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3109 Farnum Dr Use BLUE or BLACK Ink i For Office Use 9474 City of EaEd~ ; Permit#: I I ~ I Permit Fee: 3830 Pilot Knob Road j Eagan MN 55122 Date Received: I I Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 L _________________I 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 12-0 Z0 ` D Site Address: 131D9 Fd-C n V rn1)-f. Tenant: Anna- ' ° w 46 R ~c- -Q. ols Suite RESIDENT/ OWNER Name: An Y 1(~ ~-n e- ~ ~ a,(~ Phone: X51 -V2,0o - o)3Sq Address / City / Zip: 1 YZ V ~l !~J i'v 1-19 Z CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK New -Replacement _Repair -Rebuild - Modify Space - Work in R.O.W. 5 h0~ Description of work: A~Alt), b0t+-`M13 rY 1 DWQ-(` IL w-b PERMIT TYPE RESIDENTIAL t53S Water Heater Water Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main / Y Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 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. 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 r - - - - - - - - - - - - - - - - - Far Office Use Permit 7 / f 3 j City b 1 Permit Fee: /C2V / I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: j Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: , 120 ~ O Site Address: 3 OC\ ~Ol 6-r(1 U ►rYl b~ Clop-*) , pt~I Tenant: 7'~Y `nom 1" ox l~ r CV-\ Suite M RESIDENT/ OWNER Name: l(y `n0.- V\D el fl ~CVNOk- ~J Phone: Address / City / Zip: pc ~acn o cl , fA N 5512!-\9z2 Applicant is: _X_ Owner Contractor TYPE OF WORK Description of work: ~J rl +51'1 D 4's}C~`~ ~`op Y1 Construction Cost: 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 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 Ma rho. c'd ejUIN Applicant's Printed Name plicant's Signature 1 Page 1 oft DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) Storm Damage Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES /f (3 rp-e r,'ri vox, New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation O Occupancy TY'VMCES System Plan Review Code Edition '~'SAC Units (25%-100%46 Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) 'X Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: - Footings - Backfill Final Meter Size: Radon Control ~--7 Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee l Surcharge l~ Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA081441 Eagan, MN 55122 . Date Issued: 12/12/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3109 Farnum Dr Lot: 4 Block: 8 Addition: Coachman Land Cc 1st PID 10-18150-040-08 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840. Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Controlled Air Anna Marie Richards 212 10 Eaton Ave 3109 Famum Er Farmington MN 55024 Eagan MN 55121 (651) 460-6022 X253 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. Applicant/Permitee: Signature Issued By: Signature ViTY OF EAOAN =J Addition r+DACHKAN LAJgD CO, lst ADDITTOa Lot Ik 8 Parcel 10-1$1,50--020-Q8 Owner Street 3 lt s F,*-r??? ??? F--- State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1 k Paid Lmdg a,L'CP.1 10- 00 STREET RESTOR. 1983 754.17 Z 10-8-82 GRAOING 1971 e? n n Gradin 1983 173.26 34.65 5 -8' ? SAN SEW TRUNK 1968 n of n n ? SEWER LATERAL 1 3 n u n n ?** Sewer Lat 1983 190$.37 381.67 5 )-7-82 I 19',2 „ n „ Is ? WATER LATERAL 1973 n n of I WATER AREA 19TT u ?? n n ?** Water Lat 1983 5 ? STORM SEW TFiK 1975 ?** STORM SEW LAT 1983 S ** Services 1983 5 CURB & GUTTER SIDEWALK STREET LX"K -33 L- Road Unit 185.00 26394 8-20-81 WATER CONN. 335.00 n ?e BUIIDING PER. 6797 SAC PARK Receipt ' PLUMBING PERMIT CITY OF EAGAN fill in numbered spaces Type or Print legibly 1. Date 2. Installation Cost 3. Job Address Lot Blk. 4. Owner Permit No. Fee ? S/C ? Tot. ? Tract ? ? 5. Contractor Phone 6. Address 7. City State Zip r 8. Building Type: Residential ? Commercial ? Institutional D 9. Work Description: New ? Add Cl Alter O Repair ? [ 10. Describe I 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Septic Tank Lavatory Softner Shower Well Kiichen 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 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. Appraved CITY OF EAGAN 454-8100 Reaipt ' , . ? MECHANICAL PERMIT CITY OF EAaAN Perllllt NO. FN fi!l in rwmber+sd oecar S/C 7Y? or PYint /plbly Tot 1. Date 2. Instsllation Cost ? , . 3. Job Addren ? Lot Blk. Tract 4. Owner 11 ?+ ? -• l -f- ' 6. Conaactor, , Phone 8. Addrcu 7. Gty State Zip 8. Buiiding Type: Residential b? Commercial ? Institutional El ? 9. Work Dsscription: New O Add 0 Alter ? Repsir ? 10. Dascribe 1% Fuel Type 11. No. F.yuinmeat STU - M. Ea. Foroed Air No. Equiament CFM Air H dlin : Mfg. g an 8oi1en Mfg. Mech. Exhaust Unit Fleater Mfg. Other Air Cond. Mt9. Ga6. Piping Outlets 12. I hereby certify that the above information is true and oorrect, and 1 agree to oomply with alf ordinanoes and dddes goveming thia tYpe of work. 5igned : for Rouyh Flnal tnspections: Date Insp. Date Irtsp. This is Your permit when numbered and approved, Approved CITY OF EAGAN 45"100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill rn numbered spaces S/C , Type or Print /egib/y Tot. ---.- - . i ? 1. Date ! 2. Installation Cost + 3. Job Address ' 1 = ? , ', ' + •,, , ? .Lot 81k. Tract' • ?- ? 4. Owner 5. Contractor ! ? < Phone 6. Address 7. City State Zip ` s 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe 11. No, Fixtures Water Closei No. Fixtures Cesspool/Drainfield Bath tubs 5eptic Tank Lavatory Softner Shower Well , Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets E 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 Reoeipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee ' Fill in numbered spaces S/C Type or Prinr /egib/y Tot. 1. Date ' 2. Installation Cost ? 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor ? Phone 6. Address 7. City r • State Zip 8. Building Type: Residential Od 9. Work Description: New 0 Commercial ? Institutional ? Add ? Alter O ' 10. Describe Fuel Typr 1 11. Repair ? No, ? Eauinment 9TU - M. Ea. ' ..' Forced Air No. Equipment CFM i Mfg. A r Handling: 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 oomply with all ordinances and codes governing this type of work. Signed for Rough Final Inspections: Date Insp. Date Insp. This±s your permit when numbered and approved. Approved CITY OF EAGAN 464-8700 Receipt PLUMBING PERMIT CITY OF EAGAN FiII in numbered spaces Type or Prini /egibly 1. Date 2. Installation Cost 3. Job Address ` Lot ? Blk. 4. Owner _ 5. Contractor 6. Address _ 7. City 8. Building Type: Residential I6? 9. Work Description: New Q? I 10. Describe I 11. Zip Commercial ? Institutional ? Add ? Alter ? Repair ? No, Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Septic Tank Lavatory Softner 5hower Well Kitchen Sink Urinal/Bidet Laundry Tray Other Floor Drains Drinking Ftn. Slop Sink Gas Piping Dutlets 12. I hereby certify that the above information is true and carrect, and I agree to comply with all ordinances and codes governing this type of work. Signed: for . Rough f inal • Inspections: Date Insp. Date Insp. ?This is your permit when numbered and approved. r4ppYoved CITY OF EAGAN 454-8100 Permit No. Fee S/C Tot. ? -? Tract ? -, , Phone ' ' Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee fiil in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost J 3 b Ad -w 4'? . o dress ---Lot t - Blk. Tract 4. Owner 5. Contractor { Phone 6. Address .? 7. City State Zip 8. Building Type: Residential El Commercial 0 Institutional ? 9. Work Description: New C3 Add O Alter ? Repair ? I 10. Describe 1 11. Fuel Type , , ' • No. Eouioment BTU - M. Ea. Forced Air No. Ec?uipment CFM Ai H t _ Mfg. r' _ / c{ ?-- r and ing: 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 comply with all ordinances and codes governing this type of work. Signed : ' for • Rough Final , Inspections: Date Insp. Date Insp. I This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 _. , Receipt PLUMBING PERMIT Permit No. "-- CITY pF EAGAN Fea Fill i» numbered spaces S/C ? Type or Print legib/y Tot. 1. Date 2. Installation Cost _-7, ?. ? 3. Job Address 3// -FA 44z, ,,,, LotBlk. Tract 4. Owner ???• U, ????A ? ? ? - 5. Contractor Phone 6. Address ff} Y, ?C 1 7. City State 4L1 /1l Zip 8. Building Type: Residential Commercial ? Institutional ? 8. Wafk Descript'son: New 0 Add ? Alter g,' Repair ? ? I 10. Descri be /?: t? r-R? il 1 11• No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatnry Softner 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 I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit Na. ' CITY OF EAGAN Fee ? fill in numbered spaces S/C Type or Print legib/y Tot i 1. Date 36` y.? 2. Installation Cost I ' 3. JOb AddreSS rLOi ? Blk. TracL y? 4. Owner `,• ?, t? r' 1J ?•? z?.nJ 5. Contractor h) Cl) • Phone 11 ,5'/ ?,? '! 6. Address ! i 1 I,l , e /- I : u } 7. City S- State % ! /V Zip 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New O Add O Alter 0 Repair ? 10. Describe ;"„ C 1?,? ?. C"? ?,(?r} 11 E• f ? v? ? F' f :? 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tenk Lavatory Softner 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 I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Parmit No. CITY OF EAGAN Fee Fil1 in numbered spaces S/C ' Type or Print legrb/y Tot 1, Date 2. Installation Cost 3. Job Addresz --Lot -- Blk. Trac4 ' 4, Owner 5. Contractor 6. Address 7. CitY 8. Building Type: Residential 9. Work Description: New 1Q 10. Describe Phone State Zip Commercial O Institutional ? Add O Alter ? Repair O 11. No. Fixtures Water Gloset No. Fixtures Cess ool/Drainfield Bath tubs p Septic Tank ' Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Othe Laundry Tray r ' 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: I 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 CITY OF EAGAN fill rn numbered speces Type or Prini legiWy Parmit No. - Fee S/C Tot. 1. Date 2. Installation Cost ? r C? 3. Job Address=• ' Lot J Blk. Tract - 4, Owner 5. Contractor Phone ! 6. Address - ? 7. City . ? State Zip 1 8. Building Type: Residential 0- Commercial O Institutional ? 1 9. Work Description: New a Add ? 1 10. Describe 11. TYPe ?.' r ? ?c7 • No, / Equjpment STU - M. Ea. - Forced Air No. - EQUipment CFM A H Mfg. ir andling: 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 comply with all nrdinances and codes governing this type of work. Signed : ? r- fdr Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Appyoved CITY OF EAGAN 464-8100 Alter ? Repair ? Rsceipt PLUMBING PERMIT Permit No. CITY OP EAGAN Fee frll in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot ? Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7, City ' State Zip 8. Building Type: Residential ? 9. Work Description: New ? 10. Descri be 1 11. Commercial 11 Institutional ? Add ? Alter 11 Repair ? No, Fixtures Water Closet No. Fixtures l/D fi C i ld Bath tubs ra n e esspoo 5eptic Tank Lavatory S ft Shower o ner Kitchen Sink Urinal/Bidet iathie Laundry Tray r 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 In4pections: Date Insp. Date Insp. . This is your permit when numbered and approved. • Apqroved CITY OF EAGAN 454-8100 . Reoeipt MECHANICAL PERMIT CITY OF EAGAN Ffll in numbered spaces Type or Prini /egibly 1. date 2. Installation Cost 3. Job Address -' Lot Blk. 4. Owner ' Permit No. Fee S/C Tot. Tract 5. Contractor • Phone ' 6. Address 7. City State Zip 8. Building Type: Residential D Commercial ? 9. Work Descriptian: New 0 Add ? Alter ? Descri be Institutional ? Repair ? TYpe No. Equjpment BTU •`AA:'Ei. Forced Air No. Equipment CFM Mfg, Air Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. h O Air Cond. er t Mfg. T Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to compty with all ordinances and codes governing this tYpe of work. Signed : Aor , Rough J Final Inspections: Date Insp. Date Insp. ' This is your permit when numbered and approved. • Approved CITY OF EAGAN 454,8100 :?? CITY OF EAGAN Remarks `? - Addition `COAC?N LAND CO. lst ADDZ Blk Owner' Street 318? fiO`'r?LL WtitNT0 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. AAi& 1 4 Paid t1IIdC 8t'CE 10- 0- STREET RESTOR. - _ GRADING tt n n u Gradin ;98 173.26 34.65 5 SAN SEW TRUNK 11 it I SEWER LATERAL „ **Sewer Lat 1983 1908.37 381.67 5 WATERMAIN 1972 ?? n u n * WATERLATERAL 19T3 n n n n WATER AREA 197 ?? n n n **Water Lat 1983 S STORM SEW TRK 1975 ** STORM 5EW lAT 1983 $ **5ervices 1983 5 CURB & GUTTER SIDEWALK STREET LXMX 1007 1986 46.33 4.63 10 oa nit 8.06 26394 8-20-81 WATER CONN. 335.00 BUILDING PER. 6799 SAC n ?t PARK CITY OF EAGAN Remarks p? ?• Addiifon COACID(AN LAND r'0• 16t ADDITION Lot 3 aik 8 percel 10-18150-030-08 Owner' Street 31k\, *b,'c,? VE- State Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1974 Paid unae Cel 10 00 11- 1 STREET RESTOR, 19$3 ?54 1 150.83 4 10-14-92 GRADING 19 1 ?? Gr di 1983 173 26 34.65 -- SAN SEW TRUNK 1(? ?? n n n f SEWER LATERAL / 1913 ** 1983 3 8 10-14-89 WATERMAIN ( 19 Q n n 11 „ ? WATER LATERAL 1973 if WATER AREA 19TI ?? n o n **Wat r La 1983 5 STORM SEW TRK 1915 n n n n ** STORM SEW LAT 1983 5 ** Serivices 1983 5 CURB & GUTTER SIDEWALK STREETL"M lO Y(- 3 C-G/O3op/ /U- I" Road Unit 185.00 26394 8-20-81 WATER CONN. 335.00 11 10 SUILDING PER. 679$ SAC PARK CITY OF EAGAN Remarks Cr v•? I (I Zz,? Addition COACHMAR LAND C0. lBt ADDZTIO$ Lot 1 Blk 8 Parcel 1o-18150-010-08 Owner' Street2)l3 Fc,LcMLA-?l- State Improvement Date Amount Annual Ysars Payment Receipt Date STREETSURF. 197I} Pgid vnde paz.Cel 10-C 0900 11-31 ' STREET RESTOR. 19$3 754.17 150.83 754.17 008032 10-12-82 GRA0141{G l.1 97 IT- Gradin " 1983 173.26 34.65 5 173.26 CO 1? - 0-82 ? SAN SEW TRUNK lg SEWERLATERAL , 1973 '**Sewer Lat 1983 1908.37 381.fi7 5 1 08.3 C00 ?+ - 0-82 WATERMAIN ? 1972 WATERLATERAL 1973 WATER AREA 19? **Water Lat 1983 5 STORM SE1N TRK 1975 ** STORM SEW LAT 1983 5 **Services 1983 5 CURB & GUTTER SIDEWALK STREET LXMX 1007 1986 46.33 4.63 10 Road Unit 185.00 26394 8-20-81 WATER CONN. 335.00 ii ?i BUILDING PER. 6796 sac 525.00 PARK ??' •. . .. , cIrr oF EACaN i 3795 Pitot Knob Road Eogan, MN 55122 N-0 6799 • PNONE: 454-8100 BUILDING PERMIT ReceiPt # Te be uad for Est. Volue Date , 19 Slte Address Erect ? Occupancy Lot Block Sec/Sub. Alter p Zoning Porcel # Repo(r Q Fire Zone E l T f C i n arge ? ype o ons . oc Nnme Move ? # Stories W 3 I Address Demolish ? Front b Ci Phone '-"-73 A 5 Grade p Depth ft. Nmne _ Address Name _ Address I hereby acknowledge thot I have read this application and stnte thot the information is correct ond ogree to comply wlth all opplicable State of Minnesota Stotutes and City of Eagan Ordinances. Assessment _ Water & Sew. Police Fire Eng. Planner Council Bldg. Oft. - APC Fees Pertnit Surcharge Plan check SAC Woter Conn. Water Meter Rood Unit Totol Signature of Permittee ? A Building Pe?mit is issued to: on !he express condition thct oll work shall be done in accordance with oll oppliwble State of Minnesota Statutes and Ciry of Eagan Ordinances. Building afficiol PennM # PaN luwd PKwMtN Plumbing - tj `W ( Mechanical (p-Z3 -$Z V_ tck? 2 ??? ?? C_ T 3 S `(c.? (c - q -?-- o L6`?', E L & C ? INSPECTIONS DATE INSP. Rouph-In Final Footings Date Insp• Dote Irop. Foundation rcme in Plum Mech bing nnical ? r Remarks: /b •7l-$l_? ? ? 4,t ? 0 Z9 4• - cirr oF EaGaN 3799 Pilot Knob Rood Eogan, MN 55122 N0- 6798 ' - PHONE: 4548100 BUILDING PERMIT Receipt # To be wed for Est. Value Dote , 1_9 _ Site Address Erect ? Occupancy Lot Block Sec/Sub. AlTer 0 Zoning parcel # Repair 0 Fire Zone E l T of Const arge ? n ype . oc Nome =vTi I/J,V1231Vr' 3 'Add'ess O ? Name _ ,o 0' Address ? rcr„ Name _ Address I hereby ocknowledge thot I have read this application and stnte that the informotion is corcect and agree to comply with oll opplicable State of Minnesota Statutes and City of Eogon Ordinances. Move ? # Stories Demolish Q Front ft. Grade ? Depth ft. Acorovols Fees Assessment - Water & Sew. Police Fire Eng. Plpnr?er Council Bldg. Off. _ APC Permit Surcharge Plan check SAC Woter Conn. Water Meter Rood Unit Total - Signature of Permlttea ? A Building Permit is issued ta on the express condition thct all work sholl be done in nccordance with all opplicable State of Minnesota Stotutes and City of Eogan Ordinonces. Building Official Pask # Oah lawed PersietN Plumbing Mechonical 3OS (p -2.3 $2 ¢ E l€L T3 Z 3 !o -4-?'sl INSPECTIONS DATE INSP. Rotqh-In Find Footings Dote In D e Irap. Foundution Plumbiny ? Fram-e-/ins - 3$ Mechanical - n op y ? ??` ?-5?-? _`,?? _ •" S Remarks: /o • ?y -7I ; '?.. .G-..-? ?-,? ? o 'ex BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 Receipt Te N und fer Est. Vnlue bnte 19 Site Addresa Erect ? Occupancy Lot Block Sec/Sub. Remodel ? 2oning Parcel No. Repair ? Type of Const. Addition ? No. Stories ^e Move ? Length Demolish ? Depth 7 j Address Int Impr. ? gq, Ft. Cit y y Phone Install ? ? ?F Neme _ su Address ? Citv - ?.,-•,'?.??t? ti '/`(v=;'?+'cU(;'i.f..::?. i.. Phone Phone 1 hereby acknowfedge that I I the inlormation is correct o State of Minnesota Stotutes Assessmenf Permii Water & 5ew. Surcha?ge Police Plan Review Firo SAC - -- Eng Water Conn . . Plonner Water Meter Counti f Rosd llnit tion and state thaf gldg. Off. Tr. PI. with oll applicnble APC k Ordinonces. o Par s Var. Date Copies Total an ths expross oonditlon that e State of Minnesoto Statutes ond City of Eapan Ordinonces. Sipnoturc of Permittee _ A Buitding ?ermit is iuued to: all work sholl be done in occordonte with oll appl Buildinp Officlol ?? ??269 Pwmk No. Parmit Holdsr Dato Teleqhone # Plumbinp H.VA.C. electric ?r IaY1b / , d--J Softenwr Impection Date Insp. Othar Footingsl Footings 11 Foundation Frsminy Roofing Rough Plbg. Rough Htg. Insul. Finplaca Flnal Htg. Finel Plbg. g , Flnal c.rvoao. ? a ?.. Water Desaibe Location: Well Sewer Pr. Dlsp. . . ? CITY OF EAGAN , 3795 Pilot Knob Raod Eogon, MN 55122 N2 6797 • ? PHONE: 4548100 BUILDING PERMIT Receipt # To 6e used for Est. Volue ' Dcte , 19 Site Address Erect C] Occuponcy Lot Block 5et/Sub. Alter ? Zoning parcel # Repoir ? Fire Zone Enlorge ? Type of Const. , W Name - °? Move ? .# Stories Z 3 Address • _ Demolish ? Front ft. 0 Ci _ Phone - - - Grade f ] pcp,h __ -- - -- - - it. Q N41m ?pprvVa1s u? ?re? Assessment F' C Water & Sew. i Phone V? WW Name Police Fi F ro O Address Enp. ? a W Cltv Phone Plonner I hereby acknowledge thot I hove read this opplication and state that gldg. Off. the information is correct ond agree to comply with all opplicoble APC - 5tate of Minnesota 5tatutes and City of Eagon Ordinonces. Fees Permit ' SurCharge Plan check - SAC r •? . Water Conn. Water Meter Road Unit Totot ? Signoture of Pertnittee I A Building Permit is issued to: on the express condition that all work shall be done in occordonce with oll applicable Stote of Minnesoto StaYutes and City of Eagan Ordinances. Building Official -.i • , . r•mit # ava l..o.a r .mm.. Plumbing a g" `( ?- 8` SG t.l t l?S P NO%t Methanical 305to (D -23 - $ 2 LLP 141 T3 z? /a- q -t c? r ??rn F cI INSPECTIONS DATE INSP• Rouq h-In finul Foptings Dote Insp. Date Inav. Foundotion Plumbing ,°•?•yi ? • ? rame/in - Mechanioal Fino • • 2 Remarks: / b' 2 C- T/ 1" .L?, ? CITY OF EAGAN . j • ., 3795 Pilot Knob Reod Eagan, MN 55122 • PHONE: 454-8100 BUILDING PERMIT To be nsed for Est. Volue Site Address " Lot ? Block Sec/5ub. CQac'jran I.an:i Co Partel # 8t W Nome _ z g Address A Name _ 0' Address I hereby acknowledge that I have read this application ond state that the informotion is coned and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. N-0 6796 Receipt # - Erect 10! Occuponty Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. ?- Move ? # Stories Demolish ? Front _ ft. Grade ? Depth ft. Assessment Woter & Sew. Police Permit ' ' ? • "L' Surcharge 153, Pion check Fire SAC 525. Eng. Woter Conn. ??f • ` Planner Council Water Meter ? ? • Road Unit I ' ' • Bidg Off. . APC Totoi ' ?l r` ??' • ' Signature of Permittee I ,rrt(•t,i'VOrI :;?),,:_`'.".'.'[.tt',',1^T; '''.Yl??C;;', A Building Permit is issued to: on the express condition thot all work shall be done in accordonce with all opplicable State of Minnesota Statutes and City of Eagan Ordinonces. Building Offitial r..mtc # oeft h.m.a .«.hr« Plumbin9 !Z $? ( ? ?C LL CE `J l / Mechonicol 3055 (p- 2 3$ Z ? Fe AF Ec ?'C- Z`3 z(,;S /a -q d r 0 ? iNSPECTIONS DATE INSP• Rouph-In Find Footings Date 1 p. Date Insp. Foun tion Frame/ins. Plumbing Mechanical 4y, Remcrks: /o - ZC• $ / )"Z, CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: i c1 iil•r?111h ?ir,ra , iA i1 1 4 i ? , ? ` PERMIT SUBTYPE: TYPE OF WORK: Ilf k! F' 1 1 iIN (+11 I 1 li 1 Nil e., ;.,,? I owt?r11 /9'4 !iE PA [ k 1•5111]Mii1 INSPECTION .. • .A , itlll?l? I PJ Il f?. + I PJ/1! f{f MAlik ?; . I NV I U(+I '. < I 1 1 t I n I +? 11 i(I11 1 f i 4 11" tlni .'1 F ? ------------------------- INSPECTION RECURD PERMIT TYPE: Permit Number: Date Issued: 4 f, i ,,, i. APPLICANT: Permft No. Permft Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspectfon Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. isul. Fireplace Flnal Htg. Orsat Test Fnal Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Deck Ftg. Dedc Final Well Pr. Disp. mmnnsoca acace ooaro or nec[nciry Griggs Midway Bidg. - Room N191 niversity Ave., St. Paul, Minn. 55104 - Phone 297•2177 - R6QUEST FOR ELECTRICAL INSPECTION CHE£K BELOW WORK COVERED BY THIS REOUEST EB-00001-02 a7aoq T 3g262 Type oP Building New Add. Rep. Check Applisnces Wired For Check Fquipment Wired Fo: Home ? ? ? Rangc Temporary W'ving ? Duplex ? ? ? Water Heater ? Lighting Pixtu[es ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commeroial Bldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? ? h t,j' Q(y.,G ? ? ? Lis[ Q thersf List Others? ? ef ?_- ? ? ere H ere COMPUTE INSPECTION FEE SELOW SetviceEntranceSizc: tk Fee Feeders&Subieedecs: # Fee C¢cuits: # Fce 0 to 100 Am s. .00 1 1 0[0 30 Am eres 0 ro30 Am eres O I01 t 0 Amps. 31 to ] 00 Amperes 31 to 100 Am eres • 00 Abov .? s. Above 100 Amps. Above ]00 Amps. Tra --i . RemoteContiolCirc. Partial or other fee , O Sign ' e Specia] Ins ection Minimum f Remarks ., .: TOTAL E 40. OC) D•.JfO I, the Electrical Inspector, hereby certo it,? the(?? has been (Rough-in) Date (Final) Uc.J. 0 ate ? ?'?-? This request void 18 months from _ minnesota State eoard of Elecmicity Griggs Midway Bldg. - Room N191 '1$21 Universiry Ave., St. Paul, Minn. 55104 -Phone 297-2717 R'EQUEST FOR ELECTRICAL WSPECTION CHECK BELOW WORK COVERED BY THIS REOUEST EB-00001-02 T 38263 Type of 8uilding New Add. Rep. Check Appliances Wired or Check Fquipment W'ved Foi Home ? ? ? ? Range Temporary Wi:ing ? Duplex ? ? ? Water Heatet ? Lighting Pixtu[es ? Apl. Bldg. ? ?. ? Dryer ? Elect[ic Heating ? Commercial Bldg. ? ? ",? Fumace ? $ilo Unloader ? Industrial Bidg. ? ? ? Ait Condi[ionec ? Bulk Milk Tank ? Fa- ? n'_,? ? Oth re ? [? ? ? Lis[ Rthers? List Others? , ere I Heie ) COMPUTE INSPECTION FEE BELOW Service Entrance Size: it Fee Feede=s&Subfeeders: # Fee Circuits: # Fee 0 to ] 00 Am s. ( D• 0 to 30 Am eres 0 to 30 Am eres i LC 101 to 200 Amps. 31 to ] 00 Amperes 31 ro 100 Am eres •gz Above 2 mp . Above 100 Amps. Above 100 Amps. Tcansfor " ' RemoteControlCire. Partialorotherfee Signs Special lnspection Mutimum fee S5. Remaiks T'OTALFE 40. YQS I, the Electrical Inspector, hereby ce rtify t at th b e i6spection has been m ? y?? ? (Rough•in) ??"? Date (Final) Date -1 -ff ?w This request void 18 months from ? Co p?cl2 S? Yo•ao This request void/4 ? ?-?t 9? ?'? ( ???o ct 18 months ftom Date of ?s Request F,« No. T382 64 I, as ensed Electrical Contractor Owner, do hereby requesi inspection of the above electri- cal wiring installed at: Sheet Address or Route No. A6" Section Township Range County'bA Which is occupied by Is a roughin inspection required on this job? No ? Yeytll . Ready Now ? WID Call?sp Power Supplier Address ?t376 c^y Electrical Contractor ?e??N ???'?'? Contractoi s Licen No. (COmpany Name) M2iling Address Lf(=-4C7 t-tC)• f$Wc1? ? ? ???? (E t• o ner Making Th 5 Installatlon)? py Authorized Signature Phone No. 'i'4 J-1 77 ? ( trical Controctor or wner Makin9 This Installatlon) This ins ection request will not he acce ted b the State Board unl s proper insp¢ctian fee is enclased. au vI oe v.cny Griggs Midway Bldg. - Room N191 1821 University Ave., St. Paul,. Minn. 55104 - Phone 297-2111 - RtQUEST FOR ELECTRICAL INSPECTION CHFjCK BELOW WORK COVERED BY THIS REQUEST EB-00001-02 a?a o T 3826 Type ot Buildirys New Add. Rep. Cheek Appiiances Wired For Check Equipment Wired For Home Duplex Apt. Bldg. Commercial Bldg. ? ? ? ? ? ? ? ? ? ? ? ? Range Wa[er Heater Dryet Fumace ? ? ? 'Iemporary Wiring Lighting Fixtures Elect[ic Heating Silo Unloader ? ? ? ? Industnal Bldg. ? ? ? Au Conditioner ? Bulk Milk Tank ? Farm ? Other ? ? Lis[ ) p[hets} Eiere f Lis[ Others? Rthers f COMPUTE INSPECTION FEE BELOW Service fintrance Size: it Fee Feeders&Sub[cedus: # Fee C'uwits: # Fx p to 100 Am s. (a' 0 to 30 Am eres 0[0 30 Am ies ( S.-M 101 to 200 Amps. 31 to 100 Ampe,es 31 to 100 Am eces ( •? Above 200 Amps. Above ]00 Amps. Above 100 Amps. Tcansfor RemoteControlC'vc. Partialorothertee Signs Special Ins tion Minimum fee Remarks ? ? ?--? TOTAL F E ??. (?. _CZ I, the Electrical Inspector, hereby certify ($inal) This request void 18 months from been r?? e 10-,f- n e ^/7f 1' ,;L-- 5 3 0 ?-; /o??- 'o? ? , e v ,o rs s?-- 4? C.? ?ir, ?.?d /`-c, fleque Dete ' Fira No. Rough-in Inspaction Requiretl? ABetly NOw O Will Natiy Inspecior Wh F d ? Ves _ o en ea y ?kicensed contrector ? owner hereby request inspection of above electrical work at: Job Adtlre ss (S1ree1. Bov Route No) 3 f 13 b Ci r -c?rnufv) Section No. Townsh'ip Name or No. Range No. ry ^? ` W Oc a t(PRINT) C?xUU-n'C?l. VI PoonB No. Pawer Suppller Atltlress Elecvic n actor ICOm any Namai au Cl?.C?l-r ? ?. Contr c1or5 License No. ?F}e I ?Qa Mailing Atltl ¢65 OnVdtlo r p.vner Making Inst eti0n) //?+ /l ? ? l p--- I ??- Au ori2?? 5'i n?¢ ICnIraC10r/O?r Making InStelle,ior?' I?enB?MrzlQer^??? ? ' ?? - ( A- MINNESOTA STqT BOA D EL CTRICRV THIS INSPEGTION REQUEST WILL NOT Gtlgge-Mldway Bltl .- a0 S4] 6E PCCEPTED BY THE STATE BOARO 1821 Univenlry Ave., iaul. 104 IINLESS PROPER INSPECTION FEE IS Phone (812) 642-0800 ' ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION E8-00001-0e Sm insiruotions lor complafng this form on beck of yellaw copy, ? 54390 m. "X" 8e/ow Work Covered by This Request ew Add Rep: TypeofBuiltling AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other-(Specify) Comm.llndustrial Furnace Farm Air Conditioner , Other (syecily) Contractork emaMS: Compute Inspection Fee 8elow.??? # Other Fee # Service Enlrance5ize Fee # Circuits7feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformefs AboVe 20D _ Am)s Above 10D Amps SigpS InspectarS Use Only. / 1 TOT L ' Irrigation Booms ?v t ? J r Special Inspection Alarm/Communication TMIS INSTALLATION MAV BE ORD RED D NNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certify thai the above inspection has beenmade. ROUgh-in F;,,a, are ? OFFICE USE OtilY This request mitl 18 monfis irom _ rniz?emiasi?oial0 18mor. b0l ? aS 70???1Qt7i3 ?ol'?5'?? chs from ? 078655 ?a?`?"c0 ?,.? ? ?& - w Peques[ Date Fire No. Rouph-in.lnsper.tion FleVnireJt LDW.--d, Now []Will Nolity. Inspec- ??? ?Yes ?P!o _ tor When FeaAy tILicensed ElecVical Coninctor I hereby request inapection of above ? Owner elachical work installad.aY Street Address, eox or Route No. Cirv n/ ecbon o. Township Name ur No. Ranee No. CountY Occupnnt(PftlNT) d Phono No. Power $uppiier J 4r Atldress Eleclrical Conbnc[or (Company Name) „ : J r w ? EL?SC C?...tre<:tnr's License No. z d' ? ?? siL? i? r ? ? M.iline Addrass IContracmr or Owner Making I nstnilationl Authorized 'B??awre ICOMracto wner Mn ine Installatfonl l Phone Nomber MINNESOTA STATE BOAND OF ELECTRICI Y THIS INSPECTION HEQUEST WILL NOT Griggs-Midwey eldg. - Room N-191 gE ACCEPTED BY THE STATE BOAflD 1821 Univarsity Ave.. 51. Pnul, MN 65104 UNLE55 PflOPEN INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. ?(/ A61 REQUEST FOR ELECTRICAL INSPECTION Ee-oouoi-oa Sea inslructiens for compleling this form on back ol yallow capy. 0 D ?? ? O X" Selow ?Work Cov-ered by? -This Reqiiest FdJ ReP. 3vna ol Builtling ocl:oitA- cM+Wiretl EquiUnieiit Wiretl ? 6x ce N Fee Service Entrance Siza p Fee Faeders/Subfeeders N Fee Circuits U to 200 Am s 0 to 30 Am s 0 to 30 Am s Above 200 qmps, 31 to 1 UO Amps 31 to 700 A s Swimming Pool Above 100-Amps Above 100IT)P+ Transiormers Irrigation Booms Partia1'04Yicr Pea. i? / Signs Specialinspection ( (?- Rertu?rks ?G' TDTAL FEE . l?! ??%5 ??/ ?L?'I.?1? ?Y?iC ?ifrA'• ' I. theecto Elect?icnl N? , /1_?I.? Insor, hereby ? rr carlily thnt the xbov Final ?ate inspection has been ?? mede. ..i repuestvoid ???t L? ,!3 $? Co ac-?l nti0. h(? y6 r O c.? This request void a 7? ? p 18 months from l Daie his Request ?f Flre No. t 38265 I, as ficensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri- cal iring installed at: Street Address or Route No. Section Township Range County H'hich is occupied by Is a roughin inspection required on this job? No O Yes?C7 Ready Now O Will Call?& Power Supplier S•( • Address ?<<^?' Electrical Contractor ??t'T?""` Contractor's LicensA3e No. ?C (GOmpany Name) Mailing Address g?-- No. ?• ??? `T (Elxtrlwl Contractor or Owner Makin9 This Installatlon) This inspeciian request will not be accepted 6y the ?J?tn! IJ ? UO??? ??6? FJ State Baard unless proper inspection fee is enclosed. $ 3-L-[77 ,.f minnesOTa STdLe tlOara ot tlBCtrlCity Griggs Midway Bldg. - f6oom N797 10L?1 University Ave., St. Paul, Minn. 55104 - PFane 297-2711 REQUEST FOR ELECTRICAL INSPECTION CHECK 9ELOW WORK COVERED BY THIS REOUEST EB-00001-02 . T 38??5 Tppe of Building New Add. Rep. Check Appliances Wved or Check Equipment Wired Fm Home ? ? ? Range ? Temporary Wi[ing ? Duplex ? ? ? Wate[ Heater ? Ligh[ing Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. ? ? ? A's Conditionec ? 8ulk Mi1k Tank ? ? ?"F P ? List RIhers ? List Others? O her ? ? ere ) Here ) COMPUTEINSPECTION FEE BELOW $ervice Enhance Size: # Fee Feede[s& Subfeede[s: # Fee Ci[cuits: # Fee 0 to 100 Am s. 1 1 0 to 30 Am eres 0 to 30 Am e:es (A 101 to 200 - 31 to 100 Amperes 31 to 100 Am eres Above 200 . s '. bove 100 Amps. Above 100 Amps Transform s . emoleCont[olCirc. Partial or other fee Signs ? pecial Inspection M'vtimum fee Remazks - 7'OTALF LjO? O.Sr 1, the Electrical Inspector, hereby cert' the v mWection has been (Rough-in) • Date ?? - ? ' ? ? (Final) • Date ?- isf ?.? Tlus request void 18 monffis from ` (cl Q L'7l ??, c00.Ckt-\,Q!'? p5L YO r O (D This request void q. 18 monthsfrom ?? a? ( Date of this Request C,/Ct Vi+ ("kt FireNo. T3S?63 I, as QfLicensed Electrical Contractor D Owner, do hereby request inspection of the above electri- cal iring installed at: Street Address or Route No Section Township Which is occupied by Range- County' AK°TON- .o ;. Is a roughin inspection required on this job? No ? Yes?'j Ready Now ? Will Call ? Power Supplier I ?F • s Address Electrical Contractor 96le-714"" A376 Contractor's License No. _ _(COmpany Name) Mailing Address Authorize? Signature?C7?R/C1J?l?( _ LS ?Ctq (Eiectrical Contr <tor or Owne ?SUVE o UQD COpY Z? No. This inspection raquest will not he accepted by the Sta[e Board unless proper inspection fee is enclosed. s°J y y ?-- ,1 4 757 W /OG3? % Fequest Oate ?• I O? Fire No. Faugh-in Ins tion Requiretl9 Ej Ves No Ready Now ? Will Notity Inspedor When Reatly? I icensed contractor ? owner hereby request inspection of above electrical work at JoTrg.5s ?$Ireel. Box or Rout¢ No.l (? , r t1 U M V v? tt2- Ci?` CA Sectmn No. Township Name or No. Range No. nty 1 T? i ? Occu t?PRINT) ? Phone No. PowerSuppher fWtlress EI ical Contraaor ( ompany NaI ?? C,ntra r'?censB Nq, Mailing Atl ess (Conhaclor or = lion H ? d igna?ura ICo Irador/Own¢r M^aking ?InIst-allation) ' PM1O N mbar MINNE507A STATE B A U OF L CTqICITY THIS INSPECTION REOUEST WILL NOT Griggs-MlOway BIGg. oom t 9E ACCEPTEO BYTME STATE BOARD 1921 llniverelly Ave., aul, MN 55100 IINLESS PROPER INSPECTION FEE IS Phone(61Y) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ?`- ?? E8-00001-OB AT 48757 ? See instmctions for completing ihis form an back of yellow rqp¢ J. + y "X"_3elow Work Covered by This Request ??. e ACtl Rep. ,,, TypeolBUilding AppliencesWired EquipmenfWired Home Ranga Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner OUer(syecify) Conhactor's Remarks: Compute lnspecfion Fee 8elow: # Olher Fee N Service EMranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Translormers Above 200 _ Amps A6ove 100 _ Amps SignS Inspeclm5 Usa only: ?? TO AL Irrigation 8ooms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Eledrical Inspector, hereby Rouyn-m -I f oare ° certify that the above inspection has been made. l F;nai ! OFFICE USE 9NLV This ieQUest witl 18 monfis Imm Y This request voi ?q Lyt g?l CO?t` ?? ( st G,O oa 0:.. 1,8 months from 1 Date of is Request Fire No. T38262 l, as icensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal iring installed at: t,,?,?, -,?,,• i? ? Street Address or Route No. ?169 l T?`^"'?` 4.J='?va- Cl aG Section Township Range County Kmfx Which is occupied by ?=Q6fful 07 O l4 ?L IN ls a roughin inspection required on this job? No ? Power Supplier N` ? .-P- I Electrical Contractor Yes?FP Ready Now ? Will Call'FP Iress ?L A 376 l'7 Contractor's License No. _ Mailing Address D?L"CIrE'- AuthorizedSignatur ?? PhoneNo. 4g3-"11? (Elactrlcal Gon[ractor or Owner Making Thls Installatlon) ???`??"'{ 00100 ??? ffT]? This inspection request will not be accepted by ffie ?? }?a State Baard unless proper inspection fee is endosed. CITY OF EAGAN 3795 Pilot Kneb Rood Fagon, MN S5122 PHONE: 454-8100 BUILDINt; PERMIT APPLICATION Te be used for 1 1 Of 4 pLEx Est. Value $58, 000 Site Address 3115 Farnum Drive z 8 Co$CklmBSl 18t Lot Biock Sec/Sub. Gercei # w Nome Ro$eWOOd CoAStMlet3on Mvie3on ; Address 2432 PriOT AYE. NO. ° Roseville 631a2y)*3'25y ci phone o Nome OwneT ? U ? Address ~ Ci Phone Gw Name i? Address I hereby acknowledge tFat I have read this npplication and state that the informotion is correct and agree to compiy with all applicable State of Minnewta $tatutes and Ciy of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: A08EWOOd b'fmgj,me.i oll wbrk shall be done iri acmrdqn with oIl apli 661e State of ?? .? .l e4a c Building Official N° 6797 Receipt .# ??/ Aueust 7 10 81 Erect [R Occupancy n} Alter ? Zoniny PD Repair ? Fire Zone Entarge ? Type of Const. v Move ? .#' Stories Demolish ? Front 46 ft. Grode ? Depth 26 fr. Approvala Fees Assessment _ Water & Sew. Police - Fire Eng. Planner _ Council - Bldg. Off. _ APC Permit ?'•`^? Surcharge 29•00 Plan check 153.50 SAC 525.00 Water Conn. 335.00 Water Meter 60.00 Road Unit 185.00 Total $1594_ 5n A9 rm on the express condition that Statutes ond City of Eagan Ordinances. - CITY OF EAGAN ' 3795 Pilot Knob Road Eogen, MN 55722 N2 6796 PHONE: 454-8100 BUILDING PERMIT APPLICATION Te be usad for 1 Of 4 Pr,l''J{ Est. Volue $58,000 Site Addrea 3113 Farnum Drive 1 ??chman 8 Land Lot Block Sec/$u6. • l$ Porte l # rc Nome RD8ewood Construction Division w Z Address 2432 Prior Ave North ? Ci Ro sPV3l 1 P Phone 631---23 ft= o Name ?'leP r- :i Address ? ~ Ci Phone r? w Name w ?- ; ; Address I hereby ackrrowledge thot I hove read this application and state that the information is wrrect and agree to comply with all applicable $tote of Minnesota $tatufes and City of Eogan Ordinonces. Signoture ot Permittee A Building Permii is iuued to: Ro8@WOOQ G'OA8tTi1CtAt all work sFwll be done in accardanc?e /yRh all applim e Stare of Mii Buildirg Officfal /?& -i 14:21` Reteipt .# '^?'W Date A»pVA+ 7 , 19A' Erect Occupancy n 3 ? Alter ? Zoning PD Repair ? Fire Zone - Enlarge ? Type of Const. v Move ? # $tories _ Demolish ? Front 46 k. ' Grade ? Depth 26 fr. Aowovala Feea Assessment _ Woter & Sew. Police - Fire Eng. Planner _ Council _ Bldg. Off. - APC Permir 3V+.vu Surchorge 29;00 Plan check 153.50 SAc 525.00 Woter Conn. 335.00 WaterMeter 60•00 Road Unit 185.00 Tota, S1594.50 i Mviai6on on the express mndition tlmt ota Statutes and City of Eagan Ordinances. CITY OF EAGAN ' 3795 Pilot Knob Reed Eagan, MN 53741 N2 6798 PHONE: 454•6100 BU ILDIN6 PERMIT APPLICATION Receipt # Te bs uted fer i of 4 PLEX Est. Value $5$.000 Date Ai11!»Rt 'I , 19._81._ Site Address- 3111 r'QTII tDD DTiVB Erect [N Occuponty R3 Lot 3 Blxk g Sec/Sub. C'oaClim821 18t Alter ? Zoning PD parml ,# Repair ? Fire Zone Enlarge p Type of Const. _V w Nome Rosevoood Construetion D3P183oA Move ? # Stories 3 Address 2432 Prior Ane. NOTtl'! Oemolish ? Front 46 ft, o Roseville 631-235*3;2 S Grade p Depth 26 ft Ci phone . ? Name OWfl@I' ADProvab Fees 0 ?? Address Assessment -- Pertnit ?7-? Water & $ew. Surcharge ?-? Ci Phone 153 50 Police . Plan check d Nome Fire SAC 525_0? x Address Eng. Water Conn. 3,35.00 V Ci Phone Planrrer _ Council _ I hereby ackrrowledge thut I have read this application and state that Bldg. Off. - the information is correct and ngree to comply with ull applicable AP? Stafe of Minnesota Statutes ond City of Eapan Ordinances. Signature of Pertnittee - A Building Permit is issued to: all work shall be done in acw Building Official WoterMeter 60_00 Road Unit 195-nn Total $159L_50 ) on the expreu conditton thet Icabl S?f Minnewtg Stmutes and City of Eagon Ordinances. oll C CITY OF EAGAN 1 ? 3y95 PiIM Knob Road Eagan, MN 55122 N2 6799 ?PHONF: 454-6100 ?/- I BUILDING PERMIT APPLICATION Receipt # , " Te be uaed for 1 of 4 PLEJC Est. Value S58,000 Date Aygust 7 , i9$L Site Address3109 Farnwn Ilrive Erect [I Octuponcy R'3 Lot 4- Block g Set/Sub. CogLCI]AIflII 18t, Alter ? Zoning PD parcel # Repoir ? Fire Zone v Enlorge ? Type of Const. - W Name Roapmnna r.0118ie+,in,n Mviaipn Move ? # Stories Z Address 2432 Prior Ave. North Demolish 0 Front 46 ff. ci ROSCVj.ll@ phone 631.-2-3§1c,3a5 y Grode ? Depth 26 ft. Name ?er Apprevals Feea o o ? Address Assessment Permit ?7• ? ul Woter & Sew. Surcharge ?•? Ci Phone Police Plon check 15 0 Name Fire SAC 525.00 Address. h Eng. WaterConn. 335•00 aw ?{ p?? Planner WaterMeter 60.? Council Rood Unit 185.0? I hereby acknowledge ihot I have read this opplication and state thot gldg. Off. the information is correct und agree to comply with atl applico6le APC Totol $1594.50 State of Minnesota Stotutes ond City of Eagon Ordinances. Signature of Permittee A Building Permit is issued to: Ro$ on Mviaino, on the express condition that all work sholi be done in accordance wi all eppp"-H?bleyy ate of Minneso Statutes and Ciy of Eaflan Ordinonces. Building Official - " CITY OF EAGAN N°_ 1 12 6 9 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 la? BUILDING PERMIT Receipt # T. M wad fw BASEMENT BATH Est. VoIue $ 3, 000 pOfe NOVEMBER 13 1985 SiteAddress 3115 FARNUM pR Erect ? Occupancy Lot z Block $ Sec/sub. COACHMAN LAND 1Remadel ? zoniny Paicel No. Repair ? Type of Canst. Addition ? No. Stories MR & Name MRS TANNER Move ? Lenqth Z S?E Demolish ? Depth ? Address Int Impc [j? Sq. Ft. City Phone 452-4092 Install ? ? 0 Anorovals Fses Zo Nama ?RLE S CONSTRIICTION CO ?? A,ya,ms 860 RANDOLPH AVE ? city ST PAUL pnone 291-1169 Neme _ Address City Phone 1 hereby ocknowledge thot 1 h rea {his opplication??pnd state tFwt the inlormotion is correct an re io complr witytJ oll applicoble State of Minnesoto Statutes -i w?of Eayph O?rwnces. Azsessmenf Water 8 Sew. Police Fire Enp. Plonner Council BId9.Off. 11 13 APC Var. Oate $Ipnofure of Permittee ? A Building Permit Is issuee te? MERLE' CONSTRUCTION CO oll work shall be done in accordance with oil qppli ble Sta of Mi newta?tature PBM1IIIt Y J V • Surcharge 1 • Plan Review _ SAC WeterConn. - WaterMeter _ Road Unit _ Tr. PI. Parks covies Totei 540.00 _ on the ezprcn wrdition IMt ond City of Eapun Ordinonces. Buildinp Officfol '/ "-oRI CITY OF EAGAN BUILDING PEf3"IIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy oalculations. ? ?. Zb Be Used For Valuation Date Site Address 3/ 6 OFFICE USE wt.!+ Block ? Sec.,Sub. e ? C, Occupancy _ 3 Parcel #: Alter Zoning Rep Zone Owner: Fn1arge ?. TYPe of Const. Address: Move # Stories Demnlish Fmnt h/,6 ft. City/Zip Cale: Grade Depth _ /n ft. Fhone 2 APPF?C7VAIS F'EES Contractor: 14,,,,., Assessnents Permit _:?(0y Address: ?dater/Sewer Surcharge Police ' Plan Check f City/Zip Code: Phone #:_ 63 I- ?L3 5A/ Arch./Ehg.. Addxess: Fire SPC 5a•? Eng. Watex Conn. 336- ?- Planner Water Meter ? Council RAad Unit )?S Bldg. Off. ,F AFC City/Zip Code: Phone #: ZvrAL 1 S 2?• S`? ? GZ?a r\ ,,v ,"-1- t? L k i3 ?/ Cvac v?.? «,v? ?cL. ?? CITY ?' FAGAN '? Tnclude 2 sets of plans, af? ? /?? q ? . 1 site plan w/elevations & ?-L? ?i II,DING PEfdMiT APPLICATION 1 set of energy calculations. Zb Be L'sed For y? Valuation 5, 6a-D Date Site Address 6"u, - OF'FICE USE ON?Y Lot? Block Sec./Sub. "LILt ...?_ PdrC21 #: Ct,o rl. Alt22 Qaner: Address a.ty/Zi Phone # Contractor: PddLess: City/Zip Code: Phone #: l, 31- 'J'; 5Y Arch./IItg. . Address: City/Zip Code: Faepair Ehlazc3e Nlove Danolish Grade occupancv lP3 'j+OLL1IICJ Fire Zone 'Iype of Const. # Stories Front y? ft. Depth ft. P,PPRl.7VALS ' FEFS Assessnents Permit --?0 7 0MO [dater/Sewer Surcharye Pblice Plan Qheck /,5--3 ? Fire SPC ,5 a5 Eng. Water Conn. 3,? s 'ItO Planwr W3teL M2ter 11 Council Road Unit I f{a Bldg. Off. APC . Phone #: GF EyG?,IV `Include2 sets of plans, . . a ? . 1 site plan w/elevations 6 ? T b /B[JILDNG PEFSIIT APPLIC,ATION 1 set of enesgy Calculations, . Y - 4b Be Used Fbr / Valvation Date A$. lgfl Si s 1.3 r ?-iwrr? :_ ?.• OFFICE vSE ON?y ?o' f. :.. _. .. alocx ? sec./s,ab. ? ?Erect pccLipancy '.;? . . -. : Parcel #: Alter Zoning ? ?, ? ?ir FirE zone ?. , Owner: _ R,U.iG_,M'+?czti Enlaz3e _ TYPe of Const. I ` n a Move # Stories Address: pemnlish Front ,d it. ? Qty/Zip Cocle: J Grade Depth d b ft. ,.; Phone 73'z. ,._. ...._ :....:....:. .._ .. . , , _ . APP%7VAIS FEES Contractor: Assessrents Pe=mit?3p-7' Address: Flater/Sewer Surcharg-??T3 Police Plan Check > g-3 ? ' CitY/Z1P Code: Fire SPG S,2 5- a, Phone #: Eng' Water Conn. 5-- , . Planreer Water Metes 4T Etv . Arch./E7ig.: : - : Council Road Unit 0 frs lu Bldg. Off. _ Addness: . APC . City/Zip Code: . Phone #: ZVl'AL ??'[ <S Ar? ? ? ?VE- r,J i+? L Lj I -R 8-) Cacceh vL-? r\ V(?j 7J ; ` QTY OF EAGAN ??? ? ? Include 2 sets of plans, 1 site plan w/elevations 5 • ILDING PEFMT APPLICATION V 1 set of energy calculations. - 1b Be Usecl Fbr Valu ation '5-0?dorJ Date 1 A g. n Site ss S,'?tiein.t?!ir? Co-?oF'F'ICe USE Lot Block Sec./Sub. C '00r_? ? Erect ? p?mipancy - Pazcel #: hy,,^ Alter Zoning f? (`? Owner: R i w u '- ? ' P4pair l E Fire Zone f C t ? T ,F. QJ +zt ? .?a-l.?cC f Y) -w .arge _ n ype o ons . l? Address: rbve # Stories penlish Front ft. Qty/Zip Code: Grade Depth ? ft. Phone #: 32 5?( { APPROVAI.S FEFS Contractor: Assessap-nts Pesntit -70 7 Address: ? - ?aater/Sewer Surcharge- ?? - c. •? . Police Plan Check City/Zip Code: Fise SPC .?a.? Phone #: Arch./Fhg.. Address: City/Zip Code: Phone #: F]ig. Water Conn. 33 S Plarutier Water Metex o IEO Council Fnad Unit C9 Bldg. Off. APC ' Tt7fAL 5 . / J( HOUSE HEATING TEST RECpRD ADDRESS JJjr TfiiW (A Al DX APT.-FLOOR CITYLSUBURB DCCUPANT OWNER q HEAT LOSS- - DATE HTG. INST. cr- -? -13 ? SOLD BY INSTALLED BY Elecfrical Work By Gaa Line By TYPE OF HEAT GA-FA HW _STEAM-SPACE HTR. UNIT HTR. _OTHER GAS DESIGN x CONVERSION kL? MAKE MAKE OF BURNER Model Ge 6',76 -U-I_nEs+t µodel s«iai C-Osp3aa- Fs/9? 44,/7 Max. BTII R' a tNPUT MAKE OF FURNACE ? - Model CONTROLS 11 THERMO T AJ ? Heat Plug Vent Size ? Volve ?/'? ?? ?ZOS I? ?G'??a KIND OF LINE ?' uM SIZE ? NONE Limit ?N?`??sV Drah Hood Reeulator 4127? Limit SsMing 170o' Filtets Size6 X-020X / Number ? Fan Settin9 T?fQ Chimney Locatien Insida?0utside Pilot Type 6?OW Chimney Construction BI Pilot Moke l > " A Pilof Model Wirin9 $moke Bomb Pilot Timine n ? Draft Test Tag L.W. Cut Off Deor Pressure Lighting Inst. Pressure ? r?? w? Parcent COZ Date Tesied ' ?? ? InpuiCFH Peresnt 0? ? y ? CompanyTest' a ???'?^E Stack TamD. Paresnt CO ? Name of Test Form 235 PERMIT #: ? 5..2-71 CITY USE ONLY RECEIPT DATE: crrY oF EAsM 3$30 PILOT KA08 gD £A6AA bfA $5122 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: tj? -rX '? -V O', SITE ADDRESS: , D -?f?'1J111J-OJ OWNERNAME: M/1rj P,,QLt< TELEPHONE#: ??I7lJ?I??T INSTALLER NAME: STREET ADDRESS: CITY: 2008 USIDEPTIAL MECHANICAI. PERMIT ?PPLICATIOA TELEPHONE #: FIEA7ING W'? GAei. -- - & AIR CONldnnr,u.,,. ' MN 55024 STATE: Place a check mark next to the permit work type ZIP: _ Add-on, modific ' alteration to existina dwelling unit $ 30.00 ?fu ce repl^cem ent > • air exchanger • air conditioner • other Nature of work: u StateSurchar e 1 IR?-.-50- rotal $ 30, ? S G A 711- iroz 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED iIITH THE CITY OF EAGAN COl41ERCIAL SINGLE FAMILY DiIELLINGS INCLODE 2 SETS OF ARCHITECTURAL S STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1'SET OF ENERGY CALCOLATIONS $2,000 LANDSCAPE BOND INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For • riU l p! ,,,y-j`Valuation: 30d? D^GY> Date • Site Address 311s Ly,QNt?MQ2 Lot '2 Block ? Parcel/Sub Owner fiANNC& Address /s' ?jERN?r1 ,DR City/Zip Code ?AGAN .S?S/Z/ Phone yD-- VOrj'Z, Contractor NPale ltirT Co, Address 0&0 City/Zip Code `?jT• P/Ju(_ Phone Arch./Engr. Address City/Zip Code Phone # Erect Remodel ? Repair _ Addition liove ? Demolish ' Int.Impr. Install ? APPROYALS Occupancy Zoning Type of Const 0 of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer ? Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Cowicil Road Unit Bldg Off Treatment P1 APC Parks Variance Copies TOTAL TI.C !oN ao Ra y ru 1993 MECHAIVICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY UWEI.LINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNTT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE a- aa-?3 HVAC: 0-100 M BTU ADDITIONAL SG M BTU GA$ VULETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXISTING CoNSTRUCnoN) STATE SURCHARGE TOTAL FEES 24.00 .00 $ 15.00 .50 .?. STTF qDDRESS: 31 I J Fl1/2sJVri'i D2. OWNER NAME: P,+?L S1iuo,.?so? TELEPHONE #: 135-7 INSTALLER: WENZEt"EMING UNING ADDRESS: 1955 3HAWNEE RON, 55122 45-4-?733_ CITY: STATE: ZIP CODE: _ TELEPHONE #: /s d - a!o C'S 7? w 3 INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: Lor: 3109 FARNUM DR COACHMAN LAND Cp 1ST PERMIT SUBTYPE: SF (MISC.) PERMIT TYPE: Permit Number: Datelssued: 4 B L 0 C K: g APPLICANT: ALLEN CONST (612) 688--8100 TYPE OF WORK: DESCRIPTION aurLozNc 023441 08j26/44 REPAIR (SSDING) INSPECTION FRAMING „ . ROUGH IN PLBG .. ROUGH IN HTG FINAL REMARKS: INCLUDES 3111 (LOT 3) 3113 (LOT 1) 3115 (LOT 2) F- L x CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: o' A ?? s BUILDII(4?4y 023441 08/26/94 SITE ADDRESS: P.I.N.: 10-18150-040-08 DESCRIPTION: REMARKS: SF (MISC.) REPAIR // ?f?CC2?VIJ?? ?Li LJ I j PERMIT 3109 FARNUM DR LOT: 4 BLOCK: 8 COACHMAN LANO CO 1ST (sxoxNG) Building,Permit Type i rOuilding Wo?Ckl Type / ? i : i- `?\ ( I l INCLUDES 3111 (LOT 3) 3113 (LOT 1) 3115 (LQT 2) FEE SUMMARY: VALUA7ION $3,000 8ase Fee $54.00 Surcharge $1.50 Total Fee $55.50 CONTRACTOR: - Applicant - sT. LIC. OWNER: ALLEN CONST 16888100 0001062 FOUR OAKS COURT ASSOC 4649 112 PENKWE WAY 3470 WASHZN6TON OR 116 EA6AN MN 55122 EAGAN MN 55122 (612) 688-8100 (612)452-9532 I hereby acknowledge at I have read this application and state thaC the information is corr t and agree to comply with all applicable State afi Mn. Statutes_and City o Eag Ordinances. L J (}Pitf pi•ISSUEO :SI ATU E 13441 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 V o 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 Valuation of work Site Address: 52a?u,0llg?', ? STREET ? ? SUITE M Tenant Name: (commercial only) LOT BIACK SUBD. M'?? I l? da.ur?rn.lfY P . I . D . # Descri tion of work: Stko-jil N W /0 The applicant is: ? Owner Contractor 0 Other (Describe) Name )Collg- Di1iS .mu,? ,iSOGiaot1 , Phone 4?5L _9,S32 Property Owner LasT FIRST ip• t""^';,,r??r?/ ?. Address 3il0 dw eL4 STREET STE # City _fA66rV, Statewl/? Zip <,'y-1L4- Company ' l TiiN Phone Contractor Address daA * License # /OGL Exp. City _.r".?-6&I State 1WN Zip ?3/LL 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 a i ation and state that the information is correct and agree to comply with all applic le tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ?? I?? 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 4 31 q.-?5 New Constructbn Reauirements RemodeUReoair Reauirements Qtficel7se On 3 registered site surveys showirtg sq. fL af lot, sq. R of house; and all roofed areas 2 cop'ies of plan CBrtQfSuNgY RECd ?" ?_`' Y` N (20% ma)imum lot coverage albwed) 1 set of Eneigy Cakulations for heated addNons Tree Pr'es Plap Recd 2 copies of plan showNg beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres R"ul d ?=Y i?N, lsetofEnergyCalcuWdo? Addition - indkate'rfon-sifesepNcsystem Orrs?e"aepb'?tem .xst N3 apies o( Tree Preservatlon PWn'rf lot platGed a%er 711/93 Rim Joist Detail Optlons selectlon sheet (61dgs with 3 or less uniLs Date ?2 Construction Cost Site Address ? ??_ , UniUSte # Description of Work Muld-Family Bldg ? Y _ N Fireplace(s) _ 0 _ 1 _ 2 ?`y ) Property Owner ?ntle- f ? Telephone # ( ) S ' ? ? Coutractor f ?( n(' a 1 17 Address /? City v State ?,?? /' ?'-1rl ?n ?7 S Zip TelePhone # ?l ) -L/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Resldential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculatlons Submitted Have you previously constructed a building in Eagan fee applies. ? Licensed Plumber Mechanical Contractor Sewer/Water Contractor pian? _ Y _ N If so, 25% plan review 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 pernut, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved an i the case of work which requires a review and ap roval of plans. Applicant's Printed Name 2004 RESIDENTIAL BUILDING PERNIIT APPLICAT'ION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephoue # 651-675-5675 FAX # 651-675-5694 New Cons6uction ReauiremeMs 3 regisfered site surveys showing sq. ft. of bt, sq. ft of house; and all roofed areas (20% maximum lot coverage aflaved) 2 mpies of plan showing beam 8 window sizes; poured found design, etc. t sei of Energy Calculations 3 copies of Tree Preservation Plari'rf lot plafled after 117193 Rim Joist Detail Options selectlon shcet (bldgs with 3 or less units RemodeVRenair Reauirements 2 copies af plan 7 set of Energy Calculations for heated addi6ons t si@ survey for addifions & decks AddiTion • indlcete Hon-site sepfic system 1- :u..j-;i' "'t ?) ? I 100. ?5 ? Ce?Q??- 3 I n -. -[e secd?? ? ? ?g? ?. 4.,.. Date ? / ? 10 ?? . Construction Cost Site Address (/ UniUSte # (01 3 1 Description of Work Multi-Family Bidg ? Y _ N Fireplzce(s) _ 0_ 1 _ 2 Property Owner Telephone # ( ) 4 ) ; ? l o I d L l Contractor u? t u ? iti l Address City - State 106Q.4 Zip Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 E?ergy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (?J submission type) . Submitted Submitted . Energy Envelope Calculafions Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor N If so, 25% plan review Telephone #( ) Telephone #( Telephone #( 1? iv Alt iI hereby apply for a Residential Building Permit and aclrnowledge that the inforxnat? is complete and ?urate; that the work will be in conformance with the ordinances and codes of the City o ag?f`E an an3 the tate 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 reVWs a review and approva ? Applicant's Printed Name OFFICE USE ONLY Sub Types ? 01 Founda6on ? ? 02 SF Dwelling ? ? 03 01 of _ plex ? ? 04 02-plex ? ? OS 03-plex ? ? 06 04-plex ? Work Types ? 31 New ? 32 Addition ? 33 Alteration )K 34 Replacement 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF 10 08-plex Sgp 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. 11 10-plex ? 19 Lower Level ? 24 Storm Damage 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous D eck -? 1=r?on-t F&rz y? O 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 "Demolition (Entire Bidg) - Give PCA handout to applicant Valuation Occupancy R-3 MCESSystem Census Code ? 3? 5AC Zoning ? City Water Units Stories Booster Pump # of Units # Sq. Ft. PRV Length Fire Sprinklered of Bldgs Type of Const ? W idth _ Footings (new bldg) _ Footings(deck) _ Footings (addition) Foundation Drain Tile RooF Ice & Water Final ? Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation Approved By: REQUIRED INSPECTIONS FinaVC.O. ? FinallNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final Siding _ Stucco _ Stone _ Brick W indows _ Rebining Wall Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total (3 C&4-k.;;A 40 . as? - S' 3 .00 COACHMAN LAND COMPANY 1sT PERAZIT DATE & USE LOT 6182 4-PLP.X 010 020 030 040 ? ?8/82 4-PLEX 010 020 030 040 ? 9182 4-PLEX 010 ? 020 ' 030 040 10182 4-PLBX 010 020 030 040 1 10/82 4-PLEX 010 020 030 040 5/82 4-PLEX 010 ozo 030 040 8/81 4-PLEX 010 020 030 040 18150 BL ADDRESS 02 3141/ FARNUM DRIVE 02 3143/ ? 02 3145/ 02 3147 03 3153/ FARNUM DRIVE 03 3155 03 1571/ FOUR OAKS ROAD 03 1573 04 1577 FOUR OAKS ROAD 04 3149/ FARNUM DRIVE 04 3151 04 1575 FOUR OAKS ROAD 405 1587/ FOUR OAKS ROAD OS 1583/ OS 1581/ OS 1585 06 3107 FARNTJMDRIVE 06 1591/ FOUR OAKS ROAD 06 1589 06 3105 FARNUM DRIVE 07 3101/ FARNUM DRIVE 07 3103/ 07 15931 FOUR OAKS ROAD 07 1595 08 3113/ FARNUM DRIVE 08 3115/ 08 3111/ OS 3109 ?'' 3 ?' ag3 l ? 2006 RESIDENTIAL BUILDING rERMiT arrLicaTTON City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reauiremenis 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and ail roofed areas (20°k maximum lot coverege allowed) 2 cople,s of plan showing beam & windax sizes; poured found tlesign, etc. 7 setof Eneyy Calculations 3 mpies of Tree Preservation Plan A lot platted after 717193 Rim Joist Dehail Options selection sheet (buildings with 3 or less uniti) Minnegasco mechanical ventilation torm RemodeVRenair Reauirements 2 copies oi plan showing footings, beams, joists 1 set of Energy Calculalions for heated additions 1 site survey for additions & decks AddiUon - indreafe if on-site septic system aaq 7s otNce u66061 Cert of 5urvey ReW--. `LL Y' N TreePresAfanR&al Pt. ?ree Pms?tequir?i ? M?i=N 4ms?te SepfiCSY?em. .? ,,wr?'?g m??? N Date -/- / -Zz// d (s Construction Cost SiteAddress 3 (Q 7 3 ((, _ (l.?j t?jj'i? r????,•-? 17;., . UniUSte # Description of Work M l i il Bld F -? 4 3 u - y g t am Y_ N L Fireplace(s) _ 0 _ 1 _ 2_ .= Property Owner Telephone # ( ) Contractor x o Address /tl?'-- City I'Fet ele"c-? State ?j ''? Zip 5 S ? Telephone # (7?? ) 2 G G COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet . • New Energy Code Worksheet 0 submissiantype) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, 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 fox 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 Statutes; I understand this is not a permit, but only permit; that the work will be in accordance with the ? "?` vof Eagan and the State of MN roval of plans. an application for a permit, and work is not to start without a approved plan in the case of work which requires a review and ApplicanYs Printed Name Applicant's Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA074126 Eagan, MN 55122 . Date Issued: 06/30/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3109 Farnum Dr Lot: 04 Block: 08 Addition: Coachman Land Cc 1st PID 10-18150-040-08 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House-refunded multi address Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If altering the opening size, a framing inspection is required. Smoke detectors are required in all sleeping rooms prior to fins inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are equired. Battery operated types are acceptable if the wall/ceiling finish i.e. sheetrock, has to be removed to install a smoke detector. Kara Benson 1120 East 80t St, #211 Bloomington, MN 55420 952-345-6047 kara@elderjones.com Fee Summary: BL - Base Fee $2K $69.00 0801.4085 Surcharge - Based on Valuation $2K $1.00 9001.2195 Valuation: 2,000.00 Total: $70.00 Contractor: -Applicant - Owner: Renewal Andersen Anna Marie Richards 1920 County Road C West 3109 Famum Dr Roseville MN 55113 Eagan MN 55121 (651) 264-4777 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. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, 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 i Dote Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3745 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: BY Misc. Charges: - Date of Insp.: Total: I nsp.: Date Paid: