3144 Farnum Dr
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BUILDING PERMIT
CITY OF EAGAN
3795 PNot Knob Raed Eayon, MN 55142
PHONE: 454-8100
Receipt #
Site Address 3146B Farnizm Dr{ve
Lot _2 Block 4_ Sec/SubCoachman Land 2nd
Porcel # 1 fl 1 91 51 n?(l 04
, Nome Coachman Land Co.
W
Z Addrm 2432 Friar Ave. No.
9 - ^-. ----» y _ i ni nnrn
o iName Rosewood Conetruction Diviaion
v? 1lddress 2432 Prior Ave. Iio.
r:... Roseville M,,.._ 631-3254
I hereby acknowledge that I have reod this opplicotion ond stote thot
the information is torrect cnd ogree to comply with all applicoble
Stote of Minnesoto Stotutes and City of Eagnn ardinances.
Sipnature of Permittee
A Buflding Permit Is issued to: RoSeWO
oll work shall be done in occordonce with oll
Buildinp Officiol
?rc?
.
855
Erect ? Occuponcy R-3
Alter ? Zoning PD
Repafr ? Fire Zone `? A
Enlorpa ? Type of Const. Vri
Move ? # Stories
Demoiish p Length 46
Grvde p Depth 26 Sq, Ft.
Approvols Foes
Assessment
Woter & Sew.
Police
Fire
Enp.
Plonner
Councfl
Bldy. Off.
APC
Permit 107 _ nn
Surchorge ?_.
Plon check 1S, - Sn
SAC 5 9 5 -(l0
Woter Conn4 ,$Q_,00_
Woter AAeter 60, 00
Road Unif 250. 00
Totol $1774.50
:ri ni,.'m1yision on the express tonditlon tFxai
of iKmsoM Statutes and City of Eoqan Ordinonces.
Parmit No. Permit Halder Misc. Permit No. Holder
Plumbiny
H.V.A.C. ?-l ? rL(tZ k, ' 12>-
WeII
Water
Disp.
Sewer
Electric tVOg730 )tr,4jrt cr„ 9- 7- g3
Inspection Date Insp. Other
Footingt g-{ f?-t3
Foundation
Framing f
Rouph Plbq. :.' K3 6-4
?
- d'er
?
Rough HVAC
? ? ? ? •
Inwlation IV,
Final Pi6q. L--All
Final NVAC f
Final ?
Water Dswibe Location: _
VYeli
Sswer •
Pr. Dkp.
, CITY OF EAGAN
c• ` a?r
3793 P{kt Kwob Road Ea9an, MN 55122 , . . ?, . .3?x
?
PFIONE: 454-8100
BUILDING PERMIT Receipt 7'
Site Addreu 3JARZ ='amwn Drive 1`SL'110 ?
Lot ?+ Block 4_ Sec/Sub?o chaman Land 2nd
Parcel # LJ 13151 04171 04
ag Name Coachrnan Land Co.
W
? Addreu2432 Prior Ave. No.
Ci ='•aseyille phone 636-8050
? Na? 1&sswood Construcrir.n Diviainn
?t Address 2432 Prior Age. iJo.
I hereby acknowledge thut I have read this opplicotion end stote that
the information is correct and agree to tomply with oll opplicable
Stute of Minnesoto Storutes ond City of Eagon Ordinances.
Erect ? Occuponty R-3
Alter p Zoninq PD
Repair ? Fire Zone i`'A
Eniarfle ? TYPe of Const. Vn
Move ? # Stories
Demolish ? Length46
Grode [-1 Depth Ft.
Assessment
Woter 8 Sew.
Police
Firo
Enq.
Plonner
Counci I
Bldp. Off.
APC
Pertnit
Plan checklj -3.Ju
snc 525.30
Woter Conrr.'?3 Q. C) C)
Woter Meter 60. 00
Rood Unit 2 5(] _ 1fi
Totcl ., 1 7 7 4_i:l
Sipnoturo of Pertnittee I
A Building Permif Is issued to: Rosewood Conatruction Division on tha express condltFon thc,t
oll work sholl be done in accordonce with aN oppliwble State at Miamsota Statutes ond Gty of Eapan Ordinances.
Buildinp Offltiol
Parmit No. Permit Holder Misc. Permit No. Holdar
Plumbiny
H.V.A.C. 3 C?? 5?1^ f2- -3
w.u
Water
Disp.
S?rrer
Elrctric Wot 73
Impection Dste Insp. Other
Footinp -it-g3
Foundetion
Framing
Rough Pibp. at'Jf A1 q ICYle
Rouph HVAC .
InwlMion 111,
Final Plbp. I04I 4 43 R
Final HVAC
Final ?0'13-$3 W14 10-13-?3 ??S;?? ?*a -? Y1 S?e S
r
?.pis ?o I?ti ln1oU??
Watar ?ibe Location:
Wsll
Sewer
Pr, Diap. ``
BUtLDING PERMIT
CITY OF EAGf?N
3799 Pilot Knob Roed Eogon, MN SS122 8053
. IHONEs I34-8100
Recelpt #
Site Addreu 3144lS rarnum lirive
Lor 1 el«k k Sec/SubCoacYnnan Land 2nd
par"l # 10 19151 010 04
oWC I Nome
z
? Addre:
0
No.
d me i Nnme Rosewood Conatruction Division
,??rQU 2432 Prior Ave. No.
? i-:...IZo8eV111e n?___ 631--3254
Name
Addrcss
1 hereby ocknowledge thot I have reod this opplicotion and stare that
the intormotion is correct and agree to comply with all applicoble
Stote of Minr,esota Statutes and City of Eogon Ordinonces.
Eroct ? Occuponcy ?,'3
Alter ? Zoning pD
Repair ? Flre Zone MA
Enlcroe ? TYpe of Const. Vn
Move ? # Stories
Demolish p Length 46
Gmde p Depth 26Sq. Ft.
ApprOvul$ Feas
Assessment
Water & Sew.
Police
Firo
Enq.
Planner
CountH
Bldg. aff.
APC
Plan check 1D3.DV
SAC 525•00
Woter Conn450. 00
Woter Meter 60. 00
Road Unit 250. 0n
Total $1774 -SO
Slqnature of Permittee I
A Building Pertnit Is issued to: RoBeWDOd Cvnstruction Oivision on the exprcu condition thn+
all work shall be done in accordonce with ell epplicoble Stote of Mjrtinesota Statutes and City of Eapan Ordinances.
Buildinq OffiNol -: -
Permit No. Psrmit Holder Miac. Psrmit No. Holder
Plumbin9 5`t-7(p -4I.L4lr&s Ur4'2?3
H.V.A.C.
Weil
Water
Disp.
S?vwr
Ewetric w0$Z3??I Natl't?C? e`Z-g3
Irupection Date Insp. Other
Foodngs
Foundation
Framinp
Rouph Pibg.
Rouph HVAC f
r ? S
Insulatian
Final Plbp.
Finsl HVAC l
Final
Weter Dssc?ibe Location:
YWII ?
Sowsr
Pr, Disp.
• ' cirY oF E?GAN
37lS Piloe Kiwb Raod Eagen, MN 55122 $V 5 ti
Pi10N[: 434-8100
BIJILDING PERMIT ?tece?pt
8 Name Fo8ev100d ConBtruCtlon 'Jivision Approvols
u? /dd,eu 2432 Prior Ave. NO. Assessment
r- Ci Rosevill(?- Phone 631-3254 Water 8 Sew.
U
N Pol ice
W
ome
F W
Fire
?? Address Eny,
Z
. G Phone Plnnner
1 hereby acknowledge that I hove read this opplicotion ond state thot Council
gldg_ pff.
the informotion is torrect and ogree fo tompty with all applicnble
Stote of Minnesota Statutes and Gty of Eagan Ordinonces. ^PC
AR
?
O
?
O
?
Occupancy R- 3 -
Permit 307_{]0
Surchcrge
51-
Plon check
SAC 5? 5_ n Cl
Water Conn[y.Q.?.gU
Water Meter 60. 00
Road Unit 250.00
5ignoturo of Permittee
I? Building Permit is issued to: Ko8ewOOd Ccnstructj
oll wor{c sholl be done in occordonce wlth oll opplicobla State of
Buildinp Official
Totot 51774.50
on the express cor+dltlon thai
ond City of EaQan Ordinonces.
Lot 3 Block 4 Sec/SubCoachman Land 2nd Alter Zoninp PD
Porcel 10 12151 010 pQ Repoir Fire Zone 1'?-
Enlarye Type of Const. Vn
W NQ? Coachman Land Co . Mova # Stories
t z qddmu 2432 Prior Atte. No. Demoiish Length4.fi-
rir„ Fnseville p,,,... 636-8050 Grode ? Depth _26 -Sq. Ft.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing u(,}.???J &3
H.V.A.C. 3Q Z7 rEi+2
w.n
Watsr
Disp.
Sotwr
EMet?ic (Vp'k73y3 F4AJf't'GJC- J
Intpeetion Date Insp. Other
Footinqpi -?Q'• ?_
Foundation
Framiny
Rou? Plbq. ?? ? „ Q-
Rouph HVAC yf/
R
? 42J,
Inwlation
Final Plb¢ ?
Final HVAC .25.
Final
?
/I/f
Wsbr Desaibe Loescion:
Well '
Sewar
Pr. Dhp.
CITY OF EAGAN Remarks
Addition_COACgMAX LAPD CO 2ridADDR Lot 3 elk
Owner Street? FARNUM DRIVE
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 145 1974 Paid 1111 OP parcel 10- 0900-011- 1
STREETRESTOR. ISSO 1983 4.1 150.83 452.51 A013812 5-2-84
GRADING 1 1 Pai d 11
Gradia 1983 173.29 34.66 103.99 A013812 5-2-84
SAN SEW TRUNK j($ Psid n
• SEWER LATERAL „ t1
*• we 18 1968.35 381.67 5 1145.04 A013812 5-2-84
WATERMAIN
;jj 1972- .
Paid
• WATER LATERAL 1 „ n
WATER AREA n n
"Water s 1 8
STORM SEW TRK g 1 Paid
*IiSTORM SEW LAT 1983 5
" Y CCS 1983
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 450.00 It ?t
BUILDING PER. 8054
SAC
PARK
CITY OF EAGAN Remarks
AdditionCOACHMAN LAND CO 2ND ADDN Lot 1 Blk 4 Parcel 1o-18151-010-04
owner st,eet 311t4B P'ARNUM DRIVE state LA(3AN MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
T
1ff
Paid LlA
eI' psrcel
Zo-
o9oo-o11-
1.
:5
STREETRESTOR.
J?Z
1
75 .17
150. 3
5
GRADING tol 1971 P8 Q
Gradin 1983 1.2 34.66
SAN SEW TRUNK 1968 Paid to
N SEWER LATERAL 1 n n
**Sewer Lst 1983 1 08.3 381.6 5 - 4
WATERMAIN 1 72 Paid n
? WATER LATERAL 1973
WATER AREA 1 tt t?
**Water Lat 1983 5
STORM SEW TRK ZSL 1975 Paid
**STORM SEW LAT 1983 S
**8ervicee 1983 5
CURB & GUTTER '
SIOEWALK
STREET IIGHT
R 250.00 35923 5-19-83
WATER CONN. 450. OD 11 If
9UILDING PER.
SAC
575-00
PARK
?
CITY OF EAGAN Remarks ny;#
k Rlk
Owner
3L
5tate EAGAN M8 55121
Improvement Date Amount Annual Years Payment Receipt Date
STFEETSURF. 1974 Paid 13II er arcel 10- 0900-011- 1
STREET RESTOR. 1983 'r 5 • 1'T 1 rjQ • 83 5 603.34 A013052 10-18-83
GRADING tQ 1971 Paid
G s i 2 1983 173.29 4.66 138.64 A013052 1- - 3
SAN SEW TRUNK Q 1968 Paid
? SEWER LATERAL 1973
tt
M
"3exer Lat ltk 1983 1908.35 81.6 1526.72 A013052 10-18-83
WATERMAIN 01 1972 Paid
? WATER LATERAL 1 3
WATER AREA 1 „ n
**Wster Lat 1983
STORM SEW TRK 1975 Paid p
*11STORMSEW LAT 1983 5
•*Services 1983
CURB & GUTTER '
SIDEWALK
STREET LIGHT
ROAD UNIT 950.00 35923 5-19-83
WATER CONN. 450.00
BUILDING PER.
SAC n n
PA K
CITY OF EAGAN Remarks L+ J, {' ???''? ?;
Addition COACHMAN LASD CO 2ND ADD$ Lot 2 aIk _
oWner I streer _3146B P'ARNUM DRIVIR
Improvement Date Amount Annual Years Payment Receipt Date
I STREETSURF. 19T4 Paid 11D er psrcel Zfl- 0900-Oll- 1
STREETRESTOR. 19 3 75 •1Z 15?. 3 5 452.51 A014448 8-17-84
GRADING 1971 Psid
(3radin 1983 173.29 4.66 48 8-17-84
SAN SEW TRUNK Otb 1968 Paid „
! SEWER LATERAL 10 1 n 1t
?**3 v r a 1983 1 0$. 81.6 8 8-17-84
WATERMAIN 111 1972 Psid ~
• WATER LATERAL 1973
WATER AREA
1977
**Wstar Lat 1983
STORM SEW TRK 1975 Pai d n
OIISTORM SEW LAT 1983 5
*#Services 1983
CURB & GUTTER
SIDEWALK
STREET LIGHT
RaAD UNIT 250.00 35923 5-19-8
WATER CONN. 450.00 n -
n
SUILDING PER. g(iss
SAC
PARK
Receipt PLUMBING PERMIT
CITY OF EAGAN
fn- ?
r'n
Permit No. -
Fee
s/c "
Tot.
1. Date " 2. Installation Cost
3. Job Address %%c Lot ; BIk. Tract
4. Owner • , : " t ,';.
t "
5. Contractar Phone
6. Address r -
7. City ? State Zip
8. Building Type: Residential 0- / Commercial O Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
_4 Bath tubs Septic Tank
' Lavatory Softner
Shower Wef I
Kitchen Sink
Urinal/Bidet Other
i 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
Fough Finel '
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4648100
?=-
Receipt MECHANICAL PERMIT Permit No. ?
CITY OF EAGAN -
. Fee ?
Fill in numbered spaces S/C ?
Type or Print /eglb/y
Tot . _ '
„ .
1. Date 2. Installation Costrf%
. .? 1
3. Job Address Lot L Blk. ?-r Tract?- % (j
4. Owner
5.
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial O Institutionaf ?
9. Work Description: New Lr Add ? Alter ? Repair ?
10. Describe (-. Fuel Type
11.
No.
? Fpujpment STU - M. Ea.
Forced Air No. EQUiament CFM
Ai
H
i
Mfg. r
andl
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certity 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
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN .
Fee ??.
FiII in numbered spaces S/C '
Type or Print /egib/y --
Tot
1. Date 2. Installation Cost? •?-' ' ?
3. Job Address Lot Blk. Tract
4, Owner
t" C;J', > Cc 1) d-ol L
5. Contractar ?? ?% , /, - Phone
6. Address
7. City ? State Zip ;
8. Building Type: Residential El? Commercial ? Institutional O
9. Work Description: New EJ"' Add ? Alter 0 Repair ?
10. Describe Fuel Type
11.
No.
' Equ' ment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
d
i
Mfg. ,
. an
ng:
r
l
,
. _
Boiters
Mfg. Mech. Exhaust
Unit Heater
Mfg. Oth
Air Cond. er
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved - - CITY OF EAGAN 454-8100
?
Receipt - PLUMBiNG PERMIT Permit No. .-
CITY OF EAGAN
Fse
FiII in numbered spaces S/C
Type or Print legibly
Tot.
1. Date 2. Installation Cost 3. Job Address [o Lot Blk. Tract
4. Owner '
r- ?
5. Contractor Phone
6. Address
7. City State 2ip
8. Building Type: Residential O Commercial ? institutional ?
9. Work Description: New O Add ? Alter ? Repair ?
10. Describe j
I
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Orainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink -?.
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
51op 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
Rweipt pAECHANICAL PERMt7 Permit No. '
CITY OF EAGAN
F«
Fill in numbsred snscas S/C
Type or Print Mgfb/y Tot
1. Dm 2. Installation Co:t fiW'4?%7,ec:-
q v.
3. Job Addren__ ?/?d13 4), LotBlk. u; Troct
,' .
4. OYY11lr ?I •? ;iG' ? ? ?ii+ ? _%'r ?..L? /!.? - ?iAl
5. Contractor? i?s',??L??.l,(t? T ' ,•' Phone <
?
8. Address r_,
7. C'ity State 2ip
8. Building Type: Residential C'7 Commercial ? Institutional ?
9. Work Desaiption: New a Add 13 Alter ? Repair ?
10. Desaibe ?. ? - 4 Type
11.
No. Eau*grrient BTU - M. Ea.
ForCed Air No. Equipment CFM
Ai
H
i
Mfg. andl
ny:
r
Boi lers
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 1 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
Receipt ' ?---MECHANICAL PERMIT Permit No. -- `
CITY OF EAGAN
Fee
Fi!l rn numbered spaces S/C
Type or Print /egib/y Tot. ,
1. Date 2. Installation Cost
3. Job Address Lot ? Blk. Tract
4. Owner
5.
- -? . -
6. Address
7. City ' State , Z'p
8. Building Type: Residential tf Commercial ? Institutional ?
9. Work Description: New f? Add ? Alter ? Repair ?
10. Describe Fuel Type ,-
11.
No.
+ Equi ment 9TU - M. Ea.
Forced Air No. Equiament CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Oth
Air Cond. er
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 454-8100
?T?L?
Receipt
1. Date
3. Job Address
4. Owner 5. Contractor ._. ti., '-
----,
UMBING PERMIT Permit No.
:ITY OF EAGAN ?
Fee ?
in numbered spaces S/C
pe or Frini legibly Tot
Installation Cost
Lot / Blk. Tract
I
c
Phone
6. Address " - ? -
7. City 1 State Zip
8. Building Type: Residential 0? Commercial O Institutional O
?
9. Work Description: New El Add ? Alter ? Repair ?
I 10. Describe
I 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kiichen Sink ?
UrinaUBidet Other ' "f
Laundry Tray
Flaor 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
Receipt MECHANICAL PERMIT Parmit No. _-? ' • ?
CITY OF EAGAN
Fee ?
fill in numbered spaces S/C • i
TYPe or Print /egib/y Tot
?
1. Date 2. Installation Cost ? ?, '?%? % • ',<', ?
3. Job Address 'i ?!? /?: ?» ?i%• Lot ? Blk. Li Tract
-i
4. Owner
5. Contractor Phone
6. Address ' ? " ` ? .??/ c! l ? ?C-'?•
7. City State 1 Zip '- ,
?
8. Building Type: Residential Cl Commercial O Institutional ?
9. Work Description: New Add ? Alter ? Repair ?
10. Describe Fuel Type
11
No.
? Equjpment BTU - M. Ea.
Forced Air No. EQUiament CFM
Ai
H
Mfg. r
andling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
.? Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for i . . L_
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved v CITY OF EAGAN 464-8100
Receipt .: " PLUMBING PERMIT Permit No.
CITY OF EAGAIV
Fee
? frll in numbered spaces S/C '
Type or PRini /egrb/y Tot.
1, Date 2. Installation Cost 1 -
3. Job Address ?1 • Lots= Bik. -; Tract, -?
(,_,n?-? , • •?.
4. Owner
?' - - ----- -
5. Contractor
6. Address
7. City State
Zip
8. Building Type: ResidentiaLO"- Commercial ? Institutional ?
9. Work Description: New,? Add ? Alter ? Repair ?
10. Descri6e •
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 454-6700
Phone ?
° REQUEST FOR ELECTRICAL INSPECTION
. ' See instructions tor completine this form on back of yellow copy.
BeloW ??o7 515d
by This Request
EB-00001-04
w«
3-7 (0! $
Ad Hep. TyOe ot 8uildina APpliancns Wired Equipmen[ Wired
Home Range emporary ServiA
Duplex Water Heater Lightiny Fixtures
Apt. Building ryer Electric Heatin
Commercial Bldy. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Otner oeci y mer ISUecifyl
[ nr ISyecify thcr Oth¢,
ompiRe /nspection fee Below
k Fae Service Entrance Size p Fae Fenders/Subteedera #
Fee Circuits
O?? 0 to 200 Am s 0 to 30 Am s 0 tn 30 Amos
- A6ove 200 qmps 31 to 100 qmps 31 to 100 Am s
V? Swimming Poal Above 100-Amps Above 700_Am s
Transformers Irrigation Booms Partial-'Other Fee
Signs Speciallnspection . $ TA
flemerks L FEE
n,
or, hereby
that the above
ion hes been
Thisreaueatvoitl
REQUEST FOR ELECTRICAL INSPECTION
, See instruetions tor complatinB this torm on back ot yellow copy.
??D?? 404e
' 1(' Be o 0 red by Thrs Request
EB-OUWl-04
M
v.:
3-7 (a 17
Nievii ji,da Reo. TvPe or Builaing Aooliancns Wired Equipmenc Wira?
Home Range mporary Service
Duplex Water Hedter Ligh[inG Fixtures
Apt. Buildinc? ryer Etectric Heatin
Commercial Bidg. Fumace Silo Unloader
InAustrial Bldg. Air Conditioner Bulk Milk Tank
Farm ome. oea v iner Isu(!ciry)
t er VcufY [hor Oihei
Compute Inspection Fee Below - - -
N. fea Service EntranceSize fi Fee Fextlers/SUbtenders d Fee Circultg
?C7^? 0 to 200 qm s 0 to 30 Am s 0 tn 30 Am s
Above 200 qrri y 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Amps Above 100_Amps
Transiormers Irrigation Booms
` Pdrtial.' ee
Signs Speciailnspection
$
Pemarks 1 IJ n. 11 /• .W TOT
y l
FouBh-in ????'?? the Electrical
nspector, heroby
Cit, SIIPL }M1@ AEOVB
Final c[ion has been
P a.
TOis reouest vdA 18 montlre Irom
This requeSt vaid p" 2
18 months from
Wi087344
Z-2 , ByL eo",1.h"" tAAa zl? 3-7 to r g
3-7 ,sn
Fe-est Date
. Fire No. Rouph- Inspection
Reqd d
ec-
?AeaAy Now Will Nolity. InsP
t
Wh
n R
d
es ? No w
e
ea
y
LW[icpnsed EJecvical ConVactor I hereb
y requesl inspecNan of ebovB
? Owner electricel work installed at:
SueetAddress,Box ftoute
3,146 , ? c- hA-a.zA? - Cit
eMion o. iownsnip Name or No. ftanye. No. Count
Ocr,uP (PRINT) Phone No??
r ( /
T'
Power $upplier
S Address'
ElecVical CnnVactor (Company Namel
KEiVDRICK ELECTRIC F,38974 Convactor sicense No
Mailing Ad1Qr§???fjJ`fy?trpg?erpq?.yr?py{y1?*iqp Ia.s??i?tion)
°YtJ rS1V1.VVi..11 L?1V
Aothor' re y+ ki . t 1 ion)
GARY I?FI????G'?z 4 ,G..,-.;?, ? ? Phone N er
MINNESOTq STATE BOAflD OF ELECTfliGTY TNIS INSPECTION NEQUEST WILL NOT
Griggs•Midway Bldg. - Naom N-181 BE ACCEPTED BY THE STATE BOAHD
1821 University Ave., Sc. Paul. MN 56104 UNLESS PNOPER INSPECTION FEE IS
e1 _'" 1.11, 1n, o111 ENCIOSED.
This reques[ void $-Z
18 mon[hs from
W 5
L4 I !3`-I, coac.kn.?anlard, z^? 3-7 [0 1?'
37 •sb
Pequest Date
?J 3
- / ? Fire No. Rough-in Inspeccion
flequ d?
?s ?NO
?ReaAy Now ill Nolity Inspec-
[or When qeadV
icensed ElecVical Conhactor 1 hereby request inspaction of above ?
QOwner elecaical work installed ar
SVeet Add,re1ss?(,,gox ar Fou e Na.
i T? ?!?I a.-t..4.// ?(?f • City
ecuon o. Township Name ur No. Ranpe No. ? Cow Y
Occ an[ (PRINT) Phone No.
31-3
Power Supplier Address
E?e ? ???'RYC A38974 Con r s Licen No.
??
MailinA,.4 i L
r n ciiTa ppWryationl 9-1
?
r: r,
VA'
Authryl?qj t o ractor e k ionl
??? ? ??RICK 432-50-6 ' Phone N ber <
MINNESOTA STATE BOARD OF ELECTqICITY THIS INSPECTION NEnl1EST WIIL NpT
Grie9s-Midwey Bldg. - Hoom N•191 BE ACCEPTED eY THE STATE BOARD
1827 UniversitV Ava., St. Paul, MN 55104 UNLESS PNOPEN INSPECTION FEE IS
ENCLOSED.
o."' Ia, I I eo? ??I I
REQUEST FOR ELECTRICAL INSPECTION
' See im<roctions for comolating Nia form on back ol Vallow cooV.
'X BelOow ?rk overed by Thrs Request
EB-00001-04
3 7co l g
NeW .Add Rep. Type ot Builaing Aooliances wrred Equiomm[ Wired
Home Range Temporary Service '
Duplex Water Heater jif l?rghturtq Fixtures
-
Apt. BuilAing ryer Electric HezLn
Cominercial Bldg. Furnace Silo Unloeder
Industrial BIAg. Air Conditioner BWk Milk Tenlc
Farm ome, oe,:i v Tine, (su1111Nl
tier Suer.i y ther Oihei
Compute Inspectron Fee Be/ow
N Fee ServiceEnVanceSixe !1 Fee Feeders/SUbfeeders b Fee Cir uits
to 200 Am s 0 to 30 Am s 0 to 30 Am )
Above 200 q,ipy 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 700_Amps Above 100_Am s
Transtormer5 Irrigation Booms I Partial.'Other Fee
Si gns Spec ia l I nspe ction
T
Hemarks
1 ?I A 1' ? 1 AL FEE
?
flouBh-in D.?te h lechicxl
Cbr y
y nt the nbove
Final ?ate ' spaction has been
y'? •? ede.
This repuest voitl 18 months trom
This request vofd (J Z
18 months from
W087346
u, ay, caLe-k j,, (a,A 2"A 37 Ca t F5'
s7,so
Request Date Fire No, flougn-in Inspoction
- X1, ? Requ d? OReady Now ill Notify InsPer.-
lor Wh
R
d
s ?N? en
ea
y
120[7icensod Elecvical Conhac[or I herebv requast inspection of above •
?-Owner electrical work inatelletl at: ?
Street? ddress, Box or Noute . Ciry
ecUOn o. Townehip Name or No. Ranp? o. Cnu
Occu tIPRINTI
MCD Pha e No. ^?-y rI
Power SuOplier
's AdOress
Elecvica__ I Cnntraclor om?y?ame RIC A38974
1L1? Jii[ Contrar.t r's Licg?y:No.
C ?''
Mailin0Ad?he!
APPI
Authori e r u?ner a ing ns aLOnl
GARY KENDRICK 432-5036 Phone Numb
MINNESOTA STATE eOAPD OF ELECiRICITY THIS INSPECTION REQUEST WILL NOT
Griggs•Midwey Bldg• - Noom N-191 gE ACCEPTED BY THE STATE BOARD
1821 UnivaraitV Ave., St. Paul, MN 55104 UNLESS PPOPEN INSPECTION FEE IS o.__., 1a11, vav i111 ENClOSED.
..
ThiS reqoest void a- L.
18 nwnths fmm
W087343
L3 1 gy i Coa.cl+.sKati t_atic? z"?` 3-7 la! Sl
37- so
Raquest Dale Fire No. Rough-in Inspection
R
d? ?
12411 NotitY InsPec-
ft
atl
N
` eqm y
ow
O
e
tor Wh
n R
e
s ?NO e
ea
9
niL1ceused ElecVical Cuntractor I hereby mquest inspection ol above
? Owner alaclrical work iristalled ac
Sveet Addr ss . or R u[e No. A A
I ?? ? r ? , City
ecuon o. Township Name or No. Range No. Counfy
Oc pant IPAINTI Phone
Power Supplier
SP Address
E1eViVI?RICK ELENCTRIC A38974 Contras ?'e No.
Mailinp Adii iC tLr?-FDd?d?HIvGlefl4ARi g M tiqpl
i ?r i?ri?a.»..s? ?.?.ey
AUM
. ki n Ya'II tion)
Authoe e
re 1
SIdMM
GARY KENDRICK 432-.Rrj:?i3 -
Phone N her
MINNESOTA STATE BOARD OF ELECTNICITY THIS INSPECTION flEQUEST WIIL NOT
Griggs-Midway 81dg. - Room N-191 BE ACCEPTEO BY THE STqTE BOARD
1821 UniversitV Ave., St. Peul, MN 55104 UNLESS PNOPER INSPECTION FEE IS
1,.o??-.o.« ENCLOSED.
.. '
REQUEST FOR ELECTRICAL INSPECTION
' Sae instructions br completing this form on beek of yallow capy. 4 3
X Below Work Cavered by This Request
Eg-00001-04
0 37(alg
Add Rap. TyOe oi Building Appliances Wiretl Enuiument Wired
Home Range T ?porary Service
Duplex Water Heater liyhtiny Fixtures
Apt. Buildinq D yer Electric Heatin
Commercial Bldg, umace Silo Unloader
Industrial Bldg. Air Conditioner Buik Milk Tenk
Farm Other Paci y Other (SV,ify)
t r,r pcuiy Orhe, Other
Compute lnspection Fee Below
# Fee ServicaEntranca5ize p Fee Feeders/Subfexders k Fne Circai[s
0 to 200 Am s 0 to 30 qm s OQEL)j 0 to 30 Am
A6ove 200 qmps 31 to 100 qmps 31 to 100 Am s
Swimming Pool Above 100-Amps Above 100_Amps
Transiormers Irrigation Booms iaJC7 Partial- Other Fee
Signs Specialinspection
AL F
Femarks EE
7_ ?s-G
NouBh-,^ ? ???) `
? I, the EIecV{cel
Inspec[oq hareb
ay
certi?y t?et the bove
finel inspection has bean
metle.
ThIS reauesl voitl 18 montire fro.
= CITY OF EAGAN ?T p
1795 Pilof Knob Roed Eagen, MN 53174 lr • 8055
PHONE: 434-8100
BUILDING PERMIT
1 of 4 PLEX Est yal,x $58,000
Site Addreu 3146B Farnum Drive
Lot Z Block 4 Sec/Sub.Coachman Land 2nd
parcel # 10 18151 020 04
W Nome Coachman Land Co.
v
Address 2432 Prior Ave. No.
?:.,. Roseville e..___ 636-8050
0
fu
°u5
F
Name
tion Div3sion
Addfeu 2432 Prior Ave. No.
,,_. Roseville b
Nome _
Addreas
1 hereby ackrrowledge thof I have read fhis application ond state thaf
fhe intormotion is correcf and agree fo comply with all oppliceble
State of Minnewro Statutea ond Ciry of Eogon Ordirances.
Sipnuture of PertniMee
A Building Permit Is iuued to: Rosewood
oli work sholl be dorro in occordonce wilh all opi
Buildirp Officiol
32
Receipt #
Dote MaY 19 . tq 83
R-3
Erect $]( Occupancy
rr-
Alter ? Zoning
Repalr ? Fire Zone
Enlarqe ? Type of Const ?n
Move ? # Stories
Demolish ? Length 46
Grade ? Depth 26 Sq. Ft.-
nvv.o.ai. r.e.
AssesSment
Woter 8 $ew. Permit 307.00
Surchorge • 00
Police Plan check 153.50
Fire SAC 525.00
Enp.
Plonner warer Conn.4 sn _ nn
Woter Meter 60.00
Council Road Unit 250.00
Bidg
Off
,
.
APC
Torol $1774.50
Divi si nn on t he express wrdition thm
isota Stmuces ond City of Eo9an Ordlnances.
cin oF Eac,AN No $052
. ? 3795 Pllet Kno6 Road Fa9an, MN S5112
PHONEs 454•8I00
BUILDING PERMIT Receipt
J
T. 6e u"d fer 1 of 4 PLEX Est_yalm $58,000 pme Mav_19. 19 83
Site Addreu
Drive
Erect $][ Occuponcy R-3
Alter ? Zoning PD
Repair ? Fire Zone NA
Enlarge ? Type of Const. Vn
Move ? # Srories
-Demollsh ? Length46
Grode ? Depth 26 Sq. Fi.-
Aovrovalt Faes
Lot 4 BI«k 4 Sec/Sub.Coachman Land 2nd
parrel # 10 18151 040 04
W Name Coachman Land Co.
? Addrexi2432 Prior Ave.'No.
,.:" Roseville 636-8050
o IN.m. Rosewood Construction Division
2432 Prior Aae. No.
Address
r,.., Roseville o?.,.... 631-3254
Nome _
Address
I hereby acknowledge thot I hove rend this applicotion ond state that
the informofion Is correct and ogree to wmply with oll oDDlicoble
Stafe of Mirnxwto Statutes and Ciry of Eogan Ordinonces.
Sipnotum of Pertnittea
A Buildirqg Permit Is issued to: Rosewood Cons
oll work shcll be done in occordance with.dVAAlcal
Assessment -
WaMr & $ew.
PoHte -
Fire
Enp.
Plcnner _
Council _
Bldg. Off. _
APC
Pertnit ?vi.vv
Surcharge :00
Plon check 15 50
SAC 525.00
Woter Conn450. 00
Water Meter 60. 00
Rood Unit 250.00
rotol $1774.50
vision
on fhe express cadition thnr
ewfo Statutes ond City of Eogan Ordinanceo.
Buildirg Officiol
,
^ CITY OF EAGAN N
? 8053
. 9793 Pllef Knob Road Eagan, MN SS122 •
PHONL 4114•8100
BUILDING PERMIT Receipt # ?::? i4)-3
Te be wad ier 1 of 4 PLEX Est. Volue $58,000 pate May 19 , 1983
Slte Addreu 3144B Farnum Dtive Erect J2 Occuponcy R-3
Lot 1 Blxk 4 Sec/Sub.Coachman Land 2nd Alter ? Zoning PD
Porcel # 10 18151 010 04 Repolr ? Fire Zorw NA
Enlurge ? Tvce of Consf. Vn
W Name Coachman Land Co, p,b" 0 # Stories
; Address 2432 Prior Ave. No, pe,,,olish ? Length 46
b ci Roseville phone 636-8050 Ginde ? Depth 26 Sq. Ft.-
? N Rosewood Construction Division Aoverala Feea
o ame
Su Address 2432 Prior Ave. No.
? ?;ti, Roseville 631-3254
Name _
Addreas
I hereby acknowledge thot I hove read this applicotion and stote thaf
the inlormotion is corrett and agree to comply with oll opplicabla
State oi Minnewto Stotutes and Ciry of Eo9an Ordirwnces.
Sipnature of Permittee
Rosewood Co
A Building Pennit is issued ro:
all work sholl be done in accordarxa with all appl
Assessment _
Water 8 Sew.
Police -
Fire Enp.
Plonner -
Council _
Bldp. Off. _
APC
Permit iV I. V V
Surchorge 00
Plnn check 153.50
5nC 525.00
Water Conn450.00
Water Meter 60.00
Rood Unit 250.00
Tocol $1774. 50
_ on the expreu conditlon thm
and City of Eoqon Ordinantes.
Buildinp Offlciol
• CITY OF EAGAN N• ? 8054
7795 Hbf Knob Road Eayen, MN SS122
PHONLs 451•8100
BUILDING PERMIT Receiot #
T. M wed 4a 1 of 4 PLEX Est,yolue $58,000 pate Mav 19 iy 83
siM wndmss -31*6" Farnum Drive 3(
Lot 3 Block 4 Sec/Sub.Coachman Land 2nd
parcel # 10 18151 030 04
m Name Coachman Land Co.
? q?rexi 2432 Prior Ase. No.
?;,,, Roseville eL___ 636-8050
0
Z
°uu
?
•
Name
Mdress 2432 Prior Ave. No.
,.,... Roseville
Name _
Address
631-3254
I hereby acknowledge thot I have read this applicotion cnd stote that
fhe informofion iz correct and ogree to comply with all applicoble
Smte of Minnewro Statutes and City of Eagan Ordirwnces.
Siflnotum of Permittee
A Bulldinq Permit is issued fo: Rosewood Construction
all work shall be done in accordance with oll aPP
li Sto of i
Buildirp Officlol
Erecf $][ Occupanty K-3
Alrer ? Zoning PD
Repair ? Fire Zone NA
Enlorga p Type of Const. Vri
Move 0 # Stories
Demoliah ? Length 46
Grode ? Depth 26 Sq. Ft.-
Apororals Fee.
Asseument -
Woter 8 $ew.
Police -
Fire
Enp.
Plonner _
Councll -
Bldg. Off. -
APC
Permit ?v i . vv
Surchorge :00
Plan check 153.50
5at 525.00
Water Conn/• 50 - (1f1
Woter Meter 60.00
Rood Unit 250.00
Total $1774.50
_ on the express conditlon thm
and City of Eogan Ordinonces.
/? HOUSE HEATING TEST RECORD 'Z?? '??5p??? Q?, o??D
ADDRESS ????""'u? Dk-- APT. FLOOR-CITYq?+69SUBURB
OCCUPANT OWNER QULD ISU4S
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Elsctrieal Work By Gas Line By
TYPE OF HEAT GA FA ?ItHW -STEAM -SPACE HTR. -UNIT HTR. -OTHER
MAKE.
Modal
Sxial _
INPU7
GAS DESIGN
CONTROLS
THERMO TAT - Heat Plug
Valve E 6t'
Limit xO
Limit SstFing. 1700
Fan $eMing
Pibt Type
Pilot Make -?'
MAKE OF BURNER
Model
Max. BTU Raring
MAKE OF FURNACE -
Model
(,, S !1
? I l?`V
Vant Size V
KIND OF LI ER SIZE NONE °
Drah Hood Regularor Filters $ize lumber
Chimnay Locatfon Insids Oufaide
Chimney Construetion Awl '?p-ar
Pilot Model -' Smoke Bb .t ^iri^9
Pilot TiminS Draft y=„'?R' ry Test Tag
L.W. Cuf Off Door Presaure Lightin9 Inat.
Prossuro IUK- PercenfCO Doro Tastsd '? ???
2 ?L
Input CFH 7? Percent OZ 7'D Company Testin9
Stock Temp. ?ercent CO 0 Name of Test /? K1?[?
Form 235
CONVERSION
r;uJ v 1?f # &:> s?--
CITY OF FAeM?r- Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
To Be Used For uation o db Date
site Address: 3 (p 13 C? Kuw? ?r , oFFICE usE oNII,Y
Lot o? Block q sec./Sub. '' I&J-Erect occupancy ?-3
Parcel #: Jo iglsi dzo o? :?tip AM A1ter Zoning p
Repair Fire Zone
Owner: Enlarge _ Type of Const. vvk
Nfove # Stories
Pddress De.rmlish Front ft.
City/Zi Grade Depth 2- ft.
Phone q
Contrac
Address: na&g, _
City/Zip Code:
Phone #: 63 J -3 Z? L
Arch./Etng. :
Address:
City/Zip Cocle:
Phone #:
APPROVAis FEES
Assessments Pezmit 30'7 1 O C5
water/Sewer Surcharge ?0 6
Police Plan Check . ?C,
Fire SAC S25 , o a
IIig. Water Conn. t,7-0 , oa
Planner Water Meter p ,op
Council Road Unit z?°c> o
Bldg. Off.
APC
TdI'AL -? D 7 4'c `J?e?'
-
CITY OF EAGAN
BUILDZNG PERMIT APPLICATION
?b Be Used For',Z4?g.?,,, '4j Valuation ?`a $l O eIO
site Address: 'A ' -C.'s'AU.Uv?- '1Ur
IAt 4 Bloc]c -?- Sec./Sub.
Parcel #: / v 1871 5 l oq 0 0q 'a- ?,l) AAfl
pWf1PY• \ , /
Address : (l.G-t'
City/Zip Code:
Phone #: H6 `6c)S-V
Contractor: bap-c?
Pcldress:
City/Zip Code:
Pnone #: f;3i- 32 S!/
Arch. /Eng. :
Address:
Gity/Zip Code:
Phone #:
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
vate S ^ 18- ^ 8-,3
OFFICE USE ONLY
'Erect Occupancy {e '3
Alter Zoning 'p 'j>
Repair Fire Zone /U
Enlarge Type of Const.
Nbve # Stori s
Demlish Front qb ft.
Grade Depth Z ft.
P.PPROV11i.5 FEES
Assessamnts Permit 30'71 0 6
Water/Sewer Surcharge y ?o 0
Police Plan Check ! ?? , s C?
Fire SAC Sz s ;n C?
Eng, Water Conn. Sc)i6b
Planner Wates Meter (,op • o O
Council Rnad Unit 2 Sp , o 0
Bldg. Off.
PPC
TOTAL t -7 7 `? t S-0
?I tA,4J 3
( ap q PlvC
?b Be Used
Site Address: 2q q 4 8 `'?Qt,
Lot __L Block q Sec./Sub.
Parcel #: Lb ffC-lS( 610 oy
Owner:
Address:
City/Zip Code:
?P -K ?-ne? 3
CITY OF EAGAN-?
k
Phone # : ?j 36 - 7'0
Contractor:
Address:
City/Zip Code:
Phone #: L31-72 5t/
Arch./Eng.:
Pridress:
`f C?9''DOCS
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Dabe '- - /
OFFICE USE ONLY
Frect ? occupancy
Alter Zoninq
Repair Fire Zone
Enlanqe _ 'Iype of Const. Yl
Nbve # Stories
Detmlish Front l? ft.
Grade Depth z ft.
APPROUAI,S FEES
Assessments Permit 30 7 +d ?
Water/Sewer Surcharge a tD U
Police Plan Check iS3 <G7 (:::)
Fire SAC SZS,o6
Eng. Water Conn. So. o 0
Planner Water Meter 60 t c) 6)
COL1T1C11 ROZid U711t Z 50 ,d d
Bldg. Off.
P.PC
City/Zip Code:
Phone #:
TO'PAL ` 1 7 7 ' S C?
