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3132 Farnum Dr PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA090512 Eagan, MN 55122 . Date Issued: 08/05/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3132 Farnum Dr Lot: 4 Block: 02 Addition: Coachman Land Cc 3rd PID 10-18152-040-02 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Lindus Construction Carla J Montouri 879 Hwy 63 3132 Famum Dr Baldwin WI 54002 Eagan MN 55121 (715) 684-4647 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN Addition ?ACHMM LMD CO Owner ? Remarks " - 3RD ADDN Loc 4 Blk 2 Parcel 10-18152-040-02 - street 3132 FARNIIM DRIVfi state EAGAN MN 55121 Improvement Date Amount Annual Years <+-; Payment Receipt Date STREETSURF. ?ss 1983 754.17 150.93 S U0l. Olvr9lo.3 .98s STREET RESTOR, GRADING ?Z- 1983 173.26 34065 5 85 SAN 5EW TRUNK SEWERLATERAL 2 1983 1908.38 381.68 5 '7lv , 0115 WATERMAIN • WATERLATERAL 1983 S WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER ' SlDEWALK STREET LIGHT WATER CONN. 450.00 n n BUILDING PER. 8876 SAC n n PARK CITY OF EAGAN Remarks L:i V"' , j, ', _ Addition COACH14AN LlIND CO 3RD ADDN Lot i Rlk 2 Parcel 10'18152-020'02 Owner Sveet _31328 FARNUMI DRIYE State EAGAN MN 55121 Improvement Date Amount Rnnual Years Payment Receipt Date STREET SURF. 7 9 1983 754.17 150.83 S 452.51 A013951 5-25-84 , STREET RESTOR. ' cR,aoiNC 12- 1983 173.27 34.65 5 103.97 A013951 5-25-84 SAN SEW TRUNK ?/o ' ' • ? SEWERLATERAL 2 381 6g 5 1145.08 A013951 5-25-84 WATERMAIN * WATER LATERAL 1983 5 WATER AREA - ' STORM SEW TRK ` STORM SEW LAT ? CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 450.00 it to BUILDING PER. 8823 SAC 525,00 ?1 tr PARK t;I VY OF EAGAN Remarks ?-='I'?• Addition COAC.kiMAN LAND CO 3RU MDN Lot 3 Blk 2 Parcel 10-18152-030-02 Owner street 3134 FARNIM DRIVB state EAGAN NK 55121 Improvement Oate Amount Annual Years Payment Receipt Date STREETSURF. ?55 7 150,83 5 452.51 A013852 5-7-84 STREET RESTOR. GRADING Z 1983 173.26 34.65 5 103.96 A013852 5-7-84 5AN SEW TRUNK 1YSEWERLATERAL 72 1 8 19o8.38 381.68 5 1145.04 A013852 5-7-84 WATERMAIN • WATER LATERAL 1983 WATER AFEA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. if tt BUILDING PER. SAC n tt , PARK I CITY OF EAGAN Remarks Addition COACWAN LAND CO 3RD ADQN Lot Z Rik 2 Parcel I0-18152-020-02 P_ owner street 31348 FARNUM DRIYB state EAGAN MN 55121 Improvement Date Amount Annual Years ?Payment J Receipt Oate STREETSURF. 155 1983 754.17 150.8.3 5 01.68 A01 $1 -2 -8 STREET RESTOR. GRADING 17-1 1983 173.26 34.65 5 9•31 SAN SEW TRUNK • SEWER LATERAL 11, 763.37 - WATERMA I N • WATER LATERAL 1983 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT 250.00 41937 2-1-84 WATER CONN. BUILDING PER. 8824 SAC n tt PARK Rgceipt MECHANICAL PERMIt CITY OF EAGAN Permit No. Fes Fi/l in numbered spaces S/C Type or Print /egib/y Tot. ?? 71 1. Date 2. I nstallation Cflst ),?L' 0, u J ? 3. Job Address -?TI ,)> ? Lot ? Blk. Z_ Tract ?Lki.c.? m? L 4. Owner ?0,1'e W pOc? 5. Contractor 11 Z l?('?_ ?; ,•? Phone ?? ?? N Y 5^ '1 c'yC? 6. Address !? J* 12 (A ? 7. City State Zip T' + 8. Building Type: Residential F 9. Work Description: New ?5 Commercial ? Institutional ? Add 0 Alter Q Repair ? 10. Describe j_ 't<=J " !P L " " C,' ? FuelType rki s 11. No, Equipment STU - M. Ea. Forced Air No. Equipment CFM Ai H Mfg. r andling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. ? Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with aY rdinances and codes yoverning this type of work. Signed : , T for Rough Final Inspectioi1s- Date Insp. Daie Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Deip• ?.i . PLUMBING PERMIT CITY OF EAGAN fid in numbered speces Type or Print legibly / Permit No. Fee c'.?. w S/C .5c)- TOt. L U • `j o 1. Date 2/.-.-/84 2. Installation Cost v1Jriv1L•1H?+ 3. Job Address 31_JLLB r'"r ? i•i Lot 1 B I k. 2 Tract :.r'L.L jhsc? 4. Owner nU::irriOUll COKP 5. Contractor 6i:nuI,rii?6 Pi,ucI.?i; 1141i Phone 7ab-1100 6. Address ? Whj 1}7t??rAbTU :i'i . 7. City r, LSIN E State ltiur. Zip 55434 S. Building Type: Residential E] 9. Work Description: New.O Commercial ? Institutional ? Add O Alter O Repair ? 10. Describe .iOUL 'r'tti+s°:L 11. No. 2 Fixtures Water Closet No. Fixtures Cesspool/Drainfield , Bath tubs Septic Tank Lavatory Softner ? Shower Well ? Kitchen Sink Urinal/Bidet Other ? Laundry Tray 1 v.>0 ?)i.R?Lll ' Floor Drains 10. yQ 'r,aT?j, Drinking Ftn. 51op Sink Gas Piping Outlets 12. 1 hereby certify, tfial the above infarmation is true and correct, and I agree to comply with a11 orAplnces odes'goyerning this type af work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 i , Receipt PLUMBING PERMIT Permit No. • CITY OF EAGAN Fee _• ,?.. Fill in numbered spaces S/C Type or Print /egib/y Tot. 1. Date 20/84 2. Installation Cost 3. Job Address rAru?,?.l Lot3_Blk. 2 Tract ZU& 3?D 4. Owner 5. Contractor :::'ti ??;l'Ir.::, ?;d:,•:Li.?'.: l.+u Phone 160-40U7 6. Address 7. City b LA ij ???. State :u+ Zip 55L-'34 8. Building Type: Res idential El Commercial O Institutional O 9. Work Description: New E7 Add ? Alter ? Repair ? 1 10. Describe 11. w00D FttAME No. ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield i Bath tubs Septic Tank ? Lavatory Softner 1 Shower Well ? Kitchen 5ink Urinal/Bidet Other ? Laundry Tray ' ,. .. .?...•.:__. ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that.t he above:info tmation is true and correct, and I agree to comply with all ordir) Ances apd CO` des qovPfPning this type of work. Signed : zli.. _ for Rough F inal InSpections: Date Insp. Date Insp. I This is yourpermit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt ? G MECHANICAL PERM17 Permit i11o, CITY OF EAGAN „ Fee Fi!l in numbered spaces SJC Type or Prinr legib/y _ Tot. t. Date 1 B2. Installation Cost s'' :% 3. Job Address ? 1 ? ? t . ?. ? ? ?cf %ti ?• Lot J? Bi? Tract '- 4. Owner 5. Contractor ? } r C ; Phone 'T =' 6. Address 2- e, v 7. CitY State 8. Building Type: ResidentialA-. Commercial ? Institutional ? ? r • ?j 9, Work Description: New--0 Add O Alter O Repair ? r' 10. Describe I "`, o•; Fuel Type !1 c` -r, 11. No. ? Eauioment STU - M. Ea. ForcedAir ' Lvt" No. Equipment CFM Ai H li Mfg. 1 yvr r r and ng: _ h 8oilers 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 01 ordinances and codes governing this type of work. Signed : ." ,.. -- , , ?T??'? r , 1` " for Rough Final InspectW?5s: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464$700 Recsipt MECHANICAL PERMIT Permit No. CITY OF EAGAN ? V Fee Fill in numbered spaces S/C Type or Print legibly , Tot. 1. Date "7T/TC? `1 2. Installation Cosr` i.'; ? ? I-• ,. _ ?1 3. Job Address --'? -)L V' • LotBlk. _ Tract 4. Owner - ':??? 12, <<? r ,.? , ? 5. Contractor Phone 6. Address , 7. City State Zip 8. Building Type: Residential t& Commercial ? Institutional El 9. Work Description: New 6 Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. i Eguipment 8TU - M. Ea. Forced Air No. EQUipment CFM Ai dli H Mfg, r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. = Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ?- for Rough f inel Inspestions: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Reoeipt PLUMBING PERMIT Permit No. •_ ?,; CITY OF EAGAN Fee 2U. UU Fill in numbered spaces S/C • 5u Type or Print legibly Tot. [lJ.SUI 1. Date 2/20/?L 2. Installation Cost 1i l?N wu'A!'L? 3. Job Address _31 jL r Acuvu,'l Lot 4 Blk. 1 Tract ?+:•:.?? ? 4. Owner H()61y'400D i;(; n? " ? ?. 5. Contractor SCHULi1L?:, .°U::bIi'i(i Lw:: Phone 7j6-4007 ? 6. Address 10$41 -?A.+2ixiU ST 7. City rIAI1ii State toi Zip 5743u + 8. Building Type: Residential C? . 9. Work Description: New I& 10. Describe 11. wooD FxMr: Commercial ? Add O Alter 0 Institutional ? Repair O No. 2 Fixtures Water Closet No. Fixtures Cesspool/Drainfield 1 Bath tubs Se tic Tank ? Lavatory p Softner ? Shower Well 1 Kitchen Sink Urinal/Bidet Other ? LaundryTray 1U.50 t Floor Drains . U ??r.. y<. Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify ihat the above jnformation is true and correct, and I agree to comply with all oytiirnces arocd`des rning this type of work. Signed: ??`?==,'% for Rough F inel Inspactions: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 Reoeipt'? MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee L . ,. ? Frll in numbered spaces S/C Type or Print /egib/y ? , Tot. 1. Date 2. Installation Cost 3. Job Address LotBlk. ? Tract L< ?'.1--r,b?-, 4. Owner 5. Contractor Phone ?p l 6. Address P) a X ?? D 7. City ! l(A 4^. State Zip 8. Building Type: Residential p Commercial ? Institutional ? 9. Work Description: NewAdd ? Alter ? Repair ? 10. Describe i'ti (<< U Vr`ue. [ FuelType j?.?,? i'?•S 11. No. E_quipment 9TU - M. Ea. Forced Air ?'5 00 1) No. Enuiament CFM Ai li H Mfg. ?' ? t P Y r and ng: h Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Othe Air Cond. r Mfg. ? Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply wit all ordinances p,nd codes governing this type of work. Signed: ,,tor ! Rough Final Inspe6tions: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 PLUMBING PERMIT - ?S •, CITY OF EAGAN Fi!/ in numbered spaces Type or Print legibly 1. Date 2/20/64 2. Installation Cost lSb vvnl.tu•iM++ 3. Job Address 3132is F/12;.::t•I Lot Blk. 2_ Tract .243m 4. Owner ,iJSr,'ir1{30D (:Of:.' ??.. 5. Contractor I++`u i1.:. Phone 7db-yc?tJ( 6. Address 'f Ck31c? i?:kirr::.TO Lii. 7. City ijLA1i?? State 8. Building Type: Residential b 9. Work Description: NewlO Fee ??. Ji S/C Tot ?J.?•.), Zip 55434 Commercial ? Institutional ? Add O Alter ? Repair ? 10. Describe r:Joi} F'ttAt]r; 11. No. ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield 1 Bath tubs Septic Tank 3 Lavatory Softner Z Shower Well ' Kitchen Sink Urinal/Bidet Other ? Laundry Tray 1 u.yU '• Floor Drains 10.5U Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-6100 Permit No. " ' , s a CITY OF EAGAN N? $82C 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-5700 BUILDINd PERMIT Receipt # " ? Z Te ba wed Eor 1, rJF 4 PL?'X Esr_ vni„P $58 , 000 n...e FEBRUARY 17 84 SiteAddress JiJiY ?aziu??t•i Lot 2 Block 2 sft/Sut Percel No. 1 O-181 S 2- d 2, W NarnB ROS.LWOOD = Address 170.) W. I ? City 'ZOSP.VILLE phone C? Name SAM7?, ?? Address 1- City Phone ?? Name ?W _? Address ? W City Phone 1 hereby acknowledge that I have read this opplication and stote that the information is correct ond ogree to comply with all applicoble Stote of Minnesota Stotutes ond City of Eogon Ordinances. Zoning Fire Zone _ Type of Const. * Starles _ Ft. Water & Sew. Police Fire Eny. Plonner Countil Bldy. Off. APC Permit • 0 Q 29 5urcharge ??50 Plon check._.?00 SAC Water Conn, 450.00 Water Meter 6 3. 0 0 Road Unit 250.00 Total Sipnature of PeRnittee I A Buflding Pertnif is issued to: on ths express condition thni oll work sholl be done in occojplarxe with all ,oppljcable Stote of Minnesota Statutes and City of Eapon Ordinances. Buildinq Officiol ` ?':?` - - Erect ]a , COACHMAN LAND 3 Alter ? )-02 Repofr ? Enlarpe C(?RP. ? Move El M. RD. II . Demolish ? 636-8057 Grade n Permit No. Permit Holdsr Misc. Permit No. Holder 0 ?? ell Disp. Sewer E"ctric L ' c ? 8? 3 7. S a 44Z:r Inapection Date Insp. Other Footinpc ? Foundation Freminy Rouph Plbp. / -? ? - 2 Z • Rouph HVAC Insulation Final Plby. Final HVAC Final ? Wstsr Dascribe LoCation: V4ell Sewer Pr. Disp. QUILDING PERMIT To 6o wrd for I OF Site Address 3 -- 34' F Lot ? Block 2- Percei No. ae Name ROSF,i, 3 Address 1790 b city iZOSEVILI =o Name ?? Addrass ? City ? uW Name Address V ar Z. City I hereby acknowledge thot 1 hove read this opplication and stote that the inlormation is oorrecf and agree to comply with oll appliCCble Stote of Minnesota $tatutes and City of Eagan Ordinonces. Siynoture of Pertnittee /1 euueing aem,it Is issuea ro: all worlc shall be done in occordonca with ollo iaobla State of MIr Buildinq Offitiol ?-., .. . -• - . ?.. CITY OF EAGAN ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?TO 8823 PHONE: 454-8100 Receipf Pertnit ? • 0 0 Surchorpe 29.00 Plan check 153.50 SAC 52-5--.00 Water Conn. 450.00 Water Merer 63.00 Road Unit 250.00 rorol $1,777.50 on the express conditlon thni Stotutes ond City of Eoqon Ordinances. Erect ? Occupancy ?3 /11ter ? Zonin9 TIU Repoir ? Firo Zone T':fA Enla?Qe O TYPe of Const. Vri Mova ? # Stories 4 6 ? Demolish ? Length Grade ? Depth 26 i Sq. Ft. Assessment Water & 5ew. ? Police Fira Enp. Planner Counti I Bldy. Off. APC Psrmit No. Pormit Holder Micc. Permit No. Holder Plumbing H.v.a.c. + Z xf ?.5 ?y ?1 G_ ? n w.u Wat?r Disp. Savv?r Elsctric Aa7V A (`? („ bjg 37• Q Inspaetion Dste Other Footinys Found ation l Fnminp F Rouph Plbg. e.? Rouyh HVA Inwlstion ? p Final Plbq, Final HVAC Final - ? Water Describs Location: • , YVell ? Sswsr Pr. Disp. ? BUILDING PERMIT Site Address n Lot Parcel No. _ CITY OF EAGAN ?T ? 882? 3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1\E PHONE:454-8100 J Receipt # ILLX 00 Erect 6 Occupancy R3 Alter ? Zoning PD Repair ? Fire Zone N /A Enlarge ? Type of Const. Vri Move ? # Stories Oemolish ? ? Length Grode ? Depth Sq. Ft. W Name l?voLrvv? L? ?vnr . Z Address 1711 W. CTY. Ri]. D 9 City ROSENIILLF;phone (7,36-8050 dx J?S.?'IT' . o Name ?? Address ? Citv Phone WW? Name H _? Address u ?W City Phone I hereby ocknowledge that I have read this applicotion and state thot fhe information is torrect ond cgree to comply with oll uppliccble Stote of Minnesota Stotutes cnd City of Eagan Ordirwnces. Sipnoture of Pem'iittee A Building Pertnit is issued to: all worlc shotl be done in accordonce with aIl applicable State of Mir Buflding Officiol ? Asseument Water & Sew. Potice Fire Eng. Planner Council Bldg. Off. APC Permit 'r 317 • 00 Surchorge '1 9 • 0 0 Plan check)T-. 54 SAC ___5777. (' 0 Water Conn. )0.00 Woter Meter - .S . l10 Road Unit __7 770 0 Total ? r 50 _ on the expreu condition thni City of Ea9an Ordinonces. • . , rw . Permit No. Permit Holder Misc. Permit No. Holder Plumbing ? • 5 2 a H.v.ac. x ?rv w.u Wster D'?sp. Sawar Electric IVIL /?[ riG ?C 31••ro Inspection Date Insp. Other Footings Foundstion Freminq Rouph Plbq. ?, .g . 7 2 ^ T' Rouyh HVAC Insulation Final Plbg. . S ? Finat HVAC ? Final r Describe Location: L Di p. , _ . BUILDING PERMIT CITY OF EAGAN NO 5824 3830 Pilot Kr?ob Road, P.O. Sax 27-199, Eagan, MN 55121 . PHON E : 454-8100 r? Receipt # C? ) ? l SiteAddress 31--1L"rH2t1VUm u2t1Yr. Erect 2 1 Xj Occupancy sec/Sub.COACHMAN WD 3 Alter Lot elock ? Zoning _ Parcel No. 10-1 41 52-01 0-n2 Repair Q Fire Zone _ Enlarge ? Type of Coi W Name ROSLS'70C?I) CORP _ Move p # Stories . 3 Address 170(l W_ CTY. RD - B perrqlish Lenyth 4 E b n:.,, RF1C1W17TT.T_F o?__., r,1l.-AAr[1 7F A Name _ ?? Addr?s ?- City - ?w Name _ ? _? Address Uaz L„ City - Phone 1 here6y acknowledge that I hove read this npplicotion ond stote that the inlormnfion is correct and agree to comply with cll opplicable Stqte of Minnesota Statutes ond City of Eogan Ordinonces. Siqnarure of Perrnittee A 8uilding Pemrit 1s issued to: RO ` ull work shotl be done in ac,Fordante witl Buitdin9 Officiol Assessment Woter & 5ew. Police Fire Eng. Plonner Councif Bldg. Off. APC Permit ? -5 U / _ UtJ 5urchorge 29.00 Plan check 15 3. 5 0 snc 525.00 Water Conn, 4 50 . OQ Water Meter 63.00 Rood Unir 2 51-Q 3 TMoI on the express condition thm of Mlnnesoto Stotutes ond City of Eo9on Ordinonces. Permit No. Permit Holder Misc. Permit No. Holdar Plumbing H.V.A.C. Woll Watsr Diap. Sewer Eleetric Z 7' d ` 37 CJ Inapection Date Insp. Other Footings $ ? Foundation Framing Rouph Plbg. Rough HVAC Insulation Final Plba Final HVAC Final ? Water Dascribe Location: YVelt ? Sewer Pr. Disp. ? INS CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 I (612) 681-4675 ON RECORD PERMIT TYPE: Permit Number: Date Issued: Fi 1 r t I 10 t Nfs 0 : 140 t3 1 06j :' k5 /1Ei SITE ADDRESS: 1111 1 •:0 r, ; r?f rl,lrr l1{t I 1.1a1 liMAN 1ANII I II WI1 PERMIT SUBTYPE: , I I i i t I TYPE OF 1NORK: tif ;t. k t Ny I iIkN knllt;tl.• 114 ,. ?. - -. -. ? ? ? - - - ---- f t MA1 ,• ? i ,,, , APPLICANT: ii !: 1. s iIi ,II+: rdF R ir.i:'? 634 104.' I rt c M! LJ F;A', t ;? ) Permit No. Permit Halder Date Teiephone 8 ELECTRIC PLUMBING HVAC Inapection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE ?r?f• ?f/? ,QW J,t/a fk dGne. 5ti ? a A R TESTCE ej FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. 9SMT FINAL DECK FTG DECK FINAL 2. 19 - 034 0 r/?? / LV This mqoesfwid 78 manths fmm volidatian dole prin/ted? in Mis bov / V C.L?D ?.? ? /D ? ?j O ? ? PLEASE PRINT OR TVPE { O ReQUesf Dote Rough-in inspMion required0 ? Yez No Ins Mion Other Than Rough-ln: 0 Ready Now 'll Coll c-o --) -q Lp I (Yoo must mll the inspecror when rcady? Date Ready: I, licensed mnhactor Q owner hereby requesf inspection of ihe above elecirical work at loblddreu (Skeet, Boa, or koWe No.) • Ciry Zip Gade M n v h Sedion No. I Township Name or Na. Range No. Fire No. Caomy Occ? ant ? iof)3ne No. - o ? Power oppller Addresz Elacincol Co`harnr (Com?pany N?a]me) 1 ?/? ?` { I 5 `--+ " i G? 1. W? I 7 I. Conlmdor Gcense No. cAooqo(p Maskr 6c Na (Plont Elect Only) Moiling ?ss Com tlororOwnarPeAormingllanon? Z . I ? 10 7 N .need Au R gna (ConimtlerPnsi/ pllano Eb,ne_No. 3 ? EB-000O,lA'10 6/ ?y V%STATEBOANDCGPY- SEEINSTRUCTIONSONBACKOFYELLOWCOPY REUUEST FOR ELECTRICAL INSPE ? w.. I I I?I ?I I I II I II? Minnesota State Board of Elechicity ??f?/r? ? I 18P?Z ersity Ave., Rm?X I, St.???y?? N 55104 ? * 9 17 3 4 3 s iz)sax-osoo 'I"l4l Fiome pf. Bldg. Other: New Addn Commercial Indusfrial Fartn Remod Re air Air Cond. H}g. Equip. Water Htr. Load Mgmt. Other: D er Ron e Elec. Heaf Tem . Service "X" abare fhe work covered by this request. Enter remarks in this space and on the back of ihe while copy only. W?ire? ?ct5 C+alculate Inspection Fee - This Inspection Request will not be accepted without the correcF fee: OHier Fee #E Service Enlrance S¢e Fee 8 Cirwils/Feeders Fee Mo611e Home Park Stall 0 to 200 Amps 0 to 100 Amps ' Sfreet Ltg./fraffic Sig. Abave 200 Amps Abov 00_Amps Transformel/('ienera}ot INSPECTOP'SUSEONLY TOTAL , Sign/Outline Lfg. Xtmr. Alarm/Remote Confrol $Wlmminq Pool I hereb mnif thot 1 ina ecxd ihe elMnml in esuibed h<rcin on the daks sroted Irrigofion Baom ftoo9bin Oaro S ecial In eciion p sp I Invesfigative Fee Fin r? THIS INSTALLATION MAY BE OHDERED DISCONNECT D IF NOT COMPLETED WITHIN 18 MONTHS. M ?? oa z, i-7_yy 3? so 77R L3. I32. L',s?cNn,d_JI.AwJD3aD (h Se9 /y ?( Fire No. NauPh-in Inspec[inn fleqwre > ?Reatly Nuw ill NntifY InsPec- S? U ? Cl NO tor Whan Heady d ElecVic;al Conlnctor 1 heraby repuest inspection of ebova . elechical work installed at: - u .I ul I '.u I iownsmD rvame or rvo. rcange ryo. County Oyy pan[ (PRINT) L Ph e No. Kl?SEweo ?.0?1 s7 ? Power Supplier Address ? ?? ` ?? ? Elecvi Cnr?clor?s_4.iUnse No. Mailin0 Add?re?'ss?unirVokq Qvprtp?hla a• ? T2 ?'91,1..L. a I MINNESOTq STATE BOAPD OF ELECTqICITV THIS INSPECTION NEQUEST WILL NOT Griqgs-Midwey BId9. - Room N-191 BE ACCEPTED BY THE STA7E BOARD 1821 Univarsity Ave., St. Paul, MN 56106 UNlESS PqOPEP INSPECTION FEE IS Phorie (812) 297.2117 ENCIOSED. ? REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa w:- ' See insimc?ions (or completiag this fwm on heck ot vallow copy. "X" Below Work Covered by This Request Tvpe ot 9ui1tlln0 Hoine Duplez ApOliancee Wired Range Water Heater Equiument Wired Temporary Service Lightiny Fixtures Apt. 9uild Dr r Electric Heatin Cominercizl Bldg. umace Silo Unloader Industrial Bldy. Air Conditioner Bulk Miik Tenk Farm otner peolv ther Isocdivl t o ueci(y Other Other ompute lnspection Fee Below # Fea SarviceEntrancaSize # Fee ieeders/5ubfeetlers. M Fee Circuits 0 to200qm s 0 io30Am s Oto30Am Ahove 200 qrn>s' 31 to 700 Amps 37 to 700 Am s Swinuning Pool Above 100_Amps Above 100_Amps Transtormers Irrigation Booms Partial-'Other Fee Signs Speciallnspec[ion $ TO Nerr?rks E ? s ?? Fou9h-in Doto the ' X Lj?(?? ?74 j' Insoectoq he?aby certity Nat ?he above Final • /' D : t y / b ? mspection has been "? ' I? :d ? 'd' made. llHS requeat voitl 18 montM19lrom nni 1hs from Z. 'd . ?-1 2 777 BZ,Cna? WMd) ,J [qa.n 3'?0 pQq Date Y ' / 51 g Pire No. Rouqh-in Insutct lon Aoamr d? Dfieatly Now ll? li Noiifv Inspec- tor Wh F e;n eadY ULt,ere.nsed Elecvical ConVactor 1 hereby request inspection ot above ? Dwnm electrical work installad aY Streai Address, Boz or Ro re No. 313 ?, ? C'rv ecuon o. I Townshio Name or No. Ranye No. Covnty ? Ocr nt(PpINT) a sr-woao ?' s Phone No. ? / - 3as Power S. p er , S, . Atldress /y/ X r.tt EL, G- El?dfp[C F??'{??tf.'I'Ran Name)IC $L. Cunvactor's License No. Mailine o ?rpg,?yV?111 aLy? n{??y?1 lationl R . 1VH1Vl ' , ?i? Authurized SienaWre t A h - lationl Phone Number 3 7?S 0 qiso' MINNESOTA STATE BOAFD OF ELECTflICITV THIS INSPECTION PEQUEST WILI NOT Gri99s•Mitlway Bldg. - floom N-191 _ BE ACCEPTED 8Y THE STATE BOABD 1821 UniversitY Aye., St. Paul. MN 55106 UNLESS PHOPER INSPECTION FEE IS Phone 1612) 297.2117 ENCIOSED. L? ?y REQUEST FOR ELECTRICAL INSPECTION Ee-oocwi-oa ? Sea instrvctions for comoletin9 this (orm on back of yellew coOV. pp'? /777 "1f" Below Work Covered by This ftequest (U dd Rep. - TyOe oi Builtling ApPlinnces Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt. Building Dryer Electric HeaLn Commercial Bldg-.- 1,1 Fumace Si!o Unloader Industrial BIAg. Air Conditioner Bulk Milk Tunk Fyfpt Other peci v Orher(SOeci(y) thnr SUecify Ther Oiher Coinpute Inspection Fee Belaw # Fee ServiceEnhenca5ize N Fae fxadars/SubteeAers N Fee Circuits I• UlNU I/atiove Gw qmosl I I:il to l0U qnms 1 i I t".'/p 1 31 to 70C Amoc i ° 53`d {?<?• ?? y ? J .thaElecVical Inspectoq herehy Final . ? ? D;rte ? I certify that the above i nsDec[ion has 6een ? ? ? matle. This request vaid 18 monffis fmm . , 5 i Wcensed Elecnical C ? Owner 3 t.sb Mmq,J 4AND 2L"- yis69 IQfleatly Now]J-Wfll NntifY. Inspec- ?rya Ior When Ready I hereby requast insOection ot above electrical work installed at: Streel AAdress, Box or Raute No. 313 CiN Za.,tJ ection o. ownship Name or No. Range No. County Od ant IPflINTI Ph ne No. L ? ?sf 3 / , 3a;' Power SvpDlier Adtlress S, 114 EtiL Elec[rical Cont ecl9( ?Ipo l! Contractor's License No. +? KEirii SI:R ? 7 7 Mailing AtlJress IC o d M tailo[ipn?^ 1 ? 5 G LEY, MN , Authorized Si onuactor Owner Makiny histallatfonl Phnne Number t ,Bz, Fire No. MINNESOTA STqTE?A9DAFe?EOTRICITM' THIS INSPECTION REQUEST WILL NOT ?'+/ig9s-Midwgy,BYdg; = Aoom`N•191 BE ACCEPTED BY TME STATE BOAPD 1821 Universiiy'AVe., St"Paul, MN 55104 UNLESS PFlOPEN INSPECTION FEE IS Phone (6121 297-2117 ENCLOSED. 'Z. "/? ^??I REQUEST FOR ELECTRICAL INSPECTION dft EB-000?0I1-04 .,?? ' See instructions far completing this torm on beck of yellow capy. A 4?I ?( b "X" Below Work Covered by This Request dtl Bap. Type ot Builtling Appliances WireO Equipmant WireA Home Runge Temporary Servlce Duplex Water Heater Y LiGhting Fixtures Apt. Building Dryer Bectric Heztin Commercial Bldg. urnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm DI nai Speci(v othe. IsPnN?v) tier ISUeci/y ihcr Olhcr Comuute lnspectron Fee Below tl Fee Service Entranca5ize N Fea Fextlers/5ubfee.tlers n Foe Circuits 0 to 200 Am s 0 to 30 Am 15 0 tn 30 Am s Above 200 qmps 31 to 100 Amps ? 31 to 100 Amps • Swimmin Pool Above 100_Am s . D Above 100_mps Transiormers Irrigation Boonis Partial-'Other Fee Q,p Signs Specialinspection 15 T Remarks 9•00 5 RouBh-in Date ? el ?^specto?, hereby cartily that the aDOVe Final D'nte spection hes been made. ttiis reoueal voitl 18 months trom This repuest void 7'J' 7 -yy ? ? ? ? S?'r7V 18 monNs from A: "2 5' 7 9 C2?F?Z, CoAc.Hmqnl 3?0 ?'lSdf LA40 Requeyt Date ? 1 g Fire No. Pnuph-iilnspec[inn flepu red? ?ReaAy Nuw [?.?7i11 Nolify InsVec- [or Wh n fl A ?No e ea v LLTLicensed Electrical Conlractor ? O I herebV repvnst ins0ection oi ebova wner electrical work inst alled a[: Street AAtlress, Box or Route N. 3 3 14 Ciry 9 ? W ? 3 ah-? 14-4. ? 4 A/ ecpon, n. Township Name or No. Ranyc No. County ? Oc pan11PRINTI a s? '0 Phone No. Power S Pplinr Atltlress /? , ?, x WL Elec[rical CYEffi',?(?ye?y?Pl,yn?iE?. i. i?/"P}?T/'v t? rri. ic.. x?a? Conhnctau's License No. . ? 0 9 MailinB Address 1 r gy MN 55124 Authorized SiOheture IConnactor Ownor Makiny Installationl Phone Number . MINNESOTA STATE 90ANO OF ELECTRICITY - THIS INSPECTION REQUEST WILL NOT Grigga-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOAXD 1821 Univarsity Ave.. St. Paul, MN 56104 UNLESS PflOPEN INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ?- ee-ooooi-oa w, ' See instruclions for complatin9 this torm an 6ack ol Yellow copy. 12 ?O p_ 7? '"X"' Selow Work Covered by This Request J Add Rep. Type oi Building Appliancas Wired Equipment Wired Nome Range Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt.Building ryer EtectricHeatin Commercial Bldg. Fu mace Silo Unloader InduStrial Bldg. Air Conditioner Bulk Miik Tdnk F2YITt ther .paaFY Oiher ISnecifYl t er ISUOCI(Y Onc,,r Othor Compute lnspectron Fee Be/ow k Fee Service EntranceSize H Pee Faeders/Svbfeeders b Fe 0 to 2D0 Am s - 0 to 30 qmPs Above 200 qmUy?, 31 to 100 Ainps e6d Swimming Pool Above 100_Amps Transrormers Irrigation i3ooms Signs Special lnspec2ion ST TO L FE Re3rks 9 E ? ^? flwgh-in Fn? D/a/e I. t ' al p Inspectoq he?eby ? certify that the above Final Fte??'(,{ inspection has been f 1 ? madB. ible reuuea\ voitl 18 manNS Irom This reVUest wid 1y'95 a-( 1 ? c 67149 sfram „P J"' o E? 9epuest Date Pire No. poupp-in Insper.uon fieq red? Ready Now iII Nouty., Insoec- ? ` ? es ?Na ?or Wh¢n ReadV ?lic¢dsed EIecUiwl Contracmr . 1 hareby repues[ snspecHOn ot above Owne, . elactrical wark im"lled ae:Grigs-YidweY B;dg??Room•N-181 ?yBE ACCEPTED BV THE STpTE BOARD 1821 UnirersiiY Awe_, SL Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phunq (612) 2972117 ENCLOSED_ . REQUFST FOR ELECTRICAL INOCTION AV% Ee-°°°°'-o+ ' , See irotruetip?s fw covmbting this tvm m baek of yellor coDV• ? 1145 "X'" Be/ow Work Covered by This Fequest ?. PM .Addl MeD- Type o1 BuilCing AOOliamse WiraJ EOuiVinent Wired HOme Range Temporary Service Onplex Water Heater Lfghting Fixmres Apt Building Dryer ElecVic Heatin Goimnercial Bldg. Furnace Silo Unloader Indus[rial BIAg. Air Corditioner Bulk Milk Tank Fartn tner Dau v tnc? ISacciNl ?Mr SVeci y O[her Othcr Cwnpute Inspeciron Fee Be/ow • Fee ServiceEnrtranro5ize N Fae FaedersB?bfaeders # F.c Circuits 0 to200Am Anitis Otn30Am s ve 200 qm - 37 to 100 Amps 31 to 100 Amps ing Pool Ahove 100-Amps V Above 100_Am ' ormers Imgtion Boorts Partial.'Other Fee Sigis Special Inspec[ion TOTA Neeerks L EE G?l ?U Ibuph-in Da[e , tha Elec ? „?? ? InspecWr. heraDY itv I het the above Firel - ? inspection hos baen F ' / ? made. Thy ?apumtYOid 18mmoa ham CITY OF EAGAN N, ? 8825 3830 Pilot Knob Road, P.O. Box 21•799, Eagan, MN 55121 PHONE:454-8100 BUILDINC, PERMIT Receim # js To be wed ior 1 OF 4 ILEX Est, yalue $ 58,000 Date FEBRUARY 17 , ?984 SiteAddress 3132 FARNUM DRIVE Erect ? Occupancy R3 Lot 4 Block 2 Sec/Sub. COACHMAN LAND 3 qlter ? Zoning PD rarcel No. 10-18152-040-02 Repoir ? Flre Zone -N,/A W IN,m, ROSEWOOD CORP. z o.ddress 1711 W. CTY. RD. B 9 city ROSEVILLEphone 636-8050 Name SAME d Address ?- City Phone ?w Name _0 Address ?W City Phone I hereby acknowledge that I have read this opplication and stare that fhe informofion is wrrect and ugree to wmply with oll aDPlicable State o{ Minnewta $tatutez and Ciry of Eagan Ordirwnces. Sipnoture of Permittee A Building Permit is issued to: oll work sholl be done in acco Enlorye ? Type of Const. VII Move ? # Stories Demolish ? Length 46 ? 6rade ? Depth _26 ? Sq. Ft.- Aoororais Foea Assessment - Woter 8 Sew. Police - Ffre Eng. Plonner - CounNl _ Bldg. Off. _ APC Permit S 307-00 Surchorge 29 . 00 rian check 53.50 snc 525.00 Water Conn. 450.00 WoterMeler 63.00 Rood Unit 250.00 7'orol $1,777.50 OD on the express condition Ihnr Stofe of Minnewta Statutes and City of Eogon Ordinances. Building Official CITY OF EAGAN , 3830 Pilot K ?T nob Road, P.O. Box 21•199, Eagan, MN 55121 1?I ? 8824 PHONE:454-8100 ? BUILDING PERMIT 2eceipt # 7 Te M und b, 1 OF 4 PLEX Est, yolue $58,000 Date FEBRUARY 17 . 1984 Siteqddress 3132B FARNUM DRIVE Erect X) Occupancy R3 Lot 1 Block Z SedSub.QO ACHMAN LAND 3 Alter ? Zoning PI1 Parcel No 1 0-I 81 52-01 0 -02 Re oir ? Flre Zone N/A . p V E l T f C t ri n urge ? ype o ons . W Name ROSE WOOD GOR P Move ? $ Srories Z ? Address 1700 W CTV RD S pemolish ? Length 46 City TZ ? . M?? TT? nS T?FPhone Ft 536-805f) Grode ? Depth 26? Sq .- . ? $AME Approrals Feef oO ? u4? ? Name _ Address City _ Phone ?w Name ? Z x 0 Address 1 ?W City Phone I hereby acknowledge that I have read this application ond stote that the inlormotion is correct and a9ree fo tomply with oll opplicoble Sfafe of MinnewM $totutes and City of Eogan Ordirwnces. $ignoture of Pertnittee _ A Buiiding Permit Is issued ull work sholl be done?n>e Buildirp Officiol L? Auessment Permit yS 307,00 Water 8 Sew. Surchorge 29.00 Police Plan check 153.50 Fire SAC 525.00 Eng. Water Conn. .450i00 Plonner WaterMeter-f2.3.00 Council Road Unit2.sn - 00 Bldg Off . . APC Total ? ' . U ROSEWOOD on the express wndition Ihni : wit}(JIl_qpptisable State af Minnewto Stotutes ord City of Eayan Ordirwnces. CITY OF EAGAN Np gg,,?s 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - PHONE: 454-8700 BUILDING PERMIT ReceiPt # l 3 To ba wed fer 1 OF 4 PLEX EO Value $58,000 DOfe FEBRUARY 17 jq 84 SiteAddress 3134B FARNUM DRIVE Eract Occupancy R3 Lot Z Block 2 Sec/Sub.C'OA .HMAN T.AND I Aiter ? Zoning PD Parcel No. 1 0-1 81 5-0 0-0 Repair ? Fire Zone N/A Name ROSEWOOD CORP. Address 1700 W_ ('TY _ Rn _ R_ citv 1Z0- •VTT.T.F phone 616-80.?? r Neme $AME ?? Address r City Phone r'°C Name t2_Z Address 10 -4uZi City Phone I hereby ackmwledge ihot I hove read this opDlicotion and stote that the inlormation is correct and ogree to comply with all npplicoble Slote of Minnewlo Statutes and City of Eagan Ordinonces. Signature of Pertnittee _ A Bullding Permit is issued to: oll work shall be done iy.4cco Bu7ldfng Official L-11 Enlorge 0 Type of Const. VII Move O # $tories Demolish p Length 46, Gmde ? Depth_ZE?_Sq. FL- Approvals Feea Asussment _ Water & $ew. Police _ Fi.e Erp. Planner - Cquntil _ Bidg. Off. _ APC Permit $ 307 _ 00 Su.chor9e 29 • 00 Plan check 153.50 SnC 525.00 Water Conn. 450.00 Water Merer 63.00 Rood Unit 250_00 Total ?? 7 7 7 1)1 on the expreu wndition ihat Sfote of Minnewfa Statutes ond Ciry of Eagun Ordinonces. BUIIDING PERMIT Name _ Address City - Te ba wed ior 1 OF 4 PLEX Est Value $ 58,000 Dare FEBRUARY 17 19 84 . SiteAddress 3134 FARNITM D RTVE Erect ? Omuponcy R3 Lot _3_ Block z SedSub. ?' nACHMAN T.AN II 3 Alter ? Zoning PD Parcel No. 10-1815"00-0 - Repair ? Pire Zone N/A Enlarpe ? Type o4 Const. Vri x Name ROSEWOOD CONST. CORP. Move ? # Stories = Address 1700 W. CTY. RD. B Demofish ? Length 46' ? City ROSEVILLE pho,e 636-8050 Grade ? Depih26 ' Sq. Ft.- ? cnnnu AoVrorols Fees 0 Zu V? H GITY OF EAGAN ?T 3830 Pilot Knob Road, P.O. Box 27•199, Eagan, MN 55121 iV ? 88Zi PHONE: 454-8100 C?j ? Reteipt #` ? ` ,?33Z.--- Phone .1._.. Address .. ? City Phone 1 hereby acknowiedge thot I hove read this apPlication and stote that the iniormation is correct and ogree to wmply wifh all opplicoble Stote of Minnewta Statutes and City of Eogan Ordinances. Signoture of PermiMee A Building Permit Is issu all work shall 6e done if Assessment _ Water 8 Sew. Police - Fo-e Eng. Plonner - CouncH _ Bldg. Off. _ APC _ Percnit8 30 7•0 0 Surcharge 29.00 Plon check153?_50 snC 525.00 Water Conn. 450 . 00 WaterMeter 63.00 Road Unit 250.00 Total 51,777.50 _ on the express conditlon that State of Minnewta $tatutes and City of Eagon Ordinances. _Buiidinp Officiul _(,? Q7)4?P CI'I'Y OF EAGAN BUILDING PERMIT APPLICATION 7.b Be Used For Valuation sita Address J/39 1?a--Z? °.v IAt _q B1oCk ? S2C./Sub. Parcel #: I U " I?I S Z' UYU -'c? Owner: Address: City/Zip Cocle: Phone #: Contractor: 2??P cunn rQ C000R Address: _ / 7 / / f,c) (?,a" 1?d 8 City/Zip Cocle: RoSe U, //P y dl.(J Pnone #: (03(0 ' 'Posa Arch./Ehg.: Address: City/Zip Cocle: Phone #: Include 2 sets of plans, J5 'P'? 1 Gertificate of Survey °&.?as 1 set c£ energy calculations. ' Date -T OFFICE USE ONLY Erect Occupancy z Alter Zoning Repair Fire Zone Ehlarge Type of Const. Move # Stories Delmlish Front lo ft. Grade Depth ft. Assessments Permit ? Water/Seaer Surcharqe o"L , Police Plan Check C Fire sAC Sa s' Eng, Water Conn. cj S0 - Planner Water Meter 63 .. Council Road Unit a s p - Bldg. Off. APC =au. /, 7 7 7,-5-6 CITY OF EAGAN ! 'Ib Be Used For BUILDING PERMIT APPLICATION Valuation Incltxle 2 sets of plans ,JZ) ' y"y -- 1 Gertificate of Survey '&. ipoZ ? 1 set c£ energy calculations. Date a / 0 site Pddress 31302 ?3 au?e oFFzce osE orrLY 10 Lot ? Block v2 Sec./Sub. ?'i„•.? 4.0 Q?-Erect OccuAancY Y. ? Parcel #: Alter zoning P. Zo Owner: Address: City/Zip Code: Phone #: Contractnr: wOJG iuoo G? C[1 R P Address: ? 7/ / W C° ?A?l RcQ B City/Zip Code: Rose c+; C L c! ?m.0 Phone #: 6.36 ` b'OSD Arch./IIng. . Address: City/Zip Code: _ Phone #: Repair Fire Fnlarqe _ 'iype of Const. Vr, Nbve # Stories?--- Demlish Front y (o ft. Grade Depth 2 / ft. APPROVALS FEES Assessments Permit 3 U '2 14ater/Seaer Surcharge a 5_ Police Plan Check •S a Fire SAC 52 glg, Water Conn. ? Planner Water Meter council Road vnit aS70 - Bldg. Off. AFC TOTAL /, 7 77•.50 `7YLk? s CITY OF EAGAN BUILDING PERMIT APPLICATION To Be Used For Valuation _ site Pddress y a z DiLiZe, Lot a Blocx sec _/sub. vqo-,?? '3 ^-? Parcel #: /o-r?)sz-dz-d-dz- Owner: Address: City/Zip Coc1e: Phone #: Contractor: ` Address- City/Zip Code: Phone #: Arch./Eng.: Address- ' City/Zip Code: Phone #: iJ Include 2 sets of pl ,?S ? 1 Gertificate of Survey 1 set c£ energy calculations. _ Date heq, oFFzcE usE oNLY Erect Occupancy e3 Alter Zoning #,0 Repair Fire Zone A41/j- Enlarge _ Type of Const. T'bve # Stories Decnlish . Front ft. Grade Depth ft. APPROVAT.S FEES AssessRnents Permit p 7, ?9ater/Sewer Surcharge a - Police Plan Check J S,3. ,5 ? Eire SAC (?,?, -- IIng. Water Conn. ysn _ Planner Water Meter 63.- Council Road Unit a SU - Bldg. Off. APC TOTAL /i 7 77 ,S -b ? _BeePe2 A Z/ 5?.2 -?T..?sS - jo? .YLC?-' 53 V - ? 03 9 CITY oF EACAN BUILDING PERMST APPI,ICATION e- p- g-? 3 Include 2 sets of plans, 1 Certificate of Survey & 1 set of_ er.erc3y cal.culations. To Be Used Far ( q 4- V Valuation s$, U(fO Date ;? /-/o //y Site Pddress: -32341 OFFICE USE ONLY Lot 3 Block 2 Sec. /Sub. ><,r y43 n-sl-Erect Occupancy 3 Parcel #: 1 U -(8 ?.r'.?^L - O?J Alter zoning Repair Fire Zone Owner: Enlarge _ Type of Const. Vp Nlove # Stories Pddress: Deniolish Front ft. City/Zip Code: Grade Depth Z d it. Phone #: Contractor: X20Se-u.o06 C'oeP Address: / f00 w Coc,i,?V R'?( (5' City/Zip Code: /?aSeUittF /17.cJ 5.i Phone #: (0 3 (v = (30S D Arch./Enq.: Address: City/Zip Cocie: Phone #: APPROVALS FEES Assessments Pennit 00 ?! water/Sewrer Surchan7e ,29 Police Plan Check r`/ f} Fire SAC 5-2 S ° v Eng, Water Conn. 4- D oa Planner Water Meter ? Council Road Unit ? gn r Bldg_ Off. ? ? P.PC ? nYPAL " 2004 RESIDENTIAL BUII,DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagau MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Q 3---7 q _--I '?;- New Construction Reouirements RemoCeVReoalr Reouiremen4s Office Use Oniv 3 registered site surveys showirg sq. tt. W lot, sq. ft. ot house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20% maximum bt coverage allowed) 1 setof Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N. 2 copies of plan showing 6eam & window sizes; poured found design, efc. 1 sde survey for additions 8 decks Tree Pres Required _ Y_ N 1 set of Energy Calculations Addifion - indicate iforrsde sep6c syslem On-sife Septic System _ Y_ N 3 copies of Tree Presenation Plan it lot platted aRer 711/93 Rim Joisi DeMail Options selecfion sheet (bldgs with 3 or less units Date ?' Construction Cost ?5 Site Address ' `r'(j, v V,?' w_ - UniUSte il Description of Work , Multi-Family Bldg _ Y_ N Firep ace(s) _ 0 _ 1 _ Property Owner ' Telephone # ( ) ' ' ? r r CORh ACt01 Address City State Zip 5-')0 -31 Telephone #((??' V (y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventitation Category 1 Wwicsheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calcuiations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residenfial 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 pemuT, but only an applicaYion for a permit, and work is not to start without a permit; that the work will be in accordance with the approved in the case of work which requires a review and approval of plans. Applicant's Pri d Name Applicant's 734,a 2006 RESIDENTIAL BUILDING rExMIT arrLIcaTioN City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdlon Reauirements 3 registered site surveys shawing sq. ft. of lok sq. R. oF house; and all roofed areas (20Y maximum lotcoverage albwed) 2 copies of plan showing beam & window sizes; poured found design, eh. 7 set oi Energy Calculations 3 copies of Tree Preservation Plan if lot plaried after 7l1193 Rim Joist Detail OpGons selection sheet (buildings wiN 3 or less units) M'mnegasco mechanicai ventilafion iorm RemodeVReoair Reauiremenls __ . OKce.Use:OnN 2 copies of plan showing foofings, 6eams, joists Cert of Survey Recd _, Y_ N 1 setof Energy Calalations for heated additions Tree Pres Plen Recd _Y _N, - lsitesurveyforaddiCrons&decks TreePresReqwred _Y N Add'dion - indicateilonsifeseptlcsystem OnstteSepticSysiem _Y N Date Site Address Construction Cost o c-? Unit/Ste # Description of Work liCcc?•'., - / ?•;? vLf %G ? ?` w"f`?'^ ?° ?o ci ? Multi-Family Bldg ? N Fireplace(s) _ 0 _ 1 _ 2._3 Property Owner Telephone # ( ) Contractor ` ?'-?? ? ,P?ac? ? •' ? ??, c . Address / y`7.3,?` ?? ?z ? 5 f'. State !? `V /li ?? Zip S p? City Telephone #( 7l3) 7S'-7-?c7 6 0 COMPLETE THIS AREA ONLY IF CONlSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residen6al Ventilation Category 1 Wwksheet • New Energy Code Worksheet (4 submissionType) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 monihs, 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 plam Licensed Plumber Mechanical Contractor Sewer/Water Conhactor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a 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 ? Applicant's Signatuie PERMIT# ?7 J d r ? RECEIPT DATE: IV `I q -o I U.SIDENTV4L i'LUM$ING PEfiMTT APPLICATtON Please complete for: SITE ADDRESS: OWNER NAME: crrY oF EAsAv . 3950 PII.OT KNOB RD EAfil4N, ?ilY 55122 651-6$1-4695 i single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system COLLINS, JAMES 3134 FARNUM DRIVE EAGAN, MN 55121 (651) 452-0535 TELEPHONE #: . (AREA CODE) INSTALLER NAME: TELEPHONE (AREA CODE) STREET ADDRESS: fR191 f!')7_dlN_a4 CITY: 2905 GARFIELDAVE. SO. STATE: ZIP MINN S, MN 55408 Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 ? Add-on, modification or alteration to existin dweliing unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • Iawn irrigation system • water tumaround OCI2 3 LJUI Nature of work: r'Qxjidetoi w?a klewt tr ' ? - ?- IR Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC iicense State Surcharge $ 50 Total $ 50,5.0 Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the in(ormation is correct, and agree to compty with all applicable City of Eagan ordinances. It is the applicanPS responsibility to notify the property owner that the City of Eagan assumes no liability (or any damages caused by the City during its normal operational and maintenance activities to Ihe facilities consWcted under ihis pertnit within City property/right-of-way/easemen[. SIG OF PERMITTEE Updated 1I01 3 BL CITY USE ONLY RECEIPT #: j9/?"j'6e, sueo. f rerAC?nmt?i? ?-fa'rtr.? r!4 Sr? RECEIPT DATE: Y,??,00 _ PERMITiF IiWX 8000 PLUM$INfi PERMI1' (RuIDENTukL) CffY OF EAfiAA ssso eaoT Krroa ftn f.AifiRP, MN 55122 651-691-4675 Please complete for: ? single family dwellings ? townhomes and condos when partnits are required for each unit > 6ackflow preventer for underground sprinkler system FIYTI IRFS EACH TOTAL Alterations to existing dwelling - minimum fae Describe: $ 30.00 Bath tub $ 3.00 x = $ Fioor drain 3.00 x = $ Gas i in outlet ' minimum • 1 3.00 x = $ Hot tubls a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Se tic S stem newlreturbished 'requfres MPC Iic. 75.00 x = $ Se tiC S Stem abandonment 30.00 X = $ ? RPZ new installationlreairlrebuild 30.00 x = $ ? Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construct;on 3.00 x = $ Under round s rinkler if existlng dwallin 30.00 x = $ W ater closet 3.00 x = $ I W ater heater 3.00 x = $ ?3 •? Water softener if dwellln under oonstruction 5.00 x = $ Water softener ff exisun dwemn 30.00 x = $ Water turnaround 30.00 x $ State Surchar e •50 --' ---' ----' $ •50 ? Total -_> a S .5d Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby adcnowletfge tl;at I heve read this applicatlon, sNate thet the informatlon is correct and agree to compiy wiN all applica6le City ot Eagan ordinanc e s. It is the applicanCS responsibility to notiy 1he pmperty owner that 1he City of Eagan assumes no liability for any damages caused by the City during iLS rwrmal operalional and maintormnra-wtiuitirs.m.the.facilities.nmi=ueder_ihis.oermit wifhin City pmpertyingh4of-wayleasBment. SITE ADDRESS: RUTH, W. OWNER NAME: 3134 FARNUM DRIVE #B EAGAN, MN 55121 (651) 681-0309 INSTALLER NAME: MO tom STREET ADDRESS KE : ?? ?WOO'ApF CITY: TELEPHONE #: (AREA CODE) TELEPHONE #: (AREA CODE) STATE: ZIP: SIG OF PERMITTEE ? . PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BuILOIN6 Eagan, Minnesota 55122-1897 Permit Number: 028061 (612) 681-4675 Date Issued: 0 6 j 2 6/ 9 6 SITE ADDRESS: 3134-B FARNUM DR LOT: 2 BLOCK: 2 COACHMAN LAND CO 3RD DESCRIPTION: GAS (2) 6631d1ng,.,,1Permit Type Buildzng Wvrk Type Census Codeti ?.: + ? FIREPLACE NEW 434 ALT. RESIOENTIAL ?t) REMARKS: FEE SUMMARY: Base Fee Surcharge ToCal Fee CONTRACTOR: - Applicant - sT. t,zc.OWNER: FIRESIDE CORNER INC 16331042 0001068 RUTH WAYNE 2700 N FAIRVIEW AVE 3134-8 FARNUM DR ROSEVILLE MN 55113 ? ERGAN MN 55122 (612) 633-1042 (612)681-0309 ? I I hereby acknowledge that Z have read this applicatian and state that the information is.correct amd.agree to comply with all applicable State ofi Mn. 5tatutes and- Citq o'fi' Eagari` Urdinamces..`L $25.00 $25.50 APPLICANT/PERMITEE SIGNATURE - I UED B: SIG TUR 160N DATE: CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 FIREPLACE PERMIT APPLICATION 681-4675 ?{-.:.J - n z s'/9 C DESCRIPTION OF WORK: 4=?-INSTALL M.b( FIREPLACE: _ WOOD BURNING? GAS _ INSTALI GA5 LOG ONLY IN EXISTING FIREPLACE _ IMSTALL GAS LINE ONLY IN EXISTING FIREPLACE _ OTHER: AREA TO BE INSTALLED IN:U l6s ?-c'^i,,r- l--`NtSt? Ir'A'14 i,--"r C?l&2 /^J ? pS7a ?/'?S La Va,/zy STREET ADDRESS: .3 / 3+13 R N d-? ti Wl br2 LOT BLOCK I SUBD./P.I.D. #: APPLICANT: (circle one only) OWNER ( CONTRACTOR t 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. PROPERTY OWNER FIREPLACE INSTALLER Name: e4 ?" LAJ A ? Afkr phone #: IASi i1RHi Signature: Street Address- ? j 3+ 6 A (,z /j j Y4 City: G-A ?,Av? tate: Zip; 6-9'l 2-z. 8 ?q - m7?5"49 Company:444'a hone #z? a > s- zs? r? ress:38?o -? `?YVl License #: ,/ a GAS LINE INSTALLER City?? ?SV_(Cr? State: y?? &f Zip. s?37 Comps Name: Signati 5treet City: State: Zip: 2004 RESIDENTLAL BUII.DING PERMIT APPLICATIO City Of Eagan ' 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 S- New ConsVuctlon Reauirements RemodeVFteoair ReauiremeMs 3 regisiered site surveys showing sq. R of IoL sq. fl. of house; and all roofed arees 2 copies of plan ' (20% irezimum bt coverege albwed) t set o{ Enegy Calculatians Mr heated addrdons 2 copies of plan slrowing beam & wintlow s¢es; poured found design, etc. 1 site survey for additions & decks 1 set of Eneigy Caloulatlons Addition - indicafe Non-ade septic system 3 copies of Tree Preservation Plan if bt platted afler 711193 Rim Jois[ Detall Options selection sheet (bldgs wifh 3 ar less unNs Date -?9- /. If? / -9A Construction Cost Site Address -Y:A:1_3131'1 "' b raf t1 V Yv\ Q? ?? Uni4Ste # 1 Description of R'ork wb k i ? e ? Mulk-Family Bldg ? Y _ N ? - Ftireplace(s) _ 0_ 1 _ 2(s Properly Owner Telephone # ( ) Contractor ? ? • ^ Address o77 C State ? Zip ? Telephone COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Ivfianesota Rules 7670 Cateeoro 1 Minnesota Rules 7672 Energy Code Category . ResidenUal Ventilation Category t Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculatfons Submitted Have you previously constructed a buiiding in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #{ Telephone #( D Telephone #( ? I hereby apply for a Residential Building Permit and acknowledge that the informa _iE? ?urate; 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 pernut, and work is not to start without a permit; that the work will be in accordance with the appr pl in the case of work which requires a review and appr of plans. pp canYs Printed Name Applicant's OFFICE USE ONLY Sub Types - - p 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 AccessoryBldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex p 09 07-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 70 08-plex x 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. D OS 03-plex ? 11 10-plex _ vel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types Q 31 New ? 35 Int Improvemenl ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundatian ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish Building" ? 43 Reroof ? 48 Windows/Doors )5 34 Replacement 'Demolition (Entire Bldg) - Glve PCA handout W applicant Valuation U fl??? ? Occupancy Z '3 MCES System Census Code ? Zoning _2 ,-3 City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ? Width REQUIRED INSPECTIONS _ Footings (new bldg) Fina1JC.0. _ Footings (deck) ? FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tesu Final _ Framing _ Siding _ Swcco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By:?p?mA , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utiiity Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 18150 3101/ 3103 3105/ 3107 3108/ 3108B/ 3110/ 3110B 3109/ 3111/ 3113/ 3115 3112/ 3112B/ 3114/ 3114B 3116/ 3116B/ 3118/ 3ll8B 3120/ 3120B/ 3122/ 3122B 3124/ 3124B/ 3126/ 3126B 3128/ 3128B/ 3130/ 3130B 3132/ 3132B/ 3134/ 3134B COACHMAN LAND CO 1ST 18152 COACAMAN LAND CO 3RD 10 18150 010 07 020 07 10 18150 040 06 01006 10 18152 030 08 040 08 020 08 O 10 08 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 O 10 06 10 18152 04005 01005 03005 02005 10 18152 040 04 01004 030 04 020 04 10 18152 040 03 01003 030 03 -- 020 03 10 18152 040 02 01002 030 02 020 02 FARNUM D1tIVE PAGE 1 OF 2 4-plex-other 1/2 = 1593/1595 Four Oaks Rd 4-plex-other 1/2 = 1589/1591 Four Oaks Rd 4-plex 4-plex 4-plex 4-plex 4-plex 4-plex 4-plezc 4-plex 8 PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA101056 Date Issued: 09/19/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3132 Farnum Dr Lot: 4 Block: 02 Addition: Coachman Land Co 3rd PID: 10-18152-02-040 Use: Description: Sub Type: e - Water Heater & Water Softener Work Type: New Description: Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Don Istel 2500 HN\ c' 88 =215 Minneapolis, MN 55418 612-354-3350 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: Istels Installation LLC Carla J Nlontouri 2500 Hwy. 88, Suite 215 3132 Farnun Dr Minneapolis NIN 55418 Eagan NIN 55121 (612) 34-330 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink _ I For Office Use I Permit City of Eapn I ~ 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 I c0' Phone: (651) 675-56750 i Date Received Fax: (651) 675-5694 Staff: 2012 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications.. Date: 6 ' 10 ^ - ( 2 Site Address: 3 1 !1 2 ~ r n u---% F/ C , VC- Tenant: l_ d`r 1C-_ H n el -10 C.;' r I Suite RESIDENT / OWNER Name: cs 1 6- ~ffn { co Q r + Phone: 625 q S 4 - 6 Ct'q Address / City / Zip: 3 3 M X_ r IL %Jc Name: License RESIDENTIAL HEATING & JUR WC , , CONTRACTOR Address: 4815 I 44e4 fteet, A. City: State: Wne 1SiS, M 55407*4% ~ r..a+1-tom Contact: (61121 7 4 18%9naii: 0-1-.,.c. , IC-011-1 New r, Replacement Additional Alteration Demolition TYPE OF WORK Description of work: 1~.~ ~o rA C-r^4_C.& .4- -c-- casr.t-c- NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement PERMIT TYPE Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration town existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. o herstat1ASignat I hereby acknowledge that this information is complete and accurate; that the wonformance wit th inances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, anstart with ut p mi ; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of x IJe can C' Applicant's Printed Name re FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot 'Knob Road P. U. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By " Date Paid: Date of Insp.: Insp.: CITY OF PAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. 0. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No, of Units: Owner: Address: Site Address: Plumber: I agree to comply withgert£ity of Eagan Connection Charge* Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: Use BLUE or BLACK Ink l For Office Use / y~ +t ~ j Permit Ill 7 o j City of Ea flin I 1 o s Permit Fee: 3830 Pilot Knob Road I S I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: hQvl~tw /~Jrr' ✓C_ Unit Name:. le r- Pr7 4 -1 ~ Phone: lay/ Resident/ L~l Owner Address/ City/ Zip: -V l n~ti✓! I ✓ IS / Applicant is: Owner _Z Contractor Type of Work ` Description of work ~da',5 Construction Cost: _&a©Q Multi-Family Building: (Yes j / No ) Company: ;/~c~ 5 err S C a Contact: Jo 7'e-60 Contractor Address: 819 US 14,j-y b 3 City: .9gX /W;,n State: G.)1 Zip: S_400 Phone: 666 aZ7 _Q Email: li'ndy License 0076461 Lead Certificate 2111 LG-R ~4-1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name rAp licant's Signature Page 1 of 3