4325 Kaufmanis WayCITY OF EAGAN Remarks
Addition WILDERNESS PARK 211d Addition Lot 6 Blk 3 Parcel 10 84251 060 03
Owner Street State Eagan, HA1 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 69.40 C008541 9-26-83
SEWER LATERAL
? WATERMAIIV
WATER LATERAL
WATER AftEA 1979 827.20 82.72 413.60 C008541 9-26-83
STORM SEW TRK 1979
STORM SEW LAT
CURB & GUTTER I
SIDEWALK
STREET LIGHT
ROAD IT 250.00 36311 6-9-83
WATER CONN. 450.00 Ir tt
BUILDING PER, 8125
SAC 25-00
n
?+
PAR K
Cities Digital
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The following image represents the best
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, ,• • CASH RECEIPT ?
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
R¢C EI V ED
FROM '
AMOUNT $ I
& DOLLARS
?oo
? CASH ? CHECK
?oR
White-Payers Copy
V Yellow-Posting CoPY
Pink-File Capy
T You
BY
CITY OF EAGAN _.
3795 Pilot Knob Raed
Eogoe, MN 511122 t• _ 6? ?..
..
PHONEs 454-8100 -
BUILDING PERMIT Receipt
Te be used ior 5I' DtdG/GA?. Est. Volue $31, 000 Dare J
? une 9 , 19 83
Site Address 4325 K.3ufmRri18 L1AV Erect ? Occupanty 111- 3
Lor h Black _..3_ SeclSubWilderne8s Parl: 2ttd ^lter p Zonin9 R-1
parcel # 10 84251 067 03 Repair ? Fire Zone :.3A
E T
V
nlorye p ype of Const.
W Nome :' • '?eterSen ConBt. . IAC. ?? ? # Stories
Z Addrcss 4701 W. 110Ckt St. Demolish ? Length 53
9
C; nls, 55437 phane 334-5144 Grode ? Depth 4`-' Sq. Ft.
lz
0 Nom@ Owner Approrals Fea•
u Address Assessment Permit 17 6-W)
?
~ Cit phone Water & 5ew. Surche?ge 4[] _ 50,
? Potite Plan check 1 RR _ Clfl
W Name F 0()
525
A
ire .
5
C
?? /?ddress Enfl. Wnrer Conn. ,?3.`1d_ ilCi
? W City phone Plcnner Water Meter A-1-0.1
Gouncil Road Unif ? 50 00
1 hereby acknowledge that I Frove reod this application and stote that Bldg. Off.
the inlormotion is carcect and agree to comply with all applicuble ??
State of Minnesota Stotures and City of Eagan Ordinonces. Totol ??,?..,.??
Siynoture of Pemnittee
A Building Permit is issued to: S. Petersen L'on4t., Inc. on the exprcss condition thai
all work shall be done in actordonce with oll oppliooble State of Minnesote Siatutes ond City of Eagan Ordinancta.
Buildiny Offlcicl
Permit No. Permit Holder Misc. Permit No. Holde?
IR n Z , /L -2?
l
za
EbMr'c (Oa5$QSg' ?Set?ASb S-17-Y3 -?E ?
wes-rQ 0 `? `` 7?zt?-S3
Inspection Date Insp. Other
Footings
FoundBtion
Framinp Js?
Rough Plbp.
Rouph HVAC
Inwlation 7 ?
Final Plbp. ?
Final HVAC .
Final ?
WMer Describe Lacation:
w.n .
sewor
Pr. Oisp.
.
Receipt -?`
MECHANICAL PERMIT
CITY OF EAGAN
Fill !n numbered spaces
Type or Prin[ legib/y
? r
%
Permit Na -
Fee ' f
S/C
-?
Tot. ? ?
1. Date 2. Instaliation Cost
3. Job Address LotBlk. 3_ Tract
2r?
4. Owner
5. Contractor Phone
-?-?
?
6. Address '7 s
7. City State %ti----, Zip
8. Building Type: Residential H'' Commercial ? Institutional 11
9. Work Description: New 0- Add ? Alter ? Repair ?
10. Describe Fuel Type _".&V0-'?
11.
No,
- Eauioment 8TU - M. Ea.
Forced Air No. EQUiament CFM
Air Handlin
:
Mfg. g
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 ppverning this type of work.
f, .
Signed : -?- for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
r
???
Receipt -•? ' PLUMBING PERMIT Permit No.
. CITY OF EAGAN +
. ?? Fae _ _... ?
F Fi!l in numbered spaces S/C
Type or Print legib/y
Tot.
1. Date 2. Installation Cost
-?. 9? i_ ?. i i . , ;. : ( ?? ?• i? .
3. Job Address , LotBlk. ? Tract
4. Owner - ? ' - ?
5. Contractor
6. Address
7. City . ' , ..
8. Building Type: ResidentiaE?-
i
9. Work Oescription: New,V
10. Describe
Phone
I
State Zip ?
Commercial ? Institutional O
Add O Alter O Repair ?
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
t' Laundry Tray
` Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?
CITY OF EAGAN WATHt SERVICE PERMR
383+0 Pii, . Knob Road
-
P
O
B
21199 PERMIT NO
: , ` --
.
.
ox .
Eagan, MN 55121 DATE: 6-2 0-LA I
Zoninp: iI No. of Units: 1
Owner: ?3vea Pe;,tr3e
Add?esS:
Site Addrcsr 432` ^:ftu:'ra.nis 'da;f L(. ?33 Wilderaeas Park 2nd
PlUR1bEr:
+
r No
:
AAet Connection Charye: !; %`: .00 rd
.
e
Size: Account Deposit:
^ . ?JO F>c'
, "
Recder No.: Permit Fee:
I ayree M oasPly wilk !he Citp of Eeyaa Su?chorge: • 50 I)d
Gdt.esaa. Misc. Choryes: =•0.00 oci meter
By
Dote of I nsp.:
Total:
Date Paid:
Irnp.:
SEWER SERVICE PERMIT
cmr oF :,.GAN
3795 PIIot Knob Roe/ PERMIT NO.:
Eegan, MN 55122 DATE:
Ianinfl: No. of Units: `
OWflBf: ^r•.,P-_`fi:..? . _. ,^._i'fi .
Address:
Site Address: '.;25 Kaulhania wa;r ,.,-r.e`:s
-
Plumber.
) ^•
1aym fo amplq wltb tIN Cthr of Eagen Connection Chorge: •`' "
Ordinanop. Acwunt Deposit:
R?
Dote Of Insp.:
Permit Fee: • ?'??
5urcharpe:
Misc. Charges:
?C-f9T 6119C<`v4,097101t,1 jL-T? 25 -- ---
r-c
4l374 ,qivo?eo1vFOA,,?,?y i'rz oF ?c,ruv -?0 - ? l nsite plan w/eleva ?
tions s
BUILD2NG PERNIIT APPLICATION 1 set of energy calculations.
To Be Used For Valuation ? Date ?/ - ?.3
Site Address :q j,? S??? yAa vt t,S?a OFFICE USE ONLY
? OC2N?Sf
t,ot slock 3 sec./sub.((f/L
,od,eK ,2??
Parcel #: (O $?( ?S l o iop
Qaner:
Fiidress: /-W
City/Zip Code: fy/?G3' hS4<3 7
Phone #: ,(,yY- /415?
Contractor: ,/7y
Address:
City/Zip Code:
Phone #:
Arch./Eng. :
Address:
City/Zip Code:
4 hone #:
OLE cI PQrn.ti+ -Wo5'?j?fS$
Erect ? Occtitp?-umcy 3
Alter Zoning
Repair Fire Zorie
Enlarge Type of Const.
Nbve # Stories
Demlish Front ft.
Grade Depth y ft.
APPROVIILS FE?S
Assessments Peimit _m? 7/ aba
Water/Seaer Surcharge 5M ?
Police Plan Check
Fire SAC
Enq. Water Conn. Is-o 0
Planner Water Meter 0
Council Road Unit R( S'Q T
Bldg. Off
APC
TO'I'AL I p ? a l 5c)
? K??- ?t`Pn.Son ?(EL? -S-L1-£r3 C??
CITY OF EAGAN
9795 Pllet Nnob Reod Eagan, MN 55IZ2
PHONE: 431-8100
BUILDING PERMIT
To ba utad for SF DWG/GAR Est.yalue $$1,040
N° 8125
Receipt # a-311
n_._ June 9 e 83
Site Address 4325 Kaufmanis Way Erect $g Occuponcy R-3
Lor 6 Biock 3 See/SubWilderness Park 2nd Airer p Zontng R-1
parcel # 10 84251 060 03 Repair ? Fire Zane NA
Enlarge ? Type of Const. V
rc Na,ne S. Petersen Const., Inc. Mave ? # Srories
Z Addreu 4701 W. 110th St. Demoltsh ? Length 58
? Ci M pls. 55437 phom 884-5144 Grode p Depth 49 Sq. Ft.-
p Name OWiler Avororels Faes
???
Address
1- r».,
Name _
Address
I hereby acknowledge thof I have read this opplication and stote Thot
fhe inlormotion is correct and ogree fo comply wilh all upplicoble
Stata oi Minnesoto $totutes and City of Eagan Ordinances.
Assessment -
Water 8 Sew.
Police -
Fira
Enp.
Planner _
Councll _
Bldy. Off. _
APC
Sipnoture of Permittee '
A Buildin9 Permit is issued ro: S. Petersen Const., nc.
all work shall be done in occordonce with utl auolic4ble Staf inne!
Permit Z)Io.uv
Surcharge 40.50
Plan check 188.00
SnC 525.00
Water Conn. 450.0
Woter Meter 60.00
Road Unit 250-00
Total 91889_50
on the expreu Wndition Ihnr
Statufes ond Cify of Eagan Ordirwnces.
Building Officiol
REQUEST FOR ELECTRICAL INSPECTION
' See inelrucirons tor comvleling this torm on back of Vellow copy.
R" BeRWAred by 7his Request
EB-a0001-04
w:
35S
Ad flep. Type 01 BuJtlmg ApplmncBS W.retl Eqmpm¢nt WireJ
Home Range Temporary Service
Duplea Water Heater Lightiny Fixtures
Apt Buildmg Dryer Electric Heatin
Commeraal 81dg. Furnace Silo Unloadc;r
Industnal Bldg. Air Condi[ioner Bulk Milk Tank
Farm Othxr peci y therlSpomW1
t er Sueufv Ot er Other
Can'unute lnspecUOn Fee Selow
k Pee SarviceEnttanceSiz H Fee Feptlers/Suhfeeders # Fxe Circurts
0 to 200 Am s 0 to 30 Am s () ta 30 Am os
Above 200 qmps 31 to 100 qrnps 31 to 100 Am s
Swinvning Pool Above 700_Am s Above 100_AmPs
Transformers Irrigation Booms I sm P2rtial-'Other Fee
Signs Speciallnspection S
TOT
YFE
a,?? /?
F
ertu?r"I ' l.. . #
/ iw ni^,l
as v?
flough ?n ? ?rte I, t ctrical
Inspector, hereby
eertify ehet the nbove
Final .nspeciion has been
? .?, ? //T/ made.
Iamnn?natmm . - . ,^/
This reyuest void S_-? ?
18 rtwnths f-om
w 05?RQ58
L4ai 63? wrld.I PKIarid 35 gto I
Eot ob
Bepuest Date
?f Fire No. Nouph-in Inspecbon
Reqwred?
?Ready Now Will NobtY Inspec-
'
? 3 ??es ?NO ?or When ReatlY
Licensed Electnc?l Co?ttractor I hereby requestmspecLOn of above
?Owner electncal work installed ne
Street Address, Box or floute Np.
- ?Q QtY
11395
Sectipn o. Township Name or No. Range No. County
Ocp,l,ipant (PRINT)
.5 Phone No,
Pa er S D] Addre
Eleclncal ontracmr (COmpany Name) ! Con tof's Lmense No.
? y?
iling Address (ConVactnr or Owner Ma
M king Instailatmn)
q
G ? •
Au[h ized S?g^amre I nt r/ wner ak?ng I tallaLOn) Phone Number
v
S' ?
I ? ` THIS INSPECTION flEa49ST WILL NOT
MINNESOTA STATE BOARD OF ELECTRICITY
Gnggs-Midway eldg. - Noom N491 BE ACGEPTED BV THE STATE 90APD
1821 University Ava., St. Paul, MN 55106 UNLESS PPOPER INSPECTIDN FEE ?S
ENCLOSEO.
? REQUEST FOR ELECTRICAL INSPECTION
Sae inetruetions for compleUmJ this iwm on beck oi yellow copV•
058963
"X" Below Work Covered by This Request
EB-00001-Oq
3-73a3
Atld Rap. Type of eviltlmg ApOliaaces Wired Eqmpment Wired
Home oO\ Bange Temporary Service
Duplez Water Heater Lightin, Fixtures
. Apt. Bwidmg ?ryer Electnc Heatin
Commercial Bldg. Furnace Silo Unloader
Industnal 81dg. Air Condrtioner Bulk Milk Tank
Farm otner oeci y t er Ispoafyl
[ r,r Suecrty Oiher Other _
Compute /nspectron Fee Below
p Fea ServiceEntrance5ixa N iee Faetlers/SUbieeders Fen Cvcurts
0 to 200 Am 5 0 to 30 qm s to 30 Am s
Above 200 qm s 31 to 100 qmps 0 31 to 100 Am s
Swimmin Pool Above 100-.4m s Above 100_P,mps
Transformers Iuigatton Booms Partial%Other Fee
Signs Special Inspectio? S
TOTA
Rercarks? r ,7
6 ?
n _(9(?
c..- r,J i71 aN i,v / r ri o-WJ,&_ "v-
kir w --1
Pouph'm Date 1, the Ele mal
I r 3 ?ntioec,o,, ha,abv
certify that the n6ovs
Final inspaction has baen
?/ ???7.•
C? mada.
Thls reouest void 18 montR4 from
This recIcest vmd 7-Z(p
18 mo:rths.fmm
W058963
UaI ks 31 w 1- (d- PJ? .:2 na 373a3
?a.oo
floquest ?ele Fire No. Rough-in Insoectio7
ReaVyred?
Aeatly Nuw I]CW?II Notity Inspec-
0 y?
?? ?
N?es No r?tir When fleady
l, censetl ElectnCal Contrador I herebv reQaeat mspection of ebove
O.er electrical work instelled er.
Stregt Atldres6 11or Route Na. c Gty
.
? 1*
ecl onn o. Township Name or Nango Cowity
P
k
/ c
l
Occu antIPRIN
? rsP
LD f,? Phone No.
c ? Ys ?
Power S Pp ier ? Atldress
?
Electncal Conv ctor ICompenv Namal ? Contrar,tpr's LiCense No.
L
dress (COnvactor ar Owner Mjng
Madmp
lauo
? ?
AuMonzetl Signawre _ZWr torl nar Making InstallalioN PJh$? n?e Number h J (?
`?SJ eo`?' / J
THIS ?NSPECTION NEQUEST WILL NOT
MINNESOTA STATE BOARD OF ELECTRICITY
Gr,gga•MidweY Bltlg. - Noom N-191 8E ACCEPTED BY THE STATE BOARO
1821 University Ave., St. Pevl, MN 55104 UNLE55 PROPEH INSPECTION FEE IS
ew....., 19111 24z2i1t ENCLOSED.
(g.ertiftrttte n# (Orrixpttncy
Citp of Cagan
Erpttrftnrnt nf BuilDing 3ns}rrrfinn
Tbit Cntifirutt irtued Purtuant to tbt nguinmrnts of Sectron 306 0( tix Uniform BuiGling
Coda crtifying that at the timt of iftuann thit strunure wat in tomplianrr with tbc variouJ
ordinanrts o f the Cuy ngulating building mnnruction or xx. For the f ollowing:
11.cum?m SF DWG/GAR MdLPeemitNa. 8125
oao? ryK R3 7Ywcm.?nm V F;mz NA z, wm« Rl
OrmofBUOMj S. Petersen Const. Aaa?4701 W. 110th St., Minnea
8,??,,,4325 Kaufmanis Way L;,YLot 6,Block 3,Wilderness
??F ? Park 2nd
August 30, 1983
&?Wnoffkw .69- mo:
.c.. i. . cex...cuw. ...<.
? s4
PERMIT# LS D- I U ?
RECEIPT DATE:
SOOE USIDENTIAL PLUM$INH PEitMTT APi'L1CATION
CITY UF £R6AN
3830 PaoT Kxog Etn
EAs,ax, Mx 551E2
651-891-4675
Please compiete for: single family dwellings, townhomes and condos when permits are required for each unit,
backfiow preventer for irrigation system
SITEADDRESS: _ 1Kl.lsGLan [ S V V
OWNER NAME: : ?/? L? L ? ? D Ly ?o TELEPHONE #: (U5' ) 70"I 2,
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
JOr6IbW1 ` tLl.lMbivL,,? TELEPHONE#: (0i2-92-7"' /4033
20105 (AREACODE)
CITY: STATE:
Mr.1 ziP: 5540$
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 518" meter it needed -$118)
Other:
y ?
_ RPZ: new installation/repair/rebuild JUN 2 1[UU7 $ 30.00
_ lawn irrigation system -
BY -
ReplacemenUadditional: _ water softener X water heater $ 15.00
State Surcharge $ 50
Total $ 15 50 I
I herebyacknowledge Ihat I have read this applicalion, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It
is lhe applicanPs rasponsibility lo notify the property owner Ihat the Clty of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities lo the facdilies consUucted under lhis permit within Cily pro ert -o(-way/easement.
SIGNATURE O PERMITTEE 1/02
RESIDENTIAL ?-?
?a BUILDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4875
New ConsVuctlon Beauirements
• 3 registered slle suneys showing sq. ft oi bt, sq. il. W house; and all roofed areas
(20% maximum bt coveraga allowea)
. 2 copies o1 plan showing 6eam & wintlow sizes; poureU found tlesign, ek.)
• lsetotEnergyCalculatans
• 3 copies of Tree Preservatlon Plan tl lot plattetl afler 1/1193
• Rim ,bisl Detail Optbns selectbn sheet (bkigs wim 3 or less untts)
DATE 7 1,b ??-
SITE ADDRESS 4?? ?C A U FhiAN t
TYPE OF WORK-7
QOB f
eA2 JV -?-46
APPLICANT
STREET ADDRESS 30 l ?
TELEPNONE #
CELL PHONE #
L&?_STATE(P14' ZIP 5 SYdA
FAX # (h 12 f 71, 11 lJBB
PROPERNOWNER b_ L4 IW kpr? TELEPHONE# b!Y?LO_ ?Y2f
---- ----° ----------- ------ ----------------- ---------------------- °---- --------------- ----- --
COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ON4Y
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MI ?
(d submissian type) . Residential Ventilation Catagory 1 Worksheet Submitted • N ? ?ork?h?
• EnargyEnvelopeCalculatlonsSubmitted ? ???_ 1 6 ZOD2
PIum6ing Conhacfor: __
Plumbing system includes:
Mechanical Confractor:
Mechanical system includes:
Sewer/Water Conhactor:
_ Wa[er Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
MULTI-FAMILY BLDG _ Y vIN
FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
00
Fee: $70.00
I hereby acknowledge that I have read this appllcation, state that the information is correct and agree to comply
with all applicable State of Minnesota Statutes and Cfty of Eagan Ordin nces.
I
Signalure of Applicant
........... -............ °--......... _...._......... _----?r?.r.???_..._......_..._...??..._._._
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
RemodeVReoalr Neauiremenu
. 2 copieS Ot pl2n
• 1 set of Energy Cakulatlons tor heated addftions
• 1 Si[B SuN6y 10r BIABfbr addflbn3 $ dBCk3
. Intlicate if home senretl by septic syrtem for addttions
VALUATION ? 9Z7 l•°v /1 j- ? S
_ Phone #
Iawn Spritilcler
No. of R.I. Baths
Phone #
OFFICE USE ONLY
O 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 G&plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage O 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plax ? 10 08-plex ? 18 Deck O 23 Poroh (screened) Q 38 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
13 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Akeratlon ? 37 Demolish (Bldg)' ? 43 Reraaf ? 46 WindowslDoors
? 34 Replacement •Demolition (EMire Bldg only) - Give PCA handout to applicaM
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Fina7/C.0.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _
_ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
Certtficat-e f'oT: Svend Peteraon
. Dunn t Curry 47-1 West 11'°t.h .,t.
4}7
' Sloomington, P1r,. ? )
t02.Z ?iE• ??`f?
/
DELMAR H. SCHWANZ
LANDSURVEYOF
Feqistme0 Untlat Laws Of The State o1 Minnasob
2978- iq6TH STHEET W. - BOX M ROSEMOUNT, MINHESOTA 56O68 PNONE 672 423-1769
Approvec3 for Dunn 1. Camr;t
SURVEYOR'SCEHTIFICATE Re31 F.St3tG Pi3n3gCment., Tnc.
?Q.
(1 L' ??•fn rij ?y ,. (?
b3 r :
x
Elevations 3hown are
? existing
? Denotes set
wooc' hub
73
? ? eI '?7 fi6 ye \
? i 'Tv?/Yu? ? qU \
? ! ? ?C \ lJ
C
`J u-? '?(6 / ' G A,e ?Gooie \ \
• ? i d?
s n? ys 97,bo
! ' 3 1
S c..
Q 6.
Pra, osod gar(17e
floor _-Q?'(? --
`/
Tdr r7u?
?, .j ,.,
? ? .
?
10
(` fa '
; ? u• - - - -- - - - ,,? q ? ?
I" herety certif,y ' tna jt?pthis i3 N carrect rePrcaent Z? ti n
U
:,c,t 5, $lock 3, ?dSLDc:RIv":-ZS VAF.K SFCONp ADP,FTiI)1:, accordS.n;; t., t'ie
recerded plat thereoP, Dakrsta Cowity, Aiinnesota.
Dated: July 21", 1974
ttouae ataked Hay 5, 1983 ? ,? /... > ;..
MINNESOTA REGISTFATION NO 8625 /
r
SEDGWICK HEATING & AIR CONDITIONING CO. TEST HEANG RECORD
8910 WENTWORTH AVEUE SOUTH • (M`INNEAPOLIS, MN 55420 x•/(952) 881-7739
q3..-2,,5- JOB NO. 0 3
ADDRESS A` uT I n oa^) 1,5 W 1~/ CITY
OCCUPANT V•1L / em-1-11 Y' AA) P6 0 /0 OWNER f W'
SOLD BY OC
@ "H eINSTALLED BY,~
MAKE Lr MODEL G 6 o u H V 3G3 0 9 0
SERIAL NO. o~f INPUT
p -
THERMOSTAT VP806po
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FORM 235 (REV. 6/08) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan, Permit Number: EA093359
Date Issued: 04/07/2010
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 4325 Kaufmanis Way
Lot: 006 Block: 003 Addition: Wilderness Park 2nd
PID:10-84251-060-03
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: - Applicant - Owner:
Sedgwick Heating & Air Eric l\l Anderson
1408 Northland Drive, Suite 310 432 Kauthianis Wad
Mendota Heights NIN 55120 Eagan MN 55123--188
(952) 881-9000
I hereby aeknowledae 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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113881
Date Issued:09/09/2013
Permit Category:ePermit
Site Address: 4325 Kaufmanis Way
Lot:006 Block: 003 Addition: Wilderness Park 2nd
PID:10-84251-03-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Charles Thayer
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Eric M Anderson
4325 Kaufmanis Way
Eagan MN 55123--188
(612) 968-0698
All Around Roofing & Renovations
720 Tower Drive
Hamel MN 55340
(763) 447-3944
Applicant/Permitee: Signature Issued By: Signature
From:Taylor Gable Fax:(763)400-4503 To: Fax: +t(651 j 6i 5-5694 Page 2 of 2 0110912015 9:49
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aceacdanoa Writh the a�praved ptan in t�e cas�flf�atk which requ�es a�reuiew and apprcval of pian5..
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