3101 Farnum DrReceipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
?dw Fill in numbered spaces S/C
Type or Prin[ legibly
Tot.
1. Date ?4 C? 2. Installation Cost
3. Job Address ?: r Lot ? Bik. ? Tract -
4. Owner
, 1 -
5. Contractor Phone
6. Address ?-
7. CitY L - - ?-!-? ? ? State Zip - 8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New T? Add ? Alter O Repair ?
10. Describe Fuel Type i%"Z
i`
11.
No.
? EQyipment 8TU - M. Ea.
Forced Air ? - No. Equiameni CFM
Ai
H
li
Mfg. : 13- .. .?_ r
and
ng:
Boilers
Mfg.
Unit Heater Mech. Exhaust
Mfg. Other
Air Cond.
Mfg.
? '-
?? Gas, Piping Outlets
-
-
12. I hereby certify ihat the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Flnal
Inspections: Date Insp. Date Insp.
7his is Your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
-?
Receipt --' ' ^
PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Prini /egibly
1, Date %/1 0/>>2 2. Installation Cost
In
3. Job Address _3103 Lot `'{ Blk.
Parmit No. ?
Fee .
S/C
?ot
-?-------.--
-7 Tract C%OAGFAS?;N
4. Owner =:oSEWOOD COitT'.
5. Contractor SCHULTIES PW. TidC. Phone 7b6-4007
6. Address 1697 RA'??sSON U..
7. City c:AII1E State ?. Zip ' %8. Building Type: Aesidential d
9. Work Description: New b
10. Describe
11.
w00D FRAMB
Commercial ? Institutional ?
Add ? Alter O Repair O
No. Fixtures
Water Closet No. Fixtures
ool/Drainfield
Cess
? Bath tubs p
Septic Tank
3 Lavatory Softner
1 5hower Well
1 Kitchen Sink
Urinal/Bidet Otfier
1 Laundry Tray
1 Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby oertify tfiat the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: tor
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved,
Approved CITY OF EAGAN 464-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee '
Fill in numbered spaces S/C
Type or Print /egibly Tot.
1. Date ~ 2. Installation Cost - --•
3. Job Address • Lot Blk. ? Tract
4. Owner
5. Contractor Phone
6. Address
i
7. City State . ) Zip
I
8. Building Type: Residential ,O Commercial ? Institutional ? I
9. Work Description: New C7 Add ? Alter O Repair ?
10. Describe Fuel Type ?
11.
No.
/ E_quioment STU - M. Ea.
Forced Air No. Equipment CFM
dli
Ai
H
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Oth
Air Cond. er
Mfg. ' - _
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT
CITY OF EAGAN
Fill in numberied spaces
Type or Print /egibly
Permit No.
Fee ,
S/C
Tot.
1. Date 2. Instaliation st
-? r ,?,
3. Job Address lk. 7 Tract <-??? :• " ? T-
? ??• ??
4. Owner
5. Contractor ,- 7-1 1- Phone
?
6. Address
`- J 7
7. City ? - - State Zip
8. Building Type: Residential ? Commercial C3 Institutional O
9. Work Description: New It(I Add ? Alter ? Repair ?
i
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
_L Bath tubs Septic Tank
Lavatory $oftne r
I Shower Well
f Kitchen Sink
-T
i Urinal/Bidet
Laundry Tray Other
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances end codes governing this type of work.
Signed: - for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-5100
??.?.
Receipt
PLUMBING PERMIT
CITY OF EAGAN
FiII in numbered spaces
Type or Print /egib/y
~? ..?..? 11.
Permit No.
Fea -')•
S/C ?? •
ToL 2?. ?. ?1. Date 5/10f G2 2. Installation Cost
3. Job Address 1593 - ., . . -lot-? • ?' Blk. I Tract GdAG] L L;+
q ?1
4. Owner »YMD ^0:.?.
5. Contractor j'?iIULTIT:: ''U.;. I;dG. Phone 7364007
6. Address 1697 :'•??? i:?SUN i?1:.
7. CIty -rYl11YF StHLB ZIP
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New Add 0 Alter ? Repair O
10. Describe • UO:; . -;,r1:1?:
11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
> Lavatory $oftner
? Shower
Well
1 Kitchen Sink
Urinal/Bidet Other
fi Laundry Tray
7 Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN -
- Fea
? Fill in numbered spaces S/C •f7)
Type or Print /egib/y Tot. :-;d • Z
1. Date 2. Installation Cost
3. JobAddress .r ,'?Lot ? Blk. _2Tract
4. Owner
5. Contractor ?-?-s Phone
6. Address
7. City State i/.rr? Zip
?
8. Building Type: Residential ? Commercial ? Institutional ?
i ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe I•'. Fuel TYPe
/
11
No,
? Equinment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
li
Mfg. r
ng:
and
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mtg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and fodes goveming this type of work.
Signed : "for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
CITY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
? SITE ADDRESS:
I ?i;
? ll/l? J?M111Fd 1/11V11 7 11 I'? 1
PERMIT SUBTYPE:
i r r', i. 1 1
INSPECTION RECORD
PERMITTYPE:
Permit Number: • "? 1'? •+?'
Date Issued: ,IIIIIIINOW1 4
APPUCANT:
, !? 11 .; ii•! I
( i> 1:' 1 l)titi Yi 1(949
TYPE OF WORK:
R I. i'A i ie
INSPECTION .• • DA
Ulllifi 1N 111
??
tPa??f
I FF MARM `.. r I Ni 1 U111
t 1 0 t i ARNUPI iIh' ( 1(F f .' 1 1','I ? t i) it{1 4ip? •. NIi ( I ti i i) 11i'1I!p (101 4)
??
Psrmlt No. PermR Holder Date Telaphone N
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
inspectfon Dats Insp. Commerns
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Finai Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
r
. ?
s Q?-
Deck Ftg.
Deck Final
We11
Pr. Disp.
BUILDING PERMIT
To be used for FIREpLACB
Site Address a
Lot 3 Block
Parcel No.
W Name ?ICE AU3TIt?
t Address 1593 r0it[t oAKS RD
0 City EA"N Phone 454-"$2
a
o
Name
HEAT-Ai-GLO
`
;a Address 3850 W HWY 13
r City BURKSVILLE Phone 890-02$7
WUW¢ Name
Address
a W City Phone
I hereby acknowlege that I have read ihis application and state that the
iniormation is correct and agree to comply wi(h all applicable State o1
Minnesota Statutes and C?y ol Eagan Ordinances. ,
Signature of Permitee
A 8uilding Permit is issued to: HEAT-N-GLO
on the express condition that all work shall be done fn accordance with all
applicable State o1 Minnesota Statutes and City of Eagan Ordinances.
Building OHicial - ,
CITY OF EAGAN 40 17105
3830 Pilot Knob Roao, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 I , ?
Est. Value $1,000
UR OAKS RD
Sec/Sub. C?I
Receipt # - / ` ?
Occupancy
Zoning
(Actual) Const
(Allowabie)
8 of Slories
Length
Depth
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
Mwcc system
ciry water
PRV Required
Booster Pump
OFFICE USE ONLY
FEFS
1/? _ rl[1
APPROVALS
Planner
Council
Bldg. OH.
Variance
Bldg. Permit
Surcharge
Pian Review
SAG City
SAC, MCWCC
Water Conn
Water Meter
Acct. Oeposil
S/W Permit
SrW Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
.' 7f7
Y6.50
Permk No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Fnal Htg.
Final Pibg.
Const. Meler Plbg. Inspector - Notify Plumber
Engr.lPlan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
. • cinr oF EAGAN
. 3795 wW K.ob a.na Ko,on, MN s5121
PHONE: 454-3100
BUILDING PERMIT Receipr #
Te ba wmd for Est. Value ? Date ,
.
, 19
Site Addrcu Erect Q Otcuponcy
Lot Block Sec/Sub. 111ter ? Zonirq
parcel # Repair ? Firc Zone
N Enlorye ? Type of Const.
ome
W ??
O
# Stories
; Addmss Demolish ? Length
b G phone Grode ? Depth Sq. Ft.
? Nnme Approvals feas
0
?
Address
Assessment
Permit
?
~ C Woter a Sew. Surcharye
it p??
F
UW Nome Police Plon check
F Firo 5/1C
Z
Address Enp, Water Conn.
G phorM
L Plonner Water Meter
Countfl Rood Unit
I hereby ocknowledge that I hove read this opplicotion ond state thot g?? Off.
fhe information is correct ond a9ree to tomply wlth oll opplicable
State of Minnesota Stotutes and Cify of Eagcn Ordinances. ^PC Totol
Siynoturc of Pertnittee
A Building Permit is issued to: on the express condition thnt
all wark sholl be done in acco?darxe wlth all applicable Stote of Minn esota Stotutes ond City of Eopon Ordinerxes.
Buildinp Officfal
Permit No. Permit Holdar Misc. Permit No. Holder
Plumbing 107.1C0
H.V.A.C. 7 --74Z
Wall
Wat?r
D'?sp.
Sewer
e?M??c TS4/3Z ?Or ?r./1
Inspection Date Insp. Other
Footi?p?
Foundation
Framinq
Rouyh Plbp, lJ --'? Z c.)
Rou¢+ HVA
Inwlation
Final Plbg. ?
Final HVAC .? ?
Final ? Z
water Doacribe Location:
YWII ,
Sawer
Pr. DhP.
.
f ,
CITY OP EAGAN - rp
379! PiW Keob Reod Eagen, MN S5122
PHONE: 454-8100
BUILDING PERMIT Receipr #
Te be wed fer Est. Volue Date , 14
Site llddross Erect ? Occupancy
Lot Block Sec/Sub. • ' Alte? ? Zoniny
parul # Repoir ? Fire Zone
Enlarye ? Type of Const.
W N°'T'e Move D # Srories
I Addrass Demolish p Length
0rv ah,,... Grade ? Depth Sa. Ft.
o Nome _
?
?? Address
?- Ir-I...
1 here6y ocknowledpe thot I have read this opplication ond stafe that
fhe intormation is wrrect and agree to comply with all applicoble
Stote of Minnesota Stotutea ond City of Eagon Ordinonces.
Sipnoture of Pertnittee
A Building PeRnit is issued to:
oll work shall be done in occordonce with oll oppliwble Stare of Mlr
Buildinp Officiol
Assessment
Woter 8 Sew.
Polica
Firo
Enp.
Pionner
Council
Bldg. Off.
APC
Permit
Surchorfle
Plan check
SAC
Water Conn.
Woter Meter
Rood Unit
Totol
on the express wnditlon tFai
s and tity of Eoqan O?dinonces.
Permit No. Parmit Holder Misc. Parmit No. Holder
Plumbiny $P`7 5c At'E 5-(74
H.V.A.C. 0? -7'
Woll
Water
D'ap.
Sewer
Eleetric TSg ( 3l ? ElEcr ? 7`( 2?$?
Impaction Date Insp. Other
Footingt S-J" 2
Foundetion
Freminp ??,a •
Rouph Plb¢ . ? Z
Rouph HVA )
Inwlation
Final Plby.
Final HVAC _
Final w `
Watar Daseri6a Locrtion:
Vlfell „
S?vr?r
Pr. Di?p.
.
, cirY oF EA"N ,
. : ' 3795 PilO Kwob Road Eopan, MN 55122
'' .
PHOHEs 454-8100
BUILDING PERMIT
of 4 P2., ".000
Site Address Lot Block _
Parcel #
m Nome
W
; ` Address
b - - .
Name _
?
v? Address
t' r;w,
Name
Address
Retelpt #
EreCt ? Qtcuponty
Alter p Zoninp
Repoir ? Fire Zone
Enlorpe Q Type of Const.
Move 0 # Stories
Demoltsh
d ? Length
F
D
e
Gro p epth Sq.
t.
Avprovols Fees
Assessment _
Woter 8 5ew.
Phone
Police
Flra
Erp.
phone Plonner
Countfl
I hereby ocknowledge that I hove read this opplication ond sfate thot g?? Off.
the information is torrect and ogree to tomply with oll opplicoble
Stete of Minnesoto Statutes end Ciry of Eogon Ordinnnces. APC -
Permit
SurtFwrqe
Plon check
SAC
Water Conn.
Woter Meter
Rood Unit
Totol
Siflnoture of Permittee I
/1 Building Permit ls issued to: on the express conditlon thnt
olt work shall be done in ocoordance with oll applioobls State of Minnesota Statutes and Cify of Eopon Ordinonces.
Buildinp Offlciol
Parmit No. Ptrmit Holdsr Misc. Psrmit No. Holder
Plumbing
H.v.a.c. ,3(j7 Z ?+s . 7 -7 -?8'?L
W?r Well
Disp.
Sevwr
e??.?? i
Irqpsction DaN Insp. Other
Footings y+$2 d)L
Foundetion
Framing
Rouph Plbp. 2 ?
Rouph HVAC
liuulation
Final Plbp,
Finsl HVAC
Finsl
Wster Wscribs Location: .
V11a11 "
Ssvrer '
Pr. pisp.
`
CITY OF EAGAN
•'` 9795 ?ilot Knob Reod Eaqon, MN 55122
iHONE: 454-8100
BUILDING PERMIT
Slte iWdi
LOt
Parcel #
W Nome
a Address
Z
0' Name
0
u? Addre,
Name _
Address
I?'?o
Receipt #
C.ecr u
Alter 0
Repalr ?
Enlorfle p
Move ?
Demolish ?
Grode ?
Assessment -
Woter & Sew.
Pol ice
Fim
Eng•
Planner
Councf I
1 hereby acknowledge that 1 hove reod this applicotion and stote thot gldg. Off. _
the informotion is correct ond ogree to comply with all applicoble ^PC
State of Minnesota Statutes and City of Eegan Ordinonces.
Sipnaturc of Permittee
, .. , ?,,.., r-,•: :..r ; -> -
vccupanry
Zoniny
Firo Zone
Typa of Const.
# Stories
i e.,...ti
Sq. Ft.
Fees
Permif
Surchorge
Plon check
SAC
Water Conn.
Water Meter
Rood Unit
Total
A Building Permit is issued to: ' on the express condition Ihat
all work shall be done in ocwrdance with all applicable 5tote of Minnesota Statutes and City of Eapon Ordinances.
8ulldirg Official
Permit No. Permit Holder Misa Permit No. Holder
?' ?5 ? !?l ?? s S^( 7 ?"`Z
E 3075 ??s . 7-7-?-
Disp.
electr'0. T8"t 133
Inepect3on Daft Insp. Other
Footinys -?-''2
Foundation
Freminp ? d
Rouqh Plba . . GJ4 • L
Rouph HVA
Inwlation
Fiml PIb4 ? ?. -11 4de-l
Final HVAC
Final
Wsbr Dqcribe Location:
MWII
5swer ?
Pr. Dbp.
CONTRACT
PRICE
Lot
m Name
? Addre
? CftY -
Name
L
c Addre
8 city -
rLumUNnu rersmI I For Office Use O y
CITY OF EAGAN PERMIT # //
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT? 77
PHONE 4548100 DATE: ? ?f7 Sv
? rUYr, I r BLDG. VPE WORK DESCRIPTION
/Block ` `{ Sb ResMult. New
. Add-on ?
4' .
Comm. Repair
Other
/1I
/ i%
I-12
FEES
COMM./IND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO- RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PEFiMIT FEE)
t • r t
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
? Water Heater - $1.50
Whirlpool - $3.d0
Gas Piping OuUets - $1.50
(AAINIMUM -1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
U. G. Sprinkler System -$12.00 ?
PERMIT FEE:
STATES S/C: ? J
GRAND TOTAL: :?''• sv
CITY OF EAGAN
Addition C?AH IAND CO. l.st ADDITION Lat 3 Blk
Owner Street 1 S Q 3 De, KS Improvement Date Amount Annual Years Payment Receipt Date
' STREET SURF, j 4 Paid Lmfl aPCOl ld ?? 3.1-31
STREET RESTOR. ` 19 754,17 603.34 A011833 1-19-83
GRADING 1971 ?
Grading 983 173.26 34.65 5 138.61 A011833 1-19-83
SAN SEW TRUNK 1968 n „ „ „
* SEWER LATERAL 9 3 I
** 1983 1908.37 381.67 5 1526.70 A011833 1-19-83
WATERMAIN 11 9'r2 IF n
? WATER LATERAL wo- 1973
WATER AREA
6* 197
1
**Water Lat 1983 5
STORM SEW TRK 19'r5 1
** STpRM SEW LAT 1983 5
**Services 1983
CURB & GUTTER
SIDEWALK
STREETXXOM 1007 1986 46.33 4.63 10
ROAD UNIT 240.00 #30040 5-12-82
WATER CONN, 420.00
BUILDING PER. 7260
SAC
525,00
PARK
-?--.?
CITY OF EAGAN Remarks-?
addition' CCIACSMM LA1fD C0. lst ADDITIOA Lot
Owner Street - «? 5 F-6 k.- (I
10-16150-0+0-o7
Improvement Oate Amount Annual Years Payment Receipt Date
STREET SURF, I} Pai(? lll'i(?C CQl ZO O 11- 1
STREET RESTOR.
l 9H3
1 754.17 150.83 5 754.17 C008036 0-14-82
GRAOING
i 1 to n n
rad' 83 173.26 34.65 5 173.26 C008036 0-14-82
SAN SEW TRUNK ,
968
?
SEWER LATERAL /
1973
**Sewer Lat 1983 1908.37 381.67 5 1908.37 C008036 0-14-82 I
WATERMAIN 1972 n $t n n
f WATER LATERAL 1 3 " of
WATER AREA 1977
**Water Lat ? 1983 5
STORM SEW TRK 1975 n ?? n n
** STORM SEW LAT 1983 5
**Services 1983 5
CURB & GUTTER
SIDEWALK
STREET L)DMX 1007 1986 46.33 .6 10
VYATER CONN.
70
BUILDING PER. 7261
sAe 525.00
PARK
I CITY OF EAGAN Remarks
j Addition COA?'+HKAN LAND CO. 1.St ADDITIODiLot 1 Rlk 7 Parcel 10-18150-010'07
i Owner Street A-kok vE' State
Improvement Date Annual Years Payment Receipt Oate
' STREET SURF. 1914 1 1 Cel 10 ?- u-
STREET RESTOR. 1983 R 150.83 6O .4 AOU C2 12-2 -S2
GRADIMG
Gradine 1983 .2 34.65 S 138.61 A011 62 12-2 -82
SAN SEW TRUNK 1968 ?? n n n
• SEWEFi LATERAL 1913
n
n
n
n
** 1983 1908.37 381.67 5 1526.7o A011 62 12-2 -82
WATERMAIN 1972
• WATER LATERAL 1973
WATER AREA 1977 „ n
**Wat r Lat 1983 5
STORM SEW TRK 19
** STORM SEW LAT 1983 5
**Services 1983 5
CURB & GUTTER
SIDEWAIK
5TR EETXXaf'pC 1 #4.,3 3 -,P 4
240.00 #30040 5-12-82
WATER CONN. 420.00
BUIIDING PEF, 7958
SAC
PAR K
CITY OF EAGAN Remarks ?•' . Ic! 2 z 5
AdditiOn COACEW LkND CQ. 'at ADDITIQNLot 2 Rlk 7 Parcel 10-18150-020-O7
Owner Street 3j 03 '?Z0.r' o\ u.rv. b t' c \I E- Scate
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ? Paid UGde 8t'CEZ 10- 00 u- 1
STREET RESTOR. 1983 754.17 150.83 S 452.51 3 - 8-8
GRADING 1971 n n ?r n
Grading 18 173.26 34.65 139 2 12-28-83
SAN SEW TRUNK 1968 11 it 11
SEWER LATERAL 1 -4 n n u n
**Se r Lat 1983 1908.37 381.67 5 1145.03 2 -8
WATERMAIN 1972 n n
* WATER LATERAL j 3 n
WATER AREA AW '1971 n to „
**Wa r Lat 1983 5
STaRM SEW TRK 19T5 'I n n p
** STORM SEW LAT 1983 r,
**Services 1983 5
CURB & GUTTER
SIDEWALK
STREETXMM U0 1986 46.33 4.63 10
ROAD I 240.00 #30040 5-12-82
WATER CONN. 420. OO 11
9UILDING PER. 7259
SAC 525.00 11
PARK
"
Receipt MECHAAIICAL PERMIT Permit No.
CITY OF EAGAN
Fee
° ' Fill in numbered spaces S/C • •
Type or Print legib/y
Tot.
1. Date 2. Installation Cost
,
i 3. Job Address ; LotBik. -"Z" Tract 4. Owner
5. Contractor r Gli? Phone
- -, - /
6. Address
7. City ' i State Zip ?- ?
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New `C?-- Add ? Alter 0 Repair ?
10. Describe _Fuel Type ? U (
11.
No. Eauioment 8TU - M. Ea.
Forced Air Nq. Equipment CFM
i
Mfg. A
r Handling:
Boilers ? .
Mfg. - Mech. Exhaust
Unit Heater
Mfg. Othe
Air Cond. r
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : foT
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
Reoeipt ?- ?
PLUMBING PERMIT
CITY OF EAGAN
FiJI in ndr»bered spacea
Type or Prini /egibly
Permit No.
Fee
S/C •5rf
Ta. 20.50
1. Date 2. Instaliation Cast '
3. Job Address ' ?`?1 ' F sCW ?l` ?'-`L?ot ' Blk. 7 Tract C0ACW-:-W-;N
4. Owner '-','4"00D CORP.
5. Contractor C`TULTIES PLG. INC.
Phone 'l?b-?y00?
6. Address
7. city state :1. zip 554311
8. Building Type: Residential ?l Commercial ? Institutional 0
9. Work Description: New Cl Add ?
10. Describe '"00L' ?'iiAFIE
11.
Alter ? Repair 0
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
' Bath tubs
Septic Tank
Lavatory Softner
? Shower Well
? Kitchen Sink
Urinal/Bidet Other
Laundry 'fray
? Floor drains
Drinking Ftn.
Slop Sink
Gas Piping Dutlets
12. I hereby certify that the above information is true and correct, and I agree to
Comply with all ordinances and codes goVeming this type of work.
Signed: for
. Hough Final
Inspectioni: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
. Fee
Fill in numbered spaces 5/C
Type or Prini /egiWy Tot.
1. Date 2. Installation Cost
3. Job Addressi ' Lot ? Blk.V ) Tract
4. Owner - i
5. Contractor Phone
6. Address
7. City State , Zip
8. Building Type: Residential ,$( Commercial O Institutianal El
9. Work Description: New 0 Add )q Alter O Repair ?
10. Describe Fuel Type
11
No. Equfoment 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 abov information is true and correct, and I agree to
comply with all ordinances ar?d codes governing this type of work.
Signed : for
' Rough Fin I
Inspections: Date Insp. Date 7 3 & Insp.
This is your permit when numbered and approved. /V
Approved CITY OF EAGAN 464-8100
Receipt
Fill in
or Print
nate 2. Installation Cost
r Permit Na.
Fee
? S/C ? -- • -
Tot.
(' o /iG-HMA N
3. Job Address ? l.oi0 S Blk. r) Tract L-IWD C° 15r
Jo 18?5`v a3v DO
4. Owner
5. Contractor Phone
6. Address
7. City State Zip I
8. Building Type: Residential ?
9. Work Description: New ?
Commercial O Institutional ?
Add Cl Alter ? Repair ?
10. Describe Fue! TypP '
11.
No. Equidment 8TU - M. Ea.
Forced Air No. Equipment CFM
A
Mfg. ir Handling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. O
h
Air Cond. er
t
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : + I i for
Rough Final
Inspections: Oate Insp. _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
; .-
of
!D?
To Be Used For
Site Address -?
Lot123 ?sloclc
Parcel. '#:7f0 l $?
CITY OF EAGAN
BUILDING PERMI'l APPLICATION
Valuation
3 j6q3
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calwlations.
Date 2-
[CE USE_ONLY
2 Sec./S IAAt?lAlAU ? Esect ? Occupancy
?C b?D ('J? ?A?.O Co, !Jf AOAlter Zoning ._
Repair Fire Zone
Ownex: CQAG01'4AkJ Lq-a?Q ('.p Enlarge Type of Const. _
Address: a4:32 132JC2 M°"e # Stories
ft
Demolish .
Front ?
n/
City/Zip Code: /GVSE !,7 f/g i /f1N Grade Depth ft.
Phone #: 636- 9050
APPROVALS FEES
US
1J J Q
Assessments
6
' Permit -
Contractor:
F6W0 /VYS/oia:
ar
T•
Address: P,e 2 4vg A/o T^later/Sewer
Police Surcharge
Plan
Check ? S 3-
City/Zip Code: Fire SAC S? 5_-fD
Ph
#
?1?32r
` gnq.
' Water Conn. 92?
one
: [?
7
/ Planner Water Meter
O G 2 m council Rnaa vnit 2 yD-
Arch./Eng.. ?,? i
Address:
City/Zip Code:
Phone #=
Bldg. Off.
APC
TOTAL ?
??V-b
? #-7
7U Be Used For 4
?
10?IA3 Block -7_ Sec./Su1
Paroel #: 10 1 $I SD 010 0-"7
CITY OF FAGAN . include 2 sets of plans,
1 site plan w/elevations &
Bi)ILDING PERMIT APPLICATION 1 set of energy calculations.
valuation Date ?--
??!,7_t.?l ?ISrl7 ?? ?FICE USE ONLY
CeMIlAtAU ? Erect ? OccupancX 6"3
I."d Co,, 1Jt AQy,Alter Zoning /C7 D
/'? Repair Fire 2one
Osmer: I.QAGHMA A) LfiU 0 C.o Enlar9e _Type of Const. ?
Mdress: a432 P,
Gity/Zip Code: I&SB
rhone #: ti36-
Contractorc iU,SpLlbe4
,-. APpRovAIS FEEs
Address: a,4'i2 /7oC'ia ke ?lo
City/2ip Coc1e:
Phone #:
Arc,./Ihg. : DPS,s'4). G U4 M ,
Pddress:
City/Zip Code:
Phane #:
Nbve # Stories
? Derolish _ Front ,?' ft.
AJ Grade Depth 24 ft.
?dater/Sewer
Police
Fire
En4 •
Plaruier
council -
Bldg, Off.
APC av?p-?
Surcharge
Plan Check
SAC
Water Conn.
Water Meter
Road U1v.t
?Cn'AL ? ??
. CITY OF EAGAN N4 7259
+3795 Ppet Knob Roed Eaqan, MN SS142 -
PHONFt 454-8100
BUILDING PERMIT Receiat
Ta 6e wed /ar 1 of 4 PLEC En_ Velue Y68.000 DnrP 14a9..12 1982
Site Addreu J1vJ r%??lu Lrive
Lot 2 BI«k 7 See/SubP-?'
P,rcei # 10 18150 020 07
W Nome COaCtMM IdLld OO.
? Address 2432 Prior Ave. No..
i _ cec oncn
g Name Rnsewood Coro. Const. I7ivisian
? Addreu 2432 Priox AVe. No.
G, Rosevi.lle P,,,u 631-3254
GW Nome Des1Q11 QOLID M
rW
?? Mdrcu
<CIN Phone
1 hereby atkrrowledge that I hava read this opplication and state ihat
tha informotion is correct and ogree to comply with oll opplicoble
$tota of Minnesota $tatutes and City of Eogan Ordirwmes.
Siprroturc of Pertnittee
A Building Permit Is issued ro: RoSe"
all work shall ba done in accordonee with
Erect Occuponcy R-3
-
Alter ? FD
Zoning
Repolr ? Fire Zone
Enlarge ? Typa of Const. vil
Move ? # Stories
Demolish ? Length 46
Grode p Depth26 Sq. Ft.-
Apyrorals Fsea
Assessment Permit w / • W
Water & Sew. $urchorge 29.00
Police Plan check 153.50_
Fire SAC 5 .5_nn
Enp. WaterConn.410_0()
Pionner Water Meter 60_ nn
Councll Road Unit 740 - no
Off
BIdO -
---
.
• ?7?
---
APC Total '?'i?-"•??
_ on the express wrditian tlun
ond Ciry of Eagon Ordinontes.
Bu{Idinq pff{cial
r R?
4b Be Used P
site Pctaress
Iot?i?13 Bl,
Parcel #: 10
Repair Fire Zone
aaner: COAC14A1AiU LqA;O C-o Enlar3e _ TYle of Const.
Address: 2432 P/J_/&2 Move # Stories
/ Demolish Front ? ft.
city/zip coae: /LoSe v,fle4N Grade _ DePth ft.
Phore #: h 3 ti -
Contractor:
Address:
EAGAN Include 2 sets of plans,
1 site g1an wjelevations &
APPLICATION 1 set of energy calculations.
/LIS _
?WQ' Date Z
j3 ! 1545 ?vj? ? USE ONLY
E Erect ? Occupancy J9
AQ'1?].ter Zonirig /C?7 4-1
City/Zip Code•
Phone #: 6V1-32,.5
Arch./Eng.: G a.o4 M ,
Address:
City/Zip Code:
Phone #:
?aater/Seaer
Police _
Fire
Eng-
Planner
Councii
Bldg. Off.
APC
Surcharge "2 4s
Plan Check j , ,3 _a
SAC 5' t? •a
Water Conn. 9?/? _V
Water Meter
Road Unit __?
?-
7.C7PAL ?
s I-47 2 s1 czTY oF
, Q?--' BUILDING PERMIT
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Tb se usea For vatuatior, 49"Wlr Date 5//L/S Z
sits ?dress 10 (?, 310'? wuk- 1)1 15?t S?ou2 ? S 4,0
?? ??? OFFICE USE ONLY
Ir?tl Block ? _ Sec./S /?pAWA1-7 ub ?,iAU Erect ? Occupan
{?J cY R 3
Parcel? #: /0 ?0? ( L?.O Co• 1s? q,A1ter Zoning
Repair Fire Zone
Owner: (,. Q NA1A u .?tll? 0 ( p En1 ar9e ` 7yPe of Const.
Address: ar?3.y ?j1?o/? Move # Stories
Demolish Fmnt ? ft.
City/Zip Code: 2ose Uile .; /oN Grade J Depth z? ft.
Fhone # : h 3 A-
Contractor:
Address:
CITY pE' EAGAN
BUILDING PERMIT APPLICATION
. _
City/Zip Code:
Phone #:
Arch./Eng. : beliv$'ID,
Address•
APPROVAIS FEES
Assessnents Permit D
?aater/Seaer Surcharge
Police Plan Check-
°
Fire _
SAC 5-2 5 !a
Eng. Water Conn. 4 ?2,0 -V
Planner Water Meter L ri-
Council Road unit ?9 j'Gr
Bldg. Off.
APC
ZOTAL 17-- ?
City/Zip Code:
Phone #:
CITY OF EAGAN NO 17105
,. 3830 Piiot Knob Road, P.O. Box 21-199, Eagan, MN 55121
. PHONE:454-8100 `3/]4L?
BUILDING PERMIT Receipt # `?? ?
Tobeusedtor FIREPLACE Escvawe $1,000 Date SEP 26 , 1989
Site Address 1593 FOUR OAKS RD
Lot 3 Block 7 Sec/Sub. COACHMAN LAND CO
Parcel No. 1ST
w Name Ai.T(:F AIISTTN
o Address 1593 FOIIR OAKS R?
CI(Y F.AC:AN Phone 454_69R9
o Name HEAT-N-('LO
i
8? Address-.3850 W HWY 73
City RiTRNSVTi.T.F phone R90-0987
?
$w Name
Address
aW City Phone
I hereby acknowlege that I have read this application and state that the
in(ormation is conect and agree to comply with all applicable Stale of
Minnesota Stalutes an30717M
Signature Of Permitee
A eviming Permit is issued to: HEAT-N-GLO
on the express condition that all work shall be done in accordance with all
appliwble State of Minnesota Statutes and Ciry of Eaqan Ordinances.
A
8uilding Official 11D114 V ll'?Y1,
?I I?
?
OCCUpancy
Zoning
(ACtual) Const
(Aliowable)
M of Slories
Length
Depth
S.F. Total
S.F. Footprints
On Site Sewage
on site weil
MWCC System
Cily Waler
PRV Fequired
Boasler Pump
APPROVALS
Pianner
Council
Bltlg. Ofl.
Variance
OFFICE USE ONLY
FEES
Bldg. Permit
Sutcharge
Plan Review
SAC, Ciry
SAC,MCWCC
Water Conn
Water Meter
Acct Deposit
SlVJ Permil
SiW Surcharge
Treatmenl PI
Road Unit
Park Ded.
CoDies
TOTAL
26.00
.$?
ZO JU
CITY OF EAGAN N° 7258
3795 Pllo! Knob Reod Eagan, MN 53131 -
' • PHONE: I54-6100
BUILDING PERMIT Receipt #
re ee ume tw 1 0£ 4 PLEX cn v?h,. $58.000 Dma Mav 12 ," 0 82
Sita Address ?tui r?itiIR llL1VE
Lot 1 xx Block 7 See/Sub. CoaC"f18I1' I2Lld ?'St
Pamei # 10 18150 010 07
c Nume Ci0dc1II113n Ia[id CO.
z nddre? 2432 Prior Ave.
C; Roseville Pho,,, 636-8050
? Name RoSeWOOd COYQ. ConSt. Bivlsion
g? nddre.a 2432 Prior Ave. Pb.
r 17 Rnqpvilla e1 ___ h41-4954
Nome _
Address
I hereby acknowledge thaf 1 hove read this opplication and stale that
the inlormolion is correct and ogree to wmply with ull applicable
State of Minnesota $tatutes and City of Eogon Ordirwnces.
Signoture of Permittee
A Building Permit Is issued to: RoSew
oll work sholl be done in occordance with all
8uildiny Officinl
e.xr IN occUouncy R-3
Alter ? Zoning
Repair
?
Fire Zone ?
Enlorge ? Type of Const. Vn
Move ? # Stories
Demolish ? Length 46
6rade ? Depth 26 Sq. Ft.-
ADWwafi Fen
Assessment Permit JYU / • UU
Water & Sew. $urchorga 29•00
Polite Plan check 153.50
Fire sAC 525.00
Eny. Wafer Conn.420 00
Planner WaterMeter 0
•?
CAUncil ?./?/?
Road Unit 2???/?
VU
Bldg. Off.
APC Totol $1734• SO
??on Div• on t he expreu wndiNon ihn?
32UIStetWesynd Ciry of Eagan Ordirwncea.
BUILDING PERMIT
CITY OF EAGAN
9795 Pilo! Knob Reod Gysn, MN SS122
PHONEs 454-8100
Siro Address 1X0 rrns Uelcs aaaa
Lot4 Block7_ Sec/SubQacMman iand 1St
P,reni # 10 18150 040 07
rc Name CO?l?azl TA nd Co •
z qddrett 2432 PrioT Ave. ND.
ci Rnseville vn„K 636-8050
? Name RoseWOOd CM . Const. Uivision
g? Address 2432 PrioY ' Ave. No.
F- r:.,,Roseville ok.,... 631-3254
?
WW Nome DeS3.P.'11 &OL7P M
1-Z
xr' Addresi
1 hereby ackrrowledge that I hove read this opplicotion ond stote that
the informotion is corrett ond agree to comply with oll upplicable
$tufe of Minnesota Stotutes ord Ciry of Eagan Ordinances.
Slgnoture of Permitfee
A Build{ng Permit is issued to: _
oll work shall be done in occordcnce
Buildirp Official
N? 7261
Receipt # ?
Erecr )a occuaancv R-3
Alrer ? Zoning PD
Repalr ? Fire Zone NA,
Enlorge ? Type of Const. yr,
Mave ? # Stories
Demolish ? Length46_
Grade ? Depth-26__Sq. Ft.-
Approrab F.m
Assessment Permit avr.vv
Wofer & Sew. SurcFwrge 29.00
Police Plan checkl$3.SO
Fira SAC 525.00
Eny. Water Conr/420•00
Planner Woter Meter 60.00
Council Road Unit 240
Off
Bldg
.
.
APC
TMOI l? .50
'lV_ an tha express conditian thni
ond Ciry of EoOon Ordinonces.
CITY OF EAGAN N? 7260
9795 Pilet Knob Raod Eegan, MN 55122
-
. PNONE: 434-8100
BUILDINCa PERMIT Recelpl
To bs mee fe. 1 of 4 PFE}C Esr. volue $58,000 pare 1bv 12 , 1982
sib neeKU 1593 Fois Oaks Rflad Erect ? o«uaancr R-3
-
-
Lot 3 Block 7 Sae/Sub. Co`ZCIEM IAII'd lSt Aiter ? PD
Zoning
parcel g 10 18150 030 07 Repair ? Flre Zone
enioroe ? Type of Const. ?
Coactttmn land Co.
W Name Mpve ? .{!Stories
; Addresf 2432 Pri(lr AVE. Np. DemoliaM ? Length 46
b Ci Roseville phom 636-8050 Grode ? Depth 26 Sq. Ft.-
p Name ROSeLAOd C.OY'D. COiISt. DiV137.OI1 AVOrorab Fees
? 2432 PL`iox Ave. M.
ou
Address
Assesunenr
Fermir 307_00
S
uC G .St1ll.WdtPS ph
631-3254 Wufer 8 Sew. Surchurge 29 -00
one Police Plan check 1 53 _ 5n
Gu°Ci Nome De-S].g[I GrOl1p M
Fire
SAC 525.00
FZ
uV Addreu Erq. Water Conn. 420. 00
<W Ci Phona Plnnner WoterMeter 60•00
Council Rood Unit 240•00
I hereby ackrowledge thot I have read this opDlicction and stare ihat gldg. Off.
fAe informotion is correct ond agree to wmply with all applicable APC Total ?7?+•50
Stota of Minnesoto Stotutea and Ciry of Eagon Ordirances.
Signoture of PermiMee
A Building Dermif Is issued ro: on fhe express cordition thm
011 work sholl be dorre in ecmrdonce wlth all oppl' e Storo of newto Statufes and Ciy of Eagan Ordinoncea.
Buildirq Offtdal , '6' 0 (V f
? q REQUEST FOR EI.ECTRICAL INSPECTION
y 8 Q. 113'? See inshuctions for complelin9 tM1is form on back of yellow covV.
..
11X` Below Work Cnvered by This Request
ICw LO-?...._
30??g
N Adtl Rep. TYpe oi BuilAing Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Buildfng Dryer Electric Heatin
Commercial Bldy. Furnace Siio Unluader
Industrial Bldg. Air Conditioner Bulk Mill< Tank
Famt Other suecifv lncr ISUeclfvl
. t? Othcr Oiher
Compute Inspectinn Fee Below
a Fae ServiceEntrenceSi¢e p Fee feeders/Suhteetlers # Fea Circuits
.O(1 0 to 100 qm Ps 0 to 30 qm s LO r 670 0 to 30 Am s
701 to 200 Amps 31 to 100 Amps ? 31 to 100 qm s
Flbove 200 qmps Above 100_A11's Above 700_Amps
Transiormers Remote Control Circ. PartiaL'Other Fee
Signs Speciallnspaction 5
T
Remarks ? AL FEE
?? ?
Rouph-in 17
i c
Datc
? ` v -
.
?. ? le I
)))
??. ? suxcbr, hnreby
Final ??P•
?
.
?°?F CBftlfy fhPt Yh8 AbOVB
inspeMion has be¢n
This repue.st voitl
1A,..-n? n.....
rnis raauest voia 7/?Z
?8 ?"a8h913 3
Lzt $7?CoaQkH.wn C4tid 30?? ?
yo-o 0
Rc'que t Uate
? - 30 - 8- Z Fire No. flou9h-in Inspection
Fnq retl7 ' ?tti??nn?''''''
?RC?adY Now?ill No?ifV. InsUoc -
?o. Wh
, R
d
,:,
ea
,
O ?icenseA Elecvical Con[r,nc[or I herehy requast inspection ot abova
wner eiechical work installad at
Sveet /i Box or Houte No.
?a t o 3 City
ection o. Township Name ur No. Ranyc Nn. CoY`nnty. ^
1 KI ??
/ T
Ir ?
OccuuantlPfllNTI ' Phone Nn.
Power Supolier AAdmss '
ElecVi .ai C
o
n
rac
tor ICompr
y
mel ,
[
N
a Co
nu
arm
r
"s License No.
.
?
L
`
.
.?
?n
?
..
: ?y?5"? 6A??? `
`
n
/
' T? 2S I ? •?-
Mai 'nq AtlJress (Con[r mr or Owner Makunp Instailation) - '
Auth ized Sie I n' c wner kinq Installationl - Phone Nwnbe.
483-1 -1?
MINNESOTA STqTE BOARD OF ELECTRICITY ' THIS INSPECTION IIEQUEST WIIL NOT
?Giiggs;MiAwey Bldy. - Noom N-191 .:..{? ??? ' BE ACCEPTED BY THE STATE ?OARD
?L
1827 University Ave.. St. Paul, MN 55104 UNLESS PflOPEF IN5IECTION FEE IS
) ENCLOSED.
A REQUEST FOR ELECTRICAL INSPECTION
ryi?. r-«
lu copv.
T 3 4? See instroctions for com0lrztin9 lhis form on back of yel w
G'.
X`' Below Work Cnvered by This Reyuest
ee- ooooi -oa
New Add Nep. Type oi Builtling Appliances Wirwd Equiumeni Wiretl'
Home ftange Temporary Service
Duplex Water Heater Lighting Fixtures
Api. Buildiny Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tank
Farm Other pecJr' thyr(SUecify)
?ber Veuly O[her Other
Compute Inspection Fee Below
A Fee ServiceEnVanceSize R Fee f¢n1ers/5uhfeeders # -.Fee Circuits
• (0. tTU 0 to 100 qm s 0 to 30 Am 5 0 'O0 0 to 30 Am s
101 to 200 qmps 31 to 100 qmps ? St tr?7 31 to 100 Am s
Ahove 2 0 D qmps Above 100_Amps Above 1 00_Ainps
Tranyiormers Remote Control Circ. Partial%Other Fee
Signs SpeCial InspeCtion
$ ?O
TO
Ryi.n rks
-
T
?f
?IQ •
Rough-in
Final ?
/?? ` Date
?
Dah°
l ?•.?3`. I, tha Elechical
nspec[or, horaby
cartify that the nbove
spettion hes be¢n
mntla.
This request void V?-"?
18 n?onths Irom
This request vaid 7//Z
'8 mo8F91
T 8134
L1 i 9-7, Cocockn.wri La/A 30$7a
(/.lD, C) o
Request Oale
?r 2 G?
0 - Fire No. Rou?h-in InsVaction
Ret?a red? ,?,/{ .
?ReaAY Now ?r.Will Nolify, nsPec-
T l
?7
8_ ._ ?s ?NO or Whmi ReadY
74-11?icensed Electrical CnnVactor I hgreby requesi inspection ot nbove
? Owner . elecvical work installed at -
Strect Atldress, Ban or Rou[e Nu. C t
?
Pcuon a Township Nume ur Nn. Rangc No. C?r'1?\nt?y '
- .
A
r
{?.l? jCCZ
OccupantlPRINTI Phone No.
Power Sunulier AJtlress
Elec[r' al Convactor IComVa Namel Convacmr's Licanse No.
?tSZ_-c? `Errst t?? 1
Majil
i?n
AdJress I/Con?t?
?
ractor or Owner MakinN Insiall:rti?nl
/B
?
?
V
? ? - C0JWbk"0/L`v.?-
b
-CqO
Au[hor .d Sipna I' ac? Owner , king Installatiunl
r Ph
ne
o
Number
y
(
?'
1??-"4
-n
? .
MINNESOTA STATE BOAAU OF ELECTflICITY THIS INSPECTION qE0UE5T WILL NOT
Griggs-MidwaY BId9. - poom N-191 t I r' BE ACCEPTED BY THE STqTE BOAHD
tl UNI.ESS PNOPEH INSPECTION FEE IS
1821 UniversfiY Ave., SL Fxul, MN 55104 SV. SC
? L f..) ENCLOSED.
This requem void 7//Z / 3 g 7 ?' ?l 4?1? L4 d ?? o? ?
1E montng fmrti ?-
?' 89132 ?fo.oo
Reque?t D:LLe
6?'7 ??
?? Fire No. Rou41h-in Innpectipn
Fe wiedl
?
E]RauAY Naw ill Nalily IngCec-
i ?
s No ?or Whnn Feady
?Licensod Electri?al Contractor
? Owner
`I hereby rBquest inspec[iun of dbove
elecUical work installed at
SV e`tyA?d?dJ.}e?ss, Bas a u[e No.
?
? `l 1,?7 ??? 1\?s4S Gity..?
?y? 36A,`-1
?t
ection o. Township Name nr No. P:inpe No. C nty ?/??
r?vZO"-
Occuudnt (PRINT) Phone No.
Power Supplier AAAress
EI Mcal Contiactor (Conp Namel .
2-t?ds-2..i ic?-?'l? ConVac.mr's Liconse Nn.
Mailing A?J/Jress (COnVacmr /?orj O??wn?er Makinp Ins[ai`la?/?tionl
?"frV Z? /? , ?.?Tt-.16..)D`/1..uKT
Autho zed Signam ( o V dOw Mokinq Installntion) PhQ?n(?? NtX?_un
lU ??? l?
MINNESOTA STATE 90APD OF ELECTNIGITY THIS INSPECTIQN qEUUEST WILL NOT
Griges-MiAway BId9• - Room N-191 ?? BE ACCEPTED BY THE STqTE 60ARD
1821 -llniversixy Ava., St Paul. MN 55104 UNLESS PROPER INSPECTION iEE IS
v.--- 1a11l vo, "t, ENCLOSED.
/?ry?ryy ^ REQUEST FOR ELECTRICAL INSPECTION
q`' See instructions for completing ihis form on bnck of yallow copy.
..
'"Xe ow Work Covered by This Request
EB- 00001 -03
+l._
3c? $7 $
Npw Adtl Rep. Type of BuilAing Appliflnces WirBd Epuipment Wiretl
Home Ranye Temporary Service
Dupiex Water Heater Lightiny Fixtures
Apt. Buildin2 Dryer Electnc Heatin
Commercial 81dy. Fumace Silo Unloader
Industrial 81dg. Air Conditioner Bulk Milk Tanl<
Fafm Other Spemfy 01ar (Speciry)
t er Specify plhor Other
c,ornpCite liispection Fee Be/aw
t1 Fee ServiceEntrenceSize # Fee Feedera/5ubleetlers N Fee Circuits
g
? c/V 0 to 100 qm s 0 to 30 qm ?s O ?r 0 to 30 Am s
101 to 200 Antps 37 to 100 Amps S"t p 31 to 100 Am
Above Z00 qmps Above 100_Amps Above 700_/amPs
Transformers Remo[e Control Circ. s-v Partial%Other Fee
Signs Sueciallnsuection
YQ
`
Re„v?rk:: `?? TO FEE
an
Rou9h-in p '_
a{?
? /y? I, tha Electrical
? [OH" nspector, hnreby
certity [hat the xbove
Fin.d ? w t Dnte ???spection hes been
This re.quest void
18 ,.-flM1? r...,.,
This repuast witl
18 ?mnffis Lom tJ V lJ
A- 055469 L 607
Raquest Date Fire No. 1bup?-in Irepattion JR -
?f ??L/ liepu red? Raatly Nar 0 Will Noti/v, Insoec
7 L ?Yes ?NO [or Whan Neady
offl-icsMed Elecbir,al Contractor 1 bwebY reqwst i.mpection of aEOw
? Ownm elee4ieal wvk imtallad aT:
Stmec Addras, Boa m Pwte Na
y City
a?93
uon TownshjD Neme a No. Naiqa o. County
Occupant INi1NT) ' PAo..e No.
Fovrer Supplier Address
Elec ??1 Contraclm (ConPem Nemel Convactor's Liceiae No.
?'?
IRailinp Addres5 ICart'actor d Own9r MekiM Ireteilation)
/..s-?lD H.E/4 ? G w?4 ? o.1?.i, •?•v ?45 ??
AuMarized Sipretwa ICwnw OwMr Mekinq I.tellationl PhoM Numbgr
MINNESpTA STA7E 8011pD OF EIEGli11CIT' TN? INSffCT10N REp1165T W1LL NOT
GriWSJlitlvay BUIy- - ppqn N-787 BE ACCEP'fED BV 1NE STAIE BOARD
1821 Uniwrsity Ave.. SC Psul. MN 55100 UNLE55 PROPEp INSPEC770M FEE IS
PM.e f612128].tltl ENCLOSED_
FUR EIECTRICAL INSPECTION ^EB'O00°1?
...??truttions tw comp:SCi?p th4s farm on ?ck o1 rellow eopr• /?. f -y/
Y?
/ V
Be/ow WorA"k:?veresf by This Request
ol BuiMi? AoolinMea qtred EpuiD.t ?irsd
N Faa SwvicaEMraneeSize M Fes Faedats/SU6feedere N Fea Circuits
0 to200 Affm 0to30 A 0 to30M
A6ove 200 31 to 100 Amps 31 m 700 q
Swimmi Pool A6ove 100_ A6ove 00---"AffW
Tramfo'mevg Irti tion Booms Partial.`OMer F
Special Inspection TOT
Renarks ,12 7?4
flo?gMin Date
? ??y Elxtriul ?
ImOactar. Mrebv'
anih thet tlr abeva
Finel ' . ? f
G? z inqpwctim Ms laen .
o.a..
twapot.omlamom6sfwm
rniz ?E,auNSi „ond 71 I5-7 1 7<X
18 mnn[hs from ?Q` aQ
T 89131
Requ st Dat
I?? ?? Fi,e No. Fouph- inIm;Veciion
Re ireci?
?ReoAY Now ill NotlfY ?nsTiec-
h
1
es ?NO m W
en Rea[ly
?icensed ElecVical Conlractor I hereby request inspection of above
Owner elechical work installed at
Street !A?ddrr,ss, eoz or Route No.?,vp o?
? Crt
?
7?
ecbon o. Townshio Namn or o. Renge No. ounry
A' K.d'T?---
Ocr,upant(PRINT) Phone No,
Power Suppliur Atldress
EI ctricol Comractor tComO?n Name) Contrar,Ior's Lir,rnse No.
flf. ? lcaG'IZ.LL ?G S l L{ -
Mailing AdJress (COntractor or Owner Meking Installation)
L qo 5A- PAJ` s?< <Z
AuM 'zed.$i r o ?or?0 r Makinq Installation) Phone. Number .
MINNESOTq STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WIU NOT
' Griggs-Midwav BIAO. - Aoom N•191 gE ACCEPTEO 9Y THE STATE BOARD
92t UnivarsitV Ave., St Paul, MN 65104 UNLESS PqOPEF INSPECTIONFEE IS
_,_ I., I i 1e, 11 1 1 ENCLOSED. .
REQUEST FOR ELECTRICAL WSPECTION es-ooom_oa
' See instracfions lor completing Ihis form on back
`P ?&"31 of yellow copy.
"X" Be/ow Work Covered by This Request
New Add Hep. Type o/ BvilAing . Ap0lianr,es Wired Eqainment Wired
Home Ranye Temporary Service
Duplex Water Heater Lightin Fix[ures
Apt. Buiidiny Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk MilkTank
F? Ot er Snemfy Other (Specify)
'IZ)cl thar SVecify Other Oth¢,
cornpute nrspeciion hee 8elow
k Fee ServiceEntranceSize # Fee FexdersJSubfeeders b fae Circuits
0. tJU 0 to 100 Am s 0 to 30 Am s Q L Si p D ro 30 Am s
101 to 200 Amps 31 to 700 Amps 5-,
,no 31 to 100 Am s
Above 200 Amps Ahove 100-Amps Above 100_Amps
Transformers Remote Control Circ. Partial; Other Fee
Signs Speciallnsprction 5 ?bs
Remirks
?
FouHh-in ?'1 j Date
lecbicel
suector, liereby
Finel
{
V
,} ?.?0 Y ? r':f / ?.
D,ne
l ?i
3 certify thet ihe above
?spactiun hes,been
..
This reques[ vnid
18 months fiom
Y
(
1989 BTIILDIBG PfiBMIT 9PPLICATION - CITY OF ELGAN
SIAGLE FAMILY DWELLIAG3
INCLODE 2 SETS OF PLANS, 3 CERTIFZCATFS OF SURVEY, 1 SET OF ENERGY CALCULATIONS
HOTEs ADDBESSES FO@ CORNER LOT3 - COATBACfOA/HONIEOWR&R M03T bE3IGN9TS SiBICH ADDRfiSS
I3 DESIEED. PO CHANGES YIL.L BE ALLOWED ONCE HIIILDING PSAHIT I3 I33IIED.
lSIJLTIPLE DWEI.LINGS HBNT9L 09ITS FOH SAI.S DRIT3 i OF U6IT3
INCLUDE 2 SETS OF PLANS, CSRTIFICATE OF SIIRVEY - CHECH WITS BLDG. D&PT.V 1 SET OF ENERGY
CALCULATIONS
C0MMRCIAL
INCLODE 2 SETS OF ARCHITECTURAL & STRDCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OE' ENERGY CALCIILATIONS
To Be Osed For: /?N;A94 r? Valuation: Date:
Site Address ,3 ? ?0'vo OFFICE OSE ONL.Y
Lot i Sloek rl
Pareel/Sub
Owner
Address fjrJ,3 f?J ??Gf?d o?
City/Zip Code
Phone ?OAo9 n
Contractor 1-7.p/,/1.--1/ "
Address
Ci$y/Zip CodeGGiy?, /
c? APPROVAIS
Phone Planner
Areh./Engr.
Address
City/Zip Code
Phone #
Oecupancy
Zoning
Actual Const
Allowable
# of atories
Length
Depth
S.F. Total
Footprint S.F.
On site serrage_
On site well _
MWCC System _
City water _
PRY required _
Booster Pump _
Couneil
Bldg. OFf.
Variance
P'SGS
$ldg. Permit
3ureharge
Plan Review
SAC, City
SACt MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
TOTAL
A&. 60
HOTE: Sewer & Water Permit fees and aQQOUnt deposit feea will be included in the building
permit fee. Processing time for sever and rater permits is tvo days onae a licensed
plumber has applied for a permit at City Hall.
??-
? O ? RESIDENTIAL BTJILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Renuiremenfs RemodeUFteoair Renuirements Offce Use Onlv
3 registered site surveys showirg sq. R of lof, sq. ff. of house; and all roofed areas 2 copies of plan Cerl of Survey Recd
(20%mazimum lotcoverege allowed) 1 setof Energy Calcumtions for heated additions Tree Pres Plan Recd
2 cop'es of plan showing beam & window sizes; poured found design, etc. 1 site survey for addiiions & decks Tree P2s Not Reqd
7 set of Energy Calculatlons Addifron - Indicate ifonsde sepfic system _ On-site Septic System
3 ropies oF Tree Preservation Plan if bt platled afler 711193
Rim Joist Detail Options selection sheet (bldgs with 3 orless uniis
Date R / ?9 / ()'?)
SiteAddress ?Ink ?E?
. ?
Constraction Cost WL12
UniUSte #
Description of Work
Multi-Family Bldg _ Y'?/ N Fireplace(s) L/
PropertyOwner jl:'ICII /`' fN ? /iet] 015a
RF.NEWqL gy ANDERSEN
Contractor 1920 COUNTY ROAD °'C" WEST
ROSE VILLE, bIN 55113
Address ?51-264-4777
State LICENSE ft20130953
_ 1 _ 2
Te?ephone # (05h 45,,1-d9&,9
CiTy _
Telephone # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rtiles 7670 Cate orv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(?I submission type) Submitted Submitted
• Energy Envelope Calculationg;Supmitted
,?
Licensed Plumber \?n
1 ?AUG 2, b
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #( )
Telephone # (
I hereby apply for a Residential Building Permit and aclrnowledge 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.
-4? r k ?aNI)
ApplicanYs Printed Name licant s Signahue
•••••?+.sv.a :uv ".uv ttld. !OV 0/1 '4460'KGPIM.RAL 931"@IYUBI472f1Y
re
=a
,? _
. Tune7, aoo]
City of Esm
3836 RiIut gnob Road
Eagan, MI+I 55122
To Whom It May Concern:
Etder 7ones is authorized to put! bnifding permits PorRenewai by Andemm_ piease aIIaw
Sider ]ottcs to proyide this SPMcc for ua in Fagan. '(his euthort2atipn is vaiid fvr any
datc beyond 6/6101; uAtii a?'enowat by Andersan msna?nr exncrssly revakea it tn nnlaag
to the City-
our? bu this autho ?izaflon 6e acce,pted exp?itjously. as W not detsy in thn procassing of
dht8 Peanit,i naY fvzthcr. Flcasc caA mc If thcm aoo eny qnculona.. I can Ue
contacbed at 763-502-4706_
.„
Xour immpdiaft attcntiott to Ais mattcr is
Sincitriely,
-4J?SYM ottd R Ran
DstaUation Mznager
Renowol by Andcrstn CozPoratzon
C'r.: Karn_F.Tdet Inne.a
"?'Jk „ZOn,
Received Time Jun. 7. 1A7P}d
imuu
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: Lp r:
3101 FARNUM DR
CORCHMAN LAND CO 15T
PERMIT SUBTYPE:
sF (Mrsc.)
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
1 SLOCKs ' APPLICANT:
ALLEN CQNST
(612) 668-8100
TYPE OF WORK:
DESCRIPTION
BUILDING
023440
08/26/94
REPATR
(SIDZNG)
INSPECTION
FRAMING .. .
ROUGM IN PLBG D•
ROUGH IM HTG FINAL
i?EMAC2K5: INCLUDES 9103 FARNUM pR (LQ7 2) 1593 FOUR OAKS RD (LOT 3) 1595 (LOT 4)
? . _. ?
?.. ?
A CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
r
PERMIT TYPE:
Permit Number:
Date Issued:
,q
BUYL.fNGy?
023440
08/26/94
SITE ADDRESS:
3101 FARNUM DR
LOT: 1 BLOCK: 7
COACHMAN LAND CO 15T
P.I.N.: 10-18150-010-97
DESCRIPTION:
Bfm`ilding
6uilding
(SIDSNG)
ermit Type
i3d^k Type
SF {MISC.)
REPAIR
`
PERMIT
REMARKS:
INCLUDES 3103 FARNUM DR (L07 2) 1599 FOUR OAKS RD (LpT 3) 1595 (LOT A)
FEE SUMMARY
g_a s..e. ..Fe_e. .
' Surcharge
Total Fee
VALl1ATY0N
$15.00
$.50
$15.56
$500
CONTRACTOR: - t+pplicant - ST. 1.IC. OWNER:
ALLEN CON9T 16888100 0061062 FOUR OAKS COURT ASSqC
4649 1/2 PENKWE WAY 3470 WASHINGTON pR 116
EAGAN MN 55122 EAGAN MN 55122
(612) 688-8100 (612)452-9532
.
I hereby acknowledg t,at I haue read this applicatzan and s'tate thst the
intarmation ss cor ec and agree tio comply wa;th a2l applicable State of Mn.
StatuCes and Gity ofi agan Ordinonees.
- APPLIC. /P RE SIGNATURE -ISSUED BY SIG TURE k
23440
CaTY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
?' ?? •.J ?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 4- Valuation of work ?S??
Site Address: -71011,kO3 uri /`le 5'1
STREET SUITE N
Tenant Name: (commercial only)
IAT ? Z BLOCK ? SUBD. P. I.D. #
Descri tion of work: '`
The appl i cant i s: ? Owner Contractor ? Other (UescrSbe)
Name !L 0 S sG• fif /k , Phone
Property LAST FIRST
Owner pddress 311714 Gci&4j-Jti,-F',2N ;U Nv15 '???6
STREET STE 1!
City _6,Q4A,,l State rlf.nJ Zip S`4"?/Lj
Company t ? inJ Phone 62'i elgfA
COIItYaCtOr Address _??/?License # 462- Exp.,?
City L2'd&' Stdte /J Zip S'?/?L
Company Phone
Architect/
Engineer Name Registration #
Address "
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this app ic ion and state that the information is
correct and agree to comply wit 11 applicab e ate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: Aj-, ?x /11- 11
PERMIT # ?
RECEIPT DATE: ? I
M1DENTlAL PLiJM$IN6 PEfiMiT APPI1CATiON
'?lJ crrYoi, EAWtN
3$90 PILOT KAOB RD
£A&AN, MF 551 EE
851-6$1-4675
Please complete for: ? single family dweliings
> townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: ? r v I n`-t.rn ?YZS V`?' _
OW NER NAME: :
INSTALLER NAME:
STREET ADDRESS:
CITY:
Place a check mark next to the peemit work tvue
TELEPHONE #:
TELEPHONE O-Q -96 77
(AREA CODE
ZIP:
STATE:
_ New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water tumaround
Nature of work: '? " , ?i
LS
,QpR 3/l ? l3'
Ay4
S
ti
S
t
/
f O, ?
ep
c
ys
em, new
re
urbished - $ 225.00
• includes Counry & Consulting Inspector fees
• requires MPC license
?
"?-
State Surcharge $ 50
Total $ 50?50
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
?
I hereby acknowled9e tnat I have reatl Nis appliration, state [hat the informatlon is covect, and agree to comply with ail applicable City of Eagan ordinances. It
is the applicanCS responsi6ilily to notify the property owner that the City of Eagan assumes no IiabiliTy for any damages caused by the City during its normal
operational and maintenance activilies to the facilities construc[ed under this permi ' hin City propertylr)g -way/easement.
S N URE OF PERMITTE
Updated 1107
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pi1ot Knob Road, Eagan MN 55122
? Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauiremenls RemodeUReoair Reuuirements
3 registered site surveys showing sq. ft of lot sq. ft of house; and all roofed areas 2 copies of plan
(20°/, maximum lot coverege allowed) t set of Energy CalcuWtions for heated addifions
2 copies of plan showing beam 8, window sizes; poured found design, etc. 1 site survey for addNOns ffi decks
1 set of Energy Calculatlons Addif'ron -indicate it on-siFe sepNc system
3 copies of Tree Preservatbn Plan H lot platted after 717193
Rim Joisl Dehail Options selecfion sheet (bldgs with 3 or less units
?< / OL
Date ? / Canstruction Cost
' 1?
Site Address -5)03 ?
UniVSte #
? o ?3" 5 3 ?-
Description of Work
Multi-Family Bldg ? Y _ N Firep[ace(s) _ 0_ 1 _ 2
Property Owner Telephone # ( }
' ? .
Contractor
Address ? City
4144
State 104' Zip 'rrl)_ Telephone # (//)?) )
Zy?'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mnmesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Cetegory , Rasidential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submilted Su6mifled
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
LiCensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #
Telephone #
I hereby apply for a Residential Building Permit and aclrnowledge that the inforn
that the work will be in conformance with the ordinances and codes of the City
is complete and
Statutes; I understand this is not a permit, but only an applicarion for a permit, and work
permit; that the work will be in accordance with the appZApplicantfs n the case of w w
appro ?pl ??G ^^?
ApphcanYs Pnnted Name Si e
-t-he-S`t-ate' of MN
to start without a
iires a review and
OFFICE USE ONLY
Sub Types
? 01 Foundation ?
? 02 SF Dwelling ?
? 03 01 of _ plex ?
? 04 02-plex ?
? 05 03-plex ?
? 06 04-plex ?
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
07 05-plex ? 13 16-plex ? 20 Pool
08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
70 OS-plex ItI4 18 Deck ? 23 Porch (screen/gazebo)
11 10-plex ? 19 Lower Level ? 24 Storm Damage
12 12-plex Plbg_Y or _ N ? 25 MiSCellaneou5
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
"Demolitlon (Entire Bldg) - Give PCA handout to applicant
Valuation
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const ?
Occupancy 2 3 MCES System
Zoning 12-3 City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
_ Footings (new bldg)
_ Footings(deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Watet Final
? Framing
_ Fueplace _ R.I. _ Air Test _ Final
_ Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool J Ftgs _ Air/Gas Tests
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Iding Inspector
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City OF Eagan
(Q ? s 7,4 3830 Pilot Knob Road, Eagan MN 55122 ?
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons6uc6on ReauiremeMs
3 registered site surveys showing sq, ft. oF lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured fourid design, etc.
t set of Energy CalculaUons
3 copies of Tree Preservatbn Plan if lot platted afler 711/93
Rim doist Defail Options selectlon sheet (bWgs with 3 or less units
RemodeN2eoair Reauirements
2 copies of plan
1 sel W Energy Calculations for heated additlons
1 site survey for additions & decks
Addkon - indicate i1 on-sfte sepNc systam
T ? ?a--
Telephone #(
Date _2 _ / //?g- / 0 ?( tLf/7 v? IL Construction Cost
'
SiteAddress 3) 0 1
-3)03 f
?
?
UniUSte #
/ -? -
Description of Work Ajf c }j '
Multi-Family Bldg %/ Y_ N Fireplace(s) _ 0 _ 12?c 2
Property Owner - rZ U-4 Gp,?, ? a4ar? (J-;t ? Telephone # ( )
?
Contractor
Address City
State ?h
i Zip 'm%j Telephone # (4f) OVL cp?
?
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateaorv 1
• Residential Ventllation Category 1 Worksheet
(J submission type) Submittetl
• Energy Envelope Calculations Submitted
Have yau previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Office Use Onlv
Cerl of Survey Recd _Y _ N
Tree Pres Pkn Recd _ Y_ N.
Tree Pres Required _ Y_ N
Onsite Septic System _ Y_ N
N If so, 25% plan review
Telephone #.(-)--
Telephone #j(?? L,) L 'l'l LS I ? ?i
I hereby apply for a Residential Building Permit and aclrnowledge that the inforination is complete and iaccurate;
that the work will be in conformance with the ordinances and codes of the City-6f--Eagah-aud-the_3iate 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 ofplans.
,-
Applicant's Printed N?ame Applicant's Si ture
A NEW BUILDING
Minuesota Rules 7672
. New Energy Code Worksheet
Submitted
?
18150 COACHMAN LAND CO 1ST
3101/ 10 18150 010 07
3103 020 07
3105/ 10 18150 040 06
3107 010 06
3108/ 10 18152 030 08
3108B/ 040 08
3110/ 020 08
3110B 010 08
3109/ 10 18150 040 08
31 ll/ 030 08
3113/ 010 08
3115 020 08
3112/ 10 18152 030 07
3112B/ 040 07
3114/ 020 07
3114B 010 07
3116/ 10 18152 030 06
3116B/ 040 06
3118/ 020 06
3118B 010 06
3120/ 10 18152 040 05
3120B/ 010 05
3122/ 030 05
3122B 020 05
3124/ 10 18152 040 04
3124B/ 010 04
3126/ 030 04
3126B 020 04
3128/ 10 18152 040 03
3128B/ 010 03
3130/ 030 03
3130B 020 03
3132/ 10 18152 040 02
3132B/ 010 02
3134/ 030 02
3134B 020 02
18152 COACHMAN LAND CO 3RD
FARNUM DRIVE PAGE 1 OF 2
4-plex-other 1/2 = 1593/1595 Four Oaks Rd
4-plex-other 1/2 = 1589/1591 Four Oaks Rd
4-plex
4-plex
4-plex
4-plex
4-plex
4-plex
4-plex
4-plex
8
73970
2006 RESIDENTIAL MECHANICAL rExMiT arrLicATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: singlc family dwetlings & townhomes/condos when permits aze required for each unit
3o-so
Date ?LL I to l ?f?[-__
??
Site Address ? Unlt #
Property Owner ? U u I? // i( q ER[ Telephone #( J` )
?
Contractor HALEY COMFORT SYSTEMS,INC_
StreetAddress _ 122 4TH ST W _ City HASTINGS _
, . -- --
State _ MN Ztp 55033
_ Telephonep 651.437.0338 _
--- -
_
Bond MN22041 Expires:
------
913l2006
The Applicant is _ Owner ? Conhactor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
_ furnace _Additional _Replacement _ New
air exchanger
?
air conditioner
heat pump
other
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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 wi] e in accordance with the
approved plan in the case o£work which requires a review and approval ofpl ?
ApplidanPs Printed N?Rfe " Applica s Signa
'?34a?-
zoo6 RESIDENTIAL BUILDING rERMIT nrPLicaTioN
City Of Eagan
3830 Pitot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConStruction Reouiremenis
3 registered site surveys showing sq. ft of lot, sq. ft, of house; and all roofed areas
(20% ma)dmum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calcula6ons
3 copies of Tree Preservatlon Plan if lot piatted afier 711193
Rim Joist Detail Options selection sheet (buildings willh 3 or less units)
Minnegasw mechanipl ventilation fortn
RemodeUReoair Reaui2ments
2 copizs of plan showing faotings, beams, joists
1 setof Energy Calculations for heated additions
1 sife survey for addiGons & decks
Add'rtion - indicate if on-site sep6c system
Oifice.use onlv
CedofSurveyReo7 _Y _N
TreePresPlanRecd -•_Y _N.
TreePresRegulred Y _N
OnsiteSepticSystem Y _N
?l
Date j? l' P','^ -
?
Site Address /S -IflY/°?" 3/a
?
OQ d. O C?
Construction Cost
67^4f 4'?'°-^ Unit/Ste #
DescriptionofWark l?Sac?•'., "??•,•- vLf jG r_ ?L"°?f<'-- ?? ?ocX e
Multi-Family Bldg `?Y N Fireplace(s) _ 0 _ 1 _ 2._3
Property Owner Telephone # ( )
Contractor ` ?'3? ? ,1?oU f, •? ? ? .
Address 511,
State '112?7 `v City
Zip ' S- o? Telephone #( 7ls) 7?]-Ou 6 C/
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Categorv 1
. Residential Ventilation Category 1 Worksheet
(J submission rype) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In the Iast 14 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 #(
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.
? Applicant's Printed Name
ApplicanYs Signature
B/7&9
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConstructbnReaurem ms
3 registered site surveys shaxing sq. R. of IoL sq. ft. of house; and all roofed areas
(20% maximum lot coverage allaxed)
1 Soils RepoR if pmposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found desiqn, etc.
t set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted aRer 711193
Rim Joist Detail Options selection sheet (6uildings wAh 3 or less units)
Minnegasco mechanical ventilation form
RemodellReoair Reouirements Office Use OMv
2 copies of plan showing footirgs, 6eams, joisls CeR of Survey ReCd Y N
1 set of Energy Calalations for heated additions Soils RepoR Y N
1 sile survey for additions & decks Tree Pres Plan Recd Y N
Addition - indicate if on-site sepfic system Tree Pres Required Y_ N
On3ile Septic System _ Y_ N
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date 2
0
-
C
.
onstruction Cost ? ?
/
Site Address Unit/Ste #
DescriptionofWork?n,?j ?(?,rD `(y+A4 s o [? nr}f LofrV i ,
. ?
1
Multi-Family Bldg A Y
_ IY Fireplace(s) _ 0 _ 1 _ 2 Oy?.();
rr?LA
I
Property Owner _5? -, _5c ,hN-c-,?? • Telephone # ( )
Contractor Renewal By Andersen
1920 County Road "C" West
Address Roseville, MN 55113 C`h'
State License #20130983 felephone # ( )
(,51-7Fi4-4777
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
-
I Energy COde Category Minnesota Rules 7670 CateP?N I Minnesota Rules 7672
(J submission type) . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calcuiations Submittetl .
In ihe last 12 months, has ihe City af Eagan issued a permit for a similar plan based on a master ptan?'? -?
_ Y _ N If ye s, daie and address of master plan:
Licensed Plumber Telephone #( )
Mechanical Contractor Telephone #( )
Sewer/WaterConiractor Telephone #( )
5
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 'n the case of work which requires a review and
app of plans.
ro.
nSo?•?
A icant's Printed Name Appl cant's Signature
,.CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Ecgalk; MN 55122 DATE:
Zoning: _ No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: __ Connection Charge:
Size: Account Deposit:
Reader No.• _ Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: ��' —"� �j z— Insp.:
SEWER SERVICE PERM IT
• CITY O EAGAN
PERMIT NO.:
Pilot Knob Road DATE:
379 No. : Units: —
Eagan, MN 55122
Zoning: ----------- _�_
Owner:
Address:
Sjie Address: —� _ —_
Plumber: co Connection Charge
the City of Eo9an sit:
1 with Account pep°
1 agree to comply P Fee:
O S
Misc.
Ch
Total:
By pate Paid:
Date of Insp.:
InsP.:��f
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA127691
Date Issued:10/13/2014
Permit Category:ePermit
Site Address: 3101 Farnum Dr
Lot:1 Block: 07 Addition: Coachman Land Co 1st
PID:10-18150-07-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Troy Good
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Kenneth R Olson
3101 Farnum Dr
Eagan MN 55121
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature