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4276 Maclaren Pl Use BLUE or BLACK Ink F o r Office Use. City of Ea Rd ~ I Perm it#: C~ I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /0 Site Address: ZG -v /.;rr -G- r~ Tenant: Suite RESIDENT/ OWNER Name: Phone: C~a Address / City / Zip: 4~z --7-4 "111J",ti / ~*-c-r-- Applicant is: Owner X Contractor TYPE OF WORK 4 Description ofwork:,,,&~~Is-,^~. Construction Cost: Sam `J Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: ~ n Z / 30 City: „0<4e/1 V State: /Zip: 47 X21 Phone:" zZ~ Contact: ;e Email: 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 the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the 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.gopherstateonecall.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. X z " , x Applicant's Printed Name Ap licant's Signature Page 1 of 3 All, DO NOT WRITE BELOW THIS LINE SUB TYPES foundation _ Fireplace _ Porch (3-Season) _ Storm Damage -/Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building" _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION ate Valuation OOD Occupancy At - I MCES System Plan Review olt Code Edition 2467N5$e- SAC Units o_ Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings / Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) final / C.O. Required Footings (Addition) ~inal / No C.O. Required Foundation HVAC Drain Tile Other: /Roof: -Ice & Water -Final Pool: Footings -Air/Gas Tests -Final V/ Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: - Footings - Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review .MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - For Office Use Permit City of Ea a~ I permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: I I 6 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /d Site Address: Tenant: d~~,t u>Soe^ Suite M RESIDENT / OWNER Name: )Phone: Address / City / Zip: `J7- g ,1~~ J~Grti O / a c Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: S'°"Aoo Multi-Family Building: (Yes / No L~_/) CONTRACTOR Name: ,c License Z41- 380. 5^ Address: 1''7x- " 7_41 0 City: State: Iw/U Zip: 04 Phone: contact: e/ iQ Z'),s' Email: w 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 the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the 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.gopherstateonecall.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. Applicant's Printed Name Ap cant's Signature Page 1 of 2 CASH RECEIPT s ?. f ? CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 owre 19 RGCi1V6D FROM AMOUNT $ & DQLLARS +oo ? GASH ? CHECK FOR FUNG CODE AIAOUNT E? Than k u ? 13Y f I White-Payers CopY Yellow-Posting Copy Pink-File CoPY No. PERMIT r w d Biock5-Sec/Sub. NARTEiVSSIi 14P!_A11Q Name w88L81 C:VP15T!(U%:T1VX i?IC ? Address 9401 XYLON 11VE 80 City BL?" Phone 944-76-92 ? Name SAM Ri Addresa Name _ Addresa .? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 Phone 9854 / Receipt # Erect ? Occupancy 2 Remodel Zoning ii1 Repair ? Type of Conat. b Enlarge ? No.Stories Move ? Length Ly. Demolish ? Depth Grode ? Sq. Ft. Install ? Assessment Woter 8 Sew. Police Firo Enp. Plonner Council Permit ! $urchorye _ Plan Review_ SAG Water Conn. Rood Unit I hereby ockrawledfle fhat I hove read this opplication ond state that Bldg. Off. 1 14 8S T.p. the inlormation is correct and ugree to comply with oll opplicoble APC Total ? $fata of Minnewta $tatutes and City of Eogan Ordinonces. Var. Date Sfarwture of PertniMee N Building Permit is iss„ed ro: MaBI.$Y CODISTRdCT20N IIIC on eha express c oll work shall be done in atcordonce with oll applicable State of Minnesoto Starutes and Ciry of Eapan Ordii 8uildinp Offidol Phone - Pwmk No. hrmk Holdw Dob TNepbom i Plumbhp c '? , ? - H.,,A.C. 5? Se E?o ?olo Jj? - Tec,? sofc.n.r Inppeetion Dab Insp. OthM Footinf Foundation Fnmhq ^,? _? ? RooNny Rough PIbF Rough HVA -fW-JF6 4D/l [.i?.i• ?`' ..tuft? Imubtfon Find Mby. Fiml NVAC Find 42?-Y;' "Ne (:wt/Ooe. Wwr Dweribe Loution: Wrll Sfw*r Mr. Dhp. .. . .. , ...•r,c.r, `}y`:' . CITY OF EA i- •=? 3830 Pilot Knob Road, P.O. Box ; PHONE: 454• aUILDING PERMIT To be used for BAISDM FIMSH Est. Value $1,500 Site Address 4278 MACI.ARBN PL Lot 7 Block S SeciSub. NORTNVIEN HEADOW; Parcel No. w Name DAVIll A LAHR o Address ? N PL City Phone 454-0706 , o Name ? Ci.ASSIC B[lILDERS Address 1489 HOL?ON ST 00141 City ST pAUL Phone 642-0128 Ww Name uW '; Address ¢_ a W City Phone I hereby acknowlege that I have read ihis app information is correcl and agree to com ply w Minnesota Statutes andCiry of Eagan Ordininc I ? SignaWre of Permitee _??" tion and state Ihat the all applicable ?tate of t E]Eir C1.ASSIC ! A Building Permit is issued t6: on the express condillon lhat all work shall be done in acapplicable State of Minnesota Statutes and City of Eagan Building Official Eagan, MN 55121 Receipt # n..+., OCT 18 ; .? t846Z , with all OFFICE USE ONLY Occupancy - FEES Zoning - ? 35•? (ACluaq Const - Bldg. Permil (Allowable) - Surcharge ? 1'00 # of Stories - Lenglh _ Plan Review Depth - SAQ Ciry ? S.F. Total - SAC, MCWCC S.F. Footprints - On Site Sewage _ Water Conn On Site Well - Water Meter MWCC Syslem - aca. Deposit ? Ciry Water _ PRV Required _ S/W Permit 9 Booster Pump - SiW Surcharge ? Treatment PI ? APPROVALS Road Unit ? Planner - park Ded. Council C 2.50 ? eia9. on. - opias t; . 5(? ? 3 Variance - TOTAL r , Permit No. Permit Holder Date Telephone # WATER SEV&EF ' PLUMBING AG a*? ?. ?( s 8 °x? ? H.V.A.G ? C i(1 ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framirg Roofing RoughPlbg. Rough Htg. ?G S y^ . Isul. Fireplace Final Htg. Final Plbg. Q Const. Meter Plbg. Inspeclor - Notify Plumber Engr./Plan BIdg.Final 4?c ttD/0 %7?7U?C- Deck Ftg. Deck Final Well Pr. Disp. Receipt MECHANICAL PERMIT Permit No. ?,_,?;_T CITY OF EAGAN Fee fi!l in numbered spaces S/C Type or Print /egibly Tot. 1, Date " 2. Installation Cost 3. Job Address ? ZLot Blk. Tract . .. .. i` . 4. Owner 5. Contractor Phone `?7 6. Address 7. City. State Zip .. 8. Building Type: Residential Commercial 0 Institutional ? 9. Work Description: New a/ Add ? Alter C1 Repair ? , 10. Describe. ,'-?^. ? - : : 'F •:,??, , ` c . Fuel Type .; - 71 No, ?-' Eauioment BTU - M. Ea. Forced Air No. Equiament CFM Ai H dli _ Mfg. r an ng: ; Boilers _ Mfg. _ Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. _ ? i' Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough F inal Inspections: Date Insp._ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 PEFMIT MECHANICAL PERMIT RECEIPT # ? CITY OF EAGAN C 3630 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE: ? PHONE: 454-8100 Site Lot. ffi ? y c .. m c 3 O ? ?- !v d6ress `y s_ ?c? : ,?•; rvc f_.U71 " Yc.r BLDG. TYPE ,Block -T Sec/Sub Res. e.l`ZE.L_ E_G1J{lA)!C l,. Mult Name Address A14jWA_)C_t_ p Comm. - Ciry .=s1!•ia.ti? Phone"S2. /? T- Other _ Name City Phone TYPE OF WORK Forced Air M BTU 8oiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # Other ri!?fALAI'f FEE: TOTAL• WORK DESCRIPTION New Add-on Repair FEES ? RES. HVAC 0-100 M BTU -$24.00 2-- ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMin - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 ? MINIMUM COMMERCIAL FEE - 20.00 ? STATE SURCHARGE PER PERMIT - .50 = (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) ? f2 ?, ry , ? ? SIGNATURE OF PERMITTEE ? ; Z, So FOR: CITY OF EAGAN Receipt PLUMBING PERMIT Permit No. V/ CITY OF EAGAN ?-T Fee. ? Fill in numbered space.s S/C Type or Print legibly Tot. 1. Date 2. Installation Cost I.'7 A oT < a (r 3. Job Address'% )-7? /') C L J1('A"L0t ? Blk.,j Traci f/' -,- ,'- „ 4. Owner 5. Contractor /3/1 tl /it 1?-t / . Phone 6. Address Q / ? ^ ? ? ? (. r t `? ' 7. City??/ (1 fTr( Sf? / State ??/A" Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New k Add 0 Alter ? Repair ? 10. Describe it. No, ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bathtubs Se ticTank = Lavatory p Softner _ Shower Well Kitchen Sink _ Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 a PLUMBING PERMIT For City Use Only ', , •, • '' CITYOFEAGAN PERMIT# CONTRACT. 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# PRICE PHONE 454-5100 DATE: [ Lot nre? L3/ ? Address !W 7(ielac.4 c City Phone Oc Address y, 7Ej r•a- LnrA- !>/... 8 City 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 PER EACH $1,000 OF PERMIT FEE) FOR: BLDG. TYPE WORK DESCRIPTION Fes. _y New Const. Mult. Add-on ?e Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL I Water Closet - $3.00 $ Bath Tubs - $3.00 _ Lavatory - $3.00 _ Shower - $3.00 Kitchen Sink - $3.00 _ UrinaVBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whiripool - $3.00 _ Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT-NEW C!DNST.) Softener - $5.00 Well - $10.00 PrivateDisp. -$10.00 Rough Openings - $1.50 _ U. G. Sprinkler System - $12.00 PERMIT FEE: /?? STATES S/C: 150 GRAND TOTAL: /02 S0 ' INSPECTION RECORD CITY OF EAGAN ' PERMIT TYPE: 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ,t t ?a,{ N f'I . . . , i! i.l' ..; i•PERMIT SUBTYPE: '. I 1 nll?i 1 Ni?i! Permit Number: Date Issued: APPLICANT: „ tt TYPE OF WORK: , i i? I t "?i lttS } { {I f Nf- i9::SH$N.". HT 11 1 f??J ML+::i1?EE aIz r? t I i n N ur c-l al•r }. t NtAttE Permit No. - Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Inap. Comments FOpTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PL6G . FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FlNAL OECK FfG ,1,(r1f-z DECK FINAL ??/ Cirv oF e,aG,aN WATER SERVICE PERMR 3830 Pilot Knob Road P. O.. Box 21199 PERMIT NO.: EaW, MfN' 55121 DATE: Zoning: No. ai Units: Ownar: /lddrcss: Size: . L-11/ly " NR?ae? nia.: 0 9 L aio 71 1syret M oemplr wMh !M City ef Eeyen Orlieanat By DMe of Insp.: 3?13/ l?5 Permit Fee: Surchorge: Misc. Charyes; TotaL• Dute Paid: Insp.: I CITY OF EAGAN SEWER SER.'ICE PERMIT ? 3830 Pilot Knob Road I P. O. Box 211'::9 PERMIT NO.: Eagan, MN 55121 DATE: ? Zoning: 1 No. of Units: ? ? Owner• ;f'-siea ,3 •i:;t ? i Address: 1.7 P5 ;crtl-iie*.a '?eadows Site Address: ` ? Plumber: rsc::m_^ I agre? M eomPy wiN? Nhe Ciry ei Eagae Ordinanees. w Date of Insp.: Connsction Charpe: Account Deposit: V Permit Fee: .?: Surcharpe: Misc. Charpes: Total: Date Paid: CI7Y OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 217'99 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: - No. of Units: ? Owner: .e9i??:7 Ccr?iSt AAd?GSS: Site Address• ,'7; '<flc,.srei: i ?,' cri.:zv#ex, "r_•F?;oirs Plumber: ?el"3ar , AAeter No.: Connection Charge: Size: Actount Deposit: ? -i , Reader No.: Permit Fee: 1'' 1agne M eanPl?r wilM H?e City of Eayan $urcharge: Ordinanew. Misc. Chorges: 1 32. ;1r1 n-i TotcP ??d s.?.,ter BY Dote Paid: Dote of Insp.: I?,; y7•.?.3? ConnedionCharye: a-??ti. , ' Arrnunt D'nrieir• . . .. CITY OF EAGAN Remarks Addition NOR7'HVIEW MEADOWS Lot 7 RIk 5 Parcel 10-52100-070-05 Owner street 4276 MacLAREN PLACE Scate EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1984 76.7$ ;L-." 10 (jl 1 A015345 -1 -8 STREET RESTOR. GRADING SEWER LAT S 1981 15.89. .79 20 11.94 SAN SEW TRUNK 1981 13$.48 6.92 20 103.88 SEWER LATERAL TR W 1984 .275.22 18.3+ 1-8.rJ 1$ 238.54 ? ? SEWER LAT ? ? 1981 22.28 1.48 }:4-+ -mi5 1.88 WATERMAIN W7 1984 70.67 4.71 15 61.2 WATER LATERAL ZJSS SH.G$ 1,24 12.45 ? WATER AREA 1981 138.48 6.92 20 1 ,$$ WATER LAT J3 1982 29.52 I•41 1-:48 20 STORM SEW TRK 1984 392.32 '18,¢b 49-s^"3? ""5 2 .40 STORM SEW LAT DRAINAGE 1984 33.9 339 27.1c) CURB & GUTTER ' SIDEWALK STREET LIGHT Road Unit 280.00 #49055 1-17-85 WATER CONN. 500.00 11 BUILDING PER. #9854 If SAC 525.00 PARK CITY OF EAGAN N0 18462 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 -7 BUILDING P.FRMIT PHONE: 454-8100 Receipt # cd m 1 / To be used for B&MM FjNISI'1 Est. Value $1, 500 Date OCT 18 , 1990 Site Address 4276 MACLAREN PL Lot 7 Block 5 Sec/Sub.NORTHVIEW MEADOW OFFICE USE ONLY PBfCBI NO. Occupancy - FEFS Zoning W Name DAVID A LAHR (Actual) Const _ Bldg. Permit 39. nn o Address ?+276 MACLAREN PL (Allowable) - 1 00 City EAGAN Phone 454-0706 # of Stories . Surcharge - Plan Review Length _ F Name NEW CLASSIC BUILDERS Depth - SAC Cily = Q O AddreSS 1489 HOLTON ST S.F. rotal , - U SAC, MCWCC ? City ST PAirL. Phone 642-0128 S.F. FootpriMS - W l C On Site Sewage er onn a - ?? W Name On Site Well - W l M t ?; Address MwCCSystem a er e er Q= aW City Phone cirywater Accl. Deposit - PRV Required _ S/W Permit I hereby acknowlege that I have read this application and state that the aooster Pump - S/yy Surcharge information is correct and agree to co ply w th all applicable State of Minnesota Slatutes anVity of Ea n O din n s. Treatment PI Signalure of Permitee APPROVALS Road Unit A Building Permit is'ssued t: NEW CLASSIC B IL RS Planner - park Ded. on the express con io that all work shall be done in ac p?rdy^nce with all li a bl St f M Council 2 50 i C pp ca e ate o in esota Statutes and City oi Eagan OTdinances. Bmg. Ofl. . op es _ Building Official ?M4 A,Q,df? nX Variance _ TOTAL 38.50 CITY OF EAGAN N 0- 9 8 5 4 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 DUILDING PERMIT Receipt # - Tk bN wad im SF DWG/GAR Est. Vniue $ 61 ,0 0 0 pate JANUARY 17 , 19$,L 4'276 MACLAREN PLACE Site Address Erect 6a Occupancy R3 NORTHVIEW MEA Lot 7 Black 5 sec/Sub DS Remodel ? Zoning Rl . Repair ? Type of Const. V Parcel No. Enlerge ? No. Stories Move ? Length 4 7 ? Name ?^1ESLEY CONSTRUCTION INC D h ? h D = 9401 XYLON AVE SO emolis ept _4 A ? Address Grade ? Sq. Ft. City BLMTN phone 944-7092 Install ? ? Name SAME ApProvals Fees • F - Address ? City _ ?W ?W Name _ zZ Address Phone City Phone Asseument _ Water 8 Sew. Police Fira Eng. _ Plonner Countil Permit Surchorge -4 () -S 0 Plan Fieview 1 5 R_ 0 Q snc s2r; _n0 Water Conn. S (1(1 (1 p Woter Meter 6-4 ? 0 Rood Unit 980 n p 1 hereby acknowledge that I hcve read this opplicotion and stote that gidg. Off. 1 14 85 T. P 132 _ 00 the inlormation is correct and agree to wmply with oll applicoble APC Total $9_ f1(1 d_ S fl Srote of Minrxsota Stotutesy of Eagon Ordinonces. Var. Date ?? / Sipnoture of Permittee A 8uilding Permir is issued to: WESLEY CONSTRUCTION INC on the express condiHon that all work sholl be done in accordance with all opp' able State nesoto Statutes and City of Eayan Ordinonces. Buildiny Officiol + o ? -ll ? ???S' 7/?/5?.. REQUEST FOR ELECTRICAL INSPECTION „ ee.ooooi.? / , See instructions for completirg this form on 6ack of Yellow copy. t 44345 Ja Below Work Covered by lhis Request AAd Rep. Type of Builtling Appliaocea Wired Equipment Wired Home Range Temporary Service Duplrx Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatm Commercial Bldg. Furnace Silo Unloader Industrial Bldy. Air Conditioner Bulk Milk Tank Farm OLnNr veci v +hc, isnr.r.iryl 1 rr Uecafy Othcr 01her ompute Inspection Fee Below M Fee ServiceEntranceSize q Fae Fer.ders/Subtaeders # Feu Circuits 0 to200Am s 0 to30Am s 0 to30Am s Above 200 qmps? 31 to 100 Amps 31 to 100 A 5 Swimming Pool Above 100_Amps Above 100_Amps Transtormers Irrigation Booms Partial-"Other Fee Signs SUeciai Inspection S TOTAL F Remark ;7U * J Houeh-in D ? e I, the Electrical ?? ? e s !T InSPeclor, hereby certify that the above Final ! Date inspection has been ?? " • de. ??'l . ? r d0 Thfs repuest void 18 monthe Irom This request void 18 mon(hs from . ? 44345/-7?? Rnquest Uatr Fire o. RouPh-in InsVection ?/????? Rr,q?uired? ?Aeady Nuw ? WiII Notify, Insuec- yes ? No r?' to< <'llhen Ready [:1 Licensed Electrical Contractor I hereby requestinspection ot above ROwner electricel work instaliad at: Stjeet Address, Boz or Route No. City 4+;z 746 ?? ct--, ecLOn o. Township Name or No. Ranee o. Count S lo? 4? O O n'? Ac Occupant(PRINT) Phone No. .? lJ -i? Yf1N6s5A 1,411,0 Powe?r. Supplier Address ,4/iKoT.4 E.4€G-r72r,-- ?4 ,? ?? Electrical Contractor (Company N&me) Cnntractor's License No. MailinB A.ddress (Con[racior or Owner MakinB Inst ailation) 4a7L L,o,e, /°?? ? F NrA- s5-Ia.3 Authorized Si ature q tractor/Owner Makine I??stal tion) (Co Phone Number ` n 0 +"?-1 MINNESOTA STATE BOAflD OF ELECTNICITY THIS INSPECTION REQUEST WILI NOT Griggs•Midway Bldg. - Hoom N-197 BE ACCEPTED BV THE STATE BOARD UNLESS PROPEH INSPECTION FEE IS 1621 UniversitV Ave., St. Paul, MN 55104 pk- 16121 297 2111 ENCLOSED. C? 3 35 98 REQ?T FOR ELECTRICAL INSPECTION r yee in3imc?'8ns for completing this form on back of yellow copy. "X" Below Work Covered by This Request Es-00001 -07 ' ew A tl - kep. ?. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer III= Other (Specify) Comm.llndusirial Furnace k Farm Air Conditioner Olher (speay) Contiactor5 Remarks: Compute lnspection Fee Below: ?F Other . Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Abo Amps SIJf1S . Mspector's Use Only: / TO AL Irrigation Booms /J • ? /? ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DiSCONNECTED 1F NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby th Roogn-m Date certify at the above inspection has been made. Finai oatq-7? / OFFICE USE ONLY + This request vold 18 months irom /a-//v''71gC2 ^ ?`\- • " ?y.s ??• C?``???? d3 33598 7 - Request Date ^ Fir o. Rouqh-in Inspection Required? ?Reatly Now ? Will Notrfy Inspecror Wh R d ? O?? ?Ves o en ea y I? licensed contractor IgZwner hereby request inspection of above electrical work at: Job AtltlresS (S?i7reel, Box or Route Na.) 6 A Ciry T?T ` E'2 Section No. 6?? tv Township Name or No. Range No. Coun d? Occupant (PRINT) 64il Phone No, 443-1F-G?c-4 PowerSuppiie?? ? qddre? ? O^h?l Electrical ConiraMOr (Company Name) Contrector5 LlcenSe No. Mailing Atltlress (COntrector o ner Makinq Installation) Authonzetl Sig (Centrattor/0 er Making I alt n) Phone Number MINNESOTA S7ATE BOARD Of ELECTHICI7Y THIS INSPECTION REOUES7 WILL NOT Griggs•Midwey Bldg. - Room S•173 BE ACCEP7ED 6v THE STATE BOARD 1821 Universiy Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTtON FEE IS Phone(612)642-0800 ENCLOSED. This request void `K/?i/P c7 18 n,on(ns rrom ? 6621? ! Aa(* n.u -? r33 ??l? S??- ?enuest uat Fi e No. ??/[7t>) ?lL7 - - - Rouph-in InsUection Requiretl? - - ?-?- Ready Nuw Q Will Notify Inspec- licensed Electrical Contractor rIN _ _ [ . .... wti_.. .. ???y 9zOwner I hereby request inspection af above Street Address, eox or Route No. electrical work installed at: `f ? 76 i"1?:?. f ??e C ity F-? ?.?-, ecuon o. Township Name or No. ?'r?i--lv flange No. , Count OccuGent IPRINT) Q / Phone No. . ? J P ower Supplier Address r r-G(h'''1Lk Electrical Contractor (Company Name) Contrnciur's Liccnse Na. -Szlkl? . _. ._.....e ....,.o.,a.. v. u --1 nsta MINNESOTp STqTE 80AflD OF ELECTqICITY Griggs-Midway Hldg. - Xoom N•181 1821 Universitv Ave., St. Paui, MN 55104 'hone (612) 642-0800 `fJ-`( " 07(56 7HIS INSVECTION HEQUEST yyILL NOT BE ACCEPTED BY THE S7qTE BOAHD UNLESS PNOPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-0?0?001 06 .? See instructions lot complxting this form on back o1 yellow copy. [0- 6621 l7 "X" Below Work Covered by Ihis Request aw rAddl Rep] TYPa o} Building ApPliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures ? Apt. Building Dryer Electric Heatin ' Commercial Bidy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm oiner ne?, v otnrr (srn!,:,rv) I r.r SVeeify Ot er Othor omnute lnsoection Fee Below p Fee Service EntrenCeSizB H Fee FePders/$u6feeders # Feo Circuits 0 to 200 Am s 0 to 30 Am ps 0 tn 30 An s Above 200 qmps. 31 to 700 Amps 31 to 100 rAm s Swimming Pool Above 100_Amps Above 100-Amps Transiormers Irriyation Booms Partial."Other Fee Signs Speciai Inspection S TOT FEE flertyrks 9 ? n /Y Rough-in Date! I, th Eiectric 10 Insvec e,e6y cerlity thel the nbove Final ' e inspection has 6een made. Thls requeal void 18 months Irom p1-REQUEST FOR ELECTRICAL INSPECTION . EB'9000I1 -04? ..: ? See instrucilons for completing tbfe form on back ot vellow copy. A???? "X" Below Work Covere?by This Request d Rep. ' Type of Builtline AppliancesWirad Equipmen[ Wired Home Range Ternporary Service Duplex Water Heater Lightin, Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tenk Farm Ot er Pea y t er (Specify) t er SUeufy Ot ef Olher (.0I71put2 lpSpECtIOn l-@E 6B/OW # Pee ServiceEntranceSize tl Fee Feeders/Subfeedera M Fee Circuits 0 to200qms 0 to30Ams 00 0 to30Ams Above 200 qm ps 31 to 100 Amps d? 31 to 100 A Swimming Pool Above 100_Am s Above 100_Am s Transtormers ' Irri ation Booms Partial- ' Signs Special Inspection g J),...dc) TO P Rerrwrks ,' ? ?E_ `j Rough-in Date , the Electrical !' ??sDector, hereby certif at the above Final ?q - ? P{ D.rte Z r. ? 'spe ction has been de. This requesi void 18 montlre irom This request void ?14 5 ?.J al ?1 ? 5 18 months irom V A - 1 1-1 M 10 L°1 g o v ? ?,?,,r wo-ilf-, Lk q. 5 a Raquest Date Fire No. RouBh-in Inspection 7 Feq ireA7 DReady Now ill NotffY, lnspeo- pl ???,? Yas ?No lor When Ready ?Licensed EleCtric3l ContraCtor I hereby request inSpBetion of ebovB ]bwner electrical work instelled et: S7r UAd dress, Box or te No. 7 6 /?lt.?'?c.tww City 6 ecuon o. I Township Name or No. Range o. County Occupant IPRINTI W ? ?-- ? ? Phone N 70 ? "4?-- e? PD?er Addres5 EI al C tractor (fsmpany Na e) . ? - l s?. C nvactor*s License No. a 3 rS3?3 Mailine Address (Contracmr .Owner Making Inst ilation) ` 4.L.lL_ „ ? ? l / 3?7 \.JC? ? Authred Sig ture (Contrecior/Owne aki n allation) Phone Number S o -3 l?? MINNESO A STATE BOARD OF ELECTHICITV y ' I THIS INSPECTION REQUEST WILL NO7 Grie9s-Midway Bldg. - Hoom N-191 . BE ACCEPTED BV THE STqiE BOAflD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPEN INSPECTION FEE IS Phone 1672) 297-2111 ENCLOSED. t RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Construction Reauirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted afler 711193 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE ?? SITE ADDRESS MOU TYPE OF WORI APPLICANT ??' "k)Cj -L"211 ' ULTI-FAMILY BLDG _Y N FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS??a.?'? N1C?i?? PSV2. C?UIM?V] CITY?'???? STATE ?'NZIP;-1OJ3 I TELEPHONE ??1`0"?ICELL PHONE # FAX #?Z'??7TtlCJ PROPERTYOWNER?? P??h TELEPHONE??--' COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (J submission type) • Residential Ventiiaiion Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _____ Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: _ Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 ------------------------------------------------------------------------------°------------------°---------°----------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant ? ly4 &V? u ............... ---------------- -------------------- ------- _-------------------------------------------------------------------------- ------------------- ........... OFFICE USE ONLY _ Water Softener Water HeaCer No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths RemodellRepair Reauirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior addifions & decks . Indicate if home served by septic system for additions VALUATION? 62)010? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 ^1:T'V 11l- f:::(-1(;Aht C?SH.CEn. a 4 TERM.[NAi_ NOt 347 DAfE,: 07/11f97 T.E.MI_.: 000:38 T.D ,. NAM'r_.u rti:!::I-IrllI-1_ ".:: MraOriY :3i :l.t? 90()1. .ii_''i'F P1rd'I...iaRc:?S 1.=' 50.00 2?..`°! 9001 4276 MA(;1.±AFi{::N t°' 0„50 ? ' ?"crta:l. i?????::o-??:i?:?E. (tmount"? 50v50 (;{1it_}78407' USER ID: NreN{.,Y %?'t.??.T.?:?'M1•T')?,f??????f+y?.4i:y.?i+.T.? n????*R:?+SI?)i PERMIT 'CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Date Issued: 4276 MACLAftEN PL LO7: 7 BLOCKs 5 NOR7HVTEW MEADQWS A.I.N.: 10-52100-070-05 DESCRIPTION: REPLACE & ENLARGE ermit Type DECK ?brk 7ype ADDITTON V434 ALT. RESIDENTTAL ?., A?a ?A'r 030 ?N-,wx, ?:s"}'9 ' REMAFdKS: FEE SUMMARY: Base Fee 5urcharge Total Fee $50.50 BUTLtlING 030405 07f11/47 CONTRACTOR: F? ! I OWNER: -- Applicant - moonv MICHAEL 4276 MACLAREM PL EAGAN MN (612)541-9575 Az? , ISSUED . SIGNATURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)? CITY OF EAGAN 3830 PILOT KNOB RD - 65122 681-4675 New Construetion Reauirements ? ?,? • S? 1 `o? ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (inGude beam & window saes; poured fid. design; etc.) ? 2 sRe suneys (exterior additions & dedcs) ? 1 energy calculations ? 1 energy calalations for heated addkions • 3 copiea of tree preservation plan if lot platted eRer 7!1/93 required: _ Yes _ No - DATE: 7/2/ 97 CONSTRUCTION COST: DESCRIPTION OF WORK: EEPt.r4c6 C-x6'r'144 D&U, t,qc,be,-, Ct?W- p£cK STREETADDRESS: r?-Ae I '- 1,4,?? LOT BLOCK s SUBD./P.I.D. ??-`??????a,:-??? PROPERTY Name: _1 ' 66y iY `Ic.r".t, ione OWNER ,M„ Street Address: yZ?6 rnA?Cl4Zr RAO- City: E4.6aJ State: Zip; .55123 CONTRACTOR Company; Phone #: Street Address: License #: CitY: State: Zip: ARCHRECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: CitY: State: Zip: Sewer & water Iicer.Sed plumber (new conshuction only): . Penalty applies when address change and lot change are iequested once permit is issued. 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. Signature of Applicant: -`? ? OFFICE USE ONLY :ZF] Certificates af Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY . BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex 0 02 SF Dwelling ? 07 4-plex ? 03 SF Addition o 08 8-plex 0 04 SF Porch ? 09 12-plex a 05 SF Misc. ? 10 _-plex WORK TYPE ,Z31 New n 33 Alterations o 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of 5tories Length Depth APPROVALS 0 36 Move 0 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. ? sq.ft. Footprint sq. ft. Planning Building 4A,-0- Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. I' Other Copies Total: ? 11 Apt./Lodging ? 0 12 Multi RepairlRem. ? ? 13 Garage/Accessory ? 0 14 Fireplace ? z" 15 Deck 16 Basement Finish 17 Swim Pool 20 Public Faciliry 21 Miscellaneous MCNVS System ? City Water Fire Sprinklered PRV Booster Pump Census Code. ,147.4 SAC Code /1L Census Bldg ? Census Unit ? Engineering Variance Valuation: $ ti % SAC SAC iJnits F Y'. fqlqt2 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 5ET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 5ET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNEA MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. j3f?5g?,rr iAJisH 9': , OGT RECD ? 1 Date : 9??IS O To Be Llsed For; ;/rt .?GC? Valuation: Site Address rfa% f(a.c?¢ti/D?ic.e Lot ? Block b'> Parcel/Sub i'1,? 1Fi?AA) T?,Q,OflmK" 11A Owne r A111'1,-co A- /-Q Ad- Address ?F?2 ?6 /`(qr ?c,r i,,.., ?ac e City/Zip Code Phone ?,??'0706 Contractor /??cr-C-lc??SrC ?cu`?GQ2P`S` Address `0 r?, 5? City/Zip Code 0C?p Phone f? ' de? Arch./Engr. Address City/Zip Code OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off. la/l Variance FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit' Park Ded. Copies SUBTOTAL Penalty TOTAL .? ? C70 ---/?Q ? 20,5'-0 3.0 Phone # 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL COHTRACTORS MUST BE LICENSED HITH TBE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: S•F?? % Valuation: (ol,ocJD• '= Date: Site Address: OFFICE USE ONLY Lot: ? Block S 5ect/Sub???? Erect X Oceupancy (Z-55 Remodel Zoning Q-I Parcel # Repai.* _ Type of Cor.st ? Enlarge dk of Stories Owner -Move , Length Demolish Depth q-? Address 9??fJ/ Grade ' Sq Ft City/Zip Code ? - --------------------------------- Contractor Address ( `4 ?Z' City/Zip Code Phone # Arch./Engr Address Phone # APPROVALS Assessments Permit Water/Sewer Surcharge Police ? Plan Review 158. = Fire SAC Engr Water Conn ?.= Planner Water Meter Ca3.? Road Unit Council , ? ZSO.° Bldg Off ?V?? ` ?/,Q yjjParks APC Treatment Pl l32•°? Variance TO7AL .. • . ....?„R'.` .. ? ?, .. 1 ? F.. ,t S I TE ADDRESS CONTRAC70R PFIQNE Reterinine working square `f!ootage of` pach. `. ` 1. To#aT expased "Al l area ... .. , sq. f,t. x ?-31_ 2. Total roof/ceitirig:a.rea ...... sq. ft. x_626 Total exposed wall area above a. Total wall? window area........... ...::... `....... b. Total door area ..... .. ...... ?. ' ...... 7 .. . . . . ; . . . ?? ?L, 7 . _. c. Total sliding glass door area .. ., ...... .. d. Total fireplace wall area........ ................ e. Total wall framing area.(average 1QX)............. f. Total net wall area ebove floor :.,..... :......; . g Total rim 3ot . /?? st area ............ ..:..., :.... . Total exposed foundation area 118y h. Total faundation window a,rea..,...., ,. ..... i. Toat net foundation area abowe grade .. :..... , , .. . .. . ,. Oetermine "U° value cf each ?valt segment. a. x liusi .27 b. i? X „u„ , I.23 _= y Gs C: 6a X „u„ d. X uUu e. x „u„ ? ? f. /ol/, 5 3 x IluN g• X "U" h? ? X nVn _ x „ti,l°? 3: ...... . .......> ................ . ' • .-; 4 . ^ ? r d i d'R ( .?? 4 y ' j+fA S . ?IY y?ty ry . P ' ! ` C E ??,l?• l ? • Me iJ%, 0i . . Th > . ? f . fratsie tCit?isti"s6tiaiti . .;. ??- _- R-Value ? ? ; ,, . ?_ . , ? ?• ; . , 2 • 3. - eAsic : wALL Total . r >r _ ? . ? FIG. #1 ? . ? ?? . -. . , S r.; . . - _. , .. . . . FRl1t?- iiAyL ? l. : r?ar .at r fil.an 0.68 :. ?. .2 06 ? + FIG i.? ,. . . . . . . : . i teri r a Xl!# 0 .69 wa. ?r.??w .. . _ . . . , , 2• ? ? 0 3• t]?v FCsA c: a 1 ? ^? ,, ? 45., ?c'?' ,?'.. ,__?'?f.f.7?'?G1C_._._ e ? l ;n 6 ? . 0 17 • • $x?er . ? f? . .. 5 ..,,? ??? ?r.` 1?r ?tbl ?'?,,.??'?y, , { e ,r'? ` . • • . . . . ' . ' . ? ?/ ? Y• : • ? ? . .. - . . . `? . ? u . . x? ' ?' -4-;'-^•%? -•=- ' ? erior air film 1. Int 0.68 , W,aiDATICN '?' , • A p •' ? . ? , 2. : k?4 LL •• A ' t1 ? = ' ' ' . 3. / c?a?G 1,24e . ? ' d' • p • 4. ? f? 3-z6 T?oc . 5 ? • ' ? ?. . 1? "r- °?:.??%, •. . b. Tsxeerior air Piim •': 0.17 y ."'??. , • , ? .._ '1"O?? ?. ??,1 :?'. . , . .. . . , . - . . , SLAH ON GR,AAB - : - . . . ?. ? ? y ` ? . ? :A???+r*"' `+ . .. • ' ' .• t:. ' . .k? ?".) . _' ' 7t v 1 • 's.. 4?. ? , , : ,• , ^: . . .. ? ? : ' , -• ???'. ' r???? ? ,, ??? ? . : ici. .• . ; irr ? ? • ?i • ? r '` F_G: 44 _ f . o ? fiG. N3 • .. frt . x _ ? ? A? M : . . . - . .' ?? ??? .Tir . . ? ?f 1 ? • ., ' , W . ? b ? ? ?? • ? ? . . •' . t,O'1`Es' Indich,te typ@. value ;. _.. - ?. ' , depth and ? ' " K. « , • insulatiorf. g3,acoment ; . ? V; ? , ?, • . . - ?A .• ?" ? _ , _ ? -. . . . , , ? , . . ,.a.. vmrr , ;w? , Fxc. #s • ? 1. Interior a film 0.61 Z. 3. 4. rzxterfor a r sri - TOtdl 's 1. InNi.de '._ r?f??i`lm 2. 0.61 I !?eat f2oroi up . vented' ,. .FIG. N6 . '. ? i i 2/84 J CITY OF EAGAN % APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODI (PLEASE PRINT) 1) PROPERTY ADDRESS: 'T L 76 /? C? - 44 LEGAL DESCRIP`I`ION: 1-0' ,?L,J G,? ?-.?' ,rrr2?.1T"' (L ot/Block Subdivision or Tax Parcel I.D. Nunber) iF EZI ;'?"= :C STRLC'?"u:?, DATE Oz' ORIGILIIAL BUI=L`,'G F;-:1i' I55v'Ai`; ? :'or _'?ewr; ? PRESL7 :^`IIP:r;/P??OP(;SED L?S- ? ? y? R-'1 S! IGL,"r., FP',TT ? R-2 DUP=1? (`P.VO i.i:ITS) 0 R-3 'IGFr1?IOiISE (THI2EE + t7N2TS) ( UNITSj ? R-4 APARrn1ENT/CONDCbIINIUM ( UNITS) ? COMMEF2CIAL/=AII,/OFFICE p L1DC'SZ'RIF1L p INSTITUTIONAL/GgVERDIMENT 2) AppLICANr (PLEASE PRINT) NII1ME: tVE.SL ; '..-,/?[d ?' O1Io' ? ADDRESS : '7 / (/L` i CITY, STATE, ZIP: 73,40or,1 f?'% Zd A/ /?/I/' J-z-r ? PHOiQE: ?7"?- ?D9Z 3) PiumER ruME: PLEASE PRINT) 46 lE C! C k' l!'I [ at i L E72 PL 04 FOR CITY USE ONLY ADDRESS: . , r ???? ? ? M 3 /?? PLUMBERS LICENSE: i Cn A , ct ve CITY, STATE, ZIP: ,?1G?T c-? / Js ?/IrI J J/? xpired ? PHONE: ? ??_ ? 7?J^ L PLUMB E R LICE N SE # Rei?rd N C? '?-?/ a nitia q) OCCJpANT/OWNER NAME (YLLq?t YK1N1) : ADDRE55: CITY, STA'PE, ZIP: ` PHONE: . 5) ITI[)IC'11TE WHICH PERNiIT IS BEING REQUESTID: CONNECTION 'IC? CITY SETr1ER CODINfX.Z'ION Tp CZTY WATrZR dPEEt (PLEASE DESCRIBE) 6) II4DICn"-E ONE: F-I PLEp,SE HOLD APPRC7VID PERMIT FpR PICK-UP BY ONE OF ABC}VE ? PLEASE MAIL APPROVID PERMIT ? 1, 2.? 4 11BOVE (Circle one) 7) SZGNANRE: DATE: z . !?!i!il??i.lw?7?l!lrC?:1l?f?fidl.7i?t?as71G?r?aK4fs?i?s?-aaawa . at ? ?Ilwitfl:i?!ifliirl.i?fl . 7?lsCSSa? ?ar . . . . . . . . . . . . . . ? . . . . .. . ? . . F 0 R C I T Y U S E O N L Y • " PERMIT ii ISSUED F°ES: $ SEWE.°, PERMIT (I`1CLUDi SUP,CHARCE) $ WATER PERMIT (INCL'JDE SURCHARGE ) $ ?-? WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ S?7;vER TAP S /-??-?---d AC:.OUNT DEPOSIT - SE?4ER $ /-?•e'---? ACCOUNT DEPOSIT - WATER WAC SAC $ TRUNK WATER ASSESSPQENT $ TRU-NK SEWER ASSESSidENT $ LATERAL BENEFIT/TRUNK SE:4ER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL $ ??15 d AM0UNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? L? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE ? NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CO[VDITIONS: APPROVED BY: T I T LE : ...??le? DATE : /_- ? ? 975_? W4 Wi/ b ? _: ;; . ?; ?ufuR?wN * = 57,? 6!?6b 6875 M"Oy No b? 1+ L l. 1? .,_. .... B.K Nortb OHICe ? '?I?lNO1N!<RINQ - _ - . --_...v `? M?fMMapout Mnmesoia )?a:il ? wrnnmrnrel 6'ngmeerrng 12350 Rrvc. Rid e F],..i C'ivil. Munuipal dV _ Ln_. 8urnshuelMmne o98 5di0 lnndSurvrrin •fandplunnin •Sui!levinA ? T {__1L C¢rf ??C? ?f? of ?urvQ f or ?l??fh?iEw Asso c. ?. y u m (o.2) S 89"a 52'I(N E i 55. 46' to d) ? ?N ? . 5 r? DRA/NA?E S' L!T/c./1"r fASEikENT PE2 ?L.AT ??7 ?o r w ?- . J? LL ? (V -- 0 r ` / % .o J14 _ i o ?-«^9d> / '?:? ?' :>r ? / Oo• . 'i City of Gahan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: c 7 RECEiVD APR202016 Use BLUE or BLACK Ink For Office Use Permit*: L 34 15- Permit Fee: 60G Date Received: Staff: /1L 2015 RESIDENTIAL PLUMBING PERMITPPLICATION Site Address: 4a o' -C It 4,.."„ RESIDENTIAL FEES: Name: Address / City / Zip: 4 l '1C Nanie: 'Dtilbert Company Inc Oa Culligan 55077 Water WC641376 License #: Address: `1.801 50th St East City. Inver Grove Hgts., ` State: Phone: zip: 651-451-2241 • Contact: William R Milbert Email: Suite #: 1 New Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn*Irrigation C_ RPZ / PVB) _ Septic System _ New Abandonment XWater Softener Add Plumbing Fixtures (_ Main / Lower Level) Water Tumaround $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation ('includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Wafer Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) / O TOTAL FEES $ to V , CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig•t'o receivo'Iocates of underground utilities: •www.000herstateonecall.orq 1 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 whl h requires a review and approval of plans. 1 I re/ifY\- Applicant's Printed Name x Applicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164772 Date Issued:10/07/2020 Permit Category:ePermit Site Address: 4276 Maclaren Pl Lot:7 Block: 5 Addition: Northview Meadows PID:10-52100-05-070 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Sharon M Paulson 4276 Maclaren Place Eagan MN 55123--195 Roofs R Us 941 W 80th St Bloomington MN 55420 (612) 282-8092 Applicant/Permitee: Signature Issued By: Signature