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:.