3156 Farnum DrPERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA128672
Date Issued:11/25/2014
Permit Category:ePermit
Site Address: 3156 Farnum Dr
Lot:1 Block: 07 Addition: Coachman Land Co 2nd
PID:10-18151-07-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Diane M Conneran
3156 Farnum Dr
Eagan MN 55121
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA091348
Eagan, MN 55122 . Date Issued: 09/29/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 3156 Farnum Dr
Lot: 1 Block: 07 Addition: Coachman Land Cc 2nd
PID 10-18151-010-07
Use
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840
Nicole Whitley
2200 W Highway 13
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Gem Ryan Plumbing & Heating Diane M Conneran
2200 West Highway 13 3156 Famum Dr
Burnsville MN 55337 Eagan MN 55121
(952) 767-1000
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN Remarks 1-'I V,
Addition COACHMAN LASD CO 2ND ADDN Loc 1 el?c 7 ParceI 10-18151-010-07
owner street 3156 P'AR11UM DRIYb' State EA(3'AA MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1974 Paid L1II er parcel 10- a9ao-011- 1
STREET RESTOR. S 8
1 ji
.1
150-83
5
4
GRADING 161 ], 1 Paid ~
Grs 19 3 8 1.2 4.66
5
103 99
SAN SEW TRUNK 1 68 Paid
? SEWER LATERAL 1 +t 1e
**Sew r Lat 1983 1208
.
35 81.6
WATERMAIN 171 1972 --
.
.
Paid ?
* WATER LATERAL 1 3 ?! p
WATER AREA 19TT
„
n
**Water Lat 1983
STORM SEW TRK 2,191 1975 Paid „
?*STORM SEW LAT 1983 5 ''
**SerPices 1983 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
250i00 1 -3-83
WATER CONN. 4SO. 00 11
BUILDING PER.
SAC
575
- 00
PAR K 1
CITY OF EAGAN
Street
- Lot 2 Blk
B FARNUM DRIVL
10-15151-020-0
EAEAX MA 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ], 4 Paid 1lA er arcel 10- Q900-011- 1
' STREET RESTOR. 1983 k. 1 154 • 83 5 16-,0,da-4-
GRADING ! 1 1 paid
1 8 113.29 34.66 5 0
SAN SEW TRUNK Qfo 1()$ Paid
* SEWER LATERAL 170 1 n n
** 8 1 08.3 81.6
T5
$
WATERMAIN 19T21 Paid - n
4 WATER LATERAL 1
WATER AREA 1977
n
n
**Water a 1 8 5
STORM SEW TRK 1 S Paid
lFM6TORM SEW LAT 1983 5
**8ervices 1983 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
OAD UNIT 0• 38954 10-3-83
WATER CONN. 450.00
BUILDING PER. agin
SAC
PARK
CITY OF EAGAN Remarks_I ' l r' - J=
Addition COACHMAN LAND CO 2RD ADDH Lot ? Blk
Owner street 3158 FARHUM DRIVE
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1 k Paid AA er arcel 10- 0900-011- 1
STREET RESTOR. 155' 18 4.1 1 0.83 452.51 A014062 6-13-84
GRADING JOI 1971 Paid n
aradin 1983 113.29 34.66 103.99 A014062 6-13-84
SAN SEW TRUNK qO 1968 Pbi d „
* SEWER LATERAL 1 3 „ n
**Sewer Lat 1983 1908.3 381.6 1145.04 A014062 6-13-84
WATERMAIN ill 1972 pbiQ p
? WATER LATERAL 1 73
WATER AREA 19TT
n
n
**Water Lat 1983 y
STORM SEW TRK g 1975 Paid
I**STORM SEW LAT 1983
5
•Servcies 1983
CURB & GUTTER
SIDEWALK
STREET LIGHT
250.00 38954 10-3-83
WATER CONN. 45O.00 1? ?f
6UILDING PER.
SAC
PARK
CITY OF EAGAN Remarks Di 4'
Addition COAC$MAN LAlYD CO 2AD ADDN-Lot 3 ' 131k 7 Parcel 10-18151-030-07
owner street 31588 FAANUM DRIVB state EAGABT MN 55121
Improvement Date Amount Annual Years "yfj Payment Receipt Date
STREETSURF. g 1 4 Paid 11II QT arcel 10- 0 00-011- 1
STREETRESTOR. 1983 754.1 150.83 68 A015632 6-12 -$
GRADING 1971 Paid 11
Gradin 1983 173.2 34.66
SAN SEW TRUNK 44 1968 Psid ??
1F SEWER LATERAL I 1
**Sewsr Lat 1983 1988.35 381.67 5 763 - 36
WATERMAIN 1 1972 Faia
? WATER LATERAL 1 n n
WATER AREA 1 n it
**Water Lat 1983
STORM SEW TRK ? 19 Paid
f*STORM SEW LAT 1983 5
"Services 1983 I
CURB & GUTTER I
SIDEWALK
STREET LIGHT
250,00 10-3- 3 I
WATER CONN. 450.00
tt
t1 I
BUILDING PER. 8530
SAC
PAR K
Receipt %
Date ? ?0' ? -?
MECHANICAL PERMIT Permit No. CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legib/y
Tot. ?
2. Installation Cost `! ; •--'?, ?' ?'
3.
Job Address Lot
-
Blk. 7 . • ,, .
Tract
4. awner
5. Contractor ? Phone
6. Address '- '
7. City State Zip .- "
8. Buiiding Type: Residential ? Commercial ? Institutional ?
/
9. Work Description: New Cj Add ? Alter ? Repair O
10. Describe
11.
Type
No. Equw ment 8TU - M. Ea.
Forced Air No. EQUiament CFM
Air Ha
dli
:
Mfg, ng
n
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 i • CITY OF EAGAN 454-8100
Receipt r' PLUMBING PERMIT Permit No. - ? ?
CITY OF EAGAN
Fee ?•i• ?
Fill in numbered spaces S/C •'% ??
Type or Prini /egib/y Tot.
1. Date y/26,163 2. Installation Cost
3. Job Address 3158b P'ktiru_- L:.Lot?Blk. ? --?/ Tract
4. Owner 1W5LW0UL i.Uif.P
5. Contractor :it;t itiLll.h:: PLU;''ibIlyu Lvl.. Phone 166-4C1()7
6. Address ? ?'? r; ??1=_.yr.t??.; _ii . ? :,:.r?i:••`.
7. CitY State Zip 72434
8. Building Type: Residential It
9. Work Description: New ?U
Commercial ? Institutional ?
Add ? Alter O Repair D
10. Describe :vo(/L
11.
No.
2 Fixtures
Water Closet No. Fixtures
Cesspool/Orainfield
? Bath tubs Septic Tank
a Lavatory Softner
1 Shower Well
1 Kitchen Sink ---
Urinal/Bidet Other
? Laundry Tray 10. ?:1 ??..?:_,:?
? Floor Drains ? - ?i• ilt :In. .:..1
Drinking Ftn.
Stop Sink
Gas Piping Outlets -
12. 1 hereby certify tfiat the above information is true and correct, and I agree to
comply with all o?dinances and codes governing this type of work.
Signed : for
Rough F inal
Inspections: Oate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
?• , i _
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN Fee ??•?
fAl in numbered spaces S/C • SL .
Type or Print legibly 20• 51
Tot
.
1. Date 6E? 2bj, 1 98?2. Installation Cost
.: vs?l:ht? 1s0
3. Job Address 3150 1'Ai:?ti:"=? Lot 41k. 4r7Tract 14u?? Znd
4. Owner ?<vJZWUOD CAt2P
5. Contractor ot.:ciuLTlisS PLU,"•LsLtiG I,y..?hone 700-42'(
6. Address '?%&:+? '.^?'=??? =l• '
7. City :•7.:s.li+L State :-+• Zip ??L4.?4
8. Building Type: Residential t7 Commercial ? Institutional O
9. Work Description: New ?110 Add ? Alter ? Repair ?
10. Describe eaWV?;
11.
Na.
Z Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
1 Bath tubs
Septic Tank
3 Lavatory Softner
1 Shower
Well
1 Kitchen Sink
Urinal/Bidet Other'
? Laundry Tray ' U.50 5EW Ett
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets ?
?
12. I hereby certifY that the ab ve information is true and correct, and I agree to
comply wiih all,ordinanc,a? codergoverning this tYpe of work.
5igned : ,. ?'?-? ?"-%L.l r •''?,?`
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 454-8100
?. 7
Receipt -' ` PLUMBINGPERMIT PermitNo,
CITYOFEAGAN Fee ?v•W
Fill in numbered spaces S/C •74
Type or Prini legibly Tot. 2U.50
1. Date )`26/63 2. Installation Cost
? V +f ?
3. Jo6 Address3l%61) i '?.!'+%'?YLi, yr Lot *'?-Blk. Tractii"iL 2na
4. Owner iiUv?WUOv VUtiP
5. Contractor SVhuLri'Ic;S PLli116IirG Ii*i:. Phone 766'4007
6. Address ? ??? ?-4,h4wru 6' •
7. City y?a„`=• State 1'li, Zip %54?L
8, Building Type: Residential L? Commercial O Institutional O
9. Wark Descfipvon: New ? Add ? A1ter ? Repair ?
10. pescribe -%vuL r jwnz
11.
No.
2 Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
1 Bath tu6s Septic Tank
3 Lavatory Sofitner
? Shower Well
? Kitchen 5ink
Urinal/Bidet Ot?r
? Laundry Tray
Floor Drains ; 10.50
10.5G
Drinking Ftn. ?
Slop Sink --- -
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
Gomply with all ordinances and Codes governing this type of work.
Signed : ? for
Rough Final
Inspections: Date Insp. Date Insp.
This is Yout permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
-) 7
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN Fee 20. O]
i ;
FiU in numbered spaces S/C • 5 v
TyRe or Prini legiblY iJ. ?U
Tot,
1. Date 9l26/a3 2. Installation Cost
?U vru?A13. Job AddressLot Blk. OTract"'?? 2rid
4, Owner t{USr'k' WI? UUAP
5. Contractor Phone 7dd-1100
6. Address
7. clLy
10841 MAttiiiAT+
• T t., i:
State
Zlp
8. Building Type: Residential CI
9. Work Description: New ?j
10. Describe %V UOD FttAm
11.
Commercial ? Institutianal L]
Add ? Alter ? Repair ?
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
1 Bath tu bs
Septic Tank
a Lavatory Softner
1 Shower
Wel I
? Kitchen Sink _
- Urinal/Bidet ?
Oer
? Laundry Tray / .!?
?-
`
Floor Drains
l 10.50 WIk'lr.ct
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
Fiough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved ' -' -CITY OF EAGAN 454-8100
S'I .
CITY OF EAGAN
, Fee _
Fill in numbered spaces S/C - ?
Type or Print /egib/y ?
Tot
1. Date - ' 2. Installation Cost
3. Job Address Lot -? Blk. ? Tract
4. Owner
5. Contractor , Phone
6. Address .? ? • r •
7. City ' State 2ip
8. Building Type: Residential ? Commercial ? Institutional 11
9. Work Description: New C]? Add ? Alier ? Repair ?
, 10. Describe ? ? - Fuel Type I 11.
Receipt MECHANICAL PERMIT Permit No.
No. Equjpment 8TU - M. Ea.
Forced Air L- ` L, No. Equipment CFM
Air Handli
Mfg. ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg.
Air Cond. Other
Mfg.
" Gas, Riping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fea
FiJI in numbered spaces S/C
Type or Prini legib/y Tot.
1. Date 2. Installation Cost "
3. Job Address Lot ' Blk. Tract 4. Owner
5. Contractor _ _ ? k ??h?• ?«j ? ;,b i:; , , Phone
6. Address •
7. City State • Zip
8. Building Type: Residential C3 Commercial ? Institutional ?
9. Work Description: New 0 Add ? AI#er ? Repair ?
10. Describe Fuel Type ?
11.
No. Equi ent BTU - M. Ea.
Forced Air No. EQUiament CFM
Ai
li
Mfg. ,
Boilers r Hand
ng:
Mfg. Mech. Exhaust
Unit Heater
Mfg. Othe
Air Cond. r
Mfg,
Gas, P'iping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt - '' MECHANICAL PERMIT Permit No. CITY OF EAGAN _ , . . ?
Fee
Fill in numbered speces S/C '-
Type or Prini legib/y Tot
1. Date 2. Installation Costi `
3. Job Address ? i' Lot "Blk. ? Tract - - • _ '
4. Owner '
5. Contractor ? Phone
6, Address
7. City State Zip
8. Building Type: Residential L'l Commercial ? Insiitutional ?
9. Work Description: New Add ? Alter O Repair ?
10. Describe ' ' Fuel Type
11.
No,
' EquiRment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
dli
H
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved ?'` CITY OF EAGAN 454-8100
.4. . cirY oF EAw?N . .
, 8??n
?
• 37lS rilot Knob Rood Eoyan, MN S5123 ? - ' ?'"
`"
? PHONE:4S4-8100 - ,
BUILDINCa PERMIT Receipt #
To b* wed for 1 of 4:'LE-; Est. Volue $58?000 Dote October 3 _ 19 ?3
Site Addrcss 'arnurn r ve Erect
M
Occuponcy
h'•-3
Lor 3 Block 7 Sec/Sub. Coachman I.and 2nd ^fter p Zoniny PD
10-18151-^3O-,ri7 Repair ? Fire Zone iv'A
Parcel #
Enlarpe O TYpe of Const. v
oc Name oac man an o.
?? ?
Z 3.. Prior Ave.
Add ss
? ;lo.
Demoltsh p 46
Length
? Ci T
.osev e Phone 7 8?5 Grode p Depth 26 Sp. Ft.
°C Nams =t08eWOOd CoBSt. Division Appeovols Fees
?u 24311 r or .ve.
Addross Ldo.
/'lssessment .
Permit
C?t ?oseville ?? 611-7254 Woter 8 Sew. Surchorp
k 153.
Polite Pian chec
r
SZJ
WW Name Firo SAC
'
~
x
Address
Enp,
Water Conn. 450.
0
W
' 60 •
W
M
t r;h, pE,A,,,, Planner # Stor?
oter
eter
I hereby acknowledge thot I hove read this opplication and stare that
the Information Is corred ond agree fo comply with all appliCable
State of Minnesoto Statutes and City of Eayon Ordinonces.
Sipnoturc of Permittee 1 csewoo( 'onst. D v s on
/1 8uilding Permit is issued to:
oll work shall be done in occordance wlth all appliwble SteM of ?inne
8uildiny Officfol ?
Countil
Bldp. Off.
APC
Rood Unit _
Totol 177 . SO
on the express condition thal
t of Ea9an Ordinances.
Permit No. Permit Holdar Misc. Parmit ?lyo. o er
Plumbing 3?Q? SAu1`?-l`?S 0-3-$"3
H.V.A.C.
Woll
Wster
Disp.
Sewer
Elsetric ??Z`( (S tidr e? ??` 1`$3
,,?? Y,;' &_3 63
6
Inspection Date (nap. Other 7•,S'O
Footingt
Foundation
Framiny
Rouph Plbp. - ?? U •• -?
Rough HVAC
Inwlation
Final Pibp.
Finsi HVAC
Finel
Watar Describe Location: '
VYell
5ewer
Pr. Disp.
r CITY OF EAGAN
3795 P1{ef Keob RaeJ Eegen, MN 5512!
'HONE: 454-8100
BUILDING PERMIT Receipe
To 6o vsW Mr 1 of 4 PLEX F4t value $53,000 Date October 3 1983
Site Address 3158 FaL-iium Dr ve Erect Occuponcy R_.3
Lot 4 Block 7 Sec/Sub.Coa.-:tnau Land 2nd ^Iter ? ? Zoninq PD
parcel # 1'1• 18151-040-07 Repoir Q Fire Zone "tA
Enlorye 0 Type of Canst. v
ar Nome OSC T08A Sn o. MOVe O # Stories
Z r or ve. :?o. M- I? L h 46
? Address
Ci ?'.osE:ville ?? 636-8050 mo i p engt
Grade ? Depth
? Name RoseWOOd Conet. D1vlsion Approvols
u? ??? 2432 Prior Ave. ?lo. Asses?r,ent
1- C?t Roaeville ?? 631-3254 Wcter & Sew.
?
Pol ice
u 01 W NO^'M Firo
?? llddreu Enp.
iW G Phone Plonner
I hereby acknowledge thot I have reod this opplicotion ond stote that Council
B?? Off.
the information IS corrett ond agree fo tomply with all applicOble
5tote of Minnesote Statutes ond City of Eagon Ordinonces. A?
Sipnaturo of Permittee _.r __
Ft.
Permit -Pv r . vv
Surchorye 29'
Plon check
SAC 525.00
Water Conn. 450. 00
Wafer Meter o-o
Rood Unit `??• 1) n
Total 1 ? 74 .50
A Building Pertnit Is Issued to: _ on the express condition thn+
all work shall be done in occordorxe with oll opplioablo•Stote of M1resoto 5fatutes ond City of Eapon Ordinances.
Buildinp Official
Permit Na. Permit Holder Misc. Permit No. Holder
Plumbin9 k tD":?-s7J
H.V.A.C.
oZ ??
T rE ? Z
? I7' ?
Well
Water
Disp.
5awer
t
eiftc.ic ?q.?z7lfs K?r.drt'c!L tt?c(-8'3
Irqpection Date Insp. Other
Footinyt -?p- P-(,.J
Foundation
Frsmin9
Rouph Plbp.
Rouph HVA
Inwletion
Final Plbg. ?
Final HVAC
Finsl
Water Wscriba Location: .
Nhll
Sewsr ?
Pr. DitP.
. ' , cirY oF EAwN 8 5 120 8
' 3795 rilot Knob Read Eayan, MN 55122
PHCMEs 454-8100
BUILDING PERMIT Receipt #
rd fm 1 ut 1,
Te b, a
i'?,LEst. Volue 00
Date October 3
_ 19 3
Site Addreu 3 B rzirnum r?e
Erect
Occuparxy p, _ j
Lot ' Blxk 7 Set/Sub. Cor3chm,an Ld.id 2nd Alter ? Zonirp "
Parcel # 10-18151-021-07 Repoir ? fire Zone '
v
Enlerfle ? Type of Const.
.uac. an ano o.
w Na'ne More ? # 5torie
?
n 2432 Pr
Add
ior Ave. `?o.
Demolish ? z
Len
th
ro
ci ''.-)seville Phone 36-s?5 Grode ? g
Depth Sq. Ft.
osewoo d ConBt. Divisioii Appravala Fees
t ? o Ncme
2432 -r or Ave. No.
Addrest
:'oseville 631-3254
Nume
I hereby ocknowledge that I have read fhis opplication ond stote that
the intormotion is correct ond ogree to comply with oll opplicoble
Stote of Minnesota Stotutes and City of Eagon Ordirwnces.
Sipnature of Pem+ittee .
Rosev:ootl ,on . .,_ vl.
A Building Permit Is issued to:
all worlc sholl be done in xcordonee wlth nll opplicable State of Mlnne
Bufldinp Official
Assessment
Water & Sew.
Police
Fire
Enp.
Plonnar
Council
Bldg. Off.
APC
Pem,ir - - • - - -
Surcharge
=
Plan check ??
SAC
4 5 ,
Water Conn. ?_.7.?
Water Meter
Rood Unit
Total
_ on tha express condirion Ihni
City of Eagon Ordinances.
Parmit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Well
Water
Disp.
Stvwr
Ekctric A-iZ-`7)6 )LE^xL I`l Ck- )',q
Inspectior? Dete Insp. Other
Footinyt -39-63
?
Foundation
Framinp V
Rouyh Plbp
Rou
yh HVA
Inwletion
Final Ptbg. 2- J ?-
? ^ n
Final HVAC ?
Ffeal
r
Webr Describe Loeation: '
Well . U
Sewer ?
Pr. Dkp.
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
Site Address ' ? : i- ' es. .
Lot Block Sec/Sub.
? Name
3 Addre
O CitY -
_?•
FEES
COMM/IND FEE - 1°r6 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE
MINIMUM - COMM/IND FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
,
?
- $10.00
- 20.00
- .50
FOR: CITY OF EAGAN
PERMIT # IOQ 6
RECEIPT #
DATE: ?-?
BLDG. TYPE WORK DESCRIPTION
Res. ? New ?
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
Watar Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1,50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
=Softener - $5.00
-'- ? ?-
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: ' -
STATE S/C:
GRAND TOTAL• ? '
CITY Of E/IGAN
3795 Pqd Kaob Rood Eogon, MN ss122
PHONEs 454.8100
BUILDING PERMIT Receipt aqt
?w lu r-l Sw. 1. of 4 PLuX H..... (}Cj
N ; , 8 5ti'(i
Stre Addreu j15b r'arnun Drive Ercct
?
Occuponcy `-?
Lot 1 Block 7 Sec/Sub. Coachrnazz Land 2nd
/11ter
?
Zonirq T :1
Pcrcel 10--18151-010-07
# Repoir ? Firo Zone
Eniorya ? Type of Const. V
? Na? COSCI'?u?an Land CO. Move ? # Stories
z llddresa 2432 Prior Ave. vo.
1 Demolish ? Length 46
,"Poseville a,,,__ 636-8050
t 6rode rl Depth 2E Sq. Ft.
°C Nome mubCwvva uonsv. L1V1610II
i° 2011 rior Ave. .Io.
?? Address
? ?"'ns l?? vill c31-3254
r:*,, a?..,...
1 hereby acknowledge that I hove read this upplication ond state that
the information Is correct and agree to comply with alt applicoble
Stata of Minnesota Stotutes and City of Eo9an Ordirwnces
Assessment
Water & Sew.
Polite
Firo
Eny.
Plonner
Councfl
Bldy. Off.
APC
Sipnoturo of Permittee .., , , ftvision
A Building Permit Is issued to:
oll work sholl be done in accordarxe with oll coolicable btate of Minnesatn-
Permit y?• ???
SurchorpE ..?
Plan check .?.?.
SAC
Water Conn. 50 . 00
Wate? Meter 790
Rood Unit 250. 00
Totol 5 ITTZT• J
on tha express condition thwt
and City of Eopon Ordinarxes.
Building Officiol ?
Permit Holder Mise. Parmit No. Holder
Plumbiny /O3?-$"3
H.V.A.C. 73
w.u
?r F
D?p.
Savw
Eleetric KEI?.Af`t'Ck_
Inspeetion Date Insp. pther
Footinp
3d$3
Foundstion
Frominy
Rouqh Plb? - - .?' . Z S. -
RouOh HVA ?. //-
Inwlation
Find Plbp.
Finel HVAC ?
Final
?
Waftr Daeribs lotation:
IMsll
Sewer `
Pr. Ditp.
U REQUEST FOR ELECTRICAL IN,SPECTION Eg-00001p"04
? See i-tructiens tor completiM this form m Eeck of Yellow copY. d.S 6-p ?
G-28 n (, ?,3 "'X-" Below Work Covered by This Request 7P/?7 Sv
4low Add Neo. Type ol Bviltline Aopliarmee NireU Eauipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixmres
Apt. Building Dryer Electric Heatin
Convnercial Bldg. Furnace Silo Unloader
IrKhistrial Bldg. Air Conditioner Bulk Milk Tnnk
F-am Olher peci ther (SUerilYl
lMr 1 uecily Otlwr Olhcr
Compei[e Mspection Fee Below
M Fee ServittEntrance5ize tt Fae Feeders/SuOSeeders M Fee Circuits
O 0 to200 A 0 to30A 0 to30Ams
A6ove 200 qmj 31 to 100 qrrms 31 to 100 Amps
Swirmning Pool Atwve 100_Amps Above 100_Anlt?
Transiormers Irrigation BooRS Partial.'Other Fee
SigiS ' I iSpecial Inspec!ion j$
QQ
dfe/ TOiALI EE ?O
Bemarks /
,.?
't( ?hspector, perahy
cBrlify that the alqve
3 inspeeiion hes been
mnde.
W ia - 5' /1/3 D
, „?
G G ,L .?, 27,
ci?Ej aa
# /7. S D
RFquest Oate // Fire No. flough-in Ir?spection
r??
? Insuec-
??adyNow[?''r?
,
J
?V ?? Q#Y
?No
es When
fleady
Licensed Electri"l Contmctor I hgFeb
? r.eaues+ insoeeiion m aeove
Owner
electrical wark ir¢talied et:
MINNESOTA STpTE 80ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Gripgs-Midwav eiM- - Rnom N-191 BE ACCEPTEU BY THE STAiE BOARD
1821 Univenity Are., Sc Paul, YN 65104 UNLESS PROPER INSPECTION FEE IS
Plone 16121 297z11111 ENCLOSEO.
This requesl voiC
16 mon[hs /mm
A, 1 a?1.c?
L3167i Caac,hAnA n 34`1 Z-7
Lav?cl z371 SO
Reque.st Date /?
/
/8
j 3 Fire No. RouPh-in Insper.tion
Re?nwr ?
?RCady Now [.t?ll Nutify Insper.-
tor Wh
d
J M ?.+' ?No ¢n geu
V
LKIcansed ElecVic21 Convaclnr I hereby raquast inspection of above
? Owner elecbical work iretelled ar. .
StreetAddress, Box or Fnu[e Na.
15 8(3 R u
, City
?. N
ecLOn o. Township Name o1 No. Raogc No. Counly
Ocrupant IPflINTI
, sE
. Phone No.
31-?3 25?
Power upplier
S 10 Address
Hr4 X
E'LL
Elect,i c ER1VR1='EtFC'!'RTC C.„«? ; t2:q 9.
MailinA Addr i I
P LE i n)
Au[horized Signamre (Cctor/Owner Making nsca IaLOn) Phone mber
MINNESOTp STATE eOAPO OF ELECTNICITV THIS INSPECTION PEQUEST WILL NOT
Griges-Midway Bldg. - R.O. N-191 BE ACCEPTED BY THE STATE 90pND
l1NLESS PROPEft INSPECTION FEE I$
1821 University Ave., St. Paul, MN 55104
Phone 161 21 297-211t ENCLOSED.
REQUEST POR ELECTRICAL INSPECTION ea-ooaoi.oa
See instructions for completing this horm on baek of yellow copy.
? "'X" Below Work Covered by This Request _j?q???,I
tl Beo. TVCe of BuJtling Aaoiiances Wbetl Equipment Wiretl I
eX
EI
k Milk
p Fee Service Entrance5ixe p Fee Fxeders/5vbfeeders N Fee Circoits
1 U to 200 qm s 0 to 30 Am s 0 tn 30 Am os
A6ove 200 qmpa? 31 ro 100 Amps 31 to 100 Am s
inmiing Pool Atwve 100_Amp V
rmers 0 5-0 Partial-'Other Fee
Signs I I ISpecialinspection
a
??-•
nspecto., nereev
r/? artify that the above
I Fin81 n _ (/ spection hes been
made.
- REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa
' Sea insiructions for completing this form on back al Vallow copy.
"'K"' Below Work Covered by This Request 3ct `7 A71
i
lf? Fdd Reo. TVpe of Building Appliancee Wired Eqoipment Wired
Home Range Temporary Service
Duplex Water Heater igh[inG Fixtures
Apt. Building Dryer Etectric Heatin
Commercial Bldg. umace Sllo Unloader
Industrial 81dy. Air Conditioner Bulk Milk Tank`
Farm ?he? aeci v ?4ne, lsuedfyl
11P,I SyCC?I(y IhC! [1?M1?±f
Compute lnspectron fee Below
p Fee Servica EnfranceSiza p fae Fnnders/SubfeeAers N Frte Circoits
.CJO 0 to 200 qm s 0 to 30 Am s 0 to 30 Am s
A6ove 200 qinpyi 31 to 100 qmps 31 to 100 A s
Swimming Pool Above 700-Amps Above 100_Am4s
Transiormers Irrigation Booms , D Partial; Other Fee
Signs Special Inspection S AQ 9/
T
Nemarks L
7
'
-
v
'v
Rough-in
•
1
Date?y
7&-
I, tha Elecvical
Inspector, nereby
certify that the above
Final Date
y'? inspection has been
mede.
TNe repubt waE 18 montM irom
This request void 14
78 monMs from
A 1 ?71 7
L 1? i Co&c-k wi.a ^ 3 Q"1 ?7
Larli,cL. cs , z"d 37 1 sa
Rxqaest Date
/?
? Fire Na. Rouuh-in I?nspec[inn
fl
q ired
Nnlity, InsPec-
Readv Now W.II
[-]
?
tU ?
?
d?! No tor When HeaAy
Licensed Electrical Convactor 1 herah -
y request inspeclion ol abova
? Owner electrical work instelled at:
Stree[ Atldres+. Box or Route No. ? C?t •
s ?
t
e on o. Townshi0 Name or No. Range No. Gounry
K
OccuOantlPqINT1
0-jb
\0 Phone No.
b31 -3 5
Power SuOVlier ?? Adtlresi ? ? LL?
Electrical Contracmr (COmpanv Name)
KENDRTCK ELECTRI Comracmr's License No.
MailinA AtldT494V PUMt.ltkyj:ANyld!:lypnl I
Authorie f ( re n t I n) Phunc mbe.r
MINNESOTq STpTE BOAflO OF ELECTpICITY THIS INSPECTION REQUEST WILL NOT
Griggs•Midwey Bltlg. - Hoom N•781 BE ACGEPTED BV THE STATE eOARD
1821 University Ava..St. ^.,?ul, MN 56104 UNLESS VROPEX INSPECTION FEE IS
Phone 16721 297-211'I ? ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ea-ooooroa
` n .a.
' See instmctions for completing ffiis torm on back of Yellow cooV.
A 717 X" Below Work Covered by Jhrs Request 34 -7
1 AAd Reo. Tvoe of Buildina Aooliances Wired Equipmenc Wirea ?
I I I I Duolex 1 I Wa[er Hea[er bXLiqhtinu Fixtures I
Electric
I I I I Industrial 81Aa. I I Air Conditioner I I Bulk Milk Fank I
p Fea Service Enhanee5ize k Fea FeaCers/Subfeeders Fee Circuits
?Ob U to 200 qmps 0 to 30 qm s 2. 0 to 30 Am
Above 200 Amps. 31 to 100 Amps , 37 to 100 A s
Swimminy Pool Above 100_Am s Above 100_P,mps
Transtnrmers Irriyation Booms L i PartiaVOther Fee
bigns apeciai inspection S/? 0
Remarks ? T AL EE
^f 9 f-kl
nouan-in I, tha lecvical
InsPecioq hmeby
????ryry certi7V lhat the above
?Final //o ?/? 1 ipspaction has baen
/? / ?made.
Tnia requast void 18
This rupuest void ,l ? y
78 months from
A 127iF;
87 1 Coo-c..k.mc- v\. 3017 A'7
Lo.a d. zr- ii:L 37 , sxn
Rayuest D e
1011 /? /??
? Fire No. qouHh-in InsVer.lion
Requi _ 7 Inspec-
?Rnady Nuw ill Notity,
or Wh
n q
d
'` ?
es No e
ea
Y
12'Licensed Elec[rical Con[rac[or I hareby requast insoection of above
Q_Owner elactrical work installed aY Street Atldress, Boz or Route No. City /'
3 L 56 6 F K) l, ERC??JN
ecUOn o. Township Name or Nn. Rangr Nu. County
1) r4 K
Occupunt IPRINTI
ROSOLUX?D3 010P Phone No.
31
Power Suppl
iV
\ Addr eLL
Elec(?,iy??.?{tt[?i?EpmqaLllV?'iir6f'T]1
K 1 j 11 i? i'eL? 1 SZ Contructor's License No.
^
MailinB A?? ra ' r n ailation? r
p . ?y ydil?t 55128
Authdli ?$ignfltare (Conlractor Owner Makine Installationl hpne Nu e
MINNESOTq STATE BOAPD OF ELECTRICITY THIS INSPECTION flEQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACGEPTED BY THE STATE BOqHD
1821 University Ave., St. Paul, MN 56104 UNLESS PPOPEN INSPECTION FEE IS
PAnnu Ifl121997.P111 ENCLOSED.
- REQUEST FOR ELECTRICAL INSPECTION ee-oooai-oa
' See inshucqons for completing this torm on back of vellow copy.
A FI M "X" Below Work Covered 6y Thrs Request ,30L -7 ;Z'7
Nee LAddj Htp. Type of Huilding AOOliancns Wiretl Equipment Wired
Home Range i T nporary Service
Duplex Water Heater Liyh[iny Fixtures
Api. Building Dryer Electric He2tin
Commercial Bldg. umace Silo Unloader
Industrial 81dg. Air Conditioner Bulk Mi Ik Tank
FBrm Othei pecify ther (Spedfv)
IhPr SGe.oly Othef O1M1cr
Comaute InsPection fee Below
p Fee ServiceEntranceSize # Fee feeders?5ubfeeders k Fex Circults
D, 0 to 200 Am s 0 to 30 Am ps 0 to 30 Am s
bove 200 qmps 31 to 100 Ainps 31 to 100 qm s
?A
imming Pool Above 100-Amps Above 100Am s
nsiormers irrigation Boorcis $b Partial;'Other Fee
Signs Special Inspection $-Acp W
T?
Rertmrks `.,
4f?
v v
Hough-in Date p ? ih cal
• ?Q??/ Insoector, hereby
certify tlwt the above
Final ? "tQL `nspection has Eeen
? j A mede.
mmnnmnt.om
This repuest void ! I - ?
18 nwn(hs !mm
A. 1271R
t r!5 7, Coack KAa
L0.r' cL Z n ?
3q-7 a-7
3-7 I5O
Beque,st Date
- Fire No. RouBh-in Inspectiml
Aeqwr ? ? ?
?II Nntity Inspec-
Ready Now r
D ` es ?No wr When Ready
?K censeA Elec[ricnl ConVar.tor I hereby request inspec[ion ol above
? Owner electrical work instelled et:
ss+, Boz or oute No.
Street AdAre C
f
/
d a! I /7 .
ir
V ?
&nwna Sr
(.O
t
ecUOn u. Township ame or o. ange No. nry
LCo'T?3
Occupan[ IPflINTI Phone No.
E oo'
.
r Supplier
we
S-PElVDRICK EL Address
We- Lt--
Electtical Convactor ,Comaa
T Contrar.tnr"s License No. ,
NC3CK L.fi.NE
1440 FETv ?o
MailinaAddresslCOn[ra r ;p f?W w)+.??l.c.k:
Authorized SiBnature IConVaclor/Owner Making InstaJlptionl Phone Number
MINNESOTA STATE BOAND OF ELECTflICITY THIS INSPECTION FEQUEST WILL NOT
Griggs-Midway Bldg. - Noom N•191 gE ACCEPTED BV TME STATE BppRO
1821 UniversitV Ava., St. Paul, MN 55100 UNLESS PROPEN INSPECTION FEE IS
Phone (812) 297-2111 ENCLOSEO.
, \
cIrr oF EacnN NO 8527
3795 Pilof R b R d Ee MN 53132
„ no oe gew, ?
PFIONE: 454-8100 ?
BUILDINCr PERMIT rteceivt # S
Te 6a uwd fer 1 of 4 PLEX Est. Value $58 000 Date O ctoher 9 19_$1
Site Address 3156 Farnum Drive E,ect Xg Occupancy R-3
Lot 1 Blotk_7 Set/Sub. Coarhman T.anA 2nd Alter ? Zoning PD
Porcel # 10-18151-010-07 Repoir ? Fire Zone NA
E
l V
f C
t
T
n
arge p ype a
ons
.
w Name Coachman Land Co. Move ? # Stories
; Mdress 2432 Prior Ave. No. Demolish ? Length_46
v CiRoseville phone 636-8050 Grode ? DePth -26_S4• Ft.-
o Name Rosewood Const. Division Avvrovals Feea
Z?
u 2432 PrioY AVe. NO.
Address Assessment Permit ?• ?
s
?
Roseville Ph
631-3254
C
Water 8 Sew. 29.00
Surcharge
one
It Police Plan check 153.50
Fw Nome Fire 5AC 525.00
Address Eng. Woter Conn.450.00
iW CI Phone Planner WaterMeter 60.00
Council Road Unit 250.1710
I hereby acknowledge that I huve read this application and state ihat gldg. Off.
the inlormotion is mrrecY and ogree to comply with all appliceble
APC $1]](+.5?
Tofol
State of Minnesota $totutes and City of Eagan Ordirwnces.
Sipnofure of Pertnittee -=o
A Bullding Permif is issued to:
oll work sholl be done in accordance with
_ on tha exprest condition thnl
and City of Eegan Ordinances.
Bulldinp Official
. cirr oF EncaN jv? 8529
9795 Nlor Knob Rond Eegen, MN 53122
•' PNONl: 454-8100
BUILDING PERMIT Receipt # s
Te ee ,,,ea F„ 1 of 4 PLEX FN v„i,,, $58,000 11,,,e October 3 10$3
Slte Address 3158 Farnum Drive Erecr ? Occupancy R-3
lot 4 BI«k 7 kc/Sub. Coachman Land 2nd Aicer ? Zonirq PD
Parcel # 10-18151-040-07 Repair ? Fire Zone NA
Enlar9a ? Type of Consr. _ V
m Name Coachman Land Co. Move ? - # Srories
z Address 2432 Prior Ave. No. Demolish p Length46
C; Roseville pho,x 636-8050 G.ode ? Depth-2-6-Sq. Ft.-
Rosewood Const D1' i Aoo.o.ola Fees
g Name ViS Oil
?? Address 2432 Prior Ave. No.
? r,.,, Roseville o6.,... 631-3254
Nome _
Address
I hereby ackrwwledge that I have reod this oDVlication and stote that
the inlormotion is correct ond agree to compiy with oll opplicable
Stote of Minnesofo Stotutes and Ciry of Eagon Ordirwncet.
Signoture of Pertnittee
Rosew
A Building Pertnit Is issued to:
alI work shall be done in acwrdonce with oll
Assessment pertnit "' ! • Vv
Woter 8 Sew. Surchorge 29.00
Police Plon check 153.50
Fire SAC 525.00
Eng. Water Conn. 450.00
Planner Water Meter 60.00
Council Road Unit 250.00
Bld9. Off.
APC Toml $1774.50
_ on the express Condition thm
City of Eagan Ordinances.
Buildinp Offlciol
. cirr oF E?caN N° 8528
. 3795 Pllef Kno6 Rmd Eagan, MN 55121
-" PHONFs 434•8100
BUILDING PERMIT Receipr # YI
T. M uwd for 1 of 4 PLEX Est, Value $58,000 pwe October 3 , 19
_ 83
Site Address 3156B Farnum Drive
Erect 7[$ R-3
Occupanq .
Lot Z ei«k 7 Sec/Sub. Coachman Land Znd Alter ? Zoniny PD
parcel # 10-18151-020-07 Repolr ? Fire Zone NA
Enlarge ? Type of Const. V
w Name Coachman Land Co. Move p # Srories
z qddfeu 2432 Prior Ave. No. pemoiish ? Length 46
Ci Roseville phom 636-8050 G.ode p Depth 26 Sq. Ft.-
c Rosewood Const. Division
Name
APp.o.ols
Eees
z? 2432 Prior Ave. No,
oU Addreu nssessment Permir 307.00
0S° Cit Roseville phane 631-3254 Water 8 Sew. Surcharge 29.00
Police Plan check 153.50
F
Fw Nnme Fire SAC 525.00
?? Address Eng. WoterConn.45_Q.Qn
iW Ci Dhone Plonner WuterMeter 60.00
Council Rood Unit 250.00
I hereby acknowledge fhot I have read this application and stote thot gldg. Off.
the inlormntion is correct ond agree to comply with oll applicoble $1774.50
$fate of Minnesota $tatutes and City of Engon Ordirances. APC Total
$Ipncture of Pertnittee
Rosewood Const. Div on
A Building Pertnit is issued to: on the express cordition Ihnt
pll work shall ba done in occordance with oil oppiic Star! newta Ciry of Eogon Ordinances.
Building Officiol ?
• CITY OF EAGAN NO
8530
• 9795 Plle? Knob Read Eagon, MN 55131
-
?
BUILDING PERMIT PHONEi 451-8100 Receipt # lyg5L
Te M a.od ior 1 of 4 PLEX Est,yal,x $58,000 pO1e October 3 1 q 83
Site Addreu 3158B Farnum Drive E
t O R-3
rec Xg ccupancy
Lot 3 BI«k 7 Sec/Sub. Coachman Land 2nd qirer ? Zonin9 PD
Parcel # 10-18151-030-07 Repotr ? Fire Zone NA
V
Coachman Land Co Enlarge p Type of Consr.
rc Nama . Move ? # Stories
?
Addrea 2432 Prior Ave. No.
Demotish
?
Length 46
C. Roseville Phone 636-8050 Gwde ? Depth26Sq. Ft._
rc Nam Rosewood Coast. Division Approrals Fees
z?°- 2432 Prior Ave. No.
Address
? ?,,,,Roseville o,,,,,,_ 631-3254
Nome _
Addrese
1 hereby acknowledge thot I hove read this application ond state thaf
the inlormation is correct ond ogree to wmply with oll npplicobla
$tote of Minnesota Stotutes and Cify of Eagan Ordinonces.
Assessment _
Water 8 Sew.
Police _
Fire
Erp.
Planner _
Council _
Bldg. Off. _
APC
Sipnoture of Permittee '
Rosewood Const. Division
A Building Permit Is issued to:
oll work shall be done in occnrdonte with all oooliwVIe State of Minne:
Permit ivi.vv
Surcharge 29.00
Plan check 153.50
SAC 525.00
Water Conn. 450.00
Warer Meter 60.00
Road Unif Z50.00
Taol $1774.50
on fhe expreu condiTion fhm
y of Eogan Ordinances.
Buildinp Offfciol
CITY OF EAGAN
IOC?? ?L?K BUILDING PERNLIT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set o` e r7y ].culations.
. ? ..?y ?
To Be Usecl For Valuation ?S $'t 00 b Date 9/ ?[? G[ -?
sir.e Aaaress: 315 B F,,e?v
Lot 3 Block sec./sub. cO2,t1?,???[j ?Erect
Parcel #: /0 -L8'f SZ - 03v -C) -7 A7-ter
w „ ? Repair
Owner: ?,.?/J Enlarge -
?, Nbve
Address: 6 ?jL //??0`1i Au-- A)O. Demolish
city/zip coae: e?2vt,?L, 55113 Grade
Phone #: b36 -6050
Contractor:
Addressc
City/Zip Code:
Phone # : / " 3 Z
Arch. /f:n9
Address:
OFk'ICE USE ONLY
Occupancy f' 3
Zoning lP 1)
Fire Zone
'Iype of Const.
# Storie
Front 4L ft.
Depth 2-lo ft.
APPROVAIS FEE.S
Assessaents
Water/Sewer
Police
Fire
Eng.
Planner
Council
Bldg. Off.
P.PC
Permit ?OZ, Ob
surchange z4 • 0 o
Plan Check SC-,
SAC 0 0
Water Conn. so ? b o
Water Meter o,o U
Road Unit Zso a C>
City/Zip Code:
Phone #: 'ICYI'AL ? -7 7 ? SC?
CITY OF EAGAN Include 2 sets of plans,
? OF P?Ey. 1 site plan w/elevations &
? BUILDING PERMIT APPLICATION 1 set of enPS77 c/al.culations.
'Ib Be Used For , Valuation t`'j ,g'E o 0 Q Date
site Address: 315P? ?u2,v?,w I oc. /?/
Lot ?_ Block ?_ Sec./Sub c?-N ?4Aa?SC Erect "%?
Parcel #: ?o A1ter
Repair
Ormer: CZ„t ? ?. Enlarge _
Nbve
Address: Demlish
City/Zip Cocle: Grade
Phone # :
OFFICE USE ONLY
Occupancy ; - --;,z
Zoning P D
Fire Zone I1'
Type of Const. V
# Stories
Front q(lo ft.
Depth Lfo ft.
APPROVAIS FEFS
Contractor: 4r?•Assessments
Address-
City/Zip
Phone #:
? Water/Sewer
Police
Code: Fire
_ (3l -325
r
Arch./Eng.:
Acldress :
City/Zip Cocle:
Phone #=
Eng.
Planner
Council
Bldg. 0
APC
Pezmit .30? ,00
Surcharge zQ , oU
Plan Check ( S 3. sc?
SAC S?S'oG
Water Conn. so, 60
Water .Meter bo , o 0
Road Unit 2 So , n 0
TOTAL 4 (7 7q c S6
CITY OF EAGAN Include 2 sets of plans,
!s 1 site Plan w/elevations &
(?cE P(E'x BUILDING PERMI T APPLICIATION l set oE ener.?7-N ca]./¢ulations.
To Be Used For _ Valuation OUb Date
Site Address: 3(?j6Pj FV,U' M IJY'iU G pFFICE USE ONLY
Lot'L Block Sec. /Subcc ?,?V? Erect ? Occupancy ?-- 3
Parcel #: (d - l $ ( S j - o2(D -o-1 A1ter Zoning
Repair Fire Zone '
Qaner: l,u0tt
l
Gri . C?Y a)
wv?.? Enlarge _ 'I'ype of Const. 1!
.
, .
'1 Nbve # Stories
Pt3dress: ? ?2 ?102 'vo, DeJCiolish _ Fmnt qb ft.
Cit
/Zi
d
C sj1/3 Grade Depth 2f? ft.
y
p
o
e: ,
x
Phone #: 636-V'0-<-O
Contractor:
P,ddress:
City/Zip Code:
Phone # : 631- Zs
APPROVAIS FEES
Assessrents Permit ?0-7,00
WatEr/Sewer Surcharge 2q . o O
Police Plan Check t S.7 ? sCz?
Fire SAC .5r?z ?'? 0 O
Eng. water Conn. 4 so, o0
Planner Water Meter (pp , c'A
Council Road Unit 2.so ? ob
Bldg. Off.
APC
Arch./Ehg.:
Address:
City/Zip Code:
Phone #: TOTAL 4 (-17 ' 50
?o
CITY OF EAGAN
BUILDING PERMIT APPLICATION
'Ib Be Used Fbr Valuation g; ? n U
Site Pddress 1,-56 ,Q Q P-1 UC
CoaUµ4n ?O ?
Int ( Block ? Sec./Sub. E'rect
Parcel # : /D - l g" I -zz ? - o ( o -O
O+mer: ( Atl i?,? ?j ?o
AdclreSS: P2104 City/Zip Code: ?JSe- vi llP /G[N, -55113
Phone #: 636 -0050
Contractor: kctme,LO/J CoNSz' D? (/:@
Pddress:
City/Zip Cocte:
Phone #: 631 - 32-5cl
ATCi7. /F1lCJ. :
Addrnss:
City/Zip Cocle:
Phone #:
Alter
Repair
ESnlarge _
Move
Demlish
Grade
Include 2 sets of plans,
1 site plan w/elevations &
1 set cf energy/ calculations.
Date
OFFICE USE ONLY
Occupancy _ e- 3
zoning p D
Fire Zone A/?
Type of Const. y
# Stories
Front t( (a ft •
Depth Z ft.
APPROVALS F'EES
Assessnpnts Pezrtit 3o7•0e
T4ater/Sewer Surcharge z4 -oC>
Police Plan Check 1g 3. 5M:3
Fire SAC azSob
Eng, Water Conn. So • 0 o
Planner Water Meter (9c• 06
COUI1C11 R(?ZCl T.llllt. 2S0 , O b
Bldg. Off.
APC
TOTAL -? ( 7 7 ? • S O
0-so
0 Clty of ?apn
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651)675-5675
Fax: (651) 675-5694
--,
? For Off?ce?llse I
I 2? ? I
? Pe,l sJ I
? I
? Permit Fee:
? I
? Date Received: ?
I ?
? Staff: i
I________________I
2008 MECHANICAL PERMIT APPLICATION
Date: s' 2?() g Site Address:
Tenant:
L,e 11
Suite #:
RESIDENT(OWNER Name:__Iii+.t r 9G1,11r;e LJMqrl Phone:L51-e-156-bbl{1
address ; ciry i zip:
?
CONTRACTOR Name:_(`r.sE No<--2 I`Ill ? RiR Lic
n e#?ILTSS SfbZ
Address: I4V 4
. City: State: Zip: s$033
. Phone: l -L1.37-q t Z-1 ContactPerson: D• K,_YJM
TYPE OF WORK - New -xReplacement Additional Altera[ion _ Demolition
Description oF work: 2wice, /t n l Ci M
"`NOTE• Both 'roofmourifed anal gr,ound mounted mecfiamcal uipmenf ls;reqmred'fo '
" be sereened by City Code',.Ple$s`e contact the Mechani cah/nspecfor or-one ofltie`;
u
,I;;Pp,/anne'rs;foninformatron:ori ermrttedtisiir'een?n ?'iriethods:.g,,?
PERMIT TYPE RESlDENTIAL COMMERCIAL
Furnace _ New Construction _ Interior Improvement
?Air Conditioner _ Install Piping _ Processed
Air Exchanger _ Gas _ Exterior HVAC Unit
`
_ HVAC uniis mUSt he screened
_ Heat Pump Under! Above ground Tank L_ Install /_ Remove)
Other " When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.so State Surcharge)
$90.50 FIfB f2p81f (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surchdrge)
g -6-0 -SO TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract value $ x 1%
$50.50 Minimum (includes State Surcharge)
- $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Pennit Fee is >$1,000, surcharge increases by $.50 for each . _$ State SurCharge
$7,000 Permit Fee (i.e. a$t,00t-52,000 Permit Fee requires a$1.00 surcharge). '
$ -TOTALFEE
I hereby acknowledge [ha[ [his informatien is comple!e and accurate; [hz[ the work will be in conrormance with the ordinances ar.d codes of the City of Eagan; tha[
I understand [his is no[ a pertnit, but only an application for a permit and wark is not to s[art without a permit; iha[ the wotlc will be in accordance with the appmved
plan in the case of work which requires a review and approval of plans. p?
%?? Alk,??Joq-cL, X AJ-?Gt'L?l
ApplicanYs Printed Name Applicant's Signature .
'FOR OPFICE USE ? . ?• ? ?° Reviewed Date: . r ?,o-v '",A i?Il? ?:^,, II?? ? P ?. ?' J???i • i? ?il, ° I?I?
Reqwred.lrispections.'? Under GroundRough In ?-,' Air Test , Gas Service Test c,?ln Pfoor.HeaC, =Fioa14
? ?? C'?l 2006 RESIDENTIAL BUILDING rExnuT arrLrcaTTOrr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New CanstruCion Reauirements
3 registered site surveys showirg sq. R of lot, sq. R. of house; and all roofed areas
(20°h maximum lot oaverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc
1 selofEnergyCatculadons
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasm mechanipl ventllation fortn '
..
RemodellReoair Reauiremenis Office: Use.Onk
2 copies of plan showing footings, beams, joists Cert of Suruey Recd _Y _ N
1 set of Energy Calculations for heated additions Tree Pres Plan Recd N.
lsitesurveyforadditions&decks Tres Pres Required _.Y _N
Addtwr-indkateitansdesepticsystem On.siteSeptlcSyslem _Y _N
Date I I' ConstructionCost Oao. oCD
Site Aadress S Xe 31SY, j? < UniUSte #
l
DescriptionofWork /111,/, tf'?vcX e_
Multi-Family Bldg ? N Fireplace(s) _ 0 _ 1 _ 2_3
Property Owner Telephone # ( )
Contractar -?C-"
Address / y?3 % /<a-r - 5 1`'/V?? City
State Zip Telephone#(7t3) 7?-7-045E0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residentlal Ventilation Category 1 Worksheet . • New Energy Code Worksheet
(dsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 manths, has the City of Eagan issued a permit for a similar pian based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Conhactor
Telephone # (
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will he in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
ApplicanYs Printed Name ApplicanYs Signature
6&465
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when perrztits are required for each unit
k • -(-t
Date ,?A / o'? 1 / n_
Site Address J 05 ?P 15&A?m WYn ?• '? Unit #
PropertyOwner JO1lcY'a/J LWYY)n/1"J Telephone#(W51 )15(o 1<Dd"1I
Contractor ?
O'Connor
Plumbing, Heating SL Cuoling
Street Address ,
7904 Vermillion S4. City
State Hastings, MN 55033 Telephone #( )
Bond #: Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional X Repiacement
air exchanger
airconditioner _New _Replacement
other
State Surcharge $ .50
Total SEP 2 7 2004 $30 50
ay
I hereby apply for a Residential Mec amca emut and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
i' 12.cjv\An1 KnJAPP (Y I3AC'flOt/`r>?
Applicant's Printed Name Applic t' ignature
PERMIT # 1'1b l.' 35
RECEIPT DATE:
• ? U.SIDENTIAL PLUM$IRfi PEitMTl' APPL1CAITON
crrY oF EAsAx
SHSO PILOT KNOB RD
EN6M, MA 55122
651-6$1-4675
Please complete for: ? single family dwellings
i townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS:
OWNER NAME: :
TELEPHOIvE #:
(AREA CODE)
INSTALLER NAME: ???IIAii? TELEPHONE #: cja ?1?1- ?(n??j_
STREET ADDRESS: 645 12th AV2f1U2 SOUtII (AREA CODE)
l . i
CITY:
Place a check mark next to the permit work tvae
STATE:
ZIP:
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work: ?cp,p1A? qn''!rP,? ?Pn?
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
a reGuires MPC license
State Surcharge $ .50
Total R $g ?
Reminder. Be sure to schedule inspections of alterations, i.e. wate?'r'Tlraters, water softeners, etc.
I hereby acknowledge that I have read this applicaGon, stale Ihat Ihe information is correc[, and agree to complywith all appiicable City of Eagan ordinances. it
is the applicant's responsibility to noti(y lhe propeAy owner that the City of Eagan passumes no 'Jub?M" y'frnanu damages caused 6y lhe City during its normal
operatlonal and maintenance actlvities to the facilities constructed under this perfntl within City propgltyldg [-of•way/easement.
Updated 1/Ot
E
_ 4
city oF eagan
3830 PILOT KNOB ROAD, P.O. BOX 27199
EAGAN. MINNESOTA 55127
PHONE: (612) 454-8700
June 24, 7986
ROSEWOOD CONSTRUCTION CO
7711 W CTY RD B
ROSEVILLE, MN 55113
NE: 3754 FARNUM DR., L 4, B 6, COACHM9N LAND CO 2ND
3126B FARNOM DR., L 2, B 4, COACHMAN LAND CO 3RD
3126 FARNUM DR., L 3, B 4, COACHMAN LAND CO 3RD
3124 FARNUM DR., L 4, B 4, COAC@IAN LAND Co 3ND -
3122 FARNUM DR., L 3, B 5, COiCffii9N LAND CO 3RD
3120 FARNUM DR., L 4, B 5, COAC@MAN LAND CO 3RD
3156B F6RNOM DR., L 2, B 7, COACHMAN LAND CO 2ND
TO fiHOM IT MAY CONCERN:
BEA BLOM9UISi
A/ayor
THOMAS EGAN
JAMES A. SMIiH
VIC ELLISON
7HEODORE WACH7ER
Council Members
TMor,us HeoGEs
Ciry /+dminishala
EUGENE UAN OVERBEKE
cIN Clerk
Please be advised the following correetions must he made before final
inspections can be approved:
3154, 3126B & 3724 Farnum Dr. - Tread use from driveway exeeeds 8".
3156B, 3120, 3122 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 correeted. Thank-
you.
Sincerely, -
Mark Anderson 71"
Building Inspector
MA/3s
THE LONE OAK TREE... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
CITY USE ONLY
LOT ? BL / RECEIPT #: 2Sbo g/
SUBD. d RECEIPT DATE: ' g?/7n7
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
Date:
?
;
Complete this section only if vou are installing HVAC in single family, townhome, or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTA,1: ?_?1 L/
,Q
?
a ? R. .
Complete tfris"'seqtion only if.vou'are remodeling, adding to, or reoairing eaisting sin e family
,?.
_ Add-dn fumace ,t
_ Add-on air exch3nger; i.e.' Vanee system, etc.
i
Minimum fee applies to all remodel or add-ons of existing residences
State Surcharge
SITE ADDRESS:
OWNER NAME:
1NSTALLER NAME:
STREET ADDRESS:
CI1'Y:
?
preferred heating & air
7643 Logan Avenue South
Richfield, MN 55423
Bus:866-7611 Fax:866-0125
Fpxl?L
$ 20.00
.50
"Tot^i: a 20.5"v
PHONE #: ?
PHONE #: ?
CITY USE ONLY
L BL
SUBD.
RECEIPT #:
RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD e
EAGAN, MN 55122
(612) 681-4675
Please cromplet?pr: ? all commerciaUindustrial buildings.
\ ? mu1B-family buildings when separate
unit.
DATE: 6 / 1i`'/ / CONTRACT
vdvKK T"t'Pc: v`v Gvivo i iiui: i ivN
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee or 1 ntract pri hichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 p\$(00 of e d fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS: ?
OWNER NAME: ?)Gf f 1 I/a-l
TENANT NAME: (innaROOMENTS ONLI)
INSTALLER:
ADDRESS:
cirr:
not required for each dwelling
J1 , ?6 -c?
If'v I tKIVK ilVll'hCIJVtIVIEIVT
PHONE #:
STATE: AA N ZIP:
SIGNATURE:
SIGN UR OF PERMITTEE CITY INSPECTOR
/
•
C?
#:
? PERMIT rt RECEiPT pATE:
Please complete for:
SITE ADDRESS:
ROIDENT!!kL FLUMIN6 PEMT lkffLICIkTIOA
crrYoFEA&M
sgso Pu.or tcNos ttn
HA8lkN, 3!N 651EY
8E1-481-4673
? single family dwellings .
? rownhomes and condos when permifs are required tor each unit
? backflow preventer tor IMgatlon system
YJ`(
OWNER NAME: :V(-kNC' 0C;\G ?t?nP C'r P'\ TELEPHONE #:
(AREA CODE)
INSTALLERNAME:
TELEPHONE #:
STREET ADDRESS: 4vanuE South ,. ;.>. . . (n1EA cooe) rh ,.
.605 12th
... ??
ciTV:
Plate 2 thetk mark next to the oermit work tvoe
STATE:
ZIP:
New residential dwelling unit under construcGOn and not ownedoccupied '?: ..
90.00 '.
i,k Add-on, modification or aiteration to existina dwelling unit, including: $ 50.00 .
• abandonment of sepUc system
• new installatioNrepair/rebuild of RPZ
• lawn irrigation system
• water tumaround ' - 3
Nature of work: 17/'
Septic System, new/refurbished - ' - $ 225.00
ib inGudes County & Consuiting Inspector fees
• requires MPC license
State Surcharge $ .50
Total $?
Reminder. Be sure to schedute inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge Ihat 1 have rea0 this applicatlon, slale Nat Ihe informalion is correct and agree to comply with all applicable City of Eagan ordinances. It
is the appliwnt's responsibility w noGfy the property owner that Ihe City of Eagan mes no liabiliry for any damages caused by the City during its normal
operauonal and maintenance activitias to Ne facili6es consWCted under this permi wi 'n City prop ng f-way/easement.
OF
--------- - --Updated VOt
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 4 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze cequired for each unit
Date?/??/U-?
Site Address a? J l L' VcJ ,{1 Lt m ? Unit ti
Property Owner Telephone #? I)`1 J Lp- ??ri1 ?
i.ontrnMur
Address ?? _?4?? fl \? l U? -{ City ?F11 1?S[?1 1
State W1 Zip Telephone # c1 ??
The Applicaut is _ Owner ? Conhactor _ Other
Septic System New Refurbished Submit 2 sefs of plans and MPC license $ 100.00
Indudes Counry fee. Additional consulfant fees may apply.
Alterarions To Euisting Dwelling Unit, Including $ 5D.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild
nr L? $ 30.00
?
_ Lawn irrigation system
n03
Y
Water softener _ Water heater $ 15.00
? replacement _ additional
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and aclaowledge that the information is complete and accurate; that the work will
be in confomiance 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 pemtit, 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 wluch requires a review and approval of pla .
!
Applicant's Printed Name Ptpplfcant's Signature
tl r (02-) (4 (e° PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Kaob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Snigle Family Dwellings
ToNamhomes and Condos when pemuts aze required for each unit
02)
ID
Date
/
LITMAN, JAMES .
Site Address 3156 B FARNUM DRIVE Unit #
EAGAN, MN 55121
(651) 456-0041
Property Owtter Telephone # ( )
Contractor NVRBLV'tls+tl G"IV4IWlaYNG baV,
(s1a) ?7?
Address
2905
City
•
State ip Telephone # ( )
The Applicant is _ Owner $4 Contractor _ Other _
Septic System New _ Refurbished Submit 2 sets of plans and MFO iicer,se $ 100.00
Includes County fee. Atlditional consultant fees may apply.
Alterations To Existing Dwelting Unit, Including $ 50
00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater .
Abandonment of septic system
_ Water turnaround' (+ 5/8" meter if neaded -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Larvn irrigation system
_ Water softener X Water heater $ 15.00
x replacement _ additional
State Surchar
e
lD? l?J ? Q?jlJ l
$
.50
g u
n N n
Total CT 2 9 2003
9 s IS. 5e
1,
ii
I hereby apply tor a Residemial Plumbing Per.•rtit and acknowledge that the -? is complete an accurate; that the work will
be in conformauce with o:diuznces and codes of the City of Eagan aud with the Pl:?.:n hat I understand this is not a
pemv[, but only an application for a perniit, and work is not to s[aR without a permit; that [he work will be in accordance with the
approved plan in the case of v: ork which requires a review and approval of plans.
J<4 i?orbiwn ?
ApplicanYs Printed Name App cant's Signature
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ?
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructlon Reauiremerds RemodelRteoair Reauirements Office Use Oniv
3 registered site surveys showirg sq. h of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert W Survey Red _Y _ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heatetl additions Tree Pres Plan Recd _Y _ N.
2 copies of plan showifg beam & window size.s; poured found design, etc. 7 site survey for addiGons & deGa Tree Pres ReQuired _ Y_ N
lsetofEnergyCalculations AddNon-indicefei/on-sitesepticsystem On-siteSepticSystem _Y _N
3 copies o( Tree Preservatlon Plan if lot platted aRer 717193
?-
Rim Joist Defail Op6ons selection sheet (bldgs wiN 3 or less units ?
Date -CL? COI1St1'UCtiOrt COSt -2C?
Site Address J Q ? ?rf b i, r n i2v,?). Un1UStQ #
.
Description of Work
?
Multi-Family Bldg D?-IY _ N Fireplace(s) _ 0 _ 1
Property Owner 11 Telephone # ( )
Contractor
Addres&,?-? h City
State 1-72n Zip SS9'3 J Telephone #((psI
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category , Residential VentilaGOn Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Coniractor
Sewer/Water Contractor
N If so, 25% plan review
Telephone # (
Telephone # ( II 0
Telephone #(
I ? ? uuL?
MAY 1.2 2004
I hereby apply for a Residential Building Permit and acknowledge that the informa ion i?te 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
perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and
a val ofplans.
" L Z -e C, r, caC-?,,e
Applicant's Printed Name
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
-% i S ?U
Please complete for modifications to existing residential dwellings.
Date C),9" U
?1- ??
Site Street Address 1 SR rG;f t' (? ?,CYYl Uri ?e- Unit #
Property Owner Ma rK C-rr,cKS o n Telephone #(((JSh (D 93"1?2?k
Contractor 'T P/ (g:,Q 0UrF-S Telephone # ((pq 3626-- 13LI ?
Address 7 C7 bOo( d /? C.[ _ City fG1 ?CLVI State-02-?1- Zip / a-
The Applicant is: _ Owner _" Contractor _Other
Alterations to existing dwelling
_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: , $ 50.00
-?
Water Softener ater Heater
replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $ / S
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 approved _
Appiicanlrs Printed Name ApplicanYs Signature
2004 RESIDENITAL BUII,DING PERMIT APPLICATION
City Of Eagan
t? ? ? 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion Reauirements RemodeVReoair RenulremenLs
3 regatered site surveys showing sq. R of IoL sq. ft. W house; and all roofed areas 2 mpies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calalations tor heated add'Nons
2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 slfe survey (or additions & deda
1 set of Energy Calculations Add'dion - indkate Honsde sepUc system
3 copies of Tree Preservation Plan'rf IM plafted after 711193
Rim Joist Detail Options selectlon shcet (bldgs wih 3 or less unifs
?S-
(o- 25
Date Construction Cost
Site Address ??? p - ? ?k ? UniUSte #
Description of Work ? t>
Multi-Family Bldg _?Y _ N
\ Fireplace(s) _ 0 _ 1 _ 2 ?
Property Owner,?I-?? C L- ?3 Telephone #( )
Contractor (., ?
?
Address Z3a ? -=R City
State Zip ?3l Telephone #
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential VenUlation Category t Worksheet • New Energy Code Worksheet
(Jsubmissionrype) Submilted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
Telephone # ( =JUN
Telephone #Telephone #(
I hereby apply for a Residential Building Permit and aclmowledge 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 pernvt, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
GI'1S VC? ?
Applicant's Printed Name pplicant's Signature
11?D
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Paal ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
CO 34ReplaCement 'Demolition (Entire Bldg) - Give PCA handout W applicant
Valuation Occupancy )z 3 MCES System
Census Code Zoning t? -3 City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const y N Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
? Footings (deck) ?D Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tesu Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation Retaining Wall
_
_
Approved By: ,5L
Building Inspector
,
----
------- ----------------------__ -------------------- ---------------- -
-
---
Base Fee
Surcharge -
Plan Review
MC/ES SAC
City SAC t
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
*-"City of EaiaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
----------,
,-------
? For OIIICB Use I
?Sao3 ?
j Pertnlt #: ?
Pemtit Fes: 50, J V i
? O
I ?
? Date Recaivetl: ?
? I
i Stan:
-----------------?
2009 MECHANICAL PERNAIT APPLICATION
ine
S+t*Ack,.ees;: S158 ? raYN 14,m __.1.)K-El&-2 fl h )
Tenant:
Suite #:
? Phone:lklaJV-3X6-7
N
M«
r?L ?f"ItK
RESIDENT/OWNER ame:
,
-
Address / City / Zp:
CONTRACTOR ?
Name: 1
ti ? n License #:
Address: ?
, /
S510- /
V Zi
p:
City: State:
Phone: - Contact Person:
TYPE OF WORK _ New %? Replacement _ Addhional _ AReration _ Demolitian
T
Descriptlon ot work3 Aj 1 r
NOTE: Both roof mounted and ground mounted mechanlca/ equ/pment Is requlred to
be screened 6y City Code. Please contact the hlechanlcal lnspector or one of the
Planners /or in/ormaHon on permitted screeMn methoda
RESlDEM7AL COMMERCIAL
PERMITTYPE Fumace - New Construction _ IMerior Improvement
?AirConditioner -installPipirg _Processed
Air Ezchanger _ Gas _ 6cterior HVAC Urril
Heat Pump _ Under / Above grourd Tank L InsNall!_ Remove)
_ " When Installinghemovirg tank(s), ce0 for inspectlon by Fre
Other Marshal and Plumbing Inspector
RESfOEM/AL FEES:
$50.50 Minfmum Add-on or alteradon to an existing unit (includes $50 State Surcharge)
$90.50 Fire repair (replace bumed out appliances, ducrvrork, etc.) (includes $.50 STate Surcharge)
$ TOTALFEE
COMMEACIAL FEES:
$70.50 Underground tank installation/removal OR Corrcrect Value $ x i96
$50.50 Minimum (includes State Surcharge)
- $ Permit Fee
- Ii Pertni Fee is less than $1.000, suroharge is $.50.
- If Permit Fee is > S7>OW, surcharge increases by $.50 for each =$ State Suroharge
$1,000 Permit Fee (i.e. a$1,001-$2,W0 Permit Fee requires a$1.OD suroharge).
$ TOTAL FEE
I hareby acknowledge that Mis infamation is complete and accurate; that Me work will be in connormence witn tne oroinances ana cooes or [ne ury oT tagan; mat
I understaM this is mt a pertnit, 6ut onty an application iw a pemlit, arM work is not to sfart wi[Irout a pertnit; that the work will 6e in aaordarice with Ne approved
plan in the case oi woiic which requirea a 2view and approval of plans.
x\?me6
Applicant's Printed Neme ApplicaM's Signaiure
,
FOR OFFICE USE
Reviewed By: Date:
Requfred inspections: _Under Ground _ Rough In Air Test _Gas Service Test _In-Boor Heet _Rnal
Exterior HVAC Screening InspecNon
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA104616
Date Issued: 05/31/2012
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 3156 Farnum Dr
Lot: I Block: 07 Addition: Coachman Land Co 2nd
PID: 10-18151-07-010
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S4K $103.25 0801.4085
Valuation: 4.000.00 Surcharge - Based on Valuation S4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
Renewal Andersen Diane 1\1 Conneran
1920 County Road C West 3156 Farnun Dr
Roseville NIN 55113 Eagan NIN 55121
(61)264-4777
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
CITY OF EAGAN WATER SERVICE PERMIT
`830 Mot Knob Road
0. Box 21199 PERMIT NO.:
aan, MN 55121 DATE:
ling:
No. of Units:
ener: _
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
3 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total: _
By v Date Paid:
Date of Insp.: fv Insp :
QJTY OF EAGAN SEWER 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:
I agree to comply with the City of Fagan ` lonnect)on Chbv;
Ordinances. , Account De
posiP
p Permit Fee:
Surcharge:
By Mise'. Charges:
Date of Insp.: Total.
Insp.: Date Paid:
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106533
Date Issued: 0812712012
~it~ of 11QR Permit Category: ePermit
Site Address: 3156 Farnum Dr
Lot: I Block: 07 Addition: Coachman Land Co 2nd
PID: 10-18151-07-010
Use:
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection.
Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $4K $103.25 0801.4085
Valuation: 3,960.00 Surcharge - Based on Valuation $4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
Lindus Construction Diane M Conneran
879 Hwy 63 3156 Farnum Dr
Baldwin WI 54002 Eagan MN 55121
(715) 684-4647
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153171
Date Issued:11/28/2018
Permit Category:ePermit
Site Address: 3156 Farnum Dr A
Lot:1 Block: 07 Addition: Coachman Land Co 2nd
PID:10-18151-07-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Diane M Conneran
3156 Farnum Dr
Eagan MN 55121
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature