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3141 Farnum DrCITY OF EAGAN Addition COACHMAN Owner ADDITIOH Lot 1 B[k - 5treet .7 1 q I 10-18150-010-02 Improvemeni Date Amount Annual Years Payment Receipt Date STREET SURF. ?'??} Paid UIICte p8T'CPl 10- 900- u-31 STREET RESTOR. ? GRADING f '97Z PBid Ullde ?TC@Z ZO- OO 11-31. Grading L7 ?+983 173.26 34.65 5 -26 SAN SEW TRUNK ' ?9 Paid unde parcel 10- 900- ?-31 SEWER LATERAL ?? f ? 1973 Paid UAde pa2'Cel 10- 900 l?.-31 ** 83 1908.37 -? 381.67 5 WATERMAIN 1972 pSj,d 11pde parcel 10- 900 11.-31. WATER LATERAL 73 Paid 13Y1dC p8TC81 l0- 900 ?-31 WA7ER AREA .1.97 P9:Ia 11IIf3e Z38I'CCI ZO- ?O ?..Z-?- **W r Lat 983 5 STQRM SEW TRK 9'T5 Pa,i(1 ilAa ?jSI'CEZ ? 9QQ u-31 ** STORM SEW LAT 1983 5 **Services 1983 5 CURB & GUTTER SIDEWALK STREETX4?W 1007 1986 46.33 4.63 10 240.00 #30583 6-17-82 WATER CONN. 420. OO BUILDING PER. 7 3 -5, 1 SAC ? r n PARK CITY OF EAGAN Remarks L' 'i -!-- ` -= '5 Adtiition COACHMAN LAND CQ. lst ADDITION Lot 2 81k 2 Parcel 20-1815o-Q20-02 Owner Street State Improvement ' Date Amount Annual Years Payment Receipt Date STREET SURF, 1974 P1?id i?d?! GCZ ZO- OO u-3?. STREET RESTOR, 1983 754.17 150.83 S 754.17 GRADING ' 1971 Paid unde parCel 10- 900- 11-31 Gradin 1983 173.26 34.65 S SAN SEW TFiUNK 19? Paid unde BYCCZ 1.0- ?? ?-31 ? SEWER LATERAL j 3 Paid UII? 8r'CEZ ZO- OO u-? **Sewer Lat 1983 1908.37 381.67 5 WATERMAIN 1972 ?id UIIdC ?18'['Cel ZO- 0 11-31 * WATER LATERAL 1973 Paid UIIf?C pol'CEZ 10-C 0900 ?-? WATER AREA 1977 Paid ?CZC CQZ 10- 0900 u-31. **Water Lat 1983 5 STORM SEW TRK 1975 paitl UAdC p8'C'CEZ 10 90 u-31 ** STORM SEW LAT 1983 **Services 1983 CURB & GUTTER SIDEWALK STREET LXM 1007 1986 46. 33 4.63 10 -/04 8 ROAD UNIT 240.00 #30583 6-17-82 WATER CONN. 420.00 11 11 BUILDING PER. 7352 SAC 525.00 ?? ?t PARK CITY OF FAGAN Remarks I'? ?- t, " Z? 5 A,rd,tia, coACmKna rAan eo. lBt nnnrrioa Lot 3 Rik 2 Owner Street 3 "tNt`jL Impravement Date Amount Annual Years Payment Receipt Date STREET SURF. 4 O a 11- 1 STREET RESTOR. 1983 754.17 150.83 5 603.3?+ A011761 12-29-82 GRADING 1 1 PBid UIIde a?'Cel lO- OO- u-31 radin 1983 173.26 34.65 5 138.61 A011761 12-29-82 SAIV 5EW TRUNK 1968 Paid 11AfiC CCZ 10- 0 ?.- 1 • SEWER LATERAL j el 10 DO- l?.- ** r a 1983 1908.37 381.67 5 1 26.70 A011 61 12-2 82 WATERMAIN 2 Psid imdE' Cl.1 10 O0 11-31 * WATER LATERAL 6rCel ZO- OO- u- WATER AREA - 1 **Water Lat 1983 5 STORM 5EW TRK 1 pgid UIIde CCZ ZO- 11-31 ** STORM SEW LAT 1983 $ **Services 1983 S CURB & GUTTER SIDEWALK STREET L}ffQ[p 1007 1986 46.33 4.63 10 240.00 #30583 6-17-82 WATER CONN. 420. OO BUILDING PER. SAC 525.00 PARK Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fi!l in numbered spaces S/C Type or Prini /egib/y Tot. 1. Date ?- - 2. Installation Cost . / -. , 3. Job Address • Lot . Bik. - Tract 4. Owner . , • - -- • . ?' 5. Contractor L Phone 6. Address I 7. City 5tate • Zip 7' 8. Building Type: Residential : Gl Commercial O Institutional ? 9. Work Description: New 13 Add 0 Alter O Repair ? 10. Describe • t ' / Fuel Type / 11. No. Equinment HTU - M. Ea. Forced Air No. Equipment CFM Ai dli H Mfg. ? • r an ng: Boi lers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. G85, 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 464-8100 Receipt L 1. Date V11 /82 PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Prini legibly 2. Installation Cost ; , ., Permit No. . Fea ? • S/C ToL ??G 3. Job Address 3141 FARDiUAI IAot 1 Blk. 2 Tract 4. Owner ' :OSEki00D CORP. 5. Contractor 3CHULTIES PL^,. Phone 786-L007 6. Address 1697 !1ArIIaaC:, 7. city stete ? -;? • zip 8. Building Type: Residential CI Commercial ? Institutional ? 9. Work Description: New Cn Add ? Alter ? Repair ? I 10. Describe I 11. ii00D FFiAME No. ' Fixtures Water Closet No. Fixtures Cesspool/Drainfield 1 Bath tubs Septic Tank 3 l.avatory Softner 1 Shower Well ' Kitchen Sink Urinal/Bidet Other 1 Laundry Tray ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certtfy that the above informatjonAs true and correct, and I agrea to wmply with all ordinances dnd codes go rning this type of work. Signed : for Rough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-6700 Receipt PLUMBING PERMIT CITY OF EAGAN ' Fill in numbered spacea Type or Print /egib/y 1. Date -i 1 1/62 2. Installation Cost 1 Permit No.= `7 ( / C) Fae 20.00 S/C Tot. i 3. Job Address 3143 I'ARNUM ^j ? Lot 2 Bik. 2 Tract 'l)AvfiMEN 4. Owner -'.O5TrvOGL 5. Contractor S;,HULTIES PIf, . Phone 786-40C 7 6, Address 1697 P,.ALIj-,`Vd RI). 7. City i; LAINE State ?•. Zip SS?aj1= 8. Building Type: Residential 0 9. Work Descriptian: New In Commercial O Institutional ? Add ? Alter ? Repair ? I 10. Describe 1 1 11. No. 2 Fixtures Water Closet No. Fixtures Cesspool/Drainfield 1 Bath tubs Septic Tank 3_ Lavatory Softner 1 Shower Well 1 Kitchen Sink Urinal/Bidet Other J ? ` L 1 Laundry Tray ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby comply, true and correct, and I agree to ng this type of work. Signed. t for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 Le- Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN . Fee FiII in numbered spaces S/C • -Z) Type or Print legib/y Tot. - 4 . S7J 1. Date 2. Installation Cost ? ,' .. 3. Job Address Lot ?-? Bik. ?. Tract 4. Owne 5. Contractor Phone _1? ' '• f / ??/ 6. Address Z ?/? 7. City State Zip- 8. Building Type: Residential /M, Commercial ? Institutional ? 9. Work Description: New )5?- Add O Alter ? Repair ? 1 10. Describe Fuel Type 11. No. Equinment BTU - M. Ea. Forced Air No. Eouipment CFM dli Ai H . Mfg. c' ' ! ?` •?1??: 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 ordinance s and codes governing this type of work. Signed : Rough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Ftemarks ' -`I j '# / q 2' ` S Additian COACHMAN LAND CO. 1'et ADDITION Lot- 4 -Rlk 2 Owner Street 3 ?q-7 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREETRESTOR. 754.17 105-83 (03.3L? j?0123]_9 (-'J-$3 GRADING -', f 1 PB d 17IIt? - ?' ZO O Gradin ?G 1983 173.26 34.65 5 138.61 A0123 9 6-7-83 SAN SEW TRUNK 1968 Paid d O - 1 ?F SEWER LATERAL **Sewer Lat fi 1983 1908.37 381.67 1526.70 A012319 6-7-83 WATERMAIN 1972 P?d LtIIde C@ ZO I.l- 1 1F WATER IATERAL -1273 Ps i WATER AREA **Water Lat 1983 STORM SEW TRK 1975 P d 1 ** STORM SEW LAT 1983 s **Services 1983 5 CURB & GUTTER SIDEWALK STREETXJ(OM 1007 1986 46.33 4.63 10 ROAD I 240.00 #30583 6-17-82 WATER CONN. 420.00 SUILDING PER. 735 sac 525.00 " PARK l ' PLUMBING PERMIT Receipt Permit No. . CITY OF EAGAN Fee Fill rn numbered spaces S/C Type or Print /egibly Tot . 1. Date / i1G 2. Installation Cost ?v f, • ' LotBlk. 3. Job Address Y'i' U+1 ? Tract'_ i •, ? 4 O I ? ? ? 1 wner . )c: r A s C? t 5. Contractor ,' 1' + ? 1) c? r-f ? C • Phone l/,i /,? •;: ,` ? 1 6. Address /GC / / 7. City ;1 u / State %If /?,/ 2ip ?? ?6 7 ? 8. Building Type: Residential ID`? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter D Repair ? 10. 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory ? Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 1 r I Receipt PLUMBING PERMIT Parmit No. CITY OF EAGAN Fog 2 J. .?. Fill in numbened spaces S/C Type or Print /egibly ToL 2;%•7') 1. Date Vi 1/82 2. Installation Cost • 3. Job Address 31I17 FARNUM Df".Lot h Blk. 2 Tract ???I-EEN T?- 4. Owner COR°. 5. Contractor SCh'UL'TIh'S BW. Phone 736-4007 6. Address 1697 RADISSON RD. 7. City -- !A T.Nt 'r; 8. Building Type: Residential L] 9. Work Description: New QK State MN. Zip Commercial ? Insiitutional ? Add ? Alter O Repair ? 10. Describe 'riUOB FW;F, 11. No. -' Fixtures Water Closet No. Fixtures Cesspool/Drainfield • Bath tubs Se tic Tank 3 Lavatory p Sohner ? Shower Well ' Kitchen Sink Urinal/Bidet Other -? ? Laundry Tray ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify tpat the above information is true and correct, and I agree to comply with all ordinances and codes,govaming this type of work. Signed : • ?'"- _ `? _ for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbe?ed and approved. Approved - CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Parmit No. . CITY OF EAGAN _ • Fee fill in numbered spaces S/C Type or Print /egib/y Tot. ? 1. Date ? ? ?Z--- 2. Installation Cost ? 3. Job Addreu -? ^ L62 ? Blk. ?- Tract ? 4. Owner 5. Contractor Phone ? ? ' y' ? 6. Address ? • ' ~ 7. City State Zip - I 8. Building Type: Residential II . Commercial O institutional ? 9. Work Description: New?Q Add ? Alter ? Repair ? 10. Describe. r FuelType ?i-?• L?' 11. No. % Eauioment BTU - M. Ea. Forced Air , ` No. Equipment CFM Ai l . Mfg. - = r Hand ing: Boilers ? Mfy. Mech. Exhaust Unit Heater Mfy. Other Air Cond. Mfg. - Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 Receipt MECHANICAI PERMIT CITY OF EAGAN ? / fl frll /n numbered spaces rrn+s or Prinr legibly :No. Fee ,' Z s/c ?>-- Tot ? 1. Date 2. Instatlation Cost ,?. 3. Job Addrets ' Y''`` -• ?Lot Blk. Tract : 4. Owner 5. Contractor . ? Phone - 6. Address - ., . ; ; . _ ., . . , . 7. City State %-_ Zip 8. Building Type: Residential _p 9. Work Description: New ? I 10. Describe 1 11• Type No. Eauioment 8TU - M. Ea. FOfced'4ir No. EQUiament CFM Mfg. Air Handling: Boi lers Mfg. Mech. Exhaust - Unit Heater Mfg. O Air Cond. ? - ther 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 Rouph Fi I Inspections: Date Insp. Date?,?7`'"- Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Commercial ? Institutional ? Add O Alter ? Repair ? Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN ? _ ' Fss Fr/I in numbered spaces S/C Type or Print /egrbty Tot. 1. qate ; 2. Installation Cost ' 3. Job Address Lot Blk. -- Tract I 4. pwner 5. Contractor 6, Address ? ? 7. City 8. Buiiding Type: Residential L] Phone Zlp - ? Commercial ? Institutional ? 9. Work Description: New?a Add ? Atier ? Repair ? 10. Describe Fuel Type ' 11. No. Egui ment STU - M. Ea. Forced Air No. Equiqment CFM Ai dli H , Mf9• . •r" ` . ' - an ng: r 8oiiers ' 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 with all ordinances and codes governing this type of work. Signed : ' fnr Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved - CITY OF EAGAN 454-8100 Receipt PWMBING PERMIT Permit No. CITY OF EAGAN Fee 20,00 " FIII in numbered spaces S/C . 5n. Type or Prini /tgiWy D,-, ?,, Tot ? •7 , 1. Date rj 1 12 2. Insrallation Cost 3. Job Address 3145 FARNi1MA D.'j . Lat ? Blk. 2 Tract 1?0ACMEN m 4. Owner :tUSDnIBOD CORP. 5. Gontractor SCHULTIES PW . Phone 7L; 6. Address 1697 RADISSOx xD. 7. City BI.AINE State i!fv. ?5431t Zip 8. Building Type: Residential ?l Commercial ? Institutional ? 9. Work Description: New d Add ? Alter ? Repair O I 10. Describe WQQD FRAYT• 1 11. No. 2 Fixtures Water Closet No. Fixtures ool/Drainfield Cess 1 Bath tubs p Septic Tank 3 Lavatory Sottner 1 Shower Well 1 Kitchen Sink Urinal/Bidet Other 1 Laundry Tray 1 Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: • %! for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 cirr oF EAGAN -, 9795 Plkt K" Rood Eogen, MN 55122 I ' PNONE:4S4-6100 ? BUILDING PERMIT Receipt # Ts be ussd for Est. Volue ' pate , 19 Site Addreu Erect Q Occupancy ,.- Lot Block Set/Sub. Alter ? Zoning porcel ,# Repalr ? Fire Zone E l T f n arge p ype o Consf. oWc Name ' Move p .# Stories ; Address Demolish p Length Grade n Depth So. Ft. °C Ncme _ ?F ?? Address Nnme _ Address SSme I hereby acknowledge thaf I have read this application and state that the informotion is correct and agree to tomply with oll opplicable Stcte of Minnesota Sfatutes and City of Eagun Ordirwnces. Siflnoture of Permittee I\ Buildinq Permit Is issued to: oll work sholl be done in accordance with otl appliwble State of Mir Buildinp Offlciol Assessment Permif Woter & Sew. 5urcharge Polite Plon check Flre SAC Eny. Water Conn. Plonner Woter Meter Council Road Unir Bldp Off . . APC . Totol ' on the express condition thnt md City af Eapon Ordinances. Permit No. Permit Holder Miac. Permit No. Holder Plum6ing 624? H.V.A.C. 3C)7(] Well Water Disp. Sewer Elscerie $Qj3?v ?O L Inspection Date Insp. Other Footingt Foundetion Freming ? Rouph Pibg, ? 4. !`v I ? 0 1/? ? Rough HVAC , Inwlation Final Plby. pz? a. Final HVAC Final ? .: Wour Wscribe Location: VUell Sewer , ? Pr. Disp. - y +- -'1 BUILDING PERMIT 1-1fl ?31, Receipt # Te be wed foe Est. Value Do te 19 Site Address Erect 0 Occuponcy Lot . ,, Blotk $ec/$ub, ' Alter ? Zoning parcel # Repair Q Fire Zone ' l E f C T n orqe ? ype o onst. W Na^e Mowe ? # Sfories Z Address Qemolish ? Length ^ ? r.... Grode f 1 Depth Sa. Ft. Sc 0 Ou u? ? Address Asseument Water 8 $ew. Police Fire Enp. City Phone Planner _ Council _ I hereby acknowledge thot 1 have read this opplication and state that Bldg. Off. the information is correct ond ogree to tomply with oll opplitable ^PC - State of Minnesota Stotutes and City of Ea9en Ordinonces. Permit Surchorge Plan check SAC Water Conn . Water Meter Road Unit Totcl Siynaturc of Permittee ? /1 Building Permit is issued to: on the express condition thc,t all work shall be done in qccordance with all epplicable State of Minnesoto Stotutes ond City of Eoyan Ordi?wnces. 9uiidirp Offitiol CITY OF EAGAN 3795 Pilof Kwob Rood Eegan, MN 55122 PHONE: 454-8100 Permit No. Permit Hoider Misc. Permit No. Holder Plumbing a C l ? ?VI U,? ?'f °.? ?O :30 "?Z r H.V.A.C. 0? I ?4-S 7 Well Watsr Disp. Sewar ea???? 8'?)3S 1Vo? ?'? 7-(z-g? Inspectiun Date Insp. Other Footinqt Foundation Fnminp RouOh Plb{F Rou9h HVA ? Inwlation Final Plbg, .t?sg Final HVAC k Final _ z uJ Watar Daib*tion: YYell 5awer . Pr. Disp. ? CITY OF EAGAN ? • ' 3795 Pikt Knob Read Ee9en, MN aS122 . ' PHONE: 454-8100 BUILDING PERMIT Receipt # Te M smd ier Est. Vof ue Date 19 . Site /lddrcss Erect p Occupancy lot Blxk 5ec/Sub. Alter ? Zoninp pQrcel # Repoir ? Fire Zone Enlorye p Type of Consr. 19 W Na^'e Move ? # Sfories ; Address Demoliah ? Length ? c';r„ Grode fl Depth Sa. Ft. °C NCme .• .. _.. , . ?vwv?an rses O ou /lddress ' Assessment Permit ?? Worer & Sew. Surchorqa ci v? ?'Police Plan check FZ Name r Fim S/?C ?? /lddrcss Eny. Woter Conn. OCW G phorw Plunner Woter Meter Councfl Rood Unit I hereby acknowledge that I how reod this npplicotion ond sfnte thot Bld4. Off. the inlormofion is correct nnd ogree to comply wifh oll applicoble Stote of Minnewto Statutes ond City of Eagan Ordinonces. APC Total Sipnature of Permittee /1 Buildinq Permit is issued to: on the eupress conditbn tFxit all work shall ba done in accordnnce with oll epplicabls Stote of Minnesata Statutes and City of Eopen Ordinancts. Buildinp pfficiot Psrmit No. Permit Holder Miu. Permit No. Holder ? l0q ????{tE S Iv-3?? -o` ?a(p +?-S 7-7'-$2 B S9(38 T Iropction Daft Insp. Other Footing. ?-r- b Foundstion Fnmfnq RouYh Pibs. trl ? ?0u ool ? ? Q 1 ? Rough HVA Inwlatian Finsl PIb4 ? Finsl HVAC •'t . ? Final Waur Oaeribe Locstion: 1Ne11 • Sewer Pr. Dhp. CITY OF EAGAN 3795 Mlst Knob Road Eayan, MN 55123 `.? 7?; r? . PHONE: 454-8100 BUILDING PERMIT Receipt To be wn d fa Est. Volue ' Dute 19 Site Address Erect Q Occupancy Lot ...? 81otk Sec/Sub. /11ter p Zoninp - P l # . Repoir ? Fire Zone ? arce l T ? ?.. , , En a?fle ? YPe of Consf. Name Move ? # Srories W ; Addre ss \f Demolish ? Len th b Ci phone Grode Q g Depth Sq, Ft. ? 0 Nome Appro rals Feas 'r u? /lddretS F- r... Sa118 I hereby acknowledge that I have reod this applicution and state that the intormotion is correct and ogree to wmply with oll opplicoble Stote of Minnesoto Statutes ond City of Eogan Ordinonces. Siflnoture of Permittee A Buiiding Pertnit is issued to: ,° ` oll work shall be done in xcordorxe wlth oll npplicable 5tate of Buildinp Official Asussment Woter 8 Sew. Polite Firo Enq. Plonner Council Bldp. Off. APC Permit Surchorfle Plon check SAC Water Conn. Water Meter Road Unit Total . ? .? on ths axpress conditlon thos ond City of Eopan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. 7-742- w.u Wat?r Disp. Sewr ewct.ic $q13? ?..- ??n 7-rZ-gZ Ir?epeetion Daft Insp. Other Footinys ? Z Foundetion Fnminp Rouyh Plbp. Rou¢h HVA ' Inwlation Final Plbg. . y? Final HVAC ? W Final waur Wserfba Location: YMsll S?vwr ? Pr. Dbp. . CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECURD PERMIT TYPE: Permit Number: Date Issued: fsit r R is t No ? H;' 14 0-) ' SITE ADDRESS: 1111 I ;ll';E1lh1 1i11 + tlt4i'tN 1AtJlI I il i', I PERMIT SUBTYPE: , : ri I I i APPLICANT: O! f r, i.' ) r,}iN 131 04! TYPE OF WORK: F(Ei'n!?t 1)f ',t I, 1 1• I 1tIN ('iif) 1 Nt:a ) JNSPECTION .• • .• - ii11!,II F II II 1?. ; ??I,?I jIiCMRkR'?: 1.?VI I!!U!-'- 1 tn; (I411 1 4 )a`> 11 0 l 1 1 Permft No. PermR Holder Date Telephone # SNV PtllMBlNG HVAC ELECTRIC ELECTRIC Inapection Date Insp. Comments Footings I Foundation Framing Rooffng Rough Plbg. Rough Htg. . Isul. Fireplace Final Htg. Orsat Test Finat Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Deck Ftg. Deck Final Well Pr. Disp. REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 See mshuctions for com0iating lhis torm on bpck ol velluw copy. T $9135? " "x11 t6low I?'ork Covered by 7his Request 3 a? 7 g New Add flep. Type ot euildinp Applinnces Wired EquipmBnt Wirad Home Range Temporary Service " Duplex Water Heater Ligh[ing Fixtures Apt. &iilding Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tanl< Farm Oiher Socciry ornor ISOariryl [ er oocilv Other 011iar Cor gpote lnspecuon Fee Below N Fee . Service Entrance5iie # Fee Feaders/Sabieeders H Fee ' Circuils -454 0 to 1 UO qm 5 0 to 30 Am is 10 ` 0 to 30 Am s 101 to 200 qmps 31 to 100 qinps $? 31 to 700 Am s Abo7200 Arnps Above 100_Am s Above 100_AmUs Transformers RemoteControl Circ. ,_5-0 Partial/Other Fee Signs SpecialinsPection S T Ren?arks ? ? L FEE O ? ? Hough-in ? ^ Dnle ^? ? ? lec?ricnl sUector, hareby certify thet the ebove Pinal ///? /n ? / / . Ea/?"y,,? /%'7 inspec[ion has bean made. This reVtiesi voitl 18 nionths hom This request void 7/' z. .r18 mul'[hs ti 89135 L'y1 BaI Coackfwn L4v\ a 306 -7 & c(a, oo Reauest Dat ? ,??r? 6 Fire No. Nouph-in Insuection retl? '" ?HCatly Nowll Notify InxPec- l Wh R es ?No or ¢n eatlY r ? ,censed EleCtri?al ConVactur I hereby request inspection of above - Owner . . elechical work installed al: S eet AdJress, B or/ Rou te No, ? ? C? ? ? 1 epmn o. Township Nzme or No. Ranye No. un?y Occuuenl (PflINT) Phune No. Fower Supplier AAdress Elec ricapl ?CyonAV?a,c/?to,?r 1,COmj`??^ y Namel ?}? ? L??'V? 4??llc.l-C- . Contrnr.mr"s1 IL.ijcensQe No. ???` T~ 1 Mailin0 AdJress ICOnVactor or Owne.t Makinq Insiallationl LVLtE..o r16. C3AAtsI-JC1-Ltibk- ST SSt(Z Aut rized.S [uyl(;ontractor/ ncr Makiny InstallatioN Phone Numher w ??? . MINNESOTA STqTE BOARD OF ELECTNICITY THIS INSPECTION REQUEST WILI NOT Griggs•Midwey Bidy. - Room N-191 8E ACCEPTED BV THE STATE 60AND 1821 Vniversity Ave., St. Paul, MN 55704 ?? 4? UNLESS PFOPER INSPECTION FEE IS ? ENCLOSED. ? /?/?qJ .l.RJ^ REQUEST FOR ELECTRICAL INSPECTION .h!T{ ?4 1 K&See instructions tor complating IM1is iorm on back of yellow copy. "X" BelowWork Covered by This Reques! ee-ooooi.oa e Adtl flep. Typa of 8uildin9 ApDliances WireA Equipment Wir¢tl Home Range Temporary Service Duplez Water Heater Liyhting Fixtures Apt. Buildiny Dryer Electric Heatin Commerci2l Bldg. Fumace Silo Unloader Industrial Bldy. Air ConAitioner Rulk Milk Tank Farnl Other Sunu v Mhcr (SUecify) t u.r Suecily Other Oihor Cbmpute liispection Fee Below tl Fee Service EntranceSiza p Fnn Fexders/SUbfeeders q Fee Circuits' ? 0 to 100 qm s 0 to 30 qm s C? t 0 tn 30 Am ps 101 to 200 Amps j 31 to 100 qmps pp 31 to 100 Am s Above 200 qmps Above 100_Amps Above 100_Amps Transformers Remote Control Ciru Partial%Other Fee Signs Special m g T A FE ? Renwrks Q? ?4 ' ? ?Q '? . t r RouNh-in Flnai ? ? Datc ?$ ? ?7/ ??H7. ••;J ?, ihe Elechical Inspectm, he,eby -certifV tbat ihe above spBCtion has beBn medn. This request vald 18 months hom This renu?st void 7J?Z L 3 2 2` Cp?.., h?({ ?, ? 4hlY ????0 ? 8 months Imm ? ?•? ? ° 89136 Vo, C)? Requcst Uate - 2 Fire No. R0u91-in InsUectlun Peqwred? [313eaAY Nuwll Notify Inspeo ???r Wh R O Q - 401 ? No en eadv Lir.enseA ElecVicil ConVactor I hereby requxst insuaction o( above ' ? Owner elactrical work installad at Sveet Addres,!s, enx /o?r flou[e No. p? ? C A . f`\?? I ?J \T'„?"'?? , ?4?h? ectron n. Township Name or No. flanGe No. C nry A ? Occup.uit (PpINT) Phone No. Power $upplier Atldrese: c? 1 Co mractor ICOmUanY N el Elec[A n Convactor's Licunae No. n , ` ^ , V.?J'G.? ? LecZ? L?O Mailin8 AdJress (Convacl/or? or Owner MakinB? Inst,aAilatipnl `???]?^-' oC 4 ?'S ?S,lT Au[h etl Sigr C nh r/Ow Makinfl Installation) Ph?ne NumLer MINNESOTA STATE BOAND OF ELECTIIICITY THIS INSPECTION.IIEQUEST WIIL NOT Griggs-MidwaY eldq. - Hoom N-191 BE ACCEPTED BY THE STATE BOAI{D 1821 Univarsity Ave.. SL Paul, MN 55104 4 UfVLE55 PROPEFINSrECTION FEE IS .,. ,-..,,, -- - ENCLOSED. REQUEST FOR fLECTRICAL INSPECTION ,r,, ee-ooooi_os ' See instructions lor oom0letin9 lhis torm on back of yellaw couY? T 89137 ?' "=X `&elaw Work Covered by This Reyuest ??? k$ New Add Nap. Tyue o1 BuilAing Appliances Wired Equipment Wiretl Home Range Temporary Service Duplex Water Heater Lighting Pixtures Apt. Building Dryer Electric Heatin Commerciul Bldg, Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Fdrm Otner Snecity Otner Isuecitv) ihur SucmfY Othcr Other Compuie InSpection Fee Below d Fee SarviceEntrancaSize IX Fee Fanders/SVbfenders tl Fee Circuits 0.90 0 to 1 UD qm ps 0 tu 30 Am ps t G 0 m 30 Am s 107 to 200 Amps 31 to 100 Arnps ,'fe 31 to 100 Am Above 200 Amps Abave 100_Amps Above 100-Amps Transiormers flemo[e Control Circ. ,. Partial,'Other Fee Signs Special inspection $ . ' T Rema rks ? OTAL ? This reques? void -7/1 z- ?8 nw8h`J'13 7 L a, 13aI 3°g 7`6 nG Rect st Unte /ry r ' fire No. Raupli-in Insuer,tion R iretl? ?RcaAy Now Will Noti(v IFIsuef-- y 3C/ ^ U? Vc+ ? No ur When RcaGy ?Licensed Elecvicnl Convactur 1 herebV requxst inspection ot abuve ? Owner elecVical work installetl at= Sv et Address, dux or Route No. ? ? Cit ncLOn o. 1 Township Name or No. 1 Aange No. CountyA A ? OccuGant IPflWTI PM1nne No. Power $upplier Atldress Elec[ric Con[ractor (Comp any N mel ?2,u?e? ???te? C nvartoo's License No. ?!a$ t?F??t Mailing AAJress (CUn[racror or Own Makine Instailation) ? O d?La ,????0'4_?L?-- S?C Y ?NL ? J L? Z Autho tl SAna r on a Own Making Inctallationl I Phune Nurnhm `t%3 -It'I'1 MINNESOTA STATE'BOA11O Of ELECTIIICITY tI_ TNIS IfVSPECTION REQUESY WILL NOT Griggs-Mitlwey Bldq. - Room N-191 . {? ??/ I? - gE ACCEPTEO BY THE STqTE BOAHD 1821 University Ave., St. Peul, MN 55104 ; UNLESS PFOPER INSPECTION FEE IS o.___ iaovl 14v»i1 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION T-8 913 8? Se- inshuctions for campleting this form on back ot vallow co0v. "X" Below Work Covered by This Request E8-00001-03 3a S-7 8 New Add Rap. . Tyue of euiltling Appliances Wired Equipment WireA Home flanye Temporery Service Duplex Water Heater Liyhtiny fixtures Apt. Buildiny Dryer Electric Heatin Commercial Bldy. Fumace Silo Unloader Industrial Bidy. Air Conditinner Bulk Mflk Tank F2rm Othr.r .peoly thnr (SUecity) Uier SDeuly OYhur Othqr CMnpJtA lnspection fee Below N Fea Serviee Entrance5ize tI Fee F¢¢ders/Suhteeders a Fee Circ?its I jO.W 0 to 1 UO qm s 0 tu 30 Am s O S-r oL 0 to 30 Am ?s 701 to 200 Amus 31 to 700 Amns / S. o-O 31 to 100 Amnc C i rC. 7V cal ,_- f 'l?(??,?+ Inspectar, hereby Final J-r?? / ?? ? ? [????p (GBrti?y lhet [h0 flbOVB insPecUOn hes been mada. K`« ,... This re.qucst va 18 mnnths fiom This request void 71?Z ar'8- 8th9138 L 1 ? I3 z? Coac ??? La..?o?. 3o$Z g"' Reques? Date / `7 L Pire No. Hounh-iminspec[ion Re?qu}? Af CTv.,I ?N. ??:s.o -('? ?ReadV Now ?(759?11 Nouly Inspeo - T[or When Reatly icens'eA Electriral Contrxcmr ?.1 hereby request inspection of abuve Owner , elecvical work installed aC SVeet Address, 8ox or Poute No. City 3 t?-t lw. a6 ecUOn o. Tnwnshlp Namc or No. HanHe No. C nty Occup,mtIPRINTI Phnno No, Power SupPlier Adcress EI c?ical.COnvac[or ? ompanY Namel f Y? ?F 1 b Contrar,lors Li ense No. o 0g ^ Meiiiri9 '?+dJress (COntrac[or or Owner Maki p Installationl O ? s w ar-T N .Aut izetl Si re avt wner Makiny Installationl Phu e Number MINNESOTA STATE BOAND OF ELECTflICRY THIS INSPECTION REUUEST WILL NOT Gripgs-Midwey Bld9• - Room N-191 ' BE AGCEPTED BV THE STATE sOARO 1821 UniversitV Ava., St Paul, MN 55104 UNLESS PNOPEN INSPECTION FEE IS -___ ia», volin? 2 N444. ENCLOSED. ? CITY OF EAGAN N? 7354 9795 Pilot Knob Raad Esgan, MN 55112 - BUI DING PHONfi 454-8I00 P R IT 210.sy? L E M Reteipt # Ta ba vmd fer 1 Of 4 PLEX Ett. Volue $58, 000 pate Jurie 17 1982 Site Addreu 3147 F8LI1i1L1 DS1Ve Ere t Occu an R-3 c la p cy Lot 4 B lxk 2 Sec/Sub. 008Ctri118n L8Ild 19t Alrer ? Zoning PD parul # 10 18150 040 02 Repoir ? Fire Zone NA E T f vri nlorge p ype o Const. a ryoma marhman Tand (b_ Move Q # Stories W = ? Address 2432 PriOi AVE. NO. Demolish ? Length 46 citflosa ville Phone 636-8050 Grade ? Depth 26 Sq. Ft.- m It08 qOOd CO tIII t1 Avvrorala Fees o Nome e na c on iu Addrea S?e r?... e?___ C.M. Name _ Addrass 1 hereby ockrwwledge that I hove read this applicotion and stote thot the informotion is correct and agree to wmply with oll oppiicoble $tafe of Minnewto Statutes ond Ciry of Eogon Ordinances. Siqnuture of Permittes A Building Permit is issued to: RogeWOOd Cd all work zhall be done in occordunca with all oppiimble Building Officiol Assessment _ Water 8 $ew. Police Fire Eng. Plonner _ Council _ Bidg. Off. _ APC - Permit ?v • .vv Surcharge 29.00 Plon check 153.50 snc 525.00 Water Conn. 420.00 Woter Meter 60.00 Road Unit 240.00 Totol $1734.50 on ihe expren cordiNon Ihn+ e of Eagon Ordirances. CITY OF EAGAN N° 7353 3795 Pilof Knob Rood Eegan, MN 55122 - VHONF: 454-8100 BUILDING PERMIT Receipt # Te M wad fer 1 Of 4 PLEX Est, yalue $58,000 pme JuAe 17 1 q 82 Site Address - 3145 Farnvm nrine Erect Occuponcy R-3 ? Lot 3 Blxk 2 Sec/Sub. Oo8ChU18II I.BIId 18t Alrer ? Zaning PD Par«I # 10 18150 030 02 • Repair ? Fire Zone NA E T Vn nlarge ? ype of Const. W Name ?aC?Bn ?? ?• Move ? # Stories ? Addreu 2432 PlioY' AVe. No. perrwiisM p Length 46 . r:.BAeev111e 55113 m..__ 636-8050 Grade fi Depth 26 Sa. Ft.- o IName RGgewoOd Conatruction ?? Mdreu ?me Nome _ Address I hereby acknowtedge that 1 have raod ihis apDlicotion ond store ihat the in(ormotion Is correct and ogree to comply wifh all opplicobte State of MinnewM Statutes ard City of Eagon Ordirwnces. SlBnoture of Permittee A Building Permit Is issued to: RoSea00d all work sholl be done in accordonce with all appl Bufldinp Officiol Assessment Permit 307.00 Water & Sew. Surcharge 29-00 Police Plon check 153.50 Fire SAC 9'`-On EnO. WoterConn420_00 Plnnner Woter Meter f+n _ nn Councfl Road Unit 240-410 Bldg. Off. APC Toml $1734.50 2 on the axpress condition lhnr wta $tatutes ond City of Eagan Ordirwnces. CITI' OF EAGAN 3795 Pikt Kaob Road Eagan, MN 54113 N° . 7352 PHONEi 454-8100 ? BUILDING PERMIT Receipt # Te M wed fer 1 O£ 4 PLEX Est. Value $58, 000 pO1e Jtuie 17 _ lq82 Site Addreu 3143 FArnlan DTive Ered Q Occupancy R-3 Lot 2 Block Z $ec/Sub. coaChIDBII LeJtd 18t Alter ? Zoning PD 10 18150 020 02 Repair ? Fire Zone NA parcel # Enlorge ? Type of Const. vn W Name Co$Chmm r''an8 Co• Move ? ?.` Stories ? Addrcss 2432 PTior Ave. No. pemoliah ? Length 46 Ci Sevilie 55113 ph" 636-8050 Groda ? Depth 26 Sq. Ft.- ° Name RDsevood Oonstxuction ApOruvala Feea Address same Assessment _ 1- Cit PFwne S&1R@ - Water 8 Sew Police _ ?W Name Fi ra 7 Address Enp i'=" 0 . Ci Phone Plantrer _ Council _ I hereby ackrawledge that 1 hove read rhis apDlicotion and state thof gldg. Off. _ the information Is correct and ogrea to comply with all applitoble AP? _ Stofe of Minnesota Stotutes ard City of Eogon Ordinonces. Sigrwfure of Permittee A Building Permit is issued to: Rogptpo all work shali be done in occordance with all Bulldinq Official- pe"it SVi.VV Surcharge 29.00 Plan check 153.50 SAC 525.00 Water Conr420_00 Warer Meter 60 - 00 Rood Unit 240 OA Total C17_d-Sn- _ on tM expreu conditfon thai Ciry of Eapon Ordinonces. • CITY OF EAGAN N.° 7351 ^ - 3799 PiIM Kne6 Rmd Esgen, MN 55122 - ? PHONE: 454-8100 BUILDING PERMIT Reaipt Te ba mad for 1 of 4 PLBX Est. Value $58r000 pOie June 17 . 19 82 Sih Address 3141 FBInUII1 Diive Erect ? pccupancy R-3 Lot 1 Block 2 Sec/Sub. Co8chII18t1 ISAd 19t Alror ? Zoning PD parcel # 10 18150 010 02 Repoir ? Fire Zone Enlarge ? Type oF Canst. Vn ? Na? OD8ChiCdn I.9nd Cb. Move ? # Srories z 2432 Prior Ave. No. 46 Address Demolish ? Length_ ? C; Iioaeville SSilhano 636-8050 Grade ? Depth 26 Sq. Ft._ p Name FBOaevrood Constzuction Aovr"oi. Foe. 0 i OU Address 2432 PY10! AV@. NO. Asussment _ Cit !?ReeV311e 55114hone 636-8050 water & Sew. w Police - w F,u Name Fire O Address Eng. U iW Ci Phone Plomur_ Council _ I hereby ackrwwledge thot I hove read this opplicotion and state that glda ptf. _ ihe inlormation iz correct ond ogree to comply with oll applicobte Sfote of Minnesoto Sfatutes and Ciry Of Eagan Ordirwnces. AP? Signature of Permittee A Building Permif Is issu[d to: Rose? oll work sholt be done in ocwrdonce with all BuHdinq OFficiol pemit 307.00 Surcharge 29•00 Plan check 151.50 SAC 525_00 Water Conn490_ f111 Water Meter.60A0 Road Unit 940 a00 -- 7otal $1734.50 _ on the express condition thnl City of Eogan Ordirwnces. 73a?C) 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Kuob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenfs 3 registered site surveys shaxing sq. R of lot, sq. ft of house; and all roofed areas (20°h maximum lot coverage allowed) 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 set ot Energy Calwlatans 3 copies of Tree Preservation Plan if lot platted after 711193 RimJoistDelailOpOonsselecGonsheet (buildingsw8h3orlessunits) Minnegasco rtechanipl ventilation form RemodeUFteoair Reaui2ments 2 copies of plan showing footings, beams, pisfs i set of Energy Calala6ons for heated additions 1 site survey for additions & deda Add'rtion - irkicate lfon-site septic system a /5 : .,is- Office Use:OnN CedofSurveyReo] '_Y _N Tree Pres PWn Recd.. . ._Y _ N. Tree Pres Reguired ^Y _ N On-site5eptlcSystem _Y _N Date ConstrucHon Cost ??a 4"14 4' 0 r Site Address 31 `/s UniUSte # DescriptionofWork l?D???? '??•,- vL? G c Fvr,??-?_. 7?o r? Multi-Family Bldg `?Y N Fireplace(s) _ 0 _ 1 _ 2_3 Property Owner Telephone # ( ) Contractor a0/ . Address J/?? --t State .,119`z/ Zip City !'T ^"?° ?•'z ?' Telephone #( 7t3) 7S-?-OG 6 G/ COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope CalculaUons Submitted A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the Iast 12 monThs, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Teiephone # ( 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 pernut, 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 Signature 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan ??-A3830 Pilot Kuob Road, Eagan MN 55122 S- Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements RemodeUFieoair Reauirements Oifice Use OnN 3 registered site surveys showirg sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y _ N (20% mazimum bt coverage allaxed) 1 set of Eneigy Calcula0ons for heated addiGons Tree Pres Plan ReW _ Y_ N_ 2 copies of plan showing heam & window sizes; poured found design, etc. i site survey for additions & decks Tree Pms Required _ Y_ N lsetofEnergyCatculaGons Addffion-indicafei(on-sitesepficsysfem Onsite5ep6cSystem _Y _N 3 copies of Tree Praservation Plan'rf lot platted after 7l1193 Rim Joist Detail Oplions selection sheet (bldgs with 3 or less un"rts ? Date J ? Construction Cost Site Address 4 3/ y /' UniUSte # 3/ 7 : Description of Work . ? Multi-Family Bldg _ Y_ N ?replace(s) _ 0_ 1 _ 2( N ) Proper[y Owner ? --• Q?j? 'S L ? ?j Telephone # ( ) , E ? Contractor i n ? ) nc? Address ? -?2 ncl Ci[y State )1v V zv Zip 5; b? 1 Telep6one #((/$' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential VenUlation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( ) Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information i complete and accurat ; that the work will be in conformance with the ordinances and codes of the City of Ea 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 wil] be in accordance with the approved plan in the case of work which requires a review and approval of plans. ( ?? SUl-, °. 0 c -7?a rw-14 W?w?? ApplicanYs Printed Name A plicant's Sign re 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements Remodelrtteoair Reouiremenk Office`U'Se'? ?? Iv 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert brSune,k,Recd , -Y? N (20°6 mauimum lot coverage allowed) 1 set of Energy Calculations for heated addifions Tre? P?es Pl$`g R9cd F„ ?"?'?-Y "`?'td; 2 coples of plan showing beam & window sizes; poured found design, etc. 1 site survey tor additions & decks TreePaes Refj_uired? _Y TJ 1 setof Energy Calculations Addiflon • indicafe itoo-stte sepfic system Onsd"e?Se,ptig{5ystel?7 n.A:11 ? sf? 3 copies of Tree Preservation Plan if lot plalted afler 7/1193 . Rim Joist Defail Opllons seleclion shcet (bldgs wilh 3 orless units Date --3 / ,z?l C) ConstrucNon Cost SiteAddress `) j ) q3 _ Unit/Ste # G/'/•?l/yYt ?u?? / IY7 1 ? Description of Work Multi-Family Bldg N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone # ( ) Contractor Address City State Zip <03/ Telephone #(fj$'/ ) Sf '/r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (dsubmissiontype) . Submftted Submitted • Energy Envelope Calalations 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 #( one #( M Teleph I hereby apply for a Residential Building Permit and acknowledge that the informati ?, is that the work will be in conformance with the ordinances and codes of the City of ag, 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 Si ture OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex VO 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex O 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types Rac-wi"f' F4flz I -S ?A' x 4" 1A14 pf'fl 9,,,3 ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors qc? 34 ReplaCement c `Demolition (Entire Bidg) - Give PCA handout to applicant Valuation Occupancy T 2, -,? MCES System Census Code ? Zoning I .?. 2 l J City Water -T SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const ? W idth REQUIRED INSPECTIONS _ Foo6ngs(new bldg) FinaUC.O. _ Footings (deck) ? FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final ?O Framing _ Siding _ Stucco _ Stone _ Brick RI. Air Test Fueplace Final _ Windows _ _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector PERMIT CITY OF EAGAN 3830PilotKnobRoad PERMITTYPE: BuiLorNs Eagan, Minnesota 55123 PermitNumber: 023435 (612) 681-4675 Date Issued: 0 8/2 6/ 9 4 SITE ADDRESS: 3141 FARNUM DR LOT: 1 BLOCK: 2 COACHMAN LflNO CO 15T P.I.N.: 10-18150-010-02 DESCRIPTION: '?.., (SIDING) Building -Permit Type SF (MISC.) h8uilding Wpr.K? Type REPAIR ? l ?- ?..?\;%.ir ? X. ., ? /~???rrl v oof? , REMARKS: INCLUOES 3143 (LOT 2) 3145 (LOT 3) FEE SUMMARY: VALUATION $700 Base Fee $19.00 Surchar9e $.50 7ota1 Fee $19.50 GONTHAGTOH: - Applicant - ST. LIC. OWNER: ALLEN CONST 16$88100 0001062 FOUR OAKS COURT ASSOC 4649 112 PENKWE WAY 3470 WASHINGTON DR EAGAN MN 55122 EAGAN MN 55122 (612) 688-8100 (612)452-9592 116 I hereby acknowledge that I have read this application and state thaC the intormation is corre,r.L'?nd agree to comply with ali applinable State ot Mn. Statutes and City o/f_E,?gan Ordinances. J .I ?? T/PERM EE SIGNATURE f IS?ED SIG TURE 154345 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 $ I 1-1,0 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered s9te surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specificatians, i copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work ?Jjj Site Address:? fi$,?U#z /U1S ? STREET' SUITE # . Tenant Name: (commercial anly) LOT ?.? BLOCK SUBD. F.I.D. # Descri tion of work: The appl i cant i s: ? Owner Contractor ? Other (Describe) Name 0 hone ?7r-9V3L Property LasT FIRST Owner address 3,(2d GVi,ro???J 4k?? ?//?(p STREET STE # City _Q,?5" State /l1N Zip S"S?/LL Company ?6?6rs.ls0j Phone 4?- C/O Contractor Address 441Yh- ? jj6j;t License # l612, Exp.,Vlfj-- City State s%xl Zip !?7L1_ Company Phone Architect/ Engineer Name Regi strati on # Address ' City 5tate Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I hav read this appli tio and state that the information is correct and agree to comply w' 11 applicable tat of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: I?l CITY USE ONLY L 'T BL ? RECEIPT #: SUBD. ??LI?II?{rylI,1Vl ?ahd Cn I 5t RECEIPTDATE: PERMIT# 'TN.S.'?i 2000 PLUM$INfi PEiiMiT WIS1DENT1lkL) crrY oF Enslaa 3630 PaoT axoa ttn £A6AA, b11Y 55122 851-691-4875 Please complete for: ? single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 ? Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ GeS i if1 OUtlef ' 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 new/refurbished • re uires MPC lic. 75.00 x = $ SB tiC S StBm abandonment 30.00 X = $ RPZ new installationlrepair/rebuild 30.00 X = $ ? Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under rounds rinkler ifdweuin isundarconstrucuon 3.00 x = $ Under round s rinkler itexistin dwemn 30.00 x = $ Watercloset 3.00 x = $ I Water heater 3.00 x = $ 3? W ater softener if dwelling under eonstruetlon 5.00 x = $ Water softener if existin dwemn 30.00 x = $ Waterturnaround 30.00 x --- _ $ State Surchar e .50 --> ---> ----> $ .50 Total --> __.> E O _SO Reminder: Call for inspections of aiterations, i.e. water heaters, water softeners, etc. -------------••---------.. _._..-----•-• •-------•--• •-------...------• •---------------•--------------•-------...-------------•------•------.. I here6y acknowledge fhat I have read this application, stale that the information is correct, and agree to comply with all applicable Ciry of Eagan ordinances. It is the appliwnt's responsibiliry to notify the property owrrer that the City of Eagan assumes no IiaDility for any damages caused by the Ciry during its nortnal operalionat and maint6nance.aGiuilies.tathe.facilitiesrnasvuMen l^=cthis.oeimit within City property/right-of-way/easement. I SITE ADDRESS: eeRwaLD, BRUCe I 3147 FARNUM DRIVE OWNER NAME: :I EAGAN, MN 55121 TELEPHONE #: I (651) 456-0433 I (AREA CODEJ INSTALLER NANfc: - -? TEIEPHONE #: (AREA COOE) STREET ADDRESS: CITY: nw????an sAt Mj STATE: ZIP: _ MINNEAPOLIS. MN 86408 ??-- SI 9' RE OF PERMITTEE RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conatruction Reauirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% mazimum lot coverape allowed) • 2 copies ot plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy CalculaGons . 3 copies of Tree Preservation Plan M lot platted after 7/1193 • RimJoislDelailOptionsselectionsheet(bldgswilh3orlessunits) DATE cY? 'Ql.T' V a _ Water Softener Water Heamr No. of Balhs SITE ADDRESS ?JW--J To,t \1l_%,YY1 Ow%l1.SZ_ MULTI-FAMILY BLDG Y N TYPE OF APPUCANT RenPwal By Andersen, lnc STREET ADDRESS 1920 County Rd. "C" West Roseville, MN 55113 TELEPHONE # , 651-264-4777 l License I/ 20130983 RemodellReoair Reauirements . 2 copies af plan • 7 set of Energy Calculations for heated addi0ons • 1 site survey (or rxlerior additions & decks • Indipte if home served by sepfic system tor additions VALUATION FIREPLACE(S) _ 0 _ 1 _ 2 CITY STATE_ZIP FAX # ? PROPERTYOWNERMOJ.X, _t'ct?OIY1'f1 TELEPHONE#IO5I4ogl• 1611 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNISOTA RULES 7670 CATEGORY 1 MIATNr:SOTA RiJLES 7672 (J submission lype) . Residential Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Su6mitted Plumbing Contractor: ____ Plumbuig system uicludes: Mechanical Contractor. Mechanical system includes: Sewer/Water Contractor: Air Conclitioning _ Heat Recovery System Phone # Phone # Fee: $90.00 ?- ?Ul $7?:00L, i r--`- I hereby acknowledge that I have read this application, state that the inf rmation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ord ances. Signature of Applicant' --------------'-°-----°-°---_'--------'-_-__"-°--?°--"--°---------------'----_.._..__.._.?._? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 _ Yhone # Lawn Sprinkler No. oC R.I. 13aths ??•??.rv.a auv sA.poj rnA. ?OJ 0!1 'ii6A. xnruseee, nr enunK.yesn re .1 . ?? . .,r . rtlTlb`), 2001 . 3836 Pilot Baob Road BaM 1vIN 55122 To whon? rc may conoern: Elder 7onea is authorized W plfl buddin8 Permits far Reaiewal Stdcr Iones to pmvide this ser'vica far ns in ;?Y Andeise? ptease atiow , date bcyond 6/6/Ol; uucit a 1?attewal bv Aadcrsen Hagan- 'tl'?ia muhorization iv vatid for any to rhe 4Yry_ mmaEet' upteesly c+evolas it in wridng ovr buildin8 P??ita aa on be ac,epted axpeffiNoualy. es to not detay in the prooassittg pf Y fitrthcr. Plceac call mc If thao aro auy qneationa.. I oeu be ? contactai at 763-502-4706. „ Your imm?aro- wGation to 1Ws mattcr is ... skoa.aly, . c?nci osca(latio&nnkxtt agcr I2enowai bY Andarsen Corporativn Ksirn-Fsirl" 7nnea 57 DA- ivy ?k ???? ;. ?ao?at?u.?.r?wm wuu Received Time Jun. 1. 1AN CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner Address: — Site Address: Plumber: Meter No.: — Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: BY��D Total: Date Paid: Da e of I 7 /2 7 I nsp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Rood Eagan, MN'-55122 PERMIT NO.: Zoning: DATE: Owner: No. of Units: Address: - -- Site Address: �--- Plumber: _ agree to comply 5 I o g P y with the City of Eagan Ordinances. W Connection Charge: Account Deposit: Permit Fee: By Surcharge: Date of Insp.: Misc. Charges: p Total: I nsp.: 1—,-, Dote Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA144944 Date Issued:08/16/2017 Permit Category:ePermit Site Address: 3141 Farnum Dr Lot:1 Block: 02 Addition: Coachman Land Co 1st PID:10-18150-02-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Zalya Berler 3141 Farnum Dr Eagan MN 55121 (440) 552-8726 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use City :::::ee of A Pe : �` ..?' 62 Q 3830 Pilot Knob Road j f Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax;(651)675-5694 Staff: .rte 4`41' ' f '11f -' 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 8/30/18 Site Address: 3141 FarnUm Drive unit#: Name: Dan & Debbie Demiglio Phone: 440-552-8726 Restdent� - - 3141 Famum Drive/ Eagan/ 55121 Owner = Address/City/Zip: Applicant is: Owner X Contractor replace bathtub, valve, surround Type of Work Description of work: Construction Cost: 4796 Multi-Family Building:(Yes /No X ) company: US Patio Systems Contact: Wendy Rache Contractor Address: 218 N River Ridge Circle City: Burnsville MN Zip: 55337 952-314-9885 wrache@uspatiosystems.com State: Phone: Email: License#: BC661813 Lead Certificate#: F119453-1 if the project is exempt from lead certification, please explain why: Built after 1978 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: Fire Suppression Contractor: Phone: NOTE:-Plansand supporting-documents-that you submit are considered to be publicinformation. 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. w ew.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 Minnes•ta State Building C. a must be completed within 180 days of permit Issuance. X Wendy Rache x 14! Applicant's Printed Name Applicant's Signatu e Page 1 of 3 • 31g1 Fea-nowltK /1/15ADO NOT WRITE BELOW THIS LINE SUB TYPES __ Foundation Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family —_ _ 4Garage Porch(4-Season) Exterior Alteration(Multi) Multi Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior improvement _ Siding _ Demolish Building* Addition Move Building Reroof — Demolish Interior X Alteration Fire Repair — Windows _ Demolish Foundation , , Replace — Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION } Valuation Occupancy ��,, ,� " MCES System Plan Review Code Edition / 4J3( " SAC Units (25% 100%y ) Zoning ILS City Water Census Code I Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) V Final/No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof: Ice&Water _Final Pool: Footings Air/Gas Tests Final )C, Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS x Insulation Windows Sheathing Retaining Wall:_Footings_Backfill Final Sheetrock Radon Control tc Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 1 , Building Inspector RESIDENTIAL FEES Base Fee Surcharge /1, inf i,1.,/ Plan Revie ` MCES SAC A(I/6V ' 6 City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant • f2V Copies \.! /414if 97-(° TOTAL V V Page 2 of 3 Use BLUE or BLACK Ink For Office Use :::: e: City o �aa� ®- 3830 Pilot Knob Road Date Received: /6"33 Eagan MN 55122 Phone: (651) 675-5675 staff: Fax: (651) 675-5694 c____. 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 8/30/2018 , Site Address: 3141 Farnum Drive , Tenant: Suite#: Resident/Owner Name: Dan & Debbie Demiglio Phone: 440.552-8726 Address r city/zip: 3141 Farnum Drive/ Eagan/55121 Name: US Patio Systems License#: PC708206 Contractor Address: 218 N River Ridge Circle City: Burnsville State: MN zip: 55337 Phone: 952-314-9885 Contact: Wendy Rache Email: wrache@uspatiosystems.com Type of Work —New ✓ Replacement Repair Rebuild —Modify Space Work in R.O.W. Description of work: replace bathtub, valve, surround RESIDENTIAL • Water Heater Water Softener = Lawn Irrigation( RPZ/ PVB) Permit Type ✓ Add Plumbing Fixtures(V Main/_Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$60.00 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.00pherstateonecall.orq 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 o Eagan; that I understand this is not a permit, but only an application for a permit, and biprk 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 plans. xWendy Rache x (Lj( C i( .?d?9 Applicant's Printed Name Applicant s S` ature FOR OFFICE USE = Reviewed By. Date: Required Inspections: Under Ground Rough In -Air Test. Gas.:Test Final Meter Related Items: Meter Size _ Radio Read Manometer Staff:.