3148 Farnum DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3148 Farnum Dr
Lot: 1 Block: 05 Addition: Coachman Land Co 2nd
PID:10- 18151- 010 -05
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
Owner:
Brace E Anderson
3148 Farnum Dr
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA091293
09/23/2009
ePermit
CITY OF EAGA11
Addition ' C OACE
Owner
Lot 1 Rlk 5 Parcel 10-18151-010-05
PARNUM DRIYS' State S'AGAI( MN 55121
Improvement Date Amount Annual Years </6 Payment Receipt Date
STREETSURF. IIW ]„ 4 psid 1lII e2' 82'CQZ 10- Q900-011- 1
STREET RESTOR. 1983 75 • 17 150. 3 5 301.68 A01 2fl -1 -$
GRADING to/ 1971 Paid
Gradialt 1983 1.2 34.66 69.34 A01 20 "
SANSEWTRUNK 1968 Paid n
• SEWER LATERAL
'"s W at 1983 1908.35 81.6 763.36 A01 20 "
WATERMAIN 1 l, 2 .
Paid 11
* WATER LATERAL 1 n n
WATER AREA 1 tt ?
**Water Lat 1983
STORM SEW TRK 1T Paid n
MNSTORM SEW LAT 1983 5
**Servicea 1983
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN. 450.00
BUILDING PER. 9304
SAC n n
PARK
CITY QF EAGAN Remarksl-?-I. '- -,D-' - )?, "
Addition ' COACHMAN LAIID C4 2ND ADD$ Lot 2 Blk ?2 Parcel 10-18151-020-05
owner Street 314aB FARIQUM DRIVE State EAQrAN MA 5rj121
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1974 Paid 11Y1 CT S='Cel 10- 0900-Q11- 1
STREET RESTOR, IS'S 1983 T54.17 1 0. 83 452.51 013149 11.-8-83
GRADING Q 1971 Paid 11
aradin 1983 173.29 4.66 • 11-8-83
SAN SEW TRUNK 1968 Paid 11
?F SEWER LATERAL 1973
?!
ry
** x r Lat 1983
[ 190.35 81.6 1 5.0 A013149 11-8-83
WATERMAIN W 19T2 .
Paid tt
_
* WATER LATERAL 1
WATER AREA tt n
**Wat r Lat 1983
STORM SEW TRK Z 1 Paid
*MSTORM SEW LAT 1983 5
**Services 1983
CURB & GUTTER '
SIDEWALK I
STREET LIGHT
IINIT
?Q1?Q
250.00
37597
8-1-83
WATER CONN. 450.00
9UILDING PER. 8305
SAC MAO
tt
1?
PARK
CITY OF EAGAN Remarks -DI y.'''- ? 19-:?
Addition ' COACHMAN LAND CO 21QD ADDN Lot 3 elk 5 -Parcel 10-18151-030•.A5
Owner Street 3150X P'ARNUM DRIVL State RAGAH MR 55121
Improvement Date Amount Annual Years Payment Receipt Date
' STREET SURF.
STREET RESTOR. 1 8 4 15o.83 5 452.51 A013130 13-3-83
GRADING 1 1 Paid ??
C a 1983 103.99 01313 - 3
SAN SEW TRUNK sto 1968 Pai d n
* SEWER LATERAL n n
' •• 1145.04 8,013130 11-1-83
WATERMAIN 1972 Paid n
* WATER LATERAL 1973
M
n
WATER AREA
•*
STORM SEW TRK 1 Pd n
ItIFSTORM SEW LAT 1 8
1
3
**se trci s -34
11
09A8
CURB & GUTTER '
SIDEWALK
STREET LIGHT
2SO.00 37597 8-1-83
WATER CONN. 450.00 it it
BUILDING PER. 1107
SAC 57500
??
tt
PARK
?
CITY OF EAGAN Remarks
Addition ` GOACHIiIAB LAaD CO 2$D ADDH Lot ?? Blk .?
owner Street 315 06FAR1qUM DRIVE State
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1 ?4 Pgj,d II QT iI'CC?. ZO- O OO-OIZ- 1
STR EET RESTOR. 'J 1 8 3 5?. 1 15 ?. 8 3 452.51 013122 11-2-83
GRADING 19'rl Paid
Gradia 1983 173.29 34.66 103.99 013122 11-2-83
SAN SEW TRUNK 1968 Paid
• SEWER LATERAL, 1 3 n n
**SeMer Lat li(e 1983 1908.3 81.6 1145.04 013122 11-2-83
WATERMAIN 19T2 Paid
WATER LATERAL 1 73
WATER AREA
13
19TT
**Water Lst 1983 5
STORMSEWTRK ?$ 1975 Psid
**STORM SEW LAT 1983 5
**services 1983
cuRe & GurrER
SIDEWALK
STREET LIGHT
ROAD IT 250.00 8-1-93
WATER CONN. 00.00
BUILDING PER. 8-306
SAC
PARK
Recaipt MECHANICAL PERMIT Permit No. CITY OF EAGAN -•?
Fee =-` Fill in numbered spaces S/C --
Type or Print /egibty -- ?
Tot
1. Date .? 2. Installation Cost -4? '
3. Job Address L,
r , 4t ?Lot Blk. Tract
4. Owner
5. Contractor Phone
:
6. Address LI f 1Ucd
;
7. City State ? Zip ' '_ • i
?
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New d Add ? Alter ? Repair ?
10. Describe Fuel Type ?. ::.
11.
No. Eauioment STU - M. Ea.
Forced Air No. EquiPment CFM
Ai
H
dli
Mfg. an
ng:
r
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
oomply 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 454-8700
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee ? ••. vv
I ?
Fill in numbered spaces •
S/C
Type or Print legib/y Tot. ?U• ?J j
1. Date ?/27j83 2. Installation Cost
3. Job Address }1 pU ii.r.. Lot ),Blk. 'Tract :,t?h?:.?l•;r;..$
?-
?
4. Owner
5. Contractor Oi:_WLi.L:-) Phone
6. Address 1 UC31:1
7. City Lk1 a?r. State Zip 5`II.i 34L
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New [A Add O Alter 0 Repair ?
10. Describe .?IiUL Fllu?:t.
11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
1 Bath tubs Septic Tank
-5 Lavatory Softner
' Shower
Well
S Kitchen Sink
Urinal/Bidet Other
? Laundry Tray 1 U.y? ??•,?::
? FloorDrains ?O.Sv r?A,....
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
Rougfi Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
s?k
Receipt MECHANICAL PERMIT Permit Na ?
CITY OF EAGAN Fee
FiII in numbered spaces S/C Type or Prinr legibly Ta.
1, Date 2, Instatlation Cost
3. Job Address Lot _ Bik. r Tract ?
4. Owner
5. Contractor
6. Address
7. City State Zip '
8. Building Type: Residential C?
9. Work Description: New
Commercial ? Institutional ?
Add ? Alter ? Repair ?
10. Describe ? Fuel Type - ?'
11.
No. Equioment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
compty 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
71
Raceipt .- , PLUMBING PERMIT Permit No.
CITY OF EAGAN Fm 1U.Jl!
J FiN in numbered spaces S/C .??
Type or Print legibly Tot2U. j0
.
1. Date 7/27163 2. Installation Cost 3. Job Address 31• 5WF L'Ljot 3 Blk. 5 Tract ?+Unviu.rui
.?AL1t?I 11
4. Owner ,c;?::i:?vuui, ;;Jicrtict;iTiU:.
5. Contractor SGriL' LTIr:S PiAi. iDIc:G Itvti Dhone 786-4W 1
6. Address ? ?41 AUKATG ST •
7. City
8. Building Type: Residential ?
Commercial ? Institutional ?
9. Work Description: New El Add ? Alter O Repair D
10. Describe "00i rtiiu.t;
11.
No.
t Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
? Lavatory Softner
? Shower vyell
? Kitchen Sink
Urinal/Bidet Other
? Laundry Tray 1 u.SU
? Floor Drains
561 nAi
:::
10
.
.
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 f inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
State jIN •
z;p 55u34,
Receipt '2 MECHANICAL PERMIT Permit No.
CITY OF EAGAN
., Fee ,_:..
' FiII in numbered spaces S/C
Type or Print legibly
Tot. ?
1, Date 2. Installation Cost
3. Job Address :? t`: •' ?' -Lot Blk. - Tract
4. Owner ' •
5. Contractor ? Phone
6. Address I
??3r.
7. City State ? Zip _ 1
8. Building Type: Residential ?
9. Work Description: New ?
Commercial ? Institutional ?
Add ? Alter ? Repair ?
10. Describe ' Fuel Type '?' • ??-
11.
No. Eauipment BTU • M. Ea.
Forced Air { No. Equipment CFM
Ai
H
dli
Mfg, r
an
ng:
Boilers
Mfg
. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for Rough Final
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
Fee ;6:1•?
Fill in numbered spaces S/C
Type or Print /egib/y Tot. 20•7U
1. Date 7/27/63 2. Installation Cost
3. Job Address 314EIb FAHAUlvi Dliot_d*L Blk. __5 Tract L?l?t3rllA.`?
4. Owner tWSr:WWD tiOKPUltel$IUA
5. Contractor 6i:HULTIBS PILA1wItrG I.iL;.Phone 766-1t0U7
6. Address lOdltl PaAlYKATO ST.
7. CitY n?D L- State 1'-??• Zip 5?431
8. Building Type: Residential [A Commercial ? Institutional ?
9. Work Description: New M Add ? Alter ? Repair ?
10. Describe WGOii Fite4wiL
11.
No.
2 Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
1 Bath tubs $eptic Tank
3 Lavatory Softner
1 Shower Well
1 Kitchen Sink
Urinal/Bidet
1 Laundry Tray T 1 Q.50 64AZ'i?.
? Floor Drains ? 10.50 rvI?T"t
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
4c-
Receipt 3 7i f
w" -z-
PLUMBING PERMIT Permit No. =-3L02-
CITYOF EAGAN Fee 20.0U•
Fill in numbered spaces S/C . 5U
Type or Print /eqi6/y T
[ J. ? U•
at.
1. Date 7/27/83 2. Installation Cost
3. Job Address 3148 F"JUh ui? Lot I Blk. ? Tract 4*?A1;1L':i?.r
4. Owner _;uS&iUvL
5. Contractor 6?;HULTILS DILNbIhG I""; phone 786-4007
6. Address 1 L?t1 tWi"W Jl < I
?
7. CitY :: State "u+ Zip ?;?434
8. Building Type: Residential E]
9. Work Description: New 6
10. Describe
11.
Commercial ? Institutional ?
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
5eptic Tank
Lavatory Softner
Shower Well
Kitchen Sink
UrinaUBidet 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
oomply with all ordinances and codes governing this tYpe of work.
Signed : for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN
454-8100
Reoeipt -7 MECHANICAL PERMIT Permit No.
j CITY OF EAGAN •
Fee '
Flll in numbered spaces S/C
Type or Print legib/y ToL --
.
1. Date -?% 2. Installation Cost 3. Job Address Lot Bik. Tract
4. Owner
5. Contractor ' Phone
6. Address • ' ' •
7. City State ' Zip
8. Building Type: Residential C? Commercial ? Institutional ?
9. Work Description: New E] Add ? Alter ? Repair ?
10. Describe ' - ' 1 t Fuel Type
11.
No, Equioment 8TU - M. Ea.
Forced Air ?. •_ ' No. Equipment CFM
Ai
dli
H
Mfg. . r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8700
u . l„ cirY oF EAcAN
3795 P:lof Kiob Road • Eegan, Mti 55122
PHOPtE: 454-8100
BUILDING PERMIT Receipt #
To 6e used fee 1 o f 4 PLE:{ Est. Value $58,000 Date •A ug us t 1 , 14
Site /lddress 314( Farnutn Drive Erect :3 Occuponcy '?-
S Coachmar. Land
Lot Block Set/Sub. 2nd
Alter ?
Zoniny r")
Parcel '151 ')17 05 Repair ? Flre Zorx
Enlarge ? Type of Const.
W No? Land Co. Move Q Stories
Z . rtio_ ,'?ve. No.
Address
' Demolish p ,
%F :
Length
?
,.;?, ? ?: ?? ?• ? 1;_L 10L„__ 636-8050 Grode f1 Depth 2'' Sa. Ft.
oc Nam vbaviuvu l.Uii5LriiCLlUII U1V1910L1 ^rr-?-•-
Z? = 4 3: ?'rior AVe. ido. Assessment
? Addreu
u
F
'ko:.;evi].1c!
f 31-3254 Woter & Sew.
C?
Phone
°C Police
Noma
F W
FI re
u,?-? Address Enp.
<W Cl Phone Plonner
I hereby acknowledge thot I have reod this opplication and stote that Council
gldg. O{F
the informotion is torrect and ogree to tomply with oll applicable
State of Minnesoto Stotutes and Ciry of Eagan O?dinonces. wPC
Sipnature of Permittee n Divislon
Permit ?1•i ••,.,
Surchorge 29 '00
Plon check - ? ? • 50
SAC '25'09
Water Conn. A 5 10
Water Meter
Road Unit -=-?'-' - Total r17?1•
A Building Permit is issued to: on the expreu condition that
oll work sholl be done in ocwrdance with nll opplicable State of Minnesot6Stctutes and Ciry of Eopan Ordinonces.
--f ,- .
9ufldlny Officiol
Permit No. Permit Holder Misc. Permit
No.
Hoider
? 3'7
E P
r
eiW.ic woa-zUIT Af'df'('cK-
I I Q--, r?? a- or- 3?a a 3 0
InspeMion Date Insp. Other
Footinpt -ZD g3 't?p-
Foundstion
Fnminy
Rouph Plbp.
Rouph HVA o r-j-3 W
Inwlation
Finsl Plbp. +f -,A . 81
Final HVAC 7
Final
C 7 -
W?ter Descri6e Location:
Well
5awer
Pr. D"up.
`"Rldg. 10 CITY OF EAGAN
»'S Mlot Knob Road Eagon, MN 55121
. ' PHONEs 4S4-8100
BUILbfNG PERMIT Recetpt #
1 of 4 PLEX F.. v.,,,. $58, 000 n,,.p Auizust 1 1983
Slte llddress i? i'arnum urive ( 5U
Erett
Q R-3
Occuponcy
l.ot 3 elock 5 ?/SubCoachman Land 2nd Alter p Zaning PD
Parcel # 10 1??151 030 35 Repoir ? Firo Zone T. l A"
Enlorye p TYpe of Const. V
N? C'oac?ir?an Land Co . move Stories
W
z Addross 2432 Priur Ave. No. per„olish ? Length46_
9 ,`_Roseville 636-8050 Grode r1 Depth26 Sa. Ft.
? Narr?
80 Addre
Ci
G? Nome
W W
Assessment
Woter 8 Sew.
Police
Firo
Eny.
Plonner
Council
Bldp. Off.
APC
Permit
Surcharye _
Plan check _
SAC
Woter Conn.
Woter Meter
Rood Unit _
t
1 hereby ocknowledge that I hove read this applicotion ond state thot
the inlormotion is correct and agree to comply wifh all appliceble
Stote of Minnesota Statutes and City of Eaqan Ordinonces.
5ipnoture of Permittee Ito
/1 Building Permit is issued to:
oll work sholl be done in occordonce
Bulldinp Official
Total !?1774.50
on ths express condition thni
Statutes and City of Eopan Ordirances.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbin9 a to qc) U. ES a^-?-oz
H.V.A.C. D l rC(TZ wr1-23
Well
Water
Disp.
Sower
Electric WO'g2lo
IMpsetion Data Insp. Other
Footings -20-$3
Foundation
F?aminy C
Rouph Plba 1d.,g-,xr3
Rouph HVA 10'543 6Q L() '
Inmlation
Final Plbg.
Finsl HVAC
Final s?
Water Dftcribs Location:
VYell ' .
Sevwr
Pr. Disp. ?
8ldS. io
BUILDING PERMIT
V_ ._ ._-A 2-_ 1 o f 4 PLEX
$58,004
-' lress J1'?VL i QL &lliLLl LL 1Y0
Site /?QQ
Lot 2 elock 5 Sec/5ub Coachman. Land 2nd
parcel # 10 18151 020 05 '
oWC I Name
; Addre:
b A,
p Nome
?? Addre.
r r-?.. Ri
1 hereby ocknowledge that I hove reod this applicotion ond state that
the intormotion is correct und agree to tomply wifh all opplicoble
State of Minnesoto Statutes and City of Eogen Ordinances.
Slpnoture of Pertnittee
A Bullding Permit Is issued to:
all work shall be done in occo
Buildinp Officiol
CITY OF EAGAN
379s Pltd Keob Rod Eagoe, MN 55122
PHONE: 454-8100
$335
Receipt # J ,-- ) ;/ 7
„_._ AuQust 1 3
Erect yM Occupunq P`-3
/\Irer ? Zoninfl PD
Repair ? Fire Zone NA
Enlorye Q Type of Const. V
Move ? # Stories
Demolish p Length 46
Grode p Depth 2' Sq. Ft.
Appr oval! Fees
/4ssessment
Water 8 Sew.
Police
Fire
Erg.
Plonner
Councl I
Bldg. Off.
APC
Permit '"'••""
Surcharfle 29'00
Plan check 153.50
snc 525.00
Water Conn.450_00
Woter Meter 60,00
Rood Unit ZSO. QO
Totol
on the express condition tFxi+
Stotutes ond City of Ea9an Ordinances.
Permit No. Permit Holder Misc. Permit No. Hotder
Plumbing ?Z? ?j
H.V.A.C. 'b'-'
Wsll
Watar
Disp.
Sewer
Elecu,c w67zy ID AA p t• 4-?-?s3
Inspection Date Insp. Other
Footings ] ZO -8' ? ?
Foundation
Fnminy
Rouyh Plbq. ? ?.,y.
Rouqh HVA fp_S•$ l.v
Inwlation
Final Plbq, y._ry _ ??•
Final HVAC
Final
Waftr DKerihe Location:
YYell ?
Sewsr ?
Pr. D"Kp.
b ldg._, 10
. ?
CITY OF EAGAN
3743 Pilot Knob Roed Eayon, MN 55122
PHONEs 454-8100
BUILDING PERMIT
Te bo wed iw 1 of 4 PLEX E. Volue $58,000
Stte Address ?ISD ?
?+ --? oac an an
Lot P?? # sl io i? o?o "$5
l1Y?CaY Y4??Y W •
ac Nome VVQ?..
Z r or ve. o.
? AddKroeev e
0: ------?--- ------------- ---------
Nome
i° Z4JZ- r or ve. o.
o" Addr ss
u? r:... ?OSev e f,. 5
_? /?ddress
<W City Phone
I hereby ocknowledge thot 1 hove read this application and state that
the informotion is correct ond ogree to comply with all oppliceble
State of Minnesota Statutes ond City of Eogon Ordinonces.
Sipnoturc of Permittee
A Building Permit ls issued to: ?
oll work sholl be done in actordorxe with ?11 applicable Stcte af Mil
Buildir?fl Official
I :;; -.; g?06
:
Receipt #
_ August 1 83
Erect gg Occuponcy ;•--'
Alter ? Zoning
Repoir ? Fire Zone N
Enlorpe ? Type of Const. V
Move ? # Stories
Demolish
? ? ?
Length
- ??
F
Grode ? Depth
t.
Sq.
Aovrovals Fees
Assessment
Water & Sew.
Police
Fire
Enp.
Plonner
Counci I
Bldp. Off.
APC
Division
Permit 4vr .?u
$urcharge 29.
Plon check. 153.50
SAC
Woter Conn. 4 5?
Water Meter ??
Road Unit
Torol ''
on tha express tonditlon thni
Statutes end City of Eayan Ordirwnces.
Permit No. Permit Holdar Misc. Permit No. Holder
g
L ?
U
H.V.A-C- b ?0 (?
.u
Disp.
S?vwr
ENciric y;0r2q0-7
Irqpection Date Insp. Other
Footinpt • 20 -$3 D ?
Foundation
Fnminy ?
Rouph Pibp. 4v
Rougoh HVA
Inwlation
Final Pibq.
Final HVAC G .j,/.?, tL" C;
F{nal
Water Detnibe Location:
YYell
Sewer -
Pr, Disp.
REQUEST FOR ELECTRICAL INSPECTION
, See instruetions for comolefim this fam on back ot yellow copy.
4o ?11 .- ,.„
Be w or overed by This Request
0 EB-O0001-04
3 B'3"( I
dd NeP. Tyoa ol Builtling Appliances Wired Equiuenent Wiretl
Home Range Temporary Service
Duplez Water Heater i911tiny Fixtures
Apt. Buildi22 ? er Electric Heatin
Commercial Bldy. Fumace Silo Unloader.-
Industrial Bldg, Air Conditioner Bulk Milk T&nk
Fdlm Othe, Oecilv ther (Sper,ity!
t .r SUOCify Mor Other
ompute nspectian Fee Below
f! Fee ServiceEntrenca5ize k Fee Feetlers/5ubfeetlers u Pon Circuits
O, tl0 p to y00 qm s 0 to 30 Am s 0 to 30 Am s
Above 200 qmps 31 to 100 Amps / 31 to 700 qm s
Swimming Pool Above 100_Amps Above 100_P.m s
Transformers Irrigation Booms , Q Partial.'Other Fee
Signs Special Inspection S
7?
R
ertu? rks b
(j 0T9L ?E
? r
HooBh-in ? Datep? p? ?, (he Electtical
? -NTLJ Inspector, heroby
ZI) certify thet the above
Final Date ins0ection hes been
Thia reauest voiU 18 monlhs trom
This rerioest void
18 mon,ns r.om
W082411
LIi?SiCoachMan`L?ncl2^? ?$3`?(
37,so
Req st Date
• s' Fire No. qoueh-in Inspeclion
Neqm d?
?
Ready Now 1 Nolify. InsVec-
?
v ?or Wh
R
d
? E] N. en
ea
y
9KIcensed EleMricai Contractor I hareby request inspection oi above
? Owner ' elec[rical work inslalleO aC `
Street Address, Bo^x yor Route
10 ^
,/ ? O !\
CitY
ecuon o. Township N2me or No. Hange o. County
O pen[(WtINT)
a. C- wo 0- Ns Phonc No.
3/`3aS
Power Suppli r
?t Id ICK ELECT Atldress
F 3 4W 9G,L
Elecvical Con[ractor ?ypi@aaq?/}18RIC(?AiAj?l('e? J?*;,, ?_ ?C
?r??rv rr?i•ri?•??. '?sr1`pvc?
k
l Cqntra tor's i?sc No.
Q 6 a?l
Mailing Atldress 1 rP Ip itelio
GARY KENI7RICK 432-5036
Auffiorized Signature (Contrector Owner Mnkinu Installation) Phone Numbcr
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION qEaUEST WILL NOT
Griggs-Midway 01dg. - Noom N•191 BE ACCEPTED BY THE STpTE BOARD
1821 University Ave.. 5t. Peul, MN 56106 UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
u.--- 1e11i oo, o111
ItEQUEST FOR ELECTRICAL INSPECTION Ee-00001-134
5 "J? ?p ? See instructions fw ' this form on beck of Yallow eopy. -3(?
?11 p2 "'X" Below Work Cnvered by This Request ? d
N&IAd41 Re0-1 Tvoe of 9uilCinu 1 Aoolismaa Nirad 1 Equioment Wfred I
# Fee ServiceEntranceSiia q fge Faetlars/5ubfeetlere b Fex Grcuits
Oto200Ams 0?30A / Oto30Am
Above 200 qmps, 31 to 100 qmps 31 to 100 Anips
Swinming Pool A6ove 100_Amps A6ave 100_Am s
Transformers Irrigation Boort.s Partial: Other Fee
- Signs Special Inspec!ion TOT/)L?FEE _./
Berrerks
I J??y
NoupMin ? f Dale .r?? Elecbical
3 ??pe.e.. he.abv
• cerUfy Mst the above
Firial , t "iY? h f, nspection has been
ms FOaUUM +oie ieMMmame
31?.a l?5
neques[ Ua?e / Fire No. Itpugh-in Insoection -
3?/? `5 flepuiretl? ?fleaAy Now? Wi11 Nmity, Inspec-
_ Q 011s ?No lor When fleatly
? Licensed ElecViwl GonVactor . 1 heraAy request inspaction ot above
? Owner elactrical. war4 i'mtalled et
Sheet Address, Boz or Route No. Citv
3iza ?
ecuon o. Township Name or No. Nanpe No. County
Occupan IPIi1NT1 Phone Nn.
f
Pow'¢r? SIuDPlier Adtlress
Elechical Contrector ICompanv, Namel Conhaciu.'s License No.
MailinB Addres ICOntrector or Owire? kine lmtaiialionl
`?? D Z1J- • ,t9 . a3-71
.7?
Aut ed $ig?uture 1 oMractw/ MakinB Inslallalionl one Number
MINNE$pTp STATE BOAPO OF ELECTf11CIT' . THIS INSPECTION NEQUEST WILL NOT
Griygs-Midwey Bldg. - Room N-191 BE ACCEVIED BY THE STATE BOAND
1821 UniversitY Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
PMw 16121 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi_oa
' See insvuctions for comoleting this farm on beck ot vellow capy.
''X" Belo2w OolerQd by This Request
3FLq I
Nayy f Hep. Type oi 9uiIdine aooli ..=.s wtred En,,iame„o Wired
Home Flange Te iporary Service
Duplex Water Heater ightiny Fixtuies
ApL BuilAing Dryer Electric Heatin
Commercial Bidg. umace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tank
Farm Otner Soea v Iher ISUecifyl
t er Suecify Other 01her
Campute Inspection Fee Below
N fee ServiceEnhenceSize # F¢e Feeders/5ubieeders N Pe,e Circuits
0 ro200qms 0 to30Ams Oto30Ams
Above 200 qm ps 31 to 100 qmps 0 31 to 100 A s
? Swimminq Pool Above 100_Am s Above 100_Ampa
Transiormers Irrigation Booms 1501 Partial%Other fee
Signs Special Inspection g;?.; T
Remsrks Go
„?S O EEE?
7
?
Houeh-in I Data^? ? i ical
? ?,?7?? Inspectoq hereby
Final ?; VA1e certily that the nbove
' spection has Eeen
matle.
ThIS reauest voitl 18 monihs irom
This reques[ void a - (
18 months irom
` W082410
L2 I Bs, Coac(nma n Can d. 3 S"z9 (
aAa 3-7 oso
Ra pat
( Fire No.
nspection
FFouPP-itl n 7I
equ
e
eady Nuw ?II Notity Insper
?
'?Ye
s ?NO [or When Ready
14??icensed ElecVical Con[ractor I hereby rapaest inspaction of abova
? Owner elec[rical work insialled et
Sveet Address, B or Route Na.
31 b?,Q ,-I CitY '
a
ecimn o Township Name ur No. flange o. Countv
O p
Plo nnf IPRINTI
. E W O"b rU s aL L
Ph ne Ne.
3 i
Power Supplier Atldress
Electri ?'?? ??•?.?C A38974 C,°ynha or'?icense No.
U ri
Mailing Addr r fg s?eftTdn)
APPLE ?f iv?.
Authoriz?qpq??' ?r o Own ? a i g i. i i )
G?'EXC? 432-5036 Phone Nmnber
MINNESOTA STqTE BOARD OF ELECTflICITV THIS INSFECTION REQUEST WILL NOT
Griggs-Midway Bldg. ^ Room N-191 0E ACCEPTEO BV THE STATE BOARD
I821 University Ava., St. Peul, MN 56104 VNLESS PHOPEH INSPECTION FEE IS
Ph,.nw 161212972111 ENCLOSED.
; SQUEST uFOR EL?ECT R?ICA 91NSPECT?^ONek of vallow coav.
?48
""R'" Be/ow0 ork overed by 7his Request
EB-00007-04
0 3g.a ql
Ad Rap. Type oi Buiitling ApOlia.cns Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting FixNreS
Apt. Building Dryer ElectricJicatin
Commercial 81dg. umace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
FBfOI Ner Pao v Dt cr (Sner,ityl
t r Succify t er Oth.r
Compute lnspectron Fee Below
p Fee Service Entrence5ize p Fea Feeders/Subfenders N Fnn Circuits
0 to 200 qm s 0 to 30 Am s W1.5 m 30 Am o
Above 200 qm)y 31 to 700 Amps i 31 to 100 qm s
imming Pool Above 100_/am s Above 100_Am s
Transiormers lRigation Booms ? SO Partia6'Other Fee
Signs Special Inspection r? TOT F
Remarks
?L?Zi ?
j
! ?
Rough-in
inal
V
? Da[e
?"z?
Date
/? ?(P?
1, the E ac rwal
Inspecmr, hereby
cerlily thet the above
inspection hes been
made.
This reaueat valG 18 monlRa Irom
This repuest void 4 ?
18 months tmm
W082408
La, 9s, c«I.ChMOX c&tiL Z?? 3 8' 3ck (
37 1SD
Rnqu t Oate
(7`
I ? Fire No. RouPh-in InsVec[ion
Pequ r ?
OReady Now ?}Wtll Nnlify Inspee-
. Wh
R
?No en
eady
02"[icensed ElecVical Con[ractor I hereby requast insoection of ebove ? Owner electrical work installad et:
Street AAdress, eox or R No.
3
?
Q
l
ecbon o. Towrehip Name or No. Range No. CountY ,
y
.;."A?/
Oc an11PRWT)
s?? » ?v»rs?- Phon No.
3
-
o er Suppiier
S Address
/V /
/
t -,
E?P`„"k??f?d''?,'°TRIC A38974 C???•s ???G No.
MailingAddre t k lis I' 1
APPIEVAMEY ?
Au[horize gnaW e Con rac or n a ing Ins a abon
GAAY KENDRICK 432-5036 Phone Numbar
MINNESpTp STATE BOAND OF ELECTfiICITV THIS INSPECTION NEQUEST WILL NOT
Grig9s-Mitlwey Bltlg. - Hoom N-791 BE ACCEPTED BY THE S7ATE BOARO
7821 UniversitY Ave., St Paul, MN 56104 UNLESS PflOPER INSPECTION FEE IS
e.___ iwi ,, eo>» II ENC LOSED.
REQUEST FOR ELECTRICAL INSPECTION ? EB-00001:04
,..
' See instructions tor completiry this form on back of vellow copy.
"X" Below Work Covered by 7his Request
? L
Adtl Hep. TyOe ot Builtlin0 APOliances Wired Equipmen? WireA
Home Ranye Tem?rary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. BuilAing Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Condltioner Bulk Milk Tenk
Farm omrr aer_i v nrn,,, lsm;nW1
t nr ISVecify Oth pihi?r
Cempute lnspeciion Fee 8elow' - " % ' p Fea ServiceEntranceSize tt Fea Featlers/5ubtaeders M Pae Circuits
to 200 qm s 0 to 30 qm s 0 to 30 Am s
Ahove 200 qmps 31 to 100 Ainps 31 to 100 Am S
Swimming Pool Above 100_Amps Above 100_A?n 5
Transiormers Irrigation Booms Partial,'Other Fee
Signs Spec'al Inspection
TOTA F
Perryrks EE
? % -0
. vi
I flough-in ? Datra??. fy yl0 I, th
spee cal
lidd' . v Inctoq heieby
ce?tifY [hat the above
Finel Datyy ?soection has baen
r ? ?? ,matle.
This reauest voltl 18 manths Irom
?s ruquesl voitl
18 mo;iths from 5 ?j ? 1?yyl ?LI ? D ?O
RG 77-16 82,?id'U
Rnquest Uate
/ 're No. fl2flouBh-in InsVer.tion
? red?
[:]ReaAy Now?Wiil Notify, Inspec-
! ?Yes ?NO lor When HeaAy
?Licensetl ElecVical Contractor '
I hereby requast inspaction ot ebove
Owner elechicel work inatalledac
Stree/? Address, eoz or Route No.
?
S Ci?t A/
/J V
i J ' `?/?V
ecunn 111- Township Name or No. Rnnye No. C
y
2
Occupant
IPHINTI Phone No.
r
PowE SuUP
lier Address
r
IYJ -^
Elechical onVactnr ICOmuany rNn,m_e)?
d,'-IW017,? cc-0-c/ C ltr ctor's License No.
Mai mp Atldress *tdot"" ne.r a kine Inst oilationl
anod0 akm t Ila2ionl PhoneNumber
) i
MINNESOTq STqTE BDAXD OF ELECTPICITY THI$ INSPECTION flEQUEST WILL NOT
Gria93-MidweY BIdB. - Room Nd97 eE ACCEPTED BY THE STATE BOAPD .
1621 Univarsiey Ave., 5t. Pnul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297-2177 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ea-ooooi.oa
w:
, See instructions tor completi? lhis torm on back of yellow copy.
01??Aoe e07d
"X'" Belo by This Request
Atl RBp• Type of Builtling Appliances Wired EqaipmBnt Wired
Home Range Temporary Service
Duplex Water Heater ightinej Fixtures
Apt. BuilAing D er Electric Heatin
Commercial Bidg. umace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm om«. pE!,:i y) n,er (Sne?.ifvi
t 5r ISUecify ther Other
ComputelnspecUOn Fee Be/ow
p Fee Service EnhancaSize k Fee Feaders/5ubteeAars 1! Fee Circaits
D rC'U U ta 200 Am s 0 to 30 qm s 0 to 30 Amus
Above 200 qmps 31 to 100 qinps 37 to 700 AnVs
Swimming Pool Above 100-A2ps Above 100-/>m 5
Transformers Irrigation Booms Partial'Other Fee
Si s Speciallnspectfon
Remarks x , .: ?E.?tl
I, [he-Tlectrical
Insoecmq hereby
certity that the above
jnspection has been
Thla reque9l voitl 18
Fhis reques[ void ?- I Lq 19s) CQ(,?A46,n4 6Aa 2-62L- 3 O d l(
78 rtqnths from
Ri3?-SO
W082407
st Uate ? Fire No. Rouoh-fn Inspectinn
Hir 7 ? ?Feady Now Nill NotifY. Inspeo
? 5 equ ys N? Iur Whxn Roady
icensetl ElecVical Con[ractor 1 hereby requast inspectian ol abave
? Ownur eleclrical work installed et:
Street AAdress, Box or Houre
fe Citv
.4-N
ecuon o. Township Nam or No. I l No. CountY
Oce ntIPRINTI
asE woa C' IVs? Phone. No
63 I-3aS
Power Supolier Addrr?,/sfs? /?I
?
"
?
x ?
I F ./r"
f ,
/
ElecVical ConVacror 1 omuany Namel C [ractor's License No.
ELECTHIC X38974 ? p 5t
MailinpA?r??(??tr?i(?qLqr?Qpw??/.F?ki 1 ti I G?
??tL) ti?iHtVVlil\ i c-
Author' _ w inN Phone Number
432-5036
MINNESOTA STATE BOANO OF ELECTRICITV THIS INSPECTION PEQUEST WII.L NOT
GrivBe-Mitlway Blde- - Aoom N•191 BE ACCEPTEO eV THE STATE BOAflD
1821 Univeraity Ava., St Peul, MN 55104 UNLESS PROVEN INSPECTION FEE IS
PA..ne IF121 297.2111 ENCLOSED.
Bldg. 1Q
BUILDING PERMIT
CITY OF EAGAN
9795 PIIM Knob Road Ea9an, MN 55122
PHOHE: 454-8100
1 of 4 PLEX
Site Addrcu
Lot 3
Parcel # -
58.000
BI«k 5 Sec/SubCoachman Land 2nd
10 18151 030 OS
z Nome Coachman Land Co.
? Addreu 2432 Prior Ave. No.
;_ Roseville n,___ 636-8050
o IName Rosewood Construction Division
?? Address 2432 Prior Ave. No.
1- r,...Roseville o?.,.._ 631-3254
Name _
Address
1 hereby acknowledge thaf I have reod this opplicofion and stote that
fhe inlormation is correct ond agree fo ComDlY with oll opplicoble
State of Minnesoto Statutes and City of Eogan Ordirances.
Signoture of Pertnittea _izo
A Building Pertnil is istued to: _
nll work sholl be done in acwrdonce
N° 8307
Receipt # 2-9g
n_._ An¢ust 1 / ,083
Erect 3 OCCUpancY K-.5
Alter Q Zoning PD
Repoir ? Fire Zone NA
Enlorge ? Type of Const. V
Move p # Stories
Demolish ? Length46_
Grade ? Depth.26-Sq. Ft.-
Anororab Foea
Assessment Pertnit ?""""
Water & Sew. Surcharge 29.00
Police Plan check 153.50
Fire SAC 525.00
Enp. Wafer Conn. 450.00
Plonner Water Meter 60.00
Council Road Unit 250.00
Bldg
Off
.
.
APC
Ta,i $1774.50
ViSiOn on t he expreu conditlon Ihnt
?wto Stotufes and City of Eogan Ordinances.
Bulldiny Officiol
Biag: io cin oF EncnN
?7
o
8305
.-- ' 3795 Pilof Kno6 Road Eagon, MN S5122 +` •
PHONF: 4548100
BUILDING PERMIT Receipt #
Te M ured Mr 1 of 4 PLEX Esr. Value $58,000 pO1e August 1 _ 1y83
Site Address 3148B Farnum Drive Erecr XM pccupancy R-3
Lot Z Bi«k 5 See/Sub. Coachman Land 2nd Alrer ? Zoniny PD
parcel # 10 18151 020 OS Repoir ? Fire Zone NA
E
l T
f C V
n
orge ? ype o
onst
rc Name Coachman Land Co. Move O # 5rories
z Addrosa 2432 Prior Ave. No.
Demolish ? 46
Length_
c; Roseville pF,o„e 636-8050 Gmee ? Depth 26 Sq. Ft.-
o Name
Addrasc 2432 Prior Ave. No.
u Assessment Permit
?
Ci Rosevill2 Phane 631-3254
Water & Sew. z9.??
Surcharga
Police 50
Plan check 153.
Gw Name Fire SAC $25.00
Address Enp. Water Conn.450.00
<W Q Phone Pionner Water Meter 60.00
Councll Rood Unit 250.00
1 hereby ocknowledge that I have read this applicotion and state thot Bldg. Off.
the informotion is correct ond ogree to wmply with all opplicoble 177 .5?
$fate o4 Minnesoto Statutes and City of Eogon Ordirwnces. APC Total
$ignature ofPermiRee
osewoo onstruction D ivision
A Building Pertnit is issued ro: on tha express wnditlon thni
oll work shall be done in accordonce
o
p ' o le innesoM Stotutes ond
. City of Eogan Ordinonces.
?
f
Building Official .??de,/.e[ O y?f Rosewood Construction Division Avvro.als Fees
Biag. io CITY OF EAGAN N° 8304
9795 Pilof Knob Rmd Eegon, MN 55122 ? PHONE: 434-8100 ? ?
BUILDING PERMIT ReceiPt # 1 7
T. M wad for 1 of 4 PLEX Est. Value $58,000 pate August 1 _ 1983
S+re Add.eK 3148 Farnum Drive erece XI occupoocy R-3
Lor 1 81«k 5 Sec/SubCoachman Land 2nd Airer ? Zoning PD
Parcel # 10 18151 010 OS Repair ? Fire Zone NA
Enlarge ? Type of Const. V
w Ne,,,e Coachman Land Co. Move ? # Stories
Z Address 2432 Prior Ave. No. Demoiish ? Length 46
c; Roseville pF,om 636-8050 Grade ? Depth 26 Sq. Ft.-
? Rosewood Constructin Diii Aov.oval. Fees
o Name o v s on
?? Address 2432 Prior Ave. No.
r ?,...Roseville o?___ 631-3254
Name _
Address
I hereby ackrwwledga that I have read this application ond stote that
the inlormation is correct ond agree to comply with all opplicoble
State of Minnesoto Statures and City of Eagon Ordirwnces.
Assessment Permit '"" ""'
Woter & Sew. Surcharge 29.00
Police Plan check 153.50
Fire snc 525.00
Eng. Woter Conn. 450.00
Planner Woter Meter 60 . 00
Council _ Road Unit 250.00
Bldg. Ofi
.
APC
7ota1 $1774.50
Sionarure ot Perminee Woa ons ruc on Aivision
A Building Permit Is issued to: oll work sholl be done in eccordorxe wit?ble 5 of Min tutes
Building Offlciot
_ on the ezpress wndiMOn thnt
ond City of Eagan Ordinonces.
Bldg. 10
CIT1r OF EAGAN
1795 PIIM Knob Bood Eogan, MN 33122
PHONE: 454-8100
BUILDIMG PERMIT
?
Te M uted ior 1 o f 4 PLEX $ 58 , 000
$ite Addreu Ji?Uprar.uum uiivc
Lot 4 Biock 5 Sec/Sub. Coachman Land :
parml # 10 18151 040 OS
w INarne Coachman Land Co.
? Address 2432 Prior Ave. No.
,.:_.Roseville 636-8050
g Nome Rosewood Construction Division
?t Address 2432 Prior Ave. No.
? ,-:...Roseville ___ 631-3254
Nome _
Addrcss
1 hereby acknowledge that 1 have read rhis applicotion and state that
the informafion is cortect ond ogree to comply with all applicuble
Stote of Minrresota Statutes ond Cify of Eagon Ordinanus.
Sipnoture of Pertnitfee
A Building Permit Is issued to: R(
nll work sholl be dorw in accordance
Building Otficiol
N° 8306
Reteipf # 2_i7
?
Date August 1 1 q83
Erett ? Occupancy R-3
Alter ? Zoning PD
Repair ? Fire Zone NA
Enlorge ? Type ot Const. V
Move 0 # Stories
DemoGsh ? Length 46
Grade ? Depth 26 Sq. Ft.-
Approrah Fees
Assessment -
Water & Sew.
Police -
Fire
Enp.
Plonner _
Councll _
Bldg. Off. _
APC
Division
Permit 3U/.UU
Surcharge 29.00
Plan check 153.50
saC 525.00
Wafer Conn. 4 50 • 00
Woter Meter 60.00
Road Unit 250.00
Twat $1774.50
on tha axpreu [ordiHOn thni
Statutes ond Ciry of Eoycn Ordirwnces.
?? ??? CITY OF EAGAN Include 2 sets of plans,
? 1 site plan w/elevations &
. - J/ex BUILDING PERMIT APPLICATION 1 set of energy calculations;
7.b Be Used For • Valuation `?? d O a Date 2/20/63
Site Address
Lot -4 B1
Parcel #: r
Owner:
Address:
oclc ? Sec./Sub. ? E
n? rect X
„ T-
City/2ip Code:
Phone #: (D ,'Yn '
Y -. '2.v0 W.
.-Q5 Alter
Repair
FSnlarge
e&
, Nbve
? .
? Demolish
-:;4? Grade
Contractor: yaa?UrdOr'l? 6?7 bww
Address:
City/Zip Code: 44p
r._ ?
Phone #:
Arch./Eng..
PLlC]Y255:
City/Zip Codee `
Ph?
OFFI(E USE ONLY
Occupancy
Zoning 14M JP4>_--
Fire Zone 4 xi
'Iype of Const. ?
# Stories
Front y ft.
Depth ?2 (, ft.
APPROVALS FEES
Assessments Pesmit 30 7
[4ater/Sewer Surcharge aq ?_
Police Plan Check
Fire SPG ,Sa s ?
Eng, Water Conn. .ySO
Planner Water Meter ?
Council Ftoad Unit fi( SO
Bldg. Off. -s. --g3
APC
- (7 7T-(SL)
?410 ?-7 CITY OF EAGAN , Include 2 sets of plans,
?- 1 site plan w/elevations &
BUILDING PERMiT APPLICATION 1 set of ener calculations.
? oF- ?
7.b Be Used For y} e-X valuation
?6-$, 600 - _
Date
Site Pddress 3 5? . ,e/UU/k /L/U@, - pFFi(E USE OATI,Y
Lot Block Sec./Sub... Fxect Occupancy -?
Parcel #: AJD. ? Alter ZorLing
-
%- 030-0?
17
Repair
Fire Zone
Oamer; co .
aQg Enlarge 7ype of Const.
Address: 32 /!,(1lu QGt . /68 • M°"e
Demlish # stories
Fivnt ft.
City/Zip Code: -/?w? Grade Depth ft.
Prone #: 6 36 -- 8'0 SD
/?
? APPROVALS FFES
?
Contractor: ?Yl? lJJ/Lc0?2`._ Assessments Perntit 0.7
Pddress:
City/Zip Code:
Phone #:
Arch. /Eng. .
Adclress:
City/Zip Cocle:
Pho e #:
F4?-7 - Zp -$3 ?b P--
T.4ater/Sewer Surcharge _
Police Plan Check
Fire SAC
Eng, water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off. 7 9
APC
n7PAL
CITY OF EAGAN , Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMiT APPLICATION 1 set of energy calculations.
/ ! `
Zb Be Used Far /Lf., Valuation ?l bZJ Date '7/ZO `3`3
Site Ptldress UM- LAIUC 1 pFF'ICE USE ONLY
7.ot V slocx ? sec./su» Erect y,_ occupancy -- -3
Parcel #: &i.rw.w L+NO °` 2,tj Alter zonirtg
Oaner:
Acklress:
City/Zip Cocle: 1!LQp,tX,C/IdL,s /Yln &/
Phone #: Fv6()
Contractor: ?2? 1.,d7i.d-
Pddress:
City/Zip Code:
Phore #: -?
Arch./Eng..
AdCILLSS:
Repair Fire Zone
Enlarge _ Type of Const.
Move # Stories ?
Dalmlish Front L/ ft.
Grade Depth a ft.
?Qater/Sewer Surcharge _
Police Plan Check
Fire SPL
E1ig. Water Conn.
Planner Water Meter
Council Roal Unit
Bldg. Off. 7- *y/
? -h ?j
-
? -r-
-•- ?-
City/Zip Code: ,
Phone #:
i?
-2 -20 $3 pP,.
1bTAL ? ?? (5C7
Bva_#iw
'Ib Be Used FOY
/Up-
Site Pddress -3)
I.nt ? Bloc)c
Paroel ('w
Raner:
Address:
?
?
CITY OF EAGAN Inclixle 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMiT APPLICATION 1 set of energy calcu7.ations.
_ Valuation "? p 6 b Date 7/?d /??
OFFICE USE ONI,Y
Sec./Sub. ?7
c?0 ? ?e ?•_
city/zip cale: CCore Vt lle 551f3
Phone #: 634 -$a_eAD
Contractor: FG?e?C.uVbtf' L?p?v.Yy ? i J•
Address:
City/Zip Cocle: .A /Yl- P •
?
Phone #:
Arch./Fhg..
Address:
City/Zip Cocle:
PhQne #:
.X l._
?__4S
- -7-20-83
Erect Oc:cupancy T ?3
---, _--
Alter Zoning
Repair Fire Zone
Enlarge Type of Const. '1Z
Nbve # Stories
Demlish Front ft.
Grade Depth at? ft.
Water/Sewer Surcharge $t`,
Police Plan Check
Fire SAC '6 `A 57
Eng. Water Conn. so
Planner Water Meter d
Council Road Unit 9zs'O
Sldg. Off.7_,:?_
APC
,aTAL
? ? ?lu?
2006 RESIDENTIAL BUILDING rExMIT arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstrucGon Retluiremenfs
3 regislered site surveys showing sq, tt of lot sq. ft of house; and all roofed areas
(20°h maximum lot coverage allowed)
2 copies of plan showing beam 6 window sizes; poured found design, etc.
1 set of Energy Calculations
3 wpies of Tree Preservation Plan M lot platted arter7l1/93
Rim Joist Defail Options selection sheet (buildirgs wdh 3 or less units)
Minnegasco mechaniplvenlilationfortn
9?i. 2S
Remodel/teoair Reauiremenis Dffice Use:OnN
2 copies of plan showing footings, beams, joisfs CeA of Survey Recd -?_ Y_ N
15et of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N,
1 site survey for addifions & decks Tree Pres Requued ` Y_ N
Adddiar - indicate ilon-sde seAtic system On-site Septic System _ Y_ N
Date
Site Address 3Z-5-lJ Construction Cost 1 L. 0 C--,
UniUSte #
,-
DescriptionofWork
Multi-Family Bldg ` ?y N Fireplace(s) _ 0 _ 1 _ 2_3 -`?
Property Owner Telephone # ( )
Contractor ` C', •. ? ..?" c .
Address / y`1 j
State ? ?a ?c ? . 5 1c"• /!O`i`/
Zip S- 0 City
Telephone #( 7fs) 7r?-OG 60
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
submissiantype) Submitted Submitted
• Energy Envelope Calculations Submitted .
In ihe lasi 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 ofplans.
Applicant's Printed Name
ApplicanYs Signature
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeVReoalr Reauiremems Office Use Qnt¢
3 registered site surveys showhg sq. tl, of lot, sq. R. o( house; and all rookd areas 2 copies of Dlan Gedof Survey Rerd rY _ N
(20% mazimum lot coveraga allovred) 1 set ot Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N,
2 wpies of plan showing beam & window s¢es; poured found desgn, etc. 1 site survey for additions & decks TreePres Required _Y _ N
1 set of Energy Calculatians Addfi'on - irMkate if onsife septic system On-site Septic System _ Y_ N.
3 copies of Tree Preservation Plan'rf lot platted aRer 711/93
Rim Joisf Delail Options selection sheet (bldgs wilh 3 or less unils
1
Date y? co:> .47, Construction Cost 6
Site Address Unit/Ste #
If,
Description of Work Xe_tQlgc?
!-
?
Multi-Family Bldg /Y _ N Fireplace(s) 0 _ 1 _ 2
0
Propert Owoer Telephone # (?S
Con tractor `
Address ? .2•N 'ty
/•,!n ,,,
State ?
i S-O 1 elephone # I(og-J) (op - S? ? 3
COMPLETE TH AREA NLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Aules 7672
Energytegory . Residential Vantilation Category 1 Worksheet • New Energy Code Worksheef (Jsubmissiontype Submitted Submitted
• Envelope Calculations Submitted
Have you previously; constructed a building in
fee applies.
i
/
Licensed Plumber
'.
Mechanical Contractor
/ Sewer/Water Contractor
Telephone #(
Telephone #(
, I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
? that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
X Z:?)4 y?G f/SIOERSa.?
° y
Applicant's Printed Name Applic s Si nature
similar plan? _ Y _ N If so, 25% plan review
OFFICE USE ONLY
5ub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) O 31 Eut. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screen/gazeho) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement r.
'Demo?bn (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water
Final _ Pool _ Ftgs _ Air/Gas Tests Final
_
_ Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. Air Test Final Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
.
----------------------------- -------------------------- ----------- ---------
Base Fee --------------------------------------------------- ---------- ----------------
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Tota{
BK 28. Advertisement for bids for two fire apparatus replacements (fire pumper/pumper
tanker trucks) was authorized and approval was given to utilizing the Equipment
Revolving Fund - Fund Balance as the funding source.
TC 29. An easement encroachxnent agreement with the Northern Natural Gas Company for
Contract 03-09 (North Water Treatment Plant - Plant Expansion) was approved and
the Mayor and City Clerk were authorized to execute all related documents.
TC 30. Change Order #6 to Contract 03-09 (Water Treatment Piant Expansion) was approved
and the Mayor and City Clerk were authorized to execute all related documents.
JDH/Mike 31. The Findings of Fact, Conclusions and Resolution of Denial of a request for a
comprehensive guide plan amendment for Wensmann Homes to change the land use
designation from P(Parks & Recreational Open Space) to LD (Low Density
Residential) upon approximately 120 acres of land located south of Yankee Doodle Rd
and west of Wescott Woodlands in the west half of Section 14 was adopted.
ALL 32. The title, "Decision On Whether To Change Eagan's Form of GovernmenY" was
approved far the ballot question on the proposed Charter.
TC 33. A land usage license agreement with Ziegler, Inc. of Bloomington, MN was approved
and the Mayor and City Clerk were authorized to execute all related documents.
Mira 34. A resolution approving a lawful gambling permit for Faithful Shepherd Catholic
School to hold a raffle at 3355 Columbia Drive on September 25, 2004 was adopted.
TG/TLH 35. The City of Eagan's Proclamation/Resolution Policy was approved.
DM 36. The solicitation of request for proposals for consulting services to conduct an internal
organizational study was authorized.
E7V 37. A Joint Powers Agreement beTween the Dakota County Library Board and the City of
Eagan for Library access to the Institutional Network was approved.
PUBLIC HEARINGS
JDH/Mike 38. Approval was given to the preliminary designation of the Ryland-Schafer/Richardson
Partnership as the Master Developer for the Cedar Grove Redevelopment District.
EJV 39, The City Clerk's office was directed to select a new polling place for Precinct 5 far the
2004 Primary and General Elections.
JDH/Mike 40. A variance for Wayne Anderson to allow a 2-foot encroachment into the required 30-
foot setback from a public right-of-way for Lot 3, Block 5, Coachman Land Co 2"a
Addition (3150 Farnum Dr Unit A) was approved. 7/17/04 -9 63_6'y z-
JDH/Mike 41. A 4.2 foot variance for Debra Newman to the established front yard setback of 20 feet
to enclose a porch on the front of a single-family dwelling at 1579 Sherwood Way in
the southwest quarter of Section 33 was approved.
?i evrv,i+ fC. S?I4 -7 b i?9/9a- ,?2Q?? ?jo8`ss7
c
dl) ow?.?r
Ul ol.?G
1540
4? 3?50 ?num Dr? ?ac?, a,n,.' (?lc?rc, ie l,aVell?
5? 3?a ? E?eT Pe.n ?r, ?a C-f ctia.AC.l"r
b? `4 338 Sa.nr,IS?b?.e pr, Ec?cJa.n ? m. Rc? b?r?
?? 4 39 a Sa,r?dstou Q,r, Ec-30,,-, ?o-? -Fec2,?n rnar?
?? 3a L13 ? ?k.. DY , E45c?n 3c;s.o-plt Lclc,
PLEASE NOTE THE FOLLOWING ADDAESS CHANGES AND MAKE THE NECESSARY
CORRECTIDNS ON YOUR MAP.
ALL OF THE FOLI.OWING CHANGES ARE IN COACHMAN LAND 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, Block 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, Block 4 with an address of
' 3146 Farnum Drive.
CITY USE ONLY
LOT 1_ BL 5 ' RECEIPT tl: O e 9?-
SUBD. $Y ? 2?J?L /?r'? ? i RECEIPT DATE: 'IS'??
?
1998 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IINOB RD
EAGAN MIIQ 55122
nate: 3- (612) 681-4675
Complete this section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ABDI'riONAL SU Ni BTCJ 6.00
• Gas outlets ( minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install fiunace V Install sir conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minunum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge 98
Total: $ 20.50
srrE nnnxESS: 3/q ? 9'a r/t u vrl OF-
OWNERNAME:_ 19r6(cQ A-nd-erson PHONE#: 6 Y61 -L va
INSTALLER NAME: WO ?1 ??Z 1 S Srt Gr fA st PHOxE #: i( 3/- 7d 9 9
sTREEr annxESS: l`17.3 a- l?c rrn o c K lq4/e -
CITY: ?
1-311
STATE: AZ4_ ZIF': ?9-119"91
??? ? od-'?
SIGNANRE OF PERMITCEE
JS/FORh15 BLD/bECH PERMIT (RES) - 1998
? ciTr usE oNLr
,
?
L?_ BL o
RECEIPT#:
SUBD. !_trU.YJma.k, d RECEIPT DATE: llci/
1997 PLUMBING' PERMIT (RESIDENTIAL)
ciTr oF eacaN
3830 PILOT KNOB RD
EAGAN, MN35i22
(612)687-4675
Please complete for: . single family dwellings _
? townhomesand condos when permits are reguired for each unit
. backflow preventer for underground sprinkler system
FIXTURES EACH NQ. TOTAL ,
Shower 3.00 x =
Water Closet 3:00 x =
Bath Tub 3:00 x -
Lavatory 3:00 x =
KitchenSink 3:00 x =
Laundry Tray 3.00 x = -
Hof Tub/Spa 3.00 x =
Water Heater 3.00 x 1_ _ 37U0
Floor Drain 3.00 x =
Gas Piping Outlet * minimum-l . 3:00 x =
Rough Openings 1.50 x =
Water Softener `for dwellings umier eonstiuction ' 5.00 - z =- --
Water Softener ' for ezistlng dwelling -- 20.00 X
U.G. Sprinkler ' tor dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
AltefdtlOnS ' to existing residence 20.00' _
Water Turn Around 20.00 =-
Private Disposal System ' oak cry iic. 75.00 =
(newantl reNrtiished systems) ? -
Private' Disposal Systems ' neandonment 20.00 =
STATE SURCHARGE .50
TOF.'!L aO,S?
f harebyacknowledge that7 have read itiisapplica6on, state that the iMormatlonis corlect; and agree.ta compry with all apglicabla City,
- -of Eaganordinances. Itis the applipnCa responsibility to notify the property ownerYhat the?City of Eegan assumes noliability for any damages.wused by the C' '' dhd' . to the faalifies
consWded under thia._permR wRhirt Citv crooertv/riaht-of-wav ???ON BFPXE SITE ADDRESS:
OWNER NAME: ,
INSTALLER NAME:
STREETADDRESS
CI7Y:
3148 FRRNUM DRIUE
ERGflN , 55121
N 080-5404 N 403-38&8 BRUGE
Mffp:
NORBLCt.1 PLUMB:"!S CO.
DBA VcNTCOtAPPUANCE I14STALLER3
(612) 8274083
i MSNNGAFtFIELD EP?NOLI3A H
MN 55405
TELEPHONE #:
ZIP::
OF PERMITTEE
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
-?Jn t-4 _rI?
New ConsWCtion Reauirerients RemodeVReaair Reauirements Office Use Onlv
3 registered stte surveys showing sq. tt. W lot, sq. ft. of house; and all roofed areas 2 copies W plan Cert of Survey Reod Y_ N
(20% meximum lot coverage allowed) 1 set of Energy CalcuWtions for heated additions Tree Pres Plan Recd _ Y_ N.
2 copies of plan showing beam & wintlow sizes; paured fountl design, etc. 1 site survey for addifions & decks Tree Pres Required _ Y_ N
i set of Enargy Calcula6ons Add'dion - irMicate ifonsRe septic sysfem On-sile Septic System _ Y_ N
3 copies of Tree Pmservation Plan if lot platted afler 711193
Rim Joist Detail Options selection sheet (bldgs wAh 3 or less units -vr-r l 1-,C)
Date Construcfion Cost
Site Address Uni Ste #
Description of Work
Multi-Fami?y Bldg ? Y _ N Fireplace(s) _ 0 _ 1
Property Owner ? Telephone # ( )
Contractor
Address CiTy
State Zip Telephone # (?61 ) g ?l
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residendal VenGlation Category 1 Worksheet • New Energy Code Worksheet
(?J submission type) Submitted Submitted
• Energy Envelope Calculations Su6miUed
Have you previously constructed a building in Eagan with a similar pian2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #
Telephone #
7elephone #
I hereby apply for a Residenfial Building Permit and aclrnowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the STate of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved ' the case of work which requires a review and
appr ofplans.
Applicant's Pnnted Name pplicanPs Sign
2004 RESIDENTIAL BUII..DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion ReauiremenLS RemodellReoair Reouirements
3 registered site surveys showiig sq. R of l04 sq. ft of house; and all roofed areas 2 coples oF plan
(20% maximum lot coverage allowed) 1 set of Eneagy Cakulaflons for healed additlons
2 copies of plan showing beam & window sizes; poured found design, etc. 7 site survey for addifbns & decks
lsetafEnergyCaA;ulatians qdd'dion-indkate'rfar-sitesep6caystem ou
3 wpies of T2e Preservation Plan'rf lot platted after 7M193 Rim Joist DetalOptbns selection sheet (61dgs witli 3 or less units
Date 0 /'-W / V'q Construction Cost
Site Address - C) ? ? UniUSte #
Deserip[ion of Work
Multi-Family Bldg _ Y_ N Nyreplace(s) _ 0_ 1 _ 2 Ul
Property Owner 21/ ? 0/ 1// Telephone # ( )
Contractor 1
A',
Address 7 City
State Zip Telephone #((psn m1.? ytcel ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- IvIinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential VentilaUon Category 1 Worksheet • New Energy Code Worksheet
(J su6mission type)
Su6mitled Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
Telephone # (
Telephone
Telephone
I hereby apply for a Residential Building Pemut and aclaiowledge that the infordftation is complete and Pccurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan an37tu'3'tat'e of MN
Statutes; I understand this is not a pemut, 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 in the case of work whicl} requires a review and
appr 9 fplans.
Applicant's Printed Name ApplicanYs
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex q 18 Deck ? 23 Porch (screenlgazebo) ? 36 Muttl Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
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
JE 34Replacement "DemollGon (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy iz MCES System
Census Code q3q Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
?g Footings (deck) 7xe, FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Ice & Water
Roof _ Final Pool Ftgs _ AidGas Tests Final
_
_ Framing _
_ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Aetaining Wall
Approved By: 6h'I Building Inspector
Base Fee
Surcharge
Plan Review
MC1ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
7a(,a7 a-
zoos RESIDENTIAL PLUMBING PERnnIT aQPUCATioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dweliings.
ls s'?
Date __0346 0 &_
LANCMAN, ELAINE •
SItC StVOEt Addr05S 3148 FARNUM UNIT B UOII #
EAGAN, MN 55121
(657) 686-0823
Property Owner Telephone # ( )
Contractor Nbrr/1(}-m Telephone#((njz.) S2"7?L10?'3
Address 2qD5 Cnar-f7aa' 4v. 4p. cicy YYtais StateM iu Zip?a9
The Applicant is: _ Owner V Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00 "
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. ff you are insta!ling onlv a water soffener and/or water
heater, do not complete this section; move to the nexi section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5/8" meter is required) -" ?
Other:
_ Water Softener /Water Heater $ 15.00
_ new ? replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total g ?b.Sn
I hereby apply for a ftesidential Plumbing 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' o# Eagan and the plumbing codes; that I
understand this is not a permit, but onty an application for a permit, nork is n3 to tart w' hout a permit and work will be in
accordance with the approved plan in the event a pian is required t b i nd a roved.
?e?rec? L. Norr?f?r?,
ApplicanYs Prin d Name Applica t' Signature
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CITY OF EAGAN SEWER SERVICE PERMIT
5830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
/1 Permit Fee:
By // 1.%0 Surcharge:
i — Misc. Charges:
Date of Insp.• �� Total:
Insp.• . Date Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pirot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121
Zoning: DATE:
Owner:
No. of Units:
Address: - - -� —
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account De
Reader No.: Deposit:
Permit Fee:
I agree to comply with the City of Eagan Surcharge:
Ordinances.
Misc. Charges:
By , Total:
Dote Paid:
Date of Insp.:
Insp.:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA137013
Date Issued:06/10/2016
Permit Category:ePermit
Site Address: 3148 Farnum Dr
Lot:1 Block: 05 Addition: Coachman Land Co 2nd
PID:10-18151-05-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Bruce E Anderson
3148 Farnum Dr
Eagan MN 55121
(651) 686-6404
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature