3128 Farnum Dr? To3thrJHW(75E) , ? . { _ . . .
. CITY OF EAGAN 99 2u
3830 Pilot Knob Raad, P.O. Bax 21-199, Eagao, MN 55121
PHONE: 454-8100
? BUILDINd PERMIT Receipt ;j
? Te be wud fer 4 Est. Volue Dote
? Si
Add Erect ? Occupancy ?_
te
rese
Lot ?- 81ock.?_Sec/Sub. Remo
del
9
Zoning
Repair ? 7ype of Const.
Percel Na Enlarge ? No. Stories
Name RA$R1119fkf
f
s(Rj Move ? Length
46
,
?„f
z Demolish ? Depth
Address 1711 ?(,.`?j"Y ?i D 8
9 Grade ? Sq. Ft. 2?
City gA!`itlVTLi.I Phone_fi'k I-'l9RL Install O
=F Name _
si Address
Name _
Address
Phone
1 hereby ocknowledge thet I hove reod fhis oppliwtion end state
the intormotion is correct ond ogree to comply with oll opplic
State of Minnesoto Stotutes and City of Eogon Ordinonces. -
.,.-
Sipncture of Pertnittee "
A 8uilding Permit Is issued to: ROBRYOD COp
oll work sholl be done in eccordnnce with oll applicoble $tate of
Bufldinq Officiol
Assessment
Woter b Sew.
? Polite
- Firo
Enp.
- Ptanner
Council
that oble Bldg. Off. 2??+hfe
APC
Var. Date
Permit 4_-j4
Surchurpe --3
Plan Review_?
SAC ??
Water Conn.
Woter Meter
Rood Unit -u
T.p? 13
Total iti - 100
^ m ths exprcss conditba
City of Eopon Ordinonces.
C
I Plumbinp
I Impsction Dste I Insp. I Other I
Inwlation / .
Final Plbq. P-0
Fina
l HVAC `
Final :Tl. Ar
C-t
Wator ??ibo lQostion:
U„ T; jt? cc? ?Iaa
Well
.
` CITY OF EAGAN ' "'• 9 9 2 g
3830 Pilot Knob Road, P.O. Box 21•199, Eagsn, MN 55121
PHONE: 454-8100
BUILDING 'ERMIT Receivt #
Te 6, wv #e, 1 4 0il. S Fd Vnliip , il L,?. (' Mnta 71.'rBR:lA_<I
? .i ?; ? ? }•; '"' ?? Elh Erect i.'LI Occupency x,.,
-V K- 5
Site Address
` 1iV
Lot -- Block Sec/Sub
t-<
Remodel
? ,
Zoning q -+
. Repair El Type of Const. .
Parcel No. Enlarge ? No. Stories
Move ? Length 4 4
W Name
• Demoliah ? Depth > 4
; r) ti
= Address ? I ?`? ?
G
?
F
S
3 rade q,
t.
b City n t !. LL Phone "3 . 3.1 5 4 Install ? -------- -_-
Neme _
? Address
Citv -
Name _
Address
City -
Phone
1 heroby ocknowledfla that I haw read this opplication ond stote that
the inlormotion is correct ond o9ree to comply with all applicoblt
State of Minnesoto Stotutes ond City of Eapan Ordinonus.
Sipnature of Pern+iftes ~
?-
Assessment
Woter 6 Sew.
Police
Fin
Eny.
Plnnner
Coundl
Bidg. Off.:' / "
APC
Ver. Oate
5urchorge •-?:_.__.,: ',n
Plan Review. "??111)
SAC ?,.'. ?in
Wcter Conn. .511A.C}{l
Water Meter
Rood Unit ?_ ?• ?e
. , i
Total
A Buildinq Permif {s issued to: •,.. Y.? . . Y on tho exp?ess Condltlan thoI
oll work sholl be doro in accordance with oll opplimble Stote af Mlnnesoto Statutes and City of Eopan Ordinonces.
Buildirq OfflNol 1
Pwmft No. Pwmit Halder Dato Tels hons #
Plwnbinp -5 , - G
H.VA.C.
eWaHc
saft.mr
Impeccion Date Insp. Other
Footinpt
Foundation
Framinq
Roofing
Rou? Plhq.
l
Rouqh HVA
Inwlation s
Final Plbp.
Final HVAC
Finsl l `
Cwt/Ooe.
??r Wscribe Loeation: j-q
V
YWII
L)
Serwr
Pr: Diap.
Lot
Parcel No,
PERMIT
w Name `'OSLWUOD CS7RP
? Address "V uCity ;(?`i:;.?p - :' Phane 03 1._..3[:54
:' " •s r:
zo Name
8u
Address
? City Phone
Name _
Address
I hereby acknowledge
the informction is ca
Stute af MinnesoM 5
fhis applicotion ond store that
to comply wirh all oppliccble
of Eaqan Ordinonces.
Sipnotum of Pertnittee
;,j ? ,.r{:
h Building Permit is issued to: `
011 work sholl be done in accordarxe with oll oppli
Buildinp OifiNol
Receipt #
Repair ? Typeof Const. --rr.?
Enlarge ? No. Stories
Move ? Length 40
Demolish ? Depth 24
Grede ? Sq. Ft.
Install 13
- -- -
Appeovols Fees
Assessment
Woter & Sew.
Police
Firo
Enp.
Plonner
COUfICIl
Bldg. Off.
APC
Var. Date
Permit '' • .' ""
$urchnrw 10.50
Pian Review i E' S • 00
SI?C :12 S. U(l
Water Conn. -' ? ? • (} 0 '
Woter Meter b 3. U Q'
ROOd VnIt '1?:la? s V V
1JG.Oo
Total Y - ,
on the express conditlon tFwl
Stotutes ond City of Ec9on Ordinances.
1 ~?,.: .'i •.i!•? •; '? - `
? CITY OF EAGAN 9 9 z j
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Pwmit No. Pormit Holder Dato Teie hone #
Plumbin9
H.vr?.c. ? -? v? 5 ? o?-V!L
Ebctric I I`i f"?C.7V 1 Z O
16
Softwar
Impsction Date Insp. Other
Footinys
Faundation
Fnmin9 ? 4 0661
Roofing
Rouyh Plhg.
,17
Rough HVAC
Inwlation ?S A/Z
Final pihs.
Final HVAC
Finai a p
Cart/OOC. f
Wstar Oescribe Loeation:
YYlsll
SftY+r
Pr. D'ap.
CITY OF EAGAN 9922
. " 3830 Pilvt Knob Road, P.O. Box 21-198, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMiT Reu+pr #
Te 6& umd iar . - ?'[•'-%;`' Es?_ Velitp i: bi . lr .,Dntn ''?_ t.?t?:: Y;? r . 19f• °-
Erect U Occupancy -'I K-3
Site Addreas R
d
l ? i k
3
Lot Bl ock Sec/Sub emo
e Zon
ng 4
.
.
Repair
?
Type of Const
»
Parcel No.
Enlarge ? No. Stories
Move ? Length
? Name D
li
h ? D
th
z emo
s ep .
Address Grade ? Sq. Ft.
? City • ? ) " 'Phone Install ?
Appeovais Fees
.?i.. ,.,
Name
u? Addreas Assesunent
?- Phone _ Woter 6 Sew.
City
Police
a
? W Name Firo
Address Enp.
V
City Phone Plonner
Council
I hereby ocknowladge that I have reod this opplicarion and state that gldg. Off. IL,'I
the inlormotion is oorrect ond egree to comply with oll applicable APC
Stota of Minnesota Stotutes ond City of Eogon Ordinances.
Var. Date
Siynoturc of Permittee ? -
Pe?mit ?'-". "IW
5urchcrqe 30.50
Plan Rsview. 1-56.00
$AC. ,? i: .?, . 4) ?
Water Conn.
Water Meter
Road Unit
Total k "
A Buildinq Permif is issued to: I k -• .? I on the express tondition that
oll work shell be done in eccordante with all oppliaoble Stote of Minnesota Statutes ond Ciry of Eapon OrdinanCes.
Buildinq Officiol
,
Pwmit No. Psrmit Holdw Data Telephone #
Plumbinp r -1 C ? - ?Cld
H.VA.C. (C S-tV .1-4 5" ? LNVv
ENetrio
Sottensr
Intpection Date Insp. Other
Footinyt ? ?
Foundation
Framiny ??? ?
Roofing
Rouah Piby. _? S/
Rouyh HVAC
inwlation ? .
Final Plbp. ?f-
Finsl MVAC
Final
•IRHVRr
Wmr Wacribo Location:
VYeit
Sftwsr
Pr. O'qp.
Receipt f !._ PLUMBINGPERMIT PermitNo.
CITY OF EAGAN
Fae
Fill in numbered spaces S/C
Type or Print legibly
Tot
.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4, Owner
5. Contractor Phone
6. Address
7. City State
Zip
8. Building Type: Residential ? Commercial O Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
I rl.
No, Fixtures - - ? - ?
Water Closet Na Fixtures -
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Wel I
Kitchen 5ink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: - for
Rough Final
Inspections: Oate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
Recsipt
.
PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legibly
Permit No.
Fse
S/C
? Tot. -
1. Date 2. Installation Cost
3. Job Address Lot ' Bik. Tract
4. Owner
5. Contractor / Phone
6.
- /71-. /--) y'
7. City State ZiP
8. Building Type: Residential ? Commercial O Institutional O
9. Work Description: New ? Add ? Alter ? Repair O
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
5hower W`e I I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
-
Slop Sink -
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
/
Signed : for
Rouyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
Receipt j
MECHANICAL PERMIT
CITY OF EAGAN
Permit No.
? Fae ii
Fill in numbered spaces S/C
Type or Prinf legrb/y Tot. T1= i '
1. Date 2. Installation Cosex 4 r' • r e)
C!` H? /S
3. Job Addrest3,0? /FI?AiBlk. ? Tract/?z'
4. Owner&?s ?.;!S" f
5.
6.
7. City.,_j//?-s/?,? S State %Ji3:? Zip': ? ?" ? -e / 2,
8. Building Type: Residential ff Commercial ? Institutional ?
9. Work Description: New El Add O Alter ? Repair ?
11.
kN?9C?Fue1 Type ?}?
No.
? Eauioment BTU - M. Ea.
Forced Airi?
? No. Equipment CFM
Air Handling:
Mfg. ? X'
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mf9• Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certifyxhat the above information is true and correct, and I agree to
comply with al(ordinances and codes.governing this type of work.
Signed :,/Z ??%% - -- for ` . • , Z,
-
% Rough Final
Inspaetions: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 464-8100
Reoeipt 1) U
PLUMBING PERMIT
CITY OF EAGAN
FiII in numbered spaces
Type or Print legibly
Date 4/4/85 2. Installation Cost
Permit No.
Fee
S/C
Tot. $20, 5J
3. Job Address 31 3OR FARNCJ?i Lot?Blk. 4-TL' "`-,`
4. Owner c20SpvXY)t) C02PnRAmTCW
,86=400:Z
5. Contractor SC1t.TTFS i.fiMRTfV(;, 7njrPhone 7
6. Address R333 S[Jt+1SET RG'1w1i E
7. City State Zip I 8. Building Type: Residential Ea
9. Work Description: New IR
Commercial ? Institutional ?
Add ? Alter ? Repair ?
10. Describe F'RAME (Xr1Ef.f.T-.,?x;
11.
No.
3 Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
1 Bath tubs 5eptic Tank
3 Lavatory Softner
I_ Shower Well
I_ Kitchen Sink
Urinal/Bidet Other
1
Laundry TraY
'?f2 Sl U
S}?b.
5?l
] Floor Drains ,
dA
'ER $10
50
y
.
Y
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby
comply,
true and correct, and I agree to
ng this type of work.
Signed : for
?f Rough Final
Inspections: /Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved - CITY OF EAGAN 454-8100
,-
Reaipt MECHANICAL PERMIT Psrmit No.
CITY OF EAGAN
f 1 :: F« i
Fill in numberod tpscea S/C j
Type or Prlnr /egiblY Tot ?
?-
1. Oate - 2. Installation Cost •? I
3. Job Address Lot T,? B I k. ' Tract ?
4. Owner
5. Contractor Phone '
6. Addreu . 7. City State Zip _
8. Building Type: Residential Q Commercial ? Institutional O
9. Work Description: New 0- Add O Alter O Repair ?
10. Dasaibe Fuel TYPe ,• • - •
11.
No, Fqyjpmapt 8TU - M. Ea.
Forced Air ? No. EQUiament CFM
Air Handlin
:
Mfg. ' g
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 wittyYl 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 454-6100
PLUMBING PERMIT Permit No. )(((?
CITY OF EAGAN
? Fee $2C_00
fill in numbered spaces S/C $• 54
Type or Print legibly Tot. ?20 _?i0 ?
1, Date 4/4/85 2. Installation Cost
? %; •
3. Job Address 31 3p F'ARldl IM Lot ? Blk. _ i Tract'
4. Owner ROSEWOOD CORPORATIOe3
5. Contractor S_HL7i.T2FS PitA[RINC; Phone 786,4W7
6. Address 83£33 SUN.SE`r ROAD N. E.
7. City SYtl?NG GAKE PARK State HNI Zip 55432
8. Building Type: Residential E Commercial O Institutional O
9. Work Description: New fl Add ? Alter ? Repair ?
10. Describe WltAf;i D,if_.'LLIU:1
11.
No.
3 Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
1
- Bath tubs
Septic Tank
? Lavatory Softner
1 Shower Well
1 Kitchen Sink
Urinal/Bidet Other
1 Laundry Tray Stlv'ER S10
50
1 Floor Drains .
`
'
;VA
l
tft S10.50
Drinking Ftn.
1 Slop Sink
Gas Piping Outlets
12. I hereby certi? tfie amove 'nformati n is true and correct, and I agree to
comply witl]'all inan s a oderning 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 464-8100
Receipt PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legibly
Permit No.
Fee -5Z.?
S/C S _ j(
Tot. S20, 5U ,
1. Date 4f4/85 2. Installation Cost
3. Job Address ? 1:> ?•?,a?.:i i^? Lot Blk. i Trac!t ?
4. Owner
5. Contractor ,{;EiULTIE.q P1.t.1M8_T1VG Phone 236.4W2
6. Address 8383 SUNSET :toAD :d . E:.
7. City State FiN Zip
8. Building Type: Residential M
9. Work Description: New $1
Commercial ? Institutional ?
Add ? Alter O Repair O
10. Describe HR,AMF' tx;:R.Lt.TNC:
11.
No.
3 Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
1 Bath tubs 5eptic Tank
3 Lavatory Softner
1 Shower Well
1 Kitchen Sink
Urinal/Bidet Other
i_ Laundry Tray ?H,•:F12 $10
50
!
Floor Drains _
-
'B
lt 10.50
4A7
Drinking Ftn.
L_ Slop Sink
Gas Piping Outlets
12. I hereby certify t the above information is true and correct, and I agree to
comply with all inance an es rning this type of work.
Signed : / for
Rough Final
Inspectio s: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Raoaipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN .
` FN
L' Fill in numbered apeces S/C
Type w Prini /ep/bJy Tot ' •
1. Date 2. Instaliation Cost . ?
?
3. Job Addreaa ? Lot Blk. ? Trect
4. Owner 1JC
5. Contractor 7 ?-. ':%- ?--• ,? Phone
6. Address ? - -
7. City !- ' State 2ip •
8. Building Type: Residential C? Commercial ? Institutional ?
9. Work Description: New a Add ? Alter ? Repair ?
I 10. Describe ?.. - ? •` _ Fuel Type `1 11•
No. Equipment 8TU - M. Ea.
Forced Air No, Equipment CFM
Air Handlin
:
Mfg. g
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-8!I 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 ClTY OF EAGAN 464,8100
Receipt PLUMBING PERMIT
, CITY OF EAGAN
Prll in numbered spaces
Type or Prini legibly
Permit No. -
Fee
S/C $.5`.; -
Tot.
1. Date 2. Installation Cost -
?. ?
3. Job Address 3128 :'A:tt3UNi i}R.Lot Blk: L_ Tract
4. Owner ROSLwlOOD CORiYkRATI2,d
5. Contractor SCHULTIES PLUMPIuG Phone 736-4007
6. Address -,363 SLi:1St:1' RO 114.E.
7. City 3t?RINiG LAKE PAP1G State
8. Building Type: Residential El
N!N
zip 55432
Commercial ? Institutional O
9. Work Description: New El Add ? Alter ? Repair ?
10. Describe 6''21M DWELLTNG
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
_L Shower Well
? Kitchen Sink
Urinal/Bidet
Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify thethe abov nfetmation is true and correct, and I agree to
comply with all prcflnances d.ev,e*ning this type of work.
Signed : ;?-
,%??_-? f01'
Rough Final
Inspectior-kt: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
Raceipt MECHANICAL PERMIT Permit Nu. - ? ?
CITY OF EAGAN '
i ' Fee
Fill in numbered spaces S/C
Type or Print legib/y -
Tot.
1. Date 2. Installation Cost •
3. Joh Address Blk. Tract
?-
4. Owner
5. Contractor Phone
` C
6. Address =• ?` ! - ? t ' ?
7. CitY ". 'Li r\ L 4C State ;% i i ,., ; . Zip
8. Building Type: Residential 'E?- Commercial ? Institutional O
9. Work Description: New7"F3 Add ? Alter O Repair ?
10. Describe Fuel Type
11.
No. E.quioment B TU - M. Ea.
Forced Air ' ' ` ` ' '•?' No. Equipment CFM
Ai
H
dli
Mfg. ng:
r
an
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
, ?---- - Signed : .,, for ' _ - ' r t -
.
Rough Ftnal
InspeiCtions: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Aemarks ?k )f # 15.2 e) I ? i '?'?
Addition COACIfwlAN LAND CO 3RD ADDN Loc 4 Rik 3 Parcel I0-18152-040-03
owner street 3128 FARAII)M DRIVE stace EAGAN MN 55121
Improvement Date Amount Annual Years •- Payment Receipt Date
STREET SURF, SS 1983 7S4.17 150.$3 5 o r(GQ ?? ?t-2' Ad ,Fs-
STREET RESTOR.
GRADING 17 1983 173.26 34.65 S :.3/ / 3/L /o
SAN SEW TRUNK
+R SEWER LATERAL ?74 19$3 1908.38 381.68 rJ el 140 W/a &s
WATERMAIN
?? 1NATER LATERAL 1983 S
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SiDEWALK
STREET LIGHT
WATER COMN.
BUILDING PER.
sAC 25.00
PaRK
CITY OF EAGAN Remarks LIJ ? '' = , 2 ? '
Addition COAlCHKAN LAND CO 3RD ADDN Lot 1 Rlk 3 Parcel 10-18152-010-03
owner streec 31288 FARMAN DRIVE siate fiAGAN M 55121 s!k
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 7SS
1 I-? '
STREET RESTOR.
GRADING 7 1983 173.26 34.6 5 -<o
SAN SEW TRUNK
• SEWER LATERAL Z
WATERMA I N
* WATER LATERAL 1983 $
WATER AREA
STORM 5EW TRK
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit 49735 2/25 85
WATER CONN. 500.00 of
6UILDING PER. 922 23 2
SAC
MAO
PARK
CITY OF EAGAN Remarks L' ? )--*- 15-aC) 1 9193
Addition COACEalAN I.AND CO 3RD ADDN Lot 3 eik 3 Parcel 10-18152-030-03
owner streec 3130 FARNUM DRIVE State ?AN MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ?S
STREET RESTOR,
GRADING
-7
173.26
34-65
5
SAN SEW TRUNK
• SEWER LATERAL ? j'.yrj ??p (D S( ?- _ ?
WATERMAIN
* WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREFT LIGHT
WATER CONN.
BUILDING PER. 91922,23,281J 29
5AC 525.00
PARK
CITY OF EAGAN
Addition ?ADMi I•AN'D CO 3RP ADDN Loc Z Rik 3 Parcel - 10-18153-020-03
o+Nner 5treet 3130B FARM,)M DRIYE state BAGAN MN $5121 "
Improvement Date Amount Annual Years gs Payment Receipt Date
STREET SUAF. ' S5 1983 754.17 150.83 S bir /a 0141 ?a. - -
STREET RESTOR.
GRADING 12 1983 173.26 34.65 S 069.j/ A O/ /a - -?5
SAN SEW TRUNK
• SEWER LATERAL 7Z?p 1983 1908.38 $ S / a
WATERMAIN
+ WATER LATERAI 1983 S
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN. 500.00
n
n
BUILDING PER.
SAC
PAR K
?01r? L -)a 1?^ -F q REQUESi FOR BECIWCAL IN?ECTION Ee-ooooi?a
e?? ,See:-?.uel"X'ms,Belara.?WYo?rk?9Cov.?;s,aedmbymaThis?ko7Requesr..?bv?W.: 4(g Id<
O -
er .
Add ReO. TYPa o1 Bui Winp Applinmea wirW . Equioment Iiired
Home Ringe Temporary Service
DuOlex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bidy. Fmreoe Silo Unloader
Industrial Bldg. Air Caµditimer Bulk Milk Tank
Farm v me, ose,erFWl . .
t Vecity Oth¢r
.ompute lnspection fee 8elow
N Fee ServiceEntraneeSize Y fes Feedcrs/Srdkrfeeders P Fee Circuits
U to 200 Amps O to 30 p ' 0 in 30
A6ove 200 qrtips. 31 to 100 A?s 31 to 100 q
Swimmin Pool Above tOD-An?; Abave 100_Amps
Transformers Imgation Boort?s Partial: Other Fee
Siryvs Special I?pection TOTAL FE
Ra?rks ?
flouBh-in Da?e -
1. Ne Elee
/ ? ? I?aec[or. M?e4y
?rtiry tAet iM aGOVe
Final ' ^, __ Date peetim has been
nxs rea?t Vaa Ia moovm rmm
d 50-)65
Y( g(gS
13 ??censea [?ecv??a? comranor . I hereb
y raquest insoection of aboye
Owner electrical work installed ac
S[reet AdOress, 8oa w Fbute No. City .
ct?on Townshio Nama or No. Ranpe No. Coun[
Occupant (R11NT) Phone No.
Power Supplia
M.sP Address -
EI¢cVical Conuactor lCanparry Name)
Zv , Contracmr's License No.
O /G 0 -
Yailinp Add,.Ai ICOnVactor or Owne kinB lmlaila,[nion)
Au SiO?ture Co?rtractodOw
?n.? .J
ig Itallation)
i Ma re
one Number
613d, /
YINNFSOTA yTp7E gpppp OF ELEC7111CITY THIS INSPECTION NEQUEST WILL NOT
Gripps-YidraY BldB• -Raoin N-797 . BE ACGEPTED BY THE STATE HOAND
1821 Univeraity Ava_, St Peul, YN 551104 UNLESS PqOPER INSPECTION FEE IS PMr 16121 2972111 ENCLOSED.
156')Ql IrtQUEST FOR ELECTRICAL INSPECTION AV% Ea-oooot-oa
? see ;nevuc.iatu; fo.
mmplstim this fnm m Oack of yellow copy. \!
? r 1 2 1 3 "X'" Se/ow Work Ca4red by This Request ?
N.MFddl9eo-I' T. of Buildim 1 , pooliames Mired - 1 E9uiVment Wired I
/ Fen ServiceEnMeneaSize k F¢e Fexdors/Subfaedwrs # Fee Circuits
Q 0 m 200 Anq? 0 to,30 Am s 0 to 30 Am
A6ove 200 Am 31 to 100 qmps 31 to 100 Amps
Swimmirg Paol H Above iQ0_Amps A6ove 700_Am '
Trensiarmers ?? Irngation Boo,r?s Partial.'Other Fee
Sig?s SNeciai Inspection S ?
TOTA ZEc ?
Ba?erks
Fiml
he Electricai
Inspeclor, hereby
cenity thet the abave
??? ,Lk-t-lnspection has Eeen
ihis re0uest void I y f
18rpnh r ( O 07
??T? LZ-A 3 C.mcd-r?'5(6,.d 3 35'_ v o
Requ¢st Oate Fire No. RouBh-in InsPection
qy9ui,ed?-
QReatlY Now iII NotiSy Insuec-
1o1 Wlk.n Read
?os [] N. y
,censetl Elec[rical ConVacfor .1 hqrebY request inspection of above
Owner electrical work installed aL
Street Address, Box or Houte No. CiiV
3130 J
ecuon o. Towns ip Name or No. flange No. Count
OccuOen? ?PR?NT) ?om No.
Power Supplier AOtlress
lecvi I ConvactoLlCompany Namel Co.tracmr"s License No.
, G?itbu3??-/
Mailine p.ddr (COntractor or Owne king I,rsiailationl
`
y) , ?GG[i y.r
Author' S?gnamre (Conhactor O ner aking Ins[allation) Phone Nwnber
G G G
MINNESOTA STATE eOAHO Of ELECTRICITY THIS INSPECTION NEQUFST MILL NOT
Griggs-Midway Bldp. - Room N-197 BE ACCEPTED BY THE STAIE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE 6
Pho?m 16121 2912111 ENCIOSED_
REQUEST FOR ELECTRICAL INSPECTION
? n , See instruclions lor complating this form on haek ot vellow caoY.
?, 21L "'R"' Below Work overed by This Request
Es-oooM-oe
?
AAd NeP. Type of Builtling Applianees ' ed EquiOment Wired
Home Range 7emporary Service
Duplex Water Heater Lightin, Fixtures
Apt.Building Dryer EleclricHeatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Copditioner Bulk Milk Tank
Farm ??rr orne, IsM..N)
[ e, So?cifY Other
Compute lnspection Fee Belaw r
N Fee ServiwEntmnceSiza p teeders k Poe Circuwts
0 to 200 qm s 0 tn 30 Am
Above 200 qm ps 37 to 100 AHvis
mminq Pool Amps
=Abovel Above 100_A?ps
rmers o?rs Partia?•'Otli
er Fee
Signs ec!ion 5 /
TOTAL FEf
?
Bemarks , ,
I ? i
I.'X/
flouph-in
? Date I. Me Elecb
S:-??
/'?-•?/( ? I'cYecW.leraby
C0rti/Y [haf th¢ a4ove
Final t„%'?-i ? ? Date ?q?ti? bs been
Thb repueat void 18 montlm irom
This repuest wid ? o? a g
? f.?
. ?
Wr(tS
10- 121 1 , ?-3 6 3, C," o, C. V. a o
pepues [wtc ?
y- Fire No. Ibugh-in Inspeciion 1
?J'es ?No E]Hrody Naw?ill Notify InsDec-
1or WM1en Read.
ROwner Licensed Elec[ncal CoMractor I Mrabr re9uies1 insoacKOn of abova
alectriral vrarlc im1a11eA at
Slreet AAdress. Boz or Rame No. C.
U
ecuon o. TownshiD Name or No. Me No. Cmnry
Occupa (PpINTI Phone No.
Power Suppliar
AAtlress
5 /12
Electnwl Convactor (Company Name) CmVactar's License No_
MailinB ?dr tConvactm or Owmer king I.istai
l
ation)
/
? m)
ized SiO,Fattre (COntractor r hqking Ireullatiw) ''M1One NUnber
G -ze, 1'a-
NINNESOTA gfpTE BOARD OF EIECTNICIT' THIS INSPEGTION REQUFST NILL NOT
GriggsalidYmY Bldg. - P. N-191 BE ACGEPtED 9y iHE STAIE BOARD
1821 Univeraity Ave., St PauL YN 55104 UNIESS PIIOPEB 1lLSPECTIOM fEE IS PMm 16121 29]2111 ENCLOSED.
REQUEST FOR ElECTRICAL INSPECTION Ee-oo?ooIi -64
' See irmtruelims for completinp this ?am mb.ek e1 pallowr copY- ' f/l Y/?S
1r? L 11,, "X" Be/ow Wnrk Covered by This Reqnest ? w
aea neu. Twe ot a.iia:..o wwr.mocee wc.w ea.:?t wi.ed
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bidg_ Furnace Silo Unfoader
Industrial BIAg. Air Cwditioner Bulk Milk Tank
Fam ther ISceciWl
t ,r Sueci y ' O?her
ompute lns pec[ion Fee Be/aw
• Fee ServiceEntrameSiza p Fee Faedeffs/Subfxders P Fee Circuits
D to 20D Am D to 30 Amps 0 tn 30 Ann?
200 qmps
m A
37 to 700 Amps
31 to 700 Arnus
Srig Pool Above 100- A6ove 100--ARWI
Transformers Irrigation Boorrs Partial'Oth
Sigis Special lnspectim TOT
Nertarks . FE.E
_4 /Uv
1bupMin . . Date '1
r . ElecalCa
? r? I?peclor. hambY
+?:h ?M1et the ebove
Final ' ??e? ? paciian has bean
\M?cs1?ONlemu?0o/rom ?.SA'e ??r?/'t,,."Al/
,h; re4 es, wma So ?
o q
?( a(g5
mo
ntAS tram
1214 o
Nequesl Date ! Fire No.
I Ib?qlfin I?pection
Nepuired? -
Q?eady N?v ?YVill No1HY. Inspee-
O ?' Yes ?NO I.r Wh¢n R¢ady
? licensed Eleclriwi CoMractor I hereO
y repuest inspection ot ahove
? Owner elechiml iixork in¢ telled er.
SIIeet Atltlress, Box or floute No. Ciry
ecUan a. Tow shiD Namo af No. Ranpe No. Camnty
Occupam (RiMT) Phm.e No.
Powee uO
Vli
er Address
D
[
Eleqrical ConTractor ISortipany Name) - Contractor s license No.
Mailine Addres CoMractor or OYincr Ya licfaila[io
nl
? ?" q
. N
Auth etl ture 1 ontraclor/ r Na irq Irtbllationl Phone N?r
?? G 3 G -G J=?-y
MINNESOTp STqTE BpppD OF EIECTRICITI' THIS INSPECTION REQUFST WlLl NOT
Griggs-Midwey Bitlq. - Ropn N-197 0E ACCEPIED Br THE STATE BOARD
1821 University Ave., St. Paul, tlN 5570l UNlE55 PROPEIt INSPECTION fEE IS
Plnre 16121 297.2111 ENCLOSED.
(TOWNHOUSE)
CITY OF EAGAN No 9928
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 4548100
/
r -
3
BU ILDING PERMIT 2
5
Rece+pt Tk
Te M wad hr 1 OF 4 PLEX Est. Value $61,000 Date F'EBRUARY 25 19_0.5Z
SiteAddresa 3130B pj.\RNUM
D$ Erect El Occupancy RI
Z .
HMAN
OA
3 ANn 3Remodel ? Zoning R3
T
Lot Bl .
ack
Sec/Su6. - .
Repair ? Type of Conrt, VN
Percel No. Enlarge ? No. Stories
ad
Name
ROSEWOOD CORP Move ? Lenath 46
h ? D
h
Z Add 1711 W CTY RD B Demolis
ept
24
?
? ress Grade
Sq. Ft.
city ROSEVILLE phone 631-3254 Insta?? ?
g Name
SAME
-Aoororab
Fees
ou Addrm6 Asseument
.OO
pemit 316
? Water 8 Sew. Surcharqe 3 ?. 5 ?
1- City Phone
158.00
R
i
Fw Name Palice
Fire ev
Plan
ew
SAC 52$.00
i? Address Enp. WoterConn. 500•00
v
W
City
Phone
Planner
WaterAAeter 63.00
I hereby acknowled9a thaf I
fhe inlormotion is Correcf
Stote of Minnewta Stat?
Council
apDlimtion and st '?tFwf BIdg.Off. 2 22 $5
omply wifh oll icoble A?
Eagon,O.di ?
Ver. Date
$ipnofure of Permiftek,_1,00!r
A Buliding Permif Is iuued to: RO$F'W(
oll work sholl be done in acordonce with oll
Bulldinp Ofllcial
of
Road Unit 280 _ 00
T.P. 132.00
7otal $2,004.50
_ on tha ezpren conditlon lha+
City of Eapon Ordinonces.
07
(TOWNHOUSE)
` CITY OF EAGAN No 'g 929
:- , 3830 Pfla ICnob Road, P.O. Box 27-799, Eagan, MN 55121
PHONE_.5.$,00 17
?
SUILDING PERMIT Receiw .
#
Ts M rad fer 1 OF 4 PLEX Ey yolm $61, 000 Core FEBRUARY 25 1985
SiM pd*m 3130 FARNUM DR Erwt omvmv R1
CO
Lot3 Blxk 3 Ser/Su6 A('HNLAN i.ANn Ron"Odd ? Z°I""e g,3
. Repeir ? TypeofCanst.
Vii
ParcN No. ?R n
Eniarge ? No.Smries
?
aeme
ROSEWOOD CORP ""?
?h '?
?
11
?^ 46
D
'
?
Address 1711 W CTY RD B ?
Grade ?- Z4
q
SG. Ft.
Cny R OSEVILLE phone 63 1-3254 trntell ?
SAME AVMa+ab Feas
Neme
M1
-. ? ? .
?u
Addreu
Neme _
Address
City Phone
Assetvnent -
Worcr S Saw.
Pdice _
Fin
Eri0•
Poamwr _
C.ouncil _
Pmmit
Surclnrpe .10- Q
Plan Raview 1 S R n p
SpC S7S fl0
Waror Corm. S_? ?.,_„? ^ 0
Woror Mkter - 62Q
Road Urvt --24Q-.-0 p
I herc6Y ackrowtedpa t this opplicotion aee Hae BWg. Off. 9/ 2 / R 5 T. p 7? 9 n n goo ?ha inlormation is ct m?d ree ro oomplY wit applicobk
Stofa of Minnesota atute an Ciry o( En , nces. Var. APC Date Total c 2?n nrm?n
Lpnoture of Pem?iftaa
A Buildinq Parmit Is issuad to: ROSEWOOD ORP an h, express wny? -b-t
dl work sholl be dwns in awordance yr#h oll applimWe?SMte of Minrbsoto Statutea ond Gry of Eopan Ordinonoea
Bufldin0 Offkid
(TOWNHOUSE)
CITY OF EAGAN No 9923
_ 3830 PiIM Knrob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
p
S-
BUILDING PERMIT Receipt
_
7 I
# ''f
Te M wad Wr 1 OF 4 PLEX Est. Value $61,000 Date FEBRIIARY 25 , lq 85
3128B FARNUM DR E.ect L Ocapancy RZ
siceqddrew R
d
l ? i
Z
u3
COAC
Lot 1 Block 3 Sec/Sub emo
e
HMAN LAND on
ng
. Repair ? Type of Const. `??
Parcel No. 3RD
Enlarge ? No. Stories
Move ? I.ength 46
& Name ROSEWOOD CORP li
h ?
D th
D
s
emo ep
24
? Address 1711 W CTY RD B Grede ? . Sq. Ft.
City RO SEVILLE phone 631
_ -3254 instau ?
__.
° SAME
Name vvrer
?? Address Asseument
i- City Phone
Wafer R Sew.
?
? Police
u Name Fire
?
=
? AddlB65 Enp.
?
mw City Phone Planner
Council
I here6y ackrowledge fFat I h od fhis opplication ond te af ???..Bldg
Off
?/
fha informofion Is cotrec nd Ogre to wmply with ol op ' .
.
oble A
Stale oF Minnewta Sto tes a d Ci of Eoqan rdi . ?
?
V r. Date
C
Sipnaturo of PermiMea el¦ e•••
A
Pertnit v -+iv.vv
Surchorpe 30.50
Plen Review 1 S 8. 0 O
SAC 525.00
Water Conn. 50Q+.O 0
Woter Meter 63-00
Rwd Unit 280=00
T_p 132.00
Toul $2,004.50
A Building Permil Is issued to: KUSEWUVU ' on fhs expross wndiflon thot
oll work sholl be done in accordonce wifh !Ippliwble Sta e of Min so o Stotutes and City of Euyun Ordinancee
Bulldinp Ofticial -? ?? _,?
dOUSE)
? CITY OF EAGAN N? g 922
3830 Pilot Knob Road P.O. Box 27•199, Eagan, MN 55 121
PHONE: 4548100 B?7
BUILDI ERMIT eeceipt # ?
:
Te M uwd kr 1 OF 4 PLEX Est. Volue $61,000 Dote FF. RRTiARY 25 , I q$5_
Sita Address
3128 FARNUM DR
Erect m
occupency
Rl
4
Lot 81 3 COACHMAN LAND 3 Remodel .?
o?k Sec/Sub Zoning R3
. Repeir ? TypeofConst.
???
Percel No.
Enlerge ? No. Storias
ROSEWOOD CORP Move ? l.eneth 46
5 Name li
h ?
D D
th
1711 W CTY RD B amo
s ep 24
Address Grade ? Sq. Ft.
city ROSEVILLp,a„a 6 31 -3254 inscen O
_.,....
w SAME 'AVMOVab ' Faaa , .
,p Name ?n
z
8u Addresa
f Citv
Phone
Name
Address
City Phone
Assessment _
Water 8 Sew.
Police -
Fire
Enp.
Planner _
Councll _
Permit •
Surchorpa 30.50
Plan Review 158.00
SqC 525.00
Woter Conn. 500s0d
Woter Meter 63 - 00
Road Unit 98c) 00
1 hercby atkrwwiedge thot I Mve read thiz o001icution stote that gldg. Off. 2/22/$ S I T. P_ 132 . 00
fhs information is torre o ree to wmply wiSL?ff-appli le APC Total $2+f1.n4:50
Stafe of Minnewla 5t le; an City of Eog n 6dinances
Var. DMe
Sipncturo of Perminee
A 8uildinp Permif Is issued to: R on tha express corditlon tho+
all work sYwll be done in accordonce with all applicnbla SJafF of Mlnnewt,c5to[utes ond Ciry of Eapan Ordimncea.
BuildirgOfflciol ?l??e.
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
i,S City Of Eagan
?43 3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
?'-7 C) .C)V
New Conshuctlon Reauirements RemodelRieoair Reauiremenis . Otfice Use Onlv
3 registered site surveys showirg sq. ft of lot sq, ft. of house; and all roofed amas 2 copies of plan Cert o( Survey Recd _Y _ N
(20 % rraximum lot coverage allowed) 1 set of Energy Calcula6ons for heated additions Tree Pres Plan Reoi _ Y_ N.
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addPoons & decks Tree Pres Required _ Y_ N
7 5et of Energy Cakulations Addfion - irMicate 'rfonsife septic system Onsite Septic System _ Y_ N
3 copies of Tree P2servation Plan if lot plaped after 717193
Rim Joist Deheil Options selection sheet (61dgs with 3 or less unifs
?
Date J
Construction Cost
SiteAddress b ?•lUniUSte #
CA-6k,N)
Description ot Work t N'a7\Pt-u-- 7 ?j ?SS r1Ll.?LJ`'(-Ls
MWti-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1( Z)
?../
Property Owner 50?)htJ ? o'.'• ?`J Telephone # ( (v-1*1 ) 26/ ^ 6107 V
t+
Contractor
?-
Address 3f'jSD L?), 4W`') (3 City & UlL4
State !A? Zip ? ? 10 Telephone # ( ?? Z) 135?1 '0? ?
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventllation Category 1 Worksheet
(4 submissiontype) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Coniractor
Telephone #(
Telephone # (
N If so, 25% plan review
Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case ofiwork which requires a review and
approval of pl s. L
A licanYs Pr ted Name '
pp Apphc t s Signature
2004 RESIDEIVTIAL SUII.DING PERMIT APPLICATION ?
City Of Eagan
cl? 3830 Pilot Knob Road, Eagan MN 55122 ?
? Telephone # 651-675-5675 FAX # 651-675-5694 •3?j l.? , ? ?
New ConsWCtion Reauirements RemodeVReoair Reauirements Office Use Onlv
3 registe2d site surveys showiig sq. N. of lot, sq. il. of house; and all roofed areas 2 copies of plan CeR of Surrey Recd _ Y_ N
(200k maximum lot coverege allowed) 1 setof Energy Calculations for heated additions Trce Pres Plan Recd _Y _ N,
2 copies of plan shovring beam & window sizes; poured found design, etc. t site survey for additions 8 decks Trce Pres Required Y N
i set of Energy Calculations AddNOn - indicate if onsite septic system On-sAe Septk System _Y _ N
3 wpies oi Tree Preservation Plan it lot plaHed after 711t93
Rim Jaist Dehail Options selectian sheet (bldgs with 3 or less units
Date Construction Cost
Site Address V\ lti. ? Unit(Ste #
Description of Work
Multi-Family Bldg _ Y_ N Fireptace(s) , 0 _ 1
Pro er Owner ?
p ?Y S
Telephone # ( )
Contractor
Address .54 City
State Zip t7;50_ Telephone #
COMPLETE TIi1S AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Ene?gy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #( )
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will he in accordance with the approved plan in the case of work which requires a review and
appyeyal of plans. ? _ ,
ApplicanYs Printed Name AjSftlicant's SWature //
_,
Construelion Cosf C.) 1 5 as^
S w / ` LM 1s`fi ? IIniUSte #
e? _
2004 RE3IDEN ` ' `
TIAL BT)I2.Il]7tTG PEI2M1'P APPLICATIOIV
City Of Eagan
3830PiiotKuob - Road, EagartlY1N55122 -
_ _ =--- - --
FAX ?651 675 5694- -- _ --
New ConsfNCfion R viremen5 ----_ __
3?J??Ced sifesurveysshowir?g.sG, g of fof, sq, ft of house; andall roofedareas Remddel/RenairReouirem?nts
(20%maeimumlotooverdqeaflave? 2capiesofpfan
Zcopiesofplan'sBowiqqbeam8window
1 sef of Energy Cafa sizes;pouredfounddesign,eta ? -
fations 1 set of Ene?gy Ca[cufations for heated additions
3copiesofTreePreserrafionPlanif1Ofp1affedafter7Hl33 ?Sifesu?vey[oQadditions?decks "
RimJoistDe)aifOpfionssefectlonsfieet (bfdgswifh3orfessunits _ Add/tion-Indicafeiforrsi(esepticsysfem _
Dafe?? l
Sife Addr`ess `
----_-
Bescrfption of Work c
Mulli-FamilpSIdg ^ y _ N .
72? tW 70 c0
Fireplace(s) _ p _ 1 2
Property Owner
TeIephona # Q9 q a
Contracfor 11?V}Pf l'h, (1
Address
1
Sfate tA N CftY- KtC-PA%ilLpJ .
Zip eJ?J `??Telephone # (%l ) Z C9 ?-l - W `I -'l -1
GOMpLE'[`g 7-HIS qREA ONlYI? CONSTR[!C7`INC q NEW BUILDING
EneFgy Code Category `-' Minnesoh Rutes 7670 Cate`o 1
(Jsu6mission type) Residential Ventifation Cate o -Mmesota Ru1es.7672 Submit?c{ 9; ?•? Worksheet . NewErje
±,n;;,; ,,, , _, • Energy Emelope Ca rgy Code Worksh8et
fcufaffons Su6mitfed Subm$fed :
4pve you previously consfrucfed a buiiding in Eagpn wit
ee appfies. "far
icensed Plumber p I II I
lechaniccrl Confiractor
:wer/4Vafer Confrqctor
plqn? - Y _ N If so, 25? plqn rev(ew.
Telephone #( )
Telephone #(
ielephone # (
iereby apply, for a Residenfiat Building pe?t ?d aclnoR,Zedge that the infomiati
afutes; I understaud this is on is complete and accuzate;
it tbe wark wi1I ba in con#'ormance wzth the ordittances and codes of the City of Eagan attd the Sfata of MN
not a Permit, buf only an applieation for a p erinit and work is not fo start without a
03'f; thaf the work wzlj be in accordance witfi tha approved plan in the case ofwork which requit-es a review and
)roval ofpl
J c?
?P?oant`s Prinfed Name
. plicant's Signatuze
rv...e. sv.l, tuv ts.a? triA 70J UI1 '440D 1SI:1YI:19'P.le da?tHCfJ$d('Jl31Y .
re a?.
?? . . .
June 7, 2001
• • -
City of Eagan 3836 RiIcrt Kuob Roac( '
Ea$an, MN 55322 To WGom It May Crntcern:
Elder Iones is aatho.ed to ptttl bniIcting permits forRenewai by Andezsen Piease a]Iow
Eldcr 7oncs to ptovide this servzx for us in Eaban,
dafc `(hia mutsatizatitm is vaiid for sny
bcyoud 06/01: uztbj a?`onawal by .4v dam ?g?Y revakas ft tn wiitlnt
to I the City- ?
rcquest Uus anttioriiati
our on bc eccepted-expedi@ously, as W not dela .
baiidiag Pcauiki eaY furthcr. Blcasc cari mc If tficcn arc an Y m the P??ssirig of
? contacbed at 7b3-S02-474G_ Y 9n?ona., I can Uc
Your immpdiaft attcnt3ou to fhts mattcr Is a??atrrt_ .-
Sinceioly,
Ymvnd R &-Pum
astatIarion Manager
Ronawai hY Andmen Cotporatiau
- .?'?.,?..?4 ?•?a...z,::.? .
WGKarn_F.1?{r.r Jnne? -
?yp??.
? [D47
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Received Time Jun. ]- 1:07PM
2004 RESIDENTIAI. BUII.DING PERNII'P APPLICATIO 16-
City Of Eagan
/ 3830 Pilot Knob Road, Eagan MN 55122 r5 +7 -a
Telephone # 651-675-5675 FAX # 651-675-5694 ?
New Construciion Renuiremenffi RemodeUReoairReau'rtemems
3 registered site surveys showing sq. fL W lot, sq. R M Iwuse; and AU roofed areas 2 copies of plan
(20% maximum lot coverege albwed) 1 set of Eneigy Calcutatiom for heated addNOns
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addMons & dedcs
1 set of Enmgy Cakulations Addffion - indkafe if on-sne septic system ..
3 copies oiTree Premrvatlon Plan'rf lot platted after 7M193
Rim Joist Delail Options selectlon sheet (bldgs wiTh 3 or less units
Date Construcdon Cost
Site Address !
?J"G {^r1 'J Yn Df ?\\!R?- UnitlSte #
/e;L s
a ?
Description of Work
Multi-Family Bldg rX Y _ N Fireplace(s) _ 0 _ 1
Property Owne ? Telephone # ( )
Contractor
Address City
State Zip,??g / Telephone # ((psl )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Tvlinnesota Rules 7670 Cate2orv 1 Minnesota Rules 7672
Energy Code Category . Residential VentilaGOn Category t 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 _
fee applies. Licensed Plumber Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
N If so, 25% plan review
I hereby apply for a Residential Building Permit and aclrnowledge that the informa 81tg`5nd ac urate;
that the work will be in conformance with the ordinances and codes of the City of Eagan an t?e a of NIN
Statutes; I understand tlus is not a pemut, but only an application for a permit, and work is not to stazt without a
pe '- that the work will be in accordance with the appmved?pl4ii in the case of work which requires a review and
ap ov of plans.
"G
pplicant's Pri Name
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex ? 13 78-plex ? 20 Pool
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
0 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex )0 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-pleX ? 12 12-plex Plbg Y or _ N ? 25 MiSCellane0us
Work Types
? 31 New ?
? 32 Addition ?
? 33 Alterafion ?
)M 34 Replacement
Valuation dC7c>. '
Census Code C{ S `(
SAC Units
# of Units
# of Bldgs
Type of Const
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Approved By:
Base Fee
Suroharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
. . ,
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Ait - SF
? 36 Multl Misc.
35 Int Improvement ? 38 Demolish Interior ? 44 Siding
36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
`Demolition (Endre Bldg) • Giva PCA handout to appl{cant
Occupancy 12-5_ MCES System
Zoning 42 -3 City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
FinaVC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs _ Air/Gas Tests Final
_ Siding _ Stucca _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
15150
3101/
3103
3105/
3107
3108/
3108B/
3110/
3110B
3109/
3111/
3113/
3115
3112/
3112B/
3114/
3114B
3116/
3 ll 6B/
3118/
3118B
3120/
312DB/
3122/
3122B
3124/
3124B/
3126/
3126B
3128/
3128B/
3130/
3130B
?L-
3132/
3132B/
3134/
3134B
COACHMAN LAND CO 1ST 18152 COACHMAN LAND CO 3RD
10 18150 01007
020 07
10 18150 040 06
O 10 06
10 18152 030 08
040 08
020 08
01008
10 18150 040 08
030 08
01008
020 08
10 18152 030 07
040 07
020 07
01007
10 18152 030 06
040 06
020 06
01006
10 18152 04005
01005
03005
02005
10 18152 040 04
010 04
030 04
020 04
10 18152 040 03
O 10 03
030 03
020 03
10 18152 040 02
01002
030 02
020 02
FARNUM DRIVE PAGE 1 OF 2
4-plex-other 1/2 = 1593/1595 Four Oaks Rd
4-pleac-other I/2 = 1589/1591 Four Oaks Rd
4-plex
4-plex
4-plex
4-plex
4-plex
4-plex
4-plex
4-plex
a
? ?\yC--?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
AOYE: ALL CONTRACTOHS MUST BE LICENSED WITH TNE CITY OF EAGAN
??"N"crj:?)F- INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
7 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: ?ol , D00. 2'" Date:
Site Address: ?/c7? !? 7Cvzruu??2,? pFFICE USE ONLY
(?.LHMF*N.
Lot: ? Block 3 Sect/Sub ?4N? 3R? Erect ? Occupancy ?-I
Remodel Zoning (L-3
Parcel 11 Repair ^ Type of Const Q?-j
Enlarge !1 of Stories
Owner d-osewooc( C1u,pP Move _ Length _4G
Demolish Depth Z¢
Address _1-711Lc/ (200N6y PW 13 Grade ^ Sq Ft
City/Zip Code p}QJP Uic C<?? ??7iCJ SJ?2/ --------------------------------'--
Contractor pJe u.aGCQ !2Oa(/,S'7- ,vCAPPROVALS
Address
City/Zip Code
Phone Ok
Arch,/Engr
Address
Phone #
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Parks
APC Treatment P1
Varianee
TOiAL
3v? .°-°
?a
l 5B
c? ^s
^? eo
260.'?
132.°?
??? 5U
,A
1985 BUILUING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS HUST BE LICENSED 4fITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
? 3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
oa
To Be Used For: (C>F Q- 'Pc_Ex Valuation: (v ??oco Date•
Site Address: 31,28 ff)3pvrw.rn dz-
(OP4-41MA44
Lot: ? Block 3 Sect/SubL""'D 34?p
Parcel S
OFFICE USE ONLY
Erect X Occupancy ?-?
Remodel Y Zoning 2-3
Repair _ Type of Const s"
/? Enlarge II of Stories
Owner _OSB icip o c? `Q?P Move ? Length 4?
Demolish Depth
Address /?/ / GtJ CpUyf?fl ?C? .Q ' Grade _ Sq Ft
City/Zip Code 5S/z/-----------------------------------
Contractor 1,fO,J'eu,0od eONJ'77 i!;?/cAPPROVALS
Address ,SA/77E Assessments Permit 31(o. S'
Water/Sewer Surcharge
? -,,o_sa
City/Zip Code Police Plan Review 155.='
Fire SAC 525. °'
Phone # 1?7 Engr Water Conn 5c)0,&
Planner Water Meter
Arch./Engr Council Road Unit 2&7.°-°
Bldg Off ks
Address APC Treatment P1 (3 Z.=
Phone # Variance
T(n'pI,
?-ta-?-
2.? x Z?= 55 Z_ )c 5 4- n 8
23 x Zq- ? 55 Z x I(
- co o-1 2
:;:? zqs ( g
?03? 8
7985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS HUST BE LICENSED IiITH THE CITY OF EAGAN
T06? N i-1a15E
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCUL ATIONS
To Be Used For: ? OF '6f PLEx Valuation: Date:
Site Address: 3.?0 OFFICE USE ONLY
Lot: 3 Block 3 Sect/Sub LAN0 36LO Ereet ? Occupancy
Remodel Zoning Q-3
Parcel N Repair _ Type of Cons t 'SL .1
Enlarge /k of Stories
Owner_RQSELiJOOQ L'0Q P Move _ Length q.(o
/? Demolish Depth ?Z _
Address
// GsJ CoUN ???c( B Grade _ Sq Ft
City/Zip Code ?o SE?diCCE MaJ. S?/Zi ------------°- ------------- -------
Contractor /76SG-'StdeoeQ r7N.c7- /?/G APPROVALS
Address ?p ?AJ Tt, ,P sT Assessments Permit
Water/Sewer Surcharge 30 5_0
City/Zip Code 905S2 ui i- T /h N Police Plan Review 1 5g. oO
Phone U 631- 3 Fire SAC
Engr Water Conn 5cx7-.
Planner Water Meter (n3.°-
Arch,/Engr Cauncil Road Unit 2?0.=
Bldg Off Parks
Address APC Treatment Pl 132.°%
Phone U Variance
TOrAL
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUSi BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: I bF 4- PLF-X Valuation: (o J,p06. p6 Date:
Site Address: 3130 Q yC??,Q4, OFFICE USE ONLY
Lot: ? Block 3 Sect/Sub DN 3?0
? Erect ? Occupancy R-I
Remodel Zoning 2-3
Parcel 0 Repair _ Type of Cons t -V iJ
O
er
04
?0Se
0, ?
0 Enlarge 0 of Stories
wn q
w
02/ Move _ Length 4l0
Address _
1711 60 C°oviuTX I?V,62 Demolish
Grade ? Depth
Sq Ft 2-4
City/Zip Code ?'J OSGU/GGC , /27/l? ----^-------- -------------- -------
Contraetor Wo.3 e G?o o d COtisT -Z-,ucAPPROVALS
Address S,4m C= Assessments Permit 31(?_ °-°
Water/Sewer ! Surcharge
City/Zip Code Police ! Plan Review I
Fire SAC 525.?°
Phone # Engr Water Conn C: . °°
Planner Water Meter /o3.m
Arch./Engr Council Road Unit 2g0.`?
Bldg Off Parks
Address APC Treatment P1
Phone lk Variance
?Sb
p
?
qp=AI, y
p
CC) PERMIT # RECEIPT DATE:
,.
iiESIDENTIAL PL1JM$INfi P£gMIT APPLICATION
CffY OF £lkfiAN
9830 PII.OT KNOB fiD
eweALtv, bfx 551$2
651-8$1-4675
Please compiete for. ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system 11 `'" ? b? . G
\ O
SITEADDRESS: R:::) Va,P(-\ltY1'-\ lbF
OVVNER NAME: :\,??lUQYV1 `e TELEPHONE #: 5 1- Z15LI - 3`j?Jl
(nRea, cooe)
INSTALLER NAME: TELEPHONE #: ?,_??1 -?(p^l(n
.^, GUIRE & SURT (AREA CODE)
STREET ADDRESS:
CITY:
Nopkins, NlN
Place a check mark next to the oermit work tvpe
STATE:
ZIP:
New residential dwelling unit under construction and not owner/occupied $ 90.00
'0 Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work:?w ,p\ ra O? UJo??e,r 1??
Septic System, new/refurbished - $ 225.00
• indudes County & Consuiting Inspector fees
• requires MPC license
State Surcharge $ .50
Tota l ?
$f
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge thal I have read [his applicalion, state that the information is correcl, and agree to complywilh all applicable City of Ea n ordinan s. It
is the applicanCS responsibility to notify the property owner fhat ihe Cily of Eagan a sumes no lia6ility for any damages caused by the City "10 mal
operational and maintenance activities to lhe facilities constructed under this permit ilhin City y n -of-way(easement.
PERM
Updated 1/01
2006 RESIDENTIAL BUILDING rERMiT arrLicaz7oN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauirements
3 regisiered sife surveys showing sq. ft. of lot, sq. iL of house; and all roofed areas
(20°h maximum lot coverage albwed)
2 copies oi plan showing 6eam 8 window sizes; poured found design, etc.
i set of Energy Calculafwns
3 copies of Tree Preserva6on Phan if lot piatted afler 711193
Rim Joist Defail Op6ons selection sheet (buildings with 3 or less units)
Minnegasto mechanipiventilationform
RemodeVReoair Reouirements
2 copies of plan showing footings, beams, joists
1 sef dEnergy CalculaGons for heated additions
1 site survey for additions & decks
AddiG'on - indicate if onsife sep6c system
_._
OHice:Use onlv
CedofSurveyRecd _Y _N
TreePres PlznRecd Y _N.
Tree Pres Regwred N
On-site5epticSystem _Y _N
Date 5- l l 7/'
Site Address ?ld_ ? Q?
/,r]
.? Construction Cost y? /2 ?o ci OCD
34?d T:?LN vC Unit/Ste #
-
DescriptionofWork GCoo??., -??•,- v`f jC c??'??f-?'- ?? zf,?oci e-
Multi-Family Bldg N Fireplace(s) _ 0 _ 1 _ 2_3
Property Owner Telephone # ( )
ContraMor ^o p -Z? c_ ,
Address / yl j
State ? J ?c. ?r ? 5 !?'_ /I/"?
Zip City -e
Telephone #( 71(3) 7s?7-0 0 6 0
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Cate¢ory I
. Residential Ventilation Category 1 Worksheet
(+I submission lype) Su6mitted
• Energy Envelope Calcula6ons Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In the last 12 monfhs, has the City of Eagan issued a permit (or a similar plan based on a masTer plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 1 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.
ApplicanYs Printed Name
o?--
ApplicanYs 3ignature
2/84
CITY OF EAGANj 9C/t??i RD?
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRIHT)
PPCDEPTY '?DRES5 : 3128 FAI?NUM DRIKE
r.rrar. n :.OCnIryrzc:i:
(I0t/B10ck/Su:divisicn or :ax 'r'arcel I.D. Nun;Ser)
i. ST",C'?^.L^.?E. DATE 0F Cp-TG1-NAL .=.iiILUI::G Pon= ZSSU?;eCE:
:e_-;
pRrcL;m -.•..TIT,/'paOP05=, C'SE:
11 rPpLI=; ?"
E PRI;Ii
3) pj,Z;.!eL?, (PLEASE PRINT)
NAME_ _ .H .TT . prJJMBT G TN
, ADCRESS: _ g383 SUNSET RD NE
CIit, STT,TE, ZIP: SPRING yA{E pt{ MINKEBOTA 55432
PHO.IE: 786-4007 PLIIMBEF LICENSE N 26509
a) cm:pa?Nrr/a.zTea
NAME:
ADDRESS:
CI:":, STATE, ZIP;
PFiO:VE:
Z% R-1 SlNGZ: FnwrLy
? R-2 DUPL..? (?Sv'0 U1IITS)
? ?-3 TC:1.?rvTCg ('I?'REE + L':IITS) I U:II:'S)
? R-4 A^r:.!?'?=*FT:T/CC;DG•ST?I ( L'.iITSi
p CCIMME?CLaS,/RESAII,/Or 'IC::
? 1l'DliSTPS.?L
? INSTi TUPIO:It'1L/GvJE=P??L'-TE:N?;P
(PLtFSE r"AItii)
FOR CITY USE OHLY
LICEYSE:
--9'Ct 1 v e
Espire
Record
ar, :nitia
5)
K'i'`F : RASEW00D CORPORATION
ALDRESS: _ SUITE 300 SOUTH, 1711 W CO kD B
Cm'Y. S;AT?.', ZIP: HOSEVT7.r, yMiNNFSOTA 55113
PEGVr.: 631-32 4
INDICATE :q[-[ICH PERti1IT IS BEING RECUESTL•;D:
? CO:V'NECPION In CITY SETi?7ER
Q COfa'NECI'ZCN 'Il7 CITY Wp,TE.2
? 0'iEIER (PLZA„E DESCRIBE)
6) L^a'DIG,':.> C2+c:
? PLZ1SE f?OLD APPP.WED PERMIT FOR PICi:-t,2 BY O.IE OF r1Fi'E
Q PLE'SE AT'aIL APPFZOVM PEF.•LIT TJ 1. 2A 3,) 4 AFOVE
, n A ? (Circle one)
7) SIC.,'ICRE: t
DATE: 4I?oh,
!
F 0 R C I T Y U S E O N L Y
PE??%?IT °- ISSUED
F°ES: $
_ L[?.. j O
$ r/CU, 5 G
$
$
S
$ $
$
$
$
$
$
cr7^;E?2 _°ERM7'^ (I`_iCL?;i: SU'.'.C-?R.?r"'
L)
WATEcZ PER1IIT (IL:CLliDE SliRC:i.aRGE)
WATER METER/COPPERHORN/OUTSID° READ°P,
WATE.°. TAP (INCLUDE CORPORATION STOP)
S_`iEF TAP
..Z?csl:
ACCOU:IT DF,ppSIT - 4iATER
WAC
SP.C
TRIIVK WATER ASSESSi4E?IT
TRui1K SEWER ?.SSESS.1c:iT
LATERAL BENEFIT/T4UNK SEWER
LATE?2t.L BENEFiT/TRUNK S•7AT°Y
OT?iER
$ TOT? L
$ A.tilOL'tiT PAID; RECEI?T
DOcS UTILITY CONNECTION REQUIRE EXCAVATION,IN-PUBLIC RIGBT OF SJAY?
YES IF YES, THEPS h"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
???-- NO ENGZNEERING DIVISION. LIST AS A CONDI-
TION.
SliBJECT TO THE FOLLOWING CONDZTZONS:
APPROVED BY:
TI':LE: '
DAT°: _J .?Ci?taS
t am
- ....... ...'?
s
I
?i . . , 2/84
; CITY Or EAGAN L? C--
??i, ?/
APPLICATI0?1 FOR PERMIT ,??/?? `/,3N- ?S
\
? SEWER AyD/OR WATER CONNECTIODT --
- (PLEASE PRIHT)
1) P"PCn71'v ?DRZZ-'= 31308FARNUM DHIVE
7 rr=w D ?,c=rP".TC.`I:
(Iot/Blccx/S:ivis:.cn or :a:c r.zrcel I.D.
Dl'' OrC.?S=-?%,I, ciiIT.D?`:G _-_l!':
------. _?"
p_== ..^•TI'X'?'F?:OS? PC'?,': SJI R-1 SLSCS.:. -?-:?SLY
? R-2 DLP1.:..? (T.:'J L`NiTJ)
.
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, rv.cE 'TR'?, - (-- - L?-•TrTs) { UiI='=?)
+
? R-.1 e,P.u:^*r.:T/CC_Z?i..ir;r-,1
? CCi-^TM?CL=S./FL.F^.'^uI,/Cr'?'=?:.'
? ?T?'s?.;.:.r,
? I15TI ?TiC.]?L/G^;4W ?:??T
2) ;onT,.,_i.;--i (PLE6SE FR1Yii) .
EW OD CORPO TION
ADDR=GS: S TT QQ GrnimuO 1711 W CO kD ls
C=' S'i?:T=,' °.ZP; ?
RO$F.VTT.i.F., TNNF.R(lTA 55113
Psev-E: 631-325 i
3) pjA7.7-:E2 (PLEAb: PNiNi) FOR CITY USE 04LY
SCAU TT p a MIiTNG TNC
7DD_2ES5:
$383 SUNSEP RD NE PUJe9ERS IICE, E-,
?
lve
CIT!. ST;y ?, ZIP: SPkING LAKE PARK NiINNESOTA 551?32
Ex r_d
Pi
PHC::c: ?'??'?r.
786-1y007 PLUMBEA LICENSE N 265?1ti19 ar Re rd
?
! . ._
2
NALME:
ADDRE55:
CI?"l, ST,7,'IZ, ZIP:
Pf{3`IE:
YLt0.St YN1I11)
5} r1plC=lE p7yICH pEg;.uT IS BEI%,C RECUES'I'T'?:
x? CC:T7EC?'IO:I TO CIT^I SS;'FR
Q Cb:1NECrICN 'IO CITY SdATER
G 07= (PIZA-GE DFSCPSIIE)
7). -SIC7,TL, '--Z:
` / .
DnTE:
E-1 P7 z'?SE f?OID iiPPR7(IEp PER;^.IT FOR PIGK-U'r BY 0NE OF rIEGUE
Q PTE,Sc :•!aIL APPT.2O= PEF.M4T TJ 1, 2,( 3) 4 ABC7VE
I (Circle cne)
mm% ?i?lagfcsaril?tAa-s??rfis?ssi:?aa?f?atff.?14J??f?l?Eiecia?
F 0 R C I T Y U S E O N L Y ?
pE-'MIT - ISSUED
$ Iv. S?G
'S Ct?i cK?
$
5
$
$
i'
$
SUlJ, v?.?
$
S
$
$
$
$
SEI:ER 0°7`.11'^ LJL?.
WaTEP, PEMtT_T (Ii:Cii;DE Sli:^-.Ci?A<ZGc'.)
54ATER METE.°./COPPERHORN/OUTSID° REi,D: R
WAT°.°, TAP (INCLUDE CORPORATION STOP)
SE:iER TAP
AC.^_pUNT DEPOSIT - 4iATz'2
wac
sac
TRu:1K SPATER ASjc.S52-1E;7m
=;::?{ SE[iER ySSESSML:iT
L.`-,:i:ZyL SE:vEc Im/TRUNK SE?•:EB
Lrl:i.FAL BENEFIT/TRUNK SdATrR
OT3ER .
$ T0,?L
p•.!OUST PAID/RE??? ^?'Iom 1
DO:.S UTILITY CONNE CTION REQUIRE EXC.aVATI0N,2N-PUBLIC RIGHT OF WAY?
? YES IF YES, THEi1 A"PERMIT FOR 'AORK WITHIN
P()BLIC ROADWAY" MUST BE ISSUED SY THE
??- NO ENGZNEERING DZVISION. LIST AS A CONDI-
TION.
SCBJECT TO THE FOLLOLJING CONDITIONS:
APPROVED BY:
TI:Lc: '
DAT° :
j --
i'
?
?. Z/84
CITY OY EAGAN
APPLICATION FOR PE°.?''4IT
.? yp.+1 , ??N? S3%
r SE:JER AND/OR WATER CONNECTION
- (PLEASE PRIN7)
1) PFCP =?^_"_' ACDPZ.c,S: 3130 FARNUM D2iSVE
r.^^zI. D?,.?C'S?:'?CV:
tLOt/31cck/Sub:,ivisicn or Ta;l ;arcei I.D.
.':•:I?__:G S'_^:=.CC:'^ :?.. Dn'Y.' 0F CRT_Gi ,7+.L
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. ? R-3 'ICQ,?(vrS
(
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c
= C:i^'.S) { L
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? CCV^la?C=/Rf.':AiI,/pit I CE
Q T=CST?.I: L
? ??:I'
2)
ROSEWOOD CORPURATION
prpREcS: SUITE 00 0 H, 1711 W CO RD B
S_';= , ZZ?: ROSEVTT.T.Fy MINNESOTA 55113
PHC`E= 631-3254
3) PLC:-,:=.'?
N?"?'= (PLEasc PNI9i) FOR CITY USE ONLY
S H TT . p iMtNG IliG.
F.CC3ESS: _
8383 SUNSET RD NE PLU!:9ERS LICr,SE:
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cti??e
CIT'. ST:,'^, ZIP: SPHING LAKE PARK
NiINNESOTA 55?132
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P?oNE: ^
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786-?i007 PLUM9ER LICENSc' u 2658rt9
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4FR
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NAL',IE:
ADDRESS:
CI="-'. ST.',TE, ZZP:
PI:O`IE:
(YLtA?L YH1NT)
5} IINDIG,TE :v'HICFi PERi•LIT IS SEI\G REQUESTID:
Q CC:'.NECfIO^1 'Ib CITY SET^iFR
? CO:I:;f'fCPIC:1 'LC) CITY WATL..'2
? U:'IER (PI.T'.?SE DESCPSBE)
7) SI?r,'?T,:,":
Q°IE-7?-SE IrOLD APPPWID PEFti7IT FC?`R PIClK-lir BY C+'E.' Or .lEGS, L
Q PT_.E,SE MAIL APPRWFD PER,'•LLT TO 1, 2,( 3) 4ABN'E
„ A , (Circle cne)
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DATE:
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F 0 R
pCOmIT u ISSUED
C I T Y TJS E ON;,Y
svcS:
$
$
/$
$
S
$
$
S SU(J. JY...'
$
5
S
$
$
5?::?? P°?•q7,. ? ?..-.rr'?v nrc ?
SJAT°? PERP[ST (Ii:CLUDE SL;RC:?ARGc.)
WAT°R METER/COPPEBHORN/OUTSIDE READER
WAT°.°. TAp (ZNCLUDE CORPORATIOV STOP)
S`.',•icR Ta?
Arcci;::'_^ 7??=GS77 -
ACCOU:IT D.F,POSIT - FiATrR
S `r.C
TRuNK WATER ASSESS:?E2:T
TRu:IK SE:'IER :iSSE;S:lENm
L:,T.,R;,L BEiQEFIT/TRUDIK SEIdEB
L.`-,:ERAL BENEFIT/TRUNK LQAT°R
OT .ER. •
$ TOTAL
$ /`-)-o,p.:"OL':VT PAI7;REC°I?T
DOES UTILITY CONNECTION RE4UIRE EXCAVATION,IN-PUBLZC RIGHT OF WAY?
? YES IF YES, THEL7 A"PERMIT FOR 'r70RK WITHIN
PUBLIC ROADWAY" MUST BE ISS[;ED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SliBJcCT TO TFIE FOLLOSVING CONDITIONS: '
APPROVED BY:
TZ:LE:
DATE:
sa wjq wa wWW Oa Imm m
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,
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_ • ,_ .
2/84
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CITY OF EAGAN
IIN? APPLZCATION FOR PERt`4IT
-` SELdER AND/OR WATER CONNECTIODI
- (PLEASE PFINi)
PROD"RTY A` DRESS : 31288FARNUM DHIVE
=m,L CE..C-iIPTIC:'7:
(Lzt/Blc?-x/SU?visicn or Tax rarcel I.D. NL:.--er)
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? ??'CtiSi?.'.7l.L
? I\'STI:'LTiCNAi,/CLV=!%T=P
2) AP?=`:_;i (PLEASE 'rktliiJ
N?'='z= ROSEWOOD CO u9RATIDN
ALL1-SS: GI TT F 300 O TA- 1711 W CO RD B
CT•.•`•' S'`= , `IP: Rp_SEVUr_F, MIIINESOTA 5511'3
PHC'`E: 637-3254
3) PLL??Br.'? (PLEASE PHiHT) FOR CITY USE OYLY
S HIIL.TIES P 1mruTrrr INC
8383 SUNSET RD NE PLV!!9ERS?
ACt:ve "
CIT"l, ST.^.^, ZIP; SPHING LAKE pAj?,K IlINNESOTA 55432 Expi ed
PH0NE: H??`.
786-I1007 PLUMBER LICENSE N 2656149 oF Aecord
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`tI IYLLRJt YH1i71J
ADDFeESS :
CT'!":', ST"Tz, ZIP:
PFC:IE:
5) II1DIG,i? ;JHICH PERi•LLT IS HEILNG REQUESTID;
Q CC::NECPION 'I17 CITY SETriER
Q COiIti'EK?Z'IC:I 'Ib CITY WATE?
? OTIER (PLEASE DESCRIBE)
PLiP. fIOLD trlPP?.WID PERti+ST FOR PICn-rj'P BY Oti?,' OF AEGZlE
Q P:.E,SE :•'aIL APP:ZOVED PERMIT TrJ 1. 2.( 3) 4 ASC`VE
(Circle one)
7)._SIC..,'I[.ti.: DATE:
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?! ?V q?ii}?JO ?? R l?:O?au ! S A Ai?i? i i f issi:? a! l?lifl4JFJ? sl ! Ytl????
F 0 R
prRMim '-` ISSUED
C I T Y U S E ON:,Y
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$ Z L- c7- U
$ / S.Vo
$ SU U. JY.I
$
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$
$
f -?].aC?SELTCB P?P•.17T (I`.iCLCiD: SURC ::-??,^c)
WATER PERAIIT (Ii:CL'uDE SliRC:?ARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATE.°. TAP (ZNCLUD£ CORPORATION STOP)
SE:,EF TA°
ACCOUNT D7POSIT - WATER
:^TnC
SAC
T3li_JK WATER ASSL5524E::T
TRii::K SE:iER ASSESSM=:iT
L.`vTER=.L Br.:1r.F2T/TRUNK SE::TER
LA:ERr1L BENEFIT/TRU:IK WATER
OTHER $ TOT,^,L
$ /"Lo,AM CLTti'T PAID/REC°IcT
DOES UTILITY CONNECTION REQUIRE EXCAVATION,IN-PUBLIC RIGHT OF WAY?
YES IF YES, THEN n"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST SE ISSL'ED BY THE
??-- NO ENGINEERIDIG DIVISION. LIST AS A CONDI-
TION.
SLBJECT TO TfiE FOLLOWING CONDITIONS:
APPROVED BY:
? ?-
TI':LE:
DAT°_: s.i?1r ?6S 04 fWqp? .? M ON srwi
41? City of EaiaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
- _ -?
OCT 1 4 Z00$ j"_____________'_-
?L13y-
I
?
? Pertnit#:
i
? Pertnit Fee: ? 1 60
? ??
? Date Received:
I S1aH
L -------
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:
Site Address: 312-8 T 0. Y wU?? Df. Ea aQ H
? _? ?
renant: 1--JN.4 t -reC n heY Suite#: '
RESIDENTlOWNER Name:_ JeYt"u P7eG? wev' Phone: &S1 2-78 -](42-
Address/City/Zip: 312-8 'FR.1'hUv"Dr e7a aL, .75122
CONTRACTOR Name: ?i-Qit, Pr0 -ptUVWbIN License#: 0(00&13F>M-
Address: 85I5 r-(-tLr l.U •
ccy: La(cev ) l le? stace: M z;p: 550
Phone: ISZ 4(pj 617,q Q ContactPerson: je4*h
TYPE OF WORK _ New 4Replacement _ Repair _ Rebuild _ Modify Space ,V Work in R.O.W.
Descriptfon of work:
PERMfTTYPE RESlDENT/AL
? Water Heater ? Water Softener
_ Lawn Irrigation Add Plumbing Fixtures
C_ RPZ /_ pV8) L_ Main _ Lower Level)
_ Septic System Water Tumaround
New -
_ Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Law.n Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (inGudes $.50 State Surcharge)
'W
t
T
a
er
urnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (inGudes Counry fee and $.50 State Surcharge)
$90.50 Fire Repair (replace 6urned out appliances, duclwork, etc.) (includes $.50 State Surcharge)
TOTAL pEES $ S O.5 U
I hereDy adcnowledge that this informafion is cornolete and aca,rara; n,at ene ,.,.,a, ..:u 1.., :_ _,.- .. _ .
eagan; tnat i untlersfand this is not a permit, but only an appliwtion for a pertnit, and work is nr1ost to grt wlUwut a?nperm t; ihat t?he work willCbrye nf
accordance with the approved plan in the case of work which requires a review aMcnxDPj' OrCL?t LCY Qu ApplicanYs Printed Name t's Signatur
FOR OFF,ICE USE,
17[
_ . .. _ . . ?. . . ? .u }. e_S . 3?i ? kA?YN ? ? ? . s? • 5...' l:??
CV-7e-.
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
,-----------------,
? Permit #: ?
I
? Permit Fee:
I ?
? Date Received: ?
I ?
i
? Staft: 1
2009 MECHANICAL PERMIT APPLICATION
Date:Ei: (Q --? SiteAddress: V?!,
Tenant: Suite #:
ioI -F
-ChC1-c-
Name
r
RESIDENT/OWNER .
-
-
Address / City / Zip. - ? ?6fnLLCnDv-- /? ?ct-nlmr? 55i°ZJ
CONTRACTOR -?
Dan Wohlers Southside Htg. &?,/C License u:?i ?.= 05`- `? ?I $!I
6950 W. 146' St., #106
Anple Valley, MN 55124 state: zip:
(952) 431-7099 -
T
. ,...;tPerson: / wi
TYPE OF WORK -New _?4Replacement _Additional _Alteration Demoli[ion
De?r?ptip?atwork; ?`e1J?C1C?-??,t" fY)-? } QJC> CC??P?I?'-?''
?
? ??a
??
?
? 010
?
?
,
$
• '
,rt,.. ? ?.
PERMIT TYPE RESIDENTIAL COMMERClAL
Interior Improvement
New ConstruCtion
?
_
Furnace _
.')?-Air Condifioner _ Install Piping _ Processed
Air Exchanger - Gas _ EMerior HVAC Unit
_ Heat Pump _ Under / Above ground Tank (_ Install /_ Remove)
" When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESlDENTlAL FEES:
$50.50 Minimum Add-on or alieration to an existing unit (includes $.50 State Surcharge)
$90.50 Flfe r@polf (replace burned out appliances, duclwork, etc.) (includes $.50 State Surcharge)
' $ S?• SO TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank insiallation/removal OR Contract Value $ X1 %
$50.50 Minimum (includes State Surcharge)
Permit Fee
- It Permit Fee is less than $1,000, surcharge is $.50.
- It Permi Fgg is >$1,000, surcharge increases by $.50 for each =$ State SurChafge
$1,000 Permit Fee (i.e. a$1,DOb$2,000 Permit Fee requires a$1.00 surcharge).
TOTALFEE
I hereby acknovAedge that Ihis information is complete and accurate; that the work will be in conformance wiM the ordinances and codes of the City of tagan; mat
I understand this is not a permi[, but ony an appiication for a permi[, antl work is noi to s[art without a pertni[; [hat the work wfll 6e in accordance with the approved
plan in the case of work which requires a review and approval ot plan3.
X ChacL t?ohter 5 =
ApplicanYs Printed Name Apf3licant'S Signature
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,iTY QF EAGAN WATER SEWICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagarr; MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: — Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
} _ Total:
By Date Paid:
Date of Insp.: 4 f Insp.:
CITY N
E
OF EAGAN AGA Road SEWER SERVICE PERMIT
P. 0. Box 21199
Eagan, MN 55121 PERMIT NO.:
Zoning: DATE:
Owner: No. of Units:
Address:
Site Address:
Plumber: -- --
1 agree to comply with the City of Lo9on
Ordinances. Connection Charge:
Account Deposit:
Permit Fee:
By Surcharge;
Dote of Insp.: Misc. Charges:
Insp.: Total:
Dote Paid: