Loading...
4280 Malmo Lane NTI fCITY OF EAGAN i 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 6$1-4675 SITE ADDRESS: ? I': f, I I+i t r 1 A R4 !. Y4 100 i-: ft{ PERMIT SUBTYPE: .. ,. . ; . TYPE OF WORK: tt11 I 1 11 1 f, F1I? t I - ? {; Ii :coRn PERMIT TYPE: Permit Number: Date Issued: APPLICANT: Permit No. Permit Holder Oate Telephone N 5M! PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Date Insp. Comments Footings I ,2ef3 Foundatian Framing ? Roofing Rough Pibg. I Rough Htg. IsuL r Firaplace Finai Htg. / Orsat Test Final Plbg. Pibg. Inspector - Notity Plumber Const. Meter Engr./Ptan Bldg. Finai Deck Ftg. Deck Final weu Pr. Disp. CITY OF EAGAN iiemarks Addition_ WILDERNESS R UN 6TH ADDITION Lot 2 Blk 4 Parce, 10 84355 020 04 Owner??r'f1?=?--?- -1 ?,M1u{ , ??? Street 4280 North Malmo Lane State Eagan, Minnesofia 55123 U Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK . 1973 161.21 8.04 20 SEWER LATERAL WA7ERMAIN WATER LATERAL WATER AREA 3fj/J 1977 162.14 ?a 8-9-6r 15 STORM SEW TRK - ? ? .-5 S70RM SEW LAT - - CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. eU4L04NG PER. SAC PARK A ` No. ? Jt ?,- cinr oF EAGaN 3795 Pilot Keob Road Eogsn, Minnesota 55122 Phone: 454-8100 PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS I?h^• Dote: Receipt No.: - 7 Single I Site /Wdress: Residentiol I Lot Block $ub/Sec. Multi Res., Comm./Ind. , Na^e N w /Alt r / R oi r . e e ep Address Cost of Installation O City Phone: Permit Fee Nome $urchar e . g ? Address City Phone: Total This Permit is issued on the express condition thot all work shall 6e done in accordance with al l cpplica6le Stote of Minnesoto Sto tutes ond City of Eagan Ordinonces. Building Offitial . 4 ? CITY OF EAGAN 3795 Pilof Knob Raad Eagae, MN 55122 PHONE: 454-8100 N4 5658 BUILDING PEiiMIT Receipt # To be oad for Est. Value Date , 19 Site Address Erect p Occuponcy Lot Block SeclSub. `- - z-t' Alter ? ZoNnp - " Repair ? Ffre Zone T T Paroel # Enlarge ? Type of Const. W Name Mave Stories ? qddress Demolish p Front ft. 0 r,.., D"..."e Grode p Depth , ft. °C Name ?- In c • z° r ?? Address 1- r:.., Name _ Address I hereby acknowledge that I have read this application and state that the informotion is correct and agree to comply with oll applicable State of Minnesota Statutes and City of Eagan Ordinances. Assessrnent ? Water $ Sew. Police Fire Eng. Plnnner Council ? Bldg. Off. APC Permit Surcharge Plon check SAC Water Conn. Water Meter Totol Signoture of Permittee I A Building Permit is issued to: on the express condition that oll work shall be done in accordante with oll oppliccble Stote of Minnesota Statutes and Ciry of Eogan Ordinonces. Buildinp Officicl AF ? . ?«w?M # per. Iw+d Piumbing lplp Mechanical ?- INSPECTIONS DATE INSP. Rouph-In Final Footings Dote Insp. Date Irbp. Foundation Plumbing Frome/ins. Mechanicol Final Remarks: CITY 3;'95 Pilot Knob Rood PERMIT NO.: Eogon, Zoni O No. of Units: F EAGAW SEWER SERVICE PERMIT MN 55122 DATE: ? Owner: Address: Site Address: Plumber: 1 agree !o oompIy with Hhe City o{ Eagan Connection Charge: Ordinonees. Account Deposit: Permit Fee: Surcharge: B Y Misc. Charges: ? Dote of Insp.: Total: Insp.: Dote Paid: CITY OF EApAN 3795 Pilot Knob Rood Eoyan, MW 55122 Zonina: - Owner: Address: Slte Address: Plumber: Meter No.: Size_ _ Reoder No.: 1 08ro9 1'o complp with the Ciry of Eagan Ordinaneea. Bv Date of Insp.: WATER SERVICE PERMIT - PERMIT NO.: DATE: No. of Units: Connection Charge: Account Deposit; _ Permit Fee: Surcharge: Misc. Chorges: _ Totol: Date Paid: :,1T ?.. . 111i? CITY OF EAGAN 3795 Pilot Knob Roed Eagan, Minnesota 55122 Phone: 454-8100 T:F,ATINr, PERMIT Date: Receipt No.: 5ite Address: -? Lor - 4280Malm Lane Block 4 Sub/Sec. Lyi lderness Run i 318e!! Hme8 Name . Address ? Ciry Phone: ?• B].Xlde2' & ?-OT1 Name ? I ? Address T ' ?uti.er e ,.. 7.. _ . City Phone: This Permit is issued on the express condition thot all work sholl be Minnesota Stotutes ond City of Eogan Ordirwnces. Residential 1726 No. 18200 fi New/Alter. / Repai r Cost of Installation Permit Fee ?•?' ? ?? • - Surchurge Total done in ucoordance with all applicable State of Building Officiol Tttis request void 18 months from - ti,1 6 y9dl6 P 23044 Date of this Request 9-30-77 I, as.12 Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: ?`?' ,? -? •?' ?O Street Address or Route No. 4280 Vortn Pllslmo Lane City E°gan Section Townsitip Range County llakota Which is occupied by Tilsen Homes (Name of Octupant) Is a roughin inspection required on this job? No ? Yes%O Ready Now ? Will CallU Power Supplier Dakota Ctv, Address Fa.rmington ElectricalGontractor O.B. Thompson ElectricC6. Contractor'sLicenseNoA337r? (COmpany Name) Mailing Address 12201 TQtka }31vfl. , li'ltka 55343 Authorized Signawre No, n'o oG29- '-- _- STATE BOARD COPY Minnesota State Board of Electricity J 954{lniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 ? - '' REQUEST FOR ELECTRICAL INSPECTION CHECf: BEL'OW WO'RK COVERED BY THIS REQUEST 0 79.?,G p 23044 Type of Buiiding New Add. Rep. Check Appliances Wired For Check Equipment Wired Fm Home ? ? ? Range ? Tempoiazy Wiring 30AEp5' Duplex ? ? ? WaterHeater ? LightingFictu[es ? Apt. Bldg. ? ? ? Dryet ? Electcic Heating ? Commetcial B(dg. ? ? ? Fumace 0 Silo Unloadei ? Industrial Bldg. ? ? ? Au Conditioner ? Bulk Milk Tank ? ° L ist List Other ' ? o ? p Heiers? p Heiers( COMPUTE INSPECTION FEE BEIAW Temnorary Se.rvice Secvice En ce Size: # Fee Feede=s&Subfceders: Fee C'vcuits: # Fee 0 w 100 Am s. Am e:es : 0 to 30 Am etes 101 [0 200 Amps. Ampe 31 to 100 Am tes Above 200 Amps. 1 _f??W. 0 t\X Above 100 Amps. Transformers 4 -64 o o- Partialor other fee S ns s Minimum fee 55.00 Remazks Tia1l TOTALFEE I, the Electrical Inspector, hereby certifyl'hat the abo e iRspection has been made.( (Rough-in) if'? ?i ni .,A,Q) Date (Final) L , L Date 0 P ? This request void 18 months from p C?/ Yis request1void U months from 7r/ 13 30716 DateofthisRequest??_1F_?q?q . ? I, as? Liceased Elec[rical Contractor OOwner, do hereby request inspection of the above electri- cal winng installed at: Street Addiess or Route No. 4280 North &1a lmo Lane c9tyEan_ an Section Township Range County Dakota Which is occupied by Tilsen 3omes (Name of otcupant) Is a roughin inspection required on this job? No ? Yeto Ready Now ? Will CalbM Power Supplier Dakota Ct,y. Address Farrniy,?+nn Electrical Contractor O.B. Tho„tc?son Electric Co. Contractor's License No43?qFi2 (COmpany Name) Mailing Address 12201 (rloCtntBi Con[mccor or Vwner maNing i ms Insiaiiavon) Authorized Signature Phone No:'•" ' (Electrical Contractor or Owner Makin9 Thls Installation) c'J?L?,1 tl IS ? Ls ?' L3D QOp?7 This inspection request will not be accepted hy the {? ? Q State Board unless propar inspection fee is andosed. Minnesota State Board of Electricity , 1954 Univenity Ave., St.,Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW'WOItK COVERED BY THIS REQUEST / 6 7?;f s 30716 Type o[ Building New Add. Aep. Check Appliances W'ved For Check Fquipment W'ved Fot Home XEX ? ? Range 04.00 Tempo:aryW'ving ? Duplex ? ? ? Water Heater 11 Lighting Fixtuies %o Apt. Bldg. ? ? 0 Drye: ? Etutric Heating ? Commexciai Bldg. ? ? ? Fumace :U2 • 00 Silo Unloadei ? Industrial Bldg. ? ? ? Av Conditionec ? Bulk Milk Tank ? Fazm ? ? ? oList ls1 List sg? Other ? ? ? 1)j flere • Hehe COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fce Feeders €e,?dets: # Fee Circuits: # Fce 0 to 100 Am s. . to e 0 to 30 Am eres 18 16,00 ]Ol to 200 Amps. 0 " s 31 to 100 Am exes Above 200_Amps. 'L Amps. Above 100 Amps. Transformers emote Control Cim. Partial or othex fee Si ns Special lns ection Minimum f Remarks H.gll TOTALF E36,a 6.50 I, the Electrical Inspector, hereby ce ' at tq?a ve ?inspection has been d (Rough-in) • « Date (Final) 4? f Date? This request void 18 months from • ? cirr oF Er?G?N 9795 Ptlot Kno6 Road Fagan, MN 55122 ° 5658 • ' PHONl: 454-8700 ? J BUILDING PERMIT APPLICATION RetsiM Te be umd io. SF Ihvlg/Garage voive 45, 000.00 Dat, Esr 3/24/ 7980 . Site Address 4280 N0. MALMO LANE Erect Oaupnnry R3 Lor z Blxk 4 Sec/Sub. Wilderness Run 6tYyqite, p Zon;,,9 Rl 10 84355 020 04 Revair ? Fire Zone III Parcei # Enlorge ? Type of Const. V c Name ToID Klees Move ? # Stories Z Address 567 aratoga pe??ish 0 Front 50 ft. ? Ci St.Pau1,MN Phone 690-4712 Grude ? Depth 24 k. p Name T11S2n Homes Tnc. Avvrovole o? qddrea 627 So. Snelling Ave. Assessment 2 Z g? . St. Pau1,MN 55??1 6 698-5501 Water & Sew. ? 0 m Police Gw Name Fim ?? Address Erg. <'Z" Ci Phone Planner Council I hereby ackrrowledge thot I have read this application and state that gidg, pff, 3/19/80 the informotion Is correct and agree m comply with all opplicoble Stote of Minnewta Statutes ond City of Eagan Ordinar?ces. `-" APC $ignature of Permittee A Bullding Permit is issued to: Tilso HoIIt2. all work shall be done in accordone all State of Building Ofticiol Permit tto.vv Surcharge 22.50 Plan check 64.00 snc 525.00 Warer Conr305.00 Woter Metar 60. 00 Total 1,104.50 on the express condition that Stututes and Gty of Eagcn Ordirwnces. 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan (o (a`1 2-? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Pleasc complete for. single fazruly dwellings & townhomes/condos when pemuts aze requ'ved £or each unit ? --?, c) t:? c'?Q- ek 4+ DateI o / 14-- /C/r Sit ABd Unit # e ress Property Owner Vf.?n ? s ?k- ( ele'5 Telephone # ((' S Contractor Street Address 410 WEST LqKE STREET city State 812'824'2656 Zip Telephone # ( ) Bond #: Eapires: The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to eaisting dwelling unit $ 30.00 ? furnace _Additional _,n?Replacement air exchanger airconditioner _New _ Replacement other State Surcharge $ .SQ Total I hereby apply for a Residential Mechanical Pemut and acknowledge that the information is complete and accurate; that the work will be in conformance with the ord'mances and codes of the ity oF Eagan and with the Mechanical Codes; that I understand this is not a permit, b t only an application for a permit, and work is ot to start without ermit; that the work ' be in accordance with the approv d lan in the case o workyy?ich re? a review nd approval of ?? , ApplicanYs Printed Name Applicant's Si a e N 0 C T 15 2004 ? 1" ? RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Telephone #( New Canstrucrian Reauiremants RemodeVReoair Reauiremenis Otfice Use ONv 3 registered site surveys showing sq, ft, of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert oi Survey Recd _ Y _ N (20°k manimum lot coverdge allowed) 1 setof Energy Calailalions tor healed addNOns Tree Pres Plan Recd _ Y _ N 2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey for addifions 8 decks Tree Pres Reqd _ Y _ N 7 set of Energy Calculations Addihon - nMicate if arsite sep6c system OnsAe Septic System _ Y _ N 3 copies of Tree Preserva6on Plan if lot platted aRer 7!1/93 Rim Joist Delail Ophons seleclion shcet (bldgs wiN 3 or less uniGs Date 1?? / ( 9 / C7 ?> Construction Cost r ?D/ ?o5"?-o Site Address 1)1 o Unit/Ste # Description of Work (-T ?an M 1 duo- LA, Muld-Family Bldg _ Y?Y N Fireplace(s) X 0 _ 1 _ 2 J PropertyOwner IUI'n VI(' c-) Telephone#((y?``j!) (9?(0 .fLCI?q? Contractor Renewal By Andersen ] 920 Counry Road "C" West Addres Roseville, MN 55] l3 City State 651-264-4777 Zip Telephone # ( ) LICENSE #20130983 - ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mumesota Rules 7670 Cateeorv 1 Mmnesota Rules 7672 Energy Code Category , Residential Ventila6on Category 1 Worksheet • New Energy Code Waksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor ak 7 > s- N If so, 25% plan review Telephone #( Telephqri-q I hereby apply for a Residential Building Permit and acknowledge that the i ormation is complete d accurate; that the wark will be in conformance with the ordinances and codes of the ptt?o€-?ag _ tate of MN Statutes; I understand this is not a permit, but only an application for a permit, and wark 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. / ?Gt .CGl Applicant's Printed Name pplicant s Signature "","<,°".,? ?u° 14.?? cna ?oo DIL'4$Oi1 1tN.PltSifhL%1°SNLfS!(7lSIM ?? al rme t 200] C4 cff Began 3836 PiIcrt Rnob Road Eft$n, MN 55122 To Whom It May Concerrt: Elder 7ones is authoriud tA p1? baikUng permits for Renew8l by Ande:sen_ Picaso alIow Bider Jottes to piovide this servicc for ua in Han?. `Ittis euthatl2etian is vatid fpr any date bcyond 616/0I: until8 ?`aIIewal bY AndaCSen meRaM eqmS1Y tgvokss it ia wiiHng to the City- ovr?bucst ihis autfioazatian be accepted'expedidously, av to not delay in thn proc?sing of ildiuS Pcj=ta cmY fuzthcr. Plcasc caII mc If thctc aro ntty qtuxtona.. I can Ue conucttcd at 763-502-4706. _ ,: 7tour immCdiatc aitcat{on ta tbfs mattcr 9s Sincetoly. ond R Rau astatIation Managcr Renowttl by Andersen CotpoYarihon C'r.: Ks?rn-F.1[ir.r 7onea ?H ?? 4AINAL Ik*ftyo.n,zom toU4 Received Time Juo. 7. I:07pld INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuiLoiNG 3830 Pilot Knob Road Permit Number: 021679 Eagan, Minnesota 55123 Date Issued: 0 8/ 12 / 9 3 (612) 681-4675 SITEADDRESS: Lor: 2 BLOCK: q APPLICANT: 4280 MALMO LANE N FIR3T LANDMARK BLDRS WILDERNESS RUN 6TH (612) 699-3135 PERMRA SUBccPs§oRV TYPE OF WORK: aoozrxoa IFOOTING IFINAL FRAMING REMARKS: SEPARATE ELECTRICAL PERMIT REQUIRED ? ? PERMIT j7 2 ° ? CtTY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: euzLoiNG Eagan, Minnesota 55123 PermitNumber: 021679 (612) 681-4675 Date Issued: B S/ 12 / 9 3 SITE ADDRESS: P.I.N.: 10-84355-020-04 SEPARATE EIECTRICAL PERMIT REQUTRED DESCRIPTION: ?,_. B,µ?ldia?-,g+, Permit Type tlulldirygGtvrk Type '16uildirt9 r.etigth Building Wdtti`"7! ? _. r?r GARAGE/ACCESSORY AODTTION 26 12 REMARKS: FEE SUMMARY: 4280 MAlMO LANE N LOT: 2 BLOCK: 4 WILDERNE53 RUN 6TH VALUATION Base Fee $72.00 Surcharge $2.50 Total Fee $74.50 CONTRACTOR: - Appl3cant - S1'. LIC FIR3T LANDMARK BLORS I 16999135 0001982 611 SNELLTNG AVE S ST PAUL MN 55116 (612) 699-3135 $5,000 KLEES TQM 4280 MALMO LANE N EAGAN pIM (612)686-5992 L_ T hareby acknowLedge 'that Z frau^s ;reac4 tble gpplitaition and state tktat the znformation is carrect ansl agr•ee to c•ompky with a11 appliaa6le stste nf tkrr: Statutes and CiGy af lR,sgatt qrtlinansefi. APPLICANT/PERMITEE SIGNATUFE ISSU BY: S NATURE REACTIVATE __ VERMIT' #, ? ?(G -7? cirY oF EacaN 1993 BUILDING PERMIT APPLICATION 681-4675 9 . ,? ?Lc SINGLE R MULTI-FAMILY 2 sets of plans, 3 registered site surveys,11 copylorienergy calcs. L-==_ ---- ? - - _ COMMERCIAL - =_ 2 sets of architectural 8 structural ptans, 1 set of u specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 8/ 5 / 1993 Valuation of work $7,000.00 Site Addre55: 4280 N. MALMO LANE STREET SUITE / TenZn4 Nd!!i?: (_01"TE;'cj3I o^11ii 2 4 W1t'd?Ns??? ; LOT 1 BLOC& FSU BD. P.I.D. N 7Tl WAP. Descri tion of work: CONSTRUCT A 12x26 ATTACHED GARAGE. The applicant is: ? Owner Q Contractor ? Other coeoor;be> Name KLEES TOM PhOne 686-5992 Property uST F1R5T Owner qddPe55 4280 N. MALMO LANE STREET STE X City RAGAN $tatg MN Z;p 55123 Company FIRST LANDMARK BUILDERS Phone 699-3135 Contractor Address 611 SNELLING AVE. S. License # 1992 Exp. 3 31/95 City ST. PAUL State MN Zip 55116 Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this 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: V OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Owg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex a'13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace 0 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish OK32 Addition 0 34 Repair ? 36 Move GENERAL INFORMATION . r ? 16 Basement finish ? 17 Swim Pool ? 18 Comn./Ind. ? 19 Comm./Ind. Misc. O 20 Public Facility O 21 Miscellaneous ? 37 Demalish Const. (Actual) - Basement sq. ft. MWCC System ` (Allowable) ?-' isi Fi. sq. fi. Cit; Idater UBL Occupancy ?-1 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster PumP # of Stories Footprint Sq. ft. Fire Sprinkler Length ? On-site well Census Code 3G Depth On-site sewage SAC Code I APPROVALS o Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard P? Footing [?? Final ?5 Framing ? Draintile 0 Insulation ? Fireplace Permit Fee Surcharge Plan Review License Mwcc sac City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Oed. Trails Ded. Copies Other Total: IZ.06 Yatutim: $ 5000 op Z.SO ;t-6 wz = 312 x 66 = ysI2 5AC % SAC Units fANDMAR BUILDERS, INC. 611 So. Snelling, St. Paul, MN 699-3135 PLOT PLAN r -- ? ' . . f . .._ . ? • -. ' . . . . . . ° j i .._?._ ?._..--n._..._ ._...._ ?.._ ?- ... -. ._ _ ! ?' .. i_ .._ . . - ? .. . ? . ?. , . .?_ ? ? • •_'- - -'_ '. . . .__ . . . . . , . ; . . , . . . ._.. ;. ..,.. ) ..._ i,. . : j _ .. . ? .. ,. , y . S . . , .....y___.. ,? , i ? NAME ?h'1']1 . s ' ? • ADDRESS ? I ??...T ' , ?-- . -_._.. .. . .. ... . __ ...? . .. ? ?? ? ' . ? • ' ; . ? ? . ` ? ?? a TY ._.?-._.. _.._....... -_-. ____._,...._...._...i.,__-.: ._" ? _ . . .. _. _ __?___,... ,.. ; . +__ ? • . . . . { , . . . , . ^n i r._..T ................_.?_ pr.'.......?.?__"'?.?__'....-_,_..} _ ...? -.....«4.?.._...I LEGAL DESCRIPTION , . . f ._.._? -+_y_.. Y-..? ._. . t . _ . . • : ? ? ; I . . , ? -. _. . . : . . _ . _ __. _ ._ . _ ? . _ LOT.? . ._f_; ? ? 1 ? . ? ' ? .. ..... ..,...: -,.._ ...x..?...»..??. . _._. ...??_ ; . _,. ., _ . ? ? ? ? ? 22 d ? . •? . ?__ . .- " . -? . , . . . .._ _. .... 6LOCK , : ? - - . . _ - - -?---- - - -- _ _;? - , ? .............;._......?.-`,._.._,......,._...._?..-`--r-..,,m .,?.-..--._.?- _ ADDITIO ' , . . . ".` "'.. ? ? 4 -i . .. ; ir? ? ? - ? - - -'--- :- - - , , - t_... . i . . ;.:_ ..,_•- -. . _. ? , j ,---=- - - i r ? - ? : . ... r .,, ! ?i ???-? .- -.-? ? - - - - - - ?- - - ? -- -- - . , . -? , . . . - - -- .. . -; 7 _,?.... ? ?. R... : _ - -- - - - - -- - r ? LOTSIZE: , - . . . . _A_ i / ... ? .,.. . ?._- ., " F..?...... ?. ?"/ x ?/ ? '7 ..., ..._„- .._ ..... ...__ ...?._ .?__._.._.._ .. ......_._. ? ?--_ HOUSESIZE: 2 r _,_...._.? ._......., i i ? ?. ? _SQ. FT. i t ' . . . '.___. . . ._ _ CROSSSTREETS: _-?? , !-?- AND ' ?_ - ' ? - : ,-_ - _' _'_ ' __- _ _ _ •_ _ . .. , . . . . . ? ? . ; , ?` . . ? ? ?'f , • ? ' i ? " ? 7777 i I t-" ' '" ....... _"_ _ .-_ ? r ? I i ! -?,' ! o- : ' ?-• --T -?,- ? 3. - ' ' . . --?-- ? ?Ai ' r ?- ? 17, ? --? ? {-: - -, ? ---? ' ? 1- -? ? --- ? T DI RECTION .. nare 16-10' 79 BUII,DING PBRMIT APPLICATION xnclude 2 sets oE pians, 1 site plan w/elevations and 1 set of energy calculationa. To be used for ?5/?.C/ ? Valuation ?d site Addrest: a Lot Block See. Sub. Parcel Number Dq owner Address S/v oSt . ? . SS// -- Contractor QA&L') `'??a-rYLLQ.. '6C, address ? Se . St • •SS/ Telephone !o /?0j7/0 Teleplwne Z F'k - SSD / Arch./Eng. Address Telephone OFFICE USE Erect Alter Repair _ Enlarge Mova Tlemolish Grade Occupancy 103 Zoning Fire 7Ane ? Type of Const. # of Stories Froat ?v ?pth R`1 OFFICE 1JSE Date of A roval & Initial Assessment Ptater/Sewer Police Fire Eng. Planner Council Rldg. off. A.P.C. FEES I°2g Pezmit Surcharge ad i>ian Check SAC taater c'onn. Water Meter fo? TOTAL ? I I? I I I ' rd I . v ?,P?"9,c Aeo,OER TY LwE \ L /U 7 t? ao' g C" ---?% ?I I ? ? uNZ I 0 o/ ? s - ?e rv L%NE ? " 5() - SEWER INyERT ? I % ?301 3 ? \ I ? TIL-SEF-HOMES INC. ; LOT AND BLOCKI-a-- ADDITION ? xAMETrnh? ADDRESS VA00 ?• ?Q'?'"? E::i CITY V rRoNT ?R6RF9; .LINE ? -PL AN ??????")? ****** &?R***s,<**** %KA***B; C:[7V C)F- E:Ar,FlN CASN.T.1=.R; tS TEI+'MINAL NU., 682 L'v-rTE: 08/23/99 TTME: QCi:37:56 ID : NAFiE^ AZTFr Rr3()F.[Nr i CC)NSl rO 3?ill 9001 400 hfAl_.P1O t_td i.25.25 90)91. 421BQ MAI...MO LN 3.00 rot3i. recE:ii_,+, Amnur`: 1.2R.25 CR:;.15766 l!SFSR :CI.1e JAN ?I?H?TR?MY'?inY?CYS i ?{?MT ??T?P?1?`A,C)(+Tn?.T?`TT?)F?FY.TTT?1'?iM1ry?TTTMM 3? ?( I O 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?r' ', U'Jr6 ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 ? New Conshuetion ReauIremeMs Remodel/Reoah Reauiremenh ? 3 reglatered sRe surveys showing sq. tt. oT lot, sq. k. of house 2 copies of plan and ?II roofed areas (20% mazimum lot eoveraae allowed) 1 seT of energy calculatlons for heated addHions D 2 copies of plans (show beam 6 wlndow sizea; poured Md. design; etc.) 7 sHe suney for exterior addiNOns i decks D 1 set of energy calculaflont ? 3 coples of free preservaHon plan H loi plafled alfer 7/1/93 DATE: CONSTRUCTION COST: S3y?/'_ ?1.3 DESCRIPTION OF WORK: STREET ADDRESS: t?a+ /y LOT: ? BLOCK: 1 SUBD./P.I.D. w, Name: ?atrs / L9rri Phone #: -Cp S/ PROPERTY lart First OWNER Sheet Address: -?? Sf'n??. City A?L_ gqv ` State:? Zip: Compony: Phone#: 6242 0 0 S16 (area code) CONTRACTOR Street Address: License # ??G/Exp. CityLCL/ ? State: Zip: ARCHITECT/ ENGINEER Telephone #: area code ( Sheel City Sewer 8 water Iicensed plumber (reauired for new conshucNon onN): Name: Regishation #: _ Stafe: Zip: Penalty cpplles when address change and lot change is requested once permR is Issued. 'I hereby acknowledge ihat I have read this appllcaNon, sfate that the informalfon is conect, and agree to comply wRh all appifcabl State of Mtnnesota Statutes and CNy of Eagan Ordinances. A Signature of OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Yes _ No Yes - No - Not Required , Use BLUE or BLACK Ink For Office Use F I Permit U I City of Ea Rd~ I Permit Fee: l1~ I 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 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (t7I LS 13 Site Address: LI Z7-0 )V, W jL. Lh Unit ~ is I . rod ~ . 5 9 9 Z Name:. Te>s--~ LUA Phone: 5 Resident/ Owner Address /City/Zip: LIZ$b /U• N(,J fi _h C7&1 S1 Z 3 Applicant is: Owner Contractor Type of Work Description of work: rle t'004L • - re Si d' Construction Cost: I 0(20 Multi-Family Building: (Yes No _ Company: Le l.-U " + t Contact: Contractor Address: ~1 b TY,1T,t_ City: Q Sri emu,, State: Zip: S s l z g Phone: 5 t. 2~ . B gUL/ License UL L Sr7©I H Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) P l i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I 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: LSewer & Water Contractor: Phone: E 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 i__ 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. 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. xl x Applicant's Printed Name Applicant Signature Page 1 of 3