FeVA. [WW-CvZIL? j4
?1di,c,QtQ??•},,. 1? ? 1 ITY OF EAGAN
V
BUILDING PERMIT APPLICATION
t
'Ib Be Used F ? Q Valuation * 5?(0b0
Site Pddress: 63 Iq ?Ar ilttit?-? tr CYE-
Lot a Block Cl Sec./Sub. kjlg-, Erect x
Parcel # : (D ( $ ( S 1 o 9> v O LI ?-?LO .QlJ D Alter
Repair
OwnE.rt Enlar(ge -
M?ve
Pddress: vM?, (i4e, Demlish
City/Zip Cocle: 4v,?? Grade
Phone # : (? - ' p SD
Contractor:
Address: ,qykj_
City/Zip Code:
Phone #: L 3/-`3 Z 5?
Arch./Eng.
Prldress:
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date s' t C'_ 9-3
OFFICE USE ONLY
Occupancy le '31
Zoning
Fire Zone
Type of Const. P`
# Storie
Fmnt ft.
Depth Z £t.
APPROVAIS FEE'S
Assessments
Water/Sewer
Police
Fire
Eng.
Planner
Council
Bldg. Off. _
APC
Permit go -7 to O
Surcharge .2 ? o O
Plan Check l S`-3 ` S b
SAC o b
Water Conn. se), o r>
Water Meter jso • o 0
Road Unit 25D, o C?
City/Zip Code:
Phone #: ZCYS`AL
CITY aF FAGAN
i Q? ?pl?X BUIIDING PERI?ffT APPI,ICA'I`ION
?
'ib He Used For (k v 4-0 H,0 Valuation S$ pG p
Include 2 sets of plans,
1 site plan w/el.evations &
1 set of energy,calculations.
Date 6 /sle- 2-
site paaress: 3/'{ 7 r //,eN(//P- xv"qr- Dx ? oFFic;E vsE oru.Y
iDt -L siocx ?i sec./s,b. Cwi. c.a.?QGa# Erect occupancy
Parcel #: /0 %$/Sb Oc/v qg Altex Zoning
Repair Fire Zone
I
Oaner• n !- Enlarge _ 2ype of Const. 1\ _
Move # Storie
AddresS: Deimlish Front fi,
City/Zip Cbde: Grade Depth Ztjo ft.
Phon2 #:
(:omractor: 4w? cltia-('-
Addr2SS: _ 243L P?l.c.? Q,, /U r
City/Zip Code:
Phone #: ( 3 F - F-c SO
Arch-/IIt4. .
Address:
City/Zip Code:
Phone #:
APPFbIVALS FEES ----
Assessments
Water/Sewer
Police
Fire
EriJ-
Planner
Council
Bldg. Off. ? -(-
APC
Pernut 307,60
Surcharge 2 'O O
Plan checx 1s.3 . 2o -
SAC S ZSr 00
Watei_ Corm. qZ Ot o a
Water Meter b0, op
Roac7 Unit Zq8
/
CITY OF EAGAN Include 2 sets of plans,
f ? 1 site plan w/el.evations &
BUILDING PE[tI4IT APPLICATION 1 Set of energy calculations.
'Po Be Used For (3L RQ 464u- Valuation ?, 9'{ d 0 o Date I Z- ?
site r,aaress: 31q5' F.i/zvvm 7&720"??s- oFFzcE usE CNux
Lot 3 Elocx 7i sec./sub5acQ:4jC0-0( Erect V occupancy
Parcel j6 j&150 530 62 Alter Z°IUnq - p -.-
Repair Fire Zone
Owner: ??e _ Zype of Const. Y? --
Nbve # Stories
Pddress: Deimlish Front g(C it.
City/Zip C:a3e: Grade Depth z ft.
Phone #:
Contsactor: Lzu-tr4 &k.4? .
Address: a432 A.u?v QxKr tlJ •
City/Zip Code:
Pnone #: 636 -?o sa
Arch./Eng. .
Adclress:
APPROUALS FEF'S ?
Assessnp-nts Permit 3G7 ,o 6
Water/Setver Surcharge Zq 'O C
Police Plan Check 5,A ,
Fire SAC 5-2 S,O
Eng. ? Water Conn. Zv + o t
Planr.er Water.Meter (po, oC
Council RAaci Unit Z o?( < D C
Bldg. OPf. -
APC
City/Zip Code:
Phone #:
'ICYi`AL
?
CITY OF EAGAN
? ??-- Q > l& XBUILDING PERNIIT APPLICATION
?
7b He Used For a4--0 Yo/;u- Valuation
sit.e r,aaress: 3 3 F,q2Avv1n- yemW tPC<
Lot 7i slocx 2 sec./sub.G,qctqCa.,.cP #l
Parcel #: /o !9-/50 020 b"Z
Qaner: Cza,? l." cz
Address:
City/Zip Gbde: MJ2--
Phoxte # :
Contractor: &e&vbzP
Acldress: ,;L 4 3 L PilA't.
city/Zip code: k6v'tn1&, SS ! 13
Phone #: G 3G - $v so
Arch-/En9..
Address:
City/Zip Code:
Phone #:
59,000
Erect ?
Alter
Repair
Enlarge _
Move
Demolish
Grade
Include 2 sets of plans,
1 site plan w/el.evations &
1 set of exieergy,calculations.
Date ??/S Z-
OFFI(:E USE ONf.Y
occupancy d2 -3
Zoning P _-
Fire Zorie nj
7ype of Const.
# Stories
Front y ?G fi,
Depth 2 ft.
APPROVALS FEES -?
Assessments
Water/Sewer
Police
Fire
EnJ •
Planner
Council
Bldg. Off. -{
P,PC
Pesmit 307 eoo
Surcharge
_
77,00
Plan C'hec?.k / S,3 , Sd
SAC SZS+oO
Watet: Conn. Z6 , o D
Water A7eter ioo, o d
Road Unit -YTO, 00
'iOTAi, ? [-7 3 , 5-0
, i
?
OF Et1Gi?N =ncl=Zde 2 sets of pIans,
1 sitE plan w/el.evations &
r ml ?? BUILDING PEF?IIT APPLICATION 1 set of energy, calculations. .
._` T_ -
Zb He Used For QU,44 Valuation r, $,OOfl Date
s'
ir.e raaress: 31 ?f/ 04r ,44w- '65' ? orFzcE UsE orLY
Lot _? sl.ocx _2,, sec./sub,0,,j(.y.4T*1 Erect t/ occupancp F? 3
Parcel #: /G` /8`!5D D(O o Z Alter Zoni.ng PD
Repair Fire Zone
Oc,mer: EnlarJe _ 4ype of Const. ? --
Mcyve # Storie?¢
Pddress: Dennlish Front 4? fi.
City/Zip Gbde: v,q AA? Grade Depth ft.
Phone # : APPROVAIS PEES -----
Contractor: L-'Z,44?
Address: 7-44 32 P24o2
city/zip coae: ssrt3
Phone # :
Arch./Ehg..
Address:
Assessaients Permit 30-7 , o C)
Water/Sewer Surcharge 7-4 ,06
Police Plan Check l53 , SC
Fire SAC 5ZS , a c
Encj. Water Conn. q20 , ?
Planner Water .Meter (pp ,DC
Council Road Unit z OL o<
Bldg. Off. fo-fta-$'L _
APC
City/Zip Cale:
Phone #:
TpTAL
-1 3,4 2L q> 2006 RESIDENTIAL BUILDING rExMiT arrLicaTTOrr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New CansWc6on ReSUNements
3 registered site sorveys showing sq. ft. of lot, sq. R. of house; and all roofed areas
(20%maximum lot coverage allowed)
2 copies of plan simvring heam & windovr sizes; poured found design, etc.
i sel of Energy GalculaEons
3 copies of Tree PreurvaUon Plan i( lot piatted aher 7/1193
Rim Joist Detaii Options selecGon sheet (buildings wiN 3 or less unAS)
Minnegasco mechanical ven67alion form
RemodellReoair Reauirements
2 copies of plan showing footings, beams, pis4s
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addfiort - indkate if on-sde sepfk sysfem
-4,as. ,3S
OfficeUse?.OnN
CedofSurveyRecd _Y _N
Tree Pres Plan Recd _Y N.
TreePreSRequired ,y N
On-sileSepticSystem '_Y N
Date ?l /? P D C
Site Address 31Y?''?
?• .
, Construcfion Cost ?o Q OCD
IInit/Ste #
DescriptionofWark GCao?'., - ??•,.- vLf%Gr_ ?w°?f-<'- 7?o C?oc?e
Multi-Family Bldg `/ N Fireplace(s) _ 0 _ 1 _ 2_3
Property Owner Telephone # ( )
Contractor t ?=-? ? ?ov ? •' ? .?? c .
Address / y`J.3 J` ???c ?
State S l?'. /!!??
Zip " 5- ° 4 Citv
Telephone # ( 7t5) ?S ?-OG ? C1
COMPLETE THIS AREA ONLY lF CONSTRUCTING A NEW BUILDING
- Minnesoh Rules 7670 Cate? 1 Minnesota Rules 7672
Energy Code Category , ftesidentiaf Ventilation Category 1 Worksheet . New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted .
• Energy Envelope Calculations Submitted
In ihe last 12 monThs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Wafer Contractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 accardance with the approved plan in the case of work which requires a review and
approval of plans.
/ 'ef f
t
Applicant's Printed Name
?-
-!
ApplicanPs Signature
2004 RESIDENTIAL BUI€,T1ING PERNIIT APPLICATION?
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion Reaui2ments RemotleVReoair ReouiremenLs
g sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan
3 reg stered site surveys showin lm
(20° maximum lot coverage allowed) 1 set of Energy Calculations for heated addifions
2 wies of plan shovring beam & wiMow sizes; paured found desgn, etc. 1 sile survey for additions & decks
1 sel of Energy Calculations Addifion -indicate d onsite septic system 3 copies of Tree Preservatbn Plan i( lot plaHed after 717193
Rim Joist Detail Options selection sheet (bldgs with 3 or less unds
D
t
I 'k / C -7k 'a-+ -
a
e ost
Construction
Site Address UniUSte #
DescriptioaofWork34 P 1?u 4 4..A?tl?UI'S 6-boeic 5 W.?r?- -L,KcS"3?N01
Malti-Family Bldg _
Y)e N Fireplace(s) _ 0_ 1 _ 2 o?..?;
?
Property Owner ZL 4 -Q ? Telephone # (Ip,j 1) "'t " L4
RENEWAL BY ANDERSEN
Contractar 1920 COUNTY RD. "C" WEST
Address ROSEVILLE, MN 55113 CitY
State 651-264-4777 , Telephone # ( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF
Energy Code Category - M'nnesota Rules 7670 Cateeorv 1
(dsubmission type) • Residential Ventilation Category 1 Worksheet
Suhmitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2
fee applies.
?.3
7
Licensed Plumber
JuiN L ? zaoa
Mechanical Contract ' f;
Sewer/Water
Telephone #(
Telephone #(
N If so, 25% plan review
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the informatio is complete and accur te;
that the work will be in conformance with the ordinances and codes of the City of
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
ap val of plans.
Apphcant's Printed Name ApplicanYs Signature
A NEW BUILDING
Minnesota Rules 7692
. New Energy Code Worksheet
Su6mitted
`°?• ?s• ??••+. iuv ac.?? rnq lOJ . D/l 4460
HClV(:1?1l1. !Sl° $PIUt}!(?!S!V
re al
..?,,?,,. .
. Juno ?, 2M1 ' •
CY of Eam .
3836 PiIcrt Knob Road •
Ea$en. MN 5S122
To Whom It Maq GoFtoarn:
Etder 7ones is authorizCd to ptt1l bnilding r
Permits Por Renewai by Aadezsm Ptease allow
dEateidcr Jonesbcyond to providc this service for ns in F?an. 'RtiA ewhoriz?? #S velid for any
to the City6/6/OX; Wntil ante'wal by Andcrsan mana= exPttsetY [evokea it tn ?vriting
-
I rcquest this auttioiization
oar baIIding bc accepted axpedidously. as to not delay in the processing of
potmits any fyr&a.. Rlcasc c;aIl axc LFtfictG atc nny qQeulona.. I iai be
contactcd az 763-502-4706.
Your immgdiate aumtion tp ? mauer is
Sinoaialy,
4ond R Rau
nstallaiion Managcr
Renowal by Andetsan Cotporatian
C'.c.: Knrn-F.fcte.r Jnne_
^?'v awu,??-
?r?""+w"a,M?? ,,,zoas
:
a ,
wuu
Received Time Jun. 7. I?07p}d
CITY USE ONLY
L BL /? RECEIPT#: 9G° /J 0 - V
SUBD. ?`N• ? RECEIPT DATE: ?/T 7/
1998 PI+UMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PZIAT FINOS RD
EAGAN, IMi 55122
(612) 681-4675
Please complete for: ? single family dwellings .
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES ^ EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 r. _
i.avatory 3.00 x
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/S a 3.00 x
ater Heater
' 3.00 x =
rain 3.00 x =
Gas Piping Outlet ` minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 x =
Water Softener " for existing dwelling 20.00 x =
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G.Sprinkler `forexistingdweliing 20.00 =
Alterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' a,nendonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE 50
? So
TOTAL
---------------------------------------------- -- ------------m--------------------------------------•---------------------
I hereby adcnowled-ge that I have read this application, state that the inkiation is corted, - and agree to compty wRh all applicable City of Eagan ordinances.
It is the applicanPs responsibiliry to notify the property awner that the City oi Eagan assumes no liabiliry for any damages caused by the City during its
nortnal operetional and maintenance activities to the facilities construded under this pertnit within City property/right-of-wayJeasement.
SITE ADDRESS:
OWNER NAME: ?•?iY.E/?f/?i
INSTALLER NAME: 11-'dP XdTee /????>?? TELEPHONE#:
STREET ADDRESS:
CITY: (7LY?/?Pl OYi7?41 STATE ? ZIP: -M?OW
/7 ,.. .? _
SIGNATURE OF
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
...:: . ,,'? 61G7' •
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN MN 55122 PtIONF ,(612) 454 8100
W99CA1. PEM '
?yyy ?y}Y((k Y1?4C 1 {lC ::?:.. ...
? y 3?1 . . .. .1
FOR CITY'USE ONLY
PERMIT #
RECEIPT
DATE:
....................................,.
R?SID$NTIAIi.:., PLEASE COMPLETE ?UPPEA PORTION ONLY ' FOR SINGLE.FAMILY.r, DWELLINCS &- `
...::....-. .. . .
TOWNHOMES/CONDOS LTHEN PERMITS ARE REQUIRED FOR EACH.UNIT:
----__'----`---_--_---------.i._-'-'_'_--___--
__- ____'- '___- - __ " `- - - - '- - -_ ' ,
WOItK DESCRIPTION FEES
NEW CONST _
ADD ON
REPAIR _
OWNER NAME:
ADD-ON,MINIMUM $15.00
HVAC " - 0-100 M BTU 24.00
ADDITIONAL:50 M BTU
GAS OUTLETS - MINIMUM ?3.00
. . . :...OF1'.PERPERMIT 'Z)v/-AS ?? ..
SUBTOTAL
SITE ADDRESS: a? STATE' SURCHARGE: ' .50
.,.. .
, p?
LOT:? BLOCK ?' SUSD. ,
?•? TOTAL: $
INSTALLER:
04??:"1"';i'r'?.
Vo=W&"?"iY $?
.
ADDRESS: 7£::5 SNAWNEEROAD>.E".4'' ;=2 ' SIGNATURE OF'PERMITTEE
CITY: 2IP:
G/S
PkIONE if:
COMM??AUSTItTA1".':. PLEASE COMPLETE TNZS
.. PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,,.-
..,.,
,
APARTMENTBUILDINGS, A
ND ?NLTI-FAMILY BUTLDZNCS WHEN SEPARATE PERMZTS ARE
r/
NOT REQUIRED FOR EACH DWELLING UNIT
-------------------------------------- ----------------- ---------- ---------------
CONTRACT PRICG:
. FEES "
.
.
OWNER NAMC: .,.; .;:.:;
18 OF CONTRACT FEE:,'•.
STATE SURCHARGE- $.50 F02
SITE ADDR6SS: EACH $1,000 OF.PERMIT FCE
PROCESSED?PIPING ?_.$25?00
LOT: BLOCK _ SUBD. $25.00 MINIMUM'FEE,
INSTALL6R: CONTRACT'PRICE x 18'; $
ADDRESS: STATE SURCHARGE -'$-
,:
CITY: ZIP:
TOTAL: $
PHONE #:
_ i:(SIGNATURE).;
FOR:
CITY OF EACAN
PLEASE NOTE THE FOLLOWING ADDRESS CHANGES AND MAKE THE NECESSARY
CORRECTIONS ON YOUR MAP.
ALL OF THE FOLLOWING CHANGES ARE IN COAC13iAN LA?4D C0. 2ND ADDITION -
Building 10, Unit 1 should be Lot 3, Block 5 with an address of
3150 Farnum Drive.
Building 10, Unit 2 should be Lot 4, Slock 5 with an address of
3150B Farnum Drive.
Buildi.ng 11, Unit 4 should be Lot 3, Block 4 with an address of
3144 Farnum Drive
Building 11, Unit 1 should be Lot 4, Slock 4 with an address of
3146 Farnum Drive.
2004 RESIDENTIAL BTJILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
3 aa().75"
New Conswctlon Reoui2ments RemodeVReoair Reouiremenis
CaR S? ??
3 reg' 51ered site surveYs showin9 s9. ft. of bt, sq. R of house; and all roofed areas 7 coPies of Plan s??
(20% maximum bt corerage albwetl) 1 set of Energy Calculations for heated addNOns
2 copies of plan shovnng beam & window sizes: poured found design, etc. t site survey for addNOns & decks W.W ?
lsetotEnergyCalculatlons Addmon-Mdkatei(on-sdesepticsystem 3 -?e ,?s..._„
3 copres of Tree Preservalion PWn if lot platled afler 7/1/93
Rim Joist Detail Opbons selection sheet (bldgs with 3 or less units
12 ??IL40?2
Date -dL 1 / Construction Cost
SiteAddress 3
14LQ"?0.`I1)1 TYV? 1 X?l1LQ_ UniUSte #
Description of Work
Multi-Family Bldg _ Y?6 N Fireplace(s) _ 0 _ 1 _ 2 ??•1
O hone #kEj
Tele
woer
Property p
1tENF.WAL BY ANDRSEN
Contractor 1920 COUNTY ROAD "C" WEST
Address ROSEVILLE, MN 55113 CitY
State 651-264-4777 Telephone # ( )
LICENSE 420130983
COMPLETE THIS AREA ONLY IF CON8TRUCTING A NENf BUILDING
Minnesota Rules 7670 Cateeorv 1 Mianesota Rules 7672
Energy Code Category , Resitlential Ventilation Category 1 Worksheel • New Ener9y Cotle W ee
(4 su6missionlype) Submifled Submitted . D
. Energy Envelope Calwlations Submitted
Have yov previously constructed a building in Eagan with a similar plan2 _ Y _ N so, 2?p1?
fee applies. 0
Licensed Plumber Telephone #( ) (
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephone #( \&
I hereby apply for a Residential Building Permit and acknowledge that the inforxnation 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 pernut, 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. I _
ApplicanYs Printed Name Applicant's Signature
vvsveisrv.? yuV dG.oV fAd fOJ Ufl.'?F$(yp .
re al
r?o 7, 2oor . ?Of ERM :
3836 Piicrt Kaob Road -
Fasan.lvIN s5122 To Whom I[ May Concern:
EIder Tones is authori?.ed to pttll hniIding Leml(ts for Remwal by Andezsem_ ptease atlow
Plder Joncs to proyide this sezvicc for us in Eagan. 'TTtia enthorIzatidn is vaIifl For ary
. datc bcyond 616101: until a?awat bY Aadersea m??
to the City. OXMWY revokes it in wiitiag
I reqnest this auttioai.zettion 6c amepted -
ovr baiidiag Peanits aa fv eXpedtt3ously, ss to ttoE delay m the PTOc?sing of
coIItacted at 763-502-4706 rthcr. Plcaac caIl mc 3f thcte arc any que.tona.. I caa txs
' .„
Your 3mmpdiatc attcntjon fo ALs matEcr is az?reelarnA_ 9 ..•
SInoeiely.
ondR &-Rau
tistallation Managcr
Renowa] bY A.ndemtn CorPoration
C'r.: Karn-F7tie.r WUam ?(?q?hdAC
??
„?o.H?zom
:
wuu:
Received Ti?e Jan. 1. 1:01Pfd
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
4.??
New ConstNCGon Reauirements RemodellReoair Reouirements Office Use Onlv
3 registered site surveys showing sq. ft of lot, sq. il. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(200/o maximum lotcoversge allowe9) 1 set of Energy Calculatlons for heated additions Tree P2s Plen Real _Y _ N.
2 copies ot plan showing beam & window sizes; poured found design, etc. 7 site survey for additions 8 decks Tree Pres Required _ Y_ N
1 set of Energy Calcula6ons . Add'dion - indicefe ifon-site sepfic system Onsite Septic System _ Y_ N
3 copies of Tree Pieservatbn PHn N lot plalled afier 711193
Rim Joist Detail Options selection sheet (bMgs with 3 or less uniGs
Date --?/
Ilt Constructio Cost ?
-
Site Address -
UY-?;
410 AS VA L-\ vv\ 1
UnitlSte #
/
- ?
Description of Work
Multi-Family Bldg _ Y_ N ireplace(s) _ 0 _ 1
Property Owner Telephone # ( )
,
Contractor
Address City wmcl?
State
Zip ? r•
Telephone # (?' J ) ?f? ?n `2,5?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code CategOry , Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(dsubmissionrype) Submitted . Submitted
. Eneigy Envelope Calculations Suhmitted .
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 is complete and accurate;
that the wark will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pernut, 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
ap val ofplans.
? ?
Applicant's rinted Applicant ignat e
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
? 3830 Pilot Knob Road, Eagan MN 55122
? Telephone # 651-675-5675 FAX # 651-675-5694
-# II
New ConsWCtion Reauiremenfs RemodelfReoair Reauiremenis
3 registe2d sife surveys shcwirig sq. R of b4 sq. R of house; and a0 roofed areas 2 oDpies of plan ?C"?'er?t? "?"?:R ?
(20%maximum lot coverage albwed) 1 setof Energy Calalations for heated additions Tre,e?resP?Oa ?:.. 4Y ,.R.;14
2 topies ot pian shovring 6eam & window sizes; powed fouM design, etc. 1 site survey for additions & decks
lsetofEnergyCalculatbns Add"Aion-indicateilon-sitesepticsysfem Ons?S?ptw.?SSks6? ?
3 copies of Tree Preservation Plan'rf lot platted afler 711193
Rim Joist DefaJ Opfions selection sheet (bldgs witli 3 or less units
Datfp?z /r2L / 0--? ?ConstrucHon Co t
Site Address ?? ?3y y- 6 -}- (Z, f Yl L,tiM 1? Unit/Ste #
/ -
r
Descrip6on of R'ork `
Multi-Family Bldg ?KY _ N Fireplace(s) _ 0 _ 1 _ 2
r
p?
Property Owner Telephone # ( )
Z
7
Contrecto
Address City
State Zip SM 3 I Telephone #&5-1) ?/09
S?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEYY BUILDING
- TvIinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissfonlype) Submitted Submittad
. Energy Envelope Calculafions Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Coniractor
N If so, 25% plan review
Telephone # (
Telephone # (
Telephone #(
2 1 2004
I hereby apply for a Residenrial Building Permit and aclaiowledge that the informati" an 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 pernut, but only an application for a pemut, and work is not to start without a
pe?thatp e work will be in accordance with the approved?in the case of ^ rk wlu'?h requires a review and
a o 1 of lans. ,1 / / //,?
"Applicant's Prmted Nazne lApplicant's Siglj?e ' / // \
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex tP 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_v or_ N? 25 Miscellaneaus
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
Q 34 Replacement •Demolition (Entire Bldg) - Give PCA handout W applicant
Valuation Occupancy ?? MCES System
Census Code L It- Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ??j Width
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation ,
Approved By:
REQUIItED INSPECTIONS
Final/C.O.
so FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs _ Air/Gas Tests
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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WATER SERVICE PER
M' CITY OF EAGA Road
?. PERMIT NO.:
0: B o x Knob DATE:
®: Box 2 1199 11
Eagan, MN No. of Units:
Zoning:
Owner: ----- Address:
Site Address:
Plumber: Connection Charge:
Account Deposit:
Meter N Permit Fee:
Size: --------
-_ � —._
Reader No.: --------------
-- Eagan Surcharge:
F e:
I egg comply
with the City of Misc. Charges. _
Total:
ordinances.
By Date Paid:
I nsp.:
Dote of Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830.1 Knob Road PERMIT NO.:
P. O. Box 21199 DATE: _----
Eagan, MN 55121 No. DATT Units: <
Zoning: - --
Owner:
3
Address: re
Site Address
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Account Deposit:
Ordinances. Permit Fee:
Surcharge:
Misc. Charges: —
By Total:
Date Insp.: Date Paid:
Insp.: _ {
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA152964
Date Issued:11/13/2018
Permit Category:ePermit
Site Address: 3144 Farnum Dr A
Lot:3 Block: 04 Addition: Coachman Land Co 2nd
PID:10-18151-04-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Aleksandr Terk
3144 Farnum Dr
Eagan MN 55121
(651) 686-4868
Royal Plumbing
23310 Canby Ave
Faribault MN 55021
(507) 202-1969
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178027
Date Issued:07/28/2022
Permit Category:ePermit
Site Address: 3144 Farnum Dr A
Lot:3 Block: 04 Addition: Coachman Land Co 2nd
PID:10-18151-04-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Aleksandr Terk
3144 Farnum Dr Unit A
Eagan MN 55121--192
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature