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3120 Farnum Dr1 '(.. QUILDING PERMIT CITY OF EAGAN 3830 Pilot Krwb Road, P.O. Box 21-199, Esgso, MN 55121 PHONE: 454-8100 Receipt 1 OF 4 ''L : Est_ Velue ' I :i , ' Dnrp , i JLY Site Addrees I • Erect ? Occupsncy Lot Block Sec/Sub Remodel ? Zoning Percel No . Repair ? Type of Const. . Addition ? No. Storiea , - Move ? length W Nams D li ? emo sh Depth ? Addre ss Int Impc ? S F q. t. City Phone Install O Approvab Fees ?0 Neme ? Addreas f- City Phone Name Addresa City Phone ( hercby acknowled9e tFwt 1 hove rcud this applicution ond the in(ormotion is tonect ond ogree to tomply with all State of Minnesote Statutes ond City of Eagon O?dinonc Siqnofun of PemwftN ' A Bullding Pernit ts isswd ro: oll wuk sholt be dorw in atoordante with Buildinp Offfciol a State Assesvnent Permlt I Water b Sew. Surcharge Police Plan Review Fi?e SAC Enq. Water Conn P1onAbr Water Meter Countil Road Unit ' ? Bldg. Off. Tr. PI. APC Parks Var. Date Copfes . . '? ., Total on tM express conditlon tho+ soto Stotutes ond Clty o? Eogon Ordinoncem a 115 ?1 L Pwmit No. Pwmit Holdw DNb TNephone ? Plumbiny ?...??1 H.VA.C., .' , l ? 1?v ?•_, -I ? "? = ENctrie ? ? v ? I ? S ? U U• Softwwr InWeMion Data Insp. Other Footfnps 1 w Footlnys II Foundstlon Framiny V Roofing Rou9h Plbg. -T ?, Rouyh Htq. Insul. ? c Finplace 17 ? Final Hty. 4'$6 Flnal Plbg. 3 Final CN't/Occ. Watsr ??ibe Loeation: Wstl Sewsr Pr. Disp. CITY OF EAGAN ?- ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 6UILDING rERMIT Receior T. w w.d fe. - Est. value oflta Site Addrea Erect 0 Occupency " , Remodel ? Zoning Lot Block SeclSub. L '}R? j Repair ? Type of Contt. v, Parcel No. Addftion ? No. Stories Move ? Length Name W Demolish ? Depth LQ ; Address b Int Impr. ? Sq. Ft. CitY Phone ' Install ? ? Na„e RO?BEN04D CONSr co ?1 Address t- City Phone ' Name Addresa City Phone I heroby acknowlsdge thot I how mad this opplication and stote thaf the inlormation is correct ond ogree to comply with all applicabl• State of Minnesoro Stotutes and City of Eaqon Ordinanus. Assessment Permit - fi . '., ` Water 3 Sew . ? 5urcharge -i 0 • '' 0 Police Plan Review O Fin SAC Q Enq. Water Conn. ` i • (` U ' Plonner Water Meter ?. 3 .? 0 CounCil Road Unit '• ?? r- `, Bidg. Off. Tr. PI. ? - - APC Perks Var. Oate C ies ? Total ? G1 ?fN f7[pRif CORdItIWI ihal sota Stotutes or+d City oi Eopon Ordinonas. Sipnoturo of PertnittM . A Building Permit Is issued to: olI work sholl be done in otcordonta with oll Buildirq Officiol Pwmit No. PKmk Holdw Damo TNsphone if Plumbino ?j Gf1 t ? / 7 (Y((j o H.V.A.C. '?ll" i , •.c' ?? EbcMe ? c, soRena Itaaetion Daea Insp. Otha Footlnps 1 Footings II Foundatlon Freming Rooflnp Rouph Plbp. Rouph Htq. Inwl. Firoplace Finel Hty. Flnal Plbg. Final , Csrt/Occ. ? Watar Doseribs Locationi? Lr. Wo11 Sewer Pr. Dlsp. { 4h ? - CITY OF EAGAN ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 _ PHONE: 454-8100 eUiLDING rERMIT Rece+pt To be wwd iw ? `.j'r' Est. Volue Dare 19 F' = Site Address Erecr Q occuvency I Lot Blcek S+c/Sub Remodel ? Zoning Percel No . Repair ? Typeof Coost. . Additfon ? No. Storiea Li ?.. ?f ? Move ? Length ? Name Demoliah ? Depth " 1 Addres s '` j' Int Impr. ? Sq, Ft. City Phone Install ? ?? Name u Address u 0- City Phone '- . Name Addreu City Phone I hereby ocknawledye thaf 1 how reod fhis opplicotion ond state ihat tF?e inlormotion is torrect nnd ogree to comply with oll opplicoblo Stote of Minnewta Sfotutes ond City of Ea9an Ordir?onces. Sipnature of Permittae H Buildinq Pemnit Is issusd to: oll work sholl be done In ocaordontt with oll applicabk Statt of Mtr 8uildinq OffiNol Assessment Permit Water 6 Sew. SurCharge P ll l R i ? o ce FI n an ev ew P SAC E W t C nq. er onn. a Plonnn Water Meter `? Council Road Unit - Bldg. Off. Tr. PL ?• APC parks Var. Dete Copies Total ' : , . . . ? on fhe expreas oondiHon thoo ?soto Stotutes and City of Eaqen Ordironces. Permit No. Pnmk HoMK Deb TeHphone * Plurhbin0 H.VA.C. ",.: , ? ',-j -/ r . I i .?.? • ;1 ? EModc " i?--0,? ,,-? ?lrl Y ` a. uo soft«»r irdpaction D¦w Insp. Othw Footings 1 Footings II Foundation Frsminy : s Roofinp Rough Pibg. Rough Ntg. Insul. Firaplaca Final Htg. Final Pibp. ? Ffnsl Cert/Occ. 4 Water naibe Location: D Well Sewsr Pr. Disp. ('f'' ' BUILDING 'ERMIT CITY OF EAGAN . 10613 3830 Pilot Krab Road, P.O. Bcx 21-199, Eagan, MN 55121 PHONE:4548100 aeceipt # PLF_''- Est_ Ve1ue 11 i UU0 Site Address Erect k-1 Occupsncy . ' Lot ' C'+)a{`?'; Bloek ub ' emodel ? 2oning Parcel No . Repair ? Type of Const. . Addition ? No. Stories ' Move ? Length ? Name . pemofish ? Oepth Addre ss Int Impr. ? Sq. Ft. City Phone Install ? ?, - Approralf F!N ? O N8fT1@ . , .. _ . . . ?. , . , . . . . _.? t ?._ ?? su Addresa ? CitV Phone -; • Name Address City Phone I hercby ocknowladpe thot I have raod this application ond stote the inlormotion is torrect and agree fo wmply wifh oll opplH State of Minnesota 5totutes ond City of Eoqon O?dinonces. Sipnoturc of Permittas A Buildinq Pertnit is issued to: oll work sholt be done in accordonce with all State of Assessment Permit Woter & Sew. P Surcharge C l R i olice an ev ew P Fin SAC Enq. Water Conn. U Planner Water Meter T-oL Countil Road Unit j 7-0 0 Bldg. Off, Tr. PL APC paft Var. Date Copies Total on fht exqess condition Ihat I ioro Srorutes ond Ciry of Eoqon Ordinoncn. j Buildlnq Offlciol Pwmit No. Pwmk Holde? Do" Telephone s Plumbing ? 5C-A U s H.vA.C. ENctric Soitamr Irqpeetion Date Insp. pthw Footinps I Footings II FoundaUon Framing Rooflny RougA Pibg. ? Rough Hty. Insul. Finplacs Finsl Htg. Flnal Plby. 4- fr . ?. Final ? r 44 Cert/Occ. Wffier Wwibe locationC e Lf u. Well t. ,..., .:_. ? L Seviier Pr. Dfsp. PLUMBING PERMIT ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 PERMIT # RECEIPT # DATE: y Name S Addre c City _ ? Name 3 Addre p CitY - = FEES ..COMM/IND FEE - 1%OF CONTRACT FEE MINIMJM - RESIDENTIAL FEE - $10.00 ' MINIMYM- COMM/IND FEE _ 20.00 STATESURCHARGE PER PERMIT .50 (ADD $.?0 S/C IF PERMIT PRICE GOES ? BEYOND,$1,000.00) PERMITTEE BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on -7= Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 ?Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE . FOR: CITY OF EAGAN STATE S/C: GRAND TOTAL• CITY OF EAGAN Remarks I Addition_ COACFNAN LAND C0 3RD ADDN Lot 4 Rlk 5 Parcel 10-18152-040-05 owner Street 3120 FARNUM DRIVE State EAGAN MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1983 754.17 150.$3 5 5c• 95 9Of - - 6 STREET RESTOR. GRADING Z 1983 173.2b 34.65 S 401(g2,2 ! -?- P? SAN SEW TRUNK ?? SEWER LATERAL 7 Z 1983 1908.38 381.68 S o - ?O - ? WATERMAIN • WATER LATERAI. 1983 S WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER ' 510EWAlK STREET LIGHT nl 53850 7 22 85 WATER CONN. 500.00 BUILbING PER. 0(1$-10(21 s,cc 525.00 PARK I CITY OF EAGAN Remarks ? I , ! I Addition COACFMAN LAND CO 3RD ADDN Lot 1 B1k 5 Parcel 10-18152-010-05 owner Street 3120B PARIVUM DIlIYE scate ?M MN 55121 improvement Date Amount Annual Years ? Payment Receipt Date STREETSURF. '75s 1983 754.17 15Q.83 S 1,50, 05 D1 STREET RESTOR. GRADING 2 1883 173.26 34.65 S o - 3- SAN SEW TRUNK i SEWER LATERAL 72 1983 1908.38 381.68 s F7 WATERMAIN ' • WATER LATERAL 1983 S WATER AREA STORM SEW TRK STORM SEW LAT CURB 8i GUTTER ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC ? PARK CITY OF EAGAN Remarks ' Addition COAC}MAN LAND 00 3RD ADDN Lot 3 Rlk S Parcel 10-18152'030'05 owner Street 3122 1?ARNUM DRIYB scace EAGAN 14M S512=. Improvement Date Amount Annual Years Payment Receipt Date STFiEET SURF. SS 1 83 754,17 150,83 y. oZ- STREET RE3TOR. GRADING ' 1953 173.26 34.65 5 SAN SEW TRUNK * SEWER LATERAL ' 1983 1908.38 391.68 S WATERMAIN • WATER LATERAL iggs 5 WATER AREA STORM 5EW TRK STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. 900-00 u n BUILDING PER. = ?nAiR-imqj_ SAC 52 5 - 00 PARK CITY OF EAGAN Remarks Addition COACMNN1 I.AND CO 3RD ADDN Lot 2 Rik 5 Parcel 10-18152-020-45 Owner 5treet 3122B FARNUM DRIVE stace EAGAN I4N 55121 Improvement Date Amount Annual Years Payment Receipt Oate STREET SURF. 55 ? - !A ? STREET FiESTOR. GRADING a SAN SEW TRUNK f SEWER LATERAL Z 1908 38 381-68 /J . WATERMAIN w WATER LATERAL 1983 WATER AR EA STORM SEW TRK STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET IIGHT Raa nit 280.00 53 85 WATER CONN. 500.00 BUILDING PER. 0618-1062 SAC 525-00 PARK Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN ? . • Fas Fill in numbered spaces S/C TYPe oi Prin[ legib/y Tot. 1. Date 2. Installation Cost ? 3. Job Address - Lot Bik. Trac 4. Owner 5. Contractor % '• Phone ?- 6. Address ! . Zip 7. City State 8. Building Type: Residential O 9. Work Description: New ? 1 10. Describe 1 11_ Commercial ? Institutional ? Add ? Alter'V? Repair ? No. - Fixtures Water Closet No. - Fixtures ? Cesspool/Drainfield i Bath tubs Septic Tank Lavatory `N Softner Shower Well ? Kitchen 5ink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink -- - -- Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved _ CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee 20.00 ? Fill in numbered spaces S/C .50 Type or Print legibly Tot. 2()_ 50 ? 1. Date 8%6/b5 2. Installation Cost 2400•40 I 31225 FARIWi,: D,IVE ?r 3. Job Address ot Blk. ,?? ract " 4. Owner i-2USc:rJG!) COR° 5. Contractor SCHUL`rIES P114M82NG INC. Phone 786-4007 6. Address Lii,4L?i:T RD_ P1E 7. City SPitT[]C t,AKE PARK State MN Zip 55432 8. Building Type: Residential 3C] Commercial ? Institutional 11 9. Work Description: New 0 Add ? Alter O Repair ? 10. Describe FRi+ME Div-ELLI[vG 11. No. Fixtures Water Closet No. Fixtures Cesspoal/Drainfield Bath tubs Septic Tank -? Lavatory Softner Shower Well ? Kitchen Sink Urinal/Bidet Other _L Laundry Tray 1 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 Inspections: Date for Rough Flnal Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 MECHANICAL PERMIT Permit No., CITY OF EAGAN F» Fiil in numbsmd spacas S/C Typs or Prin[ leglbly Tot ? . 1. Dsta 2. Inatsllation Cottf?' 3. Job Addresa31?' Blk. .6",_ Tract 4. Owner 5. 8. Address 7. City.. State Zi -,, - y?- p 8. Buildinq Type: Residential Cl Commercial 13 Institutional ? 9. Work Description: New Q Add ? Alter ? Repair ? , }. 10. Desaibe i???l,<<' Fuel Type 11. 12. I hereby certity tfiat 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 454-6100 No• EiuipIDent 9TU - M. Ea. Forced Air No. Equipment CFM Ai H d i Mfg. r an l ng: Boflers Mech E ha t Mfg. . x us Unit Heater Mfy. Other Air Cond. Mfg. ?_ Gas, Piping Outlets Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN 11 y Fee 20. (X) Fill in numbered spaces S/C .50 Type or Print legibly Tot. 7n _ 5? 1. Date 8/ bi J5 2. Installation Cost 2400.00 3. Job Address 3122 2,RNUP1 Dl2?oy J BIk:J Tract,? 4. Owner R0.SEWOOD CO,--,P 5. Contractor SCHIILTIES Pj,LRKBIING IivC Phone 786--400! 6. Address £3383 SUNSET RD. NG, S 7. City jpecl;3G i.,AKE pAFtK State 1'-1N Zip 55432 8. Building Type: Residential 13 Commercial O Institutional ? 9. Work Description: New 13 Add O Alter ? Repair ? 10. Describe P'R,AME DWELL.I:VC, 11. No, ? Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Se tic Tank ? Lavatory p Softner _L Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outleu 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Roaipt pAECHANICAL PERMIT Pennit No. CITY OF EAGAN FN Fill /n numbemd tpscea S/C TYpe w Prin[ lapidy Tot. ? 1. Date JIM , - -' 2. Installation Cost 3. Job Addr = ? ?LotBlk. Tract ?- ? 4. OW1Mr 5. Contractor?,T?:-?L?^ hone 6. Address v Sr' i. ?' 7. Cty. State , Zip ? 8. Building Type: Residentisl Gl Commercial O Institutional ? 9. Work Description: New ¢ Add ? Alter ? Repair ? 10. Desc?ibe f ,G,-r .ti;uel Type ' ?f?j ' ??:? 11. No, EqujpiII511L BTU - M. Ea. Forced Air No. Equipment CFM Ai H d i Mfg. r an l ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. = Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : -- r for :. - - '• _ _ r? ? ?7? Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 RftNPt 'MECHANICAL PERMIT Pannit No. CITY OF EAGAN FM Fill /n numbersd spsca S/C Type or Print /agibly Tat 1. Date 2. InstNlation Cosf %?. , `. -. ... h i<?y ?? 3. Job Addrsk Lot?Blk. ? Tract 4. Owner 5. Contractar & + Phone ' - , 8. Addre:s / .. . .'_ . % 7. Gty State ZiP 8. Building Type: Reaidential C} Commercial ? Institutional ? 9. Work Desaiption: New D Add ? Alter O Repair ? 10. Desaibe,4 t' z -/ :li"ss- Fuel Type - 11. No. Eaujpment BTU - M. Ea. Forced Air No. Equipment CFM H Ai dli Mfg. r ng: an Boilers Mfg. Mech. Exhaust Unit Heater Mfg, Other Air Cond. Mfg. Gas, Piping Outle#s 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. . ? ? ;l Signed : ..' r ,:s.t for`;i Rouyh F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 -?-- Receipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly Permit No. Fee 0-04- S/C .50 Tot. 20 _ 50 , 1. Date 8j6/85 2. Installation Cost 2400-00 3120B FAFt;,7Ji•; Di2IVE /-t 3. Job Address Lot ? Blk. ? T?et{ "t 4. Owner RC19M'.WCX)T) C0RP . 5. Contractor Ft[1T.TT S pL1MT N Phone 786--4007 6. Address 3383 SUNSE`1' RD. NE 7. City SPi?ING LAKE PAF2K State MN Zip 55432 8. Building Type: Residential ?i] Commercial ? Institutional ? _ 9. Work Description: New [E Add O Alter ? Repair ? 10. Describe FRAME DV+1$LLING 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p $eptic Tank ? Lavdtory 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 Inspections: Date for Rough Final _ Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 R"ipt -? MECHANICAL PERMIT Pennit No. CITY OF EAGAN FN fill in numberod tpscss S/C Type a PYint legibly T ot 1. Date 2. Installation Cosr"",1U'- 3. Jab Addresi,? f: ? ,• ;? Lot Blk. _ Tract, 4. OWflBI 4 ?_. 5. 8. Address 7. C'ity Dt4?`--' State 4 ZiP ? 8. Building Type: Residential O Commercial 0 Institutional ? 9. Work Desaiption: New El Add ? Alter ? Repair ? 10. Desaibe?-?f?t Fuel Type 11. No, i Equjpmepi BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. MeCh. Exhaust Unit Heater Mfg. Othar Air Cond. Mfg. -e 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 ?T-`- 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 CITY OF EAGAN Fill in numbered spaces Type or Prrni legibly Permit No. ? Fee 2(l _ ()() S/C .50 Tot. 20 _ 50 1. Date 8f6/65 2. Installation Cost 2400.00 . 3. Job Address 3120 F1'i'?L:U!'1 Lot Blk. .?)_ Tract 4. Owner R0SEYXJOBDC0:i13 5. Contractor .1;CHt1f ?PTF_R Pf j1MRPNC; iN(' _ Phone 7A6-"7 6. Address 8383 SIJN.SET RD. NE 7. City SPRING LAKE PAEtti State MN Zip ')ti4:i2 8. Building Type: Residential IN Commercial ? Institutional O 9. Work Description: New S] Add ? Alter ? Repair ? 10. Describe E'RAME DWELLING 11. No. - ? Fixtures Water Closet No. Fixtures Cesspool/Dra i nfield ! Bath tubs Septic Tank _ Lavatory Softner ? Shower Well ? ICitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. _4- 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 Rough Inspections: Date Insp. for final Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 This reqvest voitl 18 months 1mm t? 0 % 063L 86 ??? 5 (.aa.?,r?.a. ?' 3 .50• ?o 1 Fenyest Date 8-28-1985 Fire No. FouPh-in Inspection FeQUired? ?AeaAV Nuw il? Notity, Inspec- ?'es ?NO or When Ready MLicensed Eleclrical ConVactor I hareby rapuest insDaction of above ? Owner electrical wark installed et: Street Address, Box or floute No. . Ciry 3120 Farnum Drive Eagan ectmn o. Townshio Name or No. nneN o. County Dakota Occupant (PqINT) Phone No. Rosewood Builders Pawer $upplier AAdress IIg}fKrA NSP RR Electrical Con[racmr (COmpany Name) Cnntraclor s License No. O.B. Thompson Electric Co. A40602 Mailing Address IConvactor or Owner Makinp Ins[ailatioN 12201 Mtka slvd., Mtka 55343 ? Authorized Sign tLre IConvactodOwner Making Instal?atid?l Ph n e Number p ?q A MINNESOTp STATE 60AflO OF ELECTRICITY w? THIS INSPEGTION qEQUEST WILL NOT Griggs•Midway Bldg. - Room N•191 gE ACCEPTED BY THE STATE BOAHD UNLESS VROPEN INSPECTION FEE IS 1827 UniversitYAVe..51. Paul, MN 55704 Phona (612) 297-2117 ENCLOSED. This request void ' VB-months Irom 12 o 0638?2 Nequest Date File No. qough-in Insoection Requ reA7 ?Raady Now l Notity.Inspoc- $^Z$-i'?85 nYOS ?No ?or When Reatly >a Licensed Elec[rical ConVactor 1 hereby requast inspection oi ebove ? Owner _ alechiwl work installed aL Street Adtlress, Box or Route No. City 3120 B. Farnum Drive Eagan ection o. Townshiu Name or No. Range No. County Dakota OccuGant (PRWT) Phune Ne. Rosewood Builders Power Supolier Address NSP RR . Electriwl ConVactor (COmpeny Name) Conhactor's License No. O.B. Thompson Electric Co., Tnc. A40602 Mailin9 A.tldress (COnVactor or Owner Makine Installation) 12201 Mtka Blvd., Mtka 55343 ? Authorized SiOpature'ICOmractor/Owner M1kiKing Installati'on) Phona Number MINNESOTA STATE BOARD OF ELECTHICITY ? THIS INSPECTION qEQUEST WtLL NOT Griggg•Midwey Bldg. - Noom N-191 BE ACCEPTED BV THE STATE BOAND 1821 University Ava., St. Peul, MN 55104 ' UNLESS PROPEH INSPECTION FEE IS Phone (61212972111 ENCI.OSED. REQUEST FOR ELECTRICAL INSPECTION E8-00001-04 sea InsM1UCtions for comoleting this tarm on beck of yellow copy. 0 ?/ 9 "'1!'" Below Work Covered by This Request q?7 NaMAAdI Aec+ 7voe of BoilCina 1 Aooliances WiroA . 1 Equiumenl Wired - I I I I I Duolex 1 1 Water Heater lod Lioh[inu Fixtures I Silo Unloader Buik Milk Tank O/) N Pee Sarvica EntraneaSite tl Fee Fneders/Subfneders # Fne Cirouics 1 OUG10. QDto 200 qm u 0 to 30 Am s 1 25.00 0 tn 30 Am s Above 200 qmps, 31 co 100 Amps 37 to 100 Am s Swimining Pool Above 100_Amps Above 700_A.mps Transiormer5 rrigytion Boorc,s Partia6'Other Fee Sfgns Speciallnspection Nemsrks S 50.50 TOTA FEE S L13ri SIR].tl'Y ir ./ _p5I,npe Eioa.?rr I n sector, ?ereby certi?y that the above Final ? e inspection has Eeen H? mada. REQUEST FO.R ELECT.RICAL INSPECTION . es-ooooi-o< ' See instructions for completing this torm on back ot yellow copy. ? n«_ ."X" Below Work Covered by This Request 18f1ClS W1!!d ice N Fee SetviceEntrence5ize # - Fee Feeders/Subieadere q Fea Circuits IO DUG to 200 Am 5 0 to 30 Am s z5.00 Q to 30 Am s Above 200 Amps 37 to 100 qmps 37 to 100 A s Swimming Pool Above 100_Amps A6ove 100_Amps Tmnsiormers Irrigation Boorris Partial•'Oth Signs ? Specialinspection pemarks DanSmith $ 50.50 TOTAL E Q? - ? "•,-??• J //(? ?i ine e?acn-?ca? L{/, f ` '?00? Insoectur, he,eh he Fingl ? e ?ily tl the .bave inSpBCtiOn ha4 bB011 ? ?da. TM5 request volE 18 mon1M Irom This reqves[ void ? 8 months from Q 0 6 3 8 6?? Request Date - Fire No. flouph-in Insuection ? " Requ-red? Ready Nuw:aWill Notify, I 5Pe` M 8-28-19-85 ??es F]Nu [or When Feady 'U"Licensed ElecVical Condactor I hereby requast inspection ol ebove ? Owner elecVical work installed at Svee[ AAdress, Box or Hovie No. . City 3122 Farnum Drive Eagan ection o. 7ownship Nama ur No. Range No. County Dakota OccupnntlPRINTI Phone No. Rosewood Builders Power $upplier Atldress NSP RR Elecvical ConVactor (COmpany Name) Con r t r's License No. O.B. Thompson Electric Co., Inc-. A???82 Mailinp Address IContractor or Owner Making InstailatioN 12201 Mtka. ) Blvd., Mtka 55343 ? Au[horizetl Signalure (Conhactor/Owner Making'Installa[ion) Phonu Number 933=?. ?27 MINNESOTq STATE BOAXD OF EIECTRICITY !J THIS INSPECTION NEQUEST WILL NOT Griggs-Midwey Bltlg. - Room N•791 eE ACCEPTED BY THE STATE BOAHD 1821 Univarsity Ave., Sl. Paul, MN 66104 UNLESS PNOPEN INSPECTION FEE I$ Phone 1612) 297-2711 ENCIOSED. REQUEST FOR ELECTRICAL INSPECTION ee-oooor_on , See instruclions ior campleting this torm on baek of vollow co0v `061861 ""X" BeJow Work Covered by This Request Nw4 Addj 0.ep. Type oi Builtlin9 Apoliances Wited Equipment WireA Home Range 5.00 Temporary Service Duplex Water Heater Lightinp FixmreS Apt. Building S2L Dryer 2.50 Electric Heatin Commercial Bldg. X Furnace 2,50 Silo Unloader lndusirial Bldg. Air Conditioner Bulk Milk Tank Farm otnar peci v etnor 15uen;N1 t er sueciiv X other DiS .D15 .00 nlh" Compute Inspectron Fee 8elow N fea ServiceEntrenceSize k Fea eders N Fnx Clrcults - - - - - - - - - - - - - - - - - - LQ VUG to 200 qm s • U to 30 Am s Above 200 qmps? ps 31 to 700 Amps Swimmin Pool Ainps =Abovel Above 100_Amps Transformers rc?s Partial•" Other Fee Signs ction $ ?' TOTA F Rem?rks jQ.5Q L flough-in M ate I, tha ElecVicn . , ?O ?? Inspector, he,eby rtify that ffie above Final J/-/G,pl insoection hes baen 7 ru„reae. Thie requeal volE 18 montM trom , 3Q REQUEST FOR ELECTRICAL INSPECTION E9-(J0001-04 ' See instructions for comDleting this torm on beck ot veliow copy. )10?jrro? / ?? f) a Below Work Covered by This Request Atltl Heo. T Appliance. WireC Equipment Wired 7C Range 5.00 Temporary Service Duplex Water Heater XX Ligh[iny Fixtures Apt. Building g Dryer $5MX2,50 Electric Heatin Commercial Bldg. Fumace 10 Si!o Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank F2rrt1 Othei peci y ther (SOeci(y) mo. suec,rv or el Dis .Dish.6.00 °ihi.' ompute lnspection Fee Below N Fee ServiceEntraneeSize, p Fee Feeders?Subfeede?s u Fee Circuits G 0 to 200 qm s- 0 to 30 qm s 10 25.0 0 tn 30 Amins - Above 200 qmps 31 to 700 Amps 37 to 700 q y Swimminq Pool Above 100-Amps Above 7(10_Am s Transiormers Irrigation Booms ,50 Partial.'Other Fee Signs Special Inspection $ TOTA f' Bemarks D3R SlCllth .$0 $0 L,FE / ??? RouBh-in ? Da the E V' 1 Insyector, heraby V .e?tify thatshe above Final D) L inspection has bean meda. Tliis reauesl volC 18 montlis tmm This requast vOitl ?i??? 18 months from ? Q 0 063861 ypecf Date , Fire No. Rouph-in Insoection ' Ae Requ?retl? I ?AeaAV Now ?'ill Notify, Inypec- 8^28-1985 7?ves ?NO lor W hen Feady IBLicensed ElBClrical CoMrac[or I hereby repuest insPection ol above n Owner elec[rical work instelled at: Sveet Address, Boa or Route No. C ity 3122 B. Farnum Drive Eagan ecunn o. Township Naine or No. Ran9e No. CountY Dakota OccuDani1PRINTI Phone No. - Rosewood Builders Power Supplier AAdress NSP LL Elechical Convacmr (Company Namel Cnnhauor's License No. O.B. Thom son Electric Co. A40602 Mailinp Address (COnVacmr or Owner Ma king Iretailationl 12201 MtkalBlvd. Mtka 55343 Authorized Sienature ?Emttactor/Owner Makinp InstalW[itlrJ ??y ? +^ _ urµr Ph' } ? a7G 1 §?U`G MINNESOTA STATE BOAHO OF ELECTRICITV ? THIS INSPECTIDN NEQUEST WILL NOT Griggs-Midwey 91d9• - Aoom N•191 - BE ACCEPTEO BY THE STATE BOARD UNLESS PHOPEfl INSPECTION FEE IS 1821 University Ave., St. Peul, MN 55104 Phone 1812) 297-2111 ENCLOSED. ( TOWNI30USE ) CITY OF EAGAN 3830 Pilot Knob Roed, P.O. Box 21-199, Eagan, MN 55721 ?•"PNONE:4548700 BUMDING PERMIT aeaeivr # - T. " Me f. 1 OF 4 PLEX EN_ V?I,,e $61,000 pato JUI SiteAddress 3122B FARNUM DR La 2 9?oek 5 sec/Sut. COACHMAN LAND Percel No. Name COACHMAN LAND CO 2 Address R b City ROSEVILLE Phone 636-8050 A Nme ROSEWOOD CONST CO qddress SAME u? ci<v Pnone 631-3254 N_ 10621 Y 22 „ 85 Erect Ll Occupency R3 3Mmodel ? 2oning R3 Repair ? Type M Conrt. _V rni Addkion ? No. Storios y Move ? Length 46 Demolish ? Depth 24 Int Impr. ? $q, Ft. Install ? ? Aoororols Fees Assessment Permit +S 316.00 wore. a sew. sumna.ga 30 . 50 Polfu Plen Review 158. ? 0 Firs SAC 525.00 Enp, WeterConn 500, 00 Plonnar WaterMeter 63.00 Couneil Roatl Unit ?_ $ 0- 0 0 BIdg.Off. 7I17/8 Tr.P4 132.00 APC Paeks Yer. Date Copies ?. O 7otal on fhs sxproas Gondiflon Ifwt ao StMUtas ard City o7 Eaqan Ordinoncas. ?W Nmne x;? Address u ?W City Phone 1 hercby ackrowledge thnt I heva reod ihis upplication and srote that the inlormotion is correct and ogree to comply with oll applicable Srota of Mianewto Stotute and ?ry of Eaga Or im z. Sipnotum of Permi w Buadinq aem,ir t: issued ro: ROSEWO CONST CO oll work shall be dona in aceordonee wltW-aKopplqWa Steta ot ii Buildinp Offfcfal (TOwvxovsF) CITY OF EAGAN Na 10620 t *' ` 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 BUILDINC PERMIT Receivt # Te be mmd fer 1 OF 4 PLEX Est. Value $61.000 pote JULY 22 1985 SiteAdtlreea 3122 FARNUM DR erect IX occuPSncy R3 COACHMAN LAND Lot 3 ei«t 5 Sec/Sub Remodel ? Zoning R3 . CO 3RD 7 Parcel No RePair ? Type of Contt. VN . Additlon ? No.Stories COACHMAN LAND CO Move ? langth 46 9 Name Demolish Depth 24 Z Address 1711 W CTY RD B a lnt. Impr. ? Sq. Ft. s City ROSFVILLEphone 636-8050 Insta11 ? ROSEWOOD CONST CO g Name Avaroratr Feea _ Addrass Assesment Permit ? 0 ? City vhone 631-3254 WaterdSew. Surcharge 30.50 Police Plan Heview 158.00 ?W Name Firo SAC 525.00 o Address Enp. Weter Conn 500. ? 0 u ?w City Phone Clommr WaterMeter 63.00 Council RoedUnit 280.00 I hereby ackrawiedge that 1 have rcad this opplicotion ond stote that 7 17 $5 Bldg. Off. Tr. PI. 132, 0 0 the Inlormation is correcf and ogree to comply with all aD{ icoble APC Parks Stata o1 Minrxwro Stacuh and ry of Eagan dina xo Var. Deee Copies Sipnmure of Permi .04.50 7otai $2 0 ROSEW O ONST CO A Bulidirp Permit {s iuuad to: on tha ezpreD conditlon tFqt all work aholl be dona in occordanCe with all applico a t of Mi?ao a 5fa yt a City_ 07 Eapon Ordinoneas. Bulldiep Offieid ?3S JTOWNHOUSE) CITY OF EAGAN N? 10 619 ° 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 4548700 BUILDING PERMIT Receipt g y? Te 6e GwJ fa 1 OF 4 PLEX Ea, Volue $61,000 Dafe JULY 22 19 85 Site Atldresa 3120B FARNUM DR Lot 1 Biock 5 Sec/Sub. COACHMAN LAND Peroel No. CO 3RD W Name COACHMAND LAND CO ? Addrass 1711 W CTY RD B City ROSEVILLE Phone 636-8050 ? Name ROSEWOOD CONST CO ?u Acidness SAME ? City Phone 631-3254 rja ?uW Name u? A1ddI@49 ?W City Phone I hercby ackrowledga thot I how rcod 1his cpplicofion end stote thof fhe inlormofion is Gorrett and agree to comDly with oll ffplicoble Stob of Minnewro Statut o ty of Eaqon rd'no Es. Siprwtum of Pem+iM fs_:? A 13u7ldinq Permit is issued m: ROSEW066 CONST C oll work sholl be done in acoordance wi o ppl'eJOble Stata o Min Bulldirq Officlol l - C-4 Erect 11SI Occupancy K3 Remodel ? 2oning R3 Repair ? Type af Const. VN Addltion ? No. Stories Move ? Lenytn 46 Demolish ? Depth ZQ Int. Impr. ? Sq. Ft. Install ? Apyr,mak Faat Assessment Permit . 0 warera5ew. suronarge 30.50 PoliCe Plan Review 158.00 Fim Spc 525.00 Enp, Water Conn. 5 0 0. 0 0 Plonner weterMeter 63.00 Council RoetlUnit 280.00 BIdg.Off. 7/17/$5 Tr.pl. 132.00 APC Perks Var. Date Coples Total ' S0 an ths eupren wndition thot ta.Staeutea ond Ciy ot Eapun Ordinances. ( T04aNA0USE ) • ? CITY OF EAGAN N2 10 618 ? 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 4548700 G BUILDING PERMIT ee«ict # T. M uad fw 1 OF 4 PLEX Est. VaIue $61, 000 pam JULY 22 ?y 85 SiteAddresa 3120 FARNUM DR erect 13 Oca,Pancy R3 Lot 4 COACHMAN Block5 cec/Sub LAND Co9emodel ? Zoninq R3 Peroel No . 3RD ADD Aepalr ? Type of Const. Nuy . Addi[lon ? No. Staries COACHMAN LAND CO Move ? Lengtn 46 W Nw^e Demolfsh ? Depth 24 = ? qddras 1711 W CTY RD B lnc Impc ? Sy. Ft. Ciiy ROSEVILLE phanB 636-8050 Install ? ROSEWOOD CONST CO AVVmrala Fem g Name Address E ctty Phone 631-3254 F W Name xU, I Addresa ?W City Phone I hereby acknowledge tMt I haw read this applicotion ond stote that the Information is correct and ogfee to comply with all ep " oble Storo of Minnesoto $tatutphancVPaty of Eayan -GqdivahcW. Siprwfurc of Permi?- ///A//w:l A Buildinq Pertnit Is issued? M ROSEH dl work shall be done in xcordonte with oll BuI1Nnp Official Stote of Assetunent Permit +S 316.00 Woter35ew. Surcharge 30.50 Polica Plan Revlew 158.00 Flro spc 525.00 Erq. WaterConn. 500-90 Vlannar WeterMeter 63.00 Council Road Unit 280.00 BIdg.Off.? 11/85 Tr.PI. 132.00 APC Parks Var. Dete Copies Total 52.004.50 an NN axpfeA Cofditl0n Iho1 w Statutes ond Ciy o7 Eapan Ordinoncail. lm"?'* City of EapE 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 I ----------------- I For Office?qge ? I ? Pertnit #: 6 , I Permit Fee: z5U- I ? ? Date Received: I I ? I ? ? Staff: ? L ----------------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 'Oiia-SM Site Address: k Z.b FaY N SM ?X Tenant: Suite #: RESIDENTlOWNER Name:S-A.t7Qt1 Phone:(0*??(00qffl • ? ?(? •? Address / City / Zip: cilt iS _ CONTRACTOR Name: hpZS ?k"0?8??Af?_ cens?#:?? Address: Ci)v City: State: Zip: 07? Phone: b: Yi2??7'? Contact Person: k,Div? t ??? TYPE OF WORK _ New Replacement _ Repair _ Rebuild _ Modify Space _Work in R.O.W. Descri tion of work: PERMIT TYPE RESIDENTIAL c? Water Heater _ Water Softener Lawn Irrigation Add Plumbing FiMures ? RPZ PVB) ? Main _ Lower Level) SepticSystem _WaterTurnaround New Abandonment RESlDENTlAL FEES: ? 50.5 inimum Water er 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 $136.00 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 bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $? . ... ... '._'___' __? .. ?? ?? ,.s r??....? ?? ?w., _ -v ?, I hereby acknowledge that this infortnation is complete and accurate; that ttie worN wiu be In conmrtnance wrcn me u,u?na???? o??. .._ 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 acwrdance with the approved plan in the case of work which requires a review and approval of plans. bz? X fty\-o : X Da?? ApplicanYs Printed Name ApplicanYs Signature IU FOR OFFICE USE Required Inspections: Reviewed By; ?te: _ _Under Ground _ROUgh-in _Air Test , _GasTest _F g?l 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauiremenls RemodellReoair Reauiremenls gffl,ce Use Onlv 3 registered site suneys showing sq. R otlot sq, ft. of house; and all roofed areas 2 cropies of plan CeAOF SurveyRecd _Y _N (20%maximumbtmverageallowed) lsetofEnergyCalculaEons(orheatedadditions TreePresPlanRecd _Y _N, 2 copies of plan shaving beam & window sizes; poured found design, etc. 1 site survey for addilbns & decks Tree Pres Required Y N lsetofEnergyCalwlations Addifion-irdicateffonsifesep5csystem On-sileSepticSystem _Y _N 3 copies of Tree Preservatlon Plan K lot platted after 717193 Rim Joist Detail Options seleclion sheet (bidgs with 3 or less unils Date 9 Construction Cost SiteAddress Unit/Ste # Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 2 Property Owner efl Telephone # ( ) Contracror Address?72 Ci ? State Zip Telephone #(6,-E j L??? y(O ?%?J COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code CategOry , Residendal Venfilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( D Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the informayo+ +? ?tnm°d-°durate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. ApplicanYs Printed Name OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? DS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex Pf 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Founda5on ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors 21 34 ReplaCement "Demolition (Entire Bldg) - Give PCA handaut to applieant Valuation O 8?? •^ Occupancy R-3 MCES System Census Code y3 y Zoning -3 City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const V N Width REQUIREDINSPECTIONS FooYings(new bldg) Final/C.O. _ _ Footings (deck) Fx' 57:n9 ? FinaVNoC.O. Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Bnck Fireplace R.I. AirTest Final Windows _ Insulation _ Retaining Wall P,pproved By: ?M ' , Buiiding Inspector Base Fee Surcharge Plan Review MGES SAC City SAC ,Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2004 RESIDENT'IAL BUII.DING PERMIT APPLICATION 0 City Of Eagan 1 ? 3 ? ? • ? ? 3830 Pilot Knob Road, Eagan MN 55 22 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction ReouiremenLs RemodeVReoair Reauirements Offieir? Uss:(kllv 3 registered site surveys showing sq, ft. of lot, sq, tt o( house; and all roofed a2as 2 oopW of plan CeR af Survey ReW Y ... N (20% mauimum lot coverage allowed) 1 set of Energy Cakulafions tar heated addifiorts Trce PrsS PJan Recd ' -'V ;-;N: 2 copies oF plan showing beam 8 windax sizes; poured tound design, etc. 7 site survey for additions & decks Tifce Pres Reqaiced.. _Y _ IV lsetofEnergyCalculations Addition•irMicatei/onsftesepficsystem q"ite?SepticSystem , -_Y _N'.. 3 copies of Tree Presenation Plan if lot platted atter 711193 Rim Joist Detail Options selection sheet (bldgs wiN 3 or less un0s Date 27 / D: Construcdon Cos? ?V(/ ? Site Address _?j Unit/Ste # Um ,09- t c3to Description of Work A L Multi-Family Bldg ? Y_ N ireplace(s) _ 0_ 1 Property Owner Z _,;C Telephone # ( ) Contractor ry- Address,_4 h°1 City State Zip -??z,-,>_ Telephone # Ql5 f) aLlfs ?,?1 ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enei'gy COde Category . Residential Ventilation Category 1 Worlcsheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Su6mitted Have you previously constructed a building in Eagan with a similar plan2 fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y_ N If so, 25% plan review Telephone #( Telephone # ( Telephone # ( i-H-E u I hereby apply for a Residential Building Permit and acknowledge that the informat on is comp1Vi5%d acc rate; that the work will be in conformance with the ordinances and codes of the City o ?jo MN Statutes, I understand this is not a permit, but only an application for a permit, and work is not to start without a pernrit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. Applicant's Printed Name LApplicant's Sigfiattfre g? y° MECHANICAL (RESIDENTIAL) Permit Application L?? g 1 City Of Eagan • J ? 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each uni[ Date 0'(0 Site Address ? U i # ? n t Property Owner Telephane # (0- G?OG 1 Contractor Street Address _-;A?n ?4 S ? L L J?? S? W• r"' ?• ` 7( ?` City State 1 ?J Zip `65?5S Telephone # ( (J-JrI j322- ^eR Z ? The Applicant is _ Owner ? Contractor _ Other Add-on, modificaflon or alteration to existing dwelling unit $ 30.00 furnace replacement air exchanger ? airconditioner , other - ?? ?,?? ' i ?I ?1U1? ? 6 7 ?i r !; 1 State Surcharge $ .50 Total $ 30.5 I here6y apply for a Residenrial Mechanical Pernrit and acknowledge that the inforxnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I undersiand this is not a pemvt, but only an application for a pernilt, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requues a review and approval of plans. Applicant's Printed Name Applicant's Signature S CITY USE ONLI' i PERMIT #: ' `j 'Fs- ', ? - ? RECEIPT DATE: RESIDENTti4L bI£CHANICAI. PERMIT lEPPLICATION crrY oF F.Asniv 3830 PUM [uNoe ftn £ABRA HR 551 EY 651-6$7-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: ( o) SITEADCRESS: 3) a ca U `Fcj- rnL.lM iy • OWNERNAME: LLLCLCIc_ -b-crcU:: TELEPHONE#: L?S?? 45?-??g (AREA CODE) INSTALLER NAME: Wohlers Southside Htg. & Air., Inc. 6950 W. 146`h St., 9106 STREET ADORESS: Apple Valley, MN 55124 (952) 431-7099 CITY: Plar.a a rhprlr maric nar4 fn +ho narmit wnrlr Tvna (AREA COOE) 1P: New residential dwelling unit uniier constructionand not ownedoccupied $ 70.00 ? Add-on, modification or alteration to existina dwelling unit $ 50.00 • fumace replacement • air exchanger • air conditioner • other Nature of work: Y)e+n mare, -75, C?Y-?'e?TU mc6c i ti1_Tc LOd-75. State Surchar e $ .50 Total $?? Reminder: Call for inspections. nr"'Co-o( A J0Qv_'6_-' SIGNATURE OF PERMITTEE i6?1 Updated I/Ol ?w ? 6d 1985 BUILDING PERMIT APPLZCATION - CITY OF EAGAN NOTE: ALL CONTRACiORS HUST BE LICENSED tiIITH TNE CITY OF EAGAH TowN Ha-?5E INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY I oF q- 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: (flj,cco.? Date; Site Address: ?C?zwF.z.Iy? f CcA,Ct+MC.o J OFFICE USE ONLY Lot: ? Block _ Sect/Sub -5r&E Ereet n ? Remodel Parcel #AIM ?GrX L??x?ca? Repair Addition Owner Move - Address ( 7j/ GJ 2d'[.v4 City/Zip Code `- Phone Contractor rOl?oa-? [?.Q7C? (?p Address ?J City/Zip Code ?CG?p?l Phone Arch./Engr. Address City/Zip Code Demolish Int.Impr. Install APPROVALS X Occupancy Zoning _ Type of Const 0 of Stories Length ? Depth _ Sq Ft FEES Assessments Permit Water/Sewer Sur'charge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off / y17'??ment Pl APC Parks Variance Copies ?OTAL CZ-3 R_3 YN ? ?. ? ? .? ? o0 132 ?° aiLo- Y- Sa Phone 1l 1985 BOILDING PERNIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTR9C?ORS NUST BE LICENSE? NI7H THE CITY OF EAG6N Towi-IHau?,c- loF4 To Be Used For: (?),aad A? Valuation: &1,000•'- Site Address: ?DN GU. Lot: ? Black ? Sect/Sub ? Parcel // ? a".," ? Owner Address `'// GJ ?? ? / - City/Zip Code 6;1e?y.c,GeQ _?J'/V Phone Contractar ??.?,(o??cr C_flJ?c=p Address City/Zip Code Phone & ;3/- c3c?Sy Arch./Engr, Address INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Date: y AP?- OFFICE USE ONLY Erect Y, Occupancy fZ-3 Remodel ? Zoning R-3 Repair Type of Const YN Addition M of Stories Move ? Length q (- Demolish Depth ? Int,impr. Sq Ft Install APPROVALS FEES Assessments Permit ? ?I<o- WaterlSewer Surcharge 30.?" Police Plan Review Fire SAC 5 2 5. Engr Water Conn 500. °-° Planner Water Meter Council ad Unit -Ro 280.!° Bldg Off?7 Treatment Pl APG ? Parks Variance Copies TOTAL City/Zip Code Phone # ? 1985 BUILDING PERXIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED 6IITH ?HE CITY OF EAGAN ToW NHDt1SE INCLIJDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY IoF 4 7 SET OF ENERGY CALCULATIONS w ??? To Be Used For: Valuation: Date• _7?%d"/s? T Site Address: 342.4 CY[ . co?Nr'wN Lot: Block ? Sect/Sub 3RS c?. Parcel II,? L????Y+ Owner Address /"]// W (?du?u /(? Z? City/zip Code Phone Contractor Address City/Zip Cade Phone 63 l--3-2 5 eI OFFICE USE ONLY Erect X Occupancy (j-3 Remodel Zoning p-3 Repair ? Type of Const -9: N Addition 0 of Stories Move _ Length 4& Demolish Depth Z.4 Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit Water/Sewer Surcharge ? 30.59 Police Plan Review I 5g- Fire SAC 57-5,10- Engr Water Conn Spo. Planner Water Meter (03 Council Road Unit 290. - Bldg Off ?Pj'-Treatment Pl .- 737 APC Parks Variance Copies ' ro rAu. Arch./Engr. Address City/Zip Code Phone !I . ? 7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRAC?ORS MUST BE LICENSED WITH THE CITY OF EAGAN Towt?Nouhe INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 7,? ) oF 4- 1 SET OF ENERGY CALCULATIONS To Be Used For: ??' v-d W-7nQi Valuation: Col,OOO ? Date: .--z.?. ?X zz? Site Address: Cnau-trr? Lot: ? Block J? Sect/Sub ?fw ' op?- Pareel I! t,?t2( ??-??'-cGC-i.?-o•r, Owner Address ? City/Zip Code Phone & Contractor ed-?& _ Address S City/Zip Code Phone -(?p3 /- 3.aSy Arch./Engr. OFFICE USE ONLY Erect X Occupancy R-3 Remodel 2oning 2_ Repair _ Type of Const i?g Addition ll of Stories Move Length 46 ? Demolish Depth 24 Int.Impr. ? Sq Ft Install APPROVALS FEES Assessments Permit 3110 Water/Sewer Surcharge -10.9' Police Plan Review k 58. = Fire SAC 525. "° Engr Water Conn Planner Water Meter (fl3. m Council Road Unit 2$0.°? Bldg Off Treatment Pl k32. = APC Parks Varianee Copies Address City/Zip Code TOTAL ?? JZ Phone /1 PERMIT # 4qboo RECEIPT DATE: ? DI itU1DEN17AL PLUM$1N6 Pf"IT APP11CATiON CITY OF F.AfiAN 3$30 PD.OT KA08 RD L'AfiRR,1HN 55122 651-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation syste-m - - - - SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: C I7Y: ANDERSON, RENEt'pICK 3122 Fc,RNuM DaivE EAGAN, MN 55121 (651) 456-0601 MA Place a check mark next to the oermit wnrk ivoe TELEPHONE #: (AREA COCE) TELEPHONE #: STATE: ZIP: _ New residential dwelling unit under construction and not owner/occupied I $ 90.00 ? Add-on, modification or alteration to existin dweliing unit, inctuding: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature ofwork: ,P421pLtid LYGT.k*-/Lu,&4' 9? ?SUTLf+%?1 Y-d14 Septic System, new/refurbished - $ 225.00 • includes Ccunty & Consulting Ir,spector tees • requires MPC license State Surcharge $ .50 Total $ 3D•Sa Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge Nat I have read this application, slale that the information is wrrect, and agree to comply with all applica6lC'q[y,bTEagarto?r inancesrlt F- is the applicanPs responsibility to notify the property owner that the City oF Eagan assumes no liability for any damages caused[by CheCity duFing iits normal I Il operetional and maintenance activides to the facilities constructed under this permit wilhin City property/right-of-wayleasementl! 1• MAE? kn 7 7001 ,j (AREA SIGNATUDE'DF PERMITTEE ? ?-- ----._. ? z/84 CITY OF EAGAN AP°LICATION EOR PERMIT SEWER AND/OR WATER CONNECTIODI - (PLEASE PRINi) PROn= A%DRES5= 3120 FARNUM DRIV LEGr'+I. D ES4-R??TT_CN: ` - r (IA t/Block/S ?L,.r,aivisicn or TaY rarcel I.D. Nurwer) ? lc ST?.CC:''RE, Drl'^ 0° OR?Gu.^r1i, cUILUL:G _z?::I-. IcS,:?\G:_ P?`SL;T L'S'-?.: O R-1 Si^.;GL: r??ffLY . ? B-2 CUF= M;0 L^iIITS} ? 2 3 7C1.•.???Cr'cE + L^IITc) ? U:7I^'S) D ic-4 P,^rAR?"F'`;T/CC:Z)Ci.ir:llL?i ( LmI=Si ? CQmA'ME.4Cl-?L/RE^'AIL?OE'FIC:: ? 1mu'ST:tiI?L Q P.dSTI:L'PIOJIAL/GGV?.?n?;T 2) APPI.IG`-?i• ?PLEASE PRlfli) ruVhi _ ADDT.2E55: CIT'_', ST?',Tb', ZIP: - PI?GNE: 3) pj,j;?MER -_(PLEaSE, PRINT) fOR CITY USE O4LY ?ME. -SCHLn m7E5 PLUMBIAIG INC pZD?Ss= - > 8383 SULVSET RD NE PUJ!!BERS ?tiSE: , Active CIi1, STATE, ZIP: ? pgliQG-LAKEsPIA€tK+??.NQ?b.. 55432 ? Expired PHO:IE:. _ 286_4np7 - PLUMBEA LICENSE # 2658M9 yz? of Record ?t' lOlC13 40 (x,?,'[l'?711\]'I`/CfZ?? ? tYLLA]t YN191 ) ?: PS]DRESS: CI?"l, STAT'E, ZZP: PE30^IE : S) INDIG^,TE ;N'HICH PERti1IT IS BEZiNG REQLiESTID: ? CO.INF.CfION 'Ib CITI SDr7'M ? CONDifCi'ICN 'IO CITY WATER ? OTIU"i2 (PITASE DE..?CRIBE) b1 li:DiC:;TZ C:W: ? PI: 1SE I?OID RPPROVEL) PERtiLIT FOR PZC'i',-L'x BY ONE OF e'1EGVE 0`PZ.EILSE b'AIL 11PPROVID PERAIT T*J 1. 2. 15? 4 AEOVE ---? (Ci:cle one) 7) SIG ;TL:?:: DATE: r ? MR W! OlalilUY.1s i Ir e? E??tar.s !?a /! 4s?a?1l? ?f ?f ?sa? :a a i! l? wFJlyll?yfi al fa'!! Si ??,a.r ? F 0 R C I T Y U 5 E O N L Y PE?MIT " ISSUED FcPs' $ ?VSv $E,'.?? ^5- WATCR DER11T_T (ii:CL'u?E SliRC:?AaGc? $ WATER METER/COPPERHORN/OUTSZDE RE.a3E3 $ WATER TAP (INCLODE CORPORATZON STOP) $ SE'.•iER T'P $ ACi.OUNT DF.POSST - 47ATER $ WtiC $ SaSuu SAC $ TRliVK WATER ASSESSC4E.IT $ TRu:7:C SEWER r155£SSi11E:iT +S Li,T:?,F,L BE:IEFIT/TRUNK SE?•;ER $ LA:ERAL BENEFIT/TRUIIK WAT°R $ OT$ER Gf?a .ri? - , _ . ? $ TOT?L $ , DOES UTILITY CONNECTION REQUIRE ? /? p,1ti+OL'::T PAID; RECEiPT n? 7 y ?? EXC:;VATION IN,PUBLIC RIGHT 0 WAY? L; YES IF YES, THEi] A"PE2MIT FOR WORK WITHIN PUBLZC ROADWAY" MUST BE ISSUED BY THE Lj NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SliE7ECT TO THE FOLLOS4ING CONDITIOIvTS: APPROVED BY; TI:Lc: ' DAT° : c t7i wW?w?.s? wr_m wwm sa Wiw Ra 5c00 ie sr m m ? 2/a4 CITY Or EAGAN 41111 APPLICATION EOR PERMIT SES4ER AND/OR WATER CONNECTION - (PLEASE PRINi) PRO°r-"T`-' ?DRESS= 3120B FARNU DRIVE rFraI. D :,'(_???TICN_ (L0tialcx.x/S ^ isi n or Tat Parce=.D. ilta=er) ? ir ST^.CCP';'vi;, Dai ; O° CR?G^aL =.?=;•±I: T_SF??.NC.: ;-_?•_ _, ea?, PDFC=^P ..,^'7r7'/'7)`i.nCC=-D CSE-: ? PI-I %iTLY S=GLE il? . . _ ? R-2 CLTPL{ (?•,,:o L^?ITS) ? R-3 'ICr, %urv.cr r,r7?-"c) ._',. ? n-4 lc=="P/CC`:DI,i.1I`:;L:,1 ( U:?iITSi ? cct,'mE"czAL.--rAI??o:'Fzc:: ? ? ??:szzmz?c:?./???:???-?.-r Z) APPI,=C=.T (PLEASE ?Ritii) NAh'F' : P.DDRESS: CTi"_', STAT:,', ZIP: • PAONE: 3) pj,u.aE? (PLEASE PRlNT) FOR CITY USE ONLY NAME= SCHULTIES PLUMBING INC. P.DDRcSSt - $383 SUlVSET RD. NE PUJHBERS L ?.ySE: ttive CITY, STAT, ZIP: -SPRING LAKE PARK, MN.- .55432 ` Expire PHONc:% ??-r - 7g6-4007 PLpMBER LICENSE N~2658M9 - ot f Recor ? ' - ' i? a nitta 4) cz.i:L?APPP/C?uuF'.et NANIE lrLcn4t rkisI) : ADDRE55: CITY, STA'i'E, ZZp: PFiO.`IE: 5} INplC*,TE ;17{ZCH PERMIT IS BEING REQUESTIII: ? CC)`I:1ECI-i0^I TO CITY SES^iER ?y C0.1N=ICN 'iO CZTY WP.TER J ? Cli':?'-'Z (PLL'PSE DES(=BE) 6) ? PT.Z?,_SE f?OID P,PPROVED PER+1iT FOR PZCi:-L'P BY ONE OF AfiGVE ?PLE7-SE MALL P.PP?20VED PEFMIT TJ 1, 2!41?4 AEOUE (Circle one)- 7) SIC:?,=,,E: DATE: ??! Aaliqll?l:f? il ra l?:afc? ??s ? erasra al s?a sss.a :a a? fe atJitls:?y ? S rs Is s?, ssr e F 0 R PEP-MIm "- ISSUE? I T Y U S E ON;,Y (INTC:.l:-?? JUa,^;?RGL) +S WATE2 PERPIIT (IP:Ci,UDE SliRCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ S-`vE4 TAD s $ ? $ $ $ $ $ S )3-?--O - AC^OIINT DFPOSIT - GIATER W.`-,C SPC TRGVK NATER ASSESS:SE::T TR=K SEivER aSSESS:IE.iT LATERAL BEivEFIT/TRUNK SE:'.ER LA:E4AL/_Bf?NEFIT/TRU?IK SJAT°R OT:iER L?i?? s TOTAL $ iL ?, c u py'?tOli.?T PAID/RECEI2T R , Y?5?7 D0E5 UTILZTY CONNECTION REQUIRE EXCaVATION IN PUBLIC RIGHT OF WAY? L YES IF YES, THEN F: "PERMIT FOR 'rlORK SVIT91N PUBLIC ROADWAY" MUST BE ISSUED BY THE F?' NO ENGINEERID]G DIVISION. LIST AS A CONDI- TION. SliSSECT TO TFiE FOLLOSaING CONDITIONS: APPROVED BY: - L - TZ:LE: DAT°: _ kI6? . 0*?W Maa w Mw s-M wO@ w_a MU.w rf qp:MwMq wLs w*= se WI+ Ra gc Mga N.w ? .. 1 ? ? • ? i 2/84 CITY Or ERGAN 11411 APPLICATZON EOR PERMIT SEWER AND/OR WATER CCNNECTION - (PLEASE PRIHT) 1} PF.OPE.T;TY ADDRESS: 3122 FARNUM DRIVE r.FrAr• Dr???TICN: (LoL/Block/S 8'cn'bt :ax _ arcel I.D. N=zer ? i: =S'__;G S7ML'C7URE, DAL^ OF ORT_Gu.*?t.L ISS???:C.: FP=-Sr^.'.'r -.`?Tia?/'P?GPOS=-) UC: ? R'1 S=GLk'. r'%MSLi . ? R-2 DUP:._`..{ (T:TJ LT?I='S) ? R-3 'ICW??"-Cv,SE ('?'F'_°= + L^IITS) f rJ;IZ^^-) ? c-1 APA.=^_TM'`:T/CC:ZYi'-SIILii ( CNI"'S) p CCi?=,C?M,/F2t,?:'ASI,/OFf'IC: ? 1'GtiS ? L-`:STI TUTIOnU/GOV?-2:?E 'T--:T 2) APPLIG-=? (PLEAS"t PRINf) ?.? . . ACCRESS: C=. ST,-.Ty', ZIP: - PHONE: 3) pyL;.IEEo ?PLEdSE PN1YT) fOR C Y I1SE 04LY ?= -SCH[t rmrRS PLUMB7NG INC - ADDi2ESS:- ' - -- PLl1 RS IIC.VSE: 8183 % SrmTSET RD NE _ _ ,. Active CITY, STATE, ZIp _ LAKE PARK 'MINNESOTA 55432 0 E:p' ed PHODI£: 7R6- ?n ' 4007 PLU48ER LILENSE N 2658M9 N of Record _ - / ar tnttia '+1 cx.?U_4P?1'/C7:?iLR tr?cuoc rrcir?i? N7V?: ADDRESS: CIT'_', STA'PE, ZIP: PHO:VE: 5) INDIG".TE [v'HICH PERi?lIT IS SEZ\C REQUEST:D: ? CO.IDIECPION 'ItO CITY SETrIEit ? C0:1NEX?'TIC:V 'IC) CITY S•7AT'Tt ? 07IE2 (PLCFaSE DESCRSIIE) b) l::uiC?i.-i:: v.it: ? PL-7%SE f?OID t1PPF.MlID PER.?IIT fLR PICi:-UP SY 0[v'E OF 11EG'VE ?PI.E?+SE-.•+AFL APP?zaVED PEF`lIT-TJ 1; 2. 3, 4 A-E,OVf (CircTe one) 7) SIC.-ATLMRE: DATE: ! R aal.Mw?ss ?1 i???:afc? ?? ?.,?acssa? ? r us??.ara:?a s?.elfl?s?y f? a r[ stacsa.r E F 0 R C I pFR"•ZT °- ISSUED S: $ $ fc% $ $ S $ $ $ $ S $ $ $ $ U S E O N L Y 5.::'lG.n. PERMT'i (I?ICYuL:. SURCHrlR.riG) wATER PERr1rm (zrlcLUnE sozcxaRcL) WATv-R METER/COPPE4HORN/OUTSIDE READER WATE.°, TAP (INCLUDE CORPORATION STCP) S :TicB TAp ACCCUNT DFPOSIT - 41ATER Wr`,C SP.C TRtiVK WATER ASSESS?4E::T TR'u::K SET:ER ASSESS=NT Li-.:E?.AL SENEFIT/TRUNK SE?•:ER LA':ERr,L SENEFIT/TRUNK FQATz'R OT:iER ?_ .2-?- $ TOTAL AMOLTNT PAID/RECEI?T ,a, D0E5 UTILZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF W?Y? YES IF YES, THEN A"PERMIT FOR WOR?{ WITHIN PUSLIC ROADWAY" MUST BE ISSL'ED SY THE ? NO ENGINEERING DIVZSION_ LIST AS A CONDI- TION. SliBJECT TO TH£ FOLLOSJING CONDITIOIQS: :. APPROVED BY: , TI':LE: DAT° : mfmws wm?w.im .,tMww? -•- ? ? `p? j CITY OF EAGAN 2/84 / 11111 APPLICATION FOR PEP1MIT SEWE R AND/OR WATER CONNECTION - (PLEASE PRINi) PRO°ER- ?DRES5= 3122B FARNUM DRIVE r.Frar. DE,.?C2IPTICV : _ 7? A J (Lot/Block/S?i csvlsicn or Tax rarcel I.D. i•:.Y ?er1 ? Lr W:ZS==:G S?'::1'C_'_.':2E, DaT: 0° 0f21.Gi 7,i, PFESr.,.^_ t'S"c.': O R-1 SL:,"L: FP_'.ffLY II R-2 L`.i]t= ': (?`.i0 L'[QZT.S) . ? i2-3 'ICi,.li:rrrcr (m= + L':IZTS) ? TTN,_ -Q) . ? R-4 AP:.?:?+x,;r/c=C-±r.=??i ? LLNiTs; ? cc?I'?%TRcL.:?L/RE=?o177TC7 ? MM?'s=jL, 7?L ? NSTI vTIO:lAI,/G?=H%=;T 2) ??LI= (PLEASE FRI;ii) NAhTF' : AGD.4ESS: CITl, STA'?'E, ZIP: ?- pi:CNE: j) Pu:.sm (PLEdSE PFf4i). FOR CI77 I1SE O4LY NAME= Sf`i-TI TTTTFS Pi TM$TNGINC " ?_ AGC '2ES5 : j . ? PLUMBERS LICEYSE: . _ . _ R38 ? Si1N. .T RD. NE q e CITY, STATF, ZIP; ,,GpR TNG L? 55432 -? a Expir,ed r Retod PHO?= 786 -4007 PLU9BER LICENSE N 2658M9 ? ari inliid v) OCCLP?kW/C.•i,.IM NE1ME: lrLLn5t rr+iUTl ADDRESS: CIT`l, STnTE' ZIP; Pf:O^7E: S) INDZCT+'I'E :VHICH PEFh%SIT ZS BEING REQLJESTM.; ]E? CO:INF.C'I'IOV TO CIT'L SDIEi2 ? COC7:r'ECI'ZC.I 'IO CITY WATLR ? dilER (PI.£ASE DESCRISE) ? PLaSE I?OID APPP,WFD PERMST FOR PICI:-LP BY 0NE OF r'1EGVE ' PLFASE h^.?tiL APPRWf2J PE12.tiiIT TO 1, 2,C3) 4 AFO1E ?` - - --- (Circle one) 7) SIC:NTL:cE: DA'Ir: i y ? flAalM/fJS:f?? talsg?cl?! i/?ASia aA 1i ?ai?aa'a:?a /tl?w4f??ia?i.? fr s 1t!l4F?a? . F PER`-!IT " ISSUED C I T Y U S E O N L Y cvrs: $ `G $ /?S O $ 3o 0 $ $ $ /?c u g Suv.?.? $ s:? S^ F) -u $ S $ S s cc;;;a nr.?_,qTl' (I_`iCL?:D: SURCH?RGE) W,'_TiR PERP1iT (INCL'uDL SL'aCH.`\iZGL) WATER METER/COPPERHORN/OUTSIDE READER WATE.: TAP (ZNCLUDE CORPORATZON STOP) S-'iE2 TA? =_,?GcI'_ - .._:. ACCOUNT D.F.POSIT - PIATE2 W' AC SAC TRli_,IK WATER ASSESS.ME:IT TRuNK SES•7ER ASSESSil?DiT LA,E?,AL BENEFIT/TRUNK SEt:ER LATERAL BENEFI/S/TRIINK WATER ozHER TOT?,L $ AI,lOC.:T PAID; REC°IPT ;a, 33? DOES UTILITY CONVECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITAIN PUBLIC ROADWAY" MUST BE ISSL'ED BY THE ? NO ENGINEERING DIVISZON. LIST AS A CONDI- TION. SliSJECT TO TfiE FOLLOi9ING CONDITIONS: APPROVED BY: TI:LE: DAT_: 6 ? . uw? ! WO! W? WEOA t!E wti! Rfo Vowwkw14 mp_mi1q Rm !t w1! li?1 Wi Rm14 sllo m m OF 3830 PILOT KNOB ROAD, P.O. BOX 27199 EAGAN. MINNESOTA 55121 PHONE: (612) 454-8100 .lune 24, 1986 ROSEWOOD CONSTRUCTION CO 1711 W CTY RD B ROSEVILLE, NAI 55113 1iE: 3754 FARNUM DR., L 4? B 6, COACHMAN LAND CO 2ND 3126B FARNUM DR., L 2, B 4, COACHMAN LAND CO 3RD 3126 FARNUM DR., L 3, B 4, COACHMAN LAND CO 3RD 3124 FARNUM DR., L 4, B 4, C09C@!9N L.AND CO 3RD 3122 F9RNOM DR., L 3o B 5t COACHMAN LAND CO 3RD 3120 FARNUM DR., L 49 B 5, COAC@!AN LAND CO 3RD 3156B FARNOM DR., L 2, B 7, COACHM9N L9ND CO 2ND TO WHOM IT MAY CONCERN: BEA BLOM9U{5i Moyw TIiONWS EGAN J.4MESASMIiH ViC ELLISON THEODORE wnCHTER Council Members iHOMAS HEDGES CifyAdminislrotor EUGENE UAN OVERBEKE CM Clerk Please be advised the following corrections must be made before final inspections ean be approved: 3154, 3126B & 3124 Farnum Dr. - Tread use from driveway exceeds 811. 3156B, 3120, 3122 Farnum Dr. - Door closer required to garage. 3126 Farnum Dr. - Door elosing hinges are not funetional. Please call for a reinspection when these items have been corrected. Thank- you. Sincerely, - ?Q-Li?tr ???"""'? ? Mark Anderson Building Inspector MA/,js THE LONE OAK iREE. .. THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN WgaJ? 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION A ISS71? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Z'?:'! 'R-3 16 ?' Site Street Address 2 Unit # Property Owner O 17 S_ f6 Telephone # S /g, # l h ? GS Contractor one ?( ep ? ? / 1 eh` 4 ? Address ?G d-u+ City S ?` Stat v/ crp•?? The Applicant is: _ Owner xContractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener 2?'Water Heater $ 15.00 _ replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 ? ,l J $ /S S ? Total I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work i not to start without a permit and work will be in accordance with the approved plan in the event a p n is uired to rewe ed nd approved. SC?? -P Sc /l, d A- ApplicanYs Prin ed N e Applica ' Signature 73qace aoos RESIDENTIAL SUILDING rERMIT arrLicnTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20 % maximum lot coverage allowed) 2 copies of pWn showing beam 8 window sizes', poured found design, eic. 1 sel of Energy Calculations 3 copies of Tree Preservatbn Plan if lot platted afler 7l1193 Rim Joist Defail Opdons selection sheet (6uildings with 3 or less units) Minnegasco mechanipl venlilation form _ _.... . .. RemodeVReoair Reauirements Office:Use Onlv 2 copies of plan showing footings, beams, joists Ced of Survey Recd `Y N 1 set of Energy CalculaUons fa heated addilions Tree Pres Plan Recd _ Y_ N, lsitesurveyforadditions&dedcs TreePresRequired ^Y _N Addition-indicafeitan-sifeseptksystem OmsiteSepticSystem '_Y _N Date ,?/ r?/' ?G Construction Cost k/:f? 120 Cl O r SiteAddress 7 > Unit/Ste # DescriptionofWork GCac?•!? -??>.•- vLF -G c??'°•?'?'- ?? ?ocX 2 Multi-Family Bldg / `Y N Fireplace(s) _ 0 _ 1 ? 2_3 -`/ Property Owner Telepho¢e # ( ) Contractor j?ao f .? ? c . Address 'Ic _. 5?4. ilf ?? Cih, State Zip Telephone # ( 7L3) 7S'--2-00 6- G/ I COMPLETE THIS AREA ONLY IF - Minnesota Rules 7670 Cateeorv 1 En2rgy COdB CalBgory . ResidenGal Ventilation Category 1 Worksheet (J submission type) Su6mitted • Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet 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 #( 7elephone #( Telephone #( [ hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ? ApplicanYs Signature ??9 9-A 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan `q,?G` ] 3830 Pilot Knob Road, Eagan MN 55122 `? ? -\ Telephone # 651-675-5675 Please complete £or. sngla family dwellings.@ townhomes/coodos when pe`mits are mqwod For eac6 unit D,.t. A i?iQA F& RNU.Nt DrC've, Site Addreas nz+ Rlftm Wy k Unit # Pmperty Owner %WY\ %MbA TelepAone #(\n ) 1? 110 "'1M 1 White Bear Mechanir,al Contractor 2379 Leibel St Ste son White Bear Twp, MN 55110 $treet Addresa City $tate Zip Tekphone N ? ) ?'?0 Xl1 Bond N: Ezpires: The Appllcaut u _ OwTcr ? Coatractor _ O ther Fire repair (replace burned out appliances, dactwork, etc.) . $ 90.00 This fee applies when eutensive mechanical repairs are made to a building. Addon or alteration to ezisting dwelling unk $ 50.00 ? furnace _Addfional ?Replacement _ New air exchanger ? air conditioner heat pump other State Surcharge $ .50 Totsl $ F)U••.13 I hereby apply for a Resideutial Meclmnical Perntit and acknowledge that tle information is oomplete mid acciuate; that the wark will be in conformance with the ordinances ani codes of the City of Fagan azd with the Mechanical Codes; that I tmdersfand this ix mt a peruut, but only an application for a petmil, and work is not W start without a pamit that the work witl be in acmrdance with the iproved plan in the case of work which reyuires a review and approval of plans. ? i? ?? r/ E (?L1.X.X , ?l V pplicanYs i tedName Applicant'sSi JUL 2 3 2007 01-10-12;04:38PM;Hyatt Place Coconut Point ;2394951583 # 1/ 6 fj7LNs Use BLUE or BLACK Ink 1 For Office Use 1 - j Permit City of Eall7~ 1 Permit Fee: 3830 Pilot Knob Road I / 1 Eagan MN 55122 RECEIVED I Date Received: Phone: (651) 675-5675 I Staff: I Fax: (651) 675-5694 JAN 10 2012 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: .?12o e'5feW "n Unit Name: 00rtJAz_-D J Cf~~.477.+s~' Phone: y0.-4 -~o/(o ~30 RESIDENT / _ OWNER Address / City / Zip: 3 /o1 0 /~lfAVVo,~ '2yz 116f& Al A/ ~ /a? 7 Applicant is: Owner Contractor TYPE OF WORK Description of work: /462) 44 57-0R &7-// /YA.,jO l~ VJ=-' Construction Cost: 111-1?On 0 Multi-Family Building: (Yes Le" I No Company: S~ L!~ Contact: Address: City: t CONTRACTOR l State: Zip: Phone: s I License Lead Certificate I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) f COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ; t i 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: f i 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. vwvw.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit. but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota tate Buildi g ode must be completed within 180 days of permit issuance. Applicant's Printed Name A plicanrs ignature Page 1 of 3 01-10-12;04:38PM;H)yaa-t't Place Coconut Point ;2394951583 # 2/ 6 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 - 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 00 Occupancy MCES System Plan Review Code Edition 7 SAC Units (25%100% 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) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test 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 Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC )-0 r City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 1 5U TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type: Plumbing Eaaan. Permit Number: EA102715 Date Issued: 01/11/2012 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3120 Farnum Dr Lot: 4 Block: 05 Addition: Coachman Land Co 3rd PID: 10-18152-05-040 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Gary Kes 32018 Dahomey Avenue Northfield. MN 55057 507-645-4037 Fee Summary: PL - Permit Fee (miscellaneous) $55.00 0801.4087 Valuation: 1.200.00 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Benjamin Franklin Plumbing Northfield Inc. Donald G Schrader 32018 Dahomey Ave. 3120 Fannum Dr Northfield NIN 55057 Eagan NIN 55121 (507) 645-4037 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O.,Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 o9ree to comply with the City of Eagan Surcharge: Ordinance. Misc. Charges: Total: Z~~ By Date Paid: Date of Insp.: -Z Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: For Off c. Use Op, 1 �' .'fid . 4 ay , _::„4,„=„, wriv-',2 ,,,-1A- s: -k-4,0° & '''' 4 ,,,, FZECErAb; j -- V 330 PILO I KNOB BOAC'9 LAGAN, MN 5`�'l X10 JAN CC 0 2 2�L�� >: 1 B r.. , L TD[) (651)454-8535 i FAX: ,.d� 675-5694 Sblb 2 r a rl 2020 RESIDENTIAL PLUMBING PERMIT APPLICATION 3_ ' Bate: _ Site Address: r ' _ _e_ fd _ , Pt !a "�> 7 l� f_ _ _ _ . Suite : __�..w...__ .-- lunant: . Nome _' , rapier e. sicientit �rvner1..,-.. ..:-/ .- 2 Address!Ctty/Z1.1:, ,3_1 .29_,FPfeyss.),HA4,-), ific4,:ht wit,/ Name i . t�.!�_ 4 ,...D - D 6A� r _e Lka ,, . ;4 d. tP4t 74 - tats.,: �,t� Address _` .`4_? y-...m...__. --#- --)-- _1 Contractor t2,,,,t, ;t L4.8.3 ic't`7 :>i tt t i o f ti p,,'a l fv et.. d ti< m t t` y°,, N..„.\;, V � .s?ac�. ,,.�°��t :;..,._air ��< - Type of Work mm Description of work:...__ ___ I Standnkless Water I,c-wter Lawn I dud-tion i_._.._ r-ti� L/. _ .BVB.;i tanda J Water Heater.. .. Add P anli:t=nn Fixtures __ rulai. Lower Ley'&) (? Description 1 vAj'titer Softer e Dr-st: j ..er _ _ _.__....._. -Septic Systerr __ _ j ti,Watt.t t'i(.+:r- Wed ted .� ... ..sn1� [C 4t�f Y f.i-.. New ;aw.f ...eioai ='lt RESIDENTIAL FEES $60.00 Water Heater, Water Softener. or Water Heal :add `_.,herd. r i nuludec State ti,ta''r:rta rciO'. $60,00 Lawn Irr,.tion (includes State Pl l<aa .e' $60.00 New fixtures, adding or removing plping (includes .trite Surcharge). $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit-) 9115.00 New Septic System (rrtdrldes County fee and State f llr hard q $60.00 Connecting to City Water from Well' + $290 for Mete , n.P $200 for Radio Read -:: 5550 Newe.i &Water Henrif also requited for conconnectiOn charges s (P TOTAL CC JOU . - __.n__. city test)• Y.;3 w r t x,x�e:.r�.i', ,7iy...„�yi t, fortI; s I -;�','; ��. CALL oFFfl YOU DIG C r Gopher Stake Otte.Goll ,a(651,45 4-0002 t1 `. c_` as r t�xctii update oh the t._iy s You may subsrlb to receive so eI ttr rtic a„�tfti ,.t o Us ri the ty t weal) it, t t ,`: 'v J u,t,t r I tib cE bs t r k ff ='t r > i i i .k �lr 1 i r �, r,I $t. o ,mill,fist. .3W ti"I' > ... . , t, o- 4 { x_ ? 1!I t 1 f _ _-__ Atrcnt s Signature Applicant's Printed Name Pt.,t 1cit2