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
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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
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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 )
;
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l
o
I d
L
l
Contractor u?
t u
?
iti
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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: