3124 Farnum DrPERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA128938
Date Issued:12/16/2014
Permit Category:ePermit
Site Address: 3124 Farnum Dr
Lot:4 Block: 04 Addition: Coachman Land Co 3rd
PID:10-18152-04-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Jennie Wood
5720 International Pkwy
New Hope, MN 55428
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William L Bauer
3124 Farnum Dr
Eagan MN 55121
(651) 688-0712
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN ?? y
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagao, MN 55121 PHONE: 454-8100
BUILDINO PERMIT Receipt #
Te w wftd fM .. . Est. Value Dote
Site Address ?• + ' Erect ? Occupancy
Remodel ? 2oning
Lot - Block SeclSub. '
Peresl No. Repair ? Typeof Const.
?
M
iO
u
u?
1-
Addition M. Stones
Move ? Length
Name Demolish ? Depth
Addreas Int. Impr. ? Sq. Ft.
City ? `Phone Install ?
Appovak iN@
Name -
Address
City Phone
Name
Address
City Phone
I hereby ocknowledye thot I hove road this opplicotion ond stote that
the inlormotion is correct ond ogree to comply wirh all applicoble
Stcte of Minnesota Stctutes and City of Ea9on Ordinonces.
5tpnafun of Permiftes
A Bu{Idinfl Permit {s issued to:
Asseument _L J ? l/ L I
Permit _30_5 Q I
Woter d? Sew. Surcharge
?
Polke Plan Review
?
F
in
SAC
ij
Eng.
Pl Water Conn.
r
t
M
t
W
anntr er
e
e
a
Council
.
]!? ? Road Unft
?.,
?
Bldg. Off. • Tr. PI.
APC Parks
Var. Date Co ies
dl work sholl be dorn in ottordonte with oll oppliooble 5tote of Minnesota
Buildinq Officiol
P '+.??!'J. ')
Total ° ' ?
on the expnss condiTfon that
y o9 Eaqon Ordinonces.
le- 1
Irnpection Date Insp. Othar
M Foot?ng. ?
Footings II
Foundatlon
Frsminq
Rouyh Hty.
Final Htg.
Final Plbp.
Final
Csrt/0cc.
Wat*r
w.u
Sewer
Pr. Disp.
- / _
L C,c?
c• m ,?.???, .
e ?_
.
BUILDtNG 4ERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
Te be Owd fN Est. Vniue l
Site Address r
Lot ^ Block SeclSub.
Parcel No. ? ?' '•
? Nart?e
? Address 171.1. , ?.: ,-•i 'A iF B
?
City Phone t.:.?
o Name '-
Addresa
City Phone
?W
Narne
I? Addf@SS
u
? W City Phone
I hereby ocknowledpa that I how road this applicotion ond state that
the iniormotion is correct ond ogree to comply with oll opplicoble
Stcte of Minnesoto Stotutes ond City of Eagan Ordinanres.
Sipnoturo ot Permittee " .
A 8ufld{nq Pennit fs issued to: •?' '+'' '
all work shall be done in ocoordente with all opplioobl•
Buildinp Official
(T, r ?
I a3 47.
Erect Ld Occupancy ., ?
Remodel ? Zoning
Repair ? Type of Const.
Addition ? No. Stories
Move ? Length 46
Demolish ? Depth
Int. Impr. ? Sq, Ft.
Install D
..?.?.....?.. r... . I
Asseument Permft 1 0
Woter a Sew. Surcharge - ??
Polica Plan Review - .,
Firc SAC '
Enp, Water Conn. .
Plonner Water Meter
Council Road Unit
Bidg. Off. ` Tr. PI.
APC Parks
var. Date r- •
of Minnesoto Star,
P?
Total
on the expreas conditfan Ihat
r ot Eaqon Ordinances.
Psrmit No. Permk Holder Dstr Telephone *
Plumbinp ? _ 1. f ?
H.VA.C. b S7(
El.aria i a o-r..? s?.. 1 t Y
.
Safta,..
Inspection Data Inap. Other
Footings I S-3/- Y?
Footings II
Foundatlon
Framing
Roo(Iny
Rough Plbp.
Rough Htg.
Insul.
Flreplece
Final Htg.
Final Plbg. O - -
Final
Cert/Occ.
?
Water Dftaibe Locatfon:
W.ll
Sewer
Pr. DisP. `i
? ' . -
• " :. 1. 'CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt
SiteAdd?esi 7"' ? ?UY, F?R
Lot J 81ock Sec/Sub. COAC?:,?t`-.Cy L! .vi.
Parcel No. Ci) 3Rn
? Neme rlosFwooD cOPP
,
? Address ) I ???) L -
City Phone U; i-- _'• ?'. ? 4
?? Nama
u Addren
u
? City Phone
Name
Phone
I hercby acknowted9e Nwt I hcve road this applicction or+d stote thot
the information is oorrect and ogree to comply with all opplicuble
Stch of Minnesoto Stotutes and City of Eagon Ordinancss,
Sipnaturo of Permittee "
r;
A Building Pem?it Is issued ro: `
all work sholl be done in acaordance with
Bufldinp Offlcfol
Erect U{ Occupancy
10305
Remodel LJ Zoning
Repalr ? Type of Const. ](iN
Addkbn ? No. Stories
Move ? Length 4 u
Demolish ? Depth Q
Int Impr. ? Sq. Ft.
Install ?
ApKo vals Fa"
Asseument
Water & Sew.
Pol ice
Fin
Enp.
Pionner
Councl l
Bldg. Off. 5 1 ti $ 5
APC
Permit i?' y- U U
Surcharge 3 D- 5 0
Plan Review ? ?
5AC `?
Water Conn. 7 ' (Ki'
Water Meter
Road Unit
Tr. Pi. 132.00
Parks
Ver. Date ( C?les
Total
on fhe exprem condition Ihat
.soro Statutes and City ot Eapon Ordlnantm
Pwmit No. Pwmk Holdw Daft Telephone *
Plumbinp 0 -?j ? I OU
H.w.a.c. aj St Y?-I-
Electric ?(Y 1 0
Soitwsr
Irapeetion DaN Irnp. pthm
Footlnys 1
Footings 11
Foundatlon
Framing /
RooHny
Rouph Plby. -
Rough Nty.
Insul.
Fireplece
Finsl Htg.
Final Plbg.
Final
CerflOcc.
Watef Wseribe Lotaeion:
WNI
Sewer
Pr. Dfsp.
, L'ITY OF EAGAN
- 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8700
eviLoING PERMIT Re«ipt #
To M uMd fer Est. Vaiue ?• b i, l.' 1 d: Deie -
Sits Addrea _ Erect G.1 Occupancy
Lot
Blxk SeclSub Remodel ? 2oning
. Repair ? Type of Const.
Parcel Na. Addition ? No. Stories
Move ? Length
of
Name
li
h
?
Demo
s Depth
Addrea s Int Impr. ? Sq. Ft.
City Phone Install ?
?Is Name
9 0 Addrea
!- Ciri Phnnn
Name _
Addresa
I heroby acknowledps thot 1 haw rood this al
ths inlormotion if corred and ogree Io ton
State of Minr+esota Statutes ond Ciry of Ea
Sipnotun of Permittp
A Bulldinq Pennit Is iuued to: all work sholl be done in accadance with all
Buildinp Officiol
and
oll
Assessment
Woter 3 Sew.
Poliu
Fin
Enq.
Planrnr
Council
Bldg. Off.
APC
Var. Dete _
Permit
5urcharge -
Plan Review SAC ,
wacer conR
Water Meter
Road Unit
Tr. PI.
Parks
Copies
on ti?e expeea cadition Ihot
State of Minnesota Statuta: and Gty ot Eoqon OrdinanosL
Prrmit No. Pamit Holkr Dob THephone ?
Plumbirq
H.VA.C. Y-e.4 t2 I Ig o-?- G YS
Eleceric )qt(I
r
Sohener
Irapection Data Insp. Other
Footings I
Footings il
Foundadon
Framiny ?
RooHny
Rouph Plbp.
Rough Htg.
Insul.
Firopiaee
Flnal Htq.
Final Plbg. 1 .?
Final
C?rt/Occ. `? (?i?1•4 A-
WK? Dneribe Location:
wN? `-' I:3 ? e.cL
Sawer w?.'-a ??.? C_° e y1-o-?' •- 3z?
Pr. Qisp.
'
Racefpt
PLUMBING PERMIT Per mit No.
CITY OF EAGAN
?
Fee -
L Fi/1 in numbered spaces S/C
Type or Prini legibly Tot -
1. Date /, - 2. Installation Cost
,
3
J
b Add
'
.
o
ress
?t6f Blk. Tract
4. OWf1Bf ''?.. . ... •-a
5. Contractor Phone
-- ?
6. Address
7. Clty
8. 8uilding Type: Residential ?-Q
9. Work Description: Newt]
State
Zip
Commercial ? Institutiona) ?
Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
/
C
Bath tubs esspool
Drainfield
S
i
T
l.avatory
x ept
ank
c
f
$
Shower tner
o
W
Kitchen Sink ell
Urinal/Bidet O
Laundry Tray ther
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
wmply with all ordinances and codes governing this type of work.
Signed : - for
Rou9h Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4644100
Repipt MECHANICAL PERMi7 Permit No. '
C1TY OF EAGAN
FN
fill in numbered spwcss S/C
Type ar Print /ogibly ToK. '
1. Data .'' 2. lnstal4ation CosY`
. f
3. Jab Addrass--- Blk. < Tract.._
4. Owner
5. Contractor.,? - % ,L?Fek?• - " Phone ,??.-., ,: c• ,? 5 _ 1! ,?? ?
8. Addross,s/ ,c ' ? . •' . -
7. City State ;' . ?•` ZiP
-?---?=-?-r?
8. Building Type: Residential Cl Commercial O Institutional ?
9. Work Description: New ?'3` Add ? Alter ? Repair ?
10. Describe 4 lk4 cAE Fuel TyPe
,
11.
No. Eauioment STU - M. Ea.
Forced Air .? - • ' ?? ? ? ?
? No. Equipment CfM
Air Handlin
:
Mfg. g
8oilers
Mfg. Mech. Exhaust
?
Unit Heater
Mfg. Other
Air Cond.
Mfg.
-?_ Gas, Piping Qutlets
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 F inal
lnspections: Date 4nsp. [5ate tnsp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
PERMIT # ? 0'75
' MECHANICAL PERMIT RECEIPT # (C '?5 y3
CITY OF EAGAN
3830 PILB T KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE 454-8100
Site Address '4 gLDG
TYPE WORK DESCRIPTION
Lot .?_ 81ock C)_- Sec/Sub .
? N
R
rSabR?CE WA
TER CONDITIONI
u ew
es.
? ?
702 E
xcelsior Ave. Muit Add-on
Addre
' Comm. Repair
c City gga +Q4nPhone Other
Name ??` ? FEES
?
3 Address RES. HVAC 0-100 M BTU -$24.00
p City ??YI Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SUFiCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
?OND $1,000.00)
B
Gas Piping Outlets #
Other f
,:i??n '&4 1v ? ' '? u • '
„ FEE
S/C: . S? SIGNA7?dRE OF ERMITTEE
?SG
TOTAL•
FOR: CITY OF EAGAN
Permit Na
FN
- fill !n numberod spoces S/C
" Typr or Print /pibly Tot
1. Oate 7' f3h' r 2.IntUllatiOnCosi1/,r,J'g'-'.n n?
3. Job Addr Lot Blk. Trsct4AN.
4. Owner ?4A 7-1-1- Y11P - i ?
?
5.
8.
/
7. City State Zip ? -
8. Buildiny Type: Residential (D' Commercial ? Institutional O
9. Work Description: New 0 Add O Alter ? Repair ?
10. Des<xibs??t.?? -'c-liFuelType
11.
No• Fquipme[lt 8TU • M. Ea.
Foroed Air No. Evuipment CFM
Ai
H
li
Mfg.
?- r
and
ng:
?
Boilers
Mfg. Mech, Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mtg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed : for
Rouyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 454-8100
CITY OF EAG AN Remarks I'%
Addition COAIC HMAN I.AND CO 3RD ADDN Loc 4 Rik 4 Parcel 10-18152-040-04
owner screet 3? 24 FARN UM DRIYB state EAGAN M 55121
Improvement Date Amount Annual Years Payment Receipt Oate
STREETSURF. 7S5 1883 7S4•17 150.83 5 0. - R 3- /'
STREET RESTOR.
GRADING 1983 173.26 34.65 5 , - i/--
SAN SEW TRUNK
+kSEWERLATERAL 7 1983 1908.38 381.68 5
1/7
-42-
WATERMAIN
* WATERLATERAL 1983 5
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN. 500
00 it
BUILDING PER. -
10104-10307
s,ac 525 . 00 ?
PARK
?
Addition COACHKM1 I.AND CO 3RD ADDN Lot 1 Bik 4 Parcel 10-18152-010-04
owner street 3124B FARMIM DRIVB stete EAIGAN MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 255- 1983 754.17 150.$3 S 30 /. ?p1 ?D /?`/ /d 2
STREET RESTOR. [
GRADING Z, 1983 73.26 34.65 S ?,_ O//0 5/? ?v 2 r .Y
SRN SEW TRUNK
*SEWER LATERAL 1983 190$.3$ 3$1.6$ S -3,3 -7 Q? 6-1 /0/-2S cF
WATERMAIN
• WATERLATERAL 1983 S
WATER AREA
STORM SEW TRK ?
STORM SEW LAT ?
CURB & GUTTER '
SIDEWALK
STREET IIGHT
WATER CONN. 500,00 11 It
BUILDING PER. 10 04-10307
SAC 525.00
PARK
CITY OF EAGAN Remarks - j
Addition COIICM?IAN LAND CO 3RD ADDN Lot 3 131k a Parcel 10-18152-030-04
owner screet 3126 FARNUM DRIVE 5tate EAGA'1 1KN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 7-5 1983 754 17. 150,83 Q•Ss '4 0?6 46 1-2 '-2 9-ps:
STFiEET RESTOR.
GRADING ? Z 1983 173.26 34.65 5 o6
SAN SEW TRUNK
1? SEWER LATERAL T2. I983 1909.39 381? • 7? 140
* WATERMAIN .I•
*WATER LATERAL 1983 S
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN. „ u
BUILDING PER. 10-104-10307
SAC 525.00
PARK
?
CITY OF EAGAN Remarks CI 1?' '"
COACtatAN LAND CO 3RD ADDN 2 4 10-18152-020-84
Owner
Lot -_- Slk orC2 -
Street 3126B_ FAR1V11M_DRIYE State EAGAN MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. s?
STREET RESTOR.
GRADING
I-Z
1
173.26
34,65
'
SAN SEW TRUNK
? SEWER LATERAL 72 , 7e Aa I OW 3 44
WATERMAIN
+Y WATER LATERAL 11183
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN. to
BUILOING PER.
s,ac 525.00
PAR K
PWMBING PERMI7 Permit No.
, CITY OF EAGAN
Fee
FiII in numbered spaces S/C
Type or Print leyibly -
Tot.
?
1. Date 5 f?7f R5 2. Installation Cost
3. Job Address 3126L r RN[tti Lotgt- Blk.??
4. Owner PnSEWOC1DCEIRE?
5. Contractor
6. Address
ftone
.
7. City SPRING LAKE PARhLState ?iiv Zip 55432
8. Building Type: Residential Q Commercial ? Institutional O
9. Work Description: New *7 = Add ? Alter ? Repair ?
10. Describe FE'?'1G
No,
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
aath tubs 5eptic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet
Other
Laundry Tray
Floor brains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the aboye information is true and carrect, and I agree to
comply with all ordinances and Cod `governing this type of work.
Signed : - ' = t= for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved GITY OF EAGA{1t 0.54-8100
Receipt PLUMBING PERMIT Permit No. 'r
? CiTY OF EAGAN
Fee
Fi!l in numbered spaces S/C < < .
7'ype or Print legibly ?-'
Tot. ,?? ,
1. Date 6/27/35 2. Installation Cost 2&00.00
3. Job Address 3126 FARWri Lot ?r Blk. l? Tract 2?'??¢Jv
4. Owner ROSN;Wppn CORp
6. Address
7. City SPRYNG LAKE pARK State VIN Zip 55432
8. Building Type: Residential V
9. Work Description: New W
Commercial 11 Institutional ?
Add El Alter ? Repair D
! 10. Describe
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
-1 Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet
Other
}
T 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 a?177 iing 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 1 l J L?? PLUMBING PERMIT Permit No.
CITY OF EAGAN
?? Fee " ?
L Fill rn numbered spaces S/C
Type or Print legibly Tot.
1. Date 6/27ZqA 2. Installation Cyst 2dOO_(](l
,- /
3. Job Address 31 24B '-? i`'. 7'LotBik? TZtl it?CJ
4. Owner - Ct- - 'c.???
E?;.a v .' ,- _.r
+ a ?
6. Address A'AA-i Gi;rvti?
' 7. City SPRzVG 'LIAKE PaRK State
8. Building Type: Residential $]
9. Work Description: New 12
10. Describe
11.
MN
Z; p 55432
Commercial ? Institutional ?
Add ? Alter ? Repair ?
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
j Bath tubs Se
tic Tank
_
_ r Lavatory p
Softner
$hower Well
' Kitchen 5ink
Urinal/Bidet Other
Laundry Tray
r Floor Drains
Drinking Ftn.
-"
Slop Sink
Gas Piping Outlets
12. I hereby certify that the aboveyhfosmation iytrue and correct, and I agree tq
comply with all ordiPances aqd c!3'des gqveroing this type of work.
Signed : tor
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Rea+pt MECHANICAL PERMIT Permit No.
CITY OF EA(iAN
FM
Fill in numbwvd tpscea S/C
Type ar Prin[ lepibly Tot
1. Dm ,?'?5? 2. insaliation Cost ? - " - -r ?
3. Job Add?es4Z1j1 6r,u&nL_P` LotBik. -el_ Tract' . ?
4. Owner •' ? - f' !?)Do?:? -?-'E 1.'.?_ %t ? ' ?L?? ??-
5. Contnctor Phone
S. Address
7. City State Zip
8. Building Type: Residential 1;1 Commercial ? Institutional 0
9. Work Description: New 13 Add O Alter ? Repair ?
10. Describe,' j fzx. s-? Fuel Type
?
11.
No. Eau*ornent 9TU - M. Ea.
Forced Air `,
", . . _ _'; •? _ No. Equipment CFM
Ai
Handli
:
.
Mfg. r
ng
Boilers
Mfy. Mech. Exhaust
Unit Heater
Mfg. Qther
Air Cond.
Mfg.
? Gaa, Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed:
Rouyh f inal
Inspections: Date Insp. Date Insp.
This is Your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
PLUMBING PERMIT Permit No.
. CITY QF EAGAN
Fee "
Fill in numbered spaces S/C
Type or Print legib/y ,
Tot.
1. Date tij G!j'?5 2. Installation Cost 24 OCI.OU ,
3. Job Address 3194 r }
niitM Lot?Blk.?_ l?_a?J 'f?
4. Owner ROSEWOOD CMp
.
5. Contractor SCHXjLTIEG PLjj'iBIlyC-_ Phone
;a
6. Address 8383 SUivsEr RD. W, '
7. City SPRING LAriE F11RitState t`M1h• Tip 55432
8. Building Type: Residential 50 Commercial O Institutional ?
9. Work Description: New gk Add 0 Alter El Repair ?
10. Describe
11.
No,
-r' Fixtures
Water Closet No. Fixtures
Ces
ol/Dr
infield
Bath tubs spo
a
Septic Tank
? Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Oth
Laundry Tray er
,L 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 or,yinances ard co4"190nerning this type of work.
Signed : /1 _4' for
Rough Final
Inspections: flate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
INSPECTION RECORD
? CITY OF EAGAN PERMIT TYPE: '° 3 s' ??+', 3830 Pilot Knob Road Permit Number. ?'•'f
' Ea an, Minnesota 55122-1897 ?9 Date Issued:
(612) 681-4675
SITE ADDRESS: ? APPLICANT:
i ?'?:1? :ii?i:-il'.? . ;}[?!k? . i? :??{(i i . ,.. 1 .. . , .?. • _ .l
PERMIT SUBTYPE:
7YPE OF WORK:
I'l t- ?, C u rp 1 .1 () N
kiltifilt tW
t I ra A i
it tI t{nr rON
i N •; rA I I c;n°,
?
?
Pertnft No. Permk Hoider Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Inep. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUM6ING
PIBG
AIR TEST
FOUGH
HEATING
GAS SVC
TEST
1NSUL
GYP BOARp
FIREPLACE 4
00
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT F.I.
BSMT FINAL
DECK FTG
DECK FINAL
IEQUEST FOp ELECTRICAL INSPECTION EB-0°°MAd
,'See irrsfruet:ons for comoleiiM this iwm on laek of yellow copy. /
""X"" Be/ow Work Covered by This Request ?? l 0?
• Fee ServiceEntroceeSixe p Fea FaedxrsI5ubleeders K Fee Circuils
o[JG 0 .?Q ? Amps 0 to 30 qm s ? 5. 0 0 tn 30 Am
A6ove 200 Am?r; 31 to 100 qmps 37 to lOD A-ps
Swimming Pool Above 100_Amps Above 100_AffWs
Transtarmers Irrigation 8ooms Partial%Other Fee
I Sigis I I ISpecial Inspection ?$48.00iTOTRLFEE
Rerrorks
uan Smi in `-F 7 ?o
RoupRin Dnte`I C/ 1. the EI v cal
Inspactor. I?i rebq
° eart:h timi <b aMve
Final D:?te [ irtpeetim has Eeen
?da.
.e.isquesi.wa16.10.dlrs„om
This a4 a, o;d
5
U 63a?? ? Izt'/S5
? ?n: +.om L Go a ? ?+?... '?I7 .
flep es ate Rre No. Pough-in Inspectfon ?
6-18-1985 Re, mred? Ready N ow?Wili No1iry_ Inspec-
es [] No ?oI When Neatly
icensetl Elechical ConVactot 1 herebY repuest insOeelion of ahove
? Owner eleetrical work inrstalled et
Sirmet Adtlress, Box or Rmte No. City.
312 Farnums Drive Ea an
eclmn o. Township Name or No.
RanOe Nu
Counly
I Dakota
Occvpant IWiINT) Phope No.
Rosewood Builders
Fower Supplier Address -
Dakota Cty.Electric Famington
Electrical Contractor ICOmpany Namel Contractoi s License No.
O.B. Thompson Electric Co., Inc. A40602
Mailing Address (Con[ractor or Owner Making Iretaila[ioN
].2201 Mtka Blvd., Mtka 5,5,343
Authorizetl Signaiure-ICOnVactorfOw rter Mni ?g
lnsttaF ' atiohl , Pho33?1?21N b r
8?
,
,. ?
NINNFSpTq STpTE BOARD OF ELECTflICITY ? THIS INSPECTION NEQUEST MILL NOT
Grip9s-Midway Bld9. - Boom N491 BE ACGEpTEO BY THE STATE 80ARD
1827 University Ava., St. Paul, MN 55104 UNLE55 PROPER'INSPECTION FEE IS
vh....e IstDl 197_1111 ENCLOSED.
/
G,3Q REQUEST FOR EIECTRICAL INSPECTION EB'°°°°'"°4
, See 'instruetions tor completirg this fpm on baek of yellow eopv. ?/
3 4?F 5 ""XBelow Wbrk Covered by Thrs Request I S
AAtl f1eo. Tvoe of Builaina AooliancesMired Equiomene Wired
Water Heater
Farm
p fee ServiceEnlrenceSize # F¢e Feeders/Subfeeders N fee Circuits
10
jJG O
0 m z00 qm s
0 to 30 qm s
. 0
0 to 30 Am
Above 200 qmps 37 to 100 qmps 31 to 700 Amp,
Swinuning Pool Above 100_.oarry?- Above 100_AMPS
Transformers Irrigation Boorrs PartiaVOther Fee
? i LSfgns ? I 15peciallnspection ?S TOTAL F?E
T1 ??
Remarks AT Gmi}f 1 48.00 ?.j-7'
flouph-in Da[e 1. tpe Elec 1
Inspecfor, hereby
certiSy lhat il?e abpye
Final? inspec[ion has bean
tMSnqwet.d! 18 montts fram
B??? /? q (Al q,.n .-
c?12s/xS
Re.quest Date Fire No. Rouph-in Inspection
NeQU red?
?ReaAy N. ,II Notity Inspec-
6-18-1985 j??es ?No or When Ready
Micensed Eledriwl ConVactor I hereby reqvest inspeciion of above
?Owner electricalworkinstelleda[:
S[reet AdAress, Bax or Route No. C ity
3126 Farnums Drive Eagan
ecuon TowIahip Name or No. Range No. Coun[y
gMg Dakota
Occupant IP111NT1 Phona No.
Rosewood Builders
Power Supplie AdAress
Dakota Ct . Electric Farmington
Electrirai Contracta IGOmpany Name) Con:rar,tor's License No_
'O .B. Thom son'Electric Co.,Inc. A040602
Mailirq Address ICOntractor p Owner Makiig Instailationl
1 a Blvd. Mtka 553 43
AuthwizeA Siehature?lCOinrac[or ?rer M3knng Ins la ?6n) n
Nun
Jae
Pto
e
.
r -'' I L..7 ? p /
]/
?
I?
?]l?
90-66L 1
YINHESOTq yTp7E Hpppp OF EIECTRICITY THIS INSPECTION REQUEST MILI NOT
Grigps-MiAwey Bldg. - Iloam N-191 BE ACCEPTEO BY THE STATE eOARD
1827 UnirenityAve..St Paul, YN 55104 UNLESS PROPER INSPECTION FEE IS
Phore (872) 2972111 ' . ENCLOSEO.
5???:,,L ? REQUEST FOR ELECTRICAL INSPECTION E?°0°°'?
.ar-- ' See' i-VUCtims (or eoompleting lhis fnm m back ot yellow cooY.
L
B 44173 "X" Belaw Work Covered by This Request i
qda ReD. Typeo18ui1Eing APOliaaeswvaa Ea.io.nt wi.«+
Home Fanye 5100 Temporary Service
Duplex Water Heater liphtiny Fixtures
Apt. Buildfng Dryer Electric Hea[in
Commercial Bldg. X)C Furnace Silo UnloTder
Industrial BIAg. Air Corditioner Bulk Milk 7ank
Farm o" ?? 1 ]'1. omo.lsm?rcirrl
t P.f 11C[:ISy OIM1C, OIhCf
I k I Fea I ServiceEMrameSixa I k I, Fww I Fweders/SUb(eedere I M I Fee I Circaits I
S igns Specia l Inspec!ion /
Petmrks $?]$ . OQ TOTAL FE
Dan? Smith ( l?{' 7-f a
RouBh-in Da{e
I , "he Elec " T
, / Inspecmq hereby
certi?y Mel lhe dbOVa
Final ( D:?te ??gpection has bean
S
TMS requeat void 1B moMle imm
? 0 -'7 ?o REQUEST FOR'ELECTRICAL INSPECTION • eeI-ooooine
-/, ' ' See'imnnctians tw completirvj this Torm on Daek ol yellew copy.
44174 .•x.. Below Work Cove,ed bY Th;s Req„est ( S
p Fee ServieeEntrartce5ize p Fee Feeders?5abteeders M Fex Circuits
200 Am s 0 to 30 qm s 0 r'J . 00 0 in 30 Am
Above 200 Amps 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100 C.
_mps
Above 700_Am s
Transtormers Irrigation Boorttc Partial%Other Fee_
SiSpis Special Inspection $Q$ • oo TOTF.L FE/(^U 1
Hemarks ? D7! ? th^l ??('}, ?
?
Bouph-in
r e E?ac?r
C ??spector, hereby
mrtity Ihet the above
Final Osp! ? ?tion has baen
C ' ??
{ meda.
Thit request wiA 18 monOm ham
This request wia `?
? j}°?; ha f
rm^ J
(v1 L??%5-
A(-) .S'?
..? ..?. ..,?e,._...;..??_?..?,.
•6-17-1985 ? u?red. 0 fleady Naw?Yill No?ify InsVec-
.-- - __ X?Yes ?Nu tor When ReaJy
XX) Licensed Elechical Cmhacmr i hareb
y reQUest inspection of above
? Ownet elactrical wark irititallad at
SReet Address, Box or Noute No. CiW
3124 Farnums Drive Eagan
ecuon o. Township Name w No. flange No. Coumy
Dakota
Occuuant (PqINT) Pliane No.
Rosewood Builders
Power $up0lier Adtlress
Dakota Cty. Electric Farmington
Electrical Convactor ICOmpany Namr.) Cantractor's License No.
O.B. Thompson Electric Co., Inc. A40602
Mailinp AdJress (Contractar or Owner Making Iretailationl
12201 Mtka Blvd., Mtka 55343
AuNorizetl Si8^aWre ICamractm Owner Maki?p InstaplWl1
?
?? Phone NumOer
r
d
n M/ O[7 9 d?-a521
MINNESOTq STATE BOARD OF ElEC7i11CITY THIS INSPECTION REQIIEST WILL NOT
Griggs-Midway elAq. - Room N-791 BE ACCEPTEU BY THE STA7E BOqRD
1821 UniversitY Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phona (612) 2972111 ENCLOSED.
K54118
' ,,? li"'(117
?d.
Re est Date
Io_ Fire Na.
1 Rough-in Inspece n
Fepuired?
G Yes o
Reatly N. ? Will Notily Inspectar
Wha^ Ready'
'censed contractor ? owner hereby request inspection of above electrical work at:
Job A4tlress (Sfireet Box ute No.)
(.l
1r C'
d-v??
SeBion No. Townshi0 Name or No. Range No, ty
Oc upanllPPINT? r n Phone No.
Power Supplier Atltlress
EI ' Comraclor^ Company , C Vactor5 License No.
Mailina qtle s IGOntractor or er Making Inslalla ViNZ
1 ^
l !
Au or 0 ignaW 1 onVactor/OwnerMakin Ip n5t211ylipn
(??LY.???V?J P er
MINNESOTA STRTE 0 R O ELECTRICITY THIS INSPECTION FEOUEST WILL NOT
Griggs•Mltlwey Bitl - m 1l3 BE ACCEPTED BY THE STATE BOARD
1821 llnivenity Ave., . Pa 55104 UNLESS PROPER INSPECTION FEE IS
Phone(614)802-0800 ENCLOSED.
// 9?902 REQUEST FOR ELECTRICAL INSPECTION
"
No.
54118 See insimctions for-ompleting thls lortn on back of yellow copy.
X" Below Woik Covered by This Request
ew Adtl Rep. Typeofeuiltling AppliancesWi2d EquipmenlWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Oryer Other_(Specity)
Comm./Industrial Furnace
Farm Air Condiiioner
Otnar usuecilY) ConhactorS Remarks:
/ On nI?
?? ? ?
Laj_,?? ' 4L
• ? ?
Compufe Inspection Fee Below:
# Olher Fee S SarviceEntrance5ize Fee # Circuits/Feaders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers A6ove 200 _ Amps Above 100 _ Amps
SignS Inspeaa5 Use Only: TOT
?
Irrigation eooms ?
Special Inspection
AlarmiCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Olher Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Roul --
100 oate
certify that ihe a6ove inspection has
been made.
F;,,ai . o? L,
'Z 3
OFFICE USE ONLY
This requesl voitl 18 monlhs Irom
rapuestvOid I?3O?/?
?„
???? i ,?
-74 ) i i
coa
tP 1 zs- la;
L 5?????nQC I-"--"-' IRe?p-uyir¢tlT.-ENo ?o?..-.. I?RCaAYNO..dy..iilNotifV.lnsper."I
?a ??? X yes rWhen
y Heatly
?[Licensed ElecVical Contracior 1 here4y request inspection of above
? Oixner eleetrical wmk irgtnlled at:
SVeet Atldress, Box or flouce No. City
3124 B Farnums Drive Eagan
ecLOn o. TownshiD Name or No. Rangc No. Couury
Dakota
Occupant IPIIINT) , Phone No.
Rosewood Builders
Power SuDVlier ' Atltlress
Dakota Cty. Electric Farmington
Electrical Contraclor ICompany Name) Con:mcio?'s License No.
O.B. Thompson Electric Co., Inc. A40602
Mailing qtlJress (COntracmr ot Owner Makine ImWllalian)
12201 MtkalBlvd., Mtka 553-4.
Authorizetl SignemS¢(:uoVacmdOwngf Makir?p'Ihstall t on)
? Phone Nunber
'??-a?-.,, 933-2521
YINNESOTA STqTE BOAf1D OF ELECTtlICITY Cv THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bldg. - R. N-797 gE ACCEPTED BV THE STATE 90ARD
7821 Univereity Ave., SL Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phore (612) 297$111 ENCLOSED.
s (TOWNHOUS?iTY OF EAGAN
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PNONE: 454-8100
BUILDING PERMIT Receipt $ _
Te M wW fw 1 OF 4 PLEX Est. Vol.e $61,000 Dcre MAY
siteaddren 3126B FARNUM DR
Lot 2 Block 4 ?eclSub. COACHMAN LAND
Peroel No. CO 3RD
W Narrme ROSEWOOD CORP
z qdd,ms 1711 W CTY RD B
? City ROSEVILLE Phone 631-3254
Name SAME
s? Add.ess
?- City Phona
GW Name
Addresc
iW City Phone
I hereby acknowledgs tFwt I have read fhis opplication ond state thaf
the intormotion is correct and a9ree fo com0ly with all opplicable
State of Minnewto Stafute an Ciry of Eaqan dinonces.
Sipnoturo of Permitt? ? ?:)
A Buildinq Pnmir I: issued ro: ROSEW D RP
oll work sholl be dona in accordance with oll applioobls Sjdtq of Mir
N_ 10306
Erect LX Occupenay R3
Remodel ? 2oning R 3
Rapair ? Type of Const. IZN
Addition ? No. Stories
n4ove ? Lengtn 46
Damolish ? Oepth 24
Int.lmpr. ? Sq. Ft.
Install ?
Anorovols - fen Assessment Permit Y ?. V V
woter a Sew. surcnerge 30.50
Police Plan Review 157.50
firo SAC 525.00
E,q, WeSefCOnR 500.00
7lanner WaterMeter 63.00
Councll Road Unit 280.00
BIdg.Off. rJ ZD 85 Tr.PI. 132.00
APC Parks
Var. Date Copies
rotal $Z, 003.00
on tha express cordition Ihot
? te Stqt eqouid-City oi Eopon Ordirancas.
Buildfnp OHiciol
( T04JNIi0USR )
CITY OF EAGAN '
? 3830 Pila Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE: 454-8100
BUILDING PERMIT rteceipr #
Te be w"d fer 1 OF 4 PLEX Est. Value $61. 000 pate_
Site Addreas 3126 FARNUM DR
Lot 3 elock 4 Sec/Sub. COACHMAN LAND
Percel No. CO 3RD
W Ne,r,e ROSEWOOD CORP
? Address 1711 W CTY RD B
city ROSEVILLE phone 631-3254
? Name SAMF
Addrese
• City Phone
FW Name
Z? Address
u
tZ ICity Phone
I hereby acknowledge thot I Fwva read this apDlicatian ond stote that
the inlormofion is corrett ond o ee to Comply wifh all a plicobie
StaM M Minnesota Sratute n iry of Eagon rdi n
Siprroturo of Permi ='?
A Buildirq Permit Is issued ro: gOSEWO CORP
oll work sholl be dons in occordante with all applicoble St of Mii
Build7np Officlol
N_ 10307
IAY 31 iy 85
Erect f? occupancy R3
Remotlel ? Zoning R3
Repair ? Type of Const. VN
Addition ? No. Scories
rnove ? Lengtn 46
Demotish ? Depth 24
Int Impc ? Sq. Ft.
Install ?
ApOrwah R"
A2sessment Permit 315 Q C
worer35ew. surcneree 30 5(
Police PlanRevfew 157.5(
Fire spC 525.0(
Enq. WaterConn. 500 OC
Plannar Water Meter 63? 0(
Council Road Unit 2 8 0 . Q(
Bidg. Off. 5 Z 0 a 5 Tr. PL 132 _ OC
APC Parks
Ver. Date Copies
raai $2.003.00
on the exprca conditbn that
iax?YU-Stqtutqs,sodXiry of Eaqon Ordironces.
(TOwNxouss)
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8100
BUILDINCs PERMIT Receipt
1 OF 4 PLEX
Sitenddren 3124B FARNUM DR
Lot 1 elcek 4 Sedsub. COACHMAN LAND
Percel No. CO 3RD
W Narrme ROSEWOOD CORP
? Address 1711 W CTY RD B
city ROSEVILLE phone 631-3254
Name SAME
£? Address
? City Phone
G?
uw
Name
?
i Address
uo
'
.Cu=i
City
Phone
61,000
Erect
Hemodel
M_ 10305
L ie 85
Occupancy
2oning _
Repair ? Type of Const. VN
Adtlition ? No. Stories
Move ? LengtM 4 6
Demolish ? DeOth 24
Int Impr. ? Sq. Ft.
Install ?
Aoororals F"s
Assezsment _
Water 8 Sew.
Police _
Firo
E+i0•
Plonner _
Council _
R3
Permit 315. 00
Surcharge 30, 50
Plan Revlew --? 57 - 0500
5?5.
SAC
WaterConn. 500'00
WeterMetar 63.00
RoedUnit 280.00
t hereby ocknowledga thut I hove read this opplicetion and stote ihat Bldg. Off. S 2 0 8 S I Tc PI. 132.00
fhe inlormation is correct and ogree to comply with all oppliwble
Srota of Minnewta Staeutos and ry of Eaganp iranc p'P? Perks
?Q Var. Date Copies
Sipnoturc of Permir Totel $2.003.00
A Building Permit is iuued ta: ROSEWO m fhe axpres caditlon Ihoi
oll work shall be dona in accordance with nl lico le S Minnesota Staturoi and City o7 Eapan Ordirqncn.
Buildinp Of/icial #??
(TOWNHOUSE)
CITY OF EAGAN N? 10304
3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
T. y. esed fm 1 OF 4 PLEX Est.Value $61,000 pate MAY 31 1 985
StteAddreu 3124 FARNUM DRIVE Erect 00 Occupency R3
COACHMAN LAND
Lot 4 Black 4 sec/Sub Remodei ? Zoning R3
.
CO. 3RD
Parcel No Repair ? Type of Const. VN
. AddRlon ? No. Stories
ROSEWOOD CORP
Name Move ?
li
h ?
D Length 46
24
?
? qddrms 1711 W CTY RD B emo
s
lnt Impc ? Oepth
Sq. Ft.
City ROSEVILLE phone 631-3254 Install O
SAMF
? N Apyrorab Fps
ame
Addreas
Assessment ?
Permit ? 315•00
V? City Phone Water55ew. Surcharge 30.50
Police PlanRaview 157•50
?uZ Name Fin SAC 525.00
1? nddress Erp. waterConn 500.00
?W City Phone Plonner WaterMeter 63.00
Councfl iioad Unit 280 _ 00
I hercby atkrawledge ihot I hove reod this application and atate that eldg. Off. 5/20 /85 Tc PI. 1 32 _ 00
comply wifh oll ap oble
fha inlormofion is corrett and ogrey?
'
A
?
Parks
l?of Eaan i hc .
q
Stata o4 Minnesota Starutpre d
` Var. Date Copies
$ipnofura of Permift - $2,003.00
A Buildinq Permir is iss ro: ROSEW CORP Total
on the axpress wrdiflon thoi
all work sFwll be dona in accordonce with oll appli a of in tote ufe? ond Ciy o5 Eaqon Ordinoncea.
Buildirg Offkiol
2004 RESIDENTIAL BIIILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
?O Telephone # 651-675-5675 FAX # 651-675-5694
New Consfruction ReauiremenGS RemodeURenair Reclulremenis QKr,gUse Onry
3 regisiered site surveys showing sq. ft, of bl, sq. ft. of house; and all roofed areas 2 wpies of plan CeR ot Survey Repo ... . Y _ N
(20% maximum lot coveiage allowed) 1 set of Eneigy Calculztions for heated addi6ons Tree Pres Plan Recai _ Y' _ N.
2 oopies of plan shawing beam & window sizes; poured found desigq etc. 7 stte survey for addNOns & decks Tree Pres Requped Y _ N
i set of Energy CaICUWUons Addi6on - indicafe i(onsite septic system Onade Septlc Sysiem _Y _ N
3 copies of Tree Preservatlon Plan if bl plaried after 711/93
Rim Joist Detail Options selection sheet (bldgs wBh 3 or less unifs
/ 'a -7 / 0 Ll
Date I
Construction Cost
5iteAddress jQ 2 -)(o UniUSte #
Description of Work
Multi-Family Bidg 'y Y_ N Fireplace(s) _ 0 _ 1 _
Property Owner'Qj? Telephone # ( )
Contractor (r( / ?'
Address City
State Zip f°,5?):j?) Telephone # (&Gi) .4i.??S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previousiy constructed a building in Eagan with a similar plan? _ Y _ N if so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the informatiocom-p-fft€ and accur te;
that the work will be in conformance with the ordinances and codes of the City of E?agan tdYe of
Statutes; I understand this is not a permit, but only an application for a pernvt, and work is not to start without a
permit; that the work will be in accordance with the approved the case of work which requires a review and
approval ofplans. „
ApplicanYs Printed Name
tlpplicant's
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuKi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex # 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex P16g_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
DON^ I
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Remof O 46 Windows/Doors
'Demolition (Entire Bldg) - 6iva PCA handout to applicant
Valuation C-.) •
Census Code
SAC Units
# of Units
# of Bldgs •I
Type of Const ?( fV
Occupancy R3 MCES System
Zoning PI'3 City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
_ Footings (new bldg)
_ Footings (deck) G,K; c% 9
_ Footings(addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation _ I
Approved By:"
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
ToWI
REQUIRED INSPECTIONS
FinaUC.O.
Zp FinallNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucw _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
L /
-
S
City Of Eagan A .
1
?? S t+ 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5644
New ConsWction Reouiremenis RemodeVReoair Reuuirements tHfice Useonlv
3 registered site surveys showing sq. ft. of lot, sq, fl. of house; and all roofed areas 2 wpies of plan Ced of Suriey R60d' Y_ N
(20%maximum lotcoverage allmved) 1 set of Energy Calculations for heated adtlitions TrflePres Plan Redd .._Y _:N_
2 copies of plan showing beam & window sizes; poured found desigq e1c. 1 site survey for addifions & dedcs Tre:e PresReQwred v _ N
isetofEneyyCalculations Add'rtion-indicateifonsifeseptksystem On-site5epticSysiem _,Y._N
3 copies af Tree Preservation Plan if bt platted afler 7/1193
Rim Joist Detail Options selection sheet (61dgs with 3 or less unils
DateCl / ;:t 7o/ Construction Cost ez-n 0
SiteAddress 31-,2(y (.p J-?; M u/01. UniUSte#
1-24 J 13 ?'Y7
Descripdon oF Work '
Multi-Family Bldg NY _ N 'replace(s) _ 0 _ 1 _ 2 ?
Property Owner ?; v,? 04lb5 It Telephone #( )
Contrac[or ?Jp_cj? i
`'? ?• r? ?,,? r
? ? ; (? ? n l( p
nl
Addressc)-7/?D Q 3,3" City
State
Zip (Z:'Sj(?'?J ?
Telephone#((47s 1) )_141? Y4qg!?i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeoro 1 Minnesota Rules 7672
Energy COde Category , Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
N If so, 25% plan review
Telephone #( D
TI hereby apply for a Residential Building Permit and acknowledge that the informat urate;
that the wark 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 pemut, 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 in the case of work which requires a review and
approval ofplans.
ApplicanYs Printed Name L/ApplicanYs Signature J"°
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
0 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plax ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
O 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 Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Foorings (new Uldg) _ FinaUC.O.
Footings(deck) _ FinallNo C.O.
Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final
Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace R.I. AirTest Final Windows
_
Insularion , _ Retaining Wall
Approved By: /0b// /Building
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Inspector
,..
.
? ?? 0 %:41,
1985 BUILDING PERTfIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 b F 4 1 SET OF ENERGY CALCULATIONS
To Be Used For: Oopp-TawNHansValuation: ?olpCO 1 (?2 Date: S/ ,r
Site Address: ?JZ(./ rj FARj1uum A,2 OFFICE USE ONLY
Lot: I
Parcel li
(,DA[NMiW C°
Bloek Li Seet/Subt-^"'O CiErect ? Occupancy -3
Remodel ? Zoning e-3
Repair
Enlarge
Owner RpeBi?oop C°D?PDPAtion! Move
Demolish
Address 1 -j) ? LO CpL) /q T-y y?c(. B Grade
City/Zip Code Rctse- v/ L cc , mA.-? 5S//3 -------
Phone (03 /-325-y
Contraetor ROSe-wvoo, C,°oNSr, Div
Address SAlY+et- (AS ABoJE
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
APPROYALS
Type of Const }'I:N
I! of Stories
Length 4 ?
` Depth Z4
_ Sq Ft
Assessments Permit 316 ?
Water/Sewer ^ Surcharge g?,?
Police ' Plan fteview I j7 SO
Fire SAC 525,'°
Engr Water Conn SQO . !!
Planner Water Meter (93.?
Council Road Unit 2g6.=
Bldg Off jlZ±IIIL Parks
APC Treatment Pl
Variance
TOTAL
?vo3
T
1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED HITH THE CITY OF EAGAN
r?W?j ?40v?)C- INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
IC7 F 4 1 SET OF ENERGY CALCULATIONS
To Be Used For: QpAD Nome Valuation: Gl,oo0. Date:
Site Address: OFFICE USE ONLY
CAAC-HMr? °K \)
Lot: ? Block y Sect/SubLP`NO C-0''? ? Er"ect ? Oecupancy
Remodel Zoning R_3
Parcel !I Repair Type of Const %I:N
Enlarge U of Stories
Owner ,ADS2u?00 ? CoRP Move _ Length ?
Demolish Depth ?
Address 1711 Ld COViveyGrade Sq Ft
City/Zip Code
Phone 6, 3 / - 32511
Contractor 1?qDSG,u,oo.Cl C'On.'sT DIU
Address 5,qML= qs AaoaE
City/Zip Code
Phone
Arch./Engr.
Address
City/2ip Code
Phone II
APPROVALS
Assessments Permit
Water/Sewer Sureharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off 3 Parks
APC Treatment P1
Varianee
TOTAL
3 I ,5 ?
30' s°
szs. .10
5co. m
CD3 `=
280, m
13Z`-°
? -
?.
?
?3
C1TY USE ONLY
PERMIT #: RECEIPT DATE:
2002 i$ESIDEN1'IAL MECHANICAL PERMI'lf ??PUCA'i'ION
CITY OF E4fiAA
3$30 PILOT KPO$ itD
EtsAP b1N 5512E
651-6$1-4675
Please complete for. ? single family dwellings
townhomes and condos when permiGs are required for each unit
Date: :?712_zk)'L
SITE ADDRESS:
j 4q 2- 42-11
OWNER NAME: Euq_, c, ? TELEPHONE #: ( n?-
WSTALLER NAME: TELEPHONE #: 0?1_ q " I `7 ?F
STREETADDRESS: ?2--?--
CITY: MR n Lf?'r STATE: 0 tj ZIP: SSD
Place a check mark neut to the permit work type
Add-on, modification or alteration to ewstina dwelling unit V
$
• furnace replacement
• ' n
• a?ir conditioner
$ T%0-
`?
Nature of work: C
S 1DZ0
State Surchar e $ .50
Total $_'?
_ . n --
I I _
SIGN OF TTEE
?
/,.
voz
CITY USE ONLY
PF,12MIT #:
RECEIPT DATE:
...... .,,__...._ ....._._ .. 2008 ii?SIDENTI?kL MECi?NIC?tI. PEiiMIT ?k?Pi'LIC?tTiON
x .. ,. crrY oF e,asAx
S$SO PILOT KNOB iiD
£Afii41V MN 867 EE
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 2?/C'??
??
SITE ADDRESS:
OWNER NAME: TELEPHONE #: ze?CZ- ,'-,¢ .o
INSTALLERNAME:TELEPHQNE#: z'?:!!5-1
STREET ADDRESS:
CITY: L ?STATE: ? ZIP:
Place a check mark next to the permit work type
? Add-on, modification or alteration to existinq dwelling unit $ 30.00
• furnace replacement
-?-.
• air exchan ?
• air
nditioner
co
• other ? %
(Cr
.op1-
?
15
Nature of work:
1
State Surchar e $ 50
Total $
)
i'
SIG AT????iPERMITTEE
U ? ? F
t/oz
t
.. ? 4 v
16302 u
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS M(15T BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
I oF Q- 1 SET OF ENERGY CALCULATIONS
To Be Used For: UAO-TowmuoinE Valuation: 6Q1,000.m ^ Date: S/y ?S
Site Address: 312- 4n FAKUUm p2 OFFICE USE OHLY
[DACHMPw!
`°?) -
Lot: 3 Block Ll Sect/SubLP"Q (O ep
3- Erect
Remodel
Parcel !k Repair
Enlarge
Owner R oSewoo p C o(? pOP A 1-) oN Move
Demolish
Address _1`7/1 W (2ouNj-v ffa( ?
?- Grade
City/Zip Code ROSeV/CLF? ?N .??5/J3 ;:
Phone ( / - Z y 13 Contractor ,,19pSgwoolJ CON1T/,)/l!
Address SA/nE AS RBovE
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone I!
eavanverc
X Occupancy R-3
Zoning Q-3
_ Type of Const 72 ?J
It of Stories
Length 4?
Depth 24
Sq Ft
4
Assessments Permit 'j 1 .s =°
Water/Sewer Surcharge 3c).s_°
Police ? Plan Review
Fire SAC 525
Engr Water Conn Soc?- °?
Planner Water Meter
Council Road Unit 2gp. "-'
Bldg OffJ $S? Parks
APC Treatment Pl
?%uC,3
Variance
TOTAL
M
•
?
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS lIUST BE LICENSED WITH THE CITY OF EAGAN
?
IO
WNI-{cxa,5?= INCL UDE 2 SETS OF PLANS
3 CER TIFICATES OF S URVEY
I o C- q- 1 SET OF ENERGY CALCULA TIONS
To Be Used For: QuqO-TowNr+onts Valuation : Date:
Site Address : 3( Z Co (3 FRKNu»' p OFFICE USE ONLY
??
(?vs.NM ?
Lot: z Block 4/ Sect/Su6l'"n CD' 3- K?
Erect }<
Occupancy
?-3
Remodel Zoning W-3
Parcel # Repair Type of Const $Lr-I
Enlarge !k of Stories
Owner kOSewaop 0-o/LPoK,4T-10n) Move Length L}tP
Demolish Depth 2¢
Address 171/ W 0oua7`y /Qd $ Grade Sq Ft
City/Zip Code POSG V/?LF GY2,u 5S/ --------------- -------------- ------
Phone G,31 - 3 z s v APPROVALS
Contractor ?pS?cc?oon C0.vsT(1?v Assessments Permit 31,50
Water/Sewer 5urcharge 3d-'"-°
Address $g'ME gS .4gov6 Police Plan Review E.J. 1Sn
Fire SAC 52 5,v
City/Zip Code Engr Water Conn EICID -?
Planner Water Meter (03 °?
Phone Council Road Unit r[gO.°-°
Bldg Off f' Parks
Arch./Engr. APC Treatment P1 13 Z.m
Variance
Address TpTpI, ?
°lo° 3
City/Zip Code
Phone $
i
,. ?
r- .
j
'
`
CITY Or EAGAN
2/84
? ?
?'C•?
/
APPLICATION EOR PERMZT
SEWER AND/OR WATER CONNECTIODI
- (PLEASE PRINi)
1) PROP= ADDP-rZ-5: 3124 FARNUM
?
r Fr=AL DESC-2I?^IC:I:
y?
(Loz/Block/S ?visicn or Ta? Parces I.D. NuRrter)
? ir -_•;ZS:'=:G 5"I".=.i:C,'_^JME, DAit. 0° Oi2TGi T.AL cuI`US::G :? ?1T ISSUrti?.:
PPESr 'I' ,.^Ii:r,/^'?OPCS=E) :'S: ? R-1 SiJ;GZE r^P?+SLY .
? R-2 L'iJPL...?Y (7oV0 LMITS)
C? ?-3 'I'C:,-7rv,SE ('i=. L': iT5) ( 4 LNI^_'S)
? i:-4 Fv=:.:.^*F^7T/CC:?G-S'rtil ( UNIT.'-_ )
p CCl i?L..?C2.7?L/RESASL,/Oc c IC::
? L'S
Q L:STI'1'L'TI021AL/GGV?-h?=
2) ap?'.T= (PLEH:iE FRllii)
RnsFwcoD CORPORATION
PLCR--°SS= STTTTF. 300 SOUTH 1711 NIEST CO. RD. B
CTT':, STA'IE, ZZ?: RnsFVrrr.F •
°I:GVE: 6-Al--1254
3) pi,j,^.SEi;.o (PLEA,?E PRiYL) ; FOR CITY USE O4LY
nAL°'E= SCHULTIES PLUMBING_INC.
ADCRcSS: .
$383 SIJNSET RD. NE PCIINBERS L-ICEYSE:
Active
CITY, STATE, ZIP: RING LAKE PARK, MN 55432 ? Espir
PH017E•
?-- ai.n _
786-4007 PLUMBEA LICENSE N_ 'z658M9
- -
? ?j Aeco d
ar, , rtni-:a
41 VC,LVYI'/CS?iIE".t2
NALME:
ADDRESS:
CIT'!, STnTL, ZIP:
PIiC`IEE :
tYLtAJt YHlAII)
5} INpiCATE ;v-yZCH PEPi•LiT IS BEINC REQLTESTID:
? CC.`2`7ECTI0:1 'IU CITY SES']ER
? CG[P,v'EX.TICV 'Io CITY 6•IATE:?
? OTI?'i2 (PLEASE DESCRIBE) CJ
6) rtDIG,.:: C.?:
'. ? PI.EASE I?OLD APPP.OVID PER.yIIT FOR PICiC-L"'t BY_.C.IE_OF )AECUE
_ .`•'AIL APP PF.F?LLT T'J 1, 2,3 '4 P,E(7VE ?
C- --- -
(Circle one)
7) SIC:%TL.^tir,: DATE:
r
MR?! oliMls.? i? i a!lgau ! S rtsCta-?? if p ? isi:a :a a? l? ?f?s?? ? a? ra ?s s eRSaa+ ?
FOR C I T Y US E ON:,Y
PE?-MIT °- ISSUED
7
PrrS: $ _
f? ? U C`:':L9 PrD?...RTi (INC,:.::D: SUaC^.A."KGi)
$ WATER PERU4IT (IPICLliDE StiRCHAaGE)
$
WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ S-'.?iER TAP
$
$ _ ?5?ck-' ACCOUNT DFPOSIT - WATER
$ wac
$ uv SAC
$ TRiiNK WATER ASSESSi•TE2IT
$ TRui1K SEWER =,SSESS:lEYIT
+S LATi.?1' L BENEFIT/TRUNK SE:•?ER
$ LATERP.L BENEFIT/TRiINiC WATER
$ OT:IER '
$ TOTAL
$ '?C,?•- "o A:ti,
. ,L..r ,vT PAI?/RECEZ?T #
DOES UTILITY CONNECTION REQUIRE EXC:iVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN F: "PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" M[7ST BE ZSSUED BY THE
ENGINEERID7G DIV:SION. LZST AS A CONDI-
TION.
SliEJECT TO TEiE FOLL0WING CONDITIOtdS: '
i
APPROVED BY: C; j
TI;LE:
DAT°:
.e aw ws
I
i
?
r ,
;?.
I .?
2/84
F
a CITY Or EAGAN
APPLICATION FDR PERAIIT
-' SESdER AND/OR WATER CONNECTIODI
- . , (PLEASE PRIki)
1) PP.OP?..'n'' AL`DP.EsS: 3126 FARNUq:
rFr=,L Dr..?.'?`T?^ICV: ? `
(I.nt/glock/St.:,?isicn or Tati Parcel l.p. NU-7-ner1
i li -ui1E^?.11 J?==EI L'[l'??E OC VLI?VL:t1L i{Jy-r)j?.V T..].?nl.!`\
\ ......????i
?••?." II SE:
O R-1 Si?;GI.c FPLffLY
El R-2 DIIP-= ('?r•:O LT:ITS)
. C? ?-3 'ICr•ri?'Cr?cE (mc%?, . - r-;riT?) ( 4 Fj,I='Zi
' ? iY-4 Ac:==:T/CC?:i,x:i•ff`]I;,tiI ( G'NZT=)
Q CCi•2?E?CLAI./F2E^_'AII,/OcrICE
?
2) E1???,I-=,i . (PLE;.Se
ROCF.WCX)D CORPORATION
SnrmF 300 ScxJTH 1711 WEST CO RD B
CITl, ZI?: '
_ RC1.RF.VTTiF
Pf:CVE: 6531-61254
3) Pj[„•i_p,g,o . (PLEASE rRlNij _ fOR C:TY USE O4lY
SCHULTIES PLUMEING INC.-.
FLC?s.s5:
•
$383 SUNSET RD. NE PLVM9ERS LI f95Ec
C,-actl -,e
CITY, STAi.., Z=_ SPRING LAKE PARK, MN 55432 ? Expired
PNO-'_E - I Naicr.
786-4007 \\ PLUneEA LICENSE H 2658M9 D?y?t oi RetoLd
?
!'f tni1: dl?•
?.?-'•.u?APPP/C?','r:M
W(YtGASt YHlf[) ?. --
' u?:
Au1'JRES$: .
CI?"', STAiE, ZZP:
PI:C.^IE:
5) INDMA.r. ;dHICH PER:•LIT IS BEItG REQLiESTID:
r"
CL.:NF.C.?IO:I 'IO CITY SaiER
? CO:IZU=IC:I 'It7 CITY S-IATE;?
El CJ"i[ER (PI.L?'15E DPSCI2IZE) ()Cj
7)
? PT.y,E I?OID APPP,(7VED PERtiLIT FOR PICiC-LP BY CNE OF .aBC`VE
??-I.5'd "AIL APPR= PEP?IIT TJ 1, 2, 03 4ABCVE?
z?/ (Circle one)
D^nTE:
F O R C I T Y U 5 E O N L Y
PER-MIT °- ISSUED
E:::???
rr?S : $
S
S
$
_
$
I S ??
- "$
$
$
$
$
$
n L ?,.
......, A).1Ty (ZNr.:..:;cE suRc,aRGE)
waTEa PERP7T_T (zr.cLUnL sURc::aacL)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (ZNCLUDE CORPORATION STOP)
S::iEF TA?
=???•i.::'I' -==Gci- - `._:.ER ACI-OUNT DFpOSIT - YIATEB
wnC
SAC
TRuNX S+7ATER ASSES524E.1T
TRuidK SEt'1ER ASSESS??EDiT
Ln.H7AL BE:IEFIT/TRUNK SE?:ER
L:-,':ER?L BENEFIT/TRUNK SaATER
OT3ER •
S TOTAL
.
S (I?C-- "? A;??OL'::T PAID; REC°IPT 63 J??
DOES UTILIT'1 CON,IECTION REQUIRE EXC:,VATION IN PUBLIC RIGHT OF WAY?
'tc5 IF YES, THE:N n"PE^nMIT FOR `r70RK WITHIN
PUBLIC ROADWAY" MUST BE ISSL'ED BY THE
C NO ENGINEERING DIVISION. LIST AS A CONDI-
,_? TION.
SliB7ECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TI':LE:
DAT°_:
.? ._ _ . , . ?. . . . _ . ., . . ..,:.? _;..:?-?.
-
2
?
z?s?
EE
1
-
? CITY Or EAGAN
? .
? .. .
AP°LICATZON EOR PERNIIT
-' SEtdER AND/OR WATER CONNECTIODi
- ' - . (PLEASE PRIHT)
1) PP.OPE2TY ppD?..r55: 3124B FAE2NOM
(717t
/BlOCK/CL'u;1V1S1CR OT 1dX PnrCC'i I.D. 17Lt°`JCr) t?
? 11'sr=rC--,:7?Z, na TE oc oRIcuIAL wz=?T:c TssU;?N
PPzSr '?' P^: O R-1 Si;C,.-?
rPMffLY
_,
a R-2 GUPL; (T?':0 LT:ITS)
C? R-3 ZCr•iv.uCUCg ('?'f?P= + LNi'i5) ( 4 T.JT7I"?`
CI r-1 AP? ="i'/CC-Z,?irr;r?.?
? CCi.1''CE-i//RETi:IT_?QF?F=
? ? -Ti vvSl.2T?+L
? I?,'STIT`,T20:'?L/GGVE,_'??n!E:?:T .
Z) rD?L--.C-`^' . iPLLhJG YiZjilrJ
RnsFW[OD CORpORATION
ACC?4-SS: CnTTF. 300 SOUTH 1711 WEST CO. RD. B
CTT", 5=;.:'?:
zZ2: -
,
- MSFV
rr •
AvC.'TE'
3) PLL:-fEEp, (PLEASE Pflt4i) FOR CTTY I1SE GNLY
SCHULTIES PLUMSING INC.
FLC3?SS': 8383 SUNSET RD. NE - -pLU!!BERS LIC:'
? AC e
CI1"?, STF.T', ZI:: SPRING LAKE PARK, MN 55432 _ Exp
i/r "d
PNON7: ? ??M1
786-4007 PLU!IBER LICENSc"k- 2658M9 ?
Recard
0 j? r or
~
?
i
' int;tat
ADGi2ESS:
CIT'!, ST ;:E, ZIP c
PN"IE:
LYLLRJG MHSiIfJ
5) IIVDICATE iv'HICH PEPtdIT IS BEIi:C REQUES'IT'?:
Z CC.INF.CTION 'Il7 'CITY SEWER
? CO:I,N=IC:I 'Io CITY WATER
? 071E2 (PI.PASE DF_SCRI&+E) '36.M U? LlV1.l1?f)l?. ?l?u.v•
? PTZ7?SE f?OLD APPP.OVID PERtiIIT Fl7R PICfi-L'' BY 0NE OF AE4'VE
c r? pT `?:,yl L APPROVE.'D PER'•LIT TfJ 1, 2.a 4 AEOVE?
(Circle one)
77 SICzATuv:
4 ?4
w -
DAT'E:
_. , F O R C I T Y U S E O N L Y . '
pgayiT °- ISSUED
E:?:??
=S: SED nra?.gT^?
. ,.
(z
tr
. ?
LceE suRc4a?
z
$
' _
_
;,
)
Sc- P1ATE? PEPS1r; (IL.CiiiDE SliRCHARGB)
$ WAT°R METER/COPPERHORN/OLITSID
° READER
$ WAT°.°. TAP (INCLUDE CORPORATIOA
I STOP)
$ SE:iEB TAP
ACCDIINT DFPOSIT - N7ATER
$ WI:C
$ SAC
$ T?C_dK TQATER ASSESS:IE2IT
$ TRu.1K SESdER y55ES5,t1ENT
$ L:,:3P,P.L SE?IEFST/TRUDIK SEWER
$ LA:L?2AL SENEFIT/TRUNK LVAT°R
$
OT:IER $ TO;AL
$
A.".OL'tiT PAI'J; REC°IPT ,+r S 3
D0E5 UTILZTY COtiNECTSON REQUIRE EXC.,VATION IN PUBLIC RIGHT OF WAY?
L, YES IF YES, THEP1 n"PE3MIT FOR WORK WITHIN
P[1BLIC ROADWAY" ML75T BE ISSL'ED BY THE
NO ENGINEERIT7G DiV:SION. LIST AS A CONDI-
TIDN.
StiBJECT TO TfiE FOLLOWING CONDITIO.TS:
APPROVED BY;
,
TI:LE: ?- •
DAT_° :
' F? ? w ? ir ? '? ? ?a ?'? ? ? ? w +i4 ws? R+? ?? l4 ?i? ?i? wa wF ? se ?.i? R+? it? ne ??l? ?. r
?
. . .. . . . . ? (.. . . ... ...: . _ . ... . . .` .... : ' j ..
F 0 R C I T Y U S E O N L Y
PERuIT °- ISSUED
F°"S:
l ?; > u
$
$ C 3.?c?
5
S
$ A v`CJ
.$ .S LU. a Yi
$
S
S
$
$ 4
p ,
S-:4E.°, °?R?'!_TT (I_`ICLi;D : S=:?P.Gc)
WAmLR pE12!`1TT (Ii.CiuDE SliRCHARGc)
WATER METER/COPPERHORN/OUTSIDE READER
WAT°B TAP (INCLUDE CORPORATION STOP)
5.=::iE4 TAP
?P('C=;T ?L=.r..•?1_ ' ...7.,_? ..
AC.:OU*IT DFPOSIT - F1AT°R
WhC
SPC
TRII_QK WATER ASSESS:IE:IT
TRU.dK SES•1ER ASSESS.tilE:iT
LAT.=R.`yL BE:IEFIT/TRUNK SE?'.TER
Lh;£?21L BENEFIT/TRUNIC Z9AT°R
OTHER TOTAL
A:".OU::T PAID/REC°IPT n S? 35 ?
D0:5 UTILITY CONNECTION REQUIRE EXC:;VATION IN PUBLIC RIGiiT OF WAY?
YES IF YES, THECI n"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ZSSL'ED SY THE
NO ENGZNEERIrJG DIVZSION. LIST AS A CONDI-
TION.
SliBJECT TO THE FOLLOS4ING CONDITIONS:
APPROVED BY;
TI:LE:
DAT°:
w mw:m wm st+ wtim lf m im sfm Ra P* m w sjmm w m
? .
?.. .. ?. . .
` . r . ..? ,
, .. . ?
''
:
?
?
. , .
.
. , :
. .
?
-? -
_
-
l 2,84
Eal,
m
CITY Or EAGAN
114i1 ? APPLIC.:TIOid EOR PEP,LtiIIT
-' SE;4ER AND/OR WATER CONNECTIODI
(PLEASE PRINT)
3126B FARNUM
(IAz/B1ccl./Sutdtvisicn or iati rarcel I.D_ NL:.--,er)
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NP='E= SCHULTIES PLUMBING INC.
FLC3°SSc 8383 SUNSET RD. NE/ PUJeB?RS?lIC?95£:
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CITY, STr.TE, ZIP: SPRING LAKE PARR, PIId 55432 ? Espi ed
PHOVc: H?icn
r786-4007 PLUMeER-LIC,r75E-,Y : 2658M9 oof Record
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PE;C`IE:
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S) INpICATE :v'HZCH PER•LTT IS SEING REQ[IESTM:
.? CC`INECTION 'IO CITY SET^IER
? COiIINE.C"i'IC-I 'R7 CITY G1ATE:"t
? 071ER (PLPl15E DFSCFtZBE) ,?,(} 06
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? PT.--!?SE F?OID APPPZJEp PFSt'^ST FOR PICY-LP BY CNE OF AEGVE
? .? c:?LL APPFtC7VED PER:•tIT 'PJ 1, 2, ?3 QABWt-.
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DAT-E:
? _:
OF
3830 PILOT KNOB ROAD. P.Q. BOX 21799
EAGAN, MINNESOTA 55121 PHONE: (612) 454-8100
June 24, 1986
ROSEWOOD CONSTRUCTION CO
1711 W CTY RD B
ROSEVILLE, MAI 55113
RE: 3154 FARNUM DR., L 4, B 6, COACHM9N L9ND CO 2ND
3726B FARNUM Dft., L 2, B 4, COACHHAN LAND CO 3RD
3126 FARNUM DH., L 3, B 4, COACHMAN LAND CO 3RD
3124 FARNUM DR., L 4, B 49 COACHMAN LAND CO 3ND
3722 FARNUM DR., L 3, B 5, COACHMAN LAND CO 3RD
3120 FARNUM DR., L 4, B 5, COACHM6N LAND CO 3RD
3756B FARNUM DR., L 2, B 79 COACHM LAND CA 2AiD
TO HHOF! IT MAY CONCERN:
BEA BLOMQUIST
Mwor
THOMASEGAN
JAMES A. SMITH
V1C EIUSON
iHEODORE WACHTER
Council Members
nHorows HeoGEs
CM Adminishalor
EUGENE VAN OVERBEKE
City Clerk
Please be advised the following corrections must be made before final
inspections can be approved:
3154, 3126B & 3124 Farnum Dr. - Tread use from driveway exeeeds 8".
3156B, 3120, 3122 Farnum Dr. - Door closer required to garage.
3126 Farnum Dr. - Door closing hinges are not funetional.
Please call for a reinspection when these items have been corrected. Thank-
you.
Sincerely,
??tiFL ??ti„"'??---s?
Mark Anderson ?
Building Inspector
MA/,js
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GR01NfH IN OUR COMMUNIN
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CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
1998 FIItEPLACE PERMIT APPLICATION
6814675
DATE:? PERMIT FEE: $50.50
DESCRIPTTON OF WORK: _ Construct new fireplace _ Alterations to existing
? Install ess insert onlv _2S Install gas line oniv
Other
JOB ADDRESS: V? r^\ ?-. vy? ? LOT: 3 BLOCK: Li_
APPLICANT (circle one only): OWNER
SUBDMSION/P.I.D. #: C, L)a "'t r'L/?,ti\ (o ? W J-
/,
TTRt'?CTOR=--i
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.
Nazne: ? r • `J? ? le- Phone k :
PROPERTY Last First
OWNER
Signature:
Street Address:
Ciry State: Zip:
Company:
FIREPLACE 1 }o Cj.,C sL
fPNone #: -?-7) ^z
INSTALLER Signature:
Street Address: _ 221 License # , Cnn&j
ciry ? S srate: _ zip: ?32
Company: Phone #:
GAS LINE
INSTAI.LER Sip,nature:
Street
PERMIT
? CITY QF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILOING
031549
03/06(98
SITE ADDRESS:
3126 FARNUM OR
LOT: 3 BLOCK: 4
COACHMAN LAND CO 3RD
P.I.N.: 10-18152-030-04
DESCRIPTION:
r ` INSTALL
,??uildingr,,,Permit 7ype
"'Building t:Eo;r.?k Type
r Census Code
G
'R
p`i . . ? e>tiS'.P.y
f ,
r
GAS LINE
FIREPLACE
ALTERATION
434 ALT. RESIDENTIAL
1!?-1" f
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: _ qpplicant - sT. Lx
AUTOMA7IC"GARAGE DOOR 15712525 000199
220 NE 77TH AVE
FFtIOLEY MN 55432
(612) 571-2525
L.
OWNER:
CRIST CLELL
3126 FARNUM
EAGAN MN
(612)686-6525
I hereby acknowledge'theC 'T hava read.::thi? ??;PPlicatiert' and-,stat'e that°?the
information is correct and agree to comply;with all applicable State of.Mn.
Sta es and Cfty of -EaganOrdinances..
;a> >. = ti . _ . *. ..
AP I ANTIPERMITEEISIGNATLYtt- ISSUED BY: SIGNATURE
MECHAIVICAL (RESIDENTIAL)
? 114 Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 0 651-675-5694
Plcase complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date -1_ / l l o / ??
Site Address ? ? ?,Ll ??,?A nI Lm??\ pl-'r'? \j -e__j Unit #
Property Owner ?bn 2, ?61A P A Telephone t! 6`J q0?.?. - ( -) tO?P
Cootractor
Street Address "J-I 7 ? ' { t?, City
State
Zip 2tA
f-?kn_ e'T leptione#
L5;?))v}? 1-? ?C)nj
The Applicant is _ Owner ??Contractor _ Other
Add-on, modification or alteratioo to existing dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner
other
State Surcharge
,I $ .50
Total ? SEP 2 2 2003 i; i $
,
130.?
I hereby apply for a Residenual Mechanical Permit and acknowledge thalBhe informafion i'-sc-o-m7peTe?and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start withou ermir, that the work will be in acwrdance with the
approved plan in the case of work which requires a review and approval of pl ns.
Applicant's Printed Name ant's ignature
°?/-a-,'-- c..',9?.? ? ??.?J,c?- ? ?
C.ti.. c o?d..,??
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-?O-7 U? .Sc_a
2005 RESIDENTIAL MECHANICAL PERMTI' APPLICATION ?UCity Of Eagan
3830 Pilot Kno6 Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for: single family dwellings & townhomes/condos when permits are required for each unit
Date0 9 //Z /OV105
Site Address '/?& P?rv? u m ' Jr Unit k
PropertyOwner '-' Y?11 7 ,y--! Telephone #(?P
Contractor ", Iq
StreetAddress C&'(Q5 City (T D 010
State ?? rV Zip s4SO 4? Telephone # ( 41.6/
Bond #: Expires:
The Applicant is _ Owner --y Contractor _ Other
Add-on or alteration to existing dwelliog unit $ 30.00
furnace _Additional _Replacement
air exchanger
Y airconditioner _New YReplacement
other
State Surcharge $ .50
Total $ ::,W. "W
I hereby apply For a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the woek will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and appro
v 1
oanev & versdn,?{V'?kL? &Ordr'nq?
Applicant's Printed Name App icant' 'ignature
j1l SEP 1 9 2005
734aS
2006 RESIDEN7'IAI, $LTjLDINGPERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Nekv CansWc6on Reauiremenis
3 registered site surveys showing sq. R of lot, sq. k. of house; and all roofed areas
(20%maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan 'rf lot platted after 711/93
Rim Joist Oetail Oplions selecfian sheet (buildings with 3 or less units)
Minnegasco mechanical ventilaNon form
al5 . as
RemodeVReoairReaui2ments . Officall5e0nN
2 copies of plan showing footings, beams, joists Certof Suruey Recd _Y _N
1 set of Energy Calculations for heated addifions Tree Pres Plan Recd _Y _ N
1 site survey for addNons & decks Tree Pres Required Y_ N
Addifion - indicate i(on-Oe septic sysfem On site Septic System .. '_Y _ N
Date
Site Address ??,? 0-6?
? J?°? yTi Construction Cast yP l,? 120 4' 0?' _
???ri .J«? ? ?a"?'? •^ •"' -e?%" • Unit/Ste #
Description of Work l?Gn?F• ? ` 1???- vLf %G ?? vr:?r-,?.,. fo zf'?oci P-
Multi-Family Bldg ? N Fireplace(s) _ 0 _ 1 _ 2_3
Property Owner Telephone # ( )
Contractor ?s? ? ,?a
O
? •. . ? c ,
/
?
Address /y1.3? d???r?
State 51L'. /Il.v?
Zip S ? City
Telephone#(7f3) 75-7-006 0
COMPLETE THIS AREA ONI.Y IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category I Worksheet • New Energy Code Worksheet
(J su6mission type) Su6mitted Su6mitted
. 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 #(
Teiephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accoxdance with the appxoved plan in the case of work which requires a review and
approval of plans.
,
?f,r ? /?°;?-.,??..
? Applicant's Printed Name
ApplicanYs Signature
CITY Oi" EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road PERMIT NO.: 6372
P. O. Box 21199 7 - - 85
Eagan, MN 55121 DATE: 1 of 4 plex
Zoning: R3 No. of Units: .
Owner: XMONACOMMX Rosewood Const
Address:
Site Address: 3124 Farnum Dr. L4 B4 Coachman Land Co. 3
Plumber: Schulties Plumbing 500.00pd
Meter No.: Connection Charge: 15.00 pd
Size: Account Deposit: 10.00
Reader No.: Permit Fee: . 00
1 agree to comply with the City of Eagan Surcharge: 132.00pd S/C
Ordinances. Misc. Charges:
Total: 63.00pd meter
Date Paid:
By
Date of Insp.: i nk"
CITY O'fr EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road PERMIT NO.:
P. O. Box 21199
Eagan, MN 55121 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:
Insp.• Date Paid:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152237
Date Issued:10/04/2018
Permit Category:ePermit
Site Address: 3124 Farnum Dr A
Lot:4 Block: 04 Addition: Coachman Land Co 3rd
PID:10-18152-04-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William L Bauer
3124 Farnum Dr
Eagan MN 55121
(651) 688-0712
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154250
Date Issued:03/06/2019
Permit Category:ePermit
Site Address: 3124 Farnum Dr A
Lot:4 Block: 04 Addition: Coachman Land Co 3rd
PID:10-18152-04-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William L Bauer
3124 Farnum Dr
Eagan MN 55121
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature