3153 Farnum Dr? . .
BUILDING PERMIT
CITY OF EAGAN
3795 'llo Kwe` Rosd Eoyan, MN 55122
PiiOH[s 454-8100
Receipt #
llssessment
Woter & Sew,
Police
Fire
Enp.
Plonner
Counci I
Bldfl. Off.
APC
Te be uoed for Est. Value Date u* - 19
Site Addrcss -
Ercct ?
Occuponcy
Lot Block Sec/Sub. - - Alter ? Zoninp
Parcel # Repolr ? Fire Zone
Enlurpa p Type of Const.
Name Move 0 # Stories
?
1lddress
Demoliah p ,
Length
Ci phone Grode ? Depth Sq. Ft.
?j Ncme
,?
?o? Address ? • ?,•; , •
v
1-
Nome _
Address
I here6y ackrwwledge thot I have read this opplicotion and stote that
the informotion is correct ond ogree to comply with cil applicoble
State of Minnesota $tatutes ond Ciry of Eu9on Ordinonces.
Sipnoture of Permittee
/1 Building Permit Is issued ta
oll work shall be done in accordance with oll applicoble Stote of Mir
Buildirq Offlciol
1-? 7419
Permit
Surchorye
Plon check
SAC
Water Conn.
Woter Meter
Rood Unit
Total
_ on tF?s express tOndition thol
City of EoQon Ordinonces.
Permit No. Permit Holder Misc. Psrmit No. Holder
L (Q?
aa-
U..1????5
gr2 '?
H.VV.A.C. 7j j g?p S ('? -30 ?'Z
r
ll
Electft W.31i l?S l ? EG . ?c ?1'1 _(7 ?L
Inspoetion Date Insp. Other
Footinpl -30-
Foundation
Framinp
Rough Plbg
Rough HVA
Insulation
Ffnal Plb¢ W
Final HVAC
Final ?
k
W?r Desaibs Loeation: .
YYell •
Sewer
Pr. DhP• .
I - •
crrY oF
1795 Pllet Kno6 Rood
MM 55122
BUILDING PERMIT Receipt #
Te be wed for Est. Volue Date 19
Site Address Erect ? Occuponcy
Lot Block Sec/Sub.? `2 ' . _! Alter p Zoning
Porcel # - Repoir ? Firc Zone
Enlorye ? Type of Corut.
oc
W Nnme
_
Move p
# Stories
;
? Addmss Demolish p Length
,
City 1 ? I Phone
-
:, ; Grcde p Depth . Sq. Ft.
$ Nome ;raoc ['o• :;; _-*iQn Diviric>r,
i? .
o" Address 1.7
. u§
F r:... ?---
Nome _
/lddreas
i hereby acknowledge thot I heve read this application ond state that
the information is correct ond ogree to comply with oll opplicoble
Stota of Minnesoto Stotutes cnd City of Eagon Ordinonces.
Sipnature of Permiftee
A Building Permif is issued to:
all work sholl be done in acoordance with all opplicoble State of Min
Building Officiol
Asseument
Water a Sew.
PoHce
Fire
Enp.
Plonner
Council
Bldg. Off.
^PC
Permit
Surcha?ge
Plon check 5AC
Wcter Conn.
Water Meter
Rood Unit
Total
on the express condition lhni
ond City oF Eayon Ordinonces.
Permit No.
Permit Holder
Misc. Permit No. {
Holder i
?
Ptumbing
H.V.A.C. tEi[z
Wall
Wmr
Disp.
Swwr
Electrie W 3lD 1$4 No T C'` 4-1? - 4sZ
InWaction Date Insp. Other
Footings _30_ b
Foundetion
Framinp ?
Roupli Plb¢ ? Y• L t
Rough HVAC
Inwlation
Final Plbq.
Final HVAC
Final
Water Deaxibo Locstion: -
VINII
Sawsr ?
Pr. Dbp.
_. • . _ _
` CITY Of EAGAN
• 3795 Pqe* Ksob Raod Eoyoe, MN 55112
PHOHEt 454-8100
BUILDING PERMIT
Receipt #
Te be wed For Est. Volue Qote I 9
Site Address i; Erect [] Occupancy
Lot Block Sec/5ub: <R^, 1 ^ t: Alter ? Zoninfl
Porcel # Repoir ? Fire Zone
Enlorge p Type of Const.
oWe Name - ? ? Move ? ?k Sfories
; Address cic:t::^A.v--. `??-- ---- Demolish p Length ^^
b
p wp'rora ?s ?ees
Nome o- t
:rn?- ' i-:. ;in?
? Assessment Permit
u? Address
~ Cik p?? Water & Sew. Surchorge
Police Plan check
Z Nome Firo SAC
?,? Address Enfl. Wafer Conn.
<W Ci Phone Plonner Wflter Meter
Countil Road Unit
i hereby ocknowledge that I hnve reod this npplication ond sfate that Bidg. Off.
the inlormotion is wrrect and ogree to comply with all upplitoble ^PC Total ??'?•'-
Sfnte of Minnesoto Sfotutes and City of Eagon Ordirwnces.
Signcture Qf Permittee
A Building Permif is issued to: on tha express canditian thoi
nll work shell 6e done in occardonce with nll opplicable State of Minnesotu Stotutes ond City of Eoqnn Ordinances.
Buildirp Officinl
Permit No. Permii Holder Misa Permit No. Holder !
i
Plumbing aQs ? ?,?1 u?k i ES $"-2 '?Z
H.V.A.C.
w.u
Water
r
Disp.
Sewer
Electric CJ 3?01?- ? ?1^? q_?-$'Z-.. I
Inspection Date Insp. Other
Footingt ,? -g
Foundation
Framing / j_g?
Rough Plbg. ? ?
Rough HVA
Inwlation
Final Plbg.
Final HVAC ? 04
Final ?
Watar Dowi6e Loeation:
F
WYO'I
Sewer •
Pr. Disp.
• 3795
BUILDING PERMIT
CITY OP EAGAN
Pilot Knob Rooa . Ea4on, MN
PHONE: 454-8 ) 00
Slte Address
Lot Blak Sec/Sub.
Porcel #
oc Name
Z Address • Al •
?
oc
z°
ou
v?
H
Plame
ss1u
Receipt #
Ercct Q 4ccupancy
Alter ? Zoning
Repofr ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Length
Grade ? Depth Sq. Ft.
Approvals Fees
Address Assessment
r:.., Woter & Sew.
Nome Pol ice
Fire
E
K
a
3 Address E?
,
Ci Phorte Plonner
Council
I hereby otknovvledge thot 1 have reod this opplicqtion ond state thot Bidg. Off.
the informotion is corrett and agree to compiy with oli applicable
State of Minnesota Stotutes ond City of Eogan Ordinances. APC
Permit
5urcharge
Plon check
SRC
Wuter Conn.
Woter Meter
Road Unit,
Totol
$ipnoture of Permittea I
/1 Building Permit is issued to: on the express condition
ol) work shell be done in atcordonte with oIl opplicoble Stete of Minnesota Statutes and City of Eagon Ordinances.
Buildinq Officiol
ihnl
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
01oy l5 c?
S4-Il,tA110:?1
$'"2 ?
H.V.A.C. L
w.ti?
Water ?
Disp.
S?war I
Electric ?J T'?Cl g3 E E C?c? ?'"j7 ?FSZ-
Irnpection Date Insp. Oiher
Footingt .?-$
Foundation
Framing
Rouyh Plbg. 0 ?
Rouyh HVAC
Inauiatlan
Finsl Plbg. .??
Finat HVAC ?
Final
Water Desdibe Loestion:
YVell
Sewer . y
Pr. D'+ap.
CITY OF EAGAN Remarks *-'`
Addition COAC?? ?D Co. 7.st ADDITIOA Lot -
Owner t Street 15-It
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFiF.
STREET RESTOR.
GRADING 1971 Paid umde nrcel 10 4 11- 1
Gradin 1983 173.26 34.65 S 138.61 0 12-29-82
SAN SEW TRUNK 1(? pgid Wide CC? 10 QQ u- 1
* SEWER LATERAL 1973 P$id d
**Sewer Lat 1983 1908.37 381.67 53
WATERMAIN ].9 2 ?bid ll?de CC? 10 J
0 ].1-
WATER LATERAL 1973 Paid L171d@ BTCC?. 1 0 u- 1
WATER AREA 19TT P?
**Water Lat 1983
STORM SEW TRK 19 PBid l?d Cel 10-C 0900 33-1-31
STOAM SEW LAT 1983
**Services 983
CURB & GUTTER
SIDEWALK
STREETIXQL@[RX 1007 1986 46.33 4.63 10
ROAD UNIT 240 00 31187 --82
WATER CONN. 420.00 11 of
BUILDIPIG PER.
sac n n
PARK
CITY OF EAGAN
Addition COACHMAN LAND C0.
Owner
Remarks
W ADDITION Lot 4 Rik 3 Parcel 10-18150-040-03
-Street 1573 FOUR OAK.S ROAD 5tate
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1974 Paid unde parcel 10- 0900 011-31
STREET RESTOR. 603.34 A012708 9-6-81
GRADING ' t'
G d' 1983 173.26 34.65 5 138.61 2
SAN SEW TRUNK 1968 Ir it 11
* SEWER LATERAL 1973 11 t? tr it
"Sewer a 1983 1908.37 381.67 5
WATERMAIN 1972 it of
* WATER LATERAL 1973 rr ei If
WATER AREA 1977 ft ++ It
**Water Lat 1983 S
STOFM SEW TRK 1975 +1
** STORM SEW LAT 1983 $
**Services 1983 S
CURB & GUTTER
SIDE1M1fALK
STREET IXQQ(]( 1007 1986 46.33 4.63 0
RAD UNIT 24o.o0 3118T 8-2-8 2
WATER CONN. 420.00
BUILDING PER. 7419
SAC ?t n
PARK
CITY OF EAGAN Remarks ?? j $:" !` f 1 ? r
Additipn C?CMAa LAND CO• lst ADDITION Lot 1 Rlk 3 Parcel 10'18150-010-03
Owner Street 3 1S 3 ^^brC'JL State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. t
754.17
150.83
5
451.51
A013473
1-19-84
GRADING t Paid
uade
8I'CCI ZO
O OO
u- 1
Gradin , 1983 173.26 34.65 5 103.96 A013473 1-19-84
SAN SEW TRUNK 1? P3id t? C O-
.iEWER LATERAL vt 1 P!L f? 17t1 C O
**Sewer Lat 1983 1908.37 381.67 5 1145.03 A013473 1-19-84
WATERMAIN 1'r2 PAid 17ndC C81 10 00 3.1-31
WATER LATERAL 1 Paid unde Darcel ZO-
WATER AREA imik- 1 p
**Wat r Lat 1983 5
STORM SEW TRK dINNIE 1 Paid lIIi$ parcel ZO- O u- 1
** STORM SEW LAT 1983 S
** Services 1983 5
CURB & GUTTER
SIDEWALK
STREET}(XOM 1007 1986 46.33 4.63 10
RoAD tJNIT 240.00 118 8-2-82
WATER CONN.
U 420.00
6UILDING PER. a i
SAC n n
PARK
CITY UF EAGAN Remarks [..i? ??e L I ZZ f
Addition COIfCMAR LAftD C0. lat ADDITION Let 2 Blk 3 Parcel 10-1$150-020-03
Owner Street 3155 F0`r?uyV-%' b'(%CvL State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1974 Paid UAdt Cpl 10 O u- 1
STREET RESTOR. 98 754 1 O
GRADING 1971 PBid lald@ CCl 10- 0 11-31
Gradin ' 1983 173.26 34.65 5
SAN SEW TRUNK 16$ Pgid llnd? pexcel IO O OO LZ-33.
SEWER LATERAL 11, 1973 pAid 17nde CP? 10 0 0 u- Z -
**Sewer Lat = 1983 1908.37 381.67 5
WATERMAIN 1972 ?iC? la1dC' rcel 10- 0900 11-31
? WATER LATERAL 1 3 Paid T?lll? Parcel 10-C 0900- )11-31
WATER AREA 3 19TT Paid UIIS? 8TCl1. ld-C 0900 u-
**Water Lat 983 5
STORM SEW TRK 7 Paid L7dd@ gY'C@Z ld- 0 u-31
** STORM SEW LAT 1983 S
**Services 1983
CURB & GUTTER
SIDEWALK
STREET LKM 1 El 10 , C- IU-7 ] - 17 -,P
ROAD UTIT 244.00 11$ 8-2-82
WATER CONN. 420.00
BUILDING PER.
SAC n t?
PARK
Receipt MECHANICAL PERMIT Permit No. 1 -
CITY OF EAGAN - ?
Fee . .
? Fill in numbered speces S/C
Type or Print /egibty
Tot.
1. Date i'- 2. Installation Cost
? .
3. Job Address L'oi Tract ' -
;.
??-
4. Owner
?.
5. Contractor ``1°_v^ i'ca?t-inn F? "./C S:S .phone `141--423
6. Address ` 3()75 bicneer ^_'rail
7. City EdGn Praizie State :•7i:lr.egota Zip 55344
8. Building Type: Residential .El
9. Work Description: New ?
Commercial ? Institutionai O
Add.6l Alier ? Repair C)
? ---? .
10. Describe Fuel Type
11.
No. Equioment STU - M. Ea.
Forced Air No. Equipment CFM
Ai
Ha
dli
Mfg. r
n
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
? Mfg.
? d r r : r'r
Air Cond. Other
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : : for
Rough Final
Inspections: Date Insp. _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4548100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print /egibty
Tot.
1. Date ? 2. Installation Cost
3. Job Address .?? Lot Blk. Tract
4. Owner
5. Contractor , Phone
6. Address 7. City ' State Zip
8. Building Type: Residential,fl Commercial O Institutional ?
9. Work Description: New ? Add 'E) Alter ? Repair ?
10. Describe Fuel Type
11
No. Equi ment BTU - M. Ea.
Forced Air No. Equipment CFM
i
Mfg. A
r Handling:
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 Fina ?
Inspections: Date Insp. Date g/ Insp.
4
This is your permit when numbered and approved. ? fI`(
Approved CITY OF EAGAN 454,8100
Raceipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee •
Fill rn numbered spaces S/C
Type or Print /egibly
Tot.
1. Date 2. Installation Cost
'i
3. Job Address- ! %4;11; irot• Blk. Tract
4. Owner
5. Contractor
Phone
6. Address ly
7. City (/_)?.^?,??C-? C?? ? State Zip '
8. Building Type: Residential?l Commercial O lnstitutional ?
9. Work Description: New.?4 Add ? Alter ? Repair 11
r
10. Describe Fuel Type ? ? • _ ?
11
No,
? EquiRment 8TU - M. Ea.
Forced Air No. Epuipment CFM
dli
Ai
H
Mtg. an
ng:
r
Boilers ?
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
/ •' Gas, Piping Outlets
12. I heraby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464,8100
Receipt
PLUMBING PERMIT Parmit No. ? S?
CITY OF EAGAN
fill in numbered spacea
Type or Print legib/y
Date f/1b/tSL 2. Installation Cost
Fee 2ii. ,lv
.
S/C > r
Tot
3. Job Address ) 155 b'Aiuyu:i i-.?. Lot Blk. 3 Tract
t...
4. Owner ItU51:WU:1L ::UiiY.
5. Contractor S6nUL`l'Ir:S PLG. IA1(;0
Phone
7db-40W
6. Address 10641 1 ieuvKaT U jr .
7. City L:.Alr+'.: State ?..q. Zip 754?1
8. Building Type: Residential 0
9. Work Description: New LJL
Commercial ? Institutional ?
Add ? Alter ? Repair O
10. Describe wUUL` 'r'tjliiE
11.
No.
2 Fixtures
Water Closet No. Fixtures
Cesspoal/Drainfield
1 Bath tubs Se
tic Tank
3 Lavatory p
Softner
1 Shower Well
1 Kitchen 5ink
Urinat/Bidet Other
1 Laundry Tray
1 Floor Drains w21 .L
X)
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agres to
comply with alf)3rdifiances and codes governing this type of work.
Signed
for
? Rough Final
Inspections:` Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
fill in numbered spaca S/C `
TYpe or Prini legibly .• -
- ' ?
? Tot.
, -
1. Date 2. Installation Cost
. , . .
3. Job Address ? Lot ? Blk. Tract
4. Owner
5. Contractor -'' Phone ';J-?? ?& 7
6. Address
7. City ?State 2ip
8. Building Type: Residential Commercial O Institutional 0
9. Work Description: New ? Add;Q Alter O Repair ?
?
,
10. Describe -" • ? ' ?I ' Fuel Type
11.
No. Equipment BTU - M. Ea.
Forced Air ' i', No. EQUioment 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 EA(3AN Fee -
Fill in numberied spacea S/C
Type or Print leg/bly ToL
1. Date T/ 2 o/ 2. Installation Cost
3. Job Addresa 3153 FARNi1:'. 1jtC.Lot 1 Blk. 3 Tract ?????li?--•
LA.?L
4. Owner i.:%6i!'UOOD CORP.
5. Contractor LiCHULTIF:S PLUpltsIiiCi Phone 786-4007
6. Address j J:741 rk+i.ti'1'U 6-di .
7. City a: s? ?•+? State I'.,t . Zip S?434
8. Buiiding Type: Residential C? Commercial ? Institutional 0
9. Work Description: New 13 Add ? Alter O Repair ?
10. Describe iWUU EttAt-,r.
11.
No. Fixtures
Water qoset No. Fixtures
Cesspool/Drainfield
1 Bath tubs $epticTank
? Lavatory Softner
i Shower Well
? Kitchen Sink
Urinal/Bidet Other
? l.aundry Tray
? Floor Drains w11 „)()
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, end I agree to
comply with all ordinances and?g o?veming tbis type of wark.
; T----, , -
Signed : ? `-t for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464,8100
4:
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Printlegibly '
Tot,
1. Oate 2. Installation Cost ?? -
I
3. Job Address Lot Bik. Tract ,^iv
r
?
4. Owner
5.
Phone
6, Address ;` Y///H /- Y ifAJ/V
7. City<? State Zip
iT
8. Building Type: Residential Commercial O Institutional O
9. Work Description: NewAdd O Alter ? Repair ?
10. Describe ?J??° s^-- ? Fuel Type
11.
No,
? Eouinment BTU - M. Ea.
---
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers ? • .'-
"
Mfg. Mech. Exhaust ?..._ '
Unit Heater
Mfg. Other
Air Cand. ,
Mfg. k_,7,?-
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinanges and codes governing this tyQe of work.
i
Signed : for
Rough Final
Inspections: Date Insp. __ Date Insp. _
This is your permit when numbered and approved.
Approved C1TY OF EAGAN 454-8100
Receipt
z
PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Prini /egib/y
1. Date 712L102 2. Installation Cost
Permit Na.
Fee
S/C _ •:
Tot. ,.?.;.?.?
3. Job Address 1713 r JUtt UknJ Loi, lt Blk. j Tract ??x?iu•11.?+
4. Owner
5. Contractor "nULTIr,S YLU;?.I.l.16 Phone 7b6-4007
6. Address 1J041 r114KAT u,i i.
7. City _.,.:_:?i•. State ??1?• Zip
8. Building Type: Residential Q?- Commercial O Institutional ?
9. Work Description: New Cl Add ? Alter ? Repair ?
10. Describe +dUUD F"ttAi°E
11.
No,
1 Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
1 Bath tubs Septic Tank
.3 Lavatory Softner
? snawer weli
? Kitchen Sink
Urinal/Bidet Other
i Laundry Tray .,.., ,?., . „
? Floor Drains
.
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances 8nd codes goverging 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
i
Receipt - PLUMBING PERMIT Permit No. ?-
C17Y OF EAGAN
Fee -
fill in numbered spaces S/C
? Type or Print legibly `?- Tot.
1. Date 2. Installation Cast "L
3. Job Addresly?Lot ? Blk. ? Tract
4. Owner ?
? ? fr ?
5. Contractor . ' Phone -;?'?', -
6. Address? L?
7. City- State /'--.? Zip • -
8. Building Type: Residential fl Commercial ? Institutional ?
9. Work Description: New Z Add ? Alter ? Repair D
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory y Sofitner
Shower Wel I
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
comp4y with a14 ordinances and cades governing this type of work.
Signed
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
APproved CITY QF EAGAN 454-8100
Raoeipt
PLUMBING PERMIT
CITY OF EAGAN
FiII in numbered spaces
Type or Print legib/y
Psrmit
Fee
S/C • ? ? '
Tot
1. Date 7/'26% o[ 2. Installation Cost
3. Job Address 1571 r uuc: w...? Liit j Blk. 3 Tract
LI?1r1J
4. OWflBr ,..J__rt1X111 CiDi?•
5. Contractor 6i.HUL'1'IrS PLUt.nii.:; phone 7OU-4JU7
6. Addreas
7. City LL^1j+L State 1'?? • Zip »u?u
8. Building Type: Residential ?
9. Work Description: New N
Commercial ? Institutional ?
Add O Alter O Repair ?
10. Describe ?:l:u'L
11.
No.
2 Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
1 Bath tubs Septic Tank
3 Lavatory Softner
? Shower Well
? Kitchen Sink
Urinal/Bidet Other
? LaundryTraY "'L1ti4r..i6 4?4Lr:, ...?,?:.
? 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 ordinanoes and cndes goverAing this type of work.
Signed : .? for
Rough Ffnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
Receipt
1. Date ? d
3. Job Address ' 4. Owner
5. Contractor ,
-----?-
6. Address
, .-.
.?;
7. City - ?- ?- State • f?f Zip.
8. Building Type: Residentia&,b Commercial O Institutional ?
9. Work Description: New* Add ? Alter ? Repair 4
?l
10. Describe • ?1-/ , ?? "'•- Fuel Type ?
11,
No,
? E°ui2ment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers ?
"
Mfg, Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
:./. ? I -L.?-
Mfg.
1?- 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 464-8100
MECHANICAL PERMIT
Permit No. _
CITY OF EAGAN
Fee ? U
Fill in num6ered spaces S/C
Type or Print /egibly .??
Tot. sv
2. Installation Cost
s
' ? ? Lot ?' Blk. -- Tract ?e ? ? ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
I. ilNl IiMiAN l l1N1i s i? 1'. f
PERMIT SUBTYPE:
i ?.I I , i
aN RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
141111.1 , APPLICANT:
A111N iUN':.1
t'tS'rl Fi 1 NG9
TYPE OF WORK:
Itt1 1? 11 t Nt-?
itt 1'A 111
(`.I(t yNli)
fii *,1 1<: I 1' I 1 riN
INSPECTION
, ?.r'f t ra?. . •
ia , .A
;IMlr}) i M II I I1 1 I fdrll
1F-
?
?
Parmit No. PermR Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Insp. Commerrts
Footings 1
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Final Htg.
O?sat Test
Fnal Plbg. Ptbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Fin81
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
Control No. 1122
E31i f i lo f Nt1
w0153a
S9/3A/0?
SITE ADDRESS:
i's71
COACHMAN
L07r 3
FOUR t1AK5 RD
LANU CQ iST
P E R l,?TYP
?? ? T. aTr i r?1? t s?t
et oc? : .? APPLICANT:
TRE1iUS BLDR&
(61V) 822--200?
TYPE OF WORK:
faESCRIPtIQN
AITFRATION
FrPFPLACE IMf.1 Ullfp
INSPECTION
f f H411 tili ., .
! tl .111 A1 1 f%tJ .A
1'fNkl PIREP3.ACF.
--- --- -
? ??
-j
Parmft No. Rarmi! Noldsr Date TNsphone 1
S/W
PLUMBINa
HVAC
ELECTRIC av
ELECTAIC
inspaction Dab Inep. Commsrft
Footings 1
Foundatfon
Fremkrg /b 7 2
Roor,ng
Rwopbg.
Rough HtQ.
Isul.
Fireplace
Final H[g.
Orsat Test
Flnel Plbg. Pltag. Inspetxor- NWiry Plumber
COnet. Meter
EnprJPien
Bldg. Fi"e' - -9 S
Dedt Ftg.
Deck Finel
Weli
Pr. Disp.
ReQUesl Da?e Pire No. Rough-in Inspection
iretl9
? Reaay Non Will NoGN Inspeclor
4
Wh
n Reatl
Ves No
7- y
a
I)icensed contrector ? owner hereby request inspection of above electrical work at:
Job AtlOress (SVeel. Box or Route No.) I/ Ciry??^ ?
? J?Z?
Section No. Townshlp Neme or No. Fange No. Counry._ ???
.[?Y7
Oc /:an? IPR? ?? Phone
Power Supplier Atltlre55
EIecM onVactorlConpany el ContratNr's Li?ense N0.
? /
Mailing qtltlress (COnVactor or Owner Making Instflllation)
ANhonzetl Si naWre (COnVactor.Owner Makin siallalion) P?one Number
?
MINNESOTA STATE BOAXD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grigga-Mitlwey Bltlg. - floom 5-173 BE HCCEPTED BV THE STATE BOAflD
1821 Unlversity Rve.. SI. Faul. MN 55106 rC/_FD UNLESS PROPER INSPECTION FEE IS
VhoneJ61T) 6C2-0B00 ENGLOSEO.
/?'i REQUEST FOR ELECTRICAI INSPECTION
?ti
K? ? w ?; ? tSae insVons lor completing thi5lorm on back ol yellow copy.
"X" Below Work Covered by This Aequest
ew Atld Re . TypeofBuiltling AppliancesWired EquipmenlWired
7 Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
Comm./Industrial Fumace
Farm Air Conditioner
Other (syecily) ConVacrorS RemaMS:
Compute Inspection Fee Below: 1f;610//Qf/L./2S
# Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 ro 200 Amps 0 to 100 Amps ?
Transtormer5 Above 200 _ Amps Amps
SignS Inspectw§ Use oniY
1 [I TTOTA
Irrigation Booms ??//
?? ?? , so
Special Inspection
AlarmiCommunication
Other Fee THIS INSTALLATION MAY BE O CONNECTED IF NOT
COMVLETED WITHIN 18 MO
, the Electrical Inspector, hereby Rovgh-in ? oar
e //;
/v
cehify that the above inspection has been matle. - ?- ?
OFFICE USE JNLY
This repuesl voiE 18 months irom
7his request vaid?//-7
18 months from
36183
LI?,L?3? Ce,ac..?naan? 3l?a 3
LaA?_ Ob
Fre No.
I Rouph-in Insuec[ion
fle etl?
E]Feady Now I Na[ify, lospec-
s ?No T tor Whyn Ready
IRO ensed Electrical Conttactor I hereby requesi inspaction oi above
Owner electrical work installetl ah.
S[r eot?Address?Box or oute No.
?l C? ?
?
?
1 iC.t
on o. 7pwnshio Name or No. Ranye No. n ly _
A', L46--c A-
OCcupant (PF\I?N,T) 1
0.
c
C
C Phone No.
- VI v??
Yt
D
?
Power Supplier Address
Ele c i I ConVactor (Company Nam
? .
` Conttactor's License No.
Cs?
T?? o
Mai ?? i ddr ss IContr mr ,or Owner Makine InstallatioN
`?? r'?.e, cl?4-tg cao2,Tt4-.
?? Pae? S5'l I'L
Auth i ed Signatur onu c n aking Installaiion) Phpp n,,,,e Nu ber
~? C L
THIS INSPECiION HEQUEST WI L NOT
MINNESOTA STATE BOARD OF ELECTFICITY BE ACCEPTEO BV THE STqTE 80AHD
Gri09%;Midwey elde. - poom N•191 ^2 ?"') UNLESS PPOPEN INSPECTION FEE IS
1921 Universify Ave.. St. Vaul. MN 65104 J ( ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION 031 EB-ooooi-oa
1 'T pr1?•
?. J V 1 8-3 ? Sea instractlons for comole<ine this torm on back ot ynllow copY. qO-3?
"X" Be/ow Work Covered by This Requesi ddtl HeC: Type of Building Appliancxs Wiretl EqviomentWiredr
Home ange Temporary Service'
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Eloctric Heatin
Commercial Bldg Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm otner neci v tner Ispecifvl
lier SUecify Other Other
Compute l spection Fee Below . NPee ServiceEntrence5ize p Fee PeeOers/Subteedars k Fee Circuits
Q: Oto100qms 0 to30Ams 0 tn30Am s
101 to 200 qmps 31 t2 700 Amps r0- 31 to 700 Amps
Above 200 qmps A6ove 100_Am s Above 100_Amps
Transtormers Remote Control C. P2rtial%Other Fee
Signs Special Inspection g CfQ S TOLAL^FE-?
Rerrurks , .
/' l Ea1
r
Roueh-in Date ?
ct
the Elerical .
? Inspector, hereby
cerfify thet the nbove
Finai • Dale
+ (? inspaction hes been
? f ?? /?1 {!J d mBde.
ThiS rdqu251 VOid
18 nronths from
REQUEST FOR ELECTRICAL INSPECTION K-„ ee.00001 -03
' Sea instructions far comoieting ihis torm on back of yellow coPV.
C^336182 " p
"X" Below Work Covered by This Request 3) 1 O--;?>
ew ACd Reo. Type of Buildin0 Aapliuncea Wiratl Equioment Wired
Home ange Temporary Servce°
Duplex Water Heater Lightin Fixtures
Apt. 8uilding Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air ConAitioner Bulk Milk Tank
Fafm ONer aeci y Other sUecityl
t ier Suecify Othor Other
Com,4ute Inspection Fee Below # Fee SarviceEntrenceSize k Fae Faeders/Subfaetlers k Fee Circuits
.Cf7 0 to 100 Am s o 30 Am s =-00 4 to 30 Am s
107 to 200 qmps to 100 Amps 31 to 100 Am •
Above 200 qm s [1 4 100_Am s
Above Above 100_Am s
Transors mote Control Circ. t?-` PartiaL'Oiher Fee
Signs ecial hispection S TO
Remarks '
V• TqL.EEE,?
? ??
Rough-in Date I `„ , y e Electrical
? p ?IffsOaclor, heraby
Final r Data certily the[ the above
/'T 0 inspec[ion has been
j meda.
This reQUesi void
1tl month5 from
This reQUest void `l (7
18 manthslrom
U 36182
La, F> 3, Coac.k ti.(A .\ LQn?I 34903
( s?- t-1t5-?
-? mfl
Rxquest Date Fire No. flough-in 1 spection
T
Ae9? .
CC:]ReatlY NoW?'?11 Notifv Ir?pec-
Ltih
?
f?. ?
Yes No ar
en Ready
&Licensed ElecVical ConVactor I herab
y mQUest insoattion ot above
? Owne, . electriyl wark hnstalled eY
5[reee Address, a o
?i5 ute No.
?o? ??? C'
:?.?Aaoii(
ecbnn a. Towns io Nama or Na. , RrmBe No. Cou yA ?
Occupnnt'(PRINT) 1 1
'oSEWP.r?oL e0???'t-' Phona No.
Power Suppli¢r
, . Atldress
ec ical C'o?nf?(ra?c.tQ?or g(Cjompa /am/e{)?'??? •
•'+°?•.-? ?K??` ?- - ? Co trecto sfLicens No.
?.??L ?` .
Mailin AdJress ICOnirac or or Owner Makiny Ins[ailationl
?6q.6 ??.
Aut n ed Sign r o ctor, wn r Makine Installationl Pharie NO N{}?n`r?? ^? -
I\? J I
V ?
MINNESOTA STATE BOARD OFELECTRICITY THIS INSPECTION NEQUEST WILL NOT
G.iges-Midwey Blde. - poom N-791 ?' ? e'Y'?? BE ACCEPTED BV THE STqTE BOAR?
1821 University Ave., St. Peul, MN 55704 S ' p ?p UNLESS PflOPEH INSPECTION FEE IS
on....e Ifi121997.9111 ENCLOSED.
' REQUEST FOR EIECTRICAL INSPECTION p EB-00001-03
?? 1 8 O ' Sea instructionsbr completing this iorm on back o! yellow coCV.
X" 8elowsork Covered by This Request 3tQ 403
N Add flap. Type of Buiiding AOPlinnce5 WitBd EquipmeqtWired
Home -Range Temporary Service
Duplex Water Heater Lightin Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm Other peu y Uther(5uecity) '
t ier Soer.i v Ot cr Othcr
Compute lnspection fee Below
a Fee SB,vicOEntrenceSize p Fae Feaders/Subfeaders k Fee Circuits
Q.(r/J 0to700Ams 0to30qms D ?S?O 0to30Ams
107 to 200 qmps 31 to 700 Amps 31 to 100 A s
Above 200 qm?s
i Above 700_Amps Above 700_Amps
Transiormers g Remote Control Circ.
` Partidl%Other Fee
Signs Special Inspection $ f/A
SO T L F
y`
Rematks
ZV? /?
?N
w/w/? ? he Electrical
p P Qi? pectoq hereby
c?:fify thalthe above
Final '11e c, =pgpection has haen
n ? . ?? ?y maAe.
; This ?eaues[ void
8 nwnths from
This request void q/I ? ?`oQ??/?].41?
18 nwnths from
0 36180
Request D'ate
.(? r 1 ?? ?j ?
-? L S'? fire No. RouBh-in Insuection
Requped? ?
?s No
?ReadY Now
?U" iji_NotilvinsPec-
[or Wtic'ti ReatlY
?f'Licensed Elecvical Contracmr I hereAy request inspaction of above
? Owner . , elechical wark installed at
St{eet A?tld7res Box or Routea N?o. .
" p
?'
AP
5 City
'
l
QI?
ec[mn o. Township Nama or No. Ren9e No. unty
A Ko TA%--
Occupant (PRINT) 1
i Phone No.
OS?- Lo oc?
Power SvPO(ier - ' Atldres5
E,lec+ncal Contrac[or ICOmpsnl
e^se No.
C n rac,nm?l
V
Mailing AAJress ICon[ractor or Owner MakinB InStailatioN
Auiho i ed Sienature C V ct wn aking Insmllatiunl Phone Nomber
? TMIS INSPECTION REQUEST WILL NOT
MINNESOTA STATE BOARO OF ELECTflICITY , BE ACCEPTED 8Y THE STATE BOARO
Origps-Midwey Bldg. - Noom N-197 ?? UNLESS PflOPEN INSPECTION FEE IS
1821 UnlversiiV Ave:, St. PeuI,MN 55104 a ENCLOSED.
?? 36181 REQUEST FOR ELECTRICAL INSPECTION .r«
„?..
? See instructions for completing this torm on hack ot yellow copy.
""X'" Bplow lHork Covered by This Request
E0-ODOQ1-03
3003
N Adtl ftep. Typa ol Building Ap0liancas Wired Equinmant Wirad
Home ange Temporary Service
Duplez Water Heater Lightin Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace SiloUnloader
Industrial Bldg. Air Condi[ioner Bulk Milk Tank
F2fm ther PNmci y ther ISpacifvl
ther peci v ONor ' Othur
ompute l spection Fee Below
# Fea ServiceEnirenceSize N Fee Feeders/SUbfeetlers N Fee Circui[s
0 to 100 Am s 0 to 30 Am s ' C4P 0 to 30 Am s
101 to 200 Amps 37to 100 Amps ,S 31 te 100 Am s
Ahove 200 qm s Above 100-Am s Above 100_Am s
Transformers Remote Control Circ. '(J Partial/Other Fee
Signs Speciallnspection
5 qo
L
FE
Femarks • +
,
LJX.
i ? •
Rough-in te
I, the ElacKical
Inspectoq heraby
n / certity Ihat the nbova
Final a
/, 1 rfC ii3 insPection hes been
Thi_s reauest void '
18 months hom
This reaues[ voiA l/I-7 L3 3I lA0.Ck MQr\ LQ?,,A
18 months from
? 36181
Request Date . Flra No. Rouph-i Inspec'ion yy? ' •
fleymretl? FFeatly Now 1/LW?II NntifY lasPec-
? ,S IS ?s 0 NO r Ior When Ready
ygir
?censed Electrical Contractor 1 hereby request insoection ot aCove
] Owner elecLicnl work installed at
Streai Address, 8ox or flouce No. .
i?-11 '-E oa?s C?
AGA,--t
ectmn o. 7ownship Name ar No. Fange No, un
t
y
/
.
?iT ?...4.J rY'T
OcpupantlPRINTI
?1i??&Wao ?.. cOA S?, Phone No.
Power Supplier - Addross '
Ele ri I
COnhactor IComOany ?e) ? ,
?1
L
'?
? Conyactor'sLi en e
(f oa i -
Q
. ?,
,
.
-
Mailin0 Address (ConVactor or Owner Makine lnstailation) ? r'?I?a- C'l??St?%? ST O?i S-
t ? Z_
Author?a O n king Installationl
-?. Phon/e (Number
L
1 U3"'Ll? / .
MINNESOTA STATE BOARD OF ELECTNICITV THIS INSPECTION HEQUEST YSILL NOT
JL- Gtiggs•Midwey 81dg. - Boom N•791 .,/? gE ACCEPTED BY THE STqTE BOAND
Q UNLESS PROPEN INSPECTION FEE IS
7821 Universitv Ave., 56 Peul, MN 55104 ?
5 ENCIOSED:
Ph- 16121 297-2711 -
CITY OF EAGAN
9795 PiIM Kneb Rood Eagan, MN !SI'L' N? 7417
.. PHONF: 4S4-B700
BUILDING PERfy11T Receipt #
Te 6a wed fer 1 Of 4 PLEX Fa V..i.. 958.000 M?e A1fQ11C1' 2 ?o R2
Site Address 3155 Fainum Drive
Lof 2 Block 3 5ec/5„bQoackmi4n ISIId 18t
parc,l # 10 18150 020 03
c IName Co8chIDdII IBnd CO.
9 z Addreu 2432 PriOr Ave. No.
r:...ROSeville 55113L___ 631-3254
Nome ?8ewood Constxuction Diviaion
sg u Addreu Same as above
? ?:... ??---
Name _
Address
I hereby ackrwwledge thot I have read fhis applicotion ond state that
fhe inlormotion is correct ond ogree to comply with oll opDlicuble
Stofe of Minnewlo Stolutes ond City of Eagan Ordirwnces.
$Ipnature of PertniMee A Bullding Permlt Is issued to: TiD$sWOOd
oll work shall be done in accordonce with oll opp
8ullding Official
Erett 7{R Occuponcy R-3
Alter ? Zoning (PD) R-3
Repoir ? Fire Zone NA
Enlorge ? Type of Const. V
Move ? .{k Stories
Demolish ? Length46
Grade ? Depth--26-Sq. Ft.-
Approvalr Foef
Assessment Permit 307.00
Water 8 Sew. Surchar9e 29.00
Police Plan check 153.50
Fira SAC 525.1110
Enq.
(1
WaterConn. 42(1-0
Planner WoterMeter Fn_nn
Cauncil Road Unif 7.aQ-nn
Bldg
Off.
.
nvC 7moi $1734.50
_ on the express conditlon tfun
ond City of Eogon Ordinances.
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
. BUILDING PERMiT APPLICATION 1 set of energy calculations.
7b Ee vsea For tl?- l? x valuation QO ? Date
sit.e Aaaress: 315 FA.P.4uuM bBtve oFFrcE vss oru.Y
Lot v Block J?' Sec./SubCoacZ.na&r\. LR/L? Erect ? OccupancY _X2 ?
Parcel #: JO (q ( S c7 O Zb C> Alter
/? p Repair _
owner: cy QCn /?ta ?? LR +?c? C?o ? Enlarge
Address: ??yvlt ?? loL to Mwe
L3 Demolish
City/Zip Code: Grade _
Phone #:
Contractor: ?WO ?iVJ
Address • ', [13 /?i? /d 2 ??- /(f
City/Zip Code: /G.flSe ? YlP Ili+
Phone #:
?
Arch./Ehg.
Address-
City/Zip Code;
Phone #:
Zoni.ng pa/
Fire Zone
Type of Const.
# Stories
Front ? ft,
Depth o2(o ft.
APPFtOUALS FEES
Assessments Permit -1407 ga
Water/Sewer Surcharge ?22j -02-
Police
Plan Check --
Fire SAC S aS
Eng. water Conn. y ao
Planner Water Meter (, O =
Council Road Unit
Bldg. Off.
APC
ZCYPAL ?T « >i 4, S0
CITY OF EAGAN
k . 3795 Pilef Knob Reod Eegan, MN 53722
PHONE: 454-8100
BUILDING PERMIT
Receipf #
N° 7/7416
To M wad fw 1 O£ 4 PLEX Est. Volue $$8, 000 Date
At 2 1q 82
?"
Siro Address 3153 FarllIIm DT1ve
Erect
gj
pccupancy R-3
Lot 1 Block 3 Sec/Sub. COaChmin Lsnd 18t Alter ? Zoninp (PD) R-3
Parcel # 10 18150 010 03 Repalr ? Flre Zone YA
?7
Enlarge ? Type of Const.
c Nome ?dChmaII Lflnd Co. Move p # Stories
z q?,eu 2432 Prior Ave. ?410.
Demolish
?
Length4f;_
C; Idoseville SSllho„e 631-3254 Grode ? Depth2f;-Sq. Ft.-
o Name RoSewood Constxuction Division Avvro.al• ._fms _
u? Address SAntC 88 AbOVE
f !':r., oL.."
Name _
Address
1 hereby acknowledge thot I hove read this opplicotion and state that
the information is correcf ond agree fo comply with oll opplicoble
Stote of Minnesota Stotutes and City of Eagan Ordinonces.
Sipnature of PermiMee
A Building Permit is issued fo: RoSewood (bnStTllCtiOil
oll work shall be done in ocmrdunce with oll opplicoble Stg1E of Min
Assessmenf _
Water & $ew.
Police -
Fire
Enp.
Vlonner _
Council _
Bldg. Off. _
APC
Permit
Sur<harge 29.00
Plan check 153.50
SqC 525.00
Water Conn42? 0.00
Worer Meter 60.00
Road Unit 240.00
Totol $1734.50
on tho expreu tondition thm
y of Eayon Ordirwnces.
8uildirq Official
CITY OF EAGAN
BUILDING PERMIT APPLICATION
Include 2 sets o£ plans,
1 site plan w/el.evations &
1 set of erexgy.calculations.
Zb Be Used For ` O-Fle:Y
\Valuation 00 Z) Date ?-
site Paaress: 3/53 AR?vv? Ae/ve oFFzcE osE orMY
Lot / slock 3 Sec. /Sub. Coackr.an Cahcl l srect ') _ occLqancy 3
Parcel #: 10 l$? ?v O(D Oa Alter Zoning
Repair Fire Zone
Owner: CoaC?1+?nC?r? LcxJ CCJ ? Enlax'9e _ Type of Const.
Nbve # Stories
Address: 56Lmle_ cLS bE. (o CA? Deimlish Fmnt fto
City/Zip Codee Grade Depth 126 fto
Phone #: APPROVALS
contractor: ?
Address: _A
city/ziP c«de:
Phone #:
Arch./Ehg.: ,
Address:
Gity/Zip Code:
Phone #:
3
Assessrmnts
water/5ewer
Police _
Fire
Eng.
Planner
Council
Bldq. Off. APC
Permit 30 7 ?
Surcharge ?
Plan Check
sAC '5- a?s
water conn. -1/ ao
Watex Meter 60 -,z9-
Rnad Unit ? y0 ?-
ZUTAL _//7
.? ? ?
CITY OF EAGAN
• , 3793 PIIW Knob Road Eagan, MN 55122 N? 7419
• VHONE: I54-8700 q -_
BUILDING PERMIT Receipt JL?
# ?_
Te 6a wed for 1 of 4 PI.EX Est.Value $58,000 Date AuguSt 2 lq 82
Site Address 1573 Fouz' paks RDad Erect xip Occupancy R-3
Lor 4 BI«k 3 Sec/Sub.Co8ch10dn Ldnd lst qlrer ? Zoning (PD) R-3
Parcel # 10 18150 040 03 Repolr ? Fire Zone NA
V
Enlorge ? Type of Const.
w Name Co8c}ISOdn Idnd Co. M i
# Sr
ove ? or
es
z Address 2432 Ptioi AVe. No. Demolish ? Length46
p seville SSllpho,,, 631-3254 Grode ? Depth._2fz-Sq. Ft.-
w Resnvmti CY?na}ty?r.?.9?? n4v9cin.. ApDrovals Fees
o Name _
=u
s? Address
r- r....
Name _
Address
I hereby acknowledge tFwt I have read this application and stote that
tha informofion i5 corre[t and ogree to comply with oll opplicobla
$tote of Minnesota $tatutes and City of Eogan Ordinonces.
Sipnature of Permittee
A Building Permit is issued to: ROSl4700d
oll work shall be dorre in accordonce wltb all o,
8ullding Official
8S 8bOVE
Assessment _
Worer & Sew.
Police
Fire
Eng.
Plonner _
Council _
Bldg. Off. _
APC
Permit 3V/.UU
SurcFarge 29.00
Plan check 153.50
5qC 525.00
Woter Conn. 420.00
WaterMeter 60_00
Rood Unit 24171=nn
Total $1714 _ SO
_ on the express condition Ihnt
City of Eopan Ordinonces.
CITY OF EAGAN
BUILDING PERMZT APPLICATION
Include 2 sets of plans,
1 site plan w/el.evations &
1 set of energy calculations.
7.b Be Used For [e?- LF x Valuation ;5`$' 060 nate 713 ro?$L
Site Address: 1573 .UR 0p,(CS ?OAU,? (g?. OFFICE USE ONLY
Lot 4 Block Sec./Sub.Coac?1M4& LQ`""?'xect X Occupancy ?
Parcel #: (c> (S? SO 0q0 C) Alter Zoning
Repair Fire Zone
Owner: C-o'? Y?nQ? l?v? v? Cn ? Enlarge _ Zype of Const.
A'love # Stories
Pddress: Stt r?A F_ Q 2?, £. Lo ?
Demlish Front ? ft.
City/zip Code:
Phone #:
Grade Depth R6-ft.
Contractor: /Case woo4 Cow,rt
Address: a?'?J2 R.l02 /Q-U.
City/Zip Code: kbSev-We
Pnone #: 631- 3254
Arch./Ehg..
Pddress:
City/Zip Cocie:
Phone #:
APPROVAIS FEES
Assessments
Water/Sewer
Polioe
Fire
? Planner
Council
Bldg. Off.
APC
Permit 30 7 ?
Surcharge _? 9 ?
Plan Check Z 6-3
SAC AZW-
Water Conn. ?
water Meter
Road Unit
rnoTAL «STt SO
CITY OF EAGAN
? . 1795 Pllet Knob Rwd fagan, MN 55122 N? 418
- PHONE: 454•8100 - /
BUILDING PERMIT Receipt
Te M uwd 1er 1 Of 4 PLEX Est. Value$56, 000 Date A?e gust 2 19-82-
Site Address 1571 Four Oake Road Erect gjS Occuponcy R-3
Lot 3 Block 3 Sec/Sub.COaChman Land lst Alter ? Zoning (PD) R-3
Portel # 10 18150 030 03 Repair ? Fire Zone NA
V
Enlarge ? Type of Cansf.
W Name Ccachman Land Co. M # St
i
ove ? or
es
z qddress 2432 PIioY' Ave. NO. Demolish ? Length 46
Ci seville 55113phom 631-3254 Grade p Depth 26 Sq. Ft. -
°C Rp WOOd C?+n r. n*i Aoororab Fees
a Name se ___s? w___on D_v s_on
?? Addren SaIIIE as abDVe
Ncme _
Addreu
I hereby acknowledge that I hove read this opplicotion and state that
the inlormation is wrrect ond ogree to camply with oll applicoble
Stota of Minnewto $totutes ond City of Eugan Ordinonus.
$ignoture of Permittee
A Building Permit Is issued to: RoSewOOd COfle CtiOi
oll work sholl be done in accordance with all oppliwble ?t of Mii
Buildinp Offlciul ?
Assessment _
Water & Sew.
Police _
Fira
Enp.
Plcn'wr _
Councll _
Bldg. Off. _
APC
Pertnit 3U1.UU
$urchorge 29•00
Plon check 153.50
SAC 525.00
Woter Conn420 _ 00
W nter Meter 6n - 00
Road Unit 94(1-0(1
Totol $1734.50
on tha express condition thnl
v of Eaoon Ordlnancea.
CITY OF EAGAN
BUILDING PERNffT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Zb Be Used For ? O f ?Valuation ??j ?, 600 Date g- ?z-$ `-Z
site raaress: 1571 Fao¢ oFFicE uss orLY
Lot 3 Block .S" Sec./Sub.CoQCkn1u.1LANJ-?Eect Occupancy ?T ,3
Parcel #: p p? Alter Zoning ?
RQpair Fire zone N
Qaner:
Co cLe,vn20. ??d CU ? Enlarge TYAe of Const.
raaress: sawtL a s 1aE l oLt-D
City/Zip Cocle:
Phone #:
Contractc
Address:
City/Zip
Phone #:
Arch. /IIzg. :
Address•
Gity/2ip Code:
Phone #: -
Move # Stories
Delrolish Front ft.
Grade Depth 2 ,v fte
P,PPROUALS FEES
Assesss[ents Permit ,30,?J=
-
Water/Sewer Surcharge ? ?
Police Plan Check `,? ?
Fire SAC S211- 9%-
IIzg. Water Conn. ,.;lgt 0
Planner Water Meter ' /o?
Council Road Unit
Bldg. Of£.
APC -
zrn?, l ? 3 . 26
2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & mwnhomes/condos when pcrtnits are required for each unit
?303q
Date j
Si[e Address_ ?/S 3 ?LUvyLLCiy,.? u? Unit #
Property Owner V l- LV Telephone # ( ?S ?j
?
contractor BURNSVILLE. HEATING & AIC, INC.
3451 W. Bumsville Parkway
Street Address Suite 120 City
Bumsville, MN 55337 ? r
State Zip Telephone #
Bond 3`W Expires: -7 ' c_te - (J?
The Applicant is _ Owner ? Contracmr _ Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteradon to erzisting dwelling unit $ 50.00
? furnace _Additionai _Replacement _ New
air exchanger
? air conditioner
heat pump
other
State Surcharge
u T r?a $ .50
Total MAY 14 2108
By
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accura[e; that the work will
be in conformance with the ordinances and codes of [he Ciry of Eagan and with [he Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is no[ to start without a rnyit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans 1 ?
Sks???
Applicant's Printed Name Applicant's Signature
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ??3 T1 y' •? 5
Telephone # 651-675-5675 FAX # 651-675-5694
New Conswction ReouiremenLS RemadaVReoair ReauiremenLS Offce Use Onlv
3 regislered site surveys showing sq. fi. of bt, sq. ft of house; and all roofed areas 2 copies of plan CeR ot Suney Recd _ Y_ N
(20% maximum lot coverage allaved) 1 set of Energy Calculations for heated additbns Tree Pres Plan Recd _ Y_ N.
2 copies of plan showing 6eam 8windowsizes; poured found design, etc. 1 site survey for adtlitlons 8decks Tree Pres Required _Y _ N
lsetofEnergyCalculations Add'rt'ron-indicateifonsdesepNcsystem On-siteSepticSystem _Y _N
3 copies of Tree Pmservation Plan if lot platted after 711193
Rim Joist Detail OpUons selecGOn sheet (bldgs wBh 3 or less uniLs
Date 104 Ction Cost '?, ???
Constru
Site Address 1S72j /?v ?GL ? /
?1,?.'S ?p?/ UniUSte #
Description of Work ?
Multi-Family Bldg 2?,Y _ N ireplace(s) _ 0 _ i ?
Property Owner 7l7 v/0- Telephone #( )
Contractor ?
j 0 f ^
Addres? ? City
State Zip Telephone #(p,SI )a?1 ? GJLsc/ S?
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Cateaorv 1
• Residential Ventlla6on Category 1 Worksheet
(J submission type) 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
Telephone # (
Telephone #(
Telephone #(
N If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the inform '9n is complete and acEurate;
that the work will be in conformance with the ordinances and codes of the City agan and t1Se"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 pl in the case of work which requires a review and
app al of plans.
pplicanYs Printed Name ApplicanYs 4ature 1171
A NEW BUILDING
Minnesota Rules 7672
. New Energy Cade Worksheet
Submitted
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
f
?i ts ?1 a-Is-
New Construdion Reouiremenl5 RemodeUReoair Reauirements difili
3 registered sde surveys showing sq. ft of IoL sq. iL of house; and all roofed ateas 2 wpies of plan erY
(20% maximum bt wverege allowed) 1 sel of Energy Calculations for heated additions
?
2 copies of plan showing beam & window sizes; powed found design, etc. i site survey for addifions & decks v
t set of Ene?gy CalcWations Addtion • iridlcate 1(onatte sepfit system sWE*E?„'?``?'
3 copies of Tree Preservation Phn if lot plaHed after 711193
Rim Joist Detail Options selectlon sheet (bldgs wiN 3 or less units
Date Construction Cost
SiteAddress ? S /^r/U ? Unit/Ste #
Description of Work
\
Multi-Family Bldg
_ N Fireplace(s) _ 0_ 1
Property Owner Telephone # ( )
f
Contractor
Address City c
State
'-( Zip / Telephone # V5-1 ) 1yb'?i. &9
COMPLETE THIS AREA ONLY IF CONSTRUCTlNG A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Caiculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
N If so, 25% plan review
Telephone # ( ?
Telephone #( D
I hereby apply for a Residential Building Permit and acknowledge that the inYormati'ot?-is-compLete and gcurate;
that the work will be in conformance with the ordinances and codes of the City of Bagan and the StaTe of MN
Statutes; I understand this is not a permit, but only an applicarion for a perxnit, and work is not to start without a
pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
4? ?( 5?,?,?5-e?
App icanYs Printed Name ApplicanYs 3i ature
OFFICE USE ONLY
Sub Types
O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
d 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.)
? 03 07 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex O 10 OS-plex 1?1< 18 Deck ? 23 Porch (screenlgazebo)
? 05 03-plex 13 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB 04-plex ? 12 12-plex Plbg_v or_ N ? 25 Miscellaneous
WorkTYpes 4"t-5ZOd1'j'?,`1'fp ? Sii4ii2+?/siYl?1?)C?,.S
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44
? 32 Addition ? 36 Move Building ? 42 Demolish Foundatlon ? 45
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46
I? 34 ReplaCement "Demolftion (Entire Bldg) • Give PCA handout to applicant
C-
Valuation Occupancy MCES System _
Census Code ? Zoning /zr City Water _
SAC Units Stories Booster Pump _
# of Units Sq. Ft. PRV _
# of Bldgs ?^- - Length Fire Sprinklered _
Type of Const Width
_ Footings (new bldg)
_ Footings(deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
?Q Framing
? Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge -
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 30 Accessory Bldg
? 31 Ext. Alt- Multl
? 33 Ext. AIt- SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/DOOrs
REQUIRED INSPECTIONS
FinaUC.O.
?o FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
6 57,?, /
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
/S, sy)
S! S
?
DateK l
Site Street Address I Unit #
Property Owner p(j ,LN6 We_ Telephone # b6l) . Q -C1? 11
Contracto& (?,V_N ?.?. Telephone # (1 ?) NCU /
Address P-Ju R ?Ae - M City iA-u (I StateLL2_ Zip!ajL[j0
The Applicant is: _ Owner V.'Contractor _Other
Alterations to existing dweliing $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_ Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
?Water Softener Water Heater $ 15.00
?4 replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge D??? ? U7m $ .50
? i AU 0
Total ? ??
$ J?? >U
By
i hereby apply for a Residential 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 of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and appr ed.
C V m°?1n??2t2 Zoo, 4"??
ApplicanYs Printed Name plic s Signature
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
?03 6(o3 City Of Eagau
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
/
_?,
4 2
A (9
Date
/ /
Sit
Add u
e
ress - Unit #
Property Owner Tele
hone #( ?51 ) 2_M-5 -IN
p
Conicactur ?- - - ??
O'Connor
5[reet Address ? Plumbing, Heating ei Cooling ? City
?
State I
1904 Vermillion St. (ss,u+37++77
relephone #(
)
Nastings, MN 55033 '
Bond #: _J
? -- - - - --Expires: - -
The Applicant is _ Owner -t Conhactor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
X
furnace _Additional _Replacement
airexchanger
i
di
X FEB ? r 2004 '
rcon
a
tioner _New _Replacement
other _-I
State Surcharge $ 50
b?
30
Total $ '
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; tttat I understand this is not a
permit, but only an application for a permit, and work is not to start without ?,permit that the rk will be in accordance with the
approved plan in the case of work which requires a review and approval of pl n.
,r. P, 0 N'A P I O 1J5 ?_, ' um t/1v I U?
Ap icant's Printed Name Applicant's Signature I
PLUMBING (RESIDENl'IAL) ?l??
Permit Application t
City Of Eagau
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dweilings
Townhomes and Condos when permits aze required for each unit
Date q 60 --:?
Site Address -,?) Unit #
Property Owner\,--? Telephone
Contractor ? - l?o`y, ?f-
Address pr Q?L City Q?uCISLD? \
State Zip R)Lp Telephone
The Applicant is _ Owner ? Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Indudes County fee. Additional consultant fees may apply.
Alterations To Eaisting Dwelling Unit, Includiug $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$127.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
? Water softener _ Water heater $ 15.00
? replacement _ additional 4 2CO3 ? ',
.2
State Surcharge $ .50
Total
I hereby apply for a Residenual 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 of Eagan and with the Plumbing Codes; that I understand this is not a
pemut, but only an application for a permit, and work is no[ to start withou[ a pemut; that the work will be in acwrdance with the
approved plan in the case of work which requues a review and approval of plans.
c-?h?7h?P.2.
Applicant's Printed Name ?pp`?icant's Signature
L_3 BL CITY OF EAGAN
PLUMBING PERMIT
SUBD. (612) 681-4675
_
REBIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST - , ?
ADD ON . , .
REPAIR
owrrEct rinME: S !'S oGCV?JaEg:
SITE ADDRESS:
INSTALLER: T22L- AOE/? -&l /Q6 Y-/oF ?i
ADDRESS:_ C"b. /f(J.
CITY: ?pew//1) ZIP:
CITY USE ONLY
RECEIPT
AlSO, FOR TOWNHOMES AND CONDOS
C:OMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
°u" kEPAIR/ADIS; ON 15.00
:;HOWER 3.00
? 1•IATEii CIASETRESEr3.00 goo
1SATH TUBNEW 3.00 -,WQ
1 1 AVATORY /1)?i.J • 3.00
. v?
_ t:ITCHEN SINK 3.00
_ :AUNDRY TRAY 3.00
_ 130T TUB/SPA 3.00
_ WATER HEATER 3.00
:'LCOR DRAIN 3.00
1 GAS PIPING OUT.
(MINIM[JM - 1) 3.00 ?
_ 1t0UGH OPENINGS 1.50
OTfiER
_ WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
STATE SURCHARGE 50
T^TB.L:
/5, sv
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILIIINGS. ALSO FOR M(TLTI-FAMILY
BUILDIrGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
ZIP:
n/.\1T/T TTl !/l.
Vll\L[[lV• 1 \LVU•
1% OF CONTRkCT FEE. .
STATE SURCH%RGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINZtNM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
PHONE #: Y7 9 '/9?Z
CLAItI VOUCIIFR - AEFUND RLQUF.ST
CIiY OF FAGA11
CLAI!fANi MIDLAND HEATING & ATR CONn7r7nN7ua
ADbRE55 6442 PENN S0.
RICHFIELD, MN 55423
l.ocation 1571 FOUR OAKS ROAD
L3, B3, COACHMAN LAND CO TST
Receir[ 17o./Date 108028-10/8/92
Reasen fet Refund WORK BEING DONE DOEC hDT RFnn7uF a vFU*iTr
7cpe of Refund Electtical Fermit 01-3211 $
Flumbing Permit 01-3212 $
Tlechanical PeTmit 01-3213 S 15.00
Surchnrq? 01-2155 S
10I???y '
W:eter Cormertfon Termit 20-3713 S
r
SewPr Connection Fetmit
20-374;
Aceount beposit 20-2252 . $
Utility Account Over-?'ayment 20-2250 $
Otlier: $
S
TOTAL $ 15.00
1 declaro under the prnnlH es of lnw that Niis eccount, claim or demand is just and
tliat no part of it has 6een nnicl.
10/2i?92
n ture Date
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: 9?-
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON ?
REPAIR
OWNER NAME:
SITE ADDRESS:
LOT: Z- RLOCK ? SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONF.,3c :
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $
STATE SURCHARGE: .50
TOTAL: $?,ll
SIGNATURE OF PERMITTEE
•PLEASE :COMPLETE TFTF3lPORTION FORALL' COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT'BUILDINGS, AND MULTI-FAMILY BUILDINGS'WHEN'"SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING IINIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE P,llDRESS:
IAT: BLACK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
1$ OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE $
Zi $
?
(SIGNA
CITY OF EAGAN
I .
? CI'PY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
BUILOSNG
023436
08/26/94
SITE ADDRES5:
P.I.M.: 10-18150-020-03
3155 FARNUM pR
LOT: 2 BLOCK: 3
COACHMAN LAND CO 1ST
DESCRIPTION:
(SIDTNG)
Bu(ilding=-Permit Type
Building Wotirk Type
?, .
-
?
? ?.
SF (MISC.)
REPAIR
Gis1?C?
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
5urcharge
Total Fee
$15.00
$.50
$15.50
$500
CONTRACTOR: - Applicant - sT. l.xC. OWNER:
ALLEN CONST 16888100 0001062 FOUR qAKS COURT ASSOC
4649 112 PENKWE WAY 3470 WASHINGTON DR 116
EAGAN MN 55122 EAGAN MN 55122
(612) 688-8100 (612)452-9532
I hereby acknowledge th I have read this application and state that the
information is corre a d agree to comply with all applicabls State of Mn.
Statutes and City E an Ordinances.
P LIC N R T IGNATURE -- ISSUED 8 5-?? ? rn?-
141
Z43C
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
$1-6-50
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1} when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address:__?SS- f??1bm J\Vl-•
STREET SU1TE N
Tenant Name: (commercial only)
LOT ? BIACK 1 SUSD.
l? .GYiI? a_aqk(i?, lkY ! P.I.D. #
Descri tion of work:
The applicant is: 11 Owner /_S?,Contractor ? Other (Describe)
Name f'- U2 0 5 5e Phone WS?- 9S32-
Property LAST FIRST
Owner Address 3-170 .?V -d/x;
STREET STE M
City JE46,41y Statelol/? Zip
Company S' oAl Phone (? 6/ao
Contractor Address P6j46;('Jf_ c.wQ+il License #,/D?? ExpJAC
City State i%W Zip ?/L?
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this ap ic ion and state that the information is
correct and agree to comply w' all appli a e ate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
/
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
IN5PECTION RECORD L Control No. 1122
PERMITTYPE: auzL o.r.Nr
Permit Number: 001530
Date Issued: 0 9/ 3 0/ 9 2
SITE ADDRESS:
1571 FOUR
COACHMAN LANb CO
PERMIT SUBTYPE:
BASEMEN7 FINISH
LUT: 3 BLOCKs 3 APPLICANT:
OflKS RD TREHUS BLDRS
1ST (612) 822-2802
TYPE OF WORK:
ALTERATION
DESCRIPTION FSREPLACE INC4.L7pE0
INSPECTION
FRNhI1Nti D. .
INSULA'iTON .A
FINAL FIREPLACE
?
7
J
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1.571. FOUG2 QAKS RU
L07: 3 BLOCKs 3
COflCHMAN LANO CO 15T
FIREPLACE INCLUDEU
--Buildin,g Permit Type BASEMENT FINISH
Bu9.lding Work Type ALTERATION
U@C Occupanc,y R-3
f?
\
?D
aurLozNs
001530
09/30/92
REMARKS:
C o31u?o
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Lic. 5earch Fee ?5e00
7ota1 Fee $40.50
CONTRACTOR: - Applicant - ST. Lz pN/NER:
'fREHUS BLpRS 9.8222802 000147 SKpGLUND DANA
4045 ELIIQT AVE S 1571 FOUR OAKS RD
MINNEAPOLIS MN 55407 EAGAN MN 55121
(612) 822-2502 (612)454-4282
I hereby acknowledge that I have read this application and state that Che
inFormation is correct and agree to comply with all appiicable State of Mn.
5tatutes and City ofi Eagan Ordlnances.
L j__j
APPLICANT/PEFMITEE SIGNATURE SSUED B: 5 NATLI E
Control No. 1122
PERMIT M ?
REACTIY.•^.TE _
t53 0
CITY OF EAGAN
1992 BUILDING PERMIT
681-4675
APPLICATION ???' ? )
_WuxF I - V
SINGLE 6 MULTI-FAMILY 2 sets of ptans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of archlte ctural & structural plans, l set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in Which re uest is made or lot chan e is re uested once ermit is issued.
Date 9 /?2-4-? I Z Valuation of work
Site Address:
STREET ? SUITE f
Tenant Name: (comnercial only)
IAT BIACK V SUSD. A P.I.D. M
Descri tion of work: i.,5 BAy.,,,,,Itt y fifidtid;'14
b re --Io let ?S;n<< s'n
?
The applicant is: ? Owner 0 Contractor ? Other (Deeeribe)
Property Name ri A
LAr ? FIR Phon2. 4- - QAZ
ST
Owner Address I S-?l -?'
r,.,P
STREE7 STE R
City State MAI, Zip JTs-12 ?
Company T'_- i.,s ?1?,?,ic4? Phone ?2z-2s?o'?--
COntfBCtor Address 4(74S ?o License #eoo /¢74- Exp.3 3f 3
City lM121S 5tate i'1'1A) ? Z i p 5'S45) '?
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 3 water licensed plumber Processing time for
sewer & water permits is two days once area as een approved. •
I hereby acknowledge that I have read this ap plication and state that the information is
correct and agree to comply with all applicab le State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: -????<ti/411 42";??411v
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex O il Apt./Lodging
? 02 5F Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
0 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck
WORK TYPE
X?31 New
? 32 Addition
? 33 Alterations ? 35 Tenant finish
11 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBC Occupancy ? 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Stories Footprint Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering Yariance
REQUIRED INSPECTIONS Ri_-sa
? Site ? footing ? Framing
? Wallbaard ? Final ? Draintile
,,45r Insulation
,-,Wj ireplace
Permit Fee 3S, CK> v,emtca,:
Surcharge
Plan Review
License
MWCC SAC
City SAC
Mater Conn.
Water Meter .
Acct. Deposit
S/N Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
t. y! 11 !o
ig1f6 sem nt Finish
0 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
021 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRY Required
Booster PumP
Fire Sprinkler
Census Code
5AC Code
Assessments
73''?
2006 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauirements
3 registered site surveys showing sq tt of l06 sq. ft. of house; and ali roofed areas
(20% maximum lot coverege allowed)
2 oopies of plan showing beam 8 windax sizes; poured found design, efc.
1 set of Enefgy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechaniplvenlila[ionfortn
RemodeUReoair Reauirements
2 copies of plan stwwing fooUngs, beams, jomts
1 sel of Energy Calculabons for heated additions
1 site survey for addilions & decks
AddRion - ind'icafe'rfar-site septic system
?as
OHice Use OnN
CeRofSurveyRecd - " =_- _Y _N
TreePresPlanRecd " _Y-_N.
TreaP2sRequired - -- _Y =N
OnslteSepticSystem ' _Y_N
Date Construction Cost 10 C--)
5iteAaaress 3/S--3 31 j573 /s-7/ /'a.,_ 67c%r :? .....-f Unit/Ste }i
Description of Work GCoc4., - l?•?.- vLf C? f ?""??e'-- ??' ?o ci e
Multi-Family Bldg N Fireplace(s) _ 0 _ 1 _ 2?-`'?
Property Owner Telephone # ( )
Contractor ` ?='? ? /?ao i? : ? ?5 <- •
Address / 3
J` ??-?c - 5 ?.
?!v? "?/
CitY `
State Zip `$" o Telephone #( 7t3) 7??-OO ? C?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculalions Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, dafe and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Teiephone #(
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.
? ApplicanYs Printed Name
ApplicanYs Signature
CITY OF EAGAN WATER SERVICE PERMIT
3795< -Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: — Connection Charge:
Size: Account Deposit:
Reader No.• Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date Insp.: C /I D q71 Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
379.4 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning:
No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
By Surcharge:
Y Misc. Charges:
Dote of Insp.: Total:
Insp.: Dote Paid:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123112
Date Issued:05/29/2014
Permit Category:ePermit
Site Address: 3153 Farnum Dr
Lot:1 Block: 03 Addition: Coachman Land Co 1st
PID:10-18150-03-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mary F Davis Tste
3153 Farnum Dr
Eagan MN 55122
(612) 240-6849
Window World AKA Probuilt America
2211 11th Ave E, #130
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177479
Date Issued:07/05/2022
Permit Category:ePermit
Site Address: 3153 Farnum Dr
Lot:1 Block: 03 Addition: Coachman Land Co 1st
PID:10-18150-03-010
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
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, Pete DeGrood at (507)
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 -
Mary F Tste Davis
3153 Farnum Dr
Eagan MN 55121
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature