permit Type Building-'•Work Type ?SF PORCH Building ten,gth 6u:tlding' Wifth ; ,.... NEW , 12 r,J;? ?? y p ? .. .? ? REMARKS: RECEIPT MCOCqiYqS"'- SEPARATE PERMIT REQUIRED FOR ELECTRICAL FEE SUMMARY: VALUATIQId Base Fee Surcharge Total Fee $72.00 $2.59 $74.50 $5,000 CONTRACTOR: OWNER: - Applicant - FOSNOW KEN 3931 LODESTONE LANE EAGAPI MN (612)454-3362 I I hereby acknowledge that I have r-sad this appl3catlon and stete that the information is corhect and agree tv comply with all appl3aable 3tate of Mn. Statutes and City ofi Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE &u A Q? r,L 1 p111 I UED BY. SIGNA URE Control No. 0672 PERMIT # REACTIVATE _ -? CITY OF EAGAN 1992 BUILDING PERMIT 681-4675 APPLICATIOrN 7?&?? .1 J J H 13 RECo SINGLE 8 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 energy 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 ?TLk -./1L / Z Valuation of work 5i te Address • 3/ ? --j-? L-? STREET SUITE / Ten c?t Name: (commercial only) IAT BIACK SUBD. /1i? _(f ? . l?i?J?-si` 1 { p , I . D . 1f Descri tion of work: c? The applicant is: Owner 0 Contractor ? Other (Describe) Name S`Lj Phone__??'3?' 6 '2- Property LAST FIRST Owner pddress _ 3 ? 3( ?.1) ?e ?-4-6 .v2 STREET STE t Gity State ZipM 2Z- 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 & 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 Minnesata Statutes and City of Eagan Ordinances. ? 5ignature of Applicant: c f OFFICE USE ONLY BUILDING PERMIT TYPE O O1 Foundation ? 02 SF Dwg. ? 03 SF Addition '19 04 SF Porch ,?111 05 SF Mi sc. WORK TYPE L?1 New , ? 32 Addition O 06 Duplex ? 01 4-Plex ? 08 8-Plex ? 09 12-Plex ? IO Multi. Add'1. O 33 Alterations O 34 Repair GENERAL tNFORMATION ? 11 Apt./Lodging O 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move O 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Oemolish Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy ? 2nd F1. sq. ft. PRV Required 2oning Sq. Ft. total Booster Pump # of Stories Footprint 5q. ft. Fire Sprinkler Length ? /,S? On-site well Census Code Depth IZ, On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Yariance REG1UtRED IN SPECTtONS ? c i?EE?N ? Fl 0 '21 «"( ? Site Footing framing ? InSulation ? Wailboard ? ? Final Draintile O Fireplace Permit Fee FjZ . o 0 v,iuat;o,,: g. 5Dc D Surcharge Plan Review License MWCC SAC City 5AC Water Conn. Water Meter , Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Cop ies Other Total: F SAC 96 SAC Units ?? ? . . . .a?. .? . . . . .y .. ... ... . .. ?` . ? .. . . . . , . ?^ ? Ren Foenpw , • . ??,' Or.I0614ar 179-77 : . . ? ,. . , . I Id .. .' Y. . } ?.5:. F• C• JA K50 N h? LAND sUR(VEYOR . t ? 7 PgI'r J y; R[61fT[RiD UND[R LAMIf 4 ATC OP MINNt/OTA ? UCtNMD tY ORDINANCt Of ITY OI M1NNtAlOiis _ - ? ;/ • - . . • ? . _.r r... 727-3484 ' . ;. salS4riwjsr sarM srReEr o f *11Tf1 ? CCTttuc'* ,.r . k /e 3o > X ,.. . ? r ro ?, . ? . . . 1 'Y ?A I ' lw } ? , .. _.?`. ` ' `r . L ? ° ? /'_• . N ?\? ? 1 iz'? ti/ I MER[HY CBRTIA' TMAT THC AOOV! 18 A TRU[ AND 0ORR6CT PLAT OR A. SURVtY?OI 7 Lot 15,91odk 3,Cedar Grove Nn. 11, llakata CaunLy,Minneaota. • .. -.e: Aa sunvereD ar Mg THia 23rd. DAY Or Marcn ..o. 1977 ? . . ? ' . ! ?. f'; • _;:;:; SicH F. C. JAGKSON. MINnnosf4 IrrwwrwN. 'NO. 3400.`.:t; ,$ . w ? ' Date : BUILDZiG PERitiIT P..nYLLCATIO'_i LOT / 5? ELOCK ?3 1L7DITi01d C6W, C:,RJJ F J,! °ARCEL & SECTI0!M PNi'-18ER 2F Ui'iPL:Ai'TEil ADDRESS OF PARCLL 7? j ?o ?-¢ 5'fv?Jz CANF 20i3Ti?G OCCUPANCY IUSE `ftY ?STUyIA7ZD CoS? ? Do U, rq a 4?- i? ?,? T'?s.. ? ,,j ?rxoitE ,?o . 56 6 - lS / a.muss 73 2?4 13R •« -i- .4?F CO':11^s22CiOR Kr- /I. TELY:PHOYIE T?O. AnvREss `) 3 L-! D R- Ls- d- A,. ?-o "tdotes Include si.t<> planP building plans, ancl enercjy calculation3 with t}iir, apnlicatioi: Si.qnedi ? ----- .. ... -- OP'x 2CE USE '?:aLli:1iI0?3?- 7 Y?qS SF,C ?'irAxE:R CO'.R"XC^Tl)'.S 49 aV td1•+.?'F+I"c Y9E1`ER (O? DUILDIrTG PF.21T4IT FM,' J-V&? uURCHAFiGE FEE; FL't1Yi Cir:PCIC FLE PAAK DEDICATM:i l'EE OT1? y? TOTAL* APPROVALSo ASSESSMEi:ET CLEtZlt BUILDTATG DFPT. POLICE DEPa._____,._ ._ TM':'ER & 5Eb!Ez2 DEPT. FI?L DEPT. PIL'?IC DEPT._ Ken FDan3v Or.10614 179-72 F. C. JACKSO-N LAND SURVEYOR R[61STHNED UNDtIt {.AWi 0I ATt Or MINN[fOTA LIC[ND60 BY ORDINANC[ OF ITY 0/ MINNtA1Olt{ . 727-3484 ' 38jS4E1/ AST SSTM STREET i i ? OALb ? Q?LYn J0 x ??P i T ? ?i • ? L I?e v) ,h? ?j/ 1Q. ? N /, V ?yl ry?, ?/,, - ?9 3 ? I HERiBY C[RTIFV TNAT THE ABOV[ 16 A TRU[ AND OORR[CT PLAT OF A SURV[Y OF ` r 7 Lot 15,Biodk 3,Cedar Grove Na. 11, ? llako[a County,Minneeota. \( AS SURVEYED BY MH TMIY23rd. DAV Or !!?YCa A p 1977 N6D F. C. JAGKSON. MINn[sosA 6is7RwTwp. No. 3600 Use BLUE or BLACK Ink, ~ C^or-Office:,Use I ( city of Ea al! I Permit I ( I Permit Fee: I 3830 Pilot Knob Road 6 I I Eagan MN 55122 vr,~ 0 i Date Receive Phone: (651) 675-5675 d I I I Fax: (651) 675-5694 1 Staff: ;2010 RESIDENTIAL PLUMBING PERMIT APPLICA ON Date:- Site Address: N WCM A 44 Tenant: )on \ I ()SnM Suite RESIDENT/ OWNER Name: Phone: Address / City / Zip: U~ U-Acst~~ w~ CONTRACTOR Name: _ `0~ _.e (Pct Address: ?:-'11 City: + uGl~ State: to i Zip: Phone: IS Contact: Email TYPE OF WORK New _ Replacement Repair ReIbuild _ Modify Space _Work in R.O.W. r, _ Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ / PVB Add Plumbing Fixtures( Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: i $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) t $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnar und* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic $ystem New ($10.00 per as built) (includes County fee and $5.0 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.0 State Surcharge) D~ TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 folr protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.clooherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in onformance 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 wor 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 la x Applicant's Printed Name A p a ' tgnature FOR OF16IC9 USE Reviewed By: Date: i Required Ins' sections: -Under Ground -Rough-In Air Te t -Gas Test -Final I Use BLUE or BLACK Ink For Office Use 1 city ; Permit of Eap I Pernik Fee: I O S °)J I 3830 Pilot Knob Road 1 I Eagan MN 55122 j Date Received:' Phone: (651) 675-5675 I I Fax: (651) 675-NN 1 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: 1yo~ Phone: _4:-/_ Isy -334-- Resident/ Owner Address / City / Zip: 39-31 bed"I nt- at e- Applicant is: Omer t56ontractor Type of Work Description of work: ,i_ Construction Cost: a" Multi-Family Building: (Yes / No Company: T f~ i ov .'Iw O'g -S S ar u rte' Contact: Lowv b 1'.-o5O.1 r / Address: Gt~ City: Contractor State: nn (i ! K - Zip: _ 0 Phone: 5-0-7 - ' - 3;~- 7 5~. License "~>C 6 3 f- ; 73 Lead Certificate &&E- I 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 48 hours before you intend to dig to receive locates of underground utilities. www.cior)herstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinance and odes 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 x Applicant's Printed Name Applicant's Signature Page 1 of 3