3152 Farnum DrCITY OF EA(CAN Remarks A iI I ? ?2??> ?1 KJ -
Additi'on COACHMAIq LAND CO 2ND ADDM Lot 1 - Rik 6 Parcel 10-18151-010-06
owner street 3152 FARNUM DRIVE stace EA(3A$ MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. hgS 1974 p8i(i uII er arcel 10- 0900-011- 1
STREET RESTOR. 1983 't54.1'T 150 •83 5 ? ,70
GRADING /Qi 1971 Paid
arading - Z7 1983 173.29 34.66 5 4"4 7, -
SAN SEW TRUNK 1968 Paid 11
i! SEWER LATERAL Ial- 1 n n
** w a 18 190-35 8 .
WATERMAIN 1-71 1972 Psid n
IF WATER LATERAL 1 „ n
WATER AREA 1 fr n
**Water I.st 1983
STORM SEW TRK 1975 Pai d „
**STORM 5EW LAT 1983 5
**Services 1983
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Roa Uni • 53848 7 22 85
WATER CONN. 500.00
BUILDING PER. 0614-10617
SAC 929-00
PARK
CITY OF EAGAN Remarks?l
COACHMAN LAND CD 2ND ADDN
Owner Street 31
2 Rlk 6 Parcel 10-18151-020-06
UM DRIVE BAQAA MN 55121
improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 197Y Paid L1II BI' 8TCC1 10- 4900-011- 1
? STFIEETRESTOR. - 1983 T54.1T 150•83 5 Di a f
GRADING 1971 Paid
dradin - 1983 173.29 t. 5
SAN SEW TRUNK 1968 Paid n
f SEWER LATERAL
c 1 73 „
•#8ewer Lat - 172 p
, 1983 1908.35 381.67
WATERMAIN 171 1972 Paid n
? WATER LATERAL 1973
WATER AREA j tt n
? **Wster La5t 1983 "
STORM SEW TRK 197 5 Paid
?*STORM SEW LAT 19 3 S
•3ervices 1983 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. u ?r
BUILDING PER. 10614-10617
SAC
PARK
CITY OF EAGAN Remarks ? '? • ? ?- !' % - f ?r' L
Addition COACHAMIq LAAD CO 2ND ADDN_Lot
;wner Street 3154 FARAUDI DRIYE
state EAGA$ Mfl 55121
improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 4 Pg I, SY, 1 10- a OQ-011- 1
STREET RESTOR. = 2983 'T 54• 11 154 •$ 3 5
GRADING 19>1 1972 Psid
c3rsdia -17,1 1983 173.29 34.66 5
SAN SEW TRUNK 1968 Paid
* SEWER LATERAL 1973 ry
**Sever Lat 1983 1908.35 381.67 5
WATERMAIN 1972 Paid n
? 1NATER LATERAL 19'r 3 ?
WATER AREA 19TT
?t
n
**Water Lat 1983 5
STORM SEW TRK 7-1 1975 Paid
**STdRM SEW LAT 1983 S
"Services 1983 5
CURB & GUTTER '
51DEWALK
STREET LIGHT
?
WATER CONN.
n
n
BUILDING PER. 0614-10617
sAC 525.00
PARK
CITY OF EAGAN RemarksI -i
AgditionCOACHMAIf LARD CO 2$D ADDIi Lot 3 BIk 6 Parcel 10-18151-030-06
Owner Street 31S4B P'ARNUM DRIVB state EAQAa MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 4 Paid 11II EI' arcel 10- 090fl-flll- 1
STREETRESTOR.
1983
754•1
150.83
4 0 /
GRAOING 1971 Paid „
drsdin 1983 113.29 4.66 v/ -
SAN SEW TRUNK 1968 paid II
• SEWER LATERAL 1 tt fl
•*Serer Lat - 1983 1 08.3 81.6 U -
WATERMAIN 1 2 Paid n
? WATER LATERAL 1 n n
WATER AFiEA 19TT
„
n
**Water Lat 1983
STORM SEW TRK 1 Paid r
**STORM SEW LAT 1983 r)
"8ervicea 1983
CURB & GUTTER '
SIOEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. 6 14-10617
PARK
ReaiPt MECHANICAL PERMIT Permit No.' '
CITY OF EAGAN •
FM
FiII in numbered spaces S/C
Type or Prini /egid/Y T"
1. Dste 2. Instaliation Coat
_? . , fi .c,•
3. Job Address.? Lot Bik. Tract r,4.±,-r`
4. OwnYr
? ,-
5. Contrattor Phcne .,:)" - ' - ?
r .
8. Address
7. City State Zip
8. Building Type: Residential q Commercial ? Institutional O
9. Work Description: New ? Add 0 Alter O Repair ?
l 10. Desaribe :f-A ?_ ? ?r-.;•? l: rr, ???j Fue1 TYpe 'f,.,-.,;
11.
No, Enuinment 9TU - M. Ea.
Forced Air No. Enuiament CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
?
Unit Heater
Mfg. Other
Air Cond.
Mfg.
- Gas, Piping Outlets
12. 1 hereby Certifiy that the above information is true and correct, and 1 agree to
Comply witP 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 C17Y QF EAGAN 454$100
Receipt ?
I?
PLUMBING PERMIT Permit No.
CITY OF EAGAN Fee 20_0?6
Fill in numbered spaces S/C .50
Type or Print legibly Tot. 20.50
•
1. Date 9/9/85 2. Installation Cost i
?? a3. Job Address '?l ? E' !?[J al?f DR_ Lot?Blk. ?ract
4. Owner ROSEN'OOD CJRP
5. Contractor SCHULTIiS PLUi•'L3ING Phone
6. Address 8383 SUNSET RD. NE
7. City SPRING LAKE PACt4t State PN Zip 55432
8. Building Type: Residential S]
9. Work Description: New Ck
Commercial O Institutional ?
Add ? Alter ? Repair 0
10. Describe rRAME DWELLI:vG 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-$100
Rewipt MECHANICAL PERMIT Psnriit No.
CiTY QF EAGAN
FN
fi!l in numbened specas S/C
Typr w Print /egibly Tot.
T
1. Date 2. Installation Cost
3. Job Addreu50?,f.S j;4,,Iv ..,Lot Blk. Tract"'.4>,_vr, 1
.•1a
4. Ovmer 7-*. ,? ? ? /( J.-.s ..? ?. ?1 '??,f?,= ?•: '
:.. ?
5.
8.
8. Building Type: Residential Q Commercial ? Institutional 0
9. Work Oescription: New 0 Add ? Alter ? Repair ?
10. Destxibe?,?('' ??? ?i4 4?• !- Fuel Type . ..?=. ? ?,.' ..
11.
No•
' Epuioment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
ti
Mfg. r
and
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
?L 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 : ???; _,? ` _?_ ?`'" '? ? " -r.• --.
- - for?
Rough Final
Inspections: Date fnsp. Date )nsp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
7. CitY._ State ;i-' Zip
Receipt PLUMBING PERMIT Permit No. J ?
CITY pF EAGAN Fee 20. G?j
Fill in numbered spaces S/C . 50
Type or Print legib/y 70t. 20.5u
1. Date 9/9/85 2. Installation Cost ?
_ ,•,
- 1 " !.
3. Job Address 3152B NARNlJM Lot Blk. Tract
4. Owner ROSEW000 QORP
5. Contractor SC.HUL'TIr:S PLUMBIIVG IIVCphone
786-4W7
6. Address 9383 SIINSE'1' F2D. NE
7. CitySPRI:,iG LAKE PARK State
z;p 55432
8. Building Type: Residential M Commercial ?
9. Work Description: New Q Add ? Alter ?
10. Describe
11.
FRAME DWELLING
Institutional ?
Repair ?
No,
N,? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
i Bath tubs •, Septic Tank
-n Lavatory Softner
Shower yyell
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
J 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 governirag this type of work.
Signed : : ?.' , I for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?n
Receipt ?/
PLUMBING PERMIT PermitNo.,? J
C1TV OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legi6/y Tot.
1. Date 9/9/85 2. InstaNation Cost
, 77
3. Job Address 3152 : ARidUM DRl.ot ? Blk.r Tra t `
4, Owner RC1SF:WOD [Y]RP ,
5. Contractor SCHUr-I`TES PL(JMBIIVG Phone 786-4007
6. Address
7. City SpRING LAKE PARK State ,"iN Zip 55432
8. Building Type: Residential 0 Commercial O Institutional ?
9. Work Description: 1Vew Q Add 0 Alter 0 Repair O
10. Describe L''RPE DSrdEliLI^?Tv
' 11.
No.
>>
,_-y Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
•?? Lavatory Softner
Shower Well
1 Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
Ftoor 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
n MECHANICAL PERMIT Pormit No.
CITY OF EAGAN
FN
f!ll !n numband spec.a S/C
Type w Print /pib/Y Tot.
1. Data, 2. Installation Cost
3. Jab Addrest3/3.: ?nt /Blk. !? Trsct ?? ,?? ?
?
4. Owner c I r
5.
6. Addmss
7. Gty State 2ip
8. Building Type: Residential (D Commercial ? Institutional ?
9. Work Description: New Add ? Atter ? Repair ?
10. Dasaibs j -?_-> ti?.F ??u,,s, •.:?- e!;? Fuel Type ?L -? --
11.
No. F.gyjAtIISpt 9TU - M. Ea.
Forced Air ' r ,' No. Equipment CFM
Ai
H
ndli
Mf9• r
a
ng:
Boilers
Mfg. Mech. Exhaust
?
Unit Heater
Mtg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the a6ove information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed: ' _ ; ?L?? •- 7 V>??
for
Rough F inal
Inspections: Date Insp. _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
I (612) 681-4675
' SITE ADDRESS:
•;
PERMIT SUBTYPE:
ON
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
AFtA+iE Lll.lOFt
n t 't f r+ n 'F' I «N
{ rW? T f4',1 It i 3
! l 11.1i i r I I {I t Nr,t
PermR No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspecdon Date Inap, Comments
FOOTINGS
FOUND
FRAMING
flOOFING
ROUGH
PLUMBING
I
PLBG
AIR TEST
ROUGH
HEATINCi
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
1
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAI
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
i
SITE ADDRESS:
, . .,= , . 'r ft . F ND
PgRMIT SUBTYPE:
PERMIT TYPE: ?:?r i t t? ??ut,
Permit Number:
Date Issued:
APPLICANT:
!• ? ,.,,ii? ? M.`.,
TYPE OF WORK:
INSPECTION .. . .A
??O+r.jl i 1 I•I !'t. , I ?,!
I AN 1?FVIlt-11'f1 FtY H1I.11 AUAM',.
? t•ARATE f"t H'M C 1 fit=0111kf 0 t(lk AfdY PI IIMB 1 N6 t,i(1RK .
1 4 4b-2A4 0 kf (3At?C)1N11 t 1t C7iiTCAI 11- itM] T ANfI TNSFfCi [OiV
Y
Permit Holder Date Telephone N
PLUMBING /O 7 .?3????
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
•j'•
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
I ?.
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRFIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
65MT R.I.
85MT FINAL
DECK FTG
,DECK FINAL
(Tf` :??USF)
BUILDING PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
PLEk" Esr_ vai? ..31, b00
?0 r. 17
Receipt #
c?
.L._ . .. _ _ ._ ? o
Site Addrea [l; . Erect 0 Occupency'
Lot
Block ' Sft/Sub.
-,i. Remodel
?
??
Zoning
Parcel No. Repair ? Type of Const.
Addition ? No. Storiei
Move ? Length -? u
Z Naine
Addre
ss
Demolish
Int Im
r
?
?
Depth
? p
. Sq. Ft.
CitY Phone ?? t `• ??'' Install O
Neme C1.
z? u? Address ?
? CitV Phone
Name
Address
City Phone
I hercby ocknowledya thnt I how mod this cpplication ond stote ffiot
tht in(ormotion is Correct and agree to tomply with oll applicoble
SMb of Minnesoto $totutes and City of Eaqnn Ordina"s,
Siprwtuh of PennitteM
?. ._.
A Buildiny Permit is fuued to:
all work sholl bo dona in accordante with
oWe State of Minnesow
Buildirq Offitiol
Assessment Permit 1 a6 } Q`
Water a $ew. Suroharge • ? G''
Palice Plan Review • ' C'.
Fire SAC
Enp. Water Conn.
Plonner . Water Meter
Coun[il Roed Unit ? r'• '.'= `:
Bidg. Off. ` 1 7 !" - Tc PL
APC Parlcs ?
Ver. Date C •
? op?es
Total
on tMw expron conditfon Ihat
wd Cfty o} Eopan Ordinonus.
P011- it No. Pamk Moldw Dob Tslsphon? ?
?unibino
H.VA.C. 5U7- b Y5
ENctrie b/
Sott?rMr
Irdpect+on Dsta Insp. Other
Footfngs 1 - ?-?
Lf-
Footlnqs 11
Fou ndation
Framing /b
Roofinq
Rou9h Plby.
Hough Htg.
Insul. - /D
Firoplaw
_ 2 `? SrC /r,l
Final Htg. 4 G ,
Final Plbg.
• Z
Finel
Cert/Occ. f j
Water ??i? Lotation: r
41A
W.ll
Sewer
Pr. Disp.
. - ' CITY OF EAGAN - ? ;
3830 Pilot Knob Road, P.O. Box 21•199, Eagsn, MN 55121
PHONE: 454-8100
SUILDING PERMIT aeceipt aqt
T. `. r..I ie. i, Fe? Vnli . .. , n.... 10
Site Address
Lot Block r SeclSub. ?
Parcel No.
? Name
? Addre
Name
Addreas
City Phone
Name
Address
I her+nby acknowieO
the informotion is
$tOtt Of Minnesoto
Sipnoturo of Pertnittu
c,
A Buiiding Pen+,it is iuuad ro:
all work sFwll be done in accwdance with
Buildinp Offkiol
mble 5tote of
Erect U. Occupsncy
Remodel ? Zoning
Repair ? Type of Const.
Addition ? No. Stories
Move ? Length
Demolish ? Depth
Int Impr. ? 5q. Ft.
Install ?
Approvals Fees
Assessment Permit
Woter & Sew. Surcharge
Polia Plan Review ?
fin SAC
Erp, Water Conn.
Plonner Water Meter
Council Road Unit
Bidg. Off. 7 Tr. PL
APC Parks
Var. Dete Copies ?
T
Total U
on n,. •xpreis condirian it,o+
mofc Stotures ond City ofi Eopon Ordinonus.
PKmlt No. Pwmk Holdw DiM TeIsphons ?
Piun,eWio Ig ' S ?/? , ?/? 7c?o S?co
H.VA.C. 5 S ?? t?-- 1°/ l 0 S
ENctNc 0/01 J-11 /o Ii
Sottemr
Inweetion Date Inap. Other
Footlnys I .??
Footinys 11
Foundatfon
Freming
Roofiny
Rouyh Pibg•
Rough Htg.
Inaul. 'a
Firoplace
Flml Htg.
Final Plbg. 7,- !
Flnal ? -
cervocc. ' C? f qG ,g _
WatO?
?
weu
Sswer
Pr. Dlsp.
i,
C{T1( OF EAGAN c??• ? ?
3830 Pilot Knob Roarl, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUiLDING PERMIT R«?ipt
$61,000
• ?;.?;
Site Address
Lot Z Blvck Sec/Sub.
Parcel No. `
W Name - 'A:`>> t=O
? Address B
City PhOn@
Erect L.l Occupancy
Remodel ? Zoning
Repair ? Type of Const.
Addition ? No. Stories
Move ? Length
Demolish ? Depth
Int. Impr. ? Sq. Ft.
Install O
Approrols Fas
? Name r.?Jn?S`I'
? Address
,
bJ. - ??.`,4
F- CitV Phone
Name
Address
Phone
Assessment Permit - -i ? • . QO
Water a Sew. Surcharge % . 50
Police Plan Review 1?" • 00
Fln SAC 525'00
-' ? ` • 00
Enp. water Conn.
63.00
t
t
M
W
Plonner er
e
er
a
260.00
Council Road Unit
I heroby ocknowledye thot 1 how rcod this application and stote that Bldg. Off. l2? Tr. Pt. 11 "'(' `-'
the information is corted and agree to comply with all applicable A? parks
State of Minnesoto Stotutes ond CRy of Eoqan Ordinonus.
Var. Date Copies
Siqnoturo of PermiftN ;, -
Total '''! '' • =? ° ?
N Buildinq Perenit Is issued to: _.aO$?'W?D C?ft '? on tho express corditlon tho+
oll wor{c sholl be dons in acoordance with all opplimble Stote of Minneaoro Statutes ond City of Ecqon OrdinonceL
Buildinq QHlcid
M?mit No. Pwmi! HoMer Dow TelephoM *
P?umbinw T 7 ?
H.v.n.c. Jr b ? Y Q i t?- 13Y, o l 5a7 - 5
EloctdQ a 10 /1 /?^ 5
Safterw
InW»ctian Date Insp. Qthar
Footinys 1 .,,,,j
Footings 11
Foundation
Framing
Roofin9
Rouph Plbp. ?0.
Rouyh Htq.
Insul.
Finplace
Flnal Htg.
Flnal Piby.
Finel
C.VOCG.
Water Wseribe Location: 0 6
WNI L
Sew?r
Pr. Dfsp.
l?
CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21-199, Eaqan, MN 55121 Y
PH ON E: 4548100 ?
RUILDING PERMIT Reuipr #r ' ' T* be we/ le? Esf. Value Dote 19 `., ?
Site Addresf Erect 0 Occupancy _
lAt l Bicek Sec/Sub. Remodel ? Zoning
Repair ? Type of Const.
Parcel No. ( ? C 2 . ' ,)
Addition ? No. Stories
. ? . Move ? Langth
? Name ; Demoflsh ? Depth ? .?
Addresa ':? '-?
Int Impr. ? Sq. Ft.
Cit Phone ' -` ' ; - ` Y Install ?
.` ? AVVrovo n ?ps
Name
J.
i
?V Address Assessment Permit t)U
? City Phone ` Woter d? Sew. SurChBrge J'-? •-??
Police Plan Review U0
W Nerr?e Fi re sqC 525, R U
?? Addrasa Enp, wacer conn. 500
.?' a
t W City Phone plonner Weter Meter EA. C U
Countil Road Unit
I hercby ocknowledfle that I haw rood this opplicotion ond stote that Bldg. Off. 1?? Tr. PI. ?'- ?.•?? ?
the inlormotion is oorrect and agree to comply with oll applicahle
A? Pe?
Stob of Minrnsota Stotutes ond City of Eaqan Ordinonces. .
? - Var. Oste ?lea
5iqnoturs of Penniftes f " . Total . . ? o ' .50
A Buildinq PeRnit Is issued to: ??sxpreys ppnditlon thoi
oll worlc sholt be done in otcadonce with oll applicable Stote of Minixsota Statutes ond City ot Eopon OrdinoncK
Buildirq Oifidal
?
Pwmit No. PKmk Ho" Dm TeIephon? ?
?umbin0 3 A ?. ? E Yo
H.VA.C. l? ?? St r
EMenie lu?
8oft?n?r
Irqpection Date Insp. OthN
Footlnys 1
Footinqs II
Foundatlon
Freminy
Roofing
Rough Plbg.
,
12-20
_
Rouyh Hty.
Insul.
Firoplacs
Final Hty.
Ffnal Plbg.
Final
C.lIt/OCC. ? '.l (d ? ? b r ' ' )
W?C?f Oascribe Location:f - +
Well 4
?
Sewer
Pr. Dlap.
,h; Meaues oid ci?3 b
h
? /0 191k?
f
o
4.012 L0
O
6 c,o aCA
Rt?uest Date Fire No. Rough-in Inspection
RequireA?
E]ReaAy Now:UWill Notity Inspec-
10-3-1985 K?Yes ?No tur When qeadv
19?1_icensed Electrical Contractor . I hereby request inspec?ion oi above
? Owner elacMical work installeA et '
Stree[ Address, 6ox or Raute No. City
3152 B Farnums Drive Eagan
ecuon o. Township Name or No.
Range No.
County
I Dakota
OccupnntlPRINTI Phone No.
Rosewood Bldrs.
Power Sup0lier Address
NS9 RR
Electrical Contrrctor (COmuany Name) Convactnr's Liconae No.
O.B. Thompson Electric Co. A40602
MailingAddress (Convactor or Owner Makinp Instailation)
.
12201 Mtka Blvd.
Mtka 55343
,
?
Authorizetl Signature (ConVactor/Owner Making'Installationl Phone Number
933-2529
MINNESOTA STATE BOARD OF ELECTNICITY " THIS INSPECTION flE4UEST WILL NOT
Gri99s-Midway 91da. - Aoom N-791 BE ACCEPTED BV THE STATE BOAPD
7821 UniversitV Ava., St. Peul, MN fi6104 UNLESS PROPER INSPECTION FEE IS
Phona (612) 297-2111 ENCLOSED.
i Qa °;d5?3b6 i??ar
18 rtqnths from
n: ?l 6 ?-r"{) 13 L L{ 6Y / W G c? in / /4_,/??C 9Q . G 6
Renuest L]nte Fire No. Pauyh- i?lnspection
Reqwre?d7
Reatly Non*(2Will Notilv Insoec-
?
10^3-198$ GLVs ?NO tor When aeaay
qp Licensed ElecUical Conbactor 1 hereby'requast insoaction of abova
?pwner electricel work inatalled at:
SVE2t AAdress, Box or floute No. . CitV
3154 Farnums Drive Eagan
ecLOn o. Township Name or No. flange No. Counly
I
I Dakota
OcGypagn1eW00a) BZCIYS.
L[O Phone No.
Power $upplier Addross
NSP RR
Electrical CoMractor ICOmuanv Name) Cnm actor's LiCense No..
O.B. Thompson Electric Co. A40602
Mailing AdJress (ConVactor or Owner Makinp Instailauon)
'
12201 tr1HlFa Blvd. Mtka -55343
Authorized Signatuie (Conhactor?Ownor MakinB Installationl
. _ " 7" ,PhU,a?f7kyn?pv^?
?7e9 7c
MINNESOTA STATE BOAHD OF ELECTRICITV THIS INSPECTION NEQUEST WILL NOT
Grie9s-Midwey Bltl9. - Room N•191 BE ACCEPTED BY THE STATE BOARD
7821 Univergity Ave.. St Pa.l, MN 55100 UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
Phone (6121 297•2111
?DgREQUEST FOR ELECTRICAL INSPECTION j1M ee-00001-0e
' See instructions for comoleting this torm on back of Vellow copy.
?,/
" ? ?'?r /
?a'fll 3, "'X`' Below Work Covered by This Request ;.: 1? p
knd Reo. Tyoa ot Builaing Appliantes Wired Equipment Wired
Home Range 7emporary Service
Duple,x Water Healer Lfghtiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldy. Fumace 2.50 Siio UnloaAer
Industrial Bldg. xx tAir Conditioner Buik Milk Tank
Farm otne, ot>,, v ornnr Isu<,o;ir)
? er ucu v x-x O,h,D1S .DlStl.r].00 01hOf
ompute Inspection Fee Below
M Fee Service EntmnceSize p Fae Peadars/5uhfeeders K Fee Circuitfl '
)OU G10.0 0 to 200 Am s 0 to 30 Am )s 0 io 30 Am s
Above 200 qmps, 31 to 100 Amps 31 to 100 Am s
Swinuning Pool Above 700_Amps Above 100_Amps
Transiormers Irrigation Booms
• Partial-'Other Pee
Signs Speciallnspection
$ ^
TOT
Remarks DdR SM1tY1 5?.5? ALFEE
i
W
.
1
flouBh-in Dafe
? ?, ihe Elechtea
Insoactor, nereey
cer?ilV that ihe aboye
Pinal ? D7te
-17 ' spection has bean
mede.
•hierequestroiUlBmonibsfrom v Q..P ?u/""-I - -
( ?„? (?$ REQUEST FOR ELECTRICAL INSPECTION
_7? Sea inshuciions for com letin this form on back of
? P g yellow copy.
Do 46401 1' X" Below Work Covered by 7his Rpquest
Ee-a0001+0&
/4di Ixf
Atld Nep. TyDe of Building Applinneas Wired Equipment Wired
X Home Range 5.00 Tem{wrary Service
Duplex Water Heater x Lightiny Fixtures
Apt. Building XX Dryer 2.50 Electric Heatin
Commercial Bldy. Xg Fumace 2,50 Silo Unloader
Industrial Bldg. Air Conditioner 2,50 Bulk Milk Tank
Farm Otbei Deci y Other (Snecify)
ther ISpecify pthcr Olher
Compute Inspectron Fee Below - k Fee Service Enhanca$ize p Fee Fentlers/SObfeede, # Fee Circults
0 to 200 qm s " 0 to 30 Am s• 0 to 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 qm s
Swimming Pool Alwve 100-Am s Above 100_Amps
Transtormers Irrigation Booms .50 Partial•'Other Fee
Signs Special Inspection
$ / ?
TOTA
f
pemarks I
SIttl 53.00 L
EE
? ? -? (7
NouBh-in
LV/ r
, D:?te
!a-i6 ? /
?• ?ha EIa?,.i"e,_
Inspectoq M1ereby
certily that the above
Final ^?" ( y inspettion has ?een
This request voiG 18 monlla irom
s request void ?)_ 3 O?j ( 1 /0 J? /??
rrsnths from 10 Q ((
D 6 4Y011 L ( 6 (10 Ct)? 4...9 621 S 1
Reqwred? []Neady Nuw7MWi11 Nofify, InsOec-
10-3-1985 JRYes ?NO tor wnen Readv
KjLiceased Elecvical Conlrxclor 1 hereby raquest inspection of above
? Owner electrical work inslelled at:
Sireet Addres5.,fpo{,or Route No. City
.3 DL
221? Farnums Drive
Eagan
ecUOn o. Township Name or Nn. RanAe No. Counry
Dakota
Occupant (PHINT) Phone No.
Rosewood Bldrs.
Powe, Sup0lier Atldress
NSP RR
Electrical Contracmr ICompany Name) Conhactor's Lir.ense No.
O.B. Thompson Electric Co. A40602
Mailin0 AtlJress (COntraCtor or Owner Making Instailationl
12201 Mtka, Blvd., Mtka 55343:-
Authorized Siee ture IContracfodOwner Makine Insiallationl Phone Numper
MINNESOTA STqTE BOARD OF ELECTRICIiY ? THIS INSPECTION NEQUEST WILL NOT
Griggs-Midwey Bldg. - Room N-797 BE ACCEPTED eV THE STATE 60qND
1821 Univarsity Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 297-2117 . ENCLOSED.
, (TOWNIiOUSE)
? i CITY OF EAGAN N? 10 617
3830 PiIM Kirob Road, P.O. Box 21-199, Eagan, MN 55727
PNONE:4548100 f ?
BUILDING PERMIT Recelpt # J
Te M m?d Fer 1 OF 4 PLEX Est, yalue $61,000 Da1e JULY 22 19 85
SiteAddresf 3154B FARNUM DR erect 151 occupency R3
lot 3 elock 6 Sec/5ub. COACHMAN LAND Remoeel ? Zoninq R3
CO ZND
Partel No Repair ? Type of Conrt, VN
. Addition ? No. Storiea
COACHMAN LAND CO Move ? Lengtn 46
Name
?
z Address 1711 W CTY RD B Demolish ? Depth
24
?
mtI
?.pt.
mpc
City ROSEVILLE vhone 636-8050 Instail ?
Name ROSEWOOD CONST CO
o AVOratrala Fws
i
? Addreas SAME Assessment Permit 116.0(
r City phone 631-3254 Water85ew. Surcharge 30.5(
Police Plan Review 158.0(
?W Name Fin SAC 525.0(
?? A?? Erq. WaterConn 500.0(
? W City Phone Vlanner water Metar. 6 3. 0(
Councfl Roadllnit 280.0(
I hereby acknowladga that I hove reod this oppliwtion ond stote thof gldg. Off. 7/17/85 7r, pi. 132.0(
the inlormofian is carrect and ogref fo comply with oll oppl' le A? p
k
Srots of MinnewM Stotutef-qrd ry of Eapan
OMFr s ar
s
r
nY_ Var. Date Copies
Sipnofurc of Permi
5(
?
A euildinq Vermir Is issuad ro: ROSEWO ONST CO m ? e
X? 2?? that
all work sholl be dona in accordance with o bla State 4if Mi ro Stofutes ond Ciry o! Eoqan OrdirronceL
Buildirq Offleial ' 1??-?
( TOW7IyFi0USE )
.. CITY OF EAGAN No 10616
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 /7
Te M wd far 1 OF 4 PLEX
Receipf ?F ? ?
$61, 000 pote JULY 22 ?q 85
SiteAddress 3154 FARNUM DR
Lot 4 ei«k 6 sft/sub. COACHMAN LAND
Parcel No. CO 2ND
W Narrme COACHMAN LAND CO
; Addresa .1711 W CTY RD B
U cicy ROSEVILLE phpne 636-8050
o Ne,ne ROSEWOOD CONST CO
o? Addresa SAME
u? cicv rnone 631-3254
Name _
Address
City -
1 hereby ackrowledye that I hava road this application ond
fho information is WrrecT ond ogr to comply with oll
Staro of Minnesoto StotuLe?ord?y of Eoqan O(Qidqoc
$ipnaturo of Permi ea ??'
A Buildiny Permit Is i.s?.;ro: ROSEWOOD N$T CO
oli work shall be dons in oaordonee with oll 'mble 51 of Mii
Buildirq Offidol
Erect m Oetupancy R3
Remodel ? 2oning R3
Repair ? Typa of Conat. VN
Addition ? Na. Staries
Move ? Length ¢(
Damollsh ? Depth 74
Int Impr. ? Sq. Ft.
Inatall ?
Aonrawb fras
Assessment Permit o
Water 3 Sew. Surcheroe 30.50
Police Plan Revlew 158.00
Fire gqc 525.00
Enq. Water Conn. 500. ? 0
Plonnar Waterrneter 63.00
CounCil Road Unit 280. ? 0
Bldg. Off. 7 17 8 5 Tr. PI, 132, OO
APC Parks
Vaa Dete Cap1B8
?
?
Total ?
m tFw expreas conditlon thai
peso,ro Stotutes ond Ciry o4 Enpan Ordlnancea
?4s1 D$ qEQUEST FOR ELECTRICAL INSPECTION EB-00001.04
J ea instruetions for cempleting this trnm on back of vellow copv.
? 1
:pR'4n 1'?S? "X`" Belaw Work Covered by This Request /dlql
Atltl Rep. Type of Building Appliancea Wired Equipmenl WireJ
XX Home Range 5.00 Temporary Service
Duplex Water Heater X Lightiny Fixtures
Apt. Building Dryer Electrlc He2tin
Commercial Bldy. Fumace Silo Unluader
Industrial Bldg. Air Conditioner 2,50 BtJk Milk Tank
Farm Othe. , peu y Othpr ISncr,ifyl
mP, isuo<?rv omo, is .D'sh 00 omo,
omU???e lnspection fee Below
p Fee Service EnhancaSize k ? Fee Fexders/5abfeeders M fae Circuits
10 UG10. 0 to 200 qm s 0 to 30 qm s 0 25.00 0 tn 30 nmus
Above 200 qinpa, 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100-Amps Above 100_Amps
Transiormers Irrigation Booms ,50 PaniaLOther Fee
Signs Special Inspection
5
TOTAL F
He.rks 53.00 EE-
Dan SMith
RouBh-in I, tha Electric
Inspector, he?aby
certify that the nbove
Final lol?
( D
1
t d' inspection has been
made.
ThlarequestvoidlBmonttufrom (/ `-'
(TOWNYOUSE)
CITY OF EAGAN Na 10 615
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 4548100 b?
BUILDING PERMIT Receipt g
Te M wd iw 1 OF 4 PLEX Ev, Volue $61,000 pOfe JULY 22 1 y85
SiteAddreu 3152B FARNUM DR Erect ? Occupancy R3
COACHMAN
Lot Z elack6-SeclSub LAND Remodel ? Zoning R3
.
CO ZND
Parcal No Repair ? Type af Conrt. VN
. Add'Aion ? No.Stories
COACHMAN LAND CO
Neme Move ? Lengtn 46
D
li
h ?
Z
1711 W CTY RD B emo
a
Depth 2¢
? Addtees Intlmpc ? Sq.Ft.
City ROSEVILLE phona 636-8050 Install ?
Aporsvols F"s
Z? Name ROSEWOOD CONST CO
89 U Addresa SAME
F city Pnone 631-3254
Name
City
Phone
I hereby ackmwladge that I haw read this apDlicotion ond
the inlormotion is Correct and agre fo comply wit oll
State of Minrxsota Stotutea'and?y ot Eoqan rd'
$iprwture of
A Buildirg Permit Is issued ro: _
oll work sholl be done in accordenea
Buildinp OHiciol
Assessment
Woter 8 $ew.
Poifca
Firc
En0•
Vlanrar
Council
BId9.Off. 7/17/85
APC
ver. oeTg
Permit 316 . 01[
Surcharge 30.5(
Plan Review 15 0(
snc 525.0(
Water Conn. 500 • 0(
weter Meter 63 . 0(
Road Unit 280 • 0(
rr. Pi. 132.0(
Parks
Copies
I Total $2_, nna _ 5(
_ an the exp'ess wndinon thoi
ond City o{ Eopon Ordironces.
(TGWNHOUSE)
? CITY OF EAGAN N2 10 614
3830 Pila Knob Road, P.O. Box 21-199, Eagan, MN 55121
/
,/
PHONE: 4548100
BUILDING
PERMIT Receipt #
Te be us" fa 1 OF 4 PLEX Est. Value $61,000 pafe JULY 22 ?q 85
SiteAddreee 3152 FARNUM DR erect 11 occuPeney R
COACFIMAN LAND Remodel ?
Lot 1 slock 6 Sec/Sub 2oning R3
.
CO 2ND RePair ?
Parcel No TypeM Conat. VN
.
AddNion ? No.Stories
Name COACHMAN LAND CO Move ?
?
D
li
h lan9th 46
? emo
s
1711 W CTY RD B Depth 24
? qddreas
Intlmpr. ? Sq.Ft.
City ROSF.VILLEphone 636-8050 Install ?
Aooro.als fws
sG Neme SO?SEWOOD CONST CO
S Address
C ctty phone 631-3254
Name
City
Phone
I hereby ackrrowledge thot 1 haw reod fhis application and state
tha infoimotion is correR ond ogr to ComDly with oll opplii
StaM of Minnewto Stotut n Ciry of Eagan OrdigortIgL
,,Z
Siqnaturo of
A Building Permif Is issued ro:
all work shall be dona in acm
Buildinp Offielal
Assessment
Water 3 Sew.
Police
Fin
Enp.
Plonner
Council
Bldg. Off. 7/17 /$ 5
APC
Var. Date
Statutea ond
Permit -»-v.vv.
Surcharge 30.50
Plan Review 158.00
SAC 525.00
Weter Conn. 500. ? 0
WaterMeter 63, 0
RoedUnit 280-00
rc Pi. 132.00
Parka
I CoOies 004. 50
Total
_ on tha axpeeas tadiflon Ihoi
Ciry o7 Eapan Ordlmnces.
7317?s_
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenis
3 registe2d site surveys showing sq. ft. of lot, sq. fL of house; and all roofed areas
(20% maximum lot coverage allaxed)
2 cop'ies of plan showing beam &window sizes; poured found design, etc.
1 set of Energy Calculatlons
3 copes of Tree Preaerva6on Plan if lot platted aRer 711/93
Rim Joist Detail OpGOns selection sheet (buildings w%h 3 or less uniGS)
Minnegasco mechanicalventilationform
RemodellReoair Reauirements
2 copies of plan showing footings, beams, joisfs
1 set of Energy Calculatlons for heated additions
1 site survey for additions & decks
Adddion - indicafe if onsife septlc system
.. ..
Offce?Use?Onlv
CedafSurveyRecd ???_Y N
Tree Pres Plan ReW _.Y _IV,
TreePresRequired Y N
On-srte5eptic5yslem _Y _N
Date / / Construction Cost 0o ci OC:)
SiteAddress K.-7 4r- Unit/ste #
DescriptionotWork ?iCoc?., `??•,-
1 oLf JG c 4-vr<`/-'<'-- ?0 ?oc?2
7
Multi-Family Bldg ?/ N Fireplace(s) _ 0_ 1 _ 2_3 _ Y
Property Owner Telephone # ( )
Contractor ,sCo u 6 • ? --Z? ?- ,
Address j?/! 3 J ?a ?c - 5?• ?? City
State i/ Zip ` S)° ? Telephone #( 7t5) 7S-7-G'd 6 0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiantype) Su6mitted 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/Water Contractor
Telephone #(
Teiephone #(
Telephone #[
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a 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
Applicant's Printed Name
ApplicanYs Signature
6 00'2-
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Esgan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
# 70 0_
New Cons6uction ReauiremeMS RemodeVReoair ReauiremenGs Offce Use Onlv
3 registered site surveys showing sq. il, of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd Y_ N
(200/o maeimum lot eoveraqe allowed) 1 set of Eneyy Calculations (or heated additions Tree Pres Plan Recd _ Y_ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _ Y_ N
1 setof Energy Calcula6ons Add'dion- indkate ifonsife sep6csystem On-site Septic System _Y _ N
3 copies of Tree Preservation Plan i( lot platted afler 7H193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date [0/ 13 / 03 Construcfion Cost &-.)
Site Address _31 sly t'Y l?i) 0"7 UniUSte #
6 r-)
Descripdon oF Work /,A-1574Z(, 6q5 lN,Sd,/
Multi-FamilyBldg _ Y _ N Fireplace(s) _ 0 U_ 2
ProperTyOwner _ UC)?? ? ?j? Telephone#(U?7 )&Pl6-053(.
?, n?
Contractor r( ?LC.?S r ?/
?%
Address 36 -3D w, j-/u/ y 13 City 1?G//I^J
State OW?? Zip 9?33 -7 Telephone # (9 iL ) 39d -a)519
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Mimiesota Rules 7672
Energy COde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Su6mitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee appiies.
Licensed Plumber
Mechanical Contractor
SeweryWater 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 permit, but only an application for a permit d work is not to start without a
permit; that the work will be in accordance with the approved plan i e case f?Prk which requires a review and
approval ofplans.
o,J?M,` (`r0?
ApplicanYs Printed Name Applican Signature
,
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTR9CTOES NUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
I oF 4 1 SET OF ENERGY CALCULATIONS
0
To Be Used Far: C?UAQ BOMB Valuation: Date: 7o SS
Site Address: -7q,P,vum oe
LoPC,Hr1aN
Lot: ? Block _Yo Sect/Sub ZNg co.
Parcel 11 ?--?yp----f}(?Q/Tioit/
4:of{c:ff/?7-AR/ G4ND G?om?hvy
Owner
Address / 7// L!J L4,9u.r/7(y AW B
?
City/Zip Code i61se dl.'cE ,?ti SS?/3
-,
Phone C?/.2) (0B O,_,?a
7
Contractor 7?ose,<.oo of Ge.?d"T- .Q??
Address Sfhric
City/Zip Code S'A m 6
Phone ,SA917?
Arch./Engr.
Address
City/Zip Code
OFFICE IISE aNLY
Erect X Occupancy ?-3
Remodel Zoning ?2-3
Repair
? Type of Const v- ?-l_
Addition !1 of Stories
Move Length ?h
Demolish _ Depth 24
Int.Impr. Sq Et
Install
APPROVALS FEES
Assessments
Permit m
3l(0.-
Water/Sewer ? Sureharge
Police Plan Review 5 8.?
Fire SAC 525,°=
Engr Water Conn SOO•S
Planner Water Meter
Council Road Unit 2fs0' °-°
Bldg Off y i reatment P1 I 3z.°?
APC Parks
Variance Copies
TOTAL
Phone /i
?
"1-a?/ s?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS HUST BE LICENSED NITH THE CITY OF EAGAN
TOWNHouSE
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
I OF 4 1 SET OF ENERGY CALCULATIONS
sd
To Be Used For; Q? ?,z,e, Valuation: l01,000. r Date:
T
Site Address: wv
?opGµMMI
Lot: _a B1ock ? Sect/SubN
Parcel # -:1 n y9opo
Owner L"OAGffrJ,v,? (ir/D L`pin?
Address CuUNfN?.
City/Zip Code 6,,« V/e cF . ,0w 6-5-ii3
Phone &/02Y --&09d
Contractor Aczu? &Ytar ?
Address /'S'4TrJG
City/Zip Code 'C4127c
Phone 63,) -3asr/
Arch./Engr.
OFFICE USE ONLY
Erect x Occupancy 2-3
Remodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
Zoning R-3
Type of Const Lk
11 of Stories
Length 40
Depth 2¢
Sq Ft
APPROVALS FEES
Assessments
Permit ee
31(0 ?
Water/Sewer Surcharge
.p
?60
Police ? Plan Review 15f3. -
Fire SAC 5 Z5•?
Engr Water Conn 5o0 • °?
Planner Water Meter
Council Road Unit ? .
Bldg Off7i reatment Pl 132"'=
APC Parks
Varianee Copies
Address
City/Zip Code
TOTAL
Phane Ik
1985 BUILDING PERMIT APPLICATIOH - CITY OF EAGAN
NOTE: ALL CONTRACiORS NUST BE LICENSED NITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
IoF 4 1 SET OF ENERGY CALCULATIONS
To Be Used For: 0&d4?)? Valuation: (o 1, 000
D
Site Address:
(rx cH
Lot: -?7-/ Black -L Sect/Suh l-12M ?
Parcel Jl2,/,?
Owner ???_??, ??z,s? ? •
Address 1211 1
City/Zip Code ?j.q?? 2yj,U 3
Phone
Contractor ago
Address -S?,O&-
City/Zip Code
Phone 6, 3 /- 3Z Sv
Arch./Engr.
Address
City/Zip Code
Date: -7?&Z
LL
OFFICE USE ONLY
Erect X Occupancy
Remodel Zoning
Repair ? Type of Const -Y.W-
Addition # of Stories
Move Length 41?
Demolish ?
Depth _
ZQ-
Int.Impr. _ Sq Ft
Install
APPROVALS FEES
Assessments Permit
Water/Sewer Surcharge -30.%F
Police Plan fteview 158. ?t-
Fire SAC 525.'p
Engr Water Conn 50
fa °-
Planner Water Meter
Council Road Unit ZCiO•`-°
Bldg Off ti tment Pl
APC Parks
Variance Copies
TOTAL
Phone #
i
?. _
i /
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTR9CTORS MUST BE LICEI7SED 6fITH THE CITY OP EAGAN
TOW N(-koUSC
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OE SURVEY
I oF 4. 1 SET OF ENERGY CALCULATIONS
To Be Used For:A?7r? Valuation: (pl,CC17.T Date;
Site Address: 3/,j yB ?CuG?zu? ,Q.Z
C?
Lot; 3 Block ? Sect/Sub L-
Parcel U,;?Na
pwner (/,&?w.,,?
Address f 7//
City/Zip Code SS//3
Phone
Contractor
Address
City/Zip Code
Phone (03/-3.,)-6-5,,
Arch./Engr.
Address
City/Zip Code
OFFICE USE OHLY
Erect ? Occupancy IZ_3
Remodel Zoning
Repair a Type of Const y.f4
Addition $ of Stories
Move ? Length 4(-
Demolish ? Depth
Int.Impr, Sq Ft
Install
APPROVALS FEES
Assessments Permit
Water/Sewer ?
? Surcharge 3q.?
Police Plan Review IS
Fire SAC 525.
Engr Water Conn 50p.
Planner Water Meter 73.?-
Council Road llnit
Bldg Off y i? Treatment Pl ?2-'%
APC Parks
Variance Copies
TOTAI.
Phone 6
FERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, A4innesota 55122-1897
(612r681-4675
PERMITTYPE: BUIL°ING
Permit Number: 0 3 3 3 3 7
Date Issued: 0 g/Z5/9$
SITE ADDRESS:
P.Z.N.: 10-18151-010-06
3152 FflRNUM DR
LOTo 1 6LOCK: 6
CDACHMAN LANO C0. 2ND
DESCRIPTION:
But?i?.d?Z't???
B Permit 7ype BASEMENT FINISH
??i4 ltl?ing 4ta?„?rk Type NEW
434 fiLT. RESIDENT7AL
3z ?
? . , . . :, . . ?
? a¢ fiiC
a@ ? ?? 19
? a a ai r?
M
I n6 9k
si 3?ei?
Y 4_ `m 4? ?? a[rI£ 2['ll?
9
ew x hd 7 u? wrs?, iR rc;,{ ?` t. ?s
REM??i?S:REvzEweo BY BILL ADAM5.
SEPARATE PERMIT REQUIRE[J FOR ANY PLUM$ING WORK.
CALI 445-2840 REGARDTNG ELEC7RICAL pERMIT AN? INSPECTIONS.
FEE SUMMARY:
Base Fee $50.00
Surcharge
Tatal Fee . $50.50
PI?NTRA?1CTQrl?? - APPlicanc - sr. Lzc. OWNER:
ND AN SERVICE 14237168 20000151 ALBRECNT JAMES
1$$36 CURRANT CIR 3152 FARNUM DR
ROSEMOl1NT MN 55068 EAffAN MN 55121
(61.2) 429-7168 (651)452-4851
!
I h9 ra b,y ,aeknowle?dge Ghat,? haYe ;
APPLICAN /P RMITEE SIGNATURE
e
?
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
? 3830 PII.OT KNOB RD - 55122
681-4675
?ew Construction Reauirements RemodeVReoair Requirements
? 3 registered site surveys
? 2 eopies of plans (include beam & window sizes; poured fid. design; etc.)
? 1 energy catculations
? 3 wpies af tree preservation plan rf lot platted after 711l93
required: _ Vas _ No
DATE: cl I ti I
DESCRIPTION OF WORK: k4-06c-
? 2 copies of plan
? 2 site surveys (e)terior adddians $ decks)
? 7 energy Wltulations for heated atlditions
?GON3`TUCTION COST; $'/tlezvo o
e rwAL1 -/
41- r5 F'iki5h.a 6r.C w; 1(
STREET ADDRESS: ?C lo-5 e* _
LOT: l BLOCK: SUBD./P.I.D. #:
Name: A/i rPLk.t J'? ?'hes Phone #: q Sa? Y`a s J
PROPERTY 1-ast First
OWNER
StreetAddress: F?1^hKw. -Q b`U t?,e
City 0,-2? e-. it/ State: i"l rt-' Zip:
( , Co! e??- 175
Company: bV S/Y RL^,& ?tiw v\ SeVu u 0-p _ Phone #: E69-Y;?3- 7/6 'S
CONTRACTOR ?,l -6 J,- 3 3 I I 9 5
SReet Address: 13'?j 6 C?nlr VA ?-T C? t?iI P License #/'I Vo'l D p o O/? (
city r? 0 S<L w" e tivt l State: /-t &?'
ARCHITECT/
ENGINEER
Street
City
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Penalty applies when address chanc
I hereby acknowledge that I have read this application and state that the infortnafion is correct and agree to comply with all appiicat
Sfate of Minnesota Statutes and City of Eagan Ordinances. r
Signature of Appiicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No
Zip: J? s0 6 ?3
Phone #;
Registration €k: _
State: Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
?31 New ? 33 Alterations
? 32 Addition 0 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
2oning
# of Ssories
Length
Depth
APPROVALS
Planning
?
? 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi RepaidRem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building a_
Engineering
MCN4/S 5ystem
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
?
?
?
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SiW Permit
SM! Surchargs
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ 22 0
% SAC
SAC Units
i '
?
?
CITY OF EAGAN
2/84
APPLZCATI0:1 FOR PE?MIT
" SEWER AND/OR WATER CONNECTION
- (PIEASE PAINi)
1) PP.O°:..' :T" ACDRESS: $
,
v
r Fr.,L D°SC-t=ry?'IC`I: '
-
??
(TAt/$I0C1C/Sl:.=C1Vi5 CR OL i3.'.ti rarC°1 i. . t1L:,:?..,'?T)
5^=U:.'^:4.. DAT' 0F C^n?G'?`?,
P?=S.-?`?:'= M r`Z-1 5l= ---_Ll
? R-2 idJP= (,r•,,? LNITS)
? R-3 'IC'.•;?--Err.c : (=R= - L^ 1T5) ( II.1i'_'S)
? r-4 UNI'TSJ
Q CCi,n=,C_`-T./R. ?TT_?0.Z?.?
G -?•,'CCSiRa'•L
? P:STI^_'LTIC`LMlL/C-C'v7=--,=?.
2) K°ar,,LL`,,? ase ratNr)
ROSEWOOD CORP
??CRESS= 1717 W CO RD B STE 300 SOUTH
CITY, ==, ZI?: RDSEVILLE, MINNESOTA 55113 '
631-3254
3) (P:EdSE PN1Hi) FOR CITY USE 0NLY
SCHULTIES PLUMBING INC.
PLUNBERS LI °YSE:
$383 SIJNSET RD
NE ?
. ct
ve
CITY, ST?'?, ZIP: SPFING LAKE PARK, MN. $5432 ?/ pir
P?ME:
786-4007 PLI1.M8:3 LICEASE ii 2658M9 kb o; R tord
' tf11.13
4) CC^,;?AA1T/G?';E:2 LrLtn5t NHi;lr)
ADCRE55:
Crn' STA', ZIP:
PI-0`+E:
5) RNDIG,'I'E WHZCH PFR;•LiT IS BEINC; RECUESTED:
? CL"'.]NECPI0N 'ITJ CITY SEWER
Cbi1,tECTICJI 'RC) CZTY t•7ATE2
? Cr'tM (PISASE Da.-CRIBE)
b) li:GiU:?i : C:.:::
7) SI=7L.--,E:
?°LE',.?,E E?OLD APPRGUID PE..T?"ST FCR PIGK-lir BY O;IE OF AECZIE
El eI.LS' ?!UL APPROVED P&'F,%IiT 'I`J 1, 2. (3,) 4 AFOti%
(Circlle )
DAi'E: 9/9/85
?e R v1:il?;qAr?s i? n? a?ca?:a af sa 1`st?maa?i as es s rFSSac?:aa a aR 1.e staramrwaJr ?.a ar ra 6[SSrylt?.c? e
C I T Y U S E O N L Y
PEI?MZT °- ISSUED
I
?
J
$
S
S /S?uv
S ? /%Ci tKi
$ S a-5-.u t;
$
$
$
$
$ / ?? G G
L
$
C'.": .. 7G"'n nyB._- i........... ?AT;+ ?T"^r",?^ SUor..??A^.?L)
.......?.:
WJTC? UF7UT?T (ii:CLilL7L JjJRC:'i.7?tZGL) -
S4c1',ER METEP,/COPPE4HORN/OUTSI.^.v REi,u'R
WAT°_.°. TAP ( I;ICLCDE CORPGRATION STOP )
s--;;Ee TA D
P.C.^.OUNT DFPOSIT - 'viATER
ta Ac
S:_C
T3iiNIK S•7AT°R ASSESS:iE:iT
T3L5iI?{ SE:PE° e,SQ-SS?+.E_iT
L:,T: R-',L 3E:iEFIT/T°U'IK SE?:ER
L'I;2RAL BENEFIT/TRliVIC S•7AT^D
0 1::E t2
TOT:i"L
zv?!cL::T Pa?D,-R?r-=== n
DOES liTILZTY CONVECTION REQUIF.E E`F.C::VfiTIOiV IN 2liSLIC RIGriT OF WAY?
C YES IF YES, THE:I ?, "PERMIT FOR :90R:; SJIT?-IIN
PUBLIC RCr1DWAY" MUST EE ISSUED BY TY.E
? NO ENGZ:]EERITIG DIVZSION. LIST AS A CONDI-
TION_
SUEJECT TO THL FOLLOS9ING CONDITIOL:S:
APPROVED BY:
TI.LE: DATE:
s
FF_w Am= fV 4yaF m A11 YL+a 9L+m iA 20 :iM '.N:fa ^Jl+s t4 @ i! W?pa 'lL+a f! M R as-f0
i?
CITY Or EAGAN 2/84
?
/
'•1U?1 F1PPLICATION FOR PE°?1IT
-' SEWER A:VD/OR WATER CONNECTIprT
- (PLEASE PRINi)
1) PFOPERTY aCDR= ss :
T FP=,L D ?.?T_?^IC`I:
?
(inL Slock
/ /Su.divisicn or Tac r.:rcei .t7 t
J . ?+ rlv?1.7, J::=LTZ.., D[-11:.. OC
P_SL.^_ [2 R-1 S?;GT.:: r i
? R-2 CUP7;. ('T_:i:7 L^'.I'=5)
? i2-3 ZC;e??n?SE ("_':=? = LNITc} ( U:I17s1
L7 c-4 tc=='-r/CC_--Ci,nl]_t::l1 t UDiI'?'si
? CCi•'??CZP.Li^.2:.-':'AI??0Z Z"I-?
? L\^?,::Si"_'.-.I.?.I,
Q T_:VSTI ?'PIC`:.?.iliGv% c'"'?_. T
2) ? jPLcASE 7RlfiiJ
ROSEWOOD CORP
AC=R=SS. 1711 W. CO. RD B S 17mE 300 SOUmH
C='-n=, =-=. -7Ipl. ROSEVILLE, MINNESOTA 55113 '
°h*C`E-. 631-3254
3) PLL:=.F...'4 (PLEASE PHi4T) FOR CITY USE 04LY
NME , SCHULTIES PLiIMBING INC.
PLJ?BER CE45E:
"rL'=SS; $383 Si7NSET RD. NE Active
CITY, ST.-"i ?, ZIP; SPRING LAKE PARK? MN, 55432 ? Ezpir
of Retord
pHONE - 786-4007 PtuMeEe LICESSE a 2658M9
- rr .nl:l?l
4) QCc:?pNT/Cr.'-•:^ER N (PIEASE PR[N()
'tu"+IE:
A.r,DRESS :
CI:"!, ST:.'IV, ZIP:
PEiOVT:
5) ZNDIG.TE ::IiZCH PER•LIT IS BEItiC REQUESTED:
FLI =ECTIOV TC) CITY SES^im
? COC1IIIECTIC:I 'Ib CITY SPP.TC?
? 017-'R (PI.L'SE DFSC.'RIBE)
6)
7) SI
??I?'`,SE f?OLD ;-,PrP,OVF.p nEy7ST F'OR PICK-L? 3Y CNE OF i+SGVE
El P=ASE ?`AIL APPRO/"D PEF'•LIT T'J I. 2,.(3,) 4 F+F:c7V'c,
1
D'nTf.': 9/9/85
\
R?! OI ilMlfA } i Et !!_QiJ? 9 t Hf i?O ?YfJp +tl if lilGS ?:i:m fs at fR WtspO-JY fiJwii s f4 RlLiEtiFS2iH+ ?
- . . . _ . , f ..
F
PE?MIT '-` ISSUED
F-.rs: $ C I T Y U S E O N L Y
$ /L" 5-4:
$ $
$
$ A: '-G
$ '
_?<<oo
$
?
$
$
$ /3-Z • du ".
$ G?l.:.,.-i.` DrD`'1T'?' (7v,-.r„n-, orc•--r^)
S
WnmEa pERtlTT (I_;CiuDc Si.i:?C".ARGL.)
WATER METE°/COPPERHORN/OUTST_Dv- REr`,DER
WATER mAp (ZNCLCDE CORPGRATZOAI STCP)
SE::c4 TA?
:;__os1_
P.C^CUNT D`:POSIT - W:"_'ER
S4=.C
SAC
T:?liNK S4ATER ASSLSG.:E.:T
TRuid:{ SE:vER ySSESS:.t?Nm
LA:; RAL SEi•iEFIT/T_°.U`IiC SE?•:E.°.
LATE2;L `BENEFTi/T?ATER
OT::?.R .?"
TemaL
k,=z;T PaTD?T 1 S??-7?
,<? ?? .. ?
DO:S UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? Y£S IF YES, THEil 'n "PEc2^7Im FOR S40R:: SJITHSN
PUBLIC ROaD;dAY" MUST BE ZSSUED BY THE
? NO ENGZNEERZ*IG DIVISZON. LIST AS A CONDI-
TION_
SUSJECT TO TFiE FOLLOWING CONDITIO::S:
APPROVED BY:
TI':LL: .
DATr : /???
ee va+ a.s. .. wi. ?m e.c Mwa muw
sts ?e a A fia ?tna ct+? es?n p? ?m ?z sosav ?ia ? s sa eo?v sta oc4 uE s?+ ??
. .., . . f . . _ . _ . ..
1
2/84
's
EE
`
4 CITY Ot EAGr]
?
I-
::,?
APPLICATION FOR PE?MIT
SEWER vND/OR WATrR CpNNECTIODT
- (PLEASE PRIHT)
1) PROPF°.?^! ACDZ„5: " 3I
IFr`.L D°=P'?'?TM"I1
(It?t /BlocK/S?c.l?isicn or Ta:i r :=cel 1:D. Niun?rl
S='.;i;:_'^:v.. DAT?.' 0'_'C:2=G^i1i.=':1: ?SS:;?NG:.:
U,5'r.': 12 R-1 SZGI.: F. ?_T;',
? R-2 C'JrLi (7:'C) T-TNI'?'S)
? rZ-3 TC;.1?:^??_^ (`?_=? - L':TITS) ( tN_-c)
? 7,4 P,F?ic_^^'?'/C.^._Zi'?`:IL?I ( G^1IT_5
i
I-
? ??;;ST?.I:S.
2) cp?L,IC_.7
3 SOUTH
`?
RQ ILLE, MINNESOTA?55113 '
4
6 -3254
3) (PLE.1?E PRltiT) FOR LITY I1SE 041Y
NA.%IE
. SCHULTIES PLUMBING INC.
.
rL?==?S:
8383 SUNSET RD
NE
PLUHB
E LIL: 4SE:
. I Acti•ie
CIT'_', STy'I:, ZI°: SPRING LAKE PARK M[Q. 55432 C1 Ezpir d
PHONE- ????r.
786-4007 PLUM6ER LICENSE i/ 2658M9 ? . o af Recard
c?v
4) ? ??p??j'/??•;?j ?PLtASE PRiNi)
NAtLIE-
ADJREJC$:
Cr:^r, STATE, ZIP:
PF:C`IE:
5) INDIC.,'iEL ;tiHICii PER;•lIT IS BEINC; REQLiESTED:
? C(,'iINEC,TIO.y 'In CIT"1 S-0,IER
CO:P=ZC-N 'IC) CITY tVATER
? G'iim (PLEASE D:tIIIE)
? PT.?'.:%-QE f?OLD 'nPFRMIEp pEMN1IT FOR PZCK-T--P 3Y C:v'E OF r1ERilE
? PLr.:Sc '•--kIL i1PP?tOVE11 ='-ST TJ 1. 2, (3,) 4 F5C7VE
4 . - (Circ1e cr.e)
7) DATE: 9/9/85
ii
R!( EialilllEA io i CR tmgfrs i ft A i?m a?=?i a! iV 1i O? I??m : ? a R la w4f4??s-.?JY fY i b4ls iVFSaae ?
FOR C I T Y U SE ON 1, '1
PEa?IIT '! ISSUED
F __
Fr?`S: $
$ /a'?0
S
S
S
$
S ? S c?o
$
S
$
$
$
$ 3u - 7 .
s
SEYiG.J Oc._::`tT_T (TNC:..:iL JUR.r. ::.KGL)
W :mc? PERClIT (ii:Ci.uDE SUi?C`.i3RGc,)
WATER METE°/COPPERHORN/OUTSIDE READER
WATE.°. TAP (INCLUDE CORPORATIO:V STOP)
JE:'iER TA?
_ ....Ci:"' .sC•S_'
P.CCOUVT DE?OSIT
WzC
S..C
TRtisx tIaTER A55
- T'jAmr. R
cSS:<.E:iT
TRii::K SES'iER ASSE55MEciT
L:-,TERAL BE:+EFI"_'/TRUNiC SE:•iER
LA:ERAL EEriEFIT/TRUZR WP.TrR
Q1:.LR W? L•'?-E'-?-'L.,O,.LC?T ?
T0T:1L
. ,, ,,; S3,z5
_. ?
T a, asCEy_ T n
Dp:S UTILITY CONNECTION REQUIBE E?fC:,VATION IN PUnLIC RIGHT OF WAY?
YES ZF YES,'THci7 A "PERMT_'!' FOR taORS wITHIN
PUBLIC RCaDSdAY" MUST BE ISSliED BY THE
? NO ENGZNEERIr:G DiVISION_ LIST AS A CONDI-
TION.
SGSJECT TO TfiE FOLLOWING CONDITIC35:
APPROVED HY:
TZ:Lc:
DAT° : ?? XL
Em a"Wws wME iowww wt .. R ir rFy !t o w¢J! oQJwv or:sm PHm 9n em3Y ?siW R? w* m m o fw onca wk masa IMPm sn m
CITY USE ONLY qp r?
L? B LO a RECEIPT#: / o /??
SUB0. RtitOC 11 , p? N? RECEIPT DATE:
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IINOB RD
EAGAN, tM7 55122
(612) 681-4675
Please complete for. ? single family dwellings
? townhomes and condos when pertnits are required for eadi unit
? backflow preveMer for underground sprinkler system
FIXTURES
Shower
Water Cioset
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
G85 Piping pUYIBt ' minimum - t
Rough Openings
Water Softener ' for dwellings under construction
Water Softener ' for existing dwelling
U.G. Sptlnkler " for awelling under wnst.
U.G. Sprinkler `forexistingdwelling
Altefaflon5 ' to existing residence
Water Turn Around
Private Disposal System ' MPC iic.
(new and refurbished systems)
Pfivate Di5p0581 Sy5t2m5 `Abandonment
EACH # TOTAL
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
3.00 x =
1.50 x =
5.00 x =
20.00 x
3.00 =
20.00 =
20.00 = ,?a
20.00 =
75.00 =
20.00 =
STATE SURCHARGE .50
TOTAL
------------ ------ -•-------- ------------ ---.---- ------- --...------------------- -----------
1 hereby acknowledge that I Aave read this application, stste thst the irrformfltion is correct, and agree to wmply with all applicable City of Eagan ordinances.
It is the applicenYs responsibility to notify the property owner that the Ciry oT Eagan assumes no liability for any damages caused by the City during ifs
nortnal operational and maintenance activities to the facilities wnstructed untler this pertnit whhin City propertylright-of-way/easement.
SITE ADDRESS: 31,SZ f-Cevheto'I t)e-
OWNER
T m,,s AlbrPe-I v- ?)'/1p.d
INSTALLER NAME: l?)w6'I Z' Aapt/ TELEPHONE #4,2?3-119"`Y'
STREETADDRESS: IY'773 nS- /eUhe",? Y I
cirv: Se/rnou,zLf STATE: I-W ziP: 6s-?b 7e
SIGNATURE OF PERMITTEE
JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
m ., PERMIT
CITY OF EAGAN
3830 Pitot Knob Road PERMIT TYPE: Bu T Lo I NG
Eagan, Minnesota 55122-1897 Permit Number: 029362
(612) 681-4675 Date Issued: 12 / 2 6/ 9 6
SITE ADDRESS:
3154-B FACtNUM DR
LOT: 3 BLOCK: 6
COACHMAN LFlND CQ 2ND
DESCRIPTION:
(ens zNSERr)
rmit Type FIREPLRCE
Fk Type AL7ERATION
=.111 434 ALT. RESIOENTTAL
???-?? •,
??a F '„
ss °? x?a ?* ?E ?" ? ? d ?+?s
.?mr *?' sir! iy?iaP LJr s, X"
REMARKS:
FEE SUMMARY:
Base Fee
5urcharge
Total Fee
,
$25.00
$.50
$25,50
CONTRACTOR: - ,qpplicant - sT. LIC OWNER:
AU70MATIC GARA6E DOOR 15712525 0001990 VOIGT RALPH
220 77TH AVE NE 3164-6 FAftNUM Dft
FRIDLEY MN 55432 EAGAN MN 65121 (612) 571-2525 (612)452-6343
t
.
Z hereb,yackno wi?ed'g0
infiarmaLion is; `c'0rraci
? ° S?atutes end•' G?ty ,c?f? p
tz :
APPLICANT/PERMITEE SIGNATURE
?,.
ED Y: SI NATU ?
" CITY OF EAGAN v SI?
3830 P[LOT KNOB RD - 55122 ?? f!1
3 la 1996 FIREPLACE PERMIT APPLICATION
681-4675
DATE: Ia' I7 ` I (o
DESCRIPTION OF WORK: _ CONSTRUCT NEW FIREPLACE: WOOD BURNING GAS
? INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE
_ INSTALL GAS LINE qNLY IN EXISTING FIItEPLACE
OTHER:
ROOM TO BE INSTALLED IN:
sTxEET fwDxESS: 31SS{ Q Ff3 rZNWM 1) 2
LOT BLOCK Lr SUBD.IP.I.D. #: (Arkmap
APPLICANT: (circle one only) OWNER EETOR
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.
Re7d0174- *ia 3?.ivf r.ads-27?eve Aooo.oov&?
PROPERTY
OWNER
FIREPLACE
INSTALLER
Name: VD) G'r /2RLPsy Phone#: y6a•?35?3
W7 FlR4f
Signature:
Street Address: 3' S y f3 F??/U?n'1
city: ["464N State: Zip: S S lZI
('QLnnanv
.
r__j
Signature:
-DOO4 P'::ene#: 71' 1 r
COri ra
Street Address: MD" 77J" N6' License #: I/7Fd
City: MYI.( State: k ? ziP: . 5T?3a
GAS LINE Company:
INSTALLER
Name:
Signature: _
Street Address:
City:
Phone #:
State: Zip: '
oF
3830 PILOT KNOB ROAD. P Q. BOX 21199
EAGAN, MINNESOTA 55121 PHONE (612) 454-8700
June 24, 1986
ROSEWOOD CONSTRUCTION CO
1711 W CTY RD B
ROSEVILLE, MN 55113
RE: 3154 FARNUM DR., L 4, B 6, COACffiKAN LAND CO 2ND
3126B FARNUM DR., L 2, B 4, CAACHMAN L AND CO 3RD
3126 FARNUM ?R., L 3, B 4, COACHM6N LAN D CO 3RD
3124 FARNUM DR., L 4, B 4. COACffiKAN LAN D CO 31tD
3122 FARNUM DR., L 3, B 5, COACHMAN LA ND CO 3RD
3720 FARNUM DR., L 4, B 5, COACffiMAN LAN D CO 3RD
3156B FARNUM DR., L 2, B 7, COACHMAN LAND CO 2ND
TO i1HOM IT MAY CONCERN:
8FA 8LOM9L115T
Mayur
1HOMASEGAN
- JAMES A SMITH
VIC ELLISON
THEODORE WHCHTER
Council Members
THOARAS HEDGES
Ciry Atlminisirotor
EUGENE VAN OVERBEKE
CiN Clerk
Please be advised the following corrections must be made before final
inspections can be approved:
3154, 3126B & 3124 Farnum Dr. - Tread use from driveway exeeeds 8".
3156B, 3120, 3722 Farnum Dr. - Door closer required to garage.
3126 Farnum Dr. - Door closing hinges are not funetional.
Please call for a reinspection when these items have been corrected. Thank-
you.
Sincerely,
l ?
Mark Anderson
Building Inspector
MA/,js
iHE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROV?fH IN OUR COMMUNIiY
- CLAIM VOUCHER - REFUYD REQUEST
CITY OF EAG,1N
MAKE CHECK PAYABLE TO: ALLIED FIBESIDE INC
ADDRESS: 2700 N FAIkVIEW AVE
LOCATIOIY: 3154-B FARNUM DR
RECEIPI'#/DATE 67146/NOV 24, 1946 VALUATION (FIREPLACE)
REASON FOR REFUND DIFFERENT CONTRACTOR WILL SE DOING THE JOB
TYPE OF REFiTND ELECTRICAL PERMIT 321 I-9001 $
PLUMBING PERMTT 3212-9001 $
MECHANICAL PERMIT 3213-9001 $
BUILDING PERMIT FEE 3210-9001 $ 25.00
PLAN REVIEW FEE 3422-9001 $
saC (Maws) 2275-9220 $
SAC(CITY) 3866-9379 $
saC/aDMIN 3446-9001 $
wArER CorrrrECTTOx 3865-9220 $
SEWER PERMIT 3743-9220 $
WATER PERMIT 3713-9220 $
ACCOUNT DEPOSIT 2252-9220 $
WATER METER 3716-9220 $
ROAD UNIT 3860-9375 $
WATER TREATMENT 3868-9220 $
SURCH.aRGE 2155-9001 $
UTILITY ACCT OVERPAYMENT 2350-9220 $
CURB BOX DEPOSIT REFUND 2253-9220 $
CONSTRUCTION METER DEP REFUND 2254-9220 $
WATER USAGE CHARGE 3711-9220 $
TOTAL $ _ 25.00
I declaze under the penalties of law that this account, claim or demand is just and that no part of it has been paid.
A''J'l ?1 MV .:9 '(11IlLf?.l.L I9,f26/96
.
Signatu?e D3TE ` CLAIM.V;iC
?/ ?
PERMIT
u CIl"Y OF EAGAN
3830 Pilot Knob Roacl PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 2 9 5
(612) 681-4675 Date Issued: 11 / 2 9/ 9 6
SITE ADDRESS:
3154-B FARNUM OR
LOT: 3 BLOCK: 6
COACMMAN LAND CO 2ND
DESCRIPTION:
Bvilding'„;rPermit Type FIREPLACE
Suilding Wor.k Type ALTERATION
`Cansus Coste 434 ALT. RESIDENTIAL
,
...?. . ... j M. .%4'F
. t ?
z./h \ .
?atu-
Y ?
? f k
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$25.00
$.50
$25.50
CONTRACTOR: -
FIRESIDE CORNER INC
2700 N FAIRVIEW
ROSEVILLE MN
(612) 633-1042
Applicant -ST. LIC
16331042 0001068
AVE
55113
OWNER:
VOIGHT RALPH
3154-B FARNUM DR
EAGAN MN 55121
(612)895-9443
I : I
Z hereby aaknowled,ge that Z haw;e read,thieapplieatian and st-ate that the
in'formation is correct and agree to comply'with ali applz"cable State of.Mn.
Statutes and Caty Qf Eagan Ordinances.
? . .' ` . ?. ?
APPLICANT/PERMITEE SIGNATURE
A(P,n & II111?
-
r ISSUED B : SI ATURE
lwqiqj CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1496 FIREPLACE PERMIT APPLICATION
681-4675
DATE: (a
DESCRIPTION OF WORK: V CONSTRUCT NEW FIREPLACE: _ WOOD BURNING
INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE
INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
Name: V flI Cr-l
OTHER:
ROOM TO BE INSTALLED IN: 1"^X ! 5 71 nJ C"Z (i?o0'A Fr12:5-? G_A C?? L--p c-147L'OAJ
sTxEET ADDRESS: <5 / 5 ?f - - L5 ?- l?`,(?•.,v * Y 41 L
LOT ? BLOCK L SUBD./P.I.D. hfiMAfi?'r?
APPLICANT: (circle one only) OWNER CONTRACTOR
Signazure:
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.
PROPERTY
OWNER
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
?
Phone #:
?szU
9 GAS
Street Address: 3l"e;-4 0 - rArc?j 'I IV pe,
City: State: Zip:
? ? Company:lT !?? 1.? ?, Phone #?/?v
6:?
Street Addressg8S-o -td`" l3 License #: `d 6
State: ? Zip:
Company:
Name: _
Signature:
Street Adc
City: -
Phone #:
State:
Zip:
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ?J cl
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenis RemodeVReoair Reauiremenfs Office Use Onlv
3 registered site surveys showirg sq. R of lot, sq. ft of house; and all roofed areas 2 copies of plan Cert af Survey Reed _ Y _ N
(200/o maximum lot coverage allowed) 1 set of Eneigy Calculations for heated addNOns Trce Pres Plan Recd _Y _ N.
2 copies of plan shovring beam & window s¢es; poured found design, etc. i site survey for addNOns & decks Tree Pres Required _ Y _ N
i set of Energy Calcula6ons Addifion - iMicete ifon-sife sep5'c system On-site Septic System _ Y _ N
3 cP
o ies of Tree Preserva5on Plan'rf lot lattedafter 7/1193
p
Rim Joist Defail Options selec6on shcet (bldgs with 3 or less unAS ?- I
Date / 0
Construc[ion Cost ?
Site Address Unit/Ste #
?
Description of Work ?
Mu?ti-Family Bldg ? Y _ N F14ce(s) _ 0 _ 1 _ y
Property Owner? ?,v? o-'%? Telephone # ( )
? /
e!
Contract rq
Address '1 City
State /n! /
T? n Zip ?7 r Telephone # ((J) ?.+ l?d
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Wwksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submilted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #
Telephone # rR
Telephone
N If so, 25% plan review
R 0 L'J
12 2004
I hereby apply for a Residential Building Permit and acknowledge that the information is comTte-atid?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
ap or?v ofplans.
sd-at? /'? .4
pplicanYs Printed Name pplicant's Signa e
2004 RESIDENTIAL BIIILDING PERMIT APPLICATION ?*
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consduction Reauiremenb RemodeVReoairReauiremenfs
3 registered site surveys showing sq. ft of lo; sq. R of house; and pg roofed araas 2 coples of plan
(20%maximum btcoverage allowed) 1 setof Energy Calculations for heafed additlons
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site suney tor additlons & decka
t set of Eneigy Cakulatbns AddNon - irx/icete Hav-sUe sepfic system
3 cop'ws of Tree Pieservation Plan H bt pla@ed afler 711193
Rim Jast Detail Options selection sheet (bldgs with 3 a less unifs
7
4
n
3 P
lR ,? 47 47 ,?'*?
?Pr" p y'??-:.ry"??.
Date -LI / ., / / ? Construction Cost
Site Address 3 v v j -dwNSte #
Description of R'ork ?
MuIH-Family Bldg ? Y _ N Nlreplace(s) _ 0_ 1 _ 2 y
Property Owner Telephone #( )
? j1 A
Contractor i?
Address ity
State Zip !4z;C73 ( Telephone # (&&j)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category -M?esota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
submiss(on type) • Residential Ventilation Category t Waksheet • Naw Energy Code Wofksheet
Submitted SubmiNed
• 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
N If so, 25% plan review
Telephone #( )
Telephone # D ?
Telephone # ? ??UN 2 1
I hereby apply for a Residenrial Building Permit and aclaiowledge that the infonnet#erris-eom ete-azid-Efccurate;
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?plauy,n the case of work which requires a review and
appro I of plans.
pplicanYs Printed Name
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF
? 04 02-plex ? 10 OS-plex 18 Deck ? 23 Porch (screen/gazebo) ? 38 Multi Misc.
? 05 03-plex ? 11 10-plex O 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Altera6on
?191 34 Replacement
Valuation
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const ?
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
jQ Framing
` Fireplace _ R.I. _ Air Test _ Final
Insulation
-. /
Approved By:
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
'Demolitlon (Entlre Bldg) - Give PCA handout to applicant
Occupancy ii?& - :1_
Zoning QW-E-3
Stories
Sq. Ft.
Length
Width
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
FinaUC.O.
?J FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs _ Air/Gas Tesu Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
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
Total
?-7 q 4?
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Kaob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complcte for: single family dwellings & townhomes/condos w•hen permits are required for each unit
4' 39- so
Date
Site Address Unit #
Property Owner Telephone
c
PLyvl
G
_
Contractor
_
o - -
Street Address ? C) `1 16 -'e2T ^ ? - City ?Aie/-OV ILLE-
Sffite M-? Zip Telephone #
Bond #: Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
. airconditioner _New Replacement
? other 4r-\5
State Surcharge $ 50
Tocei $ 3d ) so
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start withou[ a p it; that the work will be in accordance with the
approved plan in the case of work which re ires a review and approval of plans.
V\, ?-?- -?
N ie? t pai
ApplicanYs Printed Name Applicant's Signature
?'I(L(?
2007RESIDENTIAL PLUMBING PERnnir APPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please compiete for modifications to existing residential dwellings.
1J, s o
Date/ 1?/ (5-?
Site Street Address :4?E?A l M ???: Unit #
Property Owner Telephone # tc?l ) A(1 u??
ContrectoS? I Lt?f(-_k Telephone #
Address=?; `?_h) ? ? USLL City State jc??_ Zip
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
-
Fire Repair (replace burned outfixtures- ,-etc.) -
$ 90.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes insiallation of a water softener andlor water'
- heater at the same time. If you are ins[a!Iing on! a wafer sof(ener and/or water
heater, do nol complete Ihis section; move to the next section and check the
appliance(s) you are inslalling.
_Septic System Abandonment InS I?
_ Water Turnaround (add $136.00 if a 5/8" meler is required) n1QV 1 6 1007 '
Other:
1OWater Soft
ener _ Water Heater $ 15.00
_ new ? replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total.. . $: I hereby apply for a Residenlial Plumbing Permit and acknowledge that the information is complele and accurale; thal Ihe
work will be in conformance with the ordinances and codes o( the City of Eagan and ihe plumbiny codes; lhat I
understand lhis is not a permit, but only an applicalion for a pennil, work is nol to slarl without a permit and work will be in
accordance with lhe approved plan in the evenl a plan is :A-rkant'S uired t 6e rev' wed and approved.
C-??-?'1 ?C" ?rl()?/? `
Applicant's Printed Name Signature
CITY OF.EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner: - — —
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: � Insp.
CITY OF•EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. a Box 21199 PERMIT NO.•
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
i agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Dote of Insp.: Total:
Insp.: Date Paid:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165715
Date Issued:11/17/2020
Permit Category:ePermit
Site Address: 3152 Farnum Dr B
Lot:2 Block: 06 Addition: Coachman Land Co 2nd
PID:10-18151-06-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Lesley Cummings
3152 Farnum Dr Unit B
Eagan MN 55121
Centraire Heating & Air Conditioning
6811 Washington Ave S
Minneapolis MN 55439
(952) 941-1044
Applicant/Permitee: Signature Issued By: Signature