4150 Knob CirCASH RECEIPT
CITY OF 'EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE L ? a 19 ?? ..
FROM ? ' -( .. . .
AMOUNY $ ? / / IU u
8 DOLLAR!
? 1 oa
? CASH __?aCHECK
FOR l
)
i
6?1 r? -? .i:. /i ,.-.??/ I _
FUND CoOE AMpLLN'F--?
? 12
?/7(?" ' L.? ??"?/
i ?
Thank You
$1602
t
ev
, WMite-Payera Copy
Yellow-Posting Copy Pink-File Copy
CASH RECEIPT
CITY OF EAGAN
P. O. BOX 21•199
EAGAN, MINNESOTA 55121
DATE 19
nace1veo . FHOM
AMOUNT $
& DOLLARS
?eo
? CASH E]CHECK
\
BY
IMiite-PaYera Copy
Yellow-Posting CopY
Pink-File Copy
Thank You
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt#
To be used for "^ ?-?''??i • Est. Value ?2' S}c, Date "L19 _-
SiteAddress `+t
.' ' . .:`o?,, 11 T ??- On Site Sewage
Lot Block Sec/Sub. MWCC System
On Site Well
Parcel No.
City Water
a Name
W .,CI
= Address
Q
City Phone
o Name Lxi .. .L. ,;?,,;LACE:S
oQ Address t
U? City Phone r4,?;-O2d7
Name_
Address
City_
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr.
Planner
Council
I hereby acknowledge that I have read this application and state I 81dg. Off
thatthe information is correct and agree to comply with all applicable APC
State of Minnesota Statutes and City of Eagan Ordinances. Variance
Signature of Permittee
OFFICE USE ONLY
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
?44. i_
A Building Permit is issued to: ` `'' ' ' on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances
Building Official
Permit No. Permit Holder Date Telephone ?F
Plumbing
H.V.AC.
E lectric
Softener
Inspaction Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing 1 1
Rough Plbg.
Rough Htg.
Isul.
Fireplace ?.?_y] ? . fJ.
Final Htg.
Final Plbg.
Bidg. Final
Cert. Occ.
7emp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
94146
PHON E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est. Value Date
Site Address
Lot ` ' Block Sec/Sub. ???a H1LI. ?>r _..;
Parcel No.
c Name 'L` '
W
; H:
Address
° City Phone "
¢
O Name
oa Address
P City Phone_.
yVj W Name
f
Address
i W City Phone
I hereby acknowledge that I have read this application and state
that the i nf ormation is correct and agree to com pry with ell applicable
State ot Minnesota Statutes and City of Eagan Ordinancea
Signature of Permittee
OFFICE USE ONLY
`+On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type ut Const
Ciry Water _ (ACtuaq
(Allowable)
# of Stories
Length
Depth
S.F. Total
FootDrint S.F.
APPROVALS FEES
'
Assessments _ Fermit
Water/Sewer _ Surcharge
Police _ Plan Review
Fire - SAC, City
Engr. _ SAC, MWCC _
Planner _ WaterConn. _
Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatment P1
Variaace _ Parks
Copies
TOTAL
A Building Permit is issued to: '" ' on the express condition that
all work shall be dcne in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances
Building Official
Permit No. Permit Holder Date Telephone #
?lumbing
H.V.A.C.
eleotrtc
Softener
Inspectlon Date Inap. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg. ?PUG
Isul.
Fireplace
Final Htg.
Final Plbg. ew l i
Bidg. Final -y r?
.
Cert Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
CITY OF EAGAN
Road, P.O. Box 21-199, Eagan, MN 55121 t • ?.
PHONE: 454-6100
Receipt # • ?-'
To be used Iw 1 OF 4 PLLX Est. Value $ 69 , 0 U 0 Date MARCH 26 19 -1L6
Site Address Q 11?fl KPdC)B C f R Erect Qr+ Occupancy lt 1
Lot 2 Block 1 Sec/Sub. Kt-0OB IIILL OE' Remodel ? Zoning R:?
Parcel No. EAGAN Repair ? Type of Const.
Addition ? No. Stories
¢ Name 1iP30fi HILL ENTERPRI2ES Move ? Length ?1
= Demolish ? DepthS6
o Address 4194 KNOB CIR Int.lmpr. ? Sq. Ft.
city FA?AN Phone 452-1561 i„stau O
=o Name- ''prutnto t cnnic Aowovals Fces
? ¢ Address
? ?:..
F W Name P: it DAHI,STI20M
_ ? Address SA'7?'
i W City Phone
Iherebyacknowledgethatlhav readthisapplicationandstatethatthe
information is correcYdrld agre to comply with all applicable State of
Minnesota Statutes and ai t a Ordi?}HhcesSignature of Permittee ? ??4m h'.: 'V °"?'-'
A Building Permit is issued?tb: F.. BAi27.Gki & SUNS
all work shall be done in accordance with all applicablQ State oi Minnesc
Building Official
Assessment Permit $ 390.00
Water 8 Sew. Surcharge 34 . 50
Police Plan Review 170.00
Fire SAC 575.00
Eng. Water Conn. 500. UO
Planner water Meter 63.50
Council Road Unit 290.00
Bidg. On. 2/19/8 6 rr. Pi. 256.00
APC Parks
Var. Date Gopies
?
Total ??Q
on the express condition that
Statutes and City ot Eagan Ordinances.
31P 1 W(Q - 44-u.,,..e? 7? - ? P-'?Y
MrmN No. Psrmlt HWdsr DN* Telaphons M
Pb?mbiny
68/
3i
?O
H.V.A.C.
Eleclrlc S ? CL a-
SOIIMN
Inspeetlon Date Inap• Commen4
Footlnys I I? MA%6 w
Foonnq.n ? ? ?l W ? 1 -13- ?S? - L?• ? .
Foundstbn
Framinp
Roollnq
RoupA Plbq•
Rouqh Ntg. p lG??
Insul. q W g
Firsplace
Final Hlp. ? .
Flnal Plby.
&do.Final
,A.
,( c ?c
? Paw ?cvKa i?og
doo? e?oSErc {E4??
4
DIsp.
CITY OF EAGAN 111$ 3
3830 Pilot Krab Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDIN6 PERMIT Receipe #
Te M rwd fer ' • Est. Value Dote 19 '`i
Site Addresa Erect ? Occupancy
Lot Block Sec/Sub. Remodel ? 2oning
Parcel No Repair ? Type of Const.
. Addition ? No. Stories
W
Name Move ? Length
. . Demolish ? Depth
; Address Int Im
r ?
b . . p
. gq. Ft.
City Phone Install ?
, Approrals Fees
,? Name '
..
?? Addresa
1- City Phone
P a
W
Name
?,-? Address
tuZi City Phone
Assessment Permit -
Water 3 Sew. Surcharge
Police Plan Review
Firo SAC
Enq. Water Conn
Planner Water Meter
Council Road Unit
I hereby acknowiedge ihot 1 have read this opplicotion and srote that gldg. Off. Tc PI.
fhe inlormotion is correct and ogree to comply with oll oppliccble APC
State oi Minnewto Statutes ond City of Ea9an Ordirances. Parks
.. Var. Date Copies
$Ipnofure of Pertnittea '
A Building Permil Is issued to: . . . . . k . `. . on The e al zprcss condition thai
oll work shall be done in acmrdence with oll opplicoble Stote of Minnesota Statutes ond City of Eogan Ordinances.
Bulldinq Officiol
9),a.Z7 _,O? L. - 3 ?
Permk No. Parmit HoWor Daes Tdsphona #
Plumbinp - _ ` • - -
H.VA.C.
ENCtHc
Softenror
Impection Date Insp. Other
Footings I ? V-if7
Foon??.u ,, ' fs /-?3-g6
Foundatlon
Fnming
Roo(Ing
Rouyh Plbp.
Rouph Ntg.
Inaul.
Firoylece
Finel Hty.
Final Plbq.
Finel
COrVOcc.
Water DeKrihe Loeation:
Well
Sewer
pr. Dbp.
F2% SJ.LE UN1TS ,
. J 3630 Pilot Krn
BUILDING PERMIT
To be used tor 1OF 4 PLFX
Site Address 4154 KNOB CI -R
Lot2 Block 1 Sec/Sub.-
Parcel No.
CITY OF EAGAN s
Road, P.O. Box 21-199, Eagan, MN 55121 ?F 2
PHONE: 454-8100
Receipt q ?-
tvalue $69,000 Date MARCH 26iy$6
ZES
=o IName R_ FtARI.nW t SnNR
$ ¢ Address G??
City Phone
t ¢ Name P$R 111AEji.STROM
W
f Z
00 Address SAl'AR
i W City Phone
Iherebyacknowledg tlhavereadthisapplicationandstatethatthe
information is correct an agreeto comply with.all applicable State of
Minnesota Statutes and Clty o agan,Ordinances.
Erect 99 Occupancy Rl
Remodel ? Zoning nn
Repair ? Type of Const. v
Addition ? No. Stories
Move ? Length 2JL_
Demolish ? Depth56-
Int. Impr. ? Sq. Ft.
Install ?
Assessment Permit $ 340.00
Water 8 Sew. Surcharge - . Stl
Police Plan Review 170. iiu
Fire SAC 575.UU
Eng. Water Conn. 50f1 _ p()
Planner Water Meter 61 _ 5 C
Council Road Unit ?,an p('.
Bldg. Off. 21 h Tr. PI. 1 56 00
APC Parks
Signature of Permittee 0'" Var. Date Copies
'??-----? '
Total
A 8uilding Permit is issued (tccE. BAI2LOW 3 SONS on the express condition that
all work shall be done in a qldance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial '
?
h1a7 lff 6 - m -A p-1-4
WrmN No. PMmR MoMm Dale Telsphona N
PlumMe9
H.V.l.C.
ENetrk S' ? O P? C I I (I
son.oa
Inspaction Data Imp. Commenb
FooNnqal ( ? LJ
Footinqs 11 1 1'11D?6 (,J Pj
Foundadon
Framing CP?1A
Roofin9
Rough Plbg. 3
Rough MtQ• 7 6 c? 6'
Insul.
Flrsplace
Final Mty.
Flnal Plbp. (i/ L. i" 7YAL
Bldy. Final ? ? ?Qqy
Corl.Occ.
Dsck F1q.
Dxk Frmy.
Wdl
Pr. DIsP.
F CITY OF EAGAN q n 11
693
c?x siwB??r s ? ?830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - ? C?DO "- ' PHONE• 454-8100
BUtLDING PERMIT Receipt p
Tobeusedtor 1 UF 4 YL'c'.X Estvalue S690OU0 Date I'!ARCH 26 ?y b6
Site Address ?
Lot Z Block
Parcel No.
,o
=U
U<
?
KNt7H CIRELE Erect C? Occupancy Rl
-Sec/Sub. KNOB fiILL OF Remodel ? Zoning pn
EAGA4V Repair ? Type of Const.
Addition ? No. Stories
tiILL ENTERPRIZE5 Move ? Length 21
.{tJUB CIR Demolish ? Depth?
452-1561 Int.lmpr. ? Sq.Ft
hone Install ?
A.RLUW 8 SONS CONST Approvals Fees
Phone
Phone
Assessment.
Water & Sew
Police
Fire
Eng.
Planner
Council
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe 2/19/8
f
information is correct and agree to comply with all applicable State of Bldg. Off.
Minnesota Statutesand/CiEaga Ordin?nces. APC
lia+... Var. Date
' .ir?, c,.
Signature of Permittee '
A Building Permit is issue to: E. BAI2LOW 8 :,t)fvS CONST
all work shall be done in accordance with all applicable State o( Minnesota Sk
Permit $ 340.00
Surcharge 34.50
Plan Review 170.00
SAC 575.00
Water Conn. 500.1310
Water Meter 63.50
Road Unit 290.OU
Tr. PI. 156.00
Parks
Copies? ?. 0 U
Total
on the express condition that
and City o( Eagan Ordinances.
Building Official , ? ^ ' ` -
PamN No. Psrmit HWMr Dnto Tslephom M
Footlnqs 1 11 /1 IgS W 16
Foounys II 11 'Joo1? W g 11 l-13 ` kio c a_ 10 . URouyh Plbp. ;2ffL d.tf ' ?
qouph Mtp. /,vR
FInN Mtp. N
FMd Plbp. -?' ?(o /•
&d4. Fk1il .?.LC ? le /6 ?i-e nn ,./ee
Flg.
Frmy.
Dhp.
_ . ?
t FOR .?'-,ALk: (li+.ITS CITY OF EAGAN r r r
?? CON3G 3830 Pilot Knob Road, P.O. Box21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipta
Tobeusedtor 1 OF 4 PL"r;X Estvalue $69j000 Date b+ARCH 26 .19 86
SiteAddress 4:152 KNUB C.IR Erect ?X Occupancy R 1
Lot2 Block _1 Sec/Sub. RNOB IiZLL OF Remodel ? 2oning pD
Parcel No. EAGAN Repair ? Type of Const. V
Addition ? No. Stories
a rvame iCI3QB EIILL EPJTERPRIZES Move ? Length 21
= Demolish ? Depth 6
oAddress 419'? 7i1nB C IR Int Impr. ? Sq. Ft
t
ciry z•t»P?=`+ Phone 452-1561 insrau ?
a
,o
=U
U<
x
?
F W Name
z
? a Addre
az
W CiN _
I hereby acknowlec
information is corn
Minnesota Statute:
Signature ot Permii
A Building Permit is is:
all work shall be done
Building Official-
read this application and state that the
to complWwith all applicable State of
Fees
Assessment
Water 8 Sew.
Police
Fire
Planner
BIdg.Off. L/lY/tit
APC
Var. Date
Permit $ 340. _
Surcharge 34 . _
Plan Review 170• •-
SAC 575.
. i
Water Conn. 500
Water Meter 63.
Road Unit 290 • u',
Tr. PI. .15 6. U U
Parks
Copies
TOtal $2•129.U0
E. 6IUtLObi S SOIdS CLN: i
on the express condition that
dance with all applicable State of Minnesota Statutes and Ciy of Eagan Ordinances.
3/a) 1?10 ? )"' - 4? + tzAg)
MrmN No. PermN Holdn Dde Tslephons N
PlumblOg
H.V.A.C.
Elechic
So1tMx
Inspscdon DaW Insp• Commenb
Footings I lt? p -
F?d??, ?? Qd W 6 i- 3?? L-
Found?tlon
Freming
RooHnq
Rouqh Plbp.
Rouqh MtQ. C-4 G LIsI f
Ingul.
FIMp18C! .z/ 0 W . . .
Flnal Hty.
Final Pibp.
&dp. Final ? f
Cart. Occ.
Doek Fly.
Deek Frmp.
WNI
Pr. Dbp.
4 .qw.? ? i -,-- 0-0
PERMIT q J 6 ,' 7
?? PLUMBING PERMIT RECEIPT q I
? CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
I Site
Lot.
? Name `
a?
w Address c City Phone
? Name
; Address i- . j ?
O Cib , , . Phone
FEES
' COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - 50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00).
SIGNATURE OF PERMITTEE • BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
-Water Closet - $3.00 $
_Bath Tubs - $3.00
-Lavatory - $3.00 -
r 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
(MINIMUM - 1 PER PERMIn
-SoRener - $5.00
-Well - $10.00
_Private Disp. - $10.00
_Rough Openings - $1.50
FEE:
II STATE S/C: -? =-?
FOR: CITY OF EAGAN GRAND TOTAL•
PLUMBING PERMIT
qTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
CONTRACT PRICE:
Site Addr ss Lot?Block Sec/Sub
4) Name
ig Address•5L,0
c City 1- ,- - Phone
Name
c Address
p City Phone
FEES
COMM/IND FEE - 146 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)
OF PERMITTEE
Res. ?-
MuR
Comm.
Other
WORK DESCRIPTION
New X
Add-on
Repair
NO. FIXTURES
L Water Closet - $3
00
.
I Bath Tubs - $3.00
> ? - 5 / Lavatory - $3.00
_Shower - $3.00
? Kitchen Sink - $3.00
_Urinal/Bidet - $3.00
1 Laundry Tray - $3.00
_
" $??.00 1Floor Drains - $1.50
_
- 20.00 / Water Heater - $1.50
- .50 Whiripool - $3.00
1 Gas Piping Outlets - $1.50
-Softener - $5.00
Well - $10
00
_
.
Private Disp. - $10.00
=
Rough Openings - $1.50
FEE
TOTAL
S . ? ?.
? _. ?.
. ?`
, •ti - t r ?
? ' i . •? C
?
II STATE S/C:
PERMIT # (J o ? ?
RECEIPT Il ?
DATE .5/° L
J G
? ?oc
,S
FOR CITY OF EAGAN GRAND TOTAL• '?- `
PERMIT #
? . ? PLUMBING PERMIT RECEIPT # 6 ?`1
?. . CITY OF EAf?AN {
3836 PIL?T KN08 ROAD, QAGAN, MN 55121 DATE:
:ONTRACT PRICE: PHONE: 454-8100 ?
SiteAddr"s Z/52' ?0)0 b C?i
Lot Btock Sec/Sub
? Name LVel f'/ l"lecl
? AddfeSS :3"c - ri/IrL(L ..)_.
c City Phone 2' '-
Name
c Address V ` h ui' ?L /c-
p Cih, E .? ? Phone 4J _' -1-5 /--,2-
3
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIQJ ATURE 9 PERMITTEE
FOR: CITY OF EAGAN
BLpG. TYPE WORK DESCRIPTION
%&"-
ffes. X New X
Mult Add-on
Comm. Repair
Other
NO. FIXTURES 7OT?AL
`?- Water Closet - $3.00 3 -? $
T-Bath Tubs - $3.00 ?
°2 Lavatory - $3.00
LShower - $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
1-Gas Piping Outlets - $1.50
-Sottener - $5.00
_Well - $10.00
Private Disp. - $10.00 y ?
-7--Rough Openings - $1.50
FEE:
STATE S/C
GRAND TOTAL: ? ? 15()
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
Site Address
lot J /
? Name _
co Address
c City <
Phane
? IN
ame ??,T? ? ?
; Address ?
O City Phone
COMM/IND FEE - 146 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUOM - RESIDENTIAL FEE - $12.00
MINIMUNI - COMM/IND FEE - $20.00
STATE SGRCHARGE PER PERMIT - .50
(ADD $.50S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
PEFiMIT #
RECEIPT q ?y!
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-o?
Comm. Repair
Other
FES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
-Water 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 - $150
_Whirlpool - $3.00
_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
?Softener - $5.00
-Well - $10.00
_Private Disp. - $10.00
_Rough Openings - $1.50
r
.t
SIGNQTURE OF PEiiMITTEE
s. _
FOR: CITY OF EAGAN
FEE:
STATE S/C:
GRAND TOTAL• ?
PERMIT # _
PLUMBIN(3 PERMR RECEIPT # _
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _
PRICE
'I Site Addr?ss ?4
Lot °`` Block
y Name W tvi Zc
?o Address ?3 6 UG
c City
il:3 G
_i /c `k? , BLDG. TYPE
Sec/Sub i ?
es.
Mult
,;F D r • Comm.
?one q=' z'IS &s Other
Name c.u ? c ? ic? ?u ?-; c,
c Address ylc," b
0 City L i1Qu Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
z_
FOR: CITY OF EAGAN
WORK DESCRIPTION
New X
Add-on
Repair
NO. FIXTURES
E" Water Closet - $3
00
?
?OTA'
$
.
? ?
Bath Tubs -$3.00
-
?- Lavatory - $3.00 L ?
? Shower - $3.00
/ Kitchen Sink -$3.00 3 G L
_Urinal/Bidet - $3.00
/ Laundry Tray - $3.00
-
7 Floor Drains - $1.50 ?
-
? Water Heater - $1.50 ?
Whirlpool - $3.00
TGas Piping Outlets - $1.50
/. =
_Softener - $5.00
_Well - $10.00
_Private Disp. - $10.00
_Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL• 22' ? ?%
'
• PERMIT#
PLUMBING PERMIT RECEIPT #
CI7Y OF EAGAN ' -,? c; (
3830
PILOT KNOB ROAD, EAGAN, MN 55721 DATE: ? c
, CONTRACT PRICE PHONE: 454-8100 '
Site Addr?s 2 ? LDG. TYPE WORK DESCRIPTION
'
Lot o` Block Sec/Su
I X
X
Res.
New
m Name Mult Add-on
? Address CC Comm. Repair
"
c Ciryt'
;/Phone Other
& NO. FIXTURES TOTt1L
Name di Water Closet - $3
00 $
3 AddreSS y `/`+? .
Bath Tubs - $3.00 3 ? c
O City Phone 45 a'is (c a- Lavatory -$3.00
-
-
Shower - $3.00
7
?
-
? Kitchen Sink - $3.00 -
FEES
COMM/IND FEE - 146 OF CONTRACT FEE Urinal/Bidet - $3.00
Laundry Tray -$3.00
?'T?
MINIMUM - RESIDENTIAL FEE - $10.00 /
- Floor Drains -$1.50
..
?
MINIMUM - COMM/IND FEE _ 20.00 _Water Heater - $1.50 ?
?
STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES / Gas Piping Outlets -$1.50 ?
BEYOND $1,000.00) _Softener - $5.00
Well - $10
00
/ -
.
PrivatE Disp. - $10.00
Rough Openings - $1.50
SIGMATURE OF,PERMITTEE pEE;
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL• ?`' ??'
TY OF EAGAN NWER SERVlCE PERMR
?30 Pilot Knob Road
0. Box 21199 PERMfT NO.:
gan, MN 55121 DATE:
^i^0: No. of Units:
rner,
ite Address: "
lumber.
qme te aoeooly vdl6 !M Cihr d Esyen ConnscHan Oarpe:
rJiNneN. AccouM Deposit:
Psm-At Faa:
Surcharpe:
V Mise. Chorpes:
ate of Irmp.: Totul:
15P•: Dote Pold:
OF EAGAN
Pilot Knob Road
Box 21199
i, MN !U5121
Reader No.:
I e!'se N pa* v&h fM CNr ei baw
OI'elIMIICN,
By
Dote of Insp.:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zonirg:
Connecrion Chorgs:
AccourM Depoait:
Permit Fee:
Surcharge:
Mlac. CFaryss:
Totol:
Dota Paid:
Irnp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: 4 ' t1n i , , A
Owner: 17. Barlow Fv Sons .
Address:
Sit! AddRSf: t r ? ?_) p
Plumber: q?? ? • ? : ,
MltQf,?lO.:.slS?03 ?. (lll(?.JQ?ii
Slza L .' ?oc K BQf??e??"6 pe
Reader No.:
1 MrM to wmpir Mq6 tM C?hr,p4Mi??1?haro ? d
-
°? - iL
Or/ieenaM. ' ?????? Misc. Chorsps: ?'rL''+_.0.(Jnd 'Pn
By Totol:
- ??
re of I,sp.: Oots PGid:
I
Da ?
I?°..
?,) Z- g(? I
?
CITY OF EAGAN N2 1414 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 0
? ??+e? I ?j?
BUILDING PERMIT Receipt# Q?1
To be used for BASEMENT Est. Value $3 , 000 Date SEPTEMBER 10 ? 9 87
Site Address 4150 KNOB CIR OFFICE USE ONLY
Lot 023 Block 2 Sec/Sub. KNOB HILL OF EAG On Site Sewage _ Occupancy
MWCC System _ Zoning
PafCel No. On Site Well _ Type of Const
CityWater (ACtuaq
oe Name DOUG THOOFT _
(Allowable)
w
Address SAME # of Stories
;
0
City Phone 452-5310 Lengtn
Depth
To[al
S
F
, o Name SAME .
.
Footprint S.F.
? Q Address APPROVALS FEES
? CityPhone Assessments _ Permit $44.50
Water/5ewer _ Surcharge 1.50
W W Name Police _ Plan Review
t z
Jg
Address Fire _ SAC, City
Engr. _ SAC, MWCC
aW City Phone Planner _ WaterConn.
Council _ WaterMeter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
thattheinformationisco ct d agree to comply with all applicable APC _ TreatmentPi
State of Minnesota Sta ute a d City of Eeg n Or ' S. Variance _ Parks
Copies
Signature of Permittee 707AL .00
A Building Permit is issued to: D UG THOOFT on the express condition that
ail work shall be done in accordance with all applica State of M i esptap Statut es and City of Eagan Ordinances.
Building Official
?
CITY OF EAGAN N! 1 4 O 8 4
3830 Pilot Knob Road, P.O. Baur21•199: Eaaan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt# 7 q-?
To be used for FIREPLACE Est. Value $2,500 pate AliGliST 26 " 19 87
Site Address 4150 KNOB CiRCLE
Lot 023 elock 02 Sec/Sub. KNOB HILL OF
Parcel No.
I Name DCIiG THOOFT I
z Address SAME
0 City Phone 452-5310
EAGAN
Name HEAT N GLO FIREPLACES
0
oQ Address 3850 W HWY 13
Ur City B' VILLE Phone 890-0287
¢
w
W
z
a
z
W
Name
City
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
City Water _ (Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit $44.50
Water/Sewer _ Surcharge ] . 50
Police _ Ptan Review
Fire _ SAC, City
Engr. _ SAC, MWCC
Planner _ WaterConn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
thattheinformationisconectandagreetocomplywithallapplicable APC _ 7reatmentPl
State of Minnesota Statutes and City of Eagan Or inan es. Variance _ Parks
Copies
Signature of Permittee It{M 70TAL $!a.(j,.gg_
A Building Permit is issued to: HEAT-N-GLO FIREPLACES on the express condition that
all work shall be done in accordance with all applicabl9_81aAof MinnesotpyStatutes and City of Eagan Ordinance&
Building
.a
FoR sALE UN ITS CITY OF AN N o 11693
. CONDO ' 3830 Rilot Knob Road, P.O. Bo 1-199, Eagan, MN 55121 -
• PHOP6E: 45 100 /
BUILDING PERMIT Receipt #
Tobeusedtor 1 OF 4 PLFX Est.value $69,000 oate MP'RCH 26 1986
SiteAddress 4156 KNOB CIRCLE Erect [J Occupancy R1
Lor' 2 Block 1 Sec/Sub. KNOS HILL OF Remodel ? Zoning PD
Parcel No. EAGAN Repair ? Type ot Const V
Addition ? No. Stories
W Name KNOB HILL ENTERPRIZES Move ? Length 21
3 Address 4194 KNOB CIR Demolish ? Depth 56
°' pily EAGAN phone 452-1561 Instmpr. O Sq. Ft.
o Name E. BARLOW & SONS CONST
0a Address SAME
~ City Phone
~¢ PER DAHLSTROM
? W Name
_ ? Address SAME
41?
a W City Phone
Assessment
WaterSew.
Police
Fire
Eng.
Planner
' Council
;Iherebyacknowle atlhavereadthisapplicationandstatethatthe Bldg.Off. 2/19/$6
• information is co ect a d a e to comply w' ali applicable State of
: Mirtnesota Statut nd i T Eag Ordi n es. APC
?
If,? b? Var. Date
? Signature of Permittee
A euilding Permit is issue to: E. BARLOW & SONS CONST
all,work shall be done in accordance with all applicabl of Minnes ta St
Building Official
Fees
Permit 340.00
Surcharg 34.50
Plan Review 170.00
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290 . 00
Tr. Pi. 156.00
Parks
Copies
. ? 0 0
i
on the express condition that
Ciry of Eagan Ordinances.
FOR SALE UNITS
CITY OF EAGAN
CONDO 3830 Pilot Knob Road, P.O. Boz 21-199, Eagan, MN 55121
Water & Sew.
Police
Fire
PHOPIE:'A54?.•8100 ,f
BUILDING PERMIT Receipta
1 OF 4 PLEX
$69,000 6
MARCH 26
Tobeusedfor Estvalue pa1e _
19
SiteAddress 4154 KNOS CIR Erect ?I Occupancy Rl
Lot 2 elock 1 Sec/Sub. KNOB HILL OF Remodel ? Zoning D
Paroel No. EAGAN Repair ? Type of Const. V
Addition ? No. Stories
Name xNOB HILL ENTERPRIZES Move ? Length 21
1 Address 4194 RNOB CIR Demolish ?
? Depth ?§
0 Int. Impr. Sq. Ft.
Ciry EAGAN phone 452-1561 Install 0
cc
i0
°v<
?
.?
Ua
W W
?Z
U?
x=
Q W
Name E. BARLOW & SONS Appro
Address SAME Assessment
City Phone
Name PER DAHLSTROM
Address SAME
City Phone
I hereby acknowled
information is corre
Minnesota Statutes
Signature of
A Building Permit is issuo
all,work shall be done in
Building Official
1 have read this application and statethatthe
agr to comply ' II applicable State of
I^ Eaga Ordi c s.
b
E. BARLOW & SONS
State
Planner
Council
Bldg. Off. 2/19 /8 6
Var. Date
N° 11692
Fees
Permit
Surcharge
-- 34.50
-
'
r
Plan Review ? Q
SAC
Water Conn. 500.00
Water Meter 63.50
Road Unit 290 . 00
7r. PI. 156.00
Parks
I Copies--$2 7 129----o 0
Total
on the express condition that
Statutes and City of Eagan Ordinances.
FvR SALE UNITS CITY OF EAGAN p
CONDO 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- _ 116 91
PYIPNE: 54-8100
: BUILDING PERMIT Receipt # 1-01 3?-?'
To be used tor 1 OF 4 PLEX Est. Value $ 6 9,0 0 0 Date MARCH 26 1 9 86
Site Address 4152 KNOB CIR Erect OX Occupancy Rl
Lot 2 Block 1 Sec/Sub. KNOB HILL OF Remodel ? Zoning
Parcel No. EAGAN Repair ? Type of Const V
Addition ? No. Stories
¢ Name KIVOB HILL ENTERPRIZES Move ? Length
z Demolisn ? Depth 56
o Address 4194 KNOB CIR
Int. Impc ? Sq. Ft
Ciry EAGAN phone 452-1561 Install ?
=o Name E. BARLOW & SONS CONST Approvals Fees
Address SAME Assessment Permit $ 340.00
? City Phone Water&Sew. Surcharge 1734.50
0.00
i ¢ PER DAHLSTROI?l Police Plan Review
W W Name Fire SAC 575.00
_? address S?E Eng. WaterConn. 500.00
U
a W City Phone Planner Water Meter 63 . 50
290.00
Iherebyacknowledg hatf ve read this application and state that the Council Road Unit gldg.Off. Z?19?86 Tr.PI. 156.?0
information is corr t ree to com with all applicable State oT
Minnesota Statutes n ' y of E gan i ances. APC Parks
Var. Date Copies Tok11 $ 2,12 9. 0 0
Signature of Permitt
A Buildin Permit is iss to: E. BARLOW & SONS CONST
9 on the express condition that
all.work shall be done in ccordance with all applic State of Mi nes t Statutes and City of Eagan Ordinances.
Building Official ? ? .??
FOR SALE UNITS CITY OF EAGAN
CONDO 383'0 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 11690
? FHOi?E: 454-8100
BUILDING PERMIT Receipt# ('40
Tobeusedror 1 OF 4 PLEX est.Value $69,000 oate MARCH 26 1y 86
SiteAddress 4150 KNOB CIR Erect 12? Occupancy Rl
Lot 2 Block 1 Sec/Sub. KNOB HILL OF Remodel ? Zoning PD
Parcel No. EAGAN Repair ? Type ot Const. V
Addition ? No. Stories
W Name KNOB HILL ENTERPRIZES Move ? Length 21
3 Address 4194 KNOB CIR Demolish ? Depth 56 ° ?i EAGAN 452-1561 Int.lmpr. ? Sq. Ft.
ty Phone Install ?
, o Name E. BARLOW & SONS Approvals Fees
? ¢ Address SAIAE
? city Phone 452-1561
Fw
Name PER DAHLSTROM
? ? Address $?E
a W City Phone
Iherebyacknowledgethatlha readthisapplicationandstatethatthe
inTormation is corre a ag to comply with all applicable State of
Minnesota Statutes d i Eaga? Ord)a ces.
Signature of Permittee ?t
A Building Permit is issue o: E. BARLOW & SONS
all work shall be done in accordance with all a? b tate of Minn sQ
/
Building Official d
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. 2/19 / 8 6
APC
Var. Date
Permit 340.00
-
-
Surcharge 3
4
. 5 0
Plan Fieview
SAC 0 0
57
Water Conn. 500.00
Water Meter 63 . 50
Road Unit 290.00
Tr. PI. 156.00
Copies0 0
-- '
on the express condition that
Ciry ot Eagan Ordinances.
CITY OF EAGAN nJ°_ 1 1 18 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ?
BUILDING PERMIT 11 ;
Rec eipt #
Te M wed Fu FOUNDATION Est. Value pOfe OCTOBER 28 I y 85
Site Address 4150, 52, 54, 56 KNOB CIR ' Erect 91 Occupancy
Lot 2 Block 1 Sec/Sub. KNOB HILL OF EA(Q*Wel 0 2oniny
Parcel No Repair ? Type of Canst.
. Additfon ? No. Stories
KNOB HILL ENTERPRIZES iNove ? Length
? Name ?
R Demolish pepth
; Address Int
r
lm ?
? .
.
p Sq. Ft.
City Phone Install 0
w E. BARLOW & SONS
o Name
SA?'IE
?? Address
? City phone
a
F W Name
03 Address
U
t W City Phone
1 hereby acknowledga that I ho e read this application and state thot
fhe information is correct d gr to comply with clll opplicable
Smte of Minnesota Stotut s a of E gan Ordi ces. ?
Sipnoture of Pertnittee a
A Building Pertnit ia issued of E. BA12T,OW & SO
all work shatl be done in nc ordance witfi'pll oodlicable State
Assessment
Woter 8 Sew.
Police
Fire
Eng.
Plonner
Countil
Bldg. Off. 1 O I2 3I &
APC
v,. D
Permit i'J
Suroharge _
Plan Review
SAC
Water Conn.
Weter Meter
Road Unit
Tc PI.
Parks
ate copies
I Total 15.00
on the express condition thot
Statutea ond City of Ea9Cn Ordinonces.
Faei
Building Officiol
4# •l )-%IO REQUEST FOR ELECTRICAL iNSPECTION ,r-,. 6ee-00001:04
' See instruc[ions for completing ;his form on back of yellow copy.
?'
? ?? 63 " X" Below Work Coveied by This Requesi
AAd Type oi Building Appliances Wired PquiVmenc Wired
g ' Nome Range Temporary Service
Duplex Water Heater X Lighting Fixtures
Apt. Building Dryer Electric HeaUn
Commercial Bldg. g Furnace Silo Unloader
Industrial Bldg. Afr Conditioner Bulk Milk Tank
Farm X otne, veci v Dishw s e tner.(sveciry)
ther uecify X Ot er d1S OSH?. Other
ompute Inspecrion Fee Below
# Fee ServiCe EntrBnce Si28 k fee Feeders/Snbfeeders - ri Fe¢ Circuits
120OU 0 to 200 Am s 0 to 30 Am s • 0? a to 30 Am s
Above 200 Amps 31 to 100 Amps 31 to 100 Am s
Swinuning Pool Above 100_Amps Above 100_Amps
Transformers Irngation Booms .50 Partial;'Oth Fee
Signs Special lnspection
$ ?
T
1
Remarks .50 OTAL F 11,0
er-1 -j / .
Rough-in - D 'e
?, tha Elect ?cal
r Inspector, he
if
h
Final y t
cert
el the above
insDection has bean
? made.
This request vold 18 months from
This requesc void
18 months irom Lki I !?O
1
o) D9 9-5 63 " , 6 i, 1f no b44 /1 o? EA& n n? TSla _
Renuest Date Fire No. Rough-in Inspectfon Required? OReady Nuw:aWill Notifv. InsPec-
3-10-86 Ekyes ?Nn tor When Ready
aLicensed Electrical Contractor I hereby requestinspection of above ? Owner . electrieal work installed at:
Street Address, Box or Route No. City .
4154 Knob Circle Eagan
ection o. 7ownship Name or No. Range No. County
Dakota
OCCUpant IPRINTI Phone No.
Barlvw Builders 452-1561
Power Supplfer Address
D.EA. Farmington, MN 55024
Electrical Cnntractor (Company Name) Contractor's License No.
Corrigan Electric Company 0 39549 8
Mailing Address (Contractor or Owner Making Instaila[ion)
P.l. Box 475, Rosemount, MN 55068
Au
hor zeE Signature (Contractor/ +"' ner Making Insltailation) ' Phone Number
'
I
423-1131
MINNESOTA STATE BOARB'OF ELECTpIGTY X THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey 91da. - Room N.791 BE ACCEPTED BY THE STATE BOqRD
1821 University Ave., St. Paul, MN 55104 v UNLESS PROPEH INSPECTION FEE IS
Phone (812) 297_2717 ENCIOSED.
nts revuest void ? (oD
nths from
e. ?--
Renuest Dale
Fire . Rough-in InsVection
Required?
oReady Now 9 WiII Notify InsPec-
3-10-86 ?Yes ?No tor When Ready
S?i? 1 icennPd Flcrtrical Cnm
•", i,. -I
? Owner ?
9?
0 ne1BOy 'tlyuve? inayn??r??? ?? auuvn
electrical work installed at: W[, ?s -
.*
Street AdAress, Box or Route No. City
4156 Knob Circle Eagan
ecuon o. Township Name or No. Range No. Counry
k
ota
Da
Occupant (PRINT) Phone No.
Barlow Builders 452-1561
Power Supplier Address -
° D.E.A. Farmington, MN 55024
flecVical Contractor (Company Name) Contractor's Lice nse No.
Corrigan Electric Company 0 39549 8 "
Mailing Address (Contractor or Owner Makin9 Instailation)
P.O. Box 475, Rosemount, MN 55068
ed Signature (Contractor/Owner Making (nstallation)
, ?
z Phone Number
t"c
,? ?
?•?.. 423
-1131
1
MINNESOTp STATE BO ?OF ELECTRICITY ?
Grie95-Midwey Bldg. - Room N-191
1821 University Ave., St. Paul, MN 55104
Phone (612) 297-2111
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BV THE STqTE BOAND
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
(,4 REQUEST FOR ELECTRICAL INSPECTION „ ea-ooooi-oa
' See instructions for completing this form on hack of Vellow copy.
c?--
gq. ? "'X" 8elow Work Covered by This Request
N Ad Rep. Type of Buiiding - Appliances Wirad Equipment Wired
x Home Range Temporary Service
-? Duplex Water Heater X Liyhtiny Fixtures
Apt. 8uilding Dryer Electric Heatin
Commercial Bldg. xx Fumace Silo Unloader
Industrial 81dg. Air Conditioner Bulk Milk Tenk
Farmxx ?ther Pec, f? T)i GhWa1;hP7• othP? IsoecirYl
(-mmr)uta lncnortinn Fan Halnui M Fee Service EntranceSize N 'Fee Fenders/Subteeders b Fee Circuits
1 10.00 0 to 200 qm s D to 30 qm s 1 25.0 0 to 30 Am s
Above 200 Amps 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100-Amps Above 100_Am '
Transformers IrrTgation Booms - .5 Partial-"Other Fee
aigns apeciaiinspecuon $
Remarks 35.50 TOTAL F )?P
6 ?
flough-in Date(; 1, the Electriea
C.r?Y..?.40 Inspector, here6y
? certify that the above
Final Date inspection has been
° 7-;?_? de.
Thie request void 18 monihs from
,sTrom 7'? O -?? .• , ?a O
??a /
o
? 95c?? ?? eA 1. ? H -
Re.quest Date
- ?.'?
r
1 Fire No. Rouph-in Inspection
Required?
-
?R dy Now?[WiII Notify, InsPec-
3-10-86 Ev?s ?No tur When Ready
91 Licensed Elec[rical Contractor 1 hereby request insvection?oT above ? Owner electrical work installed atStreet Address, Box or Route No. . City 4152 Knob Circle Eagan
ection o.
Township Name or No. -
Range No.
County
?
1 Dakota
Occupant(PRINT) Phone No,
, Barlow Builders 452-1561
Power Supplier Address
D.E.A. Farmington, MN
Electrical Cnntracmr (Company Name) Contractor's License No.
Corrigan Electric Company 0 39549 8
Mailing Address (Contractor or Owner Making Instailation)
P.O.Box 475, Rosemount*, MN 55068
Autho zed Sienature (Contractor/Owner Making Installation) Phone Number
4
MINN OTq STATE BOA Of ELECTRICITY T
Griggs-Midway Bldg. - oom N-191 ?
7821 Univarsity Ave., St. Paul, MN 55104
Phona 16121 297-2171
REQUEST FOR ELECTRICAL INSPECTION „ ee-00001 -od
See instructions for completing 6his form on baek of yeliow copy.
If I "X" Below Work Covered by 7his Request
New tl Type ot 8uilding Appliantas Wired ' Equipment Wired
x . Home flange . Temporary Service
Duplex Water Heater g Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. X Fumace Silo Unloader
Industrial Bidg. Air Conditioner 8ulk Milk Tank
Farm X Other pec, v 1S W3S 0T ther (SUecify)
t er Succify X Other d1S 0531 Other
Compute lnspection Fee Below
M Fea •Sarvice EntranceSize # Fee Feeders/Subieeders # Fee Circuits
0 to 200 Am s 0 ta 30 Am s 0 to 30 Am s
Above 200 ?Am ps 31 to 100 Amps 31 to 100 q g
Swimming Pool Above 100_Amps Ahove 100_Amps
Transtormer$ irrigation Booms ,50 Partial-'Other F
Signs Speciallnspection $
G
?
TOTAL
Remarks
4.5
?E
? _ I _ 1 %(/•• j
Rough-in Date
I, the Ele
Insvector, here6y
lif
1h
t th
b
final R ? r
De 35t cer
a
e a
ove
v
i spection has been
d
( ma
e.
fhis request void 18 monihs Irom !-, , ` . ° "' f " -f• `-_?
REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os
, See instruetions lor compleling this form on hack ot yellow copy.
E ???589 ""X" Below Work Covered by 7hls Request
AAd Rep. Type ol Building Appliantes Wired Equipmenl Wired
Home Range Ternporery Service
Duplex Water Heater Liyhtin,y Fixtures
Apt. Building Dryer Electric Heatin
Cominercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Omer Soe<.ify Oihcr ISi?enfvl
( P1 SUFCISy OIhCf O1r1(?f
ComAUte lnspeciion Fee 8elow
p Fee Service Entrante Size q Fea Feeders/5ubteeders N Fee Circuits
(1 to 200 Am s 0 to 30 Am s 0 to 30 Am s
? Above 200 qmp5, 31 to 100 Arnps 31 to 100 Am s
Swinvning Pool Above 100-Amps Above 100_Amps
Transformers Irrigation Boorc?s Partial.'Other Fee
Signs Speciai Inspection 5 a
O
AL E
Rertuiks
n 1] ,? /i 7 ?U i
iU wni ru I
/V /
floueh-in Oate
lectrical
Inspector, hereby
tertiiy thnt the abpve
Final }'? inspection has 6een
51 ?? made.
Thie request void 18 monihs fran
.. Il lO?{?15 ffOT e? 0 ? /
E 3 71 8 9 ? 'YL
?? ?611 °°
RequeSt-6frt3 ? I I Fire N. RouPh-in InsU t?on yyy???
Requfred? Ready Now ? WiII Notify. InsDec-
? s ?Ves No tor When Ready
Licensed Elec[ncal Contractor I here6y Iuest inspection of above
Owner electncal work installed at:
Street AAdress, 9ox or Route No.
S'U X
4 l
h LrCCc Citv
? ?
.
n b
) ,
Actio?? o.
_ TownshiD Name or No. RanBe o. Coujnt?y ?.J?
iJLW 1 A-'
Occupnn[ (PRINT) Phone Nn.
Power Supplier •
"-{a- Ek, Address
Fa r m i n-Fv r?
Elecbical Contracmr (Companv Name)
A
'
1
E(
4
' Co ractm's License No.
4 - ?-
o 4 l 06-
) e
r,
rY)
,e?
c
5 4
Mailing AdJress (Contractor or Owner Making Instailation)
a203,;? Ln ek- Of. &nno? fi'eA,
Authorized Sig ature (Contracto wner Makina iistallatinn)
kAA-i Phone Number
MINNESOTA STATE BOARD OF ELEC 11qICITV TMIS INSPECTION qEQUEST WIIL NOT
Griggs-Midway Bldg. - Noom N-191 BE ACCEPTED BY THE STATE BOAND
7827 Universitv Ave.. St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
e1- ___?c?e?ewo nonn ENCLOSED.
Ip -g ` REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa
' See instructions for comDleting?this Torm on back ot Yellow copy.
o n qq;Rl "X'- Below Work Covered by 7his Request
Nev4 Addj Rep. Type oT Building Applianeas Wired Equipmen[ Wired
g Home Range Temporary Service
Duplex Water Heater g Lightin,y Fixtures
Apt. Building Dryer Eiectric Heatin
- Commercial Bldg. X Furnace Silo Unloeder
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Othrr Spec, Y niRhGlaChaY iher ISpeci(y)
tion
p Fee Service EntrencBSiza k Fee Feeder5/5ubfeeders tl Fee Circuitg
0 to200qm s 0 to30Am s 1 Q 0 to30Am s
Above 200 Amps? 37 to 100 qmps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transiormers Irrigation Booms Partial-'Ot ee
? I [Signs ' I ISpeciallnspection
Remarks , ??.?`? TOTAL ?
/
RouBn-in Date 1. the Elec al
? Inspector, hereby
certit
that the a6
v
Final (.
?'„= /?7 y
o
e
inspection has been
?? "? made.
Thie request void 18 months trom
5-?p9 9 5 61 ? La bb ? . ' /n"ob •lJ o?f ?d?,? ?' gs
Req1tesj,Datg,.
6 Fire No. Rouph-in Inspection
R uired?
?Heady Now ? Will NotifY. Inspec-
3-10-
8 ?Vus ?No tor When Ready
0 Llcensed Electrical Coniractor - I hereby request inspection oi above - -
Q Owner electrical work installed at:
Street Address, Boz or Route No. Cfty .
4150 Knob Circle Eagan
ection o. Township Name or No. Range No. County
- Dakota
Occupant IPqINT1 Phone No.
Barlow Builders 452=1561
Power Supplier . Addmss
DEA Farmington, MN
Electrical Contractor (Company Name) Contractor's License No.
Corrigan Electric Company 0 39549 8
ailing Address (Contractor or Owner Makine Instailation)
P.O. Box 475, Rosemount, MN 55068
Auth raed Signature 1?C0ntra?yo?r Ow?ner yakiny Instailation)
8_V'X' ) % : Phone Number
423-1131
?
MINNESOTp STATE BJOARD OF ELECTRIGT?Y` THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - floom N•791 BE ACCEPTED BY THE STqTE BOAHD
7821 Univergity Ave., St. Paul, MN 55104? UNLESS PROPEfl INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTlON EB-00007-04
, See instructions }or completirg this form on 6ack ot yetiow copy. w 77/?
-C-44 36 5' .* BeJow Work Covered by This Requesi
Rdd Rep. Type of 8uilEing Appliancea Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtu(es
Apt. Building Dryer Electric HeaLn
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Buik Milk Tank
Farm Other Deci y iherl5per,iiyl
t er Specify plhrr Qiher
Compute lnspection Fee Below
p Fee Service EntranceSize p Fee Feaders/Su6leedar5 # Fee Circuits
0to200qm s 0 to30qm s Oto 30Am s
Above 200 qmpy 31 to 700 Ainps 31 to 100 Am
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation t3oonts PartiaL'Other Fee
Signs ec
I Inspection g+? 5 T
?
?
Rertt?rks ??.
°? OTAL
1lS
Rough-in • Dale the Ele ice
.
/ 9,14 7 nspector, hereby
certify that tha above
Final ( Date inspection has been
? made.
mis reouesl void 18 months irom -----..._--.- k^
_..?nth5 ttom
?. C 44365!c?? e12.??..?_
Request Uate
? Fire No. Rouph-in InsU stion
Requ4ed?
Ready Now Q Will Notify. InsPec-
'
?Yes ?No tor When Ready
? Licensed Electrical Contractor I hereby request inspection of above
? Owner electrical work installed at:
Street Address, Box or Route No. Ciiy
415 Kn a b 0_1u-?-4'
ection o. Township Name or No. Range No. County
?? 5- Irs I ae',
Occupnnt (PRINT) Phone No.
Power Supplier Address
Electrical Contrecror (Company Name) Coniractor's License No.
f kc-?se_? ? [l?"? .
Mailing AddressN Contractor or Owner Making Instailatlon)
& f O no c-t' lu ` a ar, MN (v?L_
Autliorize Signature (Contr
LOr/Owner Making Ins[altation) Phone Number
\
MINNESOTq STpTE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - floom N-791 BE ACCEPTED BY THE STA7E BOqRD
University Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
NCLOSED.
E
??,1Z) 297-2111
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
; City Of Eagan
, 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
ao qe
New Construdion Reauiremenls
RemodellRepair Reauiremenls __ . . __ ...... .
Clffxe Use ?nlv.
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Gert r,fi ?qrvey cd Y N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 7'ree PresPl? Recd Y N
2 copies of plan showing beam & window siaes; poured found design, etc 1 site survey for additions & decks ?reeF'res Rer?uued i Y, i?
t set of Energy Calculations Addition - indicate if on-site septic system Dn-siis Sepfie ?ysterti :!< Y,.., N
3 copies of Tree Preservation Plan if lot platled afler 111193
Rim Joist Detail Options selection sheel (61dgs with 3 or less units
Date Construction Cost
Site Address 4/0O a ei 2. k,ve 8 /4•% c o-VN 4 ogc fW Unit/Ste #
yCSo y 60 ctmd 14 15-C
Description of Work /L ?i4i 2 /'??Ze Gr/r4L L ???? UeN T
-?
Multi-Family Bldg Z. Y_ N Firepl ace(s) _ 0_ 1 _ 2
mAwl" 4C.
Property Owner Iq' L RA" 5 C?Y*?E
Telephone #( 6 S! )- 5F S q - S?9 7?
Contractor CRA'G7-51Y1CA1 #?/r1F Z,?nA? o vF?7?it/T T nJG
Address 7 fFSS F2A NC=g f} f/ F- S -4"19 SG City 6,D.L A( iQ
State Zip 5-rV3.S Te[ephone # ( 4,S! ) VG V - / Sr6 ln
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Miimesota Rules 7670 CateQOrv 1 _ Mumesota Rules 7672
Energy Code Cafegory • Residential Ventilaiion Category 1 Worksheet . htew Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone F,.
Telephone # I hereby apply for a Residential Building Permit and acknowledge that the informa?g? is complet't-And ac?urate;
that the work will be in conformance with the ordinances and codes of the City o? ag?an-'lanc"??'are of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
S
ia ?,45??
bi4?z51- Jr, SyDcoA/
Applicant's Printed Name Applicant's Signat
OFFICE USE ONLY 0
Sub Types ' ,
? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Muiti Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
X 06 04-plex ? 12. 12-plex Plbg_Y or,_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* A 43 Reroof /L+2Iw/ti ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy j? MCES SYstem
Census Code ? Zoning City Water
SAC Units ? Stories Booster Purnp ?
# of Units Sq. Ft. " PRV
# of Bldgs Length - Fire Sprinklered -'
Type of Const ? Width ^
REQUII2ED INSPECTIONS
Footings (new bldg) FinaUC.O.
_
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC ,
Drain Tile ?. Other 7i20G 2io(°2 14?
_
Roof Ice & Water Final Pool _ Ftgs _ AirlG Tests _ Final
Framing _ Siding _ Stucco _ Stone -Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation Retaining Wall
_
Approved By: , Building Inspector
----- - ------------------------------------------
---- - ---- - -- - ----- - --------
Base Fee " -?U -
Surcharge
Plan Review
MC/ES SAC
Ciiy SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Piant
License Search
Copies
Other
Total
.?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAH
NOTE: ALL CONTRACTURS MU3T BE LICENSED WITH THE CITY OF EAGAN
COMMERCIAL SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 5ET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS
$29000 LANDSCAPE BOND
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: ?L"DATIdi.l Valuation: ? Date: 1d'Z3•85
Site Address 41507??,??6KWoPj ?I?GLE
Lot Z Block I
Parcel/Sub KNOP I'+ILL dF 5+?`?4
Owner LNoB {-}I?L .??.1?(zP212Gj
Address 4 1'94- K?1? CI2.?C..C
City/Zip Code E-?A?,AqN 55122
Phone 452- 15(0)
Contractor 1?. 5eaQLp0 4
Address ?e
City/Zip Code
Phone
Arch./Engr. FE? DAHLST20t-1
Address ?AM G
Erect
Remodel
Repair ^
Addition '-
Move ?
Demolish ?
Int.Impr.
Install T
APPROVALS
Occupancy
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
FEES
Assessments ? Permit
Water/Sewer
" Sureharge
-
Police - Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council ? d Unit
?
Bldg Off/O'?'?' .,?,?' Treatment Pl
APC Parks
Variance Copies
TOTAL
City/Zip Code
I FJ,
Phone #
NOTE:
uN?T 123
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
ALL CONTRACTORS NUST BE LICENSED WITH THE CITY OF EACAN
To Be Used For:Re57dentidl Valuation
Dwelling
Site Address: 116_U &nn.h
667%t ^r6la sN i(L D-f Edy3 rl
Lot: ?= Block ? Sect/Sub
?- Co>,dam?'nlurn #7Co
Parcel !l /0 -4z,?
owner Knob Hill Enterprizes
Address 4194 Knob Circle
city/Zip Code Eagan, Mn. 55122
Phone 452-1561
Contractor E. Barlow and Sons,
address 4194 Knob Circle•
INCLUDE 2 SETS OF PLANS
3 CERTIFI(fATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
$?- Date: 10/ 18/ 85
OFFICE USE ONLY
Erect )C
Remodel
Repair
Enlarge
Move
Demolish
Grade
Occupancy K.1
Zoning PD
Type of Const . 7
ll of Stories
Length Z)
Depth 5c,
Sq Ft
APPROVALS
COnSt.Assessments Permit
Water/Sewer
Police
Fire
Engr
Planner
Council
Surcharge
Plan Review
SAC
Water Conn
Water Meter
Road Unit
3??.
?
?.• -
??5,
G3. ?o
Z9o.
city/2ip Code Eagan, -Mn. 55122
Phone 452-1561
Arch./Engr. Per Dahlstrom
address 4194 Knob Circle
City/Zip Code Eagan, Mn
Phone !i 452-1561
55122
s??15q?
Bldg Off 2,/p g? Parks
APC Treatment Pl 15Ca,
Variance
TOTAL a?O
C?
/
1985 BUILDING PER!!IT APPLICATION - CITY OF EACAN
NOTE: ALL CONTRACTORS lIUST BE LICENSED WITH THE CITY OF EAGAN
U(.1 l T I 22
INCLUDE 2 SETS OF PLANS
, 3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
I o?= 4 ? ??, ?oa
To Be Used For:Residentidl Valuation: $`??'86':Q$ Date: 10/18/85
Dwelling
Site Address: 115z ki66 6&rr-}- 1C no 6"iGL o4
Lot: ? Block ? $ect/Sub
'L ?[Yy?CC a/'I? I? i tt vr? tt. 7
Parcel #
_fCj- 9z?-? -OzO-O/
r-
Owner Knob Hill Enterprizes
Address 4194 Knob Circle
OFFICE U5E ONLY
Erect x
Remodel
Repair
Enlarge
Move
Demolish
Crade
Occupancy V.I
Zoning F ED
Type of Const
!i of Stories
Length 21
Depth
Sq Ft
City/Zip code Ea gan, Mn. 55122 _______________ _____________ _______
Phone 452-1561 APPROVALS
Contractor E. Barlow and Sons, Const.Assessments _ Permit 340,
Address 4194 Knob Cil^cle Water/Sewer Surcharge '36-, 5-°
Police Plan Review ?"7 p,
City/Zip Code Eagan, •Mn. 55122 Fire
Engr SAC
Water Conn 5; -7 j ,
SOp.
Phone 452-1561 Planner Water Meter (03.-5'>
Council Road Unit 2C) 0.
Arch./Engr, Per Dah1St1^Om Bldg Off 2-i9-?? Parks
APC Treatment Pl
address 4194 Knob Circle Variance
TOTAL ?
City/zip Code Eagan, Mn. 55122
Phone ll 452-1561
?
?
1985 HUILDING PERMIT APPLICATIUN - CITY OF EAGAN
NOTE: ALL CONTRACTORS HUST BE LICENSED WITH THE CITY OF EAGAN
T 121
INCLUDE 2 SETS OF PLANS
, 3 CER TIFICATES OF SURVEY
1 c>F 4 1 SET OF ENERGY CALCULATIONS
To Be Used For:Resldent7al Valuatio n: $-5 ?- ;^.vo- Date: 10/18/ 85
Dwelling
Site Address: 07?r,?, j? OFFICE US E ONLY
ni Khab stlr'C? G Ea??an
Lot: 1-0-j- Block I Sect/Sub
' Erect X Occupancy P'.1
Z C
n-y?douv?%n?'uvy> # 7fp
z Remodel Zoning p
Parcel # 4G -?
z snn -Qz.o -G / Repair _ Type of Const 77
Owner Knob Hill Enterprizes Enlarge
Move p of Stories
L
_ ength 21
Address 4194 Knob Circle Demolish Depth 5L?
Grade Sq Ft
City/Zip code Ea gan, Mn. 55122 _______________ ______________ ______
Phone 4 5 2- 15 61 APPROVALS
Contractor E. BaY'low and Sons, ConSt .pssessments Permit 340,
Address 4194 Knob Ci rcl e Water/3ewer Surcharge 34.?
Police Plan Review
City/Zip Code Eagdn, •Mn. 55122 Fire
Engr SAC
Water Conn 5?5,
5ot?.
Phone 452-1561 Planner Water Meter
Council Road Unit 290.
Arch./Engr. Per Dahlstrom Bldg Off -zy
y..&
APC
parks
Treatment Pl ISCo.
Address 4194 Knob Circle
Variance
TOTAL ?
ca I a
City/Zip Code Eagan, Mn. 55122
Phone !1 452-1561
?J
1987 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SETS OF PL6NS, 3 CERTIFIC6TES OF SIIRVEY, 1 SET OF ENERGY CALCQLATIOgS
NOTE: 9DDRESSES FOE CORNER LOTS - CUNTRACTOR/HOME041NER MDST DESIGAATE WHICH 6DDRBSS
IS DFSIRED. NO CAANGFS WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSIIED.
MOLTIPLE DWELLINGS - RESIDENTIAL RENTAL [1HITS FOR SALE [JNIYS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQItVEY - CIiECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMNISRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STROCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$29000 LANDSCAPE BOND
s LjPj61(To Be Used For: aluation: 0-2Date: 147
Site Address Lf/50 A^A16R OFF
Lot Block Dv?- On Site Sewage
? - ?( _?„ // MWCC System _
Parcel/Sub 1'?? On Site Well
Owner ?/?//YI ? 4?_t ` City Water
Address
City/Zip Code
Phone
Contraetor
Address
City/Zip Code D/,c&tiSUlLC:F
Phone oo -/)- z lJ 7/
Arch./Engr.
Address
City/Zip Code
APPROYALS
Oecupancy
Zoning
Type of Const
(Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
E'ELS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off 2c,-
APC
Varianee
Permit
Surcharge
Plan Review
SAC, City
sac, Mwcc
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
.S
1.50
b?
Phone #
? . 1 ?.
1987 BDILDING PERMiT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SEPS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 5ET OF ENERGY CALCQI.ATIONS
NaTE: ADDRESSES FOE CORNEE LOTS - CONTR9CTOR/HOMEOHNER MUST DESIGAiATS WHICH ADDEESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE SQILDING PERMIT IS ISSIIED.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL QNITS FOR SALE iIIldITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRYEY - CHECK WITH BLDG. DBPT.,
1 SET OF ENERGY CALCULATIONS '
COhIlMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS9
$29000 LANDSCAPE BOND
To Be Used For: Valuation: 3DDQ =O Date: 7
Site Address s? !S (? ?r??S?r, c+ ; Cc LR
Lot 0 o?3Bloek ?
Parcel/Sub CA-p-,
Address 'ymo_ rnc?1? C , (`c\e
City/Zip Code /Nf0 tc? 14 Z
On Site Sewage_
MWCC System `
On Site Well _
City Water _
Phone APPROYALS
Contractor o w
Address ? 0
City/Zip Code A-S
Phone A
Areh./Engr.
Address
City/Zip Code
,
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg Off ?J g
APC
Variance
Oecupaney ?''-3
Zoning
Type of Const
(Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
Fh'ES
Permit
Sureharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
4f N, SO
SD
Phone #
\! kl. Lk ,a?vvmj
32 xzz=???r
t +?A
; .
-?- ;?
a? .
x 3/S? = 211 Z
d? ?`' ?
a--2007 RESIDENTIAL PLUMBING PERmIT aPPLIc,aTioN
C1TY OF EAGAN
3830 PiLOT'KNOS FtOAD, EAGAN MN 55122
651-675-5675
Please compfete for modificatians to existinq residen#iai dwellinGs
Date ? / 07
S9te Street Address 1` :?- v, Unit # ?
Property Owner I ?TC <",c. K64 Tetephone # (4s? } YSc? ' `I?S7 h
Contractor 7. A sg; Telephone#
Address 41,6115-i 'L;.`, City lz +rt?1..,0?§ State.?Vd°ii` Zip ;''TS'C%?,q ?
? The Appficant is: _ Owner & Occupant 14 Lscensed Plumbing Contractor
Sepfic System _ New _ Refurbished Submit 2 seTs of plans and MPC license ? includes Coun[y fee
$ 100A(3
?
Peras-buitt $ 90.Ot3
r Fire Repair (rep9ace bumed out fixtures, etc.) ? $ 90.00
This fse a lies when sxtensive iumbin re airs are tnade to a buildin . ?
? Alteratians to existing dweliing s `
? $ 50.Q0
Add plumbing fixtures to main level lawer ?eve1. This fee includes
w? T installation of a water softener ancilor water heater at fhe same time. !f you are '
?
insfaitr'ng onfv a water softener and/or water heater, do not complete this section; 1
move to the next sectifln and place a checkmark next to ihe appiiance{s} you are i
instalidng. ¢
E
_Septic System Rbandonment
?
_Water Turnaround (add $136.00 if a 5f8" meter is required) k
?
Other:
Water Sof#ener ? Water Heater ? $ 15.00
new repiacemenf ?
_
Lawn {rrigation _RPZ _P'VB _nerRV -repair _rebuiid $ 30.00 ?
s
State 5urcharge ?
$ 501 "
Total ? s
I hereby apply for a Residential Plurnb+ng Permif and acknowledge thai the infarmafion is complete and accura#e; fhat the
work wi81 be ira conformance with the ordinances and codes of the City af Eagan and the piumbing codes; thaf I
undersiand this is naf a permit, but oniy an appfication for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the eveRt a pdan is required ta be reviewed and approved.
Applicant's Printed Name Applicant's Signa#ure
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122 1 Q-
A 651-681-4675
AJIC.
Reauirements
? 2 copies of plan
DATE: 10 1510 C-) CONSTRUCTION COST: ??-Fs G Z, Q 0
DESCRIPTION OF WORK: ii multi-famiry bldg., how many units?
INDICATE 7HE FOtLOWING EQUOPA96M TO BE REPLACED .4ND BY WFdOAA:
Plumbing , Homeowner gg Contractor Name
? Mechanical _ Homeowner gq Contractor Name e..? lo_b
`*Note: If somebody other than the homeowner is pertorming plumbing or mechanical work, they must applyforappropriate
permit. Only licensed plumbing contractor or homeowner may complete plumbing work.
/ 2 Z
STREET ADDRESS: !55
LOT: ?-- BLOCK: ? SUBD./P.I.D. #: 5- V\b?)
Name: rna ? Pnone #: G I
PROPERTY Last Arst
OWNER
Street Address:
City State: _n2fJ Zip:
Company: :R C;L?? NG? ? Phone #: G51 42.3--&5Z.(_0
(area code)
CONTRACTOR
Sireet Address ;?.LQ.c.o rs License # Exp.
Ciiy State_ O'v? Zip: ?Z(aL?,?
oc T i ti,
?
BY.
I hereby acknowiedge that I have read ihis application, staie that the infortnation is correct, and agree to compty with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE OPILY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bidg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Demolition permit - Give PCA handout to applicant
GENERAL INFORMATION
# of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
CITY OF EAGAN
AFPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*R7I'?: PAYMFWOF FEE AT Z12C pF
APPLICAWON mES Wr C=7==
APPROVAL OF PEE2NII'r. . ...
nasPEMoN oF sEWM AND/Ca vuaEt
I MILATTOrrs waa. rmr BE- ScHED-
tTLID UNTIL PERhffT HAS BE321 `
APPROVID. '
? :.
- - . ?*v*******************:*,rdtirx?,t***ir,r,
P - ase Print
,? 1) PROPERTY ADDRESS: ?f/yL? j ZI5 ?? ??
a f ? ...
LEGAL DESCRIpTION:
_ Lot B1 ck Sub iv sion o Tax Parcel ID M. )
; .. .
IF EXffSTING SIRL'CILIRE. DATE OF ORIGINAL BLILDING PgtN1IT ISSUAD]CE:
PRFSENT ZONING/PROPOSID CTSE: (Mon ear --
Q C011,1EtC2AL/RETAIL/OF'F'ICE
Q IAIDL?STRIAL
n INSTIZ'f)TIONAL/GpVII2DAg,'NT
2) 1??
R-1 SIIQGLE FAMILY ? R-2 DLPLEX (Ztvo Lnits)
?f R-3 TOWNfiOUSE (Three f Units) ( y ihtits)
R-4 APARTMENT/CODIDOMINIUIK ( Units )
NAME:
ADDRESS:_
CITY, STATE, ZIP:
PHONE:
• 3) ?- -
NAME'- ? ' ?:a?PNI7Ft Ni .HANICAL
?
. ?DRES5 : 3800 KEiVNE6EC Osit4E, EAGAN, 411NN. 55122 452
i CITY. STATE. ZIP:
PHONE: MASTER LICENSE# 001445M2
: 4) •• • i?•
ADDRESS: .
CITY. STATE. ZIP:
PHONE: .
? -
Plisnbers License:
ACtiVe'
F?cpired
Not recorded
St Irutiel
5) . '` ? r ' ?' : a • y• -
?j mNrEcrzorr T6 czTy sEwm CM corrNEacrzorr To CIT^r wAmER d oTHER ,.- . .
6) ?? •?" [? PLEA,SE HOLD APPROVID PERMZT FbR PICK-UP BY ONE OF ABOVE -:._._.._...--
Q PLEASE MAIL APPROVF.D PERMIT TO 1, 2, r3,? ¢, ABpVE •
(Circle one )
7) 1%, i ) - , - ?
FOR CITY USE ONLY
PERMIT # ISSUED
T3 v Z- 7 7 ? _ -I
Pd w/Bldg. Permit FEES:
$ $_ /61 - S b
$
=e?o $
$ $
$ $
$ $
$ $
(` C? cf% $
o /?
' $
$ $
$ $
$ $ ,
$ $
$ $
$ $
S
?
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SIIRCHARGE)
WATER METER/COPPERHORN/OLiTS2DE READER
WATER TAP (INCLLDE CORPORATION STOP)
SEWER TAP
ACCOUNZ' DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC '
SAC
TRLNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
d -2_
RECEIPT RECEIPT ?DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC
Q ROADWAY" ML?ST BE ISSC?ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SLBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
. .' ??
??
IV" ,
?
NQTE:
Oht ( I I20
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
To Be Used For:Residentldl Valuation:
Dwelling
Site Address: IM6 K?-jch
?- t"i s) 0"6 ¢liGL 0?' Ea? a?
Lot: 4_1? Block Sect/Sub
Z C_'o r, 6
Parcel It j.(
owner Knob Hill Enterprizes
Address 4194 Knob Circle
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
6?117,0010
$5-1-,M -."-Date: 10/ 18/ 85
OFFICE USE ONLY
Erect X Oceupancy fz.
Remodel _ Zoning p p
Repair _ Type of Const
Enlarge li of Stories
Move ? Length 2f
Demolish _ Depth 5 ?
Grade Sq Ft
City/zip code Eagan, Mn. 55122 __________
-------------
-------
Phone 452-1561 APPROVALS
Contractor E. Barlow dnd 5on5, ConSt.Assessments_ Permit 340.
Address 4194 Knob Circle Water/Sewer
- Surcharge
? '
Police Plan Review 1-70,
City/Zip Code Eagan, -Mn. 55122 Fire
Engr SAC
Water Conn 5'7S-
Sop.
Phone 452-1561 Planner Water Meter
Council Road Ilnit 2q0.
Bldg Off 2 6 Parks
Arch./Engr. Pet^ Dafllstl^om APC Treatment Pl !$(o.
Address 4194 Knob Ci rc 1 e Variance `? / ?
?
ToTAL -
City/Zip Code Eagan, Mn. 55122 '
Phone 11 452-1561
\
?
?.
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use ~j
; Permit
City of EaRd 15
I Permit Fee:
3830 Pilot Knob Road I i3 I
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675 I f1
Fax: (651) 675-5694 I Staff: V, I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I Site Address: q0- l 4 Unit
I Name: Al Phone:
Resident/ v,3~ C r FC v1 AM ►J 4_U 2 Z
Owner ~ Address / City / Zip: ~ t"
Applicant is: Owner `V Contractor
Description of work: P\", '
Type of Work i
j Construction Cost: 171 (.Q DO Multi-Family Building: (Yes //No
)
i Company: Contact: L~ 3` 3 ~3
II L tom -drag -10 L ~
Contractor Address: :D36 i) 77 t.~ City:
State: Zip: l~- Phone: % - e 7-x{777
' License Lead Certificate
certification, please explain why: (see Page 3 for additional informati/on)~
If the project is :7 mpt from lead
I ~t lam' Cl` ~ V\ V d~~ J L fiC~ ~Dw' , 'il 1 ,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
j the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www._qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x W a VV%_
X
Applicant's PriAted Name ure
